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Transcriptome-Wide Identification and Functional Analysis of PgSQE08-01 Gene in Ginsenoside Biosynthesis in Panax ginseng C.A.Mey.
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作者 Lei Zhu Lihe Hou +5 位作者 Yu Zhang Yang Jiang Yi Wang Meiping Zhang Mingzhu Zhao Kangyu Wang 《Phyton-International Journal of Experimental Botany》 SCIE 2024年第2期313-327,共15页
Panax ginseng C.A.Mey.is an important plant species used in traditional Chinese medicine,whose primary active ingredient is a ginsenoside.Ginsenoside biosynthesis is not only regulated by transcription factors but als... Panax ginseng C.A.Mey.is an important plant species used in traditional Chinese medicine,whose primary active ingredient is a ginsenoside.Ginsenoside biosynthesis is not only regulated by transcription factors but also controlled by a variety of structural genes.Nonetheless,the molecular mechanism underlying ginsenoside biosynthesis has always been a topic in the discussion of ginseng secondary metabolites.Squalene epoxidase(SQE)is a key enzyme in the mevalonic acid pathway,which affects the biosynthesis of secondary metabolites such as terpenoid.Using ginseng transcriptome,expression,and ginsenoside content databases,this study employed bioinformatic methods to systematically analyze the genes encoding SQE in ginseng.We first selected six PgSQE candidates that were closely involved in ginsenoside biosynthesis and then identified PgSQE08-01 to be highly associated with ginsenoside biosynthesis.Next,we constructed the overexpression vector pCAMBIA3301-PgSQE08-01 and the RNAi vector pART27-PgSQE08-01 and transformed ginseng adventitious roots using Agrobacterium rhizogenes,to obtain positive hairy-root clones.Thereafter,quantitative reverse transcriptionpolymerase chain reaction and high-performance liquid chromatography were used to determine the expression of relevant genes and ginsenoside content,respectively.Then,we focused on the function of PgSQE08-01 gene,which was noted to be involved in ginsenoside biosynthesis.Thus,these findings not only provided a molecular basis for the identification of important functional genes in ginseng but also enriched genetic resources for the biosynthesis of ginsenosides using synthetic biology. 展开更多
关键词 Panax ginseng pgSQE08-01 gene squalene epoxidase GINSENOSIDE ginseng hairy roots
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Perspectives on “Celtic Revival” in the Process of Seeking Roots of Western Culture
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作者 唐梅花 《海外英语》 2020年第18期240-242,共3页
Celts, a name full of mysteries, represent the unique cultural origin for the whole western countries, including those in Europe and America. It ever experienced its infancy, its prime, and also its decline, even near... Celts, a name full of mysteries, represent the unique cultural origin for the whole western countries, including those in Europe and America. It ever experienced its infancy, its prime, and also its decline, even nearly on the verge of extinction. Later, in the late 19 th and 20 th centuries, a variety of movements and trends occurring in western countries saw a renewed interest in aspects of Celtic culture, in pursuit of the unique cultural charm of Celts. 展开更多
关键词 Celtic revival CELTS western culture seeking root PRIME DECLINE
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Abnormal Secondary Growth and Histochemical Localization of Alkaloids in Root System of Aconitum flavum Hand.-Mazz.
