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  • 简介:AbstractInfection prevention and control (IPC) measures to reduce transmission of drug-resistant and drug-sensitive tuberculosis (TB) in health facilities are well described but poorly implemented. The implementation of TB IPC has been assessed primarily through quantitative and structured approaches that treat administrative, environmental, and personal protective measures as discrete entities. We present an on-going project entitled Umoya omuhle ( "good air" ), conducted in two provinces of South Africa, that adopts an interdisciplinary, 'whole systems’ approach to problem analysis and intervention development for reducing nosocomial transmission of Mycobacterium tuberculosis (Mtb) through improved IPC. We suggest that TB IPC represents a complex intervention that is delivered within a dynamic context shaped by policy guidelines, health facility space, infrastructure, organisation of care, and management culture. Methods drawn from epidemiology, anthropology, and health policy and systems research enable rich contextual analysis of how nosocomial Mtb transmission occurs, as well as opportunities to address the problem holistically. A 'whole systems’ approach can identify leverage points within the health facility infrastructure and organisation of care that can inform the design of interventions to reduce the risk of nosocomial Mtb transmission.

  • 标签: Drug-resistant tuberculosis Infection prevention and control Health system South Africa
  • 简介:Nowadayslow-carbondevelopmenthasbecomeahotissueofthewholeworld.Thisarticlefirstintroducesthebackgroundoflow-carboneconomy,andthenexplainstheimportanceofretailingcompaniesinsocialeconomyandthereasonswhytheyshouldoperateinlow-carbonmode.Morespecifically,low-carbonoperationcannotonlyimprovethecompetitivenessofaretailingcompanybyreducingoperationcostandformattinggoodcorporateimage,butalsobenefitthewholesocietybyreducingenvironmentpollutionandpromotinglow-carbonconsumptionandproduction.Onlybyadoptinglow-carbonoperationpatterncanretailingcompaniesconfrontthefierceinternationalcompetition.Toillustratetheabovepointofview,severalcasesoffamouswesternretailingcompanieswillbeanalyzedinthisessay.Tesco,Wal-MartandCarrefourarealltypicalexamplesinlow-carbonoperationbecausetheyallhavegreatgreenandsustainabilityinitiatives.Basedontheadvancedexperiencesoftheabove-mentionedcompanies,thisessaydiscussesthelow-carbonoperationways,puttingforwardsomevaluablesuggestionsonthisproblem.Fromatechnicalperspective,retailingcompaniesshouldadoptadvancedtechnologiesrelatingtolow-carbonoperation.Ontheotherhand,managementlevelofretailingcompaniesshouldbeenhancedtoensuretheapplicationeffectoflow-carbontechnologies.Retailingcompaniesshouldimprovetheabilityofinternalmanagementtoexcavatetheinternalpotentialandbuildgreensupplychaintocorporatewithstrategicpartners.Finally,thisarticlegivestheconclusionofthewholeanalysis.

  • 标签: low-carbon ECONOMY low-carbon operation retailing COMPANY
  • 简介:教练是网球圈中的弱势群体与足球、篮球这样的职业团体运动不同.职业网球是完全个人化的运动.网球选手直接负责聘请或炒掉教练.也负担教练的费用。所以.假如你是职业网球圈中的一名教练,那么在面对选手时.你的言行都得小心了.因为选手就是你的财神

  • 标签: 网球选手 弱势群体 个人化 职业教练 职业团体 剧烈运动
  • 简介:Whydon’tyou…?是口语中用来提建议的一种方式。其省略形式是Whynot+动词原形。含义为“为什么不……呢?”或“何不……呢?”

