Predictive modeling for postoperative delirium in elderly patients with abdominal malignancies using synthetic minority oversampling technique

BACKGROUND Postoperative delirium,particularly prevalent in elderly patients after abdominal cancer surgery,presents significant challenges in clinical management.AIM To develop a synthetic minority oversampling technique(SMOTE)-based model for predicting postoperative delirium in elderly abdominal cancer patients.METHODS In this retrospective cohort study,we analyzed data from 611 elderly patients who underwent abdominal malignant tumor surgery at our hospital between September 2020 and October 2022.The incidence of postoperative delirium was recorded for 7 d post-surgery.Patients were divided into delirium and non-delirium groups based on the occurrence of postoperative delirium or not.A multivariate logistic regression model was used to identify risk factors and develop a predictive model for postoperative delirium.The SMOTE technique was applied to enhance the model by oversampling the delirium cases.The model’s predictive accuracy was then validated.RESULTS In our study involving 611 elderly patients with abdominal malignant tumors,multivariate logistic regression analysis identified significant risk factors for postoperative delirium.These included the Charlson comorbidity index,American Society of Anesthesiologists classification,history of cerebrovascular disease,surgical duration,perioperative blood transfusion,and postoperative pain score.The incidence rate of postoperative delirium in our study was 22.91%.The original predictive model(P1)exhibited an area under the receiver operating characteristic curve of 0.862.In comparison,the SMOTE-based logistic early warning model(P2),which utilized the SMOTE oversampling algorithm,showed a slightly lower but comparable area under the curve of 0.856,suggesting no significant difference in performance between the two predictive approaches.CONCLUSION This study confirms that the SMOTE-enhanced predictive model for postoperative delirium in elderly abdominal tumor patients shows performance equivalent to that of traditional methods,effectively addressing data imbalance.

Overcoming Challenges in COVID-19 Vaccination among Ethnic Minority Groups in Bangladesh: A Qualitative Exploration

This study aimed to explore the barriers affecting COVID-19 vaccine uptake among ethnic minorities and to propose strategies to strengthen government initiatives for inclusive vaccination. Grounded in social constructivism, this qualitative study was conducted in the greater Sylhet Division, where many ethnic communities live. Using purposive sampling, semi-structured interviews were conducted with 49 participants, including ethnic men and women, community leaders, and healthcare providers. Two focus group discussions (FGDs) were also conducted to ensure data validation, and the results were analyzed using thematic analysis, which revealed several factors, such as free vaccinations, media, close community-knit healthcare centers, informal communication that positively influenced vaccine uptake, such as awareness campaigns, informal communication, media involvement, and free vaccine availability. However, socio-economic and technological barriers pose significant challenges, including misconceptions about vaccines, limited access to technology, long distances to vaccination centers, inconvenient service hours, and reliance on traditional medicine. To promote inclusive vaccination, the study recommends establishing localized vaccine camps, improving technological infrastructure such as the Internet and network access, enhancing communication strategies, providing special services for women, the elderly and disabled individuals, and ensuring a reliable vaccine supply. Future researchers could apply longitudinal studies, including a lager study area and broader range of participants to address the missing perspectives in the current study.

Spiritual Forests—A Nature Conservation Model of Ethnic Minority Communities in Central Viet Nam

This paper aims to analyze and evaluate a model of forest conservation and management of ethnic minority (or indigenous) people in central Vietnam, often referred to as the spiritual forest. These forests, called sacred forest or ghost forests by the ethnic minority people in Thua Thien Hue province, have existed for a long time among forest residents. However, they have recently declined, both in quality and quantity, due to various factors, including changes in society, economy, environment, and perception, among other reasons. Based on research conducted in A Luoi district, Thua Thien Hue province with household interviews, group discussions, and field surveys, we find that spiritual forest retains religious and human significance. They are also often among the last remaining natural forests left due to deforestation by human activities. The research results indicate challenges that conservation of spiritual forest may face, while giving recommendations derived from communities for sustainable forest development and conservation in the region.

A Case Study on Ideological and Political Teaching Mode of College English Course in Minority Classes

Based on the characteristics of College English teaching in minority classes,this paper analyzes the ideological and political teaching cases of College English courses in ethnic minority classes from four aspects:before-class,in-class(flipped classroom teaching),after-class,and teaching design feedback(feedback on students’learning situation,teaching content and methods),starts from the three aspects of knowledge impartation,ability improvement,and value guidance,and integrates the course ideology and politics into the theme,language,and reality,so as to form a“one point and three sides”course ideological and political teaching model.

