Effects of Continuous Precision Nursing Model on Knowledge, Attitudes, and Practices (KAP) Behavior and Cardiac Function in Patients after Percutaneous Coronary Angiography and Stent Implantation

Objective:To explore the impact of a continuous precision nursing model on patients’Knowledge,Attitudes,and Practices(KAP)and cardiac function during the nursing process of patients undergoing percutaneous coronary angiography and stent implantation.Methods:Ninety patients who underwent percutaneous coronary angiography and stent implantation in our hospital from April 2022 to April 2023 were selected and randomly divided into the control group(45 cases),in which routine nursing support was carried out during the treatment process,and the observation group(45 cases),in which continuous precision nursing model was carried out during the treatment process.Comparisons were made between the two groups of patients on their KAP,cardiac function,and quality of life during recovery.Results:There was no difference in the left ventricular ejection fraction(LVEF),cardiac output(CO),and cardiac index(CI)levels before intervention.After the intervention,the levels of cardiac function in the observation group were higher than those of the control group(P<0.05).There was no difference in the Exercise of Self-Care Agency(ESCA)self-care ability scale scores before the intervention.After the intervention,the observation group had higher ESCA scores than the control group(P<0.05).Conclusion:Implementation of a continuous precision nursing model in the care of patients undergoing percutaneous coronary angiography and stent implantation improved the patient’s cardiac function,and KAP,and promoted recovery.

Fuzzy Semi-continuity of fuzzy number-valued function

In this paper we discuss the conecept and property of fuzzy semi continuous function.

Effect of continuous nursing combined with respiratory exercise nursing on pulmonary function of postoperative patients with lung cancer

BACKGROUND Lung cancer is a malignant tumor with high morbidity and mortality among cancers.Surgery is currently one of the primary methods of treating lung cancer.Although it can slow down the progression of the disease by removing the lesion,this invasive surgery inevitably damages the integrity of the patient’s chest.Moreover,the patient’s pulmonary function may have a low compensatory capacity after surgery,causing various respiratory diseases such as atelectasis,respiratory function decline,and even serious cardiovascular disease.All of these have great negative impacts on the surgical effect and the prognosis of patients.With the continuous exploration and development of nursing,continuous nursing and respiratory exercise nursing have been gradually applied in the nursing of patients after lung cancer surgery,and have achieved good nursing results.AIM To investigate the effect of continuous nursing combined with respiratory exercise nursing on the pulmonary function of postoperative patients with lung cancer.METHODS A total of 80 patients with lung cancer who underwent surgery in our hospital from January 2021 to December 2021 were selected as the study subjects.All subjects were randomly divided into the control group(n=40 cases)and the experimental group(n=40 cases).Patients with lung cancer in the control group were given conventional nursing after surgery,while the experimental group was given continuous nursing combined with respiratory exercise nursing based on conventional nursing.The recovery of pulmonary function and respiratory symptoms was observed before and after 3 mo of intervention in both groups.The pulmonary function parameters,blood gas analysis,MD Anderson Symptom Inventory-lung cancer module(MDASI-LC)scores,incidence of pulmonary complications,and Morisky compliance scores were compared between the two groups before and after 3 mo of intervention.RESULTS There was no significant difference in pulmonary function and blood gas analysis between the two groups before intervention(P>0.05).3 mo after the intervention,the pulmonary function parameters in the experimental group(SpO2,VC,MVV,FEV1,FEV1%pred,and FEV1/FVC)were higher than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in blood gas analysis between the two groups before intervention(P>0.05).PaO2 in the experimental group was significantly higher than that in the control group,and PaCO_(2) was significantly lower than that in the control group 3 mo after the intervention.The difference had statistical significance(P<0.05).3 mo after the intervention,the MDASI score of respiratory symptoms in the experimental group was significantly lower than that in the control group(P<0.05),and the incidence of pulmonary complications was lower than that in the control group(P<0.05).In addition,the treatment compliance and nursing satisfaction of patients in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05).CONCLUSION Continuous nursing combined with respiratory exercise nursing can significantly accelerate the recovery of respiratory function in postoperative lung cancer patients,reduce the incidence of postoperative complications of lung cancer as well as improve the treatment compliance of patients.

