This paper, with the training of the international talents possessing remarkable English listening and speaking ability,mainly discusses the specific application of the cognitive strategy in different stages of colleg...This paper, with the training of the international talents possessing remarkable English listening and speaking ability,mainly discusses the specific application of the cognitive strategy in different stages of college English listening comprehension.It is expected that the paper can bring some useful enlightenments on the international talents training.展开更多
Recently,great changes have taken place in the field of foreign language talents training in universities.Training of foreign language talents should take both national strategy and local development into consideratio...Recently,great changes have taken place in the field of foreign language talents training in universities.Training of foreign language talents should take both national strategy and local development into consideration.Traditional skill-centered foreign language talents training model has been gradually taken place by“foreign language+”model which can better adapt to new social needs and sustainable development of the foreign language major.In a word,foreign language talents training requires not only the language skills,but also professional knowledge and other abilities so that they can develop in full scale and meet the needs of the social development effectively.展开更多
This article,emphatically analyzes the needs and the way of internationall talents training for Shaanxi under"the Belt and Road".And it’s hoped that the results can be helpful for providing Shaanxi with sol...This article,emphatically analyzes the needs and the way of internationall talents training for Shaanxi under"the Belt and Road".And it’s hoped that the results can be helpful for providing Shaanxi with solid talents support under the opportunity of"the Belt and Road".展开更多
In this paper liner English compound talents training theories,on the basis of the combination of education practice,from cruise English talents for specification and different types of education personnel training mo...In this paper liner English compound talents training theories,on the basis of the combination of education practice,from cruise English talents for specification and different types of education personnel training mode,course system,etc.,as the standard of cruise English teaching and cruise the bilingual teaching of higher vocational cruise English compound talents training mode,and analyzes the effect of the training mode and deficiencies.展开更多
The main problems of the traditional software talent training are that the knowledge learned is out of touch of the industry,weak ability to solve complex engineering problems and the comprehensive quality cannot meet...The main problems of the traditional software talent training are that the knowledge learned is out of touch of the industry,weak ability to solve complex engineering problems and the comprehensive quality cannot meet the requirements of enterprises.Taking the course of digital image processing as an example,this paper analyzes the key steps in the training process in details,and proposes a multiple mode collaborative based software engineering talent training mechanism,which brings the key subjects of teaching materials,teachers,students,enterprises,subjects into a unified training mechanism,so as to provide a new ideas for software talent teaching.展开更多
With the rapid development of economic globalization and the transformation of higher education from elite education to popular education,all employers require college students’English ability is getting higher and h...With the rapid development of economic globalization and the transformation of higher education from elite education to popular education,all employers require college students’English ability is getting higher and higher,especially for the ability to work in English.Teachers not only play a major role in the process of training students’application ability,but also determine the success or failure of the transformation and development of local colleges and universities.This also puts forward higher requirements for College English teachers.The majority of English teachers must realize their own transformation and development from the overall situation of the transformation and development of colleges and the actual needs of students to learn English.College English teachers should adapt to the new situation,change teaching ideas and establish the concept of lifelong learning,so as to increase their own practical experience and industry experience,so as to promote the development of College English teaching.展开更多
This paper takes the school-enterprise cooperation between the University of Electronic Science and Technology of China(UESTC)and Baidu(China)Co.,Ltd.as an example to build the Paddle Paddle(Sichuan)AI Education Innov...This paper takes the school-enterprise cooperation between the University of Electronic Science and Technology of China(UESTC)and Baidu(China)Co.,Ltd.as an example to build the Paddle Paddle(Sichuan)AI Education Innovation Center by enjoying the best of both UESTC and Baidu(China),and cooperating with 16 universities in Sichuan Province.With the support of this center,both the school and the enterprise successfully built a school-enterprise collaborative AI innovative talent training model,which mainly serves the universities,industries,and districts.Furthermore,this training model is able to facilitate the update of the industrial intelligence and the regional economic development in southwest China,and also provide a reference for deep integration of school-enterprise collaboration and the cultivation of innovative talents in electronic information fields.展开更多
