Outpatient Experience of Human Caring Scale （OEHC-Scale）： Improvement by Delphi Method

Based on the outpatient interview and literature review, the initial framework of the outpatient experience of human caring scale was formed with 9 dimensions of outpatient process. The research aim was to improve the scale by Delphi method. Sixteen experts in medical management, human caring or medical education were invited to evaluate the importance of the dimensions and items of the scale and provided some expertise via filling out the DeLphi consultation questionnaires twice in the consulting round. In the first round, the recovery rate showing the experts＇ positivity was 80%; the coefficient of reliability （Cr） ascertaining the authority of the evaluation was 0.92; the mean and full mark ratios responding the concentration of the evaluation were 2.88-4.94 and 6.25%-93.75% respectively; the coefficients of variation （CV） and the Kendall＇s W determining the concordance of the evaluation were 5.06%-52.15% and 0.21-0.24 respectively. In the second round, the recovery rate was 93.75%; the Cr was 0.93; the mean was 3.93-4.93; the full mark ratios were 26.67%-93.33%; the Kendall＇s W was 0.14- 0.31, the CV was 5.25%-23.61%. Via the two-round Delphi study, the scale that included 10 dimensions and 61 items has been improved. Ten dimensions are pre-hospital medical service, guidance, registration, waiting, diagnosis ＆ treatment, paying, inspection ＆ assay, medicine receiving, therapy/injection/transfusion and global evaluation. It was concluded that Chinese scholars have paid high attention to human caring and outpatient experience. The experts have given high agreements about the dimensions which were established with Chinese outpatient process. The dimensions are different from the similar researches about outpatient experience study. In the future, it is necessary to survey the outpatients to test the construct validity, internal consistency reliability and others of the scale to improve the scale.

Design and analysis of an advanced thermal management system for the solar close observations and proximity experiments spacecraft

In this paper,the mission and the thermal environment of the Solar Close Observations and Proximity Experiments(SCOPE)spacecraft are analyzed,and an advanced thermal management system(ATMS)is designed for it.The relationship and functions of the integrated database,the intelligent thermal control system and the efficient liquid cooling system in the ATMS are elaborated upon.For the complex thermal field regulation system and extreme space thermal environment,a modular simulation and thermal field planning method are proposed,and the feasibility of the planning algorithm is verified by numerical simulation.A solar array liquid cooling system is developed,and the system simulation results indicate that the temperatures of the solar arrays meet the requirements as the spacecraft flies by perihelion and aphelion.The advanced thermal management study supports the development of the SCOPE program and provides a reference for the thermal management in other deep-space exploration programs.

Experience and Methods for Maize Regional Experiment in Guizhou Mountainous Areas

Maize regional experiment is a an intermediate link for overall assessment and comprehensive evaluation on yielding ability, stable yield, stress, adaptability, and quality traits of new maize varieties in different ecological conditions. It is an essential process for determining whether the new maize varieties can pass the ex- amination and approval for extension. Besides, regional experiment is an important link connecting agricultural scientific researches and agricultural production. In addi- tion, it is a scientific basis for extension and application of new maize varieties in a region. Therefore, the maize regional experiment is of the utmost importance.

Dynamic Modeling and Experimental Verification of an RPR Type Compliant Paralle Mechanism with Low Orders

Efficiency of calculating a dynamic response is an important point of the compliant mechanism for posture adjustment.Dynamic modeling with low orders of a 2R1T compliant parallel mechanism is studied in the paper.The mechanism with two out-of-plane rotational and one lifting degrees of freedom(DoFs)plays an important role in posture adjustment.Based on elastic beam theory,the stiffness matrix and mass matrix of the beam element are established where the moment of inertia is considered.To improve solving efficiency,a dynamic model with low orders of the mechanism is established based on a modified modal synthesis method.Firstly,each branch of the RPR type mechanism is divided into a substructure.Subsequently,a set of hypothetical modes of each substructure is obtained based on the C-B method.Finally,dynamic equation of the whole mechanism is established by the substructure assembly.A dynamic experiment is conducted to verify the dynamic characteristics of the compliant mechanism.

Summary of Chief Physician Hao Mingxia's Experience in "Treating Liver Disease in Four Chinese Medicinal Formulae"

This paper summarizes Hao Mingxia's experience in treating chronic hepatitis B with traditional Chinese medicine.Director Hao discussed the treatment from the dynamic changes of damp-heat,toxin,deficiency and blood stasis,which mainly involved liver,spleen and kidney.Chronic hepatitis B is a chronic wasting disease,which always belongs to the combination of deficiency and excess,asthenic healthy qi with pathogen lingering,and pathogenic qi does not go for the progress of the disease.The four directions of this paper are based on supporting healthy qi,combining attack with tonic,so as to attack evil-qi without hurting positive.It not only follows the ancient method of TCM for syndrome differentiation and treatment,but also combines modern pharmacological effects to clarify the direction of disease.There are more accurate and comprehensive coverage of disease symptoms,so as to achieve the effect of systemic conditioning.Director Hao is good at comprehensive treatment,according to the physiological characteristics of viscera and body pathology,unified qi,blood and yin-yang of whole body,medication to often reach,knowing constantly and achieving change,the effect is immediate.

