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1.
Article in English | MEDLINE | ID: mdl-38782804

ABSTRACT

Sponge cities are disaster-resilient and sustainable infrastructure, and the emergence of impervious surfaces hinders the construction of sponge cities. In response to the United Nations' 2030 Sustainable Development Goals, the study of the spatio-temporal evolution and influencing factors of impervious surfaces provides an effective basis for the construction of sponge cities. In this paper, multi-source remote sensing images (Landsat 4-5 TM was used in 2000 and 2010, Landsat 8 OLI/TIRS was used in 2020) were used as data sources to construct a multi-feature impervious surface estimation model. By combining and refining the advantages of MISI, NDBI, and BUAI feature indices, we obtained the impervious surface cover of Nanchang City in 2000, 2010, and 2020. And its spatio-temporal evolution characteristics were analyzed by using the ESDA. The main factors of the impervious surface were analyzed by using the ordinary panel data model and the spatial durbin model. Results: (1) From 2000 to 2020, the impervious surface area of Nanchang City increased from 516.13 to 1075.12 km2. The overall impervious surface distribution in Nanchang City expressed a significant neighborhood distribution; (2) socio-economic factors had a positive role in promoting the impervious surface of Nanchang City. Among them, the correlation coefficient of the economic development index (0.2332), real estate investment (0.1518), and gross industrial output value (0.0453) were the most significant in the local areas; (3) the economic development index (0.2307), real estate investment (0.0251), and passenger volume (0.1679) stimulated the growth of impervious surfaces in adjacent areas, and the total population (-0.8074) had a buffering effect on adjacent areas. In order to promote the sustainable development of the region, it is necessary to propose corresponding measures and suggestions based on the impervious surface of Nanchang City.

2.
BMC Public Health ; 24(1): 1399, 2024 May 25.
Article in English | MEDLINE | ID: mdl-38796443

ABSTRACT

BACKGROUND: Influenza is a highly contagious respiratory disease that presents a significant challenge to public health globally. Therefore, effective influenza prediction and prevention are crucial for the timely allocation of resources, the development of vaccine strategies, and the implementation of targeted public health interventions. METHOD: In this study, we utilized historical influenza case data from January 2013 to December 2021 in Fuzhou to develop four regression prediction models: SARIMA, Prophet, Holt-Winters, and XGBoost models. Their predicted performance was assessed by using influenza data from the period from January 2022 to December 2022 in Fuzhou. These models were used for fitting and prediction analysis. The evaluation metrics, including Mean Squared Error (MSE), Root Mean Squared Error (RMSE), and Mean Absolute Error (MAE), were employed to compare the performance of these models. RESULTS: The results indicate that the epidemic of influenza in Fuzhou exhibits a distinct seasonal and cyclical pattern. The influenza cases data displayed a noticeable upward trend and significant fluctuations. In our study, we employed SARIMA, Prophet, Holt-Winters, and XGBoost models to predict influenza outbreaks in Fuzhou. Among these models, the XGBoost model demonstrated the best performance on both the training and test sets, yielding the lowest values for MSE, RMSE, and MAE among the four models. CONCLUSION: The utilization of the XGBoost model significantly enhances the prediction accuracy of influenza in Fuzhou. This study makes a valuable contribution to the field of influenza prediction and provides substantial support for future influenza response efforts.


