Objectives Various authors have explored the combination of competencies necessary for ensuring safe and quality care carried out by nurses in Intensive Care Units(ICUs).Nurses’perception of training is an element th...Objectives Various authors have explored the combination of competencies necessary for ensuring safe and quality care carried out by nurses in Intensive Care Units(ICUs).Nurses’perception of training is an element that must be studied in order to adopt appropriate educational measures.This study aimed to evaluate nurses’perception of the importance of intensive care training in Spain.Methods A descriptive,cross-sectional,multicentre study was conducted on a national level in Spain.Totally 85 ICUs took part in the study.The questionnaire used was developed using the Delphi method and had 66 items to investigate nurses’perception on competency requirements and training needs.The evaluation was conducted by a 10-point Likert scale.Results The sample was 568 Spanish nurses.Significant differences were found on an academic level,in terms of gender and hospital type,and in the professional experience of the nurse when it comes to evaluating the different training items;the differences in overall questionnaire scores among these groups were statistically significant(P<0.05).The nurses analyzed believe that previous training and professional experience in other care services are necessary before starting work in an ICU.Conclusion Implementation of training programs tailored to the needs of critical nurses had benefits for nurses and the health system.Nurses benefited from training focused on the skills and knowledge of each moment of their working life.Nurses have a different evaluation of their training needs throughout their professional cycle.Therefore,their training must be adapted to the professional stage of each nurse.展开更多
Staphylococcus aureus is major human pathogen causing large variety of infections worldwide. This study carried out to isolate S. aureus from different clinical cases, also detection of MRSA prevalence and VRSA emerge...Staphylococcus aureus is major human pathogen causing large variety of infections worldwide. This study carried out to isolate S. aureus from different clinical cases, also detection of MRSA prevalence and VRSA emergence, in addition to shedding light on strains that have to be multidrug resistance against various antibiotics, The clinical samples were collected from AI-Jumhuory Teaching Hospital patients in Mosul, isolates identification were achieved by conventional procedures including biochemical and physiological tests, and the specific latex agglutination test. The sensitivity pattern achieved by using disk diffusion technique, for MRSA and VRSA detection oxacillin-disk (1 μg) and vancomycin-disk (30 μg) were used respectively. Results revealed, among 17 S. aureus isolates, 7 (41%) were mostly isolated from patients with wound and burn infections. Isolates had high resistance rate against ampicillin (100%) and cefotaxime (81%), and lower resistance rate against several antibiotics. MRSA was 88% of total isolates, 93.3% of MRSA were multidrug resistance to 3-9 of antibiotics. Six isolates (40%) of MRSA were VRSA. It is concluded that antibiotics other than vancomycin can be used as anti-MRSA agents after a sensitivity test to prevent the prevalence of VRSA, the major cause of this chemotherapy problems maybe irrational and indiscriminate use of broad-spectrum antibiotics.展开更多
Objectives:To examine the patient outcomes of a comprehensive health education plus village health volunteer monitoring support program on older adults with knee osteoarthritis who are overweight and have type 2 diabe...Objectives:To examine the patient outcomes of a comprehensive health education plus village health volunteer monitoring support program on older adults with knee osteoarthritis who are overweight and have type 2 diabetes.Methods:Quasi-experimental,two-group,pretest-posttest design was applied.Using random geographic cluster sampling,older adults who met the inclusion criteria were assigned to two groups,62 in the intervention group and 71 in the control group.The intervention group received the comprehensive health education plus village health volunteer monitoring support program.The control group received only the comprehensive health education program.Study outcomes,including blood glucose level,knee pain and range of motion,body weight,physical ability(Timed Up and Go Test),fatigue,depressive symptoms,quality of sleep,and quality of life,were assessed at baseline,3 months,and 6 months after enrollment and analyzed using descriptive statistics and multivariate analysis of variance.Results:One hundred and ten participants completed the study(55 participants in each group).Most patient outcomes in the two groups showed general improvement with statistical significance(P<0.001):pain decreased,physical ability improved,less depressive symptoms and fatigue,quality of life and sleep improved.The interaction effect(the group and time)demonstrated statistically significant differences between the intervention and control groups on pain,knee range of motion,and fatigue according to each time follow-up(P<0.001).Conclusions:The comprehensive health education plus village health volunteer monitoring support program promotes good patient outcomes in this population.The integrated health education resource and support for older adults with knee osteoarthritis and type 2 diabetes is an effective,non-surgical treatment that highlights professional nursing roles and non-professional rolesdvillage health volunteers.Nurses should consider implementing a health education plus monitoring support program to mitigate the effects of chronic diseases and improve patients’quality of life.展开更多
