Alzheimer’s disease (AD) is a neurodegenerative disorder characterized by cognitive impairments in the initial stage, which lead to severe cognitive dysfunction in the later stage. Action observation therapy (AOT) is...Alzheimer’s disease (AD) is a neurodegenerative disorder characterized by cognitive impairments in the initial stage, which lead to severe cognitive dysfunction in the later stage. Action observation therapy (AOT) is a multisensory cognitive rehabilitation technique where the patient initially observes the actions and then tries to perform. The study aimed to examine the impact of AOT along with usual physiotherapy interventions to reduce depression, improve cognition and balance of a patient with AD. A 67 years old patient with AD was selected for this study because the patient has been suffering from depression, dementia, and physical dysfunction along with some other health conditions like diabetes and hypertension. Before starting intervention, a baseline assessment was done through the Beck Depression Inventory (BDI) tool, the Mini-Cog Scale, and the Berg Balance Scale (BBS). The patient received 12 sessions of AOT along with usual physiotherapy interventions thrice a week for four weeks, which included 45 minutes of each session. After four weeks of intervention, the patient demonstrated significant improvement in depression, cognition, and balance, whereas the BDI score declined from moderate 21/63 to mild 15/63 level of depression. The Mini-Cog score improved from 2/5 to 4/5, and the BBS score increased from 18/56 to 37/56. It is concluded that AOT along with usual physiotherapy intervention helps to reduce depression, improve cognition and balance of people with AD.展开更多
The objective of the present study was to discuss patients with disturbances in consciousness by analyzing nursing records. Observations from clinical nurses as well as patients’ responses about their care were selec...The objective of the present study was to discuss patients with disturbances in consciousness by analyzing nursing records. Observations from clinical nurses as well as patients’ responses about their care were selected from nursing records. Nursing records from one week of patient care were examined for patients who were unable to speak during hospitalization within a neuro-surgery ward of the hospital. Selected records were classified into the following eight categories: results from monitoring;results from observation;opening and moving the eyes to stimulus;movement of the limbs to stimulus;vocalization to stimulus;facial expression to stimulus;patient’s response to care;and miscellaneous. Patients comprised two groups. One group encompassed eight patients with Japan Coma Scale (JCS) II and the other was a group of eight patients with JCS III. When nurses use the JCS to assess patients with disturbances in consciousness, patients who awaken to stimulus are classified as JCS II, while those who do not are JCS III. The total nursing records selected for JCS II were 1551 and 1160 for JCS III. The category of “results from monitoring” was the most selected category within nursing records and accounted for 42.8% of the JCS III group, while “results from observation” accounted for 38.4% of the JCS II group. Furthermore, results indicated that the categories of “results from monitoring”, “results from observation”, and “movement of the limbs for stimulus” had peaked after two to three days, and then abruptly decreased. There were only a few records for the categories of “vocalization to stimulus” and “facial expression to stimulus”, both for the JCS II and the JCS III groups. Even though patients could not verbally indicate their intentions due to problems with consciousness, it is essential for nurses to pay careful attention to the details of patients’ reactions.展开更多
Objective: The objective of this study was to clarify the characteristics of nurses’ eye movements during observation of patients with disturbed consciousness by comparing intuition ability, critical thinking, and cl...Objective: The objective of this study was to clarify the characteristics of nurses’ eye movements during observation of patients with disturbed consciousness by comparing intuition ability, critical thinking, and clinical experience years. Methods: Participants were 19 nurses working on a neurosurgery ward in Japan and caring for patients with consciousness disturbance who were unable to speak. Ten novice nurses (24.8 ± 3.36 years old) and nine expert nurses (38.3 ± 5.77 years old) were compared. The observation scene, displayed on a computer screen, was a static image of a simulated patient in a resting state who had developed right putaminal hemorrhage. We showed the participants an information sheet about the simulated patient then used an eye tracking camera to analyze gaze points, gaze time, and gaze count during observation. The Kuroda