Cancer is a leading cause of death worldwide, with breast cancer being the most common (2.26 million new cases and 685,000 deaths). In Saudi Arabia, breast cancer ranked the first among females in 2014, accounting for...Cancer is a leading cause of death worldwide, with breast cancer being the most common (2.26 million new cases and 685,000 deaths). In Saudi Arabia, breast cancer ranked the first among females in 2014, accounting for 15.9% of all cancers reported among Saudi nationals and 28.7% of all cancers reported among females of all ages. Early detection of breast cancer could decrease the risks, have a better prognosis, and have better outcomes/more successful treatments. Prevalence of breast cancer reached more than 25% of all diagnosed cancer in the kingdom among women. Aim: This study aims to assess the knowledge and performance of women attending primary care centers about breast self-examination and mammogram screening for prevention and early detection of breast cancer in Abha city primary healthcare centers, Kingdom of Saudi Arabia. Research Method: cross sectional design was conducted by using questionnaire, which was distributed to primary care center nurses. The collected data was statistically analyzed using the Statistical Package for Social Sciences, version 25. Results: The study found that participants had poor awareness and knowledge about breast self-examination, risk factors for breast cancer, and trends and practices in early diagnosis of breast cancer. Conclusion and Recommendations: It recommends increasing awareness campaigns and providing educational programs to improve knowledge and practices.展开更多
Objective:This study assessed the role of the attending medical team in the cost control of the cholecystectomy DRG components.Methods:The association between team structure,workflow,and treatment outcomes was analyze...Objective:This study assessed the role of the attending medical team in the cost control of the cholecystectomy DRG components.Methods:The association between team structure,workflow,and treatment outcomes was analyzed using a mixed-methods approach combining quantitative data and qualitative interviews from 628 patients.Results:Inter-professional teamwork significantly affected length of stay,treatment costs,and recurrence rates,with experienced teams performing better in terms of emergency response and collaborative efficiency.Patient satisfaction was generally high,indicating that good teamwork enhances treatment outcomes.Significance:The study highlights the importance of optimizing team configuration to improve the quality,efficiency,and cost control of healthcare.展开更多
Attended collection and delivery points are vital components of ‘last-mile logistics’.Based on point of interest(POI) data for Cainiao Stations and China Post stations in Changsha City, China, this paper provides a ...Attended collection and delivery points are vital components of ‘last-mile logistics’.Based on point of interest(POI) data for Cainiao Stations and China Post stations in Changsha City, China, this paper provides a detailed exploration of the basic features, spatial distribution, and location influencing factors of attended collection and delivery points.Specifically, analyses of the types, service objects and location distributions of the attended collection and delivery points alongside a discussion of their spatial pattern and influencing factors provides a reference for their general geographic layout and characteristics.The findings of this study indicate that: 1) The main mode of operation of attended collection and delivery points is franchises, with other modes of operation rely on supermarkets and other individual shop types.2) The main service targets of attended collection and delivery points are communities, schools, and businesses, followed by townships, enterprises, scenic spots, and administrative units.3) Approximately 77.44% of the attended collection and delivery points are located near the exits of service areas;others are situated in the centre of the service areas.For the Cainiao Stations, 80% are located within 125 m of the exit;for the China Post stations, 80% are located within 175 m of the exit.4) The spatial distribution of the attended collection and delivery points in Changsha is unbalanced, with ‘more centre and fewer surrounding’.The centre is an ‘inverted triangle’, and the edge is an ‘orphan’, showing a northwest-southeast orientation and symmetrical along the axis.The layout of the attended collection and delivery points forms three core areas, and the number of sites decreases with the distance from the core.5) The number and distribution of the attended collection and delivery points are strongly consistent with the regional economic development level, population, and roadway system traffic convenience.Most attended collection and delivery points are on residential, scientific and educational, and commercial and financial land.展开更多
Objective: To compare the efficacy of a short messaging service (SMS) text messaging and phone reminder to im-prove attendance rates at a health promotion center. Methods: A total of 1 859 participants who had schedul...Objective: To compare the efficacy of a short messaging service (SMS) text messaging and phone reminder to im-prove attendance rates at a health promotion center. Methods: A total of 1 859 participants who had scheduled appointments in the health promotion center of our hospital from April 2007 to May 2007 were enrolled in the study and randomly assigned into 3 groups: control (no reminder) group,SMS text messaging reminder group and telephone reminder group. Attendance rates and costs of interventions were collected. Results: A total of 1848 participants were eligible for analysis. Attendance rates of control,SMS and telephone groups were 80.5%,87.5% and 88.3%,respectively. The attendance rates were significantly higher in SMS and telephone groups than that in the control group,with odds ratio 1.698,95% confidence interval 1.224 to 2.316,P=0.001 in the SMS group,and odds ratio 1.829,95% confidence interval 1.333 to 2.509,P<0.001 in the telephone group. However,there was no difference between the SMS group and the telephone group (P=0.670). The cost effectiveness analysis showed that the cost per attendance for the SMS group (0.31 Yuan) was significantly lower than that for the telephone group (0.48 Yuan). Conclusion: SMS and telephone are effective reminders for improving attendance rate at a health promotion center. SMS reminder may be more cost-effective compared with the telephone reminder.展开更多
