Urban system is the spatial reflection of the inner-deep social economic movement. New economic circumstances not only make the evolution of urban system present one brand-new landscape, but also put forward a new sub...Urban system is the spatial reflection of the inner-deep social economic movement. New economic circumstances not only make the evolution of urban system present one brand-new landscape, but also put forward a new subject for planning of urban system. This article analyzes the properties of the traditional economic process and its essential effect on urban system; it makes a complete survey on the properties of new economic circumstances and its effect on re-forming of urban system; the complicated influential process and result are concluded into the aspects, such as new growth motive force, new economic organization, new location factor and new spatial phenomenon, and its inner effect mechanism in shown as well. In this article, the change process of urban system space is explained in four aspects: (1) dissimulation in the process of spatial agglomeration and diffusion; (2) change of “center-periphery” effect; (3) acceleration growth of axial regions; (4) re-forming of the world and regional urban system. Based on the above theoretical analysis and the properties & requests of new economic circumstances, this article finally puts forward four philosophies emphasized by urban system planning, and forms the new frame for drawing-up of urban system planning.展开更多
This exploratory study investigated the circumstances of falls and fall-related injuries among frail elderly people under home care.A convenience sample of 500 frail elderly(60 e99 years old)from the Wanshoulu and Yuy...This exploratory study investigated the circumstances of falls and fall-related injuries among frail elderly people under home care.A convenience sample of 500 frail elderly(60 e99 years old)from the Wanshoulu and Yuyuantan communities in Beijing's Haidian District during February 2013 and March 2014.Fall circumstances and related injuries were characterized by detailed interviews and questionnaires.The article reports the results of a study that the overall fall incidence was 41.5%,and higher for females than males.Falls mainly occurred in individuals who were over 80 years old(50.0%)and indoors(67.9%).The percentage of subjects who experienced a combined injury after the fall was 56.3%,whereas 19.0%fell causes a fracture.Approximately 35%of the subjects were hospitalized,and 27.6%of the subjects recovered more than 30 days.Results indicate that,falls in the frail elderly caused serious damage,and fall-related circumstances should be a great concern in this population.展开更多
Since the end of the Cold War, the non-proliferation work on Weapons of Mass Destruction (WMD) has gradually become the first priority in the field of arms control and international security. With the unswerving effor...Since the end of the Cold War, the non-proliferation work on Weapons of Mass Destruction (WMD) has gradually become the first priority in the field of arms control and international security. With the unswerving efforts by international community, enormous progress has been made in the construction .展开更多
The cases of landing and impact of the heavy rain of typhoon in Fujian are analyzed. From the research of the mainly weather systems which caused heavy rain and the distribution characteristics of atmospheric circulat...The cases of landing and impact of the heavy rain of typhoon in Fujian are analyzed. From the research of the mainly weather systems which caused heavy rain and the distribution characteristics of atmospheric circulation situation field, we conclude that on the basis of Fujian special geographical location and terrain, there are four types (easterly jet, warm-type sheer, inverted V-shaped trough of typhoon, westerly trough) are conductive to the circulation patterns of causing the heavy rain of typhoon. Through studying a number of typical model cases of heavy rain of typhoon, we can reveal the mechanism which causes the heavy rain of typhoon by the mostly influencing systems in different circulation backgrounds and the causes of the heavy rain of typhoon.展开更多
