Assessment of Rational Prescribing in General Outpatient Department of Kampala International University Teaching Hospital, Western Uganda

Introduction: Prevention of irrational use of medicines may reduce healthcare costs and potentially save lives. Aim: The aim of this study was to assess rational drug prescribing using World Health Organization (WHO) and International Network of Rational Use of Drugs (INRUD) indicators on prescribing in the General Outpatient Department of Kampala International University Teaching Hospital, Ishaka-Bushenyi, Western Uganda. Methodology: The study design was retrospective, descriptive and cross-sectional. A total of 884 prescriptions were selected by systematic sampling using an interval of 27 from 23,868 prescriptions available in the medical records of the General Out-Patient Department (GOPD) of Kampala International University Teaching Hospital (KIUTH) from April, 2016 to March, 2017. The selected samples were analyzed using Microsoft Excel 2013, to assess for conformity with the prescribing indicators. Results: The results showed that the percentage of recording of diagnosis was 90.72% (index of diagnosis—0.91). The average number of drugs per encounter was 2.6 (index of non-polypharmacy—0.77), and the percentage of drugs prescribed with the generic name was 90.21% (index of generics—0.9). Percentages of encounters with antibiotics and injectable drugs prescribed were 61.88% (index of antibiotics—0.48) and 5.43% (index of injectable drugs—1) respectively. Only 78.96% (index of EMSLU—0.79) of the medicines prescribed were from the Essential Medicines Supplies List of Uganda (EMSLU) or Uganda Clinical Guidelines 2016. The index of rational drug prescribing (IRDP) was found to be 4.85. Conclusion: The findings showed that only the percentage of encounters with injectable drugs was in line with WHO/INRUD prescribing indicators. On the over all, the index of rational drug prescribing (IRDP) was poor (observed 4.85 versus optimum 6). The authors recommended continuous sensitization, counselling and education of prescribers in KIUTH in order to achieve rational prescribing.

Study on the Application of Network Teaching Platform to the Teaching of Course Management Science -Xi＇an International University Is Taken for Example

In the teaching of course Management Science, how to effectively make use of network teaching platform is a very important reform. How will be the best effect achieved？ On the basis of the network teaching platform system available from Xi＇ an International University and also by combining with the teaching situation of course Management Science, the existing problems are analyzed and also the related suggestions are proposed, in order to achieve a better teaching effect.

Teaching and Learning on the Internet： A New Model of University, the International Telematic University UNINETTUNO

The convergence of telecommunications and computer science, the realization of computer-based networks and the integration of languages, by overcoming space and time constraints, gave rise to the globalization process and to the development of the knowledge society. We are facing a true revolution that is based on the multiplication of knowledge and its corresponding applications, but also on the knowledge codification, memorization and knowledge transfer. The challenges that educational institutions, and the University in particular, are called to face are linked to the fact that classrooms or lecture halls are no longer the only places where one can follow study courses： anybody from anywhere, if he has the required technological equipment and the appropriate materials can build his own environment to carry on his own educational and self-learning process. This is the reason why we need to identify new models of university and psycho-pedagogic theories allowing for the development of new Internet-based teaching and learning models by carrying on research work. This paper describes the university model proposed by International Telematic University UN1NETTUNO, rapidly become acknowledged at an international level.

Contribution of the Neo-Confucianism to the Modern International Law:for its Conception in Europe and for its Acceptance in Japan—Speech before graduate students of Wuhan University,23 October 2009

L.Introduction The topic of my speech today is"Contribution of the Neo-Confucianism to the Modern International Law:for its conception in Europe and for its acceptance in Japan."This is quite a challenging topic,since it is generally believed that the modern international law is exclusively a product of the European civilization based on the European philosophy;and that non-European nations including China and Japan accepted it as a wholly foreign legal system.

Influence of Quantum Information Technology on International Security

Humanity is currently undergoing the fourth industrial revolution,characterized by advancements in artificial intelligence,clean energy,quantum information technology,virtual reality,and biotechnology.This technological revolution is poised to have a profound impact on the world.Quantum information technology encompasses both quantum computing and the transmission of quantum information.This article aims to integrate quantum information technology with international security concerns,exploring its implications for international security and envisioning its groundbreaking significance.

