Geriatric nursing competence of clinical nursing staff at different hospital levels in Chongqing,China:A cross-sectional study

Objectives:This study aimed to survey the geriatric nursing competencies of clinical nursing staff in Chongqing City,China,and provide suggestions to enhance these competencies.Methods:This study was conducted in 204 hospitals in Southwest China from December 24,2022 to January 7,2023.The“Geriatric Nursing Competence of Clinical Nurse Investigation Tool”was used to explore factors that influence geriatric nurses’competencies via stratified sampling.The survey was conducted by distributing and collecting questionnaires through the online platform Wenjuanxing.Results:A total of 10,692 nurses answered the questionnaires.Of these questionnaires,9,442 were valid.The total geriatric nursing competence score of the clinical nursing staff was 2.29±0.81,the secondary hospital score was 2.23±0.78,and the tertiary hospital’s overall mean score was 2.33±0.83.The factors that influenced secondary hospitals included the department of medicine,age of nurses and total length of career(P<0.05).The factors that influenced tertiary hospitals included the department of medicine,age of nurses,nurses’professional title,and geriatric practical advanced nurses’certification(P<0.05).Conclusions:Geriatric nursing competence among clinical nursing staff is imbalanced at a lower-middle level and is influenced by various factors.Thefindings highlight the need for further clinical training in geriatric nursing.The training of geriatric nurses should focus on necessary clinical skills and on preparing them to adequately manage comprehensive geriatric syndromes.

Study of Short Column Behavior Originated from the Level Difference on Sloping Lots during Earthquake (Special Case: Reinforced Concrete Buildings)

The disorders originated from architectural design in buildings, show in different forms. One of them is the level difference originated from lot’s slope which affects structures through short column phenomenon. The great stiffness of short columns enables them to absorb large amounts of structural energy. Inattention of some manuals and regulations such as Earthquake regulations to this phenomenon necessitates paying further attention to it. On this basis, the present study employed experimental modeling and numerical modeling for a four-story reinforced concrete building that involves the analysis of simple 2-D frames of varying floor heights and varying number of bays using a very popular software tool STAAD Pro on both a sloping and a flat lot. Also Sap2000 software had been used to show that the displacement of floors is greater for a flat lot building than a sloping lot building. However, the increase in shear was found to be quite greater in short columns compared to common ones and an enormous moment should be tolerated by sloping lot structures. The greater stiffness of the structure was also revealed by non-linear static (Push-Over) analysis. According to the results, short column are required to have more resistant sections and are suggested to be reinforced with more bars. In addition, more steel should be used as stirrups than as longitudinal bars. Also for existing structures, shear capacity of short columns should be retrofitted by FRP, Steel Jacket or other materials.

Simulation of the water level influence on the difference within the water-tube tiltmeter in Shuangyang Lake

This article analyzes the relationship between the water level and the water-tube tilting in Shuangyang lake,based on the differential deformation features reflected by the NS and EW components of the water-tube tiltmeter.The results show a good spatiotemporal consistency between the variation of water level and the NS tilt component,which is considered to be affected by the magnitude and duration of the water level variation in Shuangyang Lake.The article uses Landsat remote sensing image data to extract the water boundary of Shuan-gyang Lake,and takes advantage of the finite element numerical simulation method to build three-dimensional models for different geological structural conditions of the Shuangyang seismostation.The simulation results show that when the underground medium is granite,the effect of water level variation on the vertical displacement of the surface is non-directional.With a 50-m soil layer in Model 2,the simulated NS tilt variation is equivalent to the actual observed water-tube tiltmeter NS component when the water level variation is 0.44 m and 0.8m.When the variation of water level reaches 2.0m,the simulation result of the NS component is 79.6 ms,which is slightly larger than the observed result of 60.32 ms.However,the simulation results show that the variation of the EW component is significantly smaller than that of the NS one.Due to the fact that the Shuan-gyang lake is long in the NS direction and short in the EW direction,the existence of the soil layer tends to generate ground deformation along the NS direction in the vicinity of the lake after the increase of water level,thereby resulting in the difference of the ground deformation in the two directions.

