Subjects: Other Disciplines >> Synthetic discipline submitted time 2024-03-05 Cooperative journals: 《第八届海峡两岸暨港澳地区高校现代书院制教育论坛 》
Abstract：摘要党的十八大以来，习近平总书记对高校育人工作高度重视，强调要“把立德树人融入思想道德教育、文化知识教育、社会实践教育各环节”“要培养德智体美劳全面发展的社会主义建设者和接班人”的要求。 为推动学生思想教育工作，促进第二课堂发展新格局，在“五育”协调发展的基础上，实现各育目标相互之间的深度融合，发挥好德智体美劳五个方面兼容并蓄、同心同向的作用就要求做到五育融合，贯通发展。然而在第二课堂中，五育形式单一、学生主动性差、师资力量薄弱、思想政治教育时效性差、缺乏一定的体系和体制制度的问题逐渐显现。为此崇实书院联合各学院，以综合能力提升课程为抓手，破解难题:一是五育融合构筑全方位育人体系;二是名师入驻开拓新思路，朋辈助力携手助成长;三是班主任力量夯实新成效;四是以史为鉴，以笔为媒，使思政、党史教育“活”起来。
Subjects: Medicine, Pharmacy >> Preventive Medicine and Hygienics submitted time 2024-01-24 Cooperative journals: 《中国全科医学》
Abstract： Background As the aging population continues to increase，there has been a rise in the prevalence of multimorbidity in the elderly. The adherence to medication regimens by elderly patients with multimorbidity significantly impacts the effectiveness of chronic disease management. Objective This study analyses the factors that impact medication adherence among the elderly with multimorbidity in Guangdong province. This study aims to provide a foundation for the management of multimorbidity in this population. Methods A multi-stage stratified cluster random sampling method was used to survey a population of 998 multimorbid patients aged 60 years and above in Guangdong province. Medication adherence was the dependent variable，while patient sex，age，marital status，living conditions，education level，personal annual income，family encouragement for medication adherence，family doctor support，number of diseases，disease awareness，medication awareness，body mass index（BMI），smoking and alcohol consumption were considered as independent variables. Multiple Logistic regression analysis was used to identify the factors influencing medication adherence among elderly patients with multimorbidity in Guangdong Province. Results A total of 1，000 questionnaires were distributed and 998 valid questionnaires were collected，with a valid recovery rate of 99.8%. Among the 998 cases of elderly patients with multimorbidity in Guangdong Province，there were 719 cases（72.0%）with good adherence to medication and 279 cases（28.0%）with poor medication adherence；there were 512 cases（51.3%）of males and 486 cases（48.7%）of females. The results of multifactorial logistic regression analysis showed that：education level （high school/secondary school：OR=0.298，95%CI=0.117~0.762；college and above：OR=0.325，95%CI=0.127~0.831），personal annual income （>30 000~50 000 RMB：OR=7.694，95%CI=2.071~28.582；>50 000 to 100 000 RMB：OR=12.408，95%CI=3.229，47.686；>100 000 RMB to 200，000 RMB：OR=4.893，95%CI=1.174~20.397），and frequency of family members' supervision of medication taking （occasionally：OR=1.842，95%CI=1.222~2.779），family doctor's help （slightly helpful：OR=2.537，95%CI=1.531~4.205），understanding of the condition （mostly understood：OR=3.015，95%CI=1.948~4.667；better understood：OR=3.510，95%CI=1.955~6.300；some/no understanding：OR=3.469，95%CI=1.338~8.994），medication concern （mostly concerned：OR=4.928，95%CI=3.336~7.278；more concerned：OR=3.670，95%CI=1.915~7.033；somewhat concerned/unconcerned：OR=8.560，95%CI=2.497~29.33），BMI （too low：OR=2.303，95%CI=1.154~4.598；overweight/obese：OR=0.598，95%CI=0.390~0.915），and alcohol consumption （OR=1.959，95%CI=1.270~3.022） were the influencing factors of medication adherence among elderly patients with multimorbidity in Guangdong province（P<0.05）. Conclusion The elderly patients with multimorbidity in Guangdong province had better medication adherence，at 72.0%. The elderly patients with multimorbidity in Guangdong province with a high school education and above，low-income group，frequently urged to take medication by their family members，with a lot of help from their family doctors，with a good understanding of their condition，with a lot of concern about medication，overweight/obese，and not drinking alcohol had better adherence to their medication. On the other hand，medication adherence was poorer among the elderly patients with multimorbidity in Guangdong province who were high-income earners，occasionally urged to take medication by their family members，slightly assisted by their family doctors，had a low understanding of their condition，paid little attention to the use of medication，had a low BMI，and drank alcohol.All parties in society should join hands to take multiple measures to improve the medication adherence of elderly patients with multimorbidity in all aspects，strengthen the integrated management of multimorbidity，and promote the health of elderly patients.
