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Case Report: High-Pressure Chronic Retention (HPCR) of an Elderly Female and Ongoing Care following Permanent Urinary Catheter Placement 病例报告:高压慢性潴留(HPCR)的老年女性和持续护理后永久导尿管放置
G. Wijayarathne, M. Kumarasinghe, C. Dasanayake
Chronic Urinary Retention is defined as a condition of the urinary bladder in which the residual urine after a normal void exceeds 300ml. High-Pressure Chronic Retention (HPCR) differs from chronic urinary retention with four characteristics as follows, late-onset anuresis, a tense painless palpable bladder, hypertension, and bilateral hydronephrosis with hydroureter which leads to uraemia and death (Goonawardena & Sivapriyan, 2004). A 79-year-old socially active lady has been diagnosed with type II diabetes mellitus, presented with frequency, urinary incontinence, dribbling, and urgency for three years reluctant to seek proper medical assistance by rationalizing her thoughts that this condition was normal with her advanced age. As nurses, it is important to initiate care systematically: addressing the informationseeking behaviour of clients with permanent urinary catheters, encourage them to express their feeling and concerns on this condition, provision of necessary knowledge on the management, care, and long-term follow up on permanent catheterization of patients with HPCR and family. This would relieve patients’ anxiety, and dissatisfaction, and leads to enhance patients’ quality of life during their advanced age. Further, evidence and updated clinical nursing guidelines are needed on long-term care and follow-up for this unique clinical entity of elderly women. Keywords: Elderly female, High-Pressure Chronic Retention, permanent urinary catheter
慢性尿潴留被定义为膀胱正常排空后残余尿超过300ml的一种情况。高压慢性尿潴留(HPCR)不同于慢性尿潴留,有以下四个特点:迟发性尿潴留、紧张无痛可触膀胱、高血压和双侧肾积水伴输尿管导致尿毒症和死亡(Goonawardena & Sivapriyan, 2004)。一位79岁的社交活跃的女士被诊断为II型糖尿病,出现尿频、尿失禁、尿急3年,不愿寻求适当的医疗帮助,并合理化她的想法,这是正常的,随着她的高龄。作为护士,系统地开展护理是很重要的:解决永久性导尿患者的信息寻求行为,鼓励他们表达对这种情况的感受和担忧,提供必要的知识,管理,护理和长期随访永久性导尿HPCR患者和家属。这将减轻患者的焦虑和不满,从而提高患者晚年的生活质量。此外,证据和更新的临床护理指南需要长期护理和随访的老年妇女这一独特的临床实体。关键词:老年女性;高压慢性潴留;永久导尿管
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引用次数: 0
The Effect of Text Difficulty on Types of Miscues among Proficient, Average and Below Average Readers 文本难度对熟练、一般和低于一般阅读者误解类型的影响
Van Gramberg, Dilhara Vithanage
The aim of this study was to understand the differences in the type of miscues among proficient, average and below average readers as text difficulty increases. It was hypothesised that the percentage of semantic and syntactic cues made by proficient in comparison to average and below average readers will increase as the text difficulty increases. The lack of available literature with regard to reading errors facilitated the designing of this study which could serve as a base to design remedial instruction and intervention tools. A quasi-experimental design was used to investigate this relationship. A sample of hundred and three students (N=103) were recorded while reading four levels of passages with increasing difficulty and miscues were analysed according to the three cueing system. The first level passage was a tested grade appropriate passage which was used to determine if the reader was proficient, average or below average based on their accuracy scores. Results revealed that there was no significant difference across the three cueing system and reading ability. However, it was observed that readers rely on the grapho phonics cueing system when encountered with a difficult word. The findings of this study can be used to design reading instruction and remedial systems. Keywords: Miscue; Grapho-phonics; Semantics; Syntactic
