Objective Systematically integrate nurses’experience with“Internet Nursing Service”to analysis the nurses’experiences with“Internet Nursing Service”,and to provide a theoretical reference for formulating a more ...Objective Systematically integrate nurses’experience with“Internet Nursing Service”to analysis the nurses’experiences with“Internet Nursing Service”,and to provide a theoretical reference for formulating a more rational“Internet Nursing Service”model.Methods A systematic search in PubMed,Embase,Web of Science,the Cochrane Library,CINAHL,China National Knowledge Infrastructure(CNKI),Wanfang Database,and Chinese Biomedical Literature Database was conducted to collect qualitative research on nurses’experiences with“Internet Nursing Service,”with a retrieval time limit from December 2019 to June 2024.Qualitative meta-synthesis was performed through line-by-line coding of relevant quotes,organization of codes into descriptive themes,and development of analytical themes.Results A total of 19 studies were included,one study was rated as Grade A in quality evaluation,and the remaining studies were rated as Grade B.Collectively synthesized into three integrated results:Harvest and growth,Difficulties and challenges,and Expectations and support.Harvest and growth,include 1)manifestation of self-value,2)enhancing nursing capabilities,3)optimizing nursing resources;Difficulties and challenges,include 1)lack of safety guarantee,2)role conflict;Expectations and support include,1)expectation for professional knowledge and skill training,2)expectations for service platform optimization,3)expectation for reasonable charges,4)expectation for related policy support.Conclusion“Internet Nursing Service”model benefits both nurses and patients,but still full of challenges.It aids in the decentralization of medical resources.Management departments still need to encourage nurses to actively invest in“Internet Nursing Service”while ensuring their safety and interests.展开更多
Background: Exposure to adverse childhood experiences (ACEs) is associated with a higher likelihood of developing psychological disorders among adolescents. The current study aimed to analyze the effect of independent...Background: Exposure to adverse childhood experiences (ACEs) is associated with a higher likelihood of developing psychological disorders among adolescents. The current study aimed to analyze the effect of independent and cumulative effects of ACEs exposure on the likelihood of Posttraumatic Stress Disorder (PTSD) and a Complex PTSD (CPSTD) diagnosis in Indian adolescents. Methods: A sample of 411 schoolchildren participated in the study. It was collected data on exposure to ACEs, PTSD, CPTSD, and attachment styles. Results: It was found that exposure to bullying and threats of violence was significantly associated with PTSD and CPTSD diagnosis, and exposure to physical violence and serious illness was associated with CPTSD diagnosis. Exposure to one ACE and exposure to 2 - 3 ACEs were associated with PTSD and CPTSD diagnosis, while exposure to 4 - 5 ACEs was associated with CPTSD diagnosis. Preoccupied and fearful attachment styles were significantly associated with PTSD and CPTSD diagnosis. Conclusion: The results of the study suggest that biological, psychological, and social factors interact and contribute to the differential prevalence of ACE, attachment styles, and PTSD/CPTSD. This study emphasizes the need of addressing childhood trauma as a public health priority in India.展开更多
In practical engineering construction,multi-layered barriers containing geomembranes are extensively applied to retard the migration of pollutants.However,the associated analytical theory on pollutants diffusion still...In practical engineering construction,multi-layered barriers containing geomembranes are extensively applied to retard the migration of pollutants.However,the associated analytical theory on pollutants diffusion still needs to be further improved.In this work,general analytical solutions are derived for one-dimensional diffusion of degradable organic contaminant(DOC)in the multi-layered media containing geomembranes under a time-varying concentration boundary condition,where the variable substitution and separated variable approaches are employed.These analytical solutions with clear expressions can be used not only to study the diffusion behaviors of DOC in bottom and vertical composite barrier systems,but also to verify other complex numerical models.The proposed general analytical solutions are then fully validated via three comparative analyses,including comparisons with the experimental measurements,an existing analytical solution,and a finite-difference solution.Ultimately,the influences of different factors on the composite cutoff wall’s(CCW,which consists of two soil-bentonite layers and a geomembrane)service performance are investigated through a composite vertical barrier system as the application example.The findings obtained from this investigation can provide scientific guidance for the barrier performance evaluation and the engineering design of CCWs.This application example also exhibits the necessity and effectiveness of the developed analytical solutions.展开更多
In recent years,with the acceleration of urbanization and the introduction of the concept of a park city,the construction of city parks has received increasing attention.This paper selects three representative city pa...In recent years,with the acceleration of urbanization and the introduction of the concept of a park city,the construction of city parks has received increasing attention.This paper selects three representative city parks in the main urban area of Chongqing as the research objects,sorts out relevant policy plans and cutting-edge theories,and understands and analyzes the current construction situation and development environment of city parks in the main urban area of Chongqing.Based on visitor opinions and feedback,the main influencing factors of recreation experience are summarized,and corresponding strategies are proposed based on the actual situation,hoping to provide a reference for the construction of city parks in Chongqing.展开更多
BACKGROUND Intra-articular hip injections(IAHIs)are commonly used for diagnostic and therapeutic purposes but are often associated with patient anxiety and fear.The disparity between anticipated and experienced pain d...BACKGROUND Intra-articular hip injections(IAHIs)are commonly used for diagnostic and therapeutic purposes but are often associated with patient anxiety and fear.The disparity between anticipated and experienced pain during IAHIs and the role of preinjection local anesthesia in pain modulation remains unclear.AIM To investigate the difference between anticipated and experienced pain during IAHIs and the impact of pre-injection local anesthesia.METHODS This prospective study enrolled 60 patients undergoing IAHI,30 receiving pre-injection superficial local anesthesia and 30 serving as a control group without pre-injection local anesthesia.Pain levels were assessed using numeric rating scales.RESULTS Patients significantly overestimated anticipated pain compared to experienced pain(6.43±2.48 vs 3.68±2.37,P<0.001).Pre-injection local anesthesia did not significantly reduce experienced pain(3.19±2.38 vs 4.20±2.29,P=0.130).CONCLUSION Patients overestimate anticipated pain during IAHIs.Pre-injection local anesthesia does not reduce experienced pain.展开更多
