Predictive modeling for postoperative delirium in elderly patients with abdominal malignancies using synthetic minority oversampling technique

BACKGROUND Postoperative delirium,particularly prevalent in elderly patients after abdominal cancer surgery,presents significant challenges in clinical management.AIM To develop a synthetic minority oversampling technique(SMOTE)-based model for predicting postoperative delirium in elderly abdominal cancer patients.METHODS In this retrospective cohort study,we analyzed data from 611 elderly patients who underwent abdominal malignant tumor surgery at our hospital between September 2020 and October 2022.The incidence of postoperative delirium was recorded for 7 d post-surgery.Patients were divided into delirium and non-delirium groups based on the occurrence of postoperative delirium or not.A multivariate logistic regression model was used to identify risk factors and develop a predictive model for postoperative delirium.The SMOTE technique was applied to enhance the model by oversampling the delirium cases.The model’s predictive accuracy was then validated.RESULTS In our study involving 611 elderly patients with abdominal malignant tumors,multivariate logistic regression analysis identified significant risk factors for postoperative delirium.These included the Charlson comorbidity index,American Society of Anesthesiologists classification,history of cerebrovascular disease,surgical duration,perioperative blood transfusion,and postoperative pain score.The incidence rate of postoperative delirium in our study was 22.91%.The original predictive model(P1)exhibited an area under the receiver operating characteristic curve of 0.862.In comparison,the SMOTE-based logistic early warning model(P2),which utilized the SMOTE oversampling algorithm,showed a slightly lower but comparable area under the curve of 0.856,suggesting no significant difference in performance between the two predictive approaches.CONCLUSION This study confirms that the SMOTE-enhanced predictive model for postoperative delirium in elderly abdominal tumor patients shows performance equivalent to that of traditional methods,effectively addressing data imbalance.

Research on the Employment View of Acupuncture and Tuina Undergraduates in Minority Border Areas from Students’ Perspective

With the popularization of higher education in China,the employment situation of college students is more complex and severe.This paper adopts the questionnaire method to explore the employment view of acupuncture and tuina undergraduates of Yunnan University of Traditional Chinese Medicine.The employment concept of acupuncture and tuina undergraduates in the minority border areas has changed greatly.After graduation,97.95%of students choose to work in fields related to medicine and acupuncture,prefer positions close to home,and are attracted to high-salary companies,among other factors.Therefore,enhancing the competitive advantages of medical students by guiding their career planning,providing employment selection advice,fostering innovation and entrepreneurship,improving basic skills,and offering graduate entrance examination guidance is crucial for broadening their employment opportunities.

Spiritual Forests—A Nature Conservation Model of Ethnic Minority Communities in Central Viet Nam

This paper aims to analyze and evaluate a model of forest conservation and management of ethnic minority (or indigenous) people in central Vietnam, often referred to as the spiritual forest. These forests, called sacred forest or ghost forests by the ethnic minority people in Thua Thien Hue province, have existed for a long time among forest residents. However, they have recently declined, both in quality and quantity, due to various factors, including changes in society, economy, environment, and perception, among other reasons. Based on research conducted in A Luoi district, Thua Thien Hue province with household interviews, group discussions, and field surveys, we find that spiritual forest retains religious and human significance. They are also often among the last remaining natural forests left due to deforestation by human activities. The research results indicate challenges that conservation of spiritual forest may face, while giving recommendations derived from communities for sustainable forest development and conservation in the region.

Application of Chinese Ethnic Minority Themes in Contemporary Figurative Sculpture Creation

In the field of contemporary sculpture creation,the rich culture and historical depth of Chinese ethnic minorities have attracted the widespread attention of artists.These creations not only emphasize external features such as ethnic costumes,totems,or life scenes but also touch deep spiritual contents including historical stories,religious beliefs,and living habits of ethnic minorities.This paper discusses the integration process of Chinese ethnic minority themes in figurative sculpture creation and the inheritance of the profound spirit of ethnic groups in this process.At the same time,this paper also places the diversified expression and innovative practice of these themes in sculpture art in the context of the new era for investigation and explores the far-reaching influence of its development on promoting cultural inheritance and artistic innovation.

