Evaluation of the effects of health education interventions for hypertensive patients based on the health belief model

BACKGROUND Hypertension is a major risk factor for cardiovascular disease and stroke,and its prevalence is increasing worldwide.Health education interventions based on the health belief model(HBM)can improve the knowledge,attitudes,and behaviors of patients with hypertension and help them control their blood pressure.AIM To evaluate the effects of health education interventions based on the HBM in patients with hypertension in China.METHODS Between 2021 and 2023,140 patients with hypertension were randomly assigned to either the intervention or control group.The intervention group received health education based on the HBM,including lectures,brochures,videos,and counseling sessions,whereas the control group received routine care.Outcomes were measured at baseline,three months,and six months after the intervention and included blood pressure,medication adherence,self-efficacy,and perceived benefits,barriers,susceptibility,and severity.RESULTS The intervention group had significantly lower systolic blood pressure[mean difference(MD):-8.2 mmHg,P<0.001]and diastolic blood pressure(MD:-5.1 mmHg,P=0.002)compared to the control group at six months.The intervention group also had higher medication adherence(MD:1.8,P<0.001),self-efficacy(MD:12.4,P<0.001),perceived benefits(MD:3.2,P<0.001),lower perceived barriers(MD:-2.6,P=0.001),higher perceived susceptibility(MD:2.8,P=0.002),and higher perceived severity(MD:3.1,P<0.001)than the control group at six months.CONCLUSION Health education interventions based on the HBM effectively improve blood pressure control and health beliefs in patients with hypertension and should be implemented in clinical practice and community settings.

Assessment of public perspectives and barriers towards dengue preventive practices using the Health Belief Model in Puducherry,India:A cross-sectional study

Objective:To assess the perspectives and barriers towards dengue preventive practices among the residents of Puducherry,India.Methods:A cross-sectional survey was conducted in 300 households in Puducherry,using a population-proportionate(7:3)distribution from urban and rural areas by grid sampling.One adult interview per household was conducted and the participants were selected using a KISH grid.A semi-structured questionnaire based on the Health Belief Model(HBM)with additional questions on knowledge assessment was used.Knowledge was assessed based on the correctness of answers and the HBM scores were calculated on a 5-point Likert scale.Participants were categorized based on the median score under each domain.Logistic regression was used for adjusted analysis and models were built to predict the performances in each domain.Results:Four percent of the participants lacked basic knowledge regarding dengue transmission.While 208(69.3%)participants did not consider themselves at risk of contracting dengue within the next year,majority perceived dengue as a disease with low severity.Around 49.3%(148)were skeptical about the benefit of time and money spent on dengue prevention.Inadequate government efforts were stated as the major barrier(47.0%)and frequent reminders(142,47.3%)as the major cue to action.Age above 50 years(aOR 1.78,95%CI 1.04-3.06,P=0.037)and rural locality(aOR 2.68,95%CI 1.52-4.71,P=0.001)were found to be significantly associated with poor knowledge scores.Urban participants had a significantly higher chance to perceive low susceptibility as compared to the rural counterparts(aOR 1.74,95%CI 1.05-2.9,P=0.03).Participants with less than a high school education had low perceived benefits(aOR 2.46,95%CI 1.52-3.96,P<0.001)and low self-efficacy scores(aOR 2.66,95%CI 1.61-4.39,P<0.001).Conclusions:This study identifies key gaps in dengue prevention,including low perceived susceptibility,mild disease perception,limited knowledge of breeding sites,and overreliance on government efforts.Tailoring interventions to community needs,stratified to factors influencing the community perspectives can significantly improve dengue prevention efforts.

Belief reliability:a scientific exploration of reliability engineering

This paper systematically introduces and reviews a scientific exploration of reliability called the belief reliability.Beginning with the origin of reliability engineering,the problems of present theories for reliability engineering are summarized as a query,a dilemma,and a puzzle.Then,through philosophical reflection,we introduce the theoretical solutions given by belief reliability theory,including scientific principles,basic equations,reliability science experiments,and mathematical measures.The basic methods and technologies of belief reliability,namely,belief reliability analysis,function-oriented belief reliability design,belief reliability evaluation,and several newly developed methods and technologies are sequentially elaborated and overviewed.Based on the above investigations,we summarize the significance of belief reliability theory and make some prospects about future research,aiming to promote the development of reliability science and engineering.

