Stroke survivors often face significant challenges when performing daily self-care activities due to upper limb motor impairments.Traditional surface electromyography(sEMG)analysis typically focuses on isolated hand p...Stroke survivors often face significant challenges when performing daily self-care activities due to upper limb motor impairments.Traditional surface electromyography(sEMG)analysis typically focuses on isolated hand postures,overlooking the complexity of object-interactive behaviors that are crucial for promoting patient independence.This study introduces a novel framework that combines high-density sEMG(HD-sEMG)signals with an improved Whale Optimization Algorithm(IWOA)-optimized Long Short-Term Memory(LSTM)network to address this limitation.The key contributions of this work include:(1)the creation of a specialized HD-sEMG dataset that captures nine continuous self-care behaviors,along with time and posture markers,to better reflect real-world patient interactions;(2)the development of a multi-channel feature fusion module based on Pascal’s theorem,which enables efficient signal segmentation and spatial–temporal feature extraction;and(3)the enhancement of the IWOA algorithm,which integrates optimal point set initialization,a diversity-driven pooling mechanism,and cosine-based differential evolution to optimize LSTM hyperparameters,thereby improving convergence and global search capabilities.Experimental results demonstrate superior performance,achieving 99.58%accuracy in self-care behavior recognition and 86.19%accuracy for 17 continuous gestures on the Ninapro db2 benchmark.The framework operates with low latency,meeting the real-time requirements for assistive devices.By enabling precise,context-aware recognition of daily activities,this work advances personalized rehabilitation technologies,empowering stroke patients to regain autonomy in self-care tasks.The proposed methodology offers a robust,scalable solution for clinical applications,bridging the gap between laboratory-based gesture recognition and practical,patient-centered care.展开更多
Purpose: The review aimed to find the best evidence on the relationship between health literacy, self-care behavior and perceived quality of life (QoL) among patients with acute coronary syndrome (ACS). Methods: Searc...Purpose: The review aimed to find the best evidence on the relationship between health literacy, self-care behavior and perceived quality of life (QoL) among patients with acute coronary syndrome (ACS). Methods: Searching engines included Cumulative Index to Nursing Allied Health Literature (CINAHL), Pro Quest, MEDLINE, Google Scholar, SAGE Journals, Wiley on Line Library, and Science Direct electronic databases from 2010 to 2018. Fifteen research articles assessed the main variables and their associations with demographic and clinical variables. Results: Different methodologies and samples were analyzed: analytic descriptive, systematic review, a randomized control trial, retrospective cohort, a prospective Cohort, cross-sectional, and correlational designs. The fifteen studies showed that the patients with ACS have inadequate health literacy. Patients’ ability to understand basic and complex information or to accurately assess health risks was impaired and may hinder patients’ engagement in self-care. Low HL in patients having ACS is consistently associated with poor QoL. Physical domain of QoL remained the significant outcome of both self-care behavior and health literacy after adjusting for demographics and clinical variables in patients with ACS. Conclusion: The literature pointed to the importance of considering health literacy and self-care behaviors as predictors of quality of life among patients with ACS. However, there has been no previous evidence on the best process of the association between these three variables.展开更多
Objectives:This study aimed to investigate the effect of motivational interviewing on the self-care behaviours in patients with chronic heart failure.Methods:Sixty-two hospitalized patients with chronic heart failure ...Objectives:This study aimed to investigate the effect of motivational interviewing on the self-care behaviours in patients with chronic heart failure.Methods:Sixty-two hospitalized patients with chronic heart failure were recruited in this study from April 2014 to April 2015 from a hospital.Twenty-nine patients were in the intervention group,and 33 patients were in the control group.Patients in the intervention group received four sessions of motivational interviewing,whereas those in the control group received traditional health education.At 2,4,and 8 weeks post-discharge,the intervention group underwent telephone follow-up based on motivational interviewing,whereas the control group underwent routine telephone follow-up.Primary outcome was measured using the Self-care of Heart Failure Index at baseline and at 2 months postdischarge.Results:Before intervention,the self-care behaviours scores were 79.00±48.80 in the intervention group and 88.68±29.26in the control group.No statistically significant differences were found between two groups in scores for each subscale and total scale(P>0.05).After intervention,the scores of self-care behaviours in the two groups were both improved at 155.13±35.65 for the intervention group and 115.44±22.82 for the control group with statistically significance(P<0.01).The score of self-care behaviours increased by 76.13 point in the intervention group on average,whereas 26.76 point in the control group.There was significant difference between increases in scores of self-care behaviours in two groups(P<0.01).Conclusions:The self-care behaviours of patients with chronic heart failure could be improved effectively through motivational interviewing.展开更多
PURPOSE: Diabetic patients with severe diabetic neuropathy often have hypoesthesia and numbness. This study evaluated foot self-care behavior according to severity of diabetic neuropathy. METHODS: We used a hand-held ...PURPOSE: Diabetic patients with severe diabetic neuropathy often have hypoesthesia and numbness. This study evaluated foot self-care behavior according to severity of diabetic neuropathy. METHODS: We used a hand-held nerve conduction test device DPN check (HDN-1000, Omron) to evaluate severity of diabetic neuropathy. Foot self-care was evaluated using the Japanese SDSCA (the Summary of Diabetes Self-Care Activities measure). Foot self-care comprised visual inspection, washing, wiping interdigital areas, and checking shoes, and was scored according to the number of days self-care which was performed in the previous week. RESULTS: The study evaluated 103 diabetic patients (age: 65.7 years, diabetes duration: 13.9 years, HbA1c: 7.3%). Total scores (out of 28 points) for self-care behavior according to neuropathy severity were 11.8 (Normal: n = 54), 10.6 (Mild: n = 27), 13.3 (Moderate: n = 17), and 10.8 (Severe: n = 5). Foot self-care scores were low in all groups, with particularly low scores in those with severe neuropathy. However, no statistically significant differences were observed. CONCLUSIONS: Foot self-care is essential in diabetes because lesions are more likely to occur in severe neuropathy. Living alone and the presence of recurrent foot lesions are associated with poor survival prognosis. Accordingly, foot-care intervention must take neuropathy severity and lifestyle factors into account. The severity of diabetic neuropathy must be determined and foot-care intervention should take lifestyle factors into account.展开更多
The general objective of this article was to construct and describe the psychometric properties of a scale of selfcare behaviors against COVID-19.It was a descriptive,cross-sectional,psychometric validation study of a...The general objective of this article was to construct and describe the psychometric properties of a scale of selfcare behaviors against COVID-19.It was a descriptive,cross-sectional,psychometric validation study of a scale created to measure self-care behaviors in relation to COVID-19 in a total sample of 333 probabilistically selected.Qualitative validity was evaluated by a review of 10 experts and quantitative validity by means of exploratory factor analysis using the principal components method.Internal consistency was measured with Cronbach’s alpha twice and the test-retest was evaluated by calculating the intraclass coefficient.The final scale consisted of 29 items.The Kaiser-Meyer-Olkin test of adequacy yielded a value of 0.926,and the Bartlett’s test of sphericity X^(2)=4611 with a p-value<0.001.The variance explained by the three retained factors with a total of 29 items was 50.03%.The Cronbach’s alpha internal consistency evaluation yielded an initial value of 0.923 and,in a second evaluation,showed a value of 0.936.In addition,the intraclass coefficient in the test-retest yielded a value of 0.929.The instrument created and validated possessed the necessary conditions as a useful and reliable tool for measuring self-care behaviors in relation to COVID-19 in a population of university students and it is important that it can be applied in other regions of the world.展开更多
