Exploring the Dual Subjectivity of Kindergarten's Self-made Play and Teaching Aids Activities from the Perspective of Children's Play Development in China

The joint development of teachers and young children is the basis for promoting the development of high-quality preschool education in the new era,and encouraging early childhood teachers to make playthings according to local conditions is both the fine tradition of China's early childhood education and the direct orientation of China's preschool education policy.Homemade play and teaching aids are some of the methods often used in kindergartens,which skillfully combine young children's daily life objects with toys and early childhood teaching,not only enriching the collective activities of young children but also cultivating children's abilities in various aspects.Kindergarten homemade"play and teaching aids"for early childhood teachers and children have their special educational significance and value,therefore,this paper is based on the children and teachers double subject basis,discussing the homemade"play and teaching aids"for children and teachers of the double subject meanings,and puts forward the realization of the This paper discusses the double-subjective meaning of homemade teaching aids for children and teachers on the basis of the double-subjective foundation of children and teachers,and puts forward specific suggestions for realizing the double-subjectivity of kindergarten homemade teaching aids to enrich the theoretical value and practical significance of homemade teaching aids,to provide theoretical references and support for the relevant staff.

Observation on Curative Effect of Self-made Wubeizi Decoction Combined with rhaFGF in Promoting Postoperative Wound Healing in Patients with Anal Fistula

[Objectives]To explore the curative effect of Self-made Wubeizi Decoction combined with recombinant human acidic fibroblast growth factor(rhaFGF)in promoting postoperative wound healing in patients with anal fistula.[Methods]A total of 82 patients with anal fistula who underwent anal fistula resection+use of setons in Luodian Hospital during January and March of 2020 were randomly divided into observation group and control group with 41 cases in each group.The control group was given rhaFGF external application regimen,and the observation group was treated with Self-made Wubeizi Decoction on the basis of the control group.After 3 weeks of treatment,the differences in curative effects of TCM syndromes were compared between the two groups.Besides,the changes in TCM symptom scores,inflammatory mediators[interleukin-12(IL-12),tumor necrosis factor-α(TNF-α),interferon-γ(IFN-γ)],anorectal functions[anal resting pressure(ARP),maximal systolic pressure(MSP)and maximum tolerated volume(MTV)of the anal canal],quality of life[GQOLI-74 scores]were compared.[Results]After 3 weeks of treatment,the total effective rate of the observation group was significantly higher than that of the control group(P<0.05);the levels of TCM symptom scores,IL-12,TNF-α,IFN-γ,ARP,MSP,and MTV in both groups were significantly lower than those before treatment,and these levels in the observation group was significantly lower than that in the control group at the same time(P<0.05).The GQOLI-74 scores of both groups were significantly higher than those before treatment,and the observation group was significantly higher than the control group(P<0.05).[Conclusions]The Self-made Wubeizi Decoction combined with rhaFGF therapy has a significant effect in promoting postoperative wound healing in patients with anal fistula.It can effectively inhibit the local inflammation of patients,facilitate the recovery of anorectal function and improve the quality of life,thus has high clinical application value.

Severe skeletal bimaxillary protrusion treated with micro-implants and a self-made four-curvature torquing auxiliary: A case report

BACKGROUND Bimaxillary protrusion is a clinically common dentofacial deformity,particularly among Chinese patients.This kind of malformation can severely affect facial esthetics and,even in mild cases,is difficult to correct without surgery.Unfortunately,many patients abandon treatment because of fear of surgery.Here,we describe a case of severe skeletal bimaxillary protrusion treated with nonsurgical orthodontic treatments,highlighting an alternative treatment option.CASE SUMMARY A 31-year-old woman wished to address a severe protrusion profile(approximately 8 mm overbite)and gummy smile.Cephalometric analysis and superimposition showed a severe skeletal class II pattern with a mandibular retrusion,and proclined and protrusive mandibular incisors.Panoramic radiograph showed a missing mandibular right third molar.A diagnosis of severe bimaxillary dentoalveolar protrusion was made.Taking into account the patient’s fear of orthognathic surgery,she accepted the proposed alternative treatment using micro-implants and a self-made four-curvature torquing auxiliary.The treatment allowed for maximal en masse anterior tooth retraction,proper relocation of incisors,and alleviation of the skeletal class II pattern.Esthetically,the patient’s lip protrusion was significantly decreased as was the overjet(from 10.5 mm to 1.8 mm),and the results remained stable throughout the 2-year followup.CONCLUSION Nonsurgical treatment using micro-implants and a four-curvature torquing auxiliary may benefit severe cases of skeletal bimaxillary protrusion in adults.

