Research Progress on Self-Efficacy Level of Patients with Type 2 Diabetes Mellitus and Its Influencing Factors

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.

Study on Self-consciousness of Children With Learning Disabilities and Related Factors

Objective To study the self-consciousness of children with learning disabilities (LD) and to identify related factors. Methods Five hundred and sixty pupils graded from 1 to 6 in an elementary school were investigated. According to the pupil rating scale revised screening for learning disabilities (PRS), combined Raven’s test (CRT) and achievement of main courses, 35 of 560 pupils were diagnosed as LD children. Thirty-five children were selected from the average children and 35 from advanced children in academic achievement equally matched in class, gender, and age with LD children as control groups. The three groups were tested by Piers-Harris children’s self-concept scale. Basic information of each subject was collected by self-made questionnaire. Results Compared with the average and advanced children, LD children got significantly lower scores in self-concept scale. Based on logistic regression analysis, 3 factors were identified, including family income per month, single child and delivery model. Conclusion The results suggest that self-consciousness of children with LD is lower than that of normal children.

Application of self-care based on full-course individualized health education in patients with chronic heart failure and its influencing factors

BACKGROUND The treatment of heart failure not only needs to relieve the clinical symptoms and improve the quality of life for patients but also needs to select scientific and reasonable ways to prevent or delay the progression of the disease,thus reducing the mortality and hospitalization rate.Although the previous regimen can effectively relieve symptoms in the early stage of treatment,long-term use may cause adverse events,such as arrhythmia,and even increase mortality.Therefore,conventional treatment cannot meet the actual health needs of patients,and scientific nursing intervention is very necessary.AIM To investigate the application of self-care based on full-course individualized health education (FCIHE) and its influencing factors in patients with chronic heart failure (CHF).METHODS We enrolled CHF patients who were admitted to our center between September 2015 and June 2016 and divided them into an intervention group (n = 50) and control group (n = 50) using a random number table.Routine nursing care was applied to the control group,and FCIHE was offered to the intervention group.The self-care behavior,6-min walking distance (6MWD),and 36-item short form health survey (SF-36) scores were compared between the two groups.The influencing factors of the self-care were also analyzed.RESULTS The 6MWD was not significantly different between the two groups at admission (P > 0.05);however,at 3 and 6 mo after discharge,6MWD was significantly increased,and it was significantly longer in the intervention group (P < 0.05).The scores for self-care behavior showed no significant difference at admission between the two groups (P > 0.05);however,at 3 and 6 mo after discharge,the total scores for self-care maintenance,management,confidence,and behavior of the intervention group were significantly higher than those of the control group (P < 0.05).There were no significant differences in the SF-36 scores at admission (P > 0.05);however,at 3 mo and 6 mo after discharge,the scores for all eight subscales,including physical functioning,role limitations due to physical problems,bodily pain,general health perceptions,vitality,social functioning,role-limitations due to emotional problems,and mental health,were significantly higher in the intervention group (P < 0.05).As shown by logistic regression analysis,the influencing factors of self-care mainly included age,cardiac function class,and education background (odds ratio > 1;all P < 0.05).CONCLUSION FCIHE improved self-care behavior and cardiac function in CHF patients.Age,cardiac function,and education level affected the implementation of self-care among CHF patients.

Bullying among people with visual impairment: Prevalence, associated factors and relationship to self-efficacy and life satisfaction

AIM To examine associated factors of bullying and to determine associations between bullying and psychosocial outcomes among individuals with visual impairments(Ⅵ). METHODS We conducted an age-stratified cross-sectional survey of adults with Ⅵ who were recruited from the Norwegian Association of the Blind and Partially Sighted. Data were collected through structural telephone interviews in the period between February and May, 2017. Linear regression models were used to examine factors related to bullying and associations of bullying with self-efficacy and life satisfaction.RESULTS A total of 736 individuals were interviewed. The lifetime and 6-mo prevalence of bullying was 41.7% and8.2%, respectively. The majority of bullied participants reported Ⅵ-specific bullying(65.1%). Victimization of bullying was associated with young age, early onsetage of Ⅵ, and having other impairments. Participants who reported bullying had lower levels of self-efficacy[Adjusted relative risk(ARR): 0.40, 95% confidence interval(CI): 0.19-0.85] and life satisfaction(ARR: 0.68,95%CI: 0.51-0.91).CONCLUSION Bullying is highly prevalent among individuals withⅥ. Our findings suggest that interventions to reduce bullying may be beneficial for improving the well-being and life quality of people with Ⅵ.

