目的探讨基于改良Peyton四步教学法的模拟教学联合操作技能直接观察(direct observation of procedural skills,DOPS)评估方法在西藏临床技能培训中的应用效果。方法选取西藏边坝县人民医院2021年5月—2022年5月参加临床技能培训的51名...目的探讨基于改良Peyton四步教学法的模拟教学联合操作技能直接观察(direct observation of procedural skills,DOPS)评估方法在西藏临床技能培训中的应用效果。方法选取西藏边坝县人民医院2021年5月—2022年5月参加临床技能培训的51名医护人员为研究对象,随机分为试验组与对照组。试验组采用结合改良Peyton四步教学法进行成人男性导尿术教学,并在培训开始前、培训中期及培训结束后,由带教教师采用DOPS评估方法对学员进行测评。对照组采用传统临床技能培训方法进行教学。在培训结束后发放满意度调查问卷,以了解学员对该教学模式的满意度。结果试验组技能考核平均成绩(90.12±5.50)分,对照组技能考核平均成绩(79.36±6.95)分,两组间成绩比较,其差异具有统计学意义(P<0.001);DOPS评估量表显示,试验组学员在培训结束后临床操作各项能力均较前有显著提高,其差异均具有统计学意义(P<0.05);课后满意度调查结果显示,在赞同“增强相关基础知识”等6个方面,试验组与对照组比较,其差异均具有统计学意义(P<0.001)。结论基于改良Peyton四步教学法的模拟教学联合DOPS评估方法的教学模式可提高西藏藏区医护人员的临床技能操作水平,适合在藏区医护人员临床技能培训中推广。展开更多
In order to assess the performance of a new cleansing and combustion-improving gasoline additive （MAZ）, and to explore the evaluation methods of additives, two engines with the same model number and performance indi...In order to assess the performance of a new cleansing and combustion-improving gasoline additive （MAZ）, and to explore the evaluation methods of additives, two engines with the same model number and performance indices, fueled with and without the MAZ gasoline additive respectively, are carried through 100 h strenuous tests on a bench. The results obtained in full load characteristic and load characteristics of different operational modes are compared. It indicates that the power, economy and emission of the engine fueled with the MAZ additive all have obvious improvement in comparison with the engine without adding the additive： the power increasing by 16.43%, specific fuel consumption （SFC） decreasing 5.39%, and the emission of CO, HC and NOx falling by 28.61%, 54.38% and 10.1% respectively. Wear and tear of the engine cylinder is weakened, and sediment of combustion chamber inner side is reduced. In addition, no negative effect on the catalytic conversion device is found.展开更多
The working principle of a kind of compositive emission control system is inquired into, which includes exhaust heater, secondary air supplement, exhaust gas recirculation （EGR）, thermal reactor and catalytic conver...The working principle of a kind of compositive emission control system is inquired into, which includes exhaust heater, secondary air supplement, exhaust gas recirculation （EGR）, thermal reactor and catalytic converter, etc. The purification effect of CO, HC and NOx emission of the gasoline spark ignite （S.I.） engine is studied. The entire vehicle driving cycle tests based on the national emission standard and a series of the gasoline engine-testing bench tests including full load characteristic experiment, load characteristic experiment and idle speed experiment are done. The results show that the system has a very good emission control effect to CO, HC and NOx of gasoline engine. The construction of the system is very simple and can be mounted on the exhaust pipe conveniently without any alteration of the vehicle-use gasoline engine.展开更多
文摘目的探讨基于改良Peyton四步教学法的模拟教学联合操作技能直接观察(direct observation of procedural skills,DOPS)评估方法在西藏临床技能培训中的应用效果。方法选取西藏边坝县人民医院2021年5月—2022年5月参加临床技能培训的51名医护人员为研究对象,随机分为试验组与对照组。试验组采用结合改良Peyton四步教学法进行成人男性导尿术教学,并在培训开始前、培训中期及培训结束后,由带教教师采用DOPS评估方法对学员进行测评。对照组采用传统临床技能培训方法进行教学。在培训结束后发放满意度调查问卷,以了解学员对该教学模式的满意度。结果试验组技能考核平均成绩(90.12±5.50)分,对照组技能考核平均成绩(79.36±6.95)分,两组间成绩比较,其差异具有统计学意义(P<0.001);DOPS评估量表显示,试验组学员在培训结束后临床操作各项能力均较前有显著提高,其差异均具有统计学意义(P<0.05);课后满意度调查结果显示,在赞同“增强相关基础知识”等6个方面,试验组与对照组比较,其差异均具有统计学意义(P<0.001)。结论基于改良Peyton四步教学法的模拟教学联合DOPS评估方法的教学模式可提高西藏藏区医护人员的临床技能操作水平,适合在藏区医护人员临床技能培训中推广。
基金This project is supported by Provincial Natural Science Foundation of Guangdong, China and Provincial Environmental Protection Science Foundation of Guangdong, China(No.320-D3800).
文摘In order to assess the performance of a new cleansing and combustion-improving gasoline additive （MAZ）, and to explore the evaluation methods of additives, two engines with the same model number and performance indices, fueled with and without the MAZ gasoline additive respectively, are carried through 100 h strenuous tests on a bench. The results obtained in full load characteristic and load characteristics of different operational modes are compared. It indicates that the power, economy and emission of the engine fueled with the MAZ additive all have obvious improvement in comparison with the engine without adding the additive： the power increasing by 16.43%, specific fuel consumption （SFC） decreasing 5.39%, and the emission of CO, HC and NOx falling by 28.61%, 54.38% and 10.1% respectively. Wear and tear of the engine cylinder is weakened, and sediment of combustion chamber inner side is reduced. In addition, no negative effect on the catalytic conversion device is found.
基金This project is supported by Provincial Natural Science Foundation of Guangdong, China and Provincial Environmental Protection Science Foundation of Guangdong, China(No.320-D38000).
文摘The working principle of a kind of compositive emission control system is inquired into, which includes exhaust heater, secondary air supplement, exhaust gas recirculation （EGR）, thermal reactor and catalytic converter, etc. The purification effect of CO, HC and NOx emission of the gasoline spark ignite （S.I.） engine is studied. The entire vehicle driving cycle tests based on the national emission standard and a series of the gasoline engine-testing bench tests including full load characteristic experiment, load characteristic experiment and idle speed experiment are done. The results show that the system has a very good emission control effect to CO, HC and NOx of gasoline engine. The construction of the system is very simple and can be mounted on the exhaust pipe conveniently without any alteration of the vehicle-use gasoline engine.
