Change Trend of Chinese Urban Residents' Food-nitrogen Consumption

Change trend of Chinese urban residents＇ per capita food-nitrogen annual consumption from 1981 to 2007 was analyzed and predicted by using ARIMA time-series model in order to reveal the change of urban food-nitrogen consumption during the China＇s urbanization process.Results showed that after 1980s,the annual consumption of Chinese urban residents＇ food-nitrogen had a change trend of ＂ increase-decrease-increase＂ and generally presented as a slight increasing trend;With the acceleration of rapid economic development and urbanization process,Chinese urban residents＇ food-nitrogen consumption will still keep a rising trend in future,and also has a large rising space.

Teaching Ultrasound Imaging for Central Line Placement—A Resident’s Perspective

The availability of ultrasound (US) devices has refined techniques for vascular access. The resident trainee’s ability to learn US techniques depends upon device availability, skills, and motivation of instructors. We hypothesized that hands-on teaching program of US techniques for vascular access would have a positive impact on the trainee’s perceptions. After IRB approval, PGY3 anesthesiology residents with limited prior experience in US-guided vascular access underwent close supervision by attending staff as they performed US-guided Internal Jugular Vein (IJV) central line placements. A total of 66 land mark (LM) and 75 US-guided IJV cannulation performed by 19 residents were supervised. Residents completing the study were more proactive with 68.4% agreeing to use US based techniques for an anticipated difficulty in accessing central lines. The graduating residents involved in the study all strongly agreed that US imaging for vascular access was within the scope of practice of all anesthesiologists, and that training guidelines be established and incorporated in their practice. Fifty eight percent of residents stated that their confidence and skill levels had significantly improved. Teaching US-guided techniques resulted in an increase employment of such techniques by graduating residents with no impediment attributed to knowledge deficits or inexperience. Residents were more proactive with using US for anticipated difficulty in IJV placement. A short neck, poor landmark, anticoagulation, morbid obesity favored US use by residents. Systematic teaching of US techniques is justified as it significantly improves the resident’s perceptions and confidence.

The Mixture Japanese and Western Style in the Image of theGovernor-General’s Residence of Taiwan Under Japanese Rule 1

This paper focused on Japan who was as a new colonial government in Taiwan under Japanese rule,during the period of which took official buildings or urban planning mainly of a series of Western European-style architecture as a ruler’s cultural identity and a modern Taiwan policy.However,in the context of East Asian modernity,the basic colonial not only mixed Eurocentric,but also included Japan Center and the interaction between the two.Therefore,the scope of research and discussion shall have regarded to the non-Western,non-white nature of the Japanese Empire,and its colonial/modernity construction is another new model.Taiwan Governor-General’s Residence as the Governor-General’s residence for Japanese government combined administrative office,daily living,and social life,showing a symbol of Japan’s colonial ruling class,and a hostel to greet Japanese royal family and the nobility from time to time.As a mansion of both Western Baroque and Japanese style,its architectural design has class meaning,therefore it featured with a class-separation building,also combined the leisure of Western high society.The associated festivals at that time included tea party,fairs and royal family welcoming pilgrimage,the part of which with a strong political implication.This paper mainly uses the images of the Taiwan Governor-General’s Residence during the Japanese rule period and the literature at that time to restore the mixed taste and Japanese-Western style of Taiwan at that time.The Japanese colonists ruled the complex interactions of different ethnic groups in Taiwan.

升级版“GP-S模式”在我国南北实证研究中的可行性分析

全科住院医师规范化培训(以下简称“住培”)是培养全科医师的重要途径。浙江大学医学院附属第一医院(以下简称“浙大一院”)全科医学科创新建立了升级版导航式多路径全科医师培养模式(升级版“GP-S模式”),为求同质化培养全科医生,现拟开展升级版“GP-S模式”在中国的南北实证研究。研究拟选取浙江省和内蒙古自治区的全科住培基地为试验基地,并采用SWOT分析法探讨升级版“GP-S模式”应用于中国南北地区的可行性。文章从试验基地的人才与资源优势、外部的技术与政策支持以及浙江省与内蒙古自治区的差异等方面分析,并提出了应对劣势与挑战的策略,以提升升级版“GP-S模式”在我国南北地区开展实证研究的可行性。