Intrinsic Intuitive Ability Scale (KIIS) created by Kawahara and the Critical Thinking Disposition Scale created by Hirayama were used for measuring intrinsic intuition ability and critical thinking disposition. Results: There were no significant differences between observation time of novices (5.0 ± 2.01 minutes) and experts (5.4 ± 1.78 minutes), nor between their total gaze time and total count. The proportion of gazing at the monitor by novice nurses and gazing at the face and bed fences by expert nurses tended to be high. The KIIS general education score influenced the gaze time and gaze count during simulated patient observation. The KIIS logical thinking score affected the gaze count to the simulated patient’s face. Conclusion: There was no significant difference between the total gaze time and the total count of novices and experts. The KIIS score affected the gaze during observation of the simulated patient.展开更多
Globally, mountains encompass spectacular landscapes and a great diversity of species. However, Savannah’s mountains in Sudan have been affected by the loss of diversity due to human activities and climate changes. T...Globally, mountains encompass spectacular landscapes and a great diversity of species. However, Savannah’s mountains in Sudan have been affected by the loss of diversity due to human activities and climate changes. Therefore, this study aims to assess changes in wildlife diversity in Jebel-Eldair Nation Park (JENP) based on only reports from patrolling activities, especially in the absence of regular wildlife monitoring programs. Reports of monthly wildlife observations during patrolling trips were used for the summer season in 2010 and 2018. Findings showed a moderate to high decline in the most important wildlife species (i.e. lion, wild dog, and crest porcupine). Six others are documented as rare species in reserve, including the civet, spotted hyena, striped hyena, jackal, seraval, and Siberian bird. Contrary and despite the diversity reduction, some species witnessed increases in their observation frequency, such as lesser kudu, caracal, monitor, and lunar bird. Moreover, human settlements, agricultural activities, and other anthropogenic factors were found to be the main drivers of biodiversity reduction in JENP. The study recommends adopting this method to detect changes in wildlife communities, especially in a situation of deficiency and lack of funding to conduct regular monitoring programs.展开更多
Security and reliability must be focused on control sys- tems firstly, and fault detection and diagnosis (FDD) is the main theory and technology. Now, there are many positive results in FDD for linear networked cont...Security and reliability must be focused on control sys- tems firstly, and fault detection and diagnosis (FDD) is the main theory and technology. Now, there are many positive results in FDD for linear networked control systems (LNCSs), but nonlinear networked control systems (NNCSs) are less involved. Based on the T-S fuzzy-modeling theory, NNCSs are modeled and network random time-delays are changed into the unknown bounded uncertain part without changing its structure. Then a fuzzy state observer is designed and an observer-based fault detection approach for an NNCS is presented. The main results are given and the relative theories are proved in detail. Finally, some simulation results are given and demonstrate the proposed method is effective.展开更多
An innate sensitivity to and phobia of China’s rise seem to have gripped someWestern observers for years.Early back in the 19th century,Napoleon warned the West to“let Chinasleep”.“There lies a sleeping giant,”be...An innate sensitivity to and phobia of China’s rise seem to have gripped someWestern observers for years.Early back in the 19th century,Napoleon warned the West to“let Chinasleep”.“There lies a sleeping giant,”begins his well-known remark.“Let hersleep.For when she wakes,she will shake the world.”In the 1990s,these展开更多
In the study of social problems, it is important to realize the organic combination of global view, local people standard,, which plays an important role in handing and understanding specific social problems undoubted...In the study of social problems, it is important to realize the organic combination of global view, local people standard,, which plays an important role in handing and understanding specific social problems undoubtedly. This article takes our country's public pension personal account as example ,analyzing how to realize the combination of all three in the whole research process of the individual account.展开更多