Objective:To investigate the psychometric properties of the self-care behavior scale in heart failure(HF)patients.The development of self-care behaviors is one of the goals of non-pharmacological care management progr...Objective:To investigate the psychometric properties of the self-care behavior scale in heart failure(HF)patients.The development of self-care behaviors is one of the goals of non-pharmacological care management programs.Methods:After translating the European Heart Failure Self-care Behavior scale(EHFScBS),validity was assessed through explanatory factor analysis;additionally,reliability was assessed through Cronbach alpha and test-retest.The samples comprised of 120 HF patients admitted to hospitals in Tehran during 2017-2018.Results:The mean age of the samples was 67.3±14.04 years.Fifty-four patients(45%)were female.All items of the scale had an acceptable factor loading.Cronbach alpha coefficient was 0.72.The intra-cluster correlation coefficient(ICC)was 0.69.Conclusions:Nurses and clinicians could benefit from the Persian version of HF self-care scale since it would enable them to rapidly assess patients’self-care behaviors and to evaluate the effectiveness of the HF management.展开更多
Purpose:The aim of this study was to examine the self-care practices and health-seeking behaviours of older adults in urban Indonesia.Methods:The cross-sectional study was performed from January to March 2014 in the T...Purpose:The aim of this study was to examine the self-care practices and health-seeking behaviours of older adults in urban Indonesia.Methods:The cross-sectional study was performed from January to March 2014 in the Tammua sub-district of Indonesia.At the time of the study,273 older adults resided in Tammua,and half of them(51.2%)participated in this study.Data collection was carried out including self-care practices,health literacy,self-efficacy and basic conditioning factors.Results:It was found that most respondents(124;88.6%)always ate various protein sources daily.However,many participants never limited consumption of sugar(55;39.3%)or salt(40;28.6%),and more than half of respondents(96;68.6%)did not regularly visit MHCs.Health status(p<0.05),health maintenance(p<0.01)and salt limitation(p<0.05)were all significantly associated with salt limitation.It was found that respondents with higher selfefficacy,those who did not want to get information,and those of younger ages are less likely to visit MHCs regularly.Conclusion:An understanding of self-care practices and self-efficacy is needed to improve health care in developing countries.High self-efficacy should be promoted along with adequate health literacy.Older persons should learn the importance of regular health examinations to promote health,prevent diseases,and slow the progress of chronic diseases.The number of respondents who never limit their sugar and salt intake was especially surprising.An intervention program should be developed to limit salt and sugar intake of Indonesian elderly and to motivate older persons to use primary health services.展开更多
Objective:This study aims to investigate the current status of self-care abilities among hearing-impaired cancer patients and analyze the associated influencing factors.Based on these findings,this study aims to provi...Objective:This study aims to investigate the current status of self-care abilities among hearing-impaired cancer patients and analyze the associated influencing factors.Based on these findings,this study aims to provide a theoretical foundation for developing targeted medical care and health education interventions for this population,ultimately formulating a practical nursing program tailored to their unique needs.Methods:A convenience sampling method was employed to recruit 116 hearing-impaired cancer patients who met the inclusion criteria.Data collection involved 3 standardized tools:a self-designed demographic questionnaire,the Exercise of Self-Care Agency Scale(ESCA),and the Perceived Social Support Scale(PSSS).Descriptive statistics were used to analyze the baseline characteristics,while multiple linear regression analysis was conducted to identify significant predictors of self-care ability.Results:The cross-sectional survey revealed that participants had an average ESCA score of 99.55±19.53 and a mean PSSS score of 58.14±9.32.Statistical analysis identified several key factors influencing self-care ability,including the presence/absence of aphasia(P<0.001);Duration of hearing loss(P<0.01);Place of daily residence(P<0.001);Communication methods(P<0.05);Family economic status(P<0.001);and Perceived level of social support(P<0.001).Conclusions:Hearing-impaired cancer patients exhibit moderate self-care abilities overall.There is a positive correlation between perceived social support levels and self-care ability.Critical predictors of self-care ability include demographic characteristics(residential status,duration of hearing loss),clinical features(aphasia),communication patterns,educational attainment,and socioeconomic status.This study provides valuable insights for developing targeted interventions to enhance self-care capabilities in hearing-impaired cancer patients,emphasizing the importance of addressing both personal and environmental factors.展开更多
Diabetes is a common chronic disease in clinical practice.The current global average prevalence is 2–6%,and more than 90%of patients have type 2 diabetes.Although there is a correlation between independent self-care ...Diabetes is a common chronic disease in clinical practice.The current global average prevalence is 2–6%,and more than 90%of patients have type 2 diabetes.Although there is a correlation between independent self-care and self-management,improving patients’self-care and self-management behaviors can effectively improve patients’quality of life.This study aimed to determine if a significant relationship exists between independent self-care and self-management.This study used a quantitative research design.The inclusion criteria included 198 participants using purposeful sampling.This study adopted a correlational research design to determine the association between self-care readiness(independent variable)and self-management(dependent variable).This study surveyed respondents using a three-part questionnaire,and their scores were recorded using the Demographic Profile Questionnaire,Transition Readiness Assessment Questionnaire(TRAQ),and Diabetes Self-Management Questionnaire(DSQM).The data were analyzed using statistical tools such as frequency,percentage,mean,standard deviation,Pearson R and hypothesis testing.The results showed a correlation between independent self-care and self-management in diabetic patients.These findings indicate that the respondents generally reported moderate to high levels of readiness and self-management,with more variability noted in self-management scores.Overall,the findings suggest that preparedness for independent self-care plays a statistically significant role in influencing self-management,although the strength of this relationship is relatively weak.展开更多
Objective:To explore the significance of continuing care in improving self-care ability and quality of life in patients with chronic obstructive pulmonary disease(COPD).Methods:A total of 60 COPD patients treated in o...Objective:To explore the significance of continuing care in improving self-care ability and quality of life in patients with chronic obstructive pulmonary disease(COPD).Methods:A total of 60 COPD patients treated in our department between June 2023 and June 2024 were randomly divided into control and observation groups.The control group received routine care,while the observation group received additional continuing care.Self-care ability and quality of life were compared between the two groups.Results:After the intervention,the observation group demonstrated higher self-care ability and quality of life scores compared to the control group(P<0.05).Conclusion:Continuing care for COPD patients has a positive impact on enhancing self-care ability and improving quality of life,making it worth recommending.展开更多