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作者 祁建钊 郭继元 徐青 《Agricultural Science & Technology》 CAS 2011年第9期1313-1317,共5页
[Objective] The purpose of this study was to clarify the structure,growth pattern and histochemical localization of alkaloids in root system of Aconitum flavum Hand.-Mazz.[Method] Paraffin sectioning and histochemistr... [Objective] The purpose of this study was to clarify the structure,growth pattern and histochemical localization of alkaloids in root system of Aconitum flavum Hand.-Mazz.[Method] Paraffin sectioning and histochemistry were employed for performing the analysis in this study.[Result] The root system of Aconitum flavum Hand.-Mazz.consists of taproot,lateral root and adventitious root.The primary structure of root system is normal,but secondary structure shows abnormal.The cambium and the extra cambium of taproot form a "U"-shaped secondary vascular bundle and tertiary bundle in abnormal secondary structure.The sieve tube group is made of little sieve tube group which is differentiated from primary phloem and cambium.Meanwhile,the secondary xylem in tuberous root also appears to be a "U" shape.Parenchyma cells of secondary phloem occupy most of the tuberous root.The sieve tube group of tuberous root is mainly differentiated from parenchyma cell of secondary phloem.[Conclusion] The difference in abnormal secondary structure of taproot and tuberous root are attributed to their varied cambium compose and activity pattern.Alkaloids are mainly accumulated in parenchyma cell of the inside cortex and between bundle in taproot,while parenchyma of secondary phloem and pith in tuberous root. 展开更多
关键词 Aconitum flavum Hand. - Mazz. root system Abnormal secondary growth ALKALOIDS Histochemical localization
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Estrogen affects neuropathic pain through upregulating N-methyl-D-aspartate acid receptor 1 expression in the dorsal root ganglion of rats 被引量:8
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作者 Chao Deng Ya-juan Gu +1 位作者 Hong Zhang Jun Zhang 《Neural Regeneration Research》 SCIE CAS CSCD 2017年第3期464-469,共6页
Estrogen affects the generation and transmission of neuropathic pain,but the specific regulatory mechanism is still unclear.Activation of the N-methyl-D-aspartate acid receptor 1(NMDAR1) plays an important role in t... Estrogen affects the generation and transmission of neuropathic pain,but the specific regulatory mechanism is still unclear.Activation of the N-methyl-D-aspartate acid receptor 1(NMDAR1) plays an important role in the production and maintenance of hyperalgesia and allodynia.The present study was conducted to determine whether a relationship exists between estrogen and NMDAR1 in peripheral nerve pain.A chronic sciatic nerve constriction injury model of chronic neuropathic pain was established in rats.These rats were then subcutaneously injected with 17β-estradiol,the NMDAR1 antagonist D(-)-2-amino-5-phosphonopentanoic