This paper deeply discusses the characteristics of decorative language in China’s contemporary oil painting art,analyzes its performance in form,color,and composition,and expounds on the application of decorative lan...This paper deeply discusses the characteristics of decorative language in China’s contemporary oil painting art,analyzes its performance in form,color,and composition,and expounds on the application of decorative language in contemporary oil painting practice with specific artists’works.Through the study of this unique artistic language,this paper reveals the innovation and development of China’s contemporary oil painting in integrating traditional and modern,Eastern and Western artistic elements,and provides theoretical reference and practical enlightenment for the further development of China’s contemporary oil painting art.展开更多
To prepare a conductive polymer actuator with decent performance,a self-built experimental platform for the preparation of polypyrrole film is employed.One of the essential goals is to examine the mechanical character...To prepare a conductive polymer actuator with decent performance,a self-built experimental platform for the preparation of polypyrrole film is employed.One of the essential goals is to examine the mechanical characteristics of the actuator in the presence of various combinations of process parameters,combined with the orthogonal test method of"four factors and three levels".The bending and sensing characteristics of actuators of various sizes are methodically examined using a self-made bending polypyrrole actuator.The functional relationship between the bending displacement and the output voltage signal is established by studying the characteristics of the actuator sensor subjected to various degrees of bending.The experimental results reveal that the bending displacement of the actuator tip almost exhibits a linear variation as a function of length and width.When the voltage reaches 0.8 V,the bending speed of the actuator tends to be stable.Finally,the mechanical properties of the self-assembled polypyrrole actuator are verified by the design and fabrication of the microgripper.展开更多
BACKGROUND Addressing oculoplastic conditions in the preoperative period ensures both the safety and functional success of any ophthalmic procedure.Some oculoplastic conditions,like nasolacrimal duct obstruction,have ...BACKGROUND Addressing oculoplastic conditions in the preoperative period ensures both the safety and functional success of any ophthalmic procedure.Some oculoplastic conditions,like nasolacrimal duct obstruction,have been extensively studied,whereas others,like eyelid malposition and thyroid eye disease,have received minimal or no research.AIM To investigate the current practice patterns among ophthalmologists while treating concomitant oculoplastic conditions before any subspecialty ophthalmic intervention.METHODS A cross-sectional survey was disseminated among ophthalmologists all over India.The survey included questions related to pre-operative evaluation,anaesthetic and surgical techniques preferred,post-operative care,the use of adjunctive therapies,and patient follow-up patterns.RESULTS A total of 180 ophthalmologists responded to the survey.Most practitioners(89%)felt that the ROPLAS test was sufficient during pre-operative evaluation before any subspecialty surgery was advised.The most common surgical techniques employed were lacrimal drainage procedures(Dacryocystorhinostomy)(63.3%),eyelid malposition repair(36.9%),and ptosis repair(58.7%).Post-operatively,47.7%of respondents emphasized that at least a 4-week gap should be maintained after lacrimal drainage procedures and eyelid surgeries.Sixty-seven percent of ophthalmologists felt that topical anaesthetic procedures should be preferred while performing ocular surgeries in thyroid eye disease patients.CONCLUSION Approximately 50%of ophthalmologists handle prevalent oculoplastic issues themselves,seeking the expertise of an oculoplastic surgeon under particular conditions.Many ophthalmologists still favor using ROPLAS as a preliminary screening method before proceeding with cataract surgery.Eyelid conditions and thyroid eye disease are not as commonly addressed before subspecialty procedures compared to issues like nasolacrimal duct obstruction and periocular infections.展开更多
Since the Dongfeng-2 missile, full-vehicle modal testing has been established as an indispensable part of the development and testing of rocket and missile models. However, as rockets have been developed larger, the c...Since the Dongfeng-2 missile, full-vehicle modal testing has been established as an indispensable part of the development and testing of rocket and missile models. However, as rockets have been developed larger, the cost and duration of such tests have significantly increased, magnifying their impact on model development. This article follows the process of the modal testing practice of the Gravity-1 rocket, reviewing and summarizing the design process of the rocket's dynamic characteristics. Initially, the article introduces common modeling techniques for launch rockets, including the mass-beam model and the hybrid element model. It then discusses the relationship between the structural dynamics model of the launch rocket and modal testing, aiming to reduce testing costs through refined structural dynamics modeling methods. Subsequently, the article describes the dynamic characteristics design process of the Gravity-1 carrier rocket, categorizes structural parameters, and studies how the selection of structural parameters affects the predicted dynamic characteristics of the rocket. Finally, it elaborates on the design of the modal testing scheme and the dynamic characteristics design based on the test data.展开更多
BACKGROUND Mild cognitive impairment(MCI)has a high risk of progression to Alzheimer’s disease.The disease is often accompanied by sleep disorders,and whether sleep disorders have an effect on brain function in patie...BACKGROUND Mild cognitive impairment(MCI)has a high risk of progression to Alzheimer’s disease.The disease is often accompanied by sleep disorders,and whether sleep disorders have an effect on brain function in patients with MCI is unclear.AIM To explore the near-infrared brain function characteristics of MCI with sleep disorders.METHODS A total of 120 patients with MCI(MCI group)and 50 healthy subjects(control group)were selected.All subjects underwent the functional near-infrared spec-troscopy test.Collect baseline data,Mini-Mental State Examination,Montreal Cognitive Assessment scale,fatigue severity scale(FSS)score,sleep parameter,and oxyhemoglobin(Oxy-Hb)concentration and peak time of functional near-infrared spectroscopy test during the task period.The relationship between Oxy-RESULTS Compared with the control group,the FSS score of the MCI group was higher(t=11.310),and the scores of Pittsburgh sleep quality index,sleep time,sleep efficiency,nocturnal sleep disturbance,and daytime dysfunction were higher(Z=-10.518,-10.368,-9.035,-10.661,-10.088).Subjective sleep quality and total sleep time scores were lower(Z=-11.592,-9.924).The sleep efficiency of the MCI group was lower,and the awakening frequency,rem sleep latency period,total sleep time,and oxygen desaturation index were higher(t=5.969,5.829,2.887,3.003,5.937).The Oxy-Hb concentration at T0,T1,and T2 in the MCI group was lower(t=14.940,11.280,5.721),and the peak time was higher(t=18.800,13.350,9.827).In MCI patients,the concentration of Oxy-Hb during T0 was negatively correlated with the scores of Pittsburgh sleep quality index,sleep time,total sleep time,and sleep efficiency(r=-0.611,-0.388,-0.563,-0.356).It was positively correlated with sleep efficiency and total sleep time(r=0.754,0.650),and negatively correlated with oxygen desaturation index(r=-0.561)and FSS score(r=-0.526).All comparisons were P<0.05.CONCLUSION Patients with MCI and sleep disorders have lower near-infrared brain function than normal people,which is related to sleep quality.Clinically,a comprehensive assessment of the near-infrared brain function of patients should be carried out to guide targeted treatment and improve curative effect.展开更多
