Background The patient-reported Dimensional Anhedonia Rating Scale(DARS)has been adapted into Chinese,so there is a need to evaluate its measurement properties in a Chinese population.Aims To evaluate the reliability ...Background The patient-reported Dimensional Anhedonia Rating Scale(DARS)has been adapted into Chinese,so there is a need to evaluate its measurement properties in a Chinese population.Aims To evaluate the reliability and validity of the DARS among Chinese individuals with major depressive disorder(MDD)and its treatment sensitivity in a prospective clinical study.Methods Data were from a multicentre,prospective clinical study(NCT03294525),which recruited both patients with MDD,who were followed for 8 weeks,and healthy controls(HCs),assessed at baseline only.The analysis included confirmatory factor analysis,validity and sensitivity to change.Results Patients’mean(standard deviation(SD))age was 34.8(11.0)years,with 68.7%being female.75.2%of patients with MDD had melancholic features,followed by 63.8%with anxious distress.Patients had experienced MDD for a mean(SD)of 9.2(18)months.DARS scores covered the full range of severity with no major floor or ceiling effects.Confirmatory factor analysis showed adequate fit statistics(comparative fit index 0.976,goodness-of-fit index 0.935 and root mean square error of approximation 0.055).Convergent validity with anhedonia-related measures was confirmed.While the correlation between the DARS and the Hamilton Depression Rating Scale was not strong(r=0.31,baseline),the DARS was found to differentiate between levels of depression.Greater improvements in DARS scores were seen with the Hamilton Rating Scale for Depression responder group(effect size 1.16)compared with the non-responder group(effect size 0.46).Conclusions This study comprehensively evaluated the measurement properties of the DARS using a Chinese population with MDD.Overall,the Chinese version of DARS demonstrates good psychometric properties and has been found to be responsive to change during antidepressant treatment.The DARS is a suitable scale for assessing patient-reported anhedonia in future clinical trials.展开更多
The ongoing revolution in information technology is reshaping human life. In the realm of health behavior, wearable technology emerges as a leading digital solution,capturing physical behaviors (i.e., physical activit...The ongoing revolution in information technology is reshaping human life. In the realm of health behavior, wearable technology emerges as a leading digital solution,capturing physical behaviors (i.e., physical activity, sedentary habits, sleep patterns) within the 24-h cycle of daily life. Wearables are applied in research, clinical practice, and as lifestyle devices;most obvious, they promise to be a key element for increasing human physical activity, one of the biggest health challenges nowadays.展开更多
Objective:Pelvic floor dysfunction is common among pregnant and postpartum women and significantly impacts quality of life.This study aims to translate the German Pelvic Floor Questionnaire for Pregnant and Postpartum...Objective:Pelvic floor dysfunction is common among pregnant and postpartum women and significantly impacts quality of life.This study aims to translate the German Pelvic Floor Questionnaire for Pregnant and Postpartum Women into Chinese and to evaluate its reliability and validity in the Chinese population.Methods:The questionnaire was translated using the Brislin model.A cross-sectional study was conducted among pregnant and postpartum women to assess the content validity,construct validity,Cronbach’sαcoefficient,test-retest reliability,and split-half reliability of the Chinese version.Results:A total of 72 women were included,with 6.9% being pregnant and 93.1% postpartum;the age was(32.3±3.6)years.The Chinese version of the questionnaire contains 4 dimensions and 45 items.The content validity index of individual items ranged from 0.833 to 1.000,with a scale-level content validity index of 0.977 and intraclass correlation coefficients(ICCs)exceeding 0.90.The overall Cronbach’s α coefficient was 0.891,with subscale coefficients ranging from 0.732 to 0.884(all ICCs>0.70).The testretest reliability of the total scale was 0.833,and for the 4 dimensions,bladder,bowel,prolapse,and sexual function,the values were 0.776,0.579,0.732,and 0.645,respectively.The split-half reliability was 0.74.Conclusion:The Chinese version of the questionnaire demonstrated good reliability and validity,indicating its applicability in assessing pelvic floor dysfunction and associated risk factors during pregnancy and postpartum.展开更多
The purpose of this paper is to look into how reliable and valid the Persian version of the Cannabis Use Disorder Identification Test-Revised (CUDIT-R-Pr) is. It will also compare the screening features of the CUDIT-R...The purpose of this paper is to look into how reliable and valid the Persian version of the Cannabis Use Disorder Identification Test-Revised (CUDIT-R-Pr) is. It will also compare the screening features of the CUDIT-R with those of the DSM-5 criteria for cannabis use disorder (CUD) based on the SCID-5-CT in a group of university students in Tehran, Iran. The study used the stratified random sampling technique to collect data from 541 students (19 to 24 years old) who used cannabis in Tehran universities in 2024. Confirmatory factor analysis confirmed the uni-dimensionality of the CUDIT-R-Pr. We checked the reliability of the CUDIT-R-Pr using Cronbach Alpha, split-half, inter-rater, test-retest stability over time, and parallel testing equivalence. The results indicated that CUDIT-R-Pr is reliable, reproducible, and responsive, with substantial agreement and adequate interpretability. The CUDIT-R shows that it can tell the difference between different levels of cannabis use severity, which is known as discriminant validity. Receiver operating characteristic analyses confirmed this, using an area under the receiver operating characteristics curve (AUC = 0.95) at a cutoff of ten or less. This allowed CUDIT-R-Pr to accurately predict any DSM-5 based on the highest correctly classified value (0.89), demonstrating high levels of sensitivity (0.96), specificity (0.69), and Youden value (0.65). The exact maximum Youden index (0.72) showed that CUDIT-R-Pr could also predict moderate DSM-5 with a cutoff of twelve or less. To validate and generalize the CUDIT-R-Pr for use among Iranian cannabis users, we need more research.展开更多
Objectives This study aimed to validate the Russian version of the Copenhagen Burnout Inventory(R-CBI)among nurses in Kazakhstan and Kyrgyzstan and explored factors contributing to burnout.Methods The original Copenha...Objectives This study aimed to validate the Russian version of the Copenhagen Burnout Inventory(R-CBI)among nurses in Kazakhstan and Kyrgyzstan and explored factors contributing to burnout.Methods The original Copenhagen Burnout Inventory(CBI)was translated into the R-CBI using a rigorous forward-backward method and reviewed by experts.Between July and November 2022,1,530 nurses were recruited through convenience sampling method from various nursing settings in Kazakhstan and Kyrgyzstan to test the scale’s reliability and validity,including confirmatory factor analysis(CFA),internal consistency reliability,and concurrent validity.A linear regression analysis was conducted to identify influencing factors of burnout.Results The content of the R-CBI is consistent with the original CBI,consisting of 19 items with three dimensions.The Cronbach’sαcoefficient is 0.926 in Kazakhstan and 0.922 in Kyrgyzstan,ranging from 0.830 to 0.898 for three dimensions.The CFA results among nurses in Kazakhstan and Kyrgyzstan supported the three-factor structure of R-CBI with good fit indices.Concurrent validity was established through significant correlations(P<0.001)with job satisfaction questionnaire(r=−0.457),Depression Anxiety Stress Scales(r=0.506 in depression,r=0.485 in anxiety,r=0.564 in stress),and WHO-5 Well-Being Index(r=−0.528).The overall burnout level was 36.1±17.6 and 37.5±17.4 in Kazakhstani and Kyrgyzstani nurses,respectively.Significant influencing factors of burnout included gender,age,educational level,and COVID-19 infection history.Conclusions The R-CBI was proved to be a reliable and valid tool for assessing nurses’burnout in Kazakhstan and Kyrgyzstan.展开更多