基于柯氏模型下普洱市住院医师规范化培训效果研究

目的运用柯氏模型对普洱市人民医院住院医师规范化培训效果进行分析,提出改进方法。方法以柯氏模型为导向,对普洱市人民医院213名规培学员、204名带教老师和32家用人单位进行问卷调查。从反应层、学习层、行为层、成果层四个层面对结果进行分析。结果反应层:学员培训总体满意度较高,不同人口特征间的比较,差异无统计学意义(P>0.05)。学习层:学员前后执业医师资格模拟考试成绩比较,差异有统计学意义(P<0.05)。行为层:学员自评、带教老师、用人单位对其工作能力评价较高。成果层:执业医师资格考试通过率2021年69.50%、2022年81.97%、2023年85.33%。结论住培学员、带教老师及用人单位对培训效果总体较为满意,学员对医院提供的住宿条件满意度较低,对科研能力提升方面的培训满意度为一般。

Discovery of highly immunogenic spleen-resident FCGR3^(+)CD103^(+)cDC1s differentiated by IL-33-primed ST2^(+)basophils

Recombinant interleukin-33(IL-33)inhibits tumor growth,but the detailed immunological mechanism is still unknown.IL-33-mediated tumor suppression did not occur in Batf3^(−/−)mice,indicating that conventional type 1 dendritic cells(cDC1s)play a key role in IL-33-mediated antitumor immunity.A population of CD103^(+)cDC1s,which were barely detectable in the spleens of normal mice,increased significantly in the spleens of IL-33-treated mice.The newly emerged splenic CD103^(+)cDC1s were distinct from conventional splenic cDC1s based on their spleen residency,robust effector T-cell priming ability,and surface expression of FCGR3.DCs and DC precursors did not express Suppressor of Tumorigenicity 2(ST2).However,recombinant IL-33 induced spleen-resident FCGR3^(+)CD103^(+)cDC1s,which were found to be differentiated from DC precursors by bystander ST2+immune cells.Through immune cell fractionation and depletion assays,we found that IL-33-primed ST2^(+)basophils play a crucial role in the development of FCGR3^(+)CD103^(+)cDC1s by secreting IL-33-driven extrinsic factors.Recombinant GM-CSF also induced the population of CD103^(+)cDC1s,but the population neither expressed FCGR3 nor induced any discernable antitumor immunity.The population of FCGR3^(+)CD103^(+)cDC1s was also generated in vitro culture of Flt3L-mediated bone marrow-derived DCs(FL-BMDCs)when IL-33 was added in a pre-DC stage of culture.FL-BMDCs generated in the presence of IL-33(FL-33-DCs)offered more potent tumor immunotherapy than control Flt3L-BMDCs(FL-DCs).Human monocyte-derived DCs were also more immunogenic when exposed to IL-33-induced factors.Our findings suggest that recombinant IL-33 or an IL-33-mediated DC vaccine could be an attractive protocol for better tumor immunotherapy.

基于“D-P-S-R”模型的节水型绿色生态居民生活小区评价指标体系构建

通过对适用于环境方面的模型的分析,结合居民生活小区的用水特点,研究其对"节水""绿色""生态"等方面的要求,构建了"驱动力—压力—状态—响应"模型,为不断发展完善的居民生活小区节水评价指标体系提供基准、骨架。应用该模型对居民生活小区的节水评价指标进行筛选、归纳,并运用层次分析法对其赋权重,最终确定出节水型绿色生态居民生活小区评价指标体系。

中国城镇劳动力市场是否存在倒S供给曲线

基于2013年中国家庭收入调查项目(CHIP)的数据,应用微观经济计量方法估计了城镇居民在Hedonic模型下的工作收入方程模型以及个体工作时间方程模型。研究表明人力资源的优势是在劳动力供给中不可忽视的一部分,个体劳动供给行为在低收入群体和中高收入群体间是显著不同的,低收入群体的工作时间明显高于中高收入群体,并且低收入群体的工作时间对于工资的敏感程度更高。但是我国目前仍然处于"倒C型"曲线的下半段,没有证据证明"倒S型"劳动供给曲线在2013年中国城镇劳动力市场存在。

A Myriad of Lights in a Breezy Night

THE Palace Lantern,as its name indicates,originated in the imperial palace.It was widely loved by the populace after relocation from the confines of the emperor’s residence and made accessible to the public.

An Empirical Study on Fuzzy Comprehensive Evaluation of Red Tourism Resources Based on AHP

Red tourism, which is featured with spiritual culture, resource fusion and historical socialization, is a remarkable innovation with Chinese characteristics. It is the shinning point of China’s tourism business development. This paper will show the objective and correct evaluation of red tourism resource. Firstly, it will create evaluation index system by theoretical analysis method and expert consultation method. Secondly, it will evaluate each object synthetically by fuzzy comprehensive evaluation method and analytic hierarchy process. Finally, through case study of General Zhang Aiping’s, Former Residence in Dazhou, Sichuan Province, conclusion and related suggestion will be achieved.

