Objectives:Although standardized residency trainees are at high risk for depression,anxiety,and suicidal ideation,the psychological pathways connecting depression and anxiety to suicidal ideation,especially the modera...Objectives:Although standardized residency trainees are at high risk for depression,anxiety,and suicidal ideation,the psychological pathways connecting depression and anxiety to suicidal ideation,especially the moderating role of resilience,remain elusive.This study aimed to examine the associations between depression,anxiety,and suicidal ideation among physicians undergoing standardized residency training,and to investigate the moderating roles of different dimensions of individual resilience,namely tenacity,strength,and optimism.Methods:A convenience sampling method was adopted to recruit 133 resident physicians.Validated instruments assessing individual resilience,depressive symptoms,anxiety levels,and suicidal ideation were administered.Spearman correlation analysis was used to evaluate the relationships among the variables.Hierarchical regression analysis was conducted to assess the moderating roles of tenacity,strength,and optimism in the associations between depression,anxiety,and suicidal ideation.Results:Depressive symptoms and anxiety levels were both positively associated with suicidal ideation(p<0.001).All three resilience dimensions were negatively correlated with suicidal ideation(tenacity:r=−0.504,strength:r=−0.477,optimism:r=−0.440,all p<0.001).Tenacity,strength,and optimism significantly moderated the associations between depression and suicidal ideation(all p<0.05).When resilience levels in these dimensions were high,the associations between depression and suicidal ideation were weaker.Strength and optimism also moderated the associations between anxiety and suicidal ideation(strength:p=0.028,optimism:p=0.028).When the resiliences(strength and optimism)were high,the associations between anxiety and suicidal ideation were weaker.Conclusion:Individual resilience,particularly in the dimensions of tenacity,strength,and optimism,may serve as protective correlates for physicians in training,being associated with weaker relationships between depression,anxiety,and suicidal ideation.These findings highlight the potential value of resilience-enhancing strategies in clinical training settings,although causal inferences cannot be drawn due to the cross-sectional design.展开更多
The distinctive landscape of Zhujiayu Ancient Village in Zhangqiu District,Ji’nan,together with its long-established cultural traditions,has shaped a unique vernacular settlement character,within which traditional dw...The distinctive landscape of Zhujiayu Ancient Village in Zhangqiu District,Ji’nan,together with its long-established cultural traditions,has shaped a unique vernacular settlement character,within which traditional dwellings serve as a primary medium of regional culture.This study examines the residence of Zhu Fengyin,a jinshi degree holder,and adopts field investigation and measured drawing-based analysis.Discussion is organized around three dimensions:an overview of the dwelling,architectural form,and cultural expression.Particular attention is given to the multi-stage,multi-bay compound configuration developed in a mountainous setting,terrain-adaptive courtyard forms,and construction techniques.The analysis further interprets the concepts of ritual order and auspicious symbolism embedded in architectural decoration.By using this representative case,the study aims to deepen understanding of the architectural culture of gentry dwellings in the Ji’nan region and to provide an academic basis for the conservation and inheritance of traditional dwellings in the Ji’nan area.展开更多
Macrophages in the brain barrier system include microglia in the brain parenchyma,border-associated macrophages at the brain’s borders,and recruited macrophages.They are responsible for neural development,maintenance...Macrophages in the brain barrier system include microglia in the brain parenchyma,border-associated macrophages at the brain’s borders,and recruited macrophages.They are responsible for neural development,maintenance of homeostasis,and orchestrating immune responses.With the rapid exploitation and development of new technologies,there is a deeper understanding of macrophages in the brain barrier system.Here we review the origin,development,important molecules,and functions of macrophages,mainly focusing on microglia and border-associated macrophages.We also highlight some advances in single-cell sequencing and significant cell markers.We anticipate that more advanced methods will emerge to study resident and recruited macrophages in the future,opening new horizons for neuroimmunology and related peripheral immune fields.展开更多
面对人工智能技术驱动的深刻变革,高校图书馆正从传统的资源中心向创新中心转型。为探索开放创新生态的构建路径,文章以美国国会图书馆的Innovator in Residence(IIR)项目为核心范例,综合运用案例分析与比较研究方法,系统剖析了其运作...面对人工智能技术驱动的深刻变革,高校图书馆正从传统的资源中心向创新中心转型。为探索开放创新生态的构建路径,文章以美国国会图书馆的Innovator in Residence(IIR)项目为核心范例,综合运用案例分析与比较研究方法,系统剖析了其运作机制、核心理念以及在不同机构中的多元化实践样态,构建了一个由AI技术与AI素养教育双核驱动,以开放创新平台、创新服务机制、创新能力体系、创新支持环境为四根支柱的生态系统模型,并结合中国国情提出了本土化实施策略,为我国高校图书馆“因校制宜”地构建多层次、动态演进的创新项目体系,提供了理论高度与实践价值兼备的行动蓝图。展开更多
Summer residential tourism is the future trend in China because of tourists’living quality improvement,heat crisis,rising market demand,and optimization of the destinations’residential environment,transport and acce...Summer residential tourism is the future trend in China because of tourists’living quality improvement,heat crisis,rising market demand,and optimization of the destinations’residential environment,transport and accessibility.Compared with summer tourism and vacation tourism,summer residential tourism had got less attention and lacks in prospective and preventive research.Hence,this study focused on potential assessment,pattern recognition and phase segmentation of 32 residential tourism destinations in China selected from 4 lists.An index system of 16 indicators from 5 dimensions was established as Summer Residence Index(SRI),and Range method,Entropy weight method and Composite index method were chosen as the core methods.Three main conclusions were as follows.(1)Only 2 typical districts’SRI value were near to 0.6,and 4 destinations were below 0.1,about 26 destinations were at medium-level,which indicated that China’s summer residential tourism was not so popular and only few destinations have stepped into a higher level.(2)Seven patterns could be recognized based on the contribution of the 5 dimensions to SRI value,including 3 single-factor driven patterns and 4 compound factors driven patterns.(3)Like tourist area life cycle(TALC),Unconscious stage,Initial stage,Developmental stage and Maturity stage could be segmented for summer residential destinations with the value of below 0.1,0.1-0.3,0.3-0.5,and above 0.5.Four destinations were under Unconscious stage.Twenty-two destinations were at initiate stage.Only 4 destinations have stepped into development stage and 2 at maturity stage.China’summer residential tourism has just started and has a better prospect.This study is just an attempt and needs further consideration,for example,a tracking study of SRI calculation for each year will be carried to justify the effectiveness of SRI and to check the rationality of the empirical results.As time goes on,policies in housing,residential estate and other aspects should be included as a factor in the SRI index.Data availability should be optimized because of better data sources and new technologies.Some other districts or cities in 2 batches of national Comprehensive Tourism Demonstration Zones(CTDZs)pilots and provincial CTDZs will be further selections of summer residential tourism destinations.展开更多
