僵尸网络(Botnet)是一种从传统恶意代码形态进化而来的新型攻击方式,为攻击者提供了隐匿、灵活且高效的一对多命令与控制信道(Command and Control channel,C&C)机制,可以控制大量僵尸主机实现信息窃取、分布式拒绝服务攻击和垃圾...僵尸网络(Botnet)是一种从传统恶意代码形态进化而来的新型攻击方式,为攻击者提供了隐匿、灵活且高效的一对多命令与控制信道(Command and Control channel,C&C)机制,可以控制大量僵尸主机实现信息窃取、分布式拒绝服务攻击和垃圾邮件发送等攻击目的。该文提出一种与僵尸网络结构和C&C协议无关,不需要分析数据包的特征负载的僵尸网络检测方法。该方法首先使用预过滤规则对捕获的流量进行过滤,去掉与僵尸网络无关的流量;其次对过滤后的流量属性进行统计;接着使用基于X-means聚类的两步聚类算法对C&C信道的流量属性进行分析与聚类,从而达到对僵尸网络检测的目的。实验证明,该方法高效准确地把僵尸网络流量与其他正常网络流量区分,达到从实际网络中检测僵尸网络的要求,并且具有较低的误判率。展开更多
The subversive nature of information war lies not only in the information itself, but also in the circulation and application of information. It has always been a challenge to quantitatively analyze the function and e...The subversive nature of information war lies not only in the information itself, but also in the circulation and application of information. It has always been a challenge to quantitatively analyze the function and effect of information flow through command, control, communications, computer, kill, intelligence,surveillance, reconnaissance (C4KISR) system. In this work, we propose a framework of force of information influence and the methods for calculating the force of information influence between C4KISR nodes of sensing, intelligence processing,decision making and fire attack. Specifically, the basic concept of force of information influence between nodes in C4KISR system is formally proposed and its mathematical definition is provided. Then, based on the information entropy theory, the model of force of information influence between C4KISR system nodes is constructed. Finally, the simulation experiments have been performed under an air defense and attack scenario. The experimental results show that, with the proposed force of information influence framework, we can effectively evaluate the contribution of information circulation through different C4KISR system nodes to the corresponding tasks. Our framework of force of information influence can also serve as an effective tool for the design and dynamic reconfiguration of C4KISR system architecture.展开更多
Objective: The objective of this randomized controlled trial study was to evaluate the education training in relation to lifestyle improvement in patients with type 2 diabetes through its influence in the levels of gl...Objective: The objective of this randomized controlled trial study was to evaluate the education training in relation to lifestyle improvement in patients with type 2 diabetes through its influence in the levels of glycated hemoglobin(HbA1 c), blood pressure, triglyceride, cholesterol levels, and body mass index(BMI).Methods: The study included patients with type 2 diabetes randomly selected from 20 residential areas in Tirana, Albania where family physicians provide services. The sample size in total was 200 patients in both groups(control and intervention). The education training(four sessions) was conducted by trained nursing staff for 6 months. Patients were screened for the biochemical profile before and after the intervention. To compare the groups with respect to the interest outcomes, the t-test was used. The value of P < 0.05 was considered significant.Results: There were 104 male patients and 96 female patients. The mean age was 54.9 ± 8.7. No significant differences were found between the study groups in relation to clinical and biochemical data before the education sessions. After the intervention, in the intervention group, the mean level of HbA1 c was significantly lower than the value in the control group(6.2% vs 6.8%, P = 0.001) as well as for the mean values of BMI. The mean reduction(more than 15%) in HbA1 c after the intervention was 43% in the intervention group and 2% in the control group(OR = 36.9, P < 0.05). Differences in BMI, HbA1 c, triglycerides, and cholesterol were more significantly visible in the intervention group. However, the difference in systolic and diastolic blood pressure values was almost the same(P > 0.05).Conclusions: The results of this study further support that the approach for education of patients with type 2 diabetes on changing lifestyle benefit the patient in controlling diabetes. It is believed that the establishment of diabetes education classes in health centers is an important investment in improving the management of type 2 diabetes.展开更多
