The incidence of Crohn’s disease(CD)has increased in recent years,with most patients requiring intestinal resection.Complications after intestinal resection for CD can lead to poor prognosis and recurrence,among whic...The incidence of Crohn’s disease(CD)has increased in recent years,with most patients requiring intestinal resection.Complications after intestinal resection for CD can lead to poor prognosis and recurrence,among which infectious complic-ations are the most common.This study aimed to investigate the common risk factors,including medications,preoperative nutritional status,surgery-related factors,microorganisms,lesion location and type,and so forth,causing infectious complications after intestinal resection for CD,and to propose corresponding preventive measures.The findings provided guidance for identifying suscept-ibility factors and the early intervention and prevention of infectious complic-ations after intestinal resection for CD in clinical practice.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
Through the method of literature analysis,this paper analyzes the present situation of the"non-grain conversion"of cultivated land in the transfer of agricultural land in China,summarizes the influencing fac...Through the method of literature analysis,this paper analyzes the present situation of the"non-grain conversion"of cultivated land in the transfer of agricultural land in China,summarizes the influencing factors and consequences of the phenomenon of"non-grain conversion"of cultivated land in the transfer of agricultural land,and finally puts forward some measures.The study found that costs and benefits are the fundamental factors affecting the"non-grain conversion"of cultivated land in agricultural land transfer,and other main factors include government and policy guidance,industrial and commercial capital to the countryside,labor transfer and so on.The"non-grain conversion"of cultivated land in the transfer of agricultural land is a serious threat to China s food security,leading to the decline of the quality of agricultural land and the destruction of the ecological environment,as well as the risk of breach of contract in"industrial and commercial capital to the countryside".Based on the understanding of the influencing factors of non-grain conversion,this paper puts forward the following measures:strengthening the control of the use of cultivated land in agricultural land transfer;implementing accurate subsidies for grain cultivation and ensuring the benefit of grain growers;adopting grain planting incentive mechanism to increase grain enthusiasm;strengthening media publicity and education to enhance food security awareness.The improvement of the current situation of the"non-grain conversion"of cultivated land in the transfer of agricultural land will be of great significance to the protection of agricultural land and food security in China.展开更多
Green development of agriculture is important for achieving coordinated and high-quality regional development for China. Using provincial data from 1990 to 2020, this work explored the dynamics of agricultural green d...Green development of agriculture is important for achieving coordinated and high-quality regional development for China. Using provincial data from 1990 to 2020, this work explored the dynamics of agricultural green development efficiency of 31 provinces in China, its spatiotemporal characteristics, and its driving factors using a super-efficiency slacks-based measure(Super-SBM), the Malmquist productivity index(MPI), spatial autocorrelation, and a geographic detector. Results showed that the overall agricultural green development efficiency showed a U-shaped trend, suggesting a low level of efficiency. Although a gradient difference was visible among eastern, central, and western regions, the efficiency gap narrowed each year. Technological progress and efficiency both promoted agricultural green development efficiency, especially technological progress. Agricultural green development efficiency had significant spatial aggregation characteristics, but Moran’s Ⅰ result showed a downward trend from 2015 to 2020, indicating a risk of spatial dispersion in the later stage. The provinces with high agricultural green development efficiency were mainly concentrated in the eastern region, while those with low efficiency were concentrated in the central and western regions. Agricultural green development efficiency was influenced by various factors, which showed differences according to time and region. The impact of the labor force’s education level and technological progress increased during the study period, and significantly facilitated agricultural green development efficiency in the eastern region, while the central and western regions were still affected by the scale level and environmental regulation, reflecting the advantages of the eastern region in terms of economy and technology. In the future, strengthening agricultural scientific and technological innovation and deepening interprovincial cooperation can help further improve the level of green agricultural development. In addition, local governments should formulate more precise local agricultural support policies based on macro-level policies and local conditions.展开更多
The mechanical property of mudstone/shale in coal measures is a key factor of engineering mechanics that influences the development of shale gas. A rock mechanics test was performed in order to analyze the complete st...The mechanical property of mudstone/shale in coal measures is a key factor of engineering mechanics that influences the development of shale gas. A rock mechanics test was performed in order to analyze the complete stress-strain mechanic characteristics and influence factors of mudstone/shale in paralic coal measures, from the Carboniferous-Permian periods in a coal field of Northern China. The relationship between the mechanical properties of mudstone/shale in coal measures, and its chemical component, water content are established, and their models are constructed. Research results show that mud- stone/shale has low mechanical strength, low elastic modulus and a high Poisson's ratio. The complete stress-strain curve has apparent elastoplastic deformation characteristics, and after reaching peak strength, it exhibits obvious strain softening characteristics. The uniaxial compressive strength of mudstone/shale and its elastic modulus increases exponentially with the increase of SiO2 content, and as the ignition loss increases, the uniaxial compressive strength and elastic modulus of mudstone/shale will decrease according to the law of power function. The compressive strength of mudstone/shale and its elastic modulus will decrease with the increase of water content in mudstone/shale.展开更多
Natural gas should be heated and throttled for the purpose of purification and transportation at the first gas production factory of the Changqing field. The safe use and heat-transfer efficiency of a heating-furnace ...Natural gas should be heated and throttled for the purpose of purification and transportation at the first gas production factory of the Changqing field. The safe use and heat-transfer efficiency of a heating-furnace affect the safe and smooth production of natural gas directly. At gas collecting stations now, no measures of anticorrosion have been adopted in heating furnaces which erode and scale badly. In order to solve the corrosive problem of heating-furnaces, prolong operating life of heating-furnaces, assure safe and smooth production of natural gas, the mechanism and influencing factors of corrosion of the heating-furnace were analyzed and some corresponding measures were brought forward based on a field investigation of usage behavior and present operational status of heating-furnaces at the first gas production factory. The results show that the corrosive ion and soluble CO2 and O2 in water erode metal badly at the condition of being heated. Corrosion of a heating-furnace are mostly oxygen corrosion, corrosive ion corrosion, acid corrosion, iron encrustation corrosion, dry and wet interface corrosion, caustic corrosion, etc; The influencing factors of corrosion mainly include soluble O2 and CO2 in water, pH value, heat loading, corrosive ion, soluble solid (salinity) and non-flowing character of water, etc.展开更多
