The delivery of targeted family education guidance services is essential for establishing a three-in-one education model that encompasses families,schools,and communities.It is also the key to creating a favorable edu...The delivery of targeted family education guidance services is essential for establishing a three-in-one education model that encompasses families,schools,and communities.It is also the key to creating a favorable educational environment that promotes the comprehensive and healthy development of individual students.To gain a comprehensive understanding of family education characteristics and trends in Chinese counties,accurately tap into the educational needs of parents,and effectively identify strengths and weaknesses in family education guidance services,this paper employed a quantitative research method based on a questionnaire survey and interview data from J district of C city after years of continuous monitoring of the quality of family education in the area,aiming to explore these issues and put forward several suggestions for improvement.The results indicate that the family learning environment and atmosphere in the district are generally favorable,while parental educational competence requires further improvement.Parents express a strong desire for interactive,systematic,and fragmented family education guidance from schools.Most parents acknowledge the significance of receiving guidance on family education,yet they are disinclined to actively engage in learning-related activities.While the operational mechanisms of county-level family education guidance services have been continuously improved,there is a need for greater overall coordination.Furthermore,the potential of school-led family education guidance services has yet to be fully tapped,and the scientific and professional standards of such guidance need to be further enhanced.Based on the aforementioned findings,we propose recommendations for improvement.Using J district’s effective improvement practices in management,curriculum,and teams as an example,we intend to explore practical ways to promote county-level family education guidance services and provide a valuable reference for the establishment of a comprehensive and effective system to improve such services.展开更多
The data of cultivated land quality monitoring sites,and the current situations and evolution trend of soil organic matter in cultivated land in Northeast China were analyzed.Then,the causes for low organic matter con...The data of cultivated land quality monitoring sites,and the current situations and evolution trend of soil organic matter in cultivated land in Northeast China were analyzed.Then,the causes for low organic matter content were discussed.Finally,it came up with pertinent soil improvement recommendations,including actively promoting the quality protection technology model of cultivated land such as straw returning in accordance with local conditions,expanding organic fertilizer sources and increasing application of organic fertilizers,implementing reasonable crop rotation,planting green manure crops such as legumes,and realizing the combination of land use and land cultivation,establishing a reasonable fertilization system,combining organic and inorganic fertilizers with scientific fertilization,increasing fertilizer efficiency and reducing the application of chemical fertilizers,increasing financial investment and promoting the integration of funds related to cultivated land protection.展开更多
Objective To analyze the factors that impact the environment quality of cleaning operating room and to discuss improvement measurement. Methods Environment bacteria testing results and prevalence of surgical incision ...Objective To analyze the factors that impact the environment quality of cleaning operating room and to discuss improvement measurement. Methods Environment bacteria testing results and prevalence of surgical incision infection in cleaning operating room were retro-展开更多
Increasing production capacity and operating rate,reducing fuel rates and costs of hot metal (HM) are the urgent tasks for the COREX process.In this study,the various factors on the fuel consumption of COREX are resea...Increasing production capacity and operating rate,reducing fuel rates and costs of hot metal (HM) are the urgent tasks for the COREX process.In this study,the various factors on the fuel consumption of COREX are researched from the theoretical analysis based on the calculations of material balances and heat balances.Combined with the production performances and practices of COREX-2000 (Saldanha,India) and COREX-3000 (Baosteel),the technical measures of reducing the fuel rate are analyzed and the way forward of technical innovation is addressed and discussed with the standpoint of the COREX process improvement.展开更多
With the rapid development and wide application of the network,many universities conform to the development of thetimes and actively carry out online English teaching.Online teaching is an important choice for higher ...With the rapid development and wide application of the network,many universities conform to the development of thetimes and actively carry out online English teaching.Online teaching is an important choice for higher education in modern times.It takes the Internet as the transmission system and uses the characteristics and resources of the network to create a meaningfullearning environment different from traditional teaching,which is beneficial to students’learning.After decades of development,ithas become a good teaching mode in addition to the traditional classroom teaching model.However,because its development inChina is still in its infancy,there are inevitably some shortcomings.This article discusses the advantages and disadvantages of on-line English teaching and puts forward some improvement measures.展开更多
In order to improve the quality of cultivated land in Liaoning Province in the light of local conditions,medium-and low-yielding farmland in Liaoning Province are divided into various zones according to characteristic...In order to improve the quality of cultivated land in Liaoning Province in the light of local conditions,medium-and low-yielding farmland in Liaoning Province are divided into various zones according to characteristics of the terrain,and the practical and feasible improvement measures are put forward based on the current situation and main existing problems in the medium- and low-yielding farmland in different areas.展开更多
