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Effect of Comprehensive Therapy based on Chinese Medicine Patterns on Self-Efficacy and Effectiveness Satisfaction in Chronic Obstructive Pulmonary Disease Patients

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Chinese Journal of Integrative Medicine 2019年第10期25卷 736-742页

作者： YU Xue-qing WANG Ming-hang LI Jian-sheng LI Su-yun XIE Yang BAI Yun-ping zhang Hai-long CAO Fan HOU Cong-xia MA Li-jun Department of Respiratory the First Affiliated Hospital of Henan University of Chinese Medicine Zhengzhou (450000) China Collaborative Innovation Center for Respiratory Disease Diagnosis and Treatment & Chinese Medicine Development of Henan Province Henan University of Chinese Medicine Zhengzhou (450046) China Henan Key Laboratory of Chinese Medicine for Respiratory Disease Henan University of Chinese Medicine Zhengzhou (450046) China Departm ent of Respiratory Henan Provincial People's Hospital Zhengzhou (450003) China

Objective: To evaluate the effect of comprehensive therapy based on Chinese medicine(CM) patterns on self-efficacy and satisfaction with its effectiveness in patients with chronic obstructive pulmonary disease(COPD). Methods: A total of 216 patients were randomly divided into the trial group(n=108) and the control group(n=108) based on the stratified and block randomization design. Patients in the trial group were treated with conventional Western medicine combined with Bufei Jianpi Granules(补肺健脾颗粒), Bufei Yishen Granules(补肺益肾颗粒), and Yiqi Zishen Granules(益气滋肾颗粒) according to the CM patterns respectively, and patients in the control group were treated with conventional Western medicine. The COPD Self-Efficacy Scale(CSES) and the Effectiveness Satisfaction Questionnaire for COPD(ESQ-COPD) were employed in a 6-month treatment and in further 6 month follow-up visit. Results: Among the 216 patients, 191 patients(97 in the trial group and 94 in the control group) fully completed the study. After 12-month treatment and follow-up, the mean scores of the trial group all continued to increase over time, which were significantly higher than those of the control group(Pgroup domain: negative affect domain(12.13%), intense emotional arousal domain(12.21%), physical exertion domain(11.72%), weather/environmental domain(13.77%), behavioral risk domain(7.67%) and total score(10.65%). The trial group also exhibited significantly higher mean scores in the ESQ-COPD(P<0.05) and the improvement in the following domain: capacity for life and work domain(30.59%), clinical symptoms domain(53.52%), effect of therapy domain(35.95%), convenience of therapy domain(35.54%), and whole effect domain(52.47%). Conclusions: Bufei Jianpi Granules, Bufei Yishen Granules and Yiqi Zishen Granules can improve the self-efficacy and satisfaction of COPD patients.

关键词： chronic obstructive pulmonary disease Chinese medicine self efficacy effectiveness satisfaction

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群体活动中“榜样的力量”是无穷的吗——来自一项动态公共品博弈实验的证据

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财贸经济 2017年第12期38卷 80-94页

作者：张元鹏张皓辰北京大学经济学院

群体活动中我们会重视榜样人物的示范带头作用。本文在经典的公共品自愿捐献实验中加入了榜样先行机制,构造一个动态公共品博弈的实验模型,研究先行者的"榜样"行为对公共品捐献绩效的影响问题。与多数研究成果类似,本文的研究表明,有先... 详细信息

群体活动中我们会重视榜样人物的示范带头作用。本文在经典的公共品自愿捐献实验中加入了榜样先行机制,构造一个动态公共品博弈的实验模型,研究先行者的"榜样"行为对公共品捐献绩效的影响问题。与多数研究成果类似,本文的研究表明,有先行者的榜样作用相比于无先行者的情况,对公共品捐献有显著促进作用;且在先行者选择上,轮流担任和投票选举先行者带来的捐献效果要明显优于随机产生先行者的情况。但我们的研究还表明,个体社会偏好的异质性也对公共品捐献绩效影响显著:条件合作者和驼峰型偏好者的捐献绩效优于搭便车者,但民主选举产生先行者的方式有助于纠正搭便车者的投机倾向。

