The effect of high-fidelity simulation in medical nursing based on the healthcare simulation standards of best practice

Background:High-fidelity simulation has been demonstrated to make great progress in learning.However,there is still ongoing exploration on how to fully harness the advantages of this teaching method and enhance its effectiveness.This study conducted high-fidelity simulation in medical nursing based on the Healthcare Simulation Standards of Best Practice and evaluated its effect.Methods:The study was conducted from September 2019 to June 2020.A total of 82 undergraduate nursing students from a university in Shanghai participated in the high-fidelity simulation in medical nursing.The simulation design scale,educational practices in simulation scale,and students’satisfaction and self-confidence were used to evaluate the effect.Results:The mean score of simulation design scale was 4.06±0.63 with the mean scores of all dimensions being over 3.0.The mean score of educational practices in simulation scale was 4.14±0.56 with the mean scores of all dimensions being over 4.0.The mean scores of students’satisfaction and self-confidence were 4.07±0.72 and 3.89±0.58,respectively.Conclusion:Students reported high levels of simulation design and educational practices in simulation.They were also satisfied with learning and reported high levels of self-confidence.Some key points need to be considered so that the learning effects might be optimized.

Best practices for making high integrity lightweight metal castings-molten metal composition and cleanliness control

To make high integrity lightweight metal castings,best practices are required in various stages of casting and heat treatment processes,including liquid metal composition and quality control,casting and gating/riser system design,and process optimization.This paper presents best practices for liquid metal processing and quality assurance of molten metal in both melting and mold filling.Best practices for other aspects of lightweight metal casting will be published separately.

Sedimentation retention basin utilization for best management practice

Approaches to the artificial impoundment and theoretical design of sedimentation retention basin are reviewed with particular attention to best management practice(BMP) to control agriculture and surface runoff. Sediments retention basins are the small version of farm pond used where a criteria of farm pond is not met. Such basin traps the pollutants and suspended solids prior to entry into streams and lakes. The study is focused with special reference to the assessment and control of non point source pollution(NPSP) from the sub basin area of Tai Lake in the Xishan County of Wuxi City of China. The author suggested two different approaches to conduct this study including theoretical design for sedimentation retention basin and computation of flow, sediment transport and deposition during the artificial impoundment of retention basin for BMP's utilization. Theoretical design will provide a useful function as a first line defense against the movement of sediments and transport of pollutants into the Tai Lake while the assessment of sediments deposition will help to make its proper use and periodic cleanup.

Clinician Utilization of Best Practices for HIV Care and Status Disclosure: A Cross-Sectional Study

Determining the baseline utilization of best practices among clinicians, with regard to HIV care and disclosure of status to at-risk partners, is critical to addressing HIV prevention issues and disease transmission. In this study, we examined clinicians' utilization of best practices for HIV/AIDS care and the disclosure of HIV status to sexual and needle-sharing partners (HSSNSP). We conducted a cross-sectional survey of 100 clinicians to assess knowledge, attitude, and behavior towards best practices for HIV care and disclosure of HSSNSP. Multiple logistic regression analysis was used to determine factors associated with the utilization of clinical best practices for HIV care and disclosure of HSSNSP. Forty eight percent of the participants revealed poor behaviors. Fifty six percent showed less positive attitudes towards clinical best practices for HIV care and disclosure of status. Less than half (32%) of the participants had earned at least 1 HIV/AIDS CME credit in the past two years. Our study showed strong associations between the utilization of best practices for HIV care and the disclosure of status, and clinician attitudes and knowledge levels. Further research that aims to improve knowledge and attitudes on clinical best practices for providing HIV/AIDS care and the disclosure of status is needed. This improvement may lead to increase in the utilization of best practices for HIV care and disclosure of status, and contribute to decreases in disease transmission rates.

Food Waste Management in Luxury Hotels-Best Practices and Limitations

Hospitality industry and hotels are considered to waste a lot of food.This research aims to focus on food waste management in luxury hotels by investigating three luxury hotels in Budapest(Hungary).The investigation focuses on qualitative methods,eleven interviews and observations were made from September to December 2018.Results show that in luxury hotels the main challenge is to ensure the correct balance between 5*experience and minimizing food waste.It was found that kitchen,breakfast open-buffet and staff canteen are among the leading causes of food waste,generating even higher food waste compared to conferences,banquets,orála carte options.While a broad range of practices exist that are believed to minimize the food waste of buffets,most of the luxury hotels are only implementing a small ratio of such practices and are only in the beginning of the planning phase to expand their practices in this regard.

