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Patient views of the good doctor in primary care:a qualitative study in six provinces in China

Global Health Research and Policy 2023年第1期8卷 293-301页

作者： Wenhua Wang jinnan zhang Jiao Lu Xiaolin Wei School of Public Policy and Administration Xi’an Jiaotong UniversityNo.28 West Xianning RoadXi’anPeople’s Republic of China Dalla Lana School of Public Health University of TorontoTorontoCanada

Background China has been striving to train primary care doctors capable of delivering high-quality service through general practitioner training programs and family doctor team reforms,but these initiatives have not adequately met patient needs and *** order to guide further reform efforts to better meet patient expectations,this study generates a profile of the good doctor in primary care from the patient *** Semi-structured interviews were conducted in six provinces(Shandong,Zhejiang,Henan,Shaanxi,Shanxi,Heilongjiang)in China.A total of 58 interviewees completed the recorded ***-based analysis was used to produce narrative *** research assistants listened to the recordings of the interviews and summarized them by 30-s *** analysis was performed on narrative summaries to identify thematic *** Five domains and 18 attributes were generated from the analysis of the interview *** domains of the good doctor in primary care from the patient perspective were:strong Clinical Competency(mentioned by 97%of participants)and Professionalism&Humanism(mentioned by 93%of participants)during service delivery,followed by Service Provision and Information Communication(mentioned by 74%and 62%of participants,respectively).Moreover,Chinese patients expect that primary care doctors have high educational attainment and a good personality(mentioned by 41%of participants).Conclusions This five-domain profile of the good doctor in primary care constitutes a foundation for further primary care workforce capacity *** primary care reform efforts should reflect the patient views and expectations,especially in the family physician competency framework and primary care performance assessment system ***,frontline primary care organizations also need to create supportive environments to assist competent doctors practice in primary care,especially through facilitating the learning o

关键词： Health policy Primary care General practitioners Quality of care Qualitative research

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High performing primary health care organizations from patient perspective:a qualitative study in China

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Global Health Research and Policy 2023年第1期8卷 225-232页

作者： Wenhua Wang jinnan zhang Katya Loban Xiaolin Wei School of Public Policy and Administration Xi’an Jiaotong UniversityXi’anPeople’s Republic of China Research Institute of the McGill University Health Centre McGill UniversityMontrealCanada Dalla Lana School of Public Health University of TorontoTorontoCanada

Background There is a global call to build people-centred primary health care(PHC)*** evidence suggests that without organization-level reform efforts,the full potential of policy reforms may be *** study aimed to generate a profile of high performing PHC organizations from the perspective of *** We conducted semi-structured interviews with 58 PHC users from six provinces(Shandong,Zhejiang,Shaanxi,Henan,Shanxi,Heilongjiang)in China using purposive and snowball sampling *** was completed by trained research assistants through listening to the recordings of the interviews and summarizing them in English by 30-s segments to generate the narrative *** by the Classification System of PHC Organizational Attributes,thematic analysis aimed to identify domains and attributes of high performing PHC *** A profile of a high performing PHC organization with five domains and 14 attributes was *** five domains included:(1)organizational resources including medical equipment,human and information resource;(2)service provision and clinical practice including practice scope,internal integration and external integration;(3)general features including location,environment and ownership;(4)quality and cost;and(5)organizational structure including continuous learning mechanism,administrative structure and *** A five-domain profile of high performing PHC organizations from the perspective of Chinese PHC users was *** resources,service delivery and clinical practices were most valued by the ***,the participants also had strong expectation of geographical accessibility,high quality of care as well as efficient organizational *** organizational elements should be reflected in further reform efforts in order to build high performing PHC organizations.

关键词： China Primary health care Organizational characteristics Health policy Patient preference Qualitative research

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Permian and Triassic Sequence Stratigraphy and Sea Level Changes of Eastern Yangtze Platform

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Journal of Earth Science 1999年第2期18卷 71-79页

作者： Tong jinnan Yin Hongfu zhang Kexin Faculty of Earth Sciences, China University of Geosciences, Wuhan 430074

The Permian and marine Triassic of eastern Yangtze platform, situated in eastern China, involve 19 orthosequences lasting about 2.7 Ma on average, which can be combined into five orthosequence sets ranging from 8 Ma to 12 Ma. Affected by the regional Dongwu and Indosinian movements, the sequence stratigraphic pattern and sea level changes in the Permian and Triassic of this region are distinctive and obviously different from most other regions in the world, but typical in the broad eastern Tethys and its neighboring areas. In this region not only did the continuous marine Permian and Triassic boundary sequences cause the orthosequence crossing the boundary belonging to type Ⅱ sequence but also the mesosequence including these stratigraphic intervals had its basal boundary in the upper Longlinian (Artinskian) (ca. 278 Ma), that is, the traditional Carboniferous and Permian boundary, and its top boundary moved from the Permian and Triassic boundary upward into the Anisian of Middle Triassic.

