Establishment and validation of an adherence prediction system for lifestyle interventions in non-alcoholic fatty liver disease

BACKGROUND Non-alcoholic fatty liver disease(NAFLD)is the most common liver disease worldwide,affecting about 1/4th of the global population and causing a huge global economic burden.To date,no drugs have been approved for the treatment of NAFLD,making the correction of unhealthy lifestyles the principle method of treatment.Identifying patients with poor adherence to lifestyle correction and attempting to improve their adherence are therefore very important.AIM To develop and validate a scale that can rapidly assess the adherence of patients with NAFLD to lifestyle interventions.METHODS The Exercise and Diet Adherence Scale(EDAS)was designed based on com-pilation using the Delphi method,and its reliability was subsequently evaluated.Demographic and laboratory indicators were measured,and patients completed the EDAS questionnaire at baseline and after 6 months.The efficacy of the EDAS was evaluated in the initial cohort.Subsequently,the efficacy of the EDAS was internally verified in a validation cohort.RESULTS The EDAS consisted of 33 items in six dimensions,with a total of 165 points.Total EDAS score correlated significantly with daily number of exercise and daily reduction in calorie intake(P<0.05 each),but not with overall weight loss.A total score of 116 was excellent in predicting adherence to daily reduction in calorie intake(>500 kacl/d),(sensitivity/specificity was 100.0%/75.8%),while patients score below 97 could nearly rule out the possibility of daily exercise(sensitivity/specificity was 89.5%/44.4%).Total EDAS scores≥116,97-115,and<97 points were indicative of good,average,and poor adherence,respectively,to diet and exercise recommendations.CONCLUSION The EDAS can reliably assess the adherence of patients with NAFLD to lifestyle interventions and have clinical application in this population.

Interpreting the Merits In Aristotle's Poetics

Aristotle's Poetics represents the first major work of literature criticism. In this masterpiece,Aristotle expresses his literary and aesthetical theories. By introducing the merits in Aristotle's Poetics,this thesis tends to reveal Aristotle's large and enduring influence on modern literary criticism.

Patient satisfaction and follow-up adherence to glaucoma case management clinic in China

AIM:To assess glaucoma patient satisfaction and follow-up adherence in case management and identify associated predictors to improve healthcare quality and patient outcomes.METHODS:In this cross-sectional study,a total of 119 patients completed a Patient Satisfaction Questionnaire-18 and a sociodemographic questionnaire.Clinical data was obtained from the case management system.Follow-up adherence was defined as completing each follow-up within±30d of the scheduled time set by ophthalmologists during the study period.RESULTS:Average satisfaction scored 78.65±7,with an average of 4.39±0.58 across the seven dimensions.Age negatively correlated with satisfaction(P=0.008),whilst patients with follow-up duration of 2 or more years reported higher satisfaction(P=0.045).Multivariate logistics regression analysis revealed that longer follow-up durations were associated with lower follow-up adherence(OR=0.97,95%CI,0.95-1.00,P=0.044).Additionally,patients with suspected glaucoma(OR=2.72,95%CI,1.03-7.20,P=0.044)and those with an annual income over 100000 Chinese yuan demonstrated higher adherence(OR=5.57,95%CI,1.00-30.89,P=0.049).CONCLUSION:The case management model proves effective for glaucoma patients,with positive adherence rates.The implementation of this model can be optimized in the future based on the identified factors and extended to glaucoma patients in more hospitals.

Colorectal cancer screening: Modalities and adherence

In the last decade,several studies have explored various modalities and strategies for colorectal cancer(CRC)screening,taking into account epidemiological data,individual characteristics,and socioeconomic factors.In this editorial,we comment further on a retrospective study by Agatsuma et al published in the recent issue of the World Journal of Gastroenterology.Our focus is on screening trends,particularly in relation to efforts to improve the currently suboptimal uptake among the general population worldwide,aiming to enhance early diagnosis rates of CRC.There is a need to raise awareness through health edu-cation programs and to consider the use of readily available,non-invasive screening methods.These strategies are crucial for attracting screen-eligible populations to participate in first-line screening,especially those in high-or average-risk groups and in regions with limited resources.Liquid biopsies and biomarkers represent rapidly evolving trends in screening and diagnosis;however,their clinical relevance has yet to be standardized.

