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Attributes of Specialized Households'Resilience and Its Impact on Rural Industrial Advancement:A Case Study of National Musical Instrument Production Specialized Households in Lankao County,Henan,China
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作者 WU Nalin WEI Yike +4 位作者 FAN Sizhe LI Li SUN Yufan ZHANG Yan SHU Yan 《Chinese Geographical Science》 SCIE CSCD 2024年第3期383-400,共18页
Specialized households serve as the primary units within specialized villages in China,and their capacity to withstand risks and external influences significantly shapes the future trajectory of specialized villages a... Specialized households serve as the primary units within specialized villages in China,and their capacity to withstand risks and external influences significantly shapes the future trajectory of specialized villages and the overall vitality of the rural economy.In this study,we established a measurement indicator system based on the definition of specialized households’resilience,elucidating the logical connection between specialized households’resilience and rural industrial development in China.The musical instrument industry in Lankao County,Henan Province of China,was employed as a case;survey data,the entropy method,and an obstacle diagnosis model were used to examine how instrument production specialized households responded to the challenges posed by Corona Virus Disease 2019(COVID-19)and the tightening of national environmental protection policies,yielding the following key findings:1)there exists substantial variation in the comprehensive resilience levels among different specialized households;2)the ability to learn and adapt is the most significant contributor to the overall resilience level of specialized households;3)technological proficiency and access to skilled talent emerge as pivotal factors influencing specialized households’resilience;4)the positioning of specialized households within the industrial supply chain and the stability of their income have a direct bearing on their resilience level.The influence of specialized households’resilience on industrial development primarily manifests in the following ways:stronger resilience correlates with increased stability in production and sales,fostering a more proactive approach to future actions.However,heightened exposure to the external macroeconomic environment can lead to a higher rate of export reduction.To enhance the development resilience of entities like specialized households and family farms,and to invigorate rural economic development,escalating investments in rural science and technology and prioritizing the training of technical talent become imperative. 展开更多
关键词 RESILIENCE specialized households rural industry Lankao County China
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Impact of specialized nursing outpatient case management on postcoronary artery bypass grafting patients
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作者 Tong Li Fang-Hui Lu Qing Zhao 《World Journal of Clinical Cases》 SCIE 2024年第17期3035-3044,共10页
BACKGROUND Some patients with coronary atherosclerotic heart disease experience major adverse cardiac events(MACE)and require readmission after Coronary Artery Bypass Grafting(CABG)surgery.This is often attributed to ... BACKGROUND Some patients with coronary atherosclerotic heart disease experience major adverse cardiac events(MACE)and require readmission after Coronary Artery Bypass Grafting(CABG)surgery.This is often attributed to patients'unhealthy lifestyles and dietary habits,inadequate understanding of the disease,and poor disease management compliance.Thus,searching for more targeted nursing intervention models that can enhance patients'self-management abilities and reduce the risk of readmission after CABG surgery is significant.AIM To observe the impact of specialized nursing outpatient case management on patients after CABG surgery.METHODS A total of 103 patients who underwent CABG surgery in our hospital between April 2021 and April 2022 comprised the study sample.The patients were divided into two groups using an odd-even number grouping method.The control group received routine nursing care,while the case management group received specialized nursing outpatient case management.The differences in psychological status,adherence to medical treatment,self-care ability,knowledge mastery,quality of life scores,and the occurrence rate of MACE were compared between the two groups.RESULTS After the intervention,the case management group had lower scores on the selfrating depression scale and self-rating anxiety scale and lower MACE rate,as well as higher scores for adherence to a healthy diet,medication adherence,good lifestyle habits,regular exercise,and timely follow-up,higher scores on the Coronary Heart Disease Self-Management Scale,higher scores for managing adverse habits,symptoms,emotional cognition,emergency response,disease knowledge,general lifestyle,and treatment adherence,higher scores for understanding coronary heart disease,recognizing the importance of medication adherence,understanding selfcare points after CABG surgery,and being aware of post-CABG precautions,higher scores for physical well-being,disease condition,general health,social-psychological well-being,and work-related aspects(P<0.05).CONCLUSION Specialized nursing outpatient case management can enhance patient adherence to medical treatment,knowledge mastery,psychological well-being,and overall quality of life in patients after CABG surgery. 展开更多
