HealthMeasures患者报告结局报告清单的解读

美国匹兹堡大学和HealthMeasures指导委员会及PROMIS健康组织标准委员会共同发表了HealthMeasures患者报告结局报告清单,旨在促进不同患者报告结局测量工具的标准化报告,帮助研究人员提高工具报告质量及结果解释的准确性,进一步改善跨研究间的比较分析。本文对HealthMeasures患者报告结局报告清单的主要内容进行介绍和解读,以期为中国患者报告结局研究者提供参考和借鉴。

Practice of Barrier Measures against COVID-19 Among Diabetic People Followed at Departmental University Hospital Center Ouémé-Plateau, Benin, in 2021

Introduction: COVID-19 is a pandemic disease caused by the coronavirus SARS-COV2 appeared in China in 2019. The aim of the study was to evaluate the practice of barrier measures against COVID-19 and to identify associated factors among diabetics followed at Departmental University Hospital Center Ouémé-Plateau, Benin, in 2021. Methods: This was a cross-sectional study conducted from June to August 2021, including diabetics aged 18 and over, hospitalized or received for medical visits in the department of medicine at the target hospital. Data were collected during an interview with each participant thanks to a questionnaire. “Good practice” was defined as regular practice of at least two of three barrier measures: hand washing, physical distancing and mask-wearing. Results: A total of 110 diabetics were included with a female predominance (55.5%) and a mean age of 57 ± 11.3 years. Among them, 89.1% washed their hands, 41.8% respected physical distancing and 12.7% wore a mask. The proportion of good practice was 47.3%. Only 5 practiced the three barrier measures. Only age group was associated with good practice. Conclusion: The study showed a low proportion of good practice of barrier measures against COVID-19 among diabetic people surveyed. It is important to continue the action for COVID-19 prevention among diabetic people in the targeted hospital and in other hospitals in Benin.

Socio-scientific quantification of the comprehensive benefits of debris flow mitigation measures for villages in western Sichuan, China

Debris flow hazards seriously threaten thesafety and sustainable development of mountainousareas. Numerous debris flow mitigation measures havebeen implemented worldwide;however, acomprehensive assessment of the specific disasterreduction effects of these measures and their economic,social and ecological benefits is yet to be performed.The western region of Sichuan Province frequentlysuffers from geohazards such as debris flow, and thegovernment has adopted many mitigation measures.This study assessed the benefits of debris flowmitigation measures and identified the key influencingfactors via a field-based study conducted in 81 villagesin western Sichuan province, China. A framework forthe evaluation of the benefits of rural debris flowmitigation measures was constructed andquantitatively evaluated using a survey. Snowballsampling was performed to recruit 81 village leadersand 468 farmers. The results showed that managementand engineering measures were the main methodsused to mitigate debris flow;ecological measures wereauxiliary. The average satisfaction scores of farmers forthese three types of measures were 4.07, 3.90, and 3.56,respectively (as measured on a five-point Likert scale).In contrast, in terms of the benefits of these mitigationmeasures, only a small proportion of villages (11.11%)obtained a high level of comprehensive benefits fromthe debris flow mitigation measures, while the majority(88.89%) received medium to low-level benefits. Toimprove this situation, we further studied and foundthat the main factors that restricted villages fromachieving high-level comprehensive benefits were theunpredictable nature of debris flows, labour forceoutflow and remoteness. Effective control measures, agood economic environment and strong governmentassistance were reported as crucial factors forimproving these comprehensive benefits. This studyprovides socio-scientific references for decisionmakingon rural debris flow mitigation measures while keeping villages at the centre of economic development.

Water-salt transport characteristics of saline soil under hydraulic remediation measures in the Yellow River Delta region of China

To understand the water-salt transport process of saline soils in the Yellow River Delta region under traditional hydraulic remediation measures and to determine its engineering parameters, in this study, laboratory investigations were made to measure the soil salt content using three remediation practices under simulated rainfall conditions. The results indicated that under the rainfall intensity of 100 mm/h, 6-8 h are needed when the soil salt content tends to be constant. The distribution of the salt content presents a typically symmetrical shape regardless of the position of the saline soil relative to the concealed pipe, the open ditch, and the vertical shaft. The two-parameter exponential function indicates the relationship between the soil desalination rate and the horizontal distance from the pipe, the ditch or the shaft. The maximum spacing to build the salt drainage engineering of the concealed pipe, the open ditch or the vertical shaft in the laboratory is 4.79 m, 2.88 m, and 2.19 m, respectively. The effectiveness of salt drainage for coastal saline soils can be ranked from largest to smallest as the concealed pipe, the open ditch and the vertical shaft. The findings provide an experimental basis and reference for the application of hydraulic measures to remediate saline soils in this region.

