Research on the Audio Publishing of Classical Books Based on the Theory of Business Model Canvas: Taking Romance of the Three Kingdoms in Digital Audio Platforms as an Example

Visual media have dominated sensory communications for decades,and the resulting“visual hegemony”leads to the call for the“auditory return”in order to achieve a holistic balance in cultural acceptance.Romance of the Three Kingdoms,a classic literary work in China,has received significant attention and promotion from leading audio platforms.However,the commercialization of digital audio publishing faces unprecedented challenges due to the mismatch between the dissemination of long-form content on digital audio platforms and the current trend of short and fast information reception.Drawing on the Business Model Canvas Theory and taking Romance of the Three Kingdoms as the main focus of analysis,this paper argues that the construction of a business model for the audio publishing of classical books should start from three aspects:the user evaluation of digital audio platforms,the establishment of value propositions based on the“creative transformation and innovative development”principle,and the improvement of the audio publishing infrastructure to ensure the healthy operation and development of the digital audio platforms and consequently improve their current state of development and expand the boundaries of cultural heritage.

A Study on the Acceptance of the English Translation of Romance of the Three Kingdoms by Overseas Readers Based on Python Data Analysis Technology

Paperless reading has become a prevalent trend among global readers,leading to the accumulation of vast amounts of reading data on numerous book websites.This offers new perspectives for studying translated works.This paper utilizes Python-based data processing technology to collect and analyze reader reviews of Romance of the Three Kingdoms on Amazon and Goodreads,presenting trends in review volume,word cloud maps,and readers’emotional attitudes in a quantitative manner.The findings indicate that overseas readers generally exhibit a positive emotional tendency towards Romance of the Three Kingdoms and recognize its cultural value.However,negative opinions do exist,focusing on aspects of the book’s quality,such as printing quality and proofreading.These results provide valuable insights for the foreign translation of canonical texts.

Prevalence of anal fistula in the United Kingdom

BACKGROUND Anal fistula is a pathological connection between the anal canal and perianal skin, which most commonly develops from an infected anal crypt. While the majority of anal fistulas are idiopathic, they are also associated with Crohn’s disease (CD) and other inflammatory conditions. The prevalence of anal fistula is estimated to be 1-2 per 10000 patients, but population-based studies on anal fistula epidemiology are limited and outdated. AIM To assess the prevalence of anal fistula and relevant comorbidities, with and without CD in the United Kingdom and Europe. METHODS A retrospective population-representative observational cohort study was performed in The Health Improvement Network (THIN), a United Kingdom primary care database. Mid-year point prevalence of anal fistula was calculated on the first of July for each year between 2014 and 2017. Estimates were calculated for anal fistula overall and by CD status and standardized to the United Kingdom and European population. Prevalence of relevant comorbidities including lymphogranuloma venereum, hidradenitis suppurativa, anal presentation of sexually transmitted diseases, diabetes mellitus, and radiation in the pelvic area was reported. RESULTS The United Kingdom-standardized overall point prevalence of anal fistula was 1.80 (95%CI: 1.65-1.94) per 10000 patients in 2017, while the Europe standardized estimate was 1.83 (95%CI: 1.68-1.98) per 10000 patients. Both these standardized point prevalence estimates ranged from 1.89 to 2.36 between 2014-2016. The United Kingdom-standardized point prevalence of anal fistula without CD was 1.35 (95%CI: 1.23-1.48) per 10000 patients, while the Europe-standardized estimate was 1.39 (95%CI: 1.26-1.52) per 10000 patients. In contrast, the standardized point prevalence estimate of anal fistula with CD was lower for both United Kingdom and Europe (0.44;95%CI United Kingdom: 0.37-0.52, 95%CI Europe: 0.37-0.51) per 10000 patients in 2017. In 2017, 19% of anal fistula patients without CD and 13% of anal fistula patients with CD had at least one relevant comorbidity. These results show that anal fistulas are infrequent in the general population. 24.5% of prevalent anal fistulas are associated with CD, but other potentially etiological comorbidities are rare. CONCLUSION This real-world evidence study estimated the United Kingdom-standardized prevalence of anal fistula was 1.80 per 10000 patients in 2017. Approximately 25% of cases may be associated with CD, while other comorbidities are rare.