关键词：社会偏好领导机制公共品自愿捐献实验经济学

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建构区域高职教育“专业群长制”:基于“产业链长制”的思考

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职教论坛 2023年第8期39卷 21-27页

作者：张等菊华南师范大学职业教育学院

教育和产业迭相为用、互为体翼,是社会结构中较为稳固的“共同体”之一。近年来随着“产业链长制”的广泛实施,教育也必须做出相应的改革,以实现产教在供需链维度和价值链维度上的紧密对接。高职教育作为区域技术技能人才的主要供给侧,... 详细信息

教育和产业迭相为用、互为体翼,是社会结构中较为稳固的“共同体”之一。近年来随着“产业链长制”的广泛实施,教育也必须做出相应的改革,以实现产教在供需链维度和价值链维度上的紧密对接。高职教育作为区域技术技能人才的主要供给侧,应根据职业教育适应性理念和结构性同构理论,借鉴“产业链长制”的发展图式与模型,建立区域高职教育“专业群长制”,形成“群长+群主”的联动管理责任体系,通过稳群、补群、强群和延群等措施,诊断与弥合区域内技术技能人才培养的“漏点”“堵点”和“断点”,为我国经济双循环发展格局和高质量教育体系构建提供人力保障。

关键词：高职教育区域产业链专业群链长制群长制

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固守或超越:人工智能时代高校教师的角色重塑

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黑龙江高教研究 2023年第9期41卷 91-97页

作者：张惠曲阜师范大学山东曲阜273165

高校教师的角色定位具有伴随时代发展呈现与时俱进的特点。人工智能带来了“第四次教育革命”,由此也催生了高校教师的角色认同的危机、角色关系的冲突、角色期待的提升等诸多问题。分析这些问题的生成,大多源起于技术对高校教师角色的... 详细信息

高校教师的角色定位具有伴随时代发展呈现与时俱进的特点。人工智能带来了“第四次教育革命”,由此也催生了高校教师的角色认同的危机、角色关系的冲突、角色期待的提升等诸多问题。分析这些问题的生成,大多源起于技术对高校教师角色的“围困”,技术的力量被无限放大,使技术遮蔽了教育使命;技术力量的凸显,使教师原有角色落后于时代发展;技术的边界突破和鼓励多元,使教师角色的重心发生位移;技术工具理性的张扬,使教师陷入“工具人”的泥潭。由此,在人工智能时代,高校教师的角色重塑具有重要的理论和现实意义。高校教师亟须在教学实践中回归育人使命,改革教学模式,建立新型师生关系,彰显共同体意识,进而实现自身角色的重塑与超越。

关键词：人工智能高校教师教师角色角色冲突人机互融

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A good prognostic predictor for liver transplantation recipients with benign end-stage liver cirrhosis

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Hepatobiliary & Pancreatic Diseases International 2017年第2期16卷 164-168页

作者： Qiang Wei Rahmeet Singh Nemdharry Run-Zhou Zhuang Jie Li Qi Ling Jian Wu Tian Shen Lin Zhou Hai-Yang Xie Min zhang Xiao Xu Shu-Sen Zheng Key Lab of Combined Multi-Organ Transplantation Ministry of Public Health Division of Hepatobiliary and Pancreatic Surgery Department of Surgery First Affiliated Hospital Zhejiang University School of Medicine Hangzhou 310003 China Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases Hangzhou 310003 China

