In permissioned blockchain networks,the Proof of Authority(PoA)consensus,which uses the election of authorized nodes to validate transactions and blocks,has beenwidely advocated thanks to its high transaction throughp...In permissioned blockchain networks,the Proof of Authority(PoA)consensus,which uses the election of authorized nodes to validate transactions and blocks,has beenwidely advocated thanks to its high transaction throughput and fault tolerance.However,PoA suffers from the drawback of centralization dominated by a limited number of authorized nodes and the lack of anonymity due to the round-robin block proposal mechanism.As a result,traditional PoA is vulnerable to a single point of failure that compromises the security of the blockchain network.To address these issues,we propose a novel decentralized reputation management mechanism for permissioned blockchain networks to enhance security,promote liveness,and mitigate centralization while retaining the same throughput as traditional PoA.This paper aims to design an off-chain reputation evaluation and an on-chain reputation-aided consensus.First,we evaluate the nodes’reputation in the context of the blockchain networks and make the reputation globally verifiable through smart contracts.Second,building upon traditional PoA,we propose a reputation-aided PoA(rPoA)consensus to enhance securitywithout sacrificing throughput.In particular,rPoA can incentivize nodes to autonomously form committees based on reputation authority,which prevents block generation from being tracked through the randomness of reputation variation.Moreover,we develop a reputation-aided fork-choice rule for rPoA to promote the network’s liveness.Finally,experimental results show that the proposed rPoA achieves higher security performance while retaining transaction throughput compared to traditional PoA.展开更多
Crowdsourcing holds broad applications in information acquisition and dissemination,yet encounters challenges pertaining to data quality assessment and user reputation management.Reputation mechanisms stand as crucial...Crowdsourcing holds broad applications in information acquisition and dissemination,yet encounters challenges pertaining to data quality assessment and user reputation management.Reputation mechanisms stand as crucial solutions for appraising and updating participant reputation scores,thereby elevating the quality and dependability of crowdsourced data.However,these mechanisms face several challenges in traditional crowdsourcing systems:1)platform security lacks robust guarantees and may be susceptible to attacks;2)there exists a potential for large-scale privacy breaches;and 3)incentive mechanisms relying on reputation scores may encounter issues as reputation updates hinge on task demander evaluations,occasionally lacking a dedicated reputation update module.This paper introduces a reputation update scheme tailored for crowdsourcing,with a focus on proficiently overseeing participant reputations and alleviating the impact of malicious activities on the sensing system.Here,the reputation update scheme is determined by an Empirical Cumulative distribution-based Outlier Detection method(ECOD).Our scheme embraces a blockchain-based crowdsourcing framework utilizing a homomorphic encryption method to ensure data transparency and tamper-resistance.Computation of user reputation scores relies on their behavioral history,actively discouraging undesirable conduct.Additionally,we introduce a dynamic weight incentive mechanism that mirrors alterations in participant reputation,enabling the system to allocate incentives based on user behavior and reputation.Our scheme undergoes evaluation on 11 datasets,revealing substantial enhancements in data credibility for crowdsourcing systems and a reduction in the influence of malicious behavior.This research not only presents a practical solution for crowdsourcing reputation management but also offers valuable insights for future research and applications,holding promise for fostering more reliable and high-quality data collection in crowdsourcing across diverse domains.展开更多
Enhancing the security of Wireless Sensor Networks(WSNs)improves the usability of their applications.Therefore,finding solutions to various attacks,such as the blackhole attack,is crucial for the success of WSN applic...Enhancing the security of Wireless Sensor Networks(WSNs)improves the usability of their applications.Therefore,finding solutions to various attacks,such as the blackhole attack,is crucial for the success of WSN applications.This paper proposes an enhanced version of the AODV(Ad Hoc On-Demand Distance Vector)protocol capable of detecting blackholes and malfunctioning benign nodes in WSNs,thereby avoiding them when delivering packets.The proposed version employs a network-based reputation system to select the best and most secure path to a destination.To achieve this goal,the proposed version utilizes the Watchdogs/Pathrater mechanisms in AODV to gather and broadcast reputations to all network nodes to build the network-based reputation system.To minimize the network overhead of the proposed approach,the paper uses reputation aggregator nodes only for forwarding reputation tables.Moreover,to reduce the overhead of updating reputation tables,the paper proposes three mechanisms,which are the prompt broadcast,the regular broadcast,and the light broadcast approaches.The proposed enhanced version has been designed to perform effectively in dynamic environments such as mobile WSNs where nodes,including blackholes,move continuously,which is considered a challenge for other protocols.Using the proposed enhanced protocol,a node evaluates the security of different routes to a destination and can select the most secure routing path.The paper provides an algorithm that explains the proposed protocol in detail and demonstrates a case study that shows the operations of calculating and updating reputation values when nodes move across different zones.Furthermore,the paper discusses the proposed approach’s overhead analysis to prove the proposed enhancement’s correctness and applicability.展开更多
Young children’s reputation management is closely related to their social development.The purpose of our study is to examine the interaction between theory of mind and partner choice on children’s reputation managem...Young children’s reputation management is closely related to their social development.The purpose of our study is to examine the interaction between theory of mind and partner choice on children’s reputation management.Participants consisted of 270 children who were 3 to 5 years old.First,we measured participants’theory of mind capabilities using the unexpected location task and unexpected content task and then randomly divided the participants into the control group,non-partner–choice group,and partner-choice group.We measured reputation management by comparing children’s willingness to share and sharing behavior between these groups.Thefindings are as follows:(1)Children from ages 3 to 5 demonstrated reputation management,and their reputation management followed a significant developmental trend.The reputation management of 4-to 5-year-old children was significantly better than that of 3-year-old children.(2)Scores on the theory of mind tasks positively predicted children’s reputation management.(3)Partner choice affected children’s reputation management.In the partner-choice group,children’s reputation management was more apparent.(4)Partner choice did moderate the relationship between theory of mind and children’s reputation management.In the partner-choice group,theory of mind had a stronger predictive effect on children’s reputation management.展开更多
Objective: The purpose of this study was to clarify the collaborative activities and mutual recognition between community comprehensive care unit nurses (Ns) and care managers (CM) in supporting the discharge of the e...Objective: The purpose of this study was to clarify the collaborative activities and mutual recognition between community comprehensive care unit nurses (Ns) and care managers (CM) in supporting the discharge of the elderly from the hospital. Methods: A total of 300 nurses working in community comprehensive care wards and 360 care managers working in B City in A Prefecture were surveyed using an anonymous self-administered questionnaire. Results: The highest percentage of responses regarding necessary collaborative activities with multiple professions in supporting hospital discharge were the same for Ns and CMs. The items regarding practice with the highest percentages were “relationship as a team” for Ns, and “user-centered awareness” for CM. While these professionals were willing to share information about their patients’ lives after discharge, the percentage of those explaining their expertise was low. It is thought that collaborative activities focusing on these aspects would lead to more appropriate discharge support.展开更多
