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.

Effectiveness of Participatory Teaching Methods in the Standardized Training of Respiratory Medicine Residents

Objective:To explore and analyze the application effect of participatory teaching method in the standardized training of respiratory medicine residents.Methods:The study period was from May 2022 to May 2023.20 doctors in the standardized training of respiratory medicine residency in our hospital were taken as research subjects and grouped into the participatory group(n=10)and the routine group(n=10)by using the random number lottery method.The participatory group practised participatory teaching methods,and the routine group practised routine teaching methods.The results of discharge assessment,teaching evaluation,and mini-Clinical Evaluation Exercise(mini-CEX)assessment were compared between the groups.Results:The theoretical assessment,operational assessment,and total scores of the participatory group were significantly higher than those of the routine group,and the difference was statistically significant(P<0.05).The teaching evaluation of independent learning,theoretical mastery,teamwork,clinical thinking,communication,and learning interest of the participatory group was significantly higher than that of the routine group,and the difference was statistically significant(P<0.05).The mini-CEX assessments of history inquiry,organizational effectiveness,professionalism,physical examination,clinical diagnosis,communication skills,and overall clinical competence of the participatory group were significantly better than those of the routine group,and the difference was statistically significant(P<0.05).The teaching satisfaction of the participatory group was significantly higher than that of the routine group,the difference was statistically significant(P<0.05).Conclusion:Participatory teaching methods can improve the overall level of doctors in the respiratory medicine residency standardized training,and the teaching satisfaction is improved.

Inspiration of Foreign Innovative Drug Pricing Methods and Medical Insurance Payment Standards to China

Objective To study the innovative drug pricing methods and medical insurance payment standards in foreign countries and to provide reference for China’s government.Methods The official websites were searched for information and related literature,and literature review was used.Results and Conclusion In foreign countries,the clinical value of innovative drugs and their impact on medical insurance funds were comprehensively evaluated based on factors such as quality-adjusted life years,clinical benefit,and improvement of clinical benefit.Then,the evaluation results were taken as an important basis for whether innovative drugs were admitted to the medical insurance catalog and establishing medical insurance payment standards.By using international experience for reference,innovative drug pricing methods and medical insurance payment standards for China’s national conditions can be improved by establishing a basic database of clinical value and drug economic evaluation of innovative drugs,as well as innovative drug payment models based on decision thresholds.

Using Different Standardized Methods for Species Identification:A Case Study Using Beaks from Three Ommastrephid Species

The cephalopod beak is a vital hard structure with a stable configuration and has been widely used for the identification of cephalopod species. This study was conducted to determine the best standardization method for identifying different species by measuring 12 morphological variables of the beaks of Illex argentinus, Ommastrephes bartramii, and Dosidicus gigas that were collected by Chinese jigging vessels. To remove the effects of size, these morphometric variables were standardized using three methods. The average ratios of the upper beak morphological variables and upper crest length of O. bartramii and D. gigas were found to be greater than those of I. argentinus. However, for lower beaks, only the average of LRL(lower rostrum length)/LCL(lower crest length), LRW(lower rostrum width)/LCL, and LLWL(lower lateral wall length)/LCL of O. bartramii and D. gigas were greater than those of I. argentinus. The ratios of beak morphological variables and crest length were found to be all significantly different among the three species(P < 0.001). Among the three standardization methods, the correct classification rate of stepwise discriminant analysis(SDA) was the highest using the ratios of beak morphological variables and crest length. Compared with hood length, the correct classification rate was slightly higher when using beak variables standardized by crest length using an allometric model. The correct classification rate of the lower beak was also found to be greater than that of the upper beak. This study indicates that the ratios of beak morphological variables to crest length could be used for interspecies and intraspecies identification. Meanwhile, the lower beak variables were found to be more effective than upper beak variables in classifying beaks found in the stomachs of predators.

