GOAL问卷和Epworth嗜睡量表联合筛查阻塞性睡眠呼吸暂停的效能

目的检验GOAL问卷和Epworth嗜睡量表(Epworth sleeping scale,ESS)在筛查阻塞性睡眠呼吸暂停(obstructive sleep apnea,OSA)中联合应用的效能。方法从睡眠医学中心招募2958例参与者,完成夜间多导睡眠图监测和筛查问卷,包括GOAL、ESS、STOP-Bang问卷(SBQ)和NoSAS评分。评估每个量表的敏感度、特异度、阳性预测值、阴性预测值、诊断优势比(diagnostic odds ratio,DOR)和受试者工作特征(ROC)曲线下面积(area under the curve,AUC)。结果GOAL问卷在筛选OSA方面具有更高的敏感度和DOR(敏感度为0.831,DOR为3.72),优于STOP-Bang问卷和NoSAS评分。当GOAL问卷和ESS量表相结合时,特异度和DOR分别显著上升至0.894和4.22。GOAL问卷得分为3且ESS量表≥11分的参与者极有可能患有OSA,概率为0.96。结论GOAL问卷和ESS量表相结合具有优秀的诊断能力,可有效筛查OSA。对疑似OSA患者进行GOAL问卷后的第二阶段进行ESS量表筛查,可以提高预测准确性和早期诊断。

State of the HIV, Hepatitis B and C Virus Pandemic from 2003 to 2022 in Burkina Faso: Evolution of Prevalence Trends and Strategic Recommendations to Achieve the WHO’s Goal for Their Eradication by 2030

Background: The World Health Organization (WHO) has set a goal to eradicate or at least significantly reduce the prevalence the human immunodeficiency virus (HIV), hepatitis B Virus (HBV) and Hepatitis C Virus (HCV) by 2030. The main objective was to provide an evolving overview of the prevalence of HIV, HBV and HCV infection between 2003 and 2022 in Burkina Faso. Methods: It was a retrospective cross-sectional study based on data from 2003 to 2022. The data were collected using information available in the databases of the HOSCO and CERBA laboratories and included all individuals who underwent HIV and/or HBV and/or HCV testing. Data analysis was performed using SPSS version 20.0, EpiInfo 7, and R version 4.1.0. Results were considered statistically significant if p Results: The study recorded 7432 samples and the mean age of the subjects was 27.98 ± 8.50 years. During this period, the respective prevalence of HIV, HBV, and HCV were 4.66% (346/7432), 8.77% (582/6636) and 5.54% (322/5816). However, from 2003 to 2022, there was a significant decrease (P y=−1.75x+12.59;y=−0.24x+10.01and y=−0.11x+6.02, with “y” corresponding to prevalence and “x” to the years. Conclusion: Burkina Faso needs to rigorously apply prevention and control strategies recommended by the WHO by 2030.

Megacity pathways in China under the dual carbon goal:The case of Shanghai

The pathways to achieving carbon neutrality at the city level are diverse due to varying energy supply and demand conditions.Shanghai faces obstacles such as limited land resources,high costs of renewable energy technologies,and instability of renewable energy.These challenges hinder the city’s efforts to achieve carbon peak and carbon neutrality(dual carbon).Therefore,Shanghai must identify and optimize its development path for renewable energy under the dual carbon goal.We employed the Low Emissions Analysis Platform Shanghai(LEAP-SH)model to simulate the impact of policies,such as industrial upgrading,energy efficiency improvement,energy structure optimization,increased technical innovation on energy,and ecological restoration,on the carbon emission pathways from 2022 to 2060 using five different scenarios.Our results indicate that Shanghai has the potential to achieve carbon neutrality in 2059 by promoting carbon reduction,pollution control,and green expansion.Moreover,we determined that the manufacturing industry;power generation industry;and transportation,storage,and mail services are the three major sectors for emission reduction under the dual carbon goal.Furthermore,the capacity and output of coal-fired power plants will be gradually replaced by offshore wind power in the dual carbon pathway.Finally,this study proposes countermeasures and suggestions for Shanghai to attain the dual carbon goal and high-quality development.

