Current Status of Key Competencies among Medical Students: A Latent Profile Analysis

The purpose of this study was to understand the overall level of key competencies of medical students and explore the potential profile of key competencies, promoting quality education, and improving the quality talent cultivation in medical colleges. A stratified random sampling method selected 734 medical students from four medical colleges in Chongqing Province of China. A general information questionnaire and a key competencies survey questionnaire were used to conduct the survey. The overall score and scores of each dimension of key competencies were analyzed. Latent profile analysis was conducted to classify the key competencies of medical students and compare the distribution differences of demographic variables among different categories. The results showed that 26% of medical students have never heard of the concept of key competencies, and 59% of them are not familiar with the content related to key competencies. The score of key competencies is 3.66 ± 0.60, with the highest score in the dimension of responsibility and the lowest score in the dimension of humanistic accomplishment. The latent profile analysis classified them into three categories: “low key competencies group (14.71%)”, “medium key competencies group (36.79%)”, and “high key competencies group (48.50%)”. The R3STEP regression analysis results showed statistically significant differences in educational level and whether they served as student cadres among different key competencies categories of medical students. This paper discusses three different potential key competencies categories among medical students, and the overall level of key competencies is relatively good. However, medical students lack a comprehensive and systematic understanding of key competencies. Humanistic accomplishment, healthy living, and practical innovation are the three dimensions with lower scores and should be given more attention. Medical colleges should integrate the concept of key competencies into teaching and implement it in medical practice to cultivate more high-quality medical talents for society.

Feasibility and Path Analysis of Integrating Innovation and Entrepreneurship Education into“One-Stop”Student Communities

The“one-stop”student community provides new support for innovation and entrepreneurship education in universities.Integrating innovation and entrepreneurship education into the“one-stop”student community work enriches course materials,integrates teacher resources,improves students’participation in innovation and entrepreneurship,and solves problems such as low student participation,lack of course resources,insufficient teacher resources,and single evaluation methods in traditional classrooms.Through various means such as exploring course resources,innovating management models,and strengthening team construction,the role of“one-stop”student communities in innovation and entrepreneurship education has been fully utilized,promoting the development of innovation and entrepreneurship education.

Topic Modelling and Sentimental Analysis of Students’Reviews

Globally,educational institutions have reported a dramatic shift to online learning in an effort to contain the COVID-19 pandemic.The fundamental concern has been the continuance of education.As a result,several novel solutions have been developed to address technical and pedagogical issues.However,these were not the only difficulties that students faced.The implemented solutions involved the operation of the educational process with less regard for students’changing circumstances,which obliged them to study from home.Students should be asked to provide a full list of their concerns.As a result,student reflections,including those from Saudi Arabia,have been analysed to identify obstacles encountered during the COVID-19 pandemic.However,most of the analyses relied on closed-ended questions,which limited student involvement.To delve into students’responses,this study used open-ended questions,a qualitative method(content analysis),a quantitative method(topic modelling),and a sentimental analysis.This study also looked at students’emotional states during and after the COVID-19 pandemic.In terms of determining trends in students’input,the results showed that quantitative and qualitative methods produced similar outcomes.Students had unfavourable sentiments about studying during COVID-19 and positive sentiments about the face-to-face study.Furthermore,topic modelling has revealed that the majority of difficulties are more related to the environment(home)and social life.Students were less accepting of online learning.As a result,it is possible to conclude that face-to-face study still attracts students and provides benefits that online study cannot,such as social interaction and effective eye-to-eye communication.

A Bifactor Analysis Approach to Construct Validity and Reliability of the Affective Exercise Experience Questionnaire among Chinese College Students

Affective exercise experience as an emerging theoretical concept has great potential to provide a more nuanced understanding of individual factors that influence exercise behavior.However,concerning the Affective Exercise Experiences(AFFEXX)questionnaire,it has not been examined yet whether the structural score of the AFFEXX is a useful index to predict physical activity(refers to any bodily movement produced by skeletal muscles that requires energy expenditure).Furthermore,there is currently a gap in knowledge regarding the psychological mechanisms that can explain the relationship between affective exercise experiences and the level of physical activity(PA).In order to adress these gaps in the literature,we conducted two studies among Chinese collge students that aimed(i)to investigated whether the total score of the three AFFEXX-C constructs(antecedent appraisals,core affective exercise experiences,and attraction-antipathy towards exercise)is a relaible indicator that can be utilized in research and pratical settings and(ii)to evalute the specific psychological mechanisms that can explain the relationship between affective exercise experience and PA.In Study 1,we recruited 801 voluntary Chinese college students for bifactor and correlational analyses.In Study 2,875 Chinese college students were enrolled to verify our findings from Study 1 and to explore the aforementioned mechanism.Results from the bifactor analyses supported our hypothesis that the total scores of the three AFFEXX-C constructs can be used among Chinese college students to establish a link with PA.Additionally,our results suggested that core affective exercise experiences and attraction-antipathy mediated the relationship between antecedent appraisals and the level of moderate-to-vigorous intensity PA.Therefore,measuring affective exercise experiences using the AFFEXX-C,specifically the total scores of each individual construct may be a useful approach to predict future PA levels.

