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Awareness and perceived barriers in practicing healthy living to prevent hypertension among young adults in Malaysia

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Asian Pacific Journal of Tropical Medicine 2022年第12期15卷 542-550页

作者： Lee Siew-Keah Kang Waye hann Shun Kah Hoe Lai Rui En Lim Boon Chin Master Manfai Sae Chan Tee Zhi Kang Chua Ang-Lim M.Kandiah Faculty of Medicine and Health Sciences Universiti Tunku Abdul RahmanMalaysia Faculty of Medicine Universiti Teknologi MARAMalaysia

Objective:To investigate the knowledge,attitude,and practice levels and perceived barriers towards healthy living to prevent hypertension among young adults in ***:Adults aged 18-25 years reside in Malaysia were recruited via convenience *** characteristics,medical knowledge on hypertension(K1),knowledge(K),attitude(A),practice(P)and perceived barriers in practising healthy living to prevent hypertension were *** scores were categorised into good(80%-100%),upper-moderate(70%-79%),lower-moderate(60%-69%)and poor(<60%).Multivariate analysis was performed to test the difference and relationship of *** correlation test was used to test the association of two continuous ***:A total of 1218 respondents participated in this *** mean score of K1 was 54.1%,while the knowledge,attitude,and practice towards healthy living were 82.7%,78.2%and 68.5%*** prevalence of high salt intake,high fat intakes,low fibre intake,sedentary lifestyle and lack of annual health screening was 83.2%,81.4%,70.3%,and 73.2%,*** BMI was associated with low P scores,while lower socio-economic status,unawareness of self-blood pressure reading and those without family history of hypertension were associated with lower scores in K1,K,A,and P.K1,K,A and P are significantly *** main perceived barriers included self-proclaimed good fit status,frequent consumption of out-of-home food,and addiction to high salt/fat ***:The national strategies for health management should be prioritized in reducing salt and fat,promoting annual health screening,physical activities and fibre intake in this age group.

关键词： Healthy living Physical activity Salt restriction Dietary Hypertension Malaysia Young adults

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A basis for scientific and engineering translation :

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1000年

作者： Michael hann.

Includes bibliographical references (p. [221]-222) and index.

ISBN: (纸本)9027226083 (hb Eur.);9027226091 (pb Eur.);158811483X (hb US);1588114848 (pb US)

Includes bibliographical references (p. [221]-222) and index.

关键词： Science Technology English language German language

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Implications of the Interaction of Trade and Tax Rules(Part One)

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Belt and Road Initiative Tax Journal 2022年第2期3卷 90-94页

作者： Hafiz Choudhury Peter hann Daniel A.Witt The M Group Inc ITIC

Trade,investment and tax treaties are concluded for different reasons and with different *** international trade and tax systems are overseen by different global *** overlaps and inconsistencies between these agreements could be exploited by investors to gain unintended ***,developing countries must ensure that there is greater cooperation and exchange of information in relation to trade,investment and tax *** exchange of information between tax administrations is important in the context of the Belt and Road Initiative(BRI),where the tax administration in each jurisdiction needs to know more about the cross-border transactions of multinationals operating in its *** most effective way for developing countries to improve the exchange of information is to sign multilateral agreements,in particular the Convention on Mutual Assistance in Tax *** customs and transfer pricing functions within a jurisdiction should collaborate and exchange information to ensure that the pricing of import transactions is consistent across different *** functions could carry out risk-based compliance audits that would involve comparison of transfer pricing and customs *** the context of coordination between customs and direct tax functions,the comparison of customs and transfer pricing documentation can be established on a routine *** coordination of transfer pricing and customs would also help taxpayers reduce compliance costs in relation to cross-border *** view of the compliance costs involved in putting together transfer pricing documentation,it would help taxpayers if much of the same documentation could also be used for the purposes of customs valuation.

