Objective:To describe the implementation of evidence-based practice(EBP)and identify the associated factors among clinical nurses working at an oncology hospital in Central Vietnam.Methods:A cross-sectional study was ...Objective:To describe the implementation of evidence-based practice(EBP)and identify the associated factors among clinical nurses working at an oncology hospital in Central Vietnam.Methods:A cross-sectional study was conducted with 190 clinical nurses recruited from an oncology hospital in Central Vietnam.The self-administered Evidence-Based Practice Questionnaire(EBPQ)was employed to assess the nurses'knowledge/skills,attitudes,and implementation of EBP.Data analysis utilized descriptive statistics,the Mann-Whitney test,the Kruskal-Wallis test,and Spearman's rho correlation.Results:The mean total score for EBP implementation among the nurses was 29.52(SD=7.14)out of 42 scores.The most frequently undertaken activity was sharing evidence with colleagues,whereas finding relevant evidence was the least performed.The level of EBP implementation significantly varied based on the nurses'role types and their participation in related courses(P<0.05).Moreover,a strong positive correlation was observed between EBP implementation and both knowledge/skills(r=0.703,P<0.001)and attitudes toward EBP(r=0.536,P<0.001).Conclusions:The implementation of EBP by oncology nurses is generally moderate and is significantly positively correlated with their knowledge/skills and attitudes toward EBP.These findings underscore the importance of enhancing educational programs and facilitating suppor tive institutional policies to fur ther encourage the adoption of EBP among nurses.展开更多
Combining with the characters of the practicing qualification personnel in construction market,evaluation method based on the self-organizing neural network is brought out to analyze the credit classification of the p...Combining with the characters of the practicing qualification personnel in construction market,evaluation method based on the self-organizing neural network is brought out to analyze the credit classification of the practicing qualification personnel. And the impact factors on the credit classification of the practicing qualification personnel,such as the number of neurons,the training steps,the dimension of neurons and the field of winning neurons are studied. Then a self-organizing competitive neural network is built. At last,a case study is conducted by taking practicing qualification personnel as an example. The research result reveals that the method can efficiently evaluate the credit of the practicing qualification personnel;thus,it could provide scientific advice to the construction enterprise to prevent relevant discreditable behaviors of some practicing qualification personnel.展开更多
With the development of the knowledge economy, social professional quality of talent has an increasingly demanding. Medical students is China＇ s medical and health undertakings reserve personnel, it plays an importan...With the development of the knowledge economy, social professional quality of talent has an increasingly demanding. Medical students is China＇ s medical and health undertakings reserve personnel, it plays an important role for better protection of people＇ s health by strengthening vocational personality training medical students and improving professional quality. Therefore, we must pay attention to the medical student＇ s career awareness, ethics, professionalism, career aspirations and career interests of education on medical students to develop a healthy personality of the medical profession, and lay the foundation for the sustainable development of medical and health services.展开更多
Background: Evidence-based practice (EBP) is vital for high-quality patient care, yet its implementation among physiotherapists in sub-Saharan Africa (SSA) faces significant challenges. This scoping review explores th...Background: Evidence-based practice (EBP) is vital for high-quality patient care, yet its implementation among physiotherapists in sub-Saharan Africa (SSA) faces significant challenges. This scoping review explores the barriers and facilitators of EBP in this region. Objectives: To identify barriers and facilitators of EBP at individual, organisational, and extra organisational levels among physiotherapists in SSA. Methods: A comprehensive literature search was conducted across PubMed, Sabinet, BioMed Central, and Google Scholar. Seven studies from Ghana, Nigeria, Cameroon, Benin, Kenya, Zimbabwe and South Africa met the inclusion criteria. Results: Key barriers at the practitioner level included lack of time, insufficient knowledge of EBP, limited access to information resources, and inadequate research skills. Facilitators comprised positive attitudes toward EBP and a desire for further knowledge. At the organisational level, resource unavailability emerged as a major barrier. Notably, no studies addressed extra organisational factors. Conclusion: This review highlights critical barriers and facilitators of EBP among SSA physiotherapists and emphasises the need for further research on extra organisational influences. Addressing systemic challenges is essential for enhancing physiotherapist engagement in EBP, ultimately improving patient care and outcomes in sub-Saharan Africa.展开更多
Objective:To explore the application of the Registered Nurses'Association of Ontario(RNAO)Best Practice Guideline(BPG)for Developing and Sustaining Nursing Leadership through the lens of nursing students transitio...Objective:To explore the application of the Registered Nurses'Association of Ontario(RNAO)Best Practice Guideline(BPG)for Developing and Sustaining Nursing Leadership through the lens of nursing students transitioning from classroom learning to clinical practice.Through this reflection,the authors hope to inspire and empower future nursing leaders to champion innovation,resilience,and excellence in healthcare.Methods:By integrating evidence-based leadership principles,the authors reflect on their personal experiences,challenges,and successes in implementing these guidelines in real-world settings.Results:The paper highlights the significance of leadership in fostering healthy work environments and improving patient outcomes,emphasizing the role of nursing students as emerging leaders.Practical strategies for applying BPG,the RNAO BPG suggests leadership skills on professional development,and recommendations for embedding leadership principles into nursing education and practice are discussed.Conclusions:Implementing nursing leadership from the beginning of a nursing student's journey is vital for shaping the next generation of healthcare leaders.By integrating leadership principles early in nursing education,students can develop the skills needed to navigate clinical challenges,collaborate effectively with healthcare teams,and advocate for positive change.Starting with leadership guidelines in nursing school ensures that future nurses are equipped to foster supportive work environments,improve patient outcomes,and drive innovation from the very start of their careers,making leadership an inherent part of their professional identity.展开更多
