Significant risk factors for intensive care unit-acquired weakness:A processing strategy based on repeated machine learning

BACKGROUND Intensive care unit-acquired weakness(ICU-AW)is a common complication that significantly impacts the patient's recovery process,even leading to adverse outcomes.Currently,there is a lack of effective preventive measures.AIM To identify significant risk factors for ICU-AW through iterative machine learning techniques and offer recommendations for its prevention and treatment.METHODS Patients were categorized into ICU-AW and non-ICU-AW groups on the 14th day post-ICU admission.Relevant data from the initial 14 d of ICU stay,such as age,comorbidities,sedative dosage,vasopressor dosage,duration of mechanical ventilation,length of ICU stay,and rehabilitation therapy,were gathered.The relationships between these variables and ICU-AW were examined.Utilizing iterative machine learning techniques,a multilayer perceptron neural network model was developed,and its predictive performance for ICU-AW was assessed using the receiver operating characteristic curve.RESULTS Within the ICU-AW group,age,duration of mechanical ventilation,lorazepam dosage,adrenaline dosage,and length of ICU stay were significantly higher than in the non-ICU-AW group.Additionally,sepsis,multiple organ dysfunction syndrome,hypoalbuminemia,acute heart failure,respiratory failure,acute kidney injury,anemia,stress-related gastrointestinal bleeding,shock,hypertension,coronary artery disease,malignant tumors,and rehabilitation therapy ratios were significantly higher in the ICU-AW group,demonstrating statistical significance.The most influential factors contributing to ICU-AW were identified as the length of ICU stay(100.0%)and the duration of mechanical ventilation(54.9%).The neural network model predicted ICU-AW with an area under the curve of 0.941,sensitivity of 92.2%,and specificity of 82.7%.CONCLUSION The main factors influencing ICU-AW are the length of ICU stay and the duration of mechanical ventilation.A primary preventive strategy,when feasible,involves minimizing both ICU stay and mechanical ventilation duration.

Influential Factors on Economic Benefit of Rice Farmers

[Objective] This study was to provide references for the improvement of agricultural economic benefit by analyzing the main factors on influencing the economic benefit of rice farmer. [Method] Field survey was carried out on 300 rice farmers in Suizhou, Wuxue and Xiaogan of Hubei Province. Through the descriptive statistics to the production input and output data of the sample farmers, the econometric model was established to conduct empirical test on the economic benefit of rice farmer and the influential factors. The optimal production scale for rice farmer was also estimated, and through the theoretical and empirical analysis of the optimal production scale, countermeasures were put forward with the aim to promote economic benefit of rice farmer. [Result] The application of fertilizer affected the economic benefit most, followed by the planting area; food policy, farming population and average economic income per capita had significant effects on the economic benefit of rice production; economic benefit was beneficial for cost control. [Conclusion] This study had great practical and instructive significance for stabilizing national food production, ensuring regional and national food safety.

Influential Factors of House-purchasing Intention in Work construction Sites among Migrant Workers with a Case of Investigations on 203 Migrant Workers from Jiangxi Province

The research selected 13 factors from individual and family characters, construction site characters and work characters and analyzed the influences on the willingness of purchasing houses on construction sites with Logistic regression mod- el. The results showed that gender, age differences, personality, willingness on fami- ly land conversion, management of enterprises on construction sites, relatives and friends on construction lands, and Job satisfaction were approved by significant testing, but marital status, annual household income, the rate of migrant worker in a household, transportation in work city, and corporate reputation were not approved by significant testing.

Influential Factors of Water Productivity of Maize in Oasis of Arid Areas——A Case Study of Linze County

[Objective] The aim was to research influential factors of water productivity of maize in oasis in arid areas. [Method] In middle reach of Heihe River in Linze County of Zhangye City, maize, a major crop in irrigated area in the oasis, was studied and nine influential factors were chosen through grey relation analysis. [Result] According to grey relation analysis, top five factors influencing water produc- tivity of maize during 1995-2009 were as follows： applied quantity of chemical fertil- izers〉labour input〉seeds〉mulch amount〉pesticide amount, which indicated that controllable factors, instead of uncontrollable ones, dominate in influence of water productivity of maize in oasis in arid areas. [Conclusion] With water resource limited, investment of controllable factors in high-efficient agricultural production should be the major strategy to improve water productivity of maize in oasis of arid areas.

