Provincial agricultural research institutes are local agricultural research institutions.They are familiar with local agricultural and ru-ral conditions,and have advantages in scientific and technological achievements...Provincial agricultural research institutes are local agricultural research institutions.They are familiar with local agricultural and ru-ral conditions,and have advantages in scientific and technological achievements,technical reserves and the construction of scientific and tech-nological talent support systems.In the process of promoting the implementation of the rural revitalization strategy,all the responsibilities and obligations of the agricultural research institute are to identify the focus of scientific and technological support and talent support in rural revital-ization,and break the bottleneck and constraints of rural revitalization.By sorting out the current situation of agricultural science and technolo-gy experts serving the grassroots in the problem of talent support for rural revitalization,this paper analyzed the existing problems and put for-ward countermeasures and recommendations.展开更多
ChatGPT,as an emergent technique,has become a heat throughout the world.Currently,it was not known entirely to the public.To gain knowledge of how experts perceive and experience ChatGPT,a semi-structured interview wa...ChatGPT,as an emergent technique,has become a heat throughout the world.Currently,it was not known entirely to the public.To gain knowledge of how experts perceive and experience ChatGPT,a semi-structured interview was conducted.By doing thematic analysis of their interview reports,it found that the experts construed the chatbot not the same as some media advertised.They didn’t regard it as a threat to their occupation,but as a helper or an assistant both in life and work.Neither did they restrict its use in education or other fields.They viewed the challenges of ChatGPT in a welcomed and positive way.展开更多
The draft amendment to the law on the protection of the rights and interests of seniors, which was submit-ted on June 26, 2012 to the National People's Congress (NPC) Standing Committee for deliberation aroused hea...The draft amendment to the law on the protection of the rights and interests of seniors, which was submit-ted on June 26, 2012 to the National People's Congress (NPC) Standing Committee for deliberation aroused heated debate in society and also at- tracted public attention to the protection of the rights and interests of elderly people. Entrusted by the NPC, the Human Rights Research Institute at the China University of Political Science and Law and the China Law Center at Yale Law School jointly organized apanel discussion on the rights and inter- ests of elderly people from July 8 to 9, 2012, in Beijing. Representatives from the NPC Committee for Internal and Judicial Affairs, the Legislative Affairs Commission of the NPC Standing Committee,展开更多
Due to people’s increasing dependence on social networks,it is essential to develop a consensus model considering not only their own factors but also the interaction between people.Both external trust relationship am...Due to people’s increasing dependence on social networks,it is essential to develop a consensus model considering not only their own factors but also the interaction between people.Both external trust relationship among experts and the internal reliability of experts are important factors in decision-making.This paper focuses on improving the scientificity and effectiveness of decision-making and presents a consensus model combining trust relationship among experts and expert reliability in social network group decision-making(SN-GDM).A concept named matching degree is proposed to measure expert reliability.Meanwhile,linguistic information is applied to manage the imprecise and vague information.Matching degree is expressed by a 2-tuple linguistic model,and experts’preferences are measured by a probabilistic linguistic term set(PLTS).Subsequently,a hybrid weight is explored to weigh experts’importance in a group.Then a consensus measure is introduced and a feedback mechanism is developed to produce some personalized recommendations with higher group consensus.Finally,a comparative example is provided to prove the scientificity and effectiveness of the proposed consensus model.展开更多
AIM To quantify the variability of financial disclosures by authors presenting orthopaedic trauma research. METHODS Self-reported authorship disclosure information published for the 2012 American Academy of Orthopaedi...AIM To quantify the variability of financial disclosures by authors presenting orthopaedic trauma research. METHODS Self-reported authorship disclosure information published for the 2012 American Academy of Orthopaedic Surgeons(AAOS) and Orthopaedic Trauma Association(OTA) meetings was compiled from meeting programs. Both the AAOS and OTA required global disclosures for participants. Data collected included:(1) total number of presenters;(2) number of presenters with financial disclosures;(3) number of disclosures per author;(4) total number of companies supporting each author; and(5) specific type of disclosure. Disclosures made by authors presenting at more