Objective:To describe the implementation of evidence-based practice(EBP)and identify the associated factors among clinical nurses working at an oncology hospital in Central Vietnam.Methods:A cross-sectional study was ...Objective:To describe the implementation of evidence-based practice(EBP)and identify the associated factors among clinical nurses working at an oncology hospital in Central Vietnam.Methods:A cross-sectional study was conducted with 190 clinical nurses recruited from an oncology hospital in Central Vietnam.The self-administered Evidence-Based Practice Questionnaire(EBPQ)was employed to assess the nurses'knowledge/skills,attitudes,and implementation of EBP.Data analysis utilized descriptive statistics,the Mann-Whitney test,the Kruskal-Wallis test,and Spearman's rho correlation.Results:The mean total score for EBP implementation among the nurses was 29.52(SD=7.14)out of 42 scores.The most frequently undertaken activity was sharing evidence with colleagues,whereas finding relevant evidence was the least performed.The level of EBP implementation significantly varied based on the nurses'role types and their participation in related courses(P<0.05).Moreover,a strong positive correlation was observed between EBP implementation and both knowledge/skills(r=0.703,P<0.001)and attitudes toward EBP(r=0.536,P<0.001).Conclusions:The implementation of EBP by oncology nurses is generally moderate and is significantly positively correlated with their knowledge/skills and attitudes toward EBP.These findings underscore the importance of enhancing educational programs and facilitating suppor tive institutional policies to fur ther encourage the adoption of EBP among nurses.展开更多
BACKGROUND Addressing oculoplastic conditions in the preoperative period ensures both the safety and functional success of any ophthalmic procedure.Some oculoplastic conditions,like nasolacrimal duct obstruction,have ...BACKGROUND Addressing oculoplastic conditions in the preoperative period ensures both the safety and functional success of any ophthalmic procedure.Some oculoplastic conditions,like nasolacrimal duct obstruction,have been extensively studied,whereas others,like eyelid malposition and thyroid eye disease,have received minimal or no research.AIM To investigate the current practice patterns among ophthalmologists while treating concomitant oculoplastic conditions before any subspecialty ophthalmic intervention.METHODS A cross-sectional survey was disseminated among ophthalmologists all over India.The survey included questions related to pre-operative evaluation,anaesthetic and surgical techniques preferred,post-operative care,the use of adjunctive therapies,and patient follow-up patterns.RESULTS A total of 180 ophthalmologists responded to the survey.Most practitioners(89%)felt that the ROPLAS test was sufficient during pre-operative evaluation before any subspecialty surgery was advised.The most common surgical techniques employed were lacrimal drainage procedures(Dacryocystorhinostomy)(63.3%),eyelid malposition repair(36.9%),and ptosis repair(58.7%).Post-operatively,47.7%of respondents emphasized that at least a 4-week gap should be maintained after lacrimal drainage procedures and eyelid surgeries.Sixty-seven percent of ophthalmologists felt that topical anaesthetic procedures should be preferred while performing ocular surgeries in thyroid eye disease patients.CONCLUSION Approximately 50%of ophthalmologists handle prevalent oculoplastic issues themselves,seeking the expertise of an oculoplastic surgeon under particular conditions.Many ophthalmologists still favor using ROPLAS as a preliminary screening method before proceeding with cataract surgery.Eyelid conditions and thyroid eye disease are not as commonly addressed before subspecialty procedures compared to issues like nasolacrimal duct obstruction and periocular infections.展开更多
Objective: To develop a best-evidence-based optimal nutrition management plan for patients with chronic heart failure, apply it in clinical practice, and evaluate its effectiveness. Methods: Use the KTA knowledge tran...Objective: To develop a best-evidence-based optimal nutrition management plan for patients with chronic heart failure, apply it in clinical practice, and evaluate its effectiveness. Methods: Use the KTA knowledge translation model to guide evidence-based practice in nutrition management, and compare the nutritional status, cardiac function status, quality of life, and quality review indicators of chronic heart failure patients before and after the application of evidence. Results: After the application of evidence, the nutritional status indicators (MNA-SF score, albumin, hemoglobin) of two groups of heart failure patients significantly increased compared to before the application of evidence, with statistically significant differences (p Conclusion: The KTA knowledge translation model provides methodological guidance for the implementation of evidence-based practice for heart failure patients. This evidence-based practice project is beneficial for improving the outcomes of malnutrition in chronic heart failure patients and is conducive to standardizing nursing pathways, thereby promoting the improvement of nursing quality.展开更多
The evaluation of social practice outcomes is a critical component of the social practice mechanisms in colleges and universities,serving as a core index to assess the effectiveness of practice activities and the qual...The evaluation of social practice outcomes is a critical component of the social practice mechanisms in colleges and universities,serving as a core index to assess the effectiveness of practice activities and the quality of student training.This paper employs CiteSpace to analyze references,keyword co-occurrence maps,time zone maps,and time diagrams,identifying key research hotspots in social practice evaluation systems domestically and internationally.These hotspots include the construction of evaluation indicators,evaluation pathways,and methods.Additionally,this study compares and summarizes the evolution of social practice evaluation systems across regions.It highlights that foreign social practice evaluation systems are characterized by diverse interpretative paradigms,an emphasis on students’self-reflection during the evaluation process,and more robust theoretical foundations.These findings provide valuable insights for domestic colleges and universities seeking to build social practice evaluation systems with relevant content and effective results.展开更多
