高等医学院校本科教学工作自评实践与启示

随着高等教育规模的扩大和科技、人才竞争的加剧,社会各界和院校本身更加关注教育质量和教育绩效问题.教育质量评价已经成为一个十分重要的课题,并成为端正院校办学思想、改进教学工作、推进教学改革、不断提升教学质量的首要手段.2002年下半年至2003年上半年,第三军医大学历时1年的时间开展了全校性的本科教学自评工作,取得了较好的评估效应.

山东省医务人员医德考评实施办法（试行）

为加强医德医风建设，提高医务人员职业道德素质和医疗服务水平，建立对医务人员规范有效的激励和约束机制，根据卫生部《关于建立医务人员医德考评制度的指导意见（试行）》及有关法律、法规和规章的规定，省卫生厅制定了《山东省医务人员医德考评实施办法（试行）》并于8月12日以鲁卫医[2008]63号文正式印发，现予刊载。

工程认证背景下实践课程成绩评定方法与应用

随着非标准化考试等教学改革的推进,课程成绩评定成为高校实践类课程的重要考核方式。然而,由于缺乏客观定量的评价方法,主观性考核方式在认定考生成绩时存在较大不确定性。如何有效降低主观评判的随意性和不确定性成为课程成绩核定亟须解决的问题。研究提出基于师生协作的综合成绩评估方法,采用动态权重法综合学生打分和教师打分,形成更加合理的综合成绩分布,并以本科必修课程“环境规划与管理”期末成绩评定为例开展案例研究。结果表明,合理应用学生打分能够改善学生成绩分布,但要注意规避学生打分可能存在的均一化倾向和简单等权评分带来的成绩偏态分布问题。研究成果以期为大学实训类课程成绩评定提供一种新的方法。

Intelligibility evaluation of enhanced whisper in joint time-frequency domain

Some factors influencing the intelligibility of the enhanced whisper in the joint time-frequency domain are evaluated. Specifically, both the spectrum density and different regions of the enhanced spectrum are analyzed. Experimental results show that for a spectrum of some density, the joint time-frequency gain-modification based speech enhancement algorithm achieves significant improvement in intelligibility. Additionally, the spectrum region where the estimated spectrum is smaller than the clean spectrum, is the most important region contributing to intelligibility improvement for the enhanced whisper. The spectrum region where the estimated spectrum is larger than twice the size of the clean spectrum is detrimental to speech intelligibility perception within the whisper context.

Assessment and Implementation Intention of Circular Agriculture in Jiangsu Province with a Case of 20 Farmers' Professional Cooperatives in Huai'an City

Circular agriculture is of practical significance for Jiangsu agriculture. The research conducted quantitative analysis on circular agriculture in Jiangsu by estab- lishing assessment index system of circular agriculture development, In 2013, most indices of Jiangsu circular agriculture kept higher than national levels, but many problems exist such as excessive uses of chemical fertilizer, pesticide and mulch. Therefore, it is effective for advancing circular agriculture in Jiangsu to stabilize gov- emment fiscal support and broaden financing channels.

鹤壁市残疾人视力残疾的评定和分析

1997年6月～1998年2月,我们根据市“残联”的布署,对鹤壁市两县四区 1202名残疾人进行了换证体检,并对视力残疾进行了评定和分析。与以往标准不同的是,视力残疾的盲和低视力均指双眼,若双眼视力不同,则以视力较好的一眼为准。如仅有一眼为盲或低视力,而另一眼视力达到或优于0.3,则不属于视力残疾范围。视野<5°或<10°者,不论其视力如何均属于盲。