BACKGROUND： Post-transplant model for predicting mortality（PMPM, calculated as-5.359＋1.988×ln（serum creatinine [mg/d L]）＋1.089×ln（total bilirubin [mg/d L]）） score has been proved to be a simple and accurate model for predicting the prognosis after liver transplantation（LT） in a single center study. Here we aim to verify this model in a large cohort of ***： A total of 2727 patients undergoing LT with endstage liver cirrhosis from January 2003 to December 2010 were included in this retrospective study. Data were collected from the China Liver Transplant Registry（CLTR）. PMPM score was calculated at 24-h and 7-d following LT. According to the PMPM score at 24-h, all patients were divided into the low-risk group（PMPM score ≤-1.4, n=2509） and the high-risk group（PMPM score 〉-1.4, n=218）. The area under receiver operator characteristic curve（AUROC） was calculated for evaluating the prognostic ***： The 1-, 3-, and 5-year patient survival rates in the low-risk group were significantly higher than those in the high-risk group（90.23%, 88.01%, and 86.03% vs 63.16%, 59.62%, and 56.43%, respectively, P〈0.001）. In the high-risk group, 131 patients had a decreased PMPM score（≤-1.4） at 7-d, and their cumulative survival rate was significantly higher than the other 87 patients with sustained high PMPM score（〉-1.4）（P〈0.001）. For predicting 3-month mortality, PMPM score showed a much higher AUROC than post-transplant MELD score（P〈0.05）.CONCLUSION： PMPM score is a simple and effective tool to predict short-term mortality after liver transplantation in patients with benign liver diseases, and an indicator for prompt salvaging treatment as well.

关键词： cirrhosis liver transplantation post-transplant model for predicting mortality score prognosis

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An acyltransferase gene that putatively functions in anthocyanin modification was horizontally transferred from Fabaceae into the genus Cuscuta

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Plant Diversity 2016年第3期38卷 149-155页

作者： Ting Sun Yuxing Xu Dale zhang Huifu Zhuang Jianqiang Wu Gulling Sun Key Laboratory of Economic Plants and Biotechnology Yunnan Key Laboratory for Wild Plant Resources Kunming Institute of Botany Chinese Academy of Sciences Kunming 650201 China University of the Chinese Academy of Sciences Beijing 100039 China College of Life Science Henan University 85 Minglun Street Kaifeng 475001 Henan China

Horizontal gene transfer(HGT) refers to the flow of genetic materials to non-offspring,and occasionally HGT in plants can improve the adaptation of organisms in new niches due to expanded metabolic *** are an important group of water-soluble red,purple,or blue secondary metabolites,whose diversity results from modification after the main skeleton *** is a stem holoparasitic genus,whose members form direct connection with hosts to withdraw water,nutrients,and *** intimate association is thought to increase the frequency of *** transcriptome screening for foreign genes in Cuscuta australis,we discovered that one gene encoding a putative anthocyanin acyltransferase gene of the BAHD family,which is likely to be involved in anthocyanin modification,was acquired by *** from Fabaceae through *** anthocyanin acyltransferase-like(AT-like) gene was confirmed to be present in the genome assembly of *** and the transcriptomes of Cuscuta *** higher transcriptional level in old stems is consistent with its putative function in secondary metabolism by stabilizing anthocyanin at neutral pH and thus HGT of this AT-like gene may have improved biotic and abiotic resistance of Cuscuta.

关键词： Cuscuta Fabaceae Horizontal gene transfer BAHD family Anthocyanin acyltransferase

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Lag group consensus for multi-agent systems with hybrid control

Lag group consensus for multi-agent systems with hybrid cont...

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第32届中国控制与决策会议

作者： Liqiong zhang Weixun Li Jia Liu School of Science Tianjin University of Technology and Education School of Automation and Electrical Engineering Tianjin University of Technology and Education

For second-order multi-agent system,we consider the problem of lag group ***,a novel hybrid controller was designed which based on the presence or absence of communication delays between the leader and ***,based on the graph theory and matrix theory,the group consensus problem can transform the stability problem of error *** applying the Hurwitz stability theory,the sufficient and necessary conditions are given to guarantee the lag group consensus for the multi-agent ***,simulation examples are given to show the correctness of the results.

关键词： Lag group consensus Second-order multi-agent systems Communication delays Hurwitz stability theory

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基于工作组的访问控制模型研究

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哈尔滨理工大学学报 2011年第3期16卷 31-34页

作者：张辉哈尔滨理工大学计算机科学与技术学院黑龙江哈尔滨150080

针对传统RBAC模型存在的问题,利用基于混合式P2P的协同设计体系结构,引入了工作组的组长角色和组员角色,并将原来由系统分布式用户负责的权限进行分离,对于大多数用户只保留设计权限,而将管理权限交给各工作组的组长,从而使用户角色的... 详细信息

针对传统RBAC模型存在的问题,利用基于混合式P2P的协同设计体系结构,引入了工作组的组长角色和组员角色,并将原来由系统分布式用户负责的权限进行分离,对于大多数用户只保留设计权限,而将管理权限交给各工作组的组长,从而使用户角色的分配方式更加灵活,极大地提高了协同设计系统的工作效率.

