目的实施性研究的成功执行受机构准备程度的影响。本研究旨在探索基层医疗机构实施“糖尿病共享门诊优化的实施性研究”项目(简称“SMART项目”)的组织变革准备度(organizational readiness for change,ORC)和影响因素,进而为提高ORC,...目的实施性研究的成功执行受机构准备程度的影响。本研究旨在探索基层医疗机构实施“糖尿病共享门诊优化的实施性研究”项目(简称“SMART项目”)的组织变革准备度(organizational readiness for change,ORC)和影响因素,进而为提高ORC,促进项目有效实施提供参考依据。方法通过定性访谈和定量调查,采集实施SMART项目的12家机构的ORC水平及影响因素。通过机构实施循证实践的准备程度评估量表定量采集ORC水平;对变革执行者进行定性访谈,收集影响因素存在状态,利用主题分析法从访谈结果中提取影响因素条目,编制影响因素作用程度问卷,并采用该问卷收集变革执行者对影响因素作用程度的评估。采用模糊集定性比较分析(fuzzy-set qualitative comparative analysis,fsQCA)方法确定影响因素对ORC的影响和良好ORC实施路径。结果共12家SMART项目试点机构的70名变革执行者参与访谈和问卷调查,受访者包括机构管理者、临床医生和健康管理人员。ORC得分中位数为105.20(101.23,107.33)。fsQCA结果显示,了解具体任务和责任、具备关键人物、做好项目前期准备、制定评估与反馈是达到高水平ORC的路径。反之,缺少关键人物与前期准备两个核心条件,或其只发挥边缘作用时,将导致机构ORC水平较低。结论实施变革前,变革执行者对变革的思想认同和认知参与程度是影响ORC的关键因素。关键人物的引领可有效促进变革准备度的提升,为后续提高实施保真度和成功率奠定基础。展开更多
The effect of coix seed flour(0%–25%)on the rheological and structural properties of wheat dough and noodle quality was investigated.The addition of coix seed flour was found to enhance the elasticity of dough,which ...The effect of coix seed flour(0%–25%)on the rheological and structural properties of wheat dough and noodle quality was investigated.The addition of coix seed flour was found to enhance the elasticity of dough,which may be attributed to the fact that small starch particles increase the filling capacity within the dough matrix.This increase subsequently resulted in more complete and uniform structure of dough.Moreover,setback viscosity rose to 1095 cP.The rapid water absorption of coix seed starch led to changes in the secondary structure of proteins in dough.The proportion ofβ-sheet markedly increased,whereas the proportion ofα-helix decreased with increasing level of coix seed flour substitution.Meanwhile,coix seed flour substitution significantly reduced the estimated glycemic index of noodles.Correlation analysis revealed that pasting parameters had significant effects on the evaluation of noodle quality.This study provides a foundation for researchers to substitute wheat flour with coix seed flour.展开更多
目的:探讨猕猴桃皮多酚(kiwifruit peel polyphenols,KPP)对脂多糖(lipopolysaccharide,LPS)应激Caco-2细胞抗氧化能力的影响。方法:采用CCK-8法测定不同处理组Caco-2的细胞活力,荧光分光光度计测定活性氧和线粒体膜电位,分光光度计测...目的:探讨猕猴桃皮多酚(kiwifruit peel polyphenols,KPP)对脂多糖(lipopolysaccharide,LPS)应激Caco-2细胞抗氧化能力的影响。方法:采用CCK-8法测定不同处理组Caco-2的细胞活力,荧光分光光度计测定活性氧和线粒体膜电位,分光光度计测定超氧化物歧化酶(superoxide dismutase,SOD)活力和谷胱甘肽(glutathione,GSH)、丙二醛(malonaldehyde,MDA)含量,实时荧光定量聚合酶链式反应测定核红细胞2相关因子2(nuclear factor erythroid 2-related factor 2,Nrf2)、Kelch样ECH相关蛋白1(Kelch-like ECH-associated protein 1,Keap1)、NAD(P)H:醌氧化还原酶1(NAD(P)H:quinone oxidoreductase 1,NQO1)、超氧化物歧化酶1(superoxide dismutase 1,S O D 1)、S O D 2基因的表达;蛋白印迹测定N r f 2、Ke a p 1及N Q O 1蛋白表达水平。结果:与L P S组相比,经50μg/mL KPP干预后细胞活力显著升高(P<0.05);活性氧水平和MDA含量分别显著下降至1.82±0.28、5.08 nmol/mg(P<0.05),线粒体膜电位显著升高至1.84±0.10(P<0.05),SOD活力和GSH含量分别显著升高至52.57 U/mg和69.46μmol/g(P<0.05);同时KPP干预能显著提高Nrf2、NQO1基因和蛋白表达(P<0.05),显著降低Keap1基因和蛋白表达(P<0.05)。结论:KPP能够通过Keap1/Nrf2/NQO1信号通路提高Caco-2的抗氧化水平,缓解LPS应激造成的细胞损伤。展开更多
文摘The effect of coix seed flour(0%–25%)on the rheological and structural properties of wheat dough and noodle quality was investigated.The addition of coix seed flour was found to enhance the elasticity of dough,which may be attributed to the fact that small starch particles increase the filling capacity within the dough matrix.This increase subsequently resulted in more complete and uniform structure of dough.Moreover,setback viscosity rose to 1095 cP.The rapid water absorption of coix seed starch led to changes in the secondary structure of proteins in dough.The proportion ofβ-sheet markedly increased,whereas the proportion ofα-helix decreased with increasing level of coix seed flour substitution.Meanwhile,coix seed flour substitution significantly reduced the estimated glycemic index of noodles.Correlation analysis revealed that pasting parameters had significant effects on the evaluation of noodle quality.This study provides a foundation for researchers to substitute wheat flour with coix seed flour.
文摘目的:探讨猕猴桃皮多酚(kiwifruit peel polyphenols,KPP)对脂多糖(lipopolysaccharide,LPS)应激Caco-2细胞抗氧化能力的影响。方法:采用CCK-8法测定不同处理组Caco-2的细胞活力,荧光分光光度计测定活性氧和线粒体膜电位,分光光度计测定超氧化物歧化酶(superoxide dismutase,SOD)活力和谷胱甘肽(glutathione,GSH)、丙二醛(malonaldehyde,MDA)含量,实时荧光定量聚合酶链式反应测定核红细胞2相关因子2(nuclear factor erythroid 2-related factor 2,Nrf2)、Kelch样ECH相关蛋白1(Kelch-like ECH-associated protein 1,Keap1)、NAD(P)H:醌氧化还原酶1(NAD(P)H:quinone oxidoreductase 1,NQO1)、超氧化物歧化酶1(superoxide dismutase 1,S O D 1)、S O D 2基因的表达;蛋白印迹测定N r f 2、Ke a p 1及N Q O 1蛋白表达水平。结果:与L P S组相比,经50μg/mL KPP干预后细胞活力显著升高(P<0.05);活性氧水平和MDA含量分别显著下降至1.82±0.28、5.08 nmol/mg(P<0.05),线粒体膜电位显著升高至1.84±0.10(P<0.05),SOD活力和GSH含量分别显著升高至52.57 U/mg和69.46μmol/g(P<0.05);同时KPP干预能显著提高Nrf2、NQO1基因和蛋白表达(P<0.05),显著降低Keap1基因和蛋白表达(P<0.05)。结论:KPP能够通过Keap1/Nrf2/NQO1信号通路提高Caco-2的抗氧化水平,缓解LPS应激造成的细胞损伤。
