integration

Integration
  • 文章类型: English Abstract
    本文致力于分析对残疾儿童社会化机构的信任问题。家庭等残疾儿童社会化机构的作用,教育,healthcare,公共组织,媒体进行了分析。该分析基于2023年5月至6月在抚养残疾儿童的家庭成员中进行的社会学研究的结果(莫斯科,圣彼得堡,别尔哥罗德,库尔斯克)。研究显示,受访者对社会化机构信任的评估存在显著差异。已经确定媒体已经成为信任的局外人。在分析过程中,作者得出结论,有必要对残疾儿童社会化机构的活动采用综合方法,这应该基于部门间的互动“家庭-非政府组织-当局-医疗保健,教育-媒体-商业。“拟议的方法,根据作者的说法,确保有效性,活动的针对性和透明度。
    The article is devoted to the analysis of the problem of trust in the institutions of socialization of children with disabilities. The role of such institutions of socialization of disabled children as family, education, healthcare, public organizations, and the media is analyzed. The analysis was based on the results of a sociological study conducted in May-June 2023 among family members raising disabled children (Moscow, St. Petersburg, Belgorod, Kursk). The study revealed significant differences in respondents\' assessments of their trust in socialization institutions. It has been established that the media has become an outsider of trust. In the course of the analysis, the authors concluded that it is necessary to apply an integrated approach to the activities of institutions for the socialization of children with disabilities, which should be based on interdepartmental interaction «family - NGOs - authorities - healthcare, education - media - business». The proposed approach, according to the authors, ensures the effectiveness, targeting and transparency of activities.
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  • 文章类型: Journal Article
    本文综述了在提供医疗保健服务的情况下实施数字技术的当代国内外经验。对Scopus数据的系统分析,eLibrary,PubMed和其他电子数据库允许在2016-2023年选择30个俄语和英语来源。现代数字化趋势影响着公司的合作,在这些公司中,现代化的矢量成为基于公共状态信息系统的统一数字框架的开发医疗保健;由AI功能丰富的医学知识的公共教育平台,通过利用数字化转型开发基于数字技术和服务的组织活动和工作流程。评估软件产品阅读效率的工具不足和健康数字化过程的可扩展性成为问题。截至今天,使用人工智能系统的诊断技术,肺癌筛查技术,创伤后颌骨-眶复合体畸形患者的检查方法,使用数字注册监控设备的读数,已经描述了各种级别的进一步办公室咨询以及AI在神经外科中的应用。本文还考虑了远程医疗咨询和现代化护理模式的发展问题。作者期望数字生态系统在发展中解决法律管理概念问题,融资和患者法律保护系统将尽一切必要来减轻网络事件。
    The article presents review summarizing contemporary National and foreign experience of implementing digital technologies under provision of services in health care. The systematic analysis of data from Scopus, eLibrary, PubMed and others electronic databases permitted to select 30 sources in Russian and English for 2016-2023. Modern digitization trends affect collaborations of companies where vectors of modernization become development of unified digital framework based on common state information system of health care; common educational platform for medical knowledge enriching by AI capabilities, through development of organizational activities and workflows based on digital technologies and services utilizing digital transformation. The deficiency of tools evaluating efficiency of reading software products and scalability of health digitization processes become problematic issues. As of today, diagnostic technologies using AI systems, technologies of lung cancer screening, examination methods of patients with post-traumatic deformations of cheekbone-orbital complex, monitoring of readings of devices with digital registration, further office consulting of various levels and application of AI in neurosurgery were described already. The article also considers issues of telemedicine consultations and development of modernized care models. The authors expect that digital ecosystem in development addressing issues of legal concept of management, financing and system of patient legal protection will do everything necessary to mitigate cyber incidents.
