Outcomes of the Expanded Programme on Immunization Pre-Service Training Initiatives in Kenya: A Mixed Methods Study

Background: The Maternal and Child Survival Program of United States Agency for International Development conducted a study in 2017 to assess the outcome of an initiative to strengthen Expanded Programme on Immunization (EPI) pre-service training. The pre-service training initiative was undertaken by the Ministry of Health (MOH) with support from partners in 2012-2016. The overall objective of the study was to assess the adoption and effectiveness of the initiative in the competency (knowledge, skills and attitude) of graduate nurses. Methods: The study included a conveniently selected sample of 14 pre-service training institutions, 23 field practicum sites, and 29 health facilities in western Kenya, and used quantitative and qualitative methods of data collection. Results: All pre-service training institutions were found to have adapted the WHO EPI prototype curriculum. Overall, tutors followed training method in the classroom as suggested in the curriculum, except evaluation of students’ learning lacked tests or quizzes. Students had opportunities for hands-on practical experience in the field practicum sites. Graduate nurses were found to have acquired the skills for vaccinating children. However, some pre-service training institutions lacked functional skills labs for practical learning of students. In addition, students did not receive up-to-date information on EPI program, and lacked knowledge and skills on monitoring and documentation of EPI coverage during preservice training. Conclusions: It appears that the EPI pre-service training strengthening initiatives facilitated competency-based EPI training of nurses in Kenya. However, preservice training institutions still have scope for improvement in the skills lab, hand-washing practice, providing up-to-date information, and training students on coverage monitoring and documentation.

I4EU(Industry 4.0 for European Union)--An European Initiative to Develop Training Activity

This paper presents an on-going European ERASMUS project to develop training programs and tools for Industry 4.0.After an introduction on the background and objective of the project,the paper will give an overview on the structure,partners and organization of the project.Based on the State-of-the-art,the targeted intellectual outputs(IOs)will be presented in detail and the set of planned activities to achieve IOs are outlined.The project progress and preliminary results are shown and the concluding summary will be given at the end of the paper.

Education and Training in Radiochemistry——The NAMP Initiative

A number of reports have indicated that a sizable percentage of the nation＇s experts in radiochemistry are nearing retirement age. This reality has been a concern since the 1970s, when declining numbers of radiochemists worldwide was first observed. Therefore, the NAMP （National Analytical Management Program） has organized a subcommittee focused on training and education in radiochemistry. To bolster interest and increase awareness in radiochemistry, NAMP is offering webinars developed by experts on different topics relevant to radiochemistry. This paper presents our accomplishments in developing these webinars and highlights our efforts in outreaching the national and international radiochemistry community.

A Research on the Construction of International Training Course for Maritime Talents Based on the Initiative of ＂One Belt and One Road＂

Based on the initiative of ＂One Belt and One Road＂ and the demand analysis of the international shipping market for high-quality maritime talents with good skills of communicating ability and international vision, this paper analyzes the feasibility, necessity, construction goal, construction principle, construction content, tutorial setting, tutorial structure and tutorial demonstration and explore how＂ to make China maritime universities＇ have ability to train the international students in an efficient and orderly manner; by investigating the relevant enterprises and institutions, and presents a plan for the construction of ＂One Hundred Courses, One Thousand Class-Hours＂.

Are calves trainable?Low-intensity calf muscle training with or without bloodflow restriction:a randomized controlled trial

