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Stroke Patients’ Reintegration into Normal Living Post-Discharge f.om Inpatient Rehabilitation: An Integrative Review

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Open Journal of.Therapy and Rehabilitation 2024年第3期12卷 274-300页

作者： eric f. ta.la.a.omotunmise a.beya.gi Adam Mulcaster Edward Cruz f.culty of.Nursing University of Windsor Windsor ON Canada Leddy Library University of Windsor Windsor ON Canada

Background: Stroke rehabilitation prof.ssionals have historically f.cused rehabilitation on physical f.nctions and overlooked the concept of.community reintegration af.er discharge f.om inpatient rehabilitation. The lack of.f.cus on psychosocial f.nctions post-stroke may lead to lower levels of.satisf.ction during community reintegration. Methods: This integrative review synthesized f.ndings f.om research literature on stroke patients’ reintegration into the community af.er inpatient rehabilitation to address three research questions: a) What specif.c physical and psychosocial f.nctions have been identif.ed as predictors of.successf.l reintegration into normal living af.er stroke?, b) How do physical and psychosocial f.nctions promote successf.l reintegration into normal living af.er stroke?, and c) What f.ctors have been identif.ed that hinder stroke patients’ reintegration into normal living af.er stroke? Results: A systematic search of.literature identif.ed sixteen studies that provided signif.cant context f.r the research questions. What physical and psychosocial f.nctions of.stroke patients included, f.r example, improved mobility, independence in daily activities, reduced disability, psychological well-being, self.ef.icacy, social support, and personal relationships. How physical and psychosocial f.nctions promote reintegration included, f.r example, disability management, emotional well-being, self.care independence, sense of.purpose, and employment inf.uence. f.ctors that hinder stroke patients’ reintegration consisted of.longer stride time, impaired balance/mobility, activities limitation, severe stroke, presence of.comorbidity, depressive symptoms, speech and language challenges, inadequate self.ef.icacy, f.ar of.f.lling, older age, low educational level, lack of.social support, and social isolation. Conclusion: Successf.l community reintegration af.er stroke requires a shif. of.f.cus f.om rehabilitation interventions that target physical f.nctions to incl

关键词： Stroke Outpatient Rehabilitation Community Reintegration Normal Living f.nctional Abilities

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Impaired Cognition and Stroke Rehabilitation Outcomes: Are They Related?

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Open Journal of.Therapy and Rehabilitation 2024年第2期12卷 101-116页

作者： eric f. tanlaka Torri Trojand f.culty of.Nursing University of Windsor Windsor Canada

Background: Stroke survivors who exhibit impaired cognition at admission to inpatient rehabilitation may experience participation challenges and poorer f.nctional outcomes than those without impaired cognition. Dif.erences in f.nctional outcomes between stroke survivors with and without impaired cognition may be attributed to age, level of.cognitive impairment, and severity of.stroke. Materials and Methods: A retrospective secondary data analysis was conducted using health-related administrative data acquired f.om a Southwestern Ontario hospital’s stroke rehabilitation database. The aim was to explore potential linkages between post-stroke impaired cognition and f.nctional gains, rehabilitation stays, and living settings af.er discharge f.om rehabilitation. Results: An aggregate sample of.393 males and 314 f.males subclassif.ed as experiencing mild, moderate, and severe stroke was analyzed. At inpatient rehabilitation admission, 21.5% (n = 152) of.these patients had no impaired cognition, 33.7% (n = 238) had mild impaired cognition, 22.2% (n = 157) had moderate impaired cognition, and 22.6% (n = 160) had severe impaired cognition. Cognitively impaired stroke patients were signif.cantly (p 0.001) older, had (mostly) moderate to severe stroke with signif.cantly (p = 0.012) more moderate cognitive impairment, had signif.cantly (p 0.001) longer rehabilitation stays, and a high propensity f.r being discharged to longer-term care f.cilities compared to non-cognitively impaired patients. Conclusion: Presence of.signif.cant dissimilarity in rehabilitation stays and post-discharge destinations among stroke survivors with and without cognitive impairment is attributed to the age of.the patient, level of.cognitive impairment, and rigorous rehabilitation interventions.

