A multicentre demonstration project to evaluate the effectiveness and acceptability of the web-based Joint Asia Diabetes Evaluation (JADE) programme with or without nurse support in Chinese patients with Type 2 diabetes

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Integrated design of transport infrastructure and public spaces considering human behavior: A review of state-of-the-art methods and tools

In order to achieve holistic urban plans incorporating transport infrastructure, public space and the behavior of people in these spaces, integration of urban design and computer modeling is a promising way to provide both qualitative and quantitative support to decision-makers. This paper describes a systematic literature review following a four-part framework. Firstly, to understand the relationship of elements of transport, spaces, and humans, we review policy and urban design strategies for promoting positive interactions. Secondly, we present an overview of the integration methods and strategies used in urban design and policy discourses. Afterward, metrics and approaches for evaluating the effectiveness of integrated plan alternatives are reviewed. Finally, this paper gives a review of state-of-the-art tools with a focus on seven computer simulation paradigms. This article explores mechanisms underlying the complex system of transport, spaces, and humans from a multidisciplinary perspective to provide an integrated toolkit for designers, planners, modelers and decision-makers with the current methods and their challenges

A Semi-analytical Model for Remote Sensing Retrieval of Suspended Sediment Concentration in the Gulf of Bohai, China

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Detection and characterisation of defects in directed energy deposited multi-material components using full waveform inversion and reverse time migration

Directed energy deposition (DED) is capable in producing complex or high-value components with good mechanical properties. Despite these potential advantages, the quality and integrity of multi-material DED parts, remains a challenging issue that limits its wide applications. Material porosity in multi-material components is detrimental since it may lead to premature structural failure. This paper proposes a two-stage ultrasonic method to characterise the internal structure to enhance the understanding of the process parameters on material porosity. In this method, the low-frequency model building aims at reconstructing background structure and the high-frequency imaging targets at small defects. The first stage is based on the gradient sampling full-waveform inversion for the estimation of the velocity model, which is then used as the initial model for the reverse time migration for reflectivity. The experimental results show that accurate reconstructions of the interface between two materials and defects in multi-material DED components can be achieved

Lycium barbarum polysaccharides reduce neuronal damage, blood-retinal barrier disruption and oxidative stress in retinal ischemia/reperfusion injury

Neuronal cell death, glial cell activation, retinal swelling and oxidative injury are complications in retinal ischemia/ reperfusion (I/R) injuries. Lycium barbarum polysaccharides (LBP), extracts from the wolfberries, are good for "eye health" according to Chinese medicine. The aim of our present study is to explore the use of LBP in retinal I/R injury. Retinal I/R injury was induced by surgical occlusion of the internal carotid artery. Prior to induction of ischemia, mice were treated orally with either vehicle (PBS) or LBP (1 mg/kg) once a day for 1 week. Paraffin-embedded retinal sections were prepared. Viable cells were counted; apoptosis was assessed using TUNEL assay. Expression levels of glial fibrillary acidic protein (GFAP), aquaporin-4 (AQP4), poly(ADP-ribose) (PAR) and nitrotyrosine (NT) were investigated by immunohistochemistry. The integrity of blood-retinal barrier (BRB) was examined by IgG extravasations. Apoptosis and decreased viable cell count were found in the ganglion cell layer (GCL) and the inner nuclear layer (INL) of the vehicle-treated I/R retina. Additionally, increased retinal thickness, GFAP activation, AQP4 up-regulation, IgG extravasations and PAR expression levels were observed in the vehicle-treated I/R retina. Many of these changes were diminished or abolished in the LBP-treated I/R retina. Pre-treatment with LBP for 1 week effectively protected the retina from neuronal death, apoptosis, glial cell activation, aquaporin water channel up-regulation, disruption of BRB and oxidative stress. The present study suggests that LBP may have a neuroprotective role to play in ocular diseases for which I/R is a feature. © 2011 Li et al.published_or_final_versio

The Complexity of Vascular and Non-Vascular Complications of Diabetes: The Hong Kong Diabetes Registry

Diabetes is a complex disease characterized by chronic hyperglycemia and multiple phenotypes. In 1995, we used a doctor-nurse-clerk team and structured protocol to establish the Hong Kong Diabetes Registry in a quality improvement program. By 2009, we had accrued 2616 clinical events in 9588 Chinese type 2 diabetic patients with a follow-up duration of 6 years. The detailed phenotypes at enrollment and follow-up medications have allowed us to develop a series of risk equations to predict multiple endpoints with high sensitivity and specificity. In this prospective database, we were able to validate findings from clinical trials in real practice, confirm close links between cardiovascular and renal disease, and demonstrate the emerging importance of cancer as a leading cause of death. In addition to serving as a tool for risk stratification and quality assurance, ongoing data analysis of the registry also reveals secular changes in disease patterns and identifies unmet needs