New Nurse Perceptions of Preparedness: Elements of Academic-Practice Gap

The education-practice gap, also known as the academic-practice gap is recognized as the difference between what a nursing student is taught and what the new nurse will experience in practice. This study evaluated specific education outcomes of schools of nursing in New Hampshire through surveys of new nurses and their employers. The responses were explored in relation to identified factors such as curriculum and clinical hours. The findings suggest that the new nurses felt prepared for practice, except in relationship to provision of care and medication administration for six or more patients. Of note is that 61% percent of participants were involved in errors and of these, 37.5% indicated that their education did not prepare them to administer medications to large groups. Evaluation of employer responses points to at least one and sometimes two levels of lower perception of perceived preparedness by the employer. The results highlight the differences between perceptions of preparedness of new nurse and employer, differences in perception of preparedness based on program type for specific gap elements, and the high rate of errors among new nurses. These results underscore the need for further research regarding the education practice gap, error factors, perceptions of preparedness for practice, and practice-readiness expectations of employers.

Short Text Mining for Classifying Educational Objectives and Outcomes

Most of the international accreditation bodies in engineering education(e.g.,ABET)and outcome-based educational systems have based their assess-ments on learning outcomes and program educational objectives.However,map-ping program educational objectives(PEOs)to student outcomes(SOs)is a challenging and time-consuming task,especially for a new program which is applying for ABET-EAC(American Board for Engineering and Technology the American Board for Engineering and Technology—Engineering Accreditation Commission)accreditation.In addition,ABET needs to automatically ensure that the mapping(classification)is reasonable and correct.The classification also plays a vital role in the assessment of students’learning.Since the PEOs are expressed as short text,they do not contain enough semantic meaning and information,and consequently they suffer from high sparseness,multidimensionality and the curse of dimensionality.In this work,a novel associative short text classification tech-nique is proposed to map PEOs to SOs.The datasets are extracted from 152 self-study reports(SSRs)that were produced in operational settings in an engineering program accredited by ABET-EAC.The datasets are processed and transformed into a representational form appropriate for association rule mining.The extracted rules are utilized as delegate classifiers to map PEOs to SOs.The proposed asso-ciative classification of the mapping of PEOs to SOs has shown promising results,which can simplify the classification of short text and avoid many problems caused by enriching short text based on external resources that are not related or relevant to the dataset.

Impact of Educational Programs about Methods of Assessment of Fetal Wellbeing during Pregnancy among Staff Nurses

Objective: Aims of the study are to study the impact of increased knowledge and awareness among staff nurses towards assessment of methods of fetal wellbeing to early identification of pregnancy outcomes and the frequency of interventions during delivery. Design: A quasi-experimental design was used in carrying out the study to impact knowledge and awareness assessment of methods of fetal wellbeing among staff nurses. The study was conducted at obstetric & gynecological department working at setting in Jarsh Governorate Hospitals & Prince Hussein Bin Abdullah Hospitals. Methods: The study sample consisted of all staff nurses working at obstetric & gynecological department in Jarsh Governorate Hospital & Prince Hussein Bin Abdullah Hospitals who have agreed to participate in the study. The current study has included 150 staff types of sample convenient sample. Results: The main findings of this study showed that there is a highly statistical significance differences between pre-test and post-test in all answers regarding knowledge about methods of fetal wellbeing assessment. Conclusion: Nurses have a major role to prevent the complication for the fetus and mother during pregnancy. Nurses coming in contact with the antenatal mothers should take initiative to provide necessary information to the women and the relatives on different methods used for the assessment of fetal wellbeing, so as to improve the quality of life among the pregnant women. For that they should adequate knowledge about all the aspects of fetal wellbeing, so that they can prevent the complication.

