Despite government incentives,developers are reluctant to invest in green building initiatives due to their perceived extra costs-in particular additional consultant and construction implementation costs.This paper ex...Despite government incentives,developers are reluctant to invest in green building initiatives due to their perceived extra costs-in particular additional consultant and construction implementation costs.This paper examines the issues preventing the integration of Green Building Index(GBI)consultancy with residential building development in the Malaysian construction industry.Following a literature review of the challenges involving GBI consultancy at the early stage of green residential development,a semi-structured interview method was used to elicit opinion on perceived barriers to integrating the GBI process from 30 interviewees;mainly developers,GBI consultants,building consultants and regulators in the Malaysian construction industry with involvement in green building.The study found that a lack of communication between design team members and GBI consultants was a major barrier.This reduced the opportunity for a more collaborative effort to minimise costs and wastage during the design stages.Lack of insight into the impact of integrating the GBI consultancy into design process within the project time frames was evident.Effective coordination is necessary if the involvement of GBI consultants,particularly at early design stage,is to be successfully managed.It is recommended that work coordination among design team members and GBI consultants needs periodic review.展开更多
In a digital world moving at a breakneck speed,consultancy services have emerged as one of the prominent resources for seeking effective,sustainable and economically viable solutions to a given crisis.The present day ...In a digital world moving at a breakneck speed,consultancy services have emerged as one of the prominent resources for seeking effective,sustainable and economically viable solutions to a given crisis.The present day consultancy services are aided by the use of multiple tools and techniques.However,ensuring the security of these tools and techniques is an important concern for the consultants because even a slight malfunction of any tool could alter the results drastically.Consultants usually tackle these functions after establishing the clients’needs and developing the appropriate strategy.Nevertheless,most of the consultants tend to focus more on the intended outcomes only and often ignore the security-specific issues.Our research study is an initiative to recommend the use of a hybrid computational technique based on fuzzy Analytical Hierarchy Process(AHP)and fuzzy Technique for Order Preference by Similarity to Ideal Solutions(TOPSIS)for prioritizing the tools and techniques that are used in consultancy services on the basis of their security features and efficacy.The empirical analysis conducted in this context shows that after implementing the assessment process,the rank of the tools and techniques obtained is:A7>A1>A4>A2>A3>A5>A6>A7,and General Electric McKinsey(GE-McKinsey)Nine-box Matrix(A7)obtained the highest rank.Thus,the outcomes show that this order of selection of the tools and techniques will give the most effective and secure services.The awareness about using the best tools and techniques in consultancy services is as important as selecting the most secure tool for solving a given problem.In this league,the results obtained in this study would be a conclusive and a reliable reference for the consultants.展开更多
China’s opening,reform and economicdevelopment,as well as the worldinformation technology revolution,hasenhanced China’s information consultancyservice.Before 1978,China’s economy wasa product economy governed by a...China’s opening,reform and economicdevelopment,as well as the worldinformation technology revolution,hasenhanced China’s information consultancyservice.Before 1978,China’s economy wasa product economy governed by a highly-centralized planning system with economicinformation basically based on statisticscollected from lower levels and planningcommands to lower levels.The annual productexchange meetings sponsored by specialeconomic departments became the mainchannels for information exchange,soinformation services basically failed to meetneeds.In 1979,China’s economy began itstransfer from a planned to a market one。展开更多
