BACKGROUND Appropriate care for individuals who attempt suicide and are admitted to the emergency department(ED)can prevent future suicidal behavior.It is vital to understand their sociodemographic characteristics and...BACKGROUND Appropriate care for individuals who attempt suicide and are admitted to the emergency department(ED)can prevent future suicidal behavior.It is vital to understand their sociodemographic characteristics and the effects of targeted psychological care.AIM To analyze sociodemographic characteristics of suicide attempters treated in the ED and evaluate the efficacy of psychological care.METHODS Data from 239 suicide attempters treated in the ED of the Central Hospital of Enshi Tujia and Miao Autonomous Prefecture(Hubei Province,China)between January 2021 and February 2025 were divided into 2:Control(n=108)and psychological care(n=131).The demographic characteristics and effects of the psychological care were analyzed.RESULTS The mean(±SD)age of the 239 patients[114 male(47.7%),125 female(52.3%)]was 26.25±9.3 years,of whom 122(45.2%)were single,117(48.9%)were married,and 106(44.4%)had secondary education.Thirty-eight(15.9%)patients had suicidal intent,with a mean of 1.26±0.59 suicide attempts each.Twenty-two(9.21%)patients had a family history of suicide,while 8(3.34%)had a family history of suicide attempt(s).Before intervention,mean Suicidal Intent Scale scores in the psychological nursing and control groups were 21.57±5.28 and 19.86±5.92,respectively(P>0.05).After 1 month of nursing intervention,the respective scores were 10.09±1.11 and 16.48±0.87(P<0.001);and the re-suicide rates were 11.45%(15/131)and 24.07%(26/108)(P<0.001).CONCLUSION Psychological care significantly reduces suicide risk;EDs should provide comprehensive mental health care.展开更多
Background:Despite highly effective vaccines against SARS-CoV-2,COVID-19 vaccine hesitancy persisted in some populations in England during the pandemic,with rates and motivations for hesitancy varying by demographic g...Background:Despite highly effective vaccines against SARS-CoV-2,COVID-19 vaccine hesitancy persisted in some populations in England during the pandemic,with rates and motivations for hesitancy varying by demographic group.Addressing the drivers of vaccine hesitancy through targeted interventions in hesitant groups is a public health priority for better and more rapid control of disease spread.We aimed to characterise the determinants and subtypes of vaccine hesitancy and identify more persistent forms of hesitancy via analysis of vaccine uptake in a large cross-sectional cohort with linked National Health Service(NHS)data.展开更多
Atrial fibrillation(AF)/atrial flutter(AFL)is the most common sustained cardiac arrhythmia.The known risk factors for developing AF/AFL include age,structural heart disease,hypertension,diabetes mellitus,or hyperthyro...Atrial fibrillation(AF)/atrial flutter(AFL)is the most common sustained cardiac arrhythmia.The known risk factors for developing AF/AFL include age,structural heart disease,hypertension,diabetes mellitus,or hyperthyroidism.This study aims to attribute the trends in AF/AFL-related mortalities over the past two decades 1999-2020 concerning race and sex and disparity among them.To the best of our knowledge,this is the first study that estimates the trends and mortality due to AF/AFL from 1999-2020 in older adults in the United States.In this 21-year analysis of mortality data,we found a constant increase in mortality rates due to AF/AFL in older adults.From 1999 to 2020,the overall mortality in older adults aged 65 and above,regardless of sex and race,is found to be almost doubled i.e.about a 50.2%increase in the number of deaths due to AF/AFL.Furthermore,other confounding risk factors such has obesity,prior myocardial infarction,inflammation,hypertension,birth weight,diabetes mellitus,hyperthyroidism,hormone replacement therapy in menopausal women increases the risk in the occurrence or recurrent occurrence of AF.展开更多
Preserving genetic diversity is crucial for the long-term survival of wild plant species,yet many remain at risk of genetic erosion due to small population sizes and habitat fragmentation.Here,we present a comparative...Preserving genetic diversity is crucial for the long-term survival of wild plant species,yet many remain at risk of genetic erosion due to small population sizes and habitat fragmentation.Here,we present a comparative genomic study of the critically endangered Oreocharis esquirolii(Gesneriaceae)and its widespread congener O.maximowiczii.We assembled and annotated chromosome-level reference genomes for both species and generated whole-genome resequencing data from 28 O.esquirolii and 79 O.maximowiczii individuals.Our analyses reveal substantially lower genetic diversity and higher inbreeding in O.esquirolii,despite its overall reduced mutational burden.Notably,O.esquirolii exhibits an elevated proportion of strongly deleterious mutations relative to O.maximowiczii,suggesting that limited opportunities for purging have allowed these variants to accumulate.These contrasting genomic profileslikely reflectdivergent demographic histories,with O.esquirolii having experienced severe bottlenecks and protracted population decline.Collectively,our findingshighlight the critically endangered status of O.esquirolii,characterized by diminished genetic diversity,pronounced inbreeding,and reduced ability to eliminate deleterious alleles.This study provides valuable genomic resources for the Gesneriaceae family and underscores the urgent need for targeted conservation measures,including habitat protection and ex situ preservation efforts,to mitigate the extinction risk facing O.esquirolii and potentially other threatened congeners.展开更多
BACKGROUND Diverticular disease of the intestine is a major gastrointestinal cause of mortality in the United States and the world.It is one of the most common gastrointestinal conditions responsible for hospital admi...BACKGROUND Diverticular disease of the intestine is a major gastrointestinal cause of mortality in the United States and the world.It is one of the most common gastrointestinal conditions responsible for hospital admissions.AIM To identify mortality trends of diverticular disease among adults in the United States,examining regional and demographic variations,as these have not been previously studied.These trends are highly beneficial to studying disease burden and vulnerable populations.METHODS Diverticular disease-related mortality data were extracted as age-adjusted mortality rates(AAMRs)from death certificate data of the CDC WONDER database using International Statistical Classification of Diseases and Related Health Problems-10th Revision codes K57.0 to K57.9 from 1999 to 2020 in adults≥45 years of age per 100000 population.These AAMRs were stratified by gender,ethnicity,and demographics and analyzed using Joinpoint regression to determine annual percent changes(APCs)and assess trend changes.RESULTS Between 1999 and 2020,a total of 114044 diverticular disease-related deaths were reported among adults≥45 years of age.Our analysis reports progressive decline in mortality with AAMR decreasing from 6.7 in 1999 to 6.1 in 2003[APC:-2.60;95%confidence interval(CI):-3.79 to-0.33],after which it further declined to 3.6 in 2013(APC:-5.16;95%CI:-7.26 to-4.74),with a minimal decrease to 3.5 in 2020(APC:-0.65;95%CI:-1.87 to 1.51).Women had a higher AAMR(4.8)than men(3.8)throughout the study period.The racial analysis reported the highest overall AAMR in non-Hispanic(NH)Whites(4.7),followed by NH Black or African American(3.9),Hispanic or Latino(3.1),and Asian or Pacific Islander(1.5),with unreliable data for the American Indian or Alaska Native population.States in the top 90th percentile,such as Wyoming and Vermont,had approximately double the AAMRs compared to states in the bottom 10th percentile.The mortality rate also exhibited regional disparities,with an overall AAMR higher in the Midwest and West regions(4.7)compared to the Northeast and South regions(4.2),and higher in nonmetropolitan areas(5.4)compared to metropolitan areas(4.2).CONCLUSION Although the annual mortality of diverticular disease has decreased since 1999,there are certain demographic and regional disparities,with mortality rates higher in women,NH White and NH Black adults,Western regions,and nonmetropolitan areas.Further research is needed to identify factors responsible for these disparities and plan appropriate interventions.展开更多
