Cardiovascular disease is a major complication of type 2 diabetes mellitus. In addition to traditional risk factors, psychological determinants play an important role in CVD risk. This study applied Deep Neural Network to develop a CVD risk prediction model and explored the bio-psycho-social contributors to the CVD risk among patients with T2DM. From 2017 to 2020, 834 patients with T2DM were recruited from the Department of Endocrinology, Affiliated Hospital of Harbin Medical University, China. In this cross-sectional study, the patients' bio-psycho-social (...) information was collected through clinical examinations and questionnaires. The dataset was randomly split into a 75% train set and a 25% test set. DNN was implemented at the best performance on the train set and applied on the test set. The receiver operating characteristic curve analysis was used to evaluate the model performance. Of participants, 272 were diagnosed with CVD. The developed ensemble model for CVD risk achieved an area under curve score of 0.91, accuracy of 87.50%, sensitivity of 88.06%, and specificity of 87.23%. Among patients with T2DM, the top five predictors in the CVD risk model were body mass index, anxiety, depression, total cholesterol, and systolic blood pressure. In summary, machine learning models can provide an automated identification mechanism for patients at CVD risk. Integrated treatment measures should be taken in health management, including clinical care, mental health improvement, and health behavior promotion. (shrink)

Several previous studies have reported atypicality in resting-state functional connectivity in autism spectrum disorder, yet the relatively small effect sizes prevent us from using these characteristics for diagnostic purposes. Here, canonical correlation analysis and hierarchical clustering were used to partition the high-functioning ASD group into subgroups. A support vector machine model was trained through the 10-fold strategy to predict Autism Diagnostic Observation Schedule scores within the ASD discovery group, which was further validated in an independent sample. The neuroimage-based partition derived (...) two subgroups representing severe versus mild autistic patients. We identified FCs that show graded changes in strength from ASD-severe, through ASD-mild, to controls, while the same pattern cannot be observed in partitions based on ADOS score. We also identified FCs that are specific for ASD-mild, similar to a partition based on ADOS score. The current study provided multiple pieces of evidence with replication to show that resting-state functional magnetic resonance imaging FCs could serve as neural biomarkers in partitioning high-functioning autistic individuals based on their symptom severity and showing advantages over traditional partition based on ADOS score. Our results also indicate a compensatory role for a frontocortical network in patients with mild ASD, indicating potential targets for future clinical treatments. (shrink)

In this final lecture, I used instructions coming from the outside as well as rhetorical philosophy up to the achievements of the United States in the way, cited the following as high as 20 U.S. I think that the achievements in philosophy, this 20 achievements are as follows: 1. Re- definition of hermeneutics, resulting in a "philosophical hermeneutics" . understand the concern of the moment rather than the ability to explain the object. 3 allows us to explain thus an awareness (...) event. 4 to become a historical understanding of events . 5 from the hermeneutic methodology In order to understand the events into ontology. 6 to understand a sight change and self-understanding of the event. 7 principles of change as history, literature and art. 8 offers a new aesthetic and poetics. 9 provides a way to deal with representational and abstract art of art. 10 and then regardless of the art real management problem. 11 reaffirmed the non-scientific literature and hermeneutics in true sense. 12 In order to read the classical works of the original to provide a new treatment. 13 new associate with the traditional relationship. 14 the art of interpretation be linked to a reading process. 15 In order to have affected the critical nursing science, history, sociology, etc. methods. 16 criticism of the limitations of the natural scientific thinking. 17 critique of modernity . 18 provides a large amount of pull on the Park map , Hegel and Heidegger books. 19 He described the dialogue by way of consultations In order to understand the contribution. 20. Tree up hermeneutics of tradition and openness to other cultures of the ancient model. With this eight p.m. description of achievements, but also showing a structure of these nine days the future of speech. In this final lecture I take an approach from the outside and ask what Gadamer has achieved in philosophy, then list twenty of what I see as his philosophical accomplishments. These achievements are as follows: 1. Redefines hermeneutics, creating a "philosophical hermeneutics." 2. Focuses on the moment of uptake instead of the object of interpretation. 3. Makes us aware of interpretation as an event. 4. Makes the event of understanding an historical event. 5. Changes hermeneutics from a methodology to an ontology of the event of understanding. 6. Makes understanding an event of transformation of horizon and self-understanding. 7. Transforms history, literature and art as disciplines. 8. Offers a new aesthetics and a new poetics. 9. Offers a view of art that is able to deal with representation and nonrepresentational art. 10. Reintroduces the question of truth in art. 11. Revalidates literature and humanities as true in a nonscientific sense. 12. Offers a new rationale for reading the classics. 13. Forges a new relationship to tradition . 14. Relates interpretation of art to the reading process. 15. Offers a critique of method that has influenced nursing, history, sociology, etc. 16. Offers a critique of the limits of scientific thinking. 17. Offers a critique of modernity. 18. Offers major books on Plato, Hegel, and Heidegger. 19. In describing dialogue in understanding, he contributes to understanding negotiation. 20. Sets an example of hermeneutical openness to tradition, antiquity, and other cultures. The framework of these lectures during these nine day is presented through accounting for the twenty achievements. (shrink)

