Application of Patient Simulators Combined with Internet plus Scenario Simulation Teaching Models on Intravenous Infusion Nursing Education in China

Objective: To explore the effectiveness of applying patient simulators combined with Internet Plus scenario simulation teaching models on intravenous (IV) infusion nursing education, and to provide scientific evidence for the implementation of advanced teaching models in future nursing education. Methods: Enrolled 60 nurses who took the IV infusion therapy training program in our hospital from January 2022 to December 2023 for research. 30 nurses who were trained in traditional teaching models from January to December 2022 were selected as the control group, and 30 nurses who were trained with simulation-based teaching models with methods including simulated patients, internet, online meetings which can be replayed and scenario simulation, etc. from January to December 2023 were selected as the experimental group. Evaluated the learning outcomes based on the Competency Inventory for Nursing Students (CINS), Problem-Solving Inventory (PSI), comprehensive learning ability, scientific research ability, and proficiency in the theoretical knowledge and practical skills of IV infusion therapy. Nursing quality, the incidence of IV infusion therapy complications and nurse satisfaction with different teaching models were also measured. Results: The scientific research ability, PSI scores, CINS scores, and comprehensive learning ability of the experimental group were better than those of the control group (P 0.05), and their assessment results of practical skills, nursing quality of IV infusion therapy during training, and satisfaction with teaching models were all better than those of the control group with statistical significance (P < 0.05). The incidence of IV infusion therapy complications in the experimental group was lower than that in the control group, indicating statistical significance (P < 0.05). Conclusions: Teaching models based on patient simulators combined with Internet Plus scenario simulation enable nursing students to learn more directly and practice at any time and in any place, and can improve their proficiency in IV infusion theoretical knowledge and skills (e.g. PICC catheterization), core competencies, problem-solving ability, comprehensive learning ability, scientific research ability and the ability to deal with complicated cases. Also, it helps provide high-quality nursing education, improve the nursing quality of IV therapy, reduce the incidence of related complications, and ensure the safety of patients with IV therapy.

Land use scenario simulation of mountainous districts based on Dinamica EGO model

Mountainous area makes up 22% of global land, and rational land use in this area is important for sustainable development. Mentougou district has been positioned as an ecological conservation development zone of Beijing and significant land use changes have taken place since 2004. With the combination of GIS and Dinamica EGO(Environment for Geoprocessing Objects) model, the quantitative structure and spatial distribution of land use in Mentougou from 2006 to 2014 are analyzed in this paper. Considering topography has influence on the action mode of driving factors, the research area is divided into two parts based on elevation, mountainous area above 300 m, plain and shallow mountainous area below 300 m. Based on cellular automata theory, the probability of land use change is calculated by Weights of Evidence method and the spatial distribution of land use is simulated by means of two complementary spatial transition functions: Expander and Patcher. Land use pattern of Menougou in 2030 for three kinds of scenarios: trend development, rapid development and ecological protection are simulated. The comparison shows that the trend development scenario is more reasonable based on social, economic and environmental considerations and other scenarios provide a reference for improving irrational land use.

Economic and employment effects of China's power transition based on input‒output and scenario simulation

With high carbon emission,the low-carbon transition of power sector will be critical for China to achieve the carbon peaking and carbon neutrality goals.The power transition will have an impact on the economy and employment through the value chain.Quantifying the impact is important for China's future energy and welfare policies.This study adopts input‒output model to analyze the impact on economy and employment based on accelerated and slow power transition scenarios.The results show that the low-carbon power transition will have a negative impact on coal power and coal mining and washing sectors,while a positive impact on machine manufacturing and equipment sector.Low-carbon power transition will have a positive economic and employment effect to promote inclusive growth.By 2060,economic output will increase by about 8.50 trillion CNY,value-added by about 3.39 trillion CNY,and employment will increase by about 3.74 million.Although slower coal power transition can stabilize the economic and employment effect in the short and medium run,accelerating the power transition will produce more positive effect and lower job losses by coal power in the long run.By 2060,accelerating transition will boost output by 8.21%,value-added by 8.20%and jobs by 7.97%.Accordingly,the government should establish an all-round just low-carbon transition mechanism.

