This paper takes an overview of the CKM and the performance of agricultural product innovation from contents of agricultural product innovation and customer knowledge management (CKM) ,the relation between CKM and agr...This paper takes an overview of the CKM and the performance of agricultural product innovation from contents of agricultural product innovation and customer knowledge management (CKM) ,the relation between CKM and agricultural product innovation. On the basis of the overview, it builds the theoretical framework of CKM and agricultural product innovation. It points out that enterprises can satisfy demands of customers through acquisition,share,utilization and innovation of customer knowledge,and improve performance of agricultural product innovation through speeding up agricultural product innovation.展开更多
With the development of internet technology, customers play more and more important roles in new product development. The paper defines customer knowledge; then analyses the modes of customer knowledge transferring ba...With the development of internet technology, customers play more and more important roles in new product development. The paper defines customer knowledge; then analyses the modes of customer knowledge transferring based on SECI model and information emission model. Finally customer knowledge transferring mechanism is discussed.展开更多
By combining the abilities to respond directly to customer requests and to provide the customer with a highly interactive, customized experience, companies have a greater ability today to establish nurture and sustain...By combining the abilities to respond directly to customer requests and to provide the customer with a highly interactive, customized experience, companies have a greater ability today to establish nurture and sustain long-term customer relationships than ever before. The ultimate goal is to transform these relationships into greater profitability by increasing repeat purchase rates and reducing customer acquisition costs. Customer relationship management (CRM) has a significant potential to leverage an organization's performance, but it does not come without a clear sense of destination and typically without pain. For the research methodology we use the database of customers of a Romanian accounting services company Vulpoi & Toader Management SRL, which is an important player in this market. The goal of our paper is to find out the link between knowledge management (KM) and CRM for this company and how these "innovations" contribute to increasing the value of the business.展开更多
In order to solve the problem of modeling product configuration knowledge at the semantic level to successfully implement the mass customization strategy, an approach of ontology-based configuration knowledge modeling...In order to solve the problem of modeling product configuration knowledge at the semantic level to successfully implement the mass customization strategy, an approach of ontology-based configuration knowledge modeling, combining semantic web technologies, was proposed. A general configuration ontology was developed to provide a common concept structure for modeling configuration knowledge and rules of specific product domains. The OWL web ontology language and semantic web rule language (SWRL) were used to formally represent the configuration ontology, domain configuration knowledge and rules to enhance the consistency, maintainability and reusability of all the configuration knowledge. The configuration knowledge modeling of a customizable personal computer family shows that the approach can provide explicit, computerunderstandable knowledge semantics for specific product configuration domains and can efficiently support automatic configuration tasks of complex products.展开更多
The implementation of strategies to achieve the Sustainable Development Goals(SDGs)is frequently hindered by potential trade-offs between priorities for either environmental protection or human well-being.However,ecos...The implementation of strategies to achieve the Sustainable Development Goals(SDGs)is frequently hindered by potential trade-offs between priorities for either environmental protection or human well-being.However,ecosystem services(ES)-based solutions can offer possible co-benefits for SDGs implementation that are often overlooked or underexploited.In this study,we cover this gap and investigate how experts from different countries value the SDGs and relate them with ES.A total of 66 countries participated to the survey,and answers were grouped into three macro-regions:Asia;Europe,North America,and Oceania(ENO);Latin America,Caribbean and Africa(LA).Results show that the most prioritized SDGs in the three macro-regions are usually those related to essential material needs and environmental conditions,such as SDG2(Zero Hunger),SDG1(No Poverty),and SDG6(Clean Water).At a global scale,the number of prioritized synergies between SDGs and ES largely exceeded trade-offs.The highest amount of synergies was observed for SDG1(No Poverty),mainly with SDG2,SDG3(Good Health),SDG5(Gender Equality),and SDG8(Economic Growth).Other major synergies among SDGs include SDG14-15(Life below water-Life on land),SDG5-10(Gender Equity-Reduced Inequality),and SDG1-2(No poverty-Zero Hunger).At a global scale,SDG15,SDG13,SDG14,and SDG6 were closely related to ES like climate regulation,freshwater,food,water purification,biodiversity,and education.SDG11(Sustainable Cities)and SDG3 were also relevant in Asia and in LA,respectively.Overall,this study shows the potential to couple future policies that can implement SDGs’strategies while adopting ES-based solutions in different regions of the world.展开更多
