Colorectal cancer(CRC)is a prevalent malignancy worldwide,posing a significant public health concern.Mounting evidence has confirmed that timely early screening facilitates the detection of incipient CRC,thereby enhan...Colorectal cancer(CRC)is a prevalent malignancy worldwide,posing a significant public health concern.Mounting evidence has confirmed that timely early screening facilitates the detection of incipient CRC,thereby enhancing patient prognosis.Obviously,non-participation of asymptomatic individuals in screening programs hampers early diagnosis and may adversely affect long-term outcomes for CRC patients.In this letter,we provide a comprehensive overview of the current status of early screening practices,while also thoroughly examine the dilemmas and potential solutions associated with early screening for CRC.In response to these issues,we proffer a set of recommendations directed at governmental authorities and the general public,which focus on augmenting financial investment,establishing standardized screening protocols,advancing technological capabilities,and bolstering public awareness campaigns.The importance of collaborative efforts from various stakeholders cannot be overstated in the quest to enhance early detection rates and alleviate the societal burden of CRC.展开更多
Security is the cor nerstone of a country's peace and stability and the prerequisite for its survival and development.All countries around the world regard security as their top priority.Since most Asian countries...Security is the cor nerstone of a country's peace and stability and the prerequisite for its survival and development.All countries around the world regard security as their top priority.Since most Asian countries suffered from colonial aggression and plundering for a long time in history,they as a whole attach special importance to national security.展开更多
The prioritization of financial infrastructure construction serves as a crucial guarantee for the high-quality development of small and micro enterprises.However,resolving the financing challenges of small and micro e...The prioritization of financial infrastructure construction serves as a crucial guarantee for the high-quality development of small and micro enterprises.However,resolving the financing challenges of small and micro enterprises is not a task to be accomplished overnight.It necessitates the establishment of a long-term mechanism,the acceleration of financial innovation,the gradual enhancement of the vitality of micro-entities,and the creation of a stable and healthy economic development environment.Therefore,the author first analyzes the current financing situation of small and micro enterprises,as well as the problems they face during the process of financial innovation enabling small and micro enterprises to access financing and solve their financing difficulties,such as insufficient technical support,an imperfect risk control system,incomplete information disclosure,and a lack of credit data.Subsequently,targeted paths for financial innovation are proposed,aiming to offer suggestions for solving the financing problems of small and micro enterprises.展开更多
This article focuses on the challenges of rural economic development under the strategy of rural revitalization,and deeply analyzes the current situation of rural economic development.Research has found that although ...This article focuses on the challenges of rural economic development under the strategy of rural revitalization,and deeply analyzes the current situation of rural economic development.Research has found that although the rural revitalization strategy has achieved significant results in improving residents’quality of life,promoting agricultural modernization,it still faces challenges such as severe loss of human resources,insufficient agricultural technological innovation,and backward infrastructure construction.In response to these challenges,this paper proposes optimization strategies from three aspects:strengthening rural education and talent team construction,promoting agricultural technology innovation and achievement transformation,and increasing investment in rural infrastructure construction.展开更多
This paper comprehensively analyzes the development opportunities and realistic dilemmas faced by adult higher education in China in the new era,and puts forward corresponding strategies as solutions.With the construc...This paper comprehensively analyzes the development opportunities and realistic dilemmas faced by adult higher education in China in the new era,and puts forward corresponding strategies as solutions.With the construction of a learning society,the development of digital technology,and the popularization of the concept of lifelong learning,adult higher education has unprecedented development opportunities.At the same time,these forms of education are facing a series of dilemmas due to challenges such as unsound guarantee mechanisms and traditional enrollment competition.Through the establishment of perfect legal and policy guarantees,transformation of school running mode,meeting the diversified needs of learners,and other multi-faceted measures,the development of adult higher education can be effectively promoted to meet the needs of individual and social development.展开更多
