Various deep learning models have been proposed for the accurate assisted diagnosis of early-stage Alzheimer’s disease(AD).Most studies predominantly employ Convolutional Neural Networks(CNNs),which focus solely on l...Various deep learning models have been proposed for the accurate assisted diagnosis of early-stage Alzheimer’s disease(AD).Most studies predominantly employ Convolutional Neural Networks(CNNs),which focus solely on local features,thus encountering difficulties in handling global features.In contrast to natural images,Structural Magnetic Resonance Imaging(sMRI)images exhibit a higher number of channel dimensions.However,during the Position Embedding stage ofMulti Head Self Attention(MHSA),the coded information related to the channel dimension is disregarded.To tackle these issues,we propose theRepBoTNet-CESA network,an advanced AD-aided diagnostic model that is capable of learning local and global features simultaneously.It combines the advantages of CNN networks in capturing local information and Transformer networks in integrating global information,reducing computational costs while achieving excellent classification performance.Moreover,it uses the Cubic Embedding Self Attention(CESA)proposed in this paper to incorporate the channel code information,enhancing the classification performance within the Transformer structure.Finally,the RepBoTNet-CESA performs well in various AD-aided diagnosis tasks,with an accuracy of 96.58%,precision of 97.26%,and recall of 96.23%in the AD/NC task;an accuracy of 92.75%,precision of 92.84%,and recall of 93.18%in the EMCI/NC task;and an accuracy of 80.97%,precision of 83.86%,and recall of 80.91%in the AD/EMCI/LMCI/NC task.This demonstrates that RepBoTNet-CESA delivers outstanding outcomes in various AD-aided diagnostic tasks.Furthermore,our study has shown that MHSA exhibits superior performance compared to conventional attention mechanisms in enhancing ResNet performance.Besides,the Deeper RepBoTNet-CESA network fails to make further progress in AD-aided diagnostic tasks.展开更多
The Dirac equation γ<sub>μ</sub>(δ<sub>μ</sub>-eA<sub>μ</sub>)Ψ=mc<sup>2</sup>Ψ describes the bound states of the electron under the action of external potentials...The Dirac equation γ<sub>μ</sub>(δ<sub>μ</sub>-eA<sub>μ</sub>)Ψ=mc<sup>2</sup>Ψ describes the bound states of the electron under the action of external potentials, A<sub>μ</sub>. We assumed that the fundamental form of the Dirac equation γ<sub>μ</sub>(δ<sub>μ</sub>-S<sub>μ</sub>)Ψ=0 should describe the stable particles (the electron, the proton and the dark-matter-particle (dmp)) bound to themselves under the action of their own potentials S<sub>μ</sub>. The new equation reveals that self energy is consequence of self action, it also reveals that the spin angular momentum is consequence of the dynamic structure of the stable particles. The quantitative results are the determination of their relative masses as well as the determination of the electromagnetic coupling constant.展开更多
Research Background: The high prevalence of diabetes in Sudan, estimated at 16%, highlights the importance of effective health education in diabetes management. Diabetes self-management education has been identified a...Research Background: The high prevalence of diabetes in Sudan, estimated at 16%, highlights the importance of effective health education in diabetes management. Diabetes self-management education has been identified as a crucial tool in enhancing the knowledge, attitudes, and abilities necessary for self-management among individuals with diabetes. Aim: To assess the impact of diabetes self-management education on medication adherence and glycemic control in Sudanese adults with type 2 diabetes before and 3 months after the DSME intervention. Method: The study was conducted in Sudan between September 2022 and March 2023, it was an interventional, one-group, pre- and post-test study that aimed to assess the impact of diabetes self-management education (DSME) on medication adherence and diabetes control in Sudanese adults with type 2 diabetes. The research was conducted in primary health care centers in six cities in Sudan and involved 244 participants. The data entry and statistical analysis were conducted using the Statistical Package for Social Sciences version 27.0. A paired t test was used for analysis. Results: The study included 244 participants, 67% of whom were males. The age mean ± SD was 48.6 ± 9.3 years, and 85.3% of participants were married. Age at onset of diabetes mean ± SD was 40.60 ± 7.81 years;44.6% had diabetes for less than 5 years;and 84.1% had a positive family history of diabetes mellitus. The levels of poor, low, and partial adherence to medication decreased by 8.2%, 4%, and 20.6%, respectively, after the intervention. The levels of good and high medication regime adherence increased by 13% and 19.8%, respectively;BMI decreased by 1.1 ± 0.73 kg/m<sup>2</sup> (p = 0.005). The fasting blood sugar decreased by 69 ± 32.9 mg/dl (p = 0.049), and the glycated hemoglobin decreased by 1.21 ± 0.28% (p = 0.001). Conclusions: The findings of this study reinforce the importance of patient education in improving glycemic control and enhancing self-management behaviors. Patient education plays a critical role in enhancing glycemic control and self-management behaviors. It is essential for healthcare providers to adopt a patient-centered approach, taking into account the individual's beliefs, attitudes, and knowledge about their illness and treatment. Overcoming these challenges necessitates a comprehensive approach, including enhancing healthcare professionals’ knowledge and communication skills, offering accessible and culturally sensitive diabetes education programs, and addressing barriers to resources and support for self-management.展开更多