Evolutionary Algorithm Based Feature Subset Selection for Students Academic Performance Analysis

Educational Data Mining(EDM)is an emergent discipline that concen-trates on the design of self-learning and adaptive approaches.Higher education institutions have started to utilize analytical tools to improve students’grades and retention.Prediction of students’performance is a difficult process owing to the massive quantity of educational data.Therefore,Artificial Intelligence(AI)techniques can be used for educational data mining in a big data environ-ment.At the same time,in EDM,the feature selection process becomes necessary in creation of feature subsets.Since the feature selection performance affects the predictive performance of any model,it is important to elaborately investigate the outcome of students’performance model related to the feature selection techni-ques.With this motivation,this paper presents a new Metaheuristic Optimiza-tion-based Feature Subset Selection with an Optimal Deep Learning model(MOFSS-ODL)for predicting students’performance.In addition,the proposed model uses an isolation forest-based outlier detection approach to eliminate the existence of outliers.Besides,the Chaotic Monarch Butterfly Optimization Algo-rithm(CBOA)is used for the selection of highly related features with low com-plexity and high performance.Then,a sailfish optimizer with stacked sparse autoencoder(SFO-SSAE)approach is utilized for the classification of educational data.The MOFSS-ODL model is tested against a benchmark student’s perfor-mance data set from the UCI repository.A wide-ranging simulation analysis por-trayed the improved predictive performance of the MOFSS-ODL technique over recent approaches in terms of different measures.Compared to other methods,experimental results prove that the proposed(MOFSS-ODL)classification model does a great job of predicting students’academic progress,with an accuracy of 96.49%.

Rate of Patient Delay among Students with Pulmonary Tuberculosis in China: A Meta-Analysis

Objective: To systematically review the rate of patient delay of pulmonary tuberculosis (PTB) patients among students in China. Methods: Databases including Web of Science Core Collection, PubMed, The Cochrane Library, CBM, CNKI, VIP, and WANFANG DATA were electronically searched to collect cross-sectional studies on the incidence of delayed consultation in students with PTB in China from January 1, 2000, to November 15, 2022. Two researchers independently screened studies, extracted data, and assessed the risk of bias of the included studies. Meta-analysis was then performed by Stata 16.0 software. Results: In total, 60 cross-sectional studies with 260,707 cases involving 136,701 delayed consultation PTB patients were included. The results of meta-analysis showed that the rate of patient delay was 46.4% (95% CI 44.3% to 48.4%) among students with PTB in China. Results of subgroup analyses showed that: 1) The rates were 46.8% and 50.4% for male and female students, respectively. 2) The rates for the East, Central and West parts of China were 42.3%, 45.6% and 50.5%, respectively. 3) The rates were increased first and then decreased during 2007 to 2020. 4) The rates of students from primary school, junior high school, senior high school and university were 50.3%, 49.8%, 40.7% and 44.9%, respectively. 5) The rates for the Han and the other nationalities were 50.3% and 53.9%, respectively. 6) The rates for local and non-local students were 47.2% and 50.5%, respectively. 7) The rates of patients detected by consultation due to symptoms, recommendation due to symptoms, referral, tracking and healthy physical examination were 50.5%, 51.6%, 46.6%, 55.6% and 16.2%, respectively. 8) The rates of patients with initial PTB and retreatment PTB were 53.1% and 59.6%, respectively. 9) The rates of patients with positive etiology, negative etiology and without etiological results were 55.9%, 47.0% and 51.6%, respectively. 10) The rates of severe and non-severe patients were 59.4% and 52.9%, respectively. Conclusion: The patient delay rate for Chinese students with PTB is generally at a high level. There are substantial differences in the patient delay rate for students with PTB among different genders, regions, study stages, nationalities, household registration types, detection methods, and treatment classifications.