BACKGROUND The minimal clinically important difference(MCID)is defined as the smallest meaningful change in a health domain that a patient would identify as important.Thus,an improvement that exceeds the MCID can be u...BACKGROUND The minimal clinically important difference(MCID)is defined as the smallest meaningful change in a health domain that a patient would identify as important.Thus,an improvement that exceeds the MCID can be used to define a successful treatment for the individual patient.AIM To quantify the rate of clinical improvement following anatomical total shoulder arthroplasty for glenohumeral osteoarthritis.METHODS Patients were treated with the Global Unite total shoulder platform arthroplasty between March 2017 and February 2019 at Herlev and Gentofte Hospital,Denmark.The patients were evaluated preoperatively and 3 months,6 months,12 months,and 24 months postoperatively using the Western Ontario Osteoarthritis of the Shoulder index(WOOS),Oxford Shoulder Score(OSS)and Constant-Murley Score(CMS).The rate of clinically relevant improvement was defined as the proportion of patients who had an improvement 24 months postoperatively that exceeded the MCID.Based on previous literature,MCID for WOOS,OSS,and CMS were defined as 12.3,4.3,and 12.8 respectively.RESULTS Forty-nine patients with a Global Unite total shoulder platform arthroplasty were included for the final analysis.Mean age at the time of surgery was 66 years(range 49.0-79.0,SD:8.3)and 65%were women.One patient was revised within the two years follow-up.The mean improvement from the preoperative assessment to the two-year follow-up was 46.1 points[95%confidence interval(95%CI):39.7-53.3,P<0.005]for WOOS,18.2 points(95%CI:15.5-21.0,P<0.005)for OSS and 37.8 points(95%CI:31.5-44.0,P<0.005)for CMS.Two years postoperatively,41 patients(87%)had an improvement in WOOS that exceeded the MCID,45 patients(94%)had an improvement in OSS that exceeded the MCID,and 42 patients(88%)had an improvement in CMS that exceeded the MCID.CONCLUSION Based on three shoulder-specific outcome measures we find that approximately 90%of patients has a clinically relevant improvement.This is a clear message when informing patients about their prognosis.展开更多
Boron is an ambitious fuel in energetic materials since its high heat release values,but its application is prohibited by low combustion efficiency and oxidization during storage.The polydopamine(PDA)was introduced in...Boron is an ambitious fuel in energetic materials since its high heat release values,but its application is prohibited by low combustion efficiency and oxidization during storage.The polydopamine(PDA)was introduced into boron particles,investigating the impact of PDA content on the energetic behavior of boron.The results indicated that the PDA coating formed a fishing net structure on the surface of boron particles.The heat release results showed that the combustion calorific value of B@PDA was higher than that of the raw boron.Specifically,the actual combustion heat of boron powder in B@10%PDA increased by 38.08%.Meanwhile,the DSC peak temperature decreased by 100.65℃under similar oxidation rate compared to raw boron.Simultaneously,the B@PDA@AP and B@AP composites were prepared,and their combustion properties were evaluated.It was demonstrated that B@10%PDA@AP exhibited superior performance in terms of peak pressure and burning time,respectively.The peak pressure is 12.43 kPa more than B@AP and burning time is 2.22 times higher than B@AP.Therefore,the coating of PDA effectively inhibits the oxidization of boron during storage and enhances the energetic behavior of boron and corresponding composites.展开更多
Background: Nigeria, a nation grappling with rapid population growth, economic intricacies, and complex healthcare challenges, particularly in Lagos State, the economic hub and most populous state, faces the challenge...Background: Nigeria, a nation grappling with rapid population growth, economic intricacies, and complex healthcare challenges, particularly in Lagos State, the economic hub and most populous state, faces the challenge of ensuring quality healthcare access. The overview of the effect of quality improvement initiatives in this paper focuses on private healthcare providers in Lagos State, Nigeria. The study assesses the impact of donor-funded quality improvement projects on these private healthcare facilities. It explores the level of participation, perceived support, and tangible effects of the initiatives on healthcare delivery within private healthcare facilities. It also examines how these initiatives influence patient inflow and facility ratings, and bring about additional benefits and improvements, provides insights into the challenges faced by private healthcare providers in implementing quality improvement projects and elicits recommendations for improving the effectiveness of such initiatives. Methods: Qualitative research design was employed for in-depth exploration, utilizing semi-structured interviews. Private healthcare providers in Lagos involved in the SP4FP Quality Improvement Project were purposively sampled for diversity. Face-to-face interviews elicited insights into participation, perceived support, and project effects. Questions covered participation levels, support perception, changes observed, challenges faced, and recommendations. Thematic analysis identified recurring themes from interview transcripts. Adherence to ethical guidelines ensured participant confidentiality and informed consent. Results: Respondents affirmed active involvement in the SP4FP Quality Improvement Project, echoing literature emphasizing private-sector collaboration with the public sector. While acknowledging positive influences on facility ratings, respondents highlighted challenges within the broader Nigerian healthcare landscape affecting patient numbers. Respondents cited tangible improvements, particularly in staff management and patient care processes, validating the positive influence of quality improvement projects. Financial constraints emerged as a significant challenge, aligning with existing literature emphasizing the pragmatic difficulties faced by private healthcare providers. Conclusions: This study illuminates the complex landscape of private healthcare provision in Lagos State, emphasizing the positive impact of donor-funded quality improvement projects. The findings provide nuanced insights, guiding policymakers, healthcare managers, and practitioners toward collaborative, sustainable improvements. As Nigeria progresses, these lessons will be crucial in shaping healthcare policies prioritizing population well-being.展开更多
