Management of Vulnating Esophageal Foreign Bodies in Burkina Faso

Introduction: Esophageal foreign bodies (EFB) are a diagnostic and therapeutic emergency because of the serious complications they can cause. Aim: This paper aimed to study the vulnating esophageal foreign bodies in the ENT and Head and Neck Surgery departments of the Yalgado Ouedraogo and Bogodogo University Hospital. Methodology: This was an analytic cross-sectional study with retrospective data collection over 10 years (2012-2021). Results: We collected 91 cases of vulnating esophageal foreign bodies, i.e. 9.1 cases/year (4.7%). The mean age of the patients was 14 ± 19 years. The sex ratio was 1.6. The circumstances of occurrence were dominated by accidental ingestion of vulnating esophageal foreign bodies (98.9%). The average time to consultation was 7.5 hours. Dysphagia was the dominant symptom (64.8%). Cervico-thoracic radiography found dual contour radiopaque images in 71.4%. Esophagoscopy with rigid tube was performed in 97.8%. The average time for extraction of the vulnating esophageal foreign bodies was 8 hours. Vulnerating esophageal foreign bodies were non-organic in 84.6%. The button cell represented 64.8%. Their location was cervical in 61.5% intraoperatively. The lesion assessment found ulcerative lesions in 42.9% (p Conclusion: Vulnating esophageal foreign bodies are relatively frequent in our ENT practice. Although their diagnosis is often easy, their treatment is still difficult and requires multidisciplinary management. Thus, for us, prevention remains the first effective weapon.

Practical Experience of Management of Urban Parks at Home and Abroad

By systematically reviewing the practical experience of management of urban parks at home and abroad,the advanced experience in organization,management system,operation mechanism and social participation were summarized,and the optimization and improvement measures for the construction and management of urban parks in Chengdu were proposed to provide reference for the high-level construction,high-quality experience and efficient management of urban parks in the construction of park city demonstration zone in Chengdu.

Endoscopic management of foreign bodies in the upper gastrointestinal tract:A review

Foreign body ingestion is a common condition, es-pecially among children who represent 80% of these emergencies. The most frequently ingested foreign bodies in children are coins, toys, magnets and batter-ies. Most foreign body ingestions in adults occur while eating, leading to either bone or meat bolus impaction. Flexible endoscopy is the therapeutic method of choice for relieving food impaction and removing true foreign bodies with a success rate of over 95% and with mini-mal complications. This review describes a comprehen-sive approach towards patients presenting with foreign body ingestion. Recommendations are based on a review of the literature and extensive personal experi-ence.

Foreign object ingestion and esophageal food impaction:An update and review on endoscopic management

Foreign body ingestion encompasses both foreign object ingestion(FOI) and esophageal food impaction(EFI) and represents a common and clinically significant scenario among patients of all ages. The immediate risk to the patient ranges from negligible to life-threatening, depending on the ingested substance,its location, patient fitness, and time to appropriate therapy. This article reviews the FOI and EFI literature and highlights important considerations and implications for pediatric and adult patients as well as their providers. Where published literature is insufficient to provide evidence-based guidance, expert opinion is included to supplement the content of this comprehensive review.

Management of a Cluster of Foreign Body Ingestion Incidents in Patients with Borderline Personality Disorder

Objective: Deliberate foreign body ingestion (DFBI) has been reported in patients with personality disorders as part of a spectrum of self-harming behaviours, however the published literature is small (15 case reports). Method: This was a retrospective audit of medical and psychological management of a cluster of 12 DFBI incidents over 9 months in 4 young female patients with Borderline Personality Disorder (BPD). Results: All four patients knew one another from outpatient psychotherapy programmes. DFBI was associated with substance use in 5/12 incidents, and with precipitants (experiencing strong emotions, witnessing self-harm) in 4/12 incidents. Most DFBI involved sharp objects (razor blades, glass, safety pins). Medical intervention was initially active (endoscopy/surgery) but progressed to a more conservative, observational approach. Psychological management was initially restrictive, but also changed over time to focus on identifying distress, enhancing coping mechanisms and patient responsibility. Co-ordination of patient care management involvedintensive liaison (provision of interdisciplinary support and education) between medical, surgical and psychiatric teams. Conclusion: Management of DFBI in patients with BPD requires high levels of interdisciplinary collaboration. In this cluster of DFBI incidents, effective management was achieved with conservative medical/surgical methods (observation) and non-restrictive psychological approaches that enhanced patient self-efficacy.