关键词： Investment treaty Double tax agreement Customs duties World Trade Organisation Tax administration Transfer pricing Developing countries

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AODV-Deleting Path with Bad Broken Index

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Journal of Measurement Science and Instrumentation 2010年第4期1卷 354-359页

作者： hann-tzong CHERN Shih-chi YANG Kuan-ting WANG Dept.of Electronic Engineering National Taiwan University of Science and Technology

In recent years, the development of mobile equipment makes the topology of the network to change rapidly. So that its routing problem an important research subject accordingly. In all the proposed protocols, the Ad Hoc On-demand Distance Vector Routing Protocol（AODV） is applied to most wireless environments. With it, the shortest path from the source to destination node is chosen by the metric of hop counts. However, the chosen path with this metric may not be a stable one. With the research of predecessors, the Link Available Time（LAT ） can be calculated by the strength of received signal and may be regarded as another usable routing metric. Based on that, the authors develop a protocol named AODV-Deleting Path with Bad Broken Index （AODV-DPWBB） and discuss all the logicality of it. The simulation is done for two contention modes in several node speeds with discussion followed. The simulation result shows better throughput, and end-to-end delay can be obtained comparing the original AODV with metric of hop-count.

关键词： MANET AODV routing protocol signal strength simulation

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Design and Realization of a UV-C Based Disinfection Tools Monitored by Mobile Application

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Open Journal of Applied Sciences 2022年第1期12卷 155-163页

作者： Baba Ngom Mouhamadou Thiam Mame Faty Mbaye Moussa Sow Khadim hann Mamadou Wade Laboratoire Sciences et Techniques de l’Eau et de l’Environnement (LASTEE) Ecole Polytechnique de Thiès (EPT) Thiès Sénégal

In many outbreaks, patients and healthcare workers are particularly at risk from nosocomial infections as a result of non-effective disinfection methods. With increasing incidence of viral infections such as severe acute respiratory syndrome, in one hand, and the increase in the rate of antibiotic resistant bacteria associated with nosocomial infections in other hand, there is a need to design novel engineering tools for inactivation of nosocomial pathogens. Ultraviolet germicidal irradiation (UVGI) is considered as a promising method to inactivate bacteria and viruses. This paper presents UV-C Based disinfection tools monitored by mobile application, designed for hospital and Epidemic Treatment Center. The evolution of the irradiation intensity over time was evaluated, and the theorical disinfection duration for several nosocomial pathogens was determined. In the case of SARS-CoV2, less than 12 minutes were needed to achieve 99.99% viral reduction in a room of 36 sqm.

关键词： Disinfection UVGI SARS-CoV2 Nosocomial Infections

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Compliance with Medical Treatment in Primary Open-Angle Glaucoma (POAG) at the Centre for the Application of the Diploma of Specialized Studies in Ophthalmology (CADES/O)

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Open Journal of Ophthalmology 2022年第4期12卷 382-391页

作者： Thierno Madjou Bah Ramata Balde Maxime Dantouma Sovogui Fadima Tamim hann Diane Nonga Centre for the Application of the Diploma of Specialized Studies in Ophthalmology (CADES/O) Conakry Guinea National Hospital of Ignace Deen Conakry Guinea Ophthalmology Clinic of Bartimée Conakry Guinea

Introduction: Primary open-angle glaucoma, a chronic, potentially blinding disease, requires lifelong medical treatment that demands full patient compliance. The objective was to determine the rate of compliance and to study the determinants of compliance in glaucoma patients followed at CADES/O. Patients and Methods: This was an observational study, which included old and new glaucoma patients. Compliance was assessed on the availability of medication, regularity of dosing schedules, compliance with prescribed doses, and regularity at check-ups. Compliance was judged to be good when at least four (4) of these criteria were met, fair when only three (3) of these criteria were met and poor when only two (2) of these criteria were met. Results: Compliance was considered good in 38.4% of cases, fair in 48.2% of cases and poor in 13.4% of cases with an overall compliance rate of 86.6%. The correlation was not statistically significant for age, sex, origin, length of illness, route of administration, instiller, or therapeutic regime. On the other hand, profession, level of education, presence of systemic arterial hypertension, compliance with instillation schedules, prescribed dosage, regularity of treatment, compliance with control visits and the climate of trust between patient and treating physician were the determining factors with the greatest statistical influence on compliance with treatment. Conclusion: Compliance with glaucoma treatment is linked to the patient factor but especially to the doctor factor. Doctors should take their time to explain to patients their disease, its evolution with or without treatment and above all the necessity of a good therapeutic compliance.