BACKGROUND Artificial intelligence(AI)is increasingly being explored in radiology,including its potential role in emergency imaging settings.However,global perspectives on AI adoption,usefulness,and limitations among ...BACKGROUND Artificial intelligence(AI)is increasingly being explored in radiology,including its potential role in emergency imaging settings.However,global perspectives on AI adoption,usefulness,and limitations among emergency radiologists remain underexplored.AIM To assess awareness,usage,perceived benefits,and limitations of AI tools among radiologists practicing emergency radiology worldwide.METHODS A 16-question survey was distributed globally between October 24,2024,and August 4,2025,targeting radiologists working in academic,community,and private settings who practice emergency radiology as a primary or secondary subspecialty.The survey was disseminated via direct emails extracted using automated and manual methods from recent publications in major radiology journals.A total of 57 responses were collected.RESULTS AI awareness was high(93%),but frequent clinical use was reported by only 28%.Daily use of AI in emergent imaging was limited to 23%of respondents.The majority anticipated AI becoming essential within five years(68%),and 51%believed AI would replace certain radiological tasks.Image interpretation and acquisition were the most common AI applications.Key perceived benefits included improved diagnostic accuracy and increased efficiency,while concerns included limited accuracy,integration difficulties,and cost.Trust in AI varied by experience,with less experienced radiologists viewed as more trusting.CONCLUSION While emergency radiologists globally recognize AI’s potential,significant barriers to its routine adoption remain.Addressing issues of trust,cost,accuracy,and workflow integration is essential to unlock AI's full utility in emergency radiology.展开更多
This study investigates the mental health challenges faced by international nursing students in the Philippines during a global health disruption like the COVID-19 pandemic,particularly focusing on symptoms of depress...This study investigates the mental health challenges faced by international nursing students in the Philippines during a global health disruption like the COVID-19 pandemic,particularly focusing on symptoms of depression,anxiety,and stress(DAS).With the first incidence of global outbreak in the Philippines reported in 2020,the pandemic has intensified psychological distress among international students,who already struggle with sociocultural adjustment issues such as alienation and culture shock.The study aimed to determine the prevalence and contributing factors of DAS among this group.Using descriptive statistics and the DASS-21 tool,the research found that international nursing students exhibited alarmingly high levels of depression,anxiety,and stress.Pearson’s test of association was employed to explore relationships between DAS symptoms and demographic variables.Results highlighted key predictors of mental health distress,including age,gender,length of stay in the country,and sleep patterns.These findings address a significant gap in existing literature concerning international students’mental health in the Philippines during pandemics.The study concludes by urging healthcare providers and policymakers to integrate these insights into emergency preparedness plans and educational reforms,emphasizing the importance of supporting the psychological well-being of international students during crises.Replication with additional variables is recommended for a more comprehensive understanding.展开更多
Cropland abandonment has been a widespread phenomenon in mountainous areas due to the increasing number of natural disasters and the massive migration of rural labor in the process of rapid urbanization.Land transfer ...Cropland abandonment has been a widespread phenomenon in mountainous areas due to the increasing number of natural disasters and the massive migration of rural labor in the process of rapid urbanization.Land transfer is a crucial prerequisite for ensuring food security and fostering rural revitalization.How to promote land transfer in mountainous areas remains a challenging but important task.Nevertheless,there is a dearth of research examining land transfers among farm households that specifically address mountainous regions,and the influence of grassroots governance and geographic location has not been thoroughly elucidated within this particular context.Based on 895household samples collected in Dabie Mountainous Area in China,this study employs binary and ordinal logistic regression models to provide a more comprehensive analysis on land transfers among rural households and the determinants,including the decision to transfer land,the existence of land transfer rents,the channel of land transfer,the duration of the transfer,the pre-transfer cultivation situation,and the level of satisfaction with the land transfer rent.The findings reveal that grassroots governance,geographic location,livelihood capital,and demographic factors significantly influence land transfers among rural households.Specifically,villagers'public participation positively affects land transfer participation(β=0.235,p<0.05),while the operation of village rules and regulations negatively impacts it(β=-0.296,p<0.05).Village cadre satisfaction positively influences both land transfer rent(β=0.274,p<0.05)and rent satisfaction(β=0.303,p<0.05).Improved civil relations in the village correlate with lower land transfer rent(β=-0.511,p<0.05),while a better social atmosphere is associated with higher satisfaction with transfer rent(β=0.575,p<0.01).Households at higher elevations tend to prefer government-mediated land transfers with longer durations.The distances to the township and county centers have contrasting effects on land transfer rent,but their impacts on participation in land transfer,choice of transfer channel,and duration are consistent.The study also found that different types of livelihood capital,as well as the demographic characteristics of households,significantly affect various aspects of land transfer.These empirical findings can inform policymaking to promote more efficient land transfers in mountainous region.展开更多
Species endangerment represents one of the most pressing challenges to global ecological stability.The latest assessments reveal that many plant species face imminent extinction threats due to factors such as climate ...Species endangerment represents one of the most pressing challenges to global ecological stability.The latest assessments reveal that many plant species face imminent extinction threats due to factors such as climate change,habitat loss,invasive species,and overexploitation(Thuiller et al.,2005;Humphreys et al.,2019).Consequently,understanding the mechanisms driving plant endangerment is urgently required to inform effective conservation strategies and mitigate further losses.展开更多
