工作场所无礼行为受施者人格特征研究

文章旨在探讨工作场所无礼行为受施者大五人格的特征。研究者由以往文献推断工作场所无礼行为受施者的人格特征为低宜人性、高神经质及低外向性。具体来说,宜人性与无礼行为存在负相关关系,神经质与无礼行为存在正相关关系,外向性与无礼行为存在负相关关系,并且这些关系是通过挑衅性行为这一中介变量来驱使。结论表明,受施者人格特征是影响无礼行为的重要因素,组织管理者在着眼于减少无礼行为产生的后果的同时,也应考虑到人格特征对无礼行为的影响。

从信息施-受关系看地方戏曲传承研究盲点——以潮剧为例

关于地方戏曲传承的研究,大部分研究资料主要集中在历史文献与典籍编校、出版方面,介绍该戏曲新近的发展动态与收获,以及一些新出台的保护措施。其主要涉及的内容都集中在“舞台上的演出者”层面,淡化乃至忽视了地方戏曲本身的“演-观”二元结构的另一方——“舞台下的观赏者”。对于戏曲的传承,演戏者的“演”是传统戏曲信息传承中最主要的“施”者,而观戏者则是其对应的信息输送的“受”者,二者其实是缺一不可的。因此,地方戏曲传承还应培养和重建“观赏者”的可持续传承。

施者无所求,所求反无功

[原文]施恩者,内不见己,外不见人,则斗粟可当万钟之报;利物者,计己之施,责人之报,虽百镒难成一文之功。

Management strategies of Barrett's esophagus

Barrett's esophagus is a condition resulting from chronic gastro-esophageal reflux disease with a documented risk of esophageal adenocarcinoma. Current strategies for improved survival in patients with Barrett's adenocarcinoma focus on detection of dysplasia. This can be obtained by screening programs in high-risk cohorts of patients and/or endoscopic biopsy surveillance of patients with known Barrett's esophagus (BE). Several therapies have been developed in attempts to reverse BE and reduce cancer risk. Aggressive medical management of acid reflux, lifestyle modifications, antireflux surgery, and endoscopic treatments have been recommended for many patients with BE. Whether these interventions are cost-effective or reduce mortality from esophageal cancer remains controversial. Current treatment requires combinations of endoscopic mucosal resection techniques to eliminate visible lesions followed by ablation of residual metaplastic tissue. Esophagectomy is currently indicated in multifocal high-grade neoplasia or mucosal Barrett's carcinoma which cannot be managed by endoscopic approach.

Current treatment for colorectal liver metastases

Surgical resection offers the best opportunity for survival in patients with colorectal cancer metastatic to the liver,with five-year survival rates up to 58% in selected cases.However,only a minority are resectable at the time of diagnosis.Continuous research in this field aims at increasing the percentage of patients eligible for resection,refining the indications and contraindications for surgery,and improving overall survival.The use of surgical innovations,such as staged resection,portal vein embolization,and repeat resection has allowed higher resection rates in patients with bilobar disease.The use of neoadjuvant chemotherapy allows up to 38% of patients previously considered unresectable to be significantly downstaged and eligible for hepatic resection.Ablative techniques have gained wide acceptance as an adjunct to surgical resection and in the management of patients who are not surgical candidates.Current management of colorectal liver metastases requires a multidisciplinary approach,which should be individualized in each case.

Implementation strategies to improve evidence-based practice for post-stroke dysphagia identification and management:A before-andafter study

Objectives Even though guidelines are available to guide dysphagia identification and management practice,there is still a gap between evidence and practice,which requires improvement.The purpose of this study was to determine the effect of using tailored,multifaceted strategies to improve evidence-based post-stroke dysphagia identification and management practice in a community hospital.Methods Guided by the Knowledge to Action framework,the tailored,multifaceted strategies were developed and implemented for 5 months in a community hospital using a before-and-after study design.These strategies consisted of training intervention,policy intervention,and audit and feedback intervention.Nurses’level of knowledge and adherence,were collected in March 2019 and again in January 2020.Patients’quality of life and satisfaction were evaluated during the pre-intervention period(between February 2019 and April 2019)and the post-intervention period(between November 2019 and January 2020).Results A total of 55 patients with post-stroke dysphagia(28 in the pre-intervention period and 27 in the post-intervention period)and 17 registered nurses were recruited.Following implementation,there were statistically significant improvements in patients’outcomes(quality of life and satisfaction)and nurses’outcomes(level of knowledge and adherence).Conclusions This study assists in closing the research-practice gap by using tailored,multifaceted strategies to increase the use of evidence-based nursing care for dysphagia identification and management practices.