than one meeting were then compared for discrepancies.RESULTS Of the 5002 and 1168 authors presenting at the AAOS and OTA annual meetings, respectively, 1649(33%) and 246(21.9%) reported a financial disclosure(P < 0.0001). At the AAOS conference, the mean number of disclosures among presenters with disclosures was 4.01 with a range from 1 to 44. The majority of authors with disclosures reported three or more disclosures(n = 876, 53.1%). The most common cited disclosurewas as a paid consultant(51.5%) followed by research support(43.0%) and paid speaker(34.8%). Among the 256 physicians with financial disclosures presenting at the OTA conference, the mean number of disclosures was 4.03 with a range from 1 to 22. Similar to the AAOS conference, the majority of authors with any disclosures at the OTA conference reported three or more disclosures(n = 140, 54.7%). Most authors with a disclosure had three or more disclosures and the most common type of disclosure was paid consulting. At the OTA conference, the most commonly cited form of disclosure was paid consultant(54.3%) followed by research support(46.1%) and paid speaker(42.6%). Of the 346 researchers who presented at both meetings, 112(32.4%) authors were found to have at least one disclosure discrepancy. Among authors with a discrepancy, 36(32.1%) had three or more discrepancies. CONCLUSION There were variability and inconsistencies in financial disclosures by researchers presenting orthopaedic trauma research. Improved transparency of conflict of interest disclosures is warranted among trauma researchers presenting at national meetings.展开更多
Mixture of Experts(MoE)regression models are widely studied in statistics and machine learning for modeling heterogeneity in data for regression,clustering and classification.Laplace distribution is one of the most im...Mixture of Experts(MoE)regression models are widely studied in statistics and machine learning for modeling heterogeneity in data for regression,clustering and classification.Laplace distribution is one of the most important statistical tools to analyze thick and tail data.Laplace Mixture of Linear Experts(LMoLE)regression models are based on the Laplace distribution which is more robust.Similar to modelling variance parameter in a homogeneous population,we propose and study a new novel class of models:heteroscedastic Laplace mixture of experts regression models to analyze the heteroscedastic data coming from a heterogeneous population in this paper.The issues of maximum likelihood estimation are addressed.In particular,Minorization-Maximization(MM)algorithm for estimating the regression parameters is developed.Properties of the estimators of the regression coefficients are evaluated through Monte Carlo simulations.Results from the analysis of two real data sets are presented.展开更多
From February 18-21, 2014, a panel of experts, which was established by a resolution of the United Nations Economic and Social Council to draft exemplary strategies and implementation measures for eradicating violence...From February 18-21, 2014, a panel of experts, which was established by a resolution of the United Nations Economic and Social Council to draft exemplary strategies and implementation measures for eradicating violence against children in crime prevention and criminal judicature, convened in Bangkok, Thailand, for an intergovernmental experts meeting mainly to discuss the draft. After general discussion, delib- eration by the presidium and detailed negotiations, the meeting produced the report, "Exemplary Strategies and Implementation Measures for Eradicating Violence Against Children in Crime Prevention and Criminal Judicature."展开更多
Spinal pain(SP)is a common condition that has a major negative impact on a patient’s quality of life.Recent developments in ultrasound-guided injections for the treatment of SP are increasingly being used in clinical...Spinal pain(SP)is a common condition that has a major negative impact on a patient’s quality of life.Recent developments in ultrasound-guided injections for the treatment of SP are increasingly being used in clinical practice.This clinical expert consensus describes the purpose,significance,implementation methods,indications,contraindications,and techniques of ultrasound-guided injections.This consensus offers a practical reference point for physicians to implement successfully ultrasound-guided injections in the treatment of chronic SP.展开更多
IntroductionMore than 1.0 million patients worldwide are diagnosed with space-occupying lesions in the liver every year, with the number approaching 0.5 million per year in China, and only 20% of the lesions are resec...IntroductionMore than 1.0 million patients worldwide are diagnosed with space-occupying lesions in the liver every year, with the number approaching 0.5 million per year in China, and only 20% of the lesions are resectable Due to a lack of available donors, only a limited number of patients underwent allogeneic liver transplantation, the remaining patients simply receive palliative care. Therefore, discovering new options for treating these patients is a high priority. Liver autotransplantation (LAT) is a surgical technique that adopts liver transplantation skills to radically treat spaceoccupying hepatic lesions, benign or malignant,展开更多
