Fasting and Cancer: Practice and Patients’ Quality of Life during Ramadan

Introduction: Ramadan is the ninth lunar month of the Muslim calendar, and fasting during Ramadan is one of the five pillars of Islam. Muslim cancer patients and health professionals are faced with a dilemma between the necessity of fasting and its possible adverse effects during Ramadan on the health status of cancer patients. We believe that addressing the issue of fasting in cancer patients is of global interest. Objectives: Prevalence of fasting in cancer patients during Ramadan;Predictive factors of Ramadan fasting in cancer patients;The effect of fasting during Ramadan on the quality of life of cancer patients. Materials and Methods: A structured questionnaire was used to interview adult cancer patients who received chemotherapy IV—or oral treatment at the medical oncology department at the Hassan II University Hospital in Fez during the month of Ramadan 1443 Hijri (April to May 2022). The quality of cancer patients’ lives during their fasting practice in Ramadan was evaluated via the QLQ-C30 questionnaires. Results: 48% of patients did not fast during Ramadan, 22% and 30% were partial and complete fasters respectively. Patients, with OMS 0 to 1, who receive outpatient treatment, non-metastatic patients and patients on oral treatment were more frequent in the completely fasted group. All these factors showed statistically significant values (p < 0.05). 44% of patients sought advice from the treating oncologist if they could fast, while only 15% of patients during Ramadan asked an imam if they could be excused from fasting. A comparison of the QLQ-C30 data showed a significant improvement in emotional functioning with fasting, however, patients had clinically more but not significantly fatigue after fasting. Conclusion: Female gender, good WHO, non-metastatic disease, and oral or outpatient treatment were more likely to be fasting. This study argues that fasting did not influence the quality of life, and appears to significantly improve emotional functioning in cancer patients during Ramadan.

Virtual reality:The bridge between medical education and clinical practice

After perusing the paper by Kim et al,I discovered that this is an interesting manuscript and a successful study.Virtual reality(VR)is an emerging and promising technology employed in the domain of medical practice and medical education over the past decade.In the era of big data,VR is constantly progressing in the fields of medical education and clinical diagnosis and treatment.As a novel scientific and technological tool,VR not only overcomes multiple limitations of the traditional medical teaching mode but also reduces the reliance on personnel and equipment.VR can simulate the real clinical situation,stimulate the enthusiasm of young doctors and nurses for clinical study,and simultaneously safeguard and promote medical safety and doctor-patient harmony.Favorable outcomes have been attained in clinical teaching and diagnosis and treatment activities.While enhancing the training conditions of medical cosmetics and elevating the level of clinical practice and teaching,the risks resulting from improper clinical diagnosis and treatment have been circumvented.All of this is evident and comprehensible.

The Role of Secondary School Teacher Training in Their Teaching Practices-A Secondary Publication

This work aims to analyze the effect exerted by the initial and continuous training of secondary school teachers in France on their teaching practices.For this,we carried out a secondary analysis of data from the TALIS survey(Teaching and Learning International Survey),conducted in 2013 in 34 countries,including France.In particular,we focus on practices related to the teaching methods used,classroom management,how to communicate,and the evaluative practices of teachers.In support of binary logistic regression models,we showed that the variables related to initial training play a weak role,and even exert a negative effect on certain pedagogic practices,leading to a reflection on the renovation of this training.On the other hand,our analyses highlighted the greater weight played by certain continuing education actions.

Pedagogy of"Life and Practice"and a Reflection on Contemporary Education

Professor Lan Ws meta-research on pedagogy and education in Return to Breakthrough-An Outline of Life and Practice Pedagogy puts forward the problems of what pedagogy is and what education is,reflects on the problems of contemporary education,and proposes that education should return to its root,which lies in the traditional Chinese problems of education and adults as well as education and life.This paper attempts to clarify the problems raised by Professor Lan Ye and reflect about the problems of contemporary education under meta-education as well as the role and significance of the traditional Chinese educational spirit for contemporary education.

A systematic review: How to choose appropriate health-related quality of life (HRQOL) measures in routine general practice?

