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Effect of information-motivation-behavioral skills model based perioperative nursing on pain in patients with gallstones
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作者 Li Ma Ying Yu +2 位作者 Bin-Juan Zhao Yan-Nan Yu Yu Li 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第7期2232-2241,共10页
BACKGROUND The incidence of cholecystolithiasis is on the rise.Use of information,motivation,and behavioral skills can play a positive role in promoting changes in individual health behaviors.However,reports on the ef... BACKGROUND The incidence of cholecystolithiasis is on the rise.Use of information,motivation,and behavioral skills can play a positive role in promoting changes in individual health behaviors.However,reports on the effects of information-motivationbehavioral(IMB)skills model based high-quality nursing as a perioperative nursing intervention for patients with gallstones are nonexistent.AIM To explore the application of IMB skills model based high-quality nursing in patients with gallstones.METHODS Two hundred and sixteen patients with cholecystolithiasis treated at our hospital from January 2022 to January 2023 were enrolled and divided into a control,highquality,and combined nursing groups,with 72 patients in each group.The control,high-quality,and combination groups received conventional,high-quality,and IMB skills model based perioperative nursing services,respectively.Differences in clinical indicators,stress levels,degree of pain,emotional state,and quality of life were observed,and complications and nursing satisfaction among the three groups were evaluated.RESULTS After nursing,the time to recovery of gastrointestinal function in the high-quality and combined nursing groups was significantly shorter than that of the control group,with the recovery of gastrointestinal function being the fastest in the combined nursing group(P<0.05).After nursing intervention,cortisol and norepinephrine levels in the high-quality and combined nursing groups were closer to normal than those of the control group 24 h after surgery,with the combined nursing group having the closest to normal levels(P<0.05).After 3 and 7 d of intervention,the patients’pain significantly improved,which was more prominent in the highquality and combination groups.Meanwhile,the pain score in the combination group was significantly lower than those of the control and high-quality nursing groups(P<0.05).After nursing intervention,the emotional states of all patients improved,and the scores of patients in the combination group were significantly lower than those of the control and high-quality nursing groups.The quality of life of patients in the high-quality and combined nursing groups significantly improved after nursing intervention compared to that of the control group,with the combined nursing group having the highest quality of life score.After intervention,the incidence of complications in the high-quality and combination groups was significantly lower than that of the control group(P<0.05),but the difference between the combination and high-quality nursing groups was not significant.Nursing satisfaction of patients in the high-quality and combination groups was significantly higher than that of the control group,with the nursing satisfaction being the highest in the combination group(P<0.05).CONCLUSION IMB skills model based nursing can improve surgical stress levels,degrees of pain,emotional state,quality of life,and nursing satisfaction of patients with gallstones and reduce the incidence of complications. 展开更多
关键词 Biliary calculi information-motivation-behavioral skills model High quality care Perioperative period PAIN Application
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Effect of health education based on information-motivationbehavioral skills model on patients with unilateral vestibular dysfunction 被引量:1
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作者 Qiong Shi Ruo-Jun Wu Jiang Liu 《World Journal of Clinical Cases》 SCIE 2024年第5期903-912,共10页
BACKGROUND Vestibular dysfunction(VH)is a common concomitant symptom of late peri-pheral vestibular lesions,which can be trauma,poisoning,infection,heredity,and neurodegeneration,but about 50%of the causes are unknown... BACKGROUND Vestibular dysfunction(VH)is a common concomitant symptom of late peri-pheral vestibular lesions,which can be trauma,poisoning,infection,heredity,and neurodegeneration,but about 50%of the causes are unknown.The study uses the information-motivation-behavioral skills(IMB)model for health education,effectively improve the quality of life,increase their self-confidence,reduce anxiety and depression,and effectively improve the psychological state of patients.AIM To explore the effect of health education based on the IMB model on the degree of vertigo,disability,anxiety and depression in patients with unilateral vestibular hypofunction.METHODS The clinical data of 80 patients with unilateral vestibular hypofunction from January 2019 to December 2021 were selected as the retrospective research objects,and they were divided into the control group and the observation group with 40 cases in each group according to different nursing methods.Among them,the control group was given routine nursing health education and guidance,and the observation group was given health education and guidance based on the IMB model.The changes in self-efficacy,anxiety and depression,and quality of life of patients with unilateral VH were compared between the two groups.RESULTS There was no significant difference in General Self-Efficacy Scale(GSES)scale scores between the two groups of patients before nursing(P>0.05),which was comparable;after nursing,the GSES scale scores of the two groups were higher than those before nursing.The nursing group was higher than