A self-contained connection of wireless links that functions without any infrastructure is known as Mobile Ad Hoc Network(MANET).A MANET’s nodes could engage actively and dynamically with one another.However,MAN-ETs,...A self-contained connection of wireless links that functions without any infrastructure is known as Mobile Ad Hoc Network(MANET).A MANET’s nodes could engage actively and dynamically with one another.However,MAN-ETs,from the other side,are exposed to severe potential threats that are difficult to counter with present security methods.As a result,several safe communication protocols designed to enhance the secure interaction among MANET nodes.In this research,we offer a reputed optimal routing value among network nodes,secure computations,and misbehavior detection predicated on node’s trust levels with a Hybrid Trust based Reputation Mechanism(HTRM).In addition,the study designs a robust Public Key Infrastructure(PKI)system using the suggested trust evaluation method in terms of“key”generation,which is a crucial component of a PKI cryptosystem.We also concentrate on the solid node authenticating process that relies on pre-authentication.To ensure edge-to-edge security,we assess safe,trustworthy routes to secure computations and authenticate mobile nodes,incorporating uncertainty into the trust management solution.When compared to other protocols,our recommended approach performs better.Finally,we use simulations data and performance evaluation metrics to verify our suggested approach’s validity Our approach outperformed the competing systems in terms of overall end-to-end delay,packet delivery ratio,performance,power consumption,and key-computing time by 3.47%,3.152%,2.169%,and 3.527%,3.762%,significantly.展开更多
Currently,data security and privacy protection are becoming more and more important.Access control is a method of authorization for users through predefined policies.Token-based access control(TBAC)enhances the manage...Currently,data security and privacy protection are becoming more and more important.Access control is a method of authorization for users through predefined policies.Token-based access control(TBAC)enhances the manageability of authorization through the token.However,traditional access control policies lack the ability to dynamically adjust based on user access behavior.Incorporating user reputation evaluation into access control can provide valuable feedback to enhance system security and flexibility.As a result,this paper proposes a blockchain-empowered TBAC system and introduces a user reputation evaluation module to provide feedback on access control.The TBAC system divides the access control process into three stages:policy upload,token request,and resource request.The user reputation evaluation module evaluates the user’s token reputation and resource reputation for the token request and resource request stages of the TBAC system.The proposed system is implemented using the Hyperledger Fabric blockchain.The TBAC system is evaluated to prove that it has high processing performance.The user reputation evaluation model is proved to be more conservative and sensitive by comparative study with other methods.In addition,the security analysis shows that the TBAC system has a certain anti-attack ability and can maintain stable operation under the Distributed Denial of Service(DDoS)attack environment.展开更多
Adding a reputation incentive system to peer-to-peer(P2P)energy transactions can encourage prosumers to regulate their trading behavior,which is important for ensuring the efficiency and reliability of P2P transaction...Adding a reputation incentive system to peer-to-peer(P2P)energy transactions can encourage prosumers to regulate their trading behavior,which is important for ensuring the efficiency and reliability of P2P transactions.This study proposed a P2P transaction mechanism and game optimization model for prosumers involved in distributed energy sources considering reputation-value incentives.First,the deviation of P2P transactions and the non-consumption rate of distributed renewable energy in P2P transactions were established as indicators to quantify the influencing factors of the reputation value,and a reputation incentive model of P2P transactions for prosumers was constructed.Then,the penalty coefficient was applied to the cost function of the prosumers,and a non-cooperative game model of P2P transactions based on the complete information of multi-prosumers was established.Furthermore,the Nash equilibrium problem was transformed into a nonlinear optimization problem by constructing the modified optimal reaction function,and the Nash equilibrium solution of the game was obtained via a relaxation algorithm.Finally,the modified IEEE 33-node test system based on electricity market P2P and an IEEE 123-node test system were used to analyze and verify the cost and P2P participation of prosumers considering the reputation value.The results show that the addition of the reputation incentive system can encourage prosumers to standardize their interactive transaction behavior and actively participate in P2P transactions.It can also improve the operation efficiency of the power grid and promote the perfection of the P2P transaction mechanism.展开更多
As 5G becomes commercial,researchers have turned attention toward the Sixth-Generation(6G)network with the vision of connecting intelligence in a green energy-efficient manner.Federated learning triggers an upsurge of...As 5G becomes commercial,researchers have turned attention toward the Sixth-Generation(6G)network with the vision of connecting intelligence in a green energy-efficient manner.Federated learning triggers an upsurge of green intelligent services such as resources orchestration of communication infrastructures while preserving privacy and increasing communication efficiency.However,designing effective incentives in federated learning is challenging due to the dynamic available clients and the correlation between clients'contributions during the learning process.In this paper,we propose a dynamic incentive and reputation mechanism to improve energy efficiency and training performance of federated learning.The proposed incentive based on the Stackelberg game can timely adjust optimal energy consumption with changes in available clients during federated learning.Meanwhile,clients’contributions in reputation management are formulated based on the cooperative game to capture the correlation between tasks,which satisfies availability,fairness,and additivity.The simulation results show that the proposed scheme can significantly motivate high-performance clients to participate in federated learning and improve the accuracy and energy efficiency of the federated learning model.展开更多
Internet of Everything(IoE)has emerged as a promising paradigm for the purpose of connecting and exchanging data among physical objects and humans over the Internet,and it can be widely applied in the fields of indust...Internet of Everything(IoE)has emerged as a promising paradigm for the purpose of connecting and exchanging data among physical objects and humans over the Internet,and it can be widely applied in the fields of industry,transportation,commerce,and education.Recently,the emergence of 6G-enabled cybertwin network architecture provides the technical and theoretical foundation for the realization of IoE paradigm.However,the IoE has three open issues in the 6G-enabled cybertwin architecture,i.e.,data authenticity,data storage and node reliability.To address these issues,we propose a blockchain-based decentralized reputation management system(BC-DRMS)for IoE in 6G-enabled Cybertwin architecture.In the proposed BC-DRMS,the traffic data collected from end nodes is stored on the blockchain and the decentralized file system,i.e.,InterPlanetary File System(IPFS),to resist data tampering,and then the data is further processed by the edge clouds and core clouds to provide services to users.Also,a multi-level reputation evaluation scheme is designed to compute the reputation scores of IoE nodes to prevent malicious node attacks.The experiment results and analysis demonstrate that,compared to the traditional centralized reputation management systems(CRMS),the proposed BC-DRMS cannot only address the issues of data authenticity and storage,but also provides high reliability for IoE in 6G-enabled cybertwin architecture.展开更多
