Objective:To investigate the effectiveness of standardized patient scenario simulation teaching in geriatric medicine clinical education and provide references for improving teaching methods in geriatrics.Methods:Sixt...Objective:To investigate the effectiveness of standardized patient scenario simulation teaching in geriatric medicine clinical education and provide references for improving teaching methods in geriatrics.Methods:Sixty-five clinical physicians from other departments who rotated into the Geriatric Medicine Department for training between August 2024 and July 2025 were randomly divided into a control group(n=32)and an observation group(n=33).The control group received traditional centralized theoretical lectures combined with instructor-led clinical mentoring,while the observation group underwent standardized patient scenario simulation training.The two groups were compared on post-rotation examination scores and teaching satisfaction metrics.Results:The observation group achieved significantly higher post-rotation examination scores(88.37±3.04)than the control group(80.17±3.29)(p<0.01).Teaching satisfaction surveys revealed that trainees in the observation group demonstrated significantly higher satisfaction than the control group(p<0.05)regarding the teaching method’s effectiveness in enhancing learning interest,independent learning ability,comprehensive clinical problem-solving skills,patient communication skills,teamwork capabilities,and research conceptualization abilities.Conclusion:Standardized patient scenario simulation teaching effectively improves clinical teaching quality in geriatric medicine,enhances trainees’comprehensive clinical competencies,and holds value for broader application.展开更多
To improve flood control efficiency and increase urban resilience to flooding,the impacts of forest type change on flood control in the upper reach of the Tingjiang River(URTR) were evaluated by a modified model based...To improve flood control efficiency and increase urban resilience to flooding,the impacts of forest type change on flood control in the upper reach of the Tingjiang River(URTR) were evaluated by a modified model based on the Soil Conservation Service curve number(SCS-CN) method. Parameters of the model were selected and determined according to the comprehensive analysis of model evaluation indexes. The first simulation of forest reconstruction scenario,namely a coniferous forest covering 59.35km^2 is replaced by a broad-leaved forest showed no significant impact on the flood reduction in the URTR. The second simulation was added with 61.75km^2 bamboo forest replaced by broad-leaved forest,the reduction of flood peak discharge and flood volume could be improved significantly. Specifically,flood peak discharge of 10-year return period event was reduced to 7-year event,and the reduction rate of small flood was 21%-28%. Moreover,the flood volume was reduced by 9%-14% and 18%-35% for moderate floods and small floods,respectively. The resultssuggest that the bamboo forest reconstruction is an effective control solution for small to moderate flood in the URTR,the effect of forest conversion on flood volume is increasingly reduced as the rainfall amount increases to more extreme magnitude. Using a hydrological model with scenarios analysis is an effective simulation approach in investigating the relationship between forest type change and flood control. This method would provide reliable support for flood control and disaster mitigation in mountainous cities.展开更多
文摘Objective:To investigate the effectiveness of standardized patient scenario simulation teaching in geriatric medicine clinical education and provide references for improving teaching methods in geriatrics.Methods:Sixty-five clinical physicians from other departments who rotated into the Geriatric Medicine Department for training between August 2024 and July 2025 were randomly divided into a control group(n=32)and an observation group(n=33).The control group received traditional centralized theoretical lectures combined with instructor-led clinical mentoring,while the observation group underwent standardized patient scenario simulation training.The two groups were compared on post-rotation examination scores and teaching satisfaction metrics.Results:The observation group achieved significantly higher post-rotation examination scores(88.37±3.04)than the control group(80.17±3.29)(p<0.01).Teaching satisfaction surveys revealed that trainees in the observation group demonstrated significantly higher satisfaction than the control group(p<0.05)regarding the teaching method’s effectiveness in enhancing learning interest,independent learning ability,comprehensive clinical problem-solving skills,patient communication skills,teamwork capabilities,and research conceptualization abilities.Conclusion:Standardized patient scenario simulation teaching effectively improves clinical teaching quality in geriatric medicine,enhances trainees’comprehensive clinical competencies,and holds value for broader application.
基金funded by the National Natural Science Foundation of China (Grants No.51278239)
文摘To improve flood control efficiency and increase urban resilience to flooding,the impacts of forest type change on flood control in the upper reach of the Tingjiang River(URTR) were evaluated by a modified model based on the Soil Conservation Service curve number(SCS-CN) method. Parameters of the model were selected and determined according to the comprehensive analysis of model evaluation indexes. The first simulation of forest reconstruction scenario,namely a coniferous forest covering 59.35km^2 is replaced by a broad-leaved forest showed no significant impact on the flood reduction in the URTR. The second simulation was added with 61.75km^2 bamboo forest replaced by broad-leaved forest,the reduction of flood peak discharge and flood volume could be improved significantly. Specifically,flood peak discharge of 10-year return period event was reduced to 7-year event,and the reduction rate of small flood was 21%-28%. Moreover,the flood volume was reduced by 9%-14% and 18%-35% for moderate floods and small floods,respectively. The resultssuggest that the bamboo forest reconstruction is an effective control solution for small to moderate flood in the URTR,the effect of forest conversion on flood volume is increasingly reduced as the rainfall amount increases to more extreme magnitude. Using a hydrological model with scenarios analysis is an effective simulation approach in investigating the relationship between forest type change and flood control. This method would provide reliable support for flood control and disaster mitigation in mountainous cities.
