Trust-based co-operative routing for secure communication in mobile ad hoc networks

The working of a Mobile Ad hoc NETwork(MANET)relies on the supportive cooperation among the network nodes.But due to its intrinsic features,a misbehaving node can easily lead to a routing disorder.This paper presents two trust-based routing schemes,namely Trust-based Self-Detection Routing(TSDR)and Trust-based Cooperative Routing(TCOR)designed with an Ad hoc On-demand Distance Vector(AODV)protocol.The proposed work covers a wide range of security challenges,including malicious node identification and prevention,accurate trust quantification,secure trust data sharing,and trusted route maintenance.This brings a prominent solution for mitigating misbehaving nodes and establishing efficient communication in MANET.It is empirically validated based on a performance comparison with the current Evolutionary Self-Cooperative Trust(ESCT)scheme,Generalized Trust Model(GTM),and the conventional AODV protocol.The extensive simulations are conducted against three different varying network scenarios.The results affirm the improved values of eight popular performance metrics overcoming the existing routing schemes.Among the two proposed works,TCOR is more suitable for highly scalable networks;TSDR suits,however,the MANET application better with its small size.This work thus makes a significant contribution to the research community,in contrast to many previous works focusing solely on specific security aspects,and results in a trade-off in the expected values of evaluation parameters and asserts their efficiency.

Culturally competent care across borders: Implementing culturally responsive teaching for nurses in diverse workforces

The migration of healthcare professionals,including nurses,is a global phenomenon.It is driven by various factors,including the pursuit of better opportunities,living conditions,and professional development,as well as political instability or conflict in their home countries.The World Health Organization(WHO)has noted that high-income countries often rely on foreign-trained nurses to fill gaps in their healthcare systems[1].For instance,as of 2021,over 40%(52 million)of all nurses in the United States(US)were expatriates[2].In the United Kingdom(UK),the percentage of expatriate nurses was even higher,reaching approximately 18%in 2021[3].Owing to globalization and migration,healthcare providers must possess cultural competence to deliver improved care[4,5].Culturally responsive teaching(CRT)is rooted in the idea that culture plays a vital role in shaping people’s behaviors,beliefs,values,and communication styles[6].Furthermore,these cultural factors influence patients’perspectives on health,illness,healing,and their preferences for care and communication[7].By recognizing and embracing these cultural differences,nurses can provide more effective and compassionate care to their diverse patient population[8].

Analysis of the History and Current Situation of the Development of General Practice Teaching Clinics in China

A summary of the exploration of the teaching mode of the general practice teaching clinic, a summary of the deficiencies of the teaching clinic and a summary of the significance of the establishment of the general practice teaching clinic are presented with a view to promoting the development of general practice and cultivating more excellent successors in general practice.

Exploration on Teaching Reform of Synthetic Biology Course Based on the New Engineering Concept

Synthetic biology is a new frontier of life science,which aims to design,transform and even synthesize organisms with engineering design concept.Doing a good job in the teaching of"synthetic biology"is of great significance to the cultivation and reserve of biotechnology professionals in China,and also has an important impact on students' employment competitiveness.Under the background of"new engineering",the course reform of"synthetic biology"was carried out in terms of the construction of teaching staff,teaching methods,students' participation and the innovation of course content,and specific reform suggestions were put forward,hoping to effectively promote the sustainable development of"synthetic biology"and effectively improve the quality of education.

Practical effect of different teaching modes in teaching gastrointestinal surgery nursing

