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Development and Factorial Structure of the Green Crescent Life Skills Scale for Turkish Adolescents
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作者 Ayşe Esraİşmen Gazioğlu Halime Yıldırım Hoş Şener Büyüköztürk 《International Journal of Mental Health Promotion》 2025年第5期683-700,共18页
Background The effectiveness of life skills-based prevention programs to prevent substance addiction has been underexplored in Türkiye,likely in part due to the lack of validated measurement tools developed speci... Background The effectiveness of life skills-based prevention programs to prevent substance addiction has been underexplored in Türkiye,likely in part due to the lack of validated measurement tools developed specifically for that purpose.Therefore,the aim of this study is to develop a tool to measure life skills for middle school students.The present study aims to test the factorial structure,reliability,convergent and discriminant validity,and measurement invariance across gender and age groups of the Green Crescent Life Skills(GCLS)Scale.Methods The study was conducted in Istanbul with two different sample groups.The first sample consisted of 566 and the second sample consisted of 885 middle school students.In the study,exploratory factor analysis(EFA)was applied to the first sample,and confirmatory factor analysis(CFA)was applied to the second sample to test the factorial structure of the scale.Convergent and discriminant validity were examined to provide evidence for construct-based validity.The reliability of the scale was assessed with Cronbach’sα,composite reliability,McDonald’sω,and test-retest.Results The EFA results showed that the scale consisted of four factors(self-awareness,coping with negative emotions,thinking skills,and peer relations).CFA results also confirmed this structure.The results revealed a significant positive correlation(r=0.52,p<0.01)between life skills and avoidance self-efficacy scores,as well as a significant negative correlation(r=−0.53,p<0.01)between life skills and attitude toward drug use scores.Additionally,it was found that measurement invariances based on gender and age groups were provided.It was determined that all sub-dimensions had sufficient reliability levels.Conclusion The findings of this validation study show that the GCLS Scale,which assesses four skills in a self-reported format,is a valid and reliable scale with considerable potential utility in monitoring life skills in Turkish adolescent populations. 展开更多
关键词 Green crescent life skills scale life skills drug prevention scale development
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Research on Developing an Assessment Scale for Tourism Experience Elements of Ancient Shu Road Heritage Trail 被引量:1
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作者 Wang Yuan Wang Bo Zhou Jiang 《Contemporary Social Sciences》 2024年第5期118-142,共25页
Cultural ancient roads,known in Chinese as gudao,serve as heritage trails that carry historical exchanges across various regions in China.Due to their extensive preservation,wide geographical distribution,diverse them... Cultural ancient roads,known in Chinese as gudao,serve as heritage trails that carry historical exchanges across various regions in China.Due to their extensive preservation,wide geographical distribution,diverse thematic variations,and considerable tourist appeal,these paths have emerged as representative heritage trails,increasingly transforming into a novel tourism product experience that is highly favored by tourists and recognized by government authorities.However,research on ancient roads for tourism in China currently lacks a systematic theoretical framework,as well as relevant policies,regulations,and standards to guide their practical development.Therefore,there is a pressing need to draw upon international best practices and conduct foundational research to develop an experience element system that aligns with the perceptions,behaviors,and consumption characteristics of Chinese tourists,thereby advancing theoretical exploration in this field.This study focuses on the representative Ancient Shu Road as a case study and employs a mixed-method approach that integrates qualitative and quantitative research.It aims to construct a tourist-centric scale for the experience elements of ancient road tourism while analyzing