Laparoscopic liver resection for hepatocellular carcinoma complicated with significant portal hypertension:A propensity score-matched survival analysis

Background: Significant portal hypertension(SPH) is a relative contraindication for patients with resectable hepatocellular carcinoma(HCC). However, increasing evidence indicates that liver resection is feasible for HCC patients with SPH. Methods: HCC patients with cirrhosis who underwent laparoscopic liver resection(LLR) in two centers from January 2013 to April 2018 were included. Surgical and survival outcomes were analyzed to explore potential prognostic factors. Propensity score matching(PSM) analysis was performed to minimize bias. Results: A total of 165 patients were divided into two groups based on the presence(SPH, n = 76) or absence(non-SPH, n = 89) of SPH. Patients in the SPH group had longer operative time, more blood loss, and more advanced TNM stage than patients in the non-SPH group( P < 0.05). However, there were no significant differences in the postoperative 90-day mortality rate( n = 0), overall postoperative complications(47.4% vs. 41.6%, P = 0.455), Clavien-Dindo classification( P = 0.347), conversion to open surgery(9.2% vs. 6.7%, P = 0.557), or length of hospitalization(16 vs. 15 days, P = 0.203) between the SPH and non-SPH groups before PSM. Similar results were obtained after PSM. The 1-, 3-, and 5-year overall survival(OS) and recurrence-free survival rates in the SPH group were not significantly different from those in the non-SPH group both before and after PSM(log-rank P > 0.05). After PSM, alpha-fetoprotein(AFP) ≥ 400 μg/L [hazard ratio(HR) = 4.71, 95% confidence interval(CI): 2.69-8.25], ascites(HR = 2.18, 95% CI: 1.30-3.66), American Society of Anesthesiologists(ASA) classification(Ⅲ vs. Ⅱ)(HR = 2.13, 95% CI: 1.11-4.07) and tumor diameter > 5 cm(HR = 3.91, 95% CI: 2.02-7.56) independently predicted worse OS. Conclusions: LLR for patients with HCC complicated with SPH appears feasible at the price of increasing operative time and blood loss. AFP, ascites, ASA classification and tumor diameter may predict the prognosis of HCC complicated with SPH after LLR.

Translation and psychometric validation of the Korean version of the academic nurse self-efficacy scale for Korean bachelor-level nursing students

Objective:This study aimed to translate the Academic Nurse Self-Efficacy scale(ANSE),assess its appropriateness for use in Korean nursing students,and evaluate the Korean Version of the Academic Nurse Self-Efficacy scale’s(K-ANSE)validity and reliability.Methods:The data of 444 nursing college students at 10 universities across the country were collected from November 1,2020 to June 8,2021.The K-ANSE was analyzed utilizing SPSS 25.0 and AMOS 25.0 programs.The K-ANSE’s content validity,construct validity,convergent/discriminant validity,criterion-related validity,and reliability were evaluated.Results:Internal emotion management,auto-regulatory behavior,external emotion management,and sociality were established.The Cronbach’sαfor the overall scale was 0.87,and that of the 4 subscales ranged from 0.70 to 0.89.Conclusions:The Korean version of the ANSE seems to be a valid and reliable instrument to measure Korean bachelor-level nursing students.

Effects of mindfulness meditation on anxiety, depression, stress, and mindfulness in nursing students: a meta-analysis and trial sequential analysis of randomized controlled trials

Objective:The aim of this study was to assess the effectiveness of mindfulness meditation(MM)on anxiety,depression,stress and mindfulness in nursing students.Methods:A comprehensive search and screening procedures were conducted to locate all MM interventions implemented with nursing students.For randomized controlled trials(RCTs)in accordance with the inclusion criteria,a search was conducted in PubMed,Embase,Web of Science,Medline,PsycINFO,Cumulative Index to Nursing and Allied Health(CINAHL),Cochrane Central Register of Controlled Trials(CENTRAL),China Biology Medicine(CBM),Chinese National Knowledge Infrastructure(CNKI)and Wanfang.Databases were retrieved from inception through August 2018.Additional studies were identified through hand searches and Internet searches.Two reviewers collected relevant data of eligible articles according to the data extraction tables.Based on Cochrane Handbook,critical appraisal of the methodological quality was assessed by two other reviewers.An Excel form was used to extract main characteristics of included RCTs.Meta-analysis and trial sequential analysis(TSA)were carried out using software RevMan 5.3 and TSA 0.9.Results:Five RCTs with 257 nursing students were included.Only two studies were assessed as high quality and three studies were evaluated as moderate quality.Meta-analysis showed that,comparing with the control group,MM could significantly improve anxiety(SMD=?0.45,95%CI?0.73 to?0.17,P=0.001)and stress(SMD=?0.69,95%CI?0.97 to?0.40,P<0.001).TSA results confirmed that the outcome of the merger is credible.It could also significantly improve depression level of nursing students after 8 weeks intervention duration(SMD=?0.70,95%CI?1.14 to?0.26,P=0.002).However,there was no beneficial effect on depression level of nursing students with 1 week intervention duration(SMD=0.09,95%CI?0.42 to 0.59,P=0.74)and its effects on mindfulness level of nursing students also did not show statistical significance(SMD=0.37,95%CI?0.04 to 0.77,P=0.07).No definitive conclusions were drawn from the TSA.Conclusions:The results of this meta-analysis indicated that MM could effectively reduce the level of anxiety and stress of nursing students.TSA confirmed that the results of meta-analysis are credible.For depression,it could also significantly improve depression of nursing students with 8 weeks intervention,but there was no significant effect on nursing students with 1 week intervention duration.There was also no beneficial effect on mindfulness level of nursing students.However,TSA indicated that the accumulated evidence is still inconclusive.We suggest that more well-designed clinical trials with large sample and higher quality would be required in future to draw a definitive conclusion.