ON THE CONTINUITY AND DIFFERENTIABILITY OF AKIND OF FRACTAL INTERPOLATION FUNCTION

The sufficient conditions of Holder continuity of two kinds of fractal interpolation functions defined by IFS (Iterated Function System) were obtained. The sufficient and necessary condition for its differentiability was proved. Its derivative was a fractal interpolation function generated by the associated IFS, if it is differentiable.

Lipschitz continuity of the optimal value function and KKT solution set in indefinite quadratic programs

When all the involved data in indefinite quadratic programs change simultaneously, we show the locally Lipschtiz continuity of the KKT set of the quadratic programming problem firstly, then we establish the locally Lipschtiz continuity of the KKT solution set. Finally, the similar conclusion for the corresponding optimal value function is obtained.

K-Dimension and Hlder Exponent for Bush Type Fractal Functions

Bush type fractal functions were defined by means of the expression of Cantor series of real numbers. The upper and lower bound estimates for the K-dimension of such functions were given. In a typical case, the fractal dimensional relations in which the K-dimension equals the box dimension and packing dimension were presented; moreover, the exact Holder exponent were obtained for such Bush type functions.

Matrix Functions of Exponential Order

Both the theoretical and practical investigations of various dynamical systems need to extend the definitions of various functions defined on the real axis to the set of matrices. To this end one uses mainly three methods which are based on 1) the Jordan canonical forms, 2) the polynomial interpolation, and 3) the Cauchy integral formula. All these methods give the same result, say g(A), when they are applicable to given function g(t) and matrix A. But, unfortunately, each of them puts certain restrictions on g(t) and/or A, and needs tedious computations to find explicit exact expressions when the eigen-values of A are not simple. The aim of the present paper is to give an alternate method which is more logical, simple and applicable to all functions (continuous or discontinuous) of exponential order. It is based on the two-sided Laplace transform and analytical continuation concepts, and gives the result as a linear combination of certain n matrices determined only through A. Here n stands for the order of A. The coefficients taking place in the combination in question are given through the analytical continuation of g(t) (and its derivatives if A has multiple eigen-values) to the set of eigen-values of A (numerical computation of inverse transforms is not needed). Some illustrative examples show the effectiveness of the method.

A SPECIAL MODULUS OF CONTINUITY AND THE K-FUNCTIONAL

We consider the questions connected with the approximation of a real continuous 1-periodic functions and give a new proof of the equivalence of the special Boman-Shapiro modulus of continuity with Peetre’s K-functional. We also prove Jackson’s inequality for the approximation by trigonometric polynomials.

Meta-analysis of the effects of high-intensity intermittent exercise on cardiopulmonary function rehabilitation in patients with stroke

Objective:Systematically evaluate the rehabilitation effect of high-intensity intermittent exercise(HIIT)on cardiovascular function in stroke patients,in order to provide a basis for selecting the best rehabilitation plan for stroke patients.Methods:Computer retrieval of CNKI,WanFang Data,VIP,CBM,Pubmed,EMbase,Web of science,The Cochrane Library databases was conducted from the establishment of the database until March 2023.Randomized controlled trials on HIIT improving cardiovascular function in stroke patients were included,and the included literature was screened,data extracted,and bias risk evaluated.Then,metaanalysis was conducted using RevMan 5.4 software and Stata17.0 software.Results:In the end,9 articles met the research criteria,with a total of 428 patients.The meta-analysis results showed that compared with the control group,HIIT had significant effects on peak oxygen uptake(VO2peak)[MD=3.87,95%CI(3.43,4.31),P<0.00001],minute ventilation(VE)[MD=7.14,95%CI(4.34,9.94),P<0.00001],peak power(WRpeak)[MD=17.13,95%CI(13.7320.54),P<0.00001],6-minute walking distance(6MWD)[MD=43.82,95%CI(16.08,71.56),P=0.002],The intervention effect of the 10 meter walking test(10MWT)[MD=-2.00,95%CI(-2.91,-1.08),P<0.0001]was better than that of the control group.Conclusion:The current analysis results show that compared to conventional rehabilitation therapy or continuous aerobic exercise,HIIT has more advantages in improving the cardiopulmonary function of stroke patients.

