9 research outputs found
City Intelligence Quotient Evaluation System Using Crowdsourced Social Media Data: A Case Study of the Yangtze River Delta Region, China
Despite the trending studies on smart city development, how to evaluate the smartness of a city remains unclear. This research aimed to design a smart city evaluation system, named the City Intelligence Quotient (CityIQ) evaluation system, which considers both the hard (e.g., physical infrastructure) and soft sides (e.g., citizens’ perspectives) of smart city development. Based on the two-level structure of the CityIQ evaluation system (i.e., five dimensions and twenty indicators), a list of keywords was defined for automated information scraping in leading social media platforms to obtain volunteered geographic information. Semantic analysis was then used to update the CityIQ evaluations in a timely manner. Fifteen major cities in the Yangtze River Delta region, China, were selected for the empirical study, in which their smartness indices were calculated, traced and compared. Finally, suggestions for collaborative smart agglomerations were put forward. With the CityIQ evaluation system, policy makers can be informed of up-to-date changes in urban smartness levels and, thus, design context-specific collaborative policies to promote smart agglomerations
A New Method of Rainfall Detection from the Collected X-Band Marine Radar Images
To control the quality of X-band marine radar images for retrieving information and improve the inversion accuracy, the research on rainfall detection from marine radar images is investigated in this paper. Currently, the difference in the correlation characteristic between the rain-contaminated radar image and the rain-free radar image is utilized to detect rainfall. However, only the correlation coefficient at a position in the lagged azimuth is utilized, and a statistical hard threshold is adopted. By deeply investigating the difference between the calculated correlation characteristic and the marine radar images, the correlation coefficient in the lagged azimuth can be used to constitute the correlation coefficient feature vector (CCFV). Then, an unsupervised K-means clustering learning method is used to obtain the clustering centers. Based on the constituted CCFV and the K-means clustering algorithm, a new method of rainfall detection from the collected X-band marine radar images is proposed. The acquired X-band marine radar images are utilized to verify the effectiveness of the proposed rainfall detection method. Compared with the zero-pixel percentage (ZPP) method, the correlation coefficient difference (CCD) method, the support vector machine (SVM) method and the wave texture difference (WTD) method, the experimental results demonstrate that the proposed method could finish the task of rainfall detection, and the detection accuracy increases by 10.0%, 6.3%, 2.0% and 0.6%, respectively, for the proportion of the 25% training dataset
Role of endoplasmic reticulum autophagy in acute lung injury
Acute lung injury (ALI) and acute respiratory distress syndrome (ARDS), the prime causes of morbidity and mortality in critically ill patients, are usually treated by general supportive treatments. Endoplasmic reticulum autophagy (ER-phagy) maintains cellular homeostasis by degrading damaged endoplasmic reticulum (ER) fragments and misfolded proteins. ER-phagy is crucial for maintaining ER homeostasis and improving the internal environment. ER-phagy has a particular role in some aspects, such as immunity, inflammation, cell death, pathogen infection, and collagen quality. In this review, we summarized the definition, epidemiology, and pathophysiology of ALI/ARDS and described the regulatory mechanisms and functions of ER-phagy as well as discussed the potential role of ER-phagy in ALI/ARDS from the perspectives of immunity, inflammation, apoptosis, pathogen infection, and fibrosis to provide a novel and effective target for improving the prognosis of ALI/ARDS
Theoretical Approach and Scale Construction of Patient Privacy Protection Behavior of Doctors in Public Medical Institutions in China: Pilot Development Study
BackgroundConsidering the high incidence of medical privacy disclosure, it is of vital importance to study doctors’ privacy protection behavior and its influencing factors.
ObjectiveWe aim to develop a scale for doctors’ protection of patients’ privacy in Chinese public medical institutions, following construction of a theoretical model framework through grounded theory, and subsequently to validate the scale to measure this protection behavior.
MethodsCombined with the theoretical paradigm of protection motivation theory (PMT) and semistructured interview data, the grounded theory research method, followed by the Delphi expert and group discussion methods, a theoretical framework and initial scale for doctors in Chinese public medical institutions to protect patients' privacy was formed. The adjusted scale was collected online using a WeChat electronic survey measured using a 5-point Likert scale. Exploratory and confirmatory factor analysis (EFA and CFA) and tests to analyze reliability and validity were performed on the sample data. SPSS 19.0 and Amos 26.0 statistical analysis software were used for EFA and CFA of the sample data, respectively.
ResultsAccording to the internal logic of PMT, we developed a novel theoretical framework of a “storyline,” which was a process from being unaware of patients' privacy to having privacy protection behavior, that affected doctors' cognitive intermediary and changed the development of doctors' awareness, finally affecting actual privacy protection behavior in Chinese public medical institutions. Ultimately, we created a scale to measure 18 variables in the theoretical model, comprising 63 measurement items, with a total of 208 doctors participating in the scaling survey, who were predominantly educated to the master’s degree level (n=151, 72.6%). The department distribution was relatively balanced. Prior to EFA, the Kaiser-Meyer-Olkin (KMO) value was 0.702, indicating that the study was suitable for factor analysis. The minimum value of Cronbach α for each study variable was .754, which met the internal consistency requirements of the scale. The standard factor loading value of each potential measurement item in CFA had scores greater than 0.5, which signified that all the items in the scale could effectively converge to the corresponding potential variables.
ConclusionsThe theoretical framework and scale to assess doctors' patient protection behavior in public medical institutions in China fills a significant gap in the literature and can be used to further the current knowledge of physicians’ thought processes and adoption decisions
Table_1_Testosterone and soluble ST2 as mortality predictive biomarkers in male patients with sepsis-induced cardiomyopathy.docx
Sepsis-induced cardiomyopathy (SIC) is characterized by high mortality and poor outcomes. This study aimed to explore the relationship between testosterone and soluble ST2 (sST2) and all-cause mortality in patients with SIC. Clinical data from SIC patients at Renmin Hospital of Wuhan University from January 2021 and March 2023 were reviewed. Serum testosterone and sST2 were measured at admission. Kaplan–Meier analysis and receiver operative characteristic curve (ROC) were used to estimate the predictive values of testosterone and sST2 on 28 days and 90 days mortality of SIC. A total of 327 male subjects with SIC were enrolled in this study. During the 28 days and 90 days follow-up, 87 (26.6%) and 103 deaths (31.5%) occurred, respectively. Kaplan–Meier analysis showed significantly higher 28 days and 90 days survival in patients with higher testosterone and decreased sST2 levels (p < 0.001). Testosterone, sST2, and N-terminal pro-B-type natriuretic peptide (NT-proBNP) were significantly associated with 28 days and 90 days mortality (p < 0.05). Partial correlation analysis showed strong positive correlation between testosterone and left ventricular ejection fraction (LVEF) (p < 0.001), and negative correlation between testosterone and sST2 (p < 0.001), high-sensitivity troponin I (hs-TnI) levels (p < 0.001) and smoke history (p < 0.01). The concentrations of sST2 were positively related with E/e′ ratio (p < 0.001), and negatively correlated with TAPSE (p < 0.001). The combination of testosterone and sST2 enhanced the prediction of both 28 days [area under the ROC curve (AUC), 0.805] and 90 days mortality (AUC, 0.833). Early serum testosterone and sST2 levels could predict mortality of SIC independently and jointly. Further research is needed to determine the utility of biochemical markers in identifying high-risk patients with SIC.</p