论对大学生进行形势与政策教育要“入心”

高校思想政治教育者在对大学生进行形势与政策教育时,不仅要做到内容入其心,而且要做到情感入其"心",即关乎民生的教育要温暖人心,展示民主的教育要阳光人心,诠释民权的教育要稳定人心,体现民本的教育要凝聚人心。只有在情感投入上下足功夫,才能使大学生由衷地感激党,并将这份感恩心转化为他的学习动力。

“入乎耳,著乎心,布乎四体,形乎动静”:《荀子·劝学篇》解读——兼论研究生的研究性学习

《荀子·劝学篇》是最早论述学习的名篇,它提出"入乎耳,著乎心,布乎四体,形乎动静"的观点,其实质是一种研究性学习观,这些观点对研究生进行研究性学习具有借鉴意义。研究生在进行研究性学习时存在知识面狭窄、思维不深入、缺乏写作训练的弱点。借鉴《荀子·劝学篇》的学习思想,研究生应采取广泛阅读、深入思考、勤于写作等学习策略来提高研究性学习能力。

供给侧改革和茶文化背景下的高校思政课“入脑入心”教育研究

在经济现代化发展的背景下,供给侧改革旨在调整供需关系,利用更好的供需结构刺激发展动能。在这种理念下,思政课“入脑入心”教育不但需要调整教学理念和手段,还应将我国优秀文化融入到教学实践中,以文化带动思维的发展,促进思政知识真正实现“入脑入心”。为此,本文从供给侧改革角度分析思政课改革,并针对思政课教学存在的问题,提出供给侧改革和茶文化背景下高校思政课“入脑入心”的对策,以期为广大教育工作中提供理论的参考和帮助。

打造“入脑、入心、入行”效果的高职思政课教学策略

思政课教学是一个由“入脑、入心”到“入行”的过程,由于部分高职生对思政课认识偏差、学习兴趣被干扰,思政课堂缺少吸引力、不能动之以情,以及入“脑”入“心”与入“行”断裂,思政课教学并没有达到由“入脑、入心”到“入行”的效果。要通过提升高职生对思政课的内心需要、提升思政课的吸引力、创立“动之以情”的课堂、促进思想认识转化为行动、营造“被重视”的思政课氛围等途径,促进高职思政课由“入脑、入心”到“入行”的转化,从而提高高职思政课教学效果。

时政新闻“入”眼“进”心的技巧探索

通过电视时政新闻,广大人民群众不仅可以及时了解到国家的方针政策,同时也有助于发挥党贴近群众、沟通群众的作用。然而随着网络媒体技术的迅速发展,传统的时政新闻对于人们的吸引力已经出现停滞甚至有下降的趋势,为此,要改变这一局势,就需要广大电视时政新闻工作者及相关人员积极探索新的途径和方法。本文就围绕时政新闻目前存在的问题以及解决问题的途径与相关技巧展开论述。

思政课教学要坚持释疑解惑 实现“入脑入心”

释疑解惑是实现思政教学“入脑入心”的必然要求。释疑解惑的实质就是讲道理。“入脑入心”是思政课教学的重要目标,化解学生的思想、道德、理论、行动之惑,是推动思政课教学“入脑入心”的关键所在。要以“问题化”改革、“团队化”教学、“一体化”建设、“数字化”转型,提高思政课教学“入脑入心”的针对性、协同性、衔接性和时代性。

Peripherally inserted central catheters in critically ill patients-complications and its prevention:A review

Peripherally inserted central catheter(PICC)is extensively used in critical care settings,because it plays a vital role in providing safe central venous entry.However,PICC is associated with several complications,which should be detected to shorten the duration of patients'improvement,reduce health care cost,and lessen the incidence of various PICC-related complications.Therefore,this study aimed to outline current literature on PICC procedures,potential complications,and measures for prevention.Understanding evidence-based guidelines regarding insertion technique,early detection of complications,and care bundle of PICC is significant in complication prevention.Implementation of education,training,and appropriate multidisciplinary approaches on PICC care among nurses and caregivers is the key to preventing complications.Thus,the strict care of indwelling PICC lines,the targeted and reasonable PICCassociated complication prevention,and nursing care have a major clinical significance in reducing the occurrence of potential PICC complications.

Echocardiographic Monitoring of Cardiac Parameters after Mitral Valve Replacement with the Preservation of Subvalvular Structures

To date many monitoring techniques have been used to determine the efficacy of surgical correction of mitral valve disease. The most common non-invasive method in use is echocardiography which can assess the myocardial and mitral valve function changes after mitral valve replacement procedures. In this study, we investigated the five-year follow-up echocardiographic results of 143 patients undergoing mitral valve replacement with preservation of subvalvular apparatus to analyze the recovery of myocardial and mitral valve functions.

