The role of forest culture in green construction and management of forest parks:merging knowledge-attitude-practice and theory of planned behavior

As a cultural concept refl ecting the relationship between humans and forests,forest culture plays an active role in sustainable forest management.Forest parks provide a wide range of ecosystem services essential for the sustainable development of society,and the relationships between forest culture,green construction and management of forest parks have practical signifi cance.This study aimed to understand the interaction and process of forest culture infl uencing green construction and management in forest parks with the models Knowledge-Attitude-Practice(KAP)and Theory of Planned Behavior(TPB)by proposing a theoretical model.Four hypotheses were tested using data collected from 193 forest park employees in Heilongjiang Province,China.Our results show that forest culture had a signifi cant infl uence on green construction and forest management.In addition,subjective norm and perceived behavioral control directly impacted behavior in green construction and management of the forest park,whereas attitude did not have an impact.Subjective norm had a direct eff ect on attitude.Results between constructs show that forest culture had an indirect eff ect on planning and construction,and on ecological and economic management.Consequently,it supported three of four hypotheses within the proposed model in determining the infl uence of forest culture on green construction and management.

Creating the Role of Rural Teachers as New Rural Sages under the Background of Rural Revitalization Based on Organizational Change and Planned Happenstance Theories

In the context of rural revitalization,people are re-examining the issue of creating the role of teachers as“new rural sages”.However,most of previous studies ignored the school organizational change in the process of reform.The planned happenstance suggests that teachers should maintain a positive mindset about the eventualities in their careers.Based on the organizational change theory,this paper gave some advice to help teachers in playing a role of new rural sages:①rooting in local culture and enhancing teachers’sense of belonging,②providing compensation for teachers in a targeted way,and③providing a comprehensive and objective evaluation mechanism for ensuring teachers’participation in social governance.

Exploration moving beyond medical facility walls:opportunities,challenges and attitudes of midwives towards planned homebirth:a qualitative

Background:The establishment of Saudi Vision 2030 has led to a shift from obstetric care to midwifery-led care in maternity care,giving rise to planned home birth(PHB).This study may enable midwives to carry out PHB and achieve the goals of the Saudi health vision.The general aim is to explore Saudi midwives’attitudes towards the PHB,opportunities and challenges associated with PHB implementation in Saudi Arabia.Methods:We employed a qualitative study design and conducted interviews using open-ended questions with 19 Saudi midwives recruited from thirteen health regions.Thematic analysis was manually performed to analyze the qualitative data.Results:Thematic analysis revealed seven major themes:midwives as care providers in PHB,health institutions,academic institutions,national policy for PHB,Women’s health status,socio-economic and physical environment suitability,and maternal and neonatal health outcomes.However,Saudi midwives would exhibit a favorable attitude towards PHB if decision-makers from the Ministry of Health and the Ministry of Education addressed the challenges and promoted opportunities for providers,organizations,and the population.Conclusion:The findings of the thematic analysis shed light on several positive aspects,including job opportunities and high financial incomes for midwives.However,they also revealed challenges such as a shortage of midwifery staff,a scarcity of midwifery academic programs,and an ineffective administrative support system for midwives.Integrating both sets of findings enhances the understanding of the challenges and opportunities of planned home birth in Saudi Arabia from various perspectives,capturing the breadth and depth of the obtained data.

Moving beyond medical facility walls:opportunities,challenges and attitudes of midwives towards planned homebirth

Background/Aims:The Saudi Vision 2030 program has introduced midwifery-led maternity care in Saudi Arabia,which includes facilitating planned home births.This study aimed to investigate Saudi midwives’attitudes to planned home birth and the opportunities and challenges associated with its implementation.Methods:The study used a descriptive cross-sectional quantitative study design,including all hospitals of the Saudi Ministry of Health and primary healthcare centers in Saudi Arabia.Data were collected concurrently from 301 midwives through the provider attitude toward planned home birth questionnaire.Descriptive analysis and inferential statistical analyses were used for quantitative data.Results:The midwives had a neutral attitude to planned home birth.There were significant differences in attitude according to age,education and health region.Seven major themes emerged:midwives as care providers,health institutions,academic institutions,national policy,women’s health,the socioeconomic and physical environment and maternal and neonatal health outcomes.Conclusion:Saudi midwives are likely to have a favorable attitude to planned home births if the Ministry of Health and Ministry of Education decision-makers eliminate the associated challenges and promote opportunities for providers,organizations and the population.

