陈立夫人理学思想论析

陈立夫的人理重心说是在孟子性善论的基础上对宋明理学尤其是对"即物穷理"、"致良知"等思想的继承和发展;他的人理学思想对当前倡导和谐理念、弘扬和谐精神、构建和谐文化的讨论也有一定的文化借鉴意义,为构建和谐社会提供历史借鉴。

Histopathological Study on Chickens Artificially Infected with Infectious Laryngotracheitis

[Objective] This study aimed to investigate the histopathological changes in chickens artificially infected with infectious laryngotracheitis（ILT）. [Method] Through ar- tificial injection of allantoic liquid containing ILTV into chickens to induce infectious laryngotracheitis, the clinical symptoms in infected chickens were observed; tissues of trachea, lungs, heart, liver, kidney and spleen were collected from dead chickens, and prepared into paraffin sections, followed by histopathological observation under a microscope. [Results] This disease occured in the inoculated chickens 3d later, with a morbidity rate of 95%. The main symptoms were dyspnea, asthma and coughing up of bloody exudate; yellowish-white pseudomembrane was observed on dissected larynx trachea; swelling, haemorrhage, and further erosion were observed on the in- fected tracheal mucosa, resulting in death of chickens, with the mortality rate of 25%; histopathological observation showed that parenchymal organs exhibited exuda- tive inflammation; swelling, degeneration, necrosis and shedding of epithelial cells were observed; disturbance of blood circulation occured.[Conclusion] This study pro- vides reference bases for the treatment of ILT.

The necessary humanistic embodiment in the philosophy, theory and mode of College English teaching

Along with development of China＇s popular education, the embodiment of humanistic education is the natural and inevitable requirement of higher education after its transition from elite to popular education to ensure a good quality and a higher level. English teaching is indispensable due to the uniqueness of Chinese language and culture, and our open policy. College English teaching has become an extremely important platform, different from most other countries, to train talents. And to train talents is not only to train for the English language speakers or to be just certain technicians. This article will, from aspects of teaching philosophy, theory and mode, give a preliminary probe into the reasons why humanistic education should show itself up in all segments of college English teaching and how to show up. And it is expected to use the little to get the big.

Pedogenic and Anthropogenic Influence on Calcium and Magnesium Behaviors in Stagnic Anthrosols

The formation of Stagnic Anthrosols is closely related to rice planting and parent materials. Six representative pedons, two from each of three Stagnic Anthrosol subgroups, Vertic Haplic-, Vertic Gleyic-, and Sulfic Gleyic-Stagnic Anthrosols, from different parent materials and soil formation processes, from Liaoning Province, China, were selected and used along with additional supporting data to assess the potential impact in each soil subgroup combination of both pedogenic and anthropogenic factors on the migration and geochemical characteristics of calcium (Ca) and magnesium (Mg) and their relations to soil particle-size composition. Results revealed that exchangeable Mg was correlated positively with clay and silt content, but negatively with sand content, suggesting that clay and silt could retain more exchangeable Mg than sand. Also, in the six pedons exchangeable Ca/Mg ratios generally decreased with depth, which was most likely due to the preferential retention of Mg below the Apl horizon and the effects of bio-cycling in rice-soil systems. The pedons with high pH had smaller exchangeable Ca/Mg ratios than those with low pH. Thus, it was concluded that exchangeable Ca/Mg ratios could be helpful in classification of Stagnic Anthrosols.

