目的分析ADOPT[态度(attitude,A)、定义(definition,D)、开放思维(open mind,O)、计划(planning,P)、实施(try it out,T)]模式在妊娠期糖尿病产妇中的应用效果。方法以南通大学附属妇幼保健院于2022年1月至2023年2月收治的120例妊娠期...目的分析ADOPT[态度(attitude,A)、定义(definition,D)、开放思维(open mind,O)、计划(planning,P)、实施(try it out,T)]模式在妊娠期糖尿病产妇中的应用效果。方法以南通大学附属妇幼保健院于2022年1月至2023年2月收治的120例妊娠期糖尿病产妇为研究对象,根据入院顺序将其分为对照组与观察组,每组60例,其中对照组产妇年龄24~35岁[(28.35±5.06)岁],观察组产妇年龄23~36岁[(28.29±5.33)岁],对照组实行常规护理,观察组实行ADOPT模式。比较2组产妇干预前与干预7 d时的心理弹性量表评分、糖尿病自我效能量表评分以及血糖水平,并对比2组产妇不良妊娠结局发生率。结果干预前,2组产妇的心理弹性量表评分、糖尿病自我效能量表评分及血糖水平差异无统计学意义(P>0.05),干预7 d时,观察组产妇心理弹性量表评分、糖尿病自我效能量表评分均高于对照组,且观察组产妇的空腹血糖、餐后2 h血糖水平均低于对照组(P<0.05)。干预后,观察组产妇(6.67%)、新生儿(5.00%)的不良妊娠结局发生率均低于对照组产妇(20.00%)、新生儿(16.67%),差异有统计学意义(P<0.05)。结论ADOPT模式能够改善妊娠期糖尿病产妇的心理弹性,强化自我效能,有效控制其血糖水平,同时降低不良妊娠结局发生率。展开更多
The construction industry needs modern construction methodology and technology to improve sustainability and production performance.Building Information Modelling(BIM)technology supports improving the quality of produ...The construction industry needs modern construction methodology and technology to improve sustainability and production performance.Building Information Modelling(BIM)technology supports improving the quality of products by reducing design and construction defects,risks to the health and safety of workers,and reduce overall project cost and delivery time.The BIM has capabilities,but it is still undiscovered and unable to exploit the full scale of its benefits in the Architectural Engineering and Construction(AEC)industry.There is a trend to adopt the BIM level 1,which is limited to 2D and only in a few cases 3D models uses in the design and construction of residential and commercial buildings,particularly in Nepal.Hence,this paper focuses on providing insight into the BIM benefits and identifies the potential barriers while adopting BIM Level 3 in Nepal.This was accomplished by developing a 4DBIM model of a multi-story residential building in Nepal and conducting the industry survey via focus group with the AEC professionals based on the developed 4DBIM model.A comprehensive literature review was conducted and presented the findings of the BIM benefits and barriers while adopting BIM.The study found that commercial and governmental projects can immediately be adopted BIM technology.It is concluded that the unavailability of skilled BIM users and the lack of proper policies for BIM adoption are key barriers in Nepal.Hence,the new policy is required to achieve and exploit the full scale of the BIM benefits and improve the project delivery in terms of quality,cost and time including the health and safety of workers and the sustainability of the AEC industry.展开更多
目的探讨基于ADOPT问题解决模式的护理干预结合饮食疗法对糖尿病合并前列腺增生术后患者饮食行为及康复情况的影响。方法选取2020年3月至2022年4月收治的86例糖尿病合并前列腺增生术后患者为研究对象,以随机数字表法将其分为对照组与观...目的探讨基于ADOPT问题解决模式的护理干预结合饮食疗法对糖尿病合并前列腺增生术后患者饮食行为及康复情况的影响。方法选取2020年3月至2022年4月收治的86例糖尿病合并前列腺增生术后患者为研究对象,以随机数字表法将其分为对照组与观察组,各43例。对照组采用常规护理干预,观察组在对照组基础上给予基于ADOPT问题解决模式的护理干预结合饮食疗法。比较两组的干预效果。结果干预后,观察组的遵医饮食行为、日常饮食管理行为、饮食依从性态度评分高于对照组(P<0.05)。干预后,观察组的空腹血糖(FBG)、餐后2 h血糖(2 h PG)、CD68、碱性成纤维细胞生长因子(bFGF)水平低于对照组(P<0.05)。观察组的术后并发症总发生率低于对照组(P<0.05)。结论基于ADOPT问题解决模式的护理干预联合饮食疗法不仅能够改善糖尿病合并前列腺增生术后患者的饮食行为,还能促进机体康复,减少术后并发症发生风险,值得推广。展开更多
Background:The rapid development of the blockchain technology and its various applications has rendered it important to understand the guidelines for adopting it.Methods:The comparative analysis method is used to anal...Background:The rapid development of the blockchain technology and its various applications has rendered it important to understand the guidelines for adopting it.Methods:The comparative analysis method is used to analyze different dimensions of the maturity model,which is mainly based on the commonly used capability maturity model.Results:The blockchain maturity model and its adoption process have been discussed and presented.Conclusions:This study serves as a guide to institutions to make blockchain adoption decisions more systematically.展开更多
Purpose:This paper aims to examine how the adoption decision of the internet banking in North Cyprus would be affected based on the following dimensions;the technology features,the personal characteristics,the social ...Purpose:This paper aims to examine how the adoption decision of the internet banking in North Cyprus would be affected based on the following dimensions;the technology features,the personal characteristics,the social environment and the expected risk.Design/methodology/approach:A self-administered survey was conducted with 291 participants responded to it.The partial least square approach of the structural equation modeling(PLS-SEM)is employed to investigate the direct effects of the proposed factors on the adoption decision.Additionally,the mediation test is used to examine indirect effects.Findings:Results showed that even though the participants appreciated the benefits of the online banking as the perceived usefulness factor exerts the greatest direct effect,they would rather use clear and easy-to-use websites,adding to that their assessments of the usefulness of these services are significantly influenced by the surrounding people’s views and prior experience.This is demonstrated by the total effects of the perceived ease of use and the subjective norm factors,which are greater than the direct effect of the perceived usefulness factor since both of these factors have significant direct and indirect effects mediated by the perceived usefulness factor.The negative impact of the perceived risk factor is weak compared to the previous factors.While the personal innovativeness factor showed the weakest effect among the proposed factors.展开更多