IT was in the year 453 that the monk Tan Yao hurried to Pingcheng (present-day Datong in Shanxi Province) through the barren Loess Plateau of northern Shanxi. He had been summoned by the newly enthroned Emperor Wenc...IT was in the year 453 that the monk Tan Yao hurried to Pingcheng (present-day Datong in Shanxi Province) through the barren Loess Plateau of northern Shanxi. He had been summoned by the newly enthroned Emperor Wencheng of the Northern Wei Dynasty (386-534). Seven years previously he had run for his life along the same route,展开更多
Recently the phenomenon of disposable schoolbook in China not only has wasted so many resources that produce unfavorable influence, but also has increased unneeessary impact burdens on consumptions of Chinese families...Recently the phenomenon of disposable schoolbook in China not only has wasted so many resources that produce unfavorable influence, but also has increased unneeessary impact burdens on consumptions of Chinese families. The paper analyzes value of the reuse of schoolbooks and main obstacles, introduces the concept of servicizing, discusses the problem of the reuse of schoolbooks from construction of product-service system, and puts forward that realization of the reuse of sChoolbooks depends on innovation of present system and model. Construction of Schoolbook-service system needs shifl from value to consumption habits and behaviors and active participation of every Social class.展开更多
Objective To evaluate physicians' attitude and knowledge about the management of adult growth hormone deficiency(AGHD) at Peking Union Medical College Hospital and impact factors associated with better decision-ma...Objective To evaluate physicians' attitude and knowledge about the management of adult growth hormone deficiency(AGHD) at Peking Union Medical College Hospital and impact factors associated with better decision-making.Methods A 21-question anonymous survey was distributed and collected at Peking Union Medical College Hospital,a major teaching hospital in Chinese Academy of Medical Sciences.Data of physicians' educational background,clinical training,patient workload per year and continuing medical education in AGHD were collected.Factors associated with appropriate answers were further analyzed by multivariate regression models.Results One hundred and eighteen internal medicine residents,endocrine fellows,attending physicians and visiting physicians responded to the survey.Among them,44.9% thought that AGHD patients should accept recombinant human growth hormone replacement therapy.Moreover,56.8% selected insulin tolerance test and growth hormone-releasing hormone-arginine test for the diagnosis of AGHD.Logistic regression analysis of physician demographic data,educational background,and work experience found no consistent independent factors associated with better decision-making,other than continued medical education,that were associated with treatment choice.Conclusions The physicians' reported management of AGHD in this major academic healthcare center in Beijing was inconsistent with current evidence.High quality continued medical education is required to improve Chinese physician management of AGHD.展开更多
The core role of middle managers in the enterprises, plays an important role in the whole enterprise. Yet all round the teacher talked about a lot of companies, including layer of managers' performance status is not ...The core role of middle managers in the enterprises, plays an important role in the whole enterprise. Yet all round the teacher talked about a lot of companies, including layer of managers' performance status is not as good as executives expected. This paper mainly studies the present enterprise, the real role of middle managers, and their performance status, and middle managers in the performance of the existing problems and the analysis of the present situation of the listed in the reason, and put forward relevant countermeasures according to the actual situation. The results show that the middle managers performance evaluation become a mere formality, most managers see performance appraisal as a burden and form; Middle managers set of assessment index and the use of problems; The right job analysis is the key to design middle managers performance evaluation indicators; In the proper selection of performance indicators is significant for middle managers to improve performance; Performance indicators weights allocation to improve the teaching quality of middle managers performance influence; Design middle tube is the main body of performance appraisal index of middle performance increase.展开更多