Accelerating the construction of modern vocational education groups and promoting the integrated training of secondary vocational,vocational,and undergraduate talents,providing talent support for regional economic dev...Accelerating the construction of modern vocational education groups and promoting the integrated training of secondary vocational,vocational,and undergraduate talents,providing talent support for regional economic development,are inevitable choices to enhance the adaptability of vocational education.Based on the new development and requirements in the new situation,vocational colleges actively explore the path of connecting and cultivating secondary vocational,vocational,and undergraduate talents in accordance with the talent needs of local economic development and industrial system development.The linkage between government,school,and enterprise is established to build a modern vocational education group,aiming to build a professional chain in the industrial chain and promote innovative development of the new industrial system.Relying on the development needs of professional clusters,a multi-level system of connecting and cultivating secondary vocational,vocational,and undergraduate talents is constructed,which is in line with industry and enterprise standards.It is also necessary to build a“post-course competition certification”talent training model for connecting secondary vocational,vocational,and undergraduate students,rely on the advantages of multiple schools and enterprises,establish a platform for integrating industry and education,and innovate the evaluation system for connecting secondary vocational,vocational,and undergraduate students.展开更多
Purpose:The aim of this umbrella review was to determine the impact of resistance training(RT)and individual RT prescription variables on muscle mass,strength,and physical function in healthy adults.Methods:Following ...Purpose:The aim of this umbrella review was to determine the impact of resistance training(RT)and individual RT prescription variables on muscle mass,strength,and physical function in healthy adults.Methods:Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA)guidelines,we systematically searched and screened eligible systematic reviews reporting the effects of differing RT prescription variables on muscle mass(or its proxies),strength,and/or physical function in healthy adults aged>18 years.Results:We identified 44 systematic reviews that met our inclusion criteria.The methodological quality of these reviews was assessed using A Measurement Tool to Assess Systematic Reviews;standardized effectiveness statements were generated.We found that RT was consistently a potent stimulus for increasing skeletal muscle mass(4/4 reviews provide some or sufficient evidence),strength(4/6 reviews provided some or sufficient evidence),and physical function(1/1 review provided some evidence).RT load(6/8 reviews provided some or sufficient evidence),weekly frequency(2/4 reviews provided some or sufficient evidence),volume(3/7 reviews provided some or sufficient evidence),and exercise order(1/1 review provided some evidence)impacted RT-induced increases in muscular strength.We discovered that 2/3 reviews provided some or sufficient evidence that RT volume and contraction velocity influenced skeletal muscle mass,while 4/7 reviews provided insufficient evidence in favor of RT load impacting skeletal muscle mass.There was insufficient evidence to conclude that time of day,periodization,inter-set rest,set configuration,set end point,contraction velocity/time under tension,or exercise order(only pertaining to hypertrophy)influenced skeletal muscle adaptations.A paucity of data limited insights into the impact of RT prescription variables on physical function.Conclusion:Overall,RT increased muscle mass,strength,and physical function compared to no exercise.RT intensity(load)and weekly frequency impacted RT-induced increases in muscular strength but not muscle hypertrophy.RT volume(number of sets)influenced muscular strength and hypertrophy.展开更多
For patients with chronic spinal cord injury,the co nventional treatment is rehabilitation and treatment of spinal cord injury complications such as urinary tract infection,pressure sores,osteoporosis,and deep vein th...For patients with chronic spinal cord injury,the co nventional treatment is rehabilitation and treatment of spinal cord injury complications such as urinary tract infection,pressure sores,osteoporosis,and deep vein thrombosis.Surgery is rarely perfo rmed on spinal co rd injury in the chronic phase,and few treatments have been proven effective in chronic spinal cord injury patients.Development of effective therapies fo r chronic spinal co rd injury patients is needed.We conducted a randomized controlled clinical trial in patients with chronic complete thoracic spinal co rd injury to compare intensive rehabilitation(weight-bearing walking training)alone with surgical intervention plus intensive rehabilitation.This clinical trial was registered at ClinicalTrials.gov(NCT02663310).The goal of surgical intervention was spinal cord detethering,restoration of cerebrospinal fluid flow,and elimination of residual spinal cord compression.We found that surgical intervention plus weight-bearing walking training was associated with a higher incidence of American Spinal Injury Association Impairment Scale improvement,reduced spasticity,and more rapid bowel and bladder functional recovery than weight-bearing walking training alone.Overall,the surgical procedures and intensive rehabilitation were safe.American Spinal Injury Association Impairment Scale improvement was more common in T7-T11 injuries than in T2-T6 injuries.Surgery combined with rehabilitation appears to have a role in treatment of chronic spinal cord injury patients.展开更多