Improved Belief Propagation Decoder for LDPC-CRC-Polar Codes with Bit-Freezing

Though belief propagation bit-flip(BPBF)decoding improves the error correction performance of polar codes,it uses the exhaustive flips method to achieve the error correction performance of CA-SCL decoding,thus resulting in high decoding complexity and latency.To alleviate this issue,we incorporate the LDPC-CRC-Polar coding scheme with BPBF and propose an improved belief propagation decoder for LDPC-CRC-Polar codes with bit-freezing(LDPCCRC-Polar codes BPBFz).The proposed LDPCCRC-Polar codes BPBFz employs the LDPC code to ensure the reliability of the flipping set,i.e.,critical set(CS),and dynamically update it.The modified CS is further utilized for the identification of error-prone bits.The proposed LDPC-CRC-Polar codes BPBFz obtains remarkable error correction performance and is comparable to that of the CA-SCL(L=16)decoder under medium-to-high signal-to-noise ratio(SNR)regions.It gains up to 1.2dB and 0.9dB at a fixed BLER=10-4compared with BP and BPBF(CS-1),respectively.In addition,the proposed LDPC-CRC-Polar codes BPBFz has lower decoding latency compared with CA-SCL and BPBF,i.e.,it is 15 times faster than CA-SCL(L=16)at high SNR regions.

Heterogeneous information fusion recognition method based on belief rule structure

To solve the problem that the existing situation awareness research focuses on multi-sensor data fusion,but the expert knowledge is not fully utilized,a heterogeneous informa-tion fusion recognition method based on belief rule structure is proposed.By defining the continuous probabilistic hesitation fuzzy linguistic term sets(CPHFLTS)and establishing CPHFLTS distance measure,the belief rule base of the relationship between feature space and category space is constructed through information integration,and the evidence reasoning of the input samples is carried out.The experimental results show that the proposed method can make full use of sensor data and expert knowledge for recognition.Compared with the other methods,the proposed method has a higher correct recognition rate under different noise levels.

Improved Segmented Belief Propagation List Decoding for Polar Codes with Bit-Flipping

Belief propagation list(BPL) decoding for polar codes has attracted more attention due to its inherent parallel nature. However, a large gap still exists with CRC-aided SCL(CA-SCL) decoding.In this work, an improved segmented belief propagation list decoding based on bit flipping(SBPL-BF) is proposed. On the one hand, the proposed algorithm makes use of the cooperative characteristic in BPL decoding such that the codeword is decoded in different BP decoders. Based on this characteristic, the unreliable bits for flipping could be split into multiple subblocks and could be flipped in different decoders simultaneously. On the other hand, a more flexible and effective processing strategy for the priori information of the unfrozen bits that do not need to be flipped is designed to improve the decoding convergence. In addition, this is the first proposal in BPL decoding which jointly optimizes the bit flipping of the information bits and the code bits. In particular, for bit flipping of the code bits, a H-matrix aided bit-flipping algorithm is designed to enhance the accuracy in identifying erroneous code bits. The simulation results show that the proposed algorithm significantly improves the errorcorrection performance of BPL decoding for medium and long codes. It is more than 0.25 d B better than the state-of-the-art BPL decoding at a block error rate(BLER) of 10^(-5), and outperforms CA-SCL decoding in the low signal-to-noise(SNR) region for(1024, 0.5)polar codes.

Integrating the health belief model into health education programs in a clinical setting

The article demonstrates that health belief model(HBM)-based health education in hypertensive patients effectively improves blood pressure control and medication adherence at 3 months and 6 months.The HBM addresses perceived barriers,benefits,susceptibility,severity,and self-efficacy,leading to better health behaviors.HBM-based education has been effective in various contexts,including managing chronic diseases,promoting cancer screenings,and preventing infectious diseases.However,the model has limitations,such as cultural applicability and addressing complex health behaviors influenced by environmental factors.Future research should integrate HBM with other theories and conduct longitudinal studies to assess long-term impacts.Despite these limitations,HBM-based education significantly improves patient outcomes,highlighting its potential in health education and promotion when appropriately adapted and implemented.This reinforces the model's value in designing effective health interventions and advancing public health.