Objective: The health-related quality of life (HRQoL) theory was used to assess the health quality of elderly residents in Southwest China. This was done by using the European Five-Dimensional Health Scale in a compre...Objective: The health-related quality of life (HRQoL) theory was used to assess the health quality of elderly residents in Southwest China. This was done by using the European Five-Dimensional Health Scale in a comprehensive manner and by analysing the factors influencing it. The findings will provide new perspectives and ideas for improving the health-related quality of life of the elderly population and enhancing the precise health management of elderly residents. Methods: The response data of 1892 elderly residents in southwestern China were included in the analysis based on the CLHLS data. The factors influencing the occurrence of problems, EQ-VAS scores and health utility values were analysed by logistic regression, multiple linear regression and Tobit regression, respectively. Results: The primary health concerns among the elderly population in the Southwest region were limited ability to perform daily activities and pain or discomfort. These individuals exhibited an EQ-VAS self-assessment score of 66.51 ± 14.87 and a health utility value of 0.87 (0.70, 1.00). Gender, age, regular medical check-ups, exercise habits and the prevalence of chronic diseases are the main influencing factors. Conclusions: The health quality of elderly people in Southwest China needs to be improved, and a comprehensive management strategy can be adopted in terms of lifestyle management, health needs management and disease management to improve the quality of their healthy lives and promote the development of healthy ageing.展开更多
Objective:The anesthesia residency training system is designed to provide supervised practice,enabling residents to progress from simple to complex procedures and higher-risk patients.However,it remains unclear whethe...Objective:The anesthesia residency training system is designed to provide supervised practice,enabling residents to progress from simple to complex procedures and higher-risk patients.However,it remains unclear whether residents acquire sufficient competence to be considered qualified anesthesiologists by the end of their training.This study aimed to evaluate whether anesthesia care provided by supervised CA-5 residents affects postoperative outcomes in elderly patients undergoing non-cardiac surgery.Methods:A retrospective analysis was conducted on clinical data from elderly patients who underwent non-cardiac surgery between January 2020 and December 2021 at Songjiang Hospital Affiliated to Shanghai Jiao Tong University School of Medicine.Patients were categorized into two groups:those managed by CA-5 residents(Resident group,n=294)and those managed by attending anesthesiologists(Attending group,n=521).Propensity score matching(PSM;1:1)was used to ensure comparability between the groups.The primary outcome was a composite of in-hospital postoperative complications.Secondary outcomes included intraoperative hemodynamic changes,the need for intensive care unit(ICU)admission,length of ICU and hospital stays,and in-hospital mortality.Multivariable logistic regression assessed the adjusted association between anesthesia provider type and postoperative morbidity and mortality.Results:Among the 815 elderly patients included,105(12.9%)experienced postoperative complications and 22(2.7%)died during hospitalization.No significant differences were observed in postoperative complications or mortality between the two groups,either before PSM(morbidity:11.9%vs.13.4%,p=0.531;mortality:3.7%vs.2.1%,p=0.168)or after PSM(morbidity:12.0%vs.14.4%,p=0.392;mortality:3.8%vs.1.4%,p=0.067).Multivariate analysis confirmed that postoperative morbidity and mortality were not significantly associated with resident involvement,either before PSM(morbidity:OR=0.882,95%CI:0.552-1.410,p=0.600;mortality:OR=1.293,95%CI:0.479-3.492,p=0.612)or after PSM(morbidity:OR=0.881,95%CI:0.523-1.486,p=0.636;mortality:OR=3.122,95%CI:0.805-12.106,p=0.100).Conclusions:Postoperative morbidity and mortality rates in elderly patients undergoing non-cardiac surgery are comparable between those anesthetized by supervised CA-5 residents and those managed by attending anesthesiologists.These results suggest that supervised CA-5 residents do not adversely affect patient safety.展开更多
Standardized residency training programs primarily focus on developing clinical diagnostic and treatment skills,often allocating limited time to research activities.However,enhancing research skills is of paramount im...Standardized residency training programs primarily focus on developing clinical diagnostic and treatment skills,often allocating limited time to research activities.However,enhancing research skills is of paramount importance for residents,as it fosters critical thinking,problem-solving abilities,and a deeper understanding of applying scientific principles to clinical practice.This paper explores the necessity and significance of integrating research training into residency programs,emphasizing its role in cultivating well-rounded physicians capable of advancing medical knowledge.This study proposes a competency-based research training model that encompasses research literacy,study design,biostatistics,and scientific writing.Additionally,online asynchronous training modules,robust mentorship,and balanced time management strategies are recommended to enhance residents’research engagement without compromising clinical training.By implementing these measures,residency programs can improve residents’research capabilities,contributing to both individual professional growth and the broader advancement of medical science.展开更多
