Effects of Health Education with Problem-Based Learning Approaches on the Knowledge, Attitude, Practice and Coping Skills of Women with High-Risk Pregnancies in Plateau Areas

Objective: Given the unique cultural background, way of life, and physical environment of the Tibetan Plateau, this study aims to investigate the effects of health education using problem-based learning (PBL) approaches on the knowledge, attitude, practice, and coping skills of women with high-risk pregnancies in this region. Methods: 76 high-risk pregnancy cases were enrolled at Tibet’s Linzhi People’s Hospital between September 2023 and April 2024. 30 patients admitted between September 2023 and December 2023 were selected as the control group and were performed with regular patient education. 46 patients admitted between January 2024 and April 2024 were selected as the observation group and were performed regular patient education with problem-based learning approaches. Two groups’ performance on their health knowledge, attitude, practice and coping skills before and after interventions were evaluated, and patient satisfaction were measured at the end of the study. Results: There was no statistical significance (P P P Conclusions: Health education with problem-based learning approaches is worth promoting as it can help high-risk pregnant women in plateau areas develop better health knowledge, attitude and practice and healthier coping skills. Also, it can improve patient sanctification.

Learning-Based Metaheuristic Approach for Home Healthcare Optimization Problem

This research focuses on the home health care optimization problem that involves staff routing and scheduling problems.The considered problem is an extension of multiple travelling salesman problem.It consists of finding the shortest path for a set of caregivers visiting a set of patients at their homes in order to perform various tasks during a given horizon.Thus,a mixed-integer linear programming model is proposed to minimize the overall service time performed by all caregivers while respecting the workload balancing constraint.Nevertheless,when the time horizon become large,practical-sized instances become very difficult to solve in a reasonable computational time.Therefore,a new Learning Genetic Algorithm for mTSP(LGA-mTSP)is proposed to solve the problem.LGA-mTSP is composed of a new genetic algorithm for mTSP,combined with a learning approach,called learning curves.Learning refers to that caregivers’productivity increases as they gain more experience.Learning curves approach is considered as a way to save time and costs.Simulation results show the efficiency of the proposed approach and the impact of learning curve strategy to reduce service times.

Exploring the Application Effect of Flipped Classroom Combined with Problem-Based Learning Teaching Method in Clinical Skills Teaching of Standardized Training for Resident Doctors of Traditional Chinese Medicine

Objective: To explore the application effect of flipped classroom combined with problem-based learning teaching method in clinical skills teaching of standardized training for resident doctors of traditional Chinese Medicine. Methods: The study used the experimental control method. The study lasted from September to November 2022. The subjects of this study were 49 students of standardized training for resident doctors of traditional Chinese Medicine from grades 2020, 2021 and 2022 of Dazhou integrated TCM & Western Medicine Hospital. They were randomly divided into experiment group (25) and control group (24). The experiment group adopted flipped classroom combined with problem-based learning teaching method, and the control group adopted traditional teaching method. The teaching content was 4 basic clinical skill projects, including four diagnoses of traditional Chinese Medicine, cardiopulmonary resuscitation, dressing change procedure, acupuncture and massage. The evaluation method was carried out by comparing the students’ performance and a self-designed questionnaire was used to investigate the students’ evaluation of the teaching method. Results: The test scores of total scores in the experimental group (90.12 ± 5.89) were all higher than those in the control group (81.47 ± 7.96) (t = 4.53, P P Conclusions: The teaching process of the flipped classroom combined with problem-based learning teaching method is conducive to improving the efficiency of classroom teaching, cultivating students’ self-learning ability, and enhancing students’ willingness to learn.

