Summary： With dwindling number of new antibiotics and inappropriate use of antibiotics, the emergence and spread of antibiotics resistance occurs commonly in healthcare institutions worldwide. In China, antibiotics a...Summary： With dwindling number of new antibiotics and inappropriate use of antibiotics, the emergence and spread of antibiotics resistance occurs commonly in healthcare institutions worldwide. In China, antibiotics are commonly overprescribed and misused. This study is to assess the effect of the nationwide special campaign on antibiotic stewardship program （ASP） at specialized hospitals in China by investigating prescription information from 2011 to 2012. Data on the hospital consumption and prescription of systemic antibiotics were obtained from four specialized hospitals, including maternity, children＇s, stomatological and cancer hospitals. Systematic random sampling was used to select outpatient prescriptions and inpatient cases. A total of 105 specialized hospitals in 2011 and 121 specialized hospitals in 2012 were analysed. The defined daily doses （DDDs） per 100 inpatient days, the percentage of antibiotic use in outpatient prescriptions, and the percentage of antibiotic use in inpatient eases were used as measurements of antibiotic use. The overall antibiotic use density in the selected hospitals decreased between 2011 and 2012 from 39.37 to 26.54 DDD/100 inpatient days （P〈0.001）. The percentage of antibiotic use in outpatient prescriptions （range： 24.12%-18.71%, P=0.109） and inpatient cases （64.85%-60.10%, P=-0.006） also decreased within the two years. Significant changes were observed among regions and different hospitals within the two years. And antibiotic consumption was correlated with the type and size of specialized hospital in 2012, but not with the regions. This analysis of antibiotic consumption of specialized hospitals allows relevant comparisons for benchmarking and shows that national ASP has improved antibiotic rational use in China. The data will assist policymakers in formulating effective strategies to decrease antibiotic overuse and identify areas that require further work.展开更多
BACKGROUND Esophageal cancer patients had the highest intensive care unit(ICU)admitted rate in cancer patients.But their prognosis and evaluation methods were rarely studied.AIM To depict the short-term mortality outc...BACKGROUND Esophageal cancer patients had the highest intensive care unit(ICU)admitted rate in cancer patients.But their prognosis and evaluation methods were rarely studied.AIM To depict the short-term mortality outcome and identify the potential prognostic factors of esophageal cancer patients admitted into ICU.METHODS A multicenter cross-sectional study was performed from May 10,2021 to July 10,2021 at ICU departments of 37 cancer specialized hospitals in China.Patients aged≥14 years with ICU duration≥24 hours were included.Clinical records of patients with primary esophageal cancer diagnosis were reviewed.Patients were separated into groups according to the 90 days survival.Characteristics between groups were compared.Single and multi-variate regression tests were applied to analyze the correlated factors of ICU outcomes.Predictive values of disease severity scores were assessed using receiver operating characteristic curve analysis.RESULTS Total 180 esophageal cancer patients were included.The 90 days mortality was 22.2%.Patients with mortality outcome showed differences from those survived mostly in disease severity and unplanned transfer from clinical ward.The current evaluation tools,including Sequential Organ Failure Assessment and Acute Physiology and Chronic Health Evaluation II scores had low accuracy in prediction of short-term death.ICU admitted esophageal cancer patients have poor prognosis,especially those with acute illness.CONCLUSION The prognostic tools for these patients need to be further optimized.展开更多
On December 18,2025, Hainan Free Trade Port (Hainan FTP) officially began islandwide special customs operations.Although only two months have passed since this landmark step, the shift is already visible everywhere—f...On December 18,2025, Hainan Free Trade Port (Hainan FTP) officially began islandwide special customs operations.Although only two months have passed since this landmark step, the shift is already visible everywhere—from the bustling flow of international passengers at Haikou Meilan International Airport to the steady stream of cargo vessels calling at Yangpu Port, and even in the sustained attention investors are paying to “Hainan-related” stocks.Together, these signals point to one clear conclusion:China’s largest special economic zone has entered a new phase of development.展开更多
The concept of Damage Control Surgery(DCS)emphasizes prioritizing hemorrhage control,preventing hypothermia,correcting coagulopathy,and acidosis in trauma treatment.The application of the DCS concept in trauma treatme...The concept of Damage Control Surgery(DCS)emphasizes prioritizing hemorrhage control,preventing hypothermia,correcting coagulopathy,and acidosis in trauma treatment.The application of the DCS concept in trauma treatment at grassroots hospitals faces numerous challenges such as limited resources,high technical difficulty,and insufficient multidisciplinary collaboration.Therefore,DCS strategies need to be adapted to simplified processes to create conditions for subsequent treatment.This paper retrieves relevant literature to discuss the proposal,promotion,and application of the DCS concept,aiming to provide evidence-based basis for optimizing trauma treatment outcomes at grassroots hospitals.展开更多
THE Hainan Free Trade Port(FTP)officially launched island-wide special customs operations on December 18,2025.One month in,a reporting team from China International Communications Group(CICG)conducted an exclusive int...THE Hainan Free Trade Port(FTP)officially launched island-wide special customs operations on December 18,2025.One month in,a reporting team from China International Communications Group(CICG)conducted an exclusive interview with Feng Fei,secretary of the Hainan Provincial Committee of the Communist Party of China(CPC)and chairman of the Standing Committee of the Hainan Provincial People’s Congress.展开更多
