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The Integration and Practical Exploration of Information-based Teaching Methods in Vocational Education of Medical Laboratory Technology
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作者 Murray Keshal 《Journal of Contemporary Educational Research》 2025年第8期26-31,共6页
Against the backdrop of the rapid intelligent development of medical laboratory technology,vocational education is in urgent need of teaching innovation.This paper explores the integration and practice of information-... Against the backdrop of the rapid intelligent development of medical laboratory technology,vocational education is in urgent need of teaching innovation.This paper explores the integration and practice of information-based teaching methods in vocational education of medical laboratory technology,analyzes the current situation of traditional teaching and the demand for informatization,and elaborates on the practical paths from aspects such as resource construction,model innovation,and evaluation reform.Practice has verified that this integration has improved teaching quality and students’skills,but there are problems such as uneven resources and the need to improve teachers’and students’abilities.Countermeasures such as strengthening co-construction and sharing of resources and carrying out special training are proposed to provide reference for the development of professional education. 展开更多
关键词 information-based teaching Medical laboratory technology Vocational education Teaching integration Practical exploration
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Research on the Application of Information-Based Flipped Classroom Teaching Model in Nursing Education of Rheumatology and Immunology Department
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作者 Yaqi Niu Xiaoyan Li +3 位作者 Ning Li Changjuan Li Na Li Hua Guo 《Journal of Contemporary Educational Research》 2025年第9期282-288,共7页
Objective:To explore the application effect of an information-based flipped classroom teaching model in nursing education of rheumatology and immunology,providing empirical evidence for optimizing specialized nursing ... Objective:To explore the application effect of an information-based flipped classroom teaching model in nursing education of rheumatology and immunology,providing empirical evidence for optimizing specialized nursing education models.Methods:Eighty nursing students from the 2021 grade of Xi’an Medical University were selected as research subjects and randomly divided into an experimental group(n=40)and a control group(n=40)using a random number table method.The control group received traditional lecture-based teaching,while the experimental group underwent information-based flipped classroom teaching.The theoretical knowledge scores and practical operation assessment scores of the two groups were compared after teaching,and the teaching satisfaction of the experimental group students was evaluated through a questionnaire survey.Results:The theoretical knowledge score(85.60±5.20)and practical operation score(88.30±4.70)of the experimental group were significantly higher than those of the control group(76.20±6.50)and(75.80±5.90),respectively.The differences were statistically significant(p<0.05).The satisfaction scores of all dimensions in the experimental group were significantly higher than those in the control group,and the differences were statistically significant(p<0.05).Conclusion:The information-based flipped classroom teaching model can effectively improve the quality of nursing teaching in rheumatology and immunology,enhance students’knowledge mastery and practical abilities,and is worthy of promotion and application in clinical nursing teaching. 展开更多
关键词 information-based teaching Flipped classroom Rheumatology and immunology Nursing education Teaching effectiveness
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Information-based approach:Pricing of a credit risky asset in the presence of default time
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作者 Mohammed Louriki 《Probability, Uncertainty and Quantitative Risk》 2024年第3期405-430,共26页
We extend the information-based asset-pricing framework by Brody,Hughston&Macrina to incorporate a stochastic bankruptcy time for the writer of the asset.Our model introduces a non-defaultable cash flow Zr to be m... We extend the information-based asset-pricing framework by Brody,Hughston&Macrina to incorporate a stochastic bankruptcy time for the writer of the asset.Our model introduces a non-defaultable cash flow Zr to be made at time T,alongside the time T of a possible bankruptcy of the writer of the asset are in line with the filtration generated by a Brownian random bridge with length v=T^T and pinning point ZT,where is a constant.Quantities Z and T are not necessarily independent.The model does not depend crucially on the interpretation of as a bankruptcy time.We derived the price process of the asset and compute the prices of associated options.The dynamics of the price process satisfy a diffusion equation.Employing the approach of P.-A.Meyer,we provide the explicit computation of the compensator of v.Leveraging special properties of the bridge process,we also provide the explicit expression of the compensator of Zr I(v,+o).The resulting conclusion highlights the totally inaccessible property of the stopping time v.This characteristic is particularly suitable for financial markets where the time of default of a writer cannot be predictable from any other signal in the system until default happens. 展开更多