the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the scores of Hospital Anxiety and Depression Scale(HADS)and anxiety and depression subscales between the two groups before nursing(P>0.05).After nursing,the HADS score,anxiety,and depression subscale scores of the two groups of patients were lower than those before nursing,and the nursing group was lower than the control group,and the difference was statistically significant(P<0.05).After nursing,the Dizziness Handicap Inventory(DHI)scale and DHI-P,DHI-E and DHI-F scores in the two groups were decreased,and the scores in the nursing group were lower than those in the control group,and the difference was statistically significant(P<0.05).CONCLUSION Health education based on the IMB model can effectively improve patients'quality of life,increase self-efficacy of patients with unilateral vestibular hypofunction,enhance patients'confidence,enable patients to resume normal work and life as soon as possible,reduce patients'anxiety and depression,and effectively improve patients'psychological status. 展开更多
关键词 information-motivation-behavioral skills model Health education Vestibular function Quality of life SELFEFFICACY
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Health education intervention and its impact on patients with unilateral vestibular dysfunction:An information-motivation-behavioral model approach
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作者 Imshaal Musharaf Abdulqadir J Nashwan 《World Journal of Clinical Cases》 SCIE 2024年第20期4031-4033,共3页
Unilateral vestibular dysfunction is a one-sided impairment of vestibular function in one ear.Incorporating health education in treatment and rehabilitation plans can improve vestibular function,keep negative emotions... Unilateral vestibular dysfunction is a one-sided impairment of vestibular function in one ear.Incorporating health education in treatment and rehabilitation plans can improve vestibular function,keep negative emotions at bay,and reduce the extent of the condition.This letter investigates the impact of the informationmotivation-behavioral skills model as a medium for health education on patient outcomes.While offering encouraging observations,there are certain limitations,such as the study’s retrospective design,small sample size,use of subjective measures,and lack of longer follow-ups that challenge the cogency of the study.The study is a step toward transforming vestibular dysfunction treatment through health education. 展开更多
关键词 Vestibular dysfunction Health education information-motivation-behavioral skills model Vestibular rehabilitation Self efficacy
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A Study on the Work Process-Based Practical Training Model for Basic Nursing Skills in Vocational Colleges
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作者 Dan Li Huan Wei 《Journal of Clinical and Nursing Research》 2024年第9期128-132,共5页
Objective:To explore and analyze the work process-based practical training teaching model for basic nursing skills in vocational colleges and its implementation effects.Methods:A total of 82 nursing students from our ... Objective:To explore and analyze the work process-based practical training teaching model for basic nursing skills in vocational colleges and its implementation effects.Methods:A total of 82 nursing students from our school were selected for the study,which was conducted from April 2023 to April 2024.Using a random number table method,the students were divided into an observation group and a control group,each with 41 students.The control group received conventional practical training teaching,while the observation group followed the work process-based practical training model for basic nursing skills.The assessment scores and teaching satisfaction of the two groups were compared.Results:The comparison of assessment scores showed that the observation group performed significantly better than the control group(P<0.05).The comparison of teaching satisfaction also indicated that the observation group had significantly higher satisfaction than the control group(P<0.05).Conclusion:The work process-based practical training teaching model for basic nursing skills in vocational colleges can improve students’assessment scores and enhance teaching satisfaction,demonstrating its value for wider application. 展开更多
关键词 Work processes Vocational colleges Basic nursing skills Practical training teaching model
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A Cross-sectional Study Assessing Predictors of Essential Medicines Prescribing Behavior Based on Information-motivation-behavioral Skills Model among County Hospitals in Anhui, China 被引量:2
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作者 Yun-Wu Zhao Jing-Ya Wu +6 位作者 Heng Wang Nian-Nian Li Cheng Bian Shu-Man Xu Peng Li Hua Lu Lei Xu 《Chinese Medical Journal》 SCIE CAS CSCD 2015年第21期2887-2895,共9页
Background: The self-consciousness and practicality of preferentially prescribed essential medicines (EMs) are not high enough in county hospitals. The purposes of this study were to use the information-motivation-... Background: The self-consciousness and practicality of preferentially prescribed essential medicines (EMs) are not high enough in county hospitals. The purposes of this study were to use the information-motivation-behavioral skills (IM B) model to identify the predictors of essential medicines prescribing behavior (EMPB) among doctors and to examine the association between demographic variables, IMB, and EMPB. Methods: A cross-sectional study was carried out to assess predictive relationships among demographic variables and IM B model variables using an anonymous questionnaire administered in nine county hospitals of Anhui province. A structural equation model was constructed for the I MB model to test the instruments using analysis