Machine learning applications in healthcare clinical practice and research

Machine learning(ML)is a type of artificial intelligence that assists computers in the acquisition of knowledge through data analysis,thus creating machines that can complete tasks otherwise requiring human intelligence.Among its various applications,it has proven groundbreaking in healthcare as well,both in clinical practice and research.In this editorial,we succinctly introduce ML applications and present a study,featured in the latest issue of the World Journal of Clinical Cases.The authors of this study conducted an analysis using both multiple linear regression(MLR)and ML methods to investigate the significant factors that may impact the estimated glomerular filtration rate in healthy women with and without non-alcoholic fatty liver disease(NAFLD).Their results implicated age as the most important determining factor in both groups,followed by lactic dehydrogenase,uric acid,forced expiratory volume in one second,and albumin.In addition,for the NAFLD-group,the 5th and 6th most important impact factors were thyroid-stimulating hormone and systolic blood pressure,as compared to plasma calcium and body fat for the NAFLD+group.However,the study's distinctive contribution lies in its adoption of ML methodologies,showcasing their superiority over traditional statistical approaches(herein MLR),thereby highlighting the potential of ML to represent an invaluable advanced adjunct tool in clinical practice and research.

Exploration and Practice of Ideological and Political Teaching Construction for Biochemistry Course in Agricultural Colleges and Universities

Biochemistry is a fundamental core course in disciplines such as agriculture,forestry,medicine,animal husbandry,veterinary medicine,and food science.By prioritizing"educating people"in the teaching process of this professional course,we can unearth diverse ideological and political elements related to agricultural production practices within the curriculum knowledge system and the forefront of discipline development.Exploring various teaching methods and utilizing diverse teaching tools are effective strategies to achieve ideological and political education that silently influences students in the field of biochemistry.The goal is to nurture students strong ideals and beliefs,fostering a deep connection to the sentiments of"agriculture,rural areas and farmers in a great nation."This approach aims to instill a sense of responsibility towards strengthening agriculture,shaping students into individuals from South China Agricultural University who possess lofty aspirations and the courage to shoulder responsibility in the new era.

Exploration of the Integration of Curriculum Ideology and Politics into the Educational Pathway of Standardized Training for General Practice Residents

In recent years,the national higher education reform has proposed the concept of curriculum ideological and political education as a major element.This integration into the standardized training of general practice residents(commonly referred to as general resident training)is an unavoidable trend in the teaching field.Based on the actual situation of our unit at The First Affiliated Hospital of Xi’an Medical University,this paper emphasizes the necessity of incorporating ideological and political education into the general resident training curriculum,despite the absence of pertinent practical experience in how to effectively incorporate such courses into comprehensive residential training.In our hospital,we must assess the ideological and political education in the curriculum of general resident training,proposing a scientific,reasonable ideological and political education concept system for general practice courses,integrating ideological and political education with general practice resident training,and strengthening the team of ideological and political education physicians to teach them to carry out such education,this would foster enthusiasm and initiative.Strengthening admission education and training for general practice resident training,as well as regularly hosting symposiums to share ideas and understand the mission of doctors can provide effective experience for ideological and political education in general resident training courses.

Practice and Exploration of Ideological and Political Education for Postgraduate Students Under the Mentor Responsibility System

This study aims to address the problems existing in the ideological and political education of postgraduate students,and combines the implementation of the mentor responsibility system to explore the role orientation,work content,and practical effects of mentors in the ideological and political education of postgraduate students.Through questionnaire surveys,interviews,and other research methods,the current situation of ideological and political education of postgraduate students under the mentor responsibility system is analyzed,and corresponding optimization strategies are proposed.

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.

Exploration and Practice of Integrating Ideological and Political Education into the“Comprehensive Practical Training in Prefabricated Building Construction”Course

This paper focuses on the ideological and political construction of the course“Comprehensive Practical Training of Prefabricated Building Construction”and deeply discusses its exploration and practice process.By building an ideological and political teaching system in line with the characteristics of“Comprehensive Training of Prefabricated Building Construction,”ideological and political elements such as industry spirit,professional ethics,and social responsibility are organically integrated into all links of practical training and teaching.In terms of teaching methods,various innovative means such as case analysis,role-playing,and group discussion are adopted,and modern information technologies such as virtual reality and augmented reality are used to improve the teaching effect.At the same time,a diversified teaching evaluation system is formulated to ensure the sustainability and effectiveness of ideological and political education.This study not only enriches the theoretical research of ideological and political courses but also provides a practical reference for the ideological and political construction of similar courses,which is of great significance for promoting the overall improvement of the quality of talent training in higher education.

