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Impact of multimodal rehabilitation on physical function in postintensive care syndrome patients after gastrointestinal tumor surgery 认领 引用
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作者 Jing Chen Ai-Qin Zhang 《World Journal of Gastrointestinal Oncology》 SCIE 2026年第4期135-143,共9页
BACKGROUND Post-intensive care syndrome(PICS)is a frequent complication following major gastrointestinal tumor surgery,characterized by persistent physical impairment associated with systemic inflammation,muscle catab... BACKGROUND Post-intensive care syndrome(PICS)is a frequent complication following major gastrointestinal tumor surgery,characterized by persistent physical impairment associated with systemic inflammation,muscle catabolism,and neuromuscular dysfunction.AIM To investigate the impact of multimodal rehabilitation nursing(MRN)on physical functional recovery in post-operative gastrointestinal tumor patients with PICS,using mechanism-related outcome indicators.METHODS This retrospective study enrolled 80 patients with PICS after gastrointestinal tumor surgery between August 2022 and August 2024.Patients who received an 8-week MRN program were compared with those receiving conventional care.Physical performance,inflammatory status,nutritional parameters,and neuromuscular function were evaluated at predefined time points.RESULTS Compared with conventional care,MRN was associated with significant improvements in handgrip strength,phase angle,and compound muscle action potential amplitude/area ratio,along with substantial reductions in interleukin-6 levels,timed up and go time,and time to functional recovery(all P<0.05).CONCLUSION MRN significantly improves physical recovery in post-operative PICS patients by modulating inflammation,muscle metabolism,and neuromuscular function,supporting its use as a mechanism-based rehabilitation strategy in clinical practice. 展开更多
关键词 Multimodal rehabilitation nursing Gastrointestinal neoplasms Post-intensive care syndrome Physical function Skeletal muscle radiation attenuation Phase angle Compound muscle action potential
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Letter to the Editor:Physical functioning as a neglected determinant of antiviral adherence in chronic hepatitis B 认领 引用
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作者 Xiao-Feng Huang Jing-Qi Zeng 《World Journal of Virology》 2026年第2期93-96,共4页
As global strategies shift toward expanding treatment eligibility for chronic hepatitis B,ensuring long-term adherence is critical.Block et al recently published a study in World Journal of Virology,challenging the co... As global strategies shift toward expanding treatment eligibility for chronic hepatitis B,ensuring long-term adherence is critical.Block et al recently published a study in World Journal of Virology,challenging the conventional focus on economic barriers and revealing that compromised physical functioning is a significantly more potent predictor of non-adherence than financial affordability.This finding exposes a profound“clinical discordance”:Patients may achieve viral suppression yet suffer from residual fatigue and functional impairment,potentially driven by immune exhaustion or metabolic comorbidities.We argue that this symptom burden serves as a functional blockade to daily persistence.Therefore,clinical care must evolve from“adherence policing”to active symptom management.Integrating patient-reported outcomes and addressing physical deficits are essential strategies to safeguard the efficacy of antiviral regimens in the elimination era. 展开更多
关键词 Chronic hepatitis B Antiviral adherence Physical functioning Patientreported outcomes Symptom burden
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Cognitive and physical functions among Chinese community-dwelling older adults with motoric cognitive risk syndrome:A prospective cohort study 认领 引用 被引量:1
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作者 Junhong Wu Xinyu Yao +2 位作者 Xing Wu Yamei Bai Yayi Zhao 《International Journal of Nursing Sciences》 CSCD 2025年第6期551-557,I0001,I0002,共7页
Objectives:This prospective cohort study examined the change trajectories of cognitive and physical functions of individuals with motoric cognitive risk(MCR)syndrome,as well as the longitudinal associations between MC... Objectives:This prospective cohort study examined the change trajectories of cognitive and physical functions of individuals with motoric cognitive risk(MCR)syndrome,as well as the longitudinal associations between MCR syndrome and changes in cognitive and physical functions,to provide a new perspective on preventing dementia.Methods:Participants were selected from the China Health and Retirement Longitudinal Study(CHARLS).Demographic characteristics,health status,and lifestyle variables were assessed in 2011.MCR syndrome was defined as the presence of subjective cognitive complaints and objective slow gait,with preserved activities of daily living and absence of dementia,and assessed in 2011.Cognitive function,including orientation,attention and calculation,episodic memory,and visuospatial ability,was measured from 2011 to 2018.Physical function,including grip strength,balance ability,and repeated chair stand tests,was