The effect of high-fidelity simulation in medical nursing based on the healthcare simulation standards of best practice

Background:High-fidelity simulation has been demonstrated to make great progress in learning.However,there is still ongoing exploration on how to fully harness the advantages of this teaching method and enhance its effectiveness.This study conducted high-fidelity simulation in medical nursing based on the Healthcare Simulation Standards of Best Practice and evaluated its effect.Methods:The study was conducted from September 2019 to June 2020.A total of 82 undergraduate nursing students from a university in Shanghai participated in the high-fidelity simulation in medical nursing.The simulation design scale,educational practices in simulation scale,and students’satisfaction and self-confidence were used to evaluate the effect.Results:The mean score of simulation design scale was 4.06±0.63 with the mean scores of all dimensions being over 3.0.The mean score of educational practices in simulation scale was 4.14±0.56 with the mean scores of all dimensions being over 4.0.The mean scores of students’satisfaction and self-confidence were 4.07±0.72 and 3.89±0.58,respectively.Conclusion:Students reported high levels of simulation design and educational practices in simulation.They were also satisfied with learning and reported high levels of self-confidence.Some key points need to be considered so that the learning effects might be optimized.

The Flu and You--Common Sense May Be the Best Medicine

俗话说,"笑一笑,十年少;愁一愁,白了头"。现实的情况虽然未必有这么夸张,但至少也能说明情绪和健康之间存在着某种关系。医学研究发现,积极情绪可能提高人们对普通感冒的抵抗力。如果患了感冒,人们大可不必为此而焦虑,因为那样反而不利于感冒的消除。相反,充足的睡眠、积极的锻炼以及合理的饮食能起到比药物或抗生素更强的治疗效果。

枯草芽孢杆菌BEST195的碳水化合物酶类(CAZymes)的分布与进化分析

【目的】分析枯草芽孢杆菌BEST195的碳水化合物酶类的分布与进化情况,对枯草芽孢杆菌工业菌株的开发利用具有重要意义。【方法】利用CAT在线预测程序对前期获得的102个分泌蛋白序列进行CAZymes预测。【结果】明确枯草芽孢杆菌BEST195中CAZymes的数量为57个,分别为27个GH、21个CBM、2个CE、4个PL、1个GT和2个GH/CBM。同时,通过对上述CAZymes进行遗传关系分析,明确存在GH/PL/CBM、GH/CBM、GH/CBM/CE/PL、GH/CBM/CE/PL/GT等大的类别;以及通过对上述蛋白互作关系分析,发现大部分CAZymes蛋白已具有明显的结构特征和相互作用的关系。【结论】完成了枯草芽孢杆菌BEST195中CAZymes的预测,并明确CAZymes在分类方面尚需进一步细分为亚类,该项目为开展工业菌株发挥CAZymes蛋白功能研究打下了坚实的理论基础。

Reproducibility of optical quality parameters measured at objective and subjective best focuses in a doublepass system

AIMTo evaluate intra-session repeatability and reproducibility of optical quality parameters measured at objective and subjective best focuses in a double-pass system.METHODSThirty Chinese healthy adults (19 to 40 years old) meeting our inclusion criterion were enrolled in the study. After a basic eye examination, two methods of optical quality measurement, based on subjective and objective best focuses were performed using the Optical Quality Analysis System (OQAS) with an artificial pupil diameter of 4.0 mm.RESULTSWith each method, three consecutive measurements of the following parameters: the modulation transfer function cutoff frequency (MTFcutoff), the Strehl2D ratio, the OQAS values (OVs) at contrasts of 100%, 20%, 9% and the objective scatter index (OSI) were performed by an experienced examiner. The repeatability of each method was evaluated by the repeatability limit (RL) and the coefficient of repeatability (COR). Reproducibility of the two methods was evaluated by intra-class correlation coefficient (ICC) and the 95% limits of agreement (Bland and Altman analysis). Thirty subjects, seven females and twenty three males, of whom 15 right eyes and 15 left eyes were selected randomly for recruitment in the study. The RLs (percentage) for the six parameters measured at objective focus and subjective focus ranged from 8.44% to 15.13% and 10.85% to 16.26%, respectively. The CORs for the two measurement methods ranged from 8.27% to 14.83% and 10.63% to 15.93%, respectively. With regard to reproducibility, the ICCs for the six parameters of OQAS ranged from 0.024 to 0.276. The 95% limits of agreement obtained for the six parameters (in comparison of the two methods) ranged from -0.57 to 42.18 (MTFcutoff), -0.01 to 0.23 (Strehl2D ratio), -0.02 to 1.40 (OV100%), -0.10 to 1.75 (OV20%), -0.14 to 1.80 (OV9%) and -1.46 to 0.18 (OSI).CONCLUSIONMeasurements provided by OQAS with either method showed a good repeatability. However, the results obtained from the two different measurement methods showed a poor reproducibility. These findings suggest that it might be best to evaluate patients' optical quality by OQAS using the best focus as chosen automatically by the instrument.