Cost and Calorie Analysis of Fast Food Consumption in College Students

The purpose of this research was to assess money spent and calories consumed by college students from fast food restaurants located on and around a southern college campus. A convenience sample (n = 152) of undergraduate college students (aged 18 - 24) at a southern university participated in a survey that measured dietary intake from seven local fast food chains using a researcher developed food frequency questionnaire and a lifestyle behavior survey that collected data on health practices. A strong positive correlation was found between total monthly fast food expense and total monthly fast food caloric consumption (r(150) = 0.94, p t test comparing the mean monthly fast food restaurant expense males to females found a significant difference between the two groups (t(150) = 4.19, p < 0.05).The more money spent by college students contributed to a higher amount of calories consumed from fast food in a typical month. Future research needs to determine if college students are contributing to the high obesity rate and if limiting fast food restaurants on and around college campuses would help decrease fast food consumption in college students.

Motivations Underlying the Snack Choices of Japanese Junior High School Students: A Study Based on Cluster Analysis

The aims of the present study were to group junior high school students according to factors influencing their snack choice and identify differences between the characteristics and snack choice behaviors of the groups. An anonymous self-report questionnaire was administered to 1936 students (13 - 15 years old) in eight junior high schools in Tokyo, Japan. The students responded to the Snack Choice Questionnaire (SCQ) as well as questions concerning snacking behaviors, lifestyles, and demographics. Cluster analysis was applied to sort the sample according to SCQ scores. Each cluster’s characteristics were examined by gender using the χ2 test or the Kruskal-Wallis test with a Bonferroni adjustment. Participants were divided into four groups: high in all factors, low in all factors, low value in health, and value in health. The “value in health” group was composed of more girls than boys and the “low in all factors” group had fewer girls than boys. Those in the “high in all factors” and “low value in health” groups indicated that they consumed more snacks. Moreover, gender differences were revealed. By assessing the SCQ prior to providing nutrition education, we can obtain valuable information to make nutrition education planning.

Concept Analysis of Ethical Competence of Nursing Students and Nurses

[Aim] This study aimed to conduct a concept analysis and clarification of ethical competence of nursing students and nurses, and further clarify the components. [Method] Rodger’s concept analysis method was used. A literature search was conducted using the ICHUSHI database, MEDLINE, and CINAHL databases. The keywords included in the search were ethical competence. A total of 24 published articles were analyzed. [Results] As a concept of ethical competence among nursing students and nurses, five categories of [ethical sensitivity], [ethical reasoning], [ethical decision making], [ethical practice], [ethical reflection], obviously became. As a component, two categories of antecedent factors and three categories of consequences were identified. I defined ethical competence in nursing students and nurses, “including nursing students and nurses thinking processes and nursing practice and reflection to solve ethical problems Behavioral characteristics”. [Conclusion] Review of nursing practice from an ethical perspective [ethical reflection] is indispensable for clarifying self-tasks and deepening better nursing practice.

Investigation and analysis of network psychology of college students

Based on basic situational research and analysis carried out on 638 college students using network, we found that as many as 20 percent of the students are not only largely dependent on internet, but also addicted to it. Further biography characteristics analyses for different individuals on the four dimensions of the network forced addiction, tolerance, and time management and interpersonal relationship and health, show that there are significant differences in grades, gender with different education levels of their parents. Further researches on discrepancy that addicted groups have in network entertainment addiction, network information, cyber porn, network relations and network transactions addictions also illustrate that significant discrepancies exist in gender, net age, different discipline and other factors. Finally we put forward some correlative measures to solve the problems of college students network psychology from individuals, schools, and society levels.

