Knowledge and practice skills on home-based urinary catheter care among parents of under-five children with urinary catheter

Objectives:The objectives of this study were to assess the knowledge and practice skills on home-based urinary catheter care among parents of under-five children with urinary catheter.Materials and Methods:This cross-sectional study was conducted from June 1,2021,to September 11,2021,in a tertiary hospital in north India.Purposive sampling was used to select 50 participants.Three instruments were employed for data collection after fulfilling sample criteria;for baseline information demographic tool,knowledge questionnaires,and a practice checklist.Data were analyzed using descriptive and inferential statistics.Results:On assessment of 50 participants,the majority of parents aged above 30 years(74%).Most of the participants were male(82%),graduated(38%),and working in the private sector(58%).Similarly,two-thirds of participants were residing in a nuclear family(64%)with a single child 32(64%)and family income<5000 rupees per month(60%).The mean score of knowledge was 1.94±0.81 and that of practice skills was 1.98±0.85 on home-based care.Regression analysis showed that knowledge of parents was significantly associated with qualification(β:1.821,P=0.002).Similarly,association of practice skills of parents with gender(β:1.235,P=0.050)and qualification(β:1.889,P=0.00)was significant.Conclusion:The general findings of our study showed that parents’education and occupation played a significant role in a child’s care.Parental education and catheter care skills positively affect the child and reduce readmission rates.

Analysis of Distribution of Public Toilets within Walking Range around Communities of the Elderly under the Model of Community Home-based Care for the Elderly: A Case Study of Changxindian, Fengtai District, Beijing

In recent years,under the influence of multiple factors such as traditional ideas and living economic conditions,the aging population in China continues to increase.Most of the elderly are more inclined to aged at home,and the first places for elderly activities are communities and the surrounding environment,which greatly affects the convenience of life and happiness of the elderly.In this paper,Changxindian area in Fengtai District of Beijing was as the research object,and detailed calculation and analysis were carried out by using POI data and arcGIS software.The relative location of residential areas and surrounding public toilets was explored,and the best location of public toilets in the daily walking area under the model of community home-based care for the elderly was further studied.

A Review of Device-Free Indoor Positioning for Home-Based Care of the Aged:Techniques and Technologies

With the development of urbanization,the problem of neurological diseases brought about by population aging has gradually become a social problem of worldwide concern.Aging leads to gradual degeneration of the central nervous system,shrinkage of brain tissue,and decline in physical function in many elderlies,making them susceptible to neurological diseases such as Alzheimer’s disease(AD),stroke,Parkinson’s and major depressive disorder(MDD).Due to the influence of these neurological diseases,the elderly have troubles such as memory loss,inability to move,falling,and getting lost,which seriously affect their quality of life.Tracking and positioning of elderly with neurological diseases and keeping track of their location in real-time are necessary and crucial in order to detect and treat dangerous and unexpected situations in time.Considering that the elderly with neurological diseases forget to wear a positioning device or have mobility problems due to carrying a positioning device,device-free positioning as a passive positioning technology that detects device-free individuals is more suitable than traditional active positioning for the home-based care of the elderly with neurological diseases.This paper provides an extensive and in-depth survey of device-free indoor positioning technology for home-based care and an in-depth analysis of the main features of current positioning systems,as well as the techniques,technologies andmethods they employ,fromthe perspective of the needs of the elderly with neurological conditions.Moreover,evaluation criteria and possible solutions of positioning techniques for the home-based care of the elderly with neurological conditions are proposed.Finally,the opportunities and challenges for the development of indoor positioning technology in 6G mobile networks for home-based care of the elderly with neurological diseases are discussed.This review has provided comprehensive and effective tracking and positioning techniques,technologies and methods for the elderly,by which we can obtain the location information of the elderly in real-time and make home-based care more comfortable and safer for the elderly with neurological diseases.

Without thought的“无意识”误区——深泽直人(Naoto Fukasawa,1956~)设计观念的思想基础及其开展路径阐析

日本设计师深泽直人提出的without thought本意为“无需思考”,在国内被翻译为“无意识设计”并广为传播,这在一定程度上导致我国学者过分强调该理念中的“无意识”内容而忽视其思想基础,还同时造成一些学者对该设计理念开展路径的误解。深泽直人设计观念的思想基础可以在生态心理学和禅学中找到来源,从个体意义到普遍价值,without thought中的无意识内涵则可从“行为—意义—价值”三个层面来理解。生态心理学和禅学皆有超越“二元”的思想特征,在认识方法上皆反对将他者对象化和主题化,与此呼应,深泽直人认为设计是一种直觉行为,并明确表明自己不用“分析—推理”的方式开展设计工作,概而言之,其接触“无意识”的设计路径旨在让设计者回到由感性直观构成的“生活世界”中,并以“具身性”的方式实现对他者的理解,通过这种“生命体验”扩展自我的边界,进而创造出具有“共感”的作品。

