Effect of a comprehensive geriatric assessment nursing intervention model on older patients with diabetes and hypertension

BACKGROUND The Comprehensive Geriatric Assessment(CGA)was introduced late in China and is primarily used for investigating and evaluating health problems in older adults in outpatient and community settings.However,there are few reports on its application in hospitalized patients,especially older patients with diabetes and hypertension.AIM To explore the nursing effect of CGA in hospitalized older patients with diabetes and hypertension.METHODS We performed a retrospective single-center analysis of patients with comorbid diabetes mellitus and hypertension who were hospitalized and treated in the Jiangyin Hospital of Traditional Chinese Medicine between September 2020 and June 2022.Among the 80 patients included,40 received CGA nursing interventions(study group),while the remaining 40 received routine nursing care(control group).The study group's comprehensive approach included creating personalized CGA profiles,multidisciplinary assessments,and targeted inter-ventions in areas,such as nutrition,medication adherence,exercise,and mental health.However,the control group received standard nursing care,including general and medical history collection,fall prevention measures,and regular patient monitoring.After 6 months of nursing care implementation,we evaluated the effectiveness of the interventions,including assessments of blood glucose levels fasting blood glucose,2-h postprandial blood glucose,and glycated hemoglobin,type A1c(HbA1c);blood pressure indicators such as diastolic blood pressure(DBP)and systolic blood pressure(SBP);quality of life as measured by the 36-item Short Form Survey(SF-36)questionnaire;and treatment adherence.RESULTS After 6 months,the nursing outcomes indicated that patients who underwent CGA nursing interventions experienced a significant decrease in blood glucose indicators,such as fasting blood glucose,2-h postprandial blood glucose,and HbA1c,as well as blood pressure indicators,including DBP and SBP,compared with the control group(P<0.05).Quality of life assessments,including physical health,emotion,physical function,overall health,and mental health,showed marked improvements compared to the control group(P<0.05).In the study group,38 patients adhered to the clinical treatment requirements,whereas only 32 in the control group adhered to the clinical treatment requirements.The probability of treatment adherence among patients receiving CGA nursing interventions was higher than that among patients receiving standard care(95%vs 80%,P<0.05).CONCLUSION The CGA nursing intervention significantly improved glycemic control,blood pressure management,and quality of life in hospitalized older patients with diabetes and hypertension,compared to routine care.

Effect of comprehensive nursing on the quality of life and swallowing function in individuals diagnosed with ischemic stroke

BACKGROUND Ischemic stroke(IS)is a widely recognized disease characterized by high preva-lence,mortality,morbidity,disability,and recurrence rates.It ranks prominently in terms of mortality,constituting 60%-80%of stroke cases.AIM To explore the impact of comprehensive nursing care on the quality of life and swallowing function in individuals diagnosed with IS.METHODS This study comprised 172 patients with IS admitted to our hospital between February 2018 to March 2021.The participants were divided into two groups,namely the control group(n=80)receiving routine care and the research group(n=92)receiving comprehensive care.Various assessment scales,including the standard swallowing function assessment scale(SSA),National Institutes of Health Stroke scale(NIHSS),European stroke scale(ESS),self-rating anxiety scale(SAS),self-rating depression scale(SDS),Barthel index(BI),and the motor func-tion assessment scale(MAS),were employed to evaluate the improvement in swallowing function,neurological deficits,clinical outcomes,anxiety,depression,daily living activities,and motor function before and after care.Furthermore,the study compared the occurrence of adverse reactions during the nursing period,life quality before and after the intervention,rehabilitation compliance,and nursing satisfaction between the two groups.RESULTS After the nursing intervention,the research group exhibited significantly improved SSA and NIHSS scores compared to the control group(P<0.05).Moreover,both groups demonstrated significant reductions in SAS and SDS scores(P<0.05),with the research group showing more obvious advantages(P<0.05).Compared to the control group,the research group displayed significantly better ESS,BI,and MAS scores(P<0.05),coupled with a lower incidence of adverse reactions(P<0.05).Additionally,the research group demonstrated markedly higher levels of life quality,rehabilitation compliance,and nursing satisfaction compared to the control group(P<0.05).CONCLUSION Comprehensive nursing effectively improved swallowing function,quality of life,and patient satisfaction,high-lighting its clinical significance.

