Objective:To study the application of the Montessori education method in cognitive training in patients with Alzheimer’s disease(AD).Methods:40 cases of senile dementia patients who were admitted to our hospital from...Objective:To study the application of the Montessori education method in cognitive training in patients with Alzheimer’s disease(AD).Methods:40 cases of senile dementia patients who were admitted to our hospital from January 2022 to January 2023 were selected and randomly divided into an intervention group and a control group according to the single and double number table method,with 20 cases in each group.The intervention group used the Montessori education method,the principle of which was to implement individualized health interventions based on the individual conditions of the patients,for a period of 6 months;the control group was given conventional treatment and nursing of the disease.The Mini-Mental State Examination(MMSE)was used to compare the effects of the two groups of patients before and after health intervention and conduct statistical analysis.Results:The score of the intervention group was higher than that of the control group,and there was a statistical difference between the two(P<0.05).Conclusion:Implementing the Montessori education method for diagnosed Alzheimer’s patients can effectively improve their cognitive function and delay the progress of further dementia.展开更多
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 M...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.展开更多
The importance of breathing training in dance teaching is reflected in the two aspects of enhancing the quality of dance movements and sublimating the connotation of dance movements.For example,high-quality breathing ...The importance of breathing training in dance teaching is reflected in the two aspects of enhancing the quality of dance movements and sublimating the connotation of dance movements.For example,high-quality breathing can help performers complete the dance movements and improve the coordination of the movements;at the same time,the unique body rhythm formed by breathing can strengthen the visual effect of the performance and convey its spirit and soul to the audience.This requires folk dance teachers to carry out relevant training and teaching activities based on the categories and skills of dance breathing,such as changing students’ideological cognition,developing periodic breathing training courses,providing personalized guidance to students,and allowing students to adjust their learning and practice methods in the evaluation.展开更多
Vocational education plays a vital role in the development of skilled technical professionals and the advancement of the economy.However,the emphasis on campus education often neglects the importance of external train...Vocational education plays a vital role in the development of skilled technical professionals and the advancement of the economy.However,the emphasis on campus education often neglects the importance of external training,hindering the overall development of vocational education.This study aims to address this issue by exploring the design and development of small modular courses that integrate training and education in vocational colleges,focusing on the mechanics course as a case study.The research methods employed in this study include an in-depth analysis of enterprise training needs,the development of digital teaching resources utilizing the finite element method(FEM),and the implementation of a small modular course integrating education and training.The data analysis reveals positive outcomes in terms of learners’comprehension and engagement with complex mechanics formulas through the use of stress nephograms and other digital resources.This research provides a new perspective on curriculum design and offers insights into the integration of training and education in vocational colleges.The findings underscore the significance of incorporating innovative teaching methodologies and digital resources in enhancing the quality and relevance of vocational education,ultimately contributing to the cultivation of skilled professionals and the growth of the vocational education sector.展开更多
Objective:To investigate the effect of using audible thinking combined with the case teaching method in the teaching of nursing checkups for regulation nurses.Methods:The period was April 2023–April 2024,and a random...Objective:To investigate the effect of using audible thinking combined with the case teaching method in the teaching of nursing checkups for regulation nurses.Methods:The period was April 2023–April 2024,and a randomized controlled group study was carried out in which 76 regulation nurses in our hospital were randomly divided into a research group and a control group,with 38 regulation nurses in each group.The control group used conventional teaching methods,and the research group used audible thinking combined with the case teaching method,comparing the two groups’independent learning ability scores,assessment scores,and teaching satisfaction.Results:Independent learning ability score:after teaching,the research group was significantly higher than the control group(P<0.05);Assessment results:the research group was considerably higher than the control group(P<0.05);Teaching satisfaction:the research group was significantly higher than the control group(P<0.05).Conclusion:The use of audible thinking combined with the case teaching method in the teaching of nursing room visits for trained nurses can improve independent learning ability and assessment results and increase teaching satisfaction.展开更多
