Global Piecewise Analysis of HIV Model with Bi-Infectious Categories under Ordinary Derivative and Non-Singular Operator with Neural Network Approach

This study directs the discussion of HIV disease with a novel kind of complex dynamical generalized and piecewise operator in the sense of classical and Atangana Baleanu(AB)derivatives having arbitrary order.The HIV infection model has a susceptible class,a recovered class,along with a case of infection divided into three sub-different levels or categories and the recovered class.The total time interval is converted into two,which are further investigated for ordinary and fractional order operators of the AB derivative,respectively.The proposed model is tested separately for unique solutions and existence on bi intervals.The numerical solution of the proposed model is treated by the piece-wise numerical iterative scheme of Newtons Polynomial.The proposed method is established for piece-wise derivatives under natural order and non-singular Mittag-Leffler Law.The cross-over or bending characteristics in the dynamical system of HIV are easily examined by the aspect of this research having a memory effect for controlling the said disease.This study uses the neural network(NN)technique to obtain a better set of weights with low residual errors,and the epochs number is considered 1000.The obtained figures represent the approximate solution and absolute error which are tested with NN to train the data accurately.

Novel Investigation of Stochastic Fractional Differential Equations Measles Model via the White Noise and Global Derivative Operator Depending on Mittag-Leffler Kernel

Because of the features involved with their varied kernels,differential operators relying on convolution formulations have been acknowledged as effective mathematical resources for modeling real-world issues.In this paper,we constructed a stochastic fractional framework of measles spreading mechanisms with dual medication immunization considering the exponential decay and Mittag-Leffler kernels.In this approach,the overall population was separated into five cohorts.Furthermore,the descriptive behavior of the system was investigated,including prerequisites for the positivity of solutions,invariant domain of the solution,presence and stability of equilibrium points,and sensitivity analysis.We included a stochastic element in every cohort and employed linear growth and Lipschitz criteria to show the existence and uniqueness of solutions.Several numerical simulations for various fractional orders and randomization intensities are illustrated.

Self-management behavior preferences and influencing factors in Chinese patients with recurrent gout:A qualitative study

Objectives:This study aimed to explore the preferences and influencing factors of self-management behaviors in patients with recurrent gout and provide a theoretical basis for developing targeted strategies to improve self-management preferences.Methods:A total of 10 patients with recurrent gout were recruited from the gout specialist outpatient clinic at a tertiary hospital in Shenyang,Liaoning Province,China.Semi-structured interviews were conducted with these patients,and the Kawakita Jiro(KJ)method was used to analyze the interview data.Results:After four rounds of screening by five researchers,35 codes were selected from an initial 132.After three rounds of discussion and induction,the KJ method identified seven domains of selfmanagement behavior preferences in patients with recurrent gout:1)extensive knowledge of gout,yet difficulty in distinguishing between accurate and inaccurate information;2)a passive attitude of“no pain,no management”;3)the challenge of changing entrenched daily habits;4)the optimistic but unrealistic belief of“self-delusion”;5)a tendency to seek medical attention late due to hopelessness of cure and familiarity with recurrences;6)preference for analgesics for gout recurrences while neglecting long-term urate-lowering therapy(ULT);and 7)gout-related stigma.Conclusion:The results of this study showed that the self-management behavior of patients with recurrent gout could be improved,especially in the aspects of medical seeking behavior,medication compliance,daily management and emotional management.At the same time,we found that gout stigma,difficulty in distinguishing true and false knowledge of gout and negative attitude of“ignoring pain”were significantly associated with self-management behavior.

