As the field of artificial intelligence continues to evolve,so too does the application of multimodal learning analysis and intelligent adaptive learning systems.This trend has the potential to promote the equalizatio...As the field of artificial intelligence continues to evolve,so too does the application of multimodal learning analysis and intelligent adaptive learning systems.This trend has the potential to promote the equalization of educational resources,the intellectualization of educational methods,and the modernization of educational reform,among other benefits.This study proposes a construction framework for an intelligent adaptive learning system that is supported by multimodal data.It provides a detailed explanation of the system’s working principles and patterns,which aim to enhance learners’online engagement in behavior,emotion,and cognition.The study seeks to address the issue of intelligent adaptive learning systems diagnosing learners’learning behavior based solely on learning achievement,to improve learners’online engagement,enable them to master more required knowledge,and ultimately achieve better learning outcomes.展开更多
This paper introduces the Value Engineering method to calculate the value coefficient of Chinese learning efficiency for 377 international students by dimension.Results suggest that attention should be paid to male,Eu...This paper introduces the Value Engineering method to calculate the value coefficient of Chinese learning efficiency for 377 international students by dimension.Results suggest that attention should be paid to male,European and American,rural,introverted,and“work or education needs”international students;Give full play to the driving role of the reference-type,explore the space for improving the learning efficiency of the improvement-type and attention-type,and pay attention to the problems of problem-type international students.展开更多
This paper investigates the related factors of Chinese learning engagement and performance of 377 students from three universities in Guangzhou of China,employs the value engineering method,and calculates the value co...This paper investigates the related factors of Chinese learning engagement and performance of 377 students from three universities in Guangzhou of China,employs the value engineering method,and calculates the value coefficient of learning efficiency.From the value coefficient of Chinese language learning,it proves that over 60%of international students studying in China have a higher efficiency in learning Chinese.展开更多
Through its media logic, which is defined by programmability, pervasiveness, connectivity, and datafication, WeChat establishes a non-linear, interactive, and user-dominated media environment. This media logic enhance...Through its media logic, which is defined by programmability, pervasiveness, connectivity, and datafication, WeChat establishes a non-linear, interactive, and user-dominated media environment. This media logic enhances the influence of each user within WeChat’s narrative landscape and revolutionises traditional media narration methods by enabling them to generate and distribute content. In such an environment, users are able to edit, receive, and send information without constraints of time or distance, which enables delayed interactions that broaden the potential for human communication and dissemination. Additionally, WeChat partially replaces social behaviours and institutions, thereby modifying their original structures and characteristics. As individuals become more accustomed to this media environment, they progressively adjust to the forms that are appropriate for media representation on WeChat, thereby completing the mediatization of culture and society. In this process, individuals are becoming more dependent on media and media logic, with WeChat’s influence permeating social and cultural activities through its media logic. This interaction has a substantial impact on society and culture, thereby aiding in their reconstruction.展开更多
Blended learning(BL)has been widely adopted to improve students’academic achievements in higher education.However,its success relies mainly on student engagement,which plays an essential role in active learning and p...Blended learning(BL)has been widely adopted to improve students’academic achievements in higher education.However,its success relies mainly on student engagement,which plays an essential role in active learning and provides a rich understanding of students’experiences.The study utilized three self-designed scales-the Teacher Support Scale,Student Engagement Scale,and Student Learning Experience Scale-to gauge and examine the impact and relationship between perceived teacher support,student behavioral engagement,and the intermediary role of learning experiences.A cohort of 899 college students undertaking the obligatory College English course through BL modes across five Chinese universities actively participated by completing a comprehensive questionnaire.The results showed significant correlations between perceived teacher support,learning experience,and behavioral engagement.Perceived teacher support significantly predicted students’behavioral engagement,with socio-affective support exerting the most substantial predictive effects.All predictive effects were partially mediated by learning experience(learning mode,online resources,overall LMS-based learning,interaction with their instructor and peers,and learning outcome).The influence of perceived teacher support on behavioral engagement differed between students who reported the most positive(vs.negative)learning experiences.Suggestions for further research are offered for consideration.展开更多