The article"Secondary diabetes due to different etiologies:Four case reports"by Song et al,published in the World Journal of Clinical Cases,delves into the identi-fication of rare causes of secondary diabete...The article"Secondary diabetes due to different etiologies:Four case reports"by Song et al,published in the World Journal of Clinical Cases,delves into the identi-fication of rare causes of secondary diabetes and emphasizes the necessity for healthcare professionals to recognize these conditions.Failure to do so can result in treatment delays and compromised patient outcomes.The article discusses spe-cific types of diabetes,including maturity onset of diabetes in young,pancreas-related diseases,endocrinopathies,drug-induced diabetes,infections,and con-genital genetic syndromes associated with diabetes mellitus.Case summaries highlight how patients with secondary diabetes,stemming from conditions such as Williams-Beuren syndrome and pituitary adenoma,often exhibit distinct characteristics overlooked in clinical practice.The authors stress the importance of a holistic diagnostic approach and advocate for proactive management through early intervention,including genetic tests and antibody detection.Increased awa-reness and education are crucial for timely identification and proper management,ultimately improving patient well-being.These findings prompt a call to action for healthcare professionals to consider rare causes of secondary diabetes,facili-tating better glycemic control and overall patient care.展开更多
Machine learning(ML)is a type of artificial intelligence that assists computers in the acquisition of knowledge through data analysis,thus creating machines that can complete tasks otherwise requiring human intelligen...Machine learning(ML)is a type of artificial intelligence that assists computers in the acquisition of knowledge through data analysis,thus creating machines that can complete tasks otherwise requiring human intelligence.Among its various applications,it has proven groundbreaking in healthcare as well,both in clinical practice and research.In this editorial,we succinctly introduce ML applications and present a study,featured in the latest issue of the World Journal of Clinical Cases.The authors of this study conducted an analysis using both multiple linear regression(MLR)and ML methods to investigate the significant factors that may impact the estimated glomerular filtration rate in healthy women with and without non-alcoholic fatty liver disease(NAFLD).Their results implicated age as the most important determining factor in both groups,followed by lactic dehydrogenase,uric acid,forced expiratory volume in one second,and albumin.In addition,for the NAFLD-group,the 5th and 6th most important impact factors were thyroid-stimulating hormone and systolic blood pressure,as compared to plasma calcium and body fat for the NAFLD+group.However,the study's distinctive contribution lies in its adoption of ML methodologies,showcasing their superiority over traditional statistical approaches(herein MLR),thereby highlighting the potential of ML to represent an invaluable advanced adjunct tool in clinical practice and research.展开更多
BACKGROUND Ischemic bowel disease(IBD)is a critical condition caused by reduced blood flow to the intestines,leading to tissue damage and potentially severe complications.Early recognition and timely management are es...BACKGROUND Ischemic bowel disease(IBD)is a critical condition caused by reduced blood flow to the intestines,leading to tissue damage and potentially severe complications.Early recognition and timely management are essential for improving patient outcomes and reducing morbidity and mortality associated with IBD.AIM To evaluate the knowledge,attitude and practice(KAP)of healthcare professionals regarding IBD.METHODS This cross-sectional study was conducted among healthcare professionals in China from November 2023 to December 2023 using a self-designed questionnaire.RESULTS A total of 315 valid questionnaires were analyzed,with 215 participants(68.25%)being female.The mean KAP scores were 17.55±5.35(range:0-24),27.65±2.77(range:8-40),and 18.88±4.23(range:6-30),respectively.Multivariate linear regression analysis revealed the following factors to be independently associated with knowledge:Age 26-35 years(β=2.80,95%CI:0.31-5.30,P=0.028),professional title(β=2.66,95%CI:0.91-4.41,P=0.003),position(β=-3.78,95%CI:-5.45 to-2.11,P<0.001),participation in IBD-related training(β=3.45,95%CI:2.39-4.51,P<0.001),and admission of more than five IBD cases in the past month(β=3.25,95%CI:1.58-4.92,P<0.001).Attitude was independently associated with knowledge(β=0.20,95%CI:0.15-0.26,P<0.001)and being a nurse or nursing supervisor(β=-1.30,95%CI:-2.16 to-0.40,P=0.003).Practice was independently associated with knowledge(β=0.20,95%CI:0.10-0.30,P<0.001)and attitude(β=0.24,95%CI:0.06-0.42,P=0.007).Structural equation modeling demonstrated direct effects of knowledge on attitude(β=0.24,P<0.001)and practice(β=0.26,P<0.001),as well as of attitude on practice(β=0.22,P=0.012).CONCLUSION Healthcare professionals demonstrated adequate knowledge but moderate attitude and inactive practice regarding IBD.Addressing the gaps in attitude and practice through targeted training programs and interventions is essential for improving patient care and outcomes.展开更多
Aerodynamic and dynamic interference from trains is a key issue of concern for the safety of road vehicles travelling on single-level rail-cum road bridges.Based on the wind-road vehicle-train-bridge(WRTB)coupled vibr...Aerodynamic and dynamic interference from trains is a key issue of concern for the safety of road vehicles travelling on single-level rail-cum road bridges.Based on the wind-road vehicle-train-bridge(WRTB)coupled vibration system developed herein,this study examines the dynamic characteristics when road vehicles meet trains in this situation.The influence of load combination,vehicle type and vehicle location is analyzed.A method to obtain the aerodynamic load of road vehicles encountering the train at an arbitrary wind speed is proposed.The results show that due to the windproof facilities and the large line distance between the railway and highway,the aerodynamic and dynamic influence of trains on road vehicles is slight,and the vibration of road vehicles depends on the road roughness.Among the road vehicles discussed,the bus is the easiest to rollover,and the truck-trailer is the easiest to sideslip.Compared with the aerodynamic impact of trains,the crosswind has a more significant influence on road vehicles.The first peak/valley value of aerodynamic loads determines the maximum dynamic response,and the quick method is optimized based on this conclusion.Test cases show that the optimized method can produce conservative results and can be used for relevant research or engineering applications.展开更多
