The Biden Administration has inherited its predecessor’s strategic perception about the growing competition among great powers.As a result,its policy toward China has been largely an extension of its predecessor’s,r...The Biden Administration has inherited its predecessor’s strategic perception about the growing competition among great powers.As a result,its policy toward China has been largely an extension of its predecessor’s,retaining the elements of competition and revising the instruments to outcompete China.The Biden Administration’s China policy has revolved around three pillars-allies,values,and high-tech,which it believes are America’s strengths in its relations with China.Since Biden took office,the United States has spent most of its diplomatic resources consolidating and building smaller security,economic,and tech alliances with membership restricted to democratic allies only,in an attempt to delink from China and consolidate its hegemonic status in the world.This policy carries the pernicious effect of plunging the world into Cold War-like confrontations.展开更多
More than 20 years have passed since 1984 when Beiqi and AMC (became part of Chrysler in 1987) established China's first joint venture in the auto industry to produce the Jeep. The history can be divided into two ...More than 20 years have passed since 1984 when Beiqi and AMC (became part of Chrysler in 1987) established China's first joint venture in the auto industry to produce the Jeep. The history can be divided into two phases. The 1980 witnessed a lot of technology being introduced from abroad and since the late 1990's the joint ventures have been engaged in "market for technology". The mass joint ventures have improved the entire auto industry through introducing funds, technology and management, and given im...展开更多
A novel composition of AlLi/NaBH4 mixture activated by common Ni powder in water for hydrogen generation was investigated. The composition presents good hydrogen generation performance and an optimized Al-10% Li-10% N...A novel composition of AlLi/NaBH4 mixture activated by common Ni powder in water for hydrogen generation was investigated. The composition presents good hydrogen generation performance and an optimized Al-10% Li-10% Ni/NaBH4 mixture (mass ratio of 3:1) generates 1540 mL/g hydrogen with 96% efficiency at 333 K. Ni powder exhibits dual catalytic effects on the hydrolysis of AlLi/NaBH4 mixture due to the formation of Ni2B in the hydrolysis process. The Ni2B deposited on aluminum surface could act as a cathode of a micro galvanic couple. Ni2B/Al(OH)3 also has a synergistic effect on NaBH4 hydrolysis. Good hydrogen generation performance with stable pH value of hydrolysis byproduct Al(OH)3/NaBO2-2H2O was obtained with successive additions of Al-Li-Ni /NaBH4 mixture into fixed water.展开更多
A novel model of fuzzy clustering, i.e. an allied fuzzy c means (AFCM) model is proposed based on the combination of advantages of fuzzy c means (FCM) and possibilistic c means (PCM) clustering. PCM is sensitive...A novel model of fuzzy clustering, i.e. an allied fuzzy c means (AFCM) model is proposed based on the combination of advantages of fuzzy c means (FCM) and possibilistic c means (PCM) clustering. PCM is sensitive to initializations and often generates coincident clusters. AFCM overcomes this shortcoming and it is an ex tension of PCM. Membership and typicality values can be simultaneously produced in AFCM. Experimental re- suits show that noise data can be well processed, coincident clusters are avoided and clustering accuracy is better.展开更多
The idea that WWI was a global conflict is generally accepted by the scholarly community. The Great War, as it is otherwise called, deserves to be remembered not only by the European nations but also by the rest of th...The idea that WWI was a global conflict is generally accepted by the scholarly community. The Great War, as it is otherwise called, deserves to be remembered not only by the European nations but also by the rest of the world countries whose destinies were shaped by it or because of it. It would not be wrong to suggest that the WWI, as far as the Ottomans were concerned, was a history of European armies in non-European military stages. The historiography of World War I is often limited to English sources seemingly due to the negligence of Ottoman sources, but most probably caused by the language barrier[s] and/or the Eurocentric approach to history. Or in Erikson's words, the "resultant historiography tends to tell the story from an overwhelmingly European perspective, which in many ways reflected what the European Powers perceived rather than what actually occurred" (Erickson, 2008, p. 10). It is my opinion that the wider use of Ottoman archives and Turkish narratives would provide a more balanced analysis and that a holistic understanding of the events that unfolded requires special attention to the Ottoman perspective. This paper suggests an analysis of the Dardanelles conflict from a strategic perspective, with special reference to British and Ottoman policies and their part played in the transition from peace to war; the ensuing political turmoil that led to an open conflict between Britain and the Ottoman Empire.展开更多
