The criticality of transformers and reactors in the power transmission network and the paramount importance of ensuring their reliability through maintenance of the insulating oil is known. This paper presents a compr...The criticality of transformers and reactors in the power transmission network and the paramount importance of ensuring their reliability through maintenance of the insulating oil is known. This paper presents a comprehensive examination of the efficacy and economic viability of a dielectric oil regeneration system, as implemented by the Transmission System Maintenance Department (TSMD) of the Independent Power Transmission Operator (IPTO), Greece’s sole transmission operator. Through a detailed chemical analysis and performance evaluation, we assess the impact of the regeneration system on treated insulating oil quality over multiple cycles. The study reveals that the electrical properties of the insulating oil are fully restored after regeneration, negating the need to fully replace it, while the investment becomes cost-neutral within weeks from the commissioning of the regeneration system. This economic analysis, coupled with the system’s environmental benefits of reducing waste oil generation, positions the dielectric oil regeneration system as a compelling solution for the maintenance of power transmission assets.展开更多
In a local context, sustainable development entails utilizing the current resources—material and immaterial, measurable and immeasurable, popular and unpopular—of the community in a manner that avoids overexploitati...In a local context, sustainable development entails utilizing the current resources—material and immaterial, measurable and immeasurable, popular and unpopular—of the community in a manner that avoids overexploitation and ensures intergenerational equity. This approach prioritizes the safety and health of local citizens, placing communal productivity above corporate profitability. This research aims to assess air quality surrounding 28 chemical industry sites in Baton Rouge, Louisiana, to understand the environmental and health impacts of industrial pollutants, with a focus on environmental justice. Air quality pollutants, including PM2.5, PM10, O3, NO2, CO, and SO2, were monitored for 75 days during the Summer, using the BreezoMeter app. Python, Mapize, and QGIS software technologies were utilized for data analysis and visualization. Findings indicate a reduction in NO2 and CO levels, compared to existing literature. However, the persistent challenge of particulate matter suggests areas for further environmental management efforts. Additionally, the research suggests a significant disparity in air pollution exposure, probably affecting marginalized communities. Although the nature of the study might not fully capture annual pollution trends, the findings highlight the urgent need for the chemical industry to adopt efficient production methods and for policymakers to enhance air quality standards and enforcement, particularly in pollution-sensitive areas. The disproportionate impact of air pollution on vulnerable communities calls for a more inclusive approach to environmental justice, ensuring equitable distribution of clean air benefits and community involvement in pollution management decisions.展开更多
An energy production system consisting of a solar collector, biogas dry reforming reactor and solid oxide fuel cell (SOFC) was assumed to be installed in Kolkata, India. This study aims to understand the impact of cli...An energy production system consisting of a solar collector, biogas dry reforming reactor and solid oxide fuel cell (SOFC) was assumed to be installed in Kolkata, India. This study aims to understand the impact of climate conditions on the performance of solar collectors with different lengths of parabolic trough solar collector (dx) and mass flow rate of heat transfer fluid (m). In addition, this study has evaluated the amount of H2 produced by biogas dry reforming (GH2), the amount of power generated by SOFC (PSOFC) and the maximum number of possible households (N) whose electricity demand could be met by the energy system proposed, considering the performance of solar collector with the different dx and m. As a result, the optimum dx was found to be 4 m. This study revealed that the temperature of heat transfer fluid (Tfb) decreased with the increase in m. Tfb in March, April and May was higher than that in other months, while Tfb from June to December was the lowest. GH2, PSOFC and N in March, April and May were higher than those in other months, irrespective of m. The optimum m was 0.030 kg/s.展开更多
In the contemporary digital age,traditional reading habits have been compromised by digital media,a situation that has forced academic libraries to adopt proactive marketing approaches to promote reading among student...In the contemporary digital age,traditional reading habits have been compromised by digital media,a situation that has forced academic libraries to adopt proactive marketing approaches to promote reading among students and faculty.This article investigates the implementation of marketing strategies in promoting reading activities within academic libraries,taking the University of Shanghai for Science and Technology as a case study.The paper explores various marketing strategies employed by academic libraries,including market segmentation,utilization of new media platforms,and the creation of personalized content for readers.Drawing from an extensive literature review and real-world examples,the study establishes a framework for marketing reading promotion activities tailored to academic libraries.These findings underscore how effective marketing strategies can enhance user participation,expand library influence,and optimize resource utilization.展开更多
