Critical emancipatory reflection on a practice-based issue in relation to nurses' communicative role with unsatisfied clients in Chinese hospitals

Objective: This study aims to use reflective theory and critical emancipatory theory to explore nurses' communicative role with unsatisfied clients.Methods: This paper begins with the broad issue, and the analysis will engage Smyth's cycle, which includes describing, analyzing,exploring, and reconstructing.Results: Critical emancipatory reflection is essential to make changes in the professional practice of nursing, because it is of primary importance for the professional learning and development of a nurse.Conclusions: Critical emancipatory reflection helps a nurse to analyze the constraints, including historical, sociocultural, political, and personal aspects.

Estimation of Probability of Unprotected Heterosexual Vaginal Transmission of HIV-1 from Clients to Female Sex Workers in Kaiyuan,Yunnan Province, China

Objective To estimate the probability of unprotected heterosexual vaginal transmission of HIV-1 from clients to Female Sex Workers （FSWs） in Kaiyuan County, Yunnan province, China, and analyze factors which impact the transmission probability. Methods An open cohort research of FSWs in Kaiyuan was created from surveys conducted in April 2008, October 2008, and April 2009. Two cross-sectional surveys of local clients were also carried out in May 2008 and November 2008. A model was developed to estimate the probability of unprotected heterosexual vaginal transmission of HIV-1 from clients to FSWs. Results The transmission probability from clients to FSWs was estimated as 0.0023 [95% CI 0.0014-0.0032] per unprotected heterosexual act. Conclusion The transmission probability among this group engaging in commercial sex in Yunnan province differs from that found in studies from other countries, and future studies should estimate the influence factors of HIV-1 transmission probability, such as stage of HIV infection, co-morbid sexually transmitted infections （STIs）.

Are Truckers Being over Stigmatized as HIV Carriers in India? Evidences from Behavioral and Biological Cross-Sectional Surveys among Clients of Female Sex Workers

This paper examines whether truckers have been over-stigmatized as HIV carriers in the country. Data were taken from cross-sectional surveys of clients of female sex workers conducted in 2006-2007 in 12 districts of the country. A total 4822 clients of female sex workers were covered in the survey. Low-income skilled/semi-skilled men, including non-agricultural/casual labor, and petty businessmen/small shop owners, have the largest share in the clients’ population. There was no significant difference between truckers and other sub-group of clients’ population in terms of consistent condom use with female sex workers and prevalence of HIV or STI. These evidences suggest that the contribution of truckers in HIV epidemic in India might to similar to other sub-groups of clients’ population. Thus, truckers might have been over-stigmatized as HIV carriers in the country. However, there is no doubt that truckers constitute an extremely important target group for the HIV prevention programs and these efforts must be continued to prevent new HIV infections in the country.

The Effect of Case Management for Schizophrenia Clients in China

Background: The aim at this study is to establish the effectiveness of case management (CM) compared to care as usual (CAU) in patients with schizophrenia. Methods: 128 patients with schizophrenia were recruited from the community of Haidian District (Beijing, China), 68 patients in the CM group and 60 patients in the CAU group. Efficacy and safety information were assessed at one year follow-up. The relapse rate was similar in both groups after 12 months followed up (7% and 5%). The withdraw rate was significant lower in CM group compared with CAU group (10% and 36%). Results: There is no significant difference in PANSS, PSP and SSMI score between 2 groups at each visit. Between endpoint and baseline, there is a significant improvement on PANSS negative score and PSP in patients treated with CM, while CAU group was not significantly changed. Conclusions: There is a possible effectiveness of CM group of improving negative symptoms and social function in schizophrenia clients.

Managing Cases with Human Immunodeficiency Virus Infection: Knowing the Dynamics from Voluntary Counselling and Testing Clients in Bobo-Dioulasso for Better Planning in Burkina Faso (1996-2014)

Background: The Anonymous Screening and Information Centre (CADI) is the oldest screening centre of HIV from Burkina Faso. Since its opening, no analysis on the evolution of Human Immunodeficiency Virus (HIV) prevalence has been carried out. Objective: The study aimed to describe the dynamics of HIV infection when managing centres offering voluntary counselling and testing to client, such as the Screening and Counselling Centre (CADI), in Bobo Dioulasso, Burkina Faso. Patients and Methods: A cross-sectional study was performed including people screened at the CADI from May 1996 to June 2014. Pearson khi2 test and Cuzick trend test were used with a 5% significance level. Results: From 7.1% of the 11,451 cases analyzed, the average age of clients screened was 30 ± 10.83 year-old. There was a female predominance (sex ratio = 0.8). The 16.4% (15.7 - 17.1) of the cases from the 11,451 clients included in our study were tested HIV positive. The global prevalence rate of HIV in the centre has significantly decreased from 46.2% in 1996 to 1.5% in 2014 (p Conclusion: The behaviour change could be a justification for the decline in HIV prevalence at the centre, hence the importance of sensitization campaigns.

