Constructing the Training Curriculum of Standardized Patients for OSCE Examination for Undergraduate Nursing Students in Shanxi Medical University

Objective: The objective of this study is to construct the simulated patient training curriculum for OSCE examination for undergraduate nursing students and to explore the theoretical and practical foundation. Methods: To establish TSP training curriculum and SSP training curriculum, 30 experts were invited to finish the questionnaires which were proved by Delphi Method. Findings: We established the training curriculum of TSP and SSP, and set the weight of various curricula and teaching contents. Conclusions: The experts considered that the degree and importance of these two training curricula were comparable. This conclusion lays the foundation for applying these curricula to teaching practice and clinical practice, and enhancing the teaching outcome of undergraduate nursing students. Implications: This study provided a new way of assessing the clinic ability of nursing students.

Spatial Heterogeneity and Risk Factors of Dental Caries in 12-Year-Old Children in Shanxi Province,China

Objective This study aimed to explore the spatial heterogeneity and risk factors for dental caries in 12-year-old children in Shanxi province,China.Methods The data encompassed 3,721 participants from the two most recent oral health surveys conducted across 16 districts in Shanxi Province in 2015 and 2018.Eighteen specific variables were analyzed to examine the interplay between socioeconomic factors,medical resources and environmental conditions.The Geo-detector model was employed to assess the impacts and interactions of these ecological factors.Results Socioeconomic factors(Q=0.30,P<0.05)exhibited a more substantial impact compared to environmental(Q=0.19,P<0.05)and medical resource factors(Q=0.25,P<0.05).Notably,the urban population percentage(UPP)demonstrated the most significant explanatory power for the spatial heterogeneity in caries prevalence,as denoted by its highest q-value(q=0.51,P<0.05).Additionally,the spatial distribution’s heterogeneity of caries was significantly affected by SO2 concentration(q=0.39,P<0.05)and water fluoride levels(q=0.27,P<0.05)among environmental factors.Conclusion The prevalence of caries exhibited spatial heterogeneity,escalating from North to South in Shanxi Province,China,influenced by socioeconomic factors,medical resources,and environmental conditions to varying extents.

A Study of the People’s Nature in Woodcuts During the Anti-Japanese War in Shanxi

The anti-Japanese woodcuts focus on the red revolutionary culture and describe the connotation of the Anti-Japanese War era,which is self-evident in the commemorative value of China’s revolutionary struggle history.For example,in Shanxi,China,woodcut art activities and social practice promotion activities organized around the theme of the Anti-Japanese War are also everywhere,which all show the people’s nature of the Chinese people during the revolutionary struggle from the two aspects of the red culture of the Anti-Japanese War and traditional art and culture,and its humanistic connotation is quite profound.In this paper,we first introduce the historical origin of woodcut during the Anti-Japanese War,and then show the people’s value connotation of woodcut art activities in Shanxi.This paper mainly discusses the image narration,language and picture narration and construction significance of woodcuts in Shanxi’s War of Resistance,fully reveals the narrative nature of image media,strives to arouse people’s recognition of this period of Shanxi’s War of Resistance culture and history,and reflects the realistic value and significance of Shanxi’s War of Resistance Woodcuts art activities.

Theoretical Research and Practical Application of the Rural Cultural Enhancement by Creative Designs Under Rural Vitalization-A Case Study of Shanxi Province

To revive the nation,the rural area must be revitalized.Every regional cultural and creative industry has its own development path and practical mode.From the perspective of rural revitalization,this paper conducts research on the development model of cultural and creative design,and analyzes the significance of the integration of creative design with rural regional culture.Based on the current situation of rural cultural and creative development in Shanxi Province,this study proposes to form a brand communication chain through the integration between cultural design and rural culture,and the establishment of cultural and creative brands,furthermore,to establish trending topics through multiple channels.Finally,the important practical significance of cultural and creative design in promoting rural economic development and enhancing rural culture value is discussed in this design strategy,so as to actively help the new journey of rural revitalization.

Research on Digital Protection Strategy of Ancient Village Buildings in Shanxi Province based on Realistic Experience

As a large province with the most cultural relics on the ground in China,Shanxi has a large proportion of ancient villages in the country.In recent years,the state has begun to attach importance to traditional villages,and the number of ancient villages in Shanxi has been on the rise every year.Due to the difficulty of protecting ancient village buildings and the imperfect and imperfect traditional protection methods,the use of digital protection data retention,display and dissemination can play an important role in the protection of ancient villages.Common digital protection can not provide certain experience for ancient villages,but in the process of digital protection,the sense of experience is not strong,and a technology with perfect visual and tactile interaction is urgently needed to realize the realistic cultural experience and realize the real sense of digital protection of ancient villages.

