Objective:To systematically review the current implementation status of nurses’non-pharmacological prescription authority and analyze the barriers encountered during its implementation in China,providing countermeasu...Objective:To systematically review the current implementation status of nurses’non-pharmacological prescription authority and analyze the barriers encountered during its implementation in China,providing countermeasures and references for promoting the standardized implementation of nurses’non-pharmacological prescription authority.Methods:A secondary analysis of literature was conducted to systematically search for domestic and international literature related to nurses’non-pharmacological prescription authority.Meta-analysis was performed on eligible literature to evaluate the implementation effects.Simultaneously,semi-structured in-depth interviews were conducted with healthcare workers,patients,and policymakers.Content analysis was used to organize the interview data and extract core issues and barriers.Results:A total of 46 international articles were included in the Meta-analysis,which revealed that the implementation of nurses’non-pharmacological prescription authority significantly improved patients’health management outcomes,enhanced healthcare service efficiency,and increased patient satisfaction.Conclusion:The implementation of nurses’non-pharmacological prescription authority has demonstrated significant positive effects.However,China faces multiple barriers in its advancement,necessitating efforts in optimizing policy systems,constructing collaborative models,strengthening professional skills training,and improving social awareness to guide the scientific and rational implementation of nurses’non-pharmacological prescription authority.展开更多
The human brain is a complex intelligent system composed of tens of billions of neurons interconnected through synapses,and its intricate network structure has consistently attracted numerous scientists to explore the...The human brain is a complex intelligent system composed of tens of billions of neurons interconnected through synapses,and its intricate network structure has consistently attracted numerous scientists to explore the mysteries of brain functions.However,most existing studies have only verified the biological mimicry characteristics of memristors at the single neuron-synapse level,and there is still a lack of research on memristors simulating synaptic coupling between neurons in multi-neuron networks.Based on this,this paper uses discrete memristors to couple dual discrete Rulkov neurons,and adds synaptic crosstalk between the two discrete memristors to form a neuronal network.A memristor-coupled dual-neuron map,called the Rulkov-memristor-Rulkov(R-M-R)map,is constructed to simulate synaptic connections between neurons in biological tissues.Then,the equilibrium points of the R-M-R map are studied.Subsequently,the effect of parameter variations on the dynamic performance of the R-M-R map is comprehensively analyzed using bifurcation diagram,phase diagram,Lyapunov exponent spectrum(LEs),firing diagram,and spectral entropy(SE)complexity algorithms.In the RM-R map,diverse categories of periodic,chaotic,and hyperchaotic attractors,as well as different states of firing patterns,can be observed.Additionally,different types of state transitions and coexisting attractors are discovered.Finally,the feasibility of the model in digital circuits is verified using a DSP hardware platform.In this study,the coupling principle of biological neurons is simulated,the chaotic dynamic behavior of the R-M-R map is analyzed,and a foundation is laid for deciphering the complex working mechanisms of the brain.展开更多
Taking the rural low-income population of Zhejiang Province as its subject, this paper examines how to build a sustainable income-growth mechanism and identify feasible implementation paths within the context of the c...Taking the rural low-income population of Zhejiang Province as its subject, this paper examines how to build a sustainable income-growth mechanism and identify feasible implementation paths within the context of the common prosperity strategy. The research identifies key obstacles to income expansion, including an undiversified industrial structure, insufficient human capital, and a lack of robust social protection. These call for systemic solutions featuring institutional innovation, resource consolidation, and capability enhancement. Building on Zhejiang's experience as a common prosperity demonstration zone, the article constructs an integrated framework centered on four pillars: industrial empowerment, education upgrading, social security reinforcement, and digital coordination. It further offers concrete policy proposals involving the cultivation of localized industries, vocational skill training, enhanced safety nets, and the adoption of digital tools. The study thus offers both theoretical insights and practical paradigms for tackling the challenge of raising incomes in low-income rural areas.展开更多
