Background and Objective: With the popularity and widespread use of mobile phones, the effects of mobile phone dependence and addiction on individuals’ physical and mental health have attracted more and more attentio...Background and Objective: With the popularity and widespread use of mobile phones, the effects of mobile phone dependence and addiction on individuals’ physical and mental health have attracted more and more attention. The present study aims to analyze the current state of mobile phone addiction and its impact on sleep quality within the population, while also exploring the influence of related factors on sleep quality. Ultimately, this research will provide a scientific foundation for targeted intervention measures and strategies. Methods: A total of 253 permanent residents in Nanjing were randomly selected as study subjects. The Mobile Phone Addiction Index (MPAI) and Pittsburgh Sleep Quality Index (PSQI) were used to evaluate the degree of smartphone addiction and sleep quality of the study subjects. Body mass index (BMI) was measured according to standardized procedures. Independent sample t-test, Chi-square test, rank sum test and multiple linear regression were used to analyze the correlation between mobile phone addiction and sleep quality, and P Results: 117 people (46.2%) were addicted to mobile phones. Chi-square test showed that the rate of mobile phone addiction in drinking group was significantly higher than that in non-drinking group (P P P P P P P P P P Conclusion: Mobile phone addiction may lead to shorter sleep duration and reduce sleep efficiency. The withdrawal of mobile phone addiction may have a negative impact on sleep quality. According to the characteristics of the population, appropriate comprehensive intervention measures should be taken to build an effective evaluation system, so as to reduce the impact of mobile phone addiction and withdrawal problems on sleep and improve sleep quality.展开更多
Chimeric antigen receptor T-cesll therapy(CAR–T)has achieved groundbreaking advancements in clinical application,ushering in a new era for innovative cancer treatment.However,the challenges associated with implementi...Chimeric antigen receptor T-cesll therapy(CAR–T)has achieved groundbreaking advancements in clinical application,ushering in a new era for innovative cancer treatment.However,the challenges associated with implementing this novel targeted cell therapy are increasingly significant.Particularly in the clinical management of solid tumors,obstacles such as the immunosuppressive effects of the tumor microenvironment,limited local tumor infiltration capability of CAR–T cells,heterogeneity of tumor targeting antigens,uncertainties surrounding CAR–T quality,control,and clinical adverse reactions have contributed to increased drug resistance and decreased compliance in tumor therapy.These factors have significantly impeded the widespread adoption and utilization of this therapeutic approach.In this paper,we comprehensively analyze recent preclinical and clinical reports on CAR–T therapy while summarizing crucial factors influencing its efficacy.Furthermore,we aim to identify existing solution strategies and explore their current research status.Through this review article,our objective is to broaden perspectives for further exploration into CAR–T therapy strategies and their clinical applications.展开更多
This study utilized census data from Henan Province for the years 2000,2010,and 2020 to investigate the spatiotemporal evolution of population aging,defined by the proportion of the population aged 65 and above.Employ...This study utilized census data from Henan Province for the years 2000,2010,and 2020 to investigate the spatiotemporal evolution of population aging,defined by the proportion of the population aged 65 and above.Employing spatial analysis techniques such as spatial autocorrelation and the standard deviation ellipse,the research mapped out the progression and distribution of aging demographics.Furthermore,the study delved into the influencing factors of aging using an optimal parameters-based geographical detector.Results indicate a deepening degree of population aging in Henan Province,transitioning from an adult type to an old type structure.There is a marked positive spatial correlation among counties,with high-value aging areas initially decreasing,then increasing,and notably spreading from the central to the central and southern regions of the province.The center of gravity for population aging,specifically around Changge City and Xuchang City,exhibits a trajectory moving southeast before shifting northwest.Factor detection reveals that in 2000,2010,and 2020,the elderly dependency ratio predominantly influences the aging trend,with explanatory powers of 88.4%,87.9%,and 90.9%,respectively.Interaction analysis indicates that the interaction between the old-child ratio and the elderly dependency ratio has a strong explanatory power for the aging patterns in Henan Province,reaching 97.3%,97.0%,and 97.4%,respectively.展开更多
BACKGROUND Gastrointestinal symptoms are common in patients with uremia undergoing hemodialysis,and these symptoms seriously affect patients'prognosis.AIM To assess the occurrence and factors influencing gastroint...BACKGROUND Gastrointestinal symptoms are common in patients with uremia undergoing hemodialysis,and these symptoms seriously affect patients'prognosis.AIM To assess the occurrence and factors influencing gastrointestinal symptoms in patients with uremia undergoing hemodialysis.METHODS We retrospectively selected 98 patients with uremia who underwent regular hemo-dialysis treatment in the blood purification center of our hospital from December 2022 to December 2023.The gastrointestinal symptoms and scores of each dimension were evaluated using the Gastrointestinal Symptom Grading Scale(GSRS).Patients were divided into gastrointestinal symptoms and no gastrointestinal symptom groups according to whether they had gastrointestinal symptoms.The factors that may affect gastrointestinal symptoms were identified by single-factor analysis.Multiple logistic regression analysis was performed to identify independent risk factors for gastrointestinal symptoms.RESULTS Gastrointestinal symptoms included indigestion,constipation,reflux,diarrhea,abdominal pain,and eating disorders,and the total average GSRS score was 1.35±0.47.This study showed that age,number of tablets,dialysis time,glucocorticoid,parathyroid hormone(PTH),combined diabetes mellitus and C-reactive protein(CRP)were independent risk factors for gastrointestinal symptoms in patients with uremia undergoing hemodialysis,whereas body mass index(BMI),hemoglobin(Hb),and urea clearance index were independent protective factors(P<0.05).CONCLUSION Gastrointestinal symptoms are mostly mild in patients with uremia undergoing hemodialysis,most commonly including dyspepsia,eating disorders,and gastroesophageal reflux.The independent influencing factors mainly include the BMI,age,number of pills taken,dialysis time,urea clearance index,Hb,use of glucocorticoids,and thyroid hormone level.PTH,CRP,and diabetes are clinically related factors influencing the occurrence of gastrointestinal symptoms,and targeted prevention can be performed.展开更多