Background/Aim: The purpose of this study was to examine the effect of training and consultancy on women’s knowledge level and health belief regarding the cervical cancer screenings and their participation in screeni...Background/Aim: The purpose of this study was to examine the effect of training and consultancy on women’s knowledge level and health belief regarding the cervical cancer screenings and their participation in screenings. Materials and Methods: The study is designed as pre-experiment with one group pretest-posttest. The sample group of the study consists of 66 women. The data were collected between March and June 2011. “Personal Information Form”, “Information Form of Cervical Cancer Screenings”, “Health Belief Model Scale for Cervical Cancer and Pap Smear Test”, and “Assessment Form Concerning Taking the Pap Smear Test” were used to collect the data. Results: It was determined that at the end of all trainings, 45.5% of women took the relevant test. Among those who participated in the Pap Smear screening, the training and consultancy had an effect of 100%, booklets 100% and telephone calls 25%. The training and consultancy increased the perception of “benefit and motivation” regarding the Pap Smear test and Pap Smear decreased the perception of “barriers”. Regarding the cervical cancer, it decreased the perception of “regard/seriousness”, “susceptibility” and “health motivation”. Conclusions: It was concluded that training and consultancy change the health beliefs regarding cervical cancer screenings, increase the participation in screenings and consequently, contribute to early diagnosis.展开更多
IN a classroom of the Costume Schoolwith the Textile University of China inShanghai,a young female teacher drewseven faces on the blackboard.She pointedto a rhomboid face and asked her students,“If someone with this ...IN a classroom of the Costume Schoolwith the Textile University of China inShanghai,a young female teacher drewseven faces on the blackboard.She pointedto a rhomboid face and asked her students,“If someone with this shaped face raisedtheir eyes,what woud they look like?” “A fox,”burst out a student. “Yes.This shape,with a thin foreheadand a pointed chin,appears very caustic.Ihave this face.”展开更多
A seasoned business consultant’s insightful reflection on two decades of navigating China’s dynamic market.TWENTY years ago,when the Spain-China Comprehensive Strategic Partnership Agreement was signed,few could hav...A seasoned business consultant’s insightful reflection on two decades of navigating China’s dynamic market.TWENTY years ago,when the Spain-China Comprehensive Strategic Partnership Agreement was signed,few could have foreseen the profound transformation that this bilateral relationship would undergo.展开更多
The City of Calgary’s Nose Creek Sanitary Sewer Trunk Phase B project has been constructed over several years to accommodate future population growth and open more developable lands in northern Calgary.The project wa...The City of Calgary’s Nose Creek Sanitary Sewer Trunk Phase B project has been constructed over several years to accommodate future population growth and open more developable lands in northern Calgary.The project was divided into three phases,Phase A,B,and C,with each phase delivered by a separate consultant.Phase A was the downstream section of this project and was undertaken by Stantec Consulting.Phase B was the upstream section designed by CH2MHILL(now Jacobs)and further divided into different contracts(1 through 5).Phase C was a separate sewer called the Saddleridge Trunk sewer and this was designed by Associated Engineering.This paper covers Phase B,Contract 4,which had several unique challenges and included many innovative design and procurement solutions.One procurement strategy included a two-phase qualification package,with the initial phase to select a tunnelling contractor with the experience to deliver technical installations under rail and creeks,and the second phase,a RFP(request for proposal),to select a general contractor,with broader experience in open-cut and stormwater drainage,which were other aspects included within the project.This approach ensured that The City had the most qualified team available to complete the project.Technical challenges discussed in this paper include an oblique CPKC(Canadian Pacific Kansas City)rail and Nose Creek crossing that required independent review,and CFD(computational fluid dynamics)and hydrogen sulfide modelling to confirm conditions within the trunk sewer.展开更多
The aim of this study is to explore and summarize the development trajectory,current research landscape,and emerging trends of medication consultation in China,providing a valuable reference for future investigations ...The aim of this study is to explore and summarize the development trajectory,current research landscape,and emerging trends of medication consultation in China,providing a valuable reference for future investigations in this domain.Relevant articles on medication consultation were systematically collected,and bibliometric software such as CiteSpace 6.4R1 was employed to analyze author and institutional collaborations,keyword co-occurrence,clustering,and emerging trends.This approach helped elucidate key themes and hot topics in the field.A total of 1267 articles were included,with the peak number of publications recorded in 2011,followed by a steady decline in subsequent years.The most prolific author was Zhen Jiancun,contributing eight publications,while the First Affiliated Hospital of Sun Yat-sen University emerged as the leading institution with 11 publications.High-frequency identified keywords included medication consultation,rational drug use,pharmaceutical services,clinical pharmacists,and outpatient pharmacies.Cluster analysis revealed 12 significant themes,while emergent analysis highlighted that recent research hotspots centered on the Pareto chart,pregnancy,and traditional Chinese patent medicine.As a critical aspect of pharmaceutical services,the practice of medication consultation in China requires further advancement,with a particular need for enhanced collaboration among researchers and institutions.Moving forward,expanding the scope of medication consultation,improving the quality of related research,and fostering cross-regional collaboration among teams with diverse research focuses will be essential in deepening and broadening this field of study.展开更多
