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National levels of personal health-care access and quality can be approximated by measuring mortality rates from causes that should not be fatal in the presence of effective medical care (ie, amenable mortality). Previous analyses of mortality amenable to health care only focused on high-income countries and faced several methodological challenges. In the present analysis, we use the highly standardised cause of death and risk factor estimates generated through the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) to improve and expand the quantification of personal health-care access and quality for 195 countries and territories from 1990 to 2015. We mapped the most widely used list of causes amenable to personal health care developed by Nolte and McKee to 32 GBD causes. We accounted for variations in cause of death certification and misclassifications through the extensive data standardisation processes and redistribution algorithms developed for GBD. To isolate the effects of personal health-care access and quality, we risk-standardised cause-specific mortality rates for each geography-year by removing the joint effects of local environmental and behavioural risks, and adding back the global levels of risk exposure as estimated for GBD 2015. We employed principal component analysis to create a single, interpretable summary measure–the Healthcare Quality and Access (HAQ) Index–on a scale of 0 to 100. The HAQ Index showed strong convergence validity as compared with other health-system indicators, including health expenditure per capita (r=0·88), an index of 11 universal health coverage interventions (r=0·83), and human resources for health per 1000 (r=0·77). We used free disposal hull analysis with bootstrapping to produce a frontier based on the relationship between the HAQ Index and the Socio-demographic Index (SDI), a measure of overall development consisting of income per capita, average years of education, and total fertility rates. This frontier allowed us to better quantify the maximum levels of personal health-care access and quality achieved across the development spectrum, and pinpoint geographies where gaps between observed and potential levels have narrowed or widened over time. Between 1990 and 2015, nearly all countries and territories saw their HAQ Index values improve; nonetheless, the difference between the highest and lowest observed HAQ Index was larger in 2015 than in 1990, ranging from 28·6 to 94·6. Of 195 geographies, 167 had statistically significant increases in HAQ Index levels since 1990, with South Korea, Turkey, Peru, China, and the Maldives recording among the largest gains by 2015. Performance on the HAQ Index and individual causes showed distinct patterns by region and level of development, yet substantial heterogeneities emerged for several causes, including cancers in highest-SDI countries; chronic kidney disease, diabetes, diarrhoeal diseases, and lower respiratory infections among middle-SDI countries; and measles and tetanus among lowest-SDI countries. While the global HAQ Index average rose from 40·7 (95% uncertainty interval, 39·0–42·8) in 1990 to 53·7 (52·2–55·4) in 2015, far less progress occurred in narrowing the gap between observed HAQ Index values and maximum levels achieved; at the global level, the difference between the observed and frontier HAQ Index only decreased from 21·2 in 1990 to 20·1 in 2015. If every country and territory had achieved the highest observed HAQ Index by their corresponding level of SDI, the global average would have been 73·8 in 2015. Several countries, particularly in eastern and western sub-Saharan Africa, reached HAQ Index values similar to or beyond their development levels, whereas others, namely in southern sub-Saharan Africa, the Middle East, and south Asia, lagged behind what geographies of similar development attained between 1990 and 2015. This novel extension of the GBD Study shows the untapped potential for personal health-care access and quality improvement across the development spectrum. Amid substantive advances in personal health care at the national level, heterogeneous patterns for individual causes in given countries or territories suggest that few places have consistently achieved optimal health-care access and quality across health-system functions and therapeutic areas. This is especially evident in middle-SDI countries, many of which have recently undergone or are currently experiencing epidemiological transitions. The HAQ Index, if paired with other measures of health-system characteristics such as intervention coverage, could provide a robust avenue for tracking progress on universal health coverage and identifying local priorities for strengthening personal health-care quality and access throughout the world. Bill & Melinda Gates Foundation.

\"Tehran is a city of contradictions. Its swollen population of fourteen million and upwards contains the religious, the irreligious and the simply indifferent. Located on a major fault line, it is nevertheless in the throes of a construction boom. While regular demonstrations after Friday prayers call for the death of Great Satan America, Iranians of all ages enjoy a long-standing love affair with Western luxury brands. Among the hip and fashionable, the veil has morphed from cover-up to come-on, and the young women in colourful scarves and heavy makeup are increasingly targeted by the female officers of the Special Guidance Patrols. Transit Tehran: Young Iran and Its Inspirations is an original anthology of writing and images primarily featuring the generation of photojournalists who came of age during the reformist movement. Newsha Tavakolian, Abbas Kowsari, Javad Montazeri and Omid Salehi continue to document the social transformation of their country despite the government's mass closures of newspapers and magazines. Unexpected facets of urban experience are explored in the art of Sadegh Tirafkan, the new journalism of Asieh Amini, and the short stories of Alireza Mahmoodi-Iranmehr. Transit Tehran also celebrates the long tradition of artistic and cultural resistance that has influenced young Iranians, noticeably in the work of veteran writer and editor Masoud Behnoud, premier satirist and cartoonist Ardeshir Mohassess, and photographers Kaveh Golestan and Mohsen Rastani. The Internet, youth and fashion culture and the homegrown trends of the Islamic Republic fuel the city's paradoxes its pains as well as its obvious pleasures. Sunk in permanent smog, tangled in traffic jams, suffused with the threat of war and political unrest, life in Tehran is chaotic and unpredictable. Its passions and preoccupations make it a city like no other.\"--Book cover.

