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A One Health approach to fight antimicrobial resistance in Uganda: Implementation experience, results, and lessons learned

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Biosafety and Health 2024年第2期6卷 125-132页

作者： Reuben Kiggundu J.P.Waswa Niranjan Konduri Hassan Kasuja Marion Murungi Patrick Vudriko Harriet Akello Eric Lugada Cecilia Muiva Esther Were Dinah Tjipura Henry Kajumbula Kate Kikule Emmanuel Nfor Mohan P.Joshi USAID Medicines Technologiesand Pharmaceutical Services ProgramManagement Sciences for HealthKampala 256Uganda USAID Medicines Technologiesand Pharmaceutical Services ProgramManagement Sciences for HealthArlingtonVA 22203USA College of Veterinary Medicine Animal Resources and BiosecurityMakerere UniversityKampala 256Uganda Ministry of Health Uganda Kampala 256Uganda USAID Strengthening Supply Chain Systems Activity Management Sciences for HealthKampala 256Uganda USAID Medicines Technologiesand Pharmaceutical Services ProgramManagement Sciences for HealthNairobi 254Kenya department of Microbiology College of Health SciencesMakerere UniversityKampala 256Uganda

Uganda has been implementing the Global Health Security Agenda(GHSA)since 2015 to build its capacity according to World Health Organization(WHO)Benchmarks on International Health Regulations *** country remains prone to outbreaks,with more than 20 disease outbreaks reported in the past five years,including Ebola virus disease,Crimean-Congo haemorrhagic fever,Marburg haemorrhagic fever,measles,yellow fever,coronavirus disease 2019(COVID-19),and *** resistance(AMR)is an ongoing *** scored capacity level 3 on infection prevention and control(IPC)and antimicrobial stewardship(AMS)in the 2017 Joint External Evaluation(JEE)*** gaps were being addressed after a self-assessment in *** paper describes the technical assistance approaches provided to Uganda by the Medicines,Technologies,and Pharmaceutical services Program,funded by the United States(U.S.)Agency for International Development,and implemented by management Sciences for *** program,through a One Health approach,supported systematic capacity strengthening based on the JEE's capacity advancement framework for global health security,specifically relating to *** program's interventions impacted 32 WHO benchmark actions(7 for AMR multisectoral coordination,16 for IPC,and 9 for AMS),contributing to Uganda's strengthened GHSA *** success built on the AMR platform,the program trained 745 health workers in IPC for the Ebola virus and provided support for simulation exercises by eight district IPC *** program also worked with the Ministry of Health to coordinate IPC for the COVID-19 response in five health regions,covering 45 districts and reaching 5,452 health workers at 858 health facilities.

关键词： One health Antimicrobial resistance Antibiotic resistance Jointexternal evaluation Global health security Uganda Africa WHO Benchmarks for International Health Regulations Capacities

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Toward Human-centered XAIin Practice:A survey

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Machine Intelligence Research 2024年第4期21卷 740-770页

作者： Xiangwei Kong Shujie Liu Luhao Zhu department of Data Science and management Engineering School of ManagementZhejiang UniversityHangzhou 310058China

Human adoption of artificial intelligence(AI)technique is largely hampered because of the increasing complexity and opacity of AI *** AI(XAI)techniques with various methods and tools have been developed to bridge this gap between high-performance black-box AI models and human ***,the current adoption of XAI technique stil lacks"human-centered"guidance for designing proper solutions to meet different stakeholders'needs in XAI *** first summarize a human-centered demand framework to categorize different stakeholders into five key roles with specific demands by reviewing existing research and then extract six commonly used human-centered XAI evaluation measures which are helpful for validating the effect of *** addition,a taxonomy of XAI methods is developed for visual computing with analysis of method *** clearer human demands and XAI methods in mind,we take a medical image diagnosis scenario as an example to present an overview of how extant XAI approaches for visual computing fulfil stakeholders'human-centered demands in *** we check the availability of open-source XAI tools for stakeholders'*** survey provides further guidance for matching diverse human demands with appropriate XAI methods or tools in specific applications with a summary of main challenges and future work toward human-centered XAI in practice.

