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Real-Time Ship Roll Prediction via a Novel Stochastic Trainer-Based Feedforward Neural Network
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作者 XU Dong-xing YIN Jian-chuan 《China Ocean Engineering》 2025年第4期608-620,共13页
Enhancing the accuracy of real-time ship roll prediction is crucial for maritime safety and operational efficiency.To address the challenge of accurately predicting the ship roll status with nonlinear time-varying dyn... Enhancing the accuracy of real-time ship roll prediction is crucial for maritime safety and operational efficiency.To address the challenge of accurately predicting the ship roll status with nonlinear time-varying dynamic characteristics,a real-time ship roll prediction scheme is proposed on the basis of a data preprocessing strategy and a novel stochastic trainer-based feedforward neural network.The sliding data window serves as a ship time-varying dynamic observer to enhance model prediction stability.The variational mode decomposition method extracts effective information on ship roll motion and reduces the non-stationary characteristics of the series.The energy entropy method reconstructs the mode components into high-frequency,medium-frequency,and low-frequency series to reduce model complexity.An improved black widow optimization algorithm trainer-based feedforward neural network with enhanced local optimal avoidance predicts the high-frequency component,enabling accurate tracking of abrupt signals.Additionally,the deterministic algorithm trainer-based neural network,characterized by rapid processing speed,predicts the remaining two mode components.Thus,real-time ship roll forecasting can be achieved through the reconstruction of mode component prediction results.The feasibility and effectiveness of the proposed hybrid prediction scheme for ship roll motion are demonstrated through the measured data of a full-scale ship trial.The proposed prediction scheme achieves real-time ship roll prediction with superior prediction accuracy. 展开更多
关键词 ship roll prediction data preprocessing strategy sliding data widow improved black widow optimization algorithm stochastic trainer feedforward neural network
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The Role and features of Student Peer Feedback in Interpreting Training——Preliminary Findings of a Survey of both trainers and students
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作者 万宏瑜 《海外英语》 2016年第5期234-238,240,共6页
The project delves into the preliminary findings of a survey of both trainers and students on the practice of using student peer feedback in interpreting practice.It first explains the theoretical foundation which jus... The project delves into the preliminary findings of a survey of both trainers and students on the practice of using student peer feedback in interpreting practice.It first explains the theoretical foundation which justifies the use of peer feedback in interpreting practice,the research methodology and data collection.Then it brings forth specific findings concerning the implementation of peer feedback in the interpreting class followed by discussions of the role and features of student peer feedback as a means to help students ready for the booth.Analysis of the results shows that peer feedback in interpreting practice keeps students on-task,attentive and help them spot their own problems.Trainers and students themselves point to similar features of student peer feedback as focusing on comprehension of the original,word choice and numbers.The preliminary findings of the survey demonstrate the roles and features of student peer feedback in interpreting practice and point to the possible way of enhancing student’s learning curve through more effective peer feedback. 展开更多
关键词 INTERPRETING training PEER feedback ROLE & features trainerS & STUDENTS consistent
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Conceptual Design Optimization of Fighter Trainer Aircraft with Double-delta Wing Configuration 被引量:1
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作者 黄俊 M.I.Mostafa 武哲 《Chinese Journal of Aeronautics》 SCIE EI CAS CSCD 2003年第2期80-85,共6页
