Assessment of the Drafting Quality of Request Forms Submitted to the Malaria and Parasitology Units at the Institut Pasteur de Cote d’Ivoire

Biological tests provide information on the medical analysis requested by both the patient and the prescriber. It is a communication link between the prescriber and the laboratory staff. The lack of some information on request forms not only affects the drafting quality of the test and patient care, but could also make thousands of data produced by healthcare centers unusable. The aim of this study was to assess the drafting quality of request forms submitted to the Malaria and Parasitology Units at the Institut Pasteur de Côte d’Ivoire. Methods: It was a descriptive cross-sectional study to assess the drafting quality of request forms of various prescribers received at the Institut Pasteur de Côte d’Ivoire. This study was conducted at the Malaria and Parasitology Units, department of Parasitology and Mycology (Institut Pasteur de Côte d’Ivoire), from 6th December 2020 to 6th December 2021. The information on each request forms was recorded on a data collection form designed for this purpose. Each data collection form corresponds to a request forms and each test to a patient. Results: Out of a total of 1990 request forms received, the patient’s age and sex were missing on 18% and 26.8% of the tests respectively. More than half (51.80%) of request forms did not indicate the patient’s place of residence. Clinical information was not provided on 45.90% of the tests. Prescribers omitting their signatures were 51%, stamps were 50.3% and contacts were 71.2%. Only 5.4% of request forms were of good drafting quality. Providing all the required information on the forms could facilitate the use and analysis of data and samples.

Familial Forms of Spondyloarthritis Study of 100 Senegalese Multiplex Families

Introduction: Spondyloarthritis (SpA) comprises a group of chronic inflammatory rheumatic diseases characterized by predominant axial involvement. These include ankylosing spondylitis (AS), reactive arthritis (ReA), psoriatic arthritis (PsA), arthritis associated with inflammatory bowel diseases (IBD), SAPHO syndrome (Synovitis, Acne, Pustulosis, Hyperostosis, and Osteitis), juvenile spondyloarthritis (JSPA), and undifferentiated SpA. Their exact cause is unknown but is believed to stem from a combination of factors. The first familial forms were described by de Blécourt et al. in 1961. The objective was to evaluate the epidemiological, clinical, therapeutic and evolutionary aspects of familial forms of SpA and in particular, to prove the severity of the disease in family members compared to index cases in the rheumatology department of the Aristide Le Dantec University Hospital in Dakar. Methodology: This was a prospective, cross-sectional and descriptive study with an analytical aim on patients with the familial form of spondyloarthritis defined by the existence of at least one other family member with SpA outside the propositus, collected within the Aristide Le Dantec rheumatology department in Dakar over a period of 10 years between January 2012 and December 2021. There were two phases of study, the first of which consisted of collecting index cases with miserly SpA and the second of which consisted of family screening after consent. The data analysed were epidemiological, clinical, paraclinical, therapeutic and evolving. Results: Out of 100 families of 1905 members, 667 SpA patients included, i.e. a prevalence of 35%, including 225 (33.73%) men and 412 women (61.17%), i.e. a ratio of 1.8. The mean age at diagnosis among relatives was 26.3 years (range 13 and 80 years), 47.14 years among the propositus, in whom the mean age at onset was 36.26 years and that of relatives 49.9 years in the first degree, 15 years in the second degree and 1 year in the third degree. The time to diagnosis was 11.20 years in the first degree, 2.5 years in the second degree, 1 year in the third degree and 10.88 years in the case of the proposes. The number of marriages in families was 420 of which 116 were consanguineous (consanguinity rate 27.62%), 19% among the propositus. HLA-B27 positive in 92% of the proposers and 33.43% in the families;70% of the propositus had an inflammatory syndrome and 17.54% in the families;87% of sacroilliitis in the propositus and 5.54% in the families. Clinical forms were dominated by undifferentiated SpA (338 cases) and APS (295 cases). The average BASFI was 3.23 on D0;2.59 in the 3rd month and 1 in the 6th month for the propositus versus 2.55 at D0;1.86 at the 3rd month and 1.55 in the 6th month in the families. Average BASDAI was 3.92 at D0;3.12 at the 3rd month and 2.07 at the 6th month in the propositus and 3 at D0;2.21 at the 3rd month and 1 at the 6th month in the families. Autoimmune associated conditions were 18 cases, degenerative 24 cases, autoinflammatory 2 metabolic cases 18 cases. They all received: NSAIDs, methotrexate, salazopyrine (11 cases) and anti-TNF-α (1 case). The evolution was generally favourable. Conclusion: SpA is on the rise in Senegalese hospitals, frequent in young people, SPA and undifferentiated SpA are the most frequent, management is essentially based on conventional care, and the disease is less severe in family members than index cases.