Best practices for making high integrity lightweight metal castings-molten metal composition and cleanliness control

To make high integrity lightweight metal castings,best practices are required in various stages of casting and heat treatment processes,including liquid metal composition and quality control,casting and gating/riser system design,and process optimization.This paper presents best practices for liquid metal processing and quality assurance of molten metal in both melting and mold filling.Best practices for other aspects of lightweight metal casting will be published separately.

Sedimentation retention basin utilization for best management practice

Approaches to the artificial impoundment and theoretical design of sedimentation retention basin are reviewed with particular attention to best management practice(BMP) to control agriculture and surface runoff. Sediments retention basins are the small version of farm pond used where a criteria of farm pond is not met. Such basin traps the pollutants and suspended solids prior to entry into streams and lakes. The study is focused with special reference to the assessment and control of non point source pollution(NPSP) from the sub basin area of Tai Lake in the Xishan County of Wuxi City of China. The author suggested two different approaches to conduct this study including theoretical design for sedimentation retention basin and computation of flow, sediment transport and deposition during the artificial impoundment of retention basin for BMP's utilization. Theoretical design will provide a useful function as a first line defense against the movement of sediments and transport of pollutants into the Tai Lake while the assessment of sediments deposition will help to make its proper use and periodic cleanup.

BEST APPROXIMATION FOR WEIERSTRASS TRANSFORM CONNECTED WITH SPHERICAL MEAN OPERATOR

Using reproducing kernels for Hilbert spaces, we give best approximation for Weierstrass transform associated with spherical mean operator. Also, estimates of extremal functions are checked.

FIXED POINT THEOREMS AND BEST APPROXIMATION IN CONVEX METRIC SPACES

Results regarding best approximation and best Simultaneous approximation on convex metric spaces are Obtained.Existence of fixed points for an ultimately nonexpansive semigroup of mappings is also shown.

SOME BEST APPROXIMATION RESULTS IN LOCALLY CONVEX SPACES

In this note we obtain generalization of well known results of carbone and Conti,Sehgal and Singh and Tanimoto concerning the existence of best approximation and simultaneous best approximation of continuous Junctions from the set up of a normed space to the case of a Hausdorff locally convex space.

The Best Finite-Difference Scheme for the Helmholtz Equation

The best finite-difference scheme for the Helmholtz equation is suggested. A method of solving obtained finite-difference scheme is developed. The efficiency and accuracy of method were tested on several examples.

When is The Best Time of Stem Cell Transplantation for Treating Acute Myocardial Infarction──A Brief Meta-analysis of Current Clinic Trials

The best time of stem cells transplantation for treating acute myocardial infarction (AMI) is still to be followed with interest and a focus issue for clinical cardiologist. A brief meta-analysis of clinical trials about timing-window and therapeutic effects of stem cell transplantation for treating AMI will be made out in this article.

An analysis of the size and direction of the association between mental toughness and Olympic distance personal best triathlon times

Background: Athletes, coaches, sport psychology practitioners, and researchers suggest that mental toughness represents an important construct that is associated with athletic performance. Unfortunately, the absence of real-world performance as a dependent variable has limited our ability to substantiate this claim. The concern of a lack of ecologically valid measures of sports performance might be addressed by examining the relationship between mental toughness and sports performance using a standardized measure of personal best(PB) triathlon time and a validated unidimensional measure of mental toughness.Methods: Three hundred and sixteen triathletes completed the 8-item mental toughness index(MTI), reported their age, and provided a PB Olympic distance triathlon time and the total number of triathlons they had completed to date. Given that males are typically quicker than females, a standardized time was calculated by dividing the PB by the current Olympic record for gender; we also hypothesized that more experienced triathletes would report quicker PB times because of greater frequency and duration of training. Once we had controlled for gender and experience,we predicted that mental toughness would be negatively associated with triathlon time and the size of the relationship would be of a moderate magnitude.Results: Results revealed small-to moderate-sized negative relationships between both completed number of triathlons and mental toughness with standardized PB time.Conclusion: The hierarchical regression analysis showed that mental toughness provided a unique contribution to the variability in standardized Olympic triathlon PB after controlling for the total number of triathlons completed.