Research on the evaluation of marine function zoning and its practice in China

The evaluation of marine function zoning （hereinafter referred to as MFZ） is an important part of MFZ. This paper studies the principles of MFZ evaluation and the evaluation procedures. It is proposed that three main aspects, including the evaluation of MFZ implementation situation, the evaluation of the performance effects and the evaluation of the changes of dependent conditions, are the top priorities in establishing an evaluation indicator system framework. The evaluation of MFZ implementation situation includes assessing the general situation of MFZ and the degree of implementation and public participation. The evaluation of the performance effects involves the assessments of the achievements and the existing problems in the rectification and standardization of utilizing the sea areas, protecting marine resources and environment, and promoting marine economic development. The evaluation of the changes of dependent conditions includes the assessments and measurements of the changes in the social and economic conditions, the use demands of marine industries, marine resource conditions and marine environmental conditions. This paper provides the means of integrating quantitative and qualitative approaches into the scientific and systematic evaluation on MFZ. The evaluation results can determine whether MFZ needs to be altered or not. The results also provide an important reference basis for determining whether a slight or great alteration is justified. To illustrate the utility of the MFZ evaluation indicator system, an evaluation example is given. Further studies are needed to make the evaluation of MFZ more scientific, reasonable, fair and effective.

Ambiguity in our daily language usage in both English and Chinese

Ambiguity is a unique linguistic feature and is caused by many factors. This paper first introduces the definitions of ambiguity and then mainly illustrates ambiguity in our daily language usage in both English and Chinese from phonetic level and syntactic level. People can learn the relationships among those levels and grasp the rule of learning language. Thus, people can realize the complexity and importance of using language and know that it is not easy to express ideas accurately.

Confocal laser endomicroscopy and immunoendoscopy for real-time assessment of vascularization in gastrointestinal malignancies

Gastrointestinal cancers represent a major cause of morbidity and mortality,with incomplete response to chemotherapy in the advanced stages and poor prognosis.Angiogenesis plays a crucial part in tumor growth and metastasis,with most gastrointestinal cancers depending strictly on the development of a new and devoted capillary network.Confocal laser endomicroscopy is a new technology which allows in vivo microscopic analysis of the gastrointestinal mucosa and its microvascularization during ongoing endoscopy by using topically or systemically administered contrast agents.Targeting markers of angiogenesis in association with confocal laser endomicroscopic examination(immunoendoscopy),as a future challenge,will add functional analysis to the morphological aspect of the neoplastic process.This review describes previous experience in endomicroscopic examination of the upper and lower digestive tract with emphasis on vascularization,resulting in a broad spectrum of potential clinical applications,and also preclinical research that could be translated to human studies.

Experimental evaluation of fluorescent (alizarin red S and calcein) and clip-tag markers for stock assessment of ark shell, Anadara broughtonii

Release programs to enhance stocks of ark shell(Anadara broughtonii) have been undertaken in a number of Asian countries,but their effectiveness has rarely been investigated owing to a lack of marking methods.The quality and longevity of fluorescent markers,alizarin red S(ARS) and calcein(CAL)(200 and 300 mg/L),as well as clip tags,were tested on juvenile A.broughtonii.No significant differences in survival or shell growth were observed in juveniles stained with either of the two fluorochromes after a 160-day culture period,but the retention rate was 100%after 1 year.Fluorescent marks(>grade 3) were observable microscopically in juveniles stained with the two fluorochromes,and some fluorescent marks(>grade 4) were visible with the naked eye after 1 year.ARS-marked shells were brighter than those marked with CAL,and shells marked with 300 mg/L of the fluorochromes were easier to detect than those marked with 200 mg/L.Clip tags were incorporated into the shell as the bivalve grew,and the retention rate was64.25%after 160 days.Significant differences in survival(at 30 days),shell length(at 60,90,120,and 160days),and wet weight(at 90,120,and 160 days) were observed between the clip-tagged and control groups(all P<0.05),indicating that the tags may have passive effects on the ark shell.The results suggest that both ARS and CAL are suitable to mark A.broughtonii for large-scale restocking programs,and that optimal marking quality was achieved with 300 mg/L ARS.Lighter and smaller clip tags need to be developed to reduce injury and increase survival rate of clams.

Entrustable professional activities in nursing:A concept analysis

Objective:Entrustable professional activities(EPAs)is a newly emerging concept.This paper aims at analyzing the concept of"EPAs"to clarify the meaning and to identify its components for optimum understanding of the concept for use in nursing education and future research.Method:Three databases-ProQuest,Ovid,and PubMed-were retrieved,and Walker and Avant's concept analysis approach was used to analyze the concept of EPAs.Results:Based on the analysis,three attributes of EPAs were defined,namely (1)EPAs should be restricted to a limited number of tasks;(2)reflect the experience curve;and (3)include acceptance of responsibility and accountability.The antecedent of EPAs is a holistic and integrated assessment approach.This will eventually lead to anticipated consequences such as a mastery of core competencies and an increase in the level of autonomy.Conclusion:The study may contribute to a reduction in the ambiguity of this concept to better apply it in nursing practice.

