264 resultados para 2875


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中国海域辽阔,但公开发表和出版的1∶100万及更大比例尺的海底地貌图尚属空白。在综合研究已有的海底地貌分类系统的基础上,以南沙群岛郑和群礁幅为实验区,尝试建立了该海区1∶100万海洋地貌分类系统,利用历年来南沙群岛海区等深线图(1∶50万)、沉积图(1∶200万)、地质地球物理图集(1∶100万)及各种文献资料和在专家指导的基础上,绘制了该幅的海底地貌图并对该区域的地貌格局进行了分析。实验表明,通过对现有资料的综合进行1∶100万海底地貌制图是可行的。实验发现:1)等深线数据如同陆地上的等高线数据,是进行

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一种1,4丁二醇脱氢制备γ-丁内酯催化剂其组成为:CuO 30-70% ZnO 15-40% Al↓[2]O↓[3] 2-24%助剂0.001-9%,其中助剂由BaO、Pd两种物质中的至少一种制备而成。该催化剂在氢气气氛中还原活化,然后装入固定床反应器内,反应温度200-260℃,反应压力小于0.05MPa,液化空速0.1-1.2hr↑[-1]下应用。本发明具有较高的活性和选择性,1,4-丁二醇转化率100%,γ-丁内酯选择性大于96%,催化剂中不含Cr的优点。

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This paper provides basic information on the general ecology and life history cycles of various flatfish species in the Bohai Sea, China. The species studied are Paralichthys olivaceus (Temminck & Schlegel), Cleisthenes herzensteini (Schmidt), Eopsetta grigorjewi (Herzenstein), Verasper variegatus (Temminck & Schlegel), Pleuronichthys cornutus (Temminck & Schlegel), Pseudopleuronectes yokohamae (Gunther), Pseudopleuronectes herzensteini (Jordan & Snyder), Kareius bicoloratus (Basilewsky), Zebrias zebra (Bloch), Cynoglossus semilaevis Gunther, Cynoglossus abbreviatus (Gray) and Cynoglossus joyneri Gunther. Information on reproduction, eggs and larval distribution, growth and adult abundance is presented. Based on the biology and ecology of these flatfish, artificial enhancement of the commercial species in the Bohai Sea is discussed.

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BACKGROUND:Zambia was the first African country to change national antimalarial treatment policy to artemisinin-based combination therapy - artemether-lumefantrine. An evaluation during the early implementation phase revealed low readiness of health facilities and health workers to deliver artemether-lumefantrine, and worryingly suboptimal treatment practices. Improvements in the case-management of uncomplicated malaria two years after the initial evaluation and three years after the change of policy in Zambia are reported.METHODS:Data collected during the health facility surveys undertaken in 2004 and 2006 at all outpatient departments of government and mission facilities in four Zambian districts were analysed. The surveys were cross-sectional, using a range of quality of care assessment methods. The main outcome measures were changes in health facility and health worker readiness to deliver artemether-lumefantrine, and changes in case-management practices for children below five years of age presenting with uncomplicated malaria as defined by national guidelines.RESULTS:In 2004, 94 health facilities, 103 health workers and 944 consultations for children with uncomplicated malaria were evaluated. In 2006, 104 facilities, 135 health workers and 1125 consultations were evaluated using the same criteria of selection. Health facility and health worker readiness improved from 2004 to 2006: availability of artemether-lumefantrine from 51% (48/94) to 60% (62/104), presence of artemether-lumefantrine dosage wall charts from 20% (19/94) to 75% (78/104), possession of guidelines from 58% (60/103) to 92% (124/135), and provision of in-service training from 25% (26/103) to 41% (55/135). The proportions of children with uncomplicated malaria treated with artemether-lumefantrine also increased from 2004 to 2006: from 1% (6/527) to 27% (149/552) in children weighing 5 to 9 kg, and from 11% (42/394) to 42% (231/547) in children weighing 10 kg or more. In both weight groups and both years, 22% (441/2020) of children with uncomplicated malaria were not prescribed any antimalarial drug.CONCLUSION:Although significant improvements in malaria case-management have occurred over two years in Zambia, the quality of treatment provided at the point of care is not yet optimal. Strengthening weak health systems and improving the delivery of effective interventions should remain high priority in all countries implementing new treatment policies for malaria.

