The effect of high-fidelity simulation in medical nursing based on the healthcare simulation standards of best practice

Background:High-fidelity simulation has been demonstrated to make great progress in learning.However,there is still ongoing exploration on how to fully harness the advantages of this teaching method and enhance its effectiveness.This study conducted high-fidelity simulation in medical nursing based on the Healthcare Simulation Standards of Best Practice and evaluated its effect.Methods:The study was conducted from September 2019 to June 2020.A total of 82 undergraduate nursing students from a university in Shanghai participated in the high-fidelity simulation in medical nursing.The simulation design scale,educational practices in simulation scale,and students’satisfaction and self-confidence were used to evaluate the effect.Results:The mean score of simulation design scale was 4.06±0.63 with the mean scores of all dimensions being over 3.0.The mean score of educational practices in simulation scale was 4.14±0.56 with the mean scores of all dimensions being over 4.0.The mean scores of students’satisfaction and self-confidence were 4.07±0.72 and 3.89±0.58,respectively.Conclusion:Students reported high levels of simulation design and educational practices in simulation.They were also satisfied with learning and reported high levels of self-confidence.Some key points need to be considered so that the learning effects might be optimized.

Political Parties Have a Role to Play in Innovating upon in Global Economic Governance:Sidelights of "The CPC in Dialogue with the World 2016"

BETWEEN OCTOBER 13 AND 15,2016,hosted by the International Department,the CPC Central Committee and organized by the CPC Chongqing Municipal Committee,the CPC in Dialogue with the World 2016was held in Chongqing.Themed'Innovation in Global Economic Governance:Initiatives and Actions of Political Parties',the annual event was

On the Value of "Wild Play Grounds" in Promoting Local "Carefree Travelling"

'Wild Play Grounds' are the wild places which can attract people to visit.And the 'Wild Play Grounds' are generally the naturally existing places with unique charm,rather than the established tourist attractions or scenic spots.There are no formal organizations for the daily management.Both tickets and clear geographical borders can not be found here.In this research,'Carefree Travelling' is an integrated project of tourism resources in Shandong Province promoted in 2007.Because of their particular characteristics,the 'Wild Play Grounds' have a certain relationship with 'Carefree Travelling',and they are the natural resources of 'Carefree Travelling'.The development of 'Wild Play Grounds' is the further exploitation of the 'Carefree Travelling' resources as well as a better expanding of the tourist market.Relying on the 'Wild Play Grounds',it also has many advantages to develop 'Carefree Travelling',and it will bring good economic and social benefits.Local government should play an important role in developing the 'Wild Play Grounds'.

Ordovician reservoirs in Fuxian area:Gas accumulation patterns and their implications for the exploration of lower Paleozoic carbonates in the southern Ordos Basin

In recent years,the Fuxian area in the southeastern Ordos Basin has undergone significant exploration,with industrial gas flow tested in wells drilled into the Ordovician marine carbonates.Despite this,the gas accumulation patterns of this area are not fully understood,posing challenges for further exploration.Our analysis of geological conditions indicates that the Ordovician Majiagou Formation in this area hosts two gas plays:one found in weathering crusts and the other found in interior of the formation.We investigated various typical gas reservoirs in the area,focusing on differentiating the geological conditions and factors controlling gas accumulation in the weathering-crust and interior gas reservoirs.The results suggest three primary gas accumulation patterns in the Majiagou Formation in the Fuxian area:(1)upper gas accumulation in weathering crusts,present in the high parts of landforms such as residual paleo-hills or buried paleo-platform(Pattern I);(2)the stereoscopic pattern with gas accumulation in both weathering crusts and strata interior,arising in high parts of landforms such as residual paleo-hills or buried paleo-platforms(Pattern II);(3)lower gas accumulation in strata interior,occurring in the upper reaches and on both sides of paleo-trenches(Pattern III).This study will serve as a geological basis for future exploration deployment in the Fuxian area.