A new tracking error detection method using amplitude difference detection for signal waveform modulation multi-level discs

The sub-land/sub-pit affects the characteristic of the tracking error signal which is generated by the conventional differential phase detection （DPD） method in the signal waveform modulation multi-level （SWML） read-only disc. To solve this problem, this paper proposes a new tracking error detection method using amplitude difference. Based on the diffraction theory, the amplitude difference is proportional to the tracking error and is feasible to be used for obtaining the off-track information. The experimental system of the amplitude difference detection method is developed. The experimental results show that the tracking error signal derived from the new method has better performance in uniformity and signal-to-noise ratio than that derived from the conventional DPD method in the SWML read-only disc.

Analysis of the Differences in Expenditure Levels of Participants at the 2014 Asian Basketball League in Ho Chi Minh City

Research focuses on studying the economic impacts of 2014 Asian Basketball League in Ho Chi Minh City （hereinaiter referred as ABL 2014） with respect to direct expenditure of all types of participants, including organizers, coaches/athletes, journalists/communicators, audiences, etc. Research was implemented with 920 subjects, including 48 members of the organizing committee, 56 coaches/athletes, 800 audiences and 16 members of journal and media teams.

Effects of Different Nitrogen Fertilizer Levels on Lodging and Yield of Rice

[Objective] This study aimed to investigate the effects of different fertilizer levels on lodging and yield of rice. [Method] A total of four treatments were designed and applied with 6, 9, 12 and 15 kg of nitrogen fertilizer, respectively. After seedling transplanting, the biological characteristics of rice at different growth stages in each treatment and the biological and economic characteristics of rice after lodging were determined for statistical analysis. [Result] Application with 15 kg of nitrogen fertilizer had significant promotion effect on the increase of rice yield; compared with the control (6 kg of nitrogen fertilizer), rice yield in three experimental treatments (9, 12 and 15 kg of nitrogen fertilizer, respectively) increased by 50.74%, 89.11% and 94.48%, respectively; lodging-resistance mechanical strengths of the three experimental treatments were 103.97%, 132.01% and 89.83% of the control, respectively; rice lodging resistance of treatment C (12 kg of nitrogen fertilizer) was the strongest, with the highest yield. [Conclusion] This study provides reference data and technical support for the rational fertilization of rice production.

Analysis on Influential Factors of Peasants' Willingness to Exit Homestead in Regions with Different Economy Development Levels——Taihe Village,Chaohu County-Level City,and Ancang Village,Taihu County as Examples

The research concluded peasants＇ willingness on homestead exiting and influential factors by questionnaire survey and interviewing in two villages with varied levels of economic development in Anhui Province.Comparisons were performed on subjective factors and objective factors were explored by Logistic regression.The results showed that both of education background and homestead use have positive correlation with peasants＇ willingness on homestead exit;the number of family members has negative effects on peasants in advanced village but the number of migrant workers or members living in cities has positive effects;the area of homestead has positive effects on peasants in underdeveloped village.Therefore,the emphasis should be varied on homestead exit upon village economy and it is necessary to reinforce homestead exit promotion at improving immigrants＇ reception work,social security,employment,and education.

Influence of the Different Level Ammonium on NRA and GSA in Sugar Beet(Vulgaris L.)

Ammonium nitrogen inhibited NR activity in sugar beet,NR activity was lower in endogenous substrate after ammonium nitrogen was used,and the correlation between NR activity and ammonium nitrogen levels was negative.But NR activity raised with the ammonium nitrogen levels raising in exogenous.Ammonium nitrogen prompted GS activity:the correlation between GS activity and ammonium nitrogen was positive,GS activity raised with ammonium nitrogen levels raising,GS activity of roots and leaves had same change trend in sugar beet in the whole growth duration after ammonium nitrogen was used,but GS activity in roots was higher than that in leaves.