In deep coal mining,surrounding rock is subjected to both high in-situ stress and intense mining disturbances,leading to significant time-dependent behavior.Accurately capturing this behavior is essential for predicti...In deep coal mining,surrounding rock is subjected to both high in-situ stress and intense mining disturbances,leading to significant time-dependent behavior.Accurately capturing this behavior is essential for predicting long-term roadway stability,necessitating the development of a reliable constitutive creep model and numerical simulation approach.In this study,creep experiments were conducted on pre-damaged rock with varying initial damage levels to investigate the time-dependent mechanical properties.Based on the experimental results,an accelerated-creep criterion was proposed,and an elastic-viscoplastic creep damage model(EVPCD)was established that simultaneously considers the effects of time-dependent damage and instantaneous damage caused by stress disturbances on rock creep behavior.Subsequently,the effectiveness of the proposed creep model was verified using experimental data,and the secondary development of the EVPCD model was completed based on the FLAC3D platform.Following this,a long-term stability analysis method of deep surrounding rock that accounts for excavation-and mining-induced disturbances was proposed.Using the main roadway of Xutuan Coal Mine as a case study,numerical simulations were carried out to investigate the time-dependent deformation and failure characteristics of the surrounding rock following excavation and mining disturbance.Combined with on-site monitoring of the surrounding rock damage areas,the results indicate that the EVPCD outperforms the CVISC and Nishihara models in predicting the time-dependent behavior of deep surrounding rock.展开更多
Integrated land and resource planning is critical for achieving global sustainability goals,yet a persistent chasm separates policy ambition from on-the-ground outcomes.The review article undertakes a comparative eval...Integrated land and resource planning is critical for achieving global sustainability goals,yet a persistent chasm separates policy ambition from on-the-ground outcomes.The review article undertakes a comparative evaluation across the world to diagnose the systemic gaps of the policy that is leading to this implementation failure.We come up with a general typology of 5 categories of gaps that are interconnected:spatial-temporal mismatches,institutional fragmentation,the knowledge-action divide,lack of equity and justice,and broken monitoring and feedback loops.In a comparative study of the High-Income Countries,Rapidly Developing Economies,and Low-Income Countries,we show how these universal gaps are reflected in specific contextual syndromes,which are defined by the political economy,state capacity,and global integration.As can be seen in the analysis,these failures are not stand-alone but exist in a vicious,self-perpetuating cycle that is based on power asymmetries,institutional path dependency,and scale mismatches.In order to break this cycle,we suggest a revolutionary structure of action,which is structured around integration,adaptive management,and justice.The framework identifies the specific operation strategies,such as developing meta-governance formations and establishing community tenure to implement participatory monitoring,and aligning a multi-scale agenda.We infer that the implementation gap must be bridged by going beyond technical solutions to ensure a virtuous circle of legitimate learning-oriented governance that can address the complexity of socio-ecological conditions of the Anthropocene.展开更多
The vonoprazan(VPZ)triple therapy regimen for Helicobacter pylori(H.pylori)eradication developed by Han et al employs a scientifically rigorous clinical trial design.This multicenter randomized controlled trial establ...The vonoprazan(VPZ)triple therapy regimen for Helicobacter pylori(H.pylori)eradication developed by Han et al employs a scientifically rigorous clinical trial design.This multicenter randomized controlled trial establishes a standardized treatment framework aimed at improving H.pylori eradication rates,focusing on simplifying treatment regimens,shortening therapy duration,and optimizing therapeutic outcomes.The core of clinical translation lies in improving drug accessibility,establishing multidimensional safety evaluation systems,and optimizing cost-effectiveness.Conducting regional adaptability studies and comprehensive safety assessments is crucial for enhancing VPZ regimen effectiveness in China’s diverse healthcare environments.This study provides important evidence-based support for optimizing H.pylori treatment strategies in China,though further validation of universal applicability for nationwide implementation remains necessary.展开更多