The purpose of the research was to assess the impact of Citizen Development activities on digital transformation. The research identified eight categories that contribute to the success of Low-code No-code (LCNC) proj...The purpose of the research was to assess the impact of Citizen Development activities on digital transformation. The research identified eight categories that contribute to the success of Low-code No-code (LCNC) projects: 1) Strategy;2) Infrastructure;3) Technology;4) Processes & Procedures;5) Governance;6) Culture;7) People;8) Goals & Metrics and selected six critical success factors from these categories: 1) Operational Efficiency;2) Time Savings;3) Timeframe to Realize Value;4) Employee Engagement;5) Participation;6) Number of Sponsored Ideas. End users of the digital transformation efforts through Citizen Development were asked to assess the six critical success measures in terms of performance and importance criteria. The research results identified that focus should be applied to improving “Timeframe to Realize Value”, on “Operational Efficiency”, and on “Time Savings” to deliver success.展开更多
Based on detail analysis of clutch engaging process control targets and adaptive demands, a control strategy which is based on speed signal, different from that of based on main clutch displacement signal, is put forw...Based on detail analysis of clutch engaging process control targets and adaptive demands, a control strategy which is based on speed signal, different from that of based on main clutch displacement signal, is put forward. It considers both jerk and slipping work which are the most commonly used quality evaluating indexes of vehicle starting phase. The adaptive control system and its reference model are discussed profoundly. Taking the adaptability to different starting gears and different road conditions as examples, some proving field test records are shown to illustrate the main clutch adaptive control strategy at starting phase. Proving field test gives acceptable results.展开更多
Manned combat aerial vehicles (MCAVs), and un-manned combat aerial vehicles (UCAVs) together form a cooper-ative engagement system to carry out operational mission, whichwill be a new air engagement style in the n...Manned combat aerial vehicles (MCAVs), and un-manned combat aerial vehicles (UCAVs) together form a cooper-ative engagement system to carry out operational mission, whichwill be a new air engagement style in the near future. On the basisof analyzing the structure of the MCAV/UCAV cooperative engage-ment system, this paper divides the unique system into three hi-erarchical levels, respectively, i.e., mission level, task-cluster leveland task level. To solve the formation and adjustment problem ofthe latter two levels, three corresponding mathematical modelsare established. To solve these models, three algorithms calledquantum artificial bee colony (QABC) algorithm, greedy strategy(GS) and two-stage greedy strategy (TSGS) are proposed. Finally,a series of simulation experiments are designed to verify the effec-tiveness and superiority of the proposed algorithms.展开更多
Objectives: Engaging, enhancing and embedding clinical audit improvement activities into everyday practice to develop capacity, capability and culture in continuous improvement.Method: Through the implementation of an...Objectives: Engaging, enhancing and embedding clinical audit improvement activities into everyday practice to develop capacity, capability and culture in continuous improvement.Method: Through the implementation of an electronic quality management system called Governance, Evidence, Knowledge and Outcome (GEKO), the key aspects of governance, evidence knowledge and outcomes were able to be applied to quality initiatives. Implementation of the GEKO system incorporated the principles of total quality control and management to include strategic management control and marketing in parallel with leadership strategies. The vision was to motivate staff to enable ownership of the quality cycle of continuous improvement of patient care to incorporate underlying systems and processes that impact on patient care. Results: A continuous improvement pathway was successfully established 4 months post hospital commissioning. Over 890 (approximately 16% workforce) multidisciplinary and multi-professional staff received training and support for QIs in 12 months;over 535 quality proposals were received on GEKO. Submissions by profession: nursing and midwifery 46% (246), medical 33%(177), allied health 9% (48), pharmacy 5%(27), and non-clinical staff 7%(37). Average new submissions per month were 42. Reviews demonstrated the application of a rapid cycle approach to develop, test, modify and refine improvements and enhanced clinical care. Conclusion: Appropriate governance structure, processes, extensive education and training together with collaborative relationships are the keys to embed clinical audit improvement into everyday practice. The availability of a quality management system like GEKO is very useful to make QI accessible to all staff.展开更多
Background:Despite the known contribution of sport to health and well-being,sport participation declines in older age.However,for some people,sport continues to play an important role in older age and may contribute t...Background:Despite the known contribution of sport to health and well-being,sport participation declines in older age.However,for some people,sport continues to play an important role in older age and may contribute to improved health and well-being in older years.Although the health-related benefits of participating in sport are commonly reported,the reasons why some older adults continue to play sport are not well understood.This systematic review aimed to(1)identify studies from the literature that evaluated the reasons why older adults(aged 55 years and older)participate in sport and(2)synthesize and discuss the reasons for their participation reported in the literature.Methods:Searches of the electronic databases Embase,Medline,PsycInfo,PubMed,and SPORTDiscus were performed.Studies were included that evaluated reasons for sport participation in adults aged 55 years and older because this is the age at which sport participation has been reported to begin declining.The studies included in this review used qualitative,quantitative,or mixed methods designs,were peer reviewed,and were published in the English language before the search date(20 January 2019).Results:A total of 1732 studies were identified.After exclusions,30 studies were included in the review(16 qualitative,10 quantitative,and 4 mixed methods).The