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Adaptive interaction driven by the learning effect in the spatial prisoner's dilemma
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作者 李佳奇 张建磊 刘群 《Chinese Physics B》 SCIE EI CAS CSCD 2024年第3期160-169,共10页
We propose a computing model in which individuals can automatically adjust their interaction intensity with their mentor according to the learning effect.This model is designed to investigate the cooperative dynamics ... We propose a computing model in which individuals can automatically adjust their interaction intensity with their mentor according to the learning effect.This model is designed to investigate the cooperative dynamics of the spatial prisoner's dilemma.More specifically,when the cumulative payoff of a learner is more than his reference earning,he will strengthen his interaction with his mentor;otherwise,he will reduce it.The experimental results indicate that this mechanism can improve the emergence of cooperation in a networked population and that the driving coefficient of interaction intensity plays an important role in promoting cooperation.Interestingly,under a certain social dilemma condition,there exists a minimal driving coefficient that leads to optimal cooperation.This occurs due to a positive feedback effect between the individual's satisfaction frequency and the number of effective neighbors.Moreover,we find that the experimental results are in accord with theoretical predictions obtained from an extension of the classical pair-approximation method.Our conclusions obtained by considering relationships with mentors can provide a new perspective for future investigations into the dynamics of evolutionary games within structured populations. 展开更多
关键词 self-adapting interaction evolutionary game MENTOR spatial prisoner's dilemma
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The “Panchatantra” Narrative Structure and the Writing of Indian Women’s Dilemma in Suraj Ka Satvan Ghoda
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作者 CEN Rui 《Journal of Literature and Art Studies》 2024年第7期567-575,共9页
Dharamvir Bharati’s Suraj Ka Satvan Ghoda connects the text with the social reality,through the multiple narrative perspectives of the“Panchatantra”Narrative Structure and the love stories,and narrates the survival... Dharamvir Bharati’s Suraj Ka Satvan Ghoda connects the text with the social reality,through the multiple narrative perspectives of the“Panchatantra”Narrative Structure and the love stories,and narrates the survival and spiritual dilemma of Indian women in the transformation of India’s modernization.The novel depicts in both content and form the plight of Indian women’s physical and spiritual dependence under the traditional concepts of arranged marriages,caste marriages,dowry system and patriarchal will,and shows the process of women’s body and self-consciousness gradually moving from vitality to extinction. 展开更多
关键词 Suraj Ka Satvan Ghoda Dharamvir Bharati the“Panchatantra”narrative structure dilemma writing
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The Opportunities,Dilemmas,and Paths for the Development of Adult Higher Education in the New Era
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作者 Yin Huang 《Journal of Contemporary Educational Research》 2024年第4期264-269,共6页
This paper comprehensively analyzes the development opportunities and realistic dilemmas faced by adult higher education in China in the new era,and puts forward corresponding strategies as solutions.With the construc... This paper comprehensively analyzes the development opportunities and realistic dilemmas faced by adult higher education in China in the new era,and puts forward corresponding strategies as solutions.With the construction of a learning society,the development of digital technology,and the popularization of the concept of lifelong learning,adult higher education has unprecedented development opportunities.At the same time,these forms of education are facing a series of dilemmas due to challenges such as unsound guarantee mechanisms and traditional enrollment competition.Through the establishment of perfect legal and policy guarantees,transformation of school running mode,meeting the diversified needs of learners,and other multi-faceted measures,the development of adult higher education can be effectively promoted to meet the needs of individual and social development. 展开更多
关键词 Adult higher education OPPORTUNITIES dilemmaS PATHS
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A Study of a Moral Dilemma Stories Teaching Model Focusing on the Development of Higher-Order Thinking --"Synthetic polymers" as an example
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作者 Lin Tang Yi Dai 《教育技术与创新》 2024年第1期27-35,共9页
