Transparency is a widely used but poorly defined term within the explainable artificial intelligence literature.This is due,in part,to the lack of an agreed definition and the overlap between the connected—sometimes ...Transparency is a widely used but poorly defined term within the explainable artificial intelligence literature.This is due,in part,to the lack of an agreed definition and the overlap between the connected—sometimes used synonymously—concepts of interpretability and explainability.We assert that transparency is the overarching concept,with the tenets of interpretability,explainability,and predictability subordinate.We draw on a portfolio of definitions for each of these distinct concepts to propose a human-swarm-teaming transparency and trust architecture(HST3-Architecture).The architecture reinforces transparency as a key contributor towards situation awareness,and consequently as an enabler for effective trustworthy human-swarm teaming(HST).展开更多
In the field of autonomous robots,achieving complete precision is challenging,underscoring the need for human intervention,particularly in ensuring safety.Human Autonomy Teaming(HAT)is crucial for promoting safe and e...In the field of autonomous robots,achieving complete precision is challenging,underscoring the need for human intervention,particularly in ensuring safety.Human Autonomy Teaming(HAT)is crucial for promoting safe and efficient human-robot collaboration in dynamic indoor environments.This paper introduces a framework designed to address these precision gaps,enhancing safety and robotic interactions within such settings.Central to our approach is a hybrid graph system that integrates the Generalized Voronoi Diagram(GVD)with spatio-temporal graphs,effectively combining human feedback,environmental factors,and key waypoints.An integral component of this system is the improved Node Selection Algorithm(iNSA),which utilizes the revised Grey Wolf Optimization(rGWO)for better adaptability and performance.Furthermore,an obstacle tracking model is employed to provide predictive data,enhancing the efficiency of the system.Human insights play a critical role,from supplying initial environmental data and determining key waypoints to intervening during unexpected challenges or dynamic environmental changes.Extensive simulation and comparison tests confirm the reliability and effectiveness of our proposed model,highlighting its unique advantages in the domain of HAT.This comprehensive approach ensures that the system remains robust and responsive to the complexities of real-world applications.展开更多
In recent years,large vision-language models(VLMs)have achieved significant breakthroughs in cross-modal understanding and generation.However,the safety issues arising from their multimodal interactions become promine...In recent years,large vision-language models(VLMs)have achieved significant breakthroughs in cross-modal understanding and generation.However,the safety issues arising from their multimodal interactions become prominent.VLMs are vulnerable to jailbreak attacks,where attackers craft carefully designed prompts to bypass safety mechanisms,leading them to generate harmful content.To address this,we investigate the alignment between visual inputs and task execution,uncovering locality defects and attention biases in VLMs.Based on these findings,we propose VOTI,a novel jailbreak framework leveraging visual obfuscation and task induction.VOTI subtly embeds malicious keywords within neutral image layouts to evade detection,and breaks down harmful queries into a sequence of subtasks.This approach disperses malicious intent across modalities,exploiting VLMs’over-reliance on local visual cues and their fragility in multi-step reasoning to bypass global safety mechanisms.Implemented as an automated framework,VOTI integrates large language models as red-team assistants to generate and iteratively optimize jailbreak strategies.Extensive experiments across seven mainstream VLMs demonstrate VOTI’s effectiveness,achieving a 73.46%attack success rate on GPT-4o-mini.These results reveal critical vulnerabilities in VLMs,highlighting the urgent need for improving robust defenses and multimodal alignment.展开更多
