Estimation of Physiologic Ability and Surgical Stress scoring system for predicting complications following abdominal surgery: A metaanalysis spanning 2004 to 2022

BACKGROUND Postoperative complications remain a paramount concern for surgeons and healthcare practitioners.AIM To present a comprehensive analysis of the Estimation of Physiologic Ability and Surgical Stress(E-PASS)scoring system’s efficacy in predicting postoperative complications following abdominal surgery.METHODS A systematic search of published studies was conducted,yielding 17 studies with pertinent data.Parameters such as preoperative risk score(PRS),surgical stress score(SSS),comprehensive risk score(CRS),postoperative complications,post-operative mortality,and other clinical data were collected for meta-analysis.Forest plots were employed for continuous and binary variables,withχ2 tests assessing heterogeneity(P value).RESULTS Patients experiencing complications after abdominal surgery exhibited significantly higher E-PASS scores compared to those without complications[mean difference and 95%confidence interval(CI)of PRS:0.10(0.05-0.15);SSS:0.04(0.001-0.08);CRS:0.19(0.07-0.31)].Following the exclusion of low-quality studies,results remained valid with no discernible heterogeneity.Subgroup analysis indicated that variations in sample size and age may contribute to hetero-geneity in CRS analysis.Binary variable meta-analysis demonstrated a correlation between high CRS and increased postoperative complication rates[odds ratio(OR)(95%CI):3.01(1.83-4.95)],with a significant association observed between high CRS and postoperative mortality[OR(95%CI):15.49(3.75-64.01)].CONCLUSION In summary,postoperative complications in abdominal surgery,as assessed by the E-PASS scoring system,are consistently linked to elevated PRS,SSS,and CRS scores.High CRS scores emerge as risk factors for heightened morbidity and mortality.This study establishes the accuracy of the E-PASS scoring system in predicting postoperative morbidity and mortality in abdominal surgery,underscoring its potential for widespread adoption in effective risk assessment.

Research on the Cultivation of Innovative Ability and Comprehensive Quality of International Translation Talent Serving National Strategy

Based on the value orientation of international translation talent as well as the present situation of personnel training in the context of national development strategy,this article offers a profound analysis for the talent on the training methods of innovative ability and comprehensive quality.Innovative talent that has a strong sense of social responsibility as well as the ability of directly participating in international activities should be fostered,so as to meet the need for economic developments and to better serve national economic construction.

Design and Implementation of a Comprehensive Training Program for Software Engineering Talents’ Practical Ability

In the process of cultivating software engineering professionals,the practical teaching of professional courses is an indispensable link.In order to enable students to understand,consolidate and master theoretical knowledge,improve the ability to solve problems by combining theory with practice,and achieve the goal of combining theoretical knowledge with practice.Adopting the planning of through-type training,complete the teaching work of three practical courses of software system design,software system construction,and software product construction.Through the implementation of the plan,the digitization of teaching resources,the virtualization of real enterprises,the intelligentization of teaching guidance,the visualization of teaching process,and the panorama of learning process are realized.By adopting the teaching methods of taskdriven online practice teaching,artificial intelligence-based teaching training support and teaching process,and result big data evaluation,the students’comprehensive practical ability can be improved finally,and the whole practice teaching reform can provide experience for the follow-up reform.

血液透析室护理带教中标准化WORLD教学法的作用

目的:探讨血液透析室护理带教中干预标准化WORLD教学法的效果。方法:抽取2022年3月至2023年3月在昆明医科大学附属红河医院血液透析室中实习的40名护士,抽签分2组,各20名。对照组实行常规教学,观察组实行标准化WORLD教学。对比考核成绩、教学趣味性等情况。结果:较之对照组,观察组考核成绩、教学趣味性、教学质量、临床综合能力评分均高(P<0.05)。结论:标准化WORLD教学法的运用,效果理想,不仅能培养护生学习兴趣,还能改变教学质量,提高综合能力,值得推广。

A Discussion on Reading Ability of College Students

This article starts with the analysis of the essential factors that restrict the students' reading comprehension and talks about the causes of the problems in reading. Many students feel it difficult to improve their reading ability and don't know how to cope with thses problems. Ways are suggested in the artiue.

