The Relationship Between Social Isolation, Psychological Resilience, and Psychological Well- Being Among Older People in the Community

Objective:To explore the relationship between social isolation,psychological resilience,and psychological well-being in community-dwelling older adults.Methods:A questionnaire survey was conducted with 265 community-dwelling older adults using the Social Isolation Scale for the Elderly(C-SIS),the 10-item Brief Psychological Resilience Scale,and the Comprehensive Happiness Questionnaire(MHQ).The results were statistically analyzed using SPSS 27.0.Results:The highest score on the Social Isolation Scale for Community Elderly was 23,with a mean entry score of 2.36±0.62.A score of 14 was the cut-off point,with scores of≤14 classified as social isolation.There were 136 cases with scores below 14,resulting in a social isolation incidence rate of 51.3%.The median(P50)psychological resilience score was 27,indicating a higher level of resilience.The total score on the Psychological Well-being Scale was 161,suggesting a moderate to slightly higher level of well-being.Social isolation had a direct negative effect on psychological well-being,while psychological resilience had a positive effect.Conclusion:Older adults should be supported in reducing the incidence of social isolation and increasing psychological resilience to enhance psychological well-being and promote successful aging.

Utility of CT in differentiating liver metastases of well-differentiated gastroenteropancreatic neuroendocrine neoplasms from poorly-differentiated neuroendocrine neoplasms

Objective： To determine the capability of dynamic enhanced computed tomography（CT） to differentiate liver metastases（LMs） of well-differentiated from poorly-differentiated gastroenteropancreatic neuroendocrine neoplasms（GEP-NENs）.Methods： Patients with LMs of GEP-NENs who underwent dynamic enhanced CT examination in Peking University Cancer Hospital from January 2009 to October 2015 were included and data were retrospectively analyzed. We assessed the qualitative and quantitative CT features to identify the significant differentiating CT features of LMs of poorly-differentiated GEP-NENs from those of well-differentiated GEP-NENs using univariate analysis and a multivariate logistic regression model.Results： The study included 22 patients with LMs of well-differentiated GEP-NENs and 32 patients with LMs of poorly-differentiated GEP-NENs. Univariate analysis revealed statistically significant differences between the LMs of well-and poorly-differentiated GEP-NENs in terms of feeding arteries（36.4% vs. 75.0%, χ2=8.061,P=0.005）, intratumoral neovascularity（18.2% vs. 59.4%, χ2=9.047, P=0.003）, lymphadenopathy（27.3% vs. 81.2%,χ2=15.733, P〈0.001）, tumor-to-aortic ratio in the hepatic arterial and portal venous phase（T-A/AP： 0.297±0.080 vs.0.251±0.059, t=2.437, P=0.018; T-A/PVP： 0.639±0.138 vs. 0.529±0.117, t=3.163, P=0.003） and tumor-to-liver ratio in the hepatic arterial phase（T-L/AP： 1.108±0.267 vs. 0.907±0.240, t=2.882, P=0.006）. The LMs of poorlydifferentiated GEP-NENs showed more feeding arteries, more intratumoral neovascularity, more lymphadenopathy and a lower tumor-to-aortic ratio. Multivariate analysis suggested that intratumoral neovascularity [P=0.015, OR=0.108, 95% confidence interval（95% CI）, 0.018–0.646], lymphadenopathy（P=0.001,OR=0.055, 95% CI, 0.009–0.323） and T-A/PVP（P=0.004, OR=5.3 E–5, 95% CI, 0.000–0.044） were independent factors for differentiating LMs of poorly-differentiated from well-differentiated GEP-NENs.Conclusions： Dynamic enhanced CT features（intratumoral neovascularity, lymphadenopathy and T-A/PVP）are useful in the pathological classification of LMs of GEP-NENs.

