Adherence in Patients with Type 2 Diabetes and Depression and the Role of Physician-Patient Relationship: A Cross-Sectional Study

Background: Diabetes mellitus (DM) challenges health and quality of life of patients, families, and communities. Patients with comorbid depression are more likely to develop macrovascular and microvascular complications. The aim was to assess glycemic control and adherence in diabetic patients with comorbid depression. Further, the study evaluated the relationship between adherence and the physician-patient relationship. Methods: The study was conducted at Al-Agouza Family Medicine Center (AFMC) between February 2018 and March 2020. The included patients were between 35 - 80 years of age;had type 2 diabetes with hemoglobin A1c (HbA1c) ≥ 6.5%, fasting plasma glucose ≥ 126 mg/dl, and scored between 11 - 30 on the Beck Depression Inventory (BDI). Logistic regression, chi-square, and analysis of variance (ANOVA) were used to assess the relationship between depression, adherence, physician-patient relationship, and other variables. Results: The study included 100 eligible patients with a median BDI score of 20 (10 - 30). The median diabetic panel for patients was FBS 188 (126 - 348) mg/dl, PPS 282.50 (162 - 448) mg/dl, and HbA1c 9.5 (6.6 - 14.0)%. Depression and regular follow-up visits were statistically associated with improvement of diabetes symptoms (p = 0.019). There was a significant relationship (p 0.001) between adherence, regular follow-up visits, and knowledge of DM. Further, there was a significant relationship between the physician-patient relationship and DM improvement (p = 0.047). Conclusion: Physician-patient relationship was paramount to improving adherence and positive diabetes care. Our findings suggest a shift to a physician-patient relationship model with mutual agreement on medical decisions is highly recommended.

A Comparative Study of Quality of Family, Social Relationships and Type D Personality in Cardiovascular Patients and Non-Patients

This study aims to compare the quality of family and social relationships and Type D personality in cardiovascular patients with normal people. In this research, 300 individuals (n = 150 male, 150 female) are divided in two groups of patient (n = 150) and non-patients (n = 150) were selected as samples from the author’s offices (both private and his office in Mazandaran Heart Center). They attended in this study filling the questionnaires of “Pierce Quality relations” and “Personality Inventory (DS14)”. In order to analyze data, First observations were described by the help of descriptive statistics methods including tables, graphs, and indices of central tendency and distribution. Then, observations were described by inferential statistics methods such as univariate and multivariate analysis of variance and then were analyzed by SPSS. Out of the 300 participants, 108 patients (36%) had the mean age of 52 to 63 years old and 30 patients (10%) were 30 to 40 years old. This study showed that there is a significant difference between cardiovascular patients and control group in terms of quality of family and social relationships and Type D personality (P < 0.01). Cardiovascular patients have lower quality of family and social relationships, social support, as well as lower depth of relationships, and also higher relationship conflict than normal people. Also cardiovascular patients have higher type D personality than normal people (P < 0.01). In general, research findings indicate the importance of psychological factors associated with coronary artery disease.

The Relationship between Microtexture Types and Indices of Physico-Mechanical Properties of Loess in China

The paper deals mainly with the relationship between the microtexture types and the indices of physicomechanical properties of loess. The results of study demonstrate that the study of microtextures of loess is of importance in the prediction and preliminary evaluation of engineering geological properties of loess in a region.

THE RELATIONSHIP BETWEEN SEROSAL TYPES, PATHOLOGICAL CHARACTERISTICS AND FREE CANCER CELLS IN THE PERITONEAL CAVITY OF GASTRIC CANCER PATIENTS

The relationship between free cancer cells and the pathological characteristics of gastric cancer were studied. Of 100 cases of gastric cancer, free cancer cells in the peritoneal cavity were detected in 32 cases (32%). Free cancer cells were most often found in tendonoid (62.2%) and colour diffused (60.0%) serosal types. When the area of serosal invasion was over 20 cm, the positive free cancer cell rate was 56.6% and only 2.5% if below 20 cm. Free cancer cells were related to the depth of cancer infiltration, often found in the S2 and S3 invasion layers, as well as to the pathological characteristics of gastric cancer. Free cancer cells were often seen in infiltrated type cancer, histologically poorly differentiated or undifferentiated adenocarcinoma. and nest or diffused growth types. In patients without peritoneal metastasis (P0), the positive rate was 26.1%. This study proved that Chen's serosal classification is correct and useful in assessing whether the cancer cells have penetrated through the serosa or not during surgery. Different treatments should be used in the cases with different serosal types. In addition to surgery, destruction of free cancer cells should be considered in tendonoid and colour diffused serosal types, so as to prevent peritoneal metastasis.

