Evaluation of Clinician Training in Autism Screening, Care Management, and Patient Education

Objective: The demand for pediatric developmental evaluations has far exceeded the workforce available to perform them, which creates long significant wait times for services. A year-long clinician training using the Extension for Community Healthcare Outcomes (ECHO®) model with monthly meetings was conducted and evaluated for its impact on primary care clinicians’ self-reported self-efficacy, ability to administer autism screening and counsel families, professional fulfillment, and burnout. Methods: Participants represented six community health centers and a hospital-based practice. Data collection was informed by participant feedback and the Normalization Process Theory via online surveys and focus groups/interviews. Twelve virtual monthly trainings were delivered between November 2020 and October 2021. Results: 30 clinicians participated in data collection. Matched analyses (n = 9) indicated statistically significant increase in self-rated ability to counsel families about autism (Pre-test Mean = 3.00, Post-test Mean = 3.89, p = 0.0313), manage autistic patients’ care (Pre-test Mean = 2.56, Post-test Mean = 4.11, p = 0.0078), empathy toward patients (Pre-test Mean = 2.11, Post-test Mean = 1.22, p = 0.0156) and colleagues (Pre-test Mean = 2.33, Post-test Mean = 1.22, respectively, p = 0.0391). Unmatched analysis revealed increases in participants confident about educating patients about autism (70.59%, post-test n = 12 vs. 3.33%, pre-test n = 1, p = 0.0019). Focus groups found increased confidence in using the term “autism”. Conclusion: Participants reported increases in ability and confidence to care for autistic patients, as well as empathy toward patients and colleagues. Future research should explore long-term outcomes in participants’ knowledge retention, confidence in practice, and improvements to autism evaluations and care.

Application of Flipped Classroom Teaching Model Based on Micro-Course in Practical Training Teaching of Contact Lens Fitting Technology

Objective:This paper aims to study the application of flipped classroom teaching model based on micro-course in the practical training teaching of contact lens fitting technology.Methods:From September 21 to July 23,120 students majoring in ophthalmology and optometry were selected and randomly divided into groups.The control group adopted the traditional teaching mode,and the study group adopted the flipped classroom teaching mode based on micro-course.Teaching scores and the skills,observation and judgment,adaptability,and communication skills were compared between the groups.Results:Statistical comparison of teaching scores under different management methods showed that the clinical thinking score and practice work quality in the study group were higher than those of the control group,and the effect of the study group was better(P<0.05).The overall scores of skills,observation and judgment,adaptability,and communication skills of the study group were better than those in the control group,and the comprehensive ability scores in the two groups were significantly different(P<0.05).Conclusion:In practical training teaching of contact lens fitting technology,the application of flipped classroom teaching based on micro-course can improve the skill scores of personnel,and the overall effect is good.This can lay the foundation for advanced ophthalmology and optometry talents with profound theoretical knowledge and professional skills.

Exploring the Application Effect of Flipped Classroom Combined with Problem-Based Learning Teaching Method in Clinical Skills Teaching of Standardized Training for Resident Doctors of Traditional Chinese Medicine

Objective: To explore the application effect of flipped classroom combined with problem-based learning teaching method in clinical skills teaching of standardized training for resident doctors of traditional Chinese Medicine. Methods: The study used the experimental control method. The study lasted from September to November 2022. The subjects of this study were 49 students of standardized training for resident doctors of traditional Chinese Medicine from grades 2020, 2021 and 2022 of Dazhou integrated TCM & Western Medicine Hospital. They were randomly divided into experiment group (25) and control group (24). The experiment group adopted flipped classroom combined with problem-based learning teaching method, and the control group adopted traditional teaching method. The teaching content was 4 basic clinical skill projects, including four diagnoses of traditional Chinese Medicine, cardiopulmonary resuscitation, dressing change procedure, acupuncture and massage. The evaluation method was carried out by comparing the students’ performance and a self-designed questionnaire was used to investigate the students’ evaluation of the teaching method. Results: The test scores of total scores in the experimental group (90.12 ± 5.89) were all higher than those in the control group (81.47 ± 7.96) (t = 4.53, P P Conclusions: The teaching process of the flipped classroom combined with problem-based learning teaching method is conducive to improving the efficiency of classroom teaching, cultivating students’ self-learning ability, and enhancing students’ willingness to learn.

