This study analysed the socio-economic contributions of N-Power programme amongst the beneficiaries of the scheme in Benue State.Prior to the introduction of N-Power programme,successive administrations in Nigeria hav...This study analysed the socio-economic contributions of N-Power programme amongst the beneficiaries of the scheme in Benue State.Prior to the introduction of N-Power programme,successive administrations in Nigeria have made concerted efforts towards improving the standard of living of the citizenry through the execution of various welfare or social intervention programmes,but not much successes were recorded.Learning from the mistakes of the past regimes,and by way of deliberate state policy,the Buhari’s government initiated a multi-pronged social investment policy,one of which is the N-power programme that came onboard in 2016,which also doubles as the subject of this study.To achieve the goal of this study,a combination of desktop research and survey design was employed.Questionnaires were administered to 390 respondents through a combination of stratified and random sampling techniques.The results of the survey were matched with that of the secondary data obtained through online websites and other related sources.The result indicated that N-Power made positive contributions to the socio-economic life of the beneficiaries in Benue State:specifically,the scheme contributed in poverty eradication,employment generation,skills acquisitions and capacity building.However,some aspect of our findings revealed that the programme has a number of challenges such as:inadequate cash support,delay in monthly cash transfer to beneficiaries,distance participants had to move to their work stations,absence of posting in N-Teach scheme,and lack of adequate working tools amongst others.To salvage this problem the paper recommended the following solutions:expansion of the scheme to cover N-Teach and other aspects,increment in the monthly cash transfer to cushion the high rate of inflation,support for the participants/beneficiaries in transportation and logistics,enrolment of more youth into the various schemes,proper monitoring and evaluation of the implementation of the schemes amongst others.展开更多
Background Youth suicide has been a pressing public mental health concern in China,yet there is a lack of gatekeeper intervention programmes developed locally to prevent suicide among Chinese adolescents.Aims The curr...Background Youth suicide has been a pressing public mental health concern in China,yet there is a lack of gatekeeper intervention programmes developed locally to prevent suicide among Chinese adolescents.Aims The current Delphi study was the first step in the systematic development of the Life Gatekeeper programme,the first gatekeeper programme to be developed locally in China that aims to equip teachers and parents with the knowledge,skills and ability to identify and intervene with students at high risk of suicide.Methods The Delphi method was used to elicit a consensus of experts who were invited to evaluate the importance of training content,the feasibility of the training delivery method,the possibility of achieving the training goals and,finally,the appropriateness of the training materials.Two Delphi rounds were conducted among local experts with diversified professional backgrounds in suicide research and practice.Statements were accepted for inclusion in the adjusted training programme if they were endorsed by at least 80%of the panel.Results Consensus was achieved on 201 out of 207 statements for inclusion into the adapted guidelines for the gatekeeper programme,with 151 from the original questionnaire and 50 generated from comments of the panel members.These endorsed statements were synthesised to develop the content of the Life Gatekeeper training programme.Conclusions This Delphi study provided an evidence base for developing the first gatekeeper training programme systematically and locally in China.We hope that the current study can pave the way for more evidence-based suicide prevention programmes in China.Further study is warranted to evaluate the effectiveness of the Life Gatekeeper training programme.展开更多
Learning programming and using programming languages are the essential aspects of computer science education.Students use programming languages to write their programs.These computer programs(students or practitioners...Learning programming and using programming languages are the essential aspects of computer science education.Students use programming languages to write their programs.These computer programs(students or practitioners written)make computers artificially intelligent and perform the tasks needed by the users.Without these programs,the computer may be visioned as a pointless machine.As the premise of writing programs is situated with specific programming languages,enormous efforts have been made to develop and create programming languages.However,each program-ming language is domain-specific and has its nuances,syntax and seman-tics,with specific pros and cons.These language-specific details,including syntax and semantics,are significant hurdles for novice programmers.Also,the instructors of introductory programming courses find these language specificities as the biggest hurdle in students learning,where more focus is on syntax than logic development and actual implementation of the program.Considering the conceptual difficulty of programming languages and novice students’struggles with the language syntax,this paper describes the design and development of a Context-Free Grammar(CFG)of a programming language for the novice,newcomers and students who do not have computer science as their major.Due to its syntax proximity to daily conversations,this paper hypothesizes that this language will be easy to use and understand by novice programmers.This paper systematically designed the language by identifying themes from various existing programming languages(e.g.,C,Python).Additionally,this paper surveyed computer science experts from industry and academia,where experts self-reported their satisfaction with the newly designed language.The results indicate that 93%of the experts reported satisfaction with the NewBee for novice,newcomer and non-Computer Sci-ence(CS)major students.展开更多
