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Understanding the spatial distribution patterns (SDPs) of natural disasters plays an essential role in reducing and minimizing natural disaster risks. An integrated discussion on the SDPs of multiple global disasters is still lacking. In addition, due to their high quantity and complexity, natural disasters constitute high-dimensional data that represent a challenge for an analysis of SDPs. This paper analyzed the SDPs of global disasters from 1980 to 2016 through biclustering. The results indicate that the SDPs of fatality rates are more uneven than those of occurrence rates. Based on the occurrence rates, the selected countries were clustered into four classes. (1) The major disasters along the northern Pacific and in the Caribbean Sea and Madagascar are storms, followed by floods. (2) Most of Africa is mainly affected by floods, epidemics, and droughts. (3) The primary disaster types in the Alpine-Himalayan belt and the western Andes are floods and earthquakes. (4) Europe, America, Oceania, and South and Southeast Asia are predominantly influenced by floods. In addition, according to the fatality rates, the selected countries were clustered into eight classes. (1) Extreme high temperatures mostly result in high fatality rates (HFRs) in developed countries. (2) Epidemics lead to HFRs in parts of Africa. (3) Droughts produce HFRs in East Africa. (4) Earthquakes result in HFRs along the eastern Pacific coastline and the Alpine-Himalayan belt. (5) Tsunamis mainly cause HFRs in Thailand, Indonesia, and Japan. (6) Storms result in scattered but distinct HFRs along the coastal regions of the Pacific and Indian Oceans. (7) Floods cause concentrated HFRs in South Asia and northeastern South America. (8) Finally, volcanoes cause HFRs in Colombia, while extreme low temperatures cause HFRs in Ukraine and Poland.

Background Upper limb dysfunction is common after stroke, posing an important challenge for post-stroke rehabilitation. The clinical efficacy of acupuncture for the recovery of post-stroke upper limb function has been previously demonstrated. Mirror therapy (MT) has also been found to be effective. However, the effects of acupuncture and MT have not been systematically compared. This trial aims to elucidate the synergistic effects of acupuncture and MT on upper limb dysfunction after stroke. Methods A 2 × 2 factorial randomized controlled trial will be conducted at the rehabilitation hospitals affiliated with Fujian University of Traditional Chinese Medicine. A total of 136 eligible subjects will be randomly divided into acupuncture treatment (AT), MT, combined treatment, and control groups in a 1:1:1:1 ratio. All subjects will receive conventional treatment. The interventions will be performed 5 days per week for 4 weeks. AT, MT, and combined treatment will be performed for 30 min per day (combined treatment: AT 15 min + MT 15 min). The primary outcomes in this study will be the mean change in scores on both the FMA and WMFT from baseline to 4 weeks intervention and at 12 weeks follow-up between the two groups and within groups. The secondary outcomes are the mean change in the scores on the Visual Analogue Scale, Stroke Impact Scale, and modified Barthel index. Medical abstraction of adverse events will be assessed at each visit. Discussion The results of this trial will demonstrate the synergistic effect of acupuncture and MT on upper limb motor dysfunction after stroke. In addition, whether AT and MT, either combined or alone, are more effective than the conventional treatment in the management of post-stroke upper limb dysfunction will also be determined. Trial registration Chinese Clinical Trial Registry: ChiCTR-IOR-17011118. Registered on April 11, 2017. Version number: 01.2016.09.1. Electronic supplementary material The online version of this article (10.1186/s13063-018-2585-8) contains supplementary material, which is available to authorized users.

Persistent organic pollutants (POPs) are key pollutants due to their persistence, refractory biodegradation, high toxicity and bioaccumulation in the food chain. This review (with 93 refs.) covers the progress made in the past decades in the application of carbonaceous materials for electrochemical detection of POPs as listed in the Stockholm Convention. Following an introduction into the field, typical carbonaceous materials for use in electrodes are discussed, with subsection on carbon nanotubes, graphene, reduced graphene oxide, graphitic carbon nitride and carbon dots. This is followed by a section on application of carbonaceous materials in electrochemical detection, with subsections on the use of carbon nanotubes, of (doped-) graphene, of reduced graphene oxide, of graphitic carbon nitride, and of carbon dots. The review concludes with conclusions and future perspectives. The detection mechanisms of POPs are also discussed. Graphical abstract Advanced carbonaceous materials for the electrochemical determination of persistent organic pollutants.

