Effect of motivational interviewing on postoperative weight control in patients with obstructive sleep apnea-hypopnea syndrome

BACKGROUND Obesity is an important factor to cause the obstructive sleep apnea-hypopnea syndrome(OSAHS).Higher body mass index(BMI)often results in more severe OSAHS.Currently,the common measures for controlling the weight mainly include diet control,increase exercise and so on.Motivational interviewing(MI)could explore the patient’s internal state and make the patient realize his/her ambivalence,resulting in the change in his/her behavior.This process emphasizes respecting the patient’s autonomy.AIM To evaluate the effect of MI on the weight control of patients with OSAHS.METHODS A randomized controlled study was conducted in 100 obese OSAHS patients undergoing surgical treatment at Shengjing Hospital of China Medical University.The patients were divided into an intervention group and a control group,with 50 cases each.The control group was given routine health education after the operation;in addition to the regular health education,the intervention group was given MI according to a predetermined plan.Obesity-related indicators,postoperative complications,and the sleep status of both groups were evaluated before and 6 mo after the intervention.RESULTS Patients in the intervention group had significantly improved body weight,BMI,and waist and neck circumferences compared with patients in the control group(P<0.05).Regarding complications at 6 mo after operation,the incidence of cough and reflux in patients in the intervention group was significantly lower than that in the control group(P<0.05).In addition,the Epworth Sleepiness Scale and Self-Rating Scale of Sleep scores of patients in the intervention group were significantly lower than those in the control group,and the sleep status of patients in the intervention group was improved(P<0.05).CONCLUSION MI intervention has a significant advantage over postoperative routine health education.It can greatly change the lifestyle,further control the postoperative weight,reduce the occurrence of complications,improve the quality of sleep,and improve long-term postoperative efficacy in OSAHS patients.

Positioning-control Based on Trapezoidal Velocity Curve for High-precision Basis Weight Control Valve

Traditionally, basis weight control valve is driven by a constant frequency pulse signal. Therefore, it is difficult for the valve to match the control precision of basis weight. Dynamic simulation research using Matlab/Simulink indicates that there is much more overshoot and fluctuating during the valve-positioning process. In order to improve the valve-positioning precision, the control method of trapezoidal velocity curve was studied. The simulation result showed that the positioning steady-state error was less than 0.0056%, whereas the peak error was less than 0.016% by using trapezoidal velocity curve at 10 positioning steps. A valve-positioning precision experimental device for the stepper motor of basis weight control valve was developed. The experiment results showed that the error ratio of 1/10000 positioning steps was 4% by using trapezoidal velocity curve. Furthermore, the error ratio of 10/10000 positioning steps was 0.5%. It proved that the valve-positioning precision of trapezoidal velocity curve was much higher than that of the constant frequency pulse signal control strategy. The new control method of trapezoidal velocity curve can satisfy the precision requirement of 10000 steps.

Novel Parameter Identification Method for Basis Weight Control Loop of Papermaking Process

The basis weight control loop of the papermaking process is a non-linear system with time-delay and time-varying.It is impractical to identify a model that can restore the model of real papermaking process.Determining a more accurate identification model is very important for designing the controller of the control system and maintaining the stable operation of the papermaking process.In this study,a strange nonchaotic particle swarm optimization(SNPSO)algorithm is proposed to identify the models of real papermaking processes,and this identification ability is significantly enhanced compared with particle swarm optimization(PSO).First,random particles are initialized by strange nonchaotic sequences to obtain high-quality solutions.Furthermore,the weight of linear attenuation is replaced by strange nonchaotic sequence and the time-varying acceleration coefficients and a mutation rule with strange nonchaotic characteristics are utilized in SNPSO.The above strategies effectively improve the global and local search ability of particles and the ability to escape from local optimization.To illustrate the effectiveness of SNPSO,step response data are used to identify the models of real industrial processes.Compared with classical PSO,PSO with timevarying acceleration coefficients(PSO-TVAC)and modified particle swarm optimization(MPSO),the simulation results demonstrate that SNPSO has stronger identification ability,faster convergence speed,and better robustness.

