基于King达标理论的培训方案对临床护士叙事能力及人文关怀能力的影响

目的:探讨基于King达标理论构建临床护士叙事护理培训方案对临床护士叙事护理能力、人文关怀能力及共情能力的影响。方法:2023年3月—5月选取淄博市某三级甲等医院138名护士,采用随机数字表法分为试验组和对照组。对照组实施常规叙事护理培训,试验组在对照组的基础上实施基于King达标理论指导下的叙事护理方案。采用医学叙事能力量表(NCS)、关怀能力评价量表(CAI)、杰弗逊共情量表(JSE-HP)进行效果评价。结果:干预后,试验组护士NCS、CAI及JSE-HP得分均高于对照组,差异均有统计学意义(P<0.05)。结论:基于King达标理论构建的临床护士叙事培训方案可有效提高临床护士叙事护理能力、促进人文关怀能力并提升护士共情能力。

An Analysis of Interpersonal Function of the Dialogues in the Film The King's Speech

Based on the framework of Halliday's theory of interpersonal function, this study intends to analyze the dialogues in the film The King's Speech from the three aspects of mood type, modal operator and vocative address by adopting both quantitative and qualitative methods. The significances of successful realizations of interpersonal function to the role characterization, plot development and thematic construction in the film are also demonstrated, thus deepening the understanding and appreciation of the film.

基于King达标理论的心理干预结合亲情干预模式对BPH患者行PKEP术后恢复情况及GQOLI-74、IPSS评分的影响

目的研究基于King达标理论的心理干预结合亲情干预模式对前列腺增生(BPH)患者行经尿道双极等离子前列腺剜除术(PKEP)术后恢复情况及生活质量综合评定问卷(GQOLI-74)、国际前列腺症状评分(IPSS)的影响。方法选择2017年8月~2019年2月浙江省嘉兴市第二医院收治的BPH患者120例作为研究对象,采用随机数字表法将其分为对照组和观察组,每组60例.两组患者均采取PKEP治疗,手术治疗后,对照组患者采取常规护理措施,观察组患者采取基于King达标理论的心理干预结合亲情干预模式,两组患者的护理时间均为4周。比较两组患者的围术期指标、症状改善情况、并发症、生命质量以及依从性之间的差异。结果两组IPSS评分、最大尿流速(Qmax)、残余尿量(RUV)组内治疗前后比较,差异均有统计学意义(均P<0.05),治疗后两组手术时间、术中出血量、切除组织量、IPSS评分、Qmax、RUV之间比较,差异均无统计学意义(P>0.05);治疗后,两组患者的生命质量评分均升高,且观察组患者的生命质量评分均显著高于对照组,差异有统计学意义(P<0.05),两组患者的遵医嘱服药行为以及不良服药行为、日常生活管理行为、烟酒嗜好管理行为、依从性总分均高于治疗前,且观察组各项评分均高于对照组,差异均有统计学意义(P<0.05)。结论通过对BPH患者基于King达标理论的心理干预结合亲情干预模式护理,患者GQOLI-74、IPSS评分显著改善,患者的并发症显著下降,对患者的治疗具有积极的意义。

Production of microbial oils co-fermented by Trichoderma.koningii and Trichosporon cutaneum with Daqu distiller's grains

Abstract： Daqu distiller＇s grains were co-fermented as raw materials by Trichoderma.koningii and Trichosporon cutaneum to produce microbial oils, which can provide raw materials for bio-diesel development. The single factor tests were used to investigate the effects of ratio of strains, inoculum size, culture temperature and culture time on the production of microbial oils. The best processing conditions were obtained by orthogonal test through measuring the content of microbial oils in product. The result shows that the microbial oils content of the co-fermented product under the ratio of Trichoderma.koningii to Trichosporon cutaneum of 1：1, the inoculum size of strains of 11% at 28 ℃ for 6 d is 7.15 g/L. It is shown that the production of microbial oils co-fermented by Trichoderma.koningii and Trichosporon cutaneum with Daqu distiller＇s grains is possible. The research provides a new idea for the reuse of Daqu distiller＇s grains and also provides a new way for the development of microbial oils.