BACKGROUND Ovarian carcinoma has the highest mortality rate among all gynecological cancers.Several reproductive and hormonal risk factors,including early menarche,late menopause,limited use of oral contraceptives,and...BACKGROUND Ovarian carcinoma has the highest mortality rate among all gynecological cancers.Several reproductive and hormonal risk factors,including early menarche,late menopause,limited use of oral contraceptives,and a low pregnancy rate,have been identified as contributors to the increased susceptibility to ovarian cancer.Advancements in cancer therapy over the past century,including the emergence of precision oncology,underscore the importance of early detection and tailored interventions,factors particularly critical in ovarian cancer,where late-stage diagnosis remains a persistent barrier to survival.This challenge is compounded by the lack of a universally endorsed screening program,resulting in late-stage identification and widespread metastasis.AIM To evaluate demographic differences in ovarian cancer-related mortality from 1999 to 2020 among adult females aged≥25 years within the United States.METHODS Centers for Disease Control and Prevention Wide-Ranging Online Data for Epidemiologic Research database was used to collect de-identified death certificate data for malignant neoplasm of the ovaries related deaths in female adults aged 25 years and older from the year 1999 to 2020.Crude mortality rates and age-adjusted mortality rates(AAMRs)per 100000 people were calculated.Join point regression program was used to assess annual percent changes in mortality trends,with statistical significance set at P value<0.05.RESULTS Between 1999 and 2020,337619 deaths due to ovarian cancer occurred among United States females aged 25 to>85.The AAMR decreased from 14.62 in 1999 to 10.15 in 2020,with significant declines across various demographics.The AAMRs were highest among non-Hispanic White women,i.e.,13.53.Based on region,they were the highest in the Northeast(13.06)and Midwest(12.94).The steepest decline was observed in metropolitan areas as compared to nonmetropolitan ones.The study highlights significant progress in reducing ovarian cancer mortality across age,race/ethnicity,and geographic regions during this period.CONCLUSION The mortality trends for ovarian carcinoma patients showed an overall decrease,with the highest mortality rates observed among older individuals(65 to>85 years)and non-Hispanic Whites.These disparities underscore the need for equitable healthcare access and targeted policy interventions.展开更多
Bemisia tabaci is a polyphagous herbivore that feeds on a wide range of horticultural and ornamental crops cultivated under diverse ecological zones. In Sierra Leone, B. tabaci is found to infest a wide range of veget...Bemisia tabaci is a polyphagous herbivore that feeds on a wide range of horticultural and ornamental crops cultivated under diverse ecological zones. In Sierra Leone, B. tabaci is found to infest a wide range of vegetable crops by directly feeding on phloem sap thereby inducing physiological disorders, and also serve as a vector to gemini viruses. Invariably the destructive feeding of B. tabaci affects the productivity and aesthetic values of vegetables and other horticultural crops and hence is considered a serious economic pest. A bioassay experiment was carried out by rearing B. tabaci populations on four vegetable crops under controlled laboratory conditions to determine its life table and demographic parameters. Results showed that the intrinsic rate of growth which measures the population size and growth pattern was highest for populations reared on tomato crops with the following values: rm 0.145 female female−1 day−1, the gross reproduction rate (Ro), and finite growth rate λ were highest for population reared on tomato, correspondingly the development period from egg-adult emergence was shortest with a value of 26 d. Conversely, the computed demographical parameters rm, λ and Ro for the population reared on sweet pepper were 0.106 female female−1 day−1 respectively, with a corresponding development period egg-adult emergence as 36d. The computed biological parameters for okra and garden egg varied with intermediary values between tomato and pepper host materials. The survivorship rates were quite significant for the smaller instars (Instars 1-III) with over 80% surviving to pre-pupa and pupa stage for the populations reared for all the test materials. High mortality was noticed for the pre-pupa and pupa stages as their survival rates were significantly low compared to the high survival rates of the smaller instars. Less than 50% of pupae failed to emerge to adults except for populations reared on tomato test materials where 52% emerged to adults. The study indicated tomato as the most suitable host among the four vegetable crops. Although life table and demographic parameters are invaluable information for forecasting pest populations and help in designing pest management efforts, further investigations such as the economic threshold and economic injury levels of B. tabaci population are requisite decision tools for sound pest management decisions of B. tabaci on these vegetable crops. The information obtained from this investigation would be quite relevant for extension service and pest management practitioners where mixed vegetable farming is a common practice.展开更多
Hu sheep is an indigenous breed from the Taihu Lake Plain in China,known for its high fertility.Although Hu sheep belong to the Mongolian group,their demographic history and genetic architecture remain inconclusive.He...Hu sheep is an indigenous breed from the Taihu Lake Plain in China,known for its high fertility.Although Hu sheep belong to the Mongolian group,their demographic history and genetic architecture remain inconclusive.Here,we analyze 697 sheep genomes from representatives of Mongolian sheep breeds.Our study suggests that the ancestral Hu sheep first separated from the Mongolian group approximately 3000 years ago.As Hu sheep migrated from the north and flourished in the Taihu Lake Plain around 1000 years ago,they developed a unique genetic foundation and phenotypic characteristics,which are evident in the genomic footprints of selective sweeps and structural variation landscape.Genes associated with reproductive traits(BMPR1B and TDRD10)and horn phenotype(RXFP2)exhibit notable selective sweeps in the genome of Hu sheep.A genome-wide association analysis reveals that structural variations at LOC101110773,MAST2,and ZNF385B may significantly impact polledness,teat number,and early growth in Hu sheep,respectively.Our study offers insights into the evolutionary history of Hu sheep and may serve as a valuable genetic resource to enhance the understanding of complex traits in Hu sheep.展开更多
The number of newly diagnosed breast cancer cases and related deaths is the highest among female malignancies in nearly all countries1.The estimated annual percentage change in mortality increased by an average of 0.2...The number of newly diagnosed breast cancer cases and related deaths is the highest among female malignancies in nearly all countries1.The estimated annual percentage change in mortality increased by an average of 0.29%to 0.75%per year from 1990 to 2019 in low-and middle-Social Demographic Index(SDI)countries.In contrast,the estimated annual percentage change in mortality decreased by an average of 1.52%per year in high SDI countries2due to early diagnosis and treatment.Most East Asian countries have not seen evidence of a reduction in breast cancer mortality1.展开更多
Comprehensive phylogeographic insights require the integration of evidence across diverse taxa,ecosystems,and geographical regions.However,our understanding of the arid biota of the vast Asian drylands remains limited...Comprehensive phylogeographic insights require the integration of evidence across diverse taxa,ecosystems,and geographical regions.However,our understanding of the arid biota of the vast Asian drylands remains limited.Accordingly,this study combined phylogeographic analyses with ecological niche modeling to investigate patterns of diversification and demography of the Central Asian racerunner(Eremias vermiculata),a widespread lizard inhabiting arid eastern-Central Asia(AECA).Mitochondrial DNA(mtDNA)sequences were obtained from 876 individuals across 113 localities,while three nuclear genes-CGNL1,MAP1A,andβ-fibint7-were sequenced from 204,170,and 138 individuals,respectively.Analyses identified four distinct mtDNA lineages corresponding to specific geographic subregions within the AECA,reflecting the topographic and ecological heterogeneity of the region.The detection of mito-nuclear discordance indicated the presence of complex evolutionary dynamics.Divergence dating placed the initial lineage splits at approximately 1.18 million years ago,coinciding with major tectonic activity and climatic aridification that likely promoted allopatric divergence.In particular,lineage diversification within the Tarim Basin suggests that recent environmental shifts may have contributed to genetic divergence.Demographic reconstructions revealed signatures of population expansion or range shifts across all lineages during the Last Glacial Maximum,signifying the combined influence of the unique topography and climate dynamics of the AECA on diversification and demographic change.These results highlight the need for fine-scale genomic investigations to clarify the mechanisms underlying mito-nuclear discordance and local adaptation.Such efforts are essential for advancing understanding of how genetic diversity in dryland taxa responds to environmental change,providing insights into the evolutionary adaptability of species in dynamic landscapes.展开更多
