Effect of a comprehensive geriatric assessment nursing intervention model on older patients with diabetes and hypertension

BACKGROUND The Comprehensive Geriatric Assessment(CGA)was introduced late in China and is primarily used for investigating and evaluating health problems in older adults in outpatient and community settings.However,there are few reports on its application in hospitalized patients,especially older patients with diabetes and hypertension.AIM To explore the nursing effect of CGA in hospitalized older patients with diabetes and hypertension.METHODS We performed a retrospective single-center analysis of patients with comorbid diabetes mellitus and hypertension who were hospitalized and treated in the Jiangyin Hospital of Traditional Chinese Medicine between September 2020 and June 2022.Among the 80 patients included,40 received CGA nursing interventions(study group),while the remaining 40 received routine nursing care(control group).The study group's comprehensive approach included creating personalized CGA profiles,multidisciplinary assessments,and targeted inter-ventions in areas,such as nutrition,medication adherence,exercise,and mental health.However,the control group received standard nursing care,including general and medical history collection,fall prevention measures,and regular patient monitoring.After 6 months of nursing care implementation,we evaluated the effectiveness of the interventions,including assessments of blood glucose levels fasting blood glucose,2-h postprandial blood glucose,and glycated hemoglobin,type A1c(HbA1c);blood pressure indicators such as diastolic blood pressure(DBP)and systolic blood pressure(SBP);quality of life as measured by the 36-item Short Form Survey(SF-36)questionnaire;and treatment adherence.RESULTS After 6 months,the nursing outcomes indicated that patients who underwent CGA nursing interventions experienced a significant decrease in blood glucose indicators,such as fasting blood glucose,2-h postprandial blood glucose,and HbA1c,as well as blood pressure indicators,including DBP and SBP,compared with the control group(P<0.05).Quality of life assessments,including physical health,emotion,physical function,overall health,and mental health,showed marked improvements compared to the control group(P<0.05).In the study group,38 patients adhered to the clinical treatment requirements,whereas only 32 in the control group adhered to the clinical treatment requirements.The probability of treatment adherence among patients receiving CGA nursing interventions was higher than that among patients receiving standard care(95%vs 80%,P<0.05).CONCLUSION The CGA nursing intervention significantly improved glycemic control,blood pressure management,and quality of life in hospitalized older patients with diabetes and hypertension,compared to routine care.

Spatial assessment for groundwater quality based on GIS and improved fuzzy comprehensive assessment with entropy weights

The objective of the research is to evaluate spatial groundwater quality based on improved fuzzy comprehensive assessment model with entropy weights(FCAEW)in geographical information system(GIS)environment.This paper explores the method of comprehensive evaluation of groundwater and sets up an evaluation model applying GIS and FCAEW.Groundwater samples were collected and analyzed from 29 wells in Zhenping County,China.Six parameters were chosen including chloride,sulfate,total hardness,nitrate,fluoride and color.Better spatial interpolation methods for evaluated parameters are found out and selected according to the minimum cross-validation errors from the interpolation methods.FCAEW model was carried out with the help of GIS which makes the evaluating process simpler and easier and more automatically,effectively,efficiently and intelligently.The result embodies the feasibility and effectiveness of FCAEW in GIS when compared with other comprehensive evaluation methods.

Fuzzy Comprehensive Assessment of Transnational Operation Environment for Chinese Oil Companies

A comprehensive method was developed to assess the transnational operation environment in host countries for Chinese oil companies. This method includes an assessment criterion system of the environment, which is to be scored by the experts. Analytical Hierarchy Process （AHP） and fuzzy mathematical methods were used to make evaluation and get the assessment result and ranking of three host countries.

Application of the Fuzzy Comprehensive Assessment Technique to Optimal Selection of Pipeline Design Alternative

s: Regarding the influencing factors in an optimal selection of pipeline design alternative as fuzzy variables with different weights, a fuzzy comprehensive assessment was applied to an optimal selection of the design alternative. Giving the Lanzhou-Chengdu pipeline as an example to explain the process, the result shows that this method is acceptable.