This study examines the influencing factors of rural tourism in promoting shared prosperity among households,using the case study of Yinan County in Shandong province,China.The research aims to provide insights into t...This study examines the influencing factors of rural tourism in promoting shared prosperity among households,using the case study of Yinan County in Shandong province,China.The research aims to provide insights into the economic benefits experienced by low-income households in the context of rural tourism development.Based on field research conducted from April 8,2023,to May 17,2023,including interviews and site visits,the study constructs an evaluation index system to assess the influencing factors.Through expert scoring and the application of a weighted set-valued mathematical statistical model,the importance and quantification of each factor are determined.The results indicate that the current stage of promoting shared prosperity through rural tourism in Yinan County is primarily influenced by the scale of tourist consumption of external visitors.This factor outweighs others such as the participation capacity and willingness of low-income households,the capacity of investment enterprises,and the policies and financial allocation of the local government.The findings emphasize the significance of external visitor spending and highlight the need to address the obstacles faced by low-income households in accessing economic benefits.The evaluation index system and measurement model presented in this study offer a scientific basis for assessing and improving the income situation of low-income households in rural tourism development initiatives.However,it is crucial to note that the importance of these influencing factors may evolve with the lifecycle of the tourism destination.Future research should include long-term tracking and consider a broader range of indicators to deepen our understanding of their mechanisms and significance.Furthermore,alternative approaches and theories may provide valuable perspectives for further exploration in this field.展开更多
This study explores the factors influencing metro passengers’ arrival volume in Wuhan, China, and Lagos, Nigeria, by examining weather, time of day, waiting time, travel behavior, arrival patterns, and metro satisfac...This study explores the factors influencing metro passengers’ arrival volume in Wuhan, China, and Lagos, Nigeria, by examining weather, time of day, waiting time, travel behavior, arrival patterns, and metro satisfaction. It addresses a significant research gap in understanding metro passengers’ dynamics across cultural and geographical contexts. It employs questionnaires, field observations, and advanced data analysis techniques like association rule mining and neural network modeling. Key findings include a correlation between rainy weather, shorter waiting times, and higher arrival volumes. Neural network models showed high predictive accuracy, with waiting time, metro satisfaction, and weather being significant factors in Lagos Light Rail Blue Line Metro. In contrast, arrival patterns, weather, and time of day were more influential in Wuhan Metro Line 5. Results suggest that improving metro satisfaction and reducing waiting times could increase arrival volumes in Lagos Metro while adjusting schedules for weather and peak times could optimize flow in Wuhan Metro. These insights are valuable for transportation planning, passenger arrival volume management, and enhancing user experiences, potentially benefiting urban transportation sustainability and development goals.展开更多
This paper takes college students as research subjects to investigate the factors affecting L2 Reading ability and their regulation strategies through scale surveys.The findings are as follows:(1)Linguistic factors ha...This paper takes college students as research subjects to investigate the factors affecting L2 Reading ability and their regulation strategies through scale surveys.The findings are as follows:(1)Linguistic factors have significant impacts on L2 Reading ability,and the influence of non-linguistic factors,such as non-intellectual factors and cultural background knowledge,is also important;and(2)flexible use of reading regulation strategies according to the learning conditions(such as the information extraction strategy,the metacognitive reading regulation strategy,and the interactive reading strategy)can effectively improve learners’L2 Reading ability.The findings of this study have important theoretical and practical value for improving L2 learners’Reading ability.展开更多
Objective: To investigate the current situation of the demand for geriatric care services of community residents in Beijing and analyze the influencing factors to provide a reference basis for meeting the demand for d...Objective: To investigate the current situation of the demand for geriatric care services of community residents in Beijing and analyze the influencing factors to provide a reference basis for meeting the demand for diversified and professional geriatric care services. Methods: A self-made questionnaire was used to randomly survey 1558 elderly individuals at community health service centers in 8 urban districts where elderly care centers were planned to be built. The influencing factors of the different characteristics of elderly care service needs from three aspects were analyzed using a dichotomous logistic regression model: predisposing, enabling, and, need factors. Results: 69.7% of the elderly required home care services, 22.8% wanted to get care services at elderly care centers, 15.9% wanted to get care services at nursing homes, 12.3% required community care services, and 7.4% didn’t know where to access care services. 68.5% of the elderly required care services for disabilities/semi-disabilities, 58.0% for dementia, 54.7% for common diseases, 34.9% for rehabilitation training, 33.0% for plumbing care, and 7.5% for hospice care. At the same time, there were urban- rural differences in the demand for elderly care services, with suburban elderly having a higher demand for care services than those living in urban areas (P < 0.05). The elderly’s demand for care services was mainly related to age, place of residence, and gender in the causative factors, mode of residence and physical condition among able factors, and mode of care services and care needs among need factors (P < 0.05). Conclusion: The demand for elderly care services was differentiated by factors including place of residence, age, and gender. It is crucial to accurately match the demand for elderly care services, innovate the mode of elderly care services, and improve the service quality to improve the elderly health service system.展开更多
Objective:To understand the current situation of stigma among elderly hemodialysis patients and to analyze its influencing factors.Methods:Convenience sampling was used to select 242 elderly patients undergoing hemodi...Objective:To understand the current situation of stigma among elderly hemodialysis patients and to analyze its influencing factors.Methods:Convenience sampling was used to select 242 elderly patients undergoing hemodialysis in one of the two tertiary hospitals in Mianyang City.The survey was carried out from December 2022 to March 2023,with the Basic Information Questionnaire,the Social Influence Scale,and the Collaborative Social Support Scale.All influencing factors were analyzed by correlation analysis,univariate analysis,and multiple linear regression.Results:The average stigma score among elderly hemodialysis patients was 72.94±9.58,and the influencing factors of stigma among elderly hemodialysis patients were determined to be social support and economic status(P<0.05).Conclusion:The occurrence of stigma among elderly hemodialysis patients was at a moderate to high level,and the influencing factors were mainly economic status and social support.To reduce the occurrence of stigma in elderly hemodialysis patients,appropriate economic support from families and social support from medical personnel are needed.展开更多