This manuscript critically evaluates the randomized controlled trial(RCT)conducted by Phiri et al,which assessed the effectiveness of virtual reality(VR)training for psychiatric staff in reducing restrictive practices...This manuscript critically evaluates the randomized controlled trial(RCT)conducted by Phiri et al,which assessed the effectiveness of virtual reality(VR)training for psychiatric staff in reducing restrictive practices(RPs).Specifically,this RCT investigated the impact of VR on the handling of aggressive patients by psychiatric staff compared to traditional training methods.Despite significant reductions in perceived discrimination in the VR group,there were no major improvements in self-efficacy or anxiety levels.The system usability scale rated the VR platform highly,but it did not consistently outperform traditional training methods.Indeed,the study shows the potential for VR to reduce RPs,although fluctuations in RP rates suggest that external factors,such as staff turnover,influenced the outcomes.This manuscript evaluates the study’s methodology,results,and broader implications for mental health training.Additionally,it highlights the need for more comprehensive research to establish VR as a standard tool for psychiatric staff education,focusing on patient care outcomes and real-world applicability.Finally,this study explores future research di-rections,technological improvements,and the potential impact of policies that could enhance the integration of VR in clinical training.展开更多
The concepts of ability, practice ability, and professional practice ability were analyzed using a theoretical research method. Based on the results of the analysis, the concept of clinical practice ability for Master...The concepts of ability, practice ability, and professional practice ability were analyzed using a theoretical research method. Based on the results of the analysis, the concept of clinical practice ability for Master Degree of Nursing(specialty) students was de?ned, and the characteristics were interpreted to provide references for future in-depth studies.展开更多
The influence of major cultural practices including different nitrogen application rates, population densities, transplanting leaf ages of seedling, and water regimes on rice canopy spectral reflectance was investigat...The influence of major cultural practices including different nitrogen application rates, population densities, transplanting leaf ages of seedling, and water regimes on rice canopy spectral reflectance was investigated. Results showed that increased nitrogen rates, water regimes and population densities and decreased seedling ages could enhance reflectance at NIR (near infrared) bands and reduce reflectance at visible bands. Using reflectance of green, red and NIR band and ratio index of 810-560 nm could distinguish the different type of rice by fuzzy cluster analysis,展开更多
To understand how to create a stabile workforce achieving excellent quality of care and patient safety, associations between practice environments and nurse and patient outcomes have been widely studied in acute and p...To understand how to create a stabile workforce achieving excellent quality of care and patient safety, associations between practice environments and nurse and patient outcomes have been widely studied in acute and psychiatric care hospitals. Knowing residential aged care services are challenged to tackle complex patients’ needs within certain working conditions, to what extent do nurses perceive their practice environment in geriatric care? In a cross-sectional survey, a sample of 709 registered nurses, licensed practical nurses and nurse aides employed in 25 residential aged care services completed a structured questionnaire composed of various validated instruments measuring nurse practice environment factors, nurse work characteristics, burnout, nurse reported job outcomes, quality and patient adverse events. Associations between variables across residential aged care services were examined using multilevel modelling techniques. Associations were identified between practice environment factors, work characteristics, burnout dimensions, and reported outcome variables across residential aged care services. Multiple multilevel models showed independent variables (nursing management at the unit level, workload, decision latitude, social capital, emotional exhaustion and depersonalization) as important predictors of nurse reported outcome (job satisfaction, turnover intensions), quality of care (at the unit, the last shift, and in the service within the last year) and patient adverse events (patient and family complaints, patient falls, pulmonary and urinary tract infections, and medications errors). Results suggested the importance of nurse practice environment factors, nurse work characteristics and perception of burnout on nurse and patient outcomes across their nurse practice environment. Challenging the complex care of a vulnerable and frail population executives, physicians, nursing leaders as well as nurses in their nurse practice environment shared responsibility to create working conditions achieving excellent quality and patient safety.展开更多
As economic globalization and multi-polarization continue to develop worldwide,the international order is undergoing profound and complex changes,supporting more extensive peaceful development and instances of win-win...As economic globalization and multi-polarization continue to develop worldwide,the international order is undergoing profound and complex changes,supporting more extensive peaceful development and instances of win-win cooperation.The collective rise of the emerging major countries is prompting the construction of a fair,rational new international order in politics and economy.In this context,China is a major force for world peace and the common development of the entire world,and the central leadership of the Chinese Communist Party(CCP),with Xi Jinping at its core has proposed a series of new concepts,modes of thinking,and strategies in relation to governance and administration,taking into account both the domestic and the international situation.Xi's perspective on diplomacy emerged from the theory and practice of major country diplomacy with Chinese characteristics and is the outcome of the combination of the universal principle of Marxism with the specific practice of major country diplomacy in China,and constitutes a major component of Xi's thought on socialism with Chinese characteristics in the new era.In his report to the 19th National Congress of the CCP,General Secretary Xi proposed to develop a community with a shared concept of the future for humanity to forge a new form of international relations,featuring mutual respect,fairness,justice,and win-win cooperation.1 This shows the constructive role China is playing in the peaceful development of the world,actively participating in and leading global governance and safeguarding the stability of the international order,thus laying the basis in discourse for the theory and practice of major country diplomacy with Chinese characteristics for a new era.展开更多