Multimodality approach for locally advanced esophageal cancer

Carcinoma of the esophagus is an aggressive and lethal malignancy with an increasing incidence worldwide.Incidence rates vary internationally,with the highest rates found in Southern and Eastern Africa and Eastern Asia,and the lowest in Western and Middle Africa and Central America.Patients with locally advanced disease face a poor prognosis,with 5-year survival rates ranging from 15%-34%.Recent clinical trials have evaluated different strategies for management of locoregional cancer;however,because of stage migration and changes in disease epidemiology,applying these trials to clinical practice has become a daunting task.We searched Medline and conference abstracts for randomized studies published in the last 3 decades.We restricted our search to articles published in English.Neoadjuvant chemoradiotherapy followed by surgical resection is an accepted standard of care in the United States.Esophagectomy remains an essential component of treatment and can lead to improved overall survival,especially when performed at high volume institutions.The role of adjuvant chemotherapy following curative resection is still unclear.External beam radiation therapy alone is considered palliative and is typically reserved for patients with a poor performance status.

Evaluation and empirical research on the energy efficiency of 20 mining cities in Eastern and Central China

The gap of energy efficiency of eastern and central mining cities in China continues to expand, getting more attention from relevant departments. In this work, 20 mining cities in Eastern and Central China from 2010 to 2014 have been selected as research samples using data envelopment analysis(DEA).Research results show that the level of energy efficiency in mining cities is still low. China is in an extensive economic growth mode with high input, high consumption, low output and low efficiency. Mining cities in China have a huge potential to conserve energy and reduce emissions. China should optimize industrial structures, strengthen scientific and technological input and innovation, as well as implement energy-saving emissions reductions, and increase investment in environmental protection and ideological propaganda.

Measuring Thermal Mass of Sustainable Concrete Mixes

Thermal mass is currently evaluated with ＂admittance＂ which is the ability of the element to exchange heat with the environment and is based on specific heat capacity, thermal conductivity and density. The aim of this study is to evaluate the effect of thermal properties namely, density, specific heat capacity and thermal conductivity on thermal mass. The objective of the study is to carry out laboratory experiments by measuring such thermal properties of concrete mixes with various percentages of GGBS （ground granulated blast furnace slag）, PFA （pulverized fuel ash）, and SF （silica fume） and RCA （recycled coarse aggregates）. The results obtained from these tests would contribute to the evaluation of how such thermal properties influence the thermal admittance and hence the thermal mass performance of sustainable concrete elements in a building system.

Enrichment of Semi-Volatile Organic Acids from Aqueous Solutions by Multiple-Effect Membrane Distillation

Multiple-effect membrane distillation （MEMD） process for enriching semi-volatile organic acids from their individual aqueous solutions was performed by using a hollow fiber-based air gap membrane distillation （AGMD） module with the function of internal heat recovery. Aqueous solutions of glyoxylic acid, glycolic acid, lactic acid, pyrnvic acid, malonic acid and glutaric acid were used as model feed. For a feed of 1% （mass fraction）, each acid could be enriched for 8--20 times, which depended on the surface tension of the concentrate. The operation performance of MEMD process was characterized by permeation flux J, performance ratio PR and acid rejection rate R. The effects of cold feed-in temperature, heated feed-in temperature, feed-in volumetric flow rate and feed-in concen- tration on MEMD performance were experimentally evaluated. Maximum values of J, PR and R were 4.8 L/（h-m2）, 9.84 and 99.93%, respectively. Moreover, MEMD process demonstrated a fairly good stability in a long-term experiment lasting for 30 d when aqueous solution of 4% （mass fraction） lactic acid was used as a feed.