The Contribution of United States Aircraft Reconnaissance Data to the China Meteorological Administration Tropical Cyclone Intensity Data:An Evaluation of Homogeneity

This paper investigates the homogeneity of United States aircraft reconnaissance data and the impact of these data on the homogeneity of the tropical cyclone(TC)best track data for the seasons 1949-1987 generated by the China Meteorological Administration(CMA).The evaluation of the reconnaissance data shows that the minimum central sea level pressure(MCP)data are relatively homogeneous,whereas the maximum sustained wind(MSW)data show both overestimations and spurious abrupt changes.Statistical comparisons suggest that both the reconnaissance MCP and MSW were well incorporated into the CMA TC best track dataset.Although no spurious abrupt changes were evident in the reconnaissance-related best track MCP data,two spurious changepoints were identified in the remainder of the best-track MCP data.Furthermore,the influence of the reconnaissance MSWs seems to extend to the best track MSWs unrelated to reconnaissance,which might reflect the optimistic confidence in making higher estimates due to the overestimated extreme wind“observations”.In addition,the overestimation of either the reconnaissance MSWs or the best track MSWs was greater during the early decades compared to later decades,which reflects the important influence of reconnaissance data on the CMA TC best track dataset.The wind-pressure relationship(WPR)used in the CMA TC best track dataset is also evaluated and is found to overestimate the MSW,which may lead to inhomogeneity within the dataset between the aircraft reconnaissance era and the satellite era.

Increased number of symptoms during the acute phase of SARS-CoV-2 infection in athletes is associated with prolonged time to return to full sports performance—AWAREⅧ

Purpose The aim of the study was to identify factors associated with prolonged time to return to full performance(RTFP)in athletes with recent severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)infection.Methods Prospective cohort study with cross sectional analysis.A total of 84 athletes with confirmed SARS-CoV-2 infection assessed at a coronavirus disease 2019 recovery clinic gave a history of age,sex,type/level of sport,co-morbidities,pre-infection training hours,and 26 acute SARS-CoV-2 symptoms from 3 categories(“nose and throat”,“chest and neck”,and“whole body”/systemic).Data on days to RTFP were obtained by structured interviews.Factors associated with RTFP were demographics,sport participation,history of co-morbidities,pre-infection training history,and acute symptoms(type,number).Outcomes were:(a)days to RTFP(median,interquartile range(IQR))in asymptomatic(n=7)and symptomatic athletes(n=77),and(b)hazard ratios(HRs;95%confidence interval)for symptomatic athletes with vs.without a factor(univariate,multiple models).HR<1 was predictive of higher percentage chance of prolonged RTFP.Significance was p<0.05.Results Days to RTFP were 30 days(IQR:23–40)for asymptomatic and 64 days(IQR:42–91)for symptomatic participants(p>0.05).Factors associated with prolonged RTFP(univariate models)were:females(HR=0.57;p=0.014),endurance athletes(HR=0.41;p<0.0001),co-morbidity number(HR=0.75;p=0.001),and respiratory disease history(HR=0.54;p=0.026).In symptomatic athletes,prolonged RTFP(multiple models)was significantly associated with increased“chest and neck”(HR=0.85;p=0.017)and“nose and throat”(HR=0.84;p=0.013)symptoms,but the association was more profound between prolonged RFTP and increased total number of“all symptoms”(HR=0.91;p=0.001)and“whole body”/systemic(HR=0.82;p=0.007)symptoms.Conclusion A larger number of total symptoms and specifically“whole body”/systemic symptoms during the acute phase of SARS-CoV-2 infection in athletes is associated with prolonged RTFP.

Symptom presentation and evolution in the first 48 hours after injury are associated with return to play after concussion in elite Rugby Union

Background:Return to play(RTP)in elite rugby is managed using a 6-stage graduated RTP protocol,which can result in clearance to play within 1 week of injury.We aimed to explore how symptom,cognitive,and balance presentation and evolution during concussion screens 2 h(head injury assessment(HIA2)and 48 h(HIA3)after injury were associated with time to RTP)to identify whether a more conservative graduated RTP may be appropriate.Methods:A retrospective cohort study was conducted in 380 concussed rugby players from elite men’s rugby over 3 consecutive seasons.Players were classified as shorter or longer returns,depending on whether RTP occurred within 7 days(allowing them to be considered to play the match 1 week after injury)or longer than 8 days,respectively.Symptom,cognitive,and balance performance during screens was assessed relative to baseline(normal or abnormal)and to the preceding screen(improving or worsening).Associations between sub-test abnormalities and RTP time were explored using odds ratios(OR,longer vs.shorter).Median day absence was compared between players with abnormal or worsening results and those whose results were normal or improving.Results:Abnormal symptom results during screens 2 h and 48 h after concussion were associated with longer return time(HIA2:OR=2.21,95%confidence interval(95%CI):1.39-3.50;HIA3:OR=3.30,95%CI:1.89-5.75).Worsening symptom number or severity from the time of injury to 2 h and 48 h post-injury was associated with longer return(HIA2:OR=2.49,95%CI:1.36-4.58;HIA3:OR=3.34,95%CI:1.10-10.15).Median days absence was greater in players with abnormal symptom results at both HIA2 and HIA3.Cognitive and balance performance were not associated with longer return and did not affect median days absence.Conclusion:Symptom presentation and evolution within 48 h of concussion were associated with longer RTP times.This may guide a more conservative approach to RTP,while still adhering to individualized concussion management principles.