This work aims to analyze the effect exerted by the initial and continuous training of secondary school teachers in France on their teaching practices.For this,we carried out a secondary analysis of data from the TALI...This work aims to analyze the effect exerted by the initial and continuous training of secondary school teachers in France on their teaching practices.For this,we carried out a secondary analysis of data from the TALIS survey(Teaching and Learning International Survey),conducted in 2013 in 34 countries,including France.In particular,we focus on practices related to the teaching methods used,classroom management,how to communicate,and the evaluative practices of teachers.In support of binary logistic regression models,we showed that the variables related to initial training play a weak role,and even exert a negative effect on certain pedagogic practices,leading to a reflection on the renovation of this training.On the other hand,our analyses highlighted the greater weight played by certain continuing education actions.展开更多
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...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.展开更多
In track and field sports,the 100-meter race is an extremely intense sport that requires effective training of athletes’core strength.From the perspective of adolescents,in order to enhance core strength,it is necess...In track and field sports,the 100-meter race is an extremely intense sport that requires effective training of athletes’core strength.From the perspective of adolescents,in order to enhance core strength,it is necessary to effectively fix the pelvic position in the process of exercise,so that the core stability,balance,and coordination of athletes can be improved.The training process of the 100-meter event is mainly an anaerobic metabolic exercise,it is necessary to ensure that athletes maintain a high level of physical readiness during the exercises and concentrate highly on their core strength,so that they can achieve excellent results.This paper analyzes the core strength training for the 100-meter event in track and field sports,discusses its importance,and puts forward specific training methods,hoping to provide guidelines for relevant researchers.展开更多
BACKGROUND As one of the most important members in clinical trials,the number of clinical research nurses(CRN)can't keep up with the growth of experimental projects,so it is urgent to build clinical research train...BACKGROUND As one of the most important members in clinical trials,the number of clinical research nurses(CRN)can't keep up with the growth of experimental projects,so it is urgent to build clinical research training and strengthen the background knowledge of nurses.AIM To construct CRN training program based on position competence,accelerate the construction of CRN talent pool,and provide scientific guidance significance for CRN training.METHODS Based on the position competence model,combined with literature research and qualitative interview results,the first draft was prepared of the CRN training program.Two rounds of correspondence with 16 experts were conducted using the Delphi method to determine the training program.RESULTS The effective recovery rate of the expert correspondence questionnaire was 100%and the authority coefficients of the 2 rounds of experts were 0.826 and 0.895.Finally,4 first-level indicators and determine 15 s-level indicators of training objectives.The training program included 4 first-level indicators,training requirements,content,methods,assessment and evaluation,15 s-level indicators,and 74 third-level indicators.CONCLUSION The CRN training program based on position competence is scientific and extendable,providing a basis for participation in CRN training.展开更多
This study is focused on the effect of vibration induced by moving trains in tunnels on the surrounding ground and structures.A three-dimensional finite element model is established for a one-track railway tunnel and ...This study is focused on the effect of vibration induced by moving trains in tunnels on the surrounding ground and structures.A three-dimensional finite element model is established for a one-track railway tunnel and an adjacent twelve-storey building frame by using commercial software Midas GTS-NX(2019)and Midas Gen.This study considered the moving load effect of a complete train,which varies with space as well as with time.The effect of factors such as train speed,overburden pressure on the tunnel and variation in soil properties are studied in the time domain.As a result,the variations in horizontal and vertical acceleration for two different sites,i.e.,the free ground surface(without structure)and the area containing the structure,are compared.Also,the displacement pattern of the raft foundation is plotted for different train velocities.At lower speeds,the heaving phenomenon is negligible,but as the speed increases,both the heaving and differential settlement increase in the foundation.This study demonstrates that the effect of moving train vibrations should be considered in the design of new nearby structures and proper ground improvement should be considered for existing structures.展开更多