the interactive relationship between these experience elements and tourist needs.This study addresses a significant gap in the development of indicator systems for domestic studies of ancient road tourism experiences.Ultimately,the study establishes a comprehensive scale that encompasses three core categories—trail resources and environment,facilities and services,and modes of tourism activities—along with eight primary dimensions:core resources,surrounding cultural environment,surrounding natural environment,tourism reception facilities and services,infrastructure and support services,information facilities and information services,and outdoor and recreational activities.This scale consists of thirty-two specific items,providing a robust reference for future research endeavors.Additionally,the study proposes specific development strategies related to key mechanisms,spatial configuration,and facility construction to enhance the overall development of ancient road tourism. 展开更多
关键词 ancient roads heritage trails tourism experience elements scale development
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Development and psychometric evaluation of the Ethical Behavior for Thai Nurses Scale
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作者 Pisamai Orathai Wonnapha Prapaipanich +1 位作者 Manee Arpanantikul Supanee Senadisai 《Frontiers of Nursing》 2022年第3期275-284,共10页
Background:Ethical problems in the nursing profession are mostly found in the undesirable ethical behavior(EBE)of nurses.If there is no concern about these problems,it may negatively affect the quality of nursing care... Background:Ethical problems in the nursing profession are mostly found in the undesirable ethical behavior(EBE)of nurses.If there is no concern about these problems,it may negatively affect the quality of nursing care,patients’safety,and trust in the nursing profession.In assessing nurses’EBE,it is important to develop an instrument that reflects the actual EBE of nurses.Objectives:To develop and evaluate the psychometric properties of the Ethical Behavior for Thai Nurses Scale(EBTNS).Methods:The construct definition,5 sub-constructs,43 items,and the hypothesized model were synthesized and generated from a comprehensive literature review and existing research instruments by using document analysis.The EBTNS was verified for content validity by 4 experts.Of the 43 items,37 items were retained for psychometric testing.The construct validity was tested by using second-order confirmatory factor analysis(CFA).The EBTNS was tested on 1500 professional nurses working at tertiary,secondary,and primary hospitals in 6 regions(the central,northern,northeast,eastern,western,and southern)of Thailand.Proportional quota sampling was applied to recruit participants.Results:The hypothesized model fitted the empirical data.All 37 first-order indicators and 5 second-order sub-constructs showed significantly standardized factor loadings and effect sizes.The standardized factor loadings of 37 first-order indicators ranged from 0.58 to 0.89,and the construct reliabilities were moderate to substantial(R2=0.34-0.79).The 5 second-order sub-constructs displayed the standardized effect sizes,ranging from 0.81 to 0.96,and accounted for 65%-96%of the total explained variance.In addition,the construct validity was supported by convergent validity and discriminant validity.It also satisfied Cronbach’s alpha coefficients of 5 sub-constructs from 0.87 to 0.94,and a full scale was 0.97.Conclusions:The psychometric properties of the EBTNS are acceptable.This instrument has the potential to be used for evaluating and monitoring to prevent ethical problems of Thai nurses. 展开更多
关键词 construct validity convergent validity discriminant validity ETHICS nurses scale development
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Development and psychometric evaluation of the nurse behavior toward confirmed and suspected HIV/AIDS patients (NB-CSHAP) scale
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作者 Janet Alexis De los Santos Norberto Milla +1 位作者 Cyruz Tuppal Leodoro Labrague 《Frontiers of Nursing》 2022年第1期103-113,共11页
