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Implementation of quasi-Newton algorithm on FPGA for IoT endpoint devices 物联网终端设备准牛顿算法在FPGA上的实现
Q3 Engineering Pub Date : 2022-01-01 DOI: 10.1504/ijsn.2022.10047915
Siyu Chen, Ruiqi Chen, Kai-xiong Su, A. Guo, Shizhen Huang
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引用次数: 0
Self-Management Behaviors of Diabetes Control Among Diabetic Patients in Indonesia 印度尼西亚糖尿病患者糖尿病控制的自我管理行为
Q3 Engineering Pub Date : 2021-05-31 DOI: 10.20849/IJSN.V6I2.863
Wisnu Sadhana, J. Rong
Aims: This study was conducted to exploring the behaviors of self-management of Indonesian diabetes patients on Diabetes (DM) control and health promotion. Methods: Grounded theory was applied to explore the health self-management, by used In-depth interview. Results: The study takes place in the community and health care center, which interviewed 20 respondents, explained the health self-management behaviors. There were found out 5 main themes including: Self-regularly take medication to control DM; Manage daily exercise activity in controlling DM; Manage my food and diet intake is necessary; Monitor blood sugar is the important part of DM control and; Monitor the hypo/hyperglycemia symptoms. Conclusion: The healthy self-management behaviors need to be improved to enhance the motivation and self-care skills of diabetic patients in DM control. Although, the disease management of DM patients may be affected by the environment, culture, and life experience. The results show that diabetic patients have multiple DM self-management attitudes and behaviors towards diabetes disease.
目的:探讨印尼糖尿病患者自我管理行为对糖尿病(DM)控制和健康促进的影响。方法:采用深度访谈法,运用扎根理论对健康自我管理进行探讨。结果:本研究在社区和卫生保健中心进行,访谈了20名受访者,解释了健康自我管理行为。研究发现,糖尿病患者有5个主要主题:自我定期服药控制糖尿病;管理日常运动活动,控制糖尿病;管理我的食物和饮食摄入是必要的;血糖监测是糖尿病控制的重要组成部分;监测低血糖/高血糖症状。结论:需要改善健康的自我管理行为,以提高糖尿病患者控制糖尿病的动力和自我保健技能。然而,糖尿病患者的疾病管理可能受到环境、文化和生活经历的影响。结果表明,糖尿病患者对糖尿病疾病存在多种糖尿病自我管理态度和行为。
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引用次数: 1
Clinical Predictors of Weight Gain in Early Breast Cancer Survivors 早期乳腺癌幸存者体重增加的临床预测因素
Q3 Engineering Pub Date : 2021-05-20 DOI: 10.20849/IJSN.V6I2.888
Su Yu, C. Chen
Aim: To identify risk factors for weight gain after two years of a breast cancer diagnosis. Background: Obesity in survivors of early-stage breast cancer has been associated with high disease recurrence rates and lower overall survival rates. Continuous weight gain is an indisputable phenomenon. Identifying factors at the early diagnosis and treatment phase that are associated with weight gain at 2 years later may help to develop further intervention for prevention obesity in breast cancer survivors. Method: A retrospective study was designed to review medical records of 1901 early-stage breast cancer survivors. Extracted data included demographics, past medical history, cancer treatment, tumor characteristics, BMI at diagnosis, and 24-month weights. Results: The sample had a mean age 50.3 ( + 10.7). Most of them were premenopausal, stage II and BMI ranging from 18.5 to 24 kg/m 2 at diagnosis. A majority of them received mastectomy (65.9%), chemotherapy (68.8%), radiotherapy (64.6%) and hormone therapy (63%). At 24 months after surgery, the breast cancer patients gained a mean of 0.4kg; but 21.6% of them gained 5% or more. The breast cancer survivors those who were premenopausal at diagnosis, less-than-high-school education, receiving adriamycin agent, cyclophosphamide agent, and gaining 5% or more weight after surgery had significant higher risk to gain 5% or more at 2 years after diagnosis. Conclusion: Findings from our study suggested that the premenopausal women or those who receive less formal education have higher risk to gain weight after breast cancer treatment. Engagement to healthy weight management for these high risk groups are warranted