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  • 文章类型: Journal Article
    本文的主要规定是直升机涡轴发动机热气动力参数积分信号的神经网络方法的开发和应用。这使您可以实时有效地纠正传感器数据,确保读数的高精度和可靠性。已经开发出一种神经网络,该神经网络集成了直升机涡轴发动机参数的闭环,这是基于滤波方法进行调节的。这使得实现几乎100%(0.995或99.5%)的准确性成为可能,并在280个训练周期后将损失函数降低到0.005(0.5%)。已经开发了一种基于闭环反向传播误差的神经网络训练算法,集成基于滤波方法调节的直升机涡轴发动机参数。它结合了提高验证集精度和控制过拟合,考虑到误差动力学,这保持了模型的泛化能力。自适应训练速率提高了对数据变化和训练条件的适应性,提高性能。已经在数学上证明,直升机涡轴发动机参数调节神经网络闭环积分采用滤波法,与传统滤波器(中值递归,递归和中位数),显著提高效率。此外,这可以减少第一和第二类型的误差:与中值递归滤波器相比是2.11倍,是递归滤波器的2.89倍,与中值滤波器相比是4.18倍。所取得的成果显著提高了直升机涡轮轴发动机传感器读数的准确性(高达99.5%)和可靠性,通过改进的过滤方法和神经网络数据集成,确保飞机的高效和安全运行。这些进步为航空业开辟了新的前景,通过先进的数据处理技术提高直升机的运营效率和整体飞行安全。
    The article\'s main provisions are the development and application of a neural network method for helicopter turboshaft engine thermogas-dynamic parameter integrating signals. This allows you to effectively correct sensor data in real time, ensuring high accuracy and reliability of readings. A neural network has been developed that integrates closed loops for the helicopter turboshaft engine parameters, which are regulated based on the filtering method. This made achieving almost 100% (0.995 or 99.5%) accuracy possible and reduced the loss function to 0.005 (0.5%) after 280 training epochs. An algorithm has been developed for neural network training based on the errors in backpropagation for closed loops, integrating the helicopter turboshaft engine parameters regulated based on the filtering method. It combines increasing the validation set accuracy and controlling overfitting, considering error dynamics, which preserves the model generalization ability. The adaptive training rate improves adaptation to the data changes and training conditions, improving performance. It has been mathematically proven that the helicopter turboshaft engine parameters regulating neural network closed-loop integration using the filtering method, in comparison with traditional filters (median-recursive, recursive and median), significantly improve efficiency. Moreover, that enables reduction of the errors of the 1st and 2nd types: 2.11 times compared to the median-recursive filter, 2.89 times compared to the recursive filter, and 4.18 times compared to the median filter. The achieved results significantly increase the helicopter turboshaft engine sensor readings accuracy (up to 99.5%) and reliability, ensuring aircraft efficient and safe operations thanks to improved filtering methods and neural network data integration. These advances open up new prospects for the aviation industry, improving operational efficiency and overall helicopter flight safety through advanced data processing technologies.
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  • 文章类型: Journal Article
    传统上,机电系统需要安装辅助位移传感器,并且仅在驱动部分和运动末端上安装量,这增加了音量,成本,和系统中的测量误差。本文提出了一种带有传感头的集成测量方法,将机械结构的等分特性作为传感器的一部分,因此,所谓的自感系统。此外,通过对时间脉冲进行计数来测量位移。传感头与整个机电系统集成,包括开车,传输,和移动部件。因此,大大提高了传感部分的集成度。以转盘为例,和传感头嵌入到系统的每个部分,位移信息由通用处理系统获得,并通过自适应加权平均法进行融合。实验结果表明,各分量的融合精度高于仅将电机位置信息作为反馈。所提出的方法是一种实用的自传感技术,在行业中具有显着的体积减小和智能控制优势,特别适用于极小和狭窄的空间。
    Conventionally, the electromechanical system requires the installation of auxiliary displacement sensors and only the amount on the drive part and motion end, which increases volume, cost, and measurement error in the system. This paper presents an integrated measurement method with a sensing head, which takes the equal division characteristics of mechanical structures as part of the sensor, thus, the so-called self-sensing system. Moreover, the displacement is measured by counting the time pulses. The sensing head is integrated with the entire electromechanical system, including the driving, transmitting, and moving parts. Thus, the integration of the sensing part is greatly improved. Taking the rotary table as a special example, and the sensing head embedded into each part of the system, displacement information is obtained by the common processing system and fused by the adaptive weighted average method. The results of the experiment show that the fusion precision of each component is higher than only the motor position information as the feedback. The proposed method is a practical self-sensing technology with significant volume reduction and intelligent control benefits in the industry, especially suitable for extremely small and narrow spaces.