In more recent times, health-related quality of life (HRQOL) measurements have formed an important part of as- sessing the quality of routine care in general practice. For a measure to have clinical usefulness it must not only be valid, appro- priate, reliable, responsive, and capable of being interpreted, but it must also be simple, fast to complete, easy to score, and provide useful clinical data. The Two-step method of choosing appropriate measures is introduced. Then through comparison of generic instruments with disease-specific instruments, we can conclude that sometimes a combination of generic and disease-specific HRQOL measures may be more appropriate for monitoring changes in a patient’s health status due to an intervention.

Lifestyle modification practices and associated factors among hypertensive patients at Gambella Hospital Southwest Ethiopia;2019

Background:Hypertension is one of the leading causes of death in developed and developing countries that need urgent strategies to implement interventions.Appropriate lifestyle modification practices are the corner stone of the prevention and control.Objective:To assess lifestyle modification practices and associated factors among hypertensive patients.Methods:A facility-based cross-sectional study was conducted among hypertensive patients from 1 April to 30 April 2019.Simple random sampling was used to select the study subjects.Data were entered to EpiData 3.1 and exported to Statistical Package for Social Sciences,version 25.0,for analysis.A binary logistic regression analysis was performed to determine predictors of lifestyle modifications among hypertensive patients.Results:The findings of this study revealed that the level of lifestyle modification practice was 79(39.5%).This finding is very low,and it has a significant effect on the management of hypertensive disorders and hypertension-related acute and chronic complications.Ethnicity,family history of hypertension,and knowledge about hypertension were identified as predictors of lifestyle modification practice.Conclusions:In this study,lifestyle modification practice is low(about 40%),but scientifically,almost all hypertensive patients on follow-up should practice lifestyle modification modalities.

The Life Course of a Long-Lasting Affection Medium:A Fieldwork Based on the Communication Practice of the Rural Loudspeakers in North China

The loudspeakers played a crucial role in rural community during the COVID-19 pandemic,and had returned to the public with the help of short video platforms.However,with the continued popularity of digital media,is the revival of the loudspeakers which belong to traditional media just a flash in the pan?What the historic process of return has the loudspeakers undergone?Based on these questions,the paper applies Bourdieu’s sense of practice theory,focuses on“habit”throughout,adopts the research methods of online ethnography and fieldwork,and conducts participant observation and targeted in-depth interviews in a village in North China for about nine months.The study found that:(1)There is the lag of habit in the state’s handling of social relations in villages.Based on rational habit,village cadres used the loudspeakers to manifest their physical presence and restructure their authority;the villagers,operating under perceptual habit,rationalized the presence of the loudspeakers through using the key words such as elders,nostalgia,and homesickness;(2)the loudspeakers was maintained under the habit of village cadres and ordinary villagers,and the outbreak of the epidemic made the loudspeakers as an habit truly“appearing”;(3)the young village cadres,on the other hand,acquired this habit through imitation,transposed the loudspeakers into the short video platform,and carried out different forms of experimentation and innovation,thus surpassing the previous forms of loudspeakers practice.The return of the loudspeakers is the result of the game of different habits.As a long-lasting affection medium,the loudspeakers,on the one hand,has become an important media scene and memory field indispensable to rural community,and on the other hand,the people living on this land have a deep attachment to the loudspeakers,which is indirectly transformed into the bearer of homesickness.This brings new inspiration for us to rethink the relationship between the traditional media and the new media,the iteration of cadres and the change of rural community.

Sorafenib for advanced renal cell carcinoma in real-life practice: a literature review

