Application Effect of Remote Ultrasound Teaching in Standardized Residency Training

Objective:To explore the application effect of remote ultrasound teaching in the standardized training of residents.Methods:42 students who participated in the standardized residency training in the Department of Ultrasonography of our hospital from August 2022 to August 2023 were selected and divided into the control group(n=21)and the observation group(n=21)by using the random number table method.The control group was taught routinely,and the observation group was taught with remote ultrasound on the basis of the control group.The general data,teaching effect,ultrasound diagnostic compliance rate,and teaching satisfaction of the participants in the two groups were observed.Results:The baseline data of the two groups were not statistically significant(P>0.05);the theoretical and practical assessment scores of the observation group were significantly better than those of the control group(t=2.491,t=2.434,P=0.05);the ultrasound diagnostic compliance rate of the participants in the observation group was significantly higher than that of the control group(78.33%)(χ2=33.574,P=0.000<0.001);the overall satisfaction rate of students in the observation group(20/95.24%)was significantly higher than that of the control group(14/66.67%)(χ2=3.860,P=0.049<0.05).Conclusion:In standardized residency training,remote ultrasound teaching can effectively improve the comprehensive ability of students,enhance diagnostic accuracy,and improve students’teaching satisfaction.

Dilemma and Improvement Strategy of Ideological and Political Teaching in Chinese Universities based on Remote Online Education

As a new teaching method,remote online education has gradually become the most dependent teaching auxiliary method in universities.Especially under the influence of the COVID-19 pandemic,Chinese universities,which mainly have cross-provincial students,have strengthened the development and construction of remote online courses due to social and geographical constraints.Among them,due to the particularity of ideological and political education,remote online ideological and political teaching has some problems,such as lack of learning situation analysis,difficult measurement of goal achievement,inefficient teacher-student interaction,single teaching strategy,and lack of unified teaching norms.To deal with these difficulties,in the background of digital transformation of education,especially in the post-epidemic era and the moment of the rise of artificial intelligence technology,to strengthen the top-level education design,security,and supervision as the benchmark,standardize local curriculum standards,classify and gradually improve teachers’enthusiasm for participation,and give full play to the advantages of artificial intelligence remote ideological and political teaching improvement.It is of profound significance to the cultivation of talents in Chinese universities.

Culturally competent care across borders: Implementing culturally responsive teaching for nurses in diverse workforces

The migration of healthcare professionals,including nurses,is a global phenomenon.It is driven by various factors,including the pursuit of better opportunities,living conditions,and professional development,as well as political instability or conflict in their home countries.The World Health Organization(WHO)has noted that high-income countries often rely on foreign-trained nurses to fill gaps in their healthcare systems[1].For instance,as of 2021,over 40%(52 million)of all nurses in the United States(US)were expatriates[2].In the United Kingdom(UK),the percentage of expatriate nurses was even higher,reaching approximately 18%in 2021[3].Owing to globalization and migration,healthcare providers must possess cultural competence to deliver improved care[4,5].Culturally responsive teaching(CRT)is rooted in the idea that culture plays a vital role in shaping people’s behaviors,beliefs,values,and communication styles[6].Furthermore,these cultural factors influence patients’perspectives on health,illness,healing,and their preferences for care and communication[7].By recognizing and embracing these cultural differences,nurses can provide more effective and compassionate care to their diverse patient population[8].

Analysis of the History and Current Situation of the Development of General Practice Teaching Clinics in China

A summary of the exploration of the teaching mode of the general practice teaching clinic, a summary of the deficiencies of the teaching clinic and a summary of the significance of the establishment of the general practice teaching clinic are presented with a view to promoting the development of general practice and cultivating more excellent successors in general practice.

CrossFormer Embedding DeepLabv3+ for Remote Sensing Images Semantic Segmentation

High-resolution remote sensing image segmentation is a challenging task. In urban remote sensing, the presenceof occlusions and shadows often results in blurred or invisible object boundaries, thereby increasing the difficultyof segmentation. In this paper, an improved network with a cross-region self-attention mechanism for multi-scalefeatures based onDeepLabv3+is designed to address the difficulties of small object segmentation and blurred targetedge segmentation. First,we use CrossFormer as the backbone feature extraction network to achieve the interactionbetween large- and small-scale features, and establish self-attention associations between features at both large andsmall scales to capture global contextual feature information. Next, an improved atrous spatial pyramid poolingmodule is introduced to establish multi-scale feature maps with large- and small-scale feature associations, andattention vectors are added in the channel direction to enable adaptive adjustment of multi-scale channel features.The proposed networkmodel is validated using the PotsdamandVaihingen datasets. The experimental results showthat, compared with existing techniques, the network model designed in this paper can extract and fuse multiscaleinformation, more clearly extract edge information and small-scale information, and segment boundariesmore smoothly. Experimental results on public datasets demonstrate the superiority of ourmethod compared withseveral state-of-the-art networks.

