Diabetes is a major public health concern worldwide. Low and middle-income countries are the most affected. Diabetes self-management can significantly reduce the burden of diabetes complications and mortality. This cr...Diabetes is a major public health concern worldwide. Low and middle-income countries are the most affected. Diabetes self-management can significantly reduce the burden of diabetes complications and mortality. This cross-sectional study was conducted at the outpatient department of a county referral hospital in Kenya, from 1st August 2022 to 30th October 2022. Patients with known type II diabetes of age ≥ 20 years visiting the hospital for routine follow-up visits were included. A 7-tem Summary of Diabetes Self-care Activities (SDSAC) Questionnaire was used to assess Diabetes self-care activities. For data entry and statistical analysis, SPSS for Windows version 27.0 was used. There were 96 (39.2%) males and 149 (60.8%) females. Most of the participants were more than 61 years, 148 (60.4%). Significant association was found between the sum scale scores of dietary activities, blood glucose testing, physical activity, foot care, and neuropathy at 95% CI and (p Conclusions: Diabetes self-management activities have an impact on microvascular complications in patients with diabetes.展开更多
The purpose of this paper is to argue the effectiveness of self-regulated learning in English education in Chinese college classroom instruction. A study is given to show whether the introduction of self-regulated lea...The purpose of this paper is to argue the effectiveness of self-regulated learning in English education in Chinese college classroom instruction. A study is given to show whether the introduction of self-regulated learning can help improve Chinese college students' English learning, and help them perform better in the National English test-CET-4 (College English Test Level-4,).展开更多
In underdense plasmas, the transverse ponderomotive force of an intense laser beam with Ganssian transverse profile expels electrons radially, and it can lead to an electron cavitstion. An improved cavitation model wi...In underdense plasmas, the transverse ponderomotive force of an intense laser beam with Ganssian transverse profile expels electrons radially, and it can lead to an electron cavitstion. An improved cavitation model with charge conservation constraint is applied to the determination of the width of the electron cavity. The envelope equation for spot size derived by using source-dependent expansion method is extended to including the electron cavity. The condition for self-guiding is given and illuminated by an effective potential for the laser spot size. The effects of the laser power, plasma density and energy dissipation on the self-guiding condition are discussed.展开更多
Infinitely many conservation laws for some （1＋1）-dimension soliton hierarchy with self-consistent sources are constructed from their corresponding Lax pairs directly. Three examples are given. Besides, infinitely m...Infinitely many conservation laws for some （1＋1）-dimension soliton hierarchy with self-consistent sources are constructed from their corresponding Lax pairs directly. Three examples are given. Besides, infinitely many conservation laws for Kadomtsev-Petviashvili （KP） hierarchy with self-consistent sources are obtained from the pseudo-differential operator and the Lax pair.展开更多
Background: Hip osteoarthritis (HOA) causes joint destruction, resulting in hip pain, limited range-of-motion, claudication, and joint deformity. In the conservative treatment of HOA, self-management is important to m...Background: Hip osteoarthritis (HOA) causes joint destruction, resulting in hip pain, limited range-of-motion, claudication, and joint deformity. In the conservative treatment of HOA, self-management is important to manage symptoms and control disease progression. In a previous study, the researchers conducted a conceptual analysis of 43 foreign studies on self-management during conservative therapy for patients with HOA. The results revealed a definition of self-management during conservative therapy for patients with HOA. However, because that study analyzed only the foreign literature, it remains unclear whether the findings reflect the characteristics of the Japanese health-care delivery system, health-care insurance system, or the lifestyles and cultural characteristics of Japanese patients with HOA. Objective: We aimed to clarify the self-management behaviors of patients with HOA. Methods: Semi-structured interviews were conducted with five patients diagnosed with HOA, and the results were subjected to inductive qualitative analysis. Results: Six categories of self-management behaviors were extracted for patients with HOA: [active information gathering about HOA], [personalized pain and weight management, and strategies for reducing hip joint load], [reflection on living conditions with individuals and professionals, and determination for future efforts], [continuation of exercise and weight management based on personal strengths and achievements, and mutual support with others], [coexistence with HOA while managing negative feelings], and [choosing treatment methods by trusting doctors while struggling with personal needs]. Conclusion: These findings suggest the need to develop health guidance and educational programs for patients with HOA that focus on how to prevent disease progression and cope with symptoms.展开更多
The genesis of physical particles is essentially a mystery. Quantum field theory creation operators provide an abstract mechanism by which particles come into existence, but quantum fields do not possess energy densit...The genesis of physical particles is essentially a mystery. Quantum field theory creation operators provide an abstract mechanism by which particles come into existence, but quantum fields do not possess energy density. I reference several recent treatments of this problem and develop ideas based on self-stabilizing field structures with focus on higher order self-induced self-stabilizing field structures. I extend this treatment in this paper to related issues of topological charge.展开更多