Objectives To investigate the barriers and facilitators influencing the sustainable implementation of evidence-based practice(EBP)for Peristomal Irritant Contact Dermatitis(PICD)based on the Consolidated Framework for...Objectives To investigate the barriers and facilitators influencing the sustainable implementation of evidence-based practice(EBP)for Peristomal Irritant Contact Dermatitis(PICD)based on the Consolidated Framework for Implementation Research(CFIR).Methods The sample consisted of 17 nurses from three urology wards at a tertiary hospital in Beijing,China,who had participated in the EBP.Guided by the CFIR,we identified constructs influencing the sustainability of implementation by conducting a directed content analysis of the 17 individual in-depth interviews.By rating,the valence and magnitude of each construct were determined.Results This study identified 19 factors across the five domains of the CFIR.Among these determinants,16 were identified as barriers,while three were recognized as facilitators.Common barriers across different contexts were identified,such as delayed evidence updating,the complexity of intervention components and steps,and incompatibility between the implementation process and clinical practices.In contrast,facilitators of intervention implementation were regular communication and feedback,support and drive from principals and a positive cultural atmosphere.In addition,we identified“regular evidence updating”as an independent construct outside of the CFIR,a finding that will provide key information for updating the CFIR framework.Conclusions Regular evidence updating is crucial for the sustainability of EBP implementation.Researchers should receive consistent feedback from practitioners and adjust or modify the EBP as necessary.Additionally,researchers must consider the compatibility or adaptability of the EBP’s content with clinical practice in formulating it rather than adding additional complexity to the original workflow.展开更多
This study investigates and explores the teaching of higher vocational English courses for non-English majors from the perspective of core competencies.First,it outlines the current research status of core competencie...This study investigates and explores the teaching of higher vocational English courses for non-English majors from the perspective of core competencies.First,it outlines the current research status of core competencies and analyzes the national-level requirements for English core competencies.Subsequently,based on professional training objectives and curriculum standards,a questionnaire on the core competencies of English courses has been designed to understand students’perceptions and experiences regarding the development of their competencies in areas such as workplace communication,cross-cultural exchange,language thinking enhancement,and autonomous learning improvement.The survey results showed that the majority of students had a positive attitude towards the effectiveness of English courses in cultivating the aforementioned core competencies.However,some students also suggest improvements,such as increasing practical opportunities and strengthening cultural exchange.Based on this,the study further explores how to integrate the cultivation of core competencies into classroom teaching,including the use of a combination of formative and summative assessments,the design of teaching content and activities related to the workplace and cross-cultural communication,and the guidance of students to actively explore and apply their knowledge,thereby enhancing their English language application abilities.This study has certain reference value for the optimization of the higher vocational English curriculum system and the reform of teaching methods.展开更多
This paper introduces the experience and practice in constructing the practical teaching system for the course“Electric Machine and Drive.”In response to the current status of cultivating innovative practical abilit...This paper introduces the experience and practice in constructing the practical teaching system for the course“Electric Machine and Drive.”In response to the current status of cultivating innovative practical abilities among electrical engineering majors,based on the independently developed virtual simulation experimental teaching platform for Electric Machine and Drive,a stepped practical teaching process consisting of“classroom teaching-experimental teaching-comprehensive training-scientific inquiry”has been elaborately designed.A hierarchical practical teaching model for the second classroom has also been established.With teaching objectives as the optimization index,the teaching content,methods and means have been optimized;the teaching process has been organized and implemented in the form of team collaboration,thus constructing a comprehensive,stepped,hierarchical,and closed-loop innovative practical teaching system.This achievement provides references and assistance for the practical teaching of the same or similar majors in other colleges and universities.展开更多
In response to current issues in basic nursing course instruction,this article proposes a teaching model reform based on the OBE(outcome-based education)concept.By resetting course objectives,innovating teaching metho...In response to current issues in basic nursing course instruction,this article proposes a teaching model reform based on the OBE(outcome-based education)concept.By resetting course objectives,innovating teaching methods and content,reforming the assessment and evaluation system,as well as conducting practical explorations and case studies,the aim is to enhance teaching quality and cultivate students’practical abilities and comprehensive qualities.The article elaborates on the application of the OBE concept in nursing education and its effectiveness evaluation,providing a valuable reference for nursing education reform.展开更多
During the critical transformation period of landscape architecture major after the adjustment of disciplinary structure and the changes in market demand,private colleges and universities,as important places for culti...During the critical transformation period of landscape architecture major after the adjustment of disciplinary structure and the changes in market demand,private colleges and universities,as important places for cultivating local talents,have pain points such as uneven quality of teachers and students and weak innovation and practice.The practice system with“multi-dimensional Integration”integrates four dimensions:interdisciplinary integration,spatial and temporal intersection,historical inheritance,and behavioral activity,deepens the disciplinary connotation,and integrates the three elements of nature,humanity,and technology,aiming to provide a new path for private colleges and universities to cultivate application-oriented and compound talents with innovative capabilities.In terms of optimizing talent cultivation and adapting to industry changes,this system provides thinking and reference for landscape architecture major,helping the major reshape its core competitiveness and promoting educational innovation and industry development.展开更多
Against the backdrop of the comprehensive advancement of curriculum ideological and political construction in colleges and universities,art general education courses,as important carriers for the integration of aesthe...Against the backdrop of the comprehensive advancement of curriculum ideological and political construction in colleges and universities,art general education courses,as important carriers for the integration of aesthetic education and moral education,have their educational value awaiting systematic exploration.This article takes the"Accordion Performance Art"course at Beijing International Studies University as the research object and systematically expounds on the ideological and political construction path from skill training to cultural education.It constructs a three-dimensional educational framework of"technique-aesthetics-value",focuses on analyzing characteristic practices such as the infiltration of red music culture,the penetration of ethnic music elements,and the application of Marxist philosophical principles,and innovatively proposes a progressive teaching model of"situational experience-dialectical thinking-cultural communication".Through the reconstruction of teaching content,innovation of teaching methods,and optimization of evaluation systems,the organic integration of accordion performance teaching and ideological and political education has been realized,providing an operable practical reference paradigm for the ideological and political construction of art general education courses.The research shows that the ideological and political construction of art courses must be based on the characteristics of the discipline,with artistic practice as the carrier and cultural inheritance as the link,in order to achieve the in-depth goal of"educating people with aesthetics and cultivating people with culture".展开更多
