Malpractice or masterful practice?Navigating vicarious liability in healthcare

In the intricate landscape of healthcare,vicarious liability looms large,shaping the responsibilities and actions of healthcare practitioners and administrators alike.Illustrated by a poignant scenario of a medication error,this article navigates the complexities of vicarious liability in healthcare.It explains the legal basis and ramifications of this theory,emphasizing its importance in fostering responsibility,protecting patient welfare,and easing access to justice.The paper explores the practical effects of vicarious responsibility on day-to-day operations,leadership practices,and decision-making processes via the eyes of senior consultants,junior doctors,and hospital administrators.Through comprehensive insights and real-world examples,it underscores the imperative of fostering a culture of accountability,communication,and quality care to navigate the intricate web of liabilities inherent in modern healthcare.

A Shared Natural Neighbors Based-Hierarchical Clustering Algorithm for Discovering Arbitrary-Shaped Clusters

In clustering algorithms,the selection of neighbors significantly affects the quality of the final clustering results.While various neighbor relationships exist,such as K-nearest neighbors,natural neighbors,and shared neighbors,most neighbor relationships can only handle single structural relationships,and the identification accuracy is low for datasets with multiple structures.In life,people’s first instinct for complex things is to divide them into multiple parts to complete.Partitioning the dataset into more sub-graphs is a good idea approach to identifying complex structures.Taking inspiration from this,we propose a novel neighbor method:Shared Natural Neighbors(SNaN).To demonstrate the superiority of this neighbor method,we propose a shared natural neighbors-based hierarchical clustering algorithm for discovering arbitrary-shaped clusters(HC-SNaN).Our algorithm excels in identifying both spherical clusters and manifold clusters.Tested on synthetic datasets and real-world datasets,HC-SNaN demonstrates significant advantages over existing clustering algorithms,particularly when dealing with datasets containing arbitrary shapes.

A Community of Shared Security for Mankind:China's Vision and Practice in Global Security Governance

A community of shared security for mankind is a landmark concept developed by China in the process of shaping its global security vision in the new era,and a concrete embodiment of the concept of a community with a shared future for mankind in the field of security.The object of a community of shared security for mankind refers to humanity as collective entities,with the core principle of the indivisibility of global security as its foundation,and the community of coexistence and mutual survival as its security framework.Its essence lies in exploring ways for humanity to adapt to and harmoniously coexist in the real world.This concept arises from significant changes in human security circumstances and reflects China's increasingly prominent influence on the global stage in the new era.It is rooted in a combination of Marxist principles and traditional Chinese security thoughts.This new approach to global security governance helps break free from the constraints of Western security concepts and ideological biases.China's efforts to translate the concept of a community of shared security for mankind into concrete practice are reflected in four aspects:creating a realistic template for the construction of a community of shared security for mankind in bilateral and regional security communities;cultivating a global consensus on the concept of a community of shared security for mankind by coordinating and promoting the construction of security mechanisms in emerging fields;fulfilling special responsibilities of a major country in constructing a community of shared security for mankind through promoting security cooperation and interaction among countries;and seeking a long-term goal of sustainable development and security for all humankind by jointly promoting common development and security.

Shared decision making in rural general practices:a qualitative exploration of older rural South Australians'perceived involvement in clinical consultations with doctors

Background:Shared decision-making(SDM)implementation is a priority for Australian health systems,including general practices but it remains complex for specific groups like older rural Australians.We initiated a qualitative study with older rural Australians to explore barriers to and facilitators of SDM in local general practices.Methods:We conducted a patient-oriented research,partnering with older rural Australians,families,and health service providers in research design.Participants who visited general practices were purposively sampled from five small rural towns in South Australia.A semi-structured interview guide was used for interviews and reflexive thematic coding was conducted.Results:Telephone interviews were held with 27 participants.Four themes were identified around older rural adults’involvement in SDM:(1)Understanding of"patient involvement";(2)Positive and negative outcomes;(3)Barriers to SDM;and(4)Facilitators to SDM.Understanding of patient involvement in SDM considerably varied among participants,with some reporting their involvement was contingent on the“opportunity to ask questions”and the“treatment choices”offered to them.Alongside the opportunity for involvement,barriers such as avoidance of cultural care and a lack of continuity of care are new findings.Challenges encountered in SDM implementation also included resource constraints and time limitations in general practices.Rural knowledge of general practitioners and technology integration in consultations were viewed as potential enablers..Conclusion:Adequate resources and well-defined guidelines about the process should accompany the implementation of SDM in rural general practices of South Australia.Innovative strategies by general practitioners promoting health literacy and culturally-tailored communication approaches could increase older rural Australians'involvement in general.