Subjects: Medicine, Pharmacy >> Preventive Medicine and Hygienics submitted time 2024-01-11 Cooperative journals: 《中国全科医学》
Abstract： Background With the aggravation of population aging in China，the disease spectrum of the population has changed and the coexistence of multiple chronic diseases has become the norm for the health status of the older population in China. Patient delay refers to the behaviour of an individual who fails to seek medical care in a timely manner after becoming unwell for a variety of subjective or objective reasons，resulting in a decrease in the treatment effectiveness and a decrease in the quality of the patient's survival. At present，there are few researches on patient delay and the associated factors for elderly adults with multimorbidity in China. Objective To explore the patient delay and the associated factors for older adults with multimorbidity，so as to provide references to further reduce the incidence of patient delay. Methods Eligible elderly patients attending 27 community health centers in Guangdong Province from September to December 2022 were selected for the study using multi-stage stratified whole cluster random sampling method. A self-designed questionnaire was used to collect patients' general information，disease-related information and delays in seeking medical care. Multivariate Logistic regression analysis and a decision tree model based on the CHAID algorithm were used to analyse the influencing factors of patient delay in older adults with multimorbidity.Results A total of 998 patients were included in the study，of which 243（24.35%）showed delays in seeking medical care. The multivariate Logistic regression results showed that gender（OR=0.701，95%CI=0.504-0.977，P=0.036），type of household registration（OR=0.590，95%CI=0.358-0.973，P=0.039），type of health insurance（OR=2.660，95%CI=1.764-4.010，P<0.001），disease-related self-efficacy（OR=4.378，95%CI=2.079-9.217，P<0.001），family doctor contract（OR=2.277，95%CI=1.618-3.206，P<0.001）and self-reported health（OR=1.554，95%CI=1.073-2.250，P=0.020）were the main factors influencing patient delay in older adults with multimorbidity（P<0.05）. The decision tree model has 3 levels and 13 nodes，and a total of 5 influencing factors were screened，including type of health insurance，family doctor contract，gender，self#2;reported health and age. The results of the two models for predicting patient delay in older adults with multimorbidity showed that the area under receiver operating characteristic curve（AUC）was 72.9% for the multivariate Logistic regression model and 72.1% for the decision tree model. Comparison of the AUC of the two models for predicting the effect of patient delay in older adults with multimorbidity showed a statistically significant difference（Z=0.539，P=0.590）. Conclusion The incidence of patient delay in older adults with multimorbidity is 24.35% in Guangdong province，and the type of health insurance，the contracting rate of family doctors，gender，and self-reported health status are the main factors influencing patient delay in older adults with multimorbidity. The medical insurance system should be further improved to increase the contracting rate and utilization rate of family doctors in order to reducing the incidence of patient delay.