Improved EEMD-based standardization method for developing long tree-ring chronologies

Long tree-ring chronologies can be developed by overlapping data from living trees with data from fossil trees through cross-dating.However,low-frequency climate signals are lost when standardizing tree-ring series due to the"segment length curse".To alleviate the segment length curse and thus improve the standardization method for developing long tree-ring chronologies,here we first calculated a mean value for all the tree ring series by overlapping all of the tree ring series.The growth trend of the mean tree ring width(i.e.,cumulated average growth trend of all the series)was determined using ensemble empirical mode decomposition.Then the chronology was developed by dividing the mean value by the growth trend of the mean value.Our improved method alleviated the problem of trend distortion.Long-term signals were better preserved using the improved method than in previous detrending methods.The chronologies developed using the improved method were better correlated with climate than those developed using conservative methods.The improved standardization method alleviates trend distortion and retains more of the low-frequency climate signals.

Calculating the Number of Pregnant Women Receiving Standardized Services for PMTCT of HIV in Liangshan Prefecture,Based on the Equivalent Method

Objective To calculate the number of pregnant women who receive standardized prevention of mother-to-child transmission(PMTCT)services for HIV annually.Methods HIV-positive pregnant women in six counties of Liangshan Prefecture in 2017 were selected as study subjects.The entire process,from when the subjects first received the PMTCT of HIV services to the end,was divided into four stages,which were further divided into 25 phases.The equivalent coefficient was used to indicate the weight of workload in each phase.Seven experts were invited to score the equivalent coefficient;the number of pregnant women who received standardized services to prevent the transmission of HIV was calculated.Results A total of 663 HIV-positive pregnant women were registered in six Liangshan Prefecture counties in 2017.This figure was converted into 7,780 person-months devoted to HIV-positive pregnant women,with 260 person-months(3.34%)spent on the first antenatal care,1,510 person-months(19.41%)during pregnancy,378 person-months(4.86%)on delivery,and 5,632 person-months(72.39%)on post-partum period.The equivalent coefficient calculation showed that 314 HIV-positive pregnant women received standardized PMTCT services.Conclusion The number of pregnant women receiving standardized services for the PMTCT of HIV can be calculated accurately using the equivalent method to identify the gap between the level of PMTCT of HIV intervention services needed and the actual workload.

Smart Society and Artificial Intelligence:Big Data Scheduling and the Global Standard Method Applied to Smart Maintenance

The implementation of artificial intelligence(AI)in a smart society,in which the analysis of human habits is mandatory,requires automated data scheduling and analysis using smart applications,a smart infrastructure,smart systems,and a smart network.In this context,which is characterized by a large gap between training and operative processes,a dedicated method is required to manage and extract the massive amount of data and the related information mining.The method presented in this work aims to reduce this gap with near-zero-failure advanced diagnostics(AD)for smart management,which is exploitable in any context of Society 5.0,thus reducing the risk factors at all management levels and ensuring quality and sustainability.We have also developed innovative applications for a humancentered management system to support scheduling in the maintenance of operative processes,for reducing training costs,for improving production yield,and for creating a human–machine cyberspace for smart infrastructure design.The results obtained in 12 international companies demonstrate a possible global standardization of operative processes,leading to the design of a near-zero-failure intelligent system that is able to learn and upgrade itself.Our new method provides guidance for selecting the new generation of intelligent manufacturing and smart systems in order to optimize human–machine interactions,with the related smart maintenance and education.

Analytical and Traveling Wave Solutions to the Fifth Order Standard Sawada-Kotera Equation via the Generalized exp(-Φ(ξ))-Expansion Method

In this article, we propose a generalized exp(-Φ(ξ))-expansion method and successfully implement it to find exact traveling wave solutions to the fifth order standard Sawada-Kotera (SK) equation. The exact traveling wave solutions are established in the form of trigonometric, hyperbolic, exponential and rational functions with some free parameters. It is shown that this method is standard, effective and easily applicable mathematical tool for solving nonlinear partial differential equations arises in the field of mathematical physics and engineering.