The aim of the article is to determine the extent to which customer satisfaction's in the e-banking in Semnan area had organizational and customer readiness for developing their services. One of the most important se...The aim of the article is to determine the extent to which customer satisfaction's in the e-banking in Semnan area had organizational and customer readiness for developing their services. One of the most important sectors that plays key role for grasping developed condition is banking sector. Banks like other institutions also look for augmenting their profits and increasing their strength by expansion. The designing of bank must involve selection of those that have sufficient success potential. Hence, from several factors of success, the following three criteria factors have been: selected-customer satisfied, one dimensional, and product fully functional. These factors offers three question multi criteria group extracted from a 16 norms. Also, three criteria factors have been studied over a period of five years and important criteria for evaluating the norms. The Analytical Hierarchy Process (AHP) has been employed to calculate the success potential of each norm. The empirical data comprises the longitudinal survey of the agricultural banking of the Semnan province. The paper, also, finds that product fully functional is placed as the first priority.展开更多
The basic principles of IF/THEN rules in rough set theory are analyzed first, and then the automatic process of knowledge acquisition is given. The numerical data is qualitatively processed by the classification of me...The basic principles of IF/THEN rules in rough set theory are analyzed first, and then the automatic process of knowledge acquisition is given. The numerical data is qualitatively processed by the classification of membership functions and membership degrees to get the normative decision table. The regular method of relations and the reduction algorithm of attributes are studied. The reduced relations are presented by the multi-representvalue method and its algorithm is offered. The whole knowledge acquisition process has high degree of automation and the extracted knowledge is true and reliable.展开更多
The concept of F-knowledge is presented by employing S-rough sets. By engrafting and penetrating between the F-knowledge generated by S-rough sets and the RSA algorithm, the security transmission and recognition of mu...The concept of F-knowledge is presented by employing S-rough sets. By engrafting and penetrating between the F-knowledge generated by S-rough sets and the RSA algorithm, the security transmission and recognition of multi-agent F-knowledge are proposed, which includes the security transmission of multi-agent F-knowledge with positive direction secret key and the security transmission of multi-agent F-knowledge with reverse direction secret key. Finally, the recognition criterion and the applications of F-knowledge are presented. The security of F-knowledge is a new application research direction of S-rough sets in information systems.展开更多
The conceptions of the knowledge screen generated by S-rough sets are given: f- screen and - screen , and then puts forward - filter theorem, - filter theorem of knowledge. At last, the applications of knowledge separ...The conceptions of the knowledge screen generated by S-rough sets are given: f- screen and - screen , and then puts forward - filter theorem, - filter theorem of knowledge. At last, the applications of knowledge separation are given according to - screen and - screen.展开更多
Background: Preterm labor is one of the most public health problems related to neonates admitted to Neonatal Intensive Care Unit (NICU). Poor knowledge among mothers about the care requirements of a preterm neonate is...Background: Preterm labor is one of the most public health problems related to neonates admitted to Neonatal Intensive Care Unit (NICU). Poor knowledge among mothers about the care requirements of a preterm neonate is immediate cause for post-discharge medical problems in premature and neonates readmission to NICU. Hence, this study aims to evaluate mothers’ knowledge of caring for premature infants post-discharge from Neonatal Intensive Care Units in the Gaza strip. Methods: A Quantitative-based cross-sectional designs study was used to survey 120 mothers of preterm neonates at the time of preterm neonates discharge by face-to-face interview at Al-Shifa medical complex and Nasser hospital between February and June 2018. Results: The results showed that only about 58.4% of mothers of premature babies had good knowledge about health care needed for premature infants after discharge from NICU. Furthermore, there was no statistically significant difference between the level of knowledge and mother’s sociodemographic characteristics (P-values > 0.05). Conclusion: Mothers’ knowledge of premature infants care was not at the optimal level, which might put the newborns at risk. Therefore, the study emphasizes the necessity of thoughtful exchange of health information between team members and mothers and establishing pre- and post-discharge plans with mothers to start their healthy transition of preterm neonate to home and to ameliorate family concerns.展开更多
