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Characterising populations living close to intensive farming and composting facilities in England

Frontiers of Environmental science & Engineering 2021年第3期15卷 97-109页

作者： philippa Douglas Daniela Fecht Deborah Jarvis National Heart and Lung Institute MRC Centre for Environment and HealthImperial College LondonLondonSW36LZUK Centre for Radiation Chemical and Environmental HazardsPublic Health EnglandHarwell CampusDidcotOxfordshireOX 11 ORQUK UK small Area Health statistics Unit MRC Centre for Environment and HealthSchool of Public HealthImperial College LondonLondonW2 IPGUK

Bioaerosol exposure has been linked to adverse respiratory *** farming and composting facilities are important anthropogenic sources of *** aimed to characterise populations living close to intensive farming and composting *** also infer whether the public are becoming more concerned about anthropogenic bioaerosol emissions,using reports of air pollution related incidents attributed to *** mapped the location of 1,257 intensive farming and 310 composting facilities in England in relation to the resident population and its characteristics(sex and age),area characteristics(deprivation proxy and rural/urban classification)and school locations stratified by pre-defined distance bands from these bioaerosol *** also calculated the average number of air pollution related incidents per year per *** found that more than 16%of the population and 15%of schools are located within 4,828 m of an intensive farming facility or 4,000 m of a composting facility;few people(0.01%)live very close to these sites and tend to be older *** to composting facilities,populations are more likely to be urban and more *** number of incidents were attributed to a small proportion of facilities;population characteristics around these facilities were *** indicate that populations living near composting facilities(particularly>250 to≤4,000 m)are mostly located in ur6an areas(80188%of the population),which supports the need for more community health studies to be *** could also be used to inform risk management strategies at facilities with higher numbers of incidents.

关键词： Composting Intensive farming Bioaerosol Population characteristics Public health

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Do medical students studying in the United Kingdom have an adequate factual knowledge of basic life support?

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World Journal of Emergency Medicine 2019年第2期10卷 75-80页

作者： Robert D.Willmore Damjan Veljanoski Feray Ozdes Bethan stephens James Mooney seamus G.Crumley Arpan Doshi philippa davies.s.reya badhrinarayanan Emily Day Kristian Tattam April Wilson Nathan Crang Lorna Green Craig A.Mounsey Howell Fu Joseph Williams Michelle s.D'souza Dhanya sebastian Liam A.Mcgiveron Matthew G.Percy James Cohen Imogen J.John Alice Lethbridge Imogen Watkins Omar Amin Mubasher A.Qamar John Gerrard Hanrahan Emily Cramond-Wong Barts Health NHs Trust Barts & the London Medical school Queen Mary University of London Norwich Medical school University of East Anglia Lancaster Medical school Lancaster University school of Medicine Dentistry and Biomedical Sciences Queen's University Belfast Faculty of Medicine University of St Andrews Faculty of Medicine Dentistry and Health University of Sheffi eld Brighton and sussex University Hospitals NHs Trust st George's University of London University of Liverpool school of Medicine University of Exeter medical school Faculty of Medicine University of Southampton Medical sciences Division University of Oxford University of Edinburgh Medical school Faculty of Medicine University of Warwick University College London Medical school Cardiff University school of Medicine College of Medical and Dental sciences University of Birmingham College of Medical Veterinary and Life Sciences University of Glasgow Guys Kings and St Thomas School of Medicine King’s College London Faculty of Life sciences & Medicine King's College London Faculty of Health sciences at the University of Nottingham