Oil palm germplasm collected from Angola,Africa in 1991 were subjected to genetic variability potential studies.The collection was planted in the form of open-pollinated families as trials at the Malaysian Palm Oil Bo...Oil palm germplasm collected from Angola,Africa in 1991 were subjected to genetic variability potential studies.The collection was planted in the form of open-pollinated families as trials at the Malaysian Palm Oil Board(MPOB)Kluang Research Station,Johor,Malaysia,in 1994.Dura palms from 52 families and tenera palms from 44 families of MPOB-Angola were evaluated for their bunch yield and bunch quality components.The objectives of this study were to determine the genetic variability among the families and performance of MPOB-Angola germplasm for yield improvement.The analysis of variance(ANOVA)revealed highly significant differences between the dura and tenera families for most of the traits,suggesting the presence of high genetic variability,which is essential for breeding programmes.Among the duras,family AGO 02.02 displayed the best yield performance,with a high fresh fruit bunch,oil yield and total economic product at 240.40,29.46 and 37.93 kg palm^(-1)year^(-1),respectively.As for the teneras,family AGO 03.04 recorded the highest FFB yield and oil yield at 249.25 and 45.22 kg palm^(-1)year^(-1),respectively.Besides that,several families with big fruit sizes or producing a mean fruit weight of 14-17 g were also identified.Both dura and tenera from AGO 01.01 recorded the highest oil to bunch(O/B)of 17.76%and 28.65%,respectively.These findings will facilitate the selection of palms from the MPOB-Angola germplasm for future breeding programmes.展开更多
The environment of tobacco-growing soil directly affects the yield and quality of tobacco leaves.In order to solve problems of tobacco-growing soil degradation,low organic matter content and unbalanced soil nutrient s...The environment of tobacco-growing soil directly affects the yield and quality of tobacco leaves.In order to solve problems of tobacco-growing soil degradation,low organic matter content and unbalanced soil nutrient supply and promote sustainable and healthy development of tobacco production,this paper comprehensively discussed conservation and improvement techniques of tobacco-growing soil based on existing problems in Zhaoyang District,aiming to provide reference for tobacco-growing soil conservation.展开更多
BACKGROUND Gallbladder cancer is the most common malignancy of the biliary tract.Neo-adjuvant chemotherapy(NACT)has improved overall survival by enabling R0 resection.Currently,there is no consensus of guidelines for ...BACKGROUND Gallbladder cancer is the most common malignancy of the biliary tract.Neo-adjuvant chemotherapy(NACT)has improved overall survival by enabling R0 resection.Currently,there is no consensus of guidelines for neoadjuvant therapy in gallbladder cancer.As investigations continue to analyze the regimen and benefit of NACT for ongoing care of gallbladder cancer patients,we examined American College of Surgeons National Surgical Quality Improvement Program(NSQIP)database to determine if there was higher morbidity among the neo-adjuvant group within the 30-day post-operative period.We hypothesized patients who underwent NACT were more likely to have higher post-operative morbidity.AIM To investigate the 30-day post-operative morbidity outcomes between patients who received NACT and underwent surgery and patients who only had surgery.METHODS A retrospective analysis of the targeted hepatectomy NSQIP data between 2015 and 2019 was performed to determine if NACT in gallbladder cancer increased the risk for post-operative morbidity(bile leak,infection rate,rate of converting to open surgery,etc.)compared to the group who only had surgery.To calculate the odds ratio for the primary and secondary outcomes,a crude logistic regression was performed.RESULTS Of the 452 patients,52 patients received NACT prior to surgery.There were no statistically significant differences in the odds of morbidity between the two groups,including bile leak[odds ratio(OR),0.69;95%confidence interval(95%CI):0.16-2.10;P=0.55],superficial wound infection(OR,0.58;95%CI:0.03-3.02;P=0.61),and organ space wound infection(OR,0.63;95%CI:0.18-1.63;P=0.61).CONCLUSION There was no significant difference in the risk of 30-day post-operative morbidity between the NACT and surgery group and the surgery only group.展开更多
Soil is an essential component of what surrounds us in nature, providing as the basis for our infrastructure and construction. However, soil is not always suitable for construction due to a variety of geotechnical iss...Soil is an essential component of what surrounds us in nature, providing as the basis for our infrastructure and construction. However, soil is not always suitable for construction due to a variety of geotechnical issues such as inadequate bearing capacity, excessive settlement, and liquefaction susceptibility. Through improving the engineering qualities of soil, such as strength, permeability, and stability, ground grouting is a specific geotechnical method used. Using a fluid grout mixture injected into the subsurface, holes are filled and weak or loose strata are solidified as the material seeps into the soil matrix. The approach’s adaptability in addressing soil-related issues has made it more well-known in the fields of civil engineering and construction. In the end, this has improved groundwater management, foundation support, and overall geotechnical performance.展开更多
An individual’s self-image is a multi-dimensional and multi-structural concept.Its internal dimensions include ability,knowledge,values,personality,and temperament,and its external dimensions are physical appearance,...An individual’s self-image is a multi-dimensional and multi-structural concept.Its internal dimensions include ability,knowledge,values,personality,and temperament,and its external dimensions are physical appearance,behavior,and clothing.A good image will have a positive impact both in life and at work.We will choose appropriate clothing and makeup to modify the external image and cultivate positive qualities such as correct values and an optimistic attitude towards life to enhance internal dimensions.Among them,“personality”and“ability”mostly belong to the research category of mental health education,and“values”fit in the research field of ideological and political education.Ideological and political education and mental health education are both important components of higher education,which show similarities between them.Ideological and political education and mental health education can complement each other in many ways to enhance students’self-image.展开更多