A scoping review of autoethnography in nursing

Objective:Autoethnography combines personal experiences with cultural analysis,emerging as a response to the limitations of traditional ethnography.This review aimed to explore,describe,and delineate the utilization of autoethnography by nurses published in peer-reviewed journals.Methods:A scoping review was conducted according to the Arksey and O’Malley framework.On October 12,2023,autoethnographic studies in nursing were identified through searches of CINAHL,PubMed,PsycINFO,and Scopus.Peer-reviewed articles published in English language were retrieved.We applied no date restriction.Data were extracted on nursing,epiphany,results,style of writing,implications for nursing,and ethical considerations.Results:Twenty-six articles met the inclusion criteria.Mental health nursing,covered by nine articles,elucidated experiences of stigma,ethical dilemmas,and professional identity.Nursing education,represented by seven articles,highlighted identity struggles,systemic biases,and evolving pedagogies.Palliative care,addressed by three articles,provided insights into communication challenges and emotional complexities in end-of-life care.The remaining articles explored rehabilitation,cultural competence,and chronic pain management.A conceptual framework integrating ontological,epistemological,ethical,and practical dimensions was developed,emphasizing the interplay between personal and professional roles.Conclusions:This review underscores autoethnography’s value in uncovering the cultural and ethical dimensions of nursing.This framework advocates for a reflective,culturally attuned approach to healthcare,fostering transformative changes in nursing.Further research should explore underrepresented nursing specialties to harness autoethnography’s potential fully.

Unveiling the challenges encountered by newly graduated nurses during night shifts:A descriptive qualitative study

Objectives:Newly graduated nurses commence night shifts during a phase of heightened vulnerability to reality shock,exacerbating the challenges faced by these graduates.Therefore,this study aimed to identify the challenges experienced by newly graduated nurses when undertaking night shifts in order to help identify a strategy for supporting their adaptation to these shifts.Methods:Semi-structured personal interviews were used to collect data.Fifteen newly graduated nurses were selected to participate in the study by purposive sampling method from November 2021 to March 2022 in one of four general hospitals situated in the southwestern region of Japan.Semi-structured interviews were analyzed by using thematic analysis.Results:The analysis revealedfive central themes and nine subthemes:challenges in task efficiency(task organization challenges,challenges in time-constrained task performance),challenges in responding to patients’changing conditions(challenges in responding to patients’irregular conditions,challenges in responding to nighttime changes in patients’behaviors),challenges in independent practice(challenges in engaging in independent nursing practice,challenges in dealing with unexpected events),challenges in establishing collaborative relationships(challenges in working closely with other staff,challenges in establishing collaborative relationships during night shifts with limited resources),challenges in adapting to shift work(challenges in managing physical conditions for shift work).Conclusions:Newly graduated nurses often encounter challenges in performing their tasks during the transition period.When working night shifts,they face additional hurdles unique to nocturnal duties.Thefindings underscore the necessity for these graduates to develop night shift-specific readiness to effectively navigate the demands inherent in such work schedules.

Qualitative exploration of home life experiences and care needs among elderly patients with temporary intestinal stomas

BACKGROUND This study employed a phenomenological research approach within qualitative research to explore the challenges encountered by elderly individuals with temporary colostomies in managing their daily lives and care needs.Protecting the anus surgery combined with temporary colostomy has emerged as a prevalent treatment modality for low rectal cancer.However,the ileostomy is susceptible to peri-stoma skin complications,as well as fluid,electrolyte,and nutritional imbalances,posing challenges to effective management.The successful selfmanagement of patients is intricately linked to their adjustment to temporary colostomy;nonetheless,there remains a dearth of research examining the factors influencing self-care among temporary colostomy patients and the obstacles they confront.AIM To investigate the lived experiences,perceptions,and care requirements of temporary colostomy patients within their home environment,with the ultimate goal of formulating a standardized management protocol.METHODS Over the period of June to August 2023,a purposive sampling technique was utilized to select 12 patients with temporary intestinal stomas from a tertiary hospital in Shanghai,China.Employing a phenomenological research approach,a semi-structured interview guide was developed,and qualitative interviews were conducted using in-depth interview techniques.The acquired data underwent coding,analysis,organization,and summarization following Colaizzi’s seven-step method.RESULTS The findings of this study revealed that the experiences and needs of patients with temporary intestinal stomas can be delineated into four principal themes:Firstly,Temporary colostomy patients bear various burdens and concerns about the uncertainty of disease progression;secondly,patients exhibit limited self-care capabilities and face information deficits,resulting in heightened reliance on healthcare professionals;thirdly,patients demonstrate the potential for internal motivation through proactive self-adjustment;and finally,patients express a significant need for emotional and social support.CONCLUSION Home-living patients with temporary intestinal stomas confront multifaceted challenges encompassing burdens,inadequate self-care abilities,informational deficits,and emotional needs.Identifying factors influencing patients’self-care at home and proposing strategies to mitigate barriers can serve as a foundational framework for developing and implementing nursing interventions tailored to the needs of patients with temporary intestinal stomas.