Perception of the Hospital Nutrition Service by Internal Clients: Example of the Results Obtained in the Area of Production of Pediatric Formulas and Enteral Diets

Aim: Client perception was important to indicate points requiring interventions or adjustments and to permit refinement of the services offered. This study aimed to determine the perception of internal clients regarding the quality of the service after integrating these items into the system of electronic prescription. Methods: We applied a questionnaire elaborated based on the SERVQUAL about the five dimensions of service quality (tangibility, reliability, responsiveness, safety, and empathy) with adaptation of the four-point Likert scale, ranging from “I fully disagree” to “I fully agree”. Results: The instrument was applied to 138 professionals, with a 56% return. Analysis revealed that the strong points were related to tangibility, safety and empathy, while the aspects related to reliability showed a lower score regarding time of delivery, occurrences and waste, and those related to responsiveness showed a lower score regarding service to be provided in a timely manner. The Cronbach Alpha Coefficient indicated that the investigation had a high degree of consistency and that the results could be considered reliable. Conclusion: Application of the adapted SERVQUAL questionnaire revealed that the perception of internal clients about the five quality dimensions after the changes made and provided valuable information for the scoring of aspects that still needed adjustment to improve interventions.

Lightweight Mobile Clients Privacy Protection Using Trusted Execution Environments for Blockchain

Nowadays,as lightweight mobile clients become more powerful and widely used,more and more information is stored on lightweight mobile clients,user sensitive data privacy protection has become an urgent concern and problem to be solved.There has been a corresponding rise of security solutions proposed by researchers,however,the current security mechanisms on lightweight mobile clients are proven to be fragile.Due to the fact that this research field is immature and still unexplored in-depth,with this paper,we aim to provide a structured and comprehensive study on privacy protection using trusted execution environment(TEE)for lightweight mobile clients.This paper presents a highly effective and secure lightweight mobile client privacy protection system that utilizes TEE to provide a new method for privacy protection.In particular,the prototype of Lightweight Mobile Clients Privacy Protection Using Trusted Execution Environments(LMCPTEE)is built using Intel software guard extensions(SGX)because SGX can guarantee the integrity,confidentiality,and authenticity of private data.By putting lightweight mobile client critical data on SGX,the security and privacy of client data can be greatly improved.We design the authentication mechanism and privacy protection strategy based on SGX to achieve hardware-enhanced data protection and make a trusted connection with the lightweight mobile clients,thus build the distributed trusted system architecture.The experiment demonstrates that without relying on the performance of the blockchain,the LMCPTEE is practical,feasible,low-performance overhead.It can guarantee the privacy and security of lightweight mobile client private data.

Assessment of Clients Satisfaction in Family Planning Service Delivery in Port Harcourt, Nigeria

Background: Client satisfaction is considered as one of the desired outcomes of health care service delivery and it is directly related to the utilization of any health services. The family planning clinic remains one of the important health care delivery outlets where client satisfaction guarantees continuation of usage, hence this study. Objective: The objective of this study is to assess the determinants of client satisfaction with the family planning (FP) services provided in Port Harcourt. Materials and methods: This was a descriptive prospective cross-sectional study conducted between 18th of June 2018 and 18th of July 2018. The target population is women of reproductive age group (15 - 49) who visited 11 randomly selected family planning health facilities in Port Harcourt during the study period. A set of exit interviewer-administered questionnaire (pretested for reliability and validity) was used for data collection from a sample size of 195 respondents;and analyzed using SPSS 22.0. Standard deviation was used for continuous variable while categorical variables were presented in simple percentages and frequencies. The P value was set at <0.05 and confidence interval was 95%. Results: Age range 30 - 39 years constituted the largest proportion of 51.3%. A large proportion of the women (87.2%) expressed satisfaction with FP services provided. All respondents said the facilities were easily accessible, clean and were treated respectfully. However, only about half of the clients (51.3%) received their chosen contraceptive product after 1 hour. Conclusion: A huge proportion of family planning clients expressed satisfaction with family planning service delivery in Port Harcourt;not minding the longer waiting time. Implication of this is continued use and by implication improved contraceptive prevalence.