Design Method of Equipment Optimization Development Based on Standardization Theory

The matters of equipment optimization development are usually discrete,fuzzy and non-quantitative.It is difficult directly to optimize the equipment development with a mathematical model.A set of methods for designing the equipment optimization development with six dimensions and eight main elements is established based on the theory and method of standardization.The top-tier design space of systematic development of equipment is built up by the relations of basic models,series and model spectrums.The relations of time and space for equipment optimization development are established.The design processes of a six dimension systematic space are expounded.The connotation of each plan in the main system space is analyzed.A design method for an entire equipment is established with standardization theory.The coordinating design methods of equipment technical system and the optimization design methods of equipment integration are discussed.The design methods for universalization and serialization of components and parts are established.The design methods of equipment optimization development highlight the relations of the basic model of platform,the serialization of platform basic models,the modularization of equipment functions,the model spectrum of variant equipment,and the universalization and serialization of components and parts.

The Research on Methodology for Material Code Standardization in the Implementation of MRP－Ⅱ

This paper analyses the current common problems of material code standardization in the implementation of MRP Ⅱ, and puts forward the basic ideas and methods for solving the problems, which has some reference value for the popularization of application o

Compilation Principles and Methods of China’s First Mongolian Standard in Meteorological Industry

Mongolian Terms Commonly Used in Meteorological Services that was issued by the China Meteorological Administration is China s first traditional Mongolian standard in meteorological industry. In the process of formulation, the compilation unit fully complied with the principles of scientificity, practicability, universality and versatility, and used literal translation, free translation, and the combination of literal translation and free translation to translate and compile 71 mongolian terms commonly used in meteorological services. The standard fills the blank of standardization construction of basic traditional Mongolian language in the meteorological industry of China.

LA-ICP-MS Calibrations for Intact Rock Samples with Internal Standard and Modified Constant-Sum Methods

Laser ablation coupled with inductively coupled plasma-mass spectrometry (LA-ICP-MS) calibration was conducted with multiple spot analyses on eleven intact rock samples using both an internal standard (IS) method and a modified constant-sum (MCS) method. Methods were then compared for reported bulk elemental composition of the rocks. The MCS method was based on the sum of eight major elements, which is spatially more stable than one single major ele-ment as used in the IS method, and is quite constant among different rock samples. Calibrations were performed with standard reference materials NIST SRM 610, 612, 614, and 616. Little difference was found between using a single standard and a set of standards, because of the good linearity shown by the reference materials. Comparison of the two calibration methods shows that the MCS method produced better and more stable results than the IS method for heterogeneous samples. With the MCS method, approximately 94% to 95% of the total measurements are within the range of ±100% relative deviation, compared with 82% to 86% with the IS method. The IS method resulted insubstantial overestimations for some rock samples (e.g., 648% for Basalt BCR-2 using NIST SRM 610 as the calibration standard), while the largest deviation with the MCS method was 216% for U in Eagle Ford shale #80 sample. For Quartz latite QLO-1, a relative homogeneous sample, the IS method generated slightly better results than the MCS method. Regardless of method, spatially heterogeneous distribution of elements in the intact rock at the scale of the laser spot is considered to be the main reason for the large relative deviations seen in our work compared to published results.

Synthesis of an IS and Steviol Glycoside Analysis by a Validated Internal Standard Method

