Analysis of the Effect of Integrated Extended Care Model in Improving the Quality of Life of Elderly Patients with Type 2 Diabetes Mellitus

Objective: To analyze the impact of an integrated extended care model on improving the quality of life of elderly patients with Type 2 Diabetes Mellitus (T2DM). Methods: A total of 176 patients admitted to the hospital from March 2015 to February 2018 were selected and randomly assigned to an observation group and a control group, with 88 patients each. The control group implemented conventional nursing interventions, and the observation group carried out an integrated extended-care model. The level of glycemic control, quality of life, and daily medication adherence between both groups were compared. Results: The observation group showed significant improvement in the level of glycemic control, and their fasting blood glucose, 2-hour postprandial blood glucose, and glycated hemoglobin levels were significantly lower as compared with those in the study group (P < 0.05). The quality of life of the patients in the observation group was higher than that of the control group (P < 0.05). The observation group had a higher compliance score (95.48 ± 7.45) than the control group (81.31 ± 8.72) (t = 8.909, P < 0.05). Conclusion: The integrated extended care model allows patients to receive comprehensive and individualized nursing services after discharge, which improves the effect of drug therapy and the quality of life of patients.

Impact of extended nursing model after multi-disciplinary treatment on young patient with post-stroke

BACKGROUND Stroke has become one of the most serious life-threatening diseases due to its high morbidity,disability,recurrence and mortality rates.AIM To explore the intervention effect of multi-disciplinary treatment(MDT)extended nursing model on negative emotions and quality of life of young patients with post-stroke.METHODS A total of 60 young stroke patients who were hospitalized in the neurology department of our hospital from January 2020 to December 2021 were selected and randomly divided into a control group and an experimental group,with 30 patients in each group.The control group used the conventional care model and the experimental group used the MDT extended nursing model.After the inhospital and 3-mo post-discharge interventions,the differences in negative emotions and quality of life scores between the two groups were evaluated and analyzed at the time of admission,at the time of discharge and after discharge,respectively.RESULTS There are no statistically significant differences in the negative emotions scores between the two groups at admission,while there are statistically significant differences in the negative emotions scores within each group at admission and discharge,at discharge and post-discharge,and at discharge and post-discharge.In addition,the negative emotions scores were all statistically significant at discharge and after discharge when compared between the two groups.There was no statistically significant difference in quality of life scores at the time of admission between the two groups,and the difference between quality of life scores at the time of admission and discharge,at the time of discharge and post-discharge,and at the time of admission and post-discharge for each group of patients was statistically significant.CONCLUSION The MDT extended nursing mode can improve the negative emotion of patients and improve their quality of life.Therefore,it can be applied in future clinical practice and is worthy of promotion.

Notes on Convergence and Modeling for the Extended Kalman Filter

The goal of this work is to provide an understanding of estimation technology for both linear and nonlinear dynamical systems.A critical analysis of both the Kalman filter(KF)and the extended Kalman filter(EKF)will be provided,along with examples to illustrate some important issues related to filtering convergence due to system modeling.A conceptual explanation of the topic with illustrative examples provided in the paper can help the readers capture the essential principles and avoid making mistakes while implementing the algorithms.Adding fictitious process noise to the system model assumed by the filter designers for convergence assurance is being investigated.A comparison of estimation accuracy with linear and nonlinear measurements is made.Parameter identification by the state estimation method through the augmentation of the state vector is also discussed.The intended readers of this article may include researchers,working engineers,or engineering students.This article can serve as a better understanding of the topic as well as a further connection to probability,stochastic process,and system theory.The lesson learned enables the readers to interpret the theory and algorithms appropriately and precisely implement the computer codes that nicely match the estimation algorithms related to the mathematical equations.This is especially helpful for those readers with less experience or background in optimal estimation theory,as it provides a solid foundation for further study on the theory and applications of the topic.

Entanglement and thermalization in the extended Bose–Hubbard model after a quantum quench: A correlation analysis

Exploring the role of entanglement in quantum nonequilibrium dynamics is important to understand the mechanism of thermalization in an isolated system. We study the relaxation dynamics in a one-dimensional extended Bose–Hubbard model after a global interaction quench by considering several observables: the local Boson numbers, the nonlocal entanglement entropy, and the momentum distribution functions. We calculate the thermalization fidelity for different quench parameters and different sizes of subsystems, and the results show that the degree of thermalization is affected by the distance from the integrable point and the size of the subsystem. We employ the Pearson coefficient as the measurement of the correlation between the entanglement entropy and thermalization fidelity, and a strong correlation is demonstrated for the quenched system.

