文明1(civilized)、文明2(civilization)、文明3(civitas)——论“文明”一词的三种不同含义

学术界对于“什么是文明”存有争议的原因,是把文明(civilized)、文明社会(civilization)和国家(civitas)三个不同的概念混为一谈造成的。“文明1”大致相当于英语civilized(文明的)。文化是人群的生活方式,但是不仅彬彬有礼、琴棋书画、轻歌曼舞、美味佳肴是文化,愚昧粗鲁、恶俗陋习、野风蛮舞、吃糠咽菜也是生活方式,所以文明1不完全等同于文化,而只有被认可与受推崇的文化才被称为文明。无论古今中外,作为文化的文明1都是褒义的,文明1即“文明”的本义,也是对文化的价值判断。“文明2”相当于英语civilization(文明社会),摩尔根用以指称继蒙昧社会与野蛮社会之后出现的、高于蒙昧与野蛮状态的社会阶段。作为社会形态的文明2当然比蒙昧与野蛮社会要进步,但是文明社会并非一切都是文明的,其中充斥着种种不文明的蒙昧与野蛮,所以不能说文明2就是“文明的”社会。“文明3”相当于英语civitas(国家),是中国学者根据恩格斯的“国家是文明社会的概括”得出的概念,系指继部落联盟或酋邦之后出现的社会组织形态。因为不同国家的国体与政体各不相同,有了国家之后并非一切都变得比野蛮社会更文明了,所以作为国家的文明3也不都是“文明的”国家。

Civil3d技术在河道治理中的应用分析

为了切实加强水环境保护及水资源管理与利用,近年来我国一直在加快和加大力度落实河道治理,要想保证河道治理达到预期效果,并最大程度提高河道治理工程生态效益,首先要确保河道治理设计与施工方案的科学合理性,可见借助现代化技术手段,优化和改进河道治理设计与规划是很有必要的。基于此本文首先进行Civil3d技术的梳理与说明,继而详细分析Civil3D软件在某河道治理项目的具体应用,旨在与相关工作人员相互交流、共同探讨。

基于Civil3D的渠道工程参数化设计研究

针对渠道工程设计前期勘探时间长、二维计算过程繁琐、设计变更工作量巨大、现有渠道建模未考虑与地形数据联动等问题,提出一种基于Civil3D的渠道工程参数化设计方法,即以Civil3D为核心的渠道参数化设计关键技术,采用91位图助手获取勘察后的平面坐标,使用GlobalMapper对栅格文件中高程数据进行纠偏,通过ArcGIS整合、提取地形三维空间数据,并结合WPF窗体技术,以MVVM编程框架,开发面向对象的渠道参数化设计数据管理平台,拓展Civil3D参数计算及工程数据科学管理功能,为渠道参数化模型与三维地形模型的建立奠定基础。利用Atuodesk Subassembly Composer定制渠道横断面部件,通过建立目标参数及部件元素中的逻辑关系,实现渠道模型的参数化操作和与地形模型动态链接。实例应用结果表明,该技术可使渠道工程由二维设计过渡到三维参数化设计,优化了渠道设计阶段数据采集方面时间成本,降低了Civil3D使用难度,减少了设计变更产生的工作量,提高了设计效率,为水利线状工程参数化设计提供了参考。