review presents several features and findings from the studies,including a description and systematization of the reasons for participating in sport and the main reasons that participants gave for participating in sport(maintaining health,feeling and being part of a community,and taking advantage of opportunities to develop relationships).Other reasons included competing and attaining a feeling of achievement,taking advantage of opportunities for travel,and being part of a team.Sport was identified as contributing to the overall experience of successful ageing.There were few comparative differences for participating in sport,and there were only small differences between genders for the reasons given for participation.Generally,the quality of the studies was good;however,mixed methods studies lacked appropriate data analysis procedures.Conclusion:Older adults play sport for a range of health-related and social reasons that can contribute to the experience of successful ageing.Strategies to increase sport participation by older adults should focus on promoting these aspects.展开更多
The relationship between a university and its city is considered strategical to achieve university targeted ambitions and visions.The university-city relationship is also encouraged for the benefit of the city,as univ...The relationship between a university and its city is considered strategical to achieve university targeted ambitions and visions.The university-city relationship is also encouraged for the benefit of the city,as universities unleash their respective cities’potentials to act as driving forces not only for their local communities,but also for the whole nation.Therefore,maintaining a mutual relationship between the university and the city is considered essential to accomplish strategic goals for both.However,the nature of this relationship is quite complex,overlapped,interconnected,and diverse.Therefore,this paper conducted a systematic review of the literature on university-city and campus-city relationships to evaluate recent research trends to uncover the aspects that connect universities with their respective cities.The search included articles published in 4 different databases from January 1990 to January 2021.A total number of 50 articles were selected in this review.The findings uncovered different aspects that could help or hinder university-city relationship based on the physical and functional linkage between the campus and the city.Moreover,findings have shown that it is necessary to understand universities according to their contextual differences,as universities have shown different impacts on their respective cities in terms of their sizes and locations.Results have also shown that the impact of the physical connection between the university and the city goes far beyond campus’s accessibility as it deeply affects students’social life as well.Therefore,decision makers,stakeholders,and university administrators need to co-design campus development process especially in the early stages to maximize the mutual benefits of campus-city relationship.The main conclusions of this paper address several perspectives and lessons for a more sustainable campus-city relationship.展开更多
Dr. Guo Xiaozong, a well-knownTCM doctor, has engaged in medical workfor more than 40 years and is therefore veryexperienced in clinical practice. Inparticular, he has developed principles of lo-cating effective point...Dr. Guo Xiaozong, a well-knownTCM doctor, has engaged in medical workfor more than 40 years and is therefore veryexperienced in clinical practice. Inparticular, he has developed principles of lo-cating effective points in acupuncture,whichare of great technical originality. The follow-展开更多
Learning analytics is an emerging technique of analysing student par-ticipation and engagement.The recent COVID-19 pandemic has significantly increased the role of learning management systems(LMSs).LMSs previously only...Learning analytics is an emerging technique of analysing student par-ticipation and engagement.The recent COVID-19 pandemic has significantly increased the role of learning management systems(LMSs).LMSs previously only complemented face-to-face teaching,something which has not been possible between 2019 to 2020.To date,the existing body of literature on LMSs has not analysed learning in the context of the pandemic,where an LMS serves as the only interface between students and instructors.Consequently,productive results will remain elusive if the key factors that contribute towards engaging students in learning are notfirst identified.Therefore,this study aimed to perform an exten-sive literature review with which to design and develop a student engagement model for holistic involvement in an LMS.The required data was collected from an LMS that is currently utilised by a local Malaysian university.The model was validated by a panel of experts as well as discussions with students.It is our hope that the result of this study will help other institutions of higher learning determine factors of low engagement in their respective LMSs.展开更多
An improvement strategy which controls the shift effort and the power summing planetary gear set of steering clutches and brakes have been proposed based on the dynamic model of synchroniser in order to decrease the w...An improvement strategy which controls the shift effort and the power summing planetary gear set of steering clutches and brakes have been proposed based on the dynamic model of synchroniser in order to decrease the wear of synchroniser inserts, make gear shift easy and reduce the shock noise for a positive independent mechanical split path transmission which attached an auto- matic shift system when shifting. A kinetics model for the process of synchroniser engagement is built and analyzed in the paper. Thus for optimizing the gear shift process which is divided into three phases a model reference fuzzy self-adaption system is adopted. Through a 6 000 km road experiment, the control strategy has proved feasible and dependable.展开更多