of moment structures 17.0. Results: A total of 732 participants completed the survey. The average age of the participants was 37.7 ± 8.9 years old (range: 22-67 years old). The correct rate of information was 90.64%. The average scores of the motivation and behavioral skills were 45.46 a: 7.34 (hundred mark system: 75.77) and 19.92 ± 3.44 (hundred mark system: 79.68), respectively. Approximately half(50.8%) of respondents reported that the proportion of EM prescription was below 60%. The final revised model indicated a good fit to the data (x^2/df= 4.146, goodness of fit index = 0.948, comparative fit index = 0.938, root mean square error of approximation = 0.066). More work experience (β = 0.153, P 〈 0.001 ) and behavioral skills (β = 0.449, P 〈 0.001 ) predicted more EMPB. Higher income predicted less information (β = -0.197, P 〈 0.001) and motivation (β =0.204, P 〈 0.001 ). Behavioral skills were positively predicted by information (β = 0.135, P 〈 0.001 ) and motivation (β = 0.742, P 〈 0.001 ). Conclusion: The present study predicted some factors of EMPB, and specified the relationships among the model variables. The utilization rate of EM was not high enough. Motivation and behavior skills were crucial factors affecting EMPB. The influence of demographic variables, such as income and work experience, on EMPB should be fully appreciated. Comprehensive intervention measures should be implemented from multiple perspectives. 展开更多
关键词 China County Hospitals Essential Medicines information-motivation-behavioral skills model PrescribingBehavior Structural Equation model
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ICARE Model:Learning Model Organization That Based on Work Skills Through Saori Weaving for Special Needs Children
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作者 Duanpenporn Chaiphugdee 《Management Studies》 2019年第4期372-377,共6页
Purpose:(1)Study the current state and needs of learning management,focusing on work skills through Saori weaving for special needs children;(2)Develop a learning management model focusing on work skills;(3)Develop a ... Purpose:(1)Study the current state and needs of learning management,focusing on work skills through Saori weaving for special needs children;(2)Develop a learning management model focusing on work skills;(3)Develop a teacher-centered learning management approach through the use of Saori weaving for special needs children;(4)Study the effectiveness of the learning management model that focuses on working with special children.Research&Development Research Results:(1)The current state and needs of learning management focused on work skills through Saori weaving for special children;(2)The learning management model emphasizing for special children is four steps:a.prepare the actual context;b.set goals;c.plan and execute;d.monitoring;and Evaluatio Saori Weaving Class has five details:(1)Inspire:I(Explain:Inspired to work for success);(2)Choose:C(Explain:Choose what you like before you can see the future do it);(3)Aim&Act:A(Explain:Work with a happy goal that has set);(4)Reflect on learning:R(Explain:Reflect on learning);(5)Experiential-Based Learning Measure by concluding:ICARE Model.The results of teacher development on learning management focused on working skills:(1)Teachers with average scores after training,35.09%was 77.98%;(2)22 trainers were able to develop a skill management plan in the 21st century at the best evaluated in 73.33%and eight persons respectively in good or 26.67%.(3)The results of the study on the effectiveness of the model showed that the extra children had a higher grade of Saori weaving.After class,75.49%were higher than the standard set of 70%and the students were satisfied with Saori weaving as the most levels. 展开更多
关键词 learning model ORGANIZATION skills THROUGH Saori WEAVING SPECIAL needs CHILDREN
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Triptych Knowledge—Skills—Payroll and Business Performance: Application of an Operational Model for an Accounting Rating of the Human Capital in the Area of Distribution
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作者 Jimmy Feige Jean-Paul Méreaux 《Chinese Business Review》 2021年第4期119-130,共12页
The human capital’s accounting could allow companies to better manage the acquired knowledge and the skills developed by the employees when they join the firm.An operational model,suitable for a business enterprise’... The human capital’s accounting could allow companies to better manage the acquired knowledge and the skills developed by the employees when they join the firm.An operational model,suitable for a business enterprise’s HR manager and validated by its headboard,needs to include the employees’expertise and skills relative to their“cost”for the employer—the wage bill—and an assessment of the commercial performance.The human capital’s valuation includes methodological issues.Besides,the notion of human capital seems hardly understandable as a whole:The human capital gathers nevertheless components,such as knowledge—skills for which a first valuation can be proposed to test an accounting evaluation model for the operational human capital.In a perspective of a responsible management and a good HR policy,the method used must be able to better manage the knowledge and the competences employees acquired by accompanying them with the appropriate human resource management practices.This paper aims to show that the accounting valuation of human capital can become a tool in order to manage the knowledge and skills acquired and able to support a company’s human resources policy while being useful to its commercial performance—here in the distribution sector.In a research-intervention frame led in a responsible group,we use a model based on a triptych—wage bill,knowledge,and skills—to evaluate the human capital’s accounting,with an analytical highlight on the components measurement of the used“knowledge”and“skills”indexes in particular.A reflection on the operational model’s enrichment is proposed. 展开更多