Racial differences in the anatomical distribution of colorectal cancer:a study of differences between American and Chinese patients

AIM: To compare the racial differences of anatomical distribution of colorectal cancer (CRC) and determine the association of age, gender and time with anatomical distribution between patients from America (white) and China (oriental).METHODS: Data was collected from 690 consecutive patients in Cleveland Clinic Florida, U.S.A. and 870consecutive patients in Nan Fang Hospital affiliated to the First Military Medical University, China over the past 11years from 1990 to 2000. All patients had colorectal adenocarcinoma diagnosed by histology and underwent surgery.RESULTS: The anatomical subsite distribution of tumor,age and gender were significantly different between white and oriental patients. Lesions in the proximal colon (P＜0.001) were found in 36.3 % of white vs 26.0 % of oriental patients and cancers located in the distal colon and rectum in 63.7 % of white and 74 % of oriental patients (P＜0.001). There was a trend towards the redistribution from distal colon and rectum to proximal colon in white males over time, especially in older patients (＞80 years).No significant change of anatomical distribution occurred in white women and Oriental patients. The mean age at diagnosis was 69.0 years in white patients and 48.3 years in Oriental patients (P＜0.001).CONCLUSION: This is the first study comparing the anatomical distribution of colorectal cancers in whites and Chinese patients. White Americans have a higher risk of proximal CRC and this risk increased with time. The proportion of white males with CRC also increased with time.Chinese patients were more likely to have distal CRC and developed the disease at a significantly earlier age than white patients. These findings have enhanced our understanding of the disease process of colorectal cancer in these two races.

Mechanisms of heme iron absorption:Current questions and controversies

Iron is a critical micronutrient, and iron derived from heme contributes a large proportion of the total iron absorbed in a typical Western diet. Heme iron is absorbed by different mechanisms than non-heme iron, but despite considerable study over many years these mechanisms remain poorly understood. This review provides an overview of the importance of heme iron in the diet and discusses the two prevailing hypotheses of heme absorption; namely receptor mediated endocytosis of heme, and direct transport into the intestinal enterocyte by recently discovered heme transporters. A specific emphasis is placed on the questions surrounding the site of heme catabolism and the identity of the enzyme that performs this task. Additionally, we present the hypothesis that a non-heme iron transport protein may be required for heme iron absorption and discuss the experiences of our laboratory in examining this hypothesis.

NOD2: Ethnic and geographic differences

Investigations into the inheritance of the three risk alleles R702W, G908R and 1007 fsInsC in NOD2 associated with susceptibility to Crohn＇s disease have demonstrated a remarkable amount of heterogeneity across ethnicities and populations, with regional variation across Europe for example, suggesting local founder effects. In nonCaucasian populations Crohn＇s disease continues to increase in incidence but this increase appears not to be a consequence of variation in NOD2, further advancing the accumulating evidence for other susceptibility loci. Frequencies of the known alleles are compared across populations in health and disease and evidence for additional alleles in NOD2 is reviewed. Based on its position on chromosome 16 coincident with some other autoimmune disease susceptibility Iocalizations, research has targeted NOD2 variation as the potential cause of other autoimmune disorders. While these investigations have mostly returned negative findings, two diseases, Blau Syndrome and Graft versus Host Disease, have been shown to be caused by risk alleles in NOD2. As is frequent in complex disease investigations, some results await validation, but the identification of NOD2 and the differences within and across population raises intriguing questions about the population genetics of the variation at this locus.

Can nurses remain relevant in a technologically advanced future?

Technological breakthroughs occur at an ever-increasing rate thereby revolutionizing human health and wellness care.Technological advancements have drastically changed the structure and organization of the healthcare industry.McKinsey Global Institute estimates that 800 million workers worldwide could be replaced by robots by the year 2030.There is already a robotic revolution happening in healthcare wherein robots have made tasks and procedures more efficient and safer.Locsin and Ito has addressed the threat to nursing practice with human nurses being replaced by humanoid robots.Routine nursing care dictated solely by prescribed procedures and accomplishment of nursing tasks would be best performed by machines.With the future practice of nursing in a technologically advanced future transcending the implementation of nursing actions to achieve predictable outcomes,how can human nurses remain relevant as practitioners of nursing?Nurses should be involved in deciding which aspects of their practice can be delegated to technology.Nurses should oversee the introduction of automated technology and artificial intelligence ensuring their practice to be more about the universal aspects of human care continuing under a novel system.Nursing education and nursing research will change to encompass a differentiated demand for professional nursing practice with,and not for,robots in healthcare.

