ALBERT

Description: Background: In 2012, a pilot health policy of contractual service relations between general practitioners and patients was implemented in China. Due to the decline in body and cognitive function, as well as the lack of family care and narrow social support networks, the demand of health services among the elderly is much higher than that among the general population. This study aims to probe into the empty nesters’ willingness-to-pay for general practitioners using a contractual service policy, investigating empty nesters’ payment levels for the service, and analyze the main factors affecting the willingness of empty-nesters’ general practitioners using contractual service supply cost. Methods: This cross-sectional study adopted a multistage stratified sampling method to survey 865, city empty nesters (six communities in three districts of one city) aged 60–85 years. A condition value method was used to infer the distribution of the willingness-to-pay; Cox’s proportional hazards regression model was used to analyze the influencing factors of willingness-to-pay. Results: More than seventy percent (76.6%) of the empty nesters in this city were willing to pay general practitioners using contract service in Chongqing. The level of willingness-to-pay for the surveyed empty nesters was 34.1 yuan per year. The median value was 22.1 yuan per year, which was below the Chongqing urban and rural cooperative medical insurance individual funding level (60 yuan per year) in 2013. Cox’s proportional hazards regression model analysis showed that the higher the education level was, the worse the self-reported health status would be, accompanied by higher family per capita income, higher satisfaction of community health service, and higher willingness-to-pay empty nesters using a contract service. Women had a higher willingness-to-pay than men. Conclusions: The willingness-to-pay for general practitioners by contractual service is high among city empty nesters in Chongqing, thus, individual financing is feasible. However, people are willing to pay less than half of the current personal financing of cooperative medical insurance of urban and rural residents. Education level, family per capita income, and self-reported health status are the main factors affecting the cost sharing intention for general practitioners using contract service supply. According to the existing situation of different empty nesters, it is important to perfect the design of general practitioners using a contractual service policy system, according to differentiated personal financing levels.

Description: The synthesis of pure and well dispersed lutetium aluminum garnet (LuAG) powder is crucial and important for the preparation of LuAG transparent ceramics. In this paper, high purity and well dispersed LuAG powders have been synthesized via co-precipitation method with lutetium nitrate and aluminum nitrate as raw materials. Ammonium hydrogen carbonate (AHC) was used as the precipitant. The influence of aging time, pH value, and dripping speed on the prepared LuAG powders were investigated. It showed that long aging duration (>15 h) with high terminal pH value (>7.80) resulted in segregation of rhombus Lu precipitate and Al precipitate. By decreasing the initial pH value or accelerating the dripping speed, rhombus Lu precipitate was eliminated and pure LuAG nano powders were synthesized. High quality LuAG transparent ceramics with transmission >75% at 1064 nm were fabricated using these well dispersed nano LuAG powders.

Description: The Delphi technique is a means of facilitating discussion among experts in order to develop consensus, and can be used for policy formulation. This article describes a modified Delphi approach in which 27 multi-disciplinary academics and 22 stakeholders from Ghana and North America were polled about ways to address negative effects of small-scale gold mining (ASGM) in Ghana. In early 2014, the academics, working in disciplinary groups, synthesized 17 response options based on data aggregated during an Integrated Assessment of ASGM in Ghana. The researchers participated in two rounds of Delphi polling in March and April 2014, during which 17 options were condensed into 12. Response options were rated via a 4-point Likert scale in terms of benefit (economic, environmental, and benefit to people) and feasibility (economic, social/cultural, political, and implementation). The six highest-scoring options populated a third Delphi poll, which 22 stakeholders from diverse sectors completed in April 2015. The academics and stakeholders also prioritized the response options using ranking exercises. The technique successfully gauged expert opinion on ASGM, and helped identify potential responses, policies and solutions for the sector. This is timely given that improvement to the ASGM sector is an important component within the UN Minamata Convention.