关键词 specialized nursing Case management Coronary artery bypass grafting Adherence to medical treatment Knowledge mastery Psychological status
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Exploration and Practice of“Four Integration and Four Innovation”Specialized and Creative Integration Talent Cultivation Mode:Taking Chongqing Energy Vocational College as an Example
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作者 Liyan Zhang Qingying Zhou +2 位作者 Yueming Zhan Yu Xiao Mingli Chen 《Journal of Contemporary Educational Research》 2024年第4期296-303,共8页
With the release of China Education Modernization 2035,education modernization has become a national strategic goal.In this context,Chongqing Energy Vocational College is actively exploring the“four integration and f... With the release of China Education Modernization 2035,education modernization has become a national strategic goal.In this context,Chongqing Energy Vocational College is actively exploring the“four integration and four innovation”specialized and creative integration talent cultivation mode,aiming at cultivating high-quality talents with innovative spirit and practical skills.This paper analyzes the status quo and challenges of talent cultivation in higher vocational education,puts forward the main practices of innovation-driven,creation and research,cross-border integration,and innovative practice,and has achieved remarkable results.Additionally,it summarizes the experience revelation and provides a reference for other higher vocational colleges and universities. 展开更多
关键词 specialized and creative integration Talent cultivation Higher vocational education Innovation-driven Cross-border integration
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Application of Specialized Group Management in the Quality Control of Perioperative Nursing
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作者 Cong Fu Xuefei Li +4 位作者 Li Wang Yuanyuan Jiang Xinrong Qi Chen Ding Shanshan Tang 《Journal of Clinical and Nursing Research》 2024年第2期70-75,共6页
Objective:To explore the role of specialized group management in the quality control of perioperative nursing.Methods:45 surgical nurses from our hospital were selected as the research subjects.Traditional operating r... Objective:To explore the role of specialized group management in the quality control of perioperative nursing.Methods:45 surgical nurses from our hospital were selected as the research subjects.Traditional operating room management was adopted from July 2019 to June 2020,and specialized group management was adopted from July 2020 to June 2021.The surgeon’s satisfaction,surgical nurses’core professional competence,and surgical patients’satisfaction were obtained through surveys and the results were analyzed.Results:Surgeon satisfaction before the implementation of specialized group management was significantly lower than after its implementation(P<0.05).Besides,surgical nurses’core professional competency scores before the implementation of specialized group management were significantly lower than after its implementation(P<0.05).Lastly,surgical patients’satisfaction before the implementation of specialized group management was significantly lower than after its implementation(P<0.05).Conclusion:Specialized group management helps to improve the quality of perioperative care and should be applied in clinical practice. 展开更多
关键词 specialized group management Operating room Quality of care CONTROL
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Teaching Practice of Integrating Labor Education into Specialized Courses:A Case Study of Plant Cultivation and Maintenance 被引量:1
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作者 Chuanlei LI Nianhua SHEN 《Asian Agricultural Research》 2023年第4期61-64,共4页
Vocational colleges attach great importance to labor education.Specialized courses are an effective way to cultivate students labor quality,and the integration of labor education in specialized courses plays an import... Vocational colleges attach great importance to labor education.Specialized courses are an effective way to cultivate students labor quality,and the integration of labor education in specialized courses plays an important role in the overall cultivation of students moral quality and practical ability.Combined with the teaching practice of landscape technology specialty,labor education is integrated into the teaching of Plant Cultivation and Maintenance,and certain results have been achieved.In this paper,the course content"grafting propagation"was analyzed from the aspects of overall teaching design,teaching implementation process,teaching effect and reflection improvement,so as to provide reference for other contents of this major or other majors to carry out integrated teaching. 展开更多
关键词 Labor education specialized courses Plant cultivation Plant conservation
