探讨Chinese way术式在关节镜下治疗巨大肩袖损伤的应用价值

目的探讨Chinese way术式在关节镜下治疗巨大肩袖损伤的应用价值,为临床治疗提供参考。方法选取2022年3月至2024年3月于扬州市江都中医院接受治疗的70例巨大肩袖损伤患者的临床资料,进行回顾性分析。根据治疗方式不同分为双排锚钉缝线桥组和Chinese way组,每组35例。双排锚钉缝线桥组患者采用关节镜下双排锚钉缝线桥固定术治疗,Chinese way组患者采用关节镜下Chinese way术式治疗。比较两组患者肩关节活动度、并发症发生情况、Fugl-Meyer评定量表(FMA-UE)评分。结果术后3个月,两组患者前屈、后伸、内旋、外旋的肩关节活动度均增加,且Chinese way组均大于双排锚钉缝线桥组(均P<0.05)。Chinese way组患者并发症总发生率低于双排锚钉缝线桥组(均P<0.05)。术后3个月,两组患者运动功能、感觉功能、平衡功能、关节活动度、疼痛的各项FMA-UE评分均升高,且Chinese way组均高于双排锚钉缝线桥组(均P<0.05)。结论Chinese way术式在关节镜下治疗巨大肩袖损伤的效果较好,可有效提升患者肩关节活动度和上肢运动功能,且安全性较高,值得临床应用。

The Way to Optimize the Right to Personal Data Portability in Chinese Practice——Based on Empirical Analysis of the Privacy Policies of 66 Mobile Apps

Although the existing legal norms and judicial practic-es can provide basic guidance for the right to personal data portabili-ty, it can be concluded that there are obstacles to the realization of this right through empirical research of the privacy policies of 66 mobile apps, such as whether they have stipulations on the right to personal data portability, whether they are able to derive copies of personal in-formation automatically, whether there are textual examples, whether ID verification is required, whether the copied documents are encrypt-ed, and whether the scope of personal information involved is consis-tent. This gap in practice, on the one hand, reflects the misunderstand-ing of the right to personal data portability, and on the other hand, is a result of the negative externalities, practical costs and technical lim-itations of the right to personal data portability. Based on rethinking the right to data portability, we can somehow solve practical problems concerning the right to personal data portability through multiple measures such as promoting the fulfillment of this right by legislation, optimizing technology-oriented operations, refining response process mechanisms, and enhancing system interoperability.

The Positive Role of Governance in the Way Environmental Policies Impact Technological Innovation

Against the backdrop of the knowledge economy, global economy is goingthrough a major transformation. How to alleviate the pressure of resources and the environ-ment and to achieve the sustainable development of the economy has become a global agenda.China＇ s economy growth has been rapid for decades since the reform and opening up policy,but this has also been a great drain on China＇ s resources and the environment, which is an ur-gent problem to tackle. In recently years, the Chinese government has launched many environ-mental policies in the hope of encouraging technological innovation to guarantee the sustain-able development of the economy. However, research suggested that technological innovationis negatively correlated with environmental policies in most scenarios. In some cases, the num-ber of technological innovation decreases after policies take effect and increases after a whilelike a U - curve. In order to solve this problem, I decided to analyze the panel data from 80provinces in China between 2008 and 2014 and conclude that local governance can implementenvironmental regulations while having a positive impact on the technological innovation inenterprises. In the conclusion, suggestions are given to local governments on how to better en-force environmental policies.

Pathway and policy analysis to China's deep decarbonization

The Paris Agreement marks the beginning of a new era in the global response to climate change, which further clarifies the long-term goal and underlines the urgency addressing climate change. For China,promoting the decoupling between economic growth and carbon emissions as soon as possible is not only the core task of achieving the medium-and long-term goals and strategies to address climate change, but also the inevitable requirement for ensuring the sustainable development of economy and society. Based on the analysis of the historical trends of the economy and social development, as well as society, energy consumption, and key end-use sectors in China, this paper studies the deep carbon emission reduction potential of carbon emission of in energy, industry, building, and transportation and other sectors with "bottom-up" modeling analysis and proposes a medium-and long-term deep decarbonization pathway based on key technologies' mitigation potentials for China. It is found that under deep decarbonization pathway, China will successfully realize the goals set in China's Intended Nationally Determined Contributions of achieving carbon emissions peak around 2030 and lowering carbon dioxide emissions per unit of gross domestic product(GDP) by 60-65% from the 2005 level.From 2030 onward, the development of nonfossil energy will further accelerates, and the share of nonfossil energies in primary energy will amounts to about 44% by 2050. Combined with the acceleration of low-carbon transformation in end-use sectors including industry, building, and transportation, the carbon dioxide emissions in 2050 will fall to the level before 2005, and the carbon dioxide emissions per unit of GDP will decreases by more than 90% from the 2005 level. To ensure the realization of the deep decarbonization pathway, this paper puts forward policy recommendations from four perspectives, including intensifying the total carbon dioxide emissions cap and strengthening the related institutional systems and regulations, improving the incentive policies for industrial lowcarbon development, enhancing the role of the market mechanism, and advocating low-carbon life and consumption patterns.

