Knowledge,attitude,and practice of patients living with inflammatory bowel disease:A cross-sectional study

BACKGROUND Patients with inflammatory bowel diseases(IBDs)generally have poor knowledge,attitude,and practice of their disease,while the data from China are lacking.AIM To address this knowledge disparity among Chinese patients with IBD.METHODS This web-based,cross-sectional study was conducted on a cohort of IBD patients who visited the Second Affiliated Hospital of Wenzhou Medical University between December 2022 and February 2023.Their socio-demographic information and the knowledge,attitude,and practice scores were collected and estimated using a self-designed questionnaire.Pearson’s correlation analysis was used to determine the pairwise correlations among knowledge,attitude,and practice scores.A multivariate logistic regression analysis was further performed to determine the independent factors associated with their knowledge,attitude,and practice scores.RESULTS A total of 353 patients(224 males)with IBD completed the questionnaires.The mean knowledge,attitude,and practice scores were 10.05±3.46(possible range:0-14),41.58±5.23(possible range:0-56),44.20±7.39(possible range:0-56),respectively,indicating good knowledge,positive attitude,and proactive practice toward IBD.Pearson’s correlation analysis showed that the knowledge score had significant positive correlations with the attitude score(r=0.371,P<0.001)and practice score(r=0.100,P<0.001).The attitude score had a significant positive correlation with the practice score(r=0.452,P<0.001).Moreover,multivariate logistic regression analysis showed that aged 30-40 years[odds ratio(OR)=4.06,95%confidence interval(CI):1.04-15.82,P=0.043],middle school education(OR=3.98,95%CI:1.29-12.33,P=0.017),high school/technical secondary school education(OR=14.06,95%CI:3.92-50.38,P<0.001),and junior college/bachelor’s degree and above education(OR=15.20,95%CI:4.15-55.650,P<0.001)were independently associated with good knowledge.The higher knowledge score was independently associated with a positive attitude(OR=1.23,95%CI:1.11-1.36,P<0.001).The higher attitude score was independently associated with proactive practice(OR=1.20,95%CI:1.11-1.30,P<0.001).CONCLUSION Chinese patients with IBD might have good knowledge,a positive attitude,and proactive practice toward their disease.However,a small number of specific items require education.

The Role of Skills Competitions in Improving the Practical Ability of Vocational College Students

Vocational education and general education are two different types of education that are equally important.The orientation of talent training in vocational education is to nurture skilled talents to serve the society.The practical ability of students is both the focus of teaching in vocational colleges and the requirement of enterprise posts.The various types of skills competitions provide a“stage”for students to showcase their abilities.First,this paper explores students’problem-solving ability while preparing for these competitions,expounding the importance of vocational education and skills competitions.Second,this paper summarizes the views of different scholars.Third,based on a specific case,this paper describes the improvement in students’ability while preparing for these competitions.Fourth,this paper analyzes the results of the questionnaire survey conducted to investigate the improvement in students’ability.Lastly,this paper puts forward several suggestions that appeal for vocational colleges to pay more attention to skills competitions.

The eligibility criteria,training content,and scope of practice for prescriptive authority for midwives:a modified Delphi study