'China should make greater contributions to mankind.'Such contributions are now to be found more and more on the level of global governance.As General Secretary Xi Jinping observed in his New Year Address of 2...'China should make greater contributions to mankind.'Such contributions are now to be found more and more on the level of global governance.As General Secretary Xi Jinping observed in his New Year Address of 2016,'the world is too big,and challenges are too many,to go without the voice from China being heard,without solution ideas from China being shared,without the involvement of China being needed'.展开更多
The Doll's House is one of the most famous representatives of Katherine Mansfield. She makes use of simple words to tell the story, but she vividly depicts the reality that the discrimination to the poor still exi...The Doll's House is one of the most famous representatives of Katherine Mansfield. She makes use of simple words to tell the story, but she vividly depicts the reality that the discrimination to the poor still exists. This phenomenon influences not only the world of adult but also the world of children. Kezia is the protagonist in The Doll's House. She is different from other members in her family. Although she is influenced by the canons in the adult world, she is not totally assimilated by these invisible principles. Kezia's consciousness and unconsciousness play important roles in indicating Katherine Mansfield's attitude towards the discrimination which she doesn't express directly. By analyzing Kezia's these two aspects in her mind, people's attention to the poor can be called and people's kindness and sympathy to them can be aroused.展开更多
Human Consciousness is one of most elusive issues in the scientific history. Its nature created major historical debate started thousands of years ago and still ongoing. Despite the explosive developments in the last ...Human Consciousness is one of most elusive issues in the scientific history. Its nature created major historical debate started thousands of years ago and still ongoing. Despite the explosive developments in the last century to explore its nature, the knowledge about it is still deficient. The important advances in the twentieth and 21st centuries in understanding cerebral cortex dynamics fortified by the dominant materialistic approach of the era dictated its impact on consciousness science, which is perceived as sole human brain function. This original review is a call for holistic perception of human consciousness incorporating the ancient wisdom of the human civilizations with the massive current era advances in different disciplines of applied sciences. The description of René Descartes in the 17th century of the Cartesian dualism is timely to revisit with new holistic perspective, in view of the major advances of our understanding of heart brain communications, astrophysical resonances with human heart ascending afferents to central nervous system, and signaling between humans and the space. Universal vibrations, frequencies and resonances as perceived by Nikola Tesla constitute the core of our new conceptual and experimental perspective on human consciousness. Neural and psychological correlates of human consciousness which dominate the consciousness research nowadays should undergo revolutionary conceptual understanding to perceive consciousness as a massive universal event expanding from human genes to galaxies. In the next discussion, we are going to navigate in the nature and fate of human consciousness with new innovative universal perspective based on heart rate variability of human heart and its cosmic resonances as represented by Schumann Resonances, Solar Wind Indices and Galactic Cosmic Rays. The interpretation of our existential secrets and biology without the space around us is a major gap in our scientific perception of life. The delicate orchestration between human heart and the space frequencies create the great whisper which in our perspective, encodes the secrets of human consciousness.展开更多
Introduction:Alzheimer’s disease(AD)begins to develop decades prior to its clinical manifestation(Sperling et al.,2011),and while it is the most common form of dementia,as of yet there is no cure.Two of the most...Introduction:Alzheimer’s disease(AD)begins to develop decades prior to its clinical manifestation(Sperling et al.,2011),and while it is the most common form of dementia,as of yet there is no cure.Two of the most researched pathological features contributing to disease development are the extracellular amyloid plaques composed of amyloid-beta proteins(Aβ)and neurofibrillary tangles of tau proteins.Another feature of AD is the progression of early neuronal excitability/hyperactivity to silencing/hypoactivity(Palop and Mucke,2010),展开更多
Objective In order to reduce the interfering noise from the earth surface, scientists have carried out multi-geophysical borehole observations and the related study. This study aims at improving signal-to-noise ratio ...Objective In order to reduce the interfering noise from the earth surface, scientists have carried out multi-geophysical borehole observations and the related study. This study aims at improving signal-to-noise ratio obtained from the observation data to obtain zero noise data, which will be of great help to improve geophysical studies. Insights from this study will be significant for the earthquake disaster reduction, resource exploration and environmental protection.展开更多