This paper examines the origin,compilation,and circulation of A Barefoot Doctor’s Manual(Chijiao yisheng shouce赤脚医生手册),exploring the relationship between medical politics and knowledge transmission in China,and...This paper examines the origin,compilation,and circulation of A Barefoot Doctor’s Manual(Chijiao yisheng shouce赤脚医生手册),exploring the relationship between medical politics and knowledge transmission in China,and its impact on the promotion of Chinese medicine across the world.Barefoot doctors were a special group of rural medical practitioners active in a very special socio-political context.Various editions of barefoot doctor manuals and textbooks were published across China after the first publication of the Manual in 1969.The publication of these manuals and textbooks became an indelible hallmark of the“Cultural Revolution”(1966–1976),when political publications predominated.The Manual was not only a guide for barefoot doctors in their daily study and practice,but also a primary source of medical knowledge for ordinary people.In the middle of the 1970s,the Manual was translated into many languages and published worldwide.This paper argues that the publication of A Barefoot Doctor’s Manual embodied a public-oriented mode of knowledge transmission that emerged and was adopted during a very specific era,and though it was eventually substituted by a mode of training embedded in the formal medical education system,it demonstrated the impact of politics on medicine and health in the context of resource scarcity and low literacy.Changes in China’s geopolitical status,the West’s pursuit of alternative approaches to medicine and health,and the World Health Organization’s(WHO’s)concern over health universality and equity all contributed to the translation and circulation of the Manual,facilitating the dissemination of Chinese medicine worldwide.The paper thus presents empirical and theoretical contributions to research on the relationship between medical politics and knowledge transmission in China.展开更多
AIM:To assess the public's knowledge of the differences between ophthalmologists and optometrists and identify the factors associated with knowledge.METHODS:The study was a population-based random survey of adults ...AIM:To assess the public's knowledge of the differences between ophthalmologists and optometrists and identify the factors associated with knowledge.METHODS:The study was a population-based random survey of adults aged 18 years or older conducted in Enugu,south eastern Nigeria,between March and June,2011.Data on respondents' socio-demographics,clinical profile,and knowledge of the differences between ophthalmologists and optometrists were collected using a 28-item questionnaire.Data were analysed using descriptive and analytical statistics.Values of P〈0.05 were considered statistically significant.RESULTS:The respondents(P=394) comprised 198 males and 196 females(sex ratio =1.01:1),aged 18-70(30.9 ±10.8) years.The majority of respondents were single(57.4%),possessed secondary education(96.9%),employed(65.2%) and had no health insurance(77.4%).Their clinical profile showed previous eye exam 54.1%,spectacle wear 41.6%and contact lens wear 5.6%.In the multivariate analysis,participants' good knowledge of the differences between ophthalmologists and optometrists was significantly associated with educational status(OR:0.32,95%CI:0.23-0.44,P〈0.0001,β =-0.988),employment status(OR:1.8,95%CI:1.45-2.25,P〈0.0001,β=0.124)and previous eye examination(OR:1.63,95%CI:1.29-2.07,P〈0.0001,β =0.549).CONCLUSION:Participants' socio-demographic and clinical characteristics are important predictors of good knowledge.The findings may have implications for all stakeholders in eye care delivery.There is need for knowledge enhancement,by the government and eye care providers,through population-based eye health literacy campaigns.展开更多
Singular rough sets (S-rough sets) have three classes of forms: one-directional S-rough sets, dual of onedirectional S-rough sets, and two-directional S-rough sets. Dynamic, hereditary, mnemonic, and hiding propert...Singular rough sets (S-rough sets) have three classes of forms: one-directional S-rough sets, dual of onedirectional S-rough sets, and two-directional S-rough sets. Dynamic, hereditary, mnemonic, and hiding properties are the basic characteristics of S-rough sets. By using the S-rough sets, the concepts of f-hiding knowledge, F-hiding knowledge, hiding degree, and hiding dependence degree are given. Then, both the hiding theorem and the hiding dependence theorem of hiding knowledge are proposed. Finally, an application of hiding knowledge is discussed.展开更多
BACKGROUND Disease knowledge is associated with increased treatment compliance and improvement of symptoms in inflammatory bowel disease(IBD).IBD-knowledge inventory device(IBD-KID)was developed and validated specific...BACKGROUND Disease knowledge is associated with increased treatment compliance and improvement of symptoms in inflammatory bowel disease(IBD).IBD-knowledge inventory device(IBD-KID)was developed and validated specifically as a tool to measure disease-related knowledge in children with IBD and their parents.AIM To prospectively assess the determinants of disease-related knowledge regarding paediatric IBD patients and their parents,using the IBD-KID.METHODS A questionnaire-based survey was carried out in paediatric patients and their parents.The determinants of patients’and parents’IBD-KID scores were assessed according to hierarchical linear regression models.RESULTS The study group consisted of 269 IBD patients and 298 parents.The patients’mean(standard deviation,SD)IBD-KID score was 10.87(±3.97),while the parents’was 11.95(±3.97).Both groups exhibited poor knowledge of the side effects of steroid therapy,the role of surgical treatment in IBD,dietary restrictions and the risks associated with the use of herbal medicines.The patients’IBD-KID scores were statistically associated with patient sex[B coefficient(standard error,SE)=1.03(0.44),P=0.021]and patient age[B(SE)=0.03(0.01),P<0.001].The parents’IBD-KID scores were significantly related to patient age[B(SE)=0.02(0.01),P=0.003],and treatment with immunosuppressive agent[B(SE)=1.85(0.48),P<0.001].The final models explained 26.9%of the variance of patients’IBD-KID scores and 18.5%of the variance of parents’scores.CONCLUSION The variables originating from parents’knowledge were significantly associated with patients’IBD-KID scores.The study results indicate the need to implement better education programmes for patients and parents.展开更多