深化临床医学教育改革培养造就服务健康中国需求的卓越医师

本文围绕如何培养造就服务健康中国需求的卓越医师,从卓越医生教育培养计划着手,以临床医学专业学位教育和临床医学八年制培养改革为例,夯实高校附属医院医学人才培养主阵地,分析卓越医师培养和卓越医师科学家培养有效途径。

A Multi-Attribute Decision-Making Method Using Belief-Based Probabilistic Linguistic Term Sets and Its Application in Emergency Decision-Making

Probabilistic linguistic term sets(PLTSs)are an effective tool for expressing subjective human cognition that offer advantages in the field ofmulti-attribute decision-making(MADM).However,studies have found that PLTSs have lost their ability to accurately capture the views of decision-makers(DMs)in certain circumstances,such as when the DM hesitates between multiple linguistic terms or the decision information is incomplete,thus affecting their role in the decision-making process.Belief function theory is a leading streamof thought in uncertainty processing that is suitable for dealing with the limitations of PLTS.Therefore,the purpose of this study is to extend PLTS to incorporate belief function theory.First,we provide the basic concepts of the extended PLTS(i.e.,belief-based PLTS)through case analyses.Second,the aggregation operator of belief-based PLTS is defined with the ordered weighted average(OWA)-based soft likelihood function,which is improved by considering the reliability of the information source.Third,to measure the magnitude of different belief-based PLTSs,the belief interval of singleton is calculated,and the comparison method of belief-based PLTS is constructed based on probabilities.On the basis of the preceding discussion,we further develop an emergency decision framework that includes several novel techniques,such as attribute weight determination and decision information aggregation.Finally,the usefulness of the framework is demonstrated through a case study,and its effectiveness is illustrated through a series of comparisons.

Effect of Health Education Program on Self-Efficacy and Functional Capacity of Patients with Coronary Artery Bypass Surgery in Khartoum State-Sudan, 2015-2019

Coronary heart disease is among the most prevalent and costly of all global health problems. Coronary artery bypass grafting (CABG) has been increasingly used since the 1960s. Coronary heart disease is a leading cause of death worldwide, including Sudan. Self-efficacy and functional capacity is a critical factor for quality of life in patients who has undergone CABG as well as for their caregivers from their families. Aim of the Study: To explore the effects of an educational program on self-efficacy and functional capacity of patients after CABG. 1) There will be no significant difference between the intervention group and control group concerning knowledge regarding Self-efficacy and functional capacity post CABG surgery. 2) The application of our educational program for the patients will enhance the patients with CABG surgery and improve knowledge about Self-efficacy and functional capacity post CABG surgery. 3) There are some socio demographic factors that affect the response to the educational program. Methods: This was a quasi-experimental, interventional and hospital-based study, including pre-test, a post-test and follow-up test, with a control group, conducted during the period from September 2014 to June 2019. Patients were recruited consecutively to the cases and control group using convenience sampling. The sample consisted of 76 patients;41 as cases and 35 as control group. The sample included those who had undergone CABG in Khartoum State. Relevant data were collected using a checklist to monitor the effect of a health education program on self-efficacy and functional capacity of the patients. Result: The results showed marked improvement in patients’ self-efficacy and functional capacity between pretest and posttest for the study group;p-value = (0.001) in the health status of cases in comparison to the control group. The indices were observed to be higher for patients who received a nursing educational program throughout the study period;p-value = (0.002).

Compliance to Medication Management and Mental Health Status of Elderly Hypertensive Patients: Basis of Educational Health Program

Objective:The study aimed to assess medication management compliance and mental health in elderly patients with hypertension.Method:The study evaluated medication compliance and mental health status of elderly hypertensive patients in China using simple random sampling.Data was collected using the Morisky Medication Compliance Questionnaire,Hospital Anxiety and Depression Scale,and a checklist.Ethical practices were strictly observed.Results:A study of 100 elderly hypertensive patients found poor drug management compliance,with female patients showing worse compliance.Female patients were more vulnerable to anxiety and depression.The study also found no significant association between gender,age,education level,marital status,living standards,and medication compliance.Barriers to medication management included food and daily necessities,lack of awareness about the importance of drug treatment,and basic family needs.The lowest-ranked barriers were lack of support from government health clinics,low income,and lack of family support.Conclusion:Based on the results,the study proposes an educational plan for elderly hypertensive patients and their families,to be evaluated and implemented by the hospital and township community service center.The plan aims to improve medication management and lifestyle modification compliance,encourage active participation,and provide access to medical and mental health clinics,support groups,and counseling services.

