FOCUS-PDCA在降低在新生儿院内尿布性皮炎发生率的应用研究

探讨FOCUS -PDCA在新生儿院内尿布性皮炎管理的应用效果。方法 选取2023年6月1日至2023年9月30日入住新生儿患儿 379例,按入院时间先后顺序分为对照组(2023年6月1号-2023年7月31号)和试验组(2023年8月1号-2023年9月31号)。对照组采取常规护理方案,试验组采取运用FOCUS -PDCA进行修订相关流程、护理常规、开展针对性培训、加强督查与干预等循环管理。比较2组新生儿院内尿布性皮炎发生率。结果 试验组院内尿布性皮炎发生率为9.2‰,低于对照组的25.2 ‰(χ2=4.410578,P<0.05);且2023年8月、9月新生儿院内尿布性皮炎的发生率分别为15.8‰、11.8‰,整体呈一个下降的趋势。结论 采用FOCUS -PDCA进行循环管理,实施培训、督查与干预用于新生儿住院患者管理,可降低其院内尿布性皮炎的发生率。

The Underlying Motivations and Long-Term Trends of the US Decoupling of China-US Science and Technology Relations

Since 2018,the US government has adopted a range of restrictive measures on China-US science and technology exchange,as it strives for a decoupling strategy against China.This strategy has brought about historic change in China-US science and technology relations.The US government has set out to obstruct the free flow of technology,data,capital,markets,and talents between China and the United States,thereby changing the basic rationale of China-US science and technology cooperation.The US has multiple underlying motivations for implementing this strategy including recognizing the security threats posed by China’s cutting-edge technology development,treating China as a competitor in global science and technology diplomacy,prompting the backflow of the technological industrial chain,and the strengthened industrial competition between the two countries.Decoupling is one of the competition strategies of the United States.It is aimed at ensuring a favorable position for their national innovation systems,particularly in China-US competition.However,the limitations of the decoupling strategy may not allow the US to achieve what it desires.These limitations also provide space for the two countries to ease their competitive relationship.

China-US Trade Relations:Win-Win Picture Distorted

At present China-U.S.trade relations are in a state of confusion.Although both countries have gained tremendous benefits from the bilateral trade relationship,some Americans have intentionally distorted some basic facts regarding China-U.S.trade relations. Based on an analysis of some official and nonofficial research reports published in the United States,this article holds that the China-U.S.trade imbalance is the symptom of a bigger issue stemming from the contradiction between the United States as the world's sole superpower and China as an emerging power.Economic globalisation came about due to the needs of western developed countries represented by the United States to boost economic development.Only by seizing the opportunities of economic globalisation, has China gained strong economic growth. Such a development is changing the world political,economic,military and cultural landscape that have been shaped since the post-cold-war era,and has to some extent raised doubt or suspicion on the part of the United States and its western allies.This is a manifestation of how unprepared some people in the United States and other western countries are in the face of China's rapid development and rising status.So,their immediate reaction has been to seek protection for themselves,and try their utmost to prevent China's rapid growth from impacting on the international framework and their vested interests.

China-US Cybersecurity Dilemma and Its Impacts

The interaction between China and the US over cybersecurity has plunged into mutual opposition,causing a dilemma of cybersecurity cooperation and negatively impacting China-US relations.A more negative attitude of US society to China supports policymakers in their assertive anti-China concept of security.Because this situation will prevail and will further aggravate competition,repositioning China-US cyber relations and maintaining its stability is of great significance for the two sides to avoid conflicts,build trust,and explore limited cyber cooperation.