Purpose: Educating adolescents about energy balance (EB) is essential for effective weight control. This study utilized the Sensewear (SWA) armband and a diet journal to promote adolescents' EB knowledge and mot...Purpose: Educating adolescents about energy balance (EB) is essential for effective weight control. This study utilized the Sensewear (SWA) armband and a diet journal to promote adolescents' EB knowledge and motivation. Methods: Ninety sixth graders were randomly assigned into the experimental group (n = 46) who utilized SWA and diet journal for 7 consecutive days or the control group (n = 44) who did not. Both groups were pre- and post-measured on EB knowledge, situational interest, and weight. The experimental group was tracked on motivation effort, energy expenditure (EE), and energy intake (EI). Results: EB knowledge significantly increased and situational interest remained stable (except for total interest and enjoyment) over time, but these changes did not favor the experimental group. Situational interest and motivation effort were correlated with EE, EI, and/or EB. Conclusion: Tracking EB using the SWA and diet journal is motivating but has limited efficacy in promoting adolescents' EB knowledge. Using these two tools as educational technology in conjunction with a focused, systematic, and educational approach has the potential to leverage adolescents' EB knowledge, motivation, as well as behaviors for living an energy-balanced lifestyle.展开更多
Chinese universities are facing a series of challenges in their accommodations, of which a predominant one is how to provide both students and staff with enough accommodations of a large scope and good quality in good...Chinese universities are facing a series of challenges in their accommodations, of which a predominant one is how to provide both students and staff with enough accommodations of a large scope and good quality in good time and with limited budgets. In order to find applicable approaches to solve this problem, the current situations of the Chinese higher education reform and the resulted rapid growth of student numbers whereby the requirement of lodgings is greatly increased are discussed. It is elucidated that in providing enough accommodations for staff and students, Chinese universities are confronted with difficulties including demand too big, lack of funding support, time limitation and incapability in both project management and facilities management. Industrialized building approach is demonstrated to be a desirable access to build large quantities of accommodations of good quality in limited time, and Private Financial Initiative (PFI) appears to be a prosperous solution to the fund shortage. Regarding project and facilities management, qualified professionals are available by either employing exterior consultants or training related staff of universities for such occupations.展开更多
Vocational college students are an important force in the country's future socialist construction, and their concept of ecological civilization will directly affect the future of socialist construction. This article ...Vocational college students are an important force in the country's future socialist construction, and their concept of ecological civilization will directly affect the future of socialist construction. This article conducted a questionnaire survey by among 960 vocational college students, and it found that the presence of ecological civilization vocational colleges of education-related departments at all levels of ecological education vocational college students are lack of rational cognition, and the attention is not enough. Therefore, educators should explore effective ways of ecological civilization education colleges, the competent authorities in the school attaches great importance to play the main channel of the effectiveness of teachers and classrooms, and strengthen ecological civilization education; improving vocational college students initiative and practicality, strengthen ecological and environmental legal education to enable students to form a sense of ecological civilization and habits, in order to receive a good education results.展开更多
Foreign teaching and Chinese language teaching of minority are two different forms of teaching in nature, both the nature and the system of teaching are different, but in the teaching objectives, content, principles, ...Foreign teaching and Chinese language teaching of minority are two different forms of teaching in nature, both the nature and the system of teaching are different, but in the teaching objectives, content, principles, methods, and therefore there are many similarities, so two studies outcomes can learn from each other. In this paper, with voice teaching as an example, we will talk about foreign language studies in ethnic minority Chinese Teaching. I think, in the teaching program design, the teaching Chinese minorities can learn from the simplified idea of teaching phonological Mr. Zhao Jin ruing, which is proposed foreign teaching Chinese, to simplify Voice teaching. In teaching principles, we should emphasize specific principles, instructional design based on students' different characteristics. In the teaching content, teaching should not only pay attention phonetic syllables within the system, but also more emphasis on syllables voice level teaching, especially teaching speech flow. In teaching methods, we should learn teaching, research tone, softly and so on.展开更多
