ERAS理念下手术室护理结合术中质性控制护理关键点干预在腹腔镜结直肠癌手术患者中的应用

目的目的探讨在腹腔镜结直肠癌手术患者中采取加速康复外科(ERAS)理念下手术室护理结合术中质性控制护理关键点干预的应用。方法方法选取时间为2021年11月~2023年11月本院收治的结直肠癌患者82例,按随机数字表法将分组,每组41例。对照组采取常规护理,观察组实施ERAS理念下手术室护理结合术中质性控制护理关键点干预,两组均持续护理至患者出院。比较两组体温变化、并发症发生率以及患者满意度。结果结果观察组术中30~90min的体温均高于对照组(P<0.05);观察组并发症总发生率低于对照组(P<0.05);观察组患者满意度各项评分均高于对照组(P<0.05)。结论结论ERAS理念下手术室护理结合术中质性控制护理关键点干预,可有效维持腹腔镜结直肠癌手术患者体温稳定,减少压疮、下肢深静脉血栓发生率,从而提升患者满意度。

政治科学中质性与量化分析的沟通

塔罗关注《社会研究设计》(下文简称《设计》)一书中的一个核心观点,即由于量化研究设计背后的逻辑与质性研究相通,因此可以被用来提升质性研究设计的科学性。总的来说,这一核心观点值得进一步思考和拓展,因为该书未对下述三个问题进行充分讨论。这三个问题,一是量化与质性研究之间的关系问题;

Amorphous core-shell NiMoP@CuNWs rod-like structure with hydrophilicity feature for efficient hydrogen production in neutral media

Using interface engineering,a highly efficient catalyst with a shell@core structure was successfully synthesized by growing an amorphous material composed of Ni,Mo,and P on Cu nanowires(Ni-MoP@CuNWs).This catalyst only requires an overpotential of 35 mV to reach a current density of 10 mA cm^(-2).The exceptional hydrogen evolution reaction(HER)activity is attributed to the unique amorphous rod-like nature of NiMoP@CuNWs,which possesses a special hydrophilic feature,en-hances mass transfer,promotes effective contact between the electrode and electrolyte solution,and exposes more active sites during the catalytic process.Density functional theory revealed that the introduction of Mo weakens the binding strength of the Ni site on the catalyst surface with the H atom and promotes the desorption process of the H_(2) product significantly.Owing to its facile syn-thesis,low cost,and high catalytic performance,this electrocatalyst is a promising option for com-mercial applications as a water electrolysis catalyst.

Isolating and Screening of Effective Decomposing Strain of Silkworm Chrysalis Protein and Study on Parts of Its Enzymatic Properties

[Objective] The research aimed to obtain an effectively-decomposing strain of silkworm chrysalis protein and discuss its enzymatic properties.[Method] The effectively-decomposing bacteria of protein was isolated from the decayed silkworm chrysalis by using dilution plate and its enzymatic properties were tested after primary screening and second screening.The enzyme activity was determined and the intermediate and small molecule protein content in silkworm chrysalis was measured after solid-state fermentati...

Effects of Applying Bio-bacterial Fertilizer on Aroma Components of Flue-cured Tobacco

Objective] This research aimed to investigate the effects of bio-bacterial fertilizer on quality of flue-curved tobacco. [Method] The various concentrations of bio-bacterial fertilizer were applied to flue-cured tobacco as leaf fertilizer and base fertilizer respectively. [Result] The effect of bio-bacterial fertilizer on flue-cured tobac-co differed among different treatments. Compared with the control, the bio-bacterial fertilizer significantly affected the quality of flue-cured tobacco. Among al the treat-ments, Treatment 3（leaf fertilizer） showed the best treatment effect, and it significant-ly improved the quality of flue-cured tobacco. [Conclusion] The bio-bacterial fertilizer showed significant improving effect on quality of flue-cured tobacco if spayed as leaf fertilizer.