BACKGROUND With the continuous development and progress of medical technology,the position of surgical nursing in the field of clinical medicine is becoming in-creasingly prominent.As an important branch of the surgical field,the nursing requirements and difficulty of gastrointestinal surgery are also increasing.In order to improve the teaching quality of nursing care in gastrointestinal surgery,many educators and researchers are actively exploring new teaching methods.Among them,the teaching method case-based learning(CBL),scene-simulated learning(SSL),task-based learning(TBL),combining self-evaluation and training mode is considered as an effective method.This method aims to help students to better master knowledge and skills and improve their comprehensive quality by cultivating their self-evaluation ability.AIM To explore the practical effect of CBL-SSL-TBL combined with training mode and student self-assessment in nursing teaching of gastrointestinal surgery.METHODS Seventy-one nursing interns in our hospital from December 2020 to December 2021 were selected.According to different teaching modes,they were divided into observation group CBL-SSL-TBL combined with training mode combined with student self-assessment and control group(conventional teaching mode),of which 36 were in observation group and 35 were in control group.The results of operational skills,theoretical knowledge,nursing students'satisfaction,learning effectiveness questionnaire and teaching effect were compared between the two groups.RESULTS Compared between the two groups,the operational skills and theoretical knowledge scores of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).Compared between the two groups,the total satisfaction ratio of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Compared between the two groups,the observation group was lower than the control group in the questionnaire results of learning efficacy,and the difference was statistically significant(P<0.05).Compared between the two groups,the proportion of thinking ability,subjective initiative and understanding of theoretical knowledge in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).CONCLUSION The use of CBL-SSL-TBL combined with training mode and student self-assessment in gastrointestinal surgery nursing teaching can improve the operational skills of nursing interns,theoretical knowledge and satisfaction scores of nursing students,improve the results of learning efficiency questionnaire and teaching effect,which can be popularized in clinical teaching.

Exploration of Teaching Reform of Food Machinery and Equipment Course Based on New Engineering Concept

The new engineering concept aims to train high-quality engineering talents to meet the needs of future science and technology and industrial development through the reform of education and teaching.Under the background of"new engineering",by introducing cutting-edge knowledge of the industry and interdisciplinary integration,adopting innovative teaching methods such as project-driven teaching and flipped classroom,strengthening experimental teaching and school-enterprise cooperation,and establishing comprehensive evaluation and feedback mechanism,Food Machinery and Equipment course is reformed to improve the teaching quality and train high-quality engineering talents to meet the needs of modern food processing industry.

Research on Blended Teaching Mode:A Case Study of Floristry

In order to better carry out research on education and teaching,the author consulted relevant literature on blended teaching mode from 2011-2021 through CNKI,Web of Science and other websites,summarized and analyzed the research status of blended teaching mode,in order to lay a good foundation for studying blended teaching mode in course teaching.

Applying the Teaching Strategy of Co-operative Learning to ELT

This article focuses on a brief introduction of the teaching strategies of Co-operative Learning(CL). Some of the strategies are chosen to make certain changes in ELT field. It is proved that the Teaching Strategy of CL can be applied in ELT, which makes the classroom teaching more efficient and arose learners’ interests. The Teaching Strategy of CL can help students improve their ability of learning and problem solving. It is a new breakthrough to the traditional teaching model.

A Structured Method of Teaching Epidural Block reduces the incidence of accidental dural puncture in inexperienced trainees.

Background: The rate of accidental dural puncture is particularly high during the period of training, especially in novices. The structured epidural teaching model (SETM) includes three standardized video lessons, the construction of a 3D epidural module by trainees and practical training by using an epidural simulator with and without the CompuFlo™ Epidural instrument. In this study we report the retrospective analysis of the accidental dural puncture rate of inexperienced trainees during their 6 months clinical practice rotation in obstetrics before and after the introduction of the SETM in our Institution. Method: We evaluated the incidence of accidental dural puncture before the introduction of the SETM methodology and afterwards by analyzing our departmental database from February 2019 to January 2023. All epidural blocks were executed by trainees who had never previously performed an epidural block and were about to begin their obstetrics rotation. Results: We analyzed 7415 epidurals: 3703 were performed before the introduction of the SETM methodology (control group) and 3712 afterwards (study group). The incidence of accidental dural puncture was 0.37% for the control group and 0.13% for the study group (p<.05). The probability of making an accidental dural puncture was 64% (OR: 0.36) lower for trainees who had the training than for those who did not. Conclusions: After the introduction of the structured teaching method, we observed a significant reduction of accidental dural puncture during the training period. We hope that our observation will encourage a constructive discussion among experts about the need to use standardized and validated tools as a valuable aid in teaching epidural anesthesia.

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.

Exploration and Practice of the"One-Student-Two-Tutors"Community through Integrating"1+3 Teaching Resources"into Undergraduate Experimental Teaching

This study closely follows the spirit of the first class undergraduate education action plan(2021-2025)of University of Shanghai for Science and Technology,combines with the national first-class undergraduate professional training plan of mechanical design and manufacturing and automation,and carries out the exploration and practice of"1+3 teaching resources"integrating into the"One-Student-Two-Tutors"community of undergraduate experimental teaching.On the basis of creating a good learning environment and creating an excellent learning platform,this paper studies the undergraduate experimental teaching of the trinity of"theoretical courses+experimental courses+innovation and entrepreneurship activities,discipline competitions,and scientific research project activities".This study has a certain reference value for colleges and universities to cultivate outstanding engineering talents with happy learning attitude,scientific research interest,practical ability and innovative ability.