县域城镇化进程中技术赋能如何促进整体性治理?——基于30个案例的定性比较分析

整体性治理是新时代城乡治理新模式、新动向,可为实现县域高质量发展提供指引。论文以30个典型高县域整体性治理水平建设案例为研究对象,基于整体性治理理论,结合新型城镇化建设的现实要求,从“人口—空间—产业”整体推进的视角,构建技术赋能的“整体性治理—技术治理”分析框架。采用定性比较分析法,通过组态分析归纳县域治理视域下,技术赋能促进整体性治理的多重并发因果关系及其有效路径。研究发现,促进县域整体性治理是技术赋能、人口市民化、空间布局优化、产业结构升级多个条件变量相互作用的结果。进一步的组态分析发现存在4条有效路径,可归纳为全要素驱动型、“技术赋能—产业结构升级”协同共促型、“技术赋能—人口市民化”双轮驱动型、“技术—产业—人口”均衡驱动型。其中全要素驱动型路径最普遍,技术赋能在促进县域整体性治理过程中的作用尤为突出。县域整体性治理需贯穿“以人为本”的发展理念,坚持系统思维和因地制宜发展策略,深化技术赋能助推县域建设高质量发展,实现从碎片化智治迈向整体性智治。

Effect of Case Management Nursing Service on Compliance Behavior and Quality of Life of Patients with Pulmonary Tuberculosis

Objective:To explore the effect of case management nursing service on compliance behavior and quality of life of patients with pulmonary tuberculosis.Methods:69 cases of pulmonary tuberculosis patients in our hospital from September 2019 to August 2020 were selected as the research objects.The 69 patients were divided into study group(35 cases)and control group(34 cases).The compliance behavior,quality of life and nursing satisfaction of pulmonary tuberculosis patients were studied and analyzed.Results:The compliance rate of the control group was 82.35%,and that of the study group was 97.14%;The quality of life in the control group was[61.32±7.66],which was significantly lower than that in the study group[71.12±7.23];The satisfaction rate of the study group was 97.14%,which was significantly higher than 73.53%of the control group.Conclusion:In the treatment of tuberculosis patients,the use of case management nursing service can effectively improve the quality of life of patients,improve the compliance behavior of patients,and improve the treatment effect of patients,which is worthy of promotion.

Temperature Field Reconstruction in High-Temperature Gas by Using the Colored Background Oriented Schlieren Method

A 3D temperature field reconstruction method using the colored background oriented schlieren(CBOS)method is proposed to address image blurring due to the different refractive index of the multi-wavelength light and significant errors produced when the traditional background oriented schlieren(BOS)method is applied to high-temperature gas.First,the traditional method is employed to reconstruct the non-uniform 3D temperature field.Second,the CBOS method is applied to correct the distortion.Then,by analyzing the correlation coefficient among different color points of the colored background pattern,the non-uniform temperature field is reconstructed much more accurately.Finally,the experimental results are verified by applying the Runge-Kutta ray-tracing method and the thermocouple contact measurement method.The maximum average temperature error of the CBOS-reconstructed temperature field is 12.92°C,compared with the thermocouples.Therefore,an accurate three-dimensional reconstruction of the temperature field can be achieved by the proposed method effectively.

The Inspiration of Poetic and Picturesque Literati Garden to Chinese Modern Gardening

Literati garden in Chinese classical garden has its own characteristics,and literature,philosophy and aesthetic values contained in literati garden have a profound impact on the gardening of later generations.Literati garden embodies the aesthetic orientation of Chinese people’s love of poetry and painting,pays attention to the creation of poetic atmosphere and creates an emotional space,making that viewers appreciate the beauty of blending feelings and scenery.In this paper,the characteristics of the literati garden in Chinese classical garden are summarized,and its gardening essence is excavated,and its enlightenment to the modern Chinese garden is explored.

Progress in Research of Oral Health in Patients with Type 2 Diabetes Quality of Life Impact

Multiple studies have demonstrated that oral health quality of life(OHQOL)in patients with type 2 diabetes(T2DM)is affected by multiple factors.Therefore,during this study the related factors of OHQOL for T2DM was reviewed,and analyzed them from the aspects of socio-demographic factors,T2DM related factors and oral health related factors.This was to provide basis for nursing workers to develop personalized nursing measures.

The Relationship Between Social Isolation and Psychological Well-Being Among Older Adults in the Community

Objective:To investigate the psychological well-being of the elderly in Baoding City,Hebei Province,and analyze its influencing factors,with a focus on exploring the relationship between social isolation and psychological well-being.This study aims to provide a reference for effective interventions that promote the physical and mental health of elderly individuals in the community.Methods:A total of 265 elderly individuals from six communities in Baoding City,Hebei Province were surveyed between November 2023 and March 2024 using the general information questionnaire,the Social Isolation Scale for the Elderly,and the Comprehensive Happiness Questionnaire.Results:The total score of the Social Isolation Scale for the elderly in the community was(14.15±3.73)points,indicating a moderate level of social isolation.The average score of P50 on the Psychological Well-being Scale was 4.88,suggesting that the psychological well-being of the elderly in the community was moderate to high.Multivariate regression analysis showed that the level of social isolation significantly influenced the psychological well-being of the elderly(P<0.05),with social isolation negatively correlated with psychological well-being.Conclusion:Healthcare professionals should pay attention to the social isolation of elderly individuals in the community and develop targeted interventions to improve their psychological well-being and quality of life.