To better understand the challenges faced by public hospitals in implementing charitable medical assistance,this study examines Nanjing R Hospital as a case study.By combining literature review and field research,the ...To better understand the challenges faced by public hospitals in implementing charitable medical assistance,this study examines Nanjing R Hospital as a case study.By combining literature review and field research,the current status and fundamental methods of charitable medical assistance at R Hospital are systematically analyzed.The findings indicate that medical social workers play a multifaceted role in the hospital’s charitable assistance efforts.They contribute significantly to building assistance networks and addressing patients’multi-dimensional needs.However,challenges persist in the assistance process,including both external and internal obstacles.This study explores ways to overcome these barriers to enhance the efficient utilization of healthcare resources.Through empirical investigation,the study identifies the types of charitable aid resources available and highlights the practical difficulties in their application within public hospitals.These findings provide a valuable reference for optimizing resource allocation,improving the effectiveness of assistance programs,and fostering institutional collaboration.展开更多
The current predominant self-review mechanism by policy-making bodies suffers from deficiencies such as insufficient motivations, limited review capabilities, and weak external supervision. Third-party assessment, cha...The current predominant self-review mechanism by policy-making bodies suffers from deficiencies such as insufficient motivations, limited review capabilities, and weak external supervision. Third-party assessment, characterized by independence and specialization, is designed to mitigate these shortcomings. However, the implementation of third-party assessment faces challenges too. This paper intends to improve the third-party assessment system and to realize the legislative purpose of the system. Based on social research, discussions and exchanges with relevant parties, and the existing research results, this paper analyzes the challenges and possible optimization measures for the third-party assessment. The challenges include repulsion from policy-making bodies, insufficient independence of assessment bodies, disparity of assessment quality, and limited application of assessment outcomes. Possible optimization measures include promoting fair competition culture, increasing the acceptance of third-party assessment from policy-making bodies, enhancing the quality of third-party assessment, clarifying the relationship between policy-making bodies and assessment bodies, ensuring the independence of third-party assessments, and promoting the application of assessment results.展开更多
Blended teaching has emerged as a prominent subject in the recent reform and innovation of higher education.It has become imperative and guiding for colleges and universities to embrace a mixed teaching approach that ...Blended teaching has emerged as a prominent subject in the recent reform and innovation of higher education.It has become imperative and guiding for colleges and universities to embrace a mixed teaching approach that aligns with the evolving needs of education and teaching in the new era.This paper aims to provide a comprehensive overview of the research status surrounding blended teaching,encompassing fundamental issues,teaching design,practical guidance,teaching effectiveness,and evaluation.By critically examining the current challenges associated with blended teaching,this study proposes optimization strategies including enhancing student participation and interaction,promoting deep learning,improving teachers’preparedness,teaching technologies,and curriculum design capabilities,strengthening top-level design,and perfecting evaluation and incentive mechanisms.These strategies provide new directions for the reform of blended teaching.展开更多
Heart failure （HF）, a complex clinical syndrome due to structural or functional disorder of the heart, is a major global health issue, with a prevalence of over 5.8 million in the USA alone, and over 23 million worl...Heart failure （HF）, a complex clinical syndrome due to structural or functional disorder of the heart, is a major global health issue, with a prevalence of over 5.8 million in the USA alone, and over 23 million worldwide. As a leading cause of hospitalizations among patients aged 65 years or older, HF is a major consumer of healthcare resources, creating a substantial strain on the healthcare system. This paper discusses the epidemiology of HF, financial impact, and multifaceted predicaments in end-stage HF care. A search was conducted on the U.S National Library of Medicine website （www.pubmed.gov） using keywords such as end-stage heart failure, palliative care, ethical dilemmas. Despite the poor prognosis of HF （worse than that for many cancers）, many HF patients, caregivers, and clinicians are unaware of the poor prognosis. In addition, the unpredictable clinical trajectory of HF complicates the planning of end-of-life care, such as palliative care and hospice, leading to underutilization of such resources. In conclusion, ethical dilemmas in end-stage HF are numerous, embroiling not only the patient, but also the caregiver, healthcare team, and society.展开更多