Polycrystalline titanium oxide films are fabricated on silicon by thermally oxidizing titanium.The current- voltage and capacitance- voltage characteristics of the Ag/Ti Ox/Si/Ag capacitors are m easured.The thicknes...Polycrystalline titanium oxide films are fabricated on silicon by thermally oxidizing titanium.The current- voltage and capacitance- voltage characteristics of the Ag/Ti Ox/Si/Ag capacitors are m easured.The thickness of the titanium oxide films arranges from15 0 nm to2 5 0 nm,and their dielectric constants are within40~ 87.As the oxida- tion tim e is shortened,the fixed charges of the titanium oxide films become less and the leakage current characteris- tics becom e better.展开更多
Systematic physical simulation of thermo-mechanical processing routes has been ap-plied on a Gleeble 1500 simulator to four copper alloys (mass %) Cu-0.57Co-0.32Si,Cu-0.55Cr-0.065P, Cu-0.22Zr-0.035Si and Cu-1.01Ni-0.4...Systematic physical simulation of thermo-mechanical processing routes has been ap-plied on a Gleeble 1500 simulator to four copper alloys (mass %) Cu-0.57Co-0.32Si,Cu-0.55Cr-0.065P, Cu-0.22Zr-0.035Si and Cu-1.01Ni-0.43Si aimed at clarifying theinfluences of processing conditions on their final properties, strength and electricalconductivity. Flow curves were determined over wide temperature and strain rateranges. Hardness was used as a measure of the strength level achieved. High hard-ness was obtained as using equal amounts (strains 0.5) of cold deformation beforeand after the precipitation annealing stage. The maximum values achieved for theCu-Co-Si, Cu-Cr-P, Cu-Zr-Si and Cu-Ni-Si alloys were 190, 165, 178 and 193 HV5,respectively. A thermo-mechanical schedule involving the hot deformation-ageing-colddeformation stages showed even better results for the Cu-Zr-Si alloy. Consequently,the processing routes were designed based on simulation test results and wires of 5 and2mm in diameters have been successfully processed in the industrial scale.展开更多
The allyl radical has been observed in a low-pressure premixed gasoline/oxygen/argon flame by using tunable vacuum ultraviolet photoionization mass spectrometry, The ionization potential of the allyl radical is derive...The allyl radical has been observed in a low-pressure premixed gasoline/oxygen/argon flame by using tunable vacuum ultraviolet photoionization mass spectrometry, The ionization potential of the allyl radical is derived to be (8.13 ±0.02) eV from photoionization efficiency curve, In addition, a high level ab initzo Gaussian-3 (G3) method was used to calculate the energies of tile radical and its cation. The calculated adiabatic ionization potential is 8.18 eV, which is in excellent agreement with the experimental value. The result is helpful for identifying the allyl radical formed from other flames and for understanding the mechanism of soot formation.展开更多
Purpose:To study the association of blood pressure(BP)status on the optic disk structure as measured with the Heidelberg Retina Tomograph(HRT)in people without glaucoma.Design:Cross-sectional population-based setting ...Purpose:To study the association of blood pressure(BP)status on the optic disk structure as measured with the Heidelberg Retina Tomograph(HRT)in people without glaucoma.Design:Cross-sectional population-based setting study.Methods:Consecutive participants in the Thessaloniki Eye Study were included in this study.HRT images of the optic disk and BP measurements were taken.Hypertension was defined as a systolic BP(SBP)≥ 140 mmHg,diastolic BP(DBP)≥ 90 mmHg,or both.Subjects were classified in three groups by SBP and DBP.The Kruskal-Wallis test was used to compare the three groups with respect to the HRT parameters.Regression models adjusted for age,gender,height,disk size,intraocular pressure,cardiovascular disease,diabetes,and duration of antihypertensive treatment were used for each HRT parameter to compare values among the different groups.The P value was considered significant at<.05.Results:A total of 232 subjects were included in the analysis.Rim area was signifi cantly different among groups when DBP was considered as the criterion to classify subjects(P=.005).In regression models,cup area,and cup-to-disk(c/d)ratio were increased in subjects with normal DBP that was the result of treatment,as compared with both the high DBP and untreated normal DBP groups.Conclusions:In patients without glaucoma,the DBP< 90 mm Hg that results from antihypertensive treatment is associated with increased cupping and decreased rim area of the optic disk.This information should be considered in research aiming to define the role of the BP status as an independent factor initiating optic disk changes and/or as a contributing factor to glaucoma damage.展开更多
