The working of a Mobile Ad hoc NETwork(MANET)relies on the supportive cooperation among the network nodes.But due to its intrinsic features,a misbehaving node can easily lead to a routing disorder.This paper presents ...The working of a Mobile Ad hoc NETwork(MANET)relies on the supportive cooperation among the network nodes.But due to its intrinsic features,a misbehaving node can easily lead to a routing disorder.This paper presents two trust-based routing schemes,namely Trust-based Self-Detection Routing(TSDR)and Trust-based Cooperative Routing(TCOR)designed with an Ad hoc On-demand Distance Vector(AODV)protocol.The proposed work covers a wide range of security challenges,including malicious node identification and prevention,accurate trust quantification,secure trust data sharing,and trusted route maintenance.This brings a prominent solution for mitigating misbehaving nodes and establishing efficient communication in MANET.It is empirically validated based on a performance comparison with the current Evolutionary Self-Cooperative Trust(ESCT)scheme,Generalized Trust Model(GTM),and the conventional AODV protocol.The extensive simulations are conducted against three different varying network scenarios.The results affirm the improved values of eight popular performance metrics overcoming the existing routing schemes.Among the two proposed works,TCOR is more suitable for highly scalable networks;TSDR suits,however,the MANET application better with its small size.This work thus makes a significant contribution to the research community,in contrast to many previous works focusing solely on specific security aspects,and results in a trade-off in the expected values of evaluation parameters and asserts their efficiency.展开更多
Objective:This research study explores the perceptions of gerontological nursing competencies,attitudes toward older individuals,and the willingness to provide care for the elderly among internship nursing students.Ma...Objective:This research study explores the perceptions of gerontological nursing competencies,attitudes toward older individuals,and the willingness to provide care for the elderly among internship nursing students.Materials and Methods:A convenience sample of 350 internship nursing students from Cairo University Faculty of Nursing participated in the study.Data were collected using a set of comprehensive tools,including personal data and work experience assessment,the Hartford geriatric nurse competency tool,Kogan’s attitudes toward old people scale,and the modified elderly patient care inventory.Results:Descriptive analysis revealed balanced gender representation,with 60%identifying as female.Seventy percent of participants reported prior experience in gerontological care.Self-assessed competency scores indicated moderate proficiency in communication,physiological changes,and functional status assessment.Areas such as pain management and restraint use demonstrated potential gaps in self-perceived skills.Attitudes toward older individuals were predominantly positive,and the willingness to provide care showed positive tendencies,with a minor degree of hesitation noted.Conclusion:The findings underscore the need for targeted interventions in nursing education to address competency gaps,enhance positive attitudes,and alleviate potential hesitations in caregiving for older individuals.As the elderly population continues to grow,nursing education programs must prepare future practitioners to deliver comprehensive and compassionate care tailored to the unique needs of older adults.展开更多
This research investigates the impact of internships on skill acquisition among nursing students in vocational colleges in Shandong Province.By employing a mixed-methods approach involving surveys and interviews,the s...This research investigates the impact of internships on skill acquisition among nursing students in vocational colleges in Shandong Province.By employing a mixed-methods approach involving surveys and interviews,the study re-veals the positive influence of internships on students’clinical competencies,professional qualities,and readiness for the workforce.Survey findings indicate heightened practical capabilities and increased confidence among students.Interviews emphasize the pivotal role of mentors in guiding skills development and professional growth.However,challenges such as resource constraints and workload imbalances during internships are also highlighted.These insights contribute to the en-hancement of nursing education and the preparation of competent nursing professionals in the region.展开更多
Against the backdrop of the global COVID-19 pandemic,the teaching and management of clinical medical interns have been facing tremendous challenges.When interns majoring in clinical medicine enter the internship posit...Against the backdrop of the global COVID-19 pandemic,the teaching and management of clinical medical interns have been facing tremendous challenges.When interns majoring in clinical medicine enter the internship position,they lack self-protection awareness and have limited ability to respond to unexpected public health events.This article explores the cognitive situation,existing problems,and improvement measures of clinical medical interns in the post-epidemic era.Therefore,this article proposes a series of improvement measures,including strengthening epidemic training and education for interns,enhancing personal protective awareness,and lastly achieving the role transition from intern to doctor.展开更多
Talent training has been emphasized in China’s national development.Training an excellent pharmaceutical professional has far-reaching significance for promoting rational use of drugs,ensuring safe drug use,and impro...Talent training has been emphasized in China’s national development.Training an excellent pharmaceutical professional has far-reaching significance for promoting rational use of drugs,ensuring safe drug use,and improving the quality and safety of medical treatment.The internship program is an important part of a pharmacy major that serves to develop students’practical skills.In this paper,we propose a combination of outcome-based education(OBE)and case-based learning(CBL)in pharmacy internships to promote critical thinking and independent learning among students and ensure the sustainable development of pharmacy education.展开更多