Trend Autoregressive Model Exact Run Length Evaluation on a Two-Sided Extended EWMA Chart

The Extended Exponentially Weighted Moving Average(extended EWMA)control chart is one of the control charts and can be used to quickly detect a small shift.The performance of control charts can be evaluated with the average run length(ARL).Due to the deriving explicit formulas for the ARL on a two-sided extended EWMA control chart for trend autoregressive or trend AR(p)model has not been reported previously.The aim of this study is to derive the explicit formulas for the ARL on a two-sided extended EWMA con-trol chart for the trend AR(p)model as well as the trend AR(1)and trend AR(2)models with exponential white noise.The analytical solution accuracy was obtained with the extended EWMA control chart and was compared to the numer-ical integral equation(NIE)method.The results show that the ARL obtained by the explicit formula and the NIE method is hardly different,but the explicit for-mula can help decrease the computational(CPU)time.Furthermore,this is also expanded to comparative performance with the Exponentially Weighted Moving Average(EWMA)control chart.The performance of the extended EWMA control chart is better than the EWMA control chart for all situations,both the trend AR(1)and trend AR(2)models.Finally,the analytical solution of ARL is applied to real-world data in the healthfield,such as COVID-19 data in the United Kingdom and Sweden,to demonstrate the efficacy of the proposed method.

Analysis of SDEs Applied to SEIR Epidemic Models by Extended Kalman Filter Method

A disease transmission model of SEIR type is discussed in a stochastic point of view. We start by formulating the SEIR epidemic model in form of a system of nonlinear differential equations and then change it to a system of nonlinear stochastic differential equations (SDEs). The numerical simulation of the resulting SDEs is done by Euler-Maruyama scheme and the parameters are estimated by adaptive Markov chain Monte Carlo and extended Kalman filter methods. The stochastic results are discussed and it is observed that with the SDE type of modeling, the parameters are also identifiable.

Adaptive Random Effects/Coefficients Modeling

Adaptive fractional polynomial modeling of general correlated outcomes is formulated to address nonlinearity in means, variances/dispersions, and correlations. Means and variances/dispersions are modeled using generalized linear models in fixed effects/coefficients. Correlations are modeled using random effects/coefficients. Nonlinearity is addressed using power transforms of primary (untransformed) predictors. Parameter estimation is based on extended linear mixed modeling generalizing both generalized estimating equations and linear mixed modeling. Models are evaluated using likelihood cross-validation (LCV) scores and are generated adaptively using a heuristic search controlled by LCV scores. Cases covered include linear, Poisson, logistic, exponential, and discrete regression of correlated continuous, count/rate, dichotomous, positive continuous, and discrete numeric outcomes treated as normally, Poisson, Bernoulli, exponentially, and discrete numerically distributed, respectively. Example analyses are also generated for these five cases to compare adaptive random effects/coefficients modeling of correlated outcomes to previously developed adaptive modeling based on directly specified covariance structures. Adaptive random effects/coefficients modeling substantially outperforms direct covariance modeling in the linear, exponential, and discrete regression example analyses. It generates equivalent results in the logistic regression example analyses and it is substantially outperformed in the Poisson regression case. Random effects/coefficients modeling of correlated outcomes can provide substantial improvements in model selection compared to directly specified covariance modeling. However, directly specified covariance modeling can generate competitive or substantially better results in some cases while usually requiring less computation time.

The Time-Consistent Optimal Reinsurance Strategy of Insurance Group under the CEV Model

The article introduces proportional reinsurance contracts under the mean-variance criterion,studying the time-consistence investment portfolio problem considering the interests of both insurance companies and reinsurance companies.The insurance claims process follows a jump-diffusion model,assuming that the risk asset prices of insurance companies and reinsurance companies follow CEV models different from each other.In the framework of game theory,the time-consistent equilibrium reinsurance strategy is obtained by solving the extended HJB equation analytically.Finally,numerical examples are used to illustrate the impact of model parameters on equilibrium strategies and provide economic explanations.The results indicate that the decision weights of insurance companies and reinsurance companies do have a significant impact on both the reinsurance ratio and the equilibrium reinsurance strategy.

On the Cosmic Evolution of the Quantum Vacuum Using Two Variable G Models and Winterberg’s Thesis