BACKGROUND Diabetes is becoming increasingly common and has become an important global health issue.In addition to physical damage,diabetes often leads to psychological complications,such as depressive symptoms.Self-c...BACKGROUND Diabetes is becoming increasingly common and has become an important global health issue.In addition to physical damage,diabetes often leads to psychological complications,such as depressive symptoms.Self-care is considered to be the cornerstone of type 2 diabetes mellitus(T2DM)management.This research evaluated depression and explored the associations between self-care activities,self-perceived burden,and depression among T2DM patients in China.AIM To investigate the self-care activities and the association between depression and self-perceived burden among Chinese inpatients with T2DM.METHODS A cross-sectional study was conducted in participants with T2DM.The data collected encompassed basic characteristics,diabetes self-care activities,depre-ssion levels,and self-perceived burdens.Bootstrapping was utilized to assess the mediating role of diabetes self-care activities.RESULTS There were 599 T2DM patients in the survey,and 71.8%had been diagnosed with the disease for 1–10 years.There were significant correlations between self-care activities,depression,and self-perceived burden.The significant coefficients for paths a(B=-0.281,P<0.001)and b(B=-0.041,P<0.05)suggested negative associations between self-perceived burden and self-care behavior and between self-care activities and depression.The indirect effect(path a×b)of self-perceived burden on depression through self-care behaviors was significant(B=0.020,P<0.05),with a 95%bias-corrected bootstrap confidence interval of 0.007–0.036.CONCLUSION The mediating model presented here highlights the role of self-care activities in exerting both direct and indirect effects on depression in participants with T2DM.展开更多
Objective:To explore the effects of respiratory exercise rehabilitation nursing on self-care ability,lung function,and quality of life in patients with chronic obstructive pulmonary disease(COPD).Methods:A total of 88...Objective:To explore the effects of respiratory exercise rehabilitation nursing on self-care ability,lung function,and quality of life in patients with chronic obstructive pulmonary disease(COPD).Methods:A total of 88 patients with COPD admitted from February 2024 to February 2025 were selected and randomly divided into an experimental group and a control group,with 44 patients in each group.The control group received routine nursing,while the experimental group received respiratory exercise rehabilitation nursing on the basis of routine nursing.After 12 weeks of intervention,the self-care ability,lung function,and quality of life of the two groups were compared.Results:After the intervention,the scores of each dimension and the total score of self-care ability in the experimental group were significantly higher than those in the control group(p<0.001).The improvement of lung function indicators such as FEV_(1),FVC,and FEV_(1)/FVC in the experimental group was better than that in the control group(p<0.001).The scores of each dimension and the total score of quality of life in the experimental group were significantly lower than those in the control group(p<0.001).Conclusion:Respiratory exercise rehabilitation nursing can effectively improve the self-care ability,lung function,and quality of life of patients with COPD,which is worthy of clinical promotion and application.展开更多
BACKGROUND Adults with type 2 diabetes mellitus(T2DM)in Malaysia continue to have substantial comorbidities and struggle to achieve glycemic targets.AIM To comprehensively evaluate diabetes self-care and glycemic cont...BACKGROUND Adults with type 2 diabetes mellitus(T2DM)in Malaysia continue to have substantial comorbidities and struggle to achieve glycemic targets.AIM To comprehensively evaluate diabetes self-care and glycemic control using multiple self-reporting questionnaires.METHODS Adults diagnosed with T2DM attending the Seremban Health Clinic were recruited in this cross-sectional study.Eligible participants were recruited based on a consecutive sampling technique,first-come-first-served-basis if they fulfilled the inclusion and exclusion criteria.In addition to the usual sociodemographic,clinical,and laboratory data,the participants answered seven specific self-reporting questionnaires.This report was focused on six key variables:Glycemic control;self-care;self-efficacy;diabetes knowledge;health literacy;and medication adherence.RESULTS A total of 100 adults with T2DM participated.The proportions of participants achieving specific thresholds in the key variables were:Acceptable glycemic control 39.4%;adequate diabetes knowledge 59.6%;sufficient or higher health literacy 80.2%;and medication adherence 51.0%.The mean self-efficacy score was 110.6(73.3%of maximum),and the mean self-care score was 30.7(43.9%of maximum).A statistically significant linear correlation was observed for eight pairs of key variables with Pearson’s correlation values varying between 0.21 to 0.55.Selfefficacy had a relatively higher correlation while glycated hemoglobin was not correlated with other key variables.Path analysis was conducted to examine the relationships among diabetes self-efficacy(Diabetes Management Self Efficacy scale score),self-care behavior(Summary of Diabetes Self-Care Activities score),and glycemic control,but the model demonstrated a poor fit(χ^(2)=28.1,P<0.001).CONCLUSION We found substantial suboptimal glycemic control and low self-care practices but acceptable levels of diabetes knowledge,self-efficacy,health literacy and medication adherence among the patients with T2DM.In spite of the correlations between self-care,self-efficacy,and medication adherence,it was surprising that self-care did not correlate with glycemic control.Prospective cohort studies are needed to explore whether these factors influence diabetes outcomes.展开更多
Objective:To analyze the effects of continuous self-management education on the selfcare ability and health behavior of patients with tumor through peripherally inserted central venous catheters(PICC).Methods:The peri...Objective:To analyze the effects of continuous self-management education on the selfcare ability and health behavior of patients with tumor through peripherally inserted central venous catheters(PICC).Methods:The period from August 2018 to August 2020 was used as the research time range,and the random number table method was used as the basis for grouping.80 patients with malignant tumors who regularly performed fixed catheter maintenance care in the PICC clinic of our hospital were admitted in the experimental group(given PICC specialist nursing,and implemented continuous self-management education),and 80 patients with PICC tube malignant tumors discharged from the superior hospital during this time range served as the control group(return to the original catheterization hospital from time to time or perform catheter maintenance care in the nursing clinic of our hospital).The self-care ability scores,health behavior scores,and complications during intubation between both groups were analyzed.Results:(1)There was no significant difference in self-care ability score and healthy behavior score between groups before the intervention,P>0.05;the self-care ability score and health behavior score of the research group were better than the control group after intervention,P<0.05;(2)After investigation,the incidence of complications in the research group(2.50%)was lower than that of the control group(10.00%),but there was no difference between the groups,P>0.05.Conclusion:Continuous self-management education has good effects on improving the self-care ability of tumor patients with PICC intubation.It can urge patients to maintain good health behaviors and reduce complications.It is worthy of promotion.展开更多