Taking Zhejiang Province as an example,this paper explores the mechanisms and implementation pathways through which the low-altitude economy drives the transformation and upgrading of the tourism industry.It finds tha...Taking Zhejiang Province as an example,this paper explores the mechanisms and implementation pathways through which the low-altitude economy drives the transformation and upgrading of the tourism industry.It finds that the low-altitude economy can effectively promote the development of high-end and diversified tourism in Zhejiang by innovating tourism formats,optimizing resource allocation,and enhancing tourist experiences.Besides,it analyzes the current development status of the low-altitude economy in Zhejiang and its potential for integration with tourism,revealing specific enabling pathways for tourism transformation,including low-altitude sightseeing,aviation tourism,and low-altitude sports.Finally,it proposes policy recommendations such as strengthening policy support,enhancing infrastructure development,and cultivating market entities.The findings aim to provide theoretical references and practical guidance for the high-quality development of tourism in Zhejiang Province.展开更多
Currently,we have entered the era of artificial intelligence(AI).The rapid development and wide application of AI technology have exerted a profound impact on all fields of society.Against this backdrop,this paper con...Currently,we have entered the era of artificial intelligence(AI).The rapid development and wide application of AI technology have exerted a profound impact on all fields of society.Against this backdrop,this paper conducts an in-depth analysis focusing on general education in AI.First,it expounds the necessity of AI general education in cultivating the core literacy of vocational college students.Then,it puts forward effective implementation paths for such general education.The purpose is to provide valuable references for promoting the reform and innovative development of vocational education.展开更多
In the wave of higher education internationalization,college students’career education is faced with problems such as inadequate integration of international elements in teaching content,insufficient depth of interna...In the wave of higher education internationalization,college students’career education is faced with problems such as inadequate integration of international elements in teaching content,insufficient depth of international cooperation in practical links,lack of international professional experience among the teaching staff,and insufficient emphasis on the cultivation of multicultural adaptability in the education model.Based on this,this paper deeply explores the new requirements put forward by internationalization for college students’career education and its diversified implementation paths from the perspective of higher education internationalization.It aims to build a comprehensive and multi-level career education system and improve students’international competitiveness through strategies such as constructing an internationalized curriculum system,expanding international cooperation practice projects,strengthening international exchanges and training for teachers,and integrating multicultural education.展开更多
Objective:The World Health Organization recommends annual preventive chemotherapy with a single dose of praziquantel at≥75%treatment coverage,but as of 2021,the national coverage rate in Nigeria among children falls ...Objective:The World Health Organization recommends annual preventive chemotherapy with a single dose of praziquantel at≥75%treatment coverage,but as of 2021,the national coverage rate in Nigeria among children falls below 10%.This qualitative study sought to explore the barriers and facilitators to implementing large-scale praziquantel mass drug administration(MDA)programs for school-aged children in Nigeria to delineate tools and strategies that could improve the scaling-up and effectiveness of school-based praziquantel MDA programs.Methods:An exploratory qualitative study was conducted with stakeholders with experience in MDAs involving praziquantel or related preventive chemotherapy drugs in Nigeria.Through snowball sampling,30 stakeholders with experience in praziquantel school-based MDA in Nigeria were interviewed.An inductive approach was used to generate broad themes based on the barriers and facilitators identified by the key informants.Results:A total of 45 barriers and 36 facilitators were identified and grouped inductively into eight themes:funding and resources,design and composition of praziquantel tablets,knowledge and awareness mobilization,government,nongovernmental organization,and school engagement,data management,logistics,training,and security.Conclusion:This qualitative study reveals a wide range of barriers and facilitators in the MDA of praziquantel in Nigeria and uncovered critical points along the implementation pathway based on the locus of the barriers and facilitators identified.Collaboration with national,international,and non-profit organizations,and drug education through promotional materials,were the most frequently mentioned facilitators of the MDA program.In addition,insufficient program funding,and the complexity of the supply chain were the most cited barriers.展开更多