Objective:Interpersonal brain synchronization(IBS)has emerged as a significant concept in understanding collaborative team dynamics,with functional near-infrared spectroscopy(fNIRS)proving to be a vital tool in its as...Objective:Interpersonal brain synchronization(IBS)has emerged as a significant concept in understanding collaborative team dynamics,with functional near-infrared spectroscopy(fNIRS)proving to be a vital tool in its assessment.This review aims to collate and analyze the literature on the application of fNIRS in various team settings,emphasizing its potential utility in surgical environments.Methods:A thorough search and screening process across multiple databases resulted in 17 studies being reviewed,with a focus on the utilization of fNIRS to measure IBS in different collaborative tasks.This review examined the tasks employed,participant demographics,organizational structures of teams,methodologies for IBS measurement,and correlations between brain synchronization and behavioral measurements.Results:fNIRS emerged as a non-invasive,cost-effective,and portable tool,predominantly used to assess IBS in pair-based tasks with a variety of participant demographics.Wavelet transform coherence was the primary method used for measuring synchronization,particularly in the prefrontal brain region.A consistent correlation was found between increased brain synchronization and enhanced team performance,underscoring the potential of fNIRS in understanding and optimizing team dynamics.Conclusion:This review establishes fNIRS as a promising tool for investigating the neural mechanisms underlying team cooperation,providing invaluable insights for potential applications in surgical settings.While acknowledging the limitations in the current literature,the review highlights the need for further research with larger sample sizes and varied task complexities to solidify the understanding of IBS and its impact on team performance.The ultimate goal is to leverage fNIRS in assessing and improving surgical team dynamics,contributing to improved patient outcomes and safety.展开更多
SUMMARIES OF TOP NEWS STORIES CHINA-CAMEROON Free Health Services to School A Chinese medical team working in Cameroon on 4 April provided free health care services to a primary school in Mbalmayo.The services,includi...SUMMARIES OF TOP NEWS STORIES CHINA-CAMEROON Free Health Services to School A Chinese medical team working in Cameroon on 4 April provided free health care services to a primary school in Mbalmayo.The services,including dental checks,health counselling,and a lecture on infectious disease prevention,benefitted over 80 students and teachers of the school.展开更多
This article comments on the research by Zhang et al on the role of advanced heart failure and transplant teams in extracorporeal membrane oxygenation(ECMO)management.The study by Zhang et al indicates that direct adv...This article comments on the research by Zhang et al on the role of advanced heart failure and transplant teams in extracorporeal membrane oxygenation(ECMO)management.The study by Zhang et al indicates that direct advanced heart failure and transplant involvement improves survival in ECMO patients,especially those on veno-arterial ECMO.However,the optimal approach varies due to multiple factors.This article discusses the clinical implications,research design limitations,and future directions to enhance ECMO care.展开更多
Colorectal cancer(CRC)is the third most prevalent malignancy worldwide and the second leading cause of cancer-related mortality.Its global incidence increases annually,with most patients diagnosed at advanced stages.D...Colorectal cancer(CRC)is the third most prevalent malignancy worldwide and the second leading cause of cancer-related mortality.Its global incidence increases annually,with most patients diagnosed at advanced stages.Despite substantial advancements in chemotherapy,radiotherapy,immune therapy,and targeted therapy,surgical treatment remains the mainstay for CRC management.Particularly,surgery is most effective for managing early-stage and locally advanced cancers.CRC surgery has evolved from conventional subtractive surgery to modern minimally invasive and precision-based techniques.Additionally,CRC treatment strategies have expanded from a single surgical therapy to a multimodal integrated system encompassing endoscopic therapy,perioperative therapy,molecular targeted therapy,and immunotherapy.This review elucidates the evolution of CRC surgical treatment,describing its transition from early palliative surgery to radical surgery,and,finally,to functional surgery,minimally invasive surgical techniques,and personalized treatment.It reflects the transformation in CRC treatment from simplistic to complex,from generalized to precise,and from singular to comprehensive techniques,providing a holistic perspective on advancements in CRC surgical treatment.展开更多
Against the background of the in-depth reform of vocational education,the construction of“dual-qualification and dual-competence”teaching teams has become increasingly prominent as a core link to promote the in-dept...Against the background of the in-depth reform of vocational education,the construction of“dual-qualification and dual-competence”teaching teams has become increasingly prominent as a core link to promote the in-depth development of industry-education integration and improve the quality of technical and skilled talent training.Due to its strong practical characteristics,the nursing major has higher requirements for teachers’“dual-qualification and dual-competence”(systematic theoretical teaching ability and clinical practical operation ability).Taking the