Gastric endoscopic submucosal dissection as a treatment for early neoplasia and for accurate staging of early cancers in a United Kingdom Caucasian population

AIM To investigate the efficacy of endoscopic submucosal dissection(ESD) at diagnosing and treating superficial neoplastic lesions of the stomach in a United Kingdom Caucasian population.METHODS Data of patients treated with or considered for ESD at a tertiary referral center in the United Kingdom were retrieved for a period of 2 years(May 2015 to June 2017) from the electronic patient records of the hospital. Only Caucasian patients were included. Primary outcomes were curative resection(CR) and were defined as ESD resections with clear horizontal and vertical margin and an absence of lympho-vascular invasion, poor differentiation and submucosal involvement on histological evaluation of the resected specimen. Secondary end-points were reversal of dysplasia at 12 mo endoscopic follow-up and/or at the latest follow up. Change in histological diagnosis pre and post ESD was also analysed.RESULTS Twenty-four patients were initially identified with intention to treat. 19 patients were eligible after mapping gastroscopy and ESD was attempted on a total of 25 ESD lesions, 4 of which failed and had to be aborted mid-procedure. Out of 21 ESD performed, en-bloc resection was achieved in 71.4% of cases. Resection was considered complete on endoscopy in 90.5% of cases compared to only 38.1% on histology. A total of 6 resections were considered curative(28%), 5 noncurative(24%) and 10 indefinite for CR or non-CR(24%). ESD changed the histological diagnosis in 66.6% of cases post ESD. Endoscopic follow-up in the "indefinite" group and CR group showed that 50% and 80% of patients were clear of dysplasia at the latest follow-up respectively; 2 cases of recurrence were observed in the "indefinite"group. Survival rate for the entire cohort was 91.7%.CONCLUSION This study provides early evidence for the efficacy of ESD as a therapeutic and diagnostic intervention in Caucasian populations and supports its application in the United Kingdom.

Exploring Enablers and Barriers to Municipal Solid Waste (MSW) Management Technologies Adoption in the Kingdom of Bahrain

Municipal Solid Waste (MSW) becomes a point of focus globally due to its harmful effects on the environment and human health if it is not managed properly. MSW was proved globally to be used as a resource, and it has a major opportunity in the realm of conversion technologies. Accordingly, this study aims to explore the enablers and barriers to six different MSW management (MSWM) technologies adopted in the Kingdom of Bahrain, in order to ensure the successful adoption of these technologies that are Anaerobic Digestion (AD), Incineration, Pyrolysis, Gasification, Composting and Refused Derived Fuel (RDF). This study provides sufficient information to the decision and policy-makers for the processes of selection and adoption of the MSWM technologies in Bahrain, using a qualitative approach “mainly semi-structured interviews” with experts and then Thematic Analysis using nvivo12 software. The results show that the main themes that enablers and barriers fall under are: political (e.g. national waste management strategy), technical (e.g. segregation at source), managerial (e.g. capacity building), social (e.g. public awareness), economic (e.g. incentives to investment) and environmental (e.g. air quality). This study concluded that in order to succeed in the MSWM technologies adoption, the resulted barriers should be overcome. Furthermore, Incineration was recommended as the best solution to manage MSW which has the least barriers and most enablers in Bahrain as per the experts.

Availability of basic life support courses for the general populations in India, Nigeria and the United Kingdom: An internet-based analysis

BACKGROUND:The number of lay people willing to attempt cardiopulmonary resuscitation(CPR)in real life is increased by effective education in basic life support(BLS).However,little is known about access of general public to BLS training across the globe.This study aimed to investigate availability and key features of BLS courses proposed for lay people in India,Nigeria and the United Kingdom(UK).METHODS:A Google search was done in December 2018,using English keywords relevant for community resuscitation training.Ongoing courses addressing BLS and suitable for any adult layperson were included in the analysis.On-site training courses were limited to those provided within the country's territory.RESULTS:A total of 53,29 and 208 eligible courses were found for India,Nigeria and the UK,respectively.In the UK,the number of courses per 10 million population(31.5)is 79 and 21 times higher than that in India(0.4)and Nigeria(1.5).Course geography is limited to 28%states and one union territory in India,30%states and the Federal Capital Territory in Nigeria.In the UK,the training is offered in all constituent countries,with the highest prevalence in England.Courses are predominantly classroom-based,highly variable in duration,group size and instructors'qualifications.For India and Nigeria,mean cost of participation is exceeding the monthly minimum wage.CONCLUSION:In contrast to the UK,the availability and accessibility of BLS courses are critically limited in India and Nigeria,necessitating immediate interventions to optimize community CPR training and improve bystander CPR rates.