Background: The aim of the study was to evaluate the knowledge, attitude and practices on child adoption among infertile women in Douala (Cameroon). Methods: It was a prospective descriptive study of six months durati...Background: The aim of the study was to evaluate the knowledge, attitude and practices on child adoption among infertile women in Douala (Cameroon). Methods: It was a prospective descriptive study of six months duration at the General Hospital and the Dawn Medical Foundation Clinic. Patients of the gynecologic unit presenting with infertility were included. A questioner was administer to each patient with the following variables: Age, marital status, profession, level of education, past gynecologic history, number of children, type and the duration of infertility. Their knowledge, attitude and practice toward child adoption were investigated. Data collected was analyzed using the statistical software EPI-INFO 6.04 and R. p value < 0.05 was considered to be statistically significant. Results: Among the 300 women included, 269 (89.7%) had already heard about adoption, 62.1% through the media. Seventeen percent knew who to meet in order to adopt a child in Cameroon. Two hundred and thirty patients (76.7%) were in favor of adoption but 48.7% of them didn’t want to adopt a child. One percent of patient had adopted a child. The attitude towards adoption was significantly influenced by the duration of infertility of more than 10 years (p = 0.0014). Among women who have at least one child 9.4% wanted adoption against 21.4% who did not want adoption (p = 0.0305). Among women aged between 25 and 30 years, 28.2% wanted to adopt a child against 79.1% who did not want it (p = 0.000). Eighty five percent of women who had secondary infertility did not want to adopt against 44.7% who wanted it (p = 0.0003). Conclusion: The level of knowledge is high in educated patient. However, many women don’t know the right procedure and the structures in charge of adoption. Their attitude is favorable but the practice of adoption remains low.展开更多
Click-streams of online shopping are the tracks/trails of interactions between a customer and a vendor.We observe that it is of great importance both in theory and practice to explore a deep analysis method for analyz...Click-streams of online shopping are the tracks/trails of interactions between a customer and a vendor.We observe that it is of great importance both in theory and practice to explore a deep analysis method for analyzing click-stream information of an individual customer in a specific transaction for understanding the bidirectional value transfer within the machine-human interaction of an online store and for its personalization.We analyze the significance,the hierarchical structure and the characteristics of click-stream information and propose that Ricoeur's hermeneutic theory be the foundation of forming such a deep analysis method.Then we use the empirical context information of the click-stream to improve the naive interpretation put forward by Ricoeur.Moreover,we apply the Grounded Theory to extend the deep analysis of Ricoeur's theory of textual interpretation.The improved theory fits well with the needs of interpretation and the analysis of click-stream information.We exemplify and show the feasibility of this analysis method by using data collected(a single case)from a large study of human-computer interaction.展开更多
While the nursing community generally agrees that the Doctorate of Nursing Practice (DNP) degree will strengthen nursing as an academic discipline, there is little known about students’ perceptions of the advanced de...While the nursing community generally agrees that the Doctorate of Nursing Practice (DNP) degree will strengthen nursing as an academic discipline, there is little known about students’ perceptions of the advanced degree. Nursing students enrolled in an accelerated master’s program in nursing (N = 45) were surveyed to assess their knowledge of the DNP degree while also identifying the perceived effect a DNP might have on their careers, on nursing as a discipline, and on public perceptions of nursing practice. In this study, 51% of participants supported the transition to the DNP as the standard degree for practice nursing while 29% were opposed. The majority of participants (71%) planned to pursue an advanced practice nursing degree/certification with 81% of this group signifying that they would do so even if a DNP is required. The majority of participants agreed that the DNP will improve public perception of advanced practice nursing, but 71% thought the title of “doctor” would confuse patients. While current nursing students are generally informed of the upcoming DNP transition, there is disagreement regarding its implications for their careers and for the extent of public understanding.展开更多
Background: Rheumatoid arthritis (RA) is a chronic and disabling disease that has a major impact on the lives of patients. Objectives: To test the patients’ knowledge about their disease, its treatment, its complicat...Background: Rheumatoid arthritis (RA) is a chronic and disabling disease that has a major impact on the lives of patients. Objectives: To test the patients’ knowledge about their disease, its treatment, its complications, and if this affects severity of the disease as measured by the disease activity index (DAS 28). Patients and Methods: A sample of 100 patients with RA who met the Criteria of American College of Rheumatology for RA agreed to participate in this study over the period September 2011-March 2012. Patients’ data were obtained by personal interview. The questionnaire included demographic characteristics and the patients’ knowledge about their disease. The disease activity was measured using standard (DAS28). Results: Thirty three percent of the patients didn’t have an idea about their disease, 20% didn’t know the reason for the investigations, 49% didn’t know the treatment and 40% didn’t know the side effects of their medications. Most patients had a high disease activity index, and there was a poor correlation between patients’ educational level and the disease activity. Conclusions: Neither the educational level nor the frequency of hospital admissions had effects on the knowledge about this disease. As most patients had a high disease activity, a better knowledge may improve disease control and prevent complications.展开更多