Effects of Organic Fertilizers Made from Distiller＇s Grains on the Growth and Development of Flue-cured Tobacco

Pot experiments were conducted to study the effects of different organic fertilizers made from distiller＇s grains on the physiological characteristics and growth of flue-cured tobacco. The results showed that the agronomic traits and biomass of flue-cured tobacco in the three treatments were higher than that of the control group,and the mixed application of different organic fertilizers made from distiller＇s grains and compound fertilizer could promote the growth and development of flue-cured tobacco significantly.

The Current Situation and Development of Grain Storage Technologies and Facilities for Chinese Farmers

In China, the quantity of farmer＇s grain storage covers about 40% of the total grain yield every year. While, the losses of farms＇ grain storage are up to 8%, which is due to the lack of grain storage facility and technology. The losses of farmer＇s grain storage could reach nearly 20 million tons every year. In this paper, the current situation and development of grain storage technology and facility for Chinese farmers were presented. And a series of policy and research work for reducing the losses of farms＇ grain storage was introduced. The large scale farmers are now developing quickly in China, the new storage warehouse and mechanized facility should be developed adaptively. So, the new storage technology and policy to meet the need of large scale farmers were also introduced in this paper.

Effects of Distiller's Grain Substrate with Acid Regulation on the Growth of Tobacco Seedlings in Floating Breeding System

In order to reduce the use of peat resources and realize the sustainable development of tobacco, the pH of distiller s grain substrate was adjusted with humic acid, and the effects of various distiller s grain substrates on the growth of tobacco seedlings were studied to find out the method of cultivating high-quality tobacco seedlings by using distiller s grain substrate. The results showed that when 60% of humic acid was added to the distiller s grain substrate made from coarse distiller s grains, fine distiller s grains, perlite and vermiculite, both the pH and electrical conductivity decreased significantly and were similar to that of the conventional substrate. Moreover, the emergence rate of tobacco seedlings, the rate of strong tobacco seedlings, leaf number, stem height, root growth and quality of tobacco seedlings were good.

Effect of Grain Size of CaCO_3 and SiO_2 on the Formation of C_3S Under Different Conditions

The effect of grain size of CaCO3 and SiO2 on the formation of C3S under various conditions, such as rapid heating rate（800 ℃/min）, normal heating rate（30 ℃/min） and in the presence or absence of ZnO, was studied. The results show that the decomposition temperature of CaCO3, the temperature of appearance of liquid phase and the f-CaO content descend when the grain size of CaCO3 and SiO2 becomes smaller, which attributes to the reactive activity enhancement of powders due to the decrease of the particle size. When the grain size of CaCO3 and SiO2 is below 1 μm, the rate of the formation of C3S is greatly raised. A rapid sintering rate and the presence of ZnO have an important effect on the formation of C3S and can lower the temperature of the formation of C3S by about 50 ℃.

TRUE KINGLY HONOUR IN SHAKESPEARE′S HENRY IV PART I

Honour, one of the eternal themes in Shakespeare, is again in the spotlightin Henry IV Part I. In this play, the rivalry between Prince Hal and Hotspuremerges actually out of their cravings for the title of royal honour and valour.Hotspur appears to be formidable, courageous and energetic. He is exactly

An Elasticity Model Considering Grain Boundaries and Tensile Orientations for Directionally Solidified Superalloys

In order to investigate the elastic properties of directionally solidified(DS)superalloys,an elasticity model called boundaries elastic model(GBE model),considering grain boundaries and tensile orientations,is proposed in this paper.Two assumptions are adopted in the GBE model:(1)The displacement of grains,which moves along the perpendicular direction,is restricted by the grain boundaries;(2)Grain boundaries influence region(GBIR)is formed around the grain boundaries.Based on the single crystal(SC)calculation method of elastic properties,the GBE model can well predict macroscopic equivalent elastic modulus(Young’s modulus)of DS superalloys under different tensile orientations effectively.To demonstrate the correctness of the GBE model,3D finite element simulation is adopted and tensile experiments on a Ni3Al?base DS superalloy(IC10)along five tensile orientations are carried out.Meanwhile,the grain boundaries are observed by light microscopy and transmission electron microscope(TEM).Therefore,the GBE model is proved to be feasible by comparing the simulated results with the experiments.