THE RELATIONSHIP BETWEEN THE ERYTHROCYTE POLYAMINE LEVELS AND THE DIFFERENT TYPES OF LEUKEMIA

In a study on erythrocyte polyamine levels in 20 leukemia patients and 18 healthy individuals, following results were obtained. Putrescine(Pu) in ery-throcytes was nearly undetectable but in 2 AMoL patients; Spermidine(Spd) level in ALL was higher than the control volue (P<0.05), in AML (M1, M2) and APL the Spd level was in the range of control group (P>0.1), while that in AMoL and AMMoL was considerably lower as compared to control (P< 0.001); Spermine (Spm) level in all types of leukemia was increased (P<0.001); Spd/Spm ratio was significantly decreased, showing 1.525 in control group, 0.938 in ALL (P<0.025), 0.779 in AML (M1, M2) P< 0.01), 0.319 in APL (P<0.001) and 0.296 in AMoL & AMMoL (P<0.001), and the differences between the Spd/Spm ratio in AMoL and AMMoL and in ALL were noted (P<0.05). These results suggested that determination of erythrocyte polyamines in leukemia patients may be helpful in diagnosis, differential diagnosis and prognosis.

Relationships of Panicle Type Index with Subspecies Characteristics and Yield Traits in Filial Generation of Crosses between Indica and Japonica Rice

Two recombinant inbred line （RIL） populations, one derived from a cross between Zhongyouzao 8 （indica） and Toyonishiki （japonica） and the other from a cross between Qishanzhan （indica） and Akihikari （japonica）, were grown in Liaoning and Sichuan Provinces, China, to study the panicle type index （PTI, the ratio of a number of node position on panicle axis where the secondary branch with the most numerous secondary branch grains is located to the number of primary branches） and its relationships with subspecies characteristics and yield traits. With continuous distribution of PTI and numerous of lines with different PTIs in the progenies, indica-japonica hybridization could be a method for breeding cultivars with ideal panicle type. PTI was significantly influenced by environments, with a significant decrease from Liaoning to Sichuan A significantly negative correlation was found between PTI and most of subspecies characteristics. PTI varied remarkably with different subspecies types. As a whole, it showed a trend of indica （H）〉indicalinous （H＇）〉japonicalinous （K＇）〉japonica （K） However, it is not appropriate to regard PTI as a parameter for subspecies classification in rice because it was recombined in the filial generations of cross between indica and japonica rice. The negative correlations were found between PTI and most of panicle characteristics, as well as yield-related traits. Based on PTI, most of lines from the two populations were middle dominant panicle type （the number of grains on the secondary branch is numerous in middle position of the panicle） and lower dominant panicle type （the number of grains on the secondary branch is numerous in lower position of the panicle and becomes less towards the top of panicle） with significant yield advantages.

辽南海岛型村落空间结构特征分析

要辽南长山群岛位于辽宁省大连市,其四面环海的地理特征导致其村落的生产、生活功能紧密依附自然环境,并在此发展着独特的人居模式。作为一种自诞生就与大陆相隔的生态系统,其空间上的功能组成与结构特征与当地特殊的自然环境紧密相连,具有鲜明的环境特征,海岛型村落则是特殊自然环境下体现人地关系的代表性人居场所。该文结构上采用“宏观—中观—微观”的思维逻辑,对辽南长山群岛整体进行调查研究,并以“人地关系”为出发点,采用一系列图底关系的研究方式对村落各类型空间进行分析并总结出其结构特征,为海岛型村落未来的保护与更新提供设计思路。

基于类型矩阵转移的汉越事件因果关系识别

针对汉越跨语言新闻事件因果关系识别中,汉越跨语言的文本语义空间难以统一、新闻之间的因果关联特征捕获困难的问题,提出了基于类型矩阵转移的汉越跨语言新闻事件因果关系识别方法。通过跨语言预训练统一汉越跨语言的文本语义空间,使用树形长短期记忆循环神经网络提取汉越文本中的句法结构化特征,融入汉越句法特征并结合基于事件类型转移的注意力机制,对汉越事件句对的因果关系进行识别。实验结果表明,该方法在汉越跨语言新闻事件因果关系的识别上较基线模型准确率有所提升。