With the iteration and upgrading of medical technology and the continuous growth of public health demands,the quality of nursing services has become a core indicator for measuring the effectiveness of the medical syst...With the iteration and upgrading of medical technology and the continuous growth of public health demands,the quality of nursing services has become a core indicator for measuring the effectiveness of the medical system.The clinical practice ability of nursing staff is directly related to the safety of patient diagnosis and treatment and the rehabilitation process.However,the current clinical nursing talent training model is facing bottlenecks such as limited practical scenarios and fragmented case cognition.This study focuses on the teaching application of augmented reality(AR)technology in hospital Settings and systematically reviews the research progress on the improvement of clinical practice ability of trainee nurses based on the AR immersive teaching model.By constructing a clinical teaching scenario that integrates virtual and real,AR technology can dynamically simulate complex case handling processes and enhance nursing students’three-dimensional cognition of condition assessment,operation norms,and emergency plans.Hospitals,as the core base for practical teaching,can effectively shorten the connection cycle between theoretical teaching and clinical practice by integrating AR technology,improve the clinical practice level of trainee nurses,and provide an innovative model for optimizing the path of clinical nursing talent cultivation.展开更多
As a core course for the Engineering Cost major at Chongqing Institute of Engineering,Engineering Mechanics shoulders the dual mission of cultivating students’mechanical thinking,engineering practical abilities,and p...As a core course for the Engineering Cost major at Chongqing Institute of Engineering,Engineering Mechanics shoulders the dual mission of cultivating students’mechanical thinking,engineering practical abilities,and professional qualities.Centered on the deep integration of the outcome-based education(OBE)concept and curriculum-based ideological and political education,this paper systematically elaborates on the reform paths and implementation strategies from four dimensions-reconstruction of teaching content,innovation of assessment mechanisms,integration of ideological and political elements,and construction of teaching resources-by drawing on the teaching reform practices of Engineering Mechanics courses at multiple universities.Through modular teaching content design,a competency-oriented diversified assessment system,and a method of integrating ideological and political education with local characteristics and engineering case studies,the teaching objectives of“knowledge transmission,ability cultivation,and value shaping”are achieved in a three-in-one manner.Practical results indicate that after the reform,students’engineering practical abilities have significantly improved,with a course objective achievement rate exceeding 0.73,a 23%increase in student satisfaction with the course,and a 35%year-on-year increase in the number of awards won in professional competitions,providing a replicable paradigm for the teaching reform of engineering courses.展开更多
[Objectives]To explore the effectiveness of integrating ideological and political education based on the Nightingale spirit into the clinical practice curriculum for nursing interns.[Methods]A total of 90 questionnair...[Objectives]To explore the effectiveness of integrating ideological and political education based on the Nightingale spirit into the clinical practice curriculum for nursing interns.[Methods]A total of 90 questionnaires were distributed and analyzed among nursing interns and patients to evaluate multiple dimensions,including the interns satisfaction with the internship,mastery of clinical knowledge,ideological and political literacy,professional ethics,and social responsibility.[Results]The overall internship satisfaction of nursing interns reached 98.9%,indicating that the course design and teaching model were widely recognized by students.Secondly,the interns demonstrated excellent mastery of clinical knowledge,with 94.0%of students stating they had fully grasped the clinical knowledge taught during the internship,an increase of 18.6%compared to the previous cohort.In terms of ideological and political literacy,98%of students had a better understanding and application of the Nightingale spirit,an increase of 16.2%compared to the previous cohort.Additionally,the sense of professional identity was significantly enhanced,with 95.8%of students showing a stronger sense of identity and responsibility towards the nursing profession,an increase of 14.0%compared to the previous cohort.Patients also gave high evaluations of the interns performance,with 98.8%expressing satisfaction with the students attitude and performance in nursing care.[Conclusions]The curriculum model based on the integration of Nightingale spirit has effectively improved the professional quality,ideological and political quality and professional identity of nursing interns,and has been highly recognized by patients.It not only provides strong support for the practice of combining ideological and political work with professional courses in nursing education,but also provides a reference for the optimization of clinical practice teaching mode of nursing interns in the future.展开更多
Objective:To explore the application of the Registered Nurses'Association of Ontario(RNAO)Best Practice Guideline(BPG)for Developing and Sustaining Nursing Leadership through the lens of nursing students transitio...Objective:To explore the application of the Registered Nurses'Association of Ontario(RNAO)Best Practice Guideline(BPG)for Developing and Sustaining Nursing Leadership through the lens of nursing students transitioning from classroom learning to clinical practice.Through this reflection,the authors hope to inspire and empower future nursing leaders to champion innovation,resilience,and excellence in healthcare.Methods:By integrating evidence-based leadership principles,the authors reflect on their personal experiences,challenges,and successes in implementing these guidelines in real-world settings.Results:The paper highlights the significance of leadership in fostering healthy work environments and improving patient outcomes,emphasizing the role of nursing students as emerging leaders.Practical strategies for applying BPG,the RNAO BPG suggests leadership skills on professional development,and recommendations for embedding leadership principles into nursing education and practice are discussed.Conclusions:Implementing nursing leadership from the beginning of a nursing student's journey is vital for shaping the next generation of healthcare leaders.By integrating leadership principles early in nursing education,students can develop the skills needed to navigate clinical challenges,collaborate effectively with healthcare teams,and advocate for positive change.Starting with leadership guidelines in nursing school ensures that future nurses are equipped to foster supportive work environments,improve patient outcomes,and drive innovation from the very start of their careers,making leadership an inherent part of their professional identity.展开更多