A Numerical Study on Ship Self propulsion Factor

The scale effect on self propulsion factor is studied numerically in this paper.Model scale and full scale ship computation are conducted as test case.The flow field around ship hull is simulated by solving 3 D RANS equation and two equation turbulence model.The propeller is modeled by force disc and its loading coefficient is investigated by lifting surface method.The comparison between model test and prediction is made.

Self-dual Codes Defined on Factor Graphs

A definition of a self-dual code on graph and a procedure based on factor graphs to judge a self-dual code were presented. Three contributions of this paper were described as follows. To begin with, transform T_ R→L were defined, which was the basis of self-dual codes defined on graphs and played a key role in the paper. The second were that a self-dual code could be defined on factor graph, which was much different from conventional algebraic method. The third was that a factor graph approach to judge a self-dual code was illustrated, which took advantage of duality properties of factor graphs and our proposed transform T_ R→L to offer a convenient and geometrically intuitive process to judge a self-dual code.

What Is the Role of Work-Related Factors in Self-Reported Health Inequalities among Employed Individuals? A Longitudinal Study in Luxembourg

Objectives: We measured health inequalities among employed Luxembourg residents over time and the socio-economic and work-related determinants. Design and Setting: Longitudinal data were obtained from the Socio-economic Liewen zu L&#235;tzebuerg/European Union Survey on Income and Living Conditions, which has been conducted each year since 2003 in Luxembourg. Participants: Participants comprised 727 Luxembourg residents (58% men), aged between 21 and 55 years in 2003, who were employed between 2003 and 2012. Primary and Secondary Outcomes Measured: The variable of interest was self-reported health. We used transition indicators on work-related factors to consider changes that individuals may have experienced in their job over this period. Results: People who moved from a part-time to a full-time contract (odds ratio (OR): 5.52, confidence interval (CI): 1.55 - 19.73), and those who moved from the 3rd or 4th quartile of earnings to the 1st or 2nd quartile (OR: 2.48, CI: 1.02 - 6.05) between 2003 and 2012, had a higher risk of being in poor health in 2012. The risk of deterioration in self-reported health in 2012 among people who were healthy in 2003 was associated with the type of contract, economic activity, and occupation. Conclusion: Health inequalities occur among employed people in Luxembourg. Their importance varies according to work-related characteristics and economic activity. Our findings showed that declined health status was associated with contract type, profession, and economic activity. This suggests that measures should be taken to maintain good health for people working in these specific occupations or economic sectors (e.g. preventive action, reduction of risk exposure, change of occupation in the same company, and so on).

An Analysis of Personal Factors that Determine Carrie's Self ——Actualization in Sister Carrie

In Dreiser's novel Sister Carrie, the heroine Carrie's self-actualizing natures are reflected in her self-actualization effort. Those natures include the acceptance of reality and potential to be actress, etc., which play the crucial role of her star journey and self-actualizing effort. Therefore, every woman should have the spiritual spirit; and, at the same time, pursue nobler spiritual life.

Factors Affecting the English Self-study of Senior High Students

The new students'view appeals for learning alone,so the teachers should make study for students,which is the order of the new curriculum standards of the high school English.There are many strategies to improve that,but the effect of self-study is not satisfactory.In order to make it come into effects,we should conclude the factors affecting the English self-study.Subjective and objective aspects will be concluded according to the literature review,investigation,self-experience and features of senior high English study.

