Application of sensory and motor training in AIDET communication mode in patients after knee arthroplasty

BACKGROUND Patients with knee arthroplasty often have problems such as slow recovery of knee function,which may cause negative emotions and affect their postoperative rehabilitation.The application of sensory and motor training in the Acknowledge,Introduce,Duration,Evaluation,Thank You(AIDET)communication mode in patients after knee arthroplasty can provide reference for the selection of postoperative rehabilitation training measures.AIM To explore the sensory and motor training effects in AIDET communication mode on knee function recovery and resilience of patients after knee arthroplasty.METHODS One hundred patients who underwent knee arthroplasty at our hospital between January 2022 and January 2024 were randomly divided into two groups.The control group(n=50)received routine rehabilitation training.In the observation group(n=50),the AIDET communication mode was used to perform sensory and motor training,in addition to routine rehabilitation training.The rehabilitation training was administered for 8 weeks.After surgery,knee function,balance ability,walking ability,proprioception,and resilience were compared between the two groups.RESULTS The New York Hospital for Special Surgery knee scores of the observation group at the time of discharge and 8 weeks after intervention were(65.23±6.84,84.53±5.27),which was higher than those of the control group(61.03±7.15,74.92±6.52)(P<0.05).The balance ability of the observation group at the time of discharge and 8 weeks after the intervention was higher than that of the control group,the time of time up to go test was shorter than that of the control group,and proprioceptive function was higher than that of the control group(P<0.05).The resilience level in the observation group after the intervention was higher than that in the control group(P<0.05).CONCLUSION Sensory and motor training in AIDET communication mode promotes knee function recovery of patients after knee arthroplasty,improves their limb walking ability and balance function,and increases their resilience level.

Effective doctor-patient communication skills training optimizes functional organization of intrinsic brain architecture:a restingstate functional MRI study

We studied the influence of doctor-patient communication skills training on brain functional architecture using resting-state functional MRI（rs-fMRI） with a regional homogeneity（ReHo） method. Ten medical students participated in the study. A 1-year long doctor-patient communication skills training program was conducted. RsfMRI data were collected at baseline, one month and one year after training. There was a significant increase in the communication skills test average scores between baseline and 1-month duration of training（P〈0.001）. After one month of communication skills training, medical students had decreased ReHo in the right superior temporal gyrus compared with the baseline. After one year of communication skills training, students had increased ReHo in multiple regions and decreased ReHo in several regions（P 〈0.05, Alphasim corrected）. The change of ReHo values in the superior temporal gyrus negatively correlated with the change of communication skills scale score between one month after communication skills training and baseline（r=-0.734, P= 0.036）. The training program we used can be an effective approach of improving doctor-patient communication skills, and the training resulted in functional plasticity of the brain’s architecture toward optimizing locally functional organization.

Towards Near-Field Communications for 6G:Challenges and Opportunities

Extremely large-scale multiple-input multiple-output(XL-MIMO)and terahertz(THz)communications are pivotal candidate technologies for supporting the development of 6G mobile networks.However,these techniques invalidate the common assumptions of far-field plane waves and introduce many new properties.To accurately understand the performance of these new techniques,spherical wave modeling of near-field communications needs to be applied for future research.Hence,the investigation of near-field communication holds significant importance for the advancement of 6G,which brings many new and open research challenges in contrast to conventional far-field communication.In this paper,we first formulate a general model of the near-field channel and discuss the influence of spatial nonstationary properties on the near-field channel modeling.Subsequently,we discuss the challenges encountered in the near field in terms of beam training,localization,and transmission scheme design,respectively.Finally,we point out some promising research directions for near-field communications.

Critically Evaluate Foreign Language Teachers Training in Culture and Intercultural Communication

The aim of foreign language teaching in the contemporary is to develop foreign language talents who own intercultural competence.Thus,it is necessary to improve teachers’cultural quality and intercultural awareness.The paper explores some relevant training courses on culture and intercultural awareness,and discusses the deficiency of these courses.

Doctor-patient communication starts from medical students

Currently,with the increasing tensionin doctor-patient relationship and medical disputes,it is of great practical importance to train medical students’communication skills in order to establisha harmonious doctor-patient relationship to improve the quality of clinical teaching.This paper emphasizes the importance of cultivation of communication skills in medical education and suggests ways to improve communication skills among medical students.

Research on psychological factors which influence Doctor-Patient communications among outpatients

An Outpatient Department is the first point of contact with the hospital, and good Doctor-Patient communication would improve the service quality of the hospital, so it is important to construct a harmonious Doctor-Patient relationship. This article, from the perspective of psychology, investigates into the common psychological factors which affect the Doctor-Patient communication, the appearance of the communication problem, and make suggestions on possible solutions accordingly.