This study investigated the status quo and further improvement needs of foreign language teachers’teaching competence in curriculum-based ideological education(CIE)in Xinjiang colleges and universities.The results sh...This study investigated the status quo and further improvement needs of foreign language teachers’teaching competence in curriculum-based ideological education(CIE)in Xinjiang colleges and universities.The results show that the teachers’teaching competence in CIE is generally good,with the“cultivating quality”being the highest and the“scientific research quality”the lowest;there still exist several problems,such as teachers’lack of theoretical knowledge in CIE,lack of teaching resources,and insufficient abilities in teaching design and research.It is hoped that with the support and efforts from university administrations,teachers can improve their teaching competence in CIE through various approaches adopted and multiple measures taken,thus optimizing their teaching effectiveness,promoting the construction of CIE in Xinjiang colleges and universities in the new era,and contributing to Xinjiang’s high-quality development.展开更多
Objective:To study the effect of repetitive peripheral magnetic stimulation(rPMS)combined with conventional rehabilitation measures on shoulder dysfunction in early stroke.Methods:60 patients with shoulder dysfunction...Objective:To study the effect of repetitive peripheral magnetic stimulation(rPMS)combined with conventional rehabilitation measures on shoulder dysfunction in early stroke.Methods:60 patients with shoulder dysfunction in early stroke were selected,and all of them were admitted to our hospital from August 2021 to August 2023.The patients were randomly grouped into a control group(conventional rehabilitation measures intervention,30 cases)and an intervention group(rPMS and conventional rehabilitation measures intervention,30 cases)according to the lottery method.The pain scores,shoulder mobility,and motor function scores of the two groups were compared.Results:The pain score was lower in the intervention group,and the shoulder mobility and motor function scores were higher in the intervention group(P<0.05)as compared to that of the control group.Conclusion:The effect of combining rPMS and conventional rehabilitation measures in treating shoulder dysfunction in early stroke was remarkable and should be popularized.展开更多
Sperm is essential for successful artificial insemination in dairy cattle,and its quality can be influenced by both epi-genetic modification and epigenetic inheritance.The bovine germline differentiation is characteri...Sperm is essential for successful artificial insemination in dairy cattle,and its quality can be influenced by both epi-genetic modification and epigenetic inheritance.The bovine germline differentiation is characterized by epigenetic reprogramming,while intergenerational and transgenerational epigenetic inheritance can influence the offspring’s development through the transmission of epigenetic features to the offspring via the germline.Therefore,the selec-tion of bulls with superior sperm quality for the production and fertility traits requires a better understanding of the epigenetic mechanism and more accurate identifications of epigenetic biomarkers.We have comprehensively reviewed the current progress in the studies of bovine sperm epigenome in terms of both resources and biological discovery in order to provide perspectives on how to harness this valuable information for genetic improvement in the cattle breeding industry.展开更多
The improvement of urbanization level in China and long-term development of economy in vast rural areas commonly impel rapid development of urbanization in China by " stronghold type" of small town and "...The improvement of urbanization level in China and long-term development of economy in vast rural areas commonly impel rapid development of urbanization in China by " stronghold type" of small town and " radiation type" of big town. Urbanization road with Chinese characteristics impels urbanization and industrialization development,which needs relying on the development of small town. Due to the impact of town,space environment of " village in town" changes,and rural memory weakens. The state of " non city and non township" deeply affects rural development. Meanwhile,due to limited by urban-rural dualism,top-down planning of " village in town" is obviously unworkable. In this paper,analysis and interpretation on the problems of " village in town" are conducted,the cause is found,and effective channel of solving problem is obtained.展开更多
The performance of clay-pile-pier system under earthquake shaking was comprehensively examined via three-dimensional finite element analyses,in which the complex stress-strain relationships of a clay and piled pier sy...The performance of clay-pile-pier system under earthquake shaking was comprehensively examined via three-dimensional finite element analyses,in which the complex stress-strain relationships of a clay and piled pier system were depicted by a hyperbolic-hysteretic and an equivalent elastoplastic model,respectively.One hundred twenty ground motions with varying peak accelerations were considered,along with the variations in bridge superstructure mass and pile flexural rigidity.Comprehensive comparison studies suggested that peak pile-cap acceleration and peak pile-cap velocity are the optimal ground motion intensity measures for seismic responses of the pier and the pile,respectively.Furthermore,based on two optimal ground motion intensity measures and using curvature ductility to quantify different damage states,seismic fragility analyses were performed.The pier generally had no evident damage except when the bridge girder mass was equal to 960 t,which seemed to be comparatively insensitive to the varying pile flexural rigidity.In comparison,the pile was found to be more vulnerable to seismic damage and its failure probabilities tended to clearly reduce with the increment of pile flexural rigidity,while the influence of the bridge girder mass was relatively minor.展开更多
基金the 2020 Chengdu Key Educational Research Project:“Research on School-led Curriculum Development and Implementation for Enhancing Parental Educational Competence”(CY2020ZE11).