Under the background of the new era,strengthening curriculum ideological and political construction has become one of the important tasks for colleges and universities to achieve curriculum teaching reform in recent y...Under the background of the new era,strengthening curriculum ideological and political construction has become one of the important tasks for colleges and universities to achieve curriculum teaching reform in recent years.How to subtly and effectively infiltrate the ideological and political ideas of the curriculum in the teaching of specialized courses,and achieve the effect of“salt into taste”is the biggest difficulty in the current construction of curriculum ideological and political education in colleges and universities.Based on this,this paper first analyzes the characteristics of carrying out ideological and political teaching in professional courses in colleges and universities,then expounds on the existing problems and implementation paths of current ideological and political teaching in professional courses in colleges and universities,and finally analyzes its teaching practice results,aiming to further promote the construction and development of ideological and political teaching in colleges and universities and provide some references for peers.展开更多
Background:Community-based first responders face high levels of workplace stressors that can pro-foundly impact their physical and mental health.Mindfulness-based interventions have shown promise in decreasing stress ...Background:Community-based first responders face high levels of workplace stressors that can pro-foundly impact their physical and mental health.Mindfulness-based interventions have shown promise in decreasing stress and increasing psychological resilience;however,implementation is difficult due to unpredictability of the job,department culture,and generational preferences.The objective of this qualitative study was to identify and enhance understanding of the specific needs and potential barriers and facilitators for the implementation of mindfulness-based programming for community-based first responders.Methods:A phenomenological qualitative study design was used to gain insights into the lived experiences of first responders and elicit perceptions regarding barriers and facilitators for engaging in mindfulness activities.During virtual semi-structured interviews,eleven career firefighters and emergency medical service(EMS)providers offered feedback relative to worksite mindfulness practices,and the use of a stress reduction smartphone application.The Consolidated Framework for Implementation Research was used to guide the analysis relative to barriers and facilitators of implementation success and sustainability.Results:First responders expressed openness to mindfulness-based interventions and a smartphone app that would provide stress reduction content,however,they were adamant that programming needed to be accessible and easily integrated into their workday.They also reinforced that organizational culture and leadership support for their health and well-being were overarching factors essential for implementation success.Conclusions:First responders were supportive of evidence-based mindfulness practices,optimally developed and/or facilitated by someone with intimate knowledge of their unique work environments and challenges.Organizational culture and leadership support were essential for implementation success and sustainability.展开更多
Objective:This study aimed to explore the strategies used by acute care hospitals in implementing a national standard for comprehensive care.Methods:A qualitative descriptive study was conducted with 28 care professio...Objective:This study aimed to explore the strategies used by acute care hospitals in implementing a national standard for comprehensive care.Methods:A qualitative descriptive study was conducted with 28 care professionals(20 nurses,two doctors,and six allied health professionals)recruited from a broad range of Australian acute care hospitals.Data were collected using semi-structured interviews from March to August 2023.The interviews were audio-recorded,transcribed,and thematically analyzed.Results:Strategies for implementing the Comprehensive Care Standard(CCS)vary,even within a health service organization.We identifiedstrategies hospitals used regarding the implementation team and plan,communication,education and training,documentation system,patient care plan,networking,incentives and pressure,feedback,and reflectingand evaluating.Conclusions:This interview study sheds light on the various strategies adopted by hospitals in implementing the CCS,providing a practical foundation to inform implementation efforts both within Australia and internationally.展开更多
