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Analytical study of care quality and moral distress in clinical situations and patient care 被引量:4
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作者 Masoumeh Hasanlo Arezo Azarm +3 位作者 Parvaneh Asadi Kourosh Amini Hossein Ebrahimi Mohammad Asghari Jafarabadi 《Frontiers of Nursing》 CAS 2019年第4期327-334,共8页
Objective: Nursing profession conventionally meets a high standard of ethical behavior and action. One of the ethical challenges in nursing profession is moral distress. Nurses frequently expose to this phenomenon whi... Objective: Nursing profession conventionally meets a high standard of ethical behavior and action. One of the ethical challenges in nursing profession is moral distress. Nurses frequently expose to this phenomenon which leads to different consequences such as being bored by delivering patient care that decline care quality and make it challenging to achieve health purposes. This study was conducted to investigate the association between the aspects of moral distress and care quality.Methods: In this descriptive–analytical study, 545 nurses of intensive and cardiac care units and dialysis and psychiatric wards were recruited by census sampling. Three questionnaires, Sociodemographics, Moral Distress Scale, and Quality Patient Care Scale, were distributed among the participants and collected within 9 months. Data analysis was conducted by descriptive statistics, analysis of variance, and the least significant difference in SPSS 13.Results: Investigating moral distress domains(ignoring patient, decision-making power, and professional competence) and care quality domains(psychosocial, physical, and communicational) demonstrated that in being exposed to moral distress, ignoring patient had no effect on psychosocial domain(P=0.056), but decision-making and professional competence of moral distress had positive effect on psychosocial, physical(bodily), and communication domains of care quality.Conclusions: Because moral distress domains are effective on patient care quality, it is recommended to enhance the knowledge of nurses, especially beginners, about moral distress, increase their strength alongside standardizing nursing services in decisionmaking domains, improve the professional competence, and pay attention to patients. 展开更多
关键词 quality of healthcare moral distress clinical situations NURSE PATIENTS
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Current Situations and Countermeasures of Organic Tobacco Development 被引量:3
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作者 GENG Rui-mei LI Yan-dong +4 位作者 CHEN Xiu-zhai WEN Liang LIU Yong CAO Chang-dai LUO Cheng-gang 《Asian Agricultural Research》 2011年第10期58-61,66,共5页
Current situations of organic tobacco development at both home and abroad,indicating that organic tobacco is one of the innovation directions for sustainable,healthy,environmental protection and low carbon development... Current situations of organic tobacco development at both home and abroad,indicating that organic tobacco is one of the innovation directions for sustainable,healthy,environmental protection and low carbon development of modern tobacco industry.On the basis of foreign cultivation technical system for organic agriculture,the cultivation technical system for organic tobacco is summed up as follows:first,keep the diversity and continuity of space and time;second,ensure closeness of nutrient cycle;third,improve self-regulatory system and protection ability of crops.Then,the development trend of organic tobacco is analyzed and corresponding measures are put forward:establish production base and assessment system for organic tobacco;establish technical system for production of organic tobacco;establish and perfect evaluation system for management,production and supervision of organic tobacco;strengthen popularization of production and concept of organic tobacco;improve management of organic tobacco purchase,industry commerce handover,and redrying. 展开更多
关键词 Organic tobacco Current situations COUNTERMEASURES China
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Current Situations of Edible Fungus Production in Lianyungang City and Development Countermeasures 被引量:2
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作者 LI Guan-xi GE Xiong-can WEI Liang-zhi 《Asian Agricultural Research》 2012年第9期16-19,共4页
On the basis of characteristics of edible fungus production in Lianyungang City, we analyzed its advantages and disadvantages and put forward suggestions and countermeasures for development of edible fungus industry, ... On the basis of characteristics of edible fungus production in Lianyungang City, we analyzed its advantages and disadvantages and put forward suggestions and countermeasures for development of edible fungus industry, mainly including strengthening guidance and leadership of government, introducing professional personnel, and developing the edible fungus industry through science and technology. 展开更多
关键词 EDIBLE FUNGUS CURRENT PRODUCTION situations Existi
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Current Situations and Development Ideas of Buckwheat Tea Industry in Liangshan Prefecture 被引量:1
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作者 Fayong GONG Shiming XIAO Jing LI 《Asian Agricultural Research》 2013年第6期40-42,共3页
