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Bioactive Materials 2020年第2期5卷 428-434页

作者： k.joyce S.Rahmani Y.Rochev Centre for Research in Medical Devices(CÚRAM) Biomedical SciencesNational University of Ireland Galway(NUIG)Newcastle RoadGalwayIreland Boston Scientific Limited Ballybrit Business ParkGalwayIreland National University of Ireland GalwayUniversity RoadGalwayIreland Institute for Regenerative Medicine Sechenov University8-2 Trubetskaya St.Moscow119991Russia

Glutaraldehyde(Glut)is an extensively used sterilant and fixative for the crosslinking of natural soft tissue biomaterials like bovine pericardium(BP)to provide stability and is required for its application in *** is plenty of debate around the reaction mechanism of Glut with natural *** scanning calorimetry(DSC)is a commonly used technique that is typically used to measure the thermal profile of ***,a variation known as quasi-isothermal modulated differential scanning calorimetry(QiMDSC)has been utilised for the analysis of polymorphic transformations in both the pharmaceutical and food *** communication will address QiMDSC as a method for analysing soft tissue biomaterials and their crosslinking mechanisms and how it can be applied to other biomaterial applications.

关键词： Glutaraldehyde QiMDSC Bovine pericardium

Diagnosis and management of malaria in the intensive care unit

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Journal of Intensive Medicine 2024年第1期4卷 3-15页

作者： George Akafity Nicholas kumi joyce Ashong Department of Research Monitoringand EvaluationCape Coast Teaching HospitalCape CoastGhana Intensive Care Unit Department of Critical Care and AnesthesiaCape Coast Teaching HospitalCape Coast Department of Paediatrics and Child Health Cape Coast Teaching HospitalCape CoastGhana

Malaria is responsible for approximately three-quarters of a million deaths in humans globally each *** of the morbidity and mortality reported are from Sub-Saharan Africa and Asia,where the disease is *** non-endemic areas,malaria is the most common cause of imported infection and is associated with significant mortality despite recent advancements and investments in elimination *** malaria often requires intensive care unit admission and can be complicated by cerebral malaria,respiratory distress,acute kidney injury,bleeding complications,and *** care management includes prompt diagnosis and early initiation of effective antimalarial therapy,recognition of complications,and appropriate supportive ***,the lack of diagnostic capacities due to limited advances in equipment,personnel,and infrastructure presents a challenge to the effective diagnosis and management of *** article reviews the clinical classification,diagnosis,and management of malaria as relevant to critical care clinicians,highlighting the role of diagnostic capacity,treatment options,and supportive care.

关键词： Malaria Intensive care unit Severe malaria Antimicrobial resistance Antimalarials Artemisinin-based combination therapy

Morphometric Study of the Mastoid Process and its Role in Sex Differentiation:A Nigerian Computed Tomography Study

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Journal of Forensic Science and Medicine 2024年第1期10卷 1-10页

作者： Beryl Shitandi Ominde John NIgabari joyce Ekeme Ikubor Department of Human Anatomy and Cell Biology Delta State UniversityAbrakaNigeria Department of Mathematics Delta State UniversityAbrakaNigeria Department of Radiology Delta State University Teaching HospitalOgharaNigeria

Background:The mastoid process can be utilized in forensic identification due to its resistance to alterations and population variations in its *** study investigated the role of mastoid parameters in the determination of sex in a Nigerian *** and Objectives:The aim of this study was to determine the gender differences in measurements of the mastoid ***,the study aimed at assessing the percentage accuracy of using the mastoid variables in sex *** and Methods:This cross-sectional study used computed tomographic images of the brain,stored in the radiology unit of a referral hospital in Delta State,*** was granted by the hospital’s Ethics *** measurements of the mastoid process were taken on images of 310 patients(170 males and 140 females)aged 20-80 *** were summarized using means and standard ***,side,and age group comparisons were assessed using the independent t-test,paired t-test,and analysis of variance,*** association between variables was probed using Pearson’s correlation *** discriminant function analysis was used to determine the accuracy of correct sex *** probability value was set at<***:All the measurements were larger in males than in females(P<0.05).All except the conventional height,oblique sagittal diameter,and mediolateral inclination angle showed significant differences between age groups(P<0.05).The true height and oblique coronal diameter showed a significant positive correlation with age(0

关键词： Forensic mastoid process measurements sex determination

Comparison of vergence mechanisms between university students with good and poor sleep quality

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International Journal of Ophthalmology(English edition) 2024年第2期17卷 353-358页