Education Programs for Invasive Procedures Involving Nurses: A Scoping Review

Background: Implementing invasive procedures is an important part of patient management by clinical nurses;however, there are gaps between nurses’ actual knowledge and skills and expected professional care capacity. Purpose: This scoping review aimed to map the existing literature related to recent institution-provided educational programs for invasive procedures involving clinical nurses. This study seeks to understand the contents of educational programs and the methods for assessing educational effects. Methods: This scoping review was completed using the following four databases: PubMed (MEDLINE), Embase, Cochrane Library, and Emcare for the period 2000-2022. We included studies that used all forms of educational approaches (e.g., didactic lectures, hands-on training, or on-the-job training). This scoping review considered peer-reviewed publications published in English using quantitative, qualitative, or mixed approaches. A total of 83 studies underwent in the final analysis. Results and Conclusion: A combination of didactic lectures and hands-on training was provided as an educational program in most studies. Contrary to our prediction, educational interventions with advanced technologies such as VR are extremely rare, suggesting that the effectiveness of advanced technologies in learning invasive procedures should be examined to facilitate and retain educational effects more efficiently in future studies. Regarding the assessment of educational effects, nurses’ cognitive (i.e., theoretical knowledge about procedures), psychomotor (i.e., implementing procedures), and psychological aspects (e.g., confidence and self-efficacy in procedures) were evaluated using questionnaires and observational methods. While most studies used a one-group pretest-posttest design, the ratio of randomized controlled trials (RCT) was relatively low. Thus, an RCT design should be introduced in future studies to test the validity of the developed educational program more accurately.

Is it necessary to stop glucagon-like peptide-1 receptor agonists prior to endoscopic procedure? A retrospective study

BACKGROUND Glucagon-like peptide-1 receptor agonists(GLP-1 RA)are effective in diabetes and obesity,reducing hyperglycemia by increasing insulin release and delaying gastric emptying.However,they can cause gastroparesis,raising concerns about aspiration during procedures.Recent guidelines advise discontinuing GLP-1 RA before surgery to reduce the risk of pulmonary aspiration.AIM To evaluate the effect of GLP-1 RAs on gastric residual contents during endosco-pic procedures.METHODS A retrospective chart review at BronxCare Health System,New York,from January 2019 to October 2023,assessed gastric residue and aspiration in GLP-1 RA patients undergoing endoscopic procedures.Two groups were compared based on dietary status before the procedure.Data included demographics,symptoms of gastroparesis,opiate use,hemoglobin A1c,GLP-1 agonist indication,endo-scopic details,and aspiration occurrence.IBM SPSS was used for analysis,cal-culating means,standard deviations,and applying Pearson’s chi-square and t-tests for associations,with P<0.05 as being significant.RESULTS During the study,306 patients were included,with 41.2%on a clear liquid/low residue diet and 58.8%on a regular diet before endoscopy.Most patients(63.1%)were male,with a mean age of 60±12 years.The majority(85.6%)were on GLP-1 RAs for diabetes,and 10.1%reported digestive symptoms before endoscopy.Among those on a clear liquid diet,1.5%had residual food at endoscopy compared to 10%on a regular diet,which was statistically significant(P=0.03).Out of 31 patients with digestive symptoms,13%had residual food,all from the regular diet group(P=0.130).No complications were reported during or after the procedures.CONCLUSION The study reflects a significant rise in GLP-1 RA use for diabetes and obesity.A 24-hour liquid diet seems safe for endoscopic procedures without aspiration.Patients with upper gastrointestinal symptoms might have a higher residual food risk,though not statistically significant.Further research is needed to assess risks based on diabetes duration,gastroparesis,and GLP-1 RA dosing,aiming to minimize interruptions in therapy during procedures.

Invasive Procedures for Prenatal Diagnosis in Salmaniya Medical Complex in Bahrain: A Retrospective Cross-Sectional Descriptive Study

