Introduction: Respiratory distress is a clinical condition accompanied by an increase in work of breathing, with the respiratory accessory muscles brought into play to ensure normal arterial oxygenation. It is a major...Introduction: Respiratory distress is a clinical condition accompanied by an increase in work of breathing, with the respiratory accessory muscles brought into play to ensure normal arterial oxygenation. It is a major cause of morbidity and mortality in pediatrics. The aim of our study was to investigate the epidemiological, clinical and therapeutic aspects of respiratory distress in children aged between 1 month and 15 years seen in the emergency department of the Bangui paediatric university hospital. Methodology: This was a 3-month descriptive cross-sectional study, from January 1 to March 31, 2023. All children aged 1 month to less than 15 years presenting with respiratory distress were included. Results: A total of 3021 children were admitted to the emergency medical services of Bangui’s pediatric university hospital. Of these, 164 were included in the study. The predominance was male, with a sex ratio of 1.09. The 0 - 2 age group was the most represented, with 67 patients (42.85%). The majority of patients came from Bangui, accounting for 146 (89.02%) of cases. Respiratory difficulty (59.15%), characterized by dyspnea and cough, associated with fever, vomiting, physical asthenia and diarrhea, were the main reasons for consultation. The main pathologies noted were respiratory 92 (56.10%), followed by cardiac pathologies 21 (12.8%). Antibiotic administration (76.82%) was the most common therapeutic procedure used in the management of respiratory distress. Conclusion: Respiratory distress remains an important cause of infant mortality in our context, with major management problems.展开更多
Background: Delirium is one of the most common medical emergencies and is associated with poor outcomes including: mortality, prolonged length of stay and poor functional outcome. The more severe delirium is the worst...Background: Delirium is one of the most common medical emergencies and is associated with poor outcomes including: mortality, prolonged length of stay and poor functional outcome. The more severe delirium is the worst the clinical outcomes of medical illness. Despite the obvious, not much has been documented on delirium severity and its associated factors among medical inpatients in low income countries including Nigeria. Objectives: This study was conducted to examine the severity of delirium among medical inpatients admitted through the Accident and Emergency unit of Jos University Teaching Hospital as well as to assess its associated Sociodemographic and Clinical characteristics. Method: This was a cross-sectional study that employed a consecutive sampling technique to select 290 eligible subjects from medical inpatients that presented to Accident and Emergency unit of Jos University Teaching Hospital. On admission, patients were assessed for delirium using Confusion Assessment Method and severity of delirium was evaluated using Delirium Rating Scale-Revised-98. Results: Of the 105 delirious medical inpatients, 48 (45.7%) had severe delirium, 41 (39.1%) developed less severe delirium while 16 (15.2) presented with no severe delirium. Sociodemographic characteristics found to be significantly associated with less to more severe delirium include male gender (P = 0.001), nonprofessionals (P = 0.003), income range of N20,000 - N49,000 (P Conclusion: This study demonstrates that delirium is often associated with higher severity in Accident and Emergency unit admission and there are strongly associated clinical characteristics to watch out for in high risk medical inpatients.展开更多
It is urgent and necessary to implement international understanding education in local application-oriented colleges and universities.Improving the international competitiveness of talents and cultivating global citiz...It is urgent and necessary to implement international understanding education in local application-oriented colleges and universities.Improving the international competitiveness of talents and cultivating global citizens is one of the goals of higher education.This paper discussed the problems of international understanding education in local application-oriented colleges and universities,including weak policy orientation,insufficient practical exploration,aphasia of national culture,etc.It is recommended to implement the international understanding education from two ways:subject penetration and project-based professional courses.In addition,the introduction of Chinese culture cannot be ignored to prevent the absence of national culture in cross-cultural communication.展开更多
Based on the concept of outcome-based education (OBE) and the existing OBE training mode, this paper puts forward the training mode of "three-quality talents" as a supplement. This mode effectively helps Chi...Based on the concept of outcome-based education (OBE) and the existing OBE training mode, this paper puts forward the training mode of "three-quality talents" as a supplement. This mode effectively helps Chinese application-oriented colleges and universities to improve the training quality of application-oriented talents, is an effective way to train application-oriented undergraduate professionals, and has a certain promotion and application value.展开更多
