From November 26 to December 3,2023,Professor Wu Dong of the International Wushu Development Research Center of the China Wushu School,Beijing Sport University went to Tanzania and Mauritius to give lectures.During th...From November 26 to December 3,2023,Professor Wu Dong of the International Wushu Development Research Center of the China Wushu School,Beijing Sport University went to Tanzania and Mauritius to give lectures.During the 8-day China Story Taijiquan lecture series,the people of Tanzania and Mauritius have got close to Taijiquan,understood the mystery of Taijiquan and experienced its effects on health.展开更多
CHINA Promising Drone Industry China’s drone industry has experienced rapid development,with a massive surge in the number of newly registered unmanned aerial vehicles(UAVs)in H1 of 2024.
Prolonged exposure to coal dust may lead to various lung diseases, especially coal workers’ pneumoconiosis(CWP)[1]. Developed countries such as the United States experienced a resurgence of pneumoconiosis in the earl...Prolonged exposure to coal dust may lead to various lung diseases, especially coal workers’ pneumoconiosis(CWP)[1]. Developed countries such as the United States experienced a resurgence of pneumoconiosis in the early 20t h century[2], and this phenomenon has become even more critical in developing countries[3]such as China and India.展开更多
To explore the relationship between rear-end crash risk and its influencing factors, on-road experiments were conducted for measuring the individual vehicle trajectory data associated with novice and experienced drive...To explore the relationship between rear-end crash risk and its influencing factors, on-road experiments were conducted for measuring the individual vehicle trajectory data associated with novice and experienced drivers. The rear-end crash potential probability based on the time to collision was proposed to represent the interpretation of rear-end crash risk.One-way analysis of variance was applied to compare the rearend crash risks for novice and experienced drivers. The rearend crash risk models for novice and experienced drivers were respectively developed to identify the effects of contributing factors on the driver rear-end crash risk. Also, the cumulative residual method was used to examine the goodness-of-fit of models. The results show that there is a significant difference in rear-end risk between the novice and experienced drivers.For the novice drivers, three risk factors including the traffic volume, the number of lanes and gender are found to significantly impact on the rear-end crash risk, while significant impact factors for experienced drivers are the vehicle speed and traffic volume. The rear-end crash risk models perform well based on the existing limited data samples.展开更多
AIM: To clarify the effectiveness of CO2 insufflation in potentially difficult colonoscopy cases, particularly in relation to the experience level of colonoscopists. METHODS: One hundred twenty potentially difficult...AIM: To clarify the effectiveness of CO2 insufflation in potentially difficult colonoscopy cases, particularly in relation to the experience level of colonoscopists. METHODS: One hundred twenty potentially difficult cases were included in this study, which involved females with a low body mass index and patients with earlier abdominal and/or pelvic open surgery or previously diagnosed left-side colon diverticulosis. Patients receiving colonoscopy examinations without sedation using a pediatric variable-stiffness colonoscope were divided into two groups based on either CO2 or standard air insuffiation. Both insufflation procedures were also evaluated according to the experience level of the respective colonoscopists who were divided into an experienced colonoscopist (EC) group and a less experienced colonoscopist (LEC) group. Study measurements included a 100-mm visual analogue scale (VAS) for patient pain during and after colonoscopy examinations, in addition to insertion to the cecum and withdrawal times. RESULTS: Examination times did not differ, however, VAS scores in the CO2 group were significantly better than in the air group (P〈 0.001, two-way ANOVA) from immediately after the procedure and up to 2 h later. There were no significant differences between either insufflation method in the EC group (P = 0.29), however, VAS scores for CO2 insufflation were significantly better than air insufflation in the LEC group (P = 0.023) immediately after colonoscopies and up to 4 h afterwards. CONCLUSION: CO2 insufflation reduced patient pain after colonoscopy in potentially difficult cases when performed by LECs.展开更多