Behavior recognition of Hu sheep contributes to their intensive and intelligent farming.Due to the generally high density of Hu sheep farming,severe occlusion occurs among different behaviors and even among sheep perf...Behavior recognition of Hu sheep contributes to their intensive and intelligent farming.Due to the generally high density of Hu sheep farming,severe occlusion occurs among different behaviors and even among sheep performing the same behavior,leading to missing and false detection issues in existing behavior recognition methods.A high-low frequency aggregated attention and negative sample comprehensive score loss and comprehensive score soft non-maximum suppression-YOLO(HLNC-YOLO)was proposed for identifying the behavior of Hu sheep,addressing the issues of missed and erroneous detections caused by occlusion between Hu sheep in intensive farming.Firstly,images of four typical behaviors-standing,lying,eating,and drinking-were collected from the sheep farm to construct the Hu sheep behavior dataset(HSBD).Next,to solve the occlusion issues,during the training phase,the C2F-HLAtt module was integrated,which combined high-low frequency aggregation attention,into the YOLO v8 Backbone to perceive occluded objects and introduce an auxiliary reversible branch to retain more effective features.Using comprehensive score regression loss(CSLoss)to reduce the scores of suboptimal boxes and enhance the comprehensive scores of occluded object boxes.Finally,the soft comprehensive score non-maximal suppression(Soft-CS-NMS)algorithm filtered prediction boxes during the inferencing.Testing on the HSBD,HLNC-YOLO achieved a mean average precision(mAP@50)of 87.8%,with a memory footprint of 17.4 MB.This represented an improvement of 7.1,2.2,4.6,and 11 percentage points over YOLO v8,YOLO v9,YOLO v10,and Faster R-CNN,respectively.Research indicated that the HLNC-YOLO accurately identified the behavior of Hu sheep in intensive farming and possessed generalization capabilities,providing technical support for smart farming.展开更多
To investigate the influence of Al-Zn-Mg-Cu alloy with as-homogenized and as-rolled initial microstructures on the tensile flow behavior,isothermal tensile tests were conducted on a GLEEBLE-3500 isothermal simulator a...To investigate the influence of Al-Zn-Mg-Cu alloy with as-homogenized and as-rolled initial microstructures on the tensile flow behavior,isothermal tensile tests were conducted on a GLEEBLE-3500 isothermal simulator at temperatures of 380-440℃and strain rates of 0.05-1 s^(−1).The Johnson-Cook model,Hensel-Spittel model,strain-compensated Arrhenius model,and critical fracture strain model were established.Results show that through the evaluation of the models using the correlation coefficient(R)and the average absolute relative error,the strain-compensated Arrhenius model can represent the flow behavior of the alloy more accurately.Shear bands are more pronounced in the as-homogenized specimens,whereas dynamic recrystallization is predominantly observed in as-rolled specimens.Fracture morphology analysis reveals that a mixed fracture mechanism is prevalent in the as-homogenized specimen,whereas a ductile fracture mechanism is predominant in the as-rolled specimen.The processing maps indicate that the unstable region is reduced in the as-rolled specimens compared with that in the as-homogenized specimens.The optimal hot working windows for the as-homogenized and as-rolled specimens are determined as 410-440℃/0.14-1 s^(−1)and 380-400℃/0.05-0.29 s^(−1),respectively.展开更多
Objective:To explore the effect of cognitive behavioral therapy on self-care in thyroid cancer patients.Methods:A total of 144 thyroid cancer patients treated at the Affiliated Hospital of Hebei University from Januar...Objective:To explore the effect of cognitive behavioral therapy on self-care in thyroid cancer patients.Methods:A total of 144 thyroid cancer patients treated at the Affiliated Hospital of Hebei University from January 2022 to August 2023 were selected as research subjects.Using the random number table method,they were divided into a control group and an experimental group,each consisting of 72 cases.The control group received routine nursing intervention,while the experimental group received cognitive behavioral therapy based on standard nursing practices.The self-care ability(self-concept,self-efficacy,self-care skills,health knowledge level),coping style(confrontation,avoidance,and surrender),and quality of life(psychological function,social function,material life,physical function)of both groups before and after the intervention were compared.Results:In comparison to the pre-intervention period,the experimental group exhibited significantly higher self-care ability,quality of life,and confrontation scores after the intervention,as opposed to the control group.Additionally,the avoidance and surrender scores were lower in the experimental group than in the control group,with these differences proving to be statistically significant(P<0.01).Conclusion:The application of cognitive behavioral therapy can enhance the self-care ability of thyroid cancer patients,aid in better disease coping,and improve their overall quality of life.This approach is deserving of further promotion.展开更多
Correction to:Nano-Micro Letters(2026)18:10.https://doi.org/10.1007/s40820-025-01852-8 Following publication of the original article[1],the authors reported that the last author’s name was inadvertently misspelled.Th...Correction to:Nano-Micro Letters(2026)18:10.https://doi.org/10.1007/s40820-025-01852-8 Following publication of the original article[1],the authors reported that the last author’s name was inadvertently misspelled.The published version showed“Hongzhen Chen”,whereas the correct spelling should be“Hongzheng Chen”.The correct author name has been provided in this Correction,and the original article[1]has been corrected.展开更多
Residential energy-use behavior and energy-saving awareness play a crucial role in sustainable urban energy planning and building energy efficiency,particularly under the pressures of climate change.However,existing s...Residential energy-use behavior and energy-saving awareness play a crucial role in sustainable urban energy planning and building energy efficiency,particularly under the pressures of climate change.However,existing studies often lack comparative analysis of urban-rural differences and tend to focus excessively on behavior patterns while neglecting the dimension of energysaving awareness.With China’s urbanization rate reaching 66.16%,understanding such regional disparities has become increasingly important.To address these research gaps,this study conducts a large-scale survey on space cooling behaviors among residents in Beijing,a representative Chinese megacity.It should be noted that living standards in such megacities are generally higher than the national average,which may shape distinctive energy-use profiles.Analyzing 1573valid samples(1064 urban/442 rural)in 2024,this study employed K-Prototypes and K-Modes clustering to identify typical cooling behavior and energy-saving awareness pattems,followed by Kendall/Chi-square correlation tests and XGBoost importance analysis to determine key influencing factors,with subsequent urban-rural comparative analysis.Results indicate that urban residents are primarily heat-sensitive or heat-tolerant,with a secondary patten of mid-low temperature preference,and generally exhibit long cooling durations;rural behavior is dominated by heat-tolerant type,followed by heat-sensitive,mid-low temperature preference,and never-on types as secondary patterns;both urban and rural areas exhibit energy-savingawareness characterized by low consumption-lowwillingness,though urban areas show marginally higher motivation;energy-saving awareness correlates with cooling behavior in rural areas,but this relationship weakens significantly in urban contexts.展开更多
With the rapid development of smart manufacturing,intelligent safety monitoring in industrial workshops has become increasingly important.To address the challenges of complex backgrounds,target scale variation,and exc...With the rapid development of smart manufacturing,intelligent safety monitoring in industrial workshops has become increasingly important.To address the challenges of complex backgrounds,target scale variation,and excessive model parameters in worker violation detection,this study proposes ADCP-YOLO,an enhanced lightweight model based on YOLOv8.Here,“ADCP”represents four key improvements:Alterable Kernel Convolution(AKConv),Dilated-Wise Residual(DWR)module,Channel Reconstruction Global Attention Mechanism(CRGAM),and Powerful-IoU loss.These components collaboratively enhance feature extraction,multi-scale perception,and localization accuracy while effectively reducing model complexity and computational cost.Experimental results show that ADCP-YOLO achieves a mAP of 90.6%,surpassing YOLOv8 by 3.0%with a 6.6%reduction in parameters.These findings demonstrate that ADCP-YOLO successfully balances accuracy and efficiency,offering a practical solution for intelligent safety monitoring in smart factory workshops.展开更多
基金supported by the National Natural Science Foundation of China(72061006)the research on the auxiliary diagnosis system of chronic injury of levator scapulae based on the concept of digital twin(Contract No:Qian Kehe Support[2023]General 117)Research on indoor intelligent assisted walking robot for the rehabilitation of walking ability of the elderly(Contract No:Qian kehe Support[2023]General 124).