This paper firstly introduces current situations of buckwheat tea industry in Liangshan Prefecture,current situations of intellectual property right of buckwheat tea in whole China,and total flavonoid content in buckw... This paper firstly introduces current situations of buckwheat tea industry in Liangshan Prefecture,current situations of intellectual property right of buckwheat tea in whole China,and total flavonoid content in buckwheat tea. On the basis of these current situations,it analyzes drawbacks of buckwheat tea sold in the market. Finally,it presents development ideas of buckwheat tea industry in Liangshan Prefecture. 展开更多
关键词 Liangshan BUCKWHEAT TEA CURRENT situations Develop
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Present Situations and Suggestions for Large-scale Development of Chenopodium quinoa Willd. 被引量:1
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作者 Wei LU Xinyu WANG +4 位作者 Yu ZHAO Ming GUO Meiyan PEI Zhimin WEI Chuan LU 《Asian Agricultural Research》 2021年第3期14-16,共3页
In this paper,based on the study of Chenopodium quinoa Willd.planting,it is concluded that the current situations of large-scale development of C.quinoa Willd.include the following four aspects:first,the research on C... In this paper,based on the study of Chenopodium quinoa Willd.planting,it is concluded that the current situations of large-scale development of C.quinoa Willd.include the following four aspects:first,the research on C.quinoa Willd.varieties needs to be strengthened;second,it is insufficient to master the training environment and cultivation techniques;third,the large-scale planting of C.quinoa Willd.is not enough;fourth,the degree of mechanization of C.quinoa Willd.planting is not enough.In view of the above situation,this paper puts forward the following effective suggestions to strengthen the large-scale development of C.quinoa Willd.:the first is to increase the investment in C.quinoa Willd.variety research;the second is to strengthen the analysis of introduction and screening of C.quinoa Willd.varieties;the third is to study the best planting environment and cultivation techniques of C.quinoa Willd.;the fourth is to increase the scale of mechanized production of C.quinoa Willd.;the fifth is to increase the research and development of C.quinoa Willd.related products and their deep processing technology. 展开更多
关键词 Chenopodium quinoa Willd. Large-scale development Present situations Suggestions
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Reliability and Content Validity of a Comprehensive Discourse Completion Test of Interlanguage Pragmatics for Academic Situations 被引量:1
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作者 Mehrdad Amiri Parviz Birjandi 《Sino-US English Teaching》 2015年第9期654-659,共6页
The present study aimed at investigating the reliability and content validity of a comprehensive test of Interlanguage Pragmatics (ILP) developed for the academic situations in the Iranian context. To do so, a meta-... The present study aimed at investigating the reliability and content validity of a comprehensive test of Interlanguage Pragmatics (ILP) developed for the academic situations in the Iranian context. To do so, a meta-analysis of 50 articles which had reported on the tests of ILP was done and the criteria required for the selection of the speech acts of academic situations were developed. Then a Multiple-Choice Discourse Completion Test (MDCT) of interlanguage pragmatics was developed and validated through native checked situations and items based on meta-pragmatics procedures. Participants of the study were 50 M.A. students majoring in TEFL (Teaching English as a Foreign Language) studying at Iranian universities as well as 50 native speakers of English. The findings revealed that the test developed enjoyed high internal consistency and content validity. The present findings could contribute to the fields of second language testing and assessment in general and testing interlanguage pragmatics in particular. 展开更多
关键词 discourse completion test interlanguage pragmatics academic situations MDCT speech acts
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Global Mobile Market Situations and China Telecom's Strategy to Enter Mobile Market
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作者 Zhang Dongbo (Anhui Telecom Corporation,China Telecom Group,Hefei 230001,China) 《ZTE Communications》 2003年第2期2-7,共6页
The article briefly introduces the situation of the global mobile communications market,and based on the development status quo of China's mobile communications market,studies the strategy for China Telecom to ent... The article briefly introduces the situation of the global mobile communications market,and based on the development status quo of China's mobile communications market,studies the strategy for China Telecom to enter the mobile market,mainly focusing on mo- bile technologies selection,differentiable services,regional strate- gies and price policies. 展开更多
关键词 CDMA as de Global Mobile Market situations and China Telecom’s Strategy to Enter Mobile Market been for GSM into of
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Analysis on Current Situations of Endangered P.intermedius S.Y.Chen
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作者 XU Yuan-ke1,ZHANG Shao-hua1,PENG Xue-ku2,LIU Rao3 1.Jingning She Autonomous County Forestry Bureau,Jingning 323500,China 2.Jingnan Township Forestry Workstation of Jingning She Autonomous County,Jingning 323500,China 3.Science and Technology Service Department of Jingning She Autonomous County Bureau of Science and Technology,Jingning 323500,China 《Asian Agricultural Research》 2012年第3期69-70,共2页