Study on evaluation of cities' ability reducing earthquake disasters

Cities ability reducing earthquake disasters is a complex system involving numerous factors, moreover the re-search on evaluating cities ability reducing earthquake disasters relates to multi-subject, such as earthquake sci-ence, social science, economical science and so on. In this paper, firstly, the conception of cities ability reducing earthquake disasters is presented, and the ability could be evaluated with three basic elements the possible seis-mic casualty and economic loss during the future earthquakes that are likely to occur in the city and its surround-ings and time required for recovery after earthquake; based upon these three basic elements, a framework, which consists of six main components, for evaluating citys ability reducing earthquake disasters is proposed; then the statistical relations between the index system and the ratio of seismic casualty, the ratio of economic loss and re-covery time are gained utilizing the cities prediction results of earthquake disasters which were made during the ninth five-year plan; at last, the method defining the comprehensive index of cities ability reducing earthquake disasters is presented. Thus the relatively comprehensive theory frame is set up. The frame can evaluate cities ability reducing earthquake disasters absolutely and quantitatively and consequently instruct the decision-making on reducing cities earthquake disasters loss.

Similarity evaluation of stratum anti-drilling ability and a new method of drill bit selection

Considering the stratum anti-drilling ability,drill bit working conditions,drill bit application effect and drill bit economic benefits,the similarity of stratum anti-drilling ability was evaluated by grey relational analysis theory to screen out candidate drill bits with reference values.A new comprehensive performance evaluation model of drill bit was established by constructing the absolute ideal solution,changing the relative distance measurement method,and introducing entropy weight to work out the closeness between the candidate drill bits and ideal drill bits and select the reasonable drill bit.Through the construction of absolute ideal solution,improvement of relative distance measurement method and introduction of entropy weight,the inherent defects of TOPSIS decision analysis method,such as non-absolute order,reverse order and unreasonable weight setting,can be overcome.Simple in calculation and easy to understand,the new bit selection method has good adaptability to drill bit selection using dynamic change drill bit database.Field application has proved that the drill bits selected by the new drill bit selection method had significant increase in average rate of penetration,low wear rate,and good compatibility with the drilled formations in actual drilling.This new method of drill bit selection can be used as a technical means to select drill bits with high efficiency,long life and good economics in oilfields.

Research on the Impact of Venture Risk Tolerance on R&D investments:Based on Entrepreneur Ability

How do start-ups enhance risk tolerance and core competition through product,technology,and service development?What is the relationship between the core competitiveness of start-ups and R&D investments?Based on the perspective of entrepreneurial ability,222 questionnaires were used to study the factors affecting the risk tolerance of start-ups and analyze the effect of risk tolerance on R&D investments.The research shows that the interactions of entrepreneur ability and start-up funds have a positive effect on the risk tolerance of start-ups,and the risk tolerance can positively promote R&D investment willingness and intensity for new products,technologies,and services.Also,R&D investment willingness plays a partial intermediary role between the risk tolerance of start-ups and the intensity of R&D investments.

Mini-CEX联合MDT在急诊科住院医师规范化培训中的应用效果

目的探讨迷你临床演练评估(mini-clinical evaluation exercise,Mini-CEX)联合多学科综合治疗协作组(multidisciplinary team,MDT)在急诊科住院医师规范化培训中的运用效果。方法选择于医院急诊科进行规范化培训的住院医师,2022年6—8月进行规范化培训者为传统培训组,2022年9—11月进行规范化培训者为Mini-CEX联合MDT组。传统培训组35名,给予常规教学方式教学,Mini-CEX联合MDT组35名,给予Mini-CEX联合MDT教学,教学完成后评估规范化培训住院医师的理论成绩及实际操作技能,教学前、后通过Mini-CEX考核规范化培训住院医师的问诊能力、临床诊断、操作能力、查体能力、治疗方案、沟通能力,给予评判性思维能力量表-中文版(critical thinking disposition inventory—Chinese version,CTDI-CV)、学生自主学习能力评价量表评价,比较2组教学满意度。结果Mini-CEX联合MDT组理论知识、实际操作技能评分较传统培训组高,差异有统计学意义(P<0.001);Mini-CEX联合MDT组问诊能力、临床诊断、操作能力、查体能力、治疗方案、沟通能力评分较传统培训组高,差异有统计学意义(P<0.001);Mini-CEX联合MDT组CTDI-CV评分较传统培训组低,自主学习能力评分、教学满意度较传统培训组高,差异有统计学意义(P<0.001)。Mini-CEX联合MDT组教学满意度(97.14%)较传统培训组高(85.71%),差异有统计学意义(P<0.05)。结论在急诊科住院医师规范化培训中运用Mini-CEX联合MDT教学,可提升规范化培训住院医师理论及实践操作成绩,提升其综合临床能力、评判性思维能力、自学能力及教学满意度。