Building fitment versus building safety

In view of the hidden perils concerning building safety in the design, material selection, and construction during current building fitment, the authors have analyzed the influence of main-body safety, fitment components safety, the connection between fitment component and main body, and structural safety upon building safety during building fitment. Environmental safety relating to fitment construction, and choice and use of fitment materials should be taken into consideration during building fitment. The authors have proposed a series of measures to solve the impact of building fitment upon building safety.

The Impact of a Clinical Pharmacist in the Emergency Department of an Academic Hospital in the Kingdom of Saudi Arabia

Introduction： The department of emergency medicine （DEM） has a high-risk environment due to its unique and complex workflow. Many high-risk medications are ordered and administered at patients’ bedsides without being checked by a pharmacist first, which may lead to an increase in the incidence of patient medication errors （MEs）. Objective： The current study evaluated the needs of the clinical pharmacy service in the DEM at King Saud University Medical City （KSUMC）, Riyadh, Saudi Arabia. Methods： A cross-sectional retrospective study was conducted between Jan 2016 to Dec 2017 and the documentation of clinical pharmacist interventions was extracted from Esihi database. Results： A total of 2,255 interventions for 862 patients were documented. The recommended interventions were as follows： 645 （dose adjustments）, 108 （therapeutic substitutions）, and 354 interventions （initiating drug therapy）. Adverse drug reactions （ADRs） were reported in 16 patients, and drug interactions were managed in 26 patients. The DEM responded to 713 information inquires and 290 pharmacokinetic consultations. Drug discontinuations included 39 incidents （where unjustified drug prescription occurred）, 37 （where contraindications were involved）, and 19 （where duplicate therapy was involved）. The most common interventions were related to the following drugs： antibiotics （34%）, anticoagulants （15%）, and anticonvulsants （10%）. The acceptance rates for the EM clinical pharmacist recommendations increased from 93.9% in 2016 to 99% in 2017. The most common outcome for interventions was to optimize the therapeutic effects of the drugs that were administered （73%）. Reconciliation was done in 796 patients. Conclusions： The clinical pharmacy service plays a critical role in the management of patients in the emergency department （ED）.

Analysis on psychological disorder and related factors in 98 patients with cancer and intervention measures thereon

Objective： The aim of this study was to analyze factors of psychological disorder experienced by 98 cancer patients and to probe into intervention measures in accordance with the corresponding bad psychological factors. Methods： A questionnaire survey was conducted in the test group （n = 98） by filling out a symptom checklist 90 （SCL-90）. And then the survey result was compared with the normal group （n = 1388） contained in relevant references. Results： Except for hostile factor that was similar to normal level （P 〉 0.05）, other 8 factors were higher than in normal group （P 〈 0.01）. And the cancer patients were classified with the survey results. Conclusion： Compared with normal persons, cancer patients have more psychological problems and related intervention measures are sought necessarily to improve the quality of life, to advance the immune function and to prolong the survival time of patients.

Performance-based seismic financial risk assessment of reinforced concrete frame structures

Engineering facilities subjected to natural hazards(such as winds and earthquakes) will result in risk when any designed system(i.e.capacity) will not be able to meet the performance required(i.e.demand).Risk might be expressed either as a likelihood of damage or potential financial loss.Engineers tend to make use of the former(i.e.damage).Nevertheless,other non-technical stakeholders cannot get useful information from damage.However,if financial risk is expressed on the basis of probable monetary loss,it will be easily understood by all.Therefore,it is necessary to develop methodologies which communicate the system capacity and demand to financial risk,Incremental dynamic analysis(IDA) was applied in a performance-based earthquake engineering context to do hazard analysis,structural analysis,damage analysis and loss analysis of a reinforced concrete(RC) frame structure.And the financial implications of risk were expressed by expected annual loss(EAL).The quantitative risk analysis proposed is applicable to any engineering facilities and any natural hazards.It is shown that the results from the IDA can be used to assess the overall financial risk exposure to earthquake hazard for a given constructed facility.The computational IDA-EAL method will enable engineers to take into account the long-term financial implications in addition to the construction cost.Consequently,it will help stakeholders make decisions.

