Under the conditions of globalization,it is a m ission in the new era for C hinese culture going abroad.H ow ever,during the period of post-colonialism,w estern scholars have studied C hinese culture based on the w es...Under the conditions of globalization,it is a m ission in the new era for C hinese culture going abroad.H ow ever,during the period of post-colonialism,w estern scholars have studied C hinese culture based on the w estern culture and values.As a result,C hinese culture has becom e cultural "other ". T hrough analyzing the cultural "other " and"self",the demonstration of Chinese culture from the perspective of post-colonialism proves not to be true.It is an inevitable choice for C hina's developm ent to m ake the C hinese culture go abroad and m ake an equal dialogue betw een C hinese and w estern cultures.展开更多
Research Background: The high prevalence of diabetes in Sudan, estimated at 16%, highlights the importance of effective health education in diabetes management. Diabetes self-management education has been identified a...Research Background: The high prevalence of diabetes in Sudan, estimated at 16%, highlights the importance of effective health education in diabetes management. Diabetes self-management education has been identified as a crucial tool in enhancing the knowledge, attitudes, and abilities necessary for self-management among individuals with diabetes. Aim: To assess the impact of diabetes self-management education on medication adherence and glycemic control in Sudanese adults with type 2 diabetes before and 3 months after the DSME intervention. Method: The study was conducted in Sudan between September 2022 and March 2023, it was an interventional, one-group, pre- and post-test study that aimed to assess the impact of diabetes self-management education (DSME) on medication adherence and diabetes control in Sudanese adults with type 2 diabetes. The research was conducted in primary health care centers in six cities in Sudan and involved 244 participants. The data entry and statistical analysis were conducted using the Statistical Package for Social Sciences version 27.0. A paired t test was used for analysis. Results: The study included 244 participants, 67% of whom were males. The age mean ± SD was 48.6 ± 9.3 years, and 85.3% of participants were married. Age at onset of diabetes mean ± SD was 40.60 ± 7.81 years;44.6% had diabetes for less than 5 years;and 84.1% had a positive family history of diabetes mellitus. The levels of poor, low, and partial adherence to medication decreased by 8.2%, 4%, and 20.6%, respectively, after the intervention. The levels of good and high medication regime adherence increased by 13% and 19.8%, respectively;BMI decreased by 1.1 ± 0.73 kg/m<sup>2</sup> (p = 0.005). The fasting blood sugar decreased by 69 ± 32.9 mg/dl (p = 0.049), and the glycated hemoglobin decreased by 1.21 ± 0.28% (p = 0.001). Conclusions: The findings of this study reinforce the importance of patient education in improving glycemic control and enhancing self-management behaviors. Patient education plays a critical role in enhancing glycemic control and self-management behaviors. It is essential for healthcare providers to adopt a patient-centered approach, taking into account the individual's beliefs, attitudes, and knowledge about their illness and treatment. Overcoming these challenges necessitates a comprehensive approach, including enhancing healthcare professionals’ knowledge and communication skills, offering accessible and culturally sensitive diabetes education programs, and addressing barriers to resources and support for self-management.展开更多
Self-efficacy plays an important role in the management of type 2 diabetes mellitus (T2DM) patients, and it runs through the whole process of diabetes treatment, which is conducive to controlling and delaying the occu...Self-efficacy plays an important role in the management of type 2 diabetes mellitus (T2DM) patients, and it runs through the whole process of diabetes treatment, which is conducive to controlling and delaying the occurrence and development of complications, as well as improving the quality of life of patients. This paper mainly describes the concept of self-efficacy, the current situation of self-efficacy of diabetic patients at home and abroad, the functional aspects and their influencing factors, so as to take relevant measures on how to improve self-efficacy. It aims to provide a theoretical basis for the development of self-efficacy interventions for patients with type 2 diabetes mellitus.展开更多