acid(AP-5),or both once daily for 15 days.Compared with injured drug na?ve rats,rats with chronic sciatic nerve injury that were administered estradiol showed a lower paw withdrawal mechanical threshold and a shorter paw withdrawal thermal latency,indicating increased sensitivity to mechanical and thermal pain.Estrogen administration was also associated with increased expression of NMDAR1 immunoreactivity(as assessed by immunohistochemistry) and protein(as determined by western blot assay) in spinal dorsal root ganglia.This 17β-estradiol-induced increase in NMDAR1 expression was blocked by co-administration with AP-5,whereas AP-5 alone did not affect NMDAR1 expression.These results suggest that 17β-estradiol administration significantly reduced mechanical and thermal pain thresholds in rats with chronic constriction of the sciatic nerve,and that the mechanism for this increased sensitivity may be related to the upregulation of NMDAR1 expression in dorsal root ganglia. 展开更多
关键词 nerve regeneration peripheral nerve injury ESTROGEN 17Β-ESTRADIOL N-rnethyl-D-aspartic acid receptor 1 pain sciatic nerve chronic constriction injury neuropathic pain D(--2-amino-5-phosphonopentanoic acid dorsal root ganglion spinal cord IMMUNOREACTIVITY western blot assay neural regeneration
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Preliminary Study on Water Demand Law of 1-0 Rooted Cuttings of Populus szechuanica
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作者 Dabuqiong Haoyu WANG +2 位作者 Huanhuan XIE Zhen XING Yanhui YE 《Meteorological and Environmental Research》 CAS 2021年第4期39-42,共4页
In order to provide theoretical basis and technical support for the afforestation and artificial water supply of P.szechuanica in arid areas,the characteristics of water consumption of P.szechuanica were explored,and ... In order to provide theoretical basis and technical support for the afforestation and artificial water supply of P.szechuanica in arid areas,the characteristics of water consumption of P.szechuanica were explored,and the law of water demand of P.szechuanica was grasped.In this paper,potted seedlings of 1-0 rooted cuttings of P.szechuanica were taken as research objects,and change situation of water consumption under different water control gradients was measured regularly by using weighing method,further analyzing dynamic change of water consumption of P.szechuanica and revealing water demand law of 1-0 rooted cuttings of P.szechuanica.The results showed that total change of water consumption of 1-0 rooted cuttings of P.szechuanica had"slow-fast-slow-fast"double-peak trend in the growth period of the current year,and corresponded with univariate linear relation(R^(2)=0.7137),with significant difference.In whole growth period,water consumption in August was the highest,which was 2.7 times of that in June and July and 1.5 times of that after September.In different water control treatments,the dynamic changes