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我国基层医生社区康复服务能力现状与对策研究

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中国全科医学 2025年第4期28卷 450-456页

作者：练璐王敌陈家应刘武江苏省人民医院南京医科大学第一附属医院江苏省妇幼保健院运营管理处江苏省南京市210029 江苏省人民医院南京医科大学第一附属医院江苏省妇幼保健院组织人事处江苏省南京市210029 南京医科大学康达学院人文与管理学部江苏省连云港市222000 江苏省人民医院南京医科大学第一附属医院江苏省妇幼保健院纪委办公室江苏省南京市210029

背景“康复回社区”是形成合理就医格局的重点要求,也是实现人人享有康复服务的重要策略,但目前我国基层医生的社区康复服务能力与居民日益增长的康复需求仍有差距。目的了解我国基层医生社区康复服务能力的现状、特点与不足,为制定能... 详细信息

背景“康复回社区”是形成合理就医格局的重点要求,也是实现人人享有康复服务的重要策略,但目前我国基层医生的社区康复服务能力与居民日益增长的康复需求仍有差距。目的了解我国基层医生社区康复服务能力的现状、特点与不足,为制定能力提升对策提供科学依据。方法2020年8月采用多阶段分层抽样与典型抽样相结合的方法对中国江苏省、安徽省、河南省、重庆市、甘肃省五地基层医疗卫生机构的医生开展问卷调查,从康复功能评定、康复医疗服务、中医药保健指导、中医理疗四个方面调查基层医生社区康复服务能力现状。结果共回收8374份问卷,接受调查的基层医生中,分别有4697名(56.1%)、6396名(76.4%)、5833名(69.7%)、4834名(57.7%)具备康复功能评定、康复医疗服务、中医药保健指导、中医理疗能力,且农村地区基层医生各项社区康复能力及综合能力具备率均高于城市地区(P<0.05)。不同年龄、学历、执业资格、岗位基层医生的康复医疗服务指导、中医药保健指导、中医理疗能力具备率比较,差异有统计学意义(P<0.05);组内两两比较结果显示,在年龄方面,30岁以下及60岁以上基层医生康复功能评定能力的具备率高于30~<45岁、45~<60岁(P<0.016),45~<60岁医生具备率高于30~<45岁(P<0.016),45岁以下的康复医疗服务指导能力具备率低于45岁以上的基层医生(P<0.016);30岁以下基层医生中医药保健指导、中医理疗能力具备率低于30~<45岁、45~<60岁和60岁以上(P<0.016),30~<45岁医生能力具备率低于45~<60岁和60岁以上(P<0.016),45~<60岁医生具备率低于60岁以上(P<0.016)。在学历方面,高中/中专及以下学历基层医生能力具备率高于大专学历和本科学历(P<0.016),大专学历医生能力具备率高于本科学历(P<0.016)。在执业资格方面,全科医师具备率高于乡村医师和执业(助理)医师(P<0.016),乡村医师具备率高于执业(助理)医师(P<0.016)。在工作岗位方面,中医岗位基层医生中医药保健指导、中医理疗能力具备率高于临床岗位和其他岗位(P<0.016),临床岗位具备率高于其他岗位(P<0.016)。基层医生康复医疗综合能力具备率高于中医康复综合能力(P<0.05)。结论基层医生社区康复服务能力总体不足,中医康复能力较为薄弱。应完善分级康复服务体系建设,促进基层医生康复经验的积累和能力的提升,加强基层医生中医康复与西医现代康复技术联合培养,完善基层康复人才队伍建设,使其能承担起社区康复的责任。

关键词：初级卫生保健基层医生社区康复分层分析城乡地区

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Research and implementation of a universal workflow model to evaluate the soil fertility based on OGC Web Service

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Geo-Spatial Information Science 2018年第4期21卷 346-357页