Diabetes is a chronic pathology whose evolution is marked by micro and macroangiopathic complications. Optimal management can prevent the onset of complications and improve patients’ quality of life. Objectives: To d...Diabetes is a chronic pathology whose evolution is marked by micro and macroangiopathic complications. Optimal management can prevent the onset of complications and improve patients’ quality of life. Objectives: To determine the frequency of self-monitoring of blood glucose and to describe the errors found during self-monitoring in diabetic patients followed at the Endocrinology Department of Donka University Hospital in Guinea. Materials and methods: Descriptive cross-sectional study carried out between August and September 2020 involving diabetic patients followed up at the Endocrinology and Diabetology Department of the Donka National Hospital, CHU Conakry. Results: A total of 301 patients were enrolled, with an average age of 44.24 ± 21.01 years. 64.12% were female. Type 2 diabetes predominated in 64% of cases. The mean duration of diabetes was 6.14 ± 4.67 years, and 75.08% of patients lived in urban areas. Patients were on insulin in 36.21% of cases, insulin and biguanides (26.25%), hypoglycemic sulfonamide and biguanides (19.27%) and biguanides in 18.27% of cases. The frequency of self-monitoring of blood glucose was 43%, and 38% of patients made errors, notably reusing lancets (60%), not checking the expiration date (55.65%) and not washing their hands (48%). Conclusion: This study shows that self-monitoring of blood glucose is not performed by the majority of patients. Numerous errors were identified during blood glucose testing. Continued therapeutic education on the use of blood glucose meters will help empower patients and improve their quality of life.展开更多
Patients and physicians understand the importance of self-care following spinal cord injury (SCI), yet many individuals with SCI do not adhere to recommended self-care activities despite logistical supports. Neurobeha...Patients and physicians understand the importance of self-care following spinal cord injury (SCI), yet many individuals with SCI do not adhere to recommended self-care activities despite logistical supports. Neurobehavioral determinants of SCI self-care behavior, such as impulsivity, are not widely studied, yet understanding them could inform efforts to improve SCI self-care. We explored associations between impulsivity and self-care in an observational study of 35 US adults age 18 - 50 who had traumatic SCI with paraplegia at least six months before assessment. The primary outcome measure was self-reported self-care. In LASSO regression models that included all neurobehavioral measures and demographics as predictors of self-care, dispositional measures of greater impulsivity (negative urgency, lack of premeditation, lack of perseverance), and reduced mindfulness were associated with reduced self-care. Outcome (magnitude) sensitivity, a latent decision-making parameter derived from computationally modeling successive choices in a gambling task, was also associated with self-care behavior. These results are preliminary;more research is needed to demonstrate the utility of these findings in clinical settings. Information about associations between impulsivity and poor self-care in people with SCI could guide the development of interventions to improve SCI self-care and help patients with elevated risks related to self-care and secondary health conditions.展开更多
The Dirac equation γ<sub>μ</sub>(δ<sub>μ</sub>-eA<sub>μ</sub>)Ψ=mc<sup>2</sup>Ψ describes the bound states of the electron under the action of external potentials...The Dirac equation γ<sub>μ</sub>(δ<sub>μ</sub>-eA<sub>μ</sub>)Ψ=mc<sup>2</sup>Ψ describes the bound states of the electron under the action of external potentials, A<sub>μ</sub>. We assumed that the fundamental form of the Dirac equation γ<sub>μ</sub>(δ<sub>μ</sub>-S<sub>μ</sub>)Ψ=0 should describe the stable particles (the electron, the proton and the dark-matter-particle (dmp)) bound to themselves under the action of their own potentials S<sub>μ</sub>. The new equation reveals that self energy is consequence of self action, it also reveals that the spin angular momentum is consequence of the dynamic structure of the stable particles. The quantitative results are the determination of their relative masses as well as the determination of the electromagnetic coupling constant.展开更多
