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.

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.

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.

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.

Coupling and Coordination Characteristics and Influencing Factors of the Livable Environment System for the Elderly in China

The construction of a livable environment for the elderly is an important measure to address the challenges of aging and improve their livelihood and well-being.Based on China’s national conditions and combined with the actual development needs of the cities,it is of great significance to explore the coupling and coordination characteristics and influencing factors within the livable environment system for the elderly for the coordination and stable development.This article was based on the three subsystems of’living service environment,socioeconomic environment and ecological livable environment’,following the research framework of’process-pattern-trend-impact’,constructs an evaluation index system for the livable environment for the elderly.Entropy weight-TOPSIS evaluation model,coupling coordination degree model,center of gravity and standard deviation ellipse model and the geographic detector model were used starting from the evolution of coupling coordination types to study the spatial and temporal pattern and dynamic trend characteristics and influencing factors of internal coupling coordination types in the livable environment system for the elderly from2010 to 2019.The results showed that:1)The coordinated development of life service environment system and ecological livable environment system(LE)and socioeconomic environment system and ecological livable environment system(SE)in the livable environment for the elderly decreased from the intermediate coordination level coordination areas to the low-level quality improvement and optimization areas:coordinated transition type.The overall development level of life service environment system and socioeconomic environment system(LS)was low,and it was always at a low level.2)The coupling degree of livable environment system for the elderly was high,the coupling coordination type shown a gradually decreasing layer structure with Zhejiang,Beijing and Guangdong high-level leading demonstration areas as the axis belt.3)The coupling coordination center of the elderly livable environment system was located in Henan,and the standard deviation ellipse was distributed in the northeast-southwest direction.The development center and the ellipse of the high-level leading demonstration areas and the intermediate coordination level areas were concentrated in the central and eastern regions,while the low-level coordination areas for improving quality and efficiency are mainly located in the western region.4)Urban development,green facilities,infrastructure,government macroscopic regulation and control,economic stimulus,and housing construction were all important factors affecting the coordinated development of the livable environment system for the elderly,exerting a varying degree of effect on the level of coordinated development of various types of systems.

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.

Reflections on the Guardianship and Support System of the Elderly Under the Background of an Aging Society

China Is aging society poses new challenges to guardianship system in the General Rules of the Civil Law of the People s Republic of China.The General Provisions of the Civil Law adapts to the requirements of the times and makes some important amendments and supplements to the guardianship system,notably the scope of adults with civil disability or limited capacity for civil conduct is no longer limited to people with a mental illness.However,there remain many deficiencies in the regulations.Based on the framework provisions of the existing guardianship system of the General Provisions of Civil Law,in the compilation of the marrage and family provisions in the Civil Code,it is necessary to strengthen the protection of the rights and interests of the elderly in an aging society,further improve the elderly guardianship system,including changing the single pattern of the guardianship system and improving the"dual subject"pattern of adult guardianship and adult support system,expand the scope of protected subject of guardianship,and improve the existing system of intentional custody,adult guardianship system,and guardianship and supervision system.

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.

Regional cerebral blood flow imaging assessment of brain function reconstruction in elderly hemiplegia patients by body weight support treadmill training

The mechanism underlying body weight support treadmill training in elderly hemiplegic stroke patients is largely unknown. This study aimed to elucidate the changes of cortical blood flow in seven elderly patients with post-stroke hemiplegia before and after body weight support treadmill training by semi-quantitative analysis of regional cerebral blood flow assessed by single photon emission computed tomography. Body weight support treadmill training for 6 months was effective in improving cerebral blood flow and promoting the walking speed and balance recovery in elderly patients with post-stroke hemiplegia.

