The Improving Effects of Diabetes Education on Diabetes Awareness and Management in Children and Adolescents with T1DM

Background: Diabetes education is crucial in empowering persons with Type 1 diabetes (T1DM) and their families to properly manage the condition by providing comprehensive knowledge, tools, and support. It boosts one’s belief in their ability to succeed, encourages following medical advice, and adds to the general enhancement of health. Objective: This study is to investigate the effectiveness of diabetes education in empowering individuals with Type 1 Diabetes Mellitus (T1DM) and their families to effectively manage the condition. Furthermore, it strives to improve nursing care for families whose children have been diagnosed with Type 1 Diabetes Mellitus (T1DM). Design: This research study investigates the efficacy of diabetes education in empowering individuals with Type 1 Diabetes Mellitus (T1DM) and their families to effectively handle the condition. Materials and Methods: A systematic search was conducted between the years 2000 and 2022, utilizing the Medline and Google Scholar databases. The purpose of the search was to uncover relevant papers pertaining to diabetes education, management of Type 1 Diabetes Mellitus (T1DM), nurse care, and empowerment. The search focused on peer-reviewed research, clinical trials, and scholarly articles that evaluated the efficacy of diabetes education in empowering individuals and families. Results: Diabetes education is crucial for understanding and controlling T1DM. It includes personalized sessions, webinars, group classes, and clinics that provide customized therapies. Comprehensive education enhances glycemic control and family dynamics. Nevertheless, the implementation of diabetes education for families requires specific standards, especially in the field of nursing. Conclusion: Diabetes education is essential for effectively managing Type 1 Diabetes Mellitus (T1DM), providing patients and families with crucial knowledge, resources, and confidence. It encourages independence in-home care and provides explicit guidelines for diabetic nurses to improve nursing care.

Evolution and prospect of China's rural development policy: A policy text analysis of the No.1 Central Documents

By combing 20 documents of the Central Committee on the historical evolution of rural development policies since 1982, we hold that historical evolution has undergone reforms, adjustments, modernization developments and new ideas, and the path of reform experienced economic recovery, industrial nurturing agriculture, agriculture modernization and rural revitalization. The study found that: farmers' income has always been the focus of attention; agricultural production has shifted from total demand to green ecology; urban and rural resource elements are not well-organized, resulting in internal contradictions. The implementation of the rural revitalization strategy is an important measure to fundamentally solve the rural development problems in the new era.

STUDY ON THE MECHANISM OF 1-OCTENE ZIEGLER-NATTA POLYMERIZATION BASED ON THE NUMBER OF ACTIVE CENTERS

The number of active centers (C_p)-t and k_p-t profiles of Solvay type TiCl_3 - AlR_3 (R=C_2H_5, i-C_4H_9) or Stauffer AA TiCl_3-Al (C_2H_5)_3 catalyzed 1-octene polymerization were determined by using an acetyl chloride quenching method as well as kinetic data. The results show that in the studied systems k_p decreases when C_p increases, indicating the presence of two or more types of different active centers. The C_(p^(-t)) plots of the Solvay TiCl_3-AlR_3 systems show the presence of both stable active centers and unstable centers which decay in the polymerization process. The phenomena are explained based on a model of active center plurality. The increases of C_p in the induction periods are also discussed.

Paired-Pd(Ⅱ) centers embedded in HKUST-1 framework: Tuning the selectivity from dimethyl carbonate to dimethyl oxalate

CO oxidative coupling to dimethyl oxalate(DMO) is the most crucial step in coal to ethylene glycol. Pdbased supported catalysts have been verified effective for generating DMO, but concomitant generation of dimethyl carbonate(DMC) is always unavoidable. It is generally accepted that Pd(0) is the active species for producing DMO, while Pd(II) for DMC. However, density functional theory calculations have proposed that the selectivity to DMO or DMC highly depends on the space state of Pd species rather than its oxidative state. It is thus urgently desired to develop high-efficient catalysts with well-defined structure,and further to elucidate the structure-performance relationship. In this work, HKUST-1 with unique structure of paired-Cu(Ⅱ) centers was chosen as ideal support to construct the catalysts with respective paired-Pd(Ⅱ) centers and isolated-Pd(Ⅱ) centers via in situ Pd species doping. In despite of featuring Pdδ+(δ≈2) oxidation state, the synthesized paired-Pd(Ⅱ)/HKUST-1 catalyst still exhibited DMO as dominant product(90.8% of DMO selectivity). For isolated-Pd(Ⅱ)/HKUST-1 catalyst, however, the main product was DMC(84.8% of DMC selectivity). Based on catalyst characterizations, the structures of paired-Pd(Ⅱ) centers and isolated-Pd(Ⅱ) centers were determined. DMO was generated from the coupling of adjacent *COOCH;intermediates adsorbed on paired-Pd(Ⅱ) centers, while DMC was produced from the reaction between methyl nitrite and the *COOCH;intermediates formed on isolated-Pd(Ⅱ) centers. Current work is the first MOFs-based catalyst with well-defined structure being applied in CO oxidative coupling reaction, which not only sheds light on the structure-performance relationship, but also inspires the potential of using MOFs as tunable platform to design high-efficient catalysts in heterogeneous catalysis.

