A two-echelon responsive health analytic model for triggering care plan revision in geriatric care management

Due to the increasing ageing population, how can caregivers effectively provide long-term care services to meet the older adults’ needs with finite resources is emerging. In addressing this issue, nursing homes are striving to adopt smart health with the internet of things and artificial intelligence to improve the efficiency and sustainability of healthcare. This study proposed a two-echelon responsive health analytic model (EHAM) to deliver appropriate healthcare services in nursing homes under the Internet of Medical Things environment. A novel care plan revision index is developed using a dual fuzzy logic approach for multidimensional health assessments, followed by care plan modification using case-based reasoning. The findings reveal that EHAM can generate patient-centred long-term care solutions of high quality to maximise the satisfaction of nursing home residents and their families. Ultimately, sustainable healthcare services can be within the communities.

The Association between Depression and Suicidal Ideation A Systematic Review and Meta-Analysis

The purpose of this meta-analysis was to assess the association between Depression and suicidal ideation. We use data from six studies to do a meta-analysis. We applied the random-effects analytic model and calculated a pooled odds ratio. The combined effect size showed that odds of suicidal ideation among people with Depression is 4.88 times higher than those peoples without Depression (ORMH 4.88 95%CI 2.04, 11.72) Test for overall effect: Z = 3.55 (P = 0.0004) Heterogeneity: Tau² = 1.11; Chi² = 100.97, df = 5 (P < 0.00001); I² = 95%. The magnitude of suicidal ideation among people with Depression is 46.39% (528) and peoples without Depression is 17.79 % (315) from the total, 39.13 % (1138) is depressed and 60.86% (1779) not depressed. The overall proportion of Suicidal Ideation among the included studies is 28.98 % (843). The total number of study subjects included in our systematic review and meta-analysis is 2908.

Angular correlations of causally-coherent primordial quantum perturbations

We consider the hypothesis that nonlocal, omnidirectional, causally-coherent quantum entanglement of inflationary horizons may account for some well-known measured anomalies of Cosmic Microwave Background (CMB) anisotropy on large angular scales. It is shown that causal coherence can lead to less cosmic variance in the large-angle power spectrum ${C}_\ell$ of primordial curvature perturbations on spherical horizons than predicted by the standard model of locality in effective field theory, and to new symmetries of the angular correlation function ${C}(\Theta)$. Causal considerations are used to construct an approximate analytic model for ${C}(\Theta)$ on angular scales larger than a few degrees. Allowing for uncertainties from the unmeasured intrinsic dipole and from Galactic foreground subtraction, causally-coherent constraints are shown to be consistent with measured CMB correlations on large angular scales. Reduced cosmic variance will enable powerful tests of the hypothesis with better foreground subtraction and higher fidelity measurements on large angular scales.

Vaccination Against COVID-19 as a Christian Duty? A Risk-Analytic Approach

The Covid-19 pandemic inspired a fierce discussion on pros and cons of vaccinations among Christians. Frequently, this emotional dispute is not based on facts, and this might be due to the fact that the decision situation (“to be vaccinate or not to be vaccinated”) is quite complex. In this paper we develop a risk-analytic model of the vaccination decision and explain the benefits of vaccinations against SARS-Cov-2 on different levels. Furthermore, we show that the Great Commandment of love calls for avoiding all harm to the neighbor even if this harm is indirect and under uncertainty. Consequently, it is a Christian duty to love one’s neighbor and be vaccinated.

Memetic rhetorical theory: an analytic model for the spread of information online

Modern discourse is often characterized by such extreme polarization that participants operate from entirely different sets of facts. These alternative facts represent a new line of inquiry for rhetoricians, who must determine how false facts gain credibility. This article outlines Memetic Rhetorical Theory (MRT), a model for understanding how information evolves to become credible in a given environment.

Short communication: Forward and inverse models relating river long profile to monotonic step-changes in tectonic rock uplift rate history: A theoretical perspective under a nonlinear slope-erosion dependency

The long profile of rivers is widely considered as a recorded of tectonic uplift rate. Knickpoints form in response to rate changes and faster rates produce steeper channel segments. However, when the exponent relating fluvial incision to river slope, n, is not unity, the links between tectonic rates and channel profile are complicated by channel dynamics that consume and form river segments. Here, we explore non-linear cases leading to channel segment consumption and develop a Lagrangian analytic model for knickpoint migration. We derive a criterion for knickpoint preservation and merging, and develop a forward analytic model that resolves knickpoint and long profile evolution before and after knickpoint merging. We further propose a linear inverse scheme to infer tectonic history from river profiles when all knickpoints are preserved. Our description provides a new framework to explore the links between tectonic uplift rates and river profile evolution when n is not unity.