Against the backdrop of continuous social development and growing public health demands,the efficiency and scientific nature of the emergency care system are of paramount importance.This paper focuses on researching t...Against the backdrop of continuous social development and growing public health demands,the efficiency and scientific nature of the emergency care system are of paramount importance.This paper focuses on researching the construction of an emergency care system based on the concept of“linkage”,delving into its theoretical foundations,exploring innovative construction models,and analyzing practical cases.The study indicates that an emergency care system under the“linkage”concept can effectively integrate resources and enhance efficiency,providing new insights for improving the construction of the emergency care system.It aims to promote the development of the emergency care system towards a more scientific,efficient,and collaborative direction.展开更多
The pandemic highlighted significant gaps in the public health infrastructure impacted by shortages of public health workers, an undertrained workforce, and years of disinvestment. These gaps required innovative probl...The pandemic highlighted significant gaps in the public health infrastructure impacted by shortages of public health workers, an undertrained workforce, and years of disinvestment. These gaps required innovative problem-solving by public health agencies (PHAs), including local health departments (LHDs), to respond to rapidly changing community conditions during and after the pandemic. Many schools and programs of public health (SPPH) worked with PHAs to mobilize public health (PH) students through practice-based teaching (PBT). Current research indicates PBT benefits all stakeholders—PHAs, students, faculty, SPPH, and ultimately the community served. However, more research is needed on the utility of PBT in addressing a community’s systemic public health issues, the extent to which the academic-community collaboration enhances a PHA’s capacity, and the impact of the pedagogy on preparing the workforce for an evolving PH landscape. This paper examines the process of a semester-long PBT course, guided by the PBT STEPS framework, which includes five steps from collaboration to implementation to evaluation of a PBT course. The collaborating PHA and its student group addressed community trauma and resilience issues during the semester. Additionally, it examines the longer-term impacts after the semester for the PHA, community, and the workforce by 1) conducting a formative evaluation to understand needs and gaps in the community;2) redesigning an intervention that merged the results of the formative evaluation with the intervention developed during the semester;and 3) securing funding and resources for intervention sustainability. Through the documentation of a post-course partnership between an LHD and faculty at a large school of public health, this case study illustrates the potential for PBT to lay the foundation for ongoing research that supports more impactful interventions for PHAs while bolstering the workforce abilities of students as future practitioners.展开更多
Reversible data hiding(RDH)enables secret data embedding while preserving complete cover image recovery,making it crucial for applications requiring image integrity.The pixel value ordering(PVO)technique used in multi...Reversible data hiding(RDH)enables secret data embedding while preserving complete cover image recovery,making it crucial for applications requiring image integrity.The pixel value ordering(PVO)technique used in multi-stego images provides good image quality but often results in low embedding capability.To address these challenges,this paper proposes a high-capacity RDH scheme based on PVO that generates three stego images from a single cover image.The cover image is partitioned into non-overlapping blocks with pixels sorted in ascending order.Four secret bits are embedded into each block’s maximum pixel value,while three additional bits are embedded into the second-largest value when the pixel difference exceeds a predefined threshold.A similar embedding strategy is also applied to the minimum side of the block,including the second-smallest pixel value.This design enables each block to embed up to 14 bits of secret data.Experimental results demonstrate that the proposed method achieves significantly higher embedding capacity and improved visual quality compared to existing triple-stego RDH approaches,advancing the field of reversible steganography.展开更多
Tau plays a crucial role in several neurodegenerative diseases,collectively referred to as tauopathies.Therefore,targeting potential pathological changes in tau could enable useful therapeutic interventions.However,ta...Tau plays a crucial role in several neurodegenerative diseases,collectively referred to as tauopathies.Therefore,targeting potential pathological changes in tau could enable useful therapeutic interventions.However,tau is not an easy target because it dynamically interacts with microtubules and other cellular components,which presents a challenge for tau-targeted drugs.New cellular models could aid the development of mechanism-based tau-targeted therapies.展开更多
This study investigated biomass allocation in young stands of European beech(Fagus sylvatica L.)and Norway spruce(Picea abies(L.)Karst.)across 31 forest sites in the Western Carpathians,Slovakia.A total of 541 trees a...This study investigated biomass allocation in young stands of European beech(Fagus sylvatica L.)and Norway spruce(Picea abies(L.)Karst.)across 31 forest sites in the Western Carpathians,Slovakia.A total of 541 trees aged 2–10 years,originating from natural regeneration and planting,were destructively sampled to quantify biomass in four components:foliage,branches,stems,and roots.Generalized non-linear least squares(GNLS)models with a weighing variance function outperformed log-transformed seemingly unrelated regression(SUR)models in terms of accuracy and robustness,especially for foliage and branch biomass.When using height as the predictor,SUR models tended to underestimate biomass in planted beech,leading to notable underprediction of aboveground and total biomass.Biomass allocation patterns varied significantly by species and regeneration origin.Using a non-linear system of equations and component ratio modelling,we found out that planted spruce displayed low variability and a consistent dominance of needle biomass,while naturally regenerated beech showed greater variability and a higher proportion of stem biomass,reflecting stronger competition-driven vertical growth.Interspecific differences in total biomass were more pronounced when using tree height,with spruce generally exhibiting greater biomass than beech at equivalent heights.Overall,stem base diameter marginally outperformed tree height as a predictor of biomass.However,tree height-based models showed strong performance and are particularly suitable for integration with remote sensing applications.These findings can directly support forest managers and modellers in comparing regeneration methods and biomass estimation approaches for early-stage stand development,carbon accounting,and remote sensing calibration.展开更多