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Clustering-Aided Supervised Malware Detection with Specialized Classifiers and Early Consensus
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作者 Murat Dener Sercan Gulburun 《Computers, Materials & Continua》 SCIE EI 2023年第4期1235-1251,共17页
One of the most common types of threats to the digital world is malicious software.It is of great importance to detect and prevent existing and new malware before it damages information assets.Machine learning approac... One of the most common types of threats to the digital world is malicious software.It is of great importance to detect and prevent existing and new malware before it damages information assets.Machine learning approaches are used effectively for this purpose.In this study,we present a model in which supervised and unsupervised learning algorithms are used together.Clustering is used to enhance the prediction performance of the supervised classifiers.The aim of the proposed model is to make predictions in the shortest possible time with high accuracy and f1 score.In the first stage of the model,the data are clustered with the k-means algorithm.In the second stage,the prediction is made with the combination of the classifier with the best prediction performance for the related cluster.While choosing the best classifiers for the given clusters,triple combinations of ten machine learning algorithms(kernel support vector machine,k-nearest neighbor,naive Bayes,decision tree,random forest,extra gradient boosting,categorical boosting,adaptive boosting,extra trees,and gradient boosting)are used.The selected triple classifier combination is positioned in two stages.The prediction time of the model is improved by positioning the classifier with the slowest prediction time in the second stage.The selected triple classifier combination is positioned in two tiers.The prediction time of the model is improved by positioning the classifier with the highest prediction time in the second tier.It is seen that clustering before classification improves prediction performance,which is presented using Blue Hexagon Open Dataset for Malware Analysis(BODMAS),Elastic Malware Benchmark for Empowering Researchers(EMBER)2018 and Kaggle malware detection datasets.The model has 99.74%accuracy and 99.77%f1 score for the BODMAS dataset,99.04%accuracy and 98.63%f1 score for the Kaggle malware detection dataset,and 96.77%accuracy and 96.77%f1 score for the EMBER 2018 dataset.In addition,the tiered positioning of classifiers shortened the average prediction time by 76.13%for the BODMAS dataset and 95.95%for the EMBER 2018 dataset.The proposed method’s prediction performance is better than the rest of the studies in the literature in which BODMAS and EMBER 2018 datasets are used. 展开更多
关键词 Malware detection ensemble learning CLASSIFICATION CLUSTERING specialized classifier early consensus
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Turnover of textile and apparel specialized market achieves recovery growth in H1 of 2023
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作者 Zhao Xinhua 《China Textile》 2023年第4期30-31,共2页
In the first half of 2023,China’s textile and apparel specialized market withstood the huge pressure of insufficient domestic demand,industrial depression and weak consumption recovery,and adhered to stable scale,adj... In the first half of 2023,China’s textile and apparel specialized market withstood the huge pressure of insufficient domestic demand,industrial depression and weak consumption recovery,and adhered to stable scale,adjusted structure,and improved quality and efficiency.In the first half of 2023,the total turnover of 44 textile and apparel specialized markets(including market clusters)monitored by the China Commercial Circulation Association of Textile and Apparel(CATA)reached 677.078 billion yuan,an increase of 22.76%,and the specialized market achieved a recovery growth in turnover. 展开更多
关键词 specialized MARKET EFFICIENCY
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On The Role Of Needs Analysis In ESP Course And Its Implications For Specialized EnglishReading Cour
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作者 刘浩 庞云青 《陕西师范大学学报(哲学社会科学版)》 CSSCI 北大核心 1999年第S1期149-152,共4页
CLCNumber:H319.3Documentcode:AArtrcleID:1000┐5293(1999)Sup.┐0150┐04SpecializedEnglishreadingistheseniorstage... CLCNumber:H319.3Documentcode:AArtrcleID:1000┐5293(1999)Sup.┐0150┐04SpecializedEnglishreadingistheseniorstageincolegeEnglishte... 展开更多
关键词 needs ANALYSIS ESP specialized English READING SYLLABUS
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Current status of clinical nursing specialists and the demands of osteoporosis specialized nurses in China's Mainland 被引量:9
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作者 Xu Tian Jun-xiao Lian +4 位作者 Li-juan Yi Li Ma Yan Wang Hong Caoc Guo-min Song 《International Journal of Nursing Sciences》 2014年第3期306-313,共8页