基于类型注意力和GCN的远程监督关系抽取

远程监督关系抽取通过自动对齐自然语言文本与知识库生成带有标签的训练数据集,解决样本人工标注的问题。目前的远程监督研究大多没有关注到长尾(long-tail)数据,因此远程监督得到的大多数句包中所含句子太少,不能真实全面地反映数据的情况。因此,提出基于位置-类型注意力机制和图卷积网络的远程监督关系抽取模型PG+PTATT。利用图卷积网络GCN聚合相似句包的隐含高阶特征,并对句包进行优化以此得到句包更丰富全面的特征信息;同时构建位置-类型注意力机制PTATT,以解决远程监督关系抽取中错误标签的问题。PTATT利用实体词与非实体词的位置关系以及类型关系进行建模,减少噪声词带来的影响。提出的模型在New York Times数据集上进行实验验证,实验结果表明提出的模型能够有效解决远程监督关系抽取中存在的问题;同时,能够有效提升关系抽取的正确率。

导学关系基本问题研究述评:本质、类型与影响因素

高校师生关系是一个重要而亟待加强的研究领域,导学关系作为高校师生关系中最为典型的关系类型,已被广泛认为是关乎研究生教育质量的重要议题。尽管近年来对导学关系的探索和研究已经取得可观的成果,但是关于导学关系的一些基本问题仍旧充满争议,甚至形成冲突,对进一步深入推进和研究导学关系带来风险和挑战。因此,本研究对导学关系的本质与特征、结构与类型以及相关影响因素等基本问题进行系统回顾和理论述评,认为导学关系是一种“多维结构性关系系统”存在,在个体特质、主体互动和社会环境多因素交互影响下,表现出鲜明的制度属性、文化属性和社会建构属性。未来开展导学关系研究,需要对现有导学关系研究的知识贡献进行持续反思,增加理论对话与交流;进一步推进中国导学关系研究的情景化,重视中国关系研究的理论贡献;使用多元化和复合型的研究技术,促进和深化对导学关系研究的理解。

中国式现代化背景下的新型城镇化:概念辨析、现实困境和突破路径

城镇化是现代化的必由之路,中国特色新型城镇化更是中国式现代化建设的重要内容和必然之举。新型城镇化与中国式现代化之间存在着深刻的逻辑关系,工业化是新型城镇化的动力之源、农业现代化是新型城镇化的基础和支撑、信息化是城镇化的实现途径与重要手段。与此同时,新型城镇化在推进过程中面临着人口规模巨大、区域间发展水平差距较大、群体间收入水平差异较大、农村精神文明建设相对落后、生态文明建设存在短板等现实困境。要想更好发挥新型城镇化对中国式现代化建设的推动作用,在突破路径上需要进一步促进城市群与县域城镇化发展,深度推进新型城镇化与城乡融合发展,加强历史文化遗产保护传承,同步建设美丽城市与美丽乡村,完善县域城镇化的体制机制,加快城市现代化转型。

新型政商关系能够缓解企业的融资约束吗

新型政商关系是推动国家治理体系和治理能力现代化的基础性、关键性环节。我国正在构建以“亲清”为特征的新型政商关系。以2011—2020年沪深A股上市公司为研究样本,考察新型政商关系的构建对企业融资约束的影响。研究发现:新型政商关系的构建程度越高越能够缓解企业的融资约束;在非国有企业中,这种缓解作用更为显著。该研究为我国推进营商环境改革,构建新型政商关系提供了企业微观视角的经验。