bjectives:Whether low-load resistance training(RT)without muscle failure,with or without bloodflow restriction(BFR),is suffcient to increase strength and muscle growth of calf musclesin trained individualsisstill unclear.This study aimed to compare the effects of low-intensity BFR RT vs.traditional low-intensity RT(noBFR)with moderate training volume on strength and circumference.Methods:We designed a parallel,randomized controlled trial including 36 RT-trained participants(BFR:7 females,32.9±8.8 years,11 males,28.4±3.6 years;noBFR;8 females,29.6±3.4 years;10 males,28.6±4.9 years)who underwent eight weeks of twice-weekly low-load RT with a total of 16 RT sets(30%of one-repetition maximum[1RM]).RT consisted of bilateral calf raises and seated unilateral calf raises,each conducted with 4 sets(30,15,15,15 repetitions not to failure)of either BFR or noBFR.Outcome measures included calf circumference(CC),leg stiffness(LS),and various strength tests(seated and standing calf raise 1RM,isokinetic strength of plantar-and dorsiflexion).Results:There were no significant interactions or group effects for most measures.Both groups showed significant improvementsin seated calf raise strength(p=0.046,η^(2)p=0.17).Pairwise comparisons indicated moderate to large effect sizes for strength improvements(standardized mean differences:0.35–1.11),but no changes in calf circumference were observed in either group.Conclusions:Low-load RT with and without BFR are useful to increase strength without necessarily affecting hypertrophy.Low-intensity BFR training did not confer additional benefits over traditional low-intensity RT for calf muscle strength or circumference,questioning its general advantage under such conditions.

GeoNER:Geological Named Entity Recognition with Enriched Domain Pre-Training Model and Adversarial Training

As important geological data,a geological report contains rich expert and geological knowledge,but the challenge facing current research into geological knowledge extraction and mining is how to render accurate understanding of geological reports guided by domain knowledge.While generic named entity recognition models/tools can be utilized for the processing of geoscience reports/documents,their effectiveness is hampered by a dearth of domain-specific knowledge,which in turn leads to a pronounced decline in recognition accuracy.This study summarizes six types of typical geological entities,with reference to the ontological system of geological domains and builds a high quality corpus for the task of geological named entity recognition(GNER).In addition,Geo Wo BERT-adv BGP(Geological Word-base BERTadversarial training Bi-directional Long Short-Term Memory Global Pointer)is proposed to address the issues of ambiguity,diversity and nested entities for the geological entities.The model first uses the fine-tuned word granularitybased pre-training model Geo Wo BERT(Geological Word-base BERT)and combines the text features that are extracted using the Bi LSTM(Bi-directional Long Short-Term Memory),followed by an adversarial training algorithm to improve the robustness of the model and enhance its resistance to interference,the decoding finally being performed using a global association pointer algorithm.The experimental results show that the proposed model for the constructed dataset achieves high performance and is capable of mining the rich geological information.

Near-Field Beam Training for Holographic MIMO Communications: Typical Methods, Challenges and Future Directions

Holographic multiple-input multiple-output(HMIMO)has become an emerging technology for achieving ultra-high frequency spectral efficiency and spatial resolution in future wireless systems.The increasing antenna aperture leads to a more significant characterization of the spherical wavefront in near-field communications in HMIMO scenarios.Beam training as a key technique for wireless communication is worth exploring in this near-field scenario.Compared with the widely researched far-field beam training,the increased dimensionality of the search space for near-field beam training poses a challenge to the complexity and accuracy of the proposed algorithm.In this paper,we introduce several typical near-field beam training methods:exhaustive beam training,hierarchical beam training,and multi-beam training that includes equal interval multi-beam training and hash multi-beam training.The performances of these methods are compared through simulation analysis,and their effectiveness is verified on the hardware testbed as well.Additionally,we provide application scenarios,research challenges,and potential future research directions for near-field beam training.

Contribution of the MERISE-Type Conceptual Data Model to the Construction of Monitoring and Evaluation Indicators of the Effectiveness of Training in Relation to the Needs of the Labor Market in the Republic of Congo