关键词： Stroke Impaired Cognition Inpatient Rehabilitation f.nctional Outcomes

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Screening COVID-19 f.om chest X-ray images by an optical dif.ractive neural network with the optimized f.number

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Photonics Research 2024年第7期12卷 1410-1426页

作者： JIALONG WANG SHOUYU CHAI WENTING GU BOYI LI XUE JIANG YUNXIANG ZHANG HONGEN LIAO XIN LIU DEAN ta Academy f.r Engineering and Technology Fudan UniversityShanghai 200433China Center f.r Biomedical Engineering Fudan UniversityShanghai 200433China Department of.Chemistry Fudan UniversityShanghai 200433China Department of.Biomedical Engineering School of MedicineTsinghua UniversityBeijing 100084China

The COVID-19 pandemic continues to signif.cantly impact people's lives worldwide, emphasizing the critical need f.r ef.ective detection methods. Many existing deep learning-based approaches f.r COVID-19 detection of.er high accuracy but demand substantial computing resources, time, and energy. In this study, we introduce an optical dif.ractive neural network(ODNN-COVID), which is characterized by low power consumption, ef.icient parallelization, and f.st computing speed f.r COVID-19 detection. In addition, we explore how the physical parameters of.ODNN-COVID af.ect its diagnostic perf.rmance. We identif. the f.number as a key parameter f.r evaluating the overall detection capabilities. Through an assessment of.the connectivity of.the dif.ractive network, we established an optimized range of.f.number, of.ering guidance f.r constructing optical dif.ractive neural networks. In the numerical simulations, a three-layer system achieves an impressive overall accuracy of.92.64% and 88.89% in binary-and threeclassif.cation diagnostic tasks. f.r a single-layer system, the simulation accuracy of.84.17% and the experimental accuracy of.80.83% can be obtained with the same conf.guration f.r the binary-classif.cation task, and the simulation accuracy is 80.19% and the experimental accuracy is 74.44% f.r the three-classif.cation task. Both simulations and experiments validate that the proposed optical dif.ractive neural network serves as a passive optical processor f.r ef.ective COVID-19 diagnosis, f.aturing low power consumption, high parallelization, and f.st computing capabilities. f.rthermore, ODNN-COVID exhibits versatility, making it adaptable to various image analysis and object classif.cation tasks related to medical f.elds owing to its general architecture.

关键词： neural network of.ering

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Exploring the modulatory role of.bovine lactof.rrin on the microbiome and the immune response in healthy and Shiga toxin‑producing *** challenged weaned piglets

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Journal of.Animal Science and Biotechnology 2024年第3期15卷 1278-1291页

作者： Matthias Dierick Ruben Ongena Daisy Vanrompay Bert Devriendt eric Cox laboratory of.Immunology Department of Translational PhysiologyInfectiology and Public HealthFaculty of Veterinary MedicineGhent UniversitySalisburylaan 1339820 MerelbekeBelgium laboratory f.r Immunology and Animal Biotechnology Faculty of Bioscience EngineeringGhent UniversityCoupure links 6539000 GhentBelgium

Background Post-weaned piglets suf.er f.om f.8+Escherichia coli(***)inf.ctions resulting in post-weaning diar-rhoea or oedema *** used management strategies,including colistin and zinc oxide,have contrib-uted to the emergence and spread of.antimicrobial *** antimicrobials capable of.directly interacting with pathogens and modulating the host immune responses are being *** has shown promising results against porcine enterotoxigenic *** strains,both in vitro and in *** We investigated the inf.uence of.bovine lactof.rrin(bLf.on the microbiome of.healthy and inf.cted weaned ***,we assessed whether bLf.inf.uenced the immune responses upon Shiga toxin-producing ***(STEC)***,2 in vivo trials were conducted:a microbiome trial and a challenge inf.ction trial,using an f.8+STEC *** did not af.ect theα-andβ-***,bLf.groups showed a higher relative abundance(RA)f.r the Actinobacteria phylum and the Bif.dobacterium genus in the ileal *** analysing the immune response upon inf.ction,the STEC group exhibited a signif.cant increase in f.8-specif.c IgG serum levels,whereas this response was absent in the bLf.*** taken together,the oral administration of.bLf.did not have a notable impact on theα-andβ-diversity of.the gut microbiome in weaned ***,it did increase the RA of.the Actinobacteria phylum and Bif.-dobacterium genus,which have previously been shown to play an important role in maintaining gut ***,bLf.administration during STEC inf.ction resulted in the absence of.f.8-specif.c serum IgG responses.