Mathematical Analysis of the Meridian System in Traditional Chinese Medicine

Energy expenditure of the meridian system in traditional Chinese medicine(TCM)for living human bodies is one of the fundamental questions regarding the physical properties of the meridian system.As a first attempt to address this,24 hand/foot meridians were modeled as a continuous channel with the sustainable movement of Qi and blood inside.Then,the fluid mechanics energy equation for steady and incompressible flow was applied to estimate the pumping power of meridian circulation,based on the meridian length,blood viscosity and circulation velocity.Additional findings based on the pumping power estimation results include:(1)new information to corroborate the determination of the production era of Yellow Emperor’s Inner Classics(Huang Di Nei Jing,《黄帝内经》);(2)a new definition for work of breathing(WOB)from a TCM perspective.This paper could lead to future research aimed at modernizing the understanding of the meridian system,Qi and TCM using quantitative methods.

Cardiovascular physiology in the older adults

1 Introduction In an aging society with persistent high prevalence of cardiovascular disease （CVD） in the elderly population, the health care system is facing an increasing challenge to effectively care for these patients. However, due to the under-representation of CVD patients over 75 years of age in clinical trials, assessing safety and efficacy of diagnostic and therapeutic approaches, the evidence for managing elderly CVD patients is especially limited. Physiological changes of aging intertwined with pathophysiology of CVD, and comorbid conditions often complicate clinical management.

Attitude of nursing students towards Internet-based nursing services for the aged

Objective To investigate the attitude,willingness,and motivation of third-year undergraduate nursing students from a university of Chinese medicine toward Internet-based nursing services for the aged(IBNSA),providing a reference for its development and related nursing education.Methods This study was conducted from March to April 2019.Using a self-designed questionnaire,this cross-sectional study comprised 508 third-year undergraduate nursing students from a university of Chinese medicine.The questionnaire was divided into two parts.The first part contained the general information of nursing students.The second part investigated nursing students’attitudes,willingness,and motivation towards IBNSA(a total of seven questions).Results Of the 508 nursing students,314(61.81%)expressed support for the IBNSA,44(8.66%)expressed disapproval.Regarding career choice,279(54.92%)were willing to choose IBNSA,51(10.04%)were unwilling.The top three motivations for choosing IBNSA as a nursing student career were increased income,high autonomy and flexibility,and good job prospects.On the contrary,the top three reasons not to choose this option were safety concerns,lack of time and energy,and unwillingness to undertake elderly care.Experience with community activities or a part-time job,experience with elderly care,willing to choose the nursing profession,willing to engage in nursing care after graduation,and willing to engage in nursing for elderly patients after graduation were significantly associated with the motivation of nursing students to participate in IBNSA(P<0.05).Conclusion The majority of nursing students have a positive attitude towards IBNSA and are willing to choose it as their future career.Nurses’and patients’safety guarantees and salary distribution were critical factors influencing their choice.Nursing schools should pay attention to the concerns of nursing students,constantly improve the management system of IBNSA,strengthen safety education,and provide professional knowledge and skills to improve the quality of personnel training.

A study of the relationship between professional values and ethical climate and nurses'professional quality of life in Iran

Objective:To explore the relationship between nursing professional values and ethical climate and nurses'professional quality of life.Methods:The present study is a descriptive,cross-sectional work in which 400 nurses from various wards of hospitals in the south-east of Iran were studied.Data were collected using a questionnaire consisting of four sections:demographics,Nurses'Professional Values Scale-Revised(NPVS-R),the Hospital Ethical Climate Survey(HECS),and the Professional Quality of Life Scale(ProQOL).Results:The total mean scores for professional values were 105.29±15.60.The total mean score for the ethical climate was 100.09±17.11.The mean scores for the indexes of compassion satisfaction,burnout,and secondary traumatic stress were 45.29±8.93,34.38±6.84,and 32.15±7.02 respectively.The relationships between professional values and the indexes of compassion satisfaction(r=0.56),burnout(r=0.26),and secondary traumatic stress(r=0.18)were found to be positive and significant(P<0.001).Also,the relationships between ethical climate and the items of compassion satisfaction(r=0.60,P<0.001),burnout(r=0.15,P=0.002)were found to be positive and significant.Conclusion:An understanding of nurses'perception of professional values and improving the ethical climate at work can help nursing administrators identify more effective strategies toward increasing compassion satisfaction and lessening bumout and work-related stress.

