Intensive care environment: Perspective of relatives of critically ill patient sustained by health technology

The intensive care unit(ICU)is a complex setting by nature,and some have described it as bizarre due to its numerous sirens that sound when anything is dangerous,constant activity,equipment,bright lights,and high fatality rate.The demands placed on nurses to care for critically ill patients in this environment frequently prevent nurses and other health‑care professionals from acknowledging the feelings of patient’s relatives or family caregivers,resulting in a hostile environment from the patient’s relative’s perspective.When a patient’s family enters the ICU,they feel that hospital administrators do little to nothing to alleviate their discomfort and fear.Despite research demonstrating the importance of providing a homely environment for patients’families,In Nigeria ICU is still far behind how a conventional ICU environment should be structured to accommodate patient’s relations in the unit.The goal of this study was to look at the patient’s relative’s perspective on providing care for a critically ill patient in an ICU,with a focus on the unit’s complexity and overall experience.Based on the findings of this study,we recommend that hospital administrators ensure that the environment of the upcoming ICU is designed to meet the needs of patient’s relatives by addressing identified environmental concerns,like caring neglect,by providing a friendly and stress‑free environment.

Outcomes and patients' perspectives of transition from paediatric to adult care in inflammatory bowel disease

AIM: To describe the disease and psychosocialoutcomes of an inflammatory bowel disease(IBD) transition cohort and their perspectives.METHODS: Patients with IBD, aged > 18 years, who had moved from paediatric to adult care within 10 years were identified through IBD databases at three tertiary hospitals. Participants were surveyed regarding demographic and disease specific data and their perspectives on the transition process. Survey response data were compared to contemporaneously recorded information in paediatric service case notes. Data were compared to a similar age cohort who had never received paediatric IBD care and therefore who had not undergone a transition process. RESULTS: There were 81 returned surveys from 46 transition and 35 non-transition patients. No statistically significant differences were found in disease burden, disease outcomes or adult roles and responsibilities between cohorts. Despite a high prevalence of mood disturbance(35%), there was a very low usage(5%) of psychological services in both cohorts. In the transition cohort, knowledge of their transition plan was reported by only 25/46 patients and the majority(54%) felt they were not strongly prepared. A high rate(78%) of discussion about work/study plans was recorded prior to transition, but a near complete absence of discussion regarding sex(8%), and other adult issues was recorded. Both cohorts agreed that their preferred method of future transition practices(of the options offered) was a shared clinic appointment with all key stakeholders. CONCLUSION: Transition did not appear to adversely affect disease or psychosocial outcomes. Current transition care processes could be optimised, with better psychosocial preparation and agreed transition plans.

Africa's Perspectives on China-Africa Relations and Forum on China-Africa Cooperation(FOCAC)

China is in Africa in a vigorous way,and doing business in several countries like Sudan,Congo DRC,Angola,South Africa,and Nigeria.In the short term,the relationship may appear to be mutually beneficial.This paper seeks to address the issue of Africa's perspectives on China-Africa Relations and the FOCAC and examine the concept of strategic partnerships,determine the state of China-Africa relations,examines FOCAC and draw conclusion as well as recommendation on possible ways and issues for future engageme...

Pediatric stricturing Crohn's disease

Crohn’s disease(CD)is a chronic inflammatory disease of the digestive tract.The incidence of pediatric CD is increasing and is currently 2.5-11.4 per 100000 world-wide.Notably,approximately 25%of children with CD develop stricturing CD(SCD)that requires intervention.Symptomatic stricturing diseases refractory to pharmacological management frequently require non-pharmacological interventions.Non-pharmacological therapeutic strategies include endoscopic balloon dilatation,stricturoplasty,and surgical resection of the strictured seg-ment.However,strictures tend to recur postoperatively regardless of treatment modality.The lifetime risk of surgery in patients with childhood SCD remains at 50%-90%.Thus,new and emerging strategies,advanced diagnostic tools,and minimally invasive approaches are under investigation to improve the outcomes and overall quality of life of pediatric patients with SCD.