A new finite difference scheme for a dissipative cubic nonlinear Schrdinger equation

This paper considers the one-dimensional dissipative cubic nonlinear SchrSdinger equation with zero Dirichlet boundary conditions on a bounded domain. The equation is discretized in time by a linear implicit three-level central difference scheme, which has analogous discrete conservation laws of charge and energy. The convergence with two orders and the stability of the scheme are analysed using a priori estimates. Numerical tests show that the three-level scheme is more efficient.

THE RELATIONSHIP BETWEEN THE ERYTHROCYTE POLYAMINE LEVELS AND THE DIFFERENT TYPES OF LEUKEMIA

In a study on erythrocyte polyamine levels in 20 leukemia patients and 18 healthy individuals, following results were obtained. Putrescine(Pu) in ery-throcytes was nearly undetectable but in 2 AMoL patients; Spermidine(Spd) level in ALL was higher than the control volue (P<0.05), in AML (M1, M2) and APL the Spd level was in the range of control group (P>0.1), while that in AMoL and AMMoL was considerably lower as compared to control (P< 0.001); Spermine (Spm) level in all types of leukemia was increased (P<0.001); Spd/Spm ratio was significantly decreased, showing 1.525 in control group, 0.938 in ALL (P<0.025), 0.779 in AML (M1, M2) P< 0.01), 0.319 in APL (P<0.001) and 0.296 in AMoL & AMMoL (P<0.001), and the differences between the Spd/Spm ratio in AMoL and AMMoL and in ALL were noted (P<0.05). These results suggested that determination of erythrocyte polyamines in leukemia patients may be helpful in diagnosis, differential diagnosis and prognosis.

Comparison of the level of thrombus precursor protein in blood plasma between patients with acute cerebral infarction and healthy persons at different time

BACKGROUND： Thrombus precursor protein （TpP） is the index of thrombus activity level, and it is also early referencing index in detecting thrombus diseases. OBJECTIVE： To dynamically observe the changes of TpP level in blood plasma of patients with acute cerebral infarction at different time after onset, and to compare the differences of plasma TpP level between patients with acute cerebral infarction and healthy persons who received health examination. DESIGN： Controlled observation SETTING： Department of Neurology, Affiliated Hospital of Xuzhou Medical College PARTICIPANTS： Totally 58 patients with acute cerebral infarction who received the treatment in the Department of Neurology, Affiliated Hospital of Xuzhou Medical College between September 2004 and March 2005 were recruited in this study. They all met the diagnostic criteria revised by the 4^th National Conference of Cerebrovascular Disorders in 1995 and were diagnosed by clinical and skull CT and （or） MRI examinations. The patients included 33 male and 25 female aged from 36 to 87 years. Time to onset 〈 6 hours, 6 to 11 hours, 12 to 23 hours, 24 to 48 hours and 〉 48 hours were found in 10,11,14,10 and 13 patients respectively. Another 51 persons who homeochronously received the health body examination in our hospital were recruited, including 34 male and 17 female, aged 38 to 85 years, serving as control group. Patients with cardio-cerebrovascualr diseases or liver and kidney diseases were excluded. All the involved subjects were informed of the detected items. METHODS： About 4 mL venous blood was respectively taken from patients admitted to the hospital within 6 hours, 6 toll hours, 12 to 23 hours, 24 to 48 hours and more then 48 hours after onset, and healthy persons when receiving health examination. The level of TpP in blood plasma was measured with enzymelinked immunosorbent assay. MAIN OUTCOME MEASURES： ① Comparison of the level of plasma TpP between patients and controls;② Comparison of the level of plasma TpP of patients with acute cerebral infarction at different time after onset. RESULTS： Totally 58 patients with acute cerebral infarction and 51 persons who received health examination participated in the result analysis. ①Comparison of plasma TpP level between patients and controls： The plasma TpP level of patients with acute cerebral infarction was significantly higher than that of control group [（16.12±3.28）vs （5.38±1.36） mg/L, t= 20.993, P〈 0.01 ]. ② Comparison of plasma TpP level of patients with acute cerebral infarction at different time after onset： The level of plasma TpP was （12.06±3.06） mg/L within 6 hours, （15.11±3.42） mg/L at 6 to 11 hours, （20.63±4.05） mg/L at 12 to 23 hours, （16.15±3.50） mg/L at 24 to 48 hours and （11.88±3.11） mg/L at more than 48 hours after onset. It increased from the 6^th hour, reached the peak at the 12^th to 23^rd hours, maintained at very high level at the 48= hour and then gradually decreased and recovered to the level within 6 hours after onset. The level of plasma TpP of patients with acute cerebral infarction was signiticantly higher at the 12^th to 23^rd hours after onset and the 24^th to 48^th hours after onset than within 6 hours after onset （t = 13.385, P 〈 0.05）. CONCLUSION： ①The level of plasma TpP of patients with acute cerebral infarction is significantly higher than that of persons who received health examination.② Plasma TpP levels of patients with acute cerebral infarction change in wave manner at the different time after onset.

