Having the two largest nursing workforces across the globe,both China and the United States have implemented licensure examinations to standardize the qualifications of registered nurse.China established the National ...Having the two largest nursing workforces across the globe,both China and the United States have implemented licensure examinations to standardize the qualifications of registered nurse.China established the National Nursing Licensure Examination(NNLE)in 1995.Like the National Council Licensure Examination for Registered Nurses(NCLEX-RN)in the United States,the NNLE has become an important link in the nurse registration process and contributed a lot in quality assurance and development of nursing profession.It may be necessary for the NNLE to learn from NCLEX-RN in several aspects,including increasing the frequency of exam,providing examinees with individualized services,and continuing reforming exam content and format.By better aligning the content and format of the examination with the current nursing paradigm and clinical requirements,nurses may enter the healthcare field better prepared to care for patients.Considering the magnitude of their nursing workforce,both China and the United States have great potential to serve as a role model for other developing countries as they look towards establishing national nursing education programs.As new policies around standardized nurse education in China take form,we urge that the NNLE be included alongside curricular reforms.As these reforms are implemented,continued research will be needed to evaluate the effectiveness of curriculum and licensure exam regulations upon nurse preparedness and quality of nursing care in China.展开更多
Every year, a large amount of silt is generated by river dredging. For the characteristics of dredging silt, such as high moisture content, low strength and high compressibility, the traditional solidification method ...Every year, a large amount of silt is generated by river dredging. For the characteristics of dredging silt, such as high moisture content, low strength and high compressibility, the traditional solidification method can no longer better solve this kind of silt problem.?This paper mainly studies the fluidized solidification treatment of high water content sludge, not only makes the silt soil achieve a good solidification effect, but also the project cost is lower, the construction method is more environmentally friendly and green. The influencing factors of the solidified soil are mainly investigated by the unconfined compression test and the fluidity test. The experiment result shows?1)When the cement to sludge mass ratio (RCS) is 0.09?-?0.16 and the fly ash to cement mass ratio (RFC) is 0.35?-?0.80, as the amount of?RFC?increases, the flow rate of the solidified soil gradually decreases. With the increase of time, the liquidity is significantly reduced, and the influence of cement on the fluidity is greater than that of fly ash.?2) When?RCS?= 0.09?-?0.16, the strength of the sludge solidified soil at 28?d age increased by 4.5?-?6 times. 3)?When?RCS?= 0.09?-?0.16 and?RFC?= 35%?-?80%, the intensity of 14?d increased by 1.23 times than that of 7?d, and the intensity of 28 days increased by 1.29 times than that of 14?d. This experiment can provide the mix ratio design of solidified materials for different needs of the project, which can better provide a basis for engineering application and strength prediction.展开更多
基金This work was supported by Health Professional Education Foundation of Thailand and China Medical Board(12-121)
文摘Having the two largest nursing workforces across the globe,both China and the United States have implemented licensure examinations to standardize the qualifications of registered nurse.China established the National Nursing Licensure Examination(NNLE)in 1995.Like the National Council Licensure Examination for Registered Nurses(NCLEX-RN)in the United States,the NNLE has become an important link in the nurse registration process and contributed a lot in quality assurance and development of nursing profession.It may be necessary for the NNLE to learn from NCLEX-RN in several aspects,including increasing the frequency of exam,providing examinees with individualized services,and continuing reforming exam content and format.By better aligning the content and format of the examination with the current nursing paradigm and clinical requirements,nurses may enter the healthcare field better prepared to care for patients.Considering the magnitude of their nursing workforce,both China and the United States have great potential to serve as a role model for other developing countries as they look towards establishing national nursing education programs.As new policies around standardized nurse education in China take form,we urge that the NNLE be included alongside curricular reforms.As these reforms are implemented,continued research will be needed to evaluate the effectiveness of curriculum and licensure exam regulations upon nurse preparedness and quality of nursing care in China.
文摘Every year, a large amount of silt is generated by river dredging. For the characteristics of dredging silt, such as high moisture content, low strength and high compressibility, the traditional solidification method can no longer better solve this kind of silt problem.?This paper mainly studies the fluidized solidification treatment of high water content sludge, not only makes the silt soil achieve a good solidification effect, but also the project cost is lower, the construction method is more environmentally friendly and green. The influencing factors of the solidified soil are mainly investigated by the unconfined compression test and the fluidity test. The experiment result shows?1)When the cement to sludge mass ratio (RCS) is 0.09?-?0.16 and the fly ash to cement mass ratio (RFC) is 0.35?-?0.80, as the amount of?RFC?increases, the flow rate of the solidified soil gradually decreases. With the increase of time, the liquidity is significantly reduced, and the influence of cement on the fluidity is greater than that of fly ash.?2) When?RCS?= 0.09?-?0.16, the strength of the sludge solidified soil at 28?d age increased by 4.5?-?6 times. 3)?When?RCS?= 0.09?-?0.16 and?RFC?= 35%?-?80%, the intensity of 14?d increased by 1.23 times than that of 7?d, and the intensity of 28 days increased by 1.29 times than that of 14?d. This experiment can provide the mix ratio design of solidified materials for different needs of the project, which can better provide a basis for engineering application and strength prediction.