Self-efficacy plays an important role in the management of type 2 diabetes mellitus (T2DM) patients, and it runs through the whole process of diabetes treatment, which is conducive to controlling and delaying the occu...Self-efficacy plays an important role in the management of type 2 diabetes mellitus (T2DM) patients, and it runs through the whole process of diabetes treatment, which is conducive to controlling and delaying the occurrence and development of complications, as well as improving the quality of life of patients. This paper mainly describes the concept of self-efficacy, the current situation of self-efficacy of diabetic patients at home and abroad, the functional aspects and their influencing factors, so as to take relevant measures on how to improve self-efficacy. It aims to provide a theoretical basis for the development of self-efficacy interventions for patients with type 2 diabetes mellitus.展开更多
Diabetes is a chronic pathology whose evolution is marked by micro and macroangiopathic complications. Optimal management can prevent the onset of complications and improve patients’ quality of life. Objectives: To d...Diabetes is a chronic pathology whose evolution is marked by micro and macroangiopathic complications. Optimal management can prevent the onset of complications and improve patients’ quality of life. Objectives: To determine the frequency of self-monitoring of blood glucose and to describe the errors found during self-monitoring in diabetic patients followed at the Endocrinology Department of Donka University Hospital in Guinea. Materials and methods: Descriptive cross-sectional study carried out between August and September 2020 involving diabetic patients followed up at the Endocrinology and Diabetology Department of the Donka National Hospital, CHU Conakry. Results: A total of 301 patients were enrolled, with an average age of 44.24 ± 21.01 years. 64.12% were female. Type 2 diabetes predominated in 64% of cases. The mean duration of diabetes was 6.14 ± 4.67 years, and 75.08% of patients lived in urban areas. Patients were on insulin in 36.21% of cases, insulin and biguanides (26.25%), hypoglycemic sulfonamide and biguanides (19.27%) and biguanides in 18.27% of cases. The frequency of self-monitoring of blood glucose was 43%, and 38% of patients made errors, notably reusing lancets (60%), not checking the expiration date (55.65%) and not washing their hands (48%). Conclusion: This study shows that self-monitoring of blood glucose is not performed by the majority of patients. Numerous errors were identified during blood glucose testing. Continued therapeutic education on the use of blood glucose meters will help empower patients and improve their quality of life.展开更多
Patients and physicians understand the importance of self-care following spinal cord injury (SCI), yet many individuals with SCI do not adhere to recommended self-care activities despite logistical supports. Neurobeha...Patients and physicians understand the importance of self-care following spinal cord injury (SCI), yet many individuals with SCI do not adhere to recommended self-care activities despite logistical supports. Neurobehavioral determinants of SCI self-care behavior, such as impulsivity, are not widely studied, yet understanding them could inform efforts to improve SCI self-care. We explored associations between impulsivity and self-care in an observational study of 35 US adults age 18 - 50 who had traumatic SCI with paraplegia at least six months before assessment. The primary outcome measure was self-reported self-care. In LASSO regression models that included all neurobehavioral measures and demographics as predictors of self-care, dispositional measures of greater impulsivity (negative urgency, lack of premeditation, lack of perseverance), and reduced mindfulness were associated with reduced self-care. Outcome (magnitude) sensitivity, a latent decision-making parameter derived from computationally modeling successive choices in a gambling task, was also associated with self-care behavior. These results are preliminary;more research is needed to demonstrate the utility of these findings in clinical settings. Information about associations between impulsivity and poor self-care in people with SCI could guide the development of interventions to improve SCI self-care and help patients with elevated risks related to self-care and secondary health conditions.展开更多