Self-made wire loop snare successfully treats gastric persimmon stone under endoscopy

BACKGROUND Large gastric persimmon stones are generally resistant to standard endoscopic treatments.We applied an alternative endoscopic method using a hand-made snare for the treatment of large gastric phytobezoars.AIM To explore the clinical efficacy of a self-made wire loop snare to treat giant gastric persimmon stones.METHODS A retrospective study evaluated the clinical data of 38 patients with gastroliths admitted to Taihe Hospital in Shiyan City,Hubei Province,China,between March 2015 and October 2020.The patients were divided into observation(n=23)and control(n=15)groups.Patients in the observation group were treated with selfmade wire loop snares for lithotripsy,and patients in the control group were treated with traditional foreign body forceps,snares,injection needles,and other tools.Successful stone removal,treatment time,and hospital stay were compared.RESULTS The average operating time was significantly shorter(P<0.001)in the observation group(53.4 min)than that in the control group(172.8 min).The average hospital stay of the observation group(5.4 d)was significantly shorter(P<0.001)than that in the control group(10.3 d).Successful one-time treatment was significantly more frequent(P<0.001)in the observation group(87%)than in the control group(7%).CONCLUSION Self-made guidewire loop snares were successfully used to treat gastrolithiasis, and were significantly more effective than foreign body forceps, snares, and other traditionalmethods.

Protective Effects of Self-made Compound Taoren Danshen Decoction on Rats with Acute Liver Injury

[Objectives] To study the protective effects of self-made Compound Taoren Danshen Decoction( CTDD) on acute liver injury induced by D-galactosamine in rats,and to explore its mechanism. [Methods]An acute liver injury model was established by intraperitoneal injection of 500 mg/kg of D-galactosamine. The ALT,AST,MDA,SOD and GSH-Px in serum,as well as serum TNF-α,IL-1β and IL-6 levels were measured,and liver tissue lesions were observed under microscope. [Results] CTDD can significantly reduce ALT,AST and MDA levels,increase SOD,GSH-Px activity,and significantly reduce serum TNF-α,IL-1β and IL-6 levels,and improve liver tissue lesions.[Conclusions]CTDD has a protective effect on D-galactosamine-induced acute liver injury in rats,and its mechanism may be related to inhibition of oxidative stress and inflammatory reaction.

Observation on the Effect of Umbilical Therapy of Herbal Medicine Combined with Self-Made Dysmenorrhea Paste on Primary Dysmenorrhea

Objective:To investigate the clinical effect of self-made dysmenorrhea paste combined with umbilical therapy of herbal medicine on primary dysmenorrhea.Methods:160 patients with primary dysmenorrhea were recruited from Changle People’s Hospital.Participants were randomly divided into control group and treatment group,with 80 cases in each group.The control group were administered the dysmenorrhea paste sold on the market for 5 days during three menstruation cycles,and the treatment group was given the umbilical therapy of herbal medicine combined with self-made dysmenorrhea paste.The outcome was the intensity of menstrual pain measured by using the visual analogue scale,TCM symptom score and dysmenorrhea symptom score of patients,responder rate.The clinical outcomes were measured on each menstrual cycle at baseline,treatment course(3 cycles),and follow-up period.Results:In this study,there was no significant difference in age and severity of disease between the two groups before treatment.After treatment,VAS score,TCM symptom score and dysmenorrhea symptom score of patients in both groups decreased.The total effective rate was 90.75%in the treatment group and 81.25%in the control group.Conclusion:The treatment of primary dysmenorrhea patients with self-made dysmenorrhea paste combined with application of drugs and moxibustion naval-button method has a significant clinical effect.This method can reduce the pain of patients,improve the quality of life of patients,and homemade dysmenorrhea paste has a good taste,long shelf life,easy to carry,and is worthy of promotion and application.