Research on the Employment View of Acupuncture and Tuina Undergraduates in Minority Border Areas from Students’ Perspective

With the popularization of higher education in China,the employment situation of college students is more complex and severe.This paper adopts the questionnaire method to explore the employment view of acupuncture and tuina undergraduates of Yunnan University of Traditional Chinese Medicine.The employment concept of acupuncture and tuina undergraduates in the minority border areas has changed greatly.After graduation,97.95%of students choose to work in fields related to medicine and acupuncture,prefer positions close to home,and are attracted to high-salary companies,among other factors.Therefore,enhancing the competitive advantages of medical students by guiding their career planning,providing employment selection advice,fostering innovation and entrepreneurship,improving basic skills,and offering graduate entrance examination guidance is crucial for broadening their employment opportunities.

Application of Chinese Ethnic Minority Themes in Contemporary Figurative Sculpture Creation

In the field of contemporary sculpture creation,the rich culture and historical depth of Chinese ethnic minorities have attracted the widespread attention of artists.These creations not only emphasize external features such as ethnic costumes,totems,or life scenes but also touch deep spiritual contents including historical stories,religious beliefs,and living habits of ethnic minorities.This paper discusses the integration process of Chinese ethnic minority themes in figurative sculpture creation and the inheritance of the profound spirit of ethnic groups in this process.At the same time,this paper also places the diversified expression and innovative practice of these themes in sculpture art in the context of the new era for investigation and explores the far-reaching influence of its development on promoting cultural inheritance and artistic innovation.

The Exploitation of Agricultural Civilization Heritages of Minority Community in Guangxi——A Case Study of Longsheng Dragon Back Terrace

Having outlined evolution and tour value of Dragon Back Terraces in Longsheng County,Guilin,the author puts forward following proposals for tour development in policy-making:(1) With improving the villages of the Minority community,to set up ecological museums in which the cultures of Minority are preserved,the primitive local "live humanity heritages" are shown as the key display on the basis of typical agricultural complex ecological system;(2) To encourage the citizens of the community to participate in the tour industry development,including the participation both in the decision-making in tour planning and preservation of the terrace agricultural civilization heritages as well as the allocation of the income of the local tour industry;(3)To promote the mutual development of both folkways and sightseeing tour,to enhance the exploitation of the present natural scenic and historical landscapes through the making full advantages of the present tour market.The Dragon Back Terraces are characterized by the important tour values,including the rich and colorful natural landscapes,typical complex agricultural ecological system,and the combination of the Minority folkways and agricultural civilization.

Protection and Utilization of Cultural Landscape in a Forest Park in Ethnic Minority Region ——With a Case of Zhangjiajie

Presently, more and more attention is paid to cultural landscapes by peo-ple at travel ing, especial y for folk culture in ethnic minority regions where rich hu-man landscapes could be ful y made use of to improve landscape quality. In the research, cultural landscapes in Zhangjiajie National Forest Park were surveyed and evaluated to analyze characters of cultural utilization, as wel as problems existing in the Park. In addition, highlights were given to protection on cultural landscapes in a forest park construction, presentation of ethnic minority culture, and ful development of tourism products.

Rural Tourism Development Theory and Practice of Intangible Cultural Heritage in Rural Minority Areas of Sichuan Province,China——A Case Study of Kasidawen in Heishui County,Aba Prefecture of Sichuan

Researches on tourism development of intangible cultural heritage were introduced,and market gaps in the tourism development of intangible cultural heritage in ruralminority areas of China were proposed.On the basis of investigation and interview about Kasidawen in Heishui County the author participated in,a National-level Intangible Cultural Heritage,interview and questionnaire survey were adopted in this study,and the following problems were concluded:tourists having only limited knowledge about tourism development of Kasidawen;multilayered demands of tourist market;intangible cultural heritage of Sichuan Province as a whole is not widely-known because of insufficient publicity;tourists preferring tourism products that they participated in.Characteristics of intangible cultural heritage in Heishui County were summarized as strong national characteristics and unique cultural heritage,on the basis of which the "Kasidawen-based" Tourism Development Mode was proposed to change its present condition of "having only natural landscapes but no cultural connotation",and improve the cultural taste and level of tourism development in Heishui County,by arranging cultural functions and industries from the perspectives of both hardware and software facilities,and taking other types of resources as the supplement,useful theoretical references were given for rural tourism development of intangible cultural heritage inminority areas of China.