Description: Artisanal and small-scale gold mining (ASGM) is growing in many regions of the world including Ghana. The problems in these communities are complex and multi-faceted. To help increase understanding of such problems, and to enable consensus-building and effective translation of scientific findings to stakeholders, help inform policies, and ultimately improve decision making, we utilized an Integrated Assessment approach to study artisanal and small-scale gold mining activities in Ghana. Though Integrated Assessments have been used in the fields of environmental science and sustainable development, their use in addressing specific matter in public health, and in particular, environmental and occupational health is quite limited despite their many benefits. The aim of the current paper was to describe specific activities undertaken and how they were organized, and the outputs and outcomes of our activity. In brief, three disciplinary workgroups (Natural Sciences, Human Health, Social Sciences and Economics) were formed, with 26 researchers from a range of Ghanaian institutions plus international experts. The workgroups conducted activities in order to address the following question: What are the causes, consequences and correctives of small-scale gold mining in Ghana? More specifically: What alternatives are available in resource-limited settings in Ghana that allow for gold-mining to occur in a manner that maintains ecological health and human health without hindering near- and long-term economic prosperity? Several response options were identified and evaluated, and are currently being disseminated to various stakeholders within Ghana and internationally.

Description: Satellite Image Time Series (SITS) have recently been of great interest due to the emerging remote sensing capabilities for Earth observation. Trend and seasonal components are two crucial elements of SITS. In this paper, a novel framework of SITS decomposition based on Ensemble Empirical Mode Decomposition (EEMD) is proposed. EEMD is achieved by sifting an ensemble of adaptive orthogonal components called Intrinsic Mode Functions (IMFs). EEMD is noise-assisted and overcomes the drawback of mode mixing in conventional Empirical Mode Decomposition (EMD). Inspired by these advantages, the aim of this work is to employ EEMD to decompose SITS into IMFs and to choose relevant IMFs for the separation of seasonal and trend components. In a series of simulations, IMFs extracted by EEMD achieved a clear representation with physical meaning. The experimental results of 16-day compositions of Moderate Resolution Imaging Spectroradiometer (MODIS), Normalized Difference Vegetation Index (NDVI), and Global Environment Monitoring Index (GEMI) time series with disturbance illustrated the effectiveness and stability of the proposed approach to monitoring tasks, such as applications for the detection of abrupt changes.

Description: Coal blending is an effective way to organize and control coal ash fusibility to meet different requirements of Coal-fired power plants. This study investigates three different eutectic processes and explains the mechanism of how coal blending affects ash fusibility. The blended ashes were prepared by hand-mixing two raw coal ashes at five blending ratios, G:D = 10:90 (G10D90), G:D= 20:80 (G20D80), G:D = 30:70 (G30D70), G:D = 40:60 (G40D60), and G:D = 50:50 (G50D50). The samples were heated at 900 °C, 1000 °C, 1100 °C, 1200 °C, and 1300 °C in reducing atmosphere. XRD and SEM/EDX were used to identify mineral transformations and eutectic processes. The eutectic processes were finally simulated with FactSage. Results show that the fusion temperatures of the blended ashes initially decrease and then increase with the blending ratio, a trend that is typical of eutectic melting. Eutectic phenomena are observed in D100, G10D90, and G30D70 in different degrees, which do not appear in G100 and G50D50 for the lack of eutectic reactants. The main eutectic reactants are gehlenite, magnetite, merwinite, and diopside. The FactSage simulation results show that the content discrepancy of merwinite and diopside in the ashes causes the inconsistent eutectic temperatures and eutectic degrees, in turn decrease the fusion temperature of the blended ash and then increase them with the blending ratio.

Description: This report is one of three synthesis documents produced via an integrated assessment (IA) that aims to increase understanding of artisanal and small-scale gold mining (ASGM) in Ghana. Given the complexities surrounding ASGM, an IA framework was utilized to analyze economic, social, health, and environmental data, and co-develop evidence-based responses with pertinent stakeholders. The current analysis focuses on the health of ASGM miners and community members, and synthesizes extant data from the literature as well as co-authors’ recent findings regarding the causes, status, trends, and consequences of ASGM in Ghana. The results provide evidence from across multiple Ghanaian ASGM sites that document relatively high exposures to mercury and other heavy metals, occupational injuries and noise exposure. The work also reviews limited data on psychosocial health, nutrition, cardiovascular and respiratory health, sexual health, and water and sanitation. Taken together, the findings provide a thorough overview of human health issues in Ghanaian ASGM communities. Though more research is needed to further elucidate the relationships between ASGM and health outcomes, the existing research on plausible health consequences of ASGM should guide policies and actions to better address the unique challenges of ASGM in Ghana and potentially elsewhere.

