Study on clinical characteristics and related factors of schizophrenic patients with intestinal obstruction

Background There are still few studies on the clinical characteristics and related risk factors of schizophrenia patients with intestinal obstruction. Our aim is to explore the clinical characteristics and related risk factors of schizophrenia patients with intestinal obstruction. Methods This study focused on schizophrenia patients with intestinal obstruction who were hospitalized in the psychiatric department of a hospital in Wuhan from January 2007 to December 2020 as the main research object. We intend to retrospectively analyze the clinical characteristics and related risk factors of schizophrenia patients with intestinal obstruction. Results In the 1937 persons with schizophrenia included in this study, 97 patients were complicated with intestinal obstruction, and the incidence was 5.01%.The results of the study showed that patients with age ≥ 60 years old, visiting time ≥ 24 h, hospital stay ≥ 90 days, history of abdominal surgery, course of disease ≥ 5 years, male, and patients with cardiovascular and cerebrovascular diseases are prone to intestinal obstruction; Logistic multiple regression analysis showed that the related risk factors of schizophrenia patients with intestinal obstruction mainly included the patient's age, visiting time, length of hospital stay, history of abdominal surgery, course of disease and gender. Conclusion The older the age, the longer the hospital stay, the longer the course of the disease, the history of previous surgery, and the male schizophrenia who do not see a doctor within 24 h of the onset, the risk of intestinal obstruction is higher, and it is easy to be misdiagnosed and even life-threatening.

COMPUTER SIMULATION OF LOCAL STRUCTURE AND DIFFUSION MECHANISM THROUGH VORONOI POLYHEDRONS IN SODIUM SILICATE GLASS

The Na2O.SiO2 glass has been studied at different temperatures from 300 K to 1173 K by using molecular dynamics simulations. The Voronoi Si and O polyhedrons are analyzed to evaluate the displacement of sodium between these polyhedrons. The results show that more than 90% of the total number of Na is located in NBF polyhedrons that contain non-bridging (NBO) and free oxygen (FO) polyhedrons. The site energy for Na atoms located in NBF is smaller than one in BO polyhedron. The diffusion process of Na atoms is occurred in two ways: the first one is the alone jumping of Na in BO polyhedrons and the second one is the mixed alone jumping of Na and the cooperative movement of Na in NBF polyhedrons. The calculation of the average time between two consecutive jumps and the visiting time for Na atoms leads to the correlation effect for the diffusion of Na atoms. This effect depends on the temperature of the samples.

Identifying tourist profiles to reduce overtourism: the case of a cultural destination

Purpose Knowing the behavior of tourists visiting cultural destinations enables better management of tourist flows, a better understanding of areas with greater tourist density and an opportunity to decongest popular neighborhoods. The purpose of this study is to segment tourists according to their spatio-temporal behavior and identify the primary variables that characterize the resulting segments, which will help urban destinations prevent problems arising from the saturation of tourists in certain areas. Design/methodology/approach To do this, this paper analyzes the behavior of tourists visiting the southeastern Spanish city of Granada, one of the most highly visited cultural tourism destinations. The data analysis used the methodology of sequence alignment which is used to identify segments as a function of their contained elements and the order in which these appear. Findings The results demonstrate the existence of three segments with different behavioral patterns: the “explorer tourists” segment, the “non-traditional cultural tourists” segments and the “typical cultural tourists” segment. These segments show differences in the concentration of their visits. This study discovered that the segments that visit a greater number of destination areas are those with less cultural orientation, higher travel budgets and younger and more frequent visitors. Originality/value In the segmentation not only keep in mind the visited areas, but the order in which they were visited as well. In addition, one should consider the time that each tourist remains in each relevant zone of the destination, given that the visiting time is an important variable to assess the congestion of an area.

