Comparative study on the efficacy of transoral robotic surgery and non-robotic surgery for tongue base tumors

Objective:To compare the efficacy of transoral robotic surgery(TORS)and non-robotic surgery(NRS)in the treatment of tongue base tumors.Methods:A total of 45 patients with tongue base tumors treated in our hospital were selected,and they were divided into the TORS group and NRS group according to different surgical methods.The surgical indicators and postoperative complications of patients in the two groups were compared and analyzed.Results:Compared with the NRS group,the operative time,bleeding volume and length of hospital stay were less in the TORS group,and the postoperative recurrence rate was less in the TORS group than that in the NRS group.The incidence rate of dysphagia and restricted mouth opening in the TORS group was lower than that in the NRS group within 30 d after surgery,and the difference was statistically significant(P<0.05).Conclusion:TORS has better minimally invasive advantages in the treatment of tongue base tumors,including less intraoperative bleeding,smaller trauma,shorter length of hospital stay and faster recovery.

Study on Individual Distance of the Non-Japanese for the Small Mobile Robot

This study seeks to establish techniques of architecture planning for living robots and human together. This experiment is elemental step to search relations between a small mobile robot and human. This experiment is ＂How can a small mobile robot approach to individuals distances of foreigners （non-Japanese） up to the point where foreigners （non-Japanese） do not feel like approaching any more＂. It focuses on a small mobile robot and identifies distances at which the robot can approach to individuals, particularly adult foreign male. This paper clarifies how the individual distances change by the robot＇s speed and angle of approach varies.

James Thurber＇s Humor Represents Typical American Humor

Humor is needed universally. The ability to make jokes or to appreciate humor is both necessary for living a happy or smooth life. Different nations have different humors. The paper is to analyze the definition of humor, the difference between British and American humor, and take James Thurber＇s stories to show the typical American humor. The English appear to be deeply serious people. English humor is more conserved, subtle, and silent. The British are known for their sense of humor. However, it is often difficult for foreigners to understand their jokes. The key to understanding British humor is to know that the British often use ＂understatement＂. American humor tends to be more ＂obvious＂ and less oblique, and can sometimes be considered by other English speaking cultures to be over the top and ridiculous.

Geographical, Historical, Political and Economical Structure of

The research of the Russian issue in academic level has a great importance. The Putin-term Russian economy is inadvance, and it reminds of the great economy of the old Soviet Union. For that reason, Putin was given the nicknameof the new Russian Tsar. Putin is well-liked by the Russian citizens; as a person he is liked by a vast majority of theRussian population. Putin is indepted his great personality both to the successes achived from the Chechen War andto the numerous successes he has achieved in the economic stabilization since he undertook the management of Rsia. It is true that today Russia has no enough political and economical power to maintain the bipolar world as Ria has an economy of smaller than the one-tenth of the US economy. Nonetheless, Russia is still the secondsuper power of the world as she has nuclear weapons and more than 20 satellites in the space. Russia, today, is aself-sufficient country in having the technology of launching her own satellites, and the very first inventors of therocket technology are Russians. Today, Turkey has a lot to learn from Russia. Putin has been able to attract foreigncapital. The removal of the bureaucratic obstacles affecting the foreigners can be an example to this. Today, Turkeychooses the way of selling of the lands to attract the foreign capital. I think the selling of the lands is not a sensiblepolicy to attract foreign capital, and if the Russian model is adopted more efficient results can be obtained.

Development and validation of a nomogram for predicting the risk of pressure injury in adult patients undergoing abdominal surgery

