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 o...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.展开更多
Background:Shared decision-making(SDM)implementation is a priority for Australian health systems,including general practices but it remains complex for specific groups like older rural Australians.We initiated a quali...Background:Shared decision-making(SDM)implementation is a priority for Australian health systems,including general practices but it remains complex for specific groups like older rural Australians.We initiated a qualitative study with older rural Australians to explore barriers to and facilitators of SDM in local general practices.Methods:We conducted a patient-oriented research,partnering with older rural Australians,families,and health service providers in research design.Participants who visited general practices were purposively sampled from five small rural towns in South Australia.A semi-structured interview guide was used for interviews and reflexive thematic coding was conducted.Results:Telephone interviews were held with 27 participants.Four themes were identified around older rural adults’involvement in SDM:(1)Understanding of"patient involvement";(2)Positive and negative outcomes;(3)Barriers to SDM;and(4)Facilitators to SDM.Understanding of patient involvement in SDM considerably varied among participants,with some reporting their involvement was contingent on the“opportunity to ask questions”and the“treatment choices”offered to them.Alongside the opportunity for involvement,barriers such as avoidance of cultural care and a lack of continuity of care are new findings.Challenges encountered in SDM implementation also included resource constraints and time limitations in general practices.Rural knowledge of general practitioners and technology integration in consultations were viewed as potential enablers..Conclusion:Adequate resources and well-defined guidelines about the process should accompany the implementation of SDM in rural general practices of South Australia.Innovative strategies by general practitioners promoting health literacy and culturally-tailored communication approaches could increase older rural Australians'involvement in general.展开更多
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 re...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.展开更多
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,...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.展开更多
With the gradual completion of the overall planning of city and county land space,the detailed planning will be prepared according to the requirements of transmitting and refining the upper planning.Industrial parks a...With the gradual completion of the overall planning of city and county land space,the detailed planning will be prepared according to the requirements of transmitting and refining the upper planning.Industrial parks are one of the“main forces”of local economic development,and the preparation of their detailed planning will escort their development.The key points of the Control Indicators of Construction Land in Industrial Projectsissued in 2008 and 2023 were compared,and the new requirements for detailed planning under the background of territorial space and the contradictions between the detailed planning of industrial parks and the overall planning of the upper territorial space were sorted out based on the summary of the existing problems in the development of chemical parks.It provides some ideas for the practice of detailed planning of chemical industrial parks under the background of territorial space.展开更多
[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 acu...[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.展开更多
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 bui...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.展开更多
The course ROS Robot Programming Practice is designed to equip students with both the foundational principles and practical applications of the Robot Operating System(ROS)through structured instruction and hands-on ex...The course ROS Robot Programming Practice is designed to equip students with both the foundational principles and practical applications of the Robot Operating System(ROS)through structured instruction and hands-on exercises.This paper summarizes the course’s pedagogical approach and the insights gained from its implementation,focusing on key areas such as the practical teaching platform,instructional system,teaching methods,and evaluation mechanisms.The practical teaching platform incorporates robotic arms and mobile robots,along with commonly used sensors,to engage students and stimulate their interest in robotics.A well-structured teaching system is employed,guiding students through a series of experiments-ranging from basic tasks to modeling and simulation experiments,sensor experiments,mobile robot tasks,robotic arm exercises,and comprehensive project practices.Regarding teaching methods,a blended learning approach and progressive instructional model are utilized to ensure active student participation.This approach follows a logical progression,starting with fundamental ROS knowledge,advancing to robot applications,and culminating in comprehensive project-based practice.In terms of evaluation,a dual approach combining process and outcome assessments is employed,ensuring that students’performance is evaluated comprehensively through various metrics.展开更多