The Three Stages of John Keats＇s Poetics

Apart from poetry, John Keats＇s concise remarks on poetics scatter miscellaneously in his other writings, whichhave been less studied compared with that of Keats＇s contemporary romantic poets. However, those terse remarksconstitute his deep perception on romantic poetry, many of which are now still glistening with their unique value.Based upon close reading upon Keats＇s poetical works and letters as well as later critics＇ books on poetry, thispaper intends to make a systematic study of Keats＇s poetics. Aiming at illustrating Keats＇ poetics, this paper fallsinto three parts--the first part being ＂Inspiration： Poetry as John Keats＇s Life＂, the second ＂Perspiration： NaturalGenius Plus Exquisite Revision＂, and the third ＂Perfection： the Aeolian Lyre＂.

Borges＇ Poetics of Visible Unrealities

Close reading and inter-textual analysis of Borges＇ essays, fiction, and poetry suggest a poetics of visible unrealities, a fiction that calls attention to its own artifice. Borges＇s poetics of reading and dreaming require another poetics of the work as a text that calls attention to its own artifice. In reading Borges＇ fiction, the separate roles and identities of reader, writer, and work of fiction merge and exchange roles, powers, and identities and are transformed into a single act of dreaming, which assumes cosmogonic and apocalyptic risks. In the dominant role given to the reader, the work of fiction as an object or work of art does not exist unless it is read. There is no determinate text, only a version of our own we re-write and invent every time we read the text. The author＇s reading is not a spontaneous evocation of vision, but an artifice, as artificial as the writing of the fiction. As writers and readers we are composed of texts and schemata, alphabets and artifacts, not merely mental perceptions and ideas. The reader requires a prior text to copy, translate, and recreate, and that text only exists as a fictional microcosm in so far as it is being read by a Reader who is able to actualize the revelation only imminent within it.

The Negotiation between Greenblatt and Jameson on Politics and Poetics in Contemporary China

Stephen Greenblatt who first introduces the term“New Historicism”,for these years has gradually entered the mainstream from the edge of the academic and has influenced many fields fundamentally.For Greenblatt,the relationship between society and literature,politics and poetics,is the key to the study of Cultural Poetics.Therefore,in the thesis of“Towards a Poetics of Culture”,he debated with Jameson,considering him asalien,and taking the contemporary China as an argument in order to demonstrate that the functional distinctions between politics and poetics should be separated.Moreover,he deemed that these two must be adjusted in order to adapt to each other.If we learn from the methodology of New Historicism that focuses on contexts and interpretation patterns,we will find that the divergence of their views can be eventually traced back to the theoretical,political and ideological differences.

The Major Western Cultural Influences on the Incubating Process of Ezra Pound＇s Early Poetics

This paper intends to study Ezra Pound＇s early poetics and his modernist poetry through a close research of the various elements in the shaping process of his poetics, and the significance and influence of his poetic thoughts on the American New Poetry Movement. It studies firstly the early translations and romantic lyrics of Pound, trying to demonstrate that part of the influence on his early poetics is from the Western traditional cultural inheritance and that the emphasis on musicality that Pound inherited from traditional forms of poetry turns out to be one of the major principles that Pound advocates in his early poetics; then it comes to the discussion of the new translation concepts and poetics in ＂The Seafarer＂ （1911）, which is a great work Pound translated based on an Old English poem; next this paper will focus on the influence of Robert Browning＇s dramatic monologues and Yeats＇ Symbolism on Pound＇s transition from subjectivity to objectivity.

Discovery of the Exquisite Meaning of the Word “chudu” in Chinese Poetry of the Adherents of a Former Dynasty

The word “chudu” comes from Qu Yuan’s Li Sao “huang lan kui yu chu du xi, zhao ci yu yi jia ming”. The original meaning was the day of birth. After the Song Dynasty, the literati began to use it to refer to birthdays. By the end of the Ming Dynasty, they had been calling their birthdays “chudu” once they celebrated it and they were so keen on birthday celebrations. Gu Yanwu pointed out that the word “chudu” only fits “the old ministers （or the exiled ministers） who lamented the crash of the Yingcapital of the country of “Chu” such as Qu Yuan. At the same time, its use in Huang Zongxi’s and Wang Fuzhi’s birthday poems is also consistent with this context. The unique situation and mood of the adherents led them to be close to Qu Yuan and Wen Tianxiang, which bestowed “chudu” the special meaning. It is very suitable for the ministers who suffered the crash of their Dynasties or those who were exiled distantly to express their feelings about the old dynasties and old friends. After these people, Chen Yinke consciously acknowledged this layer of interpreting “chudu” and used it, which has not only enriched the connotation of “chudu”, but also extended its cultural life. From Qu Yuan to Wen Tianxiang, until Gu Yanwu, Huang Zongxi, Wang Fuzhi, and then to Chen Yinke, we can take a glimpse of the spiritual world of the Chinese adherents of Dynasties.

