Analysis of the Effect of Family-Centered Empowerment Model(FCEM)Health Education Through WeChat on Medication Compliance and Blood Pressure of Elderly Hypertensive Patients in Rural Areas

Objective: To validate the effectiveness of a Family-Centered Empowerment Model (FCEM) health education through WeChat on medication compliance and blood pressure among elderly hypertensive patients in rural areas. Methods: One hundred and two rural elderly hypertensive patients aged 65-80 years were selected and randomly divided into an experimental and control group of 51 each. The control group implemented conventional health education, and the experimental group implemented FCEM health education through WeChat platform for 4 consecutive weeks. The Therapeutic Adherence Scale for Hypertensive Patients (TASHP) scores and blood pressure measurements were compared between and within the two groups. Results: After the intervention, there were significant differences in medication compliance and blood pressure between the two groups (P < 0.001). In the control group, before and after the intervention, there was a significant difference in medication compliance (P < 0.001), but no significant difference in blood pressure (P > 0.05). In the experimental group, there were significant differences in medication compliance and blood pressure before and after the intervention (P < 0.001). Conclusion: The FCEM health education through an online social platform significantly improved medication compliance and led to effective blood pressure control in rural elderly hypertensive patients. Therefore, as an effective, safe, and economical model, it is also necessary to explore its effectiveness in improving health problems in other chronic diseases and other age groups.

Analysis of the Degree of Psychological Distress of Elderly Patients with Recurrent Trigeminal Neuralgia and Its Influencing Factors

Objective:To analyze the degree of psychological distress among elderly patients with recurrent trigeminal neuralgia and its influencing factors.Methods:A single-center cross-sectional study was conducted on 126 elderly patients with recurrent trigeminal neuralgia who visited the Pain Department of our hospital from March 2022 to April 2024.Logistic regression analysis was employed to evaluate the factors influencing psychological distress,based on general patient data,the Distress Thermometer(DT),the Perceived Social Support from Family Scale(PSS-Fa),and the Pitsburgh Sleep Quality Index(PSQI).Results:Among the 126 elderly patients with recurrent trigeminal neuralgia,those with a DT score≥4(72 patients,57.14%)were more prevalent than those with a DT score<4(54 patients,42.86%).The average DT score for all patients was 4.35±1.72.Patients in the DT score≥4 group were older than those in the DT score<4 group(t=4.207,P=0.000),had lower PSS-Fa scores(t=5.925,P=0.000),and had higher PSQI scores(t=17.858,P=0.000).There were no statistically significant differences in gender,marital status,residence area,education level,disease type,or pain location(all P>0.05).Older age and poor sleep quality were identified as independent risk factors for psychological distress in elderly patients with recurrent trigeminal neuralgia(OR=1.258,OR=1.713,both P<0.05),while higher levels of family support were identified as a protective factor(OR=0.581,P=0.025).Conclusion:Elderly patients with recurrent trigeminal neuralgia experience psychological distress,and the degree of severity depends on age,quality of sleep,and level of family support.

The power of informal institutions:The impact of clan culture on the depression of the elderly in rural China

Exploration of ways to improve the subjective welfare of residents is an important area of current academic research.Using data from the China Family Panel Studies survey conducted in 2010,this paper investigated the impact of clan culture on the mental health of elderly people in rural China.The results demonstrated that clan culture can significantly decrease the depression score of the rural elderly.Further,there was no gender difference with respect to the impact of clan culture on the depression score of the elderly.At the same time,the positive effects of clan culture on the depression score of the elderly have gradually weakened with economic development.Exploration of the mechanisms involved indicated that in areas with stronger clan culture,older people receive more social support.This study enriches our understanding of the impact of informal institutions on the welfare of rural residents.At the same time,it can also provide a certain decisionmaking reference for the government to formulate relative poverty relief strategies in a new stage of poverty alleviation.

Effective forecast of Northeast Pacific sea surface temperature based on a complementary ensemble empirical mode decomposition–support vector machine method

The sea surface temperature （SST） has substantial impacts on the climate; however, due to its highly nonlinear nature, evidently non-periodic and strongly stochastic properties, it is rather difficult to predict SST. Here, the authors combine the complementary ensemble empirical mode decomposition （CEEMD） and support vector machine （SVM） methods to predict SST. Extensive tests from several different aspects are presented to validate the effectiveness of the CEEMD-SVM method. The results suggest that the new method works well in forecasting Northeast Pacific SST at a 12-month lead time, with an average absolute error of approximately 0.3℃ and a correlation coefficient of 0.85. Moreover, no spring predictability barrier is observed in our experiments.