Background.- Many strategies are available to treat and prevent migraine and chronic daily headache (CDH). Broadly these strategies can be divided into four groups, including (i) health care consultations, (ii) medica...Background.- Many strategies are available to treat and prevent migraine and chronic daily headache (CDH). Broadly these strategies can be divided into four groups, including (i) health care consultations, (ii) medication and alternativ e remedies, (iii) general (acute and prophylactic) strategies, and (iv) social s upport. Objective.- This study aimed to compare headache management between mig raine (MO), migraine with aura (MA), and those with CDH over the last 12 months. Design.- A postal questionnaire was sent to 887 members of the Migraine Action Association (MAA). The response rate was 60.5% (n=537), and 438 questionnaires were included in the analysis. Migra ine (n=117) and MA (n=239) patients were classed according to the International Headache Society (IHS). CDH (n=82) was diagnosed when respondents had 15 or more headache days per month. Descriptive tests, analysis of variances (ANOVAs), χ 2, and Kruskal- Wallis tests were used for statistical analysis (P < .05). Resu lts.- The three groups did not differ in age, gender, ethnicity, level of educa tion, and employment status. Significant differences in management strategies be tween the groups were found in the number of respondents who had consulted heada che specialists (P=.002) and neurologists (P=.004), the number and types of acut e medications (eg, triptans, P=.002), the use of antidepressants (P=.004), and s ome acute and prophylactic avoidance techniques. Although, no significant differ ences between the groups were found in the use of other health professionals (eg , GP), alternative health professionals, general acute management, and the use o f social support, they all actively used these strategies. Conclusions.- The re spondents of this study were active users of management strategies that are base d on a combination of health care consultations, medication and alternative reme dies, general management, and social support. In comparison to previous findings , the respondents in this study frequently reported higher use of management str ategies (such as the use of triptans), which may be related to this group of pat ients being better informed about headache management than those with headache w ithin the general population. Thus, the findings may not be representative for t he general population, but they give an indication of the influence and importan ce of headache- related education carried out by patient organizations such as the MAA.展开更多
Bali Action Plan provisions acknowledge the fact that developing countries are already making efforts to reduce emissions and move towards a low carbon pathway.The Copenhagen Accord mentions "Nationally appropria...Bali Action Plan provisions acknowledge the fact that developing countries are already making efforts to reduce emissions and move towards a low carbon pathway.The Copenhagen Accord mentions "Nationally appropriate mitigation actions seeking international support will be recorded in a registry along with relevant technology,finance and capacity building support.The phrase "measurable,reportable and verifiable" was critical to the agreement,and the way in which the concept of MRV is reflected in the post-2012 agreement will have significant implications for the effectiveness of that agreement for stakeholders in both developing and developed countries.It is worth looking for current examples of developing country programs that can be measured,reported and verified and examining how countries themselves currently undertake mitigation policies and measures.Many of China's domestic policies have been in effect for several years and thus provide empirical evidence for how such programs can work on the ground.This paper will highlight how MRV is currently applied domestically in China and will not make any specific proposals for negotiators;it only seeks to inform international discussion on how MRV might be applied in practice,and therefore what provisions might be required in a UNFCCC climate agreement.展开更多
