Mining globally contributes to the growth of many economies of the world. Since its inception, the Zambian mining industry has contributed largely to the country’s economy. The various developments both in technology...Mining globally contributes to the growth of many economies of the world. Since its inception, the Zambian mining industry has contributed largely to the country’s economy. The various developments both in technology and knowledge have contributed to the scale at which mining is being done. Challenges in such a setting arise due to the socio-economic and environmental impacts of mining, which create multidimensional problems. The study investigated the importance of engaging stakeholders in progressive rehabilitation programs for large-scale open pit mines, using a case study of the Lumwana Mine and its host community, Manyama. A qualitative approach was used, and data was collected through one-on-one interviews. A combination of convenient and quota sampling was used to engage with host community leaders, professionals and academicians from various fields and institutions. Results showed that most participants had agreed that stakeholder engagement is important for progressive rehabilitation, but the challenge was that the host community and municipal council representatives were not aware of any progressive rehabilitation efforts at Lumwana Mine. This was attributed to a lack of stakeholder engagement and communication of mitigation progress activities by the Lumwana Mine. Results also revealed that the lack of environmental impact assessment regulations to compel companies to involve stakeholders throughout the entire life of the mine other than just at the pre-mining stage led to a lack of compliance and accountability in rehabilitation.展开更多
目的探讨渐进性活动与运动进阶训练对重症患者功能康复的影响。方法通过随机数字表法将2019年9月1日至2021年9月1日在南部战区总医院重症监护病房、高依赖病房就诊的60例重症患者分为观察组与对照组,每组30例。两组患者均给予常规救治...目的探讨渐进性活动与运动进阶训练对重症患者功能康复的影响。方法通过随机数字表法将2019年9月1日至2021年9月1日在南部战区总医院重症监护病房、高依赖病房就诊的60例重症患者分为观察组与对照组,每组30例。两组患者均给予常规救治和护理,在此基础上,对照组接受常规运动康复训练,观察组开展被动、辅助、主动3个阶段的渐进性活动与运动进阶训练,为期6周。在训练前和训练6周后通过Fug1-Meyer评定量表下肢部分(Fugl-Meyer Assessment of Lower Extremity,FMA-LE)评估患者运动功能,改良Barthel量表(Modified Barthel Index,MBI)评估患者日常生活活动能力;分别在训练前,训练的第2、4和6周,应用徒手肌力评估量表(Medical Research Council Scale,MRC)和床旁膈肌超声评估肌肉功能。结果训练2周后,两组患者的肌力和膈肌移动度与其训练前相比皆下降,其中,对照组的下降程度更甚(P<0.05);训练4周和6周后,两组患者肌力和膈肌移动度均得到改善(P<0.05),观察组患者改善更加明显(P<0.05);训练6周后,两组患者LE-FMA与MBI评分均较训练前提高(P<0.05),且观察组显著高于对照组(P<0.05)。结论与常规运动康复训练方案相比,渐进性活动与运动进阶训练方案更能促进患者膈肌功能、上下肢肌力和下肢运动功能的康复,提高生活质量。展开更多
文摘Mining globally contributes to the growth of many economies of the world. Since its inception, the Zambian mining industry has contributed largely to the country’s economy. The various developments both in technology and knowledge have contributed to the scale at which mining is being done. Challenges in such a setting arise due to the socio-economic and environmental impacts of mining, which create multidimensional problems. The study investigated the importance of engaging stakeholders in progressive rehabilitation programs for large-scale open pit mines, using a case study of the Lumwana Mine and its host community, Manyama. A qualitative approach was used, and data was collected through one-on-one interviews. A combination of convenient and quota sampling was used to engage with host community leaders, professionals and academicians from various fields and institutions. Results showed that most participants had agreed that stakeholder engagement is important for progressive rehabilitation, but the challenge was that the host community and municipal council representatives were not aware of any progressive rehabilitation efforts at Lumwana Mine. This was attributed to a lack of stakeholder engagement and communication of mitigation progress activities by the Lumwana Mine. Results also revealed that the lack of environmental impact assessment regulations to compel companies to involve stakeholders throughout the entire life of the mine other than just at the pre-mining stage led to a lack of compliance and accountability in rehabilitation.
文摘目的探讨渐进性活动与运动进阶训练对重症患者功能康复的影响。方法通过随机数字表法将2019年9月1日至2021年9月1日在南部战区总医院重症监护病房、高依赖病房就诊的60例重症患者分为观察组与对照组,每组30例。两组患者均给予常规救治和护理,在此基础上,对照组接受常规运动康复训练,观察组开展被动、辅助、主动3个阶段的渐进性活动与运动进阶训练,为期6周。在训练前和训练6周后通过Fug1-Meyer评定量表下肢部分(Fugl-Meyer Assessment of Lower Extremity,FMA-LE)评估患者运动功能,改良Barthel量表(Modified Barthel Index,MBI)评估患者日常生活活动能力;分别在训练前,训练的第2、4和6周,应用徒手肌力评估量表(Medical Research Council Scale,MRC)和床旁膈肌超声评估肌肉功能。结果训练2周后,两组患者的肌力和膈肌移动度与其训练前相比皆下降,其中,对照组的下降程度更甚(P<0.05);训练4周和6周后,两组患者肌力和膈肌移动度均得到改善(P<0.05),观察组患者改善更加明显(P<0.05);训练6周后,两组患者LE-FMA与MBI评分均较训练前提高(P<0.05),且观察组显著高于对照组(P<0.05)。结论与常规运动康复训练方案相比,渐进性活动与运动进阶训练方案更能促进患者膈肌功能、上下肢肌力和下肢运动功能的康复,提高生活质量。