Home-based nursing for improvement of quality of life and depression in patients with postpartum depression

BACKGROUND Postpartum depression is a common mental illness in puerpera,with an incidence of approximately 3.5%-33.0%abroad,and the incidence of postpartum depression in China is higher than the international level,reaching 10.0%-38.0%.Providing effective nursing care in clinical nursing activities is one of the key points of obstetrical care.However,little research has been designed to investigate the positive role of home-based nursing in the prevention of postpartum depression.AIM To study the effect of home-based nursing for postpartum depression patients on their quality of life and depression.METHODS The clinical data of 92 patients with postpartum depression treated at our hospital were retrospectively analyzed.The patients were grouped according to the nursing methods used;40 patients receiving basic nursing were included in a basic nursing group,and 52 receiving home-based nursing were included in a home-based nursing group.Depression and anxiety were evaluated and compared between the two groups.The estradiol(E2),serotonin(5-hydroxytryptamine,5-HT),and progesterone(PRGE)levels were measured.RESULTS The SAS and SDS scores of the home-based nursing group were significantly lower than those of the basic nursing group(P<0.05).The E2 and 5-HT levels of the home-based nursing group were significantly higher than those of the basic nursing group,but the PRGE level was significantly lower than that of the basic nursing group.The GQOLI-74 scores(material,social,somatic,and psychological)and nursing satisfaction were significantly higher in the home-based nursing group(P<0.05).CONCLUSION Postpartum depression through home-based nursing can effectively alleviate depression and improve the quality of life of patients,help modulate their serum E2,5-HT,and PRGE levels,and improve their satisfaction with nursing care.

Evaluation of the intervention of home-based pulmonary rehabilitation in patients with chronic obstructive pulmonary disease

Objective:Chronic obstructive pulmonary disease(COPD)can be prevented and treated,although presenting with persistent airflow restriction;the airflow restriction caused by COPD is mostly progressive.In recent years,more attention has been paid to the home-based pulmonary rehabilitation(PR)and its influence on COPD.Exercise training is the basic constituent of PR.However,it is not clear which exercise trainings are the ideal ways to deliver home-based PR.Methods:In this review,we focus on the effect of home-based exercise training on patients with COPD.We searched literature,which was necessarily required to be randomized controlled trails(RCTs)from the establishment of the four respective databases(Medline,PubMed,Web of Science,and China National Knowledge Infrastructure)from January 2008 to January 2018.We used the Cochrane collaborative“risk of bias”tool to assess the quality of evidence.A total of 21 trials(1694 participants)were included.Through the analysis of the literature,we find that a simple,low-cost,and low-intensity family-based lung-rehabilitation plan to adapt to the real life may lead to the improvement of the ability to exercise,the reduction of the difficulty in breathing,and the improvement of carrying out daily activities.Results:In the exercise training of home-based PR,lower limb exercise(LLE)training demonstrated a more perceptible effect in improving the quality of life of patients with COPD.At the same time,the combination of LLE training,breathing training,and upper limb exercise training is more obvious than the simple LLE training.In addition,home-based low-intensity aerobic training may sometimes be no less than the outpatient or center intervention to improve dyspnea,health status,and exercise tolerance.In conclusion,the simple and easy home-based PR exercise program is useful.Long-term home-based PR may require an enhanced need for maintenance.Conclusions:A simple,low-cost,and low-intensity high blood pressure response(HBPR)plan to adapt to the real life may lead to an augmentation in the ability to exercise,a reduction of the difficulty in breathing,and an improvement in carrying out day-to-day activities.HBPR strategies can benefit patients(elderly patients with COPD at home)in the long term.