As a crucial assessment tool,the Mini Clinical Evaluation Exercise(Mini-CEX)has gradually garnered attention in the clinical skills training of resident physicians.With the ongoing advancement of medical education ref...As a crucial assessment tool,the Mini Clinical Evaluation Exercise(Mini-CEX)has gradually garnered attention in the clinical skills training of resident physicians.With the ongoing advancement of medical education reform,Mini-CEX not only offers a fresh perspective for evaluating the clinical competence of resident physicians but also establishes a foundation for enhancing their overall quality and professional capabilities.Nonetheless,there are still certain constraints in the application of Mini-CEX,including inconsistent assessment criteria,assessor subjectivity,and inadequate feedback mechanisms.This paper will review relevant domestic and international studies,explore the practical application of Mini-CEX in standardized resident physician training,analyze its strengths and weaknesses in assessing clinical ability,and propose recommendations for future development directions.Through a thorough examination of this field,it aims to provide references and guidance for further optimizing the training model for resident physicians.展开更多
As the most critical part of post-graduate education,the Chinese government launched Standard Resident Training in 2013 to solve the regional inequality of medical quality and meet the increasing social requirement fo...As the most critical part of post-graduate education,the Chinese government launched Standard Resident Training in 2013 to solve the regional inequality of medical quality and meet the increasing social requirement for better medical service.We integrated problem-based learning(PBL)and case-based learning(CBL)in the Endodontics Standard Resident Training.By evaluating with objective parameters including theoretical knowledge and clinical practice skill,and subjective parameters including questionnaire,it was found that PBL+CBL played a positive role in endodontic resident training with a significant difference(P<0.05).This combined training model is instructive for China’s resident training,and this result can provide a rudimentary reference to current postgraduate teaching reform.展开更多
Background:Despite self-determination theory’s prominence,few studies examine BPN in China’s ethnic frontier regions.Therefore,this study investigates and analyzes the current situation of community residents with d...Background:Despite self-determination theory’s prominence,few studies examine BPN in China’s ethnic frontier regions.Therefore,this study investigates and analyzes the current situation of community residents with different demographic characteristics in Yanbian in the three basic psychological needs of competency needs,autonomy needs and attribution needs,so as to provide reference for the construction of community service in Yanbian area.Methods:A survey was conducted among 234 residents in four communities in Yanbian from September to October 2024.The equal probability random sampling method was used to collect data by using a general information questionnaire and basic psychological demand scale,and SPSS 28.0 was used for analysis.Through single factor analysis,Pearson correlation analysis and multiple linear regression analysis,the influencing factors and correlation of basic psychological needs of community residents in Yanbian area were discussed.Results:The basic psychological needs of residents were above the middle level;there is a significant positive correlation between economic status and the three dimensions of basic psychological needs(P<0.001).There is a significant positive correlation between the three dimensions of competence demand(β=2.028,P<0.001),autonomy demand(β=2.022,P<0.001),and attribution demand(β=2.693,P<0.001).Conclusion:The satisfaction degree of basic psychological needs of community residents in Yanbian is significantly affected by economic situation,which urges nurses to advocate for economic empowerment programs in community health and provides an empirical basis for the construction of a psychological service system in this area.At the same time,it is proposed that the region can respond by improving social support and improving employment results.展开更多
In the context of the global“double carbon”goal,this article uses the Analytic Hierarchy Process and Multiple Linear Regression combined with a survey questionnaire to study the issue of carbon literacy among reside...In the context of the global“double carbon”goal,this article uses the Analytic Hierarchy Process and Multiple Linear Regression combined with a survey questionnaire to study the issue of carbon literacy among residents in Chongqing.The weights of each dimension are determined to promote the formation of a good situation of multi-party collaborative promotion and help achieve the“double carbon”goal.The level of carbon literacy reflects the residents’understanding of carbon literacy and has important significance for economic and social operation and environmental protection.The results indicate that the deepening of the concept of carbon inclusiveness and the continuous advancement of technology will lead to a continuous process of improving the carbon inclusiveness literacy of Chongqing residents.Corresponding suggestions are proposed on how to improve the carbon inclusiveness literacy of Chongqing residents,which is of great research significance.展开更多
This empirical study examines the integration of medical and elderly care services in Guangyuan City through stratified random sampling,targeting 283 eligible residents aged 60+from three representative integrated ins...This empirical study examines the integration of medical and elderly care services in Guangyuan City through stratified random sampling,targeting 283 eligible residents aged 60+from three representative integrated institutions.The research employed a self-designed questionnaire titled“Humanistic Care Experience and Demand Influencing Factors”to collect subjective perceptions regarding basic care,psychological support,health education,and social interaction using a Likert five-point scale.Descriptive statistics,one-way ANOVA,and multiple regression modeling were conducted with SPSS 25.0 software.Results indicated that overall humanistic care experience scores were moderately high,with the“caregiving”dimension scoring highest and“psychological/social support”the lowest.Analysis revealed significant correlations between educational attainment,income,self-reported health status,and family support frequency(P<0.001),particularly among seniors with higher education,better health,and stronger family support.While integrated care facilities provide relatively comprehensive basic care,they should focus on addressing gaps in humanistic services,especially providing targeted support for groups with“low education,low income,poor health,and lack of family support.”展开更多
