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Characterization of Thermo-Physical Properties of Cement-Based Blocks of Varied Sand Types Using Cost-Effective Enhancement Approach
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作者 Eunice Akyereko Adjei Samuel Amos-Abanyie Siddig Omer 《Open Journal of Energy Efficiency》 2020年第1期14-30,共17页
The dominant property of building envelope fabric which contributes significantly to minimize electricity utilization in building is the thermo-physical properties. There is inadequate literature on representative pra... The dominant property of building envelope fabric which contributes significantly to minimize electricity utilization in building is the thermo-physical properties. There is inadequate literature on representative practical data of thermo-physical properties of the dominant building envelope components in Ghana. This study aims to use cost-effective approach to characterize the thermo-physical properties of only cement-based mortar and concrete blocks used in Ghana for building components specifically wall design. Mixed methods research design was employed to achieving the aim. A questionnaire survey was used among sampled building fabric components manufacturers to pick representative data on thermos-physical properties of their mortar and concrete blocks. Also, an experimental procedure employing a transient technique with a TCi Thermal Analyser was used to determine the thermo-physical properties of selected mortar and concrete blocks from Ghana in addition to designed parametric mortar and concrete blocks with varied ratios obtained from the survey were undertaken at University of Nottingham. From the study, a trend of decreasing thermal conductivity and thermal effusivity with corresponding decreasing sand content was observed with all the different sand types. The thermal conductivities of both mortar and concrete parametric blocks meet the range of expected standard values outlined in Chattered Institute of Building Services Engineers (CIBSE) Guide A. The major limitation of the work is the dimension of the sample size;which is not inconsistent with standard block size due to the experimental setup used. It is expected that, the characterization of the predominant cement-based building fabrics components will contribute to improved building performance analysis with significant savings in electricity utilization for space cooling. 展开更多
关键词 Building Envelop THERMAL Conductivity THERMAL EFFUSIVITY TCi THERMAL Analyser CEMENT-BASED Fabric cost-effective enhancement approach Ghana
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A cost-effective method to enhance adenoviral transduction of primary murine osteoblasts and bone marrow stromal cells
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作者 Atum M Buo Mark S Williams +1 位作者 Jaclyn P Kerr Joseph P Stains 《Bone Research》 SCIE CAS CSCD 2016年第2期91-100,共10页