BACKGROUND During the gradual decline of physical and social functioning associated with end-stage renal disease,patients might experience a premonition of impending death,resulting in a series of pre-mourning grief r...BACKGROUND During the gradual decline of physical and social functioning associated with end-stage renal disease,patients might experience a premonition of impending death,resulting in a series of pre-mourning grief responses called preparatory grief.The preparatory grief in advanced cancer patients(PGAC)scale is the most widely used preparatory grief scale for patients on hemodialysis in China.AIM To verify the reliability and validity of the PGAC scale in patients on hemodialysis.METHODS In total,327 patients undergoing regular hemodialysis in the blood purification center of three grade-A tertiary hospitals in Guangdong and Guizhou provinces were selected by convenience sampling.The assessment was administered using the general information questionnaire and the Chinese version of PGAC.SPSS 25.0 and Amos 24.0 were used for item analysis,confirmatory factor analysis(CFA),convergent validity,and internal consistency reliability estimation.RESULTS In the modified Chinese version of PGAC,7 dimensions covering 27 total items were retained.CFA revealed a good fit of the factor model(chi-square degree of freedom=2.056,standardized root mean square residual=0.0479,root mean square error of approximation=0.0570,GFI=0.872,AGFI=0.841,IFI=0.931,CFI=0.930,TLI=0.919).The factor loadings of the items ranged 0.503-0.884.The composite reliability ranged 0.664-0.914,and the average variance extracted ranged 0.366-0.747.Cronbach’sαof the scale was 0.945,and Cronbach’sαfor various dimensions ranged 0.662-0.914.CONCLUSION The modified PGAC has good reliability and validity,and it can effectively measure preparatory grief in patients on hemodialysis.展开更多
Ecosystem services(ES)mapping and models have advanced in recent years.Improvements were made,and the assessments have transitioned from qualitative to quantitative.Although this is an important advancement,the ES map...Ecosystem services(ES)mapping and models have advanced in recent years.Improvements were made,and the assessments have transitioned from qualitative to quantitative.Although this is an important advancement,the ES mapping and modelling validation step has been overlooked,and this raises an important question in the credibility of the outcomes.This has been an important and unsolved issue in the ES research community that needs to be tackled.This highlight paper discusses the importance of validating single ES mapping and models.Conducting this using field or proximal/remote sensing raw data and not data from other models or stakeholder evaluation is important.A validation step should be mandatory in ES frameworks since it can assess the models’veracity,contribute to identifying the model’s weaknesses/strengths and ultimately represent a scientific advance in the field.This is easier to apply to the biophysical mapping and models of regulating and provisioning ES than to cultural ES,as the latter rely more on perception and cultural contexts.Also,ES supply models are easier to validate than demand and flow models.Robust and well-grounded models are essential for ensuring the reliability of individual ES maps and models and should be integrated into decision-making processes.Although several challenges arise related to the costs of data collection,in several cases prohibitive,and the time and the expertise needed to conduct this sampling and analysis,this is likely an imperative step that needs to be considered in the future.This will be beneficial in establishing ES research and improving decision-making and wellbeing.展开更多
BACKGROUND The Victorian institute of sports assessment for patellar tendons questionnaire(VISA-P),a valid tool for patellar tendinopathy,has been used for patellofemoral pain(PFP).AIM To validate VISA-P in PFP.METHOD...BACKGROUND The Victorian institute of sports assessment for patellar tendons questionnaire(VISA-P),a valid tool for patellar tendinopathy,has been used for patellofemoral pain(PFP).AIM To validate VISA-P in PFP.METHODS Study of validity,responsiveness and feasibility following COSMIN.Inclusion criteria:Subjects with PFP,aged 18 to 55.Agreement among 10 experts on the relevance and clarity of each item using Aiken's V coefficient determined content validity.An exploratory factorial analysis established structural validity.The correlation of VISA-P with knee injury and osteoarthritis outcome score for PFP and Osteoarthritis(KOOS-PF)and Kujala patellofemoral score(KPS;specific for PFP)analyzed the construct validity.Internal consistency was calculated with Cronbach'sαand test-retest reliability with the intraclass correlation coefficient(ICC).Feasibility considered the subjects'self-completion time.RESULTS The sample consisted of 103 knees from 73 subjects(47 female/26 male;aged 34.9±13 SD).The items were relevant and clear,with the exception of item-8,which didn't reach an acceptable level of agreement on clarity.Exploratory factorial analysis found a 2-factor solution,which explained 63.48%of the variance.VISAP achieved a strong and significant correlation with KOOS-PF(Spearman rho=0.826;P<0.001)and KPS(Spearman rho=0.771;P<0.001).The questionnaire showed adequate reliability(Cronbach'sα:0.752;ICC:0.934;P<0.0001;95%CI:0.902-0.955).The mean self-completion time was 232±0.52 SD seconds.CONCLUSION VISA-P proved to be valid and reliable to functionally assess PFP and/or chondromalacia patella.VISA-P is a feasible tool in the clinical and research environment,quick and easy to complete.展开更多
Chlorophyll a(Chl a)is a key photosynthetic pigment and an essential indicator of phytoplankton biomass.Accurate Chl a measurements are crucial for understanding marine biogeochemical processes.China launched the Chin...Chlorophyll a(Chl a)is a key photosynthetic pigment and an essential indicator of phytoplankton biomass.Accurate Chl a measurements are crucial for understanding marine biogeochemical processes.China launched the Chinese Ocean Color and Temperature Scanner(COCTS)aboard the HY-1D satellite in 2020,yet its Chl a products require further validation in complex coastal waters.This study assesses HY-1D Chl a products in the Bohai and Yellow Seas,two optically complex coastal regions,using in situ data collected during multiple cruises.Additionally,we compare HY-1D Chl a products with those from the Moderate Resolution Imaging Spectroradiometer(MODIS)and the Visible Infrared Imaging Radiometer Suite(VIIRS).We observed that although Chl a products from HY-1D are generally consistent with those from the MODIS and VIIRS in spatial distribution,there are still significant errors when compared with in situ data.Therefore,we developed a new blended algorithm to improve the accuracy of HY-1D Chl a products.The algorithm distinguishes between turbid and relatively clean waters using a classification index based on the ratio of remote sensing reflectance(R_(rs)(λ)).After the initial classification,we developed targeted algorithms based on the optical properties of different water bodies.The new model shows a significant improvement,reducing the mean absolute percentage error(MAPE)from 43.1%to 24.3%.Additionally,merging Chl a data from HY-1D,MODIS,and VIIRS maintains good accuracy,with HY-1D Chl a products significantly enhancing data coverage and robustness.This research provides important support for producing high-quality HY-1D Chl a products for coastal waters.展开更多