This literature review primarily aims to explore and synthesise the previous studies in simulation education research conducted over the past five years related to the effects of simulation training on the self-effica...This literature review primarily aims to explore and synthesise the previous studies in simulation education research conducted over the past five years related to the effects of simulation training on the self-efficacy of undergraduate pre-registration nursing students. The second aim of this study is to explore additional outcome variables that were examined in the previous studies. Five electronic databases were searched systematically. These databases were MEDLINE, CINAHL Plus, Scopus, Embase and PsycINFO. The PICO model was employed to identify the search terms, with a thesaurus being used to provide synonyms. Reference lists of relevant articles were examined and hand searches of journals were also undertaken. The quality of each study was assessed using the Simulation Research Rubric (SRR). A total of 11 studies were included. All studies explored the impact of simulation education on undergraduate pre-registration nursing. Six studies explored nursing students’ competence and performance and two papers examined their critical thinking. Problem solving, learning motivation, communication skills and knowledge acquisition were examined once. The majority of studies indicated that simulation training has a positive impact on pre-registration nursing students’ self-efficacy and other outcome variables. Furthermore, the study results indicate that simulation training is more dependable than traditional training, and students were extremely satisfied with the simulation training. However, most of the studies included in this review had several gaps, including study design, sample size and dissimilarities between the scales used. Further research with large samples, reliable and valid instruments, and outcomes measures (such as critical thinking and transferability of skills) is required to provide better insight into the effectiveness of simulation in undergraduate nursing education. .展开更多
The federated self-supervised framework is a distributed machine learning method that combines federated learning and self-supervised learning, which can effectively solve the problem of traditional federated learning...The federated self-supervised framework is a distributed machine learning method that combines federated learning and self-supervised learning, which can effectively solve the problem of traditional federated learning being difficult to process large-scale unlabeled data. The existing federated self-supervision framework has problems with low communication efficiency and high communication delay between clients and central servers. Therefore, we added edge servers to the federated self-supervision framework to reduce the pressure on the central server caused by frequent communication between both ends. A communication compression scheme using gradient quantization and sparsification was proposed to optimize the communication of the entire framework, and the algorithm of the sparse communication compression module was improved. Experiments have proved that the learning rate changes of the improved sparse communication compression module are smoother and more stable. Our communication compression scheme effectively reduced the overall communication overhead.展开更多
Recycled large aggregate self-compacting concrete (RLA-SCC) within multiple weak areas. These weak areas have poor resistance to chloride ion erosion, which affects the service life of RLA-SCC in the marine environmen...Recycled large aggregate self-compacting concrete (RLA-SCC) within multiple weak areas. These weak areas have poor resistance to chloride ion erosion, which affects the service life of RLA-SCC in the marine environment. A three-dimensional multi-phase mesoscopic numerical model of RLA-SCC was established to simulate the chloride ions transportation in concrete. Experiments of RLA-SCC immersing in chloride solution were carried out to verify the simulation results. The effects of recycled large aggregate (RLA) content and RLA particle size on the service life of concrete were explored. The results indicate that the mesoscopic numerical simulation results are in good agreement with the experimental results. At the same depth, the closer to the surface of the RLA, the greater the chloride ion concentration. The service life of RLA-SCC in marine environment decreases with the increase of RLA content. Compared with the service life of 20% content, the service life of 25% and 30% content decreased by 20% and 42% respectively. Increasing the particle size of RLA can effectively improve the service life of RLA-SCC in chloride environment. Compared with the service life of 50 mm particle size, the service life of 70 mm and 90 mm increased by 61% and 163%, respectively. .展开更多