关键词 Brownian random bridge SEMIMARTINGALE Local time Compensator process information-based asset pricing Credit risk Default time Totally inaccessible stopping time
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Comparing trans-oral endoscopic thyroidectomy vestibular approach and trans-areolar approaches regarding postoperative infections and swallowing difficulty
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作者 Hyder Mirghani 《World Journal of Clinical Cases》 2026年第1期21-27,共7页
BACKGROUND Due to the increasing rate of thyroid nodules diagnosis,and the desire to avoid the unsightly cervical scar,remote thyroidectomies were invented and are increasingly performed.Transoral endoscopic thyroidec... BACKGROUND Due to the increasing rate of thyroid nodules diagnosis,and the desire to avoid the unsightly cervical scar,remote thyroidectomies were invented and are increasingly performed.Transoral endoscopic thyroidectomy vestibular approach and trans-areolar approaches(TAA)are the two most commonly used remote approaches.No previous meta-analysis has compared postoperative infections and swallowing difficulties among the two procedures.AIM To compared the same among patients undergoing lobectomy for unilateral thyroid carcinoma/benign thyroid nodule.METHODS We searched PubMed MEDLINE,Google Scholar,and Cochrane Library from the date of the first published article up to August 2025.The term used were transoral thyroidectomy vestibular approach,trans areolar thyroidectomy,scarless thyroidectomy,remote thyroidectomy,infections,postoperative,inflammation,dysphagia,and swallowing difficulties.We identified 130 studies,of them,30 full texts were screened and only six studies were included in the final meta-analysis.RESULTS Postoperative infections were not different between the two approaches,odd ratio=1.33,95%confidence interval:0.50-3.53,theχ2 was 1.92 and the P-value for overall effect of 0.57.Similarly,transient swallowing difficulty was not different between the two forms of surgery,with odd ratio=0.91,95%confidence interval:0.35-2.40;theχ2 was 1.32,and the P-value for overall effect of 0.85.CONCLUSION No significant statistical differences were evident between trans-oral endoscopic Mirghani H.Infections and swallowing difficulty in scarless thyroidectomy WJCC https://www.wjgnet.com 2 January 6,2026 Volume 14 Issue 1 thyroidectomy vestibular approach and trans-areolar approach regarding postoperative infection and transient swallowing difficulties.Further longer randomized trials are needed. 展开更多
关键词 Trans-oral endoscopic thyroidectomy vestibular approach Trans-areolar approaches Postoperative Infections swallowing difficulty
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Development of an Information-Based Leadership Evaluation Index System for School Management Teams:A Comprehensive Approach
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作者 Wei Li Fang Liu 《Journal of Contemporary Educational Research》 2024年第4期35-40,共6页
In the context of educational informatization reform,there are many uncertain factors in the process of education development.To optimize the educational environment so that it can be effectively combined with informa... In the context of educational informatization reform,there are many uncertain factors in the process of education development.To optimize the educational environment so that it can be effectively combined with information technology,teachers need to change their teaching ideas,strengthen the school’s own adaptability to informatization,and promote the development of informatization construction in schools.As a branch of information leadership,the management team should establish an evaluation index system for information leadership in order to ensure the construction of school informatization,so as to provide a boost for the integration of school resources and information technology.Based on the overview and connotation of information-based leadership of the management team,this paper explores the construction of an evaluation index system of information-based leadership of the school management team,aiming to provide references for the research of relevant personnel in the future. 展开更多
关键词 School management team information-based leadership Evaluation index system
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Teaching Design of Tourism Management Based on Information-based Teaching Method:A Case Study of Selection of Hotel Construction Site