关键词 human capital knowledge and skills indices accounting valuation operational model distribution sector
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Contribution of the MERISE-Type Conceptual Data Model to the Construction of Monitoring and Evaluation Indicators of the Effectiveness of Training in Relation to the Needs of the Labor Market in the Republic of Congo
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作者 Roch Corneille Ngoubou Basile Guy Richard Bossoto Régis Babindamana 《Open Journal of Applied Sciences》 2024年第8期2187-2200,共14页
This study proposes the use of the MERISE conceptual data model to create indicators for monitoring and evaluating the effectiveness of vocational training in the Republic of Congo. The importance of MERISE for struct... This study proposes the use of the MERISE conceptual data model to create indicators for monitoring and evaluating the effectiveness of vocational training in the Republic of Congo. The importance of MERISE for structuring and analyzing data is underlined, as it enables the measurement of the adequacy between training and the needs of the labor market. The innovation of the study lies in the adaptation of the MERISE model to the local context, the development of innovative indicators, and the integration of a participatory approach including all relevant stakeholders. Contextual adaptation and local innovation: The study suggests adapting MERISE to the specific context of the Republic of Congo, considering the local particularities of the labor market. Development of innovative indicators and new measurement tools: It proposes creating indicators to assess skills matching and employer satisfaction, which are crucial for evaluating the effectiveness of vocational training. Participatory approach and inclusion of stakeholders: The study emphasizes actively involving training centers, employers, and recruitment agencies in the evaluation process. This participatory approach ensures that the perspectives of all stakeholders are considered, leading to more relevant and practical outcomes. Using the MERISE model allows for: • Rigorous data structuring, organization, and standardization: Clearly defining entities and relationships facilitates data organization and standardization, crucial for effective data analysis. • Facilitation of monitoring, analysis, and relevant indicators: Developing both quantitative and qualitative indicators helps measure the effectiveness of training in relation to the labor market, allowing for a comprehensive evaluation. • Improved communication and common language: By providing a common language for different stakeholders, MERISE enhances communication and collaboration, ensuring that all parties have a shared understanding. The study’s approach and contribution to existing research lie in: • Structured theoretical and practical framework and holistic approach: The study offers a structured framework for data collection and analysis, covering both quantitative and qualitative aspects, thus providing a comprehensive view of the training system. • Reproducible methodology and international comparison: The proposed methodology can be replicated in other contexts, facilitating international comparison and the adoption of best practices. • Extension of knowledge and new perspective: By integrating a participatory approach and developing indicators adapted to local needs, the study extends existing research and offers new perspectives on vocational training evaluation. 展开更多
关键词 MERISE Conceptual Data model (MCD) Monitoring Indicators Evaluation of Training Effectiveness Training-Employment Adequacy Labor Market Information Systems Analysis Adjustment of Training Programs EMPLOYABILITY Professional skills
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Exploring International Media and Information Literacy Initiatives: Insights From DW Akademie’s MIL Model
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作者 Dadakhonov Azamjon Oltmishevich 《Journalism and Mass Communication》 2024年第2期75-89,共15页
Media and Information Literacy(MIL)is one of the most important topics in today’s mediatized world.Under the leadership of United Nations Educational,Scientific and Cultural Organization(UNESCO),many international or... Media and Information Literacy(MIL)is one of the most important topics in today’s mediatized world.Under the leadership of United Nations Educational,Scientific and Cultural Organization(UNESCO),many international organizations in the world,as foreign donors,annually announce many projects and grants for the promotion and development of the field of MIL in the countries of the world.One of the main actors of this movement is DW Akademie with different media and MIL projects several countries of the world.This research paper delves into the role of DW Akademie’s MIL model in shaping a media-savvy generation.The study explores the theoretical underpinnings and practical applications of Deutsche Welle(DW)Akademie’s MIL model,analysing its effectiveness in fostering media literacy skills.The research employs a multi-faceted approach,incorporating case studies to assess the model’s impact across diverse demographics.The paper also considers the model’s alignment with global educational policies and proposes recommendations for its integration into broader frameworks.By investigating DW Akademie’s MIL model,this research contributes to the ongoing discourse on media literacy education,providing valuable insights for educators,policymakers,and researchers.The findings offer a nuanced understanding of the model’s position in cultivating a media-savvy generation poised to navigate the complexities of the information age. 展开更多