Cultivating students'higher-order thinking is one of the important goals of modern education,and innovative teaching model is an effective way to achieve this goal.Aiming at the inadequacy of the existing moral di... Cultivating students'higher-order thinking is one of the important goals of modern education,and innovative teaching model is an effective way to achieve this goal.Aiming at the inadequacy of the existing moral dilemma stories approach in the transformation of knowledge and behavior,this research constructs a new Project Based Learning-Ethical Dilemma Stories(PBL-EDS)Teaching Model applicable to China's secondary education stage based on the innovative features of the moral dilemma stories approach on the core competencies,taking the chemistry subject as an example to carry out practice,and puts forward suggestions for the implementation of the teaching model.Chemistry as an example to carry out the practice,and suggestions are made for the implementation of the teaching model. 展开更多
关键词 higher-order thinking moral dilemma stories teaching model secondary education
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Experimental Study on the Influence of Cognition and Emotion on Moral Judgment of College Students in Dilemma Situation
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作者 Chenhao Sun Shaobei Xiao +1 位作者 Ting Liu Xiaolin Yuan 《International Journal of Mental Health Promotion》 2023年第2期275-286,共12页
Objective:To study the influence of cognition and emotion on moral judgment of college students under the circumstance of whether the cognitive resources are occupied and whether the emotion is induced.Methods:This ex... Objective:To study the influence of cognition and emotion on moral judgment of college students under the circumstance of whether the cognitive resources are occupied and whether the emotion is induced.Methods:This experiment uses a multi-factor mixed experiment method to divide experiments and groups.Experiment 1 uses a two-factor mixed experimental design of 2(cognitive resource occupancy group,cognitive resource non-occupied group)×3(difficult situation type).Experiment 2 uses a two-factor mixed experimental design of 2(emotion induction group,emotion induction and cognitive resource occupation group)×3(three types of dilemma situation types)is adopted.The dependent variable of this experiment(including Experiment 1 and Experiment 2)is the judgment response time and the judgment result is“Yes”(F)or“No”(J).Results:(1)The reaction time of the cognitive resource occupancy group was significantly higher than that of the cognitive resource non-occupied group,and the cognitive resource occupancy group in the three types of dilemma situations of high personal involvement,low personal involvement,and non-personal participation.There is no significant difference between the results of moral judgments and the cognitive resource non-occupied group.(2)In the three dilemmas of high personal involvement,low personal involvement,and non-personal participation,the emotion-induced group and the emotion-induced and cognitive resource occupation group have no significant differences in reaction time and moral judgment results.(3)In the three dilemmas of high personal involvement,low personal involvement,and non-personal participation,the reaction time difference between the cognitive resource occupation group and the emotionally induced and cognitive resource occupation is not significant,while in the dilemma of low personal involvement,the number of people in the cognitive resource occupation group whose moral judgment is“Yes”was significantly higher than that in the emotionally induced and cognitive resource occupation group.(4)In the three dilemmas of high personal involvement,low personal involvement,and non-personal participation,the reaction time of the emotionally induced group was significantly higher than that of the cognitive resource non-occupied group,and the moral judgment results of the two groups were both found no significant difference.Conclusion:When the occupation of cognitive resources and the induction of emotions will significantly affect the response of individual moral judgments,different types of dilemmas will significantly affect the results of individual moral judgments. 展开更多
关键词 College students dilemma situation moral judgment COGNITIVE EMOTION
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The Mission and Dilemma of College English Teachers in the New Era
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作者 DENG Yongping 《Sino-US English Teaching》 2023年第10期396-399,共4页
The construction of world-class undergraduate education with Chinese characteristics is a major mission for all college English teachers in today’s era,and a considerable proportion of college English teachers are st... The construction of world-class undergraduate education with Chinese characteristics is a major mission for all college English teachers in today’s era,and a considerable proportion of college English teachers are still in varying degrees of difficulties and bottlenecks.How to quickly achieve self-breakthrough and devote themselves to realizing the dream of serving the country and education is a higher requirement for college teachers at the national level. 展开更多