Climate change is expected to alter the popu-lation dynamics of pioneer tree species and their planned use in sustainable forest management,but we have a lim-ited understanding of how their demographic rates change in...Climate change is expected to alter the popu-lation dynamics of pioneer tree species and their planned use in sustainable forest management,but we have a lim-ited understanding of how their demographic rates change in response to climate changes during ecological restora-tion.Based on 12 years of demographic data for a pioneer tree species(Pinus massoniana)censused in three plots that correspond to three stages of ecological restoration in south-eastern China.We built integral projection models(IPMs)to assess vital rates(survival,growth,reproduction)and population growth in each plot,then evaluated demographic changes to simulated changes in seasonal mean temperature and precipitation in the current and previous census period.The plot representing the medium restoration stage had the highest population growth rate(λ=0.983).Mean population survival probability increased with ecological restoration,and reproduction probability was significantly suppressed at the high restoration stage.Survival is always the most important vital rate forλ,and climate affectsλprimarily via survival at each restoration stage.The current spring tem-perature was the most critical climate variable forλin the low and medium restoration stages,and previous summer temperature was most critical in the high restoration stage.Simulated warming leads to a decrease in the stochastic population growth rate(λ_(s))of P.massoniana in every stage.These findings suggest that during ecological restoration,P.massoniana responds to habitat change via modified demo-graphic performance,thus altering its response to climate change.Despite diverse responses to climate change,the persistence of P.massoniana populations is facing a wide-spread threat of warming states at each restoration stages.展开更多
This study examines how demographic factors shape engagement with virtual cultural communities and awareness of emerging economic models.Using survey data from 202 participants,descriptive statistics,independent sampl...This study examines how demographic factors shape engagement with virtual cultural communities and awareness of emerging economic models.Using survey data from 202 participants,descriptive statistics,independent samples t-tests,and One-way Analysis of Variance(ANOVA)with Least Significant Difference(LSD)post-hoc analyses revealed significant influences of age,education,and occupation.No significant gender differences were found.Individuals aged 26-45 demonstrated higher virtual community participation(F=3.439,p=0.01)and emerging model awareness(F=2.834,p=0.026)than younger cohorts(18-25 years and below).Respondents with postgraduate education exhibited superior understanding of emerging economic models(F=3.296,p=0.022)and their nexus with cultural values(F=6.196,p<0.001)compared to those with lower educational attainment.Significant occupational variations existed in virtual participation(F=4.001,p=0.008)and economic model awareness(F=5.611,p=0.001),with enterprise employees and civil servants scoring higher than students and freelancers.These findings underscore the critical roles of life stage,educational investment,and professional context in shaping digital cultural behaviors and economic cognition,offering valuable insights for platform design,educational strategies,and policy development in the digital cultural economy.展开更多
Objectives:This study aimed to investigate the dual mediating roles of psychological safety and reporting attitudes in the association between ethics-centered leadership and internal whistleblowing among nurses.Method...Objectives:This study aimed to investigate the dual mediating roles of psychological safety and reporting attitudes in the association between ethics-centered leadership and internal whistleblowing among nurses.Methods:A multicenter,cross-sectional study design was employed,involving a convenience sample of 273 nurses among five university hospitals from August to October 2024.Data were collected using a demographic questionnaire,Ethical Leadership Scale,Psychological Safety Scale,Positive Attitudes Toward Whistleblowing Scale,and Internal Whistleblowing Scale.Pearson correlation and structural equation model were conducted to test the hypothesized dual mediation model.Results:The average score of nurses for ethical leadership was 4.14±0.57,psychological safety was 3.80±0.64,reporting attitudes was 4.12±0.67,internal whistleblowing was 3.93±0.52.Ethical leadership had a significant effect on psychological safety(β=0.38,P<0.001),reporting attitudes(β=0.44,P<0.001),and internal whistleblowing(β=0.21,P=0.009).Furthermore,psychological safety(β=0.26,P<0.001)and reporting attitudes(β=0.27,P<0.001)significantly influenced internal whistleblowing among the nurses.The indirect effect of ethics-centered leadership on internal whistleblowing intermediated by psychological safety was significant(β=0.10,P<0.001).Similarly,reporting attitudes demonstrated a significant mediating effect(β=0.12,P=0.003).Conclusions:Ethical leadership encourages internal whistleblowing among nurses by fostering psychological safety and positive reporting attitudes.Therefore,healthcare managers should prioritize ethical leadership development,enhance psychological safety,and foster constructive reporting attitudes that enable nurses to report ethical violations confidently,without apprehension.展开更多
Background The full lifespan of long-lived trees includes a seedling phase,during which a seed germinates and grows to a size large enough to be measured in forest inventories.Seedling populations are usually studied ...Background The full lifespan of long-lived trees includes a seedling phase,during which a seed germinates and grows to a size large enough to be measured in forest inventories.Seedling populations are usually studied separately from adult trees,and the seedling lifespan,from seed to sapling,is poorly known.In the 50-ha Barro Colorado forest plot,we started intensive censuses of seeds and seedlings in 1994 in order to merge seedling and adult demography and document complete lifespans.Methods In 17 species abundant in seedling censuses,we subdivided populations into six size classes from seed to 1cm dbh,including seeds plus five seedling stages.The smallest seedling class was subdivided by age.Censuses in two consecutive years provided transition matrices describing the probability that a seedling in one stage moved to another one year later.For each species,we averaged the transition matrix across 25 censuses and used it to project the seedling lifespan,from seed until 1cm dbh or death.Results The predicted mean survival rate of seeds to 1cm dbh varied 1000-fold across species,from 2.9×10^(−6)to 4.4×10^(−3);the median was 2.0×10^(−4).The seedling lifespan,or the average time it takes a seed to grow to 1cm dbh,varied across species from 5.1 to 53.1 years,with a median of 20.3 years.In the median species,the 10%fastest-growing seeds would reach 1cm dbh in 9.0 years,and the slowest 10%in 34.6 years.Conclusions Combining seedling results with our previous study of lifespan after 1cm dbh,we estimate that the focal species have full lifespans varying from 41 years in a gap-demanding pioneer to 320 years in one shade-tolerant species.Lifetime demography can contribute precise survival rates and lifespans to forestry models.展开更多