Spatial identification and scenario simulation of the ecological transition zones under the climate change in China

Explicitly identifying the spatial distribution of ecological transition zones(ETZs)and simulating their response to climate scenarios is of significance in understanding the response and feedback of ecosystems to global climate change.In this study,a quantitative spatial identification method was developed to assess ETZ distribution in terms of the improved Holdridge life zone(iHLZ)model.Based on climate observations collected from 782 weather stations in China in the T0(1981–2010)period,and the Intergovernmental Panel on Climate Change Coupled Model Intercomparison Project(IPCC CMIP5)RCP2.6,RCP4.5,and RCP8.5 climate scenario data in the T1(2011–2040),T2(2041–2070),and T3(2071–2100)periods,the spatial distribution of ETZs and their response to climate scenarios in China were simulated in the four periods of T0,T1,T2,and T3.Additionally,a spatial shift of mean center model was developed to quantitatively calculate the shift direction and distance of each ETZ type during the periods from T0 to T3.The simulated results revealed 41 ETZ types in China,accounting for 18%of the whole land area.Cold temperate grassland/humid forest and warm temperate arid forest(564,238.5 km~2),cold temperate humid forest and warm temperate arid/humid forest(566,549.75 km~2),and north humid/humid forest and cold temperate humid forest(525,750.25 km~2)were the main ETZ types,accounting for 35%of the total ETZ area in China.Between 2010 and 2100,the area of cold temperate desert shrub and warm temperate desert shrub/thorn steppe ETZs were projected to increase at a rate of 4%per decade,which represented an increase of 3604.2,10063.1,and 17,242 km~2 per decade under the RCP2.6,RCP4.5,and RCP8.5 scenarios,respectively.The cold ETZ was projected to transform to the warm humid ETZ in the future.The average shift distance of the mean center in the north wet forest and cold temperate desert shrub/thorn grassland ETZs was generally larger than that of other ETZs,with the mean center moving to the northeast and the shift distance being more than 150 km during the periods from T0 to T3.In addition,with a gradual increase of temperature and precipitation,the ETZs in northern China displayed a shifting northward trend,while the area of ETZs in southern China decreased gradually,and their mean center moved to high-altitude areas.The effects of climate change on ETZs presented an increasing trend in China,especially in the Qinghai-Tibet Plateau.

Spatio-temporal Dynamic Simulation of Land use and Ecological Risk in the Yangtze River Delta Urban Agglomeration,China

Rapid urbanization leads to dramatic changes in land use patterns,and the land use/cover change(LUCC)can reflect the spatial impact of urbanization on the ecological environment.Simulating the process of LUCC and predicting the ecological risk future changes can provide supports for urban ecological management.Taking the Yangtze River Delta Urban Agglomeration(YRDUA),China as the study area,four developmental scenarios were set on the basis of the land use data from 2005 to 2015.The temporal land use changes were predicted by the integration of the system dynamic and the future land use simulation(SD-FLUS)model,and the geographically weighted regression(GWR)model was used to identify the spatial heterogeneity and evolution characteristics between ecological risk index(ERI)and socio-economic driving forces.Results showed that:1)From 2005 to 2015,the expansion of construction land(7670.24 km^(2))mainly came from the occupation of cultivated land(7854.22 km2).The Kappa coefficient of the SD-FLUS model was 0.886,indicating that this model could be used to predict the future land use changes in the YRDUA.2)Gross domestic production(GDP)and population density(POP)showed a positive effect on the ERI,and the impact of POP exceeded that of GDP.The ERI showed the characteristics of zonal diffusion and a slight upward trend,and the high ecological risk region increased by 6.09%,with the largest increase.3)Under different developmental scenarios,the land use and ecological risk patterns varied.The construction land is increased by 5.76%,7.41%,5.25%and 6.06%,respectively.And the high ecological risk region accounted for 12.71%,15.06%,11.89%,and 12.94%,correspondingly.In Scenario D,the structure of land use and ecological risk pattern was better compared with other scenarios considering the needs of rapid economic and ecological protection.This study is helpful to understand the spatio-temporal pattern and demand of land use types,grasp the ecological security pattern of large-scale areas,and provide scientific basis for the territory development of urban agglomeration in the future.