The problem of race has typically been treated as a problem of individual or institutional prejudice. However, more attention needs to be paid to structural racism, which shows how racialized opportunity structures sustain racial injustice even when actors are not prejudiced. Because Catholic social thought treats social structures as mere aggregates of individual behavior, however, it is unable to explain how opportunity structures constrain human agency, how social positions condition the behaviors of people who occupy them, and how harms may (...) occur without intent. A critical realist approach to understanding social structure corrects the reductive tendencies of dominant perspectives on race, such as colorblindness and antiracism, and helps explain how nonracists can perpetuate racial injustice. An analysis of the case of residential segregation shows how the pursuit of individual goods in racialized opportunity structures like the housing market simultaneously hinders the common good. (shrink)

The book offers an interdisciplinary perspective on finance, with a special focus on stock markets. It presents new methodologies for analyzing stock markets’ behavior and discusses theories and methods of finance from different angles, such as the mathematical, physical and philosophical ones. The book, which aims at philosophers and economists alike, represents a rare yet important attempt to unify the externalist with the internalist conceptions of finance.

Mandarin speakers, like most other language speakers around the world, use spatial terms to talk about time. However, the direction of their mental temporal representation along the front-back axis remains controversial because they use the spatial term “front” to refer to both earlier times and the future. Although the linguistic distinction between time- and ego-reference-point spatiotemporal metaphors in Mandarin suggests a promising clarification of the above controversy, there is little empirical evidence verifying this distinction. In this study, Mandarin speakers’ time- (...) and ego-reference-point temporal representations on three axes were separately examined through two tasks. In a time-reference-point task, Mandarin speakers judged whether the time point of the second picture was earlier or later than the time point of the first picture, while in an ego-reference-point task, they judged whether an event or phase had happened in the past or would happen in the future. The results indicate that Mandarin speakers construe an earlier-times-in-front-of-later-times temporal sequence and adopt the front-to-the-future orientation. (shrink)

The study of matching degree between energy equipment manufacturing and market demand is crucial for energy enterprises to adjust business strategies, expand market share, and develop sustainably. Considering that the current electricity market evaluation indicators are rarely selected from a global perspective and a single evaluation method may lead to one-sided results, this article takes the technology and equipment related to electric energy as the research object and selects six indicators, including technical standards, qualification certification, export methods, after-sales service, market (...) concentration, and product concentration. By analyzing the supply and demand characteristics of major global regional markets and the situation of Chinese power enterprises in these markets, we propose matching model cluster including osculating value method, rank-sum ratio method, ideal point method, entropy value method, and efficacy coefficient method to conduct the matching degree study. The results show that the overall market matching degree of Chinese power companies is good, especially in Southeast Asia, Central Asia, and Africa. For markets with a low degree of matching, we analyze the reasons based on the matching indicators values to provide companies with corresponding strategies and recommendations. (shrink)

A link prediction model for weighted networks based on Dempster–Shafer evidence theory and the influence of common neighbours is proposed in this paper. First, three types of future common neighbours and their topological structures are proposed. Second, the concepts of endpoint weight influence, link weight influence, and high-strength node influence are introduced. Then, the similarity based on the impacts of current common neighbours and FCNs is defined, respectively. Finally, the two similarity indices are fused by the DS evidence theory. This (...) model effectively integrates multisource information and completely exploits the influence of all CCNs and FCNs on similarity. Experiments are performed on 9 real and 40 simulation-weighted datasets, and these findings are compared with several classic algorithms. Results show that the proposed method has higher precision than other methods, which can achieve good performance in link prediction in weighted networks. (shrink)

