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Inflammatory Bowel Disease and Dementia:Evidence Triangulation from a Meta-Analysis of Observational Studies and Mendelian Randomization Study
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作者 Di Liu Meiling Cao +9 位作者 Shanshan Wu Bingli Li Yiwen Jiang Tengfei Lin Fuxiao Li Weijie Cao Jinqiu Yuan Feng Sha Zhirong Yang Jinling Tang 《Biomedical and Environmental Sciences》 2025年第1期56-66,共11页
Objective Observational studies have found associations between inflammatory bowel disease(IBD)and the risk of dementia,including Alzheimer’s dementia(AD)and vascular dementia(VD);however,these findings are inconsist... Objective Observational studies have found associations between inflammatory bowel disease(IBD)and the risk of dementia,including Alzheimer’s dementia(AD)and vascular dementia(VD);however,these findings are inconsistent.It remains unclear whether these associations are causal.Methods We conducted a meta-analysis by systematically searching for observational studies on the association between IBD and dementia.Mendelian randomization(MR)analysis based on summary genome-wide association studies(GWASs)was performed.Genetic correlation and Bayesian colocalization analyses were used to provide robust genetic evidence.Results Ten observational studies involving 80,565,688 participants were included in this metaanalysis.IBD was significantly associated with dementia(risk ratio[RR]=1.36,95%CI=1.04-1.78;I2=84.8%)and VD(RR=2.60,95%CI=1.18-5.70;only one study),but not with AD(RR=2.00,95%CI=0.96-4.13;I^(2)=99.8%).MR analyses did not supported significant causal associations of IBD with dementia(dementia:odds ratio[OR]=1.01,95%CI=0.98-1.03;AD:OR=0.98,95%CI=0.95-1.01;VD:OR=1.02,95%CI=0.97-1.07).In addition,genetic correlation and co-localization analyses did not reveal any genetic associations between IBD and dementia.Conclusion Our study did not provide genetic evidence for a causal association between IBD and dementia risk.The increased risk of dementia observed in observational studies may be attributed to unobserved confounding factors or detection bias. 展开更多
关键词 DEMENTIA Inflammatory bowel disease META-ANALYSIS Observational studies Mendelian randomization Genetic evidence Evidence triangulation
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Research on the Training Model of“Foreign Languages+Area Studies”Interdisciplinary Talent Development:A Case Study of China’s Talent Training for International Ocean Affairs
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作者 GUO Rui 《Sino-US English Teaching》 2025年第1期22-27,共6页
This paper proposes an interdisciplinary talent training model that combines foreign language education with area studies.The model aims to cultivate international ocean affairs professionals with cross-cultural commu... This paper proposes an interdisciplinary talent training model that combines foreign language education with area studies.The model aims to cultivate international ocean affairs professionals with cross-cultural communication skills,in-depth regional and country knowledge,and practical expertise in ocean affairs.Additionally,the paper presents specific training pathways and policy recommendations for implementing this model. 展开更多
关键词 foreign languages area studies talent development for international ocean affairs educational reform
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Study on English Translations of“The Little Prince”from the Perspective of Descriptive Translation Studies
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作者 Xianting Yi 《Journal of Contemporary Educational Research》 2025年第9期358-365,共8页
In modern society,the globalization of literary works is evident,with exceptional literary pieces from various countries spreading worldwide.Among these,children’s literature,due to the specificity of its target audi... In modern society,the globalization of literary works is evident,with exceptional literary pieces from various countries spreading worldwide.Among these,children’s literature,due to the specificity of its target audience,imposes distinct requirements on children’s books,compelling translators to approach the text from a child’s perspective.“The Little Prince”has renowned both within and outside of China,and a careful reading of this work can provide us with much inspiration.To this end,the present study adopts the perspective of Gideon Toury’s Descriptive Translation Studies to conduct an in-depth analysis of the different English and Chinese translations in conjunction with the original French novel.This approach aims to better guide literary research and explores translation methods for children’s literature through the analysis of translation norms and rules. 展开更多