With the emergence of development of international integration,the domestic education also attaches great importance to English discipline.The hospitality management of application-oriented undergraduate universities ...With the emergence of development of international integration,the domestic education also attaches great importance to English discipline.The hospitality management of application-oriented undergraduate universities demands high standard for English.The hospitality management of some domestic undergraduate universities has reformed the traditional English teaching mode and adopted the Full English Teaching mode.However,due to the lack of high-quality English teachers,the single teaching methods,and the lack of support from university for Full English Teaching,the actual effect of Full English Teaching is not ideal.Through investigation and analysis of an undergraduate university,this paper finally puts forward countermeasures against the deficiencies in the Full English Teaching mode so as to improve the professional quality of the teaching staff,adopt diversified teaching means and enhance the school’s support for English teaching.展开更多
With the rapid development of the economy,China’s economic form has also undergone significant changes.In this case,the requirements for talents are getting higher and higher.In the process of cultivating talents,sch...With the rapid development of the economy,China’s economic form has also undergone significant changes.In this case,the requirements for talents are getting higher and higher.In the process of cultivating talents,schools must constantly change their educational concepts and cultivate more application-oriented talents for the society.In this context,the reform of university and college English is of great necessity.Based on the importance of application-oriented talent training,this paper analyzes the current situation of English teaching in universities and colleges under the application-oriented talent training mode,and puts forward some specific measures for the reform of English teaching in universities and colleges.展开更多
Introduction: Obstetric emergencies are common throughout the world and more particularly in developing countries where they are responsible for high maternal-fetal mortality and morbidity. Objective: Study obstetric ...Introduction: Obstetric emergencies are common throughout the world and more particularly in developing countries where they are responsible for high maternal-fetal mortality and morbidity. Objective: Study obstetric emergencies in the maternity ward of Kara University Hospital. Method: Retrospective and descriptive study from April 1, 2022 to March 30, 2023, carried out in the Obstetrics and Gynecology Department of Kara University Hospital. Results: Eight hundred and thirty-five (835) obstetric emergencies were recorded out of 2215 admissions, i.e. a frequency of 37.7%. The average age of the patients was 26.7 with a range of 14 and 45 years. They were primigravidas (36.7%) and nulliparous (38.7%), referred (84.7%) and came from rural areas (72%). Emergencies occurred in the 3<sup>rd</sup> trimester in 74.1% and in parturients (54.1%). Preeclampsia (27%), cessation of progression of labor due to feto-pelvic disproportion (12.4%), postpartum hemorrhage (7.5%) constituted the main obstetric emergencies. In 44.8%, the delivery was carried out vaginally. Magnesium sulfate was the most used drug, i.e. 30.1%;followed by antihypertensive medications in 28.1%. Blood transfusion was performed in 24.3%. The evolution was simple in 90.9%. The maternal fatality rate was 1.6%. The perinatal case fatality rate was 12.3%. Conclusion: Obstetric emergencies are common, dominated by preeclampsia, stopping progress of labor and postpartum hemorrhages. They are responsible for high morbidity and mortality.展开更多
Strengthening the team construction of part-time teachers is required by the transformation and development of the universities,the realization of their goals of being developed into an application-oriented universiti...Strengthening the team construction of part-time teachers is required by the transformation and development of the universities,the realization of their goals of being developed into an application-oriented universities and their talent cultivation and long-term development.The existing problem regarding the part-time teachers in current application-oriented universities are the low proportion of part-time teachers,a shortage of high level parttime teachers,the absence of relevant laws and regulations,a lack of systematic policies or financial support for part-time teachers as well as the unsound management mechanism with insufficient scientific and reasonable employment scheme for part-time teachers.To strengthen the team construction of the part-time teachers in application-oriented universities,firstly we should improve the existing laws,regulations and policies and broaden the financial support channels.Secondly,we should develop the recruitment channels for part-time teachers and pay attention to introducing high-tech and highly-skilled talents.Thirdly,we should improve the management over part-time teachers and promote their value.Fourthly,it should adopt a people-oriented management concept and establish an effective evaluation and incentive mechanism for part-time teachers.展开更多
