Integrated Approach
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2021 ◽  
Vol 17 (12) ◽  
pp. em2049
Mohd Ali Samsudin ◽  
Wee-Ling Tan ◽  
Mohd Erfy Ismail ◽  
Nur Jahan Ahmad ◽  
Corrienna Abdul Talib

2021 ◽  
Vol 9 ◽  
Huiting Hu ◽  
Shuang Hu ◽  
Rui Zhang ◽  
Xiaofei Fu ◽  
Chongyu Ren ◽  

Concealed faults can be important for understanding the regional structural geology and the subsurface fluid distribution. However, such faults are usually difficult to identify and characterize because of their small size and complex mechanism. To address this issue, we present an integrated approach of three-dimensional seismic data mapping and physical modeling experiments to examine the geometrical and kinematic characteristics of concealed faults and their relationship with the main faults in the Huawa area, east China. Three series of experiments were designed to characterize the differences in the scale of concealed faults and main faults, which also allowed us to examine how the concealed faults grow with the main faults in the area. Through this integrated study, we have demonstrated that: 1) NE-SW-striking concealed faults are below the resolution of the available seismic datasets and not easily recognized in seismic sections and that most of them grew later than the E-W-striking main faults, with some of them having grown at the same time; 2) pre-existing faults, rather than asymmetry of the basin structure, affect the faults that develop during subsequent episodes of extension; 3) E-W-striking pre-existing faults under a NW-SE stress direction of extension are most likely the formation mechanism of concealed faults. This study is of reference value in the interpretation of concealed faults in other regions.

2021 ◽  
Jack Pun ◽  
Wendy Wong

Abstract Background: Traditional Chinese Medicine (TCM) is a growing phenomenon around the world. However, despite its historical role in Chinese society, there has been limited research exploring the nature of communication around cancer patients who receive TCM care in additional to conventional medicine. If TCM practitioners with adequate knowledge in understanding the needs and communication issues around patients with cancer, particularly those who simultaneously receive conventional medicine, it will lead to a better quality of care and result in better clinical outcomes such as high patient satisfaction and compliance with treatments. Objectives: To fill in this gap, this study aims to explore the nature of the communication amongst cancer patients in Hong Kong who receive TCM treatment in addition to conventional medicine. Methods: Twenty patients, 5 oncologists and 5 TCM practitioners were invited to conduct in-depth interviews to elicit their views towards their TCM treatment. A qualitative approach called Interpretative phenomenological analysis (IPA) is adopted. Results: Based on the themes that emerged from the interview transcripts, we outline the priorities of communication when dealing with cancer patients who receive both TCM and conventional medicine. A framework was developed to assist training TCM practitioners to better integrate their patients' conventional medical history when delivering patient care. Conclusion: The findings of this study can shed light to inform priorities in communication when caring for patients who opt for TCM care in addition to conventional treatments, and to provide useful information for developing future clinical research of providing integrated approach between TCM and conventional medicine in treating cancer patients.

2021 ◽  
pp. 127248
Wenjuan Chang ◽  
Weizhi Li ◽  
Haibo Ma ◽  
Dong Wang ◽  
Erick R. Bandala ◽  

2021 ◽  
Vol 10 (4) ◽  
pp. 174-188
Thiago Pierobom Ávila ◽  
Marcela Novais Medeiros ◽  
Cátia Betânia Chagas ◽  
Elaine Novaes Vieira ◽  
Thais Quezado Soares Magalhães ◽  

This article presents the results of a death review study of 34 cases of femicide in the Federal District, Brazil, between 2016 and 2017. The aim of the study is to analyse how primary, secondary and tertiary prevention policies could have enhanced the prevention of these particular femicides. The study uses a mixed-method research design to analyse the judicial and health files of victims and perpetrators, supplemented by semi-structured interviews with surviving relatives. The findings highlight the need for an intersectional approach to gender, race, class and migration status in prevention policies; better risk assessment and management; enhanced women’s reporting of domestic violence earlier; and better integration of the justice system with psychosocial services. The increase of violence against women during the COVID-19 pandemic strengthens the need for an integrated approach to the prevention of lethal gender violence. This paper provides an original contribution to better comprehend the profile of femicide victims and perpetrators with a view on how to improve prevention policies in Brazil.

2021 ◽  
pp. 104973232110581
Shahmir H. Ali ◽  
Alexis A. Merdjanoff ◽  
Niyati Parekh ◽  
Ralph J. DiClemente

There is a growing need to better capture comprehensive, nuanced, and multi-faceted qualitative data while also better engaging with participants in data collection, especially in virtual environments. This study describes the development of a novel 3-step approach to virtual mind-mapping that involves (1) ranked free-listing, (2) respondent-driven mind-mapping, and (3) interviewing to enhance both data collection and analysis of complex health behaviors. The method was employed in 32 virtual interviews as part of a study on eating behaviors among second-generation South Asian Americans. Participants noted the mind-mapping experience to be (1) helpful for visual learners, (2) helpful in elucidating new ideas and to structure thoughts, as well as (3) novel and interesting. They also noted some suggestions that included improving interpretability of visual data and avoiding repetition of certain discussion points. Data collection revealed the adaptability of the method, and the power of mind-maps to guide targeted, comprehensive discussions with participants.