Formerly a self-governed profession, in the Province of Ontario, Canada, kinesiology was designated a regulated profession under the Regulated Health Professions Act (1991). The purpose of this study was to evaluate t...Formerly a self-governed profession, in the Province of Ontario, Canada, kinesiology was designated a regulated profession under the Regulated Health Professions Act (1991). The purpose of this study was to evaluate the perceptions of current health delivery agents to the regulation of kinesiology. An 18-item survey was used to collect data, and a SWOT (strengths, weaknesses, opportunities and threats) framework was used for analysis. The data indicated that kinesiology provides a unique expertise adding to client and patient care and is a needed partner within the multidisciplinary health environment. Similarly, despite the need for the profession to clearly define, delineate, and promote its scope of practice to professionals and to the public, there are increased opportunities that exist within the health care sector, particularly in chronic disease prevention. The addition of kinesiology as a regulated health profession was not considered to be a threat by existing key stakeholders.展开更多
Extremely long Australian paediatric outpatient waiting lists have resulted in large numbers of children waiting to see a paediatrician. Analyses of the patient referrals suggest that a large proportion of children ma...Extremely long Australian paediatric outpatient waiting lists have resulted in large numbers of children waiting to see a paediatrician. Analyses of the patient referrals suggest that a large proportion of children may benefit from allied health input, in addition to being seen by the paediatrician. This paper provides an organisational strategy that involves streamlining Allied Health clinical services in an effort to assist with bringing down a Paediatric Out-patient waitlist. The paper describes principles to guide the formation of a Paediatric Allied Health Multi-Disciplinary team that proposes assessment and brief interventions. The service would focus on supporting the paediatricians through the use of structured procedures, telephone intakes, multidisciplinary triage, shared and standardised assessments, collaborative formulations and reports, brief interventions, clinical-community linkages, and allied health student support. A variety of additional important organisational principles are proposed to facilitate patient flow from the perspective of streamlining administrative processes, having adequate administrative support, shared responsibilities, teamwork, flexibility, carrying out intake assessments, determining which referrals were appropriate for allied health, and working closely with medical staff.展开更多
'Acompany shall have its commitment to build a century-old business if it hopes to continue operation for a long time.'John Soo is the third generation of Chinese immigrants in Malaysia and CEO of Ally Biz Int...'Acompany shall have its commitment to build a century-old business if it hopes to continue operation for a long time.'John Soo is the third generation of Chinese immigrants in Malaysia and CEO of Ally Biz International Group. His forefathers were engaged in traditional plantation business. As a new-generation Malaysian Chinese who have received higher education and worked in many international companies as accountant or CEO, John Soo found that the business opportunities in traditional plantation industry has becoming slim. The challenge is to seek a better business project for new breakthroughs.展开更多
BACKGROUND In the past years,only a few studies with a limited number of adult patients analyzed clinical features of allied disorders of Hirschsprung’s disease(ADHD),most of which were individual case reports or lac...BACKGROUND In the past years,only a few studies with a limited number of adult patients analyzed clinical features of allied disorders of Hirschsprung’s disease(ADHD),most of which were individual case reports or lacked detailed clinical information.Although many studies have reported patients presenting to the emergency department(ED)with recurrent abdominal symptoms for a number of disorders,there are few data involving ADHD.However,owing to a lack of awareness of the disease,misdiagnoses and mistreatments are common.Severe complications such as perforation,bleeding,malabsorption,and even death in ADHD had been reported by many studies.AIM To assist ED clinicians in having a more comprehensive understanding of this disease and making an early suspected diagnosis of ADHD more effectively.METHODS We enrolled 53 patients who visited the ED and were eventually diagnosed with ADHD over the past 11 years in our hospital.Their basic information,clinical manifestations,and imaging findings were analyzed.Blood indices were compared between the ADHD and irritable bowel syndrome(IBS)groups.RESULTS Adult patients with ADHD had a mean age of 48.8±14.3 years,and 77.4%had been treated before