文摘The working of a Mobile Ad hoc NETwork(MANET)relies on the supportive cooperation among the network nodes.But due to its intrinsic features,a misbehaving node can easily lead to a routing disorder.This paper presents two trust-based routing schemes,namely Trust-based Self-Detection Routing(TSDR)and Trust-based Cooperative Routing(TCOR)designed with an Ad hoc On-demand Distance Vector(AODV)protocol.The proposed work covers a wide range of security challenges,including malicious node identification and prevention,accurate trust quantification,secure trust data sharing,and trusted route maintenance.This brings a prominent solution for mitigating misbehaving nodes and establishing efficient communication in MANET.It is empirically validated based on a performance comparison with the current Evolutionary Self-Cooperative Trust(ESCT)scheme,Generalized Trust Model(GTM),and the conventional AODV protocol.The extensive simulations are conducted against three different varying network scenarios.The results affirm the improved values of eight popular performance metrics overcoming the existing routing schemes.Among the two proposed works,TCOR is more suitable for highly scalable networks;TSDR suits,however,the MANET application better with its small size.This work thus makes a significant contribution to the research community,in contrast to many previous works focusing solely on specific security aspects,and results in a trade-off in the expected values of evaluation parameters and asserts their efficiency.
文摘Objective:This research study explores the perceptions of gerontological nursing competencies,attitudes toward older individuals,and the willingness to provide care for the elderly among internship nursing students.Materials and Methods:A convenience sample of 350 internship nursing students from Cairo University Faculty of Nursing participated in the study.Data were collected using a set of comprehensive tools,including personal data and work experience assessment,the Hartford geriatric nurse competency tool,Kogan’s attitudes toward old people scale,and the modified elderly patient care inventory.Results:Descriptive analysis revealed balanced gender representation,with 60%identifying as female.Seventy percent of participants reported prior experience in gerontological care.Self-assessed competency scores indicated moderate proficiency in communication,physiological changes,and functional status assessment.Areas such as pain management and restraint use demonstrated potential gaps in self-perceived skills.Attitudes toward older individuals were predominantly positive,and the willingness to provide care showed positive tendencies,with a minor degree of hesitation noted.Conclusion:The findings underscore the need for targeted interventions in nursing education to address competency gaps,enhance positive attitudes,and alleviate potential hesitations in caregiving for older individuals.As the elderly population continues to grow,nursing education programs must prepare future practitioners to deliver comprehensive and compassionate care tailored to the unique needs of older adults.
文摘This research investigates the impact of internships on skill acquisition among nursing students in vocational colleges in Shandong Province.By employing a mixed-methods approach involving surveys and interviews,the study re-veals the positive influence of internships on students’clinical competencies,professional qualities,and readiness for the workforce.Survey findings indicate heightened practical capabilities and increased confidence among students.Interviews emphasize the pivotal role of mentors in guiding skills development and professional growth.However,challenges such as resource constraints and workload imbalances during internships are also highlighted.These insights contribute to the en-hancement of nursing education and the preparation of competent nursing professionals in the region.
基金Heilongjiang Province Higher Education Teaching Reform Project Application Form“Research on the Demand for Epidemic Prevention Teaching for Intern Doctors During the New Coronavirus Epidemic”(Project number:SJGY20200756)Key topics of Heilongjiang Province’s“14th Five-Year Plan”for Educational Science in 2023“Research Applying the BOPPPS Teaching Model Based on Job Competency in Practical Endotracheal Intubation Skills”(Project number:GJB1423364)。
文摘Against the backdrop of the global COVID-19 pandemic,the teaching and management of clinical medical interns have been facing tremendous challenges.When interns majoring in clinical medicine enter the internship position,they lack self-protection awareness and have limited ability to respond to unexpected public health events.This article explores the cognitive situation,existing problems,and improvement measures of clinical medical interns in the post-epidemic era.Therefore,this article proposes a series of improvement measures,including strengthening epidemic training and education for interns,enhancing personal protective awareness,and lastly achieving the role transition from intern to doctor.
文摘Talent training has been emphasized in China’s national development.Training an excellent pharmaceutical professional has far-reaching significance for promoting rational use of drugs,ensuring safe drug use,and improving the quality and safety of medical treatment.The internship program is an important part of a pharmacy major that serves to develop students’practical skills.In this paper,we propose a combination of outcome-based education(OBE)and case-based learning(CBL)in pharmacy internships to promote critical thinking and independent learning among students and ensure the sustainable development of pharmacy education.