scholarly journals Awareness, attitude and behavior regarding proton pump inhibitor among medical staff in the Southwest of China

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Hongli Luo ◽  
Qingze Fan ◽  
Tierong Bian ◽  
Xiuying Li ◽  
Kun Chen ◽  
...  

Abstract Background Proton pump inhibitors (PPIs) are one of the most frequently prescribed classes of drug in the world and there is a growing number of publications on correct versus incorrect use of PPIs worldwide. The knowledge of PPIs among the medical staff is essential for improving the rationality of PPI application. The present study aimed to investigate awareness, attitude and behavior toward PPI use among medical staff in the Southwest of China. Methods The present descriptive-analytical study was conducted on 900 medical staff from three professional groups (300 doctors, 300 nurses and 300 pharmacists) in China. The study data were collected through a self-designed questionnaire which included demographics, awareness, attitude and behavior toward PPI use. The study was carried out in 22 hospitals in Luzhou between February and June 2018. Results Of 900 surveys issued, 851valid questionnaires (295doctors, 268 nurses and 288 pharmacists) were returned. Of all respondents, 33.25% were men and 66.75% were women. The score related to PPI awareness score of medical staff was low (59.47 ± 15.75). The level of awareness of pharmacist was significantly higher than that of doctors and nurses (P < 0.01), which was related to gender, age, occupation, educational level, professional title, hospital nature and hospital grade. Similarly, on the attitude towards PPI use, the pharmacists scored also significantly higher than doctors and the nurses (P < 0.01). Three hundred eighty-one of 851 medical staff had used PPI in the past 1 year, of which omeprazole was the most widely used. Among doctors, nurses and pharmacists, the usage rate of PPI was 50.85, 42.16, 40.97%, respectively. The use frequency was related to occupation and professional title. The score about the behavior toward PPIs of the nurses was also significantly lower than that of doctors and pharmacists (P < 0.01). Conclusions The study indicated that the medical staff lack of awareness concerning rational use of PPI in China, especially nurse. Thus, it is necessary to call for action on the improvement of PPI awareness and medication-taking behaviors to reduce PPI overuse and to promote the rationality of PPI application.

Author(s):  
Craig Callender

In early childhood we come to model the world as having a special present that carves the world up into a past, present, and future. We regard the past as fixed and the future open, and we feel that this structure updates itself, or flows. The core features of this conception of time—manifest time—appear to be virtually universal, and they pervade our language, thought, and behavior. Yet manifest time seems to conflict with time as understood by physics. This conflict worried Albert Einstein, but the philosopher Rudolph Carnap pointed toward a way forward.


2019 ◽  
Vol 59 (4) ◽  
pp. 1049-1058 ◽  
Author(s):  
Michael W Sears ◽  
Eric A Riddell ◽  
Travis W Rusch ◽  
Michael J Angilletta

Abstract Over the past decade, ecologists and physiologists alike have acknowledged the importance of environmental heterogeneity. Meaningful predictions of the responses of organisms to climate will require an explicit understanding of how organismal behavior and physiology are affected by such heterogeneity. Furthermore, the responses of organisms themselves are quite heterogeneous: physiology and behavior vary over different time scales and across different life stages, and because physiological systems do not operate in isolation of one another, they need to be considered in a more integrated fashion. Here, we review case studies from our laboratories to highlight progress that has been made along these fronts and generalizations that might be made to other systems, particularly in the context of predicting responses to climate change.


2008 ◽  
pp. 147-174
Author(s):  
Vitaliy Volodymyrovych Shevchenko

It is well known that all peoples, without exception, have for centuries formed their own ideas about the world, the cosmos, man, his otherworldly and other dimensions. Associated with factors of different vital values, they accumulate the energy of an ethno-national spirit, attest to the reflections of an individual, as well as the tribe, nation, nation over the ideal aspirations that are usually united around consecrated, close and native ethnic groups. On the other hand, being a subject of admiration and reflection, holiness and inspiration, sacred importance inevitably influences the formation of the culture and art of a particular ethnic group, its life and behavior, aptitude and character, and thus determine the originality of its thinking, worldview and experience. To put it another way, for centuries and still largely, despite the loss of the world of theocentricity as a determining factor in civilizational development, religious imperatives acted and acted as the axis of history, one of the fundamental principles with which humanity binds the past and now comprehends the future. "Every nation," Gustave LeBon notes in his work, "Psychology of Nations and Masses," has a mental structure as stable as its anatomical features, and it is from him that his feelings, his thoughts, his institutions, his beliefs and his art »