Determination of Liability for Violation of “Sexual Autonomy” and Compensation for Mental Damages

At the legislative level in China,there has been insufficient theoretical preparation to explicitly include“sexual autonomy”within the scope of general personality rights.In handling the increasing number of disputes related to violations of“sexual autonomy,”judicial biases have emerged during the trial process when courts determine the attribute of the right to“sexual autonomy.”This situation necessitates a clear legal analysis of the concept and attributes of“sexual autonomy”to establish its essential attribute as a personality right,and,from the perspective of legal doctrine,enable the justification of the right to“sexual autonomy”as either a general personality right or other personality interests,thereby providing theoretical support for courts to“adjudicate according to law.”By delineating and categorizing instances of violations of“sexual autonomy,”the constitutive elements and fundamental characteristics of such violations can be clarified.By examining the legal norms governing civil litigation and civil litigation associated with criminal cases concerning violations of“sexual autonomy,”the responsibility determination,remedies,and existing regulatory loopholes regarding violations of“sexual autonomy,”especially in cases involving both criminal and civil matters,can be defined.Based on this foundation,the legal basis,determination mechanism,and compensation standards for claiming compensation for mental damages resulting from violations of“sexual autonomy”can be elucidated.

A study on the influencing factors of rural tourism promoting households'shared prosperity in Yinan County of Shandong Province

This study examines the influencing factors of rural tourism in promoting shared prosperity among households,using the case study of Yinan County in Shandong province,China.The research aims to provide insights into the economic benefits experienced by low-income households in the context of rural tourism development.Based on field research conducted from April 8,2023,to May 17,2023,including interviews and site visits,the study constructs an evaluation index system to assess the influencing factors.Through expert scoring and the application of a weighted set-valued mathematical statistical model,the importance and quantification of each factor are determined.The results indicate that the current stage of promoting shared prosperity through rural tourism in Yinan County is primarily influenced by the scale of tourist consumption of external visitors.This factor outweighs others such as the participation capacity and willingness of low-income households,the capacity of investment enterprises,and the policies and financial allocation of the local government.The findings emphasize the significance of external visitor spending and highlight the need to address the obstacles faced by low-income households in accessing economic benefits.The evaluation index system and measurement model presented in this study offer a scientific basis for assessing and improving the income situation of low-income households in rural tourism development initiatives.However,it is crucial to note that the importance of these influencing factors may evolve with the lifecycle of the tourism destination.Future research should include long-term tracking and consider a broader range of indicators to deepen our understanding of their mechanisms and significance.Furthermore,alternative approaches and theories may provide valuable perspectives for further exploration in this field.

Youth Exchange“Harmony for Shared Prosperity”

Contemporary World Magazine,which is affiliated to the International Department of the CPC Central Committee(IDCPC),held an exchange act ivi ty themed on“Harmony for Shared Prosperity”in Beijing on May 7,2024.

