Physical Support Research Articles

Hybrid genetic algorithm with Wiener process for multi-scale colored balanced traveling salesman problem

Colored traveling salesman problem (CTSP) can be applied to Multi-machine Engineering Systems (MES) in industry, colored balanced traveling salesman problem (CBTSP) is a variant of CTSP, which can be used to model the optimization problems with partially overlapped workspace such as the planning optimization (For example, process planning, assembly planning, productions scheduling). The traditional algorithms have been used to solve CBTSP, however, they are limited both in solution quality and solving speed, and the scale of CBTSP is also restricted. Moreover, the traditional algorithms still have the problems such as lacking theoretical support of mathematical physics. In order to improve these, this paper proposes a novel hybrid genetic algorithm (NHGA) based on Wiener process (ITÖ process) and generating neighborhood solution (GNS) to solve multi-scale CBTSP problem. NHGA firstly uses dual-chromosome coding to construct the solutions of CBTSP, then they are updated by the crossover operator, mutation operator and GNS. The crossover length of the crossover operator and the city number of the mutation operator are controlled by activity intensity based on ITÖ process, while the city keeping probability of GNS can be learned or obtained by Wiener process. The experiments show that NHGA can demonstrate an improvement over the state-of-art algorithms for multi-scale CBTSP in term of solution quality.

Persuasive software features as antecedents to perceived compliance within physical activity behavior change support systems

ABSTRACT Although behavior change support systems (BCSS) have the potential to improve compliance using persuasive software features, there is a dearth of empirical evidence on how these features impact perceived compliance. This study aimed to investigate how and to what extent the persuasiv systems design (PSD) principles in physical activity BCSS influence perceived compliance. Quantitative data from 403 participants (165 users and 238 prospective users of BCSS designed for PA) was analyzed using partial least squares structural equation modeling. Results revealed differences in how the PSD principles impact perceived compliance between users and prospective users. Perceptions of dialogue support, credibility support, and social support were more relevant to prospective users than to users. Thus, designers should pay more attention to these principles to attract and engage prospective users of BCSS. Conversely, primary task support was more relevant to users than to prospective users. This indicates that once prospective users transition to active users, the focus should shift towards providing persuasive features that facilitate the performance of the primary task. These findings underscore the importance of developing intelligent BCSS that can adapt to the evolving needs and preferences of users at different stages of their interactions with a system.

Translating primary care to telehealth: analysis of in-person paediatric consultations and role of the carers.

The usage of telehealth in general practice (GP) has risen substantially ever since the COVID-19 pandemic. Over this timeframe, telehealth has provided care for all patient demographics, including the paediatric population (aged<18). However, the translatability of telehealth (ie, whether in-person tasks can be supported remotely via telehealth) rarely considers the paediatric population or their carers. To examine the degree of translatability to telehealth for in-person GP consultations on paediatric patients with consideration of the carers' roles. This study screened 281 videos of in-person GP consultations set within UK general practices, and 20 of them were eligible for analysis. Secondary analysis of in-person GP consultations to examine tasks, physical artefacts, examinations and the interaction between carer, patient and GP. A novel scoring method revolving around two key metrics, taking into consideration the carer, was designed to analyse whether the tasks performed can be supported via telehealth. Analysis of 20 eligible consultations revealed 13 distinct physical examinations, 19 physical artefacts and 17 clinical tasks. Of these 17 clinical tasks, 41% were deemed 'definitely or easily translatable to telehealth,' ' 29% 'somewhat translatable with patient-provided equipment,' 12% 'potentially translatable,' and 18% 'currently untranslatable.' The average telehealth translatability score was 6.1/10, which suggests possible challenges with telehealth support. Regarding carer involvement, 90% of consultations involved collecting patient history, 70% placation of child, and 40% had physical support during examinations. Tasks performed during paediatric in-person GP consultations may not be easily translatable to telehealth and caution should be exercised when considering its translatability to telehealth.