BACKGROUND Systemic lupus erythematosus(SLE)can affect multiple organs or systems.The involvement of the central nervous system can result in the manifestation of epilepsy,an acute confusional state,and other rare neu...BACKGROUND Systemic lupus erythematosus(SLE)can affect multiple organs or systems.The involvement of the central nervous system can result in the manifestation of epilepsy,an acute confusional state,and other rare neuropsychiatric presentations,such as catatonia.CASE SUMMARY We present a case of an adolescent male patient with first-onset SLE who presented with neuropsychiatric symptoms including epilepsy and delirium.The initial utilization of olanzapine to alleviate symptoms of agitation precipitated the emergence of catatonia,which was mitigated by discontinuing olanzapine and supplementing with lorazepam.In this case,whether the catatonia was secondary to the utilization of antipsychotics or to an organic disease is a question that warrants differential diagnosis.CONCLUSION Multidisciplinary collaborative management is the cornerstone for the successful management of severe cases of SLE.展开更多
The rapid development and increasing popularity of smartphones have led to their gradual integration as essential aids in medical examinations and teaching tools.The smartphone ophthalmoscope(SO)is one of them.Specifi...The rapid development and increasing popularity of smartphones have led to their gradual integration as essential aids in medical examinations and teaching tools.The smartphone ophthalmoscope(SO)is one of them.Specifically,SO is comprised of a smartphone and an attachment.The smartphone serves as a versatile device for recording and transmitting information,while the attachment functions as a tool for phone fixation as well as focus adjustment and providing light resources,albeit with slight variations across different devices.Presently,the convenience,universality,and transferability of SO have greatly expanded its potential in fields of clinical practice and ocular teaching.The review provides a concise overview of the contemporary SO devices,elucidates the diseases amenable to assessment via SO,and outlines the various applications of SO in clinical practice and teaching.展开更多
During the National People's Congress(NPC)and the Chinese People's Political Consultative Conference(CPPCC)in 2025,ESG-related issues have received widespread attention.Several NPC deputies and CPPCC members h...During the National People's Congress(NPC)and the Chinese People's Political Consultative Conference(CPPCC)in 2025,ESG-related issues have received widespread attention.Several NPC deputies and CPPCC members have put forward suggestions on ESG policies,green finance,corporate ESG practices and other topics,aiming to promote China's ESG development to a new stage.展开更多
Objective To study the current situation and corresponding characteristics of internet pharmacy services and summarize their core connotations,and to make some suggestions for their future development based on nationa...Objective To study the current situation and corresponding characteristics of internet pharmacy services and summarize their core connotations,and to make some suggestions for their future development based on national policies.Methods The literature of the last 20 years that fully or partially matched the theme of internet pharmacy services in China was studied to summarize the status of research and development of remote pharmacy services by combining the web survey method.Results and Conclusion China’s internet pharmacy services include online consultation,science education,information enquiry,follow-up and intervention,and other functions.The main service providers are medical institutions,Internet enterprises,and online drug sales platforms.Internet pharmacy services can improve patients’compliance with medication and the convenience of medical treatment,which better play the role of pharmacists.However,they also face problems such as the varying service qualities,the small number of users,the difficulty in popularizing services in remote areas,and the lack of supervision and protection of patients’rights.展开更多
