Began from early 1992, Chongqing Power Supply Bureau had spent 3 and half years to build up a power load management system consisting of I master station, 6 relay stations, 1280 terminals and the distributed monitorin...Began from early 1992, Chongqing Power Supply Bureau had spent 3 and half years to build up a power load management system consisting of I master station, 6 relay stations, 1280 terminals and the distributed monitoring device. This system distributes in the hilly and mountainous areas where geographically complicated and the load widely scatters, it can supervise about 72% load and curtail more than 15% load展开更多
The majority of the population in developing countries have limited access to clean energy. <span>To increase access to clean energy, the governments and other stakeholders have been working hard to create enabl...The majority of the population in developing countries have limited access to clean energy. <span>To increase access to clean energy, the governments and other stakeholders have been working hard to create enabling environments for their adoption and utilization. For the household cooking sector, technological innovations such as improved biomass fuels, improved biomass cookstove, solar cooking, biogas and recently bottled gas service have been or are being deployed to scale up clean cooking. </span><span "=""><span>Nevertheless, a good number of the </span><span>innovations intended for upscaling clean cooking in developing countries</span><span> have failed to meet the desired goals due to limited support from the national governments or the international community. Pay-Go is among the recent innovations in the East African region intended for promoting the use of bottled </span><span>gas (liquefied petroleum gas-LPG). This study evaluates the practicality of</span> <span>Pay-Go innovation on bottled gas, popularly known as Pay-as-you-Cook.</span><span> Specifically, the article examines the evolution of Pay-as-you-Cook, its execu</span><span>tion, usefulness and challenges;and its implications on household energy</span><span> sector development. The study was conducted in Kinondoni Municipality, Dar es Salaam, Tanzania between 2018 and 2020. The study used both qualitative </span><span>and quantitative approaches. Purposive and non-random sampling tech</span><span>niques were used in selecting respondents. Purposive sampling was used to identify key informants while snowball sampling was used to find house</span><span>hold respondents. Information was gathered from KopaGas (Pay-as-you-Cook</span><span> innovator) headquarter-Kinondoni Morocco;and from Pay-as-you-Cook clients in Kinondoni Moscow, Mkwajuni and Hananasif. Methods of data collection involved semi-structured interviews and observation. Instruments of data collection included interview guides and observation checklists. Data </span><span>analysis was accomplished with Nvivo 12. Findings show that Pay-as-you-Cook</span><span> innovation was intended for promoting bottled gas adoption mainly to low-income households. The innovation was discovered to be convenient to many low-</span></span><span "=""> </span><span>income households as it enabled them to use bottled gas for cooking without necessarily climbing the economic ladder. Yet, the innovation presents several challenges which are doubtful to its practicality.</span>展开更多
Test of English for International Communication(TOEIC),as a system for English assessment,was developed by Educa⁃tional Testing Service(ETS)and it is used by government institutions and multinational enterprises to as...Test of English for International Communication(TOEIC),as a system for English assessment,was developed by Educa⁃tional Testing Service(ETS)and it is used by government institutions and multinational enterprises to assess the daily English com⁃munication ability of the people who are not native English speakers.The scores of the TOEIC test are divided into four levels,with level A B C D in descending order.This thesis fully analyzes TOEIC from the perspectives of validity,reliability and practicality so as to draw a conclusion that TOEIC is reasonably valid,reliable and practical in real application and TOEIC as an effective way to enhance whether their employees command the basic ability in commercial communication.展开更多
Pioneering initiatives in Yunnan Province are leveraging intangible cultural heritage to foster practical skills and create flexible employment,opening a sustainable path to prosperity and rural revitalization for peo...Pioneering initiatives in Yunnan Province are leveraging intangible cultural heritage to foster practical skills and create flexible employment,opening a sustainable path to prosperity and rural revitalization for people with disabilities.ACROSS China,provinces and municipalities have adopted a range of initiatives,based on local conditions to facilitate employment for people with disabilities.In southwest China’s Yunnan Province,home to many ethnic minorities,efforts have focused on integrating employment for disabled people with rural revitalization.展开更多
RETHINKING GOOD VOCATIONAL EDUCATION Sanlian Lifeweek 12 January For its first 2026 cover story,Sanlian Lifeweek returns for the fourth time to the theme of“Good Vocational Education,”a deliberately unresolved quest...RETHINKING GOOD VOCATIONAL EDUCATION Sanlian Lifeweek 12 January For its first 2026 cover story,Sanlian Lifeweek returns for the fourth time to the theme of“Good Vocational Education,”a deliberately unresolved question that has guided its reporting since 2020.The magazine’s intent has never been to o!er a definitive answer,but to counter long-standing stigmas around vocational education by documenting real practices,dilemmas and possibilities on the ground.展开更多
Taking the Changli Institute of Pomology,Hebei Academy of Agriculture and Forestry Sciences(hereinafter referred to as the Changli Institute of Pomology)as a case study,this paper explores the practical pathways throu...Taking the Changli Institute of Pomology,Hebei Academy of Agriculture and Forestry Sciences(hereinafter referred to as the Changli Institute of Pomology)as a case study,this paper explores the practical pathways through which Party building leads to the high-quality development of fruit tree research from three dimensions:theoretical convergence points,current development status,and functional mechanisms.It proposes that Party building should focus on its core roles of steering political direction,enhancing team cohesion,and upholding ethical standards.Deep integration of Party building and scientific research should be achieved through concrete platforms,with the effectiveness measured by breakthroughs in critical"bottleneck"technologies and increased income for fruit growers.The study aims to provide a practical reference for integrating Party building with professional work in the agricultural research sector.展开更多