2020 ◽  
Vol 31 (2) ◽  
pp. 142-166
Author(s):  
Najiya Hussein Al-Tuhami

Survival and advancement of nations is attributed to their literatures. This is because literatures enable individuals to transcend the material life and be able to visualize the noble meanings and the world of aesthetics. Indeed, a language is the best level of describing self and others as it does not originate from the ego, but rather from the laws of the universe and existence. Moreover, it is not only a lexicon, but also a combination of words, indications, gestures, spaces, and imagery. It is, hence, possible to realize the significance of poetry as a definition of all the previous elements. Tashteer is a type of poetic art where a poet does not invent a new idea but rather adopts the idea of poetry by another poet. The poet follows the meter and rhyme set by the original poet, and thus is not allowed much space for creating a purpose apart from the original one. Therefore, a poet is confined to the predefined purpose and notion in terms of grammatical, syntactic and semantic aspects. The paper focuses on the study of the art of Tashteer of poet Ali al-Deeb who performed Tashteer on the poet of Abi Firaas (Araaka `Asaiyya al-Dam`). The study aims to introduce the art of Tashteer by addressing its practical aspect. The study also uses the descriptive analytical approach to illustrate the strength points of Mushatir (a poet performing Tashteer) and compare his poet with the original one in terms of serving the concept. The study comprises two parts; Part one is for defining the art of Tashteer in the Arabian poetry. Part two includes the analytical study of the poetry under Tashteer. The study concluded several findings including: al-Deeb clearly comprehended the purposes that Abi Firaas had in his poetry. Thus, he was able to have hold of the main notion of the text both linguistically and semantically. He was even able to penetrate into some of the lines and reveal the thoughts.


Author(s):  
Craig Callender

As we navigate through life, we model time as flowing, the present as special, and the past as “dead.” This model of time—manifest time—develops in childhood and later thoroughly infiltrates our language, thought, and behavior. It is part of what makes a human life recognizably human. Yet if physics is correct, this model of the world is deeply mistaken. This book is about this conflict between manifest and physical time. The first half dives into the physics and philosophy to establish the conflict’s existence; but it also argues that the claim that physics “spatializes” time is overstated. Rather, even relativity theory makes time special in deep and significant ways. The second half turns to psychology, biology, and more, seeking to understand why creatures like us develop manifest time. The novel picture that results is that manifest time is a natural reaction to the many cognitive and evolutionary challenges that we face. For subjects embedded in our circumstances, it makes sense to develop—even if fundamentally wrong.


2012 ◽  
Vol 51 (01) ◽  
pp. 82-90 ◽  
Author(s):  
M. Garcia-Remesal ◽  
C. Bielza ◽  
J. Crespo ◽  
D. Perez-Rey ◽  
C. Kulikowski ◽  
...  

SummaryBackground: In the past decade, Medical Informatics (MI) and Bioinformatics (BI) have converged towards a new discipline, called Biomedical Informatics (BMI) bridging informatics methods across the spectrum from genomic research to personalized medicine and global healthcare. This convergence still raises challenging research questions which are being addressed by researchers internationally, which in turn raises the question of how biomedical informatics publications reflect the contributions from around the world in documenting the research.Objectives: To analyse the worldwide participation of biomedical informatics researchers from professional groups and societies in the best-known scientific conferences in the field. The analysis is focused on their geographical affiliation, but also includes other features, such as the impact and recognition of the conferences.Methods: We manually collected data about authors of papers presented at three major MI conferences: Medinfo, MIE and the AMIA symposium. In addition, we collected data from a BI conference, ISMB, as a comparison. Finally, we analyzed the impact and recognition of these conferences within their scientific contexts.Results: Data indicate a predominance of local authors at the regional conferences (AMIA and MIE), whereas other conferences with a worldwide scope (Medinfo and ISMB) had broader participation. Our analysis shows that the influence of these conferences beyond the discipline remains somewhat limited.Conclusions: Our results suggest that for BMI to be recognized as a broad discipline, both in the geographical and scientific sense, it will need to extend the scope of collaborations and their interdisciplinary impacts worldwide.