Operations Improvement Function and Organisational Adaptability of Petroleum Tank Farms in South-South, Nigeria

The study examined the nexus between operations improvement function (dimensioned by contingency planning, benchmarking and continuous improvement processes) and organisational adaptability of Petroleum tank farms in South-South, Nigeria. The contingency theory and the theory of routine dynamics underpinned the study, and positivism was the underlying philosophy. The study adopted the cross-sectional survey through the use of questionnaire. 820 middle and top-level managers constituted the elements of the population, and the Krejcie & Morgan’s formula was used to determine the sample size of 262 respondents. Structural Equation Modeling was deployed to test the hypotheses at a 0.05 significance level. The results showed that contingency planning;benchmarking and continuous improvement processes all have a significant positive relationship with organisational adaptability of Petroleum tank farms in South-South, Nigeria. The study concludes that Petroleum tank farms’ operations should focus on the adoption of contingency planning, benchmarking and continuous improvement processes to enhance organisational adaptability. Therefore, it is recommended that the management of Petroleum tank farms should put in place mechanisms to advance continuous improvement processes by allocating the necessary amount of resources, such as energy, time and money, in order to promote the continuous development of the continuous improvement systems. Furthermore, managers of Petroleum tank farms should make better the adoption of contingency planning, ensuring that there is as much necessary training and information for employees on how to act during a crises situation, in order to evaluate safety and prepare in advance for recovery from disasters.

A Numerical Method for Solving Ill-Conditioned Equation Systems Arising from Radial Basis Functions

Continuously differentiable radial basis functions (C∞-RBFs), while being theoretically exponentially convergent are considered impractical computationally because the coefficient matrices are full and can become very ill- conditioned. Similarly, the Hilbert and Vandermonde have full matrices and become ill-conditioned. The difference between a coefficient matrix generated by C∞-RBFs for partial differential or integral equations and Hilbert and Vandermonde systems is that C∞-RBFs are very sensitive to small changes in the adjustable parameters. These parameters affect the condition number and solution accuracy. The error terrain has many local and global maxima and minima. To find stable and accurate numerical solutions for full linear equation systems, this study proposes a hybrid combination of block Gaussian elimination (BGE) combined with arbitrary precision arithmetic (APA) to minimize the accumulation of rounding errors. In the future, this algorithm can execute faster using preconditioners and implemented on massively parallel computers.

融合尺度与信心指数的三维表面重建算法

针对包含细小结构场景的三维表面重建精度和完整度难以提高的问题,提出一种融合三维点云尺度与信心指数的三维表面重建算法。构建了一个表面隐函数,采用高斯函数为其基函数,三阶贝塞尔函数为其权重函数,并根据点云尺度与信心指数大小自适应调整基函数覆盖范围与权重函数取值。采用八叉树存储与处理数据,根据点云尺度大小自适应划分八叉树结构,从而自适应调整表面隐函数三维采样密度。通过无约束等值面提取方法,提取隐函数等值面,从而得到三维表面。与几种典型表面重建算法对比实验,结果表明所提算法重建三维表面细节清晰,整体重建精度与完整度均有提高。