Since the 1990s of last century, China's tertiary education has gradually occupied half of the higher education field. As a special educational phenomenon at the present stage in our country, upgrading from a juni...Since the 1990s of last century, China's tertiary education has gradually occupied half of the higher education field. As a special educational phenomenon at the present stage in our country, upgrading from a junior high school to a senior high school meets the needs of social progress and economic development in our country. It also embodies the people-oriented concept and meets people's needs for higher level and higher quality education. This education not only breaks the status quo of life-long entrance examination system, but also provides more choices for examinees and parents. It also brings opportunities and challenges to the undergraduate universities that accept the students. This paper takes the current education situation of engineering management major students in private universities as the research object, finds out the existing problems in the education of the students who have graduated from colleges and puts forward the corresponding countermeasures in order to achieve better teaching effect.展开更多
Objective:To explore the application effect of emergency rescue capability intervention among students in a university in Beijing.Methods:A total of 900 students from a university in Beijing in 2023 were selected as t...Objective:To explore the application effect of emergency rescue capability intervention among students in a university in Beijing.Methods:A total of 900 students from a university in Beijing in 2023 were selected as the research objects.Emergency rescue capability training was conducted from March 2023 to June 2023,once a month.The students’mastery of emergency rescue before and after the intervention was analyzed.Survey questionnaires were distributed to all college students to understand their channels and willingness to acquire emergency rescue knowledge.Results:A total of 886 valid questionnaires were collected in this study.The highest proportion of knowledge about China’s general emergency telephone number and how to dial the emergency rescue hotline was 100.00%.Among the strategies for dealing with cardiac arrest in CPR,the highest proportion was 336.34%.Among the four major first aid techniques of hemostasis,bandaging,fixation,transportation,the highest proportion of knowledge about the use of rubber band signs was 31.71%.Among the first aid techniques for heatstroke,poisoning,fire,and sharp instrument injuries,the principle of emergency treatment for severe gas poisoning had the highest proportion of 41.42%,showing significant differences.College students mainly acquire knowledge of emergency rescue capability through TV programs,health education lectures,and the internet.Around 61.40%of college students hope to learn more about prevention and control knowledge.Conclusion:After the intervention of emergency rescue capability,the emergency rescue capability of college students in this university has been significantly improved,showing a strong training effect,which is worthy of promotion.展开更多
文摘Introduction: Respiratory distress is a clinical condition accompanied by an increase in work of breathing, with the respiratory accessory muscles brought into play to ensure normal arterial oxygenation. It is a major cause of morbidity and mortality in pediatrics. The aim of our study was to investigate the epidemiological, clinical and therapeutic aspects of respiratory distress in children aged between 1 month and 15 years seen in the emergency department of the Bangui paediatric university hospital. Methodology: This was a 3-month descriptive cross-sectional study, from January 1 to March 31, 2023. All children aged 1 month to less than 15 years presenting with respiratory distress were included. Results: A total of 3021 children were admitted to the emergency medical services of Bangui’s pediatric university hospital. Of these, 164 were included in the study. The predominance was male, with a sex ratio of 1.09. The 0 - 2 age group was the most represented, with 67 patients (42.85%). The majority of patients came from Bangui, accounting for 146 (89.02%) of cases. Respiratory difficulty (59.15%), characterized by dyspnea and cough, associated with fever, vomiting, physical asthenia and diarrhea, were the main reasons for consultation. The main pathologies noted were respiratory 92 (56.10%), followed by cardiac pathologies 21 (12.8%). Antibiotic administration (76.82%) was the most common therapeutic procedure used in the management of respiratory distress. Conclusion: Respiratory distress remains an important cause of infant mortality in our context, with major management problems.