This study proposes a general imperfect thermal contact model to predict the thermal contact resistance at the interface among multi-layered composite structures.Based on the Green-Lindsay(GL)thermoelastic theory,semi...This study proposes a general imperfect thermal contact model to predict the thermal contact resistance at the interface among multi-layered composite structures.Based on the Green-Lindsay(GL)thermoelastic theory,semi analytical solutions of temperature increment and displacement of multi-layered composite structures are obtained by using the Laplace transform method,upon which the effects of thermal resistance coefficient,partition coefficient,thermal conductivity ratio and heat capacity ratio on the responses are studied.The results show that the generalized imperfect thermal contact model can realistically describe the imperfect thermal contact problem.Accordingly,it may degenerate into other thermal contact models by adjusting the thermal resistance coefficient and partition coefficient.展开更多
How exhibitions of revolutionary cultural relics affect and enhance the audience’s comprehensive experiences was discussed from aspects of bodily perception,spatial interaction,emotional resonance,and value identific...How exhibitions of revolutionary cultural relics affect and enhance the audience’s comprehensive experiences was discussed from aspects of bodily perception,spatial interaction,emotional resonance,and value identification,and the experience design of exhibitions of revolutionary cultural relics was further studied to better carry and convey the spirit of the revolution.Guided by embodied theory,this study was provided with methodological support from various perspectives,and analyzed the current development and existing problems of exhibitions of revolutionary cultural relics through field investigations.Currently,embodied theory is gradually being applied in exhibition design,and the focus of exhibitions is shifted from“objects”to“people”.By collecting direct feelings and feedback from the audience on the exhibitions of revolutionary cultural relics,and theoretical construction and practical application for the experience design of these exhibitions are solidly supported.The needs for emotional and inspirational awakening,education and learning,participation and interaction were revealed.Based on the audience’s behavior,a four-step design method was proposed:enhancing the sense of place,enriching sensory experience,strengthening interactive experiences,and fostering a sense of belonging.Through the application of experiential design in these four dimensions,it aims to reshape the methods of exhibitions of revolutionary cultural relics and promote a deep integration between the exhibitions and embodied theory.展开更多
The performance of multilayered thin steel plates subjected to close-range air blasts has been experimentally studied and compared with that of monolithic plates made of the same material and having equal mass. In pre...The performance of multilayered thin steel plates subjected to close-range air blasts has been experimentally studied and compared with that of monolithic plates made of the same material and having equal mass. In present experiments, multilayered plates are in-contact four-layered thin steel plates and two types of deformation/failure modes were observed for them. Comparisons concerning deformation/failure modes, strain distributions and energy absorptions between the multilayered plate and its monolithic counterpart were conducted. It is found that the multilayered plate is much superior to its monolithic counterpart in the ability to deform against blast loading. Furthermore, under intense airblast loading, the multilayered plate can not only absorb much more energy but also effectively reduce the secondary destruction ability of structural fragments in comparison with its monolithic counterpart.展开更多
quality is a means for auditors to detect material errors when presenting financial reports.In the public sector,audit quality can be seen from the quality of the information contained in information reports published...quality is a means for auditors to detect material errors when presenting financial reports.In the public sector,audit quality can be seen from the quality of the information contained in information reports published by the government to the public.Examinations carried out by internal inspectorate auditors include reviewing accounting,finance,operations,and others to protect against misstatements which could affect the quality of information displayed by the government through financial reports,performance,and compliance with laws and regulations to the public as transparency efforts to the public.This research aims to empirically test and analyze the influence of auditors’work experience and professionalism on audit quality partially and simultaneously at the Bandung Regency Regional Inspectorate.The population in this study were all auditors who worked at the Bandung Regency Regional Inspectorate with a sample of 35 auditors.The sampling technique used in this research was purposive sampling.A questionnaire was used for the data.This research uses multiple regression analysis,where the results of this research show that partially and simultaneously the variables of work experience and auditor professionalism have a positive and significant effect on audit quality.The implications of the results of this research state that work experience and professionalism are needed to improve audit quality because the results of this research show that work experience and auditor professionalism have a positive and significant effect on audit quality.展开更多
Objective:To explore symptom experiences and self-coping patterns during the early and late stages of chemotherapy in these patients to provide a basis for developing targeted symptom management strategies.Methods:A t...Objective:To explore symptom experiences and self-coping patterns during the early and late stages of chemotherapy in these patients to provide a basis for developing targeted symptom management strategies.Methods:A total of 27 patients with pancreatic cancer undergoing chemotherapy at two medical institutions were recruited between November 2023 and August 2024.Semi-structured interviews were conducted in person or over the phone.Data were analyzed using traditional content and thematic analyses.Results:Three themes were identified:symptom experience,self-coping patterns,and existing obstacles.During the early stages of chemotherapy,patients reported a higher frequency of unpleasant symptoms and recognized these symptoms earlier in the treatment course.Patients in the early stages primarily relied on external support to cope with symptoms,while those in the later stages adopted self-care strategies.Several challenges related to unpleasant symptoms were observed,which appeared to correlate with the self-coping patterns employed.Conclusion:Patients with pancreatic cancer undergoing chemotherapy experience a complex and diverse range of symptoms,with varying coping patterns at different stages of treatment.Symptom management during chemotherapy presents significant challenges.Healthcare providers should improve the ongoing monitoring of symptoms post-chemotherapy.By linking patients’symptom experiences and self-coping patterns at different stages of chemotherapy to their specific challenges,personalized symptom management strategies can be developed to enhance care quality.展开更多
