The Cauchy problem of compressible Navier-Stokes-Korteweg system in R^(3) is considered here.Due to capillarity effect of material,we obtain the pointwise estimates of the solution in an H^(4)-framework,which is diffe...The Cauchy problem of compressible Navier-Stokes-Korteweg system in R^(3) is considered here.Due to capillarity effect of material,we obtain the pointwise estimates of the solution in an H^(4)-framework,which is different from the previous results for the compressible Navier-Stokes system in an H^(6)-framework[24,25].Our result mainly relies on two different descriptions of the singularity in the short wave of Green’s function for dealing initial propagation and nonlinear coupling respectively.Our pointwise results demonstrate the generalized Huygens’principle as the compressible Navier-Stokes system.As a corollary,we have an L^(p) estimate of the solution with p>1,which is a generalization for p≥2 in[33].展开更多
In view of the significant demands and development trends of urbanization during the 12 th Five-Year Plan period, "smart city" has attracted wide attention as an advanced city development concept in China. U...In view of the significant demands and development trends of urbanization during the 12 th Five-Year Plan period, "smart city" has attracted wide attention as an advanced city development concept in China. Under the circumstance of rapid urbanization, traffic congestion and accessibility defi ciency become major challenges to many Chinese cities, as transportation and travel are closely related to the effi ciency of a city's operation and the quality of people's life. As essential part of smart city planning and management, smart travel offers an effective behavior planning countermeasure to reduce the amount of urban traffi c and optimize the space-time distribution of travels and provides an effective technology to enrich the theories and methodologies of urban and transportation planning. Orienting at the practical demand of citizens and focusing on their travel behavior, this paper carries out a discussion on the smart travel framework based on space-time behavior study and analyzes smart travel planning and its policy route from multiple perspectives, including a prediction on travel demand, transportation planning, public policy-making, and urban planning. What's more, the paper suggests travel services for citizens based on space-time behavior analysis, such as providing personalized information, smart decision-making support, and individual behavior planning.展开更多
This paper proposes a new step-by-step Chebyshev space-time spectral method to analyze the force vibration of functionally graded material structures.Although traditional space-time spectral methods can reduce the acc...This paper proposes a new step-by-step Chebyshev space-time spectral method to analyze the force vibration of functionally graded material structures.Although traditional space-time spectral methods can reduce the accuracy mismatch between tem-poral low-order finite difference and spatial high-order discre tization,the ir time collocation points must increase dramatically to solve highly oscillatory solutions of structural vibration,which results in a surge in computing time and a decrease in accuracy.To address this problem,we introduced the step-by-step idea in the space-time spectral method.The Chebyshev polynomials and Lagrange's equation were applied to derive discrete spatial goverming equations,and a matrix projection method was used to map the calculation results of prev ious steps as the initial conditions of the subsequent steps.A series of numerical experiments were carried out.The results of the proposed method were compared with those obtained by traditional space-time spectral methods,which showed that higher accuracy could be achieved in a shorter computation time than the latter in highly oscillatory cases.展开更多
Existing orthogonal space-time block coding(OSTBC)schemes for backscatter communication systems cannot achieve a full transmission code rate when the tag is equipped with more than two antennas.In this paper,we propos...Existing orthogonal space-time block coding(OSTBC)schemes for backscatter communication systems cannot achieve a full transmission code rate when the tag is equipped with more than two antennas.In this paper,we propose a quasi-orthogonal spacetime block code(QOSTBC)that can achieve a full transmission code rate for backscatter communication systems with a four-antenna tag and then extend the scheme to support tags with 2i antennas.Specifically,we first present the system model for the backscatter system.Next,we propose the QOSTBC scheme to encode the tag signals.Then,we provide the corresponding maximum likelihood detection algorithms to recover the tag signals.Finally,simulation results are provided to demonstrate that our proposed QOSTBC scheme and the detection algorithm can achieve a better transmission code rate or symbol error rate performance for backscatter communication systems compared with benchmark schemes.展开更多
In this paper,we propose a hybrid decode-and-forward and soft information relaying(HDFSIR)strategy to mitigate error propagation in coded cooperative communications.In the HDFSIR approach,the relay operates in decode-...In this paper,we propose a hybrid decode-and-forward and soft information relaying(HDFSIR)strategy to mitigate error propagation in coded cooperative communications.In the HDFSIR approach,the relay operates in decode-and-forward(DF)mode when it successfully decodes the received message;otherwise,it switches to soft information relaying(SIR)mode.The benefits of the DF and SIR forwarding strategies are combined to achieve better performance than deploying the DF or SIR strategy alone.Closed-form expressions for the outage probability and symbol error rate(SER)are derived for coded cooperative communication with HDFSIR and energy-harvesting relays.Additionally,we introduce a novel normalized log-likelihood-ratio based soft estimation symbol(NL-SES)mapping technique,which enhances soft symbol accuracy for higher-order modulation,and propose a model characterizing the relationship between the estimated complex soft symbol and the actual high-order modulated symbol.Further-more,the hybrid DF-SIR strategy is extended to a distributed Alamouti space-time-coded cooperative network.To evaluate the~performance of the proposed HDFSIR strategy,we implement extensive Monte Carlo simulations under varying channel conditions.Results demonstrate significant improvements with the hybrid technique outperforming individual DF and SIR strategies in both conventional and distributed Alamouti space-time coded cooperative networks.Moreover,at a SER of 10^(-3),the proposed NL-SES mapping demonstrated a 3.5 dB performance gain over the conventional averaging one,highlighting its superior accuracy in estimating soft symbols for quadrature phase-shift keying modulation.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