Compared with a delta wing aircraft, the double delta wing configuration has better aerodynamic performance at high angles of attack. An operational analysis was introduced as a method for evaluating training effecti... Compared with a delta wing aircraft, the double delta wing configuration has better aerodynamic performance at high angles of attack. An operational analysis was introduced as a method for evaluating training effectiveness of trainer aircraft. Approaches to the engineering estimation of aerodynamic characteristics for aircraft with a double delta wing configuration were studied, and the procedures for determining aircraft performance indices formulated. Taking training effectiveness as the objective function and geometric parameters of the wing platform as design variables, through a numerical multivariate optimization arithmetic, the conceptual design optimization for a certain fighter trainer aircraft with double delta wing configuration was carried out under the constraints of tactical and technical requirements and interrelated geometry. Agreement of a calculation example with engineering practice indicates that the optimal design has higher training effectiveness than the baseline design, and in addition, improves the structural force bearing conditions. 展开更多
关键词 trainer conceptual design OPTIMIZATION training effectiveness double delta wing
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Procedural simulation:medical student preference and value of three task trainers for ultrasound guided regional anesthesia 被引量:2
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作者 Shadi Lahham Taylaur Smith +6 位作者 Jessa Baker Amanda Purdy Erica Frumin Bret Winners Sean P.Wilson Abdulatif Gari John C.Fox 《World Journal of Emergency Medicine》 CAS 2017年第4期287-291,共5页
BACKGROUND: Ultrasound guided regional anesthesia is widely taught using task trainer models. Commercially available models are often used; however, they can be cost prohibitive. Therefore, alternative "homemade&... BACKGROUND: Ultrasound guided regional anesthesia is widely taught using task trainer models. Commercially available models are often used; however, they can be cost prohibitive. Therefore, alternative "homemade" models with similar fidelity are often used. We hypothesize that professional task trainers will be preferred over homemade models. The purpose of this study is to determine realism, durability and cleanliness of three different task trainers for ultrasound guided nerve blocks.METHODS: This was a prospective observational study using a convenience sample of medical student participants in an ultrasound guided nerve block training session on January 24 th, 2015. Participants were asked to perform simulated nerve blocks on three different task trainers including, 1 commercial and 2 homemade. A questionnaire was then given to all participants to rate their experiences both with and without the knowledge on the cost of the simulator device.RESULTS: Data was collected from 25 participants. The Blue Phantom model was found to have the highest fidelity. Initially, 10(40%) of the participants preferred the Blue Phantom model, while 10(40%) preferred the homemade gelatin model and 5(20%) preferred the homemade tofu model. After cost awareness, the majority, 18(72%) preferred the gelatin model.CONCLUSION: The Blue Phantom model was thought to have the highest fidelity, but after cost consideration the homemade gelatin model was preferred. 展开更多
关键词 Ultrasound guided NERVE block TASK trainer Regional ANESTHESIA
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INFANT TRAINER治疗乳牙期错畸形的临床分析 被引量:3
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作者 于鹏 《中国中西医结合儿科学》 2015年第5期475-477,共3页
目的观察INFANT TRAINER治疗乳牙期错畸形的临床效果。方法选择18例乳牙期错畸形患儿,其中Ⅱ类错10例,Ⅲ类错8例,戴用澳大利亚Myofunctional Research公司(MRC)生产的INFANT TRAINER,观察矫治前后覆覆盖变化和口腔不良习惯改善情况。结... 目的观察INFANT TRAINER治疗乳牙期错畸形的临床效果。方法选择18例乳牙期错畸形患儿,其中Ⅱ类错10例,Ⅲ类错8例,戴用澳大利亚Myofunctional Research公司(MRC)生产的INFANT TRAINER,观察矫治前后覆覆盖变化和口腔不良习惯改善情况。结果经过6个月的矫治,配合戴用良好的患儿前牙深覆深覆盖关系明显改善,前牙反解除,建立正常覆覆盖关系,口腔不良习惯破除,面型有所改善。结论 INFANT TRAINER适用于乳牙期前牙深覆深覆盖及前牙反的治疗,医生和家长协作共同鼓励和引导患儿正确按时地戴用训练器至关重要。 展开更多
关键词 错畸形 INFANT trainer 乳牙期 儿童
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Design and Implementation of Electronic Control Trainer with PIC Microcontroller 被引量:1
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作者 Yousif I. Al Mashhadany 《Intelligent Control and Automation》 2012年第3期222-228,共7页