Objective:Transurethral resection of bladder tumor is one of the most common everyday urological procedures.This kind of surgery demands a set of skills that need training and experience.In this review,we aimed to inv...Objective:Transurethral resection of bladder tumor is one of the most common everyday urological procedures.This kind of surgery demands a set of skills that need training and experience.In this review,we aimed to investigate the current literature to find out if simulators,phantoms,and other training models could be used as a tool for teaching urologists.Methods:A systematic review was performed according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses statement and the recommendations of the European Association of Urology guidelines for conducting systematic reviews.Fifteen out of 932 studies met our inclusion criteria and are presented in the current review.Results:The UroTrainer(Karl Storz GmbH,Tuttlingen,Germany),a virtual reality training simulator,achieved positive feedback and an excellent face and construct validity by the participants.The inspection of bladder mucosa,blood loss,tumor resection,and procedural time was improved after the training,especially for inexperienced urologists and medical students.The construct validity of UroSim®(VirtaMed,Zurich,Switzerland)was established.SIMBLA simulator(Samed GmbH,Dresden,Germany)was found to be a realistic and useful tool by experts and urologists with intermediate experience.The test objective competency model based on SIMBLA simulator could be used for evaluating urologists.The porcine model of the Asian Urological Surgery Training and Education Group also received positive feedback by the participants that tried it.The Simulation and Technology Enhanced Learning Initiative Project had an extraordinary face and content validity,and 60%of participants would like to use the simulators in the future.The 5-day multimodal training curriculum“Boot Camp”in the United Kingdom achieved an increase of the level of confidence of the participants that lasted months after the project.Conclusion:Simulators and courses or curricula based on a simulator training could be a valuable learning tool for any surgeon,and there is no doubt that they should be a part of every urologist's technical education.展开更多
Purpose:This meta-analytical study aimed to explore the effects of resistance training(RT) volume on body adiposity,metabolic risk,and inflammation in postmenopausal and older females.Methods:A systematic search was p...Purpose:This meta-analytical study aimed to explore the effects of resistance training(RT) volume on body adiposity,metabolic risk,and inflammation in postmenopausal and older females.Methods:A systematic search was performed for randomized controlled trials in PubMed,Scopus,Web of Science,and SciELO.Randomized controlled trials with postmenopausal and older females that compared RT effects on body adiposity,metabolic risk,and inflammation with a control group(CG) were included.Independent reviewers selected the studies,extracted the data,and performed the risk of bias and certainty of the evidence(Grading of Recommendations,Assessment,Development,and Evaluation(GRADE)) evaluations.Total body and abdominal adiposity,blood lipids,glucose,and C-reactive protein were included for meta-analysis.A random-effects model,standardized mean difference(Hedges’ g),and 95% confidence interval(95%CI) were used for meta-analysis.Results:Twenty randomized controlled trials(overall risk of bias:some concerns;GRADE:low to very low) with overweight/obese postmenopausal and older females were included.RT groups were divided into low-volume RT(LVRT,~44 sets/week) and high-volume RT(HVRT,~77 sets/week).Both RT groups presented improved body adiposity,metabolic risk,and inflammation when compared to CG.However,HVRT demonstrated higher effect sizes than LVRT for glucose(HVRT=-1.19;95%CI:-1.63 to-0.74;LVRT=-0.78;95%CI:-1.15 to-0.41) and C-reactive protein(HVRT=-1.00;95%CI:-1.32 to-0.67;LVRT=-0.34;95%CI,-0.63 to-0.04)) when compared to CG.Conclusion:Compared to CG,HVRT protocols elicit greater improvements in metabolic risk and inflammation outcomes than LVRT in overweight/obese postmenopausal and older females.展开更多
With the rapid development of machine learning,the demand for high-efficient computing becomes more and more urgent.To break the bottleneck of the traditional Von Neumann architecture,computing-in-memory(CIM)has attra...With the rapid development of machine learning,the demand for high-efficient computing becomes more and more urgent.To break the bottleneck of the traditional Von Neumann architecture,computing-in-memory(CIM)has attracted increasing attention in recent years.In this work,to provide a feasible CIM solution for the large-scale neural networks(NN)requiring continuous weight updating in online training,a flash-based computing-in-memory with high endurance(10^(9) cycles)and ultrafast programming speed is investigated.On the one hand,the proposed programming scheme of channel hot electron injection(CHEI)and hot hole injection(HHI)demonstrate high linearity,symmetric potentiation,and a depression process,which help to improve the training speed and accuracy.On the other hand,the low-damage programming scheme and memory window(MW)optimizations can suppress cell degradation effectively with improved computing accuracy.Even after 109 cycles,the leakage current(I_(off))of cells remains sub-10pA,ensuring the large-scale computing ability of memory.Further characterizations are done on read disturb to demonstrate its robust reliabilities.By processing CIFAR-10 tasks,it is evident that~90%accuracy can be achieved after 109 cycles in both ResNet50 and VGG16 NN.Our results suggest that flash-based CIM has great potential to overcome the limitations of traditional Von Neumann architectures and enable high-performance NN online training,which pave the way for further development of artificial intelligence(AI)accelerators.展开更多