On Geometric Correction Method of BJ-1 Panchromatic Image Covering Kingdom of Lesotho

The purpose is to find a suitable geometric correction method of BJ-1 panchromatic image covering Kingdom of Lesotho.The methods are carrying out two geo-correction experiments based on the push-broom model and the projective transform model for BJ-1 small satellite real panchromatic covering flat and mountain area of Lesotho.Results show that the projective transform model has equal or higher accuracy compared to the push-broom model.Conclusion is the projective transform model can be used in producing land use image map.

Bacterial co-infection in patients with SARS-CoV-2 in the Kingdom of Bahrain

BACKGROUND The coronavirus disease 2019(COVID-19)pandemic presents a significant challenge to the medical profession,increasing in the presence of microbial coinfection.Bacterial and Fungal co-infections increase the risk of morbidity and mortality in patients with COVID-19.AIM To study the bacterial profile in patients with COVID-19 who needed admission to receive treatment in the main centres concerned with managing COVID-19 disease in the Kingdom of Bahrain.METHODS The study was a retrospective observational analysis of the bacterial profile and the bacterial resistance in patients with confirmed COVID-19 disease who needed admission to receive treatment in the main centres assigned to manage patients with COVID-19 disease in the Kingdom of Bahrain from February to October 2020.We used the electronic patients’records and the microbiology laboratory data to identify patients’demographics,clinical data,microbial profile,hospital or community-acquired,and the outcomes.RESULTS The study included 1380 patients admitted with confirmed COVID-19 disease during the study period.51%were admitted from February to June,and 49%were admitted from July to October 2020,with a recurrence rate was 0.36%.There was a significant increase in bacterial and fungal co-infection in the second period compared to the first period.The most common isolated organisms were the gram-negative bacteria(mainly Klebsiella pneumoniae,Pseudomonas aeruginosa,multi-drug resistant Acinetobacter baumannii,and Escherichia coli),the grampositive bacteria(mainly coagulase negative Staphylococci,Enterococcus faecium,Enterococcus faecalis,Staphylococcus aureus)and fungaemia(Candida galabrata,Candida tropicalis,Candida albicans,Aspergillus fumigatus,Candida parapsilosis,Aspergillus niger).The hospital-acquired infection formed 73.8%,61.6%,100%gram-negative,gram-positive and fungaemia.Most of the hospital-acquired infection occurred in the second period with a higher death rate than communityacquired infections.CONCLUSION Bacterial and fungal co-infections in patients admitted with confirmed COVID-19 disease pose higher morbidity and mortality risks than those without coinfections.We should perform every effort to minimize these risks.

The Effects of World War Ⅱ:Analysis of Kensuke's Kingdom

Kensuke's Kingdom is a highly readable British survival novel written by Michael Morourgo. It is not only a survival novel, but also a realistic novel for the children. By the two disparate characters, the writer wants to discuss the effects of the war, which is the deeper meaning of this novel. Writing war and the effects of the war is a heavy but necessary topic for children's literature. Books like Kensuke's Kingdom can be woven into young readers' developing senses of themselves, extending their imaginations and helping them to understand the world from unaccustomed points of view.

An Analysis of the English Version of To the Sky Kingdom from Skopos Theory

Skopos theory proposes that the purpose of translation determines the translational action and translation should abide by three rules—Skopos rule,Coherence rule and Fidelity rule.For the unique style and fascinating stories,To the Sky Kingdom which enjoyed great popularity abroad contains distinctive Chinese traditional culture.Taking To the Sky Kingdom as the case,this thesis analyzes to translation strategies of the novel under Skopos Theory.The translator is found to have adopted domestication to attract foreign readers and make the translation coherent and foreignization is also employed to transmitting Chinese traditional culture.From the perspective of Skopos Theory,the combination of domestication and foreignization has achieved the anticipated purpose of the translation.