Surgical organ displacement: what is the best “materials and methods” for proton radiotherapy?

In the mid 1940s, Robert Wilson （1） hypothesized that a highly localized deposition of energy from a proton beam could be used to increase the radiation dose to tumors while minimizing radiation to adjacent normal tissues. The depth- dose distribution of a proton beam differs significantly from that of a photon beam. Protons show increasing energy deposition with penetration distance, reaching a maximum- named the Bragg peak-near the end of the range of the proton beam. In front of the Bragg peak, the dose level is modest compared to photon beams; beyond the Bragg peak, the dose decreases to nearly zero. By choosing the appropriate proton beam energy, the depth of the Bragg peak can be adjusted to match the depth and extent of the target volume. Therefore, excellent conformality can be achieved, in contrast to conventional or intensity-modulated radiotherapy （IMRT）.

Some Remarks on the Convex Feasibility Problem and Best Approximation Problem

In this paper we investigate several solution algorithms for the convex fea- sibility problem(CFP)and the best approximation problem(BAP)respectively.The algorithms analyzed are already known before,but by adequately reformulating the CFP or the BAP we naturally deduce the general projection method for the CFP from well-known steepest decent method for unconstrained optimization and we also give a natural strategy of updating weight parameters.In the linear case we show the connec- tion of the two projection algorithms for the CFP and the BAP respectively.In addition, we establish the convergence of a method for the BAP under milder assumptions in the linear case.We also show by examples a Bauschke's conjecture is only partially correct.

A Class of Iteration Method for the Best Approximation Problems

We propose a class of iteration methods searching the best approximately generalized polynomial, which has parallel computational function and converges to the exact solution quadratically. We first transform it into a special system of nonlinear equations with constraint, then by using to certain iteration method, we combine the two basic processes of the Remes method into a whole such that the iterative process of the system of nonlinear equations and the computation of the solution to the system of linear equations proceed alternately. A lot of numerical examples show that this method not only has good convergence property but also always converges to the exact solution of the problem accurately and rapidly for almost all initial approximations .

CHARACTERIZATION OF BEST APPROXIMATIONS IN METRIC LINEAR SPACES

Let (X,d) be a real metric linear space, with translation-invariant metric d and C a linear subspace of X. In this paper we use functionals in the Lipschitz dual of X to characterize those elements of G which are best approximations to elements of X.We also give simultaneous characterization of elements of best approximation and also consider elements of ε-approximation.

Fast inter-mode decision method based on best matching block for H.264 encoding

In H.264 encoder, all possible coding modes should be checked to choose the most appropriate mode for every macroblock, which adds a heavy computation burden to the encoder. In this paper, a fast inter-mode decision method is presented to reduce computation complexity of an H.264 encoder. By detecting the best matching block （BMB） before transform and quantization, some coding modes can be skipped and the corresponding encoding steps can be omitted for these BMBs. Meanwhile this method can also be used to detect all-zero blocks. The experimental results show that this method achieves consistently significant reduction of encoding time while keeping almost the same rate-distortion performance.

Some Problems on Best Approximation in Orlicz Spaces

In this paper we studied some problems on best approximation in Orlicz spaces, for which the approximating sets are Haar subspaces, the result of this paper can be considered as the extension of the classical corresponding result.

Best Response Games on Regular Graphs

With the growth of the internet it is becoming increasingly important to understand how the behaviour of players is affected by the topology of the network interconnecting them. Many models which involve networks of interacting players have been proposed and best response games are amongst the simplest. In best response games each vertex simultaneously updates to employ the best response to their current surroundings. We concentrate upon trying to understand the dynamics of best response games on regular graphs with many strategies. When more than two strategies are present highly complex dynamics can ensue. We focus upon trying to understand exactly how best response games on regular graphs sample from the space of possible cellular automata. To understand this issue we investigate convex divisions in high dimensional space and we prove that almost every division of k - 1 dimensional space into k convex regions includes a single point where all regions meet. We then find connections between the convex geometry of best response games and the theory of alternating circuits on graphs. Exploiting these unexpected connections allows us to gain an interesting answer to our question of when cellular automata are best response games.