Curriculum development efforts are widely investigated and studied by many researchers in the world. However, there are only few studies in number that specifically deal with curriculum development in the field of Eng...Curriculum development efforts are widely investigated and studied by many researchers in the world. However, there are only few studies in number that specifically deal with curriculum development in the field of English language teaching and its implementation in the Turkish context. Hence, the present study was designed to investigate Turkish national education curriculum and the sixth grade EFL (English as a foreign language) curriculum in Turkey through analyzing the documents belong to Turkish MoNE (ministry of national education). This study first presents what national education and the sixth grade EFL curriculum involve, and then investigates the drawbacks of them based on the predetermined criteria. Finally, this study concludes with suggestions to overcome the mentioned shortcomings.展开更多
Power relation can be revealed in discourse. Teacher power, to a large extent, is manifested through teacher talk. This paper attempts to provide an analysis of classroom language from a critical discourse perspective...Power relation can be revealed in discourse. Teacher power, to a large extent, is manifested through teacher talk. This paper attempts to provide an analysis of classroom language from a critical discourse perspective as to uncover the power hidden in teacher talk and of how language contributes to teacher power.展开更多
With the deepening reform and education system, teacher development is increasingly being taken seriously. Teachers' professional development ability is related to the overall level of higher education. For science a...With the deepening reform and education system, teacher development is increasingly being taken seriously. Teachers' professional development ability is related to the overall level of higher education. For science and engineering colleges, the traditional light text is serious on a weight management, science and engineering university foreign language teacher development is severely limited. In this view, I try to start from the theory of teacher development, combined with the actual characteristics of the University of Science and Engineering, University of Science and Engineering is to expLore the implementation of foreign language teachers' professional development path.展开更多
文摘Objectives Various authors have explored the combination of competencies necessary for ensuring safe and quality care carried out by nurses in Intensive Care Units(ICUs).Nurses’perception of training is an element that must be studied in order to adopt appropriate educational measures.This study aimed to evaluate nurses’perception of the importance of intensive care training in Spain.Methods A descriptive,cross-sectional,multicentre study was conducted on a national level in Spain.Totally 85 ICUs took part in the study.The questionnaire used was developed using the Delphi method and had 66 items to investigate nurses’perception on competency requirements and training needs.The evaluation was conducted by a 10-point Likert scale.Results The sample was 568 Spanish nurses.Significant differences were found on an academic level,in terms of gender and hospital type,and in the professional experience of the nurse when it comes to evaluating the different training items;the differences in overall questionnaire scores among these groups were statistically significant(P<0.05).The nurses analyzed believe that previous training and professional experience in other care services are necessary before starting work in an ICU.Conclusion Implementation of training programs tailored to the needs of critical nurses had benefits for nurses and the health system.Nurses benefited from training focused on the skills and knowledge of each moment of their working life.Nurses have a different evaluation of their training needs throughout their professional cycle.Therefore,their training must be adapted to the professional stage of each nurse.
文摘Staphylococcus aureus is major human pathogen causing large variety of infections worldwide. This study carried out to isolate S. aureus from different clinical cases, also detection of MRSA prevalence and VRSA emergence, in addition to shedding light on strains that have to be multidrug resistance against various antibiotics, The clinical samples were collected from AI-Jumhuory Teaching Hospital patients in Mosul, isolates identification were achieved by conventional procedures including biochemical and physiological tests, and the specific latex agglutination test. The sensitivity pattern achieved by using disk diffusion technique, for MRSA and VRSA detection oxacillin-disk (1 μg) and vancomycin-disk (30 μg) were used respectively. Results revealed, among 17 S. aureus isolates, 7 (41%) were mostly isolated from patients with wound and burn infections. Isolates had high resistance rate against ampicillin (100%) and cefotaxime (81%), and lower resistance rate against several antibiotics. MRSA was 88% of total isolates, 93.3% of MRSA were multidrug resistance to 3-9 of antibiotics. Six isolates (40%) of MRSA were VRSA. It is concluded that antibiotics other than vancomycin can be used as anti-MRSA agents after a sensitivity test to prevent the prevalence of VRSA, the major cause of this chemotherapy problems maybe irrational and indiscriminate use of broad-spectrum antibiotics.
基金This study was funded by the National Research Council of Thailand(NRCT/2019).
