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Item Distribution of Shrubland and Grassland Soil Erodibility on the Loess Plateau(MDPI, 2018-06) Zhang, Xiao; Zhao, Wenwu; Wang, Lixin; Liu, Yuanxin; Feng, Qiang; Fang, Xuening; Liu, Yue; Earth Sciences, School of ScienceSoil erosion is one of the most severe problems facing environments and has increased throughout the 20th century. Soil erodibility (K-factor) is one of the important indicators of land degradation, and many models have been used to estimate K values. Although soil erodibility has been estimated, the comparison of different models and their usage at a regional scale and, in particular, for different land use types, need more research. Four of the most widely distributed land use types were selected to analyze, including introduced and natural grassland, as well as introduced and natural shrubland. Soil particle size, soil organic matter and other relevant soil properties were measured to estimate soil erodibility in the Loess Plateau. The results show that: (1) the erosion productivity impact calculator (EPIC) model and SHIRAZI model are both suitable for the Loess Plateau, while the SHIRAZI model has the advantage of fewer parameters; (2) introduced grassland has better ability to protect both the 0–5 cm soils and 5–20 cm soils, while the differences between introduced and natural shrubland are not obvious at a catchment scale; (3) the K values of introduced grassland, natural grassland, introduced shrubland and natural shrubland in the 0–5 cm layer vary from 0.008 to 0.037, 0.031 to 0.046, 0.012 to 0.041 and 0.008 to 0.045 (t·hm2·h/(MJ·mm·hm2)), while the values vary from 0.009 to 0.039, 0.032 to 0.046, 0.012 to 0.042 and 0.008 to 0.048 (t·hm2·h/(MJ·mm·hm2)) in the 5–20 cm layer. The areas with a mean multiyear precipitation of 370–440 mm are the most important places for vegetation restoration construction management at a regional scale. A comprehensive balance between water conservation and soil conservation is needed and important when selecting the species used to vegetation restoration. This study provides suggestions for ecological restoration and provides a case study for the estimate of soil erodibility in arid and semiarid areas.Item Improving estimates of children living with HIV from the Spectrum AIDS Impact Model(Lippincott, Williams, and Wilkins, 2016-10) Mahy, Mary; Penazzato, Martina; Ciaranello, Andrea; Mofenson, Lynne; Yiannoutsos, Constantin T.; Davies, Mary-Ann; Stover, John; Department of Biostatistics, Richard M. Fairbanks School of Public HealthObjective: Estimated numbers of children living with HIV determine programmatic and treatment needs. We explain the changes made to the UNAIDS estimates between 2015 and 2016, and describe the challenges around these estimates. Methods: Estimates of children newly infected, living with HIV, and dying of AIDS are developed by country teams using Spectrum software. Spectrum files are available for 160 countries, which represent 98% of the global population. In 2016, the methods were updated to reflect the latest evidence on mother-to-child HIV transmission and improved assumptions on the age children initiate antiretroviral therapy. We report updated results using the 2016 model and validate these estimates against mother-to-child transmission rates and HIV prevalence from population-based surveys for the survey year. Results: The revised 2016 model estimates 27% fewer children living with HIV in 2014 than the 2015 model, primarily due to changes in the probability of mother-to-child transmission among women with incident HIV during pregnancy. The revised estimates were consistent with population-based surveys of HIV transmission and HIV prevalence among children aged 5–9 years, but were lower than surveys among children aged 10–14 years. Conclusions: The revised 2016 model is an improvement on previous models. Paediatric HIV models will continue to evolve as further improvements are made to the assumptions. Commodities forecasting and programme planning rely on these estimates, and increasing accuracy will be critical to enable effective scale-up and optimal use of resources. Efforts are needed to improve empirical measures of HIV prevalence, incidence, and mortality among children.Item Three-Dimensional Printing and Its Applications in Otorhinolaryngology–Head and Neck Surgery(Sage, 2017-06) Crafts, Trevor D.; Ellsperman, Susan E.; Wannemuehler, Todd J.; Bellicchi, Travis D.; Shipchandler, Taha Z.; Mantravadi, Avinash V.; Otolaryngology -- Head and Neck Surgery, School of MedicineObjective Three-dimensional (3D)-printing technology is being employed in a variety of medical and surgical specialties to improve patient care and advance resident physician training. As the costs of implementing 3D printing have declined, the use of this technology has expanded, especially within surgical specialties. This article explores the types of 3D printing available, highlights the benefits and drawbacks of each methodology, provides examples of how 3D printing has been applied within the field of otolaryngology–head and neck surgery, discusses future innovations, and explores the financial impact of these advances. Data Sources Articles were identified from PubMed and Ovid MEDLINE. Review Methods PubMed and Ovid Medline were queried for English articles published between 2011 and 2016, including a few articles prior to this time as relevant examples. Search terms included 3-dimensional printing, 3D printing, otolaryngology, additive manufacturing, craniofacial, reconstruction, temporal bone, airway, sinus, cost, and anatomic models. Conclusions Three-dimensional printing has been used in recent years in otolaryngology for preoperative planning, education, prostheses, grafting, and reconstruction. Emerging technologies include the printing of tissue scaffolds for the auricle and nose, more realistic training models, and personalized implantable medical devices. Implications for Practice After the up-front costs of 3D printing are accounted for, its utilization in surgical models, patient-specific implants, and custom instruments can reduce operating room time and thus decrease costs. Educational and training models provide an opportunity to better visualize anomalies, practice surgical technique, predict problems that might arise, and improve quality by reducing mistakes.