为了构建准确表征滚动轴承退化过程的趋势性健康度指标,提高滚动轴承剩余使用寿命(Remaining Useful Life,RUL)的预测精度,提出了一种结合长短期记忆(Long‑Short Term Memory,LSTM)和自注意力(Self‑Attention)机制的神经网络模型(LSTM‑...为了构建准确表征滚动轴承退化过程的趋势性健康度指标,提高滚动轴承剩余使用寿命(Remaining Useful Life,RUL)的预测精度,提出了一种结合长短期记忆(Long‑Short Term Memory,LSTM)和自注意力(Self‑Attention)机制的神经网络模型(LSTM‑SA)用于滚动轴承RUL预测。利用包络解调获得原始信号的包络谱,再将包络谱分段并计算对应频段的皮尔逊相关系数,得到具有单调性和趋势性的退化特征;将退化特征归一化处理后作为LSTM‑SA模型的输入,并利用LSTM自适应提取退化特征时间上的内部相关性以及Self‑Attention对关键信息的筛选,消除无用信息的干扰,挖掘深层次特征,构建健康度指标并得到退化曲线;确定失效阈值,利用最小二乘法拟合退化曲线,预测寿命失效点,实现滚动轴承的RUL预测。在PHM2012数据集上的实验结果表明,所提出的方法相比于其他文献,平均绝对误差分别降低了43.18%,62.57%和59.44%,平均得分分别提高了10.87%,45.71%和34.21%;在工程实际数据中的实验结果表明,所提出方法的平均预测误差分别比Standard‑RNN和CNN方法降低了39.58%和74.86%。展开更多
文摘Under the conditions of globalization,it is a m ission in the new era for C hinese culture going abroad.H ow ever,during the period of post-colonialism,w estern scholars have studied C hinese culture based on the w estern culture and values.As a result,C hinese culture has becom e cultural "other ". T hrough analyzing the cultural "other " and"self",the demonstration of Chinese culture from the perspective of post-colonialism proves not to be true.It is an inevitable choice for C hina's developm ent to m ake the C hinese culture go abroad and m ake an equal dialogue betw een C hinese and w estern cultures.
文摘Research Background: The high prevalence of diabetes in Sudan, estimated at 16%, highlights the importance of effective health education in diabetes management. Diabetes self-management education has been identified as a crucial tool in enhancing the knowledge, attitudes, and abilities necessary for self-management among individuals with diabetes. Aim: To assess the impact of diabetes self-management education on medication adherence and glycemic control in Sudanese adults with type 2 diabetes before and 3 months after the DSME intervention. Method: The study was conducted in Sudan between September 2022 and March 2023, it was an interventional, one-group, pre- and post-test study that aimed to assess the impact of diabetes self-management education (DSME) on medication adherence and diabetes control in Sudanese adults with type 2 diabetes. The research was conducted in primary health care centers in six cities in Sudan and involved 244 participants. The data entry and statistical analysis were conducted using the Statistical Package for Social Sciences version 27.0. A paired t test was used for analysis. Results: The study included 244 participants, 67% of whom were males. The age mean ± SD was 48.6 ± 9.3 years, and 85.3% of participants were married. Age at onset of diabetes mean ± SD was 40.60 ± 7.81 years;44.6% had diabetes for less than 5 years;and 84.1% had a positive family history of diabetes mellitus. The levels of poor, low, and partial adherence to medication decreased by 8.2%, 4%, and 20.6%, respectively, after the intervention. The levels of good and high medication regime adherence increased by 13% and 19.8%, respectively;BMI decreased by 1.1 ± 0.73 kg/m<sup>2</sup> (p = 0.005). The fasting blood sugar decreased by 69 ± 32.9 mg/dl (p = 0.049), and the glycated hemoglobin decreased by 1.21 ± 0.28% (p = 0.001). Conclusions: The findings of this study reinforce the importance of patient education in improving glycemic control and enhancing self-management behaviors. Patient education plays a critical role in enhancing glycemic control and self-management behaviors. It is essential for healthcare providers to adopt a patient-centered approach, taking into account the individual's beliefs, attitudes, and knowledge about their illness and treatment. Overcoming these challenges necessitates a comprehensive approach, including enhancing healthcare professionals’ knowledge and communication skills, offering accessible and culturally sensitive diabetes education programs, and addressing barriers to resources and support for self-management.
文摘Self-efficacy plays an important role in the management of type 2 diabetes mellitus (T2DM) patients, and it runs through the whole process of diabetes treatment, which is conducive to controlling and delaying the occurrence and development of complications, as well as improving the quality of life of patients. This paper mainly describes the concept of self-efficacy, the current situation of self-efficacy of diabetic patients at home and abroad, the functional aspects and their influencing factors, so as to take relevant measures on how to improve self-efficacy. It aims to provide a theoretical basis for the development of self-efficacy interventions for patients with type 2 diabetes mellitus.
