Influences of Horticultural Therapy and Functional Recovery Training at a Day-Care Center for the Elderly and Text Mining of Care Records by AI

Background: In Japan, due to the COVID-19 pandemic, various behavioral restrictions were implemented from March 2020, resulting in an increased number of elderly people with reduced participation in care and rehabilitation. As a result, the decline in motor and cognitive functions became more pronounced. Purpose: The study examined how activities combining passive horticultural therapy, which is always introduced, with active functional recovery training, which is used in the functional recovery training of patients with hemiplegia, influence the behavior of elder people using the facility. Methods: 36 elder people with care need 1 or 2 who regularly used the day-care facilities after the pandemic ended and who agreed to participate in the study was included. The assessment data were every three months from December 2021 to December 2023 after the COVID-19 pandemic, the MMSE and Moca-J, TMIG-Index, and GDS15. AI-based text mining was used to compare changes in visit reports before and after the introduction of the Posture Chart and Red Code, and the relationship between the language used. Results: The results of MMSE and Moca-J were both significantly higher in Group B and C than in Group A. TIMG assessment, was significantly higher in Group B and C than in Group A, and Group C was significantly higher than Group B. The GDS, an assessment of depression in old age, tended to be significantly higher in Group A than in Groups B and C. In the “Co-Occurrence Network Analysis” shown after the introduction of the latest functional recovery training equipment such as the Red Cord, its results showed a high association between the words Bathing and CARE and words such as POSTURE, Red-Code, and AI, App, which are used in functional training and rehabilitation, and their analysis. Conclusion: At day-care facilities specializing in functional recovery training and rehabilitation, a combination of horticultural therapy and the latest functional training equipment found to help maintain the physical and mental health of elderly people certified as requiring nursing care. Since this is a short-term study following behavioral restrictions, long-term research should continue to study the effects of adding functional training, handled by rehabilitation professionals, to horticultural therapy.

Language Training Centers: Factors Related to Their Success

A survey of language training centers(LTCs)in Dalian,China was conducted,to ascertain the strengths and weaknesses,or the differentiating factors,of such centers.The survey was undertaken to understand the current landscape of after-school institutes in the region,particularly those that offer training in English as a second/foreign language.The information uncovered by the research is considered beneficial not only to entrepreneurs who may wish to be involved in this industry,but also to college English majors who may wish to teach at an LTC.

Anesthetic management for small bowel enteroscopy in a World Gastroenterology Organization Endoscopy Training Center

AIM:To study the anesthetic management of patients undergoing small bowel enteroscopy in the World Gastroenterology Organization(WGO) Endoscopy Training Center in Thailand.METHODS:Patients who underwent small bowel enteroscopy during the period of March 2005 to March 2011 in Siriraj Gastrointestinal Endoscopy Center were retrospectively analyzed.The patients' characteristics,pre-anesthetic problems,anesthetic techniques,anesthetic agents,anesthetic time,type and route of procedure and anesthesia-related complications were assessed.RESULTS:One hundred and forty-four patients underwent this procedure during the study period.The mean age of the patients was 57.6 ± 17.2 years,andmost were American Society of Anesthesiologists(ASA) class Ⅱ(53.2%).Indications for this procedure were gastrointestinal bleeding(59.7%),chronic diarrhea(14.3%),protein losing enteropathy(2.6%) and others(23.4%).Hematologic disease,hypertension,heart disease and electrolyte imbalance were the most common pre-anesthetic problems.General anesthesia with endotracheal tube was the anesthetic technique mainly employed(50.6%).The main anesthetic agents administered were fentanyl,propofol and midazolam.The mean anesthetic time was 94.0 ± 50.5 min.Single balloon and oral(antegrade) intubation was the most common type and route of enteroscopy.The anesthesia-related complication rate was relatively high.The overall and cardiovascular-related complication rates including hypotension in the older patient group(aged ≥ 60 years old) were significantly higher than those in the younger group.CONCLUSION:During anesthetic management for small bowel enteroscopy,special techniques and drugs are not routinely required.However,for safety reasons anesthetic personnel need to optimize the patient's condition.