Analysis of the Current Situation and Influencing Factors of Psychological Well-Being of Elderly People in the Community

Objective:To investigate the current psychological well-being of older people in the community and analyze its influencing factors.Methods:A total of 265 community-dwelling older adults aged 60 and above in Baoding City,Hebei Province,were selected through convenience sampling from November 2023 to March 2024.They were surveyed using a general information questionnaire and a comprehensive well-being questionnaire,with results analyzed statistically using SPSS 27.0.Results:Six dimensions of the psychological well-being scale for community older adults were identified:life vitality(P50=4.83),health concern(P50=4.6),self-worth(P50=5.6),friendly relationships(P50=5.33),altruistic behavior(P50=5.2),personality growth(P50=4.67),and comprehensive well-being(P50=161).Multivariate regression analysis showed that social isolation(β=-0.021,P<0.001),type of work(β=-0.142,P<0.001),chronic disease history(β=0.004,P<0.001),need for mobility aid(β=0.192,P<0.001),and monthly income(β=0.381,P<0.001)were factors influencing psychological well-being.Conclusion:The psychological well-being of the elderly is slightly above moderate and requires improvement.Enhancing factors such as reducing social isolation,addressing chronic disease history,and improving financial support could improve psychological well-being in older adults.

Analysis of the Current Situation and Influencing Factors of Social Isolation Among the Elderly in the Community

Objective: To investigate the current situation of social isolation among the elderly in the community, and to analyze its influencing factors. Methods: A total of 265 elderly people were selected to conduct the survey using the general information questionnaire and the Chinese version of the social isolation scale for the elderly. Results: The social isolation score of the elderly was (20.15 ± 0.23). Factors such as age, education level, economic status, and social participation ability influenced the social isolation score (P < 0.05). Conclusion: The social isolation of the elderly is more serious, and the social isolation can be alleviated by improving the level of education and the economic situation and strengthening social participation.

Analysis of the Current Situation and Influencing Factors of Physical Activity Among the Elderly in the Community

Objective:To explore the current situation of physical activity among elderly individuals in the community,identify influencing factors,and provide a theoretical basis for improving their physical activity levels in the future.Methods:A questionnaire survey was conducted among 265 elderly community residents using the Physical Activity Scale for the Elderly.Results:The median(p50)score on the Physical Activity Scale for the Elderly was 220.425,indicating a high level of physical activity.There was no statistically significant difference in physical activity levels between genders.Conclusion:Elderly individuals should be supported in actively and scientifically participating in physical activities to mitigate physical function decline and achieve successful aging.

Qualitative Study on the Experience and Nursing Needs of Patients with Gynecological Malignant Tumor

Objective: To explore the real experience and nursing needs of patients with gynecological malignant tumors during their illness, in order to provide reference for the formulation of clinical nursing paths for this population. Methods: Using descriptive phenomenological research method, 9 cases of gynecological malignant tumor patients treated in a tertiary A hospital in Baoding City, Hebei Province were selected according to the objective sampling method. Semi-structured in-depth interviews were conducted on them, and the interview data were analyzed by Colaizzi 7-step method. Results: Four themes were extracted: the disturbing and beneficial effects of the disease on life, the lack of knowledge about gynecological malignancies, the attitude towards the disease, and the nursing needs of women in reproductive health. Conclusion: Medical workers can take a variety of ways to carry out health education in the community and hospital, choose effective pain management for patients, help patients with gynecological malignant tumor to establish a mature psychological defense mechanism and positive coping style, so that they pay attention to disease prevention awareness, get sufficient social support, so as to improve the quality of life and comfort of patients with gynecological malignant tumor.

