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“后疫情时代”外国留学生线上教学的问题研究 被引量:2
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作者 王淑敏 玄律 《北部湾大学学报》 2021年第5期68-73,共6页
在中国新冠肺炎疫情得到有效管控、境外新冠肺炎疫情依然严峻的“后疫情时代”,大部分外国留学生尚不具备返回中国高校的条件,只能依赖线上教学维持教学活动,线上教学的效果直接关乎“一带一路”教育共同体的推进。然而除了宗教、时差... 在中国新冠肺炎疫情得到有效管控、境外新冠肺炎疫情依然严峻的“后疫情时代”,大部分外国留学生尚不具备返回中国高校的条件,只能依赖线上教学维持教学活动,线上教学的效果直接关乎“一带一路”教育共同体的推进。然而除了宗教、时差等客观因素外,教师缺乏国际化教学能力和留学生的校园社会体验感不足等也成为线上教学的障碍。基于此,调整线上教学时间,加强师资队伍国际化建设、拓宽留学生的国际视野,探索高科技线上教学模式,以线下活动作为补充,成为提升中国高校国际化教育教学效果的重要途径。 展开更多
关键词 “后疫情时代” 外国留学生 线上教学 国际化
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高温直接打击法与逐步升温法建立经典型热射病多器官功能障碍综合征小鼠模型的对比及评价 被引量:4
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作者 刘育妍 李云 +6 位作者 胡婕 宣律 王陆 袁睿 邓子辉 张玉想 康红军 《解放军医学杂志》 CAS CSCD 北大核心 2023年第8期893-902,共10页
目的比较两种温度策略建立的伴多器官功能障碍综合征(MODS)经典型热射病(CHS)小鼠模型的差异。方法将66只雄性C57BL/6J小鼠采用随机数字表法分为直接热打击(DHS)组(n=28)、逐步升温热打击(SHS)组(n=28)及对照组(n=10)。前两组分别使用4... 目的比较两种温度策略建立的伴多器官功能障碍综合征(MODS)经典型热射病(CHS)小鼠模型的差异。方法将66只雄性C57BL/6J小鼠采用随机数字表法分为直接热打击(DHS)组(n=28)、逐步升温热打击(SHS)组(n=28)及对照组(n=10)。前两组分别使用41℃直接打击法及25.0~39.5℃逐步升温法建立CHS小鼠模型。将小鼠放入模拟气候舱,密切观察其活动规律及意识状态,并监测直肠温度(Tr),待达到造模终点后出舱。每组采用随机数字表法抽取4只小鼠,于热暴露结束后恢复24 h取其血样和肝、肾、肠、肺、脾组织,采用全自动生化分析仪检测血清谷丙转氨酶(ALT)、谷草转氨酶(AST)、肌酐(CREA)、血尿素氮(BUN)、碱性磷酸酶(ALP)、乳酸脱氢酶(LDH)和肌酸激酶同工酶MB(CK-MB)水平,采用多因子检测试剂盒测定白细胞介素(IL)-1β、IL-6、肿瘤坏死因子(TNF)-α、单核细胞趋化蛋白(MCP)-1及转化生长因子(TGF)-β水平,并对小鼠不同器官进行组织学观察及病理损伤评分;对剩余小鼠进行72 h生存分析。结果两种热打击策略均可成功建立CHS小鼠模型,但与DHS组比较,SHS组小鼠热暴露的时间较长[(181.61±41.88)min vs.(104.72±18.68)min,P<0.001],脱水百分比较高[(11.59±1.52)%vs.(7.07±1.84)%,P<0.001],72 h内致死率较高(73.68%vs.22.22%,P<0.05)。恢复24 h后,SHS组ALT、AST、CREA、BUN水平均明显高于DHS组[(875.63±241.24)U/L vs.(139.38±188.22)U/L,P<0.01;(2406.75±1008.69)U/L vs.(208.13±149.23)U/L,P<0.01;(79.88±41.39)U/L vs.(18.75±10.51)U/L,P<0.05;(134.33±52.54)U/L vs.(17.75±7.31)U/L,P<0.01],各器官组织病理学评分均明显高于DHS组(P<0.05);此外,SHS组MCP-1水平明显高于DHS组[(22.89±1.97)pg/ml vs.(15.97±3.91)pg/ml,P<0.05],TGF-β水平明显低于DHS组[(936.46±30.17)pg/ml vs.(1453.50±129.81)pg/ml,P<0.001]。结论使用逐步升温法建立的CHS小鼠模型成功率及致死率均较高,各器官损伤较重,是一种更符合CHS病理生理状态的动物模型。 展开更多
关键词 热射病 多器官功能障碍综合征 直接热打击 逐步升温热打击
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雷帕霉素对劳力型热射病大鼠下丘脑损伤的保护作用及其机制 被引量:8
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作者 宣律 张玉想 +4 位作者 王佳兴 顾焱 任卫东 孙正中 马运亚 《解放军医学杂志》 CAS CSCD 北大核心 2023年第8期903-912,共10页
目的探讨雷帕霉素(Rapa)对劳力型热射病大鼠下丘脑损伤的保护作用及其机制。方法80只Wistar雄性大鼠随机分为对照组、Rapa组、劳力型热射病(EHS)组及EHS+Rapa组,每组20只。Rapa组及EHS+Rapa组大鼠分别于建模前连续4 d腹腔注射Rapa(1 mg/... 目的探讨雷帕霉素(Rapa)对劳力型热射病大鼠下丘脑损伤的保护作用及其机制。方法80只Wistar雄性大鼠随机分为对照组、Rapa组、劳力型热射病(EHS)组及EHS+Rapa组,每组20只。Rapa组及EHS+Rapa组大鼠分别于建模前连续4 d腹腔注射Rapa(1 mg/kg,1次/d),对照组及EHS组给予同体积生理盐水。将EHS组及EHS+Rapa组大鼠置于温度(39.5±0.3)℃、湿度55%±5%的气候舱中跑步,建立EHS模型;对照组及Rapa组大鼠置于相同室温下,进行与EHS组同等强度的跑步。在模型建立过程中,观察各组大鼠的一般状态,测量核心温度并绘制大鼠生存曲线(n=11)。EHS组及EHS+Rapa组大鼠于入舱80 min后,从舱中取中,并观察300 min。