Innovation Team for Education and Teaching of Nursing Professional Group of Guangzhou Huanan Business College as the research object,this paper systematically analyzes the practical paths constructed by the team in the construction of“dual-qualification and dual-competence”,such as the“internal training and external introduction”teacher optimization mechanism,the“school-hospital collaboration”practical training platform,and the“quantitative+qualitative”evaluation system.It also deeply discusses the structural contradictions faced in the construction process and the breakthrough strategies.The purpose is to provide a referenceable and promotable practical model for the construction of teaching staff in higher vocational nursing majors and contribute to the high-quality development of vocational education.展开更多
Frailty fractures of the pelvis,particularly isolated pubic ramus fractures,are often perceived as benign,especially in elderly patients.However,this perception can obscure the risk of delayed hemorrhage from occult v...Frailty fractures of the pelvis,particularly isolated pubic ramus fractures,are often perceived as benign,especially in elderly patients.However,this perception can obscure the risk of delayed hemorrhage from occult vascular injuries.Clinical deterioration is frequently subtle,with signs like fatigue or confusion mis-attributed to baseline status.In frail patients,these injuries may rapidly evolve into life-threatening scenarios.Conservative management,while standard,may be insufficient when vascular frailty or anticoagulation are present.Early clinical suspicion,serial hemoglobin checks,and multidisciplinary involvement are crucial.A dynamic assessment model that incorporates frailty,comorbidities,and physiological reserve alongside radiographic findings can better guide inter-vention and monitoring.Clinicians must lower the threshold for advanced imaging,such as computed tomography angiography,and consider early vascular consultation even in seemingly stable cases.Adopting a holistic,risk-based approach can mitigate complications and improve outcomes for this vulnerable population.展开更多
Objective: To explore the effectiveness of applying an infusion project team in the safety risk management of indwelling needle use. Methods: A total of 200 patients who used intravenous indwelling needles during hosp...Objective: To explore the effectiveness of applying an infusion project team in the safety risk management of indwelling needle use. Methods: A total of 200 patients who used intravenous indwelling needles during hospital treatment from July to October 2022 were selected and randomly divided into an observation group and a control group, with 100 patients in each group. Patients in the control group received routine nursing methods, while those in the observation group were managed using the safety risk management method of the infusion project team. The tube blocking rate and tube removal rate were compared between the two groups. Results: The one-time puncture success rate and the standard implementation rate of intravenous indwelling needle use in the observation group were significantly higher than those in the control group. The total incidence of complications in the observation group was significantly lower than that in the control group, and patient satisfaction in the observation group was notably higher, with statistically significant differences (P < 0.05). Conclusion: The application of an infusion project team in the safety risk management of indwelling needle use is effective and has positive impacts on improving the one-time puncture success rate, the standard implementation rate of intravenous indwelling needle use, and patient satisfaction. It is a practice worth promoting in clinical settings.展开更多
Objective:To explore the experiences of palliative care multidisciplinary teams from the perspective of pluralistic synergy theory,aiming to enhance team collaboration.Method:Utilizing a qualitative research methodolo...Objective:To explore the experiences of palliative care multidisciplinary teams from the perspective of pluralistic synergy theory,aiming to enhance team collaboration.Method:Utilizing a qualitative research methodology,we conducted in-depth interviews with 15 palliative care team members to collect data.Results:The operational framework of palliative care multidisciplinary teams under pluralistic synergy theory involves:enhancing collaboration among team members;developing a comprehensive management model for the team;rationalizing the allocation of work tasks and durations;improving team communication and interaction through effective communication mechanisms and platforms;cultivating skilled professionals;and establishing a robust health record management system.Conclusion:The operational mechanism,informed by pluralistic synergy theory,advances the development of palliative care.展开更多