Nation Needs to Reform Its Foreign Exchange Reserves Management System

This article assesses both the domestic and external reasons for the occurrence of excessive liquidity.To solve the problem of excessive liquidity two different policy options are proposed;firstly the improvement of the structure of national income assignment and secondly the promotion of the structural diversification of foreign exchange assets.

Endoscopic Management of Foreign Bodies in the Upper Gastrointestinal Tract in Yaoundé(Cameroon)

Background/Aims: Foreign body (FB) ingestion is a common clinical situation. In some cases, it could be life-threatening, requiring interventional digestive endoscopy. Knowing the main FBs observed could help to prevent their ingestion or to improve management. The aim of this study is to report the results of upper digestive endoscopies performed for ingestion of FBs in Yaoundé (Cameroon). Methods: We recorded all patients who did a gastroscopy for FB ingestion from January 2000 to April 2020 in three medical centers of Yaoundé. We collected data concerning the socio-demographic characteristics of patients, foreign body type, endoscopic management and outcome. Results: A total of 9380 upper digestive endoscopies were performed, with 51 FBs ingestion (0.54%). Male were 27 (52.9%). The mean age was 25.8 ± 22.3 years (8 months to 75 years). Coins were the most frequent FB (23.5%), only observed in children, followed by fishbones (17.6%), only observed in adults. We also observed dental wears (11.8%), metallic objects (11.8%), non-metallic objects (3.9%), batteries (3.9%), toothpick (2%), packet of tablets (2%), and bezoars (2%). The FB was unknown at 21.6%. The most frequent localization was the esophagus in 29/36 patients (80.5%). Endoscopic removal was a success in 35/36 patients (97.2%). A surgery has been performed on one patient. We didn’t register any death. Conclusion: Most common FBs ingested in Yaoundé are coins and fishbones. The upper digestive endoscopy has a high success rate.

Regulations on the Management of the Qualification to Engage in the Business Operations concerning Shares Owned by Foreign Investors

With a view to standardizing the business operationsrelating to foreign investment of domestic and overseas secu-rities organizations and protecting the legitimate rights andinterests of investors,the China Security Regulatory Commis-sion has promulgated the Provisional Regulations on theManagement of the Qualification of Domestic and OverseasSecurities Organizations to Engage in the Business Opera-tions concerning Shares Owned by Foreign Investors.TheseRegulations enter into force on December 1.1996.The wholetext is as follows:Chapter 1 General PrinciplesArticle 1 With a view to standardizing the businessoperations of domestic and overseas securities organizationswhich relate to shares owned by foreign investors and pro-

Foreign Investment & China's Shipbuilding Industry——Interview with General Manager Wang Rongsheng of China Shipbuilding Industry Corporation

"China’s shipbuilding industry has boomed in the last 15 years since the end of the 1970s and has drawn attention of international shipbuilding and shipping circles even though a gap still remained between China and advanced shipbuilding countries including Japan and South Korea. China ranks among advanced shipbuilding countries relying on its own investment and enterprise development. China has opened its shipbuilding industry to the outside world for wider cooperation and more foreign involvement."

New Ways to Deepen Reform in Foreign Trade Enterprises An interview with Yan Junxiu, General Manager of the Beijing Garment I/E shareholding Corp.