Accountable capability improvement based on interpretable capability evaluation using belief rule base

A new approach is proposed in this study for accountable capability improvement based on interpretable capability evaluation using the belief rule base(BRB).Firstly,a capability evaluation model is constructed and optimized.Then,the key sub-capabilities are identified by quantitatively calculating the contributions made by each sub-capability to the overall capability.Finally,the overall capability is improved by optimizing the identified key sub-capabilities.The theoretical contributions of the proposed approach are as follows.(i)An interpretable capability evaluation model is constructed by employing BRB which can provide complete access to decision-makers.(ii)Key sub-capabilities are identified according to the quantitative contribution analysis results.(iii)Accountable capability improvement is carried out by only optimizing the identified key sub-capabilities.Case study results show that“Surveillance”,“Positioning”,and“Identification”are identified as key sub-capabilities with a summed contribution of 75.55%in an analytical and deducible fashion based on the interpretable capability evaluation model.As a result,the overall capability is improved by optimizing only the identified key sub-capabilities.The overall capability can be greatly improved from 59.20%to 81.80%with a minimum cost of 397.Furthermore,this paper also investigates how optimizing the BRB with more collected data would affect the evaluation results:only optimizing“Surveillance”and“Positioning”can also improve the overall capability to 81.34%with a cost of 370,which thus validates the efficiency of the proposed approach.

Chinese Adaptation and Psychometric Properties of the Belief in a Just World Scale for College Students

This study aims to revise the Belief in a Just World Scale(BJWS)for Chinese college students and test its reliability and validity(construct validity,convergent and divergent validity).Two samples of 546 and 595 college students were selected,respectively,using stratified cluster random sampling.Item analysis,exploratory factor analysis(EFA),confirmatory factor analysis(CFA),reliability analysis and convergent and divergent validity tests were carried out.The results showed that the 13 items of the BJWS have good item discrimination.The corrected item–total correlation in the general belief in a just world subscale was found to range from 0.464 to 0.655,and that in the personal belief in a just world subscale was 0.553 to 0.715.The internal consistency coefficients of the revised version of the BJWS and its subscales are good.The EFA and CFA results show that the structure and items of the revised scale are the same as those of the original scale.Belief in a just world was found to have significant positive correlations with gratitude and empathy,and has a significant negative correlation with anxiety,thereby exhibiting good convergent and divergent validity.Therefore,the Chinese revised version of the BJWS has good reliability and validity.

Exploring the Intersection of Spirituality and Religion:Transcendence,Secularism,and Personal Beliefs in Contemporary Society

This paper explores the intersection of spirituality and religion,focusing on how transcendence,secularism,and personal beliefs shape contemporary spiritual practices.It examines the philosophical foundations of transcendence,the rise of existentialism,and the distinction between spirituality and religion.Secularism's role in fostering personal spirituality and reducing religious authority is discussed,alongside the psychological and societal impacts of spiritual transcendence.The paper also critiques the limitations of spirituality,emphasizing the need for a balanced approach that integrates cognitive development and mental health perspectives.

Faith and Belief in Autism in Cote d’Ivoire: About Judith, God’s Strange Gift

Faced with autism, motherhood and parenthood are turned upside down in many ways. Coping with stress and mental health problems, continuing to assume a rewarding parental role and finding suitable care are the trials and tribulations that mark out the journey of African parents. Faith and belief have been described as providing meaning and coping mechanisms in the frightening ordeal of disability. An encounter with a young girl and her parents provided an opportunity to analyse the mother’s experience and the impact of beliefs and discourses on her commitment to care. Based on this clinical story, we discuss the place of other-actors (parents and carers) and the Other-God in relation to the psychopathological dynamics of the mother.