Economic Competitiveness of China and the US:Comparison,Dynamic Change and Global Position

Research of competitiveness of China and the United States is of great significance to enhancing China＇s economic competitiveness and achieving the objective of national rejuvenation. By creating a competitiveness framework and a system of heterogeneous indicators, this paper investigates the competitiveness of China and the US in terms of current status, historic change and global environment. Our research led to the following findings： core factors determine the level of competitiveness for China and the US; the national competitiveness of both countries is evolving towards structural homogeneity; and China and the US lead most countries in many common areas. China has the potential to overtake the US in competitiveness in the future. We suggest that China increase its competitiveness by promoting its advantages, addressing its weaknesses and focusing on core areas.

Heterogeneity in Soil Seed Banks in a Mediterranean Coastal Sand Dune

Characteristics of total soil seed banks and permanent soil seed banks in three microhabitats in a Mediterranean coastal sand dune were investigated by using natural germination method combined with physically scanning separation method. The composition and structure of soil seed banks were analyzed between the microhabitats by using functional group method. The distribution patterns of soil seed bank were also analyzed between the microhabitats. We also analyzed the relationship between seed size and seed persistence in soil. The results show greatly spatial heterogeneity existed in soil seed bank of the Mediterranean coastal sand dune, even in the same microhabitats seed distribution was uneven. Sometimes a great difference occurred between them. Microhabitats significantly affected the distribution patterns of total soil seed banks and seed banks of the functional groups. The open area generally had the greater densities of seeds, but the seed densities under shrub and in trail were lower than that in the open area. Legumes seeds accounted for 76.0% total persistent seed banks. Annual and perennial grasses produced transient seed banks as no seeds were retrieved from the sieved soils. Seed persistence of legumes, umbeliferaes, perennial forbs, compositaes, annual forbs, crucifer decreased gradually. They were 50.1%, 45.6%, 40.6%, 6.3%, 5.6% and 0.6% respectively in the soil. There was a positive relationship between seed size and seed persistence. Bigger seeds had higher persistence, and vice versa.

China's Industrial Upgrade and Human Capital Improvement

Based on statistics, this paper reviews China＇s economic growth and industrial upgrade since the reform and opening up in 1978 and estimates the contribution of industrial restructuring to economic growth. With the years of schooling as the proxy variable of human capital, this paper describes changes in China＇s labor competence during the industrial restructuring process. Then, this paper estimates China＇s future human capital demand and shortage based on economic and demographic forecast. Lastly, this paper proposes recommendations for improving human capital in China with skills development and education.

Effects of Different Yellowing Conditions on Neutral Aroma Components and Smoking Quality of Flue-cured Upper Leaves

A heated air circulation standard curing barn was used for baking tobacco leaves, and the effects of different yellowing conditions during the baking process on contents of neutral aroma components and smoking quality of upper leaves were studied by setting different yellowing time and color-fixing time. The results showed that during the baking process, only by prolonging the yellowing time by 24 h on the basis of control, the content of every kind of neutral aroma components in- creased obviously and the content of solanone increased by nearly 2.20 times. It was unfavorable for the degradation and accumulation of aroma components when only prolonging color-fixing time by 24 h. Prolonging both yellowing time and color- fixing time by 24 h mainly promoted the accumulation of chlorophyll degradation product neophytadiene, which increased by 33.24%, while the degradation and ac- cumulation of some aroma components were inhibited, indicating that only prolonging the yellowing time by 24 h could promote the accumulation of various kinds of neu- tral aroma components and improve the quality of tobacco leaves. The regression models were established of neutral aroma components in the first and second prin- cipal components to total aroma content, which were y=x＋0.053 47 （R^2=0.919 7） and y=x＋0.147 5 （R^2=0.698 4）, respectively, and they were verified to be feasible.

