Medical appraisal of Chinese military aircrew with abnormal results of coronary computed tomographic angiography

BACKGROUND Coronary artery diseases can cause myocardial ischemia and hypoxia,angina pectoris,myocardial infarction,arrhythmia,and even sudden death led to inflight incapacitation of aircrew.As the main cause of grounding due to illness,they severe threats to the health and fighting strength of military aircrew.Early warning in an early and accurate manner and early intervention of diseases possibly resulting in inflight incapacitation are key emphases of aeromedical support in clinic.AIM To figure out the flight factors and clinical characteristics of military aircrew with abnormal results of coronary artery computed tomographic angiography(CTA),thereby rendering theoretical references for clinical aeromedical support of military flying personnel.METHODS The clinical data of 15 flying personnel who received physical examinations in a military medical center from December 2020 to June 2023 and were diagnosed with coronary artery diseases by coronary artery CTA were collected and retrospectively analyzed,and a descriptive statistical analysis was conducted on their onset age,aircraft type and clinical data.RESULTS The 15 military flying personnel diagnosed with coronary artery diseases by coronary artery CTA were composed of 9 pilots,1 navigator and 5 air combat service workers.Multi-vessel disease was detected in 9 flying personnel,among which 8(88.9%)were pilots.Flying personnel with multi-vessel disease had higher content of cholesterol,low-density lipoprotein cholesterol and apolipoprotein B than those with single-vessel disease.CONCLUSION Coronary artery diseases are the major heart disease for the grounding of flying personnel due to illness,which can lead to inflight incapacitation.Coronary artery CTA is conducive to early detection and early intervention treatment of such diseases in clinic.

An Appraisal of the Major National Dialogue as a Panacea to the Anglophone Crisis in Cameroon

This paper explores the Major National Dialogue organised by Paul Biya from the 30th of September to the 4th of October,2019 as a panacea to the Anglophone.The paper also seeks to find out if this dialogue has been the panacea Cameroonians as a whole and the people of Southern Cameroons in particular have been waiting for to end this conflict.This research uses a qualitative research design.This is because the researcher culled information from Jeune Afrique Economie(2019a),Cameroon Tribune,and from Phoenix.Descriptive analysis was used to analyse the collected data.Descriptive analysis is used to get the views of the public whether the Major National Dialogue was really a panacea to the Anglophone crisis.The analysis revealed that there were two opposing opinions on the holding of this dialogue.The government thinks the dialogue was a panacea to put an end to this crisis because there is ongoing construction work in the war zones,and economic activities have witnessed an increase in the regions as the various production units of the Cameroon Development Corporation(CDC)and Pamol plantations have regained agricultural activities.The Ndawara tea estate now functions without problems.Trans-border trade is on the rise and transportation is fluid,except in the rural areas where the state of the road network is poor to name but these.On the other hand,politicians,political parties like the Social Democratic Front,activists,religious leaders,the affected populations,and Cameroonians at large think that the Major National Dialogue was a monologue and therefore was bound to fail because first,key actors arrested and detained in connection to this crisis were not part of this dialogue.For this reason,they are calling for a genuine and an inclusive dialogue.In addition,they argue that we cannot be talking of peace when fighting is still raging on and people are being killed,houses and schools are being burnt,and people are being kidnapped every day for ransom to mention but these.

Real estate appraisal system based on GIS and BP neural network

For the inefficiency and inaccuracy of appraisal method of traditional estate appraisal theory, the real estate appraisal system based on GIS and BP neural network was established. The structure of the system was designed which includes appraisal model, trade case, GIS database and query analysis module. With the help of the L-M algorithm in MATLAB software, BP neural network was improved and the trade cases were trained, then the BP neural network which has already been trained was tested. At the same time, the BP neural and GIS were put together to construct the hedonic price estimate model. The C# and ArcGIS9.3 were used to achieve the system in VS2008. City basic geographic data and real estate related information were used as the basic data in practice. The results show that the functions of querying, adding and editing the spatial data and attribute data are achieved and also the efficiency and accuracy of real estate are improved, so that the new method of real estate is provided by the system.