Awareness of breast cancer risk factors and practice of breast self examination among female undergraduates in university of Nigeria Enugu campus

Breast cancer patients generally have low rates of survival due to being diagnosed at advanced stages raising critical issues about prevention and avoidance of risk factors. Breast self examination makes women more “breast aware”, which in turn may lead to an earlier diagnosis of breast cancer. In Nigeria, the statistics of breast cancer have overtaken cancer of the cervix to become the commonest malignancy in women. This study was carried out to determine the awareness of breast cancer risk factors and practice of breast self examination among female students of the University of Nigeria Enugu Campus. The descriptive survey design was used for the study. The population of the study was all the female students that reside in hostels in the campus (2400) in number. A sample of 240 students was selected using quota sampling technique. Structured questionnaires based on the research objectives were used for data collection. The results of the study showed that most of the students have little knowledge of breast cancer risk factors and majority of the students do not practice BSE monthly. It was recommended that there should be regular organization of seminars and workshops for students to address sensitive topics like breast cancer risk factors and breast self examination.

APPLICATION OF FUZZY CONTROL METHOD WITH SELF-TUNING FACTOR IN JIGGER'S DISCHARGING

Adopting the strategy of fuzzy control with self tuning factor within whole universe of discourse, a kind of fuzzy control method for jigger discharging is put forward. This method has many advantages over the conventional PID controller in terms of response speed, stability and robustness. It is effective to restrain the jig bed from over thick or empty, and the stability of the bed is markedly improved. The good results are obtained in factory tests.

SELF-SIMILAR CRACK EXPANSION METHOD FOR THE STRESS INTENSITY FACTOR ANALYSIS

The Self-Similar Crack Expansion (SSCE) method is proposed to evaluate stress intensity factors at crack tips, whereby stress intensity factors of a crack can be determined by the crack opening displacement over the crack, not just by the local displacement around the crack tip. The crack expansion rate is estimated by taking advantage of the crack self-similarity. Therefore, the accuracy of the calculation is improved. The singular integrals on crack tip elements are also analyzed and are precisely evaluated in terms of a special integral analysis. Combination of these two techniques greatly increases the accuracy in estimating the stress distribution around the crack tip. A variety of two-dimensional cracks, such as subsurface cracks, edge cracks, and their interactions are calculated in terms of the self-similar expansion rate. Solutions are satisfied with errors less than 0.5% as compared with the analytical solutions. Based on the calculations of the crack interactions, a theory for crack interactions is proposed such that for a group of aligned cracks the summation of the square of SIFs at the right tips of cracks is always equal to that at the left tips of cracks. This theory was proved by the mehtod of Self-Similar Crack Expansion in this paper.

The Effect of Self-confidence in SLA

Krashen's affective filter theory drew researchers' attention to the fresh field of internal factors of learners.But researchers seem to pay too much attention to the other factors while tending to neglect a factor that we cannot afford to play down in language learning research-self-confidence.This paper is designed to discuss the close relationship between self-confidence and some of the other important affective factors,and furthermore raise appropriate concern over self-confidence.

Uptake of HIV Self-testing among Men Who have Sex with Men in Beijing, China： a Cross-sectional Study

Objective To examine HIV self-testing uptake and its determinates among men who have sex with men （MSM） in Beijing, China. Methods A cross-sectional online survey was conducted in Beijing, China in 2016. Participants were users of a popular Chinese gay networking application and had an unknown or negative HIV status. Univariate and multivariate logistic regression analyses were conducted to examine factors associated with HIV self-testing based on adjusted odds ratio （AOR） and 95% confidence interval （CI）. Results Among the 5,996 MSM included in the study, 2,383 （39.7%） reported to have used HIV self-testing kits. Willingness to use an HIV self-test kit in the future was expressed by 92% of the participants. High monthly income （AOR = 1.49; CI = 1.10-2.02; P = 0.010）, large number of male sex partners （≥2： AOR = 1.24; CI = 2.09-1.43; P = 0.002）, sexual activity with commercial male sex partners （〉 2： AOR = 1.94; CI = 1.34 -2.82; P = 0.001）, long-term drug use （AOR = 1.42; CI = 1.23-1.62; P 〈 0.001）, and long-term HIV voluntary counseling and testing （VCT） attendance （AOR = 3.62; CI = 3.11-4.22; P 〈 0.001） were all associated with increased odds of HIV self-testing uptake. Conclusion The nearly 40% rate of HIV self-testing uptake among MSM in our sample was high. In addition, an over 90% willingness to use kits in the future was encouraging. HIV self-testing could be an important solution to help China achieve the global target of having 90% of all people living with HIV diagnosed by 2020.