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
This study utilizes wet/dry cyclic corrosion testing combined with corrosion big data technology to investigate the mechanism by which chloride ions(Cl^(-))influence the corrosion behavior of 650 MPa high-strength low...This study utilizes wet/dry cyclic corrosion testing combined with corrosion big data technology to investigate the mechanism by which chloride ions(Cl^(-))influence the corrosion behavior of 650 MPa high-strength low-alloy(HSLA)steel in industrially polluted environments.The corrosion process of 650 MPa HSLA steel occurred in two distinct stages:an initial corrosion stage and a stable corrosion stage.During the initial phase,the weight loss rate increased rapidly owing to the instability of the rust layer.Notably,this study demonstrated that 650 MPa HSLA steel exhibited superior corrosion resistance in Cl-containing environments.The formation of a corrosion-product film eventually reduced the weight-loss rate.However,the intrusion of Cl^(-)at increasing concentrations gradually destabilized theα/γ^(*)phases of the rust layer,leading to a looser structure and lower polarization resistance(R_(p)).The application of corrosion big data technology in this study facilitated the validation and analysis of the experimental results,offering new insights into the corrosion mechanisms of HSLA steel in chloride-rich environments.展开更多
The volume change behavior of natural gas hydrate-bearing sediment is essential as it influences settlement,strength,and stiffness,which directly affect the stability of hydrate reservoirs during hydrate extraction or...The volume change behavior of natural gas hydrate-bearing sediment is essential as it influences settlement,strength,and stiffness,which directly affect the stability of hydrate reservoirs during hydrate extraction or in response to environmental changes.The volume change is influenced not only by stress but also by the formation and dissociation of hydrates.This study adopted a customized apparatus for one-dimensional compression tests,allowing independent control of gas pressure and effective stress.Tests were conducted on samples with different hydrate saturations along various temperature-gas pressure-effective stress paths,yielding some conclusions related to compressibility and creep.An unusual phenomenon was observed under low-stress conditions:hydrate formation led to shrinkage rather than expansion.Three potential mechanisms behind this occurrence were discussed.As hydrate saturation increases,the yield stress rises while the compression and swelling indexes remain minimally affected.After hydrate dissociation,the compression curve of hydrate-bearing sediment drops to that of hydrate-free sediment.Once hydrate is formed,the compression curve of hydrate-free sediment gradually approaches that of hydrate-bearing sediment during the subsequent loading.Under low-stress conditions,the creep of both hydrate-free and hydrate-bearing sediments is very weak.However,when stress increases,significantly beyond the yield stress,the creep of both sediments increases significantly,with hydrate-bearing sediment exhibiting much greater creep than hydrate-free sediment.展开更多
Drilling and blasting tunneling is a cyclic process in which tunnel rock undergoes repeated blast loading,affecting its dynamic characteristics,energy evolution,and damage progression.To explore the dynamic mechanical...Drilling and blasting tunneling is a cyclic process in which tunnel rock undergoes repeated blast loading,affecting its dynamic characteristics,energy evolution,and damage progression.To explore the dynamic mechanical properties and damage mechanisms of carbonaceous slate under cyclic impact loads of varying intensities,cyclic dynamic tests are conducted using a triaxial split Hopkinson pressure bar.This study analyzes the stress-strain relationship,energy damage evolution,and macro-to-micro failure characteristics.The results show that peak stress and strain are significantly influenced by impact intensity and the number of impacts.The initial dynamic stress is positively correlated with the impact intensity,but with more impact,the dynamic stress decreases while the peak strain increases.Energy evolution follows a pattern of"slow growthfluctuating growthrapid growth,"with the crack initiation stress and its proportion decreasing.CT and SEM analyses reveal that as the impact intensity increases,failure becomes more chaotic,the fracture volume increases,and the fracture mode shifts from interlayer and intergranular to through-layer and trans-granular fractures.These findings provide an experimental basis for soft rock tunnel stability analysis.展开更多