We report on a highly sensitive and selective electrochemiluminescence (ECL) based method for the determination of pentachlorophenol (PCP). It is based on a new hybrid material composed of CdS quantum dots (QDs), graphene, and carbon nanotubes (CNTs), and uses peroxodisulfate as the coreactant. The use of this system results in a nearly 18-fold increase in ECL intensity. On interaction between PCP and the QDs, a decrease in ECL intensity is observed at PCP in a concentration as low as 1.0 pM and over a wide linear range (from 1.0 pM to 1.0 nM). The method is hardly affected by other chlorophenols and nitrophenols, and the electrode can be recycled.

We have modified a glassy carbon electrode by single-step electrodeposition of graphene (GR), gold nanoparticles (AgNPs), and chitosan (CS) directly from a solution containing graphene oxide, tetrachloroauric acid, and chitosan. The surface and electrochemical properties of the film-modified electrode were investigated by SEM and TEM images. The AuNPs have a diameter of about 20 nm and are uniformly dispersed in the matrix. Combining the advantages of GR (i.e., high surface area and conductivity), of AuNPs (excellent electrical conductivity) and CS (excellent film-forming ability and good water permeability), the hybrid film effectively enhances electron-transfer and promotes the response to lead(II) ion. Under the optimum conditions, a linear relationship exists between electrical current and the concentration of lead (II) ion in the range between 0.5 to 100 μg L-1, with a detection limit of 1 ng L-1 (at an SNR of 3). The electrode was successfully applied to the detection of lead(II) in spiked samples of river water.

We have electrodeposited a composite film consisting of graphene oxide, chitosan and glucose oxidase directly on a glassy carbon electrode (GCE) through electrochemical reduction of a solution of the 3 components under controlled direct electrical potential. The procedure takes only several minutes, and the thickness of the resulting film is uniform and controllable. The GOx has uncompromised bioactivity and exhibits reversible 2-proton and 2-electron transfer in presence of glucose. It therefore can be used amperometric sensing of glucose. The biosensor has a fast response (

Background Aphasia is a common and severely disabling complication in stroke patients. It usually brings about lower rates of functional recovery, longer rehabilitation length of stay (LOS), and significantly poorer LOS efficiency (LOS-Eff), resulting in higher rehabilitation costs compared to patients without aphasia. It also decreases the quality of life and increases the mortality of stroke patients. The evidence currently available suggests that the effect of acupuncture combined with language training for apoplectic aphasia is statistically better than speech and language therapy (SLT) alone, but there remains a lack of high-quality randomized controlled trials. Acupuncture combined with language training is relatively low-cost and especially suitable for community-based rehabilitation for aphasia patients after stroke, taking its medical and health facilities which are always deficient in manpower and material resources into account. The aim of the present study is to develop an effective standard therapeutic program for apoplectic aphasia in communities. Methods/Design In a randomized controlled clinical trial with blinded assessment, 290 eligible patients with aphasia due to stroke will be randomly allocated into a control group or an experimental group. The course of this trial will comprise a 4-week intervention and a 12-week follow-up period. Five assessment points, including baseline, 2 and 4 weeks after treatment, 6 and 12 weeks after follow-up, are set to dynamically observe the changes of curative effects. Primary outcome measures are the differences in the score on both the China rehabilitation research center aphasia examination (CRRCAE) and Boston diagnostic aphasia examination - Chinese version (BDAE-C) after intervention and follow-up. The Modified Barthel Index (MBI), 36-Item Short Form Health Survey (SF-36), and results of blood oxygen level dependent-functional magnetic resonance imaging (BOLD-fMRI) examination are considered as the secondary outcome measures. Other outcomes will include rate of adverse events and economic effects. Discussion If the outcome is positive, this project will offer a low-cost appropriate technology for community health centers (CHCs) in the rehabilitation of aphasia patients after stroke, and could be implemented on a large scale, both in China and worldwide. Trial registration Chinese Clinical Trial Registry: ChiCTR-TRC-13003703. Registration date: 18 October 2013.