BACKGROUND Not all neuropsychiatric(NP)manifestations in patients with systemic lupus erythematosus(SLE)are secondary to lupus.The clarification of the cause of NP symptoms influences therapeutic strategies for SLE.AI...BACKGROUND Not all neuropsychiatric(NP)manifestations in patients with systemic lupus erythematosus(SLE)are secondary to lupus.The clarification of the cause of NP symptoms influences therapeutic strategies for SLE.AIM To understand the attribution of psychiatric manifestations in a cohort of Chinese patients with SLE.METHODS This retrospective single-center study analyzed 160 inpatient medical records.Clinical diagnosis,which is considered the gold standard,was used to divide the subjects into a psychiatric SLE(PSLE)group(G1)and a secondary psychiatric symptoms group(G2).Clinical features were compared between these two groups.The sensitivity and specificity of the Italian attribution model were explored.RESULTS A total of 171 psychiatric syndromes were recorded in 138 patients,including 87 cases of acute confusional state,40 cases of cognitive dysfunction,18 cases of psychosis,and 13 cases each of depressive disorder and mania or hypomania.A total of 141(82.5%)syndromes were attributed to SLE.In contrast to G2 patients,G1 patients had higher SLE Disease Activity Index-2000 scores(21 vs 12,P=0.001),a lower prevalence of anti-beta-2-glycoprotein 1 antibodies(8.6%vs 25.9%,P=0.036),and a higher prevalence of anti-ribosomal ribonucleoprotein particle(rRNP)antibodies(39.0%vs 22.2%,P=0.045).The Italian attribution model exhibited a sensitivity of 95.0%and a specificity of 70.0%when the threshold value was set at 7.CONCLUSION Patients with PSLE exhibited increased disease activity.There is a correlation between PSLE and anti-rRNP antibodies.The Italian model effectively assesses multiple psychiatric manifestations in Chinese SLE patients who present with NP symptoms.展开更多
This paper explores whole-process engineering consulting,including its application models in public buildings and elderly-friendly projects,such as service integration and whole lifecycle management.It also addresses ...This paper explores whole-process engineering consulting,including its application models in public buildings and elderly-friendly projects,such as service integration and whole lifecycle management.It also addresses the construction of multi-dimensional collaborative theoretical models,public space streamline organization,and other aspects,emphasizing the importance of multi-dimensional collaboration.Additionally,it highlights the role of talent cultivation and digital transformation in enhancing project efficiency.展开更多
BACKGROUND Diagnostic errors in critical care settings are a significant challenge,often leading to adverse patient outcomes and increased healthcare costs.Millimeter-wave(mmWave)technology,with its ability to provide...BACKGROUND Diagnostic errors in critical care settings are a significant challenge,often leading to adverse patient outcomes and increased healthcare costs.Millimeter-wave(mmWave)technology,with its ability to provide high-resolution,real-time data,offers a transformative solution to enhance diagnostic accuracy and patient safety.This paper explores the integration of mmWave technology in intensive care units(ICUs)to enable non-invasive monitoring,minimize diagnostic errors,and improve clinical decision-making.By addressing key challenges,including data latency,signal interference,and implementation feasibility,this approach has the potential to revolutionize patient monitoring systems and set a new standard for critical care delivery.The paper discusses the high prevalence of diagnostic errors in medical care,particularly in primary care and ICUs,and emphasizes the need for improvement in diagnostic accuracy.Diagnostic errors are responsible for a significant number of deaths,disabilities,prolonged hospitalizations and delays in diagnosis worldwide.AIM To address this issue,the paper proposes the use of ultrafast wireless medical big data transmission in primary care,specifically in remote smart sensors monitoring devices.It suggests that wireless transmission with a speed up to 100 Gb/s(12.5 Gbytes/s)within a short distance(1-10 meters)is necessary to reduce diagnostic errors.METHODS The method used in the study,includes system design and testing a channel sounder operating at 63.4-64.4 GHz frequency range.The system demonstrated dynamic range of 70 dB,noise level of-110 dBm,and a time resolution of 1 ns.The experiment measured the impulse response of the channel in 36 locations within the primary care/ICU scenario.RESULTS The system was tested in a simulated ICU environment to evaluate the Latency:Assessing the time delay in data transmission and processing.The results of the study showed that the system met the requirements of ICUs,providing excellent latency values.The delay spread and excess delay values were within acceptable limits,indicating successful resolution of ICU requirements.The paper suggests timely deployment of such a system.Impact on data transmission:A 100 MB magnetic resonance imaging scan can be transmitted in approximately 0.008 seconds;A 1 GB scan would take approximately 0.08 seconds;This capability could revolutionize healthcare,enabling real-time remote diagnostics and comparisons with artificial Intelligence models,even in large-scale systems.CONCLUSION The experiment demonstrated the feasibility of using high-speed wireless transmission for improved diagnostics in ICUs,offering potential benefits in terms of reduced errors and improved patient outcomes.The findings are deemed valuable to the medical community and public healthcare systems,and it is suggested further research in this area.展开更多