文摘Stroke survivors often face significant challenges when performing daily self-care activities due to upper limb motor impairments.Traditional surface electromyography(sEMG)analysis typically focuses on isolated hand postures,overlooking the complexity of object-interactive behaviors that are crucial for promoting patient independence.This study introduces a novel framework that combines high-density sEMG(HD-sEMG)signals with an improved Whale Optimization Algorithm(IWOA)-optimized Long Short-Term Memory(LSTM)network to address this limitation.The key contributions of this work include:(1)the creation of a specialized HD-sEMG dataset that captures nine continuous self-care behaviors,along with time and posture markers,to better reflect real-world patient interactions;(2)the development of a multi-channel feature fusion module based on Pascal’s theorem,which enables efficient signal segmentation and spatial–temporal feature extraction;and(3)the enhancement of the IWOA algorithm,which integrates optimal point set initialization,a diversity-driven pooling mechanism,and cosine-based differential evolution to optimize LSTM hyperparameters,thereby improving convergence and global search capabilities.Experimental results demonstrate superior performance,achieving 99.58%accuracy in self-care behavior recognition and 86.19%accuracy for 17 continuous gestures on the Ninapro db2 benchmark.The framework operates with low latency,meeting the real-time requirements for assistive devices.By enabling precise,context-aware recognition of daily activities,this work advances personalized rehabilitation technologies,empowering stroke patients to regain autonomy in self-care tasks.The proposed methodology offers a robust,scalable solution for clinical applications,bridging the gap between laboratory-based gesture recognition and practical,patient-centered care.
文摘Purpose: The review aimed to find the best evidence on the relationship between health literacy, self-care behavior and perceived quality of life (QoL) among patients with acute coronary syndrome (ACS). Methods: Searching engines included Cumulative Index to Nursing Allied Health Literature (CINAHL), Pro Quest, MEDLINE, Google Scholar, SAGE Journals, Wiley on Line Library, and Science Direct electronic databases from 2010 to 2018. Fifteen research articles assessed the main variables and their associations with demographic and clinical variables. Results: Different methodologies and samples were analyzed: analytic descriptive, systematic review, a randomized control trial, retrospective cohort, a prospective Cohort, cross-sectional, and correlational designs. The fifteen studies showed that the patients with ACS have inadequate health literacy. Patients’ ability to understand basic and complex information or to accurately assess health risks was impaired and may hinder patients’ engagement in self-care. Low HL in patients having ACS is consistently associated with poor QoL. Physical domain of QoL remained the significant outcome of both self-care behavior and health literacy after adjusting for demographics and clinical variables in patients with ACS. Conclusion: The literature pointed to the importance of considering health literacy and self-care behaviors as predictors of quality of life among patients with ACS. However, there has been no previous evidence on the best process of the association between these three variables.
文摘Objectives:This study aimed to investigate the effect of motivational interviewing on the self-care behaviours in patients with chronic heart failure.Methods:Sixty-two hospitalized patients with chronic heart failure were recruited in this study from April 2014 to April 2015 from a hospital.Twenty-nine patients were in the intervention group,and 33 patients were in the control group.Patients in the intervention group received four sessions of motivational interviewing,whereas those in the control group received traditional health education.At 2,4,and 8 weeks post-discharge,the intervention group underwent telephone follow-up based on motivational interviewing,whereas the control group underwent routine telephone follow-up.Primary outcome was measured using the Self-care of Heart Failure Index at baseline and at 2 months postdischarge.Results:Before intervention,the self-care behaviours scores were 79.00±48.80 in the intervention group and 88.68±29.26in the control group.No statistically significant differences were found between two groups in scores for each subscale and total scale(P>0.05).After intervention,the scores of self-care behaviours in the two groups were both improved at 155.13±35.65 for the intervention group and 115.44±22.82 for the control group with statistically significance(P<0.01).The score of self-care behaviours increased by 76.13 point in the intervention group on average,whereas 26.76 point in the control group.There was significant difference between increases in scores of self-care behaviours in two groups(P<0.01).Conclusions:The self-care behaviours of patients with chronic heart failure could be improved effectively through motivational interviewing.
文摘PURPOSE: Diabetic patients with severe diabetic neuropathy often have hypoesthesia and numbness. This study evaluated foot self-care behavior according to severity of diabetic neuropathy. METHODS: We used a hand-held nerve conduction test device DPN check (HDN-1000, Omron) to evaluate severity of diabetic neuropathy. Foot self-care was evaluated using the Japanese SDSCA (the Summary of Diabetes Self-Care Activities measure). Foot self-care comprised visual inspection, washing, wiping interdigital areas, and checking shoes, and was scored according to the number of days self-care which was performed in the previous week. RESULTS: The study evaluated 103 diabetic patients (age: 65.7 years, diabetes duration: 13.9 years, HbA1c: 7.3%). Total scores (out of 28 points) for self-care behavior according to neuropathy severity were 11.8 (Normal: n = 54), 10.6 (Mild: n = 27), 13.3 (Moderate: n = 17), and 10.8 (Severe: n = 5). Foot self-care scores were low in all groups, with particularly low scores in those with severe neuropathy. However, no statistically significant differences were observed. CONCLUSIONS: Foot self-care is essential in diabetes because lesions are more likely to occur in severe neuropathy. Living alone and the presence of recurrent foot lesions are associated with poor survival prognosis. Accordingly, foot-care intervention must take neuropathy severity and lifestyle factors into account. The severity of diabetic neuropathy must be determined and foot-care intervention should take lifestyle factors into account.