Firstly, the general situation, influencing factors and damage of seawater intrusion in Qingdao City, Shandong Province were analyzed, and then some appropriate remedial measures were put forward, such as improving gr...Firstly, the general situation, influencing factors and damage of seawater intrusion in Qingdao City, Shandong Province were analyzed, and then some appropriate remedial measures were put forward, such as improving groundwater monitoring system in costal areas, exploiting groundwater reasonably, building underground cut-off walls and strengthening river management, which would provide a new approach for the prevention and control of seawater intrusion in Qingdao City.展开更多
<strong><span style="font-family:Verdana;">Background:</span></strong><span style="font-family:Verdana;"> Low back pain is one of the important patients’ presenting&l...<strong><span style="font-family:Verdana;">Background:</span></strong><span style="font-family:Verdana;"> Low back pain is one of the important patients’ presenting</span><span style="font-family:Verdana;"> complain that requires expert management from the physiotherapists. Yet no work was available for reference on the use of outcome measures for its e</span><span style="font-family:;" "=""><span style="font-family:Verdana;">valuation by Nigeria physiotherapists. </span><b><span style="font-family:Verdana;">Objective:</span></b><span style="font-family:Verdana;"> This study, therefore, investigated the outcome measures used by Nigerian physiotherapists</span></span><span style="font-family:Verdana;"> to </span><span style="font-family:;" "=""><span style="font-family:Verdana;">e</span><span style="font-family:Verdana;">valuate patients with Low Back Pain and the fac</span><span style="font-family:Verdana;">tors that influenced their use. </span><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"> A survey questionnaire was posted to 306 randomly selected mem</span></span><span style="font-family:Verdana;">- </span><span style="font-family:;" "=""><span style="font-family:Verdana;">bers</span><span> </span><span style="font-family:Verdana;">of the Nigeria Society of Physiotherapy (NSP). Data were analyzed using f</span><span style="font-family:Verdana;">requency, percentages, mean, ANOVA, and Pearson’s Chi</span></span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">square. P</span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">val</span><span style="font-family:;" "=""><span style="font-family:Verdana;">ue was placed at 0.05. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> 52.9% of the respondents (221) used a pain visual analog scale. Only 36.1% used LBP</span></span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">specific clinical outcome measures. The factors that influenced their use were belief, attitude, knowledge, and choice. There was no significant difference between the majority of the factors and the use of clinical outcome measures. The </span><span style="font-family:Verdana;">P-</span><span style="font-family:;" "=""><span style="font-family:Verdana;">values were 0.960, 0.648, 0.760 </span><span style="font-family:Verdana;">for belief, attitude and knowledge respectively. The only factor that had a </span><span style="font-family:Verdana;">significant difference (</span></span><span style="font-family:Verdana;">P </span><span style="font-family:Verdana;">=</span><span style="font-family:;" "=""> </span><span style="font-family:;" "=""><span style="font-family:Verdana;">0.029) with the use of clinical outcome measures </span><span style="font-family:Verdana;">w</span><span style="font-family:Verdana;">as choice. Gender and postgraduate qualification had no significant influ</span></span><span style="font-family:Verdana;">- </span><span style="font-family:;" "=""><span style="font-family:Verdana;">e</span><span style="font-family:Verdana;">nce on the use of clinical outcome measures at the </span></span><span style="font-family:Verdana;">P-</span><span style="font-family:Verdana;">value </span><span style="font-family:;" "=""><span style="font-family:Verdana;">of 0.117 and 0.510 respe</span><span><span style="font-family:Verdana;">ctively. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> Pain visual analog scale is the outcome measure frequently used by Nigeria Physiotherapists to evaluate patien</span></span><span style="font-family:Verdana;">ts with Low Back Pain. Belief, attitude, knowledge, and choice are the factors that influ</span></span><span style="font-family:Verdana;">- </span><span style="font-family:Verdana;">enced the use. There is a need to incorporate the use of LBP</span><span style="font-family:Verdana;">-</span><span style="font-family:;" "=""><span style="font-family:Verdana;">specific outcome measures by Nigerian physiotherapists while treating patients with LBP.</span></span>展开更多
As we know,English writing is an important part of communicative competence.But for many English majors,it is hard to express their thoughts clearly.In order to find out the main problems and corresponding measures,th...As we know,English writing is an important part of communicative competence.But for many English majors,it is hard to express their thoughts clearly.In order to find out the main problems and corresponding measures,the author analyzes many compositions written by English majors.With some academic opinions and the author’s own analysis,some problems existing in students’writing are listed.According to the problems,the author summarizes some influencing factors.Finally,the author gives some relevant solutions.Through analyzing those samples,the author hopes it has some help for English majors’writing.展开更多
Purpose To explore the needs for basic community-based rehabilitation services for disabled persons in Xuanwu District, Beijing, China, and to identify factors which influence disabled persons to accept rehabilitation...Purpose To explore the needs for basic community-based rehabilitation services for disabled persons in Xuanwu District, Beijing, China, and to identify factors which influence disabled persons to accept rehabilitation services. Method One hundred and eight disabled persons were selected by systematic sampling and simple random sampling to assess their needs for community-based rehabilitation services. Results Of the interviewees, 57A% needed the community-based rehabilitation services, but only 13.9% took advantage of it. The main factors influencing the interviewees to accept these services were cost (P〈0.05), knowledge about rehabilitation medicine (P〈0.05); and the belief in the therapeutic benefit of the community-based rehabilitation service (P〈0.05). Conclusion A considerable gap exists between the supply of community-based rehabilitation services in Beijing and the needs for these services by disabled residents underscoring the need for improved availability, and for additional research.展开更多