Effect of self-made exhaust plaster on patients with gastrointestinal dysfunction after gynecological operation

Objective:To explore the effect of self-made exhaust patch(SMEP)on gastrointestinal dysfunction after gynecological operation.Methods:A total of 200 patients with gynecological operation in the gynecological ward of Shandong Changle People's Hospital were randomly divided into the control group(n=100)and the treatment group(n=100).The recovery time of bowel sounds,the time of first anal exhaust,the duration of abdominal distention,the duration of abdominal pain,the incidence of abdominal distention and abdominal pain and linical efficacy of SMEP were observed.Results:Compared with the control group,the recovery time of gastrointestinal function and the first anal exhaust time in the treatment group were shorter;the duration of abdominal distention and abdominal pain in the treatment group were shorter than those in the control group(P<0.05);Cure rate of abdominal distention in the treatment is 62.5%and cure rate of abdominal pain in the treatment is 60%within 72 hours after operation,which is higher than that in the control group(44.%,45.9%).Conclusion:The results showed that the self-made exhaust patch can improve the clinical symptoms of patients after gynecological abdominal surgery,and the self-made exhaust patch had a significant effect on gastrointestinal dysfunction after gynecological surgery,which was worthy of clinical promotion.

Oxidation of Partially Hydrolyzed Polyacrylamide from Polymer Flooding Processes Using Fenton Reagents

The degradation of partially hydrolyzed polyacrylamide(HPAM) found in alkaline/surfactant/polymer flooding sewage was investigated using Fenton-type reagents. Different Fenton reagent treatments for HPAM degradation were compared. The effects of pH, hydrogen peroxide(H_(2)O_(2)), ferrous ion(Fe^(2+)), and tartaric ion(C_(4)H_(4)O_(6)^(2-)) concentrations were studied. The degradation reaction occurred within a wide range of pH(3–9). The HPAM degradation performance of photo-Fenton processes using solar light and UV were compared with that of the Fenton process. The degradation rate was found to be strongly dependent on the H_(2)O_(2)/Fe^(2+)/C_(4)H_(4)O_(6)^(2-)molar ratio. The HPAM degradation efficiency was 90%, and the chemical oxygen demand removal efficiency was 85%. HPAM could be degraded into a compound with a lower molecular weight, but it was difficult to achieve complete mineralization to CO_(2). The presence of intermediate products hindered further oxidation in the Fenton process.

北京医院临床检验体外诊断试剂的遴选与优化管理实践

目的形成临床检验体外诊断试剂(in vitro diagnostic reagents,IVD)遴选与优化的管理方案和管理数据库,优化IVD管理工作。方法对政策背景和北京医院临床检验IVD的管理现状进行分析,基于临床需求,制定已开展和新申请检验项目IVD的遴选与优化管理方案,通过梳理项目、公开招标、创新报价方式、现场评审等步骤,对全院IVD进行遴选和优化,形成北京医院IVD管理数据库和资质数据库,并从合规性、工作效率和成本管控方面进行效果评估。结果按照制定的IVD遴选与优化管理方案完成全院1737项IVD的遴选和优化工作,管理方案的实施提高了工作效率,平均一次会议评审的内容增加10倍以上,加快了新申请IVD准入频率;降低了IVD成本,全院采购金额平均降幅约15%,重点IVD产品遴选后较遴选前价格降低,且差异具有统计学意义(t=2.493,P=0.034)。结论IVD遴选与优化的管理方案切实可行,可以达到“保合规,提效率,降成本”的目标。

