Background Recovery colleges (RCs) support personal recovery through education, skill development and social support for people with mental health problems, carers and staff. Guided by co-production and adult learning...Background Recovery colleges (RCs) support personal recovery through education, skill development and social support for people with mental health problems, carers and staff. Guided by co-production and adult learning principles, RCs represent a recent mental health innovation. Since the first RC opened in England in 2009, RCs have expanded to 28 countries and territories. However, most RC research has been conducted in Western countries with similar cultural characteristics, limiting understanding of how RCs can be culturally adapted. The 12-item Recovery Colleges Characterisation and Testing (RECOLLECT) Fidelity Measure (RFM) evaluates the operational fidelity of RCs based on 12 components, but cultural influences on these components remain underexplored.Aims To assess associations between Hofstede’s cultural dimensions and RFM items to identify cultural influences on fidelity components.Methods A cross-sectional survey of RC managers was conducted across all 221 RCs. Mixed-effects regression models examined associations between Hofstede’s country-level cultural dimensions and item-level RFM scores, adjusted for healthcare expenditure and income inequality. Four cultural dimensions, obtained from Hofstede, were analysed: individualism (prioritising personal needs), indulgence (enjoyment-oriented), uncertainty avoidance (preference for predictability) and long-term orientation (future-focused).Results The RFM was completed by 169 (76%) RC managers. Seven RFM items showed associations with cultural dimensions. Equality was linked to short-term orientation, while learning was associated with individualism and uncertainty avoidance. Both individualism and indulgence influenced co-production and community focus. Commitment to recovery was shaped by all four cultural dimensions, with the strongest associations seen for individualism and indulgence. Individualism enhanced explicit focus on strengths-based practice, while uncertainty avoidance influenced course distinctiveness.Conclusions This study demonstrates how culture shapes RC fidelity components, providing actionable insights for cultural adaptation. Incorporating under-represented dimensions, such as collectivism and restraint, could improve the RFM’s global applicability, facilitating implementation. Future research should explore cultural nuances, engage diverse stakeholders and refine fidelity measures to enhance RC inclusivity and effectiveness worldwide.展开更多
The Shenhu Area in the South China Sea is rich in oil and gas resources and has many vertical gas chimneys,making it an excellent geological environment for hydrate accumulation.This paper examines the geological cond...The Shenhu Area in the South China Sea is rich in oil and gas resources and has many vertical gas chimneys,making it an excellent geological environment for hydrate accumulation.This paper examines the geological conditions governing these gas-chimneys.A numerical simulation method based on the partial-equilibrium reaction model of hydrate was applied to simulate the migration of methane gas and the resultant hydrate formation when the gas enters the hydrate stability zone under the seabed through gas-chimneys.The dynamics of this gaschimney hydrate accumulation were analyzed,and the influences of different factors―namely,the fluid supply time,rate,and temperature―on the formation temperature and ultimate distribution of the hydrate reservoir were evaluated.The simulation results indicate that the accumulation of hydrate via gas-chimneys is significantly affected by the temperature of the gas source,the transfer state of the methane gas,and the number of cycles of alternating gas-water invasion.Hydrate accumulation takes shape in an annular or semi-annular distribution pattern divided by fluid state as follows:a two-phase gas-water zone,a three-phase gas-water-hydrate zone,a two-phase water-hydrate zone,and a phase of water passing from the inside to the outside.Formation inclination and reservoir heterogeneity can greatly affect the distribution shape and abundance of the hydrate.A high fluid supply temperature,frequent alternating invasions of gas and water,and long-term pore-water invasion at a high rate can jointly cause a large central hydrate-free zone.In contrast,a long-term supply shutdown during the alternating gas-water invasion process,and a high gas rate with a low water rate in the gas-dominant invasion stage,foster the accumulation of hydrate in great abundance and with considerable thickness.The results of this study can help us understand the accumulation of hydrate through gas chimneys in the Shenhu Area.展开更多