Objective:This study aimed to translate the de Morton Mobility Index(DEMMI)into Thai and assess its measurement properties.Methods:The de Morton Mobility Index(DEMMI)was translated into Thai using a cross-cultural tra...Objective:This study aimed to translate the de Morton Mobility Index(DEMMI)into Thai and assess its measurement properties.Methods:The de Morton Mobility Index(DEMMI)was translated into Thai using a cross-cultural translation method.A cross-sectional study was conducted in four public hospitals in Thailand between January and March 2023.A total of 260 patients were recruited from outpatient clinics.Convergent and known-group validity were evaluated through hypothesis testing.Construct validity was examined using confirmatory factor analysis.Reliability was assessed using Cronbach’s a coefficient.We also employed the Rasch analysis to validate validity and person reliability.Results:Content validity was high(S-CVI=0.96,I-CVI range:0.80e1.00).Strong convergent validity was observed,with a significant correlation(r=0.761,P<0.001)between the Thai DEMMI and the Parker Mobility Scale(PMS).Known-group validity was evident,demonstrating differences in scores across various patient groups.A confirmatory factor analysis supported the hypothesized factor structure of the Thai DEMMI with good fit indices:χ^(2)(df=4)=5.101,P=0.2771;χ^(2)/df=1.275,RMSEA=0.033;CFI=0.998;TLI=0.995;SRMR=0.016.The Thai DEMMI exhibited high internal consistency(Cronbach’s a=0.88).Rasch analysis revealed good person reliability(0.91)and acceptable information-weighted fit means square statistic(0.73-1.06).However,most items showed good fit based on the outlier-sensitive fit means square statistics(Outfit MNSQ),one exhibited a high Outfit MNSQ value of 29.94,suggesting a potential misfit.Conclusion:This study demonstrated the acceptable validity and reliability of the Thai DEMMI.Further evaluation of its responsiveness to change is still recommended.展开更多
Objective:To translate,adapt,and validate the Indonesian version of the Prenatal Health Behavior Scale.Methods:This cross-sectional,cross-cultural adaptation study was conducted between September 2024 and October 2024...Objective:To translate,adapt,and validate the Indonesian version of the Prenatal Health Behavior Scale.Methods:This cross-sectional,cross-cultural adaptation study was conducted between September 2024 and October 2024 in Ngrambe and Sine,subdistricts in Ngawi,East Java,Indonesia.We selected participants using purposive convenience sampling and matched them with inclusion and exclusion criteria.We collected sociodemographic,Prenatal Health Behavior Scale,and anthropometrics(height,weight,body mass index,and middle-upper arm circumference)data.We analyzed the content validity using the content validity index and Gwet's chance-corrected Agreement Coefficient 2,face validity by pilot-testing on several pregnant women,and construct validity using exploratory factor analysis.We measured reliability using McDonald's omega coefficient.Results:We recruited 183 pregnant women in this study(median age 28 years).The item-content validity index(I-CVI)of all items was 1.00,with Gwet's chance-corrected Agreement Coefficient 2 was 0.945.The face validity resulted in a clear statement of all items.The exploratory factor analysis showed the two-factor model best suited to the questionnaire.Omega coefficients for the overall scale,health-impairing,and health-promoting domains were 0.696,0.507,and 0.678,respectively.Conclusions:The Indonesian version of the Prenatal Health Behavior Scale is a valid and reliable instrument to assess prenatal health behavior in Indonesian-speaking pregnant women.Future studies may implement this scale in community and clinical settings.展开更多
This study aimed to determine the reliability,validity and measurement invariance of scores from the Difficulties in Emotion Regulation Scale-8 in Chinese context.A total of 1114 Chinese adolescents were participants ...This study aimed to determine the reliability,validity and measurement invariance of scores from the Difficulties in Emotion Regulation Scale-8 in Chinese context.A total of 1114 Chinese adolescents were participants in three phases:N=424 for the initial DERS-8 measure completion;N=586 the DERS-8,General Anxiety Disorder Scale,Depression Scale and Emotion Regulation Scale completion,with an interval of one month.Then an additional 104 adolescents also completed DERS-8,General Anxiety Disorder Scale,Depression Scale and Emotion Regulation Scale.Both exploratory and confirmatory factor analyses confirmed the one-factor model of the scale,and the fitness indicators wereχ^(2)/df=4.05,RMSEA=0.07,CFI=0.98,and TLI=0.97.Each item of the DERS-8 had good discrimination.The internal consistency reliability coefficient,split-half reliability coefficient and test-retest reliability coefficient of the scale scores were 0.90,0.87 and 0.66,respectively.The findings suggest the Chinese version of the DERS-8 is a reliable measure of difficulty of emotion regulation in Chinese adolescents.展开更多
The study aims to determine the validity and reliability of the Wechsler Preschool and Primary Scale of Intelligence–Third Edition(WPPSI-III)scores in a sample of kindergarten and lower primary pupils from Khartoum S...The study aims to determine the validity and reliability of the Wechsler Preschool and Primary Scale of Intelligence–Third Edition(WPPSI-III)scores in a sample of kindergarten and lower primary pupils from Khartoum State,Sudan.It also aims to examine whether test’s factor structure in this sample replicated that of the original WPPSI-III.The study sample consisted of 384 kindergarten and primary school children in Khartoum State(females=50%mean age=4.14,SD=1.37),selected using stratified random sampling across its seven localities:Khartoum,Jebel Awliya,Khartoum Bahri,East Nile,Omdurman,Ombada,Karari.For concurrent validation,the children additionally completed the Goodenough Draw-a-Man Test,and the Colored Progressive Matrices.WPPSI-III scores demonstrated high internal consistency across the subtest items.Confirmatory factor analysis indicators for total,verbal,and performance intelligence were all excellent.The scale also showed weak to strong score stability ranging from 0.25(weak)to 0.88(strong)based on the Spearman-Brown equation,0.25 to 0.75 based on the Guttman split-half method.The Cronbach’s alpha coefficient scores ranged from 0.54 to 0.93.The WPPSI-III and Goodenough Draw-a-Man Test scores concurrent validity scores were poor(0.05)to modest(0.31),and while those with the Colored Progressive Matrices test were poor(r=0.04–0.18).Thesefindings provide evidence to suggest that the WPPSI-III is appropriate for research use with kindergarten and lower primary school students in Khartoum State,Sudan.展开更多
The nature of pramāṅa system,outlined by Dignāga(c.480-540 CE)and further elaborated upon by Dharmakīrti(c.600-660 CE),is an important part of the Buddhist logico-epistemological tradition.Within this pramāṅa syst...The nature of pramāṅa system,outlined by Dignāga(c.480-540 CE)and further elaborated upon by Dharmakīrti(c.600-660 CE),is an important part of the Buddhist logico-epistemological tradition.Within this pramāṅa system,self-awareness(svasaṃvedana)is considered a hallmark of the access to the mental states and factors.However,some of the key research often focuses on interpreting the valid cognition system and self-awareness separately,lacking specific descriptions of their interrelationship.This paper argues that self-awareness is not merely a byproduct of valid cognition but is intimately connected to it.Specifically,I posit that self-awareness should be regarded as the ultimate result of valid cognition within the Pramāṇa system.展开更多
To solve the problem of the lack of reference material(RM)for determination of allergenic ingredients in food,a RM of cashew nut powder was developed in the study.Cashew nut powder was prepared from cashew nut kernel ...To solve the problem of the lack of reference material(RM)for determination of allergenic ingredients in food,a RM of cashew nut powder was developed in the study.Cashew nut powder was prepared from cashew nut kernel by selecting,cleaning,crushing,n-hexane degreasing and sieving treatment.The reliability and traceability of RM was verified using real-time quantitative polymerase chain reaction(qPCR)and phylogenetic tree analysis.The cashew nut powder RM showed good homogeneity,and good stability under long-term storage at 4℃and short-term simulated transportation from-20 to 45℃.The RM was determined jointly by 8 collaborative laboratories,and the characteristic CT value was 24.732,and the extended uncertainty was 1.052%(k=2).The RM was applied to verify the amplification efficiency and the limit of detection for qPCR assay,and showed good applicability.The RM could be used for method validation and quality control,for the determination of allergenic ingredients in food mixed with trace amounts of cashew nut.展开更多