China has experienced dramatic changes in food consumption patterns over the last three decades. However, there are different opinions regarding the future trends in consumption. By adopting the well-developed partial...China has experienced dramatic changes in food consumption patterns over the last three decades. However, there are different opinions regarding the future trends in consumption. By adopting the well-developed partial equilibrium model-China Agricultural Policy Simulation Model(CAPSi M), the demand for livestock products and the main feed crops over 2011–2030 is predicted and analyzed. It is found that China's per capita consumption of livestock products will continue to rise during this period, even though its growth rate will slow down gradually. Meanwhile, the expansion of livestock production will pose great challenges for feed supply in China. More accurately, China will be confronted with feed security rather than grain security in the future.展开更多
The definition,characteristics and roles of experiencing rural tourism were discussed in this study,which confirmed the relationship between the development of experiencing rural tourism and the new socialist countrys...The definition,characteristics and roles of experiencing rural tourism were discussed in this study,which confirmed the relationship between the development of experiencing rural tourism and the new socialist countryside construction,and some development strategies were put forward.展开更多
Using the empirical recipe of Wang Pengfei (a very experienced TCM doctor) as the main treatment, the authors treated 80 children with peptic ulcer by means of promoting blood circulation, removing blood stasis as wel...Using the empirical recipe of Wang Pengfei (a very experienced TCM doctor) as the main treatment, the authors treated 80 children with peptic ulcer by means of promoting blood circulation, removing blood stasis as well as regulating the flow of qi, alleviating pain, tonify-ing the stomach and reinforcing the spleen. Measures for hemostasis, correction of anemia and other general treatment were also taken. After 8 weeks of treatment, a total effective rate of 92.5% was obtained.展开更多
The objective of this research was to assess the characteristics of seismic induced damage and the deformation patterns of pre-stressed cement-grouted cables that are used for rock slope stabilization projects subject...The objective of this research was to assess the characteristics of seismic induced damage and the deformation patterns of pre-stressed cement-grouted cables that are used for rock slope stabilization projects subjected to quasi-static cyclic loading.The experimental configuration includes the installation of 15 pre-stressed cables in a slope model made of concrete blocks(theoretically rigid rock mass) on top of a pre-existing sliding surface.The study showed that:(i) The pre-stressed cables exhibited great seismic performance.Rapid displacement of the model blocks was observed after the complete loss of the initial pre-stress load under continued applied cyclic loads and exceedance of the state of equilibrium,which implies the higher the initial pre-stress load,the better the seismic performance of the rock anchor;(ii) The failure of the pre-stressed cables was due to fracture at the connection of the tendons and cable heads under cyclic loading.The sequence of failure had a distinct pattern.Failure was first observed at the upper row of cables,which experienced the most severe damage,including the ejection of cable heads.No evidence of de-bonding was observed during the cyclic loading;(iii) The stress distribution of the bond length for pre-stressed cables was highly non-uniform.High stress concentrations were observed at both the fixed end and the free end of the bond length both before and immediately after the state of equilibrium is exceeded.The results obtained can be used to evaluate the overall performance of pre-stressed rock anchors subject to seismic loading and their potential as rockfall prevention and stabilization measures.展开更多
This study aimed to examine the clinical efficacy of minimally invasive percutaneous catheter drainage(PCD) versus open laparotomy with temporary closure in the treatment of abdominal compartment syndrome(ACS) in ...This study aimed to examine the clinical efficacy of minimally invasive percutaneous catheter drainage(PCD) versus open laparotomy with temporary closure in the treatment of abdominal compartment syndrome(ACS) in patients with early-stage severe acute pancreatitis(SAP). Clinical data of 212 patients who underwent PCD and 61 patients who were given open laparotomy with temporary closure in our hospital over the last 10-year period were retrospectively analyzed, and outcomes were compared, including total and post-decompression intensive care unit(ICU) and hospital stays, physiological data, organ dysfunction, complications, and mortality. The results showed that the organ dysfunction scores were similar between the PCD and open laparotomy groups 72 h after decompression. In the PCD group, 134 of 212(63.2%) patients required postoperative ICU support versus 60 of 61(98.4%) in the open laparotomy group(P〈0.001). Additionally, 87(41.0%) PCD patients experienced complications as compared to 49 of 61(80.3%) in the open laparotomy group(P〈0.001). There were 40(18.9%) and 32(52.5%) deaths, respectively, in the PCD and open laparotomy groups(P〈0.001). In conclusion, minimally invasive PCD is superior to open laparotomy with temporary closure, with fewer complications and deaths occurring in PCD group.展开更多