基于Agent技术的Web-Based Training应用研究

当前,在各种类型网络在线教育中,最有前途的网络在线教育方式就是“Web-basedTraining(WBT)”,在本文中,提出了一种应用智能代理Agent技术来构造网络在线培训系统的新模式。这种智能代理Agent可以记录在线学习活动,根据学员的学习过程,自动调整学习内容,提供更合适的学习策略,引导学员的学习过程,为学员完成在线学习提供捷径。

Mechanism of Kinect-based virtual reality training for motor functional recovery of upper limbs after subacute stroke

The Kinect-based virtual reality system for the Xbox 360 enables users to control and interact with the game console without the need to touch a game controller, and provides rehabilitation training for stroke patients with lower limb dysfunctions. However, the underlying mechanism remains un- clear. In this study, 18 healthy subjects and five patients after subacute stroke were included. The five patients were scanned using functional MRI prior to training, 3 weeks after training and at a 12-week follow-up, and then compared with healthy subjects. The FugI-Meyer Assessment and Wolf Motor Function Test scores of the hemiplegic upper limbs of stroke patients were significantly increased 3 weeks after training and at the 12-week follow-up. Functional MRI results showed that contralateral primary sensorimotor cortex was activated after Kinect-based virtual reality training in the stroke patients compared with the healthy subjects. Contralateral primary sensorimotor cortex, the bilateral supplementary motor area and the ipsilateral cerebellum were also activated during hand-clenching in all 18 healthy subjects. Our findings indicate that Kinect-based virtual reality training could promote the recovery of upper limb motor function in subacute stroke patients, and brain reorganization by Kinect-based virtual reality training may be linked to the contralateral sen- sorimotor cortex.

Computer-based simulative training system--a new approach to teaching pre-hospital trauma care

Objective:A computer-based STS(simulative training system) in providing pre-hospital trauma care at a disaster site was applied to teaching nursing students in the Second Military Medical University,China.This article reports on the teaching effectiveness of this system.Methods:Among 92 participants,46 were in the study group and 46 were in the 'control' group. Each student completed a multiple-choice quiz after completing 18 hours(six three-hour sessions) of the study module,and a score was recorded.The simulative training module was completed only by the study group;the 'control' group was assigned in-class discussions for the same amount of time covering the same content as the study group.The final course scores,which included both comprehensive and group task-based tests were compared between these two groups.The study used a descriptive and comparative approach for quantitative data analysis.Tests of independency between the multiple choice scores and the simulation scores were also performed.Finally,anonymous surveys were conducted.Results:The study group performed better than the 'control' group with a significantly higher average score for the group scenario task-based test score,and consequently the study group's final course score was significantly higher than the 'control' group.As per chi-square tests,no significant associations were found between the multiple choice scores and the simulated training scores.The final surveys showed students overwhelmingly agreed that STS training improved their knowledge and skills,their ability to recognize a potential critical event, and their initial response for trauma care at pre-hospital settings.The survey responses of the study group were noteworthy as they indicated that students recognized the importance of simulative training,appreciated the realism of the simulation,and were able to fight/adjust to the stressful feelings in order to focus on the task.Conclusion:Computer-based STS may be an effective teaching model to help students improve their capability in providing pre-hospital trauma care,and in their effectiveness in disaster response.

Exploration and Practice on the Construction Mode of Biopharmaceutical Training Base in Application-based Colleges and Universities

By using the methods of literature analysis,field investigation,exploration and research,experience summary,comparative inductive analysis,etc.,through the search of the latest literature and policy materials,production enterprises and domestic application-based undergraduate universities with related majors have been investigated on the spot.By analyzing the failed cases and drawing lessons from the successful experience,this paper explores the transformation and practical construction of the biopharmaceutical training base in application-based colleges and universities.This paper innovates and designs a new construction mode of biopharmaceutical training base in application-based universities,which provides reliable experience and valuable research results for the construction or transformation of biopharmaceutical training base in application-based colleges and universities.It has a very important potential value for promoting the social and economic benefits.

The Empirical Study on Chinese Style Dual System Basing on Foxconn Training Base Program

So far many existing papers have made study on dual system.While most scholars take the opinion that dual system can give obviously positive effect to skilled talent training,some theorists argue that the precondition of dual system performs excellently is dual system should be localized according to the reality of a country or a district.This paper analyzes dual system practice in China from an example of Foxconn Training Base,the conclusion is that in Foxconn Training Base Program,dual system has been localized successfully and evolved into triangle system,and this program management pattern can be used in other areas of China as a mature,standard Chinese dual system pattern for skilled talent training.

Is There an Improvement in Patient Survival/Code Blue Activation after Training Based on Simulation (Basic Life Support—BLS) Based Practice of Cardiopulmonary Resuscitation?

Background and Aim: The only way to survive a sudden cardiac arrest is when the CPR is performed immediately after the arrest. The focus of the present research study is to assess the effectiveness of a pre- and post-simulation-based BLS training (BLS) and the outcome was measured on the basis of patient survival after the cardiac arrest. Study Design: This pre- and post-training BLS/CPR training study enrolled all nursing staff, all hospital residents, internees, throughout the hospital in a simulation-based BLS training as per the standards of American Heart Association (AHA), to make them respond to immediate resuscitation and code blue activation during the cardiac arrest within the hospital premises including ED, wards, ICUs, MRI, CT and all miscellaneous areas. The providers completed self-efficacy questionnaires as per the AHA protocol before being certified and were evaluated during the emergency in hospital cardiopulmonary arrest. Results: 296 nursing staff, 206 non-healthcare professionals, 143 residents, 212 internees, and 98 medical staff grade doctors completed the BLS training (total 955 hospital staff—providers) were graded for the response by pre- and post-training testing. In the course of pre-BLS training period out of the 250 cardiac arrest patients, 68 patients (27.2%) had ROSC, while after instituting the BLS training period, 143 individuals (40.86%) of the 350 patients who had cardiac arrest had ROSC (p < 0.05). Conclusion: A simulation-based CPR and BLS training curriculum greatly improves patient outcome by reducing mortality and morbidity with improved subjectivity, self-efficiency along with the objective assessment of the performance scores during acute cardiac arrest in Emergency Cardiovascular Care (ECC).

