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1.
The esophagus is a tubular-shaped muscular organ where swallowed fluids and muscular contractions constitute a highly dynamic environment. The turbulent, coordinated processes that occur through the oropharyngeal conduit can often compromise targeted administration of therapeutic drugs to a lesion, significantly reducing therapeutic efficacy. Here, magnetically guidable drug vehicles capable of strongly adhering to target sites using a bioengineered mussel adhesive protein (MAP) to achieve localized delivery of therapeutic drugs against the hydrodynamic physiological conditions are proposed. A suite of highly uniform microparticles embedded with iron oxide (IO) nanoparticles (MAP@IO MPs) is microfluidically fabricated using the genipin-mediated covalent cross-linking of bioengineered MAP. The MAP@IO MPs are successfully targeted to a specific region and prolongedly retained in the tubular-structured passageway. In particular, orally administered MAP@IO MPs are effectively captured in the esophagus in vivo in a magnetically guidable manner. Moreover, doxorubicin (DOX)-loaded MAP@IO MPs exhibit a sustainable DOX release profile, effective anticancer therapeutic activity, and excellent biocompatibility. Thus, the magnetically guidable locomotion and robust underwater adhesive properties of the proteinaceous soft microbots can provide an intelligent modular approach for targeted locoregional therapeutics delivery to a specific lesion site in dynamic fluid-associated tubular organs such as the esophagus.  相似文献   
2.
带关键字搜索的公钥加密(PEKS)是一种有用的加密原语,它允许用户将在加密数据上搜索的功能委托给不可信的第三方服务器,而不影响原始数据的安全性和隐私性。但是,由于缺乏对于数据的加密以及解密能力,PEKS方案不能单独进行使用,必须与标准的公钥加密方案(PKE)相结合。因此,Baek等人在2006年引入了一种新的加密原语,称为结合PKE和PEKS的加密方案(PKE+PEKS),它同时提供了PKE和PEKS的功能。目前,已有文献提出了几种PKE+PEKS方案。然而,他们都没有考虑关键字猜测攻击的问题。本文提出一个新的高效且能够抵抗关键字猜测攻击的PKE+PEKS方案,与已有方案相比,该方案在性能上有很大的提升,并且在生成关键字和数据密文时,不需要使用双线性对,极大地降低了计算和存储成本。安全性分析表明,本文中所提出的方案能够满足密文隐私安全性、陷门不可区分性和抗关键字猜测攻击的安全性。效率分析表明,本分提出的方案更加高效。  相似文献   
3.
Health information technology (IT) is a promising way to achieve safer medication management in the delivery of healthcare. However, human factors/ergonomics dictates that in order to make the complex, cognitive work of healthcare delivery safer, health IT must properly support human cognition. This means, for example, that new health IT must reduce, not increase, workload during safety-critical tasks. The present study was the first to quantitatively assess the short- and long-term impact of bar coded medication administration (BCMA) IT on nurses' mental workload as well as on perceived medication safety. One-hundred seventy registered nurses across 3 dissimilar clinical units at an academic, freestanding pediatric hospital in the Midwest US participated in surveys administered before, 3 months after, and 12 months after the hospital implemented BCMA. Nurses rated their external mental workload (interruptions, divided attention, being rushed) and internal mental workload (concentration, mental effort) during medication administration tasks as well as the likelihood of each of three medication safety events: medication administration errors, medication errors on the clinical unit, and clinical unit-level adverse drug events. Clinical unit differences were assessed. Findings generally confirmed the hypothesis that external but not internal mental workload was associated with the perceived likelihood of a medication safety event. Comparisons of mental workload from pre- to post-BCMA revealed statistically significant changes in the critical care unit only. Medication safety appeared to improve over the long term in the hematology/oncology unit only. In the critical care and medical/surgical units, medication safety exhibited short-term improvements that were eliminated over time. Changes in mental workload and medication safety, two classically microergonomic constructs, were deeply embedded in macroergonomic phenomena. These included the fit between the BCMA system and the nature of nursing work, the process of BCMA implementation, and BCMA interactions with concurrent changes occurring in the hospital. Findings raise questions about achieving sustainable performance improvement with health IT as well as the balance between micro- and macroergonomic approaches to studying technology change.Relevance to industryDesigners must consider how technology changes cognitive work, including mental workload. Hospitals and other implementers of technology must ensure that new technology fits its users, their tasks, and the context of use, which may entail tailoring implementation, for example, to specific clinical units. Evaluators must look over time to assess both changes in cognitive work and implementation issues. Healthcare practitioners must also recognize that new technology means a complex transformation to an already complex sociotechnical system, which calls for a macroergonomic approach to design and analysis.  相似文献   
4.
Few jurisdictions have translated internationally agreed social impact assessment (SIA) principles into statutory provisions. Governments and regulatory bodies tend to provide developers with high-level frameworks, or require that social impacts be ‘considered’, without specifying how this is to be done. In Australia, this lack of clarity leaves all parties uncertain about requirements for SIA. The New South Wales (NSW) Government’s 2017 release of the SIA guideline for State-significant mining, petroleum and extractive industry development represents an attempt to clarify requirements and provide guidance. In this paper, we describe the process of bringing this guideline to fruition from the perspective of being directly involved in its development, and highlight the challenges involved in integrating leading-practice principles into the state’s pre-existing policy framework. While the guideline represents a significant advance in policy-based SIA guidance, some aspects leave room for improvement. The real test of the guideline’s impact will lie in its influence on SIA practice in NSW, and ultimately in social outcomes for communities affected by resources projects.  相似文献   
5.
融合多种网络可满足用户长日寸间连接和尽可能获得较高数据传输速率的需要,但融合后的网络也将各种网络的安全缺陷带进融合网络中。这不但给融合网络的运行带进各种原有的安全问题,而且增加了一些新的安全问题。对此,文章提出了基于恢复的多重防护解决方案,并使用公钥加密算法鉴权。使用私钥对通信数据进行加密。该方案可以为系统提供可靠的安全性,并实现用户对服务的不可抵赖性。该方案还处于研究起步阶段,下一步还需要明确各层的正确行为,以及出现多个恶意节点对某个合法节点诬陷时所应采取的行动。  相似文献   
6.
GSM90 0 /1 80 0固定无线公用电话桌面型话机在开发过程中遇到严重的噪音问题 ,一度成为开发工作的瓶颈。本文就这一噪音问题进行了分析与测试 ,并针对干扰源采取相应的措施 ,在产品开发中付诸应用 ,最终解决了 GSM桌面型无线公话的噪音问题  相似文献   
7.
Despite the universal and understandable distress associated with the death of a child from pediatric illness, do psychologists help surviving families in ways that match their need for assistance? Many families do not seek psychological help and cope adaptively with their loss. Indications for psychotherapy with bereaved families are based largely on experience with families who engage in treatment and who have greater distress. Other families may not receive sufficient services but are at risk for ongoing difficulties and unlikely to engage in treatment. Suggestions for intervention are made, with attention to the fit of therapeutic approaches with family needs. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
8.
大乘资氮集团有限公司狠抓管理和科技,使企业由经营型向效益型转变,同时加速了企业经济增长方式的转变。  相似文献   
9.
发展我国制革企业刍议   总被引:2,自引:2,他引:0  
中国已入世 ,制革业将拥有无限机遇 ,但制革厂还现存一些亟待解决的问题。解析了制革厂的技术创新、经营管理等方面的问题。  相似文献   
10.
论述了负压法(射流法)回收治理液氨尾气的环保安全工艺技术、原理;解决了目前一直沿用的正压法无法解决的棘手问题。  相似文献   
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