In the context of modern governance of megacities,community cultural communication not only serves as a frontier for disseminating mainstream values and cultivating a sense of community but also constitutes a critical...In the context of modern governance of megacities,community cultural communication not only serves as a frontier for disseminating mainstream values and cultivating a sense of community but also constitutes a critical variable affecting residents’daily sense of fulfillment,well-being,and satisfaction.Drawing on Beijing’s public policy documents,government procurement information,official media reports,and academic survey data during 2023-2025,this study systematically mapped the city-level community cultural communication system.Taking Guangning Sub-district and Pingguoyuan Sub-district in Shijingshan District as typical cases,it compared their practical approaches and residents’feedback,evaluated their respective strengths and shortcomings,and put forward policy recommendations centered on“precision matching of supply and demand,diversified integration of resources,and closed-loop management of evaluation.”These suggestions aimed to provide a reference for optimizing grassroots cultural governance in Beijing.展开更多
Objective:To enhance the reading skills of clinical pathology residents,it is essential to establish a well-structured electronic pathology reading library.Methods:In accordance with the Resident Standardization Train...Objective:To enhance the reading skills of clinical pathology residents,it is essential to establish a well-structured electronic pathology reading library.Methods:In accordance with the Resident Standardization Training Content and Standards(2022 Edition),clinical pathology residents are required to master pathological diagnoses across 11 systems:skin,head and neck,mediastinum and respiratory,digestive,urinary and male reproductive,female reproductive and breast,lymphatic and hematopoietic,bone and soft tissue,cardiovascular,central nervous,and endocrine diseases.Senior pathologists specializing in each subspecialty selected classic pathological slides,which were systematically scanned and compiled into an electronic pathology library.Results:A questionnaire survey was conducted to gather feedback on the electronic pathology reading library.Residents generally found it to be convenient,efficient,and conducive to learning.Conclusion:Training in clinical pathology diagnosis is a core component of standardized resident training.The electronic pathology reading library has been well-received and recognized by resident doctors.However,further efforts are needed to explore diverse teaching methods that align with modern educational approaches,ultimately contributing to the development of highly skilled resident doctors.展开更多
Based on the empirical analysis of the income and consumption of rural residents,the present paper discusses the reasons for the weak growth of income and the lagging consumption of rural residents in China.Finally,it...Based on the empirical analysis of the income and consumption of rural residents,the present paper discusses the reasons for the weak growth of income and the lagging consumption of rural residents in China.Finally,it comes up with some recommendations and measures to increase the income of rural residents,promote the consumption of rural residents,and open up the rural market.展开更多
On February 6,2025,Branko Balon,President of the Croatia-China Friendship Association for Cultural,Scientific and Economic Cooperation and Professor at the VSITE College of Information Technology in Zagreb.
With rapid development of economy and emergence of more and more high-grade residences,it had highlighted that high-grade residence was the inevitable tendency of economic development and urban construction.Based on t...With rapid development of economy and emergence of more and more high-grade residences,it had highlighted that high-grade residence was the inevitable tendency of economic development and urban construction.Based on the fact that high-grade residences paid more attention to harmony of human and architecture with nature and required higher for landscaping,the paper emphasized that landscape quality of high-grade residences was the key factor deciding quality of the residence.In view of insufficiencies of plant landscaping planning in high-grade residences at home and abroad,by taking high-grade residences in Hangzhou City for example,analysis had been conducted by selecting typical cases.It pointed out that plants disposition in high-grade residences was unreasonable,architectures and landscapes were isolated,and greening ratio was stressed while design was neglected.And then,corresponding solutions had been proposed.In terms of plants selection,it should reasonably utilize native tree species,and properly select new and high-quality plant species.In terms of harmonious unity between plant landscape and architecture,it should lay stress on unity between sensory design and comfort design.In terms of plant design and disposition,it should stick to the theme of "residential environment",so as to rationalize plant design and disposition,and create more comfortable residential environment.展开更多
In order to enhance the utilization of single-ann cluster tools and optimize the scheduling problems of dynamic reaching wafers with residency time and continuous reentrancy constraints, a structural heuristic schedul...In order to enhance the utilization of single-ann cluster tools and optimize the scheduling problems of dynamic reaching wafers with residency time and continuous reentrancy constraints, a structural heuristic scheduling algorithm is presented. A nonlinear programming scheduling model is built on the basis of bounding the scheduling problem domain. A feasible path search scheduling method of single-arm robotic operations is put forward with the objective of minimal makespan. Finally, simulation experiments are designed to analyze the scheduling algorithms. Results indicate that the proposed algorithm is feasible and valid to solve the scheduling problems of multiple wafer types and single-ann clusters with the conflicts and deadlocks generated by residency time and continuous reentrancy constraints.展开更多
Change trend of Chinese urban residents＇ per capita food-nitrogen annual consumption from 1981 to 2007 was analyzed and predicted by using ARIMA time-series model in order to reveal the change of urban food-nitrogen ...Change trend of Chinese urban residents＇ per capita food-nitrogen annual consumption from 1981 to 2007 was analyzed and predicted by using ARIMA time-series model in order to reveal the change of urban food-nitrogen consumption during the China＇s urbanization process.Results showed that after 1980s,the annual consumption of Chinese urban residents＇ food-nitrogen had a change trend of ＂ increase-decrease-increase＂ and generally presented as a slight increasing trend;With the acceleration of rapid economic development and urbanization process,Chinese urban residents＇ food-nitrogen consumption will still keep a rising trend in future,and also has a large rising space.展开更多
基金supported by Jiangsu Cancer Hospital Science and Technology Development Fund Project(NO.XHMS202404)Nanjing Medical Science and Technology Development Fund Project(GBX22289).