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.

Directly searching method for slip plane and its influential factors based on critical state of slope

In order to determine the slip plane of slope directly by the calculation results of strength reduction method, and analyze the influential factors of slope stability, a numerical model was established in plane strain mode by FLAC3D for homogeneous soil slope, whose parameters were reduced until the slope reached the critical state. Then FISH program was used to get the location data of slip plane from displacement contour lines. Furthermore, the method to determine multiple slip planes was also proposed by setting different heights of elastic areas. The influential factors for the stability were analyzed, including cohesion, internal friction angle, and tensile strength. The calculation results show that with the increase of cohesion, failure mode of slope changes from shallow slipping to the deep slipping, while inclination of slip plane becomes slower and slipping volume becomes larger; with the increase of friction angle, failure mode of slope changes from deep slipping to shallow slipping, while slip plane becomes steeper and upper border of slip plane comes closer to the vertex of slope; the safety factor increases little and slip plane goes far away from vertex of slope with the increase of tensile strength.

Tempo-spatial characteristics and influential factors of rockburst:a case study of transportation and drainage tunnels in Jinping Ⅱ hydropower station

Jinping Ⅱ hydropower station is located in a high in-situ stress region in Southwest China. During the excavations of the transportation and drainage tunnels, more than 460 rockburst events were recorded in the transportation tunnel and 110 in the drainage tunnel, which has a serious and negative influence on the tunnels’ construction and the safety of staff and equipment. In the paper, the characters of rockburst patterns are analyzed for the transportation and drainage tunnels. The results are illustrated as follow: (1) Most of intensive rockbursts occur in the layer T2b, and continuous occurrences of rockbursts are more frequently observed than those in other layers. (2) The critical overburden depth of rockburst in the transportation tunnel is 600 m, and the length of the continuous occurrence section of rockburst is smaller than 25 m. The damaged depth of the rockburst has the tendency to increase with the increasing overburden depth, and the maximum damaged depth is over 3.5 m. (3) From east to west (west to east) in Jinping Ⅱ hydropower station, the rockburst usually takes place in the right (left) side of tunnel working face, and then the left (right) or roof of the tunnel. The total length of the continuous occurrence section of rockburst is 57.4%–62.2% of the overall rockburst length, followed by the rockbursts of flake-splitting type and other types. (4) Compared with the transportation tunnel, the intensity of rockburst in the drainage tunnel is higher while the length of the continuous occurrence section of rockburst is smaller. The rockburst section with length less than 10 m and depth of 1 m mainly occurs in the layer at a depth of 1 800–2 000 m. The influences of opening geometry and excavation method on the characteristics of the adjacent zone are great, but the influence of the stress among the tunnel group induced by excavation is relatively low.

Influential factors on the exchange rate of dissolved inorganic nutrients at the sediment-water interface in Jiaozhou Bay, China

Incubation experiments are carried out to study the exchange rates of dissolved inorganic nutrients including silicate, phosphate, ammonium, nitrite, and nitrate (vSiO3-Si, vPO4-P, vNH4-N, vNO2-N and vNO3-N) at the sediment-water interface in the Jiaozhou Bay. Major factors influencing the exchange rates are discussed in detail, which include the dissolved inorganic nutrient concentrations in porewater (Cpw), water and clay contents, and grain size of the sediments (CH2O, Cclay and GSsed). The results may provide insight into the dynamics of nutrient transport and the environmental capacity of nutrients in Jiaozhou Bay, and should be beneficial to solving the problems caused by excessive nutrient input this area.