对各组大鼠实施麻醉,取腹主动脉血及下丘脑等组织,HE及尼氏染色观察下丘脑的组织病理学改变;免疫荧光法测定神经元凋亡情况;Western blotting法检测大鼠下丘脑组织中哺乳动物雷帕霉素靶蛋白(mTOR)、磷酸化mTOR(pmTOR)、自噬效应蛋白(Beclin-1)、泛素结合蛋白(p62)及自噬标志物微管相关蛋白1轻链3(LC3)的表达,并计算pmTOR/mTOR及LC3-Ⅱ/LC3-Ⅰ比值。采用酶联免疫吸附试验(ELISA)检测大鼠血清中神经元特异性烯醇化酶(NSE)、脑活性肽100β蛋白(S100β)、白细胞介素-6(IL-6)及肿瘤坏死因子-α(TNF-α)的表达水平。结果在入舱后80 min时,与对照组相比,EHS组的核心温度明显升高;与Rapa组相比,EHS+Rapa组的核心温度明显升高(P<0.001)。与EHS组相比,EHS+Rapa组大鼠的生存率升高(P<0.01)。下丘脑组织HE及尼氏染色显示,EHS组大鼠下丘脑神经元病理损伤更重,而EHS+Rapa组大鼠下丘脑神经元病理损伤较EHS组明显减轻(P<0.001)。免疫荧光检测结果显示,EHS组大鼠下丘脑组织中细胞凋亡率较对照组显著增高,而与EHS组相比,EHS+Rapa组大鼠下丘脑组织中细胞凋亡率显著降低(P<0.05)。Western blotting结果显示,与对照组相比,EHS组大鼠下丘脑组织中pmTOR/mTOR及LC3-Ⅱ/LC3-Ⅰ比值升高,Beclin-1表达增加,p62表达减少(P<0.01);与EHS组相比,EHS+Rapa组大鼠下丘脑组织中pmTOR/mTOR比值降低,LC3-Ⅱ/LC3-Ⅰ比值升高,Beclin-1的表达增加,p62表达减少(P<0.05)。ELISA结果显示,与对照组相比,EHS组血清中NSE、S100β、IL-6及TNF-α的表达水平均增高(P<0.05);与EHS组相比,EHS+Rapa组血清中NSE、S100β、IL-6及TNF-α表达水平均降低(P<0.05)。结论雷帕霉素可减轻劳力型热射病引起的下丘脑损伤,改善脑细胞功能,降低炎性因子水平,减少组织细胞凋亡,可能与其抑制mTOR信号通路、增强下丘脑的自噬水平有关。 展开更多
关键词 中暑 下丘脑 雷帕霉素 自噬
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北京市DRG付费改革实践及DRG付费国家试点技术方案特点分析 被引量:33
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作者 玄律 程超 +2 位作者 郑杰 胡牧 郭默宁 《中国医疗保险》 2020年第9期36-39,共4页
北京市在全国率先启动DRG医保支付领域研究,形成了国内第一个结合本土数据环境和国际成熟经验开发的覆盖全部疾病的DRG系统。2019年,受国家医保局委托,北京市承担了DRG付费国家试点技术标准的制定工作,通过组织专家分析论证,编制形成了C... 北京市在全国率先启动DRG医保支付领域研究,形成了国内第一个结合本土数据环境和国际成熟经验开发的覆盖全部疾病的DRG系统。2019年,受国家医保局委托,北京市承担了DRG付费国家试点技术标准的制定工作,通过组织专家分析论证,编制形成了CHS-DRG分组方案。该分组方案是目前最权威的版本,为各地落实DRG付费试点提供了标准和指南。本文通过全面回顾北京市DRG付费改革进程、经验做法及取得的成效,介绍CHS-DRG付费国家试点技术指导组研制技术方案的过程和方案的特点,以期对今后各地开展DRG付费工作起到一定借鉴作用。 展开更多
关键词 疾病诊断相关分组 支付方式改革 国家医疗保障DRG 国家试点 北京
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A parathyroid hormone related supramolecular peptide for multi-functionalized osteoregeneration 被引量:1
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作者 Zhuowen Hao Qinyu Feng +11 位作者 Yi Wang Ying Wang Hanke Li Yingkun Hu Tianhong Chen Junwu Wang Renxin Chen xuan lv Zhiqiang Yang Jiayao Chen Xiaodong Guo Jingfeng Li 《Bioactive Materials》 SCIE CSCD 2024年第4期181-203,共23页
Supramolecular peptide nanofiber hydrogels are emerging biomaterials for tissue engineering,but it is difficult to fabricate multi-functional systems by simply mixing several short-motif-modified supramolecular peptid... Supramolecular peptide nanofiber hydrogels are emerging biomaterials for tissue engineering,but it is difficult to fabricate multi-functional systems by simply mixing several short-motif-modified supramolecular peptides because relatively abundant motifs generally hinder nanofiber cross-linking or the formation of long nanofiber.Coupling bioactive factors to the assembling backbone is an ideal strategy to design multi-functional supramolecular peptides in spite of challenging synthesis and purification.Herein,a multi-functional supramolecular peptide,P1R16,is developed