The Application of TBL Using Role Play to Introduce Vocabulary in China's Private Language School

A specific application of task-based learning in teaching vocabulary to young learners and a complete task cycle using role play to present vocabulary in China's private language school would be described in the study. The participants aged between 7 and 9 are thought to be starters according to their language competence in Common European Framework of Reference for language. The rationale for stages in the task cycle will be fully explored with reference to Piaget and Vygotsky's theory in teaching young learners. The advantages of the adoption of TBL with young learners will be illustrated and some possible problems in implementing TBL in China, a representative country of Confucian-heritage culture would also be discussed in the paper. The study indicates that young learners in China are quite welcome this new approach in their English classes, but the targeted learners' age and background information need to be taken into consideration when actually implement this approach.

Environmental factors influencing the distribution of endangered endemic species Hedysarum criniferum Boiss in arid and semi-arid rangelands,Iran

Understanding the factors influencing the distribution of plant species is crucial for enhancing the management of endangered ecosystems. This study investigated the response of Hedysarum criniferum Boiss, an endemic and endangered species to 25 environmental variables within its habitats with an area of 2.95×10^(5) km^(2) in arid and semi-arid rangelands of Iran. The purpose of this research is to identify the key environmental factors affecting the distribution and habitat preferences of H. criniferum for further conservation and restoration of the species. To predict the occurrence of H. criniferum and explore its relationship with environmental factors, we employed the best subset regression analysis, the hierarchical classification, and the extended Huisman-Olf-Fresco(eHOF) model. The results showed that four environmental variables, i.e., gravel content, pH, annual minimum temperature, and mean annual temperature showed significant correlations with the canopy cover of H. criniferum(P<0.05). The probability of H. criniferum occurrence increased with higher precipitation and elevation, while it decreased with higher mean annual temperature, annual minimum temperature, and gravel content. The species' response curves and their optimal values, as assessed by the eHOF model, indicated that the response to mean annual temperature, ranging from 12℃ to 16℃, was optimal at 13℃. The response to mean annual precipitation, within a range of 150–650 mm, was optimal at 650 mm. Elevation responses, spanning from 1546 to 2450 m, showed an optimum at 2450 m. Regarding soil characteristics, the response to gravel content, ranging from 13.0%–48.0%, demonstrated an optimal value at 20.0%. The pH levels, varying from 7.5 to 8.2, prompted a sine-shaped response with an optimal pH of 8.0. These findings provide valuable insights for predicting species occurrence and identifying suitable locations for restoration programs. Our study underscores the importance of considering multiple environmental variables in habitat suitability assessments. By incorporating these broader considerations, we can further refine predictive models and enhance conservation efforts aimed at restoring habitats conducive to the luxuriance of endangered species like H. criniferum.

Enhancing Proficiency in Quadratic Equations and Functions Through the MILAPlus Strategy

This study investigates the efficacy of the Mathematics Independent Learning Activity Practice and Play Unite Scheme(MILAPlus)as an instructional strategy to improve the proficiency levels of Grade 9 students in quadratic equations and functions through a study carried out at Quezon National High School.The research involved 116 Grade 9 students and utilized a quantitative approach,incorporating both pre-assessment and post-assessment measures.The research utilizes a quasi-experimental design,examining the academic performance of students before and after the introduction of MILAPlus.The pre-assessment establishes a baseline,and the subsequent post-assessment measures the impact of the instructional strategy.Statistical analyses,including t-tests,assess the significance of differences in mean scores and mean percentage scores,providing quantitative insights into the effectiveness of MILAPlus.Findings from the study revealed a statistically significant improvement in both mean scores and mean percentage scores after the utilization of MILAPlus,indicating enhanced proficiency in quadratic equations and functions.The Mean Proficiency Scores(MPS)also showed a substantial increase,demonstrating a marked improvement in overall proficiency levels among Grade 9 students.In light of the results,recommendations were given including the continued utilization of MILAPlus as an instructional strategy and aligning its development with prescribed learning competencies.Emphasizing the consistent adherence to policies and guidelines for MILAPlus implementation is suggested for sustaining positive effects on students’long-term performance in mathematics.This research contributes valuable insights into the practical application and effectiveness of MILAPlus within the context of Grade 9 mathematics education at Quezon National High School.