Pioneering initiatives in Yunnan Province are leveraging intangible cultural heritage to foster practical skills and create flexible employment,opening a sustainable path to prosperity and rural revitalization for peo...Pioneering initiatives in Yunnan Province are leveraging intangible cultural heritage to foster practical skills and create flexible employment,opening a sustainable path to prosperity and rural revitalization for people with disabilities.ACROSS China,provinces and municipalities have adopted a range of initiatives,based on local conditions to facilitate employment for people with disabilities.In southwest China’s Yunnan Province,home to many ethnic minorities,efforts have focused on integrating employment for disabled people with rural revitalization.展开更多
RETHINKING GOOD VOCATIONAL EDUCATION Sanlian Lifeweek 12 January For its first 2026 cover story,Sanlian Lifeweek returns for the fourth time to the theme of“Good Vocational Education,”a deliberately unresolved quest...RETHINKING GOOD VOCATIONAL EDUCATION Sanlian Lifeweek 12 January For its first 2026 cover story,Sanlian Lifeweek returns for the fourth time to the theme of“Good Vocational Education,”a deliberately unresolved question that has guided its reporting since 2020.The magazine’s intent has never been to o!er a definitive answer,but to counter long-standing stigmas around vocational education by documenting real practices,dilemmas and possibilities on the ground.展开更多
Globally,mealtimes provide key insights into cultural and social values and practices.We examine mealtime environments and eating practices in two different African settings using quantitative observational and questi...Globally,mealtimes provide key insights into cultural and social values and practices.We examine mealtime environments and eating practices in two different African settings using quantitative observational and questionnaire data.Participating families(N=80)were recruited from two rural locations in Zambia and Kenya.Results following descriptive analysis showed that meals are typically taken as a family in a sociable context,providing opportunities to nurture children’s positive behaviours.In both communities,mothers(71.25%)were most likely to be present and typically prepared meals and provided the food.We observed a few distractions being used during mealtimes,and children finished their food with little to no conflict.Plate sharing varied across the two sites and was more common in Zambia,where we also observed more traditional practices such as eating with hands(as opposed to cutlery)and sitting on mats on the ground(as opposed to seated on chairs or sofas).Overall,our findings suggest more similarities in the cultural and social values across the two African contexts despite slight differences in mealtime practices.In particular,positive mealtime behaviours(little food refusal,lack of conflict)were common across all contexts,regardless of the extent to which traditional practices(such as plate-sharing and sitting on the floor)were used.Findings align with Family Systems theory,which states that the family is understood best by conceptualizing it as a complex,dynamic,and changing collection of parts,subsystems,and family members.展开更多
A fairly precise vision of a healthy physical self can serve as motivation for undertaking the means to that end.The same cannot be said with regard to“healthy moral selves”.By definition,democracy is about living w...A fairly precise vision of a healthy physical self can serve as motivation for undertaking the means to that end.The same cannot be said with regard to“healthy moral selves”.By definition,democracy is about living with others and,as we argue,a healthy moral self is one that lives well with others.However,precisely what“living with others”entails is ambiguous,particularly in a capitalist economy that presumes that the greatest happiness results from antagonistic competitiveness.In an attempt to demystify how self-focused individuals may nonetheless thrive in“the space between”,we will examine,with the help of Kant and Foucault,the Enlightenment Project that promoted maximal reasonableness(or what we are referring to as“healthy moral selves”)and then,with the help of Steven Pinker and Alisdair MacIntyre,explore the factors that have led to its seeming relatively recent failure.We will argue,following Iris Murdoch and others,that the best hope for its revitalization,and with it,democracy,lies,on one hand,with the debunking of counterfeit moral selves who use a“moral stance”to deliver what Frankfurt refers to as“bullshit”,and,on the other,with the reinvigoration of our understanding that healthy moral selves require a steady diet of engaging in“objective practical reasoning”with those who think differently,thereby potentially starving our fat relentless egos that are so often the source of divisiveness and,in so doing,become happy by becoming worthy of being happy.In animating the value of this goal,the hope is that the means,i.e.,education for the reinvigoration of practical reason(the forgotten twin of theoretical reason)and genuine deliberative dialogue across difference will become sufficiently attractive that it will energize democratic practice and dialogue to such an extent that democracy,as a form of government,may yet flourish despite the atomizing forces of capitalism.展开更多