admission.The transverse colon was the most common dilated part(73.6%),and constipation(67.9%)was the most common symptom.ADHD patients can present with uncommon symptoms and false-negative imaging findings.Logistic regression analysis indicated that body mass index(BMI)[odds ratio(OR)=0.786,P=0.013],cholinesterase(per 1000 units;OR=0.693,P=0.008),and blood chlorine(OR=0.816,P=0.022)were determined to be independent related factors between the ADHD and IBS groups.The area under the receiver operating characteristics curve of these three indices combined was 0.812(P<0.001).CONCLUSION Emergency physicians should be vigilant regarding patients with chronic constipation,abdominal pain,or abdominal distension,and consider the possibility of ADHD despite its rarity.Abdominal computed tomography examination is recommended as a useful tool in the suspected diagnosis of ADHD.BMI,cholinesterase,and blood chlorine have good discriminative abilities between ADHD and IBS.The nutritional status of adult patients with ADHD is worthy of further attention.Surgical treatment for adult patients with ADHD is important and inevitable.展开更多
The Beijing American Allied Signal Inc. Auto Division announced in Beijing in June that it will invest about US$100 million in expanding cooperation with China’s auto industry. Allied Signal Inc. is a leading manufac...The Beijing American Allied Signal Inc. Auto Division announced in Beijing in June that it will invest about US$100 million in expanding cooperation with China’s auto industry. Allied Signal Inc. is a leading manufacturer providing worldwide service in aero-space, auto, chemicals,展开更多
文摘The Biden Administration has inherited its predecessor’s strategic perception about the growing competition among great powers.As a result,its policy toward China has been largely an extension of its predecessor’s,retaining the elements of competition and revising the instruments to outcompete China.The Biden Administration’s China policy has revolved around three pillars-allies,values,and high-tech,which it believes are America’s strengths in its relations with China.Since Biden took office,the United States has spent most of its diplomatic resources consolidating and building smaller security,economic,and tech alliances with membership restricted to democratic allies only,in an attempt to delink from China and consolidate its hegemonic status in the world.This policy carries the pernicious effect of plunging the world into Cold War-like confrontations.
文摘More than 20 years have passed since 1984 when Beiqi and AMC (became part of Chrysler in 1987) established China's first joint venture in the auto industry to produce the Jeep. The history can be divided into two phases. The 1980 witnessed a lot of technology being introduced from abroad and since the late 1990's the joint ventures have been engaged in "market for technology". The mass joint ventures have improved the entire auto industry through introducing funds, technology and management, and given im...
基金the National Natural Science Foundation of China(Nos.51822509,51701034)the Scientific and Technological Research Program of Chongqing Municipal Education Commission,China(Nos.KJQN201801137,KJQN201901106)the Basic and Advanced Research Project of CQ CSTC,China(No.cstc2018jcyjAX0035).
基金Projects (21003112, 21003111) supported by the National Natural Science Foundation of ChinaProject (Y4090507) supported by the Zhejiang Basic Research Program, China
文摘A novel composition of AlLi/NaBH4 mixture activated by common Ni powder in water for hydrogen generation was investigated. The composition presents good hydrogen generation performance and an optimized Al-10% Li-10% Ni/NaBH4 mixture (mass ratio of 3:1) generates 1540 mL/g hydrogen with 96% efficiency at 333 K. Ni powder exhibits dual catalytic effects on the hydrolysis of AlLi/NaBH4 mixture due to the formation of Ni2B in the hydrolysis process. The Ni2B deposited on aluminum surface could act as a cathode of a micro galvanic couple. Ni2B/Al(OH)3 also has a synergistic effect on NaBH4 hydrolysis. Good hydrogen generation performance with stable pH value of hydrolysis byproduct Al(OH)3/NaBO2-2H2O was obtained with successive additions of Al-Li-Ni /NaBH4 mixture into fixed water.
文摘A novel model of fuzzy clustering, i.e. an allied fuzzy c means (AFCM) model is proposed based on the combination of advantages of fuzzy c means (FCM) and possibilistic c means (PCM) clustering. PCM is sensitive to initializations and often generates coincident clusters. AFCM overcomes this shortcoming and it is an ex tension of PCM. Membership and typicality values can be simultaneously produced in AFCM. Experimental re- suits show that noise data can be well processed, coincident clusters are avoided and clustering accuracy is better.