The Jackson Inequality for the Best L^2-Approximation of Functions on [0,1] with the Weight x

Let L^2（[0, 1], x） be the space of the real valued, measurable, square summable functions on [0, 1] with weight x, and let n be the subspace of L2（[0, 1], x） defined by a linear combination of Jo（μkX）, where Jo is the Bessel function of order 0 and {μk} is the strictly increasing sequence of all positive zeros of Jo. For f ∈ L^2（[0, 1], x）, let E（f, n） be the error of the best L2（[0, 1], x）, i.e., approximation of f by elements of n. The shift operator off at point x ∈[0, 1] with step t ∈[0, 1] is defined by T（t）f（x）=1/π∫0^π f（√x^2 ＋t^2-2xtcosO）dθ The differences （I- T（t））^r/2f = ∑j=0^∞（-1）^j（j^r/2）T^j（t）f of order r ∈ （0, ∞） and the L^2（[0, 1],x）- modulus of continuity ωr（f,τ） = sup{｜｜（I- T（t））^r/2f｜｜：0≤ t ≤τ] of order r are defined in the standard way, where T^0（t） = I is the identity operator. In this paper, we establish the sharp Jackson inequality between E（f, n） and ωr（f, τ） for some cases of r and τ. More precisely, we will find the smallest constant n（τ, r） which depends only on n, r, and % such that the inequality E（f, n）≤ n（τ, r）ωr（f, τ） is valid.

Solve the False-Positive Problem of the Mimic System Based on the Best Mimic Component Set

At present,there is a problem of false positives caused by the too vast mimic scope in mimic transformation technology.Previous studies have focused on the“compensation”method to deal with this problem,which is expensive and cannot fundamentally solve it.This paper provides new insights into coping with the situation.Firstly,this study summarizes the false-positive problem in the mimic transformation,analyzes its possible harm and the root causes.Secondly,three properties about the mimic scope are proposed.Based on the three properties and security quantification technology,the best mimic component set theory is put forward to solve the false-positive problem.There are two algorithms,the supplemental method and the subtraction method.The best mimic component set obtained by these two algorithms can fundamentally solve the mimic system’s false-positive problem but reduce the cost of mimic transformation.Thus make up for the lack of previous researches.

Research on the Best Routing Algorithm of Terminal Distribution Based on the Random Factor of Road Hustling Degree

Dijkstra algorithm is a basic algorithm to analyze the vehicle routing problem (VRP) in the terminal distribution of logistics center. According to the actual client demands of service speed and quality, the conceptions of economical distance of delivery and the best routing algorithm were given on the base of the Dijkstra algorithm with consideration of a coefficient of the road hustle degree. Economical distance of delivery is the shortest physical distance between two customers. It is the value of goods delivery in shortest distance when concerning factors such as the road length, the hustle degree, the driveway quantity, and the type of the road. The improved algorithm is being used in the development and application of a distribution path information system in the terminal distribution of logistics center. The simulation and practical case prove that the algorithm is effective and reasonable.

Du Liniang And Juliet-On Shakespeare's Play from the Perspective of Tang Xianzu

Shakespeare and Tang Xianzu,who totally do not affect each,actually have two love plays.According to this feature,in this paper,I analyze these two plays in the changing subject matter,the theme,characters,the structure,play conflicts,tragedy styles and so on which are approximate in the external form——Romeo And Juliet and The Peony Pavilion,and discuss the differences of these two plays and the characteristics and rules of east and west plays.It objectively describes the similarities and differences on the conflict and rhythm.Romeo And Juliet and The Peony Pavilion are different in structural style and rhythm,because of different artistic character for each type of drama they belong to.It emphasizes similarities and differences of the tragedy style and the end.Chinese classical tragedy and the Shakespeare tragedy.This paper analyzes and contrasts Romeo and Juliet and The Peony Pavilion by the methods of comparison and contrast,and demonstrates different characteristics and styles of east and west plays as well as studies the profoundly historical culture behind the plays.