AIM: The beneficial effect of zinc supplementation on the efficacy of interferon as a treatment for chronic hepatitis C had been demonstrated in hepatitis virus genotype lb of high viral load. This study focused on p...AIM: The beneficial effect of zinc supplementation on the efficacy of interferon as a treatment for chronic hepatitis C had been demonstrated in hepatitis virus genotype lb of high viral load. This study focused on patients with genotype 2, which is more sensitive to interferon than genotype lb, and used consensus interferon (CIFN) with or without zinc. METHODS: We randomized 83 patients with chronic hepatitis C to CIFN at 18 MIU six times/wk for 4 wk, followed by CIFN at 18 MIU six times/wk for another 20 wk, in combination with polaprezinc 300 mg (regimen A, n = 41) or as monotherapy (regimen B, n = 42). Thirtyone patients in regimen A and 33 patients in regimen B completed the clinical trial; the remaining patients withdrew because of side effects or a transfer to another hospital. RESULTS: Sustained biochemical response, defined as a normal aminotransferase level at the end of the 6-too post-treatment observation, was 68% and 69%, and sustained virological response, defined as undetectable HCV-RNA at the end of the 6-too post-treatment observation, was 54% and 67% for regimens A and B, respectively. CONCLUSION: CIFN treatment combined with zinc did not enhance the effect of CIFN as shown by biochemical, virological criteria. No side effects related to polaprezinc were noted.展开更多
AIM: To evaluate the relationship between glycemic control [assessed by glycated hemoglobin (HbA1c)], antidiabetic therapies and the risk of hepatocellular carcinoma (HCC).METHODS: We recruited 465 patients with HCC, ...AIM: To evaluate the relationship between glycemic control [assessed by glycated hemoglobin (HbA1c)], antidiabetic therapies and the risk of hepatocellular carcinoma (HCC).METHODS: We recruited 465 patients with HCC, 618 cases with liver cirrhosis and 490 controls with no liver disease. Among subjects with type 2 diabetes mellitus (DM2), the associations between the antidiabetic strategies and HbA1c level with HCC were determined through 2 series of multivariate logistic regression models using cirrhotic patients and controls as comparison groups. RESULTS: DM2 prevalence was 31.2% in patients with HCC, 23.2% in cirrhotic patients and 12.6% in controls (P < 0.0001). In 86% of study subjects, DM2 had been diagnosed for more than 1 year before the HCC diagnosis. HCC patients with DM2 had a 1.52.5fold increased risk of liver cancer. The HbA1c mean levels were signif icantly higher in DM2 patients with HCC than in cirrhoticand control DM2 patients. Antidiabetic treatment with metformin was more common among cirrhotic and control DM2 subjects than among cases with HCC. In both series of multivariate analyses, treatment with metformin signif icantly reduced the risk of HCC by more than 80% compared with sulphonylureas and insulin therapy. No signif icant differences were seen between sulphonylureas and insulin treatment. Elevated HbA1c levels were positively related to the risk for HCC in diabetic patients, with a 26%50% increase in risk for each 1% increase in HbA1c values.CONCLUSION: In patients with preexisting DM2, the risk of HCC is positively associated with poor chronic glycemic control and significantly decreased by metformin therapy.展开更多
To solve the problem of distributed tasks-platforms scheduling in holonic command and control(C2) organization,the basic elements of the organization are analyzed firstly and the formal description of organizational e...To solve the problem of distributed tasks-platforms scheduling in holonic command and control(C2) organization,the basic elements of the organization are analyzed firstly and the formal description of organizational elements and structure is provided. Based on the improvement of task execution quality,a single task resource scheduling model is established and the solving method based on the m-best algorithm is proposed. For the problem of tactical decision-holon cannot handle tasks with low priority effectively, a distributed resource scheduling collaboration mechanism based on platform pricing and a platform exchange mechanism based on resource capacities are designed. Finally,a series of experiments are designed to prove the effectiveness of these methods. The results show that the proposed distributed scheduling methods can realize the effective balance of platform resources.展开更多