Data-Driven Learning Control Algorithms for Unachievable Tracking Problems

For unachievable tracking problems, where the system output cannot precisely track a given reference, achieving the best possible approximation for the reference trajectory becomes the objective. This study aims to investigate solutions using the Ptype learning control scheme. Initially, we demonstrate the necessity of gradient information for achieving the best approximation.Subsequently, we propose an input-output-driven learning gain design to handle the imprecise gradients of a class of uncertain systems. However, it is discovered that the desired performance may not be attainable when faced with incomplete information.To address this issue, an extended iterative learning control scheme is introduced. In this scheme, the tracking errors are modified through output data sampling, which incorporates lowmemory footprints and offers flexibility in learning gain design.The input sequence is shown to converge towards the desired input, resulting in an output that is closest to the given reference in the least square sense. Numerical simulations are provided to validate the theoretical findings.

Deep Reinforcement Learning Solves Job-shop Scheduling Problems

To solve the sparse reward problem of job-shop scheduling by deep reinforcement learning,a deep reinforcement learning framework considering sparse reward problem is proposed.The job shop scheduling problem is transformed into Markov decision process,and six state features are designed to improve the state feature representation by using two-way scheduling method,including four state features that distinguish the optimal action and two state features that are related to the learning goal.An extended variant of graph isomorphic network GIN++is used to encode disjunction graphs to improve the performance and generalization ability of the model.Through iterative greedy algorithm,random strategy is generated as the initial strategy,and the action with the maximum information gain is selected to expand it to optimize the exploration ability of Actor-Critic algorithm.Through validation of the trained policy model on multiple public test data sets and comparison with other advanced DRL methods and scheduling rules,the proposed method reduces the minimum average gap by 3.49%,5.31%and 4.16%,respectively,compared with the priority rule-based method,and 5.34%compared with the learning-based method.11.97%and 5.02%,effectively improving the accuracy of DRL to solve the approximate solution of JSSP minimum completion time.

PBL(Problem-based Learning)教学法道路规划与几何设计教学中的应用与探索

立足于道路规划与几何设计信息量大,涉及专业基础知识广、实践性强等特点,将PBL教学法在教学中进行了应用与探索,从教师设计问题、组建学习小组、问题探索与交流、教师总结评价等方面进行了教学设计和应用研究,实践证明PBL教学有助于提高学生的自主创新学习能力及学习的积极性,显著提升了教学效果。

An Overview and Experimental Study of Learning-Based Optimization Algorithms for the Vehicle Routing Problem

The vehicle routing problem(VRP)is a typical discrete combinatorial optimization problem,and many models and algorithms have been proposed to solve the VRP and its variants.Although existing approaches have contributed significantly to the development of this field,these approaches either are limited in problem size or need manual intervention in choosing parameters.To solve these difficulties,many studies have considered learning-based optimization(LBO)algorithms to solve the VRP.This paper reviews recent advances in this field and divides relevant approaches into end-to-end approaches and step-by-step approaches.We performed a statistical analysis of the reviewed articles from various aspects and designed three experiments to evaluate the performance of four representative LBO algorithms.Finally,we conclude the applicable types of problems for different LBO algorithms and suggest directions in which researchers can improve LBO algorithms.

Integrating a flipped classroom and problem-based learning into ophthalmology education

Background: Ophthalmology is an important medical science subject, but it is given with insufficient attention in undergraduate medical education. Flipped classroom(FC) and problem-based learning(PBL) are well-known education methods that can be integrated into ophthalmology education to improve students' competence level and promote active learning. Methods: We used a mixed teaching methodology that integrated a FC and PBL into a 1-week ophthalmology clerkship for 72 fourth-year medical students. The course includes two major sessions: FC session and PBL session, relying on clinical and real-patient cases. Written examinations were set up to assess students' academic performance and questionnaires were designed to evaluate their perceptions. Results: The post-course examination results were higher than the pre-course results, and many students gained ophthalmic knowledge and learning skills to varying levels. Comparison of pre-and post-course questionnaires indicated that interests in ophthalmology increased and more students expressed desires to be eye doctors. Most students were satisfied with the new method, while some suggested the process should be slower and the communication with their teacher needed to strengthen.Conclusions: FC and PBL are complementary methodologies. Utilizing the mixed teaching meth of FC and PBL was successful in enhancing academic performance, student satisfactions and promoting active learning.