Faculty development serves as a critical foundation for ensuring the quality of higher education.To meet the needs of cultivating specialized software talents and promoting teaching reform,it is particularly crucial t...Faculty development serves as a critical foundation for ensuring the quality of higher education.To meet the needs of cultivating specialized software talents and promoting teaching reform,it is particularly crucial to build a faculty team with knowledge in industry application fields and experience in domestic software development.This paper first analyzes the new requirements for the faculty imposed by the cultivation of specialized software talents and the existing problems in the current faculty.Then,in response to these issues,it introduces the reforms and explorations carried out by the School of Software Engineering at Beijing Jiaotong University in the construction of the faculty for cultivating specialized software talents.The aim is to build a high-caliber and diversified faculty that boasts strong political qualities,interdisciplinary integration,complementary advantages between full-time and part-time faculty,and in-depth integration of industry and education.展开更多
For ordinary tourists, simpler entry and exit procedures and a broader range of duty-free goods in Hainan create a better travel and shopping experience.For China’s earnest endeavor to deepen reform and opening-up, i...For ordinary tourists, simpler entry and exit procedures and a broader range of duty-free goods in Hainan create a better travel and shopping experience.For China’s earnest endeavor to deepen reform and opening-up, implementation of the special customs operations policy in Hainan represents a significant step forward. For businesses in Malaysia and other ASEAN member states, especially export-oriented small and medium-sized enterprises (SMEs), Hainan serves as a“transit hub” for accessing the Chinese market and even other Asian markets.展开更多
At 11:00 p.m. on January 13, 2026, floodlights illuminated the launch pad at the Hainan Commercial Space Launch Site in Wenchang,south China’s Hainan Province. A Long March-8A (CZ-8A) carrier rocket lifted off with a...At 11:00 p.m. on January 13, 2026, floodlights illuminated the launch pad at the Hainan Commercial Space Launch Site in Wenchang,south China’s Hainan Province. A Long March-8A (CZ-8A) carrier rocket lifted off with a steady roar, its exhaust lighting up the night sky as it delivered a satellite into its designated orbit.The development of China’s first commercial space launch site has been striking. Since its inaugural launch in2024, it has completed 11 missions in less than 14 months—each a success.展开更多
Smart specialization is a regional development strategy that identifies regional innovation advantages through the analysis of cluster networks,while strengthening both intra-cluster and inter-cluster technological li...Smart specialization is a regional development strategy that identifies regional innovation advantages through the analysis of cluster networks,while strengthening both intra-cluster and inter-cluster technological linkages to promote coordinated regional development.Drawing on branch office flow and patent cooperation data,and employing methods such as the Expectation-Maximization(EM)clustering algorithm and the‘Product Space’approach,this study investigates innovation and technological linkages both within and across industrial clusters.The key findings are as follows.First,Jiangsu’s clusters demonstrate two patterns:closely integrated industrial networks in southern cities like Suzhou,fostering strong industrial resilience,and distinct technological boundaries in northern and central cities like Yancheng,resulting in weaker integration.Second,the cluster network exhibits a single-core structure at the municipal level,centered around Nanjing,with a multi-tiered hierarchy at the district level.Third,innovation linkages between clusters follow a dual-core structure,with Nanjing and Suzhou as central hubs.In this structure,large enterprises in Nanjing and small and medium-sized enterprises(SMEs)in Suzhou reflect complementary industrial characteristics.Finally,both technology-intensive and low-tech manufacturing industries show a higher propensity for cross-regional innovation,with some cities demonstrating significant advantages in high-tech industries.Grounded in the framework of smart specialization,this study conducts an in-depth analysis of innovation and technological linkages within cluster networks at the industrial level,offering scientific insights to support the localized implementation of smart specialization strategies in the Chinese context.展开更多
Full cost accounting,as a comprehensive cost measurement method,integrates direct and indirect costs to reallocate costs across departments.Performance evaluation serves as a method to assess a hospital’s overall per...Full cost accounting,as a comprehensive cost measurement method,integrates direct and indirect costs to reallocate costs across departments.Performance evaluation serves as a method to assess a hospital’s overall performance and management capabilities.Both full cost accounting and performance evaluation are critical tools in the financial management of public hospitals,playing pivotal roles in accounting practices.The concepts of full cost accounting and performance evaluation were investigated in this study,and the existing challenges and the theoretical basis for their integration were analyzed.An integrated model was constructed,and its application cases and effectiveness in the financial management of public hospitals were discussed.Finally,measures to integrate full cost accounting and performance evaluation were proposed,including improving full cost accounting mechanisms,standardizing accounting practices,optimizing cost allocation methods,establishing a unified management platform,and fostering collaboration among stakeholders.This study provides new insights to enhance the quality and efficiency of financial management in public hospitals,laying a foundation for their sustainable development.展开更多