关键词 Gideon toury Descriptive translation studies “The Little Prince” Children’s literature
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Comparative Studies on Tourist Satisfaction of World Heritage Sites——A Case Study of Huangshan Mountain,Lushan Mountain and Wuyi Mountain
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作者 顾晓艳 《Journal of Landscape Research》 2009年第4期85-90,共6页
Through the questionnaire survey and comparative studies on tourist satisfaction of tourism services among three world heritage sites,i.e.Huangshan Mountain,Lushan Mountain and Wuyi Mountain,this study pointed out the... Through the questionnaire survey and comparative studies on tourist satisfaction of tourism services among three world heritage sites,i.e.Huangshan Mountain,Lushan Mountain and Wuyi Mountain,this study pointed out the problems in tourism services of three scenic areas and then put forward relevant countermeasures for the management of scenic areas. 展开更多
关键词 World HERITAGE SITES TOURIST SATISFACTION COMPARATIVE study Huangshan MOUNTAIN Lushan MOUNTAIN Wuyi MOUNTAIN
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Pressure-flow studies in patients with benign prostatic hyperplasia:a study comparing suprapubic and transurethral methods 被引量:2
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作者 Shan-Chao Zhao Shao-Bin Zheng Wan-Long Tan Peng Zhang Huan Qi 《Asian Journal of Andrology》 SCIE CAS CSCD 2006年第6期731-735,共5页
Aim: To compare the use of the suprapubic puncture method versus the transurethral method in pressure-flow studies in patients with benign prostatic hyperplasia. Methods: Twenty-three men with benign prostatic hyper... Aim: To compare the use of the suprapubic puncture method versus the transurethral method in pressure-flow studies in patients with benign prostatic hyperplasia. Methods: Twenty-three men with benign prostatic hyperplasia underwent both suprapubic and transurethral pressure-flow studies during a single session. Standard pressure-flow variables were recorded in all patients with both methods, enabling calculation of obstruction using commonly used grading systems, such as the urethral resistance algorithm, the Abrams-Griffith (AG) number and the Schaefer linear nomogram. Results: There were statistically significant differences between the methods in the mean values of maximum flow rate (P 〈 0.05), detrusor pressure at the maximum flow (P 〈 0.01), urethral resistance algorithm (P 〈 0.01), AG number (P 〈 0.01) and maximum cystic capacity (P 〈 0.01). Of the men in the study, 10 (43.5%) remained in the same Schaefer class with both methods and 18 (78.3%) in the same AG number area. Using the transurethral method, 12 (52.2%) men increased their Schaefer class by one and 1 (4.3%) by two. There were also differences between the suprapubic and transurethral methods using the AG number: 4 (17.4%) men moved from a classification of equivocal to obstructed and 1 (4.3%) from unobstructed to equivocal. Conclusion: The differences between the techniques for measuring intravesical pressure alter the grading of obstruction determined by several of the commonly used classifications. An 8 F transurethral catheter significantly increases the likelihood of a diagnosis of bladder outlet obstruction when compared with the suprapubic method. 展开更多
关键词 URODYNAMICS pressure-flow study SUPRAPUBIC TRANSURETHRAL benign prostatic hyperplasia bladder outlet obstruction
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Coffee consumption and risk of type 2 diabetes mellitus in Asians:A meta-epidemiological study of population-based cohort studies 被引量:1
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作者 Jong-Myon Bae 《World Journal of Diabetes》 SCIE 2021年第6期908-915,共8页
