Decision support systems(DSS)based on physically based numerical models are standard tools used by water services and utilities.However,few DSS based on holistic approaches combining distributed hydrological,hydraulic...Decision support systems(DSS)based on physically based numerical models are standard tools used by water services and utilities.However,few DSS based on holistic approaches combining distributed hydrological,hydraulic,and hydrogeological models are operationally exploited.This holistic approach was adopted for the development of the AquaVar DSS,used for water resource management in the French Mediterranean Var watershed.The year 2019 marked the initial use of the DSS in its operational environment.Over the next 5 years,multiple hydrological events allowed to test the performance of the DSS.The results show that the tool is capable of simulating peak flows associated with two extreme rainfall events(storms Alex and Aline).For a moderate flood,the real-time functionality was able to simulate forecast discharges 26 h before the flood peak,with a maximum local error of 30%.Finally,simulations for the drought period 2022-2023 highlighted the essential need for DSS to evolve in line with changing climatic conditions,which give rise to unprecedented hydrological processes.The lessons learned from these first 5 years of AquaVar use under operational conditions are synthesized,addressing various topics such as DSS modularity,evolution,data positioning,technology,and governance.展开更多
Objective: This study evaluates the impact of handshake and information support on patients’ outcomes during laparoscopic cholecystectomy. It examines the effects on their physiological and psychological responses an...Objective: This study evaluates the impact of handshake and information support on patients’ outcomes during laparoscopic cholecystectomy. It examines the effects on their physiological and psychological responses and overall satisfaction with nursing care. Methods: A total of 84 patients scheduled for laparoscopic cholecystectomy were selected through convenient sampling and randomly assigned to either the control group or the intervention group using a random number table. Each group consisted of 42 patients. The control group received standard surgical nursing care. In addition to standard care, the intervention group received handshake and information support from the circulating nurse before anesthesia induction. Vital signs were recorded before surgery and before anesthesia induction. Anxiety levels were measured using the State-Trait Anxiety Inventory (STAI) and the State-Anxiety Inventory (S-AI), while nursing satisfaction was assessed using a numerical rating scale. Results: No significant differences were found between the two groups in systolic and diastolic blood pressures before surgery and anesthesia induction (P > 0.05). However, there was a significant difference in heart rate before anesthesia induction (P Conclusion: Providing handshake and information support before anesthesia induction effectively reduces stress, alleviates anxiety, and enhances comfort and satisfaction among patients undergoing laparoscopic cholecystectomy.展开更多
The preferential oxidation of CO(CO-PROX)reaction is a cost-effective method for eliminating trace amounts of CO from the fuel H2.Pt-based catalysts have been extensively studied for COPROX,with their activity influen...The preferential oxidation of CO(CO-PROX)reaction is a cost-effective method for eliminating trace amounts of CO from the fuel H2.Pt-based catalysts have been extensively studied for COPROX,with their activity influenced by the morphology of the support.Hydrothermal synthesis was employed to produce different morphologies ofγ-Al_(2)O_(3):flower-likeγ-Al_(2)O_(3)(f)exposing(110)crystal faces,sheet-likeγ-Al_(2)O_(3)(s)revealing(100)crystal faces,and rod-likeγ-Al_(2)O_(3)(r)displaying(111)crystal faces,followed by loading PtCo nanoparticles.The exposed crystal faces of the support impact the alloying degree of the PtCo nanoparticles,and an increase in the alloying degree correlates with enhanced catalyst reactivity.Pt_(3)Co intermetallic compounds were identified onγ-Al_(2)O_(3)(f)exposing(110)crystal faces,and PtCo/γ-Al_(2)O_(3)(f)showed high catalytic activity in the CO-PROX reaction,achieving 100%CO conversion across a broad temperature range of 50−225°C.In contrast,only partial alloying of PtCo was observed onγ-Al_(2)O_(3)(s).Furthermore,no alloying between Pt and Co occurred in PtCo/γ-Al_(2)O_(3)(r),resulting in a reaction rate at 50°C that was merely 11%of that of PtCo/γ-Al_(2)O_(3)(f).The formation of Pt3Co intermetallic compounds led to a more oxidized state of Pt,which significantly diminished the adsorption of CO on Pt and augmented the active oxygen species,thereby facilitating the selective oxidation of CO.展开更多
Objective: To explore the current status and influencing factors of supportive care needs in patients with muscle-invasive bladder cancer after surgery, and to provide a reference for the development of targeted inter...Objective: To explore the current status and influencing factors of supportive care needs in patients with muscle-invasive bladder cancer after surgery, and to provide a reference for the development of targeted intervention strPan ategies. Methods: A general data questionnaire and supportive care needs scale were used to investigate 107 patients with muscle-invasive bladder cancer after surgery. Results: The total score of supportive care needs in patients with muscle-invasive bladder cancer after surgery was (98.48 ± 9.07). Multiple linear regression analysis showed that age, primary caregiver, medical payment method, number of hospitalizations and postoperative time were important influencing factors of supportive care needs in patients with muscle-invasive bladder cancer after surgery (P Conclusion: The supportive care needs of patients with muscle-invasive bladder cancer after surgery are at a low level. Medical staff should identify them early, pay more attention to young patients, patients without medical insurance and patients with multiple hospitalizations, and provide targeted nursing measures to meet their supportive care needs.展开更多
Background: Clinical decision support tools provide suggestions to support healthcare providers and clinicians, as they attend to patients. Clinicians use these tools to rapidly consult the evidence at the point of ca...Background: Clinical decision support tools provide suggestions to support healthcare providers and clinicians, as they attend to patients. Clinicians use these tools to rapidly consult the evidence at the point of care, a practice which has been found to reduce the time patients spend in hospitals, promote the quality of care and improve healthcare outcomes. Such tools include Medscape, VisualDx, Clinical Key, DynaMed, BMJ Best Practice and UpToDate. However, use of such tools has not yet been fully embraced in low-resource settings such as Uganda. Objective: This paper intends to collate data on the use and uptake of one such tool, UpToDate, which was provided at no cost to five medical schools in Uganda. Methods: Free access to UpToDate was granted through the IP addresses of five medical schools in Uganda in collaboration with Better Evidence at The Global Health Delivery Project at Harvard and Brigham and Women’s Hospital and Wolters Kluwer Health. Following the donation, medical librarians in the respective institutions conducted training sessions and created awareness of the tool. Usage data was aggregated, based on logins and content views, presented and analyzed using Excel tables and graphs. Results: The data shows similar trends in increased usage over the period of August 2022 to August 2023 across the five medical schools. The most common topics viewed, mode of access (using either the computer or the mobile app), total usage by institution, ratio of uses to eligible users by institution and ratio of uses to students by institution are shared. Conclusion: The study revealed that the tool was used by various user categories across the institutions with similar steady improved usage over the year. These results can inform the librarians as they encourage their respective institutions to continue using the tool to support uptake of point-of-care tools in clinical practice.展开更多