In the field of robotics and in the health sciences, transitions have been occurring in the control of robots operating with predetermined logic and rules. Robotics in health care are influencing human caring dynamics...In the field of robotics and in the health sciences, transitions have been occurring in the control of robots operating with predetermined logic and rules. Robotics in health care are influencing human caring dynamics in many ways such as enhancing dependency and surrender to machine technologies. Situations such as these are charged with possibilities of legal liabilities triggered by influences and consequences of advancing robotic technology dependency. The purpose of this paper is to identify, describe, and explain legal issues and/or dilemmas centered on robotics in healthcare while providing engaging opportunities to limit consequent legalities thus forming beneficial human health care outcomes. Laying bare these liabilities will provide critically informative data that can foster proactive encounters which can or may deter health care liabilities while ensuring quality healthcare outcomes. An attempt is made to re-conceptualize how to view agency, causality, liability responsibility, culpability, and autonomy for the new age of autonomous robots. While it is still not clear how this would turn out, a clear framing of the problem is the first step in the project.展开更多
The colonist culture of the imperialism nourished Jim＇s heroic dreams in which the protagonist sees himself as an apotheosis of morality and heroic deeds, but it also isolated him from the reality of the world. As a ...The colonist culture of the imperialism nourished Jim＇s heroic dreams in which the protagonist sees himself as an apotheosis of morality and heroic deeds, but it also isolated him from the reality of the world. As a result, he often finds himself caught in moral dilemmas and ends up making tragic choices. His tragedy indicated that the alluring and illusive myth of the imperialism was bound to fall apart.展开更多
Genomic analyses of most solid tumors reveal a complex mutational landscape with vast inter-tumor and intratumor heterogeneities.Each histological tumor type and the tumor cells within each tumor type display striking...Genomic analyses of most solid tumors reveal a complex mutational landscape with vast inter-tumor and intratumor heterogeneities.Each histological tumor type and the tumor cells within each tumor type display striking molecular and biological variations.The molecular heterogeneity in tumors is a major obstacle for early diagnosis and effective treatment.This is especially relevant to hepatocellular carcinoma(HCC)and intrahepatic cholangiocarcinoma(iCCA)where the etiological factors elicit different molecular mechanisms to initiate carcinogenesis leading to distinct molecular subtypes and complex tumor cell communities.Such heterogeneity poses a major challenge in exploring the factors responsible for early stage hepatocarcinogenesis,development of diagnostic tools,and defining effective treatment strategies for HCC and iCCA.These obstacles emphasize the importance of developing new strategies to change the current dire situation.The establishment of patient populations with associated wellannotated biobanks and molecularly well-characterized samples are essential to define unique tumor subtypes.Moreover,understanding the molecular features of tumor cells at a single cell level might provide a better understanding of tumor cell communities and help define the key drivers responsible for tumor initiation and progression.Molecular-based technologies such as integrated genomics,transcriptomics,and metabolomics aid in a better way to distinguish tumor subtypes allowing the stratification of patients with greater homogeneity and assist in molecular re-staging.These genome-based signatures might serve to delineate the critical gatekeepers of cancer initiation and progression which further helps to identify the druggable targets by integrated genomics and to explore the functionally linked networks in HCC and iCCA.With these available backgrounds,we might effectively identify biomarkers and potential targets for early liver cancer intervention.展开更多
The production and business activity of enterprises is the key factor which causes environmental pollution. It will be conducive to sustainable development of human beings if the environmental issues can be integrated...The production and business activity of enterprises is the key factor which causes environmental pollution. It will be conducive to sustainable development of human beings if the environmental issues can be integrated into accounting calculation by using accounting methods. It is extremely necessary to develop carbon accounting in our country. However, the enterprises in our country are also facing a lot of dilemmas under the state of low-carbon economy. Therefore, perfect carbon accounting standards and accounting systems should be established, social and government supervision of carbon accounting strengthened, national public awareness of low-carbon environment consolidated and the professional level of the accounting personnel improved.展开更多
Purpose: This study sought to clarify the relationship between a nurse’s exposure to elderly relatives and their perspective in using restraints on the elderly in health care situations. Methods: We approached nursin...Purpose: This study sought to clarify the relationship between a nurse’s exposure to elderly relatives and their perspective in using restraints on the elderly in health care situations. Methods: We approached nursing staff supervisors at 17 general hospital wards and explained the objectives of the study. Supervisors at 14 hospitals agreed to participate, giving us a sampling pool of 1929 nurses. We used a chi square test to compare nurses who had spent time with elderly relatives and those who had not on several variables related to using restraints on elderly patients. Results and Conclusion: This study found that nurses who live with elderly family members were significantly more likely to believe that restraints cause diseases (including chronic diseases) based on a chi square test (p < 0.05). Therefore it would be important that essential was the experiences of individuals with elderly family members when making programs of decreasing nurse’s dilemma to restraining the elderly.展开更多
