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Community Caregivers’ Experiences and Programmatic Strategies to Improve Active Case Finding in Community Tuberculosis Care in Botswana 2016-2021

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Journal of Tuberculosis Research 2024年第2期12卷 105-118页

作者： Unami Modongo-Mathebula mary Moleki Tefera Agizew Faculty of Health Sciences University of South Africa Pretoria South Africa Department of Family Medicine and Public Health Faculty of Medicine University of Botswana Gaborone Botswana

Background: The community tuberculosis care program was started to reduce the impact of TB and increase successful treatment outcomes, thus contributing to meeting WHO targets on TB. According to the Botswana Ministry of Health, community tuberculosis care was introduced with the main goal of reducing tuberculosis-related morbidity and mortality among communities through the expansion of direct observed therapy and community involvement to community settings. The community caregivers were to support tuberculosis patients throughout their treatment period until they were cured or had completed their treatment. Settings: Two major cities of Botswana, Francistown and Gaborone, with more than twenty-two health clinics offering tuberculosis care. Objective: To investigate community caregivers’ experiences and identify programmatic strategies to improve active TB case findings under the community TB care (CTBC) program in Botswana during 2016-2021. Methods: We adopted a descriptive qualitative research design, followed by convenience purposive sampling. We obtained consent and interviewed 40 participants who met the inclusion criteria, 16 out of 73 in Gaborone and 24 out of 38 from Francistown. Results: We interviewed 40 caregivers with a mean age of 43.4 years. Accepting the caregiving role was identified as the main experience by more than two thirds of the caregivers. While at least more than two-fifth felt obligated to care for the patient at home due to personal relations. More than half of the respondents found caregiving difficult or frustrating due to some challenges encountered during the caregiving role. Behavioral modifications were suggested under different subthemes as strategies to improve active case finding. [-rId13-]Conclusion: Acceptance was the major experience in CTBC. Intensification of known programmatic strategies was suggested by caregivers to improve tuberculosis active case finding in CTBC.

关键词： Community Experiences Caregivers Active Case Finding Tuberculosis Community Tuberculosis Care

Effect of organic component(tartrate) addition on cerium nitrate's ability to inhibit corrosion of mild steel in NaCl solution

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Journal of Rare Earths 2024年第10期42卷 1995-2002页

作者： Minakshi koundal Chhaya Sharma A.k.Singh Department of Applied Science and Engineering Indian Institute of Technology RoorkeeSaharanpur CampusSaharanpurU.247001India Department of Pulp and Paper Technology Indian Institute of Technology Roorke Saharanpur CampusSaharanpurU.p247001India

Cerium tartrate(CeTar),produced in this study by precipitating cerium nitrate with potassium sodium tartrate(kNaTar),was examined as a corrosion *** loss tests show inhibition efficiency of 71.7% with Ce(NO_(3))_(3) and 88.7% with CeTar inhibitor for one-month exposure to mild steel in 7 g/L NaCl *** inhibition efficiency drops to 28.6% with the fo rmer and remains around 8 7% with the latter inhibitor after six months of *** results from electrochemical testing indicate that the inhibition efficiency decreases by adding cerium ***,the cerium tartrate inhibitor demonstrates a nearly constant inhibition efficiency for up to 30 d,i.e.,≈90%.Electrochemical impedance spectroscopy(EIS) performed in these cases shows the following results:(ⅰ) with cerium nitrate,a film of iron and cerium oxide,which on prolonged exposure diminishes,and(ⅱ) with cerium tartrate,the formation of a bimetallic film(Fe-tartrate-Ce) and a mixture of cerium hydroxide and iro n oxide that protects steel for a longer *** inferences are based on the analyses of scanning electron microscopy/energydispersive X-ray analysis(SEM/EDAX),X-ray diffraction(XRD),Fourier transform infrared spectroscopy(FTIR),X-ray photoelectron(XPS),and Raman spectroscopy results.

