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This study investigated the spatial heterogeneity of gravel with different particle sizes and the factors influencing these in gravelsand mulched fields. Based on 102 sampling points in a gravel-sand mulched field, descriptive statistics of gravel with different particle size were conducted to analyze the characteristics of the spatial variation and aggregation patterns of gravel with different particle sizes via two geostatistical methods, semi-covariance function and global spatial autocorrelation analysis. Then, the main factors influencing the spatial variation of gravel proportion were identified using a geographic probe model. The main influencing factors were then used to visualize the percentage of gravel with different particle sizes and obtain their distribution characteristics via cooperative geographically weighted regression kriging. The results showed that the spatial variation coefficients of gravel with different particle sizes were all greater than 10%, which was a moderate variation. The spatial heterogeneity ratios of the gravel size varied over a wide range (0.26%–83.48%), indicating that their spatial heterogeneity and variability were influenced by both stochastic and structural factors. Spatial auto correlation analysis showed that the global Moran′s I index of gravel of each particte size was higher than 0.674 and the Z-values were all greater than 1.96, indicating highly significant spatial dependence characteristics for gravel of different particle sizes with aggregated distribution. The explanatory power of the spatial variance of different particle sizes in the gravel-sand mulched fields was in the order of planting year> slope aspect> surface roughness> slope> profile curvature> plane curvature> relief degree of land surface. The single factor explanatory power of planting year was significantly higher than that of the other factors. The spatial distribution of gravel with different particle sizes in the soil of the gravel-mulched field varied significantly under different environmental conditions, with the distribution appearing aggregated. The planting year, slope aspect, and surface roughness were the main factors influencing the spatial distribution of gravels of different particle sizes in gravel-sand mulched fields. [ABSTRACT FROM AUTHOR]

Background & Aims: With the change in the development paradigm from economic development to sustainable development, the role and function of the higher education system have undergone fundamental changes. Universities play a key role in transforming society into a sustainable society; Because they have the power to educate world leaders and empower them to carry out research activities to create a sustainable future. Sustainable universities have different organizational cultures that value "inclusion" and seek to promote it. Therefore, these universities play an important role in changing society and educating the new generation of citizens and leaders. Considering that universities of medical sciences play an essential role in promoting the health of society, therefore, it is recommended that to evaluate the sustainability of the university, careful planning should be done by the managers and practitioners of the higher health education system. From this point of view, the higher education system needs universities that, in terms of organizational structure, human capital, educational and research processes, etc., are the foundation for the realization of sustainable higher education in particular and sustainable development in general; A university with such characteristics is called a sustainable university. To take the first important step in the process of becoming a sustainable university, the theorists and practitioners of the university environment emphasize conducting an assessment of the sustainability situation in the university. In this context, the transformation and innovation package in medical science education has been implemented by the Ministry of Health, Treatment, and Medical Education. One of the packages deals with the discussion of moving toward the fourth universities, which refers to three general policies of institutionalizing the intellectual capital approach in the health system; Presence in the regional and global educational arenas, and the production and localization of valid scientific evidence for the promotion of higher health education. It can be said that a sustainable university is a university whose philosophy is based on essential rationality and systemic thinking, and by taking advantage of an interdisciplinary approach in education and research, it identifies and solves problems affecting human societies in a transactional manner, and its ultimate goal is the realization of sustainable development for current and future generations. The immediate and future benefits of the current research are identifying the dimensions of the sustainable university in macro medical sciences universities of region one, creating relative awareness of the concept of sustainable university, presenting a model of the impact of sustainable university with the fourth generation approach on developing critical thinking skills. Also, carrying out short-term planning in the university based on the findings of the research to promote the sustainable university program and develop critical thinking skills, helping the officials and managers of the universities of medical sciences in the first region to develop long-term sustainable university strategies is one of the practical consequences of this. It is research. Therefore, considering the importance and role of educational and academic organizations, including the records of universities of medical sciences and their impressive impact on the progress of the country, the field of higher education management must have a national determination and a realistic view with hope for the future and move forward in the path The implementation of the statement of transformation and innovation packages has been taken. Therefore, according to the presented materials, the main question of the current research is: What is the impact of the sustainable university with the fourth-generation approach on intellectual capital and the development of critical thinking skills in the macro medical sciences universities of Region 1 to provide a model? Methods: The present research was conducted with a mixed approach. The statistical population in the qualitative section was 23 professors of the universities of macromedical sciences in the first region who had the academic rank of associate professor and above, and in the quantitative section, there were 1851 professors of the academic staff of the macro-medical sciences universities in the first region of the country's health sector. In the qualitative section, 17 people were selected using the purposeful sampling method, and in the quantitative section, 320 people were selected as a statistical sample based on Cochran's formula. To collect data, the questionnaire made by the researcher of University and Rajaei's critical thinking skills questionnaire (2013) was used. Results: According to R2 values and path coefficients, it can be concluded that the relationship between the sustainable university and critical thinking (with a path coefficient of 0.371 and R2 value equal to 0.138 and T-statistic of 6.227) is positive and significant. Conclusion: In general, it can be said that the relationship of a sustainable university with critical thinking is positive and meaningful, that is, it not only provides a platform for setting goals and activities but also translates sustainability issues into a language that is understandable for the decision makers of higher schools and universities. This audit can be used as a means of celebrating and raising awareness about past achievements as well as a commitment to improving the future. Among the limitations of the present study, are the difficulty of communicating with some university professors and determining the time required to conduct interviews and the low accuracy of some of the subjects in studying the questions and answering them. From there, one of the most important factors in promoting such a program is the existence of organizational rules and regulations, so it is suggested that universities formulate a charter and guidelines for the implementation of such a method. By analyzing and investigating, various issues and issues of educational, research, and professional development are identified and measures are taken to resolve them through the use of a sustainable university. To foster critical thinking, the educational system can be developed through the development of the text curriculum. The horse will take care of this. The goals of the curriculum play a role by providing a suitable platform and directing educational activities and resources. In cultivating critical thinking, the content and the process should be considered together, and it should not be enough to transfer some information in textbooks. Using diverse resources and organizing textbooks richly can help to develop students' critical thinking. [ABSTRACT FROM AUTHOR]