Objective:The day surgery mode has significantly reduced preoperative waiting time for patients.However,this mode also led to brief and sometimes abrupt interactions between patients with vision loss and nursing staff...Objective:The day surgery mode has significantly reduced preoperative waiting time for patients.However,this mode also led to brief and sometimes abrupt interactions between patients with vision loss and nursing staff during the preoperative visits.Additionally,patients may experience negative emotions.The aim of this study was to describe the preoperative experiences and identify related stressful factors among patients waiting vitreo-retinal day surgery.Methods:This study was guided by an interpretive approach.Semi-structured,face-to-face,in-depth interviews were conducted with patients from August 2021 to October 2024.Inductive content analysis and research software were used to analyze the data.Results:Twenty-seven patients agreed to participate the interviews.Their ages ranged from 19 to 70 years old.The waiting time before hospitalization varied from 7 to 90 days.Three main categories emerged from patients’complaints:day surgery procedures,concerns about eye conditions and supports.Conclusions:The findings underscore the importance of preoperative care services.It is suggested that providing accurate preoperative information and effective support can significantly enhance the quality of preoperative care service.展开更多
Background This study aimed to explore the influence of prior gaming experience on the intensity and onset of cybersickness symptoms by comparing the effects of virtual reality(VR)immersion in gamers and nongamers.Met...Background This study aimed to explore the influence of prior gaming experience on the intensity and onset of cybersickness symptoms by comparing the effects of virtual reality(VR)immersion in gamers and nongamers.Methods This study involved 50 male participants,with equal numbers of gamers and nongamers,who were subject to a VR environment using head-mounted displays in a sitting position for a 15-minute session.The intensity of cybersickness symptoms,such as nausea,oculomotor disturbances,and disorientation,was measured using a simulator sickness questionnaire,and the onset of cybersickness was measured using the fast motion sickness scale.Physiological indices were measured based on heart rate variability(HRV)parameters.Results This study found that prior gaming experience significantly affected symptoms of cybersickness during VR immersion.Nongamers experienced more severe symptoms,including higher levels of nausea,disorientation,and oculomotor disturbances,with symptoms appearing earlier than those in gamers.These differences were linked to increased fluctuations in HRV and reduced parasympathetic activity in nongamers,indicating higher autonomic nervous system strain.By contrast,gamers showed more stable HRV responses,suggesting better physiological adaptability to VR environments.Conclusion These findings indicate that familiarity of gamers with dynamic visual and sensory inputs may help them manage VR-induced sensory conflicts more effectively.展开更多
This study explores the impact mechanism and practical strategies of biophilic design in dining spaces on customer emotional experiences.Based on environmental psychology theory,it analyzes how natural elements improv...This study explores the impact mechanism and practical strategies of biophilic design in dining spaces on customer emotional experiences.Based on environmental psychology theory,it analyzes how natural elements improve emotional states through mechanisms such as reducing stress hormones and enhancing brainwave activity,confirming that multisensory collaborative design can increase customer satisfaction to 83.6%.Combining typical case studies with cross-cultural research,specific implementation plans for dynamic landscapes,material combinations,and light environment optimization are proposed,providing a theoretical basis and technical references for dining space design.展开更多
Objective:This study aimed to systematically evaluate the measurement characteristics and methodological quality of childbirth experience assessment tools,with a view to informing the selection of healthcare professio...Objective:This study aimed to systematically evaluate the measurement characteristics and methodological quality of childbirth experience assessment tools,with a view to informing the selection of healthcare professionals who can provide high-quality assessment tools.Method:A systematic search was performed on specific databases:PubMed,Web of Science,Embase,CINAHL,SinoMed,China National Knowledge Infrastructure(CNKI),and Wanfang,from inception to February 29,2024.The researchers retrieved studies on the measurement attributes of the childbirth experience assessment tool,and traced back the references of the included studies to supplement relevant literature.According to the inclusion and exclusion criteria,screening and data extraction were independently undertaken by two reviewers.Two researchers individually used the Consensus-based Standards for the Selection of Health Measurement Instruments(COSMIN)Risk of Bias Checklist to assess the methodological quality of the scale,applied the COSMIN criteria to evaluate the measurement properties of the scale,and used a modified Grading of Recommendations,Assessment,Development,and Evaluation(GRADE)system to assess the certainty of evidence.Result:A total of 15 studies were included to evaluate the psychometric properties of 11 childbirth experience assessment tools(including different language versions).Eight studies’methodological quality of content validity was doubtful,and the remaining studies did not report content validity.None of the tools reported measurement error,cross-cultural validity,or responsiveness.In light of the questionable or unreported content validity of the tools,the evidence quality was deemed moderate or below.Consequently,the 11 assessment tools were recommended as grade B.Conclusion:In contrast,the Questionnaire for Assessing the Childbirth Experience(QACE)is recommended for provisional use,given its relatively good methodological and measurement attributes and appropriate content for evaluation.However,further validation of other measurement properties is needed.展开更多
