Although it was frigid outside mid-winter, classrooms in the Business School of Beijing International Studies University are still as warm as spring,because of the passionate teachers and students. Professors were con...Although it was frigid outside mid-winter, classrooms in the Business School of Beijing International Studies University are still as warm as spring,because of the passionate teachers and students. Professors were conducting lectures in English, as the students listen carefully and occasionally answered the questions posed in fluent English.If hearing their voices only, audiences might easily mistake that they were in a university in an English-speaking country.'展开更多
Studies showed that exclusive breast feeding reduced infant morbidity and mortality. In low income countries such as Ethiopia where under-five mortality is very high, the role of exclusively breastfeeding could be eve...Studies showed that exclusive breast feeding reduced infant morbidity and mortality. In low income countries such as Ethiopia where under-five mortality is very high, the role of exclusively breastfeeding could be even more critical. However, studies assessing the place of exclusive breast freeing in the prevention of childhood illnesses in our area are scarce. The aim of the study was to identify determinant factors of childhood pneumonia and diarrhoea. An institution based case control study was conducted in Achefer District in July, 2012. The cases were 122 children of 7 - 24 months old who had repeated attack of diarrhoea or pneumonia over three months prior to the survey while controls were 122 children who visited well baby clinic for vaccination. Data were collected by using pre-tested and structured questionnaire, and analysed using SPSS version 16 for windows. Logistic regression was performed, and strength of associations was estimated using odds ratio and 95% confidence interval. About 83% of the controls and only 12.3% of the cases were exclusively breast fed. Children who were exclusively breast fed were 83 times less likely to develop pneumonia or diarrhea than those who were not exclusively fed. Marital status, monthly income, prelacteal feeding, and late initiation of breast feeding were found to have statistically significant association with childhood diarrhea and pneumonia. This study brought local evidence that exclusive breast feeding had a protective effect against common childhood infectious diseases—pneumonia and diarrhoea—in the study area. Therefore, culture sensitive and plausible health education is recommended to strengthen exclusive breast feeding practices in order to decrease mortality and morbidity of infants and children from pneumonia and diarrhoea.展开更多
Introduction: Early breastfeeding is recommended by the WHO as one of the essential practices for child nutrition. Objective: To identify the relationship between early breastfeeding, exclusive breastfeeding (EBF) and...Introduction: Early breastfeeding is recommended by the WHO as one of the essential practices for child nutrition. Objective: To identify the relationship between early breastfeeding, exclusive breastfeeding (EBF) and continuation of breastfeeding up to 24 months of age. Patients and Methods: This research is a cross-sectional, descriptive and analytical study conducted in the District of Parakou (Benin) in November 2016. Sampling was probabilistic and used the WHO cluster sampling technique. Children aged 6 to 24 months and their mothers were included. The main variables investigated during the study were related to practices of early breastfeeding, EBF and continuation of breastfeeding until 24 months of age. The data collected through direct interview were entered and processed using the Epi-info 7.2 software. Chi-squared test was used to compare proportions;the differences existing between the proportions were considered as significant if p Findings: Among the 420 children included, the prevalence of EBF was 26.67%. EBF and continuation of breastfeeding up to 24 months were statistically related to early breastfeeding with p values estimated at 0.014 and 0.047, respectively. Conclusion: Improving and enhancing the performance of breastfeeding practice should be possible by promoting early breastfeeding.展开更多
Economic growth and environmental "friendliness" are the dual missions of China's grand western development. In the past eight years,China has seen the gap between eastern and western regions still widen...Economic growth and environmental "friendliness" are the dual missions of China's grand western development. In the past eight years,China has seen the gap between eastern and western regions still widening while also taking on the arduous task of protecting nature,ecology and environment in the western region. How has western development fared in the past eight years? What difficulties and challenges are being encountered? The development of the western region poses the single greatest difficulty facing China's regional economic development,but how can we advance along a "sound and fast" development path? The establishment of economic zones in Chengdu and Chongqing,Guanzhong and North Bay has opened up new possibilities and expectations for western China's economic development.展开更多
The Directory of China’s Foreign Trade,compiled by China Council for the Promotionof International Trade (CCPIT) and ChinaChamber of International Commerce(CCOIC), is always well received by friendsfrom foreign trade...The Directory of China’s Foreign Trade,compiled by China Council for the Promotionof International Trade (CCPIT) and ChinaChamber of International Commerce(CCOIC), is always well received by friendsfrom foreign trade companies and industrialenterprises both at home and abroad, and reprinted for several times.展开更多
