BACKGROUND Despite societal guidelines recommending targeted screening for Barrett’s esophagus(BE)and esophageal adenocarcinoma(EAC)in individuals with gastroesophageal reflux symptoms(GERS),screening adherence is su...BACKGROUND Despite societal guidelines recommending targeted screening for Barrett’s esophagus(BE)and esophageal adenocarcinoma(EAC)in individuals with gastroesophageal reflux symptoms(GERS),screening adherence is suboptimal.Current screening approaches fail to identify individuals not seeking medical consultation for GERS or whose GERS are managed with‘over-the-counter’(OTC)acid suppressant therapies.AIM To assess patients’self-management and help-seeking behavior for GERS.METHODS This cross-sectional study collected data from the Dutch general population aged 18-75 years between January and April 2023 using a web-based survey.The survey included questions regarding self-management(e.g.,use of acid suppressant therapy with or without prescription)and help-seeking behavior(e.g.,consulting a primary care provider)for GERS.Simple random sampling was performed to select individuals within the target age group.In total,18156 randomly selected individuals were invited to participate.The study protocol was registered in ClinicalTrials.gov(identifier:NCT05689918).RESULTS Of the 18156 invited individuals,3214 participants(17.7%)completed the survey,of which 1572 participants(48.9%)reported GERS.Of these,904 participants(57.5%)had never consulted a primary care provider for these symptoms,of which 331 participants(36.6%)reported taking OTC acid suppressant therapy in the past six months and 100 participants(11.1%)fulfilled the screening criteria for BE and EAC according to the European Society of Gastrointestinal Endoscopy Guideline.CONCLUSION The population fulfilling the screening criteria for BE and EAC is incompletely identified,suggesting potential underutilization of medical consultation.Raising public awareness of GERS as a risk factor for EAC is needed.展开更多
This study explores the motivations,perceived benefits,and challenges associated with the adoption of clearcutfree forestry by early adopters among non-industrial private forest(NIPF)owners in southern-central Sweden....This study explores the motivations,perceived benefits,and challenges associated with the adoption of clearcutfree forestry by early adopters among non-industrial private forest(NIPF)owners in southern-central Sweden.Clearcut-free forestry,characterized by continuous tree cover and an emphasis on biodiversity,structural diversity,and ecosystem services(ES),is increasingly seen as a sustainable alternative to conventional intensive management based on short rotations and clear-cutting practices.Based on qualitative interviews with 22 NIPF owners who have adopted this approach,the study provides insights into how these early adopters perceive the value of clearcut-free forestry.Reported motivations include environmental concerns,such as biodiversity conservation and climate resilience,as well as strong socio-cultural values linked to family traditions,aesthetic preferences,and community wellbeing.In this study,we use the multi-level perspective(MLP)framework to conceptualize NIPF owners who have adopted clearcut-free forestry as niche actors and analyze their potential contribution to the emergence of an alternative forest management regime.The findings highlight that early adopters associate multiple benefits with clearcut-free forestry,encompassing enhanced ecosystem services such as carbon sequestration,water regulation,habitat preservation,and socio-cultural enrichment through recreation and relational values.However,the interviewees identify several interrelated challenges,including knowledge gaps,lack of clear definitions and standardized practices,limited advisory services,underdeveloped value chains for high-quality timber,and market barriers,which hinder more widespread adoption.Within the multi-level perspective,owner perceptions linking clearcut-free management with improved forest multifunctionality serve as a key driver of niche-level experimentation.This suggests an alignment between these owners and evolving societal demands for more inclusive,sustainable,and diversified forest use.Policy recommendations include targeted investments in knowledge co-production,infrastructure,market incentives,and certification schemes to support the economic viability and broader adoption of clearcut-free forestry.展开更多
BACKGROUND The correlation conclusions between self-management,frailty,and quality of life(QoL)of chronic obstructive pulmonary disease(COPD)patients are inconsistent.AIM To comprehensively assess the current status o...BACKGROUND The correlation conclusions between self-management,frailty,and quality of life(QoL)of chronic obstructive pulmonary disease(COPD)patients are inconsistent.AIM To comprehensively assess the current status of self-management,psychological cognitive impairment,and QoL in elderly patients with COPD.METHODS Convenient sampling was employed to select 312 elderly patients with COPD who were receiving treatment in the respiratory and critical care medicine department of a tertiary grade A hospital from November 2023 to February 2024.The study utilized demographic information and clinical characteristics,selfmanagement behavior,occurrence of psychological cognitive impairment,and QoL as evaluated through general information questionnaires,the COPD patient self-management scale,simple frailty scale,simple mental status scale,clinical dementia assessment scale,and the clinical COPD assessment test questionnaire.This research aims to describe the current status and correlations among selfmanagement behavior,cognitive impairment occurrence,and QoL.RESULTS The average score for self-management behavior in elderly COPD patients was 136.00(119.00,164.50),indicating a moderate level overall.There were 98 cases of cognitive impairment,accounting for 31.4%,with a mental status score of 3(2,3.75).The average QoL score was 24(19,28),indicating a low level.Additionally,there was a negative correlation between total self-management behavior score and cognitive impairment occurrence(r=-0.589,P<0.001),and QoL total score(r=-0.409,P<0.001).Cognitive impairment occurrence was positively correlated with QoL total score(r=0.345,P<0.001).Disease course and self-management behavior score were independent factors affecting the total QoL score in elderly COPD patients(P<0.05).CONCLUSION The self-management behavior of elderly patients with COPD is at a moderate level.However,the occurrence of cognitive impairment is high and significantly influenced by disease course,level of self-management,and mental status.The QoL is low,emphasizing the urgent need to intervene in the self-management behaviors of elderly COPD patients,actively reduce the occurrence of cognitive impairment,and mitigate the impact of the disease on QoL.展开更多
BACKGROUND At present,China has become the country with the largest number of individuals with diabetes mellitus(DM)in the world,with a total of approximately 140 million patients,the majority of whom have type 2 DM(T...BACKGROUND At present,China has become the country with the largest number of individuals with diabetes mellitus(DM)in the world,with a total of approximately 140 million patients,the majority of whom have type 2 DM(T2DM).Based on conven-tional nursing methods,community home care has important clinical significance in controlling blood sugar and disease progression.AIM To explore the impact of community public health nursing on treatment effect,health cognition,and self-management in patients with T2DM.METHODS One hundred patients with T2DM were selected as the research subjects.The patients were divided into either a conventional nursing group or community nursing(CN)group using the random number table method.The conventional nursing group(50 cases)received routine care,while the CN group(50 cases)received community public health care in addition to routine care as that for the conventional nursing group.The rate of excellent and good blood glucose control,fasting blood glucose before and after care,2-h postprandial blood glucose,health cognition,and self-management ability,and patient satisfaction were compared between the two groups.RESULTS The CN group had a higher rate of excellent blood sugar control than the conventional nursing group(88%vs 70%,P<0.05).Before care,there was no significant difference in fasting blood glucose or 2-h postprandial blood glucose between the two groups of patients(P>0.05).After nursing,fasting blood glucose and 2-h postprandial blood glucose were reduced to varying degrees in both groups,and both blood glucose levels in the CN group were lower than those of the conventional nursing group(P<0.05).Compared with the scores before care,the cognitive level score for diabetes and self-management ability score improved after care in both groups.The cognitive level and self-management ability of patients in the CN group were higher than those of the conventional nursing group(P<0.05).The overall satisfaction of the CN group was better than that of the conventional nursing group(98%vs 86%,P<0.05).CONCLUSION Community public health care based on conventional care of T2DM can achieve better blood sugar control,and improve patients’health cognitive level and self-management ability.展开更多