文摘Diabetes is a chronic pathology whose evolution is marked by micro and macroangiopathic complications. Optimal management can prevent the onset of complications and improve patients’ quality of life. Objectives: To determine the frequency of self-monitoring of blood glucose and to describe the errors found during self-monitoring in diabetic patients followed at the Endocrinology Department of Donka University Hospital in Guinea. Materials and methods: Descriptive cross-sectional study carried out between August and September 2020 involving diabetic patients followed up at the Endocrinology and Diabetology Department of the Donka National Hospital, CHU Conakry. Results: A total of 301 patients were enrolled, with an average age of 44.24 ± 21.01 years. 64.12% were female. Type 2 diabetes predominated in 64% of cases. The mean duration of diabetes was 6.14 ± 4.67 years, and 75.08% of patients lived in urban areas. Patients were on insulin in 36.21% of cases, insulin and biguanides (26.25%), hypoglycemic sulfonamide and biguanides (19.27%) and biguanides in 18.27% of cases. The frequency of self-monitoring of blood glucose was 43%, and 38% of patients made errors, notably reusing lancets (60%), not checking the expiration date (55.65%) and not washing their hands (48%). Conclusion: This study shows that self-monitoring of blood glucose is not performed by the majority of patients. Numerous errors were identified during blood glucose testing. Continued therapeutic education on the use of blood glucose meters will help empower patients and improve their quality of life.
文摘Patients and physicians understand the importance of self-care following spinal cord injury (SCI), yet many individuals with SCI do not adhere to recommended self-care activities despite logistical supports. Neurobehavioral determinants of SCI self-care behavior, such as impulsivity, are not widely studied, yet understanding them could inform efforts to improve SCI self-care. We explored associations between impulsivity and self-care in an observational study of 35 US adults age 18 - 50 who had traumatic SCI with paraplegia at least six months before assessment. The primary outcome measure was self-reported self-care. In LASSO regression models that included all neurobehavioral measures and demographics as predictors of self-care, dispositional measures of greater impulsivity (negative urgency, lack of premeditation, lack of perseverance), and reduced mindfulness were associated with reduced self-care. Outcome (magnitude) sensitivity, a latent decision-making parameter derived from computationally modeling successive choices in a gambling task, was also associated with self-care behavior. These results are preliminary;more research is needed to demonstrate the utility of these findings in clinical settings. Information about associations between impulsivity and poor self-care in people with SCI could guide the development of interventions to improve SCI self-care and help patients with elevated risks related to self-care and secondary health conditions.
文摘The Dirac equation γ<sub>μ</sub>(δ<sub>μ</sub>-eA<sub>μ</sub>)Ψ=mc<sup>2</sup>Ψ describes the bound states of the electron under the action of external potentials, A<sub>μ</sub>. We assumed that the fundamental form of the Dirac equation γ<sub>μ</sub>(δ<sub>μ</sub>-S<sub>μ</sub>)Ψ=0 should describe the stable particles (the electron, the proton and the dark-matter-particle (dmp)) bound to themselves under the action of their own potentials S<sub>μ</sub>. The new equation reveals that self energy is consequence of self action, it also reveals that the spin angular momentum is consequence of the dynamic structure of the stable particles. The quantitative results are the determination of their relative masses as well as the determination of the electromagnetic coupling constant.