Pulmonary embolism(PE)represents the third leading cause of cardiovascular death,despite the implementation of European Society of Cardiology guidelines,the establishment of PE response teams and advances in diagnosis...Pulmonary embolism(PE)represents the third leading cause of cardiovascular death,despite the implementation of European Society of Cardiology guidelines,the establishment of PE response teams and advances in diagnosis and treatment modalities.Unfavorable prognosis may be attributed to the increasing incidence of the disease and pitfalls in risk stratification using the established risk stratification tools that fail to recognize patients with intermediate-high risk PE at normotensive shock in order to prevent further deterioration.In this light,research has been focused to identify novel risk stratification tools,based on the hemodynamic impact of PE on right ventricular function.Furthermore,a growing body of evidence has demonstrated that novel interventional treatments for PE,including catheter directed thrombolysis,mechanical thrombectomy and computer-assisted aspiration,are promising solutions in terms of efficacy and safety,when targeted at specific populations of the intermediate-high-and high-risk spectrum.Various therapeutic protocols have been suggested worldwide,regarding the indications and proper timing for interventional strategies.A STelevation myocardial infarction-like timing approach has been suggested in highrisk PE with contraindications for fibrinolysis,while optimal timing of the procedure in intermediate-high risk patients is still a matter of debate;however,early interventions,within 24-48 hours of presentation,are associated with more favorable outcomes.展开更多
Under the background of training practical compound talents in software engineering,this paper analyzes the problems existing in the current teaching of software engineering courses represented by software project man...Under the background of training practical compound talents in software engineering,this paper analyzes the problems existing in the current teaching of software engineering courses represented by software project management,puts forward the team task mechanism of software engineering courses with AI empowerment and cooperation and competition,develops a unified project management platform to support the implementation of team tasks,and proves the effectiveness of the scheme through the results obtained.展开更多
Against the backdrop of the high-quality development of vocational education,the construction of“double-qualified”teacher teams has shifted from focusing on quantity growth to emphasizing the improvement of“double-...Against the backdrop of the high-quality development of vocational education,the construction of“double-qualified”teacher teams has shifted from focusing on quantity growth to emphasizing the improvement of“double-qualified”competencies.How to strengthen the quality-oriented construction of“double-qualified”teacher teams,give full play to the role of“double-qualified”teachers,promote the construction and teaching reform of tourism majors,and enhance the quality of tourism talent cultivation have become key issues faced by higher vocational tourism majors.Taking higher vocational tourism majors as an example,this paper analyzes the problems encountered in the construction of tourism-related“double-qualified”teacher teams,puts forward strategies for such construction,and explores the impact of building“double-qualified”teacher teams on the quality of talent cultivation in tourism majors.It aims to provide references for the coordinated improvement of the construction of“double-qualified”teacher teams and the quality of talent cultivation in higher vocational tourism majors.展开更多
Objectives:In this study,we examined the psychological impact of hierarchical and authoritarian structures in elite sports teams in South Korea on the ego formation and mental health of athletes.We aimed to analyze ho...Objectives:In this study,we examined the psychological impact of hierarchical and authoritarian structures in elite sports teams in South Korea on the ego formation and mental health of athletes.We aimed to analyze how these environments shape psychological well-being in athletes,drawing on Freud’s group psychology theory,while integrating perspectives from the Self-DeterminationTheory(SDT)and Social Identity Theory(SIT).Methods:We applied a qualitative case-study approach,with data collected through in-depth interviews with eight retired elite table tennis players from South Korea.These athletes shared their experiences with psychological mechanisms in their teams and how those mechanisms impacted their mental health throughout their careers.We analyzed the collected data using thematic analysis.Results:The investigated psychological mechanisms significantly influenced the ego development and psychological well-being in athletes.In hierarchical and authoritarian environments,identification and ego idealization