Exploration and Practice of Nitrogen Addition Process for LF Refining Ladle Bottom Blowing Nitrogen Steel Liquid

This article discusses and analyzes the law of nitrogen increase in liquid steel and the main factors affect-ing the nitrogen increasing of molten steel,through the way of adding nitrogen to molten steel by bottom blowing nitrogen gas in LF refining process.It is considered that the main factors affecting the nitrogen increasing instability of molten steel are the initial temperature of LF refining,nitrogen relative element,surface active elements[O]and[S]of steel liquid,and bottom blowing rate of ladle.The large-scale production practice shows that T[O]not more than 50×10-6 and[S]is not more than 0.020 in LF refining at the initial temperature of not less than 1570.The liquid steel nitrogen enrichment test is carried out by ladle bottom blowing nitrogen gas after 20 min of refining,the flow rate is set as(6.0~7.0)NL/min per ton,and it is turned to 2 NL/min at 6 min before the end of refining,the nitrogen increasing rate of liquid steel is basically stable at(5~6)×10-6 per minute.

Exploration and Practice of Big Data Introductory Courses for Big Data Management and Application Majors

As an introductory course for the emerging major of big data management and application,“Introduction to Big Data”has not yet formed a curriculum standard and implementation plan that is widely accepted and used by everyone.To this end,we discuss some of our explorations and attempts in the construction and teaching process of big data courses for the major of big data management and application from the perspective of course planning,course implementation,and course summary.After interviews with students and feedback from questionnaires,students are highly satisfied with some of the teaching measures and programs currently adopted.

Practices and Explorations of the Teaching Reform of Landscape Engineering in the New Time

Based on analyzing the necessity of reforming the course of Landscape Engineering,the course reform has been conducted by enriching and perfecting the teaching contents,reforming the teaching methods,enhancing the practice teaching,realizing the united simulation experiment of many courses and strengthening the teachers' training.And the teaching quality has been improved greatly.

Geological characteristics and exploration breakthroughs of coal rock gas in Carboniferous Benxi Formation,Ordos Basin,NW China

To explore the geological characteristics and exploration potential of the Carboniferous Benxi Formation coal rock gas in the Ordos Basin,this paper presents a systematic research on the coal rock distribution,coal rock reservoirs,coal rock quality,and coal rock gas features,resources and enrichment.Coal rock gas is a high-quality resource distinct from coalbed methane,and it has unique features in terms of burial depth,gas source,reservoir,gas content,and carbon isotopic composition.The Benxi Formation coal rocks cover an area of 16×104km^(2),with thicknesses ranging from 2 m to 25 m,primarily consisting of bright and semi-bright coals with primitive structures and low volatile and ash contents,indicating a good coal quality.The medium-to-high rank coal rocks have the total organic carbon(TOC)content ranging from 33.49%to 86.11%,averaging75.16%.They have a high degree of thermal evolution(Roof 1.2%-2.8%),and a high gas-generating capacity.They also have high stable carbon isotopic values(δ13C1of-37.6‰to-16‰;δ13C2of-21.7‰to-14.3‰).Deep coal rocks develop matrix pores such as gas bubble pores,organic pores,and inorganic mineral pores,which,together with cleats and fractures,form good reservoir spaces.The coal rock reservoirs exhibit the porosity of 0.54%-10.67%(averaging 5.42%)and the permeability of(0.001-14.600)×10^(-3)μm^(2)(averaging 2.32×10^(-3)μm^(2)).Vertically,there are five types of coal rock gas accumulation and dissipation combinations,among which the coal rock-mudstone gas accumulation combination and the coal rock-limestone gas accumulation combination are the most important,with good sealing conditions and high peak values of total hydrocarbon in gas logging.A model of coal rock gas accumulation has been constructed,which includes widespread distribution of medium-to-high rank coal rocks continually generating gas,matrix pores and cleats/fractures in coal rocks acting as large-scale reservoir spaces,tight cap rocks providing sealing,source-reservoir integration,and five types of efficient enrichment patterns(lateral pinchout complex,lenses,low-amplitude structures,nose-like structures,and lithologically self-sealing).According to the geological characteristics of coal rock gas,the Benxi Formation is divided into 8 plays,and the estimated coal rock gas resources with a buried depth of more than 2000 m are more than 12.33×10^(12)m^(3).The above understandings guide the deployment of risk exploration.Two wells drilled accordingly obtained an industrial gas flow,driving the further deployment of exploratory and appraisal wells.Substantial breakthroughs have been achieved,with the possible reserves over a trillion cubic meters and the proved reserves over a hundred billion cubic meters,which is of great significance for the reserves increase and efficient development of natural gas in China.