Objective:To explore the impact of the coronavirus disease 2019(COVID-19)pandemic on the training experiences of urology residents in Indonesia.Methods:A cross-sectional study using a web-based questionnaire(SurveyMon...Objective:To explore the impact of the coronavirus disease 2019(COVID-19)pandemic on the training experiences of urology residents in Indonesia.Methods:A cross-sectional study using a web-based questionnaire(SurveyMonkey)involved all registered urology residents in Indonesia.The questionnaire was structured in Bahasa Indonesia,composed of 28 questions,and divided into three sections:demographic characteristics,current daily activities,and opinions regarding training experiences during the COVID-19 outbreak.The survey was distributed to all respondents via chief of residents in each urology center from May 26,2020 to Jun 2,2020.Results:Of the total 247 registered urology residents,243 were eligible for the study.The response and completeness rate for this study were 243/243(100%).The median age of respondents was 30(range:24e38)years old,and 92.2%of them were male.Among them,6(2.5%)respondents were confirmed as COVID-19 positive.A decrease in residents’involvement in clinical and surgical activities was distinguishable in endourological and open procedures.Most educational activities were switched to web-based video conferences,while others opted for the in-person method.Smart learning methods,such as joining a national or international speaker webinar or watching a recorded video,were used by 93.8%and 80.7%of the respondents,respectively.The respondents thought that educational activities using web-based video conferences and smart learning methods were effective methods of learning.Overall,the respondents felt unsure whether training experiences during the COVID-19 pandemic were comparable to the respective period before.Conclusion:The COVID-19 pandemic negatively affected urology residents’training experiences.However,it also opened up new possibilities for incorporating new learning methodologies in the future.展开更多
Graph convolutional networks(GCNs)have received significant attention from various research fields due to the excellent performance in learning graph representations.Although GCN performs well compared with other meth...Graph convolutional networks(GCNs)have received significant attention from various research fields due to the excellent performance in learning graph representations.Although GCN performs well compared with other methods,it still faces challenges.Training a GCN model for large-scale graphs in a conventional way requires high computation and storage costs.Therefore,motivated by an urgent need in terms of efficiency and scalability in training GCN,sampling methods have been proposed and achieved a significant effect.In this paper,we categorize sampling methods based on the sampling mechanisms and provide a comprehensive survey of sampling methods for efficient training of GCN.To highlight the characteristics and differences of sampling methods,we present a detailed comparison within each category and further give an overall comparative analysis for the sampling methods in all categories.Finally,we discuss some challenges and future research directions of the sampling methods.展开更多
Overfitting is one of the important problems that restrain the application of neural network. The traditional OBD (Optimal Brain Damage) algorithm can avoid overfitting effectively. But it needs to train the network r...Overfitting is one of the important problems that restrain the application of neural network. The traditional OBD (Optimal Brain Damage) algorithm can avoid overfitting effectively. But it needs to train the network repeatedly with low calculational efficiency. In this paper, the Marquardt algorithm is incorporated into the OBD algorithm and a new method for pruning network-the Dynamic Optimal Brain Damage (DOBD) is introduced. This algorithm simplifies a network and obtains good generalization through dynamically deleting weight parameters with low sensitivity that is defined as the change of error function value with respect to the change of weights. Also a simplified method is presented through which sensitivities can be calculated during training with a little computation. A rule to determine the lower limit of sensitivity for deleting the unnecessary weights and other control methods during pruning and training are introduced. The training course is analyzed theoretically and the reason why DOBD algorithm can obtain a much faster training speed than the OBD algorithm and avoid overfitting effectively is given.展开更多
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: Co...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.展开更多
