Effects of health concept model-based detailed behavioral care on mood and quality of life in elderly patients with chronic heart failure

BACKGROUND With the intensification of social aging,the susceptibility of the elderly population to diseases has attracted increasing attention,especially chronic heart failure(CHF)that accounts for a large proportion of the elderly.AIM To evaluate the application value of health concept model-based detailed behavioral care in elderly patients with CHF.METHODS This study recruited 116 elderly CHF patients admitted from October 2018 to October 2020 and grouped them according to the nursing care that they received.The elderly patients who underwent health concept model-based detailed behavioral care were included in a study group(SG;n=62),and those who underwent routine detailed behavioral nursing intervention were included as a control group(CG;n=54).Patients’negative emotions(NEs),quality of life(QoL),and nutritional status were assessed using the self-rating anxiety/depression scale(SAS/SDS),the Minnesota Living with Heart Failure Questionnaire(MLHFQ),and the Modified Quantitative Subjective Global Assessment(MQSGA)of nutrition,respectively.Differences in rehabilitation efficiency,NEs,cardiac function(CF)indexes,nutritional status,QoL,and nursing satisfaction were comparatively analyzed.RESULTS A higher response rate was recorded in the SG vs the CG after intervention(P<0.05).After care,the left ventricular ejection fraction was higher while the left ventricular end-diastolic dimension and left ventricular end systolic diameter were lower in the SG compared with the CG(P<0.05).The post-intervention SAS and SDS scores,as well as MQSGA and MLHFQ scores,were also lower in the SG(P<0.05).The SG was also superior to the CG in the overall nursing satisfaction rate(P<0.05).CONCLUSION Health concept model-based detailed behavioral care has high application value in the nursing care of elderly CHF patients,and it can not only effectively enhance rehabilitation efficiency,but also mitigate patients’NEs and improve their CF and QoL.

International Healthcare Terminologies for Morbidity New Era: SNOMED and ICD11

The Information Technology (IT) developments have changed the use of Healthcare terminologies from paper-based mortality statistics with the WHO international classifications of diseases (ICD) to the IT-based morbidity implementations for instance for Casemix-based healthcare funding and managing systems. This higher level of granularity is worldwide spread under the umbrella of several national modifications named ICD10 XM. These developments have met the increased use of the International Clinical Reference Terminology named SNOMED. When the updating of WHO ICD10 to WHO ICD11 was decided a merging was envisaged and a WHO SNOMED CT common work proposed a methodology to create a common formal ontology between the 11th version of the WHO International Classification of Diseases and Health Problems (ICD) and the most used in the world clinical terminology named Systematized Nomenclature of Human and Veterinary Medicine - Clinical Terms (SCT). The present work follows this unachieved work and aims to develop a SNOMED-based formal ontology for ICD11 chapter 1 using the textual definitions of ICD11 codes which is a completely new character of ICD and the ontology tools provided by SCT in the publicly available SNOMED Browser. There are two key results: the lexical alignment is complete and the ontology alignment is incomplete with the validated SNOMED concept model can be completed with not yet validated attributes and values of the SNOMED Compositional Grammar. The work opens a new era for the seamless use of both international terminologies for morbidity for instance for DRG/Casemix and clinical management use. The main limitation is that it is restricted to 1 out of 26 chapters of ICD11.

Improving Statistical Literacy through Evidence-Based Strategies Among First-Year Education Students in a State University

Statistical literacy is crucial for cultivating well-rounded thinkers.The integration of evidence-based strategies in teaching and learning is pivotal for enhancing students’statistical literacy.This research specifically focuses on the utilization of Share and Model Concepts and Nurturing Metacognition as evidence-based strategies aimed at improving the statistical literacy of learners.The study employed a quasi-experimental design,specifically the nonequivalent control group,wherein students answered pre-test and post-test instruments and researcher-made questionnaires.The study included 50 first-year Bachelor in Secondary Education majors in Mathematics and Science for the academic year 2023-2024.The results of the study revealed a significant difference in the scores of student respondents,indicating that the use of evidence-based strategies helped students enhance their statistical literacy.This signifies a noteworthy increase in their performance,ranging from very low to very high proficiency in understanding statistical concepts,insights into the application of statistical concepts,numeracy,graph skills,interpretation capabilities,and visualization and communication skills.Furthermore,the study showed a significant difference in the post-test scores’performance of the two groups in understanding statistical concepts and visualization and communication skills.However,no significant difference was found in the post-test scores of the two groups concerning insights into the application of statistical concepts,numeracy and graph skills,and interpretation capabilities.Additionally,students acknowledged that the implementation of evidence-based strategies significantly contributed to the improvement of their statistical literacy.