Climate change is the most severe ecological challenge faced by the world today.Forests,the dominant component of terrestrial ecosystems,play a critical role in mitigating climate change due to their powerful carbon s...Climate change is the most severe ecological challenge faced by the world today.Forests,the dominant component of terrestrial ecosystems,play a critical role in mitigating climate change due to their powerful carbon sequestration capabilities.Meanwhile,climate change has also become a major factor affecting the sustainable management of forest ecosystems.Climate-Smart Forestry(CSF)is an emerging concept in sustainable forest management.By utilizing advanced technologies,such as information technology and artificial intelligence,CSF aims to develop innovative and proactive forest management methods and decision-making systems to address the challenges of climate change.CSF aims to enhance forest ecosystem resilience(i.e.,maintain a condition where,even when the state of the ecosystem changes,the ecosystem functions do not deteriorate)through climate change adaptation,improve the mitigation capabilities of forest ecosystems to climate change,maintain high,stable,and sustainable forest productivity and ecosystem services,and ultimately achieve harmonious development between humans and nature.This concept paper:(1)discusses the emergence and development of CSF,which integrates Ecological Forestry,Carbon Forestry,and Smart Forestry,and proposes the concept of CSF;(2)analyzes the goals of CSF in improving forest ecosystem stability,enhancing forest ecosystem carbon sequestration capacity,and advocating the application and development of new technologies in CSF,including artificial intelligence,robotics,Light Detection and Ranging,and forest digital twin;(3)presents the latest practices of CSF based on prior research on forest structure and function using new generation information technologies at Qingyuan Forest,China.From these practices and reflections,we suggested the development direction of CSF,including the key research topics and technological advancement.展开更多
Forest planning involves estimating the biomass of species present in the area.Two fundamental parameters are diameter and height through which it is possible to indirectly estimate of biomass present.Digitalisation o...Forest planning involves estimating the biomass of species present in the area.Two fundamental parameters are diameter and height through which it is possible to indirectly estimate of biomass present.Digitalisation of forestry operations,such as forest planning,is crucial and should be affordable and easy-to-use digital applications and open-source devices.A digital progressive web application(PWA)was designed to record measurements.The app was connected via bluetoot to an open-source IoT digital forestry caliper prototyped by modifying a commercial tree caliper.An economic analysis was carried out considering all costs necessary for the development and operation of the app on smartphones and the preparation of electronic means for creation of the digital caliper.A comparison was made between costs of detecting tree diameters through application of the technology developed compared to costs calculated by applying the use of a dendrometric caliper(three technological levels were considered:L1,L2 and L3).The PWA allowed for easy data entry and viewing,maps and tree densities.The open-source digital caliper showed accuracy and precision comparable with similar commercial devices(1.5%±0.9%and 0.0%±0.9%,respectively).Total time per operator was lower using the digital caliper.From an economic perspective,application of the digital technology was more sustainable than the traditional system.Use of the digital caliper in combination with the web application optimizes detection time of a single tree,and therefore decreases overall cost.展开更多
Background: Hip osteoarthritis (HOA) causes joint destruction, resulting in hip pain, limited range-of-motion, claudication, and joint deformity. In the conservative treatment of HOA, self-management is important to m...Background: Hip osteoarthritis (HOA) causes joint destruction, resulting in hip pain, limited range-of-motion, claudication, and joint deformity. In the conservative treatment of HOA, self-management is important to manage symptoms and control disease progression. In a previous study, the researchers conducted a conceptual analysis of 43 foreign studies on self-management during conservative therapy for patients with HOA. The results revealed a definition of self-management during conservative therapy for patients with HOA. However, because that study analyzed only the foreign literature, it remains unclear whether the findings reflect the characteristics of the Japanese health-care delivery system, health-care insurance system, or the lifestyles and cultural characteristics of Japanese patients with HOA. Objective: We aimed to clarify the self-management behaviors of patients with HOA. Methods: Semi-structured interviews were conducted with five patients diagnosed with HOA, and the results were subjected to inductive qualitative analysis. Results: Six categories of self-management behaviors were extracted for patients with HOA: [active information gathering about HOA], [personalized pain and weight management, and strategies for reducing hip joint load], [reflection on living conditions with individuals and professionals, and determination for future efforts], [continuation of exercise and weight management based on personal strengths and achievements, and mutual support with others], [coexistence with HOA while managing negative feelings], and [choosing treatment methods by trusting doctors while struggling with personal needs]. Conclusion: These findings suggest the need to develop health guidance and educational programs for patients with HOA that focus on how to prevent disease progression and cope with symptoms.展开更多
Background:Falls are a significant public health concern among older adults,often leading to severe injuries and decreased quality of life.Fall prevention self-management behaviors are critical in reducing fall risk.H...Background:Falls are a significant public health concern among older adults,often leading to severe injuries and decreased quality of life.Fall prevention self-management behaviors are critical in reducing fall risk.However,the status and influencing factors of these behaviors among community-dwelling older adults in China remain poorly understood.This study aimed to investigate fall prevention self-management behaviors and their influencing factors among community-dwelling older adults in Fuzhou,China.Methods:From June to December 2022,we used multi-stage cluster random sampling and invited 675 community-dwelling older adults from Fujian as participants.We conducted a questionnaire survey using the general information questionnaire,Fall Prevention Self-management Behavior among Older Adults Questionnaire,Questionnaire on Knowledge,Belief,and Practice of Falls Prevention among Older Adults in Community,Modified Falls Efficacy Scale,Social Support Rating Scale,and Chinese Version of the Self-Assessment Fall Risk Scale for Older Adults.Multivariate linear regression was used to identify the factors influencing fall prevention self-management behavior among older adults.Results:The overall score of fall prevention self-management behaviors was 146.81±34.22,indicating a moderate level.Key influencing factors included education level,pre-retirement occupation,income,medication type,self-assessed physical condition,fear of falling,knowledge and practices in fall prevention,social support,and fall risk.These factors collectively explained 34.3%of the variance in self-management behaviors.Conclusion:The findings highlight the need for targeted interventions to enhance fall prevention self-management among community-dwelling older adults.Interventions should focus on improving knowledge,strengthening social support,and addressing psychological barriers such as fear of falling.This study provides valuable insights for developing community-based strategies to reduce fall risks and promote healthy aging.展开更多