The internal standard (IS) method is the best method for the analysis of samples, as it is independent of errors in injection volume, changes in sample volumes, and changes in sensitivity of the detector, etc. Use of an internal standard allows for the correction of losses due to sample clean-up of complex samples. An ideal IS is a compound that has properties very similar to, and that behaves as the compounds to be analysed. Ideally, only in the last step of analysis (HPLC), the IS should be well separated from the compounds of the mixture to be analysed. After testing several existing compounds with negative results, we decided to synthesise the 19-O-β-D-galactopyranosyl-13-O-β-D-glucopyranosyl-steviol as IS. This is the 19-galactosyl ester of steviolmonoside (13-O-β-D-glucopyranosyl-steviol). The IS was made according to published methods. Steviolmonoside (SM) was made from purified commercial rubusoside (Rub) by refluxing it in 10% KOH for 2 h. SM was precipitated and crystallized from MeOH. The hydroxyls of the glucose unit of SM were protected by acetylation. The acetylated SM was crystallized from acetone and dissolved in 1,2-dichloroethane. Then Ag2CO3 on Celite and tetra-acetylated galactopyranosyl bromide were added and the mixture was refluxed for 2 h. After cooling, BaO in MeOH was added to remove the acetyl groups. The 1,2-dichloroethane fraction was then extracted three times with equal volumes of water and the water fraction containing the IS was further purified on a C18 flash chromatography column. Traces of unreacted SM were removed by preparative HPLC on an Alltima C18 column (250 mm × 22 mm, particle size 10 μm) with AcCN:water (35:65, 20 ml/min). Detection was at 210 nm (KNAUER, “Smartline” UV detector 2500). The collected IS fraction from the HPLC was completely dried. Mixtures of steviol glycosides (SVglys) containing IS could be purified over SPE cartridges without change of the SVgly over IS ratio. The calibration curves for rebaudioside A (RebA) and stevioside (ST) were linear between 0.012 and 0.95 and between 0.013 and 1.13 mM for RebA and ST, respectively. The accuracy was checked by the standard addition method. It was concluded that the IS method gives an excellent precision and accuracy.

The Measurement and Uncertainty Analysis of Antenna Factor of Microwave Antennas Based on Standard Site Method

A method of Standard Site Method (SSM) in the American National Standards Institute’s ANSI C63.5 is described in the frequency ranges from 30 MHz to 1000 MHz. And a measurement system is set up for determining antenna factors (AF) of antennas on an Open Area Test Sites (OATS). AF of antennas including log-periodic antenna and biconical antenna is measured with SSM method by Shanghai Institute of Measurement and Testing Technology (SIMT), which shows good agreement to data measured by National Institute of Metrology (NIM). In the end, it analyzes the measurement uncertainty of SIMT in the 30 MHz to 1000 MHz frequency band and does comparison to that of NIM.

Current dependence coefficient determination for different DC standard resistors measurements based on Ⅴ-Ⅰ method

Current dependence and stability of the measured resistance value are very important for the accurate measurement of DC standard resistor. In this paper, the volt-ampere （V-I） measurement method has been applied to study the current depend-ence of four different types of standard resistors. Diverse values are obtained through the investigation of their stability at dif-ferent currents. Therefore, the current dependence coefficient （CDC） can be determined for each one of the studied resistors. Research shows CDC depends on the applied current value, the measurement time and the resistor type, as clearly demonstra-ted in this research.

Quantitative Determination of Tetrachlorantraniliprole by(1)^H NMR Spectroscopy with Internal Standard Method

[Objective]This study was to establish a rapid,specific and simple method for quantitative determination of tetrachlorantraniliprole by 1H NMR.[Method]1H NMR spectroscopy was acquired with deuterium DMSO as the solvent and maleic acid as internal standard under the conditions of temperature 25℃,pulses width 8.0μs,delay time 5 s,and scanning times 8.[Result]The hydrogen proton peaks of tetrachlorantraniliprole(δ=10.55)and maleic acid(δ=6.27)were taken as quantitative peaks.The peak area ratio y(As/Ar)and mass ratio x(ms/mr)were linearly regressed,and the correlation coefficient was 0.9999.The RSD value of repeatability test was 0.38%,and the RSD value of stability test was 0.77%.The content of tetrachlorantraniliprole was determined as 99.6%.[Conclusion]1H NMR spectroscopy can be used for quantitative determination of tetrachlorantraniliprole without standard reference,which is rapid,accurate and simple.