Remote sensing of quality traits in cereal and arable production systems:A review

Cereal is an essential source of calories and protein for the global population.Accurately predicting cereal quality before harvest is highly desirable in order to optimise management for farmers,grading harvest and categorised storage for enterprises,future trading prices,and policy planning.The use of remote sensing data with extensive spatial coverage demonstrates some potential in predicting crop quality traits.Many studies have also proposed models and methods for predicting such traits based on multiplatform remote sensing data.In this paper,the key quality traits that are of interest to producers and consumers are introduced.The literature related to grain quality prediction was analyzed in detail,and a review was conducted on remote sensing platforms,commonly used methods,potential gaps,and future trends in crop quality prediction.This review recommends new research directions that go beyond the traditional methods and discusses grain quality retrieval and the associated challenges from the perspective of remote sensing data.

Bioinspired Multifunctional Self-Sensing Actuated Gradient Hydrogel for Soft-Hard Robot Remote Interaction

The development of bioinspired gradient hydrogels with self-sensing actuated capabilities for remote interaction with soft-hard robots remains a challenging endeavor. Here, we propose a novel multifunctional self-sensing actuated gradient hydrogel that combines ultrafast actuation and high sensitivity for remote interaction with robotic hand. The gradient network structure, achieved through a wettability difference method involving the rapid precipitation of MoO_(2) nanosheets, introduces hydrophilic disparities between two sides within hydrogel. This distinctive approach bestows the hydrogel with ultrafast thermo-responsive actuation(21° s^(-1)) and enhanced photothermal efficiency(increase by 3.7 ℃ s^(-1) under 808 nm near-infrared). Moreover, the local cross-linking of sodium alginate with Ca^(2+) endows the hydrogel with programmable deformability and information display capabilities. Additionally, the hydrogel exhibits high sensitivity(gauge factor 3.94 within a wide strain range of 600%), fast response times(140 ms) and good cycling stability. Leveraging these exceptional properties, we incorporate the hydrogel into various soft actuators, including soft gripper, artificial iris, and bioinspired jellyfish, as well as wearable electronics capable of precise human motion and physiological signal detection. Furthermore, through the synergistic combination of remarkable actuation and sensitivity, we realize a self-sensing touch bioinspired tongue. Notably, by employing quantitative analysis of actuation-sensing, we realize remote interaction between soft-hard robot via the Internet of Things. The multifunctional self-sensing actuated gradient hydrogel presented in this study provides a new insight for advanced somatosensory materials, self-feedback intelligent soft robots and human–machine interactions.

Practical effect of different teaching modes in teaching gastrointestinal surgery nursing

BACKGROUND With the continuous development and progress of medical technology,the position of surgical nursing in the field of clinical medicine is becoming in-creasingly prominent.As an important branch of the surgical field,the nursing requirements and difficulty of gastrointestinal surgery are also increasing.In order to improve the teaching quality of nursing care in gastrointestinal surgery,many educators and researchers are actively exploring new teaching methods.Among them,the teaching method case-based learning(CBL),scene-simulated learning(SSL),task-based learning(TBL),combining self-evaluation and training mode is considered as an effective method.This method aims to help students to better master knowledge and skills and improve their comprehensive quality by cultivating their self-evaluation ability.AIM To explore the practical effect of CBL-SSL-TBL combined with training mode and student self-assessment in nursing teaching of gastrointestinal surgery.METHODS Seventy-one nursing interns in our hospital from December 2020 to December 2021 were selected.According to different teaching modes,they were divided into observation group CBL-SSL-TBL combined with training mode combined with student self-assessment and control group(conventional teaching mode),of which 36 were in observation group and 35 were in control group.The results of operational skills,theoretical knowledge,nursing students'satisfaction,learning effectiveness questionnaire and teaching effect were compared between the two groups.RESULTS Compared between the two groups,the operational skills and theoretical knowledge scores of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).Compared between the two groups,the total satisfaction ratio of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Compared between the two groups,the observation group was lower than the control group in the questionnaire results of learning efficacy,and the difference was statistically significant(P<0.05).Compared between the two groups,the proportion of thinking ability,subjective initiative and understanding of theoretical knowledge in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).CONCLUSION The use of CBL-SSL-TBL combined with training mode and student self-assessment in gastrointestinal surgery nursing teaching can improve the operational skills of nursing interns,theoretical knowledge and satisfaction scores of nursing students,improve the results of learning efficiency questionnaire and teaching effect,which can be popularized in clinical teaching.

