As International Atomic Energy Agency has stated in its Handbook on Nuclear Law, “Even in situations for which the highest standard of safety has been achieved, the occurrence of nuclear accidents cannot be completely excluded.” Therefore, the international legal framework for nuclear damage compensation liability has been evolving since the establishment of Nuclear Energy Agency of Organization for Economic Co-operation and Development (OECD NEA) and International Atomic Energy Agency (IAEA). Over the years, various international treaties have been enacted to address the compensation of nuclear damage and to establish liability regimes for nuclear incidents. To date, these treaties have established a series of legal principles of nuclear damage liability, such as the sole liability principle, the strict liability principle, the financial guarantee principle etc., which have been developing since establishment. This paper offers an overview of the historical development of the principles of these international treaties for nuclear damage liability and thus draws upon both primary and secondary sources, including treaties, official documents, academic literature, and reports by international organizations. Including the legislation study methodology, comparative methodology is also adopted in this paper to analyze the changes and trend of these principles. The paper reveals that the Paris Convention, which was established in 1960, was the first attempt to establish a comprehensive legal regime for nuclear damage liability. Most of the principles of this Convention have been inherited by subsequent international treaties and domestic legislations. With the awareness of protecting public’s rights having been significantly strengthened, the range of compensation has been broader, the matters of immunity from liability for operators of nuclear power plants have been reduced, the limitation of the compensation amount has been higher etc. In conclusion, the international legal regime for nuclear damage liability has been showing a shift from protecting the development of the nuclear industry to a joint protection of both public health and rights and the nuclear industry, which should be paid attention to and deeply learnt by domestic legislators of all states for the establishment and perfection of their domestic legislation in this field.
Background: Despite China’s 1.4 billion population and massive investment in improving medical education, there is no transformational national or international course focused on emergency trauma care. In order to overcome recognized deficiencies, we developed an affordable knowledge and skills workshop called Essential Trauma Critical Care China (ETCCC). Methods: Pre-course and post-course MCQs were used to test knowledge and simulation scenarios quantified clinical competence. Structured feedback was obtained. To evaluate the effect of ETCCC on staff performance, we analyzed the clinical records and questioned resuscitation team peers for trauma patients requiring resuscitation room intervention in the 10 consecutive patients before and after the workshops. Results: During 2022–2023, five workshops were delivered to participants from six hospitals in two Chinese provinces. Cost per participant did not exceed US$125. Fifty-eight doctors and 37 nurses participated. For all delegates pre-course knowledge scores increased from mean 35% to 70% post-course. 99% (n = 82/83) participants reached the required standard in the post-course written test. Post-course skills tests scores were mean 67% for doctors and 84% for nurses. Nurses demonstrated significant improvements in the rate and quality of trauma history acquisition as well as triage skills after the course (all p < 0.01). Doctors scored significant improvement in the areas of leadership and teamwork, care of cervical spine, circulation assessment and fluid resuscitation (all p < 0.02). Conclusion: Essential Trauma Critical Care China (ETCCC) is the first economically developed medical educational tool shown to improve performance of emergency room staff. Its success may have relevance for trauma-care education in similar medium-resource environments.
The wave effect and the shyness phenomenon in Alnus acuminata (Kunth) are crown parameters rarely studied, but important in the quality of the wood of standing trees, therefore, a morphometric modeling of the crowns of Alnus acuminata in homogeneous forests in the Sierra Norte de Puebla was carried out. In 20 rectangular sites of 1,000 m2, the following were evaluated: total height (TA), normal diameter (ND), crown diameter (CD) and crown cover (CC). The Kruskal Wallis test was applied to data that did not meet the assumption of normality; for those that did, analysis of variance (ANOVA) was used, with Tukey mean comparison tests (α ≤ 0.05). The forest value index was 14.99, so its two-dimensional structure is normal based on DN, AT and CC. Its average slenderness index was 93.52, which makes the tree not very stable to mechanical damage. The life-space index was 38.92, which is high indicating that trees with low intraspecific competition developed better. At the canopy level, a pattern following an upward, oscillatory and constant wave effect was observed in groups of 10 trees. The shyness phenomenon showed an average crack opening of 27.39 cm between canopies, so this phenomenon is well defined for the species. It is concluded that in the crowns of Alnus acuminata, the wave effect is observed as a consequence of inequality in the acquisition of resources, and one way to minimize this inequality is through the phenomenon of botanical shyness.
The main objective of the study was to examine factors that influence employee performance in general and, more specifically, in public enterprises. The research approach was qualitative, with an in-depth literature review and content analysis. The findings of the study reflect that some factors have a positive and some have a negative influence on employee performance. The study also shows a significant relationship between factors and employee performance, which in turn has a multiplier effect on employee development. Recommendations include the need to provide resources for employee training and development, and the strategic aims and objectives of public enterprises should be aligned with the training and development programs.
The cost of diagnostic errors has been high in the developed world economics according to a number of recent studies and continues to rise. Up till now, a common process of performing image diagnostics for a growing number of conditions has been examination by a single human specialist (i.e., single-channel recognition and classification decision system). Such a system has natural limitations of unmitigated error that can be detected only much later in the treatment cycle, as well as resource intensity and poor ability to scale to the rising demand. At the same time Machine Intelligence (ML, AI) systems, specifically those including deep neural network and large visual domain models have made significant progress in the field of general image recognition, in many instances achieving the level of an average human and in a growing number of cases, a human specialist in the effectiveness of image recognition tasks. The objectives of the AI in Medicine (AIM) program were set to leverage the opportunities and advantages of the rapidly evolving Artificial Intelligence technology to achieve real and measurable gains in public healthcare, in quality, access, public confidence and cost efficiency. The proposal for a collaborative AI-human image diagnostics system falls directly into the scope of this program.
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