Risk assessment of corroded casing based on analytic hierarchy process and fuzzy comprehensive evaluation

Casing corrosion during CO2 injection or storage results in significant economic loss and increased production risks.Therefore,in this paper,a corroded casing risk assessment model based on analytic hierarchy process and fuzzy comprehensive evaluation is established to identify potential risks in time.First,the corrosion rate and residual strength characteristics are analyzed through corrosion tests and numerical simulations,respectively,to determine the risk factors that may lead to an accident.Then,an index system for corroded casing risk evaluation is established based on six important factors:temperature,CO2 partial pressure,flow velocity,corrosion radius,corrosion depth and wellhead pressure.Subsequently,the index weights are calculated via the analytic hierarchy process.Finally,the risk level of corroded casing is obtained via the fuzzy comprehensive evaluation.The corroded casing risk assessment model has been verified by a case well,which shows that the model is valuable and feasible.It provides an effective decision-making method for the risk evaluation of corroded casing in CO2 injection well,which is conductive to improve the wellbore operation efficiency.

Fuzzy Risk Assessment Method for Airborne Network Security Based on AHP-TOPSIS

With the exponential increase in information security risks,ensuring the safety of aircraft heavily relies on the accurate performance of risk assessment.However,experts possess a limited understanding of fundamental security elements,such as assets,threats,and vulnerabilities,due to the confidentiality of airborne networks,resulting in cognitive uncertainty.Therefore,the Pythagorean fuzzy Analytic Hierarchy Process(AHP)Technique for Order Preference by Similarity to an Ideal Solution(TOPSIS)is proposed to address the expert cognitive uncertainty during information security risk assessment for airborne networks.First,Pythagorean fuzzy AHP is employed to construct an index system and quantify the pairwise comparison matrix for determining the index weights,which is used to solve the expert cognitive uncertainty in the process of evaluating the index system weight of airborne networks.Second,Pythagorean fuzzy the TOPSIS to an Ideal Solution is utilized to assess the risk prioritization of airborne networks using the Pythagorean fuzzy weighted distance measure,which is used to address the cognitive uncertainty in the evaluation process of various indicators in airborne network threat scenarios.Finally,a comparative analysis was conducted.The proposed method demonstrated the highest Kendall coordination coefficient of 0.952.This finding indicates superior consistency and confirms the efficacy of the method in addressing expert cognition during information security risk assessment for airborne networks.

IoT Smart Devices Risk Assessment Model Using Fuzzy Logic and PSO

Increasing Internet of Things(IoT)device connectivity makes botnet attacks more dangerous,carrying catastrophic hazards.As IoT botnets evolve,their dynamic and multifaceted nature hampers conventional detection methods.This paper proposes a risk assessment framework based on fuzzy logic and Particle Swarm Optimization(PSO)to address the risks associated with IoT botnets.Fuzzy logic addresses IoT threat uncertainties and ambiguities methodically.Fuzzy component settings are optimized using PSO to improve accuracy.The methodology allows for more complex thinking by transitioning from binary to continuous assessment.Instead of expert inputs,PSO data-driven tunes rules and membership functions.This study presents a complete IoT botnet risk assessment system.The methodology helps security teams allocate resources by categorizing threats as high,medium,or low severity.This study shows how CICIoT2023 can assess cyber risks.Our research has implications beyond detection,as it provides a proactive approach to risk management and promotes the development of more secure IoT environments.

Study on the impact of comprehensive geriatric assessment on anxiety and depression in chronic obstructive pulmonary disease patients

