Background:Pediatric cardiology patients often experience decreased quality of life(QoL)and higher rates of mental illness,particularly with severe disease,but the relationship between them and comparisons across diag...Background:Pediatric cardiology patients often experience decreased quality of life(QoL)and higher rates of mental illness,particularly with severe disease,but the relationship between them and comparisons across diagnostic groups are limited.This mixed-methods cross-sectional study assessed the association between QoL anxiety and behavior problems among children with structural heart disease,arrhythmia,or other cardiac diagnoses.Methods:Children(6–14 years,n=76,50%female)and their parents completed measures of QoL(PedsQL),behavior(BASC-2,subset of 19 children)and anxiety(MASC-2,children 8+years).Pearson correlations/regression models examined associations between QoL,behavior and anxiety,controlling for age,sex,diagnosis and condition severity.Student t-tests compared results to published normative values.Semi-structured interviews(15 children,13 parents)examined self-and parent-reported perceptions of the patient’s emotional health.Results:Child reported social QoL(95%CI difference:−11.0,−2.1),emotional well-being(95%CI difference:−12.5,−3.8)and adjustment skills(95%CI difference:−13.9,−3.0)were significantly below published norms(p<0.05).Neither age,sex,nor diagnosis were significantly related to questionnaire responses.Compared to children with mild conditions,child and parent-reported QoL was significantly lower in children with complex conditions(np2≥0.14,p<0.05).Lower QoL was strongly associated with more internalizing problems based on both child(r=−0.78,p<0.001)and parent(r=−0.67,p<0.001)reports.Interview responses suggested emotional distress was attributed to“normal”child problems rather than the child’s cardiac problem.Conclusion:Children with complex cardiac conditions,regardless of diagnosis,had diminished QoL.Using the PedsQL in clinical settings may help identify pediatric cardiology patients experiencing emotional distress(i.e.,anxiety and depression).展开更多
School-based universal screening for behavioral/emotional risk is a necessary first step to providing services in an educational setting for students with emotional and behavioral disorders (EBDs). Psychometric proper...School-based universal screening for behavioral/emotional risk is a necessary first step to providing services in an educational setting for students with emotional and behavioral disorders (EBDs). Psychometric properties are critical to making decisions about choosing a screening instrument. The purpose of the present study was to examine the psychometric properties of the student risk screening scale for internalizing and externalizing behaviors (SRSS-IE). Participants included 3145 students and their teachers. Item-level analyses of the current sample supported the retention of all items. The internal consistency of the SRSS items ranged from 0.83 to 0.85. Convergent validity between the SRSS-IE and a well-established screening tool, the strength and difficulties questionnaire (SDQ), was found for the total score (r = 0.70). Additionally, the results of this study demonstrate strong social validity, suggesting the SRSS-IE to be a useful and functional screening tool. We conclude that the SRSS-IE is a valid and reliable instrument for assessing the level of emotional and behavioral difficulties among elementary students.展开更多
Objective:This study aimed to examine the developmental trajectories of internalizing behaviors among adolescents and to identify key personal and environmental factors associated with these developmental patterns ove...Objective:This study aimed to examine the developmental trajectories of internalizing behaviors among adolescents and to identify key personal and environmental factors associated with these developmental patterns over time.Methods:Data were collected from 2242 adolescents(49.6%girls,aged 13.9–18.9 years)in South Korea.Latent class growth analysis was used to identify distinct developmental patterns of internalizing behaviors.Multinomial logistic regression analyses were conducted to examine the associations between these developmental patterns and various factors including gender,self-esteem,abuse and neglect experiences,peer relationships,and media use.Results:The analysis revealed three latent classes of internalizing behavior trajectories among adolescents.The first group,the“mid decreasing group”,comprised 54.5%of the sample(1221 students),indicating a moderate level of internalizing behavior that declined over time.The second group,the“high decreasing group”,included 19.1%of the sample(429 students),characterized by initially high levels of internalizing behavior that decreased.The third group,the“low maintained group”,represented 26.4%of the sample(592 students),indicating consistently low levels of internalizing behavior.Factors such as gender,self-esteem,experiences of abuse and neglect,peer relationships(trust and alienation),smartphone dependency,and time spent watching TV/videos were significantly associated with these latent groups.Conclusion:Three distinct developmental patterns of internalizing behaviors were identified among adolescents:mid-decreasing(54.5%),high-decreasing(19.1%),and low-maintained(26.4%).Gender,self-esteem,abuse experiences,and peer relationships were significant predictors of these developmental patterns.展开更多