文摘The idea that WWI was a global conflict is generally accepted by the scholarly community. The Great War, as it is otherwise called, deserves to be remembered not only by the European nations but also by the rest of the world countries whose destinies were shaped by it or because of it. It would not be wrong to suggest that the WWI, as far as the Ottomans were concerned, was a history of European armies in non-European military stages. The historiography of World War I is often limited to English sources seemingly due to the negligence of Ottoman sources, but most probably caused by the language barrier[s] and/or the Eurocentric approach to history. Or in Erikson's words, the "resultant historiography tends to tell the story from an overwhelmingly European perspective, which in many ways reflected what the European Powers perceived rather than what actually occurred" (Erickson, 2008, p. 10). It is my opinion that the wider use of Ottoman archives and Turkish narratives would provide a more balanced analysis and that a holistic understanding of the events that unfolded requires special attention to the Ottoman perspective. This paper suggests an analysis of the Dardanelles conflict from a strategic perspective, with special reference to British and Ottoman policies and their part played in the transition from peace to war; the ensuing political turmoil that led to an open conflict between Britain and the Ottoman Empire.
文摘Polycrystalline titanium oxide films are fabricated on silicon by thermally oxidizing titanium.The current- voltage and capacitance- voltage characteristics of the Ag/Ti Ox/Si/Ag capacitors are m easured.The thickness of the titanium oxide films arranges from15 0 nm to2 5 0 nm,and their dielectric constants are within40~ 87.As the oxida- tion tim e is shortened,the fixed charges of the titanium oxide films become less and the leakage current characteris- tics becom e better.
文摘Systematic physical simulation of thermo-mechanical processing routes has been ap-plied on a Gleeble 1500 simulator to four copper alloys (mass %) Cu-0.57Co-0.32Si,Cu-0.55Cr-0.065P, Cu-0.22Zr-0.035Si and Cu-1.01Ni-0.43Si aimed at clarifying theinfluences of processing conditions on their final properties, strength and electricalconductivity. Flow curves were determined over wide temperature and strain rateranges. Hardness was used as a measure of the strength level achieved. High hard-ness was obtained as using equal amounts (strains 0.5) of cold deformation beforeand after the precipitation annealing stage. The maximum values achieved for theCu-Co-Si, Cu-Cr-P, Cu-Zr-Si and Cu-Ni-Si alloys were 190, 165, 178 and 193 HV5,respectively. A thermo-mechanical schedule involving the hot deformation-ageing-colddeformation stages showed even better results for the Cu-Zr-Si alloy. Consequently,the processing routes were designed based on simulation test results and wires of 5 and2mm in diameters have been successfully processed in the industrial scale.
基金This work Was supported by the Knowledge Innovation funding of CAS and the Natural Science Foundation of China(NSFC No.20473081).
文摘The allyl radical has been observed in a low-pressure premixed gasoline/oxygen/argon flame by using tunable vacuum ultraviolet photoionization mass spectrometry, The ionization potential of the allyl radical is derived to be (8.13 ±0.02) eV from photoionization efficiency curve, In addition, a high level ab initzo Gaussian-3 (G3) method was used to calculate the energies of tile radical and its cation. The calculated adiabatic ionization potential is 8.18 eV, which is in excellent agreement with the experimental value. The result is helpful for identifying the allyl radical formed from other flames and for understanding the mechanism of soot formation.
文摘Purpose:To study the association of blood pressure(BP)status on the optic disk structure as measured with the Heidelberg Retina Tomograph(HRT)in people without glaucoma.Design:Cross-sectional population-based setting study.Methods:Consecutive participants in the Thessaloniki Eye Study were included in this study.HRT images of the optic disk and BP measurements were taken.Hypertension was defined as a systolic BP(SBP)≥ 140 mmHg,diastolic BP(DBP)≥ 90 mmHg,or both.Subjects were classified in three groups by SBP and DBP.The Kruskal-Wallis test was used to compare the three groups with respect to the HRT parameters.Regression models adjusted for age,gender,height,disk size,intraocular pressure,cardiovascular disease,diabetes,and duration of antihypertensive treatment were used for each HRT parameter to compare values among the different groups.The P value was considered significant at<.05.Results:A total of 232 subjects were included in the analysis.Rim area was signifi cantly different among groups when DBP was considered as the criterion to classify subjects(P=.005).In regression models,cup area,and cup-to-disk(c/d)ratio were increased in subjects with normal DBP that was the result of treatment,as compared with both the high DBP and untreated normal DBP groups.Conclusions:In patients without glaucoma,the DBP< 90 mm Hg that results from antihypertensive treatment is associated with increased cupping and decreased rim area of the optic disk.This information should be considered in research aiming to define the role of the BP status as an independent factor initiating optic disk changes and/or as a contributing factor to glaucoma damage.