With the advancement of the new medical reform,public hospitals face numerous challenges and opportunities,making the optimization of human resource allocation a critical priority.This paper analyzes the requirements ...With the advancement of the new medical reform,public hospitals face numerous challenges and opportunities,making the optimization of human resource allocation a critical priority.This paper analyzes the requirements imposed by the new medical reform on human resource allocation in public hospitals,examines existing issues such as an unbalanced personnel structure,unscientific job design,and an inadequate talent mobility mechanism,and proposes corresponding optimization strategies.These strategies include improving the recruitment and selection process,scientifically planning job structures,and establishing a flexible talent mobility mechanism.The goal is to enhance the quality of medical services,improve hospital operational efficiency,and promote the sustainable development of public hospitals.展开更多
With the rapid development of artificial intelligence(AI)technology,its application in special education has demonstrated great potential for enhancing educational effectiveness and promoting inclusivity.This article ...With the rapid development of artificial intelligence(AI)technology,its application in special education has demonstrated great potential for enhancing educational effectiveness and promoting inclusivity.This article explores the current applications and future trends of AI in special education settings from a human-computer interaction perspective,with particular focus on children with autism.The paper first outlines the transition from universal computer-assisted education toward AI-driven specialized interventions that meet the personalized needs of special education students.Through research cases applying affective computing systems,speech recognition technology,and large language model tools for children,it illustrates how AI enables personalized learning and real-time feedback.Finally,the article prospects future directions for AI in special education,emphasizing human-centered approaches to support the comprehensive development of learners with special needs.展开更多
With the increasing prevalence of mental disorders,regional mental health service systems face challenges including uneven resource distribution,inefficient referral pathways,and fragmented information.To address thes...With the increasing prevalence of mental disorders,regional mental health service systems face challenges including uneven resource distribution,inefficient referral pathways,and fragmented information.To address these issues,a platform-based bidirectional referral model centered on a municipal psychiatric specialty hospital was developed and implemented,linking community hospitals and county-level psychiatric departments.A unified regional mental health information platform was used to integrate patient data.Community hospitals conducted preliminary screening,county-level psychiatric departments performed referral assessment,and the municipal psychiatric specialty hospital made centralized evaluation and admission decisions.The implementation results demonstrated standardized screening processes,clearer referral pathways,reduced unnecessary hospitalizations,improved accuracy of patient admission,and enhanced mental health service capacity at the primary care level.This model contributes to optimizing mental health resource allocation and improving the efficiency of tiered mental health services.展开更多
Objective:This study aims to explore the benefit analysis of the same disease in different departments of public hospitals under the DIP payment method.Methods:This study is a retrospective analysis that selected clin...Objective:This study aims to explore the benefit analysis of the same disease in different departments of public hospitals under the DIP payment method.Methods:This study is a retrospective analysis that selected clinical data from patients who received treatment in the Department of Orthopedics and the Department of Acupuncture and Moxibustion at our hospital from January 1,2023,to December 31,2023.The study compared the costs of medications,examinations,treatments,laboratory tests,nursing and other expenses,and total treatment costs between the two departments.It analyzed the cost structure of the two departments and proposed further improvement suggestions.Results:The study results indicated that the total costs in the Department of Acupuncture and Moxibustion were significantly higher than those in the Department of Orthopedics.Among medication costs,the total medication costs in the Department of Orthopedics were higher than those in the Department of Acupuncture and Moxibustion,with costs for Western medicine,proprietary Chinese medicine,and herbal medicine all being higher(p<0.05).Regarding examination costs,consultation fees in the Department of Orthopedics were lower than those in the Department of Acupuncture and Moxibustion,while examination costs were higher(p<0.05).In terms of treatment costs,orthopedic treatment and surgical fees were higher than those in the Department of Acupuncture and Moxibustion(p<0.05).For laboratory test costs,orthopedic laboratory fees were significantly higher than those in the Department of Acupuncture and Moxibustion(p<0.05).Among nursing and other expenses,orthopedic blood transfusion,bed fees,and other expenses were higher than those in the Department of Acupuncture and Moxibustion,while nursing fees were lower(p<0.05).Conclusion:Treatment fees in the Department of Acupuncture and Moxibustion are the core and account for a relatively high proportion of the total costs.The benefits generated by the Department of Orthopedics are primarily derived from medication,examination,and laboratory fees,aligning with the characteristics of combining diagnosis,medication,and surgical intervention in orthopedic treatment.Consultation fees,nursing fees,and bed fees in the Department of Acupuncture and Moxibustion are higher than those in the Department of Orthopedics,indicating a longer treatment cycle in acupuncture,which warrants clinical attention.展开更多
