Seasonal analysis of emergency department presentations in Western Australia, 2009/10–2014/15

Understanding the dynamic effects of seasonal variations of emergency department (ED) presentations is necessary to enhance health service planning and delivery, avoid overcrowding and meet the demand of the population. Time series analysis of seasonal trend decomposition using Loess (STL) was used to decompose and isolate the seasonal component of the ED presentations in Western Australia (WA) hospitals. Between 2009/10 and 2014/15, there were 5,652,556 ED presentations that show distinctive seasonal pattern. The overall seasonal variation was 7.0% (95% CI: 6.0–8.4%) and peaked in winter, with the highest in August. However, stratification analysis revealed that patients aged 15–64 years and those with triage 4 and 5 peaked in summer. The stratification for the most frequent conditions presented to metropolitan EDs and triaged as categories 1, 2 or 3 (most urgent conditions) shown that acute upper respiratory infection, pneumonia, viral infection, status asthmaticus and breathing abnormalities peaked in winter, whereas cellulitis, urinary tract infection, threatened abortion, intestinal infection, gastroenteritis and colitis, nausea and vomiting, and open wound of finger peaked in summer. The findings may be important in developing strategies and policies to manage ED demand in peak periods to avoid overcrowding and improve service delivery.     

《喧哗与骚动》的时间叙事方法

福克纳的著名小说《喧哗与骚动》是受到广泛评论的文学作品之一，文章仅从其第二章入手，解析他利用“时间”的叙事方法来刻画出一个极度扭曲的灵魂，以及他以“时钟时间”和“心理时间”的不对等关系剖析主人公昆丁所表现出来的时间错位所带来的深刻隐喻。     

Adherence to exercise programs and determinants of maintenance in older adults with mild cognitive impairment

After a randomized controlled trial showing that improvement on some aspects of cognitive function was related to adherence to an exercise program, determinants of adherence and maintenance were further studied. Older adults with mild cognitive impairment were contacted 6 mo after the end of exercise programs for a telephone interview addressing patterns of adherence and determinants of maintenance. Mean adherence during the trial was 53%. About one third of participants had lapses during the trial but completed, one third had no lapses, and one third dropped out or never started. Practical barriers (time, location) were related to not starting and functional limitations to dropout. After the trial 25% of participants continued the programs, 14% reported intention to continue, and 61% quit. Maintenance was determined by fewer health complaints, higher satisfaction with the programs, and better adherence during the programs. Although maintenance was low, this study identified several reasons and barriers to adherence and maintenance that could be addressed.     

知识经济时代对新闻从业者的职业需求

知识经济时代正大踏步地向我们走来。知识经济时代是工业经济时代的发展与延伸 ,在许多方面都具有独特的特点。这一时代对新闻从业者也提出了许多新的要求 ,这就是 :要有更强的开放意识和全球观念 ,与封闭意识决裂 ;要有很高的政治思想素质、业务素质和新闻综合技能 ;要树立强烈的创新意识 ,在工作中大胆改革和创新     

对形容词语法特点的再认识

针对传统语法对形容词语法特点的界定 ,在其能否带宾语的问题上进行研究 ,证明了形容词可以带宾语 ,并探究了形容词带宾语的条件及形式 ,指出这种语法现象属于形容词的一种变异现象     

齐己行年考述

根据齐己诗集《白莲集》以及《唐才子传》、《十国春秋》、《宋高僧传》等相关史料,对齐己自唐懿宗咸通五年(864年)至后晋天福八年(943年)间的生平行踪情况,如齐己的生卒年限和地点、出家时间、寓居荆南的时间以及与郑谷、尚颜、虚中、贯休等文人学士和诗僧的交游情况,进行了详细的考证.     

1923年访苏之行对蒋介石的深刻影响

192 3年 9— 1 1月 ,蒋介石率“孙逸仙博士代表团”赴莫斯科 ,与苏联、共产国际就“西北军事计划”以及国民党与苏俄之间的合作问题进行协商。随着国内外形势的变化 ,苏联、共产国际改变了以前的态度 ,不再支持“西北军事计划” ,而且共产国际做出的《关于中国民族解放运动和国民党问题的决议》也使蒋介石感到很不满意。 1 92 3年访苏之行对蒋介石产生了深刻影响 ,他对苏联、共产国际的基本看法与态度即萌生于此时     

8O年代以来工业设计的发展趋势

国际现代主义的设计风格是和工业化大生产相适应的,它在重视功能的同时,也应使设计与社会、自然环境和民族文化相结合.工业设计的最终目标是实现"人-社会-环境"的和谐,据此,今后工业设计将出现四大趋势(1)单纯化的设计(2)仿生学设计(3)绿色设计(4)个性化设计.这种趋势也说明了设计必须回归自然.     

对我国证券场外交易市场的认识与辨析

本文对证券场外交易进行了理论阐释, 指出了场外交易的层次性, 分析了场外市场与场内市场及二板市场的联系与区别, 并对目前场外市场若干认识上的误区进行了辨析