The Impact of Optimizing Details in the Operating Room on the Level of Knowledge, Attitude, and Practice of Hospital Infection Prevention and Control by Surgeons, as Well as the Effectiveness of Infection Control

Objective: This paper aims to explore the impact of optimizing details in the operating room on the level of knowledge, attitude, and practice of hospital infection prevention and control by surgeons, as well as the effectiveness of infection control. Methods: From January 2022 to June 2023, a total of 120 patients were screened and randomly divided into a control group (routine care and hospital infection management) and a study group (optimizing details in the operating room). Results: Significant differences were found between the two groups in the data of surgeons’ level of knowledge, attitude, and practice in hospital infection prevention and control, infection rates, and nursing satisfaction, with the study group showing better results (P Conclusion: The use of optimizing details in the operating room among surgeons can effectively improve surgeons’ level of knowledge, attitude, and practice in hospital infection prevention and control, reduce infection occurrence, and is worth promoting.

Attitudes,awareness,and knowledge levels of the Turkish adult population toward organ donation:Study of a nationwide survey

BACKGROUND The most important factors affecting attitudes on organ donation are socioeconomic, educational, cultural, and religious factors in many countries.AIM To evaluate the attitudes, awareness, and knowledge levels of the Turkish adult population toward organ donation.METHODS This nationwide study surveyed 3000 adults(≥ 18 years) in Turkey. To ensure a representative sample, the Nomenclature of Territorial Units for Statistics-Ⅱ(modified for Turkey) was used. Turkey was divided into 26 regions based on social, economic, and geographic criteria as identified by the Turkish Statistical Institute. A stratified sampling method was used with an even distribution of adults across cities and towns based on population data. Data were collected by the PRP Research and Consultancy Company using computer-assisted personal interviews.RESULTS Out of 3000 individuals represented in the study population, 1465(48.8%) were male and 1535(51.2%) female. The results showed that most participants were under 45 years(59.0%) and married(72.1%), some had a bachelor’s degree or higher(21.9%), and very few(1.5%) had any direct experience with organ transplantation-whether in the family, or a family member on a transplantation waiting list. Most of the study population(88.3%) had not considered donating an organ, however, most(87.9%) said that they would accept an organ from a donor if they needed one. Among the individuals surveyed, 67% were willing to donate an organ to a close relative, while 26.8% would donate an organ to an unrelated person. Only 47.2% said they had adequate information about brain death, and 85.2% refused to consent to donating organs of family members declared brain dead. Only 33.9% thought they had adequate information about organ donation. The main source of information was the television. The two main reasons for refusing organ donation were that it was too soon to think about organ donation and the importance of retaining the integrity of the dead person’s body.CONCLUSION This study showed that Turkey’s adult population has inadequate knowledge about organ donation. The study advocates for public education programs to increase awareness among the general population about legislation related to organ donation.

Structural Topology Design of Container Ship Based on Knowledge-Based Engineering and Level Set Method

Knowledge-Based Engineering （KBE） is introduced into the ship structural design in this paper. From the implementation of KBE, the design solutions for both Rules Design Method （RDM） and Interpolation Design Method （IDM） are generated. The corresponding Finite Element （FE） models are generated. Topological design of the longitudinal structures is studied where the Gaussian Process （GP） is employed to build the surrogate model for FE analysis. Multi-objective optimization methods inspired by Pareto Front are used to reduce the design tank weight and outer surface area simultaneously. Additionally, an enhanced Level Set Method （LSM） which employs implicit algorithm is applied to the topological design of typical bracket plate which is used extensively in ship structures. Two different sets of boundary conditions are considered. The proposed methods show satisfactory efficiency and accuracy.

