Assessing healthcare workers’knowledge and confidence in the diagnosis,management and prevention of Monkeypox

BACKGROUND Monkeypox(Mpox),is a disease of global public health concern,as it does not affect only countries in western and central Africa.AIM To assess Burundi healthcare workers(HCWs)s’level of knowledge and confidence in the diagnosis and management of Mpox.METHODS We conducted a cross-sectional study via an online survey designed mainly from the World Health Organization course distributed among Burundi HCWs from June-July 2023.The questionnaire comprises 8 socioprofessional-related questions,22 questions about Mpox disease knowledge,and 3 questions to assess confidence in Mpox diagnosis and management.The data were analyzed via SPSS software version 25.0.A P value<0.05 was considered to indicate statistical significance.RESULTS The study sample comprised 471 HCWs who were mainly medical doctors(63.9%)and nurses(30.1%).None of the 22 questions concerning Mpox knowledge had at least 50%correct responses.A very low number of HCWs(17.4%)knew that Mpox has a vaccine.The confidence level to diagnose(21.20%),treat(18.00%)or prevent(23.30%)Mpox was low among HCWs.The confidence level in the diagnosis of Mpox was associated with the HCWs’age(P value=0.009),sex(P value<0.001),work experience(P value=0.002),and residence(P value<0.001).The confidence level to treat Mpox was significantly associated with the HCWs’age(P value=0.050),sex(P value<0.001),education(P value=0.033)and occupation(P value=0.005).The confidence level to prevent Mpox was associated with the HCWs’education(P value<0.001),work experience(P value=0.002),residence(P value<0.001)and type of work institution(P value=0.003).CONCLUSION This study revealed that HCWs have the lowest level of knowledge regarding Mpox and a lack of confidence in the ability to diagnose,treat or prevent it.There is an urgent need to organize continuing medical education programs on Mpox epidemiology and preparedness for Burundi HCWs.We encourage future researchers to assess potential hesitancy toward Mpox vaccination and its associated factors.

Moving Ahead with Confidence

NEW quality productive forces were one of the most frequently mentioned keywords for China’s high-quality development in the past year.The annual Central Economic Work Conference(CEWC)in December that reviewed the economy in 2024 and gave directions for the economic work in 2025 called for balancing fostering new growth drivers and revitalizing old ones while developing new quality productive forces based on local conditions.

Handling Label Noise in Air Traffic Complexity Evaluation Based on Confident Learning and XGBoost

Air traffic complexity is a critical indicator for air traffic operation,and plays an important role in air traffic management(ATM),such as airspace reconfiguration,air traffic flow management and allocation of air traffic controllers(ATCos).Recently,many machine learning techniques have been used to evaluate air traffic complexity by constructing a mapping from complexity related factors to air traffic complexity labels.However,the low quality of complexity labels,which is named as label noise,has often been neglected and caused unsatisfactory performance in air traffic complexity evaluation.This paper aims at label noise in air traffic complexity samples,and proposes a confident learning and XGBoost-based approach to evaluate air traffic complexity under label noise.The confident learning process is applied to filter out noisy samples with various label probability distributions,and XGBoost is used to train a robust and high-performance air traffic complexity evaluation model on the different label noise filtered ratio datasets.Experiments are carried out on a real dataset from the Guangzhou airspace sector in China,and the results prove that the appropriate label noise removal strategy and XGBoost algorithm can effectively mitigate the label noise problem and achieve better performance in air traffic complexity evaluation.

Official Confident of Eastern China Province's Foreign Trade

Customs statistics show the foreign tradevolume of eastern China’s Zhejiang Provincein 1998 amounted to US$14.85 billion,anannual increase of 4.3 percent.The exportswas US$10.8 billion,up 7.7 percent from1997;the imports ranked the fourth in thenation.This was hard won in the difficultiescaused by the Asian financial crisis.

Confident Outlook

China’s NPC and CPPCC sessions promote democracy in action and an economy that continues to drive global growth Disregar Ding the cold weather high up in the mountains of Xide County in southwest China’s Sichuan Province,Pan Chengying trekked for half a day to reach

Analysis of the Reform of Ideological and Political Education in College English Curriculum from the Perspective of“Cultural Confidence”

With the rapid development of the education industry,higher requirements have been put forward for college English education and teaching,accelerating the pace of college English reform.Issues such as how to integrate knowledge transmission,language expression skill improvement,cultural element extraction,and ideological and political education,and present the role of curriculum education function have attracted attention.In the era of informatization,college students’thinking has undergone certain changes and gradually developed towards diversification.Therefore,universities should start from the perspective of cultural confidence,extract valuable ideological and political elements,and explore effective tourism ideological and political teaching methods.While helping college students enhance their cultural confidence,it is also beneficial for them to better inherit traditional Chinese culture.This article conducts an in-depth exploration of ideological and political education in college English courses from the perspective of“cultural confidence”and uses scientific and effective measures to solve the problems encountered,aiming to provide valuable guidelines for relevant researchers.