文摘The delivery of targeted family education guidance services is essential for establishing a three-in-one education model that encompasses families,schools,and communities.It is also the key to creating a favorable educational environment that promotes the comprehensive and healthy development of individual students.To gain a comprehensive understanding of family education characteristics and trends in Chinese counties,accurately tap into the educational needs of parents,and effectively identify strengths and weaknesses in family education guidance services,this paper employed a quantitative research method based on a questionnaire survey and interview data from J district of C city after years of continuous monitoring of the quality of family education in the area,aiming to explore these issues and put forward several suggestions for improvement.The results indicate that the family learning environment and atmosphere in the district are generally favorable,while parental educational competence requires further improvement.Parents express a strong desire for interactive,systematic,and fragmented family education guidance from schools.Most parents acknowledge the significance of receiving guidance on family education,yet they are disinclined to actively engage in learning-related activities.While the operational mechanisms of county-level family education guidance services have been continuously improved,there is a need for greater overall coordination.Furthermore,the potential of school-led family education guidance services has yet to be fully tapped,and the scientific and professional standards of such guidance need to be further enhanced.Based on the aforementioned findings,we propose recommendations for improvement.Using J district’s effective improvement practices in management,curriculum,and teams as an example,we intend to explore practical ways to promote county-level family education guidance services and provide a valuable reference for the establishment of a comprehensive and effective system to improve such services.
文摘The data of cultivated land quality monitoring sites,and the current situations and evolution trend of soil organic matter in cultivated land in Northeast China were analyzed.Then,the causes for low organic matter content were discussed.Finally,it came up with pertinent soil improvement recommendations,including actively promoting the quality protection technology model of cultivated land such as straw returning in accordance with local conditions,expanding organic fertilizer sources and increasing application of organic fertilizers,implementing reasonable crop rotation,planting green manure crops such as legumes,and realizing the combination of land use and land cultivation,establishing a reasonable fertilization system,combining organic and inorganic fertilizers with scientific fertilization,increasing fertilizer efficiency and reducing the application of chemical fertilizers,increasing financial investment and promoting the integration of funds related to cultivated land protection.
文摘Objective To analyze the factors that impact the environment quality of cleaning operating room and to discuss improvement measurement. Methods Environment bacteria testing results and prevalence of surgical incision infection in cleaning operating room were retro-
文摘Increasing production capacity and operating rate,reducing fuel rates and costs of hot metal (HM) are the urgent tasks for the COREX process.In this study,the various factors on the fuel consumption of COREX are researched from the theoretical analysis based on the calculations of material balances and heat balances.Combined with the production performances and practices of COREX-2000 (Saldanha,India) and COREX-3000 (Baosteel),the technical measures of reducing the fuel rate are analyzed and the way forward of technical innovation is addressed and discussed with the standpoint of the COREX process improvement.
文摘With the rapid development and wide application of the network,many universities conform to the development of thetimes and actively carry out online English teaching.Online teaching is an important choice for higher education in modern times.It takes the Internet as the transmission system and uses the characteristics and resources of the network to create a meaningfullearning environment different from traditional teaching,which is beneficial to students’learning.After decades of development,ithas become a good teaching mode in addition to the traditional classroom teaching model.However,because its development inChina is still in its infancy,there are inevitably some shortcomings.This article discusses the advantages and disadvantages of on-line English teaching and puts forward some improvement measures.
文摘In order to improve the quality of cultivated land in Liaoning Province in the light of local conditions,medium-and low-yielding farmland in Liaoning Province are divided into various zones according to characteristics of the terrain,and the practical and feasible improvement measures are put forward based on the current situation and main existing problems in the medium- and low-yielding farmland in different areas.