With the implementation of China’s innovation-driven development strategy,the competition among sci-tech talents has become increasingly fierce.Stimulating the innovative vigor of sci-tech talents has become a hot to...With the implementation of China’s innovation-driven development strategy,the competition among sci-tech talents has become increasingly fierce.Stimulating the innovative vigor of sci-tech talents has become a hot topic in theoretical research and policy practice.Based on the data from 246 questionnaires collected from sci-tech talents in Hebei province,this study explored the influence mechanism of an inclusive organizational climate on innovation input from technological talents and verified the mediating effects of innovation self-efficacy and intrinsic motivation.The results indicate that an inclusive organizational climate has a significant positive impact on innovation input,innovation self-efficacy,and intrinsic motivation of sci-tech talents.Both innovation self-efficacy and intrinsic motivation play a partial mediating role between an inclusive climate and innovation input.This study verified the important role of an inclusive climate in an organization’s human resource management practices and encouraged managers to emphasize enhancing the innovation self-efficacy and intrinsic motivation of sci-tech talents,thereby continuously improving the level of innovation.展开更多
In recent years,various adversarial defense methods have been proposed to improve the robustness of deep neural networks.Adversarial training is one of the most potent methods to defend against adversarial attacks.How...In recent years,various adversarial defense methods have been proposed to improve the robustness of deep neural networks.Adversarial training is one of the most potent methods to defend against adversarial attacks.However,the difference in the feature space between natural and adversarial examples hinders the accuracy and robustness of the model in adversarial training.This paper proposes a learnable distribution adversarial training method,aiming to construct the same distribution for training data utilizing the Gaussian mixture model.The distribution centroid is built to classify samples and constrain the distribution of the sample features.The natural and adversarial examples are pushed to the same distribution centroid to improve the accuracy and robustness of the model.The proposed method generates adversarial examples to close the distribution gap between the natural and adversarial examples through an attack algorithm explicitly designed for adversarial training.This algorithm gradually increases the accuracy and robustness of the model by scaling perturbation.Finally,the proposed method outputs the predicted labels and the distance between the sample and the distribution centroid.The distribution characteristics of the samples can be utilized to detect adversarial cases that can potentially evade the model defense.The effectiveness of the proposed method is demonstrated through comprehensive experiments.展开更多
●AIM:To determine the teaching effects of a real-time three dimensional(3D)visualization system in the operating room for early-stage phacoemulsification training.●METHODS:A total of 10 ophthalmology residents of th...●AIM:To determine the teaching effects of a real-time three dimensional(3D)visualization system in the operating room for early-stage phacoemulsification training.●METHODS:A total of 10 ophthalmology residents of the first-year postgraduate were included.All the residents were novices to cataract surgery.Real-time cataract surgical observations were performed using a custom-built 3D visualization system.The training lasted 4wk(32h)in all.A modified International Council of Ophthalmology’s Ophthalmology Surgical Competency Assessment Rubric(ICO-OSCAR)containing 4 specific steps of cataract surgery was applied.The self-assessment(self)and expert-assessment(expert)were performed through the microsurgical attempts in the wet lab for each participant.●RESULTS:Compared with pre-training assessments(self 3.2±0.8,expert 2.5±0.6),the overall mean scores of posttraining(self 5.2±0.4,expert 4.7±0.6)were significantly improved after real-time observation training of 3D visualization system(P<0.05).Scores of 4 surgical items were significantly improved both self and expert assessment after training(P<0.05).●CONCLUSION:The 3D observation training provides novice ophthalmic residents with a better understanding of intraocular microsurgical techniques.It is a useful tool to improve teaching efficiency of surgical education.展开更多
文摘This paper, with the training of the international talents possessing remarkable English listening and speaking ability,mainly discusses the specific application of the cognitive strategy in different stages of college English listening comprehension.It is expected that the paper can bring some useful enlightenments on the international talents training.
基金the Project of Top Disciplines(A Study of“Foreign Language+Profession”Innovative Talents Training Model Driven by Social Needs,2018)in College of Foreign Languages,Yanbian University,China.
文摘Recently,great changes have taken place in the field of foreign language talents training in universities.Training of foreign language talents should take both national strategy and local development into consideration.Traditional skill-centered foreign language talents training model has been gradually taken place by“foreign language+”model which can better adapt to new social needs and sustainable development of the foreign language major.In a word,foreign language talents training requires not only the language skills,but also professional knowledge and other abilities so that they can develop in full scale and meet the needs of the social development effectively.