measured from 2011 to 2015.Generalized estimating equation was employed to analyze the longitudinal associations between MCR syndrome in 2011 and changes in cognitive functions over 7 years and physical functions over 4 years.Results:Among 4,217 participants,475 had MCR syndrome in 2011.Both participants with MCR syndrome and those without exhibited a decline in both cognitive and physical function over 7 years and 4 years of follow-up,except for fluctuations in visuospatial ability.Non-MCR syndrome participants demonstrated significantly better overall cognitive function in 2018 compared to 2011(Group×Time:B=0.44,P=0.035)than those in the MCR syndrome group.However,participants with non-MCR syndrome demonstrated significantly worse visuospatial ability in 2013(Group×time:B=−0.44,P=0.002)and 2018(Group×time:B=−0.34,P=0.016)compared to those in the MCR syndrome group.Non-MCR syndrome participants demonstrated significantly better performance in repeated chair stand tests in 2013(Group×time:B=0.31,P<0.001)and 2015(Group×time:B=0.37,P<0.001)compared to those in the MCR syndrome group in 2011.Conclusions:Older adults with MCR syndrome experience worse overall cognitive and physical function performance,especially in repeated chair stand tests,than individuals without MCR syndrome over 7-year and 4-year follow-up periods.It is suggested that future interventional studies will target both physical and cognitive functions in MCR syndrome individuals,providing insights for the prevention of dementia. 展开更多
关键词 Aged Cognitive function Cohort study Community-dwelling Motoric cognitive risk syndrome Physical function
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Muscle capacity and physical function in older women:What are the impacts of resistance training? 认领 引用 被引量:1
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作者 Anne O.Brady Chad R.Straight 《Journal of Sport and Health Science》 SCIE CAS 2014年第3期179-188,共10页
The number of older adults (individuals ≥65 years), particularly women, in our society is increasing and understanding the impact of exercise on muscle capacity (e.g., strength and power) and subsequently physica... The number of older adults (individuals ≥65 years), particularly women, in our society is increasing and understanding the impact of exercise on muscle capacity (e.g., strength and power) and subsequently physical function is of utmost importance to prevent disability and maintain independence. Muscle capacity declines with age and this change negatively impacts physical function in older women. Exercise, specifically resistance training, is recommended to counteract these declines; however, the synergistic relationships between exercise, muscle capacity, and physical function are poorly understood. This review will summarize the literature regarding age-related changes in the aforementioned variables and review the research on the impact of resistance training interventions on muscle capacity and physical function in older women. Recommendations for future research in this area will be discussed. 展开更多
关键词 Muscle capacity Older women Physical function Resistance training
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Benefit in physical function and quality of life to nonsurgical treatment of varicose veins: Pilot study 认领 引用
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作者 Gwon-Min Kim BoKun Kim +5 位作者 Minwoo Jang Jong-Hwan Park Miju Bae Chung Won Lee Jong Won Kim Up Huh 《World Journal of Clinical Cases》 SCIE 2024年第3期517-524,共8页
BACKGROUND Studies on varicose veins have focused its effects on physical function;however,whether nonsurgical treatments alter muscle oxygenation or physical function remains unclear.Moreover,the differences in such ... BACKGROUND Studies on varicose veins have focused its effects on physical function;however,whether nonsurgical treatments alter muscle oxygenation or physical function remains unclear.Moreover,the differences in such functions between individuals with varicose veins and healthy individuals remain unclear.AIM To investigate changes in physical function and the quality of life(QOL)following nonsurgical treatment of patients with varicose veins and determine the changes in their muscle oxygenation during activity.METHODS We enrolled 37 participants(those with varicose veins,n=17;healthy individuals,n=20).We performed the following measurements pre-and post-nonsurgical treatment in the varicose vein patients and healthy individuals:Calf muscle oxygenation during the two-minute step test,open eyes one-leg stance,30 s sit-to-stand test,visual analog scale(VAS)for pain,Pittsburgh sleep quality index,physical activity assessment,and QOL assessment.RESULTS Varicose veins patients and healthy individuals differ in most variables(physical function,sleep quality,and QOL).Varicose veins patients showed significant differences between pre-and post-nonsurgical treatment—results in the 30 sit-to-stand test[14.41(2.45)to 16.35(4.11),P=0.018],two-minute step test[162.29(25.98)to 170.65(23.80),P=0.037],VAS for pain[5.35(1.90)to 3.88(1.73),P=0.004],and QOL[39.34(19.98)to 26.69(17.02),P=0.005];however,no significant difference was observed for muscle oxygenation.CONCLUSION Nonsurgical treatment improved lower extremity function and QOL in varicose veins patients,bringing their condition close to that of healthy individuals.Future studies should include patients with severe varicose veins requiring surgery to confirm our findings. 展开更多