We report here a method for the use of poly-L-lysine (PLL) to markedly improve the adenoviral transduction efficiency of primary murine osteoblasts and bone marrow stromal cells (BMSCs) in culture and in situ, whi... We report here a method for the use of poly-L-lysine (PLL) to markedly improve the adenoviral transduction efficiency of primary murine osteoblasts and bone marrow stromal cells (BMSCs) in culture and in situ, which are typically difficult to transduce. We show by fluorescence microscopy and flow cytometry that the addition of PLL to the viral-containing medium significantly increases the number of green fluorescence protein (GFP)-positive osteoblasts and BMSCs transduced with an enhanced GFP-expressing adenovirus. We also demonstrate that PLL can greatly enhance the adenoviral transduction of osteoblasts and osteocytes in situ in ex vivo tibia and calvaria, as well as in long bone fragments. In addition, we validate that PLL can improve routine adenoviral transduction studies by permitting the use of low multiplicities of infection to obtain the desired biologic effect. Ultimately, the use of PLL to facilitate adenoviral gene transfer in osteogenic cells can provide a cost-effective means of performing efficient gene transfer studies in the context of bone research. 展开更多
关键词 A cost-effective method to enhance adenoviral transduction of primary murine osteoblasts and bone marrow stromal cells PLL bone
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Multi-resonance enhanced photothermal synergistic fiber-optic Tamm plasmon polariton tip for high-sensitivity and rapid hydrogen detection
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作者 Xinran Wei Yuzhang Liang +7 位作者 Xuhui Zhang Rui Li Haonan Wei Yijin He Lanlan Shen Yurui Fang Ting Xu Wei Peng 《Opto-Electronic Science》 2025年第7期13-25,共13页
Accurate and real-time detection of hydrogen(H_(2))is essential for ensuring energy security.Fiber-optic H_(2) sensors are gaining attention for their integration and remote sensing capabilities.However,they face chal... Accurate and real-time detection of hydrogen(H_(2))is essential for ensuring energy security.Fiber-optic H_(2) sensors are gaining attention for their integration and remote sensing capabilities.However,they face challenges,including complex fabrication processes and limited response times.Here,we propose a fiber-optic H_(2) sensing tip based on Tamm plasmon polariton(TPP)resonance,consisting of a multilayer metal/dielectric Bragg reflector deposited directly on the fiber end facet,simplifying the fabrication process.The fiber-optic TPP(FOTPP)tip exhibits both TPP and multiple Fabry-Perot(FP)resonances simultaneously,with the TPP employed for highly sensitive H_(2) detection.Compared to FP resonance,TPP exhibits more than twice the sensitivity under the same structural dimension without cavity geometry deformation.The excellent performance is attributed to alterations in phase-matching conditions,driven by changes in penetration depth of TPP.Furthermore,the FP mode is utilized to achieve an efficient photothermal effect to catalyze the reaction between H_(2) and the FOTPP structure.Consequently,the response and recovery speeds of the FOTPP tip under resonance-enhanced photothermal assistance are improved by 6.5 and 2.1 times,respectively.Our work offers a novel strategy for developing TPP-integrated fiber-optic tips,refines the theoretical framework of photothermal-assisted detection systems,and provides clear experimental evidence. 展开更多
关键词 fiber-optic hydrogen sensor Tamm plasmon polariton photothermal synergistic effect dynamic response enhancement cost-effective production