AIM： To increase attendance tor colonoscopy among nonadherent high-risk individuals for colorectal cancer （CRC） screening in China. METHODS： During the first 12 mo without intervention, only 428 of the 2398 high-r...AIM： To increase attendance tor colonoscopy among nonadherent high-risk individuals for colorectal cancer （CRC） screening in China. METHODS： During the first 12 mo without intervention, only 428 of the 2398 high-risk subjects attended a scheduled colonoscopy examination. The 1970 subjects who did not attend for CRC screening were enrolled in the present study. Prior barrier investigation was performed to ascertain the reasons for nonadherence. A barrier-focused intervention program was then established and implemented among eligible nonadherent subjects by telephone interviews and on-site consultations. The completion rates of colonoscopy during the first 12 mo without intervention and the second 12 mo with intervention were compared. Variations in the effect of the intervention on some high-risk factors and barrier characteristics were analyzed using logistic regression. RESULTS： 540 subjects who were not eligible were excluded from the study. The colonoscopy attendance rate was 23.04% （428/1858） during the first 12 mo without intervention, and 37.69% （539/1430） during the second 12 mo with intervention （P 〈 0.001）. Logistic regression analysis showed that the intervention was more effective among subjects with only objective barriers （OR： 34.590, 95% CI： 23.204-51.563） or subjects with some specific highrisk characteristics： first-degree relatives diagnosed with CRC （OR： 1.778, 95% CI： 1.010-3.131）, personal history of intestinal polyps （OR： 3.815, 95% CI： 1.994-7.300） and positive result for immunochemical fecal occult blood testing （OR： 2.718, 95% CI： 1.479-4.996）. CONCLUSION： The barrier-focused telephone or on- site consultation intervention appears to be a feasible means to improve colonoscopy attendance among nonadherent high-risk subjects for CRC screening in China.展开更多
A novel design and implementation of an attendance checking node for coal mines based on the CAN bus is presented in this paper. Hardware circuits and programming methods for the attendance checking node are discussed...A novel design and implementation of an attendance checking node for coal mines based on the CAN bus is presented in this paper. Hardware circuits and programming methods for the attendance checking node are discussed,including the single-chip computer with CAN controller AT89C51CC03,the CAN bus transceiver TJA1050,the large capacity DataFlash memory,the real-time clock DS1302,the voice chip ISD2560 and the card-reading circuit in Wie-gand format. All the extended hardware satisfies the requirements for intrinsically safe circuits (GB3836.4-2000) and intrinsically safe authentication promoted by the national explosion-proof institute. Further,the software programming methods for the CAN controller (AT89C51CC03) and the implementation of the CAN communications protocol are presented as well.展开更多
Religious practices in general,but primarily Christian ones,are undergoing major changes in the modern world,which is rapidly changing day by day.One of the most revealing manifestations of these changes is liturgical...Religious practices in general,but primarily Christian ones,are undergoing major changes in the modern world,which is rapidly changing day by day.One of the most revealing manifestations of these changes is liturgical music,which has always been considered“traditional”,whereas the boundaries of the tradition have been subject to sharp disputes between those responsible for the church ritual and its accessories.The palette of the musical environment of modern church in terms of attendance and congregational acceptability in its sustainable development is addressed in the article based on recent research,in particular,several related studies by A.Rosenblatt,who over the past two decades has explored different aspects of church music heard in the field and presented in various hymnal books.Summary of this review allows us to consider a tangle of reasons to the preference for this or that musical style,which often completely excludes purely musical tastes and preferences.展开更多
Class attendance is important.Class attendance recording is often done using“roll-call”or signing attendance registers.These are time consuming,easy to cheat,and it is difficult to draw any information from them.The...Class attendance is important.Class attendance recording is often done using“roll-call”or signing attendance registers.These are time consuming,easy to cheat,and it is difficult to draw any information from them.There are other,expensive alternatives to automate attendance recording with varying accuracy.This study experimented with a smartphone camera and different combinations of face detection and recognition algorithms to determine if it can be used to record attendance successfully,while keeping the solution cost-effective.The effect of different class sizes was also investigated.The research was done within a pragmatism philosophy,using a prototype in a field experiment.The algorithms that were used are Viola–Jones(Haar features),deep neural network and histogram of oriented gradients for detection,and eigenfaces,fisherfaces,and local binary pattern histogram for recognition.The best combination was Viola–Jones combined with fisherfaces,with a mean accuracy of 54%for a class of 10 students and 34.5%for a class of 22 students.The best all over performance on a single class photo was 70%(class size 10).As is,this prototype is not accurate enough to use,but with a few adjustments,it may become a cheap,easy-to-implement solution to the attendance recording problem.展开更多