A study on the cognitive status of human papillomavirus among adult males in Tianjin based on the health belief model

Background:To understand the health beliefs and knowledge of human papillomavirus among adult males in Tianjin.Methods:An online questionnaire survey was conducted from 18 January 2023 to 6 March 2023 using snowball sampling method.Analyze the health belief scores and human papillomavirus(HPV)and HPV vaccine knowledge scores of adult males in Tianjin,and analyze their influencing factors.Results:A total of 388 adult males in Tianjin were surveyed,with an average total score of 3.23±0.04 for their health beliefs.Among them,the average scores for perceived severity,perceived susceptibility,perceived impairment,perceived benefit,and self-efficacy were 3.41±1.05,2.37±1.20,2.96±1.00,3.51±0.90,and 3.36±1.08,respectively.Multiple linear regression analyses showed education was a factor influencing health beliefs.The average total score of knowledge is 64.09±15.62,with 277 people scoring above 60,and a pass rate of 71.4%.Through multiple linear regression analysis,education level,emotional status,whether disease testing has been done,and whether family and friends have been diagnosed with HPV positive are the main influencing factors.Conclusion:The awareness rate of HPV among adult males in Tianjin is still acceptable,but there are still misconceptions.The overall level of health beliefs is moderate,and the perceived susceptibility level is low.It is necessary to strengthen health education on HPV related knowledge for males and improve their cognitive level.

A Health State Prediction Model Based on Belief Rule Base and LSTM for Complex Systems

In industrial production and engineering operations,the health state of complex systems is critical,and predicting it can ensure normal operation.Complex systems have many monitoring indicators,complex coupling structures,non-linear and time-varying characteristics,so it is a challenge to establish a reliable prediction model.The belief rule base(BRB)can fuse observed data and expert knowledge to establish a nonlinear relationship between input and output and has well modeling capabilities.Since each indicator of the complex system can reflect the health state to some extent,the BRB is built based on the causal relationship between system indicators and the health state to achieve the prediction.A health state prediction model based on BRB and long short term memory for complex systems is proposed in this paper.Firstly,the LSTMis introduced to predict the trend of the indicators in the system.Secondly,the Density Peak Clustering(DPC)algorithmis used todetermine referential values of indicators for BRB,which effectively offset the lack of expert knowledge.Then,the predicted values and expert knowledge are fused to construct BRB to predict the health state of the systems by inference.Finally,the effectiveness of the model is verified by a case study of a certain vehicle hydraulic pump.

Optimal Insurance with Background Risk under the Ambiguity and Belief Heterogeneity Structure

In this paper, we discuss the optimal insurance in the presence of background risk while the insured is ambiguity averse and there exists belief heterogeneity between the insured and the insurer. We give the optimal insurance contract when maxing the insured’s expected utility of his/her remaining wealth under the smooth ambiguity model and the heterogeneous belief form satisfying the MHR condition. We calculate the insurance premium by using generalized Wang’s premium and also introduce a series of stochastic orders proposed by [1] to describe the relationships among the insurable risk, background risk and ambiguity parameter. We obtain the deductible insurance is the optimal insurance while they meet specific dependence structures.

Evaluation of the Application Effect of Enteral and Parenteral Nutrition Therapy Combined with a Health Belief Education Model in Patients with Inflammatory Bowel Disease

Objective:To evaluate the application effect of enteral and parenteral nutrition therapy combined with a health belief education model in patients with inflammatory bowel disease.Methods:80 patients with inflammatory bowel disease admitted to the Shanghai Zhangjiang Institute of Medical Innovation were chosen.This study was carried out from August 2022 to October 2023.The patients were randomly divided into a study group(40 cases)and a control group(40 cases).The treatment plan for the control group was the conventional treatment model,while the treatment plan for the study group was to provide enteral and parenteral nutrition therapy combined with a health belief education model based on the control group.The efficacy of both groups was compared.Results:In the study group,the therapeutic effect for 31 patients(77.50%)was markedly effective and 7 was effective(17.50%),accounting for 95.0%of the total,which was higher than the control group at 80.0%(P<0.05).The relief time of relevant symptoms in the study group was shorter than that of the control group(P<0.05).Before treatment,there were no differences in the high-sensitivity C-reactive protein(hs-CRP),interleukin 10(IL-10),and tumor necrosis factor-α(TNF-α)between both groups(P>0.05).After treatment,the levels of inflammatory factors in the study group(hs-CRP(8.02±1.13)mg/L,IL-10(9.24±1.25)pg/mL,and TNF-α(7.19±1.04)ng/L)were lower than those in the control group(P<0.05).Conclusion:Enteral and parenteral nutritional therapy combined with a health belief education model showed significant efficacy in inflammatory bowel disease patients.Patient symptoms were relieved and inflammatory reactions were reduced.This method is worthy of popularization.