The parasitic weed Striga poses a serious threat to cereal production in sub-Saharan Africa. For many years, technological packages for the control of this weed were proposed and implemented on farmers' fields. A sur...The parasitic weed Striga poses a serious threat to cereal production in sub-Saharan Africa. For many years, technological packages for the control of this weed were proposed and implemented on farmers' fields. A survey was carried out in farmers' fields in 2010/201l cropping season in selected dryland areas of Tanzania to: (a) determine the Striga plant counts, number of capsules/Striga plant and agronomic practices used by farmers to control Striga; and (b) evaluate the relationship between Striga reproduction, soil chemical characteristics and agronomic practices. Soil samples at 0-20 cm depth were collected from 20 different farmers' fields. The soil samples were analyzed for pH, organic carbon, N, P and K. Results showed that there was low adoption of recommended Striga control methods. Regression analysis of agronomic practices and soil chemical characteristics revealed a positive improvement of soil N and organic carbon and reduction of soil P and K content as one shifted from sole planting to intercropping. The results showed that potassium was highly positively related to number of capsules/Striga plant. There was a reduction in the number of capsules/plant as one moved from sole planting to intercropping. Based on these findings, K in the Striga infested in soils positively influenced Striga reproduction and seed bank replenishment, hence high soil K levels may lead to high Striga incidence.展开更多
In order to study the profile control characteristics of emulsions in porous medium, the heterogeneous experimental model was established, by which the experimental scheme was designed with different permeabilities, m...In order to study the profile control characteristics of emulsions in porous medium, the heterogeneous experimental model was established, by which the experimental scheme was designed with different permeabilities, matching degree of particle size and concentration of emulsions. Based on experimental results of physical simulation, the concept of distributing rate and changing coefficient was introduced to quantitatively evaluate the profile control characteristics of emulsions. The results of the study show that, as the permeability ratio and emulsion concentration increase, the profile control characteristics of emulsions will enhance. The profile control characteristics of emulsions will be the best. The profile control scheme with emulsions was implemented in Bohai X oil field, The research results can be used for reference to design the profile control scheme in Bohai heterogeneous reservoir.展开更多
The influence of major cultural practices including different nitrogen application rates, population densities, transplanting leaf ages of seedling, and water regimes on rice canopy spectral reflectance was investigat...The influence of major cultural practices including different nitrogen application rates, population densities, transplanting leaf ages of seedling, and water regimes on rice canopy spectral reflectance was investigated. Results showed that increased nitrogen rates, water regimes and population densities and decreased seedling ages could enhance reflectance at NIR (near infrared) bands and reduce reflectance at visible bands. Using reflectance of green, red and NIR band and ratio index of 810-560 nm could distinguish the different type of rice by fuzzy cluster analysis,展开更多
Autophagy is a cellular catabolic process characterized by the formation of double-membrane autophagosomes.Transmission electron microscopy is the most rigorous method to clearly visualize autophagic engulfment and de...Autophagy is a cellular catabolic process characterized by the formation of double-membrane autophagosomes.Transmission electron microscopy is the most rigorous method to clearly visualize autophagic engulfment and degradation.A large number of studies have shown that autophagy is closely related to the digestion,secretion,and regeneration of gastrointestinal(GI)cells.However,the role of autophagy in GI diseases remains controversial.This article focuses on the morphological and biochemical characteristics of autophagy in GI diseases,in order to provide new ideas for their diagnosis and treatment.展开更多
Purpose/Significance: This study aims to define the concept of leading cadres new media usage in China specifically, and to describe and analyze the forms and typical cases and characteristics of leading cadres new me...Purpose/Significance: This study aims to define the concept of leading cadres new media usage in China specifically, and to describe and analyze the forms and typical cases and characteristics of leading cadres new media in different stages. Method/Process: Based on the themes and contents of a few media accounts of leading cadres at different ranks, we summarizes leading cadres new media usage in a systematic perspective and content analysize method. Result/Conclusion: The study defines the concept of Leading Cadres’ new media from the perspective of media practice, determine its position as a media communication platform in the government affairs new media communication system and its relationship with the other elements, and then systematically review the evolution of its media practice from personal website, blog, microblog and microblog to WeChat, live show. On this basis, with the Harold Lasswell communication model, this article summarizes leading cadres new media communication characteristics from five aspects: content producer, content, channel, audience, and effect. Future studies may also enhance the empirical research from the effect perspective.展开更多
Since the impoundment of Three Gorges Reservoir(TGR)in 2003,numerous slopes have experienced noticeable movement or destabilization owing to reservoir level changes and seasonal rainfall.One case is the Outang landsli...Since the impoundment of Three Gorges Reservoir(TGR)in 2003,numerous slopes have experienced noticeable movement or destabilization owing to reservoir level changes and seasonal rainfall.One case is the Outang landslide,a large-scale and active landslide,on the south bank of the Yangtze River.The latest monitoring data and site investigations available are analyzed to establish spatial and temporal landslide deformation characteristics.Data mining technology,including the two-step clustering and Apriori algorithm,is then used to identify the dominant triggers of landslide movement.In the data mining process,the two-step clustering method clusters the candidate triggers and displacement rate into several groups,and the Apriori algorithm generates correlation criteria for the cause-and-effect.The analysis considers multiple locations of the landslide and incorporates two types of time scales:longterm deformation on a monthly basis and short-term deformation on a daily basis.This analysis shows that the deformations of the Outang landslide are driven by both rainfall and reservoir water while its deformation varies spatiotemporally mainly due to the difference in local responses to hydrological factors.The data mining results reveal different dominant triggering factors depending on the monitoring frequency:the monthly and bi-monthly cumulative rainfall control the monthly deformation,and the 10-d cumulative rainfall and the 5-d cumulative drop of water level in the reservoir dominate the daily deformation of the landslide.It is concluded that the spatiotemporal deformation pattern and data mining rules associated with precipitation and reservoir water level have the potential to be broadly implemented for improving landslide prevention and control in the dam reservoirs and other landslideprone areas.展开更多
文摘This paper deeply discusses the characteristics of decorative language in China’s contemporary oil painting art,analyzes its performance in form,color,and composition,and expounds on the application of decorative language in contemporary oil painting practice with specific artists’works.Through the study of this unique artistic language,this paper reveals the innovation and development of China’s contemporary oil painting in integrating traditional and modern,Eastern and Western artistic elements,and provides theoretical reference and practical enlightenment for the further development of China’s contemporary oil painting art.