Objectives:This study aimed to translate and psychometrically test the 7-item Enhancing Recovery in Coronary Heart Disease(ENRICHD)Social Support Inventory(ESSI)scale within the Thai population.Methods:A scale transla...Objectives:This study aimed to translate and psychometrically test the 7-item Enhancing Recovery in Coronary Heart Disease(ENRICHD)Social Support Inventory(ESSI)scale within the Thai population.Methods:A scale translation and cross-sectional validation study was conducted.The English version was translated for Thai involved nine steps:preparation,forward translation,reconciliation,backtranslation,back-translation review,harmonization,cognitive debriefing,review of cognitive debriefing and finalization,and proofreading.Psychometrics testing used data from a cross-sectional study from July to November 2022 at 16 primary care centers in southern Thailand,involving 405 participants.Structural validity was tested with exploratory and confirmatory factor analysis(EFA and CFA).Hypothesis testing validity was assessed through correlations with the Self-Care Self-Efficacy Scale version 3.0(SCSES-v3.0)and the Self-Care of Chronic Illness Inventory version 4.c(SC-CII-v4.c).Reliability was evaluated using Cronbach’s a coefficient and the intraclass correlation coefficient.Results:The Thai ESSI demonstrated excellent content validity.EFA revealed a one-factor structure,with high factor loadings for the first six items assessing informational,emotional,and instrumental support.The last item on structural support demonstrated inadequate factor loadings,suggesting its removal.CFA confirmed a well-fit one-factor structure for the 6-item ESSI.Hypothesis testing showed positive correlations with the SCSES-v3.0 and SC-CII-v4.c scales.Cronbach’s a coefficient improved from 0.88 for the 7-item to 0.91 for the 6-item ESSI.Both the 7-item and the 6-item scales exhibited excellent test-retest reliability.Conclusions:Our study affirms the strong validity and reliability of the ESSI in the Thai population with chronic illnesses.The ESSI is deemed appropriate for evaluating social support in the context of chronic illness self-care.展开更多
Objective:To analyze the nursing effect of psychological resilience support combined with midwife-integrated full-course care on primiparous women.Methods:A total of 66 primiparous women who were admitted to the hospi...Objective:To analyze the nursing effect of psychological resilience support combined with midwife-integrated full-course care on primiparous women.Methods:A total of 66 primiparous women who were admitted to the hospital for delivery from April 2022 to April 2024 were selected,all of whom underwent vaginal delivery.They were randomly divided into two groups using a random number table.The combined group received integrated full-course care from midwives under the premise of psychological resilience support,while the conventional group only received routine care.The nursing effects were compared between the two groups.Results:The breastfeeding rate of the combined group was higher than that of the conventional group at different time points after delivery,the postpartum complication rate was lower than that of the conventional group,the psychological resilience scores were higher than those of the conventional group at different stages of labor,and the nursing satisfaction was higher than that of the conventional group(P<0.05).Conclusion:Under the premise of psychological resilience support,integrated full-course care implemented by midwives can improve the breastfeeding rate,actively prevent postpartum complications,significantly improve psychological resilience,and achieve better nursing satisfaction.展开更多
Background:Parents of children with autism are susceptible to parenting burnout due to tremendous parenting burden and parenting challenges.Parenting burnout has a detrimental effect on both children with autism and t...Background:Parents of children with autism are susceptible to parenting burnout due to tremendous parenting burden and parenting challenges.Parenting burnout has a detrimental effect on both children with autism and their parents.However,the underlying mechanisms that lead to parenting burnout remain unclear.This study aimed to investigate the relationship between parenting stress and parenting burnout,along with the serial mediation effect of social support and coping strategies in the context of families with autistic children.Methods:We conducted a cross-sectional study in 231 parents of autistic children in four autism facilities located in central Hubei province.Data were collected through the Parental Stress Index,Social Support Rating Scale,Simplified Coping Strategies Questionnaire,and Caregiver Burnout Assessment Questionnaire.Results:Parenting stress and burnout status were:72.3%of parents reported high-stress levels,16.9%experienced risks for parenting burnout,and 19.9%were currently experiencing burnout.Both social support and coping strategies played partial mediating roles in the relationship between parental stress and burnout,forming a serial mediation effect.Conclusion:Parenting stress is a risk factor for parenting burnout.Social support and coping strategies play a chain mediating role between parenting stress and parenting burnout,which may act as the underlying mechanisms.The study offers insights into potential intervention points for reducing parenting burnout.Future efforts are needed to devote to parenting stress,social support and coping strategy to enhance the psychological well-being of parents with autistic children.展开更多
The study by Lu et al explores the integration of remote family psychological support courses(R-FPSC)with traditional caregiver-mediated interventions(CMI)in the context of autism spectrum disorder(ASD).Conducted as a...The study by Lu et al explores the integration of remote family psychological support courses(R-FPSC)with traditional caregiver-mediated interventions(CMI)in the context of autism spectrum disorder(ASD).Conducted as a singleblinded randomized controlled trial involving 140 parents of children with ASD,the research highlights the crucial role of parental mental health in optimizing therapeutic outcomes.Results indicate that the addition of R-FPSC significantly enhances parental competence and reduces stress more effectively than CMI alone.Despite improvements in parenting stress and competence,no significant differences were noted in anxiety and depression symptoms between the groups,suggesting that while R-FPSC strengthens parenting skills,its impact on mood disorders requires further investigation.The findings advocate for the inclusion of remote psychological support in family interventions as a feasible and costeffective strategy,broadening access to essential resources and improving both parental and child outcomes.The study emphasizes the need for future research to evaluate the long-term impacts of such interventions and to explore the specific mechanisms through which parental mental health improvements affect child development.展开更多