This paper describes the implementation of a PIC microcontroller in a conventional laboratory-type electronic trainer. The work comprises software for the PIC and hardware for the software. The PIC controller uses an ... This paper describes the implementation of a PIC microcontroller in a conventional laboratory-type electronic trainer. The work comprises software for the PIC and hardware for the software. The PIC controller uses an EasyPIC6 board and includes a PC-interfaced programmer for the PIC chip. It has many external modules: 128 × 64 graphic LCD display, 2 × 16 LCD display, 4 × 4 keypad, and port expander, all in the same bench. The trainer is capable of 36 experiments in logic/analogue electronic and control systems. A 5-sided approximate sensor, two photoelectric sensors (BR56-DDT-P and BEN9M-TFR), four CMOS, four BCD-7-segment driven by CD4511B, two relays (2-pole and 3-pole), six voltages, ammeter measurement, DC motor, and 24VDC power supply, connect through connectors and pinions. Results of all the experiments show the trainer satisfying requirements of undergraduate and postgraduate projects involving conventional electronic and classical control systems. 展开更多
关键词 PIC MICROCONTROLLER PHOTOELECTRIC Sensor CONVENTIONAL Electronic trainer
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Benefit-cost analysis of raising Pinus wallichiana seedlings in different capacities/sizes of root trainers in the nursery
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作者 Altamash BASHIR K. N. QAISAR +1 位作者 M. A. KHAN Mumtaz MAJEED 《Forestry Studies in China》 CAS 2009年第2期118-121,共4页
Modern nursery methods of seedling production in different sized root trainers, were compared by raising seedlings of Pinus wallichiana involving costs incurred and benefits received. In order to provide a common basi... Modern nursery methods of seedling production in different sized root trainers, were compared by raising seedlings of Pinus wallichiana involving costs incurred and benefits received. In order to provide a common basis for the comparisons, the study involved the raising of 1000 seedlings annually on a continuous basis for seven years. A relative economic analysis of raising P. wallichiana seedlings in 300, 150 and 100 cm^3 root trainers was carried out and we estimated that the root trainers of 300 cm^3 capacity recorded the highest total input cost of Rs. 35571 and Rs. 40018 for 1000 seedlings produced annually at discount rates of 12% and 6%. Seedlings raised in 100 cm^3 root trainers recorded the lowest total input cost of Rs. 23390 and Rs. 27737 per 1000 seedlings annually at discount rates of 12% and 6%. Hence, returns per rupee invested in raising seedlings in the 100 cm^3 root trainers accounted for the maximum benefit-cost ratio (i.e., 1.56 and 1.61) at discount rates of 12% and 6%. Thus seedlings raised in 100 cm^3 and 150 cm^3 root trainers were found to be most cost effective when compared with seedlings grown in 300 cm^3 root trainers. The results can be attributed to the larger number of cells per tray (higher growth density) in the 100 and 150 cm^3 root trainers, compared to the number of seedlings in the 300 cm^3 root trainers. 展开更多
关键词 economics Pinus wallichiana root trainer benefit-cost ratio NURSERY
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Use of the stepwise progression return-to-play protocol following concussion among practicing athletic trainers
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作者 Jessica Wallace Tracey Covassin Meghan Lafevor 《Journal of Sport and Health Science》 SCIE 2018年第2期204-209,共6页
Purpose: The purpose of this study was to determine whether practicing athletic trainers(ATs) were using the stepwise progression to make return-to-play(RTP) decisions after concussion and to determine what factors in... Purpose: The purpose of this study was to determine whether practicing athletic trainers(ATs) were using the stepwise progression to make return-to-play(RTP) decisions after concussion and to determine what factors influenced their decision to use the stepwise progression.Methods: A total of 166 ATs(response rate = 16.6%) completed a 21-item questionnaire that evaluated participant demographics, methods of concussion management, and RTP decision-making using the stepwise progression. Descriptive statistics and a logistic regression were completed to analyze data.Results: Factors such as education level(p = 0.05) and number of concussions treated(p = 0.05) predicted use of the stepwise progression,whereas sex(p = 0.17), employment setting(p = 0.17), state law(p = 0.86), and years practicing(p = 0.17) did not predict whether ATs were following the stepwise progression.Conclusion: The majority of the ATs from this study are employing the stepwise progression to safely return athletes to play after sustaining a concussion. This demonstrates that ATs are providing a standard of care for concussed athletes across various athletic training settings; however,having a graduate degree and treating more concussions per year are predictors of whether an AT follows all steps of the stepwise progression. 展开更多
