Analysis of the Nursing Effect of Continuity of Care on Elderly Patients with Coronary Heart Disease Unstable Angina and its Impact on Quality of Life

Objective:To analyze the effect of using continuity of care for elderly patients with coronary heart disease(CHD)with unstable angina pectoris(UAP)and its impact on their quality of life.Methods:100 cases of elderly patients with CHD with UAP admitted to our hospital from March 2022 to March 2023 were selected and grouped into an observation group and a control group of 50 cases each according to the randomized number table method.The nursing effect and quality of life of the observation group(continuity nursing)and the control group(routine nursing)were compared.Results:The total effective rate of nursing care was 96.00%observation group and 80.00%for the control group,and the differences were significant(χ2=6.061,P<0.05).Patients in the observation group had fewer episodes(1.42±0.21)times/week and a shorter duration(5.46±0.39)min,which were better than the control group(t=3.465,2.973;P<0.05).The depression self-rating depression scale(SDS)score(42.16±6.64)and anxiety self-rating scale(SAS)score(32.26±7.35)in the observation group were lower and the quality of life was higher as compared to that of the control group(P<0.05).Conclusion:Continuous nursing care improved the nursing effect of elderly CHD with UAP patients,promoted the alleviation of UAP symptoms,improved patient mentality,and improved their quality of life.Hence,continuous nursing care possesses significant clinical application value.

GLOBAL CONVERGENCE OF A CAUTIOUS PROJECTION BFGS ALGORITHM FOR NONCONVEX PROBLEMS WITHOUT GRADIENT LIPSCHITZ CONTINUITY

A cautious projection BFGS method is proposed for solving nonconvex unconstrained optimization problems.The global convergence of this method as well as a stronger general convergence result can be proven without a gradient Lipschitz continuity assumption,which is more in line with the actual problems than the existing modified BFGS methods and the traditional BFGS method.Under some additional conditions,the method presented has a superlinear convergence rate,which can be regarded as an extension and supplement of BFGS-type methods with the projection technique.Finally,the effectiveness and application prospects of the proposed method are verified by numerical experiments.

Continuity of truncated Hardy-Littlewood maximal function

This paper focuses on the continuity of the truncated Hardy-Littlewood maximal function.We first show that the truncated Hardy-Littlewood maximal function is lower semi-continuous.Then by investigating the behavior of the truncated Hardy-Littlewood maximal function when the truncated parameterγchanges,we obtain an equivalent condition of the continuity of the truncated Hardy-Littlewood maximal function.

Continuity of Care in Primary Health Care Affecting Control of Diabetes

Background: Continuity of care is a distinguishing feature of primary care. Better continuity of care program showed a significant effect in controlling diabetes and it is complications. This study explores the effect of continuity of care on control of diabetes mellites in primary health care centres. Objectives: 1) To assess the effect of Continuity of care on controlling haemoglobin (Hb A1C) and fasting blood Sugar (FBS);2) To compare the control of Diabetes by using (Hb A1C and FBS) indices on same patient before and after application of chronic illness clinic;3) To identify the relation between age and gender affecting continuity of care in diabetic patient. Methods: It is a Prospective cohort study design. Included both gender and diabetic patient age above 24 years old. The data extracted from health care specialty center (HCSC) clinics in National guard hospital at Riyadh, through HCSC data base on three phases: 1) Phase 1: the data extracted of diabetic patients from October to November 2022 including MRN, diabetic patient, age, Hb A1C, Fasting blood glucose. 2) Phase 2: the same MRN extracted from phase 1 was extracted again retrospectively for six months from April to September 2022, to compare the indices before implanting the chronic illness clinic including Hb A1C, Fasting blood glucose. 3) Phase 3: prospectively from December 2022 to September 2023. Results: Among diabetic patients aged 60 years old and above showed better control of HbA1C and FBS comparing to these patients below age of 60 years old, with significant improvement of HbA1C after implanting chronic illness clinic. Conclusion: The significant improvement in the control of diabetic patients followed in primary health care centers reinforce the evidence of the importance of continuity of care.

