以“think aloud”为核心的教学方法在临床思维能力培养中的应用

目的:评估以“think aloud”为核心的教学方法在临床思维培养中的应用效果。方法:选取2021年1月至2022年1月在浙江大学医学院附属第二医院神经内科实习的166名医学生为研究对象。将其随机分为两组,试验组86名,其中临床医学专业实习生44名,麻醉、检验、针灸推拿专业等非临床医学专业实习生42名;对照组80名,其中临床医学专业实习生40名,麻醉、检验、针灸推拿专业等非临床医学专业实习生40名。试验组采用以“think aloud”为核心的教学方法,对照组采用传统讲授教学法,比较两组实习生的病例分析题考核成绩和教学满意度。结果:两组实习生的考核成绩没有统计学差异(P>0.05)。试验组临床医学专业实习生与对照组临床医学专业实习生的考核成绩没有统计学差异(P>0.05),但试验组非临床医学专业实习生的考核成绩显著优于对照组非临床医学专业实习生(P<0.05)。结论:以“think aloud”为核心的教学方法,有利于学生临床思维能力的培养,尤其对于基础薄弱的医学实习生。

基于“Design Thinking”理念的职业院校创新创业人才培养模式

随着我国经济不断发展和社会进步,创新创业已经成为推动经济增长的关键驱动力,在2015年全国人民代表大会上,李克强总理将“大众创业、万众创新”明确列为我国经济增长的“双引擎”之一,彰显了创新创业对于推动社会发展的重要地位。为响应国家政策,各高校积极开展创新创业教育,将其纳入高等教育综合改革的重要议程,成为培养未来人才的重要途径。本文分析了“Design Thinking”理念下职业院校创新创业人才培养的必要性,围绕新时期专业院校创新创业人才培养的要求,提出了基于“Design Thinking”理念的职业院校创新创业人才培养模式的有效策略,为职业院校人才培养效率的强化提供了参考性意见。

以色彩为媒介的Design Thinking在艺术设计中的创新实践

色彩作为Design Thinking中的重要媒介,在艺术设计创新实践中具有重要潜力。本文探讨了以色彩为媒介的Design Thinking在艺术设计创新实践中的应用。色彩不仅在Design Thinking中占据重要地位,而且对人类的情绪和行为产生影响,同时在设计中起着至关重要的作用。将Design Thinking引入艺术实践领域,旨在培养艺术创新思维和问题解决能力,强调创新实践和跨学科合作。职业院校在艺术设计创新实践中面临着诸多挑战,但也存在机遇。通过案例分析,本文展示了如何实施基于色彩的Design Thinking艺术设计实践以及这种创新对艺术创新能力的积极影响。

Ground threat prediction-based path planning of unmanned autonomous helicopter using hybrid enhanced artificial bee colony algorithm

Unmanned autonomous helicopter(UAH)path planning problem is an important component of the UAH mission planning system.Aiming to reduce the influence of non-complete ground threat information on UAH path planning,a ground threat prediction-based path planning method is proposed based on artificial bee colony(ABC)algorithm by collaborative thinking strategy.Firstly,a dynamic threat distribution probability model is developed based on the characteristics of typical ground threats.The dynamic no-fly zone of the UAH is simulated and established by calculating the distribution probability of ground threats in real time.Then,a dynamic path planning method for UAH is designed in complex environment based on the real-time prediction of ground threats.By adding the collision warning mechanism to the path planning model,the flight path could be dynamically adjusted according to changing no-fly zones.Furthermore,a hybrid enhanced ABC algorithm is proposed based on collaborative thinking strategy.The proposed algorithm applies the leader-member thinking mechanism to guide the direction of population evolution,and reduces the negative impact of local optimal solutions caused by collaborative learning update strategy,which makes the optimization performance of ABC algorithm more controllable and efficient.Finally,simulation results verify the feasibility and effectiveness of the proposed ground threat prediction path planning method.