The Beijing Garment Import and Export Shareholding Corporation, Ltd. was the first shareholding corporation in Beijing which was set up in February 18, 1994. Its predecessor, the Beijing Garment Import and Export Corporation, had registered annual import and export earnings of US$300 million, ranking first among the foreign trade corporations in Beijing. Its change into a shareholding corporation has aroused keen interest in garment

基于BERTopic模型的国外信息资源管理研究进展分析

[目的/意义]文章从已有研究成果中提取主题,梳理主要研究方向,展示主题热度变化趋势,为了解和评估国外信息资源管理(IRM)研究发展现状与趋势提供参考。[方法/过程]采用新兴BERTopic模型对2013—2022年期间WoS数据库中IRM相关文献进行主题提取与识别,结合相关主题词及主题距离划分研究方向,并利用动态主题模型揭示国外IRM领域的演变过程。[结果/结论]国外IRM近10年的研究可分为59个主题,可归纳为信息技术及应用、企业信息管理、图书馆管理与服务、健康信息管理、信息用户与服务、IRM基本理论与方法、文献计量与评价7个方向。大多数主题的研究热度变化偏向稳定的趋势,数字化建设、开放数据等部分主题热度逐渐上涨,而外包、知识管理等少数主题热度退却。

中国典型涉外经营企业竞争情报工作调查研究

[目的/意义]针对中国科学技术情报学会竞争情报分会会员企业之外的中国典型涉外经营企业开展竞争情报工作实态调查,更好展示中国企业竞争情报实际工作全貌,为新时期竞争情报研究与服务工作创新发展提供新的视野、素材和参考。[方法/过程]按照透过“名”与“实”分离表象了解新时期中国企业竞争情报工作真实情况的逻辑思路,以企业合规管理为竞争情报“名”与“实”分离的典型场景,基于2018—2023年合规管理主题公开会议,采取对派出报告人的企业统计分析、专家咨询访谈、合规管理标杆企业案例研究、承接企业合规管理体系建设项目的咨询服务机构企业客户名单调查研究、公开资料收集分析相结合的研究方法,对中国典型涉外经营企业进行竞争情报工作实态调查。[结果/结论]调查得到以下主要发现:(1)所有涉外经营企业的合规管理都是无“名”有“实”的竞争情报工作;(2)新时期中国典型涉外经营企业对事实上的竞争情报普遍具有强烈而持久的需求;(3)中国典型涉外经营企业的竞争情报工作专业水平呈现显著的差异性;(4)中国典型涉外经营企业对名为合规管理实为竞争情报的工作有很高的要求;(5)中国典型涉外经营企业对符合企业需要的竞争情报专业人才需求迫切且需求数量巨大;(6)有“实”而无“名”是中国典型涉外经营企业竞争情报工作存在的最大问题。

外商投资区域生态位、进化动量与空间分布——2012—2021年中国31个省份实证研究

战略定位是战略管理的核心,区域生态位是战略定位的核心。文章将区域生态位视角引入外商投资领域,以2012—2021年外商投资中国内地31个省份为研究对象,探索外商投资区域生态位、进化动量和空间分布规律。研究结果表明:(1)外商投资中国资源竞争不激烈,区域生态位强度、重叠度不高,生态位宽度较大,外商投资沿海地区较多、大西北地区较少;(2)外商投资中国区域生态位强度和宽度的进化动量较大、外商投资提升空间较大,在大西北地区提升空间较大、沿海地区提升空间较小;(3)中国外商投资空间呈现梯队分布且地理空间呈现高高聚集或低低聚集的正相关关系;(4)外商投资中国区域生态位强度、宽度及强度进化动量对于外贸区域发展具有促进作用,生态位宽度进化动量对区域外贸发展促进作用不明显。由此,文章分析得出如下启示:我国宜促进外商投资区域资源扩展和进化程度、优化外商投资区域资源结构和进化动能、强化外商投资区域协同和产业聚集效应。