We describe an observational study of clinical, virologic and drug resistance profiles in HIV-positive antiretroviral adherent subjects with stable low level viremia (LLV) 50 - 1000 copies/mL for more than 12 months. ...We describe an observational study of clinical, virologic and drug resistance profiles in HIV-positive antiretroviral adherent subjects with stable low level viremia (LLV) 50 - 1000 copies/mL for more than 12 months. Subjects were followed from time of first detectable viral load (VL). In total, 102 episodes of LLV were detected among 80 individuals. The median (mean, range) HIV copy number at genotyping was 250 (486, - 3900) copies/mL after 14 (17.9, 0 - 58) months of LLV. Few patients maintained LLV for the entire 9 years period of observation, with half (52%) experiencing viremic progression following a stable period of LLV either spontaneously or after treatment interruption or failed regimen intensification. In the setting of prolonged periods of sustained LLV, mean duration 22 (range 8 - 106) months, drug resistance (DR) was almost universal. Resistance to ≥1 on-treatment drugs was defined in 97% of specimens and DR to all drugs in the treatment regimen in over half of all patients. Evolution of DR mutations during the period of LLV was observed in 20/28 (71%) subjects with specimens available for follow-up testing. This evolution was associated with viremic progression to levels >1000 copies/mL (p = 0.03). Our data suggest that DR present in patients with LLV is likely to impact long term clinical outcomes, highlighting the importance of optimizing techniques to detect the presence of drug resistant HIV in the setting of LLV and the need for larger prospective studies to assess the emergence of DR in the setting of sustained LLV and the impact of this DR on treatment outcomes.展开更多
Visiting the sauna regularly could reduce the risk of dementia,a new study has found.Scientists at the University of East Finland followed more than 2,000middle-aged men for 20 years to find out what factors influence...Visiting the sauna regularly could reduce the risk of dementia,a new study has found.Scientists at the University of East Finland followed more than 2,000middle-aged men for 20 years to find out what factors influenced how many developed cognitive^1 problems in later life.展开更多
Acupuncture at a single point is a spe-cial feature in the treatment of acute symp-toms for its simplicity and effectiveness.Theauthor experienced many cases of acuteepigastric pain treated with acupuncture at asingle...Acupuncture at a single point is a spe-cial feature in the treatment of acute symp-toms for its simplicity and effectiveness.Theauthor experienced many cases of acuteepigastric pain treated with acupuncture at asingle acupoint with satisfactory results.Pain in the elderly is most often of展开更多
The development of tropical karst in Guilin could be dated back to middle Triassic, i.e. up to 240 million years, and the incipient karst landform was formed from the middle Triassic to the early Jurassic, a period wi...The development of tropical karst in Guilin could be dated back to middle Triassic, i.e. up to 240 million years, and the incipient karst landform was formed from the middle Triassic to the early Jurassic, a period with intensive karstification. Later, the karst in the area has experienced three major periods, that is, the weak period from the middle Jurassic to the late Cretaceous; the intensive period in the Tertiary which was significant to the formation of the old Li River; and the third period lasts the Quaternary period which has completed the typical tropical karst landform. Some ideas about the effect of paleo lake water to the formation of the tropical karst and the ages of caves on different levels in Guilin have been put forward.展开更多
Cotton has been identified as a crop with promising potential in Namibia.As such,cotton variety evaluation trials have been conducted for yield,fiber qualities,resistance to diseases and pests。
Objectives To evaluate feasibility, safety and clinical significance of the modified method for trans-catheter closure of patent ductus arteriosus (PDA) with Amplatzer duct occluders. Methods Sixty children with PDA w...Objectives To evaluate feasibility, safety and clinical significance of the modified method for trans-catheter closure of patent ductus arteriosus (PDA) with Amplatzer duct occluders. Methods Sixty children with PDA were divided into 2 groups. Group A consisted of 27 children (12 males, 15 females, aged at 4.6±2.9 years), and group B 33 children (13 males, 20 females, aged at 4.9±3.3 years). The duct closure was completed with the modified method during initial phase in group A and after well-experienced phase in group B. All the technical procedures during PDA occluding including measurement展开更多
