-
Research Article
Investigation, Analysis, and Counter Measures on Traditional Chinese Medicine Constitution Types Among 12-14 Years Old Adolescents in Urban Areas of Taizhou
Kai Chen*,
Xi Chen
Issue:
Volume 14, Issue 6, December 2026
Pages:
390-394
Received:
6 August 2026
Accepted:
26 October 2026
Published:
10 November 2026
DOI:
10.11648/j.sr.20261406.11
Downloads:
Views:
Abstract: Objective:This study aimed to investigate and analyze the traditional Chinese medicine (TCM) constitution types among 300 adolescents aged 12–14 years in the urban areas of Taizhou, in order to characterize the distribution of major constitution types in this age group and identify their influencing factors. Methods: A standardized TCM constitution questionnaire was administered, and analyses of different constitution types were conducted according to predefined inclusion and exclusion criteria. Results:The balanced constitution (pinghe zhi) was the predominant constitution type. Among the abnormal constitution types, qi-deficiency constitution (predominantly in females), damp-heat constitution (predominantly in males), and qi-stagnation constitution (in both sexes) were relatively prominent. Conclusion: Integrating Chinese and Western medical theories with the physical and psychological developmental characteristics of adolescents, the causes underlying the aforementioned constitution types were explored. A multidimensional and multi-perspective analysis and improvement were proposed, and comprehensive recommendations for enhancing the physical and mental health of Chinese adolescents were put forward, thereby providing additional clinical evidence for the concept of preventive treatment of disease.
Abstract: Objective:This study aimed to investigate and analyze the traditional Chinese medicine (TCM) constitution types among 300 adolescents aged 12–14 years in the urban areas of Taizhou, in order to characterize the distribution of major constitution types in this age group and identify their influencing factors. Methods: A standardized TCM constitution...
Show More
-
Research Article
The Mechanism by Which Combined Exercise and Drug Therapy Modulate TGF-β/Smad2/3-regulated Lipolysis in Obese States
Fuhui Li,
Wenqing Shen*
Issue:
Volume 14, Issue 6, December 2026
Pages:
395-405
Received:
10 August 2026
Accepted:
4 October 2026
Published:
10 November 2026
DOI:
10.11648/j.sr.20261406.12
Downloads:
Views:
Abstract: Obesity and type 2 diabetes mellitus, as major epidemiological research topics, have become global public health concerns that profoundly impact human health. According to data from the 2025 report of the National Health Commission of China, based on body mass index (BMI) and body fat percentage measurements, the prevalence of overweight among Chinese adults reached 34.3%, while the prevalence of obesity was 16.4%, yielding a combined overweight and obesity rate of 50.7%. Chronic positive energy balance, resulting from energy intake exceeding energy expenditure, leads to disruption of energy homeostasis, thereby promoting the development of chronic diseases such as obesity, type 2 diabetes, non-alcoholic fatty liver disease, and cancer. Among these, obesity and type 2 diabetes induce disorders of glucolipid metabolism and mitochondrial dysfunction, with lipid metabolic disturbances being the most prominent. This review primarily focuses on the effects of various exercise modalities combined with pharmacological interventions on adipokine profiles in obese patients or rodent models, as well as the roles of the TGF-β/Smad2/3 and AMPK/UCP1 signaling pathways in lipid metabolism. We conclude that the combination of exercise and drug therapy effectively suppresses adipokine secretion and inhibits TGF-β/Smad2/3 signaling, thereby attenuating lipogenesis, while concurrently activating the AMPK/UCP1 pathway to enhance lipolysis. Therefore, exercise combined with pharmacological treatment can effectively regulate adipokine secretion and modulate the TGF-β/Smad2/3 and AMPK/UCP1 signaling cascades, offering a promising strategy for the prevention and treatment of obesity and other metabolic disorders.
Abstract: Obesity and type 2 diabetes mellitus, as major epidemiological research topics, have become global public health concerns that profoundly impact human health. According to data from the 2025 report of the National Health Commission of China, based on body mass index (BMI) and body fat percentage measurements, the prevalence of overweight among Chin...