The trend of low fertility and aging in ethnic minority areas and the policy responses in China:An analysis based on data from the latest three censuses

Low fertility and population aging are important factors affecting economic and social development.From 2000 to 2020,the development of low fertility in ethnic minority areas shows three trends of accelerated declining,slow declining and first falling and then rising,which are the results of the balance between the inhibiting effect of controlling birth policy and the rapidly rising birth cost,and the promoting effect of encouraging birth policy on the fertility desire of social members.The development of aging in ethnic minority areas shows two trends of acceleration and deceleration,which are the results of the balance between the promoting effect of controlling birth policy,the outflow of young and middle-aged labor force and the rise of life expectancy,and the inhibiting effect of the encouraging birth policy,the restraint of talent return and talent introduction.Combined with the development degree of low fertility and aging,we can accurately classify and implement policies for different ethnic minority areas.The areas with serious low fertility and population aging problems need economic policies to change the population age structure as soon as possible.The areas with slight low fertility and population aging problems should carry out ideological policies in priority to maintain the benign structure of population age.

Modelling Key Population Attrition in the HIV and AIDS Programme in Kenya Using Random Survival Forests with Synthetic Minority Oversampling Technique-Nominal Continuous

HIV and AIDS has continued to be a major public health concern, and hence one of the epidemics that the world resolved to end by 2030 as highlighted in sustainable development goals (SDGs). A colossal amount of effort has been taken to reduce new HIV infections, but there are still a significant number of new infections reported. HIV prevalence is more skewed towards the key population who include female sex workers (FSW), men who have sex with men (MSM), and people who inject drugs (PWID). The study design was retrospective and focused on key population enrolled in a comprehensive HIV and AIDS programme by the Kenya Red Cross Society from July 2019 to June 2021. Individuals who were either lost to follow up, defaulted (dropped out, transferred out, or relocated) or died were classified as attrition;while those who were active and alive by the end of the study were classified as retention. The study used density analysis to determine the spatial differences of key population attrition in the 19 targeted counties, and used Kilifi county as an example to map attrition cases in smaller administrative areas (sub-county level). The study used synthetic minority oversampling technique-nominal continuous (SMOTE-NC) to balance the datasets since the cases of attrition were much less than retention. The random survival forests model was then fitted to the balanced dataset. The model correctly identified attrition cases using the predicted ensemble mortality and their survival time using the estimated Kaplan-Meier survival function. The predictive performance of the model was strong and way better than random chance with concordance indices greater than 0.75.

Higher Education Admission Policy and Social Class of Ethnic Minority:The Case of Guangxi Zhuang Autonomous Region,China

Gaokao has been considered as the gatekeeper of intergenerational class reproduction in today’s slowing social mobility in China.In order to bolster the fairness of Gaokao,the Policy of Bonus Scores for Ethnic Minority Candidates(PBSEMC)has been issued,whose,however,effectiveness in promoting upward social class has not been adequately empirically explored.The difference-in-differences(DID)analysis based on cross-sectional data,which is distinct from the traditional DID analysis paradigm,was implemented to assess the Reform of PBSEMC in the Guangxi Zhuang Autonomous Region in 1988.The results showed that PBSEMC had a significant and positive impact on the social classes of ethnic minorities,and gender,residence type and occupation type were also relevant to social class,aligning with the previous literature.The PBSEMC is effective in improving the social classes of ethnic minorities.However,the PBSEMC policy should be made more precise,in order to benefit the candidates who are in genuine need of assistance.

A Study on the Chess Culture of Ethnic Minority Groups in Gansu Province

As a region inhabited by large populations of ethnic minority groups, Gansu province boasts rich ethnic cultural resources which reflect traditional culture and intangible cultural heritage that had taken shape thousands of years ago. Among these are various ethnic folk chess games. They are time-honored with many types such as the “Fang” chess of the Hui ethnic group, the “Jiu” chess of the Tibetans, the “King and Ministers” chess, the Mongolian chess, the Mongolian military chess, etc. These games embody distinctive ethnic and regional characteristics, as well as the cultural elements of a particular ethnic minority group. It is of great significance, therefore, to study the ethnic chess by collecting, documenting and comparing different types of related chess. The paper explores ways to standardize, protect and promote them scientifically in joint efforts, and draws a conclusion that examining their significance in the present era and the ethnic characteristics is the key to understanding the profound culture behind the chess.

Inheritance and Development of Guangxi Minority Musical Instruments and Their Integration With Operas

The traditional musical instrument of minorities converges the evolution of ethnic group culture and history,and ethnic musical instruments are a core component of minority culture.The traditional instruments of Guangxi minorities are rich and varied,and an all-round cultural inheritance and protection mechanism should be used for ethnic musical instruments,so that the performance form of classical musical instruments of minorities can be more widely understood and mastered.Therefore,in this paper,we discuss the specific practice idea of the inheritance and development of classical musical instruments of Guangxi minorities,and facilitate the innovation of development path of ethnic musical instruments by taking the inheritance form of integrating musical instruments with operas.