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作者 Haiyang MA Lejun LI +2 位作者 Xiaomei LIU Weijun ZHAO Baoyi LOU 《Asian Agricultural Research》 2021年第12期55-61,共7页
Taking the knowledge points of hotel construction site selection as an example,this paper integrated the information-based teaching method with traditional classrooms.With the aid of virtual reality(VR)technology,the ... Taking the knowledge points of hotel construction site selection as an example,this paper integrated the information-based teaching method with traditional classrooms.With the aid of virtual reality(VR)technology,the information-based teaching can turn the abstract knowledge into vivid knowledge.Using the Rain Classroom platform,teachers can communicate with students in a better manner.Combined with the powerful spatial data analysis function of geographic information system(GIS)software,it is intended to provide new ideas and perspectives for the effective integration of traditional teaching classrooms and information technology,and effectively apply them to the practical teaching process. 展开更多
关键词 information-based teaching Hotel Management teaching INTEGRATION
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Pricing Bermudan Option with Variable Transaction Costs under the Information-Based Model
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作者 Matabel Odin Jane Akinyi Aduda Cyprian Ondieki Omari 《Open Journal of Statistics》 2022年第5期549-562,共14页
The Bermudan option pricing problem with variable transaction costs is considered for a risky asset whose price process is derived under the information-based model. The price is formulated as the value function of an... The Bermudan option pricing problem with variable transaction costs is considered for a risky asset whose price process is derived under the information-based model. The price is formulated as the value function of an optimal stopping problem, which is the value function of a stochastic control problem given by a non-linear second order partial differential equation. The theory of viscosity solutions is applied to solve the stochastic control problem such that the value function is also the solution of the corresponding Bellman equation. Under some regularity assumptions, the existence and uniqueness of the solution of the pricing equation are derived by the application of the Perron method and Banach Fixed Point theorem. 展开更多
关键词 Bermudan Option information-based Model Variable Costs Bellman Equation Viscosity Solutions
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Study on the Application of Cloud Technology to Information-based Enterprise Management
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作者 Yawen XU 《International Journal of Technology Management》 2015年第1期17-19,共3页
The innovation of enterprise management model and the improvement of efficiency are the impetuses to the internal development of enterprises. Computer information technology, with its advantages in low cost, high effi... The innovation of enterprise management model and the improvement of efficiency are the impetuses to the internal development of enterprises. Computer information technology, with its advantages in low cost, high efficiency and high quality, has been widely popularized and applied in the enterprise development. In this paper, the core competitiveness of enterprises in the information age and the far-reaching influence of a creative, sustainable growth on the development of enterprises are analyzed mainly from the information-based application in enterprise management and the influence of informatization and networking on enterprise management. 展开更多
关键词 Computer Technology information-based Enterprise Management
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PARALLEL INFORMATION-BASED COMPLEXITY OF NUMERICAL INTEGRATION ON SOBOLEV CLASS W_q^s(Ω)
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作者 Jiang Tianzi(Chinese Academy of Sciences,China) 《Analysis in Theory and Applications》 1996年第1期10-18,共9页
This paper deals with the parallel information-based complexity of numerical integration on Sobolev class. We obtain tight bounds on the complexity, considered as a function of two variables simultaneously:the number ... This paper deals with the parallel information-based complexity of numerical integration on Sobolev class. We obtain tight bounds on the complexity, considered as a function of two variables simultaneously:the number of processors, the rquired precision. This result seems to be new even in serial case. 展开更多
关键词 PARALLEL information-based COMPLEXITY OF NUMERICAL INTEGRATION ON SOBOLEV CLASS W_q~s
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Integration of Information-based Teaching Resources in Higher Vocational Colleges and Construction of Application Evaluation Index System
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作者 WANG Xiaofei 《外文科技期刊数据库(文摘版)教育科学》 2021年第2期234-238,共5页
