Mediating role of inner strength in the relationship between medication literacy and medication adherence among kidney transplant patients

Objective:Compared with long-term renal replacement therapy,kidney transplantation is the ideal treatment for end-stage renal disease(ESRD),significantly extending patient life and improving quality of life.Kidney transplant patients need to adhere to lifelong immunosuppressive medication regimens,but their medication adherence is generally poor compared with other organ transplant recipients.Medication adherence is closely related to medication literacy and psychological status,yet related studies are limited.This study aims to investigate the current status of medication adherence,inner strength,and medication literacy in kidney transplant patients,analyze the relationships among these 3 factors,and explore the mediating role of inner strength in the relationship between medication literacy and medication adherence.Methods:A cross-sectional survey was conducted from March to October 2023 involving 421 patients aged≥18 years who visited kidney transplantation outpatient clinics at 4 tertiary hospitals in Hunan Province.The inner strength,medication literacy,and medication adherence of kidney transplant patients were investigated using the Inner Strength Scale(ISS),the Chinese version of the Medication Literacy Assessment in Spanish and English(MedLitRxSE),and the Chinese version of the Morisky Medication Adherence Scale-8(C-MMAS-8),respectively.Univariate analysis was performed to examine the effects of demographic and clinical data on medication adherence.Correlation analysis was conducted to explore the relationships among medication literacy,medication adherence,and inner strength.Significant variables from univariate and correlation analyses were further analyzed using multiple linear regression,and the mediating effect of inner strength was explored.Results:Among the 421 questionnaires collected,408 were valid,with an effective rate of 96.91%.The scores of C-MMAS-8,MedLitRxSE,and ISS were 6.64±1.16,100.63±14.67,and 8.47±4.03,respectively.Among the 408 patients,only 86(21.08%)patients had a high level of medication adherence,whereas 230(56.37%)patients had a medium level of medication adherence,and 92(22.55%)patients had poor medication adherence.Univariate analysis indicated that the kidney transplant patients’age,marital status,education levels,years since their kidney transplant operation,number of hospitalizations after the kidney transplant,and adverse drug reactions showed significant differences in medication adherence(all P<0.05).Correlation analysis showed that inner strength positively correlated with both medication literacy(r=0.183,P<0.001)and medication adherence(r=0.201,P<0.001).Additionally,there was a positive correlation between medication adherence and medication literacy(r=0.236,P<0.001).Inner strength accounted for 13.22%of the total effect in the mediating role between medication literacy and medication adherence.Conclusion:The level of medication adherence among kidney transplant patients needs improvement,and targeted intervention measures are essential.Inner strength mediates the relationship between medication literacy and medication adherence in these patients.Healthcare professionals should focus on enhancing medication literacy and supporting patients’inner strength to improve medication adherence.

Side-Channel Leakage Analysis of Inner Product Masking

The Inner Product Masking(IPM)scheme has been shown to provide higher theoretical security guarantees than the BooleanMasking(BM).This scheme aims to increase the algebraic complexity of the coding to achieve a higher level of security.Some previous work unfolds when certain(adversarial and implementation)conditions are met,and we seek to complement these investigations by understanding what happens when these conditions deviate from their expected behaviour.In this paper,we investigate the security characteristics of IPM under different conditions.In adversarial condition,the security properties of first-order IPMs obtained through parametric characterization are preserved in the face of univariate and bivariate attacks.In implementation condition,we construct two new polynomial leakage functions to observe the nonlinear leakage of the IPM and connect the security order amplification to the nonlinear function.We observe that the security of IPMis affected by the degree and the linear component in the leakage function.In addition,the comparison experiments from the coefficients,signal-to-noise ratio(SNR)and the public parameter show that the security properties of the IPM are highly implementation-dependent.

Regulating the inner Helmholtz plane structure at the electrolyte-electrode interface for highly reversible aqueous Zn batteries

The development of aqueous Zn batteries is limited by parasitic water reactions,corrosion,and dendrite growth.To address these challenges,an inner Helmholtz plane(IHP)regulation method is proposed by employing low-cost,non-toxic maltitol as the electrolyte additive.The preferential adsorption behavior of maltitol can expel the water from the inner Helmholtz plane,and thus hinder the immediate contact between Zn metal and H_(2)O.Meanwhile,strong interaction between maltitol and H_(2)O molecules can restrain the activity of H_(2)O.Besides,the"IHP adsorption effect"along with the low LUMO energy level of maltitol-CF_(3)SO_(3)^(-)can promote the in-situ formation of an organic-inorganic complex solid electrolyte interface(SEI)layer.As a result,the hydrogen/oxygen evolution side reaction,corrosion,and dendrites issues are effectively suppressed,thereby leading to highly reversible and dendrite-free Zn plating/stripping.The Zn‖I_(2)battery with hybrid electrolytes also demonstrates high electrochemical performance and ultralong cycling stability,showing a capacity retention of 75%over 20000 charge-discharge cycles at a large current density of 5 A g^(-1).In addition,the capacity of the device has almost no obvious decay over20000 cycles even at-30℃.This work offers a successful electrolyte regulation strategy via the IHP adsorption effect to design electrolytes for high-performance rechargeable Zn-ion batteries.