Comprehensive Waste Minimization Study at an Industrial Battery Manufacturing Plant in Ohio, USA

Industrial battery manufacturing facilities generate large quantities of hazardous waste, which must be properly treated before it can be disposed. Reducing the quantities of these waste streams can significantly reduce the cost of treatment and lead to competitive advantages. Waste minimization at these facilities is beneficial for the stakeholders and the environment. The quantities of hazardous waste can be minimized by upgrading the facility＇s technology or substituting hazardous substances, which are used in the battery manufacturing process, with more environmentally friendly options. Separation of waste streams will allow for additional reuse opportunities and revenue generation from the sale of these materials, which will enhance the financial performance of the facility. This paper provides a case study of comprehensive waste minimization in a battery manufacturing plant in Ohio, USA. Source reduction, recovery, and recycling methods are taken into account with consideration given to economic impacts. The goal of the study was to develop an understanding of the facility＇s waste generating processes, to suggest methods to reduce to the waste generation and finally to select an appropriate waste minimization option to suggest the facility＇s management team. Some of the suggested methods are currently being practiced while others are at the initial stage of development.

Framework for Quality Improvement of Infrastructure Projects

In order to achieve high quality that not only gives acceptable return value to society but also satisfies the needs of all the stakeholders of infrastructure projects, comprehensive understanding of issues pertaining to the quality of the project is needed. The aim of this study is to provide an overview the most common procurement methods used in constructing infrastructure transport projects and analyze how these methods contribute to the desired quality of the final product in relation to client competence. An on-line survey of construction actors was carried out to ascertain quality level of Swedish infrastructure transport projects and determinant factors of quality problems. An equal number of respondents indicated that the quality of infrastructure projects has either increased or remained same level over the past twenty years. Respondents also pointed out lack of client competence that is vital in realizing the desired quality level through proper procurement, monitoring and evaluation procedures. Public clients heavily rely on traditional design-build procurement that requires considerable client involvement of a project. Thus, the association of quality problems and lack of client competence may not be a mere coincidence but an overlooked outcome of current situation.

Evaluation of POSSUM scoring system in the treatment of osteoporotic fracture of the hip in elder patients

Objective： To evaluate the applicability of the modified physiological and operative severity score for enumeration of mortality and morbidity （POSSUM） scoring system in predicting mortality in the patients undergoing hip joint arthroplasty. Methods： A total of 295 patients with hip fractures were analyzed using the modified POSSUM surgical scoring system. The mean ages of the patients were 66.59 years in the complicative group, 62.28 years in noncomplicative group, 77.89 years in the death group and 63.25 years in the living group, respectively. The comparisons between the observed and predicted morbidity, between the observed and predicted mortality were made within 30 days after operation. Results： The average physiological scores and operative severity scores was 18.96 ± 4.83 and 13.47 ± 2.01 in complicative group, while 15.65 ± 3.66 and 11.74 ± 2.26 innoncomplicative group （P〈0.05）. The average physiological scores and operative severity scores was 25.56 ± 3.78 and 14.22 ± 0.67 in death group, while 16.46 ± 4.09 and 12.25 ± 2.33 in living group （P〈0.05）. Though POSSUM scoring system over-predicted the overall risk of death, its estimate was very close in the high risk groups （〉10%）. There was perfect consistence between the observed and the predicted morbidity as calculated by published predictor equation for morbidity, and consistence for mortality in the high risk band. Conclusions： Modified POSSUM scoring system may be used to predict the morbidity in patients with hip fracture. Furthermore, POSSUM scoring system overpredicts the overall risk of death, but its estimate is close to the actual data in the high risk band （〉10%）.

Application of a Support Vector Machine Algorithm to the Safety Precaution Technique of Medium-low Pressure Gas Regulators

In the gas pipeline system, safe operation of a gas regulator determines the stability of the fuel gas supply, and the medium-low pressure gas regulator of the safety precaution system is not perfect at the present stage in the Bei- jing Gas Cxroup; therefore, safety precaution technique optimization has important social and economic signific- ance, In this paper, according to the running status of the medium-low pressure gas regulator in the SCADA sys- tem, a new method for gas regulator safety precaution based on the support vector machine （SVM） is presented. This method takes the gas regulator outlet pressure data as input variables of the SVM model, the fault categories and degree as output variables, which will effectively enhance the precaution accuracy as well as save significant manpower and material resources.