The so-called evaluation index system refers to the establishment of an evaluation system based on the main characteristics of each aspect of the evaluation object and the related parameter indexes. In the process of ... The so-called evaluation index system refers to the establishment of an evaluation system based on the main characteristics of each aspect of the evaluation object and the related parameter indexes. In the process of higher vocational education, with the combination of online and offline education and the continuous expansion of online course resources, many online courses have achieved resource sharing. How to effectively integrate teaching resources and give full play to the main advantages of teaching resources has become the focus of higher vocational education. This paper focuses on the information-based teaching model of higher vocational education, and analyzes the integration of teaching resources and the evaluation content for reference only. 展开更多
关键词 higher vocational education information-based teaching INTEGRATION EVALUATION
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The Integration and Application of Information-based Teaching and Secondary Vocational Music Class
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作者 XUDongdong 《外文科技期刊数据库(文摘版)教育科学》 2022年第1期208-211,共4页
With the worldwide research and development of digital information technology, the world has entered the information age. All walks of life have undergone tremendous changes under the blessing of information technolog... With the worldwide research and development of digital information technology, the world has entered the information age. All walks of life have undergone tremendous changes under the blessing of information technology. Education is no exception. In an era when information technology is so developed, secondary vocational teachers need to keep up with the pace of the times and integrate information technology and music teaching, which can make the classroom full of interest, make teaching more intuitive and efficient, and improve students' enthusiasm to participate in teaching, so as to better promote the smooth achievement of teaching objectives. This paper mainly focuses on the music classroom of secondary vocational schools in China. While analyzing the role of music in secondary vocational schools, it discusses the significance and current situation of the integration of information-based teaching and music classroom of secondary vocational schools, and finally focuses on how to further integrate information-based teaching in music classroom of secondary vocational schools. 展开更多
关键词 information-based teaching secondary vocational music INTEGRATION status quo MEASURE
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Novel cardiac biomarkers and multiple-marker approach in the early detection,prognosis,and risk stratification of cardiac diseases 被引量:1
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作者 Syed Faqeer Hussain Bokhari Muhammad Umais +8 位作者 Syed Muhammad Faizan Sattar Umair Mehboob Asma Iqbal Maaz Amir Danyal Bakht Khawar Ali Abdul Haseeb Hasan Muhammad Arsham Javed Wahidullah Dost 《World Journal of Cardiology》 2025年第7期11-52,共42页
Cardiovascular diseases(CVDs)remain the leading cause of morbidity and mortality worldwide,necessitating innovative diagnostic and prognostic strategies.Traditional biomarkers like C-reactive protein,uric acid,troponi... Cardiovascular diseases(CVDs)remain the leading cause of morbidity and mortality worldwide,necessitating innovative diagnostic and prognostic strategies.Traditional biomarkers like C-reactive protein,uric acid,troponin,and natriuretic peptides play crucial roles in CVD management,yet they are often limited by sensitivity and specificity constraints.This narrative review critically examines the emerging landscape of cardiac biomarkers and advocates for a multiple-marker approach to enhance early detection,prognosis,and risk stratification of CVD.In recent years,several novel biomarkers have shown promise in revolutionizing CVD diagnostics.Gamma-glutamyltransferase,microRNAs,endothelial microparticles,placental growth factor,trimethylamine N-oxide,retinol-binding protein 4,copeptin,heart-type fatty acid-binding protein,galectin-3,growth differentiation factor-15,soluble suppression of tumorigenicity 2,fibroblast growth factor 23,and adrenomedullin have emerged as significant indicators of CV health.These biomarkers provide insights into various pathophysiological processes,such as oxidative stress,endothelial dysfunction,inflammation,metabolic disturbances,and myocardial injury.The integration of these novel biomarkers with traditional ones offers a more comprehensive understanding of CVD mechanisms.This multiple-marker approach can improve diagnostic accuracy,allowing for better risk stratification and more personalized treatment strategies.This review underscores the need for continued research to validate the clinical utility of these biomarkers and their potential incorporation into routine clinical practice.By leveraging the strengths of both traditional and novel biomarkers,precise therapeutic plans can be developed,thereby improving the management and prognosis of patients with CVDs.The ongoing exploration and validation of these biomarkers are crucial for advancing CV care and addressing the limitations of current diagnostic tools. 展开更多
