因素

This thesis simply defines the rational factors and irrational factors and points out that the irrational factors have the characters of emergency, instantaneousness, illogicality, non-consciousness, non-language and so on, and discusses function of inspiring, promoting, exploding and adjusting of the irrational factors to the human cognition.

本文对"非理性因素"、"理性因素"的概念进行了简要界定，指出了"非理性因素"具有突发性、瞬时性、非逻辑性、不自觉性、非语言性等特点；探讨了"非理性因素"对人认识的激励作用、推动作用、激发作用和调节作用；同时就"非理性因素"中的"情感"进行分类探讨。

Results General fatigue, weariness and no desire to speak, quadriplegia, megrim, acroanesthesia and so on, which reflect the main symptoms of MS, with occurrence frequency of above 60 percent. Five basic symptoms:Syndrome of haemostasis blocking collaterals (18.0%), dark purple tongue is the most important factor;Syndrome of dampness-heat blocking collaterals (17.2%), yellow greasy furred tongue is the important factor;Syndrome of yin-asthenia and obstruction of collateral (14.8%), rapid and thining pulse is the important factor;Syndrome of endogenous wind of liver and obstruction of collateral due to wind-phlegm (14.1%), physical convulsion is the important factor;Syndrome of asthenia of both qi and blood, and channel qi unfavorable (35.9%), feeble pulse is the important factor. Conclusion The location of MS is channels and collaterals.

结果 体倦乏力、神疲懒言、肢体无力、眩晕、肢麻沉重等出现频率在60%以上，积分排序位于前5位，体现了MS的主要证候特征。5个基本证候为：瘀阻经络证(18.0%)，舌紫黯为本型最重要的影响因素；湿热阻络证(17.2%)，苔黄腻为本型最重要的影响因素；阴虚络阻证(14.8%)，脉细数为本型最重要的影响因素；肝风内动、风痰阻络证(14.1%)，肢体抽搐为本型最重要的影响因素；气血两虚、经气不利证(35.9%)，脉虚为本型最重要的影响因素。

Difference target leads to difference decision element. The decision element of the state include ecology and poverty, the decision element of region government include achievement, system or policy, and money, the decision element for migrator include personality, distance, infrastructure, culture and migratory cost.

不同的目标导致决策因素的不同，认为生态和缓贫是国家生态移民决策的主要因素；认为政绩、制度、资金因素是地方政府决策的主要因素；个体、迁移距离、迁入地基础设施、社区文化、迁移者的成本效益是影响迁移者决策的主要因素，并以此构建国家、地方政府和迁移个人的决策模型。

Firstly, based on literature review and qualitative surveys, the modified risk factors that affecting the effect of hypertension management in the underdeveloped rural area were identified, the specific questionnaire and SIPHF were developed, and the first cross-sectional study was conducted. Secondly, the surveyed population were then divided into intervention group and control group, and periodic health education and following up were conducted to the intervention group for six months; Thirdly, the second cross-sectional study was conducted to evaluate the effect of intervention by qualitative and quantitative survey, the indicators include the knowledge awareness rate and the right belief rate for hypertension control, and the behavior prevalence related to hypertension intervention, the disease burden, the life quality and clinical outcomes resulted from hypertension, the dynamic tendency of blood pressure and the patients\' satisfaction. And the factors related to the effect of hypertension management was evaluated; Finally, SWOT analysis was conducted to evaluate the factors affecting the intervention process and effect, based on the results of qualitative and quantitative surveys on the factors related to effect of the intervention, and to provide evidence-based suggestions for SIPHF improvement and policy-making in the underdeveloped rural area in China.

首先，在文献综述和定性调查的基础上，确认影响欠发达地区农村高血压患者管理效果的因素，设计调查问卷和高血压管理方案，并开展第一次横断面调查；其次，将调查乡镇分为试验组和对照组，对试验组患者开展健康教育和定期的随访管理，对照组患者则按常规工作对待；第三，实施规范化管理6个月后，采用定量调查和定性访谈等方式评价管理效果，通过第二次横断面调查，对试验组与对照组干预前后的危险因素变化情况及干预效果进行评估，评估内容包括患者的知识、信念和行为等与高血压防治有关的危险因素指标，及其产生的疾病负担、生活质量、临床指标、血压水平变化趋势、干预组满意度等结果指标，并分析影响高血压干预效果的因素；最后，采用SWOT分析，根据定性和定量调查结果分析该类地区今后全面开展该项工作所面临的内部和外部环境因素，并为欠发达地区农村高血压规范化管理方案完善及政策制定提供循证建议。

In Chapter three, the nature factor which can affect the locomotive crew's behavior, lines and facility factor, society factor, physiological factor, and psychology factor are analyzed qualitatively.