suppressed the autonomy of the athletes.Hierarchical order and obedience to authority figures exert significant pressure on athletes to conform,impeding the development of an independent ego.Furthermore,group pressure exacerbates ego erosion and psychological stress,while corporal punishment reinforces psychological pressure and hinders ego integrity.The integration of the SDT highlights the need for autonomy-supportive environments to mitigate such risks,while the SIT emphasizes balancing individual identity with group cohesion to address identity conflicts and psychological tension.Conclusion:Hierarchical structures and authoritarian dynamics in South Korean elite sports teams critically suppress autonomy in athletes,leading to psychological distress and identity conflicts.This study highlights the urgent need for systemic interventions to reform coaching practices and foster autonomysupportive environments.These results contribute to the global discourse on the mental health of athletes in elite sports and offer actionable strategies for improving long-term well-being.Finally,this study provides practical recommendations adaptable to diverse cultural and sporting contexts,enhancing athlete mental health worldwide.展开更多
基金United States Office of Naval Research-Global(ONR-G)(N629091812140)。
文摘Transparency is a widely used but poorly defined term within the explainable artificial intelligence literature.This is due,in part,to the lack of an agreed definition and the overlap between the connected—sometimes used synonymously—concepts of interpretability and explainability.We assert that transparency is the overarching concept,with the tenets of interpretability,explainability,and predictability subordinate.We draw on a portfolio of definitions for each of these distinct concepts to propose a human-swarm-teaming transparency and trust architecture(HST3-Architecture).The architecture reinforces transparency as a key contributor towards situation awareness,and consequently as an enabler for effective trustworthy human-swarm teaming(HST).
基金supported by the Mississippi Space Grant Consortium under NASA EPSCoR RID grant.
文摘In the field of autonomous robots,achieving complete precision is challenging,underscoring the need for human intervention,particularly in ensuring safety.Human Autonomy Teaming(HAT)is crucial for promoting safe and efficient human-robot collaboration in dynamic indoor environments.This paper introduces a framework designed to address these precision gaps,enhancing safety and robotic interactions within such settings.Central to our approach is a hybrid graph system that integrates the Generalized Voronoi Diagram(GVD)with spatio-temporal graphs,effectively combining human feedback,environmental factors,and key waypoints.An integral component of this system is the improved Node Selection Algorithm(iNSA),which utilizes the revised Grey Wolf Optimization(rGWO)for better adaptability and performance.Furthermore,an obstacle tracking model is employed to provide predictive data,enhancing the efficiency of the system.Human insights play a critical role,from supplying initial environmental data and determining key waypoints to intervening during unexpected challenges or dynamic environmental changes.Extensive simulation and comparison tests confirm the reliability and effectiveness of our proposed model,highlighting its unique advantages in the domain of HAT.This comprehensive approach ensures that the system remains robust and responsive to the complexities of real-world applications.
文摘In recent years,large vision-language models(VLMs)have achieved significant breakthroughs in cross-modal understanding and generation.However,the safety issues arising from their multimodal interactions become prominent.VLMs are vulnerable to jailbreak attacks,where attackers craft carefully designed prompts to bypass safety mechanisms,leading them to generate harmful content.To address this,we investigate the alignment between visual inputs and task execution,uncovering locality defects and attention biases in VLMs.Based on these findings,we propose VOTI,a novel jailbreak framework leveraging visual obfuscation and task induction.VOTI subtly embeds malicious keywords within neutral image layouts to evade detection,and breaks down harmful queries into a sequence of subtasks.This approach disperses malicious intent across modalities,exploiting VLMs’over-reliance on local visual cues and their fragility in multi-step reasoning to bypass global safety mechanisms.Implemented as an automated framework,VOTI integrates large language models as red-team assistants to generate and iteratively optimize jailbreak strategies.Extensive experiments across seven mainstream VLMs demonstrate VOTI’s effectiveness,achieving a 73.46%attack success rate on GPT-4o-mini.These results reveal critical vulnerabilities in VLMs,highlighting the urgent need for improving robust defenses and multimodal alignment.