Blockchain and Digital Transformation of University Asset Management

As educational activities realize value transmission and value realization through a digital form, the Digital transformation of universities continues to advance. The quantity of asset data continues to grow, with internal value reflected in education, management, and services, while external value is reflected in policies, resources and reputation. Therefore, effective management of university assets is particularly important. Blockchain is an important infrastructure for Digital transformation, which provides a trusted environment for the occurrence of various collaborations and will reshape many collaboration mechanisms. This paper discusses the current situation and problems faced by universities in the process of Digital transformation. We analyze the development opportunities brought about by Digital transformation and the specific problems faced by physical asset management in detail. We discuss the data platform optimization, asset data application, digital asset security, planning strategy, and construction path of digital transformation involved in the physical asset management of universities.

Diabetic peripheral neuropathy and neuromodulation techniques:a systematic review of progress and prospects

Neuromodulation for diabetic peripheral neuropathy represents a significant area of interest in the management of chronic pain associated with this condition.Diabetic peripheral neuropathy,a common complication of diabetes,is characterized by nerve damage due to high blood sugar levels that lead to symptoms,such as pain,tingling,and numbness,primarily in the hands and feet.The aim of this systematic review was to evaluate the efficacy of neuromodulatory techniques as potential therapeutic interventions for patients with diabetic peripheral neuropathy,while also examining recent developments in this domain.The investigation encompassed an array of neuromodulation methods,including frequency rhythmic electrical modulated systems,dorsal root ganglion stimulation,and spinal cord stimulation.This systematic review suggests that neuromodulatory techniques may be useful in the treatment of diabetic peripheral neuropathy.Understanding the advantages of these treatments will enable physicians and other healthcare providers to offer additional options for patients with symptoms refractory to standard pharmacologic treatments.Through these efforts,we may improve quality of life and increase functional capacity in patients suffering from complications related to diabetic neuropathy.

Decoding molecular mechanisms:brain aging and Alzheimer's disease

The complex morphological,anatomical,physiological,and chemical mechanisms within the aging brain have been the hot topic of research for centuries.The aging process alters the brain structure that affects functions and cognitions,but the worsening of such processes contributes to the pathogenesis of neurodegenerative disorders,such as Alzheimer's disease.Beyond these observable,mild morphological shifts,significant functional modifications in neurotransmission and neuronal activity critically influence the aging brain.Understanding these changes is important for maintaining cognitive health,especially given the increasing prevalence of age-related conditions that affect cognition.This review aims to explore the age-induced changes in brain plasticity and molecular processes,differentiating normal aging from the pathogenesis of Alzheimer's disease,thereby providing insights into predicting the risk of dementia,particularly Alzheimer's disease.

Recent evolution of living donor liver transplantation at Kyoto University:How to achieve a one-year overall survival rate of 99%?

Previously,living donor liver transplantation was considered as a“high-risk,high-return”medical treatment due to the relatively high short-term mortality.It is our task to change“high-risk,high-return”into a“low-risk,high-return”situation.In this review article,the recent evolutions in living donor liver transplantation for both donors and recipients at Kyoto University such as portal vein pressure modulation,hybrid donor operation,and perioperative management considering sarcopenia,focusing on improvement of short-term outcomes are described.Under a paradigm of“marketing and innovation”,various innovations and efforts have been made over the last decade aiming at improving the short-term outcomes of both donors and recipients.By doing so,excellent short-term results after living donor liver transplantation have been achieved,along with a potentially epoch-making discoveries.

Facilitators and Barriers to Cervical Cancer Screening among Female Undergraduate Students of Makerere University

There is a higher Human Papilloma Virus peak prevalence in younger women (18 - 25 years) of university age. The undergraduate university students are more at a risk of acquiring cervical cancer because they are at the stage of exploring which predisposes them to risky behavior like early sexual intercourse and multiple sexual partners among others. This creates a need for cervical cancer screening in the population. The facilitators and barriers to cervical cancer screening have been studied in the Ugandan general population but little is known among University students which this study is taking interest. Objective: This study is aimed at determining the facilitators, barriers and background factors associated to cervical cancer screening among female undergraduate students in Makerere University. Methods: Four hundred twenty-two (422) female undergraduate students of Makerere University who fit the eligibility criteria were recruited in this descriptive cross-sectional quantitative study. A self-administered semi structured questionnaire was administered to these participants chosen by convenient sampling. Data collected was analyzed using SPSS version 23 software and logistic regression models was used. Results: Less than a half of (21.1%) of the participants had ever screened for cervical cancer. At multivariate analysis, only year of study and married status were associated to cervical cancer screening with a P-values were of (0.015) and (0.001) with a (1.173 - 4.261) and (1.594 - 6.130) 95% CI respectively. The facilitators agreed upon by participants included: Access to free cervical cancer screening services, adequate knowledge about cervical cancer screening and advice from a friend, family or physician among others. The reported barriers to screening were fear of bad result, low risk perception and fear of embarrassment among others. Conclusions and Recommendations: Among the female undergraduate students of Makerere University, only 21.1% had screened for cervical cancer. Therefore, there is a critical need for university based cancer education campaign on cervical cancer and the benefits of screening. Screening services should be integrated into the existing university medical services.