Joint Management of Shared Resources, Issues and Conflicts of the Nso and Oku Tribes in the Ngongbaa Montane Forest Area, NWR of Cameroon

Wherever people live together in or near homelands that harbour joint natural resources such as forest, water, minerals, oil etc., they must collaborate, co-exist and share these resources irrespective of their genetic, social, cultural, and political peculiarities. This is not always the case when self-interest, ethnic divisions, elitist politics, economic interest and power tussle set in. The Nso and Oku people who reside in the Ngongbaa Forest area constitute an example of joint management of resources where at one period, their relationship over the management of the Oku Mountain Forest was cordial and at another, the relationship became conflictive. This study was designed to study the influence of the KIFP forest management policies on the Nso indigenous forest Management system in Ngongbaa Forest, and its implications. The data collected for the study was secured through the administration of a questionnaire to residents of 10 villages adjacent to the Ngongbaa Forest, and forest users who carried out livelihood activities there between 1963 and 2015. These forest user groups include beekeepers, rat trappers, grazers, mushroom gatherers, ground honey/tree honey harvesters, carvers, etc. The investigation also extended to the traditional leaders of Nso and Oku who are in charge of the land tenure systems. The findings show that the Oku Mountain Forest is jointly owned by the Nso and Oku people. The Nso own the eastern half of the forest known as Ngongbaa Forest while the Oku own the western half, known as the Kilum Forest. The cordial relationship that existed between these people ensured the conservation of the forest. But the conflicts that later set in, especially due to the creation of the Kilum Mountain Forest Project in 1987 later changed to the Kilum Ijim Forest Project (KIFP) in 1992 sidelined the local communities which was contrary to the dispositions of the new Cameroon forest law enacted in 1994. Thus, the indigenous conservation practices became ignored which the local population never digested well. This seriously jeopardized the wellbeing of the forest in general.

An Exploration of the Three Dimensions and Epochal Strengths of Building a Human Community With a Shared Future

The idea of a human community with a shared future was proposed by the Communist Party of China(CPC)Central Committee with Comrade Xi Jinping at its core for the future development of human beings to face up to the most important question in today's world:“What is happening to the world and what should we do?”It profoundly answers the question of the world,history,and the times.The theory of a human community with a shared future is an innovative theory with a multidimensional formation logic that guides humanity toward continually seeking common interests and values.This paper dives into the profound motivations behind building a human community with a shared future from historical,cultural,and practical dimensions and analyzes its epochal value from both domestic and international perspectives.This not only helps exert China's role in the international community,contributing Chinese strength to the construction of a peaceful,stable,and prosperous human society,but also enhances the influence of the idea of a human community with a shared future in the international community,accelerating the building of a human community with a shared future that considers the legitimate concerns of all countries,and aiding in solving the crises facing the world.

Risk Assessment of an Environmental Liability in the Commercialization of Hydrocarbons-A Secondary Publication

The risk analysis evaluates the probability of occurrence with the impact of said risks.In the hydrocarbon sector,an environmental liability is an improperly abandoned facility,soil contaminated by spills or others.The objective of this work is to define a risk management plan.The characterization of the residue and the area was carried out.Hazardous events were identified:overflow spill,soil contamination by infiltration,as well as radiant heat and suffocating and toxic fumes from a fire.The matrix method was applied considering the probability of occurrence against vulnerability.The danger of infiltration implied a high level of risk.The risk management plan was drawn up,its main action being the liquidation of the pool and the sanitation of the area.

Enablers and barriers of implementing shared governance in nursing departments:a case study from the United Arab Emirates

Objective:The literature provides evidence about the positive impact of shared governance implementation in nursing departments and units,as well as on several aspects of nursing practice,including nurse empowerment,engagement,well-being,job satisfaction,retention,and positive outcomes in direct patient care.Accordingly,many nursing departments of United Arab Emirates(UAE)hospitals have implemented shared governance in their units.However,the success of implementation varies among these hospitals.Therefore,the study aimed to explore the progress of shared governance implementation in hospitals,identify the enablers and inhibitors of implementing the model,and produce a recommendation to help the nursing departments of hospitals to overcome challenges and accelerate the implementation process.Methods:The study used an inductive,qualitative case-study research method and semi-structured in-depth interviews with a purposive sample of 15 nurses working in various units in a tertiary hospital in UAE.The authors used a thematic data analysis approach to find the results.Results:The results identified immediate manager understanding and support as a significant enabler and lack of senior management support,nurses'attitudes and behaviors,and time as the main barriers.The study highlights that nurses are positive and enthusiastic about improving the current situation of shared governance by providing several suggestions and strategies.Conclusions:The study highlights that senior nursing managers should re-evaluate shared governance implementation and modify the strategies accordingly.