The Exploitation of Agricultural Civilization Heritages of Minority Community in Guangxi——A Case Study of Longsheng Dragon Back Terrace

Having outlined evolution and tour value of Dragon Back Terraces in Longsheng County,Guilin,the author puts forward following proposals for tour development in policy-making:(1) With improving the villages of the Minority community,to set up ecological museums in which the cultures of Minority are preserved,the primitive local "live humanity heritages" are shown as the key display on the basis of typical agricultural complex ecological system;(2) To encourage the citizens of the community to participate in the tour industry development,including the participation both in the decision-making in tour planning and preservation of the terrace agricultural civilization heritages as well as the allocation of the income of the local tour industry;(3)To promote the mutual development of both folkways and sightseeing tour,to enhance the exploitation of the present natural scenic and historical landscapes through the making full advantages of the present tour market.The Dragon Back Terraces are characterized by the important tour values,including the rich and colorful natural landscapes,typical complex agricultural ecological system,and the combination of the Minority folkways and agricultural civilization.

Protection and Utilization of Cultural Landscape in a Forest Park in Ethnic Minority Region ——With a Case of Zhangjiajie

Presently, more and more attention is paid to cultural landscapes by peo-ple at travel ing, especial y for folk culture in ethnic minority regions where rich hu-man landscapes could be ful y made use of to improve landscape quality. In the research, cultural landscapes in Zhangjiajie National Forest Park were surveyed and evaluated to analyze characters of cultural utilization, as wel as problems existing in the Park. In addition, highlights were given to protection on cultural landscapes in a forest park construction, presentation of ethnic minority culture, and ful development of tourism products.

English Listening Teaching： A Perspective from the Ethnic Minority in China

Listening and speaking is of great importance in language communication, which is being paid close attention to in TEFL in China. However, as most of ethnic minorities are living far away from developed districts, they lack necessary sources in English listening teaching, which makes the local learners＇ listening ability not so satisfactory. This paper, based on the questionnaire, analyzes the problems existing in current English listening teaching in ethnic minority districts, and puts forward some suggestive solutions.

Space Pattern of Rural Leisure Tourism Development in Southwest Minority Area——A Case Study of Ethnic Minority Area in Southeast Chongqing

On the basis of analysis of current research documents on rural leisure tourism, taking ethnic minority area of Southeast Chongqing for example, the paper expounded ecology, culture, authenticity and uniqueness of rural leisure tourist resources in ethnic minority area, and city-dependent, scenic area-dependent, traffic route-dependent and remote characteristic village type of space pattern.

Rural Tourism Development Theory and Practice of Intangible Cultural Heritage in Rural Minority Areas of Sichuan Province,China——A Case Study of Kasidawen in Heishui County,Aba Prefecture of Sichuan

Researches on tourism development of intangible cultural heritage were introduced,and market gaps in the tourism development of intangible cultural heritage in ruralminority areas of China were proposed.On the basis of investigation and interview about Kasidawen in Heishui County the author participated in,a National-level Intangible Cultural Heritage,interview and questionnaire survey were adopted in this study,and the following problems were concluded:tourists having only limited knowledge about tourism development of Kasidawen;multilayered demands of tourist market;intangible cultural heritage of Sichuan Province as a whole is not widely-known because of insufficient publicity;tourists preferring tourism products that they participated in.Characteristics of intangible cultural heritage in Heishui County were summarized as strong national characteristics and unique cultural heritage,on the basis of which the "Kasidawen-based" Tourism Development Mode was proposed to change its present condition of "having only natural landscapes but no cultural connotation",and improve the cultural taste and level of tourism development in Heishui County,by arranging cultural functions and industries from the perspectives of both hardware and software facilities,and taking other types of resources as the supplement,useful theoretical references were given for rural tourism development of intangible cultural heritage inminority areas of China.