2021 ◽  
Vol 51 (5) ◽  
pp. 68-76
A. S. Bobikova ◽  
V. S. Cherepushkina ◽  
T. E. Mironova ◽  
V. N. Afonyushkin ◽  
N. A. Donchenko ◽  

The level of expression of anti-inflammatory cytokines NF-kB, IL-6, IFN-y, Caspasa-3, FC in chickens in the lungs and intestines during the modeling of infectious bronchitis in chickens was studied. To simulate coronavirus pneumonia, the vaccine was administered individually, 10 doses per head orally. The chickens of the 1st experimental group were fed with the Lyumantse preparation at the rate of 3 kg / t of feed, the 2nd experimental group received the Glitsevir drug at the rate of 200 μg / 0.3 ml per head. The chickens of the control group did not receive the preparations. It was revealed that antiviral drugs in the experimental groups suppressed the destruction of epithelial cells in the intestine. This may not always be an indication of a positive character, as in the case of apoptosis, not only the intestinal cells affected by the virus particles but also healthy cells are destroyed. There was a decrease in the number of active macrophages in the intestines of the experimental groups relative to the control. The amount of interferon produced was also below the control, which indicates a decreased activity of the immune system. A higher pro-inflammatory activity in the respiratory system of chickens was detected when Glicevir was used. It consists of increased expression of IL-6, interferon-gamma, macrophage receptor to Fc antibody fragments and inflammatory regulatory factor NF-kB genes compared to Lumantse with anti-inflammatory activity, but also compared to untreated control group chickens. It is concluded that it is possible to predict the risk of an exacerbation of an infectious process in the lungs against the background of a local decrease in the viral load in the intestine. An integrated approach is needed in the treatment of coronavirus infections, including either systemic antiviral drugs or anti-inflammatory drugs.

Electronics ◽  
2021 ◽  
Vol 10 (23) ◽  
pp. 2996
Inderpreet Singh Walia ◽  
Deepika Kumar ◽  
Kaushal Sharma ◽  
Jude D. Hemanth ◽  
Daniela Elena Popescu

SARS-CoV-19 is one of the deadliest pandemics the world has witnessed, taking around 5,049,374 lives till now across worldwide and 459,873 in India. To limit its spread numerous countries have issued many safety measures. Though vaccines are available now, still face mask detection and maintain social distance are the key aspects to prevent from this pandemic. Therefore, authors have proposed a real-time surveillance system that would take the input video feed and check whether the people detected in the video are wearing a mask, this research further monitors the humans for social distancing norms. The proposed methodology involves taking input from a CCTV feed and detecting humans in the frame, using YOLOv5. These detected faces are then processed using Stacked ResNet-50 for classification whether the person is wearing a mask or not, meanwhile, DBSCAN has been used to detect proximities within the persons detected.

2021 ◽  
Pablo Ayala ◽  
Hugo Francisco López Herrera

Abstract Maintenance preventive (PM) on equipment is a very important issue for an effective manufacturing system, since the improper MP might cause many problems affecting productivity, precision, flexibility and quality of the products negatively. On the other hand, analysis of MP equipment among many alternatives can be a multicriteria decision making (MCDM) problem. In this study, an integrated approach which employs analytic hierarchy process (AHP) and preference ranking elements, is proposed for the MP equipment of 3D printer machine. The AHP is used to analyze the structure of the equipment problems and to determine weights of the criteria, and this method is used to obtain final ranking. Proposed approach is applied to a problem of 3D printer machines to be established a MP strategy.

2021 ◽  
Ganesh N ◽  
Vasudevan U ◽  
Devaraj N ◽  
Mahalakshmi K ◽  
Banajarani Panda ◽  

Abstract The present research reports the level of major ions and other physical parameters like pH, EC and TDS and possible sources of contamination in groundwater from south India. A total of 138 groundwater samples were collected during four different seasons and analyzed for physical parameters and other major ions. Many samples are above or approaching the recommended level of ions for safe drinking water. The groundwater quality has been determined by considering 11 parameters and classified into 5 different categories based upon water quality index (WQI) value. The groundwater of the study area is approaching towards pollution which has to consider for future management of the resource. Different geochemical diagrams like Gibbs and Piper are used to evaluate the process affecting the composition of groundwater. Again, the geostatistical techniques applied to confirm the processes through an integrated approach. Based on result of geochemical investigation, the contamination sources in the groundwater of this region are likely to be from (a) Anthropogenic activities (b) Weathering (c) Agricultural fertilizers. Continuous consumption of such water may pose serious health risk to the residents.

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