A Study on the Path of Promoting External Dissemination of Regional Culture with Translation Technology under the Background of New Quality Productivity

With the introduction of the concept of new quality productivity characterized by high technology,efficiency,and quality,various industries in China have ignited a high spirit of innovation and development.Against this background,this article analyzes the significance and current situation of the external dissemination of regional culture and combines the application of translation technology empowered by new quality productivity to explore a path suitable for the wider,more effective,and higher-quality external dissemination of regional culture.The aim is to provide practical experience for promoting the effective dissemination of regional culture in China to the world and better build a cultural power.

Evaluation of external quality factor of the superconducting cavity using extrapolation method

The estimation of the external quality factor is important for designing coupling devices for the cavities.A new representation of the external quality factor calculations for single-cell cavity coupled to a coaxial transmission line is derived based on analytic analysis and numeric analysis with the help of 3D electromagnetic code,and verified with experimental measurements at room temperature.In logarithmic scale the results for the external quality factor were quasi-linear over the limited range,and the simulated and measured data could be used and extrapolated to the superconducting case.For the unpolished 1.5 GHz 3rd harmonic superconducting cavity,the discrepancy between the evaluation value and measurement result is less than 25% within an acceptable deviation.

Application of Statistical Process Control for Setting Action Thresholds as Quality Assurance of Dose Verifications in External Beam Radiotherapy

Purpose: To test the concept of Statistical Process Control (SPC) as a Quality Assurance (QA) procedure for dose verifications in external beam radiation therapy in conventional and 3D Conformal Radiotherapy (3D-CRT) treatment of cervical cancer. Materials and Methods: A study of QA verification of target doses of 198 cervical cancer patients undergoing External Beam Radiotherapy (EBRT) treatments at two different cancer treatment centers in Kenya was conducted. The target doses were determined from measured entrance doses by the diode in vivo dosimetry. Process Behavior Charts (PBC) developed by SPC were applied for setting Action Thresholds (AT) on the target doses. The AT set was then proposed as QA limits for acceptance or rejection of verified target doses overtime of the EBRT process. Result and Discussion: Target doses for the 198 patients were calculated and SPC applied to test whether the action limits set by the Process Behavior Charts could be applied as QA for verified doses in EBRT. Results for the two sub-groups of n = 3 and n = 4 that were tested produced action thresholds which are within clinical dose specifications for both conventional AP/PA and 3D-CRT EBRT treatment techniques for cervical cancer. Conclusion: Action thresholds set by SPC were within the clinical dose specification of ±5% uncertainty for both conventional AP/PA and 3D-CRT EBRT treatment techniques for cervical cancer. So the concept of SPC could be applied in setting QA action limits for dose verifications in EBRT.

Retrospective Analysis of External Quality Assessment Data of Humoral (Except Feces) Morphology in Guangxi from 2010 to 2022

[Objectives] The study aims to improve the ability of inspectors to recognize humoral morphology and provide data reference for the improvement of EQA work of humoral morphology by Guangxi Clinical Laboratory Center. [Methods] A retrospective analysis was made on the EQA of humoral morphology by Guangxi Clinical Laboratory Center from 2010 to 2022, and the number of participating laboratories, the rate of return, sample types and maps of EQA of humoral morphology such as urine sediment, vaginal secretions and so on(except feces), and the reasons for the high error rate of the results of the participating laboratories were analyzed. [Results] The number of laboratories participating in the assessment of humoral morphology increased from 98 in 2010 to 371 in 2022. Except for 2011(90.98%), the rate of return was more than 94%, and the highest rate of return was up to 100%. A total of 119 pictures of EQA of humoral morphology were studied, including 101 urine sediment smears, 13 vaginal secretions smears and 5 other smears. The types of specimens were relatively comprehensive. The distribution of the maps was basically reasonable. The urinary sediment was mainly composed of crystalline salts, followed by tubes, and cells and fungi ranked third. The coverage was relatively complete. The error rate of return results from high to low were bacteria(error rate was equal to 40%), tubes and crystalline salts(error rate was close to 29%), and cells and fungi(error rate was about 14%). The main cases with high error rate of return results are as follows: the difference between different tubes was not clear, and the diversity of crystal morphology was not understood enough;the phase division of cells in the same system was wrong. [Conclusions] The analysis and summary of the reasons for the high error rate of the data and results of Guangxi's EQA of humoral morphology is helpful for laboratory physicians to improve their awareness of morphological examination and identify clearly the error type and blurred concept, and lays a foundation for Guangxi Clinical Laboratory Center to carry out EQA of humoral morphology more specifically.

