Objectives This study aimed to evaluate the effectiveness of the stepped self-care program on the self-care,self-efficacy,and quality of life of stroke survivors.Methods This quasi-experimental study allocated 110 str...Objectives This study aimed to evaluate the effectiveness of the stepped self-care program on the self-care,self-efficacy,and quality of life of stroke survivors.Methods This quasi-experimental study allocated 110 stroke survivors from two neurology wards into an intervention group(n=55)who received the stepped self-care program and a control group(n=55)who received usual care from June to December 2023.The Self-Care of Stroke Inventory,Stroke Self-Efficacy Questionnaire,and the short version of the Stroke Specific Quality of Life Scale were administered at baseline(T0),immediately post-intervention(T_(1)),and at 1-month(T_(2))and 3-month(T_(3))follow-ups.Data were analyzed using repeated measures analyses of variance,and generalized estimating equations.Results A total of 48 participants in the intervention group and 50 participants in the control group completed the study.No statistically significant differences were observed at T0 in any of the measured indicators(all P>0.05).The study showed significant group,time,and group×time interaction effects across the assessed outcomes(all P<0.05).Follow-up between-group comparisons at T_(1),T_(2),and T_(3) indicated that the intervention group had significantly higher scores in self-care maintenance,self-care monitoring,self-care management,self-efficacy,and quality of life than the control group(all P<0.001).Conclusions The stepped self-care program significantly improved self-care behaviors,self-efficacy,and quality of life among stroke survivors.These findings support the broader implementation of this approach in post-discharge home self-care.展开更多
Production scheduling has a major impact on the productivity of the manufacturing process. Recently, scheduling problems with deteriorating jobs have attracted increasing attentions from researchers. In many practical...Production scheduling has a major impact on the productivity of the manufacturing process. Recently, scheduling problems with deteriorating jobs have attracted increasing attentions from researchers. In many practical situations,it is found that some jobs fail to be processed prior to the pre-specified thresholds,and they often consume extra deteriorating time for successful accomplishment. Their processing times can be characterized by a step-wise function. Such kinds of jobs are called step-deteriorating jobs. In this paper,parallel machine scheduling problem with stepdeteriorating jobs( PMSD) is considered. Due to its intractability,four different mixed integer programming( MIP) models are formulated for solving the problem under consideration. The study aims to investigate the performance of these models and find promising optimization formulation to solve the largest possible problem instances. The proposed four models are solved by commercial software CPLEX. Moreover,the near-optimal solutions can be obtained by black-box local-search solver LocalS olver with the fourth one. The computational results show that the efficiencies of different MIP models depend on the distribution intervals of deteriorating thresholds, and the performance of LocalS olver is clearly better than that of CPLEX in terms of the quality of the solutions and the computational time.展开更多
提出了一种基于STEP-NC的数控车削加工仿真系统,该仿真系统能够验证STEP-NC数控程序、模拟实际系统运行。讨论了仿真系统的译码器、基于特征的加工数据库、实体建模以及仿真驱动等组成模块实现的关键技术和方法。介绍了仿真系统的建模工...提出了一种基于STEP-NC的数控车削加工仿真系统,该仿真系统能够验证STEP-NC数控程序、模拟实际系统运行。讨论了仿真系统的译码器、基于特征的加工数据库、实体建模以及仿真驱动等组成模块实现的关键技术和方法。介绍了仿真系统的建模工具V isua l C++和O penGL。最后指出了本文研究对于STEP-NC数控加工研究的意义。展开更多
介绍了STEP-NC的概念、数据模型及其结构特点,然后通过对比MLP(Machining Line Planner)和STEP-NC数控程序对特征和操作的不同定义方法,分析了在MLP中特征及加工工艺与STEP-NC的对应关系,探讨了在MLP中实现输出STEP-NC格式的零件加工程...介绍了STEP-NC的概念、数据模型及其结构特点,然后通过对比MLP(Machining Line Planner)和STEP-NC数控程序对特征和操作的不同定义方法,分析了在MLP中特征及加工工艺与STEP-NC的对应关系,探讨了在MLP中实现输出STEP-NC格式的零件加工程序的方法。展开更多
基金The National Natural Science Foundation of China[72174184]provided policy and financialsupport for this research.
文摘Objectives This study aimed to evaluate the effectiveness of the stepped self-care program on the self-care,self-efficacy,and quality of life of stroke survivors.Methods This quasi-experimental study allocated 110 stroke survivors from two neurology wards into an intervention group(n=55)who received the stepped self-care program and a control group(n=55)who received usual care from June to December 2023.The Self-Care of Stroke Inventory,Stroke Self-Efficacy Questionnaire,and the short version of the Stroke Specific Quality of Life Scale were administered at baseline(T0),immediately post-intervention(T_(1)),and at 1-month(T_(2))and 3-month(T_(3))follow-ups.Data were analyzed using repeated measures analyses of variance,and generalized estimating equations.Results A total of 48 participants in the intervention group and 50 participants in the control group completed the study.No statistically significant differences were observed at T0 in any of the measured indicators(all P>0.05).The study showed significant group,time,and group×time interaction effects across the assessed outcomes(all P<0.05).Follow-up between-group comparisons at T_(1),T_(2),and T_(3) indicated that the intervention group had significantly higher scores in self-care maintenance,self-care monitoring,self-care management,self-efficacy,and quality of life than the control group(all P<0.001).Conclusions The stepped self-care program significantly improved self-care behaviors,self-efficacy,and quality of life among stroke survivors.These findings support the broader implementation of this approach in post-discharge home self-care.
基金National Natural Science Foundation of China(No.51405403)the Fundamental Research Funds for the Central Universities,China(No.2682014BR019)the Scientific Research Program of Education Bureau of Sichuan Province,China(No.12ZB322)
文摘Production scheduling has a major impact on the productivity of the manufacturing process. Recently, scheduling problems with deteriorating jobs have attracted increasing attentions from researchers. In many practical situations,it is found that some jobs fail to be processed prior to the pre-specified thresholds,and they often consume extra deteriorating time for successful accomplishment. Their processing times can be characterized by a step-wise function. Such kinds of jobs are called step-deteriorating jobs. In this paper,parallel machine scheduling problem with stepdeteriorating jobs( PMSD) is considered. Due to its intractability,four different mixed integer programming( MIP) models are formulated for solving the problem under consideration. The study aims to investigate the performance of these models and find promising optimization formulation to solve the largest possible problem instances. The proposed four models are solved by commercial software CPLEX. Moreover,the near-optimal solutions can be obtained by black-box local-search solver LocalS olver with the fourth one. The computational results show that the efficiencies of different MIP models depend on the distribution intervals of deteriorating thresholds, and the performance of LocalS olver is clearly better than that of CPLEX in terms of the quality of the solutions and the computational time.
文摘提出了一种基于STEP-NC的数控车削加工仿真系统,该仿真系统能够验证STEP-NC数控程序、模拟实际系统运行。讨论了仿真系统的译码器、基于特征的加工数据库、实体建模以及仿真驱动等组成模块实现的关键技术和方法。介绍了仿真系统的建模工具V isua l C++和O penGL。最后指出了本文研究对于STEP-NC数控加工研究的意义。