BACKGROUND Gastroparesis is a common digestive disorder characterized by delayed gastric emptying,which can lead to symptoms such as nausea,vomiting,abdominal pain,and poor appetite.Traditional Chinese medicine(TCM)ha...BACKGROUND Gastroparesis is a common digestive disorder characterized by delayed gastric emptying,which can lead to symptoms such as nausea,vomiting,abdominal pain,and poor appetite.Traditional Chinese medicine(TCM)has been used for centuries to treat gastrointestinal disorders,including gastroparesis.TCM theory suggests that spleen and stomach qi deficiency syndrome is one of the main pathogenic factors in gastroparesis.Nursing care plays an important role in the treatment of gastroparesis,and TCM nursing interventions have shown promising results in improving patient outcomes.However,there is limited research on the clinical effectiveness of TCM nursing interventions for gastroparesis with spleen stomach deficiency syndrome.This study aimed to evaluate the clinical effect of TCM nursing intervention in the treatment of gastroparesis with spleen stomach deficiency syndrome and to compare it with routine nursing interventions.AIM To analyze the clinical effect of traditional Chinese medicine nursing intervention in the treatment of gastric paraplegia with spleen stomach deficiency syndrome.METHODS From January 2020 to July 2021,80 patients with gastroparesis of spleen stomach qi deficiency type diagnosed in our hospital were selected for the study.The 80 patients were randomly divided into a control group and an experimental group,with 40 cases in each group.During the treatment period,the control group received routine nursing interventions,while the experimental group received traditional Chinese medicine nursing procedures.Compare the nursing effects of the two groups and observe the changes in traditional Chinese medicine symptom scores,pain levels,and sleep quality before and after treatment.RESULTS After treatment,comparing the treatment effects of the two groups,the total effective rate of the experimental group was significantly higher than that of the control group,with statistical significance(P<0.05).There was no statistically significant difference in the TCM symptom score,visual analogue scale(VAS)score,and Pittsburgh sleep quality index(PSQI)score between the two groups before treatment(P>0.05).However,after treatment,the TCM syndrome scores,VAS scores,and PSQI scores of the experimental group were significantly lower than those of the control group,with a statistically significant difference(P<0.05).CONCLUSION In the clinical nursing intervention of patients with mild gastroparesis due to spleen and stomach qi deficiency,the traditional Chinese medicine nursing plan has good clinical application value and nursing effect,and has a good effect on improving patients’pain and sleep quality.展开更多
China is an advocate and practitioner of the spirit of the Vienna Declaration and Programme of Action,and actively participates in and contributes to global human rights governance.Over the past 30 years,China has con...China is an advocate and practitioner of the spirit of the Vienna Declaration and Programme of Action,and actively participates in and contributes to global human rights governance.Over the past 30 years,China has continuously promoted the implementation of the Vienna Declaration and Programme of Action in China and globally,leading to historic achievements in China’s human rights endeavors.展开更多
From November 4th to 12th,2023,the Beijing Peaceland Foundation organised a technical exchanges and training Programme of rescue and disaster relief in Tanzania.The training included first aid,fire prevention,rescues ...From November 4th to 12th,2023,the Beijing Peaceland Foundation organised a technical exchanges and training Programme of rescue and disaster relief in Tanzania.The training included first aid,fire prevention,rescues in water areas and mountainous regions,drone application,etc.展开更多
In the context of radioactive waste disposal,an underground research laboratory(URL)is a facility in which experiments are conducted to demonstrate the feasibility of constructing and operating a radioactive waste dis...In the context of radioactive waste disposal,an underground research laboratory(URL)is a facility in which experiments are conducted to demonstrate the feasibility of constructing and operating a radioactive waste disposal facility within a geological formation.The Meuse/Haute-Marne URL is a sitespecific facility planned to study the feasibility of a radioactive waste disposal in the Callovo-Oxfordian(COx)claystone.The thermo-hydro-mechanical(THM)behaviour of the host rock is significant for the design of the underground nuclear waste disposal facility and for its long-term safety.The French National Radioactive Waste Management Agency(Andra)has begun a research programme aiming to demonstrate the relevancy of the French high-level waste(HLW)concept.This paper presents the programme implemented from small-scale(small diameter)boreholes to full-scale demonstration experiments to study the THM effects of the thermal transient on the COx claystone and the strategy implemented in this new programme to demonstrate and optimise current disposal facility components for HLW.It shows that the French high-level waste concept is feasible and working in the COx claystone.It also exhibits that,as for other plastic clay or claystone,heating-induced pore pressure increases and that the THM behaviour is anisotropic.展开更多
As a 10-year international research programme jointly initiated by ICSU(International Council for Science),ISSC(International Social Science Council)and others,Future Earth aims to provide critical knowledge required ...As a 10-year international research programme jointly initiated by ICSU(International Council for Science),ISSC(International Social Science Council)and others,Future Earth aims to provide critical knowledge required for societies to face the challenges posed by global environmental change and to identify opportunities for a transition to global sustainability(FE,2013).The launching of Future Earth is the outcome of step change in global environment change research and funding strategy and meet the demands for展开更多