某复杂萤石型稀土矿绿色同步回收稀土萤石技术研究

萤石型稀土矿浮选通常是采用抑制剂抑制萤石及其他脉石矿物、羟肟酸类捕收剂优先浮选稀土矿物,浮选得到的稀土精矿经磁选提纯得到最终稀土精矿,然后从稀土浮选尾矿中回收萤石的选矿工艺流程,该工艺和药剂虽然高效回收了萤石型稀土矿中的稀土矿物,但肟类捕收剂有一定毒性,且在优先浮选稀土矿物时萤石受到强烈抑制,不利于再次浮选回收。因此,针对某复杂难选萤石型稀土矿,其中主要有用矿物为稀土和萤石,REO品位为1.526%、CaF_(2)品位16.128%,矿样中REO总含量的80.24%、13.28%和5.82%分别分布于氟碳铈矿、氟碳钙铈矿和褐帘石中,通过采用无毒药剂,研发稀土萤石同步浮选—稀土萤石混合精矿分离工艺技术,采用具体的选矿方案:矿样磨矿—浮硫除杂—浮硫尾矿稀土萤石同步浮选—稀土萤石混合精矿浮磁分离,最终闭路试验获得REO品位为53.81%、REO回收率为52.56%的稀土精矿和CaF2品位为92.03%、CaF_(2)回收率为67.77%的萤石精矿,实现了萤石型稀土矿中稀土和萤石的绿色同步回收,也为稀土萤石混合精矿的分离提纯提供了一种可借鉴的方法。

造孔剂脱除方式对VPO催化剂性能的影响

制备了正丁烷氧化制顺酐的VPO催化剂,采用XRD和XPS对催化剂进行了表征,研究了造孔剂脱除对催化剂性能的影响,包括造孔剂含量、造孔剂脱除顺序以及低温减压脱除造孔剂对催化剂性能的影响,并考察了催化剂的稳定性。实验结果表明,降低造孔剂含量不能有效提升催化剂的性能;采用先脱除造孔剂后活化的方法制备VPO催化剂,在408℃熔盐温度下正丁烷转化率达到80.6%、顺酐收率可达94.3%(w),催化剂性能有所提升;采用低温减压的方法脱除造孔剂,VPO催化剂在408℃熔盐温度下正丁烷转化率达到82.5%、顺酐收率达到95.1%(w),可以显著提升催化剂的性能,且在反应50 d内正丁烷转化率维持在82.0%以上、顺酐收率稳定在94.0%(w)以上。

北京医院体外诊断试剂基于绩效管理的全流程闭环管理设计和效果评估

目的构建体外诊断试剂(in vitro diagnostic reagents,IVD reagent)全流程闭环管理方案并实施,优化IVD管理工作。方法基于北京医院IVD管理现状,设计IVD全流程闭环管理方案,包括IVD申请、IVD遴选、IVD申购、IVD采购、IVD领取、IVD入出库和IVD使用等环节。选择关键指标建立评估框架,运用访谈法、查阅相关信息系统的方法收集和统计方案实施前(2020年)和实施后(2023年)的管理数据、采购数据和检测数据,对流程管理、质量管理和成本管理进行评估。结果优化了管理流程,IVD申购时间平均缩短了约60%,IVD采购无需人工处理,实时拆分订单并发送至对应的供应商,IVD领取时间平均缩短了约75%;IVD和检测质量管理满意,供货商资质完善度达到100%,室间质评得到满分,无IVD相关不良事件;成本管理有效,IVD采购成本降低了约15%,分别建立了人免疫缺陷病毒抗体测定、丙型肝炎抗体测定、梅毒螺旋体抗体测定和乙型肝炎表面抗原定量测定四个项目的IVD成本精细化管理模型,IVD损耗的平均值为0.07%~1.21%,标准差为0.07%~0.66%。结论IVD全流程闭环管理方案切实可行,提高了IVD管理工作效率,保证了IVD质量和检测质量,降低了IVD成本,细化了成本管理工作。