基金Funded by the National Natural Science Foundation of Hunan Province,Chinal(No.2021JJ60012)。
文摘To prepare a conductive polymer actuator with decent performance,a self-built experimental platform for the preparation of polypyrrole film is employed.One of the essential goals is to examine the mechanical characteristics of the actuator in the presence of various combinations of process parameters,combined with the orthogonal test method of"four factors and three levels".The bending and sensing characteristics of actuators of various sizes are methodically examined using a self-made bending polypyrrole actuator.The functional relationship between the bending displacement and the output voltage signal is established by studying the characteristics of the actuator sensor subjected to various degrees of bending.The experimental results reveal that the bending displacement of the actuator tip almost exhibits a linear variation as a function of length and width.When the voltage reaches 0.8 V,the bending speed of the actuator tends to be stable.Finally,the mechanical properties of the self-assembled polypyrrole actuator are verified by the design and fabrication of the microgripper.
文摘BACKGROUND Addressing oculoplastic conditions in the preoperative period ensures both the safety and functional success of any ophthalmic procedure.Some oculoplastic conditions,like nasolacrimal duct obstruction,have been extensively studied,whereas others,like eyelid malposition and thyroid eye disease,have received minimal or no research.AIM To investigate the current practice patterns among ophthalmologists while treating concomitant oculoplastic conditions before any subspecialty ophthalmic intervention.METHODS A cross-sectional survey was disseminated among ophthalmologists all over India.The survey included questions related to pre-operative evaluation,anaesthetic and surgical techniques preferred,post-operative care,the use of adjunctive therapies,and patient follow-up patterns.RESULTS A total of 180 ophthalmologists responded to the survey.Most practitioners(89%)felt that the ROPLAS test was sufficient during pre-operative evaluation before any subspecialty surgery was advised.The most common surgical techniques employed were lacrimal drainage procedures(Dacryocystorhinostomy)(63.3%),eyelid malposition repair(36.9%),and ptosis repair(58.7%).Post-operatively,47.7%of respondents emphasized that at least a 4-week gap should be maintained after lacrimal drainage procedures and eyelid surgeries.Sixty-seven percent of ophthalmologists felt that topical anaesthetic procedures should be preferred while performing ocular surgeries in thyroid eye disease patients.CONCLUSION Approximately 50%of ophthalmologists handle prevalent oculoplastic issues themselves,seeking the expertise of an oculoplastic surgeon under particular conditions.Many ophthalmologists still favor using ROPLAS as a preliminary screening method before proceeding with cataract surgery.Eyelid conditions and thyroid eye disease are not as commonly addressed before subspecialty procedures compared to issues like nasolacrimal duct obstruction and periocular infections.
文摘Since the Dongfeng-2 missile, full-vehicle modal testing has been established as an indispensable part of the development and testing of rocket and missile models. However, as rockets have been developed larger, the cost and duration of such tests have significantly increased, magnifying their impact on model development. This article follows the process of the modal testing practice of the Gravity-1 rocket, reviewing and summarizing the design process of the rocket's dynamic characteristics. Initially, the article introduces common modeling techniques for launch rockets, including the mass-beam model and the hybrid element model. It then discusses the relationship between the structural dynamics model of the launch rocket and modal testing, aiming to reduce testing costs through refined structural dynamics modeling methods. Subsequently, the article describes the dynamic characteristics design process of the Gravity-1 carrier rocket, categorizes structural parameters, and studies how the selection of structural parameters affects the predicted dynamic characteristics of the rocket. Finally, it elaborates on the design of the modal testing scheme and the dynamic characteristics design based on the test data.