目的:确定乳腺癌诊断两年后体重增加的危险因素。背景:早期乳腺癌幸存者的肥胖与高疾病复发率和较低的总生存率相关。体重持续增加是一个无可争议的现象。在早期诊断和治疗阶段确定与2年后体重增加相关的因素可能有助于制定进一步的干预措施,预防乳腺癌幸存者的肥胖。方法:回顾性分析1901例早期乳腺癌幸存者的医疗记录。提取的数据包括人口统计、既往病史、癌症治疗、肿瘤特征、诊断时BMI和24个月体重。结果:患者平均年龄50.3岁(±10.7岁)。多数为绝经前II期,诊断时BMI在18.5 ~ 24 kg/ m2之间。其中大部分接受了乳房切除术(65.9%)、化疗(68.8%)、放疗(64.6%)和激素治疗(63%)。术后24个月,乳腺癌患者平均增重0.4kg;但其中21.6%的股票涨幅达到或超过5%。乳腺癌幸存者在诊断时处于绝经前,受教育程度低于高中,接受阿霉素,环磷酰胺治疗,术后体重增加5%或以上的患者在诊断后2年体重增加5%或以上的风险显著增加。结论:我们的研究结果表明,绝经前妇女或接受正规教育较少的妇女在乳腺癌治疗后体重增加的风险更高。对这些高危人群进行健康的体重管理是必要的
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引用次数: 0
Attitude of Nursing Students Towards Work in the Clinical Learning Environment 临床学习环境下护生对工作的态度
Q3 Engineering Pub Date : 2021-03-22 DOI: 10.20849/IJSN.V6I1.855
Chiamaka Rosemary Anagor, F. Lukpata, J. Ikechukwu-Okoroezi, May Ulunma Obiora
Introduction: Exposure to the clinical learning environment is indispensable for the nursing students as it provides experiences which are basic and significant to the development of professional skills as well as bridge the theory-practice gap. Despite the importance of clinical learning, nursing students’ attitudes in the clinical environment has been a concern. Purpose: This paper reviewed the attitude of nursing students towards work in the clinical learning environment. Method: Electronic searches using scholarly databases were employed and only significant articles that met the review objective were utilized. Findings: This review revealed that there is a high rate of unauthorized student nurses’ absenteeism as majority are absent from clinical work without permission. There is also an appalling display of lateness behavior as students arrive at work after the scheduled time. Interestingly, most students are willing to carry out procedures while some are nonchalant due to the stressful and anxiety provoking tasks. Student nurses felt that there is an unspoken comparison, discrimination and disrespect displayed by their seniors and medical colleagues towards them. Conclusion: There is overwhelming evidence from literature supporting the negative attitudes of nursing students in the clinical environment. It was therefore recommended that students should be psychologically prepared in their schools before exposure to the clinical environment. There should be an effort to build students’ self-esteem and professional self-concept by the relevant authorities. Finally, to bridge the rift between inter-professionals, there is need for more social interaction opportunities where everyone will value what each member contributes to the team.
临床学习环境对护理专业学生来说是必不可少的,因为它为专业技能的发展提供了基础和重要的经验,并弥合了理论与实践的差距。尽管临床学习很重要,但护理学生在临床环境中的态度一直受到关注。目的:探讨护理学生在临床学习环境中对工作的态度。方法:使用学术数据库进行电子检索,只使用符合综述目标的重要文章。结果:本研究发现,实习护士的缺勤率较高,大多数是未经许可而缺席临床工作。还有令人震惊的迟到行为,学生们迟到的时间超过了规定的时间。有趣的是,大多数学生都愿意执行程序,而有些学生则因为压力和焦虑而无动于衷。实习护士感到师长和同事对她们有一种不言而喻的比较、歧视和不尊重。结论:有大量文献证据支持护生在临床环境中的消极态度。因此,建议学生在接触临床环境之前在学校做好心理准备。有关部门应该努力建立学生的自尊和职业自我概念。最后,为了弥合跨专业人员之间的分歧,需要更多的社交互动机会,让每个人都重视每个成员对团队的贡献。
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引用次数: 3
Integrated Intervention Program for Pregnant Women Toward ZIKΑ Virus Infection in Upper Egypt 上埃及孕妇ZIKΑ病毒感染综合干预方案
Q3 Engineering Pub Date : 2021-03-15 DOI: 10.20849/IJSN.V6I1.870
Eman Ali Abd El Moaty Sheha, H. Hassan, E. Elsherbeny, A. Elgendy
Background : ZIKА infection may have long-term effects on reproductive health in addition to the neurological consequence in newborns. So, Awareness regarding ZIKА virus among pregnant women is important to take preventive measures. Aim: Evaluate the effect of integrated intervention guidelines on knowledge, self-reported practice of pregnant women toward ZIKА virus infection. Design: А quantitative quasi-experimental (pretest-posttest). Settings: The study was conducted at Obstetrics and gynecologic outpatient clinics at Fayoum University Hospital. Subjects: А convenient conducted among 240 pregnant women, assigned to 120 women in the control group, and 120 women in the study group. Two tools were used for data collection after reviewing relevant data; Tool I was а self-administered questionnaire to assess personal and obstetric characteristics of pregnant women, and their knowledge related ZIKА virus. Tool II was а self-reported practice questionnaire concerning