Background:Strengthening the patient safety culture is essential for improving healthcare service quality and ensuring patient safety.The study's aim was to investigate the current status of patient safety culture...Background:Strengthening the patient safety culture is essential for improving healthcare service quality and ensuring patient safety.The study's aim was to investigate the current status of patient safety culture in traditional Chinese medicine institutions and its associated factors to provide scientific recommendations for improvement.Methods:This cross‐sectional study was conducted October 14–18,2024.Four traditional Chinese medicine institutions in Zhejiang Province,China,were selected using convenience sampling,and the expected sample size was 544 participants.Data were collected using the Hospital Survey on Patient Safety Culture questionnaire,which comprises two sections:individual characteristics and patient safety culture.The latter comprises 10 dimensions with 32 items rated on a five‐point Likert scale.Dimension scores were calculated as the mean of corresponding item scores,and the overall score as the mean of all dimension scores.Descriptive statistics,t‐tests,analysis of variance,and multiple linear regression were used to analyze current status and associated factors of patient safety culture.Results:A total of 522 valid questionnaires were collected.The average patient safety culture score was 3.92.Among the dimensions,“F Communication About Error”received the highest score and“H Reporting Patient Safety Events”the lowest score.Age,monthly income,hospital grade,professional title,and weekly working hours were identified as independent factors associated with patient safety culture.Conclusion:The overall patient safety culture in the traditional Chinese medicine institutions of Zhejiang Province is relatively high but is affected by multiple factors.Further efforts are needed to implement diverse strategies aimed at strengthening patient safety culture within traditional Chinese medicine institutions.展开更多
Purpose:Interdisciplinary research has become a critical approach to addressing complex societal,economic,technological,and environmental challenges,driving innovation and integrating scientific knowledge.While interd...Purpose:Interdisciplinary research has become a critical approach to addressing complex societal,economic,technological,and environmental challenges,driving innovation and integrating scientific knowledge.While interdisciplinarity indicators are widely used to evaluate research performance,the impact of classification granularity on these assessments remains underexplored.Design/methodology/approach:This study investigates how different levels of classification granularity-macro,meso,and micro-affect the evaluation of interdisciplinarity in research institutes.Using a dataset of 262 institutes from four major German non-university organizations(FHG,HGF,MPG,WGL)from 2018 to 2022,we examine inconsistencies in interdisciplinarity across levels,analyze ranking changes,and explore the influence of institutional fields and research focus(applied vs.basic).Findings:Our findings reveal significant inconsistencies in interdisciplinarity across classification levels,with rankings varying substantially.Notably,the Fraunhofer Society(FHG),which performs well at the macro level,experiences significant ranking declines at meso and micro levels.Normalizing interdisciplinarity by research field confirmed that these declines persist.The research focus of institutes,whether applied,basic,or mixed,does not significantly explain the observed ranking dynamics.Research limitations:This study has only considered the publication-based dimension of institutional interdisciplinarity and has not explored other aspects.Practical implications:The findings provide insights for policymakers,research managers,and scholars to better interpret interdisciplinarity metrics and support interdisciplinary research effectively.Originality/value:This study underscores the critical role of classification granularity in interdisciplinarity assessment and emphasizes the need for standardized approaches to ensure robust and fair evaluations.展开更多
Introduction: Malignant sylvian infarction (MSI) is a type of ischemic stroke (ICS) usually affecting the entire territory of the middle cerebral artery (MCA) associated with significant cerebral edema and a mass. It ...Introduction: Malignant sylvian infarction (MSI) is a type of ischemic stroke (ICS) usually affecting the entire territory of the middle cerebral artery (MCA) associated with significant cerebral edema and a mass. It represents about 10% of all AICs, with a mortality of up to 80%. The objectives of our study were to describe the sociodemographic profile and the main clinical manifestations and identify the prognostic factors of ISM. Material and Methods: We conducted a retrospective descriptive study over a 2-year period. It included patients hospitalized for cerebral infarction involving 2/3 of the ACM territory with a NIHSS score ≥ 17 and/or a Glasgow score Results: We collected 223 patients hospitalized for ischemic stroke, of whom 21 patients (9.4%) presented with ISM. The mean age was 57.43 ± 24.24 years with a male predominance (52.4%). The mean admission time was 47 ± 0.87 hours, and hemiplegia was the frequent neurological sign (85.7%). HBP was the common cardiovascular risk factor (76.2%). The mean NIHSS at admission was 18.38 ± 12.29. Respiratory distress (p-value = 0.00015), aspiration pneumonia (p-value = 0.015) and brain herniation (p-value = 0.014) were the main complications associated with mortality. Conclusion: ISM is associated with poor prognosis in the absence of surgical treatment. Respiratory distress, aspiration pneumonia and brain herniation are associated with high mortality.展开更多
On January 212025,the CNPC Economics&Technology Research Institute,a national high-end think tank,released the annual report on the oil and gas industry in Beijing for the 17th consecutive year,titled the“2024 Do...On January 212025,the CNPC Economics&Technology Research Institute,a national high-end think tank,released the annual report on the oil and gas industry in Beijing for the 17th consecutive year,titled the“2024 Domestic and International Oil and Gas Industry Development Report”(referred to as the“Industry Report”).展开更多
BACKGROUND Antimicrobial resistance(AMR)is an escalating global health threat,disproportionately impacting low-income and middle-income countries like India.The rise of multidrug-resistant organisms(MDROs)complicates ...BACKGROUND Antimicrobial resistance(AMR)is an escalating global health threat,disproportionately impacting low-income and middle-income countries like India.The rise of multidrug-resistant organisms(MDROs)complicates treatment,increases healthcare costs,and contributes to higher morbidity and mortality.In India,factors such as antibiotic misuse,over-the-counter availability,and self-medication have exacerbated this crisis.Despite the urgency,regional data on MDRO prevalence remains limited.AIM To assess the burden and distribution of MDRO infections identified at a tertiary healthcare institute in North India.METHODS This cross-sectional study analyzed inpatient data from All India Institute of Medical Sciences(AIIMS)Rishikesh using the E-hospital database from May 2021 to February 2024,except 2022.All inpatients with culture-confirmed MDRO infections were included.Patient charts and discharge summaries were reviewed.Data analysis was performed using Jamovi software,with descriptive statistics summarizing demographics.Theχ²test was used to assess associations between MDROs and various factors.Ethical approval was obtained,and patient confidentiality was maintained.RESULTS This study included 820 participants having 1106 MDROs.The majority of patients were aged 35-64 years,with a male predominance(57.6%).Most cases were from Uttar Pradesh(49.1%)and Uttarakhand(47.6%),with Bijnor and Haridwar districts reporting the highest burden from their respective states.Klebsiella pneumoniae(K.pneumoniae)(30.6%),Acinetobacter baumannii(16.7%),and Escherichia coli(E.coli)(16.7%)were the most common MDROs.Urine was the most frequent sample type(51.0%),with K.pneumoniae as the leading pathogen.Infections varied significantly across departments(P<0.001),with General Medicine and Surgery reporting the highest burden.E.coli and Klebsiella spp.were most prevalent in these departments respectively.MDRO prevalence fluctuated over time,with significant variations by quarter(P<0.001).Following the second coronavirus disease 2019 wave,there was a rapid surge in MDROs,which stabilized after approximately three months.The overall mortality among patients harboring MDROs was 25.9%.CONCLUSION This study highlights the burden of MDROs among patients at AIIMS Rishikesh,with K.pneumoniae as the predominant pathogen.Strengthening antimicrobial stewardship and infection control measures is essential to combat rising AMR,with department-specific,and pathogen-specific stewardships.展开更多