Evaluation of Laboratory Request Forms Completion in a Tertiary Medical Laboratory of the Democratic Republic of Congo

Background: The inadequacy in the completeness of the Laboratory Request Form (LRF) has been reported as one of the major sources of errors during the pre-analytical step of laboratory analysis. To prevent the occurrence of such errors, this study aimed at assessing the level of completeness of LRFs. Methods: A retrospective analysis of laboratory request forms was conducted at the Clinical Biology Laboratory of the Kinshasa University Clinic, DR Congo, between November 2021 to May 2022. The LRFs were evaluated according to the completeness of all sections including administrative data of the patient, data of physician who ordered the test, relevant patient’s clinical data and data of the biological sample. Results: From a total of 2842 LRFs evaluated, none was fully completed with all required information. Particularly, patient’s clinical data including the medical history, provisional diagnosis and current treatment, were the most absent in 99% LRFs. However, two sections related to patient’s ID and prescribed test were informed in 100% LRFs. Conclusion: The results of this preanalytical audit can serve as an improvement opportunity focused on strengthening awareness about complete filling of LRF.

Vanishing Theorems for p-Harmonic Forms on Submanifolds in Spheres

In this paper,we present some vanishing theorems for p-harmonic forms on-super stable complete submanifold M immersed in sphere Sn+m.When 2≤1≤n-2,M has a flat normal bundle.Assuming that M is a minimal submanifold andδ>1(n-1)p2/4n[p-1+(p-1)2kp],we prove a vanishing theorem for p-harmonicℓ-forms.

The Path,Trends,and Approaches of the Civilization Evolution of Rural Marriage Forms

Rural marriage has characteristics such as close relationship with labor production,deep integration of traditional culture,shy and introverted expression of subjective emotions,and illegal and rough marriage.The civilization evolution of rural marriage forms is moving towards a path that is conducive to the development of production and the pursuit of happiness for farmers,the construction of rural spiritual civilization,and the comprehensive development of rural society.This study analyzes the direction of the evolution of rural marriage form civilization,predicts the trend of rural marriage form civilization evolution,and proposes the future path of rural marriage form civilization evolution,including adhering to human’s most original value expectations of marriage life,drawing nourishment from excellent traditional Chinese culture,and continuously adjusting marriage and family policy tools to keep up with changes in the world of life.

Development and Evolution of Papermaking in Ancient China based on the Uses and Forms of Paper

In the past,scholars have divided the history of Chinese papermaking into different stages based on the development of ancient papermaking technology,emphasizing the development and progress of papermaking in different historical periods but paying less attention to the changes in the form of paper.Here,the stages are defined based on changes in use and function rather than technological developments.When this approach is combined with the history of printing,books,calligraphy,and painting,the history of Chinese papermaking can be divided into the writing paper,writing and printing paper,printing paper,and calligraphy and painting paper periods.Different periods of paper have significant differences in texture,form,and performance owing to their different applications.This significant difference provides a reference for the identification of ancient papers and reveals the internal connection between the history of printing,books,calligraphy,painting,and papermaking.