An Overview of the New Listing Rules and Corporate Governance Best Practice in Sri Lanka

Corporate governance represents institutional structures and incentive mechanisms that are implemented in order to mitigate the principal-agent problem and to thus promote the long-term competitiveness of the firm. The purpose of this paper is to examine the nature of corporate governance best practice and the new listing rules in Sri Lanka. The paper discusses the evolution of the corporate governance best practice giving special reference to the new listing rules in Sri Lanka, Sri Lankan stock market overview and the importance of best practice governance for the developing economy of Sri Lanka. Corporate governance practices in Sri Lanka has made a progress towards best practice, but, this paper argues, that substantial reforms need to be implemented to effectively promote and sustain the accountability and transparency.

ZTE Recognized for Industry Best Practices as Frost & Sullivan's SDR Equipment Vendor of the Year

ZTE Corporation announced on February 9 that it had received the Best Practice Award for being Frost ＆ Sullivan＇s ＂2010 SDR Equipment Vendor of the Year.＂ This award recognizes ZTE＇s outstanding contribution to the development of Software Defined Radio （SDR） technology and the wireless communications industry.

Best Practices and Lessons Learned in the Implementation of Global Framework for Climate Services—Adaptation Programme in Africa: Tanzania-Experience

This paper provides an analysis and a description of the best practices and lessons learned in the implementation of the Global Framework for Climate Services Adaptation Program in Africa (GFCS-APA) focusing on Tanzania country’s activities. GFCS-APA was the first multi-agency initiative implemented under the Global Framework for Climate Services (GFCS) in two African countries, namely Tanzania and Malawi with funding from the Royal Government of Norway. In Tanzania, the programme was implemented in two phases from the year 2014 to 2021 in the three pilot districts of Kondoa, Longido and Kiteto located in Dodoma, Arusha and Manyara regions, respectively. The overarching goal of the programme was to enable better management of the risks caused by climate variability and change at all levels, from end-users to policy level, through development and incorporation of science-based climate information and prediction services into planning, policy and practice. The programme focused on bridging the gap between providers and users of climate information and products through development of user-driven climate services for food security, health and disaster risk reduction. This paper aimed to analyze lessons learned and best practices in the course of the implementation of the GFCS-APA phase I and II in Tanzania. A qualitative approach was employed to analyze the lessons learned and best practices, by extracting them and exploring further on their contribution to the enhancement of climate services, as well as their applicability and potentiality for scaling out in other regions within Tanzania, and in other countries. The results indicate the identified best practices and lessons learned contributed significantly in enhancing climate services, particularly in understanding, availability, accessibility, utilization, ownership and sustainability of climate services among users (farmers and pastoralists) of various gender, as well as intermediaries and decision-makers. Results also indicate the lessons learned and the documented best practices could influence the effectiveness of climate services in other areas, to address existing challenges in access, uptake and sustainability of climate services. The best practices and lessons learned could be considered for integration in the future projects or operational activities in other regions within the country and other countries, particularly in the developing world, including Sub-Saharan Africa.

Standards and Best Practices Application of Standards for Equipment-Manufacturing Industries Workshop Held in Shanghai

The "Application of Standards for Equipment-Manufacturing Industry Workshop" was held for two days in Shanghai from May 25th to May 26th, 2007. Dozens of delegates from famous enterprises and organizations around the world participated, including those from Shell China Ltd., Leal China, Siemens Ltd. China Corporate, and Assurance of SAI Global and SGS . Nine experts, engaged in standardization, intellectual property, and related fields, gave speeches on "Standards and Best Practices," and many illustrative examples of the application of standards were provided.……

THE STATE OF SUSTAINABILITY BEST PRACTICES IN CONSTRUCTION: A BENCHMARK STUDY

During the last decade,sustainability-related technologies and practices have become increasingly common among construction companies,both in the home office and on the job site.Multiple drivers are fueling this trend,including government policies for sustainability in capital projects and increased recognition of the benefits of sustainable practices in the private sector.However,the extent to which sustainability-related technologies and practices have been adopted by companies in the field has not been systematically documented.This study used semi-structured interviews and field observations to document the sustainability-related practices of 28 construction firms in the eastern United States.The purpose of the study was to benchmark current industry use of construction sustainability best practices.Findings of the study show that most firms have tried sustainability practices in the field on at least some of their projects,sometimes without being aware that those practices were related to sustainability.Considerable variation was observed among self-reported trial and adoption rates across the practices in the inventory.This study serves as a first step toward understanding why some sustainability innovations are being embraced more readily than others,and may lead to a better understanding of how to increase adoption of sustainability innovations.