In the pre-biologic era,immunomodulators such as azathioprine,6-mercaptopurine,and methotrexate(MTX)were widely used as first-line maintenance therapies in Crohn’s disease.However,in the current era shaped by biologi...In the pre-biologic era,immunomodulators such as azathioprine,6-mercaptopurine,and methotrexate(MTX)were widely used as first-line maintenance therapies in Crohn’s disease.However,in the current era shaped by biologics,their role has shifted toward adjunctive use,primarily in combination with anti-tumor necrosis factor agents to reduce immunogenicity.Amid growing concerns about thiopurine-associated risks,MTX is receiving renewed attention for its favorable safety profile;however,this agent remains inconsistently utilized in gastroenterology despite its frontline status in rheumatology.This discrepancy was highlighted in a recent nationwide survey by Bonnaud et al published in the World Journal of Gastroenterology,which offers timely insights into MTX prescribing behaviors among French gastroenterologists.Although 71%of respondents reported using MTX,primarily via subcutaneous injection,it is still perceived as a secondary choice after thiopurines.Importantly,this underuse appears to be driven more by clinical inertia and limited guidance rather than by lack of efficacy or safety concerns.Clinicians increasingly recognize the value of MTX,particularly in patients with joint involvement,Epstein-Barr virus negativity,or increased malignancy risk.Notably,even non-prescribers viewed the drug favorably,suggesting that usage barriers may be modifiable.In light of evolving treatment goals that prioritize safety,cost-effectiveness,and individualized care,this editorial argues that MTX should no longer be viewed as a fallback but as a strategic first-line option in well-defined high-risk populations.The survey underscores a persistent gap between guidelines and real-world practice,reinforcing the urgent need for clearer algorithms and education to support the repositioning of MTX in modern Crohn’s disease management.展开更多
China’s commitment to high-standard opening-up during its 15th Five-Year Plan period offers Europe an alternative approach to economic resilience.IN medical practice,a wise doctor does not treat a fever by plunging t...China’s commitment to high-standard opening-up during its 15th Five-Year Plan period offers Europe an alternative approach to economic resilience.IN medical practice,a wise doctor does not treat a fever by plunging the patient into an ice bath.The sudden shock may lower the temperature,but it risks systemic collapse.Instead,the proper treatment should support the body’s own resilience,combat the infection.展开更多
Discussions on Chinese modernization are offering African countries both conceptual inspiration and practical references as they explore their own sustainable development paths.
Objectives This study aimed to compare the effectiveness of the semi-virtual simulation and traditional simulation teaching models based on the Standards of Best Practice(SOBP)according to the International Nursing As...Objectives This study aimed to compare the effectiveness of the semi-virtual simulation and traditional simulation teaching models based on the Standards of Best Practice(SOBP)according to the International Nursing Association for Clinical Simulation and Learning(INACSL)in the Adult Nursing course.Methods This study used a quasi-experimental design.A total of 94 third-year nursing students from a university in Beijing between November and December 2022 were recruited as participants.An innovative semi-virtual simulation teaching model was designed based on the SOBP established by the INACSL.In the Adult Nursing course,both the semi-virtual and traditional simulation teaching models were implemented.At the end of the simulation sessions,participants completed the Chinese version of the Simulation Effectiveness Tool-Modified(SET-M)to assess the effectiveness of the two teaching models.Results All nursing students completed the simulation sessions.There was no difference(t=−0.93,P=0.353)in the total scores between the semi-virtual simulation teaching model(50.87±5.30)and the traditional simulation teaching model(50.37±5.16).However,there was a statistically significant difference(t=−2.65,P=0.010)in the prebriefing section(semi-virtual simulation:5.60±0.71;traditional simulation:5.33±0.78).In contrast,no statistically significant differences were found for the scenario and debriefing sections(P>0.05).At the individual item level,statistical differences(P<0.05)between the two models were identified for items 1 and 9,but not for the remaining items(P>0.05).By analyzing the open-ended question,it was found that both simulation models were effective,and students’comments were similar.Conclusions The study demonstrated equivalent effectiveness between the semi-virtual and traditional simulation teaching models.Semi-virtual simulation teaching model could offer a more flexible and feasible approach to simulation teaching.展开更多
The Royal Tropical Institute(KIT)in Amsterdam is an independent centre of knowledge and expertise in the areas of international and intercultural cooperation,operating at the interface between theory and practice and ...The Royal Tropical Institute(KIT)in Amsterdam is an independent centre of knowledge and expertise in the areas of international and intercultural cooperation,operating at the interface between theory and practice and between policy and implementation.The Institute contributes to sustainable development,poverty alleviation and cultural preservation and exchange.展开更多
Particle-and droplet-laden flows are central to many problems in mechanics and transport.They occur in sedimentladen boundary layers,gas-solid and gas-liquid dispersions,and surface-water films driven by external forc...Particle-and droplet-laden flows are central to many problems in mechanics and transport.They occur in sedimentladen boundary layers,gas-solid and gas-liquid dispersions,and surface-water films driven by external forcing.They also underpin practical applications ranging from environmental transport to high-speed and aerothermal systems.Despite decades of progress,prediction remains difficult.The physics spans a wide range of scales and often couples turbulence,interphase momentum exchange,collisions,and interfacial transport.Reliable computation therefore requires both robust numerical methodology and careful physical interpretation.展开更多