Assessment of land degradation in Inner Mongolia between 2000 and 2020 based on remote sensing data

Achieving land degradation neutrality(LDN)worldwide is a significant target of the Sustainable Development Goal(SDG15.3).Inner Mongolia,as a typical dryland region in northern China,has carried out several large-scale ecological restoration programs to combat land degradation.However,there is a lack of comprehensive assess-ment of its land degradation situation after ecological programs implementation,which is of great significance to supporting SDG15.3 in China.This study analyzed the land degradation situation using the improved SDG15.3.1 calculation framework based on fine resolution data in Inner Mongolia from 2000 to 2020,and finally compre-hensively evaluated the land status of the whole region and those subject to ecological programs.The results show that net land restoration proportion of various ecological project regions and whole region continues to increase.The scope of the Grain for Green Program(GGP)had the largest proportion of net land restoration while the Natural Reserve Program(NRP)had the lowest proportion from 2000 to 2020.The net land restoration area of Inner Mongolia during 2000-2010 and 2010-2020 was 35,800 km 2 and 65,300 km 2,respectively.Overall,Inner Mongolia has achieved statistically zero growth in land degradation under the governance of ecological restora-tion programs.Therefore,reasonable planning,well monitoring,and timely assessment of ecological restoration programs are crucial to support SDG15.3.

Enhanced soil moisture improves vegetation growth in an arid grassland of Inner Mongolia Autonomous Region, China

Climate change impacts on grasslands that cover a quarter of the global land area, have become unprecedented during the 21~(st) century. One of the important ecological realms, arid grasslands of northern China, which occupy more than 70% of the region's land area. However, the impact of climate change on vegetation growth in these arid grasslands is not consistent and lacks corresponding quantitative research. In this study, NDVI(normalized difference vegetation index) and climate factors including temperature, precipitation, solar radiation, soil moisture, and meteorological drought were analyzed to explore the determinants of changes in grassland greenness in Inner Mongolia Autonomous Region(northern China) during 1982–2016. The results showed that grasslands in Inner Mongolia witnessed an obvious trend of seasonal greening during the study period. Two prominent climatic factors,precipitation and soil moisture accounted for approximately 33% and 27% of grassland NDVI trends in the region based on multiple linear regression and boosted regression tree methods. This finding highlights the impact of water constraints to vegetation growth in Inner Mongolia's grasslands. The dominant role of precipitation in regulating grassland NDVI trends in Inner Mongolia significantly weakened from 1982 to 1996, and the role of soil moisture strengthened after 1996. Our findings emphasize the enhanced importance of soil moisture in driving vegetation growth in arid grasslands of Inner Mongolia, which should be thoroughly investigated in the future.

Modeling the energetic electron fluxes in the inner radiation belt based on a drift-source model

The Macao Science Satellite-1(MSS-1),designed by the Macao University of Science and Technology and the National Space Science Center(NSSC)of China,is equipped to detect the fine structure of the magnetic field over the South Atlantic Anomaly(SAA)region,monitoring geomagnetic field variations,and obtaining the energetic electron spectrum distributions in the Earth’s inner radiation belt.In this study,we simulate the distributions of trapped,quasi-trapped,and untrapped electrons along the orbit of MSS-1 based on a drift-source model.The simulation results show that the particle detector with 90°looking direction can observe trapped electrons in the SAA region,untrapped electrons in the regions conjugated with the SAA region at the north hemisphere,and quasitrapped electrons in all other regions.In contrast,the detectors with<60°looking directions can measure only untrapped electrons.Generally,quasi-trapped electron fluxes accumulate along the drift trajectory and are due primarily to CRAND,until reaching the SAA region where quasi-trapped electrons are all lost into the atmosphere.