In traditional English class of China, the relationship between teacher and students is one-way communication. As a result, positive attendance in senior English class is not common. It is important to develop student...In traditional English class of China, the relationship between teacher and students is one-way communication. As a result, positive attendance in senior English class is not common. It is important to develop students' automatic learning and cooperation learning abilities. However, the particularities of senior students in psychology and the background of college entrance examination block the way of traditional teaching reform. From these aspects, this thesis comes up with corresponding advices to promote the attendance of senior English class.展开更多
BACKGROUND: To determine if elderly frequent attenders are associated with increased 30-day mortality, assess resource utilization by the elderly frequent attenders and identify associated characteristics that contrib...BACKGROUND: To determine if elderly frequent attenders are associated with increased 30-day mortality, assess resource utilization by the elderly frequent attenders and identify associated characteristics that contribute to mortality. METHODS: Retrospective observational study of electronic clinical records of all emergency department(ED) visits over a 10-year period to an urban tertiary general hospital in Singapore. Patients aged 65 years and older, with 3 or more visits within a calendar year were identified. Outcomes measured include 30-day mortality, admission rate, admission diagnosis and duration spent at ED. Chi-square-tests were used to assess categorical factors and Student t-test was used to assess continuous variables on their association with being a frequent attender. Univariate and multivariate logistic regressions were conducted on all significant independent factors on to the outcome variable(30-day mortality), to determine factor independent odds ratios of being a frequent attender.RESULTS: 1.381 million attendance records were analyzed. Elderly patients accounted for 25.5% of all attendances, of which 31.3% are frequent attenders. Their 30-day mortality rate increased from 4.0% in the first visit, to 8.8% in the third visit, peaking at 10.2% in the sixth visit. Factors associated with mortality include patients with neoplasms, ambulance utilization, male gender and having attended the ED the previous year.CONCLUSION: Elderly attenders have a higher 30-day mortality risk compared to the overall ED population, with mortality risk more marked for frequent attenders. This study illustrates the importance and need for interventions to address frequent ED visits by the elderly, especially in an aging society.展开更多
Attendance patterns are a key factor affecting sexual selection and mating systems in lekbreeding species.However,there are few systematic studies on attendance patterns in lek-breeding anurans.In this study,we monito...Attendance patterns are a key factor affecting sexual selection and mating systems in lekbreeding species.However,there are few systematic studies on attendance patterns in lek-breeding anurans.In this study,we monitored a population of Omei treefrogs(Rhacophorus omeimontis) for four consecutive years to reveal in detail the effects of attendance patterns on mating systems.We found that(1) female nightly attendance was affected by male nightly attendance,and operational sex ratios(determined by male and female nightly attendance) ultimately determined the extent of female polyandry;(2) males surviving more than one breeding season maintained high chorus attendance and mating success,suggesting that male chorus attendance is a good predictor of male genetic quality;(3) the distributions of male mating success were not significantly different from a Poisson distribution,indicating a random mating pattern;and male mating success was not related to body size(size-assortative mating was not evident) but was significantly correlated with chorus attendance.Since the chorus attendance is a predictor of male genetic quality,females performing random mating were more likely to mate with more frequently present males and could therefore gain indirect benefits from mating with higher-than-average quality males,thereby producing good offspring without incurring the significant costs involved in prolonged searching for,and assessing males.Our systematic survey on the relationship between attendance patterns and the lek mating system in R.omeimontis could help us better understand in-depth anuran lek mating systems.展开更多
Dropout from medical attendance is a well-recognized issue among patients with human immunodeficiency virus (HIV) infection. We interviewed 23 HIV-positive patients and used text mining methods to analyse the risk fac...Dropout from medical attendance is a well-recognized issue among patients with human immunodeficiency virus (HIV) infection. We interviewed 23 HIV-positive patients and used text mining methods to analyse the risk factors for dropout. Fifteen patients continued medical attendance and eight patients dropped out of medical attendance. Categories were extracted from the interview data of the patients who continued medical attendance (i.e., the continuity group) and the patients who dropped out of medical care (i.e., the discontinuity group). Categories of the continuity group included needing to take a day off for medical attendance, scheduling each appointment, writing down medical appointments, being grateful for the medical care, and 12 additional categories. Categories of discontinuity group included forgetting the dates of medical appointments, not needing to get a day off for medical attendance, allowing aid for medical care to expire, and 10 additional categories. The discontinuity group had poorer schedule management than the continuity group, which caused them to forget their next medical appointments and delay the renewal of aid for medical care. Thus, medical staff may be able to prevent dropouts by ensuring that patients record the dates of their medical appointments.展开更多
