According to the ecological safety evaluation index data of land-use change in Ji'an City from 1999 to 2008,positive treatment on selected reverse indices is conducted by Reciprocal Method.Meanwhile,Index Method i...According to the ecological safety evaluation index data of land-use change in Ji'an City from 1999 to 2008,positive treatment on selected reverse indices is conducted by Reciprocal Method.Meanwhile,Index Method is used to standardize the selected indices,and Principal Component Analysis is applied by using year as a unit.FB is obtained,which is related with the ecological safety of land-use change from 1999 to 2008.According to the scientific,integrative,hierarchical,practical and dynamic principles,ecological safety evaluation index system of land-use change in Ji'an City is established.Principal Component Analysis and evaluation model are used to calculate four parameters,including the natural resources safety index of land use,the socio-economic safety indicators of land use,the eco-environmental safety index of land use,and the ecological safety degree of land use in Ji'an City.Result indicates that the ecological safety degree of land use in Ji'an City shows a slow upward trend as a whole.At the same time,ecological safety degree of land-use change is relatively low in Ji'an City with the safety value of 0.645,which is at a weak safety zone and needs further monitoring and maintenance.展开更多
On February 12,the Anhui ProvincialPeople’s Government made a decisionon the speeding up of the use of foreigncapital.The decision involved the followingseven aspects: 1.To seize the opportunity to reviseideology and...On February 12,the Anhui ProvincialPeople’s Government made a decisionon the speeding up of the use of foreigncapital.The decision involved the followingseven aspects: 1.To seize the opportunity to reviseideology and to open up a new situation formaking use of foreign capital.The decisionurges the various localities to seize the righttime to shift their focus to making good useof their own advantages,and improving thelocal investment climate and the quality ofservice in the light of their actual conditionsso as to absorb more foreign funds.Meanwhile,enterprises must be led to face the marketand to join equal competition so as to pushforward the use of foreign funds to a展开更多
Train rails are associated with environmental and safety risks, often concentrating industry near their yards and rails. ArcGIS was applied to map the rail network, land uses, and industrial sites in Point Douglas and...Train rails are associated with environmental and safety risks, often concentrating industry near their yards and rails. ArcGIS was applied to map the rail network, land uses, and industrial sites in Point Douglas and St. Boniface in Winnipeg, Canada. We identified 123 land uses with vulnerable populations needing assistance in evacuation from hospitals, senior living facilities, schools and early childhood centres within a buffer of two km of the rails and conducted hotspot analysis. About two-fifths of the total population, 39% in Point Douglas and 40% in St. Boniface, are at risk from fire, spill or train derailment involving dangerous goods and requiring evacuations or isolation.展开更多
Introduction: Social isolation increases in the over-74 population and it is a risk factor for death and Long Term Care (LTC) use. In order to prevent the negative consequences of social isolation on this population c...Introduction: Social isolation increases in the over-74 population and it is a risk factor for death and Long Term Care (LTC) use. In order to prevent the negative consequences of social isolation on this population community interventions focused on strengthening the social network should be intensified. The aim of this paper is to describe the impact on health care use of a Community-based pro-Active Monitoring Program (CAMP) providing phone monitoring to all the clients and home visits according to the individual’s needs. Methodology: In order to provide an evaluation of the program outcomes, the rates of clients’ hospitalization and admissions to Long Term Care facilities during 2011 have been assessed. The observed rates have been compared with expected ones calculated on available information for similar population. A cost-analysis has been also carried out to analyze the program sustainability. Results: The studied sample is made up by 1408 over-74 citizens followed up during 2011 in Rome (Italy) by CAMP. The cumulative observation time was 1362 p/y;61 individuals died during 2011 (death rate 4.3%). The hospital admission rate observed among CAMP’s clients was 254‰ (357/1408;CL95% ± 91‰), lower than the 282‰ reported for the over-74 population of Rome. This translates into 39 averted hospitalization. The LTC admission rate is also reduced among CAMP’s clients (9/1,408, 6.6‰ CL95% ± 0.8‰ vs. 9.7‰ reported for a comparable sample);it translates into 4 averted LTC admissions. The averted cost ranged between 47,153 € and 220,117 € according to the range of services used by the clients, which translates into a percentage of estimated cost reduction on yearly basis ranged between 3% and 12.5% of the whole cost of services used by the studied population. Discussion: The paper suggests the capacity of CAMP to reduce both the over-74 hospitalization rate and use of LTC. Cost analysis also indicates a cost reduction as a consequence of the CAMP implementation. Further studies including a control group and a detailed cost-benefit analysis are needed to check the program sustainability on larger population.展开更多