of daily and monthly water consumption were significantly different.In seven water control treatments,monthly water consumption was between(6315.95±1690.70)and(10105.28±3065.30)g/month,and mean was(8211.07±2308.23)g/month.With intensification of water control treatment,water consumption increased,but there was no seedling death due to water shortage.P.szechuanica has great plasticity in water demand,and can survive in both arid and humid environments.Meanwhile,it is revealed that P.szechuanica is the most widely distributed tree species in the region. 展开更多
关键词 Populus szechuanica 1-0 rooted cuttings Water consumption Water demand law
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Effects of Nitrate on the Growth of Lateral Root and Nitrogen Absorption in Rice 被引量:14
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作者 王小兵 吴平 +1 位作者 胡彬 陈青爽 《Acta Botanica Sinica》 CSCD 2002年第6期678-683,共6页
Lateral root is primary organ for plant to explore and utilize soil nutrient efficiently. The development of lateral roots (LR) is controlled by both genetic factors and nutrient status in environment. To investigate ... Lateral root is primary organ for plant to explore and utilize soil nutrient efficiently. The development of lateral roots (LR) is controlled by both genetic factors and nutrient status in environment. To investigate the effects of nitrate (NO3-) on rice lateral root growth and nitrogen (N) uptake efficiency under upland condition, three treatments, including root-split culture and whole plant culture in N sufficient and deficient conditions, were used in a vermiculite culture experiment. Root-split treatment showed that the growth of lateral roots was stimulated by localized nitrate supply. However, in whole plant culture, elongation of lateral roots was induced by NO3- deficiency. The effects of NO3- on rice lateral root growth were genotype-dependent. Similar N concentration, soluble sugar concentration and N content in shoot were observed in both root-split treatment and whole plant culture under NO3- sufficient condition, suggesting that the nitrogen requirement for rice normal growth could be satisfied with only half of roots supplied with NO3-. In the root-split treatment, N uptake was positively correlated with the average of lateral root length (ALRL) in NO3--supplied side, suggesting that the ALRL is important for rice root N uptake in the environment where the nitrogen nutrient is limiting factor. No significant correlation was observed between N uptake and ALRL in whole plant culture under N sufficient condition, which implies that the length of lateral roots may not be the main factor to determine tire rice root N uptake in nutrient-rich zone. Morphological and metabolic evidence in this study provided some prospects for genetic improvement of root system characters to improve the efficiency of nutrient absorption in rice. 展开更多
关键词 NO3- lateral root growth nitrogen absorption root-split treatment RICE