The federated self-supervised framework is a distributed machine learning method that combines federated learning and self-supervised learning, which can effectively solve the problem of traditional federated learning...The federated self-supervised framework is a distributed machine learning method that combines federated learning and self-supervised learning, which can effectively solve the problem of traditional federated learning being difficult to process large-scale unlabeled data. The existing federated self-supervision framework has problems with low communication efficiency and high communication delay between clients and central servers. Therefore, we added edge servers to the federated self-supervision framework to reduce the pressure on the central server caused by frequent communication between both ends. A communication compression scheme using gradient quantization and sparsification was proposed to optimize the communication of the entire framework, and the algorithm of the sparse communication compression module was improved. Experiments have proved that the learning rate changes of the improved sparse communication compression module are smoother and more stable. Our communication compression scheme effectively reduced the overall communication overhead.展开更多
Renewable power generation is a suitable technology used to deliver energy locally to customers especially in remote regions. Wind energy based on induction generator situates in a foreground position in the total ene...Renewable power generation is a suitable technology used to deliver energy locally to customers especially in remote regions. Wind energy based on induction generator situates in a foreground position in the total energy produced using renewable sources. In the last few decades, a new self- excitation generator was based on multi-stator induction strongly emerges. This article presents a systematic modelling, a detailed analysis and the performance analysis of self-excitation dual stator winding induction generator (SE-DSWIG). The modelling of the SE-DSWIG was done with taking in account the common mutual leakage inductance between stators and the magnetizing inductance, which played a principal role in the stabilization of the output voltage in the steady state. The generator feeds the end user emulated by an inductive-resistive load. In order to simulate the weather conditions’ variation, a step change of the prime mover speed was applied on the SE-DSWIG. A passive series and shunt compensator was used to mitigate the voltage sag and swell appeared in the power system due to wind variation and the lack of reactive power consumed by the inductive load.展开更多
Recycled large aggregate self-compacting concrete (RLA-SCC) within multiple weak areas. These weak areas have poor resistance to chloride ion erosion, which affects the service life of RLA-SCC in the marine environmen...Recycled large aggregate self-compacting concrete (RLA-SCC) within multiple weak areas. These weak areas have poor resistance to chloride ion erosion, which affects the service life of RLA-SCC in the marine environment. A three-dimensional multi-phase mesoscopic numerical model of RLA-SCC was established to simulate the chloride ions transportation in concrete. Experiments of RLA-SCC immersing in chloride solution were carried out to verify the simulation results. The effects of recycled large aggregate (RLA) content and RLA particle size on the service life of concrete were explored. The results indicate that the mesoscopic numerical simulation results are in good agreement with the experimental results. At the same depth, the closer to the surface of the RLA, the greater the chloride ion concentration. The service life of RLA-SCC in marine environment decreases with the increase of RLA content. Compared with the service life of 20% content, the service life of 25% and 30% content decreased by 20% and 42% respectively. Increasing the particle size of RLA can effectively improve the service life of RLA-SCC in chloride environment. Compared with the service life of 50 mm particle size, the service life of 70 mm and 90 mm increased by 61% and 163%, respectively. .展开更多
This literature review primarily aims to explore and synthesise the previous studies in simulation education research conducted over the past five years related to the effects of simulation training on the self-effica...This literature review primarily aims to explore and synthesise the previous studies in simulation education research conducted over the past five years related to the effects of simulation training on the self-efficacy of undergraduate pre-registration nursing students. The second aim of this study is to explore additional outcome variables that were examined in the previous studies. Five electronic databases were searched systematically. These databases were MEDLINE, CINAHL Plus, Scopus, Embase and PsycINFO. The PICO model was employed to identify the search terms, with a thesaurus being used to provide synonyms. Reference lists of relevant articles were examined and hand searches of journals were also undertaken. The quality of each study was assessed using the Simulation Research Rubric (SRR). A total of 11 studies were included. All studies explored the impact of simulation education on undergraduate pre-registration nursing. Six studies explored nursing students’ competence and performance and two papers examined their critical thinking. Problem solving, learning motivation, communication skills and knowledge acquisition were examined once. The majority of studies indicated that simulation training has a positive impact on pre-registration nursing students’ self-efficacy and other outcome variables. Furthermore, the study results indicate that simulation training is more dependable than traditional training, and students were extremely satisfied with the simulation training. However, most of the studies included in this review had several gaps, including study design, sample size and dissimilarities between the scales used. Further research with large samples, reliable and valid instruments, and outcomes measures (such as critical thinking and transferability of skills) is required to provide better insight into the effectiveness of simulation in undergraduate nursing education. .展开更多