文摘This article,emphatically analyzes the needs and the way of internationall talents training for Shaanxi under"the Belt and Road".And it’s hoped that the results can be helpful for providing Shaanxi with solid talents support under the opportunity of"the Belt and Road".
文摘In this paper liner English compound talents training theories,on the basis of the combination of education practice,from cruise English talents for specification and different types of education personnel training mode,course system,etc.,as the standard of cruise English teaching and cruise the bilingual teaching of higher vocational cruise English compound talents training mode,and analyzes the effect of the training mode and deficiencies.
文摘The main problems of the traditional software talent training are that the knowledge learned is out of touch of the industry,weak ability to solve complex engineering problems and the comprehensive quality cannot meet the requirements of enterprises.Taking the course of digital image processing as an example,this paper analyzes the key steps in the training process in details,and proposes a multiple mode collaborative based software engineering talent training mechanism,which brings the key subjects of teaching materials,teachers,students,enterprises,subjects into a unified training mechanism,so as to provide a new ideas for software talent teaching.
文摘With the rapid development of economic globalization and the transformation of higher education from elite education to popular education,all employers require college students’English ability is getting higher and higher,especially for the ability to work in English.Teachers not only play a major role in the process of training students’application ability,but also determine the success or failure of the transformation and development of local colleges and universities.This also puts forward higher requirements for College English teachers.The majority of English teachers must realize their own transformation and development from the overall situation of the transformation and development of colleges and the actual needs of students to learn English.College English teachers should adapt to the new situation,change teaching ideas and establish the concept of lifelong learning,so as to increase their own practical experience and industry experience,so as to promote the development of College English teaching.
基金supported by the Ministry of Education’s 2022 Second Batch of Industry-university Cooperation Collaborative Education Project"PaddlePaddle Artificial Intelligence Education Innovation Center Practice Base"(Grant No.220700001065953,220700001121532)the Ministry of Education’s Second Batch of Supply-demand Docking Employment Education Project"University of Electronic Science and Technology of China-Baidu Online Network Technology(Beijing)AI Technology Talent Training Project"(Grant No.20230103592)。
文摘This paper takes the school-enterprise cooperation between the University of Electronic Science and Technology of China(UESTC)and Baidu(China)Co.,Ltd.as an example to build the Paddle Paddle(Sichuan)AI Education Innovation Center by enjoying the best of both UESTC and Baidu(China),and cooperating with 16 universities in Sichuan Province.With the support of this center,both the school and the enterprise successfully built a school-enterprise collaborative AI innovative talent training model,which mainly serves the universities,industries,and districts.Furthermore,this training model is able to facilitate the update of the industrial intelligence and the regional economic development in southwest China,and also provide a reference for deep integration of school-enterprise collaboration and the cultivation of innovative talents in electronic information fields.
基金2022-2024 Sichuan Provincial Department of Education Vocational Education Talent Training and Education Reform Research Project General Project(Project number:Chuanjiaohan[2023]No.100,GZJG2022-107,Host:Li Hui):Comprehensive Education Research and Practice of“Post-Course Competition Certificate”in Higher Vocational Digital Media Majors from the Perspective of“Four Chains”Integration2023 Sichuan Provincial Education and Research Project(Key Project)(Project number:Chuanjiaohan[2023]-67,Host:Li Hui):Based on the"Three Double,Three Stage,and Four Integration"Vocational Digital Media Professional Education Path Research and Practice of the Skills Master Studio+2 种基金2022 Chengdu Agricultural College Key Education and Teaching Reform Project(JG-202202-11)The Education Reform Project of Chengdu Agricultural College in 2021(21JG-29)The 2022 Chengdu Education and Research Planning Project(CY2022ZZ31)。
文摘Accelerating the construction of modern vocational education groups and promoting the integrated training of secondary vocational,vocational,and undergraduate talents,providing talent support for regional economic development,are inevitable choices to enhance the adaptability of vocational education.Based on the new development and requirements in the new situation,vocational colleges actively explore the path of connecting and cultivating secondary vocational,vocational,and undergraduate talents in accordance with the talent needs of local economic development and industrial system development.The linkage between government,school,and enterprise is established to build a modern vocational education group,aiming to build a professional chain in the industrial chain and promote innovative development of the new industrial system.Relying on the development needs of professional clusters,a multi-level system of connecting and cultivating secondary vocational,vocational,and undergraduate talents is constructed,which is in line with industry and enterprise standards.It is also necessary to build a“post-course competition certification”talent training model for connecting secondary vocational,vocational,and undergraduate students,rely on the advantages of multiple schools and enterprises,establish a platform for integrating industry and education,and innovate the evaluation system for connecting secondary vocational,vocational,and undergraduate students.