Objective: This study sought to investigate the content of the prescription rights and the prescription types of midwives under certain circumstances in China. Methods: The Delphi method was used to consult 18 nursi...Objective: This study sought to investigate the content of the prescription rights and the prescription types of midwives under certain circumstances in China. Methods: The Delphi method was used to consult 18 nursing experts and 14 medical experts, A total of 30 experts finished the consulting. The reliability of the expert opinions was analyzed to determine the specific situations in which midwives may write prescriptions, the content of the prescription rights and the prescription types. Results: In six specific circumstances (uterine contraction fatigue, uterine contractions that are too strong, postpartum hemorrhage, premature rupture of the membranes, normal delivery and neonatal asphyxia), midwives have the right to prescribe and administer medication, including 20 drugs and 13 auxiliary examinations. Of these drugs and examinations, 51.5% of the drugs and adjuvant examination prescriptions tend to be independent prescriptions, 30.3% tend to be protocol prescriptions, and 18.2% are similar to both types. Conclusions: The midwives should be granted some prescription rights to enhance their autonomy and the professionalism of midwifery.展开更多
We have investigated the workers labouring under the law,lead density circumstances and the women workers health throughthe contrasting groups.They work in such a condition that thedensity of low lead is somewhat over...We have investigated the workers labouring under the law,lead density circumstances and the women workers health throughthe contrasting groups.They work in such a condition that thedensity of low lead is somewhat over the standard.We haveanalysed their biomaterials:sign,symptom,urinelead,C,P,bloodlead,F,E,P,and bloodurine routine,explored partiallythe relation of dosage reaction and the relevant coefficient,展开更多
The Iraq war and the North Korean nuclear crisis are the two big events that are attracting worldwide attention. The many debates and changes that have arisen around the globe from these two issues, with the former in...The Iraq war and the North Korean nuclear crisis are the two big events that are attracting worldwide attention. The many debates and changes that have arisen around the globe from these two issues, with the former in particular, cannot but cause展开更多
Since the reform and opening up, the Chinese government has attached growing importance to education, and has invested more resources and funds into higher education. In addition, the government has also invested larg...Since the reform and opening up, the Chinese government has attached growing importance to education, and has invested more resources and funds into higher education. In addition, the government has also invested large amounts of funds and technologies in the infrastructure construction of universities and colleges. The undertakings related to the infrastructure construction of universities and colleges in China are complicated in essence. Therefore, funds and technologies of the highest standards should be introduced. At the same time, external tendering is necessary for some undertakings. Currently, the tendering model adopted by universities and colleges in China is the traditional, which is ridden with some problems to be resolved in the shortest possible period. This paper focuses on the current problems of the tendering model adopted by universities and colleges and their solutions. Taking the tendering model in the undertakings of North China Electric Power University as an example, it notes setbacks of the traditional tendering model, and provides kind of theoretical support for establishing a new tendering model for universities and colleges and the related enterprises in China.展开更多
Since the implementation of the great strategic decision of reform and opening up made by the Third Plenary Session of the Eleventh Central Committee of CPC,with more than 30 years’rapid development,China has made wo...Since the implementation of the great strategic decision of reform and opening up made by the Third Plenary Session of the Eleventh Central Committee of CPC,with more than 30 years’rapid development,China has made world-acknowledged achievements—the economic aggregate and展开更多
What is already known about this topic?Addressing health disparities is a worldwide priority,with a well-established acknowledgment of the influence of childhood circumstances on these discrepancies.In China,particula...What is already known about this topic?Addressing health disparities is a worldwide priority,with a well-established acknowledgment of the influence of childhood circumstances on these discrepancies.In China,particularly among the elderly,health inequalities are a notable concern.What is added by this report?The inequality in healthy aging has increased from 2011 to 2020,both in general and concerning childhood factors.Nevertheless,the impact of early-life healthcare access and parental health behaviors on healthy aging gaps has reduced among older adults in better health within the top segment of healthy aging.What are the implications for public health practice?Efforts towards reducing regional health disparities and improving healthcare access for children,along with promoting the health and well-being of parents,especially in economically disadvantaged households,are crucial policy considerations.展开更多
