Improved PBFT Consensus Algorithm Based on Node Role Division

The PBFT (Practical Byzantine Fault Tolerance, PBFT) consensus algorithm, which addressed the issue of malicious nodes sending error messages to disrupt the system operation in distributed systems, was challenging to support massive network nodes, the common participation over all nodes in the consensus mechanism would lead to increased communication complexity, and the arbitrary selection of master nodes would also lead to inefficient consensus. This paper offered a PBFT consensus method (Role Division-based Practical Byzantine Fault Tolerance, RD-PBFT) to address the above problems based on node role division. First, the nodes in the system voted with each other to divide the high reputation group and low reputation group, and determined the starting reputation value of the nodes. Then, the mobile node in the group was divided into roles according to the high reputation value, and a total of three roles were divided into consensus node, backup node, and supervisory node to reduce the number of nodes involved in the consensus process and reduced the complexity of communication. In addition, an adaptive method was used to select the master nodes in the consensus process, and an integer value was introduced to ensure the unpredictability and equality of the master node selection. Experimentally, it was verified that the algorithm has lower communication complexity and better decentralization characteristics compared with the PBFT consensus algorithm, which improved the efficiency of consensus.

The Intermediary Roles of Public Health Nurses (PHNs) in Utilizing Communication Robots (CRs) in Community Health Care Practice

Robot technology is expected to reduce the burden of medical professionals, a concern in the super-aged society. The aim of this article is to determine the intermediary roles of Public Health Nurses (PHNs) in using Communication Robots (CRs) in Community Health care. It is necessary to consider who will manage, and how to draw lines of responsibility when a problem occurs when using robots in the future. Regarding the mediator or intermediary role of PHNs in the use of CRs, PHNs are expected to be cognizant of varieties of robots for use with persons of diverse ages and health levels, as well as of robot performances. As one of the community healthcare workers who service the elderly living in the community, the role of PHNs as mediators or intermediaries is to pay attention to ethical and moral issues while working with CRs to manage the health of the community. Lack of understanding of the intermediary role might create possible ethico-moral issues in the future. Therefore, it is critical for PHNs to understand their role as intermediaries. In doing so, it is expected that older people at home will be able to live peaceful lives, as well as be physically and mentally healthy.

Realities,scope,challenges,and facilitators for implementation of nurse practitioner's role in India:A review

India is in dire need of an alternative to general medical practitioners to overcome a severe shortage of doctors,especially in rural and underprivileged regions.Empowering nurses through nurse practitioner(NP)role is the superlative solution to provide quality health care in primary care setting.Based on conceptions and research findings of the NP's role,we analyzed and examined the realities,scope,and barriers for implementing the NP's role in India and propose future strategies to create a NP cadre.

Conceptualizing an expanded role for RNs

In our changing health care system, the role of registered nurses (RNs) has become indistinguishable from other nursing and health care providers’ roles. The purpose of this research was to explore the perspectives of nurse leaders and direct care RNs about the existing and future RN scope of practice. This research used an interpretive description analysis on data that was garnered from nurse leaders and RNs through separate focus groups. Participants identified existing threats to their roles, examined their scope of practice and proposed changes to the RN scope of practice. Specific areas that were identified included leadership, advocacy and expansion of RNs practices were dominant themes.

Extending the Role of Pharmacists in Patient Care: Are Pharmacists in Developing Nations Ready to Change?

Patient care in a community is becoming critical due to change in the impact of diseases on health. The provision of pharmaceutical care in a community will bring in positive changes in health care delivery. However, the pharmacist in developing countries has remained obscure in direct health- care of the patient. The main aim of this article is to reinforce the concept that there is a need to strengthen the basic pharmaceutical system in the Arab and African world before implementing any advanced clinical pharmacy or pharmaceutical care services to our communities. This article gives a good insight of where pharmacy practice in Arab, African and other developing countries globally stand in comparison to developed nations. A trend is apparent towards increased emphasis on clinical pharmacy practice. Country-specific pharmacy education and practice are discussed, analyzing the progress and opportunities available to pharmacy graduates. In addition, the future of pharmacy practice and clinical roles of hospital and community pharmacists were reviewed. It was realized that pharmacy practice and progress in many of the Arab and African countries were a mirror image of the status of the country itself. A new vision for the future of pharmacy practice needs to be considered and reorientation of pharmacy services in the existing system is needed. There should be a professional approach to speed up the rise towards practicing clinical pharmacy and pharmaceutical profession. This is achieved by interviewing patients, documenting their health details and educating them on methods of improving their health, including proper medication usage and lifestyle modification. Furthermore, colleges of pharmacy need to revise and update their curricula to accommodate the progressively increasing development in the pharmaceutical education and the evolving new roles of practicing pharmacists in their community.