Black soils represent only one-sixth of the global arable land area but play an important role in maintaining world food security due to their high fertility and gigantic potential for food production.With the ongoing...Black soils represent only one-sixth of the global arable land area but play an important role in maintaining world food security due to their high fertility and gigantic potential for food production.With the ongoing intensification of agricultural practices and negative natural factors,black soils are confronting enhanced degradation.The holistic overview of black soil degradation and the underlying mechanisms for soil health improvement will be key for agricultural sustainability and food security.In this review,the current status and driving factors of soil degradation in the four major black soil regions of the world are summarized,and effective measures for black soil conservation are proposed.The Northeast Plain of China is the research hotspot with 41.5%of the published studies related to black soil degradation,despite its relatively short history of agricultural reclamation,followed by the East European Plain(28.3%),the Great Plains of North America(20.7%),and the Pampas of South American(7.9%).Among the main types of soil degradation,soil erosion and soil fertility decline(especially organic matter loss)have been reported as the most common problems,with 27.6%and 39.4%of the published studies,respectively.In addition to the natural influences of climate and topography,human activities have been reported to have great influences on the degradation of black soils globally.Unsustainable farming practices and excess in agrochemical applications are common factors reported to accelerate the degradation process and threaten the sustainable use of black soils.Global efforts for black soil conservation and utilization should focus on standardizing evaluation criteria including real-time monitoring and the measures of prevention and restoration for sustainable management.International cooperation in technology and policy is crucial for overcoming the challenges and thus achieving the protection,sustainable use,and management of global black soil resources.展开更多
Both straw incorporation and irrigation practices affect biological nitrogen(N)fixation(BNF),but it is still unclear how straw incorporation impacts BNF under continuous(CFI)or intermittent(IFI)flooding irrigation in ...Both straw incorporation and irrigation practices affect biological nitrogen(N)fixation(BNF),but it is still unclear how straw incorporation impacts BNF under continuous(CFI)or intermittent(IFI)flooding irrigation in a rice cropping system.A15N2-labeling chamber system was placed in a rice field to evaluate BNF with straw incorporation under CFI or IFI for 90 d.The nif H(gene encoding the nitrogenase reductase subunit)DNA and c DNA in soil were amplified using real-time quantitative polymerase chain reaction,and high-throughput sequencing was applied to the nif H gene.The total fixed N in the straw incorporation treatment was 14.3 kg ha^(-1)under CFI,being 116%higher than that under IFI(6.62 kg ha^(-1)).Straw incorporation and CFI showed significant interactive effects on the total fixed N and abundances of nif H DNA and c DNA.The increase in BNF was mainly due to the increase in the abundances of heterotrophic diazotrophs such as Desulfovibrio,Azonexus,and Azotobacter.These results indicated that straw incorporation stimulated BNF under CFI relative to IFI,which might ultimately lead to a rapid enhancement of soil fertility.展开更多
BACKGROUND Breast cancer is one of the most prevalent causes of morbidity and mortality worldwide,presenting an increasing public health challenge,particularly in lowincome and middle-income countries.However,data on ...BACKGROUND Breast cancer is one of the most prevalent causes of morbidity and mortality worldwide,presenting an increasing public health challenge,particularly in lowincome and middle-income countries.However,data on the knowledge,attitudes,and preventive practices regarding breast cancer and the associated factors among females in Wollo,Ethiopia,remain limited.AIM To assess the impact of family history(FH)of breast disease on knowledge,attitudes,and breast cancer preventive practices among reproductive-age females.METHODS A community-based cross-sectional study was conducted in May and June 2022 in Northeast Ethiopia and involved 143 reproductive-age females with FH of breast diseases and 209 without such a history.We selected participants using the systematic random sampling technique.We analyzed the data using Statistical Package for Social Science version 25 software,and logistic regression analysis was employed to determine odds ratios for variable associations,with statistical significance set at P<0.05.RESULTS Among participants with FH of breast diseases,the levels of knowledge,attitudes,and preventive practices were found to be 83.9%[95%confidence interval(CI):77.9-89.9],49.0%(95%CI:40.8-57.1),and 74.1%(95%CI:66.9-81.3),respectively.In contrast,among those without FH of breast diseases,these levels were significantly decreased to 10.5%(95%CI:6.4-14.7),32.1%(95%CI:25.7-38.4),and 16.7%(95%CI:11.7-21.8),respectively.This study also indicated that knowledge,attitudes,and preventive practices related to breast cancer are significantly higher among participants with FH of breast diseases compared to those without HF breast diseases.CONCLUSION Educational status,monthly income,and community health insurance were identified as significant factors associated with the levels of knowledge,attitudes,and preventive practices regarding breast cancer among reproductive-age females.展开更多
Fast and accurate transient stability analysis is crucial to power system operation.With high penetration level of wind power resources,practical dynamic security region(PDSR)with hyper plane expression has outstandin...Fast and accurate transient stability analysis is crucial to power system operation.With high penetration level of wind power resources,practical dynamic security region(PDSR)with hyper plane expression has outstanding advantages in situational awareness and series of optimization problems.The precondition of obtaining accurate PDSR boundary is to locate sufficient points around the boundary(critical points).Therefore,this paper proposes a space division and Wasserstein generative adversarial network with gra-dient penalty(WGAN-GP)based fast generation method of PDSR boundary.First,the typical differential topological characterizations of dynamic security region(DSR)provide strong theoretical foundation that the interior of DSR is hole-free and the boundaries of DSR are tight and knot-free.Then,the space division method is proposed to calculate critical operation area where the PDSR boundary is located,tremen-dously compressing the search space to locate critical points and improving the confidence level of boundary fitting result.Furthermore,the WGAN-GP model is utilized to fast obtain large number of criti-cal points based on learning the data distribution of the small training set aforementioned.Finally,the PDSR boundary with hyperplanes is fitted by the least square method.The case study is tested on the Institute of Electrical and Electronics Engineers(IEEE)39-bus system and the results verify the accuracy and efficiency of the proposed method.展开更多