文摘Objectives:Although standardized residency trainees are at high risk for depression,anxiety,and suicidal ideation,the psychological pathways connecting depression and anxiety to suicidal ideation,especially the moderating role of resilience,remain elusive.This study aimed to examine the associations between depression,anxiety,and suicidal ideation among physicians undergoing standardized residency training,and to investigate the moderating roles of different dimensions of individual resilience,namely tenacity,strength,and optimism.Methods:A convenience sampling method was adopted to recruit 133 resident physicians.Validated instruments assessing individual resilience,depressive symptoms,anxiety levels,and suicidal ideation were administered.Spearman correlation analysis was used to evaluate the relationships among the variables.Hierarchical regression analysis was conducted to assess the moderating roles of tenacity,strength,and optimism in the associations between depression,anxiety,and suicidal ideation.Results:Depressive symptoms and anxiety levels were both positively associated with suicidal ideation(p<0.001).All three resilience dimensions were negatively correlated with suicidal ideation(tenacity:r=−0.504,strength:r=−0.477,optimism:r=−0.440,all p<0.001).Tenacity,strength,and optimism significantly moderated the associations between depression and suicidal ideation(all p<0.05).When resilience levels in these dimensions were high,the associations between depression and suicidal ideation were weaker.Strength and optimism also moderated the associations between anxiety and suicidal ideation(strength:p=0.028,optimism:p=0.028).When the resiliences(strength and optimism)were high,the associations between anxiety and suicidal ideation were weaker.Conclusion:Individual resilience,particularly in the dimensions of tenacity,strength,and optimism,may serve as protective correlates for physicians in training,being associated with weaker relationships between depression,anxiety,and suicidal ideation.These findings highlight the potential value of resilience-enhancing strategies in clinical training settings,although causal inferences cannot be drawn due to the cross-sectional design.
基金Major Project of the National Social Science Foundation of China“Historical Collation and Research of Cultural Exchanges Between Chinese and Foreign Craftsmen Along the Silk Road”(Approval No.22&ZD227)the Planning Project of Shaanxi Art Institute“Research on National Cultural Park Design”(Project No.YG2025001)part of the phased outcomes of the“Shaanxi Special Support Program for High-Level Talents”(Project Approval No.21HH02).
文摘The distinctive landscape of Zhujiayu Ancient Village in Zhangqiu District,Ji’nan,together with its long-established cultural traditions,has shaped a unique vernacular settlement character,within which traditional dwellings serve as a primary medium of regional culture.This study examines the residence of Zhu Fengyin,a jinshi degree holder,and adopts field investigation and measured drawing-based analysis.Discussion is organized around three dimensions:an overview of the dwelling,architectural form,and cultural expression.Particular attention is given to the multi-stage,multi-bay compound configuration developed in a mountainous setting,terrain-adaptive courtyard forms,and construction techniques.The analysis further interprets the concepts of ritual order and auspicious symbolism embedded in architectural decoration.By using this representative case,the study aims to deepen understanding of the architectural culture of gentry dwellings in the Ji’nan region and to provide an academic basis for the conservation and inheritance of traditional dwellings in the Ji’nan area.
基金supported by Ministry of Science and Technology China Brain Initiative Grant,No.2022ZD0204702(to ZY)the National Natural Science Foundation of China,No.82371357(to LC)+2 种基金Foundation for Military Medicine,No.16QNP085(to ZY)Navy Medical University Basic Medical College“Yi Zhang”Basic Medical Talent Development and Support Program,Nos.JCYZRC-D-022(to TC)and JCYZRC-D-024(to HD)Science and Technology Innovation Special Fund of Shanghai Baoshan District,No.2023-E-05(to YW).
文摘Macrophages in the brain barrier system include microglia in the brain parenchyma,border-associated macrophages at the brain’s borders,and recruited macrophages.They are responsible for neural development,maintenance of homeostasis,and orchestrating immune responses.With the rapid exploitation and development of new technologies,there is a deeper understanding of macrophages in the brain barrier system.Here we review the origin,development,important molecules,and functions of macrophages,mainly focusing on microglia and border-associated macrophages.We also highlight some advances in single-cell sequencing and significant cell markers.We anticipate that more advanced methods will emerge to study resident and recruited macrophages in the future,opening new horizons for neuroimmunology and related peripheral immune fields.
文摘面对人工智能技术驱动的深刻变革,高校图书馆正从传统的资源中心向创新中心转型。为探索开放创新生态的构建路径,文章以美国国会图书馆的Innovator in Residence(IIR)项目为核心范例,综合运用案例分析与比较研究方法,系统剖析了其运作机制、核心理念以及在不同机构中的多元化实践样态,构建了一个由AI技术与AI素养教育双核驱动,以开放创新平台、创新服务机制、创新能力体系、创新支持环境为四根支柱的生态系统模型,并结合中国国情提出了本土化实施策略,为我国高校图书馆“因校制宜”地构建多层次、动态演进的创新项目体系,提供了理论高度与实践价值兼备的行动蓝图。
基金Supported by Ningxia Natural Science Foundation(2024AAC03100).