This essay critically re-examines pedagogical authority in the age of artificial intelligence(AI)and hybrid learning.As AI technologies disrupt the traditional teacher-centered paradigm and hybrid formats dissolve spa...This essay critically re-examines pedagogical authority in the age of artificial intelligence(AI)and hybrid learning.As AI technologies disrupt the traditional teacher-centered paradigm and hybrid formats dissolve spatial hierarchies,educational authority becomes increasingly distributed and relational.The essay deconstructs conventional models rooted in institutional hierarchy and physical presence,advocating instead for an ethics-driven,dialogic,and technologically literate approach.Educators must transition from authoritative figures to facilitators of critical inquiry,capable of guiding students through algorithmic structures and promoting inclusive,participatory learning.By embracing relational authority and transparent pedagogical practices,higher education can reclaim its transformative and democratic potential in a post-AI landscape.展开更多
Since the reform and opening up,the development approach targeting urban economic growth has led to a sharp increase in the proportion of impervious hardened surfaces in cities and significant waste of natural resourc...Since the reform and opening up,the development approach targeting urban economic growth has led to a sharp increase in the proportion of impervious hardened surfaces in cities and significant waste of natural resources.The urgent need for water ecological civilization construction is of great significance to the continuation of human civilization in the long run.This paper focuses on the urban waterfront landscape design of the Chongqing Institute of Engineering section of the Huaxi River in Banan District,emphasizing the concept of“symbiosis”.Using site cultural symbols as a medium to connect the campus and the city on both sides of the river,returning the riverbank to the people,restoring the ecological space of the riverfront,enriching the landscape belt,promoting the protection of bird and fish habitats,and stimulating the vitality of the riverbank space;it aims to pave the way for ecological restoration,functional expansion,landscape renewal,and riverfront space activation at the study site.展开更多
Introduction: Pain has been defined for more than 20 years by the International Association for the Study of Pain (IASP) as an unpleasant sensory and emotional experience associated with actual or potential tissue dam...Introduction: Pain has been defined for more than 20 years by the International Association for the Study of Pain (IASP) as an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. It has been recognized as a feature of Parkinson’s disease (PD) since the first descriptions of the disease. Material and Methods: This was a prospective descriptive study lasting six (06) months from November 1, 2023 to April 30, 2024. We included all patients diagnosed with PD and who had pain. Sociodemographic, clinical, paraclinical and therapeutic data were evaluated for each patient. Results: We identified a sample of 62 Parkinson’s patients, of whom 52 patients or 85.2% had associated pain. We noted a male predominance (38M/14F) and a sex ratio of 2.71. Musculoskeletal pain was common in 80% of our respondents. WHO level I, antidepressants and background treatment for KD were the most prescribed molecules. Conclusion: Our study shows a frequency of pain in PD. However, musculoskeletal pain is the most frequently encountered type of pain in PD patients. WHO step I analgesics, antidepressants and background treatment of KD were the main prescriptions in our study.展开更多
The software technology field is facing new talent demands brought by the Information Technology Application Innovation(ITAI)industry.This paper takes Shanwei Institute of Technology as an example to deeply explore th...The software technology field is facing new talent demands brought by the Information Technology Application Innovation(ITAI)industry.This paper takes Shanwei Institute of Technology as an example to deeply explore the construction of a school-enterprise community education model driven by the ITAI industry.It establishes the Kirin Workshop training base to facilitate talent cultivation,integrates the ITAI Application Adaptation Center to enhance technical capabilities,cooperates with Liqi Technology to establish an industrial college for government talent training,adjusts the professional curriculum system,and arranges for students to participate in ITAI vocational skills competitions.The school-enterprise collaborative cultivation mechanism meets the talent needs of the ITAI field,with effective practical results.This paper also points out the shortcomings of the school-enterprise collaborative education model in the ITAI industry and provides optimization methods to explore new paths for industry-education integration and serve the development of regional and national ITAI industries^([1]).展开更多
The negative impacts of natural hazards on communities at all scales have been increasing.Floods comprise one such natural hazard that has emerged as one of the most destructive in the US and worldwide.While a lot of ...The negative impacts of natural hazards on communities at all scales have been increasing.Floods comprise one such natural hazard that has emerged as one of the most destructive in the US and worldwide.While a lot of damage is estimated in terms of the cost of rebuilding infrastructure and direct loss of economy,the negative impacts of such disruptions go beyond the physical infrastructure.The impact on(and of)the social and institutional framework is rarely examined in conjunction with the physical and technical aspects.This paper examines flood vulnerability and risk of a community at an intersection of social,ecological,technical,and intuitional perspectives,and presents a framework for a holistic flood vulnerability and risk assessment that has a strong foundation in all four aspects of a resilient community.The study builds on the existing risk,vulnerability,and hazard assessment approaches,and refines them with a holistic perspective.The study uses a mixed method approach with qualitative and quantitative methodologies to assess flood occurrence probabilities,vulnerability,and risk from the social,ecological,technical,and institutional perspectives.A case study of the City of Atlanta is conducted using the framework to assess the overall vulnerability and risk of the city.The results of this analysis show that the regions that have the highest probability of flood hazard occurrence also appear to have the highest social,ecological,and technical vulnerabilities in the Atlanta area.While the results are intuitive,the applications support a focus on holistic resilience building across these four criteria.This study is potentially useful to practitioners,researchers,government agencies,and community organizations working to mitigate flood risk particularly as this risk continues to evolve with the changing climate.展开更多