关键词 Athletic trainers CONCUSSION Concussion management Graduate degree Return to play Sports medicine Stepwise progression
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Low Cost Driving Trainer Assistance System
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作者 Roy Adarsha V. A. Arun Kumar K. Ganesan 《Journal of Transportation Technologies》 2012年第1期63-66,共4页
The multiple tasks involved in real-time driving are challenging tasks for any new learner of driving. The proposed Low Cost Driving Trainer Assistance System (DTAS) helps the amateur drivers to learn the basic skills... The multiple tasks involved in real-time driving are challenging tasks for any new learner of driving. The proposed Low Cost Driving Trainer Assistance System (DTAS) helps the amateur drivers to learn the basic skills involved while driving a vehicle, in particular a 4 wheeler like a car. The proposed system not only helps the novice drivers to gain confidence but also saves money spent on fuels while learning. The proposed DTAS system uses a steering wheel, an accelerator pedal, a brake pedal, gear mechanism and virtual (simulated) road environment. We also monitor and record the vital system parameters during the training period and analyze the same. The proposed DTAS involves operations like taking a turn, braking, accelerating, using dashboard functions and changing gears. 展开更多
关键词 Driving trainer ASSISTANCE SYSTEM GEAR Position Sensing STEERING Angle Data ACQUISITION SYSTEM
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Laparoscopic Trainer with Pneumoperitoneum
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作者 José L. Ortiz Simón Arturo Minor Martínez +1 位作者 Neftalí Prado Coronado Ricardo Ordorica Flores 《Surgical Science》 2012年第10期499-502,共4页
The development of skills and abilities in laparoscopy is directly related to the use of trainers. The trainer should model the patient with all its natural complexities as closely as possible. In this article we prop... The development of skills and abilities in laparoscopy is directly related to the use of trainers. The trainer should model the patient with all its natural complexities as closely as possible. In this article we propose a system for training the establishment of pneumoperitoneum executing the basic tasks to create the workspace in the trainer, the insertion of primary umbilical trocar and simulate some of the everyday problems in surgery. Materials and Methods. A group of electrical with biomedical engineers and laparoscopic surgeons developed a physical trainer that allows implementing the pneumoperitoneum. The system uses pneumatic electro valves that are controlled with a dedicated microprocessor. The user can program the system to set the parameters of the pneumoperitoneum. Results. This new trainer facilitated the programming of right values of parameters to distend the abdominal cavity according a specific clinical case. The model developed enables the trainee to consolidate his knowledge on establishing the parameters required within clinical practice, as well as the entry techniques. Conclusions. A new physical model for laparoscopic training was designed. The system enables the laparoscopic surgeon to set the parameters for establishing the workspace according to the clinical case. The trainer allows the surgeon to train in the Hasson technique for the introduction of the first trocar, as well as the placement of the rest of surgical instruments with video assistance. We think this new trainer system will help minimize entry-related injuries. 展开更多
关键词 LAPAROSCOPY trainer PNEUMOPERITONEUM
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Training of Trainers
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《China Population Today》 1995年第Z1期18-18,共1页
TrainingofTrainers"AtfirstIthoughtadaptingtrainingmaterialsforthelocalsituationwastoomuchwork.Now,Icanseethe... TrainingofTrainers"AtfirstIthoughtadaptingtrainingmaterialsforthelocalsituationwastoomuchwork.Now,Icanseetheresults.Thepartic... 展开更多
关键词 Training of trainers
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Ergonomic Simulation and Evaluation of Elliptical Trainer with CATIA V5
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作者 REN Jia-jun XIAO Dong-juan 《Computer Aided Drafting,Design and Manufacturing》 2009年第1期81-86,共6页
Model of elliptical trainer and 3D human body are built with the ergonomic module of CATIA V5 to study ergonomic characteristics of fitness equipments as a preliminary evaluation of elliptical trainer.