To analyze the behavioral model of the command,control,communication,computer,intelligence,surveillance,reconnaissance(C4ISR)architecture,we propose an executable modeling and analyzing approach to it.First,the meta c...To analyze the behavioral model of the command,control,communication,computer,intelligence,surveillance,reconnaissance(C4ISR)architecture,we propose an executable modeling and analyzing approach to it.First,the meta concept model of the C4ISR architecture is introduced.According to the meta concept model,we construct the executable meta models of the C4ISR architecture by extending the meta models of fUML.Then,we define the concrete syntax and executable activity algebra(EAA)semantics for executable models.The semantics functions are introduced to translating the syntax description of executable models into the item of EAA.To support the execution of models,we propose the executable rules which are the structural operational semantics of EAA.Finally,an area air defense of the C4ISR system is used to illustrate the feasibility of the approach.展开更多
Objective: To assess the safety and efficacy of herbal formulation rich in standardized fenugreek seed extract(IND-2) add-on therapy in type 2 diabetes mellitus(T2DM) patients who were on insulin treatment in prospect...Objective: To assess the safety and efficacy of herbal formulation rich in standardized fenugreek seed extract(IND-2) add-on therapy in type 2 diabetes mellitus(T2DM) patients who were on insulin treatment in prospective, single arm, open-label, uncontrolled, multicentre trial.Methods: T2DM patients(n=30) with aged 18-80 years who were stabilized on insulin treatment with fasting blood sugar(FBS) level between 100-140 mg/dL received IND-2 capsules(700 mg, thrice a day) for 16 weeks.The primary endpoints were an assessment of FBS at week 2, 4, 6, 8, 12 and 16.Secondary end-points include post-prandial blood sugar level, glycosylated Hb(HbA1c), reduction in the dose of insulin and number of hypoglycemic attacks, and improvement in lipid profile at various weeks.Safety and adverse events(AEs) were also assessed during the study.Results: Study was completed in twenty T2DM patients, and there was no significant reduction in FBS and post-prandial blood sugar level after addon therapy of IND-2.However, add-on therapy of IND-2 significantly reduced(P<0.01) the HbA1c values, requirements of insulin and hypoglycemic events as compared with baseline.Total cholesterol, high-density lipoproteins-cholesterol, and low-density lipoproteincholesterol levels were significantly increased(P<0.01) after IND-2 add-on therapy.Body weight and safety outcomes did not differ significantly in IND-2 add-on therapy group at week 16.Additionally, add-on therapy of IND-2 did not produce any serious adverse events.Conclusions: The results of present investigation suggest that add-on therapy of IND-2 with insulin in T2DM patients improves glycaemic control through a decrease in levels of HbA1c and number of insulin doses needed per day without an increase in body weight and risk of hypoglycemia.Thus, IND-2 may provide a safe and well-tolerated add-on therapy option for the management of T2DM.展开更多
、Background:Using health coaching to improve the quality of life and health outcomes of the patients with diabetes mellitus,has emerged as a possible intervention.However,the few published randomized controlled trial...、Background:Using health coaching to improve the quality of life and health outcomes of the patients with diabetes mellitus,has emerged as a possible intervention.However,the few published randomized controlled trials using health coaching for patients with diabetes mellitus have reported mixed results.The present meta-analysis aimed to determine the effectiveness of health coaching on modifying health status and quality of life among diabetic patients and to clarify the characteristics of coaching delivery that make it most effective.Methods:This study searched for articles on randomized controlled trials of health coaching interventions targeting type 2 diabetic patients that were published in the English language from January 2005 through December 2018 in the