文摘BACKGROUND Mild cognitive impairment(MCI)has a high risk of progression to Alzheimer’s disease.The disease is often accompanied by sleep disorders,and whether sleep disorders have an effect on brain function in patients with MCI is unclear.AIM To explore the near-infrared brain function characteristics of MCI with sleep disorders.METHODS A total of 120 patients with MCI(MCI group)and 50 healthy subjects(control group)were selected.All subjects underwent the functional near-infrared spec-troscopy test.Collect baseline data,Mini-Mental State Examination,Montreal Cognitive Assessment scale,fatigue severity scale(FSS)score,sleep parameter,and oxyhemoglobin(Oxy-Hb)concentration and peak time of functional near-infrared spectroscopy test during the task period.The relationship between Oxy-RESULTS Compared with the control group,the FSS score of the MCI group was higher(t=11.310),and the scores of Pittsburgh sleep quality index,sleep time,sleep efficiency,nocturnal sleep disturbance,and daytime dysfunction were higher(Z=-10.518,-10.368,-9.035,-10.661,-10.088).Subjective sleep quality and total sleep time scores were lower(Z=-11.592,-9.924).The sleep efficiency of the MCI group was lower,and the awakening frequency,rem sleep latency period,total sleep time,and oxygen desaturation index were higher(t=5.969,5.829,2.887,3.003,5.937).The Oxy-Hb concentration at T0,T1,and T2 in the MCI group was lower(t=14.940,11.280,5.721),and the peak time was higher(t=18.800,13.350,9.827).In MCI patients,the concentration of Oxy-Hb during T0 was negatively correlated with the scores of Pittsburgh sleep quality index,sleep time,total sleep time,and sleep efficiency(r=-0.611,-0.388,-0.563,-0.356).It was positively correlated with sleep efficiency and total sleep time(r=0.754,0.650),and negatively correlated with oxygen desaturation index(r=-0.561)and FSS score(r=-0.526).All comparisons were P<0.05.CONCLUSION Patients with MCI and sleep disorders have lower near-infrared brain function than normal people,which is related to sleep quality.Clinically,a comprehensive assessment of the near-infrared brain function of patients should be carried out to guide targeted treatment and improve curative effect.
文摘The article"Secondary diabetes due to different etiologies:Four case reports"by Song et al,published in the World Journal of Clinical Cases,delves into the identi-fication of rare causes of secondary diabetes and emphasizes the necessity for healthcare professionals to recognize these conditions.Failure to do so can result in treatment delays and compromised patient outcomes.The article discusses spe-cific types of diabetes,including maturity onset of diabetes in young,pancreas-related diseases,endocrinopathies,drug-induced diabetes,infections,and con-genital genetic syndromes associated with diabetes mellitus.Case summaries highlight how patients with secondary diabetes,stemming from conditions such as Williams-Beuren syndrome and pituitary adenoma,often exhibit distinct characteristics overlooked in clinical practice.The authors stress the importance of a holistic diagnostic approach and advocate for proactive management through early intervention,including genetic tests and antibody detection.Increased awa-reness and education are crucial for timely identification and proper management,ultimately improving patient well-being.These findings prompt a call to action for healthcare professionals to consider rare causes of secondary diabetes,facili-tating better glycemic control and overall patient care.
文摘Machine learning(ML)is a type of artificial intelligence that assists computers in the acquisition of knowledge through data analysis,thus creating machines that can complete tasks otherwise requiring human intelligence.Among its various applications,it has proven groundbreaking in healthcare as well,both in clinical practice and research.In this editorial,we succinctly introduce ML applications and present a study,featured in the latest issue of the World Journal of Clinical Cases.The authors of this study conducted an analysis using both multiple linear regression(MLR)and ML methods to investigate the significant factors that may impact the estimated glomerular filtration rate in healthy women with and without non-alcoholic fatty liver disease(NAFLD).Their results implicated age as the most important determining factor in both groups,followed by lactic dehydrogenase,uric acid,forced expiratory volume in one second,and albumin.In addition,for the NAFLD-group,the 5th and 6th most important impact factors were thyroid-stimulating hormone and systolic blood pressure,as compared to plasma calcium and body fat for the NAFLD+group.However,the study's distinctive contribution lies in its adoption of ML methodologies,showcasing their superiority over traditional statistical approaches(herein MLR),thereby highlighting the potential of ML to represent an invaluable advanced adjunct tool in clinical practice and research.
文摘BACKGROUND Ischemic bowel disease(IBD)is a critical condition caused by reduced blood flow to the intestines,leading to tissue damage and potentially severe complications.Early recognition and timely management are essential for improving patient outcomes and reducing morbidity and mortality associated with IBD.AIM To evaluate the knowledge,attitude and practice(KAP)of healthcare professionals regarding IBD.METHODS This cross-sectional study was conducted among healthcare professionals in China from November 2023 to December 2023 using a self-designed questionnaire.RESULTS A total of 315 valid questionnaires were analyzed,with 215 participants(68.25%)being female.The mean KAP scores were 17.55±5.35(range:0-24),27.65±2.77(range:8-40),and 18.88±4.23(range:6-30),respectively.Multivariate linear regression analysis revealed the following factors to be independently associated with knowledge:Age 26-35 years(β=2.80,95%CI:0.31-5.30,P=0.028),professional title(β=2.66,95%CI:0.91-4.41,P=0.003),position(β=-3.78,95%CI:-5.45 to-2.11,P<0.001),participation in IBD-related training(β=3.45,95%CI:2.39-4.51,P<0.001),and admission of more than five IBD cases in the past month(β=3.25,95%CI:1.58-4.92,P<0.001).Attitude was independently associated with knowledge(β=0.20,95%CI:0.15-0.26,P<0.001)and being a nurse or nursing supervisor(β=-1.30,95%CI:-2.16 to-0.40,P=0.003).Practice was independently associated with knowledge(β=0.20,95%CI:0.10-0.30,P<0.001)and attitude(β=0.24,95%CI:0.06-0.42,P=0.007).Structural equation modeling demonstrated direct effects of knowledge on attitude(β=0.24,P<0.001)and practice(β=0.26,P<0.001),as well as of attitude on practice(β=0.22,P=0.012).CONCLUSION Healthcare professionals demonstrated adequate knowledge but moderate attitude and inactive practice regarding IBD.Addressing the gaps in attitude and practice through targeted training programs and interventions is essential for improving patient care and outcomes.