Over the past decade the world banking industry has grown significantly and this has led to increasing sophistication and complexity in its practices.The industry has been affected by changes in the way in which it is...Over the past decade the world banking industry has grown significantly and this has led to increasing sophistication and complexity in its practices.The industry has been affected by changes in the way in which it is regulated and supervised,by changes in the nature of its products,by the way in which individual bank manages its own affairs and controls its assets and by the way in which it accounts to the outside world for its activities.These changes have probably been of more significance than those experienced in any other industry over the past few years.Hong Kong which is one of the foremost financial centres of the world,has experienced all of these changes,probably to a greater extent than most other parts of the world.Hong Kong is one of the world’s major international banking centres and has a thriving domestic banking community.There is a need to review our banking practices and their accounting and auditing implications.The BCCI and BCCHK events happened in mid—1991 should trigger us to further reassess the role of auditor(both external and internal)in this ever changing and fast moving industry in co—operation with local authorities such as the Banking Commission,Department of Monetary Affairs and Security Commission.A number of investigations and articles on the role of bank auditors have been done and written,these include the study of challenges faced by bank auditors in today’s environment (Seidman,1987),the examination of the changing role of the bank audit committee(Haugh and Bradley,1987)and new risks faced by bank auditors (Clark,1987).In this paper,we will try to identify some of the common problems which might have caused the banking crisis.We will examine the role of auditor and try to establish the responsibilities of auditor when performing an audit task in a banking environment with the view to reducing the chance of the crisis happening again,if not eliminated completely.The regulatory body will still be the Banking Commission,while auditor will assume a supporting role in the banking monitoring and reguatory functions.展开更多
A number of prominent solution-focused brief therapists have expressed the view that, to its detriment, this school of therapy tends to downplay emotion. Accordingly, we contend that, given that emotion is a primal bi...A number of prominent solution-focused brief therapists have expressed the view that, to its detriment, this school of therapy tends to downplay emotion. Accordingly, we contend that, given that emotion is a primal binding force, the bonding component of the crucially important therapeutic alliance risks being compromised in the current practice of this approach. We further argue that the prioritization of the depiction of actions that accompany the emotion expressed by the client over the actual participation in this emotion by the therapist tends to superficialize therapeutic communication. This is especially likely to happen when the therapist lapses into a formulaic, action-soliciting interrogatory mode in response to the emotion expressed by the client. In addition, we claim that the incorporation of emotion- and body-based approaches into the solution-focused canon could remedy the affective lacuna referred to above. We note, however, that such a modification would most likely face stiff resistance from some of the gatekeepers of solution-faced therapy, in particular those who subscribe to the “surface-only” descriptive approach advocated by the philosopher Ludwig Wittgenstein. And yet, the effectiveness of depth-oriented therapies, such as sensorimotor psychotherapy and somatic experiencing, is supported by neurophysiological considerations. Finally, we suggest that these therapies, and even creativogenic elements of psychoanalysis, can actually synergize solution-focused brief therapy through the generation of affect-laden images, sensations and thoughts that lend themselves to the realization of outcomes desired by the client, which is the raison d’etre of solution-focused brief therapy. This paper pleads for the incorporation of the above-noted depth approaches into solution-focused brief therapy with a view to augmenting its effectiveness through a stronger therapeutic bond owing to an increased emotional engagement on the part of the therapist.展开更多