In order to evaluate the phylogenetic position and validity of Rana altaica,we investigated the phylogeny of brown frogs in Eurasia by Bayesian Inference and Maximum Parsimony analyses of a fragment from the mitochond...In order to evaluate the phylogenetic position and validity of Rana altaica,we investigated the phylogeny of brown frogs in Eurasia by Bayesian Inference and Maximum Parsimony analyses of a fragment from the mitochondrial DNA gene Cytochrome b.Both analyses resolved R.altaica as nesting deeply within R.arvalis.Most samples of the nominal R.altaica from the Altai region and specimens from Central Siberia shared a haplotype with R.arvalis based on the network analysis.The matrilineal relationships suggested that R.altaica should be considered as a junior synonym of R.arvalis.Furthermore,our study suggested that the species group division of Chinese brown frogs should be re-evaluated within a phylogenetic context.展开更多
文摘BACKGROUND Appropriate care for individuals who attempt suicide and are admitted to the emergency department(ED)can prevent future suicidal behavior.It is vital to understand their sociodemographic characteristics and the effects of targeted psychological care.AIM To analyze sociodemographic characteristics of suicide attempters treated in the ED and evaluate the efficacy of psychological care.METHODS Data from 239 suicide attempters treated in the ED of the Central Hospital of Enshi Tujia and Miao Autonomous Prefecture(Hubei Province,China)between January 2021 and February 2025 were divided into 2:Control(n=108)and psychological care(n=131).The demographic characteristics and effects of the psychological care were analyzed.RESULTS The mean(±SD)age of the 239 patients[114 male(47.7%),125 female(52.3%)]was 26.25±9.3 years,of whom 122(45.2%)were single,117(48.9%)were married,and 106(44.4%)had secondary education.Thirty-eight(15.9%)patients had suicidal intent,with a mean of 1.26±0.59 suicide attempts each.Twenty-two(9.21%)patients had a family history of suicide,while 8(3.34%)had a family history of suicide attempt(s).Before intervention,mean Suicidal Intent Scale scores in the psychological nursing and control groups were 21.57±5.28 and 19.86±5.92,respectively(P>0.05).After 1 month of nursing intervention,the respective scores were 10.09±1.11 and 16.48±0.87(P<0.001);and the re-suicide rates were 11.45%(15/131)and 24.07%(26/108)(P<0.001).CONCLUSION Psychological care significantly reduces suicide risk;EDs should provide comprehensive mental health care.
文摘Background:Despite highly effective vaccines against SARS-CoV-2,COVID-19 vaccine hesitancy persisted in some populations in England during the pandemic,with rates and motivations for hesitancy varying by demographic group.Addressing the drivers of vaccine hesitancy through targeted interventions in hesitant groups is a public health priority for better and more rapid control of disease spread.We aimed to characterise the determinants and subtypes of vaccine hesitancy and identify more persistent forms of hesitancy via analysis of vaccine uptake in a large cross-sectional cohort with linked National Health Service(NHS)data.
文摘Atrial fibrillation(AF)/atrial flutter(AFL)is the most common sustained cardiac arrhythmia.The known risk factors for developing AF/AFL include age,structural heart disease,hypertension,diabetes mellitus,or hyperthyroidism.This study aims to attribute the trends in AF/AFL-related mortalities over the past two decades 1999-2020 concerning race and sex and disparity among them.To the best of our knowledge,this is the first study that estimates the trends and mortality due to AF/AFL from 1999-2020 in older adults in the United States.In this 21-year analysis of mortality data,we found a constant increase in mortality rates due to AF/AFL in older adults.From 1999 to 2020,the overall mortality in older adults aged 65 and above,regardless of sex and race,is found to be almost doubled i.e.about a 50.2%increase in the number of deaths due to AF/AFL.Furthermore,other confounding risk factors such has obesity,prior myocardial infarction,inflammation,hypertension,birth weight,diabetes mellitus,hyperthyroidism,hormone replacement therapy in menopausal women increases the risk in the occurrence or recurrent occurrence of AF.
基金supported by National Key R&D Program of China(2024YFF1307400)Guangdong S&T Program(2022B1111230001).
文摘Preserving genetic diversity is crucial for the long-term survival of wild plant species,yet many remain at risk of genetic erosion due to small population sizes and habitat fragmentation.Here,we present a comparative genomic study of the critically endangered Oreocharis esquirolii(Gesneriaceae)and its widespread congener O.maximowiczii.We assembled and annotated chromosome-level reference genomes for both species and generated whole-genome resequencing data from 28 O.esquirolii and 79 O.maximowiczii individuals.Our analyses reveal substantially lower genetic diversity and higher inbreeding in O.esquirolii,despite its overall reduced mutational burden.Notably,O.esquirolii exhibits an elevated proportion of strongly deleterious mutations relative to O.maximowiczii,suggesting that limited opportunities for purging have allowed these variants to accumulate.These contrasting genomic profileslikely reflectdivergent demographic histories,with O.esquirolii having experienced severe bottlenecks and protracted population decline.Collectively,our findingshighlight the critically endangered status of O.esquirolii,characterized by diminished genetic diversity,pronounced inbreeding,and reduced ability to eliminate deleterious alleles.This study provides valuable genomic resources for the Gesneriaceae family and underscores the urgent need for targeted conservation measures,including habitat protection and ex situ preservation efforts,to mitigate the extinction risk facing O.esquirolii and potentially other threatened congeners.
文摘BACKGROUND Diverticular disease of the intestine is a major gastrointestinal cause of mortality in the United States and the world.It is one of the most common gastrointestinal conditions responsible for hospital admissions.AIM To identify mortality trends of diverticular disease among adults in the United States,examining regional and demographic variations,as these have not been previously studied.These trends are highly beneficial to studying disease burden and vulnerable populations.METHODS Diverticular disease-related mortality data were extracted as age-adjusted mortality rates(AAMRs)from death certificate data of the CDC WONDER database using International Statistical Classification of Diseases and Related Health Problems-10th Revision codes K57.0 to K57.9 from 1999 to 2020 in adults≥45 years of age per 100000 population.These AAMRs were stratified by gender,ethnicity,and demographics and analyzed using Joinpoint regression to determine annual percent changes(APCs)and assess trend changes.RESULTS Between 1999 and 2020,a total of 114044 diverticular disease-related deaths were reported among adults≥45 years of age.Our analysis reports progressive decline in mortality with AAMR decreasing from 6.7 in 1999 to 6.1 in 2003[APC:-2.60;95%confidence interval(CI):-3.79 to-0.33],after which it further declined to 3.6 in 2013(APC:-5.16;95%CI:-7.26 to-4.74),with a minimal decrease to 3.5 in 2020(APC:-0.65;95%CI:-1.87 to 1.51).Women had a higher AAMR(4.8)than men(3.8)throughout the study period.The racial analysis reported the highest overall AAMR in non-Hispanic(NH)Whites(4.7),followed by NH Black or African American(3.9),Hispanic or Latino(3.1),and Asian or Pacific Islander(1.5),with unreliable data for the American Indian or Alaska Native population.States in the top 90th percentile,such as Wyoming and Vermont,had approximately double the AAMRs compared to states in the bottom 10th percentile.The mortality rate also exhibited regional disparities,with an overall AAMR higher in the Midwest and West regions(4.7)compared to the Northeast and South regions(4.2),and higher in nonmetropolitan areas(5.4)compared to metropolitan areas(4.2).CONCLUSION Although the annual mortality of diverticular disease has decreased since 1999,there are certain demographic and regional disparities,with mortality rates higher in women,NH White and NH Black adults,Western regions,and nonmetropolitan areas.Further research is needed to identify factors responsible for these disparities and plan appropriate interventions.