[Objectives]The paper was to figure out the distribution of Monochamus alternatus in the stumps of pine wood nematode infected wood in Lu'an City and to provide a theoretical and practical basis for differentiated...[Objectives]The paper was to figure out the distribution of Monochamus alternatus in the stumps of pine wood nematode infected wood in Lu'an City and to provide a theoretical and practical basis for differentiated prevention and control of pine wood nematode disease in the future.[Methods]The factors influencing the number of epidemic small classes and infected plants in all counties and districts of Lu'an City were analyzed by GIS method,and the number of worms and wormholes of M.alternatus inside and outside the stumps of pine wood nematode infected wood in Lu'an City were investigated on the spot.[Results]There were 98,40,54,781,193,268 and 34 epidemic small classes of pine wood nematode disease,and 7241,6099,9532,39161,11079,49876 and 4853 infected plants in Yu'an District,Jin'an District,Yeji District,Shucheng County,Huoshan County,Jinzhai County and Huoqiu County,respectively.Pine wood nematode disease in Lu'an City mostly occurred in Huoshan County,Shucheng County and Jinzhai County,with relatively high altitude,paddy soil,the annual precipitation higher than 2062 mm,and the annual average temperature lower than 16.2℃.The number of diseased plants of pine wood nematode disease was positively correlated with altitude and annual precipitation,and was negatively correlated with annual average temperature.The number of worms and wormholes in pine wood nematode infected wood was very small at different altitudes,stump heights and stump diameters.[Conclusions]The pine wood nematode infected wood can be differentially processed after stump treatment,and stumps can be peeled.The results will provide a theoretical and practical basis for differentiated prevention and control of pine wood nematode disease in the future.展开更多
The recently proposed interface propagation-based method has shown its advantages in obtaining the thermal conductivity of phase change materials during solid-liquid transition over conventional techniques. However, i...The recently proposed interface propagation-based method has shown its advantages in obtaining the thermal conductivity of phase change materials during solid-liquid transition over conventional techniques. However, in previous investigation, the analysis on the measurement error was qualitative and only focused on the total effects on the measurement without decoupling the influencing factors. This paper discusses the effects of influencing factors on the measurement results for the interface propagation-based method. Numerical simulations were performed to explore the influencing factors, namely model simplification, subcooling and natural convection, along with their impact on the measurement process and corresponding measurement results. The numerical solutions were provided in terms of moving curves of the solid-liquid interface and the predicted values of thermal conductivity. Results indicated that the impact of simplified model was strongly dependent on Stefan number of the melting process. The degree of subcooling would lead to underestimated values for thermal conductivity prediction. The natural convection would intensify the heat transfer rate in the liquid region, thereby overestimating the obtained results of thermal conductivity. Correlations and experimental guidelines are provided. The relative errors are limited in ±1.5%,±3%and ±2% corresponding to the impact of simplified model, subcooling and natural convection, respectively.展开更多
Objective:To calculate the health poverty vulnerability index of elderly households in rural areas of central and western China,and then to classify these samples,lastly to decompose their influencing factors.Methods:...Objective:To calculate the health poverty vulnerability index of elderly households in rural areas of central and western China,and then to classify these samples,lastly to decompose their influencing factors.Methods:First,based on survey data in 2018,the three-stage feasible generalized least squares was used to calculate the health poverty vulnerability index of elderly households,and then combined with whether the household income was below the poverty line and whether the family was healthy poverty vulnerability,the sample households were divided into four categories,and then used multiple unordered logistic regression to analyze various types of influencing factors,and finally used the Shapley index to decompose the contribution of each influencing factor.Results:The average vulnerability of health poverty was 0.5979±0.25199,with 1169 households greater than or equal to 0.5,accounting for 63.26%;the number of households stuck in poverty,temporary poverty,potential poverty,and escaped from poverty were 489,300,680,and 379 households,accounting for 26.46%,16.23%,36.80%,and 20.51%of the total sample;compared with escaped from poverty families,the three variables of marital status,the number of chronically ill patients,and the number of annual hospitalizations were the common influencing factors of other three types families;The Shapley decomposition showed that the interviewees’education level and family members engaged in non-agricultural work have contributed significantly to the three types,however two indicators:time required to visit a medical institution and self-assessment of health status of the main interviewees showed great differences in different types of families.Conclusion:Rural elderly households have a high level of vulnerability to health poverty;potential poverty households and persistent poverty households account for a large proportion,and continuous intervention should be carried out;it is necessary to unify the implementation of basic poverty alleviation work,but also to enhance refined management capabilities and adopt differentiated intervention measures.展开更多
The resurgence of locally acquired malaria cases in the USA and the persistent global challenge of malaria transmission highlight the urgent need for research to prevent this disease. Despite significant eradication e...The resurgence of locally acquired malaria cases in the USA and the persistent global challenge of malaria transmission highlight the urgent need for research to prevent this disease. Despite significant eradication efforts, malaria remains a serious threat, particularly in regions like Africa. This study explores how integrating Gregor’s Type IV theory with Geographic Information Systems (GIS) improves our understanding of disease dynamics, especially Malaria transmission patterns in Uganda. By combining data-driven algorithms, artificial intelligence, and geospatial analysis, the research aims to determine the most reliable predictors of Malaria incident rates and assess the impact of different factors on transmission. Using diverse predictive modeling techniques including Linear Regression, K-Nearest Neighbor, Neural Network, and Random Forest, the study found that;Random Forest model outperformed the others, demonstrating superior predictive accuracy with an R<sup>2</sup> of approximately 0.88 and a Mean Squared Error (MSE) of 0.0534, Antimalarial treatment was identified as the most influential factor, with mosquito net access associated with a significant reduction in incident rates, while higher temperatures correlated with increased rates. Our study concluded that the Random Forest model was effective in predicting malaria incident rates in Uganda and highlighted the significance of climate factors and preventive measures such as mosquito nets and antimalarial drugs. We recommended that districts with malaria hotspots lacking Indoor Residual Spraying (IRS) coverage prioritize its implementation to mitigate incident rates, while those with high malaria rates in 2020 require immediate attention. By advocating for the use of appropriate predictive models, our research emphasized the importance of evidence-based decision-making in malaria control strategies, aiming to reduce transmission rates and save lives.展开更多