PSO-based Parameter Tuning for a TwoDegree-of-Freedom IMC Scheme and Its Application to Paper Basis Weight Control

Basis weight is an important indicator for evaluating paper quality and a major factor directly affecting the economic benefits of enterprises.Focusing on the large time-delay,time-varying,and nonlinear characteristics of a basis weight control system,a two-degree-of-freedom(TDF)internal model control(IMC)method based on a particle swarm optimization(PSO)algorithm was proposed.The method took the integral of time multiplied by the absolute error(ITAE)as the objective function,and the PSO algorithm was used to optimize the time constant of the tuning IMC filter.The simulation results for the control system under the proposed TDF-IMC method based on the PSO algorithm demonstrate good set-point tracking performance,strong anti-interference capabilities,and good robustness properties.The application results revealed that the basis weight fluctuation range of the paper was±2 g/m2,which significantly improved both the control quality and the product quality.

Influence of nutritional care during pregnancy on weight control and maternal and infant outcomes in patients with pregnancy-induced hypertension

Background Preeclampsia is a common disease in pregnant women,characterized by clinical manifestations such as hypertension and proteinuria,which not only seriously affect the safety of pregnant women,but also jeopardize the safety of the fetus,threatening maternal and infant safety.Currently,in addition to routine hypoglycemic and antihypertensive treatments,auxiliary treatment methods such as exercise and diet are gradually gaining clinical recognition.Therefore,this study aimed to observe the effects of comprehensive nutrition care during pregnancy on weight control during pregnancy and maternal and infant outcomes in patients with pregnancy-induced hypertension syndrome.Methods A total of 100 cases of preeclampsia patients in our hospital from August 2021 to May 2022 were selected and randomly divided into a nutrition group and a conventional group,with 50 cases in each group.The conventional group received routine care,while the nutrition group received additional comprehensive nutrition care during pregnancy based on routine care.The weight control and blood pressure control during pregnancy and maternal and infant outcomes of the two groups were observed.Results The weight control during pregnancy in the nutrition group was significantly better than that in the conventional group(P<0.05).There was no significant difference in systolic and diastolic blood pressure between the two groups before intervention(P>0.05),but both systolic and diastolic blood pressure in both groups were lower after intervention,with the nutrition group significantly lower than the conventional group(P<0.05).The incidence of neonatal asphyxia,placental abruption,postpartum hemorrhage,and cesarean section in the nutrition group was significantly lower than that in the conventional group(P<0.05).Conclusions Comprehensive nutrition care during pregnancy can effectively control weight and blood pressure levels in patients with preeclampsia,and improve maternal and infant outcomes.[S Chin J Cardiol 2024;25(3):156-161]

Development and application of a neural network based coating weight control system for a hot-dip galvanizing line

The hot-dip galvanizing line(HDGL) is a typical order-driven discrete-event process in steelmaking. It has some complicated dynamic characteristics such as a large time-varying delay, strong nonlinearity, and unmeasured disturbance, all of which lead to the difficulty of an online coating weight controller design. We propose a novel neural network based control system to solve these problems. The proposed method has been successfully applied to a real production line at Va Lin LY Steel Co., Loudi, China. The industrial application results show the effectiveness and efficiency of the proposed method, including significant reductions in the variance of the coating weight and the transition time.

Access Request Trustworthiness in Weighted Access Control Framework

Weighted factor is given to access eontrol policies to express the importanceof policy and its effect on access control decision. According to this weighted access controlframework, a trustworthiness model for aceess request is also given. In this model, we give themeasure of trustworthiness factor to access request- by using some idea of uncertainty reasoning ofexpert system, present and prove the parallel propagation formula of request trustworthiness factoramong multiple policies, and get thefinal trustworthiness factor to decide whether authorizing. Inthis model, authorization decision is given according to the calculation of request trustworthinessfactor, which is more understandable, more suitable for real requirement and more powerfulforsecurity enhancement than traditional methods. Meanwhile the finer access control granularity isanother advantage.