We carried out a general survey of current situations of P.intermedius S.Y.Chen.Results show that P.intermedius S.Y.Chen is distributed in Dongkeng Township,Jingnan Township and Yanxi Township.It covers an area of 262... We carried out a general survey of current situations of P.intermedius S.Y.Chen.Results show that P.intermedius S.Y.Chen is distributed in Dongkeng Township,Jingnan Township and Yanxi Township.It covers an area of 262.51 hm2.The distribution areas are narrow and limited.What's worse,it suffers from serious destruction and has been withered in large areas.Besides,according to current introduction test,it is difficult to survive in other places.In accordance with Exploring the Criteria for Endangered Categories of Bamboo Species from China put forward by Ma Naixun et al from the Research Institute of Subtropical Forestry of Chinese Academy of Forestry(RISFCAF),we propose incorporating P.intermedius S.Y.Chen into vulnerable species for protection. 展开更多
关键词 P.intermedius S.Y.Chen Current situations ANALYSIS
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Peculiarities of Medical Personnel Behavior Styles in Conflict Situations
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作者 Anzhela Biduchak Nataliya Hopko +2 位作者 Mohammad Wathek O. Alsalama Zhanetta Chornenka Olha Mazur 《Health》 CAS 2022年第12期1210-1226,共17页
Introduction: Leadership style is a way, a system of methods of influence of the leader on subordinates. This is one of the most important factors of the effective work of the institution, the full realization of the ... Introduction: Leadership style is a way, a system of methods of influence of the leader on subordinates. This is one of the most important factors of the effective work of the institution, the full realization of the potential capabilities of people in the team. Leadership style, as an individual way of carrying out management activities, is mostly associated with the person of the manager. The management style is formed under the influence of the relationship between the manager and the team in the process of making and implementing management decisions, individual characteristics and preferences of the manager. The objective of the study was conflicts in the field of healthcare in the system “medical personnel of a healthcare institution—patients and relatives of patients”. The objective of the study was to determine management styles in conflict situations among medical workers. Materials and Methods: With the help of a direct individual survey, according to an anonymous questionnaire developed by us, the opinion of 582 medical workers (422 doctors and 160 nurses) of general hospitals and primary care centers of Chernivtsi and Chernivtsi region regarding the ceilings of behavior in conflict situations was studied. Results: In a conflict situation, the leading form of behavior for medics, both doctors and medical personnel, is the subordinate type (29.6% and 38.1%, respectively). The second most frequent method of conflict resolution is an authoritarian strategy (20.6% for doctors and 15% for nurses), in which personal aspirations and the achievement of one’s own goals come to the fore. Dependent style (17.8% for doctors and 13.75% for nurses) ranks third. A selfish style of behavior in a conflict situation is characteristic of 13.7% of doctors and 13.1% of nurses. A friendly style of behavior during the resolution of conflict situations is characteristic of medical workers at a rather low level (12.3% for doctors and 12.5% for nurses). Aggressive style (5.9% for doctors and 7.5% for nurses) is the least popular as a model of behavior in a conflict situation among respondents. Conclusion: The style of behavior of doctors and nurses in conflict situations is ambiguous, which is due to personal qualities, the degree of leadership, professional relationships and the specifics of the work environment. 展开更多
关键词 Management Style Behavior Style Conflict situations Medical Organizations
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Current Development Situations and Countermeasures of Edible Fungus Industry in Heilongjiang Province in the Context of Rural Revitalization
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作者 Runqing CHEN 《Asian Agricultural Research》 2020年第8期13-16,共4页
The rise of the edible fungus industry has not only greatly increased the income of Chinese farmers,but also promoted the economic,social and ecological development of rural areas.Through a survey of the edible fungus... The rise of the edible fungus industry has not only greatly increased the income of Chinese farmers,but also promoted the economic,social and ecological development of rural areas.Through a survey of the edible fungus industry in Heilongjiang Province,it found problems such as insufficient standardized production bases,insufficient coverage of"Internet+edible fungi",weak industrial clusters,conservative management ideas,and lack of professional talents.The development potential of edible fungi was analyzed and reasonable recommendations were put forward to promote the healthy,efficient and sustainable development of the edible fungus industry in Heilongjiang Province. 展开更多
关键词 Edible fungus Rural revitalization Heilongjiang Province Current development situations
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Emotions and Stressing Situations Adaptation of Nursing Students in the New Normality
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作者 Diana Cecilia Tapia-Pancardo Nancy Areli Martínez-Rangel +2 位作者 Rocío Marisol Romero-Salgado José Luis Cadena-Anguiano Rafael Villalobos-Molina 《Health》 CAS 2022年第7期766-774,共9页