Hai Wen, economist and vice president of Peking University, has for many years been involved in in-depth investigation and research of China's medical reform, earning a reputation as one of the foremost economists...Hai Wen, economist and vice president of Peking University, has for many years been involved in in-depth investigation and research of China's medical reform, earning a reputation as one of the foremost economists in the field of medical reform. However, in the recent debate on medical reform policy, Hai Wen deliberately decided to keep a low profile. In his view, some of the ideas coming out of academic circles these days are "too short-sighted and political-motivated." During this interview, he talks about this recent round of medical reform debate, its challenges, and prospects for future reform.展开更多
Introduction: Neonatal mortality remains a major concern in West Africa, and exclusive breastfeeding is recognized as a crucial intervention to promote newborn survival. This study aims to identify the factors influen...Introduction: Neonatal mortality remains a major concern in West Africa, and exclusive breastfeeding is recognized as a crucial intervention to promote newborn survival. This study aims to identify the factors influencing the practice of exclusive breastfeeding among mothers, as well as the perceptions of fathers, in the Boulmiougou health district. Method: This cross-sectional mixed study was conducted between May and July 2022, involving 471 mothers and 103 fathers of children under one year of age. Questionnaires and interviews were used to collect data. Results: The practice of exclusive breastfeeding was observed in 44.6% of mothers surveyed. Logistic regression analysis revealed that mothers older than 26 years have a significantly higher chance of exclusive breastfeeding [adjusted OR = 1.7;95% CI: (1.098 - 2.685);p = 0.019] compared to mothers under 26 years of age. Similarly, mothers with at least three antenatal visits were 2.715 times more likely to perform exclusive breastfeeding than those with less than three antenatal visits [adjusted OR = 2.715, 95% CI: (1.184 - 6.225);p = 0.018]. The vast majority of fathers (76.7%) were informed about exclusive breastfeeding, and 59.5% had a correct definition. The analysis of the father’s perception highlighted a stronger focus on traditional practices in 90.3% of cases than on medical recommendations. Conclusion: In light of these results, it is essential to increase sessions to raise awareness and involve men throughout pregnancy, childbirth and early childhood monitoring about the many benefits of exclusive breastfeeding.展开更多
In recent years,Francophone schools in Alberta,a province in western Canada,have seen significant ethnocultural diversification of their school population,thus reflecting recent migratory changes in Canada.The populat...In recent years,Francophone schools in Alberta,a province in western Canada,have seen significant ethnocultural diversification of their school population,thus reflecting recent migratory changes in Canada.The population of a Francophone school board located in an agglomeration of Alberta reflects these new migratory trends.A partial ethnodemographic portrait carried out in 2003 in six of its schools indicates that 50%of the pupils come from an immigrant background and come from 23 different countries;mostly from sub-Saharan African countries.This demographic reality,confirmed more than a decade later,represents a major structural change for Francophone schools.In Alberta,as in other Canadian provinces,inclusion is at the heart of discourse and educational practices.With a transformative aim,it intends to promote ethnocultural diversity in the classroom and equal opportunities through school equity practices.This article focuses on the settlement workers in schools responsible for bridging family,community,and school cultures.The analysis of the interviews of the four workers sheds light on and questions both the institutional practices and the personal strategies put in place to face the challenges encountered in this tripartite collaboration.展开更多
Inflammatory bowel diseases(IBD), including ulcerative colitis and Crohn's disease are chronic, life-long, and relapsing diseases of the gastrointestinal tract. Currently, there are no complete cure possibilities,...Inflammatory bowel diseases(IBD), including ulcerative colitis and Crohn's disease are chronic, life-long, and relapsing diseases of the gastrointestinal tract. Currently, there are no complete cure possibilities, but combined pharmacological and nutritional therapy may induce remission of the disease. Malnutrition and specific nutritional deficiencies are frequent among IBD patients, so the majority of them need nutritional treatment, which not only improves the state of nutrition of the patients but has strong anti-inflammatory activity as well. Moreover, some nutrients, from early stages of life are suspected as triggering factors in the etiopathogenesis of IBD. Both parenteral and enteral nutrition is used in IBD therapy, but their practical utility in different populations and in different countries is not clearly established, and there are sometimes conflicting theories concerning the role of nutrition in IBD. This review presents the actual data from research studies on the influence of nutrition on the etiopathogenesis of IBD and the latest findings regarding its mechanisms of action. The use of both parenteral and enteral nutrition as therapeutic methods in induction and maintenance therapy in IBD treatment is also extensively discussed. Comparison of the latest research data, scientific theories concerning the role of nutrition in IBD, and different opinions about them are also presented and discussed. Additionally, some potential future perspectives for nutritional therapy are highlighted.展开更多