by coupling a bioactive factor,parathyroid hormone related peptide 1(PTHrP-1),to the basic supramolecular peptide RADA16-I via solid-phase synthesis.It is found that P1R16 self-assembles into long nanofibers and co-assembles with RADA16-I to form nanofiber hydrogels,thus coupling PTHrP-1 to hydrogel matrix.P1R16 nanofiber retains osteoinductive activity in a dose-dependent manner,and P1R16/RADA16-I nanofiber hydrogels promote osteogenesis,angiogenesis and osteoclastogenesis in vitro and induce multi-functionalized osteoregeneration by intramembranous ossification and bone remodeling in vivo when loaded to collagen(Col)scaffolds.Abundant red blood marrow formation,ideal osteointegration and adapted degradation are observed in the 50%P1R16/Col scaffold group.Therefore,this study provides a promising strategy to develop multi-functional supramolecular peptides and a new method to topically administrate parathyroid hormone or parathyroid hormone related peptides for non-healing bone defects. 展开更多
关键词 Supramolecular peptide nanofiber hydrogels Parathyroid hormone SELF-ASSEMBLY Co-assembly Bone tissue engineering
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北京市医保高血压患者门诊就医选择及其影响因素分析 被引量:11
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作者 海鹏程 玄律 +2 位作者 郑杰 何永洁 王晨 《中华医院管理杂志》 CSCD 北大核心 2022年第2期115-120,共6页
目的分析北京市医保高血压患者门诊就医机构选择现状及其影响因素,为推动高血压慢性病的分级诊疗、引导患者基层就诊提供依据。方法提取2019年4月至2020年1月北京市基本医疗保险数据库中所有门诊高血压患者就医数据,分析患者的主要人口... 目的分析北京市医保高血压患者门诊就医机构选择现状及其影响因素,为推动高血压慢性病的分级诊疗、引导患者基层就诊提供依据。方法提取2019年4月至2020年1月北京市基本医疗保险数据库中所有门诊高血压患者就医数据,分析患者的主要人口学特征、患者门诊就医机构的选择及其影响因素。组间比较采用χ2检验,影响因素采用多因素logistic回归分析。结果共纳入高血压患者284.21万例,其中39.03%仅在基层医疗机构门诊就医,5.16%仅在二级医疗机构门诊就医,17.34%仅在三级医疗机构门诊就医,其余38.47%在两种及以上类别的医疗机构门诊就医。影响北京市医保高血压患者门诊就医选择的因素包括性别、年龄、医保类型、居住地、中草药使用、中成药使用、多重用药、门诊化验检查需求。结论目前北京市医保高血压患者基层就诊格局已初步形成,但影响患者门诊就医机构选择的因素较多。未来应进一步优化医疗资源配置,推动医保支付方式改革,加强基层医疗机构建设,拓展家庭医生签约覆盖面,引导患者基层就诊。 展开更多
关键词 高血压 患者 医疗保险 门诊就医选择 影响因素
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ZrC-ZrB_2-SiC ceramic nanocomposites derived from a novel single-source precursor with high ceramic yield 被引量:9
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作者 Zhaoju YU xuan lv +4 位作者 Shuyi LAI Le YANG Wenjing LEI Xingang LUAN Ralf RIEDEL 《Journal of Advanced Ceramics》 SCIE CSCD 2019年第1期112-120,共9页
For the first time, ZrC-ZrB_2-SiC ceramic nanocomposites were successfully prepared by a single-source-precursor route, with allylhydridopolycarbosilane(AHPCS),triethylamine borane(TEAB),and bis(cyclopentadienyl) zirc... For the first time, ZrC-ZrB_2-SiC ceramic nanocomposites were successfully prepared by a single-source-precursor route, with allylhydridopolycarbosilane(AHPCS),triethylamine borane(TEAB),and bis(cyclopentadienyl) zirconium dichloride(Cp_2 ZrCl_2) as starting materials. The polymer-to-ceramic