How to deal with differences is a question that any political body must respond to.The individualist perspective emphasizes that actors will adopt measures to exclude or even eliminate divergent claims in order to gai...How to deal with differences is a question that any political body must respond to.The individualist perspective emphasizes that actors will adopt measures to exclude or even eliminate divergent claims in order to gain control over interests power or statutory policy,but the rich experience of traditional Chinese scholar officials offers the possibility of going beyond the limitations of this perspective.The perspective of“tianxia qingshi(world circumstances)”as a new narrative reveals a unique practical logic and dynamic mechanism in Chinese political civilization that have been overlooked by the individualist perspective.The“Green Sprouts policy(qing miao fa)polemic”in the early years of the New Policies era of the Northern Song dynasty(960-1127)presents a historical situation that has not been given full attention by existing research.展开更多
What is already known about this topic?Many health challenges have emerged due to rapid population aging,including declined cognitive ability among older adults.What is added by this report?Childhood circumstances hav...What is already known about this topic?Many health challenges have emerged due to rapid population aging,including declined cognitive ability among older adults.What is added by this report?Childhood circumstances have significant and lasting impacts on cognition in old age.This study compared cognition data from China with both the United States(U.S.)and the European Union(EU)during 2008–2018,finding that childhood circumstances could respectively explain 65.4%[95%confidence interval(CI):59.4%,71.4%](China vs.the U.S.)and 38.2%(95%CI:35.1%,41.2%)(China vs.the EU)of the overall differences in cognition among older adults.Family socioeconomic status explained the largest share of differences among all considered childhood circumstances.What are the implications for public health practice?Large disparities in cognition should be addressed by mitigating childhood disadvantages.展开更多
中国大学生物理学术竞赛(China Undergraduate Physicists’Tournament,简称CUPT)是中国借鉴国际青年物理学家锦标赛(International Young Physicists’Tournament,简称IYPT)模式创办的一项全国性物理类赛事.第六届中国大学生物理...中国大学生物理学术竞赛(China Undergraduate Physicists’Tournament,简称CUPT)是中国借鉴国际青年物理学家锦标赛(International Young Physicists’Tournament,简称IYPT)模式创办的一项全国性物理类赛事.第六届中国大学生物理学术竞赛于2015年8月19日—24日在国防科学技术大学举行.展开更多
Based on the characteristics and developing and utilizing situation of the coal resources in Hubei province, the author has analyzed the key problems in process of the coal resources development and utilization and th...Based on the characteristics and developing and utilizing situation of the coal resources in Hubei province, the author has analyzed the key problems in process of the coal resources development and utilization and the coal supply and demand circumstances, and then, advanced seven items of countermeasures in order to alleviate the coal resources shortage in this area.展开更多
从英语发展的历史阶段来看,可分为古英语时期(Old EnglishPeriod,450-1150),中古英语时期(Middle English Period,1150—1450)和现代英语时期(Modern EnglishPeriod)。现代英语时期又分为早期现代英语时期(Early Modern EnglishPeriod,...从英语发展的历史阶段来看,可分为古英语时期(Old EnglishPeriod,450-1150),中古英语时期(Middle English Period,1150—1450)和现代英语时期(Modern EnglishPeriod)。现代英语时期又分为早期现代英语时期(Early Modern EnglishPeriod,约1450-1700)和晚期现代英语时期(Late Modern English Period,约1700至今)。而当代英语指我们目前正在使用的英语。展开更多
Although languages should be precise and clear, the reality is that it is not necessary to speak concisely and precisely in some conditions when we communicate with others. Sometimes if we use direct sentences to expr...Although languages should be precise and clear, the reality is that it is not necessary to speak concisely and precisely in some conditions when we communicate with others. Sometimes if we use direct sentences to express our points of view, we are likely to hurt other people. While an adequate expression in fuzzy words is a good way for us to use which can bring us a harmonious circumstances and good relationship. This article tries to reveal the fact that people use and need fuzzy expressions in their communication indeed though it is not well recognized, it also analyzes the concrete fuzzy art in people's linguistic communication through the functions fuzzy words act.展开更多