Show More
-
Research Article
Comparison of Prosthesis Position and Lower-Limb Functional Recovery After Total Hip Arthroplasty via the Modified Hardinge and SuperPATH Approaches
Zhichao Wang,
Bo Wang,
Run Liu,
Wei Huang,
Weiping Ji*
Issue:
Volume 14, Issue 6, December 2026
Pages:
406-418
Received:
19 August 2026
Accepted:
15 October 2026
Published:
10 November 2026
DOI:
10.11648/j.sr.20261406.13
Downloads:
Views:
Abstract: Purpose: To compare prosthesis position, lower-limb reconstruction, and functional recovery after primary unilateral total hip arthroplasty (THA) via the modified Hardinge or SuperPATH approach, focusing on longitudinal changes in balance and joint position sense (JPS). Materials and Methods: This retrospective study included 93 patients who underwent primary unilateral THA between October 2022 and October 2025. Forty-six patients received the SuperPATH approach and 47 received the modified Hardinge approach. Baseline data, postoperative radiographic measures, 6-minute walking distance, activities of daily living, and hip range of motion at 6 months were collected. Berg Balance Scale (BBS) scores and JPS errors were assessed preoperatively and at 1, 3, and 6 months postoperatively. Two-way repeated-measures analysis of variance was used for longitudinal outcomes. Welch’s t test with Holm adjustment was used for single-time-point comparisons. Results: Baseline age, BMI, sex, operative side, and ASA grade were comparable. The SuperPATH group had a slightly lower preoperative BBS score and smaller JPS error (Bonferroni-adjusted P=0.026 and 0.011, respectively). Significant group-by-time interactions were found for BBS [F(2.506, 228.048)=40.554, P<0.001; partial η²=0.308] and JPS [F(2.658, 241.909)=387.809, P<0.001; partial η²=0.810]. The SuperPATH group had higher BBS scores at 1 and 6 months and smaller JPS errors at 1 and 3 months; the adjusted differences at 3 months for BBS and at 6 months for JPS were not significant. The side-to-side femoral offset difference was smaller in the SuperPATH group (Holm-adjusted P=0.029). At 6 months, walking distance, daily living function, external rotation, and flexion were comparable; internal rotation was 2.46° greater in the SuperPATH group (Holm-adjusted P=0.042). Conclusion: Both approaches achieved satisfactory prosthesis positioning and functional recovery. The SuperPATH approach may facilitate early sensorimotor recovery, but the retrospective design and small baseline differences require prospective confirmation.
Abstract: Purpose: To compare prosthesis position, lower-limb reconstruction, and functional recovery after primary unilateral total hip arthroplasty (THA) via the modified Hardinge or SuperPATH approach, focusing on longitudinal changes in balance and joint position sense (JPS). Materials and Methods: This retrospective study included 93 patients who underw...
Show More
-
Research Article
Effect of Body Mass Index on the Relationship Between Serum 25-Hydroxyvitamin D and Bone Mineral Density in Patients With Type 2 Diabetes Mellitus and Osteoporosis
Xiuping Yin*,
Xiao Sun,
Fang Gao,
Xinxin Yang,
Ningning Guo,
Guangya Wang
Issue:
Volume 14, Issue 6, December 2026
Pages:
419-425
Received:
26 August 2026
Accepted:
2 November 2026
Published:
10 November 2026
DOI:
10.11648/j.sr.20261406.14
Downloads:
Views:
Abstract: Objective to explore the relationship between serum 25-hydroxyvitamin D [25 (OH)D] and bone mineral density (BMD) in patients with type 2 diabetes mellitus (T2DM) complicated with osteoporosis at different body mass index (BMI) levels, and to assess the modifying effect of BMI. Methods A total of 338 hospitalized patients with T2DM and osteoporosis from January 2021 to January 2024 were enrolled. According to BMI, patients were divided into normal-weight, overweight, and obese groups. Multiple linear regression analyses were performed with lumbar spine, femoral neck, and total hip T-scores as dependent variables and 25 (OH)D as the independent variable, adjusting for age, sex, and glycated hemoglobin (HbA1c). An interaction term between 25 (OH)D and BMI was included. Sensitivity analysis was conducted using the lowest T-score. Results In the normal-weight and overweight groups, 25 (OH)D was positively correlated with lumbar spine, femoral neck, and total hip T-scores, with the strongest correlation observed at the total hip. No significant correlation was found in the obese group. Interaction analysis indicated that BMI modified the association between 25 (OH)D and total hip T-score. The results of sensitivity analysis were consistent. Conclusion Serum 25 (OH)D is positively correlated with BMD in patients with T2DM complicated with osteoporosis. This association may be modified by BMI, being more evident in normal-weight and overweight patients but not statistically significant in obese patients.
