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Assessment on Evaluating Parameters of Rice Core Collections Constructed by Genotypic Values and Molecular Marker Information 被引量:20
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作者 WANG Jian-cheng HU Jin +1 位作者 ZHANG Cai-fang ZHANG Sheng 《Rice science》 SCIE 2007年第2期101-110,共10页
Eleven evaluating parameters for rice core collection were assessed based on genotypic values and molecular marke' information. Monte Carlo simulation combined with mixed linear model was used to eliminate the interf... Eleven evaluating parameters for rice core collection were assessed based on genotypic values and molecular marke' information. Monte Carlo simulation combined with mixed linear model was used to eliminate the interference from environment in order to draw more reliable results. The coincidence rate of range (CR) was the optimal parameter. Mean Simpson index (MD), mean Shannon-Weaver index of genetic diversity (M1) and mean polymorphism information content (MPIC) were important evaluating parameters. The variable rate of coefficient of variation (VR) could act as an important reference parameter for evaluating the variation degree of core collection. Percentage of polymorphic loci (p) could be used as a determination parameter for the size of core collection. Mean difference percentage (MD) was a determination parameter for the reliability judgment of core collection. The effective evaluating parameters for core collection selected in the research could be used as criteria for sampling percentage in different plant germplasm populations. 展开更多
关键词 core collection genotypic value molecular marker information Monte Carlo simulation mixed linear model evaluating parameter RICE
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Solutions to the generalized Sylvester matrixequations by a singular value decomposition 被引量:1
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作者 Bin ZHOU Guangren DUAN 《控制理论与应用(英文版)》 EI 2007年第4期397-403,共7页
In this paper, solutions to the generalized Sylvester matrix equations AX -XF = BY and MXN -X = TY with A, M ∈ R^n×n, B, T ∈ Rn×r, F, N ∈ R^p×p and the matrices N, F being in companion form, are est... In this paper, solutions to the generalized Sylvester matrix equations AX -XF = BY and MXN -X = TY with A, M ∈ R^n×n, B, T ∈ Rn×r, F, N ∈ R^p×p and the matrices N, F being in companion form, are established by a singular value decomposition of a matrix with dimensions n × (n + pr). The algorithm proposed in this paper for the euqation AX - XF = BY does not require the controllability of matrix pair (A, B) and the restriction that A, F do not have common eigenvalues. Since singular value decomposition is adopted, the algorithm is numerically stable and may provide great convenience to the computation of the solution to these equations, and can perform important functions in many design problems in control systems theory. 展开更多
关键词 generalize Sylvester matrix equations general solutions Companion matrix Singular value decomposition
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The value of Subtitles in second language general comprehension——Literuare review
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作者 纪沅坤 《中国城市经济》 2012年第3期260-260,共1页