Purpose： The aim of this paper is to measure the success of HISs （hospital information systems） in Bahrain from their end user’s perspectives. Methodology： a quantitative design using a questionnaire based on...Purpose： The aim of this paper is to measure the success of HISs （hospital information systems） in Bahrain from their end user’s perspectives. Methodology： a quantitative design using a questionnaire based on the DeLone and McLean Information System Success Model （2003） was employed to examine the key determinants comprise of SQ （system quality）, IQ （information quality）, SerQ （service quality） as the independent variables and their effect on the US （user satisfaction）, U （system use） and the perceived NB （net benefits） as the success measures. There are 324 respondents consisting of doctors, nurses, technicians, pharmacists and admin staff of hospitals. Data were analyzed using SPSS. Findings： SQ, IQ and SerQ are significantly positively related to US and U, and the two later are in turns significantly positively related to the perceived NB out of the system to both users and organizations. Research implications： the research reflects the experience of using innovative healthcare technologies in the Middle East and its results show the importance of improving the systems technical quality to ensure more satisfied users, more utilized technologies and to reach the optimal purpose of implementing these systems and reap out their prospected benefits. Moreover, sufficient training and full dependency on the systems are required to get more confident users and reduce the daily work load.展开更多
Background Evidence indicates that early reperfusion therapy in patients with ST-elevation myocardial infarction （STEMI） reduces complications. This study was undertaken to compare the in-hospital delay to primary p...Background Evidence indicates that early reperfusion therapy in patients with ST-elevation myocardial infarction （STEMI） reduces complications. This study was undertaken to compare the in-hospital delay to primary percutaneous coronary intervention （PPCI） for patients with STEMI between specialized hospitals and non-specialized hospitals in Beijing, China. Methods Two specialized hospitals and fifteen non-specialized hospitals capable of performing PPCI were selected to participate in this study. A total of 308 patients, within 12 hours of the onset of symptoms and undergoing PPCI between November 1, 2005 and December 31, 2006 were enrolled. Data were collected by structured interview and review of medical records.Results The median in-hospital delay was 98 （interquartile range 105 to 180） minutes, and 16.9% of the patients were treated within 90 minutes. Total in-hospital delay and ECG-to-treatment decision-making time were longer in the non-specialized hospitals than in the cardiac specialized hospitals （147 minutes vs. 120 minutes, P〈0.001; 55 minutes vs. 45 minutes, P=0.035）. After controlling the confounding factors, the non-specialized hospitals were independently associated with an increased risk of being in the upper median of in-hospital delays.Conclusions There were substantial in-hospital delays between arrival at the hospital and the administration of PPCI for patients with STEMI in Beijing. Patients admitted to the cardiac specialized hospitals had a shorter in-hospital delay than those to the non-specialized hospitals because of a shorter time of ECG-to-treatment decision-making.展开更多
Abortion is one of the leading causes of maternal death in Cameroon, despite numerous policies and strategies put in place to reduce it by 2030.This study aims to describe the epidemiologic aspects of abortions within...Abortion is one of the leading causes of maternal death in Cameroon, despite numerous policies and strategies put in place to reduce it by 2030.This study aims to describe the epidemiologic aspects of abortions within hospitals in the city of Yaoundé in 2023. Methods: This was a descriptive cross-sectional study with prospective data collection in the maternity wards of the Yaoundé Gynaeco-Obstetric and Paediatric Hospital, and the Yaoundé Central Hospital for 7 months, from the 1st of November 2022 to the 31st of May 2023. The variables studied were demographic and clinical characteristics, means of recourse and post-abortion contraception. The frequency of abortions was calculated as the ratio of the number of abortions to the number of deliveries. The calculation of numbers and frequencies was used to describe the study population, and to highlight the sociodemographic and clinical characteristics of the patients recruited. Quantitative variables were expressed as mean ± standard deviation. Data were collected numerically and classified according to type, then analyzed using Epi-info version 7.2 software. Microsoft Office Excel 2013 was used to produce figures and tables. Results: During the study period, 169 patients were selected out of 1882 patients who had consulted for gynaecological emergencies;but only 164 of them accepted to participate. The frequency of abortions was 9.6% (169/1882). The age group of 25 to 29 years was the most represented, with 29.3% (48/164). They were mainly single 76.2% (125/164), and housewives 33.5% (55/164). The notion of previous abortion was found in 30.5% (50/164) of them. Approximately 19.5% of patients (32/164) reported to have conceived while using contraception, 56.2% of whom (18/32) used male condoms. At the time of admission to the emergency unit, the predominant symptom was bleeding in 70.7% of cases. The abortions were mainly spontaneous, in 75% of cases (123/164). In cases of induced abortions, 24.4% (10/41) of them took place after 14 weeks. Unexpected pregnancy was the main reason for termination in 46.3% of cases (19/41). Regarding induced abortion, 58.54% (24/41) of them resorted to voluntary medical termination. The mortality rate was 1.2%. The acceptability rate of a modern contraceptive method before discharge was 31.7%. Conclusion: Although frequent in our environment, data relating to abortion remain under-evaluated. Abortions occur mainly among young, single women, with a still very high proportion of induced abortions. The acceptability of post-abortion contraception remains poor. Prevention of unwanted pregnancies and risk factors is necessary to reduce the burden of abortions in low-income countries.展开更多