Innovation and entrepreneurship education is a critical direction for deepening the teaching reform of colleges and universities in the contemporary era.As pivotal centers for talent development,colleges and universit...Innovation and entrepreneurship education is a critical direction for deepening the teaching reform of colleges and universities in the contemporary era.As pivotal centers for talent development,colleges and universities should proactively investigate the construction and implementation of a comprehensive curriculum system dedicated to mass innovation and entrepreneurship education.This paper discusses the significance of establishing a curriculum group focused on landscape plants within the framework of mass innovation and entrepreneurship.The construction and implementation outcomes of this curriculum group are examined from five key aspects:the curriculum system and content,the faculty,the practical teaching platform,the teaching model,and the teaching evaluation system.The aim is to enhance the development of botany curricula within the landscape architecture discipline and to foster the cultivation of mass innovative and entrepreneurial talents equipped with a spirit of innovation and the capacity for entrepreneurship.展开更多
The concept of OBE(outcome-based education)is more focused on designing and implementing teaching activities around expected learning outcomes than the traditional teaching model and enhancing the quality of education...The concept of OBE(outcome-based education)is more focused on designing and implementing teaching activities around expected learning outcomes than the traditional teaching model and enhancing the quality of education through clear and measurable learning outcomes,which has led to profound changes in the field of education.However,environmental design practice teaching faces a series of challenges in the implementation of the OBE concept,including the complexity of the assessment system,personalized learning and creative learning,and over-reliance on quantitative assessment.Therefore,in order to further deepen the professionalization of the OBE concept,we have conducted research on the design education practice models at home and abroad,explored the practice teaching models and their applications such as project system,studio model,practical internships,and technology-driven interdisciplinary integration,and took the practice innovative teaching models of Stanford d.school and Rhode Island School of Design(RISD)as examples to explore the characteristics of the curricula,cultivation modes,and the development of the environmental design professional practice teaching model.The characteristics of OBE and RISD are discussed to provide a global vision and local contextual reference for the practice teaching reform of environmental design majors.展开更多
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 blo...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.展开更多
Driven by the strategic goal of“dual carbon,”the electric power industry is entering a critical period of transformation and upgrading,and there is a growing demand for composite and applied talents who are both pro...Driven by the strategic goal of“dual carbon,”the electric power industry is entering a critical period of transformation and upgrading,and there is a growing demand for composite and applied talents who are both proficient in professional technology and good at management.Taking the electrical engineering and automation major of Liupanshui Normal University as an example,this study addresses existing challenges in current talent cultivation practices.By emphasizing the deep integration of theory and practice and aligning closely with industry needs,the study aims to ensure that the talent cultivation system is both forward-looking and practical.Focusing on key aspects such as the practical teaching system,practice platforms,teaching content,instructional methods,assessment and evaluation strategies,and resource optimization,a series of targeted measures are proposed.These measures aim to construct a comprehensive,multi-dimensional practice education system that enhances students’practical innovation abilities and overall competencies.This approach not only improves the quality of talent cultivation but also serves as a valuable reference for the development of electrical engineering education in similar local colleges and universities.展开更多
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 ...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.展开更多
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 pra...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.展开更多