As second language learning becomes popular,various strategies to improve the learning process have been suggested.One of them includes the implantation of audiovisual materials(video authentic materials),which then l... As second language learning becomes popular,various strategies to improve the learning process have been suggested.One of them includes the implantation of audiovisual materials(video authentic materials),which then leads to a discussion of subtitle usage and the value of subtitles in second language learning.This essay focuses on searching for literature that suggests the value of subtitles,especially teletext subtitles,in improving second language learning.This was achieved by reviewing relevant research and experiments.The results suggested that even though uncertainty remained on what kind of materials fit what level of learners,in general,subtitles,especially teletext subtitles,were seen as a beneficial tool in developing learners' listening abilities and skills. 展开更多
关键词 The value of Subtitles in second language general comprehension Literuare review
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Analysis of the Application Value of Refined Nursing in Patients Undergoing Gynecological Laparoscopic Surgery under General Anesthesia
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作者 YIN Mengyao 《外文科技期刊数据库(文摘版)医药卫生》 2021年第8期017-019,共5页
Objective: to explore and analyze the application value of refined nursing in the resuscitation period of gynecological laparoscopic surgery under general anesthesia. Methods: based on the sample analysis method, the ... Objective: to explore and analyze the application value of refined nursing in the resuscitation period of gynecological laparoscopic surgery under general anesthesia. Methods: based on the sample analysis method, the patients receiving gynecological laparoscopic surgery under general anesthesia in our hospital were selected as the subjects of the study. A total of 74 samples were selected from February 2019 to February 2021. According to the difference of nursing plan in the recovery period, the selected patients were divided into control group and observation group, with 37 patients in each group. The patients were given routine nursing and refined nursing intervention respectivey. The clinical indexes and nursing satisfaction of the enrolled patients were observed and compared. Results: the spontaneous breathing time, recovery time, residence time in resuscitation room and extubation time (14.67±4.05) in the observation group were significantly better than those in the control group (P < 0.05). At the same time, the nursing satisfaction of the observation group was significantly higher than that of the control group (97.5%: 78.0%). There was a significant difference in the data (P < 0.05). Conclusion: refined nursing is an ideal nursing mode for patients undergoing gynecological laparoscopic surgery under general anesthesia, which can significantly improve the clinical indicators of patients, and play a positive role in improving the evaluation of nursing quality, which is worthy of popularization. 展开更多
关键词 general anesthesia gynecological laparoscopy refined nursing application value
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Value of General Anesthesia Compound Epidural Anesthesia in Uterine Fibroids Surgery
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作者 WANGHedong ZHANGXiaoli +1 位作者 CHENLin LIUShang 《外文科技期刊数据库(文摘版)医药卫生》 2022年第3期198-201,共4页