Objectives:24-h movement behaviors(24-HMB),encompassing physical activity,sedentary behavior,and sleep duration,are increasingly regarded as interrelated and important factors for mental health.However,evidence on the...Objectives:24-h movement behaviors(24-HMB),encompassing physical activity,sedentary behavior,and sleep duration,are increasingly regarded as interrelated and important factors for mental health.However,evidence on the comprehensive association of these behaviors with mental health in adults with diabetes in developing countries remains scarce.This study examined the association between 24-HMB guidelines and psychological health among adults with diabetes in developing countries.Methods:Data were retrieved from the World Health Organization’s study on Global Aging and Adult Health Survey dataset.Adults(N=1905)diagnosed with diabetes from five low-and middle-income countries were included.The exposure of interest was adherence to 24-HMB guidelines,depression,cognition,and quality of life(QoL).Multiple logistic and multiple linear regression analyses were used to examine the association between meeting 24-HMB guidelines and depression,cognition,and QoL,respectively.Results:This cross-sectional study revealed that 28.61%complied with all three 24-HMB guidelines.Diabetic patients who met more numbers of 24-HMB guidelines had lower depression risk(OR=0.74,95%CI:0.61 to 0.91,p=0.004),greater cognition(β=0.42,95%CI:0.25 to 0.60,p<0.001),and QoL(β=1.30,95%CI:1.04 to 1.55,p<0.001)with the non-compliant population.For specific combinations,meeting all three guidelines were significantly associated with lower odds of depression,improved cognitive function,and enhanced QoL(all p<0.001).Conclusion:These findings support that meeting 24-HMB guidelines in a single or combined movement behaviors was significantly related to reduced risk of depression,enhanced cognitive function,and improved QoL among individuals with diabetes.展开更多
Significant differences exist between deep and medium-shallow coalbed methane(CBM)reservoirs.The unclear understanding of flowback and production behavior severely constrains the development of deep CBM resources.To a...Significant differences exist between deep and medium-shallow coalbed methane(CBM)reservoirs.The unclear understanding of flowback and production behavior severely constrains the development of deep CBM resources.To address this challenge,guided by the gas-liquid two-phase flow theory in ultra-low permeability reservoirs,and integrating theoretical analysis,numerical simulation,and insights from production practices,this study classifies the flowback and production stages of deep CBM well considering the Daning-Jixian Block,Eastern Ordos Basin as a representative case.We summarize the flowback characteristics for each stage and establish a standard flowback production type curve,aiming to guide field operations.The results indicate that:(a)The production process of deep CBM horizontal wells can be divided into five distinct stages:initial single-phase water dewatering stage,initial gas appearance to peak water production stage,gas breakthrough to peak gas production stage,stable production and decline stage,and low-rate production stage.(b)Based on reservoir energy,two standard type curves for horizontal well flowback production are established:the‘Sufficient Reservoir Energy’type and the‘Insufficient Reservoir Energy’type.The former achieves a higher initial gas rate(up to 12×10^(4)m^(3)/d)but exhibits poorer stability,while the latter achieves a lower stable rate(up to 8×10^(4)m^(3)/d)but demonstrates stronger stability.Numerical simulation confirms these behavioral patterns and reveals the underlying mechanisms related to the effectively drained area where pressure is significantly depleted.The findings from this study have guided the flowback production operations in 53 deep CBM wells with positive results,demonstrating high potential for broad application.展开更多
BACKGROUND Despite societal guidelines recommending targeted screening for Barrett’s esophagus(BE)and esophageal adenocarcinoma(EAC)in individuals with gastroesophageal reflux symptoms(GERS),screening adherence is su...BACKGROUND Despite societal guidelines recommending targeted screening for Barrett’s esophagus(BE)and esophageal adenocarcinoma(EAC)in individuals with gastroesophageal reflux symptoms(GERS),screening adherence is suboptimal.Current screening approaches fail to identify individuals not seeking medical consultation for GERS or whose GERS are managed with‘over-the-counter’(OTC)acid suppressant therapies.AIM To assess patients’self-management and help-seeking behavior for GERS.METHODS This cross-sectional study collected data from the Dutch general population aged 18-75 years between January and April 2023 using a web-based survey.The survey included questions regarding self-management(e.g.,use of acid suppressant therapy with or without prescription)and help-seeking behavior(e.g.,consulting a primary care provider)for GERS.Simple random sampling was performed to select individuals within the target age group.In total,18156 randomly selected individuals were invited to participate.The study protocol was registered in ClinicalTrials.gov(identifier:NCT05689918).RESULTS Of the 18156 invited individuals,3214 participants(17.7%)completed the survey,of which 1572 participants(48.9%)reported GERS.Of these,904 participants(57.5%)had never consulted a primary care provider for these symptoms,of which 331 participants(36.6%)reported taking OTC acid suppressant therapy in the past six months and 100 participants(11.1%)fulfilled the screening criteria for BE and EAC according to the European Society of Gastrointestinal Endoscopy Guideline.CONCLUSION The population fulfilling the screening criteria for BE and EAC is incompletely identified,suggesting potential underutilization of medical consultation.Raising public awareness of GERS as a risk factor for EAC is needed.展开更多
To investigate the aging mechanisms and elucidate the correlations between unstable microstructure and performance in biodegradable Zn alloys,the accelerated aging experiment was conducted on a high-performance wrough...To investigate the aging mechanisms and elucidate the correlations between unstable microstructure and performance in biodegradable Zn alloys,the accelerated aging experiment was conducted on a high-performance wrought Zn−0.1Mg alloy by annealing at 200℃ for varying durations.The findings reveal that the tensile strength of the alloy rapidly and significantly declines with prolonged annealing time,decreasing from 383 MPa for the as-received alloy to 102 MPa for the alloy subjected to 1440 min of annealing.The primary factors contributing to this considerable reduction in strength are static recrystallization,grain coarsening,and dislocation annihilation.Initially,the ductility of the alloy shows fluctuations,ultimately experiencing a marked decrease after extended annealing.This decline is linked to the grain growth and heightened texture intensity,while the unusual increase in ductility observed between 30 and 120 min of annealing is likely due to the formation of twins.In addition,due to rapid grain growth and an increase in precipitates and twins,the corrosion resistance of the alloy in Hank’s solution has worsened,with the corrosion rate rising from 0.037 to 0.069 mm/a following 300 min of annealing.展开更多