Leaf choice in black-and-white snub-nosed monkeys Rhinopithecus bieti is related to the physical and chemical properties of leaves

To understand the effects of the chemical and physical properties of plant leaves on food choice in Rhinopithecus bieti, we collected mature leaves of nine food and five non-food plant species at the southernmost part of the species＇s range. Chemical properties such as fat, ash, crude protein （CP）, total phenolics （TP）, and fiber content including neutral detergent fiber （NDF）, acid detergent fiber （ADF）, lignin, celluloses and hemicelluloses, and physical toughness were measured. R. bieti tended to choose leaves with lower fiber content, higher ash, a higher ratio of CP/ADF, and lower toughness. No difference was found for fat, crude protein, total phenolics, hemicelluloses and lignin between food and non-food leaves. Even though the ratio of CP/ADF is generally regarded as a good indicator for colobine food choice, the difference in the ratio of CP/ADF between food and non-food leaves was only the result of differences in ADE Since positive correlations were found between ADF and tough- ness from all leaves （both food and non-food species）, and toughness of leaves was likely easier for R. bieti to sense than fiber content via mastication, the toughness of leaves may function as a predictor of food choice in this species [Current Zoology 56 （6） 643-49, 2010].

Spatial Heterogeneity of Soil Mineral Oxide Components in Depression Between Karst Hills,Southwest China

In karst regions,the spatial heterogeneity of soil mineral oxides and environmental variables is still not clear.We investigated the spatial heterogeneity of SiO2,Al2O3,Fe2O3,CaO,MgO,P2O5,K2O,and MnO contents in the soils of slope land,plantation forest,secondary forest,and primary forest,as well as their relationships with environmental variables in a karst region of Southwest China.Geostatistics,principal component analysis(PCA),and canonical correlation analysis(CCA)were applied to analyze the field data.The results show that SiO2was the predominant mineral in the soils(45.02%–67.33%),followed by Al2O3and Fe2O3.Most soil mineral oxide components had a strong spatial dependence,except for CaO,MgO,and P2O5in the plantation forest,MgO and P2O5in the secondary forest,and CaO in the slope land.Dimensionality reduction in PCA was not appropriate due to the strong spatial heterogeneity in the ecosystems.Soil mineral oxide components,the main factors in all ecosystems,had greater influences on vegetation than those of conventional soil properties.There were close relationships between soil mineral oxide components and vegetation,topography,and conventional soil properties.Mineral oxide components affected species diversity,organic matter and nitrogen levels.

Differentiation of Behcet's disease from inflammatory bowel diseases:Anti-saccharomyces cerevisiae antibody and anti-neutrophilic cytoplasmic antibody

The differential diagnosis of Behcet's disease(BD) from inflammatory bowel disease(IBD) is sometimes difficult and challenging.Hereby,we suggested the utility of anti-saccharomyces cerevisiae antibody(ASCA) and anti-neutrophilic cytoplasmic antibody(p-ANCA) in the differential diagnosis of BD from IBD.

Iron-incorporated nitrogen-doped carbon materials as oxygen reduction electrocatalysts for zinc-air batteries

The application of electrocatalysts for the oxygen reduction reaction(ORR) is vital in a variety of energy conversion technologies. Exploring low-cost ORR catalysts with high activity and long-term stability is highly desirable, although it still remains challenging. Herein, we report a facile and reliable route to convert ZIF-8 modified by Fe-phenanthroline into Fe-incorporated and N-doped carbon dodecahedron nanoarchitecture(Fe-NCDNA), in which carbon nanosheets are formed in situ as the building blocks with uniform Fe-N-C species decoration. Systematic electrochemical studies demonstrate that the as-synthesized Fe-NCDNA electrocatalyst possesses highly attractive catalytic features toward the ORR in terms of activity and durability in both alkaline and neutral media. The Zn-air battery with the optimal Fe-NCDNA catalyst as the cathode performs impressively, delivering a power density of 184 m W cm^–2 and a specific capacity of 801 m Ah g^–1;thus, it exhibits great competitive advantages over those of the Zn-air devices employing a Pt-based cathode electrocatalyst.