Subject(s)
Disease Outbreaks , Forecasting , Influenza, Human , Humans , China/epidemiology , Influenza, Human/epidemiology , Models, Statistical , Seasons
3.
Front Endocrinol (Lausanne) ; 15: 1335269, 2024.
Article in English | MEDLINE | ID: mdl-38559697

ABSTRACT

Objective: To identify plasma lipid characteristics associated with premetabolic syndrome (pre-MetS) and metabolic syndrome (MetS) and provide biomarkers through machine learning methods. Methods: Plasma lipidomics profiling was conducted using samples from healthy individuals, pre-MetS patients, and MetS patients. Orthogonal partial least squares-discriminant analysis (OPLS-DA) models were employed to identify dysregulated lipids in the comparative groups. Biomarkers were selected using support vector machine recursive feature elimination (SVM-RFE), random forest (rf), and least absolute shrinkage and selection operator (LASSO) regression, and the performance of two biomarker panels was compared across five machine learning models. Results: In the OPLS-DA models, 50 and 89 lipid metabolites were associated with pre-MetS and MetS patients, respectively. Further machine learning identified two sets of plasma metabolites composed of PS(38:3), DG(16:0/18:1), and TG(16:0/14:1/22:6), TG(16:0/18:2/20:4), and TG(14:0/18:2/18:3), which were used as biomarkers for the pre-MetS and MetS discrimination models in this study. Conclusion: In the initial lipidomics analysis of pre-MetS and MetS, we identified relevant lipid features primarily linked to insulin resistance in key biochemical pathways. Biomarker panels composed of lipidomics components can reflect metabolic changes across different stages of MetS, offering valuable insights for the differential diagnosis of pre-MetS and MetS.


Subject(s)
Metabolic Syndrome , Humans , Metabolic Syndrome/metabolism , Lipidomics/methods , Lipids , Machine Learning , Biomarkers
4.
Front Public Health ; 12: 1333811, 2024.
Article in English | MEDLINE | ID: mdl-38605869

ABSTRACT

Background: In recent years, an increasing number of observational studies have reported the impact of air pollution on autoimmune diseases (ADs). However, no Mendelian randomization (MR) studies have been conducted to investigate the causal relationships. To enhance our understanding of causality, we examined the causal relationships between particulate matter (PM) and nitrogen oxides (NOx) and ADs. Methods: We utilized genome-wide association study (GWAS) data on PM and NOx from the UK Biobank in European and East Asian populations. We also extracted integrated GWAS data from the Finnish consortium and the Japanese Biobank for two-sample MR analysis. We employed inverse variance weighted (IVW) analysis to assess the causal relationship between PM and NOx exposure and ADs. Additionally, we conducted supplementary analyses using four methods, including IVW (fixed effects), weighted median, weighted mode, and simple mode, to further investigate this relationship. Results: In the European population, the results of MR analysis suggested a statistically significant association between PM2.5 and psoriasis only (OR = 3.86; 95% CI: 1.89-7.88; PIVW < 0.00625), while a potential association exists between PM2.5-10 and vitiligo (OR = 7.42; 95% CI: 1.02-53.94; PIVW < 0.05), as well as between PM2.5 and systemic lupus erythematosus (OR = 68.17; 95% CI: 2.17-2.1e+03; PIVW < 0.05). In East Asian populations, no causal relationship was found between air pollutants and the risk of systemic lupus erythematosus and rheumatoid arthritis (PIVW > 0.025). There was no pleiotropy in the results. Conclusion: Our results suggest a causal association between PM2.5 and psoriasis in European populations. With the help of air pollution prevention and control, the harmful progression of psoriasis may be slowed.


Subject(s)
Air Pollution , Autoimmune Diseases , Lupus Erythematosus, Systemic , Psoriasis , Humans , Genome-Wide Association Study , Mendelian Randomization Analysis , Autoimmune Diseases/etiology , Autoimmune Diseases/genetics , Air Pollution/adverse effects , Particulate Matter/adverse effects , Psoriasis/etiology , Psoriasis/genetics
5.
Digit Health ; 10: 20552076241241381, 2024.
Article in English | MEDLINE | ID: mdl-38550266