Description: Polymethyl methacrylate (PMMA) bone cement is a commonly used bone adhesive and filling material in percutaneous vertebroplasty and percutaneous kyphoplasty surgeries. However, PMMA bone cements have been reported to cause some severe complications, such as secondary fracture of adjacent vertebral bodies, and loosening or even dislodgement of the set PMMA bone cement, due to the over-high elastic modulus and poor osteointegration ability of the PMMA. In this study, mineralized collagen (MC) with biomimetic microstructure and good osteogenic activity was added to commercially available PMMA bone cement products, in order to improve both the mechanical properties and the cytocompatibility. As the compressive strength of the modified bone cements remained well, the compressive elastic modulus could be significantly down-regulated by the MC, so as to reduce the pressure on the adjacent vertebral bodies. Meanwhile, the adhesion and proliferation of pre-osteoblasts on the modified bone cements were improved compared with cells on those unmodified, such result is beneficial for a good osteointegration formation between the bone cement and the host bone tissue in clinical applications. Moreover, the modification of the PMMA bone cements by adding MC did not significantly influence the injectability and processing times of the cement.

Description: A burgeoning population, pressing development needs and increasing household consumption are rapidly accelerating water use in direct and indirect ways. Increasingly, regions around the world face growing pressure on sustainable use of their water resources especially in arid and semi-arid regions, such as Northern China. The aim of this research is to obtain an overview of the cumulative water requirement for direct (domestic) water use and indirect water use for the basic food consumption of the households in the Inner Mongolia Autonomous Region (IMAR), in order to reduce the pressure on grassland of Western China by encouraging sustainable water consumption. For indirect water use, we use VWC (virtual water content) analysis theory to analyze the total consumption package of 15 basic food types that were identified and quantified based on the household survey in 2011. In this survey, domestic water consumption data and food consumption data were collected from 209 representative households with spatial variation across three sub-regions (including meadow steppe in Hulun Buir, typical steppe in Xilin Gol, and semi-desert steppe in Ordos) and temporal variation from 1995 to 2010. The results show that the total amounts of food consumption per capita in three sub-regions all show an increasing trend, especially in Hulun Buir and Ordos. Compared to the direct water consumption, the indirect water consumption behind food production made up a major portion of total water consumption, which is affected (1) geographic locations (grassland types); (2) economic development levels and (3) grassland use policy measures. From 1995 to 2010, indirect water consumption displays a decreasing trend in Xilin Gol and Ordos due to the decrease of meat consumption and increase of fruit and vegetable consumption. When considering the amount of land per household, the grassland in Ordos still faces the great threat of high water consumption pressure. Such water consumption may affect water conservation services and productivity of grassland. Therefore, changing diet behavior and reducing the population can be considered options for sustainable use of water.

Description: In order to clarify the potential of internal purification methods on medium speed diesel engines to meet the IMO Tier III nitrogen oxide (NOx) emission regulations, combined 1-D engine working cycle simulation and 3-D CFD simulation were conducted to predict the performance and emissions of the engine under different valve close timings, geometric compression ratios, injection timings, and Exhaust Gas Recirculation (EGR) rates. The numerical results show that, as the inlet valve close timing is advanced, NOx is reduced by as much as 27%, but the peak of premixed combustion heat release rate is increased; this can weaken the ability to reduce NOx with the Miller cycle. Moreover, the peak of premixed combustion heat release rate is reduced when the geometric compression ratio is increased to 15.4, and linking with injection timing by delaying 6°CA can further reduce NOx by 55.3% from the baseline. Finally, over 80% NOx reduction can be achieved when the above schemes are combined with over 15% EGR. The NOx and soot can be reduced simultaneously by using moderate Miller cycle combination with moderate EGR, and the results show a large reduction of NOx and moderate reduction of soot. This can be a feasible technical solution to meet Tier III regulations.