关键词 Media and Information Literacy(MIL) DW Akademie international projects a strategic model MIL personae media literacy skills
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Analysis on Application of Pragmatic Translation Skill Structure Model in Translation Teaching
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作者 宋俐娟 《疯狂英语(理论版)》 2016年第3期155-156,共2页
As the core content of pragmatic translation teaching research,pragmatic translation skill is closely correlated with translation technique and operation field.Viewed from the current English teaching situation in col... As the core content of pragmatic translation teaching research,pragmatic translation skill is closely correlated with translation technique and operation field.Viewed from the current English teaching situation in colleges and universities,translation skill is not cultivated as an independent language competence.Moreover,its research is insufficient.On account of this,the author first gives an introduction to pragmatic translation skill and pragmatic translation skill structure model in this paper.On this basis,the author also analyzes the application of pragmatic translation skill structure model in translation teaching. 展开更多
关键词 pragmatic translation skill structure model translation teaching APPLICATION
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Discussion of skill improvement in marine ecosystem dynamic models based on parameter optimization and skill assessment 被引量:1
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作者 沈程程 石洪华 +2 位作者 刘永志 李芬 丁德文 《Chinese Journal of Oceanology and Limnology》 SCIE CAS CSCD 2016年第4期683-696,共14页
Marine ecosystem dynamic models(MEDMs) are important tools for the simulation and prediction of marine ecosystems. This article summarizes the methods and strategies used for the improvement and assessment of MEDM ski... Marine ecosystem dynamic models(MEDMs) are important tools for the simulation and prediction of marine ecosystems. This article summarizes the methods and strategies used for the improvement and assessment of MEDM skill, and it attempts to establish a technical framework to inspire further ideas concerning MEDM skill improvement. The skill of MEDMs can be improved by parameter optimization(PO), which is an important step in model calibration. An effi cient approach to solve the problem of PO constrained by MEDMs is the global treatment of both sensitivity analysis and PO. Model validation is an essential step following PO, which validates the effi ciency of model calibration by analyzing and estimating the goodness-of-fi t of the optimized model. Additionally, by focusing on the degree of impact of various factors on model skill, model uncertainty analysis can supply model users with a quantitative assessment of model confi dence. Research on MEDMs is ongoing; however, improvement in model skill still lacks global treatments and its assessment is not integrated. Thus, the predictive performance of MEDMs is not strong and model uncertainties lack quantitative descriptions, limiting their application. Therefore, a large number of case studies concerning model skill should be performed to promote the development of a scientifi c and normative technical framework for the improvement of MEDM skill. 展开更多
关键词 marine ecosystem dynamic models global optimization CALIBRATION model skill VALIDATION UNCERTAINTY
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Implications from Subseasonal Prediction Skills of the Prolonged Heavy Snow Event over Southern China in Early 2008 被引量:2
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作者 Keyue ZHANG Juan LI +1 位作者 Zhiwei ZHU Tim LI 《Advances in Atmospheric Sciences》 SCIE CAS CSCD 2021年第11期1873-1888,共16页
An exceptionally prolonged heavy snow event(PHSE)occurred in southern China from 10 January to 3 February 2008,which caused considerable economic losses and many casualties.To what extent any dynamical model can predi... An exceptionally prolonged heavy snow event(PHSE)occurred in southern China from 10 January to 3 February 2008,which caused considerable economic losses and many casualties.To what extent any dynamical model can predict such an extreme event is crucial for disaster prevention and mitigation.Here,we found the three S2S models(ECMWF,CMA1.0 and CMA2.0)can predict the distribution and intensity of precipitation and surface air temperature(SAT)associated with the PHSE at 10-day lead and 10−15-day lead,respectively.The success is attributed to the models’capability in forecasting the evolution of two important low-frequency systems in the tropics and mid-latitudes[the persistent Siberian High and the suppressed phase of the Madden−Julian Oscillation(MJO)],especially in the ECMWF model.However,beyond the 15-day lead,the three models show almost no skill in forecasting this PHSE.The bias in capturing the two critical circulation systems is responsible for the low skill in forecasting the 2008 PHSE beyond the 15-day lead.On one hand,the models cannot reproduce the persistence of the Siberian High,which results in the underestimation of negative SAT anomalies over southern China.On the other hand,the models cannot accurately capture the suppressed convection of the MJO,leading to weak anomalous southerly and moisture transport,and therefore the underestimation of precipitation over southern China.The Singular Value Decomposition(SVD)analyses between the critical circulation systems and SAT/precipitation over southern China shows a robust historical relation,indicating the fidelity of the predictability sources for both regular events and extreme events(e.g.,the 2008 PHSE). 展开更多
关键词 prolonged heavy snow event S2S prediction models subseasonal prediction skill MJO Siberian High
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Factors Limiting the Forecast Skill of the Boreal Summer Intraseasonal Oscillation in a Subseasonal-to-Seasonal Model 被引量:1