The worsening environmental crisis has become a serious threat to mankind. The search for a solution to this crisis must begin by understanding its causes. Taking an eco-socialist perspective, The Ecological Crisis and the Logic of Capitalexplores the logic of capitalism as a fundamental cause of today's environmental crisis, in particular the thirst for profit and the capitalist mode of production. By demonstrating the inherent antagonism between capital and ecology, this book argues that proposals to resolve the crisis within the (...) capitalist system are utopian, that proposed remedies relying on scientific progress, alternative energies, low-carbon technologies or the introduction of ecological ethics and new attitudes toward Nature into market mechanisms are doomed to failure without a radical overhaul of the principles that govern capitalism. (shrink)

Greenwashing has become a common way in which many enterprises address expectations related to corporate social responsibility. As an abnormal and fake type of social responsibility behavior, greenwashing causes many problems, thus highlighting the importance of exploring the impact of corporate greenwashing. However, previous studies have mainly examined the impacts of greenwashing on enterprises, industry, and society, and the impact of greenwashing on individual employee behavior, which is important with regard to the sustainability of the enterprise, remains limited. The main (...) purpose of this study is to explore how perceived greenwashing affects employee green behavior (EGB). Based on the stimulus–organism–response theory and social cognitive theory, a two-wave survey was conducted to investigate 232 Chinese enterprise employees. The impact of perceived greenwashing on EGB was analyzed. The mediating role of green organizational identity (GOI) and the moderating role of self-serving leadership in this context were examined. The results reveal that perceived greenwashing is negatively related to EGB. Furthermore, GOI mediates the direct relationship between perceived greenwashing and EGB. Self-serving leadership weakens the positive relationship between GOI and EGB. This study thus develops a theoretical model of greenwashing and EGB. It also provides empirical evidence that can support attempts to promote EGB. (shrink)

We examine the implications of social trust for auditor reporting conservatism. Using a sample of listed companies in China, we find that clients located in high-trust regions are less likely to receive a non-clean audit opinion. This negative impact of social trust on auditor reporting conservatism increases when the client’s parent firm operates in a region of higher social trust, suggesting that social trust is contagious from a parent firm to its subsidiaries in a consolidated entity. We provide evidence that (...) the trust contagion is more pronounced for clients with a higher percentage of parent-appointed directors on their boards and clients whose parent firm has fewer subsidiaries. These findings indicate that monitoring and, to a lesser extent, personnel rotation may serve as potential channels of trust contagion. We also find that the impact of trust is more pronounced when the client is located closer to its audit firm, when the client’s parent firm is a state-owned enterprise or holds a higher percentage of the client’s shares, and when the client is associated with greater discretionary accruals. We provide further evidence that it is client rather than auditor trustworthiness that influences auditor reporting conservatism, auditors charge trustworthy clients lower fees, and clients from high-trust regions are less likely to manipulate earnings. Overall, our evidence suggests that social trust alleviates auditor concern about client moral hazard. (shrink)

Background: Moral distress occurs when nurses experience ethical dilemmas. Issues related to these dilemmas are addressed in some nursing education courses. Nurses’ reaction to dilemma such as moral distress is relatively less noticed. Objective: This study aimed to identify and describe the various types of perceptions of moral distress exhibited by nurses. Research design: This study applied Q methodology to explore the perspectives of nurses regarding moral distress. Data were collected in two stages. First, in-depth interviews were conducted to collect (...) nurses’ opinions. Sentences that best fit the concepts of moral distress were extracted for the construction of Q statements. Second, nurses subjectively ranked these Q statements so that the relevant severity of moral distress could be determined using Q sorts. The study participants were nurses at a regional teaching hospital in northeast Taiwan. A total of 60 participants were invited to rank 40 moral distress Q statements. Ethical considerations: The study protocol was approved by the institutional review board of National Yang-Ming University Hospital. Only the participants who signed an informed consent form participated in the study. The respondents’ right to withdraw from the study was respected. Findings: Five types of responses were identified regarding the nurses’ perspectives. These types were “conflict with personal values,” “excessive of workload,” “curbing of autonomy,” “constraint engendered by organizational norms,” and “self-expectation frustration.” Conclusion: The findings regarding nurses’ experiences of moral distress can be used to construct multifaceted policies and solutions and to incorporate ethical education in training programs. (shrink)