BACKGROUND: Healthcare professionals have a duty to maintain basic life support(BLs) skills. This study aims to evaluate medical students' factual knowledge of BLs and the training they ***: A cross-sectional, closed-response questionnaire was distributed to the fi rst-and fourth-year students studying at institutions in the United Kingdom. The paper questionnaire sought to quantify respondent's previous BLs training, factual knowledge of the BLs algorithm using five multiple choice questions(MCQs), and valuate their desire for further BLs training. students received 1 point for each correctly identifi ed answer to the 5 MCQ'***: A total of 3,732 complete responses were received from 21 medical schools. Eighty percent(n=2,999) of students completed a BLs course as part of their undergraduate medical studies. There was a signifi cant difference(Pstudents selecting the correct answer in all the MCQ's compared to the fi rst-year students except in identifyingthe correct depth of compressions required during CPR(P=0.095). Overall 10.3%(95% CI 9.9% to 10.7%) of respondents correctly identified the answer to 5 MCQ's on BLs: 9% of the first-year students(n=194) and 12% of the fourth-year students(n=190). On an institutional level the proportion of students answering all MCQ's correctly ranged from 2% to 54% at different universities. Eighty-one percent of students(n=3,031) wished for more BLs training in their ***: Factual knowledge of BLs is poor among medical students in the UK. There is a disparity in standards of knowledge across institutions and respondents indicating that they would like more training.

关键词： Emergency Medicine Basic life support Medical education Resuscitation

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Challenges of Chinese soft Power Projection Overseas: A Media Narrative Perspective

Challenges of Chinese Soft Power Projection Overseas: A Medi...

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作者： Aisling Marie philippa 上海交通大学

学位级别：硕士

This research project explores how China’s soft power influence,or story,attempts to connect with domestic and overseas *** doing so,it answers the question,“Assess depictions of ‘China’s story’ from articles published by ABC News Australia and People’s Daily”.A mixed methods approach was taken to conduct the study,with qualitative case study analysis supported by quantitative content *** two cases selected for the study focused on Australia’s decision to ban China’s leading telecommunications manufacturer,Huawei,from establishing a 5G network within Australia;and the Victorian state government’s decision to sign a Memorandum of Understanding（Mo U）with the Chinese Government and join the Belt and Road Initiative（BRI）.The online segments of two national print publications,China’s the People’s Daily and Australia’s Australian Broadcasting Corporation（ABC）,were chosen as primary sources for this *** such,this thesis examines what traditional media shows about China’s soft power influence within *** project was conducted against the backdrop of the era of heightened globalisation where national publications are now accessible internationally,in addition to modern China’s exponential rise,which has simultaneously bolstered China’s economic ties in the southeast Asia and Pacific regions and heightened the suspicions of China’s more politically liberal ***’s soft power influence has been identified as one tool that it may use to alleviate diplomatic tensions and strengthen its relationships with its geographical *** way that Chinese,and Australian,media publications depict ‘China’s story’ serves as a microcosm for understanding China’s larger quest to accumulate soft power influence internationally.

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The impact of weather on summer and winter exercise behaviors

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Journal of sport and Health science 2019年第1期8卷 39-45页

作者： Abram L.Wagner Florian Keusch Ting Yan philippa J.Clarke Department of Epidemiology University of Michigan Institute for social Research University of Michigan

Background: Outdoor exercise is an enjoyable way for individuals to improve fitness, but it is dependent on weather conditions. This study examines the association between weather conditions and outdoor exercise after adjustment for age, sex, race, and socioeconomic ***: We used data representative of American adults from the University of Michigan/Thomson Reuters June 2013 surveys of consumers(core and supplement) to investigate self-reported exercise behavior in summer and winter. Multivariate multinomial logistic regression models estimated the odds of delayed or indoor exercise compared with outdoor ***: Of the 502 respondents, 16.3% did not regularly exercise outdoors(i.e., at least once a week), and many would delay exercise both in summer(51.8%) and winter(43.9%). Individuals listing rain as the predominant adverse weather condition had 3.33 times higher odds of exercising indoors(95% confidence interval(CI): 1.34-8.28) and 3.49 times higher odds of delaying exercise(95%CI: 1.69-7.21) compared with those mentioning heat as the predominant adverse condition. Individuals for whom ice or snow was an adverse winter weather condition were more likely to delay exercise(odds ratio(OR) = 3.34; 95%CI: 1.19-9.36), compared with those concerned with ***: This study found that race, age, and education exacerbate the negative effects of adverse weather conditions on the decision to exercise outdoors. Accordingly, any recommendation for an individual to exercise outdoors should be combined with an evaluation of the individual's outdoor environment along with strategies for the individual to continue exercising, indoors or outdoors, when adverse weather is present.