Irbesartan-hydrochlorothiazide is a commonly used antihypertensive drug,but potential adverse reactions such as hypokalemia should not be overlooked.This study analyzes a case of hypokalemia induced by irbesartan-hydr...Irbesartan-hydrochlorothiazide is a commonly used antihypertensive drug,but potential adverse reactions such as hypokalemia should not be overlooked.This study analyzes a case of hypokalemia induced by irbesartan-hydrochlorothiazide,exploring the drug’s association with hypokalemia and clinical treatment strategies.The patient experienced symptoms of muscle weakness and palpitations after taking irbesartan-hydrochlorothiazide and was diagnosed with hypokalemia through laboratory tests.Reviewing the patient’s medication history and disease progression,it was hypothesized that the drug’s potassium-wasting effect was the direct cause of the hypokalemia.After discontinuing the medication and initiating potassium supplementation,the patient’s potassium levels returned to normal,and symptoms significantly improved,further confirming the link between hypokalemia and the medication.This case suggests that clinicians should consider the risk of hypokalemia when treating hypertension,especially in patients with chronic kidney disease,the elderly,or those at risk for electrolyte disturbances.For patients who have already developed hypokalemia,potassium supplementation and adjustment of the treatment regimen are recommended to prevent further deterioration.Timely discontinuation of potential causative drugs is also advised.In summary,ensuring medication safety and preventing potential complications has significant clinical importance in recognizing and managing hypokalemia induced by irbesartan-hydrochlorothiazide.Future research should focus on optimizing treatment protocols and developing more effective strategies for preventing and managing related adverse reactions to improve patient quality of life.展开更多
Introduction: Nursing ethical sensitivity refers to a nurse’s capacity for thoughtful consideration of ethical issues when faced with dilemmas. In the nursing domain, ethical dilemmas arise when nurses face challenge...Introduction: Nursing ethical sensitivity refers to a nurse’s capacity for thoughtful consideration of ethical issues when faced with dilemmas. In the nursing domain, ethical dilemmas arise when nurses face challenges in making sound ethical decisions during clinical practice. These challenges may stem from conflicts between personal values and professional responsibilities. Methodology: Articles downloaded from Pub Med, CNKI, and Google Scholar were reviewed. Results: After rigorous screening, a meticulous analysis was conducted, encompassing 10 articles and involving a substantial cohort of 2863 participants. Existing literature revealed variations in the ethical dilemmas faced by nurses across different departments. The ethical sensitivity of nurses also varies, with higher ethical sensitivity correlating with stronger empathetic abilities. Zhen et al. classified the causes of ethical dilemmas into four main categories: (1) Ethical dilemmas arising from personal reasons of nursing students;(2) Ethical dilemmas stemming from the actions of teachers;(3) Ethical dilemmas triggered by patients;(4) Ethical dilemmas resulting from miscellaneous reasons. Conclusion: According to literature findings, nursing ethical sensitivity was positively linked to the nurse’s ethical decision-making ability. A case study-oriented teaching program has proven effective in enhancing ethical sensitivity among nursing students.展开更多
Human living environment interacts with human behaviors.Environment to some degree determines human behaviors which in return reshape and sustain the dynamic environment.Taking Richard Jefferies' The Acorn Gathere...Human living environment interacts with human behaviors.Environment to some degree determines human behaviors which in return reshape and sustain the dynamic environment.Taking Richard Jefferies' The Acorn Gatherer as a case study,this paper makes an argument that the behaviors of the villagers in the story can be more adequately interpreted in view of the backward countryside environment,and the same is true with the author Richard Jefferies' non-interference in the omniscient third-person point of view in writing the story.It is Richard Jefferies' family environment that makes up his viewpoint of writing,reflecting his critical loving of the countryside,where lives boom and conventions are extremely followed.展开更多
Introduction: While approaching the aspect of learning disorders, particular attention is paid to verbal dyspraxia, a phenomenon that runs its course regularly over the last years. Verbal dyspraxia is inherent in the ...Introduction: While approaching the aspect of learning disorders, particular attention is paid to verbal dyspraxia, a phenomenon that runs its course regularly over the last years. Verbal dyspraxia is inherent in the person without mental disorders and accompanies them throughout the whole spectrum of life. Comorbidity is an added issue. Although dyspraxia is met in homogeneous groups, some common elements such as intelligence, difficulty regarding linguistic skills, low learning performance and low self-esteem are present. Purpose: The object is to research how dyspraxia is manifested and how it affects a 6-year-old boy as well as the possibility of promptly interfering and simplifying his everyday life. Method: In the current case study, Achenbach’s questionnaire was used, combined with the use of expressive vocabulary. Results: The results of the research were unveiled through experts’ references in coordinance with the conferences conducted. Conclusion: Winding up, dyspraxia is a learning disorder that exists within the person through their lifespan. Immediate diagnosis, combined with experts’ personalized intervention programs (and perhaps, a differentiated curriculum, where applicable) can guide the person to live up to the educational needs. Family’s role is to be supportive, intending to eliminate possible emotional strains.展开更多
