Protecting brains and saving futures guidelines: A prospective, multicenter, and observational study on the use of telemedicine for neonatal neurocritical care in Brazil

Background Management of high-risk newborns should involve the use of standardized protocols and training, continuous and specialized brain monitoring with electroencephalography (EEG), amplitude integrated EEG, Near Infrared Spectroscopy, and neuroimaging. Brazil is a large country with disparities in health care assessment and some neonatal intensive care units (NICUs) are not well structured with trained personnel able to provide adequate neurocritical care. To reduce this existing gap, an advanced telemedicine model of neurocritical care called Protecting Brains and Saving Futures (PBSF) Guidelines was developed and implemented in a group of Brazilian NICUs. Methods A prospective, multicenter, and observational study will be conducted in all 20 Brazilian NICUs using the PBSF Guidelines as standard-of-care. All infants treated accordingly to the guidelines during Dec 2021 to Nov 2024 will be eligible. Ethical approval was obtained from participating centers. The primary objective is to describe adherence to the PBSF Guidelines and clinical outcomes, by center and over a 3-year period. Adherence will be measured by quantification of neuromonitoring, neuroimaging exams, sub-specialties consultation, and clinical case discussions and videoconference meetings. Clinical outcomes of interest are detection of seizures during hospitalization, use of anticonvulsants, inotropes, and fluid resuscitation, death before hospital discharge, length of hospital stay, and referral of patients to specialized follow-up. Discussion The study will provide evaluation of PBSF Guidelines adherence and its impact on clinical outcomes. Thus, data from this large prospective, multicenter, and observational study will help determine whether neonatal neurocritical care via telemedicine can be effective. Ultimately, it may offer the necessary framework for larger scale implementation and development of research projects using remote neuromonitoring. Trial registration NCT03786497, Registered 26 December 2018, https://www.clinicaltrials.gov/ct2/show/NCT03786497?term=protecting+brains+and+saving+futures&draw=2&rank=1.

Evolution of the rural social security system in a large country over 35 years: institutional transformation and the Chinese experience

Purpose This paper aims to review the institutional evolution of China's rural social security system in the past 35 years, focusing on major policy transformations of the rural social security system in a large country, and extract the Chinese experience on developing rural social security.Design/methodology/approach This paper systematically reviews the evolution of rural social security system via organizing policy documents, key events and research literature on the construction of rural social security since the Reform and Opening-up.Findings First, institutional transformation is a profound change in China's rural social security system; second, policy transformation has taken place in the main areas of China's rural social security system, including rural endowment insurance, medical insurance and social assistance; third, the policy evolution of China's rural social security system has a unique experience in a large country.Originality/value China is the country with the largest rural population in the world. The process and experience of transforming the social security system in the vast rural areas of China have important value and reference significance for other developing countries.

Economic Spatial Structure in China: Evidence from Railway Transport Network

This study analyzes the structure of China’s overall railway transport network and its sub-networks of conventional railway and high-speed railway, with the aim to understand the country’s economic spatial structure that is reflected by or underlines the railway transport network. First, the results indicate that compared with developed cities, backward cities not only have fewer train services but also lack a symmetrical transport plan; backward cities tend to connect with developed cities rather than within themselves. Second, the national-level urban hierarchy was established using the proposed algorithm, which helped reveal the economic geography of three economic plates in China. Third, the law of the primate city is not prominent in a large country such as China, which is undergoing regional restructuring with the economic center of gravity shifting to the coastal area while also moving south.