关键词： Artificial intelligence(AI)application explainable AI(XAI) human-centered design visual computing medical diagnosis.

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Models to Simulate Effective Coverage of Fire Station Based on Real-Time Travel Times

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Computer Modeling in Engineering & Sciences 2024年第4期139卷 483-513页

作者： Sicheng Zhu Dingli Liu Weijun Liu Ying Li Tian Zhou department of Engineering management Changsha University of Science and TechnologyChangsha410114China

In recent years,frequent fire disasters have led to enormous damage in *** firefighting rescues can minimize the losses caused by *** the rescue processes,the travel time of fire trucks can be severely affected by traffic conditions,changing the effective coverage of fire ***,it is still challenging to determine the effective coverage of fire stations considering dynamic traffic *** paper addresses this issue by combining the traveling time calculationmodelwith the effective coverage *** addition,it proposes a new index of total effective coverage area(TECA)based on the time-weighted average of the effective coverage area(ECA)to evaluate the urban fire *** also selects China as the case study to validate the feasibility of the models,a fire station(FS-JX)in ***-JX station and its surrounding 9,117 fire risk points are selected as the fire service supply and demand points,respectively.A total of 196 simulation scenarios throughout a consecutiveweek are ***,1,933,815 sets of valid sample data are *** results showed that the TECA of FS-JX is 3.27 km^(2),which is far below the standard requirement of 7.00 km^(2) due to the traffic *** visualization results showed that three rivers around FS-JX interrupt the continuity of its effective *** proposed method can provide data support to optimize the locations of fire stations by accurately and dynamically determining the effective coverage of fire stations.

关键词： Fire services fire station effective coverage real-time traffic simulation

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Tracing suspended and bed sediments during high and low water periods using geochemical characteristics-Case study:Vazrood watershed,northern Iran

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Journal of Mountain Science 2024年第2期21卷 470-483页

作者： KARIMI Nabiyeh GHOLAMI Leila KAVIAN Ataollah KHALEDI DARVISHAN Abdulvahed department of Watershed management Faculty of Natural ResourcesSari Agricultural Sciences and Natural Resources UniversitySari ***Iran department of Watershed management Engineering Faculty of Natural ResourcesTarbiat Modares UniversityNoor ***Iran

Complete and comprehensive information about sediment dynamic and identification of hotspots of sediment production and transport are necessary for understanding the erosion processes and increasing the efficiency of soil and water conservation *** studies used the sediment fingerprint techniques to investigate the contribution of different sources in suspended and bed sediment yield of the ***,the contribution of various land use/land covers in suspended and bed sediment yield for the great Caspian Sea basin is in an aura of ambiguity and the present study was conducted to gather information about an important part of this area in northern Iran,where rangelands are located upstream of Hyrcanian forests and dense agricultural lands are located *** surface soil of different land use/land covers including forest,rangeland,agriculture and streambank lands were sampled in 30 *** and bed sediments were sampled in the watershed outlet in two high and low water *** characteristics of soil and sediment samples containing 59 elements were measured using ICP-OES GBC *** reliable and suitable tracers from 59 elements were then selected using Range test,Kruskal-Wallis and Discriminant Function Analysis,respectively,in FingerPro package of R *** results showed that for suspended sediment,streambank and rangeland had the highest contributions of 86.2%and 47.5%,respectively,in two high and low water *** bed sediment,in two high and low water periods,rangeland and streambank had the highest contributions of 73.8%and 84.4%,*** use change and especially human activities such as agriculture,road construction and development of residential areas along the main river riparian zone has led to a significant increase in suspended and bed sediments.