Adverse Reactions Such as Fecal Incontinence Occurred in 1 Patient with Ovarian Cancer Induced by Paclitaxel Liposome Allergy

Paclitaxel is one of the commonly used drugs in postoperative chemotherapy for ovarian cancer patients. However, affected by drug dosage and individual differences in the course of medication, patients will have different degrees of adverse reactions, which will cause damage to the patient’s body once they occur. This paper retrospectively analyzed the clinical data of patients with severe allergic reactions such as fecal incontinence and numbness of hands and feet caused by the use of paclitaxel liposome during postoperative chemotherapy in a case of ovarian cancer admitted to our hospital. The causes and corresponding treatment measures were analyzed, in order to provide the reference for medical staff to take effective countermeasures in advance in the future.

Comparison of sentinel lymph node detection performances using blue dye in conjunction with indocyanine green or radioisotope in breast cancer patients: a prospective singlecenter randomized study

Objective:This randomized study aimed to compare the clinical efficacy between the novel dual tracer composed of indocyanine green(ICG)and blue dye(BD)and the conventional dual tracer composed of radioisotope and BD for sentinel lymph node(SLN)mapping in patients with breast cancer.Methods:This study enrolled 471 clinically lymph node-negative patients with primary breast cancer.All patients underwent mastectomy,and those undergoing sentinel lymph node biopsy(SLNB)were randomized to receive blue dye plus radioisotope(RB group)or BD plus ICG(IB group).The detection performances on SLN identification rate,positive SLN counts,detection sensitivity,and false-negative rate were compared between the two groups.Results:In the IB group,97%(194/200)of the patients who underwent the ICG and BD dual tracer injection showed fluorescentpositive lymphatic vessels within 2–5 min.The identification rate of SLNs was comparable between the IB group(99.0%,198/200)and the RB group(99.6%,270/271)(P=0.79).No significant differences were observed in the identification rate of metastatic SLNs(22.5%vs.22.9%,P>0.05,RB group vs.IB group,the same below),positive SLN counts(3.72±2.28 vs.3.91±2.13,P>0.05),positive metastatic SLN counts(0.38±0.84 vs.0.34±0.78,P>0.05),SLNB detection sensitivity(94.4%vs.92.5%,P>0.05),or false-negative rate(5.6%vs.7.5%,P>0.05)between the two groups.Conclusions:ICG can be used as a promising alternative tracer for radioisotope in SLN mapping,and when it is combined with BD in lymphangiography,it offers comparable detection sensitivity compared to the conventional lymphatic mapping strategies that are widely used in clinical practice.

Diffusion-tensor imaging as an adjunct to dynamic contrastenhanced MRI for improved accuracy of differential diagnosis between breast ductal carcinoma in situ and invasive breast carcinoma

Objective： To determine the value of diffusion-tensor imaging （DTI） as an adjunct to dynamic contrastenhanced magnetic resonance imaging （DCE-MRI） for improved accuracy of differential diagnosis between breast ductal carcinoma in situ （DCIS） and invasive breast carcinoma （IBC）. Methods： The MRI data of 63 patients pathologically confirmed as breast cancer were analyzed. The conventional MRI analysis metrics included enhancement style, initial enhancement characteristic, maximum slope of increase, time to peak, time signal intensity curve （TIC） pattern, and signal intensity on FS- T2WI. The values of apparent diffusion coefficient （ADC）, directionally-averaged mean diffusivity （D^vg）, exponential attenuation （EA）, fractional anisotropy （FA）, volume ratio （VR） and relative anisotropy （RA） were calculated and compared between DCIS and IBC. Multivariate logistic regression was used to identify independent factors for distinguishing IBC and DCIS. The diagnostic performance of the diagnosis equation was evaluated using the receiver operating characteristic （ROC） curve. The diagnostic efficacies of DCE- MRI, DWI and DTI were compared independently or combined. Results： EA value, lesion enhancement style and TIC pattern were identified as independent factor for differential diagnosis of IBC and DCIS. The combination diagnosis showed higher diagnostic efficacy than a single use of DCE-MRI （P=0.02）, and the area of the curve was improved from 0.84 （95% CI, 0.67-0.99） to 0.94 （95% CI, 0.85-1.00）. Conclusions： Quantitative DTI measurement as an adjunct to DCE-MRI could improve the diagnostic performance of differential diagnosis between DCIS and IBC compared to a single use of DCE-MRI.