The paper presents a case study on listening-speaking class instruction models based on exploratory practice. Assuming the dual roles of a teacher and a researcher, the writer of this paper has implemented three model...The paper presents a case study on listening-speaking class instruction models based on exploratory practice. Assuming the dual roles of a teacher and a researcher, the writer of this paper has implemented three models of classroom instructions for the Viewing, Listening ＆ Speaking Class. From the students＇ report, teacher＇s log and classroom observation, it is concluded that the three models meet the needs of different students. The key to a successful Viewing, Listening＆ Speaking Class is to set reasonable goals and analyze students＇ needs.展开更多
文摘Objective:To describe the implementation of evidence-based practice(EBP)and identify the associated factors among clinical nurses working at an oncology hospital in Central Vietnam.Methods:A cross-sectional study was conducted with 190 clinical nurses recruited from an oncology hospital in Central Vietnam.The self-administered Evidence-Based Practice Questionnaire(EBPQ)was employed to assess the nurses'knowledge/skills,attitudes,and implementation of EBP.Data analysis utilized descriptive statistics,the Mann-Whitney test,the Kruskal-Wallis test,and Spearman's rho correlation.Results:The mean total score for EBP implementation among the nurses was 29.52(SD=7.14)out of 42 scores.The most frequently undertaken activity was sharing evidence with colleagues,whereas finding relevant evidence was the least performed.The level of EBP implementation significantly varied based on the nurses'role types and their participation in related courses(P<0.05).Moreover,a strong positive correlation was observed between EBP implementation and both knowledge/skills(r=0.703,P<0.001)and attitudes toward EBP(r=0.536,P<0.001).Conclusions:The implementation of EBP by oncology nurses is generally moderate and is significantly positively correlated with their knowledge/skills and attitudes toward EBP.These findings underscore the importance of enhancing educational programs and facilitating suppor tive institutional policies to fur ther encourage the adoption of EBP among nurses.
文摘BACKGROUND Addressing oculoplastic conditions in the preoperative period ensures both the safety and functional success of any ophthalmic procedure.Some oculoplastic conditions,like nasolacrimal duct obstruction,have been extensively studied,whereas others,like eyelid malposition and thyroid eye disease,have received minimal or no research.AIM To investigate the current practice patterns among ophthalmologists while treating concomitant oculoplastic conditions before any subspecialty ophthalmic intervention.METHODS A cross-sectional survey was disseminated among ophthalmologists all over India.The survey included questions related to pre-operative evaluation,anaesthetic and surgical techniques preferred,post-operative care,the use of adjunctive therapies,and patient follow-up patterns.RESULTS A total of 180 ophthalmologists responded to the survey.Most practitioners(89%)felt that the ROPLAS test was sufficient during pre-operative evaluation before any subspecialty surgery was advised.The most common surgical techniques employed were lacrimal drainage procedures(Dacryocystorhinostomy)(63.3%),eyelid malposition repair(36.9%),and ptosis repair(58.7%).Post-operatively,47.7%of respondents emphasized that at least a 4-week gap should be maintained after lacrimal drainage procedures and eyelid surgeries.Sixty-seven percent of ophthalmologists felt that topical anaesthetic procedures should be preferred while performing ocular surgeries in thyroid eye disease patients.CONCLUSION Approximately 50%of ophthalmologists handle prevalent oculoplastic issues themselves,seeking the expertise of an oculoplastic surgeon under particular conditions.Many ophthalmologists still favor using ROPLAS as a preliminary screening method before proceeding with cataract surgery.Eyelid conditions and thyroid eye disease are not as commonly addressed before subspecialty procedures compared to issues like nasolacrimal duct obstruction and periocular infections.
文摘Objective: To develop a best-evidence-based optimal nutrition management plan for patients with chronic heart failure, apply it in clinical practice, and evaluate its effectiveness. Methods: Use the KTA knowledge translation model to guide evidence-based practice in nutrition management, and compare the nutritional status, cardiac function status, quality of life, and quality review indicators of chronic heart failure patients before and after the application of evidence. Results: After the application of evidence, the nutritional status indicators (MNA-SF score, albumin, hemoglobin) of two groups of heart failure patients significantly increased compared to before the application of evidence, with statistically significant differences (p Conclusion: The KTA knowledge translation model provides methodological guidance for the implementation of evidence-based practice for heart failure patients. This evidence-based practice project is beneficial for improving the outcomes of malnutrition in chronic heart failure patients and is conducive to standardizing nursing pathways, thereby promoting the improvement of nursing quality.
基金supported by the Zhejiang Provincial Department of Education’s General Scientific Research Project(Project No.2023-007)the Zhejiang Provincial Graduate Education Association(Project No.2023-007).
文摘The evaluation of social practice outcomes is a critical component of the social practice mechanisms in colleges and universities,serving as a core index to assess the effectiveness of practice activities and the quality of student training.This paper employs CiteSpace to analyze references,keyword co-occurrence maps,time zone maps,and time diagrams,identifying key research hotspots in social practice evaluation systems domestically and internationally.These hotspots include the construction of evaluation indicators,evaluation pathways,and methods.Additionally,this study compares and summarizes the evolution of social practice evaluation systems across regions.It highlights that foreign social practice evaluation systems are characterized by diverse interpretative paradigms,an emphasis on students’self-reflection during the evaluation process,and more robust theoretical foundations.These findings provide valuable insights for domestic colleges and universities seeking to build social practice evaluation systems with relevant content and effective results.