Research on the Appraisal System of County Innovation in New Countryside Construction

Aiming at the target of enhancing agricultural competitive power and maintaining the sustainable countryside development, ＂the three dimensional innovation＂, namely the system innovation, the organization innovation, and the service innovation, is the basic way to raise the efficiency of productive factors, optimize the organizational structure and enhance the farmers＇ own organizational ability, thus it becomes an important proposition in the fundamental research and practice of China new countryside construction. Through the reorganization and analyses of the domestic academic achievements, this article chose ＂the county innovation in China new countryside construction＂ as the first level index, and ＂the three dimensional innovation＂ as the second level index. Totally four levels of indices, namely the strategy level, the mechanism level, the carrier level and the comment level, were introduced to construct the county innovation appraisal system. The further adjustment and supplement of the indices and the choices of computational method must be completed through spot investigation and case study.

A TOTAL QUALITY PROCESS FOR DESIGN OF A PERFORMANCE APPRAISAL SYSTEM

This paper proposes an improved performance appraisal system (PAS) that is based on the philosophy of total quality management(TQM). It focuses on understanding the customer′s (both management and employees) requirements for the PAS in order to prioritize and simplify the basic elements of the appraisal system and implementation process. The improved process is defined by performance planning, counseling and evaluation with assessments for individual, team and management contributions. In addition, reducing the rating scale to three categories should facilitate a very positive evaluation process for most employees and still allow a constructive focus on those individuals that must be improved. Finally, if people come first in the TQM organization, then the personnel systems must reflect this philosophy.

University's Dynamic Performance Appraisal System Based on Data

Teachers are key participants in universities,and the performance appraisal of teacher is an important part of college work.By analyzing the data of behavior generated by different departments in university,analytic hierarchy process(AHP) is used to establish the preliminary library of performance indicators for teachers,and the correlation among all the performance indicators is inspected by using data mining method at this time.On this basis,a more objective,comprehensive and scientific performance appraisal system is constructed through principal components analysis(PCA),which is more suitable for university itself.Finally,in order to solve the problems existed in current performance appraisal system,a dynamic evaluation model is put forward by regulating the weight of indicator according to the historical data,highlighting the continuity of the system.

Research on the Synthetic Appraisal Index System of Lake Health

[Objective ] The study aimed at assessing the state of lake health. [ Method] Based on the concept of ＂healthy lakes＂ analyzed deeply, the fuzzy integrated evaluation was used to establish the evaluation index system of lake health, and the analytic hierarchy process （AHP） com- bined with expert evaluation method was used to determine the weight of each indicator. Afterwards, the health state of three typical lakes （ San- baidang, Beimayang and Qiaobeidang） in Wujiang City were evaluated by the system, and the measures to develop and protect the lakes were put forward finally. E Resultl The assessment results showed that Sanbaidang and Beimayang were in basic health, while Qiaobeidang was in sub- health. The indicator system and assessment method are suitable for the rivers in eastern plains of China.[ Conclusion] The research could provide scientific references for the development, protection and restoration of lakes.

The Analysis of ATTITUDE on Speech in The Joy Luck Club--From the Perspective of APPRAISAL Systems

This thesis takes advantage of the sub-category- ATTITUDE in APPRAISAL Systems to track the high- light of The Joy Luck Club written by American-Chinese novelist Amy Tan,focusing on one theme： June＇ s recollection on the colfflict she and her mother used to have. It mainly analyzes the interpersonal meaning of the selected speech, and different modes of speech concerning the expression of attitude.

An Analysis of Public Service Announcements from the Perspective of At⁃titude in Appraisal System—Take TV PSA of Environmental Protection for Examples

With the development of social media,the TV public service advertisements play an important role in environmental pro⁃tection.The essay will analyze PSA about environmental protection from the perspective of Attitude in Appraisal System,trying to find out how ads work by using different kinds of sub-systems in attitude.And the essay will also focus on the proportion of positive and negative meanings,researching the myth of PSA.