According to the Action plan of the Ministry of Environmental Protection, Physical Planning and Construction, the engagement of the implementation of the Directive 2002/91/EC to the Croatian legislation has to be comp...According to the Action plan of the Ministry of Environmental Protection, Physical Planning and Construction, the engagement of the implementation of the Directive 2002/91/EC to the Croatian legislation has to be completed in 2009. The final goal of the Directive is the achievement of energy efficiency in buildings, with emphasis on design of building and building elements, heating and cooling systems and use of renewable energy sources. The presentation of energy performances of the building should be visible in energy label that will classify the building in comparison to energy consumption and must be submitted while buying, selling or renting the building. For the realization of energy certification of the building it is required to provide training for wide number of experts. The production of professional basis is ongoing, where besides the building classification and modification or production of correspondingly technical regulations, are determining the conditions and standards for persons who should provide the certification, as well the method of providing.展开更多
Adozen experts of law gathered on April 1, 2003 to share their views on protection of the workers’ right to remuneration for their work in accordance with the Labor Law of the People’s Republic of China. That took p...Adozen experts of law gathered on April 1, 2003 to share their views on protection of the workers’ right to remuneration for their work in accordance with the Labor Law of the People’s Republic of China. That took place at a seminar jointly sponsored by the Human Rights and the Beijing-based Democracy and Law magazines and the Branch of Labor and Social Security Laws of the Beijing Society of Law. Participants were from the All-China Federation of Trade Unions,展开更多
April 2023–Two industry forums on nonwovens,and textiles and colourants will be reprised at ITMA 2023 which will be held in Milan this June.The ITMA Nonwovens Forum and ITMA Textile Colourants and Chemicals Forum wil...April 2023–Two industry forums on nonwovens,and textiles and colourants will be reprised at ITMA 2023 which will be held in Milan this June.The ITMA Nonwovens Forum and ITMA Textile Colourants and Chemicals Forum will feature renowned experts who will offer insights into current challenges and share ideas on how the textile industry can achieve sustainability by leveraging innovative technologies.展开更多
The robotic liver resection(RLR)has been increasingly applied in recent years and its benefits shown in some aspects owing to the technical advancement of robotic surgical system,however,controversies still exist.Base...The robotic liver resection(RLR)has been increasingly applied in recent years and its benefits shown in some aspects owing to the technical advancement of robotic surgical system,however,controversies still exist.Based on the foundation of the previous consensus statement,this new consensus document aimed to update clinical recommendations and provide guidance to improve the outcomes of RLR clinical practice.The guideline steering group and guideline expert group were formed by 29 international experts of liver surgery and evidence-based medicine(EBM).Relevant literature was reviewed and analyzed by the evidence evaluation group.According to the WHO Handbook for Guideline Development,the Guidance Principles of Development and Amendment of the Guidelines for Clinical Diagnosis and Treatment in China 2022,a total of 14 recommendations were generated.Among them were 8 recommendations formulated by the GRADE method,and the remaining 6 recommendations were formulated based on literature review and experts’opinion due to insufficient EBM results.This international experts consensus guideline offered guidance for the safe and effective clinical practice and the research direction of RLR in future.展开更多
Pure Experts Portal是一个基于网页的集成化科研信息系统,是一个全新的展示与发现科研信息的工具。用户可以在其中拥有完善的科研信息档案,也可以在全球范围内方便地查找领域内的专家。结合山东大学PureExpertsPortal的实例,详细阐述...Pure Experts Portal是一个基于网页的集成化科研信息系统,是一个全新的展示与发现科研信息的工具。用户可以在其中拥有完善的科研信息档案,也可以在全球范围内方便地查找领域内的专家。结合山东大学PureExpertsPortal的实例,详细阐述了该系统的功能、核心技术及数据基础,介绍了该系统的实施过程和运行维护的相关工作。展开更多
To increase the consistency of glioma multidisciplinary team(MDT)management across different regions and hospitals at varying levels,we have updated the Expert Consensus on MDT of Glioma in China based on the currentl...To increase the consistency of glioma multidisciplinary team(MDT)management across different regions and hospitals at varying levels,we have updated the Expert Consensus on MDT of Glioma in China based on the currently available evidence.This version has revised and updated the process-management rules and quality-control standards for a glioma MDT,providing reference and guidance for relevant clinical disciplines and physicians.All members of the Consensus Expert Group,abstract,background,and prospects can be seen in supplementaryle,http://links.lww.com/CM9/B999.展开更多