Fuzzy Based Decision Making Approach for Evaluating the Severity of COVID-19 Pandemic in Cities of Kingdom of Saudi Arabia

The World Health Organization declared COVID-19 a pandemic on March 11,2020 stating that it is a worldwide danger and requires imminent preventive strategies to minimise the loss of lives.COVID-19 has now affected millions across 211 countries in the world and the numbers continue to rise.The information discharged by the WHO till June 15,2020 reports 8,063,990 cases of COVID-19.As the world thinks about the lethal malady for which there is yet no immunization or a predefined course of drug,the nations are relentlessly working at the most ideal preventive systems to contain the infection.The Kingdom of Saudi Arabia(KSA)is additionally combating with the COVID-19 danger as the cases announced till June 15,2020 reached the count of 132,048 with 1,011 deaths.According to the report released by the KSA on June 14,2020,more than 4,000 cases of COVID-19 pandemic had been registered in the country.Tending to the impending requirement for successful preventive instruments to stem the fatalities caused by the disease,our examination expects to assess the severity of COVID-19 pandemic in cities of KSA.In addition,computational model for evaluating the severity of COVID-19 with the perspective of social influence factor is necessary for controlling the disease.Furthermore,a quantitative evaluation of severity associated with specific regions and cities of KSA would be a more effective reference for the healthcare sector in Saudi Arabia.Further,this paper has taken the Fuzzy Analytic Hierarchy Process(AHP)technique for quantitatively assessing the severity of COVID-19 pandemic in cities of KSA.The discoveries and the proposed structure would be a practical,expeditious and exceptionally precise evaluation system for assessing the severity of the pandemic in the cities of KSA.Hence these urban zones clearly emerge as the COVID-19 hotspots.The cities require suggestive measures of health organizations that must be introduced on a war footing basis to counter the pandemic.The analysis tabulated in our study will assist in mapping the rules and building a systematic structure that is immediate need in the cities with high severity levels due to the pandemic.

Colistin Use and Its Resistance in Kingdom of Saudi Arabia: A Narrative Review

Antibiotic resistance is steadily increasing all over the world and has become a major public health challenge. To this end, colistin, an old bactericidal antibiotic of polymyxins family, has been recently re-introduced as only available last-resort antibiotic arsenal for treatment of infections caused by multidrug resistant (MDR)-Gram-negative bacteria. However, the continual and extensive use of colistin has led to the emergence and rapid spreading of its bacterial resistance and non-susceptibility that is currently experiencing a critical healthcare issue with extensive global concern. Both transferable and intrinsic mechanisms of bacterial resistance to colistin have been documented in several countries and, therefore, comprehensive epidemiological data and reports are urgently needed to better understand the current status of this important antibiotic to properly optimize its clinical significance. In consistency, the present narrative review highlights both clinical use and reported bacterial resistance of colistin in the Kingdom of Saudi Arabia.

Measuring the Public Awareness toward Household Waste Management in Muharraq Governorate-Kingdom of Bahrain

Municipal Solid Waste (MSW) generation is growing rapidly as compared to the rate of urbanization. Household waste management is considered a highly challenging task for Bahrain’s policy-makers, urban planners and municipalities due to rising population, burgeoning growth rate of waste generation, limited availability of land and scarce waste disposal sites. Public awareness represents a key enabler in order to succeed any sustainable waste management practice in the country. The survey aimed at gauging public awareness about household waste management in Muharraq Governorate and explored if there are any correlations between educational level, gender, occupation and age and area of living with the level of public awareness as well as its three components: knowledge, attitude and behaviour of the people in Muharraq Governorate. The results indicated the total awareness is significantly different across different age levels and nationality. Moreover, it shows a high public awareness toward household waste management among people in Muharraq Governorate, which indicated that the society is aware and has the basics to build on in terms of sustainable waste management practices and technologies adoption, which may help overcome the possible social barrier represented by low public awareness.

Prevalence of congenital hydrocephalus in the Hashemite kingdom of Jordan: A hospital-based study

Background: Congenital hydrocephalus, an important cause of neurologic morbidity and mortality in children, is a medical condition characterized by an abnormal accumulation of cerebrospinal fluid in the brain. It can be caused by abnormal brain development, obstruction of the cerebral aqueduct flow, Chiari malformations, and Dandy-Walker malformation. The prevalence of congenital hydrocephalus is 2.2 to 18 per 10,000 live births. Objectives: To determine the prevalence of congenital hydrocephalus among livebirths in the Hashemite Kingdom of Jordan (HKJ). Methods: Clinical data were collected from medical records of all livebirths with congenital hydrocephalus born at Al Bashir Hospital, Amman/The Hashemite Kingdom of Jordan in 2004-2005 and 2008-2011. Descriptive analysis was carried out using the Statistical Package for the Social Science (SPSS 20). Results: The prevalence of hydrocephalus was 0.092% with a relative predominance among males. Conclusion: The study concluded that the prevalence of congenital hydrocephalus is comparable to that of developed countries. The efforts made by the Ministry of Health seem to have paid off. More research on stillbirths is recommended.