Background: Prenatal diagnosis is the process of evaluating the presence of disease or potential disease in the fetus, this enables families to be better prepared before the birth of the baby. There are non-invasive prenatal diagnosis procedures and invasive prenatal diagnosis procedures. The invasive prenatal diagnosis procedures are CVS (chorionic villus sampling) and amniocentesis. The American College of Obstetricians and Gynecologists states that invasive diagnostic testing should be available to all women, regardless of age or risk. Objective: To determine the indications, outcome and results of diagnostic invasive prenatal procedures. Study setting: The obstetrics and Gynecology Department in Salmaniya Medical Complex in Kingdom of Bahrain. Study design: Retrospective descriptive study. Study subjects and Methods: This retrospective descriptive study was conducted on 175 pregnant women who underwent invasive prenatal procedures (CVS and amniocentesis) between January 2013 and December 2018 at SMC in Kingdom of Bahrain. All medical records of the participants were reviewed and entered the study. According to the implemented procedures, medical records were categorized into two chorionic villus sampling (CVS) and amniocentesis groups. The study subject will include indications of the procedures which are advanced maternal age, hematological disorders, genetic disorders, metabolic disorders, abnormal structural findings in fetal ultrasound and previous child with aneuploidy. In addition, the study will address the complications, outcome and results of procedures. Results: About half of our indications of the procedures were due to hematological disorders (47.6%) followed by abnormal structural findings in fetal ultrasound (30.1%) then genetic disorders (15.7%), metabolic disorders (4.8%) and advanced maternal age (1.8%). Regarding complications of the procedure;threatened miscarriage or loss of pregnancy within 3 weeks was (2.3%), amniotic fluid leakage (0.7%), abdominal cramps (0.7%) and Insufficient or contaminated sample (6.2%). Regarding outcome of the pregnancy, our results showed that the loss of pregnancy was (4.8%), intrauterine fetal death or still birth was (13.9%), live birth was (63.9%), preterm delivery was (7.8%), preterm premature rupture of membrane (PPROM) was (1.8%), limbs reduction was (0.0%). Termination of pregnancy outside the country was (7.8%) of chorionic villus sampling and amniocentesis. Conclusion: CVS and amniocentesis are useful outpatient procedures to detect diagnosis or to assess whether a patient is at increased risk of having an affected fetus and that will minimize the psychological impact on the patient and to provide a proper antenatal care to the pregnant women by her obstetrician and follow up to the baby by pediatrician. In this study it was observed that most of the patients who underwent the procedure were couples either carrier or affected to sickle cell disease or Beta thalassemia.

Predictive maintenance and its applications in civil engineering structures:A review

Structural health monitoring and performance prediction are crucial for smart disaster mitigation and intelligent management of structures throughout their lifespan.Recent advancements in predictive maintenance strategies within the industrial manufacturing industry have inspired similar innovations in civil engineering,aiming to improve structural performance evaluation,damage diagnosis,and capacity prediction.This review delves into the framework of predictive maintenance and examines various existing solutions,focusing on critical areas such as data acquisition,condition monitoring,damage prognosis,and maintenance planning.Results from real-world applications of predictive maintenance in civil engineering,covering high-rise structures,deep foundation pits,and other infrastructure,are presented.The challenges of implementing predictive maintenance in civil engineering structures under current technology,such as model interpretability of data-driven methods and standards for predictive maintenance,are explored.Future research prospects within this area are also discussed.

Anti-Spoofing:Integrated Information Authentication of BeiDou-ⅡCivil Navigation Message

The BeiDou-Ⅱcivil navigation message(BDⅡ-CNAV)is transmitted in an open environment and no information integrity protection measures are provided.Hence,the BDⅡ-CNAV faces the threat of spoofing attacks,which can lead to wrong location reports and time indication.In order to deal with this threat,we proposed a scheme of anti-spoofing for BDⅡ-CNAV based on integrated information authentication.This scheme generates two type authentication information,one is authentication code information(ACI),which is applied to confirm the authenticity and reliability of satellite time information,and the other is signature information,which is used to authenticate the integrity of satellite location information and other information.Both authentication information is designed to embed into the reserved bits in BDⅡ-CNAV without changing the frame structure.In order to avoid authentication failure caused by public key error or key error,the key or public key prompt information(KPKPI)are designed to remind the receiver to update both keys in time.Experimental results indicate that the scheme can successfully detect spoofing attacks,and the authentication delay is less than 1%of the transmission delay,which meets the requirements of BDⅡ-CNAV information authentication.

