In real-world networks,there usually exist a small set of nodes that play an important role in the structure and function of networks.Those vital nodes can influence most of other nodes in the network via a spreading ...In real-world networks,there usually exist a small set of nodes that play an important role in the structure and function of networks.Those vital nodes can influence most of other nodes in the network via a spreading process.While most of the existing works focused on vital nodes that can maximize the spreading size in the final stage,which we call final influencers,recent work proposed the idea of fast influencers,which emphasizes nodes’spreading capacity at the early stage.Despite the recent surge of efforts in identifying these two types of influencers in networks,there remained limited research on untangling the differences between the fast influencers and final influencers.In this paper,we firstly distinguish the two types of influencers:fast-only influencers and final-only influencers.The former is defined as individuals who can achieve a high spreading effect at the early stage but lose their superiority in the final stage,and the latter are those individuals that fail to exhibit a prominent spreading performance at the early stage but influence a large fraction of nodes at the final stage.Further experiments are based on eight empirical datasets,and we reveal the key differences between the two types of influencers concerning their spreading capacity and the local structures.We also analyze how network degree assortativity influences the fraction of the proposed two types of influencers.The results demonstrate that with the increase of degree assortativity,the fraction of the fast-only influencers decreases,which indicates that more fast influencers tend to keep their superiority at the final stage.Our study provides insights into the differences and evolution of different types of influencers and has important implications for various empirical applications,such as advertisement marketing and epidemic suppressing.展开更多
In micro-blogging contexts such as Twitter,the number of content producers can easily reach tens of thousands,and many users can participate in discussion of any given topic.While many users can introduce diversity,as...In micro-blogging contexts such as Twitter,the number of content producers can easily reach tens of thousands,and many users can participate in discussion of any given topic.While many users can introduce diversity,as not all users are equally influential,it makes it challenging to identify the true influencers,who are generally rated as being interesting and authoritative on a given topic.In this study,the influence of users is measured by performing random walks of the multi-relational data in micro-blogging:retweet,reply,reintroduce,and read.Due to the uncertainty of the reintroduce and read operations,a new method is proposed to determine the transition probabilities of uncertain relational networks.Moreover,we propose a method for performing the combined random walks for the multi-relational influence network,considering both the transition probabilities for intra-and inter-networking.Experiments were conducted on a real Twitter dataset containing about 260 000 users and 2.7million tweets,and the results show that our method is more effective than TwitterRank and other methods used to discover influencers.展开更多
Purpose:Performers may generate loyalty partly through eliciting illusory personal connections with their audience,parasocial relationships(PSRs),and individual illusory exchanges,parasocial interactions(PSIs).On soci...Purpose:Performers may generate loyalty partly through eliciting illusory personal connections with their audience,parasocial relationships(PSRs),and individual illusory exchanges,parasocial interactions(PSIs).On social media,semi-PSIs are real but imbalanced exchanges with audiences,including through comments on influencers’videos,and strong semi-PSIs are those that occur within PSRs.This article introduces and assesses an automatic method to detect videos with strong PSI potential.Design/methodology/approach:Strong semi-PSIs were hypothesized to occur when commenters used a variant of the pronoun“you”,typically addressing the influencer.Comments on the videos of UK female influencer channels were used to test whether the proportion of you pronoun comments could be an automated indicator of strong PSI potential,and to find factors associating with the strong PSI potential of influencer videos.The highest and lowest strong PSI potential videos for 117 influencers were classified with content analysis for strong PSI potential and evidence of factors that might elicit PSIs.Findings:The you pronoun proportion was effective at indicating video strong PSI potential,the first automated method to detect any type of PSI.Gazing at the camera,head and shoulders framing,discussing personal issues,and focusing on the influencer associated with higher strong PSI potential for influencer videos.New social media factors found include requesting feedback and discussing the channel itself.Research limitations:Only one country,genre and social media platform was analysed.Practical implications:The method can be used to automatically detect YouTube videos with strong PSI potential,helping influencers to monitor their performance.Originality/value:This is the first automatic method to detect any aspect of PSI or PSR.展开更多
Investments in the exploitation of the continent’s raw material reserves have resulted in little (positive) impact on the energy security situation within Africa. This paper attempts to explore factors influencing th...Investments in the exploitation of the continent’s raw material reserves have resulted in little (positive) impact on the energy security situation within Africa. This paper attempts to explore factors influencing the level of energy security of Small Medium Enterprises (SMEs) in the Greater Accra Region of Ghana, and from the dimension of availability, affordability, economic efficiency and environmental stewardship or sustainability of energy. The cross-sectional survey design was employed as the design for the collection and analysis of data. The study applied a quantitative research method in examining the indicators of energy security for SMEs in Accra Metropolis in the Greater Accra Region of Ghana. The population covered about 500 SMEs who have about 100 employees and total revenue of $1 million or the equivalence in Ghana Cedis. A sample of 246 was selected through a cluster and simple random sampling. The analysis adopted statistical techniques to conduct descriptive, exploratory and inferential analysis of the data collected. Factors that influence the level of energy security of SMEs are broadly categorized into the environment and economic change, political factors, physical disruptions and market conditions. Ge- nerally, the level of energy security under the availability dimension is medium among the SMEs. Issues of affordability, economic efficiency and environmental stewardship provide high medium interventions on energy security for SMEs. It is recommended that managers of Ghana’s energy sector should ensure prudent management of the country’s energy resources since the disruption of supply lines or sources form the key conditions that influence the energy security level of SMEs. SMEs should adopt energy efficiency measures to ensure that energy is conserved for future use.展开更多
Drawing on the insights from multimodal critical discourse analysis,this study mainly focuses on two super-gerontic celebrities by selecting 60 videos to elucidate how their images are represented through linguistic(e...Drawing on the insights from multimodal critical discourse analysis,this study mainly focuses on two super-gerontic celebrities by selecting 60 videos to elucidate how their images are represented through linguistic(e.g.,captions,and hashtags)and other semiotic resources(e.g.,accessories,semiotic tools,and etc.).The findings suggest that images of the old celebrities are characterized as being attractive,wise,stylish,healthy and young,indicating that they are breaking up the stereotypical images of old people who are unattractive,dependent and senile.The phenomenon of old influencers making themselves visible on the social media suggests that they are moving towards successful aging with the backdrop of aging society in China.This present study suggests that multimodal construction of old celebrities can inform relevant practice to combat ageism in the media and helps to empower the old people in the media discourse.In doing so,the pedagogical implication of present study lies in its education about how we view aging in the aging society.展开更多