BACKGROUND Previous systematic reviews have consistently reported that coffee consumption has a preventive effect on the occurrence of type 2 diabetes mellitus(T2DM).However,further evaluations between coffee consumpt... BACKGROUND Previous systematic reviews have consistently reported that coffee consumption has a preventive effect on the occurrence of type 2 diabetes mellitus(T2DM).However,further evaluations between coffee consumption and the risk of T2DM in Asian populations are needed.AIM To conduct a meta-epidemiological study on systematic reviews evaluating the association between coffee consumption and the risk of T2DM in Asian people.METHODS The selection criterion was defined as a population-based prospective cohort study evaluating the association between coffee consumption and the risk of T2DM in Asian populations,reporting the adjusted relative risk(RR)and its 95%confidence interval(CI)for potential confounders.A fixed-effect model metaanalysis was applied to calculate the summary RR and its 95%CI in less than 50%of the I2 value indicating the level of heterogeneity.A two-stage fixed-effects doseresponse meta-analysis(DRMA)was performed to calculate the risk per unit dose(a cup per day).RESULTS A total of seven studies were selected in this meta-epidemiological study.The risk of T2DM in Asian populations was significantly reduced in the highest to the lowest dose group(summary RR=0.73,95%CI:0.66-0.82;I2 value=0.0%).The DRMA showed that drinking one cup of coffee per day reduced the risk of T2DM in Asian populations by 8%(RR=0.92,95%CI:0.90-0.95).CONCLUSION These findings support the conclusion that coffee consumption has a protective effect on the occurrence of T2DM in Asian men and women. 展开更多
关键词 COFFEE Diabetes mellitus Cohort studies META-ANALYSIS Systematic reviews
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A Comparative Study of Of Studies and Wang Zuoliang's Translated Version
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作者 陈健飞 《海外英语》 2014年第21期139-140,152,共3页
Of Studies is an important one in The Essays of Francis Bacon, of which words are concise and refining, reasoning is profound and logic. Wang Zuoliang's translated version is so efficient and smooth with classical... Of Studies is an important one in The Essays of Francis Bacon, of which words are concise and refining, reasoning is profound and logic. Wang Zuoliang's translated version is so efficient and smooth with classical Chinese style that it perfectly reveals the original text, turning out to be the best version among all the translation of Of Studies. This thesis compares Of Studies and Wang Zuoliang's translated version to analyze their linguistic feature in terms of diction, sentence and figures of speech. 展开更多
关键词 Of Studies translated VERSION DICTION SENTENCE FIG
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Study design in evidence-based surgery:What is the role of case-control studies?
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作者 Amy M Cao Michael R Cox Guy D Eslick 《World Journal of Methodology》 2016年第1期101-104,共4页
Randomized controlled trials(RCTs) are the gold standard in terms of study design, however, in the surgical setting conducting RCTs can often be unethical or logistically impossible. Case-control studies should become... Randomized controlled trials(RCTs) are the gold standard in terms of study design, however, in the surgical setting conducting RCTs can often be unethical or logistically impossible. Case-control studies should become the major study design used in surgical research when RCTs are unable to be conducted and definitely replacing case series which offer little insight into surgical outcomes and disease processes. 展开更多
关键词 Research STUDIES CASE-CONTROL STUDIES RANDOMIZED CLINICAL trials BIAS SAMPLE size
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STUDIES ON DOPAMINE RECEPTORS AND TETRAHYDROPROTOBERBERINES.Ⅲ.3D-QSAR STUDY ON TETRAHYDROPROTOBERBERINES USING COMFA APPROACH
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作者 Yun TANG Kai Xian CHEN +2 位作者 Hua Liang JIANG Guo Zhang JIN Ru Yun JI(Shanghai Institute of Materia Medica. Chinese Academy of Sciences,294 Taiyuan Road, Shanghai 200031) 《Chinese Chemical Letters》 SCIE CAS CSCD 1996年第3期249-252,共4页
Using comparative molecular field analysis approach, the interaction of 17 tetrahydroprotdederines to D1 reccptor and15 ones to D2 reccptor have ben studied by 3D-QsAR. respectively. The results indicated that the int... Using comparative molecular field analysis approach, the interaction of 17 tetrahydroprotdederines to D1 reccptor and15 ones to D2 reccptor have ben studied by 3D-QsAR. respectively. The results indicated that the interactions of THPBs withdopamine receplors were primarily clectrostatic interactions. with more positive charge in lignnd and more negative in receptor. 展开更多
关键词 QSAR study APPROACH AND
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Geological Studies to Support the Tourism Site: A Case Study in the <i>Rafflesia</i>Trail, Near Kampung Jedip, Lojing Highlands, Kelantan, Malaysia