BACKGROUND Esophageal cancer(EC)is an aggressive malignancy with low survival(10%-30%).Nutritional problems are present throughout the perioperative period and are key to prognosis.Home enteral nutrition appears to im...BACKGROUND Esophageal cancer(EC)is an aggressive malignancy with low survival(10%-30%).Nutritional problems are present throughout the perioperative period and are key to prognosis.Home enteral nutrition appears to improve the nutritional status of patients with EC.Few studies have addressed the experience of patients administering their own nutritional fluids and managing their own feeding tubes at home.The aim of this study was to explore the real-life experience of self-management of feeding tubes in patients at home after EC surgery in the first 3 months after discharge following surgery.AIM To explore feeding tube self-management experience of patients at home 3 months after discharge following EC surgery.METHODS Face-to-face semi-structured interviews were conducted with 18 patients using a feeding tube at home after EC surgery.Thematic analysis of the recordings identified themes related to feeding tube self-management.RESULTS Patients expressed similar feelings about their tube management experiences concerning three contextualized themes:Self-management dilemmas,distressing experiences,and self-management facilitators.CONCLUSION There are many dilemmas and problems in self-managing feeding tubes in postoperative homebound patients with EC.Clinical staff should provide guidance to promote a positive change in self-management behavior.展开更多
Entomopathogenic nematodes(EPNs)represent a promising biological control strategy for managing insect pest populations,offering an environmentally sustainable alternative to conventional chemical pesticides.This revie...Entomopathogenic nematodes(EPNs)represent a promising biological control strategy for managing insect pest populations,offering an environmentally sustainable alternative to conventional chemical pesticides.This review examines the application of EPNs in forestry,highlighting their biological and ecological characteristics,mechanisms of action,and efficacy against key forest pests.By exploring various methods of EPN application,including soil injection,foliar spray,and trunk injection,practical challenges and potential solutions for effective implementation are assessed.Case studies demonstrate successful use of EPNs in controlling pests such as bark beetles,wood borers,and root weevils,underscoring their potential for integration into integrated pest management(IPM)programs.Despite current limitations,including environmental sensitivity and application constraints,ongoing research and technological advancements continue to enhance the efficacy and reliability of EPNs.This review underscores the importance of EPNs in sustainable forestry practices and calls for further research to optimize their use and to address existing challenges,ultimately contributing to healthier forest ecosystems and reduced reliance on chemical pesticides.展开更多
Diabetes is a major public health concern worldwide. Low and middle-income countries are the most affected. Diabetes self-management can significantly reduce the burden of diabetes complications and mortality. This cr...Diabetes is a major public health concern worldwide. Low and middle-income countries are the most affected. Diabetes self-management can significantly reduce the burden of diabetes complications and mortality. This cross-sectional study was conducted at the outpatient department of a county referral hospital in Kenya, from 1st August 2022 to 30th October 2022. Patients with known type II diabetes of age ≥ 20 years visiting the hospital for routine follow-up visits were included. A 7-tem Summary of Diabetes Self-care Activities (SDSAC) Questionnaire was used to assess Diabetes self-care activities. For data entry and statistical analysis, SPSS for Windows version 27.0 was used. There were 96 (39.2%) males and 149 (60.8%) females. Most of the participants were more than 61 years, 148 (60.4%). Significant association was found between the sum scale scores of dietary activities, blood glucose testing, physical activity, foot care, and neuropathy at 95% CI and (p Conclusions: Diabetes self-management activities have an impact on microvascular complications in patients with diabetes.展开更多
Biochar,a carbon-rich material derived from the thermochemical conversion of biomass under oxygenfree conditions,has emerged as a sustainable resource for radar-absorbing technologies.This study explores the productio...Biochar,a carbon-rich material derived from the thermochemical conversion of biomass under oxygenfree conditions,has emerged as a sustainable resource for radar-absorbing technologies.This study explores the production of activated biochars from end-of-life wood panels using a scalable and sustainable physical activation method with CO_(2) at different temperatures,avoiding the extensive use of corrosive chemicals and complex procedures associated with chemical or vacuum activation.Compared to conventional chemically or vacuum-activated biochars,the physically activated biochar demonstrated competitive performance while minimizing environmental impact,operational complexity,and energy consumption.Furthermore,activation at 750℃ reduces energy consumption by 14% and 28% compared to activations at 850℃ and 950℃,respectively,emphasizing the cost-effectiveness of this method for large-scale applications.The composite with 15% of biochar embedded in silicon rubber presented good electromagnetic performance,achieving a measured reflection loss(RL)of−37.2 dB at 11.3 GHz with an 8.4 mm thickness and an effective absorption bandwidth(EAB)of 1.25 GHz.These results highlight the potential of biocharsilicone rubber composites as flexible radar-absorbing materials(RAMs)for applications in electromagnetic shielding,anechoic chambers,and Internet of Things(IoT)devices.This study also shows the importance of forestry residues as sustainable precursors for producing low-cost porous carbon materials,aligning with circular economy principles and the United Nations’2030 Agenda for Sustainable Development.This work establishes a framework for scalable,cost-effective,and sustainable biochar production,addressing critical challenges in electromagnetic interference(EMI)mitigation and advancing the global adoption of green technologies.展开更多
Objective:The objective of this study is to explore the current situation of nurses’participant activation for self-management of low back pain,analyze its influencing factors,and provide a reference for improving th...Objective:The objective of this study is to explore the current situation of nurses’participant activation for self-management of low back pain,analyze its influencing factors,and provide a reference for improving the participant activation for self-management of low back pain.Materials and Methods:A cross-sectional study was conducted with 5,120 nurses recruited through convenience sampling from hospitals across 25 provinces and municipalities in China.Participants completed two standardized instruments:General Information Questionnaire which collected demographic characteristics and work-related factors,and the Participant Activation for Self-Management of Back Pain Questionnaire which measured activation levels across three dimensions(including self-management beliefs,self-management awareness,and knowledge related to low back pain).Results:The score of nurses’participant activation for low back pain self-management was 38.00(33.00,44.00).The results of multiple linear regression showed that nurses of different gender,age,and professional titles,whether they had administrative positions,and whether they had back pain in the past year were influencing factors of nurses’participant activation for low back pain management.Conclusion:The overall participant activation for self-management of low back pain is at a medium level.Their self-management awareness is strong,but their beliefs about management of low back pain are insufficient.Targeted intervention measures can be taken to improve their activation for management of back pain and reduce the incidence of occupational low back pain.展开更多