In the pre-biologic era,immunomodulators such as azathioprine,6-mercaptopurine,and methotrexate(MTX)were widely used as first-line maintenance therapies in Crohn’s disease.However,in the current era shaped by biologi...In the pre-biologic era,immunomodulators such as azathioprine,6-mercaptopurine,and methotrexate(MTX)were widely used as first-line maintenance therapies in Crohn’s disease.However,in the current era shaped by biologics,their role has shifted toward adjunctive use,primarily in combination with anti-tumor necrosis factor agents to reduce immunogenicity.Amid growing concerns about thiopurine-associated risks,MTX is receiving renewed attention for its favorable safety profile;however,this agent remains inconsistently utilized in gastroenterology despite its frontline status in rheumatology.This discrepancy was highlighted in a recent nationwide survey by Bonnaud et al published in the World Journal of Gastroenterology,which offers timely insights into MTX prescribing behaviors among French gastroenterologists.Although 71%of respondents reported using MTX,primarily via subcutaneous injection,it is still perceived as a secondary choice after thiopurines.Importantly,this underuse appears to be driven more by clinical inertia and limited guidance rather than by lack of efficacy or safety concerns.Clinicians increasingly recognize the value of MTX,particularly in patients with joint involvement,Epstein-Barr virus negativity,or increased malignancy risk.Notably,even non-prescribers viewed the drug favorably,suggesting that usage barriers may be modifiable.In light of evolving treatment goals that prioritize safety,cost-effectiveness,and individualized care,this editorial argues that MTX should no longer be viewed as a fallback but as a strategic first-line option in well-defined high-risk populations.The survey underscores a persistent gap between guidelines and real-world practice,reinforcing the urgent need for clearer algorithms and education to support the repositioning of MTX in modern Crohn’s disease management.展开更多
To meet the need for cultivating application-oriented talents in local universities,this study introduced a project-based learning approach into the reform of bioinformatics experimental teaching.The course was struct...To meet the need for cultivating application-oriented talents in local universities,this study introduced a project-based learning approach into the reform of bioinformatics experimental teaching.The course was structured around a project titled"Influenza Virus Analysis",comprising four progressive modules:database utilization and information retrieval,sequence alignment and phylogenetic analysis,functional and structural prediction,and omics data analysis.These modules were integrated into a coherent research workflow that connected fragmented knowledge and technical skills.During implementation,flipped classroom and group collaboration methods were employed,alongside the establishment of a diversified assessment system emphasizing process evaluation.Teaching practice indicates that the reform effectively enhances students professional application skills,learning experience,and scientific literacy,facilitating a shift from"tool operation"to"problem-solving"capabilities.This study provides a reference model for the reform of bioinformatics experimental teaching in local universities.展开更多
The spatial optimization of best management practices(BMPs) plays a critical role in precise watershed pollution control. However, the effectiveness of BMPs exhibits a complex nonlinear dependence on both configuratio...The spatial optimization of best management practices(BMPs) plays a critical role in precise watershed pollution control. However, the effectiveness of BMPs exhibits a complex nonlinear dependence on both configuration unit scale and rainfall intensity, often leading to widespread spatiotemporal mismatches during implementation. To fill this gap, this study proposes a new framework:(a) delineating configuration units based on the implementation scale differences between structural and nonstructural BMPs;(b) incorporating BMP reduction thresholds to enable dynamic adjustment of design scales according to inflow loads;and(c) developing a staged allocation strategy tailored to varying rainfall scenarios. The framework is exemplified by an agricultural catchment in the southeastern Liaohe watershed, China. The results showed that the framework could improve the assessment accuracy and cost-effectiveness of pollution control. Specifically, neglecting BMP reduction thresholds resulted in a 51.35% underestimation of treatment costs. Incorporating these thresholds and dynamically adjusting BMP design scales reduced treatment costs by 62.70%. Furthermore, the framework facilitated more precise localization of structural BMPs(1 km^(2)) and improved optimization efficiency by 95.91%. The proposed staged allocation strategy ensured water quality compliance under varying rainfall intensities. Structural BMPs primarily addressed pollution from light to moderate rainfall in the initial stage, while nonstructural BMPs targeted heavy rainfall pollution in the subsequent stage. The proposed framework may enhance the spatiotemporal adaptability of BMP configuration to respond to the threats posed by climate change and human activities. It can also be extended to other agriculture-dominated watersheds.展开更多
Soil erosion is a fundamental physical process driving land degradation across various spatial and temporal scales.The Soil and Water Assessment Tool(SWAT)model is a robust tool for predicting soil erosion and evaluat...Soil erosion is a fundamental physical process driving land degradation across various spatial and temporal scales.The Soil and Water Assessment Tool(SWAT)model is a robust tool for predicting soil erosion and evaluating water and soil quality within watersheds.The latest version,SWAT+,introduces advanced encoding capabilities and improved performance,making it better suited for addressing complex watershed modeling challenges.This study implemented the SWAT+model to quantify soil erosion rates within the Chehelchay watershed in northern Iran.The foundational dataset comprises a 30-meter resolution Digital Elevation Model(DEM),land use classification,soil,and weather data.Model performance was evaluated using Nash-Sutcliffe Efficiency(NSE),coefficient of determination(R^(2)),root mean square error(RMSE),and percent bias(PBIAS).The SWAT+simulation revealed substantial spatial variation in erosion patterns across the watershed,with annual sediment yields in critical HRUs,reflecting diverse erosion intensities driven by variations in land use,soil characteristics,and slope.Among the Hydrological Response Units(HRUs),50 critical units,representing approximately 9%of the total watershed area,generate sediment yields exceeding 5 tons per hectare per year.The most severe erosion occurs predominantly in the central zone of the watershed.Downstream regions exhibit minimal soil loss due to gentle topography while upstream areas maintain soil stability through protective forest cover,resulting in negligible erosion rates.Best Management Practices(BMPs)were designed to safeguard water and soil resources at a watershed level.The study evaluated three strategic conservation interventions:alfalfa cultivation,agroforestry implementation,and garden development.When applied in combination,these measures achieved approximately 30%reduction in sediment yield at the HRU level.This integrated approach demonstrates the potential of combining multiple land management strategies to combat erosion effectively.展开更多