The Importance of Setting Treatment Goals for Cardiovascular Diseases

Background: Guidelines are issued by most major organizations that focus on a specific disease entity. Guidelines should be a significant help to the practicing physician who may not be up-to-date with the recent medical literature. Unfortunately, when conflicting guidelines for a specific disease are published, confusion results. Purpose: This article provides a suggested guideline outcome measure that would benefit the physician and patient. Methods: A review of 19 different guidelines for cardiovascular disease treatment is one example of the lack of specific outcomes that currently exist. The basic problem with most guidelines is that they do not state the expected end result (i.e., the benefit to the patient) if that guideline is followed. When guidelines use cardiovascular disease risk factors to dictate therapy, the end benefit is never stated so that the patient can make an appropriate choice of which (if any) guideline to follow. Results: A good example is guidelines published by the American Heart Association for reducing cardiovascular disease. These guidelines are risk factor based and only indicate that cardiovascular disease would be reduced if followed. No specific percentage in the reduction of the incidence of disease is given. In contrast, when elimination of the disease is the stated goal of the guideline, the end result is clear. To date, this goal has been stated by only one organization devoted to eliminating cardiovascular disease. Conclusion: Guidelines need to be written to provide the physician and the patient with a specific end point that is expected when the guideline is followed. Patient acceptance and compliance will be much improved if the patient knows the risk/benefit of following the guideline’s recommendations.

Role of self-help groups on socioeconomic development and the achievement of Sustainable Development Goals(SDGs)among rural women in Cooch Behar District,India

This study examines the transformative role of self-help groups(SHGs)in the socioeconomic development of rural women in Cooch Behar District,India,and their contribution toward achieving Sustainable Development Goals(SDGs)of the United Nations.In this study,we explored the effect of SHGs on rural women by specifically addressing SDGs,such as no poverty(SDG 1),zero hunger(SDG 2),good health and well-being(SDG 3),quality education(SDG 4),and gender equality(SDG 5).Given this issue,a cross-sectional survey and comparison analyses are needed to assess the socioeconomic development of rural women and their awareness level before and after the participation of rural women in SHGs.The survey conducted as part of this study was divided into three sections,namely,demographic characteristics,socioeconomic development,and awareness level,with each focusing on different aspects.A group of 400 individuals who were part of SHGs completed the questionnaire survey form.The results showed that the participation of rural women in SHGs significantly improved their socioeconomic development and awareness level,as supported by both mean values and t test results.Memberships in SHGs and microcredit programs were the major elements that boosted the socioeconomic development of rural women,which also achieves SDGs 1,2,3,4,and 5.This study revealed that participation in SHGs and related financial services significantly aided rural women in economically disadvantaged communities in accumulating savings and initiating entrepreneurial ventures.Moreover,participation in SHGs was instrumental in enhancing the self-confidence,self-efficacy,and overall self-esteem of rural women.Finally,doing so enabled them to move more freely for work and other activities and to make family and common decisions.

Spatial differences of Sustainable Development Goals(SDGs)among counties(cities)on the northern slope of the Kunlun Mountains