文摘Objective:Interpersonal brain synchronization(IBS)has emerged as a significant concept in understanding collaborative team dynamics,with functional near-infrared spectroscopy(fNIRS)proving to be a vital tool in its assessment.This review aims to collate and analyze the literature on the application of fNIRS in various team settings,emphasizing its potential utility in surgical environments.Methods:A thorough search and screening process across multiple databases resulted in 17 studies being reviewed,with a focus on the utilization of fNIRS to measure IBS in different collaborative tasks.This review examined the tasks employed,participant demographics,organizational structures of teams,methodologies for IBS measurement,and correlations between brain synchronization and behavioral measurements.Results:fNIRS emerged as a non-invasive,cost-effective,and portable tool,predominantly used to assess IBS in pair-based tasks with a variety of participant demographics.Wavelet transform coherence was the primary method used for measuring synchronization,particularly in the prefrontal brain region.A consistent correlation was found between increased brain synchronization and enhanced team performance,underscoring the potential of fNIRS in understanding and optimizing team dynamics.Conclusion:This review establishes fNIRS as a promising tool for investigating the neural mechanisms underlying team cooperation,providing invaluable insights for potential applications in surgical settings.While acknowledging the limitations in the current literature,the review highlights the need for further research with larger sample sizes and varied task complexities to solidify the understanding of IBS and its impact on team performance.The ultimate goal is to leverage fNIRS in assessing and improving surgical team dynamics,contributing to improved patient outcomes and safety.
文摘SUMMARIES OF TOP NEWS STORIES CHINA-CAMEROON Free Health Services to School A Chinese medical team working in Cameroon on 4 April provided free health care services to a primary school in Mbalmayo.The services,including dental checks,health counselling,and a lecture on infectious disease prevention,benefitted over 80 students and teachers of the school.
基金Supported by National Natural Science Foundation of China,No.82200353Jiangsu Province Double Innovation Doctoral Program,No.JSSCBS20221948+3 种基金Suzhou Gusu Health Talent Program,No.(2022)043Suzhou Gusu Health Talent Plan Talent Research Project,No.GSWS2022014Jiangsu Province College Students’Innovation and Entrepreneurship Training Program Project,No.202410285087Zand“Boxi”Talent Casting Plan of the First Affiliated Hospital of Soochow University。
文摘This article comments on the research by Zhang et al on the role of advanced heart failure and transplant teams in extracorporeal membrane oxygenation(ECMO)management.The study by Zhang et al indicates that direct advanced heart failure and transplant involvement improves survival in ECMO patients,especially those on veno-arterial ECMO.However,the optimal approach varies due to multiple factors.This article discusses the clinical implications,research design limitations,and future directions to enhance ECMO care.
基金Supported by Postgraduate Practice Innovation Program of Jiangsu Province,No.KYCX23_3621.
文摘Colorectal cancer(CRC)is the third most prevalent malignancy worldwide and the second leading cause of cancer-related mortality.Its global incidence increases annually,with most patients diagnosed at advanced stages.Despite substantial advancements in chemotherapy,radiotherapy,immune therapy,and targeted therapy,surgical treatment remains the mainstay for CRC management.Particularly,surgery is most effective for managing early-stage and locally advanced cancers.CRC surgery has evolved from conventional subtractive surgery to modern minimally invasive and precision-based techniques.Additionally,CRC treatment strategies have expanded from a single surgical therapy to a multimodal integrated system encompassing endoscopic therapy,perioperative therapy,molecular targeted therapy,and immunotherapy.This review elucidates the evolution of CRC surgical treatment,describing its transition from early palliative surgery to radical surgery,and,finally,to functional surgery,minimally invasive surgical techniques,and personalized treatment.It reflects the transformation in CRC treatment from simplistic to complex,from generalized to precise,and from singular to comprehensive techniques,providing a holistic perspective on advancements in CRC surgical treatment.