Objectives:We aim to describe the efficacy,safety,and characteristics of the Amplatzer Vascular Plug(AVP)II and IV“off-label”use for multiple cardiovascular occlusions in children under 10 years.Methods:Observationa...Objectives:We aim to describe the efficacy,safety,and characteristics of the Amplatzer Vascular Plug(AVP)II and IV“off-label”use for multiple cardiovascular occlusions in children under 10 years.Methods:Observational retrospective multicenter(2007–2020,6 centers)review of paediatric procedures using AVP II or IV.Results:A total of 125 children(49.6%aged≤1 year,147 lesions)underwent 136 successive procedures(success rate:98.5%)using 169 devices(109 AVP IV,60 AVP II).The mean device diameter was 7.7±3.2 mm(4–20 mm).The median AVP size to vessel diameter ratio was 1.3(0–2).The median age and weight at implantation were 1.0 year(0.01–9.98)and 8.4 kg(1–69).Procedures were heterogeneous(55 patent ductus arteriosus(PDA),28 collaterals,18 sequestrations,22 arteriovenous/veinovenous/coronary fistulas,6 vertical veins,6 conduits,5 ventricular septal defects,7 miscellaneous).Day 1 and 6-month occlusion rates were respectively 94.8%and 98.5%.Major adverse events(MAE)occurred in 5.2%of cases(no procedure-related deaths),and more frequently in weight≤5 kg(p=0.01),younger patients(p=0.03)during PDA closure(p=0.02)of tubular types(p=0.02)using larger devices(p=0.03)and AVP II(p=0.003).Independent predictor of MAE risk was a higher AVP diameter to patient weight ratio(Odds-ratio:2.33,95%confidence interval 1.31–4.13,p=0.004,optimal cut off:1.45).Conclusions:Both AVPs are safe and effective for percutaneous occlusions in children under 10.Such devices represent an alternative“off label”use for well selected paediatric patients.展开更多
Involvement in road traffic crashes as vehicle occupants is a leading cause of death and serious injury among children. The objective of this study was to investigate crash severity factors and child safety restraint ...Involvement in road traffic crashes as vehicle occupants is a leading cause of death and serious injury among children. The objective of this study was to investigate crash severity factors and child safety restraint use characteristics in order to identify effective countermeasures to increase children's highway safety. Characteristics and percentages of restraint use among child passengers aged 4-13 years were examined using highway crash data from Kansas. The association between restraint use, injury severity and characteristics of children involved in crashes were investigated using OR (odds ratios) and a logistic regression model, which was used to identify risk factors. Results showed that children, who were unrestrained, were seated in the front seat, traveling with drunk drivers and on rural roads, and traveling during nighttime was more vulnerable to severe injury in the case of motor vehicle crashes. The most frequent contributing causes related to crashes involving children included driver's inattention while driving, failure to yield right-of-way, driving too fast, wet roads and animals in the road. Based on identified critical factors, general countermeasure ideas to improve children's traffic safety were suggested, including age-appropriate and size-appropriate seat belt restraints and having children seated in the rear seat. Parents and children must gain better education regarding these safety measures in order to increase child safety on the road.展开更多
One of the capabilities of the architecture is to respond to growing and,in some cases,varied needs of users.However,architecture and construction industry,in comparison with other sciences,have been very slow and ina...One of the capabilities of the architecture is to respond to growing and,in some cases,varied needs of users.However,architecture and construction industry,in comparison with other sciences,have been very slow and inadequate to implement this technology despite very suitable ground for improvement.At the moment,one of the most essential discussions in this field is how to achieve qualitative understanding of construction materials.Accordingly,one of the key sections of a construction which plays a significant role in optimizing performance is shell of the building.In this article,in addition to the utilization technique of selfcleaning materials in construction industry which will result in embellishment of urban design,an attempt has also been made to present a suitable model on how to utilize these materials in order to improve the visual appearance quality of megalopolises.The technology of self-cleaning surfaces in order to increase durability and reduce costs and required time for equipment maintenance has currently become the focal point in construction industry.Now providing one answer to the question of whether will selfcleaning,purifying facades change the future of urban architecture?The main panorama of this research is to find and establish a dynamic and sustainable balance in embellishment of urban design.The necessity of research in this field as well as finding the best and most practical solution seem.To achieve all this,an analytical and descriptive research has been utilized,data has been collected by various books and national and international websites.展开更多
China is facing a severe water resource crisis, and the shortage of water for agricultural consumption is a prominent problem. Irrigation with reclaimed municipal wastewater that can reach the agricultural recycling s...China is facing a severe water resource crisis, and the shortage of water for agricultural consumption is a prominent problem. Irrigation with reclaimed municipal wastewater that can reach the agricultural recycling standards is an important way to deal with water shortage in agricultural production. Owing to the complex sources of municipal wastewater, there are multifarious pollutants in municipal wastewater. Improper use of wastewater can cause potential risks to agoenvironment, agricultural products safety, and human health. This article deals with the current situation and the development prospects of reclaimed wastewater for agricultural use in China and abroad; the potential risks to human health and environmental pollution from the reclaimed municipal wastewater for agricultural reuse are also discussed. And some countermeasures and advices of reclaimed municipal wastewater for safety of agricultural reuse are provided.展开更多