Numerical Simulation of Oxy-coal Combustion for a Swirl Burner with EDC Model

The characteristics of oxy-coal combustion for a swirl burner with a specially designed preheating chamber are studied numerically. In order to increase the accuracy in the prediction of flame temperature and igni- tion position, eddy dissipation concept （EDC） model with a skeletal chemical reaction mechanism was adopted to describe the combustion of volatile matter. Simulation was conducted under six oxidant stream conditions with dif- ferent OjN2/CO2 molar ratios： 21/79/0, 30/70/0, 50/50/0, 21/0/79, 30/0/70 and 50/0/50. Results showed that 02 en- richment in the primary oxidant stream is in favor of combustion stabilization, acceleration of ignition and increase of maximum flame temperature, while the full substitution of N2 by CO2 in the oxidant stream delays ignition and decreases the maximum flame temperature. However, the overall flow field and flame shapes in these cases are very similar at the same flow rate of the primary oxidant stream. Combustion characteristics of the air-coal is similar to that of the oxy-coal with 30% 02 and 70% CO2 in the oxidant stream, indicating that the rear condition is suitable for retrofitting an air-coal fired boiler to an oxy-coal one. The swirl burner with a specially designed preheating chamber can increase flame temperature, accelerate ignition and enhance burning intensity of pulverized coal under oxy-coal combustion. Also, qualitative experimental validation indicated the burner can reduce the overall NOx emission under certain 02 enrichment and oxy-coal combustion conditions against the air-coal combustion.

Improved concept models for straight thin-walled columns with box cross section

This paper focuses on developing improved concept models for straight thin-walled box sectional columns which can better predict the peak crushing force that occurs during crashworthiness analyses. We develop a nonlinear translational spring based on previous research and apply such a spring element to build the enhanced concept models. The work presented in this article is developed on the basis of the publication of the author (Liu and Day, 2006b) and has been applied in a crashworthiness design issue, which is presented by the author in another paper (Liu, 2008).

ATMOSPHERIC BOUNDARY LAYER CONCEPT MODEL OF THE PEARL RIVER DELTA AND ITS APPLICATION

Based on the geographical circumstance, climate and the boundary layer meteorology features of the Pearl River Delta, a boundary layer concept model of the Pearl River Delta was built. The concept model consists of four fundamental factors that affect the boundary layer meteorology of the Pearl River Delta and can convincingly explain the reason of the air quality change in the Pearl River Delta. The model can be used to the diffusion capability analysis, the air pollution potential forecasting or haze forecasting, etc.

The research on the remote sensing＇s information tree model of the Nansha coral islets and reef＇s spatial structure

Based on the Nansha coral islets and reef's time-space attributes,and the intension and extension of the remote sensing information, the concept model and concept system of coral islets and reef are proposed.Then twin-tree remote sensing information model for different kinds of reef is constructed by using abstracted islets and reef's primitive, and the structure recognition system for coral islets and reef type is developed.

Review of permeability evolution model for fractured porous media

The ability to capture permeability of fractured porous media plays a significant role in several engineering applications, including reservoir, mining, petroleum and geotechnical engineering. In order to solve fluid flow and coupled flow-deformation problems encountered in these engineering applications,both empirical and theoretical models had been proposed in the past few decades. Some of them are simple but still work in certain circumstances; others are complex but also need some modifications to be applicable. Thus, the understanding of state-of-the-art permeability evolution model would help researchers and engineers solve engineering problems through an appropriate approach. This paper summarizes permeability evolution models proposed by earlier and recent researchers with emphasis on their characteristics and limitations.