Construction of nursing standard of integrated traditional Chinese and Western medicine for patients with COVID‑19 (mild and common) in Beijing based on Delphi method

Objective:The objective of this study is to establish a nursing standard of integrated traditional Chinese and Western medicine for patients with COVID‑19(mild and common)in Beijing,to provide reference for clinical nursing of patients with COVID‑19(mild and common).Methods:Through online communication meeting with nurses who are in the frontline of anti‑epidemic,clinical investigation,literature research,and expert demonstration meeting are carried out to prepare the draft of the standard,and the Delphi method is applied to determine the standard of integrated traditional Chinese and Western medicine care for patients with COVID‑19(mild and common)in Beijing.Results:The nursing standard of integrated traditional Chinese and Western medicine for patients with COVID‑19(mild and common)was established,which included 5 first‑level indicators,14 second-level indicators and 60 third‑level indicators.After two rounds of Delphi method,the positive coefficients of experts were 96%and 83%,the authoritative coefficients of experts were 0.89 and 0.91,and the Kendall’s coefficient of concordance(W)of experts were 0.12,0.09,0.10,0.13(P<0.05)and 0.44,0.43,0.37,0.39(P<0.05).Conclusion:The standard of integrated traditional Chinese and Western medicine nursing for patients with COVID‑19(mild and common)in Beijing constructed by the Delphi method is scientific and practical,which provides a reference for clinical application of integrated traditional Chinese and Western medicine nursing to fight against COVID‑19 infection.

An Empirical Study of the Effect of Inquiry Teaching on the Development of High School Students'Critical Thinking Under the New Curriculum Standards

The Ministry of Education of the People’s Republic of China has issued three guideline documents to encourage inquiry teaching to help students develop their ability to question,which is a defining feature of critical thinking.Two of the documents have clearly stated that English subject teaching should focus on building students’thinking capacity.Critical thinking is an essential feature of building thinking capacity and a key element of the core competencies the English subject seeks to cultivate.This research measures the performance of students of two high school classes in the exams conducted at the beginning,in the middle,and at the end of the experiment period during which inquiry teaching was applied to enhance students’critical thinking ability.The experiment results show that inquiry teaching can improve students’academic performance in English study and help them better develop their language skills.The implementation of the inquiry design in teaching listening,reading,and writing conforms to the law that governs the development of critical thinking,and the adoption of inquiry teaching can promote the development of critical thinking.

Simultaneous Determination of Uranium and Thorium with Standard Dual-addition Method

dual-standard addition method was proposed and the principle of simultaneous determination for a interfering binary mixtures was discussed. The proposed procedure was applied to spectroscopic analyses for the simultaneous determination of uranium and thorium without prior separation. Various molar ratios of uranium/thorium, from 0.5∶1 to 10∶1, can be determined with satisfactory precision and accuracy. Uranium and thorium content in a phosphate ore and simulated sample were determined, the recoveries were 98.4%～102.5% for uranium and 96.8%～102.3% for thorium, the relative standard deviations (R.S.D) were 1.5%～2.3% for uranium and 2.1%～3.1% for thorium.

Application and Development Trends of Spectral Analysis in Draft of Non-Ferrous Metal Standards in China

Spectral analysis was a method of identifying substances, determining their chemical composition and calculating their content based on their spectral characteristics. This paper mainly discussed the application of various spectroscopic techniques, mainly including atomic absorption spectrometry (AAS) inductively coupled plasma emission spectrometry (ICP-AES) X-ray fluorescence spectroscopy (XRF) atomic fluorescence spectroscopy (AFS) direct reading spectroscopy (OES) glow discharge emission spectroscopy (GD-OSE) laser-induced breakdown spectroscopy (LIBS), in the formulation of non-ferrous metal standards in China. The AAS method was the most widely used single-element microanalysis method among the non-ferrous metal standards. The ICP-AES method was good at significant advantages in the simultaneous detection of multiple elements. The XRF method was increasingly used in the determination of primary and secondary trace elements due to its simple sample preparation and high efficiency. The AFS was mostly detected by single-element trace analysis. OES GD-OES and LIBS were playing an increasingly important role in the new demand area for non-ferrous metals. This paper discussed matrix elimination, sample digestion, sample preparation, instrument categories and other aspects of some standards, and summarized the advantages of spectral analysis and traditional chemical analysis methods. The new methods of future spectroscopic technology had been illustrated in the process of developing non-ferrous metal standards.