Application Effect of WeChat Platform Continuity of Care Model Based on KAP Theory on Self-Management of Stroke Patients with Hypertension

Objective: To explore the impact of the WeChat platform continuity of care model based on the KAP (knowledge, attitudes, and practices) theory on the self-management of stroke patients with hypertension after discharge from the hospital. Methods: 62 stroke patients with hypertension discharged from the rehabilitation department of a tertiary A hospital in Nanning City, Guangxi Zhuang Autonomous Region, from October 2022 to April 2023 were sampled by convenience sampling method. Patients discharged from Rehabilitation I were included in the control group, and conventional nursing care was used;while patients discharged from Rehabilitation II were included in the observation group, and WeChat platform continuity of nursing care model based on the KAP theory was implemented. The intervention effect of the two groups was compared. Results: After 4 and 12 weeks of intervention, the diastolic and systolic blood pressure of the patients in the observation group were lower than those in the control group (P < 0.05);after 12 weeks of intervention, the rate of medication adherence and the score of adherence to hypertension treatment in the observation group were significantly higher than those in the control group (P < 0.05). Conclusion: The application of the WeChat platform continuity of care model based on KAP theory to stroke patients with hypertension can improve blood pressure, medication adherence rate, hypertension treatment adherence, and overall enhance the self-management level of these patients.

Clinical Study on the Effect of Continuity of Care in CICU on Improving Cognitive Function and Psychological State in Patients with Heart Failure

Objective:To analyze the effect of continuity of care in the cardiac intensive care unit(CICU)on improving cognitive function and psychological state in patients with heart failure(HF).Methods:A total of 112 chronic HF patients admitted to the CICU of Xuzhou Traditional Chinese Medicine Hospital from July 2022 to August 2024 were selected and randomly divided into two groups using the red and blue ball method:a control group(n=56)and a study group(n=56).The control group received routine CICU nursing management,while the study group received routine CICU nursing combined with continuity of care management.Cognitive function(using the Montreal Cognitive Assessment,MoCA),psychological state(using the Self-Rating Depression Scale,SDS,and Self-Rating Anxiety Scale,SAS),and quality of life(using the Minnesota Living with Heart Failure Questionnaire,MLHFQ)were compared between the two groups.Results:After the intervention,the cognitive function scores of the study group were significantly higher than those of the control group(P<0.05).The SDS and SAS scores of the study group were significantly lower than those of the control group after the intervention(P<0.05).The quality of life in the study group was also significantly better than in the control group(P<0.05).Conclusion:CICU continuity of care can effectively improve cognitive function and psychological state in patients with HF,while also enhancing their quality of life.

Situational continuity-based air combat autonomous maneuvering decision-making

In order to improve the performance of UAV's autonomous maneuvering decision-making,this paper proposes a decision-making method based on situational continuity.The algorithm in this paper designs a situation evaluation function with strong guidance,then trains the Long Short-Term Memory(LSTM)under the framework of Deep Q Network(DQN)for air combat maneuvering decision-making.Considering the continuity between adjacent situations,the method takes multiple consecutive situations as one input of the neural network.To reflect the difference between adjacent situations,the method takes the difference of situation evaluation value as the reward of reinforcement learning.In different scenarios,the algorithm proposed in this paper is compared with the algorithm based on the Fully Neural Network(FNN)and the algorithm based on statistical principles respectively.The results show that,compared with the FNN algorithm,the algorithm proposed in this paper is more accurate and forwardlooking.Compared with the algorithm based on the statistical principles,the decision-making of the algorithm proposed in this paper is more efficient and its real-time performance is better.

Impact of an emergency department nursing intervention on continuity of care, self-care, and psychological symptoms

BACKGROUND The emergency department plays a crucial role in providing acute care to patients.Nursing interventions in this setting are essential for improving the continuity of care,enhancing patients’self-care abilities,and reducing psychological symp-toms.AIM To evaluate the effect of nursing interventions in the emergency department on these indicators in an emergency department.METHODS A retrospective analysis was conducted on 120 patients admitted to the emergency department between January 2022 and May 2023.The patients were divided into two groups:The control group(conventional nursing intervention)and the observation group(conventional nursing intervention+emergency department nursing intervention).The two groups were compared regarding continuity of care,self-care ability,psychological symptoms,and satisfaction with care.RESULTS The emergency department nursing interventions significantly improved the continuity of care,enhanced patients’self-care abilities,and reduced psycho-logical symptoms such as anxiety and depression.CONCLUSION Nursing interventions in the emergency department positively impact continuity of care,self-care,and psychological symptoms.However,it is important to acknowledge the limitations of this study,including the small number of studies,variable methodological quality,and the heterogeneity of the study population.Future research should address these limitations and further explore the effects of different types of nursing interventions in the emergency department.Additionally,efforts should be made to enhance the application and evaluation of these interventions in clinical practice.