文摘The general objective of this article was to construct and describe the psychometric properties of a scale of selfcare behaviors against COVID-19.It was a descriptive,cross-sectional,psychometric validation study of a scale created to measure self-care behaviors in relation to COVID-19 in a total sample of 333 probabilistically selected.Qualitative validity was evaluated by a review of 10 experts and quantitative validity by means of exploratory factor analysis using the principal components method.Internal consistency was measured with Cronbach’s alpha twice and the test-retest was evaluated by calculating the intraclass coefficient.The final scale consisted of 29 items.The Kaiser-Meyer-Olkin test of adequacy yielded a value of 0.926,and the Bartlett’s test of sphericity X^(2)=4611 with a p-value<0.001.The variance explained by the three retained factors with a total of 29 items was 50.03%.The Cronbach’s alpha internal consistency evaluation yielded an initial value of 0.923 and,in a second evaluation,showed a value of 0.936.In addition,the intraclass coefficient in the test-retest yielded a value of 0.929.The instrument created and validated possessed the necessary conditions as a useful and reliable tool for measuring self-care behaviors in relation to COVID-19 in a population of university students and it is important that it can be applied in other regions of the world.
文摘Objective:To investigate the psychometric properties of the self-care behavior scale in heart failure(HF)patients.The development of self-care behaviors is one of the goals of non-pharmacological care management programs.Methods:After translating the European Heart Failure Self-care Behavior scale(EHFScBS),validity was assessed through explanatory factor analysis;additionally,reliability was assessed through Cronbach alpha and test-retest.The samples comprised of 120 HF patients admitted to hospitals in Tehran during 2017-2018.Results:The mean age of the samples was 67.3±14.04 years.Fifty-four patients(45%)were female.All items of the scale had an acceptable factor loading.Cronbach alpha coefficient was 0.72.The intra-cluster correlation coefficient(ICC)was 0.69.Conclusions:Nurses and clinicians could benefit from the Persian version of HF self-care scale since it would enable them to rapidly assess patients’self-care behaviors and to evaluate the effectiveness of the HF management.
基金This study was part of a doctoral study funded by the Indonesia Directorate General of Higher Education
文摘Purpose:The aim of this study was to examine the self-care practices and health-seeking behaviours of older adults in urban Indonesia.Methods:The cross-sectional study was performed from January to March 2014 in the Tammua sub-district of Indonesia.At the time of the study,273 older adults resided in Tammua,and half of them(51.2%)participated in this study.Data collection was carried out including self-care practices,health literacy,self-efficacy and basic conditioning factors.Results:It was found that most respondents(124;88.6%)always ate various protein sources daily.However,many participants never limited consumption of sugar(55;39.3%)or salt(40;28.6%),and more than half of respondents(96;68.6%)did not regularly visit MHCs.Health status(p<0.05),health maintenance(p<0.01)and salt limitation(p<0.05)were all significantly associated with salt limitation.It was found that respondents with higher selfefficacy,those who did not want to get information,and those of younger ages are less likely to visit MHCs regularly.Conclusion:An understanding of self-care practices and self-efficacy is needed to improve health care in developing countries.High self-efficacy should be promoted along with adequate health literacy.Older persons should learn the importance of regular health examinations to promote health,prevent diseases,and slow the progress of chronic diseases.The number of respondents who never limit their sugar and salt intake was especially surprising.An intervention program should be developed to limit salt and sugar intake of Indonesian elderly and to motivate older persons to use primary health services.
文摘Objective:This study aims to investigate the current status of self-care abilities among hearing-impaired cancer patients and analyze the associated influencing factors.Based on these findings,this study aims to provide a theoretical foundation for developing targeted medical care and health education interventions for this population,ultimately formulating a practical nursing program tailored to their unique needs.Methods:A convenience sampling method was employed to recruit 116 hearing-impaired cancer patients who met the inclusion criteria.Data collection involved 3 standardized tools:a self-designed demographic questionnaire,the Exercise of Self-Care Agency Scale(ESCA),and the Perceived Social Support Scale(PSSS).Descriptive statistics were used to analyze the baseline characteristics,while multiple linear regression analysis was conducted to identify significant predictors of self-care ability.Results:The cross-sectional survey revealed that participants had an average ESCA score of 99.55±19.53 and a mean PSSS score of 58.14±9.32.Statistical analysis identified several key factors influencing self-care ability,including the presence/absence of aphasia(P<0.001);Duration of hearing loss(P<0.01);Place of daily residence(P<0.001);Communication methods(P<0.05);Family economic status(P<0.001);and Perceived level of social support(P<0.001).Conclusions:Hearing-impaired cancer patients exhibit moderate self-care abilities overall.There is a positive correlation between perceived social support levels and self-care ability.Critical predictors of self-care ability include demographic characteristics(residential status,duration of hearing loss),clinical features(aphasia),communication patterns,educational attainment,and socioeconomic status.This study provides valuable insights for developing targeted interventions to enhance self-care capabilities in hearing-impaired cancer patients,emphasizing the importance of addressing both personal and environmental factors.
文摘Diabetes is a common chronic disease in clinical practice.The current global average prevalence is 2–6%,and more than 90%of patients have type 2 diabetes.Although there is a correlation between independent self-care and self-management,improving patients’self-care and self-management behaviors can effectively improve patients’quality of life.This study aimed to determine if a significant relationship exists between independent self-care and self-management.This study used a quantitative research design.The inclusion criteria included 198 participants using purposeful sampling.This study adopted a correlational research design to determine the association between self-care readiness(independent variable)and self-management(dependent variable).This study surveyed respondents using a three-part questionnaire,and their scores were recorded using the Demographic Profile Questionnaire,Transition Readiness Assessment Questionnaire(TRAQ),and Diabetes Self-Management Questionnaire(DSQM).The data were analyzed using statistical tools such as frequency,percentage,mean,standard deviation,Pearson R and hypothesis testing.The results showed a correlation between independent self-care and self-management in diabetic patients.These findings indicate that the respondents generally reported moderate to high levels of readiness and self-management,with more variability noted in self-management scores.Overall,the findings suggest that preparedness for independent self-care plays a statistically significant role in influencing self-management,although the strength of this relationship is relatively weak.