Objective:To investigate the necessary eligibility criteria for prescriptive authority for midwives,gather suggestions from experts on training content for prescriptive authority for midwives,and explore the scope of ...Objective:To investigate the necessary eligibility criteria for prescriptive authority for midwives,gather suggestions from experts on training content for prescriptive authority for midwives,and explore the scope of practice of their prescriptive authority in certain circumstances.The results of this study could serve as a reference for the development of policies on prescriptive authority for midwives.Methods:Based on a literature search and semistructured interviews,a modified Delphi method was first used to conduct 2 rounds of expert consultation on eligibility criteria and training content for prescriptive authority for midwives.This stage included nursing experts(20)and medical experts(16)engaged in midwifery in many tertiary Grade A hospitals in China.Subsequently,consultation on the scope of practice of prescriptive authority for midwives was conducted with nursing experts(18)and medical experts(14)engaged in midwifery in many tertiary Grade A hospitals in China.The suggestions from the experts were analyzed using statistical methods to confirm the eligibility criteria for prescriptive authority,training content,circumstances,scope of practice for prescriptive authority,and the prescription forms.Results:Among the consulted experts,70.59%(the highest acceptance rate)considered an undergraduate degree to be the minimum educational requirement for midwives to be eligible for prescriptive authority,85.29%(the highest acceptance rate)considered the supervisor nurse to be the minimum technical position experience necessary for midwives to be eligible for having prescriptive authority,and 50%(the highest acceptance rate)considered 5 years to be the minimum number of years of experience in the specialty for midwives to be eligible for prescriptive authority.The applicants should at least be practicing at Grade C hospitals,which was the consensus among 91.18%of the consulted experts.Among the consulted experts,100%,100%,97.06%,94.12%,and 94.12%agreed that the applicants should have knowledge in pharmacology,laws and ethics,nursing,diagnostics,and midwifery,respectively.The consulted experts confirmed 22 related course topics and identified 6 specific circumstances in which the midwives could partially practice prescriptive authority,including uterine atony,excessive uterine contraction,postpartum hemorrhage,premature rupture of fetal membranes,normal labor,and neonatal asphyxia.Under these 6 circumstances,the consulted experts commonly agreed that there were 20 medication prescriptions and 13 auxiliary examination prescriptions that could be prescribed by midwives.Of these prescriptions,51.5%were independent prescriptions,30.3%were protocol prescriptions,and the remaining 18.2%were both independent and protocol prescriptions.Conclusions:Midwives who have an undergraduate degree,supervisor nurse position,and 5 years of practice in Grade C hospitals are considered eligible to apply for prescriptive authority.Partial prescriptive authority could be granted after regulated training in fundamental theories and practices,which could improve the independence and professionalism of midwifery.展开更多
The concept and practice of sustainable development as a guiding institutional principle, as a concrete policy goal, and as a focus of political mobilization remain salient in meeting the multiple challenges in the Ar...The concept and practice of sustainable development as a guiding institutional principle, as a concrete policy goal, and as a focus of political mobilization remain salient in meeting the multiple challenges in the Arctic. How sustainable development is conceptualized and practiced depends very much on how it is embraced by scholars, policy makers and the people in the Arctic. Under the circumstances of climate change and political-economic globalization taking place in the Arctic,展开更多
基金Under the auspices of the National Natural Science Foundation of China(No.40001007).
文摘Urban system is the spatial reflection of the inner-deep social economic movement. New economic circumstances not only make the evolution of urban system present one brand-new landscape, but also put forward a new subject for planning of urban system. This article analyzes the properties of the traditional economic process and its essential effect on urban system; it makes a complete survey on the properties of new economic circumstances and its effect on re-forming of urban system; the complicated influential process and result are concluded into the aspects, such as new growth motive force, new economic organization, new location factor and new spatial phenomenon, and its inner effect mechanism in shown as well. In this article, the change process of urban system space is explained in four aspects: (1) dissimulation in the process of spatial agglomeration and diffusion; (2) change of “center-periphery” effect; (3) acceleration growth of axial regions; (4) re-forming of the world and regional urban system. Based on the above theoretical analysis and the properties & requests of new economic circumstances, this article finally puts forward four philosophies emphasized by urban system planning, and forms the new frame for drawing-up of urban system planning.
