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Colorectal cancer screening use among insured adults: Is out-of-pocket cost a barrier to routine screening?

World Journal of Gastrointestinal Pharmacology and Therapeutics 2018年第4期9卷 31-38页

作者： Abhilash Perisetti Hafiz Khan Nayana e George Rachana Yendala Aamrin Rafiq Summre Blakely Drew Rasmussen nathan Villalpando Hemant Goyal Department of Gastroenterology University of Arkansas for Medical Sciences Department of Public Health Texas Tech University Health Sciences Department of Internal Medicine University of Arkansas Medical Sciences Department of Hematology and Oncology Texas Tech University Health Sciences Department of Biological Sciences Texas Tech University School of Medicine Texas Tech University Health Sciences Center Department of Internal Medicine Mercer University School of Medicine

AIM To describe the characteristics of adults who needed to see a doctor in the past year but could not due to the extra cost and assess the impact of limited financial resources on the receipt of routine fecal occult blood test, sigmoidoscopy, or colonoscopy for colon cancer screening among insured patients. MeTHODS Data obtained from the 2012 Behavioral Risk Factor Surveillance System included 215436 insured adults age 50-75 years. We computed frequencies, adjusted odds ratios(a ORs), and 95%CIs using SAS v9.3 software. ReSULTS Nine percent of the study population needed to see a doctor in the past year but could not because of cost. The numbers were significantly higher among those aged 50-64(P es(P e with a primary care physician(P er factors. Adjusting for possible confounders, a ORs for not seeing the doctor in the past year because of cost were: stool occult blood test within last year a OR = 0.88; 95%CI: 0.76-1.02, sigmoidoscopy within last year a OR = 0.72; 95%CI: 0.48-1.07, colonoscopy within the last year a OR = 0.91; 95%CI: 0.81-1.02. CONCLUSION We found that the limited financial resources within the past 12 mo were significantly associated with colorectal cancer(CRC) non-screening. Patients with risk factors identified in this study should adhere to CRC guidelines and should receive financial help if needed.

关键词： Fecal occult blood Healthcare delivery Sigmoidoscopy Colorectal cancer Screening Access to care Behavioral Risk Factor Surveillance System

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NeURAL NeTWORK SMITH PReDICTIVe CONTROL FOR TeLeROBOTS WITH TIMe DeLAY

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Transactions of Nanjing University of Aeronautics and Astronautics 2001年第1期18卷 35-40页

作者：黄金泉徐亮 Frank L lewis 南京航空航天大学能源与动力学院德克萨斯大学自动化和机器人研究所

A neural network Smith predictive control strategy is proposed to deal with inpu t and feedback time delays in telerobot systems. The delay time is assumed to b e invariant and unknown. The proposed control structure consists of a slave syst em and a master controller. In the slave system, a recurrent neural network (RNN ) with on-line weight tuning algorithm is employed to approximate the dynamics of the time-delay-free nonlinear plant, which is used to linearize the slave s ystem. The master controller is a Smith predictor for the linearized slave syste m, which provides prediction and maintains the desirable tracking performance. S tability propriety is guaranteed based on the Lyapunov method. A simulation of a two-link robotic manipulator is provided to illustrate the effectiveness of th e proposed control strategy.

关键词： telerobot time delay s ystem neural networks Smith predictor

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用溶胶-凝胶法制备优质陶瓷

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压电与声光 1988年第5期 68-71+87页

作者： C.e.lewis 钟川美·材料工程杂志社

用普通的技术,很难制备超高质量的陶瓷,而用化学法能非常好地控制陶瓷的组成、纯度和微观结构。

关键词：溶胶-凝胶法纤维微观结构孔隙凝胶铸件缺陷胶体材料制备

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彩电被控“倾销”——这对中国厂商意味着什么?

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时代经贸 2003年第2期1卷 30-33页

作者： lewis e.Leibowitz 魏军霍金.豪森律师事务所霍金.豪森律师事务所北京代表处

在所有国家中,中国最容易受到“倾销”指控。倾销是一个专用术语,指以低于生产成本或低于出口方国内市场的价格在出口市场上销售产品。中国产品之所以经常遭遇这类案件,是因为中国产品出口增长极为迅速,许多境外厂家担心进口中国产品会... 详细信息

在所有国家中,中国最容易受到“倾销”指控。倾销是一个专用术语,指以低于生产成本或低于出口方国内市场的价格在出口市场上销售产品。中国产品之所以经常遭遇这类案件,是因为中国产品出口增长极为迅速,许多境外厂家担心进口中国产品会加剧国内竞争。倾销程序正日益成为限制进口的有利保护手段。

关键词：世贸组织中国厂商征收反倾销税正常价格律师事务所倾销幅度反倾销调查反倾销案件计算方法反倾销程序

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Social practices of nurse care coordination using sensor technologies e Challenges with an alert system adoption in assisted living communities for older adults

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International Journal of Nursing Sciences 2021年第3期8卷 289-297,I0004页

作者： Isa Jahnke nathan Riedel Mihail Popescu Marjorie Skubic Marilyn Rantz School of Information Science and Learning Technologies University of MissouriColumbiaMOUnited States Department of Health Management and Informatics University of MissouriColumbiaMOUnited States Department of electrical engineering and Computer Science University of MissouriColumbiaMOUnited States Sinclair School of Nursing University of MissouriColumbiaMOUnited States

Objectives:From the view of everyday practices and the socio-technical coordination lens,this study aimed to analyz the gap between creators’intention and the users’implementation(mainly nursing staff and social workers)of an alert system in assisted living ***:Qualitative methods were employed by way of five user interviews and focus groups with six system *** instruments were applied for data collection to analyze the different clinical workflows versus the expectations of the system development ***:Results indicate that the clinical workflow changed over time,which led to a mismatch of nurse care coordination,social practices,and technology *** results show different mental models of the socio-technical *** the coordination theory,the following recommendations could be developed to overcome the ***,it is recommended that nursing staff set goals ***,a communication rhythmwith the nursing staff and developer teams should be established,with guided questions to facilitate the conversation,to shed light on the different workflows and the difference in social practices when using sensor technologies or alert ***,a checklist for new employees should be created so they know how and on which devices to use the alert ***,the user experience with the alert system should be improved(e.g.,an improved user interface).Conclusions:This work indicates recommendations to close the mental model gap to overcome the mismatch between optimal use of the alert system and how the nursing staff is actually using it.