Within the perspective of curriculum-based ideological and political education,this paper takes a secondary vocational English reading class themed“Invention and Innovation”as an example to delve into the process fr...Within the perspective of curriculum-based ideological and political education,this paper takes a secondary vocational English reading class themed“Invention and Innovation”as an example to delve into the process from instructional content design to implementation.In terms of instructional design,the paper highlights key elements.Profoundly,it discusses the strategies for teaching implementation,including the setting of teaching objectives,the selection of reading instructional materials,and the design and advancement of teaching activities.The aim is to effectively integrate ideological and political elements into secondary vocational English reading instruction,with the hope of providing useful references and insights for the teaching of English reading in secondary vocational education.展开更多
The Regional Comprehensive Economic Partnership(RCEP)is a significant achievement in terms of Asia’s exploration and efforts toward regional economic integration.It integrates regional economic and trade cooperation ...The Regional Comprehensive Economic Partnership(RCEP)is a significant achievement in terms of Asia’s exploration and efforts toward regional economic integration.It integrates regional economic and trade cooperation mechanisms,demonstrates the determination and capabilities of Asian countries to promote open cooperation.展开更多
基金Scientific Research Fund Project of Yunnan Provincial Department of Education(Project No.:2024J2130)。
文摘Objective:To systematically review the current implementation status of nurses’non-pharmacological prescription authority and analyze the barriers encountered during its implementation in China,providing countermeasures and references for promoting the standardized implementation of nurses’non-pharmacological prescription authority.Methods:A secondary analysis of literature was conducted to systematically search for domestic and international literature related to nurses’non-pharmacological prescription authority.Meta-analysis was performed on eligible literature to evaluate the implementation effects.Simultaneously,semi-structured in-depth interviews were conducted with healthcare workers,patients,and policymakers.Content analysis was used to organize the interview data and extract core issues and barriers.Results:A total of 46 international articles were included in the Meta-analysis,which revealed that the implementation of nurses’non-pharmacological prescription authority significantly improved patients’health management outcomes,enhanced healthcare service efficiency,and increased patient satisfaction.Conclusion:The implementation of nurses’non-pharmacological prescription authority has demonstrated significant positive effects.However,China faces multiple barriers in its advancement,necessitating efforts in optimizing policy systems,constructing collaborative models,strengthening professional skills training,and improving social awareness to guide the scientific and rational implementation of nurses’non-pharmacological prescription authority.
基金supported by the National Natural Science Foundation of China(Grant No.62571079)the Technological Innovation Projects in the Field of Artificial Intelligence in Liaoning Province(Grant No.2023JH26/10300011)+1 种基金the Basic Scientific Research Projects in the Department of Education of Liaoning Province(Grant No.LJ212410152049)the Liaoning Provincial Science and Technology Plan Joint Project(Grant No.2025-BSLH-041)。
文摘The human brain is a complex intelligent system composed of tens of billions of neurons interconnected through synapses,and its intricate network structure has consistently attracted numerous scientists to explore the mysteries of brain functions.However,most existing studies have only verified the biological mimicry characteristics of memristors at the single neuron-synapse level,and there is still a lack of research on memristors simulating synaptic coupling between neurons in multi-neuron networks.Based on this,this paper uses discrete memristors to couple dual discrete Rulkov neurons,and adds synaptic crosstalk between the two discrete memristors to form a neuronal network.A memristor-coupled dual-neuron map,called the Rulkov-memristor-Rulkov(R-M-R)map,is constructed to simulate synaptic connections between neurons in biological tissues.Then,the equilibrium points of the R-M-R map are studied.Subsequently,the effect of parameter variations on the dynamic performance of the R-M-R map is comprehensively analyzed using bifurcation diagram,phase diagram,Lyapunov exponent spectrum(LEs),firing diagram,and spectral entropy(SE)complexity algorithms.In the RM-R map,diverse categories of periodic,chaotic,and hyperchaotic attractors,as well as different states of firing patterns,can be observed.Additionally,different types of state transitions and coexisting attractors are discovered.Finally,the feasibility of the model in digital circuits is verified using a DSP hardware platform.In this study,the coupling principle of biological neurons is simulated,the chaotic dynamic behavior of the R-M-R map is analyzed,and a foundation is laid for deciphering the complex working mechanisms of the brain.