Effect of transcatheter aortic valve implantation on QT dispersion in patients with aortic stenosis

Background QT dispersion （QTd） is a predictor of ventricular arrhythmia. Ventricular arrhythmia is an important factor influencing morbidity and mortality in patients with aortic stenosis. Surgical aortic valve replacement reduced the QTd in this patients group. However, the effect of transcatheter aortic valve implantation （TAVI） on QTd in patients with aortic stenosis is unknown. The aim of this study was to investigate the effect of TAVI on QTd in patients with aortic stenosis. Methods Patients with severe aortic stenosis, who were not candi-dates for surgical aortic valve replacement due to contraindications or high surgical risk, were included in the study. All patients underwent electrocardiographic and echocardiographic evaluation before, and at the 6th month after TAVI, computed QTd and left ventricular mass index （LVMI）. Results A total 30 patients were admitted to the study （mean age 83.2 ± 1.0 years, female 21 and male 9, mean valve area 0.7 ± 3 mm2）. Edwards SAPIEN heart valves, 23 mm （21 patients） and 26 mm （9 patients）, by the transfemoral approach were used in the TAVI procedures. All TAVI procedures were successful. Both QTd and LVMI at the 6th month after TAVI were significantly reduced com-pared with baseline values of QTd and LVMI before TAVI （73.8 ± 4 ms vs. 68 ± 2 ms, P=0.001 and 198 ± 51 g/m2 vs. 184 ± 40 g/m2, P=0.04, respectively）. There was a significant correlation between QTd and LVMI （r=0.646, P〈0.001）. Conclusions QTd, which malign ventricular arrhythmia marker, and LVMI were significantly reduced after TAVI procedure. TAVI may decrease the possibility of ventricu-lar arrhythmia in patients with aortic stenosis.

The subcutaneous implantable cardioverter defibrillator—— review of the recent data

The subcutaneous implantable cardioverter defibrillators （SICD） is an altemative to the transvenous ICD for the prevention of sudden cardiac death （SCD）. Multiple studies have shown that the SICD is safe and effective in treating ventricular arrhythmias. While earlier stud- ies mainly enrolled younger patients with channelopathies, more recent reports included patients with ＂typical＂ indications for ICD therapy for the prevention of SCD. In this review we summarize the data available to date on the SICD while highlighting its pros and cons.

Factors influencing the optimal selection of central venous access devices:A qualitative study of health care team members’perspectives

Objective:This study aimed to explore health care team members’understanding of the factors influencing the optimal selection of central venous access devices(CVADs).Methods:The data of the study was collected using semi-structured interviews.Twenty-six hospital medical staff(four hospital manager,15 head nurses,7 nurse)with experience in peripheral or central catheterization from four regions(Northern China,Southern China,Northwest China,and Qinghai-Tibet China)in China were interviewed between June and October 2021.Content analysis was used to analyze the data.Results:The results revealed five themes and 14 sub-themes.Patients:concerns,resources,requirements,and evaluation(security concerns,support resources,life requirements,evaluation among patients);nurses:awareness,knowledge,and popularizing methods(awareness of intravenous therapy,understanding of professional knowledge,forms of popularizing methods);doctors:support and involvement(support for decision-making,involvement in intravenous work);hospital managers:authority,quality control and continuing education(management of catheterization authority,quality control of intravenous infusion,investment in continuing education)and environment:differences and commonalities(differences in social support,and current commonalities).Conclusion:Nurses and other healthcare team members’understanding,selection,use,and recommendation of CVADs have an indirect effect on patients’decision-making.Therefore,hospital managers and government departments can indirectly strengthen medical team cooperation and improve learning education in order to improve the safety of patients receiving intravenous infusions.

Dual antiplatelet therapy increases pocket hematoma complications in Chinese patients with pacemaker implantation

Objective To assess the prevalence of the bleeding complications in pacemaker implanted patients receiving different antiplatelet regimens, and the influence of each regimen on hospital stays after device implantation. Methods We prospectively enrolled 364 patients receiving the cardiac rhythm device implantations in Fuwai Hospital from July 2012 to December 2013. Bleeding complications including pocket hematoma, hemothorax, cardiac tamponade and blood transfusion requirement were measured as endpoints. Post operation hospital stay was also included in the endpoints. Results Bleeding complications were detected in 15 patients （14 with hematoma, one with hemothorax） out of all 364 patients （4.12%）. Dual antiplatelet therapy （DAT） significantly increased hematoma （19.3%） compared with aspi- fin treatment （ASA） （3.2%, P = 0.001） and no antiplatelet therapy （1.9%, P 〈 0.001）. There was no significant difference in incidence of pocket hematoma between the ASA group and the control group （P = 0.45）. The post procedure hospital stay was longer in DAT group （5.45 ± 2.01 days） compared to those in the ASA group （3.65 ± 1.37 days, P 〈 0.05） or control group （3.99 ± 2.27 days, P 〈 0.05）. Pocket hema- toma was considered an independent predictor of hospital stay prolongation （OR： 5.26; 95% CI： 1.56-16.64; P = 0.007）. Conclusions Among the Chinese patients undergoing device implantation in this study, the use of dual antiplatelet agents significantly increased the risk of pocket hematoma complications and led to a longer hospital stay. Use of aspirin alone did not increase the risk.

