Dilemmas and Optimization of Third-Party Assessment System in Chinese Fair Competition Review

The current predominant self-review mechanism by policy-making bodies suffers from deficiencies such as insufficient motivations, limited review capabilities, and weak external supervision. Third-party assessment, characterized by independence and specialization, is designed to mitigate these shortcomings. However, the implementation of third-party assessment faces challenges too. This paper intends to improve the third-party assessment system and to realize the legislative purpose of the system. Based on social research, discussions and exchanges with relevant parties, and the existing research results, this paper analyzes the challenges and possible optimization measures for the third-party assessment. The challenges include repulsion from policy-making bodies, insufficient independence of assessment bodies, disparity of assessment quality, and limited application of assessment outcomes. Possible optimization measures include promoting fair competition culture, increasing the acceptance of third-party assessment from policy-making bodies, enhancing the quality of third-party assessment, clarifying the relationship between policy-making bodies and assessment bodies, ensuring the independence of third-party assessments, and promoting the application of assessment results.

The Opportunities,Dilemmas,and Paths for the Development of Adult Higher Education in the New Era

This paper comprehensively analyzes the development opportunities and realistic dilemmas faced by adult higher education in China in the new era,and puts forward corresponding strategies as solutions.With the construction of a learning society,the development of digital technology,and the popularization of the concept of lifelong learning,adult higher education has unprecedented development opportunities.At the same time,these forms of education are facing a series of dilemmas due to challenges such as unsound guarantee mechanisms and traditional enrollment competition.Through the establishment of perfect legal and policy guarantees,transformation of school running mode,meeting the diversified needs of learners,and other multi-faceted measures,the development of adult higher education can be effectively promoted to meet the needs of individual and social development.

Research Status,Practical Dilemmas,and Optimization Strategies of Blended Teaching in Universities

Blended teaching has emerged as a prominent subject in the recent reform and innovation of higher education.It has become imperative and guiding for colleges and universities to embrace a mixed teaching approach that aligns with the evolving needs of education and teaching in the new era.This paper aims to provide a comprehensive overview of the research status surrounding blended teaching,encompassing fundamental issues,teaching design,practical guidance,teaching effectiveness,and evaluation.By critically examining the current challenges associated with blended teaching,this study proposes optimization strategies including enhancing student participation and interaction,promoting deep learning,improving teachers’preparedness,teaching technologies,and curriculum design capabilities,strengthening top-level design,and perfecting evaluation and incentive mechanisms.These strategies provide new directions for the reform of blended teaching.

A Study of In-Hospital Charitable Aid Resource Categories and Application Dilemmas: An Empirical Investigation Based on R Hospital

To better understand the challenges faced by public hospitals in implementing charitable medical assistance,this study examines Nanjing R Hospital as a case study.By combining literature review and field research,the current status and fundamental methods of charitable medical assistance at R Hospital are systematically analyzed.The findings indicate that medical social workers play a multifaceted role in the hospital’s charitable assistance efforts.They contribute significantly to building assistance networks and addressing patients’multi-dimensional needs.However,challenges persist in the assistance process,including both external and internal obstacles.This study explores ways to overcome these barriers to enhance the efficient utilization of healthcare resources.Through empirical investigation,the study identifies the types of charitable aid resources available and highlights the practical difficulties in their application within public hospitals.These findings provide a valuable reference for optimizing resource allocation,improving the effectiveness of assistance programs,and fostering institutional collaboration.

The Ethical Dilemmas of International Environmental Justice and its＇ Resolution

主权国家作为全球环境治理的最为重要的主体，在国际环境正义实践中发挥着决定性的作用，但另一方面由于主权国家“个体”利益的存在，主权国家在参与国际环境正义实践时面临着一些伦理困境。要化解这些伦理困境，构建和谐世界，主权国家除了要树立主体间性和生态文明的主体性之外，还要调适国家主权观，加强国际合作，建立新的全球伙伴关系。