Simulation of Urban Land Expansion Under Ecological Constraints in Harbin-Changchun Urban Agglomeration,China

Under the demand of urban expansion and the constraints of China’s’National Main Functional Area Planning’policy,urban agglomerations are facing with a huge contradiction between land utilization and ecological protection,especially for HarbinChangchun urban agglomeration who owns a large number of land used for the protection of agricultural production and ecological function.To alleviate this contradiction and provide insight into future land use patterns under different ecological constraints’scenarios,we introduced the patch-based land use simulation(PLUS)model and simulated urban expansion of the Harbin-Changchun urban agglomeration.After verifying the accuracy of the simulation result in 2018,we predicted future urban expansion under the constraints of three different ecological scenarios in 2026.The morphological spatial pattern analysis(MSPA)method and minimum cumulative resistance(MCR)model were also introduced to identify different levels of ecological security pattern(ESP)as ecological constraints.The predicted result of the optimal protection(OP)scenario showed less proportion of water and forest than those of natural expansion(NE)and basic protection(BP)scenarios in 2026.The conclusions are that the PLUS model can improve the simulation accuracy at urban agglomeration scale compared with other cellular automata(CA)models,and the future urban expansion under OP scenario has the least threat to the ecosystem,while the expansion under the natural expansion(NE)scenario poses the greatest threat to the ecosystem.Combined with the MSPA and MCR methods,PLUS model can also be used in other spatial simulations of urban agglomerations under ecological constraints.

Factor analysis and countermeasure simulation on the socio-ecological environment risks during the development of coalbed methane:based on the DEMATEL and FCM models

The socio-ecological environmental problem caused by the development of coalbed methane(CBM)is becoming more serious,so it is very significant for accelerating the development of CBM industrialization to identify the main influential factors of socioecological environmental risks and take effective risk prevention measures.Based on the triangular fuzzy number method,this paper firstly establishes a comprehensive correlation matrix.Then,the affected factors of socio-ecological environmental risks are analyzed by the DEMATEL method during the development of CBM.Then according to the aspects of centrality and causality,the key indicators are determined.Furthermore,the scenario simulation based on the FCM,the steady-state value and the comprehensive importance of key indicators,and the core indicators are selected.Finally,the scenario simulation of risk management countermeasure is done.The results show that:①The index weights are calculated by the triangular fuzzy numbers,and the correlation matrix in DEMATEL is obtained by the weight ratio,which reduces the shortcomings and the subjectivity of traditional DEMATEL method.②The correlation matrix in FCM is established based on the comprehensive correlation matrix in the above improved DEMATEL,which not only makes the FCM model more comprehensive and reduces the difficulty that the FCM correlation matrix is obtained considering the indirect influence relationship between indicators,but also makes up for the disadvantages that DEMATEL excludes during the selection of the core indexes,which are the considerations of the dynamic change of the importance of the indicators.③The rate of forestry and grass coverage,the ratio of investment in prevention and construction,the pollution index of soil Merlot,the reliability of machinery and equipment,the standard evaluation index of major pollution factors of underground water,and the ability of personal risk prevention are the key indicators,in which the rate of forestry and grass coverage,the ratio of investment in prevention and construction,and the reliability of machinery and equipment are the core indicators and are extremely important for the management of socio-ecological environmental risks during the development of coalbed methane.④The results of the scenario simulation of risk management countermeasure show that the core variables affect the socio-ecological environmental risks through such indicators as the degree of production mechanization,the degree of demolition and resettlement,and the ratio of economic loss by the influenced mechanism analysis;the ratio of investment in prevention and construction has the greatest impact on the socio-ecological environment risks in the early stage of CMB development,while the rate of forestry and grass coverage is the most important in the middle and late stages by the influenced result analysis.Therefore,this paper puts forward some corresponding stage suggestions on the prevention and control of socio-ecological environmental risks during the CMB development.In the early stage of CMB development,the ratio of investment in prevention and construction should be increased.In the middle stage,it is very important to reduce the damage of vegetation regions and to improve the reliability of machinery and equipment;in the late stage,the investment in prevention and construction should be increased steadily and the recovery of damaged vegetation areas should be focused on.