Objective:To explore the self-management experiences and outpatient nursing needs of intestinal stoma patients during the post-discharge transition period,in order to provide a basis for scientific decision-making in ...Objective:To explore the self-management experiences and outpatient nursing needs of intestinal stoma patients during the post-discharge transition period,in order to provide a basis for scientific decision-making in patient self-care and improvements in specialized stoma outpatient services.Methods:Using purposive sampling,13 colorectal cancer patients in the post-discharge transition period who had undergone intestinal stoma surgery were selected from a tertiary hospital in Shandong Province between November 2024 and March 2025.Semi-structured interviews were conducted,and data were analyzed using Colaizzi’s seven-step method to extract themes.Results:Three core themes were identified:challenges in self-management during the transition period,outpatient nursing needs during the transition period,and gaps in doctor-patient information continuity.Conclusion:Future efforts should focus on high-risk groups of stoma patients during the transition period by building intelligent and systematic outpatient guidance and support systems to improve their quality of life.展开更多
Objective: To explore the application effect of self-management based on Snyder’s hope theory in diabetic patients. Methods: A total of 260 patients with diabetes from a community were selected through convenient sam...Objective: To explore the application effect of self-management based on Snyder’s hope theory in diabetic patients. Methods: A total of 260 patients with diabetes from a community were selected through convenient sampling and randomly divided into an experimental group and a control group using the random number table method, with 130 cases in each group. Five cases were lost in the experimental group, resulting in 125 effective cases, while all 130 cases in the control group were effective. The control group received standard lectures on diabetes self-management behavior and traditional approaches, such as the distribution of educational manuals. The experimental group underwent a self-management behavior intervention program for diabetic patients based on Snyder’s hope theory model, encompassing three components: goals, pathways, and motivational thinking. The levels of hope and self-management behavior were compared between the two groups. Results: After the intervention, the scores for hope levels and self-management behaviors in both groups were significantly higher than those recorded before the intervention (P < 0.05). Furthermore, the hope level and self-management behavior scores of the experimental group were significantly higher than those of the control group (P < 0.05). Conclusion: The application of Snyder’s hope theory model in diabetic patients demonstrates significant benefits, improving patients’ hope levels and, consequently, enhancing their self-management behaviors.展开更多
Self-management interventions for chronic obstructive pulmonary disease(COPD)patients using mobile health technology are beneficial for relieving disease symptoms,improving patients’adherence to rehabilitation self-m...Self-management interventions for chronic obstructive pulmonary disease(COPD)patients using mobile health technology are beneficial for relieving disease symptoms,improving patients’adherence to rehabilitation self-management,and improving quality of life.This paper reviews the application of mobile health technology in self-management of patients with chronic obstructive pulmonary disease,introduces the application form of mobile health technology in self-management of patients with chronic obstructive pulmonary disease,summarizes its application effect in self-management of patients with chronic obstructive pulmonary disease,analyzes the problems and proposes solutions in the process of research and implementation at this stage,with a view to providing a theory for the application of mobile health technology in pulmonary rehabilitation and management of patients with chronic obstructive pulmonary disease This study summarize the effect of its application in the self-management of patients with chronic obstructive pulmonary disease.展开更多
Objective:Effective Chronic Kidney Disease(CKD)management is particularly important in cold regions of China,where climate and lifestyle factors play significant roles.However,there is a lack of relevant studies in th...Objective:Effective Chronic Kidney Disease(CKD)management is particularly important in cold regions of China,where climate and lifestyle factors play significant roles.However,there is a lack of relevant studies in this area.Therefore,the purpose of this study was:(1)to assess the status of self-management capacity in individuals with CKD in cold regions of China and analyze the factors influencing it;(2)to identify strategies to improve CKD management in primary care settings in these regions;and(3)to understand patients'attitudes toward eHealth services.Methods:This was a regional,cross-sectional observational study.A questionnaire measuring CKD patients'self-management abilities was derived from the Perceived Kidney Disease Self-Management Scale,the Kidney Disease Behavioral Inventory(KDBI),and the Health Literacy Questionnaire.Data were collected from hospitalized CKD patients in Heilongjiang Province and analyzed using One-Way Analysis of Variance(ANOVA),Hierarchical Regression Analysis,and K-prototype cluster analysis.Results:A total of 957 participants were tested.Of these,70.64%had less than a bachelor's degree,and 56.27%had been diagnosed with hypertensive or diabetic nephropathy.The KDBI scale showed a lower overall score compared to the PKDSMS.Factors such as CKD stage 4(F=2.367,P=0.042),last year's medical expenses(F=3.974,P=0.004),and poor self-rated health(F=33.352,P<0.01)were found to influence scores on both scales.The health literacy questionnaire revealed significant differences(P<0.01)in health knowledge,except by sex.Additionally,healthcare expenditures and poor self-rated health were negatively associated with self-management capacity.Conclusion:This study provides valuable insights into the self-management challenges faced by CKD patients in cold regions of China.Despite some difficulties in improving self-management,patients showed positive attitudes toward enhancing CKD management services in primary care and developing digital management tools.These findings offer useful references and recommendations for future clinical practice and research in this field.展开更多
Under the background of exam-oriented education in China,art education has been marginalized,and the career success of junior middle school art teachers is being challenged.The influencing factors have become a topic ...Under the background of exam-oriented education in China,art education has been marginalized,and the career success of junior middle school art teachers is being challenged.The influencing factors have become a topic worthy of exploration.Therefore,this study aims to investigate the influence on career success and career self-development among junior middle school art teachers in Shenzhen,China.This study conducted a questionnaire survey among junior middle school art teachers in Shenzhen,China.The results show that career self-management affects the career success of art teachers.On this basis,this study proposes some strategies to help the group of art teachers achieve higher career success by improving their career self-management levels.展开更多
As a vital component of the national economic system,the forestry economy plays a significant role in promoting economic and social development.With the increasing emphasis on green and sustainable development,the car...As a vital component of the national economic system,the forestry economy plays a significant role in promoting economic and social development.With the increasing emphasis on green and sustainable development,the carbon sink market has gained widespread attention and experienced rapid expansion,exerting a profound impact on the sustainable development of the forestry economy.In this new stage,deepening the relationship between the carbon sink market and the forestry economy is of great practical significance for enhancing forest coverage,advancing forestry economic growth,and fostering green ecological development.This paper analyzes the impact of the carbon sink market on the sustainable development of the forestry economy and explores specific strategies for its advancement.展开更多