ABSTRACT

Background: Hyperuricemia is a common complication of type 2 diabetes mellitus and can lead to serious consequences such as gout and kidney disease. Methods: Patients with type 2 diabetes mellitus from six different communities in Fuzhou were recruited from June to December 2022. Questionnaires, physical examinations, and laboratory tests were conducted to collect data on various variables. Variable screening steps were performed using univariate and multivariate stepwise regression, least absolute shrinkage and selection operator (LASSO) regression, and Boruta feature selection. The dataset was divided into a training-testing set (80%) and an independent validation set (20%). Six machine learning models were built and validated. Results: A total of 8243 patients with type 2 diabetes mellitus were included in this study. According to Occam's razor method, the LASSO regression algorithm was determined to be the optimal risk factors selection method, and nine variables were identified as parameters for the risk assessment model. The absence of diabetes medication and elevated fasting blood glucose levels exhibited a negative correlation with the risk of hyperuricemia. Conversely, seven other variables demonstrated a positive association with the risk of hyperuricemia among patients diagnosed with type 2 diabetes mellitus. Among the six machine learning models, the artificial neural network (ANN) model demonstrated the highest performance. It achieved an areas under curve of 0.736, accuracy of 68.3%, sensitivity of 65.0%, specificity of 72.2%, precision of 73.6% and F1-score of 69.0%. Conclusions: We developed an ANN model to better evaluate the risk of hyperuricemia in the type 2 diabetes population. In the type 2 diabetes population, women should pay particular attention to their uric acid levels, and type 2 diabetics should not neglect their obesity level, blood pressure, kidney function and lipid profile during their regular medical check-ups, in order to do their best to avoid the risks associated with the combination of type 2 diabetes and hyperuricemia.

6.
Sci Rep ; 14(1): 2197, 2024 01 25.
Article in English | MEDLINE | ID: mdl-38273015

ABSTRACT

Type 2 diabetes with hyperuricaemia may lead to gout, kidney damage, hypertension, coronary heart disease, etc., further aggravating the condition of diabetes as well as adding to the medical and financial burden. To construct a risk model for hyperuricaemia in patients with type 2 diabetes mellitus based on artificial neural network, and to evaluate the effectiveness of the risk model to provide directions for the prevention and control of the disease in this population. From June to December 2022, 8243 patients with type 2 diabetes were recruited from six community service centers for questionnaire and physical examination. Secondly, the collected data were used to select suitable variables and based on the comparison results, logistic regression was used to screen the variable characteristics. Finally, three risk models for evaluating the risk of hyperuricaemia in type 2 diabetes mellitus were developed using an artificial neural network algorithm and evaluated for performance. A total of eleven factors affecting the development of hyperuricaemia in patients with type 2 diabetes mellitus in this study, including gender, waist circumference, diabetes medication use, diastolic blood pressure, γ-glutamyl transferase, blood urea nitrogen, triglycerides, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, fasting glucose and estimated glomerular filtration rate. Among the generated models, baseline & biochemical risk model had the best performance with cutoff, area under the curve, accuracy, recall, specificity, positive likelihood ratio, negative likelihood ratio, precision, negative predictive value, KAPPA and F1-score were 0.488, 0.744, 0.689, 0.625, 0.749, 2.489, 0.501, 0.697, 0.684, 0.375 and 0.659. In addition, its Brier score was 0.169 and the calibration curve also showed good agreement between fitting and observation. The constructed artificial neural network model has better efficacy and facilitates the reduction of the harm caused by type 2 diabetes mellitus combined with hyperuricaemia.


Subject(s)
Diabetes Mellitus, Type 2 , Hyperuricemia , Humans , Risk Factors , Cholesterol, HDL , Neural Networks, Computer
7.
Langmuir ; 40(2): 1286-1294, 2024 01 16.
Article in English | MEDLINE | ID: mdl-38171006

ABSTRACT

Nitric oxide (NO)-releasing coating is promising to enhance the biocompatibility of medical devices. In this study, polyurethane (PU) and S-nitrosated keratin (KSNO) were dissolved with dimethyl sulfoxide (DMSO) and tetrahydrofuran (THF) to prepare a coating solution. This solution is facile to form a porous coating on various substrates based on solvent-evaporation-induced phase separation (SEIPS). The coating could continuously release NO up to 200 h in the presence of ascorbic acid (Asc). In addition, the coating could accelerate endothelialization by promoting the viability of human umbilical vein endothelial cells (HUVECs) while inhibiting the proliferation of human umbilical artery smooth muscle cells (HUASMCs). Furthermore, the coating had good antibacterial activity and blood compatibility. Taken together, this universal coating provides wider potential applications in the field of cardiovascular implants.