Domain ontology driven composable simulation framework

The simulation composability is one of important development directions in simulation domain. The key issue is the semantic composability. Currently there is no feasible approach to realize the effective semantic representation and composition of simulation components. Based on domain knowledge and Web Ontology Language (OWL), this paper proposes a composable simulation framework, which includes conceptual model semantics, model components semantics, model framework semantics, and simulation scenario semantics. Additionally, all the semantics are utilized in the model components development process, the simulation system development process, and the simulation system execution process respectively. The consistency checking among those semantics is also proposed. The detailed mapping processes between different semantic models can help to build the domain ontology driven composable simulation system.

A Physics‑Based Seismic Risk Assessment of the Qujiang Fault:From Dynamic Rupture to Disaster Estimation

This study achieved the construction of earthquake disaster scenarios based on physics-based methods-from fault dynamic rupture to seismic wave propagation-and then population and economic loss estimations.The physics-based dynamic rupture and strong ground motion simulations can fully consider the three-dimensional complexity of physical parameters such as fault geometry,stress field,rock properties,and terrain.Quantitative analysis of multiple seismic disaster scenarios along the Qujiang Fault in western Yunnan Province in southwestern China based on different nucleation locations was achieved.The results indicate that the northwestern segment of the Qujiang Fault is expected to experience significantly higher levels of damage compared to the southeastern segment.Additionally,there are significant variations in human losses,even though the economic losses are similar across different scenarios.Dali Bai Autonomous Prefecture,Chuxiong Yi Autonomous Prefecture,Yuxi City,Honghe Hani and Yi Autonomous Prefecture,and Wenshan Zhuang and Miao Autonomous Prefecture were identified as at medium to high seismic risks,with Yuxi and Honghe being particularly vulnerable.Implementing targeted earthquake prevention measures in Yuxi and Honghe will significantly mitigate the potential risks posed by the Qujiang Fault.Notably,although the fault is within Yuxi,Honghe is likely to suffer the most severe damage.These findings emphasize the importance of considering rupture directivity and its influence on ground motion distribution when assessing seismic risk.

Ecosystem carbon storage under different scenarios of land use change in Qihe catchment,China

Regional land use change is the main cause of the ecosystem carbon storage changes by affecting emission and sink process.However,there has been little research on the influence of land use changes for ecosystem carbon storage at both temporal and spatial scales.For this study,the Qihe catchment in the southern part of the Taihang Mountains was taken as an example;its land use change from 2005 to 2015 was analyzed,the Markov-CLUE-S composite model was used to predict land use patterns in 2025 under natural growth,cultivated land protection and ecological conservation scenario,and the land use data were used to evaluate ecosystem carbon storage under different scenarios for the recent 10-year interval and the future based on the carbon storage module of the In VEST model.The results show the following:(1) the ecosystem carbon storage and average carbon density of Qihe catchment were 3.16×107 t and 141.9 t/ha,respectively,and decreased by 0.07×107 t and 2.89 t/ha in the decade evaluated.(2) During 2005–2015,carbon density mainly decreased in low altitude areas.For high altitude area,regions with increased carbon density comprised a similar percentage to regions with decreased carbon density.The significant increase of the construction areas in the middle and lower reaches of Qihe and the degradation of upper reach woodland were core reasons for carbon density decrease.(3) For 2015–2025,under natural growth scenario,carbon storage and carbon density also significantly decrease,mainly due to the decrease of carbon sequestration capacity in low altitude areas;under cultivated land protection scenario,the decrease of carbon storage and carbon density will slow down,mainly due to the increase of carbon sequestration capacity in low altitude areas;under ecological conservation scenario,carbon storage and carbon density significantly increase and reach 3.19×107 t and 143.26 t/ha,respectively,mainly in regions above 1100 m in altitude.Ecological conservation scenario can enhance carbon sequestration capacity but cannot effectively control the reduction of cultivated land areas.Thus,land use planning of research areas should consider both ecological conservation and cultivated land protection scenarios to increase carbon sink and ensure the cultivated land quality and food safety.