种植模式对当归根际土壤真菌群落与功能类群的影响

再植障碍问题限制了当归产业健康发展。为了建立高效种植方式,在甘肃渭源县设置5种种植方式[A:豌豆-小麦-当归;B:豌豆-蒙古黄芪-当归;C:豌豆-马铃薯-当归;D:豌豆-当归-当归(对照);E:豌豆-休耕-当归],采挖期通过Illumina Hisqe 2500高通量测序平台测定了不同种植模式下当归根际土壤真菌ITS1变异区的基因序列,分析不同种植方式对当归根际土壤真菌群落和功能差异性的影响。结果表明:(1)5种种植方式下当归根际真菌多样性差异不大,较对照D处理,A、B、C和E处理的Chao1指数、Ace指数和Shannon指数较低,Simpson指数较高。(2)5种种植方式下当归根际土壤真菌群落隶属于11门167属,其中,子囊菌门(Ascomycota)、被孢菌门(Mortierellomycota)、担子菌亚门(Basidiomycota)和壶菌门(Chytridiomycota)为优势门;被孢霉属(Mortierella)、四枝孢属(Tetracladium)为优势属。(3)冗余度分析发现:在门水平影响土壤真菌群落结构组成的主要因子为速效钾、电导率、pH值,在属水平影响土壤真菌群落结构组成的主要因子为有机质、pH值、二氧化碳呼吸速率。(4)FUNGuild预测表明:植物病原体和木质腐生真菌功能群的相对丰度较高。综上所述,不同作物轮作较当归连作,降低了当归根际土壤真菌群落的相对丰度和多样性,有利于根际土壤真菌群落向有益的方向发展。

Sub-Differential Characterizations of Non-Smooth Lower Semi-Continuous Pseudo-Convex Functions on Real Banach Spaces

In this paper, we characterize lower semi-continuous pseudo-convex functions f : X → R ∪ {+ ∞} on convex subset of real Banach spaces K ⊂ X with respect to the pseudo-monotonicity of its Clarke-Rockafellar Sub-differential. We extend the results on the characterizations of non-smooth convex functions f : X → R ∪ {+ ∞} on convex subset of real Banach spaces K ⊂ X with respect to the monotonicity of its sub-differentials to the lower semi-continuous pseudo-convex functions on real Banach spaces.

地方智慧旅游公共服务平台持续使用意愿研究

地方智慧旅游公共服务平台的建设和运营已经成为各地全域旅游建设与发展的重要组成部分,但是平台的持续使用一直是学术和行业界讨论的重点。文章以“游云南”平台为案例,基于刺激-机体-反应理论框架,运用混合研究方法对地方智慧旅游公共服务平台的持续使用意愿进行研究,并提出“因素-感知-使用”地方智慧旅游公共服务平台持续使用意愿综合分析模型,得到如下研究结果。1)在地感知、地方依恋均能够显著提高游客对地方智慧旅游公共服务平台的感知信任和情感依恋,进而提高满意度。其中,平台情感依恋在提高平台持续使用意愿方面具有显著正向作用。具体而言,在地感知会通过信息拓展、形象匹配之机制,地方依恋会通过情感外溢、期待满足之机制促进平台情感依恋和信任的产生,并最终提高持续使用意愿。2)功能集群、享乐体验均能够显著提高游客对地方智慧旅游公共服务平台的感知有用性、感知易用性和感知信任,进而提高游客使用满意度,最终提高持续使用意愿。功能集群通过“信息全面、减少成本”之机制,享乐体验通过“逃离惯常、精美设计”之机制影响游客对平台的积极感知。

基于连续小波卷积神经网络的轴承智能故障诊断方法

传统故障诊断方法存在特征提取有限和故障检测不准确的问题,为此提出新的轴承智能故障诊断方法.构建连续小波卷积层取代卷积神经网络(CNN)中的初始卷积层,用于提取轴承数据的初级特征;使用增强ACON激活函数处理提取的振动信号;设计新的计算空间,提高CNN的整体自适应性.在凯斯西储大学轴承数据集上开展滚动轴承故障诊断方法对比实验.结果表明,与传统基于CNN、快速傅里叶变换-CNN、长短时记忆CNN故障诊断方法相比,所提方法的故障诊断精度分别提高了7.45、4.46和1.53个百分点,CNN的收敛速度更快.在不同工况的泛化任务中,所提方法的平均准确率为99.64%,准确性和泛化能力良好.