Determinant of Low Birth Weight Infants: A Matched Case Control Study

Background: Low birth weight (LBW) is a well-known factor associated with neonatal mortality and has contributed to a range of poor health outcomes. Thus, the objective of this study was to determine factors associated with LBW infants. Methods: A matched case control study was conducted in Universiti Kebangsaan Malaysia. Data of deliveries were obtained from Total Hospital Information System and medical records. All registered deliveries from January to June 2012 were used as sample populations. There were 180 pairs of cases and controls matched on babies’ gender. Fourteen variables were analyzed: maternal age, ethnicity, gravida, parity, gestational age, maternal booking weight, height and body mass index (BMI), history of low birth weight infants, birth interval, booking hemoglobin levels, hypertension, diabetes mellitus and mode of delivery. Results: Younger mother (t = 6.947, p < 0.001), lower booking BMI (t = 3.067, p = 0.002), prematurity (t = 12.324, p < 0.001), history of LBW infants (OR = 3.0, p = 0.001), LSCS (OR = 0.06, p = 0.001) and current hypertension (OR = 3.1, p = 0.008) were found significant in bivariate analysis. Multivariable conditional logistic regression identified younger maternal age (AOR = 2.9, 95% CI = 1.86 -4.51, p 13.58, p = 0.045), prematurity (AOR = 2.4, 95% CI = 1.79 -3.26, p < 0.001), and current hypertension (AOR = 4.5, 95% CI = 1.06 -19.22, p = 0.041) as significant factors associated with LBW infants. Conclusion: Younger maternal age, history of LBW infants, prematurity and hypertension have been recognized as predictors of LBW infants. The importance of pre-pregnancy screening, early antenatal booking and proper identification of high risk-mother needs to be strengthened and enforced in effort to reduce incidence of LBW infants.

A Neural Network Controller for Basis－weight Control of Papermaking Processes

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Parameters optimization for exponentially weighted moving average control chart using generalized regression neural network

As a useful alternative of Shewhart control chart, exponentially weighted moving average （EWMA） control chat has been applied widely to quality control, process monitoring, forecast, etc. In this paper, a method was introduced for optimal design of EWMA and multivariate EWMA （MEWMA） control charts, in which the optimal parameter pair （ λ, k） or （ λ, h ） was searched by using the generalized regression neural network （GRNN）. The results indicate that the optimal parameter pair can be obtained effectively by the proposed strategy for a given in-control average running length （ARLo） and shift to detect under any conditions, removing the drawback of incompleteness existing in the tables that had been reported.

The Relationship Between Weights and Control Vertices of Two Rational NURBS Curves Representing the Same Curve Parametrically and Geometrically

The paper discusses the relationship between weights and control vertices of two rational NURBS curves of degree two or three with all weights larger than zero when they represent the same curve parametrically and geometrically, and gives sufficient and necessary conditions for coincidence of two rational NURBS curves in non-degeneracy case.

Risk Factors for Low Birth Weight and Preterm Birth：A Population-based Case-control Study in Wuhan,China