关键词： Caspian Sea basin FingerPro Geochemistry Sediment transport Tracer combination

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Analysis of Supply Chain Sustainability Drivers in the Oil and Gas Industry under Covid-19 Pandemic

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Journal of Systems Science and Systems Engineering 2024年第2期33卷 131-161页

作者： Sujan Piya department of Industrial Engineering and Engineering management University of SharjahSharjahUnited Arab Emirates

The supply chain of many industries,including Oil and Gas,was significantly affected by the disruption caused by the Covid ***,in turn,had a knock-on effect on other industries around the *** the impact of the disruption posed a major challenge for the *** study contributes to the existing literature by identifying and analyzing the most significant drivers that affected the sustainability of the Oil and Gas supply chain during the Covid *** drivers were identified based on an extensive literature review and a survey conducted with experts working in the Oil and Gas ***-criteria decision-making methodologies were used to analyze these *** analysis from the fuzzy analytical hierarchy process found that the most important drivers for the sustainability of the Oil and gas supply chain during the pandemic were"Risk management capacity","Government regulation"and"Health and safety of employees".On the other hand,the driver"Community Pressure"was found to be of the least ***,the study integrated the results of the fuzzy analytical hierarchy process with the fuzzy technique for order of preference by similarity to ideal solution to calculate the supply chain sustainability index.A case example was demonstrated to rank the industries based on such *** study can support the governmental institutions in benchmarking the Oil and Gas industry based on its sustainability ***,the outcomes of the study will help industrial decision makers prioritize the drivers the company should focus and devise strategies based on the priority to improve the sustainability of their supply chain during severe *** will be crucial as the World health organization has cautioned that the world may encounter another pandemic in the near future.

关键词： Supply chain sustainability drivers Oil and gas supply chain Fuzzy analytical hierarchy process Fuzzy technique for order of preference by similarity to ideal solution Covid-19

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Laser speckle contrast imaging to predict the effect of temporary spinal cord stimulation in postherpetic neuralgia patients: A prospective observational study

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Journal of Innovative Optical Health Sciences 2024年第1期17卷 69-75页

作者： Xiang Huang Dacheng Tang Pan Chen Lumiao Chen Xiaohong Li Xiaoping Wang department of Pain management The First A±liated Hospital Jinan University Guang ZhouGuangdong 510630P.R.China department of Pain management The First People's Hospital of Foshan Foshan City Guangdong 528000P.R.China

Temporary spinal cord stimulation(tSCS)can effectively reduce the pain and severity of postherpetic neuralgia(PHN).However,there are no effective and objective methods for predicting the effects of tSCS on *** speckle contrast imaging(LSCI)is frequently used in neurology to evaluate the effectiveness of *** assess the accuracy of LSCI in predicting the impact of tSCS on PHN,14 adult patients receiving tSCS treatments for spinal nerve-innervated(C6-T2)PHN participated in this observational *** analog scale(VAS)assessments and LSCI bloodflow images of the-ngers were recorded after the tSCS *** results showed that the VAS scores of all patients decreased ***,the bloodflow index(BFI)values were signi-cantly higher than they were before the *** bloodflow and pain alleviation were positively ***-ndings indicated that spinal nerve PHN(C6-T2)was signi-cantly reduced by *** alleviation by tSCS was positively correlated with increased bloodflow in the *** effect of tSCS on PHN may thus be predicted using an independent and consistent indicator such as LSCI.

关键词： Laser speckle contrast imaging temporary spinal cord stimulation postherpetic neuralgia

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Looking at the cultural heritage proclamations of Ethiopia:conceptualisation and management of cultural heritage

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Built Heritage 2024年第1期8卷 18-28页

作者： Mengistie Zewdu department of History and Heritage management Woldia UniversityWoldiaEthiopia

The main purpose of this paper is to explore how the conceptualisation and management of cultural heritage have been treated in the cultural heritage proclamations of *** analysis of the four cultural heritage proclamations reveals that the notion of cultural heritage improves from the frst to the fourth *** the first two proclamations,the term antiquity was employed,and the latter two employed the term of cultural *** 1966 proclamation included antiquities that were dated prior to 1850 EC,while the 1989 proclamation removed this cutoff date and expounded upon the definition of *** 2000 proclamation replaced the term antiquity with cultural heritage and introduced the concept of intangible cultural *** terms of the management of cultural heritage,the differences between the 1989 and 2000 proclamations are quite *** 2014 proclamation attempted to classify cultural heritage into national and regional cultural *** also defined important components of intangible cultural *** management of cultural heritage exhibits some evolution from the first to the last ***,due to the diversified nature of cultural heritage conceptualisation and management,it will be important for additional legislation to be issued separately for movable,immovable and intangible cultural heritage,for *** study argues that strong legal and institutional frameworks should be established to properly protect,conserve and study cultural heritage.