Factor Analysis on Oral English Conversational Competence of College Students

Oral English is always a difficult part for Chinese students,some can speak several sentences while not clearly know others’saying;others can understand the speakers’words while not express their own meaning fluently.This paper will focus on what factors influences the college students’spoken English by the specific experiment and SPSS app,whose data shows four ones,namely Language Monitor,Meaning Negotiation,Turn Taking and Empathetic Exchange.Thus,the paper takes conclusions and poses some suggestions to oral English teaching according to the affecting causes.It is expecting to help improve the ability of the oral English Conversation for Chinese College students.

In-class language learning strategies used by Thai pre-university students： Factor analysis

The purpose of this study was to explore factors related to strategy use of Thai pre-university students in Thailand. The subjects of the investigation were selected based on convenience and availability. A researcher-generated language learning strategy questionnaire with the Alpha coefficient （α）. 96 were used as the main instrument for the data collection. The questionnaire was designed based on information taken from the students＇ interview. The variables for the present investigation include extra-class support and level of language proficiency. The four extracted factors emerged as a result of varimax rotation conducted on the correlations of 20 in-class language learning strategies, which varied significantly in relation to the two variables. The four factors includes Factor 1 strategies for strategies for the classroom preparation, Factor 2 strategies for learning new vocabulary in the classroom lessons, Factor 3 strategies for solving classroom problems, and Factor 4 strategies for concentrating while studying in class. The result of the varimax rotation shows that all of the four factors were found strongly related to extra-class support and level of language proficiency.

Research and Analysis on Reading by College Students in the Era of Mobile Reading

With the increasing advancement and popularity of electronic media,traditional reading mode and book purchase means have been updated and upgraded.As a big consumer of books,the college student group plays a double-complementary role in the marching force that drives this“revolution”.When the habit of holding a book and reading it at night is replaced by web-based virtual environment,readers have sharply recognize such trend,the internet has changed the perception of people on the time-space relationship.It causes changes in the“relationship among human beings”.The characteristics of untouchable mode for the internet will really impact the daily life of the general public and event invoke our multi-dimension thinking of individuals themselves and external environment.The internet is promoting“him”and“them”to get close to each other with an invisible force and the reading trend of internet literature is emerging gradually.

Professional Career Planning Status Quo Analysis of University Students--Set a Certain University in Chongqing as an Example

This survey sets students in a Chongqing university as examples and on this basis, combining the author＇s perennial professional career planning education experience to analyze and study university students＇ professional career planning status quo in recent years and the deep-seated reasons for the difficulties of career planning, employment and adaptability to explore more effective, more proactive methods for university students＇ career planning education tasks.

A Structural Analysis of the Writing Errors Committed by Foundation Students at Arab Open University, Oman

English is considered as Arab students＇ second language which is not used frequently in their daily conversations. Since writing in English is a challenging experience for Omani students, errors in grammar and sentence structures were identified in bridging language courses （foundation level 2） in the field of ESL （English as a Second Language}. Learners＇ errors were considered positively as the best sources to identify students＇ limitations in English writing. The present study investigates the structure errors of Omani students＇ writings in English in foundation level 2 at Arab Open University. The focal aim is to study the errors that Ornani students commit when they are using adjectives ＋ nouns, indefinite articles, and subordinate conjunction ＂because＂. Results show that Omani students committed the following common errors： misplacement of adjectives, omission of the indefinite articles, and wrong structure of the subordinate conjunction （because）. The prime aim of this study is to examine the students＇ aforementioned structural errors which are the result of the interference of their mother-tongue. In order to achieve these aims, students were asked to write two different topics. Finally, this research suggests further recommendations for further studies which might ameliorate students＇ learning by adopting appropriate strategies for teaching.

The Analysis of Scaffolding Instruction Application in Senior High School English Writing Teaching —— Based on Students of Zuoyun High School in Datong

This study aims to investigate the relationship between English Writing achievement and scaffolding instruction with 100 Students from Zuoyun high school as subjects in a quantitative method.Results show that:1)On the whole,high school students have good use of scaffolding in English writing.2)The application of scaffolding instruction in high school English writing teaching has a significant positive correlation with English writing performance.3)On the whole,there is a significant difference in the application of the scaffolds in English writing between high and low-score group students.