基于零库存目标的体外诊断试剂供应链质量评价与改进研究

目的:制定体外诊断试剂供应链的零库存管理目标,评价供应链质量,改进试剂供应中存在的问题。方法:从体外诊断试剂的库存量、供应效率和产品质量方面分析体外诊断试剂管理中存在的问题,制定医院运营、管理质量和患者利益最优化的管理体系,构建零库存管理路径和质量评价模型。选取2020年1月至2023年3月江苏省苏北人民医院采购的21种类型85个型号的体外诊断试剂,根据供应链质量管理方式不同,分别采用按需库存管理模式(模式1)和零库存管理模式(模式2),对比两种管理模式的需求采购、库存管理和临床使用效果。结果:采用模式2管理方式的体外诊断试剂的采购需求达标率、供应能力优质率和临床使用匹配度分别为(93.35±3.62)%、(94.87±2.63)%和(96.08±2.31)%,均高于模式1,其差异有统计学意义(Z=2.489、2.836、2.838,P<0.05),存产品长期积压、环境不达标和信息不及时的例数分别为(2.92±2.54)例、(2.83±1.59)例和(5.58±3.12)例,均低于模式1,其差异有统计学意义(Z=2.959、3.037、3.703,P<0.05);临床科室、医技科室及采购中心对模式2的体外诊断试剂的供应配送和信息沟通的满意度分别为97.8%和93.3%、97.0%和87.9%、100%和84.6%,均高于模式1,其差异有统计学意义(χ^(2)_(临床科室)=5.428、6.133,χ^(2)_(医技科室)=3.958、3.937,χ^(2)_(采购中心)=5.159、4.996,P<0.05)。结论:零库存管理模式能够提高体外诊断试剂需求采购的规范性,降低库存管理中积压失效问题的发生率,提升临床供应服务质量。

滴定分析中常见的误差及其对分析结果的影响

滴定分析中不可避免地存在各种误差,绝大多数误差会对分析结果造成一定的影响。然而,不少同学对误差的判定感到难以理解,经常得到错误的结论。为了帮助学生理解误差产生的根本原因,正确分析误差对分析结果的影响,本文结合实例根据滴定分析中误差产生的原因对误差进行了分类(主要包括由终点指示方式、试剂及分析人员的操作引起的误差),并结合公式对于误差对分析结果造成的影响进行了分析。

6种布鲁氏菌病诊断试剂检测结果的比较

为比较不同布鲁氏菌病诊断试剂在实验室检测工作中性能的差异,本研究以96份奶牛血清为实验材料,采用虎红平板凝集试验(RBT)、试管凝集试验(SAT)、间接酶联免疫吸附试验(iELISA)、竞争酶联免疫吸附试验(cELISA)4种方法、6种不同试剂进行比对检测,将SAT结果作为金标准,分析其余5种诊断试剂的敏感性、特异性和符合率,并分析同种方法不同试剂检测结果的一致性。结果显示:(1)SAT检测出阳性样本3份,阴性样本93份。(2)与SAT结果相比,RBT、iELISA-A和iELISA-B的敏感性最高(100.00%),RBT和cELISA-C的特异性最高(98.92%)。(3)RBT、iELISA-A、cELISA-C的符合率均在91.67%以上。(4)iELISA-A与iELISA-B之间,cELISA-C与cELISA-D之间一致性较差。研究表明:相比iELISA-B和cELISA-D试剂盒,iELISA-A和cELISA-C试剂盒的结果更加可靠;在开展布鲁氏菌病大规模初筛时宜选用敏感性高的试剂,如RBT和iELISA-A,确诊时宜选用特异性高的试剂,如SAT和cELISA-C。本研究结果为诊断试剂的选择提供参考,以提高诊断准确性。