Iron is an important element that maintains the normal operation of the body.It not only participates in various physiological reactions as a component of various enzymes,but also is an indispensable component in the ...Iron is an important element that maintains the normal operation of the body.It not only participates in various physiological reactions as a component of various enzymes,but also is an indispensable component in the synthesis of hemoglobin(Hb)and myoglobin,which transport oxygen.About two-thirds of the iron in the body is stored in the Hb of red blood cells,with a small amount present in myoglobin in muscle tissue and enzymes required for various metabolic reactions.The remaining amount is mostly in the form of ferritin as a mobilized iron reserve.When dietary iron intake is limited and the stored iron in the body is insufficient or depleted,iron deficiency occurs.Iron deficiency can be further divided into three stages based on their severity,namely iron deficiency(ID),iron deficiency erythropoiesis(IDE),and iron deficiency anemia(IDA).This study aims to explore the prevalence,diagnosis and differentiation,influencing factors,and preventive interventions of iron deficiency.展开更多
Objective:To investigate the current situation of knowledge,attitude,and practice(KAP)of nursing informatics for intern nursing students.Methods:A total of 213 intern nursing students were selected as subjects.Results...Objective:To investigate the current situation of knowledge,attitude,and practice(KAP)of nursing informatics for intern nursing students.Methods:A total of 213 intern nursing students were selected as subjects.Results:The total score of the questionnaire of knowledge dimension was 10.32±3.23;the score of attitude dimension was 58.78±6.80;the score of practice dimension was 29.06±14.35.Logistic regression analysis showed that further learning plans,telemedicine hospital intern experience,self-learning ability,and telecare training were the related influencing factors of KAP(P<0.05).Conclusions:The current KAP level of nursing informatics among intern nursing students was low to moderate.Hence,the strengthening of school courses and skill training programs is urgently needed.展开更多
With the development of modern information technology and network society,the era of digital transformation has arrived,many educational resources have been developed and utilized,and the problem of space-time separat...With the development of modern information technology and network society,the era of digital transformation has arrived,many educational resources have been developed and utilized,and the problem of space-time separation of global Chinese learners is gradually being solved.The use of mobile application learning can achieve convenient and fast learning,reduce learning costs,and flexibly adjust learning progress.After experiencing COVID-19,the demand for human-computer interaction in mobile learning is even more necessary.Therefore,to make applications achieve seamless docking with the needs of learners in the design of learning,the research investigates and analyzes the five dimensions of time,space,mode,subject,and object.The research tests the reliability and validity of the questionnaire,removes the relevant items and conducts non-parametric tests,then puts forward corresponding strategies according to the results of the questionnaire.It aims to enhance the efficiency of Chinese learners in HSK(Hanyu Shuiping Kaoshi,Chinese Proficiency Test)learning and promote Chinese learning and the spread of the Chinese language and culture.展开更多
The proposal of the strategy of developing the country through science education has clarified China’s demand for the development of the science and education industry and the cultivation of science and education tal...The proposal of the strategy of developing the country through science education has clarified China’s demand for the development of the science and education industry and the cultivation of science and education talents,and the birth of Science Education majors is an important link in the cultivation of scientific literacy.Based on the grounded theory,we interviewed three Science Education graduates from a university and coded the interview data by using NVivo 12.0 to find eight important factors affecting their professional training and employment choices.The factors are“social factors,”“individual career choice factors,”“campus resources,”“employment advantages,”“professional self-development,”“teacher factors,”“planning for further education and employment,”and“student motivation.”This study analyzes the interaction between the influencing factors,constructs a theoretical model of the influencing factors of the quality of Science Education professional training,explores the problems of the training process of Science Education majors and employment dilemmas,and puts forward corresponding suggestions.展开更多
Objective:This study aims to identify the factors influencing moderate to severe malnutrition in elderly lung cancer patients undergoing chemotherapy and to provide a basis for developing clinical prevention and inter...Objective:This study aims to identify the factors influencing moderate to severe malnutrition in elderly lung cancer patients undergoing chemotherapy and to provide a basis for developing clinical prevention and intervention strategies.Methods:The clinical data of 150 elderly lung cancer patients who received chemotherapy were retrospectively analyzed.Demographic data,clinical characteristics,laboratory indicators,treatment plans,and other relevant information were collected.Independent risk factors for moderate to severe malnutrition during chemotherapy were identified.Results:During chemotherapy,50 patients(33.33%)developed moderate to severe malnutrition.The BMI of patients with moderate to severe malnutrition was significantly lower than that of patients with no or mild malnutrition(21.20±1.60 vs.26.14±2.31,P<0.001),and the proportion of patients with stage IV tumors was significantly higher(60.00%vs.27.00%,P<0.001).Serum pre-albumin(pre-ALB)and hemoglobin(Hb)levels in patients with moderate to severe malnutrition were significantly lower than those in patients with no or mild malnutrition(152.67±30.41 g/L vs.252.47±51.24 g/L and 102.44±10.09 g/L vs.154.21±15.18 g/L,respectively,P<0.001 for all).Conclusion:Low BMI,decreased serum pre-ALB levels,and decreased serum Hb levels before chemotherapy are independent risk factors for moderate to severe malnutrition in elderly lung cancer patients during chemotherapy.Close clinical attention should be given to these patients,with early intervention measures such as nutritional support to reduce the incidence of malnutrition and improve patients’quality of life and prognosis.展开更多