Spatially Different Nutrient Histories Recorded by Multiple Cores and Implications for Management in Taihu Lake, Eastern China

The Taihu Lake,a large shallow lake in the floodplain of the Changjiang(Yangtze) River in the eastern China,is faced with challenging ecological problems resulting from eutrophication,which has affected the regional freshwater supply of a large population.Although efforts have been made to assess the nutrient evolution histories in the northern bays,little is known regarding nutrient histories in different parts across the entire lake basin.In this paper,we present nutrient histories for different parts of the lake based on chironomid transfer functions applied to four short cores obtained from the northern,western and eastern regions of the lake.The chironomid-inferred total phosphorus(CI-TP) concentrations were compared with the phosphorus concentrations obtained by using instrumental and sedimentary data.The results suggest that trophic evolution histories were asynchronous throughout the lake during the past decades in response to different ecological regimes controlled by the nutrient input,wind direction and shoreline topography.The restoration of aquatic plants may be an effective option for the management of lake rehabilitation to ′natural′ conditions.Given the multiple factors controlling the biotic communities in such a large and complex lake,combined analyses among the multi-proxies encountered in the sediments are necessary for comprehensive insight into paleolimnological studies.The spatial heterogeneity in the ecological trajectories within this complicated ecosystem suggests that different management practices should be undertaken for specific lake zones in the Taihu Lake.

Ground stability of underground gateroad with 1 km burial depth： A case study from Xingdong coal mine, China

This paper presents an integrated investigation of the ground stability of a deep gateroad with a 1 km burial depth based on a field test, case studies, and numerical modelling. In situ stress measurements and mechanical properties tests were first conducted in the test site. Then, the deformation behavior, stress and yield zone distributions, as well as the bolts load of the gateroad, were simulated using FLAC3D software. The model results demonstrated that the soft rock properties and high in situ stress were the main factors for the deep gateroad instability, and the shear slip failure induced by the high stress was the primary failure model for the deep rock mass. In addition, the unsuitable support patterns, especially the relatively short bolts/cables with low pre-tensions, the lack of high-strengthen secondary supports and the unsupported floor strata, also contributed to the gateroad instability. Subsequently, a new combined supporting strategy, incorporating longer bolts/cables, yielding ring supports, and grouting measures, was proposed for the deep gateroad, and its validity was verified via field monitoring. All these could be a reference for understanding the failure mechanism of the gateroad with 1 km burial depth.

Changes in Soil Properties of Paddy Fields Across a Cultivation Chronosequence in Subtropical China

Rice production plays a crucial role in the food supply of China and a better understanding of the changes in paddy soil fertility and the management effects is of practical importance for increasing rice productivity. In this study, field sampling in a typical red soil region of subtropical China, Jiangxi Province, was used to observe changes in the soil physical, chemical, and biological properties in a cultivation chronosequence of paddy fields. After cultivation, clay (< 0.002 mm) content in the soil…

Evolution of neurotransmitter gamma-aminobutyric acid, glutamate and their receptors

Gamma-aminobutyric acid （GABA） and glutamate are two important amino acid neurotransmitters widely present in the nervous systems of mammals, insects, round worm, and platyhelminths, while their receptors are quite diversified across different animal phyla. However, the evolutionary mechanisms between the two conserved neurotransmitters and their diversified receptors remain elusive, and antagonistic interactions between GABA and glutamate signal transduction systems, in particular, have began to attract significant attention. In this review, we summarize the extant results on the origin and evolution of GABA and glutamate, as well as their receptors, and analyze possible evolutionary processes and phylogenetic relationships of various GABAs and glutamate receptors. We further discuss the evolutionary history of Excitatory/Neutral Amino Acid Transporter （EAAT）, a transport protein, which plays an important role in the GABA-glutamate ＂yin and yang＂ balanced regulation. Finally, based on current advances, we propose several potential directions of future research.

Heterogeneity and plasticity of T helper cells

CD4 T helper （Th） cells play critical roles in adaptive immune responses. They recruit and activate other immune cells including B cells, CD8 T cells, macrophages, mast cells, neutrophils, eosinophils and basophils. Based on their functions, their pattern of cytokine secretion and their expression of specific transcription factors, Th cells, differentiated from naive CD4 T cells, are classified into four major lineages, Thl, Th2, Th17 and T regulatory （Treg） cells, although other Th lineages may exist. Subsets of the same lineage may express different effector cytokines, reside at different locations or give rise to cells with different fates, whereas cells from different lineages may secrete common cytokines, such as IL-2, IL-9 and IL-10, resulting in massive heterogeneity of the Th cell population. In addition, the pattern of cytokine secretion may switch from that of one lineage toward another under certain circumstances, suggesting that Th cells are plastic. Tregs are also more heterogeneous and plastic than were originally thought. In this review, we summarize recent reports on heterogeneity and plasticity of Th cells, and discuss potential mechanisms and implications of such features that Th cells display.