Perceptions and factors influencing exercise interventions in elderly patients with debilitating spinal surgery and healthcare professionals:A qualitative study

BACKGROUND Older spine surgery patients have a high incidence of debilitation,which can be managed with certain exercises.AIM To investigate the current status and influencing factors related to the knowledge of exercise intervention among patients and professionals.METHODS Descriptive research methods were used to classify and summarize patients and professionals’perceptions and factors affecting exercise interventions.Data were analysed using the Colaizzi seven-step analysis method to distill and refine themes.RESULTS A total of 7 themes were identified:(1)The current status of patients'exercise is unsatisfactory;(2)patients'health literacy is low,coupled with a lack of social and family support;(3)there are numerous challenges with systematic exercise interventions;(4)healthcare professionals acknowledge the importance and need for exercise interventions;(5)there's a pronounced willingness among patients to participate in exercise intervention programs;(6)healthcare professionals believe that exercise interventions are beneficial;and(7)participants offered invaluable insights and suggestions on perioperative exercise during spinal surgery.CONCLUSION To investigate the current status and influencing factors related to the knowledge of exercise intervention among patients and the related healthcare professionals to provide a reference for the construction of exercise management programs for these patients.

Advancement of Nursing Education in Psychosocial Oncology Care:Perspectives and Experiences of Nurses

Introduction:The main objective of this study was to fill the gap between the knowledge nurses have about psychosocial care and what they do about cancer patients’needs.It also aimed to devise ways to improve nursing education for nurses who could provide enhanced psychosocial support in such areas.Methods:This qualitative study relied on 18 in-depth interviews with nurses,with a focus on the difference between their understanding of psychosocial care and its application in helping cancer patients.This involved analyzing the transcribed interviews using thematic analysis.Data were collected from February to March 2024.Results:The verbal accounts of 18 participants were analyzed.These include theme 1“holistic approach to cancer care”with the subtheme“navigating resource constraints:”theme 2“nurses well-being and emotional input”with the subtheme“positive impact of psychosocial care:”theme 3“Care for patients’well-being”with subtheme“resourcefulness and resilience in psychosocial care:”theme 4“adapting care and building connections:”theme 5“ideal and reality in psychosocial care”with subtheme“challenges in delivering comprehensive cancer care:”and theme 6“empowering nurses for effective psychosocial care”with subtheme“building a strong foundation for psychosocial care.”Conclusion:From the nurses’perspective,this study indicates a need for more inclusive cancer treatment.Therefore,in addition to physical interventions,emotions and social welfare must also be addressed.Although emotionally invested,health workers may offer assistance along psychosocial lines,thus aiding both patients and caretakers.Although individualized care with personal connections is crucial for effective services,this approach can make it difficult to ensure that all clients receive adequate psychological assistance.Hence,there has been a call to enhance the training to produce nurses who offer high-quality services.This study emphasizes a more holistic approach toward the emotional needs of patients while supporting those responsible for them in their sickness journey.