Feasibility and acceptability of wrist actigraph in assessing sleep quality and sleep quantity: A home-based pilot study in healthy volunteers

Purpose: This study aimed to determine the feasibility and acceptability of actigraphy to monitor sleep quality and quantity in healthy self-rated good sleeper adults at home-based settings. Method: Sixteen healthy volunteers (age > 18) were invited to participate. Each participant was provided with a wrist actigraph device to be worn for 24-hour/day for seven consecutive days to monitor their sleep-wake patterns. Actigraphy data were downloaded using-proprietary software to generate an individual-sleep report. Participants also completed a set of self-reported Health Related Quality of Life (HRQOL) using WHO (five) Well Being Index (WBI) questionnaires. Results: Actigraphy was well accepted by all participants. Only 43.8% of the participants achieved normal total sleep time (TST) and 62.5% had a mean sleep efficiency value below the normal range. Despite a reduced quality of sleep among the participants, the self-reported HRQOL scores produced by the WHO-5 WBI showed a “fair” to “good” among the participants. Conclusions: To maintain healthy well-being, it is vital to have efficient and quality sleep. Insufficient and poor sleep may contribute to various health problems and hazardous outcomes. People often believe they have normal and efficient sleep, not realising they may be developing poor sleep habits. This study found that actigraphy can be easily utilized to monitor sleep-wake patterns at home-based settings. We proposed that actigraphy could be adapted for use in the primary care settings (e.g. community pharmacy) to improve the sleep health management in the community.

Functional outcomes after home-based rehabilitation for heroin-induced spongiform leukoencephalopathy

A 22-year-old man with a 2-year history of heroin vapor inhalation developed spongiform leukoencephalopathy and underwent clinical and home-based rehabilitative treatments. Activities of daily living were measured using the Functional Independence Measure at discharge and at 6, 12, and 24 months after discharge. His neurological symptoms gradually disappeared with rehabilitative treatment, and the functional scale scores increased from 55 on admission to 105 at 24 months after discharge. These results suggest that home-based rehabilitation was effective in ameliorating the pathology and improving activities of daily living in this patient with heroin-induced spongiform leukoencephalopathy.

Physiotherapist-led home-based physical activity program versus community group exercise for middle-aged adults: Quasi-experimental comparison

Objectives: Program method, program deliverer and participant preference may be important factors in increasing physical activity adherence and program effectiveness. To investigate this, we compared two physical activity interventions in middle-aged adults. Methods: Using a pragmatic quasi-experimental design, sedentary community dwelling 50 - 65 year olds (n = 2105) were recruited to a non-randomized 6-month community group exercise program (n = 93) or a physiotherapist-led home-based physical activity program (n = 65). The primary outcome was physical activity adherence derived from exercise diaries. Secondary outcomes included the Active Australia Survey, aerobic capacity (step- test), quality of life (SF-12v2), blood pressure, waist circumference, waist-to-hip ratio (WHR) and body mass index. Results: Home-based participants were more likely to be younger, working full-time and not in a relationship (p Thirty-three percent of the group participants attended ≥ 70% of group exercise sessions. Ninety percent of home-based participants received ≥ 4 of the planned 6 telephone support calls. Intention-to-treat analysis found adherence to the physical activity sessions prescribed was the same for both interventions (26% ± 28% vs. 28% ± 35%). Both interventions significantly increased the number of participants achieving self-reported “sufficient” physical activity (p ≤ 0.001) and significantly decreased waist circumference (p < 0.001) and WHR (p 0.05). Conclusion: The physiotherapist- led home-based physical activity program, requiring few resources, appears to have increased the adoption of physical activity and adherence to physical activity program requirements for sedentary middle-aged adults. The home-based program, providing equivalent health benefits to the group exercise program, may be particularly suitable for those not interested in or unable to attend a group exercise program. Clinical Trial Registration number Australian New Zealand Clinical Trials Registry (ANZCTR), ACTRN126 1000890932.

Reported National Level Stock-Outs of Home-Based Records—A Quiet Problem for Immunization Programmes That Needs Attention

Home-based records (HBRs) are an important tool for recording and communicating within primary healthcare service delivery. Unfortunately, HBRs are currently unable to fulfil their intended purpose in many communities either because the HBR is not functionally well-designed to serve its objectives, not made available, not fully adopted and/or not appropriately utilized by caregivers and/or health workers. This brief report describes the occurrence of nationally reported HBR stock-outs and HBR financing patterns during 2014 and 2015 across 195 countries reporting immunization system performance data to the World Health Organization and United Nations Children’s Fund. National level HBR stock-outs were reported by 19 and 22 countries during 2014 and 2015, respectively, with eleven countries reporting stock-outs during both 2014 and 2015. During 2015, 12 of the 22 countries reporting HBR stock-outs were from the African Region and two-thirds of the countries were Gavi-eligible. Information on HBR stock-outs was either not available or not reported by 66 countries (19 were Gavi-eligible) for 2014 and 53 (11 were Gavi-eligible) countries for 2015. Among the 22 countries reporting HBR stock-outs in 2015, 12 (54%) countries reported a single HBR financing source, and nine (41%) countries reported more than one source for HBR financing. The occurrence of HBR stock-outs remains a concern, particularly in Gavi-eligible countries introducing new vaccines where dedicated funding is received for revising and printing new recording tools, including HBRs. Additional attention is needed to understand the root causes for stock-outs and identify solutions to ensure a well-designed, durable HBR is readily available in the right quantity, in the right place at the right time in all countries.