Continuity of Commitment

As a popular saying goes,do not be afraid to celebrate a promise when kept.In doing so,you are embracing the potential for a better world.In keeping with its unshakable promise made over three decades ago and following the footsteps of his predecessors,China’s new Foreign Minister Qin Gang is beginning his term with a seven-day visit to five African nations-Ethiopia,Gabon,Angola,Benin,and Egypt-from 9 to 16 January.The visit also brought him to the African Union(AU)Headquarters and the League of Arab States Headquarters.

JOINT HOLDER CONTINUITY OF PARABOLIC ANDERSON MODEL

We obtain the H?lder continuity and joint H?lder continuity in space and time for the random field solution to the parabolic Anderson equation ■ in d-dimensional space, where ■ is a mean zero Gaussian noise with temporal covariance γ0 and spatial covariance given by a spectral density μ(ξ). We assume that ■ and ■ , where αi, i = 1, · · ·, d(or α) can take negative value.

THE IMPLICIT CONTINUITY OF DISCONTINUOUS SYSTEMS

An example is presented to introduce the concept of implicit continuity proposed as contrasted with the explicit continuity.A sufficient and necessary condition of the implicit continuity is given and proved in forms of implicit system.This condition also offers the solution of initial values at the points where the dynamic system is discontinuous.Some discussions are contributed to the physical significance of implicit continuity.

HOLDER CONTINUITY AND DIFFERENTIABILITY ON CONVERGING SUBSEQUENCES

It is shown that an arbitrary function from D Rn to Rm will become C0,a-continuous in almost every x∈ D after restriction to a certain subset with limit pointx. For n 〉 m differentiability can be obtained. Examples show the Ho1der exponent a=min{1,n/m}is optimal.

Relative Continuity and New Decompositions of Continuity in Bitopological Spaces

The aim of this work is to introduce some weak forms of continuity in bitopological spaces. Then we use these new forms of weak continuity to give many decompositions of?i-continuity and pairwise continuity.

Analysis of the ITIL Mapping with COBIT over the Business Process Continuity Management

Planning and implementation as well as increased control over the Business Continuity Management （BCM） is a complex task in the company requiring adequate resources. BCM aims to reduce risks and develops plans for restoring business activities if they are interrupted by a disaster. The purpose of the paper is to analyze and describe two standards, Information Technology Infrastructure Library （ITIL） and Control Objectives for Information and Related Technology （COBIT）, especially their mapping for the improved planning and implementation of the BCM as well as the increased control over the BCM activities. COBIT is used more as a management framework, providing management tools, such as control objectives, metrics and maturity models in order to complement the control framework. ITIL includes process steps and tasks because it is more oriented towards IT processes （process framework）, defining the best practice for IT service management. Within this mapping, ITIL processes may be used to achieve and demonstrate compliance with COBIT control objectives for BCM process.

Adaptive multiple subtraction using a constrained L1-norm method with lateral continuity

The Lt-norm method is one of the widely used matching filters for adaptive multiple subtraction. When the primaries and multiples are mixed together, the L1-norm method might damage the primaries, leading to poor lateral continuity. In this paper, we propose a constrained L1-norm method for adaptive multiple subtraction by introducing the lateral continuity constraint for the estimated primaries. We measure the lateral continuity using prediction-error filters （PEF）. We illustrate our method with the synthetic Pluto dataset. The results show that the constrained L1-norm method can simultaneously attenuate the multiples and preserve the primaries.

Digital Continuity Guarantee Approach of Electronic Record Based on Data Quality Theory

Since the British National Archive put forward the concept of the digital continuity in 2007,several developed countries have worked out their digital continuity action plan.However,the technologies of the digital continuity guarantee are still lacked.At first,this paper analyzes the requirements of digital continuity guarantee for electronic record based on data quality theory,then points out the necessity of data quality guarantee for electronic record.Moreover,we convert the digital continuity guarantee of electronic record to ensure the consistency,completeness and timeliness of electronic record,and construct the first technology framework of the digital continuity guarantee for electronic record.Finally,the temporal functional dependencies technology is utilized to build the first integration method to insure the consistency,completeness and timeliness of electronic record.