In order to effectively improve the application value of equipment,the quality of dual-sided instrument logging is more important,but it has several influencing factors.This paper analyzes the working principle of dua...In order to effectively improve the application value of equipment,the quality of dual-sided instrument logging is more important,but it has several influencing factors.This paper analyzes the working principle of dual lateral instrument logging,and discusses the factors affecting the logging quality of dual-sided instruments and optimization measures,for reference only.展开更多
Purple Soil distributes extensively and mainly in China. Because of abundant easily weatherable parent rocks/ materials and unstable soil structure, and also influenced by parent materials, usage systems, and slope gr...Purple Soil distributes extensively and mainly in China. Because of abundant easily weatherable parent rocks/ materials and unstable soil structure, and also influenced by parent materials, usage systems, and slope gradients, erosion and sediment production of purple soils are very severe with main fashions of water erosion and gravitational erosion. Basing on observed data in small watersheds, rainfall erosivity, vegetation coverage, previous soil water content, flow and relating factors such as climate, topograph of small watershed, land usage, and soil kinds are all the influence factors of erosion and erodibility of purple soil as well as sediment production and transport in small watershed of purple hilly areas. The effective technological countermeasures of ecosystem restoration, agricultural tillage for water conservation and erosion prevention, agriculture project, and soil changing for fertility and anti-erosion were provided.展开更多
Embankment stability is the primary problem for the expressway construction in permafrost regions.The proposed Qinghai-Tibet Expressway(QTE)is planned to construct along the Qinghai-Tibet Project Corridor.Confronted w...Embankment stability is the primary problem for the expressway construction in permafrost regions.The proposed Qinghai-Tibet Expressway(QTE)is planned to construct along the Qinghai-Tibet Project Corridor.Confronted with harsh environmental condition and intense heat exchange between earth and atmosphere,it is necessary to predict and evaluate the stability of the proposed QTE.In this study,the factors affecting the embankment stability are analyzed firstly.And then,a scheme for the stability evaluation of the embankment is established.Finally,the evaluation scheme is used for the pre-evaluation of the stability for the proposed QTE with different geothermal regulation measures(GRMs).The results indicate that the influencing factors include climatic environment,permafrost property,engineering condition and geological condition,and among them,engineering condition and permafrost property are the main influence factors for embankment stability.The stability of the proposed QTE varies greatly in the different geomorphological regions.The application effect and contribution to embankment stability of the existing GRMs are different,and using GRMs cannot completely overcome the influence of various factors on expressway stability.In the construction process,different GRMs should be adopted depending on the geomorphological environment where the embankment is located to ensure the embankment stability.展开更多
Objective There are evidences that heat wave events cause deaths and emergency cases. This article used the contingent valuation method to find the willingness to pay for the protective measures and investigated the f...Objective There are evidences that heat wave events cause deaths and emergency cases. This article used the contingent valuation method to find the willingness to pay for the protective measures and investigated the factors that influence the willingness to pay. Methods A cross-sectional face-to-face household survey was completed by 637 urban long-term residents and 591 rural long-term residents aged 15-79 in Beijing, China. Binary logistic regression was used to identify factors that influenced the payment rate or payment amount for the protective measures, including independent variables for district, gender, age, education, income, air conditioner ownership, heat wave experience, and chronic non-communicable disease. Results The payment rate was 41.1% for protective measures provided by the government and 39.5% by measures provided by the market. Most of the respondents were willing to pay 40 CNY per capita annually for measures provided by the government or the market. The factors influencing willingness to pay were district, gender, income, air conditioner ownership, heat wave experience, and chronic non-communicable disease. Conclusion Protective measures for heat waves need to be provided immediately. More attention should be paid to the situation of vulnerable groups, such as people who live in urban areas, those without air conditioning, and those who have experienced a heat wave in the past.展开更多
In the past 30 years,the accessibility and quality index of medical care have made remarkable progress in China,ranking the first among middle-income countries.Many cardiovascular technologies are at or near the world...In the past 30 years,the accessibility and quality index of medical care have made remarkable progress in China,ranking the first among middle-income countries.Many cardiovascular technologies are at or near the world's leading level,and significant progress has been achieved in China solving the problem of“treatment difficulty”of cardiovascular diseases(CVD).However,due to the prevalence of unhealthy lifestyles among Chinese residents,a huge population with CVD risk factors,accelerated population aging,and other reasons,the incidence and mortality rate of CVD are still increasing,and the turning point of the decline in disease burden has not appeared yet in China.In terms of proportions of disease mortality among urban and rural residents,CVD still ranks the first.In 2020,CVD accounted for 48.00%and 45.86%of the causes of death in rural and urban areas,respectively;two out of every five deaths were due to CVD.It is estimated that the number of current CVD patients in China is around 330 million,including 13 million stroke,11.39 million coronary heart disease,8.9 million heart failure,5 million pulmonary heart disease,4.87 million atrial fibrillation,2.5 million rheumatic heart disease,2 million congenital heart disease,45.3 million peripheral artery disease,and 245 million hypertension cases.China has entered a new stage of transformation from high-speed development to high-quality development,and the prevention and control of CVD in China should also shift from previous emphasis on scale growth to strategies focusing more on strategic and key technological development in order to curb the trend of increasing incidence and mortality rates of CVD.展开更多
基金Supported by Scientific Research Foundation of Shanghai Municipal Health Commission of Changning District,No.20234Y038.