CCPIT The 2025 Business Forum of the Shanghai Cooperation Organization Held in Beijing On July 17,the Shanghai Cooperation Organization(SCO)held its Business Forum in Beijing.Vice Chairman of the National Committee of...CCPIT The 2025 Business Forum of the Shanghai Cooperation Organization Held in Beijing On July 17,the Shanghai Cooperation Organization(SCO)held its Business Forum in Beijing.Vice Chairman of the National Committee of the Chinese People’s Political Consultative Conference(CPPCC)and Chairman of the All-China Federation of Industry and Commerce,Gao Yunlong,attended and addressed the opening ceremony.展开更多
The annual Two Sessions,the meetings of the National People’s Congress(NPC)and the National Committee of the Chinese People’s Political Consultative Conference(CPPCC),were held in Beijing from March 4 to 11,2025.Thi...The annual Two Sessions,the meetings of the National People’s Congress(NPC)and the National Committee of the Chinese People’s Political Consultative Conference(CPPCC),were held in Beijing from March 4 to 11,2025.This year’s meetings raised considerable concern as the year 2025 is the final year for implementing the 14th Five-Year Plan(2021-2025),which is decisive for making the 15th Five-Year Plan(2026-2030),and also very important for further deepening reform comprehensively.展开更多
An annual event in March in China is the Two Sessions,the meetings of the National People’s Congress(NPC)and the National Committee of the Chinese People’s Political Consultative Conference(CPPCC).The SPOTLIGHT colu...An annual event in March in China is the Two Sessions,the meetings of the National People’s Congress(NPC)and the National Committee of the Chinese People’s Political Consultative Conference(CPPCC).The SPOTLIGHT column of the issue displays the speech highlights of Luo Wen,SAMR Minister,and the insights into standards of representatives during the meetings.展开更多
文摘Despite government incentives,developers are reluctant to invest in green building initiatives due to their perceived extra costs-in particular additional consultant and construction implementation costs.This paper examines the issues preventing the integration of Green Building Index(GBI)consultancy with residential building development in the Malaysian construction industry.Following a literature review of the challenges involving GBI consultancy at the early stage of green residential development,a semi-structured interview method was used to elicit opinion on perceived barriers to integrating the GBI process from 30 interviewees;mainly developers,GBI consultants,building consultants and regulators in the Malaysian construction industry with involvement in green building.The study found that a lack of communication between design team members and GBI consultants was a major barrier.This reduced the opportunity for a more collaborative effort to minimise costs and wastage during the design stages.Lack of insight into the impact of integrating the GBI consultancy into design process within the project time frames was evident.Effective coordination is necessary if the involvement of GBI consultants,particularly at early design stage,is to be successfully managed.It is recommended that work coordination among design team members and GBI consultants needs periodic review.
基金Funding for this study was received from the Taif University Researchers Supporting Projects at Taif University,Kingdom of Saudi Arabia under Grant No.TURSP-2020/254.
文摘In a digital world moving at a breakneck speed,consultancy services have emerged as one of the prominent resources for seeking effective,sustainable and economically viable solutions to a given crisis.The present day consultancy services are aided by the use of multiple tools and techniques.However,ensuring the security of these tools and techniques is an important concern for the consultants because even a slight malfunction of any tool could alter the results drastically.Consultants usually tackle these functions after establishing the clients’needs and developing the appropriate strategy.Nevertheless,most of the consultants tend to focus more on the intended outcomes only and often ignore the security-specific issues.Our research study is an initiative to recommend the use of a hybrid computational technique based on fuzzy Analytical Hierarchy Process(AHP)and fuzzy Technique for Order Preference by Similarity to Ideal Solutions(TOPSIS)for prioritizing the tools and techniques that are used in consultancy services on the basis of their security features and efficacy.The empirical analysis conducted in this context shows that after implementing the assessment process,the rank of the tools and techniques obtained is:A7>A1>A4>A2>A3>A5>A6>A7,and General Electric McKinsey(GE-McKinsey)Nine-box Matrix(A7)obtained the highest rank.Thus,the outcomes show that this order of selection of the tools and techniques will give the most effective and secure services.The awareness about using the best tools and techniques in consultancy services is as important as selecting the most secure tool for solving a given problem.In this league,the results obtained in this study would be a conclusive and a reliable reference for the consultants.