Reform of Hospitality English Teaching Based on the Educational Concept of Outcome-Based Education(OBE)

The Outcome-Based Education(OBE)educational concept,proposed by renowned American educator Spady,aims to guide students in mastering learning laws and ultimately achieving expected learning outcomes.The application of OBE educational concept in Hospitality English curriculum not only can effectively enhance the learning effect but also promote the reform of the Hospitality English curriculum,thus improving students’learning enthusiasm.Therefore,taking the Hospitality English curriculum as an example,this paper points out the existing problems in the teaching of this course and suggests the reform measures based on the OBE teaching concept,hoping to provide guidelines for related educational work.

Student-Centered Strategy in Academic English Teaching

Based on the current situation of academic English teaching, this paper discusses “student-centered” teaching strategy in the Academic English Reading and Writing, and explore how to integrate it in classroom activities.

Application of Perceived Teaching with Moderate Elimination of“Graphics”in Architectural Design Courses

Starting from the traditional form of“graphic”architectural education,this paper explores a teaching method of entity construction experience,instrument assistance,and digital virtual expression symbiosis symbiosis from three aspects:environmental perception,ontology perception,and extension perception.Using physical perception as a medium,and gradually rising from active perception to a comprehensive expression of visual audience perception through practical operation,it allows students to have a more comprehensive understanding of the meaning of architectural design on the basis of the“graphic”expression paradigm.

Opinions of Students on the Contribution of the DIVA 3D Virtual Dissection Table to the Teaching of Anatomy at the Faculty of Medicine and Odontostomatology of Bamako

Objective: Study the contribution of the DIVA 3D dissection table in the teaching of anatomy at the Faculty of Medicine and Odontology of Bamako. Material and Methods: This was a qualitative study carried out from November 1 to December 30, 2023 at the clinical and morphological anatomy laboratory of the Faculty of Medicine and Odontostomatology of Bamako. Included in this study were students who participated in practical and tutorial sessions. The variables studied during this study were: the previous performance of dissection on a cadaver by the students, the opinion of the students on dissection on a cadaver, the replacement of dissection on a cadaver by virtual dissection in the absence of a body, the level student satisfaction. Results: We surveyed 130 participants. The average age was 22 ± 0.2 years with extremes of 17 and 29 years. 95.3% of participants were students. According to 66.7% of participants, virtual dissection is a good palliative in the absence of a corpse. 95.3% of participants found using the virtual dissection table easy with an average of 7.88 ± 1.4. The overall assessment was well rated by 99.3% of participants. Conclusion: According to the results of this study, the virtual dissection table should be improved by integrating commented videos. The use of the DIVA 3D virtual dissection table during practical and tutorial sessions is well appreciated by the students. We believe that the teaching of anatomy using 3D digital technology should be included in the study programs of the Faculty of Medicine and Odontostomatology.

Effectiveness of structured teaching program on knowledge and attitude toward foot care

Objective:The study was aimed to assess the knowledge and attitude toward foot care and evaluate the effectiveness of structured teaching program(STP)on the knowledge and attitude of patients with diabetes mellitus regarding foot care.Materials and Methods:A preexperimental research design was used in this study,which was conducted in medical-surgical wards of a secondary hospital in Northeast India,Nagaland.A total of 30 subjects were recruited by consecutive sampling technique.A closed-ended structured questionnaire and 5-point Likert scale was used to assess knowledge and attitude toward foot care.A STP was administered after which posttest was done after 24 h.Results:The majority(86.6%)of the participants in the pretest had inadequate knowledge and 80%had negative attitudes toward foot care.After STP,70%had moderately adequate knowledge and 53.3%had a positive attitude regarding foot care.The structured teaching program was effective in improving the knowledge and attitude at P<0.01 which is highly significant and there was a significant association between the pretest level knowledge and duration of diabetes at P<0.01.Conclusion:STP was effective in enhancing the level of knowledge and attitude toward foot care among diabetic inpatients.This type of interaction can be organized at regular intervals to reinforce knowledge and attitude toward foot care among inpatients.