Responses of vegetation yield to precipitation and reference evapotranspiration in a desert steppe in Inner Mongolia,China

Drought,which restricts the sustainable development of agriculture,ecological health,and social economy,is affected by a variety of factors.It is widely accepted that a single variable cannot fully reflect the characteristics of drought events.Studying precipitation,reference evapotranspiration(ET_(0)),and vegetation yield can derive information to help conserve water resources in grassland ecosystems in arid and semi-arid regions.In this study,the interactions of precipitation,ET_(0),and vegetation yield in Darhan Muminggan Joint Banner(DMJB),a desert steppe in Inner Mongolia Autonomous Region,China were explored using two-dimensional(2D)and three-dimensional(3D)joint distribution models.Three types of Copula functions were applied to quantitatively analyze the joint distribution probability of different combinations of precipitation,ET_(0),and vegetation yield.For the precipitation–ET_(0)dry–wet type,the 2D joint distribution probability with precipitation≤245.69 mm/a or ET_(0)≥959.20 mm/a in DMJB was approximately 0.60,while the joint distribution probability with precipitation≤245.69 mm/a and ET_(0)≥959.20 mm/a was approximately 0.20.Correspondingly,the joint return period that at least one of the two events(precipitation was dry or ET_(0)was wet)occurred was 2 a,and the co-occurrence return period that both events(precipitation was dry and ET_(0)was wet)occurred was 5 a.Under this condition,the interval between dry and wet events would be short,the water supply and demand were unbalanced,and the water demand of vegetation would not be met.In addition,when precipitation remained stable and ET_(0)increased,the 3D joint distribution probability that vegetation yield would decrease due to water shortage in the precipitation–ET_(0)dry–wet years could reach up to 0.60–0.70.In future work,irrigation activities and water allocation criteria need to be implemented to increase vegetation yield and the safety of water resources in the desert steppe of Inner Mongolia.

Spatial changes and driving factors of lake water quality in Inner Mongolia, China

Lakes play important roles in sustaining the ecosystem and economic development in Inner Mongolia Autonomous Region of China,but the spatial patterns and driving mechanisms of water quality in lakes so far remain unclear.This study aimed to identify the spatial changes in water quality and the driving factors of seven lakes(Juyanhai Lake,Ulansuhai Lake,Hongjiannao Lake,Daihai Lake,Chagannaoer Lake,Hulun Lake,and Wulannuoer Lake)across the longitudinal axis(from the west to the east)of Inner Mongolia.Large-scale research was conducted using the comprehensive trophic level index(TLI(Σ)),multivariate statistics,and spatial analysis methods.The results showed that most lakes in Inner Mongolia were weakly alkaline.Total dissolved solids and salinity of lake water showed obvious zonation characteristics.Nitrogen and phosphorus were identified as the main pollutants in lakes,with high average concentrations of total nitrogen and total phosphorus being of 4.05 and 0.21 mg/L,respectively.The values of TLI(Σ)ranged from 49.14 to 71.77,indicating varying degrees of lake eutrophication,and phosphorus was the main driver of lake eutrophication.The lakes of Inner Mongolia could be categorized into lakes to the west of Daihai Lake and lakes to the east of Daihai Lake in terms of salinity and TLI(Σ).The salinity levels of lakes to the west of Daihai Lake exceeded those of lakes to the east of Daihai Lake,whereas the opposite trend was observed for lake trophic level.The intensity and mode of anthropogenic activities were the driving factors of the spatial patterns of lake water quality.It is recommended to control the impact of anthropogenic activities on the water quality of lakes in Inner Mongolia to improve lake ecological environment.These findings provide a more thorough understanding of the driving mechanism of the spatial patterns of water quality in lakes of Inner Mongolia,which can be used to develop strategies for lake ecosystem protection and water resources management in this region.

The Inner Structure of the Intrinsic Electron and the Origin of Self-Mass

A brief review and analysis of two historical models of the electron, the charged spinning sphere and Goudsmit and Uhlenbeck’s concept, is presented. It is shown that the enormous potential of classical electrodynamics has been underutilized in particle physics. Such observation leads to discovery of a principal component in the electron inner structure—the charged c-ring. The intrinsic (fundamental) electron model based on the charged c-ring successfully explains the ontology of the charge fractionation in quantum chromodynamics and the formation of Cooper pairs in superconductivity. The c-ring properties are explained on the basis of the General Compton Conditions as defined. Properties of the charged c-ring include the explanation of the boundary conditions, electro-magnetostatic field configuration, self-mass, spin, magnetic moment, and the gyromagnetic ratio. The self-mass of the intrinsic electron is 100% electro-magnetostatic and it is shown how to compute its value. The classical-quantum divide no longer exists. Relation between the intrinsic electron and the electron is fundamentally defined. The electron is the composite fermion consisting of the intrinsic electron and the neutrino. The ontology of the anomaly in the electron magnetic moment is demonstrated—it is due to the addition of the neutrino magnetic moment to the overall electron magnetic moment. The intrinsic electron replaces the W? boson in particle physics, resulting in a fundamental implication for the Standard Model.