关键词： Outdoor exercise Physical activity Rain seasons snow survey

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基于价值链的中国企业社会责任对财务价值的影响（英文）

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管理科学 2015年第1期28卷 32-46页

作者：邹鹏苟晓霞 philippa K Wells 哈尔滨工业大学管理学院哈尔滨150001 巴拉瑞特大学商学院

为了支持企业持续地将履行社会责任作为一种长期的战略,探讨企业社会责任与业务相结合对财务绩效的影响以及如何选择既造福社会又有利于商业的社会责任项目。基于价值链视角,采用利益相关者理论和归因理论,用实证方法,选择中国公司社会... 详细信息

为了支持企业持续地将履行社会责任作为一种长期的战略,探讨企业社会责任与业务相结合对财务绩效的影响以及如何选择既造福社会又有利于商业的社会责任项目。基于价值链视角,采用利益相关者理论和归因理论,用实证方法,选择中国公司社会责任披露的数据,采用因子分析法划分企业社会责任活动,采用面板数据回归分析每种社会责任活动及其交互作用对企业财务绩效的影响。研究结果表明,把社会责任活动分为与价值链基本活动相关的社会责任、与价值链支持活动相关的社会责任和一般性社会责任(与价值链活动无关),与价值链基本活动相关的社会责任和与价值链支持活动相关的社会责任对财务绩效有积极影响,与价值链活动无关的一般性社会责任对财务绩效有消极影响,他们的交互作用对财务绩效也有方向不同的显著影响,即基本活动与支持活动的交互作用对财务绩效有积极影响,基本活动与一般性活动的交互作用对财务绩效有积极影响,而支持活动与一般性活动的交互作用对财务绩效有消极影响。研究结果对企业将履行社会责任与价值创造相结合、实现社会效益和经济效益双赢提供具体的参考。

关键词：企业社会责任企业财务绩效价值链基本活动价值链支持活动一般性价值链活动

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A New Interdisciplinary science Plan for Urban Health and Wellbeing in an Age of Increasing Complexity

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Bulletin of the Chinese Academy of sciences 2022年第1期36卷 21-26页

作者： Franz W.Gatzweiler philippa Howden-Chapman Institute of Urban Environment Chinese Academy of Sciences University of Otago WellingtonNew Zealand the IsC global science programme“Urban Health and Wellbeing:A systems Approach”at the Institute of Urban Environment XiamenChina the scientific committee for the IsC global science programme“Urban Health and Wellbeing:A systems Approach”at University of Otago WellingtonNew Zealand

Cities of the future will need to cope with the triple challenges of urban growth,planetary boundaries leading to reduced energy and other resources,and rapid climate *** response to the challenges of these complexities,urban growth and innovations in networked infrastructure development need to go hand-in-hand to transform urban systems and sustain the urban health *** order to achieve this,knowledge and policy-making need to undergo processes of accelerated *** International science Council’s global science programme“Urban Health and Wellbeing:A systems Approach”has formulated goals to meet the urban health challenges of future cities.