Optimizing Bucket Elevator Performance through a Blend of Discrete Element Method, Response Surface Methodology, and Firefly Algorithm Approaches

This research introduces a novel approach to enhancing bucket elevator design and operation through the integration of discrete element method(DEM)simulation,design of experiments(DOE),and metaheuristic optimization algorithms.Specifically,the study employs the firefly algorithm(FA),a metaheuristic optimization technique,to optimize bucket elevator parameters for maximizing transport mass and mass flow rate discharge of granular materials under specified working conditions.The experimental methodology involves several key steps:screening experiments to identify significant factors affecting bucket elevator operation,central composite design(CCD)experiments to further explore these factors,and response surface methodology(RSM)to create predictive models for transport mass and mass flow rate discharge.The FA algorithm is then applied to optimize these models,and the results are validated through simulation and empirical experiments.The study validates the optimized parameters through simulation and empirical experiments,comparing results with DEM simulation.The outcomes demonstrate the effectiveness of the FA algorithm in identifying optimal bucket parameters,showcasing less than 10%and 15%deviation for transport mass and mass flow rate discharge,respectively,between predicted and actual values.Overall,this research provides insights into the critical factors influencing bucket elevator operation and offers a systematic methodology for optimizing bucket parameters,contributing to more efficient material handling in various industrial applications.

Improvements of Traditional Laser Fraunhofer Diffraction Experiment Using Digital Image Processing Method

We present an improved digital image processing(DIP)method to calculate the widths of single slits.Different from the traditional laser Fraunhofer diffraction experiment in college physical experiments,by performing fast Fourier transform,inverse fast Fourier transform and the nonlinear leastsquare fitting on the diffraction pattern taken by a camera,the DIP method can quickly return an analytic expression,whose period is used to calculate widths of single slits.By comparing the measured results by the DIP method and the successional difference(SD)method,we find that for a single slit whose width is 60372μm,the DIP method is more accurate.Experimental results show that for single slits with widths between 40μm and 160μm,the relative error of the DIP method is less than 2.78%.Also,the DIP method can be used to measure the diameter of filament and fibres online in real time.

Application of"balancing digestive functions by regulating pivot"in chronic atrophic gastritis and professor Wei Wei's clinical experience

Chronic atrophic gastritis(CAG)has attracted wide attention in clinic due to its high incidence rate and high canceration rate.At present,modern medicine lacks an effective treatment scheme for CAG.Traditional Chinese medicine can improve clinical symptoms,laboratory indexes,pathological examination results and patients'quality of life for patients of CAG.Professor Wei used the method of"Balancing Digestive Functions by Regulating Pivot"to treat CAG in clinical practice.With flexible addition and subtraction on the basic prescription Banxia Xiexin decoction and coordination with various external treatment methods and psychological construction,professor Wei has achieved satisfactory clinical effects with the pungent-opening and bitter-descending method and dispersing liver and promoting blood circulation method.

CVD Method for Carbon Nanotubes Preparation Based on Orthogonal Experiment Using C_3H_6

Carbon nanotubes (CNTs) have potential applications in many fields, chemical vapor deposition (CVD) is an effective method for CNTs preparation. By CVD, the catalytic pyrolysis temperature, pyrolysis time and the size of the raw gas flow have a great influence on yield rate of CNTs and their form. In this paper, the orthogonal experiment analysis method is used for studying the influence factors of yield rate of CNTs. Research results show that, in the suitable temperature range of preparing CNTs, there is relatively more CNTs with excellent morphology, otherwise, if the temperature is too low, the growth of CNTs will not be sufficient; if the temperature is too high, then CNTs will be generated with excessive defects; with longer growth time of suitable pyrolysis of CNTs, higher yield of CNTs will be obtained; CNTs morphology with reaction time is not proportional; too low or too high raw gas flow rate is not conducive to the growth of CNTs. We have found the optimum conditions for the CNTs preparation: pyrolysis temperature 68 degrees C, pyrolysis time 35 min, propylene flow rate of 180 mL/min. The results have a reference value for the preparation of CNTS and their composites.