School Culture Educating People: Realization Path and Action Mechanism

Culture is the core of education and the proper meaning of education. Exploring the realization path and function mechanism of school culture education is a major task for educators at present and in the future. Then, the current academic research started late, had few achievements and was relatively broad and weak. The article believes that the mechanism of school culture educating people includes three fields: “cultural field”, “cultivation field” and “education field”. School teachers and students should be guided to make cultural choices, consciously transform school culture into personal culture, and achieve the purpose of school culture educating people.

Moderate scale and realization potential of new citrus-planting business entities in hilly and mountainous areas in China

The natural and economic conditions of agricultural resources vary greatly in China,especially in hilly and mountainous areas.The phenomenon of land fragmentation has become increasingly prominent,so that large-scale operations cannot be fully achieved in a short period of time,and the centralized and continuous scale of operations cannot be realized in China.In addition,with increasingly strict farmland protection and agricultural land use control systems,the issues of nongrain production and nonagricultural cultivated land use have become increasingly restricted.Thus,it is quite necessary to determine the appropriate scale of operations and the means to achieve moderately scaled operations for the new business entities.On the basis of microsurvey data for 108 new citrus-planting business entities in the modern agricultural park in the Chongqing's Jiangjin District,an area with long citrus-planting history,we measured the moderate scale of new citrus-planting business entities to maximize profit using a translog growth model.According to the projection pursuit model,we evaluated the suitability conditions of citrus planting in garden land,woodland,grassland,and general cultivated land in the study area.We then explored the potential for new moderate-scale business entities within different farming radii.The results showed that large-scale planting conditions of citrus in garden land,forest land,grassland,and general cultivated land in the study area were suitable,and the proportion of high-suitable and mediumsuitable land was 73.42%.Under the existing social and economic conditions,the moderate scale of new citrus-planting business entities in the study area was 1.8–2.7 hm^(2).In particular,its rankings from large to small were agricultural enterprises(17.19–25.78 hm^(2)),farmer cooperatives(16.88–25.33 hm^(2)),big growers and breeders(6.39–9.59 hm^(2)),and family farms(5.02–7.53 hm^(2)).In the sample of 108 households,only 47.22%of the entities achieved moderate-scale operation,of which 25%of the entities achieved a scale greater than moderate operation.However,52.78%of the entities achieved a scale of less than moderate operation.These entities would have to transfer the surrounding adjacent garden land,forest land,grassland,or general cultivated land to achieve largescale land management.The land area of the adjacent gardens in a 1000 m farming radius could meet the moderate-scale operation demand of the vast majority of new business entities.For the vast majority of new business entities,the land area of the adjacent woodland,grassland,and general cultivated land could supplement the garden land to achieve moderate-scale operation in a 500 m farming radius.If the land area with moderate suitability and high suitability is prioritized,the land area in the adjacent gardens in the 1000 m farming radius could meet the moderate-scale operation demand for the vast majority of new business entities.Within the 500 m farming radius,the vast majority of new business entities have achieved moderate-scale operations if the land area adjacent to forest land,grassland,and general arable land was supplemented by gardens;however,a few entities could not achieve moderate-scale operations.From the village perspective,gardens were prioritized.Sixteen villages had planting areas and planting suitability that exceeded the average level of the study area,accounting for 23.53%.If combined with the reserve potential of the garden land,eight villages could improve their potential,accounting for 11.76%.Therefore,the conditions of large-scale citrus planting in the study area should be further improved,and the scale expansion of new citrus-planting business entities should receive additional scientific guidance.