The averaging analysis was carried out to study the motion of a quasi axisymmetrical gyrostat under a small magnitude self excited control torque. The common approach to investigating the problem of rigid body rot...The averaging analysis was carried out to study the motion of a quasi axisymmetrical gyrostat under a small magnitude self excited control torque. The common approach to investigating the problem of rigid body rotation under the action of a small torque known in the body frame was described. Using this approach, the problem (Grammel's problem for the case of small torque) that is maintaining the angular velocity of a quasi axisymmetrical gyrostat using a control torque quadratic in the angular velocity was solved.展开更多
This work addresses the saturation influence of control voltage on the occurring of self-excited vibration of maglev vehicle-bridge interaction system, which greatly degrades the stability of the levitation control, d...This work addresses the saturation influence of control voltage on the occurring of self-excited vibration of maglev vehicle-bridge interaction system, which greatly degrades the stability of the levitation control, decreases the ride comfort, and restricts the cost of the whole system. Firstly, the interaction model of vehicle-bridge system is developed. Based on the interaction model, the relationship between the control voltage and vibration frequency is solved. Then, the variation of the effective direct component and fundamental harmonic are discussed. Furthermore, from the perspective of energy transmission between the levitation system and bridge, the principle underlying the self-excited vibration is explored, and the influence on the stability is discussed. Finally, in terms of the variation of the characteristic roots, the influence is analyzed further and some conclusions are obtained. This study provides a theoretical guidance for mastering the self-excited vibration problems.展开更多
Comparing with usual continuous jet nozzle, the self-excited oscillationpulsed jet nozzle SEOPJN) can make jet generate a higher peak of pressure and larger scouringvolume. And it can make jet increase the effective s...Comparing with usual continuous jet nozzle, the self-excited oscillationpulsed jet nozzle SEOPJN) can make jet generate a higher peak of pressure and larger scouringvolume. And it can make jet increase the effective standoff distance, too. The basic theories of theSEOPJN are introduced. Some experimental results are shown. According to the results, using tricornbits assembled the SEOPJN to drill oil well, the ROP increases by 8 percent approx 77 percent, andthe rates of the footage for tricorn bit increases by 6.7 percent approx 44.0 percent.展开更多
The self-excited vibration problems of maglev vehicle-bridge interaction system were addressed, which greatly degrades the stability of the levitation control, decreases the ride comfort, and restricts the cost of the...The self-excited vibration problems of maglev vehicle-bridge interaction system were addressed, which greatly degrades the stability of the levitation control, decreases the ride comfort, and restricts the cost of the whole system. Firstly, the coupled model containing the quintessential parts was built, and the mechanism of self-excited vibration was explained in terms of energy transmission from levitation system to bridge. Then, the influences of the parameters of the widely used integral-type proportion and derivation(PD) controller and the delay of signals on the stability of the interaction system were analyzed. The result shows that the integral-type PD control is a nonoptimal approach to solve the self-excited vibration completely. Furthermore, the differential-type PD controller can guarantee the passivity of levitation system at full band. However, the differentiation of levitation gap should be filtered by a low-pass filter due to noise of gap differentiation. The analysis indicates that a well tuned low-pass filter can still keep the coupled system stable.展开更多
Combining theoretical and experimental modal analyses on self-excited vibration induced by dry friction between two elastic structures, we can explain the high-order sell-excited vibration phenomenon in which water dr...Combining theoretical and experimental modal analyses on self-excited vibration induced by dry friction between two elastic structures, we can explain the high-order sell-excited vibration phenomenon in which water droplets spurt from fourteen or twelve areas of the Chinese culture relic dragon washbasin when it is rubbed with hands, and clarify the mechanism of the singular high-order self-excited vibration. The experimental modes and the practical measured results are presented for a special dragon washbasin. The theoretical results agree well with the experimental ones.展开更多