BACKGROUND Addressing oculoplastic conditions in the preoperative period ensures both the safety and functional success of any ophthalmic procedure.Some oculoplastic conditions,like nasolacrimal duct obstruction,have ...BACKGROUND Addressing oculoplastic conditions in the preoperative period ensures both the safety and functional success of any ophthalmic procedure.Some oculoplastic conditions,like nasolacrimal duct obstruction,have been extensively studied,whereas others,like eyelid malposition and thyroid eye disease,have received minimal or no research.AIM To investigate the current practice patterns among ophthalmologists while treating concomitant oculoplastic conditions before any subspecialty ophthalmic intervention.METHODS A cross-sectional survey was disseminated among ophthalmologists all over India.The survey included questions related to pre-operative evaluation,anaesthetic and surgical techniques preferred,post-operative care,the use of adjunctive therapies,and patient follow-up patterns.RESULTS A total of 180 ophthalmologists responded to the survey.Most practitioners(89%)felt that the ROPLAS test was sufficient during pre-operative evaluation before any subspecialty surgery was advised.The most common surgical techniques employed were lacrimal drainage procedures(Dacryocystorhinostomy)(63.3%),eyelid malposition repair(36.9%),and ptosis repair(58.7%).Post-operatively,47.7%of respondents emphasized that at least a 4-week gap should be maintained after lacrimal drainage procedures and eyelid surgeries.Sixty-seven percent of ophthalmologists felt that topical anaesthetic procedures should be preferred while performing ocular surgeries in thyroid eye disease patients.CONCLUSION Approximately 50%of ophthalmologists handle prevalent oculoplastic issues themselves,seeking the expertise of an oculoplastic surgeon under particular conditions.Many ophthalmologists still favor using ROPLAS as a preliminary screening method before proceeding with cataract surgery.Eyelid conditions and thyroid eye disease are not as commonly addressed before subspecialty procedures compared to issues like nasolacrimal duct obstruction and periocular infections.展开更多
The article"Secondary diabetes due to different etiologies:Four case reports"by Song et al,published in the World Journal of Clinical Cases,delves into the identi-fication of rare causes of secondary diabete...The article"Secondary diabetes due to different etiologies:Four case reports"by Song et al,published in the World Journal of Clinical Cases,delves into the identi-fication of rare causes of secondary diabetes and emphasizes the necessity for healthcare professionals to recognize these conditions.Failure to do so can result in treatment delays and compromised patient outcomes.The article discusses spe-cific types of diabetes,including maturity onset of diabetes in young,pancreas-related diseases,endocrinopathies,drug-induced diabetes,infections,and con-genital genetic syndromes associated with diabetes mellitus.Case summaries highlight how patients with secondary diabetes,stemming from conditions such as Williams-Beuren syndrome and pituitary adenoma,often exhibit distinct characteristics overlooked in clinical practice.The authors stress the importance of a holistic diagnostic approach and advocate for proactive management through early intervention,including genetic tests and antibody detection.Increased awa-reness and education are crucial for timely identification and proper management,ultimately improving patient well-being.These findings prompt a call to action for healthcare professionals to consider rare causes of secondary diabetes,facili-tating better glycemic control and overall patient care.展开更多
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 intelligen...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.展开更多
BACKGROUND Ischemic bowel disease(IBD)is a critical condition caused by reduced blood flow to the intestines,leading to tissue damage and potentially severe complications.Early recognition and timely management are es...BACKGROUND Ischemic bowel disease(IBD)is a critical condition caused by reduced blood flow to the intestines,leading to tissue damage and potentially severe complications.Early recognition and timely management are essential for improving patient outcomes and reducing morbidity and mortality associated with IBD.AIM To evaluate the knowledge,attitude and practice(KAP)of healthcare professionals regarding IBD.METHODS This cross-sectional study was conducted among healthcare professionals in China from November 2023 to December 2023 using a self-designed questionnaire.RESULTS A total of 315 valid questionnaires were analyzed,with 215 participants(68.25%)being female.The mean KAP scores were 17.55±5.35(range:0-24),27.65±2.77(range:8-40),and 18.88±4.23(range:6-30),respectively.Multivariate linear regression analysis revealed the following factors to be independently associated with knowledge:Age 26-35 years(β=2.80,95%CI:0.31-5.30,P=0.028),professional title(β=2.66,95%CI:0.91-4.41,P=0.003),position(β=-3.78,95%CI:-5.45 to-2.11,P<0.001),participation in IBD-related training(β=3.45,95%CI:2.39-4.51,P<0.001),and admission of more than five IBD cases in the past month(β=3.25,95%CI:1.58-4.92,P<0.001).Attitude was independently associated with knowledge(β=0.20,95%CI:0.15-0.26,P<0.001)and being a nurse or nursing supervisor(β=-1.30,95%CI:-2.16 to-0.40,P=0.003).Practice was independently associated with knowledge(β=0.20,95%CI:0.10-0.30,P<0.001)and attitude(β=0.24,95%CI:0.06-0.42,P=0.007).Structural equation modeling demonstrated direct effects of knowledge on attitude(β=0.24,P<0.001)and practice(β=0.26,P<0.001),as well as of attitude on practice(β=0.22,P=0.012).CONCLUSION Healthcare professionals demonstrated adequate knowledge but moderate attitude and inactive practice regarding IBD.Addressing the gaps in attitude and practice through targeted training programs and interventions is essential for improving patient care and outcomes.展开更多