Objectives: To examine the best practice evidence of the effectiveness of the flipped classroom（FC） as a burgeoning teaching model on the development of self-directed learning in nursing education.Data sources: The ...Objectives: To examine the best practice evidence of the effectiveness of the flipped classroom（FC） as a burgeoning teaching model on the development of self-directed learning in nursing education.Data sources: The relevant randomized controlled trial（RCT） and non-RCT comparative studies were searched from multiple electronic databases including PubMed, Embase, Web of Science, Cumulative Index to Nursing and Allied Health Literature（CINAHL）, Cochrane Central Register of Controlled Trials（CENTRAL）, Wanfang Data, China National Knowledge Infrastructure（CNKI）, and Chinese Science and Technology Periodical Database（VIP） from inception to June 2017.Review methods: The data were independently assessed and extracted for eligibility by two reviewers. The quality of included studies was assessed by another two reviewers using a standardized form and evaluated by using the Cochrane Collaboration’s risk of bias tool. The self-directed learning scores（continuous outcomes） were analyzed by using the 95% confidence intervals（Cls） with the standard deviation average（SMD） or weighted mean difference（WMD）. The heterogeneity was assessed using Cochran’s I;statistic.Results: A total of 12 studies, which encompassed 1440 nursing students（intervention group = 685, control group = 755）, were eligible for inclusion in this review. Of 12 included studies, the quality level of one included study was A and of the others was B. The pooled effect size showed that compared with traditional teaching models, the FC could improve nursing students’ selfdirected learning skill, as measured by the Self-Directed Learning Readiness Scale（SDLRS）, Self-Directed Learning Readiness Scale for Nursing Education（SDLRSNE）, Self-Regulated Learning Scale（SRL）, Autonomous Learning Competencies scale（ALC）, and Competencies of Autonomous Learning of Nursing Students（CALNS）. Overall scores and subgroup analyses with the SRL were all in favor of the FC.Conclusions: The result of this meta-analysis indicated that FCs could improve the effect of self-directed learning in nursing education.Future studies with more RCTs using the same measurement tools are needed to draw more authoritative conclusions.展开更多
This paper considers a special class of operator self-similar processes Markov processes {X（t）, t≥0} with independent self-similar components, that is, X （ t ） =（X^1（t）,…,X^d（t））, where {X^i（t）,t≥0}, i=...This paper considers a special class of operator self-similar processes Markov processes {X（t）, t≥0} with independent self-similar components, that is, X （ t ） =（X^1（t）,…,X^d（t））, where {X^i（t）,t≥0}, i=1,2,…,d are d independent real valued self-similar Markov processes. By means of Brel-Cantelli lemma, we give two results about asymptotic property as t→∞ of sample paths for two special classes of Markov processes with independent self-similar components.展开更多
Portfolio has been used as an approach to promoting self-learning in the field of education and its effectiveness was reported in school education. The purpose of this study was to assess effectiveness of portfolio as...Portfolio has been used as an approach to promoting self-learning in the field of education and its effectiveness was reported in school education. The purpose of this study was to assess effectiveness of portfolio as a tool for educating patients with ischemic heart diseases as self-management behavior in terms of applicability and efficacy. Subjects of this study were seventeen patients who had myocardial infarction or angina. They were assigned to collect information about their themes chosen from diet, exercise, alcohol intake, smoking cessation, and stress management and gathered in files. Thirty minutes face-to-face educational interviews were conducted by a nurse for once per month over three months. Self-management, self-efficacy, and physiological data were evaluated for baseline and 3 months. Two participants dropped within two months (completion rate is 88.2%). The results showed that portfolio was effective as a self-management education tool on patients who were willing to participate, but did not improve physiological data if they did not continuously implement lifestyle change. Moreover it was dangerous when the patients acquired incorrect information on diseases. For these patients, health education by health professionals is required prior to conducting portfolio. Attributes fit for portfolio were assessed. Effectiveness of portfolio related to high self-efficacy and high self-management, but did not relate to living status, having job, educational background, and health locus of control.展开更多
This essay is going to read the different kinds of beings in The Lord of the Rings as different stages of man,and to analyze how they construct or destruct their selves respectively over power.The Lord of the Rings is...This essay is going to read the different kinds of beings in The Lord of the Rings as different stages of man,and to analyze how they construct or destruct their selves respectively over power.The Lord of the Rings is read as a story about the self-construction and self-destruction of man,who begins to construct the sense of self from a very early stage in life,and becomes who he is in the continuous process of trying to identify himself with the image that keeps changing,of the frequently alternative construction and destruction of his self,and of intersubjectivity,the interrelation with other subjects.展开更多