Exclusive enteral nutrition(EEN)is well-established as a first line therapy instead of corticosteroid(CS)therapy to treat active Crohn’s disease(CD)in children.It also has been shown to have benefits over and above i...Exclusive enteral nutrition(EEN)is well-established as a first line therapy instead of corticosteroid(CS)therapy to treat active Crohn’s disease(CD)in children.It also has been shown to have benefits over and above induction of disease remission in paediatric populations.However,other than in Japanese populations,this intervention is not routinely utilised in adults.To investigate potential reasons for variation in response between adult studies of EEN and CS therapy.The Ovid database was searched over a 6-mo period.Articles directly comparing EEN and CS therapy in adults were included.Eleven articles were identified.EEN therapy remission rates varied considerably.Poor compliance with EEN therapy due to unpalatable formula was an issue in half of the studies.Remission rates of studies that only included patients with previously untreated/new CD were higher than studies including patients with both existing and new disease.There was limited evidence to determine if disease location,duration of disease or age of diagnosis affected EEN therapy outcomes.There is some evidence to support the use of EEN as a treatment option for a select group of adults,namely those motivated to adhere to an EEN regimen and possibly those newly diagnosed with CD.In addition,the use of more palatable formulas could improve treatment compliance.展开更多
Many studies have looked at connections between diet,etiology,signs and symptoms associated with inflammatory bowel disease(IBD).Although these connections are apparent to clinicians,they are difficult to prove qualit...Many studies have looked at connections between diet,etiology,signs and symptoms associated with inflammatory bowel disease(IBD).Although these connections are apparent to clinicians,they are difficult to prove qualitatively or quantitatively.Enteral feeding and polymeric diets are equally effective at bringing about remission in Crohn's disease(CD).Parenteral feeding is also effective,although none of these methods is as effective as corticosteroid therapy.However,enteral feeding is preferred in the pediatric population because linear growth is more adequately maintained via this route.Exclusion diets in patients brought into remission using an elemental diet have been shown to maintain remission for longer periods.Studies that aim to isolate culpable food groups have shown that individuals react differently on exposure to or exclusion of various foods.The commonly identifi ed food sensitivities are cereals,milk,eggs,vegetables and citrus fruits.Studies that have looked at gut mucosal antigen behavior have shown higher rectal blood flow,in response to specifi c food antigens,in those with CD over healthy subjects.Exclusion of sugar shows little evidence of amelioration in CD.Omega 3 fatty acids show promise in the treatment of IBD but await larger randomized controlled trials.Patients frequently notice that specifi c foods cause aggravation of their symptoms.Whilst it has been diffi cult to pinpoint specifi c foods,with advances in the laboratory tests and food supplements available,the aim is to prolong remission in these patients using dietary measures,and reduce the need for pharmacotherapy and surgical intervention.展开更多
Overgrazing is regarded as one of the key factors of vegetation and soil degradation in the arid and semi-arid regions of Northwest China.Grazing exclusion(GE)is one of the most common pathways used to restore degrade...Overgrazing is regarded as one of the key factors of vegetation and soil degradation in the arid and semi-arid regions of Northwest China.Grazing exclusion(GE)is one of the most common pathways used to restore degraded grasslands and to improve their ecosystem services.Nevertheless,there are still significant controversies concerning GE’s effects on grassland diversity as well as carbon(C)and nitrogen(N)storage.It remains poorly understood in the arid desert regions,whilst being essential for the sustainable use of grassland resources.To assess the effects of GE on community characteristics and C and N storage of desert plant community in the arid desert regions,we investigated the community structure and plant biomass,as well as C and N storage of plants and soil(0-100 cm depth)in short-term GE(three years)plots and adjacent long-term freely grazing(FG)plots in the areas of sagebrush desert in Northwest China,which are important both for spring-autumn seasonal pasture and for ecological conservation.Our findings indicated that GE was beneficial to the average height,coverage and aboveground biomass(including stems,leaves and inflorescences,and litter)of desert plant community,to the species richness and importance values of subshrubs and perennial herbs,and to the biomass C and N storage of aboveground parts(P<0.05).However,GE was not beneficial to the importance values of annual herbs,root/shoot ratio and total N concentration in the 0-5 and 5-10 cm soil layers(P<0.05).Additionally,the plant density,belowground biomass,and soil organic C concentration and C storage in the 0-100 cm soil layer could not be significantly changed by short-term GE(three years).The results suggest that,although GE was not beneficial for C sequestration in the sagebrush desert ecosystem,it is an effective strategy for improving productivity,diversity,and C and N storage of plants.As a result,GE can be used to rehabilitate degraded grasslands in the arid desert regions of Northwest China.展开更多