The county(city)located on the northern slope of the Kunlun Mountains is the primary area to solidify and extend the success of Xinjiang Uygur Autonomous Region,China in poverty alleviation.Its Sustainable Development Goals(SDGs)are intertwined with the concerted economic and social development of Xinjiang and the objective of achieving shared prosperity within the region.This study established a sustainable development evaluation framework by selecting 15 SDGs and 20 secondary indicators from the United Nations’SDGs.The aim of this study is to quantitatively assess the progress of SDGs at the county(city)level on the northern slope of the Kunlun Mountains.The results indicate that there are substantial variations in the scores of SDGs among the nine counties and one city located on the northern slope of the Kunlun Mountains.Notable high scores of SDGs are observed in the central and eastern regions,whereas lower scores are prevalent in the western areas.The scores of SDGs,in descending order,are as follows:62.22 for Minfeng County,54.22 for Hotan City,50.21 for Qiemo County,42.54 for Moyu County,41.56 for Ruoqiang County,41.39 for Qira County,39.86 for Lop County,38.25 for Yutian County,38.10 for Pishan County,and 36.87 for Hotan County.The performances of SDGs reveal that Hotan City,Lop County,Minfeng County,and Ruoqiang County have significant sustainable development capacity because they have three or more SDGs ranked as green color.However,Hotan County,Moyu County,Qira County,and Yutian County show the poorest performance,as they lack SDGs with green color.It is important to establish and enhance mechanisms that can ensure sustained income growth among poverty alleviation beneficiaries,sustained improvement in the capacity of rural governance,and the gradual improvement of social security system.These measures will facilitate the effective implementation of SDGs.Finally,this study offers a valuable support for governmental authorities and relevant departments in their decision-making processes.In addition,these results hold significant reference value for assessing SDGs at the county(city)level,particularly in areas characterized by low levels of economic development.

Strategies for Cultivating Public Funded Targeted Normal Students Based on Goal Management Theory : A Case Study of East, West and North Guangdong

Public funded targeted normal students are an important component of China's teacher team construction.Since its implementation in 2007,a large number of outstanding rural teachers who have been striving on the front line of education have been trained.Based on the theory of goal management,this paper explores the problems and countermeasures in the training of public funded targeted normal students.It strives to solve the problems of low willingness to teach and high default rates among public funded normal students,and hopes that the suggestions proposed in this paper can further promote the effective implementation of policies for public funded normal students.

Epidemiological Profile of Men Who Have Sex with Men: First Data about Male Sex Workers in Central African Republic (CAR)

Objectives: Sex work is not well documented among African men. The aim of this study was to describe the epidemiological profile of men who have sex with men (MSM) and eventually to determine the proportion of sex workers (SW) among them, as well as the proportion of MSM who have been victims of gender-based violence (GBV). Material and Methods: A cross-sectional study coordinated by the Direction de la Médecine du Travail was carried out at the headquarters of the association ALTERNATIVES in Bangui Bangui from July 1 to October 31, 2021. Consenting MSM present during the study period were systematically included. Sociodemographic variables, those relating to the future vision of the activity and to GBV were collected and analyzed using Epi-Info version 7 software. Results: Forty MSM with an average age of 23 years and mainly secondary education (75.0%) were included. The vast majority of MSM were unemployed (85.0%). 45.0% had been victims of GBV and wanted to stop working as an MSM (47.5%), and almost 2/3 (65.0%) would accept another income-generating activity in exchange for the MSM. Violence was sexual (32.5%), economic (22.5%), physical (20.0%), verbal (12.5%) and psychological (12.5%). Conclusion: The MSM were mainly young, poorly educated, unemployed, and almost half were victims of GBV. The desire to change MSM activity to another income-generating activity alongside that of MSM shows that many of them are SW, workers in the informal sector. This must be taken into account in prevention activities, even if the data needs to be confirmed on a much larger sample.

Goal Self-Concordance Model: What HaveWe Learned and Where are We Going

Goal self-concordance reflects self-generated personal goals aligning with people’s interests and core values in one’s implicit personality as organic components,which is measured by the“perceived locus of causality”PLOC.Pursuing and achieving self-concordant goals both predict diversified outcomes in need-satisfaction,mental and physical well-being,positive attitude and behavior,etc.Based on expounding and sorting out the concept and measurement about goal self-concordance,the author analyzes the differences among a series of goal self-concor-dance theories.This paper focuses on the latest research trends and summarizesfive influencing aspects of goal self-concordance:mental health,cognition,emotion,personal will,and behavioral outcomes.The mediating effects are discussed concerning antecedents and influence effects,the influence effects are shown in three aspects including the characteristics of individual,target,and environment.While the antecedent effects are respectively reflected in self-insight,personality,empowerment,and self-supported environment,content,and context of the goal itself.Finally,the author proposes several potential research interests from a broader perspective based on the current literature.