Abstract: Objective to explore the relationship between serum 25-hydroxyvitamin D [25 (OH)D] and bone mineral density (BMD) in patients with type 2 diabetes mellitus (T2DM) complicated with osteoporosis at different body mass index (BMI) levels, and to assess the modifying effect of BMI. Methods A total of 338 hospitalized patients with T2DM and osteoporosis...
Show More
-
Research Article
The Impact of Comprehensive Management Based on Swanson's Caring Theory Under the Integrated Model of Pharmacy, Nursing, and Care on the Quality of Life and Treatment Compliance of Chemotherapy Patients
Issue:
Volume 14, Issue 6, December 2026
Pages:
426-431
Received:
17 September 2026
Accepted:
22 October 2026
Published:
10 November 2026
DOI:
10.11648/j.sr.20261406.15
Downloads:
Views:
Abstract: Objective: To explore the impact of comprehensive management based on Swanson's caring theory under the integrated medicine-pharmacy-nursing model on the quality of life (QOL) and treatment compliance of chemotherapy patients, and to clarify the role of pharmacists in this model. Methods: Data were collected from January 2024 to October 2025, with chemotherapy patients in our hospital serving as the study subjects. A total of 2500 cases were grouped based on different nursing models. The control group received conventional nursing care, while the observation group underwent comprehensive management based on Swanson's caring theory under the integrated medicine-pharmacy-nursing model, with pharmacists deeply involved. The QOL scores (QLQ-C30), treatment compliance, and incidence of chemotherapy-related nausea and vomiting (CINV) were compared between the two groups. Results: Before intervention, there were no statistically significant differences in the scores of physiological function, psychological function, social function, and material life between the two groups (P > 0.05). After intervention, the observation group had higher scores in all dimensions of physiological function, psychological function, social function, and material life compared to the control group, and the differences were statistically significant (P < 0.05). The treatment compliance rate in the observation group was 99.95%, with a CINV incidence rate of 0.32%. In contrast, the control group had a treatment compliance rate of 99.02% and a CINV incidence rate of 1.60%. The observation group had higher treatment compliance and a lower CINV incidence rate compared to the control group, with the differences being statistically significant (P < 0.05). Conclusion: Comprehensive management based on Swanson's caring theory under the integrated medicine-pharmacy-nursing model can significantly improve the QOL and treatment compliance of chemotherapy patients, reduce the incidence of CINV. The involvement of pharmacists can optimize medication regimens and enhance the intervention effect, providing an effective reference for the construction of CINV-free wards.
Abstract: Objective: To explore the impact of comprehensive management based on Swanson's caring theory under the integrated medicine-pharmacy-nursing model on the quality of life (QOL) and treatment compliance of chemotherapy patients, and to clarify the role of pharmacists in this model. Methods: Data were collected from January 2024 to October 2025, with ...