Qualitative analysis of aromatic compounds via 1D TOCSY techniques

The aromatic compounds,including o-xylene,m-xylene,p-xylene,and ethylbenzene,primarily originate from the catalytic reforming of crude oil,and have a wide variety of applications.However,because of similar physical and chemical properties,these compounds are difficult to be identified by gas chromatography(GC)without standard samples.With the development of modern nuclear magnetic resonance(NMR)techniques,NMR has emerged as a powerful and efficient tool for the rapid analysis of complex and crude mixtures without purification.In this study,the parameters of one-dimensional(1D)total correlation spectroscopy(TOCSY)NMR techniques,including 1D selective gradient TOCSY and 1D chemicalshift-selective filtration(CSSF)with TOCSY,were optimized to obtain comprehensive molecular structure information.The results indicate that the overlapped signals in NMR spectra of nonpolar aromatic compounds(including o-xylene,m-xylene,p-xylene and ethylbenzene),polar aromatic compounds(benzyl alcohol,benzaldehyde,benzoic acid),and aromatic compounds with additional conjugated bonds(styrene)can be resolved in 1D TOCSY.More importantly,full molecular structures can be clearly distinguished by setting appropriate mixing time in 1D TOCSY.This approach simplifies the NMR spectra,provides structural information of entire molecules,and can be applied for the analysis of other structural isomers.

Facilitating and hindering factors of community nurses'emergency and critical care treatment abilities:A qualitative study

BACKGROUND This study adopts a descriptive phenomenological approach to investigate the facilitators and barriers of community nurses'abilities in managing critical and emergency conditions.With the transition of healthcare systems to the community,the evolution of nursing practices,and the attention from policies and practices,community nurses play a crucial role in the management of critical and emergency conditions.However,there is still a lack of comprehensive understanding regarding the factors that promote or hinder their capabilities in this area.AIM To understand the facilitators and barriers of community nurses in managing critical and emergency conditions,exploring the fundamental reasons and driving forces influencing their treatment capabilities.METHODS This study utilized the destination sampling method between May 2023 and July 2023.It employed a descriptive phenomenological approach within qualitative research methodologies.Through objective sampling,17 community nurses from 7 communities in Changning District,Shanghai,were selected as the study subjects.Semi-structured interviews were conducted to gather data,which were subsequently organized and analyzed using Colaizzi's seven-step analysis method,leading to the extraction of final themes.RESULTS The barrier factors identified from the interviews encompassed three topics:resource allocation,professional factors,and personal literacy.The facilitators comprised three themes:professionalism,management attention,and training and continuing education.We identified that the root causes of the barriers included the lack of practical treatment experience among community nurses,insufficient awareness of self-directed learning,and limited knowledge and technical proficiency.The professional quality of community nurses and management attention serve as motivation for them to enhance their treatment abilities.CONCLUSION To enhance the capability of community nurses in treating acute and critical patients,it is recommended to bolster training specifically tailored to acute and critical care,raise awareness of first aid practices,and elevate knowledge and skill levels.

Perspectives and Challenges of Family Members in Providing Mental Support to Cancer Patients:A Qualitative Study in Beijing,China

This study explores the perspectives and challenges faced by family members providing mental support to cancer patients in Beijing,China.The primary objective is to understand the emotional and practical roles family members undertake and the difficulties they encounter.Utilizing a qualitative research design,data were collected through semi-structured interviews with family caregivers of cancer patients.Thematic analysis revealed several key themes:the dual burden of emotional support and caregiving responsibilities,the impact on daily life and personal well-being,the role and effectiveness of external support systems,perceptions of medical staff support,and the common challenges and conflicts faced in caregiving.The findings highlight the critical need for comprehensive support systems that address both the emotional and practical needs of family caregivers.Recommendations for enhancing family-centered support programs in oncology settings are discussed.