关键词 Varicose vein Nonsurgical treatment Physical function Quality of life Near infrared spectroscopy
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Effects of Cardiac Rehabilitation Exercise Protocols on Physical Function in Patients with Chronic Heart Failure: An Experience from a Resource Constraint Nation 认领 引用 被引量:2
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作者 Taofeek O. Awotidebe Rufus A. Adedoyin +6 位作者 Michael O. Balogun Rasaq A. Adebayo Victor O. Adeyeye Kayode I. Oke Rita N. Ativie Anthony O. Akintomide Mukadas O. Akindele 《International Journal of Clinical Medicine》 CAS 2016年第8期547-557,共11页
Objective: This study investigated the effects of cardiac rehabilitation exercise protocols on physical function (PF) in patients with chronic heart failure (CHF). Study Design and Setting: This randomized controlled ... Objective: This study investigated the effects of cardiac rehabilitation exercise protocols on physical function (PF) in patients with chronic heart failure (CHF). Study Design and Setting: This randomized controlled trial recruited 70 patients who are in stage II CHF with ejection fraction (≤40%) from a Nigerian university teaching hospital. They were randomly assigned into Exercise Group (EG: n = 35) or Control Group (CG: n = 35). Physical function, activity of daily living (ADL), distance walked in six minutes and grip strength were assessed using a validated ADL questionnaire, six minute walk test and a hand dynamometer respectively. In addition to medication, EG underwent aerobic and upper extremity resistance exercises thrice weekly for eight weeks while CG used medications only. Data were analyzed using descriptive and inferential statistics. Alpha level was at p p > 0.05). Significant improvements were noticed at fourth week among participants’ ADL (30.0% ± 6.0%), 6MWD (321.7 ± 26.3 m) and VO2 max (8.9 ± 0.4 mL/kg/min) variables within the exercise EG but no significant changes were observed in the CG (p > 0.05). Participants in EG demonstrated more significant improvements in ADL (15.0% ± 5.0%), 6MWD (406.0 ± 29.7 m) and VO2 max (10.3 ± 0.5 mL/kg/min) (p p > 0.05). Conclusions: Cardiac rehabilitation exercise protocols involving self-paced walking, sit-to-stand and upper extremity dynamic strength training improved activity of daily living, walking and functional capacity in patients with stable chronic heart failure. 展开更多
关键词 Cardiac Rehabilitation Exercise Physical Function Heart Failure
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Serum 1, 25-Hydroxyvitamin D: A Useful Index of Cognitive and Physical Functional Impairment in Healthy Older Adults in Japan: A Pilot Study 认领 引用 被引量:2
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作者 Noboru Hasegawa Miyako Mochizuki +3 位作者 Mayumi Kato Takako Yamada Nobuko Shimizu Akihisa Torii 《Health》 2016年第15期1679-1686,共8页
We enrolled 23 Japanese men (age: 76.0 ± 8.7) and 17 women (age: 78.3 ± 9.3) in this study. The physical function of even a person getting on a wheelchair could be tested in all subjects. Blood was collected... We enrolled 23 Japanese men (age: 76.0 ± 8.7) and 17 women (age: 78.3 ± 9.3) in this study. The physical function of even a person getting on a wheelchair could be tested in all subjects. Blood was collected by venipuncture and the serum 1, 25-hydroxy vitamin D (1, 25OHD) concentration was measured. The Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment-Japanese version (MoCA-J) was used for the cognitive function test. Physical function was measured objectively using the Timed UP and Go (TUG) and 4-m walking test (4MWS). A significant positive correlation was found between serum 1, 25OHD and MMSE or MoCA-J. It is expected that an elderly person can maintain a mean serum 1, 25OHD level of about 100 pg/mL for preventing early cognitive disorder. In the present study, a significant positive correlation was found between urinary 25-hydroxy vitamin D (25OHD)/creatinine and MMSE or MoCA-J. Our results showed that urinary 25OHD might be a useful biomarker for predicting cognitive disorder. There was a significant negative correlation between serum 1, 25OHD and TUG or 4MWS. These findings suggest that serum 1, 25OHD levels might serve as a useful index to improve cognitive and physical functional impairment. 展开更多
关键词 Serum 1 25-Hydroxyvitamin D Cognitive Function Physical Function Aging Urinary 25-Hydroxyvitamin D
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Association of Oral Diadochokinesis, Physical Function and Swallowing Function in Community-Dwelling Elderly People 认领 引用
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作者 Kumiko Sakaguchi Shuichi Hara 《Advances in Aging Research》 CAS 2022年第1期16-25,共10页