Effect of comprehensive nursing on swallowing function and quality of life in patients with ischemic stroke

Hu et al explored the impact of comprehensive nursing model on swallowing function and quality of life in patients with ischemic stroke.They divided 172 patients into the control group(routine care)and the research group(comprehensive care),and used standard scales to evaluate the swallowing function,neurological deficit,anxiety and depression,daily living ability,and exercise of the two groups of patients before and after care.Changes in indicators of function,quality of life,and compliance.The results showed that compared with the control group,patients in the study group achieved significant improvements in various indicators,with a lower incidence of adverse reactions and higher satisfaction with care.These data suggest that the comprehensive nursing model can significantly improve the swallowing function,quality of life and satisfaction of patients with ischemic stroke.In the future,the development of comprehensive nursing models needs to focus on technological innovation,humanized services,continuing education and training,multi-disciplinary collaboration,optimal allocation of resources,standardized practice and evaluation,etc.,in order to improve nursing effects and promote the improvement of medical service quality.

Strategies for Enhancing the Affinity of College Ideological and Political Course Teachers

This article aims to explore effective ways to enhance the affinity of ideological and political course teachers in universities.By analyzing the connotation of affinity,the factors that affect the affinity of ideological and political course teachers are analyzed,and corresponding improvement strategies are proposed.Research suggests that strengthening the construction of teacher ethics and conduct,improving teaching skills,enhancing emotional engagement,and enhancing practical training are key paths to enhance the affinity of ideological and political course teachers.The implementation of these paths will help improve the teaching quality and effectiveness of ideological and political courses,and promote the comprehensive development of students.

Exploring the Long-Term Mechanism of the Construction of College Teachers’Ethics in the New Era Under the Concept of“Sanquan Education”

This paper takes the long-term mechanism exploration of the construction of teachers’ethics in the new era under the concept of“Sanquan education,”aiming to explore how to establish a long-term mechanism of the construction to meet the needs of college education development under the background of the new era.A series of targeted measures and suggestions are put forward,including improving the system and mechanism,strengthening the education and training of teachers’ethics,and establishing the evaluation and assessment mechanism.The implementation of these measures can promote the formation of the long-term mechanism of the construction of teachers’ethics in colleges and universities,improve teachers’ethics and behavior quality,and provide strong support for the development of education in colleges and universities.

Reform of the Comprehensive Practical Course System for Mechanical and Electronic Engineering Majors Under the Background of New Engineering

Under the background of new engineering,the reform of the comprehensive practical course system for mechanical and electronic engineering majors actively responds to the challenges posed by the new round of technological revolution and industrial transformation to higher education,cultivating top-notch innovative intellectuals with comprehensive engineering qualities,meeting the requirements of being able to solve complex engineering problems rather than just cognitive capabilities,forming two core courses through reconstructing and reshaping the core courses of the major.The core courses include Drive,Measurement,and Control I and Drive,Measurement,and Control II,which highlight the comprehensive framework of mechanical and electronic engineering professional knowledge,continuing the comprehensive practical course system based on the unity of knowledge and practice,following the trend of new engineering,highlighting the practicality of professional innovation,assisting engineering education reform,and promoting high-quality development of new engineering professionals cultivation.

Effectiveness of Comprehensive Nursing Management in Enhancing Blood Donation Outcomes and Donor Experience: A Comparative Study

Objective:To assess the management effect of comprehensive nursing management on blood donation services in blood stations.Methods:Sixty-four individuals who donated blood at a blood station between September 2021 and September 2023 were selected and randomly assigned into two groups of 32 each.The first group received comprehensive nursing management,while the second group received routine nursing management.Blood donation indexes and observational indexes such as adverse reactions were compared between the groups.Results:The total blood donation volume and qualified blood donation volume were higher in the first group than in the second group.The amount of discarded blood and the rate of blood discards were lower in the first group compared to the second group(P<0.05).Additionally,the adverse reaction rate in the first group was lower,the blood donation comfort scores were higher,the psychological state scores were lower,and the quality of care scores were higher than those in the second group(P<0.05).Conclusion:Comprehensive nursing management can improve the efficiency of blood donation,reduce the rate of blood discards,decrease the incidence of adverse reactions,alleviate negative psychological states of blood donors,and enhance both the comfort level of blood donation and the quality of care provided.