Objective:To investigate the necessary eligibility criteria for prescriptive authority for midwives,gather suggestions from experts on training content for prescriptive authority for midwives,and explore the scope of practice of their prescriptive authority in certain circumstances.The results of this study could serve as a reference for the development of policies on prescriptive authority for midwives.Methods:Based on a literature search and semistructured interviews,a modified Delphi method was first used to conduct 2 rounds of expert consultation on eligibility criteria and training content for prescriptive authority for midwives.This stage included nursing experts(20)and medical experts(16)engaged in midwifery in many tertiary Grade A hospitals in China.Subsequently,consultation on the scope of practice of prescriptive authority for midwives was conducted with nursing experts(18)and medical experts(14)engaged in midwifery in many tertiary Grade A hospitals in China.The suggestions from the experts were analyzed using statistical methods to confirm the eligibility criteria for prescriptive authority,training content,circumstances,scope of practice for prescriptive authority,and the prescription forms.Results:Among the consulted experts,70.59%(the highest acceptance rate)considered an undergraduate degree to be the minimum educational requirement for midwives to be eligible for prescriptive authority,85.29%(the highest acceptance rate)considered the supervisor nurse to be the minimum technical position experience necessary for midwives to be eligible for having prescriptive authority,and 50%(the highest acceptance rate)considered 5 years to be the minimum number of years of experience in the specialty for midwives to be eligible for prescriptive authority.The applicants should at least be practicing at Grade C hospitals,which was the consensus among 91.18%of the consulted experts.Among the consulted experts,100%,100%,97.06%,94.12%,and 94.12%agreed that the applicants should have knowledge in pharmacology,laws and ethics,nursing,diagnostics,and midwifery,respectively.The consulted experts confirmed 22 related course topics and identified 6 specific circumstances in which the midwives could partially practice prescriptive authority,including uterine atony,excessive uterine contraction,postpartum hemorrhage,premature rupture of fetal membranes,normal labor,and neonatal asphyxia.Under these 6 circumstances,the consulted experts commonly agreed that there were 20 medication prescriptions and 13 auxiliary examination prescriptions that could be prescribed by midwives.Of these prescriptions,51.5%were independent prescriptions,30.3%were protocol prescriptions,and the remaining 18.2%were both independent and protocol prescriptions.Conclusions:Midwives who have an undergraduate degree,supervisor nurse position,and 5 years of practice in Grade C hospitals are considered eligible to apply for prescriptive authority.Partial prescriptive authority could be granted after regulated training in fundamental theories and practices,which could improve the independence and professionalism of midwifery.

The Implementation of Business Strategy and Management Accounting Practice to Increase Competitive Advantage in Fashion-Based Creative Industry

This study aimed to obtain empirical evidence related to:(1)competitive strategy implemented by small and medium-size enterprises(SMEs)fashion sector;(2)management accounting system practiced by SMEs fashion sector;and(3)analyze whether the existing accounting system,in accordance with contingency theory is adequate to support strategy implementation.The object of this study is SMEs engaged in the fashion sector with research variables are:competitive strategy and management accounting practices.Methods of data collection using questionnaires with respondents are owners of SMEs fashion sector.Data analysis used quantitative descriptive analysis.The result of data analysis shows that most of SMEs which become sample of this research have been exporting or planned to export its product.Based on further analysis,most of SMEs engaged in the sector have not yet prepared financial statements.The most important accounting records are records of receivables,cash inflows,and cash outflow.With these results,it can be concluded that the fashion-based SMEs sector has not been supported by adequate management accounting system to support the implementation of competitive strategy.In order to improve the competitive advantage of fashion-based SMEs,it is necessary to assist management accounting system as a provider of information that can be used as a basis for decision-making in accordance with the strategy implemented.

STUDIES ON THE COMPETITION FOR CADMIUM ION BETWEEN CHELATING AGENTS AND BOVINE SERUM ALBUMIN

Eleven chelating agents were studied for their capabilities to mobilize the cadmium bound tp bovine serum albumin(BSA).The parameter F,which is defined as the ratio between the percentages of cadmium bound to BSA in the presence and absence of chelating agents,can be used as the criterion to evaluate the mobilizing capability of chelating agent.The F values determined experimentally lead to a mobilizing capability order:DTPA>EDTA>EGTA>NTA>TR1EN>PEN>CYS>HIS>SAThe polyaminopolycarboxylate type chelators mobilize cadmium effectively.A linear relationship was found between 1gF and lg k'CdL (conditional stability constant of the cadmium chelate).

Supply Chain Management Practices, Competitive Advantages and Firm Performance： A Case of Small and Medium Enterprises （SMEs） in Vietnam

The perception of supply chain management （SCM） first appeared in 1982 and the very first papers on SCM were published in the mid 1980s （Houlihan, 1985）. However, this term is still fresh in Vietnam, especially the subject of SCM practices and their impacts on firm performance of small and medium enterprises （SMEs）. Therefore, the research was conducted to study the impact of supply chain management practices （SCMPs） on firm performance of SMEs through firm competitive advantages. Data were collected by surveying SMEs located in Ho Chi Minh City. The research findings showed that customer relationship （CR） and quality of information sharing （IQ） impact on firm performance at 0.01% significance level while the level of information sharing impacts on firm performance at 10% significance level, and strategic supplier partnership impacts on firm performance insignificantly. Moreover, we also found that customer relationship and quality of information sharing influence firm competitive advantage at 0.01% significance level, while strategic supplier partnership and the quality of information sharing impact on firm competitive advantage at 5% significance level. Competitive advantages impact significantly positively on firm performance at significance level of 0.001%. The findings imply that SMEs in Vietnam should manage customer relationship well and increase the level of information quality to improve competitive advantage in order to gain high performance.