Learning analytics is a rapidly evolving research discipline that uses theinsights generated from data analysis to support learners as well as optimize boththe learning process and environment. This paper studied stud...Learning analytics is a rapidly evolving research discipline that uses theinsights generated from data analysis to support learners as well as optimize boththe learning process and environment. This paper studied students’ engagementlevel of the Learning Management System (LMS) via a learning analytics tool,student’s approach in managing their studies and possible learning analytic methods to analyze student data. Moreover, extensive systematic literature review(SLR) was employed for the selection, sorting and exclusion of articles fromdiverse renowned sources. The findings show that most of the engagement inLMS are driven by educators. Additionally, we have discussed the factors inLMS, causes of low engagement and ways of increasing engagement factorsvia the Learning Analytics approach. Nevertheless, apart from recognizing theLearning Analytics approach as being a successful method and technique for analyzing the LMS data, this research further highlighted the possibility of mergingthe learning analytics technique with the LMS engagement in every institution asbeing a direction for future research.展开更多
The Power System Department (PSD) is the largest pro-fessional research and development organization oncomprehensive power system planning,engineering and operationof the Electric Power Research Institute (EPRI) of th...The Power System Department (PSD) is the largest pro-fessional research and development organization oncomprehensive power system planning,engineering and operationof the Electric Power Research Institute (EPRI) of the Ministry ofEnergy.The active RD & E of PSD are composed of the followingfive major areas.Power system analysis,software development & application,automatic devices,DC transmission,generation & transmissioncommission,modern laboratories for RD & E and electrical appara-展开更多
Wu Bingmei,Deputy Secretary-General of China Communications Standards Association(CCSA)and senior engineer,has long been engaged in the standardization research on communications.She has profound knowledge of developm...Wu Bingmei,Deputy Secretary-General of China Communications Standards Association(CCSA)and senior engineer,has long been engaged in the standardization research on communications.She has profound knowledge of development status and trends of standardization in the area in China and abroad.She has accomplished a number of major research projects on the systems,mechanisms and operation of national or sectoral standards.展开更多
<b><span style="font-family:Verdana;">Introduction:</span></b><span style="font-family:Verdana;"> Preventable maternal and newborn mortalities still occur in local com...<b><span style="font-family:Verdana;">Introduction:</span></b><span style="font-family:Verdana;"> Preventable maternal and newborn mortalities still occur in local communities in Kenya since access to maternal and newborn healthcare services remains a big challenge. Barriers to access in resource-constrained settings have not been examined adequately in literature. The World Health Organization (WHO) has 6 building blocks for strengthening healthcare systems that informed this study. This paper examines how user-side and institutional factors influence access and use of Maternal and Newborn Healthcare (MNH) Services in Matayos sub-County-Busia County. <b></b></span><b><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"></span></b><b> </b><span style="font-family:Verdana;">A mixed method approach, with an ethnographic inquiry and a descriptive cross-sectional design, was adopted to assess access to MNH services in Matayos-Busia County, Western Kenya. Postpartum women who had delivered within the previous 12 months and health care providers in the study area were recruited as respondents. A total of 348 postpartum women were selected through stratified systematic random sampling for the survey. Purposive sampling was used to select postpartum women, conventional and traditional health care providers for 16 in-depth interviews and 7 focus group discussions. Data were analyzed using descriptive and inferential statistics. Qualitative data analysis was done thematically. <b></b></span><b><b><span style="font-family:Verdana;">Results</span><span style="font-family:Verdana;">:</span></b><span style="font-family:Verdana;"></span></b><span style="font-family:Verdana;"> Institutional delivery was low at 68% and family planning at 75% although demand for services was high at 99%. User-side barriers to access included shared beliefs and practices in the community;high direct transport costs from home;and high costs for missing drugs and other supplies in hospitals. Middle (5</span><sup><span style="font-family:Verdana;">th</span></sup><span style="font-family:Verdana;">-7</span><sup><span style="font-family:Verdana;">th</span></sup><span style="font-family:Verdana;">) order deliveries occurred at home with traditional birth attendants. The choice of place of delivery in households was influenced by spouses to respondents and communities of residence where respondents lived or were married. All 6 WHO health system building blocks were weak in Matayos sub-County and needed system-wide strengthening involving all pillars. The user-community voice alone was insufficient and the 7</span><sup><span style="font-family:Verdana;">th</span></sup><span style="font-family:Verdana;"> pillar for user-community engagement was absent. The underlying factors were weak governance and underfunding for healthcare.</span> <b><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"></span></b><b> </b><span style="font-family:Verdana;">The six WHO building blocks were inadequate due to weak governance and inadequate funding. User-community engagement, the 7<sup>th</sup> Pillar, was absent in these resource-limited settings. We recommend user-community empowerment, engagement and participation, adoption of a system thinking approach and adequate funding.</span>展开更多