关键词 Cardiac biomarkers Multiple-marker approach Cardiovascular disease diagnosis Risk stratification Prognostic indicators
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Three-dimensional Analysis of the Evolution Path of Teaching Methods in China--Reflection and Prospect of Information-based Teaching
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作者 Chenzhen Min 《教育研究前沿(中英文版)》 2022年第4期34-40,共7页
Under the influence of the information technology revolution,the teaching method,as the way to impart teaching content or the means to realize teaching content,has undergone a process of constant evolution and transfo... Under the influence of the information technology revolution,the teaching method,as the way to impart teaching content or the means to realize teaching content,has undergone a process of constant evolution and transformation.This transformation is still ongoing.In order to explain this phenomenon,we establish a three-dimension analysis framework of"ECONOMIC BASE-INFORMATION TECHNOLOGY-CULTURE".All kinds of logics involved in them are closely linked,thus influencing each other.At the same time,these aspects constantly affect the historical trajectory of the evolution.Based on the above analysis framework,the paper uses the historical approach to expound the evolution path on teaching methods in China since ancient times and divides it into four stages.Combined with the practical problems and interview results,we rethink the present information teaching methods.In the end,some suggestions are put forward in order to promote the further development of education-related fields. 展开更多
关键词 Information Technology Teaching Method Evolution Path Historical approach
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Induced pluripotent stem cell-related approaches to generate dopaminergic neurons for Parkinson's disease
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作者 Ling-Xiao Yi Hui Ren Woon +3 位作者 Genevieve Saw Li Zeng Eng King Tan Zhi Dong Zhou 《Neural Regeneration Research》 SCIE CAS 2025年第11期3193-3206,共14页
The progressive loss of dopaminergic neurons in affected patient brains is one of the pathological features of Parkinson's disease,the second most common human neurodegenerative disease.Although the detailed patho... The progressive loss of dopaminergic neurons in affected patient brains is one of the pathological features of Parkinson's disease,the second most common human neurodegenerative disease.Although the detailed pathogenesis accounting for dopaminergic neuron degeneration in Parkinson's disease is still unclear,the advancement of stem cell approaches has shown promise for Parkinson's disease research and therapy.The induced pluripotent stem cells have been commonly used to generate dopaminergic neurons,which has provided valuable insights to improve our understanding of Parkinson's disease pathogenesis and contributed to anti-Parkinson's disease therapies.The current review discusses the practical approaches and potential applications of induced pluripotent stem cell techniques for generating and differentiating dopaminergic neurons from induced pluripotent stem cells.The benefits of induced pluripotent stem cell-based research are highlighted.Various dopaminergic neuron differentiation protocols from induced pluripotent stem cells are compared.The emerging three-dimension-based brain organoid models compared with conventional two-dimensional cell culture are evaluated.Finally,limitations,challenges,and future directions of induced pluripotent stem cell–based approaches are analyzed and proposed,which will be significant to the future application of induced pluripotent stem cell-related techniques for Parkinson's disease. 展开更多
关键词 dopaminergic neurons induced pluripotent stem cells Parkinson's disease stem cell approaches
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Ensemble Deep Learning Approaches in Health Care:A Review 被引量:1
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作者 Aziz Alotaibi 《Computers, Materials & Continua》 2025年第3期3741-3771,共31页