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  • 文章类型: Journal Article
    背景:在基础医学学科中实现医学课程的整合而不冗余是一项重大挑战。在这样的课程中引入联合教学,积极跨学科的参与被认为是最好的利用教师和学生的教学和学习时间,为了激励学生,并为弥合医学院的基础医学和临床医学之间的差距提供更强大的基础。此外,在一次会议中包括多个以学生为中心的活动,预计将增加学生的参与度并提高知识的保留率。我们的研究旨在最大程度地减少冗余,并提高学生在Galala大学向三年级学生教授的内分泌和代谢模块期间学习“胰岛素-葡萄糖调节”主题的动机,埃及医学院。
    方法:作者设计了一个由3个基础医学科学组成的3小时联合教学综合课程,旨在解释临床术语,包括在线访问的前/后测试,小型学生团体创建的会前/会后MCQ,与学生共同分享科学材料的介绍。
    结果:学生在后测中的分数表明,与以前相比,他们获得了更多的知识。有趣的是,学生在会议前后产生问题的表现只有改善,以及在学期末考试的综合问题中,我们建议在医学院的其他主题和模块中实施这种方法。与使用这种方法的学生和以不同方式教授的学生跟进,以受控的方式评估这种方法的有效性也是有利的。
    结论:综合课程有效地提高了学生对医学概念的认识,并减少了基础医学的冗余。这种方法使学生对主题有了更全面的了解,提高他们的理解力和记忆力。对于寻求增强学生在医学领域的学习经验的教育者和指导者来说,这是一种有价值的方法。
    BACKGROUND: Achieving integration in medical curricula without redundancy in basic medical sciences disciplines is a substantial challenge. Introducing co-teaching in such curricula with active inter-disciplinary participation is believed to best utilize the teaching and learning time for instructors and students, to motivate the students, and to provide a more robust base for bridging the gap between basic and clinical medical sciences in medical schools. Additionally, including more than one student-centered activity in one session is expected to increase the students\' involvement and improve the retention of knowledge. Our study aims at minimizing redundancy and improving the students\' motivation in learning the topic \"insulin-glucose regulation\" during the Endocrine and Metabolism module taught to year three students at Galala University, Faculty of Medicine in Egypt.
    METHODS: The authors designed a 3-hr co-teaching integrated session with 3 basic medical sciences aimed to explain the clinical terms including online accessed pre/post-tests, small student groups-created pre/post-session MCQ, with co-sharing of students in the introduction of scientific materials.
    RESULTS: The students\' scores in the post-test showed that they gained more knowledge compared to before. Interestingly, there was only an improvement in the students\' performance in generating questions before and after the session, as well as in the integrated question in the end-of-semester exam, we suggest implementing this approach in other topics and modules in medical schools. It would also be favorable to follow up with the students taught using this approach and those taught differently to assess the effectiveness of this approach in a controlled manner.
    CONCLUSIONS: Integrated sessions effectively increase student awareness of medical concepts and reduce redundancy in basic medical sciences. This approach exposes students to a more comprehensive understanding of the subject matter, improving their comprehension and retention. It is a valuable method for educators and instructors seeking to enhance their students\' learning experience in the field of medical sciences.
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  • 文章类型: Editorial
    暂无摘要。
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  • 文章类型: Journal Article
    背景:受过国际教育的护士(IEN)从发展中国家向发达国家的迁移日益增加,这凸显了实施促进其工作场所过渡的融合战略的重要性,提高工作满意度和专业能力。
    目的:混合方法系统综述旨在综合当前有关IEN在整个过渡过程中影响工作满意度和专业能力的因素的文献,包括预迁移,迁移,和迁移后时期。
    方法:本研究从2013年到2023年进行了混合方法系统综述,使用CINAHL,Scopus,和PubMed数据库并雇用人口,干预措施,比较,结果(PICO)框架。质量评估采用混合方法评估工具(MMAT),数据分析遵循收敛并行设计。数据综合是叙述式的,文献综述遵循系统评价和荟萃分析(PRISMA)指南的首选报告项目。
    结果:在565篇文章中,11项研究(8项定性,两个定量,和一种混合方法)符合纳入标准。确定了影响IEN工作满意度和专业能力的三个关键主题:迁移前和部署前的需求,工作场所整合方面的挑战,以及移民后的职业挑战和保留策略。
    结论:该研究主要针对从发展中国家招募的IENs,可能会限制调查结果对其他地区或国家的IEN的普遍性。此外,在现有的研究中,来自发达国家的护士也是移民的,这进一步限制了研究成果的适用性。
    结论:必须重新考虑迁移前的语言要求,并评估在整合期间完成这些要求的可行性,以提高IEN的工作满意度和专业能力。此外,提高IEN工作满意度的关键因素包括提供个性化支持,解决管理障碍,促进职业发展,高效地管理工作负载,并促进医疗团队内部的有效沟通。
    BACKGROUND: The increasing migration of internationally educated nurses (IENs) from developing to developed countries highlights the importance of implementing integration strategies that facilitate their workplace transition, leading to improved job satisfaction and professional competence.