Exclusive enteral nutrition involves the use of acomplete liquid diet, with the exclusion of normaldietary components for a defined period of time,as a therapeutic measure to induce remission inactive Crohn's disease...Exclusive enteral nutrition involves the use of acomplete liquid diet, with the exclusion of normaldietary components for a defined period of time,as a therapeutic measure to induce remission inactive Crohn's disease (CD). This very efficaciousapproach leads to high rates of remission, especiallyin children and adolescents newly diagnosed withCD. This intervention also results in mucosal healing,AbstractExclusive enteral nutrition involves the use of acomplete liquid diet, with the exclusion of normaldietary components for a defined period of time,as a therapeutic measure to induce remission inactive Crohn's disease (CD). This very efficaciousapproach leads to high rates of remission, especiallyin children and adolescents newly diagnosed withCD. This intervention also results in mucosal healing,展开更多
This paper discusses the definitions and properties of two kinds of fundamental symmetric functions, which are based on AND-OR-NOT algebraic system and AND-Exclusive OR algebraic system, respectively. Based upon it, s...This paper discusses the definitions and properties of two kinds of fundamental symmetric functions, which are based on AND-OR-NOT algebraic system and AND-Exclusive OR algebraic system, respectively. Based upon it, some mapping transformation methods between two kinds of expansion coefficients of an arbitrary symmetric, function in the complete set of two fundamental symmetric functions.展开更多
Rates of exclusive breastfeeding in Malawi remain low despite the acknowledged benefits of exclusive breastfeeding for the infant’s wellbeing and the prevention of mother-to-child transmission of HIV. Creating an env...Rates of exclusive breastfeeding in Malawi remain low despite the acknowledged benefits of exclusive breastfeeding for the infant’s wellbeing and the prevention of mother-to-child transmission of HIV. Creating an environment supportive of exclusive breastfeeding is critical to increase the rate of exclusive breastfeeding among HIV-positive mothers. However, little is known on factors that influence the environment within which HIV-positive mothers in Malawi practise exclusive breastfeeding. Therefore, the exploratory qualitative study on which this article is based was conducted at the Chatinkha maternity unit of Queen Elizabeth Central Hospital in Malawi from April 16, 2009 to May 8, 2009 to explore perceived practice environment related barriers to exclusive breastfeeding among HIV-positive mothers. Data were obtained through indepth interviews with 16 purposively selected breastfeeding HIV-positive mothers between 18 and 35 years old and two focus group discussions with women of unknown HIV status. Semi-structured interview and focus group guides were utilised. Content analysis of data was done. Five main themes emerged regarding factors that may influence the environment within which exclusive breastfeeding was practised: 1) availability of resources;2) societal norms and cultural practices;3) mother-baby proximity;4) health workers’ attitudes and 5) disclosure of the mothers’ HIV status. A multi-sectoral approach to promote exclusive breastfeeding is suggested. This?should include community involvement because it is in the community where breastfeeding norms and cultural practices associated with breast-feeding are propagated.展开更多
Background: The recommendation of the WHO and UNICEF is that all infants should be exclusively breastfed up to 6 months of age. Identifying associated factors to exclusively breastfeeding is crucial to improve this ke...Background: The recommendation of the WHO and UNICEF is that all infants should be exclusively breastfed up to 6 months of age. Identifying associated factors to exclusively breastfeeding is crucial to improve this key public health intervention. The objectives of the study were to investigate rates of exclusive breastfeeding and to identify potential associated factors. Methods: A Community based cross-sectional study design was conducted in three health districts. Cluster sampling was used. For the community based cross-sectional study, a total of 1832 infants was included. Exclusive breastfeeding have been investigated among the 563 under 6 month’s infants. The associations between exclusive breastfeeding and independent variables were tested using the Chi-square test. Crude Odds ratios with 95 % confidence intervals were used to investigate the factors independently associated with exclusively breastfeeding. Results: Proportion of infant 0 - 5.9 months of age who are fed exclusively with breastmilk was 40.0%. Ear of age for mother was found to be more likely to practice exclusive breastfeeding, COR [95CI%] = 2.11 [1.24 - 3.60] for 15 - 20 years of age and 2.0 [1.22 - 3.26]. Receiving advices, on exclusive breastfeeding was found to be more likely to practice exclusive breastfeeding, COR: 2.07, 95% CI: [1.44 - 2.98]. Mothers who have practice early initiation to breastfeeding were found to be more likely to practice exclusive breastfeeding COR: 1.62, 95% CI: [1.15 - 2.27]. Skilled delivery was found to be more likely to practice exclusive breastfeeding than non-skilled deliveries, COR: 1.66, 95% CI: [1.16 - 2.35]. Low numbers of living children by mother, young children, were found to be more likely to practice exclusive breastfeeding. Conclusions: Exclusive breastfeeding continues to be low in rural areas of Burkina Faso. As Exclusive breastfeeding is associated to lower morbidity and mortality risk, improving the skills of health providers to give adequate feeding support to the mothers is critical for promoting exclusively breastfeeding.展开更多