论文第三章对影响机车乘务员行为的自然因素、线路和设备因素、社会环境因素、生理因素、心理因素各方面展开定性的分析。

The results were as flowers:(1) many mathematics-majors students have low degree of professional commitment and learning self-efficacy,and serious disability of learning adaptation,apparently in environment-factor and learning-movivation;(2) there were signifiant different on learning adaptation,learning self-efficacy and academic achievement between male and female;(3)learning adaptation,professional commitment and learning self-efficacy of mathematics-majors students could serve as a predicator of their academic achievement.

为了使数学专业大学生能够较好地掌握数学专业课程的基础知识并培养学生的基本能力，提高专业成绩，首先要了解影响数学专业大学生数学学业成绩的诸多因素，并以此为依据，有的放矢地进行教育教学。许多研究表明，影响学生学业成绩的个体因素，一般分为智力和非智力两大因素。笔者认为，在影响大学生数学学业成绩的非智力因素中，学习适应性、专业承诺和学习自我效能感是主要因素。

The steps are the following:(1) obtain the better model of practical use:(2) determine the prognostic factors synthetically;(3) analyze the effect of the factors through their coefficients;(4) analyze the degree of risk of the factors;(5) reanalyze the important factors.

为此，笔者提出"综合评判"预后因素的方法，其步骤为：（1）获得实际较优模型；（2）全面地确定预后因素；（3）因素的效应系数分析；（4）因素的危险度分析；（5）重要因素的再分析。

And There was no serious complication;②In the course ofinterventional therapy, Direct portal vein angiography demonstrated vena coronaria ventriculi(100%)andgastricveins(65.26%)andvenagastricaposterior38.43%, Angiography demonstrated venacoronariaventriculi communicate esophagus varicose veins, gastric veins and vena gastrica posterior communicategastric varicose veins. vena coronaria ventriculi had only a small percentage of double vein, about30.57%. The sites of vena coronaria ventriculi arising from the portal vein, splenic vein, portosplenic junction, were found in 52.06%、27.39%、20.55% respectively.③12 extrahepaticprotosystemic shunts were found in these patients. Include gastro-nephrosshuntof 3 cases, 7 caseswere splenetic- nephros shunt and 2 cases shown recanalization of umbilical vein .④The averageportal pressure before and after the procedure were 3.87±1.82kPa and 3.64±1.14kPa in 73patients, but to the time of rebleeding, it was 3.96±0.23kPa in the 11 cases.⑤There werethree kinds of variceal outcome: disappearance (54,low degree (19).⑥Spearman logisticanalyse and ANOVAtest shown liver function class, variceal degree of the splenic necrosis area,the blood direction in portal vein before operation and remain small collateral routes were thesignificant factors concerning outcome of varices.⑦The bleeding volume and portalhypertensive gastropathy are main risk factors of rebleeding.⑧The course of livercirrhosis is the risk factor of survival and extrahepatic portosystemic shunt , fine varices are thebeneficial factors to survival.⑨During all cases'followed-up data, the 1, 2, 3, 4, 5 yearcumulative survival rates and rebleeding rates were 17.81%, 28.77%, 38.36%, 43.84%, 47.95%and93.15%,91.78%,86.30%,83.56%,80.82%respectively. Conclusion The interventional disconnection treatment for liver cirrhosis and portalhypertension was designed suitability. It rapidlycontrol bleeding,butpressure of portal vein was notobvious high, perfusion was not low .it was compared with surgery therapeutic that interventionaldisconnection treatment was safe and had a significant clinical effect to hemorrhage and preventfrom rebleeding.

结果：①术后一过性发热62例(84.9%)，腹痛腹胀48例(65.8%)是介入断流术常见的并发症，未发生严重并发症；②门静脉造影显示胃冠状静脉、胃短静脉和胃后静脉的曲张分流的出现率是100%、65.26%和38.34%；显示食管静脉曲张主要由胃冠状静脉供血，胃静脉曲张主要由胃短静脉和胃后静脉供血；胃冠状静脉大多数为单支，少数为双支，其双支的出现率分别为30.57%；胃冠状静脉开口于门静脉主干的为52.06%，开口于脾静脉主干的为27.39%和开口于门脾静脉交汇处的为20.55%；③发现胃肾分流3例，脾肾分流7例、腹膜后门腔静脉分流2例，以及CTA检查发现脐静脉开放者2例；④73例患者介入断流术前和术后平均自由门静脉压力分别为3.87±1.82kpa和3.64±1.14kpa，前后比较存在显著性差异；11例再次介入手术患者的术前、术后和复发后的自由门静脉压力分别为4.02±0.24kpa、3.82±0.25kpa和3.93±0.23kpa ，前后比较发现首次术前与术后存在显著性差异，首次术前和复发出血术前门静脉压力比较无显著性差异；⑤介入术后复查曲张静脉转归基本消失54例，轻度19例；⑥Spearman相关分析和Logistic多因素回归分析，肝功能分级、静脉曲张程度、门脉血流方向和残存小侧支四个因素对曲张静脉转归有影响；Spearman相关分析和Logistic多因素回归分析门脉高压性胃病和出血量等因素对复发出血时间有影响；⑦COX回归分析，门体分流和曲张静脉转归两个因素对术后生存有影响；⑧术后随访6-70月，1、2、3、4、5年的累计复发出血率和累计生存率分别为17.81%、28.77%、38.36%、43.84%、47.95%和93.15%、91.78%、86.30%、83.56%、80.82%；结论：介入断流术治疗门脉高压食管胃底静脉曲张有独特的优点，可以快速直接控制曲张静脉出血而门静脉压力无显著增高，保证了肝脏灌注；与外科分流术相比适应证广、损伤轻、术后恢复快，不易遗漏曲张静脉；肝功能分级、曲张静脉程度、门脉血流方向和残存侧支血管对食管胃曲张静脉转归有影响；门脉高压性胃病对复发出血时间有影响；门体分流和曲张静脉转归对生存时间有影响。