Landscape Aesthetic Characteristics of Wulingyuan World Natural Heritage Property and Realization Path of Aesthetic Education Value

Wulingyuan is a world natural heritage property mainly dominated by rare quartz sandstone peak forest landscape at home and abroad and supplemented by karst landscapes,with a large number of geological and historical sites,biological and ecological landscape and unique cultural landscapes.Preserving the secluded and beautiful scenery environment,biological environment and ecosystem of subtropical zone,Wulingyuan presents a splendid and magnificent landscape,with high aesthetic value,and becomes an important practice base of aesthetic education.The aesthetic education value of Wulingyuan World Natural Heritage Property can be realized by systematically studying and presenting the aesthetic education value of Wulingyuan World Natural Heritage Property,developing a series of aesthetic education courses to lead tourists into the world of Wulingyuan aesthetic education,carrying out a series of popular science activities of“Wulingyuan World Natural Heritage Property Entering Campus”,and incorporating into the aesthetic education curriculum system of schools,etc.This paper analyzes the landscape aesthetic characteristics of Wulingyuan World Natural Heritage Property thoroughly,which indicates the direction for realizing the aesthetic education value of the property,and also provides a reference for realizing the aesthetic education value of similar world natural heritage property.

Subcellular Distribution and Chemical Forms of Cadmium in the Medicine Food Homology Plant Platycodon grandiflorum(Jacq.)A.DC.

Although Platycodon grandiflorum(Jacq.)A.DC.is a renowned medicine food homology plant,reports of excessive cadmium(Cd)levels are common,which affects its safety for clinical use and food consumption.To enable its Cd levels to be regulated or reduced,it is necessary to first elucidate the mechanism of Cd uptake and accumulation in the plant,in addition to its detoxification mechanisms.This present study used inductively couple plasma-mass-spectrometry to analyze the subcellular distribution and chemical forms of Cd in different tissues of P.grandiflorum.The experimental results showed that Cd was mainly accumulated in the roots[predominantly in the cell wall(50.96%-61.42%)],and it was found primarily in hypomobile and hypotoxic forms.The proportion of Cd in the soluble fraction increased after Cd exposure,and the proportion of insoluble phosphate Cd and oxalate Cd increased in roots and leaves,with a higher increase in oxalate Cd.Therefore,it is likely that root retention mechanisms,cell wall deposition,vacuole sequestration,and the formation of low mobility and low toxicity forms are tolerance strategies for Cd detoxification used by P.grandiflorum.The results of this study provide a theoretical grounding for the study of Cd accumulation and detoxification mechanisms in P.grandiflorum,and they can be used as a reference for developing Cd limits and standards for other medicine food homology plants.

中国式现代化背景下县域城镇化的困境、实现逻辑与路径选择

城镇化是现代化的必由之路。深入剖析县域城镇化与中国式现代化的内在逻辑,探究中国式现代化背景下县域城镇化的困境、实现逻辑和路径选择是探索城镇化道路、推进中国式现代化建设的工作重点。研究显示:第一,县域城镇化在中国式现代化历程中演进,其演进过程与我国经济发展战略密切相关。第二,新时期推进县域城镇化发展需要认清理论误区、破除现实困境。认清理论误区在于既要更新县域城镇化概念,辨析城市化、农村城市化、城镇化和县域城镇化的区别与联系,也要坚持县域工业化发展,避免县域工业化与发展特色经济混淆。破除现实困境在于,一是破除县域城镇化区域发展不平衡困境,收敛区域差异;二是破除中西部县域产业承接能力不强,产业结构趋同困境;三是破除县域人口结构失衡、教育养老资源供需失衡困境。第三,中国式现代化特征决定了县域城镇化的实现逻辑,体现在人口规模巨大化意味着县域城镇化面临人口优势和结构失衡,全体人民共同富裕要求县域城镇化以人为核心,物质文明和精神文明相协调要求县域城镇化重视物质和精神建设,人与自然和谐共生要求县域城镇化坚持绿色发展。第四,县域城镇化的实现路径包括制度保障、新型工业化发展、人口和服务供需均衡、文化传承和绿色发展五个方面。