文摘Taking the rural low-income population of Zhejiang Province as its subject, this paper examines how to build a sustainable income-growth mechanism and identify feasible implementation paths within the context of the common prosperity strategy. The research identifies key obstacles to income expansion, including an undiversified industrial structure, insufficient human capital, and a lack of robust social protection. These call for systemic solutions featuring institutional innovation, resource consolidation, and capability enhancement. Building on Zhejiang's experience as a common prosperity demonstration zone, the article constructs an integrated framework centered on four pillars: industrial empowerment, education upgrading, social security reinforcement, and digital coordination. It further offers concrete policy proposals involving the cultivation of localized industries, vocational skill training, enhanced safety nets, and the adoption of digital tools. The study thus offers both theoretical insights and practical paradigms for tackling the challenge of raising incomes in low-income rural areas.
基金funded by the National Natural Science Foundation of China(Nos.52004098,U24B2041,and 52274079)the Key Research and Development Program of Henan Province(No.251111320400)+1 种基金the Key Research Project Plan for Higher Education Institutions in Henan Province(Nos.24A570006 and 25A570002)the Scientific and Technological Research Project in Henan Province(No.242102320061).
文摘In deep coal mining,surrounding rock is subjected to both high in-situ stress and intense mining disturbances,leading to significant time-dependent behavior.Accurately capturing this behavior is essential for predicting long-term roadway stability,necessitating the development of a reliable constitutive creep model and numerical simulation approach.In this study,creep experiments were conducted on pre-damaged rock with varying initial damage levels to investigate the time-dependent mechanical properties.Based on the experimental results,an accelerated-creep criterion was proposed,and an elastic-viscoplastic creep damage model(EVPCD)was established that simultaneously considers the effects of time-dependent damage and instantaneous damage caused by stress disturbances on rock creep behavior.Subsequently,the effectiveness of the proposed creep model was verified using experimental data,and the secondary development of the EVPCD model was completed based on the FLAC3D platform.Following this,a long-term stability analysis method of deep surrounding rock that accounts for excavation-and mining-induced disturbances was proposed.Using the main roadway of Xutuan Coal Mine as a case study,numerical simulations were carried out to investigate the time-dependent deformation and failure characteristics of the surrounding rock following excavation and mining disturbance.Combined with on-site monitoring of the surrounding rock damage areas,the results indicate that the EVPCD outperforms the CVISC and Nishihara models in predicting the time-dependent behavior of deep surrounding rock.
文摘Integrated land and resource planning is critical for achieving global sustainability goals,yet a persistent chasm separates policy ambition from on-the-ground outcomes.The review article undertakes a comparative evaluation across the world to diagnose the systemic gaps of the policy that is leading to this implementation failure.We come up with a general typology of 5 categories of gaps that are interconnected:spatial-temporal mismatches,institutional fragmentation,the knowledge-action divide,lack of equity and justice,and broken monitoring and feedback loops.In a comparative study of the High-Income Countries,Rapidly Developing Economies,and Low-Income Countries,we show how these universal gaps are reflected in specific contextual syndromes,which are defined by the political economy,state capacity,and global integration.As can be seen in the analysis,these failures are not stand-alone but exist in a vicious,self-perpetuating cycle that is based on power asymmetries,institutional path dependency,and scale mismatches.In order to break this cycle,we suggest a revolutionary structure of action,which is structured around integration,adaptive management,and justice.The framework identifies the specific operation strategies,such as developing meta-governance formations and establishing community tenure to implement participatory monitoring,and aligning a multi-scale agenda.We infer that the implementation gap must be bridged by going beyond technical solutions to ensure a virtuous circle of legitimate learning-oriented governance that can address the complexity of socio-ecological conditions of the Anthropocene.