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Integration and innovative development of enhanced recovery after surgery and anesthesiology.Enhanced recovery after surgery and rational use of opioids
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作者 Chengye Yao Bingqing Nie Shanglong Yao 《Oncology and Translational Medicine》 2025年第2期47-49,共3页
1.The development history of enhanced recovery after surgery(ERAS)Enhanced recovery after surgery(ERAS)is a multimodal perioperative care approach that has evolved over the past 2 decades since its inception.In 1997,P... 1.The development history of enhanced recovery after surgery(ERAS)Enhanced recovery after surgery(ERAS)is a multimodal perioperative care approach that has evolved over the past 2 decades since its inception.In 1997,Professor Henrik Kehlet,also known as the“father of ERAS”,from the University of Copenhagen in Denmark first proposed the ERAS concept and discovered its clinical feasibility and superiority,achieving remarkable results.ERAS was initially applied in colorectal surgery;subsequently,the concept gradually gained popularity and application worldwide. 展开更多
关键词 ERAS enhanced recovery surgery multimodal perioperative care approach OPIOID enhanced recovery surgery eras enhanced recovery surgery eras multimodal perioperative care colorectal surgery colorectal surgerysubsequentlythe
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以“五相”逻辑推进中华民族共同体话语体系建设
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作者 石亚洲 宋晓玉 《云南民族大学学报(哲学社会科学版)》 北大核心 2026年第1期23-30,共8页
各民族血脉相融、信念相同、文化相通、经济相依、情感相亲的“五相”逻辑,是习近平总书记在2024年全国民族团结进步表彰大会上对中华民族共同体内在关系的深刻概括。其既揭示了中华民族共同体的独特属性、本质特征与内在规律,也为中华... 各民族血脉相融、信念相同、文化相通、经济相依、情感相亲的“五相”逻辑,是习近平总书记在2024年全国民族团结进步表彰大会上对中华民族共同体内在关系的深刻概括。其既揭示了中华民族共同体的独特属性、本质特征与内在规律,也为中华民族共同体话语体系建设提供了清晰的价值坐标与表达框架。从价值站位、底层关联、实践路径构建框架,阐明“五相”逻辑在中华民族共同体话语体系中的重要地位,解析其与该话语体系建设的内在关联,提出五条具体路径:一是以血脉相融厚植话语根基,二是以信念相同强化话语引领,三是以文化相通激活话语创新,四是以经济相依夯实话语支撑,五是以情感相亲增强话语认同,最终为铸牢中华民族共同体意识提供理论支撑与行动指引。 展开更多
关键词 “五相”逻辑 中华民族共同体话语体系建设 铸牢中华民族共同体意识
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新消费场景下文旅产业提质增效的实现路径——以西昌市为例
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作者 张哲 薛涛 姚小波 《西昌学院学报(社会科学版)》 2026年第1期68-77,共10页
在新消费时代背景下,文旅产业正从基础要素驱动的规模扩张转向以体验价值提升为核心的高质量发展阶段。以四川省西昌市为例,运用场景理论构建了基于五要素三层次的文旅消费场景评价系统,对西昌市文旅发展现状进行系统性诊断。研究发现,... 在新消费时代背景下,文旅产业正从基础要素驱动的规模扩张转向以体验价值提升为核心的高质量发展阶段。以四川省西昌市为例,运用场景理论构建了基于五要素三层次的文旅消费场景评价系统,对西昌市文旅发展现状进行系统性诊断。研究发现,社区参与不足、业态同质化、品牌特色不鲜明等问题制约了西昌市文旅的提质增效。据此,提出了以“社区活化、空间重塑、人群细分、业态融合、符号增值”为核心的“五位一体”协同优化路径。 展开更多
关键词 新消费场景 场景理论 提质增效 文旅产业 优化路径
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运用混合研究法探究技能提升对高校人才稳定性的影响机制
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作者 程玉玲 郗玉萍 《黑龙江科学》 2026年第3期103-105,共3页
针对技能提升与人才留任间存在的“能力溢出-离职风险”悖论,运用混合方法探究技能提升对高校人才稳定性的影响机制。基于三年间对三所高校90名教师的追踪数据,构建涵盖培训、科研、教学的三维技能指数,结合结构方程模型(SEM)与分位数... 针对技能提升与人才留任间存在的“能力溢出-离职风险”悖论,运用混合方法探究技能提升对高校人才稳定性的影响机制。基于三年间对三所高校90名教师的追踪数据,构建涵盖培训、科研、教学的三维技能指数,结合结构方程模型(SEM)与分位数回归验证组织承诺的中介作用及非线性调节效应。结果显示,高技能组的年度主动离职率仅为8%,平均留任时长达到34.5个月且晋升后一年内保留率高达92%。分位数回归分析揭示出,高技能组边际效应更显著,年度离职率预期下降2.11%,留任时长增加4.21个月,晋升保留率提升6.84%。建议高校配套“承诺强化包”,将技能红利转化为稳定资本,实现人才发展与组织留用的双赢。 展开更多
关键词 高校人才稳定性 技能提升机制 混合研究法 留才政策优化 组织承诺中介