基金supported by the Peking University Nursing Discipline Research Development Fund(No.TYZH2023001)。
文摘Objectives To investigate the barriers and facilitators influencing the sustainable implementation of evidence-based practice(EBP)for Peristomal Irritant Contact Dermatitis(PICD)based on the Consolidated Framework for Implementation Research(CFIR).Methods The sample consisted of 17 nurses from three urology wards at a tertiary hospital in Beijing,China,who had participated in the EBP.Guided by the CFIR,we identified constructs influencing the sustainability of implementation by conducting a directed content analysis of the 17 individual in-depth interviews.By rating,the valence and magnitude of each construct were determined.Results This study identified 19 factors across the five domains of the CFIR.Among these determinants,16 were identified as barriers,while three were recognized as facilitators.Common barriers across different contexts were identified,such as delayed evidence updating,the complexity of intervention components and steps,and incompatibility between the implementation process and clinical practices.In contrast,facilitators of intervention implementation were regular communication and feedback,support and drive from principals and a positive cultural atmosphere.In addition,we identified“regular evidence updating”as an independent construct outside of the CFIR,a finding that will provide key information for updating the CFIR framework.Conclusions Regular evidence updating is crucial for the sustainability of EBP implementation.Researchers should receive consistent feedback from practitioners and adjust or modify the EBP as necessary.Additionally,researchers must consider the compatibility or adaptability of the EBP’s content with clinical practice in formulating it rather than adding additional complexity to the original workflow.
基金The General Subject of the 2023 Vocational College Foreign Language Education Reform Special Project of the Foreign Language Education Committee,China Vocational and Technical Education Association“Research and Practice on the Reform of the Evaluation System for Public English Teaching in Higher Vocational Education from the Perspective of Core Competencies”(WYW2023A29)。
文摘This study investigates and explores the teaching of higher vocational English courses for non-English majors from the perspective of core competencies.First,it outlines the current research status of core competencies and analyzes the national-level requirements for English core competencies.Subsequently,based on professional training objectives and curriculum standards,a questionnaire on the core competencies of English courses has been designed to understand students’perceptions and experiences regarding the development of their competencies in areas such as workplace communication,cross-cultural exchange,language thinking enhancement,and autonomous learning improvement.The survey results showed that the majority of students had a positive attitude towards the effectiveness of English courses in cultivating the aforementioned core competencies.However,some students also suggest improvements,such as increasing practical opportunities and strengthening cultural exchange.Based on this,the study further explores how to integrate the cultivation of core competencies into classroom teaching,including the use of a combination of formative and summative assessments,the design of teaching content and activities related to the workplace and cross-cultural communication,and the guidance of students to actively explore and apply their knowledge,thereby enhancing their English language application abilities.This study has certain reference value for the optimization of the higher vocational English curriculum system and the reform of teaching methods.
基金Project of the 14th Five-Year Plan for Educational Science in Liaoning Province(JG24DB234)Project of Graduate Education and Teaching Reform Research in Liaoning Province(LNYJG2023115)。
文摘This paper introduces the experience and practice in constructing the practical teaching system for the course“Electric Machine and Drive.”In response to the current status of cultivating innovative practical abilities among electrical engineering majors,based on the independently developed virtual simulation experimental teaching platform for Electric Machine and Drive,a stepped practical teaching process consisting of“classroom teaching-experimental teaching-comprehensive training-scientific inquiry”has been elaborately designed.A hierarchical practical teaching model for the second classroom has also been established.With teaching objectives as the optimization index,the teaching content,methods and means have been optimized;the teaching process has been organized and implemented in the form of team collaboration,thus constructing a comprehensive,stepped,hierarchical,and closed-loop innovative practical teaching system.This achievement provides references and assistance for the practical teaching of the same or similar majors in other colleges and universities.
文摘In response to current issues in basic nursing course instruction,this article proposes a teaching model reform based on the OBE(outcome-based education)concept.By resetting course objectives,innovating teaching methods and content,reforming the assessment and evaluation system,as well as conducting practical explorations and case studies,the aim is to enhance teaching quality and cultivate students’practical abilities and comprehensive qualities.The article elaborates on the application of the OBE concept in nursing education and its effectiveness evaluation,providing a valuable reference for nursing education reform.
基金Sponsored by the Quality Engineering Project of Education Department of Anhui Province(2022jyxm671)Research Team Project of Anhui Xinhua University(kytd202202)+1 种基金Key Project of Scientific Research(Natural Science)of Higher Education Institutions in Anhui Province(2022AH051861)Teaching Reform Research and Practice Quality Engineering Project of Anhui Xinhua University(2024jy035).
文摘During the critical transformation period of landscape architecture major after the adjustment of disciplinary structure and the changes in market demand,private colleges and universities,as important places for cultivating local talents,have pain points such as uneven quality of teachers and students and weak innovation and practice.The practice system with“multi-dimensional Integration”integrates four dimensions:interdisciplinary integration,spatial and temporal intersection,historical inheritance,and behavioral activity,deepens the disciplinary connotation,and integrates the three elements of nature,humanity,and technology,aiming to provide a new path for private colleges and universities to cultivate application-oriented and compound talents with innovative capabilities.In terms of optimizing talent cultivation and adapting to industry changes,this system provides thinking and reference for landscape architecture major,helping the major reshape its core competitiveness and promoting educational innovation and industry development.