文摘Background: Delirium is one of the most common medical emergencies and is associated with poor outcomes including: mortality, prolonged length of stay and poor functional outcome. The more severe delirium is the worst the clinical outcomes of medical illness. Despite the obvious, not much has been documented on delirium severity and its associated factors among medical inpatients in low income countries including Nigeria. Objectives: This study was conducted to examine the severity of delirium among medical inpatients admitted through the Accident and Emergency unit of Jos University Teaching Hospital as well as to assess its associated Sociodemographic and Clinical characteristics. Method: This was a cross-sectional study that employed a consecutive sampling technique to select 290 eligible subjects from medical inpatients that presented to Accident and Emergency unit of Jos University Teaching Hospital. On admission, patients were assessed for delirium using Confusion Assessment Method and severity of delirium was evaluated using Delirium Rating Scale-Revised-98. Results: Of the 105 delirious medical inpatients, 48 (45.7%) had severe delirium, 41 (39.1%) developed less severe delirium while 16 (15.2) presented with no severe delirium. Sociodemographic characteristics found to be significantly associated with less to more severe delirium include male gender (P = 0.001), nonprofessionals (P = 0.003), income range of N20,000 - N49,000 (P Conclusion: This study demonstrates that delirium is often associated with higher severity in Accident and Emergency unit admission and there are strongly associated clinical characteristics to watch out for in high risk medical inpatients.
基金Supported by the Project of Sichuan International Education Development Research Center in Sichuan Provincial Key Research Base of Humanities and Social Sciences in Colleges and Universities"Research on the Construction of International Education Practical Teaching System in Local Application-oriented Colleges and Universities"(SCGJ2021-04)the Project of Sichuan International Education Development Research Center in Sichuan Provincial Key Research Base of Humanities and Social Sciences in Colleges and Universities"Research and Practice of International Understanding Education in Agricultural Higher Vocational Colleges in the New Era"(SCGJ2022-17).
文摘It is urgent and necessary to implement international understanding education in local application-oriented colleges and universities.Improving the international competitiveness of talents and cultivating global citizens is one of the goals of higher education.This paper discussed the problems of international understanding education in local application-oriented colleges and universities,including weak policy orientation,insufficient practical exploration,aphasia of national culture,etc.It is recommended to implement the international understanding education from two ways:subject penetration and project-based professional courses.In addition,the introduction of Chinese culture cannot be ignored to prevent the absence of national culture in cross-cultural communication.
基金Supported by Innovative Research on the Training Mode of‘Three-Quality Talents’in Local Application-oriented Universities in the Context of Digital Economy (2021GA078).
文摘Based on the concept of outcome-based education (OBE) and the existing OBE training mode, this paper puts forward the training mode of "three-quality talents" as a supplement. This mode effectively helps Chinese application-oriented colleges and universities to improve the training quality of application-oriented talents, is an effective way to train application-oriented undergraduate professionals, and has a certain promotion and application value.
基金2018 Higher Education Teaching Reform Project(Shaoxing City Level),“Application of Interactive Teaching Method in the Course of Supervision in the Hospitality Industry(Full English Teaching)”(Project No.:SXSKG2018028)2018 Bilingual Teaching Demonstration Course Construction Project(University Level),“Supervision in the Hospitality Industry(Full English Teaching)”(Project No.:SY1806)2019 Education Science Planning Project(Shaoxing City Level),“Empirical Research on the Evaluation System of Full English Teaching Based on Curriculum Effectiveness Theory”(Project No.:SGJ19047).
文摘With the emergence of development of international integration,the domestic education also attaches great importance to English discipline.The hospitality management of application-oriented undergraduate universities demands high standard for English.The hospitality management of some domestic undergraduate universities has reformed the traditional English teaching mode and adopted the Full English Teaching mode.However,due to the lack of high-quality English teachers,the single teaching methods,and the lack of support from university for Full English Teaching,the actual effect of Full English Teaching is not ideal.Through investigation and analysis of an undergraduate university,this paper finally puts forward countermeasures against the deficiencies in the Full English Teaching mode so as to improve the professional quality of the teaching staff,adopt diversified teaching means and enhance the school’s support for English teaching.
文摘With the rapid development of the economy,China’s economic form has also undergone significant changes.In this case,the requirements for talents are getting higher and higher.In the process of cultivating talents,schools must constantly change their educational concepts and cultivate more application-oriented talents for the society.In this context,the reform of university and college English is of great necessity.Based on the importance of application-oriented talent training,this paper analyzes the current situation of English teaching in universities and colleges under the application-oriented talent training mode,and puts forward some specific measures for the reform of English teaching in universities and colleges.