Remote sensing of air pollution incorporating integrated-path differential-absorption and coherent-Doppler lidar

An innovative complex lidar system deployed on an airborne rotorcraft platform for remote sensing of atmospheric pollution is proposed and demonstrated.The system incorporates integrated-path differential absorption lidar(DIAL) and coherent-doppler lidar(CDL) techniques using a dual tunable TEA CO_(2)laser in the 9—11 μm band and a 1.55 μm fiber laser.By combining the principles of differential absorption detection and pulsed coherent detection,the system enables agile and remote sensing of atmospheric pollution.Extensive static tests validate the system’s real-time detection capabilities,including the measurement of concentration-path-length product(CL),front distance,and path wind speed of air pollution plumes over long distances exceeding 4 km.Flight experiments is conducted with the helicopter.Scanning of the pollutant concentration and the wind field is carried out in an approximately 1 km slant range over scanning angle ranges from 45°to 65°,with a radial resolution of 30 m and10 s.The test results demonstrate the system’s ability to spatially map atmospheric pollution plumes and predict their motion and dispersion patterns,thereby ensuring the protection of public safety.

Cybersecurity Landscape on Remote State Estimation:A Comprehensive Review

Cyber-physical systems(CPSs)have emerged as an essential area of research in the last decade,providing a new paradigm for the integration of computational and physical units in modern control systems.Remote state estimation(RSE)is an indispensable functional module of CPSs.Recently,it has been demonstrated that malicious agents can manipulate data packets transmitted through unreliable channels of RSE,leading to severe estimation performance degradation.This paper aims to present an overview of recent advances in cyber-attacks and defensive countermeasures,with a specific focus on integrity attacks against RSE.Firstly,two representative frameworks for the synthesis of optimal deception attacks with various performance metrics and stealthiness constraints are discussed,which provide a deeper insight into the vulnerabilities of RSE.Secondly,a detailed review of typical attack detection and resilient estimation algorithms is included,illustrating the latest defensive measures safeguarding RSE from adversaries.Thirdly,some prevalent attacks impairing the confidentiality and data availability of RSE are examined from both attackers'and defenders'perspectives.Finally,several challenges and open problems are presented to inspire further exploration and future research in this field.

ConvNeXt-UperNet-Based Deep Learning Model for Road Extraction from High-Resolution Remote Sensing Images

When existing deep learning models are used for road extraction tasks from high-resolution images,they are easily affected by noise factors such as tree and building occlusion and complex backgrounds,resulting in incomplete road extraction and low accuracy.We propose the introduction of spatial and channel attention modules to the convolutional neural network ConvNeXt.Then,ConvNeXt is used as the backbone network,which cooperates with the perceptual analysis network UPerNet,retains the detection head of the semantic segmentation,and builds a new model ConvNeXt-UPerNet to suppress noise interference.Training on the open-source DeepGlobe and CHN6-CUG datasets and introducing the DiceLoss on the basis of CrossEntropyLoss solves the problem of positive and negative sample imbalance.Experimental results show that the new network model can achieve the following performance on the DeepGlobe dataset:79.40%for precision(Pre),97.93% for accuracy(Acc),69.28% for intersection over union(IoU),and 83.56% for mean intersection over union(MIoU).On the CHN6-CUG dataset,the model achieves the respective values of 78.17%for Pre,97.63%for Acc,65.4% for IoU,and 81.46% for MIoU.Compared with other network models,the fused ConvNeXt-UPerNet model can extract road information better when faced with the influence of noise contained in high-resolution remote sensing images.It also achieves multiscale image feature information with unified perception,ultimately improving the generalization ability of deep learning technology in extracting complex roads from high-resolution remote sensing images.

Research on Blended Teaching Mode:A Case Study of Floristry

In order to better carry out research on education and teaching,the author consulted relevant literature on blended teaching mode from 2011-2021 through CNKI,Web of Science and other websites,summarized and analyzed the research status of blended teaching mode,in order to lay a good foundation for studying blended teaching mode in course teaching.