In response to the current issues in the construction of software engineering(SE)degree granting program,such as insufficient resource integration,low level of internationalization,and inadequate quality control,we pr...In response to the current issues in the construction of software engineering(SE)degree granting program,such as insufficient resource integration,low level of internationalization,and inadequate quality control,we propose the Software Engineering Degree Granting Program Construction Practice Project at Harbin Institute of Technology(HIT).This project aims to explore new models for software talent cultivation,establish a superior SE degree granting program,and ultimately cultivate outstanding internationalized composite SE professionals to support the high-quality development of the national software industry.To this end,we design a distinctive overall construction idea and plan for the SE degree granting program,which are characterized by“3I3S:three highlights for specialized cultivation and strictness in three aspects to ensure quality control”.After years of practice and validation of the project at the School of Software at HIT,this project has proven effective in optimizing talent cultivation models,enhancing students’practical abilities,promoting international exchange and cooperation,advancing industry-education integration,and meeting industrial needs.展开更多
Performance evaluation,as a multidimensional and comprehensive assessment tool,plays a pivotal role in accurately reflecting the quality of higher education and effectively promoting institutional governance.In the ev...Performance evaluation,as a multidimensional and comprehensive assessment tool,plays a pivotal role in accurately reflecting the quality of higher education and effectively promoting institutional governance.In the evolving landscape of educational reform,nonprofit private universities in China face pressing challenges in leveraging performance evaluations to standardize internal operations,guide strategic development,and foster public trust.This paper focuses on these institutions and conducts an in-depth analysis of existing problems in performance evaluation practices.Drawing on contemporary theoretical frameworks and empirical experiences,it proposes feasible,targeted governance strategies.The aim is to offer both theoretical insights and practical guidelines to support the sustainable development of non-profit private universities and to help these institutions better integrate into the national education system while fulfilling their social missions.展开更多
The prompt fission neutron spectrum(PFNS)is a key nuclear data quantity that is of particular interest and plays a crucial role in understanding and modeling fission processes.An array comprising 48 liquid scintillati...The prompt fission neutron spectrum(PFNS)is a key nuclear data quantity that is of particular interest and plays a crucial role in understanding and modeling fission processes.An array comprising 48 liquid scintillation detectors and a parallelplate avalanche counter(PPAC)was developed at the China Institute of Atomic Energy(CIAE)to measure the PFNS of actinide nuclei.Efficiency and energy calibrations were performed for all the liquid scintillators,and their efficiencies were consistently found to be better than 5%.The time resolutions of the PPAC and liquid scintillators were measured to be 1.08 ns and 1.16 ns using~(252)Cf and~(207)Bi sources,respectively.The pulse shape discrimination of the liquid scintillator was utilized to identify neutron andγsignals on an event-by-event basis,and the figure of merit was deduced as 1.12 at a 200 ke Vee threshold.The contribution to the PFNS from multiple scattered neutrons was evaluated via Geant4 simulations,and those originating from the environment were found to be comparable to the crosstalk between the detectors.The neutron efficiency of the entire detection array was calibrated using a~(252)Cf spontaneous fission source and was demonstrated to be consistent with the Geant4 simulation results,which verified the reliability of the detection array.展开更多
Addressing the core weaknesses in the innovation and entrepreneurship capabilities of vocational college graduates,such as market insight and risk tolerance,as well as issues with the existing training model,including...Addressing the core weaknesses in the innovation and entrepreneurship capabilities of vocational college graduates,such as market insight and risk tolerance,as well as issues with the existing training model,including courses that are disconnected from industry,a lack of systematic practical training,and superficial school-enterprise cooperation,this paper constructs a“three-dimensional,four-dimensional”training system.The“three-dimensional”foundational framework encompasses three pillars:curriculum,general education layer,professional integration layer,practical application layer,practice as in three stages:introductory,simulated,and practical,and support including dual mentors,policies,and platforms.The“four-dimensional”differentiated strategies include four implementation pathways:professional differentiation,stage differentiation,addressing capability shortcomings,and school-government-industry collaboration.This system is grounded in theories such as multiple intelligences theory and systems theory,forming a closed-loop process of“theoretical input—practical application—support mechanisms”.Based on the practices of Guangdong Vocational Institute of Public Administration,the paper proposes a competency development pathway tailored by major and stage,which can effectively enhance the innovative and entrepreneurial core competencies of vocational college graduates.This provides a replicable systematic solution for vocational college innovative and entrepreneurial education,supporting vocational education reform and regional economic development.展开更多
Introduction: Vitamin D plays a key role in phosphocalcic metabolism, in normal functioning of the immune system and in the prevention of certain forms of cancer. Systematic vitamin D supplementation has been implemen...Introduction: Vitamin D plays a key role in phosphocalcic metabolism, in normal functioning of the immune system and in the prevention of certain forms of cancer. Systematic vitamin D supplementation has been implemented in most Western countries, which has drastically reduced the prevalence of rickets. In Senegal, a country with enough sunshine, no large-scale data exists on vitamin D deficiency in children. In addition, there are no guidelines from the Ministry of Health and Social Action (MoHSA) on vitamin D supplementation. Our objective was to determine the prevalence of vitamin D deficiency in children aged 6 to 59 months and to analyze the factors associated with it at the Institute of Social Pediatrics in Pikine-Guédiawaye, a suburb of Dakar. Patients and Methods: This was a prospective, descriptive and analytical cross-sectional study over a 3-month period (from January to March 2024) at the Institute of Social Pediatric (IPS) of Pikine-Guédiawaye. The study population consisted of all children aged 6 to 59 months free from any acute or chronic pathology, whose parents had agreed to answer the questionnaires after having consented and signed the consent and children who had had a sample taken for vitamin D dosage. Results: We included 102 children, 35 of whom had vitamin D deficiency, i.e. a prevalence of 34.31% with a slight male predominance (sex ratio 1.05). Infants aged 13 - 24 months were more affected (41.67%), but the difference was not statistically significant (p-value = 0.385). Patients with acute malnutrition had a significantly higher prevalence of vitamin D deficiency (54.17% of cases versus 28.38%) in those without acute malnutrition (p = 0.02). On the other hand, chronic malnutrition, underweight and diversification foods were not significantly associated with vitamin D deficiency (p of 0.60, 0.42 and 0.09 respectively). Conclusion: Vitamin deficiency affects one-third of apparently healthy children under 5 and this deficiency has no significant relationship with diversification foods. This suggests that the observed vitamin D deficiencies are less related to diet than to lack of sun exposure.展开更多
