作者:
Pei-Yu ChengLi FangBSN
RN Department of Nursing Pingtung Christian Hospital and Graduate Student Master of Science Program in Health Care Department of Nursing Meiho University Taiwan ROC. PhD
RN Assistant Professor Department of Nursing Fooyin University Taiwan ROC. fangli72catholic36@***.
This article describes a 76-year-old dialysis patient who experienced widowhood. The nursing intervention occurred between April 2nd to June 28th, 2015. Using observation, interviews, medical records and health examin...
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This article describes a 76-year-old dialysis patient who experienced widowhood. The nursing intervention occurred between April 2nd to June 28th, 2015. Using observation, interviews, medical records and health examinations, the authors assessed the patient's physical, psychological, social, intellectual, and spiritual status. The patient not only presented poor appetite, insomnia, hopelessness, and grief but had also attempted suicide. Thus, three health problems were identified, including dysfunctional grieving, hopelessness, and sleep pattern disturbance. Employing caring, active listening, and empathy, we helped the patient achieve the four tasks of Worden's Mourning: (1) to accept the reality of loss; (2) to work through the pain of grief; (3) to adjust to an environment in which the deceased is missing; and (4) to emotionally relocate the deceased and move on with life. With comprehensive and persistent nursing intervention, the patient got the support from her family members and eventually readapted to life without the deceased and continued to take hemodialysis and found new life motivation.
Machine learning and pattern recognition techniques have been successfully applied to algorithmic problems in free groups. In this paper, we seek to extend these techniques to finitely presented non-free groups, with ...
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Psoriasis classification requires the accurate identification of the lesional types for the early and effective diagnosis and it is worth interesting that the normal and psoriasis cell tissues exhibit different gene e...
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Psoriasis classification requires the accurate identification of the lesional types for the early and effective diagnosis and it is worth interesting that the normal and psoriasis cell tissues exhibit different gene expression. Therefore, gene expression data is an effective source for psoriasis classification and there is a challenge regarding the selection of suitable gene signatures for its purpose. In this present study, the gene expression-based microarray data were used and 35 expression features linked with psoriasis were utilized to feed into our machine learning model. Overall, the performance of our model based on 35 mentioned-above features surpassed that of other state-of-the-art classifiers with an average accuracy of 98.3%, recall of 98.6%, and precision of 98% in 5-fold cross-validation tests. We also validate our model on two different sets of psoriasis and the performance results are significant. These results have suggested that our 35 expression signatures have been identified as key features for classifying samples between lesion and non-lesion. More specifically, the expression levels of few genes i.e., FABP5 , TGM1 , or BCAR3 are discovered as newly potential biomarkers for psoriasis classification and treatment with high confidence. This study, therefore, could shed light on developing the prediction models for psoriasis classification and treatment using gene expression profiles.
Group exponentiation is an important operation used in many public-key cryptosystems and, more generally, cryptographic protocols. To expand the applicability of these solutions to computationally weaker devices, it h...
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ISBN:
(纸本)9781450353939
Group exponentiation is an important operation used in many public-key cryptosystems and, more generally, cryptographic protocols. To expand the applicability of these solutions to computationally weaker devices, it has been advocated that this operation is outsourced from a computationally weaker client to a computationally stronger server, possibly implemented in a cloud-based architecture. While preliminary solutions to this problem considered mostly honest servers, or multiple separated servers, some of which honest, solving this problem in the case of a single (logical), possibly malicious, server, has remained open since a formal cryptographic model was introduced in [20]. Several later attempts either failed to achieve privacy or only bounded by a constant the (security) probability that a cheating server convinces a client of an incorrect result. In this paper we solve this problem for a large class of cyclic groups, thus making our solutions applicable to many cryptosystems in the literature that are based on the hardness of the discrete logarithm problem or on related assumptions. Our main protocol satisfies natural correctness, security, privacy and efficiency requirements, where the security probability is exponentially small. In our main protocol, with very limited offline computation and server computation, the client can delegate an exponentiation to an exponent of the same length as a group element by performing an exponentiation to an exponent of short length (i.e., the length of a statistical parameter). We also show an extension protocol that further reduces client computation by a constant factor, while increasing offline computation and server computation by about the same factor.
The Pongkor post-mining area is designated as one of the ecotourism areas in Bogor. This area has biodiversity of flora and fauna. This study aims to: (1) analysis the importance value index (IVI) of flora types; (2) ...
The Pongkor post-mining area is designated as one of the ecotourism areas in Bogor. This area has biodiversity of flora and fauna. This study aims to: (1) analysis the importance value index (IVI) of flora types; (2) analysis species richness index, species diversity index, and relative species abundance index; (3) analysis the beauty, the uniqueness and the rarity of the flora and fauna types. The method used in this research is quantitative descriptive. Based on the identification results, 185 species of flora are distributed in this region. During the rainy season, 15 species of herpetofauna were identified, 32 types of aves, and 4 types of mammals, while in the dry season 19 species of herpetofauna were identified, 23 types of aves, and 2 types of mammals. Based on the results of the analysis conducted on these flora and fauna, there are flora species that have high IVI values and some beautiful and unique flora species that are in the category of endangered species. Besides that, there are also fauna species which have a value of species richness index, species diversity index, and relative species abundance index, as well as some beautiful, unique, and fauna species that are in the category of endangered species.
A majority of electricity generation in the US is produced by thermoelectric power plants which require a constant supply of water for cooling. Many of these plants eject large quantities of hot water that was used fo...
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作者:
Abhishek KumarR. DhanuskodiR. KaliappanK. NandakumarAbhishek Kumar teaches design philosophies at Anant National University
Ahmedabad. He earned his Ph.D in Management from Pondicherry University. He is an Economics graduate from Calcutta University and MBA from BIM Trichy. He has published more than 20 articles in reputed international journals has authored two books written articles and columns for newspapers and is quoted on issues related to leadership and marketing by various media platforms. His research work comprises construction of brand personality scale for media aesthetics and phenomenological design. His recent publications are on philosophy of a photograph hermeneutic reality of product and on philosophy of intimate spaces. R. Dhanuskodi has nearly 40 years of R&D experience at BHEL
India in technical areas applicable for thermal power plants. He is a life member of The Institution of Engineers (India) and The Combustion Institute. He has won two BHEL’s Excel awards under the best author category for technical papers. He has visited France Netherlands and Germany under Indo-Europe Clean Coal Development Program. He has guided 42 UG PG and PhD project works. He holds 11 patents 40 copyrights and 2 design registrations. He has presented papers in 20 conferences and published in 10 national and international journals. R. Kaliappan completed his bachelors in electrical and electronics engineering and Masters in Computer Science. He has 36 years of research experience in different fields of power generation and power plant subsystems such as heat transfer studies on boiler circulation
efficiency improvements of boiler subsystems product improvements/ enhancements and setting up test facilities for research studies. He has published a number of technical papers on MHD power generation and heat transfer studies in various national and international journals. He has more than 25 patents and copyrights on products development related to power boilers. He has won BHEL’S gold medal for product development for Smart Wall Blowing system. K. Nandakumar
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