Taking a high-speed train in China as an example,using computer simulation technology and comparing with the test data,the three current methods including linear stability analysis method,nonlinear stability analysis ...Taking a high-speed train in China as an example,using computer simulation technology and comparing with the test data,the three current methods including linear stability analysis method,nonlinear stability analysis method and the field testing criterion are studied to evaluate stability of high-speed trains.A new stability evaluation method is proposed which can be used to evaluate lateral stability of high-speed vehicle based on the codes of UIC 515and UIC 518.From the viewpoint of taking the most unfavorable track conditions into account and improving the safety margin,the new method uses the root mean square of bogie lateral acceleration as a criterion to evaluate the lateral stability of high-speed trains.Numerical example shows that the proposed method not only considers the forced vibration caused by track irregularities in the actual practice,but also takes the instability self-excited vibration into account,so it can realize early warning of bogie slight unstable oscillation,meanwhile the method itself does not involve complex algorithms which has the possibility of engineering applications.展开更多
High-speed trains often use temperature sensors to monitor the motion state of bearings.However,the temperature of bearings can be affected by factors such as weather and faults.Therefore,it is necessary to analyze in...High-speed trains often use temperature sensors to monitor the motion state of bearings.However,the temperature of bearings can be affected by factors such as weather and faults.Therefore,it is necessary to analyze in detail the relationship between the bearing temperature and influencing factors.In this study,a dynamics model of the axle box bearing of high-speed trains is established.The model can obtain the contact force between the rollers and raceway and its change law when the bearing contains outer-ring,inner-ring,and rolling-element faults.Based on the model,a thermal network method is introduced to study the temperature field distribution of the axle box bearings of high-speed trains.In this model,the heat generation,conduction,and dispersion of the isothermal nodes can be solved.The results show that the temperature of the contact point between the outer-ring raceway and rolling-elements is the highest.The relationships between the node temperature and the speed,fault type,and fault size are analyzed,finding that the higher the speed,the higher the node temperature.Under different fault types,the node temperature first increases and then decreases as the fault size increases.The effectiveness of the model is demonstrated using the actual temperature data of a high-speed train.This study proposes a thermal network model that can predict the temperature of each component of the bearings on a high-speed train under various speed and fault conditions.展开更多
Objective:This study is aimed to develop student simulated patient(SSP)training content and evaluation indicators,and further explores their validity and reliabilities.Methods:Delphi consultations with 20 nursing expe...Objective:This study is aimed to develop student simulated patient(SSP)training content and evaluation indicators,and further explores their validity and reliabilities.Methods:Delphi consultations with 20 nursing exper ts were conducted.The weights of indicators were calculated through the analytic hierarchy process.SSP training was conducted with a high-fidelity nursing simulation.Results:The expert positive coefficients were 0.952 in the first round consultation and 1.00 in the second round consultation.The expert authority coefficient was reported as 0.87.The training included role and responsibility of simulated patient(SP),script interpretation,plot performance,and training for a rater,with a total of 17 indicators.SSP evaluation consisted of disease knowledge,role portrayal,and performance fidelity and since being a rater,it consists of 20 indicators in total.The coordination coefficients of two rounds of consultation ranged from 0.530 to 0.918.The content validity of SSP evaluation indicators was 0.95.The inter-rater reliability was repor ted as 0.866,and the internal consistency established using Cronbach’sαwas 0.727.Conclusions:Students as SPs should have first-hand knowledge and experience within the simulated scenarios.SSP training content and evaluation indicators were determined through the Delphi consensus combined with analytic hierarchy process.The evaluation indicators were valid and reliable,and provided the objective and quantifiable measurements for SSP training in nursing。展开更多
Interpreting is a cross-cultural communicative activity. To make the communication carry on smoothly, the interpreterneeds to receive the information, decodes it, encodes it and produces his output simultaneously. Thi...Interpreting is a cross-cultural communicative activity. To make the communication carry on smoothly, the interpreterneeds to receive the information, decodes it, encodes it and produces his output simultaneously. This is a daunting task, in whichmemory counts. This paper firstly introduces the classification of memory in cognitive psychology and interpreting, and then elabo-rates the working mechanisms of memory in interpreting. Furthermore, some methods are put forward to better memory training forstudent interpreters.展开更多