Gennaeocrinus tariatensis, a new Emsian (Devonian) monobathrid crinoid from the Tarvagatay Terrane of Mongolia

Gennaeocrinus tariatensis new species is an Emsian (Devonian) monobathrid crinoid described from the Tarvagatay Terrane of Mongolia and part of the Central Asian Orogenic Belt. The Tarvagatay Terrane is an arc terrane that accreted to the southern margin of the Siberian Craton. Gennaeocrinus tariatensis was collected from the Emsian Tariat Formation, a terrigenous sequence of conglomerates, sandstones, and siltstones. Associated faunas include brachiopods, molluscs, and rare tabulate corals. Although Gennaeocrinus is well known from the Emsian–Givetian of North America, this is the first occurrence of the genus outside Laurussia. Mongolia is a large country with many terranes having varied paleogeographic, sedimentological, and tectonic histories; but reports of Paleozoic echinoderms are rare. The crinoid occurrence from the Tariat Formation is from the same age as previously described Emsian crinoids from the Chuluum Formation but differs significantly in sedimentology, paleogeography, and paleolatitude. UUID: http://zoobank.org/d87cb083-4360-41e5-ac90-1b8ef625a31d

Study on Mechanical and Frost Resistance Properties of Slag and Macadam Stabilized with Cement and Fly Ash

China is a large country in terms of coal production and consumption. The fly ash and slag produced by thermal power plants pose a great threat to the environment. To reduce the adverse effects of fly ash and slag on the environment, a mixture of slag and macadam stabilized with cement and fly ash was prepared as pavement base material. Compaction tests, unconfined compressive strength tests, splitting strength tests, frost resistance tests, and ultrasonic tests were performed on the mixture. The results show that with an increase in slag replacement rate, the unconfined compressive strength and splitting strength decreased. However, the adverse influence of the slag replacement rate on unconfined compressive strength and splitting strength of specimens gradually weakened with increasing curing time. The frost resistance of the mixture first increased and then decreased with an increase in the slag replacement rate. When cement content was 5% and the slag replacement rate was 50%, the frost resistance of the mixture was the best. Regression analysis of the ultrasonic test showed that the ultrasonic test can effectively characterize the strength of the mixture and the internal damage degree under freeze–thaw cycles. In conclusion, the slag replacement rate of the mixture is recommended to be ~50%, which has preferable mechanical and frost resistance performance.

Forest Carbon Sequestration Demand Based on Emissions Reduction in China’s Thermal Power and Steel Industries: Implications for Tobacco Industry

Objectives: China is a large country of tobacco production and consumption. In the construction and development of carbon market, the tobacco industry is expected to realizing energy conservation and emission reduction by participating in carbon trading, especially focusing on the forest carbon sequestration demand based on emissions reduction. Compared with the tobacco industry, the heavy pollution industries participate in the carbon market more deeply and widely. Therefore, this paper takes thermal power and steel industries as the research object, in order to provide some implications for the emission reduction path of tobacco industry. It considers the CO2 emissions intensity and marginal abatement costs (MAC) between China’s thermal power and steel industries during 2005–2017, and quantifies the forest carbon sequestration (FCS) demand level of these two industries to account for the role and potential of the forests for China’s green and low-carbon development. Methods: It uses a logistic algorithm to reflect the relationship among FCS demand, MAC and other influencing factors, and the cloud model to simulate FCS demand in different scenarios. Results: It shows an average decline of 54.06% and 56.05% in the carbon intensity of the two industries over the period. The average annualMAC are 11.82–25.55 CNY/ton across pilots, while the annual FCS demand expectation is 35 and 45 million tons for the thermal power and steel industries, respectively. If the MAC increases by 10%, the annual FCS demand will increase to 90 and 50 million tons, respectively. Other factors such as the prices of carbon emissions rights, carbon emission quotas, and industry output show little effect on FCS demand. Conclusion: The economic and technological efficiency of emissions reduction in different industries should be considered comprehensively, and that the consumer to producer subsidy for FCS in the carbon market should be adjusted for resource distribution optimization. This would promote emissions reduction, stimulate FCS demand, and improve the carbon market mechanism.