Show More
-
Research Article
Association Between Socioeconomic Status and Oral Health Self-efficacy in Older Adults
Fan Renjia,
Pan Feng,
Yao Yanqiu,
Yin Tingting,
Yang Yuhong,
He Liangliang,
Wang Yuanyuan,
Wang Li*
Issue:
Volume 14, Issue 6, December 2026
Pages:
432-438
Received:
29 September 2026
Accepted:
22 October 2026
Published:
10 November 2026
DOI:
10.11648/j.sr.20261406.16
Downloads:
Views:
Abstract: Objective: To explore the relationship between socioeconomic status(SES) and Oral health self-efficacy in older adults, and to provide a basis for targeted improvement of oral health behaviors among the elderly. Methods: Survey was conducted from December 2024 to August 2025 on 643 people aged 65 and above at a tertiary-level A dental hospital in Wuhan, Hubei Province. the Geriatric Self-Efficacy Scale for Oral Health (GSEOH) was used to assess the current status of self-efficacy. SES grades are classified based on income level, educational level and occupation. Multiple linear regression analysis was used to investigate the association between SES and GSEOH in older adults. Results: The GSEOH score of 643 elderly individuals was (55.91 ± 8.48) points. The GSEOH scores of the low, medium and high SES groups showed a gradient increasing trend, which were (50.35 ± 7.89) points, (55.92 ± 8.33) points and (61.45 ± 9.21) points respectively. Multivariate linear regression analysis showed that, after adjusting for confounding factors, SES was a significant predictor of GSEOH (F = 36.218, P < 0.001), which could explain 47.4% of its total variation (adjusted R² = 0.474). Compared with the low SES group, the GSEOH scores of the medium SES group (t = 2.241, P = 0.001) and the high SES group (t = 3.072, P < 0.001) were higher, and the partial regression coefficients of the independent variables in the two groups were 0.115 and 0.203. Conclusions: The SES of the older adults is significantly positively correlated with their oral health self-efficacy, the higher the SES level, the stronger the oral health self-efficacy. It is suggested that socioeconomic factors are important social determinants influencing the oral health beliefs and behavioral confidence of the older adults. Oral health promotion strategies should be formulated for the elderly population with low SES, by enhancing self-efficacy and strengthening their oral health management capabilities, thereby improving behavior levels and health outcomes.
Abstract: Objective: To explore the relationship between socioeconomic status(SES) and Oral health self-efficacy in older adults, and to provide a basis for targeted improvement of oral health behaviors among the elderly. Methods: Survey was conducted from December 2024 to August 2025 on 643 people aged 65 and above at a tertiary-level A dental hospital in W...
Show More
-
Research Article
Study on Using Big Data to Boost Smart and Eco-Friendly Operations for Crude Oil Tanks
Haotong Liu*,
Congzhao Ma,
Hongyan Tian
Issue:
Volume 14, Issue 6, December 2026
Pages:
439-444
Received:
10 September 2026
Accepted:
22 October 2026
Published:
10 November 2026
DOI:
10.11648/j.sr.20261406.17
Downloads:
Views:
Abstract: To address prominent problems in the traditional operation and maintenance of crude oil tank farms, including delayed response of environmental control, low efficiency of fault troubleshooting and insufficient accuracy of pollutant monitoring, this paper constructs an overall framework for intelligent environmental operation and maintenance of crude oil tank farms based on the Internet of Things, edge computing and big data. A terminal-edge-cloud collaborative integrated platform for data acquisition and analysis is established to integrate multi-source monitoring data such as VOCs emissions, site water quality and equipment operating conditions. Combined with data modeling and intelligent algorithms, it realizes accurate traceability of pollution sources, early warning of equipment faults and optimization of operation workflows. Engineering tests prove that the system improves the recognition accuracy of environmental anomalies and operation efficiency, reduces hydrocarbon emissions and energy consumption, and provides technical support for the green, low-carbon, safe and efficient management of petrochemical crude oil tank farms.
Abstract: To address prominent problems in the traditional operation and maintenance of crude oil tank farms, including delayed response of environmental control, low efficiency of fault troubleshooting and insufficient accuracy of pollutant monitoring, this paper constructs an overall framework for intelligent environmental operation and maintenance of crud...