Statistical analysis of waiting time of patients by queuing techniques: case study of large hospital in Pakistan

<p class="JARTEAbstractHeader">The purpose of this empirical research was to analyze the comfortable waiting time (CWT) of patients at the outpatient department (OPD) of Gastrology of ABC hospital of Karachi. It is based on the analysis of CWT of patients who were being served at the OPD of Gastrology of ABC hospital of Karachi. The data was collected by the help of questionnaire. Altogether 250 questionnaires were distributed among the patients, 210 of them were collected back and 10 of them were incompletely filled. Data was analysed in the statistical package for social sciences (SPSS) version 22. Data analysis included frequency distribution of various demographics;stratification tables were made for the comparison of CWT across various demographics. Results indicated that more females (old aged) had greater CWT in the comparison of males. It is found that the mean CWT of patients decreased with decreasing age, increasing OPD visiting time and increasing income. It is also found that he mean CWT for the patients from Afghanistan was greater than the patients from other regions i.e. Baluchistan, interior Sindh and Karachi. The authors highlighted that when patients arrive at the hospital and wait for their service, in this scenario, waiting cost is associated with their waiting time; since it is the matter of cost, thus it should be known to the hospital that if patients are made to wait longer, it can lead to the customer dissatisfaction. In this regard, analysis of comfortable waiting time of patients was extremely needed. Since, Karachi is the biggest city of Pakistan and targeted hospital is one the biggest private hospitals of Karachi and in the analysis of this paper. Only 200 patients were approached for data collection which is the main limitation of the paper. In future, the researchers should also focus on the same OPD for more responses and at the same time, other departments can also be targeted for conclude better and precise results. The authors have tried to focus on the CWT of patients so that the waiting capacity of patients could be highlighted. At the same time, detailed analysis was conducted across demographics so that their influence on CWT could be analysed.</p><p class="JARTEKeywords"> </p>

Differences in Pollination Efficiency Among Three Bee Species in a Greenhouse and Their Effects on Yield and Fruit Quality of Northern Highbush ‘Bluecrop’ Blueberry

Different pollinators exhibit different adaptability to plants. Here, we compared the performance in visiting frequency and pollination efficiency among three bee pollinators (Bombus terrestris, Apis cerana, and Apis mellifera) on greenhouse-grown northern highbush ‘Bluecrop’ blueberry plants and evaluate their effects on yield and fruit quality. Our results indicated that the duration of daily flower-visiting of B. terrestris was 24 and 64 minutes longer than that of A. cerana and A. mellifera, respectively, and the visiting time of a single flower for B. terrestris was substantially shorter than the other two bee species, and pollen deposition on the stigma from single visit by B. terrestris was twice and three times that of A. cerana and A. mellifera, respectively. The yield of individual plants pollinated by B. terrestris showed an increase of 11.4% and 20.0% compared with the plants pollinated by A. cerana and A. mellifera, respectively, with the rate of Grade I fruit (>18 mm diameter) reaching 50.8%, compared with 32.9% and 22.5% for A. cerana and A. mellifera groups, respectively. Moreover, the early-to-midseason yield of plants pollinated by B. terrestris was higher, and the ripening time was 3 to 4 days earlier. An artificial pollination experiment demonstrated that seed set of high (≈300), medium (90–110), and low (20–30) pollination amounts were 43.0%, 42.5%, and 10.5%, respectively, and the corresponding mean weights of single fruits (related to the seed number inside) were 2.8, 2.7, and 1.2 g, respectively. The highly efficient pollination of B. terrestris was attributed to its behavior of buzz-pollination. Therefore, it is preferential for pollination of ‘Bluecrop’ blueberry in the greenhouse.

