Visual media have dominated sensory communications for decades,and the resulting“visual hegemony”leads to the call for the“auditory return”in order to achieve a holistic balance in cultural acceptance.Romance of t...Visual media have dominated sensory communications for decades,and the resulting“visual hegemony”leads to the call for the“auditory return”in order to achieve a holistic balance in cultural acceptance.Romance of the Three Kingdoms,a classic literary work in China,has received significant attention and promotion from leading audio platforms.However,the commercialization of digital audio publishing faces unprecedented challenges due to the mismatch between the dissemination of long-form content on digital audio platforms and the current trend of short and fast information reception.Drawing on the Business Model Canvas Theory and taking Romance of the Three Kingdoms as the main focus of analysis,this paper argues that the construction of a business model for the audio publishing of classical books should start from three aspects:the user evaluation of digital audio platforms,the establishment of value propositions based on the“creative transformation and innovative development”principle,and the improvement of the audio publishing infrastructure to ensure the healthy operation and development of the digital audio platforms and consequently improve their current state of development and expand the boundaries of cultural heritage.展开更多
目的设计一种基于医院信息系统(hospital information system,HIS)的新型多媒体医患沟通系统,结合医疗流程、医疗需求和信息技术讨论设计该系统的可行性。方法采用PowerBuilder编程工具和关系数据库管理系统(Adaptive ServerAnywhere,A...目的设计一种基于医院信息系统(hospital information system,HIS)的新型多媒体医患沟通系统,结合医疗流程、医疗需求和信息技术讨论设计该系统的可行性。方法采用PowerBuilder编程工具和关系数据库管理系统(Adaptive ServerAnywhere,ASA)设计新型医患沟通系统,并与HIS对接。结果传统医患沟通模式存在效率低、信息不对称、难追溯等不足,新型多媒体医患沟通系统可弥补传统医患沟通系统的不足,且具有良好的科学性和可行性。结论新型多媒体医患沟通系统较传统模式优势明显,实用性强,对提升医患沟通效果、提高医护工作效率、促进医患关系和谐具有重要价值。展开更多
目的:调查耐药肺结核患者的营养状况并分析其影响因素。方法:采用回顾性研究方法,于2020年1月1日至2021年12月31日搜集中国17个省和2个直辖市共29家结核病专科医院的耐药肺结核患者作为研究对象,最终纳入1766例,年龄范围为18~90岁,平均...目的:调查耐药肺结核患者的营养状况并分析其影响因素。方法:采用回顾性研究方法,于2020年1月1日至2021年12月31日搜集中国17个省和2个直辖市共29家结核病专科医院的耐药肺结核患者作为研究对象,最终纳入1766例,年龄范围为18~90岁,平均年龄为(45.88±16.43)岁;平均体质量指数(body mass index, BMI)为20.03±3.25;其中,男性1255例(71.06%),女性511例(28.94%)。收集研究对象的人口学信息及临床特征资料;使用营养风险筛查简表(NRS-2002)评估研究对象是否存在营养风险,进一步的营养不良的评估及诊断参照全球营养不良领导倡议标准(global leadership initiative on malnutrition, GLIM)进行。采用多因素logistic回归分析耐药肺结核患者发生营养风险的影响因素。结果:1766例研究对象NRS-2002评分波动于1~5分,得分中位数(四分位数)为3(1~4)分;共1103例(62.46%)研究对象存在营养风险(NRS-2002≥3分)。NRS-2002评分≥3分组中,60~79岁者占70.56%(254/360),≥80岁者占83.33%(25/30),BMI<18.5者占100.0%(602/602),均明显高于NRS-2002评分<3分组[分别占29.44%(106/360)、16.67%(5/30)、0],差异均有统计学意义(χ2值分别为6.256和1345.000,P值分别为0.012和<0.01)。多因素logistic回归分析显示,高龄(≥60岁)[以18~39岁组为参照,60~79岁组:OR(95%CI)=2.130(1.194~3.803);≥80岁组:OR(95%CI)=12.400(3.114~49.369)]和低BMI[以BMI≥20.5者为参照,BMI<18.5者:OR(95%CI)=56.937(26.537~122.161)]是耐药肺结核患者发生营养风险的危险因素。研究对象营养不良发生率为52.55%(928/1766),1103例存在营养风险者中,营养不良发生率为84.13%(928/1103)。结论:耐药肺结核患者存在较高的营养风险,营养不良发生率较高,应对此类患者尽早行规范的营养风险筛查及营养不良的诊断,尤其关注高龄及低BMI患者。展开更多
基金This study is a phased achievement of the“Research on Innovative Communication of Romance of the Three Kingdoms under Audio Empowerment”project(No.23ZGL16)funded by Zhuge Liang Research Center,a key research base of social sciences in Sichuan Province.
