Diagnosis Delay and Assessment of the Quality of Life of Patients with Endometriosis Using the Endometriosis Health Profile 5 Questionnaire in a Sub-Saharan Population

Context: Endometriosis is a pathology that directly affects the daily lives of women with frequent impairment of their quality of life. In our environment, medical, socio-cultural, financial factors and factors related to the organization of the health care system greatly delay its diagnosis. The objectives of the present study were to determine the diagnosis delay and to assess the quality of life before surgery of women with endometriosis using the specific Endometriosis Health Profile 5 (EHP-5) questionnaire. Methods: We carried out a descriptive, observational, retrospective study in 8 medical centers in the City of Kinshasa, from January 2019 to October 2022. A total of 80 women with endometriosis confirmed by laparoscopy (16 diagnostic and 64 operative laparoscopies) and histopathology were interviewed. We used the revised American Society for Reproductive Medicine (rASMR) classification, the Endometriosis Fertility Index (EFI) score was calculated for infertile women and the EHP-5 questionnaire to assess quality of life. Our data was entered and analyzed using Statistical Analysis Software 16.1 (STATA 16.1). Results: Diagnosis delay of endometriosis was on average 12 ± 4.3 years. The overall mean EHP-5 score of all patients showed a severe deterioration in quality of life (604 ± 235). A negative relationship was observed between the age of the patient, the diagnostic delay, and the alteration of the quality of life in patients over 36 years old and those with about 11 years of diagnostic delay presenting the slight alteration. Patients with a high social level had very severe quality impairment. Women on hormonal treatment, those with a history of pregnancy, childbirth, miscarriage and abortion had a slight and significant deterioration in quality of life (p 0.05). Conclusion: Despite some limitations, our preliminary study highlights that in sub-Saharan Africa, the diagnosis of endometriosis is delayed and associated with a severe alteration in quality of life. Moreover, diagnosis of endometriosis seems to be restricted to women with high social levels. Therefore, further efforts are required to develop a health policy to decrease delay for diagnosis with potential benefits on symptoms, quality of life, fertility while limiting stigma and psychological effects of this debilitating pathology.

Correlation Analysis between Quality Characteristics and Fruit Mineral Element Contents in 'Fuji' Apples

[Objective] The aims were to explore the relationship between the contents of fruit mineral elements and quality features of the ＇Fuji＇ apple, screen major mineral elements of the fruit affecting fruit quality features, and set up optimum proposals of fruit mineral elements for good fruit qualities, so as to provide a theoretical basis for the reasonable orchard soil and foliar fertilizer applications to increase fruit quality and reduce the physiological diseases related to the ＇Fuji＇ apple. [Methods] The fruit mineral elements and quality indicators of ＇Fuji＂ apples were in- vestigated and analyzed, which were collected from the 153 commercial apple or- chards of ＂Fuji＇ apple located in 51 counties. The variable importance for projection （VlP） of partial least squares regression （PLS） method was used to analyze the model effect and weight analysis impact of the fruit mineral element contents to fruit quality, screen out major factors of fruit mineral elements influencing the different fruit qualities, and set up the regression equation of the fruit qualities and major fruit mineral elements. Linear programming was used to obtain optimum proposals of the fruit mineral elements to achieve good ＇Fuji＇ apple qualities. [Results] The mineral elements content and quality characteristics in ＂Fuji＇ apple fruit had great differences in the different produce regions in which the maximum content of nitro- gen, iron, zinc and boron in the ＇Fuji＇ fruit were12.06, 6.17, 7.7, and 10.08 times greater than the minimum respectively, and the differences for titratable acid and the SSC/TA ratio were 2.33 and 2.16 times respectively. The correlation analysis between the fruit mineral element contents and qualities showed that the nitrogen content of fruit had a significantly negative correlation with the soluble solid content, SSC/TA ratio and red color area, while the calcium and iron contents in the fruit were in significantly positive correlation with the soluble solid content and SSC/TA ratio. The model effect and weight analysis showed that the content of nitrogen and iron in the fruit had a greater influence on the integral fruit quality, followed by phosphorus, potassium and calcium. The variable importance for projection （VlP） technology of PLS found that the mean fruit weight was primarily affected by nitro- gen, phosphorus and potassium, and the soluble solid was primarily affected by ni- trogen, calcium and iron, while the red color area was primarily affected by nitro- gen, potassium, calcium, iron and zinc. The regression equation between fruit quality and mineral element contents showed that the mean fruit weight had a greater pos- itive effect coefficient with the content of phosphorus and potassium, and a greater negative effect coefficient with the content of nitrogen in the fruit. Moreover, the sol- uble solid had the largest negative effect coefficient with nitrogen and largest posi- tive effect coefficient with calcium and iron in the fruit. [Conclusion] The maximum content of soluble solid and titratable acid were 1.5 times more than the minimum, and nitrogen, iron, zinc and boron were 6 times more than in the ＇Fuji＇ apple fruit in the different produce regions. Therefore, it is a key technological measure to improve the overall qualities of the ＂Fuji＇ apple by decreasing the content of nitrogen, and increasing the contents of iron, phosphorus, potassium and calcium in the fruit.