Research on the Digital Economy's Impact on China's Economic Growth:Based on the Variations in Urbanization Levels Across China's Eastern,Central,and Western Regions and Sectoral Heterogeneity

This paper uses inter-provincial panel data from 2011 to 2017,a linear regression model,and a threshold model to conduct empirical analyses of the impact of the digital economy on China's overall economic growth and the three main sectors of industry.The paper then investigates the impact and effects the digital economy has had on the economic growth of the three main sectors of industry in China's eastern,central,and western regions.Finally,the paper investigates the most significant differences among the various regions and the threshold effects of urbanization levels on the relationship between the digital economy and economic growth.The findings indicate a significantly positive correlation between the digital economy and regional economic growth.Moreover,geographical factors notably influence this correlation.The digital economy exerts a positive effect on all sectors of industry.It may not substantially impact industrial development in regions with highly developed infrastructure.Regarding the other regions,the digital economy exhibits varying degrees of impact due to the differences in the specific indicators.The conclusion drawn by the threshold model is that the magnitude of the threshold effect correlates with geographic factors.No threshold effect was observed in the eastern region,while the threshold effect occurred in the central region when the urbanization levels for the provinces were below 0.6645.Similarly,the threshold effect was noted in the western region when the urbanization level was below 0.3931.Considering all of this,the study also offers policy recommendations that will help balance the regional development of digital economies,accelerate the digital transformation of traditional industries,enhance digital infrastructure construction,refine the formulation and implementation of data policy,and establish relevant incentive mechanisms.

Clinical Application of Sex Hormone in Different Physiological Periods in the Diagnosis of Infertility Patients

Background: Infertility is characterized by the inability to conceive after a year of regular unprotected intercourse. Aims: This study aimed to investigate the diagnostic value of sex hormone levels during different physiological periods in the diagnosis of infertility patients. Methods: From December 2019 to May 2021, a total of 93 infertility patients were admitted and selected as the observation group. Among them, 31 cases were in the follicular stage, 31 cases in the ovulation stage, and 31 cases in the luteal stage. Ninety-three healthy women for fertility evaluation due to male infertility were selected as the control group. The control group included 31 women in the follicular phase, 31 women in the ovulatory phase, and 31 women in the luteal phase. The levels of sex hormones (prolactin (PRL), luteinizing hormone (LH), follicle-stimulating hormone (FSH), estradiol (E2), testosterone (T), and progesterone (P)) during different physiological phases were compared between the observation and control groups. Results: The follicular phase showed no significant difference in LH levels between the observation group and the control group. The observation group showed higher levels of PRL and P compared to the control group, while the levels of FSH, E2, and T were lower in the observation group compared to the control group. The ovulation phase showed no significant difference in PRL levels between the two groups. The observation group showed lower levels of LH, FSH, E2, T, and P compared to the control group. The luteal phase showed no statistical difference in E2 levels between the two groups. The observation group showed higher levels of PRL, LH, and FSH compared to the control group, while the levels of T and P were lower in the observation group compared to the control group. Conclusion: Infertile women show variations in hormone levels compared to the normal levels during the follicular phase, ovulatory phase, and luteal phase.