Problems and Development Suggestions of Nature Education in Jiangxi Province

The forest coverage rate of Jiangxi Province ranks second in China.It has rich natural resources,a long history of ancient color culture and rich red culture.In the development of nature education,Jiangxi Province has great potential and advantages.This paper introduces the development conditions of nature education in Jiangxi Province,summarizes the problems existing in the development of nature education in Jiangxi Province from the aspects of the types of nature education and the construction of nature education base,such as simple content and single form,imperfect infrastructure and lack of professionals,and puts forward some suggestions on the development of nature education in Jiangxi Province.

Adherence to Physical Measures during the SARS-COV2 Pandemic by Haemodialysis Patients in a Burkina Faso Tertiary Hospital: A Cross-Sectional Survey

Context: COVID-19 can spread rapidly in haemodialysis centres, leading to fatal outcomes. Implementing physical measures is crucial in limiting the spread of infection. Aims: To assess adherence to physical measures against SARS-Cov2 in haemodialysis patients. Methods and Material: From 13 to 19 July 2021, we administered the questionnaire to haemodialysis patients during or immediately after the dialysis session. The dependent variables were adherence to wearing masks, hand washing outside the dialysis centre, social distancing of at least 1.5 meters, and cough and sneeze hygiene. Statistical Analysis Used: Data were analyzed using Epi info software;descriptive statistics were presented as mean, headcount, and percentage;related factors were determined by multi-logistic regression. The significance level was 5%. The Health Research Ethics Committee approved the research protocol. Results: 142 patients were included (mean age: 42.5 ± 14 years). Wearing masks, hand-washing, social distancing, and coughing and sneezing hygiene were observed by 88%, 75%, 47%, and 60% of patients, respectively. Conclusion: Wearing masks was the most respected physical measure, while social distancing was the least respected.

Impact of Migrant Populations on Tuberculosis Rates in Saudi Arabia: Assessing How Migration Patterns Affect TB Incidence and Control Measures: A Narrative Review

This research focuses on the effects of migration on the TB infection rate and its prevention in Saudi Arabia, which has a large number of expatriates from TB-affected countries. Despite, based on the current global statistics of TB occurrence, it is evident that the national incidence of TB has reduced from 10.55 per 100,000 in 2015 to 8.36 per 100,000 in 2019;despite this, there are still some difficulties because migrants bring new strains of Mycobacterium tuberculosis. Hindrances, including language barriers and perceived immigration status, hinder patients from seeking medical attention or doctors from diagnosing diseases. Each patient and each cultural group need special attention to public health, enhancing living circumstances, and health care support. Community participation, inclusion of TB control programs into functional healthcare facilities, and the functioning of TB programs need to be stressed to address TB issues. Considering the focus on social, economic, and cultural approaches, the country can make severe advancements in TB control and population protection. This holistic analysis is critical for a long-term effective strategy to combat TB in the Kingdom.

On the Polygonal Wear Evolution of Heavy-Haul Locomotive Wheels due to Wheel/Rail Flexibility and Its Mitigation Measures

Wheel polygonal wear can immensely worsen wheel/rail interactions and vibration performances of the train and track,and ultimately,lead to the shortening of service life of railway components.At present,wheel/rail medium-or high-frequency frictional interactions are perceived as an essential reason of the high-order polygonal wear of railway wheels,which are potentially resulted by the flexible deformations of the train/track system or other external excitations.In this work,the effect of wheel/rail flexibility on polygonal wear evolution of heavy-haul locomotive wheels is explored with aid of the long-term wheel polygonal wear evolution simulations,in which different flexible modeling of the heavy-haul wheel/rail coupled system is implemented.Further,the mitigation measures for the polygonal wear of heavy-haul locomotive wheels are discussed.The results point out that the evolution of polygonal wear of heavy-haul locomotive wheels can be veritably simulated with consideration of the flexible effect of both wheelset and rails.Execution of mixed-line operation of heavy-haul trains and application of multicut wheel re-profiling can effectively reduce the development of wheel polygonal wear.This research can provide a deep-going understanding of polygonal wear evolution mechanism of heavy-haul locomotive wheels and its mitigation measures.