Although numerousfindings show that people experience both positive and negative experiences with regards to solitude,the relationship between solitude capacity and emotional experience remains unclear.The current stud...Although numerousfindings show that people experience both positive and negative experiences with regards to solitude,the relationship between solitude capacity and emotional experience remains unclear.The current study investigated the extent to which emotion regulation may play a suppressive role in the relationship between solitude capacity and emotional experience.Questionnaires on solitude capacity,emotion regulation,and emotional experience were completed by a sample of Chinese college students(n=844;432 females;Meanage=19.79 years,SD=1.43 years).The results of the indirect effect test showed that cognitive reappraisal suppresses the prediction of solitude capacity on positive emotions,while the solitude capacity prediction of negative emotions was suppressed by both cognitive reappraisal and expressive suppression.This suggests that solitude capacity does not predict emotional experience directly,but instead is realized through an antagonistic system consisting of adaptive and nonadaptive emotion regulation strategies.Thesefindings provide cross-sectional empirical support for the ecological niche hypothesis of solitude,and are of theoretical significance in clarifying the role of internal mechanisms of solitude capacity on the human emotional experience.展开更多
Objective:To explore in depth the psychological perceptions and meaning construction of older adult patients with diabetes during the dietary management process,and to provide a theoretical reference for developing in...Objective:To explore in depth the psychological perceptions and meaning construction of older adult patients with diabetes during the dietary management process,and to provide a theoretical reference for developing individualized clinical nursing care.Methods:A purposive sampling method was used to select 13 older adult patients with diabetes for semi-structured in-depth interviews.The interview data were collated and analyzed using Van Manen’s analysis method.Results:The psychological experience of dietary management in older adult patients with diabetes included four core themes:(1)Information fog and cognitive shock at initial diagnosis;(2)Self-struggle during the habit reshaping stage;(3)Alternating cycle of hope and frustration in long-term management;(4)Reconstructing normality and searching for meaning in life.Conclusion:Dietary management is an important process for older adult patients with diabetes to reconstruct the meaning of life.Clinical nursing should focus on patients’psychological experiences and value needs,providing more humanistic and individualized support.展开更多
Amidst lush mountains and lucid waters,a British educator discovers inner balance and peace,embraced by the hospitality of local people and the profound Huizhou culture.
Objectives Nurses’clinical research activities have contributed to optimizing the care process and improving patient outcomes,and generative artificial intelligence(GAI)may help clinical nurses strengthen their resea...Objectives Nurses’clinical research activities have contributed to optimizing the care process and improving patient outcomes,and generative artificial intelligence(GAI)may help clinical nurses strengthen their research skills.To support research,this study aimed to explore the Chinese nurses’perceptions and experiences of GAI training.Methods This study used a descriptive qualitative design.The China Nurses Network conducted a three-day training session on“GAI for Nursing Research”theme,we selected 23 nurses by a convenience sampling method among participating in the training.The researchers conducted three focus group interviews at the end of each day.All focus groups were interviewed face-to-face to facilitate interaction,data collection,and observation.The data were analyzed using conventional content analysis and coded manually.Results The results showed that nurses’use of GAI to support scientific research was dynamic and characterized by evolving perceptions and practices.Four themes and 11 sub-themes emerged from the analysis:1)utilization efficacy:cope with research ability,affected by many factors;2)booster research:growth and challenges go hand in hand;3)role reversal:from GAI-dominated to nurse-dominated;4)beautiful dream:more features on research,more assistants on clinical care.Conclusions The effectiveness of GAI in supporting clinical nurses in conducting research is mainly limited by differences in personal research literacy,lack of ethical regulation,and information accuracy.In the future,it is necessary to improve nurses’relevant skills through specialized training and promote the standardization of technical regulations to ensure the appropriate application of GAI in nursing research.展开更多
基金supported by the General Project of the Cultivation Project of the Chinese Hospital Reform and Development Research Institute of Nanjing University(NDYG2022072)。
文摘Objective Systematically integrate nurses’experience with“Internet Nursing Service”to analysis the nurses’experiences with“Internet Nursing Service”,and to provide a theoretical reference for formulating a more rational“Internet Nursing Service”model.Methods A systematic search in PubMed,Embase,Web of Science,the Cochrane Library,CINAHL,China National Knowledge Infrastructure(CNKI),Wanfang Database,and Chinese Biomedical Literature Database was conducted to collect qualitative research on nurses’experiences with“Internet Nursing Service,”with a retrieval time limit from December 2019 to June 2024.Qualitative meta-synthesis was performed through line-by-line coding of relevant quotes,organization of codes into descriptive themes,and development of analytical themes.Results A total of 19 studies were included,one study was rated as Grade A in quality evaluation,and the remaining studies were rated as Grade B.Collectively synthesized into three integrated results:Harvest and growth,Difficulties and challenges,and Expectations and support.Harvest and growth,include 1)manifestation of self-value,2)enhancing nursing capabilities,3)optimizing nursing resources;Difficulties and challenges,include 1)lack of safety guarantee,2)role conflict;Expectations and support include,1)expectation for professional knowledge and skill training,2)expectations for service platform optimization,3)expectation for reasonable charges,4)expectation for related policy support.Conclusion“Internet Nursing Service”model benefits both nurses and patients,but still full of challenges.It aids in the decentralization of medical resources.Management departments still need to encourage nurses to actively invest in“Internet Nursing Service”while ensuring their safety and interests.