Quality Provision of Comprehensive Sexuality Education and Sexual and Reproductive Health in Resource Constrained Higher Education Institutions: A Case of Mukuba University

In an effort to ensure that Institutions of Higher Learning provide quality Comprehensive Sexuality Education (CSE) and Sexual and Reproductive Health (SRH) at the level of Universities and Colleges, indeveloping countries such as Zambia, some universities have engaged in offering programmes and services in CSE and SRH. However, the provision of such programmes has had some limitations in terms of resources to ensure quality delivery. As a result, there was a need to examine the provision of CSE and SRH in a resource constrained Mukuba University. The study has three research objectives: 1) to examine the CSE and SRH programmes and services that are available at Mukuba University;2) to determine the actual resources available for the University to ensure quality provision of CSE and SRH to students;3) to use views and opinions of students and academics to examine the extent to which the CSE and SRH are reflected as standards by UNESCO and universities and colleges. The study took a pragmatic philosophy stance and convergent parallel research design of mixed methods;the primary approach is qualitative which will be analysed using thematic analysis, while the quantitative approach was secondary and the data was analysed using descriptive statistics. The study envisaged some implications that include the rise in communicable diseases such as Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS), gender based violence, general lack of information on matters relating to CSE and SRH among students at Mukuba University. The policy implication is that policy makers will be able to formulate policies that address the needs and challenges of students in providing quality CSE and SRH programmes and services for a university that is constrained with resources. The study found that there was a need to contextualize the quality provision of CSE and SRH at an institutional level, for instance, Mukuba University has created an enabling environment for quality provision of CSE and SRH activities and programmes through training of the stakeholders. Further, it was found that in any successful programme, it is expected to meet certain challenges that might in some cases make it difficult to implement the programme as envisaged. In other words, this study has revealed that there are some drawbacks as well as lessons that Mukuba University could learn from other universities that offer CSE and SRH. The study provides a synergistic conceptual model that could be used in the implementation of CSE and SRH in colleges and universities for sustainability. It is hoped that this study has proved that even with limited resources a university can provide CSE and SHR programmes and services without depending on support from other external funders and cooperating partners.

Practical Strategies to Improve the Quality of Teachers in Higher Vocational Colleges in the New Era

In this paper,practical strategies are proposed to improve the quality of teachers in higher vocational colleges.Research and analyses have shown that the key to improving the quality of teachers in higher vocational colleges lies in the improvement of professionalism,subject knowledge,and teaching ability.Thus,the following practical strategies are proposed:strengthen teachers’moral development,establish a teacher training system,focus on curriculum construction and teaching method innovation,and strengthen the teaching quality monitoring and evaluation mechanism.These measures can effectively improve the quality of teachers in higher vocational colleges and promote the development of higher vocational education.

Analysis of the Feedback on Teacher Training in an Affiliated Hospital in Shaanxi Province

Objective:This article aims to deeply analyze the feedback on teacher training in an affiliated hospital,so as to clarify the current needs and situation of teacher training and provide a scientific basis for further optimizing the teacher training system.Methods:The current situation and needs of teacher training in the affiliated hospital were collected by designing and distributing Tomato Form questionnaires on the DingTalk platform.The questionnaire adopted a percent-point system,all of which were indeterminate multiple-choice questions.Results:The average age of the clinical teachers participating in the survey was 40.44±7.85 years old,with an average teaching length of 4–10 years.The results showed that 60.20%of teachers think that the amount of teacher training in an affiliated hospital is sufficient;91.10%of teachers think that the factors affecting training conflict with working hours;97.96%of teachers believe that the training time has an impact on the training effect;81.63%of teachers prefer online training;51.53%of teachers tend to arrange training time on working days;33.16%of teachers tend to train once a month;17.78%of teachers prefer to receive training on clinical theoretical courses and practical teaching norms and skills content.Conclusion:Based on the above survey results,we propose to build a comprehensive management mechanism for teacher training,including improving the access,training,and assessment mechanism for clinical teachers,and adjusting and optimizing the training program according to actual needs.At the same time,an effective communication platform should be built to promote the deep integration of teaching and practice and enhance social recognition,so as to comprehensively improve the teaching quality and medical service of the hospital.