Research on Training Base’s Expansion of Scientific Popularization Function in Higher Vocational Colleges

Based on the needs of regional industrial development and technical personnel training,the training base for technical skill as the core function has effectively enhanced the development of vocational education.However,at present,the training base in vocational colleges is mainly applied for students’teaching,and the overall utilization rate is low.It is of great importance in the rational application of software and hardware resources onto the training base to widely carry out popular science activities.The importance of training base construction and scientific popularization is expounded.On this basis,the research team took the S&T racing training base as a case to study its expandable scientific popularization function.The practice results show that using the resources of the training base to carry out scientific popularization activities can greatly improve teenagers’interest in automobile technology.More training bases in vocational colleges should expand the function of scientific popularization.

Recommendations for Evidence-based Thinking on Migrant Worker Training

Evidence-based thinking originates from the United States. It stresses combination of actual facts and practical experience of managers to find out optimal evidence and make decisions accordingly. Migrant worker is a unique concept of China. Migrant workers are essential parts of industrial forces. However,due to limitation of their quality,they generally fail to bring into play their important function in the industry chain. At present,there are many problems in training models of migrant workers,leading to failure to raise their employment ability. This study is expected to introduce the evidence-based thinking into the building of training models for migrant workers,to provide recommendations for migrant worker training,raise efficiency of migrant worker training,and so as to bring into play important function of migrant workers in socialist construction of China.

Research and Practice of the Construction Mode of the Practical Training Base for Agriculture and Forestry

In response to bottlenecks and dilemmas faced by institutions for agricultural and forestry practical training base construction, and based on Agriculture practical training base of Langfang Polytechnic Institute, this article illustrates the effective exploration and practice of the mode and ways for the construction of the practical training base,which provides some useful experience for the construction of the training base in agricultural and forestry institutions.

Second Group of National Human Rights Education and Training Bases Established

The Ministry of Education and the State Council Information Office on July 22 announced the second group of national human rights education and training bases, in- cluding the Human Rights Research Center at Renmin University of China, the Human Rights Research Center at Fudan University, the Human Rights Research Academy at Wuhan University, the Human Rights Research Center at Shandong University and the Human Rights Education and Research Center at the Southwest University of Politica~ Science arid Law.

Responsibilities and Working Mechanism of National Human Rights Education and Training Bases

On July 22, 2014, the second group of national human rights education and train- ing bases was announced,increasing the number of national bases from the previous three to a total of eight, which reflects the advancement of human rights education and ~aining in China and has far-reaching significance.

Co-Training——内容和链接的Web Spam检测方法

Web spam是指通过内容作弊和网页间链接作弊来欺骗搜索引擎,从而提升自身搜索排名的作弊网页,它干扰了搜索结果的准确性和相关性。提出基于Co-Training模型的Web spam检测方法,使用了网页的两组相互独立的特征——基于内容的统计特征和基于网络图的链接特征,分别建立两个独立的基本分类器;使用Co-Training半监督式学习算法,借助大量未标记数据来改善分类器质量。在WEB SPAM-UK2007数据集上的实验证明:算法改善了SVM分类器的效果。

RTTRS: Rule-based Train Traffic Rescheduling Simulator

Train traffic rescheduling is a complicated and large-scaled combinatorial problem. According to the characteristics of China railway system and from the point of practical use, this paper introduces a rule-based train traffic reschedule interactive simulator. It can be used as a powerful training tool to train the dispatcher and to carry out experimental analysis. The production rules are used as the basic for describing the processes to be simulated. With the increase of rule, users can easily upgrade the simulator by adding their own rules.

Train crossing modeling based on measurements and best numerical approximation in subway tunnels

Communication based train control systems(CBTC) must work even in the worst situation—train crossing.This paper models the propagation characteristics in one of the most common and pivotal scenarios—train crossing in subway tunnels which is rarely mentioned in previous publications.Firsdy,measurements for train crossing scenario at 2.4 GHz in a real subway line in Madrid have been made.The field measurement is the most reliable way to reveal the propagation characteristics involving shadowing effect and fast fading.Moreover,to precisely describe the fast fading distribution and eliminate the inevitable weak points of traditional fitting way,a best numerical approximation method using Legendre orthogonal polynomials has been proposed.Comparisons show that this method works better and is of greater physical significance.Finally,a complete statistical model is given and all the coefficients can be applied by system designers for the link and system level simulations.