Cochrane,Medline,PubMed,Trip,and Embase databases.Patients in the control group received usual diabetes mellitus care,and those in the experimental group received health coaching based on usual diabetes mellitus care.The primary outcomes included Hemoglobin A1c(HbA1c)and cardiovascular disease risk factors,including systolic blood pressure,diastolic blood pressure,triglyceride,high-density lipoprotein cholesterol(HDL-C),low-density lipoprotein cholesterol,total cholesterol,and body weight.The secondary outcomes included quality of life,self-efficacy,self-care skills,and psychological outcomes.Results:Health coaching intervention has a significant effect on HbA1c[mean difference(MD)=-0.35,confidence interval(CI)=-0.47,-0.22,I2=83%,P<0.001]and HDL-C(MD=-0.50,CI=-0.93,-0.07,I2=10%,P=0.02).The most effective strategy for health coaching delivery associated with improvement of HbA1c was decreasing the number of sessions and increasing the duration of each session.However,no significant difference was found for weight,SBP,diastolic blood pressure,triglyceride,low-density lipoprotein cholesterol,or total cholesterol.Mixed results were reported for the effect of health coaching on quality of life,self-efficacy,self-care skills,and depressive symptoms outcome.Conclusion:Health coaching intervention has a significant effect on HbA1c and HDL-C,and the most effective strategy is decreasing the number of sessions while increasing session duration.However,these results should be interpreted with caution as the evidence comes from studies at some risk of bias with considerable heterogeneity and imprecision.展开更多
A discrete iterative map model of V^2C control boost converter was established to study the dynamical behaviors of the converter. By using parameter space map and bifurcation diagram, the effects of circuit parameters...A discrete iterative map model of V^2C control boost converter was established to study the dynamical behaviors of the converter. By using parameter space map and bifurcation diagram, the effects of circuit parameters on the bifurcation behaviors of V^2C control and current-mode control boost converters were analyzed. The phase portraits and time-domain waveforms of the V^2C control boost converter were obtained by Runge-Kutta algorithm through piecewise smooth switching model. The research results indicate that V^2C control boost converters can evolve into periodic and chaotic behaviors, and show weaker nonlinear behaviors than current-mode control boost converters.展开更多
目的汉化多维度健康心理控制源C版(form C of the Multidimensional Health Locus of Control,MHLC-C)量表,并检验中文版MHLC-C量表的信度和效度。方法获得量表开发者授权后,依照Brislin量表翻译原则对MHLC-C量表进行正译、回译,经过2...目的汉化多维度健康心理控制源C版(form C of the Multidimensional Health Locus of Control,MHLC-C)量表,并检验中文版MHLC-C量表的信度和效度。方法获得量表开发者授权后,依照Brislin量表翻译原则对MHLC-C量表进行正译、回译,经过2轮专家函询及预调查后完成文化调试;采用便利抽样法,于2022年7月—10月对洛阳市某三级甲等医院内分泌科住院的2型糖尿病患者共321例进行调查,检验中文版MHLC-C量表的信效度,并从中便利抽取30例患者,于其初次接受调查2周后,再次对其进行调查,以评价重测信度。结果中文版MHLC-C量表共包含4个分量表、18个条目;条目水平的内容效度指数为0.780~1.000,量表水平的平均内容效度指数为0.960。探索性因子分析提取4个公因子,将其分别命名为内部控制、机遇控制、医生和其他人,4个公因子累计解释总方差的73.079%;验证性因子分析结果支持四因子模型假设,各项拟合指标可接受[χ2/df=1.560,渐进残差均方和平方根(RMSEA)=0.052,比较适配指数(CFI)=0.945,拟合优度指数(GFI)=0.901,调整后适配度指数(AGFI)=0.876,规范拟合指数(NFI)=0.862,递增拟合指数(IFI)=0.946,非规范拟合指数(TLI)=0.938]。量表总Cronbach’sα系数为0.825,重测信度系数为0.940。结论中文版MHLC-C量表具有良好的信效度,可作为评估2型糖尿病患者健康心理控制源的工具。展开更多
New precisely cooperative attacks, such as the coordi- nated cross plane session termination (CXPST) attack, need thou- sands upon thousands machines to attack diverse selected links simultaneously with the given ra...New precisely cooperative attacks, such as the coordi- nated cross plane session termination (CXPST) attack, need thou- sands upon thousands machines to attack diverse selected links simultaneously with the given rate. However, almost all command and control(C&C) mechanisms only provide publishing one com- mand to the whole once, so-called one-to-all C&C model, and are not productive to support CXPST-alike attacks. In this paper, we present one-to-any C&C model on coordination among the unco- operative controlled nodes. As an instance of one-to-any C&C model, directional command publishing (DCP) mechanism lever- aging on Kademlia is provided with a range-mapping key creating algorithm for commands to compute the publishing range and a statistically stochastic node querying scheme to obtain the com- mands immediately. With theoretical analysis and simulation, it is indicated that one-to-any C&C model fits for precisely coordi- nated operation on uncooperative controlled nodes with least complexity, better accuracy and efficiency. Furthermore, DCP mechanism can support one-to-all command publishing at the same time. As an example of future C&C model, studying on one-to-any C&C model may help to promote the development of more efficient countermeasures.展开更多