A Playing Game——On the Relationship between Fiction & Reality in Continuityof Parks

In postmodernist novel, the explanation of the relationship between fiction and reality is a distinctive feature, known as a playing game. In Continuity of Parks, the "game" is played through the application of colors, settings, props, etc. with the plots' evolution. It is helpful to appreciate the postmodernist novel by analysing the relationship.

Comparison Study of Art Therapy and Play Therapy in Reducing Anxiety on Pre-School Children Who Experience Hospitalization

Pain and hospitalization caused a crisis in the child’s life. At the pre-school children, the stress of the disease makes children become less able to cope with separation. As a result, many children show anxious behavior though more vague than toddler age children. Various ways have been conducted by nurses to treat anxiety in children, but the most effective types of the intervention have not be found. Types of intervention that can be done are art therapy and play therapy. This study aims to compare the effects of art therapy and play therapy in reducing anxiety on children who experience hospitalization. A quasi-experimental research design with pre-post test two group design is used. The sample was 23 children pre-school age for art therapy group and 25 children for play therapy with sampling techniques performed purposive sampling. Intervention of art therapy and play therapy each performed for 3 days with duration about 30 minutes. Anxiety levels before and after the intervention were measured by using the facial affective scale. The results show that there is a difference in anxiety between before and after the action in the art therapy group (p = 0.00) and that there are differences in anxiety before and after the action in the play therapy group (0.00). But statistical tests using Man Whitney U indicate that there is no difference in anxiety levels in pre-school children who do art therapy and play therapy (p = 0.26). So, it is concluded that the art therapy and the play therapy can reduce the level of anxiety on pre-school school children that experience hospitalization. Based on these conclusions, it is recommended that the art therapy and the play therapy can be used by nurses and the choice of the intervention should be submitted to the child.

BEST WISHES TO THE JOURNAL OF THE CHINESE RARE EARTH SOCIETY

Since its initial issue in 1983,the Journal of theChinese Rare Earth Society has played positive rolein publicizing the achievements of Chinese rareearth science and technology and in promoting in-ternational academic exchange of rare earth scienceand technology as well.From now on,the Journalof the Chinese Rare Earth Society is published both

An analysis of the size and direction of the association between mental toughness and Olympic distance personal best triathlon times

Background: Athletes, coaches, sport psychology practitioners, and researchers suggest that mental toughness represents an important construct that is associated with athletic performance. Unfortunately, the absence of real-world performance as a dependent variable has limited our ability to substantiate this claim. The concern of a lack of ecologically valid measures of sports performance might be addressed by examining the relationship between mental toughness and sports performance using a standardized measure of personal best(PB) triathlon time and a validated unidimensional measure of mental toughness.Methods: Three hundred and sixteen triathletes completed the 8-item mental toughness index(MTI), reported their age, and provided a PB Olympic distance triathlon time and the total number of triathlons they had completed to date. Given that males are typically quicker than females, a standardized time was calculated by dividing the PB by the current Olympic record for gender; we also hypothesized that more experienced triathletes would report quicker PB times because of greater frequency and duration of training. Once we had controlled for gender and experience,we predicted that mental toughness would be negatively associated with triathlon time and the size of the relationship would be of a moderate magnitude.Results: Results revealed small-to moderate-sized negative relationships between both completed number of triathlons and mental toughness with standardized PB time.Conclusion: The hierarchical regression analysis showed that mental toughness provided a unique contribution to the variability in standardized Olympic triathlon PB after controlling for the total number of triathlons completed.

THE BEST APPROXIMATION AND COINCIDENCE THEOREMS FOR COMPOSITES OF ACYCLIC MAPPINGS

Some new coincidence theorem s involving a new class of set_valued mappings containing composites of acyclic mappings defined in a contractible space are proved. For applications, some best approximation theorems and coincidence theorems for set-valued mappings are als o given. A number of known results in recent literature are improved and general ized by the theorems in this paper.

A Class of Iteration Method for the Best Approximation Problems

We propose a class of iteration methods searching the best approximately generalized polynomial, which has parallel computational function and converges to the exact solution quadratically. We first transform it into a special system of nonlinear equations with constraint, then by using to certain iteration method, we combine the two basic processes of the Remes method into a whole such that the iterative process of the system of nonlinear equations and the computation of the solution to the system of linear equations proceed alternately. A lot of numerical examples show that this method not only has good convergence property but also always converges to the exact solution of the problem accurately and rapidly for almost all initial approximations .