基金The Beijing Municipal Science and Technology Commission(D121100004912004).
文摘This exploratory study investigated the circumstances of falls and fall-related injuries among frail elderly people under home care.A convenience sample of 500 frail elderly(60 e99 years old)from the Wanshoulu and Yuyuantan communities in Beijing's Haidian District during February 2013 and March 2014.Fall circumstances and related injuries were characterized by detailed interviews and questionnaires.The article reports the results of a study that the overall fall incidence was 41.5%,and higher for females than males.Falls mainly occurred in individuals who were over 80 years old(50.0%)and indoors(67.9%).The percentage of subjects who experienced a combined injury after the fall was 56.3%,whereas 19.0%fell causes a fracture.Approximately 35%of the subjects were hospitalized,and 27.6%of the subjects recovered more than 30 days.Results indicate that,falls in the frail elderly caused serious damage,and fall-related circumstances should be a great concern in this population.
文摘Since the end of the Cold War, the non-proliferation work on Weapons of Mass Destruction (WMD) has gradually become the first priority in the field of arms control and international security. With the unswerving efforts by international community, enormous progress has been made in the construction .
文摘The cases of landing and impact of the heavy rain of typhoon in Fujian are analyzed. From the research of the mainly weather systems which caused heavy rain and the distribution characteristics of atmospheric circulation situation field, we conclude that on the basis of Fujian special geographical location and terrain, there are four types (easterly jet, warm-type sheer, inverted V-shaped trough of typhoon, westerly trough) are conductive to the circulation patterns of causing the heavy rain of typhoon. Through studying a number of typical model cases of heavy rain of typhoon, we can reveal the mechanism which causes the heavy rain of typhoon by the mostly influencing systems in different circulation backgrounds and the causes of the heavy rain of typhoon.
文摘Objective: This study sought to investigate the content of the prescription rights and the prescription types of midwives under certain circumstances in China. Methods: The Delphi method was used to consult 18 nursing experts and 14 medical experts, A total of 30 experts finished the consulting. The reliability of the expert opinions was analyzed to determine the specific situations in which midwives may write prescriptions, the content of the prescription rights and the prescription types. Results: In six specific circumstances (uterine contraction fatigue, uterine contractions that are too strong, postpartum hemorrhage, premature rupture of the membranes, normal delivery and neonatal asphyxia), midwives have the right to prescribe and administer medication, including 20 drugs and 13 auxiliary examinations. Of these drugs and examinations, 51.5% of the drugs and adjuvant examination prescriptions tend to be independent prescriptions, 30.3% tend to be protocol prescriptions, and 18.2% are similar to both types. Conclusions: The midwives should be granted some prescription rights to enhance their autonomy and the professionalism of midwifery.
文摘We have investigated the workers labouring under the law,lead density circumstances and the women workers health throughthe contrasting groups.They work in such a condition that thedensity of low lead is somewhat over the standard.We haveanalysed their biomaterials:sign,symptom,urinelead,C,P,bloodlead,F,E,P,and bloodurine routine,explored partiallythe relation of dosage reaction and the relevant coefficient,
文摘The Iraq war and the North Korean nuclear crisis are the two big events that are attracting worldwide attention. The many debates and changes that have arisen around the globe from these two issues, with the former in particular, cannot but cause
文摘Since the reform and opening up, the Chinese government has attached growing importance to education, and has invested more resources and funds into higher education. In addition, the government has also invested large amounts of funds and technologies in the infrastructure construction of universities and colleges. The undertakings related to the infrastructure construction of universities and colleges in China are complicated in essence. Therefore, funds and technologies of the highest standards should be introduced. At the same time, external tendering is necessary for some undertakings. Currently, the tendering model adopted by universities and colleges in China is the traditional, which is ridden with some problems to be resolved in the shortest possible period. This paper focuses on the current problems of the tendering model adopted by universities and colleges and their solutions. Taking the tendering model in the undertakings of North China Electric Power University as an example, it notes setbacks of the traditional tendering model, and provides kind of theoretical support for establishing a new tendering model for universities and colleges and the related enterprises in China.