The Pathway of China’s Integrated Delivery System:Based on the Analysis of the Medical Consortium Policies

With the deepening of China’s health-care reform,an integrated delivery system has gradually emerged with the function of improving the efficiency of the health-care delivery system.For China’s integrated delivery system,a medical consortium plays an important role in integrating public hospitals and primary care facilities.The first medical consortium policy issued after the COVID-19 pandemic apparently placed hope on accelerating the implementation of a medical consortium and tiered health-care delivery system.This paper illustrates the possible future pathway of China’s medical consortium through retrospection of the 10-year process,changes of the series of policies,and characteristics of the policy issued in 2020.We considered that a fully integrated medical consortium would be a major phenomenon in China's medical industry,which would lead to the formation of a dualistic care pattern in China.

SRv6 Policy业务可靠性方案探讨

介绍了SRv6 Policy、SBFD技术及5G承载网络SRv6 Policy业务可靠性方案。针对SBFD误触发问题,提出了在被动端生成BSID、部署引流策略及设置不同检测周期等3种完善措施,这些措施不仅提高了业务的可靠性,还显著提升了网络服务能力.

A Study on the Multiple Differential Structure of Development in China^s Ethnic Areasand Exploiting the Differentiation and Collaborative Policy—On the New Form of China’s Ethnic Relations and the New System of Ethnic Policies

A fter 60 years of im plem entation, the ethnic regional autonomous policy has provided basic p o litica l support for promoting the common development and prosperity of a ll ethnic groups.

A View of Beijing’s Traffic Policy:Evaluation on the Policies Released in 2010 to Ease Traffic Congestion

In today’s society where the economy is developing rapidly and the process of urbanization is accelerating,the traffic in major cities in China is facing tremendous pressure.The economy of Beijing has developed rapidly,its population is dense,the living standard of people has improved significantly,and the number of cars has increased dramatically.From the end of 2005 to the end of November 2010,motor vehicles in Beijing increased from about 2.58 million to about 4.69 million.The problem of traffic congestion has become more prominent,affecting the daily lives of the residents.

Policy Framework for Community and State Policing in Combating Rising Security Challenges in Nigeria

Viability of decentralizing policing in Nigeria had been on the front burner of security discourse since Nigeria returned to democratic governance in 1999.Valid points had been put forward by both those in support and those in opposition.The Community Policing Department of the Nigeria Police had remained more of an administrative unit with little impact beyond the Police Community Relations Committee activities.Rising cases of herdsmen attacks of various communities,terrorist insurgency in the North-East,kidnappings across the different geo-political zones had resulted in the need to interrogate the efficacy of effective community policing and state policing as viable options to combating rising security challenges.The study adopted qualitative method,and being a library research relied entirely on secondary data.Sources of data included journals,relevant textbooks,newspapers,magazines,and materials downloaded from internet.The paper argues that the traditional security agencies had failed to effectively combat the many security challenges that Nigeria faces.The combination of the official security agencies and the military had failed to effectively combat insecurity in the country.The local vigilante groups on the other hand had made valuable inroad in curtailing some of the security challenges including terrorist insurgency as a result of their knowledge of the terrain.The paper concludes that to effectively combat the many security challenges,there is a need for new policy framework at the federal and state levels that would decentralize policing and give legal backing for collaboration between the official security agencies under the federal government and state security outfits including the vigilante.

Policy Gradient Adaptive Dynamic Programming for Model-Free Multi-Objective Optimal Control

Dear Editor,In this letter,the multi-objective optimal control problem of nonlinear discrete-time systems is investigated.A data-driven policy gradient algorithm is proposed in which the action-state value function is used to evaluate the policy.In the policy improvement process,the policy gradient based method is employed.