Objective:To translate and adapt the dementia knowledge assessment scale(DKAS)into Sinhala version and to evaluate its psychometric properties among nursing students.Methods:A cross-sectional validation study was cond...Objective:To translate and adapt the dementia knowledge assessment scale(DKAS)into Sinhala version and to evaluate its psychometric properties among nursing students.Methods:A cross-sectional validation study was conducted in two phases:(i)translation and adaptation and(ii)evaluating psychometric properties(N=394 nursing students).Results:The DKAS was adapted to the Sinhala(Si-DKAS)version,and the content validity index(CVI=0.9)was satisfactory.Exploratory factor analysis(EFA)and confirmatory factor analysis(CFA)resulted in an 18-item Si-DKAS with a four-factor model:“care considerations,”“causes and characteristics of dementia,”“health promotion,”and“misconceptions about dementia.”The model fit indices were suboptimal(comparative fix index[CFI]=0.809 and Turker-Lewis index[TLI]=0.773),and some indices were acceptable(standardized root-mean-squared residual[SRMR]=0.040 and root-mean-squared error of approximation[RMSEA]=0.053).Internal consistency(0.7)and test-retest correlation(0.9)were acceptable.Discriminant validity was confirmed by knowledge score differences based on academic years.Conclusions:This is a valid and reliable tool for assessing knowledge of dementia among Sinhala-speaking nursing students.展开更多
Verification and validation(V&V)is a helpful tool for evaluating simulation errors,but its application in unsteady cavitating flow remains a challenging issue due to the difficulty in meeting the requirement of an...Verification and validation(V&V)is a helpful tool for evaluating simulation errors,but its application in unsteady cavitating flow remains a challenging issue due to the difficulty in meeting the requirement of an asymptotic range.Hence,a new V&V approach for large eddy simulation(LES)is proposed.This approach offers a viable solution for the error estimation of simulation data that are unable to satisfy the asymptotic range.The simulation errors of cavitating flow around a projectile near the free surface are assessed using the new V&V method.The evident error values are primarily dispersed around the cavity region and free surface.The increasingly intense cavitating flow increases the error magnitudes.In addition,the modeling error magnitudes of the Dynamic Smagorinsky-Lilly model are substantially smaller than that of the Smagorinsky-Lilly model.The present V&V method can capture the decrease in the modeling errors due to model enhancements,further exhibiting its applicability in cavitating flow simulations.Moreover,the monitoring points where the simulation data are beyond the asymptotic range are primarily dispersed near the cavity region,and the number of such points grows as the cavitating flow intensifies.The simulation outcomes also suggest that the re-entrant jet and shedding cavity collapse are the chief sources of vorticity motions,which remarkably affect the simulation accuracy.The results of this study provide a valuable reference for V&V research.展开更多
BACKGROUND The computed tomography(CT)-based preoperative risk score was developed to predict recurrence after upfront surgery in patients with resectable pancreatic ductal adenocarcinoma(PDAC)in South Korea.However,w...BACKGROUND The computed tomography(CT)-based preoperative risk score was developed to predict recurrence after upfront surgery in patients with resectable pancreatic ductal adenocarcinoma(PDAC)in South Korea.However,whether it performs well in other countries remains unknown.AIM To externally validate the CT-based preoperative risk score for PDAC in a country outside South Korea.METHODS Consecutive patients with PDAC who underwent upfront surgery from January 2016 to December 2019 at our institute in a country outside South Korea were retrospectively included.The study utilized the CT-based risk scoring system,which incorporates tumor size,portal venous phase density,tumor necrosis,peripancreatic infiltration,and suspicious metastatic lymph nodes.Patients were categorized into prognosis groups based on their risk score,as good(risk score<2),moderate(risk score 2-4),and poor(risk score≥5).RESULTS A total of 283 patients were evaluated,comprising 170 males and 113 females,with an average age of 63.52±8.71 years.Follow-up was conducted until May 2023,and 76%of patients experienced tumor recurrence with median recurrence-free survival(RFS)of 29.1±1.9 months.According to the evaluation results of Reader 1,the recurrence rates were 39.0%in the good prognosis group,82.1%in the moderate group,and 84.5%in the poor group.In comparison,Reader 2 reported recurrence rates of 50.0%,79.5%,and 88.9%,respectively,across the same prognostic categories.The study validated the effectiveness of the risk scoring system,demonstrating better RFS in the good prognosis group.CONCLUSION This research validated that the CT-based preoperative risk scoring system can effectively predict RFS in patients with PDAC,suggesting that it may be valuable in diverse populations.展开更多
A self-centering bridge bent equipped with energy-dissipation(ED)beams is proposed.Quasi-static tests are conducted on self-centering bridge bents,both with and without ED beams,to validate the accuracy of the corresp...A self-centering bridge bent equipped with energy-dissipation(ED)beams is proposed.Quasi-static tests are conducted on self-centering bridge bents,both with and without ED beams,to validate the accuracy of the corresponding numerical models.The effects of various param-eters,such as the web area of ED beams,prestressing force of tendons,tendon arrangements,and number of column segments,on the seismic performance of self-centering bridge bents with ED beams are evaluated using the validated numerical model.The results demonstrate that the nu-merical models accurately replicate the quasi-static test results,with average errors in the lateral force remaining below 9.6%.The web area of ED beams significantly affects the strength,cumulative energy dissipation,and relative self-centering index(RSI)of the self-centering bridge bents.Increasing the prestressing force enhances the lateral force and self-centering capability of the bridge bents but has minimal effect on their ED capacity.Reducing the num-ber of segments in each column enhances the lateral force and cumulative hysteretic energy dissipation of the self-centering bridge bents while exerting an insignificant effect on the RSI.Thus,the proposed novel system is highly suitable for doubleor multicolumn piers supporting bridges in regions prone to strong earthquakes.展开更多
Background:In this study,we aimed to validate and test the reliability of the Yonsei lifestyle profile(YLP)in assessing multifaceted health lifestyle levels in a study population from the United States.Methods:The YLP...Background:In this study,we aimed to validate and test the reliability of the Yonsei lifestyle profile(YLP)in assessing multifaceted health lifestyle levels in a study population from the United States.Methods:The YLP-English version and health-promoting lifestyle profile II were administered to 100 individuals living in the United States.Concurrent validity was analyzed using Pearson's correlation coefficient,and discriminant validity was examined by comparing sex and age differences through t-tests and multiple variance analysis.Internal consistency was assessed using Cronbach'sαfor each sub-factor.Results:The YLP-English Version demonstrated concurrent validity with the Health-Promoting Lifestyle Profile II,showing consistent correlations for the total score(0.3,p<0.01)and frequency sub-factors(0.25-0.69,p<0.01).Among the satisfaction sub-factors,only nutrition showed a weak negative correlation(-0.19,p<0.01);all others were nonsignificant.Discriminant validity revealed no significant sex differences,but physical activity frequency varied across age groups.Internal consistency was high(Cronbach'sα=0.80-0.86).Conclusion:In this study,we validated the YLP-English version as a reliable instrument for assessing health-related lifestyle behaviors.The YLP uniquely captures both lifestyle frequency and satisfaction,offering a comprehensive perspective on health behaviors.Although this tool is currently most applicable in population-level studies,future research should establish clinical thresholds to enhance its utility in individualized health assessments and interventions.展开更多
基金supported by the National Natural Science Foundation of China(No.82371530,82171529)the Capital Health Development Special Research Project(2022-1-4111)the National Key Technology R and D Program(No.2015BAI13B01).