Gamma-glutamyl transferase 5 overexpression in cerebrovascular endothelial cells improves brain pathology,cognition,and behavior in APP/PS1 mice

In patients with Alzheimer’s disease,gamma-glutamyl transferase 5(GGT5)expression has been observed to be downregulated in cerebrovascular endothelial cells.However,the functional role of GGT5 in the development of Alzheimer’s disease remains unclear.This study aimed to explore the effect of GGT5 on cognitive function and brain pathology in an APP/PS1 mouse model of Alzheimer’s disease,as well as the underlying mechanism.We observed a significant reduction in GGT5 expression in two in vitro models of Alzheimer’s disease(Aβ_(1-42)-treated hCMEC/D3 and bEnd.3 cells),as well as in the APP/PS1 mouse model.Additionally,injection of APP/PS1 mice with an adeno-associated virus encoding GGT5 enhanced hippocampal synaptic plasticity and mitigated cognitive deficits.Interestingly,increasing GGT5 expression in cerebrovascular endothelial cells reduced levels of both soluble and insoluble amyloid-βin the brains of APP/PS1 mice.This effect may be attributable to inhibition of the expression ofβ-site APP cleaving enzyme 1,which is mediated by nuclear factor-kappa B.Our findings demonstrate that GGT5 expression in cerebrovascular endothelial cells is inversely associated with Alzheimer’s disease pathogenesis,and that GGT5 upregulation mitigates cognitive deficits in APP/PS1 mice.These findings suggest that GGT5 expression in cerebrovascular endothelial cells is a potential therapeutic target and biomarker for Alzheimer’s disease.

Dynamics of a Stochastic Epidemic Model with Age-group

A stochastic epidemic model with two age groups is established in this study,in which the susceptible(S),the exposed(E),the infected(I),the hospitalized(H)and the recovered(R)are involved within the total population,the aging rates between two age groups are set to be constant.The existence-and-uniqueness of global positive solution is firstly showed.Then,by constructing several appropriate Lyapunov functions and using the high-dimensional Itô’s formula,the sufficient conditions for the stochastic extinction and stochastic persistence of the exposed individuals and the infected individuals are obtained.The stochastic extinction indicator and the stochastic persistence indicator are less-valued expressions compared with the basic reproduction number.Meanwhile,the main results of this study are modified into multi-age groups.Furthermore,by using the surveillance data for Fujian Provincial Center for Disease Control and Prevention,Fuzhou COVID-19 epidemic is chosen to carry out the numerical simulations,which show that the age group of the population plays the vital role when studying infectious diseases.

Spatiotemporal Variation and Influencing Factors of Atmospheric CO_(2) Concentration in China

Rapid increases in Carbon dioxide(CO_(2))levels could trigger unpredictable climate change.The assessment of spatiotempor-al variation and influencing factors of CO_(2) concentration are helpful in understanding the source/sink balance and supporting the formu-lation of climate policy.In this study,Greenhouse Gases Observing Satellite(GOSAT)data were used to explore the variability of CO_(2) concentrations in China from 2009 to 2020.Meteorological parameters,vegetation cover,and anthropogenic activities were combined to explain the increase in CO_(2) concentration,using pixel-based correlations and Covariance Based Structural Equation Modeling(CB-SEM)analysis.The results showed that the influence of vertical CO_(2) transport diminished with altitude,with a distinct inter-annual in-crease in CO_(2) concentrations at 17 vertical levels.Spatially,the highest values were observed in East China,whereas the lowest were observed in Northwest China.There were significant seasonal variations in CO_(2) concentration,with maximum and minimum values in spring(April)and summer(August),respectively.According to the pixel-based correlation analysis,the near-surface CO_(2) concentration was positively correlated with population(r=0.99,P<0.001),Leaf Area Index(LAI,r=0.95,P<0.001),emissions(r=0.91,P<0.001),temperature(r=0.60,P<0.05),precipitation(r=0.34,P>0.05),soil water(r=0.29,P>0.05),nightlight(r=0.28,P>0.05);and negatively correlated with wind speed(r=−0.58,P<0.05).CB-SEM analysis revealed that LAI was the most important con-trolling factor explaining CO_(2) concentration variation(total effect of 0.66),followed by emissions(0.58),temperature(0.45),precipita-tion(0.30),wind speed(−0.28),and soil water(−0.07).The model explained 93% of the increase in CO_(2) concentration.Our results provide crucial information on the patterns of CO_(2) concentrations and their driving mechanisms,which are particularly significant in the context of climate change.