Prevalence and correlates of lifestyle behavior,anxiety and depression in Chinese college freshman:A cross-sectional survey

Objectives:First-year college students had exposure to unhealthy lifestyle behaviors that correlate with a high prevalence of anxiety and depression.Regarding to the modifiable lifestyle behaviors factors,this study investigated the prevalence and correlation of multiple lifestyle behaviors,anxiety and depression in a sample of Chinese first-year college students.Methods:Cross-sectional data were extracted from Residents eHealth app of health lifestyle behaviors survey from September to October 2019.Anxiety,depression,eating regular meals,consumption of snacks in-between meals,consumption of fruit,dessert and sugar-sweetened beverages,smoking and secondhand smoke exposure,consuming alcohol,physical activity,sedentary time were assessed by self-report.Socio-demographic including age,gender,education,family income,religion,and health condition were captured.Logistic regression was used to explore the association of multiple lifestyle behaviors,anxiety and depression.Results:Totally 1,017 participants were included in the study.The prevalence of anxiety and depression(from mild to severe) were 40.3% and 45.3%,respectively.In multivariable analyses,religion (believe in Buddhism,OR =2.438,95%CI:1.097-5.421;believe in Christian,OR =5.886,95%CI:1.604-21.597),gender (Female,OR =1.405,95%CI:1.001-1.971),secondhand smoke exposure (OR =1.089,95%CI:1.001-1.184),and eating regular meals (OR =0.513,95%C1:0.346-0.759) were associated with anxiety.Family income (OR =0.732,95%CI:0.596-0.898),eating regular meals (OR =0.641,95%CI:0.415-0.990),frequency of breakfast (OR =0.813,95%CI:0.690-0.959),with a chronic disease (OR =1.902,95%CI:1.335-2.712),and consumption of nocturnal snack (OR =1.337,95%CI:1.108-1.612) were associated with depression.Conclusions:These results highlighted the need for early lifestyle behavior intervention,especially modifying diet patterns considering the background of religion,health condition,and social-economic status in first-year college students to improve their mental health.

A Proposal of Adaptive PID Controller Based on Reinforcement Learning

Aimed at the lack of self-tuning PID parameters in conventional PID controllers, the structure and learning algorithm of an adaptive PID controller based on reinforcement learning were proposed. Actor-Critic learning was used to tune PID parameters in an adaptive way by taking advantage of the model-free and on-line learning properties of reinforcement learning effectively. In order to reduce the demand of storage space and to improve the learning efficiency, a single RBF neural network was used to approximate the policy function of Actor and the value function of Critic simultaneously. The inputs of RBF network are the system error, as well as the first and the second-order differences of error. The Actor can realize the mapping from the system state to PID parameters, while the Critic evaluates the outputs of the Actor and produces TD error. Based on TD error performance index and gradient descent method, the updating rules of RBF kernel function and network weights were given. Simulation results show that the proposed controller is efficient for complex nonlinear systems and it is perfectly adaptable and strongly robust, which is better than that of a conventional PID controller.

How to Apply Humanistic Psychology to Establish an Effective Emotional Class Climate in China

To enhance students＇ all-around development and personal potential is the main purpose that teachers want to obtain in their teachings. The author believes that it can be achieved only in a relaxed and safe class atmosphere. The article introduces the humanistic psychology and illustrates how to apply humanistic psychology to the foreign language class and establish an effective emotional class climate in China.