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BACKGROUND: Poor access to prompt and effective treatment for malaria contributes to high mortality and severe morbidity. In Kenya, it is estimated that only 12% of children receive anti-malarials for their fever within 24 hours. The first point of care for many fevers is a local medicine retailer, such as a pharmacy or chemist. The role of the medicine retailer as an important distribution point for malaria medicines has been recognized and several different strategies have been used to improve the services that these retailers provide. Despite these efforts, many mothers still purchase ineffective drugs because they are less expensive than effective artemisinin combination therapy (ACT). One strategy that is being piloted in several countries is an international subsidy targeted at anti-malarials supplied through the retail sector. The goal of this strategy is to make ACT as affordable as ineffective alternatives. The programme, called the Affordable Medicines Facility - malaria was rolled out in Kenya in August 2010. METHODS: In December 2010, the affordability and accessibility of malaria medicines in a rural district in Kenya were evaluated using a complete census of all public and private facilities, chemists, pharmacists, and other malaria medicine retailers within the Webuye Demographic Surveillance Area. Availability, types, and prices of anti-malarials were assessed. There are 13 public or mission facilities and 97 medicine retailers (registered and unregistered). RESULTS: The average distance from a home to the nearest public health facility is 2 km, but the average distance to the nearest medicine retailer is half that. Quinine is the most frequently stocked anti-malarial (61% of retailers). More medicine retailers stocked sulphadoxine-pyramethamine (SP; 57%) than ACT (44%). Eleven percent of retailers stocked AMFm subsidized artemether-lumefantrine (AL). No retailers had chloroquine in stock and only five were selling artemisinin monotherapy. The mean price of any brand of AL, the recommended first-line drug in Kenya, was $2.7 USD. Brands purchased under the AMFm programme cost 40% less than non-AMFm brands. Artemisinin monotherapies cost on average more than twice as much as AMFm-brand AL. SP cost only $0.5, a fraction of the price of ACT. CONCLUSIONS: AMFm-subsidized anti-malarials are considerably less expensive than unsubsidized AL, but the price difference between effective and ineffective therapies is still large.

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BACKGROUND: Integrated vector management (IVM) is increasingly being recommended as an option for sustainable malaria control. However, many malaria-endemic countries lack a policy framework to guide and promote the approach. The objective of the study was to assess knowledge and perceptions in relation to current malaria vector control policy and IVM in Uganda, and to make recommendations for consideration during future development of a specific IVM policy. METHODS: The study used a structured questionnaire to interview 34 individuals working at technical or policy-making levels in health, environment, agriculture and fisheries sectors. Specific questions on IVM focused on the following key elements of the approach: integration of chemical and non-chemical interventions of vector control; evidence-based decision making; inter-sectoral collaboration; capacity building; legislation; advocacy and community mobilization. RESULTS: All participants were familiar with the term IVM and knew various conventional malaria vector control (MVC) methods. Only 75% thought that Uganda had a MVC policy. Eighty percent (80%) felt there was inter-sectoral collaboration towards IVM, but that it was poor due to financial constraints, difficulties in involving all possible sectors and political differences. The health, environment and agricultural sectors were cited as key areas requiring cooperation in order for IVM to succeed. Sixty-seven percent (67%) of participants responded that communities were actively being involved in MVC, while 48% felt that the use of research results for evidence-based decision making was inadequate or poor. A majority of the participants felt that malaria research in Uganda was rarely used to facilitate policy changes. Suggestions by participants for formulation of specific and effective IVM policy included: revising the MVC policy and IVM-related policies in other sectors into a single, unified IVM policy and, using legislation to enforce IVM in development projects. CONCLUSION: Integrated management of malaria vectors in Uganda remains an underdeveloped component of malaria control policy. Cooperation between the health and other sectors needs strengthening and funding for MVC increased in order to develop and effectively implement an appropriate IVM policy. Continuous engagement of communities by government as well as monitoring and evaluation of vector control programmes will be crucial for sustaining IVM in the country.