关键词 MISSION dilemma CHALLENGE COUNTERMEASURE
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Stevens’s Ethical Identity Dilemma in The Remains of the Day
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作者 ZHAO Shuya 《Sino-US English Teaching》 2023年第7期264-267,共4页
Based on ethical literary criticism,this paper aims to analyze the factors contributing to Stevens’loss of ethical identity.It contends that distorted ethical relationships are the primary driver behind Stevens’s et... Based on ethical literary criticism,this paper aims to analyze the factors contributing to Stevens’loss of ethical identity.It contends that distorted ethical relationships are the primary driver behind Stevens’s ethical identity dilemma,which includes the abnormal father-son relationship,Stevens’s blind admiration for his master,and his avoidance of Miss Kenton’s feelings. 展开更多
关键词 ethical identity dilemma the Remains of the Day
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The AI Paradox: Mapping the Unintended Disruptions in IT and Beyond
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作者 Aparna Gadhi Chinna Manikanta Bandaru Olatunde Abiona 《International Journal of Communications, Network and System Sciences》 2024年第7期105-112,共8页
In the realm of Artificial Intelligence (AI), there exists a complex landscape where promises of efficiency and innovation clash with unforeseen disruptions across Information Technology (IT) and broader societal real... In the realm of Artificial Intelligence (AI), there exists a complex landscape where promises of efficiency and innovation clash with unforeseen disruptions across Information Technology (IT) and broader societal realms. This paper sets out on a journey to explore the intricate paradoxes inherent in AI, focusing on the unintended consequences that ripple through IT and beyond. Through a thorough examination of literature and analysis of related works, this study aims to shed light on the complexities surrounding the AI paradox. It delves into how this paradox appears in various domains, such as algorithmic biases, job displacement, ethical dilemmas, and privacy concerns. By mapping out these unintended disruptions, this research seeks to offer a nuanced understanding of the challenges brought forth by AI-driven transformations. Ultimately, its goal is to pave the way for the responsible development and deployment of AI, fostering a harmonious integration of technological progress with societal values and priorities. 展开更多
关键词 Artificial Intelligence AI Paradox Unintended Disruptions Information Technology Ethical dilemmas Privacy Concerns Job Displacement Algorithmic Biases
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Research Status,Practical Dilemmas,and Optimization Strategies of Blended Teaching in Universities
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作者 Zhiying Zhu Yinxia Wei 《Journal of Contemporary Educational Research》 2024年第7期210-215,共6页
Blended teaching has emerged as a prominent subject in the recent reform and innovation of higher education.It has become imperative and guiding for colleges and universities to embrace a mixed teaching approach that ... Blended teaching has emerged as a prominent subject in the recent reform and innovation of higher education.It has become imperative and guiding for colleges and universities to embrace a mixed teaching approach that aligns with the evolving needs of education and teaching in the new era.This paper aims to provide a comprehensive overview of the research status surrounding blended teaching,encompassing fundamental issues,teaching design,practical guidance,teaching effectiveness,and evaluation.By critically examining the current challenges associated with blended teaching,this study proposes optimization strategies including enhancing student participation and interaction,promoting deep learning,improving teachers’preparedness,teaching technologies,and curriculum design capabilities,strengthening top-level design,and perfecting evaluation and incentive mechanisms.These strategies provide new directions for the reform of blended teaching. 展开更多
关键词 Blended teaching Research status Practical dilemma Optimization strategy
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A Workable Solution for Reducing the Large Number of Vehicle and Pedestrian Accidents Occurring on a Yellow Light
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作者 Pranav Gupta Silki Arora 《Journal of Transportation Technologies》 2024年第1期82-87,共6页