The successful execution and management of Offshore Software Maintenance Outsourcing(OSMO)can be very beneficial for OSMO vendors and the OSMO client.Although a lot of research on software outsourcing is going on,most...The successful execution and management of Offshore Software Maintenance Outsourcing(OSMO)can be very beneficial for OSMO vendors and the OSMO client.Although a lot of research on software outsourcing is going on,most of the existing literature on offshore outsourcing deals with the outsourcing of software development only.Several frameworks have been developed focusing on guiding software systemmanagers concerning offshore software outsourcing.However,none of these studies delivered comprehensive guidelines for managing the whole process of OSMO.There is a considerable lack of research working on managing OSMO from a vendor’s perspective.Therefore,to find the best practices for managing an OSMO process,it is necessary to further investigate such complex and multifaceted phenomena from the vendor’s perspective.This study validated the preliminary OSMO process model via a case study research approach.The results showed that the OSMO process model is applicable in an industrial setting with few changes.The industrial data collected during the case study enabled this paper to extend the preliminary OSMO process model.The refined version of the OSMO processmodel has four major phases including(i)Project Assessment,(ii)SLA(iii)Execution,and(iv)Risk.展开更多
Air-tightness and energy consumption was measured in a one-family house built in 2009 and 2010.The air-tightness fulfilled the goals,which was set to 0.3 L/s·m^(2).The energy consumption was measured from the sta...Air-tightness and energy consumption was measured in a one-family house built in 2009 and 2010.The air-tightness fulfilled the goals,which was set to 0.3 L/s·m^(2).The energy consumption was measured from the start in May 2010.The figures in this report refer to measurements between May 2010 and October 2013 and are well below the authority demand of 55 kWh/m^(2)·year.展开更多
Due to the complexity of leadership and its variability across situations,it is suggested that research on leadership should focus on attempts to understand leadership in specific situations or roles,and develop local...Due to the complexity of leadership and its variability across situations,it is suggested that research on leadership should focus on attempts to understand leadership in specific situations or roles,and develop local knowledge about leadership in each situation or role.This paper validates the possibility and importance of building indigenous leadership theories from historical perspective.We demonstrated how to carry out research on indigenous Chinese leadership from a historical perspective by comparative case studies using historical data.Based on the principles of typicalness,representativeness,and comparativeness,we selected six counterparts of political elites in ancient China as comparative cases,which includes Guan Zhong&Shang Yang(organizational reformer),Liu Bang&Xiang Yu(entrepreneur),Li Shimin&Qin Shihuang(intergenerational transition successor),Zhuge Liang&Zeng Guofan(professional manager),Lu Su&Zhang Juzheng(mess-to-order maker),and Zuo Zongtang&Wang Anshi(national dream driver).The paper aims to develop indigenous leadership theory specific to Chinese mental states and culture.展开更多
The research reviewed the concept of family farm and analyzed family farm types including unified, facility rental-oriented, employment-oriented, circular and grain&oil based family farms, as well as corresponding de...The research reviewed the concept of family farm and analyzed family farm types including unified, facility rental-oriented, employment-oriented, circular and grain&oil based family farms, as well as corresponding demands in technology and policies. Based on the analysis, the research proposed countermeasures and suggestions. It is necessary to define the range and scale on family farm before giving policy supports. It is important to establish access system of industry and commerce capital to rural areas to guarantee the operators in need be benefited from national preferential policies. Meanwhile, new system on land transfer should be established to guarantee security system for family farm, improve socialized service system and promote government-built production facilities operated by farmers.展开更多
Unlike the traditional teaching which is instructor-oriented without students’ active participation,case study has changed the landscape and focused more on fostering students’ capability The teaching of Market Rese...Unlike the traditional teaching which is instructor-oriented without students’ active participation,case study has changed the landscape and focused more on fostering students’ capability The teaching of Market Research and Forecast(MRF) shall aim at training survey and research skills on the foundation of theories by setting up a system where knowledge and capability are perfectly integrated.Many conditions need to be fulfilled for a successful case study,such as certain situations, appropriate case materials,sufficient discussion time in class and encouraging students’ participation. Only by combining our teaching with the development of students’ capability can we improve the overall aualitv of the students and our teaching.展开更多
Language and culture evolve together, therefore, culture acquisition is a part of EFL acquisition. Teaching practice is based on theoretical understanding. For this reason, the author first seeks to explore the latest...Language and culture evolve together, therefore, culture acquisition is a part of EFL acquisition. Teaching practice is based on theoretical understanding. For this reason, the author first seeks to explore the latest definition of culture acquisition, then makes a survey of the case study method of teaching culture in EFL. Through the observation of three classes, the author attempts to prove its effect in culture acquisition of EFL education.展开更多
This study investigated the application and the effect of Group Investigation(GI) in the College English Program in a Chinese University. A qualitative case study method was used to understand the GI system used by Ch...This study investigated the application and the effect of Group Investigation(GI) in the College English Program in a Chinese University. A qualitative case study method was used to understand the GI system used by Chinese instructors as well as the achievements acquired and challenges met by the participants. Three instructors and fifteen second-year-undergraduates taking a course titled Sources of European Culture participated. Interviews, observations, and documents were used to collect the data. Data analysis showed Chinese instructors applied a GI technique similar to that discussed by Johnson and Johnson(1999); however, GI in the Chinese context demanded more effort from the teacher for designing tasks and provided help in modeling uses of English and in preparing visual, especially Power Point, presentations. Although participants used their mother tongue at some stages, their autonomy over English learning was activated, and horizons in the course content were broadened.展开更多