For large-scale heterogeneous multi-agent systems(MASs)with characteristics of dense-sparse mixed distribution,this paper investigates the practical finite-time deployment problem by establishing a novel crossspecies ...For large-scale heterogeneous multi-agent systems(MASs)with characteristics of dense-sparse mixed distribution,this paper investigates the practical finite-time deployment problem by establishing a novel crossspecies bionic analytical framework based on the partial differential equation-ordinary differential equation(PDE-ODE)approach.Specifically,by designing a specialized network communication protocol and employing the spatial continuum method for densely distributed agents,this paper models the tracking errors of densely distributed agents as a PDE equivalent to a human disease transmission model,and that of sparsely distributed agents as several ODEs equivalent to the predator population models.The coupling relationship between the PDE and ODE models is established through boundary conditions of the PDE,thereby forming a PDE-ODE-based tracking error model for the considered MASs.Furthermore,by integrating adaptive neural control scheme with the aforementioned biological models,a“Flexible Neural Network”endowed with adaptive and self-stabilized capabilities is constructed,which acts upon the considered MASs,enabling their practical finite-time deployment.Finally,effectiveness of the developed approach is illustrated through a numerical example.展开更多
BACKGROUND Addressing oculoplastic conditions in the preoperative period ensures both the safety and functional success of any ophthalmic procedure.Some oculoplastic conditions,like nasolacrimal duct obstruction,have ...BACKGROUND Addressing oculoplastic conditions in the preoperative period ensures both the safety and functional success of any ophthalmic procedure.Some oculoplastic conditions,like nasolacrimal duct obstruction,have been extensively studied,whereas others,like eyelid malposition and thyroid eye disease,have received minimal or no research.AIM To investigate the current practice patterns among ophthalmologists while treating concomitant oculoplastic conditions before any subspecialty ophthalmic intervention.METHODS A cross-sectional survey was disseminated among ophthalmologists all over India.The survey included questions related to pre-operative evaluation,anaesthetic and surgical techniques preferred,post-operative care,the use of adjunctive therapies,and patient follow-up patterns.RESULTS A total of 180 ophthalmologists responded to the survey.Most practitioners(89%)felt that the ROPLAS test was sufficient during pre-operative evaluation before any subspecialty surgery was advised.The most common surgical techniques employed were lacrimal drainage procedures(Dacryocystorhinostomy)(63.3%),eyelid malposition repair(36.9%),and ptosis repair(58.7%).Post-operatively,47.7%of respondents emphasized that at least a 4-week gap should be maintained after lacrimal drainage procedures and eyelid surgeries.Sixty-seven percent of ophthalmologists felt that topical anaesthetic procedures should be preferred while performing ocular surgeries in thyroid eye disease patients.CONCLUSION Approximately 50%of ophthalmologists handle prevalent oculoplastic issues themselves,seeking the expertise of an oculoplastic surgeon under particular conditions.Many ophthalmologists still favor using ROPLAS as a preliminary screening method before proceeding with cataract surgery.Eyelid conditions and thyroid eye disease are not as commonly addressed before subspecialty procedures compared to issues like nasolacrimal duct obstruction and periocular infections.展开更多
Machine learning(ML)is a type of artificial intelligence that assists computers in the acquisition of knowledge through data analysis,thus creating machines that can complete tasks otherwise requiring human intelligen...Machine learning(ML)is a type of artificial intelligence that assists computers in the acquisition of knowledge through data analysis,thus creating machines that can complete tasks otherwise requiring human intelligence.Among its various applications,it has proven groundbreaking in healthcare as well,both in clinical practice and research.In this editorial,we succinctly introduce ML applications and present a study,featured in the latest issue of the World Journal of Clinical Cases.The authors of this study conducted an analysis using both multiple linear regression(MLR)and ML methods to investigate the significant factors that may impact the estimated glomerular filtration rate in healthy women with and without non-alcoholic fatty liver disease(NAFLD).Their results implicated age as the most important determining factor in both groups,followed by lactic dehydrogenase,uric acid,forced expiratory volume in one second,and albumin.In addition,for the NAFLD-group,the 5th and 6th most important impact factors were thyroid-stimulating hormone and systolic blood pressure,as compared to plasma calcium and body fat for the NAFLD+group.However,the study's distinctive contribution lies in its adoption of ML methodologies,showcasing their superiority over traditional statistical approaches(herein MLR),thereby highlighting the potential of ML to represent an invaluable advanced adjunct tool in clinical practice and research.展开更多