文摘The vonoprazan(VPZ)triple therapy regimen for Helicobacter pylori(H.pylori)eradication developed by Han et al employs a scientifically rigorous clinical trial design.This multicenter randomized controlled trial establishes a standardized treatment framework aimed at improving H.pylori eradication rates,focusing on simplifying treatment regimens,shortening therapy duration,and optimizing therapeutic outcomes.The core of clinical translation lies in improving drug accessibility,establishing multidimensional safety evaluation systems,and optimizing cost-effectiveness.Conducting regional adaptability studies and comprehensive safety assessments is crucial for enhancing VPZ regimen effectiveness in China’s diverse healthcare environments.This study provides important evidence-based support for optimizing H.pylori treatment strategies in China,though further validation of universal applicability for nationwide implementation remains necessary.
文摘Taking Zhejiang Province as an example,this paper explores the mechanisms and implementation pathways through which the low-altitude economy drives the transformation and upgrading of the tourism industry.It finds that the low-altitude economy can effectively promote the development of high-end and diversified tourism in Zhejiang by innovating tourism formats,optimizing resource allocation,and enhancing tourist experiences.Besides,it analyzes the current development status of the low-altitude economy in Zhejiang and its potential for integration with tourism,revealing specific enabling pathways for tourism transformation,including low-altitude sightseeing,aviation tourism,and low-altitude sports.Finally,it proposes policy recommendations such as strengthening policy support,enhancing infrastructure development,and cultivating market entities.The findings aim to provide theoretical references and practical guidance for the high-quality development of tourism in Zhejiang Province.
文摘Currently,we have entered the era of artificial intelligence(AI).The rapid development and wide application of AI technology have exerted a profound impact on all fields of society.Against this backdrop,this paper conducts an in-depth analysis focusing on general education in AI.First,it expounds the necessity of AI general education in cultivating the core literacy of vocational college students.Then,it puts forward effective implementation paths for such general education.The purpose is to provide valuable references for promoting the reform and innovative development of vocational education.
文摘In the wave of higher education internationalization,college students’career education is faced with problems such as inadequate integration of international elements in teaching content,insufficient depth of international cooperation in practical links,lack of international professional experience among the teaching staff,and insufficient emphasis on the cultivation of multicultural adaptability in the education model.Based on this,this paper deeply explores the new requirements put forward by internationalization for college students’career education and its diversified implementation paths from the perspective of higher education internationalization.It aims to build a comprehensive and multi-level career education system and improve students’international competitiveness through strategies such as constructing an internationalized curriculum system,expanding international cooperation practice projects,strengthening international exchanges and training for teachers,and integrating multicultural education.
基金the Flourish Collective,a Cluster of Scholarly Prominence at the University of Toronto,Scarborough。
文摘Objective:The World Health Organization recommends annual preventive chemotherapy with a single dose of praziquantel at≥75%treatment coverage,but as of 2021,the national coverage rate in Nigeria among children falls below 10%.This qualitative study sought to explore the barriers and facilitators to implementing large-scale praziquantel mass drug administration(MDA)programs for school-aged children in Nigeria to delineate tools and strategies that could improve the scaling-up and effectiveness of school-based praziquantel MDA programs.Methods:An exploratory qualitative study was conducted with stakeholders with experience in MDAs involving praziquantel or related preventive chemotherapy drugs in Nigeria.Through snowball sampling,30 stakeholders with experience in praziquantel school-based MDA in Nigeria were interviewed.An inductive approach was used to generate broad themes based on the barriers and facilitators identified by the key informants.Results:A total of 45 barriers and 36 facilitators were identified and grouped inductively into eight themes:funding and resources,design and composition of praziquantel tablets,knowledge and awareness mobilization,government,nongovernmental organization,and school engagement,data management,logistics,training,and security.Conclusion:This qualitative study reveals a wide range of barriers and facilitators in the MDA of praziquantel in Nigeria and uncovered critical points along the implementation pathway based on the locus of the barriers and facilitators identified.Collaboration with national,international,and non-profit organizations,and drug education through promotional materials,were the most frequently mentioned facilitators of the MDA program.In addition,insufficient program funding,and the complexity of the supply chain were the most cited barriers.