BACKGROUND Due to the dry and cold climate,the obvious temperature difference between day and night,and the low oxygen content of the air in the plateau area,people are prone to upper respiratory tract diseases,and of...BACKGROUND Due to the dry and cold climate,the obvious temperature difference between day and night,and the low oxygen content of the air in the plateau area,people are prone to upper respiratory tract diseases,and often the condition is prolonged,and the patients are prone to anxiety and uneasiness,which may be related to the harshness of the plateau environment,somatic discomfort due to the lack of oxygen,anxiety about the disease,and other factors.AIM To investigate the effects of cognitive behavioral therapy(CBT)on anxiety,sleep disorders,and hypoxia tolerance in patients with high-altitude respiratory diseases.METHODS A total of 2337 patients with high-altitude-related respiratory diseases treated at our hospital between November 2023 and January 2024 were selected as the study subjects.The subjects’pre-high-altitude residential altitude was approximately 1700 meters.They were divided into two groups.Both groups were given symptomatic treatment,and the control group implemented conventional nursing intervention,while the research group simultaneously conducted CBT intervention;assessed the degree of health knowledge of the two groups,and applied the Hamilton Anxiety Scale and the Pittsburgh Sleep Quality Index to assess the anxiety and sleep quality of the patients before and after the intervention,respectively.It also observed the length and efficiency of sleep,and detected the level of serum hypoxia inducible factor-1α,erythropoietin(EPO)and clinical intervention before and after intervention.EPO levels,and investigated satisfaction with the clinical intervention.RESULTS The rate of excellent health knowledge in the intervention group was 93.64%,which was higher than that in the control group(74.23%;P<0.05).Before the intervention,there was no significant difference in Hamilton Anxiety Scale and Pittsburgh Sleep Quality Index scores between the two groups(P>0.05),and after the intervention,the scores of the study group were significantly lower than those of the control group(P<0.05).There was no significant difference in sleep duration and sleep efficiency between the groups before the intervention(P>0.05),and after the intervention,the scores of the study group were significantly larger than those of the control group(P<0.05).There was no significant difference in serum hypoxia inducible factor-1αand EPO between the two groups before intervention(P>0.05),and both research groups were significantly lower than the control group after intervention(P<0.05).According to the questionnaire survey,the intervention satisfaction of the study group was 95.53%,which was higher than that of the control group(80.14%;P<0.05).CONCLUSION The CBT intervention in the treatment of patients with high-altitude-related respiratory diseases helps improve patients'health knowledge,relieve anxiety,improve sleep quality and hypoxia tolerance,and improve nursing satisfaction.展开更多
BACKGROUND Approximately 30%of patients with head and neck cancer experience adverse effects caused by anxiety and depression.Considering the high prevalence,implementing customized interventions to ease adverse emoti...BACKGROUND Approximately 30%of patients with head and neck cancer experience adverse effects caused by anxiety and depression.Considering the high prevalence,implementing customized interventions to ease adverse emotional states is imperative.AIM To evaluate the efficacy of cognitive behavioral therapy(CBT)-based psychological interventions in improving the psychological well-being and quality of life(QoL)of patients with laryngeal carcinoma.METHODS This study enrolled 120 patients admitted from February 2022 to February 2024.The control group,comprising 50 participants,received standard supportive psychological care,while the research group,consisting 70 participants,underwent CBT-based interventions.Several clinical outcomes were systematically assessed that included postoperative recovery metrics(duration of tracheostomy and nasogastric tube dependence and length of hospitalization),psychological status(Self-Rating Anxiety Scale and Self-Rating Depression Scale),nutritional markers(serum albumin and hemoglobin levels),sleep quality(Self-Rating Scale of Sleep and Athens Insomnia Scale),and QoL(Functional Assessment of Cancer Therapy-Head and Neck).RESULTS The results demonstrated that the research group experienced superior outcomes,with significantly reduced durations of tracheostomy and nasogastric tube dependence,as well as shorter hospital stays,compared with the control group.Additionally,the research group exhibited markedly lower post-intervention Self-Rating Anxiety Scale,Self-Rating Depression Scale,Self-Rating Scale of Sleep,and Athens Insomnia Scale scores,along with minimal but higher change in serum albumin and hemoglobin levels compared with the control group.All five domains of Functional Assessment of Cancer Therapy-Head and Neck showed notable improvements in the research group,exceeding those observed in the control group.CONCLUSION CBT-based psychological support positively affects the mental well-being and QoL of patients with laryngeal carcinoma,highlighting its potential for broader clinical application.展开更多
基金Supported by Natural Science Foundation of China(11971100)Natural Science Foundation of Shanghai(22ZR1402300).