With more than half its population under twenty years old, Iran is one of the world's most youthful nations. The Iranian state characterizes its youth population in two ways: as a homogeneous mass, \"an army of twenty millions\" devoted to the Revolution, and as alienated, inauthentic, Westernized consumers who constitute a threat to the society. Much of the focus of the Islamic regime has been on ways to protect Iranian young people from moral hazards and to prevent them from providing a gateway for cultural invasion from the West. Iranian authorities express their anxieties through campaigns that target the young generation and its lifestyle and have led to the criminalization of many of the behaviors that make up youth culture.In this ethnography of contemporary youth culture in Iran's capital, Shahram Khosravi examines how young Tehranis struggle for identity in the battle over the right to self-expression. Khosravi looks closely at the strictures confronting Iranian youth and the ways transnational cultural influences penetrate and flourish. Focusing on gathering places such as shopping centers and coffee shops, Khosravi examines the practices of everyday life through which young Tehranis demonstrate defiance against the official culture and parental dominance. In addition to being sites of opposition, Khosravi argues, these alternative spaces serve as creative centers for expression and, above all, imagination. His analysis reveals the transformative power these spaces have and how they enable young Iranians to develop their own culture as well as individual and generational identities. The text is enriched by examples from literature and cinema and by livid reports from the author's fieldwork.

Accurate and real-time land use/land cover (LULC) maps are important to provide precise information for dynamic monitoring, planning, and management of the Earth. With the advent of cloud computing platforms, time series feature extraction techniques, and machine learning classifiers, new opportunities are arising in more accurate and large-scale LULC mapping. In this study, we aimed at finding out how two composition methods and spectral–temporal metrics extracted from satellite time series can affect the ability of a machine learning classifier to produce accurate LULC maps. We used the Google Earth Engine (GEE) cloud computing platform to create cloud-free Sentinel-2 (S-2) and Landsat-8 (L-8) time series over the Tehran Province (Iran) as of 2020. Two composition methods, namely, seasonal composites and percentiles metrics, were used to define four datasets based on satellite time series, vegetation indices, and topographic layers. The random forest classifier was used in LULC classification and for identifying the most important variables. Accuracy assessment results showed that the S-2 outperformed the L-8 spectral–temporal metrics at the overall and class level. Moreover, the comparison of composition methods indicated that seasonal composites outperformed percentile metrics in both S-2 and L-8 time series. At the class level, the improved performance of seasonal composites was related to their ability to provide better information about the phenological variation of different LULC classes. Finally, we conclude that this methodology can produce LULC maps based on cloud computing GEE in an accurate and fast way and can be used in large-scale LULC mapping.

In this paper, the direct torque control torque based on space vector modulation (DTC-SVM) for permanent magnet synchronous generator connected to the variable-speed wind power generation system will be discussed. One of the most widely used in industry to convert voltage converters, converters back to back due to the very good features it is used. The main use space vector modulation voltage source inverters and current source is 3-phase. DTC method reduces the limitations and complexity of operation, so the price is Replay torque and flux machines that caused the DTC-SVM method is an alternative to it. The possibility of over-voltage matrix converter there on both sides. In some methods, sampling frequency and high frequency is required in others. The space vector modulation method sampling frequency is far less Direct Torque Control solution is a matrix converter.

Environmental pollutants such as microplastics have become a major concern over the last few decades. We investigated the presence, characteristics, and potential health risks of microplastic dust ingestion. The plastic load of 88 to 605 microplastics per 30 g dry dust with a dominance of black and yellow granule microplastics ranging in size from 250 to 500 μm was determined in 10 street dust samples using a binocular microscope. Fluorescence microscopy was found to be ineffective for detecting and counting plastic debris. Scanning electron microscopy, however, was useful for accurate detection of microplastic particles of different sizes, colors, and shapes (e.g., fiber, spherule, hexagonal, irregular polyhedron). Trace amounts of Al, Na, Ca, Mg, and Si, detected using energy dispersive X-ray spectroscopy, revealed additives of plastic polymers or adsorbed debris on microplastic surfaces. As a first step to estimate the adverse health effects of microplastics in street dust, the frequency of microplastic ingestion per day/year via ingestion of street dust was calculated. Considering exposure during outdoor activities and workspaces with high abundant microplastics as acute exposure, a mean of 3223 and 1063 microplastic particles per year is ingested by children and adults, respectively. Consequently, street dust is a potentially important source of microplastic contamination in the urban environment and control measures are required.