Understanding Chinese Civilisation from the Perspective of Cultural Relics

At a meeting on cultural inheritance and development on June 2,2023,President Xi Jinping summarised with penetrating insight the distinctive features of Chinese civilisation and elucidated the significance of the“two integrations”(integrating the basic tenets of Marxism with China's specific realities and the best of its traditional culture),which explain the development laws underlying Chinese civilisation.This reflects the new heights the Communist Party of China(CPC)has attained in its understanding of the path,theory,and system of socialism with Chinese characteristics,in its confidence in Chinese history and culture,and in its consciousness of promoting cultural innovation while carrying forward the traditional Chinese culture.

基于Midas Civil对市政桥梁承台大体积混凝土热学性能研究

桥梁是城市市政基础设施不可或缺的一部分,而大体积混凝土施工质量的保证是桥梁质量得以保证的前提。本文先从大体积混凝土绝热温升的理论出发,从胶凝材料和结构角度研究出大体积混凝土内部温度变化的情况,然后通过在施工过程中采取相应的措施,进而控制混凝土内外温差,提高混凝土浇筑的质量。通过有限元Midas Civil市政桥梁的内部热传导特征以及内外温差变化情况进行模拟,得出混凝土内外温度变化的规律,并结合施工措施达到控制裂缝的目的,为同类型的项目提供参考。

Endoscopic clipping of gastrojejunostomy leakage following Whipple procedure: A case report

BACKGROUND Currently,perioperative complications of classic Whipple surgery occur at a rate of approximately 40%.Common complications include delayed gastric emptying,pancreatic fistula,and bile leakage,whereas gastrojejunostomy(GJ)leakage is rare.CASE SUMMARY This case report will assess the management of a GJ leak in a 71-year-old male patient following the Whipple procedure.After surgery,the patient was trans-ferred to the clinic after four days of intensive care,where vacuum therapy was used to handle a developing subcutaneous collection.The patient,who had bile in the drains and incision during follow-up,underwent endoscopic examination on the 21st day after the operation.An opening of approximately 4 mm was observed in the GJ anastomosis during endoscopy.Five titanium clips were used to close the openings.The drainage of bile decreased to less than 50 mL on the first day after the procedure,and the patient's oral intake was opened.CONCLUSION Current literature reports a GJ leakage rate of 0.54%following Whipple surgery,with clinical findings lasting on average between 4-34 days.Surgery was the main form of therapy for this case,with a success rate of 84%,and percutaneous drai-nage was also utilized as a treatment option.This case report is the first to docu-ment endoscopic treatment of GJ leaks following the classic Whipple procedure.

Speech at the Civilisation Lecture by Svetlana Sharenkova,Vice-President of Bulgaria-China Forum(Abstract)

When we try to talk about civilisation exchanges and mutual learning between China and Bulgaria,it's easy and difficult.China boasts the most ancient civilisation in the world with an ever-lasting history of over 5000 years.With a history of over 1300 years,Bulgaria is one of the oldest civilisations in Europe.There are three major civilisations emerging and thriving on this very land.

Understanding the Laws Underlying the Development of Chinese Civilisation

At a meeting on cultural inheritance and development held in Beijing,June 2,2023,President Xi Jinping put forward a holistic and systematic explanation of the distinctive features of Chinese civilisation-consistency,originality,unity,inclusiveness,and a peaceful nature.President Xi Jinping's profound exposition has granted us a deeper understanding of the laws underlying the development of Chinese civilisation by shedding light on its intrinsic characteristics.

Understanding the Historical Significance and Contemporary Value of the Distinctive Features of Chinese Civilisation

At a meeting on cultural inheritance and development held in Beijing,June 2,2023,President Xi Jinping put forward a holistic and systematic explanation of the distinctive features of Chinese civilisation-consistency,originality,unity,inclusiveness,and a peaceful nature.Underpinned by the scientific methodology of dialectical and historical materialism and an overarching strategic perspective on the great undertakings of socialism with Chinese characteristics in the new era,President Xi Jinping's profound exposition has granted us a deeper understanding of the laws underlying the development of Chinese civilisation by shedding light on its intrinsic characteristics.This understanding bears not just immense historical importance but also significant contemporary value.