Objective: to explore the clinical significance of general anesthesia combined with epidural anesthesia in the treatment of hysteromyoma. Methods: 100 patients who underwent hysteromyomectomy in our hospital from Janu... Objective: to explore the clinical significance of general anesthesia combined with epidural anesthesia in the treatment of hysteromyoma. Methods: 100 patients who underwent hysteromyomectomy in our hospital from January 2019 to December 2020 were randomly allocated, 50 patients in each group. The general anesthesia group was all under general anesthesia, while the compound anesthesia group was under general anesthesia combined with epidural anesthesia. The vital signs of the two groups before tracheal intubation, immediately after tracheal intubation, at the time of skin incision, at the end of surgery and at the time of tracheal extubation were compared, and the incidence of postoperative complications was compared. Results: there was no significant difference in vital signs immediately before tracheal intubation between compound anesthesia group and general anesthesia group (P > 0.05). The vital signs of the compound anesthesia group were lower than those of the general anesthesia group immediately after tracheal intubation, at the time of skin incision, at the end of operation and at the time of tracheal extubation (P < 0.05). The incidence of postoperative complications in compound anesthesia group was lower than that in general anesthesia group (P < 0.05). Conclusion: compared with total anesthesia, general anesthesia combined with epidural anesthesia is effective in hysteromyoma surgery, which can effectively maintain good anesthetic effect and reduce the occurrence of complications. It is worthy of promotion and application. 展开更多
关键词 general anesthesia compound epidural anesthesia uterine fibroids surgery value
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Value of renal parenchymal volume and thickness by non-contrast spiral CT in evaluating differential glomerular filtration rate for chronic obstructed kidneys
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作者 李纲 《外科研究与新技术》 2011年第4期240-241,共2页
Objective To evaluate the value of renal parenchymal volume and thickness by non-contrast spiral CT in evaluating the differential glomerular filtration rate ( GFR) for chronic obstructed kidneys,and to compare the co... Objective To evaluate the value of renal parenchymal volume and thickness by non-contrast spiral CT in evaluating the differential glomerular filtration rate ( GFR) for chronic obstructed kidneys,and to compare the correlations between two morphologic indices of renal parenchyma and GFR for chronic obstructed kidneys. 展开更多
关键词 rate GFR value of renal parenchymal volume and thickness by non-contrast spiral CT in evaluating differential glomerular filtration rate for chronic obstructed kidneys CT
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A Novel Scholar's Evaluation from the Perspective of Academic Equilibrium Value: A Case Study of Computer Science
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作者 XU Zonghuang LUO Yichu +1 位作者 YU Ying SHI Jin 《Wuhan University Journal of Natural Sciences》 2025年第6期589-599,共11页
Objective and fair scholar evaluation promotes academic engagement and ensures proper allocation of research resources.However,current evaluation methods face challenges such as insufficient consideration of disciplin... Objective and fair scholar evaluation promotes academic engagement and ensures proper allocation of research resources.However,current evaluation methods face challenges such as insufficient consideration of disciplinary differences,over-reliance on publication output,neglect of low-cited papers,and limited discriminative power.This paper proposes an improved evaluation metric—the Academic Equilibrium Value index(AEV-index)—based on academic equilibrium value.By incorporating weights for publication and citation tiers and