There is a scarcity of literature discussing nurses’ behaviors toward caring for suspected or confirmed human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) patients. The development of a scal... There is a scarcity of literature discussing nurses’ behaviors toward caring for suspected or confirmed human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) patients. The development of a scale specific to measure nurses’ behaviors will allow health institutions to assess the disposition of their nurses in terms of HIV care. This study aims to present the rigors of developing and validating a reliable instrument to contextualize these nurses’ behaviors. This study utilized a sequential exploratory mixed method design to develop the NB-CSHAP scale. Thematic analysis was done on the qualitative data from the interviews with persons living with HIV/AIDS (PLHA) from which items were selected to be included in the scale. Exploratory factor analysis was utilized to extract the factors and Cronbach’s alpha was used to assess the reliability of the instrument. Four factors were extracted and are categorized as either caring or discriminatory behaviors. These include: (1) service-oriented, (2) openhanded, (3) perceptive, and (4) discriminatory. The scale has an internal consistency of 0.73. The scale shows acceptable psychometric properties, hence can be used to assess the nurses’ behaviors in caring for confirmed or suspected HIV clients. The scale may be used by health institutions to determine the quality of the patient care provided by their nurses to clients with confirmed or suspected HIV . 展开更多
关键词 caring behaviors HIV/AIDS care nursing scale development sequential exploratory mixed method design
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Development of a frailty scale for elderly people in China
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作者 Xiao-Hong Zhang Yang Yang +2 位作者 Chun-Mei Zhang Ru-Zhen Luo Yan-Hui Liu 《Chinese Nursing Research》 CAS 2017年第2期64-70,共7页
Objective:The aim of this study was to develop a frailty scale for the elderly in China and to examine its reliability and validity.Methods:The method of convenient sampling was used to select 375 elderly individual... Objective:The aim of this study was to develop a frailty scale for the elderly in China and to examine its reliability and validity.Methods:The method of convenient sampling was used to select 375 elderly individuals in different communities of Tianjin,China.EuroQpl-5D was used to evaluate the criterion validity.Cronbach's αcoefficients,correlation analysis,exploratory factor analysis,criterion-related validity,and internal consistency were used to evaluate the reliability and validity of the scale.To evaluate the test—retest reliability,30 old people were re-evaluated after 2 weeks.Results:The final version of the frailty scale(FI-35) consisted of 35 items.Eleven factors were extracted by a principal factor analysis and varimax rotation,with a cumulative contribution of 86.00%.Eleven dimensions were positively correlated(r = 0.130-0.541,P 〈 0.01).Cronbach's α coefficient was 0.952,and the alpha coefficients of 11 dimensions ranged from 0.730 to 0.992.The test-retest reliability was0.874 for the total scale.The split-half reliability of the scale was 0.808.Structural equation modeling was used to perform a confirmatory factor analysis,and various parameters were all acceptable.Conclusions:FI-35 met the requirement of scale development and showed good reliability and validity;thus,it can be used as an efficient frailty measurement tool for Chinese elderly. 展开更多
关键词 Frailty Elderly scale development Reliability Validity
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Cost Climate Survey Scale in Construction:Development and Empirical Research
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作者 HE Wei CHEN Song 《Journal of Donghua University(English Edition)》 EI CAS 2018年第3期220-227,共8页
To develop the cost climate survey scale( CCSS) used in construction enterprises,the design concepts,principles and the process diagrams of CCSS are proposed.Through questionnaire investigation and expert interviews,3... To develop the cost climate survey scale( CCSS) used in construction enterprises,the design concepts,principles and the process diagrams of CCSS are proposed.Through questionnaire investigation and expert interviews,314 projects are established and the CCSS that is made up of 7 dimensions framework and 30 levels is preliminarily determined.After categorized merger,pre-test analysis and multiple items refining,16 projects of CCSS are eventually compiled.In order to