Responsibility is a function of power, impact and knowledge. The more strategically central one’s position is in terms of power, influence and knowledge, the higher his or her responsibility would be. This is an idea...Responsibility is a function of power, impact and knowledge. The more strategically central one’s position is in terms of power, influence and knowledge, the higher his or her responsibility would be. This is an idea which can be worked out in more detail by using distributive models of graph theory and predistribution assignments of rights and duties according to different levels.展开更多
When the financial storm indulges in the Wall Street of US,the whole world economy is threatened.In this global economy,no one can turn away from its impact.So as China and her SMEs.Small and medium-sized enterprises,...When the financial storm indulges in the Wall Street of US,the whole world economy is threatened.In this global economy,no one can turn away from its impact.So as China and her SMEs.Small and medium-sized enterprises,i.e.SMEs,are often opposite to state-owned enterprises,i.e.SOEs in China.Born with some natural shortages, where can Chinese SMEs find shelter for the bad weather? How can they survive in the tempest? To be or not to be,that is a question raised to them cruelly.展开更多
This study aimed to clarify the dilemma of nurses working in general wards who face the ethical dilemma of restraining older people with dementia in Midwestern Japan. The study used the questionnaire method with an in...This study aimed to clarify the dilemma of nurses working in general wards who face the ethical dilemma of restraining older people with dementia in Midwestern Japan. The study used the questionnaire method with an independently prepared questionnaire. The questionnaire was designed to ensure privacy and anonymity. The privacy and anonymity of study participants was assured. Of the 340 survey questionnaires distributed, 291 (85.6%) completed surveys were eligible number (12 additional surveys were returned without answers). An explanatory factor analysis revealed four dilemma factors among 15 items investigated (KMO value 0.84). These were: factor 1: “Execution of treatment and security,” α = 0.91;factor 2: “approach in the nursing of older people with dementia,” α = 0.93;factor 3: “A cooperative relationship in nursing of older people with dementia,” α = 0.87;and factor 4: “Priorities in nursing,” α = 0.81. The cumulative contribution ratio was 79.1%. We suggest that the program would enable nurses to cope with these dilemmas.展开更多
Revolutions,typical cases of crucial social transformations,cannot be realized successfully without a large number of activists.Therefore,creating conditions favorable for acquiring enough participants should be an im...Revolutions,typical cases of crucial social transformations,cannot be realized successfully without a large number of activists.Therefore,creating conditions favorable for acquiring enough participants should be an important topic of Marxist social science.In particular,this problem includes the “free-ride,” because the benefits of revolutionaries’ activities are gained not only by the activists but also by all other members.The paper analyzes problems such as this one,applying non-cooperative game theory to social dilemma problems.This leads to some interesting results.In this research,the problem of the workers’ choice between unity or freeride is first defined using numerical examples of the gain structure.It is defined again in a more generalized form using other parameters.In so doing,we express both the cost of participating in the movement and the gains from the concession of the ruling class.Because this analysis focuses on the importance of the number of participants,the concession of the ruling class is framed as a function of the number of participants.The results of this analysis revealed that the economic base and superstructure accurately correspond in some game structures but not in others.In other words,the social dilemma presents either as a case of prisoners’ dilemma or as a chicken game.Furthermore,this paper analyzes the influence of group size,and it was revealed that groups with a large number of members,such as a ruled class,find it particularly difficult to unite.This phenomenon is called the “large group dilemma.” In these ways,this research shows that the aforementioned type of game theory can be used to analyze the difficulties and possibilities of social movements.展开更多
文摘Colorectal cancer(CRC)is a prevalent malignancy worldwide,posing a significant public health concern.Mounting evidence has confirmed that timely early screening facilitates the detection of incipient CRC,thereby enhancing patient prognosis.Obviously,non-participation of asymptomatic individuals in screening programs hampers early diagnosis and may adversely affect long-term outcomes for CRC patients.In this letter,we provide a comprehensive overview of the current status of early screening practices,while also thoroughly examine the dilemmas and potential solutions associated with early screening for CRC.In response to these issues,we proffer a set of recommendations directed at governmental authorities and the general public,which focus on augmenting financial investment,establishing standardized screening protocols,advancing technological capabilities,and bolstering public awareness campaigns.The importance of collaborative efforts from various stakeholders cannot be overstated in the quest to enhance early detection rates and alleviate the societal burden of CRC.