The Intrinsic Electron with Its Properties Such as Inner Structure and Self-Mass Is in Conflict with Quantum Field Theory

The quantum field theory (QFT) is one of branches of the Standard Model. According to QFT, quantum fields are the primary entities and particles are the excitations of these fields, coming in discrete lumps with no inner structures and with properties assigned by declaration. Such view is in conflict with the observed vacuum energy density, 140 orders of magnitudes less than required by the QFT. In addition, such view is challenged by Aphysical Quantum Mechanics (AQM), a deeper quantum theory. According to AQM, the fundamental understanding of quantum reality is expanded by the addition of two fundamental categories, aphysical and elementary consciousness of elementary particles. Based on AQM and as an example, the total ontology of the intrinsic (fundamental) electron is presented with its inner structure of perfect geometry consisting of the physical charged c-ring and aphysical cylinder, and with its properties such as self-mass, spin, magneto-electrostatic field configuration and magnetic moment. The position parameter in the inner structure demonstrates that there are no two identical intrinsic electrons in the Universe thus placing a question mark over the QFT principle of indistinguishability.

基于改进凸内逼近法的主动配电网有功-无功协调优化

以风电、光伏为代表的分布式电源接入配电网后容易导致系统电压波动变大以及局部电压越限。以二阶锥优化为代表的松弛技术在优化时为了保证松弛后解的精确,约束条件极为严苛并且在功率的极端注入下容易导致对偶间隙增大。针对上述问题,该文提出基于改进凸内逼近法的主动配电网有功-无功优化方法。首先,基于支路潮流方程定义与支路电流、节点电压和视在功率流相关的非线性项的凸包,并与剩余线性元素结合形成凸内部近似,建立完善的数学模型;进一步提出网络容许性判据以及引入KKT条件收缩最优解的对偶间隙。最后,基于IEEE 33系统及PG&E69节点系统,利用Yalmip等平台求得电网中各有功、无功决策变量的出力区间,验证所提方法的稳定、精确与高效性。

开挖顺序及内支撑早期刚度对软土基坑稳定性影响规律

深基坑开挖变形控制是软土基坑工程的难题,工程中常采用密集的混凝土内支撑来提高支撑刚度,然而实际工程中未能合理考虑软土深基坑的开挖顺序和混凝土内支撑早期刚度影响,往往导致基坑实际变形远大于设计值。结合珠三角水资源配置工程的软土深基坑,利用验证后的数值模拟方法研究了不同开挖顺序及混凝土内支撑早期刚度对基坑受力和变形特性的影响规律,得出了分层分区非对称开挖和对称开挖对地连墙水平位移和地表沉降的影响规律。结果表明:尽管非对称开挖会造成基坑两侧的地连墙位移和地表沉降差异,但是密集内支撑条件下非对称开挖比对称开挖对于基坑周围地表沉降和地连墙水平位移影响更小并能够大量节约工期;受混凝土内支撑早期刚度影响,施作内支撑后越早进入下一步开挖,地连墙水平位移和周围地表沉降越大;考虑内支撑早期刚度影响时基坑上部的内支撑轴力会增大,而下部的内支撑轴力会减小,早期刚度越小,这种趋势越明显;现场施工时难以实时动态监测混凝土的弹性模量,极易造成内支撑轴力的早期监测数据失真,甚至给工程带来错误决策。

不同草原防火政策下内蒙古草原火灾发生风险及其驱动因素的研究

草原火灾是草原生态系统中重要的干扰因子之一,不同时期的草原防火政策可能会导致草原火灾发生概率及驱动因素发生变化。本研究基于内蒙古1981~2020年草原火灾数据,以新旧《草原防火条例》实施时间(旧《草原防火条例》1993年10月5日颁布并实施,新《草原防火条例》2008年11月19日颁布并于2009年1月1日起实施)为界线,通过随机森林模型分4个时期(1981~2020年、1981~1993年、1994~2008年、2009~2020年)对内蒙古草原火灾发生概率与驱动因素进行比较与分析,并绘制草原火灾风险等级区划图。结果表明:(1)4个时期建模的全样本AUC在0.930~0.940之间,精度优异。(2)在不同时期,气象因素(日平均相对湿度、气温日较差等)始终是影响草原火灾的主导因素,海拔、距火点最近公路距离等因素也是内蒙古草原火灾发生的重要驱动因素;(3)1981~1993年和1981~2020年草原火灾风险区基本相似,中、高、极高草原火灾风险区主要集中在呼伦贝尔市大部分地区和兴安盟北部,1994~2008年中、高、极高草原火灾风险区主要集中在呼伦贝尔市,而2009~2020年中、高、极高草原火灾风险区主要集中在呼伦贝尔市西部、锡林郭勒盟北部、阿拉善盟东南部、乌海市和鄂尔多斯市东部。