BACKGROUND Intraoperative and postoperative biliary injuries remain significant complications of laparoscopic common bile duct exploration(LCBDE).Indocyanine green(ICG)has been shown to significantly reduce injuries c...BACKGROUND Intraoperative and postoperative biliary injuries remain significant complications of laparoscopic common bile duct exploration(LCBDE).Indocyanine green(ICG)has been shown to significantly reduce injuries caused by intraoperative operational errors.We found that the J-tube can reduce postoperative strictures and injuries to the common bile duct.At this moment,we aim to analyze and compare the complications,efficacy,short-term outcomes,and feasibility of these two adjunctive tools for LCBDE.AIM To evaluate the efficacy of ICG fluorescence imaging In LCBDE and J-tube drainage for patients with common bile duct stones.METHODS We retrospectively collected the clinical case data of patients who were treated at the Hepatobiliary Surgery Department of the Third People’s Hospital of Nantong,affiliated with Nantong University,from January 2016 to January 2021 due to gallbladder stones with choledocholithiasis and who underwent LCBDE combined with a primary suture and either J-tube or T-tube drainage.The patients were divided into groups:Traditional white-light laparoscopy+T-tube group(WL+T-tube),traditional WL+J-tube group,fluorescent laparoscopy+T-tube group(ICG+T-tube)and fluorescent laparoscopy+J-tube group(ICG+J-tube).The preoperative and postoperative clinical case data,laboratory examination data,and intraoperative and postoperative complications(including postoperative bile leakage,electrolyte disturbances,biliary peritonitis,and postoperative infections)and other relevant indicators were compared.RESULTS A total of 198 patients(112 males and 86 females)were included in the study,with 74 patients in the WL+T-tube,47 in the WL+J-tube,42 in the ICG+T-tube,and 35 in the ICG+J-tube.Compared with the other groups,the ICG+J had significantly shorter operation time(114 minutes,P=0.001),less blood loss(42 mL,P=0.02),shorter postoperative hospital stays(7 days,P=0.038),and lower surgical costs(China yuan 30178,P=0.001).Furthermore,patients were subdivided into two groups based on whether a T-tube or J-tube was placed during the surgery.By the third postoperative day,the aspartate transaminase,glutamic pyruvic transaminase,total bilirubin,and direct bilirubin levels were lower in the J-tube group than in the T-tube group(P<0.001).At last,follow-up observations showed that the incidence of biliary strictures at three months postoperatively was significantly lower in the J-tube group than in the T-tube group(P=0.002).CONCLUSION ICG fluorescence imaging in laparoscopic cholecystectomy with common bile duct exploration and J-tube drainage facilitates rapid identification of biliary anatomy and variations,reducing intraoperative bile duct injury,blood loss,surgery duration,and postoperative bile duct stenosis rates,supporting its clinical adoption.展开更多
This manuscript critically evaluates the randomized controlled trial(RCT)conducted by Phiri et al,which assessed the effectiveness of virtual reality(VR)training for psychiatric staff in reducing restrictive practices...This manuscript critically evaluates the randomized controlled trial(RCT)conducted by Phiri et al,which assessed the effectiveness of virtual reality(VR)training for psychiatric staff in reducing restrictive practices(RPs).Specifically,this RCT investigated the impact of VR on the handling of aggressive patients by psychiatric staff compared to traditional training methods.Despite significant reductions in perceived discrimination in the VR group,there were no major improvements in self-efficacy or anxiety levels.The system usability scale rated the VR platform highly,but it did not consistently outperform traditional training methods.Indeed,the study shows the potential for VR to reduce RPs,although fluctuations in RP rates suggest that external factors,such as staff turnover,influenced the outcomes.This manuscript evaluates the study’s methodology,results,and broader implications for mental health training.Additionally,it highlights the need for more comprehensive research to establish VR as a standard tool for psychiatric staff education,focusing on patient care outcomes and real-world applicability.Finally,this study explores future research di-rections,technological improvements,and the potential impact of policies that could enhance the integration of VR in clinical training.展开更多
基金Supported by Guangdong Provincial Teaching Quality and Teaching Reform Project in 2021.
文摘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.
基金financed by the Flinders University College of Business,Government and Law Large Project Grant(Grant number:100031.21).