This paper investigates the active traveling wave vibration control of an elastic supported rotating porous aluminium conical shell(CS)under impact loading.Piezoelectric smart materials in the form of micro fiber comp...This paper investigates the active traveling wave vibration control of an elastic supported rotating porous aluminium conical shell(CS)under impact loading.Piezoelectric smart materials in the form of micro fiber composites(MFCs)are used as actuators and sensors.To this end,a metal pore truncated CS with MFCs attached to its surface is considered.Adding artificial virtual springs at two edges of the truncated CS achieves various elastic supported boundaries by changing the spring stiffness.Based on the first-order shear deformation theory(FSDT),minimum energy principle,and artificial virtual spring technology,the theoretical formulations considering the electromechanical coupling are derived.The comparison of the natural frequency of the present results with the natural frequencies reported in previous literature evaluates the accuracy of the present approach.To study the vibration control,the integral quadrature method in conjunction with the differential quadrature approximation in the length direction is used to discretize the partial differential dynamical system to form a set of ordinary differential equations.With the aid of the velocity negative feedback method,both the time history and the input control voltage on the actuator are demonstrated to present the effects of velocity feedback gain,pore distribution type,semi-vertex angle,impact loading,and rotational angular velocity on the traveling wave vibration control.展开更多
Background: Infertility is a complex disorder with significant psycho-social and economic consequences. It globally affects 10% - 15% of couples. In Cameroon, little is known about what women do to overcome the psycho...Background: Infertility is a complex disorder with significant psycho-social and economic consequences. It globally affects 10% - 15% of couples. In Cameroon, little is known about what women do to overcome the psychosocial aspects of the disease. Objectives: This study aimed to identify the support systems and coping strategies of infertile women attending the outpatient consultation unit of the Gynaecological Endoscopic Surgery and Reproductive Teaching Hospital (CHRACERH), Yaoundé, Cameroon. Methods: A hospital-based cross-sectional study was conducted from the 14th of March to the 6th of April 2023 at CHRACERH Yaoundé. A total of 190 participants were recruited using a convenience sampling method. Data regarding socio-demographic characteristics, support systems and coping strategies were collected using a pretested questionnaire. Descriptive and analytic statistics were conducted using SPSS version 25. Results: The mean age of participants was 39.52 ± 7.64 years. The majority 78.9% of participants were workers (public, private sector, or traders) and were Christians 95.8%. The most common source of psychological support was from family 76.8 and husbands 72.63%. Most of the participants 89.5% resorted to prayer and getting busy 48.4% as a coping strategy. There was no statistically significant relationship between coping strategies and psychological disorders p > 0.05. Conclusion: The main support system of participants was family, husband, and friends. Prayer, getting busy and adoption were the most common coping strategies. There is a need for the Ministry of Public Health and other stakeholders to put in place other support systems and coping strategies (FELICIA) used elsewhere and provide adequate health education and infection control to prevent infertility in Cameroon.展开更多
BACKGROUND Nutritional support for patients hospitalized in the intensive care unit(ICU)is an important part of clinical treatment and care,but there are significant implementation difficulties.AIM To introduce a modi...BACKGROUND Nutritional support for patients hospitalized in the intensive care unit(ICU)is an important part of clinical treatment and care,but there are significant implementation difficulties.AIM To introduce a modified nutritional support management system for ICU patients based on closed-loop information management and psychological counseling.METHODS The division of functions,personnel training,system construction,development of an intelligent decision-making software system,quality control,and improvement of the whole process were carried out to systematically manage nutritional support for ICU patients.RESULTS Following the implementation of the whole process management system,the scores of ICU medical staff’s knowledge,attitudes/beliefs,and practices regarding nutritional support were comprehensively enhanced.The proportion of hospital bed-days of total enteral nutrition(EN)in ICU patients increased from 5.58%to 11.46%,and the proportion of EN plus parenteral nutrition increased from 42.71%to 47.07%.The rate of EN initiation within 48 h of ICU admission increased from 37.50%to 48.28%,and the EN compliance rate within 72 h elevated from 20.59%to 31.72%.After the implementation of the project,the Self-rating Anxiety Scale score decreased from 61.07±9.91 points to 52.03±9.02 points,the Self-rating Depression Scale score reduced from 62.47±10.50 points to 56.34±9.83 points,and the ICU stay decreased from 5.76±2.77 d to 5.10±2.12 d.CONCLUSION The nutritional support management system based on closed-loop information management and psychological counseling achieved remarkable results in clinical applications in ICU patients.展开更多
BACKGROUND The increased expression of G3BP1 was positively correlated with the prognosis of liver failure.AIM To investigate the effect of G3BP1 on the prognosis of acute liver failure(ALF)and acute-on-chronic liver ...BACKGROUND The increased expression of G3BP1 was positively correlated with the prognosis of liver failure.AIM To investigate the effect of G3BP1 on the prognosis of acute liver failure(ALF)and acute-on-chronic liver failure(ACLF)after the treatment of artificial liver support system(ALSS).METHODS A total of 244 patients with ALF and ACLF were enrolled in this study.The levels of G3BP1 on admission and at discharge were detected.The validation set of 514 patients was collected to verify the predicted effect of G3BP1 and the viability of prognosis.RESULTS This study was shown that lactate dehydrogenase(LDH),alpha-fetoprotein(AFP)and prothrombin time were closely related to the prognosis of patients.After the ALSS treatment,the patient’amount of decreased G3BP1 index in difference of G3BP1 between the value of discharge and admission(difG3BP1)<0 group had a nearly 10-fold increased risk of progression compared with the amount of increased G3BP1 index.The subgroup analysis showed that the difG3BP1<0 group had a higher risk of progression,regardless of model for end-stage liver disease high-risk or low-risk group.At the same time,compared with the inflam matory marks[tumor necrosis factor-α,interleukin(IL)-1βand IL-18],G3BP1 had higher discrimination and was more stable in the model analysis and validation set.When combined with AFP and LDH,concordance index was respectively 0.84 and 0.8 in training and validation cohorts.CONCLUSION This study indicated that G3BP1 could predict the prognosis of ALF or ACLF patients treated with ALSS.The combination of G3BP1,AFP and LDH could accurately evaluate the disease condition and predict the clinical endpoint of patients.展开更多