Background: New normality is uncertain in every sense, specifically in education and for many health disciplines. Being immersed in COVID-19 pandemics brought serious consequences for mental health, and is very import... Background: New normality is uncertain in every sense, specifically in education and for many health disciplines. Being immersed in COVID-19 pandemics brought serious consequences for mental health, and is very important to handle emotions and stress coping strategies to obtain positive outcomes. Objective: To identify the most frequent emotions, as well as the adaptation strategies to the new normality faced by the students of nursing. Methods: Qualitative and phenomenological research, with the participation of 20 students from both genders in the middle term of nursing career at Faculty of Higher Studies Iztacala, National Autonomous University of Mexico, from August to November 2021. Information was collected from a focal group for ten sessions;analysis was according to De Souza Minayo, and there was a signed informed consent letter from participants. Results: Four categories emerged with sub-categories. Category I Maximized emotions. Sub-categories: 1) Frustration, anger, disappointment;2) Personal disappointment, hopelessness, uncertainty;3) Depression. Category II Support elements close to the new normality. Sub-categories: 1) Family communication;2) Education for mental and physical health. Category III Stressing situations that exceeded the student. Sub-category: Disease in lovely ones. Category IV Stress coping strategies. Sub-categories: 1) Friends and relatives that help to get better;2) Family values. Informers pointed out to have maximized emotion, and having no self-control on its negative outcomes occurred;in addition, the situation was not favorable at home with several losses of loved ones, as well as a poor economy that threatened students to give up studies. Conclusion: Emotions facing this new normality are very important and should be attended to, their proper handling will result in a new learning of socio-emotional abilities, stress coping strategies development, better adaptation and informed decisions taken. 展开更多
关键词 Emotions Stressing situations Adaptation Nursing Students New Normality
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Current Research Situations,Problems and Recommendations of Land Use Structure and Layout Optimization
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作者 Yuting DONG Zisheng YANG 《Asian Agricultural Research》 2020年第7期22-29,共8页
Land is the foundation for human survival and development,and all human social and economic activities are inseparable from the land as a space carrier.With the continuous development of China's social economy,Chi... Land is the foundation for human survival and development,and all human social and economic activities are inseparable from the land as a space carrier.With the continuous development of China's social economy,China is facing new social development needs such as urban-rural integration and rural revitalization.At the same time,China starts to attach great importance to ecology and has proposed the concept that lucid waters and lush mountains are invaluable assets.In this situation,the rational use of land resources,the optimization of land use structure and layout are also facing new challenges and problems,and more comprehensive consideration is required to make relevant optimization.Using the method of literature comparative analysis,from the conceptual connotation,basic theory,method model,and specific practice of land use structure and layout optimization,this paper analyzed and summarized the current research situations and problems,and finally came up with recommendations for the future research. 展开更多
关键词 Land use structure optimization Layout optimization Current research situations Problems and recommendations Literature comparative analysis
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Current Situations and Problems of Investment in Agricultural Capital Construction from the Perspective of Investment of Different Ministries and Commissions and Recommendations
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作者 Lin ZHAI Jiliang MA 《Asian Agricultural Research》 2018年第5期1-6,9,共7页
Investment in agricultural capital construction is an important factor in improving China's agricultural productivity and international competitiveness. In recent years,the attention to the investment in agricultu... Investment in agricultural capital construction is an important factor in improving China's agricultural productivity and international competitiveness. In recent years,the attention to the investment in agricultural capital construction has been lifted to a strategic height. However,there is still little research on the investment in agricultural capital construction. From the perspective of investment of different ministries and commissions,this paper systematically analyzed current situations,problems,and came up with recommendations for the investment in the agricultural capital construction. According to the results,( i) from 1983 to the present,China's investment in agricultural capital construction experienced three stages. Especially after 2010,the scale of investment in agricultural capital construction was huge,and it showed a rapid increasing trend;( ii) the investment in agricultural capital construction is characterized by " multi-sector investment,different departments having different investment priorities and investment scale in different periods";( iii) some investment projects are overlapping between