关键词： Permian and Triassic sequence stratigraphy sea level change eastern Yangtze platform.

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Salvianolate increases heat shock protein expression in a cerebral ischemia-reperfusion injury model

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Neural Regeneration Research 2013年第25期8卷 2327-2335页

作者： jinnan zhang Wei Lu Qiang Lei Xi Tao Hong You Pinghui Xie Department of Neurology Second Xiangya HospitalCentral South University

Stroke remains a worldwide health problem. Salvianolate exerts a protective effect in various mi- crocirculatory disturbance-related diseases, but studies of the mechanisms underlying its protective action have mainly focused on the myocardium, whereas little research has been carried out in brain tissue following ischemia-reperfusion. We assessed the neuroprotective effects of salvianolate in a rat model of cerebral ischemia-reperfusion injury induced using the suture method. At onset and 24 and 48 hours after reperfusion, rats were intraperitoneally injected with salvianolate （18 mg/kg） or saline. Neurological deficit scores at 72 hours showed that the neurological functions of rats that had received salvianolate were significantly better than those of the rats that had received saline. 2,3,5-Triphenyltetrazolium chloride was used to stain cerebral tissue to determine the extent of the infarct area. A significantly smaller infarct area and a significantly lower number of apoptotic cells were observed after treatment with salvianolate compared with the saline treatment. Expression of heat shock protein 22 and phosphorylated protein kinase B in ischemic brain tissue was significantly greater in rats treated with salvianolate compared with rats treated with saline. Our findings suggest that salvianolate provides neuroprotective effects against cerebral ischemia-reperfusion injury by upregulating heat shock protein 22 and phosphorylated protein kinase B expression.

关键词： neural regeneration traditional Chinese medicine brain injury salvianolic acid B salvianolate heatshock protein 22 protein kinase B cerebral ischemia-reperfusion injury apoptosis neuroprotection neuroregeneration

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文明行为地方立法:模式、成因及完善路径

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道德与文明 2022年第6期 59-75页

作者：张劲楠北京政府法制研究会北京101117

近年来文明行为地方立法兴起,文明行为立法呈现出分散立法向综合立法、管理型立法向促进型立法、形式理性立法向实质理性立法的发展趋势。但通过法律文本分析可知,在现有模式下的文明行为地方立法在体系化构造、规范约束力、法律执行力... 详细信息

近年来文明行为地方立法兴起,文明行为立法呈现出分散立法向综合立法、管理型立法向促进型立法、形式理性立法向实质理性立法的发展趋势。但通过法律文本分析可知,在现有模式下的文明行为地方立法在体系化构造、规范约束力、法律执行力方面还存在亟待改进之处。其原因在于地方立法工具主义行政驱动、促进型法律规范性的法理学研究滞后,以及文明行为立法本身的实质理性偏好与对形式理性的忽视。因此,须践行科学立法精神,将形式理性置于立法的基础地位和优先地位,在现有模式基础上进一步完善。

关键词：文明行为地方立法立法模式形式理性

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硫尿、L-酒石酸根和水为主体晶格的四乙基铵层状包合物的合成及晶体结构

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化学学报 2002年第6期60卷 1017-1022页

作者：石梅张锦楠李奇北京师范大学化学系北京100875 首都医科大学化学药理学系北京100054

合成了一种新的硫尿 -阴离子主体晶格包合物 [(C2 H5) 4N+]2 C4H4O2 -6·2 (NH2 ) 2 CS·2H2 O ,并通过单晶X射线衍射法对其进行了晶体结构测定 .结果表明该晶体属单斜晶系 ,P2 1 空间群 ,晶胞参数a =0 .772 7(2 )nm ,b =1.470 7(4 )nm ... 详细信息

合成了一种新的硫尿 -阴离子主体晶格包合物 [(C2 H5) 4N+]2 C4H4O2 -6·2 (NH2 ) 2 CS·2H2 O ,并通过单晶X射线衍射法对其进行了晶体结构测定 .结果表明该晶体属单斜晶系 ,P2 1 空间群 ,晶胞参数a =0 .772 7(2 )nm ,b =1.470 7(4 )nm ,c=1.46 45 (4 )nm ,β =95 .16 1(5 )° ,Z =2 ,R1 =0 .0 488.晶体为“三明治”式夹层结构 ,波形平面主体氢键网状结构由 [酒石酸根 -硫尿2 ]三聚体形成的双纽带 ,在两个水分子的桥连氢键连接下形成的 .