基金Baoding Science and Technology Bureau Project“Study on the Impact of Continuing Care on Self-Care Ability and Quality of Life in COPD Patients”(Project No.2441ZF276)。
文摘Objective:To explore the significance of continuing care in improving self-care ability and quality of life in patients with chronic obstructive pulmonary disease(COPD).Methods:A total of 60 COPD patients treated in our department between June 2023 and June 2024 were randomly divided into control and observation groups.The control group received routine care,while the observation group received additional continuing care.Self-care ability and quality of life were compared between the two groups.Results:After the intervention,the observation group demonstrated higher self-care ability and quality of life scores compared to the control group(P<0.05).Conclusion:Continuing care for COPD patients has a positive impact on enhancing self-care ability and improving quality of life,making it worth recommending.
基金Supported by the Hunan Provincial Natural Science Foundation of China,No.2025JJ80413.
文摘BACKGROUND Diabetes is becoming increasingly common and has become an important global health issue.In addition to physical damage,diabetes often leads to psychological complications,such as depressive symptoms.Self-care is considered to be the cornerstone of type 2 diabetes mellitus(T2DM)management.This research evaluated depression and explored the associations between self-care activities,self-perceived burden,and depression among T2DM patients in China.AIM To investigate the self-care activities and the association between depression and self-perceived burden among Chinese inpatients with T2DM.METHODS A cross-sectional study was conducted in participants with T2DM.The data collected encompassed basic characteristics,diabetes self-care activities,depre-ssion levels,and self-perceived burdens.Bootstrapping was utilized to assess the mediating role of diabetes self-care activities.RESULTS There were 599 T2DM patients in the survey,and 71.8%had been diagnosed with the disease for 1–10 years.There were significant correlations between self-care activities,depression,and self-perceived burden.The significant coefficients for paths a(B=-0.281,P<0.001)and b(B=-0.041,P<0.05)suggested negative associations between self-perceived burden and self-care behavior and between self-care activities and depression.The indirect effect(path a×b)of self-perceived burden on depression through self-care behaviors was significant(B=0.020,P<0.05),with a 95%bias-corrected bootstrap confidence interval of 0.007–0.036.CONCLUSION The mediating model presented here highlights the role of self-care activities in exerting both direct and indirect effects on depression in participants with T2DM.
基金Baoding Science and Technology Plan(Project No.:2541ZF096)。
文摘Objective:To explore the effects of respiratory exercise rehabilitation nursing on self-care ability,lung function,and quality of life in patients with chronic obstructive pulmonary disease(COPD).Methods:A total of 88 patients with COPD admitted from February 2024 to February 2025 were selected and randomly divided into an experimental group and a control group,with 44 patients in each group.The control group received routine nursing,while the experimental group received respiratory exercise rehabilitation nursing on the basis of routine nursing.After 12 weeks of intervention,the self-care ability,lung function,and quality of life of the two groups were compared.Results:After the intervention,the scores of each dimension and the total score of self-care ability in the experimental group were significantly higher than those in the control group(p<0.001).The improvement of lung function indicators such as FEV_(1),FVC,and FEV_(1)/FVC in the experimental group was better than that in the control group(p<0.001).The scores of each dimension and the total score of quality of life in the experimental group were significantly lower than those in the control group(p<0.001).Conclusion:Respiratory exercise rehabilitation nursing can effectively improve the self-care ability,lung function,and quality of life of patients with COPD,which is worthy of clinical promotion and application.
基金Supported by the IMU University Internal Grant,No.CSc-Sem6(12)2022.
文摘BACKGROUND Adults with type 2 diabetes mellitus(T2DM)in Malaysia continue to have substantial comorbidities and struggle to achieve glycemic targets.AIM To comprehensively evaluate diabetes self-care and glycemic control using multiple self-reporting questionnaires.METHODS Adults diagnosed with T2DM attending the Seremban Health Clinic were recruited in this cross-sectional study.Eligible participants were recruited based on a consecutive sampling technique,first-come-first-served-basis if they fulfilled the inclusion and exclusion criteria.In addition to the usual sociodemographic,clinical,and laboratory data,the participants answered seven specific self-reporting questionnaires.This report was focused on six key variables:Glycemic control;self-care;self-efficacy;diabetes knowledge;health literacy;and medication adherence.RESULTS A total of 100 adults with T2DM participated.The proportions of participants achieving specific thresholds in the key variables were:Acceptable glycemic control 39.4%;adequate diabetes knowledge 59.6%;sufficient or higher health literacy 80.2%;and medication adherence 51.0%.The mean self-efficacy score was 110.6(73.3%of maximum),and the mean self-care score was 30.7(43.9%of maximum).A statistically significant linear correlation was observed for eight pairs of key variables with Pearson’s correlation values varying between 0.21 to 0.55.Selfefficacy had a relatively higher correlation while glycated hemoglobin was not correlated with other key variables.Path analysis was conducted to examine the relationships among diabetes self-efficacy(Diabetes Management Self Efficacy scale score),self-care behavior(Summary of Diabetes Self-Care Activities score),and glycemic control,but the model demonstrated a poor fit(χ^(2)=28.1,P<0.001).CONCLUSION We found substantial suboptimal glycemic control and low self-care practices but acceptable levels of diabetes knowledge,self-efficacy,health literacy and medication adherence among the patients with T2DM.In spite of the correlations between self-care,self-efficacy,and medication adherence,it was surprising that self-care did not correlate with glycemic control.Prospective cohort studies are needed to explore whether these factors influence diabetes outcomes.
文摘Objective:To analyze the effects of continuous self-management education on the selfcare ability and health behavior of patients with tumor through peripherally inserted central venous catheters(PICC).Methods:The period from August 2018 to August 2020 was used as the research time range,and the random number table method was used as the basis for grouping.80 patients with malignant tumors who regularly performed fixed catheter maintenance care in the PICC clinic of our hospital were admitted in the experimental group(given PICC specialist nursing,and implemented continuous self-management education),and 80 patients with PICC tube malignant tumors discharged from the superior hospital during this time range served as the control group(return to the original catheterization hospital from time to time or perform catheter maintenance care in the nursing clinic of our hospital).The self-care ability scores,health behavior scores,and complications during intubation between both groups were analyzed.Results:(1)There was no significant difference in self-care ability score and healthy behavior score between groups before the intervention,P>0.05;the self-care ability score and health behavior score of the research group were better than the control group after intervention,P<0.05;(2)After investigation,the incidence of complications in the research group(2.50%)was lower than that of the control group(10.00%),but there was no difference between the groups,P>0.05.Conclusion:Continuous self-management education has good effects on improving the self-care ability of tumor patients with PICC intubation.It can urge patients to maintain good health behaviors and reduce complications.It is worthy of promotion.