Low birth weight（LBW） and preterm birth（PB） are associated with newborn mortality and diseases in adulthood.We explored factors related to LBW and PB by conducting a population-based case-control study from January 2011 to December 2013 in Wuhan,China.A total of 337 LBW newborn babies,472 PB babies,and 708 babies with normal birth weights and born from term pregnancies were included in this study.Information of newborns and their parents was collected by trained investigators using questionnaires and referring to medical records.Univariate and logistic regression analyses with the stepwise selection method were used to determine the associations of related factors with LBW and PB.Results showed that maternal hypertension（OR=6.78,95% CI：2.27–20.29,P=0.001）,maternal high-risk pregnancy（OR=1.53,95% CI：1.06–2.21,P=0.022）,and maternal fruit intake ≥300 g per day during the first trimester（OR=1.70,95% CI：1.17–2.45,P=0.005） were associated with LBW.BMI ≥24 kg/m^2 of mother prior to delivery（OR=0.48,95% CI：0.32–0.74,P=0.001） and gestation ≥37 weeks（OR=0.01,95% CI：0.00–0.02,P〈0.034） were protective factors for LBW.Maternal hypertension（OR=3.36,95% CI：1.26–8.98,P=0.016）,maternal high-risk pregnancy（OR=4.38,95% CI：3.26–5.88,P〈0.001）,maternal meal intake of only twice per day（OR=1.88,95% CI：1.10–3.20,P=0.021）,and mother liking food with lots of aginomoto and salt（OR=1.60,95% CI：1.02–2.51,P=0.040） were risk factors for PB.BMI ≥24 kg/m^2 of mother prior to delivery（OR=0.66,95% CI：0.47–0.93,P=0.018）,distance of house from road ≥36 meters（OR=0.72,95% CI：0.53– 0.97,P=0.028）,and living in rural area（OR= 0.60,95% CI：0.37–0.99,P=0.047） were protective factors for PB.Our study demonstrated some risk factors and protective factors for LBW and PB,and provided valuable information for the prevention of the conditions among newborns.

PI control based on fuzzy set-point weighting tracking for hydraulic crane boom system

A PI control strategy based on fuzzy set-point weighting following was proposed for the active damping control of a hydraulic crane boom system （HCBS）. Two valve-controlled PI controllers, which include a proportional feedforward controller based on fuzzy set-point weighting following and a limited semi-integrator（LSI）, are designed respectively. LSI is used to limit output signal and to prevent wind up at the low frequency of the spectrum. By using a range camera and an electronic feedback control, the tip damping on the HCBS can be adjusted artificially. A collaborative control simulation technique of HOPSAN and MATLAB/SIMULINK is applied to the controller design. Simulation results show that the proposed PI control system has less overshoot as well as faster response. The tip damping on the HCBS during operation is improved.

Short term acupressure therapy on weight-reduction in adolescence: A randomized controlled trial

Aim: Common treatment options for obesity include a reduced-calorie diet, increased physical activity, behavioral modification, pharmacotherapy, and surgery. Ear acupressure may also be an effective adjunct therapy. Methods: This study used a randomized controlled design to test the effectiveness of auricular acupressure for weight reduction in young, Taiwan Residents adults with a BMI ≥ 23 kg/m2. Sixty-eight participants aged 18 to 20 years were recruited from Taiwan Residents universities at the beginning of the study. After four weeks of auricular therapy, the total sample included 57 young adults. All participants met one time per week for ten minutes. The treatment group received ear acupressure treatment with Semen Vaccariae sticks on auricular acupoints while the control group had adhesive tape placed on ear acupoints, change in BMI from baseline to trial completion. Results: BMI in controls increased significantly by +0.0133 kg/m2 (P = 0.000) while the intervention group BMI decreased significantly by ?0.8022 kg/m2 (P ≤ 0.0001). Conclusions: Just four weeks of auricular acupressure by Semen Vaccariae, sticks may significantly help to decrease BMI among young adults.

The Benefits of SGLT2 Inhibitors in Cardiovascular Prevention, Glycemic Control and Weight Loss, in the Treatment of Diabetes

The sodium and glucose co-transporter inhibitors type 2 (SGLT2) comprises a new class of hypoglycemic drugs to control type 2 diabetes mellitus, in an attempt to add new non-existing benefits to the so far arising classes. Regarding this new class of drugs, represented by dapaglifozin, canaglifozin and empaglifozin, it is important to highlight the benefits brought by these medications to combat hyperglycemia with insulin-independent mechanisms that are beyond glucose reduction, such as cardiovascular events prevention, reduction in HbA1c, weight loss and blood pressure lowering. Recently, a relevant study (Empa-Reg) brought hope and set the spotlight on the prevention of cardiac events among diabetic patients, which is the main cause of mortality within this group. However, despite coming out as a good treatment option, SGLT2 inhibitors are under constant clinical research and, as a new drug, it should be carefully carried out regarding the long-term effects of glycosuria and other possible side effects, such as the observed increase in the incidence of bladder, breast cancer and bone fractures, which require further studies. Therefore, these compounds might represent a landmark approach for the treatment of diabetes.