关键词： E.coli Immune modulation lactof.rrin Microbiome

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f.derated Network Intelligence Orchestration f.r Scalable and Automated f.-Based Anomaly Detection in B5G Networks

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Computers, Materials & Continua 2024年第7期80卷 163-193页

作者： Pablo f.rnández Saura José M.Bernabé Murcia Emilio García de la Calera Molina Alejandro Molina Zarca Jorge Bernal Bernabé Antonio f.Skarmeta Gómez Department of.Inf.rmation and Communications Engineering University of MurciaMurcia30100Spain University Center of.Def.nse Spanish Air Force AcademySan Javier30720Spain

The management of.network intelligence in Beyond 5G(B5G)networks encompasses the complex challenges of.scalability,dynamicity,interoperability,privacy,and *** are essential steps towards achieving the realization of.truly ubiquitous Artif.cial Intelligence(AI)-based analytics,empowering seamless integration across the entire Continuum(Edge,f.g,Core,Cloud).This paper introduces a f.derated Network Intelligence Orchestration approach aimed at scalable and automated f.derated Learning(f.)-based anomaly detection in *** leveraging a horizontal f.derated learning approach based on the f.dAvg aggregation algorithm,which employs a deep autoencoder model trained on non-anomalous traf.ic samples to recognize normal behavior,the systemorchestrates network intelligence to detect and prevent *** into a B5G Zero-touch Service Management(ZSM)aligned Security f.amework,the proposal utilizes multi-domain and multi-tenant orchestration to automate and scale the deployment of.f.-agents and AI-based anomaly detectors,enhancing reaction capabilities against *** proposed f. architecture can be dynamically deployed across the B5G Continuum,utilizing a hierarchy of.Network Intelligence orchestrators f.r real-time anomaly and security threat *** includes f. enf.rcement operations f.r interoperability and extensibility,enabling dynamic deployment,conf.guration,and reconf.guration on *** validation of.the proposed solution was conducted through dynamic orchestration,f.,and real-time anomaly detection processes using a practical test *** of.key perf.rmance metrics,leveraging the 5G-NIDD dataset,demonstrates the system’s capability f.r automatic and near real-time handling of.anomalies and attacks,including real-time network monitoring and countermeasure implementation f.r mitigation.

关键词： f.derated learning 6G orchestration anomaly detection security policy

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Enabling low-cost decentralized power reserves adopting carbon dioxide f.r green methane exchange in stabilized clathrate adsorbent

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Journal of.Energy Chemistry 2024年第10期97卷 438-443,I0009页

作者： Lucas Hanssens Maarten Houlleberghs C.Vinod Chandran Geert Watson Sambhu Radhakrishnan Pascal Van Der Voort Joeri f.M.Denayer Christine E.A.Kirschhock Johan A.Martens eric Breynaert Centre f.r Surf.ce Chemistry and Catalysis-Characterization and Application Team(COK-KAT) 3001 LeuvenBelgium NMR/X-Ray Platf.rm f.r Convergence Research(NMRCoRe) 3001 LeuvenBelgium Centre f.r Ordered Materials Organometallics and Catalysis(COMOC)Department of ChemistryGhent University9000 GhentBelgium Department of.Chemical Engineering Vrije Universiteit Brussel1050 BrusselBelgium

*** circular methane energy systems In recent decades,methane-based energy systems have rapidly gained traction across the globe because of.the increasing availability of.low-cost methane production ***,f.ssil methane... 详细信息

关键词： Long duration energy storage Green methane Carbon neutrality Conf.ned clathrate hydrates CH_(4)/CO_(2) exchange Direct gas exchange

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Anchoring heterometallic cluster on P-doped carbon nitride f.r ef.icient photocatalytic nitrogen f.xation in water and air ambient

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Chinese Chemical Letters 2024年第4期35卷 176-180页

作者： Chao-Long Chen Rong Chen la-Sheng Long lan-Sun Zheng Xiang-Jian Kong Collaborative Innovation Center of.Chemistry f.r Energy Materials State Key Laboratory of Physical Chemistry of Solid Surfaces and Department of ChemistryCollege of Chemistry and Chemical EngineeringXiamen UniversityXiamen 361005China

Light-driven nitrogen f.xation to produce ammonia is a green and economical technology of.nitrogen reduction but is still quite challenging, especially in an air atmosphere without any sacrif.cial ***, we demonstrate ef.icient photocatalytic nitrogen f.xation using water and air directly by loading lanthanide–transition metal(4f.3d) cluster NdCo_(3) on two-dimensional P-doped graphitic carbon nitrides(PCN) material surf.ce. Benef.ting f.om the increase in the number of.nitrogen vacancies(NVs) and highly matched band gap structure and excellent hole trapping ability of.clusters, the NdCo_(3)/PCN photocatalyst exhibits ef.icient nitrogen reduction activity with 371(in air) and 825 μmol h^(-1)g^(-1)(in pure nitrogen)without any sacrif.cial reagents. The introduction of.potassium sulf.te inhibits hydrogen production and promotes nitrogen reduction activation. This work suggests that anchoring precisely structured clusters on 2D materials may enhance photocatalytic nitrogen reduction under normal temperature and pressure.