文摘The incidence of Crohn’s disease(CD)has increased in recent years,with most patients requiring intestinal resection.Complications after intestinal resection for CD can lead to poor prognosis and recurrence,among which infectious complic-ations are the most common.This study aimed to investigate the common risk factors,including medications,preoperative nutritional status,surgery-related factors,microorganisms,lesion location and type,and so forth,causing infectious complications after intestinal resection for CD,and to propose corresponding preventive measures.The findings provided guidance for identifying suscept-ibility factors and the early intervention and prevention of infectious complic-ations after intestinal resection for CD in clinical practice.
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Through the method of literature analysis,this paper analyzes the present situation of the"non-grain conversion"of cultivated land in the transfer of agricultural land in China,summarizes the influencing factors and consequences of the phenomenon of"non-grain conversion"of cultivated land in the transfer of agricultural land,and finally puts forward some measures.The study found that costs and benefits are the fundamental factors affecting the"non-grain conversion"of cultivated land in agricultural land transfer,and other main factors include government and policy guidance,industrial and commercial capital to the countryside,labor transfer and so on.The"non-grain conversion"of cultivated land in the transfer of agricultural land is a serious threat to China s food security,leading to the decline of the quality of agricultural land and the destruction of the ecological environment,as well as the risk of breach of contract in"industrial and commercial capital to the countryside".Based on the understanding of the influencing factors of non-grain conversion,this paper puts forward the following measures:strengthening the control of the use of cultivated land in agricultural land transfer;implementing accurate subsidies for grain cultivation and ensuring the benefit of grain growers;adopting grain planting incentive mechanism to increase grain enthusiasm;strengthening media publicity and education to enhance food security awareness.The improvement of the current situation of the"non-grain conversion"of cultivated land in the transfer of agricultural land will be of great significance to the protection of agricultural land and food security in China.
基金supported by the Fundamental Research Funds for the Central Universities(21lzujbkydx010).
文摘Green development of agriculture is important for achieving coordinated and high-quality regional development for China. Using provincial data from 1990 to 2020, this work explored the dynamics of agricultural green development efficiency of 31 provinces in China, its spatiotemporal characteristics, and its driving factors using a super-efficiency slacks-based measure(Super-SBM), the Malmquist productivity index(MPI), spatial autocorrelation, and a geographic detector. Results showed that the overall agricultural green development efficiency showed a U-shaped trend, suggesting a low level of efficiency. Although a gradient difference was visible among eastern, central, and western regions, the efficiency gap narrowed each year. Technological progress and efficiency both promoted agricultural green development efficiency, especially technological progress. Agricultural green development efficiency had significant spatial aggregation characteristics, but Moran’s Ⅰ result showed a downward trend from 2015 to 2020, indicating a risk of spatial dispersion in the later stage. The provinces with high agricultural green development efficiency were mainly concentrated in the eastern region, while those with low efficiency were concentrated in the central and western regions. Agricultural green development efficiency was influenced by various factors, which showed differences according to time and region. The impact of the labor force’s education level and technological progress increased during the study period, and significantly facilitated agricultural green development efficiency in the eastern region, while the central and western regions were still affected by the scale level and environmental regulation, reflecting the advantages of the eastern region in terms of economy and technology. In the future, strengthening agricultural scientific and technological innovation and deepening interprovincial cooperation can help further improve the level of green agricultural development. In addition, local governments should formulate more precise local agricultural support policies based on macro-level policies and local conditions.
基金Supported by the National Basic Research Program of China (973 Program) (2012CB214705) the National Natural Science Foundation of China 41172145, 41030422) the Shanxi Provincial Basic Research Program-Coal Bed Methane Joint Research Foundation (2012012014)
文摘The mechanical property of mudstone/shale in coal measures is a key factor of engineering mechanics that influences the development of shale gas. A rock mechanics test was performed in order to analyze the complete stress-strain mechanic characteristics and influence factors of mudstone/shale in paralic coal measures, from the Carboniferous-Permian periods in a coal field of Northern China. The relationship between the mechanical properties of mudstone/shale in coal measures, and its chemical component, water content are established, and their models are constructed. Research results show that mud- stone/shale has low mechanical strength, low elastic modulus and a high Poisson's ratio. The complete stress-strain curve has apparent elastoplastic deformation characteristics, and after reaching peak strength, it exhibits obvious strain softening characteristics. The uniaxial compressive strength of mudstone/shale and its elastic modulus increases exponentially with the increase of SiO2 content, and as the ignition loss increases, the uniaxial compressive strength and elastic modulus of mudstone/shale will decrease according to the law of power function. The compressive strength of mudstone/shale and its elastic modulus will decrease with the increase of water content in mudstone/shale.
文摘Natural gas should be heated and throttled for the purpose of purification and transportation at the first gas production factory of the Changqing field. The safe use and heat-transfer efficiency of a heating-furnace affect the safe and smooth production of natural gas directly. At gas collecting stations now, no measures of anticorrosion have been adopted in heating furnaces which erode and scale badly. In order to solve the corrosive problem of heating-furnaces, prolong operating life of heating-furnaces, assure safe and smooth production of natural gas, the mechanism and influencing factors of corrosion of the heating-furnace were analyzed and some corresponding measures were brought forward based on a field investigation of usage behavior and present operational status of heating-furnaces at the first gas production factory. The results show that the corrosive ion and soluble CO2 and O2 in water erode metal badly at the condition of being heated. Corrosion of a heating-furnace are mostly oxygen corrosion, corrosive ion corrosion, acid corrosion, iron encrustation corrosion, dry and wet interface corrosion, caustic corrosion, etc; The influencing factors of corrosion mainly include soluble O2 and CO2 in water, pH value, heat loading, corrosive ion, soluble solid (salinity) and non-flowing character of water, etc.
