Planning, aging, and loneliness: Reviewing evidence about built environment effects

Large numbers of people in many countries report being lonely with rates highest among the very old. Does the built environment affect loneliness among older people and if so, how? Using a scoping review, we examined associations between loneliness and built environments at the block, neighborhood, and city scales The (a) neighborhood environment has received most attention. Research has also examined (b) urban contexts, (c) housing, and (d) transportation access. Findings are mixed with the stronger evidence that local resources, walkability, overall environment quality, housing options, and nearby transportation alternatives can help combat loneliness

Attitudes, perceptions, and walking behavior in a Chinese city

Introduction: An increasing number of studies discuss the relationship of walking with attitudes and perceptions. However, the findings are not consistent, and few studies have examined the relationship between walking and attitudes to overall mobility and multiple modes. In this paper, we contribute to these debates by exploring the relationship between walking for transport and broad attitudes to urban mobility and transport modes. Methods: Using a clustered random sample survey conducted in a second-tier city in China (N = 1048), we hypothesized that people with different attitudes have different amounts of walking for transport. Data analysis methods involved descriptive statistics, t-tests, analysis of variance (ANOVA), hierarchical logistic models, and hierarchical linear models. Results: Positive attitudes and perceptions regarding multiple transport modes and related environments were associated with some walking for transport. T-tests indicated that those with different attitudes walked different amounts. Regression models showed that associations between attitudes and odds of people walking varied between genders. Males who perceived bus frequency was not a problem were more likely to walk. Females tended to walk when viewing transportation in the city as convenient. Both findings contribute to the understanding that positive perceptions of overall mobility in the city were associated with higher odds of walking. Meanwhile, among those who did walk, those with positive attitudes towards pedestrian safety crossing streets and those perceiving traffic jams as a problem in their daily trips spent more time walking. Conclusion: This paper concludes that positive broad attitudes and perceptions of overall mobility and all transport modes are related to more walking activities. A better understanding of such relationships can provide a reference point for urban policies aiming at promoting walking for transport

Built Environment and Self-Rated Health: Comparing Young, Middle-Aged, and Older People in Chengdu, China

Objectives: This article explores how the building-scale built environment is associated with selfrated health, examining differences in this association among younger, middle-aged, and older age groups. Features examined included building type, building condition, and sidewalk presence in front of dwellings. Background: Understanding how the relationships between built environments and health vary across age groups helps to build a healthy environment for all. However, most studies have concentrated on the neighborhood or indoor environment, rather than whole buildings, and few have compared age groups. Methods: This study analyzed survey data from 1,019 adults living in 40 neighborhoods in Chengdu, China, recruited through a clustered random sampling approach. It used a Bayesian logistic mixed-effects model with interaction terms between age-group indicators and other variables. Results: Significant differences exist in the relationships of self-rated health with some environmental and other indicators among age groups. For older people, living in multi-floor buildings, having a household smoker, and undertaking fewer hours of weekly exercise were associated with lower odds of reporting good, very good, or excellent health. These relationships were not identified among middle-aged and younger people. More education was associated with higher odds of reporting better health among older and middle-aged groups. Conclusions: Older people experience more health-related challenges compared to middle-aged and younger people. However, among the examined built environment factors, building type was the only significant factor related to self-rated health among older people. To promote health among older people, this study recommends adding elevators in the multi-floor buildings

A Dataset of Open-Domain Question Answering with Multiple-Span Answers

Multi-span answer extraction, also known as the task of multi-span question answering (MSQA), is critical for real-world applications, as it requires extracting multiple pieces of information from a text to answer complex questions. Despite the active studies and rapid progress in English MSQA research, there is a notable lack of publicly available MSQA benchmark in Chinese. Previous efforts for constructing MSQA datasets predominantly emphasized entity-centric contextualization, resulting in a bias towards collecting factoid questions and potentially overlooking questions requiring more detailed descriptive responses. To overcome these limitations, we present CLEAN, a comprehensive Chinese multi-span question answering dataset that involves a wide range of open-domain subjects with a substantial number of instances requiring descriptive answers. Additionally, we provide established models from relevant literature as baselines for CLEAN. Experimental results and analysis show the characteristics and challenge of the newly proposed CLEAN dataset for the community. Our dataset, CLEAN, will be publicly released at zhiyiluo.site/misc/clean_v1.0_ sample.json