This study proposes the use of the MERISE conceptual data model to create indicators for monitoring and evaluating the effectiveness of vocational training in the Republic of Congo. The importance of MERISE for structuring and analyzing data is underlined, as it enables the measurement of the adequacy between training and the needs of the labor market. The innovation of the study lies in the adaptation of the MERISE model to the local context, the development of innovative indicators, and the integration of a participatory approach including all relevant stakeholders. Contextual adaptation and local innovation: The study suggests adapting MERISE to the specific context of the Republic of Congo, considering the local particularities of the labor market. Development of innovative indicators and new measurement tools: It proposes creating indicators to assess skills matching and employer satisfaction, which are crucial for evaluating the effectiveness of vocational training. Participatory approach and inclusion of stakeholders: The study emphasizes actively involving training centers, employers, and recruitment agencies in the evaluation process. This participatory approach ensures that the perspectives of all stakeholders are considered, leading to more relevant and practical outcomes. Using the MERISE model allows for: • Rigorous data structuring, organization, and standardization: Clearly defining entities and relationships facilitates data organization and standardization, crucial for effective data analysis. • Facilitation of monitoring, analysis, and relevant indicators: Developing both quantitative and qualitative indicators helps measure the effectiveness of training in relation to the labor market, allowing for a comprehensive evaluation. • Improved communication and common language: By providing a common language for different stakeholders, MERISE enhances communication and collaboration, ensuring that all parties have a shared understanding. The study’s approach and contribution to existing research lie in: • Structured theoretical and practical framework and holistic approach: The study offers a structured framework for data collection and analysis, covering both quantitative and qualitative aspects, thus providing a comprehensive view of the training system. • Reproducible methodology and international comparison: The proposed methodology can be replicated in other contexts, facilitating international comparison and the adoption of best practices. • Extension of knowledge and new perspective: By integrating a participatory approach and developing indicators adapted to local needs, the study extends existing research and offers new perspectives on vocational training evaluation.

Research on Training Needs,Training Transfer,and Training Effectiveness of In-Service Teachers in Local Normal Colleges

This study aims to understand the in-service training needs,training transfer,and training effectiveness of teachers in local normal universities in China,while also proposing a continuous professional development plan for teachers.Descriptive research methods were employed,with questionnaires serving as the primary data collection tool.The survey revealed that the educational background of teachers in local normal universities is characterized by an unreasonable distribution of academic qualifications,with a shortage of teachers holding postgraduate and higher degrees.Additionally,the training effectiveness for female teachers was found to be lower than that of male teachers.There is a lack of personalization in training needs,which tends to be more generalized.The transfer effect of training is moderate,and there is a need for further enhancement at the behavioral level of training effectiveness.A continuous professional development plan for teachers has been formulated to improve training effectiveness and promote professional development.

The influence of resistance exercise training prescription variables on skeletal muscle mass,strength,and physical function in healthy adults:An umbrella review

Purpose:The aim of this umbrella review was to determine the impact of resistance training(RT)and individual RT prescription variables on muscle mass,strength,and physical function in healthy adults.Methods:Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA)guidelines,we systematically searched and screened eligible systematic reviews reporting the effects of differing RT prescription variables on muscle mass(or its proxies),strength,and/or physical function in healthy adults aged>18 years.Results:We identified 44 systematic reviews that met our inclusion criteria.The methodological quality of these reviews was assessed using A Measurement Tool to Assess Systematic Reviews;standardized effectiveness statements were generated.We found that RT was consistently a potent stimulus for increasing skeletal muscle mass(4/4 reviews provide some or sufficient evidence),strength(4/6 reviews provided some or sufficient evidence),and physical function(1/1 review provided some evidence).RT load(6/8 reviews provided some or sufficient evidence),weekly frequency(2/4 reviews provided some or sufficient evidence),volume(3/7 reviews provided some or sufficient evidence),and exercise order(1/1 review provided some evidence)impacted RT-induced increases in muscular strength.We discovered that 2/3 reviews provided some or sufficient evidence that RT volume and contraction velocity influenced skeletal muscle mass,while 4/7 reviews provided insufficient evidence in favor of RT load impacting skeletal muscle mass.There was insufficient evidence to conclude that time of day,periodization,inter-set rest,set configuration,set end point,contraction velocity/time under tension,or exercise order(only pertaining to hypertrophy)influenced skeletal muscle adaptations.A paucity of data limited insights into the impact of RT prescription variables on physical function.Conclusion:Overall,RT increased muscle mass,strength,and physical function compared to no exercise.RT intensity(load)and weekly frequency impacted RT-induced increases in muscular strength but not muscle hypertrophy.RT volume(number of sets)influenced muscular strength and hypertrophy.