Yuan Kejia＇s Poetics and the western influence

Yuan Kejia＇s poetics is the theory about the modernization of the new poetry. Some of his specific views on ＂the poetry and non poems＂, ＂the reality and the poetry＂, ＂the experience and the poetry＂, ＂the logic of the imagination＂, and ＂the drama doctrine＂ and other problems and the poetics texts are influenced by the western poetry, poetics or the literary theories. But it is not the summary of the Chinese theories of the western poetry or the Chinese version of the western poetry or the literary theories, but an attempt to ＂use all the cultural and academic achievements to come close to the literature and understand the literature＂, to develop the Chinese noetics.

Interpreting The Clockmaker from the Perspective of Greenblatt’s Cultural Poetics

Thomas·C·Haliburton(1796-1865)establishes a literary fame as“the first Canadian writer to establish an international reputation”and a great humorist,with the publication of his masterpiece The Clockmaker(1836).Centering on Nova Scotia,the origin place of Canadian literature and the first British colony in Canada,the book conveys deep concerns on local reality under the British colonization in the 1830s.Haliburton as a Loyalist firmly opposes violent revolution against the British Empire whereas promotes gradual evolution in the colony.This is a typical demonstration of ideological contradictions in colonies.Greenblatt’s Cultural Poetics generally explores political consciousness and ideology in literary texts.It surpasses the dichotomy mode of Western radical ideology and never views the relationship between domination and resistance as a simple confrontation.From the perspective of Greenblatt’s Culture Poetics,this essay interprets the process of“improvisation of power”,“subversion”and“containment”in the colony reflected in The Clockmaker in order to explore Nova Scotians’awakening of independence awareness in the 1830s.

The Travelling Muse Cathay and the Influence of Chinese Classical Poems on Ezra Pound＇s Poetics＊

This paper intends to study Ezra Pound＇s early poetics and his modemist poetry through a close research of the Eastern elements in the shaping process of his poetics and the significance and influence of his poetic thoughts on the American New Poetry Movement. In order to clarify the essence of Pound＇s early poetics under the influence of Chinese classical poems, the paper starts from the discussion of the influence of Cathay （1915） and his translation of Cathay; then it provides a detailed analysis of the relationship between Chinese classical poems and Pound＇s creation; and finally it has given an analysis of ＂In a Station of the Metro＂. Pound absorbed different poetic concepts from all of them and transformed his poetry from the conventional Romanticism to the innovative Modemism. What Pound innovated in the poetry composition is of great importance if the new era wishes to shake off the banality and out-of-date tradition in literature. Pound changed a whole generation of poets and set a good example for those who desire to write in a new way

Two Dimensions to Interpret the Poem “Mountain Graveyard” Based on Structuralist Poetics

To interpret and appreciate a poem from the perspective of Structuralist Poetics, its value will be revealed from two dimensions: its static structure and dynamic meaning. On one hand, Structuralist Poetics following the critic mode of New Criticism by analyzing its structure and language; on the other hand Structuralist Poetics goes beyond that static way of criticism and combines a poem with other literary works, readers'capabilities of reading and other factors together, thus constructs more meanings.

The Analysis of the Symbol Meaning of Harry Potter and the Half-Blood Prince—From the Perspective of Poetics

The Analysis of the Symbol Meaning of Harry Potter and the Half-Blood Prince—From the Perspective of

A Comparative Analysis of Chinese and English Concrete Poetry Based on Cognitive Poetics and Multimodality——a Case Study of A War Symphony and l(a

Traditional approaches to interpret poetry have been poet-oriented, appearing alien to reader's understanding and appreciation, which are generally insensitive to the aesthetic and emotional reflection during the process of analyzing poetry. This essay aims to combine cognitive poetics with multimodal discourse analysis(MDA) to analyze concrete poems from readers' angle. In this research, figure and ground, conceptual metaphor, and image schema of cognitive poetics are adopted to interpret A War Symphony and l(a from the perspective of visual modality and auditory modality. Meanwhile, the differences between Chinese and English concrete poetry in modality choosing and meaning conveying as well as the reasons are explored. This research reveals that readers are able to comprehend poetic meaning according to their life experiences. The multi-dimensional perspective of visual and auditory modalities is conductive to exploring how readers challenge traditional reading mode to interpret poetic ideas. Meanwhile, three theories of cognitive poetics facilitate readers to perceive poetics effect with a cognitive mechanism.Therefore, all of these efforts are bound to arouse readers' interest in such a kind of anti-traditional poetry and broaden its popularity.