Exploration and Practice on Artificial Intelligence Information Technology Intergration into Practical Teaching of Acupuncture and Massage in the Background of New Medicine

[Objectives]In order to fully leverage the distinctive features of the top-tier national professional discipline of acupuncture and massage.[Methods]According to the characteristics of the scientific attributes of acupuncture and massage,combined with the top-tier na-tional professional AI practical teaching platform and artificial intelligence-related information technology,together with the teaching team with rich teaching experience.[Results]Innovative reforms and practical explorations are being conducted to integrate AI information technology into acupuncture and massage practical teaching under the background of new medicine.[Conclusions]Through practical research,the quali-ty of the practical teaching of students in acupuncture and massage major has been improved,playing a leading and exemplary role in related majors across the country.

Application of Patient Simulators Combined with Internet plus Scenario Simulation Teaching Models on Intravenous Infusion Nursing Education in China

Objective: To explore the effectiveness of applying patient simulators combined with Internet Plus scenario simulation teaching models on intravenous (IV) infusion nursing education, and to provide scientific evidence for the implementation of advanced teaching models in future nursing education. Methods: Enrolled 60 nurses who took the IV infusion therapy training program in our hospital from January 2022 to December 2023 for research. 30 nurses who were trained in traditional teaching models from January to December 2022 were selected as the control group, and 30 nurses who were trained with simulation-based teaching models with methods including simulated patients, internet, online meetings which can be replayed and scenario simulation, etc. from January to December 2023 were selected as the experimental group. Evaluated the learning outcomes based on the Competency Inventory for Nursing Students (CINS), Problem-Solving Inventory (PSI), comprehensive learning ability, scientific research ability, and proficiency in the theoretical knowledge and practical skills of IV infusion therapy. Nursing quality, the incidence of IV infusion therapy complications and nurse satisfaction with different teaching models were also measured. Results: The scientific research ability, PSI scores, CINS scores, and comprehensive learning ability of the experimental group were better than those of the control group (P 0.05), and their assessment results of practical skills, nursing quality of IV infusion therapy during training, and satisfaction with teaching models were all better than those of the control group with statistical significance (P < 0.05). The incidence of IV infusion therapy complications in the experimental group was lower than that in the control group, indicating statistical significance (P < 0.05). Conclusions: Teaching models based on patient simulators combined with Internet Plus scenario simulation enable nursing students to learn more directly and practice at any time and in any place, and can improve their proficiency in IV infusion theoretical knowledge and skills (e.g. PICC catheterization), core competencies, problem-solving ability, comprehensive learning ability, scientific research ability and the ability to deal with complicated cases. Also, it helps provide high-quality nursing education, improve the nursing quality of IV therapy, reduce the incidence of related complications, and ensure the safety of patients with IV therapy.

Teaching Design of Course Building Decoration Materials Based on Generative Artificial Intelligence

With the digital transformation of global education and China's emphasis on education digital,generative AI technology has been widely used in the field of higher education.In this paper,the development of generative AI technology and its potential in personalized learning,interactive content creation and adaptive assessment in education were introduced firstly.Then,the application case of generative AI tools in teaching content creation,scenario-based teaching content development,visual teaching content development,complex concept deconstruction and analogy,student-led application practice and other aspects in the teaching of Building Decoration Materials was discussed.Through the teaching experiment and effect evaluation,the positive influence of generative AI technology on the improvement of students'learning effect and teaching efficiency was verified.Finally,some thoughts and inspirations on the combination of educational theory and generative AI technology,the integration of teaching design and generative AI technology,and the practice cases and effect evaluation were put forward,and the importance of teacher role transformation and personalized learning path design was emphasized to provide theoretical and practical support for the innovative development of higher education.

An Empirical Study of the Socratic Method in Nongraded English Teaching in Senior High School Under the Background of the New National College Entrance Examination

With the reform of the New National College Entrance Examination(Gaokao),the nongraded education will become an inevitable trend.In senior high school,the traditional test-oriented education is popular.The knowledge is mainly taught by the teachers,and the students passively absorb it.This study examines a problem-oriented Socratic experiment in nongraded English teaching in senior high school.The teachers seek output from students,who respond by interpreting questions,fostering critical thinking,and enhancing problem-solving skills.This teaching experiment indicates that the Socratic method has a significant positive effect on cultivating nongraded senior high English students’critical thinking under the New National College Entrance Examination.