Objective: To study the prevalence characteristics of pulmonary nodules and their influencing factors in the health check-up population. Methods: A total of 500 cases of health checkups were selected for the data stud...Objective: To study the prevalence characteristics of pulmonary nodules and their influencing factors in the health check-up population. Methods: A total of 500 cases of health checkups were selected for the data study to analyze the detection and prevalence characteristics of pulmonary nodules. The influencing factors between the pulmonary nodules group and the no pulmonary nodules group were analyzed. Results: A total of 209 cases were detected, of which there were more males than females, and for female patients, the detection rate increased with age (P < 0.05). The distribution of gender, age, smoking, respiratory symptoms, and exposure to kitchen fumes between the two groups was compared (P < 0.05). The multifactorial analysis concluded that risk factors include, respiratory symptoms, older age, exposure to kitchen fumes, and smoking. In addition, patients who exercised more had a lower risk of developing lung nodules. Conclusion: The detection rate of pulmonary nodules was high in the health check-up population and the influencing factors analyzed involved the presence of respiratory symptoms, older age, kitchen fume exposure, and smoking, while the positive influencing factor was increased exercise.展开更多
This study takes the human resource management major of Guangzhou Institute of Science and Technology as an example to discuss the factors influencing the applied talent training mode and improvement paths under digit...This study takes the human resource management major of Guangzhou Institute of Science and Technology as an example to discuss the factors influencing the applied talent training mode and improvement paths under digital informatization.The research points out that digital informatization poses new challenges and opportunities to higher education and requires the applied talent training mode to practice and innovate.This study identified five key influencing factors of the applied talent training mode under digital informatization:curriculum setting,teaching methods,faculty structure,practical teaching,and student training.This research presents the improvement paths,including optimizing curriculum settings,innovating teaching methods,adjusting teacher structure,improving practical teaching,and creating student training.Implementing these paths will help students master the latest knowledge and skills of digital informatization,improve their practical ability and innovative thinking to meet the social demand for human resource management professionals,and promote the development of higher education system.展开更多
Objective:To investigate the current psychological well-being of older people in the community and analyze its influencing factors.Methods:A total of 265 community-dwelling older adults aged 60 and above in Baoding Ci...Objective:To investigate the current psychological well-being of older people in the community and analyze its influencing factors.Methods:A total of 265 community-dwelling older adults aged 60 and above in Baoding City,Hebei Province,were selected through convenience sampling from November 2023 to March 2024.They were surveyed using a general information questionnaire and a comprehensive well-being questionnaire,with results analyzed statistically using SPSS 27.0.Results:Six dimensions of the psychological well-being scale for community older adults were identified:life vitality(P50=4.83),health concern(P50=4.6),self-worth(P50=5.6),friendly relationships(P50=5.33),altruistic behavior(P50=5.2),personality growth(P50=4.67),and comprehensive well-being(P50=161).Multivariate regression analysis showed that social isolation(β=-0.021,P<0.001),type of work(β=-0.142,P<0.001),chronic disease history(β=0.004,P<0.001),need for mobility aid(β=0.192,P<0.001),and monthly income(β=0.381,P<0.001)were factors influencing psychological well-being.Conclusion:The psychological well-being of the elderly is slightly above moderate and requires improvement.Enhancing factors such as reducing social isolation,addressing chronic disease history,and improving financial support could improve psychological well-being in older adults.展开更多
To effectively address the complexity of the environment,information uncertainty,and variability among decision-makers in the event of an enterprise emergency,a multi-granularity binary semantic-based emergency decisi...To effectively address the complexity of the environment,information uncertainty,and variability among decision-makers in the event of an enterprise emergency,a multi-granularity binary semantic-based emergency decision-making method is proposed.Decision-makers use preferred multi-granularity non-uniform linguistic scales combined with binary semantics to represent the evaluation information of key influencing factors.Secondly,the weights were determined based on the proposed method.Finally,the proposed method’s effectiveness is validated using a case study of a fire incident in a chemical company.展开更多
The breakthrough of key core technology is a theoretical and practical strategic issue to realize the rise of the country.This paper analyzes the concept of key core technology and its breakthrough and analyzes its ch...The breakthrough of key core technology is a theoretical and practical strategic issue to realize the rise of the country.This paper analyzes the concept of key core technology and its breakthrough and analyzes its characteristics.Based on the perspective of participants,this paper summarizes the influencing factors of key core technology breakthroughs in enterprises:internal and external enterprises,universities and scientific research institutions,and government.This paper expands the relevant research on key core technology breakthroughs and provides inspiration for enterprises to carry out key core technology research and breakthrough practices.展开更多
Rural settlement is the basic spatial unit for compact communities in rural area. Scientific exploration of spatial-temporal differentiation and its influencing factors is the premise of spatial layout rationalization...Rural settlement is the basic spatial unit for compact communities in rural area. Scientific exploration of spatial-temporal differentiation and its influencing factors is the premise of spatial layout rationalization. Based on land use data of Liangshan Yi Autonomous Prefecture(hereinafter referred to as Liangshan Prefecture) in Sichuan Province, China from 1980 to 2020, compactness index, fractal dimension, imbalance index, location entropy and the optimal parameters-based geographical detector(OPGD) model are used to analyze the spatial-temporal evolution of the morphological characteristics of rural settlements, and to explore the influence of natural geographical factors, socioeconomic factors, and policy factors on the spatial differentiation of rural settlements. The results show that:(1) From 1980 to 2020, the rural settlements area in Liangshan Prefecture increased by 15.96 km^(2). In space, the rural settlements are generally distributed in a local aggregation, dense in the middle and sparse around the periphery. In 2015, the spatial density and expansion index of rural settlements reached the peak.(2) From 1980 to 2020, the compactness index decreased from 0.7636 to 0.7496, the fractal dimension increased from 1.0283 to 1.0314, and the fragmentation index decreased from 0.1183 to 0.1047. The spatial morphological structure of rural settlements tended to be loose, the shape contour tended to be complex, the degree of fragmentation decreased, and the spatial distribution was significantly imbalanced.(3) The results of OPGD detection in 2015 show that the influence of each factor is slope(0.2371) > traffic accessibility(0.2098) > population(0.1403) > regional GDP(0.1325) > elevation(0.0987) > poverty alleviation(0). The results of OPGD detection in 2020 show that the influence of each factor is slope(0.2339) > traffic accessibility(0.2198) > population(0.1432) > regional GDP(0.1219) > poverty alleviation(0.0992) > elevation(0.093). Natural geographical factors(slope and elevation) are the basic factors affecting the spatial distribution of rural settlements, and rural settlements are widely distributed in the river valley plain and the second half mountain area. Socioeconomic factors(traffic accessibility, population, and regional GDP) have a greater impact on the spatial distribution of rural settlements, which is an important factor affecting the spatial distribution of rural settlements. Policy factors such as poverty alleviation relocation have an indispensable impact on the spatial distribution of rural settlements. The research results can provide decisionmaking basis for the spatial arrangement of rural settlements in Liangshan Prefecture, and optimize the implementation of rural revitalization policies.展开更多