The clinical nursing specialist(CNS)is an expert who applies an expanded range of practical,theoretical,and research-based competencies to the care of patients within in a specialty clinical area within the larger dis... The clinical nursing specialist(CNS)is an expert who applies an expanded range of practical,theoretical,and research-based competencies to the care of patients within in a specialty clinical area within the larger discipline of nursing.A large number of studies consistently conclude that the CNS is a valuable healthcare resource that provides highquality clinical and evidence-based nursing practice and improves patient outcome.The CNS has been involved in healthcare practices for many years,with an increasingly diverse role.However,the training for the CNS in China is only in a preliminary developmental stage.The aim of this article is to review the history and development of the CNS role.Furthermore,the epidemiologic status of osteoporosis,as well as the feasibility and necessity of developing training programs in China for the osteoporosis CNS,will be discussed. 展开更多
关键词 Advanced practice nurse Clinical nursing specialist specialized nurse OSTEOPOROSIS
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Is Nationwide Special Campaign on Antibiotic Stewardship Program Effective on Ameliorating Irrational Antibiotic Use in China? Study on the Antibiotic Use of Specialized Hospitals in China in 2011–2012 被引量:8
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作者 邹晓旭 方子 +4 位作者 闵锐 白雪 张杨 许栋 方鹏骞 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2014年第3期456-463,共8页
Summary: With dwindling number of new antibiotics and inappropriate use of antibiotics, the emergence and spread of antibiotics resistance occurs commonly in healthcare institutions worldwide. In China, antibiotics a... Summary: With dwindling number of new antibiotics and inappropriate use of antibiotics, the emergence and spread of antibiotics resistance occurs commonly in healthcare institutions worldwide. In China, antibiotics are commonly overprescribed and misused. This study is to assess the effect of the nationwide special campaign on antibiotic stewardship program (ASP) at specialized hospitals in China by investigating prescription information from 2011 to 2012. Data on the hospital consumption and prescription of systemic antibiotics were obtained from four specialized hospitals, including maternity, children's, stomatological and cancer hospitals. Systematic random sampling was used to select outpatient prescriptions and inpatient cases. A total of 105 specialized hospitals in 2011 and 121 specialized hospitals in 2012 were analysed. The defined daily doses (DDDs) per 100 inpatient days, the percentage of antibiotic use in outpatient prescriptions, and the percentage of antibiotic use in inpatient eases were used as measurements of antibiotic use. The overall antibiotic use density in the selected hospitals decreased between 2011 and 2012 from 39.37 to 26.54 DDD/100 inpatient days (P〈0.001). The percentage of antibiotic use in outpatient prescriptions (range: 24.12%-18.71%, P=0.109) and inpatient cases (64.85%-60.10%, P=-0.006) also decreased within the two years. Significant changes were observed among regions and different hospitals within the two years. And antibiotic consumption was correlated with the type and size of specialized hospital in 2012, but not with the regions. This analysis of antibiotic consumption of specialized hospitals allows relevant comparisons for benchmarking and shows that national ASP has improved antibiotic rational use in China. The data will assist policymakers in formulating effective strategies to decrease antibiotic overuse and identify areas that require further work. 展开更多
关键词 specialized hospital antibiotic usage antibiotic prescription national antibiotic steward- ship program China
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Biosynthesis and molecular actions of specialized 1,4-naphthoquinone natural products produced by horticultural plants 被引量:4
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作者 Joshua R Widhalm David Rhodes 《Horticulture Research》 SCIE 2016年第1期88-104,共17页
The 1,4-naphthoquinones(1,4-NQs)are a diverse group of natural products found in every kingdom of life.Plants,including many horticultural species,collectively synthesize hundreds of specialized 1,4-NQs with ecologica... The 1,4-naphthoquinones(1,4-NQs)are a diverse group of natural products found in every kingdom of life.Plants,including many horticultural species,collectively synthesize hundreds of specialized 1,4-NQs with ecological roles in plant–plant(allelopathy),plant–insect and plant–microbe interactions.Numerous horticultural plants producing 1,4-NQs have also served as sources of traditional medicines for hundreds of years.As a result,horticultural species have been at the forefront of many basic studies conducted to understand the metabolism and function of specialized plant 1,4-NQs.Several 1,4-NQ natural products derived from horticultural plants have also emerged as promising scaffolds for developing new drugs.In this review,the current understanding of the core metabolic pathways leading to plant 1,4-NQs is provided with additional emphasis on downstream natural products originating from horticultural species.An overview on the biochemical mechanisms of action,both from an ecological and pharmacological perspective,of 1,4-NQs derived from horticultural plants is also provided.In addition,future directions for improving basic knowledge about plant 1,4-NQ metabolism are discussed. 展开更多