Against the backdrop of continuous social development and growing public health demands,the efficiency and scientific nature of the emergency care system are of paramount importance.This paper focuses on researching t...Against the backdrop of continuous social development and growing public health demands,the efficiency and scientific nature of the emergency care system are of paramount importance.This paper focuses on researching the construction of an emergency care system based on the concept of“linkage”,delving into its theoretical foundations,exploring innovative construction models,and analyzing practical cases.The study indicates that an emergency care system under the“linkage”concept can effectively integrate resources and enhance efficiency,providing new insights for improving the construction of the emergency care system.It aims to promote the development of the emergency care system towards a more scientific,efficient,and collaborative direction.展开更多
China’s commitment to high-standard opening-up during its 15th Five-Year Plan period offers Europe an alternative approach to economic resilience.IN medical practice,a wise doctor does not treat a fever by plunging t...China’s commitment to high-standard opening-up during its 15th Five-Year Plan period offers Europe an alternative approach to economic resilience.IN medical practice,a wise doctor does not treat a fever by plunging the patient into an ice bath.The sudden shock may lower the temperature,but it risks systemic collapse.Instead,the proper treatment should support the body’s own resilience,combat the infection.展开更多
This study investigates how to pedagogically integrate ideological education with competency development in the Intercultural Communication course,a challenge arising from China’s dual reform contexts of the New Libe...This study investigates how to pedagogically integrate ideological education with competency development in the Intercultural Communication course,a challenge arising from China’s dual reform contexts of the New Liberal Arts initiative and the national curriculum ideology policy.As global interactions intensify,cultivating foreign language professionals who possess both firm cultural confidence and sophisticated intercultural competence have become a critical educational imperative.This exploratory study investigates how a three-dimensional“Value-Knowledge-Competency”framework can guide the redesign of course content,task design,and assessment to achieve organic fusion.Drawing on qualitative data from a case study,it analyzes specific implementation pathways,synthesizes teacher and student feedback,and discusses the resultant challenges and broader implications for foreign language curriculum reform.The findings suggest that such an integrated approach can effectively synergize value guidance with skill cultivation,though its success hinges on overcoming issues related to pedagogical naturalness,resource allocation,and standardized evaluation.展开更多
Discussions on Chinese modernization are offering African countries both conceptual inspiration and practical references as they explore their own sustainable development paths.
Objectives This study aimed to compare the effectiveness of the semi-virtual simulation and traditional simulation teaching models based on the Standards of Best Practice(SOBP)according to the International Nursing As...Objectives This study aimed to compare the effectiveness of the semi-virtual simulation and traditional simulation teaching models based on the Standards of Best Practice(SOBP)according to the International Nursing Association for Clinical Simulation and Learning(INACSL)in the Adult Nursing course.Methods This study used a quasi-experimental design.A total of 94 third-year nursing students from a university in Beijing between November and December 2022 were recruited as participants.An innovative semi-virtual simulation teaching model was designed based on the SOBP established by the INACSL.In the Adult Nursing course,both the semi-virtual and traditional simulation teaching models were implemented.At the end of the simulation sessions,participants completed the Chinese version of the Simulation Effectiveness Tool-Modified(SET-M)to assess the effectiveness of the two teaching models.Results All nursing students completed the simulation sessions.There was no difference(t=−0.93,P=0.353)in the total scores between the semi-virtual simulation teaching model(50.87±5.30)and the traditional simulation teaching model(50.37±5.16).However,there was a statistically significant difference(t=−2.65,P=0.010)in the prebriefing section(semi-virtual simulation:5.60±0.71;traditional simulation:5.33±0.78).In contrast,no statistically significant differences were found for the scenario and debriefing sections(P>0.05).At the individual item level,statistical differences(P<0.05)between the two models were identified for items 1 and 9,but not for the remaining items(P>0.05).By analyzing the open-ended question,it was found that both simulation models were effective,and students’comments were similar.Conclusions The study demonstrated equivalent effectiveness between the semi-virtual and traditional simulation teaching models.Semi-virtual simulation teaching model could offer a more flexible and feasible approach to simulation teaching.展开更多
Eggplant(Solanum melongena L.)is a globally important vegetable crop,renowned for its nutritional value and economic significance.It is abundant in bioactive compounds such as anthocyanins and chlorogenic acid,which h...Eggplant(Solanum melongena L.)is a globally important vegetable crop,renowned for its nutritional value and economic significance.It is abundant in bioactive compounds such as anthocyanins and chlorogenic acid,which have been associated with multiple health-promoting properties(Azuma et al.,2008;Gurbuz et al.,2018).Given its significant hybrid vigor,F1 hybrid varieties are widely preferred in commercial cultivation(Mistry et al.,2018).However,traditional breeding practices predominantly rely on phenotypic selection,a process that is not only labor-intensive but also time-consuming.展开更多