＂Questionable＂ Behaviors and Practices in Academic Productivity in Postgraduate Studies in Mexico

This paper reports the results acquired in a research work about ＂questionable＂ practices and behaviors in the academic production of researches and postgraduate social sciences and humanities studies of the programs that are appointed by the National Program of Quality Postgraduate Studies （PNPC, by its acronym in Spanish） in Mexico. Through a qualitative methodology, the authors interpreted some of the arguments that explain and/or justify certain practices in relation to doubled production, authorship, and coauthorship of academic products. In this paper, the authors present and analyze the results that they obtained after reviewing documents produced by professors and students of six postgraduate programs that are taught in two Mexican public universities. At the same time, the authors examine some of the practices that take place within said programs, given the institutional demands of improving finished studies efficiency. One of the hypotheses of this work is the demands that are imposed by external evaluations of academic processes on professors and their programs in order to reach desirable rates with the purpose of maintaining or increasing the levels of productivity, gives way to certain practices that must be analyzed. This work＇s theoretic framework is constituted by the contributions of career sociology and professional ethics.

Feelings and Spiritual Practices of Patients with Mastectomy: A Qualitative Study from Turkey

Purpose: This study was conducted to describe feelings and spiritual practices of patients with mastectomy. Method: The study was employed a qualitative design at a private university hospital oncology unit in Ankara, Turkey. Interviews were performed with 20 mastectomized women. Results: The findings indicated that commonly used in several spiritual practices;prayer was used by 96%, of the patients, and 94% requested that others pray for their health, the practice to positive reframing (76%), the practice to planning for family-friends activities (74%), visiting mos-que-shrine (73%), and the practice to reading Quran (71%). The categorization of the data led to identification of three thematic units. The first we described as “Experiencing the consequences of illness as a disorder”. The second was “Restoring a sense of order to life”, and the third was “Living with the new condition”. Conclusion: We concluded that a having mastectomy was difficult for the subjects. In this respect, nurses’ role is vital to help women with breast cancer in such a difficult and modifying process as breast removal.

Competition effects in an afrotemperate forest

Background： Information about competition responses is mainly available for monospecific stands or mixed stands with a small number of species. Studies on complex multi-species and highly structured forest ecosystems are scarce. Accordingly, the objective of this study was to quantify competition effects and analyse competition responses in a species-diverse afrotemperate forest in South Africa, based on an observational study with mapped tree positions and long-term diameter increment records. Methods： The sensitivity to competition was analysed for individual species and involved the calculation of the slope of the linear relation between the value of a competition index （CI） and diameter growth as a measure of sensitivity. In a next step different competition indices were combined and tree diameters were grouped in three classes as surrogates for canopy status and ontogenetic stage. Results： Five competition indices were found to be effective in showing sensitivity to competition for a number of canopy and sub-canopy species. Significant linear regressions were fitted for 18 of a total of 25 species. Species reactions varied significantly in their sensitivity to the different CIs. The indices were classified as belonging to two groups, those that responded more to local crowding and those that are more sensitive to overtopping, which revealed species-specific sensitivities to both factors. The analysis based on diameter classes revealed that species clearly changed their sensitivity to crowding or overtopping depending on diameter. Canopy and sub-canopy species showed distinct differences in their reactions. Conclusions： The application of multiple CIs brought novel insights relating to the dynamics of afrotemperate forests. The response patterns to different competition indices that focus on crowding and overtopping are varied and tree diameter dependent, indicating that oversimplified assumptions are not warranted in the interpretation of Cl- growth relations.