With the beginning of the information systems’ spreading, people started thinking about using them for making business decisions. Computer technology solutions, such as the Decision Support System, make the decision-...With the beginning of the information systems’ spreading, people started thinking about using them for making business decisions. Computer technology solutions, such as the Decision Support System, make the decision-making process less complex and simpler for problem-solving. In order to make a high-quality business decision, managers need to have a great deal of appropriate information. Nonetheless, this complicates the process of making appropriate decisions. In a situation like that, the possibility of using DSS is quite logical. The aim of this paper is to find out the intended use of DSS for medium and large business organizations in USA by applying the Technology Acceptance Model (TAM). Different models were developed in order to understand and predict the use of information systems, but the information systems community mostly used TAM to ensure this issue. The purpose of the research model is to determine the elements of analysis that contribute to these results. The sample for the research consisted of the target group that was supposed to have completed an online questionnaire about the manager’s use of DSS in medium and large American companies. The information obtained from the questionnaires was analyzed through the SPSS statistical software. The research has indicated that, this is primarily used due to a significant level of Perceived usefulness and For the Perceived ease of use.展开更多
Objective:To design and implement a specialized nurse decision support system in the Department of Neurology and explore its effectiveness in preventing stroke-associated pneumonia(SAP).Methods:A decision support modu...Objective:To design and implement a specialized nurse decision support system in the Department of Neurology and explore its effectiveness in preventing stroke-associated pneumonia(SAP).Methods:A decision support module for specialized nurses was developed based on SAP-graded prevention strategies.A total of 664 neurology inpatients admitted to The First People’s Hospital of Xuzhou between July 2023 and September 2023 were selected as the conventional group,receiving standard nursing care.Another 704 neurology inpatients admitted between October 2023 and December 2023 were selected as the experimental group,receiving SAP-graded prevention strategies under the specialized nurse decision support system.The incidence of SAP in the two groups was compared.The occurrence of SAP was recorded using the Acute Ischemic Stroke-Associated Pneumonia Risk(A2DS2)scoring system.Swallowing function was evaluated using the Water Swallow Test(WST),and quality of life was assessed using the Swallowing Quality of Life(SWAL-QOL)scale.Results:The incidence of SAP in the experimental group was significantly lower than in the conventional group(P<0.05).After nursing interventions,the WST scores in the experimental group were lower,while the SWAL-QOL scores were higher compared to the conventional group(P<0.05).Conclusion:The design and implementation of a specialized nurse decision support system in the Department of Neurology significantly reduced the incidence of SAP in neurology inpatients,improved swallowing function,and enhanced quality of life.This approach shows promise for widespread application.展开更多
The rapid development of the digital economy,driven by artificial intelligence(AI),is profoundly transforming traditional accounting practices and business models.The emergence of innovative models such as“wisdom+acc...The rapid development of the digital economy,driven by artificial intelligence(AI),is profoundly transforming traditional accounting practices and business models.The emergence of innovative models such as“wisdom+accounting”and“wisdom+financial sharing”has opened new avenues for enhancing enterprise decision-making support systems.This paper delves into the application of AI technology in accounting,examining its practical implementation and associated challenges.To mitigate potential risks arising from technological advancements,enterprises should establish robust and efficient intelligent financial systems.Additionally,organizations should foster a mindset of change within their accounting teams,improve the application of management information systems,strengthen internal control mechanisms,and continuously upgrade intelligent accounting software.Financial managers must adapt to the evolving landscape and proactively adjust their career paths and development strategies.展开更多
To address the challenges of current college student employment management,this study designed and implemented a machine learning-based decision support system for college student employment management.The system coll...To address the challenges of current college student employment management,this study designed and implemented a machine learning-based decision support system for college student employment management.The system collects and analyzes multidimensional data,uses machine learning algorithms for prediction and matching,provides personalized employment guidance for students,and provides decision support for universities and enterprises.The research results indicate that the system can effectively improve the efficiency and accuracy of employment guidance,promote school-enterprise cooperation,and achieve a win-win situation for all parties.展开更多
Making the distinction between different plantation tree species is crucial for creating reliable and trustworthy information, which is critical in forestry administration and upkeep. Over the years, forest delineatio...Making the distinction between different plantation tree species is crucial for creating reliable and trustworthy information, which is critical in forestry administration and upkeep. Over the years, forest delineation and mapping have been done using the conventional techniques, such as the utilization of ground truth facts together with orthophotos. These techniques have been proven to be very precise, but they are expensive, cumbersome, and challenging to employ in remote regions. To resolve this shortfall, this research investigates the potential of data from the commercial, PlanetScope CubeSat and the freely available, Sentinel 2 data from Copernicus to discriminate commercial forest tree species in the Usutu Forest, Eswatini. Two approaches for image classification, Random Forest (RF) and the Support Vector Machine (SVM) were investigated at different levels of the forest database classification which is