The marketization of higher education has become a global trend.As a micro-economy,Macao faces unique quality assurance challenges in the marketization transition of its higher education system.Based on the market mec...The marketization of higher education has become a global trend.As a micro-economy,Macao faces unique quality assurance challenges in the marketization transition of its higher education system.Based on the market mechanism theory,this study constructs a three-dimensional evaluation index system of“market accountability mechanism—market competition mechanism—market feedback mechanism”,aiming to explore the core influencing factors and optimization paths for the quality assurance of higher education in Macao from the perspective of marketization transition.This study employs a questionnaire survey method and conducts empirical research on 522 undergraduate students from 4 universities in Macao.The results show that:(1)Under the background of marketization,the overall evaluation score of students on the quality of higher education in Macao is 3.70 on a 5-point scale;(2)Three factors,namely external evaluation(β=0.902,p<0.001),inter-institutional competition(β=0.225,p<0.001)and intra-institutional competition(β=−0.230,p<0.001),have a significant impact on the evaluation of higher education quality in Macao under the marketization background;3.The prediction accuracy rate of the GA-BP model for quality satisfaction reaches 90.036%,which is higher than that of the traditional BP model(89.193%)and shows a better fitting effect.Based on the research results,the optimization paths for the quality assurance of higher education in Macao proposed in this study can provide empirical basis for the institutional restructuring of Macao’s higher education in the process of marketization transition,and also offer reference for the improvement of higher education quality in similar regions.展开更多
BACKGROUND Bile spillage occurs more frequently in patients with incidental gallbladder carcinoma(iGBC)and may be associated with poor survival due to presumed high risk of peritoneal seeding.AIM To investigate the im...BACKGROUND Bile spillage occurs more frequently in patients with incidental gallbladder carcinoma(iGBC)and may be associated with poor survival due to presumed high risk of peritoneal seeding.AIM To investigate the impact of bile spillage during primary surgery on the survival of patients with iGBC.METHODS Medical records of patients with iGBC diagnosed between 2000 and 2019 in 27 Dutch secondary centers and 5 tertiary centers were retrospectively reviewed.Patient medical records were assessed.Predictors for overall survival(OS)were determined using multivariable Cox regression.RESULTS Of the 346 included patients with iGBC,138(39.9%)had bile spillage,which was associated with higher American Society of Anesthesiologists classification(P=0.020),cholecystitis(P<0.001),higher tumor stage(P=0.005),and non-radical resection(P<0.001).Bile spillage was associated with poor OS[hazard ratio=1.97,95%confidence interval(CI):1.48-2.63,P<0.001]with a median OS of 12 months(95%CI:7-18 months)vs 34 months(95%CI:14-55 months,P<0.001).In multivariable analysis,spillage was not an independent prognostic factor for survival(hazard ratio=1.21,95%CI:0.84-1.74,P=0.313).CONCLUSION Although bile spillage correlates with prognostic factors,it lacks independent prognostic significance for survival.Patients with an indication for additional treatment should be promptly referred to a specialized hepatopancreatobiliary center,irrespective of whether bile spillage has occurred.展开更多
Purpose： This study aims at identifying potential industry-university-research collaboration（IURC） partners effectively and analyzes the conditions and dynamics in the IURC process based on innovation chain theory....Purpose： This study aims at identifying potential industry-university-research collaboration（IURC） partners effectively and analyzes the conditions and dynamics in the IURC process based on innovation chain theory.Design/methodology/approach： The method utilizes multisource data, combining bibliometric and econometrics analyses to capture the core network of the existing collaboration networks and institution competitiveness in the innovation chain. Furthermore, a new identification method is constructed that takes into account the law of scientific research cooperation and economic factors.Findings： Empirical analysis of the genetic engineering vaccine field shows that through the distribution characteristics of creative technologies from different institutions, the analysis based on the innovation chain can identify the more complementary capacities among organizations.Research limitations： In this study, the overall approach is shaped by the theoretical concept of an innovation chain, a linear innovation model with specific types or stages of innovation activities in each phase of the chain, and may, thus, overlook important feedback mechanisms in the innovation process.Practical implications： Industry-university-research institution collaborations are extremely important in promoting the dissemination of innovative knowledge, enhancing the quality of innovation products, and facilitating the transformation of scientific achievements.Originality/value： Compared to previous studies, this study emulates the real conditions of IURC. Thus, the rule of technological innovation can be better revealed, the potential partners of IURC can be identified more readily, and the conclusion has more value.展开更多
Institutional development and the substantial governance outcomes have continued to be a big theme in Political Science.This paper focuses on partnership practices in public works construction and decision-making case...Institutional development and the substantial governance outcomes have continued to be a big theme in Political Science.This paper focuses on partnership practices in public works construction and decision-making cases in city and urban settings(as a socio-political environment).In these settings,the management of policy regarding space and time should conduct on understandings of the various dimensions of institutional settings.We are going to emphasize institution and coordination in the public policy process.So,this paper attempted to describe chronological restrictions that were generated by long-term interactions and institutional transformation’s patterns from a historical institutional view.As much as possible,we have analyzed the following micro-institutional experiments,participatory governance(Case I)and public works executions(Cases II and III)to show the institutional development patterns precisely.展开更多
Taking Changli Fruit Tree Research Institute of Hebei Academy of Agricultural and Forestry Sciences as an example,starting from the importance of strengthening scientific and technological propaganda work in agricultu...Taking Changli Fruit Tree Research Institute of Hebei Academy of Agricultural and Forestry Sciences as an example,starting from the importance of strengthening scientific and technological propaganda work in agricultural research institutes,the current situation of scientific and technological propaganda work in agricultural research institutes is analyzed in this paper.In response to the problems of lack of targeted evaluation mechanism,lack of distinctive publicity forms,and weak news sensitivity of science and technology propaganda workers in agricultural research institutions,strategies such as establishing a scientific and standardized evaluation system,improving incentive policies,deeply exploring propaganda content,leveraging the joint advantages of new and traditional media,and cultivating and training science and technology propaganda teams are proposed.展开更多
基金supported by two funding sources:(1)The Youth Program of the Humanities and Social Sciences Research Fund,Ministry of Education of China(Grant 18YJC630064)(2)Peking Union Medical College Hospital Talent Cultivation Program(Category C)(Grant UBJ12930).