文摘Against the backdrop of the comprehensive advancement of curriculum ideological and political construction in colleges and universities,art general education courses,as important carriers for the integration of aesthetic education and moral education,have their educational value awaiting systematic exploration.This article takes the"Accordion Performance Art"course at Beijing International Studies University as the research object and systematically expounds on the ideological and political construction path from skill training to cultural education.It constructs a three-dimensional educational framework of"technique-aesthetics-value",focuses on analyzing characteristic practices such as the infiltration of red music culture,the penetration of ethnic music elements,and the application of Marxist philosophical principles,and innovatively proposes a progressive teaching model of"situational experience-dialectical thinking-cultural communication".Through the reconstruction of teaching content,innovation of teaching methods,and optimization of evaluation systems,the organic integration of accordion performance teaching and ideological and political education has been realized,providing an operable practical reference paradigm for the ideological and political construction of art general education courses.The research shows that the ideological and political construction of art courses must be based on the characteristics of the discipline,with artistic practice as the carrier and cultural inheritance as the link,in order to achieve the in-depth goal of"educating people with aesthetics and cultivating people with culture".
文摘With the iteration and upgrading of medical technology and the continuous growth of public health demands,the quality of nursing services has become a core indicator for measuring the effectiveness of the medical system.The clinical practice ability of nursing staff is directly related to the safety of patient diagnosis and treatment and the rehabilitation process.However,the current clinical nursing talent training model is facing bottlenecks such as limited practical scenarios and fragmented case cognition.This study focuses on the teaching application of augmented reality(AR)technology in hospital Settings and systematically reviews the research progress on the improvement of clinical practice ability of trainee nurses based on the AR immersive teaching model.By constructing a clinical teaching scenario that integrates virtual and real,AR technology can dynamically simulate complex case handling processes and enhance nursing students’three-dimensional cognition of condition assessment,operation norms,and emergency plans.Hospitals,as the core base for practical teaching,can effectively shorten the connection cycle between theoretical teaching and clinical practice by integrating AR technology,improve the clinical practice level of trainee nurses,and provide an innovative model for optimizing the path of clinical nursing talent cultivation.
文摘As a core course for the Engineering Cost major at Chongqing Institute of Engineering,Engineering Mechanics shoulders the dual mission of cultivating students’mechanical thinking,engineering practical abilities,and professional qualities.Centered on the deep integration of the outcome-based education(OBE)concept and curriculum-based ideological and political education,this paper systematically elaborates on the reform paths and implementation strategies from four dimensions-reconstruction of teaching content,innovation of assessment mechanisms,integration of ideological and political elements,and construction of teaching resources-by drawing on the teaching reform practices of Engineering Mechanics courses at multiple universities.Through modular teaching content design,a competency-oriented diversified assessment system,and a method of integrating ideological and political education with local characteristics and engineering case studies,the teaching objectives of“knowledge transmission,ability cultivation,and value shaping”are achieved in a three-in-one manner.Practical results indicate that after the reform,students’engineering practical abilities have significantly improved,with a course objective achievement rate exceeding 0.73,a 23%increase in student satisfaction with the course,and a 35%year-on-year increase in the number of awards won in professional competitions,providing a replicable paradigm for the teaching reform of engineering courses.
基金Supported by 2024 Basic Research and Applied Basic Research Project in Neijiang City(2024 NJJCYJZZXR001)。
文摘[Objectives]To explore the effectiveness of integrating ideological and political education based on the Nightingale spirit into the clinical practice curriculum for nursing interns.[Methods]A total of 90 questionnaires were distributed and analyzed among nursing interns and patients to evaluate multiple dimensions,including the interns satisfaction with the internship,mastery of clinical knowledge,ideological and political literacy,professional ethics,and social responsibility.[Results]The overall internship satisfaction of nursing interns reached 98.9%,indicating that the course design and teaching model were widely recognized by students.Secondly,the interns demonstrated excellent mastery of clinical knowledge,with 94.0%of students stating they had fully grasped the clinical knowledge taught during the internship,an increase of 18.6%compared to the previous cohort.In terms of ideological and political literacy,98%of students had a better understanding and application of the Nightingale spirit,an increase of 16.2%compared to the previous cohort.Additionally,the sense of professional identity was significantly enhanced,with 95.8%of students showing a stronger sense of identity and responsibility towards the nursing profession,an increase of 14.0%compared to the previous cohort.Patients also gave high evaluations of the interns performance,with 98.8%expressing satisfaction with the students attitude and performance in nursing care.[Conclusions]The curriculum model based on the integration of Nightingale spirit has effectively improved the professional quality,ideological and political quality and professional identity of nursing interns,and has been highly recognized by patients.It not only provides strong support for the practice of combining ideological and political work with professional courses in nursing education,but also provides a reference for the optimization of clinical practice teaching mode of nursing interns in the future.
文摘Objective:To explore the application of the Registered Nurses'Association of Ontario(RNAO)Best Practice Guideline(BPG)for Developing and Sustaining Nursing Leadership through the lens of nursing students transitioning from classroom learning to clinical practice.Through this reflection,the authors hope to inspire and empower future nursing leaders to champion innovation,resilience,and excellence in healthcare.Methods:By integrating evidence-based leadership principles,the authors reflect on their personal experiences,challenges,and successes in implementing these guidelines in real-world settings.Results:The paper highlights the significance of leadership in fostering healthy work environments and improving patient outcomes,emphasizing the role of nursing students as emerging leaders.Practical strategies for applying BPG,the RNAO BPG suggests leadership skills on professional development,and recommendations for embedding leadership principles into nursing education and practice are discussed.Conclusions:Implementing nursing leadership from the beginning of a nursing student's journey is vital for shaping the next generation of healthcare leaders.By integrating leadership principles early in nursing education,students can develop the skills needed to navigate clinical challenges,collaborate effectively with healthcare teams,and advocate for positive change.Starting with leadership guidelines in nursing school ensures that future nurses are equipped to foster supportive work environments,improve patient outcomes,and drive innovation from the very start of their careers,making leadership an inherent part of their professional identity.