Nurse anesthetists’perceptions and experiences of managing emergence delirium:A qualitative study

BACKGROUND This study employs a descriptive phenomenological approach to investigate the challenges anesthesia nurses face in managing emergence delirium(ED),a common and complex postoperative complication in the post-anesthesia care unit.The role of nurses in managing ED is critical,yet research on their understanding and management strategies for ED is lacking.AIM To investigate anesthetic nurses’cognition and management experiences of ED in hopes of developing a standardized management protocol.METHODS This study employed a descriptive phenomenological approach from qualitative research methodologies.Purposeful sampling was utilized to select 12 anesthetic nurses from a tertiary hospital in Shanghai as research subjects.Semi-structured interviews were conducted,and the data were organized and analyzed using Colaizzi’s seven-step analysis method,from which the final themes were extracted.RESULTS After analyzing the interview content,four main themes and eight subthemes were distilled:Inefficient cognition hinders the identification of ED(conceptual ambiguity,empirical identification),managing diversity and challenges(patientcentered safe care,low level of medical-nursing collaboration),work responsibilities and pressure coexist(heavy work responsibilities,occupational risks and stress),demand for high-quality management(expecting the construction of predictive assessment tools and prevention strategies,and pursuing standardized management processes to enhance management effectiveness).CONCLUSION Nursing managers should prioritize the needs and suggestions of nurses in order to enhance their nursing capabilities and provide guidance for standardized management processes.

Bowel preparation experiences and needs before follow-up colonoscopy in older adult postoperative colorectal cancer patients: A qualitative study

BACKGROUND The bowel preparation process prior to colonoscopy determines the quality of the bowel preparation,which in turn affects the quality of the colonoscopy.Colono-scopy is an essential procedure for postoperative follow-up monitoring of colorec-tal cancer(CRC)patients.Previous studies have shown that advanced age and a history of colorectal resection are both risk factors for inadequate bowel prepara-tion.However,little attention has been paid to the bowel preparation experiences and needs of predominantly older adult postoperative CRC patients.AIM To explore the experiences and needs of older adult postoperative CRC patients during bowel preparation for follow-up colonoscopy.METHODS Fifteen older adult postoperative CRC patients who underwent follow-up colonoscopy at a tertiary hospital in Shanghai were selected using purposive sampling from August 2023 to November 2023.The phenomenological method in qualitative research was employed to construct an interview outline and conduct semi-structured interviews with the patients.Colaizzi's seven-step analysis was utilized to organize,code,categorize,summarize,and verify the interview data.RESULTS The results of this study were summarized into four themes and eight sub-themes:(1)Inadequate knowledge about bowel preparation;(2)Decreased physiological comfort during bowel preparation(gastrointestinal discomfort and sleep deprivation caused by bowel cleansing agents,and hunger caused by dietary restrictions);(3)Psychological changes during different stages of bowel preparation(pre-preparation:Fear and resistance due to previous experiences;during preparation:Irritation and helplessness caused by taking bowel cleansing agents,and post-preparation:Anxiety and worry while waiting for the colonoscopy);and(4)Needs related to bowel preparation(detailed instructions from healthcare professionals;more ideal bowel cleansing agents;and shortened waiting times for colonoscopy).CONCLUSION Older adult postoperative CRC patients'knowledge of bowel preparation is not adequate,and they may encounter numerous difficulties and challenges during the process.Healthcare professionals should place great emphasis on providing instruction for their bowel preparation.

Embracing the complexity of lived experiences in psychiatry research:Reflexivity,cultural sensitivity,and emergent design

This article examines the critical integration of reflexivity,cultural sensitivity,and emergent design in qualitative psychiatry research focused on lived experiences.While quantitative methods offer essential clinical insights,qualitative approaches provide a deeper understanding of the emotional,psychological,and social dimensions of mental health.Reflexivity enables researchers to remain aware of how their personal biases and professional backgrounds shape data interpretation.Cultural sensitivity ensures that mental health conditions are understood within their broader cultural contexts,helping avoid misrepresentation and promoting authentic participant expression.Emergent design offers flexibility in adapting the research process to evolving themes,particularly in the dynamic and multifaceted realm of psychiatric conditions.Together,these principles promote ethically sound,participant-centered research that captures the full complexity of lived experiences.The article also highlighted the practical implications of these principles for enhancing both academic knowledge and clinical practice in psychiatry.

