IntroductionAnemia is prevalent after kidney transplantation (KTx) and is associated with reduced graft survival. The associations between temporal changes in hemoglobin (Hb) level in the early posttransplant period with left ventricular (LV) and atrial (LA) function and strain are unknown.MethodsThe study cohort included 71 successful pediatric KTx recipients between January 2021 and September 2022. Echocardiography was used to evaluate the cardiac structure, function, and strain both before and after KTx. Temporal changes in Hb values within 6 months after KTx were evaluated. According to the LV mass index (LVMI), recipients were divided into a left ventricular hypertrophy (LVH) group and a non-LVH group.ResultsBefore KTx, the LVH group had a lower level of Hb and a higher incidence of anemia than the non-LVH group. However, this difference between the groups disappeared after KTx. Changes in Hb were faster in the LVH group than in the non-LVH group. There was a negative association between the absence of an Hb increase and diastolic blood pressure, the LVMI, early diastolic mitral annulus velocity to early diastolic filling wave ratio (E/E’), and the left atrial emptying volume index (LAEVI), while there was a positive association between LV ejection fraction (LVEF), LV global longitudinal strain, and LA strain. The LVMI and changes in LVEF showed a negative correlation, whereas changes in the LAEVI showed a positive correlation with the absence of Hb increase during the early period after KTx.ConclusionChildren with LVH have a lower level of Hb before KTx and a higher level of Hb increase in the early postoperative period following KTx. LVMI and changes in LVEF and LAEVI have predictive value in absence of Hb increase in pediatric KTx recipients.

Giant coronary artery aneurysms caused by Kawasaki disease (KD) are rare but can result in substantial morbidity and mortality due to the risk of thrombosis, stenosis, and myocardial infarction. This was the first report of KD causing complete occlusion and thrombus formation of the entire left coronary artery.

目的:探讨注气联合持笔式盲插手法在危重症患者鼻空肠管中的应用效果,对比注气联合持笔式盲插鼻空肠管法在早期肠内营养中的可行性研究,提高重症患者生活治疗和预后.方法:采用随机对照法选取中山大学附属第三医院ICU入住的84例危重脑出血患者作为研究对象,根据不同治疗方式将入组患者分为对照组(n=28)、盲插组(n=28)、联合组(n=28),通过比较各组患者的一次性置管置入成功率、盲插置管时长、并发症发生比例、10 d内主观综合营养评价量表(SGA)评分及入住ICU治疗时间进行统计分析.结果:联合组患者的一次性置管置入成功率明显高于盲插组,差异有统计学意义(χ2=16.141,P<0.05),并且联合组盲插置管时长显著低于盲插组用时,差异有统计学意义(t=6.415,P<0.05);联合组与盲插组置管治疗患者疗程时间内并发症发生比例均低于对照组,差异有统计学意义(P<0.05);不同组患者治疗期间SGA营养分级未表现出明显差异,差异无统计学意义(P>0.05),但联合组与盲插组患者ICU治疗时间明显短于对照组(P<0.05),联合组相较盲插组治疗时间更短,但差异无统计学意义(P>0.05).结论:注气联合持笔式盲插鼻空肠管法置入成功率高,置管用时也更短,可以实现对重症脑出血患者早期肠内营养供应.患者ICU治疗时间更短、并发症发生情况更低,患者满意度良好,在临床应用上具有丰富的意义.

【目的】总结主动脉窦瘤（SVA）的超声特点，分析漏诊原因，探讨SVA的超声诊断技巧，提高诊断率。【方法】回顾性分析2014年1月至2022年3月期间在中山大学附属第一医院行外科手术的52例SVA患者的超声心动图特征及手术资料，按改良Sakakibara分型分为5型。【结果】52例SVA患者中，男性32例，女性20例，年龄18～66（36.1±11.6）岁。其中44例窦瘤起自主动脉右冠窦，8例起自无冠窦，未见起自左冠窦的病例。Ⅰ型、Ⅱ型和Ⅲv型为膨入右心室的窦瘤共35例，32例（91.4%）合并室间隔缺损（VSD），Ⅲa型、Ⅳ型和Ⅴ型为膨入右心房或其他部位的窦瘤共17例，仅2例（17.6%）合并VSD。各型SVA均常合并主动脉瓣病变，因主动脉瓣病变情况较严重需要外科手术换瓣或成形者共27例（51.9%）。52例患者共有4例漏诊SVA，漏诊率为7.7%;8例漏诊VSD，漏诊率达23.5%，漏诊者多为I型SVA合并干下型VSD；各型SVA中均有合并感染性心内膜炎（IE）患者，共19例，其中有2例漏诊，漏诊率为10.5%。【结论】SVA声像图具有多样性和复杂性。膨入右心房的SVA较少合并VSD，而膨入右心室的SVA绝大多数合并VSD，但诊断具有挑战性，且SVA还易合并主动脉瓣病变和IE，进一步加大诊断难度。超声检查过程中必须提高警惕，灵活运用多个标准和非标准切面，减少漏诊，提高诊断率。