文摘The Cauchy problem of compressible Navier-Stokes-Korteweg system in R^(3) is considered here.Due to capillarity effect of material,we obtain the pointwise estimates of the solution in an H^(4)-framework,which is different from the previous results for the compressible Navier-Stokes system in an H^(6)-framework[24,25].Our result mainly relies on two different descriptions of the singularity in the short wave of Green’s function for dealing initial propagation and nonlinear coupling respectively.Our pointwise results demonstrate the generalized Huygens’principle as the compressible Navier-Stokes system.As a corollary,we have an L^(p) estimate of the solution with p>1,which is a generalization for p≥2 in[33].
基金Funded by the Program of National Science and Technology Supporting Plan in the 12th Five-Year Plan Period(2012BAJ05B00),as one of the research projects(2012BAJ05B04)the Research Fund for Collaborations with Overseas and Hong Kong & Macao Scholars of the National Natural Sciences Foundation(41228001)
文摘In view of the significant demands and development trends of urbanization during the 12 th Five-Year Plan period, "smart city" has attracted wide attention as an advanced city development concept in China. Under the circumstance of rapid urbanization, traffic congestion and accessibility defi ciency become major challenges to many Chinese cities, as transportation and travel are closely related to the effi ciency of a city's operation and the quality of people's life. As essential part of smart city planning and management, smart travel offers an effective behavior planning countermeasure to reduce the amount of urban traffi c and optimize the space-time distribution of travels and provides an effective technology to enrich the theories and methodologies of urban and transportation planning. Orienting at the practical demand of citizens and focusing on their travel behavior, this paper carries out a discussion on the smart travel framework based on space-time behavior study and analyzes smart travel planning and its policy route from multiple perspectives, including a prediction on travel demand, transportation planning, public policy-making, and urban planning. What's more, the paper suggests travel services for citizens based on space-time behavior analysis, such as providing personalized information, smart decision-making support, and individual behavior planning.
基金supported by the Advance Research Project of Civil Aerospace Technology(Grant No.D020304)National Nat-ural Science Foundation of China(Grant Nos.52205257 and U22B2083).
文摘This paper proposes a new step-by-step Chebyshev space-time spectral method to analyze the force vibration of functionally graded material structures.Although traditional space-time spectral methods can reduce the accuracy mismatch between tem-poral low-order finite difference and spatial high-order discre tization,the ir time collocation points must increase dramatically to solve highly oscillatory solutions of structural vibration,which results in a surge in computing time and a decrease in accuracy.To address this problem,we introduced the step-by-step idea in the space-time spectral method.The Chebyshev polynomials and Lagrange's equation were applied to derive discrete spatial goverming equations,and a matrix projection method was used to map the calculation results of prev ious steps as the initial conditions of the subsequent steps.A series of numerical experiments were carried out.The results of the proposed method were compared with those obtained by traditional space-time spectral methods,which showed that higher accuracy could be achieved in a shorter computation time than the latter in highly oscillatory cases.
基金supported by Beijing Municipal Natural Science Foundation(L222002)the Natural Science Foundation of China(U22B2004).
文摘Existing orthogonal space-time block coding(OSTBC)schemes for backscatter communication systems cannot achieve a full transmission code rate when the tag is equipped with more than two antennas.In this paper,we propose a quasi-orthogonal spacetime block code(QOSTBC)that can achieve a full transmission code rate for backscatter communication systems with a four-antenna tag and then extend the scheme to support tags with 2i antennas.Specifically,we first present the system model for the backscatter system.Next,we propose the QOSTBC scheme to encode the tag signals.Then,we provide the corresponding maximum likelihood detection algorithms to recover the tag signals.Finally,simulation results are provided to demonstrate that our proposed QOSTBC scheme and the detection algorithm can achieve a better transmission code rate or symbol error rate performance for backscatter communication systems compared with benchmark schemes.
基金funded by the Deanship of Graduate Studies and Scientific Research at Jouf University under grant No.(DGSSR-2024-02-02160).