Recognition model and algorithm of projectiles by combining particle swarm optimization support vector and spatial-temporal constrain

In order to improve the recognition rate and accuracy rate of projectiles in six sky-screens intersection test system,this work proposes a new recognition method of projectiles by combining particle swarm optimization support vector and spatial-temporal constrain of six sky-screens detection sensor.Based on the measurement principle of the six sky-screens intersection test system and the characteristics of the output signal of the sky-screen,we analyze the existing problems regarding the recognition of projectiles.In order to optimize the projectile recognition effect,we use the support vector machine and basic particle swarm algorithm to form a new recognition algorithm.We set up the particle swarm algorithm optimization support vector projectile information recognition model that conforms to the six sky-screens intersection test system.We also construct a spatial-temporal constrain matching model based on the spatial geometric relationship of six sky-screen intersection,and form a new projectile signal recognition algorithm with six sky-screens spatial-temporal information constraints under the signal classification mechanism of particle swarm optimization algorithm support vector machine.Based on experiments,we obtain the optimal penalty and kernel function radius parameters in the PSO-SVM algorithm;we adjust the parameters of the support vector machine model,train the test signal data of every sky-screen,and gain the projectile signal classification results.Afterwards,according to the signal classification results,we calculate the coordinate parameters of the real projectile by using the spatial-temporal constrain of six sky-screens detection sensor,which verifies the feasibility of the proposed algorithm.

Effect of Difference in Form of Driving Support Agent to Driver’s Acceptability<br/>—Driver Agent for Encouraging Safe Driving Behavior (2)

In recent years, the number of traffic accidents caused by elderly drivers has increased in Japan. However, a car is an important mode of transportation for the elderly. Therefore, to ensure safe driving, a system that can assist elderly drivers is required. In this study, we propose a driver-agent system that provides support to elderly drivers during and after driving and encourages them to improve their driving. This paper describes the prototype system based on the analysis of the teaching records of a human instructor, and the subjective evaluation of driving support to elderly and non-elderly driver from three different agent forms, a voice, visual, and robot. The result revealed that the robot form is more noticeable, familiar, and acceptable to the elderly and non-elderly than other forms.

Least Squares Support Vector Machine Based Real-Time Fault Diagnosis Model for Gas Path Parameters of Aero Engines

Least squares support vector machine （LS-SVM） is applied in gas path fault diagnosis for aero engines. Firstly, the deviation data of engine cruise are analyzed. Then, model selection is conducted using pattern search method. Finally, by decoding aircraft communication addressing and reporting system （ACARS） report, a real-time cruise data set is acquired, and the diagnosis model is adopted to process data. In contrast to the radial basis function （RBF） neutral network, LS-SVM is more suitable for real-time diagnosis of gas turbine engine.

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.

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。

Ignition Pattern Analysis for Automotive Engine Trouble Diagnosis Using Wavelet Packet Transform and Support Vector Machines

Engine spark ignition is an important source for diagnosis of engine faults.Based on the waveform of the ignition pattern,a mechanic can guess what may be the potential malfunctioning parts of an engine with his/her experience and handbooks.However,this manual diagnostic method is imprecise because many spark ignition patterns are very similar.Therefore,a diagnosis needs many trials to identify the malfunctioning parts.Meanwhile the mechanic needs to disassemble and assemble the engine parts for verification.To tackle this problem,an intelligent diagnosis system was established based on ignition patterns.First,the captured patterns were normalized and compressed.Then wavelet packet transform（WPT） was employed to extract the representative features of the ignition patterns.Finally,a classification system was constructed by using multi-class support vector machines（SVM） and the extracted features.The classification system can intelligently classify the most likely engine fault so as to reduce the number of diagnosis trials.Experimental results show that SVM produces higher diagnosis accuracy than the traditional multilayer feedforward neural network.This is the first trial on the combination of WPT and SVM to analyze ignition patterns and diagnose automotive engines.

Fast Training of Support Vector Machines Using Error-Center-Based Optimization

This paper presents a new algorithm for Support Vector Machine (SVM) training, which trains a machine based on the cluster centers of errors caused by the current machine. Experiments with various training sets show that the computation time of this new algorithm scales almost linear with training set size and thus may be applied to much larger training sets, in comparison to standard quadratic programming (QP) techniques.