文摘僵尸网络(Botnet)是一种从传统恶意代码形态进化而来的新型攻击方式,为攻击者提供了隐匿、灵活且高效的一对多命令与控制信道(Command and Control channel,C&C)机制,可以控制大量僵尸主机实现信息窃取、分布式拒绝服务攻击和垃圾邮件发送等攻击目的。该文提出一种与僵尸网络结构和C&C协议无关,不需要分析数据包的特征负载的僵尸网络检测方法。该方法首先使用预过滤规则对捕获的流量进行过滤,去掉与僵尸网络无关的流量;其次对过滤后的流量属性进行统计;接着使用基于X-means聚类的两步聚类算法对C&C信道的流量属性进行分析与聚类,从而达到对僵尸网络检测的目的。实验证明,该方法高效准确地把僵尸网络流量与其他正常网络流量区分,达到从实际网络中检测僵尸网络的要求,并且具有较低的误判率。
基金supported by the Natural Science Foundation Research Plan of Shanxi Province (2023JCQN0728)。
文摘The subversive nature of information war lies not only in the information itself, but also in the circulation and application of information. It has always been a challenge to quantitatively analyze the function and effect of information flow through command, control, communications, computer, kill, intelligence,surveillance, reconnaissance (C4KISR) system. In this work, we propose a framework of force of information influence and the methods for calculating the force of information influence between C4KISR nodes of sensing, intelligence processing,decision making and fire attack. Specifically, the basic concept of force of information influence between nodes in C4KISR system is formally proposed and its mathematical definition is provided. Then, based on the information entropy theory, the model of force of information influence between C4KISR system nodes is constructed. Finally, the simulation experiments have been performed under an air defense and attack scenario. The experimental results show that, with the proposed force of information influence framework, we can effectively evaluate the contribution of information circulation through different C4KISR system nodes to the corresponding tasks. Our framework of force of information influence can also serve as an effective tool for the design and dynamic reconfiguration of C4KISR system architecture.
文摘Objective: The objective of this randomized controlled trial study was to evaluate the education training in relation to lifestyle improvement in patients with type 2 diabetes through its influence in the levels of glycated hemoglobin(HbA1 c), blood pressure, triglyceride, cholesterol levels, and body mass index(BMI).Methods: The study included patients with type 2 diabetes randomly selected from 20 residential areas in Tirana, Albania where family physicians provide services. The sample size in total was 200 patients in both groups(control and intervention). The education training(four sessions) was conducted by trained nursing staff for 6 months. Patients were screened for the biochemical profile before and after the intervention. To compare the groups with respect to the interest outcomes, the t-test was used. The value of P < 0.05 was considered significant.Results: There were 104 male patients and 96 female patients. The mean age was 54.9 ± 8.7. No significant differences were found between the study groups in relation to clinical and biochemical data before the education sessions. After the intervention, in the intervention group, the mean level of HbA1 c was significantly lower than the value in the control group(6.2% vs 6.8%, P = 0.001) as well as for the mean values of BMI. The mean reduction(more than 15%) in HbA1 c after the intervention was 43% in the intervention group and 2% in the control group(OR = 36.9, P < 0.05). Differences in BMI, HbA1 c, triglycerides, and cholesterol were more significantly visible in the intervention group. However, the difference in systolic and diastolic blood pressure values was almost the same(P > 0.05).Conclusions: The results of this study further support that the approach for education of patients with type 2 diabetes on changing lifestyle benefit the patient in controlling diabetes. It is believed that the establishment of diabetes education classes in health centers is an important investment in improving the management of type 2 diabetes.