文摘Under the background of the new era,strengthening curriculum ideological and political construction has become one of the important tasks for colleges and universities to achieve curriculum teaching reform in recent years.How to subtly and effectively infiltrate the ideological and political ideas of the curriculum in the teaching of specialized courses,and achieve the effect of“salt into taste”is the biggest difficulty in the current construction of curriculum ideological and political education in colleges and universities.Based on this,this paper first analyzes the characteristics of carrying out ideological and political teaching in professional courses in colleges and universities,then expounds on the existing problems and implementation paths of current ideological and political teaching in professional courses in colleges and universities,and finally analyzes its teaching practice results,aiming to further promote the construction and development of ideological and political teaching in colleges and universities and provide some references for peers.
文摘Background:Community-based first responders face high levels of workplace stressors that can pro-foundly impact their physical and mental health.Mindfulness-based interventions have shown promise in decreasing stress and increasing psychological resilience;however,implementation is difficult due to unpredictability of the job,department culture,and generational preferences.The objective of this qualitative study was to identify and enhance understanding of the specific needs and potential barriers and facilitators for the implementation of mindfulness-based programming for community-based first responders.Methods:A phenomenological qualitative study design was used to gain insights into the lived experiences of first responders and elicit perceptions regarding barriers and facilitators for engaging in mindfulness activities.During virtual semi-structured interviews,eleven career firefighters and emergency medical service(EMS)providers offered feedback relative to worksite mindfulness practices,and the use of a stress reduction smartphone application.The Consolidated Framework for Implementation Research was used to guide the analysis relative to barriers and facilitators of implementation success and sustainability.Results:First responders expressed openness to mindfulness-based interventions and a smartphone app that would provide stress reduction content,however,they were adamant that programming needed to be accessible and easily integrated into their workday.They also reinforced that organizational culture and leadership support for their health and well-being were overarching factors essential for implementation success.Conclusions:First responders were supportive of evidence-based mindfulness practices,optimally developed and/or facilitated by someone with intimate knowledge of their unique work environments and challenges.Organizational culture and leadership support were essential for implementation success and sustainability.
基金supported by an Australian Government Research Training Program Scholarshippart of the project“Improving quality of care for people with dementia in the acute care setting(eQC)”which is funded by the National Health and Medical Research Council of the Australian Government(No.APP1140459)。
文摘Objective:This study aimed to explore the strategies used by acute care hospitals in implementing a national standard for comprehensive care.Methods:A qualitative descriptive study was conducted with 28 care professionals(20 nurses,two doctors,and six allied health professionals)recruited from a broad range of Australian acute care hospitals.Data were collected using semi-structured interviews from March to August 2023.The interviews were audio-recorded,transcribed,and thematically analyzed.Results:Strategies for implementing the Comprehensive Care Standard(CCS)vary,even within a health service organization.We identifiedstrategies hospitals used regarding the implementation team and plan,communication,education and training,documentation system,patient care plan,networking,incentives and pressure,feedback,and reflectingand evaluating.Conclusions:This interview study sheds light on the various strategies adopted by hospitals in implementing the CCS,providing a practical foundation to inform implementation efforts both within Australia and internationally.
文摘Within the perspective of curriculum-based ideological and political education,this paper takes a secondary vocational English reading class themed“Invention and Innovation”as an example to delve into the process from instructional content design to implementation.In terms of instructional design,the paper highlights key elements.Profoundly,it discusses the strategies for teaching implementation,including the setting of teaching objectives,the selection of reading instructional materials,and the design and advancement of teaching activities.The aim is to effectively integrate ideological and political elements into secondary vocational English reading instruction,with the hope of providing useful references and insights for the teaching of English reading in secondary vocational education.
文摘The Regional Comprehensive Economic Partnership(RCEP)is a significant achievement in terms of Asia’s exploration and efforts toward regional economic integration.It integrates regional economic and trade cooperation mechanisms,demonstrates the determination and capabilities of Asian countries to promote open cooperation.