the genus (family of tree species) and species levels. The result of the study indicates that, the Sentinel 2 images had the highest species classification accuracy compared to the PlanetScope image. Both classification methods achieved a 94% maximum OA and 0.90 kappa value at the genus level with the Sentinel 2 imagery. At the species level, the Sentinel 2 imagery again showed highly acceptable results with the SVM method, with an OA of 82%. The PlanetScope images performed badly with less than 64% OA for both RF and SVM at the genus level and poorer at the species level with a low OA figure, 47% and 53% for the SVM and RF respectively. Our results suggest that the freely available Sentinel 2 data together with the SVM method has a high potential for identifying differences between commercial tree species than the PlanetScope. The study uncovered that both classification methods are highly capable of classifying species under the gum genus group (esmi, egxu, and egxn) using both imageries. However, it was difficult to separate species types under the pine genus group, particularly discriminating the hybrid species such as pech and pell since pech is a hybrid species for pell.展开更多
The phenylpropane metabolic pathway is one of the most significant metabolic pathways in plants,synthesizing more than 8,000 metabolites,including flavonoids,lignans,lignin,coumarins,and other metabolites through mult...The phenylpropane metabolic pathway is one of the most significant metabolic pathways in plants,synthesizing more than 8,000 metabolites,including flavonoids,lignans,lignin,coumarins,and other metabolites through multiple branching pathways(Zhang and Liu 2015;Gao et al.2024).This pathway is crucial in plant growth,development,and plant-environment interactions(Dong and Lin 2021).展开更多
文摘Decision support systems(DSS)based on physically based numerical models are standard tools used by water services and utilities.However,few DSS based on holistic approaches combining distributed hydrological,hydraulic,and hydrogeological models are operationally exploited.This holistic approach was adopted for the development of the AquaVar DSS,used for water resource management in the French Mediterranean Var watershed.The year 2019 marked the initial use of the DSS in its operational environment.Over the next 5 years,multiple hydrological events allowed to test the performance of the DSS.The results show that the tool is capable of simulating peak flows associated with two extreme rainfall events(storms Alex and Aline).For a moderate flood,the real-time functionality was able to simulate forecast discharges 26 h before the flood peak,with a maximum local error of 30%.Finally,simulations for the drought period 2022-2023 highlighted the essential need for DSS to evolve in line with changing climatic conditions,which give rise to unprecedented hydrological processes.The lessons learned from these first 5 years of AquaVar use under operational conditions are synthesized,addressing various topics such as DSS modularity,evolution,data positioning,technology,and governance.
文摘Objective: This study evaluates the impact of handshake and information support on patients’ outcomes during laparoscopic cholecystectomy. It examines the effects on their physiological and psychological responses and overall satisfaction with nursing care. Methods: A total of 84 patients scheduled for laparoscopic cholecystectomy were selected through convenient sampling and randomly assigned to either the control group or the intervention group using a random number table. Each group consisted of 42 patients. The control group received standard surgical nursing care. In addition to standard care, the intervention group received handshake and information support from the circulating nurse before anesthesia induction. Vital signs were recorded before surgery and before anesthesia induction. Anxiety levels were measured using the State-Trait Anxiety Inventory (STAI) and the State-Anxiety Inventory (S-AI), while nursing satisfaction was assessed using a numerical rating scale. Results: No significant differences were found between the two groups in systolic and diastolic blood pressures before surgery and anesthesia induction (P > 0.05). However, there was a significant difference in heart rate before anesthesia induction (P Conclusion: Providing handshake and information support before anesthesia induction effectively reduces stress, alleviates anxiety, and enhances comfort and satisfaction among patients undergoing laparoscopic cholecystectomy.
基金supported by the National Natural Science Foundation of China(22376063,21976057)the Fund of the National Engineering Laboratory for Mobile Source Emission Control Technology(NELMS2020A05)Fundamental Research Funds for the Central Universities.
文摘The preferential oxidation of CO(CO-PROX)reaction is a cost-effective method for eliminating trace amounts of CO from the fuel H2.Pt-based catalysts have been extensively studied for COPROX,with their activity influenced by the morphology of the support.Hydrothermal synthesis was employed to produce different morphologies ofγ-Al_(2)O_(3):flower-likeγ-Al_(2)O_(3)(f)exposing(110)crystal faces,sheet-likeγ-Al_(2)O_(3)(s)revealing(100)crystal faces,and rod-likeγ-Al_(2)O_(3)(r)displaying(111)crystal faces,followed by loading PtCo nanoparticles.The exposed crystal faces of the support impact the alloying degree of the PtCo nanoparticles,and an increase in the alloying degree correlates with enhanced catalyst reactivity.Pt_(3)Co intermetallic compounds were identified onγ-Al_(2)O_(3)(f)exposing(110)crystal faces,and PtCo/γ-Al_(2)O_(3)(f)showed high catalytic activity in the CO-PROX reaction,achieving 100%CO conversion across a broad temperature range of 50−225°C.In contrast,only partial alloying of PtCo was observed onγ-Al_(2)O_(3)(s).Furthermore,no alloying between Pt and Co occurred in PtCo/γ-Al_(2)O_(3)(r),resulting in a reaction rate at 50°C that was merely 11%of that of PtCo/γ-Al_(2)O_(3)(f).The formation of Pt3Co intermetallic compounds led to a more oxidized state of Pt,which significantly diminished the adsorption of CO on Pt and augmented the active oxygen species,thereby facilitating the selective oxidation of CO.
文摘Objective: To explore the current status and influencing factors of supportive care needs in patients with muscle-invasive bladder cancer after surgery, and to provide a reference for the development of targeted intervention strPan ategies. Methods: A general data questionnaire and supportive care needs scale were used to investigate 107 patients with muscle-invasive bladder cancer after surgery. Results: The total score of supportive care needs in patients with muscle-invasive bladder cancer after surgery was (98.48 ± 9.07). Multiple linear regression analysis showed that age, primary caregiver, medical payment method, number of hospitalizations and postoperative time were important influencing factors of supportive care needs in patients with muscle-invasive bladder cancer after surgery (P Conclusion: The supportive care needs of patients with muscle-invasive bladder cancer after surgery are at a low level. Medical staff should identify them early, pay more attention to young patients, patients without medical insurance and patients with multiple hospitalizations, and provide targeted nursing measures to meet their supportive care needs.