文摘Background:Strengthening the patient safety culture is essential for improving healthcare service quality and ensuring patient safety.The study's aim was to investigate the current status of patient safety culture in traditional Chinese medicine institutions and its associated factors to provide scientific recommendations for improvement.Methods:This cross‐sectional study was conducted October 14–18,2024.Four traditional Chinese medicine institutions in Zhejiang Province,China,were selected using convenience sampling,and the expected sample size was 544 participants.Data were collected using the Hospital Survey on Patient Safety Culture questionnaire,which comprises two sections:individual characteristics and patient safety culture.The latter comprises 10 dimensions with 32 items rated on a five‐point Likert scale.Dimension scores were calculated as the mean of corresponding item scores,and the overall score as the mean of all dimension scores.Descriptive statistics,t‐tests,analysis of variance,and multiple linear regression were used to analyze current status and associated factors of patient safety culture.Results:A total of 522 valid questionnaires were collected.The average patient safety culture score was 3.92.Among the dimensions,“F Communication About Error”received the highest score and“H Reporting Patient Safety Events”the lowest score.Age,monthly income,hospital grade,professional title,and weekly working hours were identified as independent factors associated with patient safety culture.Conclusion:The overall patient safety culture in the traditional Chinese medicine institutions of Zhejiang Province is relatively high but is affected by multiple factors.Further efforts are needed to implement diverse strategies aimed at strengthening patient safety culture within traditional Chinese medicine institutions.
文摘Purpose:Interdisciplinary research has become a critical approach to addressing complex societal,economic,technological,and environmental challenges,driving innovation and integrating scientific knowledge.While interdisciplinarity indicators are widely used to evaluate research performance,the impact of classification granularity on these assessments remains underexplored.Design/methodology/approach:This study investigates how different levels of classification granularity-macro,meso,and micro-affect the evaluation of interdisciplinarity in research institutes.Using a dataset of 262 institutes from four major German non-university organizations(FHG,HGF,MPG,WGL)from 2018 to 2022,we examine inconsistencies in interdisciplinarity across levels,analyze ranking changes,and explore the influence of institutional fields and research focus(applied vs.basic).Findings:Our findings reveal significant inconsistencies in interdisciplinarity across classification levels,with rankings varying substantially.Notably,the Fraunhofer Society(FHG),which performs well at the macro level,experiences significant ranking declines at meso and micro levels.Normalizing interdisciplinarity by research field confirmed that these declines persist.The research focus of institutes,whether applied,basic,or mixed,does not significantly explain the observed ranking dynamics.Research limitations:This study has only considered the publication-based dimension of institutional interdisciplinarity and has not explored other aspects.Practical implications:The findings provide insights for policymakers,research managers,and scholars to better interpret interdisciplinarity metrics and support interdisciplinary research effectively.Originality/value:This study underscores the critical role of classification granularity in interdisciplinarity assessment and emphasizes the need for standardized approaches to ensure robust and fair evaluations.
文摘Introduction: Malignant sylvian infarction (MSI) is a type of ischemic stroke (ICS) usually affecting the entire territory of the middle cerebral artery (MCA) associated with significant cerebral edema and a mass. It represents about 10% of all AICs, with a mortality of up to 80%. The objectives of our study were to describe the sociodemographic profile and the main clinical manifestations and identify the prognostic factors of ISM. Material and Methods: We conducted a retrospective descriptive study over a 2-year period. It included patients hospitalized for cerebral infarction involving 2/3 of the ACM territory with a NIHSS score ≥ 17 and/or a Glasgow score Results: We collected 223 patients hospitalized for ischemic stroke, of whom 21 patients (9.4%) presented with ISM. The mean age was 57.43 ± 24.24 years with a male predominance (52.4%). The mean admission time was 47 ± 0.87 hours, and hemiplegia was the frequent neurological sign (85.7%). HBP was the common cardiovascular risk factor (76.2%). The mean NIHSS at admission was 18.38 ± 12.29. Respiratory distress (p-value = 0.00015), aspiration pneumonia (p-value = 0.015) and brain herniation (p-value = 0.014) were the main complications associated with mortality. Conclusion: ISM is associated with poor prognosis in the absence of surgical treatment. Respiratory distress, aspiration pneumonia and brain herniation are associated with high mortality.
文摘On January 212025,the CNPC Economics&Technology Research Institute,a national high-end think tank,released the annual report on the oil and gas industry in Beijing for the 17th consecutive year,titled the“2024 Domestic and International Oil and Gas Industry Development Report”(referred to as the“Industry Report”).