Disturbed state concept as unified constitutive modeling approach

A unified constitutive modeling approach is highly desirable to characterize a wide range of engineeringmaterials subjected simultaneously to the effect of a number of factors such as elastic, plastic and creepdeformations, stress path, volume change, microcracking leading to fracture, failure and softening,stiffening, and mechanical and environmental forces. There are hardly available such unified models. Thedisturbed state concept （DSC） is considered to be a unified approach and is able to provide materialcharacterization for almost all of the above factors. This paper presents a description of the DSC, andstatements for determination of parameters based on triaxial, multiaxial and interface tests. Statementsof DSC and validation at the specimen level and at the boundary value problem levels are also presented.An extensive list of publications by the author and others is provided at the end. The DSC is considered tobe a unique and versatile procedure for modeling behaviors of engineering materials and interfaces. 2016 Institute of Rock and Soil Mechanics, Chinese Academy of Sciences. Production and hosting byElsevier B.V. This is an open access article under the CC BY-NC-ND license

Optimized Modeling Method for Unbalanced Data in High-Level Visual Semantic Concept Classification

To solve the unbalanced data problems of learning models for semantic concepts, an optimized modeling method based on the posterior probability support vector machine （PPSVM） is presented. A neighborbased posterior probability estimator for visual concepts is provided. The proposed method has been applied in a high-level visual semantic concept classification system and the experiment results show that it results in enhanced performance over the baseline SVM models, as well as in improved robustness with respect to high-level visual semantic concept classification.

2D Coupled 3D:A New Numerical Model for Dual - Structured - Aquifer System

This paper points out that a successful numerical simulation is to construct a correct conceptional model which is very dose to the natural condition. A new model, two dimensional coupled three dimensional model (2D -3D ) is presented in the Present paper,which is the most suitable one for the dual - structured - aquifer system. An example of Wenyinghu area is shown.By using the 2D-3D model, a satisfied result of the simulated area is achieved.

Concept and evaluation of bay health:the role of numerical model in the Yueqing Bay,China

To better evaluate the three-dimensional bay health and predict the dynamic bay health conditions, a concept of numerical bay health was introduced and a method of numerical bay health evaluation（NBHE） was developed.To support the NBHE method, a numerical bay health index（NBHI） system was constructed, which assess the natural and socio-economic effects on the entire bay. Five index groups are combined to formulate the NBHI,including geometry, hydrodynamics and sediment dynamics, bio-ecology, water quality and socio-economy.Each group has different number of indices selected and weighted using AHP method according to their importance. Data were mainly synthesized from a variety of numerical models together with monitoring programs, which provide superior to other approaches in discriminating data integrity and predicting data in future. The NBHE method using NBHI system was applied in the Yueqing Bay during spring tide in April 2007.According to the NBHE results, Sta. A, at the surface level of the estuarine mouth, has a healthy geometry condition, sub-healthy hydrodynamic and sediment dynamic condition, and unhealthy water quality and bioecology conditions. The integrated healthy score at Sta. A indicates its sub-healthy condition.

A VISCOPLASTIC MODEL BASED ON NO-YIELD-SURFACE CONCEPT

The elasticjviscoplastic constitutive equation which describes deformation law of metal materials was suggested based on no-yield-surface concept and thermal activation theory of dislocation. The equation which takes account of effects of strain-rate, strain history, strain-rate history, hardening and temperature has stronger physical basis.Comparison of the theoretical prediction with experimental results of mechanical behaviours of Ti under conditions of uniaxial stress and room temperature shows good consistency.