Comprehensive Evaluation on the Irrigation Water Quality in Turpan City Based on Matter Element Analysis Method

Matter-element analysis method was used to construct the comprehensive matter-element model for the evaluation of the quality of various kinds of irrigation water in Turpan City to evaluate the quality of irrigation water（such as river water,spring water, Karez well water, pumped well water） in Turpan City, Xinjiang. The results showed that the quality of the irrigation water was the best in October,which was in Grade I or Grade 2; in May, the quality of some of the irrigation water became poorer to Grade II, which was easy to soil salinization; in March, the detected qualities of the water samples water from the Meiyaogou basin were all in Grade IV, which was not suitable for farmland irrigation. The comparison on the evaluation results of matter-element analysis and fuzzy evaluation method showed that the results of the 2 methods were almost consistent with each other, and showed good uniformity.

Correlation of Plant Morphological and Grain Quality Traits with Mineral Element Contents in Yunnan Rice

Correlations between four grain quality, 24 plant morphological traits and eight element contents of 653 accessions from Yunnan rice were analyzed. P, K, Ca and Mg contents of core collection were closely correlated to the most plant morphological and grain quality traits, and there were highly significant correlations （P 〈0.01） among some traits including P content to number of stems and tillers, K content and amylose content, Ca content and plant height, Mg content and protein content. Mn, Zn, Cu and Fe contents of core collection were closely related to a few traits, such as Fe content and gel consistency （-0.1121^＊＊）, Zn content and seed setting rate （-0.1411^＊＊）, Cu content and number of grains per panicle （-0.1398^＊＊）, Mn content and plant height （-0.2492^＊＊）.

Influence of Geometric Design Variable and Bone Quality on Stress Distribution for Zirconia Dental Implants-A 3D Finite Element Analysis

This study aims to investigate the effects of variable thread pitch on stress distribution in bones of different bone qualities under two different loading conditions(Vertical,and Horizontal)for a Zirconia dental implant.For this purpose,a three dimensional finite element model of the mandibular premolar section and three single threaded implants of 0.8 mm,1.6 mm,2.4 mm pitch was designed.Finite element analysis software was used to develop the model and three different bone qualities(Type II,Type III,and Type IV)were prepared.A vertical load of 200 N,and a horizontal load of 100 N was applied at the abutment surface.The von-Mises stress criterion was used to analyze the results.The crestal bony-region of the mandibular section was subjected to maximum von-Mises stresses for all bone qualities.The outcome of this study indicates that,horizontal loading had more influence on stress distribution than vertical loading,regardless of the bone qualities and pitch values.Varying the dental implant pitch does not cause any decrease in stress distribution in bone,when the bone density decreased.The study concluded that implants with minimum pitch values induced lesser stress values at the implant-bone interface.

APPLICATION OF SUB-ELEMENT AND MICRO-ELEMENT IN BEM WITH ROLLER BEARING LOAD

Aiming at the discontinuous traction on contact elements of roller bearing,new concepts of sub- and micro-element are put forward. In the sub-element and micro-element,traction influence coefficient has been modified, which is calculated by the former boundary elementmethod (BEM) with roller bearing load. Hence, three-dimensional distribution of load on rollerbearing is calculated accurately. In practice, it has been proved that this method has highercalculation accuracy. An effective numerical method is offered for analyzing load characteristics ofroller bearing to improve service longevity of roller bearing and operation efficiency of rollingmill.