Value of improved nursing measures and enhanced nursing management to reduce the occurrence of adverse events in pediatric infusion

BACKGROUND Intravenous infusion is a common method of drug administration in clinical practice.Errors in any aspect of the infusion process,from the verification of medical orders,preparation of the drug solution,to infusion by nursing staff,may cause adverse infusion events.AIM To analyzed the value of improving nursing measures and enhancing nursing management to reduce the occurrence of adverse events in pediatric infusion.METHODS The clinical data of 130 children who received an infusion in the pediatric department of our hospital from May 2020 to May 2021 were analyzed and divided into two groups according to the differences in nursing measures and nursing management:65 patients in the control group received conventional nursing and nursing management interventions,while 65 patients in the observation group received improved nursing measure interventions and enhanced nursing management.The occurrence of adverse events,compliance of children,satisfaction of children’s families,and complaints regarding the transfusion treatment were recorded in both groups.RESULTS The incidence of fluid extravasation and infusion set dislodgement in the observation group were 3.08%and 1.54%,respectively,which were significantly lower than 12.31%and 13.85%in the control group(P<0.05),while repeated punctures and medication addition errors in the observation group were 3.08%and 0.00%,respectively,which were lower than 9.23%and 3.08%in the control group,but there was no significant difference(P>0.05).The compliance rate of children in the observation group was 98.46%(64/65),which was significantly higher than 87.69%(57/65)in the control group,and the satisfaction rate of children’s families was 96.92%(63/65),which was significantly higher than 86.15%(56/65)in the control group(P<0.05).The observation group did not receive any complaints from the child’s family,whereas the control group received four complaints,two of which were due to the crying of the child caused by repeated punctures,one due to the poor attitude of the nurse,and one due to medication addition errors,with a cumulative complaint rate of 6.15%.The cumulative complaint rate of the observation group was significantly lower than that of the control group(P<0.05).CONCLUSION Improving nursing measures and enhancing nursing management can reduce the incidence of fluid extravasation and infusion set dislodgement in pediatric patients,improve children’s compliance and satisfaction of their families,and reduce family complaints.

Influencing factors and preventive measures of infectious complications after intestinal resection for Crohn’s disease

The incidence of Crohn’s disease(CD)has increased in recent years,with most patients requiring intestinal resection.Complications after intestinal resection for CD can lead to poor prognosis and recurrence,among which infectious complic-ations are the most common.This study aimed to investigate the common risk factors,including medications,preoperative nutritional status,surgery-related factors,microorganisms,lesion location and type,and so forth,causing infectious complications after intestinal resection for CD,and to propose corresponding preventive measures.The findings provided guidance for identifying suscept-ibility factors and the early intervention and prevention of infectious complic-ations after intestinal resection for CD in clinical practice.

Influence of Lightning Disaster on Cities and Lightning Defense Measures

Under the influence of special terrain and climatic conditions,lightning weather in Ulanqab City is more frequent from June to August,and lightning disaster has become one of the important tasks of disaster prevention and mitigation.In this paper,based on the characteristics of lightning weather in Ulanqab City,the impact of lightning disaster on the city was analyzed,and lightning protection measures,such as strengthening supervision of lightning protection safety,establishing a long-term lightning protection mechanism,doing a good job in lightning protection construction and detection in key places,and further improving public awareness of lightning protection,were put forward to reduce and avoid urban lightning disasters as much as possible and ensure urban safety.

On Adaptation Measures to Solve Tel-Aviv’s Environmental Problems with “Sunny Rain”

Adaptation measures were proposed using“Sunny Rain”to solve Tel Aviv’s environmental problems to cool the air in the city and save humanity from climate catastrophe and fight air pollution;the Yarkon,“Tel Aviv’s main river”will no longer be a dirty ditch;the fog from Ben-Gurion Airport was cleaned;neighborhoods,parks,around Tel Aviv were greened and all green spaces were irrigated with“Sunny Rain”.