BACKGROUND Social media has been credited with the potential to transform medicine,and Twitter was recently named“an essential tool”for the academic surgeon.Despite this,peer-to-peer and educational influence on soc...BACKGROUND Social media has been credited with the potential to transform medicine,and Twitter was recently named“an essential tool”for the academic surgeon.Despite this,peer-to-peer and educational influence on social media has not been studied within orthopaedic surgery.This knowledge is important to identify who is controlling the conversation about orthopaedics to the public.We hypothesized that the plurality of top influencers would be sports medicine surgeons,that social media influence would not be disconnected from academic productivity,and that some of the top social media influencers in orthopaedic surgery would not be orthopaedic surgeons.AIM To identify the top 100 social media influencers within orthopaedics,characterize who they are,and relate their social media influence to academic influence.METHODS Twitter influence scores for the topic“orthopaedics”were collected in July 2018 using Right Relevance software.The accounts with the top influence scores were linked to individual names,and the account owners were characterized with respect to specialty,subspecialty,practice setting,location,board certification,and academic Hirsch index(h-index).RESULTS Seventy-eight percent of top influencers were orthopaedic surgeons.The most common locations included California(13%),Florida(8%),New York(7%),United Kingdom(7%),Colorado(6%),and Minnesota(6%).The mean academic h-index of the top influencers(n=79)was 13.67±4.12(mean±95%CI)and median 7(range 1-89)(median reported h-index of academic orthopaedic faculty is 5 and orthopaedic chairpersons is 13).Of the 78 orthopaedic surgeons,the most common subspecialties were sports medicine(54%),hand and upper extremity(18%),and spine(8%).Most influencers worked in private practice(53%),followed by academics(17%),privademics(14%),and hospital-based(9%).All eligible orthopaedic surgeons with publicly-verifiable board certification statuses were board-certified(n=74).CONCLUSION The top orthopaedic social media influencers on Twitter were predominantly board-certified,sports-medicine subspecialists working in private practice in the United States.Social media influence was highly concordant with academic productivity as measured by the academic h-index.Though the majority of influencers are orthopaedic surgeons,22%of top influencers on Twitter are not,which is important to identify given the potential for these individuals to influence patients’perceptions and expectations.This study also provides the top influencer network for other orthopaedic surgeons to engage with on social media to improve their own social media influence.展开更多
In this research,we aim to identify and investigate the impacts of key influencers on community formations and developments.We assess the impacts of key influencers by analyzing the activities and structure of the soc...In this research,we aim to identify and investigate the impacts of key influencers on community formations and developments.We assess the impacts of key influencers by analyzing the activities and structure of the social media presence of a local community.Results of our analysis show that key influencers play important roles in connecting the community,transferring information,and improving overall sentiment of the community members.Our findings suggest that community practitioners can apply social network analysis to identify value-added influencers and discover strategies for improving the community and keeping leadership roles.展开更多
Jill Chcn Poun Joc,a videographer of half-Chinese descent from Suriname,visited China for the first time this May with her father and aunt.She traveled to Beijing,Zhangjiajie in Hunan Province,Yangzhou in Jiangsu Prov...Jill Chcn Poun Joc,a videographer of half-Chinese descent from Suriname,visited China for the first time this May with her father and aunt.She traveled to Beijing,Zhangjiajie in Hunan Province,Yangzhou in Jiangsu Province,Shenzhen in Guangdong Province and Hong Kong Special Administrative Region,where part of her family still resides.展开更多
As more Chinese women turn to influencers like Li Dan for guidance,concerns about their expertise and commercial motivations are becoming hard to ignore.Since last July,Li Dan,a former comedian turned livestreamer,has...As more Chinese women turn to influencers like Li Dan for guidance,concerns about their expertise and commercial motivations are becoming hard to ignore.Since last July,Li Dan,a former comedian turned livestreamer,has taken on the role of China’s quirkiest agony uncle five hours at a time,lounging in front of the camera in a T-shirt or pajamas and snacking his way through tales of heartbreak.Whether it’s a desperate plea to win back an ex or fiery rants about cheating partners,Li reads these anonymous yet intimate moments of life with a mix of empathy and deadpan humor to his 2.2 million followers,over 80 percent of them women,on the lifestyle platform Xiaohongshu.All the while,purchase links for his snacks flash on the corner of the screen.展开更多
To investigate the influence of coarse aggregate parent rock properties on the elastic modulus of concrete,the mineralogical properties and stress-strain curves of granite and dolomite parent rocks,as well as the stre...To investigate the influence of coarse aggregate parent rock properties on the elastic modulus of concrete,the mineralogical properties and stress-strain curves of granite and dolomite parent rocks,as well as the strength and elastic modulus of mortar and concrete prepared with mechanism aggregates of the corresponding lithology,and the stress-strain curves of concrete were investigated.In this paper,a coarse aggregate and mortar matrix bonding assumption is proposed,and a prediction model for the elastic modulus of mortar is established by considering the lithology of the mechanism sand and the slurry components.An equivalent coarse aggregate elastic modulus model was established by considering factors such as coarse aggregate particle size,volume fraction,and mortar thickness between coarse aggregates.Based on the elastic modulus of the equivalent coarse aggregate and the remaining mortar,a prediction model for the elastic modulus of the two and three components of concrete in series and then in parallel was established,and the predicted values differed from the measured values within 10%.It is proposed that the coarse aggregate elastic modulus in highstrength concrete is the most critical factor affecting the elastic modulus of concrete,and as the coarse aggregate elastic modulus increases by 27.7%,the concrete elastic modulus increases by 19.5%.展开更多