文摘Summer residential tourism is the future trend in China because of tourists’living quality improvement,heat crisis,rising market demand,and optimization of the destinations’residential environment,transport and accessibility.Compared with summer tourism and vacation tourism,summer residential tourism had got less attention and lacks in prospective and preventive research.Hence,this study focused on potential assessment,pattern recognition and phase segmentation of 32 residential tourism destinations in China selected from 4 lists.An index system of 16 indicators from 5 dimensions was established as Summer Residence Index(SRI),and Range method,Entropy weight method and Composite index method were chosen as the core methods.Three main conclusions were as follows.(1)Only 2 typical districts’SRI value were near to 0.6,and 4 destinations were below 0.1,about 26 destinations were at medium-level,which indicated that China’s summer residential tourism was not so popular and only few destinations have stepped into a higher level.(2)Seven patterns could be recognized based on the contribution of the 5 dimensions to SRI value,including 3 single-factor driven patterns and 4 compound factors driven patterns.(3)Like tourist area life cycle(TALC),Unconscious stage,Initial stage,Developmental stage and Maturity stage could be segmented for summer residential destinations with the value of below 0.1,0.1-0.3,0.3-0.5,and above 0.5.Four destinations were under Unconscious stage.Twenty-two destinations were at initiate stage.Only 4 destinations have stepped into development stage and 2 at maturity stage.China’summer residential tourism has just started and has a better prospect.This study is just an attempt and needs further consideration,for example,a tracking study of SRI calculation for each year will be carried to justify the effectiveness of SRI and to check the rationality of the empirical results.As time goes on,policies in housing,residential estate and other aspects should be included as a factor in the SRI index.Data availability should be optimized because of better data sources and new technologies.Some other districts or cities in 2 batches of national Comprehensive Tourism Demonstration Zones(CTDZs)pilots and provincial CTDZs will be further selections of summer residential tourism destinations.
文摘Objective: The health-related quality of life (HRQoL) theory was used to assess the health quality of elderly residents in Southwest China. This was done by using the European Five-Dimensional Health Scale in a comprehensive manner and by analysing the factors influencing it. The findings will provide new perspectives and ideas for improving the health-related quality of life of the elderly population and enhancing the precise health management of elderly residents. Methods: The response data of 1892 elderly residents in southwestern China were included in the analysis based on the CLHLS data. The factors influencing the occurrence of problems, EQ-VAS scores and health utility values were analysed by logistic regression, multiple linear regression and Tobit regression, respectively. Results: The primary health concerns among the elderly population in the Southwest region were limited ability to perform daily activities and pain or discomfort. These individuals exhibited an EQ-VAS self-assessment score of 66.51 ± 14.87 and a health utility value of 0.87 (0.70, 1.00). Gender, age, regular medical check-ups, exercise habits and the prevalence of chronic diseases are the main influencing factors. Conclusions: The health quality of elderly people in Southwest China needs to be improved, and a comprehensive management strategy can be adopted in terms of lifestyle management, health needs management and disease management to improve the quality of their healthy lives and promote the development of healthy ageing.
基金support from grants by the Shanghai Songjiang District Science and Technology Research Project(2023SJKJGG37)the Key Discipline Project of Shanghai Municipal Health Commission(2024ZDXK0050)the Key Medical Discipline Project of Songjiang District(24SJYXZDA04).
文摘Objective:The anesthesia residency training system is designed to provide supervised practice,enabling residents to progress from simple to complex procedures and higher-risk patients.However,it remains unclear whether residents acquire sufficient competence to be considered qualified anesthesiologists by the end of their training.This study aimed to evaluate whether anesthesia care provided by supervised CA-5 residents affects postoperative outcomes in elderly patients undergoing non-cardiac surgery.Methods:A retrospective analysis was conducted on clinical data from elderly patients who underwent non-cardiac surgery between January 2020 and December 2021 at Songjiang Hospital Affiliated to Shanghai Jiao Tong University School of Medicine.Patients were categorized into two groups:those managed by CA-5 residents(Resident group,n=294)and those managed by attending anesthesiologists(Attending group,n=521).Propensity score matching(PSM;1:1)was used to ensure comparability between the groups.The primary outcome was a composite of in-hospital postoperative complications.Secondary outcomes included intraoperative hemodynamic changes,the need for intensive care unit(ICU)admission,length of ICU and hospital stays,and in-hospital mortality.Multivariable logistic regression assessed the adjusted association between anesthesia provider type and postoperative morbidity and mortality.Results:Among the 815 elderly patients included,105(12.9%)experienced postoperative complications and 22(2.7%)died during hospitalization.No significant differences were observed in postoperative complications or mortality between the two groups,either before PSM(morbidity:11.9%vs.13.4%,p=0.531;mortality:3.7%vs.2.1%,p=0.168)or after PSM(morbidity:12.0%vs.14.4%,p=0.392;mortality:3.8%vs.1.4%,p=0.067).Multivariate analysis confirmed that postoperative morbidity and mortality were not significantly associated with resident involvement,either before PSM(morbidity:OR=0.882,95%CI:0.552-1.410,p=0.600;mortality:OR=1.293,95%CI:0.479-3.492,p=0.612)or after PSM(morbidity:OR=0.881,95%CI:0.523-1.486,p=0.636;mortality:OR=3.122,95%CI:0.805-12.106,p=0.100).Conclusions:Postoperative morbidity and mortality rates in elderly patients undergoing non-cardiac surgery are comparable between those anesthetized by supervised CA-5 residents and those managed by attending anesthesiologists.These results suggest that supervised CA-5 residents do not adversely affect patient safety.