文摘BACKGROUND Antimicrobial resistance(AMR)is an escalating global health threat,disproportionately impacting low-income and middle-income countries like India.The rise of multidrug-resistant organisms(MDROs)complicates treatment,increases healthcare costs,and contributes to higher morbidity and mortality.In India,factors such as antibiotic misuse,over-the-counter availability,and self-medication have exacerbated this crisis.Despite the urgency,regional data on MDRO prevalence remains limited.AIM To assess the burden and distribution of MDRO infections identified at a tertiary healthcare institute in North India.METHODS This cross-sectional study analyzed inpatient data from All India Institute of Medical Sciences(AIIMS)Rishikesh using the E-hospital database from May 2021 to February 2024,except 2022.All inpatients with culture-confirmed MDRO infections were included.Patient charts and discharge summaries were reviewed.Data analysis was performed using Jamovi software,with descriptive statistics summarizing demographics.Theχ²test was used to assess associations between MDROs and various factors.Ethical approval was obtained,and patient confidentiality was maintained.RESULTS This study included 820 participants having 1106 MDROs.The majority of patients were aged 35-64 years,with a male predominance(57.6%).Most cases were from Uttar Pradesh(49.1%)and Uttarakhand(47.6%),with Bijnor and Haridwar districts reporting the highest burden from their respective states.Klebsiella pneumoniae(K.pneumoniae)(30.6%),Acinetobacter baumannii(16.7%),and Escherichia coli(E.coli)(16.7%)were the most common MDROs.Urine was the most frequent sample type(51.0%),with K.pneumoniae as the leading pathogen.Infections varied significantly across departments(P<0.001),with General Medicine and Surgery reporting the highest burden.E.coli and Klebsiella spp.were most prevalent in these departments respectively.MDRO prevalence fluctuated over time,with significant variations by quarter(P<0.001).Following the second coronavirus disease 2019 wave,there was a rapid surge in MDROs,which stabilized after approximately three months.The overall mortality among patients harboring MDROs was 25.9%.CONCLUSION This study highlights the burden of MDROs among patients at AIIMS Rishikesh,with K.pneumoniae as the predominant pathogen.Strengthening antimicrobial stewardship and infection control measures is essential to combat rising AMR,with department-specific,and pathogen-specific stewardships.
文摘This essay critically re-examines pedagogical authority in the age of artificial intelligence(AI)and hybrid learning.As AI technologies disrupt the traditional teacher-centered paradigm and hybrid formats dissolve spatial hierarchies,educational authority becomes increasingly distributed and relational.The essay deconstructs conventional models rooted in institutional hierarchy and physical presence,advocating instead for an ethics-driven,dialogic,and technologically literate approach.Educators must transition from authoritative figures to facilitators of critical inquiry,capable of guiding students through algorithmic structures and promoting inclusive,participatory learning.By embracing relational authority and transparent pedagogical practices,higher education can reclaim its transformative and democratic potential in a post-AI landscape.
基金Chongqing Institute of Engineering School-level Project:Research on Urban Waterfront Landscape Design Based on the Concept of River Ecological Restoration-Taking the Section of Chongqing Institute of Engineering on Huaxi River as an Example(Project No.:2022xskz02)。
文摘Since the reform and opening up,the development approach targeting urban economic growth has led to a sharp increase in the proportion of impervious hardened surfaces in cities and significant waste of natural resources.The urgent need for water ecological civilization construction is of great significance to the continuation of human civilization in the long run.This paper focuses on the urban waterfront landscape design of the Chongqing Institute of Engineering section of the Huaxi River in Banan District,emphasizing the concept of“symbiosis”.Using site cultural symbols as a medium to connect the campus and the city on both sides of the river,returning the riverbank to the people,restoring the ecological space of the riverfront,enriching the landscape belt,promoting the protection of bird and fish habitats,and stimulating the vitality of the riverbank space;it aims to pave the way for ecological restoration,functional expansion,landscape renewal,and riverfront space activation at the study site.
文摘Introduction: Pain has been defined for more than 20 years by the International Association for the Study of Pain (IASP) as an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. It has been recognized as a feature of Parkinson’s disease (PD) since the first descriptions of the disease. Material and Methods: This was a prospective descriptive study lasting six (06) months from November 1, 2023 to April 30, 2024. We included all patients diagnosed with PD and who had pain. Sociodemographic, clinical, paraclinical and therapeutic data were evaluated for each patient. Results: We identified a sample of 62 Parkinson’s patients, of whom 52 patients or 85.2% had associated pain. We noted a male predominance (38M/14F) and a sex ratio of 2.71. Musculoskeletal pain was common in 80% of our respondents. WHO level I, antidepressants and background treatment for KD were the most prescribed molecules. Conclusion: Our study shows a frequency of pain in PD. However, musculoskeletal pain is the most frequently encountered type of pain in PD patients. WHO step I analgesics, antidepressants and background treatment of KD were the main prescriptions in our study.
基金supported by the Foundation of Shanwei Institute of Technology(swjy23-008).
文摘The software technology field is facing new talent demands brought by the Information Technology Application Innovation(ITAI)industry.This paper takes Shanwei Institute of Technology as an example to deeply explore the construction of a school-enterprise community education model driven by the ITAI industry.It establishes the Kirin Workshop training base to facilitate talent cultivation,integrates the ITAI Application Adaptation Center to enhance technical capabilities,cooperates with Liqi Technology to establish an industrial college for government talent training,adjusts the professional curriculum system,and arranges for students to participate in ITAI vocational skills competitions.The school-enterprise collaborative cultivation mechanism meets the talent needs of the ITAI field,with effective practical results.This paper also points out the shortcomings of the school-enterprise collaborative education model in the ITAI industry and provides optimization methods to explore new paths for industry-education integration and serve the development of regional and national ITAI industries^([1]).
文摘The negative impacts of natural hazards on communities at all scales have been increasing.Floods comprise one such natural hazard that has emerged as one of the most destructive in the US and worldwide.While a lot of damage is estimated in terms of the cost of rebuilding infrastructure and direct loss of economy,the negative impacts of such disruptions go beyond the physical infrastructure.The impact on(and of)the social and institutional framework is rarely examined in conjunction with the physical and technical aspects.This paper examines flood vulnerability and risk of a community at an intersection of social,ecological,technical,and intuitional perspectives,and presents a framework for a holistic flood vulnerability and risk assessment that has a strong foundation in all four aspects of a resilient community.The study builds on the existing risk,vulnerability,and hazard assessment approaches,and refines them with a holistic perspective.The study uses a mixed method approach with qualitative and quantitative methodologies to assess flood occurrence probabilities,vulnerability,and risk from the social,ecological,technical,and institutional perspectives.A case study of the City of Atlanta is conducted using the framework to assess the overall vulnerability and risk of the city.The results of this analysis show that the regions that have the highest probability of flood hazard occurrence also appear to have the highest social,ecological,and technical vulnerabilities in the Atlanta area.While the results are intuitive,the applications support a focus on holistic resilience building across these four criteria.This study is potentially useful to practitioners,researchers,government agencies,and community organizations working to mitigate flood risk particularly as this risk continues to evolve with the changing climate.