Special Purpose Rice (SPR) is a technology that consists of different rice varieties that were developed by Central Luzon State University. The unique varietal characteristics of SPR are pigmented, glutinous, good-yie...Special Purpose Rice (SPR) is a technology that consists of different rice varieties that were developed by Central Luzon State University. The unique varietal characteristics of SPR are pigmented, glutinous, good-yielding varieties planted in lowland areas. This study was conducted to increase farmers’ income through employing different promotion and extension activities and enterprise development. Data were analyzed using descriptive statistics. Cost and return and benefit-cost analysis were used to determine the financial benefits of using the SPR in different production systems. Results revealed that incorporating the following parameters is critical in the sustainable adoption of the SPR. Amongst them are: ensuring that recommended production technologies are strictly followed by the farmers, ensuring the quality of seeds for planting, the presence of a market for the produce, engaging the farmers in value-adding activities like processing, capability development in entrepreneurship, and adopting clustering approach of the farmers to address economies of scale in marketing and processing. The use of SPR produced an average yield of 6.11 MT/ha and 5.04 MT/ha during the dry and wet seasons from 2021-2023, respectively, higher than the usual varieties of inbred rice. The net benefit from producing a CLS-2 variety of SPR is higher than regular rice, having an average difference of Php 22,355.53 per hectare from 2021-2023.展开更多
This study aimed to investigate the salary status of medical doctors who work in county-level hospitals, and analyze the existing problems. We collected the data from questionnaires and applied both EXCEL and SPSS to ...This study aimed to investigate the salary status of medical doctors who work in county-level hospitals, and analyze the existing problems. We collected the data from questionnaires and applied both EXCEL and SPSS to conduct analysis. Doctors working in county level-hospitals received relatively lower salaries, with 78.5% of the doctors making lower than 5000 RMB per month. Influencing factors for the salary levels included personal factors, attributes of the hospitals, workload and performance appraisal. Reasonable adjustment for the salary levels is needed to refine important elements of salary distribution, and to construct a rational performance appraisal system.展开更多
基金supported by grants from the General Program of National Natural Science Foundation of China(No.71073062)Major Project in Philosophy and Social Science of Ministry of Education in China(No.10JZD0027)
文摘Summary： With dwindling number of new antibiotics and inappropriate use of antibiotics, the emergence and spread of antibiotics resistance occurs commonly in healthcare institutions worldwide. In China, antibiotics are commonly overprescribed and misused. This study is to assess the effect of the nationwide special campaign on antibiotic stewardship program （ASP） at specialized hospitals in China by investigating prescription information from 2011 to 2012. Data on the hospital consumption and prescription of systemic antibiotics were obtained from four specialized hospitals, including maternity, children＇s, stomatological and cancer hospitals. Systematic random sampling was used to select outpatient prescriptions and inpatient cases. A total of 105 specialized hospitals in 2011 and 121 specialized hospitals in 2012 were analysed. The defined daily doses （DDDs） per 100 inpatient days, the percentage of antibiotic use in outpatient prescriptions, and the percentage of antibiotic use in inpatient eases were used as measurements of antibiotic use. The overall antibiotic use density in the selected hospitals decreased between 2011 and 2012 from 39.37 to 26.54 DDD/100 inpatient days （P〈0.001）. The percentage of antibiotic use in outpatient prescriptions （range： 24.12%-18.71%, P=0.109） and inpatient cases （64.85%-60.10%, P=-0.006） also decreased within the two years. Significant changes were observed among regions and different hospitals within the two years. And antibiotic consumption was correlated with the type and size of specialized hospital in 2012, but not with the regions. This analysis of antibiotic consumption of specialized hospitals allows relevant comparisons for benchmarking and shows that national ASP has improved antibiotic rational use in China. The data will assist policymakers in formulating effective strategies to decrease antibiotic overuse and identify areas that require further work.
文摘BACKGROUND Esophageal cancer patients had the highest intensive care unit(ICU)admitted rate in cancer patients.But their prognosis and evaluation methods were rarely studied.AIM To depict the short-term mortality outcome and identify the potential prognostic factors of esophageal cancer patients admitted into ICU.METHODS A multicenter cross-sectional study was performed from May 10,2021 to July 10,2021 at ICU departments of 37 cancer specialized hospitals in China.Patients aged≥14 years with ICU duration≥24 hours were included.Clinical records of patients with primary esophageal cancer diagnosis were reviewed.Patients were separated into groups according to the 90 days survival.Characteristics between groups were compared.Single and multi-variate regression tests were applied to analyze the correlated factors of ICU outcomes.Predictive values of disease severity scores were assessed using receiver operating characteristic curve analysis.RESULTS Total 180 esophageal cancer patients were included.The 90 days mortality was 22.2%.Patients with mortality outcome showed differences from those survived mostly in disease severity and unplanned transfer from clinical ward.The current evaluation tools,including Sequential Organ Failure Assessment and Acute Physiology and Chronic Health Evaluation II scores had low accuracy in prediction of short-term death.ICU admitted esophageal cancer patients have poor prognosis,especially those with acute illness.CONCLUSION The prognostic tools for these patients need to be further optimized.
文摘On December 18,2025, Hainan Free Trade Port (Hainan FTP) officially began islandwide special customs operations.Although only two months have passed since this landmark step, the shift is already visible everywhere—from the bustling flow of international passengers at Haikou Meilan International Airport to the steady stream of cargo vessels calling at Yangpu Port, and even in the sustained attention investors are paying to “Hainan-related” stocks.Together, these signals point to one clear conclusion:China’s largest special economic zone has entered a new phase of development.