Background: Nasopharyngeal carcinoma(NPC) is a commonly diagnosed cancer in Southeast Asia. Many studies have examined the risk factors for NPC, yet the roles of some risk factors remain inconclusive. The purpose of t...Background: Nasopharyngeal carcinoma(NPC) is a commonly diagnosed cancer in Southeast Asia. Many studies have examined the risk factors for NPC, yet the roles of some risk factors remain inconclusive. The purpose of this study was to examine associations between modifiable lifestyle factors and the risk of NPC in the Singaporean population.Methods: We conducted a case–control study in Singapore with 300 patients and 310 controls who were recruited between 2008 and 2012. Each control was selected and individually matched to each patient based on sex, ethnicity, and age(±5 years). A total of 290 pairs of cases and controls were matched successfully. We examined lifestyle factors such as tobacco smoking, alcohol drinking, various salted and preserved food consumption, and weaning practices.Results: After adjusting for covariates, multivariate analysis showed that those participants who were current smokers and had ever smoked tobacco had a higher risk of NPC than participants who had never smoked, with odds ratios(ORs) of 4.50(95% confidence interval [CI] 2.58–7.86; P < 0.001) and 2.52(95% CI 1.54–4.12; P < 0.001), respectively. Those who consumed salted vegetables at least once a week also showed a significantly increased risk of NPC than those who never or rarely consumed salted vegetables, with an OR of 4.18(95% CI 1.69–10.38; P = 0.002).Conclusion: Smoking(currently and ever-smoked) and consuming salted vegetables once a week or more were lifestyle risk factors for NPC, and changes of these factors for the better may reduce the risk of NPC.展开更多
The geotechnical slope design of an open pit wall starts at the bench scale configuration.At this scale,the rock slope stability is governed primarily by the geological discontinuities within the rock mass and as a re...The geotechnical slope design of an open pit wall starts at the bench scale configuration.At this scale,the rock slope stability is governed primarily by the geological discontinuities within the rock mass and as a result,structurally-controlled failures(e.g.planar,wedge or toppling)are most likely to occur.The probabilistic approach offers a major advantage over the traditional deterministic method in that it accounts for the different degrees of variability and uncertainty often encountered in rock properties.This paper presents a bench slope stability assessment for an open pit mine in Peru using a probabilistic-based approach by coupling a kinematic analysis based on stereographic projection techniques followed by a kinetic analysis by means of the limit equilibrium method.Finally,these two probabilities are combined to provide an overall measure of the probability of failure(PoF)of the bench slope system.The case study is characterized by significant scatter in the geometrical and mechanical properties of the joints.Extensive surface mapping was conducted at 36 different sites following the ISRM suggested procedures.Several direct shear tests were carried out.It is shown that by combining field and laboratory measurements and engineering judgment,the probability density functions(PDF)of the discontinuity parameters can be obtained.These are then used in a Monte Carlo simulation process to compute both kinematic and kinetic probabilities of failure.The overall probability of failure aims to provide the design engineer with a tool to critically evaluate the bench performance from a geotechnical risk perspective and to provide a basis for future bench design optimization.展开更多
Based on a set of equations established by Duan et al. (1992, 1996) for a geofluid system H2O-CO2-CH4(-N2), a formula is obtained to calculate the heat changes. Combining the geological T-P conditions (geothermal grad...Based on a set of equations established by Duan et al. (1992, 1996) for a geofluid system H2O-CO2-CH4(-N2), a formula is obtained to calculate the heat changes. Combining the geological T-P conditions (geothermal gradients and lithostatic and hydrostatic pressures), the enthalpy of some typical geofluids is figured out. Then the principles of heat transfer of deep-derived supercritical fluids are discussed. The result shows that deep-derived geofluids can bring a large amount of thermal heat and release most heat to the shallow surroundings as they move up, because the molar enthalpies vary very greatly from the deep to shallow, increasing with the increases of T and P. Generally, more than tens of kilojoules heat per molar can be released. Furthermore, the molar enthalpy is affected by the compositions of the geofluids, and the molar enthalpy of CO2, CH4, or N2 is greater than that of H2O, being twice, more than twice, and about 140% of H2O, respectively. Finally, a case study is conducted by investigating a source rock sequence affected hydrothermally by magmatic fluids in the Huimin depression of Shengli Oilfield. The thermal heat calculated theoretically of the fluids related to a diabase intrusion is quite large, which can increase the temperature near the diabase to about 300℃, and that can, to some extent, account for the abnormal rise of the vitrinite reflectance, with the highest of about 3.8% (Ro).展开更多