Objective The purpose of this study was to investigate the value of left atrial (LA) volume and strain by 4D auto left atrial quantification (LAQ) for differentiating pre- and post-capillary pulmonary hypertension (PH), and compare the discriminative ability with echocardiographic pulmonary to left atrial global strain ratio (ePLAGS). Methods A total of ninety-eight subjects screened for intermediate to high probability of PH were prospectively enrolled in this study. Clinical history and laboratory data of all the patients were collected. All the patients underwent comprehensive transthoracic echocardiography and then LA volume and strain were measured by dedicated commercial software specially designed for LA 4D analysis. Results According to pulmonary arterial wedge pressure, the participants were divided into two groups: pre-capillary PH Group (n=39, age 53±24 year) and post-capillary PH Group (n=59, age 57 ± 18 year). LAVImax, LAVImin and LAVIpreA significantly increased, while LASr and LAScd obviously decreased in post-capillary PH group when comparing with pre-capillary PH group. Multivariate logistic regression analysis showed LAVImax (OR: 1.40; 95% CI, 1.05–1.87; P = 0.021) and LAScd (OR: 1.76; 95% CI, 1.18–2.49; P = 0.004) were powerful independent predictors for detecting post-capillary PH. The ROC analysis indicated that LAVImax (AUC=0.82, p < 0.001) and LAScd (AUC=0.78, p <0.001) had high discriminating power for predicting post-capillary PH groups, and their cutoff values were 35.69ml/m2 (sensitivity 86%, specificity 74%) and -9% (sensitivity 80%, specificity70%). Conclusions LAVImax and LAScd measured by 4D auto LAQ were powerful parameters for distinguishing pre-capillary PH from post-capillary PH.

Background and objectiveCoronary artery bypass grafting (CABG) is the reference standard intervention in coronary artery disease (CAD) patients with three-vessel disease (3VD). We aimed to evaluate the predictive value of left ventricular (LV) dyssynchrony for short-term adverse outcomes in patients with 3VD undergoing CABG with preserved or mildly reduced LV ejection fraction (LVEF).Materials and methodsThis study involved ninety-five 3VD patients with preserved or mildly reduced LVEF undergoing scheduled on-pump CABG. The pre-operative diameters and volumes of LV and LVEF were obtained by two-dimensional echocardiography. LV dyssynchrony parameters were acquired by real-time three-dimensional echocardiography (RT-3DE) and analyzed by HeartModel quantification software. And the perfusion index of LV was obtained by contrast echocardiography. The clinical endpoints of short-term adverse outcomes comprised 30-day mortality and/or composite outcomes of postoperative complications. Univariate and multivariate logistic regression analyses were used to identify risk factors for the occurrence of post-CABG short-term adverse outcomes.ResultsShort-term adverse outcomes occurred in 12 (12.6%) patients. These patients had higher LV dyssynchrony parameters obtained through RT-3DE. The standard deviation (SD) of the time to minimum systolic volume (Tmsv) corrected by heart rate over 16 segments (Tmsv16-SD%) [odds ratio (OR), 1.362; 95% confidence interval (CI) (1.090–1.702); P = 0.006], one of the LV dyssynchrony parameters, was independently associated with short-term adverse outcomes. Patients with poor synchronization tended to spend more time in the intensive care unit (ICU) and hospital after surgery.ConclusionPre-operative LV dyssynchrony parameter Tmsv16-SD% obtained through RT-3DE could be a useful additional predictor of postoperative short-term adverse outcomes in 3VD patients with preserved or mildly reduced LVEF undergoing CABG.