文摘Background The patient-reported Dimensional Anhedonia Rating Scale(DARS)has been adapted into Chinese,so there is a need to evaluate its measurement properties in a Chinese population.Aims To evaluate the reliability and validity of the DARS among Chinese individuals with major depressive disorder(MDD)and its treatment sensitivity in a prospective clinical study.Methods Data were from a multicentre,prospective clinical study(NCT03294525),which recruited both patients with MDD,who were followed for 8 weeks,and healthy controls(HCs),assessed at baseline only.The analysis included confirmatory factor analysis,validity and sensitivity to change.Results Patients’mean(standard deviation(SD))age was 34.8(11.0)years,with 68.7%being female.75.2%of patients with MDD had melancholic features,followed by 63.8%with anxious distress.Patients had experienced MDD for a mean(SD)of 9.2(18)months.DARS scores covered the full range of severity with no major floor or ceiling effects.Confirmatory factor analysis showed adequate fit statistics(comparative fit index 0.976,goodness-of-fit index 0.935 and root mean square error of approximation 0.055).Convergent validity with anhedonia-related measures was confirmed.While the correlation between the DARS and the Hamilton Depression Rating Scale was not strong(r=0.31,baseline),the DARS was found to differentiate between levels of depression.Greater improvements in DARS scores were seen with the Hamilton Rating Scale for Depression responder group(effect size 1.16)compared with the non-responder group(effect size 0.46).Conclusions This study comprehensively evaluated the measurement properties of the DARS using a Chinese population with MDD.Overall,the Chinese version of DARS demonstrates good psychometric properties and has been found to be responsive to change during antidepressant treatment.The DARS is a suitable scale for assessing patient-reported anhedonia in future clinical trials.
基金funded in part by the German Research Foundation(Grant reference:496846758).
文摘The ongoing revolution in information technology is reshaping human life. In the realm of health behavior, wearable technology emerges as a leading digital solution,capturing physical behaviors (i.e., physical activity, sedentary habits, sleep patterns) within the 24-h cycle of daily life. Wearables are applied in research, clinical practice, and as lifestyle devices;most obvious, they promise to be a key element for increasing human physical activity, one of the biggest health challenges nowadays.
基金supported by the Natural Science Foundation of Hunan Province(2024JJ6626)the Hunan Provincial Key Laboratory of Regional Hereditary Birth Defects Prevention and Control(HPKL202320),China.
文摘Objective:Pelvic floor dysfunction is common among pregnant and postpartum women and significantly impacts quality of life.This study aims to translate the German Pelvic Floor Questionnaire for Pregnant and Postpartum Women into Chinese and to evaluate its reliability and validity in the Chinese population.Methods:The questionnaire was translated using the Brislin model.A cross-sectional study was conducted among pregnant and postpartum women to assess the content validity,construct validity,Cronbach’sαcoefficient,test-retest reliability,and split-half reliability of the Chinese version.Results:A total of 72 women were included,with 6.9% being pregnant and 93.1% postpartum;the age was(32.3±3.6)years.The Chinese version of the questionnaire contains 4 dimensions and 45 items.The content validity index of individual items ranged from 0.833 to 1.000,with a scale-level content validity index of 0.977 and intraclass correlation coefficients(ICCs)exceeding 0.90.The overall Cronbach’s α coefficient was 0.891,with subscale coefficients ranging from 0.732 to 0.884(all ICCs>0.70).The testretest reliability of the total scale was 0.833,and for the 4 dimensions,bladder,bowel,prolapse,and sexual function,the values were 0.776,0.579,0.732,and 0.645,respectively.The split-half reliability was 0.74.Conclusion:The Chinese version of the questionnaire demonstrated good reliability and validity,indicating its applicability in assessing pelvic floor dysfunction and associated risk factors during pregnancy and postpartum.
文摘The purpose of this paper is to look into how reliable and valid the Persian version of the Cannabis Use Disorder Identification Test-Revised (CUDIT-R-Pr) is. It will also compare the screening features of the CUDIT-R with those of the DSM-5 criteria for cannabis use disorder (CUD) based on the SCID-5-CT in a group of university students in Tehran, Iran. The study used the stratified random sampling technique to collect data from 541 students (19 to 24 years old) who used cannabis in Tehran universities in 2024. Confirmatory factor analysis confirmed the uni-dimensionality of the CUDIT-R-Pr. We checked the reliability of the CUDIT-R-Pr using Cronbach Alpha, split-half, inter-rater, test-retest stability over time, and parallel testing equivalence. The results indicated that CUDIT-R-Pr is reliable, reproducible, and responsive, with substantial agreement and adequate interpretability. The CUDIT-R shows that it can tell the difference between different levels of cannabis use severity, which is known as discriminant validity. Receiver operating characteristic analyses confirmed this, using an area under the receiver operating characteristics curve (AUC = 0.95) at a cutoff of ten or less. This allowed CUDIT-R-Pr to accurately predict any DSM-5 based on the highest correctly classified value (0.89), demonstrating high levels of sensitivity (0.96), specificity (0.69), and Youden value (0.65). The exact maximum Youden index (0.72) showed that CUDIT-R-Pr could also predict moderate DSM-5 with a cutoff of twelve or less. To validate and generalize the CUDIT-R-Pr for use among Iranian cannabis users, we need more research.