文摘Background.- Many strategies are available to treat and prevent migraine and chronic daily headache (CDH). Broadly these strategies can be divided into four groups, including (i) health care consultations, (ii) medication and alternativ e remedies, (iii) general (acute and prophylactic) strategies, and (iv) social s upport. Objective.- This study aimed to compare headache management between mig raine (MO), migraine with aura (MA), and those with CDH over the last 12 months. Design.- A postal questionnaire was sent to 887 members of the Migraine Action Association (MAA). The response rate was 60.5% (n=537), and 438 questionnaires were included in the analysis. Migra ine (n=117) and MA (n=239) patients were classed according to the International Headache Society (IHS). CDH (n=82) was diagnosed when respondents had 15 or more headache days per month. Descriptive tests, analysis of variances (ANOVAs), χ 2, and Kruskal- Wallis tests were used for statistical analysis (P < .05). Resu lts.- The three groups did not differ in age, gender, ethnicity, level of educa tion, and employment status. Significant differences in management strategies be tween the groups were found in the number of respondents who had consulted heada che specialists (P=.002) and neurologists (P=.004), the number and types of acut e medications (eg, triptans, P=.002), the use of antidepressants (P=.004), and s ome acute and prophylactic avoidance techniques. Although, no significant differ ences between the groups were found in the use of other health professionals (eg , GP), alternative health professionals, general acute management, and the use o f social support, they all actively used these strategies. Conclusions.- The re spondents of this study were active users of management strategies that are base d on a combination of health care consultations, medication and alternative reme dies, general management, and social support. In comparison to previous findings , the respondents in this study frequently reported higher use of management str ategies (such as the use of triptans), which may be related to this group of pat ients being better informed about headache management than those with headache w ithin the general population. Thus, the findings may not be representative for t he general population, but they give an indication of the influence and importan ce of headache- related education carried out by patient organizations such as the MAA.
基金supports from Ministry of Science and Technology Project (Grant No.2010CB955300)
文摘Bali Action Plan provisions acknowledge the fact that developing countries are already making efforts to reduce emissions and move towards a low carbon pathway.The Copenhagen Accord mentions "Nationally appropriate mitigation actions seeking international support will be recorded in a registry along with relevant technology,finance and capacity building support.The phrase "measurable,reportable and verifiable" was critical to the agreement,and the way in which the concept of MRV is reflected in the post-2012 agreement will have significant implications for the effectiveness of that agreement for stakeholders in both developing and developed countries.It is worth looking for current examples of developing country programs that can be measured,reported and verified and examining how countries themselves currently undertake mitigation policies and measures.Many of China's domestic policies have been in effect for several years and thus provide empirical evidence for how such programs can work on the ground.This paper will highlight how MRV is currently applied domestically in China and will not make any specific proposals for negotiators;it only seeks to inform international discussion on how MRV might be applied in practice,and therefore what provisions might be required in a UNFCCC climate agreement.
文摘Formerly a self-governed profession, in the Province of Ontario, Canada, kinesiology was designated a regulated profession under the Regulated Health Professions Act (1991). The purpose of this study was to evaluate the perceptions of current health delivery agents to the regulation of kinesiology. An 18-item survey was used to collect data, and a SWOT (strengths, weaknesses, opportunities and threats) framework was used for analysis. The data indicated that kinesiology provides a unique expertise adding to client and patient care and is a needed partner within the multidisciplinary health environment. Similarly, despite the need for the profession to clearly define, delineate, and promote its scope of practice to professionals and to the public, there are increased opportunities that exist within the health care sector, particularly in chronic disease prevention. The addition of kinesiology as a regulated health profession was not considered to be a threat by existing key stakeholders.