Peripheral mitochondrial DNA as a neuroinflammatory biomarker for major depressive disorder

In the pathogenesis of major depressive disorder, chronic stress-related neuroinflammation hinders favorable prognosis and antidepressant response. Mitochondrial DNA may be an inflammatory trigger, after its release from stress-induced dysfunctional central nervous system mitochondria into peripheral circulation. This evidence supports the potential use of peripheral mitochondrial DNA as a neuroinflammatory biomarker for the diagnosis and treatment of major depressive disorder. Herein, we critically review the neuroinflammation theory in major depressive disorder, providing compelling evidence that mitochondrial DNA release acts as a critical biological substrate, and that it constitutes the neuroinflammatory disease pathway. After its release, mitochondrial DNA can be carried in the exosomes and transported to extracellular spaces in the central nervous system and peripheral circulation. Detectable exosomes render encaged mitochondrial DNA relatively stable. This mitochondrial DNA in peripheral circulation can thus be directly detected in clinical practice. These characteristics illustrate the potential for mitochondrial DNA to serve as an innovative clinical biomarker and molecular treatment target for major depressive disorder. This review also highlights the future potential value of clinical applications combining mitochondrial DNA with a panel of other biomarkers, to improve diagnostic precision in major depressive disorder.

Repetitive traumatic brain injury–induced complement C1–related inflammation impairs long-term hippocampal neurogenesis

Repetitive traumatic brain injury impacts adult neurogenesis in the hippocampal dentate gyrus,leading to long-term cognitive impairment.However,the mechanism underlying this neurogenesis impairment remains unknown.In this study,we established a male mouse model of repetitive traumatic brain injury and performed long-term evaluation of neurogenesis of the hippocampal dentate gyrus after repetitive traumatic brain injury.Our results showed that repetitive traumatic brain injury inhibited neural stem cell proliferation and development,delayed neuronal maturation,and reduced the complexity of neuronal dendrites and spines.Mice with repetitive traumatic brain injuryalso showed deficits in spatial memory retrieval.Moreover,following repetitive traumatic brain injury,neuroinflammation was enhanced in the neurogenesis microenvironment where C1q levels were increased,C1q binding protein levels were decreased,and canonical Wnt/β-catenin signaling was downregulated.An inhibitor of C1 reversed the long-term impairment of neurogenesis induced by repetitive traumatic brain injury and improved neurological function.These findings suggest that repetitive traumatic brain injury–induced C1-related inflammation impairs long-term neurogenesis in the dentate gyrus and contributes to spatial memory retrieval dysfunction.

A study on the pathogen species and physiological races of tomato Fusarium wilt in Shanxi,China

In order to clarify the main pathogens of tomato Fusarium wilt in Shanxi Province, China, morphological identification, elongation factor 1 alpha （EF-1α） sequence analysis, specific primer amplification and pathogenicity tests were applied to study the isolates which were recovered from diseased plants collected from 17 different districts of Shanxi Province. The results were as follows： 1） Through morphological and molecular identification, the following 7 species of Fusarium were identified： F. oxysporum, F. solani, F. verticillioides, F. subglutinans, F. chlamydosporum, F. sporotrichioides, and F. semitectum; 2） 56 isolates of F. oxysporum were identified using specific primer amplification, among which, 29, 5 and 6 isolates were respectively identified as F. oxysporum f. sp. lycopersici physiological race 1, race 2, and race 3; 3） pathogenicity test indicated the significant pathogenicity of F. oxysporum, F. solani, F. verticillioides, and F. subglutinans to tomato plant. Therefore, among these 4 species confirmed as pathogenic to tomato in Shanxi, the highest isolation rate （53.3％） corresponded to F. oxysporum. Three physiological species, race 1, race 2, and race 3 of F. oxysporum f. sp. lycopersici are detected in Shanxi, among which race 1 is the most widespread pathogen and is also considered as the predominant race.