Perceptions of Climate Change, Sea Level Rise, and Possible Consequences Relate Mainly to Self-Valuation of Science Knowledge

This study examines perceptions of climate change and sea level rise in New Jersey residents in 2012 and 2014. Different surveys have shown declines in interest and concern about climate change and sea level rise. Climate change and increasing temperatures have an anthropogenic cause, which relates to energy use, making it important to examine whether people believe that it is occurring. In late 2012 New Jersey experienced Super storm Sandy, one of the worst hurricanes in its history, followed by public discussion and media coverage of stronger more frequent storms due to climate change. Using structured interviews, we tested the null hypotheses that there were no differences in perceptions of 1260 interviewees as a function of year of the survey, age, gender, years of education, and self-evaluation of science knowledge (on a scale of 1 to 5). In 2012 460 of 639 (72%) rated “global warming occurring” as “certain” (#4) or “very certain” (#5) compared with 453 of 621 (73%) in 2014. For “due to human activities” the numbers of “certain” or “very certain” were 71% in 2012, and 67% in 2014 and for sea level rise the numbers were 64% and 70%. There were some inconsistent between-year differences with higher ratings in 2012 for 3 outcomes and higher ratings in 2014 for 5 outcomes. However, for 25 questions relative to climate change, sea level rise, and the personal and ecological effects of sea level rise, self-evaluation of science knowledge, independent of years of education, was the factor that entered 23 of the models, accounting for the most variability in ratings. People who believed they had a “high knowledge” (#4) or “very high knowledge” (#5) of science rated all issues as more important than did those people who rated their own scientific knowledge as average or below average.

Socioeconomic Factors Influencing Levels of Knowledge in Soil Fertility Management in the Central Highlands of Kenya

This study aimed to first assess knowledge levels of the farmers in the use of manure, fertilizer and combinations of manure and fertilizer and secondly to identify the socioeconomic factors influencing the levels of knowledge in the use of animal manure, inorganic fertilizers and combination of animal manure and inorganic fertilizers in Meru South, Maara and Mbeere South districts of the central highlands of Kenya. Data were collected from a random sample of 300 households through face to face interviews using an interview schedule. The data was analyzed using descriptive statistics and binary logistic regression model. Results showed that 75% and 73% of the respondents had high levels of knowledge in use of manure and fertilizers, respectively, while 43% of the respondents had moderate levels of knowledge in the use of manure ＋ fertilizers. Age of the household head （HHH） training in the use of animal manure and group membership significantly influenced household levels of knowledge in use of animal manure. In regard to levels of knowledge on fertilizer use, group membership, age of the HHH and total farm size were important explanatory variables while gender of the HHH, household size, training on manure ＋ fertilizers, group membership and total farm size were important in influencing the levels of knowledge in use of manure ＋ fertilizers. The implication of these results is that training and belonging to a group enhances level of knowledge on soil fertility management and development, so workers should focus on these two aspects.

Modest Insight into the Public Level of Knowledge of Dementia-Friendly City in Slovenia

The aim of study was to evaluate knowledge of DFC （dementia-friendly city） in Slovenian population and correlate these findings regarding on status of informal carers of PWD （people with dementia） or noncarers. Questionnaire with 5 demographic and 6 dementia knowledge items, and one DFC knowledge item was sent to first 100 email adult users from first author’s adressess list. During June and October 2013 we managed to obtain 57 filled-out by 17 informal carers （29.8%）, and 40 noncarers （70.2%）. Categorical data were compared by chi2 analysis, and p-value 〈 0.05 was considered statistically significant. Differences in responses between informal carers and noncarers are shown in order of significance： （a） in DFC all people know about dementia, understand PWD, and respond with affection and reassurance （64.7% vs. 22.5%; chi2 7.439; p 〈 0.01）; and （b） PWD have opportunity to meet friends and socialize and to take part in singing, walking, and education in DFC （35.3% vs. 7.5%; chi2 4.932; p 〈 0.05）. Efforts to improve public education and to raise awareness on dementia at local and national level should be expanded to boost people in early stages of dementia to be active citizens.