Malnutrition refers to the deficiency, imbalances, or excesses in a person’s intake of energy or nutrients [1]. Khan defines anaemia as below level of Haemoglobin in red blood shown by a lower number of functioning r...Malnutrition refers to the deficiency, imbalances, or excesses in a person’s intake of energy or nutrients [1]. Khan defines anaemia as below level of Haemoglobin in red blood shown by a lower number of functioning red blood cells [2]. The crisis in the North West and South West Regions of Cameroon has led to several negative effects on children’s living conditions. There has been an increase in malnutrition and anaemia in the South West Region and Kumba in particular. The main objective of this study was “to examine the prevalence of malnutrition and anaemia in children ≤ 5 years of age in some conflict-hit areas of Meme Division”. A descriptive cross-sectional study was conducted in 2023 from March to June. We recruited 200 children ≤ 5 years into the study from three hospitals. The regional hospital annex in Kumba, Presbyterian General Hospital Kumba and the Ntam Hospital in Kumba. Socio-demographic factors were assessed using questionnaire, nutritional status was assessed by the use anthropometric measurements and an auto haematology analyser was used to determine anaemia. The overall prevalence of malnutrition in the study area was 40.5%. The prevalence of malnutrition varied significantly (P < 0.001) with the study sites. The overall prevalence of anaemia in the study area was 70.5%. The prevalence of anaemia was not significantly associated with the study sites. The prevalence of Malnutrition and Anaemia in children ≤ 5 years of age is very high in the Kumba municipalities. This could be attributed to the ongoing crisis which has caused a lot of social migrations from rural areas to Urban areas which are safer.展开更多
Aim: To investigate depression, anxiety, PTSD, and insomnia levels among Sudanese citizens after a year has passed since the start of Armed Forces conflict in Sudan. Methods: An online survey was distributed. It is co...Aim: To investigate depression, anxiety, PTSD, and insomnia levels among Sudanese citizens after a year has passed since the start of Armed Forces conflict in Sudan. Methods: An online survey was distributed. It is composed of five parts, covering the following areas: 1) sociodemographic data;2) depression assessment;3) generalized anxiety disorder assessment;4) post-traumatic stress disorder assessment;and 5) insomnia assessment. Statistical Package for Social Sciences version 27 was used for data analysis;frequency and percentage were used to describe the qualitative variables. Spearman’s correlation analysis and Chi-square test were used for correlation and association analysis;a P-value equal to or less than 0.05 was considered statistically significant. Results: The study included 283 participants, primarily female (76.0%), with a mean age of 35.26 ± 6.96 years. The majority of participants were married (50.5%) and had a university level of education (50.2%). At the start of the war, 70.3% of participants were inside the war zones, and at the time of data collection, 73.5% were outside Sudan. The length of stay in the war zone ranged from 1 to 300 days, with a mean of 48.59 ± 70.284 days. Additionally, 63.3% of participants stated that they did not receive any form of mental health intervention, and the remaining did not provide an answer. There was a high prevalence of moderate-severe depression (50.5%), moderate anxiety (35.3%), PTSD (56.5%), and sub-threshold insomnia (53.4%) among the participants. Correlation analyses revealed associations between demographic factors such as sex, age, marital status, and education and mental health issues. Notably, female participants showed a higher prevalence of PTSD (53.0%) compared to male participants (67.6%). Conclusions: There is a substantial impact of war-related trauma on mental health, revealing a high prevalence of moderate-severe depression, moderate anxiety, PTSD, and sub-threshold insomnia among the participants. This emphasizes the importance of tailored interventions and support systems to address the unique needs of individuals affected by war trauma.展开更多
基金Supported by the Program of Hebei Provincial Department of Human Resources and Social Security(JRSHZ-2023-02190).
文摘Provincial agricultural research institutes are local agricultural research institutions.They are familiar with local agricultural and ru-ral conditions,and have advantages in scientific and technological achievements,technical reserves and the construction of scientific and tech-nological talent support systems.In the process of promoting the implementation of the rural revitalization strategy,all the responsibilities and obligations of the agricultural research institute are to identify the focus of scientific and technological support and talent support in rural revital-ization,and break the bottleneck and constraints of rural revitalization.By sorting out the current situation of agricultural science and technolo-gy experts serving the grassroots in the problem of talent support for rural revitalization,this paper analyzed the existing problems and put for-ward countermeasures and recommendations.