基金Guangzhou Huanan Business College,Innovation Team for Education and Teaching of Nursing Professional Group(Project No.:2022HMZLGC09)。
文摘Against the background of the in-depth reform of vocational education,the construction of“dual-qualification and dual-competence”teaching teams has become increasingly prominent as a core link to promote the in-depth development of industry-education integration and improve the quality of technical and skilled talent training.Due to its strong practical characteristics,the nursing major has higher requirements for teachers’“dual-qualification and dual-competence”(systematic theoretical teaching ability and clinical practical operation ability).Taking the Innovation Team for Education and Teaching of Nursing Professional Group of Guangzhou Huanan Business College as the research object,this paper systematically analyzes the practical paths constructed by the team in the construction of“dual-qualification and dual-competence”,such as the“internal training and external introduction”teacher optimization mechanism,the“school-hospital collaboration”practical training platform,and the“quantitative+qualitative”evaluation system.It also deeply discusses the structural contradictions faced in the construction process and the breakthrough strategies.The purpose is to provide a referenceable and promotable practical model for the construction of teaching staff in higher vocational nursing majors and contribute to the high-quality development of vocational education.
文摘Frailty fractures of the pelvis,particularly isolated pubic ramus fractures,are often perceived as benign,especially in elderly patients.However,this perception can obscure the risk of delayed hemorrhage from occult vascular injuries.Clinical deterioration is frequently subtle,with signs like fatigue or confusion mis-attributed to baseline status.In frail patients,these injuries may rapidly evolve into life-threatening scenarios.Conservative management,while standard,may be insufficient when vascular frailty or anticoagulation are present.Early clinical suspicion,serial hemoglobin checks,and multidisciplinary involvement are crucial.A dynamic assessment model that incorporates frailty,comorbidities,and physiological reserve alongside radiographic findings can better guide inter-vention and monitoring.Clinicians must lower the threshold for advanced imaging,such as computed tomography angiography,and consider early vascular consultation even in seemingly stable cases.Adopting a holistic,risk-based approach can mitigate complications and improve outcomes for this vulnerable population.
文摘Objective: To explore the effectiveness of applying an infusion project team in the safety risk management of indwelling needle use. Methods: A total of 200 patients who used intravenous indwelling needles during hospital treatment from July to October 2022 were selected and randomly divided into an observation group and a control group, with 100 patients in each group. Patients in the control group received routine nursing methods, while those in the observation group were managed using the safety risk management method of the infusion project team. The tube blocking rate and tube removal rate were compared between the two groups. Results: The one-time puncture success rate and the standard implementation rate of intravenous indwelling needle use in the observation group were significantly higher than those in the control group. The total incidence of complications in the observation group was significantly lower than that in the control group, and patient satisfaction in the observation group was notably higher, with statistically significant differences (P < 0.05). Conclusion: The application of an infusion project team in the safety risk management of indwelling needle use is effective and has positive impacts on improving the one-time puncture success rate, the standard implementation rate of intravenous indwelling needle use, and patient satisfaction. It is a practice worth promoting in clinical settings.
文摘Objective:To explore the experiences of palliative care multidisciplinary teams from the perspective of pluralistic synergy theory,aiming to enhance team collaboration.Method:Utilizing a qualitative research methodology,we conducted in-depth interviews with 15 palliative care team members to collect data.Results:The operational framework of palliative care multidisciplinary teams under pluralistic synergy theory involves:enhancing collaboration among team members;developing a comprehensive management model for the team;rationalizing the allocation of work tasks and durations;improving team communication and interaction through effective communication mechanisms and platforms;cultivating skilled professionals;and establishing a robust health record management system.Conclusion:The operational mechanism,informed by pluralistic synergy theory,advances the development of palliative care.