(NH_(4))_(2)S修饰SnO_(2)/钙钛矿界面对钙钛矿太阳能电池性能的影响

为了降低电子传输层(Electron transport layer,ETL)与钙钛矿层之间的界面缺陷态密度,通过旋涂法在氧化铟锡(Indium tin oxide,ITO)透明导电玻璃上制备一层SnO_(2)电子传输层,并在其上表面旋涂(NH_(4))_(2)S以修饰SnO_(2)和钙钛矿光吸收层之间的界面。通过X射线光电子能谱、扫描电子显微镜、电化学阻抗谱等表征手段分析(NH_(4))_(2)S修饰对钙钛矿太阳能电池(Perovskite solar cells,PSCs)光电性能的影响。结果表明:NH_(4)^(+)降低了SnO_(2)的表面羟基(—OH)缺陷态密度,增强了界面的疏水性,减少了钙钛矿的形核位点,增大了钙钛矿晶粒;S^(2-)填补了SnO_(2)表面的氧空位(OV),同时部分S^(2-)还与未配位Pb^(2+)连接减少界面处Pb缺陷,抑制了界面处载流子复合;经过(NH_(4))_(2)S的修饰,PSCs开路电压从1.07 V提高到1.11 V,光电转化效率达到了20.53%。(NH_(4))2S修饰后的PSCs具有更高的光电转化效率、更好的长期稳定性。该研究可为PSCs商业化提供新的思路。

Jordan＇s King Hussein＇s Peace Initiative and the Treaty with Israel： Overcoming Domestic and Foreign Pressures

The Wadi ＇Araba peace treaty which Jordan＇s King Hussein signed with Israel on October 26, 1994 became a target of criticism ever since it became known to the Jordanian public. Intense pressure was exerted on the Jordanian government to revoke the treaty even before its signature. The opposition to it reached its peak in the following year, when the tension in the holy sites in Jerusalem mounted. Given the persistence of the Arab-Israeli conflict and the fact that the Palestinian issue remained unresolved, it was clear that the King was aware of the potential danger of signing a peace accord with Israel, and that he was prepared to face criticism not only from the Arab states but also from nationalists, Islamists and Leftists all of whom disapproved of his decision. Yet the King remained undeterred and boldly carried on the discussions that culminated in the peace treaty＇s signature. Bearing in mind the fact the Egypt was the first country to sign a peace treaty with Israel it seemed as if there was little risk involved in the normalization process, and that the opposition to the treaty would soon subside. As it turned out, however, the pressure to abrogate it continues to mount.

Techniques Optimization of Combined Enzymatic Hydrolysis on Brewers＇ Spent Grain from Novozymes

Purpose： To extract protein, decrease the cellulose and facilitate the digestion and absorption of brewers＇ spent grain by animal. Topic： Discuss and optimize the hydrolysis conditions of the combined enzymatic hydrolysis by Novozymes. Method： The fresh brewers＇ spent grain was firstly dried, smashed and sifted. Then as indicators of the protein extraction rate in the enzyme solution and the content of cellulose in the index, the parameters of enzymatic hydrolysis, such as the solid-liquid ratio, reaction temperature, pH, enzyme dosage and reaction time, were investigated in detailed. After hydrolysis, the brewers＇ spent grain was put in the boiling water bath for inactivation for 15 minutes, and centrifuged, the supernatants were volume to 100 mL and the protein content was measured. After the precipitate was dried, the cellulose content was also measured. Achievements： The optimized conditions were with temperature of 50 ℃, pH 6.5, enzyme amount of 30 mg for Novozymes enzyme and 2.5 h for reaction time. Under these conditions, the protein extraction rate in the enzyme reaction reached 41.82%, and the cellulose content reached 13.90%, the degradation rate of cellulose was 18.86%.