Research Progress on the Home-based Healthcare Plan for the Elderly with Chronic Diseases

Objective:To develop a home-based care plan for the elderly person with chronic diseases based on the status of their home-based care needs and relevant literature.Methods:The clinical data consisted of 132 patients who were 60-year-old or older with chronic diseases from June 2019 to May 2020 were selected and categorized into control and treatment groups of 66 patients each.For the experimental group,a care team for chronically ill elderly receiving regular post-treatment bome-based care.Meanwhile,a general clinical care team for chronically ill elderly receiving regular treatment for the control group.The effectiveness of these two healthcare models was evaluated and analyzed.Results:Results showed that satisfaction and effectiveness of home-based care among the elderly with chronic diseases were statistically better(P<0.05)than those in the usual care group.Conclusion:Providing home-based care services to elderly patients with chronic illnesses helps them to improve their chronic disease condition,patients are more receptive to home care,and patients have higher rates of recovery and treatment satisfaction.

Meta-analysis of the willingness rate of community home-based care in China

Objective:To systematically evaluate the willingness rate of the community to provide for the aged at home and analyze its influencing factors.Methods:By searching the CNKI,VIP,Wanfang,we collected literature on the willingness of the elderly in the community to provide for the aged from 2011 to 2021,extracted the data,and evaluated the quality of the included literature.Then,CMA 2.0 software was used for Meta-analysis.Results:A total of 13 articles were included in this study,and 16,402 people over 60 years old were surveyed,1782 people were willing to provide for the aged at home in the community,with a total willingness rate of 11%(95%CI:9%to 26%).The results of subgroup analysis showed that there was a statistically significant difference in the community home care willingness rate of elderly people with different gender,education levels,marital status,monthly income,living alone,the number of children,and residence(P<0.05).There was not any statistically significant difference in the willingness rate of the elderly with different ages,chronic diseases,self-care ability,and loneliness(P>0.05).Conclusion:The overall willingness rate of the elderly in the community of the elderly is relatively low in China.Gender,education level,marital status,monthly income,living alone,number of children,and residence are factors affecting the prediction of community elderly will.

HOME-BASED MEDICAL SERVICES GET POPULAR IN LHASA

Whenever anybody feels uncomfortable,a doctor,once called,will immediately come to provide his or her services.As part of the new wave of doctors providing their services to smaller communities,"homebased doctors"are gradually being introduced to common civilian homes.At present,Lhasa City has been positively promoted the home-

The Physical Universe and the Theoretical Value of Science:Reflections on the Thought of G.Leopardi

The essay has two main purposes.The first consists of discussing some literary and philosophical thoughts on the epistemological value of science by one of the most famous and celebrated poets in Italian literature,Giacomo Leopardi.The poet firmly believes in the cognitive power of science,capable of revealing false beliefs with the light of reason.However,in his mature reflections,what will radically change will not be the value of scientific activity itself,always admirably accepted,but rather its true salvific force.Leopardi was not a scientist,but he used the scientific culture of his time to critically address the great existential themes of man concerning nature and the universe.He had amply demonstrated a scientific culture since his youthful'History of Astronomy',which would reappear in many of his other literary works.His deep and meditative reflections on the nature of finite and infinite space and time are a clear and fruitful testimony to this.However,Giacomo writes icastically,reason alone is not enough;it needs imagination.The second concerns a first reconstruction of the influence that the philosophy of Enlightenment had on Leopardi’s thought especially in relation to these topics:atheism,rejection of providentialism and anthropocentrism,the conception of nature,the question of the relationship between human and animal intelligence,the rejection of metaphysics,the importance of scientific knowledge.

On Master Tanxu’s Thought of the Middle Way

This paper discusses Master Tanxu’s Thought of Middle Way from three aspects:interpreting the Middle Way with the Tiantai Sect’s thought of“Three Truths as a Unity”(三諦圓融),discussing“the Truth of the First Meaning of the Middle Way”(中道第一義諦)from the relationship between“the One Mind”and the Middle Way,and discussing gradations of practice of the Middle Way.