[Objective]The paper was to evaluate the safety of 45%prochloraz EW in ginger,and to study the residue and degradation of 45%prochloraz EW in ginger.[Method]45%Prochloraz EW was sprayed once at the dose of 455.625 g a...[Objective]The paper was to evaluate the safety of 45%prochloraz EW in ginger,and to study the residue and degradation of 45%prochloraz EW in ginger.[Method]45%Prochloraz EW was sprayed once at the dose of 455.625 g a.i./ha in dynamic degradation test,and ginger plants were collected at 2 h,1,3,5,7,14,21,28,35 and 42 d post spraying,respectively.45%Prochloraz EW was sprayed at the doses of 303.75 and 455.625 g a.i./ha for 2-3 times with an interval of 7 d in final residue test,and ginger plants were collected at 7,14 and 21 d post spraying,respectively.The content of prochloraz was quantitatively analyzed by gas chromatography.[Result]Dynamic degradation test demonstrated that prochloraz degraded quickly in plants,and the half-life in Shandong and Anhui were 5.8 and 7.9 d,respectively.The final residue of prochloraz in ginger samples was<0.01-0.145 mg/kg,lower than the maximum residue limit of prochloraz in ginger formulated by European Union(0.2 mg/kg).[Conclusion]Prochloraz should be sprayed at the recommended dose of 202.5-303.75 g a.i./ha for prevention and control of anthracnose on ginger.The agent should be sprayed twice in the early stage of incidence,with an interval of 7 d,and the safety interval of 14 d was safe.展开更多
<strong>Background: </strong>Patient safety is the core task of any healthcare business. As medical harm caused by hospitalisation is still on the rise and patient safety culture is a struggle. We aim to d...<strong>Background: </strong>Patient safety is the core task of any healthcare business. As medical harm caused by hospitalisation is still on the rise and patient safety culture is a struggle. We aim to determine the nature of patient safety culture in a private hospital and explore some unique human resource problems in Malaysia. <strong>Methods: </strong>In our case study, we use the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire to measure the 12 dimensions of patient safety culture. The survey received 281 respondents (76% response rate) from all the millennial frontline healthcare providers, including doctors, nurses and allied healthcare providers. The result of the survey was used as the basis to further explore the problems in this hospital. In-depth interviews, observation and document reviews were conducted in relation to human resource problems. This study used IBM SPSS 26 for Windows for statistical analysis and Atlas ti.8 for qualitative analysis of open comments. We used Interpretive Phenomenological Interpretation for analysis of data after triangulation. <strong>Results: </strong>The overall average positive response rate for the 12 patient safety culture dimensions of the HSOPSC survey was 64%. The result showed that the staff feels positively toward patient safety culture in this hospital. The dimension that received good performance is “Manager expectation”, “Management support for patient safety” and “Organisational learning”. The dimension with the poor performance was “Staffing”, “Frequency of error reporting”, “Teamwork across units”, and “Handoff and transitions”. The open comments indicated inadequate staffing and nursing retention issues. Interviews, observation and document reviews related to staffing reveal high turnover rates among millennial nurses, high overtime and on-call rates, chaotic units with procedures, doctors’ round, admission and discharges mainly in medical and surgical units causing distraction. Poor shared governance is the biggest challenges that need immediate attention post Covid-19 pandemic. <strong>Conclusions: </strong>The HSOPSC measurement gave valuable insights on patient safety culture in a private hospital in Malaysia. The overall perception of patient safety culture was satisfactory. The poor positive response rate for “Staffing” dimension and the open comments suggests a need for an urgent need for retention and human resource management strategies to prevent brain drain due to high turnover rates, especially among millennial nurses. The key factors causing dissatisfaction and brain drain among nurses are the lack of shared governance.展开更多
This paper aims to evaluate the probability of landslide hazards using a physical model(TRIGRS:Transient Rainfall Infiltration and Grid-Based Region Slope-Stability)for a regional scale considering the variations of a...This paper aims to evaluate the probability of landslide hazards using a physical model(TRIGRS:Transient Rainfall Infiltration and Grid-Based Region Slope-Stability)for a regional scale considering the variations of a triggering rainfall condition and land-cover under the climate change.There are certain uncertainties raising from the soil properties and soil depth determination,assumption of groundwater,as well as the same root cohesion for all tree cover in the forest-related region.However,the application of TRIGRS model in a regional scale would provide important references for the distribution of landslide prone area regarding scenarios about changes of weather condition and land cover situation.It thus would support local authorities in obtaining more adequate land planning strategies in a river basin to mitigate potential hazard from the slope failure issue.展开更多
Key project stakeholders such as clients, consultant teams, contractors and workers have different sources of power to implement projects. How these powers influence health and safety risk management is not well docum...Key project stakeholders such as clients, consultant teams, contractors and workers have different sources of power to implement projects. How these powers influence health and safety risk management is not well documented. This article therefore assesses the perception and uses of stakeholders' power on health and safety in risk management in construction projects in Tanzania, specifically focuses on sources and types of power, how stakeholders perceive their power, how they use power on health and safety risk management, and what factors hinders their use of power. A case study strategy was adopted and four large on-going construction projects in Dar es Salaam Tanzania were involved. Data was collected through in-depth interviews with clients, consultants, contractors and construction workers. Findings indicate that stakeholders have different sources of power such as technical expertise, legitimate, political position, resources information to influence health and safety risk management. Nonetheless, the use of these powers was generally limited due to low level of knowledge on health and safety risk management among stakeholders, wrong perception on their roles, insufficient health and safety regulations and weak procurement system. The research recommends that, in order to realize health and safety performance through using stakeholder's power, there is a need of clear definition of stakeholders' role and responsibilities on health and safety, wide knowledge and experiences on health and safety risk management, strong regulatory system and procurement system.展开更多