文摘Background and Objective: With the popularity and widespread use of mobile phones, the effects of mobile phone dependence and addiction on individuals’ physical and mental health have attracted more and more attention. The present study aims to analyze the current state of mobile phone addiction and its impact on sleep quality within the population, while also exploring the influence of related factors on sleep quality. Ultimately, this research will provide a scientific foundation for targeted intervention measures and strategies. Methods: A total of 253 permanent residents in Nanjing were randomly selected as study subjects. The Mobile Phone Addiction Index (MPAI) and Pittsburgh Sleep Quality Index (PSQI) were used to evaluate the degree of smartphone addiction and sleep quality of the study subjects. Body mass index (BMI) was measured according to standardized procedures. Independent sample t-test, Chi-square test, rank sum test and multiple linear regression were used to analyze the correlation between mobile phone addiction and sleep quality, and P Results: 117 people (46.2%) were addicted to mobile phones. Chi-square test showed that the rate of mobile phone addiction in drinking group was significantly higher than that in non-drinking group (P P P P P P P P P P Conclusion: Mobile phone addiction may lead to shorter sleep duration and reduce sleep efficiency. The withdrawal of mobile phone addiction may have a negative impact on sleep quality. According to the characteristics of the population, appropriate comprehensive intervention measures should be taken to build an effective evaluation system, so as to reduce the impact of mobile phone addiction and withdrawal problems on sleep and improve sleep quality.
基金funded by 2023 Sichuan Scientific and Technological Achievements Transformation Project.Project Number:2023JDZH0024.
文摘Chimeric antigen receptor T-cesll therapy(CAR–T)has achieved groundbreaking advancements in clinical application,ushering in a new era for innovative cancer treatment.However,the challenges associated with implementing this novel targeted cell therapy are increasingly significant.Particularly in the clinical management of solid tumors,obstacles such as the immunosuppressive effects of the tumor microenvironment,limited local tumor infiltration capability of CAR–T cells,heterogeneity of tumor targeting antigens,uncertainties surrounding CAR–T quality,control,and clinical adverse reactions have contributed to increased drug resistance and decreased compliance in tumor therapy.These factors have significantly impeded the widespread adoption and utilization of this therapeutic approach.In this paper,we comprehensively analyze recent preclinical and clinical reports on CAR–T therapy while summarizing crucial factors influencing its efficacy.Furthermore,we aim to identify existing solution strategies and explore their current research status.Through this review article,our objective is to broaden perspectives for further exploration into CAR–T therapy strategies and their clinical applications.
基金Humanities and Social Science Project of the Ministry of Education(NO.17YJCZH041)。
文摘This study utilized census data from Henan Province for the years 2000,2010,and 2020 to investigate the spatiotemporal evolution of population aging,defined by the proportion of the population aged 65 and above.Employing spatial analysis techniques such as spatial autocorrelation and the standard deviation ellipse,the research mapped out the progression and distribution of aging demographics.Furthermore,the study delved into the influencing factors of aging using an optimal parameters-based geographical detector.Results indicate a deepening degree of population aging in Henan Province,transitioning from an adult type to an old type structure.There is a marked positive spatial correlation among counties,with high-value aging areas initially decreasing,then increasing,and notably spreading from the central to the central and southern regions of the province.The center of gravity for population aging,specifically around Changge City and Xuchang City,exhibits a trajectory moving southeast before shifting northwest.Factor detection reveals that in 2000,2010,and 2020,the elderly dependency ratio predominantly influences the aging trend,with explanatory powers of 88.4%,87.9%,and 90.9%,respectively.Interaction analysis indicates that the interaction between the old-child ratio and the elderly dependency ratio has a strong explanatory power for the aging patterns in Henan Province,reaching 97.3%,97.0%,and 97.4%,respectively.
文摘BACKGROUND Gastrointestinal symptoms are common in patients with uremia undergoing hemodialysis,and these symptoms seriously affect patients'prognosis.AIM To assess the occurrence and factors influencing gastrointestinal symptoms in patients with uremia undergoing hemodialysis.METHODS We retrospectively selected 98 patients with uremia who underwent regular hemo-dialysis treatment in the blood purification center of our hospital from December 2022 to December 2023.The gastrointestinal symptoms and scores of each dimension were evaluated using the Gastrointestinal Symptom Grading Scale(GSRS).Patients were divided into gastrointestinal symptoms and no gastrointestinal symptom groups according to whether they had gastrointestinal symptoms.The factors that may affect gastrointestinal symptoms were identified by single-factor analysis.Multiple logistic regression analysis was performed to identify independent risk factors for gastrointestinal symptoms.RESULTS Gastrointestinal symptoms included indigestion,constipation,reflux,diarrhea,abdominal pain,and eating disorders,and the total average GSRS score was 1.35±0.47.This study showed that age,number of tablets,dialysis time,glucocorticoid,parathyroid hormone(PTH),combined diabetes mellitus and C-reactive protein(CRP)were independent risk factors for gastrointestinal symptoms in patients with uremia undergoing hemodialysis,whereas body mass index(BMI),hemoglobin(Hb),and urea clearance index were independent protective factors(P<0.05).CONCLUSION Gastrointestinal symptoms are mostly mild in patients with uremia undergoing hemodialysis,most commonly including dyspepsia,eating disorders,and gastroesophageal reflux.The independent influencing factors mainly include the BMI,age,number of pills taken,dialysis time,urea clearance index,Hb,use of glucocorticoids,and thyroid hormone level.PTH,CRP,and diabetes are clinically related factors influencing the occurrence of gastrointestinal symptoms,and targeted prevention can be performed.