An Experimental Study of Irregular Wave Forces on Multiple Quasi-ellipse Caissons

An experimental investigation of irregular wave forces on quasi-ellipse caisson structures is presented. Irregular waves were generated based on the Jonswap spectrum with two significant wave heights, and the spectrum peak periods range from 1.19 s to 1.81 s. Incident wave directions relative to the centre line of the multiple caissons are from 0＆#176; to 22.5＆#176;. The spacing between caissons ranges from 2 to 3 times that of the width of the caisson. The effects of these parameters on the wave forces of both the perforated and non-perforated caissons were compared and analyzed. It was found that the perforated caisson can reduce wave forces, especially in the transverse direction. Furthermore, the relative interval and incident wave direction have significant effects on the wave forces in the case of multiple caissons.

The dilemma of implantable cardioverter-defibrillator therapy in the geriatric population

Current guidelines for implantable cardioverter-defibrillator （ICD） therapy in heart failure patients were established by multiple device Irials; however, very few geriatric patients （patients ≥ 65 years old） were included in these studies. This article explores the controversies of ICD implantation in the geriatric population, management of delivered ICD therapy in this age group, and the end of life care in patients with ICD.

Centrifugal and field studies on water infiltration characteristics below canals under wetting-drying-freezing-thawing cycles

Seepage is one of the main causes for the deformation and instability of canal slopes in Xinjiang,China.In this study,centrifugal model tests under wetting-drying(WD)and wetting-drying-freezing-thawing(WDFT)cycles were performed to investigate the water infiltration characteristics below a canal.The results show that the shallow soil of the canal models was fully saturated in the wetting process.Compared with the canal model under the WD cycles,the canal model under the WDFT cycles had larger saturated areas and a higher degree of saturation below the canal top after each cycle,indicating that the freezing-thawing(FT)process in the WDFT cycles promoted the water infiltration behavior below the canal slope.The cracks on the surface of the canal model under the cyclic action of WDFT developed further and had a higher connectivity,which provided the conditions for slope instability from a transverse tensile crack running through the canal top.On this basis,a field test was conducted to understand the water infiltration distribution below a typical canal in Xinjiang,China,which also verified the accuracy of the centrifugal results.This study provides a preliminary basis for the maintenance and seepage treatment of canals in Xinjiang,China.

The gender difference of utilization of cardiac implantable electronic device in China： data from Arrhythmia Interventional Therapy Data Registry

Background Cardiac implantable electronic devices （CIEDs） greatly improve survival and life quality of patients. However, there are gender differences regarding both the utilization and benefit of these devices. In this prospective CIED registry, we aim to appraise the gender differences in CIED utilization in China. Methods Twenty centers from 14 provinces in China were included in our registry study. All patients who underwent a CIED implantation in these twenty centers between Jan 2015 and Dec 2016 were included. Results A total of 8570 patients were enrolled in the baseline cohort, including 7203 pacemaker, 664 implantable cardiac defibrillators （ICD） implants and 703 cardiac resynchronization therapy device （CRT/D）. Totally, 4117 （48.0%） CIED patients were female, and more than 59% pacemaker patients were female, but women account only one third of ICD or CRT/D implantation in this registry. There were significant differences between genders at pacemaker and ICD indications. Female was more likely received a pacemaker due to sick sinus syndrome （SSS） （63.9% vs. 51.0%, P 〈 0.001）. Female patients receiving an ICD were more likely due to cardiac ion channel disease （29.2% vs. 4.2%, P 〈 0.001）. The percentage of utilization of dual-chamber pacemaker in female patients was significantly higher than male （85.3% vs. 81.1%, P 〈 0.001）. But male patients were more likely received a cardiac resynchronization therapy devices with defibrillator than female （56.5% vs. 41.9%, P = 0.001）. In pacemaker patient, male was more likely to have structure heart disease （31.3% vs. 28.0%, P = 0.002）. In ICD patient, male patients were more likely to have ischemic heart disease （48.2% vs. 29.2%, P 〈 0.001）. The mean age of women at the time of CRT/D implantation was older than men （P = 0.014）. Nonischemic cardiomyopathy （70.9%） was the most common etiology in the patients who underwent the treat？ment of CRT/D, no matter male or female. Conclusions In real-world setting, female do have different epidemiology, pathophysiology and clinical presentation of many cardiac rhythm disorders when compared with male, and all these factors may affect the utilization of CIED implantation. But it also possibility that cultural and socioeconomic features may play a role in this apparent discrimination.