关键词： Cities Health Complexity Learning

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电针对普通胃镜导致不适感的影响：一项临床随机对照试验

电针对普通胃镜导致不适感的影响：一项临床随机对照试验

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作者： philippa Jemma Hazlewood 上海中医药大学

学位级别：硕士

目的:通过设计严格规范的随机对照试验,并采用单中心、单盲的临床试验研究方法,来探讨电针对普通胃镜导致不适感的影响。方法:本临床随机对照研究主要是采用随机、单盲、平行相关的对照的研究方法。将60例满足纳入诊断标准而需要进行普... 详细信息

目的:通过设计严格规范的随机对照试验,并采用单中心、单盲的临床试验研究方法,来探讨电针对普通胃镜导致不适感的影响。方法:本临床随机对照研究主要是采用随机、单盲、平行相关的对照的研究方法。将60例满足纳入诊断标准而需要进行普通胃镜检查的病人随机(1:1)分为治疗组(针刺组)和对照组(假针刺组)。穴位选择:合谷、内关、足三里、梁丘。两组均采用管针进针,治疗组在穴位经行针刺后辅以提插捻转手法,使之得气,得气后使用电针连接合谷与足三里,电针仪选择连续波类型、2Hz频率,电针强度以患者主观感受为准。留针时间为30min。对照组将在非经非穴位进行浅表皮穿透,而无需对其进行得气针刺操作,同样接电针,但无电流通过,留针时间同治疗组。采用视觉模拟评分法(VAs)评价胃镜检查后30min和7d内恶心呕吐、咽部不适、呛咳及躁动程度,并计算VAs总分;采用状态-特质焦虑六项简表(sTAI-s6)和Amsterdam术前焦虑与信息量表(APAIs)对胃镜检查前的针刺操作前后进行焦虑状态评定。在胃镜检查前、中、后分别记录心率(HR)、血压(BP)和血氧饱和度(sp O2),对患者进行全面、直观的评价。结果:共纳入60例患者。治疗组因工作原因完成29例,脱落1例;对照组因个人原因完成29例,脱落1例。其中脱落比率为3.33%。本试验采用ITT集(Intention to-treat)进行分析。在治疗前对两组患者的基线进行评估,其中包括两组患者的年龄、性别,职业、慢性病史、胃镜检查史及针灸期望值,两组患者胃镜检查前的心率(HR)、平均动脉压(MAP)、率压乘积(RPP)、血氧饱和度(sp02)、状态-特质焦虑量表六项简表(sTAI-s6)评分、阿姆斯特丹术前焦虑与信息量表(APAIs)。结果显示,治疗组与对照组在基线检查时无显著性差异。1.胃镜后不适程度分析在胃镜后30min及胃镜后7天随访时,两组患者胃镜后不适程度VAs在总分、以及恶心呕吐、咽喉不适、躁动程度,治疗组在这四个方面的VAs评分均低于对照组(Ps评分无显著性差异(P>0.05);胃镜后7天较胃镜后30min,两组各个VAs评分呈下降趋势,其中不适程度VAs总分及躁动程度VAs评分的前后差值,治疗组明显高于对照组,差异有统计学意义(Ps评分、呛咳VAs评分、咽喉不适VAs评分前后差值两组间无显著性差异(P>0.05)2.焦虑状况分析针刺干预前两组sTAI-s6评分及APAIs评分差异无统计学意义(P>0.05)。针刺干预后治疗组sTAI-s6评分、APAIs评分均低于对照组,差异有统计学意义(PsTAI-s6评分、APAIs评分均下降(Psp O2比较无显著性差异(P>0.05)。在胃镜检查中,治疗组HR、MAP、RPP均低于对照组,差异有统计学意义(Psp02两组间无统计学差异(P>0.05)。胃镜检查30min后两组心率、MAP、RPP、sp02比较无显著性差异(P>0.05)。两组胃镜检查HR、MAP、RPP、sp02值均较胃镜检查前升高,差异有统计学意义(Psp02值较胃镜检查时略有升高,但与胃镜检查前比较无显著性差异(P>0.05)。结论:1.针刺对普通胃镜检查患者恶心呕吐、咽喉不适及躁动等不适感的影响有肯定疗效且安全稳定,但在呛咳方面未见明显统计学差异。2.针刺不仅能改善患者的不适感,还能缓解术前焦虑,降低患者的sTAI-s6及APAIs评分。3.针刺可以稳定患者胃镜检查过程中心率、血压等生命体征的稳定,且效果明显优于对照组,但对于血氧饱和度没有明显差异,且长期延迟效应尚不能确定。4.针刺对于改善普通胃镜检查的不适感安全可靠,未发生严重的不良反应事件。