Research Progress on Self-Care Ability of Hemodialysis Patients

Good self-management can help hemodialysis patients improve their quality of life and survival rate. This article reviews the status quo of self-care ability of maintenance hemodialysis patients, the influencing factors of self-care ability and the intervention measures. To improve the self-care ability and quality of life of patients, coordinated nursing intervention, self-efficacy intervention, psychological intervention and health education were proposed. To provide a reference for the self-management of hemodialysis patients.

Construction of Self-Assembled Cartilage Tissue from Bone Marrow Mesenchymal Stem Cells Induced by Hypoxia Combined with GDF-5

It is widely known that hypoxia can promote chondrogenesis of human bone marrow de- rived mesenchymal stem cells （hMSCs） in monolayer cultures. However, the direct impact of oxygen tension on hMSC differentiation in three-dimensional cultures is still unknown. This research was de- signed to observe the direct impact of oxygen tension on the ability of hMSCs to ＂self assemble＂ into tissue-engineered cartilage constructs, hMSCs were cultured in chondrogenic medium （CM） containing 100 ng/mL growth differentiation factor 5 （GDF-5） at 5% （hypoxia） and 21% （normoxia） 02 levels in monolayer cultures for 3 weeks. After differentiation, the cells were digested and employed in a self- assembly process to produce tissue-engineered constructs under hypoxic and normoxic conditions in vi- tro. The aggrecan and type ]I collagen expression, and type X collagen in the self-assembled con- structs were assessed by using immunofluorescent and immunochemical staining respectively. The methods of dimethylmethylene blue （DMMB）, hydroxyproline and PicoGreen were used to measure the total collagen content, glycosaminoglycan （GAG） content and the number of viable cells in each con- struct, respectively. The expression of type II collagen and aggrecan under hypoxic conditions was in- creased significantly as compared with that under normoxic conditions. In contrast, type X collagen expression was down-regulated in the hypoxic group. Moreover, the constructs in hypoxic group showed more significantly increased total collagen and GAG than in normoxic group, which were more close to those of the natural cartilage. These findings demonstrated that hypoxia enhanced chondro- genesis of in vitro, scaffold-free, tissue-engineered constructs generated using hMSCs induced by GDF-5. In hypoxic environments, the self-assembled constructs have a Thistological appearance and biochemical parameters similar to those of the natural cartilage.

Chondrogenesis of Precartilaginous Stem Cells in KLD-12 Self-assembling Peptide Nanofiber Scaffold Loading TGF-β3 Gene