A Fast and Scalable Authentication Scheme in IoT for Smart Living

Numerous resource-limited smart objects (SOs) such as sensors and actuators have been widely deployed in smart environments, opening new attack surfaces to intruders. The severe security flaw discourages the adoption of the Internet of things in smart living. In this paper, we leverage fog computing and microservice to push certificate authority (CA) functions to the proximity of data sources. Through which, we can minimize attack surfaces and authentication latency, and result in a fast and scalable scheme in authenticating a large volume of resource-limited devices. Then, we design lightweight protocols to implement the scheme, where both a high level of security and low computation workloads on SO (no bilinear pairing requirement on the client-side) is accomplished. Evaluations demonstrate the efficiency and effectiveness of our scheme in handling authentication and registration for a large number of nodes, meanwhile protecting them against various threats to smart living. Finally, we showcase the success of computing intelligence movement towards data sources in handling complicated services.Comment: 15 pages, 7 figures, 3 tables, to appear in FGC

An Evolutionary Game Research on Cooperation Mode of the NEV Power Battery Recycling and Gradient Utilization Alliance in the Context of China’s NEV Power Battery Retired Tide

Recycling and gradient utilization (GU) of new energy vehicle (NEV) power batteries plays a significant role in promoting the sustainable development of the economy, society and environment in the context of China’s NEV power battery retirement tide. In this paper, the battery recycling subjects and GU subjects were regarded as members in an alliance, and an evolutionary game model of competition and cooperation between the two types of subjects was established. Evolution conditions and paths of the stable cooperation modes between these two were explored. Suggestions were proposed to avoid entering a state of deadlock and promote the alliance to achieve the “win-win” cooperation mode of effective resource recovery and environmental sustainability. The results revealed four types of certain situations, two types of uncertain situations, and one type of deadlock situation for the evolution of alliance cooperation. The factors of the market environment are evident in not only changing the evolution paths and steady-states of the alliance but also in breaking the evolution deadlock. However, the sensitivity of the members in the alliance to different types of parameters varies greatly. It is difficult for the government to guide the formation of an ideal steady-state of cooperation or break the deadlock of evolution by a single strategy, such as subsidies or supervision. The combination of subsidy-and-supervision or phased regulation should be adopted. Only increasing subsidies is likely to weaken the function of the market and have a counterproductive effect

A novel magnetic compression technique for establishment of a vesicovaginal fistula model in Beagle dogs

Abstract Vesicovaginal fistula lacks a standard, established animal model, making surgical innovations for this condition challenging. Herein, we aimed to non-surgically establish vesicovaginal fistula using the magnetic compression technique, and the feasibility of this method was explored using eight female Beagle dogs as model animals. In these dogs, cylindrical daughter and parent magnets were implanted into the bladder and vagina, respectively, after anesthesia, and the positions of these magnets were adjusted under X-ray supervision to make them attract each other, thus forming the structure of daughter magnet-bladder wall-vaginal wall-parent magnet. Operation time and collateral damage were recorded. The experimental animals were euthanized 2 weeks postoperatively, and the vesicovaginal fistula gross specimens were obtained. The size of the fistula was measured. Vesicovaginal fistula was observed by naked eye and under a light microscope. Magnet placement was successful in all dogs, and remained in the established position for the reminder of the experiment. The average operation time was 14.38 min ± 1.66 min (range, 12–17 min). The dogs were generally in good condition postoperatively and were voiding normally, with no complications like bleeding and urine retention. The magnets were removed from the vagina after euthanasia. The vesicovaginal fistula was successfully established according to gross observation, and the fistula diameters were 4.50–6.24 mm. Histological observation revealed that the bladder mucosa and vaginal mucosa were in close contact on the internal surface of the fistula. Taken together, magnetic compression technique is a simple and feasible method to establish an animal model of vesicovaginal fistula using Beagle dogs. This model can help clinicians study new surgical techniques and practice innovative approaches for treating vesicovaginal fistula