关键词 METABOLISM hundreds specialized
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Research on Benefit Distribution Mechanism of Farmers’ Specialized Cooperative Economic Organization 被引量:5
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作者 SUN Hao-jie1,WANG Zheng-bing2,WANG Yun-hui3 1.School of Economics and Management,Chang’ an University,Xi’an 710064,China 2.College of Economics and Management,Northwest A & F University,Yangling 712100,China 3.Publicity Office of Party Committee,Xi’an Branch of the People’ Bank of China,Xi’an 710064,China 《Asian Agricultural Research》 2011年第4期95-98,共4页
On the basis of conducting survey in Jiaonan City,the thesis analyzes benefit distribution mechanism of farmers’ specialized cooperative economic organizations:firstly,the benefit correlation is mainly the contract c... On the basis of conducting survey in Jiaonan City,the thesis analyzes benefit distribution mechanism of farmers’ specialized cooperative economic organizations:firstly,the benefit correlation is mainly the contract correlation;secondly,the profit distribution is mainly the dividend;thirdly,patronage refund has many connotations;fourthly,the public accumulation has not yet been quantified to individual;fifthly,the government support capital is ill-defined.Based on these,the measures are put forward in order to improve benefit distribution pattern of farmers’ specialized cooperative economic organizations:firstly,reform structure of property rights and realize farmers’ ownership;secondly,change mode of decision-making,and realize farmers’ control;thirdly,increase turnover rebate and realize farmers’ benefiting;fourthly,quantify public accumulation and government support fund. 展开更多
关键词 Farmers’ specialized COOPERATIVE ECONOMIC organiza
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Nosocomial Infection Surveillance in a Tuberculosis Specialized Hospital in China 被引量:5
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作者 XIE Zhong Yao HUANG Guo Fang +4 位作者 GAO Hui CHI Yu Qing WANG Yan Xia PANG Yu WANG Jing Ping 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2017年第9期691-694,共4页
Nosocomial infections(NIs) are a critical issue affecting the quality of healthcare. In this study, we performed a retrospective study to explore the incidence rates, mortality rates, and microbial spectrum of NIs i... Nosocomial infections(NIs) are a critical issue affecting the quality of healthcare. In this study, we performed a retrospective study to explore the incidence rates, mortality rates, and microbial spectrum of NIs in Beijing Chest Hospital, a tuberculosis(TB) specialized hospital in China. Our data demonstrate that the overall incidence rate of inpatients with NIs slightly decreased from 2012 to 2016, which may be associated with the implementation of hand hygiene measures, while the mortality rates associated with NI did not significantly change. In addition, the species distribution of NIs was quite different from that presented in previous reports, and Klebsiella pneumoniae was the most frequently isolated microorganism. 展开更多
关键词 In Nosocomial Infection Surveillance in a Tuberculosis specialized Hospital in China
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Comparative Analysis on Farmers' Specialized Cooperatives from the Perspective of Agricultural Industry Chain 被引量:3
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作者 Guangmi LU Zaiqing ZHU 《Asian Agricultural Research》 2017年第2期6-9,11,共5页
Taking three typical farmers' specialized cooperatives in Jingyuan County of Gansu Province as example,this paper compared with the operating mode of three cooperatives and their position in the agricultural indus... Taking three typical farmers' specialized cooperatives in Jingyuan County of Gansu Province as example,this paper compared with the operating mode of three cooperatives and their position in the agricultural industry chain,and analyzed operating characteristics,problems,and similarities of three cooperatives and their functions in the agricultural industry chain.The study indicated that the farmers' specialized cooperatives can accurately find their position in the agricultural industry chain.This is helpful for raising their comprehensive competitiveness and it is very important to manage the survival and development of farmers' specialized cooperatives,which is of utmost importance to their effective operation.According to this study,the government should strengthen its support,speed up the cultivation of new-type professional farmers,while farmers' specialized cooperatives should grasp the operating characteristics,locate themselves and integrate multi-resources.These are effective measures for promoting healthy operation of farmers' specialized cooperatives. 展开更多
关键词 Farmers’ specialized cooperatives Operating mode Agricultural industry chain Comparative analysis
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Safety Assessment of Heavy Metal in Tea Garden Soil: A Case Study of Specialized Tea Towns in Guangdong 被引量:1
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作者 Qiushuang WANG Caijin LING +3 位作者 Shumei LIU Junxi CAO Jinsong ZHANG Chaoyi ZHAO 《Asian Agricultural Research》 2013年第8期86-88,共3页