文摘Background: Exposure to adverse childhood experiences (ACEs) is associated with a higher likelihood of developing psychological disorders among adolescents. The current study aimed to analyze the effect of independent and cumulative effects of ACEs exposure on the likelihood of Posttraumatic Stress Disorder (PTSD) and a Complex PTSD (CPSTD) diagnosis in Indian adolescents. Methods: A sample of 411 schoolchildren participated in the study. It was collected data on exposure to ACEs, PTSD, CPTSD, and attachment styles. Results: It was found that exposure to bullying and threats of violence was significantly associated with PTSD and CPTSD diagnosis, and exposure to physical violence and serious illness was associated with CPTSD diagnosis. Exposure to one ACE and exposure to 2 - 3 ACEs were associated with PTSD and CPTSD diagnosis, while exposure to 4 - 5 ACEs was associated with CPTSD diagnosis. Preoccupied and fearful attachment styles were significantly associated with PTSD and CPTSD diagnosis. Conclusion: The results of the study suggest that biological, psychological, and social factors interact and contribute to the differential prevalence of ACE, attachment styles, and PTSD/CPTSD. This study emphasizes the need of addressing childhood trauma as a public health priority in India.
基金Project(2023YFC3707800)supported by the National Key Research and Development Program of China。
文摘In practical engineering construction,multi-layered barriers containing geomembranes are extensively applied to retard the migration of pollutants.However,the associated analytical theory on pollutants diffusion still needs to be further improved.In this work,general analytical solutions are derived for one-dimensional diffusion of degradable organic contaminant(DOC)in the multi-layered media containing geomembranes under a time-varying concentration boundary condition,where the variable substitution and separated variable approaches are employed.These analytical solutions with clear expressions can be used not only to study the diffusion behaviors of DOC in bottom and vertical composite barrier systems,but also to verify other complex numerical models.The proposed general analytical solutions are then fully validated via three comparative analyses,including comparisons with the experimental measurements,an existing analytical solution,and a finite-difference solution.Ultimately,the influences of different factors on the composite cutoff wall’s(CCW,which consists of two soil-bentonite layers and a geomembrane)service performance are investigated through a composite vertical barrier system as the application example.The findings obtained from this investigation can provide scientific guidance for the barrier performance evaluation and the engineering design of CCWs.This application example also exhibits the necessity and effectiveness of the developed analytical solutions.
基金Chongqing Graduate Research and Innovation Project,“Research on Residents’Satisfaction and Development Countermeasures of Mountain City Parks from the Perspective of‘Park City’-Taking the Main Urban Area of Chongqing as an Example”(Project No.:CYS240803)。
文摘In recent years,with the acceleration of urbanization and the introduction of the concept of a park city,the construction of city parks has received increasing attention.This paper selects three representative city parks in the main urban area of Chongqing as the research objects,sorts out relevant policy plans and cutting-edge theories,and understands and analyzes the current construction situation and development environment of city parks in the main urban area of Chongqing.Based on visitor opinions and feedback,the main influencing factors of recreation experience are summarized,and corresponding strategies are proposed based on the actual situation,hoping to provide a reference for the construction of city parks in Chongqing.
基金approved by the Medical Ethics Committee of the Tel Aviv Sourasky Medical Center Institutional Review Board,approval No.TLV-0674-21.
文摘BACKGROUND Intra-articular hip injections(IAHIs)are commonly used for diagnostic and therapeutic purposes but are often associated with patient anxiety and fear.The disparity between anticipated and experienced pain during IAHIs and the role of preinjection local anesthesia in pain modulation remains unclear.AIM To investigate the difference between anticipated and experienced pain during IAHIs and the impact of pre-injection local anesthesia.METHODS This prospective study enrolled 60 patients undergoing IAHI,30 receiving pre-injection superficial local anesthesia and 30 serving as a control group without pre-injection local anesthesia.Pain levels were assessed using numeric rating scales.RESULTS Patients significantly overestimated anticipated pain compared to experienced pain(6.43±2.48 vs 3.68±2.37,P<0.001).Pre-injection local anesthesia did not significantly reduce experienced pain(3.19±2.38 vs 4.20±2.29,P=0.130).CONCLUSION Patients overestimate anticipated pain during IAHIs.Pre-injection local anesthesia does not reduce experienced pain.
