简介:AbstractObjective:This survey was designed to understand the misconceptions about labor epidurals.Methods:This voluntary and anonymous online survey on wenjuan.com was conducted from September 1st, 2015 to January 1st, 2016 via mainly WeChat groups dedicated to perinatal healthcare providers in China. The questionnaire included items inquiring the knowledge and opinions about labor epidural analgesia related to maternal complications, baby safety, and effect on laboring. Incomplete surveys were excluded from the data analysis. The data was presented as percentages and a Chi-square test or Fisher’s exact test, as appreciate, was used to quantitatively compare the results.Results:A total of 1412 respondents completed surveys with 42.9% (606/1412) of them being anesthesiologists, 35.1% (495/1412) being obstetricians, 11.8% (167/1412) being midwives, 3.7% (52/1412) being labor and delivery nurses, and 6.5% (92/1412) being hospital administrators and unspecified. The study revealed a lack of knowledge in labor pain control. Although 82.4% (1164/1412) of respondents were familiar with labor epidural analgesia, 8.9% (126/1412) did not know how it works, and 1.1% (15/1412) never heard it in a multiple-choice question. The three main groups (anesthesiologists, obstetricians, and midwives/labor and delivery nurses) were chosen for comparisons. Opinions among these three groups concerning five questions in the three main concerns were evaluated using a statistical significance of P<0.05.Conclusion:The results in our survey indicated an urgent need of continuing medical education to multidisciplinary specialties to improve evidence-based medical practices as these misconceptions have existed for over 10 years in the medical professionals. Lack of public awareness fueled by misconceptions related to labor epidural analgesia may be associated with a lack of professional knowledge. Correct knowledge in professionals needs to be disseminated to the public in order to dispel possible misconceptions and rumors about labor epidural analgesia. This would not only enhance patient understanding of their care but also improve maternal, fetal, and neonatal outcomes.
简介:AbstractBackground:Zoonoses are public health threats that cause severe damage worldwide. Zoonoses constitute a key indicator of One Health (OH) and the OH approach is being applied for zoonosis control programmes of zoonotic diseases. In a very recent study, we developed an evaluation system for OH performance through the global OH index (GOHI). This study applied the GOHI to evaluate OH performance for zoonoses in sub-Saharan Africa.Methods:The framework for the OH index on zoonoses (OHIZ) was constructed including five indicators, 15 subindicators and 28 datasets. Publicly available data were referenced to generate the OHIZ database which included both qualitative and quantitative indicators for all sub-Sahara African countries (n = 48). The GOHI algorithm was used to estimate scores for OHIZ. Indicator weights were calculated by adopting the fuzzy analytical hierarchy process.Results:Overall, five indicators associated with weights were generated as follows: source of infection (23.70%), route of transmission (25.31%), targeted population (19.09%), capacity building (16.77%), and outcomes/case studies (15.13%). Following the indicators, a total of 37 sub-Sahara African countries aligned with OHIZ validation, while 11 territories were excluded for unfit or missing data. The OHIZ average score of sub-Saharan Africa was estimated at 53.67/100. The highest score was 71.99 from South Africa, while the lowest score was 40.51 from Benin. It is also worth mentioning that Sub-Sahara African countries had high performance in many subindicators associated with zoonoses, e.g., surveillance and response, vector and reservoir interventions, and natural protected areas, which suggests that this region had a certain capacity in control and prevention or responses to zoonotic events.Conclusions:This study reveals that it is possible to perform OH evaluation for zoonoses in sub-Saharan Africa by OHIZ. Findings from this study provide preliminary research information in advancing knowledge of the evidenced risks to strengthen strategies for effective control of zoonoses and to support the prevention of zoonotic events.
简介:为增强自主创新能力,建设创新型国家,国家自然科学基金自1986年设立以来,作为我国科学创新体系的重要组成部分和支持基础研究的主渠道之一。一直备受包括留学人员在内的广大科学工作者的关注。在科学基金长期资助及国家其他科技计划的共同推动下,优秀成果不断涌现,获得2007年度连胜最高科技奖的吴征镒院士自1987年以来一直得到科学基金持续资助。闵恩泽院士1997年曾主持科学基金重大项目。2007年度国家自然科学奖授奖项目共39项,其中39项内地获奖者的研究成果均不同程度得到过科学基金的有力支持。因此,每年国家自然科学基金的分配流向都血受关注。
简介:基于技术进步及战略性贸易理论,构建了R&D补贴对应用互动型高技术行业和科技创新型高技术行业出口竞争力影响的理论模型,解析了研发补贴对两类高技术行业产品出口竞争力影响的作用机理,并利用1998-2013年高技术行业的分组数据,对研发补贴提升高技术行业产品出口竞争力的差异化效应进行了实证检验。结果显示:R&D补贴对高技术行业产品出口竞争力有显著的促进作用,其中对应用互动型高技术行业出口竞争力的影响效应更为显著;相反,对科技创新型高技术行业出口竞争力的影响效应则比较微弱。为此,面对美国贸易保护主义的压力,要从根本上提升本土企业的产品质量,政府可选择差异化的高技术产业R&D补贴方式,优先补贴应用互动型高技术行业,避开科技创新型高技术行业这一敏感领域。
简介:摘要:油田地质储量大,储层纵向上小层多,厚度小,夹层薄,由于受到传统压裂技术的制约,储层利用程度不高,因此,该油田的改造效果不明显。连续油管精细分层压裂技术是一种射孔压裂一体化的技术,它将封闭器分层、套管大排量注水以及连续油管精确定位、精确压裂等优点相融合,既能在保证生产效率的前提下,又能在纵向上进行精细化分层,在经过3口井场测试后,薄差油气藏的改造得到了显著提升,获得了一个较好的结果。