基金supported in part by the Education Reform Key Projects of Heilongjiang Province under Grant Nos.SJGZ20220011,SJGZ20220012,and SJGZY2024008。
文摘In response to the current issues in the construction of software engineering(SE)degree granting program,such as insufficient resource integration,low level of internationalization,and inadequate quality control,we propose the Software Engineering Degree Granting Program Construction Practice Project at Harbin Institute of Technology(HIT).This project aims to explore new models for software talent cultivation,establish a superior SE degree granting program,and ultimately cultivate outstanding internationalized composite SE professionals to support the high-quality development of the national software industry.To this end,we design a distinctive overall construction idea and plan for the SE degree granting program,which are characterized by“3I3S:three highlights for specialized cultivation and strictness in three aspects to ensure quality control”.After years of practice and validation of the project at the School of Software at HIT,this project has proven effective in optimizing talent cultivation models,enhancing students’practical abilities,promoting international exchange and cooperation,advancing industry-education integration,and meeting industrial needs.
文摘Performance evaluation,as a multidimensional and comprehensive assessment tool,plays a pivotal role in accurately reflecting the quality of higher education and effectively promoting institutional governance.In the evolving landscape of educational reform,nonprofit private universities in China face pressing challenges in leveraging performance evaluations to standardize internal operations,guide strategic development,and foster public trust.This paper focuses on these institutions and conducts an in-depth analysis of existing problems in performance evaluation practices.Drawing on contemporary theoretical frameworks and empirical experiences,it proposes feasible,targeted governance strategies.The aim is to offer both theoretical insights and practical guidelines to support the sustainable development of non-profit private universities and to help these institutions better integrate into the national education system while fulfilling their social missions.
基金supported by Continuous-Support Basic Scientific Research Project(No.BJ010261223282)the National Natural Science Foundation of China(Nos.U2167201,11975318)+2 种基金the State Key Laboratory of Nuclear Physics and TechnologyPeking University(No.NPT2023KFY01)the Research and Development Project of China National Nuclear Corporation。
文摘The prompt fission neutron spectrum(PFNS)is a key nuclear data quantity that is of particular interest and plays a crucial role in understanding and modeling fission processes.An array comprising 48 liquid scintillation detectors and a parallelplate avalanche counter(PPAC)was developed at the China Institute of Atomic Energy(CIAE)to measure the PFNS of actinide nuclei.Efficiency and energy calibrations were performed for all the liquid scintillators,and their efficiencies were consistently found to be better than 5%.The time resolutions of the PPAC and liquid scintillators were measured to be 1.08 ns and 1.16 ns using~(252)Cf and~(207)Bi sources,respectively.The pulse shape discrimination of the liquid scintillator was utilized to identify neutron andγsignals on an event-by-event basis,and the figure of merit was deduced as 1.12 at a 200 ke Vee threshold.The contribution to the PFNS from multiple scattered neutrons was evaluated via Geant4 simulations,and those originating from the environment were found to be comparable to the crosstalk between the detectors.The neutron efficiency of the entire detection array was calibrated using a~(252)Cf spontaneous fission source and was demonstrated to be consistent with the Geant4 simulation results,which verified the reliability of the detection array.
基金2024 University-level Innovation and Entrepreneurship Educational Reform Project,“Research on the Innovation and Entrepreneurship Education Model of Higher Vocational Colleges Based on the Theory of Technological Innovation Diffusion”(Project No.:CYJG202414)Academic Year Higher Education Institution Graduate Employment and Entrepreneurship Research Project,“Research on Strategies for Cultivating Innovation and Entrepreneurship Abilities Among Graduates of Higher Vocational Colleges”(Project No.:GJXY2024N083)2024 Guangdong Province General Higher Education Institution Specialized Innovation Project,“Research on a Specialized-Entrepreneurial Integration Talent Development System Guided by Core Competencies in the Era of Artificial Intelligence”(Project No.:2024WTSCX339)。
文摘Addressing the core weaknesses in the innovation and entrepreneurship capabilities of vocational college graduates,such as market insight and risk tolerance,as well as issues with the existing training model,including courses that are disconnected from industry,a lack of systematic practical training,and superficial school-enterprise cooperation,this paper constructs a“three-dimensional,four-dimensional”training system.The“three-dimensional”foundational framework encompasses three pillars:curriculum,general education layer,professional integration layer,practical application layer,practice as in three stages:introductory,simulated,and practical,and support including dual mentors,policies,and platforms.The“four-dimensional”differentiated strategies include four implementation pathways:professional differentiation,stage differentiation,addressing capability shortcomings,and school-government-industry collaboration.This system is grounded in theories such as multiple intelligences theory and systems theory,forming a closed-loop process of“theoretical input—practical application—support mechanisms”.Based on the practices of Guangdong Vocational Institute of Public Administration,the paper proposes a competency development pathway tailored by major and stage,which can effectively enhance the innovative and entrepreneurial core competencies of vocational college graduates.This provides a replicable systematic solution for vocational college innovative and entrepreneurial education,supporting vocational education reform and regional economic development.
文摘Introduction: Vitamin D plays a key role in phosphocalcic metabolism, in normal functioning of the immune system and in the prevention of certain forms of cancer. Systematic vitamin D supplementation has been implemented in most Western countries, which has drastically reduced the prevalence of rickets. In Senegal, a country with enough sunshine, no large-scale data exists on vitamin D deficiency in children. In addition, there are no guidelines from the Ministry of Health and Social Action (MoHSA) on vitamin D supplementation. Our objective was to determine the prevalence of vitamin D deficiency in children aged 6 to 59 months and to analyze the factors associated with it at the Institute of Social Pediatrics in Pikine-Guédiawaye, a suburb of Dakar. Patients and Methods: This was a prospective, descriptive and analytical cross-sectional study over a 3-month period (from January to March 2024) at the Institute of Social Pediatric (IPS) of Pikine-Guédiawaye. The study population consisted of all children aged 6 to 59 months free from any acute or chronic pathology, whose parents had agreed to answer the questionnaires after having consented and signed the consent and children who had had a sample taken for vitamin D dosage. Results: We included 102 children, 35 of whom had vitamin D deficiency, i.e. a prevalence of 34.31% with a slight male predominance (sex ratio 1.05). Infants aged 13 - 24 months were more affected (41.67%), but the difference was not statistically significant (p-value = 0.385). Patients with acute malnutrition had a significantly higher prevalence of vitamin D deficiency (54.17% of cases versus 28.38%) in those without acute malnutrition (p = 0.02). On the other hand, chronic malnutrition, underweight and diversification foods were not significantly associated with vitamin D deficiency (p of 0.60, 0.42 and 0.09 respectively). Conclusion: Vitamin deficiency affects one-third of apparently healthy children under 5 and this deficiency has no significant relationship with diversification foods. This suggests that the observed vitamin D deficiencies are less related to diet than to lack of sun exposure.