2型糖尿病患者血清甲状腺激素及抗体表达水平与糖尿病周围神经病变的关系

目的:探讨甲状腺激素、抗体在2型糖尿病中的表达及其与患者糖尿病周围神经病变的关系。方法:将2型糖尿病合并糖尿病周围神经病变的106例患者作为B组;将无合并糖尿病周围神经病变的118例患者作为A组。比较两组一般资料、甲状腺激素水平、抗体表达水平,用Logistic回归分析法分析2型糖尿病患者合并糖尿病周围神经病变的危险因素。结果:与A组相比,B组年龄较大,2型糖尿病病程更长(P<0.05);外周血抗甲状腺球蛋白抗体(TG-Ab)、抗甲状腺过氧化物酶抗体(TPO-Ab)、血清促甲状腺激素(TSH)、空腹胰岛素(FINS)水平、HOMA-IR指数更高(P<0.05);外周血TR-Ab水平更低(P<0.05)。Logistic回归分析结果显示,影响2型糖尿病患者合并糖尿病周围神经病变的危险因素为2型糖尿病病程较长、HOMA-IR指数、外周血TPO-Ab、血清FINS、TSH水平较高(OR=1.468、1.372、1.338、1.435、1.344),差异均具有统计学意义(P<0.05)。结论:2型糖尿病病程长、血糖情况、血清甲状腺激素及抗体表达水平异常的2型糖尿病患者,其合并糖尿病周围神经病变的几率更高,对于2型糖尿病合并糖尿病周围神经病变的患者,其甲状腺功能状况在评价其病情和预后方面有重要意义。

不同糖代谢状态与脑小血管病负荷的关系及脑小血管病负荷的影响因素研究

目的分析不同糖代谢状态与脑小血管病负荷的关系,以及脑小血管病负荷的影响因素。方法选择2017年1月至2021年6月绍兴第二医院医共体总院神经内科收治的脑小血管病患者281例,根据血糖检测结果将其分为血糖正常(NGR)组113例,糖调节受损(IGR)组96例,2型糖尿病(T2DM)初诊组72例,收集患者的一般临床资料、血糖及相关检验指标,评定脑小血管病负荷并分为低负荷组203例,高负荷组78例。比较3组不同糖代谢患者脑小血管病负荷情况及脑小血管病低、高负荷组的临床特征,采用多因素logistics回归分析影响脑小血管病负荷的相关因素。结果NGR组、IGR组、T2DM初诊组的BMI、脑小血管病负荷比较,差异均有统计学意义(均P<0.05)。低负荷组的年龄、BMI、FPG、糖化血红蛋白(HbA1C)、肌酐均低于高负荷组,差异均有统计学意义(均P<0.05)。多因素logistics回归分析显示,BMI、FPG和HbA1C是脑小血管病负荷的影响因素(均P<0.05)。结论不同糖代谢状态与脑小血管病负荷有关,FPG、HbA1C及肥胖是脑小血管病负荷的影响因素。

A Review of Geothermal Type-Curves with Damage Effect: A Case of Practical Apply to a Mexican Geothermal Field

A review of the art state was developed about the inflow relationships and their application for reservoir characterization. The theoretical development of the methodology for determining the damage effect using type-curves of the inflow relationships was shown. We show the process followed for achieve the geothermal type-curve affected with damage for reservoirs with mean salinities of 30000 ppm and temperatures up to 350℃. This type-curve was applied using measurement production data in a Mexican geothermal field. According with the obtained results is shown that the methodology for determining the damage effect using production measurements is a sure alternative for the damage effect calculation. It was used an alternative methodology in order to validate the damage presence and the obtained results were consistent. Last thing shows that both methodologies can be combined as a confident manner.

DNA Sequence-Based Markers for Verification of Ramet-to-Ortet Relationship in Oil Palm (<i>Elaeis guineensis</i>Jacq.)

Since oil palm (Elaeis guineensis Jacq.) does not breed true, tissue culture-derived material is the resource of choice for achieving oil palm homogeneity in terms of growth and yield. Currently, no genomic tagging method is available with which one could verify the ortet (tissue donor oil palm) from which the clonal planting material (ramets) origi-nated, particularly in cases of unsatisfactory performance. Thus, Sime Darby Plantation used 10 genomic microsatellite markers to genotype 8 sets of 5 ramets +1 ortet and 2 single ortets. The average genetic distance (D) among oil palms from the same set of ramets and ortet was 0.0000 with the exception of sets containing off-type ramets (D = [0.0834 - 0.1505]). The dendrogram showed that the ramets and their ortet of origin formed a sub-cluster, confirming their simi-larity. The 10 microsatellite markers were valuable to Sime Darby as tools for verification of ramet-to-ortet relation-ships and for the identification of off-types. Furthermore, the set of 10 markers revealed a high expected heterozygosity (He = 0.634) that is a high expected heterosis effect on which yield depends.