Global Continuity Adjustment and Local Shape Optimization Technique for Complex Trimmed Surface Model

Smoothly stitching multiple surfaces mainly represented by B-spline or NURBS together is an extremely important issue in complex surfaces modeling and reverse engineering. In recent years, a lot of progress has been made in smooth join of non-trimmed surface patches, while there has been seldom research on smoothly stitching trimmed surface patches together. This paper studies the problem of global continuity adjustment, damaged hole repair and local shape optimization for complex trimmed surface model, and presents a uniform scheme to deal with continuity adjustment of trimmed surfaces and geometric repair of local broken region. Constrained B-spline surface refitting technique and trim calculation are first utilized to achieve global G^1 continuity, and then local shape optimization functional is adopted to reduce fitting error and improve local quality of refitted surface patch. The proposed approach is applied to a discontinuity ship hull surface model with an irregular hole, and the result demonstrates the validation of our method. Furthermore, on the premise of global continuity, the proposed locally repairing damaged surface model provides a better foundation for following research work, such as topology recovery technique for complex surface model after geometric repair.

Hydrocarbon Vertical Continuity Evaluation in the Cretaceous Reservoirs of Azadegan Oilfield, Southwest of Iran: Implications for Reservoir Geochemistry

A collection of data obtained from analytical methods in geochemistry along with the reservoir engineering and geologic data were used to investigate the reservoir continuity in the Cretaceous Fahliyan, Gadavan, Kazhdumi and Sarvak reservoirs of the super-giant Azadegan oilfield, SW Iran. The geochemical data indicate that the oil samples, with medium to high level of thermal maturity, have been generated from the anoxic marine marl/carbonate source rock(s). The Sargelu(Jurassic) and Garau(Cretaceous) formations are introduced as the main source rocks for the studied oils. The dendrogram obtained from the cluster analysis of high-resolution gas chromatography data introduces two main oil groups including Fahliyan reservoir, and Kazhdumi along with Sarvak/Gadvan reservoirs. This is confirmed by C7 Halpern star diagram, indicating that, the light oil fraction from Fahliyan reservoir is distinct from the others. Also, different pressure gradient of the Fahliyan Formation(over-pressured) relative to other reservoirs(normally-pressured) show the presence of compartments. The relation between toluene/n-heptane and n-heptane/methylcyclohexane represents the compartmentalization due to maturation/evaporative fractionation for Fahliyan and water washing for other studied reservoirs. Also, the impermeable upper part of the Fahliyan Formation and thin interbedded shaly layers in the Kazhdumi, Sarvak and Gadvan formations have controlled reservoir compartmentalization.

G^2 Continuity Algorithms between Adjacent NURBS Patches along Common Cubic Boundary Curve

Non-uniform rational B-spline (NURBS) curves and surfaces are becoming increasingly widespread. The author have explored G^1 continuity condition between adjacent NURBS surface patches along common cubic boundary curve. On the basis of the research performed, this paper presents a G^2 continuity condition between adjacent NURBS patches along common cubic boundary curve and deduces a specific algorithm for contro1 points and weights of NURBS patch. For making another NURBS patch and one given NURBS patch to attain G^2, according to algorithm condition, one can adjust another patch control points and weights. It is much more convenient for engineers to apply.

Long-Term Preservation of Electronic Record Based on Digital Continuity in Smart Cities

Under the co-promotion of the wave of urbanization and the rise of data science,smart cities have become the new concept and new practice of urban development.Smart cities are the combination of information technology represented by the Internet of Things,cloud computing,mobile networks and big data,and urbanization.How to effectively achieve the long-term preservation of massive,heterogeneous,and multi-source digital electronic records in smart cities is a key issue thatmust be solved.Digital continuity can ensure the accessibility,integrity and availability of information.The quality management of electronic record,like the quality management of product,will run through every phase of the urban lifecycle.Based on data quality management,this paper constructs digital continuity of smart city electronic records.Furthermore,thework in this paper ensures the authenticity,integrity,availability and timeliness of electronic documents by quality management of electronic record.This paper elaborates on the overall technical architecture of electronic record,as well as the various technical means needed to protect its four characteristics.