This paper gives a brief introduction to the FM-80 low and very low altitude air defense missile system.The paper also describes in details its main components characteristics functions tactical specifications,operati...This paper gives a brief introduction to the FM-80 low and very low altitude air defense missile system.The paper also describes in details its main components characteristics functions tactical specifications,operation and its future improvements.展开更多
This paper describes the HN-5Aman-portable air defense missilesystem which contains the HN-5Aweapon,test equipment and train-ing simulator.Compared with simi-lar missiles,it has more powerfulwarhead,its seeker reticle...This paper describes the HN-5Aman-portable air defense missilesystem which contains the HN-5Aweapon,test equipment and train-ing simulator.Compared with simi-lar missiles,it has more powerfulwarhead,its seeker reticle is coatedwith optical filter film,and its de-tector is equipped with cooling de-vices.Moreover,the paper alsopoints out the trends of the im-provement and development of HN-5A system.展开更多
文摘As the field of artificial intelligence continues to evolve,so too does the application of multimodal learning analysis and intelligent adaptive learning systems.This trend has the potential to promote the equalization of educational resources,the intellectualization of educational methods,and the modernization of educational reform,among other benefits.This study proposes a construction framework for an intelligent adaptive learning system that is supported by multimodal data.It provides a detailed explanation of the system’s working principles and patterns,which aim to enhance learners’online engagement in behavior,emotion,and cognition.The study seeks to address the issue of intelligent adaptive learning systems diagnosing learners’learning behavior based solely on learning achievement,to improve learners’online engagement,enable them to master more required knowledge,and ultimately achieve better learning outcomes.
基金funded by Project:2024 Youth Project of Philosophy and Social Sciences Planning in Guangdong Province“Research on the Relationship between Mandarin and Economic Development in Cantonese Speaking Areas(GD24YZY03)”.
文摘This paper introduces the Value Engineering method to calculate the value coefficient of Chinese learning efficiency for 377 international students by dimension.Results suggest that attention should be paid to male,European and American,rural,introverted,and“work or education needs”international students;Give full play to the driving role of the reference-type,explore the space for improving the learning efficiency of the improvement-type and attention-type,and pay attention to the problems of problem-type international students.
基金this paper is funded by Project:2024 Youth Project of Philosophy and Social Sciences Planning in Guangdong Province“Research on the Relationship between Mandarin and Economic Development in Cantonese Speaking Areas (GD24YZY03)”.
文摘This paper investigates the related factors of Chinese learning engagement and performance of 377 students from three universities in Guangzhou of China,employs the value engineering method,and calculates the value coefficient of learning efficiency.From the value coefficient of Chinese language learning,it proves that over 60%of international students studying in China have a higher efficiency in learning Chinese.
文摘Through its media logic, which is defined by programmability, pervasiveness, connectivity, and datafication, WeChat establishes a non-linear, interactive, and user-dominated media environment. This media logic enhances the influence of each user within WeChat’s narrative landscape and revolutionises traditional media narration methods by enabling them to generate and distribute content. In such an environment, users are able to edit, receive, and send information without constraints of time or distance, which enables delayed interactions that broaden the potential for human communication and dissemination. Additionally, WeChat partially replaces social behaviours and institutions, thereby modifying their original structures and characteristics. As individuals become more accustomed to this media environment, they progressively adjust to the forms that are appropriate for media representation on WeChat, thereby completing the mediatization of culture and society. In this process, individuals are becoming more dependent on media and media logic, with WeChat’s influence permeating social and cultural activities through its media logic. This interaction has a substantial impact on society and culture, thereby aiding in their reconstruction.
基金Zhejiang Provincial Philosophy and Social Sciences Planning Project from Zhejiang Office of Philosophy and Social Science(21NDJC092YB)Zhejiang Provincial Educational Science Plan Project(2021SCG166)。
文摘Blended learning(BL)has been widely adopted to improve students’academic achievements in higher education.However,its success relies mainly on student engagement,which plays an essential role in active learning and provides a rich understanding of students’experiences.The study utilized three self-designed scales-the Teacher Support Scale,Student Engagement Scale,and Student Learning Experience Scale-to gauge and examine the impact and relationship between perceived teacher support,student behavioral engagement,and the intermediary role of learning experiences.A cohort of 899 college students undertaking the obligatory College English course through BL modes across five Chinese universities actively participated by completing a comprehensive questionnaire.The results showed significant correlations between perceived teacher support,learning experience,and behavioral engagement.Perceived teacher support significantly predicted students’behavioral engagement,with socio-affective support exerting the most substantial predictive effects.All predictive effects were partially mediated by learning experience(learning mode,online resources,overall LMS-based learning,interaction with their instructor and peers,and learning outcome).The influence of perceived teacher support on behavioral engagement differed between students who reported the most positive(vs.negative)learning experiences.Suggestions for further research are offered for consideration.