文摘Objective:To describe the implementation of evidence-based practice(EBP)and identify the associated factors among clinical nurses working at an oncology hospital in Central Vietnam.Methods:A cross-sectional study was conducted with 190 clinical nurses recruited from an oncology hospital in Central Vietnam.The self-administered Evidence-Based Practice Questionnaire(EBPQ)was employed to assess the nurses'knowledge/skills,attitudes,and implementation of EBP.Data analysis utilized descriptive statistics,the Mann-Whitney test,the Kruskal-Wallis test,and Spearman's rho correlation.Results:The mean total score for EBP implementation among the nurses was 29.52(SD=7.14)out of 42 scores.The most frequently undertaken activity was sharing evidence with colleagues,whereas finding relevant evidence was the least performed.The level of EBP implementation significantly varied based on the nurses'role types and their participation in related courses(P<0.05).Moreover,a strong positive correlation was observed between EBP implementation and both knowledge/skills(r=0.703,P<0.001)and attitudes toward EBP(r=0.536,P<0.001).Conclusions:The implementation of EBP by oncology nurses is generally moderate and is significantly positively correlated with their knowledge/skills and attitudes toward EBP.These findings underscore the importance of enhancing educational programs and facilitating suppor tive institutional policies to fur ther encourage the adoption of EBP among nurses.
文摘Combining with the characters of the practicing qualification personnel in construction market,evaluation method based on the self-organizing neural network is brought out to analyze the credit classification of the practicing qualification personnel. And the impact factors on the credit classification of the practicing qualification personnel,such as the number of neurons,the training steps,the dimension of neurons and the field of winning neurons are studied. Then a self-organizing competitive neural network is built. At last,a case study is conducted by taking practicing qualification personnel as an example. The research result reveals that the method can efficiently evaluate the credit of the practicing qualification personnel;thus,it could provide scientific advice to the construction enterprise to prevent relevant discreditable behaviors of some practicing qualification personnel.
文摘With the development of the knowledge economy, social professional quality of talent has an increasingly demanding. Medical students is China＇ s medical and health undertakings reserve personnel, it plays an important role for better protection of people＇ s health by strengthening vocational personality training medical students and improving professional quality. Therefore, we must pay attention to the medical student＇ s career awareness, ethics, professionalism, career aspirations and career interests of education on medical students to develop a healthy personality of the medical profession, and lay the foundation for the sustainable development of medical and health services.
文摘Background: Evidence-based practice (EBP) is vital for high-quality patient care, yet its implementation among physiotherapists in sub-Saharan Africa (SSA) faces significant challenges. This scoping review explores the barriers and facilitators of EBP in this region. Objectives: To identify barriers and facilitators of EBP at individual, organisational, and extra organisational levels among physiotherapists in SSA. Methods: A comprehensive literature search was conducted across PubMed, Sabinet, BioMed Central, and Google Scholar. Seven studies from Ghana, Nigeria, Cameroon, Benin, Kenya, Zimbabwe and South Africa met the inclusion criteria. Results: Key barriers at the practitioner level included lack of time, insufficient knowledge of EBP, limited access to information resources, and inadequate research skills. Facilitators comprised positive attitudes toward EBP and a desire for further knowledge. At the organisational level, resource unavailability emerged as a major barrier. Notably, no studies addressed extra organisational factors. Conclusion: This review highlights critical barriers and facilitators of EBP among SSA physiotherapists and emphasises the need for further research on extra organisational influences. Addressing systemic challenges is essential for enhancing physiotherapist engagement in EBP, ultimately improving patient care and outcomes in sub-Saharan Africa.
文摘Objective:To explore the application of the Registered Nurses'Association of Ontario(RNAO)Best Practice Guideline(BPG)for Developing and Sustaining Nursing Leadership through the lens of nursing students transitioning from classroom learning to clinical practice.Through this reflection,the authors hope to inspire and empower future nursing leaders to champion innovation,resilience,and excellence in healthcare.Methods:By integrating evidence-based leadership principles,the authors reflect on their personal experiences,challenges,and successes in implementing these guidelines in real-world settings.Results:The paper highlights the significance of leadership in fostering healthy work environments and improving patient outcomes,emphasizing the role of nursing students as emerging leaders.Practical strategies for applying BPG,the RNAO BPG suggests leadership skills on professional development,and recommendations for embedding leadership principles into nursing education and practice are discussed.Conclusions:Implementing nursing leadership from the beginning of a nursing student's journey is vital for shaping the next generation of healthcare leaders.By integrating leadership principles early in nursing education,students can develop the skills needed to navigate clinical challenges,collaborate effectively with healthcare teams,and advocate for positive change.Starting with leadership guidelines in nursing school ensures that future nurses are equipped to foster supportive work environments,improve patient outcomes,and drive innovation from the very start of their careers,making leadership an inherent part of their professional identity.