Knowledge Gaps in Sustainable Development Goals (SDGs) Impacts on Biodiversity Conservation in Nairobi, Kenya

Sustainable Development Goals (SDGs) aim to ensure environmental sustainability is enhanced focusing on the future generation. Knowledge of the SDGs becomes pivotal in biodiversity conservation thus, a gap impacts such efforts on protecting and preserving biodiversity habits difficult. Nairobi City was chosen because of her unique ecosystem that habits wildlife and urban life with great prospects of being East Africa’s business hub. With an estimated double city population by 2030, knowledge of SDGs would be useful in enhancing biodiversity conservation in unique cities like Nairobi. Thus, a gap in the knowledge of SDGs threatens the future of biodiversity unless it is mitigated. The study employed a cross-sectional design that caters to qualitative and quantitative data. Data was collected using semi-structured questionnaires and key informant interviews. Data Envelopment Analysis (DEA) model was adopted to evaluate how determinants of human perceptions, decisions, and activities related to implementing sustainable development goals impact biodiversity conservation. Results indicate that respondents’ knowledge (30.5% ± 2.01%), attitudes (30.4% ± 1.56%), and practice (26.3% ± 0.08%) on implementation of SDGs was significantly low. Further, a majority believed that lack of awareness of SDGs 87% impacts biodiversity conservation, coupled with 12% and 1%, respectively, who opined that limited SDGs knowledge sharing and corruption were barriers to biodiversity conservation. The majority of respondents believed that increased awareness of SDGs (78.2% ± 2.61%), and strengthened institutional capacity (58.7% ± 3.01%) underscores SDGs’ importance in biodiversity conservation. Knowledge of SDGs is pivotal in the enhancement of biodiversity conservation.

Exploring the Goal Synergy between the Ecological Carrying Capacity of Miyun District and the Development of the Ecological Home-stay Industry in Beijing

Green construction in culture and environmental protection will be the development trend in a long run,the urban and suburban area will be ecologically developed as well.Rural revitalization must adhere to the position of historical progress theory and modern concepts,innovate spatial layout,optimize ecological resources,and appropriately determine its historical significance and sustainable development responsibility with reasonable value orientation and environmental ecological carrying capacity for local ecological construction.In order to achieve this responsibility,the authors must expand the dimensions to consider more relevant factors.The guarantee of ecological carrying capacity is an important means to ensure the promotion of ecological civilization.This paper aims to integrate and regulate the goal synergy of the cultural development of the home-stay industry in Miyun District of Beijing by means of the innovative model of sustainable economic development of cultural ecology,ecological people,ecological health preservation and rich home-stay ecological elements.Assuming that the role of the former in promoting the latter can be expanded,then in the range of ecological and cultural towns(conceptual model)that maintain a certain tolerance of ecological carrying capacity,as a characteristic home-stay industry in Miyun,there will be some effective growth,so the integration and development of multiple cultural genes and elements must be the ecological and cultural town model under the enhanced multi-factor aggregation effect,(See the ecological environment carrying capacity development goal A:A=B12345+C1234567 later).This article will explain that the development goals of Miyun's ecological culture and the ecological homestay industry are coordinated,and the two are mutually raised in the same direction.

Research and Practice on the Multi-dimensional Course Goal Achievement Evaluation of Software Engineering

According to the standards of engineering education accreditation,the achievement paths and evaluation criteria of course goals are presented,aimed at the objectives of software engineering courses and the characteristics of hybrid teaching in Kunming University of Science and Technology.Then a multi-dimensional evaluation system for course goal achievement of software engineering is proposed.The practice’s results show that the multi-dimensional course goal achievement evaluation is helpful to the continuous improvement of course teaching,which can effectively support the evaluation of graduation outcomes.