Numerical Quantification Model and Experiment of External Force on Roller Hemming of Curved Edge Aluminium Alloy with Adhesive

Accurate quantification of external force is the key to improve the high-precision hemming of autobody closure panels.However,the mechanism of external force on forming quality of complex contour sheet metal with adhesive is not clear subjected to geometric curvature and materials.In the present study,taking the curved edge aluminum sheet as the research object,SPH(smooth particle hydrodynamics)is introduced to simulate the viscous adhesive,and the SPH-FEM(Finite element method)coupling model of adhesive and panels considering the viscosity-pressure effect is established.The numerical simulation of the roller hemming process is carried out,then the validity and reliability of the proposed method are verified by measuring the external force in real time using triaxial force sensor.The multi-step forming process and the effect of external force on the roll in/out,surface wave and plastic strain of aluminum alloy sheet under the viscosity-pressure effect are studied,and the relationship between process parameters and external force is discussed.Results show that the coupling SPH-FEM model can well reflect the hemming process of curved edge structure.The normal force is about 2–3 times of the tangential force in the pre and final hemming process.Compared with the case without adhesive,the surface wave of flange part of the hemming with adhesive is slightly larger.The normal force and the tangential force increase about 90 N and 30 N respectively,when the height increases by 1 mm.It provides an important basis for the accurate control of hemming trajectory and the improvement of manufacturing quality of autobody closure panels.

External versus Internal Loads of Nutrients of an Urban Eutrophic Tropical Reservoir （Southeastern Brazil）

This study aimed to evaluate the external and internal fluxes of nutrients of an urban eutrophic reservoir （lbirit6 reservoir, SE-Brazil）. External loads were estimated in the tributaries （Pintados and Ibirit6 creeks） through nutrient concentrations and discharge measurements. Using Fick＇s law, internal loads were estimated in the reservoir from fluxes across sediment-water interface from nutrient concentration gradients between the pore water and the water. The Ibirit6 creek （urban sewage recipient） contributes with 72%-47% of ammonium （NH4^＋） and 100%-8% of SRP （soluble reactive phosphorus） of the total quantity entering the reservoir, whereas the Pintados creek （oil refinery effluent recipient） contributions are 20%-19% and 44%-100%, respectively. Despite the high external loads （130 and 2.2 ton-yr^-1 of NH4＋ and SRP, respectively）, internal loads （average flux of 120 and 2 mg·cm^-2yr^-1, respectively） correspond to 25% of the total external loads which may sustain a high productivity in the reservoir for a long time even if the external loads are controlled. The stocks of ammonium and SRP of the interstitial water （100 cm of sediment） would be released to the water in six years and five months, respectively, The release time would be extremely larger （〉 3,000 years） considering the stocks of total N and bioavailable P.

Topical use of ozone effectively alleviates the acute symptoms and quality of life of patients with moderate to severe bullous pemphigoid: a randomized controlled trial

Objective:To evaluate the adjuvant treatment of acute stage symptoms and quality of life of patients with bullous pemphigoid(BP)with ozone.Methods:We included 74 patients with moderate and severe BP hospitalized from July 2018 to December 2020.The participants were randomly divided into the control group and the ozone group,with 37 patients in each group(n=37).The control group used tap water to wash the whole body,and mupirocin ointment was used for the erosions.The ozone group used ozone water to wash the whole body,and the erosion place was coated with ozone oil.The bullous pemphigoid disease area index(BPDAI)score of BP disease was used to observe the clinical symptoms and skin lesions of the two groups before and on day 3,7,and 14 after treatment.Pruritus and sleep were observed before and on day 3,7,and 14 after treatment.The Dermatology Life Quality Index(DLQI)was used to observe the quality of life before and after treatment and the adverse reactions were recorded.Results:The total BPDAI score and erythema score in the ozone group were significantly different from those in the control group on day 3,7,and 14 after treatment(P<0.050).The scab drying time and erosion drying time of ozone group were shorter than that of control group(P<0.001).There were statistically significant differences between the ozone group and the control group in pruritus score and sleep score on day 3,7,and 14 after treatment(P<0.001).There was statistically significant difference in skin disease quality of life between the two groups 14 days after treatment(P<0.001).No significant adverse reactions and complications were observed in both groups.Conclusions:Ozone external use can rapidly improve the acute stage of edema erythema,erosion,and itching of BP,improve the quality of life of patients,is an effective treatment method,and wor thy of clinical promotion.