Development of a Proof-of-Concept Multi-Method Computer Simulation to Support Rural Healthcare Disaster Preparedness Planning

Due to a lack of resources,rural communities often face challenges when planning catastrophic events.This project involved applying systems thinking and model-based systems engineering to develop a proof-of-concept,multi-method computer simulation and then determining whether the simulation could be used to assess the efficacy of disaster planning approaches on health outcomes in rural communities,as a function of primary healthcare.The project focus was a rural or non-urban healthcare system experiencing a natural hazard.Both system dynamics and discrete event models were incorporated to represent subsystem operations,crucial disaster responses,as well as three key response systems:public health,emergency management,and healthcare.The subsystem models included several components:policies/procedures,communications,resources,exercises/drills/training,healthcare space and staff,and the flow of affected people into and through the system.The combined simulation can serve as a first step to a more comprehensive approach to helping rural communities achieve more efficient and effective healthcare planning for disaster responses.

主动遗忘对负性情绪的影响及其认知机制

主动遗忘指个体通过改变记忆的状态或通往记忆的途径来促进遗忘,以适应认知或情感目标。当前主动遗忘对负性情绪的影响及其机制研究较少,这一研究采用主动遗忘的经典范式(Think/No-Think)探讨记忆提取抑制对负性情绪的影响及其机制。结果显示,反复的记忆提取抑制会导致主动遗忘,表现为各项主客观记忆指标的下降,此效应对一般负性记忆和自传体负性记忆都存在。更为重要的是,反复提取抑制还降低了负性记忆所引发的情绪体验,具体表现为唤醒度降低及愉悦度升高。研究结果证实了主动记忆提取抑制对负性情绪的调节作用,为个体缓解负性记忆侵入带来的消极情绪体验提供了新的调节方法。

From the mathematical model to the patient: The scientific and human aspects of artificial intelligence in gastrointestinal surgery

Recent medical literature shows that the application of artificial intelligence(AI)models in gastrointestinal pathology is an exponentially growing field,with pro-mising models that show very high performances.Regarding inflammatory bowel disease(IBD),recent reviews demonstrate promising diagnostic and prognostic AI models.However,studies are generally at high risk of bias(especially in AI models that are image-based).The creation of specific AI models that improve diagnostic performance and allow the establishment of a general prognostic fo-recast in IBD is of great interest,as it may allow the stratification of patients into subgroups and,in turn,allow the creation of different diagnostic and therapeutic protocols for these patients.Regarding surgical models,predictive models of post-operative complications have shown great potential in large-scale studies.In this work,the authors present the development of a predictive algorithm for early post-surgical complications in Crohn's disease based on a Random Forest model with exceptional predictive ability for complications within the cohort.The pre-sent work,based on logical and reasoned,clinical,and applicable aspects,lays a solid foundation for future prospective work to further develop post-surgical prognostic tools for IBD.The next step is to develop in a prospective and mul-ticenter way,a collaborative path to optimize this line of research and make it applicable to our patients.

The Effects of Disruptive Thinking on the Food Industry*

This study aimed to understand disruptive thinking and how its ideas can change the food industry. This was achieved by identifying, studying, and understanding the impacts, current trends, and different disruptive ideas and innovations emerging in the food industry. The study was conducted through interpretive research philosophy by carrying out secondary data collection processes, where both qualitative and quantitative information was presented. Deductive approaches were also selected to apply existing theories and models, which were used to construct research hypotheses and present detailed findings. The study finds that, with disruptive thinking, enhancements in the product life cycle, new flavors, and improvements in food packaging have been possible. The supply chain, which is always considered a complex part of the food industry, has been streamlined, offering greater transparency and real-time tracking and improving quality control across distribution systems.

Exploring Critical Thinking Dispositions among Fourth Year BSc Nursing Students of Various Colleges of Nursing, Pakistan