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激励理论结合快速康复外科照护干预对无充气腋窝入路腔镜甲状腺手术患者炎性因子、甲状腺激素、免疫功能的影响
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作者 钱迎雪 何岩 +1 位作者 蔺彤彤 朱小朝 《河北医药》 2026年第1期78-81,共4页
目的探究激励理论结合快速康复外科照护干预对无充气腋窝入路腔镜甲状腺手术患者血清炎症因子、甲状腺激素、免疫功能的影响。方法回顾性分析2022年4月至2024年4月江苏省人民医院宿迁分院(宿迁市第一人民医院)收治的98例行无充气腋窝入... 目的探究激励理论结合快速康复外科照护干预对无充气腋窝入路腔镜甲状腺手术患者血清炎症因子、甲状腺激素、免疫功能的影响。方法回顾性分析2022年4月至2024年4月江苏省人民医院宿迁分院(宿迁市第一人民医院)收治的98例行无充气腋窝入路腔镜甲状腺手术患者的临床资料,按照治疗方式将其分成研究组(激励理论结合快速康复外科照护干预,n=49)和对照组(常规照护干预,n=49),观察比较2组患者围手术期指标、血清炎性因子水平、甲状腺激素水平、免疫功能指标变化情况。结果干预前,2组患者肿瘤坏死因子-α(TNF-α)、白介素-6(IL-6)、超敏C反应蛋白(hs-CRP)、甲状旁腺激素(PTH)、促甲状腺激素(TSH)、甲状腺素(T4)、总T淋巴细胞(CD_(3)^(+))、辅助性T淋巴细胞(CD_(4)^(+))、细胞毒性T淋巴细胞(CD_(8)^(+))水平比较,差异无统计学意义(P>0.05);干预后,研究组术中失血量、术后下地时间、引流量、住院时间、TNF-α、IL-6、hs-CRP、TSH、CD_(8)^(+)水平均更低/更少,PTH、T4、CD_(3)^(+)、CD_(4)^(+)水平更高,差异有统计学意义(P<0.05)。结论对无充气腋窝入路腔镜甲状腺手术患者性激励理论结合快速康复外科照护干预,可以有效改善患者围手术期指标,控制炎性反应,改善提升甲状腺功能和免疫功能。 展开更多
关键词 激励理论 快速康复外科 无充气腋窝入路腔镜甲状腺手术 炎性因子 甲状腺激素 免疫功能
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Computer-based Creativity Enhanced Conceptual Design Model for Non-routine Design of Mechanical Systems 被引量:5
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作者 LI Yutong WANG Yuxin DUFFY Alex H B 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2014年第6期1083-1098,共16页
Computer-based conceptual design for routine design has made great strides, yet non-routine design has not been given due attention, and it is still poorly automated. Considering that the function-behavior-structure(... Computer-based conceptual design for routine design has made great strides, yet non-routine design has not been given due attention, and it is still poorly automated. Considering that the function-behavior-structure(FBS) model is widely used for modeling the conceptual design process, a computer-based creativity enhanced conceptual design model(CECD) for non-routine design of mechanical systems is presented. In the model, the leaf functions in the FBS model are decomposed into and represented with fine-grain basic operation actions(BOA), and the corresponding BOA set in the function domain is then constructed. Choosing building blocks from the database, and expressing their multiple functions with BOAs, the BOA set in the structure domain is formed. Through rule-based dynamic partition of the BOA set in the function domain, many variants of regenerated functional schemes are generated. For enhancing the capability to introduce new design variables into the conceptual design process, and dig out more innovative physical structure schemes, the indirect function-structure matching strategy based on reconstructing the combined structure schemes is adopted. By adjusting the tightness of the partition rules and the granularity of the divided BOA subsets, and making full use of the main function and secondary functions of each basic structure in the process of reconstructing of the physical structures, new design variables and variants are introduced into the physical structure scheme reconstructing process, and a great number of simpler physical structure schemes to accomplish the overall function organically are figured out. The creativity enhanced conceptual design model presented has a dominant capability in introducing new deign variables in function domain and digging out simpler physical structures to accomplish the overall function, therefore it can be utilized to solve non-routine conceptual design problem. 展开更多