文摘This paper takes an overview of the CKM and the performance of agricultural product innovation from contents of agricultural product innovation and customer knowledge management (CKM) ,the relation between CKM and agricultural product innovation. On the basis of the overview, it builds the theoretical framework of CKM and agricultural product innovation. It points out that enterprises can satisfy demands of customers through acquisition,share,utilization and innovation of customer knowledge,and improve performance of agricultural product innovation through speeding up agricultural product innovation.
文摘With the development of internet technology, customers play more and more important roles in new product development. The paper defines customer knowledge; then analyses the modes of customer knowledge transferring based on SECI model and information emission model. Finally customer knowledge transferring mechanism is discussed.
文摘By combining the abilities to respond directly to customer requests and to provide the customer with a highly interactive, customized experience, companies have a greater ability today to establish nurture and sustain long-term customer relationships than ever before. The ultimate goal is to transform these relationships into greater profitability by increasing repeat purchase rates and reducing customer acquisition costs. Customer relationship management (CRM) has a significant potential to leverage an organization's performance, but it does not come without a clear sense of destination and typically without pain. For the research methodology we use the database of customers of a Romanian accounting services company Vulpoi & Toader Management SRL, which is an important player in this market. The goal of our paper is to find out the link between knowledge management (KM) and CRM for this company and how these "innovations" contribute to increasing the value of the business.
基金The National Natural Science Foundation of China(No.70471023).
文摘In order to solve the problem of modeling product configuration knowledge at the semantic level to successfully implement the mass customization strategy, an approach of ontology-based configuration knowledge modeling, combining semantic web technologies, was proposed. A general configuration ontology was developed to provide a common concept structure for modeling configuration knowledge and rules of specific product domains. The OWL web ontology language and semantic web rule language (SWRL) were used to formally represent the configuration ontology, domain configuration knowledge and rules to enhance the consistency, maintainability and reusability of all the configuration knowledge. The configuration knowledge modeling of a customizable personal computer family shows that the approach can provide explicit, computerunderstandable knowledge semantics for specific product configuration domains and can efficiently support automatic configuration tasks of complex products.
基金This work was supported by National Key R&D Program of China(Grant No.2017YFA0604700)National Natural Science Foundation of China(Grant No.4181101243)+2 种基金the Fundamental Research Funds for the Central UniversitiesFrancesco Cherubini was supported by Nor-wegian Research Council(Grant No.286773)Paulo Pereira was sup-ported by the European Social Fund project LINESAM(Grant No.09.3.3-LMT-K-712-01-0104).
文摘The implementation of strategies to achieve the Sustainable Development Goals(SDGs)is frequently hindered by potential trade-offs between priorities for either environmental protection or human well-being.However,ecosystem services(ES)-based solutions can offer possible co-benefits for SDGs implementation that are often overlooked or underexploited.In this study,we cover this gap and investigate how experts from different countries value the SDGs and relate them with ES.A total of 66 countries participated to the survey,and answers were grouped into three macro-regions:Asia;Europe,North America,and Oceania(ENO);Latin America,Caribbean and Africa(LA).Results show that the most prioritized SDGs in the three macro-regions are usually those related to essential material needs and environmental conditions,such as SDG2(Zero Hunger),SDG1(No Poverty),and SDG6(Clean Water).At a global scale,the number of prioritized synergies between SDGs and ES largely exceeded trade-offs.The highest amount of synergies was observed for SDG1(No Poverty),mainly with SDG2,SDG3(Good Health),SDG5(Gender Equality),and SDG8(Economic Growth).Other major synergies among SDGs include SDG14-15(Life below water-Life on land),SDG5-10(Gender Equity-Reduced Inequality),and SDG1-2(No poverty-Zero Hunger).At a global scale,SDG15,SDG13,SDG14,and SDG6 were closely related to ES like climate regulation,freshwater,food,water purification,biodiversity,and education.SDG11(Sustainable Cities)and SDG3 were also relevant in Asia and in LA,respectively.Overall,this study shows the potential to couple future policies that can implement SDGs’strategies while adopting ES-based solutions in different regions of the world.