作者： Yan Ren jiaying chen Lankang chen Haitao Zhang Ke Zhang Land Surveying and Mapping Institute of Guangxi Zhuang Autonomous Region NanningChina College of Resources and Environment Huazhong Agricultural UniversityWuhanChina

A method based on workflow technology and Open Geospatial Consortium(OGC)specification is proposed to establish a universal workflow conceptual model in the network *** this paper,the soil fertility evaluation conceptual model was developed as an evaluation method of soil fertility by analyzing the GIS-based fertility evaluation method and extracting the dynamic variable to verify the feasibility *** validation process involves determining the instantiation of the conceptual *** proposed conceptual model achieved the following *** data acquisition and processing functions were packaged into an OGC-compliant service model;these service models were organized into a processing chain in a certain order on the workflow platform by Petri-Net;the fertility evaluation was realized on the workflow platform by calling the processing *** showed that processing functions and data can be shared in the network environment,and the network workflow model can be realized by the workflow *** successful implementation of fertility evaluation proved the feasibility of the network-based universal workflow conceptual *** addition,the flexibility of our modeling method is demonstrated by reconstructing the workflow model.

关键词： OGC Web Service conceptual model workflow fertility evaluation

The vacancy defects and oxygen atoms occupation effects on mechanical and electronic properties of Mo_(5)Si_(3) silicides

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Communications in Theoretical Physics 2021年第4期73卷 121-129页

作者： jiaying chen Xudong Zhang Linmei Yang Feng Wang School of Science Shenyang University of TechnologyShenyang 110870China School of Materials Science and Engineering Shenyang University of TechnologyShenyang 110870China

Improving brittle behavior and mechanical properties is still a big challenge for high-temperature structural *** means of first-principles calculations,in this paper,we systematically investigate the effect of vacancy and oxygen occupation on the elastic properties and brittle-or-ductile behavior on Mo_(5)Si_(3).Four vacancies(Si_(-Va1),Si_(-Va2),Mo_(-Va1),Mo_(-Va2))and oxygen occupation models(O_(Mo1),O_(Mo2),O_(-Si1),O_(-Si2))are selected for *** is found that Mo_(-Va2) vacancy has the stronger structural stability in the ground state in comparison with other ***,the deformation resistance and hardness of the parent Mo_(5)Si_(3) are weakened due to the introduction of different vacancy defects and oxygen *** ratio of B/G indicates that oxygen atoms occupation and vacancy defects result in brittle-to-ductile transition for Mo_(5)Si_(3).These vacancies and the oxygen atoms occupation change the localized hybridization between Mo-Si and Mo-Mo *** weaker O-Mo bond is a contributing factor for the excellent ductile behavior in the O_(-Si2) model for Mo_(5)Si_(3).

关键词： vacancy defects oxygen atoms occupation mechanical properties ductile behavior electronic structure

Simulation design of thin film lithium niobate electro-optic modulator with bimetallic layer electrodes

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Optoelectronics Letters 2024年第6期20卷 339-345页

作者： WU Qiulin FENG Xinkai chen jiaying MA Lei chen Huaixi LIANG Wanguo Fujian Institute of Research on the Structure of Matter Chinese Academy of SciencesFuzhou 350108China University of Chinese Academy of Sciences Beijing 100059China Fujian Science&Technology Innovation Laboratory for Optoelectronic Information of China Fuzhou 350108China1

Thin-film lithium niobate electro-optical modulator will become the key device in the future optical communication,which has the advantages of high modulation rate,low half-wave voltage,large bandwidth,and easy integration compared with conventional bulk lithium niobate ***,because the electrode gap of the lithium niobate film modulator is very narrow,when the microwave frequency gets higher,it leads to higher microwave loss,and the electro-optical performance of the modulator will be greatly ***,we propose a thin film lithium niobate electro-optic modulator with a bimetallic layer electrode structure to achieve microwave loss less than 8 dB/cm in the range of 200 GHz,exhibiting a voltage-length product of 1.1 V·cm and a 3 dB electro-optic bandwidth greater than 160 ***-speed data transmission test has been performed,showing good performance.