Quantitative Analysis of Relationships Between Crack Characteristics and Properties of Soda-saline Soils in Songnen Plain, China

The Songnen Plain has a typical soda-saline soil, which often shrinks and cracks under natural conditions during water evaporation. This study aims to analyze the relationships between the crack characteristics and the soil properties of soda-saline soils quantitatively, and attempts to establish prediction models for the main soil properties of soda-saline soils based on the results. In order to achieve these objectives, a desiccation cracking test was conducted using 17 soil specimens with different salinity levels under controlled laboratory conditions. Correlation analysis was then performed between the crack characteristics and the soil properties. The results indicate that the crack characteristics can well represent the surface appearances of cracked soils, they also can well distinguish the salinity levels of soda-saline soils while the clay contents and mineralogical compositions of soils are stable. Among the crack characteristics, crack length has the best relationships with the salinity levels of soda-saline soils. Specifically, the crack length has high correlation(R2 > 0.87) with the electrical conductivity(EC), Na+, CO32– and the salinity, it also has reasonable relationship(R2 > 0.68) with HCO3–, this indicates crack length can be well used for the prediction of these properties of soda-saline soils.

CLINICAL AND PATHOLOGICAL MANIFESTATI-ONS OF PATIENTS WITH ANTINEUTROPHIL CYTO-PLASMIC AUTOANTIBODIES DIRECTED AGA INST PROTEINASE 3 OR MYELOPEROXIDASE

To compare the clinical and pathological manifestations of patients with antineutrophil cytoplasmic autoantibodies (ANCA) directed against proteinas e 3 (anti PR3) or myeloperoxidase (anti MPO). Methods. One hundred and forty patients with ANCA were detected for anti PR3 a nd anti MPO by ELISA. The clinical features at presentation, histopathological characteristics and outcome of all patients who were tested positive for anti P R3 or anti MPO were analysed.Results. In anti PR3 group (n=21), 16 cases (76.2%) had systemic vasculitis , in which Wegener’s granulomatosis prevailed (13 cases, 61.9%). In anti MPO g roup (n=31), 19 cases (61.3%) were diagnosed as systemic vasculitis and 12 case s (38.7%) as microscopic angiitis. For vasculitic patients with anti PR3 and a nti MPO, the disease duration at diagnosis was 9.6±2.0m and 4.4±0.9m respecti vely, P< 0.05;vasculitis activity index (BVAS) and mean number of affected organ were 22.5±2.1, 5.0±0.4 and 25.1±1.7, 4.8±0.4 respectively, P >0.05;upper r espiratory tract, eye and joint involvements were 11(68.8%), 7(43.8%), 11(68.8 %) and 7(36.8%), 2(10.5%), 5(26.3%) respectively, P< 0.05.Although there was no statistical difference in renal involvement between these two groups, patien ts with serum creatine >500 μmol/L were more commonly seen in anti MPO group t han in anti PR3 group, which were 8(42.1%) and 2(12.5%) respectively, P< 0.05 . Ten relapses were seen in anti PR3 group and only 2 in anti MPO group, but t he acute mortality rate in anti MPO group (5/19, 27.4%) was much higher than t hat in anti PR3 group (1/16, 6.3%). Conclusions. Anti PR3 and anti MPO occurred mainly in systemic vasculitis. A large divergence was seen in the disease spectrum between patients with anti PR 3 and those with anti MPO. In particular, upper respiratory tract, eye and join t involvements, granuloma formation and relapse were more prominent in anti PR3 patients. By contrast, the anti MPO patients had a more acute disease onset, m ore rapid progressive renal involvement and a higher acute mortality rate.