Objective: Oral diadochokinesis (ODK) has been shown to be associated with oral frailty. In this study, we investigate the relationship between physical function, swallowing function, nutritional evaluation, and each ... Objective: Oral diadochokinesis (ODK) has been shown to be associated with oral frailty. In this study, we investigate the relationship between physical function, swallowing function, nutritional evaluation, and each syllable of ODK. Methods: The subjects are 26 elderly people living in an area where they can walk. ODK, tongue pressure, modified water swallowing test, EAT-10, grip strength, MNA-SF, skeletal muscle index, height, weight, and BMI were evaluated. For statistical analysis based on ODK values, the subjects were divided into two groups on the basis of the number of times the syllables /pa/, a/, and /ka/ were repeated: 1) The first group with >6 repetitions exceeded six; 2) the second group with ≤5 repetitions. Both groups were compared using the Mann-Whitney U test (Model 1). In addition, the syllables /pa/, a/, and /ka/ were also divided among the groups and a comparison was performed (Model 2). Results: In Model 1, the tongue pressure value was significantly higher in the good group (p Conclusion: In community-dwelling elderly people, tongue pressure was positively associated with ODK values for the syllables /pa/ and a/, suggesting that tongue pressure may be associated with strength of the lip and tongue tip muscles. Furthermore, it was suggested that the ODK values may even be lower than normal values in the elderly who maintain skeletal muscle mass and thus have adequate tongue pressure;therefore, these indicators may be used as a guideline to assess oral frailty. 展开更多
关键词 Oral Frailty Oral Diadochokinesis Community-Dwelling Elderly Swallowing Function Physical Function
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Evaluating the Impact of a Pilates Intervention on Physical Function in Children with Hypermobility Spectrum Disorder: A Study Protocol Using Single-Case Experimental Design 认领 引用
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作者 Elizabeth A. Hornsby Leanne M. Johnston 《Open Journal of Pediatrics》 2021年第1期55-70,共16页
Background: Pilates has been shown to be an effective intervention for adults with musculoskeletal conditions with only a few examples available in the literature for children. As musculoskeletal pain is a major sympt... Background: Pilates has been shown to be an effective intervention for adults with musculoskeletal conditions with only a few examples available in the literature for children. As musculoskeletal pain is a major symptom experienced by children with Hypermobility Spectrum Disorder (HSD), they may benefit from practicing Pilates to improve postural alignment, strength and motor control to effectively distribute movement load and decrease adverse load through involved joints. Method: This study aims to evaluate the impact of a Physiotherapy-led Pilates intervention on school aged children with HSD and the benefits of this approach on pain, physical function and quality of life when delivered in a community-based model of care. A single-case experimental design (SCED) that incorporates a multiple baseline design will be used. Children with HSD, aged from 8 to 12 years, will commence concurrently in this study. Participants will undergo multiple assessments through all phases of the study which incorporates an A-B-A withdrawal design. The initial baseline period will be randomised from 5 to 7 weeks duration, then participants will enter the intervention period for 8 weeks followed by a withdrawal period of 5 weeks. The Physiotherapy-led Pilates intervention will consist of individual, 45 minute bi-weekly sessions, performed on both mat and the Pilates Reformer with an additional home program of mat exercises performed weekly. The study hypotheses are that children will show: 1) a decrease in pain;2) an increase in their physical function as measured by muscle strength, postural control, fatigue and physical activity levels;and 3) an improvement in their Health Related Quality of Life in the domains of physical, emotional, social and school functioning. Conclusion: The findings will add specific responsiveness information to the scientific evidence for Physiotherapy-led Pilates for children with HSD. 展开更多
关键词 Pilates Pain Physical Function Hypermobility Children
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Relationship of strength training lifetime exposure with functional outcomes and mobility over 4 years:Data from the Osteoarthritis Initiative 认领 引用 被引量:1
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作者 Daniel Kiehl Zane Thompson +3 位作者 Alisa J.Johnson Kimberly T.Sibille Kevin R.Vincent Heather K.Vincent 《Journal of Sport and Health Science》 SCIE CAS CSCD 2026年第4期300-309,共10页