关键词 conceptual design non-routine design creative enhance model computer-based approach mathematical expression
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A meta-analytic review of the approach-avoidance achievement goals and performance relationships in the sport psychology literature 被引量:2
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作者 Marc Lochbaum Jarrett Gottardy 《Journal of Sport and Health Science》 SCIE 2015年第2期164-173,共10页
Purpose: To summarize the approach-avoidance achievement goal and performance in the sport psychology literature.Methods: A total of 17 published studies, two of which provided two samples, were located. Accepted me... Purpose: To summarize the approach-avoidance achievement goal and performance in the sport psychology literature.Methods: A total of 17 published studies, two of which provided two samples, were located. Accepted meta-analytic procedures were used with Hedges g as the effect size metric. From the 17 studies, 73 effect sizes were calculated.Results: Results based on a random effects model indicated that the performance goal contrast had the largest facilitative impact on performance followed by the mastery and performance approach goals. Both of the avoidance goals performance and mastery had small non-significant and detrimental effects on performance. The homogeneity statistics revealed significant heterogeneity for the approach and avoidance performance goals. Categorical moderator variables were examined for study sex composition(male, female, or mixed), mean age of sample(〈18 years or 18 years), study setting(lab or naturalistic), and nature of performance variable(objective or subjective).Conclusion: The performance goal contrast holds value for sport performance research. Contrary to approach-avoidance predictions, the mastery-approach goal and performance effect size was significant and of equal magnitude as the performance approach goal and performance effect size. Thus, future research should closely test the efficacy of both the mastery- and performance contrasts in impacting performance of sport tasks. Last, the significant effect sizes reported in this review are in stark contrast to contemporary meta-analytic findings in education.Differences in the approach-avoidance goals in sport and education relative to performance should be researched further. 展开更多
关键词 Mastery approach goals Performance approach goals Performance enhancement Performance goal contrast
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Tailoring MXene Thickness and Functionalization for Enhanced Room‑Temperature Trace NO_(2) Sensing 被引量:4
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作者 Muhammad Hilal Woochul Yang +1 位作者 Yongha Hwang Wanfeng Xie 《Nano-Micro Letters》 SCIE EI CAS CSCD 2024年第5期71-86,共16页