The article"Secondary diabetes due to different etiologies:Four case reports"by Song et al,published in the World Journal of Clinical Cases,delves into the identi-fication of rare causes of secondary diabete...The article"Secondary diabetes due to different etiologies:Four case reports"by Song et al,published in the World Journal of Clinical Cases,delves into the identi-fication of rare causes of secondary diabetes and emphasizes the necessity for healthcare professionals to recognize these conditions.Failure to do so can result in treatment delays and compromised patient outcomes.The article discusses spe-cific types of diabetes,including maturity onset of diabetes in young,pancreas-related diseases,endocrinopathies,drug-induced diabetes,infections,and con-genital genetic syndromes associated with diabetes mellitus.Case summaries highlight how patients with secondary diabetes,stemming from conditions such as Williams-Beuren syndrome and pituitary adenoma,often exhibit distinct characteristics overlooked in clinical practice.The authors stress the importance of a holistic diagnostic approach and advocate for proactive management through early intervention,including genetic tests and antibody detection.Increased awa-reness and education are crucial for timely identification and proper management,ultimately improving patient well-being.These findings prompt a call to action for healthcare professionals to consider rare causes of secondary diabetes,facili-tating better glycemic control and overall patient care.展开更多
文摘Began from early 1992, Chongqing Power Supply Bureau had spent 3 and half years to build up a power load management system consisting of I master station, 6 relay stations, 1280 terminals and the distributed monitoring device. This system distributes in the hilly and mountainous areas where geographically complicated and the load widely scatters, it can supervise about 72% load and curtail more than 15% load
文摘The majority of the population in developing countries have limited access to clean energy. <span>To increase access to clean energy, the governments and other stakeholders have been working hard to create enabling environments for their adoption and utilization. For the household cooking sector, technological innovations such as improved biomass fuels, improved biomass cookstove, solar cooking, biogas and recently bottled gas service have been or are being deployed to scale up clean cooking. </span><span "=""><span>Nevertheless, a good number of the </span><span>innovations intended for upscaling clean cooking in developing countries</span><span> have failed to meet the desired goals due to limited support from the national governments or the international community. Pay-Go is among the recent innovations in the East African region intended for promoting the use of bottled </span><span>gas (liquefied petroleum gas-LPG). This study evaluates the practicality of</span> <span>Pay-Go innovation on bottled gas, popularly known as Pay-as-you-Cook.</span><span> Specifically, the article examines the evolution of Pay-as-you-Cook, its execu</span><span>tion, usefulness and challenges;and its implications on household energy</span><span> sector development. The study was conducted in Kinondoni Municipality, Dar es Salaam, Tanzania between 2018 and 2020. The study used both qualitative </span><span>and quantitative approaches. Purposive and non-random sampling tech</span><span>niques were used in selecting respondents. Purposive sampling was used to identify key informants while snowball sampling was used to find house</span><span>hold respondents. Information was gathered from KopaGas (Pay-as-you-Cook</span><span> innovator) headquarter-Kinondoni Morocco;and from Pay-as-you-Cook clients in Kinondoni Moscow, Mkwajuni and Hananasif. Methods of data collection involved semi-structured interviews and observation. Instruments of data collection included interview guides and observation checklists. Data </span><span>analysis was accomplished with Nvivo 12. Findings show that Pay-as-you-Cook</span><span> innovation was intended for promoting bottled gas adoption mainly to low-income households. The innovation was discovered to be convenient to many low-</span></span><span "=""> </span><span>income households as it enabled them to use bottled gas for cooking without necessarily climbing the economic ladder. Yet, the innovation presents several challenges which are doubtful to its practicality.</span>
文摘Test of English for International Communication(TOEIC),as a system for English assessment,was developed by Educa⁃tional Testing Service(ETS)and it is used by government institutions and multinational enterprises to assess the daily English com⁃munication ability of the people who are not native English speakers.The scores of the TOEIC test are divided into four levels,with level A B C D in descending order.This thesis fully analyzes TOEIC from the perspectives of validity,reliability and practicality so as to draw a conclusion that TOEIC is reasonably valid,reliable and practical in real application and TOEIC as an effective way to enhance whether their employees command the basic ability in commercial communication.
文摘Pioneering initiatives in Yunnan Province are leveraging intangible cultural heritage to foster practical skills and create flexible employment,opening a sustainable path to prosperity and rural revitalization for people with disabilities.ACROSS China,provinces and municipalities have adopted a range of initiatives,based on local conditions to facilitate employment for people with disabilities.In southwest China’s Yunnan Province,home to many ethnic minorities,efforts have focused on integrating employment for disabled people with rural revitalization.
文摘RETHINKING GOOD VOCATIONAL EDUCATION Sanlian Lifeweek 12 January For its first 2026 cover story,Sanlian Lifeweek returns for the fourth time to the theme of“Good Vocational Education,”a deliberately unresolved question that has guided its reporting since 2020.The magazine’s intent has never been to o!er a definitive answer,but to counter long-standing stigmas around vocational education by documenting real practices,dilemmas and possibilities on the ground.
基金Supported by Qinhuangdao Social Sciences Development Research Project(2025LX378).
文摘Taking the Changli Institute of Pomology,Hebei Academy of Agriculture and Forestry Sciences(hereinafter referred to as the Changli Institute of Pomology)as a case study,this paper explores the practical pathways through which Party building leads to the high-quality development of fruit tree research from three dimensions:theoretical convergence points,current development status,and functional mechanisms.It proposes that Party building should focus on its core roles of steering political direction,enhancing team cohesion,and upholding ethical standards.Deep integration of Party building and scientific research should be achieved through concrete platforms,with the effectiveness measured by breakthroughs in critical"bottleneck"technologies and increased income for fruit growers.The study aims to provide a practical reference for integrating Party building with professional work in the agricultural research sector.