基金Supported by the grant center of Excellence,Biomedical research using accelerator technology,Gunma,Japan
文摘AIM: The beneficial effect of zinc supplementation on the efficacy of interferon as a treatment for chronic hepatitis C had been demonstrated in hepatitis virus genotype lb of high viral load. This study focused on patients with genotype 2, which is more sensitive to interferon than genotype lb, and used consensus interferon (CIFN) with or without zinc. METHODS: We randomized 83 patients with chronic hepatitis C to CIFN at 18 MIU six times/wk for 4 wk, followed by CIFN at 18 MIU six times/wk for another 20 wk, in combination with polaprezinc 300 mg (regimen A, n = 41) or as monotherapy (regimen B, n = 42). Thirtyone patients in regimen A and 33 patients in regimen B completed the clinical trial; the remaining patients withdrew because of side effects or a transfer to another hospital. RESULTS: Sustained biochemical response, defined as a normal aminotransferase level at the end of the 6-too post-treatment observation, was 68% and 69%, and sustained virological response, defined as undetectable HCV-RNA at the end of the 6-too post-treatment observation, was 54% and 67% for regimens A and B, respectively. CONCLUSION: CIFN treatment combined with zinc did not enhance the effect of CIFN as shown by biochemical, virological criteria. No side effects related to polaprezinc were noted.
文摘AIM: To evaluate the relationship between glycemic control [assessed by glycated hemoglobin (HbA1c)], antidiabetic therapies and the risk of hepatocellular carcinoma (HCC).METHODS: We recruited 465 patients with HCC, 618 cases with liver cirrhosis and 490 controls with no liver disease. Among subjects with type 2 diabetes mellitus (DM2), the associations between the antidiabetic strategies and HbA1c level with HCC were determined through 2 series of multivariate logistic regression models using cirrhotic patients and controls as comparison groups. RESULTS: DM2 prevalence was 31.2% in patients with HCC, 23.2% in cirrhotic patients and 12.6% in controls (P < 0.0001). In 86% of study subjects, DM2 had been diagnosed for more than 1 year before the HCC diagnosis. HCC patients with DM2 had a 1.52.5fold increased risk of liver cancer. The HbA1c mean levels were signif icantly higher in DM2 patients with HCC than in cirrhoticand control DM2 patients. Antidiabetic treatment with metformin was more common among cirrhotic and control DM2 subjects than among cases with HCC. In both series of multivariate analyses, treatment with metformin signif icantly reduced the risk of HCC by more than 80% compared with sulphonylureas and insulin therapy. No signif icant differences were seen between sulphonylureas and insulin treatment. Elevated HbA1c levels were positively related to the risk for HCC in diabetic patients, with a 26%50% increase in risk for each 1% increase in HbA1c values.CONCLUSION: In patients with preexisting DM2, the risk of HCC is positively associated with poor chronic glycemic control and significantly decreased by metformin therapy.
基金supported by the National Natural Science Foundation of China(6157301761703425)+2 种基金the Aeronautical Science Fund(20175796014)Shaanxi Province Natural Science Foundation(2016JQ60622017JM6062)
文摘To solve the problem of distributed tasks-platforms scheduling in holonic command and control(C2) organization,the basic elements of the organization are analyzed firstly and the formal description of organizational elements and structure is provided. Based on the improvement of task execution quality,a single task resource scheduling model is established and the solving method based on the m-best algorithm is proposed. For the problem of tactical decision-holon cannot handle tasks with low priority effectively, a distributed resource scheduling collaboration mechanism based on platform pricing and a platform exchange mechanism based on resource capacities are designed. Finally,a series of experiments are designed to prove the effectiveness of these methods. The results show that the proposed distributed scheduling methods can realize the effective balance of platform resources.