Investments in rural land for agriculture, timber, and other natural resource purposes occur frequently and globally. Fundamental principles of liberty and property found in the United States of America’s (“US”) le...Investments in rural land for agriculture, timber, and other natural resource purposes occur frequently and globally. Fundamental principles of liberty and property found in the United States of America’s (“US”) legal system, from its origins to recent US Supreme Court decisions, continue to positively benefit holders of real estate in the Southern US, through a deep-rooted public policy of supporting private property rights and rural economic development. This stable rule of law enhances the long-term adaptability and sustainability of timberland as an asset class. This article is a commentary. It combines legal research methodology with the observations and conclusions of the authors. Its purpose is to demonstrate that the existence of alienable, documentable ownership, and related property rights create inherent stability and security. These principles form the basis of a culture that is defined by the rule of law and is “open for business.” This business mindset is particularly prevalent in the Southern US.展开更多
To introduce foreign capital for the municipal highway construction is a great measure to meet the development of the socialist market economy and to reform the investment system for the municipal highway construction...To introduce foreign capital for the municipal highway construction is a great measure to meet the development of the socialist market economy and to reform the investment system for the municipal highway construction. The aim of the reform lies in taking the construction and management of the municipal highway facilities as an industry to operate, widening the investment channel of the municipal highway construction and gradually forming a benign cycle of investment-construc-展开更多
It has been our consistent policy to expand the opening policy, while using foreign capital reasonably and effectively. Our experience of economic development since China’s economic reform and opening to the outside ...It has been our consistent policy to expand the opening policy, while using foreign capital reasonably and effectively. Our experience of economic development since China’s economic reform and opening to the outside world 20 years ago has shown that implementing the opening policy, participation in the international division of labour and exchange, the use of both domestic and international markets and resources, and the introduction of a foreign展开更多
Background: Aminoglycosides are used as empirical antibiotic treatment of intraabdominal infections which are caused by Gram negative bacteria and for which the treatment of choice is surgery. Aminoglycosides maintain...Background: Aminoglycosides are used as empirical antibiotic treatment of intraabdominal infections which are caused by Gram negative bacteria and for which the treatment of choice is surgery. Aminoglycosides maintain good efficacy against these bacteria and reduce the need for prescribing fluoroquinolone, cephalosporin and carbapenem antibiotics which contribute to the development of resistant bacterial strains. In recent years, several clinical trials and international guidelines have advised against the use of aminoglycosides owing largely to doubts about their effectiveness and to the concern for their known nephrotoxicity and ototoxicity. Aim: In our study, we aimed to prove whether aminoglycosides are appropriate agents in the treatment of acute appendicitis. Methods: Retrospectively, patients with acute appendicitis we included in the trial. Demographic characteristics, comorbidities, clinical signs and symptoms, the type of antibiotic and surgical treatment were analyzed. The effect of independent variables on the occurrence of complications was calculated using Student’s T-test and Fisher’s precise test. The effect of aminoglycosides on the loss of kidney function was determined by means of a linear regression method. Results: 300 patients proved acute appendicitis were included in the study. Univariate statistical analysis showed that the risk factors for postoperative complications in treating acute appendicitis were: age over 76 years (p Conclusion: Aminoglycoside antibiotics are a safe and effective treatment of acute appendicitis;our not published data are positive of AGs use in acute cholecystitis and left colon diverticulitis which requires surgery. If used for a limited time period, they do not increase the risk for kidney injury and remain a stable low level of all over complications.展开更多
The article examines the current conditions of China’s industrial safety issues from four different perspectives,which include the overall openness of the micro-economy,industrial competitiveness, merger and acquisit...The article examines the current conditions of China’s industrial safety issues from four different perspectives,which include the overall openness of the micro-economy,industrial competitiveness, merger and acquisition by foreign capital and industrial upgrade.It points out six important issues in the process of improving China’s industrial safety.展开更多