Preparation and characterization of red mud based porous materials

China was a large country in bauxite mining and refining. One ton of alumina was produced, accompanied by 0.5 ~ 2 tons of red mud [1]. Therefore, the accumulation and pollution of red mud had been a difficult problem to be solved by enterprises and local governments. In this paper, red mud based porous materials were prepared with Bayer red mud, perlite, silicon carbide (as foaming agent) and glass powder (as flux). The effects of sintering process and iron oxide on thermal conductivity, bulk density, porosity and compressive strength of red mud based porous materials were studied by TG-DSC, XRD, SEM and XEDS. The results show that red mud based porous materials with uniform pore distribution could be obtained when the amount of red mud was 60%, perlite was 37%, SiC was 1%, glass powder was 2%, sintering temperature was 1150 °C and holding time was 120 min. The true porosity of the red mud based porous material was 70%, and the average pore diameter was 216.84 μ m. The thermal conductivity was 0.26w / (m • K) and the compressive strength was 2.31MPa.

Design study with modern architectural approach to football academy building in Jakarta

Football is the most popular sport in almost all countries in the world, not least in Indonesia is a country that has the fourth largest population in the world, meaning that the population of a large country the quality of its human resources is also large, but when measured in terms of quality, Indonesia is categorized into one of the countries that has not been proud enough in its achievements in sports. In the field of soccer, Indonesia is not very competitive in various ways, especially in education, from nurseries to coaching to the empowerment of its athletes. As we know, the field of sports can be the pride of a country, and football can also be the glue of national unity, especially Indonesia, which has a diversity of tribes and cultures. Football is played by all levels of Indonesian society regardless of age, status, background and race. Various solutions are often launched by Indonesian soccer (PSSI) in an effort to improve and improve football at the junior level, among others, by promoting training programs from an early age and launching competitions in certain age groups.

Evaluasi Kinerja Layanan dan Tingkat Kepuasan Pelanggan Angkutan Penyeberangan Amolengo-Pure Provinsi Sulawesi Tenggara

Indonesia is a large country that is widespread with it’s islands and isa country traversed by the Equator, so sea transportation has animportant role to play in connecting one area to another, consideringthat Indonesia has a very wide ocean. One of the means of seatransportation that is widely used by the community is the ferry. Ferryis a type of sea transportation that can be used as passenger andgoods transportation using certain routes or routes. With theexistence of the Ferry port, it can increase the acceleration ofdevelopment in the area, especially Amolengo Village, KonaweSelatan Regency.The Amolengo ferry port is a port that serves the crossing ofpassengers and goods that connects the South Konawe mainland andits surroundings with Buton Island, where the destination port is Pureport. The quality of good service provided is one of the determiningfactors for the success of the company. The research method isarranged by interviewing respondents by answering the questions onthe questionnaire. The analysis was performed using ImportancePerformance Analysis (IPA) and the Customer Satisfaction Index (CSI).The results of this study indicate that the consumer satisfaction indexon the performance of the Amolengo - Pure Ferry Port, SoutheastSulawesi Province is 84.6% and is in the range 0.81 - 1.00 indicatingthat consumers are very satisfied with the service quality of theAmolengo - Pure Ferry Port, Southeast Sulawesi Province.

Conspicuous corruption: Evidence at a country level

People can exhibit their status by the consumption of particular goods or experiential purchases; this is known as “conspicuous consumption”; the practice is widespread and explains the market characteristics of a whole class of goods, Veblen goods, demand for which increase in tandem with their price. The value of such positional goods lies in their distribution among the population—the rarer they are, the more desirable they become. At the same time, higher income, often associated with higher status, has been studied in its relation to unethical behavior. Here we present research that shows how a particular Veblen good, illicit behavior, and wealth, combine to produce the display of illegality as a status symbol. We gathered evidence at a large, country-level, scale of a particular form of consumption of an illictly acquired good for status purposes. We show that in Greece, a developed middle-income country, where authorities cannot issue custom vanity license plates, people acquire distinguishing plate numbers that act as vanity plate surrogates. We found that such license plates are more common in cars with bigger engines and in luxury brands, and are therefore associated with higher value vehicles. This cannot be explained under the lawful procedures for allocating license plates and must therefore be the result of illegal activities, such as graft. This suggests a pattern of “conspicuous corruption”, where individuals break the law and use their gains as status symbols, knowing that the symbols hint at rule-breaking, as long as the unlawful practice cannot be incontestably established.