A Study on Innovation Mode of Tourism Development in Minority Village

It was of vital significance for sustainable development of tourism in minority village to explore tourism development mode suitable for minority village.Based on comparison of development,characteristics,advantages and disadvantages of three modes which were Suoga mode,Shenzhen folk village mode and Langdeshang Village mode,it was considered that the contradiction between development of minority village economy,protection of national traditional culture and guarantee of villagers' benefits hadn't been radically eliminated in the three modes.In view of this,5Cs mode had been proposed which were culture,company,characteristics,community and concord;and running mechanism of 5Cs mode had been constructed,that is,environmental protection and cultural inheritance;government's guidance and company's leading;theme positioning and characteristic highlighting;community power-increasing and villagers' profit-obtaining;economic development and community harmony.

Space Pattern of Rural Leisure Tourism Development in Southwest Minority Area——A Case Study of Ethnic Minority Area in Southeast Chongqing

On the basis of analysis of current research documents on rural leisure tourism, taking ethnic minority area of Southeast Chongqing for example, the paper expounded ecology, culture, authenticity and uniqueness of rural leisure tourist resources in ethnic minority area, and city-dependent, scenic area-dependent, traffic route-dependent and remote characteristic village type of space pattern.

English Listening Teaching： A Perspective from the Ethnic Minority in China

Listening and speaking is of great importance in language communication, which is being paid close attention to in TEFL in China. However, as most of ethnic minorities are living far away from developed districts, they lack necessary sources in English listening teaching, which makes the local learners＇ listening ability not so satisfactory. This paper, based on the questionnaire, analyzes the problems existing in current English listening teaching in ethnic minority districts, and puts forward some suggestive solutions.

Translation Principles of Chinese Ethnic Minority Classics:A Case Study on the English Translation of Yimakan Mandu Mergen

Different translation principles may result in different translation products Chinese and foreign scholars put forward a lot of insightful and perceptive views on translation principles based on their plentiful translation practice.Taken the Hezhe Peo ple’s oral tradition Yimakan Mandu Mergen as an example,the paper probes into the English translation principles and strategies of Chinese ethnic minority classics.

Farming Ritual and Festival Folk Custom of Dong Ethnic Minority Group

In order to pray for harvest and express gratitude, Dong ethnic arranged sacrifices of farming in accordance with periodicity of rice production and its requirements to festivals and calendar. Meanwhile, New Year, Pray in Spring and Return in Autumn not only play significant roles in agricultural production, but also evolve to farming holidays which are enriched with more social connotations. Centered on husbandry and production, some folklore that is rich in local color has been formed in Dong society. The writer introduced some farming ritual of Dong ethnic group, such as, sowing, Kai Yang Men, Rain-praying, Chang Xin, reaping and Lunar New Year, summarized their belief in the land worship, festival ritual, ancestor ritual and ceres ritual. It is concluded that sacrifice is a production-related folklore, which is formed by repeated operation and constant practice. Some taboos were also prohibited in agricultural sacrifice because people were not able to change the unfavorable reality of farming with their insufficient experience and knowledge; however, they resorted to witchcraft for the purpose of harvest. It is believed that the activity of sacrifice will also be kept in the life of Dong ethnic group due to their dependency on agriculture and the land.

A Research into English Learning Strategies of Preparatory Ethnic Minority Education

On the basis of survey, students of Preparatory Ethnic Minority are not interested in English learning, and they lack language learning strategies, listening and oral abilities when they are studying English. According to theories of Second Language Acquisition, connected with teaching practice, new English Learning Model is discussed and constructed. It includes"1+2+3" curriculum model, which advocates"Student centered"teaching method and setting up optional courses so that students will at tain the set goal smoothly.

Teachers' Oral Corrective Feedback and Its Influence on Learner Uptake in the Classes of Teaching English as a Foreign Language for Minority Students in Xinjiang Junior High Schools

The present study explored the features and the effectiveness of teachers' oral CF in the classrooms of Teaching English as a Foreign Language(TEFL) for minority students in Xinjiang junior high schools. The analytical framework of this study consulted Lyster's(1998) coding scheme. 720 minutes of classroom observation were recorded and transcribed. The database was coded and the distribution of errors, CF and uptake was analyzed.