Experiences of caregivers of patients with traumatic brain injury during hospitalization in western China: A qualitative study

ABSTRACT Family members frequently provide both physical and emotional support to patients. Previous studies have focused primarily on the experiences of patients with traumatic brain injury (TBI) and their caregivers during home care and the transition from hospital care to the community, with less emphasis on their experiences during acute hospital care immediately after TBI. This study aimed to explore the experiences of caregivers of patients with TBI during acute hospitalizations. A qualitative descriptive study using individual semistructured interviews was conducted at the trauma center of a tertiary hospital in western China. A purposive sample of 21 caregivers of patients with TBI were recruited. The interviews were conducted face to face in the inpatient ward from July to September 2023. Conventional content analysis was used to conduct the framework analysis. The experiences of caregivers were identified within three key themes: TBI consequences in patients (physical impairments, psychological distress, and cognitive dysfunctions), challenges of caregivers (physiological/emotional/economic burdens, conflicts, and concerns regarding recovery), and needs of caregivers (health information, medical services, and recovery expectations). This study highlights the experiences of caregivers of patients with TBI during hospital stays in western China. The challenges faced by caregivers and the needs of caregivers are multidimensional. Appropriate support should be provided to alleviate the burden of caregiving.

Factors Associated with Supportive Care Needs Among Palestinian Women with Breast Cancer in the West Bank: A Cross-Sectional Study

Background: Breast cancer (BC) is the most common cancer among women in Palestine, where the need for supportive care frequently goes unmet. Therefore, this study aims to assess the supportive care services provided at the governmental hospitals in the southern area of the West Bank and to determine the factors associated with the unmet needs of these services. Methods: A cross-sectional study was conducted on 362 women with BC. Data were collected using a face-to-face questionnaire that included the Supportive Care Needs Survey (SCNS-SF34), patients’ sociodemographic, economic, and clinical characteristics, as well as familial history of cancer and social support. Results: The study revealed that 61% of participants had unmet supportive care needs, with health system information, physical support, and psychological support being the most unmet needs. Factors contributing to unmet needs included age, marital status, familial support, and a family history of cancer. Chemotherapy and surgery increased the probability of physical care needs by fivefold, while hormone therapy reduced the probability of psychological needs (AOR = 0.36, p &lt; 0.001) and patient care and support needs (AOR = 0.49, p = 0.01). Additionally, radiotherapy reduced sexual care needs by 58% and biological therapy by 60%. Conclusions: There is an urgent need for enhanced supportive care services for BC patients in the West Bank, especially regarding health system information, physical care, and psychological support. Addressing these needs through targeted interventions could significantly improve patients’ quality of life.

Factors associated with physical activity in individuals with metastatic cancer: a UK cross-sectional survey.

Physical activity is safe and feasible for individuals with metastatic cancer and may support symptom management. We investigated the extent to which individuals with metastatic cancer are meeting the World Health Organisation (WHO) moderate-vigorous physical activity (MVPA) guideline, factors associated with meeting the guideline, and perceptions about physical activity and receiving physical activity advice. Data were from UK adults with metastatic breast, prostate, or colorectal cancer who completed the Healthy Lifestyle After Cancer survey (N = 588). Self-reported clinical, demographic, and physical activity (Godin Leisure-Time Exercise Questionnaire) data were collected. Logistic regression models assessed whether clinical and demographic factors were associated with meeting the MVPA guideline. Most (59%) individuals with metastatic cancer were not meeting the WHO guideline of 150min of MVPA per week. Adjusting for cancer type, the odds of meeting the MVPA guideline were lower for unemployed individuals (OR = 0.47, 95% CI = 0.23-0.77) and ethnic minorities (OR = 0.44, 95% CI = 0.22-0.89), but higher for those with a university education (OR = 1.89, 95% CI = 1.0-3.57). Most (63.5%) participants felt they should be doing more physical activity. However, 70.1% did not receive any physical activity advice or support, despite 73.6% wanting to receive it. People with metastatic cancer may need further support to address inadequate levels of physical activity. The differences observed between demographic sub-groups suggest this may be more beneficial for those less likely to engage in physical activity. Individuals with metastatic cancer are likely to benefit from increased physical activity support, which considers the needs of diverse demographic groups.