An Effective and Secure Quality Assurance System for a Computer Science Program

Improving the quality assurance (QA) processes and acquiring accreditation are top priorities for academic programs. The learning outcomes (LOs)assessment and continuous quality improvement represent core components ofthe quality assurance system (QAS). Current assessment methods suffer deficiencies related to accuracy and reliability, and they lack well-organized processes forcontinuous improvement planning. Moreover, the absence of automation, andintegration in QA processes forms a major obstacle towards developing efficientquality system. There is a pressing need to adopt security protocols that providerequired security services to safeguard the valuable information processed byQAS as well. This research proposes an effective methodology for LOs assessment and continuous improvement processes. The proposed approach ensuresmore accurate and reliable LOs assessment results and provides systematic wayfor utilizing those results in the continuous quality improvement. This systematicand well-specified QA processes were then utilized to model and implement automated and secure QAS that efficiently performs quality-related processes. Theproposed system adopts two security protocols that provide confidentiality, integrity, and authentication for quality data and reports. The security protocols avoidthe source repudiation, which is important in the quality reporting system. This isachieved through implementing powerful cryptographic algorithms. The QASenables efficient data collection and processing required for analysis and interpretation. It also prepares for the development of datasets that can be used in futureartificial intelligence (AI) researches to support decision making and improve thequality of academic programs. The proposed approach is implemented in a successful real case study for a computer science program. The current study servesscientific programs struggling to achieve academic accreditation, and gives rise tofully automating and integrating the QA processes and adopting modern AI andsecurity technologies to develop effective QAS.

Baicalin suppresses iron accumulation after substantia nigra injury: relationship between iron concentration and transferrin expression

Previous studies have shown that baicalin prevented iron accumulation after substantia nigra injury, reduced divalent metal transporter 1 expression, and increased ferroportin 1 expression in the substantia nigra of rotenone-induced Parkinson＇s disease rats. In the current study, we investigated the relationship between iron accumulation and transferrin expression in C6 cells, to explore the mechanisms of the inhibitory effect of baicalin on iron accumulation observed in Parkinson＇s disease rats. Iron content was detected using inductively coupled plasma-atomic emission spectroscopy. Results showed that iron content decreased 41% after blocking divalent metal transporter 1 and ferroportin 1 proteins. After treatment with ferric ammonium citrate of differing concentrations （10, 50, 100, 400 ktg/mL） in C6 glioma cells, cell survival rate and ferroportin 1 expression were negatively correlated with ferric ammonium citrate concentration, but divalent metal transporter 1 expression positively correlated with ferric ammonium citrate concentration. Baicalin or deferoxamine reduced divalent metal transporter 1 expression, but increased ferroportin 1 expression in the 100 μg/mL ferric ammonium citrate-loaded C6 cells. These results indicate that baicalin down-regulated iron concentration, which positively regulat- ed divalent metal transporter 1 expression and negatively regulated ferroportin 1 expression, and decreased iron accumulation in the substantia nigra.