Modeling urban redevelopment:A novel approach using time-series remote sensing data and machine learning

Accurate mapping and timely monitoring of urban redevelopment are pivotal for urban studies and decisionmakers to foster sustainable urban development.Traditional mapping methods heavily depend on field surveys and subjective questionnaires,yielding less objective,reliable,and timely data.Recent advancements in Geographic Information Systems(GIS)and remote-sensing technologies have improved the identification and mapping of urban redevelopment through quantitative analysis using satellite-based observations.Nonetheless,challenges persist,particularly concerning accuracy and significant temporal delays.This study introduces a novel approach to modeling urban redevelopment,leveraging machine learning algorithms and remote-sensing data.This methodology can facilitate the accurate and timely identification of urban redevelopment activities.The study’s machine learning model can analyze time-series remote-sensing data to identify spatio-temporal and spectral patterns related to urban redevelopment.The model is thoroughly evaluated,and the results indicate that it can accurately capture the time-series patterns of urban redevelopment.This research’s findings are useful for evaluating urban demographic and economic changes,informing policymaking and urban planning,and contributing to sustainable urban development.The model can also serve as a foundation for future research on early-stage urban redevelopment detection and evaluation of the causes and impacts of urban redevelopment.

Untethered Micro/Nanorobots for Remote Sensing:Toward Intelligent Platform

Untethered micro/nanorobots that can wirelessly control their motion and deformation state have gained enormous interest in remote sensing applications due to their unique motion characteristics in various media and diverse functionalities.Researchers are developing micro/nanorobots as innovative tools to improve sensing performance and miniaturize sensing systems,enabling in situ detection of substances that traditional sensing methods struggle to achieve.Over the past decade of development,significant research progress has been made in designing sensing strategies based on micro/nanorobots,employing various coordinated control and sensing approaches.This review summarizes the latest developments on micro/nanorobots for remote sensing applications by utilizing the self-generated signals of the robots,robot behavior,microrobotic manipulation,and robot-environment interactions.Providing recent studies and relevant applications in remote sensing,we also discuss the challenges and future perspectives facing micro/nanorobots-based intelligent sensing platforms to achieve sensing in complex environments,translating lab research achievements into widespread real applications.

Probability-Enhanced Anchor-Free Detector for Remote-Sensing Object Detection

Anchor-free object-detection methods achieve a significant advancement in field of computer vision,particularly in the realm of real-time inferences.However,in remote sensing object detection,anchor-free methods often lack of capability in separating the foreground and background.This paper proposes an anchor-free method named probability-enhanced anchor-free detector(ProEnDet)for remote sensing object detection.First,a weighted bidirectional feature pyramid is used for feature extraction.Second,we introduce probability enhancement to strengthen the classification of the object’s foreground and background.The detector uses the logarithm likelihood as the final score to improve the classification of the foreground and background of the object.ProEnDet is verified using the DIOR and NWPU-VHR-10 datasets.The experiment achieved mean average precisions of 61.4 and 69.0 on the DIOR dataset and NWPU-VHR-10 dataset,respectively.ProEnDet achieves a speed of 32.4 FPS on the DIOR dataset,which satisfies the real-time requirements for remote-sensing object detection.

A Structured Method of Teaching Epidural Block reduces the incidence of accidental dural puncture in inexperienced trainees.

Background: The rate of accidental dural puncture is particularly high during the period of training, especially in novices. The structured epidural teaching model (SETM) includes three standardized video lessons, the construction of a 3D epidural module by trainees and practical training by using an epidural simulator with and without the CompuFlo™ Epidural instrument. In this study we report the retrospective analysis of the accidental dural puncture rate of inexperienced trainees during their 6 months clinical practice rotation in obstetrics before and after the introduction of the SETM in our Institution. Method: We evaluated the incidence of accidental dural puncture before the introduction of the SETM methodology and afterwards by analyzing our departmental database from February 2019 to January 2023. All epidural blocks were executed by trainees who had never previously performed an epidural block and were about to begin their obstetrics rotation. Results: We analyzed 7415 epidurals: 3703 were performed before the introduction of the SETM methodology (control group) and 3712 afterwards (study group). The incidence of accidental dural puncture was 0.37% for the control group and 0.13% for the study group (p<.05). The probability of making an accidental dural puncture was 64% (OR: 0.36) lower for trainees who had the training than for those who did not. Conclusions: After the introduction of the structured teaching method, we observed a significant reduction of accidental dural puncture during the training period. We hope that our observation will encourage a constructive discussion among experts about the need to use standardized and validated tools as a valuable aid in teaching epidural anesthesia.

Study on green power supply modes for heavy load in Remote Areas

In this study,the present situation and characteristics of power supply in remote areas are summarized.By studying the cases of power supply projects in remote areas,the experience is analyzed and described,and the applicability of related technologies,such as grid-forming storage and power load management,is studied,including grid-connection technologies,such as grid-forming converters and power load management.On this basis,three power-supply modes were proposed.The application scenarios and advantages of the three modes were compared and analyzed.Based on the local development situation,the temporal sequences of the three schemes are described,and a case study was conducted.The study of the heavy-load power supply mode in remote areas contributes to solving the problem of heavy-load green power consumption in remote areas and promoting the further development of renewable energy.