Traffic intersections are incredibly dangerous for drivers and pedestrians. Statistics from both Canada and the U.S. show a high number of fatalities and serious injuries related to crashes at intersections. In Canada... Traffic intersections are incredibly dangerous for drivers and pedestrians. Statistics from both Canada and the U.S. show a high number of fatalities and serious injuries related to crashes at intersections. In Canada, during 2019, the National Collision Database shows that 28% of traffic fatalities and 42% of serious injuries occurred at intersections. Likewise, the U.S. National Highway Traffic Administration (NHTSA) found that about 40% of the estimated 5,811,000 accidents in the U.S. during the year studied were intersection-related crashes. In fact, a major survey by the car insurance industry found that nearly 85% of drivers could not identify the correct action to take when approaching a yellow traffic light at an intersection. One major reason for these accidents is the “yellow light dilemma,” the ambiguous situation where a driver should stop or proceed forward when unexpectedly faced with a yellow light. This situation is even further exacerbated by the tendency of aggressive drivers to inappropriately speed up on the yellow just to get through the traffic light. A survey of Canadian drivers conducted by the Traffic Injury Research Foundation found that 9% of drivers admitted to speeding up to get through a traffic light. Another reason for these accidents is the increased danger of making a left-hand turn on yellow. According to the National Highway Traffic Safety Association (NHTSA), left turns occur in approximately 22.2% of collisions—as opposed to just 1.2% for right turns. Moreover, a study by CNN found left turns are three times as likely to kill pedestrians than right turns. The reason left turns are so much more likely to cause an accident is because they take a driver against traffic and in the path of oncoming cars. Additionally, most of these left turns occur at the driver’s discretion—as opposed to the distressingly brief left-hand arrow at busy intersections. Drive Safe Now proposes a workable solution for reducing the number of accidents occurring during a yellow light at intersections. We believe this fairly simple solution will save lives, prevent injuries, reduce damage to public and private property, and decrease insurance costs. 展开更多
关键词 Traffic Accidents Yellow Light Traffic Light Signals INTERSECTION Crashes Collision Traffic Fatalities Traffic Injuries Vehicles SAFETY Speed Limit Driving Pedestrians Bicyclists MOTORCYCLISTS Caution Line Yellow Light dilemma Left Hand Turn on Yellow Distance Smart Road Technology Signs Signage Autonomous Vehicles AVs Road Safety IoT Internet of Things Infrastructure Accident Reduction Driving Habits Stop Line Red Light Jumping Pedestrian Safety Caution Light Stopping at Intersection Safety at Intersections
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The Ethical Dilemmas of International Environmental Justice and its' Resolution 被引量:9
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作者 刘湘溶 张斌 《湖南师范大学社会科学学报》 CSSCI 北大核心 2009年第2期9-13,共5页
主权国家作为全球环境治理的最为重要的主体,在国际环境正义实践中发挥着决定性的作用,但另一方面由于主权国家“个体”利益的存在,主权国家在参与国际环境正义实践时面临着一些伦理困境。要化解这些伦理困境,构建和谐世界,主权国... 主权国家作为全球环境治理的最为重要的主体,在国际环境正义实践中发挥着决定性的作用,但另一方面由于主权国家“个体”利益的存在,主权国家在参与国际环境正义实践时面临着一些伦理困境。要化解这些伦理困境,构建和谐世界,主权国家除了要树立主体间性和生态文明的主体性之外,还要调适国家主权观,加强国际合作,建立新的全球伙伴关系。 展开更多
关键词 博弈 主体间性 伦理困境 和谐世界
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On Chinese American Identity Dilemma in Amy Tan’s The Bonesetter’s Daughter
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作者 梁福江 《中国校外教育》 2010年第1期29-29,75,共2页
In The Bonesetter's Daughter,Amy Tan explores the complexity of Chinese American identity dilemma confronted by the major characters.This paper intends to examine the marginalized position of the Chinese immigrant... In The Bonesetter's Daughter,Amy Tan explores the complexity of Chinese American identity dilemma confronted by the major characters.This paper intends to examine the marginalized position of the Chinese immigrant mother Luling and the American born daughter Ruth and reveal the ideology of Amy Tan's writing beyond the bounds of ethnicity. 展开更多
关键词 英语学习 学习方法 阅读 故事
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An Adaptive Strategy via Reinforcement Learning for the Prisoner's Dilemma Game 被引量:8
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作者 Lei Xue Changyin Sun +2 位作者 Donald Wunsch Yingjiang Zhou Fang Yu 《IEEE/CAA Journal of Automatica Sinica》 SCIE EI CSCD 2018年第1期301-310,共10页
The iterated prisoner's dilemma(IPD) is an ideal model for analyzing interactions between agents in complex networks. It has attracted wide interest in the development of novel strategies since the success of tit-... The iterated prisoner's dilemma(IPD) is an ideal model for analyzing interactions between agents in complex networks. It has attracted wide interest in the development of novel strategies since the success of tit-for-tat in Axelrod's tournament. This paper studies a new adaptive strategy of IPD in different complex networks, where agents can learn and adapt their strategies through reinforcement learning method. A temporal difference learning method is applied for designing the adaptive strategy to optimize the decision making process of the agents. Previous studies indicated that mutual cooperation is hard to emerge in the IPD. Therefore, three examples which based on square lattice network and scale-free network are provided to show two features of the adaptive strategy. First, the mutual cooperation can be achieved by the group with adaptive agents under scale-free network, and once evolution has converged mutual cooperation, it is unlikely to shift. Secondly, the adaptive strategy can earn a better payoff compared with other strategies in the square network. The analytical properties are discussed for verifying evolutionary stability of the adaptive strategy. 展开更多