BACKGROUND Psychological factors such as anxiety and depression will not only aggravate the symptoms of chronic obstructive pulmonary disease(COPD)patients and reduce the quality of life of patients,but also affect the treatment effect and long-term prognosis.Therefore,it is of great significance to explore the clinical application of senile comprehensive assessment in the treatment of COPD and its influence on psychological factors such as anxiety and depression.AIM To explore the clinical application of comprehensive geriatric assessment in COPD care and its impact on anxiety and depression in elderly patents.METHODS In this retrospective study,60 patients with COPD who were hospitalized in our hospital from 2019 to 2020 were randomly divided into two groups with 30 patients in each group.The control group was given routine nursing,and the observation group was given comprehensive assessment.Clinical symptoms,quality of life[COPD assessment test(CAT)score],anxiety and depression Hamilton Anxiety Rating Scale(HAMA)and Hamilton Depression Rating Scale(HAMD)were compared between the two groups.RESULTS CAT scores in the observation group decreased from an average of 24.5 points at admission to an average of 18.3 points at discharge,and in the control group from an average of 24.7 points at admission to an average of 18.3 points at discharge.The average score was 22.1(P<0.05).In the observation group,HAMA scores decreased from 14.2 points at admission to 8.6 points at discharge,and HAMD scores decreased from 13.8 points at admission to 7.4 points at discharge.The mean HAMD scores in the control group decreased from an average of 14.5 at admission to an average of 12.3 at discharge,and from an average of 14.1 at admission to an average of 11.8 at discharge.CONCLUSION The application of comprehensive geriatric assessment in COPD care has a significant effect on improving patients'clinical symptoms and quality of life,and can effectively reduce patients'anxiety and depression.

The Application of Formative Assessment in Interactive Comprehensive English Classroom Teaching

Teaching evaluation is an important part of the teaching process of college English courses,and effective formative assessment can reflect the entire teaching process from multiple perspectives and ensure the smooth achievement of teaching objectives.Formative assessment is an assessment that runs through the entire learning process,based on humanism and constructivism,with various forms of evaluation.

Assessment of urban sustainable development using fuzzy comprehensive evaluation

Sustainable development index evaluation system is the foundation of the study on the realization of sustain- able development, and it is also an important part to turn sustainable development into operation from philosophical idea. With the rapid economic development, problems of environmental protection appear, and the sustainable develop- ment strategy attracts more and more attention of academia and government. However, because sustainable develop- ment is a complicated and dynamic process, there is no unified index system to evaluate it at present. Based on the theories on cities and sustainable development and certain principles and guidelines, this paper filters sustainable development index, quantizes some key indexes, designs the index system made up of economy, society, environment and resources and system harmony, and comprehensively evaluates the status quo of the sustainable development of a certain area.

Fuzzy Comprehensive Assessment Method to Determine Tectonic Stress Patterns

The tectonic stress patterns were determined by a fuzzy comprehensive assessment method. Data of in-situ survey and fault information were utilized in the method. First, by making pressure and tension in the directions of along-river, cross-river, shear clockwise, and shear counterclockwise , 26 types of tectonic stress patterns were presented. And the stress vector of each pattern was obtained with FE software by taking unit displacement as boundary load. Then, by taking the 26 types of tectonic stress patterns as index set and 3 main stresses as factor set and choosing various operators, comparison of directions of computational stress vector and survey stress vector was made and the most possible tectonic stress pattern was obtained. Taking the 26 types of tectonic stress patterns as index set and strike angle as factor set, comparison of relationships between formation of fault and tectonic stress was made,and the tectonic stress patterns were assessed with known fault information. By summarizing the above assessment results, the most impossible tectonic stress pattern was obtained . Finally an engineering case was quoted to validate that the method is more feasible and reliable than traditional empirical method.

Multi-Level Fuzzy Comprehensive Assessment of Tourism Resources in Laiyuan County of Hebei Province

The membership of every target and the mathematic model of multi-level fuzzy comprehensive assessment are set up by using fuzzy theories and means in this study.Tourism resources of main scenic spots areas in Laiyuan County of Hebei Province are evaluated and classified by applying the model.The results of evaluation indicate that 10 of these scenic spots such as Baoziwo and Qingyunfeng are grade A,and 6 of them such as Yunpan Valley and Xianrenqiao are grade B.The peak forest scenic area in the Baishishan Geological Park and Shipuxia Scenic Area are grade A,and Jumayuan Scenic Area is grade B.Furthermore,suggestions are put forward based on the scientific and feasible development of tourism resources.