Functional Health Literacy and Doctor-Patient Communication: Experiences of HIV/AIDS Patients in Homa Bay County, Kenya

Patient involvement in the health care process has been documented as a critical component of successful disease management. However, inadequate functional health literacy among patients is a well-known barrier to effective doctor-patient communication, which has an adverse effect on health outcomes. This study aimed at investigating the association of functional health literacy and doctor-patient communication among HIV/AIDS patients in Homa Bay County, Kenya. It was a cross-sectional hospital-based survey conducted among 362 HIV/AIDS patients receiving care at the eight sub-county hospitals of Homa Bay county. Data was collected using a self-administered structured questionnaire. Cronbach’s alpha and confirmatory factor analysis tests were used to ascertain the reliability and validity of study instruments, while Logistic regression logistic analysis was used to measure the association between functional health literacy and doctor-patient communication. 51% of the respondents were females, and the majority (30.9%) of respondents fell in the age group of 45 years and above. The respondents’ functional health literacy levels were inadequate at weighted means scores of 3.23 [SD 1.31]. The study further established that functional health literacy significantly influenced doctor-patient communication [Nagelkerke R square = 0.318]. There is, therefore, a need to document the determinants of functional health literacy to improve it and make doctor-patient interaction an enjoyable and meaningful experience.

Communication Skills Training for Residents: Which Variables Predict Learning of Skills?

Objective: This study aimed to determine variables associated (predictors and correlates) with the learning of assessment and supportive skills in the context of a communication skills training for medical residents. Methods: Learning was measured by comparing residents’ communication skills in a simulated consultation before and after a communication skills training. Communication skills were transcribed and tagged with a computer-assisted program. Potential variables associated with learning (residents’ characteristics, contextual characteristics and pre-training communication skills) were measured before the training and entered in regression analysis. Results: Fifty-six residents followed the training between 2002 and 2006. Poor pre-training assessment and supportive skills predicted the respective learning of these skills. Better assessment skills’ learning was predicted by copings (i.e. lower level of emotional coping), lower levels of self-efficacy and depersonalization. Better supportive skills’ learning was predicted by a lower work experience and associated with a higher training attendance rate. Conclusions: Predictors and correlates of assessment and supportive skills learning were different. Trainers needed to detect certain residents’ characteristics (i.e. depersonalization) in order to optimize assessment skills learning. Trainers needed to be aware that supportive skills are difficult to learn and to teach and may need more training hours.

A Study on Doctor-patient Communication under Defler Interaction Process Model

At present,doctor-patient relationship has become a sensitive topic in society,and frequent doctor-patient communication problems have become an important factor affecting the tension of the relationship.From the perspective of communication,this paper analyzes the causes of doctor-patient communication barriers based on the communication mode of interaction process proposed by Deffler and puts forward relevant solutions.

Cross-Cultural Communication Skills Training Strategies in College English Education

With the increasing exchange of countries,the role of English as an international official language has become more and more prominent.First and foremost,how to improve the comprehensive quality of students in the teaching process and further en hance students'cross-cultural communication ability is what teachers should think about in the course of teaching.English,as the second language of students,has its own language characteristics and cultural backgrounds,starting from the root of culture,which lay the foundation for students'cross-cultural communication abilities,but also require a better environment for students to master English.After all,English learning is not only about reading and writing,but also about the comprehensive use of hearing and un derstanding.This paper mainly discusses the value of cross-cultural communicative ability training in college English education and the strategy of cross-cultural communicative ability in college English education.

Nurses’ movements within and between various paths when improving their communication skills—An evaluation of validation method training

Aims and objectives: To explore any changes in nurses’ skills at communicating with residents with dementia disease when using the validation method, as observed in one-to-one videotaped conversations. Background: Communication difficulties due to cognitive impairment among residents with dementia disease may complicate care situations. Training can improve nurses’ communication skills and increase care quality. The validation method aims to facilitate communication with residents with dementia disease through empathic and confirmatory approaches. Evaluations of the validation method have primarily focused on the residents’ perspective, and reports on nurses’ experiences are sparse. Improved communication and relationships with residents after validation method training have been described previously. Videotaped data could provide additional information about these earlier results. Design: A descriptive qualitative design. Methods: Eight nurses participated in a year of validation method training, including videotaped conversations with eleven residents. Videotapes with at least five months between the first and last recording were analysed and compared qualitatively. Results: The analysis revealed an overall pattern: nurses’ movements within and between various paths when improving their communication skills. This was based on three sub-patterns: from controlling communication towards developing attentiveness in communication, from ambiguous communication towards developing coherence in communication, and from being open and attentive towards having a refined attuned communication. Conclusions: All nurses developed their communication skills during the programme, albeit to different degrees. The findings are in congruence with the experiences described by nurses, and so it is reasonable to believe that the programme helped to improve the nurses’ skills in communicating with residents with dementia disease. Relevance to clinical practice: A validation method training programme could give nurses the possibility to develop their skills in communicating with residents with dementia disease.