Shared-nothing并行事务数据库系统中规则的挖掘与更新算法

关联规则是数据挖掘中的一个重要研究内容 .本文提出了 Shared- nothing并行事务数据库系统 (简称SNPDBS)中一种快速的关联规则挖掘算法 SNPMAR,并考虑当最小支持度发生变化后 SNPDBS中关联规则的高效更新问题 ,提出了一种有效的关联规则更新算法 SNPIUA.

Bi-level model for shared parking decision-making based on parking lot assignment simulation

In order to carry out comprehensive decision-making of multi-class shared parking measures within a region, a bilevel model assisting decision-making is proposed. The upper level selects parkers＇ average satisfaction and the violation rate during peak hours as indices in object function, and sets probability distribution models describing dynamic parking demand of each site, the feasibility of shared parking scenarios and occupancy requirements during peak hours of each parking lot as restrictions. The simulation model in the lower level sets up rules to assign each parker in the random parking demand series to the proper parking lot. An iterative method is proposed to confirm the state of each parking lot at the start of formal simulations. Besides, two patterns linking initialization and formal simulation are presented to acquire multiple solutions. The results of the numerical examples indicate the effectiveness of the model and solution methods.

Shared-nothing并行数据库系统查询优化技术

查询优化是并行数据库系统的核心技术 .该文介绍作者自行研制的一个 Shared- nothing并行数据库系统PBA SE/ 2中独特的两阶段优化策略 .为了缩减并行查询优化庞大的搜索空间 ,PBASE/ 2将并行查询优化划分为顺序优化和并行化两个阶段 .在顺序优化阶段对并行化后的通信代价进行预先估算 ,将通信开销加入顺序优化的代价模型 ,同时对动态规划搜索算法进行了修正和扩展 ,保证了顺序优化阶段得到的最小代价计划在并行化后代价仍然最小 .并行化阶段的优化目标是实现查询工作量在系统内多种资源上的负载平衡 ,提出了资源负载平衡因子的概念 ,并且通过启发式规则、任务调度等机制保证了并行查询执行计划的优化性 .

Flash mx2004中利用SharedObject存取本地磁盘数据

探讨了在FlashMx2004中利用共享对象实现对本地数据进行存取的原理,并且用一个实例来说明实现存取数据的具体的步骤和方法。

一种Shared-Nothing分布式数据库的构建方法

分布式数据库能够以相对低廉的代价满足海量数据分析处理的性能需求,兼具良好的可扩展性。文中采用Shared-Nothing架构及MySQL数据库来实现分布式数据库访问层的功能架构及模块设计,提出了使用列存储机制提升分布式数据库系统查询性能的思路,包括数据存储的方法及策略。对所设计实现的系统进行了基准性能测试及扩展性能测试,结果表明,文中所实现系统相较传统列式数据库具有出色的查询性能表现,同时具有优秀的可扩展性,能够以较低的代价满足海量数据分析处理所带来的额外数据库性能提升要求。