Construction of Eco-tourism Sites Based on the Experience of Eco-tourism

Taking Lingtong Grand Canyon in Jingxi County, Baise City, Guangxi, China as a research object, the face-to-face questionnaire survey on tourist is carried out, in order to obtain the basic situation of the interviewees, as well as their expectation for the eco-tourism experience. Factor analysis method is adopted to test the interviewees′ expectation of the eco-tourism experience. Result shows that eco-tourism experience of tourist is mainly reflected in the ecological leisure experience, the ecological tourism experience, the ecological experience in scenic spot, and the self-realization experience. Analysis on the recognition of the expectation for eco-tourism experience shows that the interviewees′ expectations of the eco-tourism experience are in the order of the ecological experience in scenic spot, the eco-tourism experience, the ecological leisure experience, and the self-realization experience. Difference analysis on the interviewees′ expectations for the eco-tourism experience is carried out by market segmentation. Result shows that there are significant differences in the demand of eco-tourism experience among different types of tourisms. According to the investigation result, countermeasures for the construction and marketing of eco-tourism sites are put forward.

Natural Monopoly and Mixed Ownership Reform--Based on Natural Experiment and Cost Function Analysis Method

Despite a multitude of theoretical discussions on China's mixed ownership reform, very few studies have addressed realistic questions concerning the implementation of the reform. The Resolutions of the Third Plenum of the 18 th CPC Central Committee and other reform strategies have outlined the reform of sectors with natural monopoly, including urban public utility sectors. The question is how mixed ownership reform should be carried out in sectors of natural monopoly, or which public utilities sectors should enjoy priority of mixed ownership reform. To answer this question, this paper employs data of large public utility enterprises in China from 1998 to 2008, and estimates the natural monopoly attribute at the industry level and corporate total factor productivity(TFP) using cost function analysis method excluding the impact of product price factor. Based on the difference-indifferences-in-differences(DDD) method of natural experiment, an empirical test is carried out for the relationship among natural monopoly, mixed ownership reform and corporate productivity. Our results suggest that:(1) Statistically, mixed ownership reform cannot significantly increase corporate TFP in sectors with natural monopoly;(2) mixed ownership reform should not be carried out indiscriminately on a nationwide basis and for all public utilities sectors. Such an attempt of reform without distinguishing natural monopoly and the level of competitiveness is fraught with policy uncertainties;(3) relative to sectors with natural monopoly, corporate productivity in competitive sectors after mixed ownership reform will improve more significantly and enjoy greater "policy dividends" of institutional reform. Therefore, mixed ownership reform should be carried out first in competitive sectors.

Evaluation of Full Experimental Design Method against Fractional Design Method and Taguchi Design Method in Machining Operation

DOE （design of experiments） is a systematic, rigorous approach to engineering problem-solving that applies principles and techniques at the data collection stage so as to ensure the generation of valid, defensible, and supportable engineering conclusions. This paper presents a comparison of three different experimental designs （full experimental design, fractional design and Taguchi design） aimed at studying the effects of cutting parameters variations on surface finish. The results revealed that the effects obtained by analyzing both fractional and Taguchi designs were comparable to the main effects and two-level interactions obtained by the full factorial design. Thus, we conclude that full factorial design appear to be reliable and more economical since they permit to reduce by a factor the amount of time and effort required to conduct the experimental design without losing valuable information. Thus, we conclude that full factorial design appear to be reliable and more economical and without losing valuable information.

A Teaching Experiment in Modelling through Scale Reduction Methods： A Bridge to Later Trigonometric Methods

In a teaching experiment, Japanese Grade 9 students investigated how to measure the height of an aerial balloon using different models involving angles and distances, and also to evaluate the models they developed. As novices to mathematical modelling, they needed to decide which of several possible models were both valid and practicable, and the errors in measurement that are likely to arise. Opportunities to construct and use paper models, as scale reductions of the real situation, and discussing their results in small groups were effective in moving forward the thinking of many students on the dimensions mentioned above. While students were less able to identify different sources of errors, many came to appreciate the need to learn trigonometric techniques that are more suitable in dealing with problems of this kind.

Adult Education and Training in Portugal： A Multi-case Study Focused on Autobiographical Experiences

In our actual framework of constant social and cultural changing, we are witnessing a transformation of the adults＇ patterns and pathways of life. Currently, people＇s lives cannot be analyzed using a macro-perspective, marked by partitioning phases, but the various stages we undergo from childhood to the third age are being overlapped and this is reflected with particular relevance in the field of learning, where the notion of lifelong learning is present in our personal, social and professional everyday contexts, in Portugal, the New Opportunities Initiative is building new and innovative education and training pathways, which privilege the autobiographical methods, where adults, from their life stories, are challenged to resort to new ways of valuing their experiences, potentiating the acquisition of new skills, in a logic of personal, social and professional empowerments. This formative/training logic has shown to be the promoter of a growing autonomy from the adults. We will present, here, the qualitative multi-case study we are developing in this area, which is centered on adults＇/professionals＇ autobiographies and focuses on the understanding of adult education, lifelong learning and on the analysis of the mediation figures associated with them.