Properties of focused Laguerre–Gaussian beam propagating in anisotropic ocean turbulence

We analyze the properties of a focused Laguerre–Gaussian(LG)beam propagating through anisotropic ocean turbulence based on the Huygens–Fresnel principle.Under the Rytov approximation theory,we derive the analytical formula of the channel capacity of the focused LG beam in the anisotropic ocean turbulence,and analyze the relationship between the capacity and the light source parameters as well as the turbulent ocean parameters.It is found that the focusing mirror can greatly enhance the channel capacity of the system at the geometric focal plane in oceanic turbulence.The results also demonstrate that the communication link can obtain high channel capacity by adopting longer beam wavelength,greater initial beam waist radius,and larger number of transmission channels.Further,the capacity of the system increases with the decrease of the mean squared temperature dissipation rate,temperature-salinity contribution ratio and turbulence outer scale factor,and with the increase of the kinetic energy dissipation rate per unit mass of fluid,turbulence inner scale factor and anisotropy factor.Compared to a Hankel–Bessel beam with diffraction-free characteristics and unfocused LG beam,the focused LG beam shows superior anti-turbulence interference properties,which provide a theoretical reference for research and development of underwater optical communication links using focused LG beams.

The Multi-Polar Structure and New Balance of the China-US Relationship

The multi-polar structure is a new international relationship structure, which differs greatly from both the bi-polar and uni-polar structures in both structure and nature, mainly emerging from the evolution of two aspects： first, the meaning of ＂polar＂ has undergone a major change; and second, beyond the power structure, the relationship structure between nations is much different from the past and is inflicting an increasingly important impact on core implication of the multi-polar the structure. Decentralization is the structure. In the current reality of international politics, decentralization refers to the dissolution of US hegemony, as different nations and power centers are busy competing and cooperating with one another at different levels in accordance with their own advantages and characteristics. Globally, the multi-polar structure manifests a state in which the current power structure is loosening, while international relationships have become more diversified due to their ongoing development. This is the development of a new relationship structure that is of great significance and what calls for our closest attention.

On the Pattern, Motivation and Prospects of China-US Nonproliferation Cooperation

Nonproliferation cooperation has always been a bright spot in China-US security cooperation for over more than a decade. China and the U.S. should timely adjust the focus of their nonproliferation cooperation on a more equal basis, expanding common interests and exploring new patterns for cooperation so as to create a model for the two countries to join hands in global governance and maintenance of regional order.

US Competitive Policy toward China and Transformation of China-US Relations

The door to strategic competition between China and the US has opened under the Trump administration, whose strategy, policy and tactics toward China create a grim picture for bilateral relations in the short run. However, the relations in the long term depend both on the state of interplay between various parties in the US, and more importantly on China’s influence and response.

CONDITIONS FOR CHINA-US STRATEGIC COOPERATION

From the "Five-clause Agreement Draft" of 1944 to the Shanghai Communiqueof 1972, the strategic relationship between the United States (US) and theChinese Communist Party (CCP) went through a cycle from partners to foes thenback to partners again. Since the end of World War II, a huge number of booksand articles on CCP-US relations have been published both in the United States andChina. Because of their different political background, Chinese and

Trumponomics and China-US Economic and Trade Relations

Since he took office, the new US president, Donald Trump, has unveiled his broad economic policy--now called Trumponomics. It emphasizes neoliberalism at home, less government regulations, more growth and weakening the welfare state. Intemationally, Trumponomics embraces protectionism and nativism with a focus on US economic interests. Trumponomics caters to the lower-middle classes, a reflection of the country＇s current economic and diplomatic challenges. Trumponomics will bring uncertainty to China-US economic and trade relations. China should carefully study the policies of the Trump administration and prepare contingency plans.

China-US Competition in Digital Technologies and EU Strategy

Unable to catch up with China and the United States in the short term,the European Union is in an unfavorable position in the booming digital technology sector needed for economic growth.Within the context of intensifying technological competition and diplomatic strain between China and the US,the EU and European countries have adapted their digital strategies.As a former balance strategy shifts toward constraining Chinese tech companies,Europe’s technological sovereignty is at stake.To enhance European tech capability and control,key measures include increased investment in digital tech,formation of a single European dataspace,and rules based on European values.The interplay between technology and geopolitics and the rising importance of values in digital regulations make possible a technology alliance,despite the introduction of protectionism into the mix.China will need to understand the situation and give positive response.