BACKGROUND Lumbar interbody fusion(LIF)is the primary treatment for lumbar degenerative diseases.Elderly patients are prone to anxiety and depression after undergoing surgery,which affects their postoperative recovery...BACKGROUND Lumbar interbody fusion(LIF)is the primary treatment for lumbar degenerative diseases.Elderly patients are prone to anxiety and depression after undergoing surgery,which affects their postoperative recovery speed and quality of life.Effective prevention of anxiety and depression in elderly patients has become an urgent problem.AIM To investigate the trajectory of anxiety and depression levels in elderly patients after LIF,and the influencing factors.METHODS Random sampling was used to select 239 elderly patients who underwent LIF from January 2020 to December 2024 in Shenzhen Pingle Orthopedic Hospital.General information and surgery-related indices were recorded,and participants completed measures of psychological status,lumbar spine dysfunction,and quality of life.A latent class growth model was used to analyze the post-LIF trajectory of anxiety and depression levels,and unordered multi-categorical logistic regression was used to analyze the influencing factors.RESULTS Three trajectories of change in anxiety level were identified:Increasing anxiety(n=26,10.88%),decreasing anxiety(n=27,11.30%),and stable anxiety(n=186,77.82%).Likewise,three trajectories of change in depression level were identified:Increasing depression(n=30,12.55%),decreasing depression(n=26,10.88%),and stable depression(n=183,76.57%).Regression analysis showed that having no partner,female sex,elevated Oswestry dysfunction index(ODI)scores,and reduced 36-Item Short Form Health Survey scores all contributed to increased anxiety levels,whereas female sex,postoperative opioid use,and elevated ODI scores all contributed to increased depression levels.CONCLUSION During clinical observation,combining factors to predict anxiety and depression in post-LIF elderly patients enables timely intervention,quickens recovery,and enhances quality of life.展开更多
The discharge of micro-polluted water from sources such as agricultural runoff,urban stormwater,and treated effluents presents significant challenges to aquatic ecosystems.Constructed wetlands(CWs)have gained recog-ni...The discharge of micro-polluted water from sources such as agricultural runoff,urban stormwater,and treated effluents presents significant challenges to aquatic ecosystems.Constructed wetlands(CWs)have gained recog-nition as an eco-friendly solution for removing pollutants from various wastewater sources and are increasingly applied for micro-polluted water treatment.By reviewing 78 full-scale CW studies from Web of Science,it is summarized that the ranges of ammonium nitrogen(NH4+-N)concentrations in runoff,wastewater treatment plant effluent and polluted river were 0.1–6.6,0.3–12.3,and 0.2–41.1 mg/L,respectively.The ranges of ni-trate nitrogen concentrations were 0.2–14.2,0–5.7,and 0–2.6 mg/L,respectively.Removal efficiencies of CWs for micro-polluted water varied by CW types.The total nitrogen removal efficiencies for subsurface-flow CWs,free-water surface-flow CWs,and hybrid CWs ranged from 27.4%to 66.5%,16.8%to 89.8%,and 19.4%to 88.2%,respectively.The NH4+-N removal efficiencies ranged from 34.2%to 73.6%,38.4%to 89.4%and 13.5%to 94.2%,respectively.Additionally,other factors influencing contaminant removal efficiency such as hydraulic retention time,vegetation types,redox micro-environment and influent water quality were evaluated.Based on these findings,two strategies for improving the purification performance of CWs were proposed:the selection of incorporating electron donor substrates and the optimization of operation parameters.This paper serves as a synthesis of information to guide future research and full-scale CW applications in micro-polluted water treatment.展开更多
When Ji Jin flew into Italy in March,it was the height of the novel coronavirus disease(COVID-19)epidemic there and her work meant direct exposure to high risk.She was an interpreter for the Chinese medical team that ...When Ji Jin flew into Italy in March,it was the height of the novel coronavirus disease(COVID-19)epidemic there and her work meant direct exposure to high risk.She was an interpreter for the Chinese medical team that had been sent to work with Italian doctors on COVID-19 prevention and control.展开更多
BACKGROUND At present,the influencing factors of social function in patients with residual depressive symptoms are still unclear.Residual depressive symptoms are highly harmful,leading to low mood in patients,affectin...BACKGROUND At present,the influencing factors of social function in patients with residual depressive symptoms are still unclear.Residual depressive symptoms are highly harmful,leading to low mood in patients,affecting work and interpersonal communication,increasing the risk of recurrence,and adding to the burden on families.Studying the influencing factors of their social function is of great significance.AIM To explore the social function score and its influencing factors in patients with residual depressive symptoms.METHODS This observational study surveyed patients with residual depressive symptoms(case group)and healthy patients undergoing physical examinations(control group).Participants were admitted between January 2022 and December 2023.Social functioning was assessed using the Sheehan Disability Scale(SDS),and scores were compared between groups.Factors influencing SDS scores in patients with residual depressive symptoms were analyzed by applying multiple linear regression while using the receiver operating characteristic curve,and these RESULTS The SDS scores of the 158 patients with depressive symptoms were 11.48±3.26.Compared with the control group,the SDS scores and all items in the case group were higher.SDS scores were higher in patients with relapse,discon-tinuous medication,drug therapy alone,severe somatic symptoms,obvious residual symptoms,and anxiety scores≥8.Disease history,medication compliance,therapy method,and residual symptoms correlated positively with SDS scores(r=0.354,0.414,0.602,and 0.456,respectively).Independent influencing factors included disease history,medication compliance,therapy method,somatic symptoms,residual symptoms,and anxiety scores(P<0.05).The areas under the curve for predicting social functional impairment using these factors were 0.713,0.559,0.684,0.729,0.668,and 0.628,respectively,with sensitivities of 79.2%,61.8%,76.8%,81.7%,63.6%,and 65.5%and specificities of 83.3%,87.5%,82.6%,83.3%,86.7%,and 92.1%,respectively.CONCLUSION The social function scores of patients with residual symptoms of depression are high.They are affected by disease history,medication compliance,therapy method,degree of somatic symptoms,residual symptoms,and anxiety.展开更多
Water use efficiency(WUE),as a pivotal indicator of the coupling degree within the carbon–water cycle of ecosystems,holds considerable importance in assessment of the carbon–water balance within terrestrial ecosyste...Water use efficiency(WUE),as a pivotal indicator of the coupling degree within the carbon–water cycle of ecosystems,holds considerable importance in assessment of the carbon–water balance within terrestrial ecosystems.However,in the context of global warming,WUE evolution and its primary drivers on the Tibetan Plateau remain unclear.This study employed the ensemble empirical mode decomposition method and the random forest algorithm to decipher the nonlinear trends and drivers of WUE on the Tibetan Plateau in 2001–2020.Results indicated an annual mean WUE of 0.8088 gC/mm·m^(2)across the plateau,with a spatial gradient reflecting decrease from the southeast toward the northwest.Areas manifesting monotonous trends of increase or decrease in WUE accounted for 23.64%and 9.69%of the total,respectively.Remarkably,66.67%of the region exhibited trend reversals,i.e.,39.94%of the area of the Tibetan Plateau showed transition from a trend of increase to a trend of decrease,and 26.73%of the area demonstrated a shift from a trend of decrease to a trend of increase.Environmental factors accounted for 70.79%of the variability in WUE.The leaf area index and temperature served as the major driving forces of WUE variation.展开更多
Transcutaneous electrical acupoint stimulation(TEAS)is a kind of physical therapy that use electric cur-rent through the electrodes placed on the surface of acupoints to produce clinical effects in the human body,whic...Transcutaneous electrical acupoint stimulation(TEAS)is a kind of physical therapy that use electric cur-rent through the electrodes placed on the surface of acupoints to produce clinical effects in the human body,which is characterized by less adverse reaction and convenient operation.It has been widely used in the treatment of various diseases.This review introduces six major clinical applications of TEAS,named analgesia,regulation of gastrointestinal function,improvement of reproductive function,enhancement of cognitive function,promotion of limb function recovery and relief of fatigue.Besides,TEAS has been ap-plied to the treatment of other chronic diseases such as hypertension and diabetes,achieving satisfactory clinical effects.However,two crucial challenges are encountered in the development of TEAS.One is the lack of standardization in the selection of parameters such as waveform,frequency,intensity and stimula-tion duration.The other is the limitation on the flexibility in the acupoint selection.This review analyzes key issues that need to be addressed in the current clinical application of TEAS,such as the selection of parameters and acupoints,and this review provides a certain reference value for optimizing regimens of TEAS and promoting its development and application.展开更多