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国医大师陈绍宏基于“治病必求于本”临证经验撷萃
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作者 黄威 曾瑞峰 +4 位作者 奚小土 丁邦晗 李俊 张宏 陈绍宏(指导) 《四川中医》 2024年第8期25-27,共3页
陈绍宏教授系第四届国医大师,中医急诊专家,其中西医理论基础扎实、临床经验丰富,在长期的临床及教学实践中总结出自身独具特色的理论体系,开创了中西医融合方法论,擅长治疗内科常见病及疑难杂病。其基于“治病必求于本”理论治疗内科杂... 陈绍宏教授系第四届国医大师,中医急诊专家,其中西医理论基础扎实、临床经验丰富,在长期的临床及教学实践中总结出自身独具特色的理论体系,开创了中西医融合方法论,擅长治疗内科常见病及疑难杂病。其基于“治病必求于本”理论治疗内科杂病,临床上疗效显著。本文将对陈绍宏教授基于“疾病之本”及“后天之本”治疗内科杂病经验进行介绍,以为后学临证提供新的思路。 展开更多
关键词 陈绍宏 名医经验 治病必求于本 疾病之本 后天之本
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曹吉勋教授从“先后二天”论治溃疡性结肠炎经验
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作者 陈静 范锡义 +2 位作者 马凯 陈敏 曹吉勋(指导) 《中国民族民间医药》 2024年第14期86-89,共4页
溃疡性结肠炎在临床治疗上存在病情易反复发作、迁延不愈的问题,运用中医药治疗该病具有疗效佳、副作用少、复发率低等优势。文章总结了曹吉勋教授治疗溃疡性结肠炎的临证经验。曹吉勋教授认为溃疡性结肠炎之本责之“先后二天”失调,临... 溃疡性结肠炎在临床治疗上存在病情易反复发作、迁延不愈的问题,运用中医药治疗该病具有疗效佳、副作用少、复发率低等优势。文章总结了曹吉勋教授治疗溃疡性结肠炎的临证经验。曹吉勋教授认为溃疡性结肠炎之本责之“先后二天”失调,临床治疗强调以调养先后二天为本,在自拟主方基础上根据临床常见的脾虚湿热、肝气乘脾、脾肾阳虚3种不同证型辨证加减。文章另附验案1则,以资佐证。 展开更多
关键词 溃疡性结肠炎 先后二天 曹吉勋 治病求本 名中医经验
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英语课程思政视阈下《雨山行》的文化寻根
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作者 刘莹 《湖北开放职业学院学报》 2024年第3期196-198,共3页
通过对《高级英语》中体现印第安民族文学的作品——《雨山行》文化寻根主题的解读,使学生潜移默化中感知英语课程思政如盐入味、润物无声的效果。作者此次文化寻根之旅反映了印第安文学的复兴以及民族意识的回归,表达了作者难以割舍的... 通过对《高级英语》中体现印第安民族文学的作品——《雨山行》文化寻根主题的解读,使学生潜移默化中感知英语课程思政如盐入味、润物无声的效果。作者此次文化寻根之旅反映了印第安文学的复兴以及民族意识的回归,表达了作者难以割舍的民族情结和永不褪色的时代记忆。文化寻根主题为当代的读者带来深刻的启示,呼吁人们在时代发展的今天,始终不忘初心、牢记使命,继承历史文化遗产,并将其优秀的民族文化传统发扬光大。 展开更多
关键词 课程思政 文化寻根 民族意识 民族身份认同
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“文学”的失落与“根”的迷失--关于“寻根文学”的再思考 被引量:1
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作者 吴景明 《北华大学学报(社会科学版)》 2018年第5期122-126,共5页
新时期中国文学经由"伤痕"、"反思"文学的政治批判,到"改革"文学的经济思考,进而走向"寻根"文学的文化审视,逐渐回归"文学"本体。异军突起的"寻根文学"因其内部的固有危机... 新时期中国文学经由"伤痕"、"反思"文学的政治批判,到"改革"文学的经济思考,进而走向"寻根"文学的文化审视,逐渐回归"文学"本体。异军突起的"寻根文学"因其内部的固有危机:从"文学"寻根到"文化"探寻;传统与现代之间的暧昧不明;徘徊于超越与功利之间的创作目的等原因,最终导致这场本来蕴涵着巨大"创作可能性"的文学运动无疾而终,其中的正负文学、文化价值值得学界深入反思。 展开更多
关键词 寻根文学 文学主体 回归与丧失 文化焦虑 失语与退场
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文学-文化研究的转向问题与文化寻根思潮 被引量:1
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作者 方艳 《长江师范学院学报》 2008年第1期24-27,共4页
文学研究向文化研究的转向,反映的是所谓的文学研究者不甘心于对现实生活干预的无力感,体现的是有"识"之士的社会责任心,寻求的是对人类命运的终极关怀。从卡夫卡到艾略特,从《追忆似水年华》到《百年孤独,》我们前所未有的... 文学研究向文化研究的转向,反映的是所谓的文学研究者不甘心于对现实生活干预的无力感,体现的是有"识"之士的社会责任心,寻求的是对人类命运的终极关怀。从卡夫卡到艾略特,从《追忆似水年华》到《百年孤独,》我们前所未有的清晰地意识到人类心灵的荒芜和前路的渺茫。正所谓"雾失楼台,月迷津渡,桃源望断无寻处。"而这种哀凉的情绪引发了对人类来路和归途的深刻反思。 展开更多
关键词 文学 文化 反思 寻根
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基于IronPython语言的牛顿迭代算法及其工程应用
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作者 张小洁 《电气传动自动化》 2024年第1期19-22,14,共5页
本文将牛顿迭代算法应用于仿真优化设计中,提出了一种基于IronPython寻根的闭环算法,并在Ansys Workbench平台以某容器内气流混合过程为例,验证了该算法的可行性和实施效果。该方法能够找到输出特性结果性能参数所对应的输入参数设计点... 本文将牛顿迭代算法应用于仿真优化设计中,提出了一种基于IronPython寻根的闭环算法,并在Ansys Workbench平台以某容器内气流混合过程为例,验证了该算法的可行性和实施效果。该方法能够找到输出特性结果性能参数所对应的输入参数设计点,实现了CAE仿真平台上的“数学求根”,即由既定的输出性能结果参数寻找对应的输入参数设计点。该方法能够快速地实现寻优,提高了工程优化设计的效率,缩短了优化工作的周期,开创了新的设计思路,对现代科技研发具有一定的参考价值。 展开更多