self-protective measures regarding the prevention of ZIKА virus. Results: The results of this study showed that the majority of pregnant women wаs poor score level of knowledge and practice pre-intervention in both control and study group, however, there was an improvement of score level of knowledge and practice in the study group than control group post-intervention. Highly statistical significance was founded between control and study groups related to knowledge and practice. Positive significance correlation between pregnant women knowledge and practice score level post intervention in study group. Conclusion : The integrated intervention guideline improved pregnant women knowledge and practices. Recommendations: Continued efforts to close knowledge gaps, raise awareness and promote favorable attitudes toward ZIKА virus. Awareness about ZIKА virus infection should be ensured and maintained among all members of community, increased the prevention campaigns to improve community awareness of the seriousness of the disease, especially in rural areas.
背景:ZIKА感染除了新生儿的神经系统后果外,还可能对生殖健康产生长期影响。因此,孕妇对ZIKА病毒的认识对采取预防措施很重要。目的:评价综合干预指南对孕妇ZIKА病毒感染知识、自我报告行为的影响。设计:А定量准实验(前测后测)。环境:本研究在法尤姆大学医院的妇产科门诊进行。研究对象:А方便对240名孕妇进行研究,其中120名为对照组,120名为研究组。在审查相关数据后,使用两种工具进行数据收集;工具1是一份自我管理的问卷,用于评估孕妇的个人和产科特征,以及她们对ZIKА病毒的相关知识。工具二是关于预防ZIKА病毒的自我保护措施的自我报告实践问卷。结果:本研究结果显示,干预前,对照组和研究组大多数孕妇的知识和实践得分水平较差,但干预后,研究组的知识和实践得分水平较对照组有所提高。在知识和实践方面,对照组和研究组之间存在高度统计学意义。实验组孕妇干预后知识与实践得分水平呈正相关。结论:综合干预指南提高了孕妇的知识和实践水平。建议:继续努力缩小知识差距,提高认识并促进对ZIKА病毒的有利态度。应确保和保持社区所有成员对ZIKА病毒感染的认识,加强预防运动,以提高社区,特别是农村地区对该疾病严重性的认识。
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引用次数: 1
Spontaneous Versus Directed Pushing Technique: Maternal and Neonatal Outcomes: A Comparative Study in Northern Upper Egypt 自发与定向推技术:产妇和新生儿的结局:北部上埃及的比较研究
Q3 Engineering Pub Date : 2021-03-15 DOI: 10.20849/IJSN.V6I1.869
H. Hassan, W. Gamel, Amal Sarhan Eldesokey Genedy
Background: Maternal pushing during the 2 stage of labor is indispensable and important contributor to the involuntary expulsive force developed by uterine contraction results to influence on the mother and fetus. Aim: the study was conducted to compare spontaneous versus Valsalva (directed) pushing techniques at the second stage of labor on maternal and fetal outcomes. Methods: Setting: Delivery Unit of El-Fayoum General and University Hospitals. Design: A quasi-experimental comparative study. Subjects: A purposive sample of a total of 100 primiparous women; 50 in the Valsalva (directed) pushing group & 50 in the spontaneous pushing group. Tools: four tools were used; structured interviewing questionnaire sheet, Apgar score, Visual analog scale, and women satisfaction questionnaire. Results: The duration of the second stage of labor was shorter (5-10 min) in a spontaneous pushing (54.0%) group compared to the direct pushing group (2.0%). Oxygen wasn't used at all in spontaneous pushing group compared to 74.0% of directed pushing group. Postpartum hemorrhage was too little in spontaneous pushing group (96.0%) compared to 36.0% of the directed pushing group. Also, all women in the spontaneous pushing group experienced mild perineal pain compared to 32.0% in the directed pushing group (p<0.001). The individual items of the VAS were significantly higher in the directed pushing group than those in the spontaneous pushing group. According to Apgar's score, there was a significant difference between the two groups during both the first and fifth minutes of birth. In the directed pushing group, a higher proportion of babies are admitted to ICU than those in the spontaneous pushing group (18.0 percent versus 10.0 percent). Conclusion; spontaneous pushing during the 2 stage of labor enhanced neonatal and maternal outcomes; whilst directed pushing was associated with an increased duration of the 2 stage of labor and risk of adverse neonatal outcomes. Recommendations: It may be recommended that spontaneous pushing during the second stage of childbirth be included in the procedure for maternal hospitals.