基金Supported by Graduate student Scientific and Technical Innovation Foundation of Shandong University of Science & Technology (YCB120120)
文摘Firstly, the general situation, influencing factors and damage of seawater intrusion in Qingdao City, Shandong Province were analyzed, and then some appropriate remedial measures were put forward, such as improving groundwater monitoring system in costal areas, exploiting groundwater reasonably, building underground cut-off walls and strengthening river management, which would provide a new approach for the prevention and control of seawater intrusion in Qingdao City.
文摘<strong><span style="font-family:Verdana;">Background:</span></strong><span style="font-family:Verdana;"> Low back pain is one of the important patients’ presenting</span><span style="font-family:Verdana;"> complain that requires expert management from the physiotherapists. Yet no work was available for reference on the use of outcome measures for its e</span><span style="font-family:;" "=""><span style="font-family:Verdana;">valuation by Nigeria physiotherapists. </span><b><span style="font-family:Verdana;">Objective:</span></b><span style="font-family:Verdana;"> This study, therefore, investigated the outcome measures used by Nigerian physiotherapists</span></span><span style="font-family:Verdana;"> to </span><span style="font-family:;" "=""><span style="font-family:Verdana;">e</span><span style="font-family:Verdana;">valuate patients with Low Back Pain and the fac</span><span style="font-family:Verdana;">tors that influenced their use. </span><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"> A survey questionnaire was posted to 306 randomly selected mem</span></span><span style="font-family:Verdana;">- </span><span style="font-family:;" "=""><span style="font-family:Verdana;">bers</span><span> </span><span style="font-family:Verdana;">of the Nigeria Society of Physiotherapy (NSP). Data were analyzed using f</span><span style="font-family:Verdana;">requency, percentages, mean, ANOVA, and Pearson’s Chi</span></span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">square. P</span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">val</span><span style="font-family:;" "=""><span style="font-family:Verdana;">ue was placed at 0.05. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> 52.9% of the respondents (221) used a pain visual analog scale. Only 36.1% used LBP</span></span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">specific clinical outcome measures. The factors that influenced their use were belief, attitude, knowledge, and choice. There was no significant difference between the majority of the factors and the use of clinical outcome measures. The </span><span style="font-family:Verdana;">P-</span><span style="font-family:;" "=""><span style="font-family:Verdana;">values were 0.960, 0.648, 0.760 </span><span style="font-family:Verdana;">for belief, attitude and knowledge respectively. The only factor that had a </span><span style="font-family:Verdana;">significant difference (</span></span><span style="font-family:Verdana;">P </span><span style="font-family:Verdana;">=</span><span style="font-family:;" "=""> </span><span style="font-family:;" "=""><span style="font-family:Verdana;">0.029) with the use of clinical outcome measures </span><span style="font-family:Verdana;">w</span><span style="font-family:Verdana;">as choice. Gender and postgraduate qualification had no significant influ</span></span><span style="font-family:Verdana;">- </span><span style="font-family:;" "=""><span style="font-family:Verdana;">e</span><span style="font-family:Verdana;">nce on the use of clinical outcome measures at the </span></span><span style="font-family:Verdana;">P-</span><span style="font-family:Verdana;">value </span><span style="font-family:;" "=""><span style="font-family:Verdana;">of 0.117 and 0.510 respe</span><span><span style="font-family:Verdana;">ctively. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> Pain visual analog scale is the outcome measure frequently used by Nigeria Physiotherapists to evaluate patien</span></span><span style="font-family:Verdana;">ts with Low Back Pain. Belief, attitude, knowledge, and choice are the factors that influ</span></span><span style="font-family:Verdana;">- </span><span style="font-family:Verdana;">enced the use. There is a need to incorporate the use of LBP</span><span style="font-family:Verdana;">-</span><span style="font-family:;" "=""><span style="font-family:Verdana;">specific outcome measures by Nigerian physiotherapists while treating patients with LBP.</span></span>
文摘As we know,English writing is an important part of communicative competence.But for many English majors,it is hard to express their thoughts clearly.In order to find out the main problems and corresponding measures,the author analyzes many compositions written by English majors.With some academic opinions and the author’s own analysis,some problems existing in students’writing are listed.According to the problems,the author summarizes some influencing factors.Finally,the author gives some relevant solutions.Through analyzing those samples,the author hopes it has some help for English majors’writing.
基金This research got support by Beijing Education Committee as a key-point project on humanities and social sciences (Grant No. SZ200410025005).
文摘Purpose To explore the needs for basic community-based rehabilitation services for disabled persons in Xuanwu District, Beijing, China, and to identify factors which influence disabled persons to accept rehabilitation services. Method One hundred and eight disabled persons were selected by systematic sampling and simple random sampling to assess their needs for community-based rehabilitation services. Results Of the interviewees, 57A% needed the community-based rehabilitation services, but only 13.9% took advantage of it. The main factors influencing the interviewees to accept these services were cost (P〈0.05), knowledge about rehabilitation medicine (P〈0.05); and the belief in the therapeutic benefit of the community-based rehabilitation service (P〈0.05). Conclusion A considerable gap exists between the supply of community-based rehabilitation services in Beijing and the needs for these services by disabled residents underscoring the need for improved availability, and for additional research.