  • 标签: 提建议 句式 动词原形 口语 方式 含义
  • 简介:Itisbelievedthathumanancestorsevolvedtheabilitytorunbipedallyapproximately2millionyearsago.Thisformoflocomotionmayhavebeenimportanttooursurvivalandlikelyhasinfluencedtheevolutionofourbodyform.Asourbodieshaveadaptedtorun,itseemsunusualthatupto79%ofmoderndayrunnersareinjuredannually.Theetiologyoftheseinjuriesisclearlymultifactorial.However,1aspectofrunningthathassignificantlychangedoverthepast50yearsisthefootwearweuse.Modernrunningshoeshavebecomeincreasinglycushionedandsupportive,andhavechangedthewaywerun.Inparticular,theyhavealteredourfootstrikepatternfromapredominantlyforefootstrike(FFS)landingtoapredominantlyrearfootstrike(RFS)landing.Thischangealtersthewayinwhichthebodyisloadedandmaybecontributingtothehighrateofinjuriesrunnersexperiencewhileengagedinanactivityforwhichtheywereadapted.Inthispaper,wewillexaminethebenefitsofbarefootrunning(typicallyanFFSpattern),andcomparethelowerextremitymechanicsbetweenFFSandRFS.Theimplicationsofthesemechanicaldifferences,intermsofinjury,willbediscussed.WewillthenprovideevidencetosupportourcontentionthatFFSprovidesanoptimalmechanicalenvironmentforspecificfootandanklestructures,suchastheheelpad,theplantarfascia,andtheAchillestendon.Theimportanceoffootwearwillthenbeaddressed,highlightingitsinteractionwithstrikepatternonmechanics.Thisanalysiswillunderscorewhyfootwearmatterswhenassessingmechanics.Finally,properpreparationandsafetransitiontoanFFSpatterninminimalshoeswillbeemphasized.Throughthediscussionofthecurrentliterature,wewilldevelopajustificationforreturningtorunninginthewayforwhichwewereadaptedtoreducerunning-relatedinjuries.

  • 标签: 跑步 鞋子 受伤 身体形态 力学环境 FFS
  • 简介:在考古学的发现的底上,米饭的最早的驯服在中间和更低的Changjiang河盆被证实了,当在这个区域野米饭人口与冻结冬季寒冷在气候下面在浅沼泽地被发现时。这些调查结果铅我们覆查关于米饭的驯服和区别的过去的想法。历史上,在1930年代二亚种,indica和装饰用的梨树,在在他们之间的F1混血儿根据绝育被建议。此后不久那,二种类型被很多个遗传上独立的特点的协会分类。特点的典型协会被被假定包括一套副本的混合绝育或繁殖障碍解释了后退的致命的基因并且是内部基因机制导致品种的区别。在1980年代,在Indica和装饰用的梨树类型之间的混合绝育被分析,并且当生气时,把肥沃的混血儿给Indica和装饰用的梨树类型的Indica,装饰用的梨树,和宽相容性的类型,被证明包含等位基因,S5i,S5j和S5n,分别地在染色体6上的一个地点。并且当没有配偶子流产发生在S5i/S5n和S5j/S5n遗传型时,让S5j等位基因被发现部分是的那些配偶子在S5i/S5j的混合遗传型流产了。从那以后,基因S5n在繁殖获得在亚种之间的肥沃、精力旺盛的混血儿的混合米饭被使用了,并且混合绝育的长争论的问题被解决了。另外,在如此的研究,特点的典型协会在每品种的组发现了被创始人效果更好解释。在另一方面,米饭的很多本国的栽培变种与分子的标记在1980年代并且以后与酶多型性被调查。作为结果,深刻基因差异在栽培米饭以及在野米饭被发现。这些调查结果似乎带我们到米饭的多重独立驯服的想法。然而在得出如此的一个结论前,至少二个因素,即,一些遗传型的long-distance-dissemination和由到原始栽培变种的本地野米饭的基因渗入的可能性需要被检验。考虑二个因素以及历史的事件,在Changjiang河盆接近野米饭的长期的装饰用的�

  • 标签: 历史事件 粳型水稻 籼型 混合动力汽车 土壤类型 亚种间杂交
  • 简介:The‘Chuju’(楚居),oneofthebamboo-slipmanuscriptsfromtheWarringStatesPeriodkeptintheTsinghuaUniversityLibrary,providesextensiveinformationabouttheChuroyaldynasty.The‘Chuju’(楚居)acknowledgesJilian(季連),whoadoptedthesurnameofMi(羋),asthefounderoftheChustate.However,Jilianisnotincludedamongthe‘ThreeAncestorsofChu’(sanChuxian,三楚先),i.e.Laotong(老童)Zhurong(祝融),andYuxiong(鬻熊)—alsoknownasXuexiong(穴熊)—whowerejointlyinvokedandofferedsacrificesduringtheWarringStatePeriod.Thisarticleaddressthisquestionandsuggests,basedontherecordsfromthe‘Chuju’,thatJilianandYuxiongwerebrothers,andthatthedescendantsofYuxiongwerethosewhosucceededtothethroneinsteadofthoseofJilian.SincetheChuroyaldynastywasrelatedtoYuxiongandnottoJilian,Jilianwasnotincluded,becausesacrificialritesduringtheWarringStatePeriodusedtoemphasizedirectboundswiththeirancestors.

  • 标签: 季连 三楚先 世界 古典文明史
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  • 简介:First,letmestatetheobvious:ecologistshavebeentoopolitetotolerateintrusionbycolleaguesfromotherfields(mostlyfrommolecularbiology)whofeltitnecessarytopontificateabouttheecologicalimpactsoftransgeniccrops.Suchpiecesusuallypresent,ofteninforcefullanguage,theauthor'sbeliefthattransgenictechnologyisbeneficial,withoutnegativeeffects,

  • 标签: 转基因作物 环境影响 蚜虫天敌 故事 生态学家 分子生物学
  • 简介:how to balance the masculinity/femininity from different culture and background in order to maximize the team power is worth considering by managers.The above four dimensions illuminated the most important cultural differences that affect on business. International managers should be able to aware not only the cultural difference but also the intercultural communication.Gudykunst and Kim (1992摘要,the power distance can be viewed as the subordinates respect the superiors.That is the corporate culture in orient. Let us take a look at the western way. It is not a whole converse phenomenon. There is 'the Eiffel Tower culture' (Trompernaars,the international managers must pay attention to the clashes and be aware of. How to work the subordinates together efficiently and more cooperatively is important too.And then there is also a large discrepancy on the uncertainty avoidance. (Hoecklin

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  • 简介:privatizations have significantly increased market liquidity. And also privatization takes a potential role global capital market development. A. The Rise of Capital Market-Based Finance Capital market-based finance has in fact been increasing in importance,and the total capitalization of the US market increased almost nine-fold (from $ 1.9 trillion to $ 16.6 trillion) over the same period.c. The Dramatic Growth in Securities Issuance Volume Since 1990 Another way of measuring the rise of capital markets is to examine whether their share of annual corporate financing activity has grown relative to that of other sources of funding. Security offerings by US issuers accounted for two-thirds of the global total throughout 1990-1999,before more than doubling to $ 1.22 trillion in 1999--rivaling the US total. The global value of M&

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  • 简介:how to balance the masculinity/femininity from different culture and background in order to maximize the team power is worth considering by managers.The above four dimensions illuminated the most important cultural differences that affect on business. International managers should be able to aware not only the cultural difference but also the intercultural communication.Gudykunst and Kim (1992,the power distance can be viewed as the subordinates respect the superiors.That is the corporate culture in orient. Let us take a look at the western way. It is not a whole converse phenomenon. There is 'the Eiffel Tower culture' (Trompernaars,the international managers must pay attention to the clashes and be aware of. How to work the subordinates together efficiently and more cooperatively is important too.And then there is also a large discrepancy on the uncertainty avoidance. (Hoecklin

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  • 简介:J.M. ,A.P.,W.J. 

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