文摘Objectives This study aimed to validate the Russian version of the Copenhagen Burnout Inventory(R-CBI)among nurses in Kazakhstan and Kyrgyzstan and explored factors contributing to burnout.Methods The original Copenhagen Burnout Inventory(CBI)was translated into the R-CBI using a rigorous forward-backward method and reviewed by experts.Between July and November 2022,1,530 nurses were recruited through convenience sampling method from various nursing settings in Kazakhstan and Kyrgyzstan to test the scale’s reliability and validity,including confirmatory factor analysis(CFA),internal consistency reliability,and concurrent validity.A linear regression analysis was conducted to identify influencing factors of burnout.Results The content of the R-CBI is consistent with the original CBI,consisting of 19 items with three dimensions.The Cronbach’sαcoefficient is 0.926 in Kazakhstan and 0.922 in Kyrgyzstan,ranging from 0.830 to 0.898 for three dimensions.The CFA results among nurses in Kazakhstan and Kyrgyzstan supported the three-factor structure of R-CBI with good fit indices.Concurrent validity was established through significant correlations(P<0.001)with job satisfaction questionnaire(r=−0.457),Depression Anxiety Stress Scales(r=0.506 in depression,r=0.485 in anxiety,r=0.564 in stress),and WHO-5 Well-Being Index(r=−0.528).The overall burnout level was 36.1±17.6 and 37.5±17.4 in Kazakhstani and Kyrgyzstani nurses,respectively.Significant influencing factors of burnout included gender,age,educational level,and COVID-19 infection history.Conclusions The R-CBI was proved to be a reliable and valid tool for assessing nurses’burnout in Kazakhstan and Kyrgyzstan.
文摘BACKGROUND During the gradual decline of physical and social functioning associated with end-stage renal disease,patients might experience a premonition of impending death,resulting in a series of pre-mourning grief responses called preparatory grief.The preparatory grief in advanced cancer patients(PGAC)scale is the most widely used preparatory grief scale for patients on hemodialysis in China.AIM To verify the reliability and validity of the PGAC scale in patients on hemodialysis.METHODS In total,327 patients undergoing regular hemodialysis in the blood purification center of three grade-A tertiary hospitals in Guangdong and Guizhou provinces were selected by convenience sampling.The assessment was administered using the general information questionnaire and the Chinese version of PGAC.SPSS 25.0 and Amos 24.0 were used for item analysis,confirmatory factor analysis(CFA),convergent validity,and internal consistency reliability estimation.RESULTS In the modified Chinese version of PGAC,7 dimensions covering 27 total items were retained.CFA revealed a good fit of the factor model(chi-square degree of freedom=2.056,standardized root mean square residual=0.0479,root mean square error of approximation=0.0570,GFI=0.872,AGFI=0.841,IFI=0.931,CFI=0.930,TLI=0.919).The factor loadings of the items ranged 0.503-0.884.The composite reliability ranged 0.664-0.914,and the average variance extracted ranged 0.366-0.747.Cronbach’sαof the scale was 0.945,and Cronbach’sαfor various dimensions ranged 0.662-0.914.CONCLUSION The modified PGAC has good reliability and validity,and it can effectively measure preparatory grief in patients on hemodialysis.
基金supported by the project Monetary valuation of soil ecosystem services and creation of initiatives to invest in soil health:setting a framework for the inclusion of soil health in business and in the policy making process(InBestSoil)(Horizon Europe)Grant agreement ID:101091099。
文摘Ecosystem services(ES)mapping and models have advanced in recent years.Improvements were made,and the assessments have transitioned from qualitative to quantitative.Although this is an important advancement,the ES mapping and modelling validation step has been overlooked,and this raises an important question in the credibility of the outcomes.This has been an important and unsolved issue in the ES research community that needs to be tackled.This highlight paper discusses the importance of validating single ES mapping and models.Conducting this using field or proximal/remote sensing raw data and not data from other models or stakeholder evaluation is important.A validation step should be mandatory in ES frameworks since it can assess the models’veracity,contribute to identifying the model’s weaknesses/strengths and ultimately represent a scientific advance in the field.This is easier to apply to the biophysical mapping and models of regulating and provisioning ES than to cultural ES,as the latter rely more on perception and cultural contexts.Also,ES supply models are easier to validate than demand and flow models.Robust and well-grounded models are essential for ensuring the reliability of individual ES maps and models and should be integrated into decision-making processes.Although several challenges arise related to the costs of data collection,in several cases prohibitive,and the time and the expertise needed to conduct this sampling and analysis,this is likely an imperative step that needs to be considered in the future.This will be beneficial in establishing ES research and improving decision-making and wellbeing.
文摘BACKGROUND The Victorian institute of sports assessment for patellar tendons questionnaire(VISA-P),a valid tool for patellar tendinopathy,has been used for patellofemoral pain(PFP).AIM To validate VISA-P in PFP.METHODS Study of validity,responsiveness and feasibility following COSMIN.Inclusion criteria:Subjects with PFP,aged 18 to 55.Agreement among 10 experts on the relevance and clarity of each item using Aiken's V coefficient determined content validity.An exploratory factorial analysis established structural validity.The correlation of VISA-P with knee injury and osteoarthritis outcome score for PFP and Osteoarthritis(KOOS-PF)and Kujala patellofemoral score(KPS;specific for PFP)analyzed the construct validity.Internal consistency was calculated with Cronbach'sαand test-retest reliability with the intraclass correlation coefficient(ICC).Feasibility considered the subjects'self-completion time.RESULTS The sample consisted of 103 knees from 73 subjects(47 female/26 male;aged 34.9±13 SD).The items were relevant and clear,with the exception of item-8,which didn't reach an acceptable level of agreement on clarity.Exploratory factorial analysis found a 2-factor solution,which explained 63.48%of the variance.VISAP achieved a strong and significant correlation with KOOS-PF(Spearman rho=0.826;P<0.001)and KPS(Spearman rho=0.771;P<0.001).The questionnaire showed adequate reliability(Cronbach'sα:0.752;ICC:0.934;P<0.0001;95%CI:0.902-0.955).The mean self-completion time was 232±0.52 SD seconds.CONCLUSION VISA-P proved to be valid and reliable to functionally assess PFP and/or chondromalacia patella.VISA-P is a feasible tool in the clinical and research environment,quick and easy to complete.
基金The National Key Research and Development Program of China under contract No.2021YFB3901304the National Natural Science Foundation of China under contract No.42842176181,42476173,and 42176179the Natural Science Foundation of Jiangsu Province under contract No.BK20211289.
文摘Chlorophyll a(Chl a)is a key photosynthetic pigment and an essential indicator of phytoplankton biomass.Accurate Chl a measurements are crucial for understanding marine biogeochemical processes.China launched the Chinese Ocean Color and Temperature Scanner(COCTS)aboard the HY-1D satellite in 2020,yet its Chl a products require further validation in complex coastal waters.This study assesses HY-1D Chl a products in the Bohai and Yellow Seas,two optically complex coastal regions,using in situ data collected during multiple cruises.Additionally,we compare HY-1D Chl a products with those from the Moderate Resolution Imaging Spectroradiometer(MODIS)and the Visible Infrared Imaging Radiometer Suite(VIIRS).We observed that although Chl a products from HY-1D are generally consistent with those from the MODIS and VIIRS in spatial distribution,there are still significant errors when compared with in situ data.Therefore,we developed a new blended algorithm to improve the accuracy of HY-1D Chl a products.The algorithm distinguishes between turbid and relatively clean waters using a classification index based on the ratio of remote sensing reflectance(R_(rs)(λ)).After the initial classification,we developed targeted algorithms based on the optical properties of different water bodies.The new model shows a significant improvement,reducing the mean absolute percentage error(MAPE)from 43.1%to 24.3%.Additionally,merging Chl a data from HY-1D,MODIS,and VIIRS maintains good accuracy,with HY-1D Chl a products significantly enhancing data coverage and robustness.This research provides important support for producing high-quality HY-1D Chl a products for coastal waters.