关键词： L-酒石酸根层状包合物合成晶体结构主体晶格氢键硫尿分子间相互作用超分子晶格

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Effects of C-reactive protein on the expression of OX40 ligand in mouse aorta endothelial cells

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Journal of Nanjing Medical University 2009年第4期23卷 247-250页

作者： Fei Wang Shushu Zhu Xuefu Han Jindan Xu jinnan zhang Di Yang Institute of Cardiovascular Disease the First Affiliated Hospital of Nanjing Medical University Nanjing 210029 China

Objective： To investigate the expression of OX40 ligand（OX40L） on C-reactive protein（CRP）-triggered mouse aorta endothelial cells （MAECs） in vitro. Methods： MAECs from aorta were isolated by digestion with collagenase type II. The cell growth was confirmed by morphological characteristics and the immunological marker, factor Ⅷ（or Willebrand factor, vWF）. The expression of OX40L by MAECs was detected by RT-PCR and western blot after incubating with 100μg/ml CRP for 48 hours. Results： Twenty-day cultures of MAECs formed confluent monolayer of a cobblestone pattern. RT-PCR and western blot assay showed that the level of OX40L expression in MAECs receiving CRP treatment was higher than control. Conclusion： A reliable method is described to isolate and propagate MAECs. CRP upregulates OX40L expression in MAECs.

关键词： endothelial cells C-reactive protein OX40L

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加强改制单位人事档案工作的思考

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档案与建设 2006年第7期 50-51页

作者：张锦南中共南京市玄武区委组织部江苏南京210018

目前，相当一部分企事业单位的改制工作已经完成，它们中不少都是组织部门传统的干部管档单位，按照目前相关文件规定，“企事业单位的人事档案管理，遵循相对集中原则，符合保管条件的，仍由企事业单位的组织、人事部门管理。”但是，... 详细信息

目前，相当一部分企事业单位的改制工作已经完成，它们中不少都是组织部门传统的干部管档单位，按照目前相关文件规定，“企事业单位的人事档案管理，遵循相对集中原则，符合保管条件的，仍由企事业单位的组织、人事部门管理。”但是，在档案用途、管档主体和相对人身份、管理方法均发生变化的情况下，继续沿用党政机关管理干部人事档案的模式，显然不能适应新的形势要求，必须在思想观念、管理模式、具体细节上进行创新，使人事档案工作继续发挥其应有的功能。

关键词：人事档案工作企事业单位人事档案管理干部人事档案保管条件

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“百仑慧神”发酵数据采集/分析系统的设计及应用

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食品与发酵工业 2019年第2期45卷 107-112页

作者：张劲楠丁健严建史仲平江南大学生物工程学院江苏无锡214122

随着发酵工程和传感器技术的发展,实验室及工业化规模的发酵过程数据量与日俱增,如何有效地管理和利用这些数据已经成为困扰技术人员的难题之一。为解决这一难题,利用C#2010设计了"百仑慧神"发酵数据采集/分析系统(Bioplot)。Bioplot软... 详细信息

随着发酵工程和传感器技术的发展,实验室及工业化规模的发酵过程数据量与日俱增,如何有效地管理和利用这些数据已经成为困扰技术人员的难题之一。为解决这一难题,利用C#2010设计了"百仑慧神"发酵数据采集/分析系统(Bioplot)。Bioplot软件预留了DDE、OPC和TCP三种通用的通信接口用于采集数据,利用后台MySQL数据库管理数据,同时为用户提供了数据汇总、数据表展示以及灵活的多批次多参数曲线图比较功能。利用Bioplot软件连接两台来自不同生产厂商的发酵设备,并在实际的发酵过程中验证其有效性和通用性。结果表明,Bioplot软件所包含的各个功能模块均能够正常运行并达到预期的效果。

关键词：发酵过程数据采集数据管理数据分析

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从一堂示范课谈大学生思政课获得感的提升——以依法治国与以德治国相结合的教学示范课为例

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中国轻工教育 2020年第1期23卷 44-49页

作者：张劲楠天津科技大学马克思主义学院天津300222

大学生的思政课获得感是衡量思政课实效性的重要标尺。具体到课程教学中,学生获得感的提升路径之一表现为叙事性案例教学法的运用,将含有问题的教学案例通过叙事情境化的描述在课堂展开,引导学生展开一系列课堂互动式体验。其本质是一... 详细信息

大学生的思政课获得感是衡量思政课实效性的重要标尺。具体到课程教学中,学生获得感的提升路径之一表现为叙事性案例教学法的运用,将含有问题的教学案例通过叙事情境化的描述在课堂展开,引导学生展开一系列课堂互动式体验。其本质是一种课堂内实践教学,在教育理念上体现了对体验式实践教学的重视,在形式上可以借助新型教学载体进行适度包装,真正满足学生的主体性需求,同时实现思政课的育人追求。

关键词：思政课获得感叙事性案例教学互动体验实践

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