Nursing care for HIV/AIDS patients according to the Virginia Henderson model

Introduction: the nursing professional plays the role of providing or assisting with care and needs. There are several theories or models that govern nursing care. Virginia Henderson introduces a holistic humanistic model that can be applied to special groups such as patients with HIV/AIDS. The objective of the research was to characterize nursing care for HIV/AIDS patients according to the Virginia Henderson model.Methods: a literature review was conducted, where 25 articles in Spanish and English were selected, published in the last five years on the subject, in databases such as: Scopus, Pbmed, Springer.Results: assuming the care of people with HIV/AIDS is opting for the care of an incurable and life-limiting condition. Nurses must assist the person in procedures or in their treatment and create a bond of therapeutic help; guaranteeing professional confidentiality of the diagnosis, focusing on addressing the pathology and opportunistic infections, providing the means that contribute to achieving patient independence; as well as preventing stigma and social rejection of the patient.Conclusions: care for patients with HIV/AIDS requires professionals prepared to guarantee the necessary care for this specialized group. The required psychological, physical and emotional support must be provided, avoiding rejection or overprotection of the position, seeking solutions by providing patients with humane treatment; preventing social stigma, rejection and demoralization

College/University Instructional Physical Activity Program Support: History, Advocacy and Wellbeing Promotion Enhancement Through Inaugural National Summit

College/University Instructional Physical Activity Programs (IPAP) have a long history in higher education and can effectively promote wellbeing among a large number of students. Despite IPAP benefits, prevalence has declined over the last few decades. Quality assurance, support, advocacy, innovation, and assessment are needed to strengthen IPAP. However, organizational support and resources for IPAP are lacking; thus, an inaugural National IPAP Summit was hosted in the Fall of 2023 to bring together IPAP professionals. Education, networking, support, resources, and innovative ideas were offered at the summit. Participants had unanimous positive feedback and support of future endeavors for IPAP professionals. Professional organization endorsement is needed to continue to offer opportunities, education, and support for IPAP professionals to maximize the wellbeing promotion potential and sustainability of IPAP.

Dadnet: dual-attention detection network for crack segmentation on tomb murals

Many tomb murals have punctate losses, cracks, and craquelure due to underground subsidence and changes in their physical support. Visual non-destructive detection techniques enable rapid assessment of how much tomb murals are affected by cracking, providing suggestions for their conservation. However, tomb murals are typically created by sketching outlines and then colored. Detailed sketches can easily interfere with crack detection work, requiring the use of deep learning network to better learn crack features and improve detection accuracy. At the same time the limited data of tomb mural presents a challenge to build a deep learning network. To address these issues, this paper introduces a novel dual-attention detection network (DADNet) for crack segmentation of tomb murals. In this work, a customized dataset is first constructed by collecting mural images from the Tang Dynasty tombs. Then the ConvNeXt framework serves as the basis for feature extraction, enhancing the process. Lastly, a dual-attention module utilizing neighborhood attention and biaxial attention is employed to accurately identify the crack regions. Neighborhood attention performs a local self-attention operation around the pixel point, addressing the limitations of self-attention. This approach significantly reduces computational demands as the image size increases. Biaxial attention performs attention calculations in the horizontal and vertical directions. This compensates for the limitation of neighborhood attention in capturing global dependencies. Our DADNet outperformed the competing methods, achieving the highest recorded scores of 78.95% for MIoU and 61.05% for the Jaccard index.

Characteristics of Individuals Losing Autism Diagnosis: A Comparative Study With Typically Developing and Autism Spectrum Disorder Individuals.

This study aims to reveal the characteristics of individuals who have lost an autism spectrum disorder (ASD) diagnosis and to evaluate their current psychiatric diagnoses. Additionally, the study aims to compare individuals who have lost ASD with typically developing (TD) individuals and those with ASD in terms of current psychopathology, functionality and sociodemographic and clinical variables. The study included a total of 85 participants aged between 5 and 18, comprising 30 individuals who no longer meet the criteria for ASD (loss of autism diagnosis or LAD), 32 individuals with ASD and 23 TD individuals. While the sociodemographic data form and Childhood Autism Rating Scale (CARS) were completed by the clinician, the Autism Behavior Checklist (ABC) and Social Responsiveness Scale (SRS) were completed by the parents. It was found that the LAD group acquired speaking skills earlier, started special education sooner, received preschool education and physical exercise support for a longer duration and exhibited higher mental capacity and lower symptom severity compared to the ASD group. Moreover, 80% of the LAD group had at least one DSM-5 diagnosis. Scores on the ABC and SRS indicated a significant difference, with ASD > LAD > TD. Even if ASD regresses, individuals may still experience residual difficulties and remain at risk for other psychopathologies. Therefore, it is crucial to maintain monitoring and support processes.