Reform and Reconstruction of the Rural Elderly Care Service System in the New Era

With decades of hard work,socialism with Chinese characteristics has crossed the threshold into a new era.The transformation of the principal contradiction in the new era has imposed new and higher requirements on the rural elderly care service system.However,the current service system based on welfare-multiplex and urban community environment is often difficult to operate in the rural areas of central and western China.And the urban home care service for the aged is inappropriate to the rural reality;community service for the aged faces difficulties in practice;institution care for the aged develops slowly;the synergy among different elderly care service models is poor.Through observing the rural areas of central and western China in the field for a long time,this paper proposes to build the rural elderly care service system based on family supporting,supported by community mutual assistance care,supplemented by institution care for the aged,combined with medical care,and localized with diversified forms for targeted groups according to different realities.And the system should follow the fundamental guidance of development-oriented family policy,adhere to the governance mode of multiple subjects with one core and respect rural reality,which could provide a feasible way for the reform and reconstruction of the rural elderly care service system.

Moderating effect of psychological resilience on the perceived social support and loneliness in the left-behind elderly in rural areas

Objective:To investigate the loneliness and psychological resilience with the perceived social support of the left-behind elderly in rural areas and explore the moderating effect of psychological resilience on the understanding of social support and loneliness of the left-behind elderly in rural areas.Methods:A cross-sectional study was conducted;272 left-behind elderly people in 6 rural villages in the Sichuan Province were investigated by using the General Situation Questionnaire,Perceived Social Support Scale(PSSS),Connor-Davidson Resilience Scale(CD-RISC),and the University of California at Los Angeles Loneliness Scale(UCLA)with a stratified random cluster sampling method.Results:The loneliness score of the left-behind elderly in rural areas was 52.54±7.25,the psychological resilience score was 78(68.87),and the perceived social support score was 57(51.62).The perceived social support and psychological resilience were negatively correlated with loneliness,while the perceived social support was positively correlated with psychological resilience.The moderating effect of psychological resilience on the perceived social support and loneliness of the left-behind elderly in rural areas was−0.102(P<0.001).Conclusions:Higher level resilience is of positive significance to alleviate the negative effect of social support on loneliness.Improving the resilience of the left-behind elderly in rural areas is a beneficial exploration to promote their mental health.

Judicial Protection and Restorative Justice of the Support Rights and Interests for the Elderly Rights——Taking the Sample of Judgement Documents from 2013-2018 as Analysis Object

The support rights and interests of the elderly is one of the core issues of an aging society.Judging from the judgment documents on support dispute cases in recent years,maintenance disputes mainly occur in the kinship structure of parents and children,the support obligators are mainly men,the content of support is mainly material appeals.In the judicial process,there are some characteristics worth studying,such as lawyers,intervention,judges,thinking,reasoning and expression.In view of this,the current development direction of the judicial protection of elderly’s rights and interests in China should be carried out around the goal of"restorative justice"and efforts should be made,such concept renewal,system improvement and spiritual support prospect.

Thoughts on the Innovative Design of the Integrated Service Mode of Pharmacies and Elderly Care Centers

Objective To evaluate the service model that integrates medical treatment and elderly care to provide a reference for the development of pharmacies and elderly care centers.Methods Through the literature investigation and case analysis,the domestic integrated medical treatment and elderly care service model was analyzed,and new ideas for the integration of pharmacies and elderly care centers were provided.Results and Conclusion The integrated service model of pharmacies and elderly care centers is designed and the integration mode of pharmacies,hospitals and elderly care centers is proposed by analyzing their advantages.The“pharmacy+elderly care”mode and the“pharmacy+medical treatment+elderly care”mode that integrates pharmacies,hospitals,and elderly care centers are put forward to predict its new development opportunities in the future.