Introduction: Misconceptions are associated with the teething process in Nigeria and is often blamed for symptoms in infants. A horrendous incident occurred in Nigeria in 2008 which recorded 84 infant deaths due to co...Introduction: Misconceptions are associated with the teething process in Nigeria and is often blamed for symptoms in infants. A horrendous incident occurred in Nigeria in 2008 which recorded 84 infant deaths due to consumption of adulterated teething syrup to prevent teething problems. In the quest to engage the populace, particularly mothers, in health education to change this erroneous mindset about teething, it will be necessary and more cost effective to involve Traditional Birth Attendants (TBA’s) who can be invaluable in assisting to dispel myths associated teething as they live and work among the local populace and many times give counsel to mothers. Aim: To assess the attitude and beliefs of TBA’s in Ibadan, to teething in infants. Methods: A cross sectional survey was conducted among TBA’s in Ibadan, Nigeria. A thirteen item interviewer administered questionnaire was distributed to all 163 TBA’s in the five urban local government areas who agreed to be part of the study. Results: Over half of the respondents (59.5%) and (55.8%) associated the teething process with fever and diarrhea respectively. Other beliefs included boils (49.1%), loss of appetite (48.5%), weight loss (44.2%), and sleeplessness (42.3%). A greater proportion of the older and less educated TBA’s associated teething with fever, diarrhea, boils, loss of appetite and weight loss. The respondents would advise analgesics (55.8%), teething powder (67.5%), antibiotics (12.3%), concoctions (4.3%) and sedatives (4.3%) as teething remedies. There was a greater tendency for less educated TBA’s to advise the use of concoctions?and antibiotics. Conclusion: The study reveals grave misconceptions among TBA’s who in developing countries like Nigeria give counsel to mothers in the various communities. There is an urgent need for health education to the TBA’s particularly the older and less educated ones.展开更多
Maternal mortality has been reported to be a challenge globally, with the highest maternal mortality in Africa. However, the first target for the third Sustainable Development Goal (SDG) is to reduce the global matern...Maternal mortality has been reported to be a challenge globally, with the highest maternal mortality in Africa. However, the first target for the third Sustainable Development Goal (SDG) is to reduce the global maternal mortality ratio to less than 70 per 100,000 live births by 2030. To achieve this goal, pregnant women’s knowledge of birth preparedness and complication readiness (BPCR) is a key. Therefore, this study set out to assess knowledge of birth preparedness and complication readiness among pregnant women attending antenatal classes. This pilot study adopted a descriptive cross-sectional study design using quantitative approach. Structured questionnaire was used to generate data from 46 respondents after obtaining ethical approval for the study. All data collected were adequate for data analysis. The mean age is 27.71 years with a standard deviation of 5.85, the average booking time was 4.69 months. Among the respondents who had given birth before, the average number of children was two children (1.8571). After categorizing the knowledge scores, 52.2% of the women have good knowledge of obstetric danger signs, 20 (43.5%) of the women have poor knowledge of BPCR and 32 (69.6%) of the respondents have good knowledge of skilled birth attendants. In conclusion, there is a need to formulate policies and strategies that will help to improve pregnant women’s knowledge of BPCR if the first target of the third SDG will be achieved.展开更多
Introduction: Globally every year 529,000 maternal deaths occur, 99% of this in developing coun-tries. Uganda has high maternal and neonatal morbidity and mortality ratios, typical of many countries in sub-Saharan Afr...Introduction: Globally every year 529,000 maternal deaths occur, 99% of this in developing coun-tries. Uganda has high maternal and neonatal morbidity and mortality ratios, typical of many countries in sub-Saharan Africa. Recent findings reveal maternal mortality ratio of 435:100,000 live births and neonatal mortality rate of 29 deaths per 1000 live births in Uganda;these still remain a challenge. Women in rural areas of Uganda are two times less likely to attend ANC than the urban women. Most women in Uganda have registered late ANC attendance, averagely at 5.5 months of pregnancy and do not complete the required four visits. The inadequate utilization of ANC is greatly contributing to persisting high rates of maternal and neonatal mortality in Uganda. This study was set to identify the factors associated with late booking and inadequate utilization of Antenatal Care services in upcountry areas of Uganda. Method: Cross-sectional study design with mixed methods of interviewer administered questionnaires, focus group discussions and key informant interviews. Data was entered using Epidata and analyzed using Stata into frequency tables using actual tallies and percentages. Ethical approval was sought from SOM-REC MakCHS under approval number “#REC REF 2012-117” before conducting the study. Results: A total of four hundred one were enrolled with the majority being in the age group 20 - 24 years (mean age, 25.87 ± 6.26). Health workers played a great role (72.04%), followed by the media (15.46%) and friends (12.50%) in creating awareness about ANC. A significant number of respondents went to TBAs with reasons such as “near and accessible”, “my husband decided”, and “they are the only people I know”. 