文摘BACKGROUND The minimal clinically important difference(MCID)is defined as the smallest meaningful change in a health domain that a patient would identify as important.Thus,an improvement that exceeds the MCID can be used to define a successful treatment for the individual patient.AIM To quantify the rate of clinical improvement following anatomical total shoulder arthroplasty for glenohumeral osteoarthritis.METHODS Patients were treated with the Global Unite total shoulder platform arthroplasty between March 2017 and February 2019 at Herlev and Gentofte Hospital,Denmark.The patients were evaluated preoperatively and 3 months,6 months,12 months,and 24 months postoperatively using the Western Ontario Osteoarthritis of the Shoulder index(WOOS),Oxford Shoulder Score(OSS)and Constant-Murley Score(CMS).The rate of clinically relevant improvement was defined as the proportion of patients who had an improvement 24 months postoperatively that exceeded the MCID.Based on previous literature,MCID for WOOS,OSS,and CMS were defined as 12.3,4.3,and 12.8 respectively.RESULTS Forty-nine patients with a Global Unite total shoulder platform arthroplasty were included for the final analysis.Mean age at the time of surgery was 66 years(range 49.0-79.0,SD:8.3)and 65%were women.One patient was revised within the two years follow-up.The mean improvement from the preoperative assessment to the two-year follow-up was 46.1 points[95%confidence interval(95%CI):39.7-53.3,P<0.005]for WOOS,18.2 points(95%CI:15.5-21.0,P<0.005)for OSS and 37.8 points(95%CI:31.5-44.0,P<0.005)for CMS.Two years postoperatively,41 patients(87%)had an improvement in WOOS that exceeded the MCID,45 patients(94%)had an improvement in OSS that exceeded the MCID,and 42 patients(88%)had an improvement in CMS that exceeded the MCID.CONCLUSION Based on three shoulder-specific outcome measures we find that approximately 90%of patients has a clinically relevant improvement.This is a clear message when informing patients about their prognosis.
文摘Boron is an ambitious fuel in energetic materials since its high heat release values,but its application is prohibited by low combustion efficiency and oxidization during storage.The polydopamine(PDA)was introduced into boron particles,investigating the impact of PDA content on the energetic behavior of boron.The results indicated that the PDA coating formed a fishing net structure on the surface of boron particles.The heat release results showed that the combustion calorific value of B@PDA was higher than that of the raw boron.Specifically,the actual combustion heat of boron powder in B@10%PDA increased by 38.08%.Meanwhile,the DSC peak temperature decreased by 100.65℃under similar oxidation rate compared to raw boron.Simultaneously,the B@PDA@AP and B@AP composites were prepared,and their combustion properties were evaluated.It was demonstrated that B@10%PDA@AP exhibited superior performance in terms of peak pressure and burning time,respectively.The peak pressure is 12.43 kPa more than B@AP and burning time is 2.22 times higher than B@AP.Therefore,the coating of PDA effectively inhibits the oxidization of boron during storage and enhances the energetic behavior of boron and corresponding composites.
文摘Background: Nigeria, a nation grappling with rapid population growth, economic intricacies, and complex healthcare challenges, particularly in Lagos State, the economic hub and most populous state, faces the challenge of ensuring quality healthcare access. The overview of the effect of quality improvement initiatives in this paper focuses on private healthcare providers in Lagos State, Nigeria. The study assesses the impact of donor-funded quality improvement projects on these private healthcare facilities. It explores the level of participation, perceived support, and tangible effects of the initiatives on healthcare delivery within private healthcare facilities. It also examines how these initiatives influence patient inflow and facility ratings, and bring about additional benefits and improvements, provides insights into the challenges faced by private healthcare providers in implementing quality improvement projects and elicits recommendations for improving the effectiveness of such initiatives. Methods: Qualitative research design was employed for in-depth exploration, utilizing semi-structured interviews. Private healthcare providers in Lagos involved in the SP4FP Quality Improvement Project were purposively sampled for diversity. Face-to-face interviews elicited insights into participation, perceived support, and project effects. Questions covered participation levels, support perception, changes observed, challenges faced, and recommendations. Thematic analysis identified recurring themes from interview transcripts. Adherence to ethical guidelines ensured participant confidentiality and informed consent. Results: Respondents affirmed active involvement in the SP4FP Quality Improvement Project, echoing literature emphasizing private-sector collaboration with the public sector. While acknowledging positive influences on facility ratings, respondents highlighted challenges within the broader Nigerian healthcare landscape affecting patient numbers. Respondents cited tangible improvements, particularly in staff management and patient care processes, validating the positive influence of quality improvement projects. Financial constraints emerged as a significant challenge, aligning with existing literature emphasizing the pragmatic difficulties faced by private healthcare providers. Conclusions: This study illuminates the complex landscape of private healthcare provision in Lagos State, emphasizing the positive impact of donor-funded quality improvement projects. The findings provide nuanced insights, guiding policymakers, healthcare managers, and practitioners toward collaborative, sustainable improvements. As Nigeria progresses, these lessons will be crucial in shaping healthcare policies prioritizing population well-being.