文摘Behavior recognition of Hu sheep contributes to their intensive and intelligent farming.Due to the generally high density of Hu sheep farming,severe occlusion occurs among different behaviors and even among sheep performing the same behavior,leading to missing and false detection issues in existing behavior recognition methods.A high-low frequency aggregated attention and negative sample comprehensive score loss and comprehensive score soft non-maximum suppression-YOLO(HLNC-YOLO)was proposed for identifying the behavior of Hu sheep,addressing the issues of missed and erroneous detections caused by occlusion between Hu sheep in intensive farming.Firstly,images of four typical behaviors-standing,lying,eating,and drinking-were collected from the sheep farm to construct the Hu sheep behavior dataset(HSBD).Next,to solve the occlusion issues,during the training phase,the C2F-HLAtt module was integrated,which combined high-low frequency aggregation attention,into the YOLO v8 Backbone to perceive occluded objects and introduce an auxiliary reversible branch to retain more effective features.Using comprehensive score regression loss(CSLoss)to reduce the scores of suboptimal boxes and enhance the comprehensive scores of occluded object boxes.Finally,the soft comprehensive score non-maximal suppression(Soft-CS-NMS)algorithm filtered prediction boxes during the inferencing.Testing on the HSBD,HLNC-YOLO achieved a mean average precision(mAP@50)of 87.8%,with a memory footprint of 17.4 MB.This represented an improvement of 7.1,2.2,4.6,and 11 percentage points over YOLO v8,YOLO v9,YOLO v10,and Faster R-CNN,respectively.Research indicated that the HLNC-YOLO accurately identified the behavior of Hu sheep in intensive farming and possessed generalization capabilities,providing technical support for smart farming.
文摘To investigate the influence of Al-Zn-Mg-Cu alloy with as-homogenized and as-rolled initial microstructures on the tensile flow behavior,isothermal tensile tests were conducted on a GLEEBLE-3500 isothermal simulator at temperatures of 380-440℃and strain rates of 0.05-1 s^(−1).The Johnson-Cook model,Hensel-Spittel model,strain-compensated Arrhenius model,and critical fracture strain model were established.Results show that through the evaluation of the models using the correlation coefficient(R)and the average absolute relative error,the strain-compensated Arrhenius model can represent the flow behavior of the alloy more accurately.Shear bands are more pronounced in the as-homogenized specimens,whereas dynamic recrystallization is predominantly observed in as-rolled specimens.Fracture morphology analysis reveals that a mixed fracture mechanism is prevalent in the as-homogenized specimen,whereas a ductile fracture mechanism is predominant in the as-rolled specimen.The processing maps indicate that the unstable region is reduced in the as-rolled specimens compared with that in the as-homogenized specimens.The optimal hot working windows for the as-homogenized and as-rolled specimens are determined as 410-440℃/0.14-1 s^(−1)and 380-400℃/0.05-0.29 s^(−1),respectively.
文摘Objective:To explore the effect of cognitive behavioral therapy on self-care in thyroid cancer patients.Methods:A total of 144 thyroid cancer patients treated at the Affiliated Hospital of Hebei University from January 2022 to August 2023 were selected as research subjects.Using the random number table method,they were divided into a control group and an experimental group,each consisting of 72 cases.The control group received routine nursing intervention,while the experimental group received cognitive behavioral therapy based on standard nursing practices.The self-care ability(self-concept,self-efficacy,self-care skills,health knowledge level),coping style(confrontation,avoidance,and surrender),and quality of life(psychological function,social function,material life,physical function)of both groups before and after the intervention were compared.Results:In comparison to the pre-intervention period,the experimental group exhibited significantly higher self-care ability,quality of life,and confrontation scores after the intervention,as opposed to the control group.Additionally,the avoidance and surrender scores were lower in the experimental group than in the control group,with these differences proving to be statistically significant(P<0.01).Conclusion:The application of cognitive behavioral therapy can enhance the self-care ability of thyroid cancer patients,aid in better disease coping,and improve their overall quality of life.This approach is deserving of further promotion.
文摘Correction to:Nano-Micro Letters(2026)18:10.https://doi.org/10.1007/s40820-025-01852-8 Following publication of the original article[1],the authors reported that the last author’s name was inadvertently misspelled.The published version showed“Hongzhen Chen”,whereas the correct spelling should be“Hongzheng Chen”.The correct author name has been provided in this Correction,and the original article[1]has been corrected.
文摘Residential energy-use behavior and energy-saving awareness play a crucial role in sustainable urban energy planning and building energy efficiency,particularly under the pressures of climate change.However,existing studies often lack comparative analysis of urban-rural differences and tend to focus excessively on behavior patterns while neglecting the dimension of energysaving awareness.With China’s urbanization rate reaching 66.16%,understanding such regional disparities has become increasingly important.To address these research gaps,this study conducts a large-scale survey on space cooling behaviors among residents in Beijing,a representative Chinese megacity.It should be noted that living standards in such megacities are generally higher than the national average,which may shape distinctive energy-use profiles.Analyzing 1573valid samples(1064 urban/442 rural)in 2024,this study employed K-Prototypes and K-Modes clustering to identify typical cooling behavior and energy-saving awareness pattems,followed by Kendall/Chi-square correlation tests and XGBoost importance analysis to determine key influencing factors,with subsequent urban-rural comparative analysis.Results indicate that urban residents are primarily heat-sensitive or heat-tolerant,with a secondary patten of mid-low temperature preference,and generally exhibit long cooling durations;rural behavior is dominated by heat-tolerant type,followed by heat-sensitive,mid-low temperature preference,and never-on types as secondary patterns;both urban and rural areas exhibit energy-savingawareness characterized by low consumption-lowwillingness,though urban areas show marginally higher motivation;energy-saving awareness correlates with cooling behavior in rural areas,but this relationship weakens significantly in urban contexts.
基金TheNationalNatural Science Foundation ofChina(Nos.62272418,62102058)Zhejiang Provincial Natural Science Foundation Major Project(No.LD24F020004)the Major Open Project of Key Laboratory for Advanced Design and Intelligent Computing of the Ministry of Education(No.ADIC2023ZD001).
文摘With the rapid development of smart manufacturing,intelligent safety monitoring in industrial workshops has become increasingly important.To address the challenges of complex backgrounds,target scale variation,and excessive model parameters in worker violation detection,this study proposes ADCP-YOLO,an enhanced lightweight model based on YOLOv8.Here,“ADCP”represents four key improvements:Alterable Kernel Convolution(AKConv),Dilated-Wise Residual(DWR)module,Channel Reconstruction Global Attention Mechanism(CRGAM),and Powerful-IoU loss.These components collaboratively enhance feature extraction,multi-scale perception,and localization accuracy while effectively reducing model complexity and computational cost.Experimental results show that ADCP-YOLO achieves a mAP of 90.6%,surpassing YOLOv8 by 3.0%with a 6.6%reduction in parameters.These findings demonstrate that ADCP-YOLO successfully balances accuracy and efficiency,offering a practical solution for intelligent safety monitoring in smart factory workshops.