The response of roots and the rhizosphere environment to integrative cultivation practices in paddy rice

Integrative cultivation practices(ICPs)are essential for enhancing cereal yield and resource use efficiency.However,the effects of ICP on the rhizosphere environment and roots of paddy rice are still poorly understood.In this study,four rice varieties were produced in the field.Each variety was treated with six different cultivation techniques,including zero nitrogen application(0 N),local farmers’practice(LFP),nitrogen reduction(NR),and three progressive ICP techniques comprised of enhanced fertilizer N practice and increased plant density(ICP1),a treatment similar to ICP1 but with alternate wetting and moderate drying instead of continuous flooding(ICP2),and the same practices as ICP2 with the application of organic fertilizer(ICP3).The ICPs had greater grain production and nitrogen use efficiency than the other three methods.Root length,dry weight,root diameter,activity of root oxidation,root bleeding rate,zeatin and zeatin riboside compositions,and total organic acids in root exudates were elevated with the introduction of the successive cultivation practices.ICPs enhanced nitrate nitrogen,the activities of urease and invertase,and the diversity of microbes(bacteria)in rhizosphere and non-rhizosphere soil,while reducing the ammonium nitrogen content.The nutrient contents(ammonium nitrogen,total nitrogen,total potassium,total phosphorus,nitrate,and available phosphorus)and urease activity in rhizosphere soil were reduced in all treatments in comparison with the non-rhizosphere soil,but the invertase activity and bacterial diversity were greater.The main root morphology and physiology,and the ammonium nitrogen contents in rhizosphere soil at the primary stages were closely correlated with grain yield and internal nitrogen use efficiency.These findings suggest that the coordinated enhancement of the root system and the environment of the rhizosphere under integrative cultivation approaches may lead to higher rice production.

China Seismic Experimental Site(CSES): Challenges of Deep Earth Exploration and Practice(DEEP)

Since May 2018,the planning,construction and functioning of China Seismic Experimental Site(CSES)has attracted much attention in earthquake science(CSES,2020 a,b,c;Wu,2020;Li et al.,2021).Different from traditional earthquake prediction experiment projects,such as the Parkfield earthquake prediction experiment(Roeloffs,2000).

Natural gas exploration potential and favorable targets of Permian Fengcheng Formation in the western Central Depression of Junggar Basin,NW China

Based on the organic geochemical data and the molecular and stable carbon isotopic compositions of natural gas of the Lower Permian Fengcheng Formation in the western Central Depression of Junggar Basin,combined with sedimentary environment analysis and hydrocarbon-generating simulation,the gas-generating potential of the Fengcheng source rock is evaluated,the distribution of large-scale effective source kitchen is described,the genetic types of natural gas are clarified,and four types of favorable exploration targets are selected.The results show that:(1)The Fengcheng Formation is a set of oil-prone source rocks,and the retained liquid hydrocarbon is conducive to late cracking into gas,with characteristics of high gas-generating potential and late accumulation;(2)The maximum thickness of Fengcheng source rock reaches 900 m.The source rock has entered the main gas-generating stage in Penyijingxi and Shawan sags,and the area with gas-generating intensity greater than 20×10^(8) m^(3)/km^(2) is approximately 6500 km^(2).(3)Around the western Central Depression,highly mature oil-type gas with light carbon isotope composition was identified to be derived from the Fengcheng source rocks mainly,while the rest was coal-derived gas from the Carboniferous source rock;(4)Four types of favorable exploration targets with exploration potential were developed in the western Central Depression which are structural traps neighboring to the source,stratigraphic traps neighboring to the source,shale-gas type within the source,and structural traps within the source.Great attention should be paid to these targets.