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作者 Dony Adriansyah Nazaruddin Nur Syazwani Md. Fadilah +2 位作者 Zurfarahin Zulkarnain Sharifah Aisyah Syed Omar Mohamad Khidzir Mohd Ibrahim 《International Journal of Geosciences》 2014年第8期835-851,共17页
Some geological studies were performed in the Rafflesia Trail, near Kampung Jedip, in Lojing Highlands, Kelantan. This area is famous for its Rafflesia and has become one of the tourism attractions in Kelantan. Howeve... Some geological studies were performed in the Rafflesia Trail, near Kampung Jedip, in Lojing Highlands, Kelantan. This area is famous for its Rafflesia and has become one of the tourism attractions in Kelantan. However, the recent development of agricultural activities has significant effects on the area. The objective of these studies is to give substantial geological information including geomorphology, lithology, structural features, geohazard potentials, and water quality analysis in the study area. Desk study was conducted by reviewing some literatures related to the topic and the study area. Field work was organized during a scientific expedition in January 2014, to collect data, samples, and photographs. Geomorphologically, the study area is a mountainous area which mostly consists of mountain ridges and mountain valleys. Some fluvial features occur in the study area, such as waterfalls, cascades, rapids, runs, pools, potholes, lateral bars, and point bars. This area is composed of granitic rocks, mostly granite porphyry, and covered by superficial deposits of Quaternary age. The geological structure that is commonly found in the study area is joints, where they divide the rock body into large, roughly angular blocks, which is called as brecciation. The potential geohazard in the study area is landslides, where some of them are composed of soil only and others are mixtures of rock and soil. The water quality analysis has managed to identify that the stream water in this area generally has the quality of Class III (according to INWQS for Malaysia). These studies recommend that this area should be supported as a sustainable tourism site in Lojing Highlands. 展开更多
关键词 GEOLOGICAL STUDIES Sustainable Tourism Site The Rafflesia TRAIL Lojing HIGHLANDS Kelantan
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STUDIES ON CYCLOPENT-2-ENONE: (Ⅲ) THE STUDY ON DECONJUGATION OF CYCLOPENT -2-ENONE ALDOL ADDUCTS
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作者 M.M.Campbell D.W.Brown 《Chinese Chemical Letters》 SCIE CAS CSCD 1991年第10期777-780,共4页
Deconjugation of cyclopent-2-enone aldols were attempted under various conditions, and the desired deconjugated product was achieved via dianion approach. Various results obtained in this study are explained by struct... Deconjugation of cyclopent-2-enone aldols were attempted under various conditions, and the desired deconjugated product was achieved via dianion approach. Various results obtained in this study are explained by structure and transition state analysis. 展开更多
关键词 CI NH THF LDA THE study ON DECONJUGATION OF CYCLOPENT ENONE ALDOL ADDUCTS STUDIES ON CYCLOPENT-2-ENONE
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Regolith Geochemical Studies in Kimberlitic Terrain: A Case Study from Lattavaram Kimberlite Cluster, Eastern Dharwar Craton, Southern India
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作者 P.Ramesh CHANDRA PHANI M.SRINIVAS 《Acta Geologica Sinica(English Edition)》 SCIE CAS CSCD 2016年第S1期191-,共1页
Utility of geochemistry in mineral exploration is known since more than half-a-century.In reconnaissance diamond exploration,regolith geochemistry is a well known tool worldwide and helps in distinguishing bedrock
关键词 Regolith Geochemical Studies in Kimberlitic Terrain rock Southern India A Case study from Lattavaram Kimberlite Cluster
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A Study on Applications and Case Studies Regarding Bluetooth Technology for Travel Time Measurement
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作者 Dian Yuan Ardeshir Faghri Katherine Partridge 《Journal of Transportation Technologies》 2020年第1期65-87,共23页