AIM To investigate factors predicting treatment completion and treatment outcome of the Reasoning and Rehabilitation Mental Health Programme(R&R2MHP) cognitive skills programme for mentally disordered offenders. M...AIM To investigate factors predicting treatment completion and treatment outcome of the Reasoning and Rehabilitation Mental Health Programme(R&R2MHP) cognitive skills programme for mentally disordered offenders. METHODS Secondary analysis of data previously obtained from 97 male patients who were sectioned and detained under the United Kingdom Mental Health Act in low, medium and high security hospitals and who had completed R&R2MHP. Predictors of treatment completion included background variables and five outcome measures: Four self-reported measures of violent attitudes, social problem-solving skills, reactive anger and locus of control and an objective measure of behaviour on theward that was completed by staff. Completion of the 16 session programme, which was delivered on a weekly basis, was classified as ≥ 12 sessions.RESULTS It was found that the R&R2MHP is appropriate for delivery to participants of different ages, ethnic background, and at different levels of security without the completion rate or treatment effectiveness being compromised. Participants taking oral typical psychotropic medication were over seven times more likely to complete the programme than other participants. Behavioural disturbance on the ward prior to commencing the programme predicted non-completion(medium effect size). As far as treatment completion was concerned, none of the background factors predicted treatment effectiveness(age, ethnic background, level of security, number of previous convictions and number of previous hospital admissions). The best predictor of treatment effectiveness was attitude towards violence suggesting that this should be the primary outcome measure in future research evaluating outcomes of the R&R2MHP cognitive skills program. CONCLUSION The findings suggest that a stable mental state is a key factor that predicts treatment completion.展开更多
The provision of Rare Blood for special purposes on a worldwide basis is now an accepted part of modern transfusion practice. The ISBT Working Party, working in conjunction with the International Blood Group Reference...The provision of Rare Blood for special purposes on a worldwide basis is now an accepted part of modern transfusion practice. The ISBT Working Party, working in conjunction with the International Blood Group Reference Laboratory in England as well as other organisations, plays a pivotal role in ensuring that adequate systems are in place to meet clinical needs. The contribution of Asia to the Rare Donor programme is at present small. Some of the reasons for the relatively low input to date include a lack of knowledge of the systems available, the stage of development of transfusion services in some countries and the general absence of well developed blood group serology reference Centres. Much remains to be done if Asia is to contribute significantly to the problems of blood supply to patients with a need for rare blood. However, there are already indications that more countries in Asia are at the stage of transfusion development that will permit them to be of more assistance to the International Rare Blood Programme and thereby better meet Asian and other international needs. Various recommendations will be presented to the Symposium for endorsement. The ISBT Working Party on Rare Blood will give any assistance that is required to facilitate improved methods that will improve the availability of Rare Blood internationally.展开更多
Antibiotic usage and increasing antimicrobial resistance(AMR) mount significant challenges to patient safety and management of the critically ill on intensive care units(ICU). Antibiotic stewardship programmes(ASPs) a...Antibiotic usage and increasing antimicrobial resistance(AMR) mount significant challenges to patient safety and management of the critically ill on intensive care units(ICU). Antibiotic stewardship programmes(ASPs) aim to optimise appropriate antibiotic treatment whilst minimising antibiotic resistance. Different models of ASP in intensive care setting, include "standard" control of antibiotic prescribing such as "de-escalation strategies"through to interventional approaches utilising biomarkerguided antibiotic prescribing. A systematic review of outcomes related studies for ASPs in an ICU setting was conducted. Forty three studies were identified from MEDLINE between 1996 and 2014. Of 34 nonprotocolised studies, [1 randomised control trial(RCT), 22 observational and 11 case series], 29(85%) were positive with respect to one or more outcome: These were the key outcome of reduced antibiotic use, or ICU length of stay, antibiotic resistance, or prescribing cost burden. Limitations of non-standard antibiotic initiation triggers, patient and antibiotic selection bias or baseline demographic variance were identified. All 9 protocolised studies were RCTs, of which 8 were procalcitonin(PCT) guided antibiotic stop/start interventions. Five studies addressed antibiotic escalation, 3 de-escalation and 1 addressed both. Six studies reported positive outcomes for reduced antibiotic use, ICU length of stay or antibiotic resistance. PCT based ASPs are effective as antibiotic-stop(de-escalation) triggers, but not as an escalation trigger alone. PCT has also been effective in reducing antibiotic usage without worsening morbidity or mortality in ventilator associated pulmonary infection. No study has demonstrated survival benefit of ASP. Ongoing challenges to infectious disease management, reported by the World Health Organisation global report 2014, are high AMR to newer antibiotics, and regional knowledge gaps in AMR surveillance. Improved AMR surveillance data, identifying core aspects of successful ASPs that are transferable, and further well-conducted trials will be necessary if ASPs are to be an effective platform for delivering desired patient outcomes and safety through best antibiotic policy.展开更多