departments,local areas are weak in providing support funds,project construction standard is single,and there are problems of attaching importance to the application,belittling the management,stressing the construction,belittling the maintenance,and serious brain drain;( iv) different departments have accumulated certain experience in long-term exploration. For example,they pay more attention to the refinement and differentiation of projects,focus on the development of targeted poverty alleviation,pay more attention to the " quality" of investment,and pay more attention to the transformation of agricultural production methods. Based on current situations and problems,it came up with recommendations including promoting the integration of funds for investment and project integration,strengthening the personnel cultivation,ensuring simultaneous construction and management of projects,stressing the maintenance after project construction,exploring new modes for project design,management,investment,and financing,and enhancing the support for special investment projects. 展开更多
关键词 Investment in agricultural capital construction Current situations PROBLEMS RECOMMENDATIONS
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TrueType Font Symbol Library for Cartography of Emergency Situations
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《Journal of Civil Engineering and Architecture》 2012年第1期114-120,共7页
This contribution deals with the process of creation of symbol libraries for emergency situations cartography. The libraries were created as a TrueType font files. Two symbol libraries were created. The first one is a... This contribution deals with the process of creation of symbol libraries for emergency situations cartography. The libraries were created as a TrueType font files. Two symbol libraries were created. The first one is a set of symbols for description of map orientation (compass roses and north arrows) with correct national (in this case Czech) description. The second one is a set of symbols for description of CBRN (chemical, biological, radiological, and nuclear) threats and another CBRN issues. The TrueType font files are used as symbol libraries in various ESRI products. The font libraries created in this form are easily transferable between various operating systems and GIS programs and also can be easily converted into various different vector graphics formats. The whole process of font creation has taken place under Linux environment. Fortunately main programs used in this process are multiplatform and could be used under Linux, MS Windows and other various computer operating was part of Ubuntu repository and it was obtained free of charge. systems. All software used during the process of font creation 展开更多
关键词 TTF TrueType font font creation map symbology emergency situations DISASTER cartography.
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Development Situations and Countermeasures of Gastrodia elata Industry in Zhaotong City
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作者 Xuewei ZHU Qifa LI Yujie HE 《Asian Agricultural Research》 2020年第9期28-29,32,共3页
With the rapid development of technology,people's living standards have been greatly improved,and more and more people have started to care more about the theory and health preservation function of TCM.Gastrodia e... With the rapid development of technology,people's living standards have been greatly improved,and more and more people have started to care more about the theory and health preservation function of TCM.Gastrodia elata,as a precious Chinese herbal medicine,is harmless to human health.Due to the high economic benefits and real benefits for farmers,the G.elata industry has developed rapidly.Zhaotong is the hometown of G.elata f.glauca in China,but the current situation of the G.elata industry lags behind other producing areas.Through field survey and literature review,this paper comprehensively analyzed the development status of the G.elata industry in Zhaotong City.Combined with the natural conditions,policy conditions,and socio-economic conditions of the G.elata industry in Zhaotong City to find countermeasures and recommendations to promote the further development of the G.elata industry in Zhaotong and provide recommendations for the sustainable development of G.elata industry. 展开更多
关键词 Gastrodia elata in Zhaotong Current situations of Gastrodia elata industry Two varieties of bacteria planting
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Current Situations and Recommendations for Development of Agricultural Sci-Tech Park District of Luzhou City
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作者 Guoping DU Xiangjuan ZHU +2 位作者 Qiqun XIONG Min NI Yuancai SHUI 《Asian Agricultural Research》 2021年第11期21-26,31,共7页