文摘Objectives:To examine the patient outcomes of a comprehensive health education plus village health volunteer monitoring support program on older adults with knee osteoarthritis who are overweight and have type 2 diabetes.Methods:Quasi-experimental,two-group,pretest-posttest design was applied.Using random geographic cluster sampling,older adults who met the inclusion criteria were assigned to two groups,62 in the intervention group and 71 in the control group.The intervention group received the comprehensive health education plus village health volunteer monitoring support program.The control group received only the comprehensive health education program.Study outcomes,including blood glucose level,knee pain and range of motion,body weight,physical ability(Timed Up and Go Test),fatigue,depressive symptoms,quality of sleep,and quality of life,were assessed at baseline,3 months,and 6 months after enrollment and analyzed using descriptive statistics and multivariate analysis of variance.Results:One hundred and ten participants completed the study(55 participants in each group).Most patient outcomes in the two groups showed general improvement with statistical significance(P<0.001):pain decreased,physical ability improved,less depressive symptoms and fatigue,quality of life and sleep improved.The interaction effect(the group and time)demonstrated statistically significant differences between the intervention and control groups on pain,knee range of motion,and fatigue according to each time follow-up(P<0.001).Conclusions:The comprehensive health education plus village health volunteer monitoring support program promotes good patient outcomes in this population.The integrated health education resource and support for older adults with knee osteoarthritis and type 2 diabetes is an effective,non-surgical treatment that highlights professional nursing roles and non-professional rolesdvillage health volunteers.Nurses should consider implementing a health education plus monitoring support program to mitigate the effects of chronic diseases and improve patients’quality of life.
文摘IT was in the year 453 that the monk Tan Yao hurried to Pingcheng (present-day Datong in Shanxi Province) through the barren Loess Plateau of northern Shanxi. He had been summoned by the newly enthroned Emperor Wencheng of the Northern Wei Dynasty (386-534). Seven years previously he had run for his life along the same route,
文摘Recently the phenomenon of disposable schoolbook in China not only has wasted so many resources that produce unfavorable influence, but also has increased unneeessary impact burdens on consumptions of Chinese families. The paper analyzes value of the reuse of schoolbooks and main obstacles, introduces the concept of servicizing, discusses the problem of the reuse of schoolbooks from construction of product-service system, and puts forward that realization of the reuse of sChoolbooks depends on innovation of present system and model. Construction of Schoolbook-service system needs shifl from value to consumption habits and behaviors and active participation of every Social class.
基金Supported by National Natural Science Foundation of China(81400774)PUMC Youth Fund(33320140164 and 3332016128)
文摘Objective To evaluate physicians' attitude and knowledge about the management of adult growth hormone deficiency(AGHD) at Peking Union Medical College Hospital and impact factors associated with better decision-making.Methods A 21-question anonymous survey was distributed and collected at Peking Union Medical College Hospital,a major teaching hospital in Chinese Academy of Medical Sciences.Data of physicians' educational background,clinical training,patient workload per year and continuing medical education in AGHD were collected.Factors associated with appropriate answers were further analyzed by multivariate regression models.Results One hundred and eighteen internal medicine residents,endocrine fellows,attending physicians and visiting physicians responded to the survey.Among them,44.9% thought that AGHD patients should accept recombinant human growth hormone replacement therapy.Moreover,56.8% selected insulin tolerance test and growth hormone-releasing hormone-arginine test for the diagnosis of AGHD.Logistic regression analysis of physician demographic data,educational background,and work experience found no consistent independent factors associated with better decision-making,other than continued medical education,that were associated with treatment choice.Conclusions The physicians' reported management of AGHD in this major academic healthcare center in Beijing was inconsistent with current evidence.High quality continued medical education is required to improve Chinese physician management of AGHD.
文摘The core role of middle managers in the enterprises, plays an important role in the whole enterprise. Yet all round the teacher talked about a lot of companies, including layer of managers' performance status is not as good as executives expected. This paper mainly studies the present enterprise, the real role of middle managers, and their performance status, and middle managers in the performance of the existing problems and the analysis of the present situation of the listed in the reason, and put forward relevant countermeasures according to the actual situation. The results show that the middle managers performance evaluation become a mere formality, most managers see performance appraisal as a burden and form; Middle managers set of assessment index and the use of problems; The right job analysis is the key to design middle managers performance evaluation indicators; In the proper selection of performance indicators is significant for middle managers to improve performance; Performance indicators weights allocation to improve the teaching quality of middle managers performance influence; Design middle tube is the main body of performance appraisal index of middle performance increase.
