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Macronutrients and Health—Steps to Ameliorating the Nutrition Transition Trap

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Biomedical and Environmental Sciences 2001年第1期14卷 124-129页

作者： D. C. K. roberts School of Health Sciences Faculty of Medicine and Health Sciences

Countries that have made the health transition from a communicable disease base to a non communicable disease base find themselves gripped in an epidemic of wealth created diseases mediated by altered macronutrient intakes, energy intakes and reduction in physical activity. Avoiding the negative impact of the nutrition transition while accepting the positive aspects of the wealth transition can best be achieved by focussing on publicising the benefits of a low fat diet in the context of an active lifestyle. How this is achieved should reflect ecologically sound food production appropriate to national needs. Countries that achieve this will be in the best position to capitalize on the reduction in communicable disease rates without causing a rise in non communicable disease rates.

关键词： FISCAL FOOD POLICY DEVELOPING-COUNTRIES OBESITY DISEASE DIET

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Study of the wall adhesive tensile contact of moist iron ore bulk solids

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Particuology 2020年第3期18卷 67-75页

作者： Tao Fang Wei Chen Jens Plinke Craig Wheeler Alan roberts School of Civil Engineering East China Jiaotong UniversityNanchang 330013China School of Engineering The University of NewcastleCallaghan 2308Australia

The adhesive tensile stress between moist bulk iron ore solids and wall surfaces are critical to control and avoid blockage in large throughput material handling *** this study,an experimental system was designed to investigate the adhesive tensile contact between a range of iron ore materials and wall lining *** contact mechanism between the material specimen and the wall surface was initially *** experimental results indicated that the adhesive tensile stress is dependent on both the moisture content and the applied major consolidation stress,with the former exhibiting more significant contribution to increasing the magnitude of *** surface roughness of the wall showed a negligible effect in determining the adhesive tensile ***,the iron ore sample with a higher fines content was observed to be able to achieve a higher adhesive tensile stress compared to the coarse ***,the insights resulting from the study demonstrated practical applicability through measures such as blending and/or beneficiation,which reduce the adhesive tensile stress and minimise blockages.

关键词： Wet sticky material Adhesive tensile stress Wall linings Liquid bridge force Capillary stress Soil texture

SIMAP500: A novel risk score to identify recipients at higher risk of hepatocellular carcinoma recurrence following liver transplantation

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World Journal of Transplantation 2024年第3期14卷 132-143页

作者： Amr Alnagar Nekisa Zakeri Konstantinos Koilias Rosemary E Faulkes Rachel Brown Owen Cain M Thamara P R Perera Keith J roberts Rebeca Sanabria-Mateos David C Bartlett Yuk Ting Ma Shivan Sivakumar Shishir Shetty Tahir Shah Bobby V M Dasari Department of HBP and Liver Transplantation Surgery Queen Elizabeth HospitalUniversity Hospitals BirminghamBirmingham B152GWUnited Kingdom Centre for Liver Research Institute of Biomedical ResearchBirmingham B152TTUnited Kingdom Department of Hepatology Queen Elizabeth HospitalUniversity Hospitals BirminghamBirmingham B152GWUnited Kingdom Department of Pathology University Hospitals Birmingham NHS Foundation TrustBirmingham B152GWUnited Kingdom Department of Oncology Queen Elizabeth HospitalUniversity Hospitals of BirminghamBirmingham B152GWUnited Kingdom