基金Projects(42477162,52108347,52178371,52168046,52178321,52308383)supported by the National Natural Science Foundation of ChinaProjects(2023C03143,2022C01099,2024C01219,2022C03151)supported by the Zhejiang Key Research and Development Plan,China+6 种基金Project(LQ22E080010)supported by the Exploring Youth Project of Zhejiang Natural Science Foundation,ChinaProject(LR21E080005)supported by the Outstanding Youth Project of Natural Science Foundation of Zhejiang Province,ChinaProject(2022M712964)supported by the Postdoctoral Science Foundation of ChinaProject(2023AFB008)supported by the Natural Science Foundation of Hubei Province for Youth,ChinaProject(202203)supported by Engineering Research Centre of Rock-Soil Drilling&Excavation and Protection,Ministry of Education,ChinaProject(202305-2)supported by the Science and Technology Project of Zhejiang Provincial Communication Department,ChinaProject(2021K256)supported by the Construction Research Founds of Department of Housing and Urban-Rural Development of Zhejiang Province,China。
文摘This study proposes a general imperfect thermal contact model to predict the thermal contact resistance at the interface among multi-layered composite structures.Based on the Green-Lindsay(GL)thermoelastic theory,semi analytical solutions of temperature increment and displacement of multi-layered composite structures are obtained by using the Laplace transform method,upon which the effects of thermal resistance coefficient,partition coefficient,thermal conductivity ratio and heat capacity ratio on the responses are studied.The results show that the generalized imperfect thermal contact model can realistically describe the imperfect thermal contact problem.Accordingly,it may degenerate into other thermal contact models by adjusting the thermal resistance coefficient and partition coefficient.
基金Sponsored by the Spacial Project of Research on Revolutionary Cultural Relics for College Students in 2024(2024DXSGMWW50)Innovation Fund Project for Postgraduates of Jiangxi Provincial Department of Education(YC2024-S228).
文摘How exhibitions of revolutionary cultural relics affect and enhance the audience’s comprehensive experiences was discussed from aspects of bodily perception,spatial interaction,emotional resonance,and value identification,and the experience design of exhibitions of revolutionary cultural relics was further studied to better carry and convey the spirit of the revolution.Guided by embodied theory,this study was provided with methodological support from various perspectives,and analyzed the current development and existing problems of exhibitions of revolutionary cultural relics through field investigations.Currently,embodied theory is gradually being applied in exhibition design,and the focus of exhibitions is shifted from“objects”to“people”.By collecting direct feelings and feedback from the audience on the exhibitions of revolutionary cultural relics,and theoretical construction and practical application for the experience design of these exhibitions are solidly supported.The needs for emotional and inspirational awakening,education and learning,participation and interaction were revealed.Based on the audience’s behavior,a four-step design method was proposed:enhancing the sense of place,enriching sensory experience,strengthening interactive experiences,and fostering a sense of belonging.Through the application of experiential design in these four dimensions,it aims to reshape the methods of exhibitions of revolutionary cultural relics and promote a deep integration between the exhibitions and embodied theory.
基金financially supported by the National Natural Science Foundation of China (Grant Nos. 51179200 and 51209211)the Innovation Research Foundation for Ph. D Candidates of Naval University of Engineering, China (Grant No. HGYJSJJ2012001)
文摘The performance of multilayered thin steel plates subjected to close-range air blasts has been experimentally studied and compared with that of monolithic plates made of the same material and having equal mass. In present experiments, multilayered plates are in-contact four-layered thin steel plates and two types of deformation/failure modes were observed for them. Comparisons concerning deformation/failure modes, strain distributions and energy absorptions between the multilayered plate and its monolithic counterpart were conducted. It is found that the multilayered plate is much superior to its monolithic counterpart in the ability to deform against blast loading. Furthermore, under intense airblast loading, the multilayered plate can not only absorb much more energy but also effectively reduce the secondary destruction ability of structural fragments in comparison with its monolithic counterpart.
文摘quality is a means for auditors to detect material errors when presenting financial reports.In the public sector,audit quality can be seen from the quality of the information contained in information reports published by the government to the public.Examinations carried out by internal inspectorate auditors include reviewing accounting,finance,operations,and others to protect against misstatements which could affect the quality of information displayed by the government through financial reports,performance,and compliance with laws and regulations to the public as transparency efforts to the public.This research aims to empirically test and analyze the influence of auditors’work experience and professionalism on audit quality partially and simultaneously at the Bandung Regency Regional Inspectorate.The population in this study were all auditors who worked at the Bandung Regency Regional Inspectorate with a sample of 35 auditors.The sampling technique used in this research was purposive sampling.A questionnaire was used for the data.This research uses multiple regression analysis,where the results of this research show that partially and simultaneously the variables of work experience and auditor professionalism have a positive and significant effect on audit quality.The implications of the results of this research state that work experience and professionalism are needed to improve audit quality because the results of this research show that work experience and auditor professionalism have a positive and significant effect on audit quality.