On the basis ofa 2D 4-node Mindlin shell element method, a novel self-adapting delamination finite element method is presented, which is developed to model the delamination damage of composite laminates. In the method...On the basis ofa 2D 4-node Mindlin shell element method, a novel self-adapting delamination finite element method is presented, which is developed to model the delamination damage of composite laminates. In the method, the sublaminate elements are generated automatically when the delamination damage occurs or extends. Thus, the complex process and state of delamination damage can be simulated practically with high efficiency for both analysis and modeling. Based on the self-adapting delamination method, linear dynamic finite element damage analysis is performed to simulate the low-velocity impact damage process of three types of mixed woven composite laminates. Taking the frictional force among sublaminations during delaminating and the transverse normal stress into account, the analytical results are consistent with those of the experimental data.展开更多
文摘Diabetes is a major public health concern worldwide. Low and middle-income countries are the most affected. Diabetes self-management can significantly reduce the burden of diabetes complications and mortality. This cross-sectional study was conducted at the outpatient department of a county referral hospital in Kenya, from 1st August 2022 to 30th October 2022. Patients with known type II diabetes of age ≥ 20 years visiting the hospital for routine follow-up visits were included. A 7-tem Summary of Diabetes Self-care Activities (SDSAC) Questionnaire was used to assess Diabetes self-care activities. For data entry and statistical analysis, SPSS for Windows version 27.0 was used. There were 96 (39.2%) males and 149 (60.8%) females. Most of the participants were more than 61 years, 148 (60.4%). Significant association was found between the sum scale scores of dietary activities, blood glucose testing, physical activity, foot care, and neuropathy at 95% CI and (p Conclusions: Diabetes self-management activities have an impact on microvascular complications in patients with diabetes.
文摘The purpose of this paper is to argue the effectiveness of self-regulated learning in English education in Chinese college classroom instruction. A study is given to show whether the introduction of self-regulated learning can help improve Chinese college students' English learning, and help them perform better in the National English test-CET-4 (College English Test Level-4,).
基金Project supported by the National High Technology Inertial Confinement Fusion Foundation （Grant No 10335020/A0506）, the National Natural Science Foundation of China （Grant Nce 10474081 and 10576035）, and Natural Science Foundation of Shanghai （Grant No 05ZR14159）.
文摘In underdense plasmas, the transverse ponderomotive force of an intense laser beam with Ganssian transverse profile expels electrons radially, and it can lead to an electron cavitstion. An improved cavitation model with charge conservation constraint is applied to the determination of the width of the electron cavity. The envelope equation for spot size derived by using source-dependent expansion method is extended to including the electron cavity. The condition for self-guiding is given and illuminated by an effective potential for the laser spot size. The effects of the laser power, plasma density and energy dissipation on the self-guiding condition are discussed.
基金supported by the National Natural Science Foundation of China (Grant Nos.10371070, 10671121)the Shanghai Leading Academic Discipline Project (Grant No.J50101)the President Foundation of East China Institute of Technology (Grant No.DHXK0810)
文摘Infinitely many conservation laws for some （1＋1）-dimension soliton hierarchy with self-consistent sources are constructed from their corresponding Lax pairs directly. Three examples are given. Besides, infinitely many conservation laws for Kadomtsev-Petviashvili （KP） hierarchy with self-consistent sources are obtained from the pseudo-differential operator and the Lax pair.
文摘Background: Hip osteoarthritis (HOA) causes joint destruction, resulting in hip pain, limited range-of-motion, claudication, and joint deformity. In the conservative treatment of HOA, self-management is important to manage symptoms and control disease progression. In a previous study, the researchers conducted a conceptual analysis of 43 foreign studies on self-management during conservative therapy for patients with HOA. The results revealed a definition of self-management during conservative therapy for patients with HOA. However, because that study analyzed only the foreign literature, it remains unclear whether the findings reflect the characteristics of the Japanese health-care delivery system, health-care insurance system, or the lifestyles and cultural characteristics of Japanese patients with HOA. Objective: We aimed to clarify the self-management behaviors of patients with HOA. Methods: Semi-structured interviews were conducted with five patients diagnosed with HOA, and the results were subjected to inductive qualitative analysis. Results: Six categories of self-management behaviors were extracted for patients with HOA: [active information gathering about HOA], [personalized pain and weight management, and strategies for reducing hip joint load], [reflection on living conditions with individuals and professionals, and determination for future efforts], [continuation of exercise and weight management based on personal strengths and achievements, and mutual support with others], [coexistence with HOA while managing negative feelings], and [choosing treatment methods by trusting doctors while struggling with personal needs]. Conclusion: These findings suggest the need to develop health guidance and educational programs for patients with HOA that focus on how to prevent disease progression and cope with symptoms.