Nurses Perception of Advance Nurse Practitioners Roles in Public Hospitals: A Qualitative Study

Aim: To explore the nurses’ perceptions about the advanced nurses’ practitioner’s role in public hospitals in Saudi Arabia. Background: Advanced nurse practitioners are one of the leading professionals who contribute to health promotion, disease prevention, health counseling and patient education. However, misunderstandings of their roles may have an impact on the performances of the function that limits their access and the use of significant resources that can help patients to obtain treatment. Methods: This is a qualitative exploratory study conducted on nurses working in three public hospitals. Semi-structured interviews were conducted among fourteen nurses between October-January 2020. The three public hospitals were based in Eastern (1) and Central (2) Saudi Arabia regions. Data analysis was conducted through thematic analysis utilizing inductive and deductive coding. Results: The study found that the role of Advanced Practice Nurses will enhance, motivate, and sustain the status of nurses in Saudi Arabia. Findings indicated that advanced practitioners’ educational preparedness, organizational, and contextual factors are important factors that need to be addressed to promote their role and to improve nurse’s perception about the APN role in clinical practice. Conclusion: This research provided new evidence to support the need to raise understanding of the role of advanced nurse practitioners among nurse members, advanced nurses and clinical nurse specialists who wish to enhance quality healthcare delivery and job satisfaction in the Kingdom of Saudi Arabia. Recognizing the factors that comprise the function and status of APNs will assist health-care officials to make informed decisions when designing a national policy and a plan for the implementation and the development of the role of APNs.

Building Failure Causes in Nigeria and Mitigating Roles by Engineering Regulation and Monitoring

This paper assessed some of the reported cases of building failures and their possible causes in Nigeria between 1977 and 2011. The reported major failure causes are structural failure (SF), Carelessness (CLSS), poor workmanship (PW), poor supervision (PS), poor materials (PM), and quackery (Q).These causes of failure were subjected to Chi-Square statistical test at 5% significant level and 4 degree of freedom to know the most common cause of failure in Nigeria. The analysis showed quackery as the principal culprit in the reported building failures in Nigeria with prevalence of 8 over poor supervision being the minimum in occurrence. Structural failure occurred 5 times, while poor materials, carelessness and poor workmanship occurred 4, 2 and 2 respectively. The Council for the Regulation of Engineering in Nigeria (COREN) with Engineering Regulation and Monitoring (ERM) as her arm as a technical professional group discouraging quackery and failures generally in Engineering Practice. The holistic approach needs effective training of Engineers starting with strong mathematical and scientific background at the secondary and tertiary education levels in conjunction with rigorous field and Industrial training exercises. There after effective scrutiny, professional registration process of competent engineers is followed.

What are the barriers to implementing nurse practitioners’ role in health settings?

Background:Nurse practitioners can assist the healthcare system by administering care to patients with medical or complex or chronic conditions by providing medical and nursing care in an expanded scope of practice.However,there are barriers that influence the implementation of nurse practitioners'role in health settings.Influences among systemic or organization levels have impeded nurse practitioners'role implementation.All 10 studies included in this integrative review are critically explained based on the relevant information categorised into three themes:a lack of clarity regarding nurse practitioners'role,fees for service physician remuneration and resistance from other health professionals.The 10 studies included in this integrative review reveal barriers to nurse practitioners'role implementation in health settings.Objectives:The aim of this integrative literature review is to identify the barriers to implement the nurse practitioners'role.Therefore,the following research question is posed:"What are the barriers to implementing the nurse practitioners'role in health settings?".Methods:An integrative review of the medical and nursing research literature has been conducted using a systemic search accessing CINAHL,Medline,Scopus and PubMed databases.The identified 287 articles have been narrowed to 10 articles based on specific inclusion and exclusion criteria.A limitation search was applied at the beginning of the search phase to assist in identifying the range and type of studies potentially available for synthesis.The srearch was limited to human,peer reviewed and full text articles available in English language without a date limitation to obtain a large number of avilable studies that were relevant to the topic.Finding:The literature search resulted in 10 primary studies that met the inclusion criteria.All studies included in this integrative review reveal barriers to nurse practitioners'role implementation in health settings.All studies found three barriers that can impact on the implementation which are:the lack of clarity of nurse practitioners'role,fees for service physician remuneration and resistance from other health professionals.Conclusion:Health settings must prepare the surrounding environment and the culture before implementing a new role,such as that of nurse practitioners.Implementing new roles into the organization is not straightforward:multiple influences can affect the implementation,such as barriers.Understanding the involvement of nurse practitioners'role in health settings by health care providers have to be visible and clear and changes that may occur as a result of implementing the role need to be identified to ensure the successful implementation.