We work within a Winterberg framework where space, i.e., the vacuum, consists of a two component superfluid/super-solid made up of a vast assembly (sea) of positive and negative mass Planck particles, called planckions. These material particles interact indirectly, and have very strong restoring forces keeping them a finite distance apart from each other within their respective species. Because of their mass compensating effect, the vacuum appears massless, charge-less, without pressure, net energy density or entropy. In addition, we consider two varying G models, where G, is Newton’s constant, and G-1, increases with an increase in cosmological time. We argue that there are at least two competing models for the quantum vacuum within such a framework. The first follows a strict extension of Winterberg’s model. This leads to nonsensible results, if G increases, going back in cosmological time, as the length scale inherent in such a model will not scale properly. The second model introduces a different length scale, which does scale properly, but keeps the mass of the Planck particle as, ± the Planck mass. Moreover we establish a connection between ordinary matter, dark matter, and dark energy, where all three mass densities within the Friedman equation must be interpreted as residual vacuum energies, which only surface, once aggregate matter has formed, at relatively low CMB temperatures. The symmetry of the vacuum will be shown to be broken, because of the different scaling laws, beginning with the formation of elementary particles. Much like waves on an ocean where positive and negative planckion mass densities effectively cancel each other out and form a zero vacuum energy density/zero vacuum pressure surface, these positive mass densities are very small perturbations (anomalies) about the mean. This greatly alleviates, i.e., minimizes the cosmological constant problem, a long standing problem associated with the vacuum.

Noether's theorem for non-conservative Hamilton system based on El-Nabulsi dynamical model extended by periodic laws

This paper focuses on the Noether symmetries and the conserved quantities for both holonomic and nonholonomic systems based on a new non-conservative dynamical model introduced by E1-Nabulsi. First, the E1-Nabulsi dynamical model which is based on a fractional integral extended by periodic laws is introduced, and E1-Nabulsi-Hamilton＇s canoni- cal equations for non-conservative Hamilton system with holonomic or nonholonomic constraints are established. Second, the definitions and criteria of E1-Nabulsi-Noether symmetrical transformations and quasi-symmetrical transformations are presented in terms of the invariance of E1-Nabulsi-Hamilton action under the infinitesimal transformations of the group. Fi- nally, Noether＇s theorems for the non-conservative Hamilton system under the E1-Nabulsi dynamical system are established, which reveal the relationship between the Noether symmetry and the conserved quantity of the system.

An Extended Enterprise Modeling Approach to Enterprise-based Integration

The paradigm of extended enterprise is the core competency focused. An extended enterprise expands its scope from bounding a single enterprise to including additional processes performed by other enterprises. The integration of processes is enterprise based. This paper proposes a recursive enterprises interconnected chain model for the extended enterprise, and presents an enterprise-based integration framework for the extended enterprise. The case study is based on a motorcycle group corporation.

Testing and Evaluation for Web Usability Based on Extended Markov Chain Model

As the increasing popularity and complexity of Web applications and the emergence of their new characteristics, the testing and maintenance of large, complex Web applications are becoming more complex and difficult. Web applications generally contain lots of pages and are used by enormous users. Statistical testing is an effective way of ensuring their quality. Web usage can be accurately described by Markov chain which has been proved to be an ideal model for software statistical testing. The results of unit testing can be utilized in the latter stages, which is an important strategy for bottom-to-top integration testing, and the other improvement of extended Markov chain model (EMM) is to present the error type vector which is treated as a part of page node. this paper also proposes the algorithm for generating test cases of usage paths. Finally, optional usage reliability evaluation methods and an incremental usability regression testing model for testing and evaluation are presented. Key words statistical testing - evaluation for Web usability - extended Markov chain model (EMM) - Web log mining - reliability evaluation CLC number TP311. 5 Foundation item: Supported by the National Defence Research Project (No. 41315. 9. 2) and National Science and Technology Plan (2001BA102A04-02-03)Biography: MAO Cheng-ying (1978-), male, Ph.D. candidate, research direction: software testing. Research direction: advanced database system, software testing, component technology and data mining.

Inverse Calculation of Wave-Absorbing Structure Dimensions Based on Extended ANFIS Model

A new wave energy dissipation structure is proposed, aiming to optimize the dimensions of the structure and make the reflection of the structure maintain a low level within the scope of the known frequency band. An optimal extended ANFIS model combined with the wave reflection coefficient analysis for the estimation of the structure dimensions is established. In the premise of lower wave reflection coefficient, the specific sizes of the structure are obtained inversely, and the contribution of each related parameter on the structural reflection performance is analyzed. The main influencing factors are determined. It is found that the optimal dimensions of the proposed structure exist, which make the wave absorbing performance of the structure reach a perfect status under a wide wave frequency band.

The ‘Two oceans and one sea' extended range numerical prediction system with an ultra-high resolution atmosphere-ocean-land regional coupled model

The‘Two Oceans and One Sea’area(West Pacific,Indian Ocean,and South China Sea;15°S–60°N,39°–178°E)is a core strategic area for the‘21st Century Maritime Silk Road’project,as well as national defense.With the increasing demand for disaster prevention and mitigation,the importance of 10–30-day extended range prediction,between the conventional short-term(around seven days)and the climate scale(longer than one month),is apparent.However,marine extended range prediction is still a‘blank point’in China,making the early warning of marine disasters almost impossible.Here,the authors introduce a recently launched Chinese national project on a numerical forecasting system for extended range prediction in the‘Two Oceans and One Sea’area based on a regional ultra-high resolution multi-layer coupled model,including the scientific aims,technical scheme,innovation,and expected achievements.The completion of this prediction system is of considerable significance for the economic development and national security of China.