Regression Analysis of Nutrient Elements between Soil and Tobacco Leaves and Their Influences on Aroma Quality of Flue-cured Tobacco

This study aimed to analyze the relationship between nutrient elements K, Ca, Mg, Cu, Mn, Zn and Fe in tobacco-planting soils and tobacco leaves from six main tobacco-producing areas, and to investigate the influences of these elements on chemical composition and aroma components in tobacco leaves. Results showed that there were certain relationship between contents of nutrient elements in tobacco-planting soils and contents of corresponding elements in tobacco leaves; various elements exhibited different influences on the aroma quality of flue-cured tobacco. Based on the actual situation of nutrient contents in soils from different tobaccoproducing areas, contents of various elements in tobacco leaves should be regulated by soil fertilization and foliar spraying, thereby improving the aroma quality of flue-cured tobacco.

Evaluation on environmental quality for heavy metal elements of Xihe soil

According to "Environmental quality standard for soil" and using As,Cd,Cr,Cu,Hg,Ni,Pb,Zn elements as evaluation index,the author evaluated soil environmental quality in Xihe area of Shenyang.The results show that the soil in Xihe area is polluted rifely by heavy metal elements.The polluted areas are mainly distributed near the upstreams of Xihe River,Shenxin River and Shenliao irrigation canal.There exist large distinctions among the heavy metal elements to the pollution degree.Cd pollution area is the biggest and the most serious in pollution degree.

Selection of raw materials and control of trace elements for production of high-quality SG iron

During the production of SG iron, the selection of raw materials and control of chemical composition are most important. From the very early days of SG iron production, the effects of trace elements on graphite form and matrix structure have been studied, and the allowable concentration limits for their detrimental influence has been decreased year by year, during the last fifty years. This paper has reviewed some of the suggested SG iron trace elements in the literature and in several Chinese foundries. It was found that for most SG iron castings, rare earth elements are still required to neutralize the harmful effects of trace elements and improve SG iron quality. It also found that the use of high purity and ultra-high purity base iron melts enabled integrated, safety-critical and complicated SG iron castings of varying thickness, and heavy-section, to be produced successfully. These SG iron castings have surprisingly good structures, and their mechanical and dynamic properties are vastly superior to those specified in current international SG iron standards. Further study is required on the effects of using high purity and ultra-high purity base melts on the structure and properties of SG iron.

2D Finite Element Analysis of Asynchronous Machine Influenced Under Power Quality Perturbations

Asynchronous machines are predominantly preferred in industrial sectors for its reliability.Power quality perturbations have a greater impact on industries;among the different power quality events,voltage fluctuations are the most common and that may cause adverse effect on machine’s operation since they are longer enduring.The article discusses a numerical technique for evaluating asynchronous motors while taking into account magnetic saturation,losses,leakage flux,and voltage drop.A 2D linear analysis involving a multi-slice time stepping finite element model is used to predict the end effects.As an outcome,the magnetic saturation and losses are estimated using amodified 2D nonlinear time-stepping finite element formulation.The method takes the electromagnetic fields at the ends of the motor into account using limited computer resources.The proposed method will greatly reduce computation timewith limited computer resources for analyzing themachine’s performance with high precision.The analyzed findings assist in preventing voltage variance issues in the power network system and provide suggestions for developing a robust system.

Estimating and Plotting of Groundwater Quality Using WQI UA and GIS in Assiut Governorate, Egypt

This paper aims to turn complex groundwater data into comprehensible information by indexing the different factors numerically comparative to the standards of World Health Organization (WHO) to produce Water Quality Index (WQI). Water Quality Index (WQI) has been used to assess groundwater quality and Geographic Information Systems (GIS) has been used to create maps representing the spatial distribution of groundwater categories in Assiut governorate, Egypt. Water Quality Index has been computed by Un-weighted Arithmetic Water Quality Index (WQIUA) method and applied on 796 wells over eight years from 2006 to 2013. The results showed that WQIUA values for drinking purposes were high and most of them reached higher or close to 100, which indicated that the groundwater was polluted and unsafe for drinking. On the other hand, the quality index of groundwater for irrigation purposes in most of the study area ranges between 55.78 and 78.38 (poor and very poor category);this means that groundwater is moderately polluted and rather suitable for irrigation.