基金This research is supported by the National Social Science Fund of China(Grant No.21BGL150).
文摘This study examines the influencing factors of rural tourism in promoting shared prosperity among households,using the case study of Yinan County in Shandong province,China.The research aims to provide insights into the economic benefits experienced by low-income households in the context of rural tourism development.Based on field research conducted from April 8,2023,to May 17,2023,including interviews and site visits,the study constructs an evaluation index system to assess the influencing factors.Through expert scoring and the application of a weighted set-valued mathematical statistical model,the importance and quantification of each factor are determined.The results indicate that the current stage of promoting shared prosperity through rural tourism in Yinan County is primarily influenced by the scale of tourist consumption of external visitors.This factor outweighs others such as the participation capacity and willingness of low-income households,the capacity of investment enterprises,and the policies and financial allocation of the local government.The findings emphasize the significance of external visitor spending and highlight the need to address the obstacles faced by low-income households in accessing economic benefits.The evaluation index system and measurement model presented in this study offer a scientific basis for assessing and improving the income situation of low-income households in rural tourism development initiatives.However,it is crucial to note that the importance of these influencing factors may evolve with the lifecycle of the tourism destination.Future research should include long-term tracking and consider a broader range of indicators to deepen our understanding of their mechanisms and significance.Furthermore,alternative approaches and theories may provide valuable perspectives for further exploration in this field.
文摘This study explores the factors influencing metro passengers’ arrival volume in Wuhan, China, and Lagos, Nigeria, by examining weather, time of day, waiting time, travel behavior, arrival patterns, and metro satisfaction. It addresses a significant research gap in understanding metro passengers’ dynamics across cultural and geographical contexts. It employs questionnaires, field observations, and advanced data analysis techniques like association rule mining and neural network modeling. Key findings include a correlation between rainy weather, shorter waiting times, and higher arrival volumes. Neural network models showed high predictive accuracy, with waiting time, metro satisfaction, and weather being significant factors in Lagos Light Rail Blue Line Metro. In contrast, arrival patterns, weather, and time of day were more influential in Wuhan Metro Line 5. Results suggest that improving metro satisfaction and reducing waiting times could increase arrival volumes in Lagos Metro while adjusting schedules for weather and peak times could optimize flow in Wuhan Metro. These insights are valuable for transportation planning, passenger arrival volume management, and enhancing user experiences, potentially benefiting urban transportation sustainability and development goals.
基金funded by the Social Sciences Annual Research Project of Shanghai“A Study on the Interactive Processing Mechanism of English L2 Text Reading”(Grant No.2021BYY008).
文摘This paper takes college students as research subjects to investigate the factors affecting L2 Reading ability and their regulation strategies through scale surveys.The findings are as follows:(1)Linguistic factors have significant impacts on L2 Reading ability,and the influence of non-linguistic factors,such as non-intellectual factors and cultural background knowledge,is also important;and(2)flexible use of reading regulation strategies according to the learning conditions(such as the information extraction strategy,the metacognitive reading regulation strategy,and the interactive reading strategy)can effectively improve learners’L2 Reading ability.The findings of this study have important theoretical and practical value for improving L2 learners’Reading ability.
文摘Objective: To investigate the current situation of the demand for geriatric care services of community residents in Beijing and analyze the influencing factors to provide a reference basis for meeting the demand for diversified and professional geriatric care services. Methods: A self-made questionnaire was used to randomly survey 1558 elderly individuals at community health service centers in 8 urban districts where elderly care centers were planned to be built. The influencing factors of the different characteristics of elderly care service needs from three aspects were analyzed using a dichotomous logistic regression model: predisposing, enabling, and, need factors. Results: 69.7% of the elderly required home care services, 22.8% wanted to get care services at elderly care centers, 15.9% wanted to get care services at nursing homes, 12.3% required community care services, and 7.4% didn’t know where to access care services. 68.5% of the elderly required care services for disabilities/semi-disabilities, 58.0% for dementia, 54.7% for common diseases, 34.9% for rehabilitation training, 33.0% for plumbing care, and 7.5% for hospice care. At the same time, there were urban- rural differences in the demand for elderly care services, with suburban elderly having a higher demand for care services than those living in urban areas (P < 0.05). The elderly’s demand for care services was mainly related to age, place of residence, and gender in the causative factors, mode of residence and physical condition among able factors, and mode of care services and care needs among need factors (P < 0.05). Conclusion: The demand for elderly care services was differentiated by factors including place of residence, age, and gender. It is crucial to accurately match the demand for elderly care services, innovate the mode of elderly care services, and improve the service quality to improve the elderly health service system.
文摘Objective:To understand the current situation of stigma among elderly hemodialysis patients and to analyze its influencing factors.Methods:Convenience sampling was used to select 242 elderly patients undergoing hemodialysis in one of the two tertiary hospitals in Mianyang City.The survey was carried out from December 2022 to March 2023,with the Basic Information Questionnaire,the Social Influence Scale,and the Collaborative Social Support Scale.All influencing factors were analyzed by correlation analysis,univariate analysis,and multiple linear regression.Results:The average stigma score among elderly hemodialysis patients was 72.94±9.58,and the influencing factors of stigma among elderly hemodialysis patients were determined to be social support and economic status(P<0.05).Conclusion:The occurrence of stigma among elderly hemodialysis patients was at a moderate to high level,and the influencing factors were mainly economic status and social support.To reduce the occurrence of stigma in elderly hemodialysis patients,appropriate economic support from families and social support from medical personnel are needed.