基于地质和自然环境背景的国家公园生态产品价值实现路径研究

中国设立国家公园是在生物多样保护方面做出的重要举措。如何使国家公园高质量、稳步发展,其中重要的途径是充分发挥国家公园内的生态产品价值,服务社会,促进自然资源保护利用的良性循环,因此对生态产品价值实现路径的研究具有重要意义。本文通过分析第一批5个国家公园(三江源国家公园、大熊猫国家公园、东北虎豹国家公园、武夷山国家公园和海南热带雨林国家公园)地质和自然背景的特征以及自然资源的构成,探讨自然资源与生态产品的密切关系。根据人工的干扰程度,本文把生态产品分为自然生态产品、半自然生态产品和人工生态产品。以陆地水资源为例,分析了影响生态产品价值的主要因素以及自然资源转换为不同的生态产品类型。依据生态产品的特性,提出了其价值实现的三级路径和方式,分析了具有不同地质和自然背景的国家公园的生态产品价值实现路径的差异。

水价值的系统发现和全面实现

水在经济社会发展和生态文明建设中具有极其重要的作用和价值。目前,全社会对水价值的认识尚不充分,水价值实现亦不充分,迫切需要系统发现和全面实现水的价值。分析了水价值的内涵,刻画了水价值的多元性、空间差异性、时间变异性、可测性与可控性等基本特征,从资源安全、生态安全、经济安全、粮食安全、能源安全等方面解析了系统发现水价值的多个维度,并提出全面实现水价值的建议。

The Contribution of Special and Alternative Forms of Tourism to the Sustainable Development of Tourist Destinations:Case Studies

This paper aims to investigate the impact of special and alternative forms of tourism on the sustainable development of tourism destinations,revising the traditional position of tourism development and establishing sustainable development as the only solution to tourism progress of travel destinations.The study includes conceptual approaches to the term tourism,sustainable development and specific and alternative forms of tourism and delves into theoretical approaches that are the bridging of these three central research questions.This is followed by in-depth research through policy analysis of central institutions and regional development stakeholders,as well as further analysis of sustainable development through special and alternative forms of tourism.Key tourism models and theories offer a further understanding of the natural“enemies”and“allies”of sustainable development and how they contribute to its necessity or development.Through a survey and a case study of travel destinations,we conclude the need to couple the term tourism development with sustainable development which is rooted in the healthy coexistence of residents and visitors with respect to the environment,local culture and productive-controlled economic growth.

数据分类分级确权对数据要素价值实现的影响

数据确权是释放数据要素价值的基础,同时也是数据要素市场正常运行和不断发展的关键支撑。研究梳理了数据确权相关概念以及如何建立产权体系以实现数据确权的路径。在此基础上,本研究明晰了数据分类分级确权的具体方式,并基于价值链分析其对数据价值实现中各个环节的影响。研究结果表明,在数据采集环节数据分类分级确权制度能够激励数据供给,提高数据质量,同时激发市场活力;在数据组织环节,它细分了技术工作,保护隐私数据,并挖掘潜在价值;在数据流通环节,它能调节负外部性、降低交易成本、优化资源配置;最后,在数据利用环节,它在数据合规监管和数据价值再开发方面发挥了关键作用。