Towards seamless environmental prediction-development of Pan-Eurasian EXperiment(PEEX)modelling platform

The Pan-Eurasian Experiment Modelling Platform(PEEX-MP)is one of the key blocks of the PEEX Research Programme.The PEEX MP has more than 30 models and is directed towards seamless envir-onmental prediction.The main focus area is the Arctic-boreal regions and China.The models used in PEEX-MP cover several main components of the Earth’s system,such as the atmosphere,hydrosphere,pedosphere and biosphere,and resolve the physicalchemicalbiological processes at different spatial and temporal scales and resolutions.This paper introduces and discusses PEEX MP multi-scale modelling concept for the Earth system,online integrated,forward/inverse,and socioeconomical modelling,and other approaches with a particular focus on applications in the PEEX geographical domain.The employed high-performance com-puting facilities,capabilities,and PEEX dataflow for modelling results are described.Several virtual research platforms(PEEXView,Virtual Research Environment,Web-based Atlas)for handling PEEX modelling and observational results are introduced.The over-all approach allows us to understand better physical-chemicalbiological processes,Earth’s system interactions and feedbacks and to provide valuable information for assessment studies on evaluating risks,impact,consequences,etc.for population,envir-onment and climate in the PEEX domain.This work was also one of the last projects of Prof.Sergej Zilitinkevich,who passed away on 15 February 2021.Since the finalization took time,the paper was actually submitted in 2023 and we could not argue that the final paper text was agreed with him.

Construction and implementation of multisource spatial data management system of China's coastal zone and offshore

To meet the increasing demand of national spatial database infrastructure construction and application, a concept model of China's coastal zone scientific data platform is established based on the information feature analysis of a compound dataset, consisting of remote sensing data and conventional data. Based on this concept model, the detailed logical database structure and the storage strategy of remote sensing data and their metadata using ArcSDE are designed. The complicated technology of multisources data combination in this research is crucial to the future coastal zone and offshore database construction and practical running, which will provide intelligent information analysis and technological service for coastal zone and offshore investigation, research, development and management.

Design and Fuel Consumption Optimization for a Bio-Inspired Semi-floating Hybrid Vehicle

Based on a bionic concept and combing air-cushion techniques and track driving mechanisms, a novel semi-floating hybrid concept vehicle is proposed to meet the transportation requirements on soft terrain. First, the vehicle scheme and its improved duel-spring flexible suspension design are described. Then, its fuel consumption model is proposed accordingly with respect to two vehicle operating parameters. Aiming at minimizing the fuel consumption, two Genetic Algorithms （GAs） are designed and implemented. For the initial one （GA-1）, despite getting an acceptable result, there still existed some problems in its optimiza- tion process. Based on an analysis of the defects of GA-1, an improved algorithm GA-2 was developed whose effectiveness and stability were embodied in the optimization process and results. The proposed design scheme and optimization approaches can provide valuable references for this new kind of vehicle with industry, military or scientific exploitations, etc. promising applications in the areas of agriculture, petroleum industry, military or scientific explaitations, etc.

Concept modeling of tapered thin-walled tubes

This paper presents a method to create concept models for the tapered thin-walled tubes using beam elements and spring elements.Developed concept tapered beam models with different taper angles and cross sections are compared with those detailed models through impact analyses.Important crash results are recorded and compared,and the relatively good agreement is achieved between these analyses.Concept modeling steps are illustrated in detail,and a general concept modeling method for such thin-walled tubes is summarized and presented.

Sediment transport in pure acceleration-skewed oscillatory sheet flow

In the present study, an analytical concept model is built, using a two-phase model for the sediment transport in a pure acceleration-skewed oscillatory sheet flow. The analytical model is based on the asymmetric wave theory, the irregular boundary layer theory and the exponential concentration distribution theory, to be used for analyzing the phase lag and the boundary layer development related to the acceleration skewness. The two-phase model is applied for the calculations of the instantaneous erosion depth, the sediment flux, the boundary layer thickness and the sediment transport rate, as well as the differences between the positive acceleration stage and the negative acceleration stage caused by the acceleration skewness, as very important in the net current and sediment transport. The effects of the sediment diameter and the phase lag are explained by a comparison with the instantaneous type empirical formula, as is closely related to the acceleration skewness. With the analytical concept model and the two-phase model, the generation of the net sediment transport in the pure acceleration-skewed flows is clearly explained. The phase lag effect is important for the instantaneous sediment transport in the pure acceleration-skewed flow, whereas the boundary layer development difference between the positive acceleration stage and the negative acceleration stage plays a major role in the determination of the net sediment transport.