Surgical intervention combined with weight-bearing walking training promotes recovery in patients with chronic spinal cord injury:a randomized controlled study

For patients with chronic spinal cord injury,the co nventional treatment is rehabilitation and treatment of spinal cord injury complications such as urinary tract infection,pressure sores,osteoporosis,and deep vein thrombosis.Surgery is rarely perfo rmed on spinal co rd injury in the chronic phase,and few treatments have been proven effective in chronic spinal cord injury patients.Development of effective therapies fo r chronic spinal co rd injury patients is needed.We conducted a randomized controlled clinical trial in patients with chronic complete thoracic spinal co rd injury to compare intensive rehabilitation(weight-bearing walking training)alone with surgical intervention plus intensive rehabilitation.This clinical trial was registered at ClinicalTrials.gov(NCT02663310).The goal of surgical intervention was spinal cord detethering,restoration of cerebrospinal fluid flow,and elimination of residual spinal cord compression.We found that surgical intervention plus weight-bearing walking training was associated with a higher incidence of American Spinal Injury Association Impairment Scale improvement,reduced spasticity,and more rapid bowel and bladder functional recovery than weight-bearing walking training alone.Overall,the surgical procedures and intensive rehabilitation were safe.American Spinal Injury Association Impairment Scale improvement was more common in T7-T11 injuries than in T2-T6 injuries.Surgery combined with rehabilitation appears to have a role in treatment of chronic spinal cord injury patients.

Research and Practice of Cardiopulmonary Rehabilitation Training Programs

In today’s society, the incidence of cardiopulmonary diseases is increasing annually, seriously affecting patients’ quality of life. Therefore, developing a scientific and effective rehabilitation training program is of great significance. This study first analyzes the theoretical basis of cardiopulmonary rehabilitation training, including the effects of aerobic exercise, interval training, and strength training on cardiopulmonary function. Based on this, a comprehensive rehabilitation training program is designed, which includes personalized training plans, comprehensive interventions, multidisciplinary collaboration, patient education, and regular follow-up visits. The cardiopulmonary rehabilitation training plan developed in this study has certain scientific practicability, which provides a theoretical basis for cardiopulmonary rehabilitation training, and also provides a reference for medical institutions, rehabilitation centers and communities, which is helpful for promotion and application to a wider range of patients with cardiopulmonary diseases.

Impact of task-oriented training based on acupuncture rehabilitation on upper extremity function and quality of life of patients with early stroke

BACKGROUND Eighty percent of stroke patients develop upper limb dysfunction,especially hand dysfunction,which has a very slow recovery,resulting in economic burden to families and society.AIM To investigate the impact of task-oriented training based on acupuncture therapy on upper extremity function in patients with early stroke.METHODS Patients with early stroke hemiplegia who visited our hospital between January 2021 and October 2022 were divided into a control group and an observation group,each with 50 cases.The control group underwent head acupuncture plus routine upper limb rehabilitation training(acupuncture therapy).In addition to acupuncture and rehabilitation,the observation group underwent upper limb task-oriented training(30 min).Each group underwent treatment 5 d/wk for 4 wk.Upper extremity function was assessed in both groups using the Fugl-Meyer Assessment-Upper Extremity(FMA-UE),Wolf Motor Function Rating Scale(WMFT),modified Barthel Index(MBI),and Canadian Occupational Performance Measure(COPM).Quality of life was evaluated using the Short-Form 36-Item Health Survey(SF-36).Clinical efficacy of the interventions was also evaluated.RESULTS Before intervention,no significant differences were observed in the FMA-UE,MBI,and WMFT scores between the two groups(P>0.05).After intervention,the FMA-UE,WMFT,MBI,COPM-Functional Mobility and Satisfaction,and SF-36 scores increased in both groups(P<0.05),with even higher scores in the observation group(P<0.05).The observation group also obtained a higher total effective rate than the control group(P<0.05).CONCLUSION Task-oriented training based on acupuncture rehabilitation significantly enhanced upper extremity mobility,quality of life,and clinical efficacy in patients with early stroke.