Green transformation paths of resource-based cities in China from the configuration perspective

Green transformation is an unavoidable choice for resource-based cities(RBCs)that face resource depletion and environmental pollution.Existing research has focused primarily on specific RBCs,making it challenging to apply green transformation strategies universally across cities.The fuzzy set qualitative comparative analysis(fsQCA)is a combination of qualitative and quantitative analyses that can handle multiple concurrent causality problems and determine how different conditions combine into configurations and generate an outcome.Thus,to address this gap,in this study,we established a research framework for green transformation and utilized the fsQCA to examine the configurations of 113 RBCs in China.By incorporating the element of time,this study explored the dynamic evolution of solutions in 2013,2016,and 2019.The main findings indicate that individual elements do not constitute the necessary conditions for improving the green transformation efficiency(GTE),and the systematic combination of multiple conditions is an effective path for realizing the improvement of the GTE in RBCs.Green transformation paths of RBCs exhibit the same destination through different paths.Additionally,the combination of system environment elements and system structure elements is both complementary and alternative.Differences in RBCs have led to various factor combinations and development paths,but there are some similarities in the key elements of the factor combinations at different stages.Economic environment,government support,and technological innovation are key factors that universally enhance the GTE in RBCs.These insights can assist city managers in formulating policies to drive green transformation and contribute to a better theoretical understanding of green transformation paths in RBCs.

Feelings and Thoughts of Infected Nursing Undergraduates with COVID-19 in China: A Qualitative Study

Background: COVID-19 had become much less virulent but still infectious, and China had loosened controls on its prevention after three years of zero-COVID policy. Nursing students were faced with infection. However, the symptoms of the vast majority of them were not serious. Objectives: To understand the feelings and thoughts of nursing undergraduates first infected with COVID-19 after implementing the policy of loosening controls on COVID-19 prevention in China. Methods: A semi-structured in-depth interview was adopted to collect data from 19 nursing undergraduates in a nursing school in China in January 2023, which were then analyzed using the Colaizzi analysis method. Results: Two main themes and seven sub-themes were induced: feelings after the diagnosis of being infected (feeling calm by professional confidence, feeling afraid of the consequences of being infected, feeling depressed, feeling relieved/lucky/happy), and thoughts brought by COVID-19 infection (becoming more active in learning, committed to a nursing career, and feeling shaken about becoming a nurse). Conclusions: Schools and hospitals should pay attention to infected nursing students’ mental reactions and changes in study motivation and professional intention. Targeted measures, such as education for epidemic prevention and education for cultivating the professional spirit, should be taken to promote their mental health and reserve their talents for nursing.

Surgeon Perspectives on Anastomotic Leaks and FluidAI’s StreamTM Platform: Integrating Qualitative Insights for Technological Innovation

Purpose: This article investigates the critical importance of integrating surgeons’ direct input into the development of innovative technologies that address gaps in surgical care, including those aimed at reducing anastomotic leaks (AL), a major complication in gastrointestinal surgery. While traditional quantitative research methods are prevalent, they often overlook the invaluable insights of the surgeons who manage these complications firsthand. Subjects and Methods: This study employs a qualitative approach, utilizing semi-structured interviews with 40 surgeons from various specialties, including general, bariatric, colorectal, trauma, hepato-biliary, and thoracic surgery. The interviews were designed to probe the needs of surgeons, challenges currently faced, and gaps in clinical practice, research, and technology for detection and/or management of AL. The data were analyzed using thematic analysis, which revealed significant gaps in current technologies for early detection and prevention of leaks. Results: Surgeons expressed strong interest in FluidAI’s Stream™ Platform, a non-invasive medical device designed to monitor postoperative drainage fluid in real-time, providing continuous data on AL risk. The ability of this platform to offer early prediction through pH and electrical conductivity analysis was particularly appealing to participants, who emphasized the importance of timely interventions in improving patient outcomes. The study’s findings highlight not only the clinical challenges but also the emotional toll that AL takes on surgeons, underlining the need for innovations that are both data-driven and humanistic. Conclusion: By centering surgeons’ perspectives, this research advocates for a human-centered approach to technological advancement, ensuring that new tools are both clinically effective and aligned with the real-world needs of surgical practitioners.