文摘In the pre-biologic era,immunomodulators such as azathioprine,6-mercaptopurine,and methotrexate(MTX)were widely used as first-line maintenance therapies in Crohn’s disease.However,in the current era shaped by biologics,their role has shifted toward adjunctive use,primarily in combination with anti-tumor necrosis factor agents to reduce immunogenicity.Amid growing concerns about thiopurine-associated risks,MTX is receiving renewed attention for its favorable safety profile;however,this agent remains inconsistently utilized in gastroenterology despite its frontline status in rheumatology.This discrepancy was highlighted in a recent nationwide survey by Bonnaud et al published in the World Journal of Gastroenterology,which offers timely insights into MTX prescribing behaviors among French gastroenterologists.Although 71%of respondents reported using MTX,primarily via subcutaneous injection,it is still perceived as a secondary choice after thiopurines.Importantly,this underuse appears to be driven more by clinical inertia and limited guidance rather than by lack of efficacy or safety concerns.Clinicians increasingly recognize the value of MTX,particularly in patients with joint involvement,Epstein-Barr virus negativity,or increased malignancy risk.Notably,even non-prescribers viewed the drug favorably,suggesting that usage barriers may be modifiable.In light of evolving treatment goals that prioritize safety,cost-effectiveness,and individualized care,this editorial argues that MTX should no longer be viewed as a fallback but as a strategic first-line option in well-defined high-risk populations.The survey underscores a persistent gap between guidelines and real-world practice,reinforcing the urgent need for clearer algorithms and education to support the repositioning of MTX in modern Crohn’s disease management.
文摘China’s commitment to high-standard opening-up during its 15th Five-Year Plan period offers Europe an alternative approach to economic resilience.IN medical practice,a wise doctor does not treat a fever by plunging the patient into an ice bath.The sudden shock may lower the temperature,but it risks systemic collapse.Instead,the proper treatment should support the body’s own resilience,combat the infection.
文摘Discussions on Chinese modernization are offering African countries both conceptual inspiration and practical references as they explore their own sustainable development paths.
文摘Objectives This study aimed to compare the effectiveness of the semi-virtual simulation and traditional simulation teaching models based on the Standards of Best Practice(SOBP)according to the International Nursing Association for Clinical Simulation and Learning(INACSL)in the Adult Nursing course.Methods This study used a quasi-experimental design.A total of 94 third-year nursing students from a university in Beijing between November and December 2022 were recruited as participants.An innovative semi-virtual simulation teaching model was designed based on the SOBP established by the INACSL.In the Adult Nursing course,both the semi-virtual and traditional simulation teaching models were implemented.At the end of the simulation sessions,participants completed the Chinese version of the Simulation Effectiveness Tool-Modified(SET-M)to assess the effectiveness of the two teaching models.Results All nursing students completed the simulation sessions.There was no difference(t=−0.93,P=0.353)in the total scores between the semi-virtual simulation teaching model(50.87±5.30)and the traditional simulation teaching model(50.37±5.16).However,there was a statistically significant difference(t=−2.65,P=0.010)in the prebriefing section(semi-virtual simulation:5.60±0.71;traditional simulation:5.33±0.78).In contrast,no statistically significant differences were found for the scenario and debriefing sections(P>0.05).At the individual item level,statistical differences(P<0.05)between the two models were identified for items 1 and 9,but not for the remaining items(P>0.05).By analyzing the open-ended question,it was found that both simulation models were effective,and students’comments were similar.Conclusions The study demonstrated equivalent effectiveness between the semi-virtual and traditional simulation teaching models.Semi-virtual simulation teaching model could offer a more flexible and feasible approach to simulation teaching.
文摘The Royal Tropical Institute(KIT)in Amsterdam is an independent centre of knowledge and expertise in the areas of international and intercultural cooperation,operating at the interface between theory and practice and between policy and implementation.The Institute contributes to sustainable development,poverty alleviation and cultural preservation and exchange.
文摘Particle-and droplet-laden flows are central to many problems in mechanics and transport.They occur in sedimentladen boundary layers,gas-solid and gas-liquid dispersions,and surface-water films driven by external forcing.They also underpin practical applications ranging from environmental transport to high-speed and aerothermal systems.Despite decades of progress,prediction remains difficult.The physics spans a wide range of scales and often couples turbulence,interphase momentum exchange,collisions,and interfacial transport.Reliable computation therefore requires both robust numerical methodology and careful physical interpretation.