Sorafenib is a new treatment indicated for patients with advanced renal cell carcinoma who have failed prior cytokine-based therapy or are considered unsuitable for such therapy. Although treatment with sorafenib under ‘ideal trial conditions’ has been extensively studied, registration and reimbursement authorities are also interested in the behavior of sorafenib in real-life practice. This study aims to conduct a literature review of the dosage and treatment duration;safety, tolerability and effectiveness;costs and cost-effectiveness of sorafenib in routine clinical care. Studies were identified by searching PubMed, Embase, Centre for Reviews and Dissemination databases, Cochrane Database of Systematic Reviews, and EconLit up to November 2010. The literature search included articles published in peer-reviewed journals, congress abstracts, and internal studies of Bayer Schering Pharma. Eight studies were included. An open-label study observed stable disease for at least eight weeks in 80% of patients. The most common drug-related adverse events were hand-foot skin reaction, rash, hypertension, and fatigue. Although treatment with sorafenib led to fewer dose reductions, it was also associated with a shorter treatment duration, less time to pro-gression and a shorter survival time as compared to sunitinib. Monthly health care costs were lower with sorafenib as compared to sunitinib. A post-marketing surveillance study showed that patients rated the tolerability and effectiveness of sorafenib as very good, good or sufficient. In conclusion, the current evidence is too limited to derive conclusions and existing studies suffer from methodological shortcomings.

Treatment of chronic hepatitis B in clinical practice with entecavir or tenofovir

Results from phase III clinical trials clearly demonstrate the efficacy and safety of entecavir and tenofovir in the controlled environment of randomized clinical studies. There are several studies with both drugs performed in clinical practice (also called &#x0201c;real life studies&#x0201d;). Despite the pros and cons, studies performed in real life conditions represent everyday practice and add important information about long term treatment effectiveness and safety in this clinical setting. This review shows that patients treated with first line nucleos(t)ide analogs at referral centres, with good clinical follow-up and adherence to international guidelines, can achieve high treatment response rates with a very low rate of adverse events.

Implementing Appearance-Care Research for Breast Cancer Patient into Routine Clinical Practice

Aims: Research the process of organizational change to understand how interventions such as appearance care can be integrated into daily practice. Background: Typical treatment of breast cancer is surgery, often followed by chemotherapy. Associated aesthetic ramifications, including hair loss, frequently cause patient distress. Methods: We conducted face-to-face semi-structured hour-long recorded interviews with three nurses. We then analyzed the developmental process according to the core competencies for interprofessional collaborative practice using the thematic content analysis. Results: Nurses worked with interdisciplinary team members with mutual respect and shared values such as concern for patients’ quality of life. Nurses used knowledge of appearance-related side effects combined with beautician-provided coping skills. Intervention involved responsible communication with other health professionals and patients in a team approach. Nurses promoted the developmental process and became program facilitators. Conclusion: This group-intervention program, facilitated by nurses, was integrated into daily practice. Implications for nursing management: Research partnerships between academics, clinical nurses, nurse managers, and beauticians can improve the integration of interventions in routine practice and increase awareness of patients’ needs.

Exploratory Practice as a Practitioner Research on LanguageLearning and Teaching

The philosophy of Exploratory Practice is that language classroom learning and teaching practice is a social practice;hence practitioner research on it should pay attention to this socialness rather than only concern the cognitive aspect so that an understanding of quality of classroom life can be achieved before it can possibly lead to the improvement of the practice.The paper introduces the theory of Exploratory Practice in terms of its content spirit,key terms,relationship with other practitioner researches and methodological nature,aiming to help practitioners and classroom-based researchers to understand it.

Work-related quality of life and performance appraisal among nurses at a tertiary hospital in Philippines

Objective:The objective of the study is to describe the work-related quality of life(WRQOL)among nurses and explore its association with performance evaluation ratings.Methods:A cross-sectional design was utilized measuring the WRQOL scale and the previous performance appraisal rating.Multistage sampling approach was utilized with nurses stratified based on their position and then systematically random sampled based on their unit assignment.Results:One hundred and eighty-two nurses were included.About half reported a high quality of work life(101;55.5%).Low scores were noted on the subscale working conditions(100;54.9%),low to average responses for home-work interface(109;59.9%),control at work(100;54.9%),and stress at work(90;49.5%).A higher proportion of nurses reported positive responses toward the areas of general well-being(113;62.1%)and job-career satisfaction(112;61.5%),than in the other subscales.There were notable differences between WRQOL ratings:(1)Head nurses had the highest perceived quality of work life,followed by nurse supervisors and charge nurses(F=6.1,P<0.01)and(2)Nurses in the pay-patient services reported lower quality of working life,while those in office and outpatient services had more positive scores(F=4.6,P<0.01).Conclusion:Only more than half of the nurses reported a high quality of work life,some of its dimensions,particularly job and career satisfaction and working conditions,appeared to vary in the perceived degree across years in service,work hours,and position.The assessment of the quality of work life may serve as an important tool to address staff burnout,absenteeism and other issues that affect job performance among health-care professionals.