An Ontology-Based Question Answering System for University Admissions Advising

Question-Answer systems are now very popular and crucial to support human in automatically responding frequent questions in manyfields.However,these systems depend on learning methods and training data.Therefore,it is necessary to prepare such a good dataset,but it is not an easy job.An ontol-ogy-based domain knowledge base is able to help to reason semantic information and make effective answers given user questions.This study proposes a novel chatbot model involving ontology to generate efficient responses automatically.A case study of admissions advising at the International University–VNU HCMC is taken into account in the proposed chatbot.A domain ontology is designed and built based on the domain knowledge of university admissions using Protégé.The Web user interface of the proposed chatbot system is developed as a prototype using NetBeans.It includes a search engine reasoning the ontology and generat-ing answers to users’questions.Two experiments are carried out to test how the system reacts to different questions.Thefirst experiment examines questions made from some templates,and the second one examines normal questions taken from frequent questions.Experimental results have shown that the ontology-based chatbot can release meaningful and long answers.The results are analysed to prove the proposed chatbot is usable and promising.

An Investigation Into Career Development Contexts of University Russian Language Teachers in China(1949-2019)From the Perspective of Ecological Theory

Although much research has been conducted on the interactions between the career development of foreign language teachers and their contexts around the world,a literature review reveals that there exists scanty research on the relationship between university Russian language teachers’career development and their contexts in China since 1949.Based on relevant studies on the career development of foreign language teachers and the ecological theory,this paper involves research on the impact that different ecological systems(micro-,meso-,macro-and exo-ones)have played in the career development of Russian language teachers in China.Participants are 10 Chinese Russian teachers of different ages from different universities in different parts of China.Via literature review,narration methods and semi-structured(in-depth)interviews with the help of NVivo,this research finds that Russian language teachers’career development results from multi-faceted interactions of the following contexts:ideology,Russian language educational policies and personal factors as well as college contexts.This paper concludes with some suggestions for improving Russian language teachers’career development in China.

Hospitality and Tourism International Internships and Perceived Employability

This paper investigates the experiences of UK undergraduate students who have undertaken a one year paid internship abroad within the hotel sector by using a phenomenological approach.Semi-structured interviews were conducted with 25 final year undergraduate students.The findings shed light on the alignment of key elements of the constructs of positive psychological capital and cosmopolitan human capital,along with strong self-belief in employability as a consequence of the experience.A theoretical model of international experience and positive psych-social development is postulated and contributes to improved practice in internship and employability mentoring and policy decision-making with respect to current internationalisation and employability agendas in the UK’s higher education system.

The Nature of No-Fly Zones in International Relations

A No-Fly Zone (NFZ) is a unique mode of humanitarian intervention that is understudied in international relations. This article focuses on the politics of NFZs in international relations, and investigates their nature by empirically reviewing all three cases of NFZs to date. NFZs represent a middle ground for international intervention which, both legally and legitimately, may be aimed at either protecting populations or promoting regime change in weak states, depending on the circumstances. There may be efforts by intervening states to highlight humanitarian crises among certain targets in order to secure UN authorization for the NFZs;but the implementation of NFZs is also largely driven by the security interests of the enforcing states. As a result, there is the potential for those states implementing NFZs to transcend legal authorization and to at times use excessive force, with the potential for calamitous results for local people, or, in extreme cases, to accomplish regime change by supporting opposition parties in target states.