Transfer kinetics of phenol between aqueous phase and N,N-di(1-methyl-heptyl) acetamide in kerosene

The transfer kinetics of phenol between aqueous phase and N,N di(methyl heptyl) acetaminde (N503) in kerosene has been studied using Lewis cell technique. The effects of the factors including the concentrations of phenol in aqueous phase and organic phase, the concentration of N503 in organic phase, the acidity of aqueous phase, the stirring speed and the temperature on the rates of forward and backward extraction of phenol have been examined. The regularity of extraction rate has been obtained. According to experimental results, the rates of both forward and backward extraction of phenol might be controlled by diffusion process. The diffusion step of phenol from aqueous phase to interface for forward extraction and from interface to aqueous phase for backward extraction might be the rate controlling steps.

EFFECTS OF EXTERNAL DONOR ON ACTIVE CENTER DISTRIBUTION OF SUPPORTED ZIEGLER-NATTA CATALYST

The composition distribution (CD) and microisotacticity distribution (ID) of propene/1-hexene copolymer synthesized by MgCl2/DIBP/TiCl4 (DIBP: diisobutyl phthalate) were determined by fractionating the copolymers according to crystallinity and characterizing the fractions by (CNMR)-C-13. The effects of two alkoxysilane donors, triethoxyphenylsilane (PTES) and dimethoxydi-tert-butylsilane (TBMS), on CD and ID of the copolymers were compared. Three main parts in the CD diagram of each copolymer were distinguished, which were correlated to active center distribution (ACD) based on three groups of different active centers. By studying the changes in l-hexene content, microisotacticity and reactivity ratio product of three typical fractions, the effects of external donor on ACD were better elucidated. It was found that TBMS shows much stronger effects on ACD than PTES. In the former system, most fractions were produced on active centers with relatively lower r(1)r(2), higher reactivity to I-hexene, and higher stereospecificity as compared to the system without external donor. It is concluded that the observed very extensive changes in ACD are mainly resulted by the formation of new types of active centers, possibly by coordination of external donor to certain positions on the catalyst.

Practical Experience of Establishing German Standard Level 1 Perinatal Center in Chongqing Health Care for Women and Children

Germany,as a western developed country,has an advanced medical level,especially in the health care of very immature premature infants.We trace the medical history of perinatology to understand the development of perinatal centers in Germany.After analyzing the classification and function,hierarchical management and quality control systems of German perinatal centers,we established a German standard level 1 perinatal center in the Chongqing Health Center for Women and Children(CHCWC).During more than two years of practice,we changed concepts,continuously updated clinical knowledge and skills,developed a series o f high-quality work processes and supervision systems and introduced advanced medical equipment.We believe that the experience of establishing a German standard level 1 perinatal center and perinatal center network in Chongqing is worthy of being promoted to the Chinese maternal and child health care system.

Influences of neutral oxygen vacancies and E′_1 centers on α-quartz

Our calculations demonstrate that the concentration of neutral oxygen vacancies can affect the geometrical structrue,electronic structure, and optical properties of α-quartz. Moreover, the distribution of the neutral oxygen divacancy can also exert some influence on the properties of α-quartz. The dissimilarity and similarities are presented in the corresponding density of state（DOS） and absorption spectrum. In addition, when a higher defect concentration is involved in α-quartz,the influence of E1 center on the geometry of α-quartz becomes more significant. However, the introduction of an E1 center barely results in any improvement compared with the influence produced by the corresponding neutral defect.

Expressions of ICAM-1 and its mRNA in sera and tissues of patients with hepatocellular carcinoma

INTRODUCTIONThe increased expression of ICAM-1 on a widerange of cells and in the sera of patients withmalignancies, chronic liver diseases andinflammation diseases has been described since thelate 1980s[1-22]. Recently rapid progress in studieson expression of ICAM-1 in patients withhepatocellular carcinoma ( HCC ) have beenachieved, including clinical and experimentalresearches[23-31].

Synthesis and Resolution of 10,11-Dihydro-10-hydroxycyproheptadine

10, 11-Dihydro-10-hydroxycyproheptadine was synthesized in a new and facile synthetic route and resolved by L-（-）-2-（1, 3）-dioxo-1, 3-dihydroisoindol-2-yl）-propionic acid and D-（＋）-tartaric acid, respectively. The free base of the two enantiomers has the same absolute specific rotation value.