文摘Extremely long Australian paediatric outpatient waiting lists have resulted in large numbers of children waiting to see a paediatrician. Analyses of the patient referrals suggest that a large proportion of children may benefit from allied health input, in addition to being seen by the paediatrician. This paper provides an organisational strategy that involves streamlining Allied Health clinical services in an effort to assist with bringing down a Paediatric Out-patient waitlist. The paper describes principles to guide the formation of a Paediatric Allied Health Multi-Disciplinary team that proposes assessment and brief interventions. The service would focus on supporting the paediatricians through the use of structured procedures, telephone intakes, multidisciplinary triage, shared and standardised assessments, collaborative formulations and reports, brief interventions, clinical-community linkages, and allied health student support. A variety of additional important organisational principles are proposed to facilitate patient flow from the perspective of streamlining administrative processes, having adequate administrative support, shared responsibilities, teamwork, flexibility, carrying out intake assessments, determining which referrals were appropriate for allied health, and working closely with medical staff.
文摘'Acompany shall have its commitment to build a century-old business if it hopes to continue operation for a long time.'John Soo is the third generation of Chinese immigrants in Malaysia and CEO of Ally Biz International Group. His forefathers were engaged in traditional plantation business. As a new-generation Malaysian Chinese who have received higher education and worked in many international companies as accountant or CEO, John Soo found that the business opportunities in traditional plantation industry has becoming slim. The challenge is to seek a better business project for new breakthroughs.
基金the Foundation of Key Discipline Construction of Zhejiang Province for Traditional Chinese Medicine,No. 2017-XK-A36
文摘BACKGROUND In the past years,only a few studies with a limited number of adult patients analyzed clinical features of allied disorders of Hirschsprung’s disease(ADHD),most of which were individual case reports or lacked detailed clinical information.Although many studies have reported patients presenting to the emergency department(ED)with recurrent abdominal symptoms for a number of disorders,there are few data involving ADHD.However,owing to a lack of awareness of the disease,misdiagnoses and mistreatments are common.Severe complications such as perforation,bleeding,malabsorption,and even death in ADHD had been reported by many studies.AIM To assist ED clinicians in having a more comprehensive understanding of this disease and making an early suspected diagnosis of ADHD more effectively.METHODS We enrolled 53 patients who visited the ED and were eventually diagnosed with ADHD over the past 11 years in our hospital.Their basic information,clinical manifestations,and imaging findings were analyzed.Blood indices were compared between the ADHD and irritable bowel syndrome(IBS)groups.RESULTS Adult patients with ADHD had a mean age of 48.8±14.3 years,and 77.4%had been treated before admission.The transverse colon was the most common dilated part(73.6%),and constipation(67.9%)was the most common symptom.ADHD patients can present with uncommon symptoms and false-negative imaging findings.Logistic regression analysis indicated that body mass index(BMI)[odds ratio(OR)=0.786,P=0.013],cholinesterase(per 1000 units;OR=0.693,P=0.008),and blood chlorine(OR=0.816,P=0.022)were determined to be independent related factors between the ADHD and IBS groups.The area under the receiver operating characteristics curve of these three indices combined was 0.812(P<0.001).CONCLUSION Emergency physicians should be vigilant regarding patients with chronic constipation,abdominal pain,or abdominal distension,and consider the possibility of ADHD despite its rarity.Abdominal computed tomography examination is recommended as a useful tool in the suspected diagnosis of ADHD.BMI,cholinesterase,and blood chlorine have good discriminative abilities between ADHD and IBS.The nutritional status of adult patients with ADHD is worthy of further attention.Surgical treatment for adult patients with ADHD is important and inevitable.
文摘The Beijing American Allied Signal Inc. Auto Division announced in Beijing in June that it will invest about US$100 million in expanding cooperation with China’s auto industry. Allied Signal Inc. is a leading manufacturer providing worldwide service in aero-space, auto, chemicals,