文摘Visual media have dominated sensory communications for decades,and the resulting“visual hegemony”leads to the call for the“auditory return”in order to achieve a holistic balance in cultural acceptance.Romance of the Three Kingdoms,a classic literary work in China,has received significant attention and promotion from leading audio platforms.However,the commercialization of digital audio publishing faces unprecedented challenges due to the mismatch between the dissemination of long-form content on digital audio platforms and the current trend of short and fast information reception.Drawing on the Business Model Canvas Theory and taking Romance of the Three Kingdoms as the main focus of analysis,this paper argues that the construction of a business model for the audio publishing of classical books should start from three aspects:the user evaluation of digital audio platforms,the establishment of value propositions based on the“creative transformation and innovative development”principle,and the improvement of the audio publishing infrastructure to ensure the healthy operation and development of the digital audio platforms and consequently improve their current state of development and expand the boundaries of cultural heritage.
文摘目的设计一种基于医院信息系统(hospital information system,HIS)的新型多媒体医患沟通系统,结合医疗流程、医疗需求和信息技术讨论设计该系统的可行性。方法采用PowerBuilder编程工具和关系数据库管理系统(Adaptive ServerAnywhere,ASA)设计新型医患沟通系统,并与HIS对接。结果传统医患沟通模式存在效率低、信息不对称、难追溯等不足,新型多媒体医患沟通系统可弥补传统医患沟通系统的不足,且具有良好的科学性和可行性。结论新型多媒体医患沟通系统较传统模式优势明显,实用性强,对提升医患沟通效果、提高医护工作效率、促进医患关系和谐具有重要价值。
文摘目的:调查耐药肺结核患者的营养状况并分析其影响因素。方法:采用回顾性研究方法,于2020年1月1日至2021年12月31日搜集中国17个省和2个直辖市共29家结核病专科医院的耐药肺结核患者作为研究对象,最终纳入1766例,年龄范围为18~90岁,平均年龄为(45.88±16.43)岁;平均体质量指数(body mass index, BMI)为20.03±3.25;其中,男性1255例(71.06%),女性511例(28.94%)。收集研究对象的人口学信息及临床特征资料;使用营养风险筛查简表(NRS-2002)评估研究对象是否存在营养风险,进一步的营养不良的评估及诊断参照全球营养不良领导倡议标准(global leadership initiative on malnutrition, GLIM)进行。采用多因素logistic回归分析耐药肺结核患者发生营养风险的影响因素。结果:1766例研究对象NRS-2002评分波动于1~5分,得分中位数(四分位数)为3(1~4)分;共1103例(62.46%)研究对象存在营养风险(NRS-2002≥3分)。NRS-2002评分≥3分组中,60~79岁者占70.56%(254/360),≥80岁者占83.33%(25/30),BMI<18.5者占100.0%(602/602),均明显高于NRS-2002评分<3分组[分别占29.44%(106/360)、16.67%(5/30)、0],差异均有统计学意义(χ2值分别为6.256和1345.000,P值分别为0.012和<0.01)。多因素logistic回归分析显示,高龄(≥60岁)[以18~39岁组为参照,60~79岁组:OR(95%CI)=2.130(1.194~3.803);≥80岁组:OR(95%CI)=12.400(3.114~49.369)]和低BMI[以BMI≥20.5者为参照,BMI<18.5者:OR(95%CI)=56.937(26.537~122.161)]是耐药肺结核患者发生营养风险的危险因素。研究对象营养不良发生率为52.55%(928/1766),1103例存在营养风险者中,营养不良发生率为84.13%(928/1103)。结论:耐药肺结核患者存在较高的营养风险,营养不良发生率较高,应对此类患者尽早行规范的营养风险筛查及营养不良的诊断,尤其关注高龄及低BMI患者。