How to develop students’ ability of reading comprehension

本文就如何培养学生的恶阅读理解能力提出两种方法 :一是课内三种层次的阅读理解 ;二是扩大词汇量。文章还对两个问题提出了具体的教学步骤。

创新创业驱动的车身CAD教学模式探索

在创新创业国家战略背景下,以创新创业思维模式和能力培养为导向,对“车身CAD技术”实践课程内容进行综合改革,基于OBE理念进一步夯实与提升教学实效。以学生团队为中心设计教学过程和实验内容,围绕学生综合能力的培养制定多元化考核方式。综合使用数字化设计工具及先进仪器设备,实施“理论—实践—管理—创新—创业”的螺旋阶梯式五位一体教学。教学实践表明该模式显著的锻炼和提升了学生的创新创业能力。

系统效能视角下基于改进ADC法的研究生导师能力多维度矩阵构建研究

导师作为研究生培养过程中的第一责任人,其能力高低直接影响研究生的培养质量。文章基于“五位一体”理念提出的“导研、导学、导言、导行、导心”,将导师能力细化为个人能力、课堂教学能力、日常学术指导能力、研究生的学术成果和研究生非学术成果五大部分,应用结构分析法(Availability Dependability Capability,ADC)的可用性、可靠性和指导能力的概念,构建相应的研究生导师能力多维度矩阵,综合全面地反映导师的能力,为进一步提高研究生培养质量提供参考。

DXR+OSCE教学模式对提高本科护生临床综合能力的效果研究

目的:探讨采用DXR+OSCE教学模式对提高本科护生临床综合能力的效果研究。方法:采取整群抽样法抽取2017级与2018级的全体本科护生共840人。2017级作为对照组,采取传统教学模式;2018级作为试验组,采用DXR+OSCE教学模式;两级教学后进行相同的考核,比较考核结果;并对试验组教学前后发放调查问卷。结果:试验组考核成绩明显高于对照组(P<0.05);问卷调查结果显示该教学模式能提高护生的思维能力、护患沟通能力。结论:DXR+OSCE教学模式能有效地提高本科护生的临床综合能力。

Seminar-CBL结合模拟教学法在肿瘤康复教学中的效果

目的探究Seminar-以案例为导向的教学法(case-based learning,CBL)结合模拟教学法在肿瘤康复教学中的效果。方法采取随机数字表法对2018年6月—2020年6月在滨州医学院附属医院肿瘤科学习的120名医学生,每组各60名,对照组给予常规教学法,观察组给予Seminar-CBL结合模拟教学法,对比2组学生实施不同教学方法后的操作成绩及理论成绩、学生自我评价结果、实施教学方法前后的批判性思维能力评分以及沟通能力评分。结果与对照组相比,观察组学生操作成绩及理论成绩均较高,差异有统计学意义(P<0.05)。自主学习能力及自主思考能力显著提升、对肿瘤康复知识与技术有更深的掌握、合作性学习能力提升、利用学习资源的能力提升、批判性思维能力基本形成、制定科学合理康复方案的能力提升、发现及解决问题的能力提升、对临床病例及临床实习知识理解更加深入的学生所占比例较高,差异有统计学意义(P<0.05)。2组教学后与教学前相比,批判性思维能力评分以及沟通能力评分均较高,与对照组教学后相比,观察组批判性思维能力评分以及沟通能力评分均较高,差异有统计学意义(P<0.05)。结论Seminar-CBL结合模拟教学在肿瘤康复教学中可明显提高教学成绩,学生自我评价结果更好,同时也提高了其综合能力。

How to Improve Students' English Listening Comprehension Ability

This paper point out that there are many problems exist in listening teaching and learning, such as, internal factors, short of lis-tening skills and neglect of basic training,According to these problems, teachers should find out different approaches to improve students' listeningcomprehensionability. It includes training students pronunciation drills, reading and guessing vocabulary etc. At last, will achieve the purpose of improving students' listening comprehension ability.