基金suppoited by an Alexander Graliam Bell Canada Graduate Scholarship-Doctoralsupported by an Ontario Graduate Scholarshipsupported by the Canada Research Chairs programme。
文摘Purpose:The aim of this umbrella review was to determine the impact of resistance training(RT)and individual RT prescription variables on muscle mass,strength,and physical function in healthy adults.Methods:Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA)guidelines,we systematically searched and screened eligible systematic reviews reporting the effects of differing RT prescription variables on muscle mass(or its proxies),strength,and/or physical function in healthy adults aged>18 years.Results:We identified 44 systematic reviews that met our inclusion criteria.The methodological quality of these reviews was assessed using A Measurement Tool to Assess Systematic Reviews;standardized effectiveness statements were generated.We found that RT was consistently a potent stimulus for increasing skeletal muscle mass(4/4 reviews provide some or sufficient evidence),strength(4/6 reviews provided some or sufficient evidence),and physical function(1/1 review provided some evidence).RT load(6/8 reviews provided some or sufficient evidence),weekly frequency(2/4 reviews provided some or sufficient evidence),volume(3/7 reviews provided some or sufficient evidence),and exercise order(1/1 review provided some evidence)impacted RT-induced increases in muscular strength.We discovered that 2/3 reviews provided some or sufficient evidence that RT volume and contraction velocity influenced skeletal muscle mass,while 4/7 reviews provided insufficient evidence in favor of RT load impacting skeletal muscle mass.There was insufficient evidence to conclude that time of day,periodization,inter-set rest,set configuration,set end point,contraction velocity/time under tension,or exercise order(only pertaining to hypertrophy)influenced skeletal muscle adaptations.A paucity of data limited insights into the impact of RT prescription variables on physical function.Conclusion:Overall,RT increased muscle mass,strength,and physical function compared to no exercise.RT intensity(load)and weekly frequency impacted RT-induced increases in muscular strength but not muscle hypertrophy.RT volume(number of sets)influenced muscular strength and hypertrophy.
基金supported by Hong Kong Spinal Cord Injury Fund (HKSCIF),China (to HZ)。
文摘For patients with chronic spinal cord injury,the co nventional treatment is rehabilitation and treatment of spinal cord injury complications such as urinary tract infection,pressure sores,osteoporosis,and deep vein thrombosis.Surgery is rarely perfo rmed on spinal co rd injury in the chronic phase,and few treatments have been proven effective in chronic spinal cord injury patients.Development of effective therapies fo r chronic spinal co rd injury patients is needed.We conducted a randomized controlled clinical trial in patients with chronic complete thoracic spinal co rd injury to compare intensive rehabilitation(weight-bearing walking training)alone with surgical intervention plus intensive rehabilitation.This clinical trial was registered at ClinicalTrials.gov(NCT02663310).The goal of surgical intervention was spinal cord detethering,restoration of cerebrospinal fluid flow,and elimination of residual spinal cord compression.We found that surgical intervention plus weight-bearing walking training was associated with a higher incidence of American Spinal Injury Association Impairment Scale improvement,reduced spasticity,and more rapid bowel and bladder functional recovery than weight-bearing walking training alone.Overall,the surgical procedures and intensive rehabilitation were safe.American Spinal Injury Association Impairment Scale improvement was more common in T7-T11 injuries than in T2-T6 injuries.Surgery combined with rehabilitation appears to have a role in treatment of chronic spinal cord injury patients.
文摘Objective:Transurethral resection of bladder tumor is one of the most common everyday urological procedures.This kind of surgery demands a set of skills that need training and experience.In this review,we aimed to investigate the current literature to find out if simulators,phantoms,and other training models could be used as a tool for teaching urologists.Methods:A systematic review was performed according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses statement and the recommendations of the European Association of Urology guidelines for conducting systematic reviews.Fifteen out of 932 studies met our inclusion criteria and are presented in the current review.Results:The UroTrainer(Karl Storz GmbH,Tuttlingen,Germany),a virtual reality training simulator,achieved positive feedback and an excellent face and construct validity by the participants.The inspection of bladder mucosa,blood loss,tumor resection,and procedural time was improved after the training,especially for inexperienced urologists and medical students.The construct validity of UroSim®(VirtaMed,Zurich,Switzerland)was established.SIMBLA simulator(Samed GmbH,Dresden,Germany)was found to be a realistic and useful tool by experts and urologists with intermediate experience.The test objective competency model based on SIMBLA simulator could be used for evaluating urologists.The porcine model of the Asian Urological Surgery Training and Education Group also received positive feedback by the participants that tried it.The Simulation and Technology Enhanced Learning Initiative Project had an extraordinary face and content validity,and 60%of participants would like to use the simulators in the future.The 5-day multimodal training curriculum“Boot Camp”in the United Kingdom achieved an increase of the level of confidence of the participants that lasted months after the project.Conclusion:Simulators and courses or curricula based on a simulator training could be a valuable learning tool for any surgeon,and there is no doubt that they should be a part of every urologist's technical education.