文摘BACKGROUND Artificial intelligence(AI)is increasingly being explored in radiology,including its potential role in emergency imaging settings.However,global perspectives on AI adoption,usefulness,and limitations among emergency radiologists remain underexplored.AIM To assess awareness,usage,perceived benefits,and limitations of AI tools among radiologists practicing emergency radiology worldwide.METHODS A 16-question survey was distributed globally between October 24,2024,and August 4,2025,targeting radiologists working in academic,community,and private settings who practice emergency radiology as a primary or secondary subspecialty.The survey was disseminated via direct emails extracted using automated and manual methods from recent publications in major radiology journals.A total of 57 responses were collected.RESULTS AI awareness was high(93%),but frequent clinical use was reported by only 28%.Daily use of AI in emergent imaging was limited to 23%of respondents.The majority anticipated AI becoming essential within five years(68%),and 51%believed AI would replace certain radiological tasks.Image interpretation and acquisition were the most common AI applications.Key perceived benefits included improved diagnostic accuracy and increased efficiency,while concerns included limited accuracy,integration difficulties,and cost.Trust in AI varied by experience,with less experienced radiologists viewed as more trusting.CONCLUSION While emergency radiologists globally recognize AI’s potential,significant barriers to its routine adoption remain.Addressing issues of trust,cost,accuracy,and workflow integration is essential to unlock AI's full utility in emergency radiology.
文摘This study investigates the mental health challenges faced by international nursing students in the Philippines during a global health disruption like the COVID-19 pandemic,particularly focusing on symptoms of depression,anxiety,and stress(DAS).With the first incidence of global outbreak in the Philippines reported in 2020,the pandemic has intensified psychological distress among international students,who already struggle with sociocultural adjustment issues such as alienation and culture shock.The study aimed to determine the prevalence and contributing factors of DAS among this group.Using descriptive statistics and the DASS-21 tool,the research found that international nursing students exhibited alarmingly high levels of depression,anxiety,and stress.Pearson’s test of association was employed to explore relationships between DAS symptoms and demographic variables.Results highlighted key predictors of mental health distress,including age,gender,length of stay in the country,and sleep patterns.These findings address a significant gap in existing literature concerning international students’mental health in the Philippines during pandemics.The study concludes by urging healthcare providers and policymakers to integrate these insights into emergency preparedness plans and educational reforms,emphasizing the importance of supporting the psychological well-being of international students during crises.Replication with additional variables is recommended for a more comprehensive understanding.
基金supported by the National Natural Science Foundation of China(Grant Nos.42371315,41901213)the Humanities and Social Sciences General Research Program of the Ministry of Education(Grant No.23YJC790141)。
文摘Cropland abandonment has been a widespread phenomenon in mountainous areas due to the increasing number of natural disasters and the massive migration of rural labor in the process of rapid urbanization.Land transfer is a crucial prerequisite for ensuring food security and fostering rural revitalization.How to promote land transfer in mountainous areas remains a challenging but important task.Nevertheless,there is a dearth of research examining land transfers among farm households that specifically address mountainous regions,and the influence of grassroots governance and geographic location has not been thoroughly elucidated within this particular context.Based on 895household samples collected in Dabie Mountainous Area in China,this study employs binary and ordinal logistic regression models to provide a more comprehensive analysis on land transfers among rural households and the determinants,including the decision to transfer land,the existence of land transfer rents,the channel of land transfer,the duration of the transfer,the pre-transfer cultivation situation,and the level of satisfaction with the land transfer rent.The findings reveal that grassroots governance,geographic location,livelihood capital,and demographic factors significantly influence land transfers among rural households.Specifically,villagers'public participation positively affects land transfer participation(β=0.235,p<0.05),while the operation of village rules and regulations negatively impacts it(β=-0.296,p<0.05).Village cadre satisfaction positively influences both land transfer rent(β=0.274,p<0.05)and rent satisfaction(β=0.303,p<0.05).Improved civil relations in the village correlate with lower land transfer rent(β=-0.511,p<0.05),while a better social atmosphere is associated with higher satisfaction with transfer rent(β=0.575,p<0.01).Households at higher elevations tend to prefer government-mediated land transfers with longer durations.The distances to the township and county centers have contrasting effects on land transfer rent,but their impacts on participation in land transfer,choice of transfer channel,and duration are consistent.The study also found that different types of livelihood capital,as well as the demographic characteristics of households,significantly affect various aspects of land transfer.These empirical findings can inform policymaking to promote more efficient land transfers in mountainous region.
基金supported by the National Key R&D Program of China(2022YFC3400300).
文摘Species endangerment represents one of the most pressing challenges to global ecological stability.The latest assessments reveal that many plant species face imminent extinction threats due to factors such as climate change,habitat loss,invasive species,and overexploitation(Thuiller et al.,2005;Humphreys et al.,2019).Consequently,understanding the mechanisms driving plant endangerment is urgently required to inform effective conservation strategies and mitigate further losses.
文摘BACKGROUND Ovarian carcinoma has the highest mortality rate among all gynecological cancers.Several reproductive and hormonal risk factors,including early menarche,late menopause,limited use of oral contraceptives,and a low pregnancy rate,have been identified as contributors to the increased susceptibility to ovarian cancer.Advancements in cancer therapy over the past century,including the emergence of precision oncology,underscore the importance of early detection and tailored interventions,factors particularly critical in ovarian cancer,where late-stage diagnosis remains a persistent barrier to survival.This challenge is compounded by the lack of a universally endorsed screening program,resulting in late-stage identification and widespread metastasis.AIM To evaluate demographic differences in ovarian cancer-related mortality from 1999 to 2020 among adult females aged≥25 years within the United States.METHODS Centers for Disease Control and Prevention Wide-Ranging Online Data for Epidemiologic Research database was used to collect de-identified death certificate data for malignant neoplasm of the ovaries related deaths in female adults aged 25 years and older from the year 1999 to 2020.Crude mortality rates and age-adjusted mortality rates(AAMRs)per 100000 people were calculated.Join point regression program was used to assess annual percent changes in mortality trends,with statistical significance set at P value<0.05.RESULTS Between 1999 and 2020,337619 deaths due to ovarian cancer occurred among United States females aged 25 to>85.The AAMR decreased from 14.62 in 1999 to 10.15 in 2020,with significant declines across various demographics.The AAMRs were highest among non-Hispanic White women,i.e.,13.53.Based on region,they were the highest in the Northeast(13.06)and Midwest(12.94).The steepest decline was observed in metropolitan areas as compared to nonmetropolitan ones.The study highlights significant progress in reducing ovarian cancer mortality across age,race/ethnicity,and geographic regions during this period.CONCLUSION The mortality trends for ovarian carcinoma patients showed an overall decrease,with the highest mortality rates observed among older individuals(65 to>85 years)and non-Hispanic Whites.These disparities underscore the need for equitable healthcare access and targeted policy interventions.