Colonoscopic perforation:A report from World Gastroenterology Organization endoscopy training center in Thailand

AIM： To determine the incidence of colonoscopic perforation （CP）, and evaluate clinical findings, management and outcomes of patients with CP from the World Gastroenterology Organization （WGO） Endoscopy Training Center in Thailand. METHODS： All colonoscopies and sigmoidoscopies performed between 1999 and 2007 in the Endoscopic unit, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok were reviewed. Incidence of CP, patients＇ characteristics, endoscopic information, intraoperative findings, management and outcomes were analyzed. RESULTS： A total of 17357 endoscopic procedures of the colon （13 699 colonoscopies and 3658 flexible sigmoidoscopies） were performed in Siriraj hospital over a 9-year period. Fifteen patients （0.09%） had CP： 14 from colonoscopy and 1 from sigmoidoscopy. The most common site of perforation was in the sigmoid colon （80%）, followed by the transverse colon （13%）. Perforations were caused by direct trauma from either the shaft or the tip of the endoscope （n = 12,80%） and endoscopic polypectomy （n = 3, 20%）. All patients with CP underwent surgical management： primary repair （27%） and bowel resection （73%）. The mortality rate was 13% and postoperative complication rate was 53%. CONCLUSION： CP is a rare but serious complication following colonoscopy and sigmoidoscopy, with high rates of morbidity and mortality. Incidence of CP was 0.09%. Surgery is still the mainstay of CP management.

The Role and the Function of Japan Institute of Sports Sciences and National Training Center in Japan

Gold Medals in Summer Qlympics Measures A 1) Program to develop junior athletes to top level 2) National Training Center 3) National Coach Academy B 1) Sports medicine and sciences(JISS) 2) Anti-doping 3) To hold international

Coordinated control strategy for robotic-assisted gait training with partial body weight support

Walking is the most basic and essential part of the activities of daily living. To enable the elderly and non-ambulatory gait-impaired patients, the repetitive practice of this task, a novel gait training robot(GTR) was designed followed the end-effector principle, and an active partial body weight support(PBWS) system was introduced to facilitate successful gait training. For successful establishment of a walking gait on the GTR with PBWS, the motion laws of the GTR were planned to enable the phase distribution relationships of the cycle step, and the center of gravity(COG) trajectory of the human body during gait training on the GTR was measured. A coordinated control strategy was proposed based on the impedance control principle. A robotic prototype was developed as a platform for evaluating the design concepts and control strategies. Preliminary gait training with a healthy subject was implemented by the robotic-assisted gait training system and the experimental results are encouraging.

Effect of vocal respiratory training on respiratory function and respiratory neural plasticity in patients with cervical spinal cord injury:a randomized controlled trial

In previous studies,researchers have used singing to treat respiratory function in patients with spinal cord injury.However,few studies have examined the way in which vocal training affects respiratory neural plasticity in patients with spinal cord injury.Vocal respiratory training(VRT)is a type of vocal muscle-related treatment that is often a component of music therapy(MT)and focuses on strengthening respiratory muscles and improving lung function.In this randomized controlled study,we analyzed the therapeutic effects of VRT on respiratory dysfunction at 3 months after cervical spinal cord injury.Of an initial group of 37 patients,26 completed the music therapy intervention,which comprised five 30-minute sessions per week for 12 weeks.The intervention group(n=13)received VRT training delivered by professional certified music therapists.The control group(n=13)received respiratory physical therapy delivered by professional physical therapists.Compared with the control group,we observed a substantial increase in respiratory function in the intervention group after the 12-week intervention.Further,the nerve fiber bundles in the respiratory center in the medulla exhibited a trend towards increased diversification,with an increased number,path length,thickness,and density of nerve fiber bundles.These findings provide strong evidence for the effect of music therapeutic VRT on neural plasticity.This study was approved by the Ethics Committee of China Rehabilitation Research Center(approval No.2020-013-1)on April 1,2020,and was registered with the Chinese Clinical Trial Registry(registration No.Chi CTR2000037871)on September 2,2020.

