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Currently, there is a lack of baseline research on outpatient Multi-Disciplinary Team (MDT) services. Through conducting a cross-sectional survey in Sichuan Province, China, this study aims to explore the current status and influencing factors of outpatient MDT services, providing a reference for their further development. A questionnaire survey was conducted in June 2024 on tertiary medical institutions in Sichuan Province using the cluster sampling method. A total of 203 valid questionnaires were collected, yielding an effective response rate of 91.0%. Descriptive statistics, correlation, and difference tests were employed to analyze the survey data. The development rate of outpatient MDT in tertiary medical institutions in Sichuan Province was 77.3%, and the start-up time was mainly concentrated in the past five years. About 87.3% of the hospitals set up fixed MDT teams with the number of ≤10, which was still in the development stage. In terms of MDT organization and management, 96.8% of the hospitals have issued relevant management systems, but the cognitive differences of MDT function positioning lead to significant heterogeneity in organization and management and operation mode. The analysis of key influencing factors shows that team dynamics is the primary internal driving factor, while medical insurance policy is the primary external influencing factor. Medical institutions need to promote the standardized development of outpatient MDT from the two dimensions of system construction and mechanism innovation: first, improve the institutionalized management framework: integrate the core link of MDT into the hospital quality management system through the construction of standardized workflow. Second, establish a refined assessment mechanism: focus on process indicators such as the standardized rate of case discussion and the implementation rate of the scheme, support an interdisciplinary performance incentive system, and mobilize the enthusiasm of departments and doctors to promote their rapid development.

Diabetic retinopathy screenings are a vital strategy to avoid the severe consequences of this disease. However, their success depends on the adherence of the target population. The present work aims to review the adherence to diabetic retinopathy screening, more specifically the influence of the persons with diabetes’ social network (contacts between persons with diabetes) on their screening behaviour. The used data set comprises information of 75,921 persons with diabetes, distributed by 20 Primary Health Centre Groups of the Portuguese North Region. Persons with diabetes of the same Group were organized in an N-by-N matrix, resulting in 20 social networks. Network metrics were calculated and its relationship with the adherence to screening was analysed using two perspectives: correlation between global network metrics and adherence rate; cluster analyses based on node level metrics. The results obtained show that: (1) Less connected networks, strongly divided into communities and with a great number of connected components, present the highest adherence rates. (2) The node level metrics allow the identification of groups where the problem of non-adherence is especially high. (3) The non-adherence phenomenon is especially evident in a small group of highly connected individuals. We believe that these results are of utmost relevance as a starting point for future research and as support to the planning of interventions related to diabetic retinopathy screening adherence.

The near infrared (NIR) spectroscopy technique has wide applications in agriculture with the advantages of being nondestructive, sensitive, safe and rapid. However, there are still more than 40 error sources influencing the robustness and accuracy of its calibration and operation. Environmental, sample and instrument factors that influence the analysis are discussed in this review, including temperature, humidity and other factors that introduce uncertainty. Error sources from livestock products, fruit and vegetables, which are the most common objects in the field of NIR analysis, are also emphasized in the second part. In addition, studies utilizing different instruments, spectral pretreatments, variable selection methods, wavelength ranges, detection modes and calibration methods are tabulated to illustrate the complications they introduce and how they influence NIR analysis. It is suggested that large scale of data with abundant varieties can be used to build a more robust calibration model, in order to improve the robustness and accuracy of the NIR analytical model, and overcome problems caused by confining analysis to too many uniform samples.

This study presents a simplified analysis technique capable of predicting the dynamic behavior of a tripod suction pile subjected to a horizontal load. The first natural frequency of the system, horizontal displacement, and allowable rotation angle at the pile head were set as target physical quantities in accordance with substructure design requirements. In consideration of the physical characteristics of the tripod suction pile, the analysis was extended to the single pile-multi-pile-tripod-tower part to derive the influence factors. A possible displacement response function that could be applied to the intermediate pile range was also proposed. Thereafter, a detailed design was determined using an integrated load analysis, which included a turbine based on the basic design of simplified analysis method. Furthermore, the dynamic behavior of the offshore wind turbine at each installation stage was predicted using a numerical analysis and measured via field tests. The displacement at the pile head and the predicted value of the first natural frequency of the system were compared using the field-measured and numerical analysis values. The first natural frequency value produced by the simple analysis method showed an error range within 1%, and the displacement at the pile head also satisfied the structural design requirements. Therefore, this method provides a quick and accurate solution to the lateral response of tripod suction piles as foundations for offshore wind turbines.

To explore the home rehabilitation experience of frail elderly patients with lumbar spine surgery and to analyse potential factors promoting and hindering their rehabilitation. Purposive sampling method was used to select patients undergoing lumbar spine surgery in a tertiary general hospital in Shanghai, China, from January to March 2025 and 24 patients were chosen. A descriptive phenomenological research method was used with face-to-face semi-structured interview and raw data were analyzed using Colaizzi's seven-step method. The transcripts were synthesized into three main themes and nine sub-themes. (1) Barriers to exercise compliance, including poor compliance with rehabilitation, frail state of the body, negative emotions, and lack of professional guidance. (2) Facilitating factors, including health literacy, family responsibility and social support. (3) Latent demands, including diversified information support needs and continuity of care needs. The home rehabilitation experience of frail patients was thoroughly explored, capturing physical, psychological, and rehabilitation needs. Future research should develop targeted home rehabilitation exercise programs for this vulnerable population and incorporate tele-rehabilitation modalities to facilitate safe and effective recovery at home.