This paper presents the research on the dynamic mechanism of flocculation based on the characteristcs of turbulent flow. The shearing force and the centrifugal force transferred by the vortex are the main forces to ca...This paper presents the research on the dynamic mechanism of flocculation based on the characteristcs of turbulent flow. The shearing force and the centrifugal force transferred by the vortex are the main forces to cause collision of flocculated grains in water and the shearing force is the primary one. Based on this mechanism, a new type of self-excited oscillation pipeline flocculator is designed.展开更多
Diabetes mellitus has spread throughout many nations of the world and is now a serious threat.A lack of patient self‑management has been linked to this drain on global health.The consequences of diabetic patients’poo...Diabetes mellitus has spread throughout many nations of the world and is now a serious threat.A lack of patient self‑management has been linked to this drain on global health.The consequences of diabetic patients’poor self‑management have increased a variety of complications and lengthened hospital stays.Poor information and skill acquisition have been linked to poor self‑management.Participating in a co‑operative approach known as diabetes self‑management education will help diabetes patients who want to successfully self‑manage their condition and any associated conditions.Information is one of the most important components of a diabetes management strategy.In conclusion,numerous studies have shown that patients with diabetes have poor self‑management skills and knowledge in all areas,making training in diabetes self‑management necessary to minimize the complications that may result from diabetes mellitus among the patients.This review discussed the severity of diabetes mellitus,diabetes self‑management,and the benefits and challenges of diabetes self‑management,which may aid individuals in understanding the significance of diabetes self‑management and how it relates to diabetes self‑care.展开更多
基金the Key Project of Zhejiang Provincial Natural Science Foundation under Grants LD21F020001,Z20F020022the National Natural Science Foundation of China under Grants 62072340,62076185the Major Project of Wenzhou Natural Science Foundation under Grants 2021HZSY0071,ZS2022001.
文摘Various deep learning models have been proposed for the accurate assisted diagnosis of early-stage Alzheimer’s disease(AD).Most studies predominantly employ Convolutional Neural Networks(CNNs),which focus solely on local features,thus encountering difficulties in handling global features.In contrast to natural images,Structural Magnetic Resonance Imaging(sMRI)images exhibit a higher number of channel dimensions.However,during the Position Embedding stage ofMulti Head Self Attention(MHSA),the coded information related to the channel dimension is disregarded.To tackle these issues,we propose theRepBoTNet-CESA network,an advanced AD-aided diagnostic model that is capable of learning local and global features simultaneously.It combines the advantages of CNN networks in capturing local information and Transformer networks in integrating global information,reducing computational costs while achieving excellent classification performance.Moreover,it uses the Cubic Embedding Self Attention(CESA)proposed in this paper to incorporate the channel code information,enhancing the classification performance within the Transformer structure.Finally,the RepBoTNet-CESA performs well in various AD-aided diagnosis tasks,with an accuracy of 96.58%,precision of 97.26%,and recall of 96.23%in the AD/NC task;an accuracy of 92.75%,precision of 92.84%,and recall of 93.18%in the EMCI/NC task;and an accuracy of 80.97%,precision of 83.86%,and recall of 80.91%in the AD/EMCI/LMCI/NC task.This demonstrates that RepBoTNet-CESA delivers outstanding outcomes in various AD-aided diagnostic tasks.Furthermore,our study has shown that MHSA exhibits superior performance compared to conventional attention mechanisms in enhancing ResNet performance.Besides,the Deeper RepBoTNet-CESA network fails to make further progress in AD-aided diagnostic tasks.
文摘The Dirac equation γ<sub>μ</sub>(δ<sub>μ</sub>-eA<sub>μ</sub>)Ψ=mc<sup>2</sup>Ψ describes the bound states of the electron under the action of external potentials, A<sub>μ</sub>. We assumed that the fundamental form of the Dirac equation γ<sub>μ</sub>(δ<sub>μ</sub>-S<sub>μ</sub>)Ψ=0 should describe the stable particles (the electron, the proton and the dark-matter-particle (dmp)) bound to themselves under the action of their own potentials S<sub>μ</sub>. The new equation reveals that self energy is consequence of self action, it also reveals that the spin angular momentum is consequence of the dynamic structure of the stable particles. The quantitative results are the determination of their relative masses as well as the determination of the electromagnetic coupling constant.