integrating average publication and citation levels within disciplines,the AEV-index aims to offer a more comprehensive and equitable assessment of scholarly performance.Using Scopus data from computer science conference papers(2012-2021)across the subfields of"Network and Information Security","Computer Graphics and Multimedia",and"Artificial Intelligence",we weighted publications and citations to evaluate researchers'academic levels.The research findings indicate that:(i)The AEV-index enhances existing scholar evaluation metrics from multiple perspectives,providing a relatively reasonable and broadly applicable comprehensive evaluation index.(ii)The AEV-index is significantly correlated with traditional scholar evaluation indicators such as total publications,total citations,and the hindex,while also moderating disciplinary differences,thereby facilitating cross-disciplinary comparisons of academic influence.(iii)Additionally,the AEV-index mitigates the negative impact of low publication output,recognizes the value of low-cited but high-quality papers,and offers improved discriminative power,thereby addressing several limitations of existing evaluation metrics. 展开更多
关键词 research evaluation scholar evaluation Academic Equilibrium value index(AEV-index) academic equilibrium value computer science
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Value Evaluation for Urban Medical Groups in China:A Case From Dapeng New District in Shenzhen
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作者 Yan Cui Leiyu Shi +2 位作者 Shilan Tang Yansui Yang Lijie Ren 《Health Care Science》 2025年第3期206-214,共9页
Background:An urban medical group in Dapeng New District was established in 2017 with the objective of enhancing outcomes for common diseases and reinforcing primary care by integrating high‐level hospitals with prim... Background:An urban medical group in Dapeng New District was established in 2017 with the objective of enhancing outcomes for common diseases and reinforcing primary care by integrating high‐level hospitals with primary health services.This study aimed to evaluate the performance of the urban medical group using the triangular value chain framework.Methods:The evaluation was conducted using the Donabedian model,focusing on three key dimensions:safety and quality,accessibility,and affordability.Longitudinal data were collected from 2016 to 2022 through government annual reports,the medical insurance bureau,and hospital information systems.Preprogram and postprogram outcome measurements were compared to assess differences and trends,providing a clear picture of the program's effectiveness.Results:Accessibility improved significantly,with the number of hospital beds per 1000 residents increasing from 2.62 in 2017 to 3.76 in 2022.The availability of general practitioners(GPs)also rose markedly,from 0 per 10,000 residents in 2017 to 6.27 in 2022.Regarding safety and quality,the proportion of complex medical procedures conducted within the New District expanded substantially,from 7.35%in 2017 to 38.11%in 2021.Additionally,there was an enhancement in the standardized management rate of chronic diseases.Affordability assessments showed that the proportion of medical income derived from the medical insurance fund increased by nearly 22.81 percentage points between 2012 and 2021.By 2021,75.02%of medical patients were covered by medical insurance,representing an increase of approximately 44 percentage points from 31.19%in 2012.Conclusions:The implementation of the urban medical group in Dapeng New District has led to substantial improvements in healthcare accessibility,safety and quality,and affordability.Future initiatives will focus on advancing the“Dapeng Mode”to generate exemplary healthcare outcomes and minimize disparities in basic health services and health status between urban and rural populations.The reform agenda includes piloting payment reforms and innovative payment models within the Dapeng group,complemented by a health assessment and performance incentive system aimed at encouraging healthcare institutions to prioritize health management. 