文摘The aim of the article is to determine the extent to which customer satisfaction's in the e-banking in Semnan area had organizational and customer readiness for developing their services. One of the most important sectors that plays key role for grasping developed condition is banking sector. Banks like other institutions also look for augmenting their profits and increasing their strength by expansion. The designing of bank must involve selection of those that have sufficient success potential. Hence, from several factors of success, the following three criteria factors have been: selected-customer satisfied, one dimensional, and product fully functional. These factors offers three question multi criteria group extracted from a 16 norms. Also, three criteria factors have been studied over a period of five years and important criteria for evaluating the norms. The Analytical Hierarchy Process (AHP) has been employed to calculate the success potential of each norm. The empirical data comprises the longitudinal survey of the agricultural banking of the Semnan province. The paper, also, finds that product fully functional is placed as the first priority.
基金the National Natural Science Foundation of China (50275113).
文摘The basic principles of IF/THEN rules in rough set theory are analyzed first, and then the automatic process of knowledge acquisition is given. The numerical data is qualitatively processed by the classification of membership functions and membership degrees to get the normative decision table. The regular method of relations and the reduction algorithm of attributes are studied. The reduced relations are presented by the multi-representvalue method and its algorithm is offered. The whole knowledge acquisition process has high degree of automation and the extracted knowledge is true and reliable.
基金supported partly by the Natural Science Foundation of Fujian Province of China(2009J01293)the Natural Science Foundation of Shandong Province of China(Y2007H02).
文摘The concept of F-knowledge is presented by employing S-rough sets. By engrafting and penetrating between the F-knowledge generated by S-rough sets and the RSA algorithm, the security transmission and recognition of multi-agent F-knowledge are proposed, which includes the security transmission of multi-agent F-knowledge with positive direction secret key and the security transmission of multi-agent F-knowledge with reverse direction secret key. Finally, the recognition criterion and the applications of F-knowledge are presented. The security of F-knowledge is a new application research direction of S-rough sets in information systems.
文摘The conceptions of the knowledge screen generated by S-rough sets are given: f- screen and - screen , and then puts forward - filter theorem, - filter theorem of knowledge. At last, the applications of knowledge separation are given according to - screen and - screen.
文摘Background: Preterm labor is one of the most public health problems related to neonates admitted to Neonatal Intensive Care Unit (NICU). Poor knowledge among mothers about the care requirements of a preterm neonate is immediate cause for post-discharge medical problems in premature and neonates readmission to NICU. Hence, this study aims to evaluate mothers’ knowledge of caring for premature infants post-discharge from Neonatal Intensive Care Units in the Gaza strip. Methods: A Quantitative-based cross-sectional designs study was used to survey 120 mothers of preterm neonates at the time of preterm neonates discharge by face-to-face interview at Al-Shifa medical complex and Nasser hospital between February and June 2018. Results: The results showed that only about 58.4% of mothers of premature babies had good knowledge about health care needed for premature infants after discharge from NICU. Furthermore, there was no statistically significant difference between the level of knowledge and mother’s sociodemographic characteristics (P-values > 0.05). Conclusion: Mothers’ knowledge of premature infants care was not at the optimal level, which might put the newborns at risk. Therefore, the study emphasizes the necessity of thoughtful exchange of health information between team members and mothers and establishing pre- and post-discharge plans with mothers to start their healthy transition of preterm neonate to home and to ameliorate family concerns.