To explore the spatial distribution and influencing factors of available silicon in agricultural soils in Conghua District, Guangzhou City, with a view of providing scientific basis and reference for promoting the growth of rice yield in the main grain-producing areas of China, descriptive statistics, geostatistics, correlation analysis and GIS technology were used to study the soil available silicon in Conghua District. The results showed that the average content of soil available silicon in the study area was 60.31 mg · kg-1, which was generally low and showed moderate variation; in the central area, main grain production areas and hilly areas, the soil available silicon content was relatively high; the effective silicon content was positively correlated with soil pH, organic matter content, and clay content. The land use patterns and soil parent materials also had a significant impact. The study shows that the parent material is the most important among the factors considered. [ABSTRACT FROM AUTHOR]

Objective: To investigate the expression of FOXQ1 and Snail, their association with clinicopathologic features and prognosis in gastric cancer (GC) patients. Methods: Immunohistochemistry was used to determine the expressions of FOXQ1 and Snail in 178 specimens from patients with GC. The expression of FOXQ1 and Snail were compared with clinicopathologic features and survival. Descriptive statistics, Kaplan-Meyer, and Cox regression were used for statistical analyses. Results: Of the 178 cases, overexpression of FOXQ1 and Snail was noted in 103 (57.8%) and 87 (48.9%), respectively; coexpression of FOXQ1 and Snail was observed in 76 (42.7 %) of GC. The expression of FOXQ1 was associated with pTNM stage(P<0.001), depth of invasion(P<0.001), nodal involvement(P<0.001), metastasis(P=0.001), differentiation (P=0.002), and tumor diameter(P=0.001). While Snail expression was associated with pTNM stage (P<0.001), depth of invasion(P<0.001), nodal involvement(P<0.001), metastasis(P=0.001), the Borrmann types(P=0.016), differentiation (P=0.037) and tumor diameter(P<0.001). The result showed that high expression of FOXQ1 correlated with anomalous positivity of Snail expression (r=60.705, P<0.001). The Kaplan-Meier survival analysis showed that FOXQ1 or Snail expression was correlated with overall survival (OS) (P<0.001, P<0.001, respectively). Univariate analysis showed that FOXQ1, Snail, pTNM stage, depth of invasion, nodal involvement, metastasis and tumor diameter were significantly associated with 5-year OS respectively. Multivariate Cox analysis showed that FOXQ1 (HR 2.621, 95 % CI 1.571-4.374, P<0.001), Snail (HR 2.925, 95 % CI 1.767-4.841, P<0.001) and nodal involvement (HR 1.345, 95 % CI 1.130-1.601, P=0.001) were independent prognostic factor for patients with GC. Conclusion: The expression of FOXQ1 and Snail are closely correlated, and the combinational pattern of FOXQ1 and Snail can serve as a more effective prognostic index for GC patients. The exactly mechanism between FOXQ1 and Snail in the process of EMT in GC need further investigation. [ABSTRACT FROM AUTHOR]