[Objectives]To observe the clinical efficacy and safety of Zhuang Medicine Xiaoyan Zhiyang Formula by retrospective analysis of clinical use.[Methods]A total of 225 cases were collected,including 117 males and 108 fem...[Objectives]To observe the clinical efficacy and safety of Zhuang Medicine Xiaoyan Zhiyang Formula by retrospective analysis of clinical use.[Methods]A total of 225 cases were collected,including 117 males and 108 females,115 cases of contact dermatitis and 110 cases of acute eczema.Zhuang Medicine Xiaoyan Zhiyang Formula was administered to 225 patients with contact dermatitis and acute eczema and the clinical efficacy was evaluated.[Results]After one week of treatment,among 225 patients with contact dermatitis and acute eczema,76 cases were cured(33.78%),133 cases showed marked response(59.11%),16 cases(7.11%)were improved,0 case was ineffective,and the overall response rate was 92.89%.After one week of Zhuang Medicine Xiaoyan Zhiyang Formula treatment,the symptoms of itching,pain and swelling were significantly improved in all patients,and the rash was partially crusted without new symptom,and there were no complications and adverse reactions.[Conclusions]Zhuang Medicine Xiaoyan Zhiyang Formula therapy has a remarkable effect in the treatment of contact dermatitis and acute eczema.展开更多
基金Supported by Major Project of Chinese National Programs for Fundamental Research and Development Program(2009CB219401)Key Project of Natural Science Foundation of China(40534019)
文摘According to the ecological safety evaluation index data of land-use change in Ji'an City from 1999 to 2008,positive treatment on selected reverse indices is conducted by Reciprocal Method.Meanwhile,Index Method is used to standardize the selected indices,and Principal Component Analysis is applied by using year as a unit.FB is obtained,which is related with the ecological safety of land-use change from 1999 to 2008.According to the scientific,integrative,hierarchical,practical and dynamic principles,ecological safety evaluation index system of land-use change in Ji'an City is established.Principal Component Analysis and evaluation model are used to calculate four parameters,including the natural resources safety index of land use,the socio-economic safety indicators of land use,the eco-environmental safety index of land use,and the ecological safety degree of land use in Ji'an City.Result indicates that the ecological safety degree of land use in Ji'an City shows a slow upward trend as a whole.At the same time,ecological safety degree of land-use change is relatively low in Ji'an City with the safety value of 0.645,which is at a weak safety zone and needs further monitoring and maintenance.
文摘On February 12,the Anhui ProvincialPeople’s Government made a decisionon the speeding up of the use of foreigncapital.The decision involved the followingseven aspects: 1.To seize the opportunity to reviseideology and to open up a new situation formaking use of foreign capital.The decisionurges the various localities to seize the righttime to shift their focus to making good useof their own advantages,and improving thelocal investment climate and the quality ofservice in the light of their actual conditionsso as to absorb more foreign funds.Meanwhile,enterprises must be led to face the marketand to join equal competition so as to pushforward the use of foreign funds to a
文摘Train rails are associated with environmental and safety risks, often concentrating industry near their yards and rails. ArcGIS was applied to map the rail network, land uses, and industrial sites in Point Douglas and St. Boniface in Winnipeg, Canada. We identified 123 land uses with vulnerable populations needing assistance in evacuation from hospitals, senior living facilities, schools and early childhood centres within a buffer of two km of the rails and conducted hotspot analysis. About two-fifths of the total population, 39% in Point Douglas and 40% in St. Boniface, are at risk from fire, spill or train derailment involving dangerous goods and requiring evacuations or isolation.
文摘Introduction: Social isolation increases in the over-74 population and it is a risk factor for death and Long Term Care (LTC) use. In order to prevent the negative consequences of social isolation on this population community interventions focused on strengthening the social network should be intensified. The aim of this paper is to describe the impact on health care use of a Community-based pro-Active Monitoring Program (CAMP) providing phone monitoring to all the clients and home visits according to the individual’s needs. Methodology: In order to provide an evaluation of the program outcomes, the rates of clients’ hospitalization and admissions to Long Term Care facilities during 2011 have been assessed. The observed rates have been compared with expected ones calculated on available information for similar population. A cost-analysis has been also carried out to analyze the program sustainability. Results: The studied sample is made up by 1408 over-74 citizens followed up during 2011 in Rome (Italy) by CAMP. The cumulative observation time was 1362 p/y;61 individuals died during 2011 (death rate 4.3%). The hospital admission rate observed among CAMP’s clients was 254‰ (357/1408;CL95% ± 91‰), lower than the 282‰ reported for the over-74 population of Rome. This translates into 39 averted hospitalization. The LTC admission rate is also reduced among CAMP’s clients (9/1,408, 6.6‰ CL95% ± 0.8‰ vs. 9.7‰ reported for a comparable sample);it translates into 4 averted LTC admissions. The averted cost ranged between 47,153 € and 220,117 € according to the range of services used by the clients, which translates into a percentage of estimated cost reduction on yearly basis ranged between 3% and 12.5% of the whole cost of services used by the studied population. Discussion: The paper suggests the capacity of CAMP to reduce both the over-74 hospitalization rate and use of LTC. Cost analysis also indicates a cost reduction as a consequence of the CAMP implementation. Further studies including a control group and a detailed cost-benefit analysis are needed to check the program sustainability on larger population.