Nursing Students’ Medication Errors and Adherence to Medication Best-Practice

Background: Nursing students are at risk for committing medication administration errors (MAEs), which significantly alter the delivery of safe and effective healthcare. Purpose: To identify the medications most frequently involved in medication errors as reported by Jordanian nursing students, as well as to identify the level of nursing students’ adherence to best-practice when administering high-risk medications. Methods: A cross-sectional design was used among a convenience sample of 74 nurses. Results: A total of 74 of 110 (67.3%) questionnaires were returned. The most frequent medications subjected to MAEs were Dopamine, Dobutamine, and Insulin continuous intravenous infusion (17.2%, 16.0% and 13.5% respectively). Regarding the adherence to best-practice, nursing students adhered the most to the following best-practices: checking the patient armband prior to medication administration with a mean of 3.81 (±0.6) and bringing the MAR sheet with them when preparing a medication with a mean of 3.46 (±1.1). Conclusion: Developing an effective medication training programs in all undergraduate nursing programs in Jordanis is vital to ensure patient safety. Nursing educators in clinical and academic settings need to reinforce the importance of adherence to medication management best-practice in all courses. Close and effective supervision of students needs to be maintained throughout nursing students’ clinical training, especially during medication preparation and administration.

Best Practices in Construction 4.0:Catalysts of Digital Innovations(Part I)

Digital transformation in the AEC industry(Architecture,Engineering and Construction)is a key driver to enhance technical innovation in the branch and adds dynamic to all work processes and methods.A more differentiated understanding of the responsible use of innovative technologies aims not only towards increased technical,environmental,educational,societal and gender equality sustainability and more efficient building life cycles but also to recognize the unintended effects such as artificial intelligence(AI).The study is part of a larger primary research on Corporate Digital Responsibility(CDR)in Construction 4.0.This identifies,analyzes and systematically evaluates key factors of a sustainable digital transformation,especially in the traditionally small-scale Construction Industry,in which there can be no standardized procedure.The study uses interdisciplinary literature and data research and expert interviews.The qualitative method enables a critical-reflexive analysis of the key factors of meaningful and sustainable implementation of innovative technologies in Construction.Application examples show possible approaches,some of which are implemented as prototypes and provide guidance for small to medium-sized companies.The study outlines the necessary steps for companies to define their own potential fields of application and find suitable methods.Another aim of the study is to take stock of the acceptance of new technologies by comparing different perspectives from experts.The study results show new perspectives on the transformation of the Construction Industry.They show that Digital Transformation in Construction 4.0 has great potential for an economical,efficient construction life cycle,but requires the responsible,sensible use of innovative technologies.

Best Practices in Construction 4.0-Catalysts of Digital Innovations(Part II)

Part II on Best Practices in Construction 4.0 follows up on the previously published study Part I.This study examines corporate strategies from different angles,defines potential fields of application and works out existing empirical values and trends in the digitization process of the building sector.It highlights the unintended consequences of technological development and offers concrete practical approaches for responsible use.Using the qualitative research method,the study concludes that digital methods,such as Building Information Modelling(BIM)and Digital Twins,and Artificial Intelligence(AI)can add value,significantly reduce resources and increase sustainability.The study is part of a larger primary research on Corporate Digital Responsibility(CDR)in Construction 4.0;it identifies,analyzes and systematically evaluates the pillars of a sustainable digital transformation,especially in the Construction Industry.The holistic,interdisciplinary view of this study aims to provide orientation for small to medium-sized companies(SMEs)developing their individual digital strategy.An outline of the necessary prerequisites but also design options,as they result from the evaluation of expert interviews and literature research,supports companies in the design of Construction 4.0 that is in line with the needs of people,society and the environment and shaping more economically efficient building life cycles.It highlights that digital transformation has also reached the traditionally small-scale AEC industry(small-scale architecture,engineering and construction industry)and catalyzes the variety of innovations.

STORM WATER BEST MANAGEMENT PRACTICES THAT MAXIMIZE AQUIFER RECHARGE

This article reviews and provides evaluation guidelines for six major storm water best management practices includingbioretention areas, grassed swales/fi lter strips, infi ltration trenches, porous pavement, rain barrels and wet detentionponds. A detailed table allows for quick and easy design comparisons, including a separate table which allows forsite specifi c cost comparisons. A logic diagram is provided as a basic tool for screening the most feasible managementpractice.