Objectives:This study aimed to develop a nomogram for predicting the risk of pressure injury(PI)in adult patients undergoing abdominal surgery and validate its effectiveness among these patients.Methods:This study retrospectively included 11,247 adult patients,who underwent abdominal surgery and postoperative supervision in ICU,in a tertiary care hospital in western China between January 2017 and December 2020.All datasets were extracted from the patient’s medical records and randomly divided into the training cohort(8,997)and the validation cohort(2,250)by 8:2.The univariable logistic regression was used to select potentially relevant features.Then,multivariable logistic regression was also conducted and utilized to establish the nomogram.The nomogram was compared with the Braden scale for predicting PI in the validation cohort through the area under the curve(AUC)of the receiver operator characteristic(ROC)curve,Hosmer-Lemeshow(H-L)test,and decision curve analysis(DCA).Results:873(7.8%)patients suffered PIs.Logistic regression analysis showed that time of operation,weight,type of operation,albumin,and Braden scale score were independent risk factors for PI.A nomogram integrating five selected characteristics was constructed.The AUC of the ROC curve for the nomogram was 0.831,with a specificity of 85.2%and sensitivity of 63.7%.The AUC of the ROC curve for the Braden scale was 0.567,with a specificity of only 33.0%.The P-values of the H-L test were 0.45(nomogram)and 0.22(Braden scale),both indicating good calibration.The DCA also displayed that the nomogram had better predictive validity.Conclusion:Compared with the Braden scale,the nomogram showed a better predictive performance.This nomogram is informative and has the potential to better guide caregivers for risk stratification and prevention of PI,although it requires further validation.

CLINICAL OBSERVATION ON ELECTROTHERMAL ACUPUNCTURE IN TREATMENT OF 16 CASES OF VULVAR DYSTROPHY

Electrothermal acupuncture,amodification of the traditional“hot-red”puncturing technique, is generally adopted forsoftening and resolving hard mass,

Treatment of Hordeolum by Bloodletting at Ear Apex

Hordeolum, the acute pyogenic infection of staphylococci in the palpebral glands, is one of the most commonly seen disorders of the external eye diseases. According to the location of the lesion, it can be divided into internal and external hordeolum. The early symptoms are redness, swelling, and pain in the eyelid. In severe cases, the condition can be accompanied with ipsilateral headache and swelling of the pre-auricular lymph node. Since TCM bloodletting has remarkable effect for treating hordeolum at the early stage, we would like to recommend this simple, easy and effective treatment to doctors who are interested in physiocracy.

46 CASES OF INSOMNIA TREATED BY SEMICONDUCTOR LASER IRRADIATION ON AURICULAR POINTS

Insomnia is a commonly encounteredsymptom in clinical practice. The author hastreated it by using semiconductor laserirradiation on auricular points with satisfactorytherapeutic results. A report is presented asfollows.General DataIn this series, there were 46 cases

Expatriation as an Element of Diversity Management

The ongoing internationalization of companies goes hand in hand with an increase of international assignments. With it, knowledge is transferred and diverse teams emerge in the subsidiaries abroad. However, expatriation management and diversity management have been separated areas so far. Thus, the readiness to use expatriation as an integral element of an overall diversity strategy has been evaluated in an exploratory empirical study. For this purpose, semi-structured interviews have been conducted with both expatriates and HR （human resources） managers in six subsidiaries and the headquarters of an international mechanical engineering company. It was found that operative aspects of the expatriate management dominate the viewpoint of those involved. However, the findings also suggest that an implicit recognition of advantages that stem from the variety of individual employees exists. Willingness to systematically strengthen the exchange and learning process was detected. Based on these results, a new approach could be conceptualized and implemented. This provides various foci for further research.

Why Do Immigration Policies Differ Between Japan and Korea

Foreign immigrants to South Korea are transforming the demographic map of the nation. Survey findings have revealed that the rapid influx of foreigners into South Korea since the year of 2000 has brought about a population increase that has surpassed initial government predictions. In contrast, Japan continues to restrict foreign nationals, in spite of sharp decreasing of national population. But why did such a difference in the respective policies of Japan and South Korea regarding foreign workers and immigration, and citizenship, suddenly come into existence after the year of 2000？ This paper addresses this single question, and answers to the question that the differences of political opportunity structures around immigration policies in these two countries matter. Firstly, in Japan, the business sectors which want to have more immigrants have difficulties in reestablishing the strong relations with ruling parties but South Korean business still keeps the smooth relations with conservative governments. Secondly, Japanese labor unions regard immigrants as a serious threat against their members＇ jobs, but immigrant issues are understood as one of the human rights issues against which unions have to work. Thirdly, anti-immigrants groups in Japan are given chances to bring their message through traditional media such as TVs, but the doors of traditional media are closed for the groups in South Korea.