基金Supported by Youth Project of Natural Science Foundation of Anhui Province(2008085QC135)Postdoctoral Workstation Project of West Anhui University(WXBSH2020003)+4 种基金Key Program of Natural Science Research Project for Anhui Universities(KJ2021A0954)Forestry Carbon Sequestration Self-funded Science and Technology Project of Anhui Province(LJH[2022]267)Key School-level Nature Research Project of West Anhui University(WXZR202020)Subject of Lu'an Forestry Bureau(0045021093)Provincial Quality Engineering Project of West Anhui University(2022jyxm1765).
文摘[Objectives]The paper was to figure out the distribution of Monochamus alternatus in the stumps of pine wood nematode infected wood in Lu'an City and to provide a theoretical and practical basis for differentiated prevention and control of pine wood nematode disease in the future.[Methods]The factors influencing the number of epidemic small classes and infected plants in all counties and districts of Lu'an City were analyzed by GIS method,and the number of worms and wormholes of M.alternatus inside and outside the stumps of pine wood nematode infected wood in Lu'an City were investigated on the spot.[Results]There were 98,40,54,781,193,268 and 34 epidemic small classes of pine wood nematode disease,and 7241,6099,9532,39161,11079,49876 and 4853 infected plants in Yu'an District,Jin'an District,Yeji District,Shucheng County,Huoshan County,Jinzhai County and Huoqiu County,respectively.Pine wood nematode disease in Lu'an City mostly occurred in Huoshan County,Shucheng County and Jinzhai County,with relatively high altitude,paddy soil,the annual precipitation higher than 2062 mm,and the annual average temperature lower than 16.2℃.The number of diseased plants of pine wood nematode disease was positively correlated with altitude and annual precipitation,and was negatively correlated with annual average temperature.The number of worms and wormholes in pine wood nematode infected wood was very small at different altitudes,stump heights and stump diameters.[Conclusions]The pine wood nematode infected wood can be differentially processed after stump treatment,and stumps can be peeled.The results will provide a theoretical and practical basis for differentiated prevention and control of pine wood nematode disease in the future.
基金Project(51606224) supported by the National Natural Science Foundation of China
文摘The recently proposed interface propagation-based method has shown its advantages in obtaining the thermal conductivity of phase change materials during solid-liquid transition over conventional techniques. However, in previous investigation, the analysis on the measurement error was qualitative and only focused on the total effects on the measurement without decoupling the influencing factors. This paper discusses the effects of influencing factors on the measurement results for the interface propagation-based method. Numerical simulations were performed to explore the influencing factors, namely model simplification, subcooling and natural convection, along with their impact on the measurement process and corresponding measurement results. The numerical solutions were provided in terms of moving curves of the solid-liquid interface and the predicted values of thermal conductivity. Results indicated that the impact of simplified model was strongly dependent on Stefan number of the melting process. The degree of subcooling would lead to underestimated values for thermal conductivity prediction. The natural convection would intensify the heat transfer rate in the liquid region, thereby overestimating the obtained results of thermal conductivity. Correlations and experimental guidelines are provided. The relative errors are limited in ±1.5%,±3%and ±2% corresponding to the impact of simplified model, subcooling and natural convection, respectively.
基金supported by the National Natural Science Foundation of China(No.72074086&No.71673093)Humanities and Social Sciences of Ministry of Education Planning Fund of China(No.16YJA840013).
文摘Objective:To calculate the health poverty vulnerability index of elderly households in rural areas of central and western China,and then to classify these samples,lastly to decompose their influencing factors.Methods:First,based on survey data in 2018,the three-stage feasible generalized least squares was used to calculate the health poverty vulnerability index of elderly households,and then combined with whether the household income was below the poverty line and whether the family was healthy poverty vulnerability,the sample households were divided into four categories,and then used multiple unordered logistic regression to analyze various types of influencing factors,and finally used the Shapley index to decompose the contribution of each influencing factor.Results:The average vulnerability of health poverty was 0.5979±0.25199,with 1169 households greater than or equal to 0.5,accounting for 63.26%;the number of households stuck in poverty,temporary poverty,potential poverty,and escaped from poverty were 489,300,680,and 379 households,accounting for 26.46%,16.23%,36.80%,and 20.51%of the total sample;compared with escaped from poverty families,the three variables of marital status,the number of chronically ill patients,and the number of annual hospitalizations were the common influencing factors of other three types families;The Shapley decomposition showed that the interviewees’education level and family members engaged in non-agricultural work have contributed significantly to the three types,however two indicators:time required to visit a medical institution and self-assessment of health status of the main interviewees showed great differences in different types of families.Conclusion:Rural elderly households have a high level of vulnerability to health poverty;potential poverty households and persistent poverty households account for a large proportion,and continuous intervention should be carried out;it is necessary to unify the implementation of basic poverty alleviation work,but also to enhance refined management capabilities and adopt differentiated intervention measures.
文摘The resurgence of locally acquired malaria cases in the USA and the persistent global challenge of malaria transmission highlight the urgent need for research to prevent this disease. Despite significant eradication efforts, malaria remains a serious threat, particularly in regions like Africa. This study explores how integrating Gregor’s Type IV theory with Geographic Information Systems (GIS) improves our understanding of disease dynamics, especially Malaria transmission patterns in Uganda. By combining data-driven algorithms, artificial intelligence, and geospatial analysis, the research aims to determine the most reliable predictors of Malaria incident rates and assess the impact of different factors on transmission. Using diverse predictive modeling techniques including Linear Regression, K-Nearest Neighbor, Neural Network, and Random Forest, the study found that;Random Forest model outperformed the others, demonstrating superior predictive accuracy with an R<sup>2</sup> of approximately 0.88 and a Mean Squared Error (MSE) of 0.0534, Antimalarial treatment was identified as the most influential factor, with mosquito net access associated with a significant reduction in incident rates, while higher temperatures correlated with increased rates. Our study concluded that the Random Forest model was effective in predicting malaria incident rates in Uganda and highlighted the significance of climate factors and preventive measures such as mosquito nets and antimalarial drugs. We recommended that districts with malaria hotspots lacking Indoor Residual Spraying (IRS) coverage prioritize its implementation to mitigate incident rates, while those with high malaria rates in 2020 require immediate attention. By advocating for the use of appropriate predictive models, our research emphasized the importance of evidence-based decision-making in malaria control strategies, aiming to reduce transmission rates and save lives.