Background This study compared knee osteoarthritis(OA)outcomes specific to pain,physical function,and quality of life in later life based on strength training(ST)participation over a lifetime.Methods Participants from... Background This study compared knee osteoarthritis(OA)outcomes specific to pain,physical function,and quality of life in later life based on strength training(ST)participation over a lifetime.Methods Participants from the Osteoarthritis Initiative(n=3192)were grouped by ST engagement during ages 12–18 years,19–34 years,35–49 years,and 50+years.Participants were categorized as:No ST(no ST at any point;61.7±9.0 years(mean±SD)),Some ST(engaged in ST during 1–3 life stages;58.9±8.7 years),and Lifelong ST(consistently engaged in ST across all life stages;55.6±8.1 years).Measures were collected at baseline and Year 4:Western Ontario and McMaster Universities Osteoarthritis Index Scores(WOMAC;pain,daily activities),Knee Injury and Osteoarthritis Outcome Score(KOOS;sports,recreation),Physical Activity Score for the Elderly(PASE),Short Form-12 Physical Component Score(SF-12 PCS),mobility disability,chair rise time,and walking speed(20 m and 400 m).Results At Year 4,the Lifelong ST group reported better WOMAC activity scores in the right knee along with better WOMAC pain,KOOS sportsecreation,and PASE scores compared to other groups(p<0.05).The Lifelong ST group had the lowest incidence of mobility disability of all groups(0.8%vs.2.3%–4.1%;p=0.015)and maintained the fastest walking speeds in Year 4.Conclusion For those with knee OA,ST throughout life may help preserve function and mobility,allowing for greater physical activity engagement while keeping pain levels relatively lower. 展开更多
关键词 Osteoarthritis Strength training Pain Physical function Gait
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Experimental Realization of Physical Unclonable Function Chip Utilizing Spintronic Memories 认领 引用 被引量:1
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作者 Xiuye Zhang Chuanpeng Jiang +11 位作者 Jialiang Yin Daoqian Zhu Shiqi Wang Sai Li Zhongxiang Zhang Ao Du Wenlong Cai Hongxi Liu Kewen Shi Kaihua Cao Zhaohao Wang Weisheng Zhao 《Engineering》 SCIE EI CSCD 2025年第6期141-148,共8页
In recent years,physical unclonable function(PUF)has emerged as a lightweight solution in the Internet of Things security.However,conventional PUFs based on complementary metal oxide semiconductor(CMOS)present challen... In recent years,physical unclonable function(PUF)has emerged as a lightweight solution in the Internet of Things security.However,conventional PUFs based on complementary metal oxide semiconductor(CMOS)present challenges such as insufficient randomness,significant power and area overhead,and vulnerability to environmental factors,leading to reduced reliability.In this study,we realize a strong,highly reliable and reconfigurable PUF with resistance against machine-learning attacks in a 1 kb spinorbit torque magnetic random access memory fabricated using a 180 nm CMOS process.This strong PUF achieves a challenge-response pair capacity of 109 through a computing-in-memory approach.The results demonstrate that the proposed PUF exhibits near-ideal performance metrics:50.07% uniformity,50% diffuseness,49.89% uniqueness,and a bit error rate of 0%,even in a 375 K environment.The reconfigurability of PUF is demonstrated by a reconfigurable Hamming distance of 49.31% and a correlation coefficient of less than 0.2,making it difficult to extract output keys through side-channel analysis.Furthermore,resistance to machine-learning modeling attacks is confirmed by achieving an ideal accuracy prediction of approximately 50% in the test set. 展开更多
关键词 Physical unclonable function Spin-orbit torque magnetic random access memory Computing-in-memory Reconfigurability Machine-learning attack
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Scalable plasmonic physical unclonable functions empowered by a multi-dimensional expanding strategy 认领 引用 被引量:1
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作者 Juntao Duan Guoqun Li +7 位作者 Yizhe Xiong Xiangnan Zhu Yan Chen c Wei Liu Xiaochuan Xu Perry Ping Shum Qi Hao Jiawei Wang 《Advanced Photonics Nexus》 CSCD 2025年第1期20-29,共10页
Confronting the escalating global challenge of counterfeit products,developing advanced anticounterfeiting materials and structures with physical unclonable functions(PUFs)has become imperative.All-optical PUFs,distin... Confronting the escalating global challenge of counterfeit products,developing advanced anticounterfeiting materials and structures with physical unclonable functions(PUFs)has become imperative.All-optical PUFs,distinguished by their high output complexity and expansive response space,offer a promising alternative to conventional electronic counterparts.For practical authentications,the expansion of optical PUF keys usually involves intricate spatial or spectral shaping of excitation light using bulky external apparatus,which largely hinders the applications of optical PUFs.Here,we report a plasmonic PUF system based on heterogeneous nanostructures.The template-assisted shadow deposition technique was employed to adjust the morphological diversity of densely packed metal nanoparticles in individual PUFs.Transmission images were processed via a hash algorithm,and the generated PUF keys with a scalable capacity from 2875 to 243401 exhibit excellent uniqueness,randomness,and reproducibility.Furthermore,the wavelength and the polarization state of the excitation light are harnessed as two distinct expanding strategies,offering the potential for multiscenario applications via a single PUF.Overall,our reported plasmonic PUFs operated with the multidimensional expanding strategy are envisaged to serve as easy-to-integrate,easy-to-use systems and promise efficacy across a broad spectrum of applications,from anticounterfeiting to data encryption and authentication. 展开更多
关键词 physical unclonable function plasmonic array template-assisted deposition scalable capacity multidimensional expanding.