Effect of Medication Safety Education Program on Intensive Care Nurses’ Knowledge regarding Medication Errors

Background: Medication errors are the iceberg of patient safety in hospitals and leading cause of morbidity and mortality among patients. Objectives: The study aim was to evaluate the effect of an educational program of medication safety on the knowledge of critical care nurses regarding intravenous medication errors. Methods Design: There are one group pretest and posttest designs. Subject: A convenient sample of all registered nurses (52) works in Palestine Medical Complex. Data collection tools: A self-administered knowledge determination questionnaire consists of both qualitative and quantitative statements to measure level of knowledge, used as data collection tool in pre and post educational sessions, with educational booklet as intervention tool. Statistical analysis: Data were analyzed with Statistical Package for the Social Sciences Software Version 18. The results are presented as frequency & percentage as appropriate at alpha level of P < 0.05;inferential statistics were generated. Paired t-test was used to perform the comparisons. Results: There was statistically significant difference in the knowledge level for the intensive care unit’s nurses regarding the intravenous medication administration during pre and post education program. Statistical analysis showed that there was a statistically significant between age, educational degree, critical units/wards, years of nursing experience and previous medication administration education program of the nurses and their knowledge during different phases of program intervention. Conclusion: Educational program on medication safety improves the knowledge of critical care nurses regarding intravenous medication errors. This study recommends that medication errors should be periodically assessed by improving clinical guidelines of medication administration.

Spinal Manipulation and Dynamic Neuromuscular Stabilization Care for a 4-Year-Old Patient with Agenesis of the Corpus Callosum

The purpose of this case study is to describe the chiropractic care of a 4-year-old male patient with agenesis of the corpus callosum. Methods: Chiropractic care plan consisted of weekly appointments with the inclusion of at-home exercises coupled with academic intervention of physical and occupational therapies and assistive gait devices. Functional changes were monitored via objective clinic findings, independent clinical examination, and parental observation. Results: Agitated flexion contracted non-weight bearing child with gastrointestinal dysfunction and developmentally shunted growth responds to co-managed chiropractic care. Focus on aiding structural balance helped improve the weight bearing movement and mobility, physical calmness and contentment, emotional and verbal communication, as well as gastointestinal function. Discussion: This therapeutic approach decreased aberrant posture and enhanced quality of life. Conclusion: Chiropractic care in combination with academic intervention improved this child’s postural abnormalities, attitude, and cognitive development warranting consideration in subsequent care investigation.

项目驱动的软件人才培养方案(英文)

The education of software talent is the basis of the development of China's software industry.This article demonstrates the software training goals for undergraduate students in the School of Software Engineering of Chongqing University,and put forwards the education program of the software talent based on project-driven.The program aims to cultivate software talents of "compound,application-oriented,international" characteristics to meet the development of China's software industry through a series of integrated courses on project practice and training.

Verifying the Effects of an Education Program Leveraging Information Technology to Promote Cervical Cancer Screening in Women Aged 20 - 29—A One-Year Longitudinal Study

The purpose of this research is to implement an IT-based education program in order to promote cervical cancer screenings for women aged 20 - 29 years, as well as to examine the results of said program. This is a longitudinal/comparative study of two groups, one for which the program was implemented (the intervention group), and the other for which it was not (the control group). The program consisted of attending a health lecture and encouragement to be screened one month, six months, and one year later sent through IT-based methods. The target was unmarried women aged 20 - 29 who had neither previously given birth nor had been screened for cervical cancer in a period one year prior. They were divided into two groups, the intervention group (n = 142) and control group (n = 145). The effectiveness of the program was assessed via an initial survey and further surveys six months and one year later. Results were based on the Japanese version of the Health Belief Model Scale for Cervical Cancer and the Pap Smear Test (HBMSCCPST), knowledge scores in the categories of Healthy Lifestyles, Cervical Cancer, Cervical Cancer Screening, and screening behavior. A two-way ANOVA of the HBMSCCPST subscales and knowledge scores in the initial, six-month, and one-year surveys was performed, showing interaction in Cervical Cancer (p = 0.00). Main effects were observed in Cervical Cancer Screening (p = 0.00) and Healthy Lifestyles (p = 0.00). Regarding the amount of change from the initial survey, knowledge scores in the Cervical Cancer (p = 0.027) and Cervical Cancer Screening (p = 0.016) categories were significantly higher in the intervention group than in the control group. There was no significant difference in cervical cancer screening rates (p = 0.26) between the two groups. However, a small-degree effect size was observed for Benefits, Seriousness, and Susceptibility subscales in both examinees and non-examinees. Although the educational program of this study was effective in improving the knowledge of women in their twenties, there was little improvement in HBMSCCPST and it did not lead to the promotion of cervical cancer screening. In order to raise interest in cervical cancer screening, it is necessary to consider useful content to guide women to consult with healthcare professionals, a long-term population approach, and organizational structure of consultation.