Introduction: Today, information technology is considered as an important national development principle in each country which is applied in different fields. Health care as a whole and the hospitals could be regarded...Introduction: Today, information technology is considered as an important national development principle in each country which is applied in different fields. Health care as a whole and the hospitals could be regarded as a field and organizations with most remarkable IT applications respectively. Although different benchmarks and frameworks have been developed to assess different aspects of Hospital Information Systems (HISs) by various researchers, there is not any suitable reference model yet to benchmark HIS in the world. Electronic Medical Record Adoption Model (EMRAM) has been currently presented and is globally well-known to benchmark the rate of HIS utilization in the hospitals. Notwithstanding, this model has not been introduced in Iran so far. Methods: This research was carried out based on an applied descriptive method in three private hospitals of Isfahan—one of the most important provinces of Iran—in the year 2015. The purpose of this study was to investigate IT utilization stage in three selected private hospitals. Conclusion: The findings revealed that HIS is not at the center of concern in studied hospitals and is in the first maturity stage in accordance with EMRAM. However, hospital managers are enforced and under the pressure of different beneficiaries including insurance companies to improve their HIS. Therefore, it could be concluded that these types of hospitals are still far away from desirable conditions and need to enhance their IT utilization stage significantly.展开更多
The construction sector is in need of further self-development due to recent innovations in technology.This is because the environmental problems which have been handled seriously all over the world in recent years,an...The construction sector is in need of further self-development due to recent innovations in technology.This is because the environmental problems which have been handled seriously all over the world in recent years,and studies related to the way of creating requirements and measures for healthy construction environments have been emphasized.For adoption of new technological construction products in that sector;a system which will encompass designers,contractors and users is required.For selection and widespread use of new technological products,the decision-making is not only sufficient but also cultural and socio-economic factors and conditions are gaining in importance.For the implementation and control of the new construction product assigned,a process of testing is required.The process of testing should be structured by allowing the use of new technological products in a system of continuous self-improvement by preventing the usage without change for a substantial amount of time.All of these processes have been examined within the scope of the doctoral thesis in model,which was developed for the adoption of technological innovation.In this study,the aim is to contribute to the creation of an appropriate adoption roadmap for constant self-renewal and self-improvement of construction environments,which are sensitive to the environment.展开更多
文摘The construction industry needs modern construction methodology and technology to improve sustainability and production performance.Building Information Modelling(BIM)technology supports improving the quality of products by reducing design and construction defects,risks to the health and safety of workers,and reduce overall project cost and delivery time.The BIM has capabilities,but it is still undiscovered and unable to exploit the full scale of its benefits in the Architectural Engineering and Construction(AEC)industry.There is a trend to adopt the BIM level 1,which is limited to 2D and only in a few cases 3D models uses in the design and construction of residential and commercial buildings,particularly in Nepal.Hence,this paper focuses on providing insight into the BIM benefits and identifies the potential barriers while adopting BIM Level 3 in Nepal.This was accomplished by developing a 4DBIM model of a multi-story residential building in Nepal and conducting the industry survey via focus group with the AEC professionals based on the developed 4DBIM model.A comprehensive literature review was conducted and presented the findings of the BIM benefits and barriers while adopting BIM.The study found that commercial and governmental projects can immediately be adopted BIM technology.It is concluded that the unavailability of skilled BIM users and the lack of proper policies for BIM adoption are key barriers in Nepal.Hence,the new policy is required to achieve and exploit the full scale of the BIM benefits and improve the project delivery in terms of quality,cost and time including the health and safety of workers and the sustainability of the AEC industry.