Effectiveness of five elements music therapy on negative emotions of tumor patients:a systematic review and grading recommendations(GRADE)system

Background:Many original studies have shown that traditional Chinese five-element therapy(FEM-therapy)can effectively relieve anxiety,depression and quality of life.However,one published systematic review refuted this conclusion.To further clarify the efficacy of FEM therapy in relieving negative emotion among cancer patients and to assess the reliability of the evidence,this systematic review and meta-analysis was performed.Methods:We searched for randomized controlled trials(RCTs)comparing FEM-therapy versus standard care for cancer patients,six databases(CBM,PubMed,Cochrane Library,Web of Science,CNKI,and WanFang),two clinical trial registries and one gray literature database were searched from inception to October 31,2022.Two investigators independently screened literature,extracted data,and assessed risk of bias according to the Cochrane Handbook Version 6.1.0.The RevMan 5.3 software was used to perform the meta-analysis.Overall quality of evidence was rated using GRADE(Grading of Recommendations,Assessment,Development and Evaluation).Results:25 RCTs involving 1990 patients were finally included.Two of which had high risk bias,the remaining 23 were rated as unclear risk bias.Compared with other treatments,FEM-therapy combined with conventional nursing can significantly relieve anxiety(MD=-10.33,95%CI:[-13.77,-6.88],P<0.05;very low certainty)and depression(SMD=-1.10,95%CI:[-1.41,-0.79],P<0.05;very low certainty),and can significantly increase the quality of sleep(MD=-2.92,95%CI:[-4.89,-0.95],P<0.05;low certainty).Compared with acupuncture intervention,FEM-therapy combined with acupuncture can decreased the anxiety(SMD=-0.64,95%CI:[-0.98,-0.30],P<0.05;Moderate certainty)and depression(SMD=-0.68,95%CI:[-1.00,-0.32],P<0.05;Moderate certainty).Conclusion:Traditional Chinese FEM therapy combined with other treatments are effective in alleviating negative emotions among cancer patients.In order to better improve the quality of life of cancer patients and give more reliable advice,more trials of direct comparisons are needed to inform clinical decision-making with greater confidence.

Seasonal variations and health risk assessment of trace elements in the Badigad River,lesser Himalayas,Nepal

The consumption of contaminated river water can have severe effects on human health.This study aims to investigate the trace elements(TEs)content and their health risk assessment in the Badigad River Basin in the lesser Himalayas of Nepal.In total,44 water samples were collected from 22 different sites during the pre-monsoon and monsoon seasons,and 25 TEs were analyzed.Correlation matrix and principal component analysis(PCA)were used to analyze the potential relationship between the measured TEs and their source tracking.Furthermore,the water quality index(WQI),metal index(MI),and cancer index(CI)were evaluated.The TEs content in all samples were found to be within the WHO recommended guideline for drinking and domestic purposes.The dominancy order of the TEs was observed as Sr>Ba>Li>Rb>Zn>Cr>Sc>Mn>Ti>Cu>As>Ni>Co>U>V>Pb>Cs>Ga>Y>Tl>Th>Zr>Bi>Cd>Nb.The PCA analysis suggested that TEs could have natural,anthropogenic,and mixed origins.The WQI indicated that the river water is safe from a human health perspective.The MI suggested that Badigad River can be considered safer for drinking purposes,and the cancer index(CI)showed that all the reported TEs are at low-risk levels.The findings of this study could be useful for government agencies in developing more sustainable water management policies in the region.However,it is suggested that further investigations should be conducted in terms of other hydrogeochemical variables,including major ions,at spatiotemporal levels for the sustainability of the river basin.

COMPUTATION OF STRESS INTENSITY FACTORS BY THE SUB-REGION MIXED FINITE ELEMENT METHOD OF LINES

Based on the sub-region generalized variationM principle, a sub-region mixed version of the newly-developed semi-analytical ＇finite element method of lines＇ （FEMOL） is proposed in this paper for accurate and efficient computation of stress intensity factors （SIFs） of two-dimensional notches/cracks. The circular regions surrounding notch/crack tips are taken as the complementary energy region in which a number of leading terms of singular solutions for stresses are used, with the sought SIFs being among the unknown coefficients. The rest of the arbitrary domain is taken as the potential energy region in which FEMOL is applied to obtain approximate displacements. A mixed system of ordinary differential equations （ODEs） and algebraic equations is derived via the sub-region generalized variational principle. A singularity removal technique that eliminates the stress parameters from the mixed equation system eventually yields a standard FEMOL ODE system, the solution of which is no longer singular and is simply and efficiently obtained using a standard general-purpose ODE solver. A number of numerical examples, including bi-material notches/cracks in anti-plane and plane elasticity, are given to show the generally excellent performance of the proposed method.