Assessing the Impact of the Prostate Cancer Patient Empowerment Program (PC-PEP) on Relationship Satisfaction, Quality of Life, and Support Group Participation: A Randomized Clinical Trial.

Background/Objectives: The Prostate Cancer Patient Empowerment Program (PC-PEP) is a 6-month, home-based intervention aimed at enhancing mental health in men undergoing curative prostate cancer treatment. This exploratory secondary analysis evaluates PC-PEP's impact on relationship satisfaction, quality of life, and support group attendance among partnered participants. Methods: In a crossover randomized clinical trial ClinicalTrials.gov identifier: NCT03660085) of 128 men aged 50-82 scheduled for curative prostate cancer surgery or radiotherapy, 119 participants in relationships were included. Of these, 59 received the 6-month PC-PEP intervention, while 60 were randomized to a waitlist-control arm, receiving standard care for 6 months before starting PC-PEP. The intervention included daily emails with video instructions on mental and physical health, diet, social support, fitness, stress reduction, and intimacy. Outcomes were assessed using the Dyadic Adjustment Scale (DAS) and the Functional Assessment of Cancer Therapy-Prostate (FACT-P). Results: While relationship satisfaction remained stable, a significant improvement in emotional well-being was observed at 12 months in participants undergoing radiation therapy (p = 0.045). The PC-PEP intervention also led to significantly higher support group attendance at both 6 months (p = 0.001) and 12 months (p = 0.003), emphasizing its role in fostering social support and community engagement. Conclusions: The PC-PEP program effectively maintains relationship satisfaction and enhances emotional well-being, particularly in patients with fewer physical side effects. Its design promotes comprehensive care by integrating physical, psychological, and social support, making it a valuable resource for improving the quality of life in prostate cancer patients and potentially applicable to other cancer types.

The Role of Social Support in Substance Addiction Recovery: A Systematic Review

Recovery from substance addiction is a complex process that requires continuous physical and psychological support. Social support plays a crucial role in assisting individuals through the process of substance addiction recovery. This article presents a systematic review of the role of social support in substance addiction recovery by analyzing relevant studies from various academic sources. The findings indicate that social support, whether from family, friends, or community, significantly enhances individuals' motivation, resilience, and success in maintaining long-term recovery. Various forms of support, such as emotional, instrumental, and informational support, help individuals cope with the challenges of recovery. Additionally, participation in support groups and positive interpersonal relationships have been shown to accelerate the recovery process and prevent relapse. Therefore, social support is a key element not only in facilitating recovery but also in improving the quality of life for individuals dealing with substance addiction.

Virtual medical astronaut avatars for future deep space missions

This paper explores the telemedicine possibilities available to astronauts during spaceflight, focusing on the possible utilization of medical avatars for continuous health monitoring. Various types and sources of telemedicine are examined, along with their applications in deep space travel to address the challenges faced by astronauts and facilitate timely intervention in case of injuries and illnesses. The use of medical avatars presents a promising solution to mitigate risks and ensure effective healthcare delivery in the absence of immediate physical medical support. Furthermore, potential terrestrial applications of telemedicine and virtual medical avatars are discussed, highlighting the wider implications and benefits beyond space exploration. By leveraging advanced technologies and innovative approaches, telemedicine in conjunction with medical avatars offers a compelling avenue for enhancing healthcare practices both in space and on Earth.

Physical activity level among pregnant women attending maternal healthcare services in rural Karnataka; findings of a cross-sectional study