PROBLEMS OF PROVIDING COWS CONCENTRATES IN AUTOMATIC MILKING SYSTEMS

Изучена технология дополнительного скармливания концентрированных кормов во время доения в условиях системы автоматизированного доения на коровах голштинской породы, разделенных на 6 групп по молочной продуктивности. Исследования показали, что с повышением молочной продуктивности в группах коров увеличивается количество выданных и потребленных концентратов. Аналогичная закономерность установлена по времени посещения доильной станции на количество потребления комбикорма, чем дольше коровы задерживаются в боксах доения, тем больше концентрированных кормов они потребляют. Животные всех групп неполностью съедают комбикорм, получаемый на станции доения, остатки концентратов от выданной нормы в группе коров с удоем менее 20,0 кг составили 8,3%, 20,1—25,0 кг — 3,6%, 25,1—30,0 кг — 5,9%, 30,1—35,0 кг — 8,9%, 35,1—40,0 кг — 7,9% и в группе с удоем более 40,1 кг — 7,5%. Анализ затрат концентрированных кормов,получаемых на станции доения, на 1 кг молока показал, что группы коров с удоем 35,1—40,0 и более 40,1 кг на 11,5—18,9% недополучают концентратов, обратная тенденция в группе коров с удоем 20,1—25,0 и менее 20,0 кг, которым для сохранения интереса к роботизированной установке требуется на 9,4—10,4% больше концентрированных кормов. The technology of additional feeding of concentrated feeds during milking under the conditions of an automatic milking system on Holstein cows, divided into 6 groups according to milk production, has been studied. Studies have shown that with an increase in milk production in the groups of cows, the amount of concentrates allocated and consumed increases. The influence of box-visiting time per milking on the amount of concentrate consumption has been established, the longer the cows stay in the milking boxes, the more concentrated feed they consume. Animals of all groups do not fully consume the compound feed obtained in the milking box, the remains of concentrates from the given norm in the group of cows with a milk yield of less than 20.0 kg was 8.3%, in the group of 20.1—25.0 kg — 3.6%, in the group of 25, 1—30.0 kg — 5.9%, in the group of 30.1—35.0 kg — 8.9%, in the group of 35.1—40.0 kg — 7.9% and in the group with a milk yield of more 40.1 kg — 7.5%. Analysis of the costs of concentrated feed per kg of milk received at the milking box showed that groups of cows with a yield of 35.1—40.0 and more than 40.1 kg at 11.5—18.9% do not receive concentrates, the opposite trend is a group of cows with a milk yield of 20.1—25.0 and less than 20.0 kg, which require 9.4—10.4% more concentrated feed to maintain interest in a robotic unit.

The relationship between visit time management and patient's family satisfaction in the intensive care unit

The Intensive Care Unit is an independent hospital part (an installation under the service director) with special staff and equipment for the observation, treatment and therapy of patients who suffer from life-threatening diseases, injuries or complications. Or potentially life-threatening. The policy of Intensive Care Unit by limiting the visiting times aims to maximize the care for patients with critical conditions. The satisfaction of the patient family is at the center point recognized as a measure of the quality of care services in the Intensive Care Unit. The purpose of this study was to determine the relationship between visiting time management and the satisfcation of the patient family It used a descriptive quantitative method, a correlation study with a cross sectional design. The sampling technique was total sampling with the respondents of the families, 40 respondents. They were then analyzed using Spearman Rank correlation statistical technique. The results of the Spearman rank analysis gave a p value of 0.044 <0.05, meaning there is a significant relationship between visiting-time management and the satisfaction of family patients.In conclusion he management of visiting-time can be an influential factor in determining the satisfaction of the patient family over the hospital services.

Makespan Minimizing on Multiple Travel Salesman Problem With a Learning Effect of Visiting Time