文摘The concept of Damage Control Surgery(DCS)emphasizes prioritizing hemorrhage control,preventing hypothermia,correcting coagulopathy,and acidosis in trauma treatment.The application of the DCS concept in trauma treatment at grassroots hospitals faces numerous challenges such as limited resources,high technical difficulty,and insufficient multidisciplinary collaboration.Therefore,DCS strategies need to be adapted to simplified processes to create conditions for subsequent treatment.This paper retrieves relevant literature to discuss the proposal,promotion,and application of the DCS concept,aiming to provide evidence-based basis for optimizing trauma treatment outcomes at grassroots hospitals.
文摘THE Hainan Free Trade Port(FTP)officially launched island-wide special customs operations on December 18,2025.One month in,a reporting team from China International Communications Group(CICG)conducted an exclusive interview with Feng Fei,secretary of the Hainan Provincial Committee of the Communist Party of China(CPC)and chairman of the Standing Committee of the Hainan Provincial People’s Congress.
文摘Faculty development serves as a critical foundation for ensuring the quality of higher education.To meet the needs of cultivating specialized software talents and promoting teaching reform,it is particularly crucial to build a faculty team with knowledge in industry application fields and experience in domestic software development.This paper first analyzes the new requirements for the faculty imposed by the cultivation of specialized software talents and the existing problems in the current faculty.Then,in response to these issues,it introduces the reforms and explorations carried out by the School of Software Engineering at Beijing Jiaotong University in the construction of the faculty for cultivating specialized software talents.The aim is to build a high-caliber and diversified faculty that boasts strong political qualities,interdisciplinary integration,complementary advantages between full-time and part-time faculty,and in-depth integration of industry and education.
文摘For ordinary tourists, simpler entry and exit procedures and a broader range of duty-free goods in Hainan create a better travel and shopping experience.For China’s earnest endeavor to deepen reform and opening-up, implementation of the special customs operations policy in Hainan represents a significant step forward. For businesses in Malaysia and other ASEAN member states, especially export-oriented small and medium-sized enterprises (SMEs), Hainan serves as a“transit hub” for accessing the Chinese market and even other Asian markets.
文摘At 11:00 p.m. on January 13, 2026, floodlights illuminated the launch pad at the Hainan Commercial Space Launch Site in Wenchang,south China’s Hainan Province. A Long March-8A (CZ-8A) carrier rocket lifted off with a steady roar, its exhaust lighting up the night sky as it delivered a satellite into its designated orbit.The development of China’s first commercial space launch site has been striking. Since its inaugural launch in2024, it has completed 11 missions in less than 14 months—each a success.
基金Under the auspices of the National Natural Science Foundation of China(No.42330510,41871160,42371262)。
文摘Smart specialization is a regional development strategy that identifies regional innovation advantages through the analysis of cluster networks,while strengthening both intra-cluster and inter-cluster technological linkages to promote coordinated regional development.Drawing on branch office flow and patent cooperation data,and employing methods such as the Expectation-Maximization(EM)clustering algorithm and the‘Product Space’approach,this study investigates innovation and technological linkages both within and across industrial clusters.The key findings are as follows.First,Jiangsu’s clusters demonstrate two patterns:closely integrated industrial networks in southern cities like Suzhou,fostering strong industrial resilience,and distinct technological boundaries in northern and central cities like Yancheng,resulting in weaker integration.Second,the cluster network exhibits a single-core structure at the municipal level,centered around Nanjing,with a multi-tiered hierarchy at the district level.Third,innovation linkages between clusters follow a dual-core structure,with Nanjing and Suzhou as central hubs.In this structure,large enterprises in Nanjing and small and medium-sized enterprises(SMEs)in Suzhou reflect complementary industrial characteristics.Finally,both technology-intensive and low-tech manufacturing industries show a higher propensity for cross-regional innovation,with some cities demonstrating significant advantages in high-tech industries.Grounded in the framework of smart specialization,this study conducts an in-depth analysis of innovation and technological linkages within cluster networks at the industrial level,offering scientific insights to support the localized implementation of smart specialization strategies in the Chinese context.
文摘Full cost accounting,as a comprehensive cost measurement method,integrates direct and indirect costs to reallocate costs across departments.Performance evaluation serves as a method to assess a hospital’s overall performance and management capabilities.Both full cost accounting and performance evaluation are critical tools in the financial management of public hospitals,playing pivotal roles in accounting practices.The concepts of full cost accounting and performance evaluation were investigated in this study,and the existing challenges and the theoretical basis for their integration were analyzed.An integrated model was constructed,and its application cases and effectiveness in the financial management of public hospitals were discussed.Finally,measures to integrate full cost accounting and performance evaluation were proposed,including improving full cost accounting mechanisms,standardizing accounting practices,optimizing cost allocation methods,establishing a unified management platform,and fostering collaboration among stakeholders.This study provides new insights to enhance the quality and efficiency of financial management in public hospitals,laying a foundation for their sustainable development.
