Timing theory integrated nursing combined behavior change integrated theory of nursing on primiparous influence

BACKGROUND The comprehension and utilization of timing theory and behavior change can offer a more extensive and individualized provision of support and treatment alternatives for primipara.This has the potential to enhance the psychological well-being and overall quality of life for primipara,while also furnishing healthcare providers with efficacious interventions to tackle the psychological and physiological obstacles encountered during the stages of pregnancy and postpartum.AIM To explore the effect of timing theory combined with behavior change on selfefficacy,negative emotions and quality of life in patients with primipara.METHODS A total of 80 primipara cases were selected and admitted to our hospital between August 2020 and May 2022.These cases were divided into two groups,namely the observation group and the control group,with 40 cases in each group.The nursing interventions differed between the two groups,with the control group receiving routine nursing and the observation group receiving integrated nursing based on the timing theory and behavior change.The study aimed to compare the pre-and post-nursing scores of Chinese Perceived Stress Scale(CPSS),Edinburgh Postpartum Depression Scale(EPDS),Self-rating Anxiety Scale(SAS),breast milk knowledge,self-efficacy,and SF-36 quality of life in both groups.RESULTS After nursing,the CPSS,EPDS,and SAS scores of the two groups was significantly lower than that before nursing,and the CPSS,EPDS,and SAS scores of the observation group was significantly lower than that of the control group(P=0.002,P=0.011,and P=0.001 respectively).After nursing,the breastfeeding knowledge mastery,selfefficacy,and SF-36 quality of life scores was significantly higher than that before nursing,and the breastfeeding knowledge mastery(P=0.013),self-efficacy(P=0.008),and SF-36 quality of life(P=0.011)scores of the observation group was significantly higher than that of the control group.CONCLUSION The integration of timing theory and behavior change integrated theory has been found to be an effective approach in alleviating negative mood and stress experienced by primipara individuals,while also enhancing their selfefficacy and overall quality of life.This study focuses on the key concepts of timing theory,behavior change,primipara individuals,negative mood,and quality of life.

Clinical nursing value of predictive nursing in reducing complications of pregnant women undergoing short-term massive blood transfusion during cesarean section

BACKGROUND Cesarean hemorrhage is one of the serious complications,and short-term massive blood transfusion can easily cause postoperative infection and physical stress response.However,predictive nursing intervention has important clinical significance for it.AIM To explore the effect of predictive nursing intervention on the stress response and complications of women undergoing short-term mass blood transfusion during cesarean section(CS).METHODS A clinical medical record of 100 pregnant women undergoing rapid mass blood transfusion during sections from June 2019 to June 2021.According to the different nursing methods,patients divided into control group(n=50)and observation group(n=50).Among them,the control group implemented routine nursing,and the observation group implemented predictive nursing intervention based on the control group.Moreover,compared the differences in stress res-ponse,complications,and pain scores before and after the nursing of pregnant women undergoing rapid mass blood transfusion during CS.RESULTS The anxiety and depression scores of pregnant women in the two groups were significantly improved after nursing,and the psychological stress response of the observation group was significantly lower than that of the control group(P<0.05).The heart rate and mean arterial pressure(MAP)of the observation group during delivery were lower than those of the control group,and the MAP at the end of delivery was lower than that of the control group(P<0.05).Moreover,different pain scores improved significantly in both groups,with the observation group considerably less than the control group(P<0.05).After nursing,complications such as skin rash,urinary retention,chills,diarrhea,and anaphylactic shock in the observation group were 18%,which significantly higher than in the control group(4%)(P<0.05).CONCLUSION Predictive nursing intervention can effectively relieve the pain,reduce the incidence of complications,improve mood and stress response,and serve as a reference value for the nursing of women undergoing rapid mass transfusion during CS.

Laser additive manufacturing of zinc:formation quality,texture,and cell behavior

Laser powder bed fusion(LPBF)makes it possible for biodegradable zinc(Zn)to be used to produce customized orthopedic implants.In this research,we investigate the impact of laser power and scanning speed on the development of surface quality,relative densification,and texture during LPBF of Zn implants.Increasing laser power was able to decrease melt viscosity and surface tension,which improved the metallurgical bonding between adjacent tracks.Uneven and twisted tracks also became continuous and straight.Scanning speed could controlmolten-pool temperature to restrain grain natural orientation,achieving various crystal orientations and a weakened texture.Importantly,it further avoided the thermal expansion and contraction caused by excessive energy storage and accumulation in the matrix,thus reducing the generation of high-dislocation density.As a result,by selecting a reasonable laser power and scanning speed,the LPBF parts exhibited a flat surface morphology and a high density over 99.5%.Their average hardness,mechanical strength,and elongation reached 50.2 HV,127.8 MPa,and 7.6%,respectively.Additionally,the parts displayed a moderate degradation rate and excellent osteogenic properties.All these results provide a basis for selecting process parameters to optimize the comprehensive properties of LPBF-processed Zn parts for biodegradable applications.