基金Research on the Construction of a Course Ideological and Political Education System and Evaluation Framework for the“Traditional Chinese Medicine Internal Medicine”Course(Project No.:2025J0459)Open Research Fund Program of Yunnan Key Laboratory of Integrated Traditional Chinese(Project No.:CWCD2023-002,CWCD2023-003&CWCD2023-009)+2 种基金Western Medicine for Chronic Disease in Prevention and TreatmentYunnan 047 Key Laboratory of Yi Dai Medicine and Yi Medicine(Project No.:2024SS24047)Yunnan 025 Key Laboratory of Yi Dai Medicine and Yi Medicine(Project No.:2024SS24025)。
文摘Standardized residency training programs primarily focus on developing clinical diagnostic and treatment skills,often allocating limited time to research activities.However,enhancing research skills is of paramount importance for residents,as it fosters critical thinking,problem-solving abilities,and a deeper understanding of applying scientific principles to clinical practice.This paper explores the necessity and significance of integrating research training into residency programs,emphasizing its role in cultivating well-rounded physicians capable of advancing medical knowledge.This study proposes a competency-based research training model that encompasses research literacy,study design,biostatistics,and scientific writing.Additionally,online asynchronous training modules,robust mentorship,and balanced time management strategies are recommended to enhance residents’research engagement without compromising clinical training.By implementing these measures,residency programs can improve residents’research capabilities,contributing to both individual professional growth and the broader advancement of medical science.
基金Scientific Research Fund Project of China Three Gorges University(Project No.:2022kj008)Special Scientific Research Fund Project of China Three Gorges University(Project No.:2023kjzx001)。
文摘As a crucial assessment tool,the Mini Clinical Evaluation Exercise(Mini-CEX)has gradually garnered attention in the clinical skills training of resident physicians.With the ongoing advancement of medical education reform,Mini-CEX not only offers a fresh perspective for evaluating the clinical competence of resident physicians but also establishes a foundation for enhancing their overall quality and professional capabilities.Nonetheless,there are still certain constraints in the application of Mini-CEX,including inconsistent assessment criteria,assessor subjectivity,and inadequate feedback mechanisms.This paper will review relevant domestic and international studies,explore the practical application of Mini-CEX in standardized resident physician training,analyze its strengths and weaknesses in assessing clinical ability,and propose recommendations for future development directions.Through a thorough examination of this field,it aims to provide references and guidance for further optimizing the training model for resident physicians.
基金supported by the Teaching Reform Project of Stomatology College of Chongqing Medical University(KQJ202215,KQJ202204)the Teaching Reform Project of Chongqing Medical University(JY20220317).
文摘As the most critical part of post-graduate education,the Chinese government launched Standard Resident Training in 2013 to solve the regional inequality of medical quality and meet the increasing social requirement for better medical service.We integrated problem-based learning(PBL)and case-based learning(CBL)in the Endodontics Standard Resident Training.By evaluating with objective parameters including theoretical knowledge and clinical practice skill,and subjective parameters including questionnaire,it was found that PBL+CBL played a positive role in endodontic resident training with a significant difference(P<0.05).This combined training model is instructive for China’s resident training,and this result can provide a rudimentary reference to current postgraduate teaching reform.
基金supported in part by the 2025 Yanbian University College Students’Innovation and Entrepreneurship Training Program.
文摘Background:Despite self-determination theory’s prominence,few studies examine BPN in China’s ethnic frontier regions.Therefore,this study investigates and analyzes the current situation of community residents with different demographic characteristics in Yanbian in the three basic psychological needs of competency needs,autonomy needs and attribution needs,so as to provide reference for the construction of community service in Yanbian area.Methods:A survey was conducted among 234 residents in four communities in Yanbian from September to October 2024.The equal probability random sampling method was used to collect data by using a general information questionnaire and basic psychological demand scale,and SPSS 28.0 was used for analysis.Through single factor analysis,Pearson correlation analysis and multiple linear regression analysis,the influencing factors and correlation of basic psychological needs of community residents in Yanbian area were discussed.Results:The basic psychological needs of residents were above the middle level;there is a significant positive correlation between economic status and the three dimensions of basic psychological needs(P<0.001).There is a significant positive correlation between the three dimensions of competence demand(β=2.028,P<0.001),autonomy demand(β=2.022,P<0.001),and attribution demand(β=2.693,P<0.001).Conclusion:The satisfaction degree of basic psychological needs of community residents in Yanbian is significantly affected by economic situation,which urges nurses to advocate for economic empowerment programs in community health and provides an empirical basis for the construction of a psychological service system in this area.At the same time,it is proposed that the region can respond by improving social support and improving employment results.
基金Research on the Measurement and Influencing Factors of Carbon Inclusive Literacy of Chongqing Residents under the“ Dual Carbon”Goal(S2024115001011)。
文摘In the context of the global“double carbon”goal,this article uses the Analytic Hierarchy Process and Multiple Linear Regression combined with a survey questionnaire to study the issue of carbon literacy among residents in Chongqing.The weights of each dimension are determined to promote the formation of a good situation of multi-party collaborative promotion and help achieve the“double carbon”goal.The level of carbon literacy reflects the residents’understanding of carbon literacy and has important significance for economic and social operation and environmental protection.The results indicate that the deepening of the concept of carbon inclusiveness and the continuous advancement of technology will lead to a continuous process of improving the carbon inclusiveness literacy of Chongqing residents.Corresponding suggestions are proposed on how to improve the carbon inclusiveness literacy of Chongqing residents,which is of great research significance.
基金Survey and Analysis on Humanistic Care Experience and Influencing Factors of Elderly Residents in 3 Integrated Medical and Nursing Institutions in Guangyuan City(Project No.:24SCLN055)。
文摘This empirical study examines the integration of medical and elderly care services in Guangyuan City through stratified random sampling,targeting 283 eligible residents aged 60+from three representative integrated institutions.The research employed a self-designed questionnaire titled“Humanistic Care Experience and Demand Influencing Factors”to collect subjective perceptions regarding basic care,psychological support,health education,and social interaction using a Likert five-point scale.Descriptive statistics,one-way ANOVA,and multiple regression modeling were conducted with SPSS 25.0 software.Results indicated that overall humanistic care experience scores were moderately high,with the“caregiving”dimension scoring highest and“psychological/social support”the lowest.Analysis revealed significant correlations between educational attainment,income,self-reported health status,and family support frequency(P<0.001),particularly among seniors with higher education,better health,and stronger family support.While integrated care facilities provide relatively comprehensive basic care,they should focus on addressing gaps in humanistic services,especially providing targeted support for groups with“low education,low income,poor health,and lack of family support.”