Subject(s)
Anti-Bacterial Agents , Nitric Oxide , Humans , Nitric Oxide/pharmacology , Porosity , Human Umbilical Vein Endothelial Cells , Anti-Bacterial Agents/pharmacology , Coated Materials, Biocompatible/pharmacology
8.
Nat Commun ; 14(1): 6418, 2023 Oct 12.
Article in English | MEDLINE | ID: mdl-37828030

ABSTRACT

Topological phases characterized by non-Abelian charges are beyond the scope of the paradigmatic tenfold way and have gained increasing attention recently. Here we investigate topological insulators with multiple tangled gaps in Floquet settings and identify uncharted Floquet non-Abelian topological insulators without any static or Abelian analog. We demonstrate that the bulk-edge correspondence is multifold and follows the multiplication rule of the quaternion group Q8. The same quaternion charge corresponds to several distinct edge-state configurations that are fully determined by phase-band singularities of the time evolution. In the anomalous non-Abelian phase, edge states appear in all bandgaps despite trivial quaternion charge. Furthermore, we uncover an exotic swap effect-the emergence of interface modes with swapped driving, which is a signature of the non-Abelian dynamics and absent in Floquet Abelian systems. Our work, for the first time, presents Floquet topological insulators characterized by non-Abelian charges and opens up exciting possibilities for exploring the rich and uncharted territory of non-equilibrium topological phases.

9.
Open Med (Wars) ; 18(1): 20230702, 2023.
Article in English | MEDLINE | ID: mdl-37251539

ABSTRACT

No consensus has been reached on the dysbiosis signs of microbiota in patients with urinary tract infections (UTIs). This meta-analysis aimed to verify the relationship between microbiota levels and UTIs. PubMed, Web of Science, and Embase databases were retrieved for related articles published from inception until October 20, 2021. The standardized mean difference (SMD) and its related 95% confidence intervals (CIs) of the microbiota diversity and abundance were pooled under a random-effects model. Twelve studies were included in this meta-analysis. The pooled analysis revealed that the microbiota diversity was lower in patients with UTIs than in healthy individuals (SMD = -0.655, 95% CI = -1.290, -0.021, I 2 = 81.0%, P = 0.043). The abundance of specific bacteria was higher in UTI subjects compared with healthy control individuals (SMD = 0.41, 95% CI = 0.07-0.74, P = 0.017), especially in North America patients with UTIs. Similar results were also found in studies with the total sample size being greater than 30. Importantly, Escherichia coli levels were increased in patients with UTI, whereas Lactobacillus levels decreased. E. coli and Lactobacilli have huge prospects as potential microbiota markers in the treatment of UTIs.