A Practical Study on Value-Added Assessment in Primary English Education

As a programmatic document to guide the reform of educational assessment,the“General Plan for Deepening the Reform of Educational Assessment in the New Era”clearly points out the requirement for exploring value-added assessment[1].In the process of exploring,Tennessee Value-Added Assessment System(TVAAS),which was implemented in Tennessee,United States in 1992,has a certain referential significance to the practice of assessment reform in primary English education[2].This study aims to build a value-added assessment model in line with China’s learning conditions by using big data and carry out pilot experiments in order to promote the development of educational assessment in primary schools.

基于能力导向的建筑学专业教学实践——以天津大学建筑学专业教学改革为例

针对中国建筑教育现有体系存在的传统文化基因系统性缺失、教学与实践关联性不足、学习主体竞争意识薄弱与国际视野受限的问题,文章试图构建以厚植文化内生力、培养实践创新力、激发国际竞争力为导向的建筑学领军人才培养模式。文章以天津大学建筑学院十余年(2012—2022年)的教学实践为佐证,阐释以内生力、创新力、竞争力为主线的培养理念、课程建设与实施路径,以期为培养国家未来领军建筑人才提供有益参考。

“研究翻译话翻译”对话录

20世纪缘起的翻译标准大讨论方兴未艾。在新的历史发展时期,由于翻译研究的多元化和有关评价体系的变化,翻译实践这一经典问题有了重新讨论和阐释的必要。翻译实践在译学界的地位和功能是什么?翻译专业学生培养如何与社会需求有效对接?为此,周领顺教授、孟祥春教授、冯全功教授、任东升教授、李正栓教授和王理行编审以“翻译实践之史”“翻译实践之理”“翻译实践之功”“翻译实践之练”“翻译实践之趣”和“翻译实践之需”为主题发表了真知灼见,以期对译学界学者的翻译研究以及现阶段翻译专业硕士和未来翻译专业博士的培养发挥积极的指导或借鉴作用。

学科竞赛驱动的大学生创新创业人才培养模式构建

学科竞赛已成为培养大学生创新创业能力的一种重要途径。通过学科竞赛培养测绘专业创新创业人才需要5个方面的联动:一是构建促使大学生参加学科竞赛的人才培养方案,推动学生参加各类学科竞赛;二是制订促进创新创业人才培养的学科竞赛规则,培养学生创新思维和创业能力;三是建立促进创新创业人才培养的竞赛指导团队,引导学生进行创新创业实践;四是科学开展竞赛培训,通过实习、实验、实践等方式培养创新创业能力;五是对具有创新创业能力的获奖者给予赛后支持与扶助,鼓励学生将创新成果通过各种方式转化为现实生产力。

产研赛与导师制多育并举人才培养模式探索

面对新一轮的科技革命和产业变革,培养创新应用型化工人才是适应国家重大战略发展的重要任务。重庆大学化学化工学院以“提升人才培养质量”为目标,积极探索、大胆尝试,从人、财、物三个方面推进人才培养创新实践,提出全程导师制与“产研赛”平台多育并举的人才培养模式,培养敢于担当、综合素质优秀、理工基础扎实、工程实践和创新能力强的化工领军人才。经过实践探索,该人才培养模式以学生为中心融合导师与平台,提升学生对专业的认知,增强学生的使命感,培养学生的创新能力和实践能力,具有一定的推广示范效果。

体育案例研究的学理基础、基本要素与中国探索

案例研究是知识生产与理论建构的重要科学途径。相较管理学等相关学科的案例研究,体育学科兼具人文社会科学和自然科学的交叉性,为丰富体育案例的研究对象、分析内容及举证方式提供了学理基础。从案例实践到理论构建的转换过程,可基于发现独特案例,在已有体育知识基础上进行体育知识生产;也可直面已有体育知识局限,以独特案例为载体,进行体育知识生产。从学理层面分析,体育案例研究应以独特实践为主要来源,以发现问题为主要驱动,以服务教学为主要诉求,以规范流程为主要保障及以学科交叉为主要特征夯实学理基础。在此基础上,形成了具有体育学学科特色和体育实践特点的学科内涵、研究对象、基本范式、研究过程、研究工具等体育案例研究基本要素。从实践探索视角,未来开展中国特色体育案例研究,应以提出体育实践的“真问题”为导向开展研究选题,以挖掘体育实践的“真素材”为手段进行研究论证,以进入体育实践的“真情境”为途径实施研究过程,及以提炼中国体育的“真理论”为目标彰显其研究价值。