关键词 Complex network prisoner’s dilemma reinforcement learning temporal differences learning
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THE OPTIMAL CONTROL FOR PROMOTING THE COOPERATION IN EVOLUTION GAME GENERATED BY PRISONER'S DILEMMA 被引量:2
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作者 王先甲 董瑞 陈琳 《Acta Mathematica Scientia》 SCIE CSCD 2018年第1期73-92,共20页
Natural selection opposes the evolution of cooperation unless specific mechanisms are at work in Prisoner's Dilemma. By taking advantage of the modern control theory, the controller design is discussed and the optima... Natural selection opposes the evolution of cooperation unless specific mechanisms are at work in Prisoner's Dilemma. By taking advantage of the modern control theory, the controller design is discussed and the optimal control is designed for promoting cooperation based on the recent advances in mechanisms for the evolution of cooperation. Two con- trol strategies are proposed: compensation control strategy for the cooperator when playing against a defector and reward control strategy for cooperator when playing against a coop- erator. The feasibility and effectiveness of these control strategies for promoting cooperation in different stages are analyzed. The reward for cooperation can't prevent defection from being evolutionary stable strategy (ESS). On the other hand, compensation for the coopera- tor can't prevent defection from emerging and sustaining. By considering the effect and the cost, an optimal control scheme with constraint on the admissible control set is put forward. By analyzing the special nonlinear system of replicator dynamics, the exact analytic solution of the optimal control scheme is obtained based on the maximum principle. Finally, the effectiveness of the proposed method is illustrated by examples. 展开更多
关键词 evolutionary games Prisoner's dilemma evolution of cooperation promoting cooperation control optimal control
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Ethical Dilemma Factor in Regarding Physical Restraints to Elderly of Female Nurses with the Living Together Experience 被引量:2
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作者 Miwa Yamamoto Shizue Mizuno Masako Aota 《International Journal of Clinical Medicine》 2012年第5期328-334,共7页
Purpose: The aim of this study was to illuminate the connotation of “dilemma” regarding the use of physical restraint on elderly patients as represented by female nurses working in general wards at community hospita... Purpose: The aim of this study was to illuminate the connotation of “dilemma” regarding the use of physical restraint on elderly patients as represented by female nurses working in general wards at community hospitals who also live with elderly adults at home. Method: The study used the questionnaire method with an independently prepared questionnaire. Participants: The objective of the study was explained to the persons in charge of nursing in the selected 17 hospitals, and 1929. Finally, this study of participants were 524 female nurses working in general 54 wards (excluding the emergency wards of psychiatry, pediatrics, obstetrics, outpatients, operating rooms, and intensive care units) at community hospitals who also live with elderly adults at home. Results and conclusions: Cronbach’s overall coefficient for the 20 items of dilemma was high (0.78) and the factor analysis extracted four dilemma factors as having a characteristic value of 1 (Kaiser-Meyer-Olkin measure value = 0.81) with a cumulative contribution ratio of 64.5%. The high Cronbach’s for these items (0.86, 0.88, 0.87 and 0.81) confirmed the internal consistencies. With respect to the dilemma where nurses working in general wards at community hospitals who also live with elderly adults at home are faced with the physical restraint of elderly persons, four factors in the clarification of the dilemma were extracted: accomplishment of medical-treatment and accident prevention, characteristic features in nursing for elderly patients with dementia, healthcare professional relationship in nursing for elderly patients with dementia, and priorities on the accident prevention for elderly patients with dementia. Therefore, the construction of four systems to cope with these dilemmas is suggested. These systems would enable practising nurses to: (i) institution of policies to encourage discussion between nurses and other medical staff to reach consensus on treatment;(ii) allocating elderly care specialists to wards to promote alternatives to restraints;(iii) establishment of safety standards to define nurses’ responsibilities;and (iv) institution of continuous ethical education for nurses. 展开更多