An Empirical Evaluation of the Impact of Moral and Law Course Teaching on the Effectiveness of University Students’Ideals and Beliefs Education

The Moral and Law course serves as a critical platform for educating university students about ideals and beliefs,and it has a significant impact on the effectiveness of ideals and beliefs education.This paper establishes a mechanism through which Moral and Law course teaching influences the effectiveness of ideals and beliefs education and conducts an empirical evaluation.The results reveal that factors such as the relevance and applicability of the teaching content,the integration of theory and practice,the innovation,interactivity,and participation of teaching methods,as well as classroom atmosphere,teaching facilities,and campus culture,all have a significant positive impact on the effectiveness of ideals and beliefs education for university students.

基于Deep Belief Nets的中文名实体关系抽取

关系抽取是信息抽取的一项子任务,用以识别文本中实体之间的语义关系.提出一种利用DBN(deepbelief nets)模型进行基于特征的实体关系抽取方法,该模型是由多层无监督的RBM(restricted Boltzmann machine)网络和一层有监督的BP(back-propagation)网络组成的神经网络分类器.RBM网络以确保特征向量映射达到最优,最后一层BP网络分类RBM网络的输出特征向量,从而训练实体关系分类器.在ACE04语料上进行的相关测试,一方面证明了字特征比词特征更适用于中文关系抽取任务;另一方面设计了3组不同的实验,分别使用正确的实体类别信息、通过实体类型分类器得到实体类型信息和不使用实体类型信息,用以比较实体类型信息对关系抽取效果的影响.实验结果表明,DBN非常适用于基于高维空间特征的信息抽取任务,获得的效果比SVM和反向传播网络更好.

Intrusion detection model based on deep belief nets

This paper focuses on the intrusion classification of huge amounts of data in a network intrusion detection system. An intrusion detection model based on deep belief nets （DBN） is proposed to conduct intrusion detection,and the principles regarding DBN are discussed.The DBN is composed of a multiple unsupervised restricted Boltzmann machine （RBM） and a supervised back propagation （BP）network.First,the DBN in the proposed model is pre-trained in a fast and greedy way,and each RBM is trained by the contrastive divergence algorithm.Secondly,the whole network is fine-tuned by the supervised BP algorithm,which is employed for classifying the low-dimensional features of the intrusion data generated by the last RBM layer simultaneously.The experimental results on the KDD CUP 1999 dataset demonstrate that the DBN using the RBM network with three or more layers outperforms the self-organizing maps （SOM）and neural network （NN）in intrusion classification.Therefore,the DBN is an efficient approach for intrusion detection in high-dimensional space.

面向入侵检测系统的Deep Belief Nets模型

连续的网络流量会导致海量数据问题,这为入侵检测提出了新的挑战。为此,提出一种面向入侵检测系统的深度信念网络(deep belief nets oriented to the intrusion detection system,DBN-IDS)模型。首先,通过无监督的、贪婪的算法自底向上逐层训练每一个受限玻尔兹曼机(restricted Boltzmann machine,RBM)网络,使得大量高维、非线性的无标签数据映射为最优的低维表示;然后利用带标签数据被附加到顶层,通过反向传播(back propagation,BP)算法自顶向下有监督地对RBM网络输出的低维表示进行分类,并同时对RBM网络进行微调;最后,利用NSLKDD数据集对模型参数和性能进行了深入的分析。实验结果表明,DBN-IDS分类效果优于支持向量机(support vector machine,SVM)和神经网络(neural network,NN),适用于高维、非线性的海量入侵数据的分类处理。

On the relationship between college English teachers＇ beliefs and their teaching behaviors

Based on the questionnaires and interviews on 19 college English teachers of a university in Beijing, the paper discusses college English teachers＇ beliefs. Through the analysis of research results, the paper focuses on the following questions： （1） What are the core beliefs of college English teachers？ （2） What influence will the teachers＇ beliefs exert on teaching behaviors？ （3） Will the teachers＇ beliefs change？ If the answer is YES, how will they change and what is the source of the changes？ The exploratory results and findings can help college English teachers realize the importance of teachers＇ beliefs, through which can help them improve their teaching practices and foster their professional development.