Quality oriented value and performance drivers

The quality endeavors of an organization, like other enterprise activities, must be oriented towards the economic principles. This approach gives a way to many organizations to question the extent to which the quality management contributes for the overall business success and to pin point the areas where particularly a high value or performance can be created in order to attain the maximum possible economic benefits out of quality management systems. Without including the answer of this question in the decision making process, the resources can not be allocated optimally for the quality purpose. Quality management activities create variety of effects that indirectly contributes towards the economic success and thus increase the company and stakeholder value. A closer look at the quality management philosophy reveals eight major principles namely： customer focus, leadership, involvement of people, process approach, system approach to management, continual improvement, factual approach to decision making, mutually beneficial supplier relationships. These eight principles lead the efforts in the domain of quality management to project a positive impact on the company. For an understanding of response relationships, it is necessary to consider in detail the indicators along the response relationships. They provide helpful clues and give an insight into the complex mechanisms of action of the quality approaches on the path to the company＇s success. The following illustration depicts how the quality based activities generate the value to enhance the performance and a variety of indicators reflects how they indirectly add value to an organization and hence contribute to its economic success.

媒体融合背景下的大型公立医院对外宣传策略及思考

在媒体融合不断深化的背景下,大型公立医院必须明确对外宣传对象、平台、内容,精准宣传功能定位,走高质量发展道路。对外宣传工作作为医院品牌形象输出的重要窗口,已经从主要依赖传统媒体逐步迈入深度互融的媒体融合新时代。在健康中国战略的引领下,如何适应新形势、积极开展对外宣传工作,是广大医疗机构卫生新闻宣传工作人员面临的困境和问题。文章对国内有关公立医院媒体融合发展状况的相关文献进行分析和研究,结合综合性大型公立医院创新实践,提出了公立医院对外宣传工作的新发展路径。

环境污染责任保险与企业高质量审计需求——基于保险公司监督视角的经验证据

在绿色高质量发展时代背景下,发展环境污染责任保险,对强化企业环保履责、降低企业因受环保处罚引致的经营风险具有重要意义。本文从保险公司监督视角实证检验了环境污染责任保险对企业高质量审计需求的影响。研究发现,环境污染责任保险提升了投保企业高质量审计需求,保险公司的高质量信息需求、专业监督能力需求是导致投保企业高质量审计需求增加的主要传导机制;异质性检验发现,在国有企业、内部治理水平较低的企业和受到更多媒体负面报道的企业中,环境污染责任保险对高质量审计需求的影响更加显著;经济后果检验发现,投保企业通过提高高质量审计需求改善了企业环境表现。研究结论对于进一步推进资本市场审计制度完善和环境污染责任保险发展具有一定的政策启示。

北京市环境空气样品外照射辐射水平与空气质量的关系

目的探讨大气气溶胶颗粒物外照射辐射水平与空气质量的关系,及时发现环境中可能存在的放射性污染,为建立人群健康监护体系和有效的污染防控策略提供技术基础。方法在北京市东城区某院5层设置固定的环境空气监测点,使用Snow White大流量采样器收集2024年1—2月期间28个监测日的大气气溶胶样品,每日连续20~24 h采样,使用TBM-3S型测量监测仪测量样品滤膜表面的空气比释动能率,分析样品的辐射水平与当日空气质量指数(AQI)、PM_(2.5)和PM_(10)的变化关系。结果2024年1—2月随机抽取28个监测日空气样品的外照射辐射水平范围值为2.10~7.18μGy/h,平均值为(4.72±1.28)μGy/h,样品外照射辐射水平与AQI、PM_(2.5)和PM_(10)的相关系数R2分别为0.0329、0.0135和0.044。2017年38个监测日样品外照射辐射水平范围值为2.52~6.83μGy/h,平均值为(4.46±1.29)μGy/h,2024和2017年两组样品外照射辐射水平比较,差异无统计学意义(t=0.008,P>0.05)。结论北京市大气气溶胶滤膜样品外照射辐射水平与空气质量无直接关系。空气样品外照射辐射水平是环境空气放射性污染监测的可靠指针,应持续进行监测。