文摘Iron is an important element that maintains the normal operation of the body.It not only participates in various physiological reactions as a component of various enzymes,but also is an indispensable component in the synthesis of hemoglobin(Hb)and myoglobin,which transport oxygen.About two-thirds of the iron in the body is stored in the Hb of red blood cells,with a small amount present in myoglobin in muscle tissue and enzymes required for various metabolic reactions.The remaining amount is mostly in the form of ferritin as a mobilized iron reserve.When dietary iron intake is limited and the stored iron in the body is insufficient or depleted,iron deficiency occurs.Iron deficiency can be further divided into three stages based on their severity,namely iron deficiency(ID),iron deficiency erythropoiesis(IDE),and iron deficiency anemia(IDA).This study aims to explore the prevalence,diagnosis and differentiation,influencing factors,and preventive interventions of iron deficiency.
基金the Yunnan Provincial Education Department Scientific Research Fund Project(2021J0250).
文摘Objective:To investigate the current situation of knowledge,attitude,and practice(KAP)of nursing informatics for intern nursing students.Methods:A total of 213 intern nursing students were selected as subjects.Results:The total score of the questionnaire of knowledge dimension was 10.32±3.23;the score of attitude dimension was 58.78±6.80;the score of practice dimension was 29.06±14.35.Logistic regression analysis showed that further learning plans,telemedicine hospital intern experience,self-learning ability,and telecare training were the related influencing factors of KAP(P<0.05).Conclusions:The current KAP level of nursing informatics among intern nursing students was low to moderate.Hence,the strengthening of school courses and skill training programs is urgently needed.
基金2023 International Chinese Teaching Practice Innovation Project(YHJXCX23-039)2024-2025 Higher Education Fund of the Macao SAR Government(MF2342)+2 种基金National Social Science Fund of China(BBA230063)National Social Science Fund of China(BCA200090)Research on the Training Path of Innovative Thinking Ability of College Students in Guangdong(2023GXJK233)。
文摘With the development of modern information technology and network society,the era of digital transformation has arrived,many educational resources have been developed and utilized,and the problem of space-time separation of global Chinese learners is gradually being solved.The use of mobile application learning can achieve convenient and fast learning,reduce learning costs,and flexibly adjust learning progress.After experiencing COVID-19,the demand for human-computer interaction in mobile learning is even more necessary.Therefore,to make applications achieve seamless docking with the needs of learners in the design of learning,the research investigates and analyzes the five dimensions of time,space,mode,subject,and object.The research tests the reliability and validity of the questionnaire,removes the relevant items and conducts non-parametric tests,then puts forward corresponding strategies according to the results of the questionnaire.It aims to enhance the efficiency of Chinese learners in HSK(Hanyu Shuiping Kaoshi,Chinese Proficiency Test)learning and promote Chinese learning and the spread of the Chinese language and culture.
文摘The proposal of the strategy of developing the country through science education has clarified China’s demand for the development of the science and education industry and the cultivation of science and education talents,and the birth of Science Education majors is an important link in the cultivation of scientific literacy.Based on the grounded theory,we interviewed three Science Education graduates from a university and coded the interview data by using NVivo 12.0 to find eight important factors affecting their professional training and employment choices.The factors are“social factors,”“individual career choice factors,”“campus resources,”“employment advantages,”“professional self-development,”“teacher factors,”“planning for further education and employment,”and“student motivation.”This study analyzes the interaction between the influencing factors,constructs a theoretical model of the influencing factors of the quality of Science Education professional training,explores the problems of the training process of Science Education majors and employment dilemmas,and puts forward corresponding suggestions.
基金Shaanxi Provincial People’s Hospital Grant“Construction and Verification of Malnutrition Risk Prediction Model in Elderly Patients with Lung Cancer Undergoing Chemotherapy”(Grant No.2023HL-14)。
文摘Objective:This study aims to identify the factors influencing moderate to severe malnutrition in elderly lung cancer patients undergoing chemotherapy and to provide a basis for developing clinical prevention and intervention strategies.Methods:The clinical data of 150 elderly lung cancer patients who received chemotherapy were retrospectively analyzed.Demographic data,clinical characteristics,laboratory indicators,treatment plans,and other relevant information were collected.Independent risk factors for moderate to severe malnutrition during chemotherapy were identified.Results:During chemotherapy,50 patients(33.33%)developed moderate to severe malnutrition.The BMI of patients with moderate to severe malnutrition was significantly lower than that of patients with no or mild malnutrition(21.20±1.60 vs.26.14±2.31,P<0.001),and the proportion of patients with stage IV tumors was significantly higher(60.00%vs.27.00%,P<0.001).Serum pre-albumin(pre-ALB)and hemoglobin(Hb)levels in patients with moderate to severe malnutrition were significantly lower than those in patients with no or mild malnutrition(152.67±30.41 g/L vs.252.47±51.24 g/L and 102.44±10.09 g/L vs.154.21±15.18 g/L,respectively,P<0.001 for all).Conclusion:Low BMI,decreased serum pre-ALB levels,and decreased serum Hb levels before chemotherapy are independent risk factors for moderate to severe malnutrition in elderly lung cancer patients during chemotherapy.Close clinical attention should be given to these patients,with early intervention measures such as nutritional support to reduce the incidence of malnutrition and improve patients’quality of life and prognosis.
文摘Objective: To study the prevalence characteristics of pulmonary nodules and their influencing factors in the health check-up population. Methods: A total of 500 cases of health checkups were selected for the data study to analyze the detection and prevalence characteristics of pulmonary nodules. The influencing factors between the pulmonary nodules group and the no pulmonary nodules group were analyzed. Results: A total of 209 cases were detected, of which there were more males than females, and for female patients, the detection rate increased with age (P < 0.05). The distribution of gender, age, smoking, respiratory symptoms, and exposure to kitchen fumes between the two groups was compared (P < 0.05). The multifactorial analysis concluded that risk factors include, respiratory symptoms, older age, exposure to kitchen fumes, and smoking. In addition, patients who exercised more had a lower risk of developing lung nodules. Conclusion: The detection rate of pulmonary nodules was high in the health check-up population and the influencing factors analyzed involved the presence of respiratory symptoms, older age, kitchen fume exposure, and smoking, while the positive influencing factor was increased exercise.