文摘Background:Shared decision-making(SDM)implementation is a priority for Australian health systems,including general practices but it remains complex for specific groups like older rural Australians.We initiated a qualitative study with older rural Australians to explore barriers to and facilitators of SDM in local general practices.Methods:We conducted a patient-oriented research,partnering with older rural Australians,families,and health service providers in research design.Participants who visited general practices were purposively sampled from five small rural towns in South Australia.A semi-structured interview guide was used for interviews and reflexive thematic coding was conducted.Results:Telephone interviews were held with 27 participants.Four themes were identified around older rural adults’involvement in SDM:(1)Understanding of"patient involvement";(2)Positive and negative outcomes;(3)Barriers to SDM;and(4)Facilitators to SDM.Understanding of patient involvement in SDM considerably varied among participants,with some reporting their involvement was contingent on the“opportunity to ask questions”and the“treatment choices”offered to them.Alongside the opportunity for involvement,barriers such as avoidance of cultural care and a lack of continuity of care are new findings.Challenges encountered in SDM implementation also included resource constraints and time limitations in general practices.Rural knowledge of general practitioners and technology integration in consultations were viewed as potential enablers..Conclusion:Adequate resources and well-defined guidelines about the process should accompany the implementation of SDM in rural general practices of South Australia.Innovative strategies by general practitioners promoting health literacy and culturally-tailored communication approaches could increase older rural Australians'involvement in general.
文摘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.
基金Chang’an University Graduate Student Ideological and Political Education Innovation Demonstration Pro-ject(No.300103740013)Education Science Research Project of China Association of Transportation Education(No.JT2022YB222)+1 种基金Research Project on Education and Teaching Reform at Chang’an Dublin International College of Transpor-tation at Chang’an University(No.CDIC-JG-200301)Construction Project for Continuous Improvement of National First-Class Courses on Interchangeability and Measurement Technology(No.300103230119)。
文摘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.
文摘With the gradual completion of the overall planning of city and county land space,the detailed planning will be prepared according to the requirements of transmitting and refining the upper planning.Industrial parks are one of the“main forces”of local economic development,and the preparation of their detailed planning will escort their development.The key points of the Control Indicators of Construction Land in Industrial Projectsissued in 2008 and 2023 were compared,and the new requirements for detailed planning under the background of territorial space and the contradictions between the detailed planning of industrial parks and the overall planning of the upper territorial space were sorted out based on the summary of the existing problems in the development of chemical parks.It provides some ideas for the practice of detailed planning of chemical industrial parks under the background of territorial space.
基金Supported by 2023 Jilin Graduate Education Teaching Reform Research Project(JJKH20230060YJG)Jilin Provincial Vocational and Adult Education Teach-ing Reform Research Project(20222CY295)+2 种基金2023 Jilin Higher Education Re-search Project(JGJX2023D200)2023 Jilin Higher Education Teaching Re-form Research Project(XJSX202301)2023 Jilin Higher Education Teaching Reform Research Project(XJ202303).
文摘[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.
基金2024 Ideological and Political Pilot Course Project of Guangxi Polytechnic of Construction“Comprehensive Training of Prefabricated Building Construction”(KCSZSD202441)2023 Guangxi University Young and Middle-Aged Teachers’Scientific Research Basic Ability Improvement Project“Research on Seismic Performance of Prefabricated CFST Column-SRC Beam Composite Joints”(2023KY1204)2023 Guangxi Vocational Education Teaching Reform Research Project“Research and Practice on the Cultivation of Digital Talents in Prefabricated Buildings in the Context of Deepening the Integration of Industry and Education”(GXGZJG2023B052)。
文摘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.
文摘The course ROS Robot Programming Practice is designed to equip students with both the foundational principles and practical applications of the Robot Operating System(ROS)through structured instruction and hands-on exercises.This paper summarizes the course’s pedagogical approach and the insights gained from its implementation,focusing on key areas such as the practical teaching platform,instructional system,teaching methods,and evaluation mechanisms.The practical teaching platform incorporates robotic arms and mobile robots,along with commonly used sensors,to engage students and stimulate their interest in robotics.A well-structured teaching system is employed,guiding students through a series of experiments-ranging from basic tasks to modeling and simulation experiments,sensor experiments,mobile robot tasks,robotic arm exercises,and comprehensive project practices.Regarding teaching methods,a blended learning approach and progressive instructional model are utilized to ensure active student participation.This approach follows a logical progression,starting with fundamental ROS knowledge,advancing to robot applications,and culminating in comprehensive project-based practice.In terms of evaluation,a dual approach combining process and outcome assessments is employed,ensuring that students’performance is evaluated comprehensively through various metrics.