Proposing Effective Problem-Based Learning(PBL)Problems by Reimplementing Open-Source Projects

Recently,Problem-Based Learning(PBL)has been regarded as a possible way towards effective educational changes in Chinese universities.However,problems have been exposed in the adoption of PBL,such as choosing effective PBL problems.The purpose of this paper is to provide a possible solution to the formulation of PBL problems for computer science courses,which is to reimplement open-source projects(ROSP).A case is demonstrated by showing how ROSP was adopted in a practical intercourse-level PBL course module.This paper contributes to a new PBL problem formulation method for promoting PBL in a practical way for Chinese universities.

Problem-Based Learning of Drug Use and Abuse during COVID-19 Contingency

Introduction: Nursing students’ experiences during the pandemic provoked social isolation, the way to learn and every context increasing their stress and anxiety leading to drug use and abuse, among others. Problem-based learning (PBL) is a pedagogic strategy to strengthen significant learning;then the objective was to establish PBL influence in nursing students’ experiences on drug use and abuse during COVID-19 contingency. Methods: Qualitative, phenomenological and descriptive paradigm, 12 female and male nursing students aged 20 - 24 years old from the 5th and 6th semesters participated. Information collection was through semi-structured interview and a deep one in four cases. A guide of questions about: How the pandemic impacted your life? How did you face it? And what did you learn during this process? Those questions were used. Qualitative data analysis was based on De Souza Minayo, and signed informed consent was obtained from participants. Results: Students’ experiences allowed four categories to emerge, with six sub-categories. Category I. Students’ experiences on drug use and abuse facing the sanitary contingency;Category II. Students’ skills development to identify a problem and design of appropriate solutions;Category III. Developing skills to favor interpersonal relationships;Category IV. Influence of PBL in nursing students’ experiences on drug use and abuse during the COVID-19 contingency. Conclusion: PBL favored analysis and thoughts in nursing students’ experiences on drug use and abuse during the COVID-19 contingency, they worked collaboratively, developed resilience to daily life situations, and implemented stress coping strategies with their significant learning, which diminished their risk behavior.

A Dual Discriminator Method for Generalized Zero-Shot Learning

Zero-shot learning enables the recognition of new class samples by migrating models learned from semanticfeatures and existing sample features to things that have never been seen before. The problems of consistencyof different types of features and domain shift problems are two of the critical issues in zero-shot learning. Toaddress both of these issues, this paper proposes a new modeling structure. The traditional approach mappedsemantic features and visual features into the same feature space;based on this, a dual discriminator approachis used in the proposed model. This dual discriminator approach can further enhance the consistency betweensemantic and visual features. At the same time, this approach can also align unseen class semantic features andtraining set samples, providing a portion of information about the unseen classes. In addition, a new feature fusionmethod is proposed in the model. This method is equivalent to adding perturbation to the seen class features,which can reduce the degree to which the classification results in the model are biased towards the seen classes.At the same time, this feature fusion method can provide part of the information of the unseen classes, improvingits classification accuracy in generalized zero-shot learning and reducing domain bias. The proposed method isvalidated and compared with othermethods on four datasets, and fromthe experimental results, it can be seen thatthe method proposed in this paper achieves promising results.

A transfer learning enhanced physics-informed neural network for parameter identification in soft materials

Soft materials,with the sensitivity to various external stimuli,exhibit high flexibility and stretchability.Accurate prediction of their mechanical behaviors requires advanced hyperelastic constitutive models incorporating multiple parameters.However,identifying multiple parameters under complex deformations remains a challenge,especially with limited observed data.In this study,we develop a physics-informed neural network(PINN)framework to identify material parameters and predict mechanical fields,focusing on compressible Neo-Hookean materials and hydrogels.To improve accuracy,we utilize scaling techniques to normalize network outputs and material parameters.This framework effectively solves forward and inverse problems,extrapolating continuous mechanical fields from sparse boundary data and identifying unknown mechanical properties.We explore different approaches for imposing boundary conditions(BCs)to assess their impacts on accuracy.To enhance efficiency and generalization,we propose a transfer learning enhanced PINN(TL-PINN),allowing pre-trained networks to quickly adapt to new scenarios.The TL-PINN significantly reduces computational costs while maintaining accuracy.This work holds promise in addressing practical challenges in soft material science,and provides insights into soft material mechanics with state-of-the-art experimental methods.