BACKGROUND Recurrence of hepatocellular carcinoma(HCC)following liver transplantation(LT)has a devastating influence on recipients’survival;however,the risk of recur-rence is not routinely *** stratification is vital with a long LT waiting time,as that could influence the recurrence despite strict listing *** This study aims to identify predictors of recurrence and develop a novel risk pre-diction score to forecast HCC recurrence following *** A retrospective review of LT for HCC recipients at University Hospitals Bir-mingham between July 2011 and February *** and multivariate analyses were performed to identify recurrence predictors,based on which the novel SIMAP500(satellite nodules,increase in size,microvascular invasion,AFP>500,poor differentiation)risk score was *** 234 LTs for HCC were performed with a median follow-up of 5.3 *** developed in 25 patients(10.7%).On univariate analyses,RETREAT score>3,α-fetoprotein(AFP)at listing 100-500 and>500,bridging,increased tumour size between imaging at the listing time and explant histology,increase in the size of viable tumour between listing and explant,presence of satellite nodules,micro-and macrovascular invasion on explant and poor differentiation of tumours were significantly associated with recurrence,based on which,the SIMAP500 risk score is *** SIMAP500 demonstrated an excellent predictive ability(c-index=0.803)and outper-formed the RETREAT score(c-index=0.73).SIMAP500 is indicative of the time to disease *** SIMAP500 risk score identifies the LT recipients at risk of HCC *** stratification allows patient-centric post-transplant surveillance *** validation of the score is recommended.

关键词： Liver transplantation Hepatocellular carcinoma Recurrence Survival

Quality measures of reconstruction filters for stereoscopic volume rendering

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Computational Visual Media 2016年第1期2卷 19-30页

作者： David A.T.roberts Ioannis Ivrissimtzis School of Engineering and Computing Sciences Durham University

In direct volume rendering(DVR), the choice of reconstruction filter can have a significant effect on the visual appearance of the images produced and thus, on the perceived quality of a DVR rendered scene. This paper presents the results of a subjective experiment where participants stereoscopically viewed DVR rendered scenes and rated their subjective *** statistical analysis of the results focuses on the relationship between the quality of the stereoscopic scene and properties of the filters such as post-aliasing and smoothing, as well as the relationship between the quality of the stereoscopic scene and properties of the rendered images such as shape *** experiment evaluated five reconstruction filters on four different volumetric datasets. Participants rated the stereoscopic scenes on four quality measures:depth quality, depth layout, lack of jaggyness, and sharpness. The results show that the correlation between the quality measures and post-aliasing and smoothing, which are properties associated with each reconstruction filter, is moderate and statistically insignificant. On the other hand, the correlation between the quality measures and compactness, which is a property specific to each rendered image, is strong and statistically significant.

关键词： direct volume rendering(DVR) reconstruction filters stereoscopic user evaluations

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A vector autoregression weather model for electricity supply and demand modeling

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Journal of Modern Power Systems and Clean Energy 2018年第4期6卷 763-776页

作者： Yixian LIU Matthew C.roberts Ramteen SIOSHANSI Department of Integrated Systems Engineering The Ohio State University Department of Agricultural Environmental and Development Economics The Ohio State University

Weather forecasting is crucial to both the demand and supply sides of electricity systems. Temperature has a great effect on the demand side. Moreover, solar and wind are very promising renewable energy sources and are, thus, important on the supply side. In this paper, a large vector autoregression(VAR) model is built to forecast three important weather variables for 61 cities around the United States. The three variables at all locations are modeled as response variables. Lag terms are used to capture the relationship between observations in adjacent periods and daily and annual seasonality are modeled to consider the correlation between the same periods in adjacent days and years. We estimate the VAR model with16 years of hourly historical data and use two additional years of data for out-of-sample validation. Forecasts of up to six-hours-ahead are generated with good forecasting performance based on mean absolute error, root mean square error, relative root mean square error, and skill scores. Our VAR model gives forecasts with skill scoresthat are more than double the skill scores of other forecasting models in the literature. Our model also provides forecasts that outperform persistence forecasts by between6% and 80% in terms of mean absolute error. Our results show that the proposed time series approach is appropriate for very short-term forecasting of hourly solar radiation,temperature, and wind speed.