展开更多
关键词 Donabedian model integrated care medical consortium triangular value chain triple aims urban medical group value evaluation
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Research on Optimizing the Index System of Value Assessment of Transportation Infrastructure Assets
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作者 Jie-ming Xia 《Proceedings of Business and Economic Studies》 2025年第4期202-207,共6页
This paper focuses on the optimization of the evaluation index system for the value of transportation infrastructure assets.It analyzes the shortcomings of the current system and explores the directions for optimizing... This paper focuses on the optimization of the evaluation index system for the value of transportation infrastructure assets.It analyzes the shortcomings of the current system and explores the directions for optimizing the index system from the perspectives of functionality,economy,social impact,environmental impact,and sustainability.The paper also discusses the application of the optimized index system in practical evaluation and the measures to ensure its effectiveness.The research aims to enhance the evaluation mechanism for the value of transportation infrastructure assets,providing a more scientific basis for decision-making,addressing challenges in asset management,improving the level of asset management in transportation infrastructure,and meeting the demands of high-quality development in the transportation sector in the new era. 展开更多
关键词 Transportation infrastructure Asset value evaluation Index system Optimization research
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Research on the Financial Performance Evaluation of Machinery Manufacturing Enterprises Based on the Entropy Value Method
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作者 Zhufeng Bai 《Proceedings of Business and Economic Studies》 2025年第1期6-12,共7页
As a key sector in advancing China’s“carbon neutrality”goal,the machinery manufacturing industry has achieved remarkable development in recent years.Against this backdrop,the scientific and objective evaluation of ... As a key sector in advancing China’s“carbon neutrality”goal,the machinery manufacturing industry has achieved remarkable development in recent years.Against this backdrop,the scientific and objective evaluation of the financial performance of machinery manufacturing enterprises has become a pressing issue in financial research.This topic is not only crucial for optimizing enterprise management and improving operational efficiency but also essential for enhancing overall industry performance and promoting sustainable development.This paper first introduces the concept of financial performance,followed by an analysis of related financial performance evaluation theories.It then focuses on the application of the entropy method in evaluating the financial performance of machinery manufacturing enterprises,detailing its analytical steps.Finally,a financial performance evaluation index system is constructed based on four dimensions:profitability,solvency,operational efficiency,and growth potential. 展开更多