A review of clinical practice guidelines on the management of preeclampsia and nursing inspiration

Objectives:To review,evaluate,and synthesize the recommendations of guidelines on preeclampsia(PE)from a nursing perspective.Methods:This is a systematic review of international and national guidelines on PE.Electronic databases and related guideline websites were searched from 2013 to 2023.After systematic retrieval and screening,we used the AGREE II tool to appraise the methodological quality of guidelines that met the eligibility criteria.Then,we analyzed and summarized the recommendations using descriptive analysis and the framework method.Furthermore,we rated the quality of evidence and the strength of the recommendations using the GRADE approach.Results:Ten guidelines were included,among which eight were deemed“clinically useful”and records were extracted.In total,31 recommendations,including 46 items on the nursing management of PE,were summarized from three aspects:1)antenatal care(18 recommendations),including the assessment and regular monitoring of PE,standardized blood pressure(BP)measurement,prevention education for PE,antihypertensive agent monitoring,and magnesium sulfate(MgSO_(4))use;2)intrapartum care(4 recommendations),including childbirth care;3)postpartum care(9 recommendations),including regular nursing monitoring,breastfeeding care and longer-term health counseling.Most of the evidence was rated as“very low”(19/46)or“moderate”(15/46)quality.For the strength of the recommendations,30 items were graded as“strong”and 16 items were rated as“weak”.Conclusions:This study provides professional,evidence-based nursing care resources both for preservice education for nursing staff and health care education for women with PE to help them detect and treat PE in a timely manner.

Two stages power generation test of the hot dry rock exploration and production demonstration project in the Gonghe Basin,northeastern Qinghai-Tibet plateau,China

The Hot Dry Rock(HDR)is considered as a clean and renewable energy,poised to significantly contribute to the global energy decarbonization agenda.Many HDR projects worldwide have accumulated valuable experience in efficient drilling and completion,reservoir construction,and fracture simulation.In 2019,China Geological Survey(CGS)initiated a demonstration project of HDR exploration and production in the Gonghe Basin,aiming to overcome the setbacks faced by HDR projects.Over the ensuing four years,the Gonghe HDR project achieved the first power generation in 2021,followed by the second power generation test in 2022.After establishing the primary well group in the initial phase,two directional wells and one branch well were drilled.Noteworthy progress was made in successfully constructing the targeted reservoir,realizing inter-well connectivity,power generation and grid connection,implementing of the real-time micro-seismic monitoring.A closed-loop technical validation of the HDR exploration and production was completed.However,many technical challenges remain in the process of HDR industrialization,such as reservoir fracture network characterization,efficient drilling and completion,multiple fracturing treatment,continuous injection and production,as well as mitigation of induced seismicity and numerical simulation technology.

Notes for the 50th Anniversary Special Issue of Petroleum Exploration and Development

The year of 2024 marks the 50th anniversary of the publication of Petroleum Exploration and Development.For half a century,Petroleum Exploration and Development has been committed to disseminating petroleum technology,witnessing and recording the glorious journey of China's petroleum industry from being weak to becoming strong.The journal has also become a bright banner in China's petroleum technology industry.

Preceptors'experiences in guiding nursing students to use research findings and to implement evidence-based practice

Objective:Evidence-based practices(EBPs)have been taught to students by identifying the best evidence/evidence from research results.However,the experiences of Indonesian nurse preceptors in helping students implement research findings have not been explored thoroughly.This study aimed to explore Indonesian nurse preceptors in guiding nursing students to use research findings.Methods:This study used interpretive phenomenology analysis that involves 9 nurse preceptors from hospitals in West Kalimantan,Indonesia.Semi-structured in-depth interviews were recorded and then transcribed verbatim.Results:Three themes were generated during the analysis:“types of student supervision,”“issues during supervision,”and“the need for research literacy and supervision.”Conclusions:Nurse preceptors need support to supervise the nursing students to use research findings.In addition to upgrading nursing skills,nurse preceptors must receive training in research and its utilization.Developing an appropriate strategy to assist students in using research findings will enhance the promotion of evidence-based nursing practices on a daily basis.