文摘The genesis of physical particles is essentially a mystery. Quantum field theory creation operators provide an abstract mechanism by which particles come into existence, but quantum fields do not possess energy density. I reference several recent treatments of this problem and develop ideas based on self-stabilizing field structures with focus on higher order self-induced self-stabilizing field structures. I extend this treatment in this paper to related issues of topological charge.
文摘Objectives: To examine the best practice evidence of the effectiveness of the flipped classroom（FC） as a burgeoning teaching model on the development of self-directed learning in nursing education.Data sources: The relevant randomized controlled trial（RCT） and non-RCT comparative studies were searched from multiple electronic databases including PubMed, Embase, Web of Science, Cumulative Index to Nursing and Allied Health Literature（CINAHL）, Cochrane Central Register of Controlled Trials（CENTRAL）, Wanfang Data, China National Knowledge Infrastructure（CNKI）, and Chinese Science and Technology Periodical Database（VIP） from inception to June 2017.Review methods: The data were independently assessed and extracted for eligibility by two reviewers. The quality of included studies was assessed by another two reviewers using a standardized form and evaluated by using the Cochrane Collaboration’s risk of bias tool. The self-directed learning scores（continuous outcomes） were analyzed by using the 95% confidence intervals（Cls） with the standard deviation average（SMD） or weighted mean difference（WMD）. The heterogeneity was assessed using Cochran’s I;statistic.Results: A total of 12 studies, which encompassed 1440 nursing students（intervention group = 685, control group = 755）, were eligible for inclusion in this review. Of 12 included studies, the quality level of one included study was A and of the others was B. The pooled effect size showed that compared with traditional teaching models, the FC could improve nursing students’ selfdirected learning skill, as measured by the Self-Directed Learning Readiness Scale（SDLRS）, Self-Directed Learning Readiness Scale for Nursing Education（SDLRSNE）, Self-Regulated Learning Scale（SRL）, Autonomous Learning Competencies scale（ALC）, and Competencies of Autonomous Learning of Nursing Students（CALNS）. Overall scores and subgroup analyses with the SRL were all in favor of the FC.Conclusions: The result of this meta-analysis indicated that FCs could improve the effect of self-directed learning in nursing education.Future studies with more RCTs using the same measurement tools are needed to draw more authoritative conclusions.
文摘This paper considers a special class of operator self-similar processes Markov processes {X（t）, t≥0} with independent self-similar components, that is, X （ t ） =（X^1（t）,…,X^d（t））, where {X^i（t）,t≥0}, i=1,2,…,d are d independent real valued self-similar Markov processes. By means of Brel-Cantelli lemma, we give two results about asymptotic property as t→∞ of sample paths for two special classes of Markov processes with independent self-similar components.
文摘Portfolio has been used as an approach to promoting self-learning in the field of education and its effectiveness was reported in school education. The purpose of this study was to assess effectiveness of portfolio as a tool for educating patients with ischemic heart diseases as self-management behavior in terms of applicability and efficacy. Subjects of this study were seventeen patients who had myocardial infarction or angina. They were assigned to collect information about their themes chosen from diet, exercise, alcohol intake, smoking cessation, and stress management and gathered in files. Thirty minutes face-to-face educational interviews were conducted by a nurse for once per month over three months. Self-management, self-efficacy, and physiological data were evaluated for baseline and 3 months. Two participants dropped within two months (completion rate is 88.2%). The results showed that portfolio was effective as a self-management education tool on patients who were willing to participate, but did not improve physiological data if they did not continuously implement lifestyle change. Moreover it was dangerous when the patients acquired incorrect information on diseases. For these patients, health education by health professionals is required prior to conducting portfolio. Attributes fit for portfolio were assessed. Effectiveness of portfolio related to high self-efficacy and high self-management, but did not relate to living status, having job, educational background, and health locus of control.
文摘This essay is going to read the different kinds of beings in The Lord of the Rings as different stages of man,and to analyze how they construct or destruct their selves respectively over power.The Lord of the Rings is read as a story about the self-construction and self-destruction of man,who begins to construct the sense of self from a very early stage in life,and becomes who he is in the continuous process of trying to identify himself with the image that keeps changing,of the frequently alternative construction and destruction of his self,and of intersubjectivity,the interrelation with other subjects.
基金National Natural Science Foundation of China (50073002)
文摘On the basis ofa 2D 4-node Mindlin shell element method, a novel self-adapting delamination finite element method is presented, which is developed to model the delamination damage of composite laminates. In the method, the sublaminate elements are generated automatically when the delamination damage occurs or extends. Thus, the complex process and state of delamination damage can be simulated practically with high efficiency for both analysis and modeling. Based on the self-adapting delamination method, linear dynamic finite element damage analysis is performed to simulate the low-velocity impact damage process of three types of mixed woven composite laminates. Taking the frictional force among sublaminations during delaminating and the transverse normal stress into account, the analytical results are consistent with those of the experimental data.