关键词：电针胃镜不适程度随机对照试验

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父亲的梦想

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初中生 2021年第33期 48-50页

作者： Leonard Judge reya(编译) 不详

你的梦想是什么?为了实现这个梦想,你是否用实际行动付出过努力?有梦想是伟大的,但实现梦想的过程漫长且充满艰辛。只有做好充分的准备,你才能够面对实现梦想过程中的那些狂风骤雨。如果我们没有梦想,生活就会了然无趣。梦想,是那些我... 详细信息

你的梦想是什么?为了实现这个梦想,你是否用实际行动付出过努力?有梦想是伟大的,但实现梦想的过程漫长且充满艰辛。只有做好充分的准备,你才能够面对实现梦想过程中的那些狂风骤雨。如果我们没有梦想,生活就会了然无趣。梦想,是那些我们希望在未来可以实现的事情。你是否拥有梦想呢?

关键词：狂风骤雨实现梦想充分的准备实际行动

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服务贸易壁垒的测量与建模——兼谈澳大利亚经验

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经济资料译丛 2005年第4期 73-96页

作者： philippa Dee 蔡玉贞王洋厦门大学经济学院国际经济与贸易系 361005

一、为何担心? 为什么贸易理论家和贸易政策实施者应该为服务业担心?首先,世界国民生产总值(GDP)的60%是靠服务业获取的(世界银行2001).这并不仅仅是一个富国经济现象--世界发展报告列出的132个国家中有119个国家的服务业在GDP中所占的... 详细信息

一、为何担心? 为什么贸易理论家和贸易政策实施者应该为服务业担心?首先,世界国民生产总值(GDP)的60%是靠服务业获取的(世界银行2001).这并不仅仅是一个富国经济现象--世界发展报告列出的132个国家中有119个国家的服务业在GDP中所占的份额超过其工业份额,其中81个国家--从孟加拉国、博茨瓦纳到赞比亚、滓巴布韦--的服务业占它们所在国GDP的份额超过了50%.

关键词：服务贸易壁垒澳大利亚经验世界发展报告建模测量国民生产总值服务业贸易政策经济现象世界银行

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成人1型糖尿病:支持自我管理

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英国医学杂志中文版 2016年第9期19卷 508-515页

作者： Monika Reddy sian Rilstone philippa Cooper Nick s Oliver 沈赟(译) 包玉倩(校) Department of Diabetes Endocrinology and MetabolismImperial College LondonSt Mary's Hospita CampusLondon W21PGUK Diabetes and Endocrinology Imperial Healthcare NHS TrustLondon London 上海交通大学附属第六人民医院内分泌代谢科

在英国有300000名1型糖尿病患者^(1,2)。尽管有多学科的专家定期参与,但血糖监测和胰岛素注射的职责由糖尿病患者本人或其护理者承担。1型糖尿病的有效自我管理对于糖化血红蛋白(HbAlc)达标尤其重要,并能最低化低血糖的发生风险以及改... 详细信息

在英国有300000名1型糖尿病患者^(1,2)。尽管有多学科的专家定期参与,但血糖监测和胰岛素注射的职责由糖尿病患者本人或其护理者承担。1型糖尿病的有效自我管理对于糖化血红蛋白(HbAlc)达标尤其重要,并能最低化低血糖的发生风险以及改善生活质量。

关键词：胰岛素注射护理者血糖监测 1型糖尿病自我管理改善生活质量低血糖糖尿病患者

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