The multiple traveling salesman problem (MTSP) involves the assignment and sequencing procedure simultaneously. The assignment of a set of nodes to each visitors and determining the sequence of visiting of nodes for each visitor. Since specific range of process is needed to be carried out in nodes in commercial environment, several factors associated with routing problem are required to be taken into account. This research considers visitors’ skill and category of customers which can affect visiting time of visitors in nodes. With regard to learning-by-doing, visiting time in nodes can be reduced. And different class of customers which are determined based on their potential purchasing of power specifies that required time for nodes can be vary. So, a novel optimization model is presented to formulate MTSP, which attempts to ascertain the optimum routes for salesmen by minimizing the makespan to ensure the balance of workload of visitors. Since this problem is an NP-hard problem, for overcoming the restriction of exact methods for solving practical large-scale instances within acceptable computational times. So, Artificial Immune System (AIS) and the Firefly (FA) metaheuristic algorithm are implemented in this paper and algorithms parameters are calibrated by applying Taguchi technique. The solution methodology is assessed by an array of numerical examples and the overall performances of these metaheuristic methods are evaluated by analyzing their results with the optimum solutions to suggested problems. The results of statistical analysis by considering 95% confidence interval for calculating average relative percentage of deviation (ARPD) reveal that the solutions of proposed AIS algorithm has less variation and Its’ confidence interval of closer than to zero with no overlapping with that of FA. Although both proposed metaheuristics are effective and efficient in solving small-scale problems, in medium and large scales problems, AIS had a better performance in a shorter average time. Finally, the applicability of the suggested pattern is implemented in a case study in a specific company, namely Kalleh.

Hummingbird (Aves: Trochilidae) assemblage using resources from the exotic African tuliptree, Spathodea campanulata (Bignoniaceae) in a Neotropical altered environment, southeastern Brazil

The non-native African tuliptree, Spathodea campanulata (P. Beauv), is widely distributed in altered Neotropical environments, where hummingbirds are important pollinators. We investigated the assemblage of hummingbirds which fed on its nectar and described their behavior, to understand possible influences of the exotic tree on the territorial behavior in an altered environment in southeastern Brazil. Seven species fed on flower resources, mainly Eupetomena macroura (Gmelin, 1788), Amazilia lactea (Lesson, 1832), and Florisuga fusca (Vieillot, 1817). Visiting time was positive correlated with number of flowers accessed, but in most visits, hummingbirds get the nectar by pillage, instead of frontal access. Flower availability varied throughout months; however, we found no evidence of significative correlation between available flowers and number of agonistic encounters. Despite a high number of animal-plant interactions and a strong territorialism of some species observed in African tuliptree foraging site, there may be other plants at local scale influencing the behavioral patterns observed.

Willingness of Patients With Knee Osteoarthritis to Use Telemedicine Amid Sars-CoV-2 Outbreak

Background: There is no report yet on the application of telemedicine in orthopedic practice in Japan. With a focus on patients with KOA, we investigated the willingness of patients to use telemedicine by assessing factors such as the patient’s age, smartphone possession, hospital visiting time, and severity of KOA. Methods: Data of patients who regularly consulted orthopedic surgeons at our institutions from April 2020 to June 2020 were retrospectively analyzed using an electronic medical database. The patients were diagnosed with KOA according to clinical and radiological findings, according to the Kellgren-Lawrence (KL) classification. included were patients with KOA with KL classification above grade 2. All patients were asked: 1) whether they were willing to use telemedicine (Yes or No), 2) the reason why they answered Yes, 3) the reason why they answered No, 4) if they possessed a smartphone, 5) their numeric rating scale for pain at their last outpatient visit after the Sars-CoV-2 epidemic emerged, and 6) the time required for visiting hospital from their house. Patients were stratified into 2 groups depending on whether they answered Yes (Group Y) or No (group N). Comparisons between the groups concerning smartphone possession, NRS pain, hospital visiting times, and distribution of KL grade were made. Results: Only 36.7% of the patients with KOA said they were willing to use telemedicine. The average age of group Y was significantly younger than that of group N (67.9 ± 9.1 vs 73.1 ± 8.0, P = 0.0026) and the cutoff age was 70.0 years. In addition, the rate of smartphone possession was significantly higher in group Y than in group N (82.5% vs 34.5%, P < 0.001). Hospital visit times and the severity of KOA did not differ between the groups. Conclusion: Age is a barrier to the adoption of telemedicine.