Macroalgae in a spring stream in Shanxi Province:composition and relation to physical and chemical variables

Fourteen stream segments were investigated throughout the Xin’an Spring in Shanxi Province, China in 2004. The variation ranges in stream size, current velocity, discharge, dissolved oxygen, and specific conductance were large. Twenty-two macroalgae species were found in the stream. Major divisions in terms of species numbers were Chlorophyta (59.1%), Cyanophyta (22.8%), Xanthophyta (9.1%), Rhodophyta (4.5%) and Charophyta (4.5%). The most widespread species, Cladophora rivularis (50.0%), also Oedogonium sp. (42.9%) and Spirogyra sp. (42.9%) were well represented throughout the stream, whereas another 10 species were found in only one sampling site. Total percentage cover varied from <1% to 90%. Red algae Batrachospermum acuatum and the charophytes Chara vulgaris have the highest percentage cover. Among the parameters analyzed, the stream width, specific conductance and dissolved oxygen were the ones that more closely related to the species number and percentage cover of macroalgal communities. The species number of each site was negatively correlated with dissolved oxygen content. The total percentage cover of the macroalgae was negatively correlated with the stream width and the specific conductance.

Trend surface analysis of forest landscape pattern in Guandishan forest region of Shanxi,China

Landscape pattern is a widely used concept for the demonstration of landscape characteristic features. The integral spatial distribution trend of landscape elements is interested point in the landscape ecological research, especially in those of complex secondary forest regions with confusing mosaics of land cover. Trend surface analysis which used in community and population ecological researches was introduced to reveal the landscape pattern. A reasonable and reliable approach for application of trend surface analysis was provided in detail. As key steps of the approach, uniform grid point sampling method was developed. The efforts were also concentrated at an example of Guandishan forested landscape. Some basic rules of spatial distribution of landscape elements were exclaimed. These will be benefit to the further study in the area to enhance the forest sustainable management and landscape planning.

Insecticide resistance of the field populations of oriental armyworm,Mythimna separata(Walker) in Shaanxi and Shanxi provinces of China

Resistance of five field populations of Mythimna separata（Walker） collected from Shaanxi and Shanxi provinces of China to six different insecticides was evaluated by leaf dip method in the laboratory. The results showed that all populations were relatively sensitive to emamectin benzoate with a resistance ratio（RR） of 0.583–1.583 folds. All populations showed susceptible or low level resistance to chlorantraniliprole and beta-cypermethrin. Compared with a relatively susceptible strain of M. separata, the resistance level of the whole populations ranged from susceptible to moderate to chlorpyrifos and lambda-cyhalothrin, moderate to high to phoxim（RR=19.367–70.100） except for population from Sanyuan County（RR=2.567）. Pair-wise correlation analysis among different insecticides indicated that chlorpyrifos has a significantly positive and significant correlation with emamectin benzoate. Chlorantraniliprole didn＇t have significant correlation with emamectin benzoate, chlorpyrifos and phoxim. Therefore, emamectin benzoate, chlorantraniliprole and beta-cypermethrin are recommended to control oriental armyworm. Meanwhile, to postpone the occurrence and development of insecticide resistance in Shaanxi and Shanxi provinces, alternative and rotational application of insecticides between chlorantraniliprole and emamectin benzoate or chlorpyrifos is necessary.

Identification and Phylogenetic Analysis of an Orf Virus Isolated from an Outbreak in Boer Goat in Shanxi Province

To identify and analyze the Orf virus in Shanxi Province, China, an Orf virus strain was successfully isolated from crust materials of boer goat with clinical sore mouth symptom from a goat farm of Shanxi Province by passaging in lamb testis （LT）. The Orf virus was identified by enzyme linked immunosorbent assay （ELISA） test, recurrent infection test, transmission electron microscopy, and PCR. The nucleotide and amino acid sequences of two genes of the Orf virus were analyzed. The results showed that under the electron microscopy the virus had a presence of typical parapoxvirus virions and there were many eosinophilic intracytoplasmic inclusions observed by hematoxylin-eosin （H＆E） stain. In ELISA test, optical density （OD） readings of the sample showed a positive result, and the rabbits infected with the virus showed a typically Orf virus-infected appearance. All these findings proved that the sample was an Orf virus. The phylogenetic studies of Orf B2L and Orf F1L genes showed that the virus clustered in different branches and were closer to the Orf virus Nantou （DQ904351） and the OV-SA00 isolates （AY386264）. Furthermore, the above results may provide some insight into the genotype of the etiological agent responsible for the Orf outbreak in Shanxi Province, and could also provide a comparative view of the B2L and F1L genes of parapoxvirus.