Laser 3D printing,also known as laser additive manufacturing(LAM),is favored for its ability to form bulk metallic glass(BMG)and its composite materials(BMGcs)with freeform geometries.In this work,two different kinds ...Laser 3D printing,also known as laser additive manufacturing(LAM),is favored for its ability to form bulk metallic glass(BMG)and its composite materials(BMGcs)with freeform geometries.In this work,two different kinds of Fe_(41)Co_(7)Cr_(15)Mo_(14)C_(15)B_(6)Y_(2)amorphous coatings(A and B)were prepared by using LAM technology under air-and water-cooled conditions,respectively;meanwhile,to reduce the cracks generated due to the residual thermal stresses,coating C obtained by air-sweep annealing of B with a low energy-density laser.The morphology and amorphous content and microstructure of the coatings were investigated,the results show many cracks in coating B deposited under water-cooled conditions,and its microstructure shows an amorphous-crystal-nanocrystalline mixed structure.Cracking was suppressed in coating C,obtained by air-sweep annealing based on coating B,but the amorphous content was reduced from 32.6 to 13.4%.And the hardness and corrosion resistance of the coating will increase with the increase in the amorphous content.Finally,the internal friction behavior of a BMGcs was prepared on the basis of the process of sample C is compared with that of as-cast amorphous alloys.The results show that the low temperature internal friction behavior of BMGcs is affected by the defects produced during printing,and the high temperature internal friction behavior is affected by the precipitated hard phase.展开更多
Total strain controlled cyclic test was performed on 316 LN under uniaxial loadings. Through the partitioning of hysteresis loops, the evolution of two components of cyclic flow stress, the internal and effective stre...Total strain controlled cyclic test was performed on 316 LN under uniaxial loadings. Through the partitioning of hysteresis loops, the evolution of two components of cyclic flow stress, the internal and effective stresses, was reported. The former one determines the cyclic stress response. Based on the transmission electron microscopic（TEM） observation on specimens loaded with scheduled cycles, it is found that planar dislocation structures prevail during the entire cyclic process at low strain amplitude, while a remarkable dislocation rearrangement from planar structures to heterogeneous spatial distributions is companied by a cyclic softening behavior at high strain amplitude. The competition between the evolution of the intergranular and the intragranular components of the internal stress caused by the transition of slip mode induces the cyclic hardening and softening at high strain levels. The intergranular internal stress represents the most part of the internal stress at low strain level.展开更多
基金Data collection at SickKids was supported by the Cardiovascular Clinical Research UnitData collection by Bhavika Patel was supported by the Mach-Gaensslen Foundation of Canadathrough a summer research studentship+1 种基金Data collection by Julia Jackson was supported by a summer studentship from the CHEO Research InstituteThe analyses and manuscript preparation by Jacqueline Lee was supported by a Queen Elizabeth II Scholarship.
文摘Background:Pediatric cardiology patients often experience decreased quality of life(QoL)and higher rates of mental illness,particularly with severe disease,but the relationship between them and comparisons across diagnostic groups are limited.This mixed-methods cross-sectional study assessed the association between QoL anxiety and behavior problems among children with structural heart disease,arrhythmia,or other cardiac diagnoses.Methods:Children(6–14 years,n=76,50%female)and their parents completed measures of QoL(PedsQL),behavior(BASC-2,subset of 19 children)and anxiety(MASC-2,children 8+years).Pearson correlations/regression models examined associations between QoL,behavior and anxiety,controlling for age,sex,diagnosis and condition severity.Student t-tests compared results to published normative values.Semi-structured interviews(15 children,13 parents)examined self-and parent-reported perceptions of the patient’s emotional health.Results:Child reported social QoL(95%CI difference:−11.0,−2.1),emotional well-being(95%CI difference:−12.5,−3.8)and adjustment skills(95%CI difference:−13.9,−3.0)were significantly below published norms(p<0.05).Neither age,sex,nor diagnosis were significantly related to questionnaire responses.Compared to children with mild conditions,child and parent-reported QoL was significantly lower in children with complex conditions(np2≥0.14,p<0.05).Lower QoL was strongly associated with more internalizing problems based on both child(r=−0.78,p<0.001)and parent(r=−0.67,p<0.001)reports.Interview responses suggested emotional distress was attributed to“normal”child problems rather than the child’s cardiac problem.Conclusion:Children with complex cardiac conditions,regardless of diagnosis,had diminished QoL.Using the PedsQL in clinical settings may help identify pediatric cardiology patients experiencing emotional distress(i.e.,anxiety and depression).