A quantum federated learning framework for classical clients

Quantum federated learning(QFL)enables collaborative training of a quantum machine learning(QML)model among multiple clients possessing quantum computing capabilities,without the need to share their respective local data.However,the limited availability of quantum computing resources poses a challenge for each client to acquire quantum computing capabilities.This raises a natural question:Can quantum computing capabilities be deployed on the server instead?In this paper,we propose a QFL framework specifically designed for classical clients,referred to as CC-QFL,in response to this question.In each iteration,the collaborative training of the QML model is assisted by the shadow tomography technique,eliminating the need for quantum computing capabilities of clients.Specifically,the server constructs a classical representation of the QML model and transmits it to the clients.The clients encode their local data onto observables and use this classical representation to calculate local gradients.These local gradients are then utilized to update the parameters of the QML model.We evaluate the effectiveness of our framework through extensive numerical simulations using handwritten digit images from the MNIST dataset.Our framework provides valuable insights into QFL,particularly in scenarios where quantum computing resources are scarce.

Improving Federated Learning through Abnormal Client Detection and Incentive

Data sharing and privacy protection are made possible by federated learning,which allows for continuous model parameter sharing between several clients and a central server.Multiple reliable and high-quality clients must participate in practical applications for the federated learning global model to be accurate,but because the clients are independent,the central server cannot fully control their behavior.The central server has no way of knowing the correctness of the model parameters provided by each client in this round,so clients may purposefully or unwittingly submit anomalous data,leading to abnormal behavior,such as becoming malicious attackers or defective clients.To reduce their negative consequences,it is crucial to quickly detect these abnormalities and incentivize them.In this paper,we propose a Federated Learning framework for Detecting and Incentivizing Abnormal Clients(FL-DIAC)to accomplish efficient and security federated learning.We build a detector that introduces an auto-encoder for anomaly detection and use it to perform anomaly identification and prevent the involvement of abnormal clients,in particular for the anomaly client detection problem.Among them,before the model parameters are input to the detector,we propose a Fourier transform-based anomaly data detectionmethod for dimensionality reduction in order to reduce the computational complexity.Additionally,we create a credit scorebased incentive structure to encourage clients to participate in training in order tomake clients actively participate.Three training models(CNN,MLP,and ResNet-18)and three datasets(MNIST,Fashion MNIST,and CIFAR-10)have been used in experiments.According to theoretical analysis and experimental findings,the FL-DIAC is superior to other federated learning schemes of the same type in terms of effectiveness.

动态地震监测系统设计及数据处理技术优化

Client/Server作为一种分布式网络协作处理模式,是当前计算机领域内比较热门的处理技术,应用范围也更加宽广。尤其是在图像处理应用方面,通过对Client/Server模式的应用,可实现对动态地震图像的有效处理,将图像画面更加清晰地表现出来,通过图像完成地震现场处理工作。基于此,本文主要对Client/Server模式下的动态地震图像处理系统进行分析研究。该系统从应用效果来看,充分利用现代计算机技术,采用模块化设计方式,为动态地震图像处理提供一种很好的解决方法,从而发挥出地震仪器设备作用,对地震出现展开正确预判,提升通信处理效果,提前做好相关的预防措施。

A Measurement Study of the Ethereum Underlying P2P Network

This work carried out a measurement study of the Ethereum Peer-to-Peer(P2P)network to gain a better understanding of the underlying nodes.Ethereum was applied because it pioneered distributed applications,smart contracts,and Web3.Moreover,its application layer language“Solidity”is widely used in smart contracts across different public and private blockchains.To this end,we wrote a new Ethereum client based on Geth to collect Ethereum node information.Moreover,various web scrapers have been written to collect nodes’historical data fromthe Internet Archive and the Wayback Machine project.The collected data has been compared with two other services that harvest the number of Ethereumnodes.Ourmethod has collectedmore than 30% more than the other services.The data trained a neural network model regarding time series to predict the number of online nodes in the future.Our findings show that there are less than 20% of the same nodes daily,indicating thatmost nodes in the network change frequently.It poses a question of the stability of the network.Furthermore,historical data shows that the top ten countries with Ethereum clients have not changed since 2016.The popular operating system of the underlying nodes has shifted from Windows to Linux over time,increasing node security.The results have also shown that the number of Middle East and North Africa(MENA)Ethereum nodes is neglected compared with nodes recorded from other regions.It opens the door for developing new mechanisms to encourage users from these regions to contribute to this technology.Finally,the model has been trained and demonstrated an accuracy of 92% in predicting the future number of nodes in the Ethereum network.