Wide-Area Delay-Dependent Adaptive Supervisory Control of Multi-machine Power System Based on Improve Free Weighting Matrix Approach

The paper demonstrates the possibility to enhance the damping of inter-area oscillations using Wide Area Measurement (WAM) based adaptive supervisory controller (ASC) which considers the wide-area signal transmission delays. The paper uses an LMI-based iterative nonlinear optimization algorithm to establish a method of designing state-feedback controllers for power systems with a time-varying delay. This method is based on the delay-dependent stabilization conditions obtained by the improved free weighting matrix (IFWM) approach. In the stabilization conditions, the upper bound of feedback signal’s transmission delays is taken into consideration. Combining theoriesof state feedback control and state observer, the ASC is designed and time-delay output feedback robust controller is realized for power system. The ASC uses the input information from Phase Measurement Units (PMUs) in the system and dispatches supplementary control signals to the available local controllers. The design of the ASC is explained in detail and its performance validated by time domain simulations on a New England test power system (NETPS).

基于水量水质控制目标的LID组合方案评价

为探究低影响开发(LID)对平原河网地区的城市径流和水质控制效果,以张家港中心城区的东北分区为例,提出针对LID设施组合方案雨洪控制效果的多控制目标综合评价体系。通过构建SWMM模型,模拟在1 a一遇、2 a一遇、5 a一遇、10 a一遇、20 a一遇降雨情形下,不同LID设施组合方案的径流控制效果和污染物削减能力;并构建水文、水力、水质效应、成本投入4方面评价指标体系,采用灰色关联分析法对4种组合方案进行比选。结果表明,各项方案在低重现期降雨条件下均能发挥一定控制作用,但遭遇高重现期降雨时,控制作用受到限制。在4种组合方案中,包含透水铺装、绿色屋顶和雨水花园组合方案总体效益最佳,研究结果可为建设海绵城市提供一定理论依据。

V-BILIPSCHITZ DETERMINACY OF WEIGHTED HOMOGENEOUS ANALYTIC FUNCTION-GERMS ON WEIGHTED HOMOGENEOUS REAL ANALYTIC VARIETIES

In this article, we provide estimates for the degree of V bilipschitz determinacy of weighted homogeneous function germs defined on weighted homogeneous analytic variety V satisfying a convenient Lojasiewicz condition.The result gives an explicit order such that the geometrical structure of a weighted homogeneous polynomial function germs is preserved after higher order perturbations.

Weighted average consensus problem in networks of agents with diverse time-delays

This paper studies the weighted average consensus problem for networks of agents with fixed directed asymmetric unbalance information exchange topology. We suppose that the classical distributed consensus protocol is destroyed by diverse time-delays which include communication time-delay and self time-delay. Based on the generalized Nyquist stability criterion and the Gerschgorin disk theorem, some sufficient conditions for the consensus of multi-agent systems are obtained. And we give the expression of the weighted average consensus value for our consensus protocol. Finally, numerical examples are presented to illustrate the theoretical results.

Degenerations of rational Bézier surface with weights in the form of exponential function

Rational Bezier surface is a widely used surface fitting tool in CAD. When all the weights of a rational B@zier surface go to infinity in the form of power function, the limit of surface is the regular control surface induced by some lifting function, which is called toric degenerations of rational Bezier surfaces. In this paper, we study on the degenerations of the rational Bezier surface with weights in the exponential function and indicate the difference of our result and the work of Garcia-Puente et al. Through the transformation of weights in the form of exponential function and power function, the regular control surface of rational Bezier surface with weights in the exponential function is defined, which is just the limit of the surface. Compared with the power function, the exponential function approaches infinity faster, which leads to surface with the weights in the form of exponential function degenerates faster.