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BACKGROUND: Policy decisions for malaria control are often difficult to make as decision-makers have to carefully consider an array of options and respond to the needs of a large number of stakeholders. This study assessed the factors and specific objectives that influence malaria control policy decisions, as a crucial first step towards developing an inclusive malaria decision analysis support tool (MDAST). METHODS: Country-specific stakeholder engagement activities using structured questionnaires were carried out in Kenya, Uganda and Tanzania. The survey respondents were drawn from a non-random purposeful sample of stakeholders, targeting individuals in ministries and non-governmental organizations whose policy decisions and actions are likely to have an impact on the status of malaria. Summary statistics across the three countries are presented in aggregate. RESULTS: Important findings aggregated across countries included a belief that donor preferences and agendas were exerting too much influence on malaria policies in the countries. Respondents on average also thought that some relevant objectives such as engaging members of parliament by the agency responsible for malaria control in a particular country were not being given enough consideration in malaria decision-making. Factors found to influence decisions regarding specific malaria control strategies included donor agendas, costs, effectiveness of interventions, health and environmental impacts, compliance and/acceptance, financial sustainability, and vector resistance to insecticides. CONCLUSION: Malaria control decision-makers in Kenya, Uganda and Tanzania take into account health and environmental impacts as well as cost implications of different intervention strategies. Further engagement of government legislators and other policy makers is needed in order to increase funding from domestic sources, reduce donor dependence, sustain interventions and consolidate current gains in malaria.

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A presente dissertação assenta na análise comparativa da obra de Marcial e Juvenal e tem como principais objectivos evidenciar a natureza burlesca e satírica que lhes assiste, assim como a (a)temporalidade e o alcance pedagógico-didáctico que as suas palavras comportam. Neste sentido, a análise tomou como matéria a abordagem que ambos fazem de temáticas comuns, no âmbito da representação da sociedade imperial do século I d.C. O trabalho divide-se em duas partes: I. Contexto e Condicionalismos; II. A vida quotidiana em Roma. A primeira subdividida em dois capítulos: 1. O espírito burlesco e o espírito satírico; 2. Apologia pro opere suo, e a segunda em quatro: 3. Modus vivendi Romani: prazeres e distracções em Roma; 4. (A)masculinidade Romana; 5. A condição feminina e o seu lugar em Roma; 6. Clientelismo e patronato sob o olhar de Marcial e Juvenal. Depois de uma contextualização dos termos burlesco e satírico, fundamentalmente alicerçada no primitivo espírito romano, procedeu-se à abordagem dos condicionalismos culturais, sócio-políticos e bibliográficos que melhor contribuem para a compreensão das principais diferenças/semelhanças entre a natureza, as intenções, as estratégias discursivas e a projecção das obras em causa. Na segunda parte, a análise comparativa da representação que os autores fazem da vida quotidiana em Roma focou essencialmente quatro aspectos, abordados em capítulos distintos, conforme supra-enunciado: no primeiro, a visão global que os autores projectam de Roma, através da representação dos principais divertimentos e distracções que ocupam e agradam aos Romanos; no segundo, a moralidade/falsidade que assiste aos comportamentos masculinos; no terceiro, a invectiva à mulher e ao lugar que esta ocupa nas relações sociais, afectivas e sexuais; no quarto, a instituição patronatoclientelismo e os valores sociais e morais que a revestem. A partir desta análise atestam-se as afinidades e o alcance de um fim semelhante nas obras de Marcial e Juvenal, não obstante a natureza e as diferenças estruturais que lhes assistem. Desta dissertação constam também uma Introdução e uma Conclusão, uma Bibliografia, bem como um Índice geral e um Index auctorum et locorum latinorum.

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1892/04/02 (Numéro 2875).