基于Civil 3D部件编辑器的矿山排土场参数化设计研究

近年来,民用建筑行业BIM技术得到迅速发展,将其应用于有色冶金矿山设计工作势在必行,改变以往人工计算、应用AutoCAD插件出图的现状。为实现排土场参数化设计,结合排土场设计经验和计算机语言,基于Civil 3D部件编辑器(SAC)研究了参数化设计流程;针对排土场横断面形式,创建了多级边坡部件参数化模型,实现了快速建模、三维模型到二维图纸的转换以及排土场库容精确计算。基于SAC的排土场三维参数化设计技术促进了设计效率和精度的提升,总结形成了参数化设计技术在排土场设计过程中的应用流程,为类似项目提供参考。

Hysteroscopic cervical biopsy for women with persistent human papillomavirus infection after loop electrosurgical excision procedure: A case report

BACKGROUNDAlmost all cases of cervical cancer can be attributed to human papillomavirus(HPV) infection. The loop electrosurgical excision procedure (LEEP) is widelyused to treat HPV-mediated disease;thus, cervical cancer is highly preventable.However, LEEP does not necessarily clear HPV rapidly and may affect theaccuracy of the results of ThinPrep cytology test (TCT) and cervical biopsy due tothe formation of cervical scars.CASE SUMMARYA 40-year-old woman underwent LEEP for cervical intraepithelial neoplasia grade1 approximately 10 years ago. Subsequent standard cervical cancer screeningsuggested persistent HPV-52 infection, but TCT results were negative. Cervicalbiopsy under colposcopy was performed thrice over a 10-year period, yieldingnegative pathology results. She developed abnormal vaginal bleeding after sexualactivity, persisting for approximately 1 year, and underwent hysteroscopy in ourhospital. Histopathologic evaluation confirmed adenocarcinoma in situ of theuterine cervix.CONCLUSIONPatients with long-term persistent, high-risk HPV infection and negative pathologyresults of cervical biopsy after LEEP are at risk of cervical cancer. Hysteroscopicresection of cervical canal tissue is recommended as a supplement tocervical biopsy because it helps define the lesion site and may yield a pathologicdiagnosis.

基于Civil3D在道路交叉口正向设计的研究与应用

针对目前BIM正向设计所存在的出图效率低、设计工具操作不习惯、数据互通丢失率高等问题,结合某二级公路交叉口,将Civil 3D作为其正向设计的工具,开展基于Civil 3D在道路交叉口正向设计的研究,对道路交叉设计、道路优化、三维可视化等方面进行关键技术研究。研究结果表明,通过对地形数据优化分析,生成三维地形曲面,结合Civil 3D智能化、智慧化设计的特点,生成施工图级别的正向设计成果。工程应用结果表明,使用Civil 3D进行道路交叉口的正向设计,可以提高设计效率、减少设计错误、考虑不全面等问题,减少后期因为施工、地质突发情况对设计变更的影响。

Exploring the Applications of Digital Twin Technology in Enhancing Sustainability in Civil Engineering:A Review

With the advent of the big data era and the rise of Industrial Revolution 4.0,digital twins(DTs)have gained sig-nificant attention in various industries.DTs offer the opportunity to combine the physical and digital worlds and aid the digital transformation of the civil engineering industry.In this paper,605 documents obtained from the search werefirst analysed using CiteSpace for literature visualisation,and an author co-occurrence network,a keyword co-occurrence network,and a keyword clustering set were obtained.Next,through a literature review of 86 papers,this paper summarises the current status of DT application in civil engineering based on a review of the origins,concepts,and implementation techniques of DTs,and it introduces the application of DTs in the full project lifecycle.This study shows that DTs have great potential to address many of the challenges faced by civil engineering.In this regard,the paper also presents some thoughts on the future directions of DT research.