More than 20 soil samples were collected from tea gardens of specialized tea towns in Guangdong,including Fenglang Town and Fengshun Town in Meizhou City,Changshan Town in Lianjiang City,Fenghuang Town in Chaozhou Cit... More than 20 soil samples were collected from tea gardens of specialized tea towns in Guangdong,including Fenglang Town and Fengshun Town in Meizhou City,Changshan Town in Lianjiang City,Fenghuang Town in Chaozhou City.Content of 6 types of heavy metal (Cr,Cu,Pb,As,Cd,Hg) in tea garden soil was measured.On the basis of these,the safety was assessed.Results show that the comprehensive pollution index of these 6 types of heavy metal is lower than 0.7.According to Soil Pollution Grading Standard formulated by China Green Food Development Center,the soil is not polluted by heavy metal and remains at safety level.It proves that overall soil condition of specialized tea gardens in Guangdong Province is not polluted by heavy metal. 展开更多
关键词 GUANGDONG specialized TEA TOWNS HEAVY METAL Safety
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Development of Specialized Courses and Establishment of Teaching Materials in Nursing of Integrated Chinese and Western Medicine 被引量:1
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作者 FENG Yu 《中西医结合护理(中英文)》 2017年第4期1-5,共5页
Since the Third Plenary Session of the 11 thCentral Committee of the Communist Party of China( CPC),with the promotion and development of traditional Chinese medicine(TCM),the pace of TCM nursing work has been acceler... Since the Third Plenary Session of the 11 thCentral Committee of the Communist Party of China( CPC),with the promotion and development of traditional Chinese medicine(TCM),the pace of TCM nursing work has been accelerated in nationwide,and a group of integrated Chinese and western medicine nurses have been cultivated preliminarily. However,professional nurses of integrated Chinese and western medicine are still deficient extremely. The target of talent cultivation,based on the theory of "focusing on humanism,expanding diathesis,and enhancing practice to highlight the accommodation and integration of nurses of integrated traditional Chinese and western medicine",is to cultivate competent,practical and interdisciplinary senior nursing talents with strong professional basis,skilled operations,rich humanistic literacy,and sharp innovative spirit who not only master modern nursing knowledge and skills,but also can perform comprehensive nursing under the guidance of TCM theory of holistic concept and syndrome differentiation and nursing. This study,through investigating and analyzing the settings of3-year nursing professional courses in about 20 senior medical colleges,including senior nursing education of TCM,reformed the development of professional nursing courses of integrated Chinese and western medicine and the establishment of educational materials according to the course settings and educational work modes,so as to analyze the current status of nursing education of integrated Chinese and western medicine,determine course targets,and establish course system and educational work modes. 展开更多
关键词 NURSE of INTEGRATED Chinese and western medicine specialized COURSE SENIOR NURSING education ESTABLISHMENT o teaching materials
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Practice of Integrating Specialized Courses into Ideological/Political Education——Taking “Solid Luminescent Materials” as an Example 被引量:1
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作者 Guodong Xia Shushan Yao +1 位作者 Jinhua Liu Sumei Wang 《教育研究前沿(中英文版)》 2021年第2期1-5,共5页
At present,the education of specialized courses in science and engineering still focuses on imparting specialized knowledge,which seriously lacks the embodiment of educating students.Taking the specialized course“Sol... At present,the education of specialized courses in science and engineering still focuses on imparting specialized knowledge,which seriously lacks the embodiment of educating students.Taking the specialized course“Solid Luminescent Materials”as an example,the new mode of ideological/political teaching is integrated into the specialized course,giving full play to the role of the main position of the specialized class,so as to realize the aim of teaching specialized knowledge in cooperation with educating students and imperceptibly influencing the ideological/political teaching.In this paper,the design of ideological/political knowledge points and the integration of ideological/political cases are carried out from the aspects of teaching concepts,teaching contents and teaching cases.By adhering to the cooperation between moral and financial classroom and specialized education,the educational function of university specialized courses can be effectively brought into play,which is expected to guide students to enhance their awareness of energy conservation,environmental protection,innovation and patriotism. 展开更多
关键词 specialized Courses Ideological/Political Teaching Case Teaching Collaborative Education
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Magnifying endoscopy for the diagnosis of specialized intestinal metaplasia in short-segment Barrett's esophagus