Dilemmas in end-stage heart failure

Heart failure （HF）, a complex clinical syndrome due to structural or functional disorder of the heart, is a major global health issue, with a prevalence of over 5.8 million in the USA alone, and over 23 million worldwide. As a leading cause of hospitalizations among patients aged 65 years or older, HF is a major consumer of healthcare resources, creating a substantial strain on the healthcare system. This paper discusses the epidemiology of HF, financial impact, and multifaceted predicaments in end-stage HF care. A search was conducted on the U.S National Library of Medicine website （www.pubmed.gov） using keywords such as end-stage heart failure, palliative care, ethical dilemmas. Despite the poor prognosis of HF （worse than that for many cancers）, many HF patients, caregivers, and clinicians are unaware of the poor prognosis. In addition, the unpredictable clinical trajectory of HF complicates the planning of end-of-life care, such as palliative care and hospice, leading to underutilization of such resources. In conclusion, ethical dilemmas in end-stage HF are numerous, embroiling not only the patient, but also the caregiver, healthcare team, and society.

Artificial Intelligence and Autonomous Machines: Influences, Consequences, and Dilemmas in Human Care

In the field of robotics and in the health sciences, transitions have been occurring in the control of robots operating with predetermined logic and rules. Robotics in health care are influencing human caring dynamics in many ways such as enhancing dependency and surrender to machine technologies. Situations such as these are charged with possibilities of legal liabilities triggered by influences and consequences of advancing robotic technology dependency. The purpose of this paper is to identify, describe, and explain legal issues and/or dilemmas centered on robotics in healthcare while providing engaging opportunities to limit consequent legalities thus forming beneficial human health care outcomes. Laying bare these liabilities will provide critically informative data that can foster proactive encounters which can or may deter health care liabilities while ensuring quality healthcare outcomes. An attempt is made to re-conceptualize how to view agency, causality, liability responsibility, culpability, and autonomy for the new age of autonomous robots. While it is still not clear how this would turn out, a clear framing of the problem is the first step in the project.

Dilemmas Faced by Nurses Regarding the Physical Restraint of Elderly Patients with Dementia in Japan

This study aimed to clarify the dilemma of nurses working in general wards who face the ethical dilemma of restraining older people with dementia in Midwestern Japan. The study used the questionnaire method with an independently prepared questionnaire. The questionnaire was designed to ensure privacy and anonymity. The privacy and anonymity of study participants was assured. Of the 340 survey questionnaires distributed, 291 (85.6%) completed surveys were eligible number (12 additional surveys were returned without answers). An explanatory factor analysis revealed four dilemma factors among 15 items investigated (KMO value 0.84). These were: factor 1: “Execution of treatment and security,” α = 0.91;factor 2: “approach in the nursing of older people with dementia,” α = 0.93;factor 3: “A cooperative relationship in nursing of older people with dementia,” α = 0.87;and factor 4: “Priorities in nursing,” α = 0.81. The cumulative contribution ratio was 79.1%. We suggest that the program would enable nurses to cope with these dilemmas.

Lord Jim： Jim＇s moral dilemmas and his tragic choices

The colonist culture of the imperialism nourished Jim＇s heroic dreams in which the protagonist sees himself as an apotheosis of morality and heroic deeds, but it also isolated him from the reality of the world. As a result, he often finds himself caught in moral dilemmas and ends up making tragic choices. His tragedy indicated that the alluring and illusive myth of the imperialism was bound to fall apart.

Research into Development Dilemmas of MOOC in China＇ s Higher Education and Its Countermeasures

The Massive Open Online Courses( MOOC) originated in Europe and America has been a new channel obtaining know ledge and an important learning mode in the age of big data. The development of MOOC brings about far- reaching impact on sharing and constructing the high quality education resources in the w orld,w hich may present great challenges to traditional teaching mode. Considering China's higher education environment and MOOC 's particular characteristics,this paper summarizes the development dilemmas of MOOC in China's higher educational environment and discusses the countermeasures as w ell as finds a suitable w ay for the development of informatization education.