It has been suggested that the success of an ER project can largely rely on several elements,such as the selection of appropriate materials,establishment of management system,workshop for training teachers. Among thos...It has been suggested that the success of an ER project can largely rely on several elements,such as the selection of appropriate materials,establishment of management system,workshop for training teachers. Among those,teachers play an indispensable role due to the fact that it is the teachers who are capable of turning conceptions into actions,who get students engaged and bridge and gap between the goals of the programme and the reality in classroom. This paper is an attempt to outline a detailed picture to demonstrate how to offer effective training courses which can enable teachers to play"multiple roles"to make great contribution to the development of an ER project.展开更多
In order to enhance and restore the ecosystems of natural capital in African arid regions,the Global Dryland Ecosystem Programme(G-DEP)consultative meeting was hosted in Dakar,Senegal,from 23 to 25 September 2019.This...In order to enhance and restore the ecosystems of natural capital in African arid regions,the Global Dryland Ecosystem Programme(G-DEP)consultative meeting was hosted in Dakar,Senegal,from 23 to 25 September 2019.This paper details the first African meeting of the G-DEP.Consultative meeting reviewed preceding dryland ecosystems case studies,identified vulnerable arid and semi-arid regions,and proposed sustainable solutions to problems.It also identified the successes and failures of previous attempts to improve vulnerable ecosystems and ultimately formed an action plan to improve these attempts.Climate,ecosystems,and livelihoods for Sustainable Development Goals(SDGs),Great Green Wall Initiative(GGWI)for Sahara and Sahel,and China-Africa cooperation on science,technology,and innovation are three extra main sections concerned of the meeting.Separately,more specific topics as the complicated relationship between these natural processes and human activity,including pastoralism,soil restoration,and vegetation regenerate techniques,were fully discussed.Consultative meeting also identified the positive effects international collaboration can have on dryland regions,specifically in the capacity of sharing information,technology,and innovation on purpose to develop a joint proposal for long-term research programs in African arid and semi-arid areas.Moreover,meetings that review the progress made on ecosystem management for the sustainable livelihoods in Africa,identification of priority areas,and the development and implementation of ecosystem programs for proper research and collaboration in African arid and semi-arid zones,have been proposed as strategic recommendations to enhance the global partnership for sustainable development.Furthermore,as the outcomes of the workshop,there are three steps proposed to handle African dryland climate changes,several aspects suggested to solve current dilemmas of the GGWI,and a series of actions recommended for G-DEP related activities in Africa.展开更多
AIM:To determine the prevalence of diabetic retinopathy(DR)among diabetic patients at the primary health clinics in Selangor,Malaysia.METHODS:All diabetic patients were screened in Retinal Disease Awareness Programme(...AIM:To determine the prevalence of diabetic retinopathy(DR)among diabetic patients at the primary health clinics in Selangor,Malaysia.METHODS:All diabetic patients were screened in Retinal Disease Awareness Programme(RDAP)and those who had significant DR changes were referred to the hospital for further management.Descriptive analyses were done to determine the prevalence of DR and sociodemographic characteristics among patients with diabetic.Univariate and multivariable analysis using Logistic regression were performed to find association and predictor factors in this screening.RESULTS:A total of 3305 patients aged 40y and above were screened for DR.Ofthe patients screened,9%patients were found to have DR and other visual complication such as maculopathy(0.9%),cataract(4.8%)and glaucoma(0.4%).The mean age of patients without retinopathy was 57.82±8.470y and the mean age of patients with DR was 63.93±9.857y.About 61.5%of the patients screened were aged below 60y and 38.5%were aged 60y and above.Majority of the patients screened were women 58.5%and Malay in the age group of 50-59y,while 27%were aged 60-69y.Significant association were found between age,sex,race,visual loss and DR.CONCLUSION:Although the prevalence of DR among patients is not alarming,effective interventions need to be implemented soon to avert a large burden of visual loss from DR.展开更多
1 Science and technology for environmental protection in China The guiding principles in formulating the ten-year Programme of science and tech-nology for environmental protection are as follows: 1.1 Science and techn...1 Science and technology for environmental protection in China The guiding principles in formulating the ten-year Programme of science and tech-nology for environmental protection are as follows: 1.1 Science and technology should be great to the need economic construction and economic construction must rely on science and technology.展开更多
Good morning, Ms Yanhong Guo, Deputy Director of Medical Administration, NHFPC, Dr Xiuhua Li, President of CNA, Board members, Mr Edward Zhou, General Manager Ethicon and Johnson & Johnson Representatives, Regiona...Good morning, Ms Yanhong Guo, Deputy Director of Medical Administration, NHFPC, Dr Xiuhua Li, President of CNA, Board members, Mr Edward Zhou, General Manager Ethicon and Johnson & Johnson Representatives, Regional CNA representatives, ICN trainers, Marcia Petrini & Kristine Qureshi, and all the program participants, and other guests.展开更多