Temperature (T) and salinity (S) profiles from conductivity-temperature-depth data collected during the Northern South China Sea Open Cruise from August 16 to September 13, 2008 are assimilated using Ensemble Kalm...Temperature (T) and salinity (S) profiles from conductivity-temperature-depth data collected during the Northern South China Sea Open Cruise from August 16 to September 13, 2008 are assimilated using Ensemble Kalman Filter (EnKF). An adaptive observational error strategy is used to prevent filter from diverging. In the meantime, aiming at the limited improvement in some sites caused by the T and S biases in the model, a T-S constraint scheme is adopted to improve the assimilation performance, where T and S are separately updated at these locations. Validation is performed by comparing assimilated outputs with independent in situ data (satellite remote sensing sea level anomaly (SLA), the OSCAR velocity product and shipboard ADCP). The results show that the new EnKF assimilation scheme can significantly reduce the root mean square error (RMSE) of oceanic T and S compared with the control run and traditional EnKF. The system can also improve the simulation of circulations and SLA.展开更多
文摘Alzheimer’s disease (AD) is a neurodegenerative disorder characterized by cognitive impairments in the initial stage, which lead to severe cognitive dysfunction in the later stage. Action observation therapy (AOT) is a multisensory cognitive rehabilitation technique where the patient initially observes the actions and then tries to perform. The study aimed to examine the impact of AOT along with usual physiotherapy interventions to reduce depression, improve cognition and balance of a patient with AD. A 67 years old patient with AD was selected for this study because the patient has been suffering from depression, dementia, and physical dysfunction along with some other health conditions like diabetes and hypertension. Before starting intervention, a baseline assessment was done through the Beck Depression Inventory (BDI) tool, the Mini-Cog Scale, and the Berg Balance Scale (BBS). The patient received 12 sessions of AOT along with usual physiotherapy interventions thrice a week for four weeks, which included 45 minutes of each session. After four weeks of intervention, the patient demonstrated significant improvement in depression, cognition, and balance, whereas the BDI score declined from moderate 21/63 to mild 15/63 level of depression. The Mini-Cog score improved from 2/5 to 4/5, and the BBS score increased from 18/56 to 37/56. It is concluded that AOT along with usual physiotherapy intervention helps to reduce depression, improve cognition and balance of people with AD.
文摘The objective of the present study was to discuss patients with disturbances in consciousness by analyzing nursing records. Observations from clinical nurses as well as patients’ responses about their care were selected from nursing records. Nursing records from one week of patient care were examined for patients who were unable to speak during hospitalization within a neuro-surgery ward of the hospital. Selected records were classified into the following eight categories: results from monitoring;results from observation;opening and moving the eyes to stimulus;movement of the limbs to stimulus;vocalization to stimulus;facial expression to stimulus;patient’s response to care;and miscellaneous. Patients comprised two groups. One group encompassed eight patients with Japan Coma Scale (JCS) II and the other was a group of eight patients with JCS III. When nurses use the JCS to assess patients with disturbances in consciousness, patients who awaken to stimulus are classified as JCS II, while those who do not are JCS III. The total nursing records selected for JCS II were 1551 and 1160 for JCS III. The category of “results from monitoring” was the most selected category within nursing records and accounted for 42.8% of the JCS III group, while “results from observation” accounted for 38.4% of the JCS II group. Furthermore, results indicated that the categories of “results from monitoring”, “results from observation”, and “movement of the limbs for stimulus” had peaked after two to three days, and then abruptly decreased. There were only a few records for the categories of “vocalization to stimulus” and “facial expression to stimulus”, both for the JCS II and the JCS III groups. Even though patients could not verbally indicate their intentions due to problems with consciousness, it is essential for nurses to pay careful attention to the details of patients’ reactions.