文摘Security is the cor nerstone of a country's peace and stability and the prerequisite for its survival and development.All countries around the world regard security as their top priority.Since most Asian countries suffered from colonial aggression and plundering for a long time in history,they as a whole attach special importance to national security.
文摘The prioritization of financial infrastructure construction serves as a crucial guarantee for the high-quality development of small and micro enterprises.However,resolving the financing challenges of small and micro enterprises is not a task to be accomplished overnight.It necessitates the establishment of a long-term mechanism,the acceleration of financial innovation,the gradual enhancement of the vitality of micro-entities,and the creation of a stable and healthy economic development environment.Therefore,the author first analyzes the current financing situation of small and micro enterprises,as well as the problems they face during the process of financial innovation enabling small and micro enterprises to access financing and solve their financing difficulties,such as insufficient technical support,an imperfect risk control system,incomplete information disclosure,and a lack of credit data.Subsequently,targeted paths for financial innovation are proposed,aiming to offer suggestions for solving the financing problems of small and micro enterprises.
文摘This article focuses on the challenges of rural economic development under the strategy of rural revitalization,and deeply analyzes the current situation of rural economic development.Research has found that although the rural revitalization strategy has achieved significant results in improving residents’quality of life,promoting agricultural modernization,it still faces challenges such as severe loss of human resources,insufficient agricultural technological innovation,and backward infrastructure construction.In response to these challenges,this paper proposes optimization strategies from three aspects:strengthening rural education and talent team construction,promoting agricultural technology innovation and achievement transformation,and increasing investment in rural infrastructure construction.
文摘This paper comprehensively analyzes the development opportunities and realistic dilemmas faced by adult higher education in China in the new era,and puts forward corresponding strategies as solutions.With the construction of a learning society,the development of digital technology,and the popularization of the concept of lifelong learning,adult higher education has unprecedented development opportunities.At the same time,these forms of education are facing a series of dilemmas due to challenges such as unsound guarantee mechanisms and traditional enrollment competition.Through the establishment of perfect legal and policy guarantees,transformation of school running mode,meeting the diversified needs of learners,and other multi-faceted measures,the development of adult higher education can be effectively promoted to meet the needs of individual and social development.
文摘To better understand the challenges faced by public hospitals in implementing charitable medical assistance,this study examines Nanjing R Hospital as a case study.By combining literature review and field research,the current status and fundamental methods of charitable medical assistance at R Hospital are systematically analyzed.The findings indicate that medical social workers play a multifaceted role in the hospital’s charitable assistance efforts.They contribute significantly to building assistance networks and addressing patients’multi-dimensional needs.However,challenges persist in the assistance process,including both external and internal obstacles.This study explores ways to overcome these barriers to enhance the efficient utilization of healthcare resources.Through empirical investigation,the study identifies the types of charitable aid resources available and highlights the practical difficulties in their application within public hospitals.These findings provide a valuable reference for optimizing resource allocation,improving the effectiveness of assistance programs,and fostering institutional collaboration.
文摘The current predominant self-review mechanism by policy-making bodies suffers from deficiencies such as insufficient motivations, limited review capabilities, and weak external supervision. Third-party assessment, characterized by independence and specialization, is designed to mitigate these shortcomings. However, the implementation of third-party assessment faces challenges too. This paper intends to improve the third-party assessment system and to realize the legislative purpose of the system. Based on social research, discussions and exchanges with relevant parties, and the existing research results, this paper analyzes the challenges and possible optimization measures for the third-party assessment. The challenges include repulsion from policy-making bodies, insufficient independence of assessment bodies, disparity of assessment quality, and limited application of assessment outcomes. Possible optimization measures include promoting fair competition culture, increasing the acceptance of third-party assessment from policy-making bodies, enhancing the quality of third-party assessment, clarifying the relationship between policy-making bodies and assessment bodies, ensuring the independence of third-party assessments, and promoting the application of assessment results.