METHOD OF HIGH-LEVEL TECHNOLOGY MAPPING BASED ON KNOWLEDGE(RULE)

This paper studies the linkage problem between the result of high-level synthesis and back-end technology, presents a method of high-level technology mapping based on knowl edge, and studies deeply all of its important links such as knowledge representation, knowledge utility and knowledge acquisition. It includes: (1) present a kind of expanded production about knowledge of circuit structure; (2) present a VHDL-based method to acquire knowledge of tech nology mapping; (3) provide solution control strategy and algorithm of knowledge utility; (4)present a half-automatic maintenance method, which can find redundance and contradiction of knowledge base; (5) present a practical method to embed the algorithm into knowledge system to decrease complexity of knowledge base. A system has been developed and linked with three kinds of technologies, so verified the work of this paper.

The status and influence factors of residents＇ health knowledge awarenessin Yizhou district of Hami city

[目的] 了解新疆哈密市伊州区居民健康知识知晓情况及其影响因素.[方法]采用分层整群随机抽样 的方法,抽取哈密市伊州区的丽园街道丽园社区、石油新城街道支油区社区、陶家宫乡和回城乡的居民（ 共 700名）进行问卷调查,利用二元Logistic回归方法分析影响因素.[结果]居民健康知识知晓率为23.5%.具 备健康理解知识知晓、科学健康观知识知晓、传染病知识知晓和职业病知识知晓的比例分别为 55. 0%、 33.4%、27.3%、33. 14%和 52.3%.居民获取健康知识的主要途径占比分别为医生80. 15%、电视38. 10%、 学校或单位22.33%、网络21.02%.居民文化程度与家庭平均月收入及健康知识知晓水平有关（P〈0. 05）. [结论]居民的健康知识知晓水平还有提升空间,影响健康知识知晓水平的主要因素为文化程度和家庭平均月 收入,应有针对性地制定健康教育和健康促进策略,以提高居民健康知识知晓水平.

Mothers’ Knowledge Regarding Preventive Measures of Food Poisoning in Yemen

Background: The WHO considers food poisoning the main cause of morbidity and mortality in developing countries, and the responsible for high levels of loss of productivity in developed countries. Objective: The study aims to assess the mothers’ knowledge about preventive measures of food poisoning in Sharaab, Taiz, Yemen. Method: This is a descriptive study. It was conducted in Sharaab, Yemen during period extended from April to November 2014. It involved 180 mothers selected by simple random sampling. Data were collected by using designed structured and pre-tested questionnaire and then were analyzed by (SPSS) Version 20. Result: The findings showed that 60% of mothers have heard about food poisoning. The mothers’ knowledge about transmission of diseases by food was acceptable;68.9% knew. When they were asked to detail the diseases, cholera was the most reported by about 84.4%, diarrhea 50%, and food poisoning 22.2% only. Regarding the mothers’ knowledge about causes of food poisoning, about 65.5% of them mentioned contaminated food, and 49.4% mentioned contaminated hands while 37.2% of them mentioned contaminated utensils. The total knowledge was calculated;it was about 40.72%. Conclusion: It was found that, mothers’ knowledge about preventive measures of food poisoning is not satisfactory concerning most items including: food related diseases, causes of food poisoning and preventive measures for food poisoning such as hand washing, washing vegetables and cooking appropriately. The mothers in Yemen, Taiz, Sharaab have low level of knowledge about food poisoning prevention. There is a need for strengthening the situation through educational sessions.

A Method to Integrate Geological Knowledge in Variogram Modeling of Facies: A Case Study of a Fluvial Deltaic Reservoir

Variograms are important tools in the spatial distribution of facies and petrophysical properties. Due to the scarcity of subsurface well data, both spatially and quantity wise, variograms representing the data tend to have a lot of uncertainties. In order to reduce uncertainty in variograms, well data can be supplemented with the geological knowledge of the reservoir. This has been demonstrated by various authors in previous works. In their paper “Methodology to Incorporate Geological Knowledge in Variogram Modeling,” A. Bahar and M. Kelkar introduced a methodology to incorporate geological knowledge by studying the energy level of the depositional environment and grain texture. They used these two attributes to determine the relative distance of continuity of the lithofacies and incorporated it in the variogram modeling. In this paper, we introduce another attribute that determines the continuity of lithofacies;the accommodation or deposition space. For illustration purpose, two sets of facies models were constructed: The first using subsurface well data only and the second using well data and geological information of the reservoir. The two sets of models showed significant variation in the property distribution. The first set gave a more random appearance of the facies distribution while the second set gave a more realistic depiction of the depositional environment of the reservoir. We concluded that other than the grain size and the energy level of the depositional environment, another important determinant for continuity in variograms is the knowledge of the depositional space. Incorporating the knowledge of the depositional environment enabled a more accurate estimation of the variogram parameters. This resulted in an improvement in the accuracy of the model.