基金The Research Project of Southwest Municipal Design&Research Institute of China under Grant No.2023KY-KT-02-I。
文摘Aerodynamic and dynamic interference from trains is a key issue of concern for the safety of road vehicles travelling on single-level rail-cum road bridges.Based on the wind-road vehicle-train-bridge(WRTB)coupled vibration system developed herein,this study examines the dynamic characteristics when road vehicles meet trains in this situation.The influence of load combination,vehicle type and vehicle location is analyzed.A method to obtain the aerodynamic load of road vehicles encountering the train at an arbitrary wind speed is proposed.The results show that due to the windproof facilities and the large line distance between the railway and highway,the aerodynamic and dynamic influence of trains on road vehicles is slight,and the vibration of road vehicles depends on the road roughness.Among the road vehicles discussed,the bus is the easiest to rollover,and the truck-trailer is the easiest to sideslip.Compared with the aerodynamic impact of trains,the crosswind has a more significant influence on road vehicles.The first peak/valley value of aerodynamic loads determines the maximum dynamic response,and the quick method is optimized based on this conclusion.Test cases show that the optimized method can produce conservative results and can be used for relevant research or engineering applications.
基金Supported by Basic Science Research Program Through the National Research Foundation of Korea(NRF)Funded by the Ministry of Education,No.NRF-RS-2023-00237287 and No.NRF-2021S1A5A8062526Local Government-University Cooperation-Based Regional Innovation Projects,No.2021RIS-003.
文摘This manuscript critically evaluates the randomized controlled trial(RCT)conducted by Phiri et al,which assessed the effectiveness of virtual reality(VR)training for psychiatric staff in reducing restrictive practices(RPs).Specifically,this RCT investigated the impact of VR on the handling of aggressive patients by psychiatric staff compared to traditional training methods.Despite significant reductions in perceived discrimination in the VR group,there were no major improvements in self-efficacy or anxiety levels.The system usability scale rated the VR platform highly,but it did not consistently outperform traditional training methods.Indeed,the study shows the potential for VR to reduce RPs,although fluctuations in RP rates suggest that external factors,such as staff turnover,influenced the outcomes.This manuscript evaluates the study’s methodology,results,and broader implications for mental health training.Additionally,it highlights the need for more comprehensive research to establish VR as a standard tool for psychiatric staff education,focusing on patient care outcomes and real-world applicability.Finally,this study explores future research di-rections,technological improvements,and the potential impact of policies that could enhance the integration of VR in clinical training.
基金supported by planning project of “12th Five-Year” in philosophy and social sciences of Sichuan province(No.SC13B081)
文摘The concepts of ability, practice ability, and professional practice ability were analyzed using a theoretical research method. Based on the results of the analysis, the concept of clinical practice ability for Master Degree of Nursing(specialty) students was de?ned, and the characteristics were interpreted to provide references for future in-depth studies.
文摘The influence of major cultural practices including different nitrogen application rates, population densities, transplanting leaf ages of seedling, and water regimes on rice canopy spectral reflectance was investigated. Results showed that increased nitrogen rates, water regimes and population densities and decreased seedling ages could enhance reflectance at NIR (near infrared) bands and reduce reflectance at visible bands. Using reflectance of green, red and NIR band and ratio index of 810-560 nm could distinguish the different type of rice by fuzzy cluster analysis,
文摘To understand how to create a stabile workforce achieving excellent quality of care and patient safety, associations between practice environments and nurse and patient outcomes have been widely studied in acute and psychiatric care hospitals. Knowing residential aged care services are challenged to tackle complex patients’ needs within certain working conditions, to what extent do nurses perceive their practice environment in geriatric care? In a cross-sectional survey, a sample of 709 registered nurses, licensed practical nurses and nurse aides employed in 25 residential aged care services completed a structured questionnaire composed of various validated instruments measuring nurse practice environment factors, nurse work characteristics, burnout, nurse reported job outcomes, quality and patient adverse events. Associations between variables across residential aged care services were examined using multilevel modelling techniques. Associations were identified between practice environment factors, work characteristics, burnout dimensions, and reported outcome variables across residential aged care services. Multiple multilevel models showed independent variables (nursing management at the unit level, workload, decision latitude, social capital, emotional exhaustion and depersonalization) as important predictors of nurse reported outcome (job satisfaction, turnover intensions), quality of care (at the unit, the last shift, and in the service within the last year) and patient adverse events (patient and family complaints, patient falls, pulmonary and urinary tract infections, and medications errors). Results suggested the importance of nurse practice environment factors, nurse work characteristics and perception of burnout on nurse and patient outcomes across their nurse practice environment. Challenging the complex care of a vulnerable and frail population executives, physicians, nursing leaders as well as nurses in their nurse practice environment shared responsibility to create working conditions achieving excellent quality and patient safety.
基金the initial finding of the major research project “Xi Jinping’s idea on the governance of China in diplomacy”(15ZD002)funded by the National Social Science Fund
文摘As economic globalization and multi-polarization continue to develop worldwide,the international order is undergoing profound and complex changes,supporting more extensive peaceful development and instances of win-win cooperation.The collective rise of the emerging major countries is prompting the construction of a fair,rational new international order in politics and economy.In this context,China is a major force for world peace and the common development of the entire world,and the central leadership of the Chinese Communist Party(CCP),with Xi Jinping at its core has proposed a series of new concepts,modes of thinking,and strategies in relation to governance and administration,taking into account both the domestic and the international situation.Xi's perspective on diplomacy emerged from the theory and practice of major country diplomacy with Chinese characteristics and is the outcome of the combination of the universal principle of Marxism with the specific practice of major country diplomacy in China,and constitutes a major component of Xi's thought on socialism with Chinese characteristics in the new era.In his report to the 19th National Congress of the CCP,General Secretary Xi proposed to develop a community with a shared concept of the future for humanity to forge a new form of international relations,featuring mutual respect,fairness,justice,and win-win cooperation.1 This shows the constructive role China is playing in the peaceful development of the world,actively participating in and leading global governance and safeguarding the stability of the international order,thus laying the basis in discourse for the theory and practice of major country diplomacy with Chinese characteristics for a new era.