10.
Phys Rev Lett ; 130(15): 157201, 2023 Apr 14.
Article in English | MEDLINE | ID: mdl-37115861

ABSTRACT

Defective spectral degeneracy, known as exceptional point (EP), lies at the heart of various intriguing phenomena in optics, acoustics, and other nonconservative systems. Despite extensive studies in the past two decades, the collective behaviors (e.g., annihilation, coalescence, braiding, etc.) involving multiple exceptional points or lines and their interplay have been rarely understood. Here we put forward a universal non-Abelian conservation rule governing these collective behaviors in generic multiband non-Hermitian systems and uncover several counterintuitive phenomena. We demonstrate that two EPs with opposite charges (even the pairwise created) do not necessarily annihilate, depending on how they approach each other. Furthermore, we unveil that the conservation rule imposes strict constraints on the permissible exceptional-line configurations. It excludes structures like Hopf link yet permits novel staggered rings composed of noncommutative exceptional lines. These intriguing phenomena are illustrated by concrete models which could be readily implemented in platforms like coupled acoustic cavities, optical waveguides, and ring resonators. Our findings lay the cornerstone for a comprehensive understanding of the exceptional non-Abelian topology and shed light on the versatile manipulations and applications based on exceptional degeneracies in nonconservative systems.

11.
Diabet Med ; 40(8): e15080, 2023 08.
Article in English | MEDLINE | ID: mdl-36883871

ABSTRACT

AIMS: This study investigated the association between serum calcium levels and the prevalence of T2D using a cross-sectional study and Mendelian randomization analysis. METHODS: Cross-sectional data were obtained from the National Health and Nutrition Examination Survey (NHANES) from 1999 to 2018. Serum calcium levels were divided into three groups (low, medium and high groups) according to the tertiles. Logistic regression was used to estimate the association between serum calcium levels and T2D prevalence. Instrumental variables for serum calcium levels were obtained from the UK Biobank and a two-sample MR analysis was performed to examine the causal relationship between genetically predicted serum calcium levels and the risk of T2D. RESULTS: A total of 39,645 participants were available for cross-sectional analysis. After adjusting for covariates, participants in the high serum calcium group had significantly higher odds of T2D (OR = 1.18, 95% CI = 1.07, 1.30, p = 0.001) than those in the moderate group. Restricted cubic spline plots showed a J-shaped curve relationship between serum calcium level and prevalence of T2D. Consistently, Mendelian randomization analysis showed that higher genetically predicted serum calcium levels were causally associated with a higher risk of T2D (OR = 1.16, 95% CI: 1.01, 1.33, p = 0.031). CONCLUSIONS: The results of this study suggest that higher serum calcium levels are causally associated with a higher risk of T2D. Further studies are needed to clarify whether intervening in high serum calcium could reduce the risk of T2D.


Subject(s)
Diabetes Mellitus, Type 2 , Humans , Diabetes Mellitus, Type 2/epidemiology , Diabetes Mellitus, Type 2/genetics , Cross-Sectional Studies , Calcium , Nutrition Surveys , Mendelian Randomization Analysis , Polymorphism, Single Nucleotide , Genome-Wide Association Study
12.
J Healthc Eng ; 2022: 4357915, 2022.
Article in English | MEDLINE | ID: mdl-35310178

ABSTRACT

Objective: The aim of this study is to explore the effect of conventional nursing combined with bedtime oculomotor training on sleep quality and body immune of advanced lung cancer patients. Methods: By means of a retrospective study, 120 advanced lung cancer patients admitted to our hospital from January 2019 to January 2020 were selected as the research subject and divided into the intervention group (PSQI (Pittsburgh Sleep Quality Index) score≥10 points, n = 60) and the control group (PSQI score<10 points, n = 60). Conventional nursing was performed to the control group, and an eye movement exercise before sleep was added additionally in the intervention group, 30 min each time, once a day, and 5 times a week for 3 months, so as to compare their sleep quality, body immunity indexes, negative emotion scores, adverse reaction rate (ARR), quality of life, and satisfaction with nursing. Results: After nursing, the intervention group obtained a significantly lower PSQI score (5.54 ± 1.23 VS 7.98 ± 1.65, P < 0.05), better body immunity indexes (P < 0.001), lower negative emotion scores (P < 0.05), lower ARR (P < 0.05), better quality of life (P < 0.001), and higher satisfaction with nursing (P < 0.05) than the control group. Conclusion: Combining conventional nursing with the eye movement exercise before sleep can alleviate negative emotions, improve the sleep quality, promote body immunity, and reduce the ARR, which is more satisfying to patients and should be applied and promoted in practice.