内蒙古自治区就业质量有效性评估指标体系设计及运用

就业率和失业率一直都是研究就业的主要内容,它们可以作为研究就业现状的指标,但更应该关注就业质量问题。新常态下,供给侧结构性改革引发了劳动力供需不匹配、结构性就业矛盾等问题,即劳动力供需不匹配与就业质量水平较低。在此背景下,内蒙古自治区提升就业质量的重要性日益凸显。

内圣外王的期盼:中国古代君德论及其特征

中国古代君德论起源于殷周,发展于两汉,兴盛于唐,繁荣于两宋,变革于明末清初,一脉相承而内容不断丰富。君德的内容包含了君主的德性、器识、才智、能力等诸多因素,主要体现在君主个人修养以及施政过程中如何处理君臣关系、君民关系等方面。完善君德的方式主要有经筵讲读、皇储教育、家训教化、大臣谏诤、史书褒贬。古代君德论特征鲜明,君主地位的尊崇、历史的教训与现实的需要是君德论的起点,儒家“修齐治平”“内圣外王”理论是君德论的思想基础,读经观史,以经为则、以史为鉴是完善君德的重要手段,“致君尧舜”是君德修养的重点。古人已经形成了一套围绕君主而展开的关于君德修养的理论体系。同时也要看到,古人讨论君德,既存在“师道”与“君道”之间无法调和的矛盾,也没有进行制度层面的反思,反映的只是一种泛道德化的政治伦理观。

滚子与内圈打滑行为诱导的振动特性

针对滚子打滑试验研究困难的问题,通过分析滚子-内圈运动副的相对运动关系得出运动副振动特征频率的计算公式,在此基础上开展打滑试验,提取滚子纯滚动、打滑状态下的振动信号并采用短时傅里叶变换进行时频域分析,结果表明:滚子打滑会诱发一定的振动响应,其频率与滚子、内圈的转动频率相关,理论计算结果与试验结果较为吻合,可用于测算滚子打滑程度;滚子由纯滚动状态转变为打滑状态或由打滑状态转变为纯滚动状态时,纵向、切向振动的幅值均会发生突变,切向振动信号占主要成分且幅值更大。

内蒙古智慧农业高质量发展机遇与对策

智慧农业已成为现代农业最重要的发展方向之一,是以智慧化和智能化为目标,通过互联网、物联网、大数据、云计算和人工智能等现代信息技术与农业跨界融合,实现农业生产全过程的信息感知、定量决策、智能控制、精准投入和个性化服务的全新农业生产方式。内蒙古作为我国重要的粮食主产区和粮食净调出省区之一,大力推进智慧农业建设,积极探索智慧农业新技术、新模式、新实践对促进内蒙古智慧农业高质量发展至关重要。

植被NPP时空变化及其对气候变化的响应——以黄河内蒙古段为例

研究黄河内蒙古段植被净初级生产力(NPP)时空变化特征及其对气候变化的响应,为黄河流域环境保护、生态修复等提供科学依据。基于MOD17A3和气象站点资料,运用趋势分析、偏差分析、变异系数、相关分析、残差分析等方法,探讨2002—2021年植被NPP时空变化特征及其对气候变化的响应。结果表明:(1)植被NPP呈波动增加趋势,2011年以前以负偏离为主,2012年以后以正偏离为主。(2)植被NPP平均值为169.15 gC·(m~2·a)^(-1),自西向东递增,101~250 gC·(m~2·a)^(-1)区域占总面积的77.0%,裸地﹤灌木﹤其他﹤草地﹤农田﹤林地。69.1%的区域植被NPP变异系数Cv≤0.2,整体稳定性较好。(3)植被NPP与气温平均偏相关系数为0.31,仅有6.7%的区域通过了0.01的显著性检验;与降水量平均偏相关系数为0.62,有81.1%的区域通过了0.01的显著性检验。说明降水量是影响研究区植被NPP显著增加的主要气候因子。(4)气候变化与人类活动共同导致植被NPP的变化。

面向人与自然和谐共生的环境党内法规的治理逻辑

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中国特色现代教育学话语体系解析

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