Background: Critical Thinking (CT) dispositions in nursing are prominent predictors of competence in delivering high-quality care, and of professionalism, in newly graduated nurses. CT skills, in isolation of CT dispositions, do not guarantee success in the workplace, because Critical Thinking Dispositions (CTD) are important elements of intellectual reasoning that simulate a person towards using the CT skills. Therefore, nursing educational programs should promote lifelong learning rather than focusing on transferring the content of nursing knowledge only. And for this purpose, quality education is the key. Education should focus on teaching from diverse perspectives, incorporating various teaching learning strategies that are congruent with the modern era. Purpose: The purpose of this study is to explore critical thinking dispositions among final year Baccalaureate Nursing students of various military colleges of nursing, in Pakistan. Methodology: A descriptive qualitative exploratory study design was used to investigate the CTD of BSc final year nursing students. The study population included twelve willing nursing students, from six military colleges across the country. Demographic information and consent was taken from the participants of the study. In-depth interviews, through a semi structured interview guide, and probes were used to obtain data related to personal experiences of CTD amongst the nursing students. Results: Data analysis showed two broad themes: 1) Perceptions of CT, and 2) Experiences of CT dispositions. In theme one, the emerging category was: Clarity of CT;whereas in theme two, the categories that emerged were: a) Truth Seeking, b) Open Mindedness, c) Inquisitiveness, and d) Self Organization. Conclusion: The findings of the study revealed positive dispositions towards truth seeking, open mindedness, and self-organization, whereas disposition towards inquisitiveness was weak. Self-confidence and maturity also emerged as positive factors that the students possessed. This study recommends that faculty and learners should extend their concept of CTD, and emphasizes its application in daily routine. Additionally, faculty should modify their instructional strategies and focus on the cultivation of dispositions of inquisitiveness, curiosity, and allow questioning by students in the class.

Reexamining Positivity of Thinking in Waiting for Godot Through Camus’s Absurdism

Absurdity originated from French existentialism,and Martin Esslin,in categorizing Waiting for Godot as a theater of the absurd,ignores the positive aspects of Camus’s absurdism and regards that as an existential tragedy of mankind.However,the author Samuel Beckett himself did not approve of such a definition,believing that Esslin’s definition of theater of the absurd was too judgmental and pessimistic.Through the imagery of boots,ropes,hats and baggage in Waiting for Godot,Beckett reveals the rootlessness,constraint and agony of the minds of people born into absurdity in the early 20th century.The luck of Lucky is Beckett’s use of irony:people who have lost the ability to think for themselves escape the absurdity and dystopia of life and descend to slaves.Gogo and Didi,who are waiting and expecting,and thinking in the midst of absurdity,represent“Godot”,the symbol of hope.Their endurance in waiting,akin to Camus’s Sisyphus,underscores a form of existential defiance that challenges the notion of absolute pessimism in absurdist literature.

Thinking on Improving Presentation Teaching-Based on the Empirical Analysis of Presentation in College English Classes of Junior Non-English Majors in Universities of Science and Engineering

Based on the empirical investigation of presentation in college English classes for junior non-English majors in science and engineering universities,the author explains her own thinking on how to improve presentation teaching from four aspects:setting teaching objectives,selecting teaching contents,using teaching methods,and evaluating and implementing methods.

On the Application of Generative AI in College English

With the rapid advancement of AI technology,especially the emergence of generative AI such as ChatGPT and ERNIE Bot,the field of education is undergoing profound changes.While they change the way information is obtained and processed,these AI technologies challenge traditional teaching models.Based on evaluating the feasibility of various generative AI tools for teaching and comparing their respective advantages and disadvantages,this paper delves into the application scenarios of these generative AI tools in English reading,writing,and translation,and explores their specific applications in the pre-class,in-class,and post-class parts of“College English Reading,Writing,and Translation”.It is hoped that through innovative teaching methods,both students’learning effectiveness and teachers’teaching efficiency can be improved.At the same time,it is crucial to guide students in recognizing the misinformation and biases that exist in generative AI,while emphasizing the significance of originality and intellectual property.Moreover,their critical thinking skills and proper academic concepts could be cultivated and help them prevent academic misconduct.

On the Teaching Design of Graduates’EAP Course:Enhancing Language Proficiency and Critical Thinking Skills

This paper explores the integration of the bridge-in,objectives,pre-assessment,participatory activities,post-assessment and summary(BOPPPS)teaching model within the context of the post-graduates Academic English course.It discusses how this structured approach can effectively enhance students’language proficiency,foster critical thinking skills,and align with the multifaceted objectives of advanced English language education.The study provides a detailed examination of each BOPPPS component as applied to the post-graduates Academic English curriculum,supported by theoretical underpinnings and practical implications.

Cultivate Critical Thinking Ability via Students’ Presentations in College English Classes

In the new era when demands for flexible intellectual skills are increasing,strengthening the cultivation of critical thinking ability of students has become one of the key purposes of higher education.This paper intends to discuss how to cultivate students’critical thinking ability through English classroom presentations.It points out that during the whole process,teachers’guidance plays an indispensable role.Only when both teachers and students are aware that classroom presentations are a golden opportunity for the cultivation of students’critical thinking ability and carry this awareness into their English classes,can English presentations be brought into full play.