基于4C/ID理论的“国际货运代理”综合学习任务设计

国际货运代理业务是一项多环节、涉及知识面广,跨界融合外贸、物流、关检、法律、信息技术等相关知识的复杂技能。高等职业教育重在培养具备综合能力的高素质技术型应用人才,这就要求教师从实现综合学习的基石—学习任务设计开始就要着力关注学生综合能力的培养。学习任务的设计既要对接企业工作岗位对从业者掌握复杂技能的综合能力要求,又要符合学生的学习规律和认知规律,便于学生对复杂技能的消化和吸收,帮助学生在任务操练的过程中建立起对国际货运代理业务的全局观。这种学习任务设计将有助于学生构建综合性的知识库,有助于学生提高处理国际货运代理真实工作任务的综合能力,有助于学生在国际货运代理行业转型升级中快速实现知识与技能的迁移和迭代。

基于“DDPAR”模式下造纸专业大学生创新能力培养探索

在大学教学中,如何培养出更多的创新型人才,以满足社会和经济发展的需要,是目前大学教学中的一个热门话题。以制浆造纸专业为例,在了解学生在“DDPAR”环境下创新创业教育需求基础之上,针对高校提出的“DDPAR”模式创新教育,分析现阶段我国高校创新能力存在一些需要解决的问题,从课程教学设计、创新教育实训机制、保障体系等几个方面设计应用型造纸专业创新教育体系评价指标。探讨“DDPAR”模式下造纸专业创新教育体系的应用成绩。研究发展造纸专业创新能力培养体系应用成果明显,既可以提高到学生的创新精神、创新创业能力和综合素养,还可以最大程度地满足与学生的学习需要。

Within-and between-population variations in seed and seedling traits of Juglans mandshurica

In order to quantify within-and between-population variation in seed and seedling traits of Juglans mandshurica and reveal the relationship among genetic and environmental variations and select elite families,samples of 50 J.mandshurica families from five natural populations in Liaoning Province,northeast China,were taken to measure seed and seedling traits.The results show that all seed traits varied significantly among families within the population,but only kernel weight and kernel rate showed significant variations among populations.Average values of single seed weight,length,width,lateral diameter,and average size,and kernel weight and rate were 10.1 g,43.0 mm,29.2 mm,28.1 mm,33.4 mm,and 2.2 g and 22.5%,respectively.Significant variations were observed in seedling height and root collar diameter among families and interaction between families and blocks,but the block effects on height and root collar diameter were insignificant.Average values of height and root collar diameter were 94.0 cm and 8.7 mm,respectively.Family heritability of traits ranged from 0.6 gm(kernel weight)to 0.9 mm(seedling height).Correlation analysis showed a strong relationship among seed traits but a weak correlation between seed and seedling traits.Cluster analysis grouped the five natural populations of J.mandshurica into three significant clusters with different characteristics.The general combining ability analysis showed that most traits in one family(WD11)were higher,suggesting parental traits were excellent for selecting elite parent clones.Using the comprehensive evaluation method,five families with better seed traits and five families with better seedling traits were selected as elite materials with 10%selection rate.The genetic gains of these elite materials for seed weight,kernel weight,average seed size,kernel rate,seedling height,and root collar diameter were 13.1%,10.3%,4.1%,2.4%,29.7%,and 21.1%,respectively.

Research on the role of attribution in reading comprehension among Chinese EFL learners

This empirical study investigates Chinese EFL students＇ attributions in reading. The purposes ot this study are to investigate the development of Chinese EFL learners＇ attributions for their perceived success and failure in second language reading and to clarify the relationship between learners＇ reading proficiency levels and their attributions. The results show that （1） Nearly half of the university students feel ＂Just so so＂ in English reading; （2） Environmental variables such as teacher feedback, peers or classroom play an influential role in the learners＇ attribution. This paper concludes with a number of pedagogical suggestions for the teaching and learning of English reading.

Graphic Organizers and Reading Comprehension Ability： Evidence From Iranian EFL University Students

The present study investigated the impact from GOs （Graphic Organizers） upon reading comprehension ability. To this end, an OPT （Oxford Placement Test） was administered to a research population （N = 354） in order to homogenize it. On the basis of the test results, the population was sorted into three groups of reading-low, reading-mid, and reading-high students. Sixty participants with the lowest level of reading comprehension proficiency were randomly selected and assigned to an EG （Experimental Group） （N = 30） and a CG （Control Group） （N = 30）. Afterwards, a TOEFL （Test of English as a Foreign Language） reading comprehension pretest was administered to both groups in order to determine their current level of reading proficiency. Then, the EG received 10 successive 90-minute sessions on GOs as post-reading strategies for expository text comprehension, while the CG received the same amount of treatment on other post-reading strategies. In the end, another TOEFL reading comprehension posttest was administered to the research groups to measure their reading comprehension performance level after the treatment. The results revealed that GOs were statistically more significant and effective for the low-skilled readers than other post-reading strategies.