Landfalling tropical cyclones(TCs)pose tremendous hazards to East Asian coastal areas,particularly in East China,a densely populated and economically vital center.This underscores the critical need for a more in-depth...Landfalling tropical cyclones(TCs)pose tremendous hazards to East Asian coastal areas,particularly in East China,a densely populated and economically vital center.This underscores the critical need for a more in-depth investigation into the evolving characteristics and influences of these landfalling TCs.In this study,we explored changes in landfalling TC activity during 1965–2022 and estimated their influences in East China.Our findings demonstrate that the annual frequency of landfalling TCs has exhibited a slight increase since the mid-1990s,while their overall influences have significantly intensified.This intensification is closely associated with the prolonged duration of TCs over land after landfall.The results also reveal that longer overland sustainment is attributed to the descending vertical wind shear(VWS)and ascending low-layer moisture supply over the corresponding areas.In addition,the annual mean genesis location of these landfalling TCs has shown a significant westward migration,which may be advantageous to the increase in TC influences.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
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
In this paper, we conduct research on the logistics cost and enterprise operation efficiency with the influences on international trade. With the deepening of the reform of the market economic system in our country, a...In this paper, we conduct research on the logistics cost and enterprise operation efficiency with the influences on international trade. With the deepening of the reform of the market economic system in our country, and the advancement of the reform of state-owned enterprises and government function transformation, the company is out of the shackles of the planned economy as the main body of market competition, at the same time, government regulators and investors in a state-owned capital market, all kinds of financial intermediaries and the information intermediary organizations, as well as the associated with the interests of closely linked to the enterprise value creation main body, including business owners and operators have yet to establish a timely to adapt to the market economy system. With this guidance, we propose the novel international trade paradigm for the companies that will enhance the efficiency of the general management.展开更多
基金This study is part of the RECOLLECT 2 programme,a five-year(2020-2025)project funded by the National Institute for Health and Care Research,which investigates the effectiveness and cost-effectiveness of recovery colleges.
文摘Background Recovery colleges (RCs) support personal recovery through education, skill development and social support for people with mental health problems, carers and staff. Guided by co-production and adult learning principles, RCs represent a recent mental health innovation. Since the first RC opened in England in 2009, RCs have expanded to 28 countries and territories. However, most RC research has been conducted in Western countries with similar cultural characteristics, limiting understanding of how RCs can be culturally adapted. The 12-item Recovery Colleges Characterisation and Testing (RECOLLECT) Fidelity Measure (RFM) evaluates the operational fidelity of RCs based on 12 components, but cultural influences on these components remain underexplored.Aims To assess associations between Hofstede’s cultural dimensions and RFM items to identify cultural influences on fidelity components.Methods A cross-sectional survey of RC managers was conducted across all 221 RCs. Mixed-effects regression models examined associations between Hofstede’s country-level cultural dimensions and item-level RFM scores, adjusted for healthcare expenditure and income inequality. Four cultural dimensions, obtained from Hofstede, were analysed: individualism (prioritising personal needs), indulgence (enjoyment-oriented), uncertainty avoidance (preference for predictability) and long-term orientation (future-focused).Results The RFM was completed by 169 (76%) RC managers. Seven RFM items showed associations with cultural dimensions. Equality was linked to short-term orientation, while learning was associated with individualism and uncertainty avoidance. Both individualism and indulgence influenced co-production and community focus. Commitment to recovery was shaped by all four cultural dimensions, with the strongest associations seen for individualism and indulgence. Individualism enhanced explicit focus on strengths-based practice, while uncertainty avoidance influenced course distinctiveness.Conclusions This study demonstrates how culture shapes RC fidelity components, providing actionable insights for cultural adaptation. Incorporating under-represented dimensions, such as collectivism and restraint, could improve the RFM’s global applicability, facilitating implementation. Future research should explore cultural nuances, engage diverse stakeholders and refine fidelity measures to enhance RC inclusivity and effectiveness worldwide.