文摘Objectives:We aim to describe the efficacy,safety,and characteristics of the Amplatzer Vascular Plug(AVP)II and IV“off-label”use for multiple cardiovascular occlusions in children under 10 years.Methods:Observational retrospective multicenter(2007–2020,6 centers)review of paediatric procedures using AVP II or IV.Results:A total of 125 children(49.6%aged≤1 year,147 lesions)underwent 136 successive procedures(success rate:98.5%)using 169 devices(109 AVP IV,60 AVP II).The mean device diameter was 7.7±3.2 mm(4–20 mm).The median AVP size to vessel diameter ratio was 1.3(0–2).The median age and weight at implantation were 1.0 year(0.01–9.98)and 8.4 kg(1–69).Procedures were heterogeneous(55 patent ductus arteriosus(PDA),28 collaterals,18 sequestrations,22 arteriovenous/veinovenous/coronary fistulas,6 vertical veins,6 conduits,5 ventricular septal defects,7 miscellaneous).Day 1 and 6-month occlusion rates were respectively 94.8%and 98.5%.Major adverse events(MAE)occurred in 5.2%of cases(no procedure-related deaths),and more frequently in weight≤5 kg(p=0.01),younger patients(p=0.03)during PDA closure(p=0.02)of tubular types(p=0.02)using larger devices(p=0.03)and AVP II(p=0.003).Independent predictor of MAE risk was a higher AVP diameter to patient weight ratio(Odds-ratio:2.33,95%confidence interval 1.31–4.13,p=0.004,optimal cut off:1.45).Conclusions:Both AVPs are safe and effective for percutaneous occlusions in children under 10.Such devices represent an alternative“off label”use for well selected paediatric patients.
文摘Involvement in road traffic crashes as vehicle occupants is a leading cause of death and serious injury among children. The objective of this study was to investigate crash severity factors and child safety restraint use characteristics in order to identify effective countermeasures to increase children's highway safety. Characteristics and percentages of restraint use among child passengers aged 4-13 years were examined using highway crash data from Kansas. The association between restraint use, injury severity and characteristics of children involved in crashes were investigated using OR (odds ratios) and a logistic regression model, which was used to identify risk factors. Results showed that children, who were unrestrained, were seated in the front seat, traveling with drunk drivers and on rural roads, and traveling during nighttime was more vulnerable to severe injury in the case of motor vehicle crashes. The most frequent contributing causes related to crashes involving children included driver's inattention while driving, failure to yield right-of-way, driving too fast, wet roads and animals in the road. Based on identified critical factors, general countermeasure ideas to improve children's traffic safety were suggested, including age-appropriate and size-appropriate seat belt restraints and having children seated in the rear seat. Parents and children must gain better education regarding these safety measures in order to increase child safety on the road.
文摘One of the capabilities of the architecture is to respond to growing and,in some cases,varied needs of users.However,architecture and construction industry,in comparison with other sciences,have been very slow and inadequate to implement this technology despite very suitable ground for improvement.At the moment,one of the most essential discussions in this field is how to achieve qualitative understanding of construction materials.Accordingly,one of the key sections of a construction which plays a significant role in optimizing performance is shell of the building.In this article,in addition to the utilization technique of selfcleaning materials in construction industry which will result in embellishment of urban design,an attempt has also been made to present a suitable model on how to utilize these materials in order to improve the visual appearance quality of megalopolises.The technology of self-cleaning surfaces in order to increase durability and reduce costs and required time for equipment maintenance has currently become the focal point in construction industry.Now providing one answer to the question of whether will selfcleaning,purifying facades change the future of urban architecture?The main panorama of this research is to find and establish a dynamic and sustainable balance in embellishment of urban design.The necessity of research in this field as well as finding the best and most practical solution seem.To achieve all this,an analytical and descriptive research has been utilized,data has been collected by various books and national and international websites.
文摘China is facing a severe water resource crisis, and the shortage of water for agricultural consumption is a prominent problem. Irrigation with reclaimed municipal wastewater that can reach the agricultural recycling standards is an important way to deal with water shortage in agricultural production. Owing to the complex sources of municipal wastewater, there are multifarious pollutants in municipal wastewater. Improper use of wastewater can cause potential risks to agoenvironment, agricultural products safety, and human health. This article deals with the current situation and the development prospects of reclaimed wastewater for agricultural use in China and abroad; the potential risks to human health and environmental pollution from the reclaimed municipal wastewater for agricultural reuse are also discussed. And some countermeasures and advices of reclaimed municipal wastewater for safety of agricultural reuse are provided.
基金Supported by Agricultural Science and Technology Innovation Project of Shandong Academy of Agricultural Sciences(CXGC2018E19).