The Dimensions and Management of China-US Financial Competition

During a period of profound adjustments to the international power structure,China-US financial competition may intensify and lead to a crisis for the international financial system and even the international power system.The China-US financial relationship is structured in mainly four dimensions:the international monetary system,bilateral financial exchanges,the international financial system and the construction of international financial and/or economic concepts.Management of this competition relationship is thereby four-pronged:managing the relationship between the RMB and the US dollar in the international monetary system,the China-US bilateral creditor-debtor relationship,the indirect China-US relationship in global financial governance organizations and normative frameworks,and the divergence of both countries in regard to their economic ideologies.In particular,to stabilize the international monetary system,China should postpone the strategic confrontation between the RMB and the US dollar,strengthening their complementarity and cooperation based on market choice and their monetary function.Meanwhile,China should be prudent as a creditor to the United States,neither coerced by its over-reliance on American financial markets,nor tempted to weaponize the US debt by dumping US bonds.Also,before aiming for systematic reforms,China should first aim to become a stakeholder in the current global financial governance system by comprehensively accepting and becoming deeply integrated into it.Finally,China should avoid the economic competition model between China and the United States,and should instead apply the“Chinese Approach”to better facilitate solutions to international problems.These approaches to crisis management aim to help China endure this turbulent period of the international power system with more prudent strategies and policies,and to maintain a relatively stable international financial and economic environment for the sustained rise of its economy and for the rejuvenation of the Chinese nation.

Co-doped BaFe_(2)As_(2) Josephson junction fabricated with a focused helium ion beam

Josephson junction plays a key role not only in studying the basic physics of unconventional iron-based superconductors but also in realizing practical application of thin-film based devices,therefore the preparation of high-quality iron pnictide Josephson junctions is of great importance.In this work,we have successfully fabricated Josephson junctions from Co-doped BaFe_(2)As_(2)thin films using a direct junction fabrication technique which utilizes high energy focused helium ion beam(FHIB).The electrical transport properties were investigated for junctions fabricated with various He^(+)irradiation doses.The junctions show sharp superconducting transition around 24 K with a narrow transition width of 2.5 K,and a dose correlated foot-structure resistance which corresponds to the effective tuning of junction properties by He^(+)irradiation.Significant J_c suppression by more than two orders of magnitude can be achieved by increasing the He^(+)irradiation dose,which is advantageous for the realization of low noise ion pnictide thin film devices.Clear Shapiro steps are observed under 10 GHz microwave irradiation.The above results demonstrate the successful fabrication of high quality and controllable Co-doped BaFe_(2)As_(2)Josephson junction with high reproducibility using the FHIB technique,laying the foundation for future investigating the mechanism of iron-based superconductors,and also the further implementation in various superconducting electronic devices.

A Review of China-US Economic and Trade Relations (2007-2015)

In order to find indications for future bilateral relations, it is worth reviewing the development of China-US economic and trade relations in recent history. Generally speaking, the nine years between 2007 and 2015 saw non-stop progress in China and US trade and economic ties. The China-US interdependent and complementary economic and trade connections ensure that bilateral relations are constantly developing and merging following their interdependent paths;the global challenges, such as the financial crisis and recent extreme weather events, have allowed China and the US to be in the same boat,weathering these different forms of turbulence. Decisions on important domestic policies and disputes can now be discussed earlier and effectively following on from the construction of multi-dimensional crisis management mechanisms. But undeniably there are unsettled and conflicting points in their relations, such as the fact that the US strategically excludes China from its free trade agenda, not willing to accept many everyday items manufactured by China. This is a major obstacle preventing their relationships deepening. History tells us, in future, if both sides could have a bigger vision, relations would better develop, for the new type of major power relations and the subsequent road would be less rocky and bring more benefits for the peoples of both countries.