文摘Research Background: The high prevalence of diabetes in Sudan, estimated at 16%, highlights the importance of effective health education in diabetes management. Diabetes self-management education has been identified as a crucial tool in enhancing the knowledge, attitudes, and abilities necessary for self-management among individuals with diabetes. Aim: To assess the impact of diabetes self-management education on medication adherence and glycemic control in Sudanese adults with type 2 diabetes before and 3 months after the DSME intervention. Method: The study was conducted in Sudan between September 2022 and March 2023, it was an interventional, one-group, pre- and post-test study that aimed to assess the impact of diabetes self-management education (DSME) on medication adherence and diabetes control in Sudanese adults with type 2 diabetes. The research was conducted in primary health care centers in six cities in Sudan and involved 244 participants. The data entry and statistical analysis were conducted using the Statistical Package for Social Sciences version 27.0. A paired t test was used for analysis. Results: The study included 244 participants, 67% of whom were males. The age mean ± SD was 48.6 ± 9.3 years, and 85.3% of participants were married. Age at onset of diabetes mean ± SD was 40.60 ± 7.81 years;44.6% had diabetes for less than 5 years;and 84.1% had a positive family history of diabetes mellitus. The levels of poor, low, and partial adherence to medication decreased by 8.2%, 4%, and 20.6%, respectively, after the intervention. The levels of good and high medication regime adherence increased by 13% and 19.8%, respectively;BMI decreased by 1.1 ± 0.73 kg/m<sup>2</sup> (p = 0.005). The fasting blood sugar decreased by 69 ± 32.9 mg/dl (p = 0.049), and the glycated hemoglobin decreased by 1.21 ± 0.28% (p = 0.001). Conclusions: The findings of this study reinforce the importance of patient education in improving glycemic control and enhancing self-management behaviors. Patient education plays a critical role in enhancing glycemic control and self-management behaviors. It is essential for healthcare providers to adopt a patient-centered approach, taking into account the individual's beliefs, attitudes, and knowledge about their illness and treatment. Overcoming these challenges necessitates a comprehensive approach, including enhancing healthcare professionals’ knowledge and communication skills, offering accessible and culturally sensitive diabetes education programs, and addressing barriers to resources and support for self-management.
文摘Self-efficacy plays an important role in the management of type 2 diabetes mellitus (T2DM) patients, and it runs through the whole process of diabetes treatment, which is conducive to controlling and delaying the occurrence and development of complications, as well as improving the quality of life of patients. This paper mainly describes the concept of self-efficacy, the current situation of self-efficacy of diabetic patients at home and abroad, the functional aspects and their influencing factors, so as to take relevant measures on how to improve self-efficacy. It aims to provide a theoretical basis for the development of self-efficacy interventions for patients with type 2 diabetes mellitus.
文摘Diabetes is a chronic pathology whose evolution is marked by micro and macroangiopathic complications. Optimal management can prevent the onset of complications and improve patients’ quality of life. Objectives: To determine the frequency of self-monitoring of blood glucose and to describe the errors found during self-monitoring in diabetic patients followed at the Endocrinology Department of Donka University Hospital in Guinea. Materials and methods: Descriptive cross-sectional study carried out between August and September 2020 involving diabetic patients followed up at the Endocrinology and Diabetology Department of the Donka National Hospital, CHU Conakry. Results: A total of 301 patients were enrolled, with an average age of 44.24 ± 21.01 years. 64.12% were female. Type 2 diabetes predominated in 64% of cases. The mean duration of diabetes was 6.14 ± 4.67 years, and 75.08% of patients lived in urban areas. Patients were on insulin in 36.21% of cases, insulin and biguanides (26.25%), hypoglycemic sulfonamide and biguanides (19.27%) and biguanides in 18.27% of cases. The frequency of self-monitoring of blood glucose was 43%, and 38% of patients made errors, notably reusing lancets (60%), not checking the expiration date (55.65%) and not washing their hands (48%). Conclusion: This study shows that self-monitoring of blood glucose is not performed by the majority of patients. Numerous errors were identified during blood glucose testing. Continued therapeutic education on the use of blood glucose meters will help empower patients and improve their quality of life.
文摘Patients and physicians understand the importance of self-care following spinal cord injury (SCI), yet many individuals with SCI do not adhere to recommended self-care activities despite logistical supports. Neurobehavioral determinants of SCI self-care behavior, such as impulsivity, are not widely studied, yet understanding them could inform efforts to improve SCI self-care. We explored associations between impulsivity and self-care in an observational study of 35 US adults age 18 - 50 who had traumatic SCI with paraplegia at least six months before assessment. The primary outcome measure was self-reported self-care. In LASSO regression models that included all neurobehavioral measures and demographics as predictors of self-care, dispositional measures of greater impulsivity (negative urgency, lack of premeditation, lack of perseverance), and reduced mindfulness were associated with reduced self-care. Outcome (magnitude) sensitivity, a latent decision-making parameter derived from computationally modeling successive choices in a gambling task, was also associated with self-care behavior. These results are preliminary;more research is needed to demonstrate the utility of these findings in clinical settings. Information about associations between impulsivity and poor self-care in people with SCI could guide the development of interventions to improve SCI self-care and help patients with elevated risks related to self-care and secondary health conditions.