文摘[Objective]The paper was to evaluate the safety of 45%prochloraz EW in ginger,and to study the residue and degradation of 45%prochloraz EW in ginger.[Method]45%Prochloraz EW was sprayed once at the dose of 455.625 g a.i./ha in dynamic degradation test,and ginger plants were collected at 2 h,1,3,5,7,14,21,28,35 and 42 d post spraying,respectively.45%Prochloraz EW was sprayed at the doses of 303.75 and 455.625 g a.i./ha for 2-3 times with an interval of 7 d in final residue test,and ginger plants were collected at 7,14 and 21 d post spraying,respectively.The content of prochloraz was quantitatively analyzed by gas chromatography.[Result]Dynamic degradation test demonstrated that prochloraz degraded quickly in plants,and the half-life in Shandong and Anhui were 5.8 and 7.9 d,respectively.The final residue of prochloraz in ginger samples was<0.01-0.145 mg/kg,lower than the maximum residue limit of prochloraz in ginger formulated by European Union(0.2 mg/kg).[Conclusion]Prochloraz should be sprayed at the recommended dose of 202.5-303.75 g a.i./ha for prevention and control of anthracnose on ginger.The agent should be sprayed twice in the early stage of incidence,with an interval of 7 d,and the safety interval of 14 d was safe.
文摘<strong>Background: </strong>Patient safety is the core task of any healthcare business. As medical harm caused by hospitalisation is still on the rise and patient safety culture is a struggle. We aim to determine the nature of patient safety culture in a private hospital and explore some unique human resource problems in Malaysia. <strong>Methods: </strong>In our case study, we use the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire to measure the 12 dimensions of patient safety culture. The survey received 281 respondents (76% response rate) from all the millennial frontline healthcare providers, including doctors, nurses and allied healthcare providers. The result of the survey was used as the basis to further explore the problems in this hospital. In-depth interviews, observation and document reviews were conducted in relation to human resource problems. This study used IBM SPSS 26 for Windows for statistical analysis and Atlas ti.8 for qualitative analysis of open comments. We used Interpretive Phenomenological Interpretation for analysis of data after triangulation. <strong>Results: </strong>The overall average positive response rate for the 12 patient safety culture dimensions of the HSOPSC survey was 64%. The result showed that the staff feels positively toward patient safety culture in this hospital. The dimension that received good performance is “Manager expectation”, “Management support for patient safety” and “Organisational learning”. The dimension with the poor performance was “Staffing”, “Frequency of error reporting”, “Teamwork across units”, and “Handoff and transitions”. The open comments indicated inadequate staffing and nursing retention issues. Interviews, observation and document reviews related to staffing reveal high turnover rates among millennial nurses, high overtime and on-call rates, chaotic units with procedures, doctors’ round, admission and discharges mainly in medical and surgical units causing distraction. Poor shared governance is the biggest challenges that need immediate attention post Covid-19 pandemic. <strong>Conclusions: </strong>The HSOPSC measurement gave valuable insights on patient safety culture in a private hospital in Malaysia. The overall perception of patient safety culture was satisfactory. The poor positive response rate for “Staffing” dimension and the open comments suggests a need for an urgent need for retention and human resource management strategies to prevent brain drain due to high turnover rates, especially among millennial nurses. The key factors causing dissatisfaction and brain drain among nurses are the lack of shared governance.
文摘This paper aims to evaluate the probability of landslide hazards using a physical model(TRIGRS:Transient Rainfall Infiltration and Grid-Based Region Slope-Stability)for a regional scale considering the variations of a triggering rainfall condition and land-cover under the climate change.There are certain uncertainties raising from the soil properties and soil depth determination,assumption of groundwater,as well as the same root cohesion for all tree cover in the forest-related region.However,the application of TRIGRS model in a regional scale would provide important references for the distribution of landslide prone area regarding scenarios about changes of weather condition and land cover situation.It thus would support local authorities in obtaining more adequate land planning strategies in a river basin to mitigate potential hazard from the slope failure issue.
文摘Key project stakeholders such as clients, consultant teams, contractors and workers have different sources of power to implement projects. How these powers influence health and safety risk management is not well documented. This article therefore assesses the perception and uses of stakeholders' power on health and safety in risk management in construction projects in Tanzania, specifically focuses on sources and types of power, how stakeholders perceive their power, how they use power on health and safety risk management, and what factors hinders their use of power. A case study strategy was adopted and four large on-going construction projects in Dar es Salaam Tanzania were involved. Data was collected through in-depth interviews with clients, consultants, contractors and construction workers. Findings indicate that stakeholders have different sources of power such as technical expertise, legitimate, political position, resources information to influence health and safety risk management. Nonetheless, the use of these powers was generally limited due to low level of knowledge on health and safety risk management among stakeholders, wrong perception on their roles, insufficient health and safety regulations and weak procurement system. The research recommends that, in order to realize health and safety performance through using stakeholder's power, there is a need of clear definition of stakeholders' role and responsibilities on health and safety, wide knowledge and experiences on health and safety risk management, strong regulatory system and procurement system.