Objective:To investigate the expression of FOXQ1 and Snail, their association with clinicopathologic features and prognosis in gastric cancer (GC) patients. Methods:Immunohistochemistry was used to determine the expressions of FOXQ1 and Snail in 178 specimens from patients with GC. The expression of FOXQ1 and Snail were compared with clinicopathologic features and survival. Descriptive statistics, Kaplan-Meyer, and Cox regression were used for statistical analyses. Results:Of the 178 cases, overexpression of FOXQ1 and Snail was noted in 103 (57.8%) and 87 (48.9%), respectively; coexpression of FOXQ1 and Snail was observed in 76 (42.7 %) of GC. The expression of FOXQ1 was associated with pTNM stage(P<0.001), depth of invasion(P<0.001), nodal involvement(P<0.001), metastasis(P=0.001), differentiation (P=0.002), and tumor diameter(P=0.001). While Snail expression was associated with pTNM stage (P<0.001), depth of invasion(P<0.001), nodal involvement(P<0.001), metastasis(P=0.001), the Borrmann types(P=0.016), differentiation (P=0.037) and tumor diameter(P<0.001). The result showed that high expression of FOXQ1 correlated with anomalous positivity of Snail expression (r=60.705, P<0.001). The Kaplan-Meier survival analysis showed that FOXQ1 or Snail expression was correlated with overall survival (OS) (P<0.001, P<0.001, respectively). Univariate analysis showed that FOXQ1, Snail, pTNM stage, depth of invasion, nodal involvement, metastasis and tumor diameter were significantly associated with 5-year OS respectively. Multivariate Cox analysis showed that FOXQ1 (HR 2.621, 95 % CI 1.571-4.374, P<0.001), Snail (HR 2.925, 95 % CI 1.767-4.841, P<0.001) and nodal involvement (HR 1.345, 95 % CI 1.130-1.601, P=0.001) were independent prognostic factor for patients with GC. Conclusion:The expression of FOXQ1 and Snail are closely correlated, and the combinational pattern of FOXQ1 and Snail can serve as a more effective prognostic index for GC patients. The exactly mechanism between FOXQ1 and Snail in the process of EMT in GC need further investigation. [ABSTRACT FROM AUTHOR]

Introduction: The purpose of this study was to explore the behavioral intentions of the group that use APP (Application, referred to as APP) to watch the sports events. Based on the technology acceptance model, and the media richness was added as an external variable to analyze the factors which influenced the users who watched the sports events via APP. Methods: The method of this study adopted the questionnaire survey method, and the group that used APP to watch sports events was the main research object. A total number of valid questionnaires was 257 and analyzed by descriptive statistics and structural equation modeling (SEM) were used to analyze the data. Results: The results of the study showed that the media richness was added to the technology acceptance model to explore the impact of APP perception on the ease of use and perceived usefulness of APP. Secondly, the path prediction hypothesis of the influence among all the variables of the technology acceptance model. All of them were established, and has a good mode fit. Conclusion: According to the results of the study, media richness had a positive impact on APP perceived usefulness and ease of use, and perceived usefulness was more influential than the perceived ease of use. Therefore, it was recommended that the APP operators should not only pay attention to the user interface of the APP, but also conform to the usage habits of the general public. On the same time, improve the usefulness of the APP and provide the sufficient information and high richness of the media to facilitate the smooth communication of information; that is, when the media was able to carry a wealth of information, it could reduce the occurrence of uncertainty and ambiguity to enhance the user's willingness to use. [ABSTRACT FROM AUTHOR]

Objective To analyse the disease composition of discharged patients in a third-class general hospital in Xinjiang from 2013 to 2017,which provides reference for developing specific preventive and control measures. Methods By using Oracle database and Excel2010 software, descriptive statistical analysis was performed to make a retrospective study on the diseases composition of discharged patients in hospital. Results In the past 5 years,the number of discharged patients in hospital was on the rise. The main diseases factors of the discharged patients were respiratory diseases, circulatory diseases,pregnancy, childbirth and the puerperium diseases, digestive system diseases, factors affecting health status and access to health services, certain other consequences of injury poisoning and exogenous effects, genitourinary system diseases, tumour, skin and subcutaneous tissue diseases. There were 9 kinds of diseases, and the cumulative composition ratio was 78.90%. After analyzing the composition of diseases in different years,gender and age in this region, it was found that the proportion of respiratory diseases in children under 5 years old was higher than the national average,15-<45 years old, and 45-<60 years old people were higher discharged ratio of circulatory system diseases and digestive system diseases than the national average, 15-<45 years old people was higher discharged ratio of tumor disease than the national average. Conclusion Focused on the specific diseases and corresponding population in Xinjiang, decision- making system considering the local environmental factors of diseases prevention could be proposed. It will provide evidence to guide local disease prevention,increase the health level of the whole society. [ABSTRACT FROM AUTHOR]

