2,680 research outputs found

    Models of preconception care implementation in selected countries.

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    Globally, maternal and child health faces diverse challenges depending on the status of the development of the country. Some countries have introduced or explored preconception care for various reasons. Falling birth rates and increasing knowledge about risk factors for adverse pregnancy outcomes led to the introduction of preconception care in Hong Kong in 1998, and South Korea in 2004. In Hong Kong, comprehensive preconception care including laboratory tests are provided to over 4000 women each year at a cost of 75perperson.InKorea,about6075 per person. In Korea, about 60% of the women served have known medical risk history, and the challenge is to expand the program capacity to all women who plan pregnancy, and conducting social marketing. Belgium has established an ad hoc-committee to develop a comprehensive social marketing and professional training strategy for pilot testing preconception care models in the French speaking part of Belgium, an area that represents 5 million people and 50,000 births per year using prenatal care and pediatric clinics, gynecological departments, and the genetic centers. In China, Guangxi province piloted preconceptional HIV testing and counseling among couples who sought the then mandatory premarital medical examination as a component of the three-pronged approach to reduce mother to child transmission of HIV. HIV testing rates among couples increased from 38% to 62% over one year period. In October 2003, China changed the legal requirement of premarital medical examination from mandatory to "voluntary." This change was interpreted by most women that the premarital health examination was "unnecessary" and overall premarital health examination rates dropped. Social marketing efforts piloted in 2004 indicated that 95% of women were willing to pay up to RMB 100 (US12) for preconception health care services. These case studies illustrate programmatic feasibility of preconception care services to address maternal and child health and other public health challenges in developed and emerging economies

    elcome@12Impact of oxygen and nitrogen-containing species on performance of NO removal by coal pyrolysis gas

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    Coal pyrolysis gas is considered a promising reburn fuel with excellent NO reduction performance because of the present of nitrogen-containing species (HCN and NH3) in the pyrolysis gas. In this study, we explored the effects of oxygen and nitrogen-containing species on NO removal performance with HCN and NH3 by reactive force field (ReaxFF) molecular dynamics (MD) simulations. Results indicate that appropriately reducing O2 concentrations and increasing the amount of nitrogen-containing species can benefit the NO reduction performance by coal pyrolysis gas. In addition, the effects of oxygen and nitrogen-containing species content on the NO removal and mechanisms of NO consumption and N2 formation are illustrated during NO reduction with HCN and NH3, respectively. Finally, based on the simulations results, practical operating strategies are proposed to optimize the NO reduction efficiency. In summary, this study provides new insights into NO reduction performance, which may contribute to optimizing the operating parameters to decrease NOx emissions during coal combustion

    Effects of nitrogen-free species on NO removal performance by coal pyrolysis gas via reactive molecular dynamics simulations

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    Coal splitting and reburning is a promising technology to control NO emissions during coal combustion. During this process, coal pyrolysis gas is used as reburn fuel to convert NO to N2. Nitrogen-containing compounds (HCN and NH3) play dominant roles in the NO reduction performance. In this study, we investigated the influence of nitrogen-free species (CH4, CO and H2) in coal pyrolysis gas on the NO reduction by HCN and NH3 via reactive force field (ReaxFF) molecular dynamics (MD) simulations. The nitrogen distribution in products is determined and monitored during the process of NO removal by HCN and NH3 under different additives. In addition, mechanisms of NO reduction by HCN and NH3 are revealed, accounting for the changes of nitrogen distribution in the products at the atomic level. The present research provides new insights into the influence of CH4, CO and H2 on the NO reduction by HCN and NH3, which may be helpful to reduce the NOx emissions during coal combustion by optimising the nitrogen-free components of coal pyrolysis gas
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