Forestry waste(FW)is a significant renewable energy source in China.The substitution of coal blends(BC)with forestry waste to produce metallurgical coke was investigated aiming at expanding alternative resources and r...Forestry waste(FW)is a significant renewable energy source in China.The substitution of coal blends(BC)with forestry waste to produce metallurgical coke was investigated aiming at expanding alternative resources and reducing CO_(2)emissions in ironmaking process.The BC with different ratios of FW were carbonized in a fixed bed reactor,and the physicochemical structure of the coke derived from FW/BC co-carbonization was characterized by Fourier transform infrared spectroscopy,X-ray photoelectron spectroscopy,solid-state^(13)C nuclear magnetic resonance,optical microscopy,and scanning electron microscopy.The results reveal that the suitable incorporation of FW in BC is 10 wt.%,and the index of coke quality exhibits a good correlation with the optical anisotropy index and the aromaticity of the as-obtained cokes.The partial substitution of BC with FW exhibits potential benefits for colloid formation,owing to the higher hydrogen in FW.However,as the substitution ratio of BC with FW increases,it inhibits coke agglomeration due to more tortuous stacked structures formation during volatile releasing process.Moreover,it was identified that the substitution of higher BC ratios with FW results in the partial replacement of aromatic carbons by oxygenlinked carbons and aliphatic carbons.This substitution leads to a reduction in the aromaticity of the as-obtained coke.展开更多
文摘BACKGROUND Despite societal guidelines recommending targeted screening for Barrett’s esophagus(BE)and esophageal adenocarcinoma(EAC)in individuals with gastroesophageal reflux symptoms(GERS),screening adherence is suboptimal.Current screening approaches fail to identify individuals not seeking medical consultation for GERS or whose GERS are managed with‘over-the-counter’(OTC)acid suppressant therapies.AIM To assess patients’self-management and help-seeking behavior for GERS.METHODS This cross-sectional study collected data from the Dutch general population aged 18-75 years between January and April 2023 using a web-based survey.The survey included questions regarding self-management(e.g.,use of acid suppressant therapy with or without prescription)and help-seeking behavior(e.g.,consulting a primary care provider)for GERS.Simple random sampling was performed to select individuals within the target age group.In total,18156 randomly selected individuals were invited to participate.The study protocol was registered in ClinicalTrials.gov(identifier:NCT05689918).RESULTS Of the 18156 invited individuals,3214 participants(17.7%)completed the survey,of which 1572 participants(48.9%)reported GERS.Of these,904 participants(57.5%)had never consulted a primary care provider for these symptoms,of which 331 participants(36.6%)reported taking OTC acid suppressant therapy in the past six months and 100 participants(11.1%)fulfilled the screening criteria for BE and EAC according to the European Society of Gastrointestinal Endoscopy Guideline.CONCLUSION The population fulfilling the screening criteria for BE and EAC is incompletely identified,suggesting potential underutilization of medical consultation.Raising public awareness of GERS as a risk factor for EAC is needed.
基金financed by a grant from Mistra[DIA 2019/28]and from Formas via the National Research Programme on Climate(2021–00416)FORMAS,Grant Nos.2022-02146 and 2021–01067Swedish Environmental Protection Agency Research Grant No.2021–00040。
文摘This study explores the motivations,perceived benefits,and challenges associated with the adoption of clearcutfree forestry by early adopters among non-industrial private forest(NIPF)owners in southern-central Sweden.Clearcut-free forestry,characterized by continuous tree cover and an emphasis on biodiversity,structural diversity,and ecosystem services(ES),is increasingly seen as a sustainable alternative to conventional intensive management based on short rotations and clear-cutting practices.Based on qualitative interviews with 22 NIPF owners who have adopted this approach,the study provides insights into how these early adopters perceive the value of clearcut-free forestry.Reported motivations include environmental concerns,such as biodiversity conservation and climate resilience,as well as strong socio-cultural values linked to family traditions,aesthetic preferences,and community wellbeing.In this study,we use the multi-level perspective(MLP)framework to conceptualize NIPF owners who have adopted clearcut-free forestry as niche actors and analyze their potential contribution to the emergence of an alternative forest management regime.The findings highlight that early adopters associate multiple benefits with clearcut-free forestry,encompassing enhanced ecosystem services such as carbon sequestration,water regulation,habitat preservation,and socio-cultural enrichment through recreation and relational values.However,the interviewees identify several interrelated challenges,including knowledge gaps,lack of clear definitions and standardized practices,limited advisory services,underdeveloped value chains for high-quality timber,and market barriers,which hinder more widespread adoption.Within the multi-level perspective,owner perceptions linking clearcut-free management with improved forest multifunctionality serve as a key driver of niche-level experimentation.This suggests an alignment between these owners and evolving societal demands for more inclusive,sustainable,and diversified forest use.Policy recommendations include targeted investments in knowledge co-production,infrastructure,market incentives,and certification schemes to support the economic viability and broader adoption of clearcut-free forestry.
文摘BACKGROUND The correlation conclusions between self-management,frailty,and quality of life(QoL)of chronic obstructive pulmonary disease(COPD)patients are inconsistent.AIM To comprehensively assess the current status of self-management,psychological cognitive impairment,and QoL in elderly patients with COPD.METHODS Convenient sampling was employed to select 312 elderly patients with COPD who were receiving treatment in the respiratory and critical care medicine department of a tertiary grade A hospital from November 2023 to February 2024.The study utilized demographic information and clinical characteristics,selfmanagement behavior,occurrence of psychological cognitive impairment,and QoL as evaluated through general information questionnaires,the COPD patient self-management scale,simple frailty scale,simple mental status scale,clinical dementia assessment scale,and the clinical COPD assessment test questionnaire.This research aims to describe the current status and correlations among selfmanagement behavior,cognitive impairment occurrence,and QoL.RESULTS The average score for self-management behavior in elderly COPD patients was 136.00(119.00,164.50),indicating a moderate level overall.There were 98 cases of cognitive impairment,accounting for 31.4%,with a mental status score of 3(2,3.75).The average QoL score was 24(19,28),indicating a low level.Additionally,there was a negative correlation between total self-management behavior score and cognitive impairment occurrence(r=-0.589,P<0.001),and QoL total score(r=-0.409,P<0.001).Cognitive impairment occurrence was positively correlated with QoL total score(r=0.345,P<0.001).Disease course and self-management behavior score were independent factors affecting the total QoL score in elderly COPD patients(P<0.05).CONCLUSION The self-management behavior of elderly patients with COPD is at a moderate level.However,the occurrence of cognitive impairment is high and significantly influenced by disease course,level of self-management,and mental status.The QoL is low,emphasizing the urgent need to intervene in the self-management behaviors of elderly COPD patients,actively reduce the occurrence of cognitive impairment,and mitigate the impact of the disease on QoL.