Urban Poetics in John Updike’s Sonnet“New York City”

Based on Robert E.Park’s theoretical frame of social urban study,the“psychophysical mechanism”,urban poetics mainly researches the mutual relations between the physical and the moral organizations of a city in urban poems,novels and dramas.This article considers John Updike as an urban poet since his poem collection Americana(2001)is a collection of urban poems.One of the representative poems,the sonnet“New York City”,depicts a despairing“separate nation”by presenting three typical physical cityscapes:television,beggars and skyscrapers.Each physical cityscape reveals its cultural value and social tradition of the city,and the psychological problems of the city dwellers.Tracing Updike’s personal urban experience and the poem’s intertextual space,this article explores his criticism on American big city:the alienated human relations,the anxiety of city life and the smallness of solipsism.His intention to parody John Milton’s Pandemonium in Paradise Lost,and to pay homage to Walt Whitman,reveals that this sonnet embodies rich connotations of urban poetics.

An Analysis of the Non-mandatory Explicitation in Two English Versions of Chuanxilu from the Perspective of Poetics

Chuanxilu is a collection of Wang Yangming’s questions&answers and letters on learning.It is a masterpiece of Neo Confucianism since the pre-Qin period.This paper,from the perspective of translation poetics,takes two English versions of Chuanxilu as the main research objects,makes quantitative statistics and qualitative analysis of the non-mandatory explicitation in the translation,aiming to explore the influence of poetics on the translator’s English translation of Chuanxilu,so as to provide some enlightenment for the external translation and interpretation of Wang Yangming’s theory of mind.

Adrienne Rich＇s Quest for Feminist Poetics

Adrienne Rich has been regarded as a foremost poet,essayist and feminist in contemporary America.Her poetry of the 1970s marks the shift of her poetic stance from the imitation and inheritance of the modern male poetic tradition to feminist poetics.The formation of Rich's feminist poetics is the outcome of her life experiences and the social context around the 1970s.Rich adheres to the principle of"writing as revision"on the part of women,shows much concern for the poetic depiction of women's experiences,and questions the materiality of life.Rich's quest for feminist poetics is directed both towards the outer world in which women live and women's inner world.She tries to remap the"cartography"of women's own in the patriarchal world by weaving her feminist thoughts into the poems.And simultaneously,she provides her profound thinking about women's existence as integral human beings,thus expressing her life philosophy in poetry writing.

From Diction to Form —— The Influence of Aristotle's Poetics on Formalism

Aristotle's Poetics exerts great influence upon literary critical theories.What he discussed in the Poetics has been direct or indirect sources for the later literary critical theories.Formalism Criticism,the first contemporary literary critical theory,mainly takes linguistics as an approach to study literature and especially takes the form of literature as their research focus.This approach can be traced back to what Aristotle discussed about diction in Poetics.Aristotle's deliberate discussion about diction in Poetics,actually lays a foundation for Formalism Criticism.From diction to form shows the influence of Aristotle's poetics upon Formalism.

Validation of adherence prediction system for lifestyle interventions in nonalcoholic fatty liver disease

This editorial delves into the research article by Zeng et al published in the latest issue of World Journal of Gastroenterology.The manuscript contributes significantly to addressing the global health issue of nonalcoholic fatty liver disease(NAFLD)by introducing and validating the Exercise and Diet Adherence Scale(EDAS).The article effectively conveys the importance of the study,highlighting the prevalence of NAFLD,the lack of approved drugs for its treatment,and the crucial role of lifestyle correction.The use of the Delphi method for scale development and the subsequent evaluation of its reliability add scientific rigor to the methodology.The results demonstrate that the scale is correlated with key lifestyle indicators,which makes it a promising tool for assessing patient adherence to interventions.The identification of specific score thresholds for predicting adherence to daily calorie intake and exercise adds practical value to the scale.The differentiation among scores indicative of good,average,and poor adherence enhances its clinical applicability.In conclusion,the manuscript introduces EDAS,a valuable instrument that can contribute substantially to the field of NAFLD research and clinical practice.