The Seven Star Garden and The Elephant Hill of four star tourist areas in Guilin were chosen to conduct a questionnaire survey. What we want to explore and validate through this study is as follows:⑴How many individual and tourist area factors will influence tourists perception of crowding in tourist areas ?⑵Whether and how perception of crowding will influence the tourist emotions ?⑶Whether perception of crowding has influence on tourist area experience factors ?⑷Whether perception of crowding has influence on evaluations of tourist satisfaction, revisit desire and recommendation desire ? It is found with questionnaire-settled and data statistic analysis that:①"relaxing spirit"and"enjoying beauty"of tourist motivation factors, crowding tolerance and crowding anticipation have remarkable effect on perception of crowding;②"Tourists on the tour road","tourist behavior"and"tourist area space"have remarkable effect on perception of crowding;③The pleasure emotion and arousal emotion of tourists have remarkable effect on perception of crowding;④The perception of crowding has remarkable effect on the sight, entironment, service and establishment of the tourist area in tourist area experience.

本论文通过在桂林市的国家4A级旅游景区七星公园和象山公园的问卷调查和数据收集，主要研究以下内容：⑴影响拥挤感知度的个人因素和景区因素⑵拥挤感知度对旅游情绪的影响⑶拥挤感知度对景区体验因素的影响⑷拥挤感知度对游客满意度、重游意愿和推荐意愿的影响通过问卷整理、数据统计分析发现：①游客的个人因素中的旅游动机因子"放松精神"和"欣赏美景"、拥挤容忍度、拥挤预期对拥挤感知度有着显著影响；②景区因素中的"游道人"、"游客行为"和"景区空间"对拥挤感知度有显著的影响；③游客的愉悦情绪和激励情绪对拥挤感知度有显著影响；④景区体验中，拥挤感知度对景区景观、景区环境、景区服务和景区设施有显著影响。

objective to study the correlation among psychosomatic health factors,depression,anxiety and sleep status in college students,to analyze influence factors in sleep status.methods with questionnaire opened in-vestigation,200college students were evaluated using cornell medical index,self-rating depression,self-rating anxiety scaleand pittsburgh sleep quality index.stepwise regression analysis was used.re-sults total score of sds was35.55±7.8,and sas was0.48±0.9.each score of cmi was higher than normal range,the highest was digestion system,next was respiration system,then,fatigue,eyes and ears,anxiety,sensitivity,tension,maladjustment in turn.total average score of psqi was6.32±3.6,ordinary sleep were115cases（57.5%）,good and bad sleep were42（21%）and43（21.5%）cases respectively.influence factors in total score of psqi were sas,cmi,respiration system,anxiety,past healthy,digestion system,fatigue,sensitivity,sds and malad-justment in turn,using stepwise regression analysis,total score of psqi as dependent variable,each factor score of cmi,total score of sds and sas as independent variables.conclusion problems of psychosomatic health,anxiety and depression could both lead to sleep disorder.

目的 研究在校大学生心身健康因素及抑郁焦虑等与睡眠状况的相关性，并对影响睡眠状况的有关因素进行分析。方法采用问卷式的开放性研究，对在校的200名大学生进行康奈尔心身健康问卷、自评抑郁量表、焦虑自评量表和匹兹堡睡眠质量量表的测定，采用逐步回归分析方法。结果 sds总分为35.55±7.8、sas总分为0.48±0.9，cmi评分：消化系统最为严重评分为2.52，其次为呼吸系统、疲劳感、眼和耳、焦虑、敏感、紧张、不适应等，评分均高于正常常模。psqi总均分为6.32±3.6，一般睡眠有115例占57.5%，睡眠质量较好42例占21.0%，睡眠质量较差43例占21.5%。评估对睡眠状况的影响程度，以psqi总分为因变量，选择cmi各因子分和sds、sas总分作为自变量，进行多因素逐步回归分析，进入方程的因素依据标准化偏回归系数，影响psqi总分的因素依次为sas总分、cmi总分、呼吸系统、焦虑、既往健康、消化系统、疲劳感、敏感、sds总分、不适应（f=226.8；p.01；r=0.73）。结论心身健康问题和焦虑抑郁可导致睡眠障碍。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。