Talk about Graduate Student of educational teacher expanding the path of employment in the local comprehensive university - An example of Chinese Language and Literature in my school

With the increasing amount of college graduates every year, the employer needs structural contradiction, traditional college graduates employment difficulties. Chinese Language and Literature is as a strong tradition of employment facing unprecedented challenges. Based on the severe employment situation, Teacher Education in Local Comprehensive Universities need to start improving their own quality of graduates, and actively guide the graduates to change jobs ideas, updating the concept of employment, and use existing resources, and actively expand employment channels, and explore new ideas and open up new market, employment path is becoming more diverse to ensure employment stability and sustainable development.

Application of Fuzzy Comprehensive Evaluation Method Based on Entropy Weight to Evaluate Pond Water Quality

[Objective] This study was to provide references for the evaluation of water quality in aquaculture ponds by evaluating the pond water quality using fuzzy comprehensive evaluation method based on entropy weight. [Method] The fuzzy compre- hensive evaluation method based on entropy weight was used to evaluate the water quality in the ponds with Ukraine scale carp （Cyprinus carpio） as the main cultivated fish. The average size of the fish was 71.4 g/ind, and totally three groups of pond were set with the population density of 6 000, 9 000, 12 000 ind/hm2. [Result] According to the GB3838-2002 Environmental Quality Standards for Surface Water of China, the water quality of 6 000 ind/hm2 group was Grade I, and the water quality of 9 000 and 12 000 ind/hm2 were Grade V. [Conclusion] With the increasing of feeding density, the pond water quality would worsen, however, there is no difference on water quality between 9 000 and 12 000 ind/hm2 groups.

Comprehensive evaluation of water quality parameters in Tianjin Dagu Dainage Canal

In this paper, some indices of sulfide, organic carbon, oil and heavy metals （copper, lead, zinc, cadmium, mercury, arsenic and chromium） in the sediments from Dagu Dainage Canal at the Bohai Bay during four seasons in 2012 - 2013 are selected, and Water Quality Pollution Index （API） is applied to evaluate water quality indices, aiming for the systematic evaluation of the water quality of Dagu Dainage Canal. The results showed that four stations of D3, D6, D7and D9 for S2 had the type Ⅱand Ⅲ of water; others had the type Ⅰ ; the total level of TOC, TPH, Cu, Pb, Zn, Cd, Hg, As and Cr were type Ⅰ, Ⅳ, Ⅱ, Ⅴ, Ⅱ, Ⅴ, Ⅲ, Vand Ⅴ. Water Quality Pollution Index （API） was 3.28, which illustrated Dagu Dainage Canal was in the state of contamination and the degree of pollution exceeded the standard functional areas.

Comprehensive Evaluation of Yield Characters and Quality Characters of New Cotton Varieties in Mid-south Area of Hebei

The yield characters and quality characters of several new cotton varieties in the mid-south area of Hebei Province were comprehensively evaluated in this pa- per. In different ecological environments, the single-boll weight of tested cotton vari- eties had the biggest variation coefficient among yield characters and micronaire value had the biggest variation coefficient among fiber quality characters. Path analy- sis indicated that the direct path coefficients of various characters had the flowing order, lint percentage〉 number of bolls per plant〉 single-boll weight〉 seed index among yield components and uniformity index 〉 fiber specific strength〉 micronaire value〉 elongation rate〉 upper half staple length among fiber quality characters. Principal component analysis indicated that the top three principal components contributed 8.263% of accumulated variance, basically reflecting the vast majority of informations of 10 main characters in tested cotton varieties.

Integrating ideological and political education into comprehensive English teaching

Ideological and political education is the core of quality education. In order to better impart knowledge and educate students, teachers should put ideological and political education into the teaching practice. This paper attempts to discuss the issue of how teachers of comprehensive English course carry out ideological education by making good use of the teaching materials.

Spatial assessment for groundwater quality based on GIS and improved fuzzy comprehensive assessment with entropy weights

The objective of the research is to evaluate spatial groundwater quality based on improved fuzzy comprehensive assessment model with entropy weights(FCAEW)in geographical information system(GIS)environment.This paper explores the method of comprehensive evaluation of groundwater and sets up an evaluation model applying GIS and FCAEW.Groundwater samples were collected and analyzed from 29 wells in Zhenping County,China.Six parameters were chosen including chloride,sulfate,total hardness,nitrate,fluoride and color.Better spatial interpolation methods for evaluated parameters are found out and selected according to the minimum cross-validation errors from the interpolation methods.FCAEW model was carried out with the help of GIS which makes the evaluating process simpler and easier and more automatically,effectively,efficiently and intelligently.The result embodies the feasibility and effectiveness of FCAEW in GIS when compared with other comprehensive evaluation methods.