An Exploratory Study of the Interpersonal Meanings of President Xi’s New Year Speech Based on Appraisal Theory

The research examines President Xi’s 2021 New Year speech with research questions centering around its abundant interpersonal meanings.Through qualitative content analysis,the research finds that it is typical for Chinese president to frequently use judgment and appreciation resources in reviewing the past year.Even in the face of the pandemic and natural disasters,the overall emotions of the speech remain positive,which corresponds to the forward-looking feature of New Year speech.Significance of the study abounds and future research can investigate how COVID-19 impacts the ideologies conveyed through political leaders’speeches through a comparative lens and how to produce more understandings that can help dismantle stereotypes and discrimination hidden in reports about COVID-19 by using Appraisal Theory critically,systematically,and comprehensively.

我国司法鉴定立法涉及的重大问题研究

2005年,全国人民代表大会常务委员会通过的《关于司法鉴定管理问题的决定》(以下简称《决定》)作为司法鉴定领域内唯一的专门法律性文件,其颁布与实施初步实现了统一司法鉴定管理体制。但随着目前法治的进步及司法鉴定领域出现的诸多问题亟需法律予以规制,司法鉴定立法再次成为关注焦点。司法鉴定立法不仅面临着《决定》制定中遗留的老问题,亦交织着《决定》施行后衍生的新问题。需要在已有制度运行基础上,对司法鉴定立法涉及的重大问题展开深入研究,分别从宏观、中观和微观层面来予以探讨,以期能够逐渐形成具有系统性、前瞻性和相对成熟性的立法共识。

公立医院绩效考核背景下某三级医院落实功能定位的案例分析

公立医院绩效考核,为各级公立医院的发展指明了方向。某三甲医院在医院功能定位落实过程中,总结了现阶段医院发展面临的诸多问题,概括为以下四个方面:①精细化管理程度不足;②学科发展方向不明晰;③医疗运行效率提升遇到瓶颈;④支付方式改革给医院带来了新挑战。针对以上问题,医院于2022年5月启动了精细化管理实践。以外科科室为试点,通过信息系统建设为精细化管理提升奠定基础,通过管理流程优化提高医疗运行效率,通过亚专科和学科联盟建设提高学科整体竞争力,通过调整绩效考核指标体系发挥绩效激励作用。以上措施有效提升了医院整体的医疗服务能力及效率,为医院高质量发展提供了助力。

“鉴定—欣赏”:教育评价范式的双重结构及其实现——基于拔尖创新人才培养的思考

与“全面而有个性的发展”的培养目标相适应,教育评价应当是由“鉴定性评价”和“欣赏性评价”组成的双重结构。鉴定性评价是指对学生素质按照预先设定的指标和标准进行评定,重在发现学生素质的不足,以“补短”推动“全面发展”;欣赏性评价是指根据学生素质发展的实际情况建构指标和标准并据此进行评定,重在发现学生素质的优势,以“扬长”促进“个性发展”。二者各有优劣,既不可彼此取代,亦需要相互补充。当前,“鉴定”几乎成为教育评价的唯一范式,评价改革基本集中于“鉴定”内部的评价内容调整,学生的个性潜质和特殊才能很难有机会被发现,更谈不上培养。为了真正实现学生的全面而有个性的发展,培养出拔尖创新人才,教育评价亟须从鉴定性评价的单一范式结构转向“鉴定—欣赏”性评价的双重范式结构。具体策略包括:确立注重特长的人才观,构建多元录取的考试招生模式,善用彰显个性的评价方法和提供专业且过硬的评价保障等。

我国三级公立医院绩效考核结果分析与思考

目的 对我国三级公立医院绩效考核结果进行分析,为推进三级公立医院高质量发展提供依据。方法 运用描述性分析法和对比分析法对2019年—2021年三级公立医院绩效考核结果及发展趋势进行分析。结果 出院患者手术占比、微创手术占比、四级手术比例和日间手术占择期手术比例均有所增长;Ⅰ类切口感染率下降,DRG组数中位数逐渐增加;抗菌药物使用强度逐步降低,且明显低于40 DDDs的国家上限要求;门诊预约诊疗率大幅度提升,门诊患者预约后平均等候时间稳中有降;人员支出占业务支出比例稳中有升;副高级以上职称的比例、接收对口支援医院和医联体内医院进修半年以上人员的比例逐步提升。存在的主要问题为三级公立医院发展不均衡,跨省异地就医现象仍然存在,医院管理水平有待进一步提高,患者就医感受和医务人员获得感仍需进一步改善。结论 为推进三级公立医院高质量发展,还需进一步提升医疗服务水平;加强医院科学管理,推进管理出效益;激活医务人员积极性,推动以人为本的全面发展。