文摘The federated self-supervised framework is a distributed machine learning method that combines federated learning and self-supervised learning, which can effectively solve the problem of traditional federated learning being difficult to process large-scale unlabeled data. The existing federated self-supervision framework has problems with low communication efficiency and high communication delay between clients and central servers. Therefore, we added edge servers to the federated self-supervision framework to reduce the pressure on the central server caused by frequent communication between both ends. A communication compression scheme using gradient quantization and sparsification was proposed to optimize the communication of the entire framework, and the algorithm of the sparse communication compression module was improved. Experiments have proved that the learning rate changes of the improved sparse communication compression module are smoother and more stable. Our communication compression scheme effectively reduced the overall communication overhead.
文摘Renewable power generation is a suitable technology used to deliver energy locally to customers especially in remote regions. Wind energy based on induction generator situates in a foreground position in the total energy produced using renewable sources. In the last few decades, a new self- excitation generator was based on multi-stator induction strongly emerges. This article presents a systematic modelling, a detailed analysis and the performance analysis of self-excitation dual stator winding induction generator (SE-DSWIG). The modelling of the SE-DSWIG was done with taking in account the common mutual leakage inductance between stators and the magnetizing inductance, which played a principal role in the stabilization of the output voltage in the steady state. The generator feeds the end user emulated by an inductive-resistive load. In order to simulate the weather conditions’ variation, a step change of the prime mover speed was applied on the SE-DSWIG. A passive series and shunt compensator was used to mitigate the voltage sag and swell appeared in the power system due to wind variation and the lack of reactive power consumed by the inductive load.
文摘Recycled large aggregate self-compacting concrete (RLA-SCC) within multiple weak areas. These weak areas have poor resistance to chloride ion erosion, which affects the service life of RLA-SCC in the marine environment. A three-dimensional multi-phase mesoscopic numerical model of RLA-SCC was established to simulate the chloride ions transportation in concrete. Experiments of RLA-SCC immersing in chloride solution were carried out to verify the simulation results. The effects of recycled large aggregate (RLA) content and RLA particle size on the service life of concrete were explored. The results indicate that the mesoscopic numerical simulation results are in good agreement with the experimental results. At the same depth, the closer to the surface of the RLA, the greater the chloride ion concentration. The service life of RLA-SCC in marine environment decreases with the increase of RLA content. Compared with the service life of 20% content, the service life of 25% and 30% content decreased by 20% and 42% respectively. Increasing the particle size of RLA can effectively improve the service life of RLA-SCC in chloride environment. Compared with the service life of 50 mm particle size, the service life of 70 mm and 90 mm increased by 61% and 163%, respectively. .
文摘This literature review primarily aims to explore and synthesise the previous studies in simulation education research conducted over the past five years related to the effects of simulation training on the self-efficacy of undergraduate pre-registration nursing students. The second aim of this study is to explore additional outcome variables that were examined in the previous studies. Five electronic databases were searched systematically. These databases were MEDLINE, CINAHL Plus, Scopus, Embase and PsycINFO. The PICO model was employed to identify the search terms, with a thesaurus being used to provide synonyms. Reference lists of relevant articles were examined and hand searches of journals were also undertaken. The quality of each study was assessed using the Simulation Research Rubric (SRR). A total of 11 studies were included. All studies explored the impact of simulation education on undergraduate pre-registration nursing. Six studies explored nursing students’ competence and performance and two papers examined their critical thinking. Problem solving, learning motivation, communication skills and knowledge acquisition were examined once. The majority of studies indicated that simulation training has a positive impact on pre-registration nursing students’ self-efficacy and other outcome variables. Furthermore, the study results indicate that simulation training is more dependable than traditional training, and students were extremely satisfied with the simulation training. However, most of the studies included in this review had several gaps, including study design, sample size and dissimilarities between the scales used. Further research with large samples, reliable and valid instruments, and outcomes measures (such as critical thinking and transferability of skills) is required to provide better insight into the effectiveness of simulation in undergraduate nursing education. .