中国教育学自主知识体系建构需要处理的几个关系

中国教育学自主知识体系是在引进和吸收西方知识,合理借鉴与教育学相关的其他学科成果的基础上,通过传承中国优秀文化传统与教育传统,从知识层面概括和提炼教育实践经验,对教育领域的概念和命题等进行诠释和解答过程中生成的,是能够为人所理解和掌握的具有结构化、层次化的知识系统。从关系思维视角来看,其建构需要认识与处理五对关系:与意识形态的关系是前提,与相关学科的关系是基础,与国外教育学的关系是要求,与中国教育实践的关系是必然,与中国优秀教育传统之间的关系是特色。中国教育学自主知识体系的建构,必须在与意识形态、相关学科、国外教育学、中国教育实践以及与中国优秀教育传统的正确关系思维中进行。

金属疲劳损伤全寿命过程及工程应用综述

金属疲劳损伤过程复杂,不同载荷类型与服役环境下金属疲劳损伤机理、变形特性和破坏模式存在较大差异。将疲劳损伤全寿命过程按照循环寿命周次划分为超高周、高周、低周和裂纹扩展4个类别,根据变形响应特性和变形机理特征阐述了各类别疲劳损伤的研究现状及发展趋势,涉及宏观尺度、微细观尺度和宏细微观多尺度理论体系。同时结合工程实际案例,以轧辊和燕尾榫作为代表性构件,分析其疲劳损伤行为与影响因素,探讨了目前疲劳理论在工程实践中的应用及挑战,旨在为金属疲劳损伤全寿命理论体系的完善和关键部件健康质量管控提供理论依据和技术指导。

正念减压结合知信行干预模式对重症肺炎患者心理弹性及生活质量的影响

目的探讨正念减压结合知信行干预模式对重症肺炎患者心理弹性及生活质量的影响。方法选取2021年1月至2022年12月我院收治的133例重症肺炎患者,随机分为对照组(n=66)与观察组(n=67)。对照组采用常规护理,观察组采用正念减压结合知信行干预模式。比较两组的心理弹性及生活质量。结果干预后,观察组CD-RISC、生活质量评分高于对照组(P<0.05)。结论正念减压结合知信行干预模式可增强重症肺炎患者的心理弹性,提高其生活质量。

辩证法的理论思维、实践智慧和学说体系

辩证法的理论思维和实践智慧源于人的生活经验和生命体验,但只有“进入广阔的研究领域”并“通晓思维的历史和成就”,才能真实地掌握辩证法的理论思维和实践智慧。对于辩证法的最大误解,就是把思想的内容和形式、概念的内涵和外延、哲学的理论和方法割裂开了,把辩证法变成了没有思想内容、概念规定、理论内涵的纯粹的“工具”或“方法”。辩证法的实践智慧,不仅是如何看待和对待“人生”的智慧,也是如何看待和对待“历史”的智慧,还是分析、研究、解决“问题”的智慧。把辩证法的理论思维和实践智慧升华为学理化、体系化的概念系统就是辩证法的理论或学说。自觉地掌握和运用辩证法的理论思维和实践智慧,需要学习和研究学理化、体系化的辩证法理论。构建中国自主哲学知识体系,就要在总结辩证法史的基础上,创建具有新的思想内涵、时代内涵、文明内涵的当代中国辩证法理论。

基础教育改革与学科建设(笔谈)