文摘The purpose of the research was to assess the impact of Citizen Development activities on digital transformation. The research identified eight categories that contribute to the success of Low-code No-code (LCNC) projects: 1) Strategy;2) Infrastructure;3) Technology;4) Processes & Procedures;5) Governance;6) Culture;7) People;8) Goals & Metrics and selected six critical success factors from these categories: 1) Operational Efficiency;2) Time Savings;3) Timeframe to Realize Value;4) Employee Engagement;5) Participation;6) Number of Sponsored Ideas. End users of the digital transformation efforts through Citizen Development were asked to assess the six critical success measures in terms of performance and importance criteria. The research results identified that focus should be applied to improving “Timeframe to Realize Value”, on “Operational Efficiency”, and on “Time Savings” to deliver success.
文摘Based on detail analysis of clutch engaging process control targets and adaptive demands, a control strategy which is based on speed signal, different from that of based on main clutch displacement signal, is put forward. It considers both jerk and slipping work which are the most commonly used quality evaluating indexes of vehicle starting phase. The adaptive control system and its reference model are discussed profoundly. Taking the adaptability to different starting gears and different road conditions as examples, some proving field test records are shown to illustrate the main clutch adaptive control strategy at starting phase. Proving field test gives acceptable results.
基金supported by the National Natural Science Foundation of China(61573017)the Doctoral Innovation Found of Air Force Engineering University(KGD08101604)
文摘Manned combat aerial vehicles (MCAVs), and un-manned combat aerial vehicles (UCAVs) together form a cooper-ative engagement system to carry out operational mission, whichwill be a new air engagement style in the near future. On the basisof analyzing the structure of the MCAV/UCAV cooperative engage-ment system, this paper divides the unique system into three hi-erarchical levels, respectively, i.e., mission level, task-cluster leveland task level. To solve the formation and adjustment problem ofthe latter two levels, three corresponding mathematical modelsare established. To solve these models, three algorithms calledquantum artificial bee colony (QABC) algorithm, greedy strategy(GS) and two-stage greedy strategy (TSGS) are proposed. Finally,a series of simulation experiments are designed to verify the effec-tiveness and superiority of the proposed algorithms.
文摘Objectives: Engaging, enhancing and embedding clinical audit improvement activities into everyday practice to develop capacity, capability and culture in continuous improvement.Method: Through the implementation of an electronic quality management system called Governance, Evidence, Knowledge and Outcome (GEKO), the key aspects of governance, evidence knowledge and outcomes were able to be applied to quality initiatives. Implementation of the GEKO system incorporated the principles of total quality control and management to include strategic management control and marketing in parallel with leadership strategies. The vision was to motivate staff to enable ownership of the quality cycle of continuous improvement of patient care to incorporate underlying systems and processes that impact on patient care. Results: A continuous improvement pathway was successfully established 4 months post hospital commissioning. Over 890 (approximately 16% workforce) multidisciplinary and multi-professional staff received training and support for QIs in 12 months;over 535 quality proposals were received on GEKO. Submissions by profession: nursing and midwifery 46% (246), medical 33%(177), allied health 9% (48), pharmacy 5%(27), and non-clinical staff 7%(37). Average new submissions per month were 42. Reviews demonstrated the application of a rapid cycle approach to develop, test, modify and refine improvements and enhanced clinical care. Conclusion: Appropriate governance structure, processes, extensive education and training together with collaborative relationships are the keys to embed clinical audit improvement into everyday practice. The availability of a quality management system like GEKO is very useful to make QI accessible to all staff.
基金BJS acknowledges support through an Australian Government Research Training Program Scholarship.