文摘The averaging analysis was carried out to study the motion of a quasi axisymmetrical gyrostat under a small magnitude self excited control torque. The common approach to investigating the problem of rigid body rotation under the action of a small torque known in the body frame was described. Using this approach, the problem (Grammel's problem for the case of small torque) that is maintaining the angular velocity of a quasi axisymmetrical gyrostat using a control torque quadratic in the angular velocity was solved.
基金Projects(11302252,11202230)supported by the National Natural Science Foundation of China
文摘This work addresses the saturation influence of control voltage on the occurring of self-excited vibration of maglev vehicle-bridge interaction system, which greatly degrades the stability of the levitation control, decreases the ride comfort, and restricts the cost of the whole system. Firstly, the interaction model of vehicle-bridge system is developed. Based on the interaction model, the relationship between the control voltage and vibration frequency is solved. Then, the variation of the effective direct component and fundamental harmonic are discussed. Furthermore, from the perspective of energy transmission between the levitation system and bridge, the principle underlying the self-excited vibration is explored, and the influence on the stability is discussed. Finally, in terms of the variation of the characteristic roots, the influence is analyzed further and some conclusions are obtained. This study provides a theoretical guidance for mastering the self-excited vibration problems.
基金National Natural Science Foundation of China (No.59979029)
文摘Comparing with usual continuous jet nozzle, the self-excited oscillationpulsed jet nozzle SEOPJN) can make jet generate a higher peak of pressure and larger scouringvolume. And it can make jet increase the effective standoff distance, too. The basic theories of theSEOPJN are introduced. Some experimental results are shown. According to the results, using tricornbits assembled the SEOPJN to drill oil well, the ROP increases by 8 percent approx 77 percent, andthe rates of the footage for tricorn bit increases by 6.7 percent approx 44.0 percent.
基金Projects(60404003,11202230)supported by the National Natural Science Foundation of China
文摘The self-excited vibration problems of maglev vehicle-bridge interaction system were addressed, which greatly degrades the stability of the levitation control, decreases the ride comfort, and restricts the cost of the whole system. Firstly, the coupled model containing the quintessential parts was built, and the mechanism of self-excited vibration was explained in terms of energy transmission from levitation system to bridge. Then, the influences of the parameters of the widely used integral-type proportion and derivation(PD) controller and the delay of signals on the stability of the interaction system were analyzed. The result shows that the integral-type PD control is a nonoptimal approach to solve the self-excited vibration completely. Furthermore, the differential-type PD controller can guarantee the passivity of levitation system at full band. However, the differentiation of levitation gap should be filtered by a low-pass filter due to noise of gap differentiation. The analysis indicates that a well tuned low-pass filter can still keep the coupled system stable.
基金The project supported by the National Natural Science Foundation of China (19872003)
文摘Combining theoretical and experimental modal analyses on self-excited vibration induced by dry friction between two elastic structures, we can explain the high-order sell-excited vibration phenomenon in which water droplets spurt from fourteen or twelve areas of the Chinese culture relic dragon washbasin when it is rubbed with hands, and clarify the mechanism of the singular high-order self-excited vibration. The experimental modes and the practical measured results are presented for a special dragon washbasin. The theoretical results agree well with the experimental ones.
文摘This paper presents the research on the dynamic mechanism of flocculation based on the characteristcs of turbulent flow. The shearing force and the centrifugal force transferred by the vortex are the main forces to cause collision of flocculated grains in water and the shearing force is the primary one. Based on this mechanism, a new type of self-excited oscillation pipeline flocculator is designed.
文摘Diabetes mellitus has spread throughout many nations of the world and is now a serious threat.A lack of patient self‑management has been linked to this drain on global health.The consequences of diabetic patients’poor self‑management have increased a variety of complications and lengthened hospital stays.Poor information and skill acquisition have been linked to poor self‑management.Participating in a co‑operative approach known as diabetes self‑management education will help diabetes patients who want to successfully self‑manage their condition and any associated conditions.Information is one of the most important components of a diabetes management strategy.In conclusion,numerous studies have shown that patients with diabetes have poor self‑management skills and knowledge in all areas,making training in diabetes self‑management necessary to minimize the complications that may result from diabetes mellitus among the patients.This review discussed the severity of diabetes mellitus,diabetes self‑management,and the benefits and challenges of diabetes self‑management,which may aid individuals in understanding the significance of diabetes self‑management and how it relates to diabetes self‑care.