基金supported by the Minas Gerais State University (UEMG/Brazil)a Research Productivity Scholarship Program (UEMG-PQ08/2021)+1 种基金a doctorate scholarship from the National Council of Technological and Scientific Development (CNPq/Brazil-Process140473/2020-3)a doctorate scholarship fromthe Coordination of Improvement of Higher Education Personnel (CAPES/Brazil-Code 001)。
文摘Purpose:This meta-analytical study aimed to explore the effects of resistance training(RT) volume on body adiposity,metabolic risk,and inflammation in postmenopausal and older females.Methods:A systematic search was performed for randomized controlled trials in PubMed,Scopus,Web of Science,and SciELO.Randomized controlled trials with postmenopausal and older females that compared RT effects on body adiposity,metabolic risk,and inflammation with a control group(CG) were included.Independent reviewers selected the studies,extracted the data,and performed the risk of bias and certainty of the evidence(Grading of Recommendations,Assessment,Development,and Evaluation(GRADE)) evaluations.Total body and abdominal adiposity,blood lipids,glucose,and C-reactive protein were included for meta-analysis.A random-effects model,standardized mean difference(Hedges’ g),and 95% confidence interval(95%CI) were used for meta-analysis.Results:Twenty randomized controlled trials(overall risk of bias:some concerns;GRADE:low to very low) with overweight/obese postmenopausal and older females were included.RT groups were divided into low-volume RT(LVRT,~44 sets/week) and high-volume RT(HVRT,~77 sets/week).Both RT groups presented improved body adiposity,metabolic risk,and inflammation when compared to CG.However,HVRT demonstrated higher effect sizes than LVRT for glucose(HVRT=-1.19;95%CI:-1.63 to-0.74;LVRT=-0.78;95%CI:-1.15 to-0.41) and C-reactive protein(HVRT=-1.00;95%CI:-1.32 to-0.67;LVRT=-0.34;95%CI,-0.63 to-0.04)) when compared to CG.Conclusion:Compared to CG,HVRT protocols elicit greater improvements in metabolic risk and inflammation outcomes than LVRT in overweight/obese postmenopausal and older females.
基金This work was supported by the National Natural Science Foundation of China(Nos.62034006,92264201,and 91964105)the Natural Science Foundation of Shandong Province(Nos.ZR2020JQ28 and ZR2020KF016)the Program of Qilu Young Scholars of Shandong University.
文摘With the rapid development of machine learning,the demand for high-efficient computing becomes more and more urgent.To break the bottleneck of the traditional Von Neumann architecture,computing-in-memory(CIM)has attracted increasing attention in recent years.In this work,to provide a feasible CIM solution for the large-scale neural networks(NN)requiring continuous weight updating in online training,a flash-based computing-in-memory with high endurance(10^(9) cycles)and ultrafast programming speed is investigated.On the one hand,the proposed programming scheme of channel hot electron injection(CHEI)and hot hole injection(HHI)demonstrate high linearity,symmetric potentiation,and a depression process,which help to improve the training speed and accuracy.On the other hand,the low-damage programming scheme and memory window(MW)optimizations can suppress cell degradation effectively with improved computing accuracy.Even after 109 cycles,the leakage current(I_(off))of cells remains sub-10pA,ensuring the large-scale computing ability of memory.Further characterizations are done on read disturb to demonstrate its robust reliabilities.By processing CIFAR-10 tasks,it is evident that~90%accuracy can be achieved after 109 cycles in both ResNet50 and VGG16 NN.Our results suggest that flash-based CIM has great potential to overcome the limitations of traditional Von Neumann architectures and enable high-performance NN online training,which pave the way for further development of artificial intelligence(AI)accelerators.
基金This paper is funded by Humanities and Social Sciences Research Project of the Ministry of Education:The Research on the Influence Mechanism of Chinese Enterprise Employees’Participation on Adaptive Performance—An Explanation Based on the JDR Theory and Self-Consistency Theory(19YJC630226)Soft Science Project of Hebei Provincial Department of Science and Technology:The Research on the Incentive Mechanism for Innovation of Sci-Tech Talents in Hebei Province from the Perspective of AMO Theory(225576109D)Humanities and Social Sciences Foundation of Hebei Normal University:The Research on the Influence Mechanism of Enterprise Employees’Participation on Growth Performance in the Context of Technological Change(S20GD009).