Spotlight on Shanxi very mature vinegar

There are four kinds of the most famous vinegars in China. Qingxu Very Mature Vinegar of Shanxi Province is number one. Three others are Zhenjiang Savory Vinegar of Jiangsu Province, Baoning Bran Vinegar of Sichuan Province and Yongchun Vinegar of Fujian Province

An epidemiologic study of mitochondrial membrane transporter protein gene polymorphism and risk factors for neural tube defects in Shanxi, China

The present study involved a questionnaire survey of 156 mothers that gave birth to children with neural tube defects or had a history of pregnancy resulting in children with neural tube defects （case group） and 156 control mothers with concurrent healthy children （control group） as well as detection of mitochondrial membrane transporter protein gene [uncoupling protein 2 （UCP2）] polymorphism. The maternal UCP2 3＇ untranslated region （UTR） D/D genotype and D allele frequency were significantly higher in the case group compared with the control group （odds ratio （OR） 3.233; 95% confidence interval （C/） 1.103 9.476; P= 0.040; OR： 3.484; 95% CI： for neural tube defects 2.109 5.753; P 〈 0.001）. Univariate and multivariate logistic regression analysis of risk factors for neural tube defects showed that a matemal UCP2 3＇ UTR D/D genotype was negatively interacted with the mothers＇ consumption of frequent fresh fruit and vegetables （S = 0.007）, positively interacted with the mothers＇ frequency of germinated potato consumption （S = 2.15） and positively interacted with the mothers＇ body mass index （S = 3.50）. These findings suggest that maternal UCP2 3＇ UTR gene polymorphism, pregnancy time, consumption of germinated potatoes and body mass index are associated with an increased risk for neural tube defects in children from mothers living in Shanxi province, China. Moreover, there is an apparent gene-environment interaction involved in the development of neural tube defects in offspring.

The prevention and treatment of COVID-19 with Qingfei Paidu decoction in shanxi, China

Background In December 2019,Corona Virus Disease 2019(COVID-19)burst in Wuhan,China,and wreaked havoc over the country.On January 27,2020,the National Administration of Traditional Chinese Medicine urgently launched the special project,“research on screening effective prescriptions of traditional Chinese medicine(TCM)for prevention and treatment of COVID-19”.As the first pilot areas,Shanxi Province,Hebei Province,Heilongjiang Province and Shaanxi Province carried out clinical observation of Qingfei Paidu decoction in preventing and treating COVID-19.

New Issues and Countermeasures of Ecological Reconstruction of Coal Mines in Shanxi

According to the present situation of ecological reconstruction of coal mines（ERCM）in Shanxi,and considering the technical requirements of Guidelines for Mine Ecological Environment Protection and Recovery Management Programming,new issues faced by ERCM have been systematically analyzed,including the investigation of ecological destruction status,classification of damaged ecological environment,ecological reconstruction（ER）sustainability,driving force for ER,and so on.On this basis,suggestions for ERCM and advices for the ERCM programming are proposed.

Evaluating the confidence level of Traditional Chinese Medicine in nursing undergraduates at Chinese medical university

Objective:To observe the confidence level prevailing with regard to the practice of Traditional Chinese Medicine(TCM)among undergraduate nursing students who have undertaken TCM courses at Shanxi Medical University.Methods:This cross-sectional study was conducted at Shanxi University of Chinese Medicine.A questionnaire survey was administered through the Questionnaire Star website(https://www.questionstar.com/).The confidence level was examined from 6 aspects,namely cognition of TCM culture and theory,advantages and characteristics of TCM diagnosis and treatment,feelings about TCM achievements,personal behaviors related to TCM,attitudes toward Western medicine,and the future of TCM.The mean score of the observed items was calculated,and was found to be positively related to the confidence level concerning TCM(the score was between 1 and 5).Results:A total of 120 participants voluntarily enrolled themselves in the study.The results showed that the mean score of observed items were generally about 4.A relatively strong confidence was shown in understating TCM advantages and characteristics in diagnosis and treatment,and also in feelings toward TCM achievements.Conclusions:The majority of nursing undergraduates had confidence in TCM.However,some aspects such as the understanding of TCM culture and the correlation between TCM and Western medicine may need to be improved through education.