Vitamin E,consisting of tocopherols and tocotrienols,serves as a lipid-soluble antioxidant in sweet corn kernels,providing nutrients to both plants and humans.Though the key genes involved in the vitamin E biosynthesi...Vitamin E,consisting of tocopherols and tocotrienols,serves as a lipid-soluble antioxidant in sweet corn kernels,providing nutrients to both plants and humans.Though the key genes involved in the vitamin E biosynthesis pathway have been identified in plants,the genetic architecture of vitamin E content in sweet corn kernels remains largely unclear.In the present study,an association panel of 204 inbred lines of sweet corn was constructed.Seven compounds of vitamin E were quantified in sweet corn kernels at 28 days after pollination.A total of 119 loci for vitamin E were identified using a genome-wide association study based on genotyping by sequencing,and a genetic network of vitamin E was constructed.Candidate genes identified were involved mainly in RNA regulation and protein metabolism.The known gene ZmVTE4,encodingγ-tocopherol methyltransferase,was significantly associated with four traits(α-tocopherol,α-tocotrienol,theα/γ-tocopherol ratio,and theα/γ-tocotrienol ratio).The effects of two causative markers on ZmVTE4 were validated by haplotype analysis.Finally,two elite cultivars(Yuetian 9 and Yuetian 22)with a 4.5-fold increase in the sum ofα-andγ-tocopherols were developed by marker-assisted selection,demonstrating the successful biofortification of sweet corn.Three genes(DAHPS,ADT2,and cmu2)involved in chorismate and tyrosine synthesis were significantly associated with theα/γ-tocotrienol ratio.These results shed light on the genetic architecture of vitamin E and may accelerate the nutritional improvement of sweet corn.展开更多
文摘The criticality of transformers and reactors in the power transmission network and the paramount importance of ensuring their reliability through maintenance of the insulating oil is known. This paper presents a comprehensive examination of the efficacy and economic viability of a dielectric oil regeneration system, as implemented by the Transmission System Maintenance Department (TSMD) of the Independent Power Transmission Operator (IPTO), Greece’s sole transmission operator. Through a detailed chemical analysis and performance evaluation, we assess the impact of the regeneration system on treated insulating oil quality over multiple cycles. The study reveals that the electrical properties of the insulating oil are fully restored after regeneration, negating the need to fully replace it, while the investment becomes cost-neutral within weeks from the commissioning of the regeneration system. This economic analysis, coupled with the system’s environmental benefits of reducing waste oil generation, positions the dielectric oil regeneration system as a compelling solution for the maintenance of power transmission assets.
文摘In a local context, sustainable development entails utilizing the current resources—material and immaterial, measurable and immeasurable, popular and unpopular—of the community in a manner that avoids overexploitation and ensures intergenerational equity. This approach prioritizes the safety and health of local citizens, placing communal productivity above corporate profitability. This research aims to assess air quality surrounding 28 chemical industry sites in Baton Rouge, Louisiana, to understand the environmental and health impacts of industrial pollutants, with a focus on environmental justice. Air quality pollutants, including PM2.5, PM10, O3, NO2, CO, and SO2, were monitored for 75 days during the Summer, using the BreezoMeter app. Python, Mapize, and QGIS software technologies were utilized for data analysis and visualization. Findings indicate a reduction in NO2 and CO levels, compared to existing literature. However, the persistent challenge of particulate matter suggests areas for further environmental management efforts. Additionally, the research suggests a significant disparity in air pollution exposure, probably affecting marginalized communities. Although the nature of the study might not fully capture annual pollution trends, the findings highlight the urgent need for the chemical industry to adopt efficient production methods and for policymakers to enhance air quality standards and enforcement, particularly in pollution-sensitive areas. The disproportionate impact of air pollution on vulnerable communities calls for a more inclusive approach to environmental justice, ensuring equitable distribution of clean air benefits and community involvement in pollution management decisions.
文摘An energy production system consisting of a solar collector, biogas dry reforming reactor and solid oxide fuel cell (SOFC) was assumed to be installed in Kolkata, India. This study aims to understand the impact of climate conditions on the performance of solar collectors with different lengths of parabolic trough solar collector (dx) and mass flow rate of heat transfer fluid (m). In addition, this study has evaluated the amount of H2 produced by biogas dry reforming (GH2), the amount of power generated by SOFC (PSOFC) and the maximum number of possible households (N) whose electricity demand could be met by the energy system proposed, considering the performance of solar collector with the different dx and m. As a result, the optimum dx was found to be 4 m. This study revealed that the temperature of heat transfer fluid (Tfb) decreased with the increase in m. Tfb in March, April and May was higher than that in other months, while Tfb from June to December was the lowest. GH2, PSOFC and N in March, April and May were higher than those in other months, irrespective of m. The optimum m was 0.030 kg/s.
文摘In the contemporary digital age,traditional reading habits have been compromised by digital media,a situation that has forced academic libraries to adopt proactive marketing approaches to promote reading among students and faculty.This article investigates the implementation of marketing strategies in promoting reading activities within academic libraries,taking the University of Shanghai for Science and Technology as a case study.The paper explores various marketing strategies employed by academic libraries,including market segmentation,utilization of new media platforms,and the creation of personalized content for readers.Drawing from an extensive literature review and real-world examples,the study establishes a framework for marketing reading promotion activities tailored to academic libraries.These findings underscore how effective marketing strategies can enhance user participation,expand library influence,and optimize resource utilization.