文摘With the advancement of the new medical reform,public hospitals face numerous challenges and opportunities,making the optimization of human resource allocation a critical priority.This paper analyzes the requirements imposed by the new medical reform on human resource allocation in public hospitals,examines existing issues such as an unbalanced personnel structure,unscientific job design,and an inadequate talent mobility mechanism,and proposes corresponding optimization strategies.These strategies include improving the recruitment and selection process,scientifically planning job structures,and establishing a flexible talent mobility mechanism.The goal is to enhance the quality of medical services,improve hospital operational efficiency,and promote the sustainable development of public hospitals.
基金supported by the 2025 Lingnan Normal University Quality Basic Education Support Program(No.14).
文摘With the rapid development of artificial intelligence(AI)technology,its application in special education has demonstrated great potential for enhancing educational effectiveness and promoting inclusivity.This article explores the current applications and future trends of AI in special education settings from a human-computer interaction perspective,with particular focus on children with autism.The paper first outlines the transition from universal computer-assisted education toward AI-driven specialized interventions that meet the personalized needs of special education students.Through research cases applying affective computing systems,speech recognition technology,and large language model tools for children,it illustrates how AI enables personalized learning and real-time feedback.Finally,the article prospects future directions for AI in special education,emphasizing human-centered approaches to support the comprehensive development of learners with special needs.
文摘With the increasing prevalence of mental disorders,regional mental health service systems face challenges including uneven resource distribution,inefficient referral pathways,and fragmented information.To address these issues,a platform-based bidirectional referral model centered on a municipal psychiatric specialty hospital was developed and implemented,linking community hospitals and county-level psychiatric departments.A unified regional mental health information platform was used to integrate patient data.Community hospitals conducted preliminary screening,county-level psychiatric departments performed referral assessment,and the municipal psychiatric specialty hospital made centralized evaluation and admission decisions.The implementation results demonstrated standardized screening processes,clearer referral pathways,reduced unnecessary hospitalizations,improved accuracy of patient admission,and enhanced mental health service capacity at the primary care level.This model contributes to optimizing mental health resource allocation and improving the efficiency of tiered mental health services.
文摘Objective:This study aims to explore the benefit analysis of the same disease in different departments of public hospitals under the DIP payment method.Methods:This study is a retrospective analysis that selected clinical data from patients who received treatment in the Department of Orthopedics and the Department of Acupuncture and Moxibustion at our hospital from January 1,2023,to December 31,2023.The study compared the costs of medications,examinations,treatments,laboratory tests,nursing and other expenses,and total treatment costs between the two departments.It analyzed the cost structure of the two departments and proposed further improvement suggestions.Results:The study results indicated that the total costs in the Department of Acupuncture and Moxibustion were significantly higher than those in the Department of Orthopedics.Among medication costs,the total medication costs in the Department of Orthopedics were higher than those in the Department of Acupuncture and Moxibustion,with costs for Western medicine,proprietary Chinese medicine,and herbal medicine all being higher(p<0.05).Regarding examination costs,consultation fees in the Department of Orthopedics were lower than those in the Department of Acupuncture and Moxibustion,while examination costs were higher(p<0.05).In terms of treatment costs,orthopedic treatment and surgical fees were higher than those in the Department of Acupuncture and Moxibustion(p<0.05).For laboratory test costs,orthopedic laboratory fees were significantly higher than those in the Department of Acupuncture and Moxibustion(p<0.05).Among nursing and other expenses,orthopedic blood transfusion,bed fees,and other expenses were higher than those in the Department of Acupuncture and Moxibustion,while nursing fees were lower(p<0.05).Conclusion:Treatment fees in the Department of Acupuncture and Moxibustion are the core and account for a relatively high proportion of the total costs.The benefits generated by the Department of Orthopedics are primarily derived from medication,examination,and laboratory fees,aligning with the characteristics of combining diagnosis,medication,and surgical intervention in orthopedic treatment.Consultation fees,nursing fees,and bed fees in the Department of Acupuncture and Moxibustion are higher than those in the Department of Orthopedics,indicating a longer treatment cycle in acupuncture,which warrants clinical attention.
文摘Purpose： The aim of this paper is to measure the success of HISs （hospital information systems） in Bahrain from their end user’s perspectives. Methodology： a quantitative design using a questionnaire based on the DeLone and McLean Information System Success Model （2003） was employed to examine the key determinants comprise of SQ （system quality）, IQ （information quality）, SerQ （service quality） as the independent variables and their effect on the US （user satisfaction）, U （system use） and the perceived NB （net benefits） as the success measures. There are 324 respondents consisting of doctors, nurses, technicians, pharmacists and admin staff of hospitals. Data were analyzed using SPSS. Findings： SQ, IQ and SerQ are significantly positively related to US and U, and the two later are in turns significantly positively related to the perceived NB out of the system to both users and organizations. Research implications： the research reflects the experience of using innovative healthcare technologies in the Middle East and its results show the importance of improving the systems technical quality to ensure more satisfied users, more utilized technologies and to reach the optimal purpose of implementing these systems and reap out their prospected benefits. Moreover, sufficient training and full dependency on the systems are required to get more confident users and reduce the daily work load.