文摘Objective: The objective of this study was to clarify the characteristics of nurses’ eye movements during observation of patients with disturbed consciousness by comparing intuition ability, critical thinking, and clinical experience years. Methods: Participants were 19 nurses working on a neurosurgery ward in Japan and caring for patients with consciousness disturbance who were unable to speak. Ten novice nurses (24.8 ± 3.36 years old) and nine expert nurses (38.3 ± 5.77 years old) were compared. The observation scene, displayed on a computer screen, was a static image of a simulated patient in a resting state who had developed right putaminal hemorrhage. We showed the participants an information sheet about the simulated patient then used an eye tracking camera to analyze gaze points, gaze time, and gaze count during observation. The Kuroda Intrinsic Intuitive Ability Scale (KIIS) created by Kawahara and the Critical Thinking Disposition Scale created by Hirayama were used for measuring intrinsic intuition ability and critical thinking disposition. Results: There were no significant differences between observation time of novices (5.0 ± 2.01 minutes) and experts (5.4 ± 1.78 minutes), nor between their total gaze time and total count. The proportion of gazing at the monitor by novice nurses and gazing at the face and bed fences by expert nurses tended to be high. The KIIS general education score influenced the gaze time and gaze count during simulated patient observation. The KIIS logical thinking score affected the gaze count to the simulated patient’s face. Conclusion: There was no significant difference between the total gaze time and the total count of novices and experts. The KIIS score affected the gaze during observation of the simulated patient.
文摘Globally, mountains encompass spectacular landscapes and a great diversity of species. However, Savannah’s mountains in Sudan have been affected by the loss of diversity due to human activities and climate changes. Therefore, this study aims to assess changes in wildlife diversity in Jebel-Eldair Nation Park (JENP) based on only reports from patrolling activities, especially in the absence of regular wildlife monitoring programs. Reports of monthly wildlife observations during patrolling trips were used for the summer season in 2010 and 2018. Findings showed a moderate to high decline in the most important wildlife species (i.e. lion, wild dog, and crest porcupine). Six others are documented as rare species in reserve, including the civet, spotted hyena, striped hyena, jackal, seraval, and Siberian bird. Contrary and despite the diversity reduction, some species witnessed increases in their observation frequency, such as lesser kudu, caracal, monitor, and lunar bird. Moreover, human settlements, agricultural activities, and other anthropogenic factors were found to be the main drivers of biodiversity reduction in JENP. The study recommends adopting this method to detect changes in wildlife communities, especially in a situation of deficiency and lack of funding to conduct regular monitoring programs.
文摘Security and reliability must be focused on control sys- tems firstly, and fault detection and diagnosis (FDD) is the main theory and technology. Now, there are many positive results in FDD for linear networked control systems (LNCSs), but nonlinear networked control systems (NNCSs) are less involved. Based on the T-S fuzzy-modeling theory, NNCSs are modeled and network random time-delays are changed into the unknown bounded uncertain part without changing its structure. Then a fuzzy state observer is designed and an observer-based fault detection approach for an NNCS is presented. The main results are given and the relative theories are proved in detail. Finally, some simulation results are given and demonstrate the proposed method is effective.
文摘An innate sensitivity to and phobia of China’s rise seem to have gripped someWestern observers for years.Early back in the 19th century,Napoleon warned the West to“let Chinasleep”.“There lies a sleeping giant,”begins his well-known remark.“Let hersleep.For when she wakes,she will shake the world.”In the 1990s,these
文摘In the study of social problems, it is important to realize the organic combination of global view, local people standard,, which plays an important role in handing and understanding specific social problems undoubtedly. This article takes our country's public pension personal account as example ,analyzing how to realize the combination of all three in the whole research process of the individual account.
文摘'China should make greater contributions to mankind.'Such contributions are now to be found more and more on the level of global governance.As General Secretary Xi Jinping observed in his New Year Address of 2016,'the world is too big,and challenges are too many,to go without the voice from China being heard,without solution ideas from China being shared,without the involvement of China being needed'.
文摘The Doll's House is one of the most famous representatives of Katherine Mansfield. She makes use of simple words to tell the story, but she vividly depicts the reality that the discrimination to the poor still exists. This phenomenon influences not only the world of adult but also the world of children. Kezia is the protagonist in The Doll's House. She is different from other members in her family. Although she is influenced by the canons in the adult world, she is not totally assimilated by these invisible principles. Kezia's consciousness and unconsciousness play important roles in indicating Katherine Mansfield's attitude towards the discrimination which she doesn't express directly. By analyzing Kezia's these two aspects in her mind, people's attention to the poor can be called and people's kindness and sympathy to them can be aroused.