文摘With the implementation of China’s innovation-driven development strategy,the competition among sci-tech talents has become increasingly fierce.Stimulating the innovative vigor of sci-tech talents has become a hot topic in theoretical research and policy practice.Based on the data from 246 questionnaires collected from sci-tech talents in Hebei province,this study explored the influence mechanism of an inclusive organizational climate on innovation input from technological talents and verified the mediating effects of innovation self-efficacy and intrinsic motivation.The results indicate that an inclusive organizational climate has a significant positive impact on innovation input,innovation self-efficacy,and intrinsic motivation of sci-tech talents.Both innovation self-efficacy and intrinsic motivation play a partial mediating role between an inclusive climate and innovation input.This study verified the important role of an inclusive climate in an organization’s human resource management practices and encouraged managers to emphasize enhancing the innovation self-efficacy and intrinsic motivation of sci-tech talents,thereby continuously improving the level of innovation.
基金supported by the National Natural Science Foundation of China(No.U21B2003,62072250,62072250,62172435,U1804263,U20B2065,61872203,71802110,61802212)the National Key R&D Program of China(No.2021QY0700)+4 种基金the Key Laboratory of Intelligent Support Technology for Complex Environments(Nanjing University of Information Science and Technology),Ministry of Education,and the Natural Science Foundation of Jiangsu Province(No.BK20200750)Open Foundation of Henan Key Laboratory of Cyberspace Situation Awareness(No.HNTS2022002)Post Graduate Research&Practice Innvoation Program of Jiangsu Province(No.KYCX200974)Open Project Fund of Shandong Provincial Key Laboratory of Computer Network(No.SDKLCN-2022-05)the Priority Academic Program Development of Jiangsu Higher Education Institutions(PAPD)Fund and Graduate Student Scientific Research Innovation Projects of Jiangsu Province(No.KYCX231359).
文摘In recent years,various adversarial defense methods have been proposed to improve the robustness of deep neural networks.Adversarial training is one of the most potent methods to defend against adversarial attacks.However,the difference in the feature space between natural and adversarial examples hinders the accuracy and robustness of the model in adversarial training.This paper proposes a learnable distribution adversarial training method,aiming to construct the same distribution for training data utilizing the Gaussian mixture model.The distribution centroid is built to classify samples and constrain the distribution of the sample features.The natural and adversarial examples are pushed to the same distribution centroid to improve the accuracy and robustness of the model.The proposed method generates adversarial examples to close the distribution gap between the natural and adversarial examples through an attack algorithm explicitly designed for adversarial training.This algorithm gradually increases the accuracy and robustness of the model by scaling perturbation.Finally,the proposed method outputs the predicted labels and the distance between the sample and the distribution centroid.The distribution characteristics of the samples can be utilized to detect adversarial cases that can potentially evade the model defense.The effectiveness of the proposed method is demonstrated through comprehensive experiments.
基金Supported by research grants from the National Key Research and Development Program of China(No.2020YFE0204400)the National Natural Science Foundation of China(No.82271042+1 种基金No.52203191)the Zhejiang Province Key Research and Development Program(No.2023C03090).
文摘●AIM:To determine the teaching effects of a real-time three dimensional(3D)visualization system in the operating room for early-stage phacoemulsification training.●METHODS:A total of 10 ophthalmology residents of the first-year postgraduate were included.All the residents were novices to cataract surgery.Real-time cataract surgical observations were performed using a custom-built 3D visualization system.The training lasted 4wk(32h)in all.A modified International Council of Ophthalmology’s Ophthalmology Surgical Competency Assessment Rubric(ICO-OSCAR)containing 4 specific steps of cataract surgery was applied.The self-assessment(self)and expert-assessment(expert)were performed through the microsurgical attempts in the wet lab for each participant.●RESULTS:Compared with pre-training assessments(self 3.2±0.8,expert 2.5±0.6),the overall mean scores of posttraining(self 5.2±0.4,expert 4.7±0.6)were significantly improved after real-time observation training of 3D visualization system(P<0.05).Scores of 4 surgical items were significantly improved both self and expert assessment after training(P<0.05).●CONCLUSION:The 3D observation training provides novice ophthalmic residents with a better understanding of intraocular microsurgical techniques.It is a useful tool to improve teaching efficiency of surgical education.