Utility of nelson’s modified card sorting test in patients with alzheimer’s disease or vascular dementia

Aim: In this study we used the Nelson’s Modified Card Sorting Test (MCST) to find the differences between Alzheimer’s disease (AD) group/Vascular dementia (VD) group and a normal control group (non-dementia and non-AD), and to identify the commonality between the MCST and dementia patients. Patients and Methods: The MCST was administered to 32 AD patients, 18 vascular dementia patients, and 38 controls. The relationship between the MCST performance and demographic characteristics was evaluated. Results: There were no statistical differences in age, sex, level of education, smoking, drinking and depression in the three groups. The MCST was classified into four groups for analysis—number of categories completed (Cat), preservative error score (PE), non-preservative error score (NPE), unique error (UE) and total error (TE). For Cat, UE and TE showed a significant difference in all three groups, whereas PE and NPE revealed no significant difference. Conclusion: These findings suggest that cognitive function appears to significantly impair MCST performances in AD and VD patients, so these should be taken into consideration during an interpretation of the clinical assessment. For the effective use of the MCST in a clinical setting, further studies of specific clinical populations are planned to develop normative data for elderly Taiwan Residents people.

Spatial analysis of tuberculosis in four main ethnic communities in Taiwan during 2005 to 2009

The aim of the present study was to assess spatial features of tuberculosis prevalence and their relationships with four main ethnic communities in Taiwan. Methods of spatial analysis were clustering pattern determination (such as global version of Moran’s test and local version of Gi*(d) statistic), using logistic regression calculations to identify spatial distributions over a contiguous five years and identify significant similarities, discriminant analysis to classify variables, and geographically weighted regression (GWR) to determine the strength of relationships between tuberculosis prevalence and ethnic variables in spatial features. Tuberculosis demonstrated decreasing trends in prevalence in both genders during 2005 to 2009. All results of the global Moran’s tests indicated spatial heterogeneity and clusters in the plain and mountainous Aboriginal townships. The Gi*(d) statistic calculated z-score outcomes, categorized as clusters or non-clusters, at at 5% significance level. According to the stepwise Wilks’ lambda discriminant analysis, in the Aborigines and Hoklo communities townships with clusters of tuberculosis cases differentiated from townships without cluster cases, to a greater extent than in the other communities. In the GWR models, the explanatory variables demonstrated significant and positive signs of parameter estimates in clusters occurring in plain and mountainous aboriginal townships. The explanatory variables of both the Hoklo and Hakka communities demonstrated significant, but negative, signs of parameter estimates. The Mainlander community did not significantly associate with cluster patterns of tuberculosis in Taiwan. Results indicated that locations of high tuberculosis prevalence closely related to areas containing higher proportions of the Aboriginal community in Taiwan. This information is relevant for assessment of spatial risk factors, which, in turn, can facilitate the planning of the most advantageous types of health care policies, and implementation of effective health care services.

中医住院医师规范化培训移动互联全过程管理平台的应用初探

随着中医住院医师规范化培训制度(以下简称“住培”)的建立,管理流程的规范,数据量的增加,中医住培信息化管理方式在基地得到了越来越广泛的应用。结合住培管理的实际需求,为更好地对住培医师进行全过程信息化管理,利用网络和数据库技术,基地通过院企合作的方式构建了一套基于浏览器/服务器(Browser/Server,B/S)架构的移动互联全过程管理平台,以满足临床轮转培训、日常培训、考试考核等需求。此研究实践证明,该信息化平台一定程度上可以改善基地管理模式、降低人力和管理成本、提高效率,保障质量。

导师对住院医师规范化培训的认知与思考

分析导师在对现有课程设置与轮转安排的认知情况等,结果发现,不同任职年限、不同专业技术职称的导师对课程设置、轮转安排等的认同有差异。临床教学管理部门应与学校研究生管理部门共同研讨,优化课程设置,采用多样化的教学模式,提高专业学位研究生培养质量。

探讨情境模拟联合案例教学对麻醉科住院医师医患沟通能力的培训效果

目的 探讨应用情境模拟联合案例教学对麻醉科住院医师医患沟通能力的培训效果。方法选择在陕西省人民医院麻醉科轮转的40名住院医师为研究对象,随机分为观察组和对照组,观察组采用情境模拟与案例分析相结合的教学法,对照组采用传统教学,每组纳入20名住院医师。结果 与对照组相比,观察组的LCSAS得分更高,沟通能力提升,对教学方式、指导医师的满意度更高,差异有统计学意义(均P <0.05)。结论 在麻醉科住院医师规范化培训中采用情境模拟与案例分析相结合的教学法能够提高麻醉科住院医师的医患沟通能力,提升住院医师临床胜任能力。