文摘This paper examines the origin,compilation,and circulation of A Barefoot Doctor’s Manual(Chijiao yisheng shouce赤脚医生手册),exploring the relationship between medical politics and knowledge transmission in China,and its impact on the promotion of Chinese medicine across the world.Barefoot doctors were a special group of rural medical practitioners active in a very special socio-political context.Various editions of barefoot doctor manuals and textbooks were published across China after the first publication of the Manual in 1969.The publication of these manuals and textbooks became an indelible hallmark of the“Cultural Revolution”(1966–1976),when political publications predominated.The Manual was not only a guide for barefoot doctors in their daily study and practice,but also a primary source of medical knowledge for ordinary people.In the middle of the 1970s,the Manual was translated into many languages and published worldwide.This paper argues that the publication of A Barefoot Doctor’s Manual embodied a public-oriented mode of knowledge transmission that emerged and was adopted during a very specific era,and though it was eventually substituted by a mode of training embedded in the formal medical education system,it demonstrated the impact of politics on medicine and health in the context of resource scarcity and low literacy.Changes in China’s geopolitical status,the West’s pursuit of alternative approaches to medicine and health,and the World Health Organization’s(WHO’s)concern over health universality and equity all contributed to the translation and circulation of the Manual,facilitating the dissemination of Chinese medicine worldwide.The paper thus presents empirical and theoretical contributions to research on the relationship between medical politics and knowledge transmission in China.
文摘AIM:To assess the public's knowledge of the differences between ophthalmologists and optometrists and identify the factors associated with knowledge.METHODS:The study was a population-based random survey of adults aged 18 years or older conducted in Enugu,south eastern Nigeria,between March and June,2011.Data on respondents' socio-demographics,clinical profile,and knowledge of the differences between ophthalmologists and optometrists were collected using a 28-item questionnaire.Data were analysed using descriptive and analytical statistics.Values of P〈0.05 were considered statistically significant.RESULTS:The respondents(P=394) comprised 198 males and 196 females(sex ratio =1.01:1),aged 18-70(30.9 ±10.8) years.The majority of respondents were single(57.4%),possessed secondary education(96.9%),employed(65.2%) and had no health insurance(77.4%).Their clinical profile showed previous eye exam 54.1%,spectacle wear 41.6%and contact lens wear 5.6%.In the multivariate analysis,participants' good knowledge of the differences between ophthalmologists and optometrists was significantly associated with educational status(OR:0.32,95%CI:0.23-0.44,P〈0.0001,β =-0.988),employment status(OR:1.8,95%CI:1.45-2.25,P〈0.0001,β=0.124)and previous eye examination(OR:1.63,95%CI:1.29-2.07,P〈0.0001,β =0.549).CONCLUSION:Participants' socio-demographic and clinical characteristics are important predictors of good knowledge.The findings may have implications for all stakeholders in eye care delivery.There is need for knowledge enhancement,by the government and eye care providers,through population-based eye health literacy campaigns.
基金supported by the National Natural Science Foundation of China (60364001,70461001)the Hainan Provincial Natural Science Foundation of China (807054)Hainan Provincial Education Office Foundation (HJ 2008-56)
文摘Singular rough sets (S-rough sets) have three classes of forms: one-directional S-rough sets, dual of onedirectional S-rough sets, and two-directional S-rough sets. Dynamic, hereditary, mnemonic, and hiding properties are the basic characteristics of S-rough sets. By using the S-rough sets, the concepts of f-hiding knowledge, F-hiding knowledge, hiding degree, and hiding dependence degree are given. Then, both the hiding theorem and the hiding dependence theorem of hiding knowledge are proposed. Finally, an application of hiding knowledge is discussed.
文摘BACKGROUND Disease knowledge is associated with increased treatment compliance and improvement of symptoms in inflammatory bowel disease(IBD).IBD-knowledge inventory device(IBD-KID)was developed and validated specifically as a tool to measure disease-related knowledge in children with IBD and their parents.AIM To prospectively assess the determinants of disease-related knowledge regarding paediatric IBD patients and their parents,using the IBD-KID.METHODS A questionnaire-based survey was carried out in paediatric patients and their parents.The determinants of patients’and parents’IBD-KID scores were assessed according to hierarchical linear regression models.RESULTS The study group consisted of 269 IBD patients and 298 parents.The patients’mean(standard deviation,SD)IBD-KID score was 10.87(±3.97),while the parents’was 11.95(±3.97).Both groups exhibited poor knowledge of the side effects of steroid therapy,the role of surgical treatment in IBD,dietary restrictions and the risks associated with the use of herbal medicines.The patients’IBD-KID scores were statistically associated with patient sex[B coefficient(standard error,SE)=1.03(0.44),P=0.021]and patient age[B(SE)=0.03(0.01),P<0.001].The parents’IBD-KID scores were significantly related to patient age[B(SE)=0.02(0.01),P=0.003],and treatment with immunosuppressive agent[B(SE)=1.85(0.48),P<0.001].The final models explained 26.9%of the variance of patients’IBD-KID scores and 18.5%of the variance of parents’scores.CONCLUSION The variables originating from parents’knowledge were significantly associated with patients’IBD-KID scores.The study results indicate the need to implement better education programmes for patients and parents.