The recovery approach within mental health services has in recent years been influential in promoting more active participation from service users concerning their treatment and progress, within a move towards models ...The recovery approach within mental health services has in recent years been influential in promoting more active participation from service users concerning their treatment and progress, within a move towards models of interventions based on social models and ideas of service user empowerment. Although mental health recovery models are often heralded as ideological goals, comparatively little has been documented about the means of achieving these. This article sets out the nature and content of the Whole Life Programme, used within the Hertfordshire NHS Partnership Foundation Trust, and the results of qualitative research into the programme that set out to analyse the impact of its delivery from the perspectives of service users. The research examined the experiences and views of participants receiving treatment several months after the completion of the programme, and also of those who withdrew prematurely, in order to learn from these experiences, adding to our understanding of how one recovery based approach, the Whole Life Manual, can be applied in practice.展开更多
The original online version of this article (Littlechild, B., Smith, A. H., Meredith-Windle, G., Gale, T., Lloyd, M. and Hawley, C. (2013) Recovery Approaches in Mental Health: A Qualitative Evaluation of the Whole Li...The original online version of this article (Littlechild, B., Smith, A. H., Meredith-Windle, G., Gale, T., Lloyd, M. and Hawley, C. (2013) Recovery Approaches in Mental Health: A Qualitative Evaluation of the Whole Life Therapy Programme for Persons with Schizophrenia. Health, 5, 582-587. http://dx.doi.org/10.4236/health.2013.53A077) was published mistakenly with a co-author (who also developed the Whole Life Programme) missing. To reflect the contribution and responsibility of the co-author as well as the affiliations of the authors at the time of the study, we revised authorship and author affiliations of the article.展开更多
文摘This study analysed the socio-economic contributions of N-Power programme amongst the beneficiaries of the scheme in Benue State.Prior to the introduction of N-Power programme,successive administrations in Nigeria have made concerted efforts towards improving the standard of living of the citizenry through the execution of various welfare or social intervention programmes,but not much successes were recorded.Learning from the mistakes of the past regimes,and by way of deliberate state policy,the Buhari’s government initiated a multi-pronged social investment policy,one of which is the N-power programme that came onboard in 2016,which also doubles as the subject of this study.To achieve the goal of this study,a combination of desktop research and survey design was employed.Questionnaires were administered to 390 respondents through a combination of stratified and random sampling techniques.The results of the survey were matched with that of the secondary data obtained through online websites and other related sources.The result indicated that N-Power made positive contributions to the socio-economic life of the beneficiaries in Benue State:specifically,the scheme contributed in poverty eradication,employment generation,skills acquisitions and capacity building.However,some aspect of our findings revealed that the programme has a number of challenges such as:inadequate cash support,delay in monthly cash transfer to beneficiaries,distance participants had to move to their work stations,absence of posting in N-Teach scheme,and lack of adequate working tools amongst others.To salvage this problem the paper recommended the following solutions:expansion of the scheme to cover N-Teach and other aspects,increment in the monthly cash transfer to cushion the high rate of inflation,support for the participants/beneficiaries in transportation and logistics,enrolment of more youth into the various schemes,proper monitoring and evaluation of the implementation of the schemes amongst others.
基金funding from Research Fund of VankeSchool of Public Health(100009001)funding from Shuimu Tsinghua Scholarfunding from Beijing High Level Public HealthTechnical Specialist Development Fund(Discipline backbone-02-07).
文摘Background Youth suicide has been a pressing public mental health concern in China,yet there is a lack of gatekeeper intervention programmes developed locally to prevent suicide among Chinese adolescents.Aims The current Delphi study was the first step in the systematic development of the Life Gatekeeper programme,the first gatekeeper programme to be developed locally in China that aims to equip teachers and parents with the knowledge,skills and ability to identify and intervene with students at high risk of suicide.Methods The Delphi method was used to elicit a consensus of experts who were invited to evaluate the importance of training content,the feasibility of the training delivery method,the possibility of achieving the training goals and,finally,the appropriateness of the training materials.Two Delphi rounds were conducted among local experts with diversified professional backgrounds in suicide research and practice.Statements were accepted for inclusion in the adjusted training programme if they were endorsed by at least 80%of the panel.Results Consensus was achieved on 201 out of 207 statements for inclusion into the adapted guidelines for the gatekeeper programme,with 151 from the original questionnaire and 50 generated from comments of the panel members.These endorsed statements were synthesised to develop the content of the Life Gatekeeper training programme.Conclusions This Delphi study provided an evidence base for developing the first gatekeeper training programme systematically and locally in China.We hope that the current study can pave the way for more evidence-based suicide prevention programmes in China.Further study is warranted to evaluate the effectiveness of the Life Gatekeeper training programme.