Health financing policies in Sub-Saharan Africa:government ownership or donors’influence?A scoping review of policymaking processes

Background:The rise on the international scene of advocacy for universal health coverage(UHC)was accompanied by the promotion of a variety of health financing policies.Major donors presented health insurance,user fee exemption,and results-based financing policies as relevant instruments for achieving UHC in Sub-Saharan Africa.The“donor-driven”push for policies aiming at UHC raises concerns about governments’effective buy-in of such policies.Because the latter has implications on the success of such policies,we searched for evidence of government ownership of the policymaking process.Methods:We conducted a scoping review of the English and French literature from January 2001 to December 2015 on government ownership of decision-making on policies aiming at UHC in Sub-Saharan Africa.Thirty-five(35)results were retrieved.We extracted,synthesized and analyzed data in order to provide insights on ownership at five stages of the policymaking process:emergence,formulation,funding,implementation,and evaluation.Results:The majority of articles(24/35)showed mixed results(i.e.ownership was identified at one or more levels of policymaking process but not all)in terms of government ownership.Authors of only five papers provided evidence of ownership at all reviewed policymaking stages.When results demonstrated some lack of government ownership at any of the five stages,we noticed that donors did not necessarily play a role:other actors’involvement was contributing to undermining government-owned decision-making,such as the private sector.We also found evidence that both government ownership and donors’influence can successfully coexist.Discussion:Future research should look beyond indicators of government ownership,by analyzing historical factors behind the imbalance of power between the different actors during policy negotiations.There is a need to investigate how some national actors become policy champions and thereby influence policy formulation.In order to effectively achieve government ownership of financing policies aiming at UHC,we recommend strengthening the State’s coordination and domestic funding mobilization roles,together with securing a higher involvement of governmental(both political and technical)actors by donors.

Research on Policy Diffusion Path and Reproduction of River Chief System

The River Chief System (RCS) has evolved from local innovative practices to a national water governance strategy to address the current challenges in China’s water environmental management. In contrast to existing research that focuses on the strengths, weaknesses, and improvements of RCS, this study uses literature study to reveal the dynamic evolution of RCS through three phases, with RCS spreading from developed coastal areas to central and western inland regions. RCS’s diffusion path involves vertical diffusion between central and local levels and horizontal diffusion among local governments. Moreover, RCS has also achieved conceptual spillover, gradually expanding into other governance domains, such as the Lake Chief System, the Field Chief System, the Forestry Chief System, and the integration of multiple chief roles. However, it is essential to scrutinize the phenomenon of applying similar governance mechanisms to different areas, as it may result in challenges such as overburdening local governments, insufficient public participation, oversimplification of differences in natural resource endowments, and limited applicability. This study also provides suggestions on how to address these challenges. The study contributes theoretical insights and policy implications, providing a foundation for practical policy innovation.

Inactivated H9N2 vaccines developed with early strains do not protect against recent H9N2 viruses:Call for a change in H9N2 control policy

H9N2 virus has been widely distributed in wild birds and poultry around the world since its first emergence in the United States of America in 1966(Gu et al.2017;Carnaccini and Perez 2020).The virus appeared in chickens in China in the early 1990s,and over the last two decades has gradually become the dominant epidemic subtype(Sun and Liu 2015;Bi et al.2020).Although H9N2 virus infection alone cannot cause severe disease or death in poultry,H9N2 virus-infected birds experience a degree of egg production drop and can be easily infected by other pathogens,thus causing economic losses for poultry industry.

Combating obesity in Southeast Asia countries:current status and the way forward

Obesity is gaining prominence as a serious public health challenge in the Southeast Asia(SEA)region,with an alarming rate of increase in its prevalence.Countries in the region have shown commitment to curbing the rise of obesity by establishing policies,strategies,and action plans.This paper summarises the current situation and strategies undertaken to combat obesity and related chronic diseases.Although a range of policies and strate-gies have been developed,including national nutrition action plans,community intervention programmes,fiscal measures,nutrition labelling to promote healthier choices,countries in the region are struggling to make signifi-cant progress toward halting the scourge of obesity.It is imperative to strengthen existing health systems with a paradigm shift from a focus on"sick care"to and enhancing nutrition initiatives to support obesity prevention.A comprehensive and coordinated approach is essential,one that emphasises high-level coordination across all lev-els of government and multiple sectors,and a unified plan rather than fragmented initiatives.For strategies to be effective and sustainable,they must address the fundamental environmental determinants of poor dietary choices and nutritional inequalities.A more holistic approach is clearly needed to improve the entire food environment,which in SEA countries must include the multitude of eating places where large segments of the population"eat out"everyday to meet their energy and nutrient needs.There is a recognised need for more comprehensive measures to promote healthy eating among school children and ensure a supportive environment for lifelong healthy habits.This paper calls for a whole-of-government,whole-of-society approach that combines changes to the fundamental food environment and accompanied by systematic monitoring and surveillance systems to achieve long-lasting health outcomes.