In this study,precise control over the thickness and termination of Ti3C2TX MXene flakes is achieved to enhance their electrical properties,environmental stability,and gas-sensing performance.Utilizing a hybrid method... In this study,precise control over the thickness and termination of Ti3C2TX MXene flakes is achieved to enhance their electrical properties,environmental stability,and gas-sensing performance.Utilizing a hybrid method involving high-pressure processing,stirring,and immiscible solutions,sub-100 nm MXene flake thickness is achieved within the MXene film on the Si-wafer.Functionalization control is achieved by defunctionalizing MXene at 650℃ under vacuum and H2 gas in a CVD furnace,followed by refunctionalization with iodine and bromine vaporization from a bubbler attached to the CVD.Notably,the introduction of iodine,which has a larger atomic size,lower electronegativity,reduce shielding effect,and lower hydrophilicity(contact angle:99°),profoundly affecting MXene.It improves the surface area(36.2 cm^(2) g^(-1)),oxidation stability in aqueous/ambient environments(21 days/80 days),and film conductivity(749 S m^(-1)).Additionally,it significantly enhances the gas-sensing performance,including the sensitivity(0.1119Ωppm^(-1)),response(0.2% and 23%to 50 ppb and 200 ppm NO_(2)),and response/recovery times(90/100 s).The reduced shielding effect of the–I-terminals and the metallic characteristics of MXene enhance the selectivity of I-MXene toward NO2.This approach paves the way for the development of stable and high-performance gas-sensing two-dimensional materials with promising prospects for future studies. 展开更多
关键词 Controlled MXene thickness Gaseous functionalization approach Lower electronegativity functional groups enhanced MXene stability Trace NO_(2)sensing
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Study on the Feasibility and Safety of Transvestibular Approach Endoscopy without Drainage after Operation of Papillary Thyroid Carcinoma
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作者 Yanzhu Li Lili Han +1 位作者 Yanmei Ma Xuemei Fang 《Journal of Cancer Therapy》 2024年第12期401-410,共10页
Objective: To evaluate the feasibility and safety of the non-placement of a drainage tube in transvestibular endoscopic thyroid papillary carcinoma surgery by applying the concept of rapid rehabilitation surgery. Meth... Objective: To evaluate the feasibility and safety of the non-placement of a drainage tube in transvestibular endoscopic thyroid papillary carcinoma surgery by applying the concept of rapid rehabilitation surgery. Methods: 106 patients with papillary thyroid carcinoma in the Department of Head and Neck of Affiliated Cancer Hospital of Sun Yat-sen University were retrospectively analyzed, and the observation group (n = 43) 1 who underwent endoscopic surgery without negative pressure drainage tube in the hospital from January 2019 to March 2023 were selected. The control group (n = 63) underwent the same operation at the same time and placed the negative pressure drainage tube. Postoperative hematoma, incision infection, subcutaneous effusion, and use of painkillers were compared between the two groups. Results: There were no statistically significant differences in operation time, intraoperative blood loss, postoperative hospital stay, and number of lymph node dissection between the two groups (P > 0.05). No postoperative hematoma or incision infection occurred between the two groups. There were no statistically significant differences in the incidence of subcutaneous effusion and the use rate of painkillers between the two groups (P > 0.05). Conclusion: No drainage tube in patients undergoing endoscopic thyroid surgery through oral vestibular approach will not increase the probability of complications such as postoperative hematoma, incision infection, subcutaneous effusion, and the use of painkillers, but can improve the comfort of patients in the concept of rapid rehabilitation. 展开更多