Bluetooth technology emerged over twenty years ago and has continuously improved throughout the years to meet diverse and complex applications. Initially invented to replace the need for physical data cables, Bluetoot... Bluetooth technology emerged over twenty years ago and has continuously improved throughout the years to meet diverse and complex applications. Initially invented to replace the need for physical data cables, Bluetooth offers users a quick and easy way to share data files over a wireless network. Traffic engineers and transportation engineering researchers have utilized the potential opportunities that exist with Bluetooth and have implemented this technology into traffic monitoring techniques. To gain a better understanding of Bluetooth sensors and how they work, a comprehensive literature search was conducted. Twenty-five articles were studied regarding case studies of Bluetooth sensor implementation for travel time measurement. Besides reviewing the literature and previous case studies, three new case studies in the State of Delaware, USA, were also conducted and carefully analyzed. The benefits and drawbacks associated with Bluetooth technology for travel time measurements have been identified in this paper. The overall conclusion of the authors is Bluetooth alone and by itself is not a proper technology for travel time measurements. More studies need to be conducted on the accuracy and overall application, before one can confidently utilize the Bluetooth technology for travel time measurements. 展开更多
关键词 TRAVEL Time MEASUREMENT BLUETOOTH Technology Comparison APPLICATIONS LITERATURE REVIEW Case Studies
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Prevalence of Helicobacter pylori infection in Chinese military personnel:A cross-sectional,multicenter-based study 被引量:1
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作者 Han-Chen Min Chun-Yan Zhang +9 位作者 Fang-Yu Wang Xiao-Hui Yu Shan-Hong Tang Hong-Wu Zhu Ya-Gang Zhao Ji-Luo Liu Jian Wang Jing-Han Guo Xiao-Mei Zhang Yun-Sheng Yang 《World Journal of Gastroenterology》 SCIE CAS 2025年第3期42-49,共8页
BACKGROUND Helicobacter pylori(H.pylori)infection is a prevalent disease encountered in military internal medicine and recognized as the main cause of dyspepsia,gastritis,and peptic ulcer,which are common diseases in ... BACKGROUND Helicobacter pylori(H.pylori)infection is a prevalent disease encountered in military internal medicine and recognized as the main cause of dyspepsia,gastritis,and peptic ulcer,which are common diseases in military personnel.Current guidelines in China state all patients with evidence of active infection with H.pylori are offered treatment.However,the prevalence of H.pylori infection and its regional distribution in the military population remain unclear,which hinders effective prevention and treatment strategies.Understanding the prevalence of H.pylori infection in the military population will aid in the development of customized strategies to better manage this infectious disease.AIM To investigate the prevalence of H.pylori infection in the Chinese military population in different geographic areas.METHODS This multicenter,retrospective study included 22421 individuals from five tertiary hospitals located in north,east,southwest,and northwest cities of China.H.pylori infection was identified using the urea breath test,which had been performed between January 2020 and December 2021.RESULTS Of the 22421 military service members,7416(33.1%)were urea breath test-positive.The highest prevalence of H.pylori was in the 30-39 years age group for military personnel,with an infection rate of 34.9%.The majority of infected subjects were younger than 40-years-old,accounting for 70.4%of the infected population.The individuals serviced in Lanzhou and Chengdu showed a higher infection prevalence than those in Beijing,Nanjing,and Guangzhou,with prevalence rates of 44.3%,37.9%,29.0%,31.1%,and 32.3%,respectively.CONCLUSION H.pylori infection remains a common infectious disease among military personnel in China and has a relatively high prevalence rate in northwest China. 展开更多
关键词 Helicobacter pylori PREVALENCE Military personnel Urea breath test Multicenter study
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STRUCTURAL STUDIES ON PROTEINS IN MICROEMULSION I.FTIR STUDY ON LYSOZYME IN D_2O/SURFACTANT/n-HEPTANE SYSTEM
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作者 Yan Ll Shi Fu WENG Jin Guang WU and Guang Xian XU (Department of Chemistry,Peking University,Beijing 100871) 《Chinese Chemical Letters》 SCIE CAS CSCD 1994年第11期955-958,共4页