本研究的目的是了解随着文本难度的增加,熟练读者、普通读者和低于普通读者的误解类型的差异。据推测,与平均水平和低于平均水平的读者相比,熟练读者所获得的语义和句法线索的百分比会随着文本难度的增加而增加。由于缺乏有关阅读错误的文献,本研究的设计可作为设计补救指导和干预工具的基础。采用准实验设计来研究这种关系。以103名学生为样本,记录了他们在阅读难度逐渐增加的四个等级的文章时的情况,并根据三线索系统分析了错误。第一级的文章是一个测试等级适当的文章,用来确定读者是熟练,平均或低于平均水平的基础上,他们的准确性得分。结果显示,三种线索系统与阅读能力之间没有显著差异。然而,我们观察到,当读者遇到一个困难的单词时,他们依赖于图形语音提示系统。本研究结果可用于设计阅读教学和补救系统。关键词:失误;Grapho-phonics;语义;语法
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引用次数: 0
Abandonment of paddy lands and its causal factors in Bentota Pahalagamhaya Agrarian service division, Sri Lanka 斯里兰卡Bentota Pahalagamhaya农业服务处稻田撂荒及其成因
A.H Hansika, SR Amarasinghe, T. Sandamali
Paddy is the most significant and highly valued crop in Sri Lanka. Paddy cultivation has been given top priority in the agriculture industry due to its strong links to food security and the socioeconomic development of the rural community. Paddy is the most significant commercial crop in the Galle district of the Low Country Wet Zone (LCWZ). However, the Galle district has a substantial amount of abandoned paddy land due to various circumstances. Abandoned paddy lands have an impact on paddy production, rural livelihood and food security in Sri Lanka. Therefore the objectives are to identify factors affecting paddy land abandonment and farmers' willingness to recultivate abandoned paddy lands in Pahalagamhaya Agrarian service division. One hundred paddy farmers with abandoned paddy lands were selected by purposive sampling while adopting a questionnaire survey method to perform multiple regression analysis and descriptive statistics. Frequent flood conditions, wild animal damage, poor drainage system, salinity and inadequate infrastructure facilities were identified as the factors that affect paddy land abandonment according to the results of multiple regression analysis. Descriptive statistics revealed that 69% of farmers are willing to re-cultivate abandoned paddy lands. The findings will aid the government and other responsible organizations in the effective management and control of the factors that cause paddy land abandonment in Bentota, Pahalagamhaya Agrarian service division. Reducing the number of abandoned paddy lands will help boost the food security in this area. Keywords: Multiple regression; paddy land abandonment; rice cultivation; willingness to re-cultivate
稻谷是斯里兰卡最重要、价值最高的作物。由于水稻种植与农村社区的粮食安全和社会经济发展有着密切的联系,因此在农业产业中一直处于优先地位。水稻是低地湿区(LCWZ)加勒地区最重要的经济作物。然而,由于各种情况,加勒地区有大量被遗弃的稻田。废弃稻田对斯里兰卡的水稻生产、农村生计和粮食安全造成影响。因此,本研究的目的是确定影响Pahalagamhaya农业服务部门稻田撂荒和农民重新开垦撂荒稻田意愿的因素。采用有目的抽样的方法,选取100名撂荒水田稻农,采用问卷调查法进行多元回归分析和描述性统计。根据多元回归分析结果,确定了水田撂荒的影响因素为洪涝频繁、野生动物破坏、排水系统差、盐碱化和基础设施不足。描述性统计显示,69%的农民愿意重新开垦废弃的稻田。研究结果将有助于政府和其他负责组织有效管理和控制导致Bentota, Pahalagamhaya水田荒废的因素。减少废弃稻田的数量将有助于促进该地区的粮食安全。关键词:多元回归;放弃水田;水稻种植;重新培养的意愿
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引用次数: 0
Students’ Positioning in the Classroom: A Case of Undergraduates Learning English as a Second Language in Sri Lanka 学生在课堂上的定位:以斯里兰卡大学生学习英语为例
Kumari Ekanayake, P.A.C Dineeka
This study investigates the impact of positioning of ESL learners in learning English using first year undergraduates at University of Kelaniya. The Positioning Theory introduced by Davies and Harré (1990) provides the basis for the study. This study focuses on investigating how second language learners position themselves in framing the identities when interacting with their teacher and classmates, and the impact of using different seating arrangements (as a type of positioning) in providing language learning opportunities. Participants of this study were 2 lecturers of English and 35 first