Food hygiene incidents in hot pot restaurants were studied,and a relationship model between corporate reputation and consumers behavioral intention was established.Hot pot consumers of hot pot restaurants were surveye...Food hygiene incidents in hot pot restaurants were studied,and a relationship model between corporate reputation and consumers behavioral intention was established.Hot pot consumers of hot pot restaurants were surveyed through questionnaires.The results show that corporate reputation positively affects service recovery and repurchase intention,and service recovery positively influences repurchase intention,while corporate reputation affects repurchase intention through service recovery.In other words,under the situation of enterprise crises,the service recovery of an enterprise can restore its image and reputation.Therefore,when an enterprise has a crisis,it should positively respond to the crisis incident,and take timely crisis recovery to maintain its positive image.展开更多
The aim of this research is to study the impact of auditor reputation and audit opinion on earnings management in French banks. This article used a sample of 162 French banks over the period from 2005 to 2012. By usin...The aim of this research is to study the impact of auditor reputation and audit opinion on earnings management in French banks. This article used a sample of 162 French banks over the period from 2005 to 2012. By using three different tests (loss-avoidance, just-meeting-or-beating prior year's earnings, and abnormal loan loss provision), the findings of this paper show that both high auditor reputation and qualified audit opinion constrain earnings management to avoid loss or to just meet or beat prior year's earnings in banks. In separate tests related to earnings management through abnormal loan loss provisions, the paper also finds that high auditor reputation constrains earnings management. Qualified audit opinion has a negative but non-significant effect on abnormal loan loss provisions.展开更多
AIM:To assess glaucoma patient satisfaction and follow-up adherence in case management and identify associated predictors to improve healthcare quality and patient outcomes.METHODS:In this cross-sectional study,a tota...AIM:To assess glaucoma patient satisfaction and follow-up adherence in case management and identify associated predictors to improve healthcare quality and patient outcomes.METHODS:In this cross-sectional study,a total of 119 patients completed a Patient Satisfaction Questionnaire-18 and a sociodemographic questionnaire.Clinical data was obtained from the case management system.Follow-up adherence was defined as completing each follow-up within±30d of the scheduled time set by ophthalmologists during the study period.RESULTS:Average satisfaction scored 78.65±7,with an average of 4.39±0.58 across the seven dimensions.Age negatively correlated with satisfaction(P=0.008),whilst patients with follow-up duration of 2 or more years reported higher satisfaction(P=0.045).Multivariate logistics regression analysis revealed that longer follow-up durations were associated with lower follow-up adherence(OR=0.97,95%CI,0.95-1.00,P=0.044).Additionally,patients with suspected glaucoma(OR=2.72,95%CI,1.03-7.20,P=0.044)and those with an annual income over 100000 Chinese yuan demonstrated higher adherence(OR=5.57,95%CI,1.00-30.89,P=0.049).CONCLUSION:The case management model proves effective for glaucoma patients,with positive adherence rates.The implementation of this model can be optimized in the future based on the identified factors and extended to glaucoma patients in more hospitals.展开更多
Objective:This study aimed to describe the conflict management styles and identify factors affecting the conflict management styles of nurse managers.Materials and Methods:A cross-sectional study was conducted by inte...Objective:This study aimed to describe the conflict management styles and identify factors affecting the conflict management styles of nurse managers.Materials and Methods:A cross-sectional study was conducted by interviewing nurse managers with a questionnaire,including the Rahim Organizational Conflict Inventory-II Form B,used to assess an individual’s approach to conflict management across five styles:cooperating,competing,compromising,obliging,and avoiding.Results:A total of 30 nurse managers participated in this study.The mean scores of the cooperating style were the highest at 4.3±0.4,followed by a compromising style at 3.4±0.5,an avoiding style at 3.1±0.6,an accommodating style at 2.9±0.7,and a competing style at 2.8±0.8(χ^(2)=66.624,P<0.001).The mean scores for avoiding style among bachelor’s degree nurse managers(3.2±0.6)were higher than those of master’s degree nurse managers(2.7±0.6)(P=0.036).Nurse managers over 40 years old,holding a managerial position for≥10 years,and frequent conflict handling rated higher mean scores for the cooperating style than their counterparts(P<0.05).Conclusion:The cooperating style was the most commonly used conflict management style among nurse managers.Factors affecting the conflict management style were age,education level,and experience in management and conflict handling.These findings are useful for developing interventions that enhance the competencies of nurse managers in conflict management.展开更多
Maintaining thermal comfort within the human body is crucial for optimal health and overall well-being.By merely broadening the setpoint of indoor temperatures,we could significantly slash energy usage in building hea...Maintaining thermal comfort within the human body is crucial for optimal health and overall well-being.By merely broadening the setpoint of indoor temperatures,we could significantly slash energy usage in building heating,ventilation,and air-conditioning systems.In recent years,there has been a surge in advancements in personal thermal management(PTM),aiming to regulate heat and moisture transfer within our immediate surroundings,clothing,and skin.The advent of PTM is driven by the rapid development in nano/micro-materials and energy science and engineering.An emerging research area in PTM is personal radiative thermal management(PRTM),which demonstrates immense potential with its high radiative heat transfer efficiency and ease of regulation.However,it is less taken into account in traditional textiles,and there currently lies a gap in our knowledge and understanding of PRTM.In this review,we aim to present a thorough analysis of advanced textile materials and technologies for PRTM.Specifically,we will introduce and discuss the underlying radiation heat transfer mechanisms,fabrication methods of textiles,and various indoor/outdoor applications in light of their different regulation functionalities,including radiative cooling,radiative heating,and dual-mode thermoregulation.Furthermore,we will shine a light on the current hurdles,propose potential strategies,and delve into future technology trends for PRTM with an emphasis on functionalities and applications.展开更多
In mega-constellation Communication Systems, efficient routing algorithms and data transmission technologies are employed to ensure fast and reliable data transfer. However, the limited computational resources of sate...In mega-constellation Communication Systems, efficient routing algorithms and data transmission technologies are employed to ensure fast and reliable data transfer. However, the limited computational resources of satellites necessitate the use of edge computing to enhance secure communication.While edge computing reduces the burden on cloud computing, it introduces security and reliability challenges in open satellite communication channels. To address these challenges, we propose a blockchain architecture specifically designed for edge computing in mega-constellation communication systems. This architecture narrows down the consensus scope of the blockchain to meet the requirements of edge computing while ensuring comprehensive log storage across the network. Additionally, we introduce a reputation management mechanism for nodes within the blockchain, evaluating their trustworthiness, workload, and efficiency. Nodes with higher reputation scores are selected to participate in tasks and are appropriately incentivized. Simulation results demonstrate that our approach achieves a task result reliability of 95% while improving computational speed.展开更多