文摘ChatGPT,as an emergent technique,has become a heat throughout the world.Currently,it was not known entirely to the public.To gain knowledge of how experts perceive and experience ChatGPT,a semi-structured interview was conducted.By doing thematic analysis of their interview reports,it found that the experts construed the chatbot not the same as some media advertised.They didn’t regard it as a threat to their occupation,but as a helper or an assistant both in life and work.Neither did they restrict its use in education or other fields.They viewed the challenges of ChatGPT in a welcomed and positive way.
文摘The draft amendment to the law on the protection of the rights and interests of seniors, which was submit-ted on June 26, 2012 to the National People's Congress (NPC) Standing Committee for deliberation aroused heated debate in society and also at- tracted public attention to the protection of the rights and interests of elderly people. Entrusted by the NPC, the Human Rights Research Institute at the China University of Political Science and Law and the China Law Center at Yale Law School jointly organized apanel discussion on the rights and inter- ests of elderly people from July 8 to 9, 2012, in Beijing. Representatives from the NPC Committee for Internal and Judicial Affairs, the Legislative Affairs Commission of the NPC Standing Committee,
基金the National Natural Science Foundation of China(71871121).
文摘Due to people’s increasing dependence on social networks,it is essential to develop a consensus model considering not only their own factors but also the interaction between people.Both external trust relationship among experts and the internal reliability of experts are important factors in decision-making.This paper focuses on improving the scientificity and effectiveness of decision-making and presents a consensus model combining trust relationship among experts and expert reliability in social network group decision-making(SN-GDM).A concept named matching degree is proposed to measure expert reliability.Meanwhile,linguistic information is applied to manage the imprecise and vague information.Matching degree is expressed by a 2-tuple linguistic model,and experts’preferences are measured by a probabilistic linguistic term set(PLTS).Subsequently,a hybrid weight is explored to weigh experts’importance in a group.Then a consensus measure is introduced and a feedback mechanism is developed to produce some personalized recommendations with higher group consensus.Finally,a comparative example is provided to prove the scientificity and effectiveness of the proposed consensus model.
文摘AIM To quantify the variability of financial disclosures by authors presenting orthopaedic trauma research. METHODS Self-reported authorship disclosure information published for the 2012 American Academy of Orthopaedic Surgeons(AAOS) and Orthopaedic Trauma Association(OTA) meetings was compiled from meeting programs. Both the AAOS and OTA required global disclosures for participants. Data collected included:(1) total number of presenters;(2) number of presenters with financial disclosures;(3) number of disclosures per author;(4) total number of companies supporting each author; and(5) specific type of disclosure. Disclosures made by authors presenting at more than one meeting were then compared for discrepancies.RESULTS Of the 5002 and 1168 authors presenting at the AAOS and OTA annual meetings, respectively, 1649(33%) and 246(21.9%) reported a financial disclosure(P < 0.0001). At the AAOS conference, the mean number of disclosures among presenters with disclosures was 4.01 with a range from 1 to 44. The majority of authors with disclosures reported three or more disclosures(n = 876, 53.1%). The most common cited disclosurewas as a paid consultant(51.5%) followed by research support(43.0%) and paid speaker(34.8%). Among the 256 physicians with financial disclosures presenting at the OTA conference, the mean number of disclosures was 4.03 with a range from 1 to 22. Similar to the AAOS conference, the majority of authors with any disclosures at the OTA conference reported three or more disclosures(n = 140, 54.7%). Most authors with a disclosure had three or more disclosures and the most common type of disclosure was paid consulting. At the OTA conference, the most commonly cited form of disclosure was paid consultant(54.3%) followed by research support(46.1%) and paid speaker(42.6%). Of the 346 researchers who presented at both meetings, 112(32.4%) authors were found to have at least one disclosure discrepancy. Among authors with a discrepancy, 36(32.1%) had three or more discrepancies. CONCLUSION There were variability and inconsistencies in financial disclosures by researchers presenting orthopaedic trauma research. Improved transparency of conflict of interest disclosures is warranted among trauma researchers presenting at national meetings.
基金the National Natural Science Foundation of China(11861041,11261025).