文摘Bemisia tabaci is a polyphagous herbivore that feeds on a wide range of horticultural and ornamental crops cultivated under diverse ecological zones. In Sierra Leone, B. tabaci is found to infest a wide range of vegetable crops by directly feeding on phloem sap thereby inducing physiological disorders, and also serve as a vector to gemini viruses. Invariably the destructive feeding of B. tabaci affects the productivity and aesthetic values of vegetables and other horticultural crops and hence is considered a serious economic pest. A bioassay experiment was carried out by rearing B. tabaci populations on four vegetable crops under controlled laboratory conditions to determine its life table and demographic parameters. Results showed that the intrinsic rate of growth which measures the population size and growth pattern was highest for populations reared on tomato crops with the following values: rm 0.145 female female−1 day−1, the gross reproduction rate (Ro), and finite growth rate λ were highest for population reared on tomato, correspondingly the development period from egg-adult emergence was shortest with a value of 26 d. Conversely, the computed demographical parameters rm, λ and Ro for the population reared on sweet pepper were 0.106 female female−1 day−1 respectively, with a corresponding development period egg-adult emergence as 36d. The computed biological parameters for okra and garden egg varied with intermediary values between tomato and pepper host materials. The survivorship rates were quite significant for the smaller instars (Instars 1-III) with over 80% surviving to pre-pupa and pupa stage for the populations reared for all the test materials. High mortality was noticed for the pre-pupa and pupa stages as their survival rates were significantly low compared to the high survival rates of the smaller instars. Less than 50% of pupae failed to emerge to adults except for populations reared on tomato test materials where 52% emerged to adults. The study indicated tomato as the most suitable host among the four vegetable crops. Although life table and demographic parameters are invaluable information for forecasting pest populations and help in designing pest management efforts, further investigations such as the economic threshold and economic injury levels of B. tabaci population are requisite decision tools for sound pest management decisions of B. tabaci on these vegetable crops. The information obtained from this investigation would be quite relevant for extension service and pest management practitioners where mixed vegetable farming is a common practice.
基金supported by grants from the Zhejiang Science and Technology Department Project(2023C04004)Zhejiang Science and Technology Major Program on Agricultural New Variety Breeding(2021C02068-6)+2 种基金Department of Science Technology of Huzhou City(2023GZ33)Zhejiang Team Technology Ambassador Project(Tongxiang)the National Natural Science Foundation of China(32172724).
文摘Hu sheep is an indigenous breed from the Taihu Lake Plain in China,known for its high fertility.Although Hu sheep belong to the Mongolian group,their demographic history and genetic architecture remain inconclusive.Here,we analyze 697 sheep genomes from representatives of Mongolian sheep breeds.Our study suggests that the ancestral Hu sheep first separated from the Mongolian group approximately 3000 years ago.As Hu sheep migrated from the north and flourished in the Taihu Lake Plain around 1000 years ago,they developed a unique genetic foundation and phenotypic characteristics,which are evident in the genomic footprints of selective sweeps and structural variation landscape.Genes associated with reproductive traits(BMPR1B and TDRD10)and horn phenotype(RXFP2)exhibit notable selective sweeps in the genome of Hu sheep.A genome-wide association analysis reveals that structural variations at LOC101110773,MAST2,and ZNF385B may significantly impact polledness,teat number,and early growth in Hu sheep,respectively.Our study offers insights into the evolutionary history of Hu sheep and may serve as a valuable genetic resource to enhance the understanding of complex traits in Hu sheep.
基金supported by the Tencent Sustainable Social Value Inclusive Health Lab and through the Chong Qing Tencent Sustainable Development Foundation“Comprehensive Prevention and Control Demonstration Project for Eliminating Cervical Cancer and Breast Cancer in Low Health Resource Areas of China”(Grant No.SD20240904145730)。
文摘The number of newly diagnosed breast cancer cases and related deaths is the highest among female malignancies in nearly all countries1.The estimated annual percentage change in mortality increased by an average of 0.29%to 0.75%per year from 1990 to 2019 in low-and middle-Social Demographic Index(SDI)countries.In contrast,the estimated annual percentage change in mortality decreased by an average of 1.52%per year in high SDI countries2due to early diagnosis and treatment.Most East Asian countries have not seen evidence of a reduction in breast cancer mortality1.
基金supported by the Central Asia Drug Discovery and Development Centre of Chinese Academy of Sciences(180GJHZ2024036MI)National Natural Science Foundation of China(32070433,32470466,31672270,31872959)+2 种基金Third Xinjiang Scientific Expedition Program(2021xjkk0600)Special Exchange Program of the Chinese Academy of Sciencessponsored by the ANSO Scholarship for Young Talents
文摘Comprehensive phylogeographic insights require the integration of evidence across diverse taxa,ecosystems,and geographical regions.However,our understanding of the arid biota of the vast Asian drylands remains limited.Accordingly,this study combined phylogeographic analyses with ecological niche modeling to investigate patterns of diversification and demography of the Central Asian racerunner(Eremias vermiculata),a widespread lizard inhabiting arid eastern-Central Asia(AECA).Mitochondrial DNA(mtDNA)sequences were obtained from 876 individuals across 113 localities,while three nuclear genes-CGNL1,MAP1A,andβ-fibint7-were sequenced from 204,170,and 138 individuals,respectively.Analyses identified four distinct mtDNA lineages corresponding to specific geographic subregions within the AECA,reflecting the topographic and ecological heterogeneity of the region.The detection of mito-nuclear discordance indicated the presence of complex evolutionary dynamics.Divergence dating placed the initial lineage splits at approximately 1.18 million years ago,coinciding with major tectonic activity and climatic aridification that likely promoted allopatric divergence.In particular,lineage diversification within the Tarim Basin suggests that recent environmental shifts may have contributed to genetic divergence.Demographic reconstructions revealed signatures of population expansion or range shifts across all lineages during the Last Glacial Maximum,signifying the combined influence of the unique topography and climate dynamics of the AECA on diversification and demographic change.These results highlight the need for fine-scale genomic investigations to clarify the mechanisms underlying mito-nuclear discordance and local adaptation.Such efforts are essential for advancing understanding of how genetic diversity in dryland taxa responds to environmental change,providing insights into the evolutionary adaptability of species in dynamic landscapes.