文摘Background: Clinical decision support tools provide suggestions to support healthcare providers and clinicians, as they attend to patients. Clinicians use these tools to rapidly consult the evidence at the point of care, a practice which has been found to reduce the time patients spend in hospitals, promote the quality of care and improve healthcare outcomes. Such tools include Medscape, VisualDx, Clinical Key, DynaMed, BMJ Best Practice and UpToDate. However, use of such tools has not yet been fully embraced in low-resource settings such as Uganda. Objective: This paper intends to collate data on the use and uptake of one such tool, UpToDate, which was provided at no cost to five medical schools in Uganda. Methods: Free access to UpToDate was granted through the IP addresses of five medical schools in Uganda in collaboration with Better Evidence at The Global Health Delivery Project at Harvard and Brigham and Women’s Hospital and Wolters Kluwer Health. Following the donation, medical librarians in the respective institutions conducted training sessions and created awareness of the tool. Usage data was aggregated, based on logins and content views, presented and analyzed using Excel tables and graphs. Results: The data shows similar trends in increased usage over the period of August 2022 to August 2023 across the five medical schools. The most common topics viewed, mode of access (using either the computer or the mobile app), total usage by institution, ratio of uses to eligible users by institution and ratio of uses to students by institution are shared. Conclusion: The study revealed that the tool was used by various user categories across the institutions with similar steady improved usage over the year. These results can inform the librarians as they encourage their respective institutions to continue using the tool to support uptake of point-of-care tools in clinical practice.
基金supported by Walailak University(grant number:WU65240,Year 2022).
文摘Objectives:This study aimed to translate and psychometrically test the 7-item Enhancing Recovery in Coronary Heart Disease(ENRICHD)Social Support Inventory(ESSI)scale within the Thai population.Methods:A scale translation and cross-sectional validation study was conducted.The English version was translated for Thai involved nine steps:preparation,forward translation,reconciliation,backtranslation,back-translation review,harmonization,cognitive debriefing,review of cognitive debriefing and finalization,and proofreading.Psychometrics testing used data from a cross-sectional study from July to November 2022 at 16 primary care centers in southern Thailand,involving 405 participants.Structural validity was tested with exploratory and confirmatory factor analysis(EFA and CFA).Hypothesis testing validity was assessed through correlations with the Self-Care Self-Efficacy Scale version 3.0(SCSES-v3.0)and the Self-Care of Chronic Illness Inventory version 4.c(SC-CII-v4.c).Reliability was evaluated using Cronbach’s a coefficient and the intraclass correlation coefficient.Results:The Thai ESSI demonstrated excellent content validity.EFA revealed a one-factor structure,with high factor loadings for the first six items assessing informational,emotional,and instrumental support.The last item on structural support demonstrated inadequate factor loadings,suggesting its removal.CFA confirmed a well-fit one-factor structure for the 6-item ESSI.Hypothesis testing showed positive correlations with the SCSES-v3.0 and SC-CII-v4.c scales.Cronbach’s a coefficient improved from 0.88 for the 7-item to 0.91 for the 6-item ESSI.Both the 7-item and the 6-item scales exhibited excellent test-retest reliability.Conclusions:Our study affirms the strong validity and reliability of the ESSI in the Thai population with chronic illnesses.The ESSI is deemed appropriate for evaluating social support in the context of chronic illness self-care.
文摘Objective:To analyze the nursing effect of psychological resilience support combined with midwife-integrated full-course care on primiparous women.Methods:A total of 66 primiparous women who were admitted to the hospital for delivery from April 2022 to April 2024 were selected,all of whom underwent vaginal delivery.They were randomly divided into two groups using a random number table.The combined group received integrated full-course care from midwives under the premise of psychological resilience support,while the conventional group only received routine care.The nursing effects were compared between the two groups.Results:The breastfeeding rate of the combined group was higher than that of the conventional group at different time points after delivery,the postpartum complication rate was lower than that of the conventional group,the psychological resilience scores were higher than those of the conventional group at different stages of labor,and the nursing satisfaction was higher than that of the conventional group(P<0.05).Conclusion:Under the premise of psychological resilience support,integrated full-course care implemented by midwives can improve the breastfeeding rate,actively prevent postpartum complications,significantly improve psychological resilience,and achieve better nursing satisfaction.
基金supported by the Humanities and Social Sciences Research Planning Fund of Chinese Ministry of Education(22YJAZH150).
文摘Background:Parents of children with autism are susceptible to parenting burnout due to tremendous parenting burden and parenting challenges.Parenting burnout has a detrimental effect on both children with autism and their parents.However,the underlying mechanisms that lead to parenting burnout remain unclear.This study aimed to investigate the relationship between parenting stress and parenting burnout,along with the serial mediation effect of social support and coping strategies in the context of families with autistic children.Methods:We conducted a cross-sectional study in 231 parents of autistic children in four autism facilities located in central Hubei province.Data were collected through the Parental Stress Index,Social Support Rating Scale,Simplified Coping Strategies Questionnaire,and Caregiver Burnout Assessment Questionnaire.Results:Parenting stress and burnout status were:72.3%of parents reported high-stress levels,16.9%experienced risks for parenting burnout,and 19.9%were currently experiencing burnout.Both social support and coping strategies played partial mediating roles in the relationship between parental stress and burnout,forming a serial mediation effect.Conclusion:Parenting stress is a risk factor for parenting burnout.Social support and coping strategies play a chain mediating role between parenting stress and parenting burnout,which may act as the underlying mechanisms.The study offers insights into potential intervention points for reducing parenting burnout.Future efforts are needed to devote to parenting stress,social support and coping strategy to enhance the psychological well-being of parents with autistic children.
基金Supported by Basic Science Research Program through the National Research Foundation of Korea(NRF)funded by the Ministry of Education,No.NRF-RS-2023-00237287.