The study was mainly to evaluate the changes of left ventricular (LV) myocardial work (MW) in children with CKD stage 5 within 3 months after kidney transplantation (KTx). Forty-three successful KTx recipients (mean age 10.6 years, 58% male) in childhood and 28 healthy children were enrolled. General clinical characteristics and laboratory parameters were collected. Cardiac structure, function, and LV MW were assessed by echocardiography before and after KTx. The results showed that significantly improvement was observed in LV global MW index (GWI), constructive MW (GCW), and wasted MW (GWW) (p < .01), but not in MW efficiency (GWE) and global longitudinal strain (GLS) (p > .05). Besides, blood pressure (BP), renal graft function, LV ejection fraction (LVEF), and LV mass index (LVMi) had obviously improved after KTx (p < .05). Nevertheless, compared with healthy children, higher BP, LVMi, GWW, more deteriorated LV diastolic function and lower GWE were still observed in patients after KTx. The ratio of dialysis duration to CKD course were negatively correlated with the improvements of GWE (p = .004), GWI (p = .01), and GCW (p = .01). In conclusion, a portion of LV MW parameters were obviously improved in children received KTx. Thus, LV MW was superior to GLS in evaluating LV systolic function recovery in these patients. Those patients with insignificant MW improvement should be closely monitored, and adjusted the treatment strategies timely to avoid serious and irreversible myocardial injury after KTx.

Objective . The aim of this study was to investigate the changes of syndecan-4 (SDC-4) during the hypertensive period in two kidney-two clip (2K2C) hypertension rats and compare them to brain natriuretic peptide (BNP) and the echocardiographic parameters for diastolic function evaluation in the rat model of 2K2C hypertension. Methods . A total of 36 Sprague–Dawley (SD) rats were used in this study. Hypertension was induced in 21 by 2K2C surgery, and 15 were sham-operated. Both the 2K2C hypertension group ( n  = 21) and the sham-operated group ( n  = 15) were equally divided into 3 subgroups according to the schedules (week 4, week 8, and week 12). Serum SDC-4 and BNP were detected by ELISA, and echocardiography indexes were acquired. Results . The level of SDC-4 and cardiac fibrosis increased gradually as the experiment was processed, and BNP, Tei index, and E/E′ followed to be raised as high blood pressure was maintained after four weeks in the 2K2C hypertension rats. In the earlier 4 weeks, only SDC-4 and cardiac fibrosis were significantly increased in 2K2C hypertensive rats in comparison with normotensive rats. And it was shown that SDC-4 was positively correlated with BNP level during the entire study ( r  = 0.762, p < 0.01). Conclusion . SDC-4 increases gradually during the process of diastolic dysfunction in 2K2C hypertensive rats. SDC-4 is the earliest biomarker reflecting diastolic dysfunction in this model, superior to E/E′ and the Tei index. Our results indicate that serum SDC-4 could act as an early biomarker to show diastolic dysfunction.

作为人类学知识生产的核心,民族志被引进都市研究后,遭到了来自学科和方法论层面的严重质疑.为了回应挑战,都市民族志积极探索创新,试图重构"社区"概念,促使"田野"从对微观单一时空的依赖中拓展出去.在此过程中,以社区参与为基础的田野调查传统逐渐衰落,而观察、多点民族志、文本解读和数据搜集在当代都市民族志实践中的重要性则 日益上升.民族志中参与的淡化,一方面解除了传统田野概念和方法束缚,丰富了都市人类学的研究主题,使之具备了跨学科分析的视野和能力;另一方面又导致都市人类学的"具身"经验日益稀薄,并对人类学的学科定位和人类学家的职业认同产生了深远影响.