文摘Since the implementation of the great strategic decision of reform and opening up made by the Third Plenary Session of the Eleventh Central Committee of CPC,with more than 30 years’rapid development,China has made world-acknowledged achievements—the economic aggregate and
基金supported by the National Natural Sciences Foundation of China(grant numbers 71804142 and 72074178)the Start-up Fund for Young Talent Support Plan(grant number 11304222010701)。
文摘What is already known about this topic?Addressing health disparities is a worldwide priority,with a well-established acknowledgment of the influence of childhood circumstances on these discrepancies.In China,particularly among the elderly,health inequalities are a notable concern.What is added by this report?The inequality in healthy aging has increased from 2011 to 2020,both in general and concerning childhood factors.Nevertheless,the impact of early-life healthcare access and parental health behaviors on healthy aging gaps has reduced among older adults in better health within the top segment of healthy aging.What are the implications for public health practice?Efforts towards reducing regional health disparities and improving healthcare access for children,along with promoting the health and well-being of parents,especially in economically disadvantaged households,are crucial policy considerations.
文摘How to deal with differences is a question that any political body must respond to.The individualist perspective emphasizes that actors will adopt measures to exclude or even eliminate divergent claims in order to gain control over interests power or statutory policy,but the rich experience of traditional Chinese scholar officials offers the possibility of going beyond the limitations of this perspective.The perspective of“tianxia qingshi(world circumstances)”as a new narrative reveals a unique practical logic and dynamic mechanism in Chinese political civilization that have been overlooked by the individualist perspective.The“Green Sprouts policy(qing miao fa)polemic”in the early years of the New Policies era of the Northern Song dynasty(960-1127)presents a historical situation that has not been given full attention by existing research.
基金Supported by the National Natural Science Foundation of China(71974097)a Career Development Award(K01AG053408)+1 种基金a major research grant(R01AG077529)he Claude D.Pepper Older Americans Independence Center at Yale School of Medicine(P30AG021342)funded by the National Institute on Aging,Jiangsu Qinglan Project,Jiangsu the Priority Academic Program Development of Jiangsu Higher Education Institute(PAPD).
文摘What is already known about this topic?Many health challenges have emerged due to rapid population aging,including declined cognitive ability among older adults.What is added by this report?Childhood circumstances have significant and lasting impacts on cognition in old age.This study compared cognition data from China with both the United States(U.S.)and the European Union(EU)during 2008–2018,finding that childhood circumstances could respectively explain 65.4%[95%confidence interval(CI):59.4%,71.4%](China vs.the U.S.)and 38.2%(95%CI:35.1%,41.2%)(China vs.the EU)of the overall differences in cognition among older adults.Family socioeconomic status explained the largest share of differences among all considered childhood circumstances.What are the implications for public health practice?Large disparities in cognition should be addressed by mitigating childhood disadvantages.
文摘中国大学生物理学术竞赛(China Undergraduate Physicists’Tournament,简称CUPT)是中国借鉴国际青年物理学家锦标赛(International Young Physicists’Tournament,简称IYPT)模式创办的一项全国性物理类赛事.第六届中国大学生物理学术竞赛于2015年8月19日—24日在国防科学技术大学举行.
文摘Based on the characteristics and developing and utilizing situation of the coal resources in Hubei province, the author has analyzed the key problems in process of the coal resources development and utilization and the coal supply and demand circumstances, and then, advanced seven items of countermeasures in order to alleviate the coal resources shortage in this area.