year undergraduates of Faculty of Humanities, University of Kelaniya. Data for the study were collected from a background information questionnaire, classroom observations, and a focus group interview respectively. The findings of the study showed that students positioned themselves in different ways and it was observed that a least number of students make use of the opportunities in the language classroom. Hence, this study provides insights on the effective use of positioning of students in language classroom specifically in which the role of positioning by the teacher should be diverse, interactive, motivating and learner friendly in the ESL classroom. Keywords: Positioning; ESL classroom; Undergraduates
本研究以克拉尼亚大学一年级本科生为研究对象,探讨ESL学习者定位对英语学习的影响。Davies和harr(1990)提出的定位理论为研究提供了基础。本研究的重点是调查第二语言学习者在与老师和同学互动时如何定位自己的身份框架,以及使用不同的座位安排(作为一种定位)对提供语言学习机会的影响。研究对象为克拉尼亚大学2名英语讲师和35名人文学院一年级本科生。本研究的数据分别来自背景资料问卷、课堂观察和焦点小组访谈。研究结果表明,学生以不同的方式定位自己,并且可以观察到,很少有学生利用语言课堂上的机会。因此,本研究提供了在语言课堂中有效使用学生定位的见解,特别是教师在ESL课堂中的定位应该是多样化的、互动的、激励的和对学习者友好的。关键词:定位;英语课堂;本科生
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引用次数: 0
A Study on Mindfulness among the Prospective Teachers 准教师正念的研究
M. Bhuvaneswari, A. .. Jayanthy
Mindfulness is an emotional well-being, relative freedom from anxiety and disabling symptoms, and a capacity to establish constructive relations and cope with ordinary demands and stress of life. Mental hygiene is to save man from complexes and inner conflicts and to prepare him for such a living in which his natural diseases and social beliefs are properly adjusted and he may develop the capacity of facing complex situations as well. Mental sickness and for their convenience, the science of Mindfulness and facilities for psychology and treatment have been developed. There is no significant difference between Prospective teachers Male and Female in their Mindfulness, with reference to the dimensions of Realistic perception, Autonomy, and Environmental mastery. Keywords: Health, Teachers, Mindfulness, and Prospective Teachers
正念是一种情感健康,相对免于焦虑和残疾症状,以及建立建设性关系和应对日常需求和生活压力的能力。心理卫生就是要把人从复杂和内心冲突中拯救出来,使他为这样一种生活做好准备,在这种生活中,他的自然疾病和社会信仰得到适当的调整,他也可能发展出面对复杂情况的能力。精神疾病和他们的便利,正念科学和设施的心理和治疗已经发展。在现实感知、自主性和环境掌握三个维度上,男、女准教师的正念水平无显著差异。关键词:健康,教师,正念,准教师
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引用次数: 0
Mediation and the Myth of Enforceability 调解和可执行性的神话
W.M. D. R. Gunathilaka, Samurdhi Jayamaha
Mediation is a trending alternative dispute resolution mechanism despite some of its alleged shortcomings. One such is that the mediated outcome lacks enforceability, which is not the case in real life. Whereas various jurisdictions have expressly dealt with this alleged issue, in the absence of any explicit provision for the same, a mediation settlement agreement could also be enforced in a Court of law, by treating it as a regular contract. The presence of the highest form of autonomy in the mediation process makes its settlement agreement qualified at the outset to be considered as a contract. More pertinently, offer; acceptance; consideration; intention to create a legally binding relationship; legality and capacity as fundamental requisites of a legally enforceable contract is often seen to be present in a mediation settlement agreement, thus allowing it to be enforceable as a contract between the parties who have freely entered into such agreement to settle their dispute. It is therefore accurate to conclude that the unenforceability of a mediated outcome is a myth even where there is no specific provision to that effect. Keywords: Mediation, Mediated Settlement Agreements, Enforcement of Mediated Settlement Agreements, Contracts and settlement agreements