文摘School-based universal screening for behavioral/emotional risk is a necessary first step to providing services in an educational setting for students with emotional and behavioral disorders (EBDs). Psychometric properties are critical to making decisions about choosing a screening instrument. The purpose of the present study was to examine the psychometric properties of the student risk screening scale for internalizing and externalizing behaviors (SRSS-IE). Participants included 3145 students and their teachers. Item-level analyses of the current sample supported the retention of all items. The internal consistency of the SRSS items ranged from 0.83 to 0.85. Convergent validity between the SRSS-IE and a well-established screening tool, the strength and difficulties questionnaire (SDQ), was found for the total score (r = 0.70). Additionally, the results of this study demonstrate strong social validity, suggesting the SRSS-IE to be a useful and functional screening tool. We conclude that the SRSS-IE is a valid and reliable instrument for assessing the level of emotional and behavioral difficulties among elementary students.
文摘Objective:This study aimed to examine the developmental trajectories of internalizing behaviors among adolescents and to identify key personal and environmental factors associated with these developmental patterns over time.Methods:Data were collected from 2242 adolescents(49.6%girls,aged 13.9–18.9 years)in South Korea.Latent class growth analysis was used to identify distinct developmental patterns of internalizing behaviors.Multinomial logistic regression analyses were conducted to examine the associations between these developmental patterns and various factors including gender,self-esteem,abuse and neglect experiences,peer relationships,and media use.Results:The analysis revealed three latent classes of internalizing behavior trajectories among adolescents.The first group,the“mid decreasing group”,comprised 54.5%of the sample(1221 students),indicating a moderate level of internalizing behavior that declined over time.The second group,the“high decreasing group”,included 19.1%of the sample(429 students),characterized by initially high levels of internalizing behavior that decreased.The third group,the“low maintained group”,represented 26.4%of the sample(592 students),indicating consistently low levels of internalizing behavior.Factors such as gender,self-esteem,experiences of abuse and neglect,peer relationships(trust and alienation),smartphone dependency,and time spent watching TV/videos were significantly associated with these latent groups.Conclusion:Three distinct developmental patterns of internalizing behaviors were identified among adolescents:mid-decreasing(54.5%),high-decreasing(19.1%),and low-maintained(26.4%).Gender,self-esteem,abuse experiences,and peer relationships were significant predictors of these developmental patterns.
基金This work was supported by the National Natural Science Foundation of China(No.52161028)the Major Discipline Academic and Technical Leaders Training Program of Jiangxi Province(No.20213BCJ22017).
文摘Laser 3D printing,also known as laser additive manufacturing(LAM),is favored for its ability to form bulk metallic glass(BMG)and its composite materials(BMGcs)with freeform geometries.In this work,two different kinds of Fe_(41)Co_(7)Cr_(15)Mo_(14)C_(15)B_(6)Y_(2)amorphous coatings(A and B)were prepared by using LAM technology under air-and water-cooled conditions,respectively;meanwhile,to reduce the cracks generated due to the residual thermal stresses,coating C obtained by air-sweep annealing of B with a low energy-density laser.The morphology and amorphous content and microstructure of the coatings were investigated,the results show many cracks in coating B deposited under water-cooled conditions,and its microstructure shows an amorphous-crystal-nanocrystalline mixed structure.Cracking was suppressed in coating C,obtained by air-sweep annealing based on coating B,but the amorphous content was reduced from 32.6 to 13.4%.And the hardness and corrosion resistance of the coating will increase with the increase in the amorphous content.Finally,the internal friction behavior of a BMGcs was prepared on the basis of the process of sample C is compared with that of as-cast amorphous alloys.The results show that the low temperature internal friction behavior of BMGcs is affected by the defects produced during printing,and the high temperature internal friction behavior is affected by the precipitated hard phase.
基金Funded by the Nuclear Power Major Project(No.2011zx06004-002)
文摘Total strain controlled cyclic test was performed on 316 LN under uniaxial loadings. Through the partitioning of hysteresis loops, the evolution of two components of cyclic flow stress, the internal and effective stresses, was reported. The former one determines the cyclic stress response. Based on the transmission electron microscopic（TEM） observation on specimens loaded with scheduled cycles, it is found that planar dislocation structures prevail during the entire cyclic process at low strain amplitude, while a remarkable dislocation rearrangement from planar structures to heterogeneous spatial distributions is companied by a cyclic softening behavior at high strain amplitude. The competition between the evolution of the intergranular and the intragranular components of the internal stress caused by the transition of slip mode induces the cyclic hardening and softening at high strain levels. The intergranular internal stress represents the most part of the internal stress at low strain level.