安心卡引导的尊严照护干预联合SHARE模式在肿瘤患者安宁疗护中的应用

目的:探讨和分析安心卡引导的尊严照护干预联合SHARE模式在肿瘤患者安宁疗护中的应用,为临床提供参考。方法:选取2022年1—12月郑州市第三人民医院收治的68例肿瘤患者作为研究对象。对照组(34例)采取传统的照护方法和告知模式,试验组(34例)采取安心卡引导的尊严照护方法和SHARE告知模式,比较两组患者的自尊水平、死亡态度、焦虑情绪、睡眠质量状况。结果:干预后,两组患者的自尊水平测定分数均增高,试验组的自尊水平测定分数显著高于对照组,差异有统计学意义(t=4.218,P<0.05);干预后,试验组的害怕、回避死亡态度得分显著低于对照组,自然接受、接近接受死亡态度得分显著高于对照组,差异有统计学意义(t=10.119、3.222、17.142、6.278,P<0.05);干预后,两组患者的焦虑情绪得分均降低,试验组焦虑情绪得分显著低于对照组,差异有统计学意义(t=18.739,P<0.05);干预后,两组患者的睡眠质量得分均降低,试验组睡眠质量得分显著低于对照组,差异有统计学意义(t=10.746,P<0.05);干预后,两组患者的疼痛程度得分均降低,干预后试验组疼痛程度得分显著低于对照组,差异有统计学意义(t=9.685,P<0.05)。结论:安心卡引导的尊严照护干预联合SHARE模式在肿瘤患者安宁疗护中,有利于肿瘤患者疾病治疗和身心健康发展,可供临床参考。

Shared and Service-oriented CNC Machining System for Intelligent Manufacturing Process

To improve efficiency, reduce cost, ensure quality effectively, researchers on CNC machining have focused on virtual machine tool, cloud manufacturing, wireless manufacturing. However, low level of information shared among different systems is a common disadvantage. In this paper, a machining database with data evaluation module is set up to ensure integrity and update. An online monitoring system based on internet of things and multi-sensors ＂feel＂ a variety of signal features to ＂percept＂ the state in CNC machining process. A high efficiency and green machining parameters optimization system ＂execute＂ service-oriented manufacturing, intelligent manufacturing and green manufacturing. The intelligent CNC machining system is applied in production. CNC machining database effectively shares and manages process data among different systems. The prediction accuracy of online monitoring system is up to 98.8% by acquiring acceleration and noise in real time. High efficiency and green machining parameters optimization system optimizes the original processing parameters, and the calculation indicates that optimized processing parameters not only improve production efficiency, but also reduce carbon emissions. The application proves that the shared and service-oriented CNC machining system is reliable and effective. This research presents a shared and service-oriented CNC machining system for intelligent manufacturing process.

Core-based Shared Tree Multicast Routing Algorithms for LEO Satellite IP Networks

A new core-based shared tree algorithm, viz core-cluster combination-based shared tree （CCST） algorithm and the weighted version （i.e. w-CCST algorithm） are proposed in order to resolve the channel resources waste problem in typical source-based multicast routing algorithms in low earth orbit （LEO） satellite IP networks. The CCST algorithm includes the dynamic approximate center （DAC） core selection method and the core-cluster combination multicast route construction scheme. Without complicated onboard computation, the DAC method is uniquely developed for highly dynamic networks of periodical and regular movement. The core-cluster combination method takes core node as the initial core-cluster, and expands it stepwise to construct an entire multicast tree at the lowest tree cost by a shortest path scheme between the newly-generated core-cluster and surplus group members, which results in great bandwidth utilization. Moreover, the w-CCST algorithm is able to strike a balance between performance of tree cost and that of end-to-end propagation delay by adjusting the weighted factor to meet strict end-to-end delay requirements of some real-time multicast services at the expense of a slight increase in tree cost. Finally, performance comparison is conducted between the proposed algorithms and typical algorithms in LEO satellite IP networks. Simulation results show that the CCST algorithm significantly decreases the average tree cost against to the others, and also the average end-to-end propagation delay ofw-CCST algorithm is lower than that of the CCST algorithm.

NORMAL FAMILIES AND SHARED VALUES OF HOLOMORPHIC FUNCTIONS

Let F be a family of holomorphic functions in a domain D, k be a positive integer, a, b（≠0）, c（≠0） and d be finite complex numbers. If, for each f∈F, all zeros of f-d have multiplicity at least k, f^（k） = a whenever f=0, and f=c whenever f^（k） = b, then F is normal in D. This result extends the well-known normality criterion of Miranda and improves some results due to Chen-Fang, Pang and Xu. Some examples are provided to show that our result is sharp.