简介：AbstractBackground:Practitioners and researchers in the midst of overwhelming coronavirus disease 2019 (COVID-19) outbreaks are calling for new ways of looking at such pandemics, with an emphasis on human behavior and holistic considerations. Viral outbreaks are characterized by socio-behaviorally-oriented public health efforts aimed at reducing exposure and prevention of morbidity/mortality once infected. These efforts involve different points-of-view, generally, than do those aimed to understand the virus' natural history. Rampant spread of SARS-CoV-2infection in cities clearly signals that urban areas contain conditions favorable for rapid transmission of the virus.Main text:The Critical Medical Ecology model is a multidimensional, multilevel way of viewing pandemics comprehensively, rooted simultaneously in microbiology and in anthropology, with shared priority for evolution, context, stressors, homeostasis, adaptation, and power relationships. Viewing COVID-19 with a Critical Medical Ecological lens suggests three important interpretations: 1) COVID-19 is equally — if not more — a socially-driven disease as much as a biomedical disease, 2) the present interventions available for primary prevention of transmission are social and behavioral interventions, and 3) wide variation in COVID-19 hospitalization/death rates is not expected to significantly be attributable to a more virulent and rapidly-evolving virus, but rather to differences in social and behavioral factors — and power dynamics — rather than (solely) biological and clinical factors. Cities especially are challenged due to logistics and volume of patients, and lack of access to sustaining products and services for many residents living in isolation.Conclusions:In the end, SARS-CoV-2 is acting upon dynamic social human beings, entangled within structures and relationships that include but extend far beyond their cells, and in fact beyond their own individual behavior. As a comprehensive way of thinking, the Critical Medical Ecology model helps identify these elements and dynamics in the context of ecological processes that create, shape, and sustain people in their multidimensional, intersecting environments.

简介：Currently,humanrightsgovernanceinGlobalSouthcountriesfacesnon-traditionalhumanrightschallengesinadditiontothetraditionalones.TheviewofhumanrightsgovernancedominatedbyWesternliberalismisalreadyoverstretchedwhenfacingthehumanrightsgovernancedilemmaoftheless-developedcountries.TheproposaltobuildacommunitywithasharedfutureformankindaswellasTheBeltandRoadhavecontributednewChinesewisdomandactionplansforSouth-Southcooperationandglobalgovernancerightsboththeoreticallyandpractically,whichhasimportantsignificanceforeasingthepredicamentofthehumanrightsprotectionintheGlobalSouth.

简介：BackgroundAdvancedpracticenursetransitionalcarehasbeenproofedtobeimportantforolderadultswithchronicconditions.However,sucheffectivenesshasneverbeenstudiedinthemanagementofappropriateWarfarinuseinclinicalpractice.MethodsAtotalof97patientswererandomlydistributedintocontrolgroupwhoreceivedusualcare,andinterventionalgroupwhoreceivedtransitionalcareprovidedbyAPNs.A12-monthobservationofbothgroupswererecordedbyphysiciansandAPNsandtheimpactofAPNsonthemanagingofWarfarintherapywasalsoevaluatedbasedontimeinthetherapeuticrange(TTR).ResultsAPNstransitionalcaresignificantly(P<0.01)improvedpatients’adherence,increasedTTRandhighTTRratiocomparedwithcontrolgroup.Re-admissionduetostrokewassignificantly(P<0.01)reducedbyAPNstransitionalcare.ConclusionAPNstransitionalcareimprovespatients’knowledgeonAFandreducesstrokerisk.ThecurrentresearchstronglysuggestthenecessityofAPNstransitionalinterventionalinmanaginganticoagulationtherapyinAFpatientsinChina.

简介：象为变形阉割抵抗的前列腺癌症(CRPC)的docetaxel和cabazitaxel治疗一样的新奇神经质的治疗的可获得性在没有前进的幸存和全面幸存与改进为这组病人改变了眼界。医生们经常用浆液诊断前列腺癌症的前进前列腺特定的抗原(PSA)。然而，浆液PSA总是没在CRPC与临床的地位被相关。与更大的精确评估PSA动力学，PSA并且CRPC的开发的机制的控制的理解被需要。而且，与最佳地改进预后和病人的QOL的适当预定使用新神经质的治疗是必要的。在现在的评论，我们查明PSA动力学和CRPC的发展的机制为mCRPC在新治疗的最佳的利用帮助。