Assessing impacts of different land use scenarios on water budget of Fuhe River,China using SWAT model

The Soil and Water Assessment Tool(SWAT)model was used to assess the impacts of different land use scenarios on hydrological processes in the Fuhe watershed in Poyang Lake Basin,East China.A total of 12 model parameters were calibrated with observed monthly runoff data for 1982-1988 and validated for 1991-1998 for baseline conditions.The baseline test results of R2 and Nash-Sutcliffe model efficiency(NSE)values ranged between 0.88 and 0.94 across the calibration and validation periods,indicating that SWAT accurately replicated the Fuhe watershed streamflow.Several different land use scenarios were then simulated with the model,focusing on the impacts of land use change on the hydrology of the watershed.The results of hypothetical scenario simulations revealed that surface runoff declined while groundwater recharge and evapotranspiration(ET)increased,as forest land,agriculture land and/or grassland areas increased,as well as when paddy field and urban areas decreased.These results further showed that forest land has a higher capacity to conserve the water as compared to pasture land.The results of the real scenario simulations revealed that urbanization is the strongest contributor to changes in surface runoff,water yield,and ET.Urbanization can be considered as a potential major environmental stressor controlling hydrological components.

气候与土地利用变化对金沙江流域径流影响

The climate change and Land Use/Land Cover(LULC)change both have an important impact on the rainfall-runoff processes.How to quantitatively distinguish and predict the impacts of the above two factors has been a hot spot and frontier issue in the field of hydrology and water resources.In this research,the SWAT(Soil and Water Assessment Tool)model was established for the Jinsha River Basin,and the method of scenarios simulation was used to study the runoff response to climate change and LULC change.Furthermore,the climate variables exported from 7 typical General Circulation Models(GCMs)under RCP4.5 and RCP8.5 emission scenarios were bias corrected and input into the SWAT model to predict runoff in 2017-2050.Results showed that:(1)During the past 57 years,the annual average precipitation and temperature in the Jinsha River Basin both increased significantly while the rising trend of runoff was far from obvious.(2)Compared with the significant increase of temperature in the Jinsha River Basin,the LULC change was very small.(3)During the historical period,the LULC change had little effect on the hydrological processes in the basin,and climate change was one of the main factors affecting runoff.(4)In the context of global climate change,the precipitation,temperature and runoff in the Jinsha River Basin will rise in 2017-2050 compared with the historical period.This study provides significant references to the planning and management of large-scale hydroelectric bases at the source of the Yangtze River.

预测和评估黄土高原多情景土地利用模拟下NPP的变化

Land use/cover change(LUCC)is a major factor affecting net primary production(NPP).According to the LUCC of the Loess Plateau from 2005 to 2015,the LUCC patterns in 2025 in three scenarios were predicted by using the Future Land Use Simulation(FLUS)model.Furthermore,taking the average NPP of various land use/cover types in 16 years as the reference scale,the changes in NPP in multi-scenario simulations are predicted and analyzed,and the impact of different land use/cover transfers on NPP is quantified.The results are as follows:(1)The land use/cover changes greatly in the baseline and fast development scenarios,and changes relatively little in the ecological protection scenarios.(2)The changes in NPP in different scenarios reflected the significant difference in the ecological protection effect.All the three scenarios promote an NPP increase,but the ecological protection scenario can promote NPP increases the most.(3)The changes in NPP caused by LUCC in the three scenarios reflected the significant difference in the various land use/cover types protection effect.Analyzing and predicting NPP changes in multi-scenario LUCC simulations in the future can provide a theoretical basis for decision makers to judge the future changes in ecological environments and ecological protection effects against different policy backgrounds.