文摘Oil palm germplasm collected from Angola,Africa in 1991 were subjected to genetic variability potential studies.The collection was planted in the form of open-pollinated families as trials at the Malaysian Palm Oil Board(MPOB)Kluang Research Station,Johor,Malaysia,in 1994.Dura palms from 52 families and tenera palms from 44 families of MPOB-Angola were evaluated for their bunch yield and bunch quality components.The objectives of this study were to determine the genetic variability among the families and performance of MPOB-Angola germplasm for yield improvement.The analysis of variance(ANOVA)revealed highly significant differences between the dura and tenera families for most of the traits,suggesting the presence of high genetic variability,which is essential for breeding programmes.Among the duras,family AGO 02.02 displayed the best yield performance,with a high fresh fruit bunch,oil yield and total economic product at 240.40,29.46 and 37.93 kg palm^(-1)year^(-1),respectively.As for the teneras,family AGO 03.04 recorded the highest FFB yield and oil yield at 249.25 and 45.22 kg palm^(-1)year^(-1),respectively.Besides that,several families with big fruit sizes or producing a mean fruit weight of 14-17 g were also identified.Both dura and tenera from AGO 01.01 recorded the highest oil to bunch(O/B)of 17.76%and 28.65%,respectively.These findings will facilitate the selection of palms from the MPOB-Angola germplasm for future breeding programmes.
基金Supported by Key Science and Technology Program of Yunnan Company of China National Tobacco Corporation (2020530000241022)General Science and Technology Program of Zhaotong Company of Yunnan Tobacco Company (ZT20235301001).
文摘The environment of tobacco-growing soil directly affects the yield and quality of tobacco leaves.In order to solve problems of tobacco-growing soil degradation,low organic matter content and unbalanced soil nutrient supply and promote sustainable and healthy development of tobacco production,this paper comprehensively discussed conservation and improvement techniques of tobacco-growing soil based on existing problems in Zhaoyang District,aiming to provide reference for tobacco-growing soil conservation.
文摘BACKGROUND Gallbladder cancer is the most common malignancy of the biliary tract.Neo-adjuvant chemotherapy(NACT)has improved overall survival by enabling R0 resection.Currently,there is no consensus of guidelines for neoadjuvant therapy in gallbladder cancer.As investigations continue to analyze the regimen and benefit of NACT for ongoing care of gallbladder cancer patients,we examined American College of Surgeons National Surgical Quality Improvement Program(NSQIP)database to determine if there was higher morbidity among the neo-adjuvant group within the 30-day post-operative period.We hypothesized patients who underwent NACT were more likely to have higher post-operative morbidity.AIM To investigate the 30-day post-operative morbidity outcomes between patients who received NACT and underwent surgery and patients who only had surgery.METHODS A retrospective analysis of the targeted hepatectomy NSQIP data between 2015 and 2019 was performed to determine if NACT in gallbladder cancer increased the risk for post-operative morbidity(bile leak,infection rate,rate of converting to open surgery,etc.)compared to the group who only had surgery.To calculate the odds ratio for the primary and secondary outcomes,a crude logistic regression was performed.RESULTS Of the 452 patients,52 patients received NACT prior to surgery.There were no statistically significant differences in the odds of morbidity between the two groups,including bile leak[odds ratio(OR),0.69;95%confidence interval(95%CI):0.16-2.10;P=0.55],superficial wound infection(OR,0.58;95%CI:0.03-3.02;P=0.61),and organ space wound infection(OR,0.63;95%CI:0.18-1.63;P=0.61).CONCLUSION There was no significant difference in the risk of 30-day post-operative morbidity between the NACT and surgery group and the surgery only group.
文摘Soil is an essential component of what surrounds us in nature, providing as the basis for our infrastructure and construction. However, soil is not always suitable for construction due to a variety of geotechnical issues such as inadequate bearing capacity, excessive settlement, and liquefaction susceptibility. Through improving the engineering qualities of soil, such as strength, permeability, and stability, ground grouting is a specific geotechnical method used. Using a fluid grout mixture injected into the subsurface, holes are filled and weak or loose strata are solidified as the material seeps into the soil matrix. The approach’s adaptability in addressing soil-related issues has made it more well-known in the fields of civil engineering and construction. In the end, this has improved groundwater management, foundation support, and overall geotechnical performance.
基金Sichuan Provincial Key Research Base for Philosophy and Social Sciences,Mental Health Education Research Project“Research on Self-Image Cognition Improvement Strategies of Higher Vocational Students Under the Background of Ideological and Political Education in Colleges and Universities”(XLJKJY202114C)。
文摘An individual’s self-image is a multi-dimensional and multi-structural concept.Its internal dimensions include ability,knowledge,values,personality,and temperament,and its external dimensions are physical appearance,behavior,and clothing.A good image will have a positive impact both in life and at work.We will choose appropriate clothing and makeup to modify the external image and cultivate positive qualities such as correct values and an optimistic attitude towards life to enhance internal dimensions.Among them,“personality”and“ability”mostly belong to the research category of mental health education,and“values”fit in the research field of ideological and political education.Ideological and political education and mental health education are both important components of higher education,which show similarities between them.Ideological and political education and mental health education can complement each other in many ways to enhance students’self-image.