中国露天煤矿70年成就回顾及高质量发展架构体系

露天煤矿作为我国煤炭工业的重要组成部分,具有生产能力大、开采成本低、安全条件好等优势,近年来在建设规模、生产总量、开采工艺及技术装备等多方面均取得了跨越式的发展,有力保障了煤炭作为国家能源安全稳定供应的“压舱石”地位。首先回顾了新中国成立后我国露天煤矿70年来的发展历程,将其划分为起步恢复阶段(1949—1979年)、快速发展阶段(1980—1999年)、综合发展阶段(2000—2020年)和智能化初级发展阶段(2021年以后)4个时期;系统总结了每个时期的产量与数量规模、开采理论与技术、开采工艺与装备、资源开发与环境保护方面取得的突出成就。然后,探讨了现阶段露天煤矿发展面临的4个方面的主要问题,包括发展布局不均衡、可持续发展面临瓶颈、关键技术难题需深入攻关、人才短缺培养机制不完善。最后,提出构建以“安全、高效、绿色、低碳、智能”为总体目标的全链条、全周期、全要素露天煤矿高质量发展架构体系,其内涵特征包括以时效边坡理论、开采扰动指数理论、绿色开采理论、生态型开采理论、零碳负碳开采理论、智能化开采理论6种学术思想为理论基础,以灾害安全监测防控、复杂条件协同保障、生态源头减损开采、节能减污清洁利用、数字-自动-智能同建5类技术体系为核心支撑,以透明地质模型动态重构、边坡蠕滑全程精准预测、深大孔低扰动控制爆破、采空区超前探测与处置、粉尘抑制及煤自燃防治等30项关键技术为重点突破,以设计理念先进化、安全保障标准化、建设规模大型化、生产工艺综合化、开采装备智能化、核心制造国产化、矿区生态绿色化、煤炭利用清洁化、组织管理科学化、人才队伍国际化的“十化型”露天矿山为建设任务;同时给出了以规划引领为基础,以科技创新为驱动,以人才培育为保障的露天煤矿高质量发展实现路径。最终为推动我国露天煤矿向持续健康高质量方向发展提供指导。

农村社会治理共同体:分析维度、基本问题与实现路径——基于中西部农村治理实践的讨论

在梳理既有学术积累基础上,本研究厘清了农村社会治理共同体的概念内涵,并将其实现机制划分为利益协同机制、权利义务协同机制和情感协同机制三个维度,进而结合中西部农村社会治理实践,阐释了三个维度的实践境遇及其形塑机理。研究发现,无论是共同体蕴含的鲜明实践性,还是治理主体关系形态反映出的深层次问题,均表明农村社会治理共同体构建的关键不是技术治理内部调整以及由此而来的政策供给和制度改革,而是涉及基层治理模式调整的治道议题。结合中国国家治理传统,借助当下财政和体制资源实现农村基层的“再组织化”,以提升村庄社会自主能力、构建多元主体互动的有效实践平台、统一基层政府建设和社会建设、实现经济重新嵌入社会,可作为未来一段时期农村社会治理共同体建设的路径选择。

数字金融赋能新质生产力发展:理论逻辑与实现路径

在新一轮科技革命和产业变革推进过程中,面对国外技术封锁局面和国内高质量发展要求,亟需找到赋能新质生产力发展的动力。本文立足数字金融作为生产系统关键要素的助推作用,深入剖析新质生产力的时代内涵和表现形式,探究数字金融赋能新质生产力发展的理论逻辑,多维度阐述新形势下数字金融助推新质生产力发展的现实路径。研究发现,数字金融降低交易成本,优化资源配置,推动科技创新,为发展新质生产力提供动力与支撑;数字金融通过打造全过程服务机制、构建数字金融生态链整合机制、完善数字金融融资增信机制、创新数字金融普惠服务机制,赋能新质生产力发展。

数据要素市场体系建构与价值实现路径探索

数据要素市场体系的顶层设计是加快推进数字要素市场化配置、推动我国数字经济高质量发展的前提基础与关键部署。通过剖析当前全国数据要素统一大市场建设面临的瓶颈与挑战,本文分析数据要素市场建设的特殊性,提出全国统一数据要素市场体系“一体两翼”“三基”“七要点”的总体架构思路,以及战略布局、结构布局和空间布局相统一的总体布局方案,并从市场体系建设新特征、内在结构与运行模式解析、数据要素市场与传统要素市场一体化联动机理揭示与场景应用示范等方面探索促进数据要素市场价值升级与高质量发展的实现路径,从而为推动数据资源化、资产化和资本化的可持续运营提供参考借鉴。

乡村生态产品价值实现的现实困境与优化路径——基于共同富裕的视角

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