基金The 2020 Guangxi Higher Education Undergraduate Teaching Reform Project“Research and Practice of Blended Course Evaluation System Based on College Students’Learning Effect”(Project number:2020JGZ116)。
文摘Blended teaching has emerged as a prominent subject in the recent reform and innovation of higher education.It has become imperative and guiding for colleges and universities to embrace a mixed teaching approach that aligns with the evolving needs of education and teaching in the new era.This paper aims to provide a comprehensive overview of the research status surrounding blended teaching,encompassing fundamental issues,teaching design,practical guidance,teaching effectiveness,and evaluation.By critically examining the current challenges associated with blended teaching,this study proposes optimization strategies including enhancing student participation and interaction,promoting deep learning,improving teachers’preparedness,teaching technologies,and curriculum design capabilities,strengthening top-level design,and perfecting evaluation and incentive mechanisms.These strategies provide new directions for the reform of blended teaching.
文摘Heart failure （HF）, a complex clinical syndrome due to structural or functional disorder of the heart, is a major global health issue, with a prevalence of over 5.8 million in the USA alone, and over 23 million worldwide. As a leading cause of hospitalizations among patients aged 65 years or older, HF is a major consumer of healthcare resources, creating a substantial strain on the healthcare system. This paper discusses the epidemiology of HF, financial impact, and multifaceted predicaments in end-stage HF care. A search was conducted on the U.S National Library of Medicine website （www.pubmed.gov） using keywords such as end-stage heart failure, palliative care, ethical dilemmas. Despite the poor prognosis of HF （worse than that for many cancers）, many HF patients, caregivers, and clinicians are unaware of the poor prognosis. In addition, the unpredictable clinical trajectory of HF complicates the planning of end-of-life care, such as palliative care and hospice, leading to underutilization of such resources. In conclusion, ethical dilemmas in end-stage HF are numerous, embroiling not only the patient, but also the caregiver, healthcare team, and society.
文摘In the field of robotics and in the health sciences, transitions have been occurring in the control of robots operating with predetermined logic and rules. Robotics in health care are influencing human caring dynamics in many ways such as enhancing dependency and surrender to machine technologies. Situations such as these are charged with possibilities of legal liabilities triggered by influences and consequences of advancing robotic technology dependency. The purpose of this paper is to identify, describe, and explain legal issues and/or dilemmas centered on robotics in healthcare while providing engaging opportunities to limit consequent legalities thus forming beneficial human health care outcomes. Laying bare these liabilities will provide critically informative data that can foster proactive encounters which can or may deter health care liabilities while ensuring quality healthcare outcomes. An attempt is made to re-conceptualize how to view agency, causality, liability responsibility, culpability, and autonomy for the new age of autonomous robots. While it is still not clear how this would turn out, a clear framing of the problem is the first step in the project.
文摘The colonist culture of the imperialism nourished Jim＇s heroic dreams in which the protagonist sees himself as an apotheosis of morality and heroic deeds, but it also isolated him from the reality of the world. As a result, he often finds himself caught in moral dilemmas and ends up making tragic choices. His tragedy indicated that the alluring and illusive myth of the imperialism was bound to fall apart.
文摘Genomic analyses of most solid tumors reveal a complex mutational landscape with vast inter-tumor and intratumor heterogeneities.Each histological tumor type and the tumor cells within each tumor type display striking molecular and biological variations.The molecular heterogeneity in tumors is a major obstacle for early diagnosis and effective treatment.This is especially relevant to hepatocellular carcinoma(HCC)and intrahepatic cholangiocarcinoma(iCCA)where the etiological factors elicit different molecular mechanisms to initiate carcinogenesis leading to distinct molecular subtypes and complex tumor cell communities.Such heterogeneity poses a major challenge in exploring the factors responsible for early stage hepatocarcinogenesis,development of diagnostic tools,and defining effective treatment strategies for HCC and iCCA.These obstacles emphasize the importance of developing new strategies to change the current dire situation.The establishment of patient populations with associated wellannotated biobanks and molecularly well-characterized samples are essential to define unique tumor subtypes.Moreover,understanding the molecular features of tumor cells at a single cell level might provide a better understanding of tumor cell communities and help define the key drivers responsible for tumor initiation and progression.Molecular-based technologies such as integrated genomics,transcriptomics,and metabolomics aid in a better way to distinguish tumor subtypes allowing the stratification of patients with greater homogeneity and assist in molecular re-staging.These genome-based signatures might serve to delineate the critical gatekeepers of cancer initiation and progression which further helps to identify the druggable targets by integrated genomics and to explore the functionally linked networks in HCC and iCCA.With these available backgrounds,we might effectively identify biomarkers and potential targets for early liver cancer intervention.