文摘Mixture of Experts(MoE)regression models are widely studied in statistics and machine learning for modeling heterogeneity in data for regression,clustering and classification.Laplace distribution is one of the most important statistical tools to analyze thick and tail data.Laplace Mixture of Linear Experts(LMoLE)regression models are based on the Laplace distribution which is more robust.Similar to modelling variance parameter in a homogeneous population,we propose and study a new novel class of models:heteroscedastic Laplace mixture of experts regression models to analyze the heteroscedastic data coming from a heterogeneous population in this paper.The issues of maximum likelihood estimation are addressed.In particular,Minorization-Maximization(MM)algorithm for estimating the regression parameters is developed.Properties of the estimators of the regression coefficients are evaluated through Monte Carlo simulations.Results from the analysis of two real data sets are presented.
文摘From February 18-21, 2014, a panel of experts, which was established by a resolution of the United Nations Economic and Social Council to draft exemplary strategies and implementation measures for eradicating violence against children in crime prevention and criminal judicature, convened in Bangkok, Thailand, for an intergovernmental experts meeting mainly to discuss the draft. After general discussion, delib- eration by the presidium and detailed negotiations, the meeting produced the report, "Exemplary Strategies and Implementation Measures for Eradicating Violence Against Children in Crime Prevention and Criminal Judicature."
文摘Spinal pain(SP)is a common condition that has a major negative impact on a patient’s quality of life.Recent developments in ultrasound-guided injections for the treatment of SP are increasingly being used in clinical practice.This clinical expert consensus describes the purpose,significance,implementation methods,indications,contraindications,and techniques of ultrasound-guided injections.This consensus offers a practical reference point for physicians to implement successfully ultrasound-guided injections in the treatment of chronic SP.
基金supported by the National Natural Science Foundation of China:United Foundation with Xinjiang(U1403222)National Natural Science Foundation of China(81570079)
文摘IntroductionMore than 1.0 million patients worldwide are diagnosed with space-occupying lesions in the liver every year, with the number approaching 0.5 million per year in China, and only 20% of the lesions are resectable Due to a lack of available donors, only a limited number of patients underwent allogeneic liver transplantation, the remaining patients simply receive palliative care. Therefore, discovering new options for treating these patients is a high priority. Liver autotransplantation (LAT) is a surgical technique that adopts liver transplantation skills to radically treat spaceoccupying hepatic lesions, benign or malignant,
文摘According to the Action plan of the Ministry of Environmental Protection, Physical Planning and Construction, the engagement of the implementation of the Directive 2002/91/EC to the Croatian legislation has to be completed in 2009. The final goal of the Directive is the achievement of energy efficiency in buildings, with emphasis on design of building and building elements, heating and cooling systems and use of renewable energy sources. The presentation of energy performances of the building should be visible in energy label that will classify the building in comparison to energy consumption and must be submitted while buying, selling or renting the building. For the realization of energy certification of the building it is required to provide training for wide number of experts. The production of professional basis is ongoing, where besides the building classification and modification or production of correspondingly technical regulations, are determining the conditions and standards for persons who should provide the certification, as well the method of providing.
文摘Adozen experts of law gathered on April 1, 2003 to share their views on protection of the workers’ right to remuneration for their work in accordance with the Labor Law of the People’s Republic of China. That took place at a seminar jointly sponsored by the Human Rights and the Beijing-based Democracy and Law magazines and the Branch of Labor and Social Security Laws of the Beijing Society of Law. Participants were from the All-China Federation of Trade Unions,
文摘April 2023–Two industry forums on nonwovens,and textiles and colourants will be reprised at ITMA 2023 which will be held in Milan this June.The ITMA Nonwovens Forum and ITMA Textile Colourants and Chemicals Forum will feature renowned experts who will offer insights into current challenges and share ideas on how the textile industry can achieve sustainability by leveraging innovative technologies.