关键词： Simulation design of thin film lithium niobate electro-optic modulator with bimetallic layer electrodes

Compact yellow-orange Nd:YVO_(4)/PPMgLN laser at 589 nm

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Optoelectronics Letters 2023年第11期19卷 641-645页

作者： MA Lei FENG Xinkai chen Huaixi chenG Xing chen jiaying LIANG Wanguo College of Chemistry and Material Fujian Normal UniversityFuzhou 350008China Fujian Institute of Research on the Structure of Matter Chinese Academy of SciencesFuzhou 350002China Fujian Science&Technology Innovation Laboratory for Optoelectronic Information of China Fuzhou 350108China

We propose and make a compact yellow-orange laser of the Nd-doped yttrium vanadate(Nd:YVO_(4))/periodically poled Mg-doped lithium niobate(PPMgLN)module by Raman frequency-doubling at 589 *** reasonably designing the size of the Nd:YVO_(4)and 5 mol%PPMgLN crystals,cavity length and coating parameter,a compact 589 nm laser module with a total size of 3 mm×10 mm×1.5 mm is *** the laser module,the input surface of Nd:YVO_(4)crystal is end-pumped by an 808 nm laser diode(LD).Under the effect of linear resonant cavity structure,the output surface of PPMgLN crystal with a period of 9.48μm generates 589 nm yellow-orange *** experimental results show that the maximum output power at 589 nm is 390 mW at the pump power of 3 W with the optical-optical conversion efficiency of 13%and the stability of the output power is less than 2%within 3 h.

关键词： Nd: PPMgLN laser

Fabrication and characterization of high-damage resistance Zn-diffused MgO:PPLN ridge waveguides

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Optoelectronics Letters 2024年第1期20卷 12-17页

作者： chenG Xing FENG Xinkai MA Lei chen jiaying chen Huaixi LIANG Wanguo College of Chemistry Fuzhou UniversityFuzhou 350108China Fujian Institute of Research on the Structure of Matter Chinese Academy of SciencesFuzhou 350108China Fujian Science&Technology Innovation Laboratory for Optoelectronic Information of China Fuzhou 350108China

This study investigates the fabrication process of Zn-diffused ridge waveguides in periodically poled magnesium-doped lithium niobate(PPMgO:LN).A controlled variable method is used to study the effects of diffusion temperature,diffusion time,ZnO film thickness,and barrier layer thickness on the surface domain depolarization and waveguide quality of PPMgO:LN.A special barrier layer is proposed that can automatically lift off from the sample surface,which increases the depth of Zn doping and reduces the surface loss of the *** optimizing the process parameters,we fabricate Zn-diffused PPMgO:LN ridge waveguides with a length of 22.80 mm and a period of 18.0μ*** above waveguides can make a second harmonic generation(SHG)at 775 nm with an output power of 90.20 mW by a pump power of 741 mW at 1550 *** corresponding conversion efficiency is 3.160%/W·cm2,and the waveguide loss is approximately 0.81 dB/*** results demonstrate that high-efficiency devices can be obtained through the fabrication process described in this paper.

关键词： waveguide waveguides pump

Modeling of Spatial Distributions of Farmland Density and Its Temporal Change Using Geographically Weighted Regression Model

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Chinese Geographical Science 2014年第2期24卷 191-204页

作者： ZHANG Haitao GUO Long chen jiaying FU Peihong GU Jianli LIAO Guangyu College of Resources and Environment Huazhong Agricultural University