文摘The parasitic weed Striga poses a serious threat to cereal production in sub-Saharan Africa. For many years, technological packages for the control of this weed were proposed and implemented on farmers' fields. A survey was carried out in farmers' fields in 2010/201l cropping season in selected dryland areas of Tanzania to: (a) determine the Striga plant counts, number of capsules/Striga plant and agronomic practices used by farmers to control Striga; and (b) evaluate the relationship between Striga reproduction, soil chemical characteristics and agronomic practices. Soil samples at 0-20 cm depth were collected from 20 different farmers' fields. The soil samples were analyzed for pH, organic carbon, N, P and K. Results showed that there was low adoption of recommended Striga control methods. Regression analysis of agronomic practices and soil chemical characteristics revealed a positive improvement of soil N and organic carbon and reduction of soil P and K content as one shifted from sole planting to intercropping. The results showed that potassium was highly positively related to number of capsules/Striga plant. There was a reduction in the number of capsules/plant as one moved from sole planting to intercropping. Based on these findings, K in the Striga infested in soils positively influenced Striga reproduction and seed bank replenishment, hence high soil K levels may lead to high Striga incidence.
文摘In order to study the profile control characteristics of emulsions in porous medium, the heterogeneous experimental model was established, by which the experimental scheme was designed with different permeabilities, matching degree of particle size and concentration of emulsions. Based on experimental results of physical simulation, the concept of distributing rate and changing coefficient was introduced to quantitatively evaluate the profile control characteristics of emulsions. The results of the study show that, as the permeability ratio and emulsion concentration increase, the profile control characteristics of emulsions will enhance. The profile control characteristics of emulsions will be the best. The profile control scheme with emulsions was implemented in Bohai X oil field, The research results can be used for reference to design the profile control scheme in Bohai heterogeneous reservoir.
文摘The influence of major cultural practices including different nitrogen application rates, population densities, transplanting leaf ages of seedling, and water regimes on rice canopy spectral reflectance was investigated. Results showed that increased nitrogen rates, water regimes and population densities and decreased seedling ages could enhance reflectance at NIR (near infrared) bands and reduce reflectance at visible bands. Using reflectance of green, red and NIR band and ratio index of 810-560 nm could distinguish the different type of rice by fuzzy cluster analysis,
基金Supported by the National Natural Science Foundation of China,No.81900533Science and Technology Project of Henan Science and Technology Department,No.232102520032。
文摘Autophagy is a cellular catabolic process characterized by the formation of double-membrane autophagosomes.Transmission electron microscopy is the most rigorous method to clearly visualize autophagic engulfment and degradation.A large number of studies have shown that autophagy is closely related to the digestion,secretion,and regeneration of gastrointestinal(GI)cells.However,the role of autophagy in GI diseases remains controversial.This article focuses on the morphological and biochemical characteristics of autophagy in GI diseases,in order to provide new ideas for their diagnosis and treatment.
文摘Purpose/Significance: This study aims to define the concept of leading cadres new media usage in China specifically, and to describe and analyze the forms and typical cases and characteristics of leading cadres new media in different stages. Method/Process: Based on the themes and contents of a few media accounts of leading cadres at different ranks, we summarizes leading cadres new media usage in a systematic perspective and content analysize method. Result/Conclusion: The study defines the concept of Leading Cadres’ new media from the perspective of media practice, determine its position as a media communication platform in the government affairs new media communication system and its relationship with the other elements, and then systematically review the evolution of its media practice from personal website, blog, microblog and microblog to WeChat, live show. On this basis, with the Harold Lasswell communication model, this article summarizes leading cadres new media communication characteristics from five aspects: content producer, content, channel, audience, and effect. Future studies may also enhance the empirical research from the effect perspective.
基金supported by the Natural Science Foundation of Shandong Province,China(Grant No.ZR2021QD032)。
文摘Since the impoundment of Three Gorges Reservoir(TGR)in 2003,numerous slopes have experienced noticeable movement or destabilization owing to reservoir level changes and seasonal rainfall.One case is the Outang landslide,a large-scale and active landslide,on the south bank of the Yangtze River.The latest monitoring data and site investigations available are analyzed to establish spatial and temporal landslide deformation characteristics.Data mining technology,including the two-step clustering and Apriori algorithm,is then used to identify the dominant triggers of landslide movement.In the data mining process,the two-step clustering method clusters the candidate triggers and displacement rate into several groups,and the Apriori algorithm generates correlation criteria for the cause-and-effect.The analysis considers multiple locations of the landslide and incorporates two types of time scales:longterm deformation on a monthly basis and short-term deformation on a daily basis.This analysis shows that the deformations of the Outang landslide are driven by both rainfall and reservoir water while its deformation varies spatiotemporally mainly due to the difference in local responses to hydrological factors.The data mining results reveal different dominant triggering factors depending on the monitoring frequency:the monthly and bi-monthly cumulative rainfall control the monthly deformation,and the 10-d cumulative rainfall and the 5-d cumulative drop of water level in the reservoir dominate the daily deformation of the landslide.It is concluded that the spatiotemporal deformation pattern and data mining rules associated with precipitation and reservoir water level have the potential to be broadly implemented for improving landslide prevention and control in the dam reservoirs and other landslideprone areas.