The modern neuroelectrical physiology indicates that there are certain patterns inneural spike train which appear more frequently than others.These favored patterns(FP)maybe related to the mechanism of neural informat...The modern neuroelectrical physiology indicates that there are certain patterns inneural spike train which appear more frequently than others.These favored patterns(FP)maybe related to the mechanism of neural information processing in central nervous system.Inthis paper,the quantized Monte Carlo method and template method used in favored patternrecognition are described.The Monte Carlo method determines favored patterns or the possiblefavored patterns,while the template method is used for choosing the FP from the candidates andcounting the number of the FP in the spike train.This work will be pursued for extracting theFP in some complicated spike train.展开更多
文摘Objective:To study the application of the Montessori education method in cognitive training in patients with Alzheimer’s disease(AD).Methods:40 cases of senile dementia patients who were admitted to our hospital from January 2022 to January 2023 were selected and randomly divided into an intervention group and a control group according to the single and double number table method,with 20 cases in each group.The intervention group used the Montessori education method,the principle of which was to implement individualized health interventions based on the individual conditions of the patients,for a period of 6 months;the control group was given conventional treatment and nursing of the disease.The Mini-Mental State Examination(MMSE)was used to compare the effects of the two groups of patients before and after health intervention and conduct statistical analysis.Results:The score of the intervention group was higher than that of the control group,and there was a statistical difference between the two(P<0.05).Conclusion:Implementing the Montessori education method for diagnosed Alzheimer’s patients can effectively improve their cognitive function and delay the progress of further dementia.
文摘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.
文摘The importance of breathing training in dance teaching is reflected in the two aspects of enhancing the quality of dance movements and sublimating the connotation of dance movements.For example,high-quality breathing can help performers complete the dance movements and improve the coordination of the movements;at the same time,the unique body rhythm formed by breathing can strengthen the visual effect of the performance and convey its spirit and soul to the audience.This requires folk dance teachers to carry out relevant training and teaching activities based on the categories and skills of dance breathing,such as changing students’ideological cognition,developing periodic breathing training courses,providing personalized guidance to students,and allowing students to adjust their learning and practice methods in the evaluation.
基金General Project of the 13th Five Year Plan for Education Science in Beijing in 2020“Key Elements of Vocational Education and Training System Construction in Higher Vocational Colleges”(Grant No.CCDB2020135)。
文摘Vocational education plays a vital role in the development of skilled technical professionals and the advancement of the economy.However,the emphasis on campus education often neglects the importance of external training,hindering the overall development of vocational education.This study aims to address this issue by exploring the design and development of small modular courses that integrate training and education in vocational colleges,focusing on the mechanics course as a case study.The research methods employed in this study include an in-depth analysis of enterprise training needs,the development of digital teaching resources utilizing the finite element method(FEM),and the implementation of a small modular course integrating education and training.The data analysis reveals positive outcomes in terms of learners’comprehension and engagement with complex mechanics formulas through the use of stress nephograms and other digital resources.This research provides a new perspective on curriculum design and offers insights into the integration of training and education in vocational colleges.The findings underscore the significance of incorporating innovative teaching methodologies and digital resources in enhancing the quality and relevance of vocational education,ultimately contributing to the cultivation of skilled professionals and the growth of the vocational education sector.
文摘Objective:To investigate the effect of using audible thinking combined with the case teaching method in the teaching of nursing checkups for regulation nurses.Methods:The period was April 2023–April 2024,and a randomized controlled group study was carried out in which 76 regulation nurses in our hospital were randomly divided into a research group and a control group,with 38 regulation nurses in each group.The control group used conventional teaching methods,and the research group used audible thinking combined with the case teaching method,comparing the two groups’independent learning ability scores,assessment scores,and teaching satisfaction.Results:Independent learning ability score:after teaching,the research group was significantly higher than the control group(P<0.05);Assessment results:the research group was considerably higher than the control group(P<0.05);Teaching satisfaction:the research group was significantly higher than the control group(P<0.05).Conclusion:The use of audible thinking combined with the case teaching method in the teaching of nursing room visits for trained nurses can improve independent learning ability and assessment results and increase teaching satisfaction.