Role-play联合翻转课堂教学法对护理实习生新生儿复苏知信行的影响

目的分析角色扮演(Role-play)联合翻转课堂教学法对护理实习生新生儿复苏知信行的影响。方法选取2022年10月1日至2023年8月1日在我院产科及儿科实习的80名本科段护理实习生进行前瞻性研究,将其随机分为试验组(采用Role-play联合翻转课堂教学法进行新生儿复苏技能培训)和对照组(采用传统临床教学法进行新生儿复苏技能培训),各40名。比较两组的教学效果。结果试验组的理论知识、态度信念得分高于对照组,差异具有统计学意义(P<0.05)。试验组的复苏操作得分高于对照组,差异具有统计学意义(P<0.05)。试验组的灵活应变能力、资源利用能力及沟通协作能力得分均高于对照组,差异具有统计学意义(P<0.05)。试验组的教学满意度高于对照组,差异具有统计学意义(P<0.05)。结论Role-play联合翻转课堂教学法在护理实习生新生儿复苏教学中的效果优于传统临床教学法。

Teaching Reform and Practice of Functional Experiment Based on the Cultivation of Excellent Medical Talents

In order to cultivate excellent clinical medical talents with a solid foundation, strong literacy, refined skills, excellent communication abilities, innovative thinking, and a strong focus on practicality, functional experiments have undergone a series of reforms in areas such as constructing new curriculum systems, improving teaching content, updating teaching equipment, introducing new teaching models, and enhancing teaching evaluation systems.

The Reform and Practice of Multicultural Cultivation Mode of Art Talents in Colleges and Universities Under the Strategy of “Three Highs and Four New”

As an important link in the development of modern quality education,art education is one of the methods to guide students to have a diversified vision.Under the background of multiculturalism,we need to explore the connotation and value of art education with the concept of“three highs and four new,”so that students can realize interdisciplinary and cross-cultural cognition through an immersive experience and practical operation in a wide range of multicultural situations,and to develop the knowledge of art education with the concept of“three highs and four new.”Based on the multicultural background,this paper focuses on the integration of multiculturalism into the reform practice of“student-centered”in colleges and universities,so as to cultivate art talents adapted to the multicultural background,in order to achieve the great mission of“three highs and four new”and better lead the innovative development of art education in colleges and universities.

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.

Practical Teaching Reforms of Engineering Management Major for Applied Talents

This paper is an overview of the practical teaching system of engineering management,applied training direction,and the current situation of practical teaching practice in engineering management.This paper mainly discusses the new ideas of practical teaching reforms in engineering management courses,and it is hoped that the contents in this paper can provide some help in improving practical teaching of engineering management teachers.

Comparative Study of Internationalized Talent Cultivation Models in International Higher Education Programs

The internationalization of talent cultivation in the field of international higher education is a widely discussed topic among higher education institutions worldwide.This paper conducts a comparative study of domestic and foreign higher education institutions and identifies some differences in the internationalization of talent cultivation among different countries and regions.Firstly,the study summarizes the changes in talent cultivation through domestic study abroad programs and overseas study programs.Then,this paper introduces the“Knowledge-Practice-Research”international talent cultivation model in China and the international talent cultivation model in Japan as an example.Finally,this study compares the international talent cultivation models in domestic and foreign higher education institutions.The results indicate that the internationalization of talent cultivation models needs to be adjusted according to different training objectives,specific countries,and even regional circumstances to adapt to local characteristics and the international environment.Overall,different countries and regions have different emphases and characteristics in the internationalization of talent cultivation in higher education institutions.However,regardless of the country,higher education institutions should focus on enhancing students’international perspectives and cross-cultural communication skills to adapt to the globalized economic and social environment.