关键词 Financial performance evaluation Machinery manufacturing enterprises Entropy value method Enterprise management Sustainable development
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GENERALIZATION ANALYSIS FOR CVaR-BASED MINIMAX REGRET OPTIMIZATION
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作者 TAO Yan-fang DENG Hao 《数学杂志》 2025年第2期111-121,共11页
This paper analyzes the generalization of minimax regret optimization(MRO)under distribution shift.A new learning framework is proposed by injecting the measure of con-ditional value at risk(CVaR)into MRO,and its gene... This paper analyzes the generalization of minimax regret optimization(MRO)under distribution shift.A new learning framework is proposed by injecting the measure of con-ditional value at risk(CVaR)into MRO,and its generalization error bound is established through the lens of uniform convergence analysis.The CVaR-based MRO can achieve the polynomial decay rate on the excess risk,which extends the generalization analysis associated with the expected risk to the risk-averse case. 展开更多
关键词 Minimax regret optimization(MRO) conditional value at risk(CVaR) distri-bution shift generalization error
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基于跨粒度HFLTS语义向量距离的军事评估方法
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作者 杜秀丽 周睿 +3 位作者 程伟龙 吕亚娜 邱少明 文世喜 《火力与指挥控制》 北大核心 2026年第2期38-46,共9页
犹豫模糊语言术语集可以更好地反映专家在军事评估中的意见,但不同专家的偏好排序相同、数值差度大时,现有距离测度难以准确反映专家的实际意见。针对上述问题,引入考虑投影值的因素,定义了由犹豫度和语义值构成的二元向量,提出跨粒度... 犹豫模糊语言术语集可以更好地反映专家在军事评估中的意见,但不同专家的偏好排序相同、数值差度大时,现有距离测度难以准确反映专家的实际意见。针对上述问题,引入考虑投影值的因素,定义了由犹豫度和语义值构成的二元向量,提出跨粒度犹豫模糊语言术语集的语义向量距离,将该距离用于基于跨粒度犹豫模糊语言术语集语义向量距离的军事评估,并通过军事评估大群体决策相关案例验证可行性。 展开更多
关键词 军事评估 投影值 二元向量 跨粒度 语义向量距离
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翻译应然世界的伦理困境与实然世界的价值冲突
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作者 胡作友 《上海交通大学学报(哲学社会科学版)》 北大核心 2026年第2期51-61,97,共12页
我国翻译研究对实用主义的重视模糊了应然世界和实然世界的界限,但前者是规范性研究,后者是描写性研究,二者存在明确的分野。应然世界为翻译设立规范和标准,但忽略了伦理的规约作用;实然世界为翻译实践提供合理解释,却缺乏价值的调节作... 我国翻译研究对实用主义的重视模糊了应然世界和实然世界的界限,但前者是规范性研究,后者是描写性研究,二者存在明确的分野。应然世界为翻译设立规范和标准,但忽略了伦理的规约作用;实然世界为翻译实践提供合理解释,却缺乏价值的调节作用,因此,前者需要伦理介入,后者需要价值回归。应然世界应将关注重心从译者伦理扩大到翻译伦理,力求规范性与伦理性并存;实然世界尊重科学,但主体意识难以避免,应该既遵循伦理又落实价值。翻译研究应在回应未来翻译实践的研究中迎接伦理介入,在总结以往翻译实践的研究中落实价值回归,在回应学科建设的研究中实现应然世界和实然世界的价值统一。 展开更多
关键词 翻译研究 应然世界 实然世界 伦理 价值
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高职学生劳动素养增值评价路径探析
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作者 韩继红 林娟 《宁波职业技术大学学报》 2026年第2期81-85,共5页
通过将劳动教育与专业教育、技能培养相融合,从成长增值的角度,构建学生劳动素养增值评价机制,有利于提高劳动素养评价内容的科学性和针对性,更好地发挥评价的诊断改进功能。劳动素养增值评价,即将学生劳动素养提升过程融入专业综合素... 通过将劳动教育与专业教育、技能培养相融合,从成长增值的角度,构建学生劳动素养增值评价机制,有利于提高劳动素养评价内容的科学性和针对性,更好地发挥评价的诊断改进功能。劳动素养增值评价,即将学生劳动素养提升过程融入专业综合素养提升之中,通过高职院校三年的连续周期性评价,考察学生劳动素养增值情况,并根据评价结果进行个体、班级、专业、学校和省域画像,将数据进行可视化呈现,便于学生自我诊改、教师指导、学校及教育主管部门评估劳动教育成效。 展开更多
关键词 劳动素养 增值评价 劳动教育
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学生画像在增值性教学评价中的探索与实践
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作者 张瑞祥 浦科学 《中国高等医学教育》 2026年第1期101-103,共3页
如何推动大数据赋能课堂教学已成为当前教学改革的重点,尤其是在大数据、云计算、移动互联网等现代信息技术在教育教学中的广泛应用背景下。通过数据采集与处理,可以为学生构建画像,从而为过程评价反馈、课堂教学互动以及课后个性化辅... 如何推动大数据赋能课堂教学已成为当前教学改革的重点,尤其是在大数据、云计算、移动互联网等现代信息技术在教育教学中的广泛应用背景下。通过数据采集与处理,可以为学生构建画像,从而为过程评价反馈、课堂教学互动以及课后个性化辅导奠定基础。在医学信息分析课程的教学中,通过在线教学平台进行数据挖掘,提取、刻画并描述学生学习的全过程及效果,从而构建教学增值性评价模型。通过探索面向全景动态的学习监督手段与评价方法,实现教学效果的及时呈现与调整,降低“教”与“学”的盲目性和不确定性,进而有助于改进教学效果,最终推动课程目标的有效达成。 展开更多
关键词 增值性评价 学生画像 教学改革
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浅议基于突出普遍价值的世界遗产保护:第47届世界遗产大会申报与评估情况