Dental mesenchymal stem cells(DMSCs)are pivotal for tooth development and periodontal tissue health and play an important role in tissue engineering and regenerative medicine because of their multidirectional differen...Dental mesenchymal stem cells(DMSCs)are pivotal for tooth development and periodontal tissue health and play an important role in tissue engineering and regenerative medicine because of their multidirectional differentiation potential and self-renewal ability.The cellular microenvironment regulates the fate of stem cells and can be modified using various optimization techniques.These methods can influence the cellular microenvironment,activate disparate signaling pathways,and induce different biological effects.“Epigenetic regulation”refers to the process of influencing gene expression and regulating cell fate without altering DNA sequences,such as histone methylation.Histone methylation modifications regulate pivotal transcription factors governing DMSCs differentiation into osteo-/odontogenic lineages.The most important sites of histone methylation in tooth organization were found to be H3K4,H3K9,and H3K27.Histone methylation affects gene expression and regulates stem cell differentiation by maintaining a delicate balance between major trimethylation sites,generating distinct chromatin structures associated with specific downstream transcriptional states.Several crucial signaling pathways associated with osteogenic differentiation are susceptible to modulation via histone methylation modifications.A deeper understanding of the regulatory mechanisms governing histone methylation modifications in osteo-/odontogenic differentiation and immune-inflammatory responses of DMSCs will facilitate further investigation of the epigenetic regulation of histone methylation in DMSC-mediated tissue regeneration and inflammation.Here is a concise overview of the pivotal functions of epigenetic histone methylation at H3K4,H3K9,and H3K27 in the regulation of osteo-/odontogenic differentiation and renewal of DMSCs in both non-inflammatory and inflammatory microenvironments.This review summarizes the current research on these processes in the context of tissue regeneration and therapeutic interventions.展开更多
BACKGROUND The development of hepatocellular carcinoma(HCC)is influenced by multiple factors.Interventional therapy offers an effective treatment option for patients with unresectable intermediate-to-advanced HCC.Inte...BACKGROUND The development of hepatocellular carcinoma(HCC)is influenced by multiple factors.Interventional therapy offers an effective treatment option for patients with unresectable intermediate-to-advanced HCC.Interventional therapy can induce electrocardiographic(ECG)abnormalities that may be associated with liver dysfunction,electrolyte disorders,and cardiac injury.AIM To explore the ECG alterations and determinants following interventional therapy in patients with HCC.METHODS Sixty patients undergoing interventional treatment for liver cancer were selected as study participants.According to the results of the dynamic ECG examination 1 day after surgery,the patients were divided into an abnormal group(n=21)and a nonabnormal group(n=39).With the help of dynamic ECG examination,the ECG parameters were compared and the baseline data of patients was recorded in the two groups.RESULTS The 24 hours QT interval variability,24 hours normal atrial polarization to ventricular polarization(R-R)interval(standard deviation),24 hours consecutive 5 minutes normal R-R interval,and 24 hours continuous 5 minutes normal R-R interval(standard deviation mean)were lower than patients in the nonabnormal group(P<0.05).The logistic analysis showed that age>60 years,liver function grade B,and postoperative body temperature 38°C were risk factors for abnormal dynamic electrocardiogram in patients with liver cancer intervention(P<0.05).CONCLUSION Interventional therapy for HCC can lead to ECG abnormalities,underscoring the clinical need for enhanced cardiac monitoring to mitigate myocardial complications.展开更多
Ammonia is the cornerstone of modern agriculture,providing a critical nitrogen source for global food production and serving as a key raw material for numerous industrial chemicals.Electrocatalytic nitrate reduction,a...Ammonia is the cornerstone of modern agriculture,providing a critical nitrogen source for global food production and serving as a key raw material for numerous industrial chemicals.Electrocatalytic nitrate reduction,as an environmentally friendly method for synthesizing ammonia,not only mitigates the reliance on current ammonia synthesis processes fed by traditional fossil fuels but also effectively reduces nitrate pollution resulting from agricultural and industrial activities.This review explores the fundamental principles of electrocata lytic nitrate reduction,focusing on the key steps of electron transfer and ammonia formation.Additionally,it summarizes the critical factors influencing the performance and selectivity of the reaction,including the properties of the electrolyte,operating voltage,electrode materials,and design of the electrolytic cell.Further discussion of recent advances in electrocatalysts,including pure metal catalysts,metal oxide catalysts,non-metallic catalysts,and composite catalysts,highlights their significant roles in enhancing both the efficiency and selectivity of electrocata lytic nitrate to ammonia(NRA)reactions.Critical challenges for the industrial NRA trials and further outlooks are outlined to propel this strategy toward real-world applications.Overall,the review provides an in-depth overview and comprehensive understanding of electrocata lytic NRA technology,thereby promoting further advancements and innovations in this domain.展开更多
BACKGROUND Newborns are immediately admitted to the neonatal intensive care unit(NICU)after birth,and thus mothers suffer from the pain of mother-infant separation.Some mothers worry about alterations in their child’...BACKGROUND Newborns are immediately admitted to the neonatal intensive care unit(NICU)after birth,and thus mothers suffer from the pain of mother-infant separation.Some mothers worry about alterations in their child’s condition and the uncertainty and high medical costs of possible sequelae,which frequently cause anxiety,depression,and other adverse emotions.AIM To investigate the anxiety and depression status of mothers of children in the NICU and its related factors.METHODS A convenient sampling method is adopted.The research objects included the mothers of 191 children in the NICU of Suzhou Ninth Hospital Affiliated with Suzhou University from January 2023 to July 2024.The general information questionnaire,personal control scale,self-rating anxiety scale,and self-rating depression scale were utilized for investigation.Anxiety and depression status in mothers of children in the NICU and its related factors were analyzed.RESULTS The incidences of maternal anxiety and depression among 191 hospitalized children in the NICU were 32.98%(63/191)and 23.56%(45/191),respectively.Single-factor analysis reveals that family monthly income,individual sense of control,gestational age of the child,and the number of diseases in the child are associated with the anxiety and depression experienced by the mother of the child in the NICU(P<0.05).Multivariate logistic regression analysis revealed that family monthly income of<5000 yuan(RMB),poor individual control,gestational age of<32 weeks,and the number of diseases of≥3 kinds are all related factors for anxiety and depression in mothers of children admitted to the NICU(P<0.05).CONCLUSION Mothers of children admitted to the NICU demonstrated high anxiety and depression incidences.The nursing staff in the neonatal department established intervention measures for each related factor,strengthened communication and communication with the mother of the child,and did a good job in psychological counseling.展开更多