An effective Australian-Chinese peer education program on HIV/AIDS/STDs for university students in China

IntroductionCurrently, there are at least 850,000 people living with human immuno-deficiency virus (HIV) and acquired immuno-deficiency syndrome (AIDS) in China. Among them 16-29 years old account for about 65%. According to the Chinese health authorities, if the preventive measures are not effective, the figure could reach as many as 10 million by the year 2010[1]. Since there are currently no cure or vaccines for HIV/AIDS, changing people's high-risk behaviors is the main approach that is taken to slow down the epidemic. This can be done through effective HIV/AIDS education, especially for young people. In 1997, a 4-year adolescent HIV/AIDS peer education program was introduced to in Beijing and Shanghai, which was based on a successful Australian model developed by Professor Roger Short, in which senior medical students were trained and used as peer educators to teach their junior peers about HIV/AIDS[2].……

2018 MOFCOM Academic Education Programs

The Academic Education Programs sponsored by the Ministry of Commerce of China is designed to nurture high-end business officials and managerial personnel from recipient countries, offering one-year and two-year master programs as well as three-year doctoral programs for those working in the applied fields of government, trade, foreign affairs, agriculture, technology, education, culture and health.

TO MAKE A GOOD JOB OF THE POST-GRADUATE EDUCATION PROGRAM AT THE CAS

The Chinese Academy of Sciences is the top R&D base in the land as well as an incubator for breeding high ranking qualified personnel.The post-graduate education program at the CAS is an important field in the cultivation of Chinese junior scientists.Started in 1955,the program has lasted more than 40 years.As a result of its repeated exploration and practice,the program has initially formed its own character and educational superiority,cultivated a great number of top-grade professionals and infused them into the theatre of economic reconstruction throughout the Country.The following is a brief introduction to the CAS program.

Implementation of an educational program for pancreaticoduodenectomy in a university hospital: a retrospective observational study

Objective:No ideal training system exists for pancreaticoduodenectomy(PD).We developed an educational system that uses an objective structured assessment of technical skills.Methods:This retrospective observational study was conducted using the data of consecutive trainees and patients who underwent PD from 2007 to 2013 in Kansai Medical University Hospital.The total score on the task checklist(21 parameters)for measuring technical performance during PD by self assessment and instructor assessment was compared between junior(JN)and hepatobiliary pancreatic(HBP)trainees at a university hospital.Surgical outcomes of 303 PDs(2007-2013)were also compared among JN trainees,HBP trainees,and instructors,and the present position of the trainees was investigated.This study was approved by the institutional review board of Kansai Medical University on May 26,2020.Results:The self-assessment score on the task checklist was significantly higher for the HBP trainees than for the JN trainees on all parts of PD(P<.001).The discrepancy between self-assessment and instructor assessment improved in 3 JN trainees after experience with the first 5 PDs.Although total score curves rose to the right in the JN group,scores in the HBP group were stable,at 70 or higher,which correlated with the instructor assessment.The 90-day and 30-day mortality rates were 1.6%and 0.3%,respectively.Mortality and morbidity after PD did not differ between the JN and HBP trainees or between the instructors and the trainees.Four of 10 trainees became board-certified expert surgeons of the Japanese Society of Hepatobiliary Pancreatic Surgery.Conclusion:These results indicated good construct validity of the task checklist system.This program was safely and effectively implemented in terms of surgical outcomes and final outcomes of trainees becoming board-certified expert surgeons.