Relationship between Atherogenic Index of Plasma and Serum Lp-PLA2 Levels and Left Ventricular Hypertrophy in Patients with Hypertension

Background Hypertension is a common chronic non-communicable disease in clinical practice, and its prevalence is on the rise globally due to population aging and changes in human lifestyles. Prolonged high blood pressure can lead to damage to various target organs such as the heart, brain, kidneys, and retina, severely threatening human health and being a major cause of global disease burden. The left ventricle, as the primary target of end-organ damage, its structural changes are also the pathological basis for the development of many cardiovascular diseases. Objective This study aims to explore the relationship between the atherogenic index of plasma (AIP) and serum lipoprotein-associated phospholipase A2 (Lp-PLA2) levels and left ventricular hypertrophy (LVH) in patients with primary hypertension. Methods A total of 167 patients with primary hypertension who visited the Department of Cardiovascular Medicine at the Second Affiliated Hospital of Zhengzhou University from October 2021 to June 2023 were enrolled in this study. Baseline data of the patients were collected, and fasting venous blood biochemical markers were measured. Echocardiograms were conducted within 24 hours of admission to calculate left ventricular mass (LVM) and left ventricular mass index (LVMI). Patients were divided into non-left ventricular hypertrophy (NLVH) group (87 patients) and LVH group (80 patients) based on LVMI. Pearson correlation test and Spearman rank correlation analysis were used to investigate the correlation between serum Lp-PLA2 level, AIP and echocardiographic parameters. Multivariate Logistic regression analysis was used to explore the influencing factors of LVH in hypertensive patients. Receiver operating characteristic (ROC) curve was plotted to explore the diagnostic value of serum Lp-PLA2 level and AIP in hypertensive patients with LVH, and the area under ROC curve (AUC) was calculated. Results Patients in the LVH group had higher age, duration of hypertension, levels of N-terminal pro B-type natriuretic peptide (NT-proBNP), high-sensitivity C-reactive protein (hs-CRP), left ventricular posterior wall thickness (LVWPT), interventricular septal thickness (IVST), left ventricular end-diastolic diameter (LVEDd), left atrial end-systolic diameter (LAESd), Lp-PLA2 levels, AIP, LVM, and LVMI compared to the NLVH group (P<0.05). Correlation analysis showed that LVMI was positively correlated with Lp-PLA2, AIP, NT-proBNP, hs-CRP, age, and duration of hypertension (P<0.05). LVWPT was positively correlated with Lp-PLA2, AIP, NT-proBNP, hs-CRP, and duration of hypertension (P<0.05). IVST was positively correlated with Lp-PLA2, AIP, hs-CRP, age, and duration of hypertension (P<0.05). LVEDd was positively correlated with Lp-PLA2, AIP, NT-proBNP, hs-CRP (P<0.05). Multivariate Logistic regression analysis showed that elevated hs-CRP (OR=1.249, 95%CI=1.007-1.548, P=0.043), elevated NT-proBNP (OR=1.009, 95%CI=1.002-1.017, P=0.011), increased AIP (OR=14.557, 95%CI=1.220-173.753, P=0.034), and increased Lp-PLA2 (OR=1.042, 95%CI=1.024-1.059, P<0.001) were risk factors for LVH in hypertensive patients. ROC curve results showed that the AUC for diagnosing hypertension combined with LVH using AIP, Lp-PLA2, and combined testing were 0.649 (95%CI=0.566-0.733), 0.780 (95%CI=0.705-0.854), and 0.804 (95%CI=0.733-0.874), respectively. Conclusion Serum Lp-PLA2 levels and AIP are closely related to changes in the morphological structure of the left ventricle. Combined testing of both can aid in the early clinical diagnosis of left ventricular hypertrophy in hypertensive patients, providing guidance for clinical diagnosis and treatment