国家三级公立医院绩效考核在我院的实践探讨

2019年国家卫生健康委启动了三级公立医院绩效考核工作,此后“国考”成为了全国公立医院的重点工作之一,也成为了医院推进管理工作、推动可持续发展的重要抓手。面对国家深化医改及公立医院高质量发展的要求,内蒙古某三级公立医院以“国考”为导向,找准发展定位,提高医疗水平,重视学科建设,构建医院质量管理体系,加强内部管理机制,提升了医院医疗服务能力、患者安全和服务质量,优化内部管理,推动了医院高质量发展。

公平竞争审查制度地方实施激励机制研究

公平竞争审查制度地方实施激励机制能够激发地方政策制定机关的积极性,促进社会效益的整体提升。在公平竞争审查制度的地方实施中,应当引入物质性和非物质性激励的双重促进作用。将激励机制引入公平竞争审查制度地方实施中具有正当性,平衡论和外部性理论提供理论依据,既有法律制度和实施需求提供适用基础。当前的公平竞争审查制度地方实施激励机制不完善,表现为制度设计中的激励机制形同虚设,制度实践中的低效现象也较为普遍化。这主要是由自我审查模式的局限性、对惩罚机制的路径依赖、央地协调中存在的治理逻辑差异、地方发展中固有的“唯GDP”观念共同作用所致。健全公平竞争审查地方实施激励机制,应当遵循央地共建的思路,重点将制度实施成效纳入地方官员的考评体系。同时,设置具有针对性的激励方式、重视能力激励、增强激励工作的规范性,切实维护激励措施的落地实施。

腿伤克斯特菌致肺部感染1例并对鉴定方法讨论

目的介绍呼吸道标本中1例少见腿伤克斯特菌的鉴定过程,以及鉴定方法的正确选择,探讨微生物工作对待细菌鉴定合理思维,选择适合的细菌鉴定方法。方法患者痰标本多次规范送检并培养出同一种细菌,通过Vitek2 Compact、MALDI-TOF MS(基质辅助激光解吸电离飞行时间质谱)、16S rRNA、mNGS(宏基因组二代测序)等方法的鉴定。结果该菌在血平皿、麦康凯、巧克力平皿上均生长,扩散型的菌落,表面粗糙,革兰染色阴性小的球杆菌,Vitek2Compact鉴定为木糖氧化无色杆菌,低分辨率,鉴定有误,MALDI-TOF、16S rRNA、mNGS均鉴定为腿伤克斯特菌,并且菌株未检测到毒力因子和耐药基因,为敏感菌株。结论MALDI-TOF、16S rRNA、mNGS对于细菌的鉴定有重要作用,3种方法有各自的特点,MALDI-TOF MS操作简便,成本较低,较适合临床日常工作,16S rRNA适合MALDI-TOF菌株库不包含无法鉴定出的细菌,mNGS成本较高,时间也较长,但鉴定菌株序列信息全面,鉴定较准确。综上所述,细菌鉴定工作,还需结合临床患者病情等众多因素,合理选择适合的方法具有重要意义。

我国司法鉴定管理体制的完善路径镜鉴——以英国专家证人管理改革为例

我国司法鉴定体制改革的目标是建立和健全统一的司法鉴定管理体制。近年来,英国在统一专家证人的资格审查与选任程序、统一和重塑专家证人的职责、统一专家证据的披露要求以及统一专家证人的管理体制等方面进行了改革,为我们提供了在面对现代专家证人管理类似挑战时尝试应对的例证。对我国而言,应确保司法鉴定活动各方主体的权益,为案件事实认定提供技术支持。首先,在对鉴定主体资格的管理上,应当明确司法鉴定管理和法院监督的界限,注意两者之间的衔接;其次,在责任追究的管理上,应当在充分尊重鉴定人独立的诉讼地位的前提下,明确鉴定人的真实义务和责任,完善法院和当事人对鉴定人的责任追究机制;最后,在技术标准的管理上,应当加大行业管理的力度,实现司法鉴定行业协会向纵深发展,推动其在行业标准制定上发挥更大作用。