文摘目的探讨基于ADOPT问题解决模式的护理干预结合饮食疗法对糖尿病合并前列腺增生术后患者饮食行为及康复情况的影响。方法选取2020年3月至2022年4月收治的86例糖尿病合并前列腺增生术后患者为研究对象,以随机数字表法将其分为对照组与观察组,各43例。对照组采用常规护理干预,观察组在对照组基础上给予基于ADOPT问题解决模式的护理干预结合饮食疗法。比较两组的干预效果。结果干预后,观察组的遵医饮食行为、日常饮食管理行为、饮食依从性态度评分高于对照组(P<0.05)。干预后,观察组的空腹血糖(FBG)、餐后2 h血糖(2 h PG)、CD68、碱性成纤维细胞生长因子(bFGF)水平低于对照组(P<0.05)。观察组的术后并发症总发生率低于对照组(P<0.05)。结论基于ADOPT问题解决模式的护理干预联合饮食疗法不仅能够改善糖尿病合并前列腺增生术后患者的饮食行为,还能促进机体康复,减少术后并发症发生风险,值得推广。
基金National Natural Science Foundation of China(No.71601090).
文摘Background:The rapid development of the blockchain technology and its various applications has rendered it important to understand the guidelines for adopting it.Methods:The comparative analysis method is used to analyze different dimensions of the maturity model,which is mainly based on the commonly used capability maturity model.Results:The blockchain maturity model and its adoption process have been discussed and presented.Conclusions:This study serves as a guide to institutions to make blockchain adoption decisions more systematically.
文摘Purpose:This paper aims to examine how the adoption decision of the internet banking in North Cyprus would be affected based on the following dimensions;the technology features,the personal characteristics,the social environment and the expected risk.Design/methodology/approach:A self-administered survey was conducted with 291 participants responded to it.The partial least square approach of the structural equation modeling(PLS-SEM)is employed to investigate the direct effects of the proposed factors on the adoption decision.Additionally,the mediation test is used to examine indirect effects.Findings:Results showed that even though the participants appreciated the benefits of the online banking as the perceived usefulness factor exerts the greatest direct effect,they would rather use clear and easy-to-use websites,adding to that their assessments of the usefulness of these services are significantly influenced by the surrounding people’s views and prior experience.This is demonstrated by the total effects of the perceived ease of use and the subjective norm factors,which are greater than the direct effect of the perceived usefulness factor since both of these factors have significant direct and indirect effects mediated by the perceived usefulness factor.The negative impact of the perceived risk factor is weak compared to the previous factors.While the personal innovativeness factor showed the weakest effect among the proposed factors.
文摘Introduction: Today, information technology is considered as an important national development principle in each country which is applied in different fields. Health care as a whole and the hospitals could be regarded as a field and organizations with most remarkable IT applications respectively. Although different benchmarks and frameworks have been developed to assess different aspects of Hospital Information Systems (HISs) by various researchers, there is not any suitable reference model yet to benchmark HIS in the world. Electronic Medical Record Adoption Model (EMRAM) has been currently presented and is globally well-known to benchmark the rate of HIS utilization in the hospitals. Notwithstanding, this model has not been introduced in Iran so far. Methods: This research was carried out based on an applied descriptive method in three private hospitals of Isfahan—one of the most important provinces of Iran—in the year 2015. The purpose of this study was to investigate IT utilization stage in three selected private hospitals. Conclusion: The findings revealed that HIS is not at the center of concern in studied hospitals and is in the first maturity stage in accordance with EMRAM. However, hospital managers are enforced and under the pressure of different beneficiaries including insurance companies to improve their HIS. Therefore, it could be concluded that these types of hospitals are still far away from desirable conditions and need to enhance their IT utilization stage significantly.
文摘The construction sector is in need of further self-development due to recent innovations in technology.This is because the environmental problems which have been handled seriously all over the world in recent years,and studies related to the way of creating requirements and measures for healthy construction environments have been emphasized.For adoption of new technological construction products in that sector;a system which will encompass designers,contractors and users is required.For selection and widespread use of new technological products,the decision-making is not only sufficient but also cultural and socio-economic factors and conditions are gaining in importance.For the implementation and control of the new construction product assigned,a process of testing is required.The process of testing should be structured by allowing the use of new technological products in a system of continuous self-improvement by preventing the usage without change for a substantial amount of time.All of these processes have been examined within the scope of the doctoral thesis in model,which was developed for the adoption of technological innovation.In this study,the aim is to contribute to the creation of an appropriate adoption roadmap for constant self-renewal and self-improvement of construction environments,which are sensitive to the environment.