＂From a Utopia to a Dystopia＂ On Mark Twain＇s Compliance with and Deviation from Heterotopology in A Connecticut Yankee in King Arthur＇s Court

In this paper, the author intends to parallelize Mark Twain＇s A Connecticut Yankee in King Arthur＇s Court with Foucault＇s theorizations about heterotopia, or heterotopology. For Foucault, heterotopia is a paradox because it is paces that are both real and placeless. Twain＇s novel is a time travel story, which juxtaposes the temporalities of the 6th and 19th centuries. In the story, Hank, the hero, is allowed access to Camelot, King Arthur＇s court. Above all, he has introduced to it quite a few elements of modem technology and civilization. So far Twain seems to have complied with Foucault＇s heterotopology. That is, there is a textual heterotopia created in his novel. However, the last principle of Foucault＇s heterotopology states that a heterotopia can be comparable to a utopia because of its contrastive function. A typical time travel story has the same contrastive function as well. That is, in either case there should be a utopia, a dystopia, or a mixture of them. However, Twain＇s novel fails to contrast the 6th century with the 19th century simply because the heterotopia Hank has created leaps from a utopia to a dystopia. It is at this point where Twain has deviated from heterotopology. The shifting nature of this heterotopia not only disables its contrastive mechanism but also jeopardizes its thematic clarity. Most of all, it indicates that Twain has a considerably ambivalent attitude towards the industrial civilization, and that as a consequence, he is indecisive about the direction of this novel.

Re-Formulation of Mean King’s Problem Using Shannon’s Entropy

Mean King’s problem is formulated as a retrodiction problem among noncommutative observables. In this paper, we reformulate Mean King’s problem using Shannon’s entropy as a first step of introducing quantum uncertainty relation with delayed classical information. As a result, we give informational and statistical meanings to the estimation on Mean King problem. As its application, we give an alternative proof of nonexistence of solutions of Mean King’s problem for qubit system without using entanglement.

TCL——King Brand Colour TV Rivals the World's Famous Brands

World famous colour TVs,such asSony,National and Toshiba,usedto monopolize China’s large-screencolour TV market.But recently the KingBrand colour TV made by the TCL ElectronicsGroup has begun to challenge them.In1995,the TCL King Brand colour TV notonly ranked first for its sales volume on theChinese market among the domestically-produced TVs of its kind,but also

China’s Price System Jeopardizes its Grain Reserves

2008 is a year of bumper harvest in summer grain across China. The failure of numerous state-owned grain depots to purchase grain in times of bumper harvest, however, directly threatens grain reserve security and state control over grain prices in the upcoming year. An important factor underpinning the difficulty of state grain depots to purchase grain is the unwillingness of farmers to sell grain due to the excess of the current market price over the government "protected price" aimed at preventing cheap grain from harming farmers. When grassroots grain depots find themselves in trouble, foreign capital stealthily moves in by taking advantage of this situation. To fulfill grain storage tasks and receive various state subsidies, some state-owned grain depots have no alternative but to surreptitiously raise the purchase price. By contrast, some not so courageous state-owned grain depots can only borrow money to finance the purchase of commodity grain at market prices and subsequently figure out a way to pay back such loans. Behind such distorted grain purchase behavior lies a rough and rugged history of grain price reform in China.

The Economic Potential of Brewer’s Spent Grain (BSG) as a Biomass Feedstock

This paper analyzes a pro-forma economic market and supply chain system for the reuse of a lignocellulose (brewer’s spent grain) in an industrial biotechnology environment. An extant literature review was conducted, followed by a technical analysis of BSG, and the development of a supply chain system and economic market analysis based upon a participant brewing company and industry experts. In this paper, it was found that, even with the potential for future improvements in the conversion of brewer’s spent grain (BSG) from an efficiency standpoint, this industrial residual is supply chain prohibitive as a biofeedstock in comparison to other lignocellulose materials, therefore, centralized market relationships would not be advantageous for sellers and buyers. Future research should consider the viability of centralized supply chain structures for alternatives that may exist as future bio-feedstocks.

An Analysis of Shakespeare's Treatment of Women in King Lear

This paper analyzes Shakespeare’s different treatment of the male and female antagonists Edmond and Goneril in King Lear from their entrance,actions and ending,aiming at exploring his attitude toward women through the comparative studies of these two equally evil characters with different gender.Through the analysis,the author found that Shakespeare’s treatment of women is different from that of men.He is less tolerant and mercy to women than to men,from which a conclusion can be drawn that Shakespeare cannot totally get rid of the traditional conceptions that women is inferior than men even though he is a humanist.