The Dilemma and Way Out of China’s Participation in the Development of Marine Genetic Resources in ABNJ from the Perspective of BBNJ

The fifth intergovernmental negotiations on marine BBNJ(Biodiversity beyond Areas of National Jurisdiction)concluded in August 2022,in which there are still major differences regarding access to marine genetic resources,management,and technology transfer.China’s participation in the development of marine genetic resources in ABNJ(areas beyond national jurisdiction)has many dilemmas,which are linked to the difficulties faced in advancing the BBNJ negotiations.The following countermeasures are proposed at the institutional and practical levels respectively:clarifying the legal attributes and applicability of the principles of marine genetic resources;establishing mechanisms for access,management,environmental impact assessment and benefit sharing of marine genetic resources;and using the“Blue Partnership”to build a governance mechanism for marine genetic resources to achieve mutual benefits.

s×t-s+1阶Steiner三连系的构造方法

在阐明s×t-s+1阶Steiner三连系构造的基本思路的基础上,证明了关于s×t-s+1阶Steiner三连系的存在和构造方面的相关定理,同时介绍和分析了19阶Steiner三连系构造的全过程,及s×t-s+1阶Steiner三连系的计数问题。

13、15阶Steiner系统构造法

本文利用几何图形构造１３、１５阶三连组系，具有直观简明、易于操作的特点。

Perspective of World Economy and China's External Economic Environment

Owing to a series of impacts of the "9·11 terrorist attack," the accounting scandals of big companies, Iraq War and the SARS crisis in the past two years, the world economy that might have rebounded forcefully has been on a wavering process of slow recovery.

Glyco-sphingo biology: a novel perspective for potential new treatments in Huntington's disease

Huntington＇s disease （HD） is the most common dominantly inherited neurodegenerative disorder, mainly characterized by the progressive striatal and cortical neurodegeneration and as- sociated motor, cognitive and behavioural disturbances （Zuccato et al., 2010）. The disease-causing mutation is an expansion of a GAG trinucleotide repeat （〉 36 repeats） encoding a polygluta- mine stretch in the N-terminal region ofhuntingtin （Htt） （Zuc- cato et al., 2010）, a ubiquitous protein whose function is still unclear （Zuccato et al., 2010）. Expansion of the polyQ stretch endows mutant Htt （mHtt） with toxic properties, and results in the development of a broad array of undesirable effects in both neuronal and non-neuronal cells （Zuccato et al., 2010）. Among all cellular dysfunctions and biochemical imbalances classically associated with HD, perturbed metabolism of （glyco） sphingolipids appears to play a crucial role in the pathogenesis of the disease. Over the last years, we and other have extensively contributed to these findings （Desplats et al., 2007;

Experience of the patient's success in facing post-stroke urinary incontinence: the patient's perspective

Objective:Post-stroke urinary incontinence(UI)is one of the sequelae of stroke.This situation affects all aspects of the patient’s life–physically,psychologically,socially,and spiritually.This study aimed to investigate the experience of patients’success in facing a post-stroke UI.Methods:A qualitative study using the Rapid Assessment Procedure(RAP)approach was used in this study.Informants were selected using purposive sampling.In-depth interviews with as many as 8 patients who had recovered from post-stroke UI and living in the greater area of Southeast Sulawesi(Indonesia)were conducted.In-depth interviews were also conducted with 8 caregivers and 2 nurses.Data were analyzed using a thematic analysis approach and interpretation of data was based on Humanbecoming theory and Self-care deficit theory of nursing.Results:Five successful things the patients experienced during post-stroke UI were identified.The five successes were as follows:they provided information to get to know and understand post-stroke UI,followed the procedures to overcome post-stroke UI,conducted self-control exercises and stayed motivated,performed daily activities independently according to ability,and made use of family suppor t and peers’attention.Conclusions:These findings indicated that persistence,belief,independence,and social support(family and peer)made patients to successfully face their post-stroke UI and improved their quality of life.These findings also became the basis for developing a poststroke UI management model based on Humanbecoming theory and Self-care deficit theory of nursing.