文摘The robotic liver resection(RLR)has been increasingly applied in recent years and its benefits shown in some aspects owing to the technical advancement of robotic surgical system,however,controversies still exist.Based on the foundation of the previous consensus statement,this new consensus document aimed to update clinical recommendations and provide guidance to improve the outcomes of RLR clinical practice.The guideline steering group and guideline expert group were formed by 29 international experts of liver surgery and evidence-based medicine(EBM).Relevant literature was reviewed and analyzed by the evidence evaluation group.According to the WHO Handbook for Guideline Development,the Guidance Principles of Development and Amendment of the Guidelines for Clinical Diagnosis and Treatment in China 2022,a total of 14 recommendations were generated.Among them were 8 recommendations formulated by the GRADE method,and the remaining 6 recommendations were formulated based on literature review and experts’opinion due to insufficient EBM results.This international experts consensus guideline offered guidance for the safe and effective clinical practice and the research direction of RLR in future.
基金Shanghai Hospital Development Center under Project(No.SHDC22021208)
文摘To increase the consistency of glioma multidisciplinary team(MDT)management across different regions and hospitals at varying levels,we have updated the Expert Consensus on MDT of Glioma in China based on the currently available evidence.This version has revised and updated the process-management rules and quality-control standards for a glioma MDT,providing reference and guidance for relevant clinical disciplines and physicians.All members of the Consensus Expert Group,abstract,background,and prospects can be seen in supplementaryle,http://links.lww.com/CM9/B999.
文摘Malnutrition refers to the deficiency, imbalances, or excesses in a person’s intake of energy or nutrients [1]. Khan defines anaemia as below level of Haemoglobin in red blood shown by a lower number of functioning red blood cells [2]. The crisis in the North West and South West Regions of Cameroon has led to several negative effects on children’s living conditions. There has been an increase in malnutrition and anaemia in the South West Region and Kumba in particular. The main objective of this study was “to examine the prevalence of malnutrition and anaemia in children ≤ 5 years of age in some conflict-hit areas of Meme Division”. A descriptive cross-sectional study was conducted in 2023 from March to June. We recruited 200 children ≤ 5 years into the study from three hospitals. The regional hospital annex in Kumba, Presbyterian General Hospital Kumba and the Ntam Hospital in Kumba. Socio-demographic factors were assessed using questionnaire, nutritional status was assessed by the use anthropometric measurements and an auto haematology analyser was used to determine anaemia. The overall prevalence of malnutrition in the study area was 40.5%. The prevalence of malnutrition varied significantly (P < 0.001) with the study sites. The overall prevalence of anaemia in the study area was 70.5%. The prevalence of anaemia was not significantly associated with the study sites. The prevalence of Malnutrition and Anaemia in children ≤ 5 years of age is very high in the Kumba municipalities. This could be attributed to the ongoing crisis which has caused a lot of social migrations from rural areas to Urban areas which are safer.
文摘Aim: To investigate depression, anxiety, PTSD, and insomnia levels among Sudanese citizens after a year has passed since the start of Armed Forces conflict in Sudan. Methods: An online survey was distributed. It is composed of five parts, covering the following areas: 1) sociodemographic data;2) depression assessment;3) generalized anxiety disorder assessment;4) post-traumatic stress disorder assessment;and 5) insomnia assessment. Statistical Package for Social Sciences version 27 was used for data analysis;frequency and percentage were used to describe the qualitative variables. Spearman’s correlation analysis and Chi-square test were used for correlation and association analysis;a P-value equal to or less than 0.05 was considered statistically significant. Results: The study included 283 participants, primarily female (76.0%), with a mean age of 35.26 ± 6.96 years. The majority of participants were married (50.5%) and had a university level of education (50.2%). At the start of the war, 70.3% of participants were inside the war zones, and at the time of data collection, 73.5% were outside Sudan. The length of stay in the war zone ranged from 1 to 300 days, with a mean of 48.59 ± 70.284 days. Additionally, 63.3% of participants stated that they did not receive any form of mental health intervention, and the remaining did not provide an answer. There was a high prevalence of moderate-severe depression (50.5%), moderate anxiety (35.3%), PTSD (56.5%), and sub-threshold insomnia (53.4%) among the participants. Correlation analyses revealed associations between demographic factors such as sex, age, marital status, and education and mental health issues. Notably, female participants showed a higher prevalence of PTSD (53.0%) compared to male participants (67.6%). Conclusions: There is a substantial impact of war-related trauma on mental health, revealing a high prevalence of moderate-severe depression, moderate anxiety, PTSD, and sub-threshold insomnia among the participants. This emphasizes the importance of tailored interventions and support systems to address the unique needs of individuals affected by war trauma.