transformation and thermal behavior of obtained single-source precursor were characterized by means of Fourier transform infrared spectroscopy(FT-IR) and thermal gravimetric analysis(TGA). The results show that the precursor possesses a high ceramic yield about 85% at 1000 ℃.The phase composition and microstructure of formed ZrC-ZrB_2-SiC ceramics were investigated by means of X-ray diffraction(XRD) and high resolution transmission electron microscopy(HRTEM).Meanwhile, the weight loss and chemical composition of the resultant ZrC-ZrB_2-SiC nanocomposites were investigated after annealing at high temperature up to 1800 ℃. High temperature behavior with respect to decomposition as well as crystallization shows a promising high temperature stability of the formed ZrC-ZrB_2-SiC nanocomposites. 展开更多
关键词 polymer DERIVED ceramics single-source PRECURSOR CERAMIC NANOCOMPOSITE
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Role of in-situ formed free carbon on electromagnetic absorption properties of polymer-derived SiC ceramics 被引量:10
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作者 Zhaoju YU xuan lv +2 位作者 Kangwei MAO Yujing YANG Anhua LIU 《Journal of Advanced Ceramics》 SCIE CAS CSCD 2020年第5期617-628,共12页
In order to enhance dielectric properties of polymer-derived SiC ceramics,a novel single-source-precursor was synthesized by the reaction of an allylhydrido polycarbosilane(AHPCS)and divinyl benzene(DVB)to form carbon... In order to enhance dielectric properties of polymer-derived SiC ceramics,a novel single-source-precursor was synthesized by the reaction of an allylhydrido polycarbosilane(AHPCS)and divinyl benzene(DVB)to form carbon-rich SiC.As expected,the free carbon contents of resultant SiC ceramics annealed at 1600℃are significantly enhanced from 6.62 wt%to 44.67 wt%.After annealing at 900-1600℃,the obtained carbon-rich SiC ceramics undergo phase separation from amorphous to crystalline feature where superfine SiC nanocrystals and turbostratic carbon networks are dispersed in an amorphous SiC(O)matrix.The dielectric properties and electromagnetic(EM)absorption performance of as-synthesized carbon-rich SiC ceramics are significantly improved by increasing the structural order and content of free carbon.For the 1600℃ ceramics mixed with paraffin wax,the minimum reflection coefficient(RCmin)reaches-56.8 dB at 15.2 GHz with the thickness of 1.51 mm and a relatively broad effective bandwidth(the bandwidth of RC values lower than-10 dB)of 4.43 GHz,indicating the excellent EM absorption performance.The carbon-rich SiC ceramics have to be considered as harsh environmental EM absorbers with excellent chemical stability,high temperature,and oxidation and corrosion resistance. 展开更多