Hepatitis B virus(HBV)reactivation is a clinically significant challenge in disease management.This review explores the immunological mechanisms underlying HBV reactivation,emphasizing disease progression and manageme...Hepatitis B virus(HBV)reactivation is a clinically significant challenge in disease management.This review explores the immunological mechanisms underlying HBV reactivation,emphasizing disease progression and management.It delves into host immune responses and reactivation’s delicate balance,spanning innate and adaptive immunity.Viral factors’disruption of this balance,as are interac-tions between viral antigens,immune cells,cytokine networks,and immune checkpoint pathways,are examined.Notably,the roles of T cells,natural killer cells,and antigen-presenting cells are discussed,highlighting their influence on disease progression.HBV reactivation’s impact on disease severity,hepatic flares,liver fibrosis progression,and hepatocellular carcinoma is detailed.Management strategies,including anti-viral and immunomodulatory approaches,are critically analyzed.The role of prophylactic anti-viral therapy during immunosuppressive treatments is explored alongside novel immunotherapeutic interventions to restore immune control and prevent reactivation.In conclusion,this compre-hensive review furnishes a holistic view of the immunological mechanisms that propel HBV reactivation.With a dedicated focus on understanding its implic-ations for disease progression and the prospects of efficient management stra-tegies,this article contributes significantly to the knowledge base.The more profound insights into the intricate interactions between viral elements and the immune system will inform evidence-based approaches,ultimately enhancing disease management and elevating patient outcomes.The dynamic landscape of management strategies is critically scrutinized,spanning anti-viral and immunomodulatory approaches.The role of prophylactic anti-viral therapy in preventing reactivation during immunosuppressive treatments and the potential of innovative immunotherapeutic interventions to restore immune control and proactively deter reactivation.展开更多
Developing technologies that can be applied simultaneously in battery thermal management(BTM)and thermal runaway(TR)mitigation is significant to improving the safety of lithium-ion battery systems.Inorganic phase chan...Developing technologies that can be applied simultaneously in battery thermal management(BTM)and thermal runaway(TR)mitigation is significant to improving the safety of lithium-ion battery systems.Inorganic phase change material(PCM)with nonflammability has the potential to achieve this dual function.This study proposed an encapsulated inorganic phase change material(EPCM)with a heat transfer enhancement for battery systems,where Na_(2)HPO_(4)·12H_(2)O was used as the core PCM encapsulated by silica and the additive of carbon nanotube(CNT)was applied to enhance the thermal conductivity.The microstructure and thermal properties of the EPCM/CNT were analyzed by a series of characterization tests.Two different incorporating methods of CNT were compared and the proper CNT adding amount was also studied.After preparation,the battery thermal management performance and TR propagation mitigation effects of EPCM/CNT were further investigated on the battery modules.The experimental results of thermal management tests showed that EPCM/CNT not only slowed down the temperature rising of the module but also improved the temperature uniformity during normal operation.The peak battery temperature decreased from 76℃to 61.2℃at 2 C discharge rate and the temperature difference was controlled below 3℃.Moreover,the results of TR propagation tests demonstrated that nonflammable EPCM/CNT with good heat absorption could work as a TR barrier,which exhibited effective mitigation on TR and TR propagation.The trigger time of three cells was successfully delayed by 129,474 and 551 s,respectively and the propagation intervals were greatly extended as well.展开更多
Anticipating the imminent surge of retired lithium-ion batteries(R-LIBs)from electric vehicles,the need for safe,cost-effective and environmentally friendly disposal technologies has escalated.This paper seeks to offe...Anticipating the imminent surge of retired lithium-ion batteries(R-LIBs)from electric vehicles,the need for safe,cost-effective and environmentally friendly disposal technologies has escalated.This paper seeks to offer a comprehensive overview of the entire disposal framework for R-LIBs,encompassing a broad spectrum of activities,including screening,repurposing and recycling.Firstly,we delve deeply into a thorough examination of current screening technologies,shifting the focus from a mere enumeration of screening methods to the exploration of the strategies for enhancing screening efficiency.Secondly,we outline battery repurposing with associated key factors,summarizing stationary applications and sizing methods for R-LIBs in their second life.A particular light is shed on available reconditioning solutions,demonstrating their great potential in facilitating battery safety and lifetime in repurposing scenarios and identifying their techno-economic issues.In the realm of battery recycling,we present an extensive survey of pre-treatment options and subsequent material recovery technologies.Particularly,we introduce several global leading recyclers to illustrate their industrial processes and technical intricacies.Furthermore,relevant challenges and evolving trends are investigated in pursuit of a sustainable end-of-life management and disposal framework.We hope that this study can serve as a valuable resource for researchers,industry professionals and policymakers in this field,ultimately facilitating the adoption of proper disposal practices.展开更多
BACKGROUND Regarding the incidence of malignant tumors in China,the incidence of liver cancer ranks fourth,second only to lung,gastric,and esophageal cancers.The case fatality rate ranks third after lung and cervical ...BACKGROUND Regarding the incidence of malignant tumors in China,the incidence of liver cancer ranks fourth,second only to lung,gastric,and esophageal cancers.The case fatality rate ranks third after lung and cervical cancer.In a previous study,the whole-process management model was applied to patients with breast cancer,which effectively reduced their negative emotions and improved treatment adherence and nursing satisfaction.METHODS In this single-center,randomized,controlled study,60 randomly selected patients with liver cancer who had been admitted to our hospital from January 2021 to January 2022 were randomly divided into an observation group(n=30),who received whole-process case management on the basis of routine nursing mea-sures,and a control group(n=30),who were given routine nursing measures.We compared differences between the two groups in terms of anxiety,depression,the level of hope,self-care ability,symptom distress,sleep quality,and quality of life.RESULTS Post-intervention,Hamilton anxiety scale,Hamilton depression scale,memory symptom assessment scale,and Pittsburgh sleep quality index scores in both groups were lower than those pre-intervention,and the observation group had lower scores than the control group(P<0.05).Herth hope index,self-care ability assessment scale-revision in Chinese,and quality of life measurement scale for patients with liver cancer scores in both groups were higher than those pre-intervention,with higher scores in the observation group compared with the control group(P<0.05).CONCLUSION Whole-process case management can effectively reduce anxiety and depression in patients with liver cancer,alleviate symptoms and problems,and improve the level of hope,self-care ability,sleep quality,and quality of life,as well as provide feasible nursing alternatives for patients with liver cancer.展开更多
基金supported by the Shenzhen Science and Technology Program under Grants KCXST20221021111404010,JSGG20220831103400002,JSGGKQTD20221101115655027,JCYJ 20210324094609027the National KeyR&DProgram of China under Grant 2021YFB2700900+1 种基金the National Natural Science Foundation of China under Grants 62371239,62376074,72301083the Jiangsu Specially-Appointed Professor Program 2021.