关键词： Cerium tartrate Cerium nitrate Corrosion inhibition Mild steel Inhibitor film characterization Rare earths

A new route to weak force sensing beyond SQL:Squeezed magnons in cavity magnomechanics

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Science China(Physics,Mechanics & Astronomy) 2024年第10期67卷 166-167页

作者： S.k.Özdemir Department of Engineering Science and Mechanics and Materials Research Institute(MRI)The Pennsylvania State UniversityUniversity ParkPA 16802USA

Quantum mechanics imposes limits on measurement accuracy through quantum noise which typically has two components:First is the shot noise originating from vacuum fluctuations and referred to as the imprecision *** is ... 详细信息

关键词： quantum typically vacuum

Hybrid Prairie Dog and Beluga Whale Optimization Algorithm for Multi-Objective Load Balanced-Task Scheduling in Cloud Computing Environments

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China Communications 2024年第7期21卷 307-324页

作者： k Ramya Senthilselvi Ayothi Department of Computer Science and Engineering SRM Institute of Science and TechnologyRamapuramChennaiTamil Nadu 600089India

The cloud computing technology is utilized for achieving resource utilization of remotebased virtual computer to facilitate the consumers with rapid and accurate massive data *** utilizes on-demand resource provisioning,but the necessitated constraints of rapid turnaround time,minimal execution cost,high rate of resource utilization and limited makespan transforms the Load Balancing(LB)process-based Task Scheduling(TS)problem into an NP-hard optimization *** this paper,Hybrid Prairie Dog and Beluga Whale Optimization Algorithm(HPDBWOA)is propounded for precise mapping of tasks to virtual machines with the due objective of addressing the dynamic nature of cloud *** capability of HPDBWOA helps in decreasing the SLA violations and Makespan with optimal resource *** is modelled as a scheduling strategy which utilizes the merits of PDOA and BWOA for attaining reactive decisions making with respect to the process of assigning the tasks to virtual resources by considering their priorities into *** addresses the problem of pre-convergence with wellbalanced exploration and exploitation to attain necessitated Quality of Service(QoS)for minimizing the waiting time incurred during TS *** further balanced exploration and exploitation rates for reducing the makespan during the task allocation with complete awareness of VM *** results of the proposed HPDBWOA confirmed minimized energy utilization of 32.18% and reduced cost of 28.94% better than approaches used for *** statistical investigation of the proposed HPDBWOA conducted using ANOVA confirmed its efficacy over the benchmarked systems in terms of throughput,system,and response time.

关键词： Beluga Whale Optimization Algorithm(BWOA) cloud computing Improved Hopcroft-karp algorithm Infrastructure as a Service(IaaS) Prairie Dog Optimization Algorithm(PDOA) Virtual Machine(VM)

Aggresome-aggrephagy transition process:geting closer to the functional roles of HDAC6 and BAG3

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Neural Regeneration Research 2024年第6期19卷 1181-1182页

作者： Hagen körschgen Christian Behl The Autophagy Lab Institute of PathobiochemistryUniversity Medical Center of the Johannes Gutenberg University MainzMainzGermany

Misfolding of proteins as well as their aggregation is a major driver of age-related neurodegenerative ***,cells have evolved sophisticated protein quality control *** the ubiquitin-proteasome-system(UPS)and the autop... 详细信息

关键词： closer system transition

SARS-CoV-2 spike protein-ACE2 interaction increases carbohydrate sulfotransferases and reduces N-acetylgalactosamine-4-sulfatase by p38 MAPk

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Signal Transduction and Targeted Therapy 2024年第3期9卷 1174-1185页

作者： Sumit Bhattacharyya Joanne k.Tobacman Jesse Brown VA Medical Center and University of Illinois at Chicago ChicagoIL 60612USA

Immunostaining in lungs of patients who died with CovID-19 infection showed increased intensity and distribution of chondroitin sulfate and decline in N-acetylgalactostamine-4-sulfatase(Arylsulfatase B;ARSB).To explain these findings,human small airway epithelial cells were exposed to the SARS-CoV-2 spike protein receptor binding domain(SPRBD)and transcriptional mechanisms were ***-p38 MAPk and phospho-SMAD3 increased following exposure to the SPRBD,and their inhibition suppressed the promoter activation of the carbohydrate sulfotransferases CHST15 and CHST11,which contributed to chondroitin sulfate *** in ARSB was mediated by phospho-38 MAPk-induced N-terminal Rb phosphorylation and an associated increase in Rb-E2F1 binding and decline in E2F1 binding to the ARSB *** increases in chondroitin sulfotransferases were inhibited when treated with phospho-p38-MAPk inhibitors,SMAD3(SIS3)inhibitors,as well as antihistamine desloratadine and antibiotic *** the mouse model of carrageenan-induced systemic inflammation,increases in phosphop38 MAPk and expression of CHST15 and CHST11 and declines in DNA-E2F binding and ARSB expression occurred in the lung,similar to theobserved effects in this SPRBD model of COVID-19 *** accumulation of chondroitin sulfates is associated with fibrotic lung conditions and diffuse alveolar damage,increased attention to p38-MAPk inhibition may be beneficial in amelioratingCovid-19infections.