文摘Against the backdrop of continuous social development and growing public health demands,the efficiency and scientific nature of the emergency care system are of paramount importance.This paper focuses on researching the construction of an emergency care system based on the concept of“linkage”,delving into its theoretical foundations,exploring innovative construction models,and analyzing practical cases.The study indicates that an emergency care system under the“linkage”concept can effectively integrate resources and enhance efficiency,providing new insights for improving the construction of the emergency care system.It aims to promote the development of the emergency care system towards a more scientific,efficient,and collaborative direction.
文摘The pandemic highlighted significant gaps in the public health infrastructure impacted by shortages of public health workers, an undertrained workforce, and years of disinvestment. These gaps required innovative problem-solving by public health agencies (PHAs), including local health departments (LHDs), to respond to rapidly changing community conditions during and after the pandemic. Many schools and programs of public health (SPPH) worked with PHAs to mobilize public health (PH) students through practice-based teaching (PBT). Current research indicates PBT benefits all stakeholders—PHAs, students, faculty, SPPH, and ultimately the community served. However, more research is needed on the utility of PBT in addressing a community’s systemic public health issues, the extent to which the academic-community collaboration enhances a PHA’s capacity, and the impact of the pedagogy on preparing the workforce for an evolving PH landscape. This paper examines the process of a semester-long PBT course, guided by the PBT STEPS framework, which includes five steps from collaboration to implementation to evaluation of a PBT course. The collaborating PHA and its student group addressed community trauma and resilience issues during the semester. Additionally, it examines the longer-term impacts after the semester for the PHA, community, and the workforce by 1) conducting a formative evaluation to understand needs and gaps in the community;2) redesigning an intervention that merged the results of the formative evaluation with the intervention developed during the semester;and 3) securing funding and resources for intervention sustainability. Through the documentation of a post-course partnership between an LHD and faculty at a large school of public health, this case study illustrates the potential for PBT to lay the foundation for ongoing research that supports more impactful interventions for PHAs while bolstering the workforce abilities of students as future practitioners.
基金funded by University of Transport and Communications(UTC)under grant number T2025-CN-004.
文摘Reversible data hiding(RDH)enables secret data embedding while preserving complete cover image recovery,making it crucial for applications requiring image integrity.The pixel value ordering(PVO)technique used in multi-stego images provides good image quality but often results in low embedding capability.To address these challenges,this paper proposes a high-capacity RDH scheme based on PVO that generates three stego images from a single cover image.The cover image is partitioned into non-overlapping blocks with pixels sorted in ascending order.Four secret bits are embedded into each block’s maximum pixel value,while three additional bits are embedded into the second-largest value when the pixel difference exceeds a predefined threshold.A similar embedding strategy is also applied to the minimum side of the block,including the second-smallest pixel value.This design enables each block to embed up to 14 bits of secret data.Experimental results demonstrate that the proposed method achieves significantly higher embedding capacity and improved visual quality compared to existing triple-stego RDH approaches,advancing the field of reversible steganography.
文摘Tau plays a crucial role in several neurodegenerative diseases,collectively referred to as tauopathies.Therefore,targeting potential pathological changes in tau could enable useful therapeutic interventions.However,tau is not an easy target because it dynamically interacts with microtubules and other cellular components,which presents a challenge for tau-targeted drugs.New cellular models could aid the development of mechanism-based tau-targeted therapies.
基金funded by the grant“EVA4.0”,No.Z.02.1.01/0.0/0.0/16_019/0000803 supported by OP RDE as well as by the projects APVV-19-0387,APVV-22-0056,and APVV-23-0293 from the Slovak Research and Development Agencyco-funded by the European Commission under the Horizon Europe Teaming for Excellence action+1 种基金project Ligno Silvagrant agreement No.101059552。
文摘This study investigated biomass allocation in young stands of European beech(Fagus sylvatica L.)and Norway spruce(Picea abies(L.)Karst.)across 31 forest sites in the Western Carpathians,Slovakia.A total of 541 trees aged 2–10 years,originating from natural regeneration and planting,were destructively sampled to quantify biomass in four components:foliage,branches,stems,and roots.Generalized non-linear least squares(GNLS)models with a weighing variance function outperformed log-transformed seemingly unrelated regression(SUR)models in terms of accuracy and robustness,especially for foliage and branch biomass.When using height as the predictor,SUR models tended to underestimate biomass in planted beech,leading to notable underprediction of aboveground and total biomass.Biomass allocation patterns varied significantly by species and regeneration origin.Using a non-linear system of equations and component ratio modelling,we found out that planted spruce displayed low variability and a consistent dominance of needle biomass,while naturally regenerated beech showed greater variability and a higher proportion of stem biomass,reflecting stronger competition-driven vertical growth.Interspecific differences in total biomass were more pronounced when using tree height,with spruce generally exhibiting greater biomass than beech at equivalent heights.Overall,stem base diameter marginally outperformed tree height as a predictor of biomass.However,tree height-based models showed strong performance and are particularly suitable for integration with remote sensing applications.These findings can directly support forest managers and modellers in comparing regeneration methods and biomass estimation approaches for early-stage stand development,carbon accounting,and remote sensing calibration.
文摘The paper presents a case study on listening-speaking class instruction models based on exploratory practice. Assuming the dual roles of a teacher and a researcher, the writer of this paper has implemented three models of classroom instructions for the Viewing, Listening ＆ Speaking Class. From the students＇ report, teacher＇s log and classroom observation, it is concluded that the three models meet the needs of different students. The key to a successful Viewing, Listening＆ Speaking Class is to set reasonable goals and analyze students＇ needs.