文摘In permissioned blockchain networks,the Proof of Authority(PoA)consensus,which uses the election of authorized nodes to validate transactions and blocks,has beenwidely advocated thanks to its high transaction throughput and fault tolerance.However,PoA suffers from the drawback of centralization dominated by a limited number of authorized nodes and the lack of anonymity due to the round-robin block proposal mechanism.As a result,traditional PoA is vulnerable to a single point of failure that compromises the security of the blockchain network.To address these issues,we propose a novel decentralized reputation management mechanism for permissioned blockchain networks to enhance security,promote liveness,and mitigate centralization while retaining the same throughput as traditional PoA.This paper aims to design an off-chain reputation evaluation and an on-chain reputation-aided consensus.First,we evaluate the nodes’reputation in the context of the blockchain networks and make the reputation globally verifiable through smart contracts.Second,building upon traditional PoA,we propose a reputation-aided PoA(rPoA)consensus to enhance securitywithout sacrificing throughput.In particular,rPoA can incentivize nodes to autonomously form committees based on reputation authority,which prevents block generation from being tracked through the randomness of reputation variation.Moreover,we develop a reputation-aided fork-choice rule for rPoA to promote the network’s liveness.Finally,experimental results show that the proposed rPoA achieves higher security performance while retaining transaction throughput compared to traditional PoA.
基金This work is supported by National Natural Science Foundation of China(Nos.U21A20463,62172117,61802383)Research Project of Pazhou Lab for Excellent Young Scholars(No.PZL2021KF0024)Guangzhou Basic and Applied Basic Research Foundation(Nos.202201010330,202201020162,202201020221).
文摘Crowdsourcing holds broad applications in information acquisition and dissemination,yet encounters challenges pertaining to data quality assessment and user reputation management.Reputation mechanisms stand as crucial solutions for appraising and updating participant reputation scores,thereby elevating the quality and dependability of crowdsourced data.However,these mechanisms face several challenges in traditional crowdsourcing systems:1)platform security lacks robust guarantees and may be susceptible to attacks;2)there exists a potential for large-scale privacy breaches;and 3)incentive mechanisms relying on reputation scores may encounter issues as reputation updates hinge on task demander evaluations,occasionally lacking a dedicated reputation update module.This paper introduces a reputation update scheme tailored for crowdsourcing,with a focus on proficiently overseeing participant reputations and alleviating the impact of malicious activities on the sensing system.Here,the reputation update scheme is determined by an Empirical Cumulative distribution-based Outlier Detection method(ECOD).Our scheme embraces a blockchain-based crowdsourcing framework utilizing a homomorphic encryption method to ensure data transparency and tamper-resistance.Computation of user reputation scores relies on their behavioral history,actively discouraging undesirable conduct.Additionally,we introduce a dynamic weight incentive mechanism that mirrors alterations in participant reputation,enabling the system to allocate incentives based on user behavior and reputation.Our scheme undergoes evaluation on 11 datasets,revealing substantial enhancements in data credibility for crowdsourcing systems and a reduction in the influence of malicious behavior.This research not only presents a practical solution for crowdsourcing reputation management but also offers valuable insights for future research and applications,holding promise for fostering more reliable and high-quality data collection in crowdsourcing across diverse domains.
文摘Enhancing the security of Wireless Sensor Networks(WSNs)improves the usability of their applications.Therefore,finding solutions to various attacks,such as the blackhole attack,is crucial for the success of WSN applications.This paper proposes an enhanced version of the AODV(Ad Hoc On-Demand Distance Vector)protocol capable of detecting blackholes and malfunctioning benign nodes in WSNs,thereby avoiding them when delivering packets.The proposed version employs a network-based reputation system to select the best and most secure path to a destination.To achieve this goal,the proposed version utilizes the Watchdogs/Pathrater mechanisms in AODV to gather and broadcast reputations to all network nodes to build the network-based reputation system.To minimize the network overhead of the proposed approach,the paper uses reputation aggregator nodes only for forwarding reputation tables.Moreover,to reduce the overhead of updating reputation tables,the paper proposes three mechanisms,which are the prompt broadcast,the regular broadcast,and the light broadcast approaches.The proposed enhanced version has been designed to perform effectively in dynamic environments such as mobile WSNs where nodes,including blackholes,move continuously,which is considered a challenge for other protocols.Using the proposed enhanced protocol,a node evaluates the security of different routes to a destination and can select the most secure routing path.The paper provides an algorithm that explains the proposed protocol in detail and demonstrates a case study that shows the operations of calculating and updating reputation values when nodes move across different zones.Furthermore,the paper discusses the proposed approach’s overhead analysis to prove the proposed enhancement’s correctness and applicability.
文摘Young children’s reputation management is closely related to their social development.The purpose of our study is to examine the interaction between theory of mind and partner choice on children’s reputation management.Participants consisted of 270 children who were 3 to 5 years old.First,we measured participants’theory of mind capabilities using the unexpected location task and unexpected content task and then randomly divided the participants into the control group,non-partner–choice group,and partner-choice group.We measured reputation management by comparing children’s willingness to share and sharing behavior between these groups.Thefindings are as follows:(1)Children from ages 3 to 5 demonstrated reputation management,and their reputation management followed a significant developmental trend.The reputation management of 4-to 5-year-old children was significantly better than that of 3-year-old children.(2)Scores on the theory of mind tasks positively predicted children’s reputation management.(3)Partner choice affected children’s reputation management.In the partner-choice group,children’s reputation management was more apparent.(4)Partner choice did moderate the relationship between theory of mind and children’s reputation management.In the partner-choice group,theory of mind had a stronger predictive effect on children’s reputation management.
文摘Objective: The purpose of this study was to clarify the collaborative activities and mutual recognition between community comprehensive care unit nurses (Ns) and care managers (CM) in supporting the discharge of the elderly from the hospital. Methods: A total of 300 nurses working in community comprehensive care wards and 360 care managers working in B City in A Prefecture were surveyed using an anonymous self-administered questionnaire. Results: The highest percentage of responses regarding necessary collaborative activities with multiple professions in supporting hospital discharge were the same for Ns and CMs. The items regarding practice with the highest percentages were “relationship as a team” for Ns, and “user-centered awareness” for CM. While these professionals were willing to share information about their patients’ lives after discharge, the percentage of those explaining their expertise was low. It is thought that collaborative activities focusing on these aspects would lead to more appropriate discharge support.