文摘China’s opening,reform and economicdevelopment,as well as the worldinformation technology revolution,hasenhanced China’s information consultancyservice.Before 1978,China’s economy wasa product economy governed by a highly-centralized planning system with economicinformation basically based on statisticscollected from lower levels and planningcommands to lower levels.The annual productexchange meetings sponsored by specialeconomic departments became the mainchannels for information exchange,soinformation services basically failed to meetneeds.In 1979,China’s economy began itstransfer from a planned to a market one。
文摘Background/Aim: The purpose of this study was to examine the effect of training and consultancy on women’s knowledge level and health belief regarding the cervical cancer screenings and their participation in screenings. Materials and Methods: The study is designed as pre-experiment with one group pretest-posttest. The sample group of the study consists of 66 women. The data were collected between March and June 2011. “Personal Information Form”, “Information Form of Cervical Cancer Screenings”, “Health Belief Model Scale for Cervical Cancer and Pap Smear Test”, and “Assessment Form Concerning Taking the Pap Smear Test” were used to collect the data. Results: It was determined that at the end of all trainings, 45.5% of women took the relevant test. Among those who participated in the Pap Smear screening, the training and consultancy had an effect of 100%, booklets 100% and telephone calls 25%. The training and consultancy increased the perception of “benefit and motivation” regarding the Pap Smear test and Pap Smear decreased the perception of “barriers”. Regarding the cervical cancer, it decreased the perception of “regard/seriousness”, “susceptibility” and “health motivation”. Conclusions: It was concluded that training and consultancy change the health beliefs regarding cervical cancer screenings, increase the participation in screenings and consequently, contribute to early diagnosis.
文摘IN a classroom of the Costume Schoolwith the Textile University of China inShanghai,a young female teacher drewseven faces on the blackboard.She pointedto a rhomboid face and asked her students,“If someone with this shaped face raisedtheir eyes,what woud they look like?” “A fox,”burst out a student. “Yes.This shape,with a thin foreheadand a pointed chin,appears very caustic.Ihave this face.”
文摘A seasoned business consultant’s insightful reflection on two decades of navigating China’s dynamic market.TWENTY years ago,when the Spain-China Comprehensive Strategic Partnership Agreement was signed,few could have foreseen the profound transformation that this bilateral relationship would undergo.
文摘The City of Calgary’s Nose Creek Sanitary Sewer Trunk Phase B project has been constructed over several years to accommodate future population growth and open more developable lands in northern Calgary.The project was divided into three phases,Phase A,B,and C,with each phase delivered by a separate consultant.Phase A was the downstream section of this project and was undertaken by Stantec Consulting.Phase B was the upstream section designed by CH2MHILL(now Jacobs)and further divided into different contracts(1 through 5).Phase C was a separate sewer called the Saddleridge Trunk sewer and this was designed by Associated Engineering.This paper covers Phase B,Contract 4,which had several unique challenges and included many innovative design and procurement solutions.One procurement strategy included a two-phase qualification package,with the initial phase to select a tunnelling contractor with the experience to deliver technical installations under rail and creeks,and the second phase,a RFP(request for proposal),to select a general contractor,with broader experience in open-cut and stormwater drainage,which were other aspects included within the project.This approach ensured that The City had the most qualified team available to complete the project.Technical challenges discussed in this paper include an oblique CPKC(Canadian Pacific Kansas City)rail and Nose Creek crossing that required independent review,and CFD(computational fluid dynamics)and hydrogen sulfide modelling to confirm conditions within the trunk sewer.
文摘The aim of this study is to explore and summarize the development trajectory,current research landscape,and emerging trends of medication consultation in China,providing a valuable reference for future investigations in this domain.Relevant articles on medication consultation were systematically collected,and bibliometric software such as CiteSpace 6.4R1 was employed to analyze author and institutional collaborations,keyword co-occurrence,clustering,and emerging trends.This approach helped elucidate key themes and hot topics in the field.A total of 1267 articles were included,with the peak number of publications recorded in 2011,followed by a steady decline in subsequent years.The most prolific author was Zhen Jiancun,contributing eight publications,while the First Affiliated Hospital of Sun Yat-sen University emerged as the leading institution with 11 publications.High-frequency identified keywords included medication consultation,rational drug use,pharmaceutical services,clinical pharmacists,and outpatient pharmacies.Cluster analysis revealed 12 significant themes,while emergent analysis highlighted that recent research hotspots centered on the Pareto chart,pregnancy,and traditional Chinese patent medicine.As a critical aspect of pharmaceutical services,the practice of medication consultation in China requires further advancement,with a particular need for enhanced collaboration among researchers and institutions.Moving forward,expanding the scope of medication consultation,improving the quality of related research,and fostering cross-regional collaboration among teams with diverse research focuses will be essential in deepening and broadening this field of study.
基金Supported by STI2030-Major Projects,No.2021ZD0202001Capital Funds for Health Improvement and Research,No.CFH 2022-2-4012.