基金supported by the startup fund provided to Dr.Saira Anwar by Texas A&M University,College Station,USA.Any opinions,findings,conclusion,or recommendations expressed in this material do not necessarily reflect those of Texas A&M University。
文摘Learning programming and using programming languages are the essential aspects of computer science education.Students use programming languages to write their programs.These computer programs(students or practitioners written)make computers artificially intelligent and perform the tasks needed by the users.Without these programs,the computer may be visioned as a pointless machine.As the premise of writing programs is situated with specific programming languages,enormous efforts have been made to develop and create programming languages.However,each program-ming language is domain-specific and has its nuances,syntax and seman-tics,with specific pros and cons.These language-specific details,including syntax and semantics,are significant hurdles for novice programmers.Also,the instructors of introductory programming courses find these language specificities as the biggest hurdle in students learning,where more focus is on syntax than logic development and actual implementation of the program.Considering the conceptual difficulty of programming languages and novice students’struggles with the language syntax,this paper describes the design and development of a Context-Free Grammar(CFG)of a programming language for the novice,newcomers and students who do not have computer science as their major.Due to its syntax proximity to daily conversations,this paper hypothesizes that this language will be easy to use and understand by novice programmers.This paper systematically designed the language by identifying themes from various existing programming languages(e.g.,C,Python).Additionally,this paper surveyed computer science experts from industry and academia,where experts self-reported their satisfaction with the newly designed language.The results indicate that 93%of the experts reported satisfaction with the NewBee for novice,newcomer and non-Computer Sci-ence(CS)major students.
文摘BACKGROUND Gastroparesis is a common digestive disorder characterized by delayed gastric emptying,which can lead to symptoms such as nausea,vomiting,abdominal pain,and poor appetite.Traditional Chinese medicine(TCM)has been used for centuries to treat gastrointestinal disorders,including gastroparesis.TCM theory suggests that spleen and stomach qi deficiency syndrome is one of the main pathogenic factors in gastroparesis.Nursing care plays an important role in the treatment of gastroparesis,and TCM nursing interventions have shown promising results in improving patient outcomes.However,there is limited research on the clinical effectiveness of TCM nursing interventions for gastroparesis with spleen stomach deficiency syndrome.This study aimed to evaluate the clinical effect of TCM nursing intervention in the treatment of gastroparesis with spleen stomach deficiency syndrome and to compare it with routine nursing interventions.AIM To analyze the clinical effect of traditional Chinese medicine nursing intervention in the treatment of gastric paraplegia with spleen stomach deficiency syndrome.METHODS From January 2020 to July 2021,80 patients with gastroparesis of spleen stomach qi deficiency type diagnosed in our hospital were selected for the study.The 80 patients were randomly divided into a control group and an experimental group,with 40 cases in each group.During the treatment period,the control group received routine nursing interventions,while the experimental group received traditional Chinese medicine nursing procedures.Compare the nursing effects of the two groups and observe the changes in traditional Chinese medicine symptom scores,pain levels,and sleep quality before and after treatment.RESULTS After treatment,comparing the treatment effects of the two groups,the total effective rate of the experimental group was significantly higher than that of the control group,with statistical significance(P<0.05).There was no statistically significant difference in the TCM symptom score,visual analogue scale(VAS)score,and Pittsburgh sleep quality index(PSQI)score between the two groups before treatment(P>0.05).However,after treatment,the TCM syndrome scores,VAS scores,and PSQI scores of the experimental group were significantly lower than those of the control group,with a statistically significant difference(P<0.05).CONCLUSION In the clinical nursing intervention of patients with mild gastroparesis due to spleen and stomach qi deficiency,the traditional Chinese medicine nursing plan has good clinical application value and nursing effect,and has a good effect on improving patients’pain and sleep quality.
文摘China is an advocate and practitioner of the spirit of the Vienna Declaration and Programme of Action,and actively participates in and contributes to global human rights governance.Over the past 30 years,China has continuously promoted the implementation of the Vienna Declaration and Programme of Action in China and globally,leading to historic achievements in China’s human rights endeavors.
文摘From November 4th to 12th,2023,the Beijing Peaceland Foundation organised a technical exchanges and training Programme of rescue and disaster relief in Tanzania.The training included first aid,fire prevention,rescues in water areas and mountainous regions,drone application,etc.
文摘In the context of radioactive waste disposal,an underground research laboratory(URL)is a facility in which experiments are conducted to demonstrate the feasibility of constructing and operating a radioactive waste disposal facility within a geological formation.The Meuse/Haute-Marne URL is a sitespecific facility planned to study the feasibility of a radioactive waste disposal in the Callovo-Oxfordian(COx)claystone.The thermo-hydro-mechanical(THM)behaviour of the host rock is significant for the design of the underground nuclear waste disposal facility and for its long-term safety.The French National Radioactive Waste Management Agency(Andra)has begun a research programme aiming to demonstrate the relevancy of the French high-level waste(HLW)concept.This paper presents the programme implemented from small-scale(small diameter)boreholes to full-scale demonstration experiments to study the THM effects of the thermal transient on the COx claystone and the strategy implemented in this new programme to demonstrate and optimise current disposal facility components for HLW.It shows that the French high-level waste concept is feasible and working in the COx claystone.It also exhibits that,as for other plastic clay or claystone,heating-induced pore pressure increases and that the THM behaviour is anisotropic.