基金supported by Iowa State University College of Human Sciences
文摘Purpose: Educating adolescents about energy balance (EB) is essential for effective weight control. This study utilized the Sensewear (SWA) armband and a diet journal to promote adolescents' EB knowledge and motivation. Methods: Ninety sixth graders were randomly assigned into the experimental group (n = 46) who utilized SWA and diet journal for 7 consecutive days or the control group (n = 44) who did not. Both groups were pre- and post-measured on EB knowledge, situational interest, and weight. The experimental group was tracked on motivation effort, energy expenditure (EE), and energy intake (EI). Results: EB knowledge significantly increased and situational interest remained stable (except for total interest and enjoyment) over time, but these changes did not favor the experimental group. Situational interest and motivation effort were correlated with EE, EI, and/or EB. Conclusion: Tracking EB using the SWA and diet journal is motivating but has limited efficacy in promoting adolescents' EB knowledge. Using these two tools as educational technology in conjunction with a focused, systematic, and educational approach has the potential to leverage adolescents' EB knowledge, motivation, as well as behaviors for living an energy-balanced lifestyle.
文摘Chinese universities are facing a series of challenges in their accommodations, of which a predominant one is how to provide both students and staff with enough accommodations of a large scope and good quality in good time and with limited budgets. In order to find applicable approaches to solve this problem, the current situations of the Chinese higher education reform and the resulted rapid growth of student numbers whereby the requirement of lodgings is greatly increased are discussed. It is elucidated that in providing enough accommodations for staff and students, Chinese universities are confronted with difficulties including demand too big, lack of funding support, time limitation and incapability in both project management and facilities management. Industrialized building approach is demonstrated to be a desirable access to build large quantities of accommodations of good quality in limited time, and Private Financial Initiative (PFI) appears to be a prosperous solution to the fund shortage. Regarding project and facilities management, qualified professionals are available by either employing exterior consultants or training related staff of universities for such occupations.
文摘Vocational college students are an important force in the country's future socialist construction, and their concept of ecological civilization will directly affect the future of socialist construction. This article conducted a questionnaire survey by among 960 vocational college students, and it found that the presence of ecological civilization vocational colleges of education-related departments at all levels of ecological education vocational college students are lack of rational cognition, and the attention is not enough. Therefore, educators should explore effective ways of ecological civilization education colleges, the competent authorities in the school attaches great importance to play the main channel of the effectiveness of teachers and classrooms, and strengthen ecological civilization education; improving vocational college students initiative and practicality, strengthen ecological and environmental legal education to enable students to form a sense of ecological civilization and habits, in order to receive a good education results.
文摘Foreign teaching and Chinese language teaching of minority are two different forms of teaching in nature, both the nature and the system of teaching are different, but in the teaching objectives, content, principles, methods, and therefore there are many similarities, so two studies outcomes can learn from each other. In this paper, with voice teaching as an example, we will talk about foreign language studies in ethnic minority Chinese Teaching. I think, in the teaching program design, the teaching Chinese minorities can learn from the simplified idea of teaching phonological Mr. Zhao Jin ruing, which is proposed foreign teaching Chinese, to simplify Voice teaching. In teaching principles, we should emphasize specific principles, instructional design based on students' different characteristics. In the teaching content, teaching should not only pay attention phonetic syllables within the system, but also more emphasis on syllables voice level teaching, especially teaching speech flow. In teaching methods, we should learn teaching, research tone, softly and so on.
文摘Curriculum development efforts are widely investigated and studied by many researchers in the world. However, there are only few studies in number that specifically deal with curriculum development in the field of English language teaching and its implementation in the Turkish context. Hence, the present study was designed to investigate Turkish national education curriculum and the sixth grade EFL (English as a foreign language) curriculum in Turkey through analyzing the documents belong to Turkish MoNE (ministry of national education). This study first presents what national education and the sixth grade EFL curriculum involve, and then investigates the drawbacks of them based on the predetermined criteria. Finally, this study concludes with suggestions to overcome the mentioned shortcomings.
文摘Power relation can be revealed in discourse. Teacher power, to a large extent, is manifested through teacher talk. This paper attempts to provide an analysis of classroom language from a critical discourse perspective as to uncover the power hidden in teacher talk and of how language contributes to teacher power.
文摘With the deepening reform and education system, teacher development is increasingly being taken seriously. Teachers' professional development ability is related to the overall level of higher education. For science and engineering colleges, the traditional light text is serious on a weight management, science and engineering university foreign language teacher development is severely limited. In this view, I try to start from the theory of teacher development, combined with the actual characteristics of the University of Science and Engineering, University of Science and Engineering is to expLore the implementation of foreign language teachers' professional development path.