文摘Objective:This study aimed to translate the de Morton Mobility Index(DEMMI)into Thai and assess its measurement properties.Methods:The de Morton Mobility Index(DEMMI)was translated into Thai using a cross-cultural translation method.A cross-sectional study was conducted in four public hospitals in Thailand between January and March 2023.A total of 260 patients were recruited from outpatient clinics.Convergent and known-group validity were evaluated through hypothesis testing.Construct validity was examined using confirmatory factor analysis.Reliability was assessed using Cronbach’s a coefficient.We also employed the Rasch analysis to validate validity and person reliability.Results:Content validity was high(S-CVI=0.96,I-CVI range:0.80e1.00).Strong convergent validity was observed,with a significant correlation(r=0.761,P<0.001)between the Thai DEMMI and the Parker Mobility Scale(PMS).Known-group validity was evident,demonstrating differences in scores across various patient groups.A confirmatory factor analysis supported the hypothesized factor structure of the Thai DEMMI with good fit indices:χ^(2)(df=4)=5.101,P=0.2771;χ^(2)/df=1.275,RMSEA=0.033;CFI=0.998;TLI=0.995;SRMR=0.016.The Thai DEMMI exhibited high internal consistency(Cronbach’s a=0.88).Rasch analysis revealed good person reliability(0.91)and acceptable information-weighted fit means square statistic(0.73-1.06).However,most items showed good fit based on the outlier-sensitive fit means square statistics(Outfit MNSQ),one exhibited a high Outfit MNSQ value of 29.94,suggesting a potential misfit.Conclusion:This study demonstrated the acceptable validity and reliability of the Thai DEMMI.Further evaluation of its responsiveness to change is still recommended.
文摘Objective:To translate,adapt,and validate the Indonesian version of the Prenatal Health Behavior Scale.Methods:This cross-sectional,cross-cultural adaptation study was conducted between September 2024 and October 2024 in Ngrambe and Sine,subdistricts in Ngawi,East Java,Indonesia.We selected participants using purposive convenience sampling and matched them with inclusion and exclusion criteria.We collected sociodemographic,Prenatal Health Behavior Scale,and anthropometrics(height,weight,body mass index,and middle-upper arm circumference)data.We analyzed the content validity using the content validity index and Gwet's chance-corrected Agreement Coefficient 2,face validity by pilot-testing on several pregnant women,and construct validity using exploratory factor analysis.We measured reliability using McDonald's omega coefficient.Results:We recruited 183 pregnant women in this study(median age 28 years).The item-content validity index(I-CVI)of all items was 1.00,with Gwet's chance-corrected Agreement Coefficient 2 was 0.945.The face validity resulted in a clear statement of all items.The exploratory factor analysis showed the two-factor model best suited to the questionnaire.Omega coefficients for the overall scale,health-impairing,and health-promoting domains were 0.696,0.507,and 0.678,respectively.Conclusions:The Indonesian version of the Prenatal Health Behavior Scale is a valid and reliable instrument to assess prenatal health behavior in Indonesian-speaking pregnant women.Future studies may implement this scale in community and clinical settings.
基金funded by Science Research Project of Hebei Education Department(BJ2025238)Humanities and Social Science Research Project of Hebei Normal University(S24YX002)Humanities and Social Science Research Foundation of Hebei Normal University(S22B019).
文摘This study aimed to determine the reliability,validity and measurement invariance of scores from the Difficulties in Emotion Regulation Scale-8 in Chinese context.A total of 1114 Chinese adolescents were participants in three phases:N=424 for the initial DERS-8 measure completion;N=586 the DERS-8,General Anxiety Disorder Scale,Depression Scale and Emotion Regulation Scale completion,with an interval of one month.Then an additional 104 adolescents also completed DERS-8,General Anxiety Disorder Scale,Depression Scale and Emotion Regulation Scale.Both exploratory and confirmatory factor analyses confirmed the one-factor model of the scale,and the fitness indicators wereχ^(2)/df=4.05,RMSEA=0.07,CFI=0.98,and TLI=0.97.Each item of the DERS-8 had good discrimination.The internal consistency reliability coefficient,split-half reliability coefficient and test-retest reliability coefficient of the scale scores were 0.90,0.87 and 0.66,respectively.The findings suggest the Chinese version of the DERS-8 is a reliable measure of difficulty of emotion regulation in Chinese adolescents.
基金The authors extend their appreciation to the Ongoing Research Funding Program,number(ORF2025R705),King Saud University,Riyadh,Saudi Arabia,for funding this work.
文摘The study aims to determine the validity and reliability of the Wechsler Preschool and Primary Scale of Intelligence–Third Edition(WPPSI-III)scores in a sample of kindergarten and lower primary pupils from Khartoum State,Sudan.It also aims to examine whether test’s factor structure in this sample replicated that of the original WPPSI-III.The study sample consisted of 384 kindergarten and primary school children in Khartoum State(females=50%mean age=4.14,SD=1.37),selected using stratified random sampling across its seven localities:Khartoum,Jebel Awliya,Khartoum Bahri,East Nile,Omdurman,Ombada,Karari.For concurrent validation,the children additionally completed the Goodenough Draw-a-Man Test,and the Colored Progressive Matrices.WPPSI-III scores demonstrated high internal consistency across the subtest items.Confirmatory factor analysis indicators for total,verbal,and performance intelligence were all excellent.The scale also showed weak to strong score stability ranging from 0.25(weak)to 0.88(strong)based on the Spearman-Brown equation,0.25 to 0.75 based on the Guttman split-half method.The Cronbach’s alpha coefficient scores ranged from 0.54 to 0.93.The WPPSI-III and Goodenough Draw-a-Man Test scores concurrent validity scores were poor(0.05)to modest(0.31),and while those with the Colored Progressive Matrices test were poor(r=0.04–0.18).Thesefindings provide evidence to suggest that the WPPSI-III is appropriate for research use with kindergarten and lower primary school students in Khartoum State,Sudan.
文摘The nature of pramāṅa system,outlined by Dignāga(c.480-540 CE)and further elaborated upon by Dharmakīrti(c.600-660 CE),is an important part of the Buddhist logico-epistemological tradition.Within this pramāṅa system,self-awareness(svasaṃvedana)is considered a hallmark of the access to the mental states and factors.However,some of the key research often focuses on interpreting the valid cognition system and self-awareness separately,lacking specific descriptions of their interrelationship.This paper argues that self-awareness is not merely a byproduct of valid cognition but is intimately connected to it.Specifically,I posit that self-awareness should be regarded as the ultimate result of valid cognition within the Pramāṇa system.
基金supported by the National Key Research and Development Pro-gram of China(2021YFF0601902)the National Reference Material Development Project(S2022234).
文摘To solve the problem of the lack of reference material(RM)for determination of allergenic ingredients in food,a RM of cashew nut powder was developed in the study.Cashew nut powder was prepared from cashew nut kernel by selecting,cleaning,crushing,n-hexane degreasing and sieving treatment.The reliability and traceability of RM was verified using real-time quantitative polymerase chain reaction(qPCR)and phylogenetic tree analysis.The cashew nut powder RM showed good homogeneity,and good stability under long-term storage at 4℃and short-term simulated transportation from-20 to 45℃.The RM was determined jointly by 8 collaborative laboratories,and the characteristic CT value was 24.732,and the extended uncertainty was 1.052%(k=2).The RM was applied to verify the amplification efficiency and the limit of detection for qPCR assay,and showed good applicability.The RM could be used for method validation and quality control,for the determination of allergenic ingredients in food mixed with trace amounts of cashew nut.