流程生产风险防控的功能安全完整性

为提升流程生产安全管理水平,降低事故发生概率,提出了生产过程中风险防控的功能安全完整性分析方法,并结合钢铁连铸场景进行验证。首先评估流程生产中主要事故类型的危险程度和确定其可接受频率标准;运用保护层分析法计算作业现场高危险性事故发生的真实概率,通过与可接受频率比较,判断是否需要新增防护措施;运用蒙特卡洛-马尔可夫模型验证新增防护措施的功能安全完整性等级。以大冶特钢炼钢转炉厂连铸作业区为例,结果表明:研究区内存在熔融物爆炸、火灾和中毒窒息3类高危险性事故隐患,且熔融物爆炸事故的人员伤亡后果为不可接受,需新增功能安全完整性等级为2级的防护措施;设计了防爆炸保护系统,其失效概率为4.37×10-3,满足功能安全完整性等级要求。

一类Stancu型的Szász-Mirakjan-Durrmeyer算子的逼近性质研究

该文介绍了一类Stancu型的Szász-Mirakjan-Durrmeyer算子,计算了该算子的一阶到四阶矩.然后用连续模和K-泛函等工具,讨论了该算子的逼近性质,还研究了算子对Lipschitz函数类的估计.最后建立了该算子的Voronvskaya型渐近展开式.所得定理扩展了Aslan(2022)的结果.

高强度间歇运动和中等强度持续运动对抑制功能影响的元分析

目的:使用元分析方法探讨高强度间歇运动(HIIT)对抑制功能的影响及其影响因素,以及与中等强度持续运动(MICT)相比的效果差异,为不同锻炼人群选择合适的锻炼方式提供依据。方法:依据PRISMA原则,在国内外的一些检索平台检索相关文献,检索时间为2010年1月1日—2022年8月30日。运用软件“Stata 15.0”和软件“Review Manager 5.3”进行效应量分析。结果:1)HIIT能够显著提高运动者的抑制功能,为中等效应量。2)HIIT能够显著提高10~24岁人群的抑制功能,而对25岁以上人群的抑制功能未见显著影响;90%~100%最大心率运动强度的HIIT能够显著提高运动者的抑制功能,且合并效应量较大,70%~90%最大心率运动强度的HIIT能够显著提高运动者的抑制功能;10~30 min和30~60 min的HIIT均能显著提高运动者的抑制功能;功率自行车、篮球、爬楼梯等方式的HIIT能显著提高运动者的抑制功能,跑步机上跑步的HIIT对运动者的抑制功能未见显著影响;HIIT结束30 min后仍对运动者的抑制功能有积极影响。3)HIIT与MICT对抑制功能的影响未见显著性差异。结论:HIIT能够提高运动者的抑制功能,为中等效应量,HIIT与MICT对抑制功能的积极影响没有差异;HIIT与抑制功能的关系受到年龄、运动强度、运动时间、运动方式等调节变量的影响,HIIT的认知促进效益可以持续30 min以上。

以奥马哈系统为指导的延续护理对肝硬化出院患者治疗依从性的影响

目的探析以奥马哈系统为指导的延续护理在肝硬化出院患者中的实施效果和价值。方法按随机数字表法将2020年1月至2022年1月福建省三明市第一医院收治的100例肝硬化患者分入对照组和观察组,各50例。对照组实施常规护理及门诊随访,观察组采用以奥马哈系统为指导的延续护理。比较2组治疗依从性、肝功能指标及生活质量。结果出院3个月和6个月后,观察组的Frankl依从量表评分、慢性肝病生活质量问卷评分,以及天门冬氨酸氨基转移酶(AST)、丙氨酸氨基转氨酶(ALT)、总胆汁酸(TBA)和总胆红素(TBIL)水平均较同一时间的对照组更优,且2组均优于同组出院前,均有统计学差异(P均<0.05)。结论对肝硬化出院患者实施以奥马哈系统为指导的延续护理,对其治疗依从性提升、肝功能和生活质量改善等均可产生积极影响。