A Deep Learning Method to Process Scattered Field Data in Biomedical Imaging System

This paper proposed a deep-learning-based method to process the scattered field data of transmitting antenna,which is unmeasurable in inverse scattering system because the transmitting and receiving antennas are multiplexed.A U-net convolutional neural network(CNN)is used to recover the scattered field data of each transmitting antenna.The numerical results proved that the proposed method can complete the scattered field data at the transmitting antenna which is unable to measure in the actual experiment and can also eliminate the reconstructed error caused by the loss of scattered field data.

The problem-based learning integrated with simulation to improve nursing students’ self-efficacy

Introduction: The purposes of this study were to describe the simulation integrated with problem-based learning (SIM-PBL) module to educate the nursing process for clients with hypertension and to evaluate its effectiveness on nursing students’ self-efficacy (SE). Methods: This study was a one group pre- and post-test design. Twenty five students received a 5-hour SIM-PBL program focused on nursing care of clients with hypertension. A newly developed self-report questionnaire was used to assess SE in four areas of the nursing process with a scale of 0 (not at all confident) to 10 (totally confident). The four areas were subjective data assessment, physical examination, prioritizing nursing care and health promotion advices. Results: At baseline, students’ SE ranged from 5.5 ± 1.4 (prioritizing nursing care) to 7.6 ± 1.4 (subjective data assessment). After SIM-PBL education, all areas of nursing process presented statistically significant improvements of SE. The improvements were most noticeable in prioritizing nursing care. Conclusion: The SIM-PBL module was effective in improving the students’ self-efficacy in the nursing process for patients with hypertension. Further studies are recommended in developing SIM-PBL modules for diverse nursing topics and evaluating their effectiveness in various aspects of students’ competency.

A Two-Layer Encoding Learning Swarm Optimizer Based on Frequent Itemsets for Sparse Large-Scale Multi-Objective Optimization

Traditional large-scale multi-objective optimization algorithms(LSMOEAs)encounter difficulties when dealing with sparse large-scale multi-objective optimization problems(SLM-OPs)where most decision variables are zero.As a result,many algorithms use a two-layer encoding approach to optimize binary variable Mask and real variable Dec separately.Nevertheless,existing optimizers often focus on locating non-zero variable posi-tions to optimize the binary variables Mask.However,approxi-mating the sparse distribution of real Pareto optimal solutions does not necessarily mean that the objective function is optimized.In data mining,it is common to mine frequent itemsets appear-ing together in a dataset to reveal the correlation between data.Inspired by this,we propose a novel two-layer encoding learning swarm optimizer based on frequent itemsets(TELSO)to address these SLMOPs.TELSO mined the frequent terms of multiple particles with better target values to find mask combinations that can obtain better objective values for fast convergence.Experi-mental results on five real-world problems and eight benchmark sets demonstrate that TELSO outperforms existing state-of-the-art sparse large-scale multi-objective evolutionary algorithms(SLMOEAs)in terms of performance and convergence speed.

Toward Improved Accuracy in Quasi-Static Elastography Using Deep Learning

Elastography is a non-invasive medical imaging technique to map the spatial variation of elastic properties of soft tissues.The quality of reconstruction results in elastography is highly sensitive to the noise induced by imaging measurements and processing.To address this issue,we propose a deep learning(DL)model based on conditional Generative Adversarial Networks(cGANs)to improve the quality of nonhomogeneous shear modulus reconstruction.To train this model,we generated a synthetic displacement field with finite element simulation under known nonhomogeneous shear modulus distribution.Both the simulated and experimental displacement fields are used to validate the proposed method.The reconstructed results demonstrate that the DL model with synthetic training data is able to improve the quality of the reconstruction compared with the well-established optimization method.Moreover,we emphasize that our DL model is only trained on synthetic data.This might provide a way to alleviate the challenge of obtaining clinical or experimental data in elastography.Overall,this work addresses several fatal issues in applying the DL technique into elastography,and the proposed method has shown great potential in improving the accuracy of the disease diagnosis in clinical medicine.