关键词： Forecasting Solar irradiance Wind speed Temperature Vector autoregression Skill scores

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地质构造与地质图

地质构造与地质图

Evolution of surgical skills training

1958年

作者：（英）罗伯茨（a.roberts）沈君敏潘千里译

来源：汇雅图书（南通市图书馆... 评论

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World Journal of Gastroenterology 2006年第20期12卷 3219-3224页

作者： Kurt E roberts Robert L Bell Andrew J Duffy Department of Surgery Yale University School of Medicine 40 Temple StreetSuite 3ANew HavenCT 06510United Staets

Surgical training is changing： one hundred years of tradition is being challenged by legal and ethical concerns for patient safety, work hours restrictions, the cost of operating room time, and complications. Surgical simulation and skills training offers an opportunity to teach and practice advanced skills outside of the operating room environment before attempting them on living patients. Simulation training can be as straight forward as using real instruments and video equipment to manipulate simulated ＂tissue＂ in a box trainer. More advanced, virtual reality simulators are now available and ready for widespread use. Early systems have demonstrated their effectiveness and discriminative ability. Newer systems enable the development of comprehensive curricula and full procedural simulations. The Accreditation Council of Graduate Medical Education＇s （ACGME） has mandated the development of novel methods of training and evaluation. Surgical organizations are calling for methods to ensure the maintenance of skills, advance surgical training, and to credential surgeons as technically competent. Simulators in their current form have been demonstrated to improve the operating room performance of surgical residents. Development of standardized training curricula remains an urgent and important agenda, particularly for minimal invasive surgery. An innovative and progressive approach, borrowing experiences from the field of aviation, can provide the foundation for the next century of surgical training, ensuring the quality of the product. As the technology develops, the way we practice will continue to evolve, to the benefit of physicians and patients.

关键词： Surgery Training Certification Skills Simulation Curriculum

Controversies in the treatment of gastroesophageal reflux and achalasia

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World Journal of Gastroenterology 2006年第20期12卷 3155-3161页

作者： Kurt E roberts Andrew J Duffy Robert L Bell Department of Surgery Yale University School of Medicine 40 Temple St. Suite 3 ANew HavenCT 06510United States

The immense success of laparoscopic surgery as an effective treatment of gastroesophageal reflux disease （GERD） and achalasia has established minimal invasive surgery as the gold standard for these two conditions with lower morbidity and mortality, shorter hospital stay, faster convalescence, and less postoperative pain. One controversy in the treatment of GERD evolves around laparoscopic antireflux surgery （LAP, S） as the preferred treatmerit for Barrett＇s esophagus and the procedure＇s potential to reduce the risk of adenocarcinoma of the esophagus. GERD has also been associated with respiratory symptoms, asthma and laryngeal injury, and a second controversy prompts discussions about whether total or partial fundoplication is the more appropriate treatment for GERD. A new and promising alternative in the treatment of GERD is endoluminal therapy. Three types of this new treatment option will be discussed： radiofrequency energy delivered to the lower esophageal sphincter, the creation of a mechanical barrier at the gastroesophageal junction, and the direct endoscopic tightening of the lower esophageal sphincter. Laparoscopic surgery is discussed not only as a very effective treatment for GERD but also as permanent cure for achalasia. This review analyzes the three most important treatment options for achalasia： medications, pneumatic dilatation, and surgical therapy. Medications as the only true non-invasive option in the treatment of achalasia are not as effective as LAPS because of their short half-life and variable absorption due to the poor esophageal emptying. The second treatment option, pneumatic dilatation, involves the stretching of the lower esophagus and is still considered the most effective nonsurgical treatment for achalasia. Finally, surgical therapy for achalasia and the two major controversies concerning this laparoscopic treatment are discussed. The first involves the extent to which the myotomy is extended onto the stomach, and the second concer

关键词： Gastroesophageal reflux disease Nissen Toupet Fundoplication Achalasia Heller myotomy

Cuckoo search approach for automatic train regulation under capacity limitation

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Science China(Information Sciences) 2023年第4期66卷 299-300页

作者： Zhuopu HOU Min ZHOU Clive roberts Hairong DONG State Key Laboratory of Rail Traffic Control and Safety Beijing Jiaotong University School of Electronic Electrical and Systems Engineering University of Birmingham

Dear editor, In the daily operation of metro systems, external interferences(e.g., signal system malfunction, bad weather) that can affect normal train operation are inevitable. Hence,effective train regulation measures are necessary to ensure service quality and efficient operation [1, 2]. With the explosive growth in the urban rail transit ridership in recent years,

关键词： MODEL TIME