文摘A self-contained connection of wireless links that functions without any infrastructure is known as Mobile Ad Hoc Network(MANET).A MANET’s nodes could engage actively and dynamically with one another.However,MAN-ETs,from the other side,are exposed to severe potential threats that are difficult to counter with present security methods.As a result,several safe communication protocols designed to enhance the secure interaction among MANET nodes.In this research,we offer a reputed optimal routing value among network nodes,secure computations,and misbehavior detection predicated on node’s trust levels with a Hybrid Trust based Reputation Mechanism(HTRM).In addition,the study designs a robust Public Key Infrastructure(PKI)system using the suggested trust evaluation method in terms of“key”generation,which is a crucial component of a PKI cryptosystem.We also concentrate on the solid node authenticating process that relies on pre-authentication.To ensure edge-to-edge security,we assess safe,trustworthy routes to secure computations and authenticate mobile nodes,incorporating uncertainty into the trust management solution.When compared to other protocols,our recommended approach performs better.Finally,we use simulations data and performance evaluation metrics to verify our suggested approach’s validity Our approach outperformed the competing systems in terms of overall end-to-end delay,packet delivery ratio,performance,power consumption,and key-computing time by 3.47%,3.152%,2.169%,and 3.527%,3.762%,significantly.
基金supported by NSFC under Grant No.62341102National Key R&D Program of China under Grant No.2018YFA0701604.
文摘Currently,data security and privacy protection are becoming more and more important.Access control is a method of authorization for users through predefined policies.Token-based access control(TBAC)enhances the manageability of authorization through the token.However,traditional access control policies lack the ability to dynamically adjust based on user access behavior.Incorporating user reputation evaluation into access control can provide valuable feedback to enhance system security and flexibility.As a result,this paper proposes a blockchain-empowered TBAC system and introduces a user reputation evaluation module to provide feedback on access control.The TBAC system divides the access control process into three stages:policy upload,token request,and resource request.The user reputation evaluation module evaluates the user’s token reputation and resource reputation for the token request and resource request stages of the TBAC system.The proposed system is implemented using the Hyperledger Fabric blockchain.The TBAC system is evaluated to prove that it has high processing performance.The user reputation evaluation model is proved to be more conservative and sensitive by comparative study with other methods.In addition,the security analysis shows that the TBAC system has a certain anti-attack ability and can maintain stable operation under the Distributed Denial of Service(DDoS)attack environment.
基金supported by the National Natural Science Foundation of China(U2066211,52177124,52107134)the Institute of Electrical Engineering,CAS(E155610101)+1 种基金the DNL Cooperation Fund,CAS(DNL202023)the Youth Innovation Promotion Association of CAS(2019143).
文摘Adding a reputation incentive system to peer-to-peer(P2P)energy transactions can encourage prosumers to regulate their trading behavior,which is important for ensuring the efficiency and reliability of P2P transactions.This study proposed a P2P transaction mechanism and game optimization model for prosumers involved in distributed energy sources considering reputation-value incentives.First,the deviation of P2P transactions and the non-consumption rate of distributed renewable energy in P2P transactions were established as indicators to quantify the influencing factors of the reputation value,and a reputation incentive model of P2P transactions for prosumers was constructed.Then,the penalty coefficient was applied to the cost function of the prosumers,and a non-cooperative game model of P2P transactions based on the complete information of multi-prosumers was established.Furthermore,the Nash equilibrium problem was transformed into a nonlinear optimization problem by constructing the modified optimal reaction function,and the Nash equilibrium solution of the game was obtained via a relaxation algorithm.Finally,the modified IEEE 33-node test system based on electricity market P2P and an IEEE 123-node test system were used to analyze and verify the cost and P2P participation of prosumers considering the reputation value.The results show that the addition of the reputation incentive system can encourage prosumers to standardize their interactive transaction behavior and actively participate in P2P transactions.It can also improve the operation efficiency of the power grid and promote the perfection of the P2P transaction mechanism.
文摘As 5G becomes commercial,researchers have turned attention toward the Sixth-Generation(6G)network with the vision of connecting intelligence in a green energy-efficient manner.Federated learning triggers an upsurge of green intelligent services such as resources orchestration of communication infrastructures while preserving privacy and increasing communication efficiency.However,designing effective incentives in federated learning is challenging due to the dynamic available clients and the correlation between clients'contributions during the learning process.In this paper,we propose a dynamic incentive and reputation mechanism to improve energy efficiency and training performance of federated learning.The proposed incentive based on the Stackelberg game can timely adjust optimal energy consumption with changes in available clients during federated learning.Meanwhile,clients’contributions in reputation management are formulated based on the cooperative game to capture the correlation between tasks,which satisfies availability,fairness,and additivity.The simulation results show that the proposed scheme can significantly motivate high-performance clients to participate in federated learning and improve the accuracy and energy efficiency of the federated learning model.
基金This work was supported in part by the National Natural Science Foundation of China under Grants 61972205,U1836208,U1836110in part by the National Key R&D Program of China under Grant 2018YFB1003205+2 种基金in part by MOST under Contract 108-2221-E-259-009-MY2 throSugh Pervasive Artificial Intelligence Research(PAIR)Labs(Taiwan)in part by the Priority Academic Program Development of Jiangsu Higher Education Institutions(PAPD)fundin part by the Collaborative Innovation Center of Atmospheric Environment and Equipment Technology(CICAEET)Fund(China).
文摘Internet of Everything(IoE)has emerged as a promising paradigm for the purpose of connecting and exchanging data among physical objects and humans over the Internet,and it can be widely applied in the fields of industry,transportation,commerce,and education.Recently,the emergence of 6G-enabled cybertwin network architecture provides the technical and theoretical foundation for the realization of IoE paradigm.However,the IoE has three open issues in the 6G-enabled cybertwin architecture,i.e.,data authenticity,data storage and node reliability.To address these issues,we propose a blockchain-based decentralized reputation management system(BC-DRMS)for IoE in 6G-enabled Cybertwin architecture.In the proposed BC-DRMS,the traffic data collected from end nodes is stored on the blockchain and the decentralized file system,i.e.,InterPlanetary File System(IPFS),to resist data tampering,and then the data is further processed by the edge clouds and core clouds to provide services to users.Also,a multi-level reputation evaluation scheme is designed to compute the reputation scores of IoE nodes to prevent malicious node attacks.The experiment results and analysis demonstrate that,compared to the traditional centralized reputation management systems(CRMS),the proposed BC-DRMS cannot only address the issues of data authenticity and storage,but also provides high reliability for IoE in 6G-enabled cybertwin architecture.