The philosopher Eugene Gendlin argues that a distinctive mode of reasoning, called experiencing, is necessary for working through personally salient problems such as are encountered in psychotherapy. We review support...The philosopher Eugene Gendlin argues that a distinctive mode of reasoning, called experiencing, is necessary for working through personally salient problems such as are encountered in psychotherapy. We review supporting empirical support. It is now possible to consider Gendlin’s ideas from a neurological perspective. Work directed at understanding the neurological underpinnings of consciousness and self-related processing, as well as comparative neuroanatomical work, are all consistent with and elucidated by Gendlin’s experiencing construct. We argue from this data that the human mind is composed of three interacting systems that are unique to or enhanced in humans compared to other primates. Two are dedicated to “hot and cold” cognition. The most important, least well-studied third system is dedicated to mediating between these forms of cognition. We outline how interactions between these systems define different forms of psychopathology and what they suggest about the structure of the human mind.展开更多
文摘From November 26 to December 3,2023,Professor Wu Dong of the International Wushu Development Research Center of the China Wushu School,Beijing Sport University went to Tanzania and Mauritius to give lectures.During the 8-day China Story Taijiquan lecture series,the people of Tanzania and Mauritius have got close to Taijiquan,understood the mystery of Taijiquan and experienced its effects on health.
文摘CHINA Promising Drone Industry China’s drone industry has experienced rapid development,with a massive surge in the number of newly registered unmanned aerial vehicles(UAVs)in H1 of 2024.
基金supported by the Chinese Academy of Medical Sciences (CAMS) Innovation Fund for Medical Sciences(CIFM)[no. 2016-12M-3-001]the China Medical Board “Strengthen Capacity of Study and Application on Burden of Disease in Health Care System of China–Establishment and Development of Chinese Burden of Disease Research and Dissemination Center”[no. 15-208]。
文摘Prolonged exposure to coal dust may lead to various lung diseases, especially coal workers’ pneumoconiosis(CWP)[1]. Developed countries such as the United States experienced a resurgence of pneumoconiosis in the early 20t h century[2], and this phenomenon has become even more critical in developing countries[3]such as China and India.
基金The National Natural Science Foundation of China(No.51478110)
文摘To explore the relationship between rear-end crash risk and its influencing factors, on-road experiments were conducted for measuring the individual vehicle trajectory data associated with novice and experienced drivers. The rear-end crash potential probability based on the time to collision was proposed to represent the interpretation of rear-end crash risk.One-way analysis of variance was applied to compare the rearend crash risks for novice and experienced drivers. The rearend crash risk models for novice and experienced drivers were respectively developed to identify the effects of contributing factors on the driver rear-end crash risk. Also, the cumulative residual method was used to examine the goodness-of-fit of models. The results show that there is a significant difference in rear-end risk between the novice and experienced drivers.For the novice drivers, three risk factors including the traffic volume, the number of lanes and gender are found to significantly impact on the rear-end crash risk, while significant impact factors for experienced drivers are the vehicle speed and traffic volume. The rear-end crash risk models perform well based on the existing limited data samples.
基金Supported by The Japanese Foundation for Research and Promotion of Endoscopy (JFE)
文摘AIM: To clarify the effectiveness of CO2 insufflation in potentially difficult colonoscopy cases, particularly in relation to the experience level of colonoscopists. METHODS: One hundred twenty potentially difficult cases were included in this study, which involved females with a low body mass index and patients with earlier abdominal and/or pelvic open surgery or previously diagnosed left-side colon diverticulosis. Patients receiving colonoscopy examinations without sedation using a pediatric variable-stiffness colonoscope were divided into two groups based on either CO2 or standard air insuffiation. Both insufflation procedures were also evaluated according to the experience level of the respective colonoscopists who were divided into an experienced colonoscopist (EC) group and a less experienced colonoscopist (LEC) group. Study measurements included a 100-mm visual analogue scale (VAS) for patient pain during and after colonoscopy examinations, in addition to insertion to the cecum and withdrawal times. RESULTS: Examination times did not differ, however, VAS scores in the CO2 group were significantly better than in the air group (P〈 0.001, two-way ANOVA) from immediately after the procedure and up to 2 h later. There were no significant differences between either insufflation method in the EC group (P = 0.29), however, VAS scores for CO2 insufflation were significantly better than air insufflation in the LEC group (P = 0.023) immediately after colonoscopies and up to 4 h afterwards. CONCLUSION: CO2 insufflation reduced patient pain after colonoscopy in potentially difficult cases when performed by LECs.