文摘This literature review primarily aims to explore and synthesise the previous studies in simulation education research conducted over the past five years related to the effects of simulation training on the self-efficacy of undergraduate pre-registration nursing students. The second aim of this study is to explore additional outcome variables that were examined in the previous studies. Five electronic databases were searched systematically. These databases were MEDLINE, CINAHL Plus, Scopus, Embase and PsycINFO. The PICO model was employed to identify the search terms, with a thesaurus being used to provide synonyms. Reference lists of relevant articles were examined and hand searches of journals were also undertaken. The quality of each study was assessed using the Simulation Research Rubric (SRR). A total of 11 studies were included. All studies explored the impact of simulation education on undergraduate pre-registration nursing. Six studies explored nursing students’ competence and performance and two papers examined their critical thinking. Problem solving, learning motivation, communication skills and knowledge acquisition were examined once. The majority of studies indicated that simulation training has a positive impact on pre-registration nursing students’ self-efficacy and other outcome variables. Furthermore, the study results indicate that simulation training is more dependable than traditional training, and students were extremely satisfied with the simulation training. However, most of the studies included in this review had several gaps, including study design, sample size and dissimilarities between the scales used. Further research with large samples, reliable and valid instruments, and outcomes measures (such as critical thinking and transferability of skills) is required to provide better insight into the effectiveness of simulation in undergraduate nursing education. .
文摘The federated self-supervised framework is a distributed machine learning method that combines federated learning and self-supervised learning, which can effectively solve the problem of traditional federated learning being difficult to process large-scale unlabeled data. The existing federated self-supervision framework has problems with low communication efficiency and high communication delay between clients and central servers. Therefore, we added edge servers to the federated self-supervision framework to reduce the pressure on the central server caused by frequent communication between both ends. A communication compression scheme using gradient quantization and sparsification was proposed to optimize the communication of the entire framework, and the algorithm of the sparse communication compression module was improved. Experiments have proved that the learning rate changes of the improved sparse communication compression module are smoother and more stable. Our communication compression scheme effectively reduced the overall communication overhead.
文摘Recycled large aggregate self-compacting concrete (RLA-SCC) within multiple weak areas. These weak areas have poor resistance to chloride ion erosion, which affects the service life of RLA-SCC in the marine environment. A three-dimensional multi-phase mesoscopic numerical model of RLA-SCC was established to simulate the chloride ions transportation in concrete. Experiments of RLA-SCC immersing in chloride solution were carried out to verify the simulation results. The effects of recycled large aggregate (RLA) content and RLA particle size on the service life of concrete were explored. The results indicate that the mesoscopic numerical simulation results are in good agreement with the experimental results. At the same depth, the closer to the surface of the RLA, the greater the chloride ion concentration. The service life of RLA-SCC in marine environment decreases with the increase of RLA content. Compared with the service life of 20% content, the service life of 25% and 30% content decreased by 20% and 42% respectively. Increasing the particle size of RLA can effectively improve the service life of RLA-SCC in chloride environment. Compared with the service life of 50 mm particle size, the service life of 70 mm and 90 mm increased by 61% and 163%, respectively. .
文摘为了构建准确表征滚动轴承退化过程的趋势性健康度指标,提高滚动轴承剩余使用寿命(Remaining Useful Life,RUL)的预测精度,提出了一种结合长短期记忆(Long‑Short Term Memory,LSTM)和自注意力(Self‑Attention)机制的神经网络模型(LSTM‑SA)用于滚动轴承RUL预测。利用包络解调获得原始信号的包络谱,再将包络谱分段并计算对应频段的皮尔逊相关系数,得到具有单调性和趋势性的退化特征;将退化特征归一化处理后作为LSTM‑SA模型的输入,并利用LSTM自适应提取退化特征时间上的内部相关性以及Self‑Attention对关键信息的筛选,消除无用信息的干扰,挖掘深层次特征,构建健康度指标并得到退化曲线;确定失效阈值,利用最小二乘法拟合退化曲线,预测寿命失效点,实现滚动轴承的RUL预测。在PHM2012数据集上的实验结果表明,所提出的方法相比于其他文献,平均绝对误差分别降低了43.18%,62.57%和59.44%,平均得分分别提高了10.87%,45.71%和34.21%;在工程实际数据中的实验结果表明,所提出方法的平均预测误差分别比Standard‑RNN和CNN方法降低了39.58%和74.86%。