Background: We aimed to explore the value of combining real-time three-dimensional echocardiography (RT-3DE) and myocardial contrast echocardiography (MCE) in the left ventricle (LV) evaluating myocardial dysfunction in type 2 diabetes mellitus (T2DM) patients.Patients and Methods: A total of 58 T2DM patients and 32 healthy individuals were selected for this study. T2DM patients were further divided into T2DM without microvascular complications (n = 29) and T2DM with microvascular complications (n = 29) subgroups. All participants underwent RT-3DE and MCE. The standard deviation (SD) and the maximum time difference (Dif) of the time to the minimum systolic volume (Tmsv) of the left ventricle were measured by RT-3DE. MCE was performed to obtain the perfusion measurement of each segment of the ventricular wall, including acoustic intensity (A), flow velocity (β), and A·β.Results: There were significant differences in all Tmsv indices except for Tmsv6-Dif among the three groups (all P < 0.05). After heart rate correction, all Tmsv indices of the T2DM with microvascular complications group were prolonged compared with the control group (all P < 0.05). The parameters of A, β, and A·β for overall segments showed a gradually decreasing trend in three groups, while the differences between the three groups were statistically significant (all P < 0.01). For segmental evaluation of MCE, the value of A, β, and A·β in all segments showed a decreasing trend and significantly differed among the three groups (all P < 0.05).Conclusions: The RT-3DE and MCE can detect subclinical myocardial dysfunction and impaired myocardial microvascular perfusion. Left ventricular dyssynchrony occurred in T2DM patients with or without microvascular complications and was related to left ventricular dysfunction. Myocardial perfusion was reduced in T2DM patients, presenting as diffuse damage, which was aggravated by microvascular complications in other organs.

实现民族地区马克思主义大众化全覆盖是马克思主义理论自身发展的必然要求,也是社会民生发展的时代诉求.然而,当前马克思主义的大众化传播在少数民族地区仍然存在工作态度不认真负责,搞形式主义,理论与实践相脱节,传播手段僵化等问题.因此,要不断丰富完善马克思主义大众化的实践主体,坚持和巩固马克思主义大众化的客体地位,丰富传播介体的方式方法,发挥民族融合优势,优化理论传播环境,探索出具有本地特色和有较强操作性的方法路径,不断推进马克思主义大众化.

中国当前城市社区治理的主要弊病之一,就是价值缺失.近年来,由于价值缺失导致的弊端日益显现,以及民众对"美好生活"的需求日趋强烈,迫使社区治理从工具理性向价值理性转型.本文认为,"家园"是建构社区治理价值目标的关键,这一概念与中国传统文化对"家"的重视高度吻合,并且还蕴含着生活、利益、地域、社群、审美等多重价值,寄托着人们对"好生活"和"好社会"的向往.只有立足"家园"价值,以"生活"和"人文"为导向建构新的社区治理框架,将社区治理的对象从物理空间转向社会关系、行为习惯和道德伦理,价值意义上的社区治理才有可能取得实质进展.

Aim: Protein-energy malnutrition and cardiovascular (CV) disease predisposes patients with end-stage renal disease (ESRD) on dialysis to a high risk of early death, but the prognostic value of prealbumin (PAB) and echocardiographic indices in ESRD patients treated with maintenance peritoneal dialysis (PD) remains unclear. Methods: A total of 211 PD patients (mean age 49.2 ± 15.4 years, 51.7% male) were prospectively studied. PAB and echocardiography parameters were recorded at baseline. Follow-up (mean ± SD: 33.7 ± 17.3 months) was conducted based on hospital records, clinic visits, and telephone reviews, to record death events and their causes. Results: In the Cox proportional hazards model, PAB and the echocardiographic parameters listed below were found to be optimal predictors of all-cause mortality: PAB (p = 0.003), aortic root diameter (ARD) (p = 0.004), interventricular septum end-diastolic thickness (IVSd) (p = 0.046), and left ventricular end-diastolic diameter index (LVEDDI) (p = 0.029). Of the above-mentioned factors, PAB (p = 0.018), ARD (p = 0.031), and IVSd (p = 0.037) were independent predictors of CV mortality in PD patients. Of note, malnutrition, degradation of the aorta, and myocardial hypertrophy are also known death risk factors in the general population. The all-cause mortality and CV death rate significantly increased as the number of risk factors increased, reaching values as high as 40 and 22% in patients who had all of the risk factors, i.e., abnormal PAB, ARD, and IVSd (p < 0.001 and p = 0.011). Conclusion: In PD patients, low serum PAB and abnormal echocardiographic parameters together were significantly associated with all-cause mortality and CV death, independently of other risk factors. These risk factors for death in PD are similar to those in the general population. Noticeably, the combination of echocardiographic parameters and PAB could provide additional predictive value for mortality in PD patients. In light of these findings, more studies in an optimal model containing PAB and echocardiographic parameters for the prediction of outcomes in ESRD are required.