Show More
-
Research Article
From Automation to Intelligence: A New Operation and Maintenance Model for Small Hydropower Stations Based on Operation Decision Tracing
Issue:
Volume 14, Issue 6, December 2026
Pages:
445-448
Received:
24 September 2026
Accepted:
22 October 2026
Published:
10 November 2026
DOI:
10.11648/j.sr.20261406.18
Downloads:
Views:
Abstract: The operation and maintenance (O&M) of small hydropower stations has long relied on personal experience, facing widespread dilemmas such as difficulty in inheriting expertise, challenges in accident review due to missing decision data, and obstacles in quantifying optimization. To address these issues, this paper proposes a novel O&M model for small hydropower stations based on operation decision tracing. By utilizing an intelligent operation agent to automatically record the complete chain of "operating conditions—decisions—risks—outcomes," this model transforms the implicit experience of operators into structured data assets. The article systematically elaborates on the implementation mechanism of decision tracing and analyzes its data value from three perspectives: operation review, experience inheritance, and continuous evolution. Furthermore, it explores the significance of this model in promoting the transformation of small hydropower stations towards reduced staffing or unattended operation. Centered on the capitalization of data assets, this model reconstructs the O&M system of small hydropower stations, establishing a closed-loop feedback mechanism for self-iteration. Ultimately, this research provides new theoretical insights and practical pathways for enhancing the management level, intrinsic safety, and sustainable development of existing small hydropower stations in the era of intelligent transformation.
Abstract: The operation and maintenance (O&M) of small hydropower stations has long relied on personal experience, facing widespread dilemmas such as difficulty in inheriting expertise, challenges in accident review due to missing decision data, and obstacles in quantifying optimization. To address these issues, this paper proposes a novel O&M model for smal...
Show More
-
Research Article
From Carbon Inventory to Carbon Governance:
A Comparative Case Study of Carbon Hotspots and Reduction Strategies in Taiwanese Schools
Yu Tsai Cheng*,
Wei-Hung Chen
Issue:
Volume 14, Issue 6, December 2026
Pages:
449-456
Received:
30 September 2026
Accepted:
26 October 2026
Published:
10 November 2026
DOI:
10.11648/j.sr.20261406.19
Downloads:
Views:
Abstract: This study adopts one junior high school and one elementary school in Kaohsiung City, Taiwan, as comparative cases to establish organizational greenhouse gas (GHG) inventories in accordance with ISO 14064-1: 2018. By analyzing emission structures, standardized carbon emission intensities, carbon hotspots, and data quality, the study explores feasible pathways for transitioning from “carbon inventory” to “carbon governance.” The total GHG emissions of the two schools were 536.981 and 692.726 tCO₂e/year, respectively, with purchased electricity accounting for more than half of total emissions in both schools (54.75% and 53.31%). In the junior high school, secondary emission hotspots included upstream emissions associated with electricity generation, commuting by faculty and staff, and fugitive emissions from R-410A refrigerant. In contrast, methane emissions from septic tanks represented a distinctive hotspot in the elementary school, accounting for 20.05% of total emissions, primarily because wastewater was not collected and conveyed to the municipal wastewater treatment system. The annual GHG emission intensities per student were 306.496 and 342.425 kgCO2e/student-year, while the emission intensities per unit of floor area were 13.296 and 19.364 kgCO2e/m²-year, respectively. The findings indicate that inter-school comparisons should not rely solely on total emissions; rather, they should integrate emission intensity indicators, hotspot distribution, data quality, and managerial controllability. Based on these findings, this study proposes a carbon governance cycle consisting of “inventory–hotspot identification–prioritization–carbon reduction actions–monitoring and improvement–environmental education.” This framework provides a practical reference for future carbon reduction decision-making and carbon governance in primary and secondary education settings.
Abstract: This study adopts one junior high school and one elementary school in Kaohsiung City, Taiwan, as comparative cases to establish organizational greenhouse gas (GHG) inventories in accordance with ISO 14064-1: 2018. By analyzing emission structures, standardized carbon emission intensities, carbon hotspots, and data quality, the study explores feasib...