Weakly Supervised Network with Scribble-Supervised and Edge-Mask for Road Extraction from High-Resolution Remote Sensing Images

Significant advancements have been achieved in road surface extraction based on high-resolution remote sensingimage processing. Most current methods rely on fully supervised learning, which necessitates enormous humaneffort to label the image. Within this field, other research endeavors utilize weakly supervised methods. Theseapproaches aim to reduce the expenses associated with annotation by leveraging sparsely annotated data, such asscribbles. This paper presents a novel technique called a weakly supervised network using scribble-supervised andedge-mask (WSSE-net). This network is a three-branch network architecture, whereby each branch is equippedwith a distinct decoder module dedicated to road extraction tasks. One of the branches is dedicated to generatingedge masks using edge detection algorithms and optimizing road edge details. The other two branches supervise themodel’s training by employing scribble labels and spreading scribble information throughout the image. To addressthe historical flaw that created pseudo-labels that are not updated with network training, we use mixup to blendprediction results dynamically and continually update new pseudo-labels to steer network training. Our solutiondemonstrates efficient operation by simultaneously considering both edge-mask aid and dynamic pseudo-labelsupport. The studies are conducted on three separate road datasets, which consist primarily of high-resolutionremote-sensing satellite photos and drone images. The experimental findings suggest that our methodologyperforms better than advanced scribble-supervised approaches and specific traditional fully supervised methods.

Land Use Land Cover Analysis for Godavari Basin in Maharashtra Using Geographical Information System and Remote Sensing

The dynamic transformation of land use and land cover has emerged as a crucial aspect in the effective management of natural resources and the continual monitoring of environmental shifts. This study focused on the land use and land cover (LULC) changes within the catchment area of the Godavari River, assessing the repercussions of land and water resource exploitation. Utilizing LANDSAT satellite images from 2009, 2014, and 2019, this research employed supervised classification through the Quantum Geographic Information System (QGIS) software’s SCP plugin. Maximum likelihood classification algorithm was used for the assessment of supervised land use classification. Seven distinct LULC classes—forest, irrigated cropland, agricultural land (fallow), barren land, shrub land, water, and urban land—are delineated for classification purposes. The study revealed substantial changes in the Godavari basin’s land use patterns over the ten-year period from 2009 to 2019. Spatial and temporal dynamics of land use/cover changes (2009-2019) were quantified using three Satellite/Landsat images, a supervised classification algorithm and the post classification change detection technique in GIS. The total study area of the Godavari basin in Maharashtra encompasses 5138175.48 hectares. Notably, the built-up area increased from 0.14% in 2009 to 1.94% in 2019. The proportion of irrigated cropland, which was 62.32% in 2009, declined to 41.52% in 2019. Shrub land witnessed a noteworthy increase from 0.05% to 2.05% over the last decade. The key findings underscored significant declines in barren land, agricultural land, and irrigated cropland, juxtaposed with an expansion in forest land, shrub land, and urban land. The classification methodology achieved an overall accuracy of 80%, with a Kappa Statistic of 71.9% for the satellite images. The overall classification accuracy along with the Kappa value for 2009, 2014 and 2019 supervised land use land cover classification was good enough to detect the changing scenarios of Godavari River basin under study. These findings provide valuable insights for discerning land utilization across various categories, facilitating the adoption of appropriate strategies for sustainable land use in the region.

Protected simultaneous quantum remote state preparation scheme by weak and reversal measurements in noisy environments

We discuss a quantum remote state preparation protocol by which two parties, Alice and Candy, prepare a single-qubit and a two-qubit state, respectively, at the site of the receiver Bob. The single-qubit state is known to Alice while the two-qubit state which is a non-maximally entangled Bell state is known to Candy. The three parties are connected through a single entangled state which acts as a quantum channel. We first describe the protocol in the ideal case when the entangled channel under use is in a pure state. After that, we consider the effect of amplitude damping(AD) noise on the quantum channel and describe the protocol executed through the noisy channel. The decrement of the fidelity is shown to occur with the increment in the noise parameter. This is shown by numerical computation in specific examples of the states to be created. Finally, we show that it is possible to maintain the label of fidelity to some extent and hence to decrease the effect of noise by the application of weak and reversal measurements. We also present a scheme for the generation of the five-qubit entangled resource which we require as a quantum channel. The generation scheme is run on the IBMQ platform.