文摘Pioneering initiatives in Yunnan Province are leveraging intangible cultural heritage to foster practical skills and create flexible employment,opening a sustainable path to prosperity and rural revitalization for people with disabilities.ACROSS China,provinces and municipalities have adopted a range of initiatives,based on local conditions to facilitate employment for people with disabilities.In southwest China’s Yunnan Province,home to many ethnic minorities,efforts have focused on integrating employment for disabled people with rural revitalization.
文摘RETHINKING GOOD VOCATIONAL EDUCATION Sanlian Lifeweek 12 January For its first 2026 cover story,Sanlian Lifeweek returns for the fourth time to the theme of“Good Vocational Education,”a deliberately unresolved question that has guided its reporting since 2020.The magazine’s intent has never been to o!er a definitive answer,but to counter long-standing stigmas around vocational education by documenting real practices,dilemmas and possibilities on the ground.
基金funded by UKRI Global Challenges Research Fund through the Economic and Social Research Council(grant reference:ES/T004959/1)with additional partial support from the National Research Foundation of South Africa(grant CSUR230503101533)。
文摘Globally,mealtimes provide key insights into cultural and social values and practices.We examine mealtime environments and eating practices in two different African settings using quantitative observational and questionnaire data.Participating families(N=80)were recruited from two rural locations in Zambia and Kenya.Results following descriptive analysis showed that meals are typically taken as a family in a sociable context,providing opportunities to nurture children’s positive behaviours.In both communities,mothers(71.25%)were most likely to be present and typically prepared meals and provided the food.We observed a few distractions being used during mealtimes,and children finished their food with little to no conflict.Plate sharing varied across the two sites and was more common in Zambia,where we also observed more traditional practices such as eating with hands(as opposed to cutlery)and sitting on mats on the ground(as opposed to seated on chairs or sofas).Overall,our findings suggest more similarities in the cultural and social values across the two African contexts despite slight differences in mealtime practices.In particular,positive mealtime behaviours(little food refusal,lack of conflict)were common across all contexts,regardless of the extent to which traditional practices(such as plate-sharing and sitting on the floor)were used.Findings align with Family Systems theory,which states that the family is understood best by conceptualizing it as a complex,dynamic,and changing collection of parts,subsystems,and family members.
文摘A fairly precise vision of a healthy physical self can serve as motivation for undertaking the means to that end.The same cannot be said with regard to“healthy moral selves”.By definition,democracy is about living with others and,as we argue,a healthy moral self is one that lives well with others.However,precisely what“living with others”entails is ambiguous,particularly in a capitalist economy that presumes that the greatest happiness results from antagonistic competitiveness.In an attempt to demystify how self-focused individuals may nonetheless thrive in“the space between”,we will examine,with the help of Kant and Foucault,the Enlightenment Project that promoted maximal reasonableness(or what we are referring to as“healthy moral selves”)and then,with the help of Steven Pinker and Alisdair MacIntyre,explore the factors that have led to its seeming relatively recent failure.We will argue,following Iris Murdoch and others,that the best hope for its revitalization,and with it,democracy,lies,on one hand,with the debunking of counterfeit moral selves who use a“moral stance”to deliver what Frankfurt refers to as“bullshit”,and,on the other,with the reinvigoration of our understanding that healthy moral selves require a steady diet of engaging in“objective practical reasoning”with those who think differently,thereby potentially starving our fat relentless egos that are so often the source of divisiveness and,in so doing,become happy by becoming worthy of being happy.In animating the value of this goal,the hope is that the means,i.e.,education for the reinvigoration of practical reason(the forgotten twin of theoretical reason)and genuine deliberative dialogue across difference will become sufficiently attractive that it will energize democratic practice and dialogue to such an extent that democracy,as a form of government,may yet flourish despite the atomizing forces of capitalism.
文摘In the pre-biologic era,immunomodulators such as azathioprine,6-mercaptopurine,and methotrexate(MTX)were widely used as first-line maintenance therapies in Crohn’s disease.However,in the current era shaped by biologics,their role has shifted toward adjunctive use,primarily in combination with anti-tumor necrosis factor agents to reduce immunogenicity.Amid growing concerns about thiopurine-associated risks,MTX is receiving renewed attention for its favorable safety profile;however,this agent remains inconsistently utilized in gastroenterology despite its frontline status in rheumatology.This discrepancy was highlighted in a recent nationwide survey by Bonnaud et al published in the World Journal of Gastroenterology,which offers timely insights into MTX prescribing behaviors among French gastroenterologists.Although 71%of respondents reported using MTX,primarily via subcutaneous injection,it is still perceived as a secondary choice after thiopurines.Importantly,this underuse appears to be driven more by clinical inertia and limited guidance rather than by lack of efficacy or safety concerns.Clinicians increasingly recognize the value of MTX,particularly in patients with joint involvement,Epstein-Barr virus negativity,or increased malignancy risk.Notably,even non-prescribers viewed the drug favorably,suggesting that usage barriers may be modifiable.In light of evolving treatment goals that prioritize safety,cost-effectiveness,and individualized care,this editorial argues that MTX should no longer be viewed as a fallback but as a strategic first-line option in well-defined high-risk populations.The survey underscores a persistent gap between guidelines and real-world practice,reinforcing the urgent need for clearer algorithms and education to support the repositioning of MTX in modern Crohn’s disease management.