37.63% of the respondents considered getting an antenatal Card as an importance of ANC. 71 (19.67%) respondents gave a wrong opinion (late) on booking time with reasons like demands at work, no problems during pregnancy, advised by friends, just to get a card, long distance and others didn’t know. Almost half of the respondents never knew the recommended number of visits. Religion, occupation, level of education, and parity were found to influence place of ANC attendance, number of ANC visits and booking time. Husbands were necessary to provide financial support, accompany their wives ANC clinic, and ensure that they complete the visits. But their response was poor due to: fear of routine investigations and constrained economically. Conclusion: The study findings show the actual rural setting of ANC services attendance and utilization. Much sensitization has to be done specifically in these rural areas to empower pregnant women and their husbands as to improve ANC attendance and utilization.展开更多
文摘Cancer is a leading cause of death worldwide, with breast cancer being the most common (2.26 million new cases and 685,000 deaths). In Saudi Arabia, breast cancer ranked the first among females in 2014, accounting for 15.9% of all cancers reported among Saudi nationals and 28.7% of all cancers reported among females of all ages. Early detection of breast cancer could decrease the risks, have a better prognosis, and have better outcomes/more successful treatments. Prevalence of breast cancer reached more than 25% of all diagnosed cancer in the kingdom among women. Aim: This study aims to assess the knowledge and performance of women attending primary care centers about breast self-examination and mammogram screening for prevention and early detection of breast cancer in Abha city primary healthcare centers, Kingdom of Saudi Arabia. Research Method: cross sectional design was conducted by using questionnaire, which was distributed to primary care center nurses. The collected data was statistically analyzed using the Statistical Package for Social Sciences, version 25. Results: The study found that participants had poor awareness and knowledge about breast self-examination, risk factors for breast cancer, and trends and practices in early diagnosis of breast cancer. Conclusion and Recommendations: It recommends increasing awareness campaigns and providing educational programs to improve knowledge and practices.
文摘Objective:This study assessed the role of the attending medical team in the cost control of the cholecystectomy DRG components.Methods:The association between team structure,workflow,and treatment outcomes was analyzed using a mixed-methods approach combining quantitative data and qualitative interviews from 628 patients.Results:Inter-professional teamwork significantly affected length of stay,treatment costs,and recurrence rates,with experienced teams performing better in terms of emergency response and collaborative efficiency.Patient satisfaction was generally high,indicating that good teamwork enhances treatment outcomes.Significance:The study highlights the importance of optimizing team configuration to improve the quality,efficiency,and cost control of healthcare.
基金Under the auspices of the Tang Scholar Program of Northwest University(No.2016)
文摘Attended collection and delivery points are vital components of ‘last-mile logistics’.Based on point of interest(POI) data for Cainiao Stations and China Post stations in Changsha City, China, this paper provides a detailed exploration of the basic features, spatial distribution, and location influencing factors of attended collection and delivery points.Specifically, analyses of the types, service objects and location distributions of the attended collection and delivery points alongside a discussion of their spatial pattern and influencing factors provides a reference for their general geographic layout and characteristics.The findings of this study indicate that: 1) The main mode of operation of attended collection and delivery points is franchises, with other modes of operation rely on supermarkets and other individual shop types.2) The main service targets of attended collection and delivery points are communities, schools, and businesses, followed by townships, enterprises, scenic spots, and administrative units.3) Approximately 77.44% of the attended collection and delivery points are located near the exits of service areas;others are situated in the centre of the service areas.For the Cainiao Stations, 80% are located within 125 m of the exit;for the China Post stations, 80% are located within 175 m of the exit.4) The spatial distribution of the attended collection and delivery points in Changsha is unbalanced, with ‘more centre and fewer surrounding’.The centre is an ‘inverted triangle’, and the edge is an ‘orphan’, showing a northwest-southeast orientation and symmetrical along the axis.The layout of the attended collection and delivery points forms three core areas, and the number of sites decreases with the distance from the core.5) The number and distribution of the attended collection and delivery points are strongly consistent with the regional economic development level, population, and roadway system traffic convenience.Most attended collection and delivery points are on residential, scientific and educational, and commercial and financial land.