Influential Factors of Bucket Foundation for Offshore Wind Turbine

In this paper, the influential design thctors of wide-shallow composite bucket foundation for 3 MW off- shore wind turbine are systematically studied by numerical simulation. The results show that the bucket diameter is larger than 27 m in generak and the range of 7--12 m is appropriate for cylinder height. In particular the bucket foun- dation with diameter of 30 m and cylinder height of 10 m is suitable for most soils. Under ultimate loads, the bucket diameter and elasticity modulus of soil have major effects on the deibrmability of bucket foundation, while the influ- ence of friction coefficient between the bucket and soil is relatively slight.

Simulation analysis on influential factors of stick-slip

In this paper a new physical model for studying stick-slip is established. Based on the dynamics system of the model,the state equation of the system is presented. And simulation analysis on the influential factors of stick-slip is carried out. The relationship between stiffness ( horizontal and normal) ,dampness,mass, difference of static and kinetic coefficients of friction,driving velocity,and amplitude in normal direction is analyzed and parameters of stick-slip are evaluated. Results show that stick-slip can be reduced by improving horizontal stiffness,decreasing dampness,reducing mass,cutting down the difference of static and kinetic coefficients of friction,properly choosing the vertical stiffness and properly inducting the normal oscillation.

Comprehensive Analysis of the Influential Factors of Karst Cave Tourism Development

There are many karst caves in China and each karst cave is a special part of natural landscape resources.How to exploit karst cave resources to develop tourism relates to the the effective exploitation of karst caves resources.The author comprehensively analyzed the main influential factors of karst cave tourism development and concluded that the influential factors were the feature of karst caves resources,transportation condition,construction condition,regional economic development level,source market,regional combination of scenic spots,spatial competition,investors' decision-making behavior,local residents' attitudes and so on.The integrated action of these factors codetermines whether karst cave tourism development successes or not.Only by thoroughly realizing the status and role of every influential factor karst cave tourism development could be reasonably conducted,exploiting strong points and avoiding shortcomings.

INFLUENTIAL FACTORS COMBINATION AND COMPETITIVE ADVANTAGES IN STAGES OF URBAN COMPETITIVENESS——Case Study of Suzhou in China

The urban competitive advantages rely on the combination and interaction of influential factors. As a dynamic progressive process, the city at different time has different competition influential factors combination. Because of this, the urban competitive advantages take on time-series characteristics. Stages of urban competition can be summed up into three ones, the basic factor-driven, the investment-driven and the innovation-driven. The finding of the study on the stages of urban competitive advantages in Suzhou is that in the current stage of Suzhou its competitive advantage is the investment-driven. The investment, especially FDI, plays remarkable functions for Suzhou competition with other cities.

Influential factors of healthcare provider resilience in disasters:A thematic analysis

Objective:To identify the influential factors of healthcare staff resilience in disasters.Methods:In this qualitative study,the influential factors of healthcare staff resilience in disasters were investigated through interviewing 20 experts.The interviews were conducted face-to-face,and MAXQDA software version 10 was used to organize the data and thematic analysis.Results:The participants included 5 medical emergency technicians,5 physicians,2 Red Crescent technicians,and 8 nurses.The main influential factors of healthcare providers’resilience were limited relief infrastructure,supportive empowerment,organizational capitals,and contradictory consequences.Other important factors were resource limitation,confusion and uncertainty,empowerment training,comprehensive support,human and value capital,social capital,physical capital,suffering,disability,calm,and excellence.Conclusion:Improving healthcare providers’resilience can be achieved by reducing uncertainty,providing the physical,economic,and human resources,strengthening motivation and comprehensive supports.It is suggested that disaster managers consider all identified dimensions to improve the resilience of healthcare providers to serve better in disasters.Moreover,researchers should study each dimension to provide profound knowledge regarding resilience in disasters.