关键词： Compliance-Medical Treatment-POAG-CADES/O

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Endoscopic treatment modalities and outcomes in nonvariceal upper gastrointestinal bleeding

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World Journal of Gastrointestinal Endoscopy 2020年第2期12卷 72-82页

作者： Benjamin Cherng hann Yip Hossain Sayeed Sajjad Jie-Xun Wang Constantinos P Anastassiades Department of General Medicine Khoo Teck Puat HospitalSingapore 768828Singapore Department of Acute Medicine Northampton General HospitalCliftonvilleNorthampton NN15BDUnited Kingdom Clinical Research Unit Khoo Teck Puat HospitalSingapore 768828Singapore

BACKGROUND In nonvariceal upper gastrointestinal bleeding(NVUGIB),the optimal volume of adrenaline,the optimal number of hemoclips,and the application of thermal coagulation in determining patient outcomes have not been well *** To demonstrate a dose-response relationship between the commonly used endoscopic modalities for the treatment of non-variceal upper gastrointestinal bleeding and various clinical *** Patients presenting with NVUGIB were retrospectively identified and *** patients were stratified as follows:(1)>10 mL of adrenaline injected vs≤10 mL;(2)>1 hemoclip placed vs≤1 hemoclip;(3)Heater probe used or not;and(4)>2 treatment modalities used vs≤*** primary outcomes were rebleeding and the need for repeat *** secondary outcomes were the need for surgery,required transfusions,length of hospital stay,death during the same admission period and 30 d *** with NVUGIB who required endoscopic therapy were *** who did not require endoscopic therapy or were initially treated with surgery or embolization were *** In all,501 patients with NVUGIB were *** hundred sixty-one(32.1%)patients needed endoscopic *** injection of2 treatment modalities were associated with increased rebleeding(P=0.009)and the need for repeat endoscopy(P=0.048).The placement of>1 hemoclip was associated with a decreased length of hospital stay(P=0.044).The rates of surgery and death were low,and there were no other significant differences between the patient *** The more restrictive use of adrenaline and number of endoscopic modalities to treat NVUGIB with the more liberal use of hemoclips was associated with better patient outcomes.

关键词： Outcome predictors Nonvariceal upper gastrointestinal bleeding

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基于土壤-环境关系的更新传统土壤图研究

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土壤学报 2010年第6期47卷 1039-1049页

作者：杨琳 Fahmy Sherif Jiao You hann Sheldon 朱阿兴秦承志徐志刚中国科学院地理科学与资源研究所资源与环境信息系统国家重点实验室北京100101 Potato Research Centre Agriculture and Agri-Food Canada E3B4Z7 Canada Agrifoods Development Branch Department of Natural Resources A2H6JS Canada 中国科学院遥感应用研究所北京100101

传统土壤图是流域管理、生态水文模型所需土壤空间分布信息的主要数据源。然而,受传统制图技术和基础数据质量所限,传统土壤图的空间详细度和属性精确度并不高。随着地理信息技术的发展,如何利用可获取的高质量空间数据和现代空间分析... 详细信息

传统土壤图是流域管理、生态水文模型所需土壤空间分布信息的主要数据源。然而,受传统制图技术和基础数据质量所限,传统土壤图的空间详细度和属性精确度并不高。随着地理信息技术的发展,如何利用可获取的高质量空间数据和现代空间分析技术来更新传统土壤图显得十分必要。基于传统土壤图中的土壤多边形与通过模糊聚类所得环境因子组合之间存在着对应关系这一假设,本文提出了一种从传统土壤图中提取土壤-环境关系知识并利用该知识更新传统土壤图的方法。该方法包括四个步骤:对环境数据进行模糊c均值聚类获取环境因子组合;利用传统土壤图建立环境因子组合与土壤类型间的对应关系;提取土壤-环境关系知识;进行土壤推理制图。将该方法应用于加拿大New B runsw ick省的W akefield研究区,以更新该区现有的1∶20 000的传统土壤图。应用结果表明:更新后的数字土壤图显示了更详细的空间分布信息;经野外独立验证点验证,所得土壤图(制图单元为土壤组合-排水等级)精度高出原土壤图约20%。因此,该方法是一种有效的更新传统土壤图的方法,可增加土壤图的空间详细度、提高土壤图的属性精确度。