基金Supported by Undergraduate Higher Education Teaching Quality and Reform Projects of Guangdong Province(Yuejiao Gao Han[2024]No.9,Yuejiao Gao Han[2024]No.30)Guangdong Basic and Applied Basic Research Foundation(2023A1515110973)+1 种基金Guangdong Provincial Young Innovative Talents Project of General Colleges and Universities(2023KQNCX089)Quality Engineering and Teaching Reform Projects of Zhaoqing University(zlgc202239,zlgc202207,zlgc2024005,zlgc2024038).
文摘To meet the need for cultivating application-oriented talents in local universities,this study introduced a project-based learning approach into the reform of bioinformatics experimental teaching.The course was structured around a project titled"Influenza Virus Analysis",comprising four progressive modules:database utilization and information retrieval,sequence alignment and phylogenetic analysis,functional and structural prediction,and omics data analysis.These modules were integrated into a coherent research workflow that connected fragmented knowledge and technical skills.During implementation,flipped classroom and group collaboration methods were employed,alongside the establishment of a diversified assessment system emphasizing process evaluation.Teaching practice indicates that the reform effectively enhances students professional application skills,learning experience,and scientific literacy,facilitating a shift from"tool operation"to"problem-solving"capabilities.This study provides a reference model for the reform of bioinformatics experimental teaching in local universities.
基金supported by the Fund for Innovative Research Group of the National Natural Science Foundation of China (Grant No.52221003)。
文摘The spatial optimization of best management practices(BMPs) plays a critical role in precise watershed pollution control. However, the effectiveness of BMPs exhibits a complex nonlinear dependence on both configuration unit scale and rainfall intensity, often leading to widespread spatiotemporal mismatches during implementation. To fill this gap, this study proposes a new framework:(a) delineating configuration units based on the implementation scale differences between structural and nonstructural BMPs;(b) incorporating BMP reduction thresholds to enable dynamic adjustment of design scales according to inflow loads;and(c) developing a staged allocation strategy tailored to varying rainfall scenarios. The framework is exemplified by an agricultural catchment in the southeastern Liaohe watershed, China. The results showed that the framework could improve the assessment accuracy and cost-effectiveness of pollution control. Specifically, neglecting BMP reduction thresholds resulted in a 51.35% underestimation of treatment costs. Incorporating these thresholds and dynamically adjusting BMP design scales reduced treatment costs by 62.70%. Furthermore, the framework facilitated more precise localization of structural BMPs(1 km^(2)) and improved optimization efficiency by 95.91%. The proposed staged allocation strategy ensured water quality compliance under varying rainfall intensities. Structural BMPs primarily addressed pollution from light to moderate rainfall in the initial stage, while nonstructural BMPs targeted heavy rainfall pollution in the subsequent stage. The proposed framework may enhance the spatiotemporal adaptability of BMP configuration to respond to the threats posed by climate change and human activities. It can also be extended to other agriculture-dominated watersheds.
文摘Soil erosion is a fundamental physical process driving land degradation across various spatial and temporal scales.The Soil and Water Assessment Tool(SWAT)model is a robust tool for predicting soil erosion and evaluating water and soil quality within watersheds.The latest version,SWAT+,introduces advanced encoding capabilities and improved performance,making it better suited for addressing complex watershed modeling challenges.This study implemented the SWAT+model to quantify soil erosion rates within the Chehelchay watershed in northern Iran.The foundational dataset comprises a 30-meter resolution Digital Elevation Model(DEM),land use classification,soil,and weather data.Model performance was evaluated using Nash-Sutcliffe Efficiency(NSE),coefficient of determination(R^(2)),root mean square error(RMSE),and percent bias(PBIAS).The SWAT+simulation revealed substantial spatial variation in erosion patterns across the watershed,with annual sediment yields in critical HRUs,reflecting diverse erosion intensities driven by variations in land use,soil characteristics,and slope.Among the Hydrological Response Units(HRUs),50 critical units,representing approximately 9%of the total watershed area,generate sediment yields exceeding 5 tons per hectare per year.The most severe erosion occurs predominantly in the central zone of the watershed.Downstream regions exhibit minimal soil loss due to gentle topography while upstream areas maintain soil stability through protective forest cover,resulting in negligible erosion rates.Best Management Practices(BMPs)were designed to safeguard water and soil resources at a watershed level.The study evaluated three strategic conservation interventions:alfalfa cultivation,agroforestry implementation,and garden development.When applied in combination,these measures achieved approximately 30%reduction in sediment yield at the HRU level.This integrated approach demonstrates the potential of combining multiple land management strategies to combat erosion effectively.