Hydrological simulation approaches for BMPs and LID practices in highly urbanized area and development of hydrological performance indicator system

Urbanization causes hydrological change and increases stormwater runoff volumes, leading to flooding, erosion, and the degradation of instream ecosystem health. Best management practices （BMPs）, like detention ponds and infiltration trenches, have been widely used to control flood runoff events for the past decade. However, low impact development （LID） options have been proposed as an alternative approach to better mimic the natural flow regime by using decentralized designs to control stormwater runoff at the source, rather than at a centralized location in the watershed. For highly urbanized areas, LID stormwater management practices such as bioretention cells and porous pavements can be used to retrofit existing infrastructure and reduce runoff volumes and peak flows. This paper describes a modeling approach to incorporate these LID practices and the two BMPs of detention ponds and infiltration trenches in an existing hydrological model to estimate the impacts of BMPs and LID practices on the surface runoff. The modeling approach has been used in a parking lot located in Lenexa, Kansas, USA, to predict hydrological performance of BMPs and LID practices. A performance indicator system including the flow duration curve, peak flow frequency exceedance curve, and runoff coefficient have been developed in an attempt to represent impacts of BMPs and LID practices on the entire spectrum of the runoff regime. Results demonstrate that use of these BMPs and LID practices leads to significant stormwater control for small rainfall events and less control for flood events.

Good Practices in Strategic Environmental Assessment Processes under the Brazilian Practitioners’ Vision

The use of good practices (GP) can improve the technical quality and, as a consequence, the outcome of the Strategic Environmental Assessment (SEA) process, increasing its effectiveness. This study aimed to present GP pointed out by Brazilian practitioners (members of the SEA development teams) from the perspective afforded by their participation in processes of this tool. The data were collected through personal interviews with 11 professionals responsible for preparing a total of 17 SEAs, who were asked about what measures adopted in the SEA could be considered BP. The responses were audio-recorded, transcribed, and had their content assessed by Content Analysis technique. Nine GP were highlighted by practitioners. The GP indicated represent a valuable contribution to the improvement of future use of SEA, either in Brazil or in other countries, because they are the result of consolidated experience in real cases of application of the tool.

COVID-19 outbreak and endoscopy: Considerations in patients encountered in a foregut surgery practice

Severe acute respiratory syndrome coronavirus has become a critical challenge to global health.Since the arrival of coronavirus disease 2019 in the United States,several government agencies and professional societies have issued guidelines to healthcare systems and medical providers.Endoscopy is a substantial portion of the practice of many general surgeons in the United States.With upper endoscopy,manipulation of the upper aerodigestive tract can turn the droplets to an aerosolized form and increase the likelihood of transmission and therefore is considered a high-risk procedure.In this article we review some aspects of the coronavirus disease 2019 outbreak that are relevant to practice of surgical endoscopy.The emphasis of this communication is on the mode of transmission,previous experiences during other coronavirus outbreaks and society guidelines.We then highlight the changes that we have made to our practice to incorporate these factors to improve the safety of patients,health care providers,and community as a whole.

Stormwater Management Practices and Green-Blue Infrastructure in Urban Areas: an Overview

Water quality,flooding risk,and water consumption in urban areas are emerging issues.Urban impervious surfaces increase stormwater runoff,affecting ecosystems and leading to hydrogeological instability and flooding risk.Sustainable urban design strategies can contribute to counteract the negative impact of anthropic activities both at city-scale and global scale.Green and Blue Infrastructure(GBI)approaches,in particular,are an alternative to stormwater traditional management.In Europe,Sustainable Drainage System implementation copes with impervious surfaces to achieve water quality,amenity,and biodiversity increase.Best Management Practices,developed mainly in the USA,focus on specific measures for sustainable stormwater treatment.Water Sensitive Urban Design,spread in Australia and England,also aims to minimise the impact of developed areas preventing flood risk,limiting water consumption and enhancing environmental quality.In the USA and Canada,Low Impact Development offers design strategies to manage runoff and deliver structural practices to mimic predevelopment processes of infiltration,filtration and detention.

From Inert Knowledge to Activated Knowledge： Practical Ideas for Improving Student Learning

In this article, I argue for the integration of learner-centered, high impact practices for the typical day of instruction. In doing so, I build off of a general, but robust, theoretical framework designed to promote substantive self-reflection which orients the tactical suggestions for improving student learning. The recommendations are practical and easily adopted as resources for challenging students to develop general critical thinking skills and dispositions especially those addressing metacognition and questioning one＇s assumptions of knowledge and understanding.