关键词： conceptualisation management cultural heritage proclamations Ethiopia

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Epidermolysis Bullosa Pruriginosa in Two Siblings:A Case Report

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International Journal of Dermatology and Venereology 2024年第1期7卷 52-54页

作者： Jongjin Suwanthaweemeesuk Chatip Phunmanee Sasathorn Singthong Oraya Kwangsukstid Chavalit Supsrisunjai Institute of Dermatology Department of Medical ServicesMinistry of Public HealthBangkok 10400Thailand

Introduction:Epidermolysis bullosa pruriginosa(EBP)is a rare clinical subtype of inherited dystrophic epidermolysis bullosa(DEB)caused by type VII collagen *** onset of EBP is variable and may present in late *** clinical features of EBP include prurigo-like papules,plaques,nodules,or linear configuration on the lower ***,we reported two sisters with *** presentation:We identified two Thai sisters with mild to moderate form of EBP,which resulted from a shared glycine substitution(Gly2287Val)in COL7A1 identified by genomic ***:The histology and molecular findings of both cases supported a diagnosis of dystrophic EBP,however,the clinical manifestations differ between both ***:Molecular testing is the key for the diagnosis of EBP due to nonspecific clinical manifestation and histologic findings,however,there is no clear genotype-phenotype correlation in EBP.

关键词： COL7A1 dystrophic epidermolysis bullosa epidermolysis bullosa pruriginosa Gly2287Val

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The International Order in 2023: Entering an “Era of Uncertainty”

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和平与发展 2024年第1期 210-216页

作者： Gao Fei department of Diplomacy and Foreign Affairs management

With the accelerated evolution of the global transformation unseen in a century,the year of 2023 came to an end amid turmoil and uncertainty in the *** crisis in Ukraine was not resolved,the Palestinian-Israeli conflict resumed,the world economy was in a downturn,and the restructuring of global industrial and supply chains was *** the“scar eff ect”of the COVID-19 pandemic,the world entered a new normal of political turmoil and economic *** change of the times and the transformation of the international system and order are the root causes of turbulence in the contemporary *** in the world do not want to go to a“new Cold War”,but it is diffi cult to return to the“old-day cooperation”.With the call for“cool war”and“cold peace”rising,the international order has entered an“era of uncertainty”.

关键词： peace return resume

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Consilience and unity in ocular anterior segment research

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International Journal of Ophthalmology(English edition) 2024年第7期17卷 1173-1183页

作者： Houmam Araj department of Health and Human services National Eye Institute/National Institutes of Health(NEI/NIH)BethesdaMaryland 20892USA

In his beautiful book,Consilience:The Unity of Knowledge,the eminent biologist Edward O Wilson,advocates the need for integration and reconciliation across the *** defines consilience as“literally a‘jumping together’of knowledge with a linking of facts…to create a common groundwork of explanation”.It is the premise of this paper that as much as basic biomedical research is in need of data generation using the latest available techniques–unifying available knowledge is just as *** involves the necessity to resolve contradictory findings,reduce silos,and acknowledge *** take the cornea and the lens as case studies of our ***,in this perspective,we discuss the conflicting and fragmented information on protein aggregation,oxidative damage,and *** are fields of study that are integrally tied to anterior segment *** goal is to highlight the vital need for Wilson’s consilience and unity of knowledge which in turn should lead to enhanced rigor and reproducibility,and most importantly,to greater understanding and not simply knowing.

关键词： anterior segment ocular surface cornea lens cataract posterior capsular opacification protein aggregation oxidative damage antioxidants fibrosis wound healing consilience

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