简介：TherighttoeducationisabasichumanrightChinahasactivelyimplementedtheinternationaltreatiesontherightofmigrantchildrentoelementaryeducationandprovidedinstitutionalsupporttoensuretheimplementationofelementaryeducationpolicyInpractice,however,duetofactorssuchasregionaldifferencesandfiscalcapacity,theproblemsofequaltreatmentandabalanceddistributionofeducationalresourcesremaintobeaddressedInthisregard,thispapersuggestssolvingtheproblemsfromtheperspectivesofenhancingtheimplementationofinternationaltreaties,increasingcompulsoryeducationresources,improvingthequalityofeducation,andadjustingpolicies

简介：摘要OBJECTIVEOur goal was to determine if pairing transcranial direct current stimulation (tDCS) with rehabilitation for two weeks could augment adaptive plasticity offered by these residual pathways to elicit longer-lasting improvements in motor function in incomplete spinal cord injury (iSCI)．DESIGNLongitudinal, randomized, controlled, double-blinded cohort study.SETTINGCleveland Clinic Foundation, Cleveland, Ohio, USA.PARTICIPANTSEight male subjects with chronic incomplete motor tetraplegia.INTERVENTIONSMassed practice (MP) training with or without tDCS for 2 hrs, 5 times a week.OUTCOME MEASURESWe assessed neurophysiologic and functional outcomes before, after and three months following intervention. Neurophysiologic measures were collected with transcranial magnetic stimulation (TMS). TMS measures included excitability, representational volume, area and distribution of a weaker and stronger muscle motor map. Functional assessments included a manual muscle test (MMT), upper extremity motor score (UEMS), action research arm test (ARAT) and nine hole peg test (NHPT)．RESULTSWe observed that subjects receiving training paired with tDCS had more increased strength of weak proximal (15% vs 10%), wrist (22% vs 10%) and hand (39% vs. 16%) muscles immediately and three months after intervention compared to the sham group. Our observed changes in muscle strength were related to decreases in strong muscle map volume (r＝0.851), reduced weak muscle excitability (r＝0.808), a more focused weak muscle motor map (r＝0.675) and movement of weak muscle motor map (r＝0.935)．CONCLUSIONOverall, our results encourage the establishment of larger clinical trials to confirm the potential benefit of pairing tDCS with training to improve the effectiveness of rehabilitation interventions for individuals with SCI.

简介：AbstractBackground:Emergency Operations Center (EOC) is a place to provide response to public health emergencies. Chinese Center for Disease Control and Prevention (China CDC)’s EOC was officially established in 2016, which has been the core department for the public health emergencies and risk response. In recent years, we have been continuously improving the function of EOC through many incidents. In the study, we hope to share the construction status, operation management experience of China CDC’s EOC and the response process in the human avian influenza A (H7N9) outbreak.Main text:The China CDC’s EOC mainly focus on building the five core elements including sites/places and facilities, information and data, plans and procedures, training and exercises, and logistics. Based on summarizing previous emergency response, the China CDC’s EOC established its own incident management and the standardized response procedures. The event-specific data, context-specific data and event management data could be obtained through various source. The logistics department of the EOC also provides comprehensive support. The well-trained staff is another necessary conditions for its operation. Through sharing the response process of H7N9 outbreak, it further explains the EOC’s functions in the five phases of outbreak response, such as the formulation of the incident response framework, monitoring, personnel dispatch and resource mobilization.Conclusions:The EOC contributes to faster and more efficient responses during emergencies which enable a greater reduction in morbidity and mortality. Compared with the traditional incident response process, under the command and coordination of China CDC’s EOC, each group involved in the response has a clearer goal, responsibilities and tasks at each stage. Meanwhile, each group also gave full play to its own expertise and advantages. As a whole, incident response tended to be more specialized and precise, which generally improves the efficiency of incident response. However, different countries and regions have different response processes to the events. We still suggested that appropriate emergency operation plan should be made according to the complexity of incident response in the region when constructing response mechanism, through our experience. And the China CDC’s EOC is still at growing and groping phase.

简介：HuoshanChina-NetherlandsPovertyAlleviationProjectisanintegratedpovertyreliefprojectassistingHuoshanCountyofAnhuiProvincebyNetherlandsgovernment.Itwasstartedin1998withadurationof5years.Thewholeprojectwillpersistinabasicthoughtofpatticipatorythinking,s...