基金support from the National Natural Science Foundation of China(71373255)the Institute of Geographic Sciences and Natural Resources Research,Chinese Academy of Sciences(2012RC102)the National Maize Industrial Technical System,China(nycytx-02)
文摘China has experienced dramatic changes in food consumption patterns over the last three decades. However, there are different opinions regarding the future trends in consumption. By adopting the well-developed partial equilibrium model-China Agricultural Policy Simulation Model(CAPSi M), the demand for livestock products and the main feed crops over 2011–2030 is predicted and analyzed. It is found that China's per capita consumption of livestock products will continue to rise during this period, even though its growth rate will slow down gradually. Meanwhile, the expansion of livestock production will pose great challenges for feed supply in China. More accurately, China will be confronted with feed security rather than grain security in the future.
文摘The definition,characteristics and roles of experiencing rural tourism were discussed in this study,which confirmed the relationship between the development of experiencing rural tourism and the new socialist countryside construction,and some development strategies were put forward.
文摘Using the empirical recipe of Wang Pengfei (a very experienced TCM doctor) as the main treatment, the authors treated 80 children with peptic ulcer by means of promoting blood circulation, removing blood stasis as well as regulating the flow of qi, alleviating pain, tonify-ing the stomach and reinforcing the spleen. Measures for hemostasis, correction of anemia and other general treatment were also taken. After 8 weeks of treatment, a total effective rate of 92.5% was obtained.
基金financially supported by the National Basic Research Program of China (973 Program) (Grant No.2013CB733202)the National Natural Science Foundation of China (Grant No.41102191)+1 种基金the State Key Laboratory of Geohazard Prevention and Geoenvironment Protection (Chengdu University of Technology) (Grant No.SKLGP2011Z019)the National Natural Science Foundation of China (Grant No.11670589)
文摘The objective of this research was to assess the characteristics of seismic induced damage and the deformation patterns of pre-stressed cement-grouted cables that are used for rock slope stabilization projects subjected to quasi-static cyclic loading.The experimental configuration includes the installation of 15 pre-stressed cables in a slope model made of concrete blocks(theoretically rigid rock mass) on top of a pre-existing sliding surface.The study showed that:(i) The pre-stressed cables exhibited great seismic performance.Rapid displacement of the model blocks was observed after the complete loss of the initial pre-stress load under continued applied cyclic loads and exceedance of the state of equilibrium,which implies the higher the initial pre-stress load,the better the seismic performance of the rock anchor;(ii) The failure of the pre-stressed cables was due to fracture at the connection of the tendons and cable heads under cyclic loading.The sequence of failure had a distinct pattern.Failure was first observed at the upper row of cables,which experienced the most severe damage,including the ejection of cable heads.No evidence of de-bonding was observed during the cyclic loading;(iii) The stress distribution of the bond length for pre-stressed cables was highly non-uniform.High stress concentrations were observed at both the fixed end and the free end of the bond length both before and immediately after the state of equilibrium is exceeded.The results obtained can be used to evaluate the overall performance of pre-stressed rock anchors subject to seismic loading and their potential as rockfall prevention and stabilization measures.