Customer Retention: Behaviour Perspective Model of Ghanaian Telecommunication Industry Using Multinomial Regression Analysis

To stay competitive, the mobile telecommunication companies spend millions of Ghana cedi each year on building long-term relationships with their customers. Marketing managers are constantly challenged with the problem of where to channel the limited resources in order to retain existing customers. This study approaches the customer retention problem in the mobile phone sector from a behavioural perspective, applying the Behavioural Perspective Model as the main analytical framework and further exploits some other factors that influence customer retention. The model includes a set of pre-behaviour and post-behaviour factors to study consumer choice, and explains its relevant drivers in a viable and comprehensive way, grounded in radical behaviourism. Data for the analysis were collected from tertiary students from Accra and Takoradi. Data collected were analysed using the multinomial regression technique. Analysis of the data revealed that the Behaviour setting factor is the only significant element in Behaviour Perspective Model. Further exploitation of behaviour situation revealed that the number of networks a customer uses, previous experience of a customer and customer’s intention are significant factors in determining customer retention in Ghana’s mobile telecommunication industry.

＂Going Global＂ Strategies of Chinese Culture from the Audience＇ s Perspective

This paper revealed American students'interest in Chinese culture potentially due to China's recent development.Moreover,participants reported that understanding Chinese culture would broaden their perspective to include customs which were perceived as quite different from their own.Unsurprisingly,all of the participants were interested in superficial experiences with Chinese culture,like eating Chinese food.More than half of the participants indicated a desire to visit historical sites,such as the Great Wall and the Forbidden City.Half of the participants would like to travel in big cities such as Beijing and Shanghai,if they were to visit China.Not a few of Chinese descendants were eager to go to China for tracing roots.According to the results of the research,some"going global"strategies of Chinese culture were provided.The results may impact on Chinese culture's"going global"trend and offer support to the spread of Chinese culture.

Improving PetroChina's Company Value: a Corporate Governance Perspective

In China, the concept of corporate governance does not have a long history, and the implementation of corporate governance has been growing up with the process of China's enterprise reform especially the SOEs (state-owned enterprises) reform and economic growth. In the last two decades, China's enterprise reform has been the focus of economic reform and system reform, and the importance of corporate governance became clearly recognized among the join stock corporations which had undergone or are ongoing the corporatization progress.

Current Situation of China's Thermal Power Generation Equipment & Its Development Perspective

1. The present manufacturing situation of China’s thermal power generation equipment By the year 1995. development of China’s electric power industry has experienced a course of a hundred years. Over a period of the initial 50 years. China’s development of electric power was slow. At the time of 1949, the total installed capacity in China was 1,850 MW and the electricity generated was only 4.3 billion kWh. During the past 46 years after 1949, her

A Study on Teacher-Child Interaction from the Perspective of Children

Children’s perspective is based on their own cognitive level in understanding objective things.The study of children’s perspective is a bottom-up research process under the premise of having a full respect for a child’s view.With the change of views about children in recent years,“children’s perspective”has become a new research direction.At the same time,teacher-child interaction,as an important means of evaluating the quality of kindergarten education,requires a bottom-up perspective from children.This study hopes to understand children’s emotional experience in the process of teacher-child interaction as well as their understanding and evaluation of their own experience by exploring their perspectives on the interaction,so as to better improve the quality of teacher-child interaction in kindergarten.

战略视角下财务状况质量分析路径研究——以S企业为例

评价上市公司质量最直观的办法就是评价其财务状况质量,以往的财务状况质量评价方法是外来引入,对中国的上市公司来讲适配性较差,张新民等构建了基于中国情景的上市公司财务状况质量分析框架,从资本结构质量与资本引入战略、资产质量与资源配置战略、利润质量与战略实施效果、现金流量与战略支撑能力四个维度展开评价,分析上市公司的财务质量与战略管理实施效果[1]。S零食批发企业连续多年位列国内主流电商渠道零食类目销量前列,文章以S零食批发企业为例,基于该评价体系框架,从战略视角展开财务状况质量分析路径的研究,进一步了解该评价体系的优势与不足,以期为上市公司财务状况质量评价提供实务经验。

“研究生被退学”原因分析与应对策略

近年来,“研究生被退学”现象在我国高校中频繁出现,引发社会的广泛关注。该文从多元视角对“研究生被退学”的原因、影响以及应对策略进行深入剖析,旨在揭示这一现象背后的深层次问题,以期为我国研究生教育的改革与发展提供有益的参考和启示。

手性碳C^＊构型的R／S标记方法探讨

文章介绍了手性碳构型的四种R/S命名方法 :正反标记法、透视式正反结论法、左右手螺旋法以及左手轮轴法。经过实例证明这些方法适用面广 ,方便准确 ,易于掌握。