基金2022 Project of Foreign Language Teaching and Research in Xinjiang Colleges and Universities-General Project“Research on the Approaches to Improving Foreign Language Teachers’Teaching Competence in Curriculum-Based Ideological Education in Xinjiang Colleges and Universities in the New Era”(Project number:XJGXWYJG2022B04)。
文摘This study investigated the status quo and further improvement needs of foreign language teachers’teaching competence in curriculum-based ideological education(CIE)in Xinjiang colleges and universities.The results show that the teachers’teaching competence in CIE is generally good,with the“cultivating quality”being the highest and the“scientific research quality”the lowest;there still exist several problems,such as teachers’lack of theoretical knowledge in CIE,lack of teaching resources,and insufficient abilities in teaching design and research.It is hoped that with the support and efforts from university administrations,teachers can improve their teaching competence in CIE through various approaches adopted and multiple measures taken,thus optimizing their teaching effectiveness,promoting the construction of CIE in Xinjiang colleges and universities in the new era,and contributing to Xinjiang’s high-quality development.
文摘Objective:To study the effect of repetitive peripheral magnetic stimulation(rPMS)combined with conventional rehabilitation measures on shoulder dysfunction in early stroke.Methods:60 patients with shoulder dysfunction in early stroke were selected,and all of them were admitted to our hospital from August 2021 to August 2023.The patients were randomly grouped into a control group(conventional rehabilitation measures intervention,30 cases)and an intervention group(rPMS and conventional rehabilitation measures intervention,30 cases)according to the lottery method.The pain scores,shoulder mobility,and motor function scores of the two groups were compared.Results:The pain score was lower in the intervention group,and the shoulder mobility and motor function scores were higher in the intervention group(P<0.05)as compared to that of the control group.Conclusion:The effect of combining rPMS and conventional rehabilitation measures in treating shoulder dysfunction in early stroke was remarkable and should be popularized.
基金funded by the National Key R&D Program of China(2021YFD1200903)Seed Fund(CAU),Shandong Provincial Natural Science Foundation(ZR2021MC070)+3 种基金the National Key R&D Program of China(2021YFF1000701-06)Shandong Provincial Natural Science Foundation(ZR2020MC165)the Earmarked Fund for CARS-36.X.W.is funded by the“Hundred Talents Program”project of Hebei Province(E2020100019)the research project of Zhongnongtongchuang(ZNTC)group(ZNTC2019A10 and ZNTC2021B12)in China.
文摘Sperm is essential for successful artificial insemination in dairy cattle,and its quality can be influenced by both epi-genetic modification and epigenetic inheritance.The bovine germline differentiation is characterized by epigenetic reprogramming,while intergenerational and transgenerational epigenetic inheritance can influence the offspring’s development through the transmission of epigenetic features to the offspring via the germline.Therefore,the selec-tion of bulls with superior sperm quality for the production and fertility traits requires a better understanding of the epigenetic mechanism and more accurate identifications of epigenetic biomarkers.We have comprehensively reviewed the current progress in the studies of bovine sperm epigenome in terms of both resources and biological discovery in order to provide perspectives on how to harness this valuable information for genetic improvement in the cattle breeding industry.
基金Supported by Jiangxi Art and Social Science Planning Project(YG2015036)
文摘The improvement of urbanization level in China and long-term development of economy in vast rural areas commonly impel rapid development of urbanization in China by " stronghold type" of small town and " radiation type" of big town. Urbanization road with Chinese characteristics impels urbanization and industrialization development,which needs relying on the development of small town. Due to the impact of town,space environment of " village in town" changes,and rural memory weakens. The state of " non city and non township" deeply affects rural development. Meanwhile,due to limited by urban-rural dualism,top-down planning of " village in town" is obviously unworkable. In this paper,analysis and interpretation on the problems of " village in town" are conducted,the cause is found,and effective channel of solving problem is obtained.
基金National Natural Science Foundation of China under Grant Nos.52178353,51808421the Fundamental Research Funds for the Central Universities(WUT:2020III043)。
文摘The performance of clay-pile-pier system under earthquake shaking was comprehensively examined via three-dimensional finite element analyses,in which the complex stress-strain relationships of a clay and piled pier system were depicted by a hyperbolic-hysteretic and an equivalent elastoplastic model,respectively.One hundred twenty ground motions with varying peak accelerations were considered,along with the variations in bridge superstructure mass and pile flexural rigidity.Comprehensive comparison studies suggested that peak pile-cap acceleration and peak pile-cap velocity are the optimal ground motion intensity measures for seismic responses of the pier and the pile,respectively.Furthermore,based on two optimal ground motion intensity measures and using curvature ductility to quantify different damage states,seismic fragility analyses were performed.The pier generally had no evident damage except when the bridge girder mass was equal to 960 t,which seemed to be comparatively insensitive to the varying pile flexural rigidity.In comparison,the pile was found to be more vulnerable to seismic damage and its failure probabilities tended to clearly reduce with the increment of pile flexural rigidity,while the influence of the bridge girder mass was relatively minor.