文摘Human Consciousness is one of most elusive issues in the scientific history. Its nature created major historical debate started thousands of years ago and still ongoing. Despite the explosive developments in the last century to explore its nature, the knowledge about it is still deficient. The important advances in the twentieth and 21st centuries in understanding cerebral cortex dynamics fortified by the dominant materialistic approach of the era dictated its impact on consciousness science, which is perceived as sole human brain function. This original review is a call for holistic perception of human consciousness incorporating the ancient wisdom of the human civilizations with the massive current era advances in different disciplines of applied sciences. The description of René Descartes in the 17th century of the Cartesian dualism is timely to revisit with new holistic perspective, in view of the major advances of our understanding of heart brain communications, astrophysical resonances with human heart ascending afferents to central nervous system, and signaling between humans and the space. Universal vibrations, frequencies and resonances as perceived by Nikola Tesla constitute the core of our new conceptual and experimental perspective on human consciousness. Neural and psychological correlates of human consciousness which dominate the consciousness research nowadays should undergo revolutionary conceptual understanding to perceive consciousness as a massive universal event expanding from human genes to galaxies. In the next discussion, we are going to navigate in the nature and fate of human consciousness with new innovative universal perspective based on heart rate variability of human heart and its cosmic resonances as represented by Schumann Resonances, Solar Wind Indices and Galactic Cosmic Rays. The interpretation of our existential secrets and biology without the space around us is a major gap in our scientific perception of life. The delicate orchestration between human heart and the space frequencies create the great whisper which in our perspective, encodes the secrets of human consciousness.
文摘Introduction:Alzheimer’s disease(AD)begins to develop decades prior to its clinical manifestation(Sperling et al.,2011),and while it is the most common form of dementia,as of yet there is no cure.Two of the most researched pathological features contributing to disease development are the extracellular amyloid plaques composed of amyloid-beta proteins(Aβ)and neurofibrillary tangles of tau proteins.Another feature of AD is the progression of early neuronal excitability/hyperactivity to silencing/hypoactivity(Palop and Mucke,2010),
基金supported by the National Science Foundation of China (grant No.1374052)
文摘Objective In order to reduce the interfering noise from the earth surface, scientists have carried out multi-geophysical borehole observations and the related study. This study aims at improving signal-to-noise ratio obtained from the observation data to obtain zero noise data, which will be of great help to improve geophysical studies. Insights from this study will be significant for the earthquake disaster reduction, resource exploration and environmental protection.
基金The Strategic Priority Research Program of the Chinese Academy of Sciences under contract No.XDA10010405the Promgram of Guangdong Province Department of Science and Technology No.2012A032100004+1 种基金the National Natural Science Foundation of China under contract Nos 41476012,41521005 and 41406131the Knowledge Innovation Program of the Chinese Academy of Sciences under contract Nos SQ201001 and SQ201205
文摘Temperature (T) and salinity (S) profiles from conductivity-temperature-depth data collected during the Northern South China Sea Open Cruise from August 16 to September 13, 2008 are assimilated using Ensemble Kalman Filter (EnKF). An adaptive observational error strategy is used to prevent filter from diverging. In the meantime, aiming at the limited improvement in some sites caused by the T and S biases in the model, a T-S constraint scheme is adopted to improve the assimilation performance, where T and S are separately updated at these locations. Validation is performed by comparing assimilated outputs with independent in situ data (satellite remote sensing sea level anomaly (SLA), the OSCAR velocity product and shipboard ADCP). The results show that the new EnKF assimilation scheme can significantly reduce the root mean square error (RMSE) of oceanic T and S compared with the control run and traditional EnKF. The system can also improve the simulation of circulations and SLA.