Investigation on transformation process of trip mode choice for planned special events

This paper aims to provide a decision-making method for the transportation management strategies in guiding the transformation of trip mode choice during planned special events. The Expo 2010 Shanghai is taken as an example, and a structural equation model is employed to analyze the dynamic mechanism of trip mode choice behavior and the effectiveness of the transportation management measures at different stages. Based on the difference between the objective-oriented stated preference （SP） survey results and the objectives, together with the feedback from the previous stage survey, some adjustments on the transportation management measures are made in the next stage of the planning process until the objectives are eventually achieved. The results indicate that the adjustments on transportation management measures at different stages can effectively raise the transit share to 88.6%. Nonlocal visitors are inclined to choose nonstop modes of transportation and the companion attributes have the most significant effects on the trip mode choices of visitors. The research method is proved to be an effective way to support the decision making process of transportation management measures during planned special events in the future.

A randomized trail comparing primary percutaneous coronary intervention with a strategy of short-acting thrombolysis and immediate planned primary percutaneous coronary intervention in acute myocardial infarction

Objective This study was to evaluate the efficacy and safety of a short acting reduced dose fibrinolytic regimen to promote early infarct related artery (IRA) patency for acyute myocardial infarction (AMI) patients referred for percutaneous coronary intervention (PCI).Methods Following aspirin and heparin, 166 patients were randomized to a 50 mg bolus of recombinant tissue type plasminogen activator(rt PA) or to a same volume sodium chloride injection followed by immediate primary PCI. The end points included patency rates on catheterization laboratory (cath lab) arrival, revascularization results when PCI was performed, complication rates, left ventricular function and restored patency rate following PCI. Results Patency on cath lab arrival was 64% with rt PA (34% TIMI 3,30% TIMI 2), while 31% of placebo (13% TIMI 3, 18% TIMI 2). There was no difference in the restored TIMI 3 rates of IRA between the two groups (85% vs 87%). No difference were observed in stroke or major bleeding. Left ventricular function was similar in both groups (52±9% vs 50±8%), but left ventricular ejection fraction fraction (LVEF) was higher with patent IRA (TIMI 3) on cath lab arrival than that of others (56±12% vs 48±10%).Conclusions Strategy thrombolytic regimens were compatible with subsequent PCI lead to more frequenc early recanalization (before cath lab arrival), which facilitates greater left ventricular function preservation with no augmentation of adverse events.

Application of the Sediment Mathematical Modelling on Planned Project of Lingdingyang Bay

Based on the combined hydraulic calculation for the eastern network region at the Pearl River estuary and several outlets to the Lingdingyang Bay, the sediment calculation modelling was introduced in the establishment of the sediment mathematical model for Lingdingyang Bay and the eastern region with one and two dimensional flow calculation. Model adjustment and verification were performed in conjunction with field data. The simulated results coincide well with measured data.In addition the model is applied to predict the shore-line planning scheme of Lingdingyang Bay.The theoretical criterion is provided for the shore line plan in the model.And a new mathematical simulated method is put out to research the planning engineering concerned with one-dimensional net rivers and two-dimensional estuary.

Planned second-look laparoscopy in the management of acute mesenteric ischemia

AIM： To investigate the role of second-look laparoscopy in patients with acute mesenteric ischemia （AMI）. METHODS： Between January 2000 and November 2005, 71 patients were operated for the treatment of AMI. The indications for a second-look were low flow state, bowel resection and anastomosis or mesenteric thromboembolectomy performed during the first operation. Regardless of the clinical course of patients, the second-look laparoscopic examination was performed 72 h post-operatively at the bed side in the ICU or operating room. RESULTS： The average time of admission to the hospital after the initation of syrnptoms was 3 d （range, 5 h-9 d）. In 14 patients, laparotomy was performed. In 11 patients, small and/or large bowel necrosis was detected and initial resection and anastomosis were conducted. A low flow state was observed in two patients and superior mesenteric artery thromboembolectomy with small bowel resection was performed in one patient. In 13 patients, a second-look laparoscopic examination revealed normal bowel viability, but in one patient, intestinal necrosis was detected. In two of the patients, a third operation was necessary to correct anastomotic leakage. The overall complication rate was 42.8%, and in-hospital mortality rate was 57.1% （n = 6）. CONCLUSION： Second-look laparoscopy is a minimally invasive, technically simple procedure that is performed for diagnostic as well as therapeutic purposes. The simplicity and ease of this method may encourage wider application to benefit more patients. However, the timing of a second-look procedure is unclear particularly in a patient with anastomosis.