Show More
-
Research Article
Interpretable Prediction of CO2 Uptake Using Multi-Source Steel Slag Data and Transfer Learning Across Feedstocks
Xin Wei,
Yi Zhang,
Lingfeng Xia,
Mengjiao He,
Jingyi Meng*
Issue:
Volume 14, Issue 6, December 2026
Pages:
457-463
Received:
2 October 2026
Accepted:
26 October 2026
Published:
10 November 2026
DOI:
10.11648/j.sr.20261406.20
Downloads:
Views:
Abstract: CO2 uptake through the carbonation of industrial solid wastes represents an important technological pathway toward carbon neutrality, with performance jointly influenced by feedstock composition and process conditions. However, differences in data sources and feedstock characteristics complicate reliable prediction and limit model applicability across materials. This study integrated 818 CO2 uptake records covering steel slag, magnesium slag, and recycled fine powder to establish a random forest framework incorporating grouped cross-validation, nested feature selection, and cross-feedstock transfer comparisons. Steel-slag models trained on literature data, compiled experimental data, and their combination were compared using common input features and consistent test groups. Connected groups based on feedstock composition and known literature sources were used to reduce information leakage between training and test sets. Joint training using steel-slag literature and experimental data achieved a mean absolute error (MAE) of 6.198 and a root mean squared error (RMSE) of 8.515. Permutation importance analysis and nested feature selection identified particle size, carbonation time, and reaction temperature as consistently retained predictors, although the optimal feature combination varied across validation folds. Feature-space comparisons revealed differences in feedstock composition and process conditions, motivating the evaluation of multiple transfer strategies using eight common features. With literature-derived steel-slag data as the source domain, joint training for magnesium slag and direct transfer for recycled fine powder reduced group-weighted MAE, with equal weight assigned to each group, by 26.7% and 32.3%, respectively, relative to random forest models trained solely on target-domain data. These findings demonstrate that steel-slag data can support CO2 uptake prediction for other solid wastes, while transfer benefits depend on the target feedstock and training strategy. The proposed framework provides a methodological basis for evaluating multisource data integration, identifying predictive features, and assessing model transferability across solid-waste feedstocks.
Abstract: CO2 uptake through the carbonation of industrial solid wastes represents an important technological pathway toward carbon neutrality, with performance jointly influenced by feedstock composition and process conditions. However, differences in data sources and feedstock characteristics complicate reliable prediction and limit model applicability acr...
Show More
-
Research Article
Study on the Multifield Coupling Response Mechanism of Coal Seam-Wellbore System in Supercritical Transformation Environment
Yishan Liu*,
Xiaoxuan Li,
Runxuan Sun,
Honglin Zhang,
Ming Feng,
Aodong Li
Issue:
Volume 14, Issue 6, December 2026
Pages:
464-470
Received:
8 October 2026
Accepted:
2 November 2026
Published:
10 November 2026
DOI:
10.11648/j.sr.20261406.21
Downloads:
Views:
Abstract: The in-situ conversion of deep coal resources represents one of the most important and promising technological directions for the efficient and clean utilization of deep coal deposits. However, because such conversion processes are typically conducted under extreme and complex environments characterized by high temperature, high pressure, and the coupled action of multiple physical and chemical components, the coal seam-wellbore system is highly susceptible to structural instability, mechanical failure, and integrity damage. In view of these distinctive and challenging characteristics, there is an urgent need to reveal the underlying mechanisms by which the aforementioned factors influence the adaptability of the coal seam-wellbore system to supercritical conversion.The principal focus of this study is the effect mechanism of the thermo-poro-chemo-mechanical (temperature-pressure-seepage-reaction) multi-field coupled action on the entire coal-wellbore system. Accordingly, this paper establishes an evaluation methodology for the stability and integrity of the wellbore system under supercritical conversion conditions, and develops a comprehensive life-cycle evaluation system for the wellbore. By clarifying the coupling laws among thermal, hydraulic, mechanical, and chemical fields, the proposed method provides a theoretical foundation for the safe and efficient development of deep coal resources through in-situ conversion. This integrated framework is expected to support the design of wellbore engineering technical solutions and process measures tailored to coal in-situ conversion, and to contribute substantially to ensuring the safety, reliability, and quality of the entire underground coal gasification process. The research outcomes are of great significance for promoting the industrial application of underground coal gasification technology.
Abstract: The in-situ conversion of deep coal resources represents one of the most important and promising technological directions for the efficient and clean utilization of deep coal deposits. However, because such conversion processes are typically conducted under extreme and complex environments characterized by high temperature, high pressure, and the c...
Show More