    OBJECTIVE: The mixed-methods systematic review aimed to synthesise the current literature on factors influencing job satisfaction and professional competencies among IENs throughout their transition process, including the pre-migration, migration, and post-migration periods.
    METHODS: This study conducted a mixed-methods systematic review from 2013 to 2023, using the CINAHL, Scopus, and PubMed databases and employing a Population, Interventions, Comparisons, Outcomes (PICO) framework. Quality assessment employed the Mixed Methods Appraisal Tool (MMAT), and data analysis followed a convergent parallel design. Data synthesis was presented narratively, and the literature review adhered to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
    RESULTS: Out of 565 articles, eleven studies (eight qualitative, two quantitative, and one mixed-method) met the inclusion criteria. Three key themes that influenced job satisfaction and professional competencies among IENs were identified: pre-migration and pre-deployment demands, challenges in workplace integration, and post-migration career challenges and retention strategies.
    CONCLUSIONS: The study primarily focused on IENs recruited from developing countries, potentially limiting the generalisability of the findings to IENs from other regions or countries. Furthermore, the inclusion of nurses from developed countries who also migrated was limited in the available studies, which further restricts the applicability of the research findings.
    CONCLUSIONS: It is essential to reconsider the pre-migration language requirements and evaluate the feasibility of completing them during the integration period to enhance the job satisfaction and professional competencies of IENs. Additionally, key factors for improving job satisfaction among IENs include providing personalised support, addressing managerial barriers, facilitating career advancement, efficiently managing workloads, and promoting effective communication within the healthcare team.
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  • 文章类型: Journal Article
    背景:提出的安全/不安全的生活依恋概念反映了世界和生活的经验,是一个好(或不安全/威胁)的地方。本文阐述了理论基础,发展,并确认修订后的措施,以捕获安全/不安全的生活依恋现象。修订后的量表由七个维度组成:(1)共存,(2)可靠性,(3)安全性,(4)集成,(5)包容,(6)参与,和(7)审议。
    方法:在三项研究中(N=1,059),我们检查了修订的生命体依恋量表(LAS-R)的因子结构以及收敛和预测效度。
    结果:我们的结果支持量表的七因素结构,反映上述尺寸。此外,通过与生活满意度相关概念的相关性来建立收敛效度和预测效度,蓬勃发展,对未来的开放,和感知的压力。
    结论:我们设计并证实了一种能够测量安全和不安全/无序生命依恋尺寸的尺度。来自统计分析的经验证据支持LAS-R在心理上是合理的假设,确立其作为可靠工具的可靠性和有效性。因此,该量表对发展心理学许多领域的研究经验基础具有积极的意义,社会学,和社会科学。
    BACKGROUND: The proposed concept of secure/insecure lifeattachment reflects the experience of the world and life as a good (or insecure/threatening) place to be. The present article describes the theoretical foundation, development, and validation of a revised measure that captures the phenomenon of secure/insecure life attachment. The revised scale consists of seven dimensions: (1) Coexistence, (2) Reliability, (3) Safetiness, (4) Integration, (5) Inclusion, (6) Participation, and (7) Deliberation.
    METHODS: In three studies (N = 1,059), we examined the factor structure and the convergent and predictive validity of the Life Attachment Scale-Revised (LAS-R).