Cardiovascular risk and prevalence of metabolic syndrome by differing criteria

Background The prevalence of metabolic syndrome （MetS） in hypertensive population in Chinese countryside is unknown. Firstly, this study compared the prevalence of MetS according to National Cholesterol Education Program （NCEP） ATPIII, revised NCEP and International Diabetes Federation （IDF） definitions. Secondly, it investigated the association between MetS, coronary heart disease （CHD） and stroke in patients with hypertension. Methods In this cross sectional study, the cluster sampling method was used. Three MetS definitions were applied to 1418 normal subjects and 5348 hypertensive patients aged 40-75 years in rural areas in China. The agreement between different MetS definitions was estimated by K statistics. Logistic regression analyses determined the association between MetS defined by the three MetS definitions and CHD and stroke. Results In subjects without hypertension, the prevalence of Mets was 4.1% by NCEP definition, 8.3% revised NCEP definition and 7.8% IDF definition. In hypertensive individuals, the prevalence was 14.0%, 32.9%, and 27.4% in men; 35.6%, 53.1%, and 50.2% in women by the same definitions, respectively. In hypertensive individuals, the agreement was 94.4% in men and 97.0% in women between revised NCEP and IDF definitions. The IDF defined MetS was more strongly associated with CHD than the NCEP or revised NCEP defined MetS （adjusted odds ratio： 1.92 compared with 1.85 and 1.69 in men; 1.64 compared with 1.48 and 1.60 in women）. Conclusions In the patients with hypertension, the revised NCEP and IDF definitions identified more individuals than NCEP definition and their agreement is very high. The IDF defined MetS is more strongly associated with CHD than the NCEP or revised NCEP defined MetS, but weakly or not associated with stroke.

Impact of a Senior High School Tuition Relief Program on Poor Junior High School Students in Rural China

A significant gap remains between rural and urban students in the rate of admission to senior high school. One reason for this gap might be the high levels of tuition and fees for senior high school By reducing students＇ expectations of attending high school, high levels of tuition and fees could be reducing student aeademic performance in junior high schools. In this paper we evaluate the impacts of a senior high tuition relief program on the test scores of poor rural seventh grade students in China. We surveyed three counties in Shaanxi Province and exploited the fact that, while the counties are adjacent to one another and share similar characteristics, only one of the three implemented a tuition relief program. Using several alternative estimation strategies, including difference-in-differences, propensity score matching and difference-in-differences matching, we find that the tuition program has a statistically significant and positive impact on the mathematics scores of seventh grade students. More importantly, this program is shown to have a statistically significant and positive effect on the poorest students in the treatment group compared to their wealthier peers.

Eight-Year Medical Education Program:Retrospect and Prospect of the High-Level Medical Talent Training in China

Purpose:The 8-year medical education program(EYMEP)is China's path to training high-level medical talents.In retrospect,this study systematically reviewed the developmental process of China's EYMEP.The status quo and characteristics,and threats and challenges,were analyzed,along with the program’s prospects.Design/Approach/Methods:This study analyzed relevant textual materials and policy documents dating back to the time of hosting of China's EYMEP,as well as conducted various specific interviews and field trips.Findings:The exploration of China's high-level medical talent training has been conducted over a century.EYMEP can be divided into five periods:the Only Host Period,the Duplication Pilot Host Period,the Expansion Period,the Joint Exploration Period,and the In-Depth Promotion Period.Currently,there are 14 universities and institutes hosting the EYMEP approved by the Ministry of Education of the People's Republic of China.However,they differ greatly in training ideas and goals,enrollment processes,and training phases.China's EYMEP is faced with some external threats and internal challenges.In the future,China's EYMEP should consider five aspects.Originality/Value:In the new era of the reform and development of China's medical education,a systematic review of the development of EYMEP in China is of great significance to the promotion of high-level medical talent training in China.Meanwhile,the exploration course of China's highlevel medical talent training represented by the EYMEP may be an enlightenment for other countries,especially developing countries like China,in their training of high-level medical talents.