文摘In this paper,we propose a hybrid decode-and-forward and soft information relaying(HDFSIR)strategy to mitigate error propagation in coded cooperative communications.In the HDFSIR approach,the relay operates in decode-and-forward(DF)mode when it successfully decodes the received message;otherwise,it switches to soft information relaying(SIR)mode.The benefits of the DF and SIR forwarding strategies are combined to achieve better performance than deploying the DF or SIR strategy alone.Closed-form expressions for the outage probability and symbol error rate(SER)are derived for coded cooperative communication with HDFSIR and energy-harvesting relays.Additionally,we introduce a novel normalized log-likelihood-ratio based soft estimation symbol(NL-SES)mapping technique,which enhances soft symbol accuracy for higher-order modulation,and propose a model characterizing the relationship between the estimated complex soft symbol and the actual high-order modulated symbol.Further-more,the hybrid DF-SIR strategy is extended to a distributed Alamouti space-time-coded cooperative network.To evaluate the~performance of the proposed HDFSIR strategy,we implement extensive Monte Carlo simulations under varying channel conditions.Results demonstrate significant improvements with the hybrid technique outperforming individual DF and SIR strategies in both conventional and distributed Alamouti space-time coded cooperative networks.Moreover,at a SER of 10^(-3),the proposed NL-SES mapping demonstrated a 3.5 dB performance gain over the conventional averaging one,highlighting its superior accuracy in estimating soft symbols for quadrature phase-shift keying modulation.
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.
基金financially supported by the National Natural Science Foundation of China(Nos.52104319 and 52374323)。
文摘This study utilizes wet/dry cyclic corrosion testing combined with corrosion big data technology to investigate the mechanism by which chloride ions(Cl^(-))influence the corrosion behavior of 650 MPa high-strength low-alloy(HSLA)steel in industrially polluted environments.The corrosion process of 650 MPa HSLA steel occurred in two distinct stages:an initial corrosion stage and a stable corrosion stage.During the initial phase,the weight loss rate increased rapidly owing to the instability of the rust layer.Notably,this study demonstrated that 650 MPa HSLA steel exhibited superior corrosion resistance in Cl-containing environments.The formation of a corrosion-product film eventually reduced the weight-loss rate.However,the intrusion of Cl^(-)at increasing concentrations gradually destabilized theα/γ^(*)phases of the rust layer,leading to a looser structure and lower polarization resistance(R_(p)).The application of corrosion big data technology in this study facilitated the validation and analysis of the experimental results,offering new insights into the corrosion mechanisms of HSLA steel in chloride-rich environments.
基金supported by the National Natural Science Foundation of China(Grant No.42171135)the Science and Technology Program of CNOOC Research Institute(Grant No.2023OTKK03)the“CUG Scholar”Scientific Research Funds at China University of Geosciences(Project No.2022098).
文摘The volume change behavior of natural gas hydrate-bearing sediment is essential as it influences settlement,strength,and stiffness,which directly affect the stability of hydrate reservoirs during hydrate extraction or in response to environmental changes.The volume change is influenced not only by stress but also by the formation and dissociation of hydrates.This study adopted a customized apparatus for one-dimensional compression tests,allowing independent control of gas pressure and effective stress.Tests were conducted on samples with different hydrate saturations along various temperature-gas pressure-effective stress paths,yielding some conclusions related to compressibility and creep.An unusual phenomenon was observed under low-stress conditions:hydrate formation led to shrinkage rather than expansion.Three potential mechanisms behind this occurrence were discussed.As hydrate saturation increases,the yield stress rises while the compression and swelling indexes remain minimally affected.After hydrate dissociation,the compression curve of hydrate-bearing sediment drops to that of hydrate-free sediment.Once hydrate is formed,the compression curve of hydrate-free sediment gradually approaches that of hydrate-bearing sediment during the subsequent loading.Under low-stress conditions,the creep of both hydrate-free and hydrate-bearing sediments is very weak.However,when stress increases,significantly beyond the yield stress,the creep of both sediments increases significantly,with hydrate-bearing sediment exhibiting much greater creep than hydrate-free sediment.
基金support from the Joint Funds of the National Natural Science Foundation of China(Grant No.U23A2060)the National Natural Science Foundation of China(Grant Nos.42177143 and 52474150).
文摘Drilling and blasting tunneling is a cyclic process in which tunnel rock undergoes repeated blast loading,affecting its dynamic characteristics,energy evolution,and damage progression.To explore the dynamic mechanical properties and damage mechanisms of carbonaceous slate under cyclic impact loads of varying intensities,cyclic dynamic tests are conducted using a triaxial split Hopkinson pressure bar.This study analyzes the stress-strain relationship,energy damage evolution,and macro-to-micro failure characteristics.The results show that peak stress and strain are significantly influenced by impact intensity and the number of impacts.The initial dynamic stress is positively correlated with the impact intensity,but with more impact,the dynamic stress decreases while the peak strain increases.Energy evolution follows a pattern of"slow growthfluctuating growthrapid growth,"with the crack initiation stress and its proportion decreasing.CT and SEM analyses reveal that as the impact intensity increases,failure becomes more chaotic,the fracture volume increases,and the fracture mode shifts from interlayer and intergranular to through-layer and trans-granular fractures.These findings provide an experimental basis for soft rock tunnel stability analysis.