调解是一种新兴的替代性纠纷解决机制,尽管存在一些不足之处。其中之一是调解结果缺乏可执行性,这在现实生活中并非如此。虽然各司法管辖区已明确处理这一指称的问题,但在没有任何明确规定的情况下,调解和解协议也可以在法院执行,将其视为一项正常合同。调解过程中存在的最高形式的自治使得其和解协议从一开始就有资格被视为合同。更贴切地说,提供;验收;考虑;有意建立具有法律约束力的关系;合法性和行为能力是一项可在法律上执行的合同的基本条件,在调解和解协议中经常出现,从而使其作为自由签订这种协议以解决其争端的当事方之间的合同具有可执行性。因此,可以准确地得出这样的结论,即调解结果的不可执行性是一个神话,即使在没有这方面的具体规定的情况下也是如此。关键词:调解;调解和解协议;调解和解协议的执行
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引用次数: 0
Urban Farming: A Review on Techniques Used in Urban Farming in Mayan Civilizations 城市农业:玛雅文明城市农业技术综述
Sadani Kulathunga, T. Perera, T. Perera, C. Udawattha
Urban farming (UF) is emerging in the urban areas of the modern world due to food scarcity in urban areas. Urban agriculture is enjoying a resurgence in popularity that began decades ago. It's now widely acknowledged and accepted as a means of gaining several environmental, economic, and social advantages. However, the cradle of urban farming is from our ancestral civilization. Hence, documenting different urban farming techniques used by our ancestors is very important. Consequently, this study is launched to study how our ancestors used urban farming to feed their ever-growing urban population. To structure the database, the UF-related words and keywords are divided into five categories. After that, using different keyword combinations for both ‘history’ and UF the online databases Scopus, ScienceDirect and ISI Web of Science (WoS) were searched. The samples presented here demonstrate the diversity of landscapes found in the Mayan Civilizations. Spatial variances in the underlying environment, various environmental changes, and civilizations' adaptability across time all contributed to this heterogeneity. Whether this civilization chose to focus on agriculture in wetlands or dry uplands, how they dealt with the annual problem of the dry season and water availability, and how diverse and nutritious soils were across the broader landscape all showcase the adaptive strategies used by the civilization to suit the different environmental conditions. Techniques like Raised bed farming in Mayan Civilization, are great examples of their adaptability to the climatic changes using creative solutions. All these civilizations flourished for centuries before their collapse. As a framework for addressing community cohesiveness and food access, Urban farming is entering a new phase. Urban agriculture has the potential to help people adapt to climate change. Mitigation and adaptation will be aided by avoiding reliance on fragile transportation connections, experimenting with seasonality and crop selection, and developing community bonds. When new challenges develop, urban agriculture will be there to meet them, and it will continue to evolve as it reacts to key issues that shape our cities. And to aid this process a comprehensive look at the ancient world’s agro-urban civilizations would be very beneficial. Keywords: Urban Agricultural History, Urban Farming History, Mayan Civilizations
由于城市地区的粮食短缺,城市农业(UF)正在现代世界的城市地区兴起。从几十年前开始,都市农业正重新流行起来。现在,它作为一种获得环境、经济和社会优势的手段被广泛认可和接受。然而,城市农业的摇篮来自我们的祖先文明。因此,记录我们祖先使用的不同城市农业技术是非常重要的。因此,这项研究是为了研究我们的祖先如何利用城市农业来养活不断增长的城市人口。为了构建数据库,将与uf相关的单词和关键字分为五类。然后,对“历史”和UF使用不同的关键字组合检索在线数据库Scopus、ScienceDirect和ISI Web of Science (WoS)。这里展示的样品展示了玛雅文明中景观的多样性。基础环境的空间差异、各种环境变化和文明的时间适应性都促成了这种异质性。无论这个文明是选择在湿地还是干燥的高地上专注于农业,他们如何处理旱季和水资源的年度问题,以及在更广阔的景观中,土壤的多样性和营养都展示了文明为适应不同的环境条件而采用的适应策略。玛雅文明的养床耕作技术就是利用创造性解决方案适应气候变化的好例子。所有这些文明在崩溃之前都繁荣了几个世纪。作为解决社区凝聚力和粮食获取问题的框架,城市农业正在进入一个新阶段。都市农业有可能帮助人们适应气候变化。避免依赖脆弱的交通连接,尝试季节性和作物选择,以及发展社区纽带,将有助于缓解和适应气候变化。当新的挑战出现时,都市农业将在那里迎接它们,它将继续发展,因为它对塑造我们城市的关键问题作出反应。为了帮助这一过程,对古代世界的农业城市文明进行全面的研究将是非常有益的。关键词:城市农业史,城市农业史,玛雅文明
