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| 1 | 重复经颅磁刺激联合度洛西汀肠溶片治疗复发性抑郁症的研究显示文摘目的复发性抑郁症使用重复经颅刺激联合度洛西汀肠溶片治疗对照研究。方法2018年1月—2019年8月时间段内于该院接受诊治的54例复发性抑郁症患者作为研究对象,通过抓阄+患者入院顺序为参考分为两组,即实验组27例(度洛西汀肠溶片疗法)、对照组27例(高频重复经颅刺激+度洛西汀肠溶片疗法),参照HAMD-17量表观察并比对两组患者治疗前后的抑郁程度,以威斯康星卡片测验对比两组患者治疗前后的认知功能。结果治疗后,实验组抑郁程度评分(8.83±3.97)分低于对照组(11.57±3.95)分,组间差异有统计学意义(t=2.542,P<0.05);认知功能评分中认知转移(79.67±6.65)分、感觉输入(90.76±5.12)分、注意力(93.13±6.21)分、信息提取(90.65±4.36)分、抽象概括(87.10±4.45)分优于对照组的(73.57±5.39)分、(86.47±5.43)分、(85.89±5.99)分、(88.23±4.04)分、(79.63±4.27)分,差异有统计学意义(t=3.703、2.987、4.360、2.116、6.294,P<0.05)。结论复发性抑郁症患者使用高频重复经颅刺激联合度洛西汀肠溶片治疗,可以有效缓解抑郁情况,提高患者的认知功能,有利于患者获取较好的预后质量,为其重返社会提供助力。 | 张强 崔明湖 | 2021 | 系统医学2021，6，2： | 2 |
| 2 | Dynamic evolution and the mechanism of modern gully agriculture regional function in the Loess Plateau显示文摘The agricultural regional type and function are the key theoretical issues in agricultural geography research.Gully agriculture in the Loess Plateau is a new regional type of agricultural system with the coupling development of the modern gully human-earth relationship.The study of its functional changes is of great practical significance for food security,rural revitalization and sustainable development of regional agriculture in the region of interest.This paper analyses the multifunctional change of gully agriculture in the Loess Plateau and its dynamic mechanism by using large-scale remote sensing data,topographic relief amplitude model,and spatial econometric model to understand internal implications for evolution differentiation at the basin level.The results show that:(1)The spatial concentration of production and supply function of agricultural products(APF)in the gully of the Loess Plateau gully is high,while the ecological conservation and maintenance function(ECF),employment and social security function(ESF),cultural heritage and leisure function(CRF)are relatively low.The four functions’spatial distribution has revealed an apparent regularity.(2)APF has been significantly enhanced,which is mainly distributed in point clusters and strips in the farming and pastoral areas in northern Shaanxi to the Yanhe river basin.The high-value areas of ESF are clustered around the urbanized metropolitan circles and urban-rural staggered areas along the Great Wall.ECF is concentrated in areas with significant natural endowments and excellent ecological conditions.CRF is significantly higher in the municipal districts and the surrounding regional central cities.(3)There are noticeable differences in the gully agriculture regional function(GARF)evolution process due to the geographical environment and socio-economic development stages.In this regard,natural factors have tremendously affected APF,ESF,and ECF,while socio-economic factors greatly differ in the four functions.There are still differences in the driving mechanisms of modern gully agriculture evolution types;hence many critical policies in the Loess Plateau can directly affect the function evolution paths.The dynamic evolution of GARF can reflect the general law of rural human-earth system transition in gully areas,thereby providing policy ideas for high-quality development of agriculture in the Loess Plateau. | QU Lulu LI Yurui WANG Yongsheng DONG Shijie WEN Qi | 2022 | Journal of Geographical Sciences2022，32，11： | 1 |
| 3 | 黄土丘陵沟壑区现代沟道农业及其可持续发展显示文摘现代沟道农业是黄土丘陵沟壑区人地耦合发展形成的一种新兴农业地域类型,其可持续发展对于区域农业高质量发展、“三生”空间优化和乡村振兴具有重大现实意义。从人地系统科学认知出发,对现代沟道农业的内涵、可持续发展方向、典型发展模式和保障体系进行了探讨,并进行了相关研究展望,为系统认识黄土丘陵沟壑区沟道农业模式,推进农业可持续发展提供了理论参考。主要结论:①沟道农业是乡村地域系统的重要功能类型,具有多尺度、多层次的特点,其可持续发展应从微观、中观和宏观3个层面,协同解决土壤生态系统、农田生态系统和农业地域系统的可持续发展问题。②保障粮食安全和生态安全,积极推进农业结构调整,发展多功能农业,通过“3C”模式,即农业自身内循环、农业外循环、基于农业多功能的农业大循环,实现生产结构优化、产业链条延伸和城乡功能互补。③创新推广土地综合整治带动模式、农业结构调整带动模式、特色资源综合开发模式和土地流转规模生产模式,有助于农业提质增效和农业高质量发展。④拓展地理学与其他学科的交叉研究,深化“理论−实践”贯通式研究,探索建立涵盖技术研发与应用、人才培养、政策制度支撑等内容于一体的农业生产保障体系,全面提升沟道农业资源利用效率和综合生产效益,推动沟道农业现代化。 | 黄云鑫 刘彦随 刘正佳 | 2023 | 地理科学2023，43，1： | 0 |
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