基金supported by the National Natural Science Foundation of China(Grant Nos.61673150 and 11622538)Special Project for the Central Guidance on Local Science and Technology Development of Sichuan Province,China(Project No.2021ZYD0029)。
文摘In real-world networks,there usually exist a small set of nodes that play an important role in the structure and function of networks.Those vital nodes can influence most of other nodes in the network via a spreading process.While most of the existing works focused on vital nodes that can maximize the spreading size in the final stage,which we call final influencers,recent work proposed the idea of fast influencers,which emphasizes nodes’spreading capacity at the early stage.Despite the recent surge of efforts in identifying these two types of influencers in networks,there remained limited research on untangling the differences between the fast influencers and final influencers.In this paper,we firstly distinguish the two types of influencers:fast-only influencers and final-only influencers.The former is defined as individuals who can achieve a high spreading effect at the early stage but lose their superiority in the final stage,and the latter are those individuals that fail to exhibit a prominent spreading performance at the early stage but influence a large fraction of nodes at the final stage.Further experiments are based on eight empirical datasets,and we reveal the key differences between the two types of influencers concerning their spreading capacity and the local structures.We also analyze how network degree assortativity influences the fraction of the proposed two types of influencers.The results demonstrate that with the increase of degree assortativity,the fraction of the fast-only influencers decreases,which indicates that more fast influencers tend to keep their superiority at the final stage.Our study provides insights into the differences and evolution of different types of influencers and has important implications for various empirical applications,such as advertisement marketing and epidemic suppressing.
基金supported by National Natural Science Foundation of China under Grants No. 60933005, No. 91124002under Grants No. 012505, No. 2011AA010702, No. 2012AA01A401, No. 2012AA01A402 (863 program)+1 种基金under Grant No.2011A010 (242)NSTM under Grants No.2012BAH38B04, No.2012BAH38B06
文摘In micro-blogging contexts such as Twitter,the number of content producers can easily reach tens of thousands,and many users can participate in discussion of any given topic.While many users can introduce diversity,as not all users are equally influential,it makes it challenging to identify the true influencers,who are generally rated as being interesting and authoritative on a given topic.In this study,the influence of users is measured by performing random walks of the multi-relational data in micro-blogging:retweet,reply,reintroduce,and read.Due to the uncertainty of the reintroduce and read operations,a new method is proposed to determine the transition probabilities of uncertain relational networks.Moreover,we propose a method for performing the combined random walks for the multi-relational influence network,considering both the transition probabilities for intra-and inter-networking.Experiments were conducted on a real Twitter dataset containing about 260 000 users and 2.7million tweets,and the results show that our method is more effective than TwitterRank and other methods used to discover influencers.
文摘Purpose:Performers may generate loyalty partly through eliciting illusory personal connections with their audience,parasocial relationships(PSRs),and individual illusory exchanges,parasocial interactions(PSIs).On social media,semi-PSIs are real but imbalanced exchanges with audiences,including through comments on influencers’videos,and strong semi-PSIs are those that occur within PSRs.This article introduces and assesses an automatic method to detect videos with strong PSI potential.Design/methodology/approach:Strong semi-PSIs were hypothesized to occur when commenters used a variant of the pronoun“you”,typically addressing the influencer.Comments on the videos of UK female influencer channels were used to test whether the proportion of you pronoun comments could be an automated indicator of strong PSI potential,and to find factors associating with the strong PSI potential of influencer videos.The highest and lowest strong PSI potential videos for 117 influencers were classified with content analysis for strong PSI potential and evidence of factors that might elicit PSIs.Findings:The you pronoun proportion was effective at indicating video strong PSI potential,the first automated method to detect any type of PSI.Gazing at the camera,head and shoulders framing,discussing personal issues,and focusing on the influencer associated with higher strong PSI potential for influencer videos.New social media factors found include requesting feedback and discussing the channel itself.Research limitations:Only one country,genre and social media platform was analysed.Practical implications:The method can be used to automatically detect YouTube videos with strong PSI potential,helping influencers to monitor their performance.Originality/value:This is the first automatic method to detect any aspect of PSI or PSR.
文摘Investments in the exploitation of the continent’s raw material reserves have resulted in little (positive) impact on the energy security situation within Africa. This paper attempts to explore factors influencing the level of energy security of Small Medium Enterprises (SMEs) in the Greater Accra Region of Ghana, and from the dimension of availability, affordability, economic efficiency and environmental stewardship or sustainability of energy. The cross-sectional survey design was employed as the design for the collection and analysis of data. The study applied a quantitative research method in examining the indicators of energy security for SMEs in Accra Metropolis in the Greater Accra Region of Ghana. The population covered about 500 SMEs who have about 100 employees and total revenue of $1 million or the equivalence in Ghana Cedis. A sample of 246 was selected through a cluster and simple random sampling. The analysis adopted statistical techniques to conduct descriptive, exploratory and inferential analysis of the data collected. Factors that influence the level of energy security of SMEs are broadly categorized into the environment and economic change, political factors, physical disruptions and market conditions. Ge- nerally, the level of energy security under the availability dimension is medium among the SMEs. Issues of affordability, economic efficiency and environmental stewardship provide high medium interventions on energy security for SMEs. It is recommended that managers of Ghana’s energy sector should ensure prudent management of the country’s energy resources since the disruption of supply lines or sources form the key conditions that influence the energy security level of SMEs. SMEs should adopt energy efficiency measures to ensure that energy is conserved for future use.
文摘Drawing on the insights from multimodal critical discourse analysis,this study mainly focuses on two super-gerontic celebrities by selecting 60 videos to elucidate how their images are represented through linguistic(e.g.,captions,and hashtags)and other semiotic resources(e.g.,accessories,semiotic tools,and etc.).The findings suggest that images of the old celebrities are characterized as being attractive,wise,stylish,healthy and young,indicating that they are breaking up the stereotypical images of old people who are unattractive,dependent and senile.The phenomenon of old influencers making themselves visible on the social media suggests that they are moving towards successful aging with the backdrop of aging society in China.This present study suggests that multimodal construction of old celebrities can inform relevant practice to combat ageism in the media and helps to empower the old people in the media discourse.In doing so,the pedagogical implication of present study lies in its education about how we view aging in the aging society.