The Triadic Dimension of The Communist Manifesto:Its Implications for Scientific Education in a New Era’s Youth Talent

The Communist Manifesto,as the initial comprehensive exposition of scientific socialist theory,encapsulates the scientific spirit of Marxism.As socialism with Chinese characteristics enters a new epoch,and the world is in the throes of an unprecedented century-long transformation,the importance of young talent in bolstering national scientific and technological progress grows ever more apparent.It is of paramount significance to profoundly understand and elucidate the theoretical heritage,practical guidance,and directional leadership that The Communist Manifesto provides to scientific education for the young talent of this new era from three perspectives:theory,practice,and history.This understanding is vital for young talents to further deepen their accurate comprehension of the governing laws of the Communist Party,the construction laws of socialism,and the development laws of human society.The nurturing of scientific spirit and scientific literacy in young talents has critical implications for providing talent support in building a world scientific and technological powerhouse.

基于高校科研团队的创新创业人才培养模式探索与实践

随着国家创新创业发展战略的有力推动,高校创新创业教育改革进入快速发展新时期。目前,高校还存在着创新创业教育意识不足、创新创业教学融入度不高、创新创业师资力量匮乏、实践教学体系不完备等问题。为促进创新创业教育高质量可持续发展,该文以高校自动化专业为例,通过分析高校创新创业教育主要特点和现存问题,提出基于高校科研团队的“科教融合、产教融合、赛教融合、理实融合”四个层次的创新创业教育体系,利用科研团队的优势资源、学术氛围、实践经验,有效促进学生的创新创业思维形成和创新实践能力提升,相关措施在自动化专业创新创业教育及复合型优秀人才培养中取得显著成效。

“互联网+”背景下材料学科大学生创新创业教育模式探究

在“互联网+”的新时代背景下,随着国民经济结构的升级换代和产业结构的不断优化,高校肩负着培养创新创业型优秀人才的重任,要加强创新创业教育改革,培养学生的创新创业意识,提高创新创业能力。目前高校创新创业教育实践中尚存在创业扶持政策不完善、高校创新创业教育体系待优化、大学生综合创新能力不足等问题,该文以材料学科为背景提出进一步加大创新创业政策扶持力度、强化政策宣传与落实力度、加强创新创业师资队伍建设、构建学科支撑的创新创业课程体系、搭建大学生产教融合创新创业平台等解决策略,通过高校、社会、政府三方协同构建大学生创新创业教育新模式,促进大学生创新创业教育更好更快地发展。

基于能力导向的建筑学专业教学实践——以天津大学建筑学专业教学改革为例

针对中国建筑教育现有体系存在的传统文化基因系统性缺失、教学与实践关联性不足、学习主体竞争意识薄弱与国际视野受限的问题,文章试图构建以厚植文化内生力、培养实践创新力、激发国际竞争力为导向的建筑学领军人才培养模式。文章以天津大学建筑学院十余年(2012—2022年)的教学实践为佐证,阐释以内生力、创新力、竞争力为主线的培养理念、课程建设与实施路径,以期为培养国家未来领军建筑人才提供有益参考。

基于科教融合理念的药学专业建设探索与思考

经过五年的科教融合探索实践,齐鲁工业大学(山东省科学院)在学科建设、科研创新、人才引育、成果转化和社会服务等方面获得快速发展,充分彰显科教融合的独特优势。科教融合学院-药学院紧跟国家科教融合政策导向,紧贴地方药学专业建设需求,深挖自身人才和科研优势,从明晰育人方向、构建课程体系、创新培养模式、夯实师资力量和强化校企合作五个方面入手,探索实践药学专业科教融合建设的新路径、新形态。该文以药学专业建设为例,梳理专业在科教融合方面所做的工作、取得成效,以及存在的矛盾问题和发展方向,为下一步创新推进科教融合发展,合力培育优质人才,加快科教成果落地提供参考借鉴。

新文科背景下复合型人才培养实践模式研究

新文科建设背景下,各高校在跨学科、跨专业的复合型人才培养方面积极进行改革和创新尝试,形成了诸多值得借鉴的典型模式。通过对全国数十所高校新文科建设中复合型人才培养情况进行总结和分析,研究将现有人才培养模式归纳为双学位和联合学位模式、微专业模式、文科实验室模式、书院模式。这四种典型模式各有优势,用新视角、新范式、新方法带动了传统文科转型升级。未来,各高校应继续探索建立以立德树人为目标、以优势学科为核心、以学科交叉为抓手、以名家大师为引领的复合型文科人才培养体系。