The Application of Layered Progressive Teaching Method in Nursing Teaching of Health Management Centre

Objective:To explore the clinical effect of the layered progressive teaching method in the process of nursing teaching in the health management centre.Methods:100 nursing students in the health management centre of our hospital were randomly divided into two groups from April 2018 to April 2019,in which students of the control group were treated with routine teaching,while those of the experimental group were treated with layered progressive teaching.Then,the teaching effect of the two groups was compared and analysed.Results:The assessment results of nursing students in the two groups were compared,in which the theoretical knowledge scores and practical operation scores of nursing students in the experimental group were(94.34±2.33)and(90.45±2.20)respectively.By contrast,the score of students in the control group was lower and the difference between the two groups was not significant(P<0.50).The teaching effect of students in the experimental group is more significant.Conclusion:During the process of nursing teaching in the Health Management Centre,the progressive teaching method showed a significant clinical effect and could effectively enhance students’scores.Therefore,it is positively significant for clinical development.

Application of the catastrophe progression method in predicting coal and gas outburst

Based on catastrophe theory,we used the catastrophe progression method to predict the risk of coal and gas outbursts in coal mines.According to the major factors affecting coal and gas outbursts,we built a comprehensive evaluation index system and a coal and gas outburst prediction model.In addition,we performed a standard transformation for each index system;based on the degree the various indices affect the risk of an outburst,to make the data dimensionless.Based on the outburst data from eight mines,we determined catastrophe progression values and verified these values.The results show that:1) converting multi-dimensional problems into one-dimensional problems using this catastrophe progression method can simplify the steps of predicting coal and gas outbursts;2) when pre-determined catastrophe progression values are used to predict coal and gas outbursts,the predicting accuracy rate can be as high as 87.5%;3) the various coal mines have different factors inducing outbursts with varying importance of these factors and 4) the catastrophe progression values,calculated based on these factors,can be used effectively to predict the risk of outbursts in coal mines.

Research Progress in Occupational Health Risk Assessment Methods in China

Traditional occupational disease control and prevention has remained prevalent in China over recent decades. There are appropriately 30,000 new case reports of occupational diseases annually. Although China has already established a series of occupational disease prevention programs, occupational health risk assessment （OHRA） strategies continue to be a limitation.

Postbuckling of Marine Stifened Composite Plates with Initial Geometric Imperfections Using Progressive Failure Analysis

This work explores the postbuckling behavior of a marine stifened composite plate in the presence of initial imperfections.The imperfection shapes are derived from buckling mode shapes and their combinations.Thereafter,these imperfection shapes are applied to the model,and nonlinear large defection fnite element and progressive failure analyses are performed in ANSYS 18.2 software.The Hashin failure criterion is employed to model the progressive failure in the stifened composite plate.The efect of the initial geometric imperfection on the stifened composite plate is investigated by considering various imperfection patterns and magnitudes.Results show that when the magnitude of the imperfection is 20 mm,the ultimate strength of the stifened composite plate decreases by 31%.Moreover,global imperfection shapes are found to be fundamental in determining the ultimate strength of stifened composite plates and their postbuckling.

Progressive collapse resisting capacity of reinforced concrete load bearing wall structures

Reinforced concrete(RC) load bearing wall is widely used in high-rise and mid-rise buildings. Due to the number of walls in plan and reduction in lateral force portion, this system is not only stronger against earthquakes, but also more economical. The effect of progressive collapse caused by removal of load bearing elements, in various positions in plan and stories of the RC load bearing wall system was evaluated by nonlinear dynamic and static analyses. For this purpose, three-dimensional model of 10-story structure was selected. The analysis results indicated stability, strength and stiffness of the RC load-bearing wall system against progressive collapse. It was observed that the most critical condition for removal of load bearing walls was the instantaneous removal of the surrounding walls located at the corners of the building where the sections of the load bearing elements were changed. In this case, the maximum vertical displacement was limited to 6.3 mm and the structure failed after applying the load of 10 times the axial load bored by removed elements. Comparison between the results of the nonlinear dynamic and static analyses demonstrated that the "load factor" parameter was a reasonable criterion to evaluate the progressive collapse potential of the structure.