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作者 孙燕 《世界建筑》 2026年第2期16-29,共14页
文章系统梳理并回顾了第47届世界遗产委员会会议世界遗产申报、评估与列入的基本情况,以数据分析呈现近期申报与评估的发展趋势。在此基础上,本文重点比较分析了多项获得不同评估结果的遗产项目,旨在揭示咨询机构评估的思路,分析影响评... 文章系统梳理并回顾了第47届世界遗产委员会会议世界遗产申报、评估与列入的基本情况,以数据分析呈现近期申报与评估的发展趋势。在此基础上,本文重点比较分析了多项获得不同评估结果的遗产项目,旨在揭示咨询机构评估的思路,分析影响评估结果的重要指标,进而探讨在当前世界遗产保护管理体系中,价值标准阐述与遗产完整性和/或真实性、遗产边界、保护管理体系之间的关系,为世界遗产申报与保护管理策略的制定提供参考。 展开更多
关键词 世界遗产 遗产申报与评估 保护管理 突出普遍价值
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文旅融合视角下历史街区资产价值双评价与保护更新精明响应
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作者 肖竞 吕思维 +2 位作者 黄誉德 曹珂 胡长涓 《中国名城》 2026年第1期46-54,共9页
历史街区价值评价研究对其保护更新路径选择与行动实施具有决策支持意义。针对历史街区保护经验范式“南橘北枳”、价值研究“二元分离”的瓶颈问题,从历史街区的复合价值属性出发,建构出以文化资产价值和空间资产价值两大价值维度及其... 历史街区价值评价研究对其保护更新路径选择与行动实施具有决策支持意义。针对历史街区保护经验范式“南橘北枳”、价值研究“二元分离”的瓶颈问题,从历史街区的复合价值属性出发,建构出以文化资产价值和空间资产价值两大价值维度及其8项细分价值要素、20项价值指标因子组成的历史街区资产价值双系统评价方法。该方法可实现对街区遗产杰出性、格局完整性、年代久远性、交通可达性、尺度兼容性、设施现代性等价值属性的分项测评和汇总分析,支持不同文化类型、价值等级、保存情况、区位条件、功能属性、尺度规模下历史街区资产价值特征的科学识别和文旅融合发展路径的适配选择。同时,通过对重庆市20处样本街区的测评研究,文章提炼出公共文化、活态博物馆、文旅休闲、文创孵化、历史社区五种适配不同资产价值组合的历史街区文旅融合发展路径及其保护更新精明响应策略,以期为新时期我国历史街区保护更新研究与实践提供有益参考。 展开更多
关键词 历史街区 文旅融合 资产价值 双评价 保护更新 精明响应
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新大众文艺视域下大众评价的价值建构
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作者 郑焕钊 《中国文艺评论》 2026年第1期15-27,122,123,共15页
在数字文化快速演进、平台治理深度介入的背景下,新大众文艺中的大众评价已从传统的事后反馈机制,转变为贯穿内容生成、传播与价值建构全过程的关键力量。数据化、意见型与“二创”型三类评价,分别呈现出“行动反馈型”“话语表达型”... 在数字文化快速演进、平台治理深度介入的背景下,新大众文艺中的大众评价已从传统的事后反馈机制,转变为贯穿内容生成、传播与价值建构全过程的关键力量。数据化、意见型与“二创”型三类评价,分别呈现出“行动反馈型”“话语表达型”“创意重构型”的文化实践逻辑。其生成过程既嵌入以混融形态与共创实践为特征的新大众文艺生产机制,又深受平台技术、算法分发与流量经济的结构性塑造,同时还面临“节点聚合”“圈层分化”与情绪化传播引发的公共性削弱风险。基于社会主义文艺的人民性旨归,亟须从平台治理、公共性建设与价值机制重构层面形成系统性引导:通过提升算法与交互机制的公共性,构建跨圈层的审美对话结构,并强化意见领袖与专业批评的价值融通,使大众评价在技术赋能与文化引导的协调作用下,成为新大众文艺价值生成与审美公共性建构的关键路径。 展开更多
关键词 新大众文艺 大众评价 价值建构 评价机制创新
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数据驱动背景下高职应用数学学习增值性评价模型构建与实证研究
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作者 赫英迪 《科教文汇》 2026年第1期151-154,共4页
随着《国家职业教育改革实施方案》的推进,课堂教学评价日益强调过程性与增值性。传统高职数学课程以终结性成绩为主,难以全面反映学生个体的成长情况。文章以高职应用数学课程为载体,构建“前测—过程—后测”三阶段数据采集架构,设计... 随着《国家职业教育改革实施方案》的推进,课堂教学评价日益强调过程性与增值性。传统高职数学课程以终结性成绩为主,难以全面反映学生个体的成长情况。文章以高职应用数学课程为载体,构建“前测—过程—后测”三阶段数据采集架构,设计知识、能力与素养三维九项指标体系,采用多层线性模型对学生学习增值进行量化分析。基于对312名学生的实证数据分析,该模型能够有效识别学生在不同维度上的学习增值情况,还具备较强的区分度和解释力。本研究为高职课堂教学评价机制的改进与精准化教学实施提供了方法参考。 展开更多
关键词 高职教育 应用数学 学习增值 量化评价 多层线性模型
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冠状动脉树描述和病变评估对急诊经皮冠状动脉介入治疗的STEMI病人住院期间新发心房颤动的预测价值
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作者 夏林虎 魏腾飞 +2 位作者 涂胜 李东戈 江荣炎 《安徽医药》 2026年第1期107-112,共6页
目的分析冠状动脉树描述和病变评估(CatLet)评分在急诊经皮冠状动脉介入治疗(PCI)的急性ST段抬高型心肌梗死(STEMI)病人住院期间新发心房颤动(NOAF)的预测价值。方法连续入选2021年1月至2023年3月于亳州市人民医院行经皮冠状动脉介入治... 目的分析冠状动脉树描述和病变评估(CatLet)评分在急诊经皮冠状动脉介入治疗(PCI)的急性ST段抬高型心肌梗死(STEMI)病人住院期间新发心房颤动(NOAF)的预测价值。方法连续入选2021年1月至2023年3月于亳州市人民医院行经皮冠状动脉介入治疗的STEMI病人396例,根据术中CatLet评分分为高分组≥25分(192例),低分组<25分(204例);分析两组基线资料及住院期间NOAF发病率差异,应用二元logistic回归分析STEMI病人住院期间NOAF的危险因素,绘制受试者操作特征曲线(ROC曲线)评估CatLet评分对STEMI病人住院期间NOAF的预测价值。结果396例STEMI住院病人NOAF45例(11.4%);CatLet高分组38例,低分组7例(19.8%比3.4%,P<0.001)。与低分组相比,高分组在KillipⅡ~Ⅳ级比例、N末端B型脑钠肽前体(NT-ProBNP)水平、肌钙蛋白I(CtnI)值、多支血管病变例数、慢/无复流比例明显升高,左心室射血分数(LVEF)值明显降低(P<0.001);经二元logistic回归分析显示:CatLet评分、年龄、Killip分级、左心房内径(LAD)、多支血管病变(3支冠状动脉血管中至少有2支血管存在狭窄且程度≥50%)、冠状动脉病变的复杂性及严重程度(Syntax)评分是STEMI病人住院期间出现NOAF的独立危险因素;CatLet评分预测STEMI病人住院期间NOAF的曲线下面积(AUC)为0.78,灵敏度93.3%,特异度52.4%。结论CatLet评分、年龄、Killip分级、左心房内径、多支血管病变、Syntax评分是STEMI病人住院期间出现NOAF的独立危险因素,CatLet评分对STEMI病人住院期间NOAF有一定的预测价值。 展开更多
关键词 ST段抬高型心肌梗死 冠状动脉树描述和病变评估(CatLet) 心房颤动 经皮冠状动脉内介入治疗 肌钙蛋白Ⅰ 预测价值
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