Conditions Where the Ruled Class Unites for the Revolution:Applicability of a Game Theory on Social Dilemmas

Revolutions,typical cases of crucial social transformations,cannot be realized successfully without a large number of activists.Therefore,creating conditions favorable for acquiring enough participants should be an important topic of Marxist social science.In particular,this problem includes the “free-ride,” because the benefits of revolutionaries’ activities are gained not only by the activists but also by all other members.The paper analyzes problems such as this one,applying non-cooperative game theory to social dilemma problems.This leads to some interesting results.In this research,the problem of the workers’ choice between unity or freeride is first defined using numerical examples of the gain structure.It is defined again in a more generalized form using other parameters.In so doing,we express both the cost of participating in the movement and the gains from the concession of the ruling class.Because this analysis focuses on the importance of the number of participants,the concession of the ruling class is framed as a function of the number of participants.The results of this analysis revealed that the economic base and superstructure accurately correspond in some game structures but not in others.In other words,the social dilemma presents either as a case of prisoners’ dilemma or as a chicken game.Furthermore,this paper analyzes the influence of group size,and it was revealed that groups with a large number of members,such as a ruled class,find it particularly difficult to unite.This phenomenon is called the “large group dilemma.” In these ways,this research shows that the aforementioned type of game theory can be used to analyze the difficulties and possibilities of social movements.

The Dilemmas Faced by Accounting and Countermeasures on the Perspective of Low-carbon Economy

The production and business activity of enterprises is the key factor which causes environmental pollution. It will be conducive to sustainable development of human beings if the environmental issues can be integrated into accounting calculation by using accounting methods. It is extremely necessary to develop carbon accounting in our country. However, the enterprises in our country are also facing a lot of dilemmas under the state of low-carbon economy. Therefore, perfect carbon accounting standards and accounting systems should be established, social and government supervision of carbon accounting strengthened, national public awareness of low-carbon environment consolidated and the professional level of the accounting personnel improved.

The dilemmas of liver cancer heterogeneity

Genomic analyses of most solid tumors reveal a complex mutational landscape with vast inter-tumor and intratumor heterogeneities.Each histological tumor type and the tumor cells within each tumor type display striking molecular and biological variations.The molecular heterogeneity in tumors is a major obstacle for early diagnosis and effective treatment.This is especially relevant to hepatocellular carcinoma(HCC)and intrahepatic cholangiocarcinoma(iCCA)where the etiological factors elicit different molecular mechanisms to initiate carcinogenesis leading to distinct molecular subtypes and complex tumor cell communities.Such heterogeneity poses a major challenge in exploring the factors responsible for early stage hepatocarcinogenesis,development of diagnostic tools,and defining effective treatment strategies for HCC and iCCA.These obstacles emphasize the importance of developing new strategies to change the current dire situation.The establishment of patient populations with associated wellannotated biobanks and molecularly well-characterized samples are essential to define unique tumor subtypes.Moreover,understanding the molecular features of tumor cells at a single cell level might provide a better understanding of tumor cell communities and help define the key drivers responsible for tumor initiation and progression.Molecular-based technologies such as integrated genomics,transcriptomics,and metabolomics aid in a better way to distinguish tumor subtypes allowing the stratification of patients with greater homogeneity and assist in molecular re-staging.These genome-based signatures might serve to delineate the critical gatekeepers of cancer initiation and progression which further helps to identify the druggable targets by integrated genomics and to explore the functionally linked networks in HCC and iCCA.With these available backgrounds,we might effectively identify biomarkers and potential targets for early liver cancer intervention.

The effects of ethical dilemmas regarding the use of physical restraints in eldercare on female nurses who care for their relatives in Japan

Purpose: This study sought to clarify the relationship between a nurse’s exposure to elderly relatives and their perspective in using restraints on the elderly in health care situations. Methods: We approached nursing staff supervisors at 17 general hospital wards and explained the objectives of the study. Supervisors at 14 hospitals agreed to participate, giving us a sampling pool of 1929 nurses. We used a chi square test to compare nurses who had spent time with elderly relatives and those who had not on several variables related to using restraints on elderly patients. Results and Conclusion: This study found that nurses who live with elderly family members were significantly more likely to believe that restraints cause diseases (including chronic diseases) based on a chi square test (p < 0.05). Therefore it would be important that essential was the experiences of individuals with elderly family members when making programs of decreasing nurse’s dilemma to restraining the elderly.