Deep learning algorithms have been rapidly incorporated into many different applications due to the increase in computational power and the availability of massive amounts of data.Recently,both deep learning and ensem... Deep learning algorithms have been rapidly incorporated into many different applications due to the increase in computational power and the availability of massive amounts of data.Recently,both deep learning and ensemble learning have been used to recognize underlying structures and patterns from high-level features to make predictions/decisions.With the growth in popularity of deep learning and ensemble learning algorithms,they have received significant attention from both scientists and the industrial community due to their superior ability to learn features from big data.Ensemble deep learning has exhibited significant performance in enhancing learning generalization through the use of multiple deep learning algorithms.Although ensemble deep learning has large quantities of training parameters,which results in time and space overheads,it performs much better than traditional ensemble learning.Ensemble deep learning has been successfully used in several areas,such as bioinformatics,finance,and health care.In this paper,we review and investigate recent ensemble deep learning algorithms and techniques in health care domains,medical imaging,health care data analytics,genomics,diagnosis,disease prevention,and drug discovery.We cover several widely used deep learning algorithms along with their architectures,including deep neural networks(DNNs),convolutional neural networks(CNNs),recurrent neural networks(RNNs),and generative adversarial networks(GANs).Common healthcare tasks,such as medical imaging,electronic health records,and genomics,are also demonstrated.Furthermore,in this review,the challenges inherent in reducing the burden on the healthcare system are discussed and explored.Finally,future directions and opportunities for enhancing healthcare model performance are discussed. 展开更多
关键词 Deep learning ensemble learning deep ensemble learning deep learning approaches for health care health care
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Enhancing perianal disease management with integrated physical and psychological approaches
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作者 Uchenna E Okpete Haewon Byeon 《World Journal of Clinical Cases》 SCIE 2025年第2期59-63,共5页
This article provides a comprehensive analysis of the study by Hou et al,focusing on the complex interplay between psychological and physical factors in the postoperative recovery(POR)of patients with perianal disease... This article provides a comprehensive analysis of the study by Hou et al,focusing on the complex interplay between psychological and physical factors in the postoperative recovery(POR)of patients with perianal diseases.The study sheds light on how illness perception,anxiety,and depression significantly influence recovery outcomes.Hou et al developed a predictive model that demonstrated high accuracy in identifying patients at risk of poor recovery.The article explores the critical role of pre-operative psychological assessment,highlighting the need for mental health support and personalized recovery plans in enhancing POR quality.A multidisciplinary approach,integrating mental health professionals with surgeons,anesthesiologists,and other specialists,is emphasized to ensure comprehensive care for patients.The study’s findings serve as a call to integrate psychological care into surgical practice to optimize outcomes for patients with perianal diseases. 展开更多
关键词 Perianal disease Post-operative recovery ANXIETY DEPRESSION Pain management Emotional well-being Multidisciplinary approach
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Application of Health Action Process Approach Theory in Patients with Type D Personality Psoriasis
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作者 Qian Sun Jing Wang +3 位作者 Yachun Yao Xue Hu Yi Liu Jingjing Liu 《Journal of Biosciences and Medicines》 2025年第2期67-77,共11页
Objective: To explore the effect of Health Action Process Approach (HAPA) theory in patients with type D personality psoriasis. Methods: A total of 66 patients with type D personality psoriasis admitted to the dermato... Objective: To explore the effect of Health Action Process Approach (HAPA) theory in patients with type D personality psoriasis. Methods: A total of 66 patients with type D personality psoriasis admitted to the dermatology department of a top-three hospital in Jingzhou City from November 2022 to July 2023 were selected and divided into control group and test group with 33 cases in each group by random number table method. The control group received routine health education, and the experimental group received health education based on the HAPA theory. Chronic disease self-efficacy scale, hospital anxiety and depression scale and skin disease quality of life scale were used to evaluate the effect of intervention. Results: After 3 months of intervention, the scores of self-efficacy in experimental group were higher than those in control group (P P Conclusion: Health education based on the theory of HAPA can enhance the self-efficacy of patients with type D personality psoriasis, relieve negative emotions and improve their quality of life. 展开更多
关键词 Health Action Process approach Theory Type D Personality PSORIASIS SELF-EFFICACY Negative Emotions Quality of Life
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Exploring Adolescents’Social Anxiety,Physical Activity,and Core Self-Evaluation:A Latent Profile and Mediation Approach