Adverse Pregnancy Outcomes Following Cryotherapy, Thermal Ablation and Loop Electrosurgical Excision Procedure for Cervical Intraepithelial Neoplasia Treatment: A Pilot Study among Zambian Women

Background: Cervical Intraepithelial neoplasia treatments have become essential interventions to manage cervical lesions. Majority of the recipients of these treatments are women within the reproductive age group, who according to literature may be at risk of adverse pregnancy outcomes. This pilot study is part of a study investigating adverse pregnancy outcomes among women who received Cryotherapy, Thermal ablation and Loop Electrosurgical Excision Procedure compared to the untreated women in Zambia. Materials and Methods: This descriptive study analyzed records of 886 (n = 443 treated and n = 443 untreated) women aged 15 - 49 years. The women were either screened with Visual Inspection with Acetic Acid or treated for Cervical Intraepithelial neoplasia at the Adult Infectious Disease Centre between January 2010 and December 2020. Women meeting the criteria were identified using the Visual Inspection with Acetic Acid screening records and telephone interviews to obtain the adverse pregnancy outcome experienced. Data were analysed using STATA version 16 to determine the prevalence and obtain frequency distribution of outcomes of interest. Univariate and multivariable binary logistic regression estimated odds of adverse pregnancy outcomes across the three treatments. Results: The respondents were aged 15 to 49 years. Adverse pregnancy outcomes were observed to be more prevalent in the treatment group (18.5%) compared to the untreated group (5.4%). Normal pregnancy outcomes were lower in the treated (46.3%;n = 443) than the untreated (53.7%;n = 443). The treated group accounted for the majority of abortions (85.2%), prolonged labour (85.7%) and low birth weight (80%), whereas, the untreated accounted for the majority of still births (72.7%). Women treated with cryotherapy (aOR = 2.43, 95% CI = 1.32 - 4.49, p = 0.004), thermal ablation (aOR = 6.37, 95% CI = 0.99 - 41.2, p = 0.052) and Loop Electrosurgical Excision Procedure (aOR = 9.67, 95% CI = 2.17 - 43.1, p = 0.003) had two-, six- and ten-times higher odds of adverse pregnancy outcomes respectively, relative to women who required no treatment. Conclusion: Adverse pregnancy outcomes are prevalent among women who have received treatment in Zambia. The findings indicate that treating Cervical Intraepithelial Neoplasia has been linked to higher chances of experiencing abortion, delivering low birth weight babies and enduring prolonged labor that may result in a caesarean section delivery. Cervical neoplasia treatments, particularly Loop Electrosurgical Excision Procedure, are associated with significantly increased odds of adverse pregnancy outcomes. It is essential to include information about prior Cervical Intraepithelial neoplasia treatment outcomes in obstetric care.

Coordinated Mining Procedures of Open Pit Mines Based on River Management

This paper primarily concerns the effective coordination of the procedures and methods employed in open pit mining operations under the background of river management.The central objective of this study is to identify a viable approach for ensuring rational and efficient development of open pit mineral resources while simultaneously protecting and restoring the ecological environment of the river.This approach should facilitate the realization of a harmonious symbiosis between mining and river management.The intricate mutual influence relationship between river management and open pit mining is first analyzed in depth,which provides a solid foundation for the subsequent coordination strategy development.In light of the aforementioned considerations,a set of coordination procedures for open pit mining based on river management conditions is proposed.These procedures emphasize the integration of river protection into the overall layout of mining at the planning stage.The implementation of scientific mining schemes,accompanied by rigorous control of the scope and depth of mining operations,has proven to be an effective means of reducing the impact of mining activities on river environments.This approach has also facilitated the achievement of a balance and coordination between mining and river management.