Aerobic vs. Anaerobic Training in Post-Stroke Rehabilitation: Effects on Functionality, Strength, and Balance

Research Background: Stroke rehabilitation is essential for improving patient outcomes, with a focus on restoring functionality, strength, and mobility. Aerobic (TAE) and anaerobic (TAN) training have demonstrated varying impacts on post-stroke recovery. Objective: This systematic review and meta-analysis aimed to compare the effects of TAE and TAN on post-stroke rehabilitation outcomes, including functionality, walking improvement, strength, balance, and cardiorespiratory capacity. Methods: A comprehensive literature search was conducted in the PubMed and PEDro databases, covering studies from January 2014 to May 2024. Randomized controlled trials (RCTs) evaluating the impact of TAE and TAN on the specified outcomes were included. The review adhered to PRISMA guidelines, and independent reviewers extracted relevant data on participant characteristics, interventions, and outcomes. The methodological quality of the included studies was assessed using the PEDro scale, and the risk of bias was analyzed. Results: Data synthesis revealed that TAN was more effective in improving performance in the 10-Meter Walk Test (10MWT) and the Berg Balance Scale (BBS), while TAE demonstrated superior results in the Timed Up and Go (TUG) test and the Barthel Activities of Daily Living Index (Barthel ADL). Both training modalities showed significant improvements in the 6-Minute Walk Test (6MWT) for cardiorespiratory capacity, with TAN exhibiting a slightly higher mean difference. Surprisingly, strength gains, assessed by Maximal Isometric Strength (MaxIS), were higher in the TAE group. Conclusions: Both TAE and TAN contribute to post-stroke recovery, with TAN excelling in walking and balance improvements, and TAE showing advantages in functional mobility and strength. The findings support personalized rehabilitation strategies that incorporate both aerobic and anaerobic training to optimize patient outcomes.

The Importance of Breathing Training in Folk Dance Teaching

The importance of breathing training in dance teaching is reflected in the two aspects of enhancing the quality of dance movements and sublimating the connotation of dance movements.For example,high-quality breathing can help performers complete the dance movements and improve the coordination of the movements;at the same time,the unique body rhythm formed by breathing can strengthen the visual effect of the performance and convey its spirit and soul to the audience.This requires folk dance teachers to carry out relevant training and teaching activities based on the categories and skills of dance breathing,such as changing students’ideological cognition,developing periodic breathing training courses,providing personalized guidance to students,and allowing students to adjust their learning and practice methods in the evaluation.

Analysis of Strength Training in the Training of Shot-Putters

The shot put is a sport that requires very high explosive power and precise technique.Strength training occupies the core position in the training of shot-putters,which can not only improve the throwing distance of athletes but also enhance their competitive state and prevent sports injuries.The purpose of this paper is to analyze the principles,classification,methods,and specific exercises of strength training in the training of shot-putters,in order to provide scientific training guidance for shot-putters.

The Market Development of Children’s Go Training and the Difficulty and Countermeasure Analysis of Go Training

The children’s Go training market is experiencing vigorous growth but also faces several challenges.As the importance of Go in cultural education increases,the market expands,with growing demand and involvement from training and educational institutions.However,the market encounters difficulties such as a shortage of high-quality Go coaches,uniformity in training content and methods,and high training costs.To address these issues,measures can be taken to strengthen the team of Go coaches,diversify training content and methods,and optimize the training cost structure,thereby promoting the healthy development of the children’s Go training market.