When Prior Knowledge Helps： Self-Report of First-Year University Undergraduates on Academic Writing

This qualitative-dominant mixed study used content analysis, interviews, and survey to examine if first-year university undergraduates taking English language academic writing courses consider prior knowledge from high school English language five-paragraph essay writing style helpful. Sample included 67 first year university undergraduates. All the 67 students considered prior knowledge of the high school five-paragraph essay writing style helpful. They believed that it facilitated a transfer of learning in the first-year university undergraduate academic writing course. However, only 15 out of the respondents, who reported that prior knowledge of the high school English language five-paragraph essay writing style was helpful, also reported that they are level-appropriate competent in the first-year university undergraduate English language academic writing courses after one academic year. As such, essay-writing in high school offers students some foundation-knowledge to succeed in academic writing in universities. Further findings showed that students often delve into essay or academic writing without proper planning. Thus, it is recommended that universities introduce a bridge course specifically to address academic deficiency in reading and writing for all first year undergraduates upon admission into the university.

The Belt and Road Initiatives and China＇s International Energy Cooperation： Progress, Mechanisms, and Recommendations

China＇s international energy cooperation and energy security are important parts of The Belt and Road initiatives. China and the countries along the Belt and Road continue to promote cooperation, actively use the existing bilateral and multilateral cooperation mechanisms to promote the regional and inter-regional energy cooperation. Countries along the Belt and Road are rich in oil and gas resources; their demand on the diversification of export meet with the diversification demand on imports of consumption countries; and their oil refining and chemical technology as well as construction capacity is weak, which provides a lot of new opportunities in cooperation for Chinese enterprises. However, the energy cooperation of Chinese enterprises are also facing some challenges in the complex environment of energy cooperation, the interference of big powers, non-traditional security threats, and energy policy factors. Finally, the paper puts forward the strategic thinking of China＇s international energy cooperation under the new situation.

Study on the Strategy of International Publicity Translation in Our Country from the Perspective of National Image

Along with the advent of the age of globalization, our country and international community are becoming more closely, and comprehensive national strength and infl uence is also greatly growing. Strengthening external propaganda has become a strategic task in the current development of our country. The translation work has been paid more and more attention, and it has an important role in shaping the image of our country. But from the current point of view, there are still some common problems. In this paper, from the perspective of the national image, we analyze the relationship between foreign publicity translation strategies and national image, and we also analyze the status quo of the translation of foreign propaganda in China, then we put forward the strategy of publicity translation.

What Would Vitruvius Do？ Re-thinking Architecture Education for the 21st Century University

In the 1996 AIA （American Institute of Architecture） Convention in Minneapolis, the governing bodies in the education and professionalization of architects in the US （namely, the American Institute of Architecture, American Institute of Architecture Students, National Council of Architectural Registration Boards, National Architecture Accrediting Board and the Association of Collegiate Schools of Architecture） released the Boyer Report, subsequently published as Building Community： A New Future for Architecture Education and Practice. The report was named in honor of Ernest Boyer, an educational theorist who also participated in writing the text. Less comprehensive than the canonical texts by Marcus Vitruvius Pollio and his interlocutors, it is nonetheless a mirror of our current assumptions about the education of the architect. This paper looks at the epistemology inherited from Vitruvius as it shapes pedagogy up and through the Boyer Report and into the 21 st century. Using a method of comparative analysis applied to past and current architecture programs, our argument is that historical divisions between professional or applied knowledge and liberal or theoretical knowledge inherited from the past limit our capacity within architecture education to integrate new strategies for knowledge creation and dissemination. It is concluded that any serious revision of architecture education means a systematic reconsideration of the basis of architecture knowledge. What of the （persistent） Vitruvian model is relevant in our post-modern condition？ What do we learn from the image of our profession projected through the lens of the Boyer Report and it is like？ In other words, what would Vitruvius do？

Beijing as Smart City:Promotion of International Communication Center

Previous researches concerning smart city have been carried out for nearly 30 years in various academia,but the basic concepts are still in an evolving fashion along with the development of the needs of human beings.However,it is convinced that the key to a smart city lies in the governance of the government and citizens.Meanwhile,the application of modern science and technology plays an essential role in boosting the quality of citizen’s life.As one of the international cities,Beijing’s construction of its smart city is developing rapidly with its development of science and technology.Beijing has always been open to foreigners,especially after the 2008 Olympic Games.The construction on smart city paves the way in promoting the image of Beijing as an international communication center.Therefore,this study combs the development of concepts of smart cities,focuses on the role of smart city in promoting Beijing’s international communication center image,as well as points out potential directions for Beijing’s smart city development.