In this paper, the author concerns some aspects of person deixis to illustrate the different deictic usages of "we" and discusses the interpersonal functions of "we" in daily life and in writing re...In this paper, the author concerns some aspects of person deixis to illustrate the different deictic usages of "we" and discusses the interpersonal functions of "we" in daily life and in writing research papers in the hope of making a better use of it in the future life.展开更多
A simulation network model was established using VISSIM software and verified by the T- test. The model took into consideration the road conditions, pedestrian crossing, traffic composi- tion, bus stops and traffic si...A simulation network model was established using VISSIM software and verified by the T- test. The model took into consideration the road conditions, pedestrian crossing, traffic composi- tion, bus stops and traffic signal. The operating characteristics of buses and cars under different flow conditions were studied using the simulation model, and the speed-flow models of buses and cars were established based on the simulation results. Finally, the threshold values of traffic flow for the provision of exclusive bus lanes was determined with the target of optimal travel benefits (per capi- ta) , which would provide a basis for the planning and design of exclusive bus lanes on urban roads.展开更多
文摘Although it was frigid outside mid-winter, classrooms in the Business School of Beijing International Studies University are still as warm as spring,because of the passionate teachers and students. Professors were conducting lectures in English, as the students listen carefully and occasionally answered the questions posed in fluent English.If hearing their voices only, audiences might easily mistake that they were in a university in an English-speaking country.'
文摘Studies showed that exclusive breast feeding reduced infant morbidity and mortality. In low income countries such as Ethiopia where under-five mortality is very high, the role of exclusively breastfeeding could be even more critical. However, studies assessing the place of exclusive breast freeing in the prevention of childhood illnesses in our area are scarce. The aim of the study was to identify determinant factors of childhood pneumonia and diarrhoea. An institution based case control study was conducted in Achefer District in July, 2012. The cases were 122 children of 7 - 24 months old who had repeated attack of diarrhoea or pneumonia over three months prior to the survey while controls were 122 children who visited well baby clinic for vaccination. Data were collected by using pre-tested and structured questionnaire, and analysed using SPSS version 16 for windows. Logistic regression was performed, and strength of associations was estimated using odds ratio and 95% confidence interval. About 83% of the controls and only 12.3% of the cases were exclusively breast fed. Children who were exclusively breast fed were 83 times less likely to develop pneumonia or diarrhea than those who were not exclusively fed. Marital status, monthly income, prelacteal feeding, and late initiation of breast feeding were found to have statistically significant association with childhood diarrhea and pneumonia. This study brought local evidence that exclusive breast feeding had a protective effect against common childhood infectious diseases—pneumonia and diarrhoea—in the study area. Therefore, culture sensitive and plausible health education is recommended to strengthen exclusive breast feeding practices in order to decrease mortality and morbidity of infants and children from pneumonia and diarrhoea.
文摘Introduction: Early breastfeeding is recommended by the WHO as one of the essential practices for child nutrition. Objective: To identify the relationship between early breastfeeding, exclusive breastfeeding (EBF) and continuation of breastfeeding up to 24 months of age. Patients and Methods: This research is a cross-sectional, descriptive and analytical study conducted in the District of Parakou (Benin) in November 2016. Sampling was probabilistic and used the WHO cluster sampling technique. Children aged 6 to 24 months and their mothers were included. The main variables investigated during the study were related to practices of early breastfeeding, EBF and continuation of breastfeeding until 24 months of age. The data collected through direct interview were entered and processed using the Epi-info 7.2 software. Chi-squared test was used to compare proportions;the differences existing between the proportions were considered as significant if p Findings: Among the 420 children included, the prevalence of EBF was 26.67%. EBF and continuation of breastfeeding up to 24 months were statistically related to early breastfeeding with p values estimated at 0.014 and 0.047, respectively. Conclusion: Improving and enhancing the performance of breastfeeding practice should be possible by promoting early breastfeeding.
文摘Economic growth and environmental "friendliness" are the dual missions of China's grand western development. In the past eight years,China has seen the gap between eastern and western regions still widening while also taking on the arduous task of protecting nature,ecology and environment in the western region. How has western development fared in the past eight years? What difficulties and challenges are being encountered? The development of the western region poses the single greatest difficulty facing China's regional economic development,but how can we advance along a "sound and fast" development path? The establishment of economic zones in Chengdu and Chongqing,Guanzhong and North Bay has opened up new possibilities and expectations for western China's economic development.