Generation Mechanism and Social Impact of Knowledge in the Era of"New Quality Productivity"

The changes in knowledge forms in the era of"new quality productivity"are closely related to the development of society.With the rise of the Internet,"the world of dataism is coming".The traditional knowledge production model is undergoing fundamental changes in structure and nature.The most prominent change is that knowledge is becoming increasingly inseparable from data networks.The collaborative production of knowledge based on the Internet is becoming increasingly common,and Wikipedia is a prominent example of this.Wikipedia makes the networked production of knowledge possible by utilizing collective intelligence and data connectivity.Wiki users are commonly referred to as"wiki".This paper conducted interviews with 30 Wiki users and used content analysis to statistically analyze the interview records,in order to study the significance and value of the Wiki knowledge production model for online users,and to glimpse the impact of the knowledge structure changes in the era of"dataism"on social change.

A Qualitative Assessment of Medical Diagnosis Capabilities of Three Artificial Intelligence Models: ChatGPT-4o, CodyMD, and Dr. Gupta

Background: Artificial intelligence (AI) has the potential to transform medical diagnostics by enhancing the accuracy and efficiency of diagnostic processes. Its application in clinical practice can greatly support medical professionals by offering improved tools for faster and more precise diagnoses. Understanding AI’s capabilities is essential for its successful integration into medical diagnostics. In this context, evaluating the performance of different AI models in the diagnostic process becomes particularly important. The objective of this study is to qualitatively evaluate the diagnostic performance of three AI models—ChatGPT-4o, CodyMD, and Dr. Gupta—based on patient-reported symptoms. Objectives: The aim of the study is to compare the three AI models in terms of diagnostic accuracy, the level of detail in the provided information, the interaction between the models and patients, and the number of differential diagnoses offered. Results: ChatGPT-4o achieved the highest accuracy, correctly diagnosing 90% of the cases. The model provides basic information and focuses on a single most likely diagnosis. CodyMD and Dr. Gupta achieved 50% accuracy, with CodyMD using an interactive approach and offering differential diagnoses with probability percentages for each. Dr. Gupta provided educational medical information and differential diagnoses without probability estimates. Conclusions: The AI models assessed can assist medical professionals in the diagnostic process, but they require further refinement and optimization. ChatGPT-4o stands out for its high accuracy, though increased patient interaction is needed. CodyMD excels in offering an interactive approach and more detailed responses, but requires improved accuracy. Dr. Gupta provided differential diagnoses, but the information provided is suitable for educational purposes. While these models show potential for clinical use, further research is needed to optimize and validate them in real-world settings.

A Research Conception on Indigenous Chinese Leadership:Based on Comparative Case Studies on Political Elites in Ancient China

Due to the complexity of leadership and its variability across situations,it is suggested that research on leadership should focus on attempts to understand leadership in specific situations or roles,and develop local knowledge about leadership in each situation or role.This paper validates the possibility and importance of building indigenous leadership theories from historical perspective.We demonstrated how to carry out research on indigenous Chinese leadership from a historical perspective by comparative case studies using historical data.Based on the principles of typicalness,representativeness,and comparativeness,we selected six counterparts of political elites in ancient China as comparative cases,which includes Guan Zhong&Shang Yang(organizational reformer),Liu Bang&Xiang Yu(entrepreneur),Li Shimin&Qin Shihuang(intergenerational transition successor),Zhuge Liang&Zeng Guofan(professional manager),Lu Su&Zhang Juzheng(mess-to-order maker),and Zuo Zongtang&Wang Anshi(national dream driver).The paper aims to develop indigenous leadership theory specific to Chinese mental states and culture.