关键词 牛顿迭代 设计优化 逆向寻根 闭环算法
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在传统与现代之间飞翔——评徐兆寿散文集《西行悟道》
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作者 张亭亭 《兰州文理学院学报(社会科学版)》 2024年第3期25-28,共4页
徐兆寿的散文集《西行悟道》,以睿智冷静的笔触,展现了西部大地的历史面貌和传统文化景观,凝聚着其行走西部大地数十年间的哲思与感悟,在传统与现代之间“飞翔”,散发出浪漫主义所特有的浓烈的忧郁气质。散文集《西行悟道》延续了徐兆... 徐兆寿的散文集《西行悟道》,以睿智冷静的笔触,展现了西部大地的历史面貌和传统文化景观,凝聚着其行走西部大地数十年间的哲思与感悟,在传统与现代之间“飞翔”,散发出浪漫主义所特有的浓烈的忧郁气质。散文集《西行悟道》延续了徐兆寿一贯的文风特色,忧患意识、理性批判、对现代性的反思贯穿散文集始终,是其散文精神的内在折射,亦是其作为知识分子的良心写作。 展开更多
关键词 徐兆寿 知识分子写作 理性批判 文化寻根
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“纸上还乡”与科技时代的乡愁——论“70后”作家的“寻根”情结
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作者 聂章军 《陕西理工大学学报(社会科学版)》 2024年第2期49-56,共8页
“70后”作家的“寻根”情结,对于二十世纪八十年代的“寻根文学”表现出了传承与新变。这种改变与社会文化语境的变化,“70后”作家的历史感,和二十世纪九十年代末兴起的怀旧情绪有关,总体上表现为“寻根”私语化的倾向。小镇“寻根”... “70后”作家的“寻根”情结,对于二十世纪八十年代的“寻根文学”表现出了传承与新变。这种改变与社会文化语境的变化,“70后”作家的历史感,和二十世纪九十年代末兴起的怀旧情绪有关,总体上表现为“寻根”私语化的倾向。小镇“寻根”是“70后”作家“想象原乡”的主要方式,通过表现地域色彩,对比异乡与故乡,塑造小镇“围城”,和将小镇作为中国社会的横切面,“70后”作家以此打造故乡的文学地理。“70后”作家的“寻根”落实在“原乡文学”的述作传统之中,会发现其特殊性在于引入了高速城镇化的背景。“原乡情结”缘起于对现实的失落,他们在抱怨故土难寻的同时,又执拗地钟情于“纸上还乡”。这也体现了“70后”作家对于青春不在的隐忧。 展开更多
关键词 “70后”作家 “寻根” “原乡想象” 小镇书写 文学地理
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沈从文与韩少功的“寻根之思”比较研究
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作者 王蕾 《特立研究》 2024年第1期96-102,共7页
沈从文与韩少功作为两个不同时代文学“寻根”的典型代表,都在“寻根之思”的指引之下,将目标锁定在乡土之中。沈从文从乡村走向都市,在从乡村到现代都市的巨大生活反差中,表达对上层社会腐朽荒淫生活的深恶痛绝,由此引发在湘西“伊甸... 沈从文与韩少功作为两个不同时代文学“寻根”的典型代表,都在“寻根之思”的指引之下,将目标锁定在乡土之中。沈从文从乡村走向都市,在从乡村到现代都市的巨大生活反差中,表达对上层社会腐朽荒淫生活的深恶痛绝,由此引发在湘西“伊甸园”中找寻精神的安慰。韩少功受外来文化冲击,从都市返回乡村,在寻根之旅中,不同于沈从文构建正面理想人物,而是侧重于从民族文化的集体无意识之中,通过挖掘“劣根性”去揭示人性的丑陋,并建立与之相适应的理想人性。 展开更多
关键词 沈从文 韩少功 寻根文学
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空间共享理念下职业教育实训中心场所感营造
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作者 马心成 金杨 李童琳 《建筑与文化》 2024年第7期48-50,共3页
在职业教育模式高速迭代的背景下,原有的实训空间单调呆板的组合模式难以适应时代发展要求。实训中心中庭空间有助于彰显场所的开放性、场所性、主题性、多变性与韧性,提供更丰富深刻的空间及教学体验。平度市技师学院实训中心中庭以共... 在职业教育模式高速迭代的背景下,原有的实训空间单调呆板的组合模式难以适应时代发展要求。实训中心中庭空间有助于彰显场所的开放性、场所性、主题性、多变性与韧性,提供更丰富深刻的空间及教学体验。平度市技师学院实训中心中庭以共享、秩序、交流、内外交融等方式,延续教学空间朴素的场所精神,营造不可度量的“静谧与光明”。 展开更多
关键词 职业教育 中庭 共享空间 寻根 场所精神
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开启中华文化本根教育的游学之旅---以北京石油化工学院"文化素质教育活动"为例 被引量:1
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作者 王荣霞 于建福 《高校教育管理》 CSSCI 2012年第2期36-41,共6页
中国大学一定要有中华传统文化的根,所培养的学生理应具有中华文化气质和文化底蕴。利用中华文化尤其是儒学沃土中蕴藏着的丰厚资源,采用学游结合、寓学于游的教育方式,积极而有效地开展中华文化本根教育,以利于大学生人格完善、社会责... 中国大学一定要有中华传统文化的根,所培养的学生理应具有中华文化气质和文化底蕴。利用中华文化尤其是儒学沃土中蕴藏着的丰厚资源,采用学游结合、寓学于游的教育方式,积极而有效地开展中华文化本根教育,以利于大学生人格完善、社会责任感的培养和正确价值观的形成,是一件富有远见并带有根本意义的大事。以北京石油化工学院"儒家文化寻根之旅"为案例,对大学生游学活动进行总结和审视,以期对完善当今高校人文素质教育有所裨益。 展开更多
关键词 文化自觉 儒学 寻根之旅 本根教育 人文素养
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寻根、重述历史和“经典”--从域外博士学位论文对莫言研究现状谈起 被引量:1
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作者 顾江冰 《石家庄学院学报》 2017年第4期39-46,共8页