ASYMPTOTICAL STABILITY OF NEUTRAL REACTION-DIFFUSION EQUATIONS WITH PCAS AND THEIR FINITE ELEMENT METHODS

This paper focuses on the analytical and numerical asymptotical stability of neutral reaction-diffusion equations with piecewise continuous arguments.First,for the analytical solutions of the equations,we derive their expressions and asymptotical stability criteria.Second,for the semi-discrete and one-parameter fully-discrete finite element methods solving the above equations,we work out the sufficient conditions for assuring that the finite element solutions are asymptotically stable.Finally,with a typical example with numerical experiments,we illustrate the applicability of the obtained theoretical results.

Experimental Research on the Millimeter-Scale Distribution of Oil in Heterogeneous Reservoirs

Oil saturation is a critical parameter when designing oil field development plans.This study focuses on the change of oil saturation during water flooding.Particularly,a meter-level artificial model is used to conduct relevant experiments on the basis of similarity principles and taking into account the layer geological characteristics of the reservoir.The displacement experiment’s total recovery rate is 41.35%.The changes in the remaining oil saturation at a millimeter-scale are examined using medical spiral computer tomography principles.In all experimental stages,regions exists where the oil saturation decline is more than 10.0%.The shrinkage percentage is 20.70%in the horizontal well production stage.The oil saturation reduction in other parts is less than 10.0%,and there are regions where the oil saturation increases in the conventional water flooding stage.

Professor Pei Ruixia's ExperienAce in Treating Diabetes with the"Harmony Method"

This paper introduces professor Pei Ruixia's experience in the treatment of diabetes with the"harmony method." Professor Pei believes that the pathogenic factors of diabetes are mainly divided into emotional and dietary factors,and the essence of diabetes are not in harmony of the human body.Thus,its treatment is to"make it harmonious."It is good to use the method of"clearing and harmonizing,"appropriately using Xiaochaihu decoction,paying attention to the compatibility of drugs,and taking care of spleen and stomach,as well as Qi.

The lived experience of a 24-hour support center for persons with psychiatric disabilities: Making me feel almost like an ordinary person

This study illuminates nine psychiatric disabled persons’ lived experience of a newly established community-based service center open around the clock. This new 24-hour support center (SC) was established in 2011 in a Swedish community to better match and facilitate the disabled persons’ needs. In order to illuminate the disabled person’s experiences individual interview was performed. A phenomenological-hermeneutical method inspired by Paul Ricoeur was used to interpret the texts. After a naive reading, a structural analysis revealed two themes: 1), becoming aware of myself as a person, and 2) having a lifeline and belongingness. The comprehensive understanding was interpreted as meaning “Making me feel almost like an ordinary person”, which incorporated the person’s past with their present together with a direction for the future and hope for a more fulfilling life.

高校图书馆未来学习中心用户体验关键影响因素识别研究

研究用户体验关键影响因素有助于提升高校图书馆未来学习中心的服务水平,为未来学习中心的建设提供思路。本研究首先从预约体验、环境体验、技术体验、服务体验、学习体验5个维度提炼影响用户体验的14个因素,然后根据因素之间的关系构建未来学习中心用户体验模型,最后利用DEMATEL方法识别出影响用户体验的关键因素。研究发现,群体环境、技术交互性、学习愉悦度、学习满意度、学习成长感、服务可得性、技术新颖性、场景布局是影响未来学习中心用户体验的关键因素,并结合关键影响因素从环境体验、技术体验、服务体验和学习体验视角提出未来学习中心的建设和发展建议。

Inspiration of Foreign Innovative Drug Pricing Methods and Medical Insurance Payment Standards to China

Objective To study the innovative drug pricing methods and medical insurance payment standards in foreign countries and to provide reference for China’s government.Methods The official websites were searched for information and related literature,and literature review was used.Results and Conclusion In foreign countries,the clinical value of innovative drugs and their impact on medical insurance funds were comprehensively evaluated based on factors such as quality-adjusted life years,clinical benefit,and improvement of clinical benefit.Then,the evaluation results were taken as an important basis for whether innovative drugs were admitted to the medical insurance catalog and establishing medical insurance payment standards.By using international experience for reference,innovative drug pricing methods and medical insurance payment standards for China’s national conditions can be improved by establishing a basic database of clinical value and drug economic evaluation of innovative drugs,as well as innovative drug payment models based on decision thresholds.