关键词 ERGONOMICS elliptical trainer fitness equipment CATIA V5
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少侠,武林绝学来两斤7Fighting Trainer
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作者 果果 《计算机应用文摘》 2016年第11期47-47,共1页
“飞雪连天射白鹿,笑书神侠倚碧鸳”,这句话相信看过金庸先生武侠巨著的朋友都不会陌生。在这些小说中,那些神奇的武功招式,豪迈的武林英雄都让人无比向往,恨不能自己也成为一个武林豪杰。可是众位少侠,没有惊天奇遇怎么能有秘籍... “飞雪连天射白鹿,笑书神侠倚碧鸳”,这句话相信看过金庸先生武侠巨著的朋友都不会陌生。在这些小说中,那些神奇的武功招式,豪迈的武林英雄都让人无比向往,恨不能自己也成为一个武林豪杰。可是众位少侠,没有惊天奇遇怎么能有秘籍练成神功呢? 展开更多
关键词 应用软件 运动健身 FIGHTING trainer 格斗动作
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深度呼吸训练器联合主动循环呼吸技术护理在下颈段颈髓损伤四肢瘫患者中的应用 被引量:1
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作者 王丽元 方曙静 +3 位作者 韩佳俊 吴艳 朱媛媛 宋寒梅 《成都医学院学报》 2025年第2期336-339,343,共5页
目的 探讨深度呼吸训练器联合主动循环呼吸技术护理对下颈段颈髓损伤四肢瘫患者肺功能及神经功能的改善作用。方法 选取2023年6月至2024年6月江苏省人民医院下颈段颈髓损伤四肢瘫患者82例作为研究对象,依据随机数字表法将患者分为对照... 目的 探讨深度呼吸训练器联合主动循环呼吸技术护理对下颈段颈髓损伤四肢瘫患者肺功能及神经功能的改善作用。方法 选取2023年6月至2024年6月江苏省人民医院下颈段颈髓损伤四肢瘫患者82例作为研究对象,依据随机数字表法将患者分为对照组和试验组,每组41例。对照组行常规康复训练和常规肺康复训练,试验组在对照组基础上加用深度呼吸训练器联合主动循环呼吸技术护理,干预疗程为2个月。比较两组干预前和干预2个月后的负性情绪、疲劳度、日常生活活动能力、肺功能、神经功能及干预期间的并发症。结果 与干预前比较,两组干预2个月后的焦虑自评量表(SAS)、抑郁自评量表(SDS)、疲劳自评量表(FSAS)、Borg评分降低,试验组更低(P<0.05);Barthel指数(BI)、国际神经修复学会脊髓损伤功能评价量表(SCI-FRS)、上、下肢运动评分及第1秒用力呼气容积(FEV1)、用力肺活量(FVC)、最大呼气压(MEP)、最大呼气中断流速(MMEF)升高,试验组更高(P<0.05);针刺觉及轻触觉评分升高(P<0.05),但组间比较差异无统计学意义(P>0.05)。与对照组比较,试验组干预期间的并发症总发生率更低(P<0.05)。结论 深度呼吸训练器联合主动循环呼吸技术护理可有效改善下颈段颈髓损伤四肢瘫患者负性情绪、疲劳度、日常生活活动能力、肺功能及神经功能,并可减少患者并发症的发生,安全性较好。 展开更多
关键词 四肢瘫 颈髓损伤 深度呼吸训练器 主动循环呼吸技术 肺功能
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教练机飞行员飞行训练质量评估系统
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作者 尹大伟 《兵工自动化》 北大核心 2025年第9期23-27,共5页
为解决以视频回放为主的评估模式存在人为评判误差大、缺乏定量化依据、训练数据统计分析难以实现等问题,对教练机飞行员飞行训练质量评估系统设计进行研究。基于飞行训练大纲中训练科目的分析解读,以飞参数据为核心研发资源,搭建教练... 为解决以视频回放为主的评估模式存在人为评判误差大、缺乏定量化依据、训练数据统计分析难以实现等问题,对教练机飞行员飞行训练质量评估系统设计进行研究。基于飞行训练大纲中训练科目的分析解读,以飞参数据为核心研发资源,搭建教练机飞行员飞行训练质量评估系统软件的运行架构,开发飞行训练超限告警、飞参数据曲线分析、飞行轨迹3维回放、飞行训练诊断报告,以及阶段训练效果评估等具体功能。结果表明,该设计能为教练机飞行员飞行训练效果检验提供实用有效的辅助工具。 展开更多
关键词 教练机 飞行员 飞参数据 飞行训练质量评估
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三球式呼吸训练器联合康复护理在老年慢性阻塞性肺疾病患者中的应用效果观察
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作者 张培红 张娟 贺海燕 《微量元素与健康研究》 2025年第4期18-21,共4页