基金funded by the 2024 Research Project of Guangdong Academy of Human Resources-Research on the Training Mode of Digital Information-based Applied Talents in Private Higher Education Institutions of Guangdong Province(No.GDHRS-24-02-030)the 2023 Education and Teaching Reform Project of Guangzhou Institute of Science and Technology-Research on the Training Path of Applied Talents for Human Resource Management in Private Higher Education Institutions of Guangdong Province(No.2023JG056)Qualified Curriculum Construction Project of Guangzhou Institute of Science and Technology-Modern Enterprise Management(No.2024HGKC06).
文摘This study takes the human resource management major of Guangzhou Institute of Science and Technology as an example to discuss the factors influencing the applied talent training mode and improvement paths under digital informatization.The research points out that digital informatization poses new challenges and opportunities to higher education and requires the applied talent training mode to practice and innovate.This study identified five key influencing factors of the applied talent training mode under digital informatization:curriculum setting,teaching methods,faculty structure,practical teaching,and student training.This research presents the improvement paths,including optimizing curriculum settings,innovating teaching methods,adjusting teacher structure,improving practical teaching,and creating student training.Implementing these paths will help students master the latest knowledge and skills of digital informatization,improve their practical ability and innovative thinking to meet the social demand for human resource management professionals,and promote the development of higher education system.
基金Medical Science Foundation of Hebei University(2022X01)。
文摘Objective:To investigate the current psychological well-being of older people in the community and analyze its influencing factors.Methods:A total of 265 community-dwelling older adults aged 60 and above in Baoding City,Hebei Province,were selected through convenience sampling from November 2023 to March 2024.They were surveyed using a general information questionnaire and a comprehensive well-being questionnaire,with results analyzed statistically using SPSS 27.0.Results:Six dimensions of the psychological well-being scale for community older adults were identified:life vitality(P50=4.83),health concern(P50=4.6),self-worth(P50=5.6),friendly relationships(P50=5.33),altruistic behavior(P50=5.2),personality growth(P50=4.67),and comprehensive well-being(P50=161).Multivariate regression analysis showed that social isolation(β=-0.021,P<0.001),type of work(β=-0.142,P<0.001),chronic disease history(β=0.004,P<0.001),need for mobility aid(β=0.192,P<0.001),and monthly income(β=0.381,P<0.001)were factors influencing psychological well-being.Conclusion:The psychological well-being of the elderly is slightly above moderate and requires improvement.Enhancing factors such as reducing social isolation,addressing chronic disease history,and improving financial support could improve psychological well-being in older adults.
文摘To effectively address the complexity of the environment,information uncertainty,and variability among decision-makers in the event of an enterprise emergency,a multi-granularity binary semantic-based emergency decision-making method is proposed.Decision-makers use preferred multi-granularity non-uniform linguistic scales combined with binary semantics to represent the evaluation information of key influencing factors.Secondly,the weights were determined based on the proposed method.Finally,the proposed method’s effectiveness is validated using a case study of a fire incident in a chemical company.
文摘The breakthrough of key core technology is a theoretical and practical strategic issue to realize the rise of the country.This paper analyzes the concept of key core technology and its breakthrough and analyzes its characteristics.Based on the perspective of participants,this paper summarizes the influencing factors of key core technology breakthroughs in enterprises:internal and external enterprises,universities and scientific research institutions,and government.This paper expands the relevant research on key core technology breakthroughs and provides inspiration for enterprises to carry out key core technology research and breakthrough practices.
基金funded by the National Natural Science Foundation of China (Grant Nos. 41971015)Doctoral research program of China West Normal University (Grant Nos.19E067)。
文摘Rural settlement is the basic spatial unit for compact communities in rural area. Scientific exploration of spatial-temporal differentiation and its influencing factors is the premise of spatial layout rationalization. Based on land use data of Liangshan Yi Autonomous Prefecture(hereinafter referred to as Liangshan Prefecture) in Sichuan Province, China from 1980 to 2020, compactness index, fractal dimension, imbalance index, location entropy and the optimal parameters-based geographical detector(OPGD) model are used to analyze the spatial-temporal evolution of the morphological characteristics of rural settlements, and to explore the influence of natural geographical factors, socioeconomic factors, and policy factors on the spatial differentiation of rural settlements. The results show that:(1) From 1980 to 2020, the rural settlements area in Liangshan Prefecture increased by 15.96 km^(2). In space, the rural settlements are generally distributed in a local aggregation, dense in the middle and sparse around the periphery. In 2015, the spatial density and expansion index of rural settlements reached the peak.(2) From 1980 to 2020, the compactness index decreased from 0.7636 to 0.7496, the fractal dimension increased from 1.0283 to 1.0314, and the fragmentation index decreased from 0.1183 to 0.1047. The spatial morphological structure of rural settlements tended to be loose, the shape contour tended to be complex, the degree of fragmentation decreased, and the spatial distribution was significantly imbalanced.(3) The results of OPGD detection in 2015 show that the influence of each factor is slope(0.2371) > traffic accessibility(0.2098) > population(0.1403) > regional GDP(0.1325) > elevation(0.0987) > poverty alleviation(0). The results of OPGD detection in 2020 show that the influence of each factor is slope(0.2339) > traffic accessibility(0.2198) > population(0.1432) > regional GDP(0.1219) > poverty alleviation(0.0992) > elevation(0.093). Natural geographical factors(slope and elevation) are the basic factors affecting the spatial distribution of rural settlements, and rural settlements are widely distributed in the river valley plain and the second half mountain area. Socioeconomic factors(traffic accessibility, population, and regional GDP) have a greater impact on the spatial distribution of rural settlements, which is an important factor affecting the spatial distribution of rural settlements. Policy factors such as poverty alleviation relocation have an indispensable impact on the spatial distribution of rural settlements. The research results can provide decisionmaking basis for the spatial arrangement of rural settlements in Liangshan Prefecture, and optimize the implementation of rural revitalization policies.