Subjects: Digital Publishing >> New Media submitted time 2023-10-08 Cooperative journals: 《中国传媒科技》
Abstract：随着社会经济的不断发展和科学技术的日益提升,人们生活水平也不断提高。人们为了获得有价值的信息,而依托广播电视媒体获得所需的信息。广播电视新闻在传播过程中受诸多因素的影响,而策划则是广播电视新闻的重要影响因素。为了使广播电视新闻内容不断丰富,质量不断提升,需要对广播电视新闻在策划方面不断创新,从而使广播电视新闻在内容和形式上不断丰富,使广播电视新闻质量不断提升。本文将对广播电视新闻策划的创新思维进行探讨,从而提出科学合理的措施,使广播电视新闻质量得以有效提升。
Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2023-09-12 Cooperative journals: 《中国全科医学》
Abstract： The continuous increase in the prevalence of comorbidities has severe challenges to population health management，and the World Health Organization（WHO） recommends the development of integrated medical care models to cope with the pressure of health management of patients with comorbidities. In this paper，we constructed an integrated management model for geriatric comorbidities under medical association based on PDSA theory，in order to continuously improve the management ability and effect in the reciprocal cycle of "plan-execute-research-act". The model consists of four key elements，including management team，management process，management tools and management effect. Based on previous intervention research，the model integrates patient-centered，multidisciplinary team，patient self-management and other intervention methods，and relies on big data technology to establish a decision support platform，thus realizing the whole life cycle health management of patients with comorbidities.
submitted time 2018-10-26 Cooperative journals: 《电气工程学报》
Abstract： Due to the uneven distribution of terrain and aging of photovoltaicmodules,the mismatch loss problem of PV modules has became increasingly prominent. For large ground and mountain power stations, in order to solve these problems, the multi-channel maximum power point tracking (MPPT) technology of inverter will become an inevitable trend. In this paper, Simulink is used to simulate the photovoltaic power generation system,and the comparison between the distributed and the traditional centralized is carried out to verify the superiority of the distributed MPPT efficiency.
Subjects: Dynamic and Electric Engineering >> Engineering Thermophysics submitted time 2017-11-07 Cooperative journals: 《工程热物理学报》
Abstract：本文搭建了静态闪蒸实验台，对不同初始参数下NaCl溶液静态闪蒸过程中的泡沫层膨胀规律开展了初步地实验研究和理论分析。实验中，过热度为2. 9一30 K，初始液膜厚度为0. 1 m, 0. 2 m，溶液初始质量分数为0. 2-0. 25。实验结果表明:在较大的过热度或者较小的初始液膜厚底下，泡沫层膨胀开始较早，且膨胀较快;而溶液浓度对泡沫层膨胀规律几乎没有影响。此外，本文根据气泡生长理论和质量能量平衡建立并推导出了泡沫层膨胀规律计算模型，实现了对泡沫层高度随时间变化规律的计算，与实验结果吻合的较好。
Subjects: Biology >> Ecology submitted time 2017-03-22 Cooperative journals: 《生态学报》
Abstract：餐饮食物浪费的普遍性和严重性已得到了社会各界的关注。通过实证研究的方法对餐饮消费中食物浪费问题进行了研究，并从食物全供应链的视角，对比分析了不同规模餐馆食物浪费的氮足迹及其环境影响。研究表明：北京市餐饮食物浪费人均浪费量为74.39g/人次，其含氮量为1.24g/人次，约占总浪费量的2%。北京市餐饮食物浪费所引起总的氮排放量为16.37 g/人次，其中有1.24g/人次的氮排放来自于食物的直接浪费，其余15.13g/人次氮排放来自于食物生产过程。北京市餐饮食物浪费的氮足迹为0.22gN/g，即每浪费1g的食物，就会有0.22 g的氮排放到环境中。对比不同规模餐馆的食物浪费情况可知，大型餐馆的人均浪费量最高，有99.38g/人次，其氮排放量也相应最大，为22.53g/人次；中型餐馆和小型餐馆的食物浪费人均量及N排放量依次减少，而快餐的最低，仅为北京市整体平均水平的1/3。
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