FTIR method was used in this paper to investigate the structure of lysozyme in D2O solution and in microemulsions.It was found from the subtraction spectra that the Amide Ⅰband shifts to lower wavenumbers in microemu... FTIR method was used in this paper to investigate the structure of lysozyme in D2O solution and in microemulsions.It was found from the subtraction spectra that the Amide Ⅰband shifts to lower wavenumbers in microemulsions. The assignment of deconvoluted AmideⅠbund was given.The curve-fitting resulte show that the α-helix structure of lysozyme is reduced a lot in microemulsions. 展开更多
关键词 FTIR study MICROEMULSION LYSOZYME HEPTANE D2O
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Meta-analysis with zero-event studies:a comparative study with application to COVID-19 data
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作者 Jia-Jin Wei En-Xuan Lin +4 位作者 Jian-Dong Shi Ke Yang Zong-Liang Hu Xian-Tao Zeng Tie-Jun Tong 《Military Medical Research》 SCIE CSCD 2022年第1期126-137,共12页
Background:Meta-analysis is a statistical method to synthesize evidence from a number of independent studies,including those from clinical studies with binary outcomes.In practice,when there are zero events in one or ... Background:Meta-analysis is a statistical method to synthesize evidence from a number of independent studies,including those from clinical studies with binary outcomes.In practice,when there are zero events in one or both groups,it may cause statistical problems in the subsequent analysis.Methods:In this paper,by considering the relative risk as the effect size,we conduct a comparative study that consists of four continuity correction methods and another state-of-the-art method without the continuity correction,namely the generalized linear mixed models(GLMMs).To further advance the literature,we also introduce a new method of the continuity correction for estimating the relative risk.Results:From the simulation studies,the new method performs well in terms of mean squared error when there are few studies.In contrast,the generalized linear mixed model performs the best when the number of studies is large.In addition,by reanalyzing recent coronavirus disease 2019(COVID-19)data,it is evident that the double-zero-event studies impact the estimate of the mean effect size.Conclusions:We recommend the new method to handle the zero-event studies when there are few studies in a meta-analysis,or instead use the GLMM when the number of studies is large.The double-zero-event studies may be informative,and so we suggest not excluding them. 展开更多
关键词 Continuity correction Coronavirus disease 2019 data META-ANALYSIS Relative risk Zero-event studies
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A Study of Students' Opinions About History Subjects in the Social Studies Curriculum
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作者 Hamza AKENGiN Meltem Elif CENDEK 《Journal of Literature and Art Studies》 2017年第10期1347-1353,共7页
Social studies combines social sciences and the humanities, and has the purpose of raising effective citizens. There are many different areas integrated in social studies including history, geography, philosophy and p... Social studies combines social sciences and the humanities, and has the purpose of raising effective citizens. There are many different areas integrated in social studies including history, geography, philosophy and psychology. Social studies is the presentation of the information produced by these areas in framework of a curriculum. Social studies curriculum is a multi-dimensional program. One of the objectives of this program is to raise individuals who know about their past and shape their future with the help of the lessons they learn from history. In this context, the aim of this study is to determine sixth grade students' perspective to the history subjects in social studies curriculum, learn the place of history in their lives and see how history subjects are taught in classrooms. This study is limited to the 2014-2015 academic year. The participants were identified using random sampling, a probability-based sampling method. This is a qualitative study. The study includes interviews with eight sixth graders, of whom four were female and four were male. The study data were collected in semi-structured interviews. The interviews were recorded and transcribed. The data were analyzed using descriptive analysis. The study found that the students enjoyed learning history, had positive opinions about their history grades and their teachers continued to teach history using traditional methods. They also felt that history contributed to their lives. Based on the data collected, the study makes specific suggestions. 展开更多