基金funded by the Science and Technology Plan for the Belt and Road Innovation Cooperation Project of Jiangsu Province,China(No.BZ2023003)the National Key Research and Development Program of China(No.2021YFD1500202)+2 种基金the Strategic Priority Research Program of Chinese Academy of Sciences(No.XDA28010100)the“14th Five-Year Plan”Self-Deployment Project of the Institute of Soil Science,Chinese Academy of Sciences(No.ISSAS2418)the National Natural Science Foundation of China(No.42107334)。
文摘Black soils represent only one-sixth of the global arable land area but play an important role in maintaining world food security due to their high fertility and gigantic potential for food production.With the ongoing intensification of agricultural practices and negative natural factors,black soils are confronting enhanced degradation.The holistic overview of black soil degradation and the underlying mechanisms for soil health improvement will be key for agricultural sustainability and food security.In this review,the current status and driving factors of soil degradation in the four major black soil regions of the world are summarized,and effective measures for black soil conservation are proposed.The Northeast Plain of China is the research hotspot with 41.5%of the published studies related to black soil degradation,despite its relatively short history of agricultural reclamation,followed by the East European Plain(28.3%),the Great Plains of North America(20.7%),and the Pampas of South American(7.9%).Among the main types of soil degradation,soil erosion and soil fertility decline(especially organic matter loss)have been reported as the most common problems,with 27.6%and 39.4%of the published studies,respectively.In addition to the natural influences of climate and topography,human activities have been reported to have great influences on the degradation of black soils globally.Unsustainable farming practices and excess in agrochemical applications are common factors reported to accelerate the degradation process and threaten the sustainable use of black soils.Global efforts for black soil conservation and utilization should focus on standardizing evaluation criteria including real-time monitoring and the measures of prevention and restoration for sustainable management.International cooperation in technology and policy is crucial for overcoming the challenges and thus achieving the protection,sustainable use,and management of global black soil resources.
基金supported by the National Natural Science Foundation of China(Nos.42177333 and 31870500)the National Special Program for Key Basic Research of the Ministry of Science and Technology of China(No.2015FY110700)the Jiangsu Agriculture Science and Technology Innovation Fund,China(No.JASTIFCX(20)2003)。
文摘Both straw incorporation and irrigation practices affect biological nitrogen(N)fixation(BNF),but it is still unclear how straw incorporation impacts BNF under continuous(CFI)or intermittent(IFI)flooding irrigation in a rice cropping system.A15N2-labeling chamber system was placed in a rice field to evaluate BNF with straw incorporation under CFI or IFI for 90 d.The nif H(gene encoding the nitrogenase reductase subunit)DNA and c DNA in soil were amplified using real-time quantitative polymerase chain reaction,and high-throughput sequencing was applied to the nif H gene.The total fixed N in the straw incorporation treatment was 14.3 kg ha^(-1)under CFI,being 116%higher than that under IFI(6.62 kg ha^(-1)).Straw incorporation and CFI showed significant interactive effects on the total fixed N and abundances of nif H DNA and c DNA.The increase in BNF was mainly due to the increase in the abundances of heterotrophic diazotrophs such as Desulfovibrio,Azonexus,and Azotobacter.These results indicated that straw incorporation stimulated BNF under CFI relative to IFI,which might ultimately lead to a rapid enhancement of soil fertility.
文摘BACKGROUND Breast cancer is one of the most prevalent causes of morbidity and mortality worldwide,presenting an increasing public health challenge,particularly in lowincome and middle-income countries.However,data on the knowledge,attitudes,and preventive practices regarding breast cancer and the associated factors among females in Wollo,Ethiopia,remain limited.AIM To assess the impact of family history(FH)of breast disease on knowledge,attitudes,and breast cancer preventive practices among reproductive-age females.METHODS A community-based cross-sectional study was conducted in May and June 2022 in Northeast Ethiopia and involved 143 reproductive-age females with FH of breast diseases and 209 without such a history.We selected participants using the systematic random sampling technique.We analyzed the data using Statistical Package for Social Science version 25 software,and logistic regression analysis was employed to determine odds ratios for variable associations,with statistical significance set at P<0.05.RESULTS Among participants with FH of breast diseases,the levels of knowledge,attitudes,and preventive practices were found to be 83.9%[95%confidence interval(CI):77.9-89.9],49.0%(95%CI:40.8-57.1),and 74.1%(95%CI:66.9-81.3),respectively.In contrast,among those without FH of breast diseases,these levels were significantly decreased to 10.5%(95%CI:6.4-14.7),32.1%(95%CI:25.7-38.4),and 16.7%(95%CI:11.7-21.8),respectively.This study also indicated that knowledge,attitudes,and preventive practices related to breast cancer are significantly higher among participants with FH of breast diseases compared to those without HF breast diseases.CONCLUSION Educational status,monthly income,and community health insurance were identified as significant factors associated with the levels of knowledge,attitudes,and preventive practices regarding breast cancer among reproductive-age females.
基金funded in part by the National Key Research and Development Program of China(2020YFB0905900)in part by Science and Technology Project of State Grid Corporation of China(SGCC)The Key Technologies for Electric Internet of Things(SGTJDK00DWJS2100223).
文摘Fast and accurate transient stability analysis is crucial to power system operation.With high penetration level of wind power resources,practical dynamic security region(PDSR)with hyper plane expression has outstanding advantages in situational awareness and series of optimization problems.The precondition of obtaining accurate PDSR boundary is to locate sufficient points around the boundary(critical points).Therefore,this paper proposes a space division and Wasserstein generative adversarial network with gra-dient penalty(WGAN-GP)based fast generation method of PDSR boundary.First,the typical differential topological characterizations of dynamic security region(DSR)provide strong theoretical foundation that the interior of DSR is hole-free and the boundaries of DSR are tight and knot-free.Then,the space division method is proposed to calculate critical operation area where the PDSR boundary is located,tremen-dously compressing the search space to locate critical points and improving the confidence level of boundary fitting result.Furthermore,the WGAN-GP model is utilized to fast obtain large number of criti-cal points based on learning the data distribution of the small training set aforementioned.Finally,the PDSR boundary with hyperplanes is fitted by the least square method.The case study is tested on the Institute of Electrical and Electronics Engineers(IEEE)39-bus system and the results verify the accuracy and efficiency of the proposed method.