Relation between Economic Development Level and Resource and Environment Carrying Capacity of Central Area of Yunnan Province Based on Decoupling Analysis

Based on the decoupiing theory and method, an indicator system was built for the relation between economic development level and resource and environment carrying capacity. And the study was carried out on decoupling degree and temporal changes of economic development level and resource and environment carrying ca- pacity in the central area of Yunnan Province. Results indicated that （i） the economic development level and resource and environment carrying capacity in the central area of Yunnan Province mainly experienced strong decoupling, weak decoupling, and ex- pansive negative coupling, and in general it was strong decoupling, and it took on re- verse ＂N＂ in temporal changes. （ii） Change rate of economic development level in the central area of Yunnan Province was greater than zero, but the amplitude of change was not large, while the change rate of resource and environment carrying capacity was negative in 2007-2008, and it was positive in the rest years; from 2007, it took on gradual expansion trend, and scissors difference gradually increased after experi- encing reverse ＂V＂ change. （iii） The strong decoupling was the main situation and it reached the peak value in T5 period and T6 pedod.

下肢不同疲劳程度对高校篮球运动员跳深运动表现及生物力学指标的影响

目的:基于腾空高度的变化对跳深过程中的无疲劳(Non-fatigue, NF)以及重复跳深引发的轻度疲劳(Light-fatigue, LF)、中度疲劳(Medium-fatigue, MF)以及重度疲劳(Serious-fatigue, SF)进行分类,探究下肢不同疲劳程度对跳深运动表现与下肢生物力学指标的影响,以期对跳深训练负荷的投入和监控提供参考依据。方法:招募11名国家二级篮球运动员,运用红外高速运动捕捉系统、三维测力台以及便携式测力台对无疲劳以及进行每组10次的多组跳深后,当腾空高度衰减量达到10%(LF)、20%(MF)和30%(SF)时,对不同疲劳程度下跳深动作的下肢生物力学指标进行采集。结果:(1)SF的髋关节、膝关节和踝关节的屈曲角度以及关节活动度,相比与NF显著增大(P<0.05);(2)触地时间和腾空高度在MF、SF相对基准值NF出现显著延长和下降(P<0.05);(3)峰值垂直地面反作用力仅在SF相比与LF、MF出现显著下降(P<0.05)。(4)踝关节峰值力矩仅在SF相比于NF、LF、MF出现显著下降(P<0.05),膝关节峰值力矩仅在SF相比与MF出现显著下降(P<0.05)。踝关节最大功率仅在SF相比与MF出现显著下降(P<0.05)。结论:(1)轻度疲劳和中度疲劳时可以维持跳深运动表现,重度疲劳时的跳深运动表现下降。(2)轻度疲劳和中度疲劳时,可以维持膝关节和踝关节的肌肉力量。重度疲劳时,膝关节和踝关节的肌肉力量下降。

基于Level Set方法的西夏字轮廓提取

随着国内外对西夏研究的不断深入,收藏于世界各地的大批西夏古籍文献通过影印方式陆续出版。如何将这些西夏古籍文献进行数字化、文本化则有着极其重要的意义。首先利用平滑和细化算法对西夏影印文献进行了预处理,然后利用Level set方法对影印文献中的西夏字进行了轮廓提取。Level Set演化函数在空间方向上采用了四阶紧致差分逼近式离散,计算过程中加入了窄带算法及全局优化方法。实验表明,算法在不增加计算时间的基础上可以得到较精确的西夏字轮廓。

基于Level Set方法的人脸轮廓提取

人脸轮廓提取在诸如安全检查、保安管理、交通电子监控、机器人研究等方面有着十分重要的应用价值。先利用图像背景差分法快速检测出人脸的初始矩形轮廓线,然后采用LevelSet方法对视频图像进行人脸轮廓提取,Level Set演化函数空间方向上采用四阶紧致差分逼近式离散,计算过程中加入了窄带算法和全局优化方法。数值实验结果表明,该算法在不增加计算时间的基础上,可以检测出模糊或离散的边界,并得到精确的人脸轮廓线。

基于地形差异的电子商务进农村政策效应实证剖析

推动县域经济发展是实现城乡融合发展和乡村振兴的有效途径。利用2013—2020年中国2419个县(市、区)的面板数据,采用多时点双重差分法,通过实证研究,分析了电子商务进农村综合示范县政策对县域经济的影响。结果表明:电子商务进农村综合示范县政策显著促进了县域经济增长,该政策效应存在显著的区域异质性,电子商务进农村示范县政策不仅在地形平坦地区表现出促进作用,同时在地形起伏度较大的山地,也显著促进经济增长。由此表明,政策通过数字普惠金融指数的促进效应和市场的拉动效应可以实现县域经济的增长。

“职教出海”战略下高职教育国际化水平测度、时空差异与影响因素研究

新时代“职教出海”是促进职业教育高质量发展的重要内容,也是我国外交战略布局的重要赛道。基于30个省份2016―2022年的面板数据,以生态系统理论为基础,采用熵权法、空间自相关检验、空间计量模型,分析我国高职教育国际化水平、时空差异与影响因素。研究结果显示:高职教育国际化水平随时间推移呈上升趋势,从各维度看,“成果输出”贡献最大,其次是“教师输出”,最后是“人才输出”;省域上看,东部沿海省份遥遥领先,中西部个别省份异军突起,其他省份相对落后;空间上呈现显著的正相关,主要集聚类型为低低集聚,高高集聚不突出。从影响因素来看,生态系统中微观系统、中间系统、外层系统、宏观系统都对高职教育国际化水平产生了显著影响。据此建议,营造开放包容的生态环境,探索校企深度融合的发展模式,构建“双师型”教师国际化发展体系,实施区域协同的国际化发展战略。

经腔内彩色多普勒超声检查鉴别输卵管不同节段异位妊娠的效能评估

目的 探讨经腔内彩色多普勒超声检查鉴别输卵管不同节段异位妊娠的效能评估。方法2021年1月至2022年10月,从就诊本院的输卵管异位妊娠中选取100例为研究对象,用腔内彩色多普勒超声检查鉴别诊断输卵管不同节段异位妊娠,分析其对输卵管不同节段异位妊娠鉴别诊断的效能。结果100例输卵管异位妊娠患者,经腔内超声确诊95例,诊断准确率为95%,其中附件包块检出94例,检出率为94%,包块血流检出95例,检出率为95%,盆腔积液检出93例,检出率为93%;经腔内超声确诊的95例患者,其中壶腹部妊娠70例,占比73.68%,准确率为93.33%(70/75),间质部妊娠8例,占比5.26%,准确率为75.00%(6/8),峡部妊娠6例,占比6.3 2%,准确率为42.85%(6/14),伞部妊娠11例,占比11.58%,准确率为45.45%(5/11);壶腹部的AUC为0.817,间质部为0.701,峡部为0.624,伞部为0.630。结论经腔内彩色多普勒超声检查对于输卵管不同节段异位妊娠具有诊断价值,且对壶腹部、间质部的诊断准确率最高,伞部及峡部诊断准确率次之,可用于输卵管不同节段异位妊娠的鉴别诊断。