基金supported by the State Key Laboratory of Ultrasonic Medical Engineering/the Chongqing Science and Technology Bureau(Project No.2022KFKT7011)the Postdoctoral Fellowship Program of CPSF(GZC20233357)+1 种基金the Health Commission of Sichuan Province Medical Science and Technology Program(24QNMP007)the Medical Research Program of Health Commission of Chengdu(2023535).
文摘Objective:To explore symptom experiences and self-coping patterns during the early and late stages of chemotherapy in these patients to provide a basis for developing targeted symptom management strategies.Methods:A total of 27 patients with pancreatic cancer undergoing chemotherapy at two medical institutions were recruited between November 2023 and August 2024.Semi-structured interviews were conducted in person or over the phone.Data were analyzed using traditional content and thematic analyses.Results:Three themes were identified:symptom experience,self-coping patterns,and existing obstacles.During the early stages of chemotherapy,patients reported a higher frequency of unpleasant symptoms and recognized these symptoms earlier in the treatment course.Patients in the early stages primarily relied on external support to cope with symptoms,while those in the later stages adopted self-care strategies.Several challenges related to unpleasant symptoms were observed,which appeared to correlate with the self-coping patterns employed.Conclusion:Patients with pancreatic cancer undergoing chemotherapy experience a complex and diverse range of symptoms,with varying coping patterns at different stages of treatment.Symptom management during chemotherapy presents significant challenges.Healthcare providers should improve the ongoing monitoring of symptoms post-chemotherapy.By linking patients’symptom experiences and self-coping patterns at different stages of chemotherapy to their specific challenges,personalized symptom management strategies can be developed to enhance care quality.
基金supported by the Nursing Innovation and Development Research Project of the Lingnan Nightingale Nursing Research Institute and Nursing Association,Guangdong Province(GDHLYJYB202403,GDHLYJYM202417)Research Project on Party Building Theory and Practice at Zhongshan Ophthalmic Center in 2024,Research Project on Standardized Management of Day Medical Services by the Institute of Hospital Management,National Health Commission(DSQ20251016)Medical Science and Technology Foundation of Guangdong Province(A2021088).
文摘Objective:The day surgery mode has significantly reduced preoperative waiting time for patients.However,this mode also led to brief and sometimes abrupt interactions between patients with vision loss and nursing staff during the preoperative visits.Additionally,patients may experience negative emotions.The aim of this study was to describe the preoperative experiences and identify related stressful factors among patients waiting vitreo-retinal day surgery.Methods:This study was guided by an interpretive approach.Semi-structured,face-to-face,in-depth interviews were conducted with patients from August 2021 to October 2024.Inductive content analysis and research software were used to analyze the data.Results:Twenty-seven patients agreed to participate the interviews.Their ages ranged from 19 to 70 years old.The waiting time before hospitalization varied from 7 to 90 days.Three main categories emerged from patients’complaints:day surgery procedures,concerns about eye conditions and supports.Conclusions:The findings underscore the importance of preoperative care services.It is suggested that providing accurate preoperative information and effective support can significantly enhance the quality of preoperative care service.
基金Supported by Rekognisi Tugas Akhir(RTA)Grant(No.5286/UN1.P1/PT.01.03/2024)from Universitas Gadjah Mada,Indonesia.
文摘Background This study aimed to explore the influence of prior gaming experience on the intensity and onset of cybersickness symptoms by comparing the effects of virtual reality(VR)immersion in gamers and nongamers.Methods This study involved 50 male participants,with equal numbers of gamers and nongamers,who were subject to a VR environment using head-mounted displays in a sitting position for a 15-minute session.The intensity of cybersickness symptoms,such as nausea,oculomotor disturbances,and disorientation,was measured using a simulator sickness questionnaire,and the onset of cybersickness was measured using the fast motion sickness scale.Physiological indices were measured based on heart rate variability(HRV)parameters.Results This study found that prior gaming experience significantly affected symptoms of cybersickness during VR immersion.Nongamers experienced more severe symptoms,including higher levels of nausea,disorientation,and oculomotor disturbances,with symptoms appearing earlier than those in gamers.These differences were linked to increased fluctuations in HRV and reduced parasympathetic activity in nongamers,indicating higher autonomic nervous system strain.By contrast,gamers showed more stable HRV responses,suggesting better physiological adaptability to VR environments.Conclusion These findings indicate that familiarity of gamers with dynamic visual and sensory inputs may help them manage VR-induced sensory conflicts more effectively.
文摘This study explores the impact mechanism and practical strategies of biophilic design in dining spaces on customer emotional experiences.Based on environmental psychology theory,it analyzes how natural elements improve emotional states through mechanisms such as reducing stress hormones and enhancing brainwave activity,confirming that multisensory collaborative design can increase customer satisfaction to 83.6%.Combining typical case studies with cross-cultural research,specific implementation plans for dynamic landscapes,material combinations,and light environment optimization are proposed,providing a theoretical basis and technical references for dining space design.