Assessment of Knowledge, Attitudes, and Practices Regarding Hepatitis B among Students at Gaston Berger University of Saint-Louis in 2024

Introduction: Hepatitis B is a public health problem. This study aimed to investigate the knowledge, attitudes, and practices of students at Gaston Berger University of Saint-Louis regarding hepatitis B. Methods: A descriptive cross-sectional study was conducted in March 2024 within the university’s social campus among a sample of 800 students. Results: The sex ratio favored men at 1.5, and the average age was 23.3 years with a standard deviation of 2.7 years. Among students, 26.6% had never heard of the term “hepatitis B”, and 60% knew it was a liver disease. Young people and adolescents were identified as the most exposed population group by 52.3% of respondents. According to 53.7% of the sample, hepatitis B would be a curable disease. Furthermore, 95.0% of the surveyed individuals were not vaccinated against hepatitis B, and 36.3% were afraid of living with an infected person. While 63.0% had poor knowledge, 78.8% had negative attitudes, and poor practices were observed in 6.9% of participants. Conclusion: This study highlighted a lack of knowledge and concerning attitudes among students regarding hepatitis B. The results underscore the need to intensify information and awareness campaigns about this disease, as well as the importance of promoting vaccination and encouraging appropriate preventive practices among the student population.

China's shale gas exploration and development: Understanding and practice

Through detailed analyses of the distribution characteristics of organic-rich shale, appearance features of high-quality shale, microscopic characteristics of shale reservoir rocks, fracability, and the relationship between preservation conditions and shale gas enrichment in Upper Ordovician Wufeng Formation-Lower Silurian Longmaxi Formation in Sichuan Basin, theoretical understandings and specific suggestions with respect to the exploration and development of shale gas in China are summarized and proposed respectively. Important geological understandings in the exploration and development of shale gas of the Wufeng Formation–Longmaxi Formation in the Sichuan Basin can be summarized into the following aspects: depositional environment and depositional process control the distribution of organic-rich shale; high quality shale in "sweet spot segments" are commonly characterized by high content of organic carbon, high brittleness, high porosity and gas content; organic pores are important storage space for the enrichment of shale gas; preservation conditions are the key factor for the geological evaluation of shale gas in structurally complex regions; shale gas can be considered as "artificial gas reservoirs" and the fracability assessment is essential for high-production; nanoscale storage space and the mode of occurrence control the special seepage characteristics of shale gas. The following suggestions are proposed for the development of China's shale gas industry:(1) focus more on fundamental research to achieve new breakthrough in the geological theory of shale gas;(2) emphasize exploration practices to have all-round discoveries in multiple strata;(3) study the regularities of development and production to establish new models of shale gas development;(4) think creatively to invent new technologies to tackle key problems;(5) explore the management innovation to create new mechanisms in shale gas development.

Assessment of Knowledge, Attitude and Practices among Healthcare Workers in a Tertiary Care Hospital on Needle Stick Injury

Purpose: Needle-stick injury (NSI) is one of the most potential occupational hazards for healthcare workers because of the transmission of blood-borne pathogens. As per recent data, around 30 lakh healthcare workers sustain Needle stick injuries each year. This study was conducted to assess healthcare workers’ knowledge, attitude and practices regarding needle stick injury. Materials & Methods: A cross-sectional study was conducted in a Tertiary Care Hospital over the period of 3 months. The study population consisted of Intern Doctors, Post Graduate resident Doctors, Staff Nurses, laboratory technicians of Government Medical College and New Civil Hospital, Surat (n = 300). The data were collected using a self-administered questionnaire via the means of Google Forms. Questionnaire was made with prior review literature. The data obtained were entered and analysed in Microsoft Excel. Results: The prevalence of NSI in our study was 46%, with a higher prevalence among the PG residents (72%). Overall scores regarding knowledge and attitude were better in PG residents (knowledge score > 7 in 71% and Attitude Score > 7 in 68% of PG Residents). Even though the PG residents scored highest in the knowledge category, the majority of them suffered needle stick injuries as a result of poor practice scores. Among those who had NSI (n = 139/300), 70% of study participants had superficial injuries, only 9% reported the incident, 18% got medical attention within 2 hours of the incident, and 7% followed up to recheck their viral markers status. Most incidents of NSI were due to hypodermic needles while recapping needles. Conclusion: Exposure to needle stick injuries and their underreporting remains a common problem. It is imperative that healthcare workers receive regular training on the proper handling of sharp objects. We can also draw the conclusion that preventing NSIs requires putting knowledge into practice.