The Research on Cross-Cultural Critical Thinking in English Teaching: A Pedagogical Paradigm Within the Ideological and Political Course Framework

The conflation of linguistic competencies with ideological and political educational paradigms presents unique opportunities and challenges for English language teaching(ELT)in our increasingly interconnected world.This research seeks to address the role of cross-cultural critical thinking within the landscape of English pedagogy,framed by the imperatives of ideological and political education.Employing a multi-method approach,including thematic content analysis and action research,the study proposes a pedagogical model designed to integrate transcultural discourse and ideologically reflective practices into the conventional ELT curriculum.This paper argues for a reimagined approach to teaching English that encourages students to engage with diverse cultural perspectives and develop a nuanced understanding of global issues.

English-Chinese Translation of Science and Technology Texts Based on the Differences Between Chinese and Western Modes of Thinking

As a tool for human communication,the use of language is affected by the way of thinking in cross-cultural communication.Due to the differences between Chinese and Western cultures,the way of thinking varies under the influence of such cultural differences.In the process of translation,the influence of the different thinking mode on translation activities cannot be ignored.At present,a lot of studies and researches have focused on the influence of Chinese and Western thinking mode on translation.However,it is still worthwhile to study what specific influence the difference between Chinese and Western thinking mode will exert on the translation process of science texts and what kind of measure should be taken to solve the negative influence brought by the differences when we are translating.This paper aims to discuss the influence of thinking differences between Chinese and Western countries on the process of English-Chinese translation of science and technology from the perspectives of long sentences,passive voice and nominalization,and how the translators should appropriately adjust their thinking pattern and use reasonable skills to eliminate the potential negative interference caused by the difference and achieve a better transformation between English and Chinese.

Problems of Music Interpretation and Its Expression: On the Example of the Violin

Music is essentially a sonic phenomenon, an intangible art that we experience through our auditory organs. It is written as a physical note on paper. It is the result of harmony and composition of music that expresses the meaning of music created from the author’s mind, thinking, skills, and feelings, or composition or work. If a composition is not interpreted by a musician and set to music, it is nothing more than a notation and notation written down on paper. The main process of conveying the composition to the listeners through the musician’s interpretation of the music is somewhat overlooked. Therefore, in this research, the musician’s thinking and editing method, and how to express it through interpretation, were the doctoral dissertation and articles of researchers such as have been studied in comparison.

Applying Design Thinking in Ecotourism Curriculum Design: The Educational Design Ladder

The design thinking approach transforms student’s learning process to connect with real-world experience, making connections between knowledge and improving critical thinking and problem-solving capability. Previous research has focused on what design thinking is taught (content) and how it is taught (learning modes and assessment). However, there needs to be an integrative approach in the context of ecotourism education. Therefore, applying Wrigley and Straker’s Educational Design Ladder mode, this study develops an Ecotourism Design Thinking Curriculum framework to combine the ecotourism content, teaching/learning mode and assessment.

Nurses'critical thinking disposition and professional commitment:a cross-sectional study

Objective:High-quality and successful nursing care delivery in a variety of situations requires critical thinking training and professional commitment.The present study aimed to investigate critical thinking disposition,professional commitment,and the relationship between these 2 variables among nurses.Methods:As a result of stratified random sampling,201 nurses were enrolled in the present cross-sectional study.Data were gathered using a socio-demographic form,the Critical Thinking Disposition Inventory(CTDI),and the Nurses'Professional Commitment Scale(NPCS).Results:Although the critical thinking disposition scores were at a moderate level(115.70±13.55),the mean score for professional commitment was high(91.37±11.77).A positive correlation was found between critical thinking disposition and professional commitment(r=0.67,P=0.001).Conclusions:Nursing managers are urged to employ strategies to enhance nurses'critical thinking disposition and professional commitment.

男绣工与刺绣艺术传承的故事

Activity 1Think about the following questions and write down your answers before reading the text.1.Do you know some information about embroidery(刺绣)?2.Can you think of any other creative strategies to preserve our traditional crafts?