European Businesses Remain Confident about China

On June 30th, 2009, the European Union Chamber of Commerce in China launches its sixth annual European Chamber Business Confidence Survey, which is published in partnership with Roland Berger Strategy Consultants.

Reachability-Based Confidence-Aware Probabilistic Collision Detection in Highway Driving

Risk assessment is a crucial component of collision warning and avoidance systems for intelligent vehicles.Reachability-based formal approaches have been developed to ensure driving safety to accurately detect potential vehicle collisions.However,they suffer from over-conservatism,potentially resulting in false–positive risk events in complicated real-world applications.In this paper,we combine two reachability analysis techniques,a backward reachable set(BRS)and a stochastic forward reachable set(FRS),and propose an integrated probabilistic collision–detection framework for highway driving.Within this framework,we can first use a BRS to formally check whether a two-vehicle interaction is safe;otherwise,a prediction-based stochastic FRS is employed to estimate the collision probability at each future time step.Thus,the framework can not only identify non-risky events with guaranteed safety but also provide accurate collision risk estimation in safety-critical events.To construct the stochastic FRS,we develop a neural network-based acceleration model for surrounding vehicles and further incorporate a confidence-aware dynamic belief to improve the prediction accuracy.Extensive experiments were conducted to validate the performance of the acceleration prediction model based on naturalistic highway driving data.The efficiency and effectiveness of the framework with infused confidence beliefs were tested in both naturalistic and simulated highway scenarios.The proposed risk assessment framework is promising for real-world applications.

China Continues to Bring Confidence to Global Economy Recovery

Looking forward to 2024,what opportunities and challenges will global development face?In particular,how can the global economy get rid of the“sequelae”of the pandemic?At the 170th“Monthly Talk on the Economy”held recently by the China Center for International Economic Exchange,experts analyzed the world’s economy since the outbreak of COVID-19,and made clear the context of and provided suggestions for global development in 2024.

Low-Carbon Dispatch of an Integrated Energy System Considering Confidence Intervals for Renewable Energy Generation

Addressing the insufficiency in down-regulation leeway within integrated energy systems stemming from the erratic and volatile nature of wind and solar renewable energy generation,this study focuses on formulating a coordinated strategy involving the carbon capture unit of the integrated energy system and the resources on the load storage side.A scheduling model is devised that takes into account the confidence interval associated with renewable energy generation,with the overarching goal of optimizing the system for low-carbon operation.To begin with,an in-depth analysis is conducted on the temporal energy-shifting attributes and the low-carbon modulation mechanisms exhibited by the source-side carbon capture power plant within the context of integrated and adaptable operational paradigms.Drawing from this analysis,a model is devised to represent the adjustable resources on the charge-storage side,predicated on the principles of electro-thermal coupling within the energy system.Subsequently,the dissimilarities in the confidence intervals of renewable energy generation are considered,leading to the proposition of a flexible upper threshold for the confidence interval.Building on this,a low-carbon dispatch model is established for the integrated energy system,factoring in the margin allowed by the adjustable resources.In the final phase,a simulation is performed on a regional electric heating integrated energy system.This simulation seeks to assess the impact of source-load-storage coordination on the system’s low-carbon operation across various scenarios of reduction margin reserves.The findings underscore that the proactive scheduling model incorporating confidence interval considerations for reduction margin reserves effectively mitigates the uncertainties tied to renewable energy generation.Through harmonized orchestration of source,load,and storage elements,it expands the utilization scope for renewable energy,safeguards the economic efficiency of system operations under low-carbon emission conditions,and empirically validates the soundness and efficacy of the proposed approach.

Zhao Qizheng: I'm Fully Confident of China's Human Rights Conditions in Future

Following is a summary of an interview given by Zhao Qizheng, director-general of the State Council Information Office (SCIO), to mark the launching of this magazine. In the interview, Zhao elaborated on the current human rights conditions in China and their developments, why there are differences between the East and West regarding human rights, and China's stand on the issue.