文摘BACKGROUND At present,China has become the country with the largest number of individuals with diabetes mellitus(DM)in the world,with a total of approximately 140 million patients,the majority of whom have type 2 DM(T2DM).Based on conven-tional nursing methods,community home care has important clinical significance in controlling blood sugar and disease progression.AIM To explore the impact of community public health nursing on treatment effect,health cognition,and self-management in patients with T2DM.METHODS One hundred patients with T2DM were selected as the research subjects.The patients were divided into either a conventional nursing group or community nursing(CN)group using the random number table method.The conventional nursing group(50 cases)received routine care,while the CN group(50 cases)received community public health care in addition to routine care as that for the conventional nursing group.The rate of excellent and good blood glucose control,fasting blood glucose before and after care,2-h postprandial blood glucose,health cognition,and self-management ability,and patient satisfaction were compared between the two groups.RESULTS The CN group had a higher rate of excellent blood sugar control than the conventional nursing group(88%vs 70%,P<0.05).Before care,there was no significant difference in fasting blood glucose or 2-h postprandial blood glucose between the two groups of patients(P>0.05).After nursing,fasting blood glucose and 2-h postprandial blood glucose were reduced to varying degrees in both groups,and both blood glucose levels in the CN group were lower than those of the conventional nursing group(P<0.05).Compared with the scores before care,the cognitive level score for diabetes and self-management ability score improved after care in both groups.The cognitive level and self-management ability of patients in the CN group were higher than those of the conventional nursing group(P<0.05).The overall satisfaction of the CN group was better than that of the conventional nursing group(98%vs 86%,P<0.05).CONCLUSION Community public health care based on conventional care of T2DM can achieve better blood sugar control,and improve patients’health cognitive level and self-management ability.
基金financially supported by the National Natural Science Foundation of China(32192435)the Application and Demonstration Project of Network Security and Informatization Technology,Chinese Academy of Sciences(CAS-WX2022SF-0101)+1 种基金the Liaoning Provincial Key Research and Development Program(2023021230-JH2/1018)the Youth Innovation Promotion Association of CAS(2023205).
文摘Climate change is the most severe ecological challenge faced by the world today.Forests,the dominant component of terrestrial ecosystems,play a critical role in mitigating climate change due to their powerful carbon sequestration capabilities.Meanwhile,climate change has also become a major factor affecting the sustainable management of forest ecosystems.Climate-Smart Forestry(CSF)is an emerging concept in sustainable forest management.By utilizing advanced technologies,such as information technology and artificial intelligence,CSF aims to develop innovative and proactive forest management methods and decision-making systems to address the challenges of climate change.CSF aims to enhance forest ecosystem resilience(i.e.,maintain a condition where,even when the state of the ecosystem changes,the ecosystem functions do not deteriorate)through climate change adaptation,improve the mitigation capabilities of forest ecosystems to climate change,maintain high,stable,and sustainable forest productivity and ecosystem services,and ultimately achieve harmonious development between humans and nature.This concept paper:(1)discusses the emergence and development of CSF,which integrates Ecological Forestry,Carbon Forestry,and Smart Forestry,and proposes the concept of CSF;(2)analyzes the goals of CSF in improving forest ecosystem stability,enhancing forest ecosystem carbon sequestration capacity,and advocating the application and development of new technologies in CSF,including artificial intelligence,robotics,Light Detection and Ranging,and forest digital twin;(3)presents the latest practices of CSF based on prior research on forest structure and function using new generation information technologies at Qingyuan Forest,China.From these practices and reflections,we suggested the development direction of CSF,including the key research topics and technological advancement.
基金supported by the Italian Ministry of Agriculture,Ministry of Agriculture,Food Sovereignty and Forestry(MASAF),National program sub project Precision Forestry(AgriDigit program)(DM 36509.7305.2018 of 20/12/2018).
文摘Forest planning involves estimating the biomass of species present in the area.Two fundamental parameters are diameter and height through which it is possible to indirectly estimate of biomass present.Digitalisation of forestry operations,such as forest planning,is crucial and should be affordable and easy-to-use digital applications and open-source devices.A digital progressive web application(PWA)was designed to record measurements.The app was connected via bluetoot to an open-source IoT digital forestry caliper prototyped by modifying a commercial tree caliper.An economic analysis was carried out considering all costs necessary for the development and operation of the app on smartphones and the preparation of electronic means for creation of the digital caliper.A comparison was made between costs of detecting tree diameters through application of the technology developed compared to costs calculated by applying the use of a dendrometric caliper(three technological levels were considered:L1,L2 and L3).The PWA allowed for easy data entry and viewing,maps and tree densities.The open-source digital caliper showed accuracy and precision comparable with similar commercial devices(1.5%±0.9%and 0.0%±0.9%,respectively).Total time per operator was lower using the digital caliper.From an economic perspective,application of the digital technology was more sustainable than the traditional system.Use of the digital caliper in combination with the web application optimizes detection time of a single tree,and therefore decreases overall cost.
文摘Background: Hip osteoarthritis (HOA) causes joint destruction, resulting in hip pain, limited range-of-motion, claudication, and joint deformity. In the conservative treatment of HOA, self-management is important to manage symptoms and control disease progression. In a previous study, the researchers conducted a conceptual analysis of 43 foreign studies on self-management during conservative therapy for patients with HOA. The results revealed a definition of self-management during conservative therapy for patients with HOA. However, because that study analyzed only the foreign literature, it remains unclear whether the findings reflect the characteristics of the Japanese health-care delivery system, health-care insurance system, or the lifestyles and cultural characteristics of Japanese patients with HOA. Objective: We aimed to clarify the self-management behaviors of patients with HOA. Methods: Semi-structured interviews were conducted with five patients diagnosed with HOA, and the results were subjected to inductive qualitative analysis. Results: Six categories of self-management behaviors were extracted for patients with HOA: [active information gathering about HOA], [personalized pain and weight management, and strategies for reducing hip joint load], [reflection on living conditions with individuals and professionals, and determination for future efforts], [continuation of exercise and weight management based on personal strengths and achievements, and mutual support with others], [coexistence with HOA while managing negative feelings], and [choosing treatment methods by trusting doctors while struggling with personal needs]. Conclusion: These findings suggest the need to develop health guidance and educational programs for patients with HOA that focus on how to prevent disease progression and cope with symptoms.
基金the community of older adults who participated in this study.Ministry of Education Science and Technology Industry-University Co-operation Collaborative Education Project(230806630292310).
文摘Background:Falls are a significant public health concern among older adults,often leading to severe injuries and decreased quality of life.Fall prevention self-management behaviors are critical in reducing fall risk.However,the status and influencing factors of these behaviors among community-dwelling older adults in China remain poorly understood.This study aimed to investigate fall prevention self-management behaviors and their influencing factors among community-dwelling older adults in Fuzhou,China.Methods:From June to December 2022,we used multi-stage cluster random sampling and invited 675 community-dwelling older adults from Fujian as participants.We conducted a questionnaire survey using the general information questionnaire,Fall Prevention Self-management Behavior among Older Adults Questionnaire,Questionnaire on Knowledge,Belief,and Practice of Falls Prevention among Older Adults in Community,Modified Falls Efficacy Scale,Social Support Rating Scale,and Chinese Version of the Self-Assessment Fall Risk Scale for Older Adults.Multivariate linear regression was used to identify the factors influencing fall prevention self-management behavior among older adults.Results:The overall score of fall prevention self-management behaviors was 146.81±34.22,indicating a moderate level.Key influencing factors included education level,pre-retirement occupation,income,medication type,self-assessed physical condition,fear of falling,knowledge and practices in fall prevention,social support,and fall risk.These factors collectively explained 34.3%of the variance in self-management behaviors.Conclusion:The findings highlight the need for targeted interventions to enhance fall prevention self-management among community-dwelling older adults.Interventions should focus on improving knowledge,strengthening social support,and addressing psychological barriers such as fear of falling.This study provides valuable insights for developing community-based strategies to reduce fall risks and promote healthy aging.