外汇衍生品监管与跨境投资企业信用评级——基于“企业层面外汇衍生品监管指数”的实证分析

“一带一路”倡议和“走出去”战略加速了外汇衍生品市场的发展,而加强外汇衍生品监管是市场平稳运行的重要保障。在创新性地构建“企业层面外汇衍生品监管指数”的基础上,基于2007—2019年中国跨境投资企业数据,实证检验了外汇衍生品监管对企业信用评级的影响及作用机制。研究发现,加强外汇衍生品监管能够有效提升企业信用评级,且主要通过减少企业违规行为、增强信息透明度和抑制管理者过度自信三种渠道提升信用评级。异质性分析表明,上述提升效果在国有企业中更大。进一步研究发现,加强外汇衍生品监管可以抑制企业信用评级的调整动机。因此,监管部门应优化衍生品监管法规,倡导套期保值原则,提高评级机构违规成本,提升衍生品交易信息透明度,进而促进外汇衍生品市场的健康发展。

中外体育人文交流现状与运行机制研究

运用文献资料法和逻辑分析法,对中外体育人文交流的现状与运行机制进行研究。研究认为:中外体育人文交流的机制化水平不断提高,但缺乏宏观性战略引领;交流主体日益多元化,但非政府组织力量发挥不足;交流内容不断丰富,但创新性不够。笔者从动力机制、决策机制、执行机制和保障机制4个方面探究了中外体育人文交流的运行机制,并提出推进策略:宏观层面加强顶层设计,增强交流的驱动力;中观层面加强协同性,提升交流的决策力;微观层面强调多元化,形成交流的合力;注重交流质量,保障交流的有效供给。

大学英语教学中外籍教师管理困境与对策研究

在全球一体化的背景下,英语在国际经济合作和文化交流中起着重要的媒介作用。为提高学生的英语应用能力和人才培养质量,高校聘请外籍英语教师参与大学英语教学,取得了很好的教学效果。在新形势下,外籍教师的管理也暴露出很多问题,针对这些问题,从招聘管理、课程设置、教学管理和生活服务等方面优化外教管理策略,能有效提高外籍教师的教学质量,更好地优化服务大学英语教学。

消毒供应中心对外来医疗器械全程质量管理的效果分析

目的查看消毒供应中心对外来医疗器械全程质量管理的应用效果。方法择取我院骨科外来医疗器械作为本文调查样本,共收取480件,将其随机分为对照组和实验组,其中对照组的240件外来医疗器械采用医院消毒供应中心(CSSD)传统模式进行清洗消毒灭菌;实验组的240件外来医疗器械实施全程质量管理后清洗消毒灭菌;数据评价包括:不同管理模式应用于外来医疗器械清洗灭菌效果,通过问卷的方式来分析医护人员对器械使用的满意情况。结果实验组清洗合格率为98.3%、性能完好率为99.2%,灭菌合格率100%;对照组的清洗合格率为91.7%、性能完好率为94.2%,灭菌合格率97.5%,差异有统计学意义(P<0.05)。实验组的科室满意度为98.3%高于对照组85.0%,差异有统计学意义(χ^(2)=27.994,P<0.05)。结论消毒供应中心对外来医疗器械实施清洗灭菌期间采用全程质量管理,可明显提高外来医疗器械的清洗灭菌质量,有效保证外来医疗器械的临床安全使用。

应用型高校外语专业本科毕业论文质量管理研究与实践

本文以北京城市学院国际文化与传播学部外语专业毕业论文(设计)为例,以国家政策为指导,以《外国语言文学类教学质量国家标准》为依据,以校本规范为基础,以外语专业毕业论文(设计)质量及其质量管理问题为导向,通过加快构建本科毕业论文(设计)质量管理体系,切实筑牢本科毕业论文(设计)组织、制度和条件三重保障,实现对外语专业毕业论文(设计)的全面质量控制。