verify the credibility and validity of the CCSS,200 employees in Qinhuangdao construction company as the samples are tested.SPSS 21.0 is used to analyze the reliability,validity and rationality of level divisions,and Amos 22.0 is for analyzing the degree of model adaptation in this survey.Finally,the current cost climate situation of the construction site in the company is evaluated,the deficiencies of the cost culture of the construction site are pointed out.This study shows that strengthening the cost knowledge training has a significant positive effect on the cost climate cognition of the employees.Nevertheless,accumulation of work experience has a dual impact on that.The CCSS is not only an important foundation for the cost climate research and its theoretical development,but also the premise of the cost climate quantitative research.An appropriate CCSS,to some extent,can reflect the cognitive level of all kinds of employees in one enterprise and cost savings degree of the enterprise in a certain time.The development of CCSS reflects the originality and interactivity,and fills a blank of the CCSS in construction,which is considered to be an effective tool for cost climate research in construction. 展开更多
关键词 cost climate scale development reliability validity empirical research
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Development and Initial Validation of the Personal and Social Responsibility Scale in Physical Education Settings
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作者 Si Man Lei Soi Po Wong +1 位作者 Sin I Lam Tanjian Liang 《Journal of International Education and Practice》 2020年第1期27-34,共8页
This study aims to develop a valid instrument measuring personal and social responsibility in physical education settings that is suitable for Chinese high school students age 14 and above.This instrument consists of ... This study aims to develop a valid instrument measuring personal and social responsibility in physical education settings that is suitable for Chinese high school students age 14 and above.This instrument consists of eight aspects,which builds upon the levels of responsibility in Hellison’s(2011)[9]Teaching Personal and Social Responsibility Model(TPSR).The eight aspects in the measurement include goal,responsibility,respecting the rights and feelings of others,participation and effort,self-direction,caring,and value.The validation of the measurement was conducted based on the responses from 1091 high school students in Macao,China.The convergent and discriminant validity tests and a maximum likelihood confirmation factor analysis were performed using AMOS 21.The Bollen-Stine bootstrapping model was applied to adjust nonnormality data.Results supported a good validity and reliability of the items in the instrument. 展开更多
关键词 Physical education RESPONSIBILITY TPSR scale development
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Development of Self-Rated Nursing Record Frequency for Delirium Care of Nurses in Acute Care Hospitals (NRDC-Acute)
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作者 Katsuhiko Hattori Kenichi Matsuda 《Open Journal of Nursing》 2024年第8期412-420,共9页
Background: Nursing records play an important role in multidisciplinary collaborations in delirium care. This study aims to develop a self-rated nursing record frequency scale for delirium care among nurses in acute c... Background: Nursing records play an important role in multidisciplinary collaborations in delirium care. This study aims to develop a self-rated nursing record frequency scale for delirium care among nurses in acute care hospitals (NRDC-Acute). Methods: A draft of the scale was developed after a literature review and meeting with researchers with experience in delirium care, and a master’s or doctoral degree in nursing. We identified 25 items on a 5-point Likert scale. Subsequently, an anonymous self-administered questionnaire survey was administered to 520 nurses from 41 acute care hospitals in Japan, and the reliability and validity of the scale were examined. Results: There were 232 (44.6%) respondents and 218 (41.9%) valid responses. The mean duration of clinical experience was 15.2 years (SD = 8.8). Exploratory factor analysis extracted 4 factors and 13 items for this scale. The model fit indices were GFI = 0.991, AGFI = 0.986, and SRMR = 0.046. The Cronbach’s alpha coefficient for the entire scale was .888. The four factors were named “Record of Pharmacological Delirium Care on Pro Re Nata (PRN)”, “Record of Non-Pharmacological Delirium Care”, “Record of Pharmacological Delirium Care on Regular Medication”, and “Record of Collaboration for Delirium Care”. Conclusion: The scale was relatively reliable and valid. Nurses in acute care hospitals can use this scale to identify and address issues related to the documentation of nursing records for delirium care. 展开更多