文摘As a 10-year international research programme jointly initiated by ICSU(International Council for Science),ISSC(International Social Science Council)and others,Future Earth aims to provide critical knowledge required for societies to face the challenges posed by global environmental change and to identify opportunities for a transition to global sustainability(FE,2013).The launching of Future Earth is the outcome of step change in global environment change research and funding strategy and meet the demands for
基金supported by the National Institute for Health Research (NIHR) Imperial Biomedical Research Centre
文摘AIM To investigate factors predicting treatment completion and treatment outcome of the Reasoning and Rehabilitation Mental Health Programme(R&R2MHP) cognitive skills programme for mentally disordered offenders. METHODS Secondary analysis of data previously obtained from 97 male patients who were sectioned and detained under the United Kingdom Mental Health Act in low, medium and high security hospitals and who had completed R&R2MHP. Predictors of treatment completion included background variables and five outcome measures: Four self-reported measures of violent attitudes, social problem-solving skills, reactive anger and locus of control and an objective measure of behaviour on theward that was completed by staff. Completion of the 16 session programme, which was delivered on a weekly basis, was classified as ≥ 12 sessions.RESULTS It was found that the R&R2MHP is appropriate for delivery to participants of different ages, ethnic background, and at different levels of security without the completion rate or treatment effectiveness being compromised. Participants taking oral typical psychotropic medication were over seven times more likely to complete the programme than other participants. Behavioural disturbance on the ward prior to commencing the programme predicted non-completion(medium effect size). As far as treatment completion was concerned, none of the background factors predicted treatment effectiveness(age, ethnic background, level of security, number of previous convictions and number of previous hospital admissions). The best predictor of treatment effectiveness was attitude towards violence suggesting that this should be the primary outcome measure in future research evaluating outcomes of the R&R2MHP cognitive skills program. CONCLUSION The findings suggest that a stable mental state is a key factor that predicts treatment completion.
文摘The provision of Rare Blood for special purposes on a worldwide basis is now an accepted part of modern transfusion practice. The ISBT Working Party, working in conjunction with the International Blood Group Reference Laboratory in England as well as other organisations, plays a pivotal role in ensuring that adequate systems are in place to meet clinical needs. The contribution of Asia to the Rare Donor programme is at present small. Some of the reasons for the relatively low input to date include a lack of knowledge of the systems available, the stage of development of transfusion services in some countries and the general absence of well developed blood group serology reference Centres. Much remains to be done if Asia is to contribute significantly to the problems of blood supply to patients with a need for rare blood. However, there are already indications that more countries in Asia are at the stage of transfusion development that will permit them to be of more assistance to the International Rare Blood Programme and thereby better meet Asian and other international needs. Various recommendations will be presented to the Symposium for endorsement. The ISBT Working Party on Rare Blood will give any assistance that is required to facilitate improved methods that will improve the availability of Rare Blood internationally.
文摘Antibiotic usage and increasing antimicrobial resistance(AMR) mount significant challenges to patient safety and management of the critically ill on intensive care units(ICU). Antibiotic stewardship programmes(ASPs) aim to optimise appropriate antibiotic treatment whilst minimising antibiotic resistance. Different models of ASP in intensive care setting, include "standard" control of antibiotic prescribing such as "de-escalation strategies"through to interventional approaches utilising biomarkerguided antibiotic prescribing. A systematic review of outcomes related studies for ASPs in an ICU setting was conducted. Forty three studies were identified from MEDLINE between 1996 and 2014. Of 34 nonprotocolised studies, [1 randomised control trial(RCT), 22 observational and 11 case series], 29(85%) were positive with respect to one or more outcome: These were the key outcome of reduced antibiotic use, or ICU length of stay, antibiotic resistance, or prescribing cost burden. Limitations of non-standard antibiotic initiation triggers, patient and antibiotic selection bias or baseline demographic variance were identified. All 9 protocolised studies were RCTs, of which 8 were procalcitonin(PCT) guided antibiotic stop/start interventions. Five studies addressed antibiotic escalation, 3 de-escalation and 1 addressed both. Six studies reported positive outcomes for reduced antibiotic use, ICU length of stay or antibiotic resistance. PCT based ASPs are effective as antibiotic-stop(de-escalation) triggers, but not as an escalation trigger alone. PCT has also been effective in reducing antibiotic usage without worsening morbidity or mortality in ventilator associated pulmonary infection. No study has demonstrated survival benefit of ASP. Ongoing challenges to infectious disease management, reported by the World Health Organisation global report 2014, are high AMR to newer antibiotics, and regional knowledge gaps in AMR surveillance. Improved AMR surveillance data, identifying core aspects of successful ASPs that are transferable, and further well-conducted trials will be necessary if ASPs are to be an effective platform for delivering desired patient outcomes and safety through best antibiotic policy.
文摘It has been suggested that the success of an ER project can largely rely on several elements,such as the selection of appropriate materials,establishment of management system,workshop for training teachers. Among those,teachers play an indispensable role due to the fact that it is the teachers who are capable of turning conceptions into actions,who get students engaged and bridge and gap between the goals of the programme and the reality in classroom. This paper is an attempt to outline a detailed picture to demonstrate how to offer effective training courses which can enable teachers to play"multiple roles"to make great contribution to the development of an ER project.