Research on the Spatiotemporal Evolution,and Optimized Paths of Carbon Pressure in Northwestern Sichuan under the Carbon Peaking and Carbon Neutrality Goals

Consolidating carbon sink capacity and reducing carbon pressure are important channels to achieve the carbon peaking and carbon neutrality goals actively yet prudently.In order to study the current situation of carbon pressure in the Northwestern Sichuan,we took the carbon pressure of the Aba Tibetan-Qiang autonomous prefecture(Aba prefecture)as an example and used the Intergovernmental Panel on Climate Change(IPCC)approach to measure the carbon emissions,carbon uptake,and the carbon balance index(CBI)of each county-level city in Aba prefecture from 2012 to 2020.The study found that:(a)There was a continuous trend of declining carbon emissions,increased carbon uptake,and decreased CBI in Aba prefecture during the sample period,but there is a large variability among county-level cities;(b)Aba prefecture differs in the spatiotemporal distribution of carbon emissions,carbon uptake,and CBI.Based on the research results,we propose several optimized paths for alleviating the current carbon pressure situation in the Northwestern Sichuan.

煤炭工业数字智能绿色三化协同模式与新质生产力建设路径

煤炭工业是支撑我国经济社会高速发展和保障国家能源安全的压舱石与稳定器,承担着能源保供与支撑新能源稳定发展的时代使命,煤炭工业的高质量发展既是落实我国能源安全新战略与产业体系变革的关键,也是推进能源产业可持续发展与促进国家高质量发展的基础。当前我国煤炭工业高质量发展已取得阶段成效,能源保供成绩显著,产业结构不断优化,科技创新能力显著提高,绿色开发与清洁高效利用持续推进。但当前煤炭工业仍面临诸多挑战,发展水平与中国式现代化的国家需求差距较大,可持续发展受多重因素制约,数字技术与煤炭开发利用尚未深度融合,智能化建设仍处于示范培育阶段,绿色化发展不平衡且矛盾突出,煤炭工业的转型升级仍然任重道远。结合当前煤炭工业发展现状与挑战,提出了数字化、智能化、绿色化(三化)协同的发展模式,明确了煤炭新质生产力的核心内涵,构建了三化协同发展煤炭新质生产力的总体架构,阐述了通过数字化变革生产要素创新配置、智能化引领关键技术跨越突破、绿色化主导传统产业深度转型三大要素催生煤炭新质生产力的技术路径,提出了六大技术体系:通过研发全产业链数据高效采集与深度治理技术体系,打通煤炭产—运—储—销—用全流程的数据壁垒;通过研发构建煤炭行业知识图谱与智能决策管控技术体系,深度挖掘煤炭产业上下游各业务场景的关联关系与价值,为煤炭生产利用全流程的自主决策与智能控制奠定基础;开展煤炭资源智能-绿色-高效开发技术体系、煤炭产业安全协同保障技术体系、矿区生态智能监测-预警-修复技术体系、煤炭柔性开发与清洁低碳利用技术体系研究,实现煤炭开发利用全产业链、全流程的三化协同发展,培育形成煤炭新质生产力,为煤炭工业的整体形象带来根本性变革提升。

国有企业的低碳双元战略发展路径——基于上海申通地铁集团的案例研究

在中国特色社会主义经济制度下,国有企业始终肩负着发展经济和服务社会的双重使命。根据企业所处的行业特点与所承担的业务特征,国有企业很可能面临高耗能的挑战。选取上海申通地铁集团有限公司作为典型案例,基于双元理论探究国有企业低碳双元战略的动态发展路径。研究发现,国有企业的低碳发展首先是将低碳理念融入其“经济—社会”双元目标,形成具有经济属性的成本性和效益性低碳导向,以及具有社会属性的政策性和公益性低碳导向。基于此,国有企业开发低碳双元战略实践,包括具有经济属性的低碳成本管理和低碳业务投资,以及具有社会属性的低碳政策落实和产业低碳引领。此外,知识和资源开发促进了低碳双元战略实践的相互转化,实现了低碳双元战略的协调统一。研究结论既为国有企业低碳发展中的协同辩证关系提供了新的理解,又拓展了双元理论在企业低碳管理领域的应用。