The effect of culture in KLD-12 self-assembling peptide nanofiber scaffold containing TGF-β3 gene on differentiation of precartilaginous stem cells （PSCs） into chondrocytes was studied. KLD-12 was synthesized by solid-state method. After TGF-β3 plasmid was loaded into KLD-12 self-assembling peptide nanofiber scaffold, DNA release ability was investigated. PSCs and hTGF-β3 gene were loaded into KLD-12 3-D scaffold, and MTT assay was performed to investigate the cell proliferation, and ELASA assay was used to investigate the expression of TGF-β3. Specific cartilage matrix was examined by quantitative real-time PCR, immunohistochemistry and Alcian Blue staining. Compared with control group, DNA synthesis level of PSCs reached the peak within 3 days when PSCs were cultured in self-assembling peptide nanofiber scaffold loading TGF-β3 plasmid, and maintained this high level within 2 weeks. MTT results showed that the proliferation ability of experimental group was statistically higher than that in control group （P〈0.05）. Quantitative real-time PCR suggested that the percentage of TGF-β3 positive PSCs in experimental group was higher than that in control group （P〈0.01）. ELISA assay showed that the TGF-β3 protein level increased in supernatant of experimental group＇s PSCs, reached the peak after 72 h and then declined a little to the plateau phase. Compared with the control group, the specific gene of chondrocyte typical extracellular matrix significantly up-regulated （P〈0.01）. The results showed that PSCs differentiated into chondrocytes in self-assembling peptide nanofiber scaffold loading TGF-β3 plasmid, which provided a fresh approach to cartilage tissue engineering.

Self-Rated Health in University Students from Rio Branco in the Western Brazilian Amazon

The objective of this study was to determine the prevalence and associated factors of unsatisfactory self-rated health in university students. A cross-sectional study was conducted in graduate students of a Public University in the city of Rio Branco in the Western Brazilian Amazon. The overall prevalence of unsatisfactory self-rated health was 23.0%. After adjusting for gender and age, the factors associated with unsatisfactory self-rated health were as follows: sedentarism during leisure time (prevalence ratio (PR): 2.26;95% CI: 1.56 - 3.29), consuming meals only in restaurants (PR: 1.48;95% CI: 1.14 - 1.94), insomnia (PR: 1.86;95% CI: 1.50 - 2.30), headaches (PR: 2.17;95% CI: 1.52 - 3.09), and back pain (PR: 2.03;95% CI: 1.58 - 2.60). Thus, a high prevalence of unsatisfactory self-rated health was identified in this group of university students. The findings suggest immediate implementation of programs to promote healthy behaviors and to prevent headaches, back pain and insomnia.

基于互动模式的社区自我管理活动对老年糖尿病患者生存质量干预效果分析

目的分析基于互动模式的社区自我管理活动对老年糖尿病患者生存质量的干预效果及影响因素,为提高患者生存质量提供依据。方法2016—2020年杭州市依托医联体建设及家庭医生签约服务资源,组建干预团队,以患者小组为单位开展系列自我管理活动干预。通过问卷调查方式收集基本信息、疾病状况、生存质量及自我管理行为情况。采用SPSS 19.0软件进行Friedman检验、Spearman相关检验及多重线性回归模型分析。结果共707例老年2型糖尿病患者纳入研究。干预前、干预4个月及干预10个月健康调查简表(SF-36)及2型糖尿病自我管理行为量表(2-DSCS)各维度得分差异具有统计学意义(χ^(2)>21.737,P<0.001)。干预4、10个月较干预前2-DSCS总分变化值与SF-36的各维度变化值均显著相关(r>0.125,P<0.01)。多重线性回归分析结果显示,生理健康(PCS)的影响因素有基线PCS得分、2-DSCS总分差值、伴2种及以上并发症,心理健康(MCS)的影响因素有基线MCS得分、2-DSCS总分变化值、伴有并发症及支付医疗费用比较困难(∣t∣>2.019,P<0.05)。结论基于互动模式的社区自我管理活动可有效改善患者管理行为,提升生存质量,且合并并发症、医疗费用支付能力对生存质量改善存在一定影响。

家庭风险因素对青少年自伤的累积效应及其性别差异

以累积风险模型为基础,以453名初一学生为被试进行间隔10个月的追踪研究,考察家庭风险因素对青少年当前和10个月后自伤行为的累积效应及其性别差异。结果表明:(1)家庭风险因素对青少年当前和10个月后的自伤均有明显的累积效应,且均以线性模式发挥作用;(2)在累积家庭风险与青少年当前自伤之间的线性关系中有明显的性别差异,女生有更高的家庭累积风险,且女生的自伤更容易受家庭累积风险的影响。