文摘To analyze the behavioral model of the command,control,communication,computer,intelligence,surveillance,reconnaissance(C4ISR)architecture,we propose an executable modeling and analyzing approach to it.First,the meta concept model of the C4ISR architecture is introduced.According to the meta concept model,we construct the executable meta models of the C4ISR architecture by extending the meta models of fUML.Then,we define the concrete syntax and executable activity algebra(EAA)semantics for executable models.The semantics functions are introduced to translating the syntax description of executable models into the item of EAA.To support the execution of models,we propose the executable rules which are the structural operational semantics of EAA.Finally,an area air defense of the C4ISR system is used to illustrate the feasibility of the approach.
文摘Objective: To assess the safety and efficacy of herbal formulation rich in standardized fenugreek seed extract(IND-2) add-on therapy in type 2 diabetes mellitus(T2DM) patients who were on insulin treatment in prospective, single arm, open-label, uncontrolled, multicentre trial.Methods: T2DM patients(n=30) with aged 18-80 years who were stabilized on insulin treatment with fasting blood sugar(FBS) level between 100-140 mg/dL received IND-2 capsules(700 mg, thrice a day) for 16 weeks.The primary endpoints were an assessment of FBS at week 2, 4, 6, 8, 12 and 16.Secondary end-points include post-prandial blood sugar level, glycosylated Hb(HbA1c), reduction in the dose of insulin and number of hypoglycemic attacks, and improvement in lipid profile at various weeks.Safety and adverse events(AEs) were also assessed during the study.Results: Study was completed in twenty T2DM patients, and there was no significant reduction in FBS and post-prandial blood sugar level after addon therapy of IND-2.However, add-on therapy of IND-2 significantly reduced(P<0.01) the HbA1c values, requirements of insulin and hypoglycemic events as compared with baseline.Total cholesterol, high-density lipoproteins-cholesterol, and low-density lipoproteincholesterol levels were significantly increased(P<0.01) after IND-2 add-on therapy.Body weight and safety outcomes did not differ significantly in IND-2 add-on therapy group at week 16.Additionally, add-on therapy of IND-2 did not produce any serious adverse events.Conclusions: The results of present investigation suggest that add-on therapy of IND-2 with insulin in T2DM patients improves glycaemic control through a decrease in levels of HbA1c and number of insulin doses needed per day without an increase in body weight and risk of hypoglycemia.Thus, IND-2 may provide a safe and well-tolerated add-on therapy option for the management of T2DM.
文摘、Background:Using health coaching to improve the quality of life and health outcomes of the patients with diabetes mellitus,has emerged as a possible intervention.However,the few published randomized controlled trials using health coaching for patients with diabetes mellitus have reported mixed results.The present meta-analysis aimed to determine the effectiveness of health coaching on modifying health status and quality of life among diabetic patients and to clarify the characteristics of coaching delivery that make it most effective.Methods:This study searched for articles on randomized controlled trials of health coaching interventions targeting type 2 diabetic patients that were published in the English language from January 2005 through December 2018 in the Cochrane,Medline,PubMed,Trip,and Embase databases.Patients in the control group received usual diabetes mellitus care,and those in the experimental group received health coaching based on usual diabetes mellitus care.The primary outcomes included Hemoglobin A1c(HbA1c)and cardiovascular disease risk factors,including systolic blood pressure,diastolic blood pressure,triglyceride,high-density lipoprotein cholesterol(HDL-C),low-density lipoprotein cholesterol,total cholesterol,and body weight.The secondary outcomes included quality of life,self-efficacy,self-care skills,and psychological outcomes.Results:Health coaching intervention has a significant effect on HbA1c[mean difference(MD)=-0.35,confidence interval(CI)=-0.47,-0.22,I2=83%,P<0.001]and HDL-C(MD=-0.50,CI=-0.93,-0.07,I2=10%,P=0.02).The most effective strategy for health coaching delivery associated with improvement of HbA1c was decreasing the number of sessions and increasing the duration of each session.However,no significant difference was found for weight,SBP,diastolic blood pressure,triglyceride,low-density lipoprotein cholesterol,or total cholesterol.Mixed results were reported for the effect of health coaching on quality of life,self-efficacy,self-care skills,and depressive symptoms outcome.Conclusion:Health coaching intervention has a significant effect on HbA1c and HDL-C,and the most effective strategy is decreasing the number of sessions while increasing session duration.However,these results should be interpreted with caution as the evidence comes from studies at some risk of bias with considerable heterogeneity and imprecision.