A Study on Innovation Mode of Tourism Development in Minority Village

It was of vital significance for sustainable development of tourism in minority village to explore tourism development mode suitable for minority village.Based on comparison of development,characteristics,advantages and disadvantages of three modes which were Suoga mode,Shenzhen folk village mode and Langdeshang Village mode,it was considered that the contradiction between development of minority village economy,protection of national traditional culture and guarantee of villagers' benefits hadn't been radically eliminated in the three modes.In view of this,5Cs mode had been proposed which were culture,company,characteristics,community and concord;and running mechanism of 5Cs mode had been constructed,that is,environmental protection and cultural inheritance;government's guidance and company's leading;theme positioning and characteristic highlighting;community power-increasing and villagers' profit-obtaining;economic development and community harmony.

Farming Ritual and Festival Folk Custom of Dong Ethnic Minority Group

In order to pray for harvest and express gratitude, Dong ethnic arranged sacrifices of farming in accordance with periodicity of rice production and its requirements to festivals and calendar. Meanwhile, New Year, Pray in Spring and Return in Autumn not only play significant roles in agricultural production, but also evolve to farming holidays which are enriched with more social connotations. Centered on husbandry and production, some folklore that is rich in local color has been formed in Dong society. The writer introduced some farming ritual of Dong ethnic group, such as, sowing, Kai Yang Men, Rain-praying, Chang Xin, reaping and Lunar New Year, summarized their belief in the land worship, festival ritual, ancestor ritual and ceres ritual. It is concluded that sacrifice is a production-related folklore, which is formed by repeated operation and constant practice. Some taboos were also prohibited in agricultural sacrifice because people were not able to change the unfavorable reality of farming with their insufficient experience and knowledge; however, they resorted to witchcraft for the purpose of harvest. It is believed that the activity of sacrifice will also be kept in the life of Dong ethnic group due to their dependency on agriculture and the land.

Translation Principles of Chinese Ethnic Minority Classics:A Case Study on the English Translation of Yimakan Mandu Mergen

Different translation principles may result in different translation products Chinese and foreign scholars put forward a lot of insightful and perceptive views on translation principles based on their plentiful translation practice.Taken the Hezhe Peo ple’s oral tradition Yimakan Mandu Mergen as an example,the paper probes into the English translation principles and strategies of Chinese ethnic minority classics.

Israel＇s Changing Attitude Toward the Arab National Minority： Between Ben Gurion and Eshkol Military Rule as a Test Case

In August 1963, Israel＇s Prime Minister Levi Eshkol initiated the procedure for terminating the martial law in effect since the end of the War of Independence （1948） with regard to Israeli Arabs. Martial law discriminated against Israel＇s Arab minority, as opposed to the majority of Israel＇s society, as part of different issues bound up with this population＇s daily functioning. The aim of the paper is to present the reasons why Eshkol＇s doing away with the martial law stemmed was its ineffectiveness, while the other, and this makes up the core of our concern here, was his changing attitude toward the Arab minority in Israel, by contrast with that of his predecessor, David Ben Gurion The main conclusion of the paper is that even though Eshkol＇s ideas about the Arab minority were not very different from Ben Gurion＇s ideas one insisted on maintaining the military government in Israel, while the other saw this as unnecessary, and so brought it to an end. In August 1963, a few months after assuming office, Israel＇s Prime Minister Levi Eshkol initiated the first steps leading to the annulment of military rulet which had applied to Arabs in the State of Israel ever since the end of the War of Independence （1948）. This process was concluded some three years later. Military rule was lifted in effect on December 1, 1966. In the presentation, the author would like to look into the considerations which prompted Eshkol to take such a step, in light of the fact that his predecessor, Ben Gurion, was a staunch opponent of annulling the military regime, convinced as he was, even after the conclusion of his term in office, that the current state of affairs should remain in effect.

A Research into English Learning Strategies of Preparatory Ethnic Minority Education

On the basis of survey, students of Preparatory Ethnic Minority are not interested in English learning, and they lack language learning strategies, listening and oral abilities when they are studying English. According to theories of Second Language Acquisition, connected with teaching practice, new English Learning Model is discussed and constructed. It includes"1+2+3" curriculum model, which advocates"Student centered"teaching method and setting up optional courses so that students will at tain the set goal smoothly.

Teachers' Oral Corrective Feedback and Its Influence on Learner Uptake in the Classes of Teaching English as a Foreign Language for Minority Students in Xinjiang Junior High Schools

The present study explored the features and the effectiveness of teachers' oral CF in the classrooms of Teaching English as a Foreign Language(TEFL) for minority students in Xinjiang junior high schools. The analytical framework of this study consulted Lyster's(1998) coding scheme. 720 minutes of classroom observation were recorded and transcribed. The database was coded and the distribution of errors, CF and uptake was analyzed.