Traffic-Aware VDC Embedding in Data Center： A Case Study of FatTree

Virtualization is a common technology for resource sharing in data center. To make efficient use of data center resources, the key challenge is to map customer demands （modeled as virtual data center, VDC） to the physical data center effectively. In this paper, we focus on this problem. Distinct with previous works, our study of VDC embedding problem is under the assumption that switch resource is the bottleneck of data center networks （DCNs）. To this end, we not only propose relative cost to evaluate embedding strategy, decouple embedding problem into VM placement with marginal resource assignment and virtual link mapping with decided source-destination based on the property of fat-tree, but also design the traffic aware embedding algorithm （TAE） and first fit virtual link mapping （FFLM） to map virtual data center requests to a physical data center. Simulation results show that TAE＋FFLM could increase acceptance rate and reduce network cost （about 49% in the case） at the same time. The traffie aware embedding algorithm reduces the load of core-link traffic and brings the optimization opportunity for data center network energy conservation.

Cardiac rehabilitation and mid-term follow-up after transcatheter aortic valve implantation

Background Evaluation of patient outcomes following transcatheter aortic valve implantation （TAVI） has usually been based on survival and clinical improvement. Studies on quality of life are limited, and data from comprehensive assessments after the procedure are lacking. Methods Sixty patients referred for cardiac rehabilitation after TAVI underwent in-hospital and after-discharge multidimensional assessments to evaluate clinical, functional, and nutritional statuses, degree of autonomy, cognitive impairment, depression and quality of life. Results On admission to rehabilitation, approximately half of the patients had severe functional impairment and dependence for basic activities of daily living. During their hospital stay, one-third of the patients suffered significant clinical complications and two had to be transferred to the implantation center. Despite this, the overall outcome was very good. All of the remaining patients were clinically stable at discharge and functional status, autonomy and quality of life were improved in most. During a mean follow-up of 540 days （range： 192-738 days）, five patients died from noncardiac causes, three were hospitalized for cardiac events, and nine for non cardiac reasons. Functional status and autonomy remained satisfactory in the majority of patients and most continued to live independently. Conclusions Patients referred for rehabilitation after TAVI are often very frail, with a high grade of functional impairment, dependence on others and high risk of clinical complications. During a rehabilitation programme, based on a multidimensional assessment and intervention, most patients showed significant improvement in functional status, quality of life, and autonomy, which remained stable in the majority of subjects during mid-term follow-up.

Effectiveness of Subway Advertising in Hong Kong

Pedestrians intercepted near the exits of a subway station in downtown Hong Kong were surveyed using a questionnaire and quota sampling in October 2012. The survey sampled 408 residents and tourists aged 16 and above. The awareness of the 16 ads. ranged from 18 to 80 percent with an average 43.5 percent. The layouts of the two subway ads. received highest awareness were focused and had a clear distinction between foreground and background. Average ad awareness was comparable to that reported in two similar studies of subway ads. conducted in the 1990s. Average ad awareness of subway ads. was higher than that of outdoor advertising measured using similar methodology in 2010s. Respondents demonstrated positive attitudes toward subway advertising, and reported that subway ads. that drew their attention were those with creative ideas, vivid colors, and large-than-life size execution.

Psychological capital mediates the association between nurses'practice environment and work engagement among Chinese male nurses

Objectives:This study aims to investigate the environmental and individual factors contributing to male nurses'psychological well-being and to explore the psychological mechanisms that may explain the links between nurses'practice environment and work engagement,thereby presenting the implications for nurse managers.Methods:A total of 161 male nurses from three tertiary first-class hospitals in Changsha City in China participated in the study.We collected the data using the Practice Environment Scale of the Nursing Work Index,the Psychological Capital Questionnaire,and the Utrecht Work Engagement Scale.Results:Scores of male nurses'practice environment(2.88±0.31),psychological capital(4.42±0.62),and work engagement(3.17±1.39)were all above the midpoint;however,the subscales"the nursing staffing and resources adequacy"(2.72±0.48),"hope"(4.33±0.72),and"dedication"(2.96±1.61)scored lowest.Nurses'practice environment and psychological capital positively predicted nurses'work engagement;psychological capital fully mediated the influence of nurses'practice environment on work engagement.Conclusions:Creating a supportive nursing practice environment can increase male nurses'work engagement by developing their psychological capital.Nurse managers can then provide reasonable workload and pathways for male nurses to achieve goals,thereby fostering their hope.