    RESULTS: Our results support a seven-factor structure of the scale, reflecting the aforementioned dimensions. Furthermore, convergent and predictive validity were established through correlations with related concepts of life satisfaction, flourishing, openness to the future, and perceived stress.
    CONCLUSIONS: We have devised and substantiated a scale adept at gauging dimensions of secure and insecure/disordered life attachment. Empirical evidence from statistical analyses supports the assumption that the LAS-R is psychometrically sound, establishing its reliability and validity as a dependable instrument. Thus, the scale has promising implications for developing the empirical base for research in many areas of psychology, sociology, and the social sciences.
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  • 文章类型: Journal Article
    本文描述了构建一个用于绘画艺术和风格呈现平台的嵌入式系统,实现数字绘画艺术与传统艺术设计的自动融合。前端组件使用Bootstrap框架设计,以Django为Web开发框架,将TensorFlow架构集成到代码中。此外,引入了Inception模块和残差连接,以优化视觉几何组(VGG)网络,用于识别和分析图像纹理特征。与其他型号相比,实验结果表明,该模型在图像风格分类精度上提高了2.6%,建筑和景观形象分类达到87.34%和95.33%,分别。系统的运行结果表明,所提出的平台减轻了系统逻辑功能模块的负担,增强可扩展性,促进数字绘画艺术与传统艺术设计表达的自动化融合。
    This article describes constructing an embedded system for a painting art and style presentation platform, achieving the automatic integration of digital painting art with traditional art design. The frontend components are designed using the Bootstrap framework, with Django as the web development framework and TensorFlow architecture integrated into the code. Furthermore, the Inception module and residual connections are introduced to optimize the visual geometry group (VGG) network for recognizing and analyzing image texture features. Compared to other models, experimental results indicate that the proposed model demonstrates a 2.6% increase in image style classification accuracy, reaching 87.34% and 95.33% in architectural and landscape image classification, respectively. The system\'s operational outcomes reveal that the proposed platform alleviates the burden on the logical function modules of the system, enhances scalability, and promotes the automated fusion of digital painting art with traditional art design expression.
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  • 文章类型: Case Reports
    2022年,英格兰开始了雄心勃勃的创新重组,以建立一个综合的医疗保健系统,更加注重改善人口健康。这项研究旨在了解新生的ICSs是如何发展的,并确定整合的关键挑战和推动因素。
    四个ICS在2021年11月至2022年5月期间参与了这项研究。与来自健康的系统领导者(n=67)的半结构化访谈,举行了社会和自愿护理以及当地社区的代表。在Leutz的五个整合定律框架的支持下,使用了主题框架方法来分析数据。
    ICSs的好处包括加强提供优质护理,改善人口健康,并在社区提供更多以人为本的护理。然而,健康和社会护理之间的差异,如问责制,组织/专业文化,重复努力的风险,资金分配紧张,数据集成问题和参与当地社区的斗争有可能阻碍集成。
    尽管ICS在综合护理的结构和关系部分进行了投资,系统面临前所未有的压力,以减少对初级和紧急护理的需求,以解决选择性积压的问题,可能会减损ICSs的关键目标,改善人口健康和预防。
    UNASSIGNED: In 2022, England embarked on an ambitious and innovative re-organisation to produce an integrated health and care system with a greater focus on improving population health. This study aimed to understand how nascent ICSs are developing and to identify the key challenges and enablers to integration.
    UNASSIGNED: Four ICSs participated in the study between November 2021 and May 2022. Semi-structured interviews with system leaders (n = 67) from health, social and voluntary care as well as representatives of local communities were held. A thematic framework approach supported by Leutz\'s five laws of integration framework was used to analyse the data.
    UNASSIGNED: The benefits of ICSs include enhancing the delivery of good quality care, improving population health and providing more person-centred care in the community. However, differences between health and social care such as accountability, organisational/professional cultures, risks of duplicating efforts, tensions over funding allocation, issues of data integration and struggles in engaging local communities threaten to hamper integration.
    UNASSIGNED: Despite ICS\'s investing in the structural and relational components of integrated care, the unprecedented pressures on systems to reduce demand on primary and emergency care tackling elective backlogs may detract from a key goal of ICSs, improving population health and prevention.
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