血细胞形态学室间质量评价体系的建立及运行

目的建立血细胞形态学室间质量评价(EQA)体系,对基层医院检验人员细胞形态识别能力进行评价。方法新疆生产建设兵团临床检验中心采用图文摄像系统挑选外周血涂片中具有代表性的细胞或物质图片建立血细胞形态学图谱库,结合EQA管理网络平台构建血细胞形态学EQA体系,并开展2023年160余家基层医院血细胞形态学两次共20幅质量评价(质评)图片的EQA工作。结果构建的图谱库涵盖78类各种血细胞,共1520幅图片,包括红细胞系、粒细胞系、淋巴细胞和浆细胞、单核细胞系、巨核细胞和血小板系。2023年血细胞形态学EQA工作通过EQA管理网络平台进行了数据上报、质评成绩发布及汇总分析等。两次EQA均取得满分成绩的实验室数为27家(16.67%),第1次和第2次合格实验室数分别为123家(75.46%)和138家(85.18%),两次合格率比较,差异有统计学意义(P<0.05)。结论该研究构建了较完善的血细胞形态学EQA体系,并在基层医院检验人员细胞形态识别能力的评价中得到了较好的运行,同时也反映出基层医院检验人员血细胞形态识别能力亟待提升。

2022—2023年《保健医学研究与实践》外审退稿护理论文特征分析

目的探讨2022—2023年《保健医学研究与实践》外审退稿护理论文特征,以期为临床护理人员科研工作提供参考,提高护理类论文质量和稿件录用率。方法本研究选取2022—2023年本刊外审退稿护理论文130篇为研究对象。收集各论文的基本情况,包括第一作者单位所在地区、单位性质[医疗卫生机构(级别、是否为高校附属医院)还是高等学校]、是否有基金项目、第一作者学历、第一作者职称、论文类型、论文合作人数、详细退稿意见。结果第一作者单位所在省份以河南居首,占52.31%。第一作者单位性质以医疗机构为主,占99.23%。基金项目方面以没有基金项目为主,占80.00%。其中,一级医院占1.55%(2/129),二级医院占11.63%(15/129),三级医院占86.82%(112/129);高校附属医院占27.13%(35/129),非附属医院占72.87%(94/129)。第一作者学历以本科为主,占94.61%。第一作者职称以中级为主,占58.46%。论文类型以论著为主,占96.92%。外审退稿论文的退稿原因中占比前3位的依次是缺乏创新性,观察指标选择不恰当或不完整,研究组(干预组均统一命名为研究组)干预方法与对照组雷同或混淆,分别占98.46%、92.31%、84.62%。124篇论著的干预措施主要是针对性护理、预见性护理、集束化护理、延续性护理、人性化护理、多学科协作护理模式、循证护理等,分别占11.29%、6.45%、5.64%、6.44%、4.83%、4.83%、4.03%。120篇论文退稿原因均有观察指标选择不恰当或不完整。归纳具体的退稿原因包括:观察指标和干预措施相互隔离,测评的指标不是干预的内容(92.50%);测评指标意义不大(21.67%);测评指标没有主次(99.17%);测评指标与干预措施因果关系存疑(49.17%);测评指标可行性不强(31.67%);测评指标选择过于简单(19.17%)。结论临床护士的科研素养还有很大的提升空间。尤其需对他们进行选题、观察指标选择、干预方案书写方面的培训。

面向质量和交货期的产能分享平台审核策略研究

通过构建双边市场模型探索产能分享平台的审核策略。研究表明:当产能需求方仅对质量敏感,排除低质量产能供应方比仅根据质量对产能供应方分级更利于平台盈利;当产能需求方对质量和交货期均敏感,设置两个维度的审核门槛能使平台获得更高利润;平台利润与双边用户交叉网络外部性、产能需求方对质量的敏感性正相关,与产能需求方对交货期的敏感性负相关;质量和交货期审核门槛受产能需求方对这两个维度的敏感性、双边用户网络外部性、平台审核成本系数相互作用影响。