Subject(s)
Lung Neoplasms , Sleep Quality , Eye Movements , Humans , Quality of Life , Retrospective Studies , Sleep
13.
Sci Total Environ ; 811: 151949, 2022 Mar 10.
Article in English | MEDLINE | ID: mdl-34838554

ABSTRACT

The failure of a natural dam is an extreme geological event. Palaeo-lake sediments were discovered in the broad Xigazê valley and Dazhuka-Yueju gorge in the middle reach of the Yarlung Tsangpo River in Tibet. However, the sedimentary processes, dam failure, and peak flood of the Xigazê dammed palaeo-lake are poorly understood. Hence, we conducted a field survey of eight lacustrine sedimentary terraces in the area. We divided the sedimentary processes of the palaeo-lake into five stages and deposit types: pre-palaeo-lake sediments (fluvial or aeolian deposits); early stage sediments of the palaeo-lake (coarse sand); main stage palaeo-lake sediments (clayey silt and sand), sediments following the discharge of the palaeo-lake (sand and gravel-cobbles); and cover deposits (aeolian sediments and colluvium). Additionally, the water level along the palaeo-lake was almost constant (3811 m a.s.l.). The dam was likely located at the eastern end of the Dazhuka-Yueju gorge. Based on the water level, dam location and 30-m ASTER GDEM2 data, the capacity of the palaeo-lake was estimated as 22.55 km3. To separate the water volume and sediment volume, the sediment surface elevation along the palaeo-lake was simulated based on the elevations of the six lacustrine sedimentary terraces. The volume of the sediment was ~11.56 km3, which was calculated from the dam location, sediment surface elevation, and the ASTER GDEM2 data. Finally, subtraction of the sediment volume from the capacity of the palaeo-lake gave a backwater volume of 10.99 km3. The peak flood possibly exceeded 3.4 × 105 m3/s as a moraine dam joined the discharge during the dam failure. However, the dammed event probably had a limited effect on the landforms at downstream because of the presence of another dammed palaeo-lake in the broad Zetang valley; moreover, the bedrock upstream of the dam was protected from erosion.


Subject(s)
Geologic Sediments , Lakes , Floods , Rivers , Tibet
14.
J Healthc Eng ; 2021: 9811980, 2021.
Article in English | MEDLINE | ID: mdl-34956583

ABSTRACT

OBJECTIVE: To explore the effect of eye movement training on sleep quality of patients with advanced lung cancer based on the Pittsburgh Sleep Quality Index (PSQI). METHODS: 120 advanced lung cancer patients admitted to our hospital from January 2019 to January 2020 were selected as the research object and divided into group A (PSQI scores ≥ 10 points, n = 60) and group B (PSQI < 10 points, n = 60). Routine nursing was performed to both groups, and patients in group A received the eye movement training additionally, so as to compare their PSQI scores, negative emotion scores, adverse reaction rate (ARR), Cancer Coping Modes Questionnaire (CCMQ) scores, and pain scores. RESULTS: After training, group A obtained significantly better sleep quality (P < 0.05), lower negative emotion scores (P < 0.001), lower ARR (P < 0.05), better CCMQ scores (P < 0.05), and lower pain scores (P < 0.001) than group B. CONCLUSION: Eye movement training should be promoted in practice because it can reduce negative emotions, alleviate pain sensation, improve sleep quality and body condition, and lower the ARR for advanced lung cancer patients.