关键词 Thyroid Papillary Carcinoma Transoral Vestibular approach THYROIDECTOMY Drainage enhanced Recovery after Surgery
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The Practical Pathways of Enhancing Nursing Education in Medical Schools
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作者 Jie Mei Yichun Gao +1 位作者 Genxiao Ding Yinbiao Wang 《Journal of Clinical and Nursing Research》 2024年第11期102-107,共6页
The advancement of society and continuous improvements in the healthcare system have heightened the demands on professional nursing training,necessitating that nursing education better meet practical needs in an incre... The advancement of society and continuous improvements in the healthcare system have heightened the demands on professional nursing training,necessitating that nursing education better meet practical needs in an increasingly diversified medical environment.To address these requirements,the teaching approaches and assessment methods in nursing education should be reformed and updated.This study conducted a comprehensive analysis of the current state of nursing education and proposed potential pathways to enhance nursing education in medical schools.These pathways include implementing a student-centered teaching approach,incorporating various teaching activities,emphasizing the development of students’practical skills,and reforming assessment methods to cultivate well-rounded professionals.The application of these strategies will help improve the effectiveness of classroom teaching,deepen students’understanding of theoretical knowledge and practical skills,and thereby contribute to the improvement of nursing education quality. 展开更多
关键词 Nursing education enhancing pathways Teaching approach Practical skills
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集成电路工程专业学位硕士研究生实践能力提升策略研究 被引量:1
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作者 张贺 刘振宇 +1 位作者 李新 李冬 《高教学刊》 2025年第21期55-58,共4页
在国家实施“互联网+”“中国制造2025”“人工智能”等重大强国战略背景下,伴随着集成电路、智能制造、量子通信等信息产业前沿领域的突破性发展,对我国高等工程教育,特别是对专业学位硕士研究生培养提出更具挑战性的新要求。该文以四... 在国家实施“互联网+”“中国制造2025”“人工智能”等重大强国战略背景下,伴随着集成电路、智能制造、量子通信等信息产业前沿领域的突破性发展,对我国高等工程教育,特别是对专业学位硕士研究生培养提出更具挑战性的新要求。该文以四层递进,分级赋能的专业学位硕士研究生培养模式为基础,以“理论+实践+能力”三层融合的人才培养方案途径,以“l+N”的创新创业竞赛体系为催化,以多维度实践能力培养成效评估机制为保障,规划一条提升专业学位硕士研究生实践能力的新途径,以期打破传统工科人才培养观念与思维模式禁锢,提升集成电路专业学位硕士研究生实践能力,助力芯片产业的布局发展。 展开更多
关键词 集成电路 专业学位硕士研究生 新途径 实践能力 策略
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生成式AI驱动大学生数字素养提升的机遇、挑战与有效路径——以纺织类专业为例
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作者 王丽 《江苏丝绸》 2025年第6期15-19,共5页
生成式人工智能通过个性化学习、智能辅导、互动学习等多种形式赋能大学生素养水平的提升,同时也带来了技术依赖性、伦理道德问题和信息安全等挑战。本文以纺织类大学生数字素养提升为切入点,分析生成式人工智能背景下提升大学生数字素... 生成式人工智能通过个性化学习、智能辅导、互动学习等多种形式赋能大学生素养水平的提升,同时也带来了技术依赖性、伦理道德问题和信息安全等挑战。本文以纺织类大学生数字素养提升为切入点,分析生成式人工智能背景下提升大学生数字素养的价值与机遇,以“五要素,三机制”来阐述其作用机制,提出“三联、三融、三化”四位一体的螺旋上升的数字素养培养模式,并通过实施四维素养共育计划和建设协同制度集群等路径,以适应教育数字化转型的新需求。 展开更多