Analysis of the Ecological Migration Pattern in Ethnic Minority Areas——A Case Study of Ningxia Hui Autonomous Region

By taking Ningxia Hui Autonomous Region as an example,this paper analyzes the ecological migration pattern in ethnic minority areas.The basic patterns of development for poverty relief in Ningxia are in-situ migration and new area development pattern.The new area development pattern includes three types,namely small town development pattern around urban radiation districts,urban labor migration pattern,and large-scale ecological migration pattern.Finally,successful experience of ecological migration in Ningxia is summarized.First,scientific industrial planning shall be made on the basis of proper selection of ecological migration location in immigrant settlement regions.Second,scientific and comprehensive ecological migration policies should be formulated.

Genetic polymorphism of mitochondrial DNA HVS-I and HVS-II of Chinese Tu ethnic minority group

We analyzed the two hypervariable segments HVS-I and HVS-II of 108 Chinese Tu ethnic minority group samples for forensic and population genetics purposes, Comparing with Anderson sequence, 79 polymorphic loci in HVS-I and 40 in HVS-II were found in Chinese Tu ethnic minority group mtDNA sequences, and 90 and 64 haplotypes were then defined. Haplotype diversity and the mean pairwise differences were 0.9903±0.0013 and 5.7785 in HVS-I, and 0.9777±0.0013 and 3.5819 in HVS-II, respectively. By analyzing the hypervariable domain from nucleotide 1,6180 to 1,6193 in HVS-I, we defined some new types of sequence variations. We also compared the relationship between Tu population and other populations using mtDNA HVS-I sequences. According to Rst genetic distances, the phylogenetic tree showed that the Tu population, the Xi＇an Han population, the Chinese Korean, and the Mongol ethnic group were in a clade. This indicated a close genetic relationship between them. There were far relations between the Tu population and other Chinese southern Han populations, Siberian, European, African, and other foreign populations. The results suggest that Tu population has a multi-origin and has also merged with other local populations.

Are“Internet+”tactics the key to poverty alleviation in China’s rural ethnic minority areas? Empirical evidence from Sichuan Province

China has made great efforts to alleviate poverty in rural ethnic minority areas and targeted achieving the poverty-alleviation task by the end of 2020.Aba,Ganzi,and Liangshan,three of the poorest ethnic prefectures in Sichuan Province,Southwest China,have all implemented“Internet+”tactics since 2013,which have had the positive effect of increasing family revenues by improving communication infrastructure and encouraging the large-scale use of e-commerce.This paper aims to comprehensively investigate whether“Internet+”tactics play a key role in poverty alleviation in Sichuan’s rural ethnic minority areas and to propose further measures to enhance the efficiency of e-commerce practice.To this end,we conduct an analysis using the framework of classic growth theory and use panel data from 2000 to 2018 to examine the relationship between Communication Infrastructure Investment(CII)and a set of poverty-alleviation indicators,including local GDP growth rate(LGGR),local government revenue(LGR),and per-capita income of residents(PCIR).The results indicate that strengthening CII improves the PCIR and local economic growth,playing a key role in poverty alleviation.However,the stimulation of CII on LGGR and LGR wanes as time passes.More financial and technical actions will be needed to improve the efficiency and quality of current strategies for sustainable development in those areas.

Low Crosstalk Three-Color Infrared Detector by Controlling the Minority Carriers Type of InAs/GaSb Superlattices for Middle-Long and Very-Long Wavelength

We report a type-Ⅱ InAs/GaSb superlattice three-color infrared detector for mid-wave （MW）, long-wave （LW）, and very long-wave （VLW） detections. The detector structure consists of three contacts of NIPIN architecture for MW and LW detections, and hetero-junction NIP architecture for VLW detection. It is found that the spectral crosstalks can be significantly reduced by controlling the minority carriers transport via doping beryllium in the two active regions of NIPIN section. The crosstalk detection at MW, LW, and VLW signals are achieved by selecting the bias voltages on the device. At 77K, the cutoff wavelengths of the three-color detection are 5.3μm （at OmV）, 141μm （at 300mV） and 19μm （at -20mV） with the detectivities of 4.6xlO11 cm.Hzl/ZW-1, 2.3×10^10 cm.Hzl/2W-1, and 1.0×10^10cm.Hzl/2W-1 for MW, LW and VLW. The crosstalks of the MW channel, LW channel, and VLW channel are almost 0, 0.25, and 0.6, respectively.