Subject(s)
Lung Neoplasms , Sleep Quality , Eye Movements , Humans , Lung Neoplasms/complications , Lung Neoplasms/therapy , Sleep , Surveys and Questionnaires
15.
J Healthc Eng ; 2021: 4438446, 2021.
Article in English | MEDLINE | ID: mdl-34900188

ABSTRACT

Objective: To explore the effect of narrative nursing intervention based on targeted nursing intervention on anxiety and nursing satisfaction of patients with malignant tumors undergoing chemotherapy. Methods: 120 malignant tumor patients treated with chemotherapy in our hospital from January 2019 to January 2020 were selected as the research objects and randomly divided into group A and group B, with 60 cases in each group. The targeted nursing intervention was performed to group B, and the targeted nursing intervention centering on narrative nursing was performed to group A, so as to compare their distress thermometer (DT) scale scores, depression and anxiety scale scores, Medical Coping Modes Questionnaire (MCMQ) scores, Functional Assessment of Cancer Therapy-General (FACT-G) scores for quality of life, and nursing satisfaction. Results: After nursing intervention, group A obtained 5.00 ± 1.20 points in the DT score, which were significantly lower than group B (P < 0.05); and group A achieved significantly lower depression and anxiety scale scores (P < 0.001), better MCMQ scores (P < 0.05), and higher FACT-G scores (P < 0.05) and nursing satisfaction (P < 0.05) than group B. Conclusion: The targeted nursing intervention based primarily on narrative nursing can greatly reduce negative emotions, alleviate anxiety, and improve confidence in treatment and quality of life for malignant tumor patients undergoing chemotherapy, with higher nursing satisfaction, which should be promoted and applied in the practice.


Subject(s)
Neoplasms , Personal Satisfaction , Anxiety , Humans , Neoplasms/drug therapy , Patient Satisfaction , Quality of Life
16.
Article in English | MEDLINE | ID: mdl-34671405

ABSTRACT

OBJECTIVE: To explore the nursing effect of the narrative nursing model on tumor patients with PICC under chemotherapy and the impact on patients' anxiety. METHODS: 200 tumor patients with PICC under chemotherapy treated in our hospital from March 2019 to March 2021 were randomly selected and divided into the control group (routine nursing) and the experimental group (narrative nursing) by the draw method, with 100 cases each. All patients were investigated with the General Anxiety Disorder-7 (GAD-7) scale, and their anxiety scores were over 5 points. The GAD-7 anxiety scores, satisfaction scores, Self-Rating Anxiety Scale (SAS) scores, Self-Rating Depression Scale (SDS) scores, quality of life (QLI) scores, and Mental Status Scale in Non-Psychiatric Settings (MSSNS) scores before intubation (T0), 1 d after intubation (T1), 3 d after intubation (T2), and after extubation (T3) of patients in both groups were compared. The adverse reaction rate (ARR) during placement was assessed in both groups, and the effectiveness of patient care was evaluated after extubation. RESULTS: Compared with the control group, the experimental group obtained significantly higher satisfaction scores and QLI scores at T0, T1, T2, and T3 and lower GAD-7 anxiety scores, SAS scores, SDS scores, and MSSNS scores at T0, T1, T2, and T3, which were statistically significant (P < 0.05). The experimental group had a significantly higher efficiency of care than the control group and a significantly lower ARR during treatment (P < 0.05). CONCLUSION: The narrative nursing model can remarkably improve the nursing effect, alleviate the anxiety, and provide a more quality nursing for tumor patients with PICC under chemotherapy.

17.
Phys Rev Lett ; 126(1): 010401, 2021 Jan 08.
Article in English | MEDLINE | ID: mdl-33480787

ABSTRACT

Knots have a twisted history in quantum physics. They were abandoned as failed models of atoms. Only much later was the connection between knot invariants and Wilson loops in topological quantum field theory discovered. Here we show that knots tied by the eigenenergy strings provide a complete topological classification of one-dimensional non-Hermitian (NH) Hamiltonians with separable bands. A Z_{2} knot invariant, the global biorthogonal Berry phase Q as the sum of the Wilson loop eigenphases, is proved to be equal to the permutation parity of the NH bands. We show the transition between two phases characterized by distinct knots occur through exceptional points and come in two types. We further develop an algorithm to construct the corresponding tight-binding NH Hamiltonian for any desired knot, and propose a scheme to probe the knot structure via quantum quench. The theory and algorithm are demonstrated by model Hamiltonians that feature, for example, the Hopf link, the trefoil knot, the figure-8 knot, and the Whitehead link.