Improved AHP method and its application in lake environmental comprehensive quality evaluation—a case study of Xuanwu Lake, Nanjing, China

The relative importance of each pollution factor in analytical hierarchy process (AHP) method comes from pooling expert opinions in general. Because expert opinions are based on information and judgment criteria, determining their weight may lead to uncertainty.. Therefore, an improved AHP method had been developed. The process of the improved AHP method involved four key procedures. The weights of pollution factors were completely related to the objective monitoring data through the standardization of these procedures. The environmental comprehensive quality of water and sediment of Xuanwu Lake, Nanjing, China had been evaluated. The environmental quality comprehensive indices (EQCI) of the water in 1991-1995 and 1996-2000 were 3.32 and 1.85, respectively, indicating that the water quality improved. The EQCI of the sediment in 1995 and 2000 indicates that the sediment contamination decreased from 1995 to 2000. Such results agreed with the fact that the lake had been under comprehensive control. However, with the classical AHP method, the EQCI of the sediment in the northwestern part of the lake may have indicated that sediment contamination increased from 1995 to 2000. The discrepancy may have resulted from the judgment difference of the experts. The improved AHP method can avoid arbitrariness of subjective judgment and can reflect the real influential factors of environment pollution in different periods or regions.

Comprehensive Assessment of Seawater Quality Based on an Improved Attribute Recognition Model

The attribute recognition model (ARM) has been widely used to make comprehensive assessment in many engineering fields, such as environment, ecology, and economy. However, large numbers of experiments indicate that the value of weight vector has no relativity to its initial value but depends on the data of Quality Standard and actual samples. In the present study, the ARM is enhanced with the technique of data driving, which means some more groups of data from the Quality Standard are selected with the uniform random method to make the calculation of weight values more rational and more scientific. This improved attribute recognition model (IARM) is applied to a real case of assessment on seawater quality. The given example shows that the IARM has the merits of being simple in principle, easy to operate, and capable of producing objective results, and is therefore of use in evaluation problems in marine environment science.

Comprehensive evaluation of Actinidia arguta fruit based on the nutrition and taste:67 germplasm native to Northeast China

Actinidia arguta is a berry fruit with high nutritional values.To evaluate the comprehensive quality,the fruit weight,titratable acid(TAC),soluble solids(SSC),vitamin C,mineral elements,and taste value of67 accessions of A.arguta were measured,and sensory attributes including olfactive intensity,juiciness,sweetness,sourness,and astringency were assessed.Cluster analysis was carried out based on mineral elements,and principal component analysis(PCA)was used for comprehensive score ranking.The result demonstrated that fruit weight ranged from 3.5 g to 24.2 g,SSC ranged from 11.94%to 20.56%,TAC ranged from 0.15%to 1.20%,and vitamin C ranged from 3.51 g/kg to 230.76 g/kg(fresh weight)among the tested samples.There were significant differences in sourness,sweetness,bitterness,and umami among the 67 accessions based on electronic tongue analysis,and this result was rapidly and objectively characterized by the sensory assessment.The dendrogram was obtained and clustered the accessions into two major clusters,and five principal components were extracted by PCA.Overall,the information provided by this study identified the 10 best germplasm resources for fresh-eating and processing fruits.It can provide theoretical reference for nutritional efficacy evaluation and food development of A.arguta.

Research Progress of Quality Characteristics and Comprehensive Utilization of Mung Beans

Mung bean is one of the major legume crops in China, and its nutritional quality and processing quality directly affect the development of mung bean processing industry. In order to promote the development of mung bean processing industry, the research progress of mung bean quality characteristics, including physical quality, nutritional quality, medicinal value and the processing quality, were summarized based on literatures both at home and abroad, and the current exploitation status of starch, protein, dietary fiber, resistant starch, flavonoids and superoxide dismutase of mung bean was also reviewed. In order to promote the development of mung bean processing industry, it should strengthen the research on quality characteristics and functional ingredients of mung bean, pay attention to the development of healthy products, improve the processing technology, and cultivate a group of leading mung bean processing companies with strong competence in the market.