文摘The study by Lu et al explores the integration of remote family psychological support courses(R-FPSC)with traditional caregiver-mediated interventions(CMI)in the context of autism spectrum disorder(ASD).Conducted as a singleblinded randomized controlled trial involving 140 parents of children with ASD,the research highlights the crucial role of parental mental health in optimizing therapeutic outcomes.Results indicate that the addition of R-FPSC significantly enhances parental competence and reduces stress more effectively than CMI alone.Despite improvements in parenting stress and competence,no significant differences were noted in anxiety and depression symptoms between the groups,suggesting that while R-FPSC strengthens parenting skills,its impact on mood disorders requires further investigation.The findings advocate for the inclusion of remote psychological support in family interventions as a feasible and costeffective strategy,broadening access to essential resources and improving both parental and child outcomes.The study emphasizes the need for future research to evaluate the long-term impacts of such interventions and to explore the specific mechanisms through which parental mental health improvements affect child development.
基金Supported by the National Natural Science Foundation of China(Nos.12272056 and 11832002)。
文摘This paper investigates the active traveling wave vibration control of an elastic supported rotating porous aluminium conical shell(CS)under impact loading.Piezoelectric smart materials in the form of micro fiber composites(MFCs)are used as actuators and sensors.To this end,a metal pore truncated CS with MFCs attached to its surface is considered.Adding artificial virtual springs at two edges of the truncated CS achieves various elastic supported boundaries by changing the spring stiffness.Based on the first-order shear deformation theory(FSDT),minimum energy principle,and artificial virtual spring technology,the theoretical formulations considering the electromechanical coupling are derived.The comparison of the natural frequency of the present results with the natural frequencies reported in previous literature evaluates the accuracy of the present approach.To study the vibration control,the integral quadrature method in conjunction with the differential quadrature approximation in the length direction is used to discretize the partial differential dynamical system to form a set of ordinary differential equations.With the aid of the velocity negative feedback method,both the time history and the input control voltage on the actuator are demonstrated to present the effects of velocity feedback gain,pore distribution type,semi-vertex angle,impact loading,and rotational angular velocity on the traveling wave vibration control.
文摘Background: Infertility is a complex disorder with significant psycho-social and economic consequences. It globally affects 10% - 15% of couples. In Cameroon, little is known about what women do to overcome the psychosocial aspects of the disease. Objectives: This study aimed to identify the support systems and coping strategies of infertile women attending the outpatient consultation unit of the Gynaecological Endoscopic Surgery and Reproductive Teaching Hospital (CHRACERH), Yaoundé, Cameroon. Methods: A hospital-based cross-sectional study was conducted from the 14th of March to the 6th of April 2023 at CHRACERH Yaoundé. A total of 190 participants were recruited using a convenience sampling method. Data regarding socio-demographic characteristics, support systems and coping strategies were collected using a pretested questionnaire. Descriptive and analytic statistics were conducted using SPSS version 25. Results: The mean age of participants was 39.52 ± 7.64 years. The majority 78.9% of participants were workers (public, private sector, or traders) and were Christians 95.8%. The most common source of psychological support was from family 76.8 and husbands 72.63%. Most of the participants 89.5% resorted to prayer and getting busy 48.4% as a coping strategy. There was no statistically significant relationship between coping strategies and psychological disorders p > 0.05. Conclusion: The main support system of participants was family, husband, and friends. Prayer, getting busy and adoption were the most common coping strategies. There is a need for the Ministry of Public Health and other stakeholders to put in place other support systems and coping strategies (FELICIA) used elsewhere and provide adequate health education and infection control to prevent infertility in Cameroon.
基金Supported by Research Project of Zhejiang Provincial Department of Education,No.Y202045115.
文摘BACKGROUND Nutritional support for patients hospitalized in the intensive care unit(ICU)is an important part of clinical treatment and care,but there are significant implementation difficulties.AIM To introduce a modified nutritional support management system for ICU patients based on closed-loop information management and psychological counseling.METHODS The division of functions,personnel training,system construction,development of an intelligent decision-making software system,quality control,and improvement of the whole process were carried out to systematically manage nutritional support for ICU patients.RESULTS Following the implementation of the whole process management system,the scores of ICU medical staff’s knowledge,attitudes/beliefs,and practices regarding nutritional support were comprehensively enhanced.The proportion of hospital bed-days of total enteral nutrition(EN)in ICU patients increased from 5.58%to 11.46%,and the proportion of EN plus parenteral nutrition increased from 42.71%to 47.07%.The rate of EN initiation within 48 h of ICU admission increased from 37.50%to 48.28%,and the EN compliance rate within 72 h elevated from 20.59%to 31.72%.After the implementation of the project,the Self-rating Anxiety Scale score decreased from 61.07±9.91 points to 52.03±9.02 points,the Self-rating Depression Scale score reduced from 62.47±10.50 points to 56.34±9.83 points,and the ICU stay decreased from 5.76±2.77 d to 5.10±2.12 d.CONCLUSION The nutritional support management system based on closed-loop information management and psychological counseling achieved remarkable results in clinical applications in ICU patients.
文摘BACKGROUND The increased expression of G3BP1 was positively correlated with the prognosis of liver failure.AIM To investigate the effect of G3BP1 on the prognosis of acute liver failure(ALF)and acute-on-chronic liver failure(ACLF)after the treatment of artificial liver support system(ALSS).METHODS A total of 244 patients with ALF and ACLF were enrolled in this study.The levels of G3BP1 on admission and at discharge were detected.The validation set of 514 patients was collected to verify the predicted effect of G3BP1 and the viability of prognosis.RESULTS This study was shown that lactate dehydrogenase(LDH),alpha-fetoprotein(AFP)and prothrombin time were closely related to the prognosis of patients.After the ALSS treatment,the patient’amount of decreased G3BP1 index in difference of G3BP1 between the value of discharge and admission(difG3BP1)<0 group had a nearly 10-fold increased risk of progression compared with the amount of increased G3BP1 index.The subgroup analysis showed that the difG3BP1<0 group had a higher risk of progression,regardless of model for end-stage liver disease high-risk or low-risk group.At the same time,compared with the inflam matory marks[tumor necrosis factor-α,interleukin(IL)-1βand IL-18],G3BP1 had higher discrimination and was more stable in the model analysis and validation set.When combined with AFP and LDH,concordance index was respectively 0.84 and 0.8 in training and validation cohorts.CONCLUSION This study indicated that G3BP1 could predict the prognosis of ALF or ACLF patients treated with ALSS.The combination of G3BP1,AFP and LDH could accurately evaluate the disease condition and predict the clinical endpoint of patients.