基金Sponsored by Anhui General Teaching Research Project(2022jyxm665)Natural Science Key Research Program for Colleges and Universities in Anhui Province(2023AH051816).
文摘Innovation and entrepreneurship education is a critical direction for deepening the teaching reform of colleges and universities in the contemporary era.As pivotal centers for talent development,colleges and universities should proactively investigate the construction and implementation of a comprehensive curriculum system dedicated to mass innovation and entrepreneurship education.This paper discusses the significance of establishing a curriculum group focused on landscape plants within the framework of mass innovation and entrepreneurship.The construction and implementation outcomes of this curriculum group are examined from five key aspects:the curriculum system and content,the faculty,the practical teaching platform,the teaching model,and the teaching evaluation system.The aim is to enhance the development of botany curricula within the landscape architecture discipline and to foster the cultivation of mass innovative and entrepreneurial talents equipped with a spirit of innovation and the capacity for entrepreneurship.
基金Chongqing Engineering Institute’s Educational Reform Project“Research on the Reform of the Practical Teaching Curriculum System of Environmental Design Based on the OBE Concept”(Project number:JY2023209)The First-Class Curriculum Construction Project of Rural Landscape Design and Practice in 2023(Project number:KC20230122)。
文摘The concept of OBE(outcome-based education)is more focused on designing and implementing teaching activities around expected learning outcomes than the traditional teaching model and enhancing the quality of education through clear and measurable learning outcomes,which has led to profound changes in the field of education.However,environmental design practice teaching faces a series of challenges in the implementation of the OBE concept,including the complexity of the assessment system,personalized learning and creative learning,and over-reliance on quantitative assessment.Therefore,in order to further deepen the professionalization of the OBE concept,we have conducted research on the design education practice models at home and abroad,explored the practice teaching models and their applications such as project system,studio model,practical internships,and technology-driven interdisciplinary integration,and took the practice innovative teaching models of Stanford d.school and Rhode Island School of Design(RISD)as examples to explore the characteristics of the curricula,cultivation modes,and the development of the environmental design professional practice teaching model.The characteristics of OBE and RISD are discussed to provide a global vision and local contextual reference for the practice teaching reform of environmental design majors.
文摘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.
基金The Teaching Content and Curriculum System Reform Project of Guizhou Province(2023303,2024331,2024334)The Guizhou Province First-Class Undergraduate Major Construction Project under Grant(GZSylzy202104)+2 种基金The Construction Project of First-Class Discipline of Liupanshui Normal University under Grant(LPSSYylzy2007)The Discipline Team of Liupanshui Normal University(LPSSY2023XKTD11)The First-Class Undergraduate Course Training Project of Liupanshui Normal University(2023-03-027,2024-03-04)。
文摘Driven by the strategic goal of“dual carbon,”the electric power industry is entering a critical period of transformation and upgrading,and there is a growing demand for composite and applied talents who are both proficient in professional technology and good at management.Taking the electrical engineering and automation major of Liupanshui Normal University as an example,this study addresses existing challenges in current talent cultivation practices.By emphasizing the deep integration of theory and practice and aligning closely with industry needs,the study aims to ensure that the talent cultivation system is both forward-looking and practical.Focusing on key aspects such as the practical teaching system,practice platforms,teaching content,instructional methods,assessment and evaluation strategies,and resource optimization,a series of targeted measures are proposed.These measures aim to construct a comprehensive,multi-dimensional practice education system that enhances students’practical innovation abilities and overall competencies.This approach not only improves the quality of talent cultivation but also serves as a valuable reference for the development of electrical engineering education in similar local colleges and universities.
文摘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.
文摘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.