OBJECTIVE: To study the suitability of Aidi injections in clinical application, so as to provide reference for the rational application of drugs in clinic. METHODS: By retrospective study methods and SPSS 19. 0 and Clementine 12.0 hospital information system, statistical analysis was conducted on administration information of inpatients with application of Aidi injections of Cancer Hospital Chinese Academy of Medical Sciences in 2015 extracted by hospital information system. RESULTS & CONCLUSIONS: The clinical usage and dosage, administration route and scope of indications of Aidi injections all coincide with the dispensatory, yet there are still some differences in solvent categories, dosage selection and application courses, therefore, further study is essential for effects caused by these differences. [ABSTRACT FROM AUTHOR]

Background and purpose Higher reperfusion rates have been established with endovascular treatment of acute ischemic stroke (AIS). There are limited data on the comparative performance of mechanical thrombectomy devices. Methods A retrospective single-center analysis was undertaken of all consecutive patients who underwent thrombectomy using Merci, Penumbra or stent retrievers (SR) from September 2010 to November 2012. Baseline characteristics, rates of successful recanalization (modified Thrombolysis in Cerebral Infarction (mTICI) score 2b - 3), symptomatic intracerebral hemorrhage (sICH), final infarct volume, 90-day mortality and independent functional outcomes at 90 days were compared across the three devices. Results Our cohort included 287 patients. There were mild imbalances in baseline characteristics with trends towards higher National Institutes of Health Stroke Scale (NIHSS) score in patients in the Merci group (SR=18 vs Merci=21 vs Penumbra=19, p=0.06) and lower Alberta Stroke Program Early CT Score (ASPECTS) in patients in the SR group (>7: SR=51% vs Merci=61% vs Penumbra=62%, p=0.12). On univariate analysis there were no differences in the rate of sICH (SR=7% vs Merci=7% vs Penumbra=6%, p=0.921) and infarct volume (SR=61.5 mL vs Merci=69.5 mL vs Penumbra=59.2 mL, p=0.621). Trends towards better functional outcomes were found with Penumbra and SR vs Merci (41% vs 36% vs 25%, respectively, p=0.079). Complete or near complete reperfusion (mTICI 2b - 3) was higher in the SR and Penumbra groups than in the Merci group (86% vs 78% vs 70%, respectively, p=0.027). Binary logistic regression showed that SR was an independent predictor of good functional outcome (OR 2.27, 95% CI 1.018 to 5.048; p=0.045). Conclusions Although our initial data confirm the superiority of SR technology over the Merci device, there was no significant difference in near complete/complete reperfusion, final infarct volumes or clinical outcomes between SR and Penumbra thromboaspiration. [ABSTRACT FROM AUTHOR]

Objectives: The present study evaluated the relationship between emotional labor and mental health among nurses in Catholic hospitals in Taiwan. Methods: Based on a crosssectional and correctional study design, the researcher invited nurses from six Catholic hospitals to participate between July 1 and October 30, 2010. Instruments were the Emotional Labor Scale developed by Shang Ping Lin and the Self Reporting Questionnaire 20 (SRQ-20) developed by the World Health Organization. Results: A total of 653 subjects were invited to participate, and 624 completed questionnaires were returned for an effective response rate of 95.56%. By using descriptive statistics, ANOVA, correlation, and regression analysis in SPSS 18.0, we found that: (1) Subjects had a relative higher degree of emotional labor (M ± SD = 5.41± 1.19) and poorer mental health status (M ± SD = 2.81 ±1.05) as measured by the SRQ-20; of 50.4; (2) There were significant differences in rules for emotional display, superficial acting, and mental health among different groups based on educational level, position, and working department; (3) Age and service seniority had a highly positive correlation with rules for emotional display, superficial acting, and mental health, whereas age was positively associated with deep acting; (4) Rules for emotional display rule, superficial acting, frequency and duration of interaction, and deep acting were highly correlated with mental health; (5) Emotional labor accounted for 21% of the variance in mental health. Conclusions: Nursing staff bear a high level of emotional labor with unsatisfactory mental health status. Administrators should pay close attention to these issues. [ABSTRACT FROM AUTHOR]