文摘Irbesartan-hydrochlorothiazide is a commonly used antihypertensive drug,but potential adverse reactions such as hypokalemia should not be overlooked.This study analyzes a case of hypokalemia induced by irbesartan-hydrochlorothiazide,exploring the drug’s association with hypokalemia and clinical treatment strategies.The patient experienced symptoms of muscle weakness and palpitations after taking irbesartan-hydrochlorothiazide and was diagnosed with hypokalemia through laboratory tests.Reviewing the patient’s medication history and disease progression,it was hypothesized that the drug’s potassium-wasting effect was the direct cause of the hypokalemia.After discontinuing the medication and initiating potassium supplementation,the patient’s potassium levels returned to normal,and symptoms significantly improved,further confirming the link between hypokalemia and the medication.This case suggests that clinicians should consider the risk of hypokalemia when treating hypertension,especially in patients with chronic kidney disease,the elderly,or those at risk for electrolyte disturbances.For patients who have already developed hypokalemia,potassium supplementation and adjustment of the treatment regimen are recommended to prevent further deterioration.Timely discontinuation of potential causative drugs is also advised.In summary,ensuring medication safety and preventing potential complications has significant clinical importance in recognizing and managing hypokalemia induced by irbesartan-hydrochlorothiazide.Future research should focus on optimizing treatment protocols and developing more effective strategies for preventing and managing related adverse reactions to improve patient quality of life.
文摘Introduction: Nursing ethical sensitivity refers to a nurse’s capacity for thoughtful consideration of ethical issues when faced with dilemmas. In the nursing domain, ethical dilemmas arise when nurses face challenges in making sound ethical decisions during clinical practice. These challenges may stem from conflicts between personal values and professional responsibilities. Methodology: Articles downloaded from Pub Med, CNKI, and Google Scholar were reviewed. Results: After rigorous screening, a meticulous analysis was conducted, encompassing 10 articles and involving a substantial cohort of 2863 participants. Existing literature revealed variations in the ethical dilemmas faced by nurses across different departments. The ethical sensitivity of nurses also varies, with higher ethical sensitivity correlating with stronger empathetic abilities. Zhen et al. classified the causes of ethical dilemmas into four main categories: (1) Ethical dilemmas arising from personal reasons of nursing students;(2) Ethical dilemmas stemming from the actions of teachers;(3) Ethical dilemmas triggered by patients;(4) Ethical dilemmas resulting from miscellaneous reasons. Conclusion: According to literature findings, nursing ethical sensitivity was positively linked to the nurse’s ethical decision-making ability. A case study-oriented teaching program has proven effective in enhancing ethical sensitivity among nursing students.
文摘Human living environment interacts with human behaviors.Environment to some degree determines human behaviors which in return reshape and sustain the dynamic environment.Taking Richard Jefferies' The Acorn Gatherer as a case study,this paper makes an argument that the behaviors of the villagers in the story can be more adequately interpreted in view of the backward countryside environment,and the same is true with the author Richard Jefferies' non-interference in the omniscient third-person point of view in writing the story.It is Richard Jefferies' family environment that makes up his viewpoint of writing,reflecting his critical loving of the countryside,where lives boom and conventions are extremely followed.
文摘Introduction: While approaching the aspect of learning disorders, particular attention is paid to verbal dyspraxia, a phenomenon that runs its course regularly over the last years. Verbal dyspraxia is inherent in the person without mental disorders and accompanies them throughout the whole spectrum of life. Comorbidity is an added issue. Although dyspraxia is met in homogeneous groups, some common elements such as intelligence, difficulty regarding linguistic skills, low learning performance and low self-esteem are present. Purpose: The object is to research how dyspraxia is manifested and how it affects a 6-year-old boy as well as the possibility of promptly interfering and simplifying his everyday life. Method: In the current case study, Achenbach’s questionnaire was used, combined with the use of expressive vocabulary. Results: The results of the research were unveiled through experts’ references in coordinance with the conferences conducted. Conclusion: Winding up, dyspraxia is a learning disorder that exists within the person through their lifespan. Immediate diagnosis, combined with experts’ personalized intervention programs (and perhaps, a differentiated curriculum, where applicable) can guide the person to live up to the educational needs. Family’s role is to be supportive, intending to eliminate possible emotional strains.
基金This research is fully funded byUniversiti Malaysia Terengganu under the research Grant(PGRG).
文摘The successful execution and management of Offshore Software Maintenance Outsourcing(OSMO)can be very beneficial for OSMO vendors and the OSMO client.Although a lot of research on software outsourcing is going on,most of the existing literature on offshore outsourcing deals with the outsourcing of software development only.Several frameworks have been developed focusing on guiding software systemmanagers concerning offshore software outsourcing.However,none of these studies delivered comprehensive guidelines for managing the whole process of OSMO.There is a considerable lack of research working on managing OSMO from a vendor’s perspective.Therefore,to find the best practices for managing an OSMO process,it is necessary to further investigate such complex and multifaceted phenomena from the vendor’s perspective.This study validated the preliminary OSMO process model via a case study research approach.The results showed that the OSMO process model is applicable in an industrial setting with few changes.The industrial data collected during the case study enabled this paper to extend the preliminary OSMO process model.The refined version of the OSMO processmodel has four major phases including(i)Project Assessment,(ii)SLA(iii)Execution,and(iv)Risk.