文摘This study aimed to examine the clinical efficacy of minimally invasive percutaneous catheter drainage(PCD) versus open laparotomy with temporary closure in the treatment of abdominal compartment syndrome(ACS) in patients with early-stage severe acute pancreatitis(SAP). Clinical data of 212 patients who underwent PCD and 61 patients who were given open laparotomy with temporary closure in our hospital over the last 10-year period were retrospectively analyzed, and outcomes were compared, including total and post-decompression intensive care unit(ICU) and hospital stays, physiological data, organ dysfunction, complications, and mortality. The results showed that the organ dysfunction scores were similar between the PCD and open laparotomy groups 72 h after decompression. In the PCD group, 134 of 212(63.2%) patients required postoperative ICU support versus 60 of 61(98.4%) in the open laparotomy group(P〈0.001). Additionally, 87(41.0%) PCD patients experienced complications as compared to 49 of 61(80.3%) in the open laparotomy group(P〈0.001). There were 40(18.9%) and 32(52.5%) deaths, respectively, in the PCD and open laparotomy groups(P〈0.001). In conclusion, minimally invasive PCD is superior to open laparotomy with temporary closure, with fewer complications and deaths occurring in PCD group.
文摘We describe an observational study of clinical, virologic and drug resistance profiles in HIV-positive antiretroviral adherent subjects with stable low level viremia (LLV) 50 - 1000 copies/mL for more than 12 months. Subjects were followed from time of first detectable viral load (VL). In total, 102 episodes of LLV were detected among 80 individuals. The median (mean, range) HIV copy number at genotyping was 250 (486, - 3900) copies/mL after 14 (17.9, 0 - 58) months of LLV. Few patients maintained LLV for the entire 9 years period of observation, with half (52%) experiencing viremic progression following a stable period of LLV either spontaneously or after treatment interruption or failed regimen intensification. In the setting of prolonged periods of sustained LLV, mean duration 22 (range 8 - 106) months, drug resistance (DR) was almost universal. Resistance to ≥1 on-treatment drugs was defined in 97% of specimens and DR to all drugs in the treatment regimen in over half of all patients. Evolution of DR mutations during the period of LLV was observed in 20/28 (71%) subjects with specimens available for follow-up testing. This evolution was associated with viremic progression to levels >1000 copies/mL (p = 0.03). Our data suggest that DR present in patients with LLV is likely to impact long term clinical outcomes, highlighting the importance of optimizing techniques to detect the presence of drug resistant HIV in the setting of LLV and the need for larger prospective studies to assess the emergence of DR in the setting of sustained LLV and the impact of this DR on treatment outcomes.
文摘Visiting the sauna regularly could reduce the risk of dementia,a new study has found.Scientists at the University of East Finland followed more than 2,000middle-aged men for 20 years to find out what factors influenced how many developed cognitive^1 problems in later life.
文摘Acupuncture at a single point is a spe-cial feature in the treatment of acute symp-toms for its simplicity and effectiveness.Theauthor experienced many cases of acuteepigastric pain treated with acupuncture at asingle acupoint with satisfactory results.Pain in the elderly is most often of
文摘The development of tropical karst in Guilin could be dated back to middle Triassic, i.e. up to 240 million years, and the incipient karst landform was formed from the middle Triassic to the early Jurassic, a period with intensive karstification. Later, the karst in the area has experienced three major periods, that is, the weak period from the middle Jurassic to the late Cretaceous; the intensive period in the Tertiary which was significant to the formation of the old Li River; and the third period lasts the Quaternary period which has completed the typical tropical karst landform. Some ideas about the effect of paleo lake water to the formation of the tropical karst and the ages of caves on different levels in Guilin have been put forward.