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作者 Huazhe Wan Wenying Huang +1 位作者 Wen Zhang Chang Hu 《International Journal of Mental Health Promotion》 2025年第10期1611-1626,共16页
Background:Social anxiety is prevalent among adolescents and severely impacts their mental health and social functioning.This study aims to explore the underlying mechanisms and subgroup differences in adolescent soci... Background:Social anxiety is prevalent among adolescents and severely impacts their mental health and social functioning.This study aims to explore the underlying mechanisms and subgroup differences in adolescent social anxiety to provide a theoretical basis for targeted interventions.Methods:3025 Chinese adolescents(Meanage=13.91±1.60 years;47%male)completed self-report measures of physical activity,core self-evaluation,and social anxiety.Variable-centered analyses employed PROCESS Model 4 with 5000 bootstrap samples;covariates were gender,grade,and place of residence.Person-centered analyses used latent profile analysis in Mplus 8.3 to identify subgroups based on social anxiety item profiles.Results:Variable-centered analyses showed that physical activity had a significant negative association with social anxiety(β=−0.224,p<0.001)and a significant positive association with core self-evaluation(β=0.471,p<0.001);core self-evaluation partially mediated this relationship,accounting for 30%of the total effect.Person-centered analyses revealed an optimal two-profile solution:a low social anxiety profile(89.6%)and a high social anxiety profile(10.4%).The high social anxiety profile reported significantly lower physical activity and lower core self-evaluation than the low social anxiety profile.Conclusions:This study integrates variable-centered and person-centered evidence,identifies physical activity and core self-evaluation as key modifiable factors in reducing social anxiety,providing a theoretical basis for targeted and differentiated interventions. 展开更多
关键词 ocial anxiety physical activity core self-evaluation latent profile analysis variable-centered approach person-centered approach
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Chyle leak following root of mesentery dissection in pancreaticoduodenectomy with inferior infracolic superior mesenteric artery first approach
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作者 Prabir Maharjan Sujan Regmee +5 位作者 Spandan D Adhikari Rabin Pahari Roshan Ghimire Dhiresh K Maharjan Suman K Shrestha Prabin B Thapa 《World Journal of Clinical Cases》 SCIE 2025年第8期8-14,共7页
BACKGROUND The root of mesentery dissection is one of the critical maneuvers,especially in borderline resectable pancreatic head cancer.Intra-abdominal chyle leak(CL)including chylous ascites may ensue in up to 10%of ... BACKGROUND The root of mesentery dissection is one of the critical maneuvers,especially in borderline resectable pancreatic head cancer.Intra-abdominal chyle leak(CL)including chylous ascites may ensue in up to 10%of patients after pancreatic resections.Globally recognized superior mesenteric artery(SMA)first approaches are invariably performed.The mesenteric dissection through the inferior infracolic approach has been discussed in this study emphasizing its post-operative impact on CL which is the cornerstone of this study.AIM To assess incidence,risk factors,clinical impact of CL following root of mesentery dissection,and the different treatment modalities.METHODS This is a retrospective study incorporating the patients who underwent dissection of the root of mesentery with inferior infracolic SMA first approach pancreat-oduodenectomy for the ventral body and uncinate mass of pancreas in the Department of Gastrointestinal and General Surgery of Kathmandu Medical College and Teaching Hospital from January 1,2021 to February 28,2024.Intraop-erative findings and postoperative outcomes were analyzed.RESULTS In three years,ten patients underwent root of mesentery dissection with inferior infracolic SMA first approach pancreatoduodenectomy.The mean age was 67.6 years with a male-to-female ratio of 4:5.CL was seen in four patients.With virtue of CL,Clavien-Dindo grade Ⅱ or higher morbidity was observed in four patients.Two patients had a hospital stay of more than 20 days with the former having a delayed gastric emptying and the latter with long-term total parenteral nutrition requirement.The mean operative time was 330 minutes.Curative resection was achieved in 100%of the patients.The mean duration of the intensive care unit and hospital stay were 2.55±1.45 days and 15.7±5.32 days,respectively.CONCLUSION Root of mesentery dissection with lymphadenectomy and vascular resection correlated with occurrence of CL.After complete curative resection,these were managed with total parenteral nutrition without adversely impacting outcome. 展开更多
关键词 Chyle leak Chylous ascites Clavien-Dindo Pancreatoduodenectomy Root of mesentery dissection Superior mesenteric artery first approach Total parenteral nutrition Uncinate mass Vascular resection Ventral body mass
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