2012 ◽  
Vol 67 (9) ◽  
pp. 59-64 ◽  
Author(s):  
V. I. Starodubov ◽  
S. L. Kuznetsov ◽  
N. G. Kurakova ◽  
L. A. Tsvetkova

The contribution scientific publications of Russian Academy of Medical Sciences (RAMS) in the national publication stream, indexed by Web of Science over the past thirty years, was estimated. The indicators of publication activity that are necessary for the institutions of RAMS to achieve in short-term period the conformity with bibliometric indicators, established by Presidential Decree of May 7, 2012 (to increase the share of Russian publications in Web of Science to 2.44% in 2015) were calculated. It is shown that the current structure of global science, where publications in medicine make up for approximately one third of scientific publications in the world, set for RAMS scientists particularly difficult task: to double in three years the number of publications in Web of Sci. In the article are proposed the priorities and the necessary steps to fulfill this task. 


Mechanical improvement throughout the years has contributed monstrously to the upgrade of personal satisfaction through different new items and administrations. One such transformation was the Pre Engineered Buildings. In spite of the way that PEB frameworks are broadly utilized in modern and numerous other non private developments around the world, it is generally another idea in India. When contrasted with different nations Indian codes for building configuration are stringent yet more secure in structure of PEB. The undertaking extraordinarily manages Design and Detailing for Earthquake Loads (Section-12 of IS800:2007). Steel outlines will likewise be structured and point by point to give satisfactory quality, solidness and flexibility to oppose extreme seismic tremors in all zones without breakdown. The undertaking fundamentally manages the examination of edges with and without area 12 burden mixes. Contrasted with the past code for example IS-800:1984, the heaviness of the structures is expanding when planned with the most recent code, IS-800:2007. In this way there is an expansion in cost of the structure. Be that as it may, when watched, the area 12 burden mixes are not administered for a similar structure planned with new code. Henceforth the areas might be diminished by fulfilling the base criteria according to the zone and decline in the cost parameter can be found by sorting the structure through which weight of structure can be decreased.


2020 ◽  
pp. 25-36
Author(s):  
Odd Arne Westad

All nations are a product of their pasts—but perhaps few as much as China. With its 5,000 year recorded history, the Chinese have endured as a civilization and a nation. This chapter analyzes how China’s long imperial past has shaped its post-1949 interactions with the world. It examines the legacies that the PRC has inherited and those that still shape the PRC’s strategy, calculations, and behavior. Three themes are particularly identified: the legacy of empire, the traditional of authoritarianism, and the narrative of “shame and humiliation.” It argues that China’s strong sense of victimhood fuels an outsized sense of nationalism, and is a concerning factor in China’s future relations with its neighbors and the world community.


2020 ◽  

Background: The purpose of this study was to investigate the evolution and latest trends in the application of different polytrauma definitions in the past ten years of clinical research, by collecting published polytrauma study data. Method: We conducted Pubmed, Embase and Ovid searches of literature on polytrauma, published between January 2008 and December 2018. The title, author name, definition of polytrauma, publishing date, country, type of article, and the name and impact factor of journal were recorded and analysed. Results: Based on different definition of polytrauma, the selected articles were grouped into four categories: (1) definition of polytrauma based on ISS, (2) definition of polytrauma based on NISS, (3) definition of polytrauma based on AIS, (4) descriptive definition of polytrauma. The 321 selected articles were published in 56 journals, predominantly in European and American medical journals, led by Injury (n = 41), followed by Journal of Trauma and Acute Care Surgery (n = 27) and European Journal of Trauma and Emergency Surgery (n = 17). Germany had the largest number of publications, with 88 articles. All articles were clinical research. There were 88 multi-centre studies and 233 single-centre studies. Conclusions: The definition of polytrauma in clinical research was still mainly based on ISS. The appearance of the “New Berlin Definition” provides a new direction for its development. However, all these varying definitions are inconsistent and a globally recognised definition of polytrauma should be established.


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