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作者 Zheng HE Pangchi HSU +2 位作者 Xiangwen LIU Tongwen WU Yingxia GAO 《Advances in Atmospheric Sciences》 SCIE CAS CSCD 2019年第1期104-118,共15页
In this study,we evaluate the forecast skill of the subseasonal-to-seasonal(S2S)prediction model of the Beijing Climate Center(BCC)for the boreal summer intraseasonal oscillation(BSISO).We also discuss the key factors... In this study,we evaluate the forecast skill of the subseasonal-to-seasonal(S2S)prediction model of the Beijing Climate Center(BCC)for the boreal summer intraseasonal oscillation(BSISO).We also discuss the key factors that inhibit the BSISO forecast skill in this model.Based on the bivariate anomaly correlation coefficient(ACC)of the BSISO index,defined by the first two EOF modes of outgoing longwave radiation and 850-hPa zonal wind anomalies over the Asian monsoon region,we found that the hindcast skill degraded as the lead time increased.The ACC dropped to below 0.5for lead times of 11 days and longer when the predicted BSISO showed weakened strength and insignificant northward propagation.To identify what causes the weakened forecast skill of BSISO at the forecast lead time of 11 days,we diagnosed the main mechanisms responsible for the BSISO northward propagation.The same analysis was also carried out using the observations and the outputs of the four-day forecast lead that successfully predicted the observed northward-propagating BSISO.We found that the lack of northward propagation at the 11-day forecast lead was due to insufficient increases in low-level cyclonic vorticity,moistening and warm temperature anomalies to the north of the convection,which were induced by the interaction between background mean flows and BSISO-related anomalous fields.The BCC S2S model can predict the background monsoon circulations,such as the low-level southerly and the northerly and easterly vertical shears,but has limited capability in forecasting the distributions of circulation and moisture anomalies. 展开更多
关键词 BCC S2S model boreal summer intraseasonal oscillation forecast skill northward propagation
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Application of a hospital–community–family trinity rehabilitation nursing model combined with motor imagery therapy in patients with cerebral infarction 被引量:7
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作者 Wen-Wen Li Min Li +1 位作者 Xiao-Juan Guo Fu-De Liu 《World Journal of Clinical Cases》 SCIE 2023年第3期621-628,共8页
BACKGROUND Rehabilitation nursing is considered an indispensable part of the cerebral infarction treatment system.The hospital–community–family trinity rehabilitation nursing model can provide continuous nursing ser... BACKGROUND Rehabilitation nursing is considered an indispensable part of the cerebral infarction treatment system.The hospital–community–family trinity rehabilitation nursing model can provide continuous nursing services across hospitals,communities,and families for patients.AIM To explore the application of a hospital–community–family rehabilitation nursing model combined with motor imagery therapy in patients with cerebral infarction.METHODS From January 2021 to December 2021,88 patients with cerebral infarction were divided into a study(n=44)and a control(n=44)group using a simple random number table.The control group received routine nursing and motor imagery therapy.The study group was given hospital–community–family trinity rehabilitation nursing based on the control group.Motor function(FMA),balance ability(BBS),activities of daily living(BI),quality of life(SS-QOL),activation status of the contralateral primary sensorimotor cortical area to the affected side,and nursing satisfaction were evaluated before and after intervention in both groups.RESULTS Before intervention,FMA and BBS were similar(P>0.05).After 6 months’intervention,FMA and BBS were significantly higher in the study than in the control group(both P<0.05).Before intervention,BI and SS-QOL scores were not different between the study and control group(P>0.05).However,after 6months’intervention,BI and SS-QOL were higher in the study than in the control group(P<0.05).Before intervention,activation frequency and volume were similar between the study and the control group(P>0.05).After 6 months’intervention,the activation frequency and volume were higher in the study than in the control group(P<0.05).The reliability,empathy,reactivity,assurance,and tangibles scores for quality of nursing service were higher in the study than in the control group(P<0.05).CONCLUSION Combining a hospital–community–family trinity rehabilitation nursing model and motor imagery therapy enhances the motor function and balance ability of patients with cerebral infarction,improving their quality of life. 展开更多
关键词 Activities of daily living Cerebral infarction Hospital-community-family trinity rehabilitation nursing model Motor skills Motor imagery therapy Postural balance
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Parenting Skills Determinant in Preventing Adolescents’ Sexual Health Risk Behavior
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作者 Rosnah Sutan Aimi Nazri Mahat 《Open Journal of Preventive Medicine》 2017年第1期1-13,共13页