We present the interval-valued intuitionistic fuzzy ordered weighted cosine similarity measure in this paper, which combines the interval-valued intuitionistic fuzzy cosine similarity measure with the generalized ordered weighted averaging operator. The main advantage of the IVIFOWCS measure provides a parameterized family of similarity measures, and the decision maker can use the IVIFOWCS measure to consider a lot of possibilities and select the aggregation operator in accordance with his interests. We have studied some of its main properties and particular cases such (...) as the interval-valued intuitionistic fuzzy ordered weighted arithmetic cosine similarity measure and the interval-valued intuitionistic fuzzy maximum cosine similarity measure. The IVIFOWCS measure not only is a generalization of some similarity measure, but also it can deal with the correlation of different decision matrices for interval-valued intuitionistic fuzzy values. Furthermore, we present an application of IVIFOWCS measure to the group decision-making problem. Finally the existing similarity measures are compared with the IVIFOWCS measure by an illustrative example. (shrink)

This paper examines the association between corporate philanthropy and tunneling by controlling shareholders. Using a unique dataset from China, the paper finds evidence that firms donating more are less likely to tunnel. The negative association between philanthropy and tunneling is stronger when firms are faced with more severe agency conflicts, as indicated by lower largest shareholding, fewer growth opportunities, lower state ownership, and weaker product market competition. The results suggest that companies engaging in philanthropy have incentives to enhance their reputations (...) and improve their relationships with stakeholders. (shrink)

As a result of the COVID-19 pandemic people have endured potentially stressful challenges which have influenced behaviors such as eating. This pilot study examined the effectiveness of two brief interventions aimed to help individuals deal with food cravings and associated emotional experiences. Participants were 165 individuals residing in United Kingdom, Finland, Philippines, Spain, Italy, Brazil, North America, South Korea, and China. The study was implemented remotely, thus without any contact with researchers, and involved two groups. Group one participants were requested (...) to use daily diaries for seven consecutive days to assess the frequency of experience of their food cravings, frequency of giving in to cravings, and difficulty resisting cravings, as well as emotional states associated with their cravings. In addition to completing daily food diaries, participants in group two were asked to engage in mindful eating practice and forming implementation intentions. Participants assessed their perceived changes in eating, wellbeing, and health at the beginning and end of the intervention. Repeated measures MANOVAs indicated that participants experienced significantly less food cravings, as well as lower intensities of unpleasant states associated with cravings across time. In contrast to our hypothesis, the main effects of the group were not significant. Participants reported less eating and enhanced wellbeing at the end of the study. Our findings can be used to inform future remote interventions to manage food cravings and associated emotions and highlight the need for alternative solutions to increase participant engagement. (shrink)

Drawing upon self-determination theory, this study aimed to explore the mechanisms underlying the impact of perceived organizational support on proactive innovation behavior and reveal the serial mediation effects of basic psychological needs. We collected time-lagged data of 481 employees from research institutions in China, and structural equation modeling analyses were carried out to test the hypotheses. The results indicate that perceived organizational support is significantly and positively related to proactive innovation behavior, and this relationship was mediated by the need for (...) autonomy, competence, and relatedness. These findings contribute new knowledge to proactive innovation behavior by providing a new perspective of the satisfaction of psychological needs. Theoretical and practical implications are discussed. (shrink)

In the world of social media, people are free to choose names based on their preferences, which may potentially reflect certain levels of uniqueness. In this study, we have attempted to explore the possibility of applying the ecological theory of individualism/collectivism in the context of social media. We, thus, examined provincial variations in the uniqueness of nicknames among more than 13 million Sina Weibo users. Initially, the nickname uniqueness indicator was set at the provincial level. It was found that the (...) uniqueness of nicknames was the highest in provinces with temperate climates, for example Guangdong, and the lowest in provinces with demanding climate, such as Ningxia. Regression analysis results partially supported that inhabitants in provinces with temperate climate were more likely to use unique nicknames on social media compared to those from harsh climate. This finding is significant in terms of ecology. (shrink)

In creative cognition research, the Romantic view about creative cognition is traditionally rejected in favor of the modern view. The modern view about creative cognition maintains that creativity is neither mysterious nor unintelligible and that it is indeed susceptible to analysis. The paradigmatic objects of analysis in creative cognition research have been creative output and the creative process. The degree of creativity of an output is assessed in accordance with certain criterial definitions. The degree of creativity of a cognitive process (...) is assessed in accordance with certain models of creative cognition, psychometric test measures, and neuroimaging studies that are grounded in certain criteria for assessment. The reliance on criterial definitions and criteria for assessment in analyzing either the creative output or the creative process suggests that creative cognition researchers remain under the sway of the classical, bundles-of-criteria theory of meaning. In this paper, I will critically evaluate the criterial problems that confront both criterial definitions and criteria for assessment before proposing an alternative theory of meaning. (shrink)