作为首位中国籍的诺贝尔文学奖获得者,莫言不仅在当代文学史上具有重要影响,其作品在中文之外的各个译本也为西方认识中国文化、了解文学创作提供了重要的参考。国(境)外对于莫言的关注研究在各类评论文章、公开讲座、硕博学位论文中日... 作为首位中国籍的诺贝尔文学奖获得者,莫言不仅在当代文学史上具有重要影响,其作品在中文之外的各个译本也为西方认识中国文化、了解文学创作提供了重要的参考。国(境)外对于莫言的关注研究在各类评论文章、公开讲座、硕博学位论文中日趋提升,虽然有"趋同"情况,但从域外对莫言及其他中国作家的研究中也看到了评价新时期小说创作的别致思考。 展开更多
关键词 域外 莫言 寻根 历史记忆 经典
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分级诊疗背景下上呼吸道感染儿童的就医行为及影响因素分析 被引量:3
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作者 张利峰 张凝凝 +6 位作者 秦秀群 杨翊 钟冬梅 刘劭菲 戴雨珅 王晓丹 王明飞 《中国全科医学》 CAS 北大核心 2023年第26期3269-3275,共7页
背景推进分级诊疗是解决儿科医疗资源不合理利用的关键,但目前尚缺乏儿童分级诊疗执行现状的相关研究。目的总结上呼吸道感染儿童的就医行为,包括就诊次数和就诊机构,并探讨基层(社区卫生服务中心)首诊的主要影响因素。方法采用便利抽样... 背景推进分级诊疗是解决儿科医疗资源不合理利用的关键,但目前尚缺乏儿童分级诊疗执行现状的相关研究。目的总结上呼吸道感染儿童的就医行为,包括就诊次数和就诊机构,并探讨基层(社区卫生服务中心)首诊的主要影响因素。方法采用便利抽样法,于2019年3—7月、2022年2—7月分别在广州市中山大学附属第三医院儿科门诊及同一行政区的天河区石牌街社区卫生服务中心就诊的儿童家长进行2次问卷调查。按照调查时间将研究对象分为2019年组(n=419)和2022年组(n=307)。本研究以安德森模型为理论指导,自行设计上呼吸道感染儿童的就医行为及影响因素的调查问卷。采用单因素及多因素Logistic回归分析探讨上呼吸道感染儿童基层首诊的影响因素。结果2019年组的419例儿童,第1次(首诊)、第2次、第3/4次就诊者分别为301例(71.84%)、87例(20.76%)、31例(7.40%),首诊、第2次、第3/4次选择社区卫生服务中心就诊比例分别为47.49%、27.12%、16.13%;2022年组的307例儿童,第1次、第2次、第3次就诊者分别为219例(71.34%)、72例(23.45%)、16例(5.21%),首诊、第2次、第3/4次选择社区卫生服务中心就诊比例分别为41.04%、39.77%、43.75%。多因素Logistic回归分析结果显示,最近的医疗机构不是社区卫生服务中心[OR=0.220,95%CI(0.147,1.056),P<0.001]、父母文化程度为高中及以下[OR=0.584,95%CI(0.365,0.936),P=0.025]、家长评估疾病严重程度较轻、一般[OR(95%CI)=0.399(0.207,0.768)、0.388(0.226,0.665),P=0.006、0.001]、儿童年龄3岁以下相比7~13岁[OR=0.537,95%CI(0.309,0.930),P=0.027]时选择社区卫生服务中心首诊的可能性较低;家长对分级诊疗认知比较了解[OR=2.139,95%CI(1.284,3.564),P=0.003]及家长对分级诊疗态度比较赞同[OR=2.841,95%CI(1.937,5.779),P=0.004]时选择社区卫生服务中心首诊的可能性更高。结论儿童上呼吸道感染的多次就诊现象较普遍,基层就诊比例较低。家长的文化程度、分级诊疗的认知及态度、评估疾病严重程度,儿童年龄及最近的医疗机构是上呼吸道感染儿童基层首诊的影响因素。加强儿童常见病和分级诊疗制度的宣传教育、提高社区卫生服务中心的可及性并完善其儿科诊疗条件是促进儿童常见病基层诊治的可能途径。 展开更多
关键词 上呼吸道感染 就医行为 分级诊疗 基层首诊 儿童 社区卫生中心 安德森模型 影响因素分析
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On the Current Situation of Basic - level Administrative Law Enforcement in China
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作者 Xiaoxing Xie 《International Journal of Technology Management》 2016年第11期36-37,共2页
With the development of economy and society, our country is on the road of rule by law, the legal system is progressing constantly. At the same time, we should also see that the administration according to law is not ... With the development of economy and society, our country is on the road of rule by law, the legal system is progressing constantly. At the same time, we should also see that the administration according to law is not perfect, and its shortcomings exist in different degree and need to be further improved. Based on the analysis of the status quo of grass-roots administrative law enforcement in China, this paper tries to put forward corresponding countermeasures, so as to promote the work of law-based administration for the corresponding study. 展开更多
关键词 grass - roots level administrative law enforcement present situation
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