A THEORETICAL DISCUSSION ON TYPES AND MEASUREMENT OF SUSTAINABLE DEVELOPMENT

Classifying the types and measurin g sustainable development are important contents of theoretical studie s on sustainable development.Scient ifically reflecting the characteristics of sustainable development an d favorably classify-ing the types of sustainable develop ment are the basis and objective of me asuring sustainable development.B y using the methods of coordinatively analyzin g man-land relationship and economi c analysis,especially by combining with constant elasticity of substitution(CES)production function,this paper advances average sustainable gross dom estic production(ASGDP),inquires into the mutually coordin ative and interdependent relationship between humane capital and natur al capital in the process of sustainabl e development.It also sets up an index system of measuring sustainable development and a type systemof sustainable deve lopment.then according to this index system,if firstly classifies the s ustainable develop-ment,moderate sustainable develop ment,and strong sustainable develo pment,and it also discuss them theoretical signifi-cance.Secondly,it probes into the minimum cost,structure optimizatio n and sustainable development.At la st,it dis-cuss the type classification of sustainable development on development sequence,and points out theoretically the amount of transitions among 8basic regional sustainable development types is 56.in the process of productive expan sion this transi-tion type embodies the input increase of humane capital is greatly larger than that of natural capital.On the c ontrary,econo-mized humane capital transition is a result of progressively decreasing marginal rate of technical substitu tion of humane capital to natural capital.

基于区位配置模型的京津冀装配式建筑PC构件厂空间布局研究

装配式混凝土建筑是推动传统混凝土建筑转型升级的重要途径,合理的混凝土PC构件生产布局,能够保证产能供需平衡,提升资源利用效率,促进装配式建筑健康发展。基于2010~2019年京津冀地区数据调研,获取PC构件厂分布状况及生产能力,采用灰色预测模型对京津冀地区2020年PC构件需求量进行预测并与实际比较,以验证模型正确性;利用ArcGIS10.2测算各供需点之间的运输距离,构建以需求量、供给量、运输成本为关键指标的PC构件厂网络型区位配置模型,运用LINGO11求解优化模型并提出优化布局策略,形成以点轴为主线的京津冀地区厂区布局策略。预期成果为京津冀装配式建筑产业发展提供参考。

On the Contrast of Interpersonal Relationship between China and America

With the rapid development of the globe, the world becomes smaller and smaller. The problem of interpersonal relationships attracts more concern, understanding more information about the cultural difference among countries can make our communication easier and smoother, this essay is mainly about the contrast of interpersonal relationships between China and America from the factors that influence the interpersonal relationships, the contrast of types and the orientations and some strategies to deal with the intercultural relationships. To improve intercultural relationships, one must have a wealth of knowledge to reduce the degree of uncertainty and carry out a successful communication.

甘肃省小陇山林区降雨型浅层滑坡汇水面积-坡度关系及其影响因素

沟头发生侵蚀的地形临界模型可有效预测侵蚀沟的形成条件,浅层滑坡失稳形成的洼地也是沟头形成的方式之一。为探究浅层滑坡临界起动模型的特点,以甘肃省天水市小陇山林区的降雨型浅层滑坡为研究对象,运用汇水面积-坡度关系,构建临界起动模型,与黄土高原典型侵蚀沟(浅沟、切沟)的临界起动模型进行对比分析,并探讨土地利用类型、植被类型和土壤质地对该模型的影响。结果表明:(1)浅层滑坡临界起动模型为S=3.50 A s-0.34,其侵蚀阈值为3.50,大于黄土高原典型浅沟(0.96)和切沟(1.54)的侵蚀阈值。研究区浅层滑坡一般发生于土层较薄的陡坡地带,其平均坡度(S=1.26)大于浅沟(S=0.35)与切沟(S=0.46),单位汇水面积(A=89.08 m^(2)/m)小于浅沟(A=920.93 m^(2)/m)和切沟(A=1129.82 m^(2)/m)。(2)汇水面积与坡度平方的乘积(AS 2)代表了沟头产生侵蚀的能量指标值。研究区浅层滑坡AS 2值在269.1~5703.2 m^(2),平均值为1772.97 m^(2),黄土高原浅沟AS 2值在4.74~892.66 m^(2),切沟在41~814 m^(2),启动能量值方面,浅沟<切沟<浅层滑坡。(3)土地利用类型、植被类型和土壤质地通过影响土壤的抗冲力、渗透性和黏粒含量,从而对浅层滑坡的起动难易程度产生影响。在不同的土地利用方式中,农地最易发生侵蚀,其次是林地。油松林附近浅层滑坡的抗侵蚀能力高于日本落叶松林。研究结果为探究浅层滑坡的起动条件提供理论依据。