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作者 Nam Seok Ham Jae Young Jang +12 位作者 Sung Woo Ryu Ji Hye Kim Eui Ju Park Woong Cheul Lee Kwang Yeun Shim Soung Won Jeong Hyun Gun Kim Tae Hee Lee Sung Ran Jeon Jun Hyung Cho Joo Young Cho So Young Jin Ji Sung Lee 《World Journal of Gastroenterology》 SCIE CAS 2013年第41期7089-7096,共8页
AIM:To determine whether magnified observation of short-segment Barrett’s esophagus(BE)is useful for the detection of specialized intestinal metaplasia(SIM).METHODS:Thirty patients with suspected short-segment BE und... AIM:To determine whether magnified observation of short-segment Barrett’s esophagus(BE)is useful for the detection of specialized intestinal metaplasia(SIM).METHODS:Thirty patients with suspected short-segment BE underwent magnifying endoscopy up to×80.The magnified images were analyzed with respect to their pit-patterns,which were simultaneously classified into five epithelial types[Ⅰ(small round),Ⅱ(straight),Ⅲ(long oval),Ⅳ(tubular),Ⅴ(villous)]by Endo’s classification.Then,a 0.5%solution of methylene blue(MB)was sprayed over columnar mucosa.The patterns of the magnified image and MB staining were analyzed.Biopsies were obtained from the regions previously observed by magnifying endoscopy and MB chromoendoscopy.RESULTS:Three of five patients with a typeⅤ(villous)epithelial pattern had SIM,whereas 21 patients with a non-typeⅤepithelial patterns did not have SIM.The sensitivity,specificity,accuracy,positive predictive value,and negative predictive value of pit-patterns in detecting SIM were 100%,91.3%,92.3%,60%and100%,respectively(P=0.004).Three of the 12 patients with positive MB staining had SIM,whereas 14patients with negative MB staining did not have SIM.The sensitivity,specificity,accuracy,positive predictive value,and negative predictive value of MB staining in detecting SIM were 100%,60.9%,65.4%,25%and100%,respectively(P=0.085).The specificity and accuracy of pit-pattern evaluation were significantly superior compared with MB staining for detecting SIM by comparison with the exact McNemar’s test(P=0.0391).CONCLUSION:The magnified observation of a shortsegment BE according to the mucosal pattern and its classification can be predictive of SIM. 展开更多
关键词 Short-segment Barrett’s ESOPHAGUS Magnifying endoscopy Methylene blue CHROMOENDOSCOPY specialized intestinal METAPLASIA Dysplasia Esophageal adenocarcinoma DIAGNOSIS
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Recommendations for Optimizing Internal Management Mechanism of Farmers' Specialized Cooperatives
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作者 Jingxiao CHEN 《Asian Agricultural Research》 2016年第7期38-40,共3页
Based on the survey of 38 farmers' specialized cooperatives in Hubei Province,this paper analyzed existing problems in internal management mechanism of cooperatives,including widespread problem of centralized cont... Based on the survey of 38 farmers' specialized cooperatives in Hubei Province,this paper analyzed existing problems in internal management mechanism of cooperatives,including widespread problem of centralized control,imperfect supervision mechanism,lack of effective incentive mechanism,insufficient specialized personnel,and limited participation of cooperative members in management. It elaborated causes for these problems from the perspective of practice. Finally,it came up with recommendations for optimizing farmers' specialized cooperatives: building democratic decision making mechanism with coordination of cooperative members and able personnel,establishing supervision mechanism suitable for self demands,improving internal incentive mechanism,establishing talent introduction and cultivation mechanism in proper time,and strengthening internal member management of cooperatives. 展开更多
关键词 FARMERS specialized cooperatives INTERNAL MANAGEMENT MECHANISM RECOMMENDATIONS for OPTIMIZATION of cooperatives
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Resource Dependence Relationship between Grass-roots Government and Farmers' Specialized Cooperatives
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作者 Xuebin SHEN Yi CAI 《Asian Agricultural Research》 2016年第1期56-60,66,共6页
Based on theories of resource dependence and government functions,this paper analyzed benefit interaction between grass-roots government and farmers' specialized cooperatives in Hubei Province. It was intended to ... Based on theories of resource dependence and government functions,this paper analyzed benefit interaction between grass-roots government and farmers' specialized cooperatives in Hubei Province. It was intended to make clear the path dependence relationship between grassroots government and farmers' specialized cooperatives and find out problems in between. Besides,from the perspective of grass-roots government and farmers' specialized cooperatives,it came up with corresponding recommendations,to promote constant improvement of farmers' specialized cooperatives,and help them to become key forces of leading farmers to get rich,pull agricultural economic development,and promote new socialist countryside construction. 展开更多
关键词 Grass-roots GOVERNMENT Farmers’ specialized cooperatives RESOURCE DEPENDENCE GOVERNMENT FUNCTIONS
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