Comprehensive ecological risk assessment for heavy metal pollutions in three phases in rivers

Literature lacked in providing a comprehensive research on heavy metal detection in aquatic, biological and sedimentary states of rivers. The present study was imparted with all these three components of the river. Heavy metal toxicity or pollution index was used as a tool for ecological risk assessment by considering the single state studies conducted by many researchers. An intensive ecological risk assessment model was constructed and heavy metals were indicated as a serious threat to the environment. The model was applied to determining five toxic heavy metals in three states of the Songhua River. According to the ecological risk index, heavy metal pollution in three phases was categorized as aquatic〉biological〉sedimentary, while the overall descending order of heavy metal ecological risk index was as Cd〉Hg〉As〉Pb〉Cr. Cd and Hg were selected as the priority pollutants of Songhua River.

Application of Fuzzy Comprehensive Evaluation Method Based on Entropy Weight Theory in Evaluation of Salt Tolerance of Cotton

[Objective] The aim was to propose a new entropy weight fuzzy compre- hensive evaluation method for assessing cotton salt tolerance, realizing the objective, accurate and comprehensive evaluation of salt tolerance of cotton. [Method] A sand culture experiment under salt stress of 150 mmol/L of NaCI was designed. The in- dicator weight was determined with the entropy weight fuzzy comprehensive evalu- ation method, based on the salt injury index of indicators. The salt tolerance of cotton was evaluated comprehensively. [Result] At the germination stage, the entropy and weight of salt injury index of germination energy, vigor index, hypocotyl length and fresh weight were highest, followed by germination rate and germination index, and of root length were lowest. At the seedling stage, the entropy and weight of salt injury index of plasma membrane permeability, root vigor and leaf expansion rate were highest, followed by plant height and net photosynthetic rate, and of shoot dry weight and root dry weight were lowest. The salt tolerance of cotton differed a- mong growth stages and cultivars. Among the 11 cultivars, CCRI-44 and CCRI-75 were steadily salt-tolerant at both germination and seedling stages; CCRI-17, Sumi- an 22, Sumian 15 and Dexiamianl had a stable moderate salt tolerance; while Sumian 12 and Simian 3 were steadily salt-sensitive. [Conclusion] The evaluated result was objective and exact, which indicated that this method could be used in comprehensive evaluation of salt tolerance of cotton.

Design and Implementation of Aquaculture Pond Water Quality Assessment System Based on Fuzzy Mathematics

The aquaculture pond water quality was taken as research objects,based on the general analysis of factors influencing the pond water quality,the system of index estimation and assessment standard were established after sorting by importance of the factors by means of Delphi and expert investigation.In this study,index weight was confirmed according to the importance of the factors and relative membership grade of the measured values,thus and the fuzzy comprehensive evaluation model of aquaculture pond water quality was constructed,and the fuzzy comprehensive evaluation system of freshwater aquaculture pond water quality was designed and implemented.The application of this system in the assessment of aquaculture pond water quality by a company had achieved better result.

Comprehensive Assessment of Drought Resistance of Proso Millet Germplasm Resources in Shanxi

In order to clarify drought resistance of proso millet applied in field production in Shanxi, we identified its drought resistance during the whole growth period and measured nine traits, including plant height, panicle length, stem diameter, panicle weight, grain weight per spike, straw weight per plant, node numbers of main stem, 1 000-grain weight and effective panicles, under different treatments. Principal component analysis and stepwise regression analysis were used for comprehensive evaluation of drought resistance during the whole growth period and screening the drought index. The results showed that there were correlations among 9 phenotypic traits. The coefficient of variation of panicle weight and straw weight per plant sharply reduced under normal water supply and drought stress. Landrace ＂yellow millet＂ had the strongest drought resistance（D =0.87）, integrated drought D value and membership function value of yield had significant correlation（r =0.515 9, P〈0.05）. Panicle weight and straw weight per plant had significant impact on drought resistance and could be taken as comprehensive indexes of drought resistance identification in growth period.