Hypertension Associated with Atherosclerosis Risk Factors in Patients of Family Health Strategy Highlighting the Framingham Risk Score

The Systemic Arterial Hypertension (SAH) stands out among the chronic non-transmissible pathologies that impact the cause and/or aggravation of cardiovascular diseases (CVD) on a global level, as the disease is an underestimated disorder due to non-perceptive symptoms and associated with factors and risk markers of another CVD. Therefore, establishing the risk of progression and aggravation of the SAH, according the Framingham Risk Score (FRS), allows to reducing morbidity and improving preventative measures for DCVs. This observational and transversal study approaches the data collection of patient records at the Health Family Strategy of Senhor do Bonfim, BA, which established differences by descriptive and inferential statistical analysis (correlation and regression). The aspects of hypertension associated with risk factors for atherosclerosis were analyzed, determining the risk of developing cardiovascular events in 10 years by FRS. From 432 families, 746 patients were selected, of which 340 are hypertensive individuals (SAH = 45.57%) and 406 (NSAH = 54.42%) non-hypertensives. Among the SAH the majority (31.17%) was in the age range of 63 - 77, but, in both groups, women were in stronger number. There was greater prevalence in SAH for all the characteristics analyzed, smoking (13.20%), sedentary (29.41%) and cardiovascular accident (22.60%). The SAH group is more susceptive to the CVD progress in 10 years by FRS (P < 0.0001 ANOVA). In the NSAH group, there were significant associations among all the variables analyzed as was expected, without differences between the linear correlation and regression, indicating the physio-metabolic equilibrium of the factors and markers evaluated by FRS. Already in SAH group, despite the correlations have been significant too, the regression analysis revealed that only Total Cholesterol (P = 0.0086);LDL (P < 0.0001), Glucose (P < 0.0006) and Age (P < 0.0001) have significative association with FRS. So, these factors and markers deserve more attention upon the health staff of Health Family Strategy, in the SAH course at studied population, attempt the highest cardiovascular risk by FRS (2.5 to 2.8 times) to SAH. The monitoring of high-risk patients should prioritize the lifestyle changes, employing preventive measures to SAH and CVD and atherosclerosis.

Occurrence and influential factors of depression in patients with Alzheimer disease

BACKGROUND: The differential diagnosis between depressive pseudodementia and Alzheimer disease (AD) is a clinical problem, and it is more difficult to diagnose depression in AD. OBJECTIVE: To analyze the incidence and characters of depression in AD patients, and investigate the correlative factors. DESIGN: A randomized controlled study. SETTING: Beijing Geriatrics Hospital. PARTICIPANTS: From October 2005 to July 2006, 34 patients with probable AD were selected from the Department of Dementia, Beijing Geriatrics Hospital according to National Institute of Neurological and Communicative Diseases and Stroke/Alzheimer Disease and Related Disorders Association (NINCDS-ADRDA) criteria for AD. There were 16 males and 18 females, aged 63-85 years. Meanwhile, 30 patients with other chronic neurological disorders (CND) were selected from our hospital as the CND control group, there were 16 males and 14 females, aged 55-85 years, including 18 cases of cerebrovascular sequela, 9 of Parkinson disease and 3 of migraineurs. Another 30 patients with chronic physical diseases (CPD) were enrolled as the CPD control group, there were 15 males and 15 females, aged 57-83 years, including 15 cases of chronic bronchitis, 8 of hypertension and 7 of diabetes mellitus. Besides, 30 physical examinees were enrolled as the healthy control group, including 15 males and 15 females, aged 55-80 years. All the subjects were informed and agreed with the detection. METHODS: ① All the subjects underwent the Hamilton rating scale for depression (HAMD) (24 items) assessment, and the total score < 8 points was regarded as no depression, 8-20 as mild depression, 20-35 as moderate depression, ≥ 35 as severe depression. ② All the AD patients were assessed with Cornell scale for depression in dementia (CSDD) (19 items), and the total score < 8 points was regarded as no depression, and ≥ 8 as depression. CSDD consisted of five subscales, including mood-related signs, behavioral disturbance, cyclic functions, ideational disturbance and physical signs, which were scored as 0-2 points respectively, and the abnormal rate of each factor was observed, the abnormal rate was the percentage of number of patients suffering from the symptoms in the subscales to the total number of patients. ③ The cognitive function of the AD patients was assessed with Mini-mental status examination (MMSE) (the total score ranged 0-30 points; ≤17 in illiterate, ≤ 20 in primary school and ≤ 24 in middle school and higher was regarded as cognitive deficit) and the daily living ability of the AD patients was assessed with ADL. MAIN OUTCOME MEASURES: ① HAMD scores in all the groups; ② CDSS scores and abnormal rate of factors in AD patients; ③ MMSE score and activity of daily life (ADL) score in AD patients; ④ Correlation between depression and correlative factors in AD patients. RESULTS: All the 124 subjects were involved in the analysis of results. ① The HAMD average score of the AD group was significantly higher than those of the CND, CPD and healthy control groups [(12.7±3.2), (5.5±2.5), (3.4±1.3), (2.6±1.7) points, P < 0.01]. ② In the AD group, the CDSS average score was (5.8±4.3) points, 41.2% (14/34) met the criteria for depression. The abnormal rates in order were 44% (15/34) for mood-related signs, 32% (11/34) for behavioral disturbance, 24% (8/34) for cyclic function, 12% (4/34) for ideational disturbance and 12% (4/34) for physical signs. ③ The factors of age, course, MMSE score and ADL score were finally excluded after a multiple regression (P > 0.05). There was a negative correlation between CSDD score and onset age (P < 0.05), sex was also obviously correlated with CSDD score (P < 0.05). CONCLUSION: The incidence of depression in AD is much higher with various manifestations. Female patients are the susc and earlier onset age is the risk factor for the presence of depression in AD.