文摘从英语发展的历史阶段来看,可分为古英语时期(Old EnglishPeriod,450-1150),中古英语时期(Middle English Period,1150—1450)和现代英语时期(Modern EnglishPeriod)。现代英语时期又分为早期现代英语时期(Early Modern EnglishPeriod,约1450-1700)和晚期现代英语时期(Late Modern English Period,约1700至今)。而当代英语指我们目前正在使用的英语。
文摘Although languages should be precise and clear, the reality is that it is not necessary to speak concisely and precisely in some conditions when we communicate with others. Sometimes if we use direct sentences to express our points of view, we are likely to hurt other people. While an adequate expression in fuzzy words is a good way for us to use which can bring us a harmonious circumstances and good relationship. This article tries to reveal the fact that people use and need fuzzy expressions in their communication indeed though it is not well recognized, it also analyzes the concrete fuzzy art in people's linguistic communication through the functions fuzzy words act.
基金project was supported by the Shanxi Province Soft Science Research Program in China(No.2017041041-1)
文摘Objective:To investigate the necessary eligibility criteria for prescriptive authority for midwives,gather suggestions from experts on training content for prescriptive authority for midwives,and explore the scope of practice of their prescriptive authority in certain circumstances.The results of this study could serve as a reference for the development of policies on prescriptive authority for midwives.Methods:Based on a literature search and semistructured interviews,a modified Delphi method was first used to conduct 2 rounds of expert consultation on eligibility criteria and training content for prescriptive authority for midwives.This stage included nursing experts(20)and medical experts(16)engaged in midwifery in many tertiary Grade A hospitals in China.Subsequently,consultation on the scope of practice of prescriptive authority for midwives was conducted with nursing experts(18)and medical experts(14)engaged in midwifery in many tertiary Grade A hospitals in China.The suggestions from the experts were analyzed using statistical methods to confirm the eligibility criteria for prescriptive authority,training content,circumstances,scope of practice for prescriptive authority,and the prescription forms.Results:Among the consulted experts,70.59%(the highest acceptance rate)considered an undergraduate degree to be the minimum educational requirement for midwives to be eligible for prescriptive authority,85.29%(the highest acceptance rate)considered the supervisor nurse to be the minimum technical position experience necessary for midwives to be eligible for having prescriptive authority,and 50%(the highest acceptance rate)considered 5 years to be the minimum number of years of experience in the specialty for midwives to be eligible for prescriptive authority.The applicants should at least be practicing at Grade C hospitals,which was the consensus among 91.18%of the consulted experts.Among the consulted experts,100%,100%,97.06%,94.12%,and 94.12%agreed that the applicants should have knowledge in pharmacology,laws and ethics,nursing,diagnostics,and midwifery,respectively.The consulted experts confirmed 22 related course topics and identified 6 specific circumstances in which the midwives could partially practice prescriptive authority,including uterine atony,excessive uterine contraction,postpartum hemorrhage,premature rupture of fetal membranes,normal labor,and neonatal asphyxia.Under these 6 circumstances,the consulted experts commonly agreed that there were 20 medication prescriptions and 13 auxiliary examination prescriptions that could be prescribed by midwives.Of these prescriptions,51.5%were independent prescriptions,30.3%were protocol prescriptions,and the remaining 18.2%were both independent and protocol prescriptions.Conclusions:Midwives who have an undergraduate degree,supervisor nurse position,and 5 years of practice in Grade C hospitals are considered eligible to apply for prescriptive authority.Partial prescriptive authority could be granted after regulated training in fundamental theories and practices,which could improve the independence and professionalism of midwifery.
文摘The concept and practice of sustainable development as a guiding institutional principle, as a concrete policy goal, and as a focus of political mobilization remain salient in meeting the multiple challenges in the Arctic. How sustainable development is conceptualized and practiced depends very much on how it is embraced by scholars, policy makers and the people in the Arctic. Under the circumstances of climate change and political-economic globalization taking place in the Arctic,