The Effect of Background Knowledge on EFL Learners＇ Reading Comprehension

Schema is known to play an important role in reading comprehension. The schema embodying the learners background knowledge of cultural familiar materials facilitates the understanding of the text （Pritchard, 1990）. Also Steffensen, Joag-Dev, and Anderson （1979） and Nelson （1987） proposed that the schemata embodying background knowledge influenced how well the text would be comprehended. However, Hudson （1982） and Carrell （1984） found there was no significant background effect in advanced level learners. From those studies, it seems that background effect is different at different language proficiency levels. Thus, the present study examines the interaction between background knowledge and language proficiency in reading comprehension. The participants were freshmen of National Chiayi University. They were divided into three language proficiency levels based on the General English Proficiency Test. Four reading comprehension tests were constructed to assess their reading comprehension： cultural familiar/unfamiliar text and topic familiar/unfamiliar text. The results of this study showed that participants had better performance on the culture/topic familiar text than the culture/topic unfamiliar text. Thus the findings suggest that the teacher can use teaching activities, such as pre-reading activities or vocabulary teaching to increase the background knowledge when teaching readings to EFL （English as a foreign language） learners

英国中文A Level考试的知识基础与能力取向--以培生爱德思为例

为更好适应大学招生需要与雇主用人需求,2015年始,英国教育部对A Level考试大纲进行了改革。特以英国培生爱德思考试局为例,对其改革后于2017年上线的新课程大纲及考试进行分析,发现中文课纲及考试在构建中文语言知识基础之上,重视培养考生理解、回应和互动等实际运用中文的能力,理解文化与社会现实的能力,批判性思维及分析能力,以及独立研究潜能,体现了高级水平证书考试兼具人才选拔和社会教育的功能。A Level考试作为一种比较成熟且在全球都有认可度的标准化考试,对其研究,对我国如何开发标准化的中文考试培养国际中文教育人才具有重要借鉴意义。

Analysis on Text-level Reading

Reading,especially reading at text level,is a process of continuously repeating,consolidating and understanding words,phrases,and sentences.However,from the perspective of psycholinguistics,the compariosn and contrast of empirical data from experiments and researches would be evidences to support the idea that reading at text level is mainly influenced by readers' ability of identifying a text's cohesion and coherence,balancing the activation and suppression of background knowledge,as well as readers' utilization of working memory.Readers can make good use of these three aspects in order to advance their understanding of reading at text level.

Study on the Effects of Infant Fostering Interventions in Xuhui District,Shanghai

Objective To assess the effects of fostering interventions on the infants and their families through the community. Methods A total of 309 infants born on 1st August, 2003 to 30th August, 2004 and their families were recruited as participants by cluster sampling in Longhua and Kantian sub-districts of Xuhui district, Shanghai. The newborns were randomly assigned to intervention group （156 cases） and control group （153 cases）. The infants and their families will be followed up during 3-year interventions. Results After 6 months＇ intervention, the proportion of infants who could turn over the body in the intervention group （88.46%） was higher than that in control group （75.16%）. The morbidity of upper-respiratory tract infection in intervention group （20.51%） was significantly lower than that in control group （32.68%）. The incidence rates of pneumonia, diarrhea and anemia in intervention group were all lower than that in control group, except for pneumonia, the differences were not significant. Both of the knowledge about how to foster infants and service utility in intervention group were higher than that in control group. Conclusion The fostering interventions through the community promote the prevention and control of infants disease, increase the knowledge level and service util ity of families.