文摘Investments in rural land for agriculture, timber, and other natural resource purposes occur frequently and globally. Fundamental principles of liberty and property found in the United States of America’s (“US”) legal system, from its origins to recent US Supreme Court decisions, continue to positively benefit holders of real estate in the Southern US, through a deep-rooted public policy of supporting private property rights and rural economic development. This stable rule of law enhances the long-term adaptability and sustainability of timberland as an asset class. This article is a commentary. It combines legal research methodology with the observations and conclusions of the authors. Its purpose is to demonstrate that the existence of alienable, documentable ownership, and related property rights create inherent stability and security. These principles form the basis of a culture that is defined by the rule of law and is “open for business.” This business mindset is particularly prevalent in the Southern US.
文摘To introduce foreign capital for the municipal highway construction is a great measure to meet the development of the socialist market economy and to reform the investment system for the municipal highway construction. The aim of the reform lies in taking the construction and management of the municipal highway facilities as an industry to operate, widening the investment channel of the municipal highway construction and gradually forming a benign cycle of investment-construc-
文摘It has been our consistent policy to expand the opening policy, while using foreign capital reasonably and effectively. Our experience of economic development since China’s economic reform and opening to the outside world 20 years ago has shown that implementing the opening policy, participation in the international division of labour and exchange, the use of both domestic and international markets and resources, and the introduction of a foreign
文摘Background: Aminoglycosides are used as empirical antibiotic treatment of intraabdominal infections which are caused by Gram negative bacteria and for which the treatment of choice is surgery. Aminoglycosides maintain good efficacy against these bacteria and reduce the need for prescribing fluoroquinolone, cephalosporin and carbapenem antibiotics which contribute to the development of resistant bacterial strains. In recent years, several clinical trials and international guidelines have advised against the use of aminoglycosides owing largely to doubts about their effectiveness and to the concern for their known nephrotoxicity and ototoxicity. Aim: In our study, we aimed to prove whether aminoglycosides are appropriate agents in the treatment of acute appendicitis. Methods: Retrospectively, patients with acute appendicitis we included in the trial. Demographic characteristics, comorbidities, clinical signs and symptoms, the type of antibiotic and surgical treatment were analyzed. The effect of independent variables on the occurrence of complications was calculated using Student’s T-test and Fisher’s precise test. The effect of aminoglycosides on the loss of kidney function was determined by means of a linear regression method. Results: 300 patients proved acute appendicitis were included in the study. Univariate statistical analysis showed that the risk factors for postoperative complications in treating acute appendicitis were: age over 76 years (p Conclusion: Aminoglycoside antibiotics are a safe and effective treatment of acute appendicitis;our not published data are positive of AGs use in acute cholecystitis and left colon diverticulitis which requires surgery. If used for a limited time period, they do not increase the risk for kidney injury and remain a stable low level of all over complications.
文摘The article examines the current conditions of China’s industrial safety issues from four different perspectives,which include the overall openness of the micro-economy,industrial competitiveness, merger and acquisition by foreign capital and industrial upgrade.It points out six important issues in the process of improving China’s industrial safety.
基金Supported by Scientific Research Project of Guangxi Zhuang Autonomous Region Food and Drug Administration(2021 Guangxi Drug Safety Scientific Research Project)"Safety Evaluation of Zhuang Medicine Xiaoyan Zhiyang Formula for the Treatment of Acute Eczema and Contact Dermatitis and Other Skin Diseases"State Administration of Traditional Chinese Medicine High-level Key Discipline Construction Project of Traditional Chinese Medicine-Ethnic Minority Pharmacy(Zhuang Pharmacy)(zyyzdxk-2023165)+2 种基金Guangxi Traditional Chinese Medicine Multidisciplinary Innovation Team Project(GZKJ2309)Funding Project of High-level Talent Cultivation and Innovation Team of Guangxi University of Traditional Chinese Medicine(2022A008)Key R&D Projects of Guangxi Science and Technology Department(Gui Ke AB21196057).
文摘[Objectives]To observe the clinical efficacy and safety of Zhuang Medicine Xiaoyan Zhiyang Formula by retrospective analysis of clinical use.[Methods]A total of 225 cases were collected,including 117 males and 108 females,115 cases of contact dermatitis and 110 cases of acute eczema.Zhuang Medicine Xiaoyan Zhiyang Formula was administered to 225 patients with contact dermatitis and acute eczema and the clinical efficacy was evaluated.[Results]After one week of treatment,among 225 patients with contact dermatitis and acute eczema,76 cases were cured(33.78%),133 cases showed marked response(59.11%),16 cases(7.11%)were improved,0 case was ineffective,and the overall response rate was 92.89%.After one week of Zhuang Medicine Xiaoyan Zhiyang Formula treatment,the symptoms of itching,pain and swelling were significantly improved in all patients,and the rash was partially crusted without new symptom,and there were no complications and adverse reactions.[Conclusions]Zhuang Medicine Xiaoyan Zhiyang Formula therapy has a remarkable effect in the treatment of contact dermatitis and acute eczema.