1+1+N工作模式在高职院校学生公寓二级心理健康辅导站中的应用

学生公寓是学生日常生活的主要场所,也是学生心理问题发生、显现的重要情境。因此,在新时期高职院校的心理健康教育工作中,加强学生公寓二级心理健康辅导站建设的实践与研究,立足学生心理发展实际,积极探索以学生内生动力激活为重点的1+1+N工作模式,有效唤起学生对心理健康教育过程的认同与支持,对于切实促进学生公寓文化建设、管理工作与心理健康教育工作的有机结合,发挥二级心理健康辅导站的工作职能,引领学生心理素质提升,营造良性心理育人环境具有重要意义。

以家庭为中心的个案护理联合生活方式强化干预对1型糖尿病患儿血糖控制的影响

目的探讨以家庭为中心的个案护理联合生活方式强化干预对1型糖尿病患儿血糖控制的影响。方法选取2022年6月—2023年6月聊城市东昌府区妇幼保健院收治的1型糖尿病患儿82例,按不同护理方法分为对照组和观察组,各41例。对照组实施常规护理、观察组实施以家庭为中心的个案护理联合生活方式强化干预3个月。对比两组血糖水平、生存质量评分、照顾者负担评分。结果干预3个月后,观察组患儿空腹血糖、餐后2 h血糖和糖化血红蛋白水平均低于对照组,生存质量评分高于对照组,照顾者负担评分低于对照组,差异有统计学意义(P均<0.05)。结论以家庭为中心的个案护理联合生活方式强化干预能够提高1型糖尿病患儿血糖控制效果及生存质量,减轻照顾负担。

“1+X”证书制度下高职畜牧兽医专业书证融通的实践研究

“1+X”证书制度是近年我国高职教育的创新举措,是对职业教育的完善与改革,其核心是书证融通。该文阐述书证融通的内涵和原则,分析书证融通实施过程中的问题,分别从建立健全工作推动机制、优化人才培养方案、课程体系的重构、研发新形态教材资源、建立多元考评机制、打造双师型队伍等方面探索书证融通实施的路径,助力书证衔接与融通,培养现代化高素质复合型畜牧兽医专业技术技能人才。

“1+X证书”制度下储能材料技术专业“书证融通”的实现路径研究

“1+X证书”制度是国家为促进我国由职业教育大国向职业教育强国发展而制定的一项国家政策。该政策的实施目的是促进各高职院校提高学生职业技能水平、拓展学生职业范围,“书证融通”是“1+X证书”制度落地实施的有效保障。湖南目前真处于实施“三高四新”战略的重要阶段,从“1+X证书制度”、重构课程体系、重新修订人才培养方案、深入推进校企合作等方面对储能材料技术专业“书证融通”实现问题进行探讨和研究,具有非常重要的理论和实践意义。

Optimization Design for Fixed Table of Gantry Machining Center Based on Sensitivity and Topology Analyses

In order to decrease the deformation and stress and increase the natural frequency of the fixed table,a method of optimization driven by the sensitivity and topology analyses is proposed.The finite element model of the fixed table is constructed and analyzed by using ANSYS software.Based on the results of static analysis and modal analysis,the maximum deformation,the maximum stress,and natural frequencies are obtained.Then,the sensitivity analysis and topology optimization are carried out to find out the parameters to be optimized.The fixed table is reconstructed according to optimal design scheme.In the comparison of the results between original model and the optimized one,the maximum deformation and stress are decreased by 71.73%and 60.27%respectively.At the same time,the natural frequencies from the first mode to the sixth mode are increased by 30.28%,29.57%,29.51%,31.52%,22.19%,and 21.80%,respectively.The method can provide technology guide for the design and optimization of machining structure.

Research of Web Documents Clustering Based on Dynamic Concept

Conceptual clustering is mainly used for solving the deficiency and incompleteness of domain knowledge. Based on conceptual clustering technology and aiming at the institutional framework and characteristic of Web theme information, this paper proposes and implements dynamic conceptual clustering algorithm and merging algorithm for Web documents, and also analyses the super performance of the clustering algorithm in efficiency and clustering accuracy. Key words conceptual clustering - clustering center - dynamic conceptual clustering - theme - web documents clustering CLC number TP 311 Foundation item: Supported by the National “863” Program of China (2002AA111010, 2003AA001032)Biography: WANG Yun-hua(1979-), male, Master candidate, research direction: knowledge engineering and data mining.

A three-dimensional model for the transportation of Fe and Mn in Arha Reservoir

Coupling with a three dimensional (3D) hydrodynamic model and a suspended solids model, a 3D model for the transport of Fe and Mn in Arha Reservoir, China, was developed. The 3D velocity fields for the flood season are computed to drive the 3D model of Fe and Mn in which the processes of advection, diffusion, redox, sorption, desorption, deposition, and re suspension are included. The model has been calibrated by matching observed fluid, suspended solids, and total concentrations of Fe and Mn in the water column and in the sediment, successively. The model simulated both horizontal and vertical gradients of Fe and Mn in Arha Reservoir. It was found that Fe and especially Mn stratify in accordance with the stratification of DO during summer. The redox cycles across the water sediment interface has a principal role in the rise of Fe and Mn concentrations in the overlying water. It was also found that Fe and Mn loadings from the tributaries have a carryover effect on the water quality through a secondary contamination in the reservoir.

1982—2023年农民培育政策演进历程

改革开放以来,我国农民培育政策在不断调整和优化,职业教育与培训体系逐步形成。历年中央一号文件精神,充分体现出农民能力的培养和提升在农业生产过程中的重要性。本文将农民培育政策分为扫除文盲提升整体文化素质、提高农民就业能力、职业化培育探索、职业化培育四个阶段进行梳理和系统分析。