基金supported by the National Natural Science Foundation of China(grant no.31971638)the Public Welfare Project of Fujian Science and Technology Department(grant no.2024R1002001).
文摘Climate change is expected to alter the popu-lation dynamics of pioneer tree species and their planned use in sustainable forest management,but we have a lim-ited understanding of how their demographic rates change in response to climate changes during ecological restora-tion.Based on 12 years of demographic data for a pioneer tree species(Pinus massoniana)censused in three plots that correspond to three stages of ecological restoration in south-eastern China.We built integral projection models(IPMs)to assess vital rates(survival,growth,reproduction)and population growth in each plot,then evaluated demographic changes to simulated changes in seasonal mean temperature and precipitation in the current and previous census period.The plot representing the medium restoration stage had the highest population growth rate(λ=0.983).Mean population survival probability increased with ecological restoration,and reproduction probability was significantly suppressed at the high restoration stage.Survival is always the most important vital rate forλ,and climate affectsλprimarily via survival at each restoration stage.The current spring tem-perature was the most critical climate variable forλin the low and medium restoration stages,and previous summer temperature was most critical in the high restoration stage.Simulated warming leads to a decrease in the stochastic population growth rate(λ_(s))of P.massoniana in every stage.These findings suggest that during ecological restoration,P.massoniana responds to habitat change via modified demo-graphic performance,thus altering its response to climate change.Despite diverse responses to climate change,the persistence of P.massoniana populations is facing a wide-spread threat of warming states at each restoration stages.
文摘This study examines how demographic factors shape engagement with virtual cultural communities and awareness of emerging economic models.Using survey data from 202 participants,descriptive statistics,independent samples t-tests,and One-way Analysis of Variance(ANOVA)with Least Significant Difference(LSD)post-hoc analyses revealed significant influences of age,education,and occupation.No significant gender differences were found.Individuals aged 26-45 demonstrated higher virtual community participation(F=3.439,p=0.01)and emerging model awareness(F=2.834,p=0.026)than younger cohorts(18-25 years and below).Respondents with postgraduate education exhibited superior understanding of emerging economic models(F=3.296,p=0.022)and their nexus with cultural values(F=6.196,p<0.001)compared to those with lower educational attainment.Significant occupational variations existed in virtual participation(F=4.001,p=0.008)and economic model awareness(F=5.611,p=0.001),with enterprise employees and civil servants scoring higher than students and freelancers.These findings underscore the critical roles of life stage,educational investment,and professional context in shaping digital cultural behaviors and economic cognition,offering valuable insights for platform design,educational strategies,and policy development in the digital cultural economy.
文摘Objectives:This study aimed to investigate the dual mediating roles of psychological safety and reporting attitudes in the association between ethics-centered leadership and internal whistleblowing among nurses.Methods:A multicenter,cross-sectional study design was employed,involving a convenience sample of 273 nurses among five university hospitals from August to October 2024.Data were collected using a demographic questionnaire,Ethical Leadership Scale,Psychological Safety Scale,Positive Attitudes Toward Whistleblowing Scale,and Internal Whistleblowing Scale.Pearson correlation and structural equation model were conducted to test the hypothesized dual mediation model.Results:The average score of nurses for ethical leadership was 4.14±0.57,psychological safety was 3.80±0.64,reporting attitudes was 4.12±0.67,internal whistleblowing was 3.93±0.52.Ethical leadership had a significant effect on psychological safety(β=0.38,P<0.001),reporting attitudes(β=0.44,P<0.001),and internal whistleblowing(β=0.21,P=0.009).Furthermore,psychological safety(β=0.26,P<0.001)and reporting attitudes(β=0.27,P<0.001)significantly influenced internal whistleblowing among the nurses.The indirect effect of ethics-centered leadership on internal whistleblowing intermediated by psychological safety was significant(β=0.10,P<0.001).Similarly,reporting attitudes demonstrated a significant mediating effect(β=0.12,P=0.003).Conclusions:Ethical leadership encourages internal whistleblowing among nurses by fostering psychological safety and positive reporting attitudes.Therefore,healthcare managers should prioritize ethical leadership development,enhance psychological safety,and foster constructive reporting attitudes that enable nurses to report ethical violations confidently,without apprehension.
基金funded by the Environmental Seed Arrival and Interspecific Associations in Seedling Sciences Program of the Smithsonian Institutionthe National Science Foundation (DEB-0075102,DEB-0823728,DEB-0640386,DEB-1242622,DEB-1464389)the Andrew Mellon Foundation,The Ohio State University,and Yale University
文摘Background The full lifespan of long-lived trees includes a seedling phase,during which a seed germinates and grows to a size large enough to be measured in forest inventories.Seedling populations are usually studied separately from adult trees,and the seedling lifespan,from seed to sapling,is poorly known.In the 50-ha Barro Colorado forest plot,we started intensive censuses of seeds and seedlings in 1994 in order to merge seedling and adult demography and document complete lifespans.Methods In 17 species abundant in seedling censuses,we subdivided populations into six size classes from seed to 1cm dbh,including seeds plus five seedling stages.The smallest seedling class was subdivided by age.Censuses in two consecutive years provided transition matrices describing the probability that a seedling in one stage moved to another one year later.For each species,we averaged the transition matrix across 25 censuses and used it to project the seedling lifespan,from seed until 1cm dbh or death.Results The predicted mean survival rate of seeds to 1cm dbh varied 1000-fold across species,from 2.9×10^(−6)to 4.4×10^(−3);the median was 2.0×10^(−4).The seedling lifespan,or the average time it takes a seed to grow to 1cm dbh,varied across species from 5.1 to 53.1 years,with a median of 20.3 years.In the median species,the 10%fastest-growing seeds would reach 1cm dbh in 9.0 years,and the slowest 10%in 34.6 years.Conclusions Combining seedling results with our previous study of lifespan after 1cm dbh,we estimate that the focal species have full lifespans varying from 41 years in a gap-demanding pioneer to 320 years in one shade-tolerant species.Lifetime demography can contribute precise survival rates and lifespans to forestry models.
基金The National Natural Science Foundation of China(30700065)the Program for Fostering Young Talents of Kunming Institute of Zoology,the Chinese Academy of Sciences(0706571141)~~
文摘In order to evaluate the phylogenetic position and validity of Rana altaica,we investigated the phylogeny of brown frogs in Eurasia by Bayesian Inference and Maximum Parsimony analyses of a fragment from the mitochondrial DNA gene Cytochrome b.Both analyses resolved R.altaica as nesting deeply within R.arvalis.Most samples of the nominal R.altaica from the Altai region and specimens from Central Siberia shared a haplotype with R.arvalis based on the network analysis.The matrilineal relationships suggested that R.altaica should be considered as a junior synonym of R.arvalis.Furthermore,our study suggested that the species group division of Chinese brown frogs should be re-evaluated within a phylogenetic context.