文摘With the beginning of the information systems’ spreading, people started thinking about using them for making business decisions. Computer technology solutions, such as the Decision Support System, make the decision-making process less complex and simpler for problem-solving. In order to make a high-quality business decision, managers need to have a great deal of appropriate information. Nonetheless, this complicates the process of making appropriate decisions. In a situation like that, the possibility of using DSS is quite logical. The aim of this paper is to find out the intended use of DSS for medium and large business organizations in USA by applying the Technology Acceptance Model (TAM). Different models were developed in order to understand and predict the use of information systems, but the information systems community mostly used TAM to ensure this issue. The purpose of the research model is to determine the elements of analysis that contribute to these results. The sample for the research consisted of the target group that was supposed to have completed an online questionnaire about the manager’s use of DSS in medium and large American companies. The information obtained from the questionnaires was analyzed through the SPSS statistical software. The research has indicated that, this is primarily used due to a significant level of Perceived usefulness and For the Perceived ease of use.
文摘Objective:To design and implement a specialized nurse decision support system in the Department of Neurology and explore its effectiveness in preventing stroke-associated pneumonia(SAP).Methods:A decision support module for specialized nurses was developed based on SAP-graded prevention strategies.A total of 664 neurology inpatients admitted to The First People’s Hospital of Xuzhou between July 2023 and September 2023 were selected as the conventional group,receiving standard nursing care.Another 704 neurology inpatients admitted between October 2023 and December 2023 were selected as the experimental group,receiving SAP-graded prevention strategies under the specialized nurse decision support system.The incidence of SAP in the two groups was compared.The occurrence of SAP was recorded using the Acute Ischemic Stroke-Associated Pneumonia Risk(A2DS2)scoring system.Swallowing function was evaluated using the Water Swallow Test(WST),and quality of life was assessed using the Swallowing Quality of Life(SWAL-QOL)scale.Results:The incidence of SAP in the experimental group was significantly lower than in the conventional group(P<0.05).After nursing interventions,the WST scores in the experimental group were lower,while the SWAL-QOL scores were higher compared to the conventional group(P<0.05).Conclusion:The design and implementation of a specialized nurse decision support system in the Department of Neurology significantly reduced the incidence of SAP in neurology inpatients,improved swallowing function,and enhanced quality of life.This approach shows promise for widespread application.
文摘The rapid development of the digital economy,driven by artificial intelligence(AI),is profoundly transforming traditional accounting practices and business models.The emergence of innovative models such as“wisdom+accounting”and“wisdom+financial sharing”has opened new avenues for enhancing enterprise decision-making support systems.This paper delves into the application of AI technology in accounting,examining its practical implementation and associated challenges.To mitigate potential risks arising from technological advancements,enterprises should establish robust and efficient intelligent financial systems.Additionally,organizations should foster a mindset of change within their accounting teams,improve the application of management information systems,strengthen internal control mechanisms,and continuously upgrade intelligent accounting software.Financial managers must adapt to the evolving landscape and proactively adjust their career paths and development strategies.
文摘To address the challenges of current college student employment management,this study designed and implemented a machine learning-based decision support system for college student employment management.The system collects and analyzes multidimensional data,uses machine learning algorithms for prediction and matching,provides personalized employment guidance for students,and provides decision support for universities and enterprises.The research results indicate that the system can effectively improve the efficiency and accuracy of employment guidance,promote school-enterprise cooperation,and achieve a win-win situation for all parties.
文摘Making the distinction between different plantation tree species is crucial for creating reliable and trustworthy information, which is critical in forestry administration and upkeep. Over the years, forest delineation and mapping have been done using the conventional techniques, such as the utilization of ground truth facts together with orthophotos. These techniques have been proven to be very precise, but they are expensive, cumbersome, and challenging to employ in remote regions. To resolve this shortfall, this research investigates the potential of data from the commercial, PlanetScope CubeSat and the freely available, Sentinel 2 data from Copernicus to discriminate commercial forest tree species in the Usutu Forest, Eswatini. Two approaches for image classification, Random Forest (RF) and the Support Vector Machine (SVM) were investigated at different levels of the forest database classification which is the genus (family of tree species) and species levels. The result of the study indicates that, the Sentinel 2 images had the highest species classification accuracy compared to the PlanetScope image. Both classification methods achieved a 94% maximum OA and 0.90 kappa value at the genus level with the Sentinel 2 imagery. At the species level, the Sentinel 2 imagery again showed highly acceptable results with the SVM method, with an OA of 82%. The PlanetScope images performed badly with less than 64% OA for both RF and SVM at the genus level and poorer at the species level with a low OA figure, 47% and 53% for the SVM and RF respectively. Our results suggest that the freely available Sentinel 2 data together with the SVM method has a high potential for identifying differences between commercial tree species than the PlanetScope. The study uncovered that both classification methods are highly capable of classifying species under the gum genus group (esmi, egxu, and egxn) using both imageries. However, it was difficult to separate species types under the pine genus group, particularly discriminating the hybrid species such as pech and pell since pech is a hybrid species for pell.
基金supported by the National Key Research and Development Program of China(2023YFD1600700 and 2023YFD1600701)。
文摘The phenylpropane metabolic pathway is one of the most significant metabolic pathways in plants,synthesizing more than 8,000 metabolites,including flavonoids,lignans,lignin,coumarins,and other metabolites through multiple branching pathways(Zhang and Liu 2015;Gao et al.2024).This pathway is crucial in plant growth,development,and plant-environment interactions(Dong and Lin 2021).