关键词 生成式人工智能 数字素养 机遇与挑战 提升路径 纺织类专业
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护理管理者视角下护士人文关怀能力建设的策略研究
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作者 马益敏 《中国卫生标准管理》 2025年第13期195-198,共4页
护理是一门独立的综合性应用学科,涵盖了自然科学、社会科学和人文科学。随着护理模式的持续演进,构建以患者为中心的人文关怀氛围,进而维系良好的护患关系,已成为当前护理发展的重要趋势。鉴于此,临床护理实践不仅要求护士掌握扎实的... 护理是一门独立的综合性应用学科,涵盖了自然科学、社会科学和人文科学。随着护理模式的持续演进,构建以患者为中心的人文关怀氛围,进而维系良好的护患关系,已成为当前护理发展的重要趋势。鉴于此,临床护理实践不仅要求护士掌握扎实的护理理论知识与精湛的专业技能,更需具备出色的人文关怀能力。提升护士的人文关怀能力已成为推动护理事业持续高质量发展的核心要素。本研究对护士人文关怀能力的概念、研究背景、国内外理论及实践进展,以及影响因素进行了系统综述。在此基础上,文章初步探讨了人文关怀能力提升的有效途径,并对未来发展进行了展望,旨在为今后的护理管理与临床实践提供有益参考。 展开更多
关键词 护士 人文关怀能力 现状 影响因素 提升途径 核心能力
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超声引导下不同入路收肌管阻滞在全膝关节置换术后镇痛中的研究进展
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作者 刘倩 杨昌明 《中国临床研究》 2025年第12期1803-1806,共4页
全膝关节置换术(TKA)后疼痛管理是影响患者康复质量的关键因素。约80%的患者术后会经历中重度急性疼痛,其中30%可能发展为慢性疼痛。传统股神经阻滞虽能有效镇痛,但会导致股四头肌肌力减弱,影响早期康复。收肌管阻滞(ACB)作为新兴的区... 全膝关节置换术(TKA)后疼痛管理是影响患者康复质量的关键因素。约80%的患者术后会经历中重度急性疼痛,其中30%可能发展为慢性疼痛。传统股神经阻滞虽能有效镇痛,但会导致股四头肌肌力减弱,影响早期康复。收肌管阻滞(ACB)作为新兴的区域阻滞技术,在保留运动功能的同时可提供良好的镇痛作用,但其最佳入路选择仍存在争议。本文综述了近年来超声引导下ACB不同入路的安全性及有效性,比较其对TKA术后疼痛控制和早期运动功能的影响,旨在为临床实践提供参考。 展开更多
关键词 全膝关节置换术 超声引导 收肌管阻滞 疼痛管理 运动功能 入路 加速术后康复
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中国共产党自我革命的人民性意蕴阐析 被引量:2
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作者 刘东旭 黄蓉生 《思想战线》 北大核心 2025年第2期28-37,共10页
党的二十届三中全会对党的自我革命提出了新的要求。自我革命作为马克思主义政党本质属性的体现,是马克思主义政党区别于其他政党的显著标志,源于中国共产党没有任何自己的特殊利益,旨在更好地实现维护发展最广大人民的根本利益,“自我... 党的二十届三中全会对党的自我革命提出了新的要求。自我革命作为马克思主义政党本质属性的体现,是马克思主义政党区别于其他政党的显著标志,源于中国共产党没有任何自己的特殊利益,旨在更好地实现维护发展最广大人民的根本利益,“自我净化、自我完善、自我革新、自我提高”的核心内涵蕴含着深刻的人民性意蕴。具体而言,自我净化标明党自我革命人民性的为民尽责的使命担当;自我完善诠释党自我革命人民性的为民执政的执政理念;自我革新彰显党自我革命人民性的为民造福的价值导向;自我提高确证党自我革命人民性的为民服务的本领能力。 展开更多
关键词 全面深化改革 自我革命 “四个自我” 人民性
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从“粮食安全到”“食物安全”:大食物观引领下的粮食安全战略迭代升级与路径选择 被引量:9
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作者 仇焕广 李登旺 《食物经济与管理》 2025年第1期1-8,共8页
新中国成立以来,我国探索了一套目标多元、路径多样、可持续的粮食安全保障体系,推动实现从“吃不饱”到“吃得饱”“吃得好”的历史性转变。然而,现行粮食安全战略面临着居民食物消费结构升级、供需矛盾与膳食结构失衡问题突出,资源环... 新中国成立以来,我国探索了一套目标多元、路径多样、可持续的粮食安全保障体系,推动实现从“吃不饱”到“吃得饱”“吃得好”的历史性转变。然而,现行粮食安全战略面临着居民食物消费结构升级、供需矛盾与膳食结构失衡问题突出,资源环境约束趋紧、食物供给侧压力加大,以及外部环境不利影响加深、粮食进口不确定性增加等新形势新问题。大食物观的提出,为推动粮食安全战略选代升级为食物安全战略提供了指引;推动大食物观和食物安全战略落地实践,需要坚持系统思维,坚持“以我为主、立足国内,全域开发、立体供给,确保产能、食物多元,适度进口、国际合作,科技支撑、协同治理”,通过有序开发国土资源、加大科技研发、创新制度设计、深化国际合作、完善配套政策,实现食物数量安全、营养安全、生态安全、能力安全、合作安全的协同发展,更好地满足人民群众食物消费需求。 展开更多
关键词 大食物观 粮食安全 食物安全 迭代升级 路径选择
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剑突下入路与肋间入路胸腔镜下前纵隔肿瘤切除的对比研究
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作者 似继承 顾红苍 王晓航 《临床肺科杂志》 2025年第9期1317-1320,共4页
目的探讨剑突下入路与经肋间入路胸腔镜手术切除前纵隔肿瘤的临床效果与安全性差异。方法选取2018年1月至2021年12月在单县海吉亚医院接受胸腔镜前纵隔肿瘤切除的128例患者。按手术入路分为剑突下切除组(n=65)和经肋间切除组(n=63)。对... 目的探讨剑突下入路与经肋间入路胸腔镜手术切除前纵隔肿瘤的临床效果与安全性差异。方法选取2018年1月至2021年12月在单县海吉亚医院接受胸腔镜前纵隔肿瘤切除的128例患者。按手术入路分为剑突下切除组(n=65)和经肋间切除组(n=63)。对比两组患者在肿瘤大小、手术时长、术中失血量、术后置管时间、总引流量、病理类型、疼痛评分及并发症的发生率的统计学差异。结果两组患者均顺利完成手术,研究组中转开胸1例,对照组无中转开胸,术后均顺利出院,无死亡病例。两组患者在手术时长、术中失血量、术后置管时间、引流量之间均无显著差异(P>0.05);疼痛评估剑突下入路组优于经肋间切口组(P<0.05)。术后随访12-36个月,均未见复发病例。结论剑突下入路前纵隔肿瘤切除术对疼痛程度较肋间切口入路更轻,疼痛持续时间更短,更符合加速康复外科(ERAS)理念。 展开更多
关键词 剑突下入路 肋间切口 胸腔镜 前纵隔肿瘤 加速康复外科
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