Analysis on Human Resource Outsourcing in Chinese Government

Social and economic development, the deepening of the reform of our government have higher requirements, then the Government is an important step in the implementation of human resources outsourcing, is now the phenomenon of corporate human resources outsourcing has been very common, the Government also needs further enterprise, This paper studies the cost-benefit analysis of government human resource outsourcing by deepening the understanding of human resource management and the comparative analysis of government and enterprise human resource management to verify whether it is feasible and the way to outsource human resource management. The content has made the detailed analysis, to study our country government＇s human resources outsourcing question has the vital significance.

ETHICAL ISSUES IN ELT RESEARCH:PRACTITIONER’S PERSPECTIVES

在阅读研究方法专著和国内学术期刊之后,笔者发现外语教师研究者对于科研伦理没有给予充分的关注。为了调查教师研究者对于研究对象知情权、是否采取局内人或局外人视角以及对研究素材的所属权等伦理问题的看法,笔者进行了小规模的问卷调查和半结构性访谈。结果表明大部分教师研究者对英语教学科研中的伦理问题既不关注,又没有全面的认识。

David Lloyd George and the Balfour Declaration： Assessing the Role of Individuals in Historic Policy Making

The 1917 Balfour Declaration remains one of the most controversial policy statements of the wartime British Government. Historically it has been praised as the highest diplomatic act of the First World War that helped restore a home for the Jewish people in Palestine. Its critics point out that it planted seeds of future discord between the Palestinians and Israelis. There are also historians who suggest that what Britain really wanted was to secure vital geostrategic interests in the Eastern Mediterranean. The reality is that the process and decision making leading up to the Balfour Declaration was very complicated. This paper will focus on the role and influence of Britain＇s Prime Minister David Lloyd George whose leadership and personal drive made a difference in securing the Anglo-Zionist Alliance. By looking at the theories on the role of individuals on policy making and testing them on the case of Lloyd George, it will be demonstrated that, in spite of certain arguments to the contrary, leaders with right strength of personality, determination, strong beliefs, interest in foreign policy, and the right placement in the state bureaucracy can make a huge impact. These elements, combined with shifting attitude of British policymakers toward the imperial burdens during the early twentieth century, and rising influence of national movements enabled Britain to not only secure a vital strategic outpost in Palestine, but also restore therein a homeland for the Jews.

Zhao Yingcheng from Fact to Fiction： The Story of ＂The Great Advisor＂

Zhao Yingcheng （1619-1657）, known as ＂The Great Advisor＂, is the only Kaifeng Jew who is mentioned both in the synagogal stele of 1663 and in Chinese gazetteers during his lifetime. Zhao, given the Hebrew name of Moshe ben Avram, was fluent in Hebrew but also achieved success as a Confucian scholar familiar with the Chinese classics. He would have witnessed the destruction of his hometown by a catastrophic flood during the 1642 Siege of Kaifeng. In 1645, at the age of 26, he attained the jinshi rank in the Imperial Exams, in which only one in 10,000 can- didates was successful. A year later, he was appointed Minister of Justice for the newly installed Qing Dynasty and supervised the controversial decree forcing the Manchu tonsure onto the Han population as a mark of submission. In 1647, he was sent as an envoy to quell the unrest in Fujian province. After defeating bands of violent warlords funded by the notorious pirate Koxinga, Zhao set up a system of public schools to provide greater economic opportunity for the poor. After the death of his father, Zhao returned to Kaifeng for the three-year mourning period; during that time, he funded the restoration of the synagogue, which had been destroyed in the deluge, and the rectification of the Torah scrolls damaged in that catastrophe. Though the biographical facts are sparse, when these are juxtaposed with the dra- matic events that unfolded during his short lifetime, the potential for a fascinating historical fictionalization emerges. Moreover, many of those historical events in seventeenth-century China--climate change, elite corruption, populist revolt, xenophobia, terrorism, law and order, etc.--resonate with contemporary tropes. The story of ＂The Great Advisor＂ shows how a Jew in seventeenth-century China rose to national prominence at a time when Jews in Europe faced severe discrimination and persecution.