Research Progress about the Mixing Brine Method to Produce Low- Sodium Carnallite from Saline Lake Brine

Mixing brine method,which founded on the commonion effect,is widely used for low-sodium carnallite production.Compared with traditional carnallite preparation techniques,the mixing brine method possess a

Progress billing method of accounting for long-term construction contracts

This article questions the reliability of the amount of revenue recognized in the percentage of completion （POC） method of revenue recognition in construction industry and recommends a new method based on the progress billing which is more reliable. The most commonly used method of revenue recognition in the construction industry is the percentage of completion method （POC）, where the revenue is recognized on the basis of the percentage of work completed. The calculation of percentage of work completed is made on the basis of the cost incurred for the contract work during the financial period and the cost required for completion of the work as estimated by the contractor. Here, the acceptance of the product by the buyer （contractee） is not involved in recognizing the revenue. The reliability of the amount of revenue and its collectability can be assured only when the buyer accepts the product. The approval of the progress bill by the contractee is needed to assure the reliability and collectability and it must be the event that triggers the recognition of revenue.

Placement of a Jejunal Feeding Tube via an Ultrasound-Guided Antral Progressive Water Injection Method

Background： Jejunal feeding tube allows the nutrition of critical care patients more easy and safe. However, its placement remains a challenge. This study aimed to introduce a jejunal feeding tube through an ultrasound-guided antral progressive water injection method and subsequently to examine its efficacy. Methods： Between April 2016 and April 2017, 54 patients hospitalized in the Department of Critical Care Medicine, Peking Union Medical College Hospital, China who needed nutritional support through a jejunal feeding tube were recruited for this study. Patients who applied ultrasound-guided antral progressive water injection method were classified into the experimental group. Patients who applied conventional method were registered as control group. Results： No significant differences were found in age, body mass index, and Acute Physiology and Chronic Health Evaluation score, but a significant difference in operation time was found between the experimental group and the control group. Of the 24 individuals in the control group, 17 displayed clear catheter sound shadows once the tube entered the esophagus. In comparison, of the 30 individuals in the experimental group, all harbored catheter sound shadows through the esophageal gas injection method. Subsequent observation revealed that in the control group （via ultrasonographic observation）, 15 individuals underwent successthl antral tube entry, for a success rate of 63%. In the experimental group （via antral progressive water injection）, 27 individuals underwent successful antral tube entry, for a success rate of 90%. There was a significant difference between the success rates of the two groups （x2 = 5.834, P= 0.022）. Conclusion： The antral progressive water injection method for the placement of a jejunal feeding tube is more effective than the traditional ultrasonic placement method.

Seismic stability evaluation of embankment slope based on catastrophe theory

An evaluation method for the seismic stability of embankment slope was presented based on catastrophe theory. Seven control factors, including internal frictional angle, cohesion force, slope height, slope angle, surface gradients, peak acceleration, and distance to fault were selected for analysis of multi-level objective decomposition. According to the normalization formula and the fuzzy subject function produced by combination of catastrophe theory and fuzzy math, a recursive calculation was carried out to obtain a catastrophic affiliated functional value, which can be used to evaluate the seismic stability of embankment slope. Fifteen samples were used to verify the effectiveness of this method. The results show that compared with the traditional quantitative method, the catastrophe progression owns higher accuracy and good application potential in predicting the seismic stability of embankment slope.

NUMERICAL SOLUTION OF A NONLINEAR REACTION-DIFFUSION EQUATION

A nonlinear reaction-diffusion equation is studied numerically by a Petrov-Galerkin finite element method, which has been proved to be 2nd-order accurate in time and 4th-order in space. The comparison between the exact and numerical solutions of progressive waves shows that this numerical scheme is quite accurate, stable andefflcient. It is also shown that any local disturbance will spread, have a full growth and finally form two progressive waves propagating in both directions. The shape and the speed of the long term progressive waves are determined by the system itself, and do not depend on the details of the initial values.

Urban Earthquake Vulnerability Assessment and Mapping at the Microscale Based on the Catastrophe Progression Method

Vulnerability assessment and mapping play a crucial role in disaster risk reduction and planning for adaptation to a future earthquake.Turkey is one of the most at-risk countries for earthquake disasters worldwide.Therefore,it is imperative to develop effective earthquake vulnerability assessment and mapping at practically relevant scales.In this study,a holistic earthquake vulnerability index that addresses the multidimensional nature of earthquake vulnerability was constructed.With the aim of representing the vulnerability as a continuum across space,buildings were set as the smallest unit of analysis.The study area is in İzmit City of Turkey,with the exposed human and structural elements falling inside the most hazardous zone of seismicity.The index was represented by the building vulnerability,socioeconomic vulnerability,and vulnerability of the built environment.To minimize the subjectivity and uncertainty that the vulnerability indices based on expert knowledge are suffering from,an extension of the catastrophe progression method for the objective weighing of indicators was proposed.Earthquake vulnerability index and components were mapped,a local spatial autocorrelation metric was employed where the hotspot maps demarcated the earthquake vulnerability,and the study quantitatively revealed an estimate of people at risk.With its objectivity and straightforward implementation,the method can aid decision support for disaster risk reduction and emergency management.