关键词：访问控制模型 P2P 工作组角色

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从体育迷到韩流乐迷:一位媒体迷角色认同的心理韧性之探究

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国际新闻界 2015年第6期37卷 25-37页

作者：张煜麟台湾南台科技资讯传播系

媒体迷是当代大众传播研究的重要议题。诸多媒体迷研究说明,媒体迷行为涉及复杂的文本消费和身份认同等议题。本文尝试从生命历程的观点,以一位兼有体育迷与韩国乐迷经验的个案为对象,探讨历经不同类型媒体迷经验的个体,如何持续保有媒... 详细信息

媒体迷是当代大众传播研究的重要议题。诸多媒体迷研究说明,媒体迷行为涉及复杂的文本消费和身份认同等议题。本文尝试从生命历程的观点,以一位兼有体育迷与韩国乐迷经验的个案为对象,探讨历经不同类型媒体迷经验的个体,如何持续保有媒体迷的身份认同,驱动其持续扮演媒体迷角色的动力为何。藉由自传性叙述访谈法的应用,以及对叙述文本的诠释,本文发现,"偶像文本的情感召唤力"、"扮演迷社群成员意见领域的成就动机"、"媒体迷身份的展演力"、"友谊团体的社会支持力"等四项驱动力,可作为理解个体于生命历程中,保有媒体迷角色认同之心理韧性的理论分析架构。

关键词：迷媒体迷角色认同心理韧性自传性叙述访谈

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Left ventricular endocardial pacing predicts the reduction of left ventricular outflow tract pressure gradient immediately after percutaneous transseptal myocardial ablation in patients with hypertrophic obstructive cardiomyopathy refractory to medicatio

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Chinese Medical Journal 2007年第7期120卷 562-568页

作者： CHEN Shao-liang DAI Zhen-lin LI Zhan-quan HU Zuo-ying YE Fei zhang Jun-jie zhang Fen-fu LUO Jun ZHU Zhong-sheng LIN Song WU Cheng-quan TIAN Nai-liang Department of Cardiology Nanjing First Hospital of Nanjing Medical University Nanjing 210006 China Department of Cardiology People＇s Hospital of Liaoning Province Shenyang 110016 China

Background Hypertrophic obstructive cardiomyopathy （HOCM） carries an increased risk for sudden cardiac death. No data regarding the percutaneous transseptal myocardial ablation （PTSMA） and epicardial left ventricular pacing （LVP） were reported. Methods Seven patients with recurrent symptoms and increased resting left ventricular outflow tract pressure gradient （LVOTG） after PTSMA and another 14 patients with HOCM without history of PTSMA were studied. Both resting and dobutamine stress echocardiography, PTSMA and LVP were routinely performed. Results In patients without previous PTSMA procedure, mild reduction of resting LVOTG was detected at 5 minutes after left ventricular pacing, and this reduction became significant at 10 minutes. All patients were divided into successful and unsuccessful groups according to their response to LVP. In contrary to patients in unsuccessful group, resting and R-S2 stimuli-induced LVOTG during PTSMA procedure were decreased dramatically （（9±5） mmHg vs （58±12） mmHg, （12±2） mmHg vs （113±27） mmHg, P〈0.001）. Analysis of Logistic regression demonstrated that only LVOTG level dudng left ventdcular pacing was an independent factor predicting the reduction of LVOTG immediately after PTSMA （odds ratio （OR）, 0.59; 95% CI 2.67 to 5.82; P=0.0002）. Conclusion Left ventricular endocardial temporary pacing plays a critical role in predicting acute effect on the reduction of LVOTG immediately after PTSMA procedure.

关键词： hypertrophic obstructive cardiomyopathy left ventricular outflow tract pressure gradient left ventricular endocardial pacing percutaneous transseptal myocardial ablation

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