文摘BACKGROUND Social media has been credited with the potential to transform medicine,and Twitter was recently named“an essential tool”for the academic surgeon.Despite this,peer-to-peer and educational influence on social media has not been studied within orthopaedic surgery.This knowledge is important to identify who is controlling the conversation about orthopaedics to the public.We hypothesized that the plurality of top influencers would be sports medicine surgeons,that social media influence would not be disconnected from academic productivity,and that some of the top social media influencers in orthopaedic surgery would not be orthopaedic surgeons.AIM To identify the top 100 social media influencers within orthopaedics,characterize who they are,and relate their social media influence to academic influence.METHODS Twitter influence scores for the topic“orthopaedics”were collected in July 2018 using Right Relevance software.The accounts with the top influence scores were linked to individual names,and the account owners were characterized with respect to specialty,subspecialty,practice setting,location,board certification,and academic Hirsch index(h-index).RESULTS Seventy-eight percent of top influencers were orthopaedic surgeons.The most common locations included California(13%),Florida(8%),New York(7%),United Kingdom(7%),Colorado(6%),and Minnesota(6%).The mean academic h-index of the top influencers(n=79)was 13.67±4.12(mean±95%CI)and median 7(range 1-89)(median reported h-index of academic orthopaedic faculty is 5 and orthopaedic chairpersons is 13).Of the 78 orthopaedic surgeons,the most common subspecialties were sports medicine(54%),hand and upper extremity(18%),and spine(8%).Most influencers worked in private practice(53%),followed by academics(17%),privademics(14%),and hospital-based(9%).All eligible orthopaedic surgeons with publicly-verifiable board certification statuses were board-certified(n=74).CONCLUSION The top orthopaedic social media influencers on Twitter were predominantly board-certified,sports-medicine subspecialists working in private practice in the United States.Social media influence was highly concordant with academic productivity as measured by the academic h-index.Though the majority of influencers are orthopaedic surgeons,22%of top influencers on Twitter are not,which is important to identify given the potential for these individuals to influence patients’perceptions and expectations.This study also provides the top influencer network for other orthopaedic surgeons to engage with on social media to improve their own social media influence.
文摘In this research,we aim to identify and investigate the impacts of key influencers on community formations and developments.We assess the impacts of key influencers by analyzing the activities and structure of the social media presence of a local community.Results of our analysis show that key influencers play important roles in connecting the community,transferring information,and improving overall sentiment of the community members.Our findings suggest that community practitioners can apply social network analysis to identify value-added influencers and discover strategies for improving the community and keeping leadership roles.
文摘Jill Chcn Poun Joc,a videographer of half-Chinese descent from Suriname,visited China for the first time this May with her father and aunt.She traveled to Beijing,Zhangjiajie in Hunan Province,Yangzhou in Jiangsu Province,Shenzhen in Guangdong Province and Hong Kong Special Administrative Region,where part of her family still resides.
文摘As more Chinese women turn to influencers like Li Dan for guidance,concerns about their expertise and commercial motivations are becoming hard to ignore.Since last July,Li Dan,a former comedian turned livestreamer,has taken on the role of China’s quirkiest agony uncle five hours at a time,lounging in front of the camera in a T-shirt or pajamas and snacking his way through tales of heartbreak.Whether it’s a desperate plea to win back an ex or fiery rants about cheating partners,Li reads these anonymous yet intimate moments of life with a mix of empathy and deadpan humor to his 2.2 million followers,over 80 percent of them women,on the lifestyle platform Xiaohongshu.All the while,purchase links for his snacks flash on the corner of the screen.
基金Funded by State Railway Administration Research Project(No.2023JS007)National Natural Science Foundation of China(No.52438002)+1 种基金Research and Development Programs for Science and Technology of China Railways Corporation(No.J2023G003)New Cornerstone Science Foundation through the XPLORER PRIZE。
文摘To investigate the influence of coarse aggregate parent rock properties on the elastic modulus of concrete,the mineralogical properties and stress-strain curves of granite and dolomite parent rocks,as well as the strength and elastic modulus of mortar and concrete prepared with mechanism aggregates of the corresponding lithology,and the stress-strain curves of concrete were investigated.In this paper,a coarse aggregate and mortar matrix bonding assumption is proposed,and a prediction model for the elastic modulus of mortar is established by considering the lithology of the mechanism sand and the slurry components.An equivalent coarse aggregate elastic modulus model was established by considering factors such as coarse aggregate particle size,volume fraction,and mortar thickness between coarse aggregates.Based on the elastic modulus of the equivalent coarse aggregate and the remaining mortar,a prediction model for the elastic modulus of the two and three components of concrete in series and then in parallel was established,and the predicted values differed from the measured values within 10%.It is proposed that the coarse aggregate elastic modulus in highstrength concrete is the most critical factor affecting the elastic modulus of concrete,and as the coarse aggregate elastic modulus increases by 27.7%,the concrete elastic modulus increases by 19.5%.
基金Supported by the Scientific Research Projects of the Health System in Pingshan District,No.2023122.
文摘BACKGROUND Lumbar interbody fusion(LIF)is the primary treatment for lumbar degenerative diseases.Elderly patients are prone to anxiety and depression after undergoing surgery,which affects their postoperative recovery speed and quality of life.Effective prevention of anxiety and depression in elderly patients has become an urgent problem.AIM To investigate the trajectory of anxiety and depression levels in elderly patients after LIF,and the influencing factors.METHODS Random sampling was used to select 239 elderly patients who underwent LIF from January 2020 to December 2024 in Shenzhen Pingle Orthopedic Hospital.General information and surgery-related indices were recorded,and participants completed measures of psychological status,lumbar spine dysfunction,and quality of life.A latent class growth model was used to analyze the post-LIF trajectory of anxiety and depression levels,and unordered multi-categorical logistic regression was used to analyze the influencing factors.RESULTS Three trajectories of change in anxiety level were identified:Increasing anxiety(n=26,10.88%),decreasing anxiety(n=27,11.30%),and stable anxiety(n=186,77.82%).Likewise,three trajectories of change in depression level were identified:Increasing depression(n=30,12.55%),decreasing depression(n=26,10.88%),and stable depression(n=183,76.57%).Regression analysis showed that having no partner,female sex,elevated Oswestry dysfunction index(ODI)scores,and reduced 36-Item Short Form Health Survey scores all contributed to increased anxiety levels,whereas female sex,postoperative opioid use,and elevated ODI scores all contributed to increased depression levels.CONCLUSION During clinical observation,combining factors to predict anxiety and depression in post-LIF elderly patients enables timely intervention,quickens recovery,and enhances quality of life.