目的 探讨老年慢性阻塞性肺疾病患者护理过程中应用三球式呼吸训练器联合康复护理的临床价值。方法 将104例老年慢性阻塞性肺疾病患者随机分为两组,对照组患者应用常规护理,观察组患者联合应用三球式呼吸训练器及康复护理,比较两组预后... 目的 探讨老年慢性阻塞性肺疾病患者护理过程中应用三球式呼吸训练器联合康复护理的临床价值。方法 将104例老年慢性阻塞性肺疾病患者随机分为两组,对照组患者应用常规护理,观察组患者联合应用三球式呼吸训练器及康复护理,比较两组预后及康复依从性。结果 干预后观察组肺功能相关指标更优(P<0.05)。干预后观察组CAT评分及改良医学研究委员会呼吸困难量表(mMRC)评分均更低(P<0.05)。干预后观察组血气指标水平更优(P<0.05)。干预后观察组呼吸肌功能与运动耐量均优于对照组(P<0.05)。观察组肺康复依从性较对照组高(P<0.05)。结论 老年慢性阻塞性肺疾病护理过程中,采用三球式呼吸训练器联合康复护理的作用显著,可提高其康复依从性,有利于患者肺功能及血气指标的改善。 展开更多
关键词 老年慢性阻塞性肺疾病 三球式呼吸训练器 肺功能 血气指标 肺康复依从性
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T-T-T模式在危重症护理培训中的应用研究
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作者 姚世宁 陈正荣 +5 位作者 陈旭 王莉 余军玲 王祎祎 刘晔 高晓云 《卫生职业教育》 2025年第7期147-150,共4页
目的探索培训者培训(train-the-trainer,T-T-T)模式在医院危重症护理培训中的应用效果。方法采用整群抽样法于2023年9月选取陕西省某三甲医院进行危重症护理培训的护士为研究对象,对照组采用传统教学模式,观察组采用T-T-T模式。结果培... 目的探索培训者培训(train-the-trainer,T-T-T)模式在医院危重症护理培训中的应用效果。方法采用整群抽样法于2023年9月选取陕西省某三甲医院进行危重症护理培训的护士为研究对象,对照组采用传统教学模式,观察组采用T-T-T模式。结果培训后两组护士理论成绩、操作技能成绩、剧本成绩、综合成绩、对培训模式的满意度比较差异有统计学意义(P<0.05)。结论将T-T-T模式应用于危重症护理培训中,能有效提高护士综合成绩和培训满意度,明确护士的“学生”“教师”双重角色,使护士从学以致用升级为技能传授。该模式可广泛应用于临床护理培训中,有利于节省护理人才培训时间,提高培训效率。 展开更多
关键词 危重症护理 培训者培训 护理教育
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基于培训者培训模式的基层护士急救技能分级培训方案的构建
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作者 钟智鹏 吴诗蓉 +6 位作者 黄燕梅 冯爱连 李娜 黄秋萍 凌传仁 毛振辉 邓秋迎 《护理学报》 2025年第13期8-12,共5页
目的基于培训者培训模式构建基层护士急救技能分级培训方案,为基层急救护理技能培训的可持续开展提供参考。方法以培训者培训模式为理论基础,在文献回顾及政策指南分析基础上初步构建条目池。2024年4-6月,利用便利抽样法对广东省21个地... 目的基于培训者培训模式构建基层护士急救技能分级培训方案,为基层急救护理技能培训的可持续开展提供参考。方法以培训者培训模式为理论基础,在文献回顾及政策指南分析基础上初步构建条目池。2024年4-6月,利用便利抽样法对广东省21个地级市195所基层医院展开急救技能培训现状与需求调查,形成专家函询问卷,2024年7-10月对15名急救培训、护理教育与护理管理领域的专家进行了2轮德尔菲函询,确立方案终稿。结果2轮专家函询的问卷回收率均为100%,专家权威系数均为0.830,肯德尔协调系数分别为0.461和0.377(均P<0.001),第2轮函询的变异系数为0~0.240。基于培训者培训模式的基层护士急救技能分级培训方案包括2级方案,一级培训方案中一、二、三级条目分别为3、12、40项;二级培训方案中一、二、三级条目分别为3、11、35项。结论本研究构建的培训方案内容科学可靠,具备可操作性、实用性及创新性,可为基层急救培训人才库建设与急救技能培训的可持续开展提供依据。 展开更多
关键词 基层医疗机构 急救技能培训 基层护士 德尔菲技术 培训者培训模式
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三球式呼吸训练器联合抗阻训练在促进老年COPD稳定期患者肺康复中的应用价值 被引量:2
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作者 寇娅 《反射疗法与康复医学》 2025年第7期66-69,共4页
目的探讨三球式呼吸训练器联合抗阻训练在老年慢性阻塞性肺疾病(COPD)稳定期患者肺康复中的应用价值。方法选取2024年4—10月庆阳市康复医院收治的78例老年COPD稳定期患者为研究对象,按随机数字表法将其分为对照组和观察组,每组39例。... 目的探讨三球式呼吸训练器联合抗阻训练在老年慢性阻塞性肺疾病(COPD)稳定期患者肺康复中的应用价值。方法选取2024年4—10月庆阳市康复医院收治的78例老年COPD稳定期患者为研究对象,按随机数字表法将其分为对照组和观察组,每组39例。对照组采取常规康复训练,观察组在对照组基础上采取三球式呼吸训练器联合抗阻训练,两组均持续训练2周。对比两组的肺功能、呼吸困难程度、运动耐力、症状严重程度。结果训练后,观察组第1秒用力呼气容积大于对照组,第1秒用力呼气容积占预计值百分比、第1秒用力呼气容积与用力肺活量的比值均高于对照组,组间差异有统计学意义(P<0.05);观察组改良英国医学研究委员会呼吸困难量表评分为(1.19±0.24)分,低于对照组的(1.67±0.29)分,差异有统计学意义(P<0.05);观察组6 min步行距离长于对照组,改良30 s内坐立次数多于对照组,慢性阻塞性肺疾病评估测试评分低于对照组,组间差异有统计学意义(P<0.05)。结论三球式呼吸训练器联合抗阻训练能够改善老年COPD稳定期患者肺功能,减轻其呼吸困难程度,提高其运动耐力,从而全面改善患者的整体症状。 展开更多