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引用次数: 0
English Speech Production of Native Sinhala Speakers with Special Reference to Interlanguage Analysis 母语为僧伽罗人的英语言语产生及其中介语分析
H. M. T. Wijayabandara
Native Sinhala speakers attempt to speak in English even prior to formal education regardless of the errors they make in speech production. This study is focused on interlanguage, the linguistic system behind the learner language of these native speakers, influenced by the first language and the target language. This research was conducted to analyze the impact of the Sinhala language on the English speech production of native speakers. A qualitative research approach was taken to initiate this research with 30 native Sinhala speakers, who informally learnt to speak English. They were asked to interpret a few simple English sentences to Sinhala. Each translated utterance was simultaneously recorded and analyzed to observe the produced patterns of the inter-language. Results indicate that the inter-language production of the speakers was visible in the structure of language and specific grammar rules about spoken English. Syntactic pattern, word order, misidentifying nouns and adjectives, omission of the ‘be verbs’, the misconception of verb tenses, and chaotic pronoun placement are included in the native language influence. The findings of this inter-language analysis concluded that the native language is a dominant factor in second language speech production. Competence in the first language is the main reason for this dominance since the speaker tries to perceive a second language most comfortably. Further, the importance of introducing Psycholinguistics in Sri Lanka is emphasized. Keywords: Inter-language; Learner language; Sinhala language; Speech production; Syntactic structure
当地僧伽罗人甚至在接受正规教育之前就开始尝试说英语,而不管他们在说话时犯了什么错误。本研究的重点是中介语,即受母语和目的语影响的母语学习者语言背后的语言系统。本研究旨在分析僧伽罗语对母语人士英语言语产生的影响。采用定性研究方法,对30名非正式学会说英语的僧伽罗语母语人士进行了这项研究。他们被要求把几个简单的英语句子翻译成僧伽罗语。同时记录和分析每一个翻译的话语,以观察产生的中介语模式。结果表明,说话者的语际生产在语言结构和特定的英语口语语法规则中是可见的。语法模式、词序、名词和形容词的错误识别、“be”动词的遗漏、动词时态的误解以及代词的混乱放置都包括在母语影响中。语际分析的结果表明,母语是第二语言言语产生的主要因素。第一语言的能力是这种优势的主要原因,因为说话者试图最舒适地理解第二语言。此外,还强调了在斯里兰卡引入心理语言学的重要性。关键词:语际语;学习者的语言;僧伽罗语的语言;演讲生产;句法结构
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引用次数: 0
A Dialogue on the Effectiveness of Section 308A and Section 341 of the Penal Code in Discouraging Corporeal Punishments 论刑法第308A条和第341条在禁止体罚方面的有效性
S. Widanapathirana
Corporeal punishments can be identified as a method of punishment that can be traced a long way back in history as a method that is utilized to ensure compliance and discipline. It is quite well known that the same method is used in various degrees to discipline children at schools and even within the unit of a family. However, it is proven by research that such punishments can have devastating effects on the well-being of children, thus, the claims on punishments being imposed in the best interests of the children might be considered ineffective due to lack of evidence and the severity of the consequences of imposing corporeal punishments to children. Thus, the purpose of this research was to conduct a dialogue on the capability of criminal law on ensuring protection for children against acts of violence within the school system via a focused emphasis on the competency of Section 308A (1995 Amendment) and Section 341 of the Penal Code through utilizing the epistemological approach and the black letter approach of qualitative research. The research findings depicted that the relevant Sections considered within the course of the research has potential in terms of ensuring protection for children from acts of cruelty against children in the school atmosphere. The provisions further attempt to strike a balance between reasonable acts to ensure student wellbeing and acts that can be considered as being influenced by malice and cruelty, yet, with limitations that leave room for improvements. Keywords: Corporeal punishments; Best interests; Children; Child rights