Background Regular exercise during pregnancy improves fetal and mother outcomes unless contraindicated. Despite being generally safe and beneficial, non-participation in prenatal activity is relatively common among most of the Asian countries due to multiple reasons. In India, findings related to maternal physical activity and its determinant are scant. Objective The objective of this study is to assess the physical activity level and associated factors among pregnant women attending maternal healthcare services in Dakshina Kannada District in India. Method A multi-center community-based cross-sectional study was conducted recruiting 424 pregnant women attending the maternal healthcare facilities at four taluks of Dakshina Kannada district in Karnataka state, India. A structured questionnaire that collected information on socio-demographic, and maternal characteristics was used and the Pregnancy Physical Activity Questionnaire tool was used to determine the physical activity during pregnancy. Logistic regression model was used to determine the predictor variables. Results The prevalence of physical inactivity was 40.33%. Physical activity is favorable among pregnant women aged between 25 to 29 years, residing in an urban locality, diploma or graduation and being housewife. Determinants of physical inactivity during pregnancy were sedentary occupation (AOR 7.22, 95% CI 2.2, 23.4), low family income (AOR 3.16, 95% CI 1.414, 7.054), having one child (AOR 5.4, 95% CI 1.3, 22.2), during 2nd trimester (AOR 2.513, 95% CI 1.5, 4.23) and self-reported lack of time (AOR 2.884, 95% CI 1.410, 5.901). Conclusion and recommendation A moderate proportion of pregnant women reported physical inactivity during pregnancy in the Dakshina Kannada district, Karnataka. Physical inactivity was associated with sedentary employment, low income, number of children, trimester, and time constraints. Measures should be undertaken to promote the importance of recommended levels of physical activity, enhance access, and support system targeting pregnant women.

Contemporary Urban Challenges for The Preservation of Values Associated with Settlements in Andalusian Mountainous Areas: The Case of Castaño Del Robledo in the Sierra De Huelva, Spain

The landscapes linked to settlements such as Castaño del Robledo are one of the main elements of heritage interest in the complex and diverse Sierra de Huelva, a border territory between Spain and Portugal in the northwest of Andalusia. They reflect the physical and functional integration between the houses and the environment, where roads, historical infrastructure networks, walls and small buildings are intertwined with the cultivation areas, the embodiment of a very elaborate peasant culture. The aim of this work is to advance in the ways of approaching the knowledge of the singular values and fragility of these landscapes, with the main contribution of integrating a transversal view in their urban-heritage reading. The study starts with a first phase of analysis and diagnosis of the physical environmental support, the territory and the landscapes, and a second phase of evaluation to identify the challenges they currently face.

The Association Between Depression and All-Cause, Cause-Specific Mortality in the Chinese Population - China, 2010-2022.

Depression is linked to higher all-cause and cardiovascular mortality rates, but its effects on specific subgroups and non-cardiovascular mortality in the Chinese population remain unclear. Both severe and mild to moderate depression were found to elevate mortality rates among the Chinese population. The impact was particularly notable among males, urban residents, younger individuals, and those with higher education levels. Depression exhibited a stronger connection with fatalities related to suicide and non-suicidal injuries. Individuals experiencing mild depression require healthcare attention to avoid negative consequences. Enhanced physical and psychological support is particularly crucial for high-risk subgroups.

Assessing Doula Preparedness for Supporting Clients in a Hospital-Based Volunteer Doula Program.

The purpose of this evaluation was to assess doulas' sense of preparedness after completing birth doula training. The extent to which doulas feel prepared to serve clients after training is unknown. This program evaluation took place within a hospital-based volunteer doula program in the southeastern United States. The analysis focused on comparing the self-reported preparedness of volunteer doulas trained through the Partners in Birth Training program, a doula training created by the doula program, with preparedness of volunteer doulas trained by nationally recognized training programs. A survey assessed doulas' preparedness to provide physical, emotional, and informational support. Of the 100 doulas active in the program at the time of survey administration, 48 had completed the Partners in Birth Training program, 26 (54%) of whom completed the survey. Of the 32 doulas who entered the doula program following training with national organizations, 19 (59%) completed the survey. The remaining 20 doulas in the program completed a third training option and were excluded from this evaluation. In comparing doulas' overall sense of preparedness between the 2 groups, results were similar, with the median response for both groups being mostly prepared (4 on a Likert scale from 1 to 5). Results suggest that localized doula training offered by hospital-based doula programs may be as effective at preparing doulas to serve in such programs as Other training organizations. Systematic evaluations can help researchers and doulas identify topics and pedagogical approaches to training that increase preparedness.