关键词 Acute Care Hospitals Delirium Care Nurses Nursing Records scale development
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Efficacy of Children Neuropsychological and Behavioral Scale in Screening for Autism Spectrum Disorders through a Combination of Developmental Surveillance 被引量:2
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作者 Jin-hui LI Jin-zhu ZHAO +9 位作者 Li HUA Xiao-lin HU Li-na TANG Ting YANG Tian-yi HE Chen HU Xiao-qun YU Ting-ting XIONG Dan-dan WU Yan HAO 《Current Medical Science》 SCIE CAS 2023年第3期592-601,共10页
Objective This study aimed to explore the clinical value of Children Neuropsychological and Behavioral Scale-Revision 2016(CNBS-R2016)for Autism Spectrum Disorder(ASD)screening in the presence of developmental surveil... Objective This study aimed to explore the clinical value of Children Neuropsychological and Behavioral Scale-Revision 2016(CNBS-R2016)for Autism Spectrum Disorder(ASD)screening in the presence of developmental surveillance.Methods All participants were evaluated by the CNBS-R2016 and Gesell Developmental Schedules(GDS).Spearman’s correlation coefficients and Kappa values were obtained.Taking GDS as a reference assessment,the performance of the CNBS-R2016 for detecting the developmental delays of children with ASD was analyzed with receiver operating characteristic(ROC)curves.The efficacy of the CNBS-R2016 to screen for ASD was explored by comparing Communication Warning Behavior with Autism Diagnostic Observation Schedule,Second Edition(ADOS-2).Results In total,150 children aged 12–42 months with ASD were enrolled.The developmental quotients of the CNBS-R2016 were correlated with those of the GDS(r=0.62–0.94).The CNBS-R2016 and GDS had good diagnostic agreement for developmental delays(Kappa=0.73–0.89),except for Fine Motor.There was a significant difference between the proportions of Fine Motor,delays detected by the CNBS-R2016 and GDS(86.0%vs.77.3%).With GDS as a standard,the areas under the ROC curves of the CNBS-R2016 were above 0.95 for all the domains except Fine Motor,which was 0.70.In addition,the positive rate of ASD was 100.0%and 93.5%when the cut-off points of 7 and 12 in the Communication Warning Behavior subscale were used,respectively.Conclusion The CNBS-R2016 performed well in developmental assessment and screening for children with ASD,especially by Communication Warning Behaviors subscale.Therefore,the CNBS-R2016 is worthy of clinical application in children with ASD in China. 展开更多
关键词 autism spectrum disorder Children Neuropsychological and Behavioral scale screening for autism spectrum disorder developmental assessment
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Development of Elementary School Teachers' Self-Regulated Learning Exploratory Factor Scale
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作者 Meng Meng 《Journal of Mathematics and System Science》 2014年第6期439-443,共5页
Self-regulated learning (SRL) is one of the precious ways in teachers' professional development, and its operation level includes different factors. With studies abroad and our preliminary investigation as base, th... Self-regulated learning (SRL) is one of the precious ways in teachers' professional development, and its operation level includes different factors. With studies abroad and our preliminary investigation as base, this study developed a scale to test the factors SRL includes. According to the result of 905 teachers working in elementary school by exploratory factor analysis, the SRL for elementary teachers is consisted of its sociality (it included selecting leads and seeking for instructing), its motivation(it included self-improvement and self-excelling), its methods(it included strategy use and habitual behavior), and its outcomes(it included extensive reading and teachers' professional development). All the result indicated Teachers' SRL Scale had clear factor structure, good reliability and validity. It can be used to test the current operating situation of SRL for teachers working in elementary school. 展开更多