文摘Air-tightness and energy consumption was measured in a one-family house built in 2009 and 2010.The air-tightness fulfilled the goals,which was set to 0.3 L/s·m^(2).The energy consumption was measured from the start in May 2010.The figures in this report refer to measurements between May 2010 and October 2013 and are well below the authority demand of 55 kWh/m^(2)·year.
文摘Due to the complexity of leadership and its variability across situations,it is suggested that research on leadership should focus on attempts to understand leadership in specific situations or roles,and develop local knowledge about leadership in each situation or role.This paper validates the possibility and importance of building indigenous leadership theories from historical perspective.We demonstrated how to carry out research on indigenous Chinese leadership from a historical perspective by comparative case studies using historical data.Based on the principles of typicalness,representativeness,and comparativeness,we selected six counterparts of political elites in ancient China as comparative cases,which includes Guan Zhong&Shang Yang(organizational reformer),Liu Bang&Xiang Yu(entrepreneur),Li Shimin&Qin Shihuang(intergenerational transition successor),Zhuge Liang&Zeng Guofan(professional manager),Lu Su&Zhang Juzheng(mess-to-order maker),and Zuo Zongtang&Wang Anshi(national dream driver).The paper aims to develop indigenous leadership theory specific to Chinese mental states and culture.
基金Supported by Jiangsu Agricultural Science and Technology Independent Innovation(CX(13)5016)Jiangsu Social Science Research Subject(13SQC-002)~~
文摘The research reviewed the concept of family farm and analyzed family farm types including unified, facility rental-oriented, employment-oriented, circular and grain&oil based family farms, as well as corresponding demands in technology and policies. Based on the analysis, the research proposed countermeasures and suggestions. It is necessary to define the range and scale on family farm before giving policy supports. It is important to establish access system of industry and commerce capital to rural areas to guarantee the operators in need be benefited from national preferential policies. Meanwhile, new system on land transfer should be established to guarantee security system for family farm, improve socialized service system and promote government-built production facilities operated by farmers.
文摘Unlike the traditional teaching which is instructor-oriented without students’ active participation,case study has changed the landscape and focused more on fostering students’ capability The teaching of Market Research and Forecast(MRF) shall aim at training survey and research skills on the foundation of theories by setting up a system where knowledge and capability are perfectly integrated.Many conditions need to be fulfilled for a successful case study,such as certain situations, appropriate case materials,sufficient discussion time in class and encouraging students’ participation. Only by combining our teaching with the development of students’ capability can we improve the overall aualitv of the students and our teaching.
文摘Language and culture evolve together, therefore, culture acquisition is a part of EFL acquisition. Teaching practice is based on theoretical understanding. For this reason, the author first seeks to explore the latest definition of culture acquisition, then makes a survey of the case study method of teaching culture in EFL. Through the observation of three classes, the author attempts to prove its effect in culture acquisition of EFL education.
基金supported by the 2013 Fundamental Re-search Funds for the Central Universities of Xi’an Jiaotong UniversityThe Subject of Shaanxi Province Educational Science Twelveth-Five-Year Plan
文摘This study investigated the application and the effect of Group Investigation(GI) in the College English Program in a Chinese University. A qualitative case study method was used to understand the GI system used by Chinese instructors as well as the achievements acquired and challenges met by the participants. Three instructors and fifteen second-year-undergraduates taking a course titled Sources of European Culture participated. Interviews, observations, and documents were used to collect the data. Data analysis showed Chinese instructors applied a GI technique similar to that discussed by Johnson and Johnson(1999); however, GI in the Chinese context demanded more effort from the teacher for designing tasks and provided help in modeling uses of English and in preparing visual, especially Power Point, presentations. Although participants used their mother tongue at some stages, their autonomy over English learning was activated, and horizons in the course content were broadened.
基金This study was funded by a grant from the National Cancer Centre Singapore Research Fund(CEFIA 08113-25260790-CREF-IARC)(Grant No.CEFIA08136).
文摘Background: Nasopharyngeal carcinoma(NPC) is a commonly diagnosed cancer in Southeast Asia. Many studies have examined the risk factors for NPC, yet the roles of some risk factors remain inconclusive. The purpose of this study was to examine associations between modifiable lifestyle factors and the risk of NPC in the Singaporean population.Methods: We conducted a case–control study in Singapore with 300 patients and 310 controls who were recruited between 2008 and 2012. Each control was selected and individually matched to each patient based on sex, ethnicity, and age(±5 years). A total of 290 pairs of cases and controls were matched successfully. We examined lifestyle factors such as tobacco smoking, alcohol drinking, various salted and preserved food consumption, and weaning practices.Results: After adjusting for covariates, multivariate analysis showed that those participants who were current smokers and had ever smoked tobacco had a higher risk of NPC than participants who had never smoked, with odds ratios(ORs) of 4.50(95% confidence interval [CI] 2.58–7.86; P < 0.001) and 2.52(95% CI 1.54–4.12; P < 0.001), respectively. Those who consumed salted vegetables at least once a week also showed a significantly increased risk of NPC than those who never or rarely consumed salted vegetables, with an OR of 4.18(95% CI 1.69–10.38; P = 0.002).Conclusion: Smoking(currently and ever-smoked) and consuming salted vegetables once a week or more were lifestyle risk factors for NPC, and changes of these factors for the better may reduce the risk of NPC.