背景:产程2期产妇的推压是子宫收缩产生的不自觉排斥力对母胎影响不可缺少的重要因素。目的:本研究的目的是比较自发性和Valsalva(定向)推动技术在产程第二阶段对母体和胎儿结局的影响。方法:地点:El-Fayoum综合医院和大学医院分娩部。设计:准实验比较研究。对象:目的性样本共100例初产妇女;Valsalva(定向)推入组50例,自发推入组50例。工具:使用4种工具;结构式访谈问卷、Apgar评分、视觉模拟量表、女性满意度问卷。结果:自然推产程(54.0%)比直接推产程(2.0%)短(5 ~ 10 min)。自发推入组完全不使用氧气,而定向推入组为74.0%。自发推入组产后出血极少(96.0%),而定向推入组产后出血发生率为36.0%。此外,自发推入组的所有女性都有轻度会阴疼痛,而定向推入组的这一比例为32.0% (p<0.001)。直接推入组VAS单项评分明显高于自发推入组。根据阿普加的评分,两组婴儿在出生后的第一分钟和第五分钟都有显著差异。直接推入组的新生儿入住ICU的比例高于自发推入组(18.0%比10.0%)。结论;产程2期的自然推压可提高新生儿和产妇的预后;而直接推与2期劳动持续时间的增加和不良新生儿结局的风险有关。建议:可能建议将分娩第二阶段的自然推压纳入产妇医院的程序。
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引用次数: 2
Adaptive Histogram Fusion-based Color Restoration and Enhancement for Underwater Images 基于自适应直方图融合的水下图像颜色恢复与增强
Q3 Engineering Pub Date : 2021-01-01 DOI: 10.1504/ijsn.2021.10033987
Zhang Weishi, Zhang Dehuan, Zhou Jingchun
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引用次数: 0
Multi-Factorial Management of Fall Risk in the Home Setting With Use of Innovative Technology: A Case Study 使用创新技术对居家环境中跌倒风险的多因素管理:个案研究
Q3 Engineering Pub Date : 2020-12-02 DOI: 10.20849/ijsn.v5i4.830
Rebecca J Tarbert
Fall risk and fall injury risk are a raising concern for older adults living in the home and community environment. Injuries from falls account for reduced independence in the form of limitations of performance of activities of daily living, significant dependency for ambulation and For up to 50% of those who suffer a hip fracture from a fall, will not be able to return to their prior level of living. Serious fall injuries create a necessity to move into a setting where increased levels of care are provided. The ability to remain in the most desired setting of their own home is a critical part of successfully aging in place. According to the Centers of Disease Control, 36 million older adults in the United States suffered a fall in 2018 with 8 million reported injuries. With the expansion of the older adult population, these numbers are anticipated to inflate up to 52 million falls with 12 million reported fall injuries by the year 2030. Several countries have adopted fall risk mitigation programs for fall risk identification in primary care and community provision of fall management strategies. Traditional methods of fall risk management follow the American Geriatrics Society’s and British Geriatrics Society’s Clinical Practice Guideline. Though great strides are taken to intervene on the modifiable risk factors for falls, the risk of falls for many individuals remains. Introduction of new and innovative technologies can offer increased safety and ability to participate in functional mobility for those most at risk of falls and fall injuries. 