Competitive Meta-Learning

Dear Editor,This letter is concerned with developing meta-learning models for fast,stable,and effective few-shot learning across tasks over a few training samples.Nowadays,deep and reinforcement learning(RL)is widely used in autonomous intelligent systems(e.g.,target recognition[1],path planning[2],and robot control[3],[4]).

Chromosome-scale genome sequence of Suaeda glauca sheds light on salt stress tolerance in halophytes

Soil salinity is a growing concern for global crop production and the sustainable development of humanity.Therefore,it is crucial to comprehend salt tolerance mechanisms and identify salt-tolerance genes to enhance crop tolerance to salt stress.Suaeda glauca,a halophyte species well adapted to the seawater environment,possesses a unique ability to absorb and retain high salt concentrations within its cells,particularly in its leaves,suggesting the presence of a distinct mechanism for salt tolerance.In this study,we performed de novo sequencing of the S.glauca genome.The genome has a size of 1.02 Gb(consisting of two sets of haplotypes)and contains 54761 annotated genes,including alleles and repeats.Comparative genomic analysis revealed a strong synteny between the genomes of S.glauca and Beta vulgaris.Of the S.glauca genome,70.56%comprises repeat sequences,with retroelements being the most abundant.Leveraging the allele-aware assembly of the S.glauca genome,we investigated genome-wide allele-specific expression in the analyzed samples.The results indicated that the diversity in promoter sequences might contribute to consistent allele-specific expression.Moreover,a systematic analysis of the ABCE gene families shed light on the formation of S.glauca’s flower morphology,suggesting that dysfunction of A-class genes is responsible for the absence of petals in S.glauca.Gene family expansion analysis demonstrated significant enrichment of Gene Ontology(GO)terms associated with DNA repair,chromosome stability,DNA demethylation,cation binding,and red/far-red light signaling pathways in the co-expanded gene families of S.glauca and S.aralocaspica,in comparison with glycophytic species within the chenopodium family.Time-course transcriptome analysis under salt treatments revealed detailed responses of S.glauca to salt tolerance,and the enrichment of the transition-upregulated genes in the leaves associated with DNA repair and chromosome stability,lipid biosynthetic process,and isoprenoid metabolic process.Additionally,genome-wide analysis of transcription factors indicated a significant expansion of FAR1 gene family.However,further investigation is needed to determine the exact role of the FAR1 gene family in salt tolerance in S.glauca.

血管紧张素原在儿童过敏性紫癜肾炎发生发展中的作用

目的过敏性紫癜(HSP)是儿童最常见的血管炎,约50%的HSP患儿累及肾脏,部分甚至进展为终末肾,然而其发病机制尚不明确;近年来研究发现肾内肾素-血管紧张素系统(RAS)可能参与紫癜性肾炎(HSPN)的发病。该研究拟探讨血管紧张素原(AGT)与儿童HSP肾损伤的相关性。方法选取30个HSPN患儿、31个HSP患儿及25个正常对照儿童。收集治疗前患儿及对照组的血液和新鲜晨尿,检测血清尿素氮(BUN)、肌酐(SCr)、肾小球滤过率(e GFR)、尿蛋白(UP)、尿肌酐(UCr)等指标,用人AGT ELISA试剂盒测定血清及尿液中的AGT含量。结果 HSPN组患儿尿血管紧张素原/尿肌酐(UAGT/UCr)水平高于HSP患儿及正常对照组儿童(P<0.05);HSP患儿UAGT/UCr水平与正常对照组儿童两组间差异无统计学意义(P>0.05)。3组血清AGT水平差异无统计学意义(P>0.05)。UAGT与BUN和血清AGT无相关,与SCr和UP/UCr呈正相关,与e GFR呈负相关。结论肾内RAS活化可能参与HSP患儿肾脏损害的发生发展,可以通过监测UAGT来判断疾病的严重程度,预测过敏性紫癜肾损伤的进展及预后。

地表水中石油类监测存在的问题与对策

为使我国地表水中石油类检测过程更具可操作性和推广性,使各实验室石油类检测结果更具可对比性和量值溯源性,本文从地表水中石油类样品采集、样品检测及标准物质选取等三个方面对当前国内外相关标准中规定内容进行了汇总梳理,得出目前采用的样品采集方法均