A Study to Examine the Relationship between Social Support and Perception of Being Institutionalized among the Elderly Aged 65 Years and Above Who Are in Institutions in Bulawayo Urban, Zimbabwe

Policies on the elderly in Zimbabwe are based on social networks and social capital in which the care of the elderly rests with the adult children and other relatives including the community. It is argued that social networks and social capital are informal and the weakness in these informal types of social support is that they are difficult to maintain in cases of urbanization, migration and socio-economic hardships. The study sought to examine the relationship between social support and the perception of being institutionalized among the elderly aged 65 years and above who were in institutions in Bulawayo urban. A descriptive quantitative cross-sectional correlational survey method was used. A simple random sampling method was used to recruit respondents. The sample size in this study was 81 respondents. Data was collected using the interview schedule. Analysis was done using the Statistical Package Social for Sciences (SPSS) package, descriptive and inferential statistics. The Pearson’s correlation coefficient showed the relationship between social support and perception of being institutionalized as follows;r = 0.181, p = 0.107. This shows that there is no relationship between social support and perception of being institutionalized among the elderly aged 65 years and above who are in institutions in Bulawayo urban, Zimbabwe.

Do Child Characteristics Matter to Mitigate the Widowhood Effect on the Elderly’s Mental Health? Evidence from China

This study empirically examines whether child characteristics mitigate the negative impact of widowhood on the elderly’s mental health using follow-up survey data from the China Health and Retirement Longitudinal Study(CHARLS).A total of 5,326 older adults aged 60 years and older are selected from three waves of panel data(2013,2015,and 2018).Thefindings suggest that respondents who experienced widowhood exhibit an increase in depressive symptoms.However,the higher income of children and frequent face-to-face emotional interactions improve the mental health of the widowed elderly.Moreover,heterogeneity analyses show that the buffering effect of higher child income is more significant among men and the Midwestern widowed elderly,and frequent face-to-face emotional interactions are more effective in improving the psychological status of women and the Midwes-tern widowed elderly.In the special social and cultural background of China,family members remain the main support for the elderly,and the current social pension system is still imperfect.Therefore,children should strengthen emotional communication with their parents while increasing their economic income.In that way,widowhood can achieve both material and spiritual prosperity.The government should identify the vulnerable groups among the elderly widows and introduce policies aimed at improving their mental health and reducing the disparity in mental health status.

Assessment methods and services for older people with cancer in the United Kingdom

BACKGROUND National cancer strategy calls for comprehensive assessments for older people but current practice across the United Kingdom is not well described.AIM To identify current assessment methods and access to relevant supporting services for older people with cancer.METHODS A web-based survey(SurveyMonkey)targeting health professionals(oncologists,cancer surgeons,geriatricians,nurses and allied health professionals)was distributed January-April 2016 via United Kingdom nationally recognised professional societies.Responses were analysed in frequencies and percentages.Chi Square was used to compare differences in responses between different groups.RESULTS 640 health care professionals responded.Only 14.1%often/always involved geriatricians and 52.0%often/always involved general practitioners in assessments.When wider assessments were used,they always/often influenced decision-making(40.5%)or at least sometimes(34.1%).But 30.5%-44.3%did not use structured assessment methods.Most clinicians favoured clinical history taking.Few used scoring tools and few wished to use them in the future.Most had urgent access to palliative care but only a minority had urgent access to other key supporting professionals(e.g.geriatricians,social workers,psychiatry).69.6%were interested in developing Geriatric Oncology services with geriatricians.CONCLUSION There is variability in assessment methods for older people with cancer across the United Kingdom and variation in perceived access to supporting services.Clinical history taking was preferred to scoring systems.Fostering closer links with geriatricians appears supported.

Advances in caring for the older cancer patient：a report from the 2015 conference of the International Society of Geriatric Oncology

A paradox in cancer research is that the majority of patients enrolled in clinical trials are relatively young and fit while typical patients in daily practice are elderly and have comorbidities and impaired organ function. Given these differences, many major studies provide an imperfect guide to optimizing the treatment of the majority of patients. Since cancer incidence is highly correlated with age, and since the world's population is rapidly ageing, this problem can only increase. For this reason, oncologists and geriatricians need to collaborate in developing tools to systematically assess the health status of elderly patients and their fitness to receive cancer therapies of various intensity. Tailoring anti-cancer treatments and supportive care to individual needs should be seen as part of the move towards personalized medicine. Achieving this goal is as much of a challenge to developing and middle-income countries as it is to western nations. The 2015 annual conference of the International Society of Geriatric Oncology(SIOG) held in Prague, Czech Republic, November 2015 and had a global focus on advancing the science of geriatric oncology and supportive care. Central to this approach is the systematic assessment of life expectancy, independent functioning, and the physical and psychological health of older cancer patients. The assumption behind comprehensive geriatric assessment is that elderly cancer patients have complex needs. The implication is that effective intervention will require a multidisciplinary team. Examples of effective geriatric assessment, multidisciplinary working and supportive care were presented at the SIOG conference.