Automatic Generation of Attribute-Based Access Control Policies from Natural Language Documents

In response to the challenges of generating Attribute-Based Access Control(ABAC)policies,this paper proposes a deep learning-based method to automatically generate ABAC policies from natural language documents.This method is aimed at organizations such as companies and schools that are transitioning from traditional access control models to the ABAC model.The manual retrieval and analysis involved in this transition are inefficient,prone to errors,and costly.Most organizations have high-level specifications defined for security policies that include a set of access control policies,which often exist in the form of natural language documents.Utilizing this rich source of information,our method effectively identifies and extracts the necessary attributes and rules for access control from natural language documents,thereby constructing and optimizing access control policies.This work transforms the problem of policy automation generation into two tasks:extraction of access control statements andmining of access control attributes.First,the Chat General Language Model(ChatGLM)isemployed to extract access control-related statements from a wide range of natural language documents by constructing unique prompts and leveraging the model’s In-Context Learning to contextualize the statements.Then,the Iterated Dilated-Convolutions-Conditional Random Field(ID-CNN-CRF)model is used to annotate access control attributes within these extracted statements,including subject attributes,object attributes,and action attributes,thus reassembling new access control policies.Experimental results show that our method,compared to baseline methods,achieved the highest F1 score of 0.961,confirming the model’s effectiveness and accuracy.

Big Data Analysis of Policy Coordination Paths Based on Latent Dirichlet Allocation Model and Fuzzy-Set Qualitative Comparative Analysis Method

The selection and coordinated application of government innovation policies are crucial for guiding the direction of enterprise innovation and unleashing their innovation potential.However,due to the lengthy,voluminous,complex,and unstructured nature of regional innovation policy texts,traditional policy classification methods often overlook the reality that these texts cover multiple policy topics,leading to lack of objectivity.In contrast,topic mining technology can handle large-scale textual data,overcoming challenges such as the abundance of policy content and difficulty in classification.Although topic models can partition numerous policy texts into topics,they cannot analyze the interplay among policy topics and the impact of policy topic coordination on enterprise innovation in detail.Therefore,we propose a big data analysis scheme for policy coordination paths based on the latent Dirichlet allocation(LDA)model and the fuzzyset qualitative comparative analysis(fsQCA)method by combining topic models with qualitative comparative analysis.The LDA model was employed to derive the topic distribution of each document and the word distribution of each topic and enable automatic classi-fication through algorithms,providing reliable and objective textual classification results.Subsequently,the fsQCA method was used to analyze the coordination paths and dynamic characteristics.Finally,experimental analysis was conducted using innovation policy text data from 31 provincial-level administrative regions in China from 2012 to 2021 as research samples.The results suggest that the proposed method effectively partitions innovation policy topics and analyzes the policy configuration,driving enterprise innovation in different regions.

Scope of public health workforce: an exploratory analysis on World Health Organization policy and the literature

The public health workforce is a key component of public health system.To articulate the scope of public health workforce,we reviewed the relevant World Health Organization(wHO)guidance and peer-reviewed journal articles on this subject.Specifically,we assessed and compared the relevant publications produced by WHO Headquarters and Regional Offices along with other literature on this issue.Our focus was on the“occupation,workplace setting,and employer of public health workforce”.It is noteworthy that WHO has adopted a conceptual framework with an inclusive scope of the public health workforce,while setting out a 5-year vision to strengthen capacity across all WHO Member States for a multidisciplinary workforce to deliver the essential public health functions,including emergency preparedness and response.The importance of public health workforce in global and national responses to the coronavirus disease 2019(COVID-19)pandemic is recognized.We also observed that there were diverse understandings of the scope of public health workforce worldwide,including macro-,meso-and micro-level perspectives.In the post-COVID-19 era,we suggest that policy-makers and practitioners at the national,regional and global level adopt a coordinated approach to expand and strengthen the national workforce as guided by the WHO towards the health-related targets of United Nations Sustainable Development Goals such as health security and Universal Health Coverage.