This study used spatial autoregression(SAR)model and geographically weighted regression(GWR)model to model the spatial patterns of farmland density and its temporal change in Gucheng County,Hubei Province,China in 1999 and 2009,and discussed the difference between global and local spatial autocorrelations in terms of spatial heterogeneity and *** showed that strong spatial positive correlations existed in the spatial distributions of farmland density,its temporal change and the driving factors,and the coefficients of spatial autocorrelations decreased as the spatial lag distance *** models revealed the global spatial relations between dependent and independent variables,while the GWR model showed the spatially varying fitting degree and local weighting coefficients of driving factors and farmland indices(i.e.,farmland density and temporal change).The GWR model has smooth process when constructing the farmland spatial *** coefficients of GWR model can show the accurate influence degrees of different driving factors on the farmland at different geographical *** performance indices of GWR model showed that GWR model produced more accurate simulation results than other models at different times,and the improvement precision of GWR model was *** global and local farmland models used in this study showed different characteristics in the spatial distributions of farmland indices at different scales,which may provide the theoretical basis for farmland protection from the influence of different driving factors.

关键词： spatial lag model spatial error model geographically weighted regression model global spatial autocorrelation local spatial aurocorrelation

Pu'er raw tea extract alleviates lipid deposition in both LO2 cells and Caenorhabditis elegans

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Food Bioscience 2022年第6期50卷 1746-1757页

作者： Su Zhou jiaying chen Shiyan Yang Yani Pan Xinyu Feng Shicheng Ma Fangyuan Fan Shuying Gong Yuefei Wang Ping chen Qiang Chu Tea Research Institute Zhejiang UniversityHangzhou310058China Department of Food Science Zhejiang UniversityHangzhou310058China Wuzhou Liubao Tea Research Association Wuzhou543000China

Non-alcoholic fatty liver disease(NAFLD)is a clinical syndrome associated with steatosis and excessive deposition in the liver,while safe,green and efficient curative therapy is still *** researches have shown that plant polyphenols possess superior lipid-lowering and liver protective ***'er raw tea,a widely consumed tea with increasing fans,has been reported with various healthcare functions,such as blood lipids-lowering,weight loss,anti-microbes and ***,in this study,polyphenols were extracted,purified and identified from Pu'er raw *** beneficial effects of Pu'er raw tea extract(PTE)on lipidoses in both LO2 cells and Caenorhabditis elegans were *** vitro,PTE manifested beneficial effects in protecting cells from oxidative stress,alleviating lipid accumulation and expression of metabolic transcription factors such as Pparα,CD36,Plin2,Scd1,and activating the SIRT1-FOXO pathway to inhibit the expression of SREBP-1c and *** vivo,PTE regulated the abnormal athletic ability of *** and inhibited lipidosis in the whole body induced by oleic acid(OA).Therefore,PTE has exhibited superior bioactivity in alleviating lipid deposition both in vivo and in vitro,and could be regarded as a potential therapeutic strategy for NAFLD in the future.

关键词： Pu'er raw tea Polyphenols Lipid deposition SIRT1-FOXO pathway C.elegans.

宁德市南漈公园红色文化教育主题园景观设计探究

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南方农业 2021年第29期15卷 100-101页

作者：陈佳莹福建怡闽风景园林规划设计有限公司福建福州350001

在党的百年华诞之际,积极弘扬福建省宁德市红色文化,为红色教育发展提供助力。经调查,选取福建省宁德市南漈公园入口区,将其部分改造成红色文化教育基地——三杰园"初心之旅"主题园。对宁德市南漈公园现状和山水生态文化情况进行分析,... 详细信息

在党的百年华诞之际,积极弘扬福建省宁德市红色文化,为红色教育发展提供助力。经调查,选取福建省宁德市南漈公园入口区,将其部分改造成红色文化教育基地——三杰园"初心之旅"主题园。对宁德市南漈公园现状和山水生态文化情况进行分析,结合宁德市红色文化,提出有关三杰园"初心之旅"主题园的景观设计思路和分区设计,将红色革命精神和爱国主义情怀融入三杰园"初心之旅"主题园的景观之中。

关键词：红色文化教育基地烈士纪念景观设计福建省宁德市