Do the Application of Problem-Based Learning on Undergraduate Nursing Students’ Is Effective? A Case Study Review

Objectives: The study’s aims to determine and assess the application of problem-based learning to undergraduate nursing students. Background: Nursing students are the upcoming health care delivery system;according to their standard of learning, it will affect their clinical training. Method: The study design is a case study review, the data was collected using many articles related to problem-based learning collected from E-books and E-journals websites like CINAHEL, Google Scholar, etc. After that, the data was analyzed and evaluated related to the application of problem-based learning on undergraduate nursing students. Result: The result appeared that most of the research proved and supported that the application of problem-based learning is effective for undergraduate nursing students, and students can solve patients’ problems in a better way. Conclusion: In conclusion, problem-based learning is an essential part of the nursing diagnosis process that will increase knowledge, and performance, and merge it with the nursing concepts.

Solving Geometry Problems via Feature Learning and Contrastive Learning of Multimodal Data

This paper presents an end-to-end deep learning method to solve geometry problems via feature learning and contrastive learning of multimodal data.A key challenge in solving geometry problems using deep learning is to automatically adapt to the task of understanding single-modal and multimodal problems.Existing methods either focus on single-modal ormultimodal problems,and they cannot fit each other.A general geometry problem solver shouldobviouslybe able toprocess variousmodalproblems at the same time.Inthispaper,a shared feature-learning model of multimodal data is adopted to learn the unified feature representation of text and image,which can solve the heterogeneity issue between multimodal geometry problems.A contrastive learning model of multimodal data enhances the semantic relevance betweenmultimodal features and maps them into a unified semantic space,which can effectively adapt to both single-modal and multimodal downstream tasks.Based on the feature extraction and fusion of multimodal data,a proposed geometry problem solver uses relation extraction,theorem reasoning,and problem solving to present solutions in a readable way.Experimental results show the effectiveness of the method.

Feature-Based Aggregation and Deep Reinforcement Learning:A Survey and Some New Implementations

In this paper we discuss policy iteration methods for approximate solution of a finite-state discounted Markov decision problem, with a focus on feature-based aggregation methods and their connection with deep reinforcement learning schemes. We introduce features of the states of the original problem, and we formulate a smaller "aggregate" Markov decision problem, whose states relate to the features. We discuss properties and possible implementations of this type of aggregation, including a new approach to approximate policy iteration. In this approach the policy improvement operation combines feature-based aggregation with feature construction using deep neural networks or other calculations. We argue that the cost function of a policy may be approximated much more accurately by the nonlinear function of the features provided by aggregation, than by the linear function of the features provided by neural networkbased reinforcement learning, thereby potentially leading to more effective policy improvement.

Machine learning technique for prediction of magnetocaloric effect in La(Fe,Si/Al)_(13)-based materials

Data-mining techniques using machine learning are powerful and efficient for materials design, possessing great potential for discovering new materials with good characteristics. Here, this technique has been used on composition design for La（Fe,Si/Al）（13）-based materials, which are regarded as one of the most promising magnetic refrigerants in practice. Three prediction models are built by using a machine learning algorithm called gradient boosting regression tree（GBRT） to essentially find the correlation between the Curie temperature（TC）, maximum value of magnetic entropy change（（？SM）（max））,and chemical composition, all of which yield high accuracy in the prediction of TC and（？SM）（max）. The performance metric coefficient scores of determination（R^2） for the three models are 0.96, 0.87, and 0.91. These results suggest that all of the models are well-developed predictive models on the challenging issue of generalization ability for untrained data, which can not only provide us with suggestions for real experiments but also help us gain physical insights to find proper composition for further magnetic refrigeration applications.