作者： Pui Juan Woi joyce Yi Ling Lu Mohd Izzuddin Hairol Wan Nur Amirah Ibrahim Optometry and Vision Science Programme Center for Community Health Studies(ReaCH)Faculty of Health SciencesUniversiti Kebangsaan MalaysiaKuala Lumpur 50300Malaysia Centre of Optometry Studies Faculty of Health SciencesUniversiti Teknologi MARASelangor BranchPuncak Alam CampusSelangor 42300Malaysia

AIM:To compare the vergence mechanisms between good and poor sleepers in university ***:A total of 64 university students were recruited in this *** validated Malay version of Pittsburgh Sleep Quality Index questionnaire(PSQI-M)was used to measure the participants’sleep quality over the past *** were categorized as good sleepers(n=32)and poor sleepers(n=32)based on the PSQI-M *** and fusional vergences were measured at distance and ***-Whitney U test was used to compare heterophoria,negative fusional vergence(NFV),and positive fusional vergence(PFV)at distance and near between good and poor *** correlation analysis was used to study the relationship between PSQI-M score and PFV at ***:Both distance and near heterophorias were not significantly different between good and poor sleepers(P>0.05).There was a difference in distance PFV(P0.05).Distance PFV was negatively correlated with PSQI-M score(rs=-0.33,P<0.05).CONCLUSION:University students with poor sleep quality demonstrates a reduced ability to maintain fusion with increasing convergence demand at *** quality assessment during binocular vision examination in university students is recommended.

关键词： binocular vision vergence sleep quality university students

China Continues to Be World’s Second Largest Insurance Market

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China's Foreign Trade 2024年第3期 58-59页

作者： joyce Lee 不详

Allianz Group recently released the Allianz Global Insurance Report,predicting that China will consolidate its position as the world’s second largest insurance market in the next *** report analyzes the business performance of the global insurance market in 2023 and forecasts the development direction and trends of the global insurance industry in the next decade.2023:A year of significant growth According to the report,in 2023,the global insurance industry grew by an impressive 7.5%,which is the fastest rate since the pre-Global Financial Crisis(GFC)era.

关键词： Market Financial insurance

Finding Dreams in the Fantastic Landscapes of Zhangjiajie

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China's Foreign Trade 2024年第4期 59-61页

作者： joyce Lee 不详

Zhangjiajie(张家界):only its name is enough to evoke the yearning for nature in the hearts of countless *** natural wonder in China’s Hunan Province has become a World Natural Heritage Site and a World Geopark for its unique landforms and magnificent *** is even more famous for being the filming location of Hollywood blockbusters such as“Avatar”and“Transformers”.

关键词： Hunan enough Natural

China-Russian Managed to Achieve Closer Collaboration with Mutual Complementarity

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China's Foreign Trade 2024年第3期 42-44页

作者： joyce Lee 不详

This year marks the 75th anniversary of China-Russia diplomatic *** President Vladimir Putin paid a state visit to China in *** heads of state of both China and Russia held a sincere,friendly and informative meeting,signed and issued a joint statement,and witnessed the signing of more than 10 important cooperation *** bilateral relations have shown a sound momentum of mutual benefit,in-depth coordination and long-term stability.

关键词： statement mutual Russian

An Assessment of Procurement Risks Management Systems in the Public Sector

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Chinese Business Review 2024年第2期23卷 76-86页

作者： Atoapem Frimpong Barimah joyce-Jael Amoafoa Mensah Malaysia University of Science and Technology Petaling JayaMalaysia kwame Nkrumah University of Science and Technology KumasiGhana

Risk management in public procurement is a critical aspect that needs to be addressed in the public *** studies have been conducted to understand the challenges and factors influencing risk management in public *** studies have explored the importance of risk management principles,the role of political influence,and the need for effective risk assessment and *** research has also highlighted the need for specific risk management mechanisms and tools to be implemented in public procurement *** management reforms in the public sector are essential but often circumvented due to assorted reasons,such as political influence and the emergence of new *** research investigation employs a quantitative research design.A total of 380 questionnaires were recovered from *** study showed that the public sector has a procurement risk management system that is effective,but there may be some areas for improvement in the prequalification process,onboarding process,and support provided to newly onboarded ***,the public sector used some strategies to mitigate and control contract risks during the procurement process,but there were some areas for improvement in the review and lessons learned process,risk mitigation measures,contract monitoring and performance evaluation mechanisms,and communication and documentation ***,the results suggest that there were constraints placed on the risk management strategies currently utilized by professionals working in the public *** constraints include insufficient support and buy-in from senior management and stakeholders,bureaucratic or administrative hurdles,inadequate policies and regulations,insufficient training and skill development opportunities,and insufficient *** study highlights the significance of tackling risk management in the realm of public procurement and offers valuable perspectives on avenues for enhancement,obstacl