Design and Development of Small Modular Courses for“Education-Training Integration”in Vocational Colleges:A Case Study

Vocational education plays a vital role in the development of skilled technical professionals and the advancement of the economy.However,the emphasis on campus education often neglects the importance of external training,hindering the overall development of vocational education.This study aims to address this issue by exploring the design and development of small modular courses that integrate training and education in vocational colleges,focusing on the mechanics course as a case study.The research methods employed in this study include an in-depth analysis of enterprise training needs,the development of digital teaching resources utilizing the finite element method(FEM),and the implementation of a small modular course integrating education and training.The data analysis reveals positive outcomes in terms of learners’comprehension and engagement with complex mechanics formulas through the use of stress nephograms and other digital resources.This research provides a new perspective on curriculum design and offers insights into the integration of training and education in vocational colleges.The findings underscore the significance of incorporating innovative teaching methodologies and digital resources in enhancing the quality and relevance of vocational education,ultimately contributing to the cultivation of skilled professionals and the growth of the vocational education sector.

Research on Talent Training Model in Higher Vocational Colleges from the Perspective of"One Belt and One Road"Initiative

The proposal of "One Belt and One Road" development strategy further promotes the internationalization of Higher Vocationalcolleges, puts forward new requirements for personnel training in Higher Vocational colleges, and also brings new opportunitiesfor development of Higher Vocational education. Under the background of the "One Belt and One Road" initiative, local highervocational colleges should innovate the talent training mode and accurately orientate the talent training. By sorting out somedeficiencies in the current talent training mode of Higher Vocational Education in China, this paper puts forward the path ofinnovative talent training mode, which can provide reference for higher vocational education to clear its objectives, perfect itsideas and correct its deficiencies, so as to meet the needs of the market for talent training. It is necessary to innovate the concept ofrunning a school, and adopt the school-enterprise cooperation and education model in accordance with the society's demand fortalents, and it is more targeted and effective in the cultivation of talents. Establish the talent training objectives needed to meetlocal development and the implementation of the “Belt and Road” strategy, and build a professional and curriculum system thattakes advantage of regional advantages.

Application value research of swallowing treatment device combined with swallowing rehabilitation training in the treatment of swallowing disorders after stroke

BACKGROUND Stroke is a common disabling disease,whether it is ischemic stroke or hemorrhagic stroke,both can result in neuronal damage,leading to various manifestations of neurological dysfunction.AIM To explore of the application value of swallowing treatment device combined with swallowing rehabilitation training in the treatment of swallowing disorders after stroke.METHODS This study selected 86 patients with swallowing disorders after stroke admitted to our rehabilitation department from February 2022 to December 2023 as research subjects.They were divided into a control group(n=43)and an observation group(n=43)according to the treatment.The control group received swallowing rehabilitation training,while the observation group received swallowing treatment device in addition to the training.Both groups underwent continuous intervention for two courses of treatment.RESULTS The total effective rate in the observation group(93.02%)was higher than that in the control group(76.74%)(P=0.035).After intervention,the oral transit time,swallowing response time,pharyngeal transit time,and laryngeal closure time decreased in both groups compared to before intervention.In the observation group,the oral transit time,swallowing response time,and pharyngeal transit time were shorter than those in the control group after intervention.However,the laryngeal closure time after intervention in the observation group was compared with that in the control group(P=0.142).After intervention,average amplitude value and duration of the genioglossus muscle group during empty swallowing and swallowing 5 mL of water are reduced compared to before intervention in both groups.After intervention,the scores of the chin-tuck swallowing exercise and the Standardized Swallowing Assessment are both reduced compared to pre-intervention levels in both groups.However,the observation group scores lower than the control group after intervention.Additionally,the Functional Oral Intake Scale scores of both groups are increased after intervention compared to pre-intervention levels,with the observation group scoring higher than the control group after intervention(P<0.001).The cumulative incidence of complications in the observation group is 9.30%,which is lower than the 27.91%in the control group(P=0.027).CONCLUSION The combination of swallowing therapy equipment with swallowing rehabilitation training can improve the muscle movement level of the genioglossus muscle group,enhance swallowing function,and prevent the occurrence of swallowing-related complications after stroke.