对于生活在家庭和社区环境中的老年人来说,跌倒风险和跌倒损伤风险日益受到关注。摔伤导致的独立性降低,表现为日常生活活动能力受限,严重依赖行走,并且多达50%的摔伤髋部骨折患者将无法恢复到以前的生活水平。严重的摔伤使得有必要转移到提供更高水平护理的环境中。能够呆在自己家中最理想的环境中是成功养老的关键部分。根据美国疾病控制中心的数据,2018年,美国有3600万老年人跌倒,其中800万人受伤。随着老年人口的扩大,预计到2030年,这些数字将增加到5200万次跌倒,其中1200万次跌倒受伤。一些国家在初级保健和社区提供跌倒管理战略中采用了跌倒风险缓解规划,以确定跌倒风险。传统的跌倒风险管理方法遵循美国老年病学会和英国老年病学会的临床实践指南。虽然在干预可改变的跌倒风险因素方面取得了很大进展,但对许多人来说,跌倒的风险仍然存在。引入新的创新技术可以为那些最容易跌倒和跌倒受伤的人提供更高的安全性和参与功能活动的能力。
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引用次数: 0
An improved genetic algorithm in shared bicycle parking point allocation 一种改进的遗传算法在共享单车停放点分配中的应用
Q3 Engineering Pub Date : 2020-09-11 DOI: 10.1504/ijsn.2020.10032000
Guanlin Chen, Jiawei Shi, Huang Xu, Tian Li, Wujian Yang
Aiming to solve the problem of inadequate parking places for shared bicycles especially during peak hours, an improved genetic algorithm for parking point allocation is proposed in this paper. We integrate linear regression algorithm with the genetic algorithm to increase the direct of individual mutation, which leads to avoiding falling into local optimum. Meanwhile, we use linear regression to haste the convergence speed of genetic algorithm which ensures the new method can improve efficiency while allocating parking point. For the sake of carrying out the experiment accurately and conveniently, we use geohash to encode the locations of parking points and bicycles into short letters and numbers. According to the analysis of experimental results, it proves the improved algorithm is superior to the conventional method for parking point allocation.
针对交通高峰时段共享单车停车位不足的问题,提出了一种改进的遗传算法用于共享单车车位分配。我们将线性回归算法与遗传算法相结合,增加个体突变的直接性,避免陷入局部最优。同时,利用线性回归加快了遗传算法的收敛速度,保证了新方法在泊车点分配时能够提高效率。为了准确方便地进行实验,我们使用geohash将停车点和自行车的位置编码为短字母和数字。通过对实验结果的分析,证明了改进算法优于传统的停车点分配方法。
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引用次数: 0
Developing Cultural Humility During Short-Term Study Abroad Immersion 在短期海外学习中培养谦逊的文化
Q3 Engineering Pub Date : 2020-08-20 DOI: 10.20849/ijsn.v5i3.764
Katheryn Fernandez
Background: Cultural humility is an essential part of nursing education and practice today. We often teach cultural competence but do not take it further to develop the cultural humility needed for an understanding of being and becoming in today’s global environment. Method: This article describes a ten-day immersive study abroad experience to Mexico using strategies to develop cultural humility. Cultural immersion is a high impact practice and was used along with reflective writing and debriefing. Results: Cultural humility did emerge because of the trip to Mexico. Strategies used to develop this were reflective writings, discussions, debriefing and cultural immersion. These emerged as strong strategies to use in study abroad experiences. Conclusion: Nursing students can develop cultural humility during short-term immersion trips to Mexico. Further study of these strategies are needed to develop further knowledge of cultural humility and its impact on developing culturally congruent health care, reducing health disparities and promoting health equity.
背景:文化谦逊是当今护理教育和实践的重要组成部分。我们经常教授文化能力,但没有进一步发展文化谦逊,这是理解在当今全球环境中存在和成为所需要的。方法:本文描述了一个为期十天的身临其境的墨西哥留学经历,使用策略来培养文化谦逊。文化沉浸是一种高影响力的实践,与反思性写作和汇报一起使用。结果:由于墨西哥之行,文化上的谦逊确实出现了。发展这种能力的策略包括反思性写作、讨论、汇报和文化沉浸。这些都成为了在海外留学经历中使用的有力策略。结论:护生在墨西哥的短期沉浸式旅行中可以培养文化谦逊。需要对这些策略进行进一步研究,以进一步了解文化谦逊及其对发展文化一致的卫生保健、减少卫生差距和促进卫生公平的影响。
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引用次数: 3
期刊
International Journal of Security and Networks
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