Research on Management Mode of Small-scale Irrigation Works for Farmland Based on Self-governance

The paper analyzes the practical use of management mode of small-scale farmland irrigation works in China,and studies various problems existing in the present management mode.It puts forward a mode named Water-consumer Association which is the most practical one at present.It points out some rules which must be mastered in solving problems appearing in using this mode.

Responsibility for Eco-systems and problems of social traps and dilemmas

Responsibility is a function of power, impact and knowledge. The more strategically central one’s position is in terms of power, influence and knowledge, the higher his or her responsibility would be. This is an idea which can be worked out in more detail by using distributive models of graph theory and predistribution assignments of rights and duties according to different levels.

Rebuilding and Integration of Rural Governance System Based on the Combination of Self-governance,Rule of Law and Rule of Virtue

The proposal that"the rural governance system based on the combination of self-governance,rule of law and rule of virtue should be completed"was put forward in the report of the 19th National Congress of the Communist Party of China.There are many challenges for the development and difficulties for the governance of rural social transformation in the new era,so"the combination of self-governance,rule of law and rule of virtue"is realistically essential,having the objective inevitability and practical possibility.The fundamental and central role of the villagers'self-governance should be brought into full play to construct"the rural governance system based on the combination of self-govermance,rule of law and rule of virtue"under the guidance of the spirit of the 19th National Congress ofthe Communist Party of China,by taking the rule of law as the legal assurance and rule of virtue as the social affection support,managing to complete and optimize the rural governance system,realize the good and right governance in the rural society,boost the modernization construction process of the national governance ability,and realize the great objective of comprehensive rural vitalization of the"stability of the rural areas,development of the agriculture and happiness of the farmers".

The Ethical Dilemmas and Beyond Demands of Colleges and Universities＇ Social Services

Social Services ethical behavior is the norm university college norms and values of social service selection. The current lot of negative factors that exist in society, leading to social service ethic universities face many practical difficulties： for guiding spirit of paranoia shaken ethical orientation of social services for the blind t,argets deep extension of the apparent deviation ethics of social services, the service Preference object affects the ethical tone of social services for their properties to accommodate non-independent eroding the foundation of ethics established by the social services. Therefore, the identification of good ethical order, to call college cultural consciousness, lifting universities utilitarian development difficulties, reasonably determine the role of university social services, the ability to face the limits of educational services, social services, colleges and universities to guide ethical behavior.

Five Dilemmas of SMEs

When the financial storm indulges in the Wall Street of US,the whole world economy is threatened.In this global economy,no one can turn away from its impact.So as China and her SMEs.Small and medium-sized enterprises,i.e.SMEs,are often opposite to state-owned enterprises,i.e.SOEs in China.Born with some natural shortages, where can Chinese SMEs find shelter for the bad weather? How can they survive in the tempest? To be or not to be,that is a question raised to them cruelly.

Adaptive interaction driven by the learning effect in the spatial prisoner's dilemma

We propose a computing model in which individuals can automatically adjust their interaction intensity with their mentor according to the learning effect.This model is designed to investigate the cooperative dynamics of the spatial prisoner's dilemma.More specifically,when the cumulative payoff of a learner is more than his reference earning,he will strengthen his interaction with his mentor;otherwise,he will reduce it.The experimental results indicate that this mechanism can improve the emergence of cooperation in a networked population and that the driving coefficient of interaction intensity plays an important role in promoting cooperation.Interestingly,under a certain social dilemma condition,there exists a minimal driving coefficient that leads to optimal cooperation.This occurs due to a positive feedback effect between the individual's satisfaction frequency and the number of effective neighbors.Moreover,we find that the experimental results are in accord with theoretical predictions obtained from an extension of the classical pair-approximation method.Our conclusions obtained by considering relationships with mentors can provide a new perspective for future investigations into the dynamics of evolutionary games within structured populations.