基金Project supported by the Health Promotion Center of Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, China
文摘Objective: To compare the efficacy of a short messaging service (SMS) text messaging and phone reminder to im-prove attendance rates at a health promotion center. Methods: A total of 1 859 participants who had scheduled appointments in the health promotion center of our hospital from April 2007 to May 2007 were enrolled in the study and randomly assigned into 3 groups: control (no reminder) group,SMS text messaging reminder group and telephone reminder group. Attendance rates and costs of interventions were collected. Results: A total of 1848 participants were eligible for analysis. Attendance rates of control,SMS and telephone groups were 80.5%,87.5% and 88.3%,respectively. The attendance rates were significantly higher in SMS and telephone groups than that in the control group,with odds ratio 1.698,95% confidence interval 1.224 to 2.316,P=0.001 in the SMS group,and odds ratio 1.829,95% confidence interval 1.333 to 2.509,P<0.001 in the telephone group. However,there was no difference between the SMS group and the telephone group (P=0.670). The cost effectiveness analysis showed that the cost per attendance for the SMS group (0.31 Yuan) was significantly lower than that for the telephone group (0.48 Yuan). Conclusion: SMS and telephone are effective reminders for improving attendance rate at a health promotion center. SMS reminder may be more cost-effective compared with the telephone reminder.
基金Supported by 11th 5-year Key Program for Science and Technology Development of China,No.2006BAI02A08
文摘AIM： To increase attendance tor colonoscopy among nonadherent high-risk individuals for colorectal cancer （CRC） screening in China. METHODS： During the first 12 mo without intervention, only 428 of the 2398 high-risk subjects attended a scheduled colonoscopy examination. The 1970 subjects who did not attend for CRC screening were enrolled in the present study. Prior barrier investigation was performed to ascertain the reasons for nonadherence. A barrier-focused intervention program was then established and implemented among eligible nonadherent subjects by telephone interviews and on-site consultations. The completion rates of colonoscopy during the first 12 mo without intervention and the second 12 mo with intervention were compared. Variations in the effect of the intervention on some high-risk factors and barrier characteristics were analyzed using logistic regression. RESULTS： 540 subjects who were not eligible were excluded from the study. The colonoscopy attendance rate was 23.04% （428/1858） during the first 12 mo without intervention, and 37.69% （539/1430） during the second 12 mo with intervention （P 〈 0.001）. Logistic regression analysis showed that the intervention was more effective among subjects with only objective barriers （OR： 34.590, 95% CI： 23.204-51.563） or subjects with some specific highrisk characteristics： first-degree relatives diagnosed with CRC （OR： 1.778, 95% CI： 1.010-3.131）, personal history of intestinal polyps （OR： 3.815, 95% CI： 1.994-7.300） and positive result for immunochemical fecal occult blood testing （OR： 2.718, 95% CI： 1.479-4.996）. CONCLUSION： The barrier-focused telephone or on- site consultation intervention appears to be a feasible means to improve colonoscopy attendance among nonadherent high-risk subjects for CRC screening in China.
基金Projects 50674086 supported by the National Natural Science Foundation of ChinaBS2006002 by the Society Development Science and Technology Planof Jiangsu Province20060290508 by the Doctoral Foundation of Ministry of Education of China
文摘A novel design and implementation of an attendance checking node for coal mines based on the CAN bus is presented in this paper. Hardware circuits and programming methods for the attendance checking node are discussed,including the single-chip computer with CAN controller AT89C51CC03,the CAN bus transceiver TJA1050,the large capacity DataFlash memory,the real-time clock DS1302,the voice chip ISD2560 and the card-reading circuit in Wie-gand format. All the extended hardware satisfies the requirements for intrinsically safe circuits (GB3836.4-2000) and intrinsically safe authentication promoted by the national explosion-proof institute. Further,the software programming methods for the CAN controller (AT89C51CC03) and the implementation of the CAN communications protocol are presented as well.
文摘Religious practices in general,but primarily Christian ones,are undergoing major changes in the modern world,which is rapidly changing day by day.One of the most revealing manifestations of these changes is liturgical music,which has always been considered“traditional”,whereas the boundaries of the tradition have been subject to sharp disputes between those responsible for the church ritual and its accessories.The palette of the musical environment of modern church in terms of attendance and congregational acceptability in its sustainable development is addressed in the article based on recent research,in particular,several related studies by A.Rosenblatt,who over the past two decades has explored different aspects of church music heard in the field and presented in various hymnal books.Summary of this review allows us to consider a tangle of reasons to the preference for this or that musical style,which often completely excludes purely musical tastes and preferences.
文摘Class attendance is important.Class attendance recording is often done using“roll-call”or signing attendance registers.These are time consuming,easy to cheat,and it is difficult to draw any information from them.There are other,expensive alternatives to automate attendance recording with varying accuracy.This study experimented with a smartphone camera and different combinations of face detection and recognition algorithms to determine if it can be used to record attendance successfully,while keeping the solution cost-effective.The effect of different class sizes was also investigated.The research was done within a pragmatism philosophy,using a prototype in a field experiment.The algorithms that were used are Viola–Jones(Haar features),deep neural network and histogram of oriented gradients for detection,and eigenfaces,fisherfaces,and local binary pattern histogram for recognition.The best combination was Viola–Jones combined with fisherfaces,with a mean accuracy of 54%for a class of 10 students and 34.5%for a class of 22 students.The best all over performance on a single class photo was 70%(class size 10).As is,this prototype is not accurate enough to use,but with a few adjustments,it may become a cheap,easy-to-implement solution to the attendance recording problem.