Ministry of Commerce:Full of confidence,clear direction,strong motivation

On March 12,the official account of the International Business Daily of the Ministry of Commerce published an article titled“Foreign trade enterprises:full of confidence,clear direction,strong motivation”.The content is as follows:This year,China is still facing a tough foreign trade situation.On the one hand,many international organizations predict that global economic growth in 2024 will still be lower than the historical average and the pressure on external demand will increase;on the other hand,trade protectionism and unilateralism are on the rise,geopolitical conflicts,the global“super election year”and other spillover factors have created many uncertainties.

中华民族现代文明:理论内涵、时代要求与世界意义

建设中华民族现代文明谱写了全面推进强国建设、民族复兴的新篇章,“新”就新在它既是一个新概念、一种新问题,也代表着一种新思维,彰显了习近平总书记对文化建设的深入思考。中华民族现代文明作为中国式现代化的文明成果,是党的百年文化建设的宏阔升华,它厚植于中华文明与马克思主义融通结合的沃土,体现了对全人类共同价值的时代追寻。习近平文化思想为建设中华民族现代文明提供根本的理论指引、思想指引、精神指引和使命指引。建设中华民族现代文明,是对时代问题的积极回应,必须坚定文化自信、深化文明互鉴、推进文化传播,推动中华文明焕发时代荣光。

基层党建赋能高校外语教师文化自信的实现路径

我国高校在基层党建工作中旗帜鲜明地回答了新时代高校应该“培养什么样的人”“为谁培养人”和“怎样培养人”这一关键性问题,并切实落实了坚定“文化自信”的重要指示。高校外语教师作为中西语言和文化的教育者和研究者在文化自信的守护和传播中起到至关重要的作用。针对“中国文化失语症”现象,高校外语教师应通过丰富党建活动、提高课程思政教学能力、树立不断学习的理念等方式,提升自身的文化自信认识,并引导教育学生进一步增强文化自信,深化民族文化认同感,肩负中华民族伟大复兴光荣使命。

PMMA和Confidence高粘度骨水泥在老年胸腰椎骨折椎体成形术中的应用效果对比分析

目的比较PMMA和Confidence高粘度骨水泥在老年胸腰椎骨折椎体成形术中的应用效果。方法选取2014年12月~2016年5月我院收治的116例老年胸腰椎骨折行椎体成形术患者,按照随机数字表法将患者分为研究组和对照组,每组58例。研究组使用Confidence高粘度骨水泥填充,对照组使用PMMA骨水泥填充。比较两组手术时间、术中出血量、住院时间、手术前后VAS评分、生活质量水平、椎体前缘高度及Cobb角的差异。结果研究组手术时间、术中出血量、住院时间分别为（73.36±14.83）min、（25.82±6.15）ml、（6.82±2.17）d,与对照组的（78.12±15.19）min、（28.10±6.39）ml、（7.08±2.09）d比较均无显著差异（P〉0.05）。术前,两组VAS评分比较无统计学差异（P〉0.05）。术后3 d、术后10 d、术后30 d,研究组VAS评分分别为（3.06±0.53）分、（1.87±0.42）分、（1.04±0.25）分,均显著低于对照组的（3.56±0.57）分、（2.33±0.51）分、（1.80±0.31）分（P〈0.05）。研究组手术后SF-36各维度评分均较对照组的为优（P〈0.05）;两组椎体前缘高度及Cobb角比较无显著差异（P〉0.05）。结论 Confidence高粘度骨水泥用于老年胸腰椎骨折椎体成形术效果好,在减轻疼痛和提高生活质量方面比PMMA骨水泥更优,二者在改善椎体前缘高度及Cobb角方面效果相当。

基于All-confidence的正负关联分类

针对分类中如何有效利用负关联模式提高分类准确率,提出了一种基于正负关联模式的分类算法.利用类Apriori算法挖掘包含正项或/和负项且项与项之间互相关联的正负关联模式来产生分类规则.为提高挖掘效率,先找出能覆盖训练集的信息熵最小k个正/负项.然后,把这k个正/负项分别与其他项进行连接得到相应的正负关联模式.实验表明,该算法有效减少了挖掘的规则数,极大减少了挖掘时间,并提高了分类准确率.

On the Confidence Limits of Bernoulli Parameter in Any Sequential Case

Let x 1,x 2,… be independent identically distributed (i.i.d.) random variables, in which x n=0 or 1 and the probability of ｛x n=1｝ is p. Here p is unknown. Let τ be any finite stopping time for (x n,n1). For any sequential sample (x 1,x 2,…,x τ ) and γ∈(0,1), we have given an optimal confidence limit of p with confidence level γ . Some related problems are also discussed.