Effect of Family Nutrition Therapy on Elderly Patients with Chronic Obstructive Pulmonary Disease

Objective:The aim of the study was to explore the influence of family enteral nutrition support on nutritional status,lung function,activity tolerance and quality of life in elderly patients with chronic obstructive pulmonary disease(COPD)in stable stage and malnutrition.Methods:A prospective observational study of COPD and malnutrition in the geriatric department of our hospital,control group(n=82)and intervention group n=82).The control group was treated with conventional diet,and the intervention group was treated with conventional diet and enteral nutrition suspension.One month later,observe the nutrition indicators,lung function,exercise tolerance and quality of life.Results:(1)BMI and ALB were higher than control group(t=10.465,6.189,P<0.05),TP and Hb had no change,(t=1.310,1.302,P>0.05).(2)FVC,FEV1,FEV1/FVC,FEV1%were higher than control group(t=11.999,19.654,13.418,16.924,P<0.05).(3)the quality of life symptom score,activity score,influence score and total score were lower than control group(t=15.303,6.773,23.600,14.766,P<0.05),and 6MWT were higher than control group(t=111.962,P<0.05).Conclusion:Oral enteral nutritioncan improve the nutritional status,lung function,activity tolerance and quality of life of elderly patients with COPD in stable stage and malnutrition.It can be a early,safe and effective nutritional support strategy for COPD patients with malnutrition。

A review and an outlook of the National Cultural Information Resources Sharing Project

This paper discusses the Project's organization system, technical system, creation of digital resources and service mode. It also summarizes achievements gained since the commencement of the Project, and also analyzes some of the more important issues during implementation stage and gives a few suggestions of the future development during the next stage of the 11thFive-Year Plan.

Life Adjustments of Elderly Hemodialysis Patients for Continuing to Attend Dialysis Facility

This study aimed to elucidate elderly patients’ recognition of and life adjustment to attending dialysis facilities, and then to discuss factors for enabling such patients to continue attending dialysis facilities. Semi-structured interviews were conducted with 15 participants and interview data were analyzed using the modified grounded theory approach. The study was approved by the Ethical Review Board of Niigata University School of Medicine. The interview data yielded 21 concepts, comprising 2 categories and 7 subcategories. Patients who find themselves in a “Difficult Lifestyle” often try to maintain their health and lifestyle by using required support for hemodialysis patients. Factors for continuing to attend dialysis facilities were the ability to cope with the Difficult Lifestyle and to adjust to Hemodialysis as a Life Priority. It is thought that switching from a model of economic security to one of providing living support will be effective for maintaining elderly dialysis patients’ life with only limited expenses. Additionally, it is necessary to consider the utilization of existing services.

Analysis and Improvement of Standing-Up Action for Elderly People from a Chair Using a Cushion-Type Support Tool

This paper reports the problems that elderly people have when they stand up from a chair, and proposes an adequate standing-up procedure that solves these problems. The important points for an adequate standing-up procedure are ＂leaning the upper body forward＂ and ＂pulling the legs to the side＂. Furthermore, this paper proposes a standing-up support tool. The characteristics of the support tool are a cushion-type shape with an adjustable flange and an air-pressure-driven mechanism. When the proposed standing-up procedure and support tool are applied to elderly people, the measured values related to standing-up, such as maximum acceleration, arm force, standing-up time, heel position and forward-bending angle, are improved. Furthermore, elderly people felt that it made the standing-up action easy. We could confirm the effectiveness of the proposed standing-up procedure and support tool.