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The impact of comprehensive nursing intervention centered on functional rehabilitation on limb function in elderly patients with cerebral hemorrhage 认领 引用
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作者 LI Meng 《外文科技期刊数据库(文摘版)医药卫生》 2026年第1期070-074,共5页
Objective To analyze the effect of comprehensive nursing intervention with functional rehabilitation as the core on limb function in elderly patients with cerebral hemorrhage. Method: 100 elderly patients with cerebra... Objective To analyze the effect of comprehensive nursing intervention with functional rehabilitation as the core on limb function in elderly patients with cerebral hemorrhage. Method: 100 elderly patients with cerebral hemorrhage treated in our hospital from January 2024 to September 2025 were selected and randomly divided into an observation group (n=50, comprehensive nursing centered on functional rehabilitation) and a control group (n=50, routine nursing). The HINSS score of the observation group after intervention was significantly lower than that of the control group (P<0.05). The FMA score and GQOLI-74 score of the observation group after intervention were significantly higher than those of the control group (P<0.05). Conclusion: Comprehensive nursing interventions centered on functional rehabilitation can improve the neurological function of elderly patients with cerebral hemorrhage, thereby enhancing their limb function and quality of life. 展开更多
关键词 functional rehabilitation Comprehensive nursing Elderly cerebral hemorrhage Physical function quality of life
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Effectiveness of Acupuncture on Pain,Physical Function and Health-Related Quality of Life in Patients with Rheumatoid Arthritis:A Systematic Review of Quantitative Evidence 认领 引用 被引量:14
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作者 Susana Seca Diana Miranda +4 位作者 Daniela Cardoso Bernice Nogueira Henry J.Greten Antonio Cabrita Manuel Alves Rodrigues 《Chinese Journal of Integrative Medicine》 SCIE CAS CSCD 2019年第9期704-709,共6页
Objective:To identify and synthesize the most recent available evidence of effectiveness of acupuncture on pain,physical function and health-related quality of life(HRQoL)in patients with rheumatoid arthritis(RA).Meth... Objective:To identify and synthesize the most recent available evidence of effectiveness of acupuncture on pain,physical function and health-related quality of life(HRQoL)in patients with rheumatoid arthritis(RA).Methods:A comprehensive search of 12 Western and Chinese databases was undertaken from their inception up to end of 2016.Randomized controlled trials(RCTs),concerning patients with RA treated with needle acupuncture,written in English,Portuguese,German or Chinese were included.Primary outcomes included pain,physical function and HRQoL.Secondary outcomes included morning stiffness,functional impairment,number of tender and swollen joints and serum concentrations of inflamatory markers.Methodological quality was assessed by three independent reviewers using the standardized critical appraisal instrument from the Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument.Results:Twenty-two studies met the inclusion criteria.Of those,9 studies were excluded after assessment of their methodological quality.The remaining 13 original RCTs included 974 patients.Ten of these studies published in China,showed favorable statistical significant effects of acupuncture in relieving symptoms of RA compared with controls.Conclusions:Evidence suggests that acupuncture interventions may have a positive effect in pain relief,physical function and HRQo L in RA patients.However,due to the heterogeneity and methodologic limitations of the studies included in this systematic review,evidence is not strong enough to produce a best practice guideline. 展开更多
关键词 acupuncture rheumatoid arthritis quality of life pain physical function randomized clinical trial
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Association of the malnutrition-inflammation score with physical function and functional disability in elderly patients with chronic kidney disease 认领 引用
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作者 Wenling Wang Shuang Liang +3 位作者 Xinru Guo Ye Wang Xiangmei Chen Guangyan Cai 《Asia Pacific Journal of Clinical Nutrition》 SCIE 2023年第1期57-62,共6页
Background and Objectives:To describe nutritional status and inflammation of elderly patients with chronic kidney disease and to confirm the association between a Malnutrition-Inflammation Score and physical function ... Background and Objectives:To describe nutritional status and inflammation of elderly patients with chronic kidney disease and to confirm the association between a Malnutrition-Inflammation Score and physical function and functional disability.Methods and Study Design:A total of 221 chronic kidney disease patients(aged≥60 years)were included.A Malnutrition-Inflammation Score was used to assess malnutrition and inflammation.Physical function was assessed using the SF-12.Functional status was evaluated using basic activities of daily living and instrumental activities of