文摘In order to effectively improve the application value of equipment,the quality of dual-sided instrument logging is more important,but it has several influencing factors.This paper analyzes the working principle of dual lateral instrument logging,and discusses the factors affecting the logging quality of dual-sided instruments and optimization measures,for reference only.
基金Supported by Knowledge Innovation Program of Chinese Academy of Sciences(KZCX3-SW-330, KZCX2-SW-319).
文摘Purple Soil distributes extensively and mainly in China. Because of abundant easily weatherable parent rocks/ materials and unstable soil structure, and also influenced by parent materials, usage systems, and slope gradients, erosion and sediment production of purple soils are very severe with main fashions of water erosion and gravitational erosion. Basing on observed data in small watersheds, rainfall erosivity, vegetation coverage, previous soil water content, flow and relating factors such as climate, topograph of small watershed, land usage, and soil kinds are all the influence factors of erosion and erodibility of purple soil as well as sediment production and transport in small watershed of purple hilly areas. The effective technological countermeasures of ecosystem restoration, agricultural tillage for water conservation and erosion prevention, agriculture project, and soil changing for fertility and anti-erosion were provided.
基金Project(2019QZKK0905)supported by the Second Tibetan Plateau Scientific Expedition and Research(STEP)Program,ChinaProject(41901074)supported by the National Natural Science Foundation of China+2 种基金Project(2020A1515010745)supported by the Natural Science Foundation of Guangdong Province,ChinaProject(SKLFSE201810)supported by the Open Fund of the State Key Laboratory of Frozen Soil Engineering,ChinaProject(2019MS119)supported by the Fundamental Research Funds for the Central Universities,China。
文摘Embankment stability is the primary problem for the expressway construction in permafrost regions.The proposed Qinghai-Tibet Expressway(QTE)is planned to construct along the Qinghai-Tibet Project Corridor.Confronted with harsh environmental condition and intense heat exchange between earth and atmosphere,it is necessary to predict and evaluate the stability of the proposed QTE.In this study,the factors affecting the embankment stability are analyzed firstly.And then,a scheme for the stability evaluation of the embankment is established.Finally,the evaluation scheme is used for the pre-evaluation of the stability for the proposed QTE with different geothermal regulation measures(GRMs).The results indicate that the influencing factors include climatic environment,permafrost property,engineering condition and geological condition,and among them,engineering condition and permafrost property are the main influence factors for embankment stability.The stability of the proposed QTE varies greatly in the different geomorphological regions.The application effect and contribution to embankment stability of the existing GRMs are different,and using GRMs cannot completely overcome the influence of various factors on expressway stability.In the construction process,different GRMs should be adopted depending on the geomorphological environment where the embankment is located to ensure the embankment stability.
基金supported by National Natural Science Foundation of China(Project Number:21277135,91543111)Natural Science Foundation of Beijing Municipality(Project Number:8132048)
文摘Objective There are evidences that heat wave events cause deaths and emergency cases. This article used the contingent valuation method to find the willingness to pay for the protective measures and investigated the factors that influence the willingness to pay. Methods A cross-sectional face-to-face household survey was completed by 637 urban long-term residents and 591 rural long-term residents aged 15-79 in Beijing, China. Binary logistic regression was used to identify factors that influenced the payment rate or payment amount for the protective measures, including independent variables for district, gender, age, education, income, air conditioner ownership, heat wave experience, and chronic non-communicable disease. Results The payment rate was 41.1% for protective measures provided by the government and 39.5% by measures provided by the market. Most of the respondents were willing to pay 40 CNY per capita annually for measures provided by the government or the market. The factors influencing willingness to pay were district, gender, income, air conditioner ownership, heat wave experience, and chronic non-communicable disease. Conclusion Protective measures for heat waves need to be provided immediately. More attention should be paid to the situation of vulnerable groups, such as people who live in urban areas, those without air conditioning, and those who have experienced a heat wave in the past.
文摘In the past 30 years,the accessibility and quality index of medical care have made remarkable progress in China,ranking the first among middle-income countries.Many cardiovascular technologies are at or near the world's leading level,and significant progress has been achieved in China solving the problem of“treatment difficulty”of cardiovascular diseases(CVD).However,due to the prevalence of unhealthy lifestyles among Chinese residents,a huge population with CVD risk factors,accelerated population aging,and other reasons,the incidence and mortality rate of CVD are still increasing,and the turning point of the decline in disease burden has not appeared yet in China.In terms of proportions of disease mortality among urban and rural residents,CVD still ranks the first.In 2020,CVD accounted for 48.00%and 45.86%of the causes of death in rural and urban areas,respectively;two out of every five deaths were due to CVD.It is estimated that the number of current CVD patients in China is around 330 million,including 13 million stroke,11.39 million coronary heart disease,8.9 million heart failure,5 million pulmonary heart disease,4.87 million atrial fibrillation,2.5 million rheumatic heart disease,2 million congenital heart disease,45.3 million peripheral artery disease,and 245 million hypertension cases.China has entered a new stage of transformation from high-speed development to high-quality development,and the prevention and control of CVD in China should also shift from previous emphasis on scale growth to strategies focusing more on strategic and key technological development in order to curb the trend of increasing incidence and mortality rates of CVD.