Object-Based Classification of Urban Distinct Sub-Elements Using High Spatial Resolution Orthoimages and DSM Layers

This paper aims to assess the ways in which multi-resolution object-based classification methods can be used to group urban environments made up of a mixture of buildings, sub-elements such as car parks, roads, shades and pavements and foliage such as grass and trees. This involves using both unmanned aerial vehicles (UAVs) which provide high-resolution mosaic Orthoimages and generate a Digital Surface Model (DSM). For the study area chosen for this paper, 400 Orthoimages with a spatial resolution of 7 cm each were used to build the Orthoimages and DSM, which were georeferenced using well distributed network of ground control points (GCPs) of 12 reference points (RMSE = 8 cm). As these were combined with onboard RTK-GNSS-enabled 2-frequency receivers, they were able to provide absolute block orientation which had a similar accuracy range if the data had been collected by traditional indirect sensor orientation. Traditional indirect sensor orientation involves the GNSS receiver in the UAV receiving a differential signal from the base station through a communication link. This allows for the precise position of the UAV to be established, as the RTK uses correction, allowing position, velocity, altitude and heading to tracked, as well as the measurement of raw sensor data. By assessing the results of the confusion matrices, it can be seen that the overall accuracy of the object-oriented classification was 84.37%. This has an overall Kappa of 0.74 and the data that had poor classification accuracy included shade, parking lots and concrete pavements. These had a producer accuracy (precision) of 81%, 74% and 74% respectively, while lakes and solar panels each scored 100% in comparison, meaning that they had good classification accuracy.

Effects of Traditional Chinese Medicine Five-element Music Combined with Acupoint Application on Perioperative Sleep Quality in Patients Undergoing Joint Replacement Surgery

OBJECTIVE: To explore the effects of traditional Chinese medicine(TCM) five-element music combined with acupoint application on perioperative sleep quality in patients undergoing joint replacement surgery. METHODS: In this study, a total of 122 patients with joint replacement surgery in Beijing Jishuitan Hospital were targeted from 2015 to 2018. All patients were grouped by random number table method. Among them, 61 patients with routine nursing were included in the control group. On this basis, the other 61 patients with acupoint application and TCM five-element music therapy were included as the observation group. 2 weeks later, the Pittsburgh Sleep Quality Index(PSQI) was used to evaluate sleep quality in all patients. The sleep improvement of the 2 groups was evaluated, and the patient was assessed for anxiety and depression, and the curative efficacy was evaluated. RESULTS: After 2 weeks of nursing, the PSQI of the patients improved significantly. The PSQI of the observation group was only 6.6 ± 2.4, and the control group decreased to 9.9 ± 2.7. The observation group was better than the control group, and the difference was statistically significant(P < 0.05). Comparing the 2 groups, the anxiety score of the observation group decreased to 4.8 ± 1.6, which was significantly lower than that of 6.9 ± 2.2 in the control group. The depression score of the observation group decreased to 4.6 ± 1.3, which was significantly lower than that of 6.8 ± 2.3 in the control group. In the control group, the negative emotion scores after nursing were better than those before nursing, and the difference was statistically significant(P < 0.05). Comparing the 2 groups, the effective rate of sleep improvement in the observation group was 96.6%, and the cure rate was as high as 49.1%. The control group was 82.0%, and the cure rate was 18.0%. The observation group was better than the control group, and the difference was statistically significant(P < 0.05). CONCLUSION: The combination of TCM five-element music with acupoint application can improve the perioperative sleep quality of patients undergoing joint replacement surgery, and it can help patients to relieve negative emotions. It is worth promoting.