Ethnobotany of food,medicinal,construction and household utilities producing plants in Cikaniki,Gunung Halimun Salak National Park,Indonesia

The community living around the Cikaniki Area of Gunung Halimun Salak National Park(CAGHSNP)uses various plants to fulfill their needs.Their habits are related to indigenous knowledge of using plants as food,medicine,construction,and household utilities,which dynamic societal changes have not displaced.This study aimed to inventory and update potential plants used as food,medicine,construction,and household utilities by local communities in the Cikaniki area,and measure and analyze their cultural and ethnobotanical value.This study objected to five hamlets in the Cikaniki at Malasari Village,Nanggung District,Bogor Regency,West Java,Indonesia.The quantitative analysis was calculated based on the Informant Consensus Factor,Fidelity Level,and Use Value.We analyzed the qualitative data based on the data collection through observation,interviews,and documentation from informants and respondents in five hamlets.The study recorded 199 plant species from 75 families used by the community of CA-GHSNP.The most utilized species in Cikaniki were Staurogyne elongata,Caryota mitis,Blumea balsamifera,Castanopsis argentea,Pilea melastomoides,and Piper betle.There are 72 species of plants used as food,122species for medicinal purposes,and 50 species of plants used for construction and household utilities.The potential plant species in the CA-GHSNP,their utilization categories,and recommendation for conservation strategy are discussed.

An Assessment of Both Patients and Medical Staff Awareness of the Risks of Ionizing Radiation from CT Scan in Cameroon

Objectives: To assess the patients and health personnel’s level of awareness on risks related to ionizing radiation during CT scan. Materials and methods: Three questionnaires were addressed to patients, prescribing physicians, and the medical imaging staff for three hospitals respectively. This permitted us to assess their knowledge on the benefits and risks of the required medical exam, based on the dangers of being exposed to X-rays, especially induced-radiation cancer following the amount of X-rays received during a CT scan and the possibility of not receiving radiation as tools of diagnosis. Results: 150 patients, 84 referring doctors of CT scan tests and 60 medical imaging personnel were retained. For patients, only 7.1% received information on the benefits and risks of their exams, and 34.4% believed that x-rays were harmful to their health. For the prescribers, 46.7% took into account the benefits/risk ratio before prescribing a test and only 16.7% of the referring doctors have informed the patient of the risks related to X-ray. 90% of the medical imaging staff ensures that the required test is justified, and 50% informed the patient on the risks associated with their radiation exposure, and the increased risk of developing cancer. 65% of the imaging staff could not estimate the dose that the patient will receive during the medical test. 25% mentioned the dose received during the acquisition in the patient’s exam report. Conclusion: This study confirms that the referring doctors, the patients, and the radiologists have a low knowledge concerning the risks associated with radiation exposure during a CT scan assessment. We will therefore say that patients and prescribers are not aware of the doses of radiation on CT and their possible risks, even though there is a risk of developing cancer.

Knowledge, Attitude and Practice on Common Diabetic Patients among Diabetic Complications at Egyptian Hospital in Mogadishu, Somalia

Diabetes is a chronic illness that occurs when the pancreas stops producing insulin or when the body cannot use the produced insulin. Insulin is a hormone produced by the pancreas that helps glucose from meals enters the body’s cells for energy. The overall goal is to assess diabetes patients’ knowledge, attitudes, and behaviors about prevalent diabetic complications. This research used a descriptive qualitative methodology to assess diabetes complication knowledge, attitude, and practice. Ninety-eight diabetic patients were visiting the Egyptian Hospital in Mogadishu for four weeks. The data was collected using questionnaires. Finally, SPSS 20 was utilized for analysis. The research was performed from May to July 2020 with a non-probability sample size of 98 diabetics. The bulk of responders were aged 40 - 60 (36.7%). Type 2 was the most common (47.96%). 44.9% of respondents had diabetes for more than ten years. 60.2% had regular checkups, and 54.1 percent had therapy. 52% of participants were on a diet. 63.3% of respondents do not exercise often. However, most responders know the common issues (75%). Less than half of those polled had problems (41.8%). 22% incidence of Diabetic ketoacidosis. 78.6% of respondents know variables that decrease diabetes complications, whereas 22.4% do not. 37.8% of respondents saw a doctor for diabetes problems, whereas 62.2% did not. Diabetic patients’ knowledge, attitude, and practice were satisfactory for fundamental illness entanglements and self-testing. These findings may also be due to patient notification and, therefore, long-term illness that leads them to get acquainted with things alone. However, the tendency for regular exercise was low, which may produce more specific consequences of illness. Conclusion: We find that DM patients’ KAP was adequate in terms of knowledge of diabetic complications. These results may explain the patients’ long-standing illness, which forces them to discover things independently. At the same time, just a handful of them were familiar with vasculopathy and cardiovascular disorders. However, the researchers discovered low level of attitudes and practice toward regular exercise and insufficient levels of attitudes and practice toward diet management and treatment adherence. In general, this degree of KAP is suboptimal and requires further assessment of KAP obstacles in Somalia.