文摘The production and business activity of enterprises is the key factor which causes environmental pollution. It will be conducive to sustainable development of human beings if the environmental issues can be integrated into accounting calculation by using accounting methods. It is extremely necessary to develop carbon accounting in our country. However, the enterprises in our country are also facing a lot of dilemmas under the state of low-carbon economy. Therefore, perfect carbon accounting standards and accounting systems should be established, social and government supervision of carbon accounting strengthened, national public awareness of low-carbon environment consolidated and the professional level of the accounting personnel improved.
文摘Purpose: This study sought to clarify the relationship between a nurse’s exposure to elderly relatives and their perspective in using restraints on the elderly in health care situations. Methods: We approached nursing staff supervisors at 17 general hospital wards and explained the objectives of the study. Supervisors at 14 hospitals agreed to participate, giving us a sampling pool of 1929 nurses. We used a chi square test to compare nurses who had spent time with elderly relatives and those who had not on several variables related to using restraints on elderly patients. Results and Conclusion: This study found that nurses who live with elderly family members were significantly more likely to believe that restraints cause diseases (including chronic diseases) based on a chi square test (p < 0.05). Therefore it would be important that essential was the experiences of individuals with elderly family members when making programs of decreasing nurse’s dilemma to restraining the elderly.
文摘Responsibility is a function of power, impact and knowledge. The more strategically central one’s position is in terms of power, influence and knowledge, the higher his or her responsibility would be. This is an idea which can be worked out in more detail by using distributive models of graph theory and predistribution assignments of rights and duties according to different levels.
文摘When the financial storm indulges in the Wall Street of US,the whole world economy is threatened.In this global economy,no one can turn away from its impact.So as China and her SMEs.Small and medium-sized enterprises,i.e.SMEs,are often opposite to state-owned enterprises,i.e.SOEs in China.Born with some natural shortages, where can Chinese SMEs find shelter for the bad weather? How can they survive in the tempest? To be or not to be,that is a question raised to them cruelly.
文摘This study aimed to clarify the dilemma of nurses working in general wards who face the ethical dilemma of restraining older people with dementia in Midwestern Japan. The study used the questionnaire method with an independently prepared questionnaire. The questionnaire was designed to ensure privacy and anonymity. The privacy and anonymity of study participants was assured. Of the 340 survey questionnaires distributed, 291 (85.6%) completed surveys were eligible number (12 additional surveys were returned without answers). An explanatory factor analysis revealed four dilemma factors among 15 items investigated (KMO value 0.84). These were: factor 1: “Execution of treatment and security,” α = 0.91;factor 2: “approach in the nursing of older people with dementia,” α = 0.93;factor 3: “A cooperative relationship in nursing of older people with dementia,” α = 0.87;and factor 4: “Priorities in nursing,” α = 0.81. The cumulative contribution ratio was 79.1%. We suggest that the program would enable nurses to cope with these dilemmas.
文摘Revolutions,typical cases of crucial social transformations,cannot be realized successfully without a large number of activists.Therefore,creating conditions favorable for acquiring enough participants should be an important topic of Marxist social science.In particular,this problem includes the “free-ride,” because the benefits of revolutionaries’ activities are gained not only by the activists but also by all other members.The paper analyzes problems such as this one,applying non-cooperative game theory to social dilemma problems.This leads to some interesting results.In this research,the problem of the workers’ choice between unity or freeride is first defined using numerical examples of the gain structure.It is defined again in a more generalized form using other parameters.In so doing,we express both the cost of participating in the movement and the gains from the concession of the ruling class.Because this analysis focuses on the importance of the number of participants,the concession of the ruling class is framed as a function of the number of participants.The results of this analysis revealed that the economic base and superstructure accurately correspond in some game structures but not in others.In other words,the social dilemma presents either as a case of prisoners’ dilemma or as a chicken game.Furthermore,this paper analyzes the influence of group size,and it was revealed that groups with a large number of members,such as a ruled class,find it particularly difficult to unite.This phenomenon is called the “large group dilemma.” In these ways,this research shows that the aforementioned type of game theory can be used to analyze the difficulties and possibilities of social movements.