关键词 history topics social studies students' opinions
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Exploring the Path of Shantytown Renewal Based on the Theory of Environment-behavior Studies: A Case Study of the Northwest Area of Saihantala in Baotou City
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作者 ZHANG Miao TIAN Jiaqi GONG Rui 《Journal of Landscape Research》 2024年第2期61-65,68,共6页
The application of environment-behavior studies plays an important role in studying the renewal of shantytowns.One of the most humane ways of renewal is designing and constructing the necessary urban spatial environme... The application of environment-behavior studies plays an important role in studying the renewal of shantytowns.One of the most humane ways of renewal is designing and constructing the necessary urban spatial environment from the perspective of human daily behavior.Most of the shantytown renovation projects currently carried out in China are mainly focused on demolition and reconstruction,which not only incurs high costs but also damages the original social structure and economic model.During the process of shantytown renewal,it should improve the urban landscape,living environment,and life quality of residents,and ensure the daily life of shantytown residents without increasing their economic burden,and preserve the traces of urban development.In order to achieve this goal,it should explore the renewal strategies of shantytowns from the perspective of environment-behavior studies through behavior maps,on-site research,and literature review.Updating and design from a human perspective often achieve faster and better development;the renewal of shantytowns should be a bottom-up approach and start from a grassroots perspective,completing the renovation design through the composition of the population and behavioral patterns. 展开更多
关键词 Environment-behavior studies Shantytown renewal Economic type Bottom view BOTTOM-UP
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Association between Non-high-density Lipoprotein Cholesterol to High-density Lipoprotein Cholesterol Ratio(NHHR)and Stroke among Adults in the USA:A Cross-Sectional NHANES Study 被引量:2
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作者 Haixia Ma Huaqiu Chen Peichang Wang 《Biomedical and Environmental Sciences》 2025年第1期37-46,共10页
Objective The relationship between non-high-density lipoprotein(NHDL)cholesterol to high-density lipoprotein cholesterol(HDL-C)ratio(NHHR)and stoke remains unknown.This study aimed to evaluate the association between ... Objective The relationship between non-high-density lipoprotein(NHDL)cholesterol to high-density lipoprotein cholesterol(HDL-C)ratio(NHHR)and stoke remains unknown.This study aimed to evaluate the association between the adult NHHR and stroke occurrence in the United States of America(USA).Methods To clarify the relationship between the NHHR and stroke risk,this study used a multivariable logistic regression model and a restricted cubic spline(RCS)model to investigate the association between the NHHR and stroke,and data from the National Health and Nutrition Examination Survey(NHANES)from 2005 to 2018.Subgroup and sensitivity analyses were conducted to test the robustness of the results.Results This study included 29,928 adult participants,of which 1,165 participants had a history of stroke.Logistic regression analysis of variables demonstrated a positive association between NHHR and stroke(OR 1.24,95%CI:1.03-1.50,P=0.026).Compared with the lowest reference group of NHHR,participants in the second,third,and fourth quartile had a significantly increased risk of stroke after full adjustments(OR:1.35,95%CI:1.08-1.69)(OR:1.83,95%CI:1.42-2.36)(OR:2.04,95%CI:1.50-2.79).In the total population,a nonlinear dose-response relationship was observed between the NHHR and stroke risk(P non-linearity=0.002).This association remained significant in several subgroup analyses.Further investigation of the NHHR may enhance our understanding of stroke prevention and treatment.Conclusion Our findings suggest a positive correlation between the NHHR and an increased prevalence of stroke,potentially serving as a novel predictive factor for stroke.Timely intervention and management of the NHHR may effectively mitigate stroke occurrence.Prospective studies are required to validate this association and further explore the underlying biological mechanisms. 展开更多
关键词 NHHR STROKE NHANES Cross-sectional study
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