体罚可以被认为是一种惩罚方法,可以追溯到历史上很长的一段时间,作为一种用来确保遵守和纪律的方法。众所周知,同样的方法在不同程度上被用来在学校甚至在一个家庭中管教孩子。然而,研究证明,这种惩罚可能对儿童的福祉产生破坏性影响,因此,由于缺乏证据和对儿童施加体罚后果的严重性,关于为了儿童的最大利益而施加惩罚的主张可能被认为是无效的。因此,本研究的目的是通过利用认识论方法和定性研究的黑字方法,重点强调刑法第308A条(1995年修正案)和第341条的能力,就刑法在确保保护儿童免受学校系统暴力行为方面的能力进行对话。研究结果表明,在研究过程中考虑的有关章节在确保保护儿童免受学校环境中对儿童的残酷行为方面具有潜力。这些规定进一步试图在确保学生福利的合理行为与可能被认为受到恶意和残忍影响的行为之间取得平衡,但也有局限性,留下了改进的空间。关键词:体罚;最佳利益;孩子;儿童权利
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引用次数: 0
Attitude of Police Officers towards Dealing with Individuals with Psychological Problems: A Sample from Selected Police Stations in Colombo District 警察对待心理问题个体的态度:来自科伦坡地区某些警察局的样本
Leila Tennakoon, L. Ponnamperuma
Sri Lanka’s Mental Diseases Ordinance (1873) gives discretion to police officers to make decisions concerning individuals who live with mental health conditions despite lack of clinical training. Identification of officers’ attitudes towards individuals with psychological problems (IPPs) is important as these influences officers’ responses to situations involving IPPs. Using the Mental Health Attitude Survey for Police (MHASP; Clayfield, 2011), the study aimed to identify police officers’ attitudes towards IPPs, on the community responsibility towards IPPs and on IPPs living in the community. Officers’ perceived level of adequacy to deal with IPPs was also assessed. Literature indicates that factors such as age, gender, level of education, years of experience, personal experience with an IPP and past training predicted officers’ attitude, the current study investigated the same. The survey was distributed amongst 77 officers who volunteered on site. MHASP includes 33 statements of officers rated their level of agreement using a Likert scale. MHASP Total an overall attitude score (M=132.67, SD=17.55) indicated a significant positive attitude towards IPPs despite an absence of a specialized training (84%) or any personal experience, officers felt confident to deal with IPPs. Multiple regression analysis identified gender of the officers to be the only predictor for attitude towards community responsibility towards IPPs (p=0.047). Despite the positive attitude and perceived adequate preparedness reported in the current study, considering the lack of experience stated by the officers and the analysis of individual items of the survey, several stigmatizing beliefs held by officers were identified. The findings can be used to enhance the current practices and specialized training to the police officers who deal with IPPs in Sri Lanka. Keywords: Police; law enforcement; attitude; mental health; psychological problems
斯里兰卡的《精神疾病条例》(1873年)赋予警官自由裁量权,可对缺乏临床培训但患有精神疾病的个人作出决定。了解警务人员对有心理问题人士的态度很重要,因为这些态度会影响警务人员对涉及心理问题人士的情况的反应。警察心理健康态度调查的应用Clayfield, 2011),该研究旨在确定警察对ipp的态度,社区对ipp的责任以及生活在社区中的ipp。此外,还评估了警官对处理ipp的适当程度的看法。文献显示,年龄、性别、受教育程度、经验年数、个人警务经验及过往训练等因素可预测警务人员的态度,本研究亦是如此。这项调查是在现场自愿参加的77名警官中进行的。MHASP包括33份警官陈述,使用李克特量表评定他们的同意程度。MHASP总体态度得分(M=132.67, SD=17.55)表明,尽管没有受过专门培训(84%)或任何个人经验,警务人员对非法警察仍有信心处理非法警察。多元回归分析发现,警员性别是影响警员对社区责任态度的唯一预测因子(p=0.047)。尽管在目前的研究中报告了积极的态度和充分的准备,但考虑到警官们缺乏经验和对调查个别项目的分析,我们发现了警官们持有的一些污名化的信念。调查结果可用于加强目前的做法,并对斯里兰卡处理警察问题的警察进行专门培训。关键词:警察;执法;态度;心理健康;心理问题
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