全科医学和初级保健横断面研究的基本设计和实施步骤

横断面研究是经典的研究设计方法之一,在临床各个专业中均有广泛的应用。在全科医学研究中大量科学问题的解答采用了横断面研究设计。这其中不仅包括了对人群健康特征,疾病特征或卫生服务现状的调查研究,还包括了面向社区人群的疾病筛查诊断方法构建等多种研究场景。在全科医学领域中,横断面研究可以做现况描述和比较分析,关联因素分析以及社区筛查诊断方法探索。开展横断面研究应包括研究设计和研究实施两个阶段,研究设计包括准确提炼研究目标,明确研究人群,研究因素及结局指标等临床要素以及确定样本获取方式,明确样本量的确定依据及合理的统计分析策略等方法学要素。研究实施,则需要通过完备的研究方案和病例报告表呈现研究设计思路,在伦理批准的前提下开展数据收集工作,同时注重数据管理工作质量并严格执行方案中的统计分析方法,求证医学问题。横断面研究的特点是相比于随访观察研究所需要的研究周期相对较短,不同基础的研究团队都能找到适合的研究方向,通过了解健康医疗现状,从探讨关联因素创建筛查方法等角度,服务社区医疗。

以学生为中心的PLC课堂教学模式研究与实践

以安徽工贸职业技术学院PLC课堂教学与实践为例,提出了以学生为中心的创新课堂教学模式改革。通过建设教、学、做合一的教学网络平台,突显学生主体地位,构建“讲—练—模—做—评”课堂教学模式一体化,开发、制作课堂教学资源等系列教学改革,以实现课堂教学的主导作用,提高课堂教学实效,为培养高素质机电专业人才和提升教学质量奠定良好基础。

新发展格局下体育竞赛表演业产业链韧性提升的耦合逻辑、风险因素与实践方略

依托新发展格局,提升体育竞赛表演业产业链韧性是产业链现代化建设和体育竞赛表演业高质量发展的重要议题。本文运用文献资料法、逻辑分析法,结合产业链韧性的内涵将体育竞赛表演业产业链韧性拆解为补链、疏链和强链能力,具体表现为产业链在面对外部压力或风险时的冲击抵抗能力、恢复重构能力和核心竞争能力,此“三力要素”与构建新发展格局存在高度耦合。在此基础上识别新发展格局下体育竞赛表演业产业链韧性提升的风险因素:断链风险,核心技术自主创新能力不足;堵链风险,竞赛表演市场供求关系失衡;弱链风险,复合型体育人才本土供给不足。据此提出实践方略:补链方面,以完善的数字基础设施构建体育竞赛表演产业生态体系;疏链方面,以供给侧结构性改革调和体育竞赛表演市场供求关系;强链方面,以多元化渠道提升体育竞赛表演业人才要素流通效率。

30所三级医院开展ICU护士入职培训的现况调查

目的:调查三级医院开展ICU护士入职培训现况,为探索更有效的ICU护士入职培训提供参考。方法:2022年7月—8月,采用便利抽样法选取全国11个省份30所三级医院57个ICU的护理管理者及583名ICU护士作为调查对象,使用自行设计的ICU护士入职培训情况调查问卷进行调查。结果:参与调查的57个(100.0%)ICU均制定了新护士入职培训计划并规定经过带教期后方可独立上岗,但培训形式多样、带教期时长尚不统一,仅32个(56.1%)ICU有资质准入制度和相关考核;52名(91.2%)护理管理者将规范化培训后的新护士视为最优选;应届毕业生新护士占总护士人数的比例与非计划性拔管的发生率呈正相关(r=0.341,P<0.05)。参与调查的583名护士中364名(62.4%)认为3~6个月的带教时长最为合适,339名(58.1%)倾向于毕业后先掌握普通患者护理技能,再入职ICU;回归分析显示入职培训期间ICU护士适应工作压力的影响因素为ICU类型、临床实践带教形式与带教时长。结论:目前ICU资质准入制度仍不完善,入职培训尚无统一的方案,带教时长仍需要进一步讨论,未来仍需要制定纲领性文件指导ICU开展护士入职培训工作。