关键词：传统土壤图土壤-环境关系知识模糊c均值聚类环境因子组合土壤-环境推理模型(SoLIM)

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5招致胜如何直面竞争对手

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青年文学家 2015年第31期 28-29页

作者： Christopher hann

当你有了好点子,并且做得不错,竞争对手随之而来。尽管竞争手法没有标准公式可言,但你仍然可以从下面5种方法中得到击败对手的启发。做家谱生意的Cliff Shaw曾3次创业并卖掉公司,每次创业都经历了和该领域内巨头PK的过程。2011年,他在... 详细信息

当你有了好点子,并且做得不错,竞争对手随之而来。尽管竞争手法没有标准公式可言,但你仍然可以从下面5种方法中得到击败对手的启发。做家谱生意的Cliff Shaw曾3次创业并卖掉公司,每次创业都经历了和该领域内巨头PK的过程。2011年,他在科罗拉多州的Boulder创立Mocavo,又面临了同样的问题。一个最近刚刚为Shaw投资的机构称,Mocavo将成为"世界最大的家谱搜索引擎"。然而,为了实现这个目标,Shaw必须设计出优秀的商业模式与合理的定价体系,才能与行业领先者***竞争。彼时,***已凭借其200万的用户量和110亿次的历史搜索记录成为家谱搜索领域的巨头。

关键词：创业者初创企业酿酒师宠物食品抄袭者葡萄酒市场份额

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SAHA, an HDAC inhibitor, synergizes with tacrolimus to Prevent murine cardiac allograft rejection

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Cellular & Molecular Immunology 2012年第5期9卷 390-398页

作者： Xin Zhang Shu hann Yindong Kang Meng Guo Shanjuan Hong Fang Liu Shangxi Fu Liming Wang Quan-Xing Wang Institute of Organ Transplantation Changzheng HospitalShanghaiChina National Key Laboratory of Medical Immunology Second Military Medical UniversityShanghaiChina These authors contributed equally to this work.

Suberoylanilide hydroxamic acid （SAHA）, as a histone deacetylase （HDAC） inhibitor （HDACi）, was recently found to exhibit an immunosuppressive effect. However, whether SAHA can synergize with calcineurin inhibitors （CNIs） to inhibit allograft rejection and its underlying mechanism remain elusive. In this study, we demonstrated the synergistic effects of SAHA and non-therapeutic dose of tacrolimus （FK506） in prolonging the allograft survival in a murine cardiac transplant model. Concomitant intragraft examination revealed that allografts from SAHA-treated recipients showed significantly lower levels of IL-17 expression, and no discernable difference for IL-17 expressions was detected between SAHA- and SAHA/FK506-treated allograft as compared with allografts from FK506-treated animals. In contrast, administration of FK506 significantly suppressed interferon （IFN）-y but increased IL-IO expression as compared with that of SAHA-treated animals, and this effect was independent of SAHA. Interestingly, SAHA synergizes with FK506 to promote Foxp3 and CTLA4 expression. In vitro, SAHA reduced the proportion of Th17 cells in isolated CD4＋ T-cell population and decreased expressions of IL-17A, IL-17F, STAT3 and RORyt in these cells. Moreover, SAHA enhances suppressive function of regulatory T （Treg） cells by upregulating the expression of CTLA-4 without affecting T effector cell proliferation, and increased the proportion of Treg by selectively promoting apoptosis of T effector cells. Therefore, SAHA, a HDACi, may be a promising immunosuppressive agent with potential benefit in conjunction with CNI drugs.

关键词： allograft rejection HDAC inhibitor Th17 Treg

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