文摘Objective:This study aimed to systematically evaluate the measurement characteristics and methodological quality of childbirth experience assessment tools,with a view to informing the selection of healthcare professionals who can provide high-quality assessment tools.Method:A systematic search was performed on specific databases:PubMed,Web of Science,Embase,CINAHL,SinoMed,China National Knowledge Infrastructure(CNKI),and Wanfang,from inception to February 29,2024.The researchers retrieved studies on the measurement attributes of the childbirth experience assessment tool,and traced back the references of the included studies to supplement relevant literature.According to the inclusion and exclusion criteria,screening and data extraction were independently undertaken by two reviewers.Two researchers individually used the Consensus-based Standards for the Selection of Health Measurement Instruments(COSMIN)Risk of Bias Checklist to assess the methodological quality of the scale,applied the COSMIN criteria to evaluate the measurement properties of the scale,and used a modified Grading of Recommendations,Assessment,Development,and Evaluation(GRADE)system to assess the certainty of evidence.Result:A total of 15 studies were included to evaluate the psychometric properties of 11 childbirth experience assessment tools(including different language versions).Eight studies’methodological quality of content validity was doubtful,and the remaining studies did not report content validity.None of the tools reported measurement error,cross-cultural validity,or responsiveness.In light of the questionable or unreported content validity of the tools,the evidence quality was deemed moderate or below.Consequently,the 11 assessment tools were recommended as grade B.Conclusion:In contrast,the Questionnaire for Assessing the Childbirth Experience(QACE)is recommended for provisional use,given its relatively good methodological and measurement attributes and appropriate content for evaluation.However,further validation of other measurement properties is needed.
基金supported by grants from the Doctoral Research Project of Yan’an University(2003-205040349)the 2022 General Special Scientific Research Plan Project of the Shaanxi Provincial Department of Education(YDZZYB23-40)the Social Science Foundation of Shaanxi Province(2023P013 and 2024P028).
文摘Although numerousfindings show that people experience both positive and negative experiences with regards to solitude,the relationship between solitude capacity and emotional experience remains unclear.The current study investigated the extent to which emotion regulation may play a suppressive role in the relationship between solitude capacity and emotional experience.Questionnaires on solitude capacity,emotion regulation,and emotional experience were completed by a sample of Chinese college students(n=844;432 females;Meanage=19.79 years,SD=1.43 years).The results of the indirect effect test showed that cognitive reappraisal suppresses the prediction of solitude capacity on positive emotions,while the solitude capacity prediction of negative emotions was suppressed by both cognitive reappraisal and expressive suppression.This suggests that solitude capacity does not predict emotional experience directly,but instead is realized through an antagonistic system consisting of adaptive and nonadaptive emotion regulation strategies.Thesefindings provide cross-sectional empirical support for the ecological niche hypothesis of solitude,and are of theoretical significance in clarifying the role of internal mechanisms of solitude capacity on the human emotional experience.
基金Guangdong Lingnan Nightingale Nursing Research Institute Project(Project No.:GDHLYJYB202442)。
文摘Objective:To explore in depth the psychological perceptions and meaning construction of older adult patients with diabetes during the dietary management process,and to provide a theoretical reference for developing individualized clinical nursing care.Methods:A purposive sampling method was used to select 13 older adult patients with diabetes for semi-structured in-depth interviews.The interview data were collated and analyzed using Van Manen’s analysis method.Results:The psychological experience of dietary management in older adult patients with diabetes included four core themes:(1)Information fog and cognitive shock at initial diagnosis;(2)Self-struggle during the habit reshaping stage;(3)Alternating cycle of hope and frustration in long-term management;(4)Reconstructing normality and searching for meaning in life.Conclusion:Dietary management is an important process for older adult patients with diabetes to reconstruct the meaning of life.Clinical nursing should focus on patients’psychological experiences and value needs,providing more humanistic and individualized support.
文摘Amidst lush mountains and lucid waters,a British educator discovers inner balance and peace,embraced by the hospitality of local people and the profound Huizhou culture.
基金supported by a grant from the National Natural Science Foundation of China(No.72174130)。
文摘Objectives Nurses’clinical research activities have contributed to optimizing the care process and improving patient outcomes,and generative artificial intelligence(GAI)may help clinical nurses strengthen their research skills.To support research,this study aimed to explore the Chinese nurses’perceptions and experiences of GAI training.Methods This study used a descriptive qualitative design.The China Nurses Network conducted a three-day training session on“GAI for Nursing Research”theme,we selected 23 nurses by a convenience sampling method among participating in the training.The researchers conducted three focus group interviews at the end of each day.All focus groups were interviewed face-to-face to facilitate interaction,data collection,and observation.The data were analyzed using conventional content analysis and coded manually.Results The results showed that nurses’use of GAI to support scientific research was dynamic and characterized by evolving perceptions and practices.Four themes and 11 sub-themes emerged from the analysis:1)utilization efficacy:cope with research ability,affected by many factors;2)booster research:growth and challenges go hand in hand;3)role reversal:from GAI-dominated to nurse-dominated;4)beautiful dream:more features on research,more assistants on clinical care.Conclusions The effectiveness of GAI in supporting clinical nurses in conducting research is mainly limited by differences in personal research literacy,lack of ethical regulation,and information accuracy.In the future,it is necessary to improve nurses’relevant skills through specialized training and promote the standardization of technical regulations to ensure the appropriate application of GAI in nursing research.