文摘Objectives:24-h movement behaviors(24-HMB),encompassing physical activity,sedentary behavior,and sleep duration,are increasingly regarded as interrelated and important factors for mental health.However,evidence on the comprehensive association of these behaviors with mental health in adults with diabetes in developing countries remains scarce.This study examined the association between 24-HMB guidelines and psychological health among adults with diabetes in developing countries.Methods:Data were retrieved from the World Health Organization’s study on Global Aging and Adult Health Survey dataset.Adults(N=1905)diagnosed with diabetes from five low-and middle-income countries were included.The exposure of interest was adherence to 24-HMB guidelines,depression,cognition,and quality of life(QoL).Multiple logistic and multiple linear regression analyses were used to examine the association between meeting 24-HMB guidelines and depression,cognition,and QoL,respectively.Results:This cross-sectional study revealed that 28.61%complied with all three 24-HMB guidelines.Diabetic patients who met more numbers of 24-HMB guidelines had lower depression risk(OR=0.74,95%CI:0.61 to 0.91,p=0.004),greater cognition(β=0.42,95%CI:0.25 to 0.60,p<0.001),and QoL(β=1.30,95%CI:1.04 to 1.55,p<0.001)with the non-compliant population.For specific combinations,meeting all three guidelines were significantly associated with lower odds of depression,improved cognitive function,and enhanced QoL(all p<0.001).Conclusion:These findings support that meeting 24-HMB guidelines in a single or combined movement behaviors was significantly related to reduced risk of depression,enhanced cognitive function,and improved QoL among individuals with diabetes.
基金supported by the National Science and Technology Major Project of China(No.2025ZD1405702)the Scientific Research and Technology Development Project of PetroChina Coalbed Methane Co.,Ltd.(Project No.25MQCTSG010)Applied Science and Technology Project of PetroChina Company Limited(2023ZZ18YJ04).
文摘Significant differences exist between deep and medium-shallow coalbed methane(CBM)reservoirs.The unclear understanding of flowback and production behavior severely constrains the development of deep CBM resources.To address this challenge,guided by the gas-liquid two-phase flow theory in ultra-low permeability reservoirs,and integrating theoretical analysis,numerical simulation,and insights from production practices,this study classifies the flowback and production stages of deep CBM well considering the Daning-Jixian Block,Eastern Ordos Basin as a representative case.We summarize the flowback characteristics for each stage and establish a standard flowback production type curve,aiming to guide field operations.The results indicate that:(a)The production process of deep CBM horizontal wells can be divided into five distinct stages:initial single-phase water dewatering stage,initial gas appearance to peak water production stage,gas breakthrough to peak gas production stage,stable production and decline stage,and low-rate production stage.(b)Based on reservoir energy,two standard type curves for horizontal well flowback production are established:the‘Sufficient Reservoir Energy’type and the‘Insufficient Reservoir Energy’type.The former achieves a higher initial gas rate(up to 12×10^(4)m^(3)/d)but exhibits poorer stability,while the latter achieves a lower stable rate(up to 8×10^(4)m^(3)/d)but demonstrates stronger stability.Numerical simulation confirms these behavioral patterns and reveals the underlying mechanisms related to the effectively drained area where pressure is significantly depleted.The findings from this study have guided the flowback production operations in 53 deep CBM wells with positive results,demonstrating high potential for broad application.
文摘BACKGROUND Despite societal guidelines recommending targeted screening for Barrett’s esophagus(BE)and esophageal adenocarcinoma(EAC)in individuals with gastroesophageal reflux symptoms(GERS),screening adherence is suboptimal.Current screening approaches fail to identify individuals not seeking medical consultation for GERS or whose GERS are managed with‘over-the-counter’(OTC)acid suppressant therapies.AIM To assess patients’self-management and help-seeking behavior for GERS.METHODS This cross-sectional study collected data from the Dutch general population aged 18-75 years between January and April 2023 using a web-based survey.The survey included questions regarding self-management(e.g.,use of acid suppressant therapy with or without prescription)and help-seeking behavior(e.g.,consulting a primary care provider)for GERS.Simple random sampling was performed to select individuals within the target age group.In total,18156 randomly selected individuals were invited to participate.The study protocol was registered in ClinicalTrials.gov(identifier:NCT05689918).RESULTS Of the 18156 invited individuals,3214 participants(17.7%)completed the survey,of which 1572 participants(48.9%)reported GERS.Of these,904 participants(57.5%)had never consulted a primary care provider for these symptoms,of which 331 participants(36.6%)reported taking OTC acid suppressant therapy in the past six months and 100 participants(11.1%)fulfilled the screening criteria for BE and EAC according to the European Society of Gastrointestinal Endoscopy Guideline.CONCLUSION The population fulfilling the screening criteria for BE and EAC is incompletely identified,suggesting potential underutilization of medical consultation.Raising public awareness of GERS as a risk factor for EAC is needed.