文摘BACKGROUND Esophageal cancer(EC)is an aggressive malignancy with low survival(10%-30%).Nutritional problems are present throughout the perioperative period and are key to prognosis.Home enteral nutrition appears to improve the nutritional status of patients with EC.Few studies have addressed the experience of patients administering their own nutritional fluids and managing their own feeding tubes at home.The aim of this study was to explore the real-life experience of self-management of feeding tubes in patients at home after EC surgery in the first 3 months after discharge following surgery.AIM To explore feeding tube self-management experience of patients at home 3 months after discharge following EC surgery.METHODS Face-to-face semi-structured interviews were conducted with 18 patients using a feeding tube at home after EC surgery.Thematic analysis of the recordings identified themes related to feeding tube self-management.RESULTS Patients expressed similar feelings about their tube management experiences concerning three contextualized themes:Self-management dilemmas,distressing experiences,and self-management facilitators.CONCLUSION There are many dilemmas and problems in self-managing feeding tubes in postoperative homebound patients with EC.Clinical staff should provide guidance to promote a positive change in self-management behavior.
文摘Entomopathogenic nematodes(EPNs)represent a promising biological control strategy for managing insect pest populations,offering an environmentally sustainable alternative to conventional chemical pesticides.This review examines the application of EPNs in forestry,highlighting their biological and ecological characteristics,mechanisms of action,and efficacy against key forest pests.By exploring various methods of EPN application,including soil injection,foliar spray,and trunk injection,practical challenges and potential solutions for effective implementation are assessed.Case studies demonstrate successful use of EPNs in controlling pests such as bark beetles,wood borers,and root weevils,underscoring their potential for integration into integrated pest management(IPM)programs.Despite current limitations,including environmental sensitivity and application constraints,ongoing research and technological advancements continue to enhance the efficacy and reliability of EPNs.This review underscores the importance of EPNs in sustainable forestry practices and calls for further research to optimize their use and to address existing challenges,ultimately contributing to healthier forest ecosystems and reduced reliance on chemical pesticides.
文摘Diabetes is a major public health concern worldwide. Low and middle-income countries are the most affected. Diabetes self-management can significantly reduce the burden of diabetes complications and mortality. This cross-sectional study was conducted at the outpatient department of a county referral hospital in Kenya, from 1st August 2022 to 30th October 2022. Patients with known type II diabetes of age ≥ 20 years visiting the hospital for routine follow-up visits were included. A 7-tem Summary of Diabetes Self-care Activities (SDSAC) Questionnaire was used to assess Diabetes self-care activities. For data entry and statistical analysis, SPSS for Windows version 27.0 was used. There were 96 (39.2%) males and 149 (60.8%) females. Most of the participants were more than 61 years, 148 (60.4%). Significant association was found between the sum scale scores of dietary activities, blood glucose testing, physical activity, foot care, and neuropathy at 95% CI and (p Conclusions: Diabetes self-management activities have an impact on microvascular complications in patients with diabetes.
基金FINEP No.01.22.0305.00CAPES—Finance Code 88887.832847/2023-00 and 88887.631486/2021-00.
文摘Biochar,a carbon-rich material derived from the thermochemical conversion of biomass under oxygenfree conditions,has emerged as a sustainable resource for radar-absorbing technologies.This study explores the production of activated biochars from end-of-life wood panels using a scalable and sustainable physical activation method with CO_(2) at different temperatures,avoiding the extensive use of corrosive chemicals and complex procedures associated with chemical or vacuum activation.Compared to conventional chemically or vacuum-activated biochars,the physically activated biochar demonstrated competitive performance while minimizing environmental impact,operational complexity,and energy consumption.Furthermore,activation at 750℃ reduces energy consumption by 14% and 28% compared to activations at 850℃ and 950℃,respectively,emphasizing the cost-effectiveness of this method for large-scale applications.The composite with 15% of biochar embedded in silicon rubber presented good electromagnetic performance,achieving a measured reflection loss(RL)of−37.2 dB at 11.3 GHz with an 8.4 mm thickness and an effective absorption bandwidth(EAB)of 1.25 GHz.These results highlight the potential of biocharsilicone rubber composites as flexible radar-absorbing materials(RAMs)for applications in electromagnetic shielding,anechoic chambers,and Internet of Things(IoT)devices.This study also shows the importance of forestry residues as sustainable precursors for producing low-cost porous carbon materials,aligning with circular economy principles and the United Nations’2030 Agenda for Sustainable Development.This work establishes a framework for scalable,cost-effective,and sustainable biochar production,addressing critical challenges in electromagnetic interference(EMI)mitigation and advancing the global adoption of green technologies.
文摘Objective:The objective of this study is to explore the current situation of nurses’participant activation for self-management of low back pain,analyze its influencing factors,and provide a reference for improving the participant activation for self-management of low back pain.Materials and Methods:A cross-sectional study was conducted with 5,120 nurses recruited through convenience sampling from hospitals across 25 provinces and municipalities in China.Participants completed two standardized instruments:General Information Questionnaire which collected demographic characteristics and work-related factors,and the Participant Activation for Self-Management of Back Pain Questionnaire which measured activation levels across three dimensions(including self-management beliefs,self-management awareness,and knowledge related to low back pain).Results:The score of nurses’participant activation for low back pain self-management was 38.00(33.00,44.00).The results of multiple linear regression showed that nurses of different gender,age,and professional titles,whether they had administrative positions,and whether they had back pain in the past year were influencing factors of nurses’participant activation for low back pain management.Conclusion:The overall participant activation for self-management of low back pain is at a medium level.Their self-management awareness is strong,but their beliefs about management of low back pain are insufficient.Targeted intervention measures can be taken to improve their activation for management of back pain and reduce the incidence of occupational low back pain.
文摘Objective:To explore the self-management experiences and outpatient nursing needs of intestinal stoma patients during the post-discharge transition period,in order to provide a basis for scientific decision-making in patient self-care and improvements in specialized stoma outpatient services.Methods:Using purposive sampling,13 colorectal cancer patients in the post-discharge transition period who had undergone intestinal stoma surgery were selected from a tertiary hospital in Shandong Province between November 2024 and March 2025.Semi-structured interviews were conducted,and data were analyzed using Colaizzi’s seven-step method to extract themes.Results:Three core themes were identified:challenges in self-management during the transition period,outpatient nursing needs during the transition period,and gaps in doctor-patient information continuity.Conclusion:Future efforts should focus on high-risk groups of stoma patients during the transition period by building intelligent and systematic outpatient guidance and support systems to improve their quality of life.