文摘The Directory of China’s Foreign Trade,compiled by China Council for the Promotionof International Trade (CCPIT) and ChinaChamber of International Commerce(CCOIC), is always well received by friendsfrom foreign trade companies and industrialenterprises both at home and abroad, and reprinted for several times.
文摘Hai Wen, economist and vice president of Peking University, has for many years been involved in in-depth investigation and research of China's medical reform, earning a reputation as one of the foremost economists in the field of medical reform. However, in the recent debate on medical reform policy, Hai Wen deliberately decided to keep a low profile. In his view, some of the ideas coming out of academic circles these days are "too short-sighted and political-motivated." During this interview, he talks about this recent round of medical reform debate, its challenges, and prospects for future reform.
文摘Introduction: Neonatal mortality remains a major concern in West Africa, and exclusive breastfeeding is recognized as a crucial intervention to promote newborn survival. This study aims to identify the factors influencing the practice of exclusive breastfeeding among mothers, as well as the perceptions of fathers, in the Boulmiougou health district. Method: This cross-sectional mixed study was conducted between May and July 2022, involving 471 mothers and 103 fathers of children under one year of age. Questionnaires and interviews were used to collect data. Results: The practice of exclusive breastfeeding was observed in 44.6% of mothers surveyed. Logistic regression analysis revealed that mothers older than 26 years have a significantly higher chance of exclusive breastfeeding [adjusted OR = 1.7;95% CI: (1.098 - 2.685);p = 0.019] compared to mothers under 26 years of age. Similarly, mothers with at least three antenatal visits were 2.715 times more likely to perform exclusive breastfeeding than those with less than three antenatal visits [adjusted OR = 2.715, 95% CI: (1.184 - 6.225);p = 0.018]. The vast majority of fathers (76.7%) were informed about exclusive breastfeeding, and 59.5% had a correct definition. The analysis of the father’s perception highlighted a stronger focus on traditional practices in 90.3% of cases than on medical recommendations. Conclusion: In light of these results, it is essential to increase sessions to raise awareness and involve men throughout pregnancy, childbirth and early childhood monitoring about the many benefits of exclusive breastfeeding.
文摘In recent years,Francophone schools in Alberta,a province in western Canada,have seen significant ethnocultural diversification of their school population,thus reflecting recent migratory changes in Canada.The population of a Francophone school board located in an agglomeration of Alberta reflects these new migratory trends.A partial ethnodemographic portrait carried out in 2003 in six of its schools indicates that 50%of the pupils come from an immigrant background and come from 23 different countries;mostly from sub-Saharan African countries.This demographic reality,confirmed more than a decade later,represents a major structural change for Francophone schools.In Alberta,as in other Canadian provinces,inclusion is at the heart of discourse and educational practices.With a transformative aim,it intends to promote ethnocultural diversity in the classroom and equal opportunities through school equity practices.This article focuses on the settlement workers in schools responsible for bridging family,community,and school cultures.The analysis of the interviews of the four workers sheds light on and questions both the institutional practices and the personal strategies put in place to face the challenges encountered in this tripartite collaboration.
文摘Inflammatory bowel diseases(IBD), including ulcerative colitis and Crohn's disease are chronic, life-long, and relapsing diseases of the gastrointestinal tract. Currently, there are no complete cure possibilities, but combined pharmacological and nutritional therapy may induce remission of the disease. Malnutrition and specific nutritional deficiencies are frequent among IBD patients, so the majority of them need nutritional treatment, which not only improves the state of nutrition of the patients but has strong anti-inflammatory activity as well. Moreover, some nutrients, from early stages of life are suspected as triggering factors in the etiopathogenesis of IBD. Both parenteral and enteral nutrition is used in IBD therapy, but their practical utility in different populations and in different countries is not clearly established, and there are sometimes conflicting theories concerning the role of nutrition in IBD. This review presents the actual data from research studies on the influence of nutrition on the etiopathogenesis of IBD and the latest findings regarding its mechanisms of action. The use of both parenteral and enteral nutrition as therapeutic methods in induction and maintenance therapy in IBD treatment is also extensively discussed. Comparison of the latest research data, scientific theories concerning the role of nutrition in IBD, and different opinions about them are also presented and discussed. Additionally, some potential future perspectives for nutritional therapy are highlighted.