Numerical and experimental evaluation on methods for parameter identification of thermal response tests

Several parameter identification methods of thermal response test were evaluated through numerical and experimental study.A three-dimensional finite-volume numerical model was established under the assumption that the soil thermal conductivity had been known in the simulation of thermal response test.The thermal response curve was firstly obtained through numerical calculation.Then,the accuracy of the numerical model was verified with measured data obtained through a thermal response test.Based on the numerical and experimental thermal response curves,the thermal conductivity of the soil was calculated by different parameter identification methods.The calculated results were compared with the assumed value and then the accuracy of these methods was evaluated.Furthermore,the effects of test time,variable data quality,borehole radius,initial ground temperature,and heat injection rate were analyzed.The results show that the method based on cylinder-source model has a low precision and the identified thermal conductivity decreases with an increase in borehole radius.For parameter estimation,the measuring accuracy of the initial temperature of the deep ground soil has greater effect on identified thermal conductivity.

Assessment of rapid impact compaction in ground improvement from in-situ testing

Ground improvement has been used on many construction sites to densify granular materials, in other word, to improve soil properties and reduce potential settlement. This work presents a case study of ground improvement using rapid impact compaction （RIC）. The research site comprises the construction of workshop and depots as part of railway development project at Batu Gajah-Ipoh, Malaysia. In-situ testing results show that the subsurface soil comprises mainly of sand and silty sand through the investigated depth extended to 10 m. Groundwater is approximately 0.5 m below the ground surface. Evaluation of improvement was based on the results of pre- and post-improvement cone penetration test （CPT）. Interpretation software has been used to infer soil properties. Load test was conducted to estimate soil settlement. It is found that the technique succeeds in improving soil properties namely the relative density increases from 45% to 70%, the friction angle of soil is increased by an average of 3°, and the soil settlement is reduced by 50%： The technique succeeds in improving soil properties to approximately 5.0 m in depth depending on soil uniformity with depth.

Life cycle assessment of oxygen-18 production using cryogenic oxygen distillation

In this study, life cycle assessment of oxygen-18 by using cryogenic distillation of oxygen is performed using SimaPro 8.3 software. Life cycle assessment is performed to understand the environmental profile and hotspots of this process in order to be used in design and development. Simulation of oxygen-18 process is executed by Hysys software, and the required inputs and outputs for inventory of life cycle were acquired. By doing life cycle assessment and considering achieved results after characterization and normalization of inventory data it has been investigated that in the majority of environmental impacts electricity consumption has a huge contribution relative to other parts of the system like liquefied oxygen production from air separation unit,required facilities for air separation and oxygen-18 units, and needed transportation. Also, among 17 impact categories investigated in ReCiPe impact assessment method, fossil depletion, climate change(human health),particulate matter formation, climate change(ecosystem), human toxicity, and metal depletion have the most contribution in entire environmental loads respectively. Furthermore, sensitivity analysis showed that changing life cycle impact assessment method from ReCiPe to IMPACT 2002+ has no significant effect on acquired results and results are confident. In addition, assumption of market for depleted oxygen from heavy isotopes which is withdrawn from top of distillation columns showed some positive effects compared to first case and environmental impacts resulted from liquefied oxygen production(feed) reduced but because of huge contribution of electricity consumption compared to other sections, this positive effect has no remarkable influence on entire environmental loads of product system.

Assessment of green roof performance for sustainable buildings under winter weather conditions

A green roof is a specialized roof system that supports vegetation growth on rooftops.This technology is rapidly gaining popularity as a sustainable design option for buildings.In order to contribute to an understanding of green roof in regions with cold winters and snow,an on-site experimental investigation was present with a focus on the assessment of green roof performance during the winter.This field experiment took place on a six small buildings during the winter of 2010-2011.The work monitored three buildings with green roofs,two buildings with reference roofs and one building with a bare soil coverage for the roof.These six buildings were identically constructed and instrumented with sensor networks to provide heat flux data through the roofs.The 15 min averaged data were statistically analyzed for a week under the two separate periods,first without a snow cover and second with a snow cover.The results show that the roof type is a significant factor in affecting the thermal performance of these buildings.Most importantly,green roofs reduce heat flow through the roof and thus reduce the heating energy demand during the winter.However,the energy savings for buildings with the green roofs are reduced under snow conditions because the snow diminishes thermal resistance of the roof and increases the heat transfer process through the roofs.