The agricultural science and technology park is a demonstration carrier for the assembly and integration of agricultural technology,the transformation of scientific and technological achievements and the modern agricu... The agricultural science and technology park is a demonstration carrier for the assembly and integration of agricultural technology,the transformation of scientific and technological achievements and the modern agricultural production. It is an inevitable choice and important way to realize the transformation from traditional agriculture to modern agriculture. This paper reviewed the construction background,functional characteristics and development history of agricultural science and technology parks. It analyzed the current development situations of the provincial agricultural science and technology parks in Jiangyang District,Luzhou City of Sichuan Province. Then,it summarized its experience in park construction and compared with surrounding national and provincial agricultural science and technology parks. It found existing problems including insufficient industry-university-research integration,low level of agricultural intensification,weak functions of public service platforms and brand effect,and insufficient exploration of tourism resources. In view of these problems,it came up with recommendations for development of agricultural Sci-Tech Park District of Luzhou City,including gathering scientific and technological resources,enhancing scientific and technological support,strengthening the high-quality development of the park economy,and building a national 4 A-level excellent scenic spot. 展开更多
关键词 Agricultural Science and Technology Park(ASTP) Current development situations Problems RECOMMENDATIONS Jiangyang District of Luzhou City
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How Do Investors Evaluate Business Continuity Management (BCM) Disclosures in Emergency Situations? Evidence From the Great East Japan Earthquake
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作者 Tetsuyuki Kagaya 《Journal of Modern Accounting and Auditing》 2013年第3期398-415,共18页
This study examines economic effects of business continuity management (BCM) disclosures through analyzing changes in shareholder returns in the wake of the Great East Japan Earthquake. The author examined differenc... This study examines economic effects of business continuity management (BCM) disclosures through analyzing changes in shareholder returns in the wake of the Great East Japan Earthquake. The author examined differences in the recovery of share price between disclosing and non-disclosing corporations. The results show that the cumulative average abnormal returns (CAARs) of disclosing corporations recovered faster than non-disclosing corporations. Then, the author examined differences in the recovery of share price between developing and non-developing corporations. The results show that there is no statistically significant difference in the recovery of share price between developing and non-developing corporations. Finally, the author examined the differences of BCM between disclosing and non-disclosing corporations. The results suggest that BCM or business continuity plan (BCP) disclosing corporations have a broader coverage of the BCP, more appropriate procedures for responding to emergency situations, more effective training of the BCM, and more mature BCM systems than non-disclosing ones. 展开更多
关键词 business continuity management (BCM) risk disclosures value relevance in emergency situations corporate social responsibility (CSR) disclosures of non-financial information
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Research on the Teaching Design of Learning Situations in Information Technology Course in Middle Schools
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作者 Jiacheng Fang 《Journal of Contemporary Educational Research》 2020年第3期14-16,共3页
The research on Information Technology in middle schools is a very important course.The arrangement and explanation of the course and the application of some teaching methods to promote the research of Information Tec... The research on Information Technology in middle schools is a very important course.The arrangement and explanation of the course and the application of some teaching methods to promote the research of Information Technology are an integral part of education.Based on this,this article mainly explains the meaning and importance of learning situations,and how to create learning situations in the teaching of Information Technology in middle schools for related staff. 展开更多
关键词 Information Technology in MIDDLE SCHOOL COURSE TEACHING design of learning situations
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A Review of Current Situations of Imported Cosmetics in Chinese Market
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作者 Yanhong Liu 《China Detergent & Cosmetics》 2016年第4期12-15,共4页
it summed up ten current situations of imported cosmetics in Chinese market from four perspectives, including purchasing capacity, consumer preference, importers with high popularity and sales competition. Meanwhile, ... it summed up ten current situations of imported cosmetics in Chinese market from four perspectives, including purchasing capacity, consumer preference, importers with high popularity and sales competition. Meanwhile, reasons of some tough situations in imported cosmetics market were also discussed. Finally, it put forward feasible suggestions for the better development of imported cosmetics in China. 展开更多
关键词 imported cosmetics current situations Chinese market
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Facing Austere Situations Persisting in Upgrading
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《China Textile》 2008年第5期20-23,共4页
Recently, the Press Center of China National Textile &Apparel Council issued the information about the economicoperation of the textile industry in the first quarter. It couldbe seen from the main economic indexes... Recently, the Press Center of China National Textile &Apparel Council issued the information about the economicoperation of the textile industry in the first quarter. It couldbe seen from the main economic indexes that, since 展开更多
关键词 Facing Austere situations Persisting in Upgrading THAN DOWN
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