基金supported by the Guangzhou Marine Geological Survey,China Geological Survey,Guangzhou,China(No.2022C-24-216)financed by the General Project of the Shandong Natural Science Foundation,China(No.ZR2020ME090).
文摘The Shenhu Area in the South China Sea is rich in oil and gas resources and has many vertical gas chimneys,making it an excellent geological environment for hydrate accumulation.This paper examines the geological conditions governing these gas-chimneys.A numerical simulation method based on the partial-equilibrium reaction model of hydrate was applied to simulate the migration of methane gas and the resultant hydrate formation when the gas enters the hydrate stability zone under the seabed through gas-chimneys.The dynamics of this gaschimney hydrate accumulation were analyzed,and the influences of different factors―namely,the fluid supply time,rate,and temperature―on the formation temperature and ultimate distribution of the hydrate reservoir were evaluated.The simulation results indicate that the accumulation of hydrate via gas-chimneys is significantly affected by the temperature of the gas source,the transfer state of the methane gas,and the number of cycles of alternating gas-water invasion.Hydrate accumulation takes shape in an annular or semi-annular distribution pattern divided by fluid state as follows:a two-phase gas-water zone,a three-phase gas-water-hydrate zone,a two-phase water-hydrate zone,and a phase of water passing from the inside to the outside.Formation inclination and reservoir heterogeneity can greatly affect the distribution shape and abundance of the hydrate.A high fluid supply temperature,frequent alternating invasions of gas and water,and long-term pore-water invasion at a high rate can jointly cause a large central hydrate-free zone.In contrast,a long-term supply shutdown during the alternating gas-water invasion process,and a high gas rate with a low water rate in the gas-dominant invasion stage,foster the accumulation of hydrate in great abundance and with considerable thickness.The results of this study can help us understand the accumulation of hydrate through gas chimneys in the Shenhu Area.
基金General Scientific Research Projects of Jiangsu Provincial Meteorological Service(KM202401)Young Scientists Found of the National Natural Science Foundation of China(42205197)+2 种基金Beijige Fund of Nanjing Joint Institute for Atmospheric Sciences(BJG202501)Joint Research Project for Meteorological Capacity Improvement(22NLTSY009)Key Scientific Research Projects of Jiangsu Provincial Meteorological Bureau(KZ202203)。
文摘Landfalling tropical cyclones(TCs)pose tremendous hazards to East Asian coastal areas,particularly in East China,a densely populated and economically vital center.This underscores the critical need for a more in-depth investigation into the evolving characteristics and influences of these landfalling TCs.In this study,we explored changes in landfalling TC activity during 1965–2022 and estimated their influences in East China.Our findings demonstrate that the annual frequency of landfalling TCs has exhibited a slight increase since the mid-1990s,while their overall influences have significantly intensified.This intensification is closely associated with the prolonged duration of TCs over land after landfall.The results also reveal that longer overland sustainment is attributed to the descending vertical wind shear(VWS)and ascending low-layer moisture supply over the corresponding areas.In addition,the annual mean genesis location of these landfalling TCs has shown a significant westward migration,which may be advantageous to the increase in TC influences.
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%.
文摘In this paper, we conduct research on the logistics cost and enterprise operation efficiency with the influences on international trade. With the deepening of the reform of the market economic system in our country, and the advancement of the reform of state-owned enterprises and government function transformation, the company is out of the shackles of the planned economy as the main body of market competition, at the same time, government regulators and investors in a state-owned capital market, all kinds of financial intermediaries and the information intermediary organizations, as well as the associated with the interests of closely linked to the enterprise value creation main body, including business owners and operators have yet to establish a timely to adapt to the market economy system. With this guidance, we propose the novel international trade paradigm for the companies that will enhance the efficiency of the general management.