文摘Objective: To explore the application effect of self-management based on Snyder’s hope theory in diabetic patients. Methods: A total of 260 patients with diabetes from a community were selected through convenient sampling and randomly divided into an experimental group and a control group using the random number table method, with 130 cases in each group. Five cases were lost in the experimental group, resulting in 125 effective cases, while all 130 cases in the control group were effective. The control group received standard lectures on diabetes self-management behavior and traditional approaches, such as the distribution of educational manuals. The experimental group underwent a self-management behavior intervention program for diabetic patients based on Snyder’s hope theory model, encompassing three components: goals, pathways, and motivational thinking. The levels of hope and self-management behavior were compared between the two groups. Results: After the intervention, the scores for hope levels and self-management behaviors in both groups were significantly higher than those recorded before the intervention (P < 0.05). Furthermore, the hope level and self-management behavior scores of the experimental group were significantly higher than those of the control group (P < 0.05). Conclusion: The application of Snyder’s hope theory model in diabetic patients demonstrates significant benefits, improving patients’ hope levels and, consequently, enhancing their self-management behaviors.
基金supported by the 2025 Hangzhou Normal University Teaching Development and Reform Project(Project No.JG2025320)。
文摘Self-management interventions for chronic obstructive pulmonary disease(COPD)patients using mobile health technology are beneficial for relieving disease symptoms,improving patients’adherence to rehabilitation self-management,and improving quality of life.This paper reviews the application of mobile health technology in self-management of patients with chronic obstructive pulmonary disease,introduces the application form of mobile health technology in self-management of patients with chronic obstructive pulmonary disease,summarizes its application effect in self-management of patients with chronic obstructive pulmonary disease,analyzes the problems and proposes solutions in the process of research and implementation at this stage,with a view to providing a theory for the application of mobile health technology in pulmonary rehabilitation and management of patients with chronic obstructive pulmonary disease This study summarize the effect of its application in the self-management of patients with chronic obstructive pulmonary disease.
基金supported by the Natural Science Foundation of China(7247042122)the Key Research and Development Project of Heilongjiang Province,China(2024ZX12C06).
文摘Objective:Effective Chronic Kidney Disease(CKD)management is particularly important in cold regions of China,where climate and lifestyle factors play significant roles.However,there is a lack of relevant studies in this area.Therefore,the purpose of this study was:(1)to assess the status of self-management capacity in individuals with CKD in cold regions of China and analyze the factors influencing it;(2)to identify strategies to improve CKD management in primary care settings in these regions;and(3)to understand patients'attitudes toward eHealth services.Methods:This was a regional,cross-sectional observational study.A questionnaire measuring CKD patients'self-management abilities was derived from the Perceived Kidney Disease Self-Management Scale,the Kidney Disease Behavioral Inventory(KDBI),and the Health Literacy Questionnaire.Data were collected from hospitalized CKD patients in Heilongjiang Province and analyzed using One-Way Analysis of Variance(ANOVA),Hierarchical Regression Analysis,and K-prototype cluster analysis.Results:A total of 957 participants were tested.Of these,70.64%had less than a bachelor's degree,and 56.27%had been diagnosed with hypertensive or diabetic nephropathy.The KDBI scale showed a lower overall score compared to the PKDSMS.Factors such as CKD stage 4(F=2.367,P=0.042),last year's medical expenses(F=3.974,P=0.004),and poor self-rated health(F=33.352,P<0.01)were found to influence scores on both scales.The health literacy questionnaire revealed significant differences(P<0.01)in health knowledge,except by sex.Additionally,healthcare expenditures and poor self-rated health were negatively associated with self-management capacity.Conclusion:This study provides valuable insights into the self-management challenges faced by CKD patients in cold regions of China.Despite some difficulties in improving self-management,patients showed positive attitudes toward enhancing CKD management services in primary care and developing digital management tools.These findings offer useful references and recommendations for future clinical practice and research in this field.
文摘Under the background of exam-oriented education in China,art education has been marginalized,and the career success of junior middle school art teachers is being challenged.The influencing factors have become a topic worthy of exploration.Therefore,this study aims to investigate the influence on career success and career self-development among junior middle school art teachers in Shenzhen,China.This study conducted a questionnaire survey among junior middle school art teachers in Shenzhen,China.The results show that career self-management affects the career success of art teachers.On this basis,this study proposes some strategies to help the group of art teachers achieve higher career success by improving their career self-management levels.
文摘As a vital component of the national economic system,the forestry economy plays a significant role in promoting economic and social development.With the increasing emphasis on green and sustainable development,the carbon sink market has gained widespread attention and experienced rapid expansion,exerting a profound impact on the sustainable development of the forestry economy.In this new stage,deepening the relationship between the carbon sink market and the forestry economy is of great practical significance for enhancing forest coverage,advancing forestry economic growth,and fostering green ecological development.This paper analyzes the impact of the carbon sink market on the sustainable development of the forestry economy and explores specific strategies for its advancement.
基金supported by the National Natural Science Foundation of China(Grant No.51706160)Natural Science Foundation of Wuhan(2024040701010057)+2 种基金Hubei Technological Innovation Special Fund(Grant Nos.2023AFA004,2023BCB106,and 2022BCA085)14th“Five-Year Plan’’Hubei Provincial Advantaged Characteristic Disciplines Project of Wuhan University of Science and Technology(2023C0108)Foundation of Hubei Key Laboratory of Industrial Fume&Dust Pollution Control(HBIK2020-02).
文摘Forestry waste(FW)is a significant renewable energy source in China.The substitution of coal blends(BC)with forestry waste to produce metallurgical coke was investigated aiming at expanding alternative resources and reducing CO_(2)emissions in ironmaking process.The BC with different ratios of FW were carbonized in a fixed bed reactor,and the physicochemical structure of the coke derived from FW/BC co-carbonization was characterized by Fourier transform infrared spectroscopy,X-ray photoelectron spectroscopy,solid-state^(13)C nuclear magnetic resonance,optical microscopy,and scanning electron microscopy.The results reveal that the suitable incorporation of FW in BC is 10 wt.%,and the index of coke quality exhibits a good correlation with the optical anisotropy index and the aromaticity of the as-obtained cokes.The partial substitution of BC with FW exhibits potential benefits for colloid formation,owing to the higher hydrogen in FW.However,as the substitution ratio of BC with FW increases,it inhibits coke agglomeration due to more tortuous stacked structures formation during volatile releasing process.Moreover,it was identified that the substitution of higher BC ratios with FW results in the partial replacement of aromatic carbons by oxygenlinked carbons and aliphatic carbons.This substitution leads to a reduction in the aromaticity of the as-obtained coke.