基于“地方蜂鸣—区域管道”理论的城市网络外部性研究框架构建

近年来,随着城市间各类流要素联系的增强,城市网络外部性对城市发展的作用愈发明显,但当前的研究主要集中在集聚外部性层面,对于城市网络外部性的探讨仍显不足。在综述城市网络外部性研究进展的基础上,提出“地方蜂鸣—区域管道”理论并基于此构建城市网络外部性与城市高质量发展联系的研究框架:一方面构建城市网络外部性对城市高质量发展作用的“过程—机理—效应”理论与内容框架;另一方面从结构网络视角构建包含尺度嵌套、强度、均衡度等多维度的城市网络外部性评价指标体系,以对城市网络外部性的直接作用与空间溢出效应进行探讨。

增强型体外反搏联合分级运动康复训练在老年慢性心力衰竭患者中的应用效果

目的探究增强型体外反搏联合分级运动康复训练在老年慢性心力衰竭(心衰)患者中的应用效果。方法选取2021年1月至2022年9月于遂宁市中心医院康复中心诊治的老年慢性心衰患者96例作为研究对象,根据治疗方法不同分为实验组(增强型体外反搏联合分级运动康复训练)和对照组(分级运动康复训练),每组各48例。所有患者均完成6周治疗,检测两组患者治疗后心功能相关指标、生活质量相关指标的变化。结果治疗6周后,实验组和对照组左心室射血分数(LVEF)、心脏每搏量较治疗前均明显提高,左心室舒张末径(LVEDD)、左心室收缩末径(LVESD)较治疗前均明显降低,且实验组各指标变化程度均高于对照组(P<0.05)。治疗6周后,两组N末端脑钠肽前体(NT-proBNP)均明显降低,实验组NT-proBNP的降低程度高于对照组(P<0.05)。治疗6周后,两组6 min步行距离较治疗前均明显升高,明尼苏达心衰生活质量量表(MLHFQ)评分均明显降低,且实验组各指标的变化程度均高于对照组(P<0.05)。治疗6周后,实验组患者心功能分级明显优于对照组(P<0.05)。结论增强型体外反搏联合分级运动康复训练可显著改善老年慢性心衰患者的心功能,提高其生活质量及运动耐力。

高校医学生课程思政建设的实践与创新——以外科学为例

随着高等教育改革的深入推进,医学生教育越来越注重培养具有社会责任感、扎实专业知识和高尚职业道德的复合型人才。该研究针对当前高校医学生思政教育中存在的诸多挑战,如课程内容与思政教育融合不足、教师思政教育能力参差不齐、学生对思政课程参与度不高等问题,提出一套具体的改革措施,并以医学院校外科学教学为例,探索课程思政教育的实践与创新。通过加强校院双层管理,课程思政与课程目标融合,丰富课程内容与熟悉教学目标,更新教学理念与教学手段,提升教师政治素质,建设高素质专业与思政交融团队,充分挖掘外科学思政元素,实现“书”与“人”有机融合,实施“实践思政”、“案例思政”、“反复思政”等课程思政新模式,激发学习兴趣与促进主观能动性,让学生模拟临床实境,深入参与,学习内化,达到潜移默化,润物无声,实现全方位育人的教学终目标。初步应用结果表明,这种教育模式能有效促进学生的深度参与,激发学习兴趣,促进教学共鸣,潜移默化中提升学生的职业素养,增强其社会责任感,并促进其全面创新发展。该研究期望为高等医学教育中的思政课程建设提供可行的策略和实践指导。

疾控中心食品检测领域实验室认可不符合项分析

目的:分析山西省疾控中心食品检测领域实验室认可评审不符合项分布,并针对性提出质量管理体系改进建议。方法:收集2015—2022年历次实验室认可现场评审发现的不符合项资料,对不符合项分布特点进行归纳统计,分析产生原因。结果:不符合项相对集中于资源要求和实施性不符合;理化检测科室发生不符合项占比较大,科室不符合项发生数量与其承担检测项目数相关,但存在两个离群值。结论:针对不符合项产生原因,提出加强体系文件培训,规范设备管理,明确部门职责衔接和推广工作经验4条改进措施。

海洋经济高质量发展的动力机制与实现路径——基于厦门市的研究

海洋经济高质量发展对建设海洋强国、完善现代海洋产业体系、打造新的经济增长点和形成新发展格局具有重要的战略意义和现实意义。基于系统动力学理论,构建海洋经济高质量发展的内外动力联动机制。通过分析厦门海洋经济发展的优势与制约因素,从内外动力联合的视角出发,提出符合五大新发展理念的数字化、机制化、生态化、国际化、品质化5条目标路径,以推动厦门海洋经济高质量发展。