daily living.Results:Thirty percent of participants had a Malnutrition-Inflammation Score≥6,which denoted poor nutritional status.Participants with a Malnutrition-Inflammation Score≥6 had decreased concentration of hemoglobin,albumin,prealbumin,handgrip strength and walking speed and increased concentration of inflammatory markers,including CRP,IL-6 and fibrinogen.Physical function and physical component summary were lower and basic activities of daily living dependence and instrumental activities of daily living dependence were higher among patients with higher Malnutrition-Inflammation Score than those with a lower Malnutrition-Inflammation Score.The Malnutrition-Inflammation Score was an independent risk factor for physical function and instrumental activities of daily living dependence.Conclusions:The elderly chronic kidney disease patients with a high Malnutrition-Inflammation Score had a decreased physical function and an increased risk of functional instrumental activities of daily living dependence. 展开更多
关键词 activities of daily living chronic kidney disease elderly malnutrition physical function
Mutual Relationship between Grip Strength and Cognitive Function in Chinese Middle-Aged and Elderly People over 10 Years:A Cross-Lagged Panel Analysis 认领 引用 被引量:1
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作者 Jiaqi Wang Ye Ruan +5 位作者 Yanfei Guo Shuangyuan Sun Anli Jiang Yujun Dong Yan Shi Fan Wu 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2025年第10期1308-1313,共6页
In 2019,China had over 13.14 million dementia cases,with incidence rates of(56.47–207.08)/100,000[1].Early cognitive impairment—a key dementia symptom—reduces quality of life,increases care dependence,and lowers su... In 2019,China had over 13.14 million dementia cases,with incidence rates of(56.47–207.08)/100,000[1].Early cognitive impairment—a key dementia symptom—reduces quality of life,increases care dependence,and lowers survival in older adults[2].A decline in physical function can also be observed in older adults with increasing age.Grip strength has been shown to be a marker of overall physiological function in older adults. 展开更多
关键词 decline physical function physiological function cognitive function cognitive impairment Chinese middle aged elderly grip strength cross lagged panel analysis dementia
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Application of Physical Unclonable Function for Lightweight Authentication in Internet of Things 认领 引用 被引量:1
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作者 Ahmad O.Aseeri Sajjad Hussain Chauhdary +2 位作者 Mohammed Saeed Alkatheiri Mohammed A.Alqarni Yu Zhuang 《Computers, Materials & Continua》 SCIE EI 2023年第4期1901-1918,共18页
IoT devices rely on authentication mechanisms to render secure message exchange.During data transmission,scalability,data integrity,and processing time have been considered challenging aspects for a system constituted... IoT devices rely on authentication mechanisms to render secure message exchange.During data transmission,scalability,data integrity,and processing time have been considered challenging aspects for a system constituted by IoT devices.The application of physical unclonable functions(PUFs)ensures secure data transmission among the internet of things(IoT)devices in a simplified network with an efficient time-stamped agreement.This paper proposes a secure,lightweight,cost-efficient reinforcement machine learning framework(SLCR-MLF)to achieve decentralization and security,thus enabling scalability,data integrity,and optimized processing time in IoT devices.PUF has been integrated into SLCR-MLF to improve the security of the cluster head node in the IoT platform during transmission by providing the authentication service for device-to-device communication.An IoT network gathers information of interest from multiple cluster members selected by the proposed framework.In addition,the software-defined secured(SDS)technique is integrated with SLCR-MLF to improve data integrity and optimize processing time in the IoT platform.Simulation analysis shows that the proposed framework outperforms conventional methods regarding the network’s lifetime,energy,secured data retrieval rate,and performance ratio.By enabling the proposed framework,number of residual nodes is reduced to 16%,energy consumption is reduced by up to 50%,almost 30%improvement in data retrieval rate,and network lifetime is improved by up to 1000 msec. 展开更多
关键词 Cyber-physical systems security data aggregation Internet of Things physical unclonable function swarm intelligences
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Security Enhancement of Arbiter-Based Physical Unclonable Function on FPGA 认领 引用 被引量:1
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作者 WANG Jun LIU Shubo +1 位作者 XIONG Xingxing LIANG Cai 《Wuhan University Journal of Natural Sciences》 CAS CSCD 2017年第2期127-133,共7页