Parenting skill is one of the crucial needs that parents must have in caring adolescents’ sexual health risk behavior. Present study aims to determine predictors of parenting skills in preventing adolescents’ sexual... Parenting skill is one of the crucial needs that parents must have in caring adolescents’ sexual health risk behavior. Present study aims to determine predictors of parenting skills in preventing adolescents’ sexual health risk behavior. A cross sectional study was conducted among adolescents’ parents who attended government health clinics in a semi-urban district, West Malaysia. Data were collected by systematic random sampling using validated questionnaire from eight government health clinics based on routine daily out-patient services. There were 386 respondents participated with 98.9% of response rate. Parental skill is categorized as appropriate or inappropriate based on Trans-Theoretical Model (TTM) staging. Eighteen independent variables were used: parental socioeconomic status, adolescent characteristic, parenting style, parent-adolescent communication, parental stress, perception on adolescent sexual risk, comfortable in discussing sexual issues, knowledge in sexual reproductive health (SRH) and knowledge in HIV/AIDS. Assessment of parenting skills using the TTM stage showed 139 respondents (36%) had inappropriate parenting skills, in which they were in pre contemplation, contemplation or preparedness stages, while 247 respondents (64%) showed appropriate parenting skills when they were in action and maintenance stages of TTM. Older parent, late adolescent, low parental education level, extended family living arrangement, comfortable in discussing sexual issues, good parent-adolescent communication and higher knowledge in HIV/AIDS were found significant in bivariate analysis. Multivariate logistic regression analysis identified older parent (AOR = 1.927, 95% CI = 1.889 - 1.966, p < 0.001), lower parental education (AOR = 2.394, 95% CI = 1.348 - 4.254, p = 0.003), comfortable in discussing sexual issues (AOR = 3.810, 95% CI = 1.622 - 8.948, p = 0.002), good parent-adolescent communication (AOR = 4.741, 95% CI = 2.478 - 9.071, p ≤ 0.001) and having higher knowledge on HIV/AIDS (AOR = 2.804, 95% CI = 1.528 - 5.147, p = 0.001) as significant predictors for appropriate parenting skills in preventing adolescent sexual health risk behavior. In conclusion, more than one third of parents were still not ready in preventing adolescent sexual risk behavior. Targeting the young parents and those having difficulty in communicating sexual issues with theirs adolescents should be emphasized in early intervention program for parents. Self-assessment using TTM stage questionnaire will help parents to identify their parenting skills in preventing adolescent sexual health risk behavior. 展开更多
关键词 Trans-Theoretical model STAGING PARENTING skills ADOLESCENT Sexual Risk Behavior
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NARCCAP Model Skill and Bias for the Southeast United States
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作者 Erik D. Kabela Gregory J. Carbone 《American Journal of Climate Change》 2015年第1期94-114,共21页
This paper investigates dynamically downscaled regional climate model (RCM) output from the North American Regional Climate Change Assessment Program (NARCCAP) for two sub-regions of the Southeast United States. A sui... This paper investigates dynamically downscaled regional climate model (RCM) output from the North American Regional Climate Change Assessment Program (NARCCAP) for two sub-regions of the Southeast United States. A suite of four statistical measures were used to assess model skill and biases were presented in hindcasting daily minimum and maximum temperature and mean precipitation during a historical reference period, 1970-1999. Most models demonstrated high skill for temperature during the historical period. Two outliers included two RCMs run using the Geophysical Fluids Dynamics Lab (GFDL) model as their lateral boundary conditions;these models suffered from a cold maximum temperature bias. Improvement with GFDL-based projections of maximum temperature was noted from May through November when they ran with observed seasurface conditions (GFDL-timeslice), particularly for the east sub-region. Precipitation skill proved mixed-relatively high when measured using a probability density function overlap measurement or the index of agreement, but relatively low when measured with root-mean square error or mean absolute error, because several models overestimated the frequency of extreme precipitation events. 展开更多
关键词 NARCCAP model skill model BIAS
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Investigating the ENSO prediction skills of the Beijing Climate Center climate prediction system version 2
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作者 Yanjie Cheng Youmin Tang +7 位作者 Tongwen Wu Xiaoge Xin Xiangwen Liu Jianglong Li Xiaoyun Liang Qiaoping Li Junchen Yao Jinghui Yan 《Acta Oceanologica Sinica》 SCIE CAS CSCD 2022年第5期99-109,共11页
The El Niño-Southern Oscillation(ENSO)ensemble prediction skills of the Beijing Climate Center(BCC)climate prediction system version 2(BCC-CPS2)are examined for the period from 1991 to 2018.The upper-limit ENSO p... The El Niño-Southern Oscillation(ENSO)ensemble prediction skills of the Beijing Climate Center(BCC)climate prediction system version 2(BCC-CPS2)are examined for the period from 1991 to 2018.The upper-limit ENSO predictability of this system is quantified by measuring its“potential”predictability using information-based metrics,whereas the actual prediction skill is evaluated using deterministic and probabilistic skill measures.Results show that:(1)In general,the current operational BCC model achieves an effective 10-month lead predictability for ENSO.Moreover,prediction skills are up to 10–11 months for the warm and cold ENSO phases,while the normal phase has a prediction skill of just 6 months.(2)Similar to previous results of the intermediate coupled models,the relative entropy(RE)with a dominating ENSO signal component can more effectively quantify correlation-based prediction skills compared to the predictive information(PI)and the predictive power(PP).(3)An evaluation of the signal-dependent feature of the prediction skill scores suggests the relationship between the“Spring predictability barrier(SPB)”of ENSO prediction and the weak ENSO signal phase during boreal spring and early summer. 展开更多