文摘Background:Despite the known contribution of sport to health and well-being,sport participation declines in older age.However,for some people,sport continues to play an important role in older age and may contribute to improved health and well-being in older years.Although the health-related benefits of participating in sport are commonly reported,the reasons why some older adults continue to play sport are not well understood.This systematic review aimed to(1)identify studies from the literature that evaluated the reasons why older adults(aged 55 years and older)participate in sport and(2)synthesize and discuss the reasons for their participation reported in the literature.Methods:Searches of the electronic databases Embase,Medline,PsycInfo,PubMed,and SPORTDiscus were performed.Studies were included that evaluated reasons for sport participation in adults aged 55 years and older because this is the age at which sport participation has been reported to begin declining.The studies included in this review used qualitative,quantitative,or mixed methods designs,were peer reviewed,and were published in the English language before the search date(20 January 2019).Results:A total of 1732 studies were identified.After exclusions,30 studies were included in the review(16 qualitative,10 quantitative,and 4 mixed methods).The review presents several features and findings from the studies,including a description and systematization of the reasons for participating in sport and the main reasons that participants gave for participating in sport(maintaining health,feeling and being part of a community,and taking advantage of opportunities to develop relationships).Other reasons included competing and attaining a feeling of achievement,taking advantage of opportunities for travel,and being part of a team.Sport was identified as contributing to the overall experience of successful ageing.There were few comparative differences for participating in sport,and there were only small differences between genders for the reasons given for participation.Generally,the quality of the studies was good;however,mixed methods studies lacked appropriate data analysis procedures.Conclusion:Older adults play sport for a range of health-related and social reasons that can contribute to the experience of successful ageing.Strategies to increase sport participation by older adults should focus on promoting these aspects.
基金funded by the Japanese Ministry of Education, Culture, Sports, Science, and Technology (MEXT)
文摘The relationship between a university and its city is considered strategical to achieve university targeted ambitions and visions.The university-city relationship is also encouraged for the benefit of the city,as universities unleash their respective cities’potentials to act as driving forces not only for their local communities,but also for the whole nation.Therefore,maintaining a mutual relationship between the university and the city is considered essential to accomplish strategic goals for both.However,the nature of this relationship is quite complex,overlapped,interconnected,and diverse.Therefore,this paper conducted a systematic review of the literature on university-city and campus-city relationships to evaluate recent research trends to uncover the aspects that connect universities with their respective cities.The search included articles published in 4 different databases from January 1990 to January 2021.A total number of 50 articles were selected in this review.The findings uncovered different aspects that could help or hinder university-city relationship based on the physical and functional linkage between the campus and the city.Moreover,findings have shown that it is necessary to understand universities according to their contextual differences,as universities have shown different impacts on their respective cities in terms of their sizes and locations.Results have also shown that the impact of the physical connection between the university and the city goes far beyond campus’s accessibility as it deeply affects students’social life as well.Therefore,decision makers,stakeholders,and university administrators need to co-design campus development process especially in the early stages to maximize the mutual benefits of campus-city relationship.The main conclusions of this paper address several perspectives and lessons for a more sustainable campus-city relationship.
文摘Dr. Guo Xiaozong, a well-knownTCM doctor, has engaged in medical workfor more than 40 years and is therefore veryexperienced in clinical practice. Inparticular, he has developed principles of lo-cating effective points in acupuncture,whichare of great technical originality. The follow-
文摘Learning analytics is an emerging technique of analysing student par-ticipation and engagement.The recent COVID-19 pandemic has significantly increased the role of learning management systems(LMSs).LMSs previously only complemented face-to-face teaching,something which has not been possible between 2019 to 2020.To date,the existing body of literature on LMSs has not analysed learning in the context of the pandemic,where an LMS serves as the only interface between students and instructors.Consequently,productive results will remain elusive if the key factors that contribute towards engaging students in learning are notfirst identified.Therefore,this study aimed to perform an exten-sive literature review with which to design and develop a student engagement model for holistic involvement in an LMS.The required data was collected from an LMS that is currently utilised by a local Malaysian university.The model was validated by a panel of experts as well as discussions with students.It is our hope that the result of this study will help other institutions of higher learning determine factors of low engagement in their respective LMSs.
文摘An improvement strategy which controls the shift effort and the power summing planetary gear set of steering clutches and brakes have been proposed based on the dynamic model of synchroniser in order to decrease the wear of synchroniser inserts, make gear shift easy and reduce the shock noise for a positive independent mechanical split path transmission which attached an auto- matic shift system when shifting. A kinetics model for the process of synchroniser engagement is built and analyzed in the paper. Thus for optimizing the gear shift process which is divided into three phases a model reference fuzzy self-adaption system is adopted. Through a 6 000 km road experiment, the control strategy has proved feasible and dependable.
基金supported by the University of Malaya,Bantuan Khas Penyelidikan under the research grant of BKS083-2017Fundamental Research Grant Scheme(FRGS)under Grant number FP112-2018A from the Ministry of Education Malaysia,Higher Education.