基金supported by the Natural Science Foundation of China(No.52470105)the Young Taishan Scholars Program of Shandong Province(No.358202103017).
文摘The discharge of micro-polluted water from sources such as agricultural runoff,urban stormwater,and treated effluents presents significant challenges to aquatic ecosystems.Constructed wetlands(CWs)have gained recog-nition as an eco-friendly solution for removing pollutants from various wastewater sources and are increasingly applied for micro-polluted water treatment.By reviewing 78 full-scale CW studies from Web of Science,it is summarized that the ranges of ammonium nitrogen(NH4+-N)concentrations in runoff,wastewater treatment plant effluent and polluted river were 0.1–6.6,0.3–12.3,and 0.2–41.1 mg/L,respectively.The ranges of ni-trate nitrogen concentrations were 0.2–14.2,0–5.7,and 0–2.6 mg/L,respectively.Removal efficiencies of CWs for micro-polluted water varied by CW types.The total nitrogen removal efficiencies for subsurface-flow CWs,free-water surface-flow CWs,and hybrid CWs ranged from 27.4%to 66.5%,16.8%to 89.8%,and 19.4%to 88.2%,respectively.The NH4+-N removal efficiencies ranged from 34.2%to 73.6%,38.4%to 89.4%and 13.5%to 94.2%,respectively.Additionally,other factors influencing contaminant removal efficiency such as hydraulic retention time,vegetation types,redox micro-environment and influent water quality were evaluated.Based on these findings,two strategies for improving the purification performance of CWs were proposed:the selection of incorporating electron donor substrates and the optimization of operation parameters.This paper serves as a synthesis of information to guide future research and full-scale CW applications in micro-polluted water treatment.
文摘When Ji Jin flew into Italy in March,it was the height of the novel coronavirus disease(COVID-19)epidemic there and her work meant direct exposure to high risk.She was an interpreter for the Chinese medical team that had been sent to work with Italian doctors on COVID-19 prevention and control.
文摘BACKGROUND At present,the influencing factors of social function in patients with residual depressive symptoms are still unclear.Residual depressive symptoms are highly harmful,leading to low mood in patients,affecting work and interpersonal communication,increasing the risk of recurrence,and adding to the burden on families.Studying the influencing factors of their social function is of great significance.AIM To explore the social function score and its influencing factors in patients with residual depressive symptoms.METHODS This observational study surveyed patients with residual depressive symptoms(case group)and healthy patients undergoing physical examinations(control group).Participants were admitted between January 2022 and December 2023.Social functioning was assessed using the Sheehan Disability Scale(SDS),and scores were compared between groups.Factors influencing SDS scores in patients with residual depressive symptoms were analyzed by applying multiple linear regression while using the receiver operating characteristic curve,and these RESULTS The SDS scores of the 158 patients with depressive symptoms were 11.48±3.26.Compared with the control group,the SDS scores and all items in the case group were higher.SDS scores were higher in patients with relapse,discon-tinuous medication,drug therapy alone,severe somatic symptoms,obvious residual symptoms,and anxiety scores≥8.Disease history,medication compliance,therapy method,and residual symptoms correlated positively with SDS scores(r=0.354,0.414,0.602,and 0.456,respectively).Independent influencing factors included disease history,medication compliance,therapy method,somatic symptoms,residual symptoms,and anxiety scores(P<0.05).The areas under the curve for predicting social functional impairment using these factors were 0.713,0.559,0.684,0.729,0.668,and 0.628,respectively,with sensitivities of 79.2%,61.8%,76.8%,81.7%,63.6%,and 65.5%and specificities of 83.3%,87.5%,82.6%,83.3%,86.7%,and 92.1%,respectively.CONCLUSION The social function scores of patients with residual symptoms of depression are high.They are affected by disease history,medication compliance,therapy method,degree of somatic symptoms,residual symptoms,and anxiety.
基金National Nonprofit Institute Research Grant of CAF,No.CAFYBB2018ZA004,No.CAFYBB2023ZA009Fengyun Application Pioneering Project,No.FY-APP-ZX-2023.02。
文摘Water use efficiency(WUE),as a pivotal indicator of the coupling degree within the carbon–water cycle of ecosystems,holds considerable importance in assessment of the carbon–water balance within terrestrial ecosystems.However,in the context of global warming,WUE evolution and its primary drivers on the Tibetan Plateau remain unclear.This study employed the ensemble empirical mode decomposition method and the random forest algorithm to decipher the nonlinear trends and drivers of WUE on the Tibetan Plateau in 2001–2020.Results indicated an annual mean WUE of 0.8088 gC/mm·m^(2)across the plateau,with a spatial gradient reflecting decrease from the southeast toward the northwest.Areas manifesting monotonous trends of increase or decrease in WUE accounted for 23.64%and 9.69%of the total,respectively.Remarkably,66.67%of the region exhibited trend reversals,i.e.,39.94%of the area of the Tibetan Plateau showed transition from a trend of increase to a trend of decrease,and 26.73%of the area demonstrated a shift from a trend of decrease to a trend of increase.Environmental factors accounted for 70.79%of the variability in WUE.The leaf area index and temperature served as the major driving forces of WUE variation.
基金Supported by Shanghai 2020“Science and Technology Innovation Action Plan”Medical Innovation Research Special Program:20Y21902800Shanghai Municipal Health Commission Shanghai Three-Year Action Plan to Further Accelerate the Development of Traditional Chinese Medicine Inheritance and Innovation:ZY(2021-2023)−0302)+1 种基金Shanghai Key Specialty(Acupuncture)Construction Project:shslczdzk04701Shanghai 2024"Science and Technology Innovation Action Plan"star cultivation(Sail special):24YF2740600.
文摘Transcutaneous electrical acupoint stimulation(TEAS)is a kind of physical therapy that use electric cur-rent through the electrodes placed on the surface of acupoints to produce clinical effects in the human body,which is characterized by less adverse reaction and convenient operation.It has been widely used in the treatment of various diseases.This review introduces six major clinical applications of TEAS,named analgesia,regulation of gastrointestinal function,improvement of reproductive function,enhancement of cognitive function,promotion of limb function recovery and relief of fatigue.Besides,TEAS has been ap-plied to the treatment of other chronic diseases such as hypertension and diabetes,achieving satisfactory clinical effects.However,two crucial challenges are encountered in the development of TEAS.One is the lack of standardization in the selection of parameters such as waveform,frequency,intensity and stimula-tion duration.The other is the limitation on the flexibility in the acupoint selection.This review analyzes key issues that need to be addressed in the current clinical application of TEAS,such as the selection of parameters and acupoints,and this review provides a certain reference value for optimizing regimens of TEAS and promoting its development and application.