文摘BACKGROUND Systemic lupus erythematosus(SLE)can affect multiple organs or systems.The involvement of the central nervous system can result in the manifestation of epilepsy,an acute confusional state,and other rare neuropsychiatric presentations,such as catatonia.CASE SUMMARY We present a case of an adolescent male patient with first-onset SLE who presented with neuropsychiatric symptoms including epilepsy and delirium.The initial utilization of olanzapine to alleviate symptoms of agitation precipitated the emergence of catatonia,which was mitigated by discontinuing olanzapine and supplementing with lorazepam.In this case,whether the catatonia was secondary to the utilization of antipsychotics or to an organic disease is a question that warrants differential diagnosis.CONCLUSION Multidisciplinary collaborative management is the cornerstone for the successful management of severe cases of SLE.
基金Supported by the National Natural Science Foundation of China(No.81600757)the Natural Science Foundation of Hunan Province of China(No.2021JJ40880)the Health Commission Foundation of Hunan Province of China(No.D202307027020).
文摘The rapid development and increasing popularity of smartphones have led to their gradual integration as essential aids in medical examinations and teaching tools.The smartphone ophthalmoscope(SO)is one of them.Specifically,SO is comprised of a smartphone and an attachment.The smartphone serves as a versatile device for recording and transmitting information,while the attachment functions as a tool for phone fixation as well as focus adjustment and providing light resources,albeit with slight variations across different devices.Presently,the convenience,universality,and transferability of SO have greatly expanded its potential in fields of clinical practice and ocular teaching.The review provides a concise overview of the contemporary SO devices,elucidates the diseases amenable to assessment via SO,and outlines the various applications of SO in clinical practice and teaching.
文摘During the National People's Congress(NPC)and the Chinese People's Political Consultative Conference(CPPCC)in 2025,ESG-related issues have received widespread attention.Several NPC deputies and CPPCC members have put forward suggestions on ESG policies,green finance,corporate ESG practices and other topics,aiming to promote China's ESG development to a new stage.
基金2021 General Scientific Research Project of Liaoning Provincial Department of Education(No.LJKR0298)Liaoning Provincial Social Science Planning。
文摘Objective To study the current situation and corresponding characteristics of internet pharmacy services and summarize their core connotations,and to make some suggestions for their future development based on national policies.Methods The literature of the last 20 years that fully or partially matched the theme of internet pharmacy services in China was studied to summarize the status of research and development of remote pharmacy services by combining the web survey method.Results and Conclusion China’s internet pharmacy services include online consultation,science education,information enquiry,follow-up and intervention,and other functions.The main service providers are medical institutions,Internet enterprises,and online drug sales platforms.Internet pharmacy services can improve patients’compliance with medication and the convenience of medical treatment,which better play the role of pharmacists.However,they also face problems such as the varying service qualities,the small number of users,the difficulty in popularizing services in remote areas,and the lack of supervision and protection of patients’rights.
基金Supported by STI2030-Major Projects,No.2021ZD0202001National Natural Science Foundation of China,No.T2341003Capital Funds for Health Improvement and Research,No.CFH 2022-2-4012.
文摘BACKGROUND Not all neuropsychiatric(NP)manifestations in patients with systemic lupus erythematosus(SLE)are secondary to lupus.The clarification of the cause of NP symptoms influences therapeutic strategies for SLE.AIM To understand the attribution of psychiatric manifestations in a cohort of Chinese patients with SLE.METHODS This retrospective single-center study analyzed 160 inpatient medical records.Clinical diagnosis,which is considered the gold standard,was used to divide the subjects into a psychiatric SLE(PSLE)group(G1)and a secondary psychiatric symptoms group(G2).Clinical features were compared between these two groups.The sensitivity and specificity of the Italian attribution model were explored.RESULTS A total of 171 psychiatric syndromes were recorded in 138 patients,including 87 cases of acute confusional state,40 cases of cognitive dysfunction,18 cases of psychosis,and 13 cases each of depressive disorder and mania or hypomania.A total of 141(82.5%)syndromes were attributed to SLE.In contrast to G2 patients,G1 patients had higher SLE Disease Activity Index-2000 scores(21 vs 12,P=0.001),a lower prevalence of anti-beta-2-glycoprotein 1 antibodies(8.6%vs 25.9%,P=0.036),and a higher prevalence of anti-ribosomal ribonucleoprotein particle(rRNP)antibodies(39.0%vs 22.2%,P=0.045).The Italian attribution model exhibited a sensitivity of 95.0%and a specificity of 70.0%when the threshold value was set at 7.CONCLUSION Patients with PSLE exhibited increased disease activity.There is a correlation between PSLE and anti-rRNP antibodies.The Italian model effectively assesses multiple psychiatric manifestations in Chinese SLE patients who present with NP symptoms.