Whole petroleum system in Jurassic coal measures of Taibei Sag in Tuha Basin,NW China

Based on the latest results of near-source exploration in the Middle and Lower Jurassic of the Tuha Basin,a new understanding of the source rocks,reservoir conditions,and source-reservoir-cap rock combinations of the Jurassic Shuixigou Group in the Taibei Sag is established using the concept of the whole petroleum system,and the coal-measure whole petroleum system is analyzed thoroughly.The results are obtained in three aspects.First,the coal-measure source rocks of the Badaowan Formation and Xishanyao Formation and the argillaceous source rocks of the Sangonghe Formation in the Shuixigou Group exhibit the characteristics of long-term hydrocarbon generation,multiple hydrocarbon generation peaks,and simultaneous oil and gas generation,providing sufficient oil and gas sources for the whole petroleum system in the Jurassic coal-bearing basin.Second,multi-phase shallow braided river delta–shallow lacustrine deposits contribute multiple types of reservoirs,e.g.sandstone,tight sandstone,shale and coal rock,in slope and depression areas,providing effective storage space for the petroleum reservoir formation in coal-measure strata.Third,three phases of hydrocarbon charging and structural evolution,as well as effective configuration of multiple types of reservoirs,result in the sequential accumulation of conventional-unconventional hydrocarbons.From high structural positions to depression,there are conventional structural and structural-lithological reservoirs far from the source,low-saturation structural-lithological reservoirs near the source,and tight sandstone gas,coal rock gas and shale oil accumulations within the source.Typically,the tight sandstone gas and coal rock gas are the key options for further exploration,and the shale oil and gas in the depression area is worth of more attention.The new understanding of the whole petroleum system in the coal measures could further enrich and improve the geological theory of the whole petroleum system,and provide new ideas for the overall exploration of oil and gas resources in the Tuha Basin.

A Boost to Inbound Tourism China sees surge in foreign travellers following introduction of visa-free transit measures

One of the viral terms on Chinese social media these days-“city bu city”–was actually created by a foreign tourist.The tourist,a blogger,used the term,which literally means city or not city,in a short video he filmed while visiting the Great Wall,wondering whether the place is like a fashionable big city.

Management Measures for Preventing Postoperative Incision Infections in General Surgery at Primary Hospitals

Objective:To analyze the management measures and effects of preventing postoperative incision infections in the general surgery department of primary hospitals.Methods:Forty-nine surgical patients with 11 healthcare workers who were admitted to the general surgery department of the primary hospital between August 2021 and August 2022 were selected as the routine group for routine incision infection management.Forty-nine surgical patients with 11 healthcare workers admitted to the same department between September 2022 and September 2023 were selected as the prevention group for prophylactic management of postoperative incision infections.The incision infection rate,knowledge,attitude,and practice(KAP)scores,and management satisfaction of the patients as well as the management skill scores of healthcare workers were compared between the two groups.Results:The rate of postoperative incision infection in the prevention group was lower than that in the routine group;after implementing management measures,patients in the prevention group had higher KAP scores than those in the routine group;patients in the prevention group were more satisfied with the management than those in the routine group;and healthcare workers in the prevention group had higher scores than those in the routine group,with P<0.05 for the comparison between the groups.Conclusion:The implementation of preventive management for general surgery patients in primary hospitals can reduce the incidence of postoperative incision infection and improve the KAP of patients,with higher management satisfaction.It can also enhance the management skills of healthcare workers,thus improving their overall management level.

Study on the Effect of Repetitive Peripheral Magnetic Stimulation Combined with Conventional Rehabilitation Measures on Shoulder Dysfunction in Early Stroke

Objective:To study the effect of repetitive peripheral magnetic stimulation(rPMS)combined with conventional rehabilitation measures on shoulder dysfunction in early stroke.Methods:60 patients with shoulder dysfunction in early stroke were selected,and all of them were admitted to our hospital from August 2021 to August 2023.The patients were randomly grouped into a control group(conventional rehabilitation measures intervention,30 cases)and an intervention group(rPMS and conventional rehabilitation measures intervention,30 cases)according to the lottery method.The pain scores,shoulder mobility,and motor function scores of the two groups were compared.Results:The pain score was lower in the intervention group,and the shoulder mobility and motor function scores were higher in the intervention group(P<0.05)as compared to that of the control group.Conclusion:The effect of combining rPMS and conventional rehabilitation measures in treating shoulder dysfunction in early stroke was remarkable and should be popularized.