Analysis on the Way of Integrating Educational Drama into Patriotism Education for Primary School Students

In the process of patriotism education for primary school students,educational drama can play a very important role.However,the premise is that educational drama should be successfully integrated into the process of patriotism education of primary school students,instead of simply and mechanically stuffing educational drama into patriotism education of primary school students.As far as the integration mode of educational drama is concerned,educational drama can be divided into three kinds,namely,discipline-oriented drama education,infiltration-oriented drama education and activity-oriented drama.Therefore,the integration methods are also divided into three categories,namely,setting up educational drama courses,using educational drama to infiltrate patriotic education into other disciplines and carrying out activity-oriented drama education.

A quantitative study of disruptive technology policy texts:An example of China’s artificial intelligence policy

Purpose:The transformative impact of disruptive technologies on the restructuring of the times has attracted widespread global attention.This study aims to analyze the characteristics and shortcomings of China’s artificial intelligence(AI)disruptive technology policy,and to put forward suggestions for optimizing China’s AI disruptive technology policy.Design/methodology/approach:Develop a three-dimensional analytical framework for“policy tools-policy actors-policy themes”and apply policy tools,social network analysis,and LDA topic model to conduct a comprehensive analysis of the utilization of policy tools,cooperative relationships among policy actors,and the trends in policy theme settings within China’s innovative AI technology policy.Findings:We find that the collaborative relationship among the policy actors of AI disruptive technology in China is insufficiently close.Marginal subjects exhibit low participation in the cooperation network and overly rely on central subjects,forming a“center-periphery”network structure.Policy tool usage is predominantly focused on supply and environmental types,with a severe inadequacy in demand-side policy tool utilization.Policy themes are diverse,encompassing topics such as“Intelligent Services”“Talent Cultivation”“Information Security”and“Technological Innovation”,which will remain focal points.Under the themes of“Intelligent Services”and“Intelligent Governance”,policy tool usage is relatively balanced,with close collaboration among policy entities.However,the theme of“AI Theoretical System”lacks a comprehensive understanding of tool usage and necessitates enhanced cooperation with other policy entities.Research limitations:The data sources and experimental scope are subject to certain limitations,potentially introducing biases and imperfections into the research results,necessitating further validation and refinement.Practical implications:The study introduces a three-dimensional analysis framework for disruptive technology policy texts,which is significant for formulating and enhancing disruptive technology policies.Originality/value:This study utilizes text mining and content analysis techniques to quantitatively analyze disruptive technology policy texts.It systematically evaluates China’s AI policies quantitatively,focusing on policy tools,policy actors,policy themes.The study uncovers the characteristics and deficiencies of current AI policies,offering recommendations for formulating and enhancing disruptive technology policies.

Mapping Climate Services for Disaster Risk Management: A Systematic Review and Research Gaps from a Policy Process Perspective

Climate services (CS) are crucial for mitigating and managing the impacts and risks associated with climate-induced disasters. While evidence over the past decade underscores their effectiveness across various domains, particularly agriculture, to maximize their potential, it is crucial to identify emerging priority areas and existing research gaps for future research agendas. As a contribution to this effort, this paper employs the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology to review the state-of-the-art in the field of climate services for disaster risk management. A comprehensive search across five literature databases combined with a snowball search method using ResearchRabbit was conducted and yielded 242 peer-reviewed articles, book sections, and reports over 2013-2023 after the screening process. The analysis revealed flood, drought, and food insecurity as major climate-related disasters addressed in the reviewed literature. Major climate services addressed included early warning systems, (sub)seasonal forecasts and impact-based warnings. Grounded in the policy processes’ theoretical perspective, the main focus identified and discussed three prevailing policy-oriented priority areas: 1) development of climate services, 2) use-adoption-uptake, and 3) evaluation of climate services. In response to the limitations of the prevalent supply-driven and top-down approach to climate services promotion, co-production emerges as a cross-cutting critical aspect of the identified priority areas. Despite the extensive research in the field, more attention is needed, particularly pronounced in the science-policy interface perspective, which in practice bridges scientific knowledge and policy decisions for effective policy processes. This perspective offers a valuable analytical lens as an entry point for further investigation. Hence, future research agendas would generate insightful evidence by scrutinizing this critical aspect given its importance to institutions and climate services capacity, to better understand intricate facets of the development and the integration of climate services into disaster risk management.