文摘Learning analytics is a rapidly evolving research discipline that uses theinsights generated from data analysis to support learners as well as optimize boththe learning process and environment. This paper studied students’ engagementlevel of the Learning Management System (LMS) via a learning analytics tool,student’s approach in managing their studies and possible learning analytic methods to analyze student data. Moreover, extensive systematic literature review(SLR) was employed for the selection, sorting and exclusion of articles fromdiverse renowned sources. The findings show that most of the engagement inLMS are driven by educators. Additionally, we have discussed the factors inLMS, causes of low engagement and ways of increasing engagement factorsvia the Learning Analytics approach. Nevertheless, apart from recognizing theLearning Analytics approach as being a successful method and technique for analyzing the LMS data, this research further highlighted the possibility of mergingthe learning analytics technique with the LMS engagement in every institution asbeing a direction for future research.
文摘The Power System Department (PSD) is the largest pro-fessional research and development organization oncomprehensive power system planning,engineering and operationof the Electric Power Research Institute (EPRI) of the Ministry ofEnergy.The active RD & E of PSD are composed of the followingfive major areas.Power system analysis,software development & application,automatic devices,DC transmission,generation & transmissioncommission,modern laboratories for RD & E and electrical appara-
文摘Wu Bingmei,Deputy Secretary-General of China Communications Standards Association(CCSA)and senior engineer,has long been engaged in the standardization research on communications.She has profound knowledge of development status and trends of standardization in the area in China and abroad.She has accomplished a number of major research projects on the systems,mechanisms and operation of national or sectoral standards.
文摘<b><span style="font-family:Verdana;">Introduction:</span></b><span style="font-family:Verdana;"> Preventable maternal and newborn mortalities still occur in local communities in Kenya since access to maternal and newborn healthcare services remains a big challenge. Barriers to access in resource-constrained settings have not been examined adequately in literature. The World Health Organization (WHO) has 6 building blocks for strengthening healthcare systems that informed this study. This paper examines how user-side and institutional factors influence access and use of Maternal and Newborn Healthcare (MNH) Services in Matayos sub-County-Busia County. <b></b></span><b><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"></span></b><b> </b><span style="font-family:Verdana;">A mixed method approach, with an ethnographic inquiry and a descriptive cross-sectional design, was adopted to assess access to MNH services in Matayos-Busia County, Western Kenya. Postpartum women who had delivered within the previous 12 months and health care providers in the study area were recruited as respondents. A total of 348 postpartum women were selected through stratified systematic random sampling for the survey. Purposive sampling was used to select postpartum women, conventional and traditional health care providers for 16 in-depth interviews and 7 focus group discussions. Data were analyzed using descriptive and inferential statistics. Qualitative data analysis was done thematically. <b></b></span><b><b><span style="font-family:Verdana;">Results</span><span style="font-family:Verdana;">:</span></b><span style="font-family:Verdana;"></span></b><span style="font-family:Verdana;"> Institutional delivery was low at 68% and family planning at 75% although demand for services was high at 99%. User-side barriers to access included shared beliefs and practices in the community;high direct transport costs from home;and high costs for missing drugs and other supplies in hospitals. Middle (5</span><sup><span style="font-family:Verdana;">th</span></sup><span style="font-family:Verdana;">-7</span><sup><span style="font-family:Verdana;">th</span></sup><span style="font-family:Verdana;">) order deliveries occurred at home with traditional birth attendants. The choice of place of delivery in households was influenced by spouses to respondents and communities of residence where respondents lived or were married. All 6 WHO health system building blocks were weak in Matayos sub-County and needed system-wide strengthening involving all pillars. The user-community voice alone was insufficient and the 7</span><sup><span style="font-family:Verdana;">th</span></sup><span style="font-family:Verdana;"> pillar for user-community engagement was absent. The underlying factors were weak governance and underfunding for healthcare.</span> <b><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"></span></b><b> </b><span style="font-family:Verdana;">The six WHO building blocks were inadequate due to weak governance and inadequate funding. User-community engagement, the 7<sup>th</sup> Pillar, was absent in these resource-limited settings. We recommend user-community empowerment, engagement and participation, adoption of a system thinking approach and adequate funding.</span>
文摘This paper gives a brief introduction to the FM-80 low and very low altitude air defense missile system.The paper also describes in details its main components characteristics functions tactical specifications,operation and its future improvements.
文摘This paper describes the HN-5Aman-portable air defense missilesystem which contains the HN-5Aweapon,test equipment and train-ing simulator.Compared with simi-lar missiles,it has more powerfulwarhead,its seeker reticle is coatedwith optical filter film,and its de-tector is equipped with cooling de-vices.Moreover,the paper alsopoints out the trends of the im-provement and development of HN-5A system.