关键词 慢性阻塞性肺疾病 稳定期 三球式呼吸训练器 抗阻训练 肺功能
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Implementation of a novel train-the-trainer program for pharmacists in China 被引量:1
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作者 Hoan Linh Banh Andrew Cave 《Family Medicine and Community Health》 2016年第1期60-63,共4页
Clinical pharmacy services in North American are well implemented both in community phar-macies and in hospital pharmacies.In 2009 the Chinese government mandated the implementation of clinical pharmacy services in al... Clinical pharmacy services in North American are well implemented both in community phar-macies and in hospital pharmacies.In 2009 the Chinese government mandated the implementation of clinical pharmacy services in all secondary and tertiary hospitals by 2020.The mandate would require adequately trained clinical pharmacists.However,most pharmacy education programs in China have not yet incorporated clinical pharmacy into their curricula.Many pharmacists have been sent to countries,including the United States and Canada,to receive clinical pharmacy train-ing.Because of different health care systems,medical team dynamics,and language barriers,it became difficult for the returning pharmacists to apply the skills gained from this type of training.As a result,the Second Xiangya Hospital of Central South University initiated an international academic-run train-the-trainer program.The objectives are to provide adequate training for phar-macists to provide pharmaceutical care to patients,conduct clinical pharmacy-related research,and engage in scholarly activities.After evaluation of local readiness,the course commenced in 2014,and to date four trainers have received personalized one-on-one training by an advanced pharma-cist with 15 years of experience of delivering similar curricula in North America.We present the initial process evaluation and learning that will contribute to the development of clinical pharmacy courses at Central South University. 展开更多
关键词 Train the trainer clinical pharmacists clinical pharmacy clinical pharmacy research China
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