Nurse Mentor Training Program to Improve Quality of Maternal and Newborn Care at Primary Health Centres: Process Evaluation

Quality of maternal and newborn care could be improved if health care providers’ knowledge and competencies as well as system level constraints are addressed. However, due to several barriers staff nurses who form the frontline of health care workforce have limited access to enhancing their clinical knowledge and competencies. To address this gap, a new cadre of nurse mentors (NMs) for the public health system were trained by specialists from a teaching hospital in a special 5-week training course. This included 54 hours of theory and 110 hours of practical in clinical obstetric and newborn care, apart from mentoring, quality improvement and health systems issues. The nurse mentors were assigned to support staff nurses in the primary health care centres (PHCs) in eight northern Karnataka districts. Each NM covered 6-8 PHCs monthly for 2 - 3 days and thus a total of 385 PHCs were reached. They received support in the field through supportive supervision visits done by the specialists who had trained them, as well as by refresher training and clinical postings to the district hospitals. This paper presents impact of the training program on change in immediate and long term knowledge and competency scores of nurse mentors. Their baseline knowledge scores changed from 44.3 ± 12.7 to 72.1 ± 13.8 immediately after the training in obstetric and from 18.2 ± 19.1 to 66.4 ± 14.9 in newborn (p p p > 0.05). Skills score soon after training increased from 62.2 ± 13.2 to 69.6 ± 12.5 in obstetric after a 1 year period and from 52.6 ± 9.3;63.5 ± 14.4 in newborn (p < 0.001) content areas respectively. These findings have implications for those interested in improving quality of maternal and child care through nurse-dependent health delivery systems.

实验教学中心在科研训练和学科竞赛管理方面的探索与实践

创新型人才培养是实现高水平科技自立自强的必然要求,大学生的科研训练和实验竞赛对创新型人才培养发挥了重要作用。本文结合中山大学化学国家级实验教学示范中心建设的实际情况,对近年来组织实施本科生开展创新实验项目和学科竞赛的情况、遇到的问题及取得的成效进行介绍和分析,探讨实验教学中心如何发挥资源优势,更好地管理和组织本科生的科研训练和学科竞赛,有效培养大学生的科研思维和实践能力,进一步提升创新型人才的培养水平。

新工科背景下化工虚拟仿真实训中心建设

在新工科背景下虚拟仿真技术融合到化工实践教学中可以有效解决实践教学困难,淮北师范大学化工专业通过强化师资队伍、更新教学理念和探索过程性考核等举措不断深化虚拟仿真中心建设。虚拟仿真的引入有助于提高本科生的创新精神、工程能力和安全意识,满足化工行业需求的创新型技术人才,为提高本科教学质量提供有力保障。

从“学徒制”到“场景化”:英国博士生跨学科联合培养的实践探索

博士生培养模式对保障博士生教育质量、助力拔尖创新人才培养具有重要价值。自中世纪开始,英国便以“精英式”高等教育享誉全球。然而,英国现代意义上的博士生教育滞后于大多数欧美国家,精致的“学徒制”被当作博士生培养的主要模式。随着博士生教育质量的内部诉求与外部问责,英国政府逐步意识到传统“学徒制”模式不再适用新时代博士生培养,开始积极探索新型博士生培养模式。目前,英国政府、大学、企业与其他社会组织形成博士生培养共同体。一方面,英国依托完备的政策制度、成熟的组织体系与充足的资金保障,搭建起稳固坚实的博士生育人“场”;另一方面,英国通过贯通型协同培养、高精度课程整合、导师共享型指导与交往参与式活动,营造了动态灵活的博士生培养“景”。可以说,英国初步构建了助力博士生教育高质量发展的全面“场景化”培养模式。

新时代背景下的化学实验教学示范中心建设

化学国家级实验教学示范中心(南开大学)是2006年首批入选的国家级示范中心。十几年来,在“强化基础、注重综合、突出创新、培养能力、提高素质”的方针指导下,坚持以学生发展为中心,致力于培养具有扎实化学基础知识、精通化学实验技能、勤于思考善于创新的高水平化学人才。本文介绍该中心近五年来在实验教学体系建设、师资队伍教学能力提升及开放交流方面的改革举措,为高等院校实验教学提供参考。

高职实训中心智慧教学管理模式构建与实践

营口职业技术学院师范教育学院实训中心依托学校省示范校建设背景,重视信息化教学环境建设,加强智慧教学管理,全力推进教育改革创新,从健全管理机制、引进信息化平台、开展信息化与理实一体化教学等方面入手,打造智慧教学管理模式,取得了较好的工作成效,学生信息化素养明显增强,教师信息化素养显著提升,智慧教学管理模式在省内兄弟院校中得到借鉴和推广,提升了实训中心的专业影响力,助力职业教育实训中心高质量建设与发展。