文摘Objective:To translate and adapt the dementia knowledge assessment scale(DKAS)into Sinhala version and to evaluate its psychometric properties among nursing students.Methods:A cross-sectional validation study was conducted in two phases:(i)translation and adaptation and(ii)evaluating psychometric properties(N=394 nursing students).Results:The DKAS was adapted to the Sinhala(Si-DKAS)version,and the content validity index(CVI=0.9)was satisfactory.Exploratory factor analysis(EFA)and confirmatory factor analysis(CFA)resulted in an 18-item Si-DKAS with a four-factor model:“care considerations,”“causes and characteristics of dementia,”“health promotion,”and“misconceptions about dementia.”The model fit indices were suboptimal(comparative fix index[CFI]=0.809 and Turker-Lewis index[TLI]=0.773),and some indices were acceptable(standardized root-mean-squared residual[SRMR]=0.040 and root-mean-squared error of approximation[RMSEA]=0.053).Internal consistency(0.7)and test-retest correlation(0.9)were acceptable.Discriminant validity was confirmed by knowledge score differences based on academic years.Conclusions:This is a valid and reliable tool for assessing knowledge of dementia among Sinhala-speaking nursing students.
基金Supported by the National Key R&D Program of China(2022YFB3303501)the National Natural Science Foundation of China(Project Nos.52176041 and 12102308)the Fundamental Research Funds for the Central Universities(Project Nos.2042023kf0208 and 2042023kf0159).
文摘Verification and validation(V&V)is a helpful tool for evaluating simulation errors,but its application in unsteady cavitating flow remains a challenging issue due to the difficulty in meeting the requirement of an asymptotic range.Hence,a new V&V approach for large eddy simulation(LES)is proposed.This approach offers a viable solution for the error estimation of simulation data that are unable to satisfy the asymptotic range.The simulation errors of cavitating flow around a projectile near the free surface are assessed using the new V&V method.The evident error values are primarily dispersed around the cavity region and free surface.The increasingly intense cavitating flow increases the error magnitudes.In addition,the modeling error magnitudes of the Dynamic Smagorinsky-Lilly model are substantially smaller than that of the Smagorinsky-Lilly model.The present V&V method can capture the decrease in the modeling errors due to model enhancements,further exhibiting its applicability in cavitating flow simulations.Moreover,the monitoring points where the simulation data are beyond the asymptotic range are primarily dispersed near the cavity region,and the number of such points grows as the cavitating flow intensifies.The simulation outcomes also suggest that the re-entrant jet and shedding cavity collapse are the chief sources of vorticity motions,which remarkably affect the simulation accuracy.The results of this study provide a valuable reference for V&V research.
文摘BACKGROUND The computed tomography(CT)-based preoperative risk score was developed to predict recurrence after upfront surgery in patients with resectable pancreatic ductal adenocarcinoma(PDAC)in South Korea.However,whether it performs well in other countries remains unknown.AIM To externally validate the CT-based preoperative risk score for PDAC in a country outside South Korea.METHODS Consecutive patients with PDAC who underwent upfront surgery from January 2016 to December 2019 at our institute in a country outside South Korea were retrospectively included.The study utilized the CT-based risk scoring system,which incorporates tumor size,portal venous phase density,tumor necrosis,peripancreatic infiltration,and suspicious metastatic lymph nodes.Patients were categorized into prognosis groups based on their risk score,as good(risk score<2),moderate(risk score 2-4),and poor(risk score≥5).RESULTS A total of 283 patients were evaluated,comprising 170 males and 113 females,with an average age of 63.52±8.71 years.Follow-up was conducted until May 2023,and 76%of patients experienced tumor recurrence with median recurrence-free survival(RFS)of 29.1±1.9 months.According to the evaluation results of Reader 1,the recurrence rates were 39.0%in the good prognosis group,82.1%in the moderate group,and 84.5%in the poor group.In comparison,Reader 2 reported recurrence rates of 50.0%,79.5%,and 88.9%,respectively,across the same prognostic categories.The study validated the effectiveness of the risk scoring system,demonstrating better RFS in the good prognosis group.CONCLUSION This research validated that the CT-based preoperative risk scoring system can effectively predict RFS in patients with PDAC,suggesting that it may be valuable in diverse populations.
基金The National Natural Science Foundation of China(No.52278189)Zhejiang Provincial Natural Science Foundation of China(No.LY24E080002).
文摘A self-centering bridge bent equipped with energy-dissipation(ED)beams is proposed.Quasi-static tests are conducted on self-centering bridge bents,both with and without ED beams,to validate the accuracy of the corresponding numerical models.The effects of various param-eters,such as the web area of ED beams,prestressing force of tendons,tendon arrangements,and number of column segments,on the seismic performance of self-centering bridge bents with ED beams are evaluated using the validated numerical model.The results demonstrate that the nu-merical models accurately replicate the quasi-static test results,with average errors in the lateral force remaining below 9.6%.The web area of ED beams significantly affects the strength,cumulative energy dissipation,and relative self-centering index(RSI)of the self-centering bridge bents.Increasing the prestressing force enhances the lateral force and self-centering capability of the bridge bents but has minimal effect on their ED capacity.Reducing the num-ber of segments in each column enhances the lateral force and cumulative hysteretic energy dissipation of the self-centering bridge bents while exerting an insignificant effect on the RSI.Thus,the proposed novel system is highly suitable for doubleor multicolumn piers supporting bridges in regions prone to strong earthquakes.
基金supported by the Ministry of Education of the Republic of Korea and the National Research Foundation of Republic of Korea(NRF-2021S1A3A2A02096338).
文摘Background:In this study,we aimed to validate and test the reliability of the Yonsei lifestyle profile(YLP)in assessing multifaceted health lifestyle levels in a study population from the United States.Methods:The YLP-English version and health-promoting lifestyle profile II were administered to 100 individuals living in the United States.Concurrent validity was analyzed using Pearson's correlation coefficient,and discriminant validity was examined by comparing sex and age differences through t-tests and multiple variance analysis.Internal consistency was assessed using Cronbach'sαfor each sub-factor.Results:The YLP-English Version demonstrated concurrent validity with the Health-Promoting Lifestyle Profile II,showing consistent correlations for the total score(0.3,p<0.01)and frequency sub-factors(0.25-0.69,p<0.01).Among the satisfaction sub-factors,only nutrition showed a weak negative correlation(-0.19,p<0.01);all others were nonsignificant.Discriminant validity revealed no significant sex differences,but physical activity frequency varied across age groups.Internal consistency was high(Cronbach'sα=0.80-0.86).Conclusion:In this study,we validated the YLP-English version as a reliable instrument for assessing health-related lifestyle behaviors.The YLP uniquely captures both lifestyle frequency and satisfaction,offering a comprehensive perspective on health behaviors.Although this tool is currently most applicable in population-level studies,future research should establish clinical thresholds to enhance its utility in individualized health assessments and interventions.