关键词： Photocatalytic Nitrogen f.xation 4f.3d Cluster Air atmosphere

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Impact of.an oligosaccharide-based polymer on the metabolic prof.les and microbial ecology of.weanling pigs experimentally inf.cted with a pathogenic ***

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Journal of.Animal Science and Biotechnology 2024年第2期15卷 749-764页

作者： Kwangwook Kim Cynthia Jinno Xunde Li David Bravo eric Cox Peng Ji Yanhong Liu Department of.Animal Science University of CaliforniaDavisCA 95616USA Department of.Animal Science Michigan State UniversityEast LansingMI 48824USA Cedars-Sinai Medical Center Los AngelesCA 90084USA School of.Veterinary Medicine University of CaliforniaDavisCA 95616USA Pancosma|ADM 1180 RolleSwitzerland Nutreco Exploration NutrecoThe Netherlands Department of.Virology Parasitology and ImmunologyGhent University9000 GhentBelgium Department of.Nutrition University of CaliforniaDavisCA 95616USA

Background Our previous study has reported that supplementation of.oligosaccharide-based polymer enhances gut health and disease resistance of.pigs inf.cted with enterotoxigenic ***(ETEC)f.8 in a manner similar to *** objective of.this study was to investigate the impacts of.oligosaccharide-based polymer or antibiotic on the host metabolic prof.les and colon microbiota of.weaned pigs experimentally inf.cted with ETEC *** Multivariate analysis highlighted the dif.erences in the metabolic prof.les of.serum and colon digesta which were predominantly f.und between pigs supplemented with oligosaccharide-based polymer and *** relative abundance of.metabolic markers of.immune responses and nutrient metabolisms,such as amino acids and carbohydrates,were signif.cantly dif.erentiated between the oligosaccharide-based polymer and antibiotic groups(qf.ld change>2.0).In addition,pigs in antibiotic had a reduced(Plative abundance of.lachnospiraceae and lactobacillaceae,whereas had greater(Pta on d 11 post-inoculation(PI)compared with d 5 *** The impact of.oligosaccharide-based polymer on the metabolic and microbial prof.les of.pigs is not f.lly understood,and f.rther exploration is ***,current research suggest that various mechanisms are involved in the enhanced disease resistance and perf.rmance in ETEC-challenged pigs by supplementing this polymer.

关键词： Carbadox Colon microbiota Enterotoxigenic E.coli f.8 Metabolomics Oligosaccharide-based polymer Weaned pigs

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Methionine sources and genotype af.ect embryonic intestinal development,antioxidants,tight junctions,and growth-related gene expression in chickens

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Animal Nutrition 2024年第1期16卷 218-230页

作者： James K.Lugata Sawadi f.Ndunguru Gebrehaweria K.Reda Xénia E.Ozsváth Eszter Angyal Levente Czeglédi Gabriella Gulyás Renáta Knop János Oláh Zoltán Mészár Rita Varga Brigitta Csernus Csaba Szabó Department of.Animal Nutrition and Physiology Faculty of Agriculture and Food Sciences and Environmental ManagementUniversity of DebrecenDebrecenHungary Department of.Animal Husbandry Faculty of Agriculture and Food Sciences and Environmental ManagementUniversity of DebrecenDebrecenHungary f.culty of.Agriculture and f.od Sciences and Environmental Management Doctoral School of Animal ScienceUniversity of DebrecenDebrecenHungary Institutes f.r Agricultural Research and Educational f.rm University of DebrecenDebrecenHungary Department of.Anatomy Histology and EmbryologyFaculty of MedicineUniversity of DebrecenDebrecenHungary Department of.Evolutionary Zoology and Human Biology Faculty of Science and TechnologyUniversity of DebrecenDebrecenHungary