文摘BACKGROUND Addressing oculoplastic conditions in the preoperative period ensures both the safety and functional success of any ophthalmic procedure.Some oculoplastic conditions,like nasolacrimal duct obstruction,have been extensively studied,whereas others,like eyelid malposition and thyroid eye disease,have received minimal or no research.AIM To investigate the current practice patterns among ophthalmologists while treating concomitant oculoplastic conditions before any subspecialty ophthalmic intervention.METHODS A cross-sectional survey was disseminated among ophthalmologists all over India.The survey included questions related to pre-operative evaluation,anaesthetic and surgical techniques preferred,post-operative care,the use of adjunctive therapies,and patient follow-up patterns.RESULTS A total of 180 ophthalmologists responded to the survey.Most practitioners(89%)felt that the ROPLAS test was sufficient during pre-operative evaluation before any subspecialty surgery was advised.The most common surgical techniques employed were lacrimal drainage procedures(Dacryocystorhinostomy)(63.3%),eyelid malposition repair(36.9%),and ptosis repair(58.7%).Post-operatively,47.7%of respondents emphasized that at least a 4-week gap should be maintained after lacrimal drainage procedures and eyelid surgeries.Sixty-seven percent of ophthalmologists felt that topical anaesthetic procedures should be preferred while performing ocular surgeries in thyroid eye disease patients.CONCLUSION Approximately 50%of ophthalmologists handle prevalent oculoplastic issues themselves,seeking the expertise of an oculoplastic surgeon under particular conditions.Many ophthalmologists still favor using ROPLAS as a preliminary screening method before proceeding with cataract surgery.Eyelid conditions and thyroid eye disease are not as commonly addressed before subspecialty procedures compared to issues like nasolacrimal duct obstruction and periocular infections.
文摘The article"Secondary diabetes due to different etiologies:Four case reports"by Song et al,published in the World Journal of Clinical Cases,delves into the identi-fication of rare causes of secondary diabetes and emphasizes the necessity for healthcare professionals to recognize these conditions.Failure to do so can result in treatment delays and compromised patient outcomes.The article discusses spe-cific types of diabetes,including maturity onset of diabetes in young,pancreas-related diseases,endocrinopathies,drug-induced diabetes,infections,and con-genital genetic syndromes associated with diabetes mellitus.Case summaries highlight how patients with secondary diabetes,stemming from conditions such as Williams-Beuren syndrome and pituitary adenoma,often exhibit distinct characteristics overlooked in clinical practice.The authors stress the importance of a holistic diagnostic approach and advocate for proactive management through early intervention,including genetic tests and antibody detection.Increased awa-reness and education are crucial for timely identification and proper management,ultimately improving patient well-being.These findings prompt a call to action for healthcare professionals to consider rare causes of secondary diabetes,facili-tating better glycemic control and overall patient care.
文摘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.
文摘BACKGROUND Ischemic bowel disease(IBD)is a critical condition caused by reduced blood flow to the intestines,leading to tissue damage and potentially severe complications.Early recognition and timely management are essential for improving patient outcomes and reducing morbidity and mortality associated with IBD.AIM To evaluate the knowledge,attitude and practice(KAP)of healthcare professionals regarding IBD.METHODS This cross-sectional study was conducted among healthcare professionals in China from November 2023 to December 2023 using a self-designed questionnaire.RESULTS A total of 315 valid questionnaires were analyzed,with 215 participants(68.25%)being female.The mean KAP scores were 17.55±5.35(range:0-24),27.65±2.77(range:8-40),and 18.88±4.23(range:6-30),respectively.Multivariate linear regression analysis revealed the following factors to be independently associated with knowledge:Age 26-35 years(β=2.80,95%CI:0.31-5.30,P=0.028),professional title(β=2.66,95%CI:0.91-4.41,P=0.003),position(β=-3.78,95%CI:-5.45 to-2.11,P<0.001),participation in IBD-related training(β=3.45,95%CI:2.39-4.51,P<0.001),and admission of more than five IBD cases in the past month(β=3.25,95%CI:1.58-4.92,P<0.001).Attitude was independently associated with knowledge(β=0.20,95%CI:0.15-0.26,P<0.001)and being a nurse or nursing supervisor(β=-1.30,95%CI:-2.16 to-0.40,P=0.003).Practice was independently associated with knowledge(β=0.20,95%CI:0.10-0.30,P<0.001)and attitude(β=0.24,95%CI:0.06-0.42,P=0.007).Structural equation modeling demonstrated direct effects of knowledge on attitude(β=0.24,P<0.001)and practice(β=0.26,P<0.001),as well as of attitude on practice(β=0.22,P=0.012).CONCLUSION Healthcare professionals demonstrated adequate knowledge but moderate attitude and inactive practice regarding IBD.Addressing the gaps in attitude and practice through targeted training programs and interventions is essential for improving patient care and outcomes.