文摘Background Evidence indicates that early reperfusion therapy in patients with ST-elevation myocardial infarction （STEMI） reduces complications. This study was undertaken to compare the in-hospital delay to primary percutaneous coronary intervention （PPCI） for patients with STEMI between specialized hospitals and non-specialized hospitals in Beijing, China. Methods Two specialized hospitals and fifteen non-specialized hospitals capable of performing PPCI were selected to participate in this study. A total of 308 patients, within 12 hours of the onset of symptoms and undergoing PPCI between November 1, 2005 and December 31, 2006 were enrolled. Data were collected by structured interview and review of medical records.Results The median in-hospital delay was 98 （interquartile range 105 to 180） minutes, and 16.9% of the patients were treated within 90 minutes. Total in-hospital delay and ECG-to-treatment decision-making time were longer in the non-specialized hospitals than in the cardiac specialized hospitals （147 minutes vs. 120 minutes, P〈0.001; 55 minutes vs. 45 minutes, P=0.035）. After controlling the confounding factors, the non-specialized hospitals were independently associated with an increased risk of being in the upper median of in-hospital delays.Conclusions There were substantial in-hospital delays between arrival at the hospital and the administration of PPCI for patients with STEMI in Beijing. Patients admitted to the cardiac specialized hospitals had a shorter in-hospital delay than those to the non-specialized hospitals because of a shorter time of ECG-to-treatment decision-making.
文摘Abortion is one of the leading causes of maternal death in Cameroon, despite numerous policies and strategies put in place to reduce it by 2030.This study aims to describe the epidemiologic aspects of abortions within hospitals in the city of Yaoundé in 2023. Methods: This was a descriptive cross-sectional study with prospective data collection in the maternity wards of the Yaoundé Gynaeco-Obstetric and Paediatric Hospital, and the Yaoundé Central Hospital for 7 months, from the 1st of November 2022 to the 31st of May 2023. The variables studied were demographic and clinical characteristics, means of recourse and post-abortion contraception. The frequency of abortions was calculated as the ratio of the number of abortions to the number of deliveries. The calculation of numbers and frequencies was used to describe the study population, and to highlight the sociodemographic and clinical characteristics of the patients recruited. Quantitative variables were expressed as mean ± standard deviation. Data were collected numerically and classified according to type, then analyzed using Epi-info version 7.2 software. Microsoft Office Excel 2013 was used to produce figures and tables. Results: During the study period, 169 patients were selected out of 1882 patients who had consulted for gynaecological emergencies;but only 164 of them accepted to participate. The frequency of abortions was 9.6% (169/1882). The age group of 25 to 29 years was the most represented, with 29.3% (48/164). They were mainly single 76.2% (125/164), and housewives 33.5% (55/164). The notion of previous abortion was found in 30.5% (50/164) of them. Approximately 19.5% of patients (32/164) reported to have conceived while using contraception, 56.2% of whom (18/32) used male condoms. At the time of admission to the emergency unit, the predominant symptom was bleeding in 70.7% of cases. The abortions were mainly spontaneous, in 75% of cases (123/164). In cases of induced abortions, 24.4% (10/41) of them took place after 14 weeks. Unexpected pregnancy was the main reason for termination in 46.3% of cases (19/41). Regarding induced abortion, 58.54% (24/41) of them resorted to voluntary medical termination. The mortality rate was 1.2%. The acceptability rate of a modern contraceptive method before discharge was 31.7%. Conclusion: Although frequent in our environment, data relating to abortion remain under-evaluated. Abortions occur mainly among young, single women, with a still very high proportion of induced abortions. The acceptability of post-abortion contraception remains poor. Prevention of unwanted pregnancies and risk factors is necessary to reduce the burden of abortions in low-income countries.
文摘Special Purpose Rice (SPR) is a technology that consists of different rice varieties that were developed by Central Luzon State University. The unique varietal characteristics of SPR are pigmented, glutinous, good-yielding varieties planted in lowland areas. This study was conducted to increase farmers’ income through employing different promotion and extension activities and enterprise development. Data were analyzed using descriptive statistics. Cost and return and benefit-cost analysis were used to determine the financial benefits of using the SPR in different production systems. Results revealed that incorporating the following parameters is critical in the sustainable adoption of the SPR. Amongst them are: ensuring that recommended production technologies are strictly followed by the farmers, ensuring the quality of seeds for planting, the presence of a market for the produce, engaging the farmers in value-adding activities like processing, capability development in entrepreneurship, and adopting clustering approach of the farmers to address economies of scale in marketing and processing. The use of SPR produced an average yield of 6.11 MT/ha and 5.04 MT/ha during the dry and wet seasons from 2021-2023, respectively, higher than the usual varieties of inbred rice. The net benefit from producing a CLS-2 variety of SPR is higher than regular rice, having an average difference of Php 22,355.53 per hectare from 2021-2023.
文摘This study aimed to investigate the salary status of medical doctors who work in county-level hospitals, and analyze the existing problems. We collected the data from questionnaires and applied both EXCEL and SPSS to conduct analysis. Doctors working in county level-hospitals received relatively lower salaries, with 78.5% of the doctors making lower than 5000 RMB per month. Influencing factors for the salary levels included personal factors, attributes of the hospitals, workload and performance appraisal. Reasonable adjustment for the salary levels is needed to refine important elements of salary distribution, and to construct a rational performance appraisal system.