关键词 ENSO ensemble prediction skill potential predictability measure BCC-CPS2 climate model
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Seasonal Prediction Skill and Biases in GloSea5 Relating to the East Asia Winter Monsoon 被引量:2
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作者 Daquan ZHANG Lijuan CHEN +1 位作者 Gill MMARTIN Zongjian KE 《Advances in Atmospheric Sciences》 SCIE CAS CSCD 2023年第11期2013-2028,共16页
The simulation and prediction of the climatology and interannual variability of the East Asia winter monsoon(EAWM),as well as the associated atmospheric circulation,was investigated using the hindcast data from Global... The simulation and prediction of the climatology and interannual variability of the East Asia winter monsoon(EAWM),as well as the associated atmospheric circulation,was investigated using the hindcast data from Global Seasonal Forecast System version 5(GloSea5),with a focus on the evolution of model bias among different forecast lead times.While GloSea5 reproduces the climatological means of large-scale circulation systems related to the EAWM well,systematic biases exist,including a cold bias for most of China’s mainland,especially for North and Northeast China.GloSea5 shows robust skill in predicting the EAWM intensity index two months ahead,which can be attributed to the performance in representing the leading modes of surface air temperature and associated background circulation.GloSea5 realistically reproduces the synergistic effect of El Niño–Southern Oscillation(ENSO)and the Arctic Oscillation(AO)on the EAWM,especially for the western North Pacific anticyclone(WNPAC).Compared with the North Pacific and North America,the representation of circulation anomalies over Eurasia is poor,especially for sea level pressure(SLP),which limits the prediction skill for surface air temperature over East Asia.The representation of SLP anomalies might be associated with the model performance in simulating the interaction between atmospheric circulations and underlying surface conditions. 展开更多
关键词 East Asia winter monsoon(EAWM) Global Seasonal Forecast System version 5(GloSea5) El Niño–Southern Oscillation(ENSO) prediction skill model bias
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Seasonal Prediction of Tropical Cyclones and Storms over the Southwestern Indian Ocean Region Using the Generalized Linear Models
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作者 Kombo Hamad Kai Yohanna Wilson Shaghude +4 位作者 Christian Bs Uiso Agnes Laurent Kijazi Sarah Osima Sara Abdalla Khamis Asya Omar Hamad 《Atmospheric and Climate Sciences》 CAS 2023年第2期103-137,共35页
Tropical cyclones (TCs) and storms (TSs) are among the devastating events in the world and southwestern Indian Ocean (SWIO) in particular. The seasonal forecasting TCs and TSs for December to March (DJFM) and November... Tropical cyclones (TCs) and storms (TSs) are among the devastating events in the world and southwestern Indian Ocean (SWIO) in particular. The seasonal forecasting TCs and TSs for December to March (DJFM) and November to May (NM) over SWIO were conducted. Dynamic parameters including vertical wind shear, mean zonal steering wind and vorticity at 850 mb were derived from NOAA (NCEP-NCAR) reanalysis 1 wind fields. Thermodynamic parameters including monthly and daily mean Sea Surface Temperature (SST), Outgoing Longwave Radiation (OLR) and equatorial Standard Oscillation Index (SOI) were used. Three types of Poison regression models (i.e. dynamic, thermodynamic and combined models) were developed and validated using the Leave One Out Cross Validation (LOOCV). Moreover, 2 × 2 square matrix contingency tables for model verification were used. The results revealed that, the observed and cross validated DJFM and NM TCs and TSs strongly correlated with each other (p ≤ 0.02) for all model types, with correlations (r) ranging from 0.62 - 0.86 for TCs and 0.52 - 0.87 for TSs, indicating great association between these variables. Assessment of the model skill for all model types of DJFM and NM TCs and TSs frequency revealed high skill scores ranging from 38% - 70% for TCs and 26% - 72% for TSs frequency, respectively. Moreover, results indicated that the dynamic and combined models had higher skill scores than the thermodynamic models. The DJFM and NM selected predictors explained the TCs and TSs variability by the range of 0.45 - 0.65 and 0.37 - 0.66, respectively. However, verification analysis revealed that all models were adequate for predicting the seasonal TCs and TSs, with high bias values ranging from 0.85 - 0.94. Conclusively, the study calls for more studies in TCs and TSs frequency and strengths for enhancing the performance of the March to May (MAM) and December to October (OND) seasonal rainfalls in the East African (EA) and Tanzania in particular. 展开更多
关键词 Tropical Cyclones and Storms Frequency Thermodynamic and Dynamic models skill Scores TCs/TSs Variability and Verification Leave One out Cross Validation
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用T4C模式培养高阶能力:对杜威教学法的重建 被引量:1
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作者 彭正梅 陈丽莎 王凯 《开放教育研究》 CSSCI 北大核心 2024年第2期49-58,22,共11页
约翰·杜威的五步教学法在教育领域具有重要意义。本研究重新审视了杜威的五步教学法,强调该教学法忽视的杜威哲学中的要素:民主、共同体中的交流与合作、对工具的使用、对结果的反思,以及最终作品的产生和共同体的改善。本文通过... 约翰·杜威的五步教学法在教育领域具有重要意义。本研究重新审视了杜威的五步教学法,强调该教学法忽视的杜威哲学中的要素:民主、共同体中的交流与合作、对工具的使用、对结果的反思,以及最终作品的产生和共同体的改善。本文通过深入研究杜威著作,结合其中蕴含的其他重要要素提出了T4C模式。T4C模式强调个体的探究性学习(C1代表批判性思维和问题解决,杜威称之为反思性思维或实践)是在共同体中利用工具(Tools,如概念、技术等)以合作(C2)和交流(C3)的方式开展的。这种探究性学习的预期结果是获得创造性的新体验和新工具(C4)。T4C模式为现代社会所迫切需要的工具使用能力、批判性思维、交流能力、合作能力和创新能力等高阶能力,提供了培养框架,其本质在于用高阶能力培养高阶能力,有助于实现杜威社会政治理想中民主与教育的根本关联。 展开更多
关键词 杜威五步教学法 高阶能力 4C能力 反思性思维 探究 T4C模式
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