基金supported by a scholarship from the Peruvian Institute of Mining Engineers
文摘The geotechnical slope design of an open pit wall starts at the bench scale configuration.At this scale,the rock slope stability is governed primarily by the geological discontinuities within the rock mass and as a result,structurally-controlled failures(e.g.planar,wedge or toppling)are most likely to occur.The probabilistic approach offers a major advantage over the traditional deterministic method in that it accounts for the different degrees of variability and uncertainty often encountered in rock properties.This paper presents a bench slope stability assessment for an open pit mine in Peru using a probabilistic-based approach by coupling a kinematic analysis based on stereographic projection techniques followed by a kinetic analysis by means of the limit equilibrium method.Finally,these two probabilities are combined to provide an overall measure of the probability of failure(PoF)of the bench slope system.The case study is characterized by significant scatter in the geometrical and mechanical properties of the joints.Extensive surface mapping was conducted at 36 different sites following the ISRM suggested procedures.Several direct shear tests were carried out.It is shown that by combining field and laboratory measurements and engineering judgment,the probability density functions(PDF)of the discontinuity parameters can be obtained.These are then used in a Monte Carlo simulation process to compute both kinematic and kinetic probabilities of failure.The overall probability of failure aims to provide the design engineer with a tool to critically evaluate the bench performance from a geotechnical risk perspective and to provide a basis for future bench design optimization.
基金supported by the Major State Basic Research Development Program of China(G1999043309)the National Natural Science Foundation of China grant 49973001.
文摘Based on a set of equations established by Duan et al. (1992, 1996) for a geofluid system H2O-CO2-CH4(-N2), a formula is obtained to calculate the heat changes. Combining the geological T-P conditions (geothermal gradients and lithostatic and hydrostatic pressures), the enthalpy of some typical geofluids is figured out. Then the principles of heat transfer of deep-derived supercritical fluids are discussed. The result shows that deep-derived geofluids can bring a large amount of thermal heat and release most heat to the shallow surroundings as they move up, because the molar enthalpies vary very greatly from the deep to shallow, increasing with the increases of T and P. Generally, more than tens of kilojoules heat per molar can be released. Furthermore, the molar enthalpy is affected by the compositions of the geofluids, and the molar enthalpy of CO2, CH4, or N2 is greater than that of H2O, being twice, more than twice, and about 140% of H2O, respectively. Finally, a case study is conducted by investigating a source rock sequence affected hydrothermally by magmatic fluids in the Huimin depression of Shengli Oilfield. The thermal heat calculated theoretically of the fluids related to a diabase intrusion is quite large, which can increase the temperature near the diabase to about 300℃, and that can, to some extent, account for the abnormal rise of the vitrinite reflectance, with the highest of about 3.8% (Ro).
基金the National Natural Science Foundation of China(31601309)Science and Technology Planning Project of Guangdong Province(2016B020233004,2015A020209063,2017B090907023)+2 种基金Science and Technology Planning Project of Guangzhou(201804020081)Agricultural Development and Rural Work Special Project-Modern Seed Industry Enhancement Project of Guangdong(201788)the Excellent PhD Program of Guangdong Academy of Agricultural Sciences(2017).
文摘Vitamin E,consisting of tocopherols and tocotrienols,serves as a lipid-soluble antioxidant in sweet corn kernels,providing nutrients to both plants and humans.Though the key genes involved in the vitamin E biosynthesis pathway have been identified in plants,the genetic architecture of vitamin E content in sweet corn kernels remains largely unclear.In the present study,an association panel of 204 inbred lines of sweet corn was constructed.Seven compounds of vitamin E were quantified in sweet corn kernels at 28 days after pollination.A total of 119 loci for vitamin E were identified using a genome-wide association study based on genotyping by sequencing,and a genetic network of vitamin E was constructed.Candidate genes identified were involved mainly in RNA regulation and protein metabolism.The known gene ZmVTE4,encodingγ-tocopherol methyltransferase,was significantly associated with four traits(α-tocopherol,α-tocotrienol,theα/γ-tocopherol ratio,and theα/γ-tocotrienol ratio).The effects of two causative markers on ZmVTE4 were validated by haplotype analysis.Finally,two elite cultivars(Yuetian 9 and Yuetian 22)with a 4.5-fold increase in the sum ofα-andγ-tocopherols were developed by marker-assisted selection,demonstrating the successful biofortification of sweet corn.Three genes(DAHPS,ADT2,and cmu2)involved in chorismate and tyrosine synthesis were significantly associated with theα/γ-tocotrienol ratio.These results shed light on the genetic architecture of vitamin E and may accelerate the nutritional improvement of sweet corn.