Lived experiences of working-age polytrauma patients in Germany - A qualitative Analysis

BackgroundSurvivors of a major trauma experience a range of difficulties in relation to the reduction in physical, psychosocial, and cognitive functions, which can result in a reduced health-related quality of life. This study aims to explore lived experiences of major trauma survivors in the German healthcare system. MethodsSemi-structured exploratory interviews were performed with nine major trauma survivors (18–55 years; Injury Severity Score ≥16). For exploratory analyses, an artificial intelligence-based coding software was used. Further, results were clustered by using the International Classification of Functioning, Disability and Health framework (ICF). ResultsCommunication was one of the major topics concerning amongst others diverting opinions between different healthcare disciplines and a general lack of information. The participants showed a high demand for a contact person. Furthermore, social support was essential during recovery for those interviewed. Social network was not only important as emotional and physical support but also for overcoming of gaps in the healthcare system. The support by employers and colleagues seemed to be beneficial for our participants in relation to returning to work. Further, psychological consequences of trauma, and that mobility is a key factor for quality of life, self-efficacy and return to work were discussed. DiscussionThe qualitative analyses highlight several topics such as communication, burden of sickness, support systems that the participants mentioned as important along their journey through the German healthcare system during recovery. Through the ICF model the interplay of certain components that influenced the outcome of the major trauma survivors was visualized. ImplicationsThese results might offer a deepened understanding of modifiable components of a patient pathway in recovery process such as improvements of patient communication, provision of a contact person and others.

Identification of relevant mental health indicators for European community-based health enhancing physical activity initiatives: An adapted Delphi study

Health enhancing physical activity (HEPA) initiatives can improve mental health; however there is a lack of standardised measures to evaluate mental health impact. This study aimed to identify the relevant indicators of mental health and well-being in community-based HEPA initiatives in Europe as determined by specialists and practitioners in the field, and understand assessment methods commonly used.An adapted, two round, Delphi method was conducted with N = 20 specialists (practitioners and academics) in the field of mental health and physical activity from Denmark, the Netherlands, the UK, and Ireland. Specialists selected the most important indicators and agreed consensus on definitions and operationalisation, where consensus ≥50% signified important indicators.Specialists compiled 66 (n = 21 outcome, n = 45 determinant) indicators. Top rated indicators for the evaluation of HEPA initiatives were self-rated mental health (69.2%), physical activity (69.2%) life satisfaction (53.8%), stress (53.8%), loneliness (53.8%), social participation, network, connection and support (53.8%). Consensus on definition and application of the nine indicators varied (44.4%–100%), with no consensus on a standardised measurement tool reached, although specialists pointed to the need for culturally sensitive measurement tools.While this study highlights a lack of conformity for evaluating mental health and wellbeing outcomes, it suggests utility in an agreed definition and application of nine indicators for the evaluation of HEPA initiatives, with social determinants of particularly high importance across the relevant contexts. Further research is recommended to develop guidance on pragmatic measurement tools that can be utilised across other (European) countries and their implementation tested.

Enhancing Cancer Supportive Care: Integrating Psychosocial Support, Nutrition, and Physical Activity Using Telehealth Solutions

This review explores current guidelines for integrating psychosocial support, nutrition, and physical activity into cancer care and examines the resources available to deliver comprehensive care effectively and equitably, with a focus on telehealth solutions. A review of current guidelines related to psychosocial support, nutrition, and exercise in oncology published between the years 2020 and 2024 was conducted. Additionally, relevant articles from the authors' personal archives were included. Current guidelines emphasize routine psychosocial distress screening, nutritional assessment, and tailored physical activity interventions for patients with cancer. The National Comprehensive Cancer Network and ASCO highlight the need for regular psychosocial evaluations and the management of common psychiatric disorders. The American Cancer Society and the Academy of Nutrition and Dietetics recommend nutritional screening, personalized counseling, and exercise to improve treatment tolerance and overall quality of life. Despite these recommendations, challenges such as resource limitations, time constraints, and financial barriers hinder their implementation. Integrating psychosocial support, medical nutrition therapy, and physical activity into cancer care is essential to enhancing patients' quality of life. Telehealth offers a viable solution to overcome barriers by providing remote access to supportive services, facilitating comprehensive care, and promoting patient engagement. The effectiveness of telehealth in delivering psychosocial, nutritional, and physical activity support highlights its potential to improve patient outcomes and overcome barriers to care. Telehealth technologies hold high potential to optimize cancer care delivery, ensuring personalized support for patients throughout their cancer journey.