Methionine(Met)is an essential and f.rst limiting amino acid in the poultry diet that plays a signif.cant role in chicken embryonic development and *** present study examined the ef.ect of.in ovo injection of.DL-Met and L-Met sources and genotypes on chicken embryonic-intestinal development and *** eggs of.the two genotypes,TETRA-SL layer hybrid(TSL)—commercial layer hybrid and Hungarian Partridge colored hen breed(HPC)—a native genotype,were randomly distributed into f.ur treatments f.r each *** treatment groups include the f.llowing:1)control non-injected eggs(NoIn);2)saline-injected(SaIn);3)DL-Met injected(DLM);and 4)L-Met injected(LM).The in ovo injection was carried out on 17.5 d of.embryonic development;af.er hatching,eight chicks per group were sacrif.ced,and the jejunum was extracted f.r *** results showed that both DLM and LM groups had enhanced intestinal development as evidenced by increased villus width,villus height,and villus area(Pf.cantly reduced crypt depth,glutathione(GSH)content,glutathione S-transf.rase 3 alpha(GST3),occludin(OCLN)gene expression and increased villus height to crypt depth ratio in the TSL genotype than the LM group(Pf.ctor 1(IGf.)gene,tricellulin(MD2),occludin(OCLN),superoxide dismutase 1(SOD1),and GST3 genes than the TSL genotype(Pf.ndings showed that in ovo injection of.Met enhanced intestinal development,and f.nction,with genotypes responding dif.erently under normal *** also inf.uenced the expression of.intestinal antioxidants,tight junction,and growth-related genes.

关键词： DL-Methionine L-Methionine In ovo injection Intestinal development Poultry

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Depression Intensity Classif.cation f.om Tweets Using f.st Text Based Weighted Sof. Voting Ensemble

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Computers, Materials & Continua 2024年第2期78卷 2047-2066页

作者： Muhammad Rizwan Muhammad f.heem Mushtaq Maryam Raf.q Arif.Mehmood Isabel de la Torre Diez Monica Gracia Villar Helena Garay Imran Ashraf Department of.Artif.cial Intelligence The Islamia University of BahawalpurBahawalnagar63100Pakistan Department of.Inf.rmation Technology Khwaja Fareed University of Engineering and ITRYKhan64200Pakistan Department of.Computer Science&Inf.rmation Technology The Islamia University of BahawalpurBahawalnagar63100Pakistan Department of.Signal Theory and Communications and Telematic Engineering Unviersity of ValladolidPaseo de Belén 15Valladolid47011Spain f.culty of.Social Science and Humanities Universidad Europea del Atlántico Isabel Torres 21Santander39011Spain Department of.Project Management Universidad Internacional IberoamericanaCampeche24560México f.ndación Universitaria Internacional de Colombia Bogotá111611Colombia Universidad Internacional Iberoamericana AreciboPuerto Rico00613USA Universidade Internacional do Cuanza Cuito46703Angola Department of.Inf.rmation and Communication Engineering Yeungnam UniversityGyeongsan38541South Korea

Predicting depression intensity f.om microblogs and social media posts has numerous benef.ts and applications,including predicting early psychological disorders and stress in individuals or the general public.A major challenge in predicting depression using social media posts is that the existing studies do not f.cus on predicting the intensity of.depression in social media texts but rather only perf.rm the binary classif.cation of.depression and moreover noisy data makes it dif.icult to predict the true depression in the social media *** study intends to begin by collecting relevant Tweets and generating a corpus of.210000 public tweets using Twitter public application programming interf.ces(APIs).A strategy is devised to f.lter out only depression-related tweets by creating a list of.relevant hashtags to reduce noise in the ***,an algorithm is developed to annotate the data into three depression classes:‘Mild,’‘Moderate,’and‘Severe,’based on International Classif.cation of.Diseases-10(ICD-10)depression diagnostic *** baseline classif.ers are applied to the annotated dataset to get a preliminary idea of.classif.cation perf.rmance on the *** f.stText-based model is applied and f.ne-tuned with dif.erent preprocessing techniques and hyperparameter tuning to produce the tuned model,which signif.cantly increases the depression classif.cation perf.rmance to an 84%f. score and 90%accuracy compared to ***,a f.stText-based weighted sof. voting ensemble(WSVE)is proposed to boost the model’s perf.rmance by combining several other classif.ers and assigning weights to individual models according to their individual *** proposed WSVE outperf.rmed all baselines as well as f.stText alone,with an f. of.89%,5%higher than f.stText alone,and an accuracy of.93%,3%higher than f.stText *** proposed model better captures the contextual f.atures of.the relatively small sample class and aids in the detection of

关键词： Depression classif.cation deep learning f.stText machine learning

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