Effects of a theory of planned behavior-based intervention on breastfeeding behaviors after cesarean section:A randomized controlled trial

Objectives:To examine the efficacy of an intervention based on the theory of planned behavior(TPB)in improving breastfeeding behavior among women with cesarean sections(C-sections).Methods:This research was a randomized controlled trial.Women with planned elective C-sections were recruited to participate in a randomized controlled trial between June and September 2020.One hundred thirty-two women were divided randomly into the intervention(n=66)and control group(n=66)by systematic random sampling.In the intervention group,an intervention project was implemented after Keywords:Breastfeeding Cesarean section Intervention studies Theory of planned behavior the C-section to establish positive breastfeeding attitudes,cultivate supportive subjective norms,enhance perceived behavioral control,and strengthen breastfeeding intention to change behaviors.Those in the control group received routine pre-and post-delivery care.Exclusive breastfeeding rate and breast problem were collected at 5 days,2 weeks,and 1 month after C-section.The modified Breastfeeding Attrition Prediction Tool(BAPT)on the first day in the hospital,two weeks,and one month after C-section and Numerical Rating Scale(NRS)24 h postoperatively were used to compare the intervention effect between the two groups.Results:After the intervention,the intervention group had significantly higher exclusive breastfeeding rates than the control group at five days(86.4%vs.60.6%),two weeks(77.3%vs.57.6%),and one month(74.2%vs.50.0%)after the C-section.Besides,the intervention group was less likely to have sore nipples at five days(6.1%vs.18.2%in the control group,P<0.05)and two weeks(9.1%vs.12.1%in the control group,P<0.05).After two weeks of intervention,attitude scores(90.64±8.31 vs.87.20±8.15,P<0.05),subjective norm scores(88.07±24.65 vs.79.42±19.47,P<0.05)and behavior control scores in the intervention group were significantly higher than those in the control group.After one month of intervention,attitude scores(90.34±10.35 vs.84.22±10.51,P<0.05)and behavior control scores(43.13±5.02 vs.39.15±4.69,P<0.05)in the intervention group were significantly higher than those in the control group,which resulted in the higher breastfeeding intention in the intervention group.Conclusion:This study indicated that the TPB-based interventions effectively improved women's breastfeeding behaviors after C-sections.

SOMS: A Subway Operation and Maintenance System Based on Planned Maintenance Model with Train State

This paper aims to propose a modeling framework for subway operation and maintenance system (SOMS), which analyzes the train condition data based on both train sensor network data and basis train maintenance plan. The system is formulated into five function modules, and the research problem is to determine one auxiliary maintains plan, including the time allocation and frequency of maintenance. The case of Guangzhou metro is conducted to illustrate the applicability of SOMS, and the results reveal a number of interesting insights into subway maintenance system, i.e., the worksheet can reduce duplication of redundant maintenance work, the repair cost, and the damage caused by frequent disassembly.

Planned Parenthood: Supply Induced Demand for Abortion in the US

The rate and number of induced abortions in the US has declined steadily for nearly three decades. In contrast to this overall reduction, Planned Parenthood Federation of America abortion providers exhibit a persistent increase in both abortions and their market share percentage of total abortion procedures. For the period 1995-2014, estimated annual and cumulative excess abortions are calculated (Planned Parenthood Abortion Inflation Effect—PPAIE) to indicate the number of abortions which would have been averted if the PP utilization experience had been identical to that of Non-PP abortion providers. PP excess abortions grew steadily each year from 21,000 in 1996 to 258,200 in 2014, 28% of total abortions that year. The cumulative number of abortions added by the PPAIE from 1995-2014 was 3,025,560 or 12.5% of the 24,112,600 performed. Planned Parenthood has had a long-term and accelerating inflationary effect on the incidence and prevalence of abortion in the US.

An experimental fast neutron reactor planned to build in China

China plans to build an experimental fast neutron breeding reactor by 2000 to lay a solid technological foundation for the construction of commercial fast neutron reactors. The preliminary designs for the facility are expected to be completed by the end of this year. The facility, to be owned by the Chinese Academy of Nuclear Energy, will have a designed thermal power of 65 MW and an electricity generating output of 20 MW. Development of fast neutron reactors

Hydro energy of Yalong River is planned to be developed in four stages

At the end of the last century, Ertan Hydropower Station, China’s largest one in the 20th century, was built on Yalong River. This started the hydro energy exploitation of the river. Based on an idea of river basin, cascade, rolling and comprehensive development, Ertan Hydropower Company drew out a plan to exploit the hydro energy of the river in four stages.

Optimization of Manufacturing Supply Chain with Stochastic Demand and Planned Delivery Time

In this paper, a manufacturing supply chain system composed by a single-product machine, a buffer and a stochastic demand is considered. A stochastic fluid model is adopted to describe the system and to take into account stochastic delivery times. The objective of this paper is to evaluate the optimal buffer level used in hedging point policy taken into account planned delivery times, machine failures and random demands. This optimal buffer allows minimizing the sum of inventory, transportation, lost sales and late delivery costs. Infinitesimal perturbation analysis method is used for optimizing the proposed system. Using the stochastic fluid model, the trajectories of buffer level are studied and the infinitesimal perturbation analysis estimators are evaluated. These estimators are shown to be unbiased and then they are implanted in an optimization algorithm, which determines the optimal buffer level in the presence of planned delivery time. Also in this work, we discuss the advantage of the use of the infinitesimal perturbation analysis method comparing to classical simulation methods.