Defining the awareness and attitude of the clinicians through pharmacovigilance in Turkey

BACKGROUND Pharmacovigilance(PV)is the activities and scientific studies conducted to detect,evaluate,understand or prevent adverse reactions and other drug-related problems.AIM To define the awareness and experiences of the clinicians on PV and adverse drug reactions(ADRs)in Turkey.METHODS The study was cross-sectional and analytical.Data were obtained through a questionnaire.The questionnaire was sent via e-mail.The survey was sent to 2030 physicians and 670 participated.RESULTS The most appropriate definition of PV was correctly defined by 53.9%of the participants.The most important goal of PV was correctly defined by 54.9%of the participants,and 27.3%of the participants were aware of the Turkish Pharmacovigilance Center.Nonsurgical physicians had better PV knowledge than surgical physicians.A total of 80.9%of the physicians who encountered ADRs,filled in the ADR notification form,and 8.8%received training on how to fill in the form.PV knowledge of the clinicians was not sufficient.Although half of the physicians encountered ADRs,the rates of seeing and filling in the ADR form were low.CONCLUSION Few of the physicians followed the current information about PV.The results provide more comprehensive data on PV practices and ADR reporting at a national level.

关于风景园林专业学位与知识体系的思考

【目的】中国风景园林教育事业进入新的发展阶段,在专业学位背景下,风景园林知识体系亟待梳理与反思。【方法/过程】基于专业学位教育特点,剖析国家政策、社会需求,重新系统认知风景园林专业学位:从培养目标、知识类型、知识层级与知识结构4个方面探讨风景园林专业学位与知识体系的内涵及发展方向。现代风景园林专业人才培养的核心在于对实践智慧与能力的培养,专业知识类型势必从过去以经验知识为主体转变为以科学知识与规律为主体。科学、艺术与技术3种类型知识的融合是专业发展与人才培养的基础。学士、硕士与博士三级人才培养模式体现出风景园林专业知识的层级属性,据此处理好专业知识体系中内涵与外延的结构关系是推动专业发展的根本问题。【结果/结论】面对风景园林专业乃至思维范式的革新,应按照专业知识生产与组构的特定规律,探索风景园林专业未来可持续发展的有效路径。

大语言模型赋能场景生成和双层优化的多农业园区供电-灌溉-蓄水耦合运行

传统农灌负荷的使用具有集中性和无序性,显著加剧电力系统的供需不平衡与运行成本。为提升农业园区运行的经济性和光伏资源的消纳能力,通过刻画农灌负荷特性,结合作物生长用能需求,提出一种基于大语言模型(largelanguagemodel,LLM)场景生成和双层优化的多农业园区优化调度模型。该模型利用LLM时序分析能力进行光伏短期发电功率预测,然后通过LLM知识推理能力构建农业用水知识图谱,知识图谱中丰富的语义关系辅助LLM推理和预测,生成更符合实际情况的农业供电-灌溉-蓄水场景。双层优化调度模型在生成场景基础上,以园区经济运行为优化目标,对多农业园区供电-灌溉-蓄水进行耦合优化调度。最后,通过仿真验证,本文所提出的方法显著提升了农业园区电力系统运行稳定性,并有效降低了系统运行成本。