文摘Against the backdrop of continuous social development and growing public health demands,the efficiency and scientific nature of the emergency care system are of paramount importance.This paper focuses on researching the construction of an emergency care system based on the concept of“linkage”,delving into its theoretical foundations,exploring innovative construction models,and analyzing practical cases.The study indicates that an emergency care system under the“linkage”concept can effectively integrate resources and enhance efficiency,providing new insights for improving the construction of the emergency care system.It aims to promote the development of the emergency care system towards a more scientific,efficient,and collaborative direction.
文摘China’s commitment to high-standard opening-up during its 15th Five-Year Plan period offers Europe an alternative approach to economic resilience.IN medical practice,a wise doctor does not treat a fever by plunging the patient into an ice bath.The sudden shock may lower the temperature,but it risks systemic collapse.Instead,the proper treatment should support the body’s own resilience,combat the infection.
基金Funding Source:2024 Heilongjiang Province Higher Education Teaching Reform Key Research Project.Project Name:Practice and Exploration of Curriculum-Based Political Education in the Intercultural Communication Course Under the New Liberal Arts Framework(Grant No.SJGZB2024063).
文摘This study investigates how to pedagogically integrate ideological education with competency development in the Intercultural Communication course,a challenge arising from China’s dual reform contexts of the New Liberal Arts initiative and the national curriculum ideology policy.As global interactions intensify,cultivating foreign language professionals who possess both firm cultural confidence and sophisticated intercultural competence have become a critical educational imperative.This exploratory study investigates how a three-dimensional“Value-Knowledge-Competency”framework can guide the redesign of course content,task design,and assessment to achieve organic fusion.Drawing on qualitative data from a case study,it analyzes specific implementation pathways,synthesizes teacher and student feedback,and discusses the resultant challenges and broader implications for foreign language curriculum reform.The findings suggest that such an integrated approach can effectively synergize value guidance with skill cultivation,though its success hinges on overcoming issues related to pedagogical naturalness,resource allocation,and standardized evaluation.
文摘Discussions on Chinese modernization are offering African countries both conceptual inspiration and practical references as they explore their own sustainable development paths.
文摘Objectives This study aimed to compare the effectiveness of the semi-virtual simulation and traditional simulation teaching models based on the Standards of Best Practice(SOBP)according to the International Nursing Association for Clinical Simulation and Learning(INACSL)in the Adult Nursing course.Methods This study used a quasi-experimental design.A total of 94 third-year nursing students from a university in Beijing between November and December 2022 were recruited as participants.An innovative semi-virtual simulation teaching model was designed based on the SOBP established by the INACSL.In the Adult Nursing course,both the semi-virtual and traditional simulation teaching models were implemented.At the end of the simulation sessions,participants completed the Chinese version of the Simulation Effectiveness Tool-Modified(SET-M)to assess the effectiveness of the two teaching models.Results All nursing students completed the simulation sessions.There was no difference(t=−0.93,P=0.353)in the total scores between the semi-virtual simulation teaching model(50.87±5.30)and the traditional simulation teaching model(50.37±5.16).However,there was a statistically significant difference(t=−2.65,P=0.010)in the prebriefing section(semi-virtual simulation:5.60±0.71;traditional simulation:5.33±0.78).In contrast,no statistically significant differences were found for the scenario and debriefing sections(P>0.05).At the individual item level,statistical differences(P<0.05)between the two models were identified for items 1 and 9,but not for the remaining items(P>0.05).By analyzing the open-ended question,it was found that both simulation models were effective,and students’comments were similar.Conclusions The study demonstrated equivalent effectiveness between the semi-virtual and traditional simulation teaching models.Semi-virtual simulation teaching model could offer a more flexible and feasible approach to simulation teaching.
基金supported by Yuelushan Laboratory Breeding Program(Grant No.YLS-2025-ZY02013)The Project of National Key Laboratory for Tropical Crop Breeding(Grant No.NKLTCB202341)+4 种基金The New Variety Breeding Project of the Major Science and Technology Projects of Zhejiang(Grant No.2021C02065-1-3)Hunan Provincial Agricultural Science and Technology Innovation Fund Project(Grant No.2025CX115)Key R&D Projects in Hainan Province(Grant No.ZDYF2023XDNY041)Central Public-interest Scientific Institution Basal Research Fund(Grant No.1630062022003)2024 Sanya Technology Stars Program(Grant No.2024KJFX022).
文摘Eggplant(Solanum melongena L.)is a globally important vegetable crop,renowned for its nutritional value and economic significance.It is abundant in bioactive compounds such as anthocyanins and chlorogenic acid,which have been associated with multiple health-promoting properties(Azuma et al.,2008;Gurbuz et al.,2018).Given its significant hybrid vigor,F1 hybrid varieties are widely preferred in commercial cultivation(Mistry et al.,2018).However,traditional breeding practices predominantly rely on phenotypic selection,a process that is not only labor-intensive but also time-consuming.