Fuzzy c-means clustering based on spatial neighborhood information for image segmentation

Fuzzy c-means （FCM） algorithm is one of the most popular methods for image segmentation. However, the standard FCM algorithm is sensitive to noise because of not taking into account the spatial information in the image. An improved FCM algorithm is proposed to improve the antinoise performance of FCM algorithm. The new algorithm is formulated by incorporating the spatial neighborhood information into the membership function for clustering. The distribution statistics of the neighborhood pixels and the prior probability are used to form a new membership func- tion. It is not only effective to remove the noise spots but also can reduce the misclassified pixels. Experimental results indicate that the proposed algorithm is more accurate and robust to noise than the standard FCM algorithm.

近10年大学化学教师教学研究现状的统计分析——以《大学化学》刊文为例

以《大学化学》“教学研究与改革”栏目中2010-2019年的论文为研究对象,从文献基本信息、作者情况和论文内容等几方面对535篇论文进行统计分析,结果表明:(1)大学化学教学研究与改革总体呈上升趋势,教学研究内容比较全面,包括课程研究、课堂教学研究、实验实践教学研究等,其中实验和实践教学研究相对薄弱;(2)教学模式成为教学研究重点;(3)不同类型大学化学教学研究与改革的发文量和参与度有所差异;(4)研究多以合作研究为主。

“电磁场与微波技术”课堂伴随仿真实验教学研究

本文针对“电磁场与微波技术”课程的特点,提出了在课堂教学中融入基于电磁仿真软件的伴随实验教学措施。实践证明,课堂伴随仿真实验教学方法能够使学生更加形象且直观的掌握课程中的公式、定理与概念,激发学生的学习热情与兴趣,显著地提高了课堂教学效果。

Correlation between imaging features on computed tomography and combined positive score of PD-L1 expression in patients with gastric cancer

Objective:To explore the correlation between computed tomography(CT)features and combined positive score(CPS)of programmed cell death ligand 1(PD-L1)expression in patients with gastric cancer(GC).Methods:This study reviewed an institutional database of patients who underwent GC operation without neoadjuvant chemotherapy between December 2019 and September 2020.The CPS results of PD-L1 expression of postoperative histological examination were recorded by pathology.Baseline CT features were measured,and their correlation with CPS 5 or 10 score groups of PD-L1 expression was analyzed.Results:Data for 153 patients with GC were collected.Among them,124 were advanced GC patients,and 29were early GC patients.None of the CT features significantly differed between CPS groups with a cutoff score of 5and a score of 10 in patients with early GC.In advanced GC,the presence of lymph nodes with short diameters>10mm was significantly different(P=0.024)between the CPS<5 and CPS≥5 groups.CT features such as tumor attenuation in the arterial phase,long and short diameter of the largest lymph node,the sum of long diameter of the two largest lymph nodes,the sum of short diameter of the two largest lymph nodes,and the presence of lymph nodes with short diameters>10 mm significantly differed between the CPS<10 and CPS≥10 groups in advanced GC.The sensitivity,specificity and area under receiver operating characteristic(ROC)curve of logistic regression model for predicting CPS≥10 was 71.7%,50.0%and 0.671,respectively.Microsatellite instability(MSI)status was significantly different in CPS groups with cutoff score of 5 and 10 in advanced GC patients.Conclusions:CT findings of advanced GC patients with CPS≥10 showed greater arterial phase enhancement and larger lymph nodes.CT has the potential to help screen patients suitable for immunotherapy.

Analysis on Occupational Well-being Status and Influencing Factors of Medical Staff in Tuberculosis Departments

Objective:To investigate the status of occupational well-being of medical staff in tuberculosis department and analyze its influencing factors,so as to provide a basis for improving the occupational well-being of medical staff in tuberculosis department.Methods:In May 2020,we adopted the method of cluster sampling to select staff members from the tuberculosis departments of the Affiliated Hospital of Hebei University and infectious disease hospital.A total of 139 medical staff were recruited as the research subjects,and were investigated using medical staff occupational well-being scale.Results:The total score of occupational well-being was 76.4697 points,There were statistically significant differences(P<0.05)in occupational well-being score among tuberculosis medical staff with different age,years of work,job title,night shift,marital status,and occupational type.The influencing factors of occupational well-being were the night shift,years of work,occupational type,and marital status(P<0.05).Conclusion:The overall level of occupational well-being of tuberculosis medical staffs is moderate,and occupational well-being is affected by night shift,years of work,occupational type and marital status.It is recommended that managers take targeted measures to improve the occupational well-being of tuberculosis medical staff.