“多院区时代”体外诊断试剂一、二级库精细化管理初探

为更好地满足人民日益增长的对高品质医疗卫生服务的需求,不断增强人民群众的获得感、幸福感和安全感,越来越多的公立医院开办了多个院区,在提升医疗服务水平和医疗质量的同时,需要投入大量的人力、设备等资源,大大增加了运营成本。其中医用物资的采购成本也占据医院总体运营成本较大的比重,但现阶段关于多院区医用物资采购成本管理方面的研究还相对较少,缺乏相应的理论基础和足够的实践经验。因此文章尝试从体外诊断试剂一、二级库全流程管理,及时了解科室的库存与实时消耗,规范医院试剂的流转,制定采购计划并达到可控,实现体外诊断试剂的精细化管理,从而降低医用物资的采购成本;并在体外诊断试剂管理过程中发现突出问题,进行简述和剖析,尝试提出解决问题的对策。

高校生物实验室化学试剂的管理研究

近年来,高校实验室火灾和爆炸等事故时有发生,其中是危险化学品引发的事故。当前,高校生物类实验室的化学试剂管理存在以下问题:首先,化学试剂使用种类多,数量大,其中包含大量的危险化学试剂;其次,有化学试剂无固定场所存放、无专人管理、缺乏管理制度等问题。因此,化学试剂的规范化管理是降低事故发生频率的主要措施之一。以学院或研究中心为单位建立试剂库,并安排专业人员进行化学试剂的统一采购、按需领取、废液减废回收,实现化学试剂闭环管理,则能够减少安全隐患,降低教学科研成本,控制废弃物污染环境、有效地保证师生员工的健康和国有财产的安全。

化工有机废水的净化及水质成分分析实验综述报告

采用低温等离子体(NTP)和Fenton氧化分别对DMP废水进行降解。通过实验研究了最佳处理条件,将两种工艺进行组合,研究组合工艺以及组合工艺中每一种方法的先后顺序对处理结果的影响。学生通过小组协作,设计参数梯度,研究因素对废水处理结果的影响,达到了综合训练的目的。可为开设综合设计性的专业实验提供参考。

2023年浮选药剂研究进展

本文收集了2023年国内核心期刊发表的部分浮选药剂的信息,分硫化矿捕收剂、氧化矿捕收剂、调整剂、起泡剂与助磨剂及助滤剂、浮选药剂的结构与性能和废水处理六个方面介绍并略加评论。

螯合剂与低分子有机酸复配淋洗修复Cr(Ⅵ)污染土壤

为探究可生物降解螯合剂氨三乙酸(NTA)替代乙二胺四乙酸二钠(EDTA)在复配淋洗剂中的作用,本文研究了NTA和EDTA与草酸和酒石酸所配制的复配淋洗剂在不同浓度、固液比、pH值和淋洗时间下对Cr(Ⅵ)污染土壤淋洗效果的影响及淋洗动力学,此外还使用顺序提取方案(BCR)分析了淋洗前后土壤中重金属的形态、迁移率和稳定性变化。结果表明:混合等体积的0.25 mol·L^(-1)NTA和0.3 mol·L^(-1)草酸在固液比为1∶9、pH为3、淋洗时长为240 min条件下达到最大Cr(Ⅵ)去除效率82.94%,这与使用EDTA淋洗时的效率相近;该复配淋洗剂淋洗Cr(Ⅵ)污染土壤时的动力学符合拟二级动力学方程;BCR实验结果表明,NTA和草酸复配淋洗后土壤中Cr的弱酸可提取态、可氧化态和残渣态组分含量分别从6346.67、4280.00、2387.67 mg·kg^(-1)下降至1161.67、433.35、741.00 mg·kg^(-1),可还原态组分从2746.67 mg·kg^(-1)上升至6016.67 mg·kg^(-1),污染土壤重金属迁移率下降。淋洗后土壤有机质含量从13.47%上升至30.56%,脲酶和脱氢酶活性分别从46.32、329.09μg·d^(-1)·g^(-1)降低至29.36、131.98μg·d^(-1)·g^(-1),土壤结构基本与原土一致。因此,NTA与草酸复配淋洗剂是一种高效且对土壤影响较小的淋洗剂。