关键词 RELIABILITY validity exploratory factor analysis scale developing
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Enrichment laws and scale effective development of shale gas in the southern Sichuan Basin
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作者 Ma Xinhua 《Natural Gas Industry B》 2019年第3期240-249,共10页
Based on the newest understandings of geological assessment and new progresses in engineering technologies in the development of shale gas rich in the southern Sichuan Basin,this paper analyzed the shale gas enrichmen... Based on the newest understandings of geological assessment and new progresses in engineering technologies in the development of shale gas rich in the southern Sichuan Basin,this paper analyzed the shale gas enrichment laws and the key factors of its commercial production,discussed the scale and efficient development modes,and clarified the further developing orientation.The following findings were concluded.(1)The Lower Silurian Longmaxi shale is the sweetest spot in this study area with a low density and a high uranium/thorium(U/Th)ratio,TOC content,quartz content,and free gas content.Besides,its distribution laws are mainly controlled by the sedimentary facies of deep water shelf.(2)The overpressured zones away from the ancient(present)erosion zones and large faults,mainly controlled by multi-stage tectonic evolution,belong to the most favorable sweet spots not only because there are well-developed organic matters and pores but the produced gas there is mainly of secondary cracking retention oil.(3)Layout,drilling,completion(fracturing)and management of wells will be essential to achieve high productions in the shale gas production.(4)The existing main technologies have helped achieve efficient development of quality shale gas resources underground less than 3500 m in such national shale gas demonstration zones as ChangningeWeiyuan,Zhaotong,etc.Also,there shows a good potential of shale gas resources in those shallower strata and the strata with the burial depth of 3500-4000 m.In conclusion,with the help of continuous progress in technologies,an annual shale gas production rate of 40 billion cubic meters will be possibly achieved in this study area. 展开更多
关键词 Southern sichuan basin Early silurian Longmaxi Fm Shale gas Enrichment laws scale effective development Sweet spots Resource potential High productivity
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维生素D治疗全面性发育迟缓患儿的临床疗效研究 被引量:3
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作者 牛国辉 谢加阳 +6 位作者 朱登纳 崔博 赵会玲 王明梅 冯欢欢 张萌萌 李停停 《中国全科医学》 CAS 北大核心 2025年第3期346-351,共6页
背景 除了某些有明确病因的代谢性疾病导致的全面性发育迟缓(GDD),康复治疗是GDD的主要治疗方式;维生素D通过影响神经营养因子在调节神经细胞的发育和分化方面发挥着重要的神经保护作用;但目前关于补充维生素D对GDD患儿临床疗效的研究... 背景 除了某些有明确病因的代谢性疾病导致的全面性发育迟缓(GDD),康复治疗是GDD的主要治疗方式;维生素D通过影响神经营养因子在调节神经细胞的发育和分化方面发挥着重要的神经保护作用;但目前关于补充维生素D对GDD患儿临床疗效的研究开展较少。目的 探讨补充不同剂量的维生素D对GDD患儿康复治疗的临床效果。方法 于2020年9月—2022年6月选取在郑州大学第三附属医院康复医学科首次住院就诊的120例GDD患儿为研究对象,采用随机区组化的方法将其分为常规组(38例)、400 U组(37例)和1 200 U组(35例)。常规组仅进行常规康复治疗;400 U组在常规康复治疗的基础上给予口服400 U/d维生素D;1 200 U组在常规康复训练的基础上给予口服1 200 U/d维生素D。收集3组患儿的性别、就诊年龄等基本资料;于入院时(治疗前)及第3个疗程末(治疗后)行血清25羟维生素D[25(OH)D]水平检测和Gesell发育量表评估[评估适应能力、大运动能力、精细运动能力、语言能力和社交能力5个能区的发育商(DQ)];记录发生在患儿住院期间不良事件的次数,并对上述资料进行分析比较。结果 3组患儿性别、居住地、出生季节、分娩方式、就诊年龄、出生体质量、出生胎龄、主要就诊原因比较,差异均无统计学意义(P>0.05)。治疗前,3组患儿25(OH)D水平、Gesell量表各能区DQ值比较,差异均无统计学意义(P>0.05);治疗后,1 200 U组患儿血25(OH)D水平、Gesell量表大运动能力、精细运动能力、语言能力DQ值高于常规组(P<0.05)。第1、2疗程期间,3组患儿不良事件发生率比较,差异无统计学意义(P>0.05);第3疗程期间,1 200 U组患儿不良事件发生率低于常规组及400 U组(P<0.05)。结论 补充1 200 U维生素D对GDD患儿的康复疗效有益,且能减少康复期间不良事件的发生率。 展开更多
关键词 儿童发育障碍 广泛性 全面性发育迟缓 维生素D Gesell量表 不良事件 康复治疗 神经保护
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Standardized Assessment of Artificial Intelligence Literacy:Development and Validation of the Multidimensional AI Literacy Competency Scale(MAIL-CS)
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《Artificial Intelligence Education Studies》 2025年第3期56-69,共14页