Application of Fuzzy Comprehensive Evaluation Method Based on Entropy Weight to Evaluate Pond Water Quality

[Objective] This study was to provide references for the evaluation of water quality in aquaculture ponds by evaluating the pond water quality using fuzzy comprehensive evaluation method based on entropy weight. [Method] The fuzzy compre- hensive evaluation method based on entropy weight was used to evaluate the water quality in the ponds with Ukraine scale carp （Cyprinus carpio） as the main cultivated fish. The average size of the fish was 71.4 g/ind, and totally three groups of pond were set with the population density of 6 000, 9 000, 12 000 ind/hm2. [Result] According to the GB3838-2002 Environmental Quality Standards for Surface Water of China, the water quality of 6 000 ind/hm2 group was Grade I, and the water quality of 9 000 and 12 000 ind/hm2 were Grade V. [Conclusion] With the increasing of feeding density, the pond water quality would worsen, however, there is no difference on water quality between 9 000 and 12 000 ind/hm2 groups.

Construction of Tourist Satisfaction Degree Evaluation Model in Western Tourist Area by Performance Prism and Fuzzy Comprehensive Evaluation Method——with Lijiang in Yunnan Province as the Study Case

Starting from the utilization and protection of local knowledge, with the performance prism as the framework, the evaluation index system of tourist satisfaction degree was established. The weight was determined by using AHP method. Finally, the investigating result was judged with fuzzy comprehensive evaluation method, the evaluation model of tourist satisfaction degree in western tourist area was built, and the case study was carried out. With Lijiang in Yunnan Province as example, according to AHP method, five dimensions weight of the performance prism, various KPI weight and consistency were obtained, fuzzy evaluation on tourist satisfaction degree was conducted. The results showed that the overall was satisfactory, but there were still some problems. Aiming at the utilization and protection of local knowledge, some corresponding countermeasures were put forward which will benefit for further development of tourism in Lijiang of Yunnan Province.

基于VWM-GRA的新型Fuzzy-FMEA复杂装备风险评估方法

失效模式和影响分析(Failure Mode and Effect Analysis,FMEA)是一种识别和预防复杂装备潜在故障模式的风险评估方法,然而,现有FMEA方法采用等权重和精确数表征不确定情形下的风险因素评估信息,导致风险优先数(Risk Priority Number,RPN)难以准确评估复杂装备故障模式的风险优先级。针对这一难题,文中提出了一种基于变权方法-灰色关联分析(Variable Weight Method-Grey Relation Analysis,VWM-GRA)的新型Fuzzy-FMEA复杂装备风险评估方法。在风险因素权重分配方面,在模糊熵值法的基础上,考虑风险评估信息对风险因素权重的影响,构建风险因素变权综合模型以动态调整风险因素权重值,据此确定风险因素的客观变权重;在风险优先数排序方面,在模糊语言变量表征风险因素评估信息的基础上,考虑风险因素评估信息不确定性量化对故障模式排序精度的影响,构建故障模式模糊灰色关联分析模型,以获取评估信息数据序列间的相对关联度,据此评估故障模式的风险优先级。最后,通过航空发动机主轴轴承的故障模式风险实例,分析验证文中方法的有效性。案例分析表明:该方法能够有效解决不确定情形下准确评估复杂装备故障模式风险优先级的难题。

Fuzzy Comprehensive Evaluation Model for Water Resources Carrying Capacity in Tarim River Basin,Xinjiang,China

This paper explores the method of comprehensive evaluation of water resources carrying capacity and sets up an evaluation model applying the fuzzy comprehensive evaluation method. Based on the data of nature,society,economics and water resources of the Tarim River Basin in 2002,we evaluated the water resources carrying capacity of the basin by means of the model. The results show that the comprehensive grades are 0.438 and 0.454 for Aksu and Kashi prefectures respectively,where the current water resources exploitation and utilization has reached a relative high degree and there is only a very limited water carrying capacity,0.620 for Kizilsu Kirgiz Autonomous Prefecture,where water resources carrying capacity is much higher,and in between for Hotan Prefecture and Bayingolin Mongo-lian Autonomous Prefecture. As a whole,the comprehensive grade of the Tarim River Basin is 0.508 and the current water resources exploitation and utilization has reached a relative high degree. Thus,we suggest that the integrated management of the water resources in the basin should be strengthened in order to utilize water resources scientifically and sustainably.