基于CIPP模式的消毒供应中心普通工人培训体系构建

目的研究CIPP模式运用于消毒供应中心普通工人培训中的有效性。方法在2023年1月—3月期间,我院消毒供应中心24名普通工人接受了传统培训方式为管理前。随后,于2023年7月—9月,采用以CIPP模式为核心的培训体系进行培训为管理后。培训结束后,运用SPSS13.0统计学软件对考试考核成绩和训练评价进行数据分析。结果经过对普通工人进行技术培训,教学成果相较于培训前有所提升。结论通过将CIPP模式应用于消毒供应中心普通工人培训教学,可以提升普通工人对基础知识和专业技能的掌握,减少操作过程中的技术失误,提高无菌物品的品质,降低院内感染的风险,从而确保患者的安全。

创新培训模式助力实验技术队伍建设与发展

该文介绍了高校分析测试中心将全国分析检测人员能力培训委员会(NTC)能力培训与校内培训相结合,形成了科学、系统的培训计划,结合先进教学方法,为实验技术人员提供了综合学习平台,持续推动校内实验技术人员的专业培训。文章详述了这一培训模式的实施过程,以及实验技术人员在个人能力、实验教学和科学研究等方面取得的成效。

基于联合研究院的专业学位研究生培养模式探索与实践

随着我国专业学位研究生的招生规模逐步扩大,如何实现专业学位与学术学位研究生分类培养,已成为各高校高质量发展过程中面临的突出问题。本研究基于广州大学-广东腐蚀科学与技术创新研究院联合研究院,积极探索了高校与新型研发机构联合培养专业学位硕士研究生的模式。文章梳理了校内外双导师三段式研究生联合培养要素,介绍了通过承担合作科研项目与构建专业方向模块等手段凝练人才培养方向,并逐步建立研究生联合培养有效运行机制和保障制度的实践探索。实践表明,联合研究院的建设,显著提升了校内外研究生导师队伍水平,丰富了以工程技术难题和产业技术问题为导向的研究生课题,提高了材料与化工专业学位研究生培养质量。

多元化教学模式在大学附属教学医院卒中绿色通道培训中的应用

目的本文以大学附属教学医院的卒中急救绿色通道培训医师为主要研究对象,旨在提高新进医疗岗位医师的学习效率,改善临床工作的多种质控指标。方法设计多元化教学方法,包括临床案例式协作教学法、基于问题教学法、翻转课堂、一带一学习、情景模拟及临床疗效反馈等,以一家教学医院区域性高级卒中中心的绿色通道患者和医师为调查对象,收集多环节时间点的质控指标以及教学互评反馈来评价教学效果。结果纳入2021年6月—2023年7月急诊卒中绿色通道诊疗环节中符合条件的患者194例,其中接受单纯静脉溶栓治疗者171例(88.14%),桥接治疗或者直接机械取栓者23例(11.86%),纳入观察学员为低年资住院医师10名,高年资住院医师5名。培训前收治患者88例(45.36%),培训后收治患者106例(54.64%),人口学基线特征差异无统计学意义。中位入院至静脉溶栓时间(door-to-needle time,DNT)缩短了4 min(44 min vs.48 min,P=0.150),DNT≤60 min比例分别为73.86%、65.09%(P=0.188)。培训后,中位知情同意谈话时间缩短了3.5 min(6.5 mi n vs.10 min,P=0.001);溶栓相关出血事件减少(培训前:牙龈出血1例,硬膜下血肿1例,消化道出血1例;培训后:无相关事件);大血管闭塞患者血管内治疗比例提升(16.98%vs.5.68%,P=0.015)。高年资与低年资住院医师对多元化教学模式绿色通道教学方法的认可度、对绿色通道学习方式的兴趣程度、病例质控环节提升满意度、影像库对解决问题适配度、文献指南库对解决问题适配度和自我学习能力提升6个方面的满意度相当,差异均无统计学意义。结论多元化培训方案可以提高绿色通道医师的卒中急救应对能力、谈话沟通技能及诊疗水平,改善工作质量和教学满意度,而且对低年资和高年资住院医师的临床学习均有帮助。