文摘Exclusive enteral nutrition(EEN)is well-established as a first line therapy instead of corticosteroid(CS)therapy to treat active Crohn’s disease(CD)in children.It also has been shown to have benefits over and above induction of disease remission in paediatric populations.However,other than in Japanese populations,this intervention is not routinely utilised in adults.To investigate potential reasons for variation in response between adult studies of EEN and CS therapy.The Ovid database was searched over a 6-mo period.Articles directly comparing EEN and CS therapy in adults were included.Eleven articles were identified.EEN therapy remission rates varied considerably.Poor compliance with EEN therapy due to unpalatable formula was an issue in half of the studies.Remission rates of studies that only included patients with previously untreated/new CD were higher than studies including patients with both existing and new disease.There was limited evidence to determine if disease location,duration of disease or age of diagnosis affected EEN therapy outcomes.There is some evidence to support the use of EEN as a treatment option for a select group of adults,namely those motivated to adhere to an EEN regimen and possibly those newly diagnosed with CD.In addition,the use of more palatable formulas could improve treatment compliance.
文摘Many studies have looked at connections between diet,etiology,signs and symptoms associated with inflammatory bowel disease(IBD).Although these connections are apparent to clinicians,they are difficult to prove qualitatively or quantitatively.Enteral feeding and polymeric diets are equally effective at bringing about remission in Crohn's disease(CD).Parenteral feeding is also effective,although none of these methods is as effective as corticosteroid therapy.However,enteral feeding is preferred in the pediatric population because linear growth is more adequately maintained via this route.Exclusion diets in patients brought into remission using an elemental diet have been shown to maintain remission for longer periods.Studies that aim to isolate culpable food groups have shown that individuals react differently on exposure to or exclusion of various foods.The commonly identifi ed food sensitivities are cereals,milk,eggs,vegetables and citrus fruits.Studies that have looked at gut mucosal antigen behavior have shown higher rectal blood flow,in response to specifi c food antigens,in those with CD over healthy subjects.Exclusion of sugar shows little evidence of amelioration in CD.Omega 3 fatty acids show promise in the treatment of IBD but await larger randomized controlled trials.Patients frequently notice that specifi c foods cause aggravation of their symptoms.Whilst it has been diffi cult to pinpoint specifi c foods,with advances in the laboratory tests and food supplements available,the aim is to prolong remission in these patients using dietary measures,and reduce the need for pharmacotherapy and surgical intervention.
基金This work was supported by the National Basic Resources Survey Project of China(2017FY100201)the Grassology Peak Discipline Foundation of Xinjiang Uygur Autonomous Region,China(CXGFXK-2019-01).
文摘Overgrazing is regarded as one of the key factors of vegetation and soil degradation in the arid and semi-arid regions of Northwest China.Grazing exclusion(GE)is one of the most common pathways used to restore degraded grasslands and to improve their ecosystem services.Nevertheless,there are still significant controversies concerning GE’s effects on grassland diversity as well as carbon(C)and nitrogen(N)storage.It remains poorly understood in the arid desert regions,whilst being essential for the sustainable use of grassland resources.To assess the effects of GE on community characteristics and C and N storage of desert plant community in the arid desert regions,we investigated the community structure and plant biomass,as well as C and N storage of plants and soil(0-100 cm depth)in short-term GE(three years)plots and adjacent long-term freely grazing(FG)plots in the areas of sagebrush desert in Northwest China,which are important both for spring-autumn seasonal pasture and for ecological conservation.Our findings indicated that GE was beneficial to the average height,coverage and aboveground biomass(including stems,leaves and inflorescences,and litter)of desert plant community,to the species richness and importance values of subshrubs and perennial herbs,and to the biomass C and N storage of aboveground parts(P<0.05).However,GE was not beneficial to the importance values of annual herbs,root/shoot ratio and total N concentration in the 0-5 and 5-10 cm soil layers(P<0.05).Additionally,the plant density,belowground biomass,and soil organic C concentration and C storage in the 0-100 cm soil layer could not be significantly changed by short-term GE(three years).The results suggest that,although GE was not beneficial for C sequestration in the sagebrush desert ecosystem,it is an effective strategy for improving productivity,diversity,and C and N storage of plants.As a result,GE can be used to rehabilitate degraded grasslands in the arid desert regions of Northwest China.