Neurological and psychiatric disorders are a category of chronic diseases that are widespread and pose serious mental and physical health problems for patients. The substrates, products, and enzymes of Tryptophan metabolism all contribute to the development of neurological and psychiatric disorders. This paper deals with three metabolic pathways of tryptophan that produce a series of metabolites called tryptophan Catabolics (TRYCATs). These metabolites are involved in pathological processes such as excitotoxicity, neuroinflammation, oxidative stress, and mitochondrial damage and are closely associated with neurological and psychiatric disorders such as Alzheimer’s disease and depression. Here, we review the elements that affect how tryptophan metabolism is regulated, including inflammation and stress, exercise, vitamins, minerals, diet and gut microbes, glucocorticoids, and aging, as well as the downstream regulatory effects of tryptophan metabolism, including the regulation of glutamate (Glu), immunity, G-protein coupled receptor 35 (Gpr35), nicotinic acetylcholine receptor (nAChR), aryl hydrocarbon receptor (AhR), and dopamine (DA). In order to advance the general understanding of tryptophan metabolism in neurological and psychiatric disorders, this paper also summarizes the current situation and effective drugs of tryptophan metabolism in the treatment of neurological and psychiatric disorders and considers its future research prospects.

Advertising in our days is moving to the social media since consumers are spending more and more time on such platforms that offer very customized information for each user. Facebook, for example, is trying to bring each person the most meaningful content, which means the advertising is ultra-customized based on the user activity and preferences, but this kind of personalisation can easily have an unpleasant side effect.The advertising for touristic destinations can become very complex by using fine-tuned campaigns triggered by user consumption patterns revealed in the digital world.By adding a button like “buy now”, the social media apps can easily integrate important e-commerce features, so the advertising of today is not only about presenting the content but also about instantly buying products and services.This paper highlights the way in which advertising messages emerging social media can quickly have a greatly improved success rate.Research methodology took as its starting point the findings of scientific studies published in the literature, the obtained results being interpreted from the perspective of the authors' personal considerations on the topic of the paper.The conclusions highlight the main trends related to increasing the success rate of advertisements in tourism by using social media and by choosing the most appropriate platforms, advertising methods and buying tools such as augmented and/or virtual reality that allow to experiment in advance a travel package, placing of advertising messages on the platforms with the greatest impact and including the direct purchase options inside the add, so that viewing the message can be immediately followed by the acquisition of the promoted services.

Water scarcity is a major challenge facing agricultural production in China. Unconventional water resources such as reclaimed wastewater can be used as a complimentary resource for irrigation. However, reclaimed wastewater is rich in salt and its long-term use for irrigation could lead to secondary soil salinization. In this review, we analyze the factors that have potential effects on accumulation of salt in soil. They include irrigation method, soil texture, crop types and crop variety, irrigation time, and reclaimed wastewater modification. Results show that our current understanding of the effect of long-term reclaimed water irrigation on soil salt accumulation is still unclear. As a result, more systematic studies are needed to elucidate the main factors that affect salt accumulation in soil. While reclaimed water modification is promising, more studies are required before it can be widely implemented. We suggest that future research on reclaimed water irrigation should focus on field experiments to systematically study how irrigation method, soil texture, crops, agronomic management and reclaimed water modification interactively affect salt accumulation in soils irrigated with reclaimed wastewater.

This study adopted an advanced model, combining the technology acceptance model, the theory of reasoned action, the diffusion of innovations, trust, and five aspects of perceived risk, to measure the factors that influence the behavioral intentions of older adults to use mobile payments. A total of 365 questionnaires were collected from older adults aged 55 years or older from 20 community care sites in central Taiwan. Partial least-squares structural equation modeling was used to test our research model. The results showed that attitude was the main determinant of M-payment in older adults. Moreover, increasing the usefulness, ease of use, and observability of M-payment helped older adults improve their attitudes toward M-payment, thereby increasing their intention to use it. Trust had a significant effect on the usefulness and ease of use of M-payment, while the main factors affecting trust were only performance and financial risks.

Objective: To explore the impact of community sports public services on public satisfaction. Methods: Sports public services are public goods or mixed goods provided by public organizations to meet public sport’s needs, that is, public departments with the government as the core, provide sports services and products to residents through various ways and means by coordinating, organizing, and allocating social public sports resources, As an essential component of building a service-oriented government, sports public services are of great significance in enhancing people's physical fitness, promoting the construction of social spiritual civilization, and improving people's satisfaction with government public services.Through literature review, various factors affecting public satisfaction with urban community sports public services were explored, and community residents in a certain city were selected as the research object. Based on questionnaire research and factor analysis, empirical tests were conducted on various influencing factors using structural equation modeling. Results: Usually, x2/df