China-US Relations in the Trump Era

To the astonishment of the whole world,against the protest of the American elites,Donald Trump won the presidential election of 2016.Whether you like him or not,President Trump will usher in a new era.Will he fulfill all the promises of the campaign?Will he'make America great again'?Will

A New Model of China-US Big Power Relations： A Symbolic Sign in Foreign Affairs

To cope with the current crisis and tensions full-filled China-US relationship, Chinese President Xi Jinping put forward the concept of building a new model of China-US big power relations, which the US agrees. Yet the new model won a heated discussion. In China this new model was evaluated positively and optimistically, while in the US it was perceived as a strategic challenge or even a threat. In the present article, the author proposes that this new model of China-US big power relations is more like a symbolic sign in foreign affairs rather than a strategic challenge or a threat or an effective and workable mechanism at this moment, and meanwhile analyses this view from diachronic and semiotic perspectives. The analyses reveal that the new model functions as a symbolic sign, signifying to the world that conceptually the two big powers have a good and harmonious relationship.

参仙升脉口服液化学成分的UHPLC-Q Exactive Focus MS/MS快速分析

目的探究参仙升脉口服液的化学物质基础。方法利用超高效液相色谱-四极杆/静电场轨道阱高分辨质谱(UHPLC-Q Exactive Focus MS/MS)对参仙升脉口服液的化学成分进行整体、系统辨识。采用Thermo Accucore aQ C_(18)色谱柱(150 mm×2.1 mm,2.6μm),流动相0.1%甲酸水溶液(A)-甲醇(B)梯度洗脱,洗脱程序为0-13 min,5%-60%B;13-27 min,60%-95%B;27-30 min,95%B,流速0.3 mL·min^(-1),柱温30°C;质谱分析离子化方式为加热电喷雾离子化(H-ESI),扫描模式为正、负离子切换,扫描范围m/z 120-1800,碰撞能量30 eV、50 eV、70 eV。结果共鉴定出160个化学成分,包括29个黄酮类成分,24个有机酸类成分,21个生物碱类成分,19个萜类成分,15个苯丙素类成分,12个皂苷类成分和40个其他类成分;其中6个化学成分(芦丁、补骨脂苷、异补骨脂苷、补骨脂素、异补骨脂素和补骨脂酚)经对照品比对确认。结论该研究借助UHPLC-Q Exactive Focus MS/MS技术实现了参仙升脉口服液化学成分准确、快速、系统的分析和鉴定,为其化学物质基础的阐明和质量控制提供了重要依据。

Focusing on the tetra-partite synapse in Parkinson’s disease research using human patient-derived neurons

Parkinson’s disease(PD)was first described as a neurological disease by Dr.James Parkinson in 1817 as a“shaking palsy”.Since that time,much more is known about the pathophysiology of PD yet the disease is still uncurable.The hallmark of the disease is often considered Lewy body neural inclusions in the substantia nigra pars compacta and other brain areas,although not all patients have these inclusions.The patients exhibit massive neuronal cell loss in the substantia nigra pars compacta,which is associated with the motor symptoms of tremor,bradykinesia,rigidity,and postural instability.PD is the second most common neurodegenerative disease after Alzheimer’s disease with a prevalence of around 1%of individuals over the age of 60.

FOCUS-PDCA模式对老年肌少症病人日常生活能力和生活质量影响的Meta分析

目的:系统评价FOCUS-PDCA模式对老年肌少症病人日常生活能力和生活质量的影响。方法:检索PubMed、Web of Science、the Cochrane Library、中国知网、万方数据库、维普数据库、中国生物医学文献数据库中关于FOCUS-PDCA模式对老年肌少症病人日常生活能力和生活质量影响的随机对照试验,检索时限从建库至2022年12月31日。采用RevMan 5.4软件进行Meta分析。结果:共纳入5篇文献,涉及534例病人。Meta分析结果显示,使用FOCUS-PDCA模式干预可有效改善病人的生活质量[SMD=2.52,95%CI(1.50,3.54),P<0.000 01],提高日常活动能力[MD=23.94,95%CI(14.96,32.96),P<0.000 01]。结论:现有证据表明,FOCUS-PDCA模式可提高老年肌少症病人的日常生活能力,改善其生活质量。