文摘Exclusive enteral nutrition involves the use of acomplete liquid diet, with the exclusion of normaldietary components for a defined period of time,as a therapeutic measure to induce remission inactive Crohn's disease (CD). This very efficaciousapproach leads to high rates of remission, especiallyin children and adolescents newly diagnosed withCD. This intervention also results in mucosal healing,AbstractExclusive enteral nutrition involves the use of acomplete liquid diet, with the exclusion of normaldietary components for a defined period of time,as a therapeutic measure to induce remission inactive Crohn's disease (CD). This very efficaciousapproach leads to high rates of remission, especiallyin children and adolescents newly diagnosed withCD. This intervention also results in mucosal healing,
文摘This paper discusses the definitions and properties of two kinds of fundamental symmetric functions, which are based on AND-OR-NOT algebraic system and AND-Exclusive OR algebraic system, respectively. Based upon it, some mapping transformation methods between two kinds of expansion coefficients of an arbitrary symmetric, function in the complete set of two fundamental symmetric functions.
文摘Rates of exclusive breastfeeding in Malawi remain low despite the acknowledged benefits of exclusive breastfeeding for the infant’s wellbeing and the prevention of mother-to-child transmission of HIV. Creating an environment supportive of exclusive breastfeeding is critical to increase the rate of exclusive breastfeeding among HIV-positive mothers. However, little is known on factors that influence the environment within which HIV-positive mothers in Malawi practise exclusive breastfeeding. Therefore, the exploratory qualitative study on which this article is based was conducted at the Chatinkha maternity unit of Queen Elizabeth Central Hospital in Malawi from April 16, 2009 to May 8, 2009 to explore perceived practice environment related barriers to exclusive breastfeeding among HIV-positive mothers. Data were obtained through indepth interviews with 16 purposively selected breastfeeding HIV-positive mothers between 18 and 35 years old and two focus group discussions with women of unknown HIV status. Semi-structured interview and focus group guides were utilised. Content analysis of data was done. Five main themes emerged regarding factors that may influence the environment within which exclusive breastfeeding was practised: 1) availability of resources;2) societal norms and cultural practices;3) mother-baby proximity;4) health workers’ attitudes and 5) disclosure of the mothers’ HIV status. A multi-sectoral approach to promote exclusive breastfeeding is suggested. This?should include community involvement because it is in the community where breastfeeding norms and cultural practices associated with breast-feeding are propagated.
文摘Background: The recommendation of the WHO and UNICEF is that all infants should be exclusively breastfed up to 6 months of age. Identifying associated factors to exclusively breastfeeding is crucial to improve this key public health intervention. The objectives of the study were to investigate rates of exclusive breastfeeding and to identify potential associated factors. Methods: A Community based cross-sectional study design was conducted in three health districts. Cluster sampling was used. For the community based cross-sectional study, a total of 1832 infants was included. Exclusive breastfeeding have been investigated among the 563 under 6 month’s infants. The associations between exclusive breastfeeding and independent variables were tested using the Chi-square test. Crude Odds ratios with 95 % confidence intervals were used to investigate the factors independently associated with exclusively breastfeeding. Results: Proportion of infant 0 - 5.9 months of age who are fed exclusively with breastmilk was 40.0%. Ear of age for mother was found to be more likely to practice exclusive breastfeeding, COR [95CI%] = 2.11 [1.24 - 3.60] for 15 - 20 years of age and 2.0 [1.22 - 3.26]. Receiving advices, on exclusive breastfeeding was found to be more likely to practice exclusive breastfeeding, COR: 2.07, 95% CI: [1.44 - 2.98]. Mothers who have practice early initiation to breastfeeding were found to be more likely to practice exclusive breastfeeding COR: 1.62, 95% CI: [1.15 - 2.27]. Skilled delivery was found to be more likely to practice exclusive breastfeeding than non-skilled deliveries, COR: 1.66, 95% CI: [1.16 - 2.35]. Low numbers of living children by mother, young children, were found to be more likely to practice exclusive breastfeeding. Conclusions: Exclusive breastfeeding continues to be low in rural areas of Burkina Faso. As Exclusive breastfeeding is associated to lower morbidity and mortality risk, improving the skills of health providers to give adequate feeding support to the mothers is critical for promoting exclusively breastfeeding.
文摘In this paper, the author concerns some aspects of person deixis to illustrate the different deictic usages of "we" and discusses the interpersonal functions of "we" in daily life and in writing research papers in the hope of making a better use of it in the future life.
基金Supported by the National High Technology Research and Development Program of China("863"Program)(2011AA110304)
文摘A simulation network model was established using VISSIM software and verified by the T- test. The model took into consideration the road conditions, pedestrian crossing, traffic composi- tion, bus stops and traffic signal. The operating characteristics of buses and cars under different flow conditions were studied using the simulation model, and the speed-flow models of buses and cars were established based on the simulation results. Finally, the threshold values of traffic flow for the provision of exclusive bus lanes was determined with the target of optimal travel benefits (per capi- ta) , which would provide a basis for the planning and design of exclusive bus lanes on urban roads.