文摘In traditional English class of China, the relationship between teacher and students is one-way communication. As a result, positive attendance in senior English class is not common. It is important to develop students' automatic learning and cooperation learning abilities. However, the particularities of senior students in psychology and the background of college entrance examination block the way of traditional teaching reform. From these aspects, this thesis comes up with corresponding advices to promote the attendance of senior English class.
文摘BACKGROUND: To determine if elderly frequent attenders are associated with increased 30-day mortality, assess resource utilization by the elderly frequent attenders and identify associated characteristics that contribute to mortality. METHODS: Retrospective observational study of electronic clinical records of all emergency department(ED) visits over a 10-year period to an urban tertiary general hospital in Singapore. Patients aged 65 years and older, with 3 or more visits within a calendar year were identified. Outcomes measured include 30-day mortality, admission rate, admission diagnosis and duration spent at ED. Chi-square-tests were used to assess categorical factors and Student t-test was used to assess continuous variables on their association with being a frequent attender. Univariate and multivariate logistic regressions were conducted on all significant independent factors on to the outcome variable(30-day mortality), to determine factor independent odds ratios of being a frequent attender.RESULTS: 1.381 million attendance records were analyzed. Elderly patients accounted for 25.5% of all attendances, of which 31.3% are frequent attenders. Their 30-day mortality rate increased from 4.0% in the first visit, to 8.8% in the third visit, peaking at 10.2% in the sixth visit. Factors associated with mortality include patients with neoplasms, ambulance utilization, male gender and having attended the ED the previous year.CONCLUSION: Elderly attenders have a higher 30-day mortality risk compared to the overall ED population, with mortality risk more marked for frequent attenders. This study illustrates the importance and need for interventions to address frequent ED visits by the elderly, especially in an aging society.
基金supported by the National Natural Science Foundation of China(No.31470442)。
文摘Attendance patterns are a key factor affecting sexual selection and mating systems in lekbreeding species.However,there are few systematic studies on attendance patterns in lek-breeding anurans.In this study,we monitored a population of Omei treefrogs(Rhacophorus omeimontis) for four consecutive years to reveal in detail the effects of attendance patterns on mating systems.We found that(1) female nightly attendance was affected by male nightly attendance,and operational sex ratios(determined by male and female nightly attendance) ultimately determined the extent of female polyandry;(2) males surviving more than one breeding season maintained high chorus attendance and mating success,suggesting that male chorus attendance is a good predictor of male genetic quality;(3) the distributions of male mating success were not significantly different from a Poisson distribution,indicating a random mating pattern;and male mating success was not related to body size(size-assortative mating was not evident) but was significantly correlated with chorus attendance.Since the chorus attendance is a predictor of male genetic quality,females performing random mating were more likely to mate with more frequently present males and could therefore gain indirect benefits from mating with higher-than-average quality males,thereby producing good offspring without incurring the significant costs involved in prolonged searching for,and assessing males.Our systematic survey on the relationship between attendance patterns and the lek mating system in R.omeimontis could help us better understand in-depth anuran lek mating systems.
文摘Dropout from medical attendance is a well-recognized issue among patients with human immunodeficiency virus (HIV) infection. We interviewed 23 HIV-positive patients and used text mining methods to analyse the risk factors for dropout. Fifteen patients continued medical attendance and eight patients dropped out of medical attendance. Categories were extracted from the interview data of the patients who continued medical attendance (i.e., the continuity group) and the patients who dropped out of medical care (i.e., the discontinuity group). Categories of the continuity group included needing to take a day off for medical attendance, scheduling each appointment, writing down medical appointments, being grateful for the medical care, and 12 additional categories. Categories of discontinuity group included forgetting the dates of medical appointments, not needing to get a day off for medical attendance, allowing aid for medical care to expire, and 10 additional categories. The discontinuity group had poorer schedule management than the continuity group, which caused them to forget their next medical appointments and delay the renewal of aid for medical care. Thus, medical staff may be able to prevent dropouts by ensuring that patients record the dates of their medical appointments.