Application of Windows Socket Technique to Communication Process of the Train Diagram Network System Based on Client/Server Structure

This paper is focused on the technique for de si gn and realization of the process communications about the computer-aided train diagram network system. The Windows Socket technique is adopted to program for the client and the server to create system applications and solve the problems o f data transfer and data sharing in the system.

Communication simulation of on-board diagnosis network in high-speed Maglev trains

The on-board diagnosis network is the nervous system of high-speed Maglev trains, connecting all controller sensors, and corresponding devices to realize the information acquisition and control. In order to study the on-board diagnosis network＇s security and reliability, a simulation model for the on-board diagnosis network of high-speed Maglev trains with the optimal network engineering tool （OPNET） was built to analyze the network＇s performance, such as response error and bit error rate on the network load, throughput, and node-state response. The simulation model was verified with an actual on-board diagnosis network structure. The results show that the model results obtained are in good agreement with actual system performance and can be used to achieve actual communication network optimization and control algorithms.

Cooperative communication technology based on relay antenna in high-speed train scenario

The user signal quality as well as the performance of transmission link experiences severe loss due to wireless channel fading and propagation loss in high-speed railway scenario.To improve the quality at the receiving end,spatial diversity was realized by means of cooperative communication technology based on the uncorrelated characteristics of the channels.The model of mobile communication system in high-speed railway was set up,and a cooperative scheme based on statistics was proposed.Mathematical analysis and simulation results show that the quality of the received signal and the performance of the transmission link are significantly improved using cooperative communication technology compared to that in non-cooperative communication mode.

A Study on Cross-Cultural Communication and the Cultivation of Cross-Cultural Competence in German Language Teaching in Universities

In the concept of German,cross-cultural competence is regarded as an important skill,which can help learners to better understand the differences between two cultures and establish mutual cognition.This competence can effectively reduce unnecessary misunderstandings and improve communication efficiency.In college German classes,teachers should realize that cross-cultural communication skills are crucial to the development of students’communicative competence.Therefore,they should strive to improve their teaching methods and make the courses more interesting to help students to communicate better.

A Wireless Solution for Train Switchgear Contact Temperature Monitoring and Alarming System Based on Wireless Communication Technology

We present a temperature monitoring and warning system, which is based on wireless communi- cation technology and applied in train switchgear in this paper. The system is consists of three parts, including wireless temperature detection module, inter-vehicle transmission networks module and?remote monitoring server. The switchgear contact temperature data are collected via the wireless temperature detection module and exchanged in inter-vehicle wireless networking by Zigbee modules. Then the temperature of train switchgear cabinets can be monitored remotely through the GPRS wireless communication.

Guest editorial: special issue on high mobility wireless communications

The high-speed railway and high-way networks are now expanding at a phenomenal speed in Chinaand in many other parts of the world. The related broadband wireless communication over high-speed trains and highway vehicles is a very challenging task due to hostile transmission channel conditions. The demand for such services is growing rapidly, following the proliferation of laptop/tablet computers and smart phones. This motivates the research on wireless communications in the high mobility environments.

The Experiences With Nurses Trainings Concerning Prevention of Violence in the Czech Republic in Years 2010-2013

The aim of this paper is to analyze the results from the implemented projects and trainings which were aimed to minimize violence in health care area in CR （the Czech Republic） in years 2010-2013. The paper describes the results and experience from the communication trainings which were gained within the projects： CR lacks the support of government agencies so as employers and research on the issue, medical staff are not professional enough in communication, there are more requirements for the quality of lecturers; there is no existing general system of monitoring of violent incidents; there is no relevant education at schools. The article contains also new general ways about how to resolve mentioned problems. These results include the special mini project where educated 550 staff members in the health care area in a short time period and taught them key skills for how to approach the aggressive patients-50.6% respondents used successfully the gained skills in their practice （negotiation with patients, aggressive related）; 42.7% respondents also used successfully the gained skills in their private life. It was found out that with the used skills the courage by conflict resolution was created.

Exploring the Practice of Cultivating Design Thinking Skills in Visual Communication Major

The development of diversified industries has promoted the emergence of diversified majors,and visual communication is a new type of profession,and the course is also a new type of course,which requires students to have better design thinking,and how to improve the design thinking of visual communication majors through daily learning.Based on this,this paper proposes a definition of visual communication and the relevance of design thinking.It proposes a strategy to enhance the design thinking ability of visual communication majors.

The Role of Globalization in Formation of Pedagogical Communication

The article is commonly about the impact of globalization on participants of pedagogical process in the condition of communication. The globalization leaves its tracks in separate spheres of the educational system as well as it impacts all spheres of modern life. The relation between a teacher and a student differs with its peculiarity in the contemporary life. A pupil or a student differs totally in classifying the information gained in his activity. A modem student demonstrates a special attitude to everyday events and gets an independent position. Such reality demands the teacher of the day to have a very high practice; the necessity of contemporary training in the process of training-education can be marked as the appearance of globalization. It occurs as a demand for globalization as well. All these items after being analyzed bring some conclusions.