文摘Introduction: Obstetric emergencies are common throughout the world and more particularly in developing countries where they are responsible for high maternal-fetal mortality and morbidity. Objective: Study obstetric emergencies in the maternity ward of Kara University Hospital. Method: Retrospective and descriptive study from April 1, 2022 to March 30, 2023, carried out in the Obstetrics and Gynecology Department of Kara University Hospital. Results: Eight hundred and thirty-five (835) obstetric emergencies were recorded out of 2215 admissions, i.e. a frequency of 37.7%. The average age of the patients was 26.7 with a range of 14 and 45 years. They were primigravidas (36.7%) and nulliparous (38.7%), referred (84.7%) and came from rural areas (72%). Emergencies occurred in the 3<sup>rd</sup> trimester in 74.1% and in parturients (54.1%). Preeclampsia (27%), cessation of progression of labor due to feto-pelvic disproportion (12.4%), postpartum hemorrhage (7.5%) constituted the main obstetric emergencies. In 44.8%, the delivery was carried out vaginally. Magnesium sulfate was the most used drug, i.e. 30.1%;followed by antihypertensive medications in 28.1%. Blood transfusion was performed in 24.3%. The evolution was simple in 90.9%. The maternal fatality rate was 1.6%. The perinatal case fatality rate was 12.3%. Conclusion: Obstetric emergencies are common, dominated by preeclampsia, stopping progress of labor and postpartum hemorrhages. They are responsible for high morbidity and mortality.
文摘Strengthening the team construction of part-time teachers is required by the transformation and development of the universities,the realization of their goals of being developed into an application-oriented universities and their talent cultivation and long-term development.The existing problem regarding the part-time teachers in current application-oriented universities are the low proportion of part-time teachers,a shortage of high level parttime teachers,the absence of relevant laws and regulations,a lack of systematic policies or financial support for part-time teachers as well as the unsound management mechanism with insufficient scientific and reasonable employment scheme for part-time teachers.To strengthen the team construction of the part-time teachers in application-oriented universities,firstly we should improve the existing laws,regulations and policies and broaden the financial support channels.Secondly,we should develop the recruitment channels for part-time teachers and pay attention to introducing high-tech and highly-skilled talents.Thirdly,we should improve the management over part-time teachers and promote their value.Fourthly,it should adopt a people-oriented management concept and establish an effective evaluation and incentive mechanism for part-time teachers.
文摘Since the 1990s of last century, China's tertiary education has gradually occupied half of the higher education field. As a special educational phenomenon at the present stage in our country, upgrading from a junior high school to a senior high school meets the needs of social progress and economic development in our country. It also embodies the people-oriented concept and meets people's needs for higher level and higher quality education. This education not only breaks the status quo of life-long entrance examination system, but also provides more choices for examinees and parents. It also brings opportunities and challenges to the undergraduate universities that accept the students. This paper takes the current education situation of engineering management major students in private universities as the research object, finds out the existing problems in the education of the students who have graduated from colleges and puts forward the corresponding countermeasures in order to achieve better teaching effect.
文摘Objective:To explore the application effect of emergency rescue capability intervention among students in a university in Beijing.Methods:A total of 900 students from a university in Beijing in 2023 were selected as the research objects.Emergency rescue capability training was conducted from March 2023 to June 2023,once a month.The students’mastery of emergency rescue before and after the intervention was analyzed.Survey questionnaires were distributed to all college students to understand their channels and willingness to acquire emergency rescue knowledge.Results:A total of 886 valid questionnaires were collected in this study.The highest proportion of knowledge about China’s general emergency telephone number and how to dial the emergency rescue hotline was 100.00%.Among the strategies for dealing with cardiac arrest in CPR,the highest proportion was 336.34%.Among the four major first aid techniques of hemostasis,bandaging,fixation,transportation,the highest proportion of knowledge about the use of rubber band signs was 31.71%.Among the first aid techniques for heatstroke,poisoning,fire,and sharp instrument injuries,the principle of emergency treatment for severe gas poisoning had the highest proportion of 41.42%,showing significant differences.College students mainly acquire knowledge of emergency rescue capability through TV programs,health education lectures,and the internet.Around 61.40%of college students hope to learn more about prevention and control knowledge.Conclusion:After the intervention of emergency rescue capability,the emergency rescue capability of college students in this university has been significantly improved,showing a strong training effect,which is worthy of promotion.