基金The National Natural Science Foundation of China (No.50677056)the Natural Science Foundations of Jiangsu Province (No.BK2009105)
文摘A discrete iterative map model of V^2C control boost converter was established to study the dynamical behaviors of the converter. By using parameter space map and bifurcation diagram, the effects of circuit parameters on the bifurcation behaviors of V^2C control and current-mode control boost converters were analyzed. The phase portraits and time-domain waveforms of the V^2C control boost converter were obtained by Runge-Kutta algorithm through piecewise smooth switching model. The research results indicate that V^2C control boost converters can evolve into periodic and chaotic behaviors, and show weaker nonlinear behaviors than current-mode control boost converters.
文摘目的汉化多维度健康心理控制源C版(form C of the Multidimensional Health Locus of Control,MHLC-C)量表,并检验中文版MHLC-C量表的信度和效度。方法获得量表开发者授权后,依照Brislin量表翻译原则对MHLC-C量表进行正译、回译,经过2轮专家函询及预调查后完成文化调试;采用便利抽样法,于2022年7月—10月对洛阳市某三级甲等医院内分泌科住院的2型糖尿病患者共321例进行调查,检验中文版MHLC-C量表的信效度,并从中便利抽取30例患者,于其初次接受调查2周后,再次对其进行调查,以评价重测信度。结果中文版MHLC-C量表共包含4个分量表、18个条目;条目水平的内容效度指数为0.780~1.000,量表水平的平均内容效度指数为0.960。探索性因子分析提取4个公因子,将其分别命名为内部控制、机遇控制、医生和其他人,4个公因子累计解释总方差的73.079%;验证性因子分析结果支持四因子模型假设,各项拟合指标可接受[χ2/df=1.560,渐进残差均方和平方根(RMSEA)=0.052,比较适配指数(CFI)=0.945,拟合优度指数(GFI)=0.901,调整后适配度指数(AGFI)=0.876,规范拟合指数(NFI)=0.862,递增拟合指数(IFI)=0.946,非规范拟合指数(TLI)=0.938]。量表总Cronbach’sα系数为0.825,重测信度系数为0.940。结论中文版MHLC-C量表具有良好的信效度,可作为评估2型糖尿病患者健康心理控制源的工具。
基金Supported by the National Natural Science Foundation of China(61402526,61502528)
文摘New precisely cooperative attacks, such as the coordi- nated cross plane session termination (CXPST) attack, need thou- sands upon thousands machines to attack diverse selected links simultaneously with the given rate. However, almost all command and control(C&C) mechanisms only provide publishing one com- mand to the whole once, so-called one-to-all C&C model, and are not productive to support CXPST-alike attacks. In this paper, we present one-to-any C&C model on coordination among the unco- operative controlled nodes. As an instance of one-to-any C&C model, directional command publishing (DCP) mechanism lever- aging on Kademlia is provided with a range-mapping key creating algorithm for commands to compute the publishing range and a statistically stochastic node querying scheme to obtain the com- mands immediately. With theoretical analysis and simulation, it is indicated that one-to-any C&C model fits for precisely coordi- nated operation on uncooperative controlled nodes with least complexity, better accuracy and efficiency. Furthermore, DCP mechanism can support one-to-all command publishing at the same time. As an example of future C&C model, studying on one-to-any C&C model may help to promote the development of more efficient countermeasures.