基金supported by grants from the National Key Research and Development Program(2022YFA1104401)CAMS Innovation Fund for Medical Sciences(2019-I2M-5-031 to Z.P.F.)grants from Innovation Research Team Project of Beijing Stomatological Hospital,Capital Medical University(NO.CXTD202204 to Z.P.F.).
文摘Dental mesenchymal stem cells(DMSCs)are pivotal for tooth development and periodontal tissue health and play an important role in tissue engineering and regenerative medicine because of their multidirectional differentiation potential and self-renewal ability.The cellular microenvironment regulates the fate of stem cells and can be modified using various optimization techniques.These methods can influence the cellular microenvironment,activate disparate signaling pathways,and induce different biological effects.“Epigenetic regulation”refers to the process of influencing gene expression and regulating cell fate without altering DNA sequences,such as histone methylation.Histone methylation modifications regulate pivotal transcription factors governing DMSCs differentiation into osteo-/odontogenic lineages.The most important sites of histone methylation in tooth organization were found to be H3K4,H3K9,and H3K27.Histone methylation affects gene expression and regulates stem cell differentiation by maintaining a delicate balance between major trimethylation sites,generating distinct chromatin structures associated with specific downstream transcriptional states.Several crucial signaling pathways associated with osteogenic differentiation are susceptible to modulation via histone methylation modifications.A deeper understanding of the regulatory mechanisms governing histone methylation modifications in osteo-/odontogenic differentiation and immune-inflammatory responses of DMSCs will facilitate further investigation of the epigenetic regulation of histone methylation in DMSC-mediated tissue regeneration and inflammation.Here is a concise overview of the pivotal functions of epigenetic histone methylation at H3K4,H3K9,and H3K27 in the regulation of osteo-/odontogenic differentiation and renewal of DMSCs in both non-inflammatory and inflammatory microenvironments.This review summarizes the current research on these processes in the context of tissue regeneration and therapeutic interventions.
文摘BACKGROUND The development of hepatocellular carcinoma(HCC)is influenced by multiple factors.Interventional therapy offers an effective treatment option for patients with unresectable intermediate-to-advanced HCC.Interventional therapy can induce electrocardiographic(ECG)abnormalities that may be associated with liver dysfunction,electrolyte disorders,and cardiac injury.AIM To explore the ECG alterations and determinants following interventional therapy in patients with HCC.METHODS Sixty patients undergoing interventional treatment for liver cancer were selected as study participants.According to the results of the dynamic ECG examination 1 day after surgery,the patients were divided into an abnormal group(n=21)and a nonabnormal group(n=39).With the help of dynamic ECG examination,the ECG parameters were compared and the baseline data of patients was recorded in the two groups.RESULTS The 24 hours QT interval variability,24 hours normal atrial polarization to ventricular polarization(R-R)interval(standard deviation),24 hours consecutive 5 minutes normal R-R interval,and 24 hours continuous 5 minutes normal R-R interval(standard deviation mean)were lower than patients in the nonabnormal group(P<0.05).The logistic analysis showed that age>60 years,liver function grade B,and postoperative body temperature 38°C were risk factors for abnormal dynamic electrocardiogram in patients with liver cancer intervention(P<0.05).CONCLUSION Interventional therapy for HCC can lead to ECG abnormalities,underscoring the clinical need for enhanced cardiac monitoring to mitigate myocardial complications.
基金supported by the National Key Research and Development Program of China(2023YFE0120900)the National Natural Science Foundation of China(52377160)+2 种基金the National Natural Science Foundation of China National Young Talents Project(GYKP010)Shaanxi Provincial Natural Science Program(2023-JCYB-425)Xi’an Jiaotong University Young Top Talents Program。
文摘Ammonia is the cornerstone of modern agriculture,providing a critical nitrogen source for global food production and serving as a key raw material for numerous industrial chemicals.Electrocatalytic nitrate reduction,as an environmentally friendly method for synthesizing ammonia,not only mitigates the reliance on current ammonia synthesis processes fed by traditional fossil fuels but also effectively reduces nitrate pollution resulting from agricultural and industrial activities.This review explores the fundamental principles of electrocata lytic nitrate reduction,focusing on the key steps of electron transfer and ammonia formation.Additionally,it summarizes the critical factors influencing the performance and selectivity of the reaction,including the properties of the electrolyte,operating voltage,electrode materials,and design of the electrolytic cell.Further discussion of recent advances in electrocatalysts,including pure metal catalysts,metal oxide catalysts,non-metallic catalysts,and composite catalysts,highlights their significant roles in enhancing both the efficiency and selectivity of electrocata lytic nitrate to ammonia(NRA)reactions.Critical challenges for the industrial NRA trials and further outlooks are outlined to propel this strategy toward real-world applications.Overall,the review provides an in-depth overview and comprehensive understanding of electrocata lytic NRA technology,thereby promoting further advancements and innovations in this domain.
文摘BACKGROUND Newborns are immediately admitted to the neonatal intensive care unit(NICU)after birth,and thus mothers suffer from the pain of mother-infant separation.Some mothers worry about alterations in their child’s condition and the uncertainty and high medical costs of possible sequelae,which frequently cause anxiety,depression,and other adverse emotions.AIM To investigate the anxiety and depression status of mothers of children in the NICU and its related factors.METHODS A convenient sampling method is adopted.The research objects included the mothers of 191 children in the NICU of Suzhou Ninth Hospital Affiliated with Suzhou University from January 2023 to July 2024.The general information questionnaire,personal control scale,self-rating anxiety scale,and self-rating depression scale were utilized for investigation.Anxiety and depression status in mothers of children in the NICU and its related factors were analyzed.RESULTS The incidences of maternal anxiety and depression among 191 hospitalized children in the NICU were 32.98%(63/191)and 23.56%(45/191),respectively.Single-factor analysis reveals that family monthly income,individual sense of control,gestational age of the child,and the number of diseases in the child are associated with the anxiety and depression experienced by the mother of the child in the NICU(P<0.05).Multivariate logistic regression analysis revealed that family monthly income of<5000 yuan(RMB),poor individual control,gestational age of<32 weeks,and the number of diseases of≥3 kinds are all related factors for anxiety and depression in mothers of children admitted to the NICU(P<0.05).CONCLUSION Mothers of children admitted to the NICU demonstrated high anxiety and depression incidences.The nursing staff in the neonatal department established intervention measures for each related factor,strengthened communication and communication with the mother of the child,and did a good job in psychological counseling.