文摘This work aims to analyze the effect exerted by the initial and continuous training of secondary school teachers in France on their teaching practices.For this,we carried out a secondary analysis of data from the TALIS survey(Teaching and Learning International Survey),conducted in 2013 in 34 countries,including France.In particular,we focus on practices related to the teaching methods used,classroom management,how to communicate,and the evaluative practices of teachers.In support of binary logistic regression models,we showed that the variables related to initial training play a weak role,and even exert a negative effect on certain pedagogic practices,leading to a reflection on the renovation of this training.On the other hand,our analyses highlighted the greater weight played by certain continuing education actions.
文摘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.
文摘In track and field sports,the 100-meter race is an extremely intense sport that requires effective training of athletes’core strength.From the perspective of adolescents,in order to enhance core strength,it is necessary to effectively fix the pelvic position in the process of exercise,so that the core stability,balance,and coordination of athletes can be improved.The training process of the 100-meter event is mainly an anaerobic metabolic exercise,it is necessary to ensure that athletes maintain a high level of physical readiness during the exercises and concentrate highly on their core strength,so that they can achieve excellent results.This paper analyzes the core strength training for the 100-meter event in track and field sports,discusses its importance,and puts forward specific training methods,hoping to provide guidelines for relevant researchers.
文摘BACKGROUND As one of the most important members in clinical trials,the number of clinical research nurses(CRN)can't keep up with the growth of experimental projects,so it is urgent to build clinical research training and strengthen the background knowledge of nurses.AIM To construct CRN training program based on position competence,accelerate the construction of CRN talent pool,and provide scientific guidance significance for CRN training.METHODS Based on the position competence model,combined with literature research and qualitative interview results,the first draft was prepared of the CRN training program.Two rounds of correspondence with 16 experts were conducted using the Delphi method to determine the training program.RESULTS The effective recovery rate of the expert correspondence questionnaire was 100%and the authority coefficients of the 2 rounds of experts were 0.826 and 0.895.Finally,4 first-level indicators and determine 15 s-level indicators of training objectives.The training program included 4 first-level indicators,training requirements,content,methods,assessment and evaluation,15 s-level indicators,and 74 third-level indicators.CONCLUSION The CRN training program based on position competence is scientific and extendable,providing a basis for participation in CRN training.
文摘This study is focused on the effect of vibration induced by moving trains in tunnels on the surrounding ground and structures.A three-dimensional finite element model is established for a one-track railway tunnel and an adjacent twelve-storey building frame by using commercial software Midas GTS-NX(2019)and Midas Gen.This study considered the moving load effect of a complete train,which varies with space as well as with time.The effect of factors such as train speed,overburden pressure on the tunnel and variation in soil properties are studied in the time domain.As a result,the variations in horizontal and vertical acceleration for two different sites,i.e.,the free ground surface(without structure)and the area containing the structure,are compared.Also,the displacement pattern of the raft foundation is plotted for different train velocities.At lower speeds,the heaving phenomenon is negligible,but as the speed increases,both the heaving and differential settlement increase in the foundation.This study demonstrates that the effect of moving train vibrations should be considered in the design of new nearby structures and proper ground improvement should be considered for existing structures.
基金This study was supported and financed by International Publication Research Grant Universitas Indonesia(Grant number:NKB-1535/UN2.RST/HKP.05.00/2020).