简介：ThisstudysystematicallyreviewsandsummarizesrelocationandrevampingprojectofmediumandheavyplaterollingmillinBayiSteel.AfterdetailedanalysiswasmadeonthemaindeficiencyandproblemsoftheoriginalproductionlineofPudongSteel,systematicalintegrationandimprovementfortheprocessandequipmentwerecarriedoutaccordingly.Throughinnovativepracticeofintegration,BaosteelEngineeringhasgreatlyimprovedthetechnicalprocessandequipmentmake-up,aswellasthegradesandqualityoftheproducts.Theoriginalman-operatinglineisredesignedintoanautomaticsystemcontrolledbyLevel2computer,reachingtheadvancedtechnicallevelofhome-mademediumandheavyplateproductionlineinrecentyears.Theprojectisconstructedintwophases;TheoriginalproductmixofPudongSteelismaintainedasmuchaspossibleinPhaseI.After3500mmsinglestandfinishingmillisputintooperation,capacityofhot-rollingmediumandheavyplatereaches650000t/a,withthemaximumthicknessat40mm.Equipmentorfacilitiesarereservedforproductionofpipelinesteelandothergrades.Pipelinesteel,vesselplate,windpowerplateandotherTMCPandheattreatmentproductsareprojectedinPhaseⅡ.After4200mmroughingmillanditsmatchedfacilitiesareputintooperation,capacityofhot-rollingmediumandheavyplatewillreach120000t/a,withthemaximumthicknessat80mm.Throughtheoptimizationofprocessequipmentanditsfunction,therelocatedmediumandheavyplatemillproductionlinehasreachedadvancedlevelamongsimilardomesticmills.Theprominentachievementsoftheprojectaretherevampingofthicknesscontrolsystemofthefinishingmillandthenewlyinstalledshapecontrolsystem.Automationcontrolofthewholelineisrealized.

简介：摘 要：文章针对高线分离爪气缸在使用过程中存在的故障进行分析，对影响分离爪气缸缸故障的问题进行改进。

简介：摘 要：《基层给养管理》是武警部队后勤士官教学的主干课程之一，在课程教学中融入思政教育，必须体现听党指挥、为战教战的原则，努力挖掘专业课程的思政元素，培养学员践行“知行合一”理念的自觉性，既要找准切入点开展“可口可乐”的课程思政，又要创新教学模式、改进教学方式方法、善于运用现代教育技术增强课程思政实效性。

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简介：【摘要】众所周知，思维品质是学生必备的关键能力，它是培养学生综合语言运用能力的必要条件。但在我们的日常教学中，教师们更多地关注了语言知识的积累和语言技能的训练，缺乏从思维角度对文本进行的深入挖掘，难以有效地帮助学生形成和发展高阶思维。阅读教学“高投入、低产出”的现象已经成为发展学科核心素养中的短板，限制了学生综合语言应用能力的发展和提升。本文以一节英语牛津上海版9AU7 More practice的一节阅读拓展课为例，借助思维导图，从培养发展学生思维品质的视角，探讨如何在阅读课中提升学生思维品质。

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简介：摘要：跨文化意识是指一种文化和另一种文化相互冲突中的一种认识。如今外语教学，尤其是英语教学中，跨文化意识的问题尤为突出。 本文通过分析初中跨文化意识的现状及其相关问题开始，并以牛津英语（上海版）9AU3 More practice为例，简谈教师在英语课堂上如何帮助学生有效提升其跨文化意识。

简介：摘要：我国高等教育正从“知识本位时代”走向“核心素养时代”，要求打破“知识本位”教学模式，通过课程教学上逻辑性和体系性的创新，聚焦学生素养提升，进行有效教学。《中国建筑史》课程教学以建构主义理论为指导，以教学内容的重构为前提，通过教学元素融合跨界的有效教学，培养新时代具有家国情怀和文化认同感的应用型建筑设计的人才。

简介：摘要：康复治疗专业是一门实践性很强的学科，在康复治疗学专业课程教学实践中，引入 PBL 教学方法，相较于传统教学方法有诸多优点。本文将通过对某高职学院学生随机分组实验，着重研究PBL教学方法在康复治疗学专业临床实习教学中的应用效果。

简介：【摘 要】我国城市老旧小区数量庞大，难以管控。在新冠疫情爆发的背景下，对比功能完善的新型社区，所暴露的问题不言而喻。通过对益阳市老旧小区所存在的基础设施陈旧、卫生问题严重等问题进行分析梳理，提出设施更新、环境美化、智能化建设等改造措施，结合实际成功案例的丰富经验，对后疫情时代下城市老旧社区进行提质探索实践。

简介：摘要  专业课程融入思政教育是培养学生成为社会主义建设者和接班人所必需的全面发展的高校教育任务之一。专业核心课是学生专业学习的重要组成部分，将思政教育融入其中，有助于提高学生的综合素质和职业道德水平。然而，在专业核心课中如何有效地实施思政教育仍存在许多问题和挑战。本论文旨在通过对专业核心课思政教学的效果检验，探讨思政教育在专业核心课中的实际效果，以及如何进一步提高思政教育的质量和水平提供借鉴和指导。