In order to reduce physical unclonable fixnction (PUF) response instability and imbalance caused by the metastability and the bias of arbiter, this paper uses an improved balanced D flip-plop (DFF) based on the un... In order to reduce physical unclonable fixnction (PUF) response instability and imbalance caused by the metastability and the bias of arbiter, this paper uses an improved balanced D flip-plop (DFF) based on the unbalanced DFF to reduce the bias in response output and enhances the security of PUF by adopting two balanced DFFs in series. The experimental results show that two cascaded balanced DFFs improve the stability of the DFF, and the output of two balanced DFFs is more reliable. The entropy of output is fixed at 98.7%. 展开更多
关键词 physical unclonable function metastability balanced D flip-flop field programmable gate arrays (FPGA) security
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Lightweight Authentication Protocol Based on Physical Unclonable Function 认领 引用
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作者 Hanguang Luo Tao Zou +3 位作者 Chunming Wu Dan Li Shunbin Li Chu Chu 《Computers, Materials & Continua》 SCIE EI 2022年第9期5031-5040,共10页
In the emerging Industrial Internet of Things(IIoT),authentication problems have become an urgent issue for massive resource-constrained devices because traditional costly security mechanisms are not suitable for them... In the emerging Industrial Internet of Things(IIoT),authentication problems have become an urgent issue for massive resource-constrained devices because traditional costly security mechanisms are not suitable for them.The security protocol designed for resource-constrained systems should not only be secure but also efficient in terms of usage of energy,storage,and processing.Although recently many lightweight schemes have been proposed,to the best of our knowledge,they are unable to address the problem of privacy preservation with the resistance of Denial of Service(DoS)attacks in a practical way.In this paper,we propose a lightweight authentication protocol based on the Physically Unclonable Function(PUF)to overcome the limitations of existing schemes.The protocol provides an ingenious authentication and synchronization mechanism to solve the contradictions amount forward secrecy,DoS attacks,and resource-constrained.The performance analysis and comparison show that the proposed scheme can better improve the authentication security and efficiency for resource-constrained systems in IIoT. 展开更多
关键词 Lightweight authentication physically unclonable functions
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The Effect of Cycling and Arm Ergometer Exercises on Physical and Psychosocial Functions: Application in Patients Undergoing Coronary Artery Bypass Surgery 认领 引用
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作者 Özkan Yükselmiş 《Open Journal of Therapy and Rehabilitation》 2022年第2期39-53,共15页
Aim: The aim of this study was to compare the effects of bicycle and arm ergometer exercises on physical and psychosocial functions in patients who underwent Coronary Artery Bypass Surgery. Methods: A total of 39 case... Aim: The aim of this study was to compare the effects of bicycle and arm ergometer exercises on physical and psychosocial functions in patients who underwent Coronary Artery Bypass Surgery. Methods: A total of 39 cases (35 males, 4 females) were included in the study, with 23 participants aged between 52 and 65 using bicycle ergometers and a group of 16 people who performed arm ergometers opposite. After the demographic data were recorded, physical functions of all individuals participating in the study were evaluated with a 6-minute walk test, bioimpedance analysis, HDL, LDL, Triglyceride and Total cholesterol values, and psychosocial functions were evaluated with the Beck depression scale, modified borg scale and SF 36 questionnaires before and after the training. All participants were given bicycle or arm ergometer exercises for 6 weeks, 5 sessions per week, for a total of 30 sessions. Result: When the results were examined, it was observed that there was a statistically significant increase in walking distance of the people in the bicycle ergometer group compared to the arm ergometer group (p < 0.05). In addition, it was revealed that there was a statistically significant difference in the general health parameter, which is one of the sub-parameters of SF 36, in the arm ergometer group compared to the bicycle ergometer group (p Conclusion: When we look at the results of this study, it is important in terms of revealing that bicycle and arm ergometer exercises similarly improve the physical and psychosocial functions of patients who have undergone Coronary Artery Bypass Surgery. However, it has been shown that cycling exercises are much more advantageous in improving functional capacity. Summary Statement: What is already known about this topic? 1) Walking and arm exercises are good for heart diseases. What this paper adds? 2) Demonstrated that cycling and arm ergometer exercises have curative aspects for patients undergoing Coronary Artery Bypass Surgery. The implications of this paper: 3) As a result, it has been revealed that cycling and arm ergometry techniques are good indicators in patients who have undergone Coronary Artery Bypass Surgery. 展开更多
关键词 CABG Bicycle Ergometer Arm Ergometer Physical Function Psychoso-cial Function Quality of Life
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