Generative AI's rapid diffusion demands precise,up-to-date measures of AI literacy.This study develops andl validates the Multidimensional AI Literacy Competency Scale(MAIL-CS),designed specifically for the GenAll... Generative AI's rapid diffusion demands precise,up-to-date measures of AI literacy.This study develops andl validates the Multidimensional AI Literacy Competency Scale(MAIL-CS),designed specifically for the GenAll era.Using a large sample of Chinese university students(N=850)and a split-sample design,we conducted EFA and CFA to establish a robust four-factor structure-Foundational Knowledge&Ethics,Operational Skills,Critical Evaluation,and Application&Innovation.The best-fitting model showed strong fit indices,and the 32-item scale demonstrated high internal consistency(Cronbach's α and McDonald's α≥82 subscales;α=0.91,ω=0.92 total).Convergent validity was supported by positive correlations with digital literacy andlcritical thinking;discriminant validity was evidenced by negligible relations with Big Five traits.MAIL-Cs offers educators,researchers,and policymakers a reliable instrument to diagnose competency gaps,evaluate interventions,and inform curriculum and strategy.Validation in a non-Western context provides a foundation for cross-cultural assessment and future invariance testing. 展开更多
关键词 AI literacy Generative AI scale development PSYCHOMETRICS Higher education
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Safety and effective developing nuclear power to realize green and low-carbon development 被引量:4
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作者 YE Qi-Zhen 《Advances in Climate Change Research》 SCIE CSCD 2016年第1期10-16,共7页
This paper analyzes the role of nuclear power of China's energy structure and industry system. Comparing with other renewable energy the nuclear power chain has very low greenhouse gas emission, so it will play mo... This paper analyzes the role of nuclear power of China's energy structure and industry system. Comparing with other renewable energy the nuclear power chain has very low greenhouse gas emission, so it will play more important role in China's low-carbon economy. The paper also discussed the necessity of nuclear power development to achieve emission reduction, energy structure adjustment, nuclear power safety,environmental protection, enhancement of nuclear power technology, nuclear waste treatment, and disposal, as well as nuclear power plant decommissioning. Based on the safety record and situation of the existing power plants in China, the current status of the development of world nuclear power technology, and the features of the independently designed advanced power plants in China, this paper aims to demonstrate the safety of nuclear power. A nuclear power plant will not cause harm either to the environment and nor to the public according to the real data of radioactivity release, which are obtained from an operational nuclear plant. The development of nuclear power technology can enhance the safety of nuclear power. Further, this paper discusses issues related to the nuclear fuel cycle, the treatment, and disposal strategies of nuclear waste, and the decommissioning of a nuclear power plant, all of which are issues of public concern. 展开更多
关键词 Nuclear power and nuclear energy Role of nuclear power scale development Nuclear safety Radioactivity release Nuclear fuel cycle
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孤独症谱系障碍和发育性语言障碍儿童发育水平的差异研究
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作者 杨逸凡 肖雪斌 +3 位作者 谭亚飞 王仕琼 李瑞珍 贾美香 《中国儿童保健杂志》 北大核心 2025年第4期451-455,共5页
目的比较孤独症谱系障碍(ASD)和发育性语言障碍(DLD)儿童适应性、大运动、精细动作、语言、个人-社交能力发育水平的差异,为鉴别诊断和康复训练提供依据。方法选取2022年3月—2024年5月在武汉儿童医院儿童保健科就诊的268例ASD儿童和150... 目的比较孤独症谱系障碍(ASD)和发育性语言障碍(DLD)儿童适应性、大运动、精细动作、语言、个人-社交能力发育水平的差异,为鉴别诊断和康复训练提供依据。方法选取2022年3月—2024年5月在武汉儿童医院儿童保健科就诊的268例ASD儿童和150例DLD儿童,对以上儿童均采用Gesell发育量表进行评估。结果ASD和DLD组儿童在适应性、大运动、精细运动、语言、个人-社交5个领域的均值均低于正常水平,两者均为语言和社交领域的分值最低,且ASD组上述5个领域的发育水平均明显滞后于DLD组(t'=8.541、4.398、7.194、6.405、9.354,P<0.001);语言商%×社交商%<0.39时,鉴别诊断ASD的敏感性和特异性分别为69%和65%(OR=0.96,95%CI:0.94~0.97,P<0.001)。结论ASD和DLD儿童在5个领域的发育水平上均有受损,ASD组各能区受损更重,且两者均以语言和社交领域受损最重,这些差异有助于临床鉴别诊断和早期干预。 展开更多
关键词 孤独症谱系障碍 发育性语言障碍 GESELL发育量表
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早期综合发展指导应用于儿童保健中的作用及对Gesell发育量表评分的影响评价 被引量:1
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作者 陆静 《智慧健康》 2025年第1期103-106,共4页
目的 探讨早期综合发展指导应用于儿童保健中的作用及对Gesell发育量表评分的影响评价。方法 选取2022年6月—2024年6月在本院接受儿童保健的婴幼儿60例为观察对象,经随机方式平均分为对照组和观察组,每组30例。其中,对照组儿童接受常... 目的 探讨早期综合发展指导应用于儿童保健中的作用及对Gesell发育量表评分的影响评价。方法 选取2022年6月—2024年6月在本院接受儿童保健的婴幼儿60例为观察对象,经随机方式平均分为对照组和观察组,每组30例。其中,对照组儿童接受常规干预,观察组儿童予以早期综合发展指导,据此分析不同组别儿童获取的效果以及Gesell发育量表评分情况。结果 干预后,观察组身长、体重以及头围呈现数据优于对照组(P<0.05);干预后,观察组Gesell发育量表呈现更高水平(P<0.05);观察组婴幼儿营养性疾病发生率水平更低(P<0.05);干预后,发育优良率呈现更高(P<0.05)。结论 开展儿童保健工作时,予以早期综合发展指导,有助于儿童的生长发育,优化Gesell发育量表评分,降低营养性疾病的发生风险,促进发育优良率的提升。 展开更多