关键词 polymer-derived ceramics(PDCs) microstructural evolution dielectric properties electromagnetic properties
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A taxonomic and phylogenetic perspective on plant community assembly along an elevational gradient in subtropical forests 被引量:6
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作者 Ran Zhang Zhaochen Zhang +8 位作者 Kankan Shang Mingshui Zhao Jiaxin Kong Xin Wang Yuzhuo Wang Houjuan Song Oukai Zhang xuan lv Jian Zhang 《Journal of Plant Ecology》 SCIE CSCD 2021年第4期702-716,共15页
Aims Biodiversity patterns along elevational gradients have been well documented.Yet,the variations of biodiversity patterns along elevations and their underlying mechanisms are still unclear.Integrating multiple face... Aims Biodiversity patterns along elevational gradients have been well documented.Yet,the variations of biodiversity patterns along elevations and their underlying mechanisms are still unclear.Integrating multiple facets of biodiversity provides novel insights into the mechanisms for driving community assembly.In this study,species abundance information was incorporated into taxonomic and phylogenetic diversity to reveal the ecological and evolutionary forces of plant community assembly along an elevational gradient in subtropical forests.Methods We selected 17 woody plant plots along an elevational gradient from 270 to 1470 m in eastern China’s subtropical forests.Both presence-based and abundance-based measures of angiosperm species were used to quantify taxonomic alpha diversity,phylogenetic alpha diversity,phylogenetic relatedness,as well as taxonomic and phylogenetic dissimilarity among these plots.And the relations between these measures and climatic and topographic variables were analyzed.Important Findings For both abundance-weighted and unweighted measures,we observed an overall increasing pattern for taxonomic alpha diversity along elevation,and distance-decay trends of taxonomic and phylogenetic similarity with increased elevational distances.However,there were disparity patterns of phylogenetic alpha diversity between abundance-weighted and unweighted measures.For phylogenetic structure,there was no significant trend along elevation.Both topographical and microclimatic variables were main drivers of diversity patterns and phylogenetic structure.Compared with unweighted measures,abundance-weighted measures were strongly related with the slope and stand basal area.Overall,our results prove that deterministic processes mediated by local species abundance imprint on plant community composition along the elevational gradient. 展开更多
关键词 community phylogenetics phylogenetic structure phylogenetic diversity beta diversity environmental gradient MICROCLIMATE phylogenetic niche conservatism
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