高温高压井水泥环缺失对多层套管应力影响规律

由于高温高压井中,固井工况复杂,套管与水泥环之间会出现缺失现象,导致套管损坏,尤其多层套管时上述问题更为突出而复杂。针对上述问题,以准噶尔盆地南缘某高温高压高产气井为研究对象,建立了套管水泥环缺失套管水泥环套管地层轴对称有限元模型,模型中水泥环缺失处采用圈闭流体单元,岩石和水泥环采用EDP本构模型,相互界面间用接触力学有限元模型。研究结果表明,该模型能够准确分析复杂条件下水泥环缺失套管受力情况,解决了以前的模型无法模拟水泥环缺失处流固耦合问题;当套管环空出现环状缺失时,水泥环缺失的交界面附近应力最大且水泥环缺失处液体性质对套管强度有较大影响。为保证其井筒完整性,在深井、超深井中,建议优化水泥环返高,使水泥环不返到井口,减小固井段长度,消除水泥环缺失问题。

新质生产力驱动高质量发展的逻辑与路径

作为生产力演进过程中的一种新型质态,新质生产力是“创新驱动”与“质量牵引”以及二者协同演化的生产力发展新模式,其基本内涵集中体现为应用新技术、重塑新动能、培育新产业。新质生产力代表着先进生产力的跃迁方向,符合新发展阶段经济高质量发展的内在要求,是推动经济高质量发展的新动力。新质生产力中新技术应用通过技术扩散、结构优化和“创造性破坏”效应,筑牢经济高质量发展的创新底座;新要素培育通过比较优势迭代和价值倍增能级提升,激活经济高质量发展的要素动能;新产业兴起通过技术吸纳、产业链溢出和竞争优势重塑机制,打造经济高质量发展的支撑主体。因此,未来遵循生产力发展的客观规律,需要从强化关键核心技术攻坚突破抓住发展机遇、加速新型数据要素融合渗透转换发展动能、培育战略性新兴产业和未来产业夯实发展基础、优化完善基础设施建设打通发展“动脉”四个维度加快培育和形成新质生产力,为新时期新征程上驱动经济高质量发展提供有力支撑。

新质生产力与数字经济

新质生产力是以科技创新为主导、实现关键性颠覆性技术突破而产生的生产力,是摆脱了传统增长路径、符合高质量发展要求的生产力,是数字时代更具融合性、更体现新内涵的生产力。数字经济集信息技术、人工智能、大数据于一体,是推动经济增长的新引擎,也是当前发展新质生产力的重要抓手。数据作为新生产要素可以更好地赋能传统生产力改造升级,数字产业化与产业数字化为新质生产力形成提供实体基础,数字基础设施为新质生产力的形成提供坚实平台支撑。未来,结合数字经济特征和具体国情,要以数字经济高质量发展加快培育新质生产力,通过市场与政府有机结合协同提高数字创新能力、数实融合加快推进新兴产业与未来产业、培育创新型人才打造新型劳动者队伍。

创新配置土地要素保障新质生产力发展:理论逻辑、基本模式与路径机制

研究目的:剖析土地要素保障新质生产力发展的理论逻辑,挖掘新质生产力发展对土地要素的需求,探讨创新配置土地要素保障新质生产力发展的实施路径与实现机制。研究方法:文献研究法,综合分析法。研究结果:(1)土地要素保障新质生产力发展遵循生产要素创新配置促进新质生产力发展的科技创新逻辑、新质生产力产业结构与用地结构相适应的结构演进逻辑、土地要素需求侧和供给侧结构性匹配的市场竞争逻辑、新质生产力需要适配新型生产关系的机制保障逻辑;(2)新质生产力发展可以具象化为4类基本模式,数字虚拟化生产模式需要数字产业支撑空间、特殊需求保障空间和宜居宜工复合空间,绿色低碳化生产模式需要循环利用生产空间、清洁能源供给空间和产业污染处理空间,智能制造化生产模式需要集约高效生产空间、灵活动态调整空间和多维功能融合空间,网络链接化生产模式需要物流仓储配送空间、自由功能组团空间和多元主体共享空间;(3)创新配置土地要素需要以数量精准保障新质生产力需求、以空间统筹协调新质生产力布局、以时序动态适应新质生产力变化,并以规划引导机制、市场决定机制和社会共治机制保障新质生产力发展。研究结论:创新配置土地要素是保障新质生产力在空间上落位的关键,更是优化新质生产力布局的重要手段。在发展新质生产力的过程中需要充分深化新质生产力的内涵认知,在复杂性、多变性和动态性发展过程中不断细化生产模式,精准识别不同生产模式的具体实际需求,才能持续优化创新配置土地要素的实施路径与实现机制,从而有效打通发展新质生产力的堵点卡点,推进新质生产力的蓬勃发展。