Impact of nutritional support on immunity,nutrition,inflammation,and outcomes in elderly gastric cancer patients after surgery

BACKGROUND Postoperative rehabilitation of elderly patients with gastric cancer has always been the focus of clinical attention.Whether the intervention by a full-course nutritional support team can have a positive impact on the postoperative immune function,nutritional status,inflammatory response,and clinical outcomes of this special population has not yet been fully verified.AIM To evaluate the impact of full-course nutritional support on postoperative comprehensive symptoms in elderly patients with gastric cancer.METHODS This is a retrospective study,including 60 elderly gastric cancer patients aged 70 years and above,divided into a nutritional support group and a control group.The nutritional support group received full postoperative nutritional support,including individualized meal formulation,and intravenous and parenteral nutrition supplementation,and was regularly evaluated and adjusted by a professional nutrition team.The control group received routine postoperative care.RESULTS After intervention,the proportion of CD4+lymphocytes(25.3%±3.1%vs 21.8%±2.9%,P<0.05)and the level of immunoglobulin G(12.5 G/L±2.3 G/L vs 10.2 G/L±1.8 G/L,P<0.01)were significantly higher in the nutritional support group than in the control group;the changes in body weight(-0.5 kg±0.8 kg vs-1.8 kg±0.9 kg,P<0.05)and body mass index(-0.2±0.3 vs-0.7±0.4,P<0.05)were less significant in the nutritional support group than in the control group;and the level of C-reactive protein(1.2 mg/L±0.4 mg/L vs 2.5 mg/L±0.6 mg/L,P<0.01)and WBC count(7.2×10^(9)/L±1.5×10^(9)/L vs 9.8×10^(9)/L±2.0×10^(9)/L,P<0.01)were significantly lower in the nutritional support group than in the control group.In addition,patients in the nutritional support group had a shorter hospital stay(10.3 d±2.1 d vs 14.8 d±3.6 d,P<0.05)and lower incidence of infection(15%vs 35%,P<0.05)in those of the control group.CONCLUSION The intervention by the nutritional support team has a positive impact on postoperative immune function,nutritional status,inflammatory response,and clinical outcomes in elderly patients with gastric cancer.

Improved AVOA based on LSSVM for wind power prediction

Improving the prediction accuracy of wind power is an effective means to reduce the impact of wind power on power grid.Therefore,we proposed an improved African vulture optimization algorithm(AVOA)to realize the prediction model of multi-objective optimization least squares support vector machine(LSSVM).Firstly,the original wind power time series was decomposed into a certain number of intrinsic modal components(IMFs)using variational modal decomposition(VMD).Secondly,random numbers in population initialization were replaced by Tent chaotic mapping,multi-objective LSSVM optimization was introduced by AVOA improved by elitist non-dominated sorting and crowding operator,and then each component was predicted.Finally,Tent multi-objective AVOA-LSSVM(TMOALSSVM)method was used to sum each component to obtain the final prediction result.The simulation results show that the improved AVOA based on Tent chaotic mapping,the improved non-dominated sorting algorithm with elite strategy,and the improved crowding operator are the optimal models for single-objective and multi-objective prediction.Among them,TMOALSSVM model has the smallest average error of stroke power values in four seasons,which are 0.0694,0.0545 and 0.0211,respectively.The average value of DS statistics in the four seasons is 0.9902,and the statistical value is the largest.The proposed model effectively predicts four seasons of wind power values on lateral and longitudinal precision,and faster and more accurately finds the optimal solution on the current solution space sets,which proves that the method has a certain scientific significance in the development of wind power prediction technology.

股权合作视角下“乡村振兴基金+合作社”共建数字农业的运营决策研究

在由地方政府和单个农民合作社组成的供应链中,本文引入政策倡导的财政支农资金市场化运作方式和股权合作模式,尝试探讨数字化技术应用于现代农业的运营决策问题。本文首先基于财政支农资金投入方式(无偿投入和有偿投资)的不同将地方政府划分为公益型政府和效益型政府,接着分别构建了两种类型政府投资数字化技术且农民合作社对该投资持股与否的博弈模型,最后分析了股权合作模式在数字农业投资运营中的实施动机及影响。研究表明:(1)数字农业技术可有效改善农产品品质;(2)股权合作模式仅在农民合作社和财政资金市场化运作的效益型政府之间存在实施动机;(3)实施股权合作模式后,农产品品质提升、市场需求量和政府利润均增加,但农民合作社利润受损;(4)在政府对农产品质量规范的基础上,激励相容协调机制可兼顾乡村振兴基金的收益性和政府的公益性,有效提升政农双方投资积极性。本文将政策研究同对策研究紧密结合,为政府制定相关政策推动数字农业发展提供理论依据。