关键词： ACE2 lung inhibited

No effect of invasive tree species on aboveground biomass increments of oaks and pines in temperate forests

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Forest Ecosystems 2024年第4期11卷 401-413页

作者： Sebastian Bury Marcin k.Dyderski Institute of Dendrology Polish Academy of SciencesParkowa 562-035 KornikPoland

Prunus serotina and Robinia pseudoacacia are the most widespread invasive trees in Central *** addition,according to climate models,decreased growth of many economically and ecologically important native trees will likely be observed in the *** aimed to assess the impact of these two neophytes,which differ in the biomass range and nitrogen-fixing abilities observed in Central European conditions,on the relative aboveground biomass increments of native oaks Qucrcus robur and *** and Scots pine Pinus *** aimed to increase our understanding of the relationship between facilitation and competition between woody alien species and overstory native *** established 72 circular plots(0.05 ha)in two different forest habitat types and stands varying in age in western *** chose plots with different abundances of the studied neophytes to determine how effects scaled along the quantitative invasion ***,we collected growth cores of the studied native species,and we calculated aboveground biomass increments at the tree and stand ***,we used generalized linear mixed-effects models to assess the impact of invasive species abundances on relative aboveground biomass increments of native tree *** did not find a biologically or statistically significant impact of invasive *** or *** on the relative aboveground,biomass increments of native oaks and pines along the quantitative gradient of invader biomass or on the proportion of total stand biomass accounted for by *** neophytes did not act as native tree growth stimulators but also did not compete with them for resources,which would escalate the negative impact of climate change on pines and *** neophytes should not significantly modify the carbon sequestration capacity of the native *** work combines elements of the per capita effect of invasion with research on mixed forest management.

关键词： Invasion ecology Exotic trees Relative aboveground biomass increment Competition Facilitation Carbon sequestration

Process engineering of demineralisation of moderate to high ash Indian coals through NaOH‑HCl leaching and HF leaching

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International Journal of Coal Science & Technology 2024年第2期11卷 111-122页

作者： Heena Dhawan D.k.Sharma ANRF Ministry of ScienceNew DelhiIndia Department of Energy Science and Engineering Indian Institute of Technology DelhiNew Delhi 110016India

Chemical leaching of coals would be required to produce cleaner coals for some special applications where physical benefi-ciation may not be effective *** would also help in recovering Li and rare earth metals besides in the sequestration of CO_(2).About 20 Indian coals having complexly distributed moderate to high ash contents were sequentially treated with various alkali–acid such as NaOH-HCl,HF,HCl,HCl-HF,and NaOH-HCl-HF *** aimed to establish and design the best stepwise sequential process for the highest degree of demineralisation through a chemical leaching *** and process intensification studies were carried *** than 80%demineralisation of Madhaipur and Neemcha coals was observed using the best sequential treatment designed *** repeated stepwise treatment of the alkali and the acid was also studied,which was found to significantly enhance the degree of demineralisation of *** integrated process of alkali–acid leaching followed by solvent extraction(Organo-refining)and vice versa of the treated coal was also studied for producing cleaner coals.

关键词： Alkali–acid leaching Demineralisation Integrated process Rare earth elements

Commentary on“Incidence of urinary incontinence following endoscopic laser enucleation of the prostate by en-bloc and non-en-bloc techniques:a multicenter,real-world experience of 5068 patients”

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Asian Journal of Andrology 2024年第3期26卷 333-334页

作者： James F Jiang Narmina k Onder Akhil k Das Department of Urology University of California Irvine Orange CA 92868 USA.

Laser enucleation of the prostate is a proven and effectivesize-independent method for the surgical management of symptomaticbenign prostatic hyperplasia(BPH)and is considered as the“goldstandard”by many *** major hurdles that stand in theway of this becoming a universally used procedure for BPH are thesteep learning curve associated with mastering the procedure andpossibility of perioperative transient *** advances inteaching methodologies have helped tackle the difficulty in learning itand increased the number of urologists utilizing the *** forthe second hurdle,transient incontinence rates postlaser enucleationof the prostate have improved with the advent of newer techniques *** et al.1 assesses the incidence of stress,urge,andmixed urinary incontinence following laser enucleation of the prostateby comparing en-bloc and non-en-bloc techniques in a multicenterseries of 5068 men with BPH.

关键词： urinary incontinence transient