文摘BACKGROUND Intraoperative and postoperative biliary injuries remain significant complications of laparoscopic common bile duct exploration(LCBDE).Indocyanine green(ICG)has been shown to significantly reduce injuries caused by intraoperative operational errors.We found that the J-tube can reduce postoperative strictures and injuries to the common bile duct.At this moment,we aim to analyze and compare the complications,efficacy,short-term outcomes,and feasibility of these two adjunctive tools for LCBDE.AIM To evaluate the efficacy of ICG fluorescence imaging In LCBDE and J-tube drainage for patients with common bile duct stones.METHODS We retrospectively collected the clinical case data of patients who were treated at the Hepatobiliary Surgery Department of the Third People’s Hospital of Nantong,affiliated with Nantong University,from January 2016 to January 2021 due to gallbladder stones with choledocholithiasis and who underwent LCBDE combined with a primary suture and either J-tube or T-tube drainage.The patients were divided into groups:Traditional white-light laparoscopy+T-tube group(WL+T-tube),traditional WL+J-tube group,fluorescent laparoscopy+T-tube group(ICG+T-tube)and fluorescent laparoscopy+J-tube group(ICG+J-tube).The preoperative and postoperative clinical case data,laboratory examination data,and intraoperative and postoperative complications(including postoperative bile leakage,electrolyte disturbances,biliary peritonitis,and postoperative infections)and other relevant indicators were compared.RESULTS A total of 198 patients(112 males and 86 females)were included in the study,with 74 patients in the WL+T-tube,47 in the WL+J-tube,42 in the ICG+T-tube,and 35 in the ICG+J-tube.Compared with the other groups,the ICG+J had significantly shorter operation time(114 minutes,P=0.001),less blood loss(42 mL,P=0.02),shorter postoperative hospital stays(7 days,P=0.038),and lower surgical costs(China yuan 30178,P=0.001).Furthermore,patients were subdivided into two groups based on whether a T-tube or J-tube was placed during the surgery.By the third postoperative day,the aspartate transaminase,glutamic pyruvic transaminase,total bilirubin,and direct bilirubin levels were lower in the J-tube group than in the T-tube group(P<0.001).At last,follow-up observations showed that the incidence of biliary strictures at three months postoperatively was significantly lower in the J-tube group than in the T-tube group(P=0.002).CONCLUSION ICG fluorescence imaging in laparoscopic cholecystectomy with common bile duct exploration and J-tube drainage facilitates rapid identification of biliary anatomy and variations,reducing intraoperative bile duct injury,blood loss,surgery duration,and postoperative bile duct stenosis rates,supporting its clinical adoption.
基金Supported by Basic Science Research Program Through the National Research Foundation of Korea(NRF)Funded by the Ministry of Education,No.NRF-RS-2023-00237287 and No.NRF-2021S1A5A8062526Local Government-University Cooperation-Based Regional Innovation Projects,No.2021RIS-003.
文摘This manuscript critically evaluates the randomized controlled trial(RCT)conducted by Phiri et al,which assessed the effectiveness of virtual reality(VR)training for psychiatric staff in reducing restrictive practices(RPs).Specifically,this RCT investigated the impact of VR on the handling of aggressive patients by psychiatric staff compared to traditional training methods.Despite significant reductions in perceived discrimination in the VR group,there were no major improvements in self-efficacy or anxiety levels.The system usability scale rated the VR platform highly,but it did not consistently outperform traditional training methods.Indeed,the study shows the potential for VR to reduce RPs,although fluctuations in RP rates suggest that external factors,such as staff turnover,influenced the outcomes.This manuscript evaluates the study’s methodology,results,and broader implications for mental health training.Additionally,it highlights the need for more comprehensive research to establish VR as a standard tool for psychiatric staff education,focusing on patient care outcomes and real-world applicability.Finally,this study explores future research di-rections,technological improvements,and the potential impact of policies that could enhance the integration of VR in clinical training.