文摘Objective:To explore the impact of the coronavirus disease 2019(COVID-19)pandemic on the training experiences of urology residents in Indonesia.Methods:A cross-sectional study using a web-based questionnaire(SurveyMonkey)involved all registered urology residents in Indonesia.The questionnaire was structured in Bahasa Indonesia,composed of 28 questions,and divided into three sections:demographic characteristics,current daily activities,and opinions regarding training experiences during the COVID-19 outbreak.The survey was distributed to all respondents via chief of residents in each urology center from May 26,2020 to Jun 2,2020.Results:Of the total 247 registered urology residents,243 were eligible for the study.The response and completeness rate for this study were 243/243(100%).The median age of respondents was 30(range:24e38)years old,and 92.2%of them were male.Among them,6(2.5%)respondents were confirmed as COVID-19 positive.A decrease in residents’involvement in clinical and surgical activities was distinguishable in endourological and open procedures.Most educational activities were switched to web-based video conferences,while others opted for the in-person method.Smart learning methods,such as joining a national or international speaker webinar or watching a recorded video,were used by 93.8%and 80.7%of the respondents,respectively.The respondents thought that educational activities using web-based video conferences and smart learning methods were effective methods of learning.Overall,the respondents felt unsure whether training experiences during the COVID-19 pandemic were comparable to the respective period before.Conclusion:The COVID-19 pandemic negatively affected urology residents’training experiences.However,it also opened up new possibilities for incorporating new learning methodologies in the future.
基金supported by the National Natural Science Foundation of China(61732018,61872335,61802367,61876215)the Strategic Priority Research Program of Chinese Academy of Sciences(XDC05000000)+1 种基金Beijing Academy of Artificial Intelligence(BAAI),the Open Project Program of the State Key Laboratory of Mathematical Engineering and Advanced Computing(2019A07)the Open Project of Zhejiang Laboratory,and a grant from the Institute for Guo Qiang,Tsinghua University.Recommended by Associate Editor Long Chen.
文摘Graph convolutional networks(GCNs)have received significant attention from various research fields due to the excellent performance in learning graph representations.Although GCN performs well compared with other methods,it still faces challenges.Training a GCN model for large-scale graphs in a conventional way requires high computation and storage costs.Therefore,motivated by an urgent need in terms of efficiency and scalability in training GCN,sampling methods have been proposed and achieved a significant effect.In this paper,we categorize sampling methods based on the sampling mechanisms and provide a comprehensive survey of sampling methods for efficient training of GCN.To highlight the characteristics and differences of sampling methods,we present a detailed comparison within each category and further give an overall comparative analysis for the sampling methods in all categories.Finally,we discuss some challenges and future research directions of the sampling methods.
文摘Overfitting is one of the important problems that restrain the application of neural network. The traditional OBD (Optimal Brain Damage) algorithm can avoid overfitting effectively. But it needs to train the network repeatedly with low calculational efficiency. In this paper, the Marquardt algorithm is incorporated into the OBD algorithm and a new method for pruning network-the Dynamic Optimal Brain Damage (DOBD) is introduced. This algorithm simplifies a network and obtains good generalization through dynamically deleting weight parameters with low sensitivity that is defined as the change of error function value with respect to the change of weights. Also a simplified method is presented through which sensitivities can be calculated during training with a little computation. A rule to determine the lower limit of sensitivity for deleting the unnecessary weights and other control methods during pruning and training are introduced. The training course is analyzed theoretically and the reason why DOBD algorithm can obtain a much faster training speed than the OBD algorithm and avoid overfitting effectively is given.
基金Ersta Skondal University College financed by grants from AFA Insurance
文摘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.
基金Science and technology research and development program of the Ministry of Railways(1219YF1305)
文摘Taking a high-speed train in China as an example,using computer simulation technology and comparing with the test data,the three current methods including linear stability analysis method,nonlinear stability analysis method and the field testing criterion are studied to evaluate stability of high-speed trains.A new stability evaluation method is proposed which can be used to evaluate lateral stability of high-speed vehicle based on the codes of UIC 515and UIC 518.From the viewpoint of taking the most unfavorable track conditions into account and improving the safety margin,the new method uses the root mean square of bogie lateral acceleration as a criterion to evaluate the lateral stability of high-speed trains.Numerical example shows that the proposed method not only considers the forced vibration caused by track irregularities in the actual practice,but also takes the instability self-excited vibration into account,so it can realize early warning of bogie slight unstable oscillation,meanwhile the method itself does not involve complex algorithms which has the possibility of engineering applications.