Research on the Cultivation of Craftsmanship in Huang Yanpei’s Education Thought

Skilled talents are the main support for the strategic development of science and technology in China.The quality of talents is an important guarantee for the transformation and upgrading of national industries.By analyzing and studying Huang Yanpei’s thought on vocational education,this paper focuses on the cultivation of students’craftsmanship in vocational schools.First,we analyze the results of previous research and then elaborate on the connotations of Huang Yanpei’s education thought and craftsmanship spirit.Lastly,we propose five suggestions for the cultivation of craftsmanship.Our research work carries certain reference value to the study of craftsmanship cultivation in Huang Yanpei’s education thought.

习近平文化思想的内涵、特征与核心要义

习近平文化思想是新时代党领导宣传思想文化建设经验的理论总结与思想提升,极大丰富和发展了马克思主义文化理论,在党的文化事业发展史上具有里程碑意义。从内涵看,习近平文化思想是以文化使命为统领,由文化传承、文化创新、文化权益、文化共识、文化引领等方面构成的完备理论体系。从特征看,习近平文化思想具有鲜明的科学性、人民性、实践性、发展性,不仅体现了习近平文化思想的本质,而且展现了习近平文化思想的理论形象。从核心要义看,习近平文化思想主要围绕保障文化安全、坚定文化自信、建设文化强国、增强文化影响等价值目标为新时代宣传思想文化建设提供思想武器和行动指南,为以中国式现代化全面推进中华民族伟大复兴坚定信念、振奋人心、凝聚力量。

习近平文化思想的价值、特质与内在逻辑

习近平文化思想坚持马克思主义的立场观点方法,坚守中华文化立场,是习近平新时代中国特色社会主义思想的文化篇,是中国共产党最新的文化思想成果。习近平文化思想明确了新时代文化建设的路线图和任务书,具有鲜明的实践导向性,为新形势下宣传思想文化工作提供了强大思想武器和科学行动指南。习近平文化思想具有丰富的价值意蕴,丰富和发展了马克思主义文化理论,指明和标注了新时代新的文化使命,也为实现中华民族伟大复兴提供行动指南并注入强大精神动力。习近平文化思想展现出了时代特质,坚守人民立场和政治底色、坚持宏微结合和体用贯通,并彰显了民族特性与世界眼光。习近平文化思想坚持和实现了历史性与现实性的统一,文化本体与文化形态的统一,合规律性与合目的性的统一,内在发展和外在保障的统一。把握习近平文化思想的内在逻辑,有利于深刻认识和理解习近平文化思想生成、存在和发展的内外动因。

我国生态文明教育的演进逻辑与未来图景

生态文明教育是关系中华民族永续发展的长远大计,是促使生态文明建设不断迈上新台阶的重要保障。新中国成立以来,我国生态文明教育大致经历了萌芽、探索、调整和深化等发展阶段,在演进逻辑上彰显出推动生态文明发展的历史选择、践行生态文明思想的重要体现、建设生态文明社会的现实需要和构筑人类命运共同体的价值诉求等特点。站在新的历史起点,要坚持习近平生态文明思想引领,砥砺生态文明教育新征程;强化生态文明建设时代使命,赓续生态文明教育新篇章;凸显人与自然和谐共生理念,构筑生态文明教育新格局;助力美丽中国建设发展方向,提升生态文明教育新境界。并通过健全生态文明教育法律法规、完善生态文明教育体系建设、加快生态文明教育数字建设、参与生态文明教育全球治理等路径推动我国生态文明教育现代化发展,为实现人与自然和谐共生的现代化提供重要支撑。

习近平文化思想的哲学阐释

习近平文化思想是习近平新时代中国特色社会主义思想的重要组成部分,是新时代中国共产党领导文化建设实践经验的理论概括和科学总结。习近平文化思想深刻体现了新时代中国共产党人文化主体性的守正创新,以“两个结合”为深厚底蕴,坚持民族性与世界性相融通,将“魂脉”与“根脉”相结合,在认识论、历史观和辩证法层面实现了对马克思主义哲学的时代创新。习近平文化思想正面回应了西方文明的现代性困境,聚焦西方现代文明的自反性问题和价值异化倾向,提出构建人类命运共同体与创造人类文明新形态的科学论断。习近平文化思想坚持守正与创新相结合、坚持主体性与多样性相融汇、坚持理论与实践相贯通,在实践中深化了对中国特色社会主义文化建设规律的深刻认识,展现了习近平文化思想蕴含的哲学意蕴,必将在新时代中国特色社会主义文化建设中展现思想伟力,在担当新时代新的文化使命中彰显马克思主义的真理力量。