“双碳”目标驱动的能源化工类跨专业创新人才培养模式探索与实践

在“双碳”目标驱动下,大连理工大学针对能源化工类本科创新人才培养,确定了责任、知识和思政等“双碳”要素,重构了具有“双碳”要素的人才培养方案、课程体系和教学内容,围绕核心课程进行了教学方法改革,并初步建成了以产业链关联为特色的跨专业实验平台。以上改革不仅促进了能源化工类专业间的交叉融合和方向拓展,而且提高了学生解决复杂工程问题的能力,为高等工程教育适应“双碳”技术进步和能源化工行业发展提供了先进理念和有效路径。

高质量发展理念下财务会计课程群建设与优化——以五邑大学会计学专业为例

在新时代高质量发展理念背景下,以会计学专业为例,结合人才培养方案,依托会计学一流专业建设点和校级一流课程,在设计层次递进的三维度课程目标基础上,探索和实践了多维立体混合教学模式,反向设计了校外实践教学机制,科学设置了合理的考核方式等,对财务会计课程群进行了持续建设与优化,旨在培养学生形成正确的价值观和优良的职业道德素养,掌握扎实的会计理论知识与实操应用技能,创造性地分析和解决实际问题,具有管理决策能力。课程群建设和优化为会计学专业建设与会计人才培养高质量发展提供了有力支撑。

“双碳”目标下数字化转型与企业ESG责任表现:影响效应与作用机制

数字化转型赋予企业经济绩效与非经济绩效增长新的驱动力,但其能否进一步改善企业在环境、社会与治理方面的表现,助推“双碳”目标实现?以2012—2021年华证ESG评分披露的2 909家A股上市公司为样本,实证检验数字化转型对企业ESG责任表现的影响及作用机制,结果发现:第一,数字化转型可以改善企业ESG责任表现,尤其可以提升其在环境与社会责任两方面表现,且云计算技术对企业ESG责任表现的贡献最为突出。经过一系列稳健性检验后,上述结论仍然成立。第二,机制检验表明,数字化转型能够促进企业财务绩效提升并降低企业风险水平,进而促进企业绿色技术创新,故有助于提升企业ESG责任表现。第三,数字化转型对企业ESG责任表现的影响存在异质性,国有企业、成熟期企业与重污染企业ESG责任表现对数字化转型更为敏感。结论基于数字化视角可为企业绿色高质量发展提供新思路、新方法,从而为实现“双碳”目标与经济目标提供启示。

双碳目标下林业专硕人才培养探究——以安徽农业大学林业专硕为例

林业是我国生态建设和经济建设的重要组成部分,特别是碳达峰、碳中和理念的提出给林业赋予了新使命。以安徽农业大学林业专硕学生的培养为例,并结合“双碳”目标的实施,分析学生在培养过程中遇到的问题和挑战以及在提高专业技能和实践创新能力的同时如何结合“双碳”目标的实施进行改革,从而培养满足国家对林业绿色发展所需的高层次、应用型、复合型人才,满足“双碳”目标对社会高质量发展和生态文明建设的需要。

生态修复目标司法确认的类型化构造

生态环境修复目标决定了生态环境修复责任的配置程度。司法确认生态环境修复目标的实践中存在损害前状态和功能的适用不合理、可接受风险水平被基本弃用和具体指向笼统模糊等问题,其原因在于司法中恢复原状思维的影响难以消弭以及现实危害的规制被过度关注。司法应当将生态环境修复目标划分为基线水平、人体健康可接受风险水平和生态环境可接受风险水平,然后根据生态环境的特质确认适宜的修复目标。对于价值较高的生态环境应当将其修复到基线水平,对于价值特殊的生态环境,即便在经济不合理的情况下,也应当将其修复到基线水平。对于人类密切相关的受污染生态环境应当将其修复到人体健康可接受风险水平。当生态环境可接受风险水平较为宽松之时可以考虑将其作为修复目标进行适用。