The strap-down inertial navigation system is a commonly used sensor for autonomous underground navigation, which can be used for shearer positioning under a coal mine. During the process of initial alignment, inaccurate or time-varying noise covariance matrices will significantly degrade the accuracy of the initial alignment of the shearer. To overcome the performance degradation of the existing initial alignment algorithm under complex underground environment, a novel adaptive filtering algorithm is proposed by the integration of the strong tracking Kalman filter and (...) the sequential filter for the initial alignment of the shearer with complex underground environment. Compared with the traditional multiple fading factor strong tracking Kalman filter method, the proposed MSTSKF algorithm integrates the advantage of strong tracking Kalman filter and sequential filter, and multiple fading factor and forgetting factor for east and north velocity measurement are designed in the algorithm, respectively, which can effectively weaken the coupling relationship between the different states and increase strong robustness against process uncertainties. The simulation and experiment results show that the proposed MSTSKF method has better initial alignment accuracy and robustness than existing strong tracking Kalman filter algorithm. (shrink)

For unmanned aerial vehicle, object detection at different scales is an important component for the visual recognition. Recent advances in convolutional neural networks have demonstrated that attention mechanism remarkably enhances multiscale representation of CNNs. However, most existing multiscale feature representation methods simply employ several attention blocks in the attention mechanism to adaptively recalibrate the feature response, which overlooks the context information at a multiscale level. To solve this problem, a multiscale feature filtering network is proposed in this paper for image (...) recognition system in the UAV. A novel building block, namely, multiscale feature filtering module, is proposed for ResNet-like backbones and it allows feature-selective learning for multiscale context information across multiparallel branches. These branches employ multiple atrous convolutions at different scales, respectively, and further adaptively generate channel-wise feature responses by emphasizing channel-wise dependencies. Experimental results on CIFAR100 and Tiny ImageNet datasets reflect that the MFFNet achieves very competitive results in comparison with previous baseline models. Further ablation experiments verify that the MFFNet can achieve consistent performance gains in image classification and object detection tasks. (shrink)

Establishing a rapid-response mechanism to manage customer orders is very important in managing demand surges. In this study, combined with predicting order requests, we established a multiobjective optimization model to solve the warehouse space allocation problem. First, we developed a model based on the NAR neural network to predict order requests. Subsequently, we used the improved NSGA-III based on good point set theory to construct a multiobjective optimization model to minimize resource loss, maximize efficiency in goods selection, and maximize goods (...) accumulation. The following three modes were tested to allocate warehouse storage space: random, ABC, and prediction-oriented. Finally, using actual order data, we conducted a comparative analysis of the three modes regarding their efficiency in goods selection. The method proposed by this study improved goods selection efficiency by a sizable margin. (shrink)

This paper examines how drawing classes can contribute to moral education in primary schools. This paper uses class observation, interviews with teachers and students, and analysis of students’ wor...

Background: Frailty is a natural consequence of the aging process. With the increasing aging population in Mainland China, the quality of life and end-of-life care for frail older people need to be taken into consideration. Advance Care Planning has also been used worldwide in long-term facilities, hospitals and communities to improve the quality of end-of-life care, increase patient and family satisfaction, and reduce healthcare costs and hospital admissions in Western countries. However, it has not been practiced in China. Research objective: (...) This study aimed to evaluate the effectiveness of a modified Advance Care Planning intervention in certainty of end-of-life care, preferences for end-of-life care, quality of life concerns, and healthcare utilization among frail older people. Research design: This study used a quasi-experimental design, with a single-blind, control group, pretest and repeated posttest approach. Participants and research context: A convenience sample of 74 participates met the eligibility criteria in each nursing home. A total of 148 frail older people were recruited in two nursing homes in Zhejiang Province, China. Ethical considerations: The study received ethical approval from the Clinical Research Ethics Committee, the Faculty of Medicine, and The Chinese University of Hong Kong, CREC Ref. No: 2016.059. Findings: The results indicated the Advance Care Planning programme was effective at increasing autonomy in decision making on end-of-life care issues, decreasing decision-making conflicts over end-of-life care issues, and increasing their expression about end-of-life care. Discussion: This study promoted the participants’ autonomy and broke through the inherent custom of avoiding talking about death in China. Conclusion: The modified Advance Care Planning intervention is effective and recommended to support the frail older people in their end-of-life care decision in Chinese society. (shrink)