Simulation on model predictive control for PMSM drive system based on double extended state observer

A novel double extended state observer(DESO)based on model predictive torque control(MPTC)strategy is developed for three-phase permanent magnet synchronous motor(PMSM)drive system without current sensor.In general,to achieve high-precision control,two-phase current sensors are necessary for successful implementation of MPTC.For this purpose,two ESOs are used to estimate q-axis current and stator resistance respectively,and then based on this,d-axis current is estimated.Moreover,to reduce torque and flux ripple and to improve the performance of the torque and speed,MPTC strategy is designed.The simulation results validate the feasibility and effectiveness of the proposed scheme.

An extended improved global structure model for influential node identification in complex networks

Accurate identification of influential nodes facilitates the control of rumor propagation and interrupts the spread of computer viruses.Many classical approaches have been proposed by researchers regarding different aspects.To explore the impact of location information in depth,this paper proposes an improved global structure model to characterize the influence of nodes.The method considers both the node’s self-information and the role of the location information of neighboring nodes.First,degree centrality of each node is calculated,and then degree value of each node is used to represent self-influence,and degree values of the neighbor layer nodes are divided by the power of the path length,which is path attenuation used to represent global influence.Finally,an extended improved global structure model that considers the nearest neighbor information after combining self-influence and global influence is proposed to identify influential nodes.In this paper,the propagation process of a real network is obtained by simulation with the SIR model,and the effectiveness of the proposed method is verified from two aspects of discrimination and accuracy.The experimental results show that the proposed method is more accurate in identifying influential nodes than other comparative methods with multiple networks.

Extended Generalized Riccati Equation Mapping for Thermal Traveling-Wave Distribution in Biological Tissues through a Bio-Heat Transfer Model with Linear/Quadratic Temperature-Dependent Blood Perfusion

Analytical thermal traveling-wave distribution in biological tissues through a bio-heat transfer (BHT) model with linear/quadratic temperature-dependent blood perfusion is discussed in this paper. Using the extended generalized Riccati equation mapping method, we find analytical traveling wave solutions of the considered BHT equation. All the travelling wave solutions obtained have been used to explicitly investigate the effect of linear and quadratic coefficients of temperature dependence on temperature distribution in tissues. We found that the parameter of the nonlinear superposition formula for Riccati can be used to control the temperature of living tissues. Our results prove that the extended generalized Riccati equation mapping method is a powerful tool for investigating thermal traveling-wave distribution in biological tissues.

Extended activated sludge model no. 1 (ASM1) for simulating biodegradation process using bacterial technology

Phosphorus is one of the most important nutrients required to support various kinds of biodegradation processes. As this particular nutrient is not included in the activated sludge model no. 1 （ASM1）, this study extended this model in order to determine the fate of phosphorus during the biodegradation processes. When some of the kinetics parameters are modified using observed data from the restoration project of the Xuxi River in Wuxi City, China, from August 25 to 31 in 2009, the extended model shows excellent results. In order to obtain optimum values of coefficients of nitrogen and phosphorus, the mass fraction method was used to ensure that the final results were reasonable and practically relevant. The temporal distribution of the data calculated with the extended ASM1 approximates that of the observed data.

Hierarchical Modeling by Recursive Unsupervised Spectral Clustering and Network Extended Importance Measures to Analyze the Reliability Characteristics of Complex Network Systems

The complexity of large-scale network systems made of a large number of nonlinearly interconnected components is a restrictive facet for their modeling and analysis. In this paper, we propose a framework of hierarchical modeling of a complex network system, based on a recursive unsupervised spectral clustering method. The hierarchical model serves the purpose of facilitating the management of complexity in the analysis of real-world critical infrastructures. We exemplify this by referring to the reliability analysis of the 380 kV Italian Power Transmission Network (IPTN). In this work of analysis, the classical component Importance Measures (IMs) of reliability theory have been extended to render them compatible and applicable to a complex distributed network system. By utilizing these extended IMs, the reliability properties of the IPTN system can be evaluated in the framework of the hierarchical system model, with the aim of providing risk managers with information on the risk/safety significance of system structures and components.

SHARP H?LDER CONTINUITY OF THE INTEGRATED DENSITY OF STATES FOR EXTENDED HARPER’S MODEL WITH A LIOUVILLE FREQUENCY

In this article, the non-self dual extended Harper's model with a Liouville frequency is considered. It is shown that the corresponding integrated density of states is 1/2-Holder continuous. As an application, the homogeneity of the spectrum is proven.