基金supported by the 2024 Special Doctoral Research Grant(No.BS20240229)“Research on Quality Assurance in International Higher Education”at Kaili University.
文摘The marketization of higher education has become a global trend.As a micro-economy,Macao faces unique quality assurance challenges in the marketization transition of its higher education system.Based on the market mechanism theory,this study constructs a three-dimensional evaluation index system of“market accountability mechanism—market competition mechanism—market feedback mechanism”,aiming to explore the core influencing factors and optimization paths for the quality assurance of higher education in Macao from the perspective of marketization transition.This study employs a questionnaire survey method and conducts empirical research on 522 undergraduate students from 4 universities in Macao.The results show that:(1)Under the background of marketization,the overall evaluation score of students on the quality of higher education in Macao is 3.70 on a 5-point scale;(2)Three factors,namely external evaluation(β=0.902,p<0.001),inter-institutional competition(β=0.225,p<0.001)and intra-institutional competition(β=−0.230,p<0.001),have a significant impact on the evaluation of higher education quality in Macao under the marketization background;3.The prediction accuracy rate of the GA-BP model for quality satisfaction reaches 90.036%,which is higher than that of the traditional BP model(89.193%)and shows a better fitting effect.Based on the research results,the optimization paths for the quality assurance of higher education in Macao proposed in this study can provide empirical basis for the institutional restructuring of Macao’s higher education in the process of marketization transition,and also offer reference for the improvement of higher education quality in similar regions.
文摘BACKGROUND Bile spillage occurs more frequently in patients with incidental gallbladder carcinoma(iGBC)and may be associated with poor survival due to presumed high risk of peritoneal seeding.AIM To investigate the impact of bile spillage during primary surgery on the survival of patients with iGBC.METHODS Medical records of patients with iGBC diagnosed between 2000 and 2019 in 27 Dutch secondary centers and 5 tertiary centers were retrospectively reviewed.Patient medical records were assessed.Predictors for overall survival(OS)were determined using multivariable Cox regression.RESULTS Of the 346 included patients with iGBC,138(39.9%)had bile spillage,which was associated with higher American Society of Anesthesiologists classification(P=0.020),cholecystitis(P<0.001),higher tumor stage(P=0.005),and non-radical resection(P<0.001).Bile spillage was associated with poor OS[hazard ratio=1.97,95%confidence interval(CI):1.48-2.63,P<0.001]with a median OS of 12 months(95%CI:7-18 months)vs 34 months(95%CI:14-55 months,P<0.001).In multivariable analysis,spillage was not an independent prognostic factor for survival(hazard ratio=1.21,95%CI:0.84-1.74,P=0.313).CONCLUSION Although bile spillage correlates with prognostic factors,it lacks independent prognostic significance for survival.Patients with an indication for additional treatment should be promptly referred to a specialized hepatopancreatobiliary center,irrespective of whether bile spillage has occurred.
基金funded by National Natural Science Foundation of China (Grant No. 71704170)the China Postdoctoral Science Foundation funded project (Grant No. 2016M590124)the Youth Innovation Promotion Association, CAS (Grant No. 2016159)
文摘Purpose： This study aims at identifying potential industry-university-research collaboration（IURC） partners effectively and analyzes the conditions and dynamics in the IURC process based on innovation chain theory.Design/methodology/approach： The method utilizes multisource data, combining bibliometric and econometrics analyses to capture the core network of the existing collaboration networks and institution competitiveness in the innovation chain. Furthermore, a new identification method is constructed that takes into account the law of scientific research cooperation and economic factors.Findings： Empirical analysis of the genetic engineering vaccine field shows that through the distribution characteristics of creative technologies from different institutions, the analysis based on the innovation chain can identify the more complementary capacities among organizations.Research limitations： In this study, the overall approach is shaped by the theoretical concept of an innovation chain, a linear innovation model with specific types or stages of innovation activities in each phase of the chain, and may, thus, overlook important feedback mechanisms in the innovation process.Practical implications： Industry-university-research institution collaborations are extremely important in promoting the dissemination of innovative knowledge, enhancing the quality of innovation products, and facilitating the transformation of scientific achievements.Originality/value： Compared to previous studies, this study emulates the real conditions of IURC. Thus, the rule of technological innovation can be better revealed, the potential partners of IURC can be identified more readily, and the conclusion has more value.
文摘Institutional development and the substantial governance outcomes have continued to be a big theme in Political Science.This paper focuses on partnership practices in public works construction and decision-making cases in city and urban settings(as a socio-political environment).In these settings,the management of policy regarding space and time should conduct on understandings of the various dimensions of institutional settings.We are going to emphasize institution and coordination in the public policy process.So,this paper attempted to describe chronological restrictions that were generated by long-term interactions and institutional transformation’s patterns from a historical institutional view.As much as possible,we have analyzed the following micro-institutional experiments,participatory governance(Case I)and public works executions(Cases II and III)to show the institutional development patterns precisely.
文摘Taking Changli Fruit Tree Research Institute of Hebei Academy of Agricultural and Forestry Sciences as an example,starting from the importance of strengthening scientific and technological propaganda work in agricultural research institutes,the current situation of scientific and technological propaganda work in agricultural research institutes is analyzed in this paper.In response to the problems of lack of targeted evaluation mechanism,lack of distinctive publicity forms,and weak news sensitivity of science and technology propaganda workers in agricultural research institutions,strategies such as establishing a scientific and standardized evaluation system,improving incentive policies,deeply exploring propaganda content,leveraging the joint advantages of new and traditional media,and cultivating and training science and technology propaganda teams are proposed.