AN EXAMINATION OF RETAIL CLIENTS＇ INVESTOR SUITABILITY RULES IN THE COBS AND THE LESSONS FOR CHINA

Nowadays, the complexity of financial products makes it difficult for retail clients to identify investment risks, and there is an increasing tendency for firms, stipulated by the maximum profits, to recommend or enter into unsuitable transactions to or for retail clients while providing services of investment advice and portfolio management, which causes great losses to a significant number of investors. So, in the contemporary society, the investor suitability rules through which retail clients can purchase suitable financial products are the indispensable legal basis of investor protection. Currently, the regulations concerning investor suitability management in China have several problems, including the chaotic legal system, low effectiveness level and defective contents, which may make it difficult for suitability to be applied in justice and managed effectively. Since the UK＇s investor suitability rules in the Conduct of Business Sourcebook that apply to retail clients whose contents include requirements of obtaining retail clients＇ information, requirements of information to be provided to retail clients and criteria of assessing suitability are clear and comprehensive, the authors believe that the UK＇s experiences can provide a great enlightenment for China to better investor suitability management rules, including integrating legal documents and optimizing effectiveness level, rationalizing application scope, adding criteria of assessing suitability and revising specific clauses.

A Lifeline for Livestock

Chinese-invented Juncao grass is transforming dairy production in Kenya At his dairy farm in Kiambu County on the outskirts of the Kenyan capital Nairobi,Newton Mwangi anxiously takes off his boots and work suit after milking his cows.Mwangi is worried about the inability of the cows to hit the 80-litre target he needs to fulfil for his clients per day,due to a woeful fodder shortage in Kenya.

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Beijing Tourist Map (Chinese and English) A handy guide to getting around the city, the content of Beijing Tourist Map is regularly updated. Information will be in line with changes to public transportation in Beijing, including the Beijing Urban Map, Beijing Subway System layout and Beijing Suburban Scenic Spots. The map also shows the exact locations of

Observation on the Effect of Parental Participation in Nursing Under the IMCHB Model in Neonatal Hypoxic-Ischemic Encephalopathy

Objective:To investigate the clinical effects of parental participation in nursing under the Interaction Model of Client Health Behavior(IMCHB)model in neonatal hypoxic-ischemic encephalopathy(HIE).Methods:The First Affiliated Hospital of Gannan Medical University included 46 newborns with HIE admitted from October 2021 to October 2023 into the study population.They were divided into a control group and an observation group according to the random number table method,with the control group adopting routine nursing,and the observation group implementing parental participation in nursing under the IMCHB model.The indicators of physical,intellectual,and psychomotor development of the two groups were compared before and after nursing.Results:The physical,intellectual,and psychomotor development of the observation group was higher than that of the control group after 3 months of nursing,and the difference was statistically significant(P<0.05).Conclusion:The implementation of the IMCHB model of parental participation in the clinical care of HIE neonates can further promote their physical,intellectual,and psychomotor development.

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Beijing Tourist Map (Chinese and English) A handy guide to getting around the city, the content of Beijing Tourist Map is regularly updated. Information will be in line with changes to public transportation in Beijing, including the Beijing Urban Map, Beijing Subway System layout and Beijing Suburban Scenic Spots. The map also shows the exact locations of

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Beijing Tourist Map (Chinese and English) A handy guide to getting around the city, the content of Beijing Tourist Map is regularly updated. Information will be in line with changes to public transportation in Beijinq, including the Beijing Urban Map, Beijing Subway System lay- out and Beijing Suburban Scenic Spots. The map also shows the exact locations of Beijinq city scenic spots, food and entertainment venues special streets and shopping areas.

EATERY TAKES CLIENTS BACK IN TIME

LOCATED at the corner of Yong’an Street near Tianqiao in south Beijing is an exquisite three-storey white building with upturned eaves, a plain but graceful facade with a hint of the antique. As patrons enter and climb the stairs they catch sight of framed paintings that line the walls along the staircase

Hao Huizhen Eloquently Defends Her Clients

HAO Huizhen cannot forget the joy she felt winning her first lawsuit dealing with a transnational marriage case. The court decided that Hao’s litigant voluntarily offered his ex-wife ￥5,000. The first trial was announced effective because the defendant didn’t lodge an appeal. Hao carefully researched the economic conditions of both sides and collected 18 pieces of evidence. Based on this evidence, she put forth a 15,000-character statement for the plaintiff which won the decision of the court. The plaintiff, a man from another country, did not have to pay his estranged wife ￥300,000 she had demanded. Settling this first transnational marriage court case increased Hao’s confidence in herself. As a result,