Background Takotsubo cardiomyopathy (TCM) is a brief ventricular dysfunction that usually occurs after emotional or physical stress. Here, we report a patient who underwent cardiac surgery and then developed TCM during the postoperative period. Case presentation A 51-year-old woman was admitted to our hospital complaining of chest tightness, palpitations and dyspnoea after activity. An echocardiogram performed by our hospital showed rheumatic heart disease (severe mitral stenosis and regurgitation) with normal cardiac function and wall motion. After mitral valve replacement, this patient developed heart failure with low blood pressure and tachycardia. Urgent bedside echocardiography demonstrated akinesis in the middle and apical segments of the left ventricle and a depressed ejection fraction (EF) of 36%. Myocardial contrast echocardiography (MCE) showed similar enhancement intensity in the basal, middle and apical segments. Quantitative analysis showed approximately equivalent maximum intensity in these regions. The diagnosis was considered TCM instead of myocardial infarction. Then, an intra-aortic balloon pump was inserted to maintain effective circulation and reduce the postcardiac load. Given ventilation therapy, postoperative anticoagulation therapy and anti-infection treatment, the patient recovered quickly. In the follow-up examination, the patient remained asymptomatic and showed normalization of ventricular wall motion in the apical segment. Conclusion This report presents a case of TCM in which MCE was used to demonstrate intact microvascular perfusion despite apical akinesis. This report might support the use of MCE as a substitute for invasive coronary angiography.

The purpose of this study was to investigate the correlation between left atrial (LA) strain and alterations in cardiac diastolic function in patients with end-stage renal disease. 59 patients with stage 5 chronic kidney disease (CKD5) and 30 healthy controls were enrolled in this study. Patients with CKD5 were divided into three groups, from normal to Grade II diastolic dysfunction. LA longitudinal strain was evaluated using two-dimensional speckle tracking echocardiography. The peak LA longitudinal strain values (PALS) and LA stiffness index were recorded as the main parameters. Comparing with control group, index of LA volume (LAVI, 14.57 ± 6.92 vs. 20.15 ± 6.21 vs. 30.49 ± 10.66 vs. 42.99 ± 18.77) and index of left ventricular mass (LVMI, 77.64 ± 12.60 vs. 103.83 ± 15.90 vs. 155.01 ± 36.92 vs. 178.34 ± 44.47) significantly increased in CKD5 patients, along with the decline of diastolic function (p < 0.001). An incremental reduction in PALS (51.75 ± 5.82 vs. 40.23 ± 12.72 vs. 36.37 ± 8.59 vs. 33.33 ± 9.30, p < 0.001) as well as increase in LA stiffness index (0.11 ± 0.02 vs. 0.25 ± 0.10 vs. 0.38 ± 0.21 vs. 0.61 ± 0.51, p = 0.003) in apical 4 chamber (A4C) view and global value were observed in CKD5 patients, and higher LA stiffness index were shown in patients with Grade II diastolic dysfunction. What’s more, estimated glomerular filtration rate was independently correlated with PALS–A4C (B = 0.084, 95% CI 0.002–0.166, p = 0.046), and LAVI adversely correlated with PALS–A4C (B = − 0.191, 95% CI − 0.379  to − 0.002), p = 0.047) and correlated with LA stiffness index in A4C (B = 0.011, 95% CI 0.006 –0.017, p < 0.001). In conclusion, LA longitudinal strain, combined with LAVI and LVMI, were independently associated with the decline in diastolic function in CKD5 patients, which might provide novel cardiovascular events predictors in these patients.

目的 探讨Orem自理模式在慢性肾衰竭腹膜透析患者延续性护理中的应用效果.方法 慢性肾衰竭腹膜透析患者80例依据实施护理方案的不同分为对照组39例和研究组41例.腹膜透析治疗期间,对照组接受常规护理和随访,研究组在对照组基础上实施基于Orem自理模式的延续性护理.评估患者日常生活活动能力(ADL)与腹膜透析治疗自理能力,了解患者健康知识知晓情况,统计并发症发生情况.结果 干预后,2组Barthel指数(BI)评分均较干预前提高(P＜0.05),且研究组BI评分高于对照组(P＜0.05).干预后,研究组患者腹膜透析换液操作能力与定期在门诊随诊能力优于对照组(P＜0.05).干预后,2组健康知识知晓评分较干预前增高(P＜0.05),且研究组高于对照组(P＜0.05).研究组腹膜炎、感染、腹痛发生率低于对照组,但差异无统计学意义(P＞0.05).结论 针对慢性肾衰竭腹膜透析患者实施基于Orem自理模式的延续性护理,能促进患者自理能力的提升,改善疾病认知程度和日常生活能力.