基金Funding to support this consultative meeting was provided by the National Natural Science Foundation of China(41761144053,41661144022)the International Partnership Program of Chinese Academy of Sciences(121311KYSB201700).
文摘In order to enhance and restore the ecosystems of natural capital in African arid regions,the Global Dryland Ecosystem Programme(G-DEP)consultative meeting was hosted in Dakar,Senegal,from 23 to 25 September 2019.This paper details the first African meeting of the G-DEP.Consultative meeting reviewed preceding dryland ecosystems case studies,identified vulnerable arid and semi-arid regions,and proposed sustainable solutions to problems.It also identified the successes and failures of previous attempts to improve vulnerable ecosystems and ultimately formed an action plan to improve these attempts.Climate,ecosystems,and livelihoods for Sustainable Development Goals(SDGs),Great Green Wall Initiative(GGWI)for Sahara and Sahel,and China-Africa cooperation on science,technology,and innovation are three extra main sections concerned of the meeting.Separately,more specific topics as the complicated relationship between these natural processes and human activity,including pastoralism,soil restoration,and vegetation regenerate techniques,were fully discussed.Consultative meeting also identified the positive effects international collaboration can have on dryland regions,specifically in the capacity of sharing information,technology,and innovation on purpose to develop a joint proposal for long-term research programs in African arid and semi-arid areas.Moreover,meetings that review the progress made on ecosystem management for the sustainable livelihoods in Africa,identification of priority areas,and the development and implementation of ecosystem programs for proper research and collaboration in African arid and semi-arid zones,have been proposed as strategic recommendations to enhance the global partnership for sustainable development.Furthermore,as the outcomes of the workshop,there are three steps proposed to handle African dryland climate changes,several aspects suggested to solve current dilemmas of the GGWI,and a series of actions recommended for G-DEP related activities in Africa.
文摘AIM:To determine the prevalence of diabetic retinopathy(DR)among diabetic patients at the primary health clinics in Selangor,Malaysia.METHODS:All diabetic patients were screened in Retinal Disease Awareness Programme(RDAP)and those who had significant DR changes were referred to the hospital for further management.Descriptive analyses were done to determine the prevalence of DR and sociodemographic characteristics among patients with diabetic.Univariate and multivariable analysis using Logistic regression were performed to find association and predictor factors in this screening.RESULTS:A total of 3305 patients aged 40y and above were screened for DR.Ofthe patients screened,9%patients were found to have DR and other visual complication such as maculopathy(0.9%),cataract(4.8%)and glaucoma(0.4%).The mean age of patients without retinopathy was 57.82±8.470y and the mean age of patients with DR was 63.93±9.857y.About 61.5%of the patients screened were aged below 60y and 38.5%were aged 60y and above.Majority of the patients screened were women 58.5%and Malay in the age group of 50-59y,while 27%were aged 60-69y.Significant association were found between age,sex,race,visual loss and DR.CONCLUSION:Although the prevalence of DR among patients is not alarming,effective interventions need to be implemented soon to avert a large burden of visual loss from DR.
文摘1 Science and technology for environmental protection in China The guiding principles in formulating the ten-year Programme of science and tech-nology for environmental protection are as follows: 1.1 Science and technology should be great to the need economic construction and economic construction must rely on science and technology.
文摘Good morning, Ms Yanhong Guo, Deputy Director of Medical Administration, NHFPC, Dr Xiuhua Li, President of CNA, Board members, Mr Edward Zhou, General Manager Ethicon and Johnson & Johnson Representatives, Regional CNA representatives, ICN trainers, Marcia Petrini & Kristine Qureshi, and all the program participants, and other guests.
文摘The recovery approach within mental health services has in recent years been influential in promoting more active participation from service users concerning their treatment and progress, within a move towards models of interventions based on social models and ideas of service user empowerment. Although mental health recovery models are often heralded as ideological goals, comparatively little has been documented about the means of achieving these. This article sets out the nature and content of the Whole Life Programme, used within the Hertfordshire NHS Partnership Foundation Trust, and the results of qualitative research into the programme that set out to analyse the impact of its delivery from the perspectives of service users. The research examined the experiences and views of participants receiving treatment several months after the completion of the programme, and also of those who withdrew prematurely, in order to learn from these experiences, adding to our understanding of how one recovery based approach, the Whole Life Manual, can be applied in practice.
文摘The original online version of this article (Littlechild, B., Smith, A. H., Meredith-Windle, G., Gale, T., Lloyd, M. and Hawley, C. (2013) Recovery Approaches in Mental Health: A Qualitative Evaluation of the Whole Life Therapy Programme for Persons with Schizophrenia. Health, 5, 582-587. http://dx.doi.org/10.4236/health.2013.53A077) was published mistakenly with a co-author (who also developed the Whole Life Programme) missing. To reflect the contribution and responsibility of the co-author as well as the affiliations of the authors at the time of the study, we revised authorship and author affiliations of the article.