关键词： Community health services Health services for the aged Medical informatics applications Software

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可靠度工程导论

可靠度工程导论

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1978年

作者：刘易斯（lewis e.e.）赵孛霖译

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Benefit versus Risk: Can Potentially Proarrhythmic Drugs Be Brought to the Marketplace

Benefit versus Risk: Can Potentially Proarrhythmic Drugs Be ...

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第十五届国际药理学大会

作者： lewis B.Kinter AstraZeneca Pharmaceuticals Wilmington DEUSA

＜正＞ In an ideal world, new candidate drugs would not interact with heRG channels. prolong cardiac action potentials in vitro, nor increase QT intervals, or be associated with arrhythmias in vivo. The real world is otherwise and today many promising new drugs are approaching clinical development and even registration with one or more signals of potential arrhythmia hazard. Under recently agreed ICH guidance ’ Clinical evaluation of QT/QTc Interval Prolongation and Proar-rhythmia Potential for Non-Antiarrhythmic Drugs’ （ICH e14） virtually all drugs must undergo a ’thorough QT/QTc study’ in humans, the results of which if negative will absolve a new drug of any lingering preclinical arrhythmia hazard signals. However. ICH e14 states that’substantial’ QT/QTc prolongation in humans, with or without documented arrhythmias, could be a basis for non-approval and/or discontinuation of clinical development, additional clinical studies, warnings in the product label, particularly when the drug offers no compelling advantage over available therapy, and available therapy appears to meet the needs of most patients （insufficient benefit）. Failure to conduct an adequate clinical QT/ QTc study will justify delay or denial of marketing authorization （unstudied risk）. These concepts are based upon conservative assumptions of relationships between interactions of drugs at specific ion channels, effects upon cardiac action potentials and QT interval and potentially fatal arrhythmias. Today, scientists and cardiologists recognize that these relationships are not absolute, that not all drugs that interact with the heRG channel, and most recently that not all drugs that prolong QT interval pose the same or any arrhythmia hazard. This presentation will discuss how to bring potentially proarrhythmic drugs can be brought to the marketplace in light of recent regulatory positions and emerging scientific understandings.

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Designing and analyzing language tests

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2011年

作者： nathan T. Carr.

来源：畅想之星图书光盘版（南... 评论

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effect of Varying Temperature and Oxygen on Particulate Matter Formation in Oxy-Biomass Combustion

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energy engineering 2022年第3期119卷 863-881页

作者： Chen Wang Cicilia Kemunto Mesa Samuel Bimenyimana nathan Bogonko George Adwek Yiyi Mo Godwin Norense Osarumwense Asemota Changfu Yuan Yaowen Chen Changtai Li etienne Ntagwirumugara Aphrodis Nduwamungu Fujian Provincial Higher–educational engineering Research Centre of Intelligence and Automation in Construction College of Civil EngineeringHuaqiao UniversityXiamenChina Kenya Industrial Research and Development Institute NairobiKenya Hello Renewables Ltd.KigaliRwanda Mount Kenya University ThikaKenya African Centre of excellence in energy for Sustainable Development University of RwandaKigaliRwanda Morayo College NairobiKenya Fujian Baichuan Construction Technology Co. Ltd.XiamenChina Haoqi(Xiamen)Construction Technology Co. Ltd.XiamenChina University of Rwanda College of Science and TechnologyKigaliRwanda

Offsetting particulate matter emissions has become a critical global aim as there are concerted efforts to deal with environmental and energy poverty *** study consists of investigations of computing emissions of particulate matter from biomass fuels in various atmospheres and *** laboratory setup included a fixed bed electric reactor and a particulate matter(PM)measuring machine interfaced with the flue gas from the fixed bed reactor combustion *** experiments were conducted at seven different temperatures(600℃-1200℃)and six incremental oxygen concentrations(21%-100%).Five biomass types were studied;A-cornstalk,B-wood,C-wheat straw,D-Rice husk,e-Peanut shell,each pulverized to a size of approximately 75 *** study shows that PM emitted during char combustion is consistently higher than that emitted during the *** de-volatilization,increase in temperature leads to linear decrease in PM emission between atmospheres of 21%O_(2)to 50%O_(2),thereafter,between 70%O_(2)to 100%O_(2);increase in temperature leads to a rise in PM *** average PM formation from all the five considered biomass is relatively comparable however,with differing atmospheres and temperatures,the fibrous and low-density biomass forms more *** char combustion,the study shows that at oxygen levels of 21%,70%,90%and 100%,increase in temperature leads to increased PM *** increase in oxygen concentration and temperature increases the rate of combustion hence diminishing the time of combustion.

关键词： Oxy-fuel combustion particulate matter(PM) volatiles char combustion

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Hole''s essentials of human anatomy and physiology 8th ed.

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2003年

作者： David Shier Jackie Butler Ricki lewis

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