关键词 儿童保健 早期综合发展指导 Gesell发育量表评分 生长发育
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全面发育迟缓儿童脑灌注异常的三维准连续动脉自旋标记成像研究
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作者 周梁 赵鑫 +6 位作者 程美英 王长浩 刘世鹏 杨金泽 李思柯 鲁钰 张小安 《磁共振成像》 北大核心 2025年第5期113-119,共7页
目的本研究通过三维准连续动脉自旋标记(three-dimensional pseudo-continuous arterial spin labeling,3D-pCASL)成像技术,探究全面发育迟缓(global developmental delay,GDD)儿童大脑脑血流量(cerebral blood flow,CBF)的特征,并进一... 目的本研究通过三维准连续动脉自旋标记(three-dimensional pseudo-continuous arterial spin labeling,3D-pCASL)成像技术,探究全面发育迟缓(global developmental delay,GDD)儿童大脑脑血流量(cerebral blood flow,CBF)的特征,并进一步探讨Gesell发育量表与CBF之间的相关性。同时评估CBF值在诊断GDD中的效能。材料与方法本研究共纳入45名被确诊为GDD的儿童和42名健康对照(healthy controls,HC)儿童。所有参与者均接受磁共振头部平扫以及3D-pCASL扫描。通过后处理得到CBF定量伪彩图,并分析CBF值在两组之间的差异。将组间差异有统计学意义的CBF值与GDD儿童的Gesell发育量表进行相关分析,并通过受试者工作特征曲线评估CBF值在GDD儿童中的诊断效能。结果与对照组相比,GDD儿童双侧颞叶白质、左侧颞叶灰质、双侧额叶白质CBF值均降低(P<0.05)。相关性分析结果显示,GDD儿童的右侧和左侧颞叶白质CBF值与语言发育商呈正相关(r=0.477,P=0.001;r=0.513,P<0.001)、右侧额叶白质CBF值与个人-社交发育商呈正相关(r=0.347,P=0.019)、左侧额叶白质CBF值与精细运动发育商呈正相关(r=0.577,P<0.001)。多项脑区的CBF值在区分GDD儿童中表现出较好的诊断效能[曲线下面积(area under the curve,AUC)>0.7]。结论3D-pCASL技术可以无创评估GDD儿童脑血流的异常。CBF值降低可能与GDD儿童的多项发育能力减退有关,同时CBF值在诊断GDD中具有较好的价值。 展开更多
关键词 全面发育迟缓 磁共振成像 三维准连续动脉自旋标记 脑血流量 GESELL发育量表
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基于定量磁化率成像研究低龄孤独症儿童脑铁含量异常及其与症状的关联
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作者 鲁钰 程美英 +6 位作者 李思柯 刘世鹏 冯刘娟 张晓雪 王长浩 冯占起 赵鑫 《磁共振成像》 北大核心 2025年第3期10-17,共8页
目的利用定量磁化率成像(quantitative susceptibility mapping,QSM)技术研究1~6岁孤独症谱系障碍(autism spectrum disorder,ASD)儿童与正常儿童脑铁差异及其与临床症状的关联,为ASD病理生理及早期诊断提供新的影像学标志物。材料与方... 目的利用定量磁化率成像(quantitative susceptibility mapping,QSM)技术研究1~6岁孤独症谱系障碍(autism spectrum disorder,ASD)儿童与正常儿童脑铁差异及其与临床症状的关联,为ASD病理生理及早期诊断提供新的影像学标志物。材料与方法纳入30例ASD儿童作为试验组、30例正常儿童作为对照组,收集临床资料和量表后对所有儿童进行QSM序列扫描并处理得到定量图,手动勾画感兴趣区以获取磁化率值。比较两组磁化率值差异,并分析其与Gesell发育量表评分的相关性,绘制受试者工作特征(receiver operating characteristic,ROC)曲线评估诊断效能,并按儿童孤独症评定量表(Childhood Autism Rating Scale,CARS)将ASD组分为轻中度组与重度组,进一步比较轻中度组、重度组与正常对照组三组之间磁化率值的差异。结果与健康儿童相比,ASD儿童的双侧额叶白质、左侧颞叶白质、双侧红核、双侧黑质和双侧齿状核的磁化率值明显降低(P<0.05)。相关性分析显示ASD儿童左侧额叶白质的磁化率值与语言得分正相关,右侧红核的磁化率值与精细动作得分正相关(P<0.05)。ROC曲线分析表明,右侧齿状核的AUC值最高,为0.752(95%置信区间:0.627~0.878),敏感度为76.7%,特异度为73.3%。ASD依据严重程度的组间比较结果显示,右侧额叶白质、左侧颞叶白质、右侧齿状核和左侧红核的磁化率值在正常对照组和轻中度组之间有显著差异。右侧齿状核的磁化率值在正常对照组和重度组之间有显著差异。结论ASD儿童多个脑区的铁含量低于正常儿童,且与其临床症状及ASD严重程度相关,具有临床意义。 展开更多
关键词 孤独症谱系障碍 学龄前儿童 定量磁化率成像 磁共振成像 GESELL发育量表 儿童孤独症评定量表
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Development of a Tool for Assessment of Post-Myocardial Infarction Fatigue 被引量:1
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作者 Eva Brink Ulla Fredriksson-Larsson +2 位作者 Pia Alsén Marianne Lang Christina Cliffordson 《Open Journal of Nursing》 2018年第11期811-822,共12页
Introduction: After treatment for myocardial infarction (MI) quite a few persons will experience different symptoms, including fatigue, during the recovery phase. The aim of the present study was to construct the mult... Introduction: After treatment for myocardial infarction (MI) quite a few persons will experience different symptoms, including fatigue, during the recovery phase. The aim of the present study was to construct the multidimensional Post-Myocardial Infarction Fatigue (PMIF) scale, based on empirical data gathered in coronary heart disease contexts. Methods: The construction of the post-MI fatigue scale was conducted in seven steps, ending in a psychometric evaluation of the internal structure of the scale, using confirmatory factor analysis, as well as testing of convergent and discriminant validity, using correlational analysis, in a sample of 141 persons treated for MI. Results: The results showed that the PMIF scale represents three dimensions: physical, cognitive and emotional fatigue. It was also found that the scale is suitable for summing the items to obtain a total score representing a post-MI global fatigue dimension. Conclusion: The PMIF is a brief and easily completed scale for identifying persons experiencing post-MI fatigue. Early identification of fatigue, together with health behavior support, might prevent progression toward a more severe state of fatigue. 展开更多
关键词 FATIGUE Myocardial Infarction Psychometric Evaluation scale development
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