基金Supported by the Innovative Training Program Project for Students of Zhaoqing University"The Influence of Corporate Image of Hotpot Restaurants on Repurchase Intention" (X202310580161).
文摘Food hygiene incidents in hot pot restaurants were studied,and a relationship model between corporate reputation and consumers behavioral intention was established.Hot pot consumers of hot pot restaurants were surveyed through questionnaires.The results show that corporate reputation positively affects service recovery and repurchase intention,and service recovery positively influences repurchase intention,while corporate reputation affects repurchase intention through service recovery.In other words,under the situation of enterprise crises,the service recovery of an enterprise can restore its image and reputation.Therefore,when an enterprise has a crisis,it should positively respond to the crisis incident,and take timely crisis recovery to maintain its positive image.
文摘The aim of this research is to study the impact of auditor reputation and audit opinion on earnings management in French banks. This article used a sample of 162 French banks over the period from 2005 to 2012. By using three different tests (loss-avoidance, just-meeting-or-beating prior year's earnings, and abnormal loan loss provision), the findings of this paper show that both high auditor reputation and qualified audit opinion constrain earnings management to avoid loss or to just meet or beat prior year's earnings in banks. In separate tests related to earnings management through abnormal loan loss provisions, the paper also finds that high auditor reputation constrains earnings management. Qualified audit opinion has a negative but non-significant effect on abnormal loan loss provisions.
基金Supported by the Key Innovation and Guidance Program of the Eye Hospital,School of Ophthalmology&Optometry,Wenzhou Medical University(No.YNZD2201903)the Scientific Research Foundation of the Eye Hospital,School of Ophthalmology&Optometry,Wenzhou Medical University(No.KYQD20180306)the Nursing Project of the Eye Hospital of Wenzhou Medical University(No.YNHL2201908).
文摘AIM:To assess glaucoma patient satisfaction and follow-up adherence in case management and identify associated predictors to improve healthcare quality and patient outcomes.METHODS:In this cross-sectional study,a total of 119 patients completed a Patient Satisfaction Questionnaire-18 and a sociodemographic questionnaire.Clinical data was obtained from the case management system.Follow-up adherence was defined as completing each follow-up within±30d of the scheduled time set by ophthalmologists during the study period.RESULTS:Average satisfaction scored 78.65±7,with an average of 4.39±0.58 across the seven dimensions.Age negatively correlated with satisfaction(P=0.008),whilst patients with follow-up duration of 2 or more years reported higher satisfaction(P=0.045).Multivariate logistics regression analysis revealed that longer follow-up durations were associated with lower follow-up adherence(OR=0.97,95%CI,0.95-1.00,P=0.044).Additionally,patients with suspected glaucoma(OR=2.72,95%CI,1.03-7.20,P=0.044)and those with an annual income over 100000 Chinese yuan demonstrated higher adherence(OR=5.57,95%CI,1.00-30.89,P=0.049).CONCLUSION:The case management model proves effective for glaucoma patients,with positive adherence rates.The implementation of this model can be optimized in the future based on the identified factors and extended to glaucoma patients in more hospitals.
文摘Objective:This study aimed to describe the conflict management styles and identify factors affecting the conflict management styles of nurse managers.Materials and Methods:A cross-sectional study was conducted by interviewing nurse managers with a questionnaire,including the Rahim Organizational Conflict Inventory-II Form B,used to assess an individual’s approach to conflict management across five styles:cooperating,competing,compromising,obliging,and avoiding.Results:A total of 30 nurse managers participated in this study.The mean scores of the cooperating style were the highest at 4.3±0.4,followed by a compromising style at 3.4±0.5,an avoiding style at 3.1±0.6,an accommodating style at 2.9±0.7,and a competing style at 2.8±0.8(χ^(2)=66.624,P<0.001).The mean scores for avoiding style among bachelor’s degree nurse managers(3.2±0.6)were higher than those of master’s degree nurse managers(2.7±0.6)(P=0.036).Nurse managers over 40 years old,holding a managerial position for≥10 years,and frequent conflict handling rated higher mean scores for the cooperating style than their counterparts(P<0.05).Conclusion:The cooperating style was the most commonly used conflict management style among nurse managers.Factors affecting the conflict management style were age,education level,and experience in management and conflict handling.These findings are useful for developing interventions that enhance the competencies of nurse managers in conflict management.
基金support from the Research Grants Council of the Hong Kong Special Administrative Region,China(PolyU152052/21E)Green Tech Fund of Hong Kong(Project No.:GTF202220106)+1 种基金Innovation and Technology Fund of the Hong Kong Special Administrative Region,China(ITP/018/21TP)PolyU Endowed Young Scholars Scheme(Project No.:84CC).
文摘Maintaining thermal comfort within the human body is crucial for optimal health and overall well-being.By merely broadening the setpoint of indoor temperatures,we could significantly slash energy usage in building heating,ventilation,and air-conditioning systems.In recent years,there has been a surge in advancements in personal thermal management(PTM),aiming to regulate heat and moisture transfer within our immediate surroundings,clothing,and skin.The advent of PTM is driven by the rapid development in nano/micro-materials and energy science and engineering.An emerging research area in PTM is personal radiative thermal management(PRTM),which demonstrates immense potential with its high radiative heat transfer efficiency and ease of regulation.However,it is less taken into account in traditional textiles,and there currently lies a gap in our knowledge and understanding of PRTM.In this review,we aim to present a thorough analysis of advanced textile materials and technologies for PRTM.Specifically,we will introduce and discuss the underlying radiation heat transfer mechanisms,fabrication methods of textiles,and various indoor/outdoor applications in light of their different regulation functionalities,including radiative cooling,radiative heating,and dual-mode thermoregulation.Furthermore,we will shine a light on the current hurdles,propose potential strategies,and delve into future technology trends for PRTM with an emphasis on functionalities and applications.
基金supported in part by the National Natural Science Foundation of China under Grant No.U2268204,62172061 and 61871422National Key R&D Program of China under Grant No.2020YFB1711800 and 2020YFB1707900+2 种基金the Science and Technology Project of Sichuan Province under Grant No.2023ZHCG0014,2023ZHCG0011,2022YFG0155,2022YFG0157,2021GFW019,2021YFG0152,2021YFG0025,2020YFG0322Central Universities of Southwest Minzu University under Grant No.ZYN2022032,2023NYXXS034the State Scholarship Fund of the China Scholarship Council under Grant No.202008510081。
文摘In mega-constellation Communication Systems, efficient routing algorithms and data transmission technologies are employed to ensure fast and reliable data transfer. However, the limited computational resources of satellites necessitate the use of edge computing to enhance secure communication.While edge computing reduces the burden on cloud computing, it introduces security and reliability challenges in open satellite communication channels. To address these challenges, we propose a blockchain architecture specifically designed for edge computing in mega-constellation communication systems. This architecture narrows down the consensus scope of the blockchain to meet the requirements of edge computing while ensuring comprehensive log storage across the network. Additionally, we introduce a reputation management mechanism for nodes within the blockchain, evaluating their trustworthiness, workload, and efficiency. Nodes with higher reputation scores are selected to participate in tasks and are appropriately incentivized. Simulation results demonstrate that our approach achieves a task result reliability of 95% while improving computational speed.