关键词 ETHICAL dilemma Factor Physical RESTRAINT the LIVING Under with ELDERLY People EXPERIENCE
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Water Supply Dilemma in Nigerian Rural Communities: Looking Towards the Sky for an Answer 被引量:1
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作者 H. T Ishaku M. R Majid +1 位作者 A. A Ajayi A Haruna 《Journal of Water Resource and Protection》 2011年第8期598-606,共9页
Access to safe water supply has great influence on the health, economic productivity and quality of life of the people. But meeting this need is one of the major challenges facing the rural communities of Nigeria toda... Access to safe water supply has great influence on the health, economic productivity and quality of life of the people. But meeting this need is one of the major challenges facing the rural communities of Nigeria today. The purpose of this review paper is to determine whether water supply have contributed effectively to health, social, and cultural development of Nigerian rural communities. Over 70% of households in rural communities do not have access to improved water supply. They rely solely on self-water supply (free source) such as rivers, perennial streams, water ponds and unprotected wells which is susceptible to water borne diseases such as typhoid fever, cholera, dysentery, malaria parasites etc. These rural populations are engaged in farming activities with low income level living in small scattered settlements thus, making provision of piped water supply very difficult. Governments’ interventions towards rural water supply have been through the provision of hand-operated boreholes and wells. These sources yield little or no water during the dry season and are prone to frequent breakdown;leading water crisis and shortages. This situation forces households especially the women and children to spend more time walking longer distances during the dry season to trot water for domestic purposes. Given the fact that the publicly operated water supply have not been able to cope with increasing demand, there is a need for a paradigm shift from the public monopoly of water supply to an innovative approach. Rainwater harvesting technology appears to be one of such alternative approaches. 展开更多
关键词 Nigeria Rural Communities Water SCARCITY dilemma RAINWATER Harvesting
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Consumer Behavior Analysis under the "Lemon Dilemma" in the Market of Agricultural Products 被引量:1
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作者 LI Ying Hebei Software Institute,Baoding 071000,China 《Asian Agricultural Research》 2010年第11期17-19,25,共4页
Based on the introduction of the connotation of "lemon market" and the phenomenon of "lemon" in the market of agricultural products,the consumers' behaviors in the "lemon market" of a... Based on the introduction of the connotation of "lemon market" and the phenomenon of "lemon" in the market of agricultural products,the consumers' behaviors in the "lemon market" of agricultural products are analyzed.Firstly,consumers feel unfair in their minds in the process of negotiation;secondly,the purchase decision rule tends to be simplified in the "lemon market" of agricultural products;thirdly,the consumers tend to follow the masses in the "lemon market" of agricultural products.The economics significance of the impact of "lemon dilemma" of agricultural products on consumers is analyzed.The causes of the impact are analyzed from two aspects the uncertainty of collecting the information of agricultural information and the uncertainty of using the agricultural information.The suggestions and countermeasures are put forward in order to solve the "lemon" problems in agricultural market.In the first place,the excellent mechanism for producing the information of agricultural products should be constructed;in the second place,the government should encourage the multi-channel,multi-form and multi-level operation mode of agricultural products,to promote the optimization of market functions;in the third place,the government should widen the channel of information dissemination for agricultural products and establish the high efficiency feedback path;in the fourth place,the traditional thought pattern of consumers should be changed,so as to promote the healthy,orderly and benign development of agricultural products market. 展开更多
关键词 AGRICULTURAL products MARKET LEMON dilemma Consume
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Dilemmas Faced by Nurses Regarding the Physical Restraint of Elderly Patients with Dementia in Japan 被引量:1
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作者 Miwa Yamamoto 《International Journal of Clinical Medicine》 2011年第5期599-603,共5页