基金supported by the National Natural Science Foundation of China(No.52271101)Suzhou Science and Technology Project,China(Nos.SYG202312,SJC2023005,SZS2023023)+1 种基金Nanjing Major Science and Technology Project,China(No.202309015)the Opening Project of Jiangsu Key Laboratory of Advanced Structural Materials and Application Technology,China(No.ASMA202305)。
文摘To investigate the aging mechanisms and elucidate the correlations between unstable microstructure and performance in biodegradable Zn alloys,the accelerated aging experiment was conducted on a high-performance wrought Zn−0.1Mg alloy by annealing at 200℃ for varying durations.The findings reveal that the tensile strength of the alloy rapidly and significantly declines with prolonged annealing time,decreasing from 383 MPa for the as-received alloy to 102 MPa for the alloy subjected to 1440 min of annealing.The primary factors contributing to this considerable reduction in strength are static recrystallization,grain coarsening,and dislocation annihilation.Initially,the ductility of the alloy shows fluctuations,ultimately experiencing a marked decrease after extended annealing.This decline is linked to the grain growth and heightened texture intensity,while the unusual increase in ductility observed between 30 and 120 min of annealing is likely due to the formation of twins.In addition,due to rapid grain growth and an increase in precipitates and twins,the corrosion resistance of the alloy in Hank’s solution has worsened,with the corrosion rate rising from 0.037 to 0.069 mm/a following 300 min of annealing.
基金Supported by Army Logistics Department Health Bureau Project,No.QJGYXYJZX-012.
文摘BACKGROUND Due to the dry and cold climate,the obvious temperature difference between day and night,and the low oxygen content of the air in the plateau area,people are prone to upper respiratory tract diseases,and often the condition is prolonged,and the patients are prone to anxiety and uneasiness,which may be related to the harshness of the plateau environment,somatic discomfort due to the lack of oxygen,anxiety about the disease,and other factors.AIM To investigate the effects of cognitive behavioral therapy(CBT)on anxiety,sleep disorders,and hypoxia tolerance in patients with high-altitude respiratory diseases.METHODS A total of 2337 patients with high-altitude-related respiratory diseases treated at our hospital between November 2023 and January 2024 were selected as the study subjects.The subjects’pre-high-altitude residential altitude was approximately 1700 meters.They were divided into two groups.Both groups were given symptomatic treatment,and the control group implemented conventional nursing intervention,while the research group simultaneously conducted CBT intervention;assessed the degree of health knowledge of the two groups,and applied the Hamilton Anxiety Scale and the Pittsburgh Sleep Quality Index to assess the anxiety and sleep quality of the patients before and after the intervention,respectively.It also observed the length and efficiency of sleep,and detected the level of serum hypoxia inducible factor-1α,erythropoietin(EPO)and clinical intervention before and after intervention.EPO levels,and investigated satisfaction with the clinical intervention.RESULTS The rate of excellent health knowledge in the intervention group was 93.64%,which was higher than that in the control group(74.23%;P<0.05).Before the intervention,there was no significant difference in Hamilton Anxiety Scale and Pittsburgh Sleep Quality Index scores between the two groups(P>0.05),and after the intervention,the scores of the study group were significantly lower than those of the control group(P<0.05).There was no significant difference in sleep duration and sleep efficiency between the groups before the intervention(P>0.05),and after the intervention,the scores of the study group were significantly larger than those of the control group(P<0.05).There was no significant difference in serum hypoxia inducible factor-1αand EPO between the two groups before intervention(P>0.05),and both research groups were significantly lower than the control group after intervention(P<0.05).According to the questionnaire survey,the intervention satisfaction of the study group was 95.53%,which was higher than that of the control group(80.14%;P<0.05).CONCLUSION The CBT intervention in the treatment of patients with high-altitude-related respiratory diseases helps improve patients'health knowledge,relieve anxiety,improve sleep quality and hypoxia tolerance,and improve nursing satisfaction.
文摘BACKGROUND Approximately 30%of patients with head and neck cancer experience adverse effects caused by anxiety and depression.Considering the high prevalence,implementing customized interventions to ease adverse emotional states is imperative.AIM To evaluate the efficacy of cognitive behavioral therapy(CBT)-based psychological interventions in improving the psychological well-being and quality of life(QoL)of patients with laryngeal carcinoma.METHODS This study enrolled 120 patients admitted from February 2022 to February 2024.The control group,comprising 50 participants,received standard supportive psychological care,while the research group,consisting 70 participants,underwent CBT-based interventions.Several clinical outcomes were systematically assessed that included postoperative recovery metrics(duration of tracheostomy and nasogastric tube dependence and length of hospitalization),psychological status(Self-Rating Anxiety Scale and Self-Rating Depression Scale),nutritional markers(serum albumin and hemoglobin levels),sleep quality(Self-Rating Scale of Sleep and Athens Insomnia Scale),and QoL(Functional Assessment of Cancer Therapy-Head and Neck).RESULTS The results demonstrated that the research group experienced superior outcomes,with significantly reduced durations of tracheostomy and nasogastric tube dependence,as well as shorter hospital stays,compared with the control group.Additionally,the research group exhibited markedly lower post-intervention Self-Rating Anxiety Scale,Self-Rating Depression Scale,Self-Rating Scale of Sleep,and Athens Insomnia Scale scores,along with minimal but higher change in serum albumin and hemoglobin levels compared with the control group.All five domains of Functional Assessment of Cancer Therapy-Head and Neck showed notable improvements in the research group,exceeding those observed in the control group.CONCLUSION CBT-based psychological support positively affects the mental well-being and QoL of patients with laryngeal carcinoma,highlighting its potential for broader clinical application.