文摘Hepatitis B virus(HBV)reactivation is a clinically significant challenge in disease management.This review explores the immunological mechanisms underlying HBV reactivation,emphasizing disease progression and management.It delves into host immune responses and reactivation’s delicate balance,spanning innate and adaptive immunity.Viral factors’disruption of this balance,as are interac-tions between viral antigens,immune cells,cytokine networks,and immune checkpoint pathways,are examined.Notably,the roles of T cells,natural killer cells,and antigen-presenting cells are discussed,highlighting their influence on disease progression.HBV reactivation’s impact on disease severity,hepatic flares,liver fibrosis progression,and hepatocellular carcinoma is detailed.Management strategies,including anti-viral and immunomodulatory approaches,are critically analyzed.The role of prophylactic anti-viral therapy during immunosuppressive treatments is explored alongside novel immunotherapeutic interventions to restore immune control and prevent reactivation.In conclusion,this compre-hensive review furnishes a holistic view of the immunological mechanisms that propel HBV reactivation.With a dedicated focus on understanding its implic-ations for disease progression and the prospects of efficient management stra-tegies,this article contributes significantly to the knowledge base.The more profound insights into the intricate interactions between viral elements and the immune system will inform evidence-based approaches,ultimately enhancing disease management and elevating patient outcomes.The dynamic landscape of management strategies is critically scrutinized,spanning anti-viral and immunomodulatory approaches.The role of prophylactic anti-viral therapy in preventing reactivation during immunosuppressive treatments and the potential of innovative immunotherapeutic interventions to restore immune control and proactively deter reactivation.
基金financially supported by the National Key Research and Development Program(Grant No.2022YFE0207400)the National Natural Science Foundation of China(Grant No.U22A20168 and 52174225)。
文摘Developing technologies that can be applied simultaneously in battery thermal management(BTM)and thermal runaway(TR)mitigation is significant to improving the safety of lithium-ion battery systems.Inorganic phase change material(PCM)with nonflammability has the potential to achieve this dual function.This study proposed an encapsulated inorganic phase change material(EPCM)with a heat transfer enhancement for battery systems,where Na_(2)HPO_(4)·12H_(2)O was used as the core PCM encapsulated by silica and the additive of carbon nanotube(CNT)was applied to enhance the thermal conductivity.The microstructure and thermal properties of the EPCM/CNT were analyzed by a series of characterization tests.Two different incorporating methods of CNT were compared and the proper CNT adding amount was also studied.After preparation,the battery thermal management performance and TR propagation mitigation effects of EPCM/CNT were further investigated on the battery modules.The experimental results of thermal management tests showed that EPCM/CNT not only slowed down the temperature rising of the module but also improved the temperature uniformity during normal operation.The peak battery temperature decreased from 76℃to 61.2℃at 2 C discharge rate and the temperature difference was controlled below 3℃.Moreover,the results of TR propagation tests demonstrated that nonflammable EPCM/CNT with good heat absorption could work as a TR barrier,which exhibited effective mitigation on TR and TR propagation.The trigger time of three cells was successfully delayed by 129,474 and 551 s,respectively and the propagation intervals were greatly extended as well.
基金supported by an Australian Government Research Training Program Scholarship offered to the first author of this study。
文摘Anticipating the imminent surge of retired lithium-ion batteries(R-LIBs)from electric vehicles,the need for safe,cost-effective and environmentally friendly disposal technologies has escalated.This paper seeks to offer a comprehensive overview of the entire disposal framework for R-LIBs,encompassing a broad spectrum of activities,including screening,repurposing and recycling.Firstly,we delve deeply into a thorough examination of current screening technologies,shifting the focus from a mere enumeration of screening methods to the exploration of the strategies for enhancing screening efficiency.Secondly,we outline battery repurposing with associated key factors,summarizing stationary applications and sizing methods for R-LIBs in their second life.A particular light is shed on available reconditioning solutions,demonstrating their great potential in facilitating battery safety and lifetime in repurposing scenarios and identifying their techno-economic issues.In the realm of battery recycling,we present an extensive survey of pre-treatment options and subsequent material recovery technologies.Particularly,we introduce several global leading recyclers to illustrate their industrial processes and technical intricacies.Furthermore,relevant challenges and evolving trends are investigated in pursuit of a sustainable end-of-life management and disposal framework.We hope that this study can serve as a valuable resource for researchers,industry professionals and policymakers in this field,ultimately facilitating the adoption of proper disposal practices.
基金This study protocol was approved by the General Hospital of the Yangtze River Shipping,and all the families have voluntarily participated in the study and have signed informed consent forms.
文摘BACKGROUND Regarding the incidence of malignant tumors in China,the incidence of liver cancer ranks fourth,second only to lung,gastric,and esophageal cancers.The case fatality rate ranks third after lung and cervical cancer.In a previous study,the whole-process management model was applied to patients with breast cancer,which effectively reduced their negative emotions and improved treatment adherence and nursing satisfaction.METHODS In this single-center,randomized,controlled study,60 randomly selected patients with liver cancer who had been admitted to our hospital from January 2021 to January 2022 were randomly divided into an observation group(n=30),who received whole-process case management on the basis of routine nursing mea-sures,and a control group(n=30),who were given routine nursing measures.We compared differences between the two groups in terms of anxiety,depression,the level of hope,self-care ability,symptom distress,sleep quality,and quality of life.RESULTS Post-intervention,Hamilton anxiety scale,Hamilton depression scale,memory symptom assessment scale,and Pittsburgh sleep quality index scores in both groups were lower than those pre-intervention,and the observation group had lower scores than the control group(P<0.05).Herth hope index,self-care ability assessment scale-revision in Chinese,and quality of life measurement scale for patients with liver cancer scores in both groups were higher than those pre-intervention,with higher scores in the observation group compared with the control group(P<0.05).CONCLUSION Whole-process case management can effectively reduce anxiety and depression in patients with liver cancer,alleviate symptoms and problems,and improve the level of hope,self-care ability,sleep quality,and quality of life,as well as provide feasible nursing alternatives for patients with liver cancer.