文摘This paper explores whole-process engineering consulting,including its application models in public buildings and elderly-friendly projects,such as service integration and whole lifecycle management.It also addresses the construction of multi-dimensional collaborative theoretical models,public space streamline organization,and other aspects,emphasizing the importance of multi-dimensional collaboration.Additionally,it highlights the role of talent cultivation and digital transformation in enhancing project efficiency.
文摘BACKGROUND Diagnostic errors in critical care settings are a significant challenge,often leading to adverse patient outcomes and increased healthcare costs.Millimeter-wave(mmWave)technology,with its ability to provide high-resolution,real-time data,offers a transformative solution to enhance diagnostic accuracy and patient safety.This paper explores the integration of mmWave technology in intensive care units(ICUs)to enable non-invasive monitoring,minimize diagnostic errors,and improve clinical decision-making.By addressing key challenges,including data latency,signal interference,and implementation feasibility,this approach has the potential to revolutionize patient monitoring systems and set a new standard for critical care delivery.The paper discusses the high prevalence of diagnostic errors in medical care,particularly in primary care and ICUs,and emphasizes the need for improvement in diagnostic accuracy.Diagnostic errors are responsible for a significant number of deaths,disabilities,prolonged hospitalizations and delays in diagnosis worldwide.AIM To address this issue,the paper proposes the use of ultrafast wireless medical big data transmission in primary care,specifically in remote smart sensors monitoring devices.It suggests that wireless transmission with a speed up to 100 Gb/s(12.5 Gbytes/s)within a short distance(1-10 meters)is necessary to reduce diagnostic errors.METHODS The method used in the study,includes system design and testing a channel sounder operating at 63.4-64.4 GHz frequency range.The system demonstrated dynamic range of 70 dB,noise level of-110 dBm,and a time resolution of 1 ns.The experiment measured the impulse response of the channel in 36 locations within the primary care/ICU scenario.RESULTS The system was tested in a simulated ICU environment to evaluate the Latency:Assessing the time delay in data transmission and processing.The results of the study showed that the system met the requirements of ICUs,providing excellent latency values.The delay spread and excess delay values were within acceptable limits,indicating successful resolution of ICU requirements.The paper suggests timely deployment of such a system.Impact on data transmission:A 100 MB magnetic resonance imaging scan can be transmitted in approximately 0.008 seconds;A 1 GB scan would take approximately 0.08 seconds;This capability could revolutionize healthcare,enabling real-time remote diagnostics and comparisons with artificial Intelligence models,even in large-scale systems.CONCLUSION The experiment demonstrated the feasibility of using high-speed wireless transmission for improved diagnostics in ICUs,offering potential benefits in terms of reduced errors and improved patient outcomes.The findings are deemed valuable to the medical community and public healthcare systems,and it is suggested further research in this area.
文摘CCPIT The 2025 Business Forum of the Shanghai Cooperation Organization Held in Beijing On July 17,the Shanghai Cooperation Organization(SCO)held its Business Forum in Beijing.Vice Chairman of the National Committee of the Chinese People’s Political Consultative Conference(CPPCC)and Chairman of the All-China Federation of Industry and Commerce,Gao Yunlong,attended and addressed the opening ceremony.
文摘The annual Two Sessions,the meetings of the National People’s Congress(NPC)and the National Committee of the Chinese People’s Political Consultative Conference(CPPCC),were held in Beijing from March 4 to 11,2025.This year’s meetings raised considerable concern as the year 2025 is the final year for implementing the 14th Five-Year Plan(2021-2025),which is decisive for making the 15th Five-Year Plan(2026-2030),and also very important for further deepening reform comprehensively.
文摘An annual event in March in China is the Two Sessions,the meetings of the National People’s Congress(NPC)and the National Committee of the Chinese People’s Political Consultative Conference(CPPCC).The SPOTLIGHT column of the issue displays the speech highlights of Luo Wen,SAMR Minister,and the insights into standards of representatives during the meetings.