Study on the Countermeasures to Improve the Public Outdoor Leisure and Fitness Function on the Two Rivers and Four Banks in the Main Urban Area of Chongqing

The main urban area of Chongqing is surrounded by two rivers and set against each other.With its unique waterfront landscape,it has the resource conditions to become a leisure tourism destination.Intending to enhance people’s happiness,improve city quality,and promote Chongqing’s main urban area to become a tourist destination,this paper finds out the existing problems in the construction of public outdoor leisure and fitness facilities on the two rivers and four banks of Chongqing’s main urban area through investigation and analysis based on relevant experiences at home and abroad,takes the value chain theory as the guidance,and to find solutions to the problem.On this basis,combined with the law of economic operation,this paper puts forward the guiding ideology,principles,development goals,functional orientation,and development path for the improvement of public outdoor leisure and fitness on two rivers and four banks in the main city of Chongqing,and accordingly puts forward the policy system and guarantee measures for its improvement.

Temporal-spatial Change Rules of Mangrove in Guangdong Province and Suggestions on Its Protection Measures

Mangrove ecosystem has an important ecological function. But since it is distributed in land-sea alternating region,mangrove is vulnerable to environmental pollution. Mangrove area of Guangdong Province greatly decreased after the 1950 s,and it declined to the minimum in the1990 s and then gradually increased. Mangrove area of Guangdong Province quickly increased from 2001 to now,and its area in 2014 was 19 824. 53 hm^2,in which Zhanjiang accounted for 72%. During 2001-2014,mangrove area of Guangdong Province increased significantly,in which the newly increased mangrove area in Zhanjiang,Yangjiang,Jiangmen,Zhuhai,Guangzhou and Shantou was larger,with obvious increase magnitude; mangrove area in east Guangdong during 2001-2005 increased quickly,while increase magnitude of mangrove area in west Guangdong and the Pearl River Delta was improved significantly after 2005. Additionally,mangrove species in Guangdong Province continuously decreased from south to north,showing as west Guangdong > the Pearl River Delta > east Guangdong. Mangrove of Guangdong Province could be protected strictly from shoreline control,ecological protection,function upgrading,and ecological restoration.

Suggestions on management measures of pine forest ecosystems invaded by Bursaphelenchus xylophilus

Pine wood nematode （PWN）, Bursaphelenchus xylophilus （Steiner et Buhrer） Nickle is an important invasive alien species in forests of China and has become one of the most destructive forest diseases. In order to improve the resistance and resilience of pine forest ecosystems against B. xylophilus invasion and make the pine forest ecosystem more timely responsive to PWN invasion, we made some recommendations based on five years of intensive observations. We advocate a set of management measures with the theme “Prevention is priority, but integrated with curative techniques and ecological resilience” on the pine forest ecosystem invaded by B. xylophilus; details of accurate measures are proposed. The aim is to discover the underlying problems of present pine forest ecosys-tems and to take, correspondingly, administrative measures and strategies, which will encourage the pine forest ecosystem to develop in a benign way.

Measures and Policy Suggestions for Improving Rural Settlements in Guangdong

Since 2000,Guangdong has continued to increase investment in infrastructure construction in rural areas,and indicators for the main construction in the rural areas have met the requirement of remediation.However,the return visit has found that there are still huge gaps in urban and rural settlements.Therefore,this paper comprehensively investigated and scientifically analyzed existing problems in the rural settlements in Guangdong,and proposed that urbanization was the fundamental way to improve the rural settlements by carrying out the strategic planning of the provincial urbanization space and formulating different policies in urban areas and rural areas.Specifically,in the urban areas,the municipal government could coordinate the urban-rural development,formulate a transformation and development plan for villages to be urbanized,and classify the villages into three types in accordance with the degree of influence of villages affected by the cities to set different planning policies.In the rural areas,the provincial government was responsible for rural protection and development together with the county government,and divided the villages into three types according to the regional planning goals to implement different supporting policies for them.