Primary cardiac neoplasms are rare, and the pericardial schwannoma has an even lower occurrence. We report a case of pericardial schwannoma in China, which is the eighth reported case adding to the existing literature on pericardial schwannoma, and this is the first case reported complicated with massive pericardial effusion. Pericardial schwannomas are usually benign, but they can sometimes have a malignant tendency and cause life-threatening complications. Thus, it should be managed aggressively and completely resected.

Abstract Aims/Introduction Recently, some data have supported the concept that diabetes is negatively associated with aortic aneurysm. In the present study, we aimed to investigate the relationship between diabetes and cardiac structural and functional characteristics, in particular, aortic root dimensions, in end‐stage renal disease (ESRD) patients. Methods ESRD patients receiving peritoneal dialysis for >3 months were consecutively enrolled. Clinical features and echocardiographic parameters were analyzed according to the presence of diabetes history. Correlation analyses were carried out for diabetes mellitus and aortic root dilatation. Multiple logistic regression analysis was carried out to identify variables correlated with aortic root dilatation. Results A total of 218 ESRD patients receiving peritoneal dialysis were enrolled. Patients with diabetes showed lower left ventricular internal measurements in end‐diastole, left ventricular internal measurements in end‐systole and aortic root diameter (ARD)/body surface area (BSA). Worse cardiac diastolic function was also observed in these patients. In addition, the age‐related increase of ARD/BSA and ARD/height was attenuated in patients with diabetes. With the increase of ARD/BSA, lower levels of serum creatinine, phosphorus and serum glucose, as well as higher serum high‐density lipoprotein cholesterol and apolipoprotein A‐1 were also observed. Increased normalized left ventricular internal measurements were shown in patients with greater ARD/BSA. Multiple regression analysis showed that diabetes (odds ratio 0.353, P = 0.015) was an independent correlate of aortic root dilatation, even after correction for age, sex and other clinical confounders in the enrolled patients. Conclusions The present findings shown an inverse association between diabetes and age‐related aortic root dilatation in ESRD patients. Diabetes remained to be independently correlated with aortic root dilatation even after adjustment for age, sex and other clinical confounders in ESRD patients.

目的 探讨实时三维超声心动图结合心肌超声造影对评价2型糖尿病(T2DM)患者心肌功能障碍的价值.方法 选取单纯糖尿病组(Ⅰ组)和糖尿病合并微血管并发症组(Ⅱ组)各29例,对照组(C组)32名,运用实时三维超声心动图获取左心室16节段、12节段及6节段达最小收缩容积时间的标准差(Tmsv16-SD、Tmsv12-SD、Tmsv6-SD)和最大时间差值(Tmsv16-Dif、Tmsv12-Dif和Tmsv6-Dif)及其心率校正值.通过心肌超声造影获得各室壁各节段的峰值强度A、充盈速度β并计算A·β,进行组间数据分析.结果 ①同步性运动评估:Ⅱ组除Tmsv6-Dif以外,其余左心室同步化指标均较C组延长(P均＜0.05);Ⅰ组Tmsv12-Dif、Tmsv12-SD、Tmsv12-Dif％和Tmsv12-SD％较C组延长(P均＜0.05).②心肌血流灌注整体评估:C组、Ⅰ组、Ⅱ组A、β、A·β均呈逐渐下降趋势,Ⅱ组A、β及A·β均低于C组(P均＜0.05);Ⅱ组β及A·β均低于Ⅰ组(P均＜0.05);Ⅰ组β及A·β均低于C组(P均＜0.05);3组内同一指标3个节段差异均无统计学意义(P均＞0.05).结论 单纯T2DM及合并血管并发症患者左心室运动均存在不同步现象;T2DM患者心肌灌注减低,呈弥漫性损害,随其他脏器微循环病变出现而加重.

近年来,中国城市的社区治理正在从工具理性向价值理性转变,生活世界逐渐取代发展和经济增长,成为社区治理的核心.这也表明,民众对社区的想象和诉求日益向生活经验和情感、价值、意义靠拢.价值转向对社区治理影响深远,促使社区治理宗旨从宏观政治转向微观日常生活,社区治理方式从刚性管制向软性感召转变,社区治理对象从"物"转向"社会"和"人",并最终落脚于利益格局调整、生活乐趣发掘、邻里关系培育和道德责任重建.