关键词： public sector public procurement suppliers risk management strategies

Impact of Social Determinants of Health on Self-Perceived Resilience: An Exploratory Study of Two Cohorts of Adults with Congenital Heart Disease

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Congenital Heart Disease 2024年第1期19卷 33-48页

作者： Albert Osom krysta S.Barton katie Sexton Lyndia Brumback.joyce P.Yi-Frazier Abby R.Rosenberg Ruth Engelberg Jill M.Steiner Department of Biostatistics University of WashingtonSeattleWA98195USA Biostatistics Epidemiology and Analytics for Research(BEAR)Core Seattle Children’s Research InstituteSeattleWA98101USA College of Medicine University of WashingtonSeattleWA98195USA Center for Clinical and Translational Research Seattle Children’s Research InstituteSeattleWA98101USA Department of Psychosocial Oncology and Palliative Care Dana-Farber Cancer InstituteDepartment of MedicineBoston Children’s HospitalBostonMA02215USA Department of Pediatrics Harvard Medical SchoolBostonMA02215USA Division of Pulmonary Critical Care and Sleep MedicineDepartment of Medicine&Cambia Palliative Care Center of ExcellenceUniversity of WashingtonHarborview Medical CenterSeattleWA98104USA Division of Cardiology Department of Medicine&Cambia Palliative Care Center of ExcellenceUniversity of WashingtonSeattleWA98195USA

Social determinants of health(SDOH)affect quality of *** investigated SDOH impacts on self-perceived resilience among people with adult congenital heart disease(ACHD).Secondary analysis of data from two com-plementary studies:a survey study conducted May 2021–June 2022 and a qualitative study conducted June 2020–August *** was assessed through CD-RISC10 score(range 0–40,higher scores reﬂect greater self-perceived resilience)and interview *** and SDOH(education,employment,living situa-tion,monetary stability,ﬁnancial dependency,area deprivation index)data were collected by healthcare record review and *** used linear regression with robust standard errors to analyze survey data and performed a thematic analysis of interview *** participants(N=127)mean age was 42±14 years;51%were female,87%*** was moderate(75%)or complex(25%);41%functional class C or ***(mean 30±7)varied by monetary stability:compared to people with difﬁculty paying bills,resilience was 15.0 points higher(95%CI:6.9–23.1,pknowledge can inform the development of resilience interventions for this population.

关键词： Social determinants of health adult congenital heart disease resilience ﬁnancial stability

Telematics as a Transformative Agent for the Zimbabwean Auto Insurance Ecosystem

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Journal of Computer and Communications 2024年第7期12卷 39-58页

作者： Prosper Tafadzwa Denhere joyce Denhere Gracious Mutipforo Chipo katsande Allan Muzenda Nelson Matanana Gibson Muridzi Department of Computer Science and Information Systems Manicaland State University of Applied Sciences Mutare Zimbabwe Department of Risk Advisory Manicaland State University of Applied Sciences Mutare Zimbabwe Department of Business Sciences Manicaland State University of Applied Sciences Mutare Zimbabwe

Zimbabwe has witnessed the evolution of Information Communication Technology (ICT). The vehicle population soared to above 1.2 million hence rendering the Transport and Insurance domains complex. Therefore, there is a need to look at ways that can augment conventional Vehicular Management Information Systems (VMIS) in transforming business processes through Telematics. This paper aims to contextualise the role that telematics can play in transforming the Insurance Ecosystem in Zimbabwe. The main objective was to investigate the integration of Usage-Based Insurance (UBI) with vehicle tracking solutions provided by technology companies like Econet Wireless in Zimbabwe, aiming to align customer billing with individual risk profiles and enhance the synergy between technology and insurance service providers in the motor insurance ecosystem. A triangulation through structured interviews, questionnaires, and literature review, supported by Information Systems Analysis and Design techniques was conducted. The study adopted a case study approach, qualitatively analyzing the complexities of the Telematics insurance ecosystem in Zimbabwe, informed by the TOGAF framework. A case-study approach was applied to derive themes whilst applying within and cross-case analysis. Data was collected using questionnaires, and interviews. The findings of the research clearly show the importance of Telematics in modern-day insurance and the positive relationship between technology and insurance business performance. The study, therefore revealed how UBI can incentivize positive driver behavior, potentially reducing insurance premiums for safe drivers and lowering the incidence of claims against insurance companies. Future work can be done on studying the role of Telematics in combating highway crime and corruption.

关键词： Telematics Vehicle Tracking Systems Usage Based Insurance Digital Insurance Vehicle Management Information Systems Intelligent Transportation Systems