This study aimed to clarify the dilemma of nurses working in general wards who face the ethical dilemma of restraining older people with dementia in Midwestern Japan. The study used the questionnaire method with an in... This study aimed to clarify the dilemma of nurses working in general wards who face the ethical dilemma of restraining older people with dementia in Midwestern Japan. The study used the questionnaire method with an independently prepared questionnaire. The questionnaire was designed to ensure privacy and anonymity. The privacy and anonymity of study participants was assured. Of the 340 survey questionnaires distributed, 291 (85.6%) completed surveys were eligible number (12 additional surveys were returned without answers). An explanatory factor analysis revealed four dilemma factors among 15 items investigated (KMO value 0.84). These were: factor 1: “Execution of treatment and security,” α = 0.91;factor 2: “approach in the nursing of older people with dementia,” α = 0.93;factor 3: “A cooperative relationship in nursing of older people with dementia,” α = 0.87;and factor 4: “Priorities in nursing,” α = 0.81. The cumulative contribution ratio was 79.1%. We suggest that the program would enable nurses to cope with these dilemmas. 展开更多
关键词 dilemma Physical RESTRAINT Elderly patients DEMENTIA NURSE
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The patient suicide attempt-An ethical dilemma case study 被引量:1
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作者 Lin Jie 《International Journal of Nursing Sciences》 2015年第4期408-413,共6页
Case description:Nurses face more and more ethical dilemmas during their practice nowadays,especially when they are taking care of the patient at end of life stage.The case study demonstrates an ethical dilemma when n... Case description:Nurses face more and more ethical dilemmas during their practice nowadays,especially when they are taking care of the patient at end of life stage.The case study demonstrates an ethical dilemma when nursing staff are taking care of an end stage aggressive prostate cancer patient Mr Green who expressed the suicide thoughts to one of the nurses and ask that nurse keep secret for him in Brisbane,QLD,Australia.Ethical dilemma identification:The ethical dilemma is identified as“if the nursing staff should tell other health care team members about patient's suicide attempt without patient's consent”.Analysis:To better solving this case and making the best moral decision,the ethical theory,the ethical principles and the Australian nurses'code of ethics values statement,the associated literature relative with this case are analyzed before the decision making.Ethical decision making:After consider all of the above factors,in this case,the best ethical decision for the patient is that the nurse share the information of Mr Green's suicide attempt with other health care professionals.Results:In Mr Green's case,the nurse chose to share the information of Mr Green's suicide attempt with other health care professionals.The nursing team followed the self-harm and suicide protocol of the hospital strictly,they maintained the effective communication with Mr Green,identified the factors which cause patient's suicide attempt,provided the appropriate nursing intervention to deal will these risk factors and collaborated with other health care professionals to prefect the further care.The patient transferred to a palliative care service with no sign of suicide attempt and other self-harm behaviors and passed away peacefully 76 days after discharged with his relatives and pastors accompany. 展开更多
关键词 Ethical dilemmas Suicide attempt Ethical theory and principles
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Hepatic epithelioid hemangioendothelioma: Dilemma and challenges in the preoperative diagnosis 被引量:8
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作者 Hai-Jie Hu Yan-Wen Jin +3 位作者 Qiu-Yang Jing Anuj Shrestha Nan-Sheng Cheng Fu-Yu Li 《World Journal of Gastroenterology》 SCIE CAS 2016年第41期9247-9250,共4页
Hepatic epithelioid hemangioendothelioma(HEHE) is a rare category of vascular tumor with uncertain malignant potential. It commonly presents nonspecific and variable clinical manifestations, ranging from asymptomatic ... Hepatic epithelioid hemangioendothelioma(HEHE) is a rare category of vascular tumor with uncertain malignant potential. It commonly presents nonspecific and variable clinical manifestations, ranging from asymptomatic to hepatic failure. In addition, laboratory measurements and imaging features also lack specificity in the diagnosis of HEHE. The aim of the present study is to highlight the dilemma and challenges in the preoperative diagnosis of HEHE, and to enhance awareness of the range of hepatobiliary surgery available in patients with multiple hepatic nodular lesions on imaging. In these patients, HEHE should at least be considered in the differential diagnosis. 展开更多
关键词 肝的上皮状的 hemangioendothelioma 脉管的肿瘤 诊断 窘境 挑战
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