基金The National Key R&D Program of China(2021ZD0201300)the National Natural Science Foundation of China(624B2058,U1913602 and 61936004)+1 种基金the Innovation Group Project of the National Natural Science Foundation of China(61821003)the 111 Project on Computational Intelligence and Intelligent Control(B18024).
文摘For large-scale heterogeneous multi-agent systems(MASs)with characteristics of dense-sparse mixed distribution,this paper investigates the practical finite-time deployment problem by establishing a novel crossspecies bionic analytical framework based on the partial differential equation-ordinary differential equation(PDE-ODE)approach.Specifically,by designing a specialized network communication protocol and employing the spatial continuum method for densely distributed agents,this paper models the tracking errors of densely distributed agents as a PDE equivalent to a human disease transmission model,and that of sparsely distributed agents as several ODEs equivalent to the predator population models.The coupling relationship between the PDE and ODE models is established through boundary conditions of the PDE,thereby forming a PDE-ODE-based tracking error model for the considered MASs.Furthermore,by integrating adaptive neural control scheme with the aforementioned biological models,a“Flexible Neural Network”endowed with adaptive and self-stabilized capabilities is constructed,which acts upon the considered MASs,enabling their practical finite-time deployment.Finally,effectiveness of the developed approach is illustrated through a numerical example.
文摘BACKGROUND Addressing oculoplastic conditions in the preoperative period ensures both the safety and functional success of any ophthalmic procedure.Some oculoplastic conditions,like nasolacrimal duct obstruction,have been extensively studied,whereas others,like eyelid malposition and thyroid eye disease,have received minimal or no research.AIM To investigate the current practice patterns among ophthalmologists while treating concomitant oculoplastic conditions before any subspecialty ophthalmic intervention.METHODS A cross-sectional survey was disseminated among ophthalmologists all over India.The survey included questions related to pre-operative evaluation,anaesthetic and surgical techniques preferred,post-operative care,the use of adjunctive therapies,and patient follow-up patterns.RESULTS A total of 180 ophthalmologists responded to the survey.Most practitioners(89%)felt that the ROPLAS test was sufficient during pre-operative evaluation before any subspecialty surgery was advised.The most common surgical techniques employed were lacrimal drainage procedures(Dacryocystorhinostomy)(63.3%),eyelid malposition repair(36.9%),and ptosis repair(58.7%).Post-operatively,47.7%of respondents emphasized that at least a 4-week gap should be maintained after lacrimal drainage procedures and eyelid surgeries.Sixty-seven percent of ophthalmologists felt that topical anaesthetic procedures should be preferred while performing ocular surgeries in thyroid eye disease patients.CONCLUSION Approximately 50%of ophthalmologists handle prevalent oculoplastic issues themselves,seeking the expertise of an oculoplastic surgeon under particular conditions.Many ophthalmologists still favor using ROPLAS as a preliminary screening method before proceeding with cataract surgery.Eyelid conditions and thyroid eye disease are not as commonly addressed before subspecialty procedures compared to issues like nasolacrimal duct obstruction and periocular infections.
文摘Machine learning(ML)is a type of artificial intelligence that assists computers in the acquisition of knowledge through data analysis,thus creating machines that can complete tasks otherwise requiring human intelligence.Among its various applications,it has proven groundbreaking in healthcare as well,both in clinical practice and research.In this editorial,we succinctly introduce ML applications and present a study,featured in the latest issue of the World Journal of Clinical Cases.The authors of this study conducted an analysis using both multiple linear regression(MLR)and ML methods to investigate the significant factors that may impact the estimated glomerular filtration rate in healthy women with and without non-alcoholic fatty liver disease(NAFLD).Their results implicated age as the most important determining factor in both groups,followed by lactic dehydrogenase,uric acid,forced expiratory volume in one second,and albumin.In addition,for the NAFLD-group,the 5th and 6th most important impact factors were thyroid-stimulating hormone and systolic blood pressure,as compared to plasma calcium and body fat for the NAFLD+group.However,the study's distinctive contribution lies in its adoption of ML methodologies,showcasing their superiority over traditional statistical approaches(herein MLR),thereby highlighting the potential of ML to represent an invaluable advanced adjunct tool in clinical practice and research.
文摘The article"Secondary diabetes due to different etiologies:Four case reports"by Song et al,published in the World Journal of Clinical Cases,delves into the identi-fication of rare causes of secondary diabetes and emphasizes the necessity for healthcare professionals to recognize these conditions.Failure to do so can result in treatment delays and compromised patient outcomes.The article discusses spe-cific types of diabetes,including maturity onset of diabetes in young,pancreas-related diseases,endocrinopathies,drug-induced diabetes,infections,and con-genital genetic syndromes associated with diabetes mellitus.Case summaries highlight how patients with secondary diabetes,stemming from conditions such as Williams-Beuren syndrome and pituitary adenoma,often exhibit distinct characteristics overlooked in clinical practice.The authors stress the importance of a holistic diagnostic approach and advocate for proactive management through early intervention,including genetic tests and antibody detection.Increased awa-reness and education are crucial for timely identification and proper management,ultimately improving patient well-being.These findings prompt a call to action for healthcare professionals to consider rare causes of secondary diabetes,facili-tating better glycemic control and overall patient care.