文摘Background: The aim of the study was to evaluate the knowledge, attitude and practices on child adoption among infertile women in Douala (Cameroon). Methods: It was a prospective descriptive study of six months duration at the General Hospital and the Dawn Medical Foundation Clinic. Patients of the gynecologic unit presenting with infertility were included. A questioner was administer to each patient with the following variables: Age, marital status, profession, level of education, past gynecologic history, number of children, type and the duration of infertility. Their knowledge, attitude and practice toward child adoption were investigated. Data collected was analyzed using the statistical software EPI-INFO 6.04 and R. p value < 0.05 was considered to be statistically significant. Results: Among the 300 women included, 269 (89.7%) had already heard about adoption, 62.1% through the media. Seventeen percent knew who to meet in order to adopt a child in Cameroon. Two hundred and thirty patients (76.7%) were in favor of adoption but 48.7% of them didn’t want to adopt a child. One percent of patient had adopted a child. The attitude towards adoption was significantly influenced by the duration of infertility of more than 10 years (p = 0.0014). Among women who have at least one child 9.4% wanted adoption against 21.4% who did not want adoption (p = 0.0305). Among women aged between 25 and 30 years, 28.2% wanted to adopt a child against 79.1% who did not want it (p = 0.000). Eighty five percent of women who had secondary infertility did not want to adopt against 44.7% who wanted it (p = 0.0003). Conclusion: The level of knowledge is high in educated patient. However, many women don’t know the right procedure and the structures in charge of adoption. Their attitude is favorable but the practice of adoption remains low.
文摘Click-streams of online shopping are the tracks/trails of interactions between a customer and a vendor.We observe that it is of great importance both in theory and practice to explore a deep analysis method for analyzing click-stream information of an individual customer in a specific transaction for understanding the bidirectional value transfer within the machine-human interaction of an online store and for its personalization.We analyze the significance,the hierarchical structure and the characteristics of click-stream information and propose that Ricoeur's hermeneutic theory be the foundation of forming such a deep analysis method.Then we use the empirical context information of the click-stream to improve the naive interpretation put forward by Ricoeur.Moreover,we apply the Grounded Theory to extend the deep analysis of Ricoeur's theory of textual interpretation.The improved theory fits well with the needs of interpretation and the analysis of click-stream information.We exemplify and show the feasibility of this analysis method by using data collected(a single case)from a large study of human-computer interaction.
文摘While the nursing community generally agrees that the Doctorate of Nursing Practice (DNP) degree will strengthen nursing as an academic discipline, there is little known about students’ perceptions of the advanced degree. Nursing students enrolled in an accelerated master’s program in nursing (N = 45) were surveyed to assess their knowledge of the DNP degree while also identifying the perceived effect a DNP might have on their careers, on nursing as a discipline, and on public perceptions of nursing practice. In this study, 51% of participants supported the transition to the DNP as the standard degree for practice nursing while 29% were opposed. The majority of participants (71%) planned to pursue an advanced practice nursing degree/certification with 81% of this group signifying that they would do so even if a DNP is required. The majority of participants agreed that the DNP will improve public perception of advanced practice nursing, but 71% thought the title of “doctor” would confuse patients. While current nursing students are generally informed of the upcoming DNP transition, there is disagreement regarding its implications for their careers and for the extent of public understanding.
文摘Background: Rheumatoid arthritis (RA) is a chronic and disabling disease that has a major impact on the lives of patients. Objectives: To test the patients’ knowledge about their disease, its treatment, its complications, and if this affects severity of the disease as measured by the disease activity index (DAS 28). Patients and Methods: A sample of 100 patients with RA who met the Criteria of American College of Rheumatology for RA agreed to participate in this study over the period September 2011-March 2012. Patients’ data were obtained by personal interview. The questionnaire included demographic characteristics and the patients’ knowledge about their disease. The disease activity was measured using standard (DAS28). Results: Thirty three percent of the patients didn’t have an idea about their disease, 20% didn’t know the reason for the investigations, 49% didn’t know the treatment and 40% didn’t know the side effects of their medications. Most patients had a high disease activity index, and there was a poor correlation between patients’ educational level and the disease activity. Conclusions: Neither the educational level nor the frequency of hospital admissions had effects on the knowledge about this disease. As most patients had a high disease activity, a better knowledge may improve disease control and prevent complications.