文摘Pulmonary embolism(PE)represents the third leading cause of cardiovascular death,despite the implementation of European Society of Cardiology guidelines,the establishment of PE response teams and advances in diagnosis and treatment modalities.Unfavorable prognosis may be attributed to the increasing incidence of the disease and pitfalls in risk stratification using the established risk stratification tools that fail to recognize patients with intermediate-high risk PE at normotensive shock in order to prevent further deterioration.In this light,research has been focused to identify novel risk stratification tools,based on the hemodynamic impact of PE on right ventricular function.Furthermore,a growing body of evidence has demonstrated that novel interventional treatments for PE,including catheter directed thrombolysis,mechanical thrombectomy and computer-assisted aspiration,are promising solutions in terms of efficacy and safety,when targeted at specific populations of the intermediate-high-and high-risk spectrum.Various therapeutic protocols have been suggested worldwide,regarding the indications and proper timing for interventional strategies.A STelevation myocardial infarction-like timing approach has been suggested in highrisk PE with contraindications for fibrinolysis,while optimal timing of the procedure in intermediate-high risk patients is still a matter of debate;however,early interventions,within 24-48 hours of presentation,are associated with more favorable outcomes.
文摘Under the background of training practical compound talents in software engineering,this paper analyzes the problems existing in the current teaching of software engineering courses represented by software project management,puts forward the team task mechanism of software engineering courses with AI empowerment and cooperation and competition,develops a unified project management platform to support the implementation of team tasks,and proves the effectiveness of the scheme through the results obtained.
文摘Against the backdrop of the high-quality development of vocational education,the construction of“double-qualified”teacher teams has shifted from focusing on quantity growth to emphasizing the improvement of“double-qualified”competencies.How to strengthen the quality-oriented construction of“double-qualified”teacher teams,give full play to the role of“double-qualified”teachers,promote the construction and teaching reform of tourism majors,and enhance the quality of tourism talent cultivation have become key issues faced by higher vocational tourism majors.Taking higher vocational tourism majors as an example,this paper analyzes the problems encountered in the construction of tourism-related“double-qualified”teacher teams,puts forward strategies for such construction,and explores the impact of building“double-qualified”teacher teams on the quality of talent cultivation in tourism majors.It aims to provide references for the coordinated improvement of the construction of“double-qualified”teacher teams and the quality of talent cultivation in higher vocational tourism majors.
文摘Objectives:In this study,we examined the psychological impact of hierarchical and authoritarian structures in elite sports teams in South Korea on the ego formation and mental health of athletes.We aimed to analyze how these environments shape psychological well-being in athletes,drawing on Freud’s group psychology theory,while integrating perspectives from the Self-DeterminationTheory(SDT)and Social Identity Theory(SIT).Methods:We applied a qualitative case-study approach,with data collected through in-depth interviews with eight retired elite table tennis players from South Korea.These athletes shared their experiences with psychological mechanisms in their teams and how those mechanisms impacted their mental health throughout their careers.We analyzed the collected data using thematic analysis.Results:The investigated psychological mechanisms significantly influenced the ego development and psychological well-being in athletes.In hierarchical and authoritarian environments,identification and ego idealization suppressed the autonomy of the athletes.Hierarchical order and obedience to authority figures exert significant pressure on athletes to conform,impeding the development of an independent ego.Furthermore,group pressure exacerbates ego erosion and psychological stress,while corporal punishment reinforces psychological pressure and hinders ego integrity.The integration of the SDT highlights the need for autonomy-supportive environments to mitigate such risks,while the SIT emphasizes balancing individual identity with group cohesion to address identity conflicts and psychological tension.Conclusion:Hierarchical structures and authoritarian dynamics in South Korean elite sports teams critically suppress autonomy in athletes,leading to psychological distress and identity conflicts.This study highlights the urgent need for systemic interventions to reform coaching practices and foster autonomysupportive environments.These results contribute to the global discourse on the mental health of athletes in elite sports and offer actionable strategies for improving long-term well-being.Finally,this study provides practical recommendations adaptable to diverse cultural and sporting contexts,enhancing athlete mental health worldwide.