18.
Phys Rev Lett ; 124(16): 160402, 2020 Apr 24.
Article in English | MEDLINE | ID: mdl-32383903

ABSTRACT

Recent experiments began to explore the topological properties of quench dynamics, i.e., the time evolution following a sudden change in the Hamiltonian, via tomography of quantum gases in optical lattices. In contrast to the well-established theory for static band insulators or periodically driven systems, at present it is not clear whether, and how, topological invariants can be defined for a general quench of band insulators. Previous work solved a special case of this problem beautifully using Hopf mapping of two-band Hamiltonians in two dimensions. However, it only works for a topologically trivial initial state and is hard to generalize to multiband systems or other dimensions. Here we introduce the concept of loop unitary constructed from the unitary time-evolution operator and show its homotopy invariant fully characterizes the dynamical topology. For two-band systems in two dimensions, we prove that the invariant is precisely equal to the change in the Chern number across the quench, regardless of the initial state. We further show that the nontrivial dynamical topology manifests as hedgehog defects in the loop unitary and also as winding and linking of its eigenvectors along a curve where dynamical quantum phase transition occurs. This opens up a systematic route to classify and characterize quantum quench dynamics.

19.
Phys Rev Lett ; 124(5): 057001, 2020 Feb 07.
Article in English | MEDLINE | ID: mdl-32083918

ABSTRACT

We propose a versatile framework to dynamically generate Floquet higher-order topological insulators by multistep driving of topologically trivial Hamiltonians. Two analytically solvable examples are used to illustrate this procedure to yield Floquet quadrupole and octupole insulators with zero- and/or π-corner modes protected by mirror symmetries. Furthermore, we introduce dynamical topological invariants from the full unitary return map and show its phase bands contain Weyl singularities whose topological charges form dynamical multipole moments in the Brillouin zone. Combining them with the topological index of a Floquet Hamiltonian gives a pair of Z_{2} invariant ν_{0} and ν_{π} which fully characterize the higher-order topology and predict the appearance of zero- and π-corner modes. Our work establishes a systematic route to construct and characterize Floquet higher-order topological phases.

20.
Sci Rep ; 9(1): 5172, 2019 03 26.
Article in English | MEDLINE | ID: mdl-30914700

ABSTRACT

For translocated animals, behavioral competence may be key to post-release survival. However, monitoring behavior is typically limited to tracking movements or inferring behavior at a gross scale via collar-mounted sensors. Animal-bourne acoustic monitoring may provide a unique opportunity to monitor behavior at a finer scale. The giant panda is an elusive species of Ursid that is vulnerable to extinction. Translocation is an important aspect of the species' recovery, and survival and recruitment for pandas likely hinge on behavioral competence. Here we tested the efficacy of a collar-mounted acoustic recording unit (ARU) to remotely monitor the behavior of panda mothers and their dependent young. We found that trained human listeners could reliably identify 10 behaviors from acoustic recordings. Through visual inspection of spectrograms we further identified 5 behavioral categories that may be detectable by automated pattern recognition, an approach that is essential for the practical application of ARU. These results suggest that ARU are a viable method for remotely observing behaviors, including feeding. With targeted effort directed towards instrumentation and computing advances, ARU could be used to document how behavioral competence supports or challenges post-release survival and recruitment, and allow for research findings to be adaptively integrated into future translocation efforts.


Subject(s)
Acoustics , Animals, Wild/physiology , Behavior, Animal/physiology , Conservation of Natural Resources , Ursidae/physiology , Animals , Circadian Rhythm/physiology , Geography , Sound Spectrography
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