文摘Cotton has been identified as a crop with promising potential in Namibia.As such,cotton variety evaluation trials have been conducted for yield,fiber qualities,resistance to diseases and pests。
文摘Objectives To evaluate feasibility, safety and clinical significance of the modified method for trans-catheter closure of patent ductus arteriosus (PDA) with Amplatzer duct occluders. Methods Sixty children with PDA were divided into 2 groups. Group A consisted of 27 children (12 males, 15 females, aged at 4.6±2.9 years), and group B 33 children (13 males, 20 females, aged at 4.9±3.3 years). The duct closure was completed with the modified method during initial phase in group A and after well-experienced phase in group B. All the technical procedures during PDA occluding including measurement
文摘Over the past decade the world banking industry has grown significantly and this has led to increasing sophistication and complexity in its practices.The industry has been affected by changes in the way in which it is regulated and supervised,by changes in the nature of its products,by the way in which individual bank manages its own affairs and controls its assets and by the way in which it accounts to the outside world for its activities.These changes have probably been of more significance than those experienced in any other industry over the past few years.Hong Kong which is one of the foremost financial centres of the world,has experienced all of these changes,probably to a greater extent than most other parts of the world.Hong Kong is one of the world’s major international banking centres and has a thriving domestic banking community.There is a need to review our banking practices and their accounting and auditing implications.The BCCI and BCCHK events happened in mid—1991 should trigger us to further reassess the role of auditor(both external and internal)in this ever changing and fast moving industry in co—operation with local authorities such as the Banking Commission,Department of Monetary Affairs and Security Commission.A number of investigations and articles on the role of bank auditors have been done and written,these include the study of challenges faced by bank auditors in today’s environment (Seidman,1987),the examination of the changing role of the bank audit committee(Haugh and Bradley,1987)and new risks faced by bank auditors (Clark,1987).In this paper,we will try to identify some of the common problems which might have caused the banking crisis.We will examine the role of auditor and try to establish the responsibilities of auditor when performing an audit task in a banking environment with the view to reducing the chance of the crisis happening again,if not eliminated completely.The regulatory body will still be the Banking Commission,while auditor will assume a supporting role in the banking monitoring and reguatory functions.
文摘A number of prominent solution-focused brief therapists have expressed the view that, to its detriment, this school of therapy tends to downplay emotion. Accordingly, we contend that, given that emotion is a primal binding force, the bonding component of the crucially important therapeutic alliance risks being compromised in the current practice of this approach. We further argue that the prioritization of the depiction of actions that accompany the emotion expressed by the client over the actual participation in this emotion by the therapist tends to superficialize therapeutic communication. This is especially likely to happen when the therapist lapses into a formulaic, action-soliciting interrogatory mode in response to the emotion expressed by the client. In addition, we claim that the incorporation of emotion- and body-based approaches into the solution-focused canon could remedy the affective lacuna referred to above. We note, however, that such a modification would most likely face stiff resistance from some of the gatekeepers of solution-faced therapy, in particular those who subscribe to the “surface-only” descriptive approach advocated by the philosopher Ludwig Wittgenstein. And yet, the effectiveness of depth-oriented therapies, such as sensorimotor psychotherapy and somatic experiencing, is supported by neurophysiological considerations. Finally, we suggest that these therapies, and even creativogenic elements of psychoanalysis, can actually synergize solution-focused brief therapy through the generation of affect-laden images, sensations and thoughts that lend themselves to the realization of outcomes desired by the client, which is the raison d’etre of solution-focused brief therapy. This paper pleads for the incorporation of the above-noted depth approaches into solution-focused brief therapy with a view to augmenting its effectiveness through a stronger therapeutic bond owing to an increased emotional engagement on the part of the therapist.
文摘The philosopher Eugene Gendlin argues that a distinctive mode of reasoning, called experiencing, is necessary for working through personally salient problems such as are encountered in psychotherapy. We review supporting empirical support. It is now possible to consider Gendlin’s ideas from a neurological perspective. Work directed at understanding the neurological underpinnings of consciousness and self-related processing, as well as comparative neuroanatomical work, are all consistent with and elucidated by Gendlin’s experiencing construct. We argue from this data that the human mind is composed of three interacting systems that are unique to or enhanced in humans compared to other primates. Two are dedicated to “hot and cold” cognition. The most important, least well-studied third system is dedicated to mediating between these forms of cognition. We outline how interactions between these systems define different forms of psychopathology and what they suggest about the structure of the human mind.