如何构建高质量基础教育体系是基础教育学研究需要回答的时代命题。有效推进高质量基础教育体系建设,需要明确基础教育的现实需求和现存问题,从而找到基础教育改革的发力点。基础教育学研究需要明确高质量基础教育体系的内涵,精准把握高质量基础教育体系建设的制度优势和现实差距,提出切实可行的高质量基础教育体系建设的路径。终身教育视野下,基础教育是个体终身学习和终身成长的教育基础,是社会发展的重要事业。中国基础教育学学科建设的根本任务是建构中国基础教育学自主知识体系,基本路径是建设中国基础教育学学科体系、学术体系和话语体系。2017年颁布的普通高中课程标准和2022年颁布的义务教育课程标准,从各个学科(各门课程、各门科目)的视角回答了基础教育阶段如何培养人的问题,从这个意义上说,课程标准是一门特殊的基础教育学,具有鲜明的政策性、实践性和探索性。基础教育学的学科建设深受教育学及其分支学科、交叉学科的理论滋养,其自身的知识生产遵循内生逻辑。构建基础教育学自主知识体系既要立足当下,以破解新时代基础教育难题为己任,又要贯通历史和未来,在历史智慧与未来机遇中汲取基础教育学自主知识体系建设的力量。

旅游能带给人们生命意义感吗?——旅游情境下的生命意义感生成机制研究

生命意义感是人类活动的关键引擎,有意义的生活是幸福的最深层次含义。文章以人们踏上旅途寻求生活的意义这一现实现象为切入点,将积极心理学中的生命意义感范畴引入旅游研究视野,以相关网络游记与社区问答文本为材料,运用扎根理论进行编码分析,最终提炼出“旅游世界中的顿悟时刻”这一核心范畴,对旅游者获取生命意义感的具体过程与一般路径作出理论解释。研究发现:1)旅游者以具身实践的方式主动地构建生命意义,具身实践是旅游者生命意义感的来源;2)旅游者由审美体验中的自我超越激发生命活力,自发地觉察生命意义;3)旅游者通过自我反思这一内省过程形成对世界与真实自我的深刻理解,不断地追寻生命意义;4)旅游者通过自我认同的强化实现自我价值的确认,进而真正地肯定生命价值;5)回归日常生活世界时,人们通过回忆与回味重新赋予旅游体验以新的意义,个体生命状态的转变是旅游积极人生意义的一种体现。文章创新地构建出旅游世界中的生命意义感生成模型,对人们在旅游世界中获取生命意义感的顿悟时刻进行了深入解读,丰富了旅游体验的研究内容,深化了现有研究对旅游积极效应的认识,为深入理解旅游的意义提供了新思考。

基于知信行理论的延续性护理在输尿管结石术后患者中的应用

目的 探讨基于知信行(KAP)理论的延续性护理在输尿管结石术后患者中的应用效果。方法 选取99例输尿管结石术后患者,根据出院后护理方式不同将其分为观察组(50例)和对照组(49例)。对照组采用常规延续性护理,观察组采用基于KAP理论的延续性护理。比较两组的自我效能、并发症发生率及生活质量。结果 干预1个月后,观察组一般自我效能感量表(GSES)、威斯康星州肾结石生活质量量表(WISQOL)评分均高于对照组(P <0.05)。观察组并发症发生率为6.00%,低于对照组的20.41%(P <0.05)。结论 基于KAP理论的延续性护理可明显提升输尿管结石术后患者的自我效能,降低并发症发生率,改善其生活质量。

“生命之树”集体叙事实践在安宁疗护患者家庭照顾者中的应用

目的:评价“生命之树”集体叙事实践在安宁疗护终末期癌症患者家庭照顾者中的应用效果,为照顾者关怀工作的开展提供实践依据。方法:选取乌鲁木齐市某三级甲等肿瘤专科医院2023年1月—6月接受安宁疗护的终末期癌症患者家庭照顾者76例作为研究对象,随机分为对照组(n=37)和实验组(n=39)。对照组采用常规入院宣教及心理护理,实验组在对照组的基础上采用“生命之树”集体叙事实践。两组干预前后分别采用预期性悲伤量表、Herth希望量表和生命威胁性疾病家庭照顾者生存质量量表进行调查,评价干预效果。结果:干预后,实验组Herth希望量表和生命威胁性疾病家庭照顾者生存质量量表得分均高于对照组,预期性悲伤量表评分低于对照组,组间比较差异均具有统计学意义(P<0.05)。结论:“生命之树”集体叙事实践可以有效降低家庭照顾者的预期性悲伤,有利于提高家庭照顾者的希望水平及生存质量。