基金Sponsored by 2025 Undergraduate Innovation and Entrepreneurship Training Program Project(S202510009022)2025 Teaching Reform Project(10805136025XN072-055).
文摘In the context of modern governance of megacities,community cultural communication not only serves as a frontier for disseminating mainstream values and cultivating a sense of community but also constitutes a critical variable affecting residents’daily sense of fulfillment,well-being,and satisfaction.Drawing on Beijing’s public policy documents,government procurement information,official media reports,and academic survey data during 2023-2025,this study systematically mapped the city-level community cultural communication system.Taking Guangning Sub-district and Pingguoyuan Sub-district in Shijingshan District as typical cases,it compared their practical approaches and residents’feedback,evaluated their respective strengths and shortcomings,and put forward policy recommendations centered on“precision matching of supply and demand,diversified integration of resources,and closed-loop management of evaluation.”These suggestions aimed to provide a reference for optimizing grassroots cultural governance in Beijing.
文摘Objective:To enhance the reading skills of clinical pathology residents,it is essential to establish a well-structured electronic pathology reading library.Methods:In accordance with the Resident Standardization Training Content and Standards(2022 Edition),clinical pathology residents are required to master pathological diagnoses across 11 systems:skin,head and neck,mediastinum and respiratory,digestive,urinary and male reproductive,female reproductive and breast,lymphatic and hematopoietic,bone and soft tissue,cardiovascular,central nervous,and endocrine diseases.Senior pathologists specializing in each subspecialty selected classic pathological slides,which were systematically scanned and compiled into an electronic pathology library.Results:A questionnaire survey was conducted to gather feedback on the electronic pathology reading library.Residents generally found it to be convenient,efficient,and conducive to learning.Conclusion:Training in clinical pathology diagnosis is a core component of standardized resident training.The electronic pathology reading library has been well-received and recognized by resident doctors.However,further efforts are needed to explore diverse teaching methods that align with modern educational approaches,ultimately contributing to the development of highly skilled resident doctors.
基金General Project of Philosophy and Social Science Research in Jiangsu Universities"Research on the Long-term Mechanism for Expanding Consumption Demand of Rural Residents in Jiangsu Province during the Historical Convergence Period of the Two Centenary Goals"(2022SJYB0493).
文摘Based on the empirical analysis of the income and consumption of rural residents,the present paper discusses the reasons for the weak growth of income and the lagging consumption of rural residents in China.Finally,it comes up with some recommendations and measures to increase the income of rural residents,promote the consumption of rural residents,and open up the rural market.
文摘On February 6,2025,Branko Balon,President of the Croatia-China Friendship Association for Cultural,Scientific and Economic Cooperation and Professor at the VSITE College of Information Technology in Zagreb.
文摘With rapid development of economy and emergence of more and more high-grade residences,it had highlighted that high-grade residence was the inevitable tendency of economic development and urban construction.Based on the fact that high-grade residences paid more attention to harmony of human and architecture with nature and required higher for landscaping,the paper emphasized that landscape quality of high-grade residences was the key factor deciding quality of the residence.In view of insufficiencies of plant landscaping planning in high-grade residences at home and abroad,by taking high-grade residences in Hangzhou City for example,analysis had been conducted by selecting typical cases.It pointed out that plants disposition in high-grade residences was unreasonable,architectures and landscapes were isolated,and greening ratio was stressed while design was neglected.And then,corresponding solutions had been proposed.In terms of plants selection,it should reasonably utilize native tree species,and properly select new and high-quality plant species.In terms of harmonious unity between plant landscape and architecture,it should lay stress on unity between sensory design and comfort design.In terms of plant design and disposition,it should stick to the theme of "residential environment",so as to rationalize plant design and disposition,and create more comfortable residential environment.
基金The National Natural Science Foundation of China(No.71071115,61273035)
文摘In order to enhance the utilization of single-ann cluster tools and optimize the scheduling problems of dynamic reaching wafers with residency time and continuous reentrancy constraints, a structural heuristic scheduling algorithm is presented. A nonlinear programming scheduling model is built on the basis of bounding the scheduling problem domain. A feasible path search scheduling method of single-arm robotic operations is put forward with the objective of minimal makespan. Finally, simulation experiments are designed to analyze the scheduling algorithms. Results indicate that the proposed algorithm is feasible and valid to solve the scheduling problems of multiple wafer types and single-ann clusters with the conflicts and deadlocks generated by residency time and continuous reentrancy constraints.
基金Supported by State Council Special Fund for Pollution Sources Survey (WPXC2007C200)~~
文摘Change trend of Chinese urban residents＇ per capita food-nitrogen annual consumption from 1981 to 2007 was analyzed and predicted by using ARIMA time-series model in order to reveal the change of urban food-nitrogen consumption during the China＇s urbanization process.Results showed that after 1980s,the annual consumption of Chinese urban residents＇ food-nitrogen had a change trend of ＂ increase-decrease-increase＂ and generally presented as a slight increasing trend;With the acceleration of rapid economic development and urbanization process,Chinese urban residents＇ food-nitrogen consumption will still keep a rising trend in future,and also has a large rising space.