基金National Key R&D Program(Grant No.2020YFB2007700),National Natural Science Foundation of China(Grant Nos.11790282,12032017,12002221 and 11872256)S&T Program of Hebei(Grant No.20310803D)+1 种基金Natural Science Foundation of Hebei Province(Grant No.A2020210028)State Foundation for Studying Abroad.
文摘High-speed trains often use temperature sensors to monitor the motion state of bearings.However,the temperature of bearings can be affected by factors such as weather and faults.Therefore,it is necessary to analyze in detail the relationship between the bearing temperature and influencing factors.In this study,a dynamics model of the axle box bearing of high-speed trains is established.The model can obtain the contact force between the rollers and raceway and its change law when the bearing contains outer-ring,inner-ring,and rolling-element faults.Based on the model,a thermal network method is introduced to study the temperature field distribution of the axle box bearings of high-speed trains.In this model,the heat generation,conduction,and dispersion of the isothermal nodes can be solved.The results show that the temperature of the contact point between the outer-ring raceway and rolling-elements is the highest.The relationships between the node temperature and the speed,fault type,and fault size are analyzed,finding that the higher the speed,the higher the node temperature.Under different fault types,the node temperature first increases and then decreases as the fault size increases.The effectiveness of the model is demonstrated using the actual temperature data of a high-speed train.This study proposes a thermal network model that can predict the temperature of each component of the bearings on a high-speed train under various speed and fault conditions.
基金supported by research funding from the Macao Polytechnic Institute(No.RP/ESS-06/2017)。
文摘Objective:This study is aimed to develop student simulated patient(SSP)training content and evaluation indicators,and further explores their validity and reliabilities.Methods:Delphi consultations with 20 nursing exper ts were conducted.The weights of indicators were calculated through the analytic hierarchy process.SSP training was conducted with a high-fidelity nursing simulation.Results:The expert positive coefficients were 0.952 in the first round consultation and 1.00 in the second round consultation.The expert authority coefficient was reported as 0.87.The training included role and responsibility of simulated patient(SP),script interpretation,plot performance,and training for a rater,with a total of 17 indicators.SSP evaluation consisted of disease knowledge,role portrayal,and performance fidelity and since being a rater,it consists of 20 indicators in total.The coordination coefficients of two rounds of consultation ranged from 0.530 to 0.918.The content validity of SSP evaluation indicators was 0.95.The inter-rater reliability was repor ted as 0.866,and the internal consistency established using Cronbach’sαwas 0.727.Conclusions:Students as SPs should have first-hand knowledge and experience within the simulated scenarios.SSP training content and evaluation indicators were determined through the Delphi consensus combined with analytic hierarchy process.The evaluation indicators were valid and reliable,and provided the objective and quantifiable measurements for SSP training in nursing。
文摘Interpreting is a cross-cultural communicative activity. To make the communication carry on smoothly, the interpreterneeds to receive the information, decodes it, encodes it and produces his output simultaneously. This is a daunting task, in whichmemory counts. This paper firstly introduces the classification of memory in cognitive psychology and interpreting, and then elabo-rates the working mechanisms of memory in interpreting. Furthermore, some methods are put forward to better memory training forstudent interpreters.
文摘The modern neuroelectrical physiology indicates that there are certain patterns inneural spike train which appear more frequently than others.These favored patterns(FP)maybe related to the mechanism of neural information processing in central nervous system.Inthis paper,the quantized Monte Carlo method and template method used in favored patternrecognition are described.The Monte Carlo method determines favored patterns or the possiblefavored patterns,while the template method is used for choosing the FP from the candidates andcounting the number of the FP in the spike train.This work will be pursued for extracting theFP in some complicated spike train.