文摘Introduction: Misconceptions are associated with the teething process in Nigeria and is often blamed for symptoms in infants. A horrendous incident occurred in Nigeria in 2008 which recorded 84 infant deaths due to consumption of adulterated teething syrup to prevent teething problems. In the quest to engage the populace, particularly mothers, in health education to change this erroneous mindset about teething, it will be necessary and more cost effective to involve Traditional Birth Attendants (TBA’s) who can be invaluable in assisting to dispel myths associated teething as they live and work among the local populace and many times give counsel to mothers. Aim: To assess the attitude and beliefs of TBA’s in Ibadan, to teething in infants. Methods: A cross sectional survey was conducted among TBA’s in Ibadan, Nigeria. A thirteen item interviewer administered questionnaire was distributed to all 163 TBA’s in the five urban local government areas who agreed to be part of the study. Results: Over half of the respondents (59.5%) and (55.8%) associated the teething process with fever and diarrhea respectively. Other beliefs included boils (49.1%), loss of appetite (48.5%), weight loss (44.2%), and sleeplessness (42.3%). A greater proportion of the older and less educated TBA’s associated teething with fever, diarrhea, boils, loss of appetite and weight loss. The respondents would advise analgesics (55.8%), teething powder (67.5%), antibiotics (12.3%), concoctions (4.3%) and sedatives (4.3%) as teething remedies. There was a greater tendency for less educated TBA’s to advise the use of concoctions?and antibiotics. Conclusion: The study reveals grave misconceptions among TBA’s who in developing countries like Nigeria give counsel to mothers in the various communities. There is an urgent need for health education to the TBA’s particularly the older and less educated ones.
文摘Maternal mortality has been reported to be a challenge globally, with the highest maternal mortality in Africa. However, the first target for the third Sustainable Development Goal (SDG) is to reduce the global maternal mortality ratio to less than 70 per 100,000 live births by 2030. To achieve this goal, pregnant women’s knowledge of birth preparedness and complication readiness (BPCR) is a key. Therefore, this study set out to assess knowledge of birth preparedness and complication readiness among pregnant women attending antenatal classes. This pilot study adopted a descriptive cross-sectional study design using quantitative approach. Structured questionnaire was used to generate data from 46 respondents after obtaining ethical approval for the study. All data collected were adequate for data analysis. The mean age is 27.71 years with a standard deviation of 5.85, the average booking time was 4.69 months. Among the respondents who had given birth before, the average number of children was two children (1.8571). After categorizing the knowledge scores, 52.2% of the women have good knowledge of obstetric danger signs, 20 (43.5%) of the women have poor knowledge of BPCR and 32 (69.6%) of the respondents have good knowledge of skilled birth attendants. In conclusion, there is a need to formulate policies and strategies that will help to improve pregnant women’s knowledge of BPCR if the first target of the third SDG will be achieved.
文摘Introduction: Globally every year 529,000 maternal deaths occur, 99% of this in developing coun-tries. Uganda has high maternal and neonatal morbidity and mortality ratios, typical of many countries in sub-Saharan Africa. Recent findings reveal maternal mortality ratio of 435:100,000 live births and neonatal mortality rate of 29 deaths per 1000 live births in Uganda;these still remain a challenge. Women in rural areas of Uganda are two times less likely to attend ANC than the urban women. Most women in Uganda have registered late ANC attendance, averagely at 5.5 months of pregnancy and do not complete the required four visits. The inadequate utilization of ANC is greatly contributing to persisting high rates of maternal and neonatal mortality in Uganda. This study was set to identify the factors associated with late booking and inadequate utilization of Antenatal Care services in upcountry areas of Uganda. Method: Cross-sectional study design with mixed methods of interviewer administered questionnaires, focus group discussions and key informant interviews. Data was entered using Epidata and analyzed using Stata into frequency tables using actual tallies and percentages. Ethical approval was sought from SOM-REC MakCHS under approval number “#REC REF 2012-117” before conducting the study. Results: A total of four hundred one were enrolled with the majority being in the age group 20 - 24 years (mean age, 25.87 ± 6.26). Health workers played a great role (72.04%), followed by the media (15.46%) and friends (12.50%) in creating awareness about ANC. A significant number of respondents went to TBAs with reasons such as “near and accessible”, “my husband decided”, and “they are the only people I know”. 37.63% of the respondents considered getting an antenatal Card as an importance of ANC. 71 (19.67%) respondents gave a wrong opinion (late) on booking time with reasons like demands at work, no problems during pregnancy, advised by friends, just to get a card, long distance and others didn’t know. Almost half of the respondents never knew the recommended number of visits. Religion, occupation, level of education, and parity were found to influence place of ANC attendance, number of ANC visits and booking time. Husbands were necessary to provide financial support, accompany their wives ANC clinic, and ensure that they complete the visits. But their response was poor due to: fear of routine investigations and constrained economically. Conclusion: The study findings show the actual rural setting of ANC services attendance and utilization. Much sensitization has to be done specifically in these rural areas to empower pregnant women and their husbands as to improve ANC attendance and utilization.