CARPAL TUNNEL SYNDROME：ETIOLOGICAL，CLINICAL AND ELECTROPHYSIOLOGICAL ASPECTS OF 262 CASES

Two hundred and sixty-two patients with carpal tunnel syndrome (CTS) were analyzed retrospectively. Results showed that middle-and older-age women were more apt to have CTS than men, and that the dominant hand was more frequently affected. Hormonal changes , repetitive and forceful movements, awkward positions of hand and wrist, and other factors may be associated with CTS. Typical clinical manifestations include pain and paresthesia in the median nerve territory, worsening at night or in the early morning , and being relieved by shaking the hand. Although the patients may localize the discomfort beyond the territory, sensory changes are variable and not entirely reliable. Conduction abnormalities often appeared selectively in the median nerve distal to the wrist in CTS. If the patient who is clinically suggestive of CTS shows normal conduction with conventional methods, palmar stimulation and inching technique is recommended. The diagnosis of CTS requires confirmation of illness history, symptoms and signs with objective electrodiagnostic tests.

Framework of Pattern Recognition Model Based on the Cognitive Psychology

According to the fundamental theory of visual cognition mechanism and cognitive psychology,the visual pattern recognition model is introduced briefly.Three pattern recognition models,i.e.template_based matching model,prototype_based matching model and feature_based matching model are built and discussed separately.In addition,the influence of object background information and visual focus point to the result of pattern recognition is also discussed with the example of recognition for fuzzy letters and figures

Role of chemotherapy and novel biological agents in the treatment of elderly patients with colorectal cancer

Patients older than 65 years are the fastest growing segment of the cancer population. It is estimated that within 20 years over 75% of cases and 85% of deaths from colorectal cancer (CRC) will be in this setting. Concerns about cancer treatment in the elderly relate to comorbidities, which increase proportionally with age, physiological changes associated with aging which may influence drug metabolism and toxicity, and diminishing life expectancy, which particularly impacts decisions surrounding the benefits of adjuvant therapies. Over the last 10 years, significant improvements in the treatment of advanced CRC with combination therapy have been made. The randomized trials which have defined these improvements did not exclude elderly patients. However, the median age of patients in these trials has generally been approximately 60 years. Thus, it appears that some degree of selection is involved with younger and presumably fitter patients being the subjects in most of the pivotal trials. The availability of new molecularly targeted agents and newly improved existing agents has expanded the range of treatment options available. This variety gives greater flexibility in dealing with different subsets of patients, such as the elderly. However, some fit elderly patients seem to tolerate combination therapy reasonably well, while studies on unfit elderly subjects are needed.

CORRELATION INVESTIGATION BETWEEN CONTACT APPROACH SPEED OF HANDHELD METAL ROD AND DISCHARGE PARAMETERS FROM CHARGED HUMAN BODY

Characteristic measurement of contact discharge currents are made through a hand-held metal rod from charged human body. Correlation coefficients are obtained, through Statistic Package for Social Science (SPSS), for various charge voltages, which is based on the effect test of electrode contact approach speeds on discharge current parameters of current peaks, maximum rising slope and spark lengths. Discharge parameters at charge voltage 300V are independent on approach speed. For charge voltages equal to and higher than 500V, the contact approach speed has strong positive cor- relation with discharge parameters of the peak current and the maximum rising slope, whereas has strong negative correlation with the spark length.

Introduction to Unity of Physics and Biology, Inorganic Life Materials

The unity between physics and biology refers to that the inorganic systems： the Solar System, galaxies and artificial systems have the same structures and functions as the organisms. The development of science and technology is demonstrating the intense unification trends of physics and biology and a holistic science and technology era is about to start. The physics and biology unify on the basis of the four seasons＇ law, which is the most important rule of the universe. Life is defined as the four seasons＇ whole with the structure and process of four seasons. The organism is basically structured into a dual four-season body by state-varying, state-stabilizing and control organizations. Animals, the Solar System and the earth are all the dual four-season bodies. In the unity between physics and biology, the inorganic life materials and inorganic life body can be manufactured artificially.