English Translation Study of Romance of the Three Kingdoms in China in the Last Five Years

According to the research of Wen Jun and Li Peijia, this paper examins the articles and treatises regarding the English translations of Romance of the Three Kingdoms in China in the past five years. It is divided into four sections: Summary, Language, Literature and Culture. We point out the existing problems of the current studies;limited in traditional linguistic levels, leaning to the translation of Moss Roberts, neglecting the study of non-cover-to-cover translations, revelry at home and coldness abroad. Besides, we put forward the translation studies of Romance of the Three Kingdoms based on comparative literature to fill the gaps in the current research. The translation study of comparative literature pays attention to four aspects;literary translations and translated literature, cover-to-cover translations and non-cover-to-cover translations, C.H. Brewitt-Taylor and Moss Roberts, domestic and overseas.

HIBISCUS KINGDOM——OPENING FOR FOREIGN INVESTMENT

Hunan is situated on themiddle reaches of theYangtze River.As most partof the province lies on thesouth of Dongting Lake,it iscalled Hunan.Also it is called"Xiang"for the vast XiangRiver that runs through itfrom south to north.Furthermore,it is known asthe Hibiscus Kingdom dueto the abundant hibiscusthere,described in theancient poem"Autumn WindBlows through the HibiscusKingdom".

The Three Kingdoms Culture and the City of Chengdu

The Three Kingdoms Culture is regarded as the most influential part in the colorful traditional cultures of Chengdu. In this paper, the relationship between the Three Kingdoms Culture and the City of Chengdu is discussed in three respects based on the definition of Three Kingdoms:(1) Chengdu is the core of the original culture of the Three Kingdoms;(2) it is the center for inheritance of the Culture;(3) it is the research center of the Culture. The research of the Three Kingdoms Culture is a topic worth considering in the process of Chengdu's growing into an International metropolis.

Trends of central line-associated bloodstream infections in the intensive care unit in the Kingdom of Bahrain:Four years’experience

BACKGROUND The central venous line is an essential component in monitoring and managing critically ill patients.However,it poses patients with increased risks of severe infections with a higher probability of morbidity and mortality.AIM To define the trends of the rates of central line-associated bloodstream infections(CLABSI)over four years,its predicted risk factors,aetiology,and the antimicrobial susceptibility of the isolated pathogens.METHODS The study was a prospective case-control study,performed according to the guidelines of the Center for Disease Control surveillance methodology for CLABSI in patients admitted to the adult intensive care unit(ICU)and auditing the implementation of its prevention bundle.RESULTS Thirty-four CLABSI identified over the study period,giving an average CLABSI rate of 3.2/1000 central line days.The infection's time trend displayed significant reductions over time concomitantly with the CLABSI prevention bundle's reinforcement from 4.7/1000 central line days at the beginning of 2016 to 1.4/1000 central line days by 2018.The most frequently identified pathogens causing CLABSI in our ICU were gram-negative organisms(59%).The most common offending organisms were Acinetobacter,Enterococcus,and Staphylococcus epidermidis,each of them accounted for 5 cases(15%).Multidrug-resistant organisms contributed to 56%of CLABSI.Its rate was higher when using femoral access and longer hospitalisation duration,especially in the ICU.Insertion of the central line in the non-ICU setting was another identified risk factor.CONCLUSION Implementing the prevention bundles reduced CLABSI significantly in our ICU.Implementing the CLABSI prevention bundle is crucial to maintain a substantial reduction in the CLABSI rate in the ICU setting.

Creative Treason of Moss Roberts’Allusion Translation in Three Kingdoms:A Historical Novel

San Guo Yan Yi is one of the Four Great Classical Novels of ancient China.A large number of Chinese allusions have been cited in this book,containing rich cultural connotations and national characteristics.Under the guidance of creative treason,this paper analyzes the translator’conscious and unconscious creative treason in the translation process by comparing the original allusion with the translated text and further explores the reasons of creative treason.The study has found that through creative treason in allusion translations,Moss Roberts conveyed the deeper meanings of the allusions,connecting the context closely and ensuring the readers’understanding of the whole text;but he also failed to reveal the form or the historical and cultural connotation of some allusions in the original text.