A review of foreign researches on influential factors affecting students＇ engagement in English classroom

Students＇ active engagement constitutes the core of the process of learning and teaching in the student-oriented classroom. The paper centers on a review of foreign researches on influential factors affecting students＇ engagement in English classroom. It is expected to figure out the relevant factors in order to promote students＇ active engagement.

Evaluating Influential Factors on the Duration of Vehicle Fire Incidents Using Grey Relational Analysis

The duration of vehicle fire incidents has been closely associated with incidents loss. Understanding the influential priority of factors is significant to take targeted countermeasures for the managements. Based on the database from WSDOT （Washington Department of Transportation） in USA, we analyze the probability distribution of the vehicle fire accidents＇ duration. Then we classify the influential factors into the first-grade factors including three categories： time, incident type, operation and the second-grade factors including eight categories： quarter, week and day time, etc. Then GILA （grey relational analysis） model is applied to calculate grey relational grades of the influential factors. The results show that the most important factor of the first-grade factors is incident type, vehicles involved and agencies involved are the major factors among the second-grade factors.

A Review for the Influential Factors in E-WOM Research

Although substantial literature is available on customer reviews or e-WOM （electronic word of mouth）, the topic is still under development and offers potential opportunities for further research. Since the topic is still at the stage of development, a review of the literature on customer reviews with the objective of summarizing existing findings will initial further studies on the growth of e-WOM technologies. This paper reviews the literature on e-WOM using a suitable classification scheme to identify the gap between theory and practice. Aiming to provide useful insights into the anatomy of e-WOM literature and be a good source for anyone who is interested in e-WOM, nine categories of findings are ultimately presented based on dependent-independent-variable relationship, along with a comprehensive list of reference. The paper ends up with discussions on future directions for research.

Derivation of Cultural Factors Involved in Publicity Translation Strategy

In the age of cultural variety,publicity translation has become a bridge of communication which is not purely an activity of lan-guage but conveys the original thoughts and culture.Derivation of cultural factors involved in translation,such as lexicon,sentence pat-terns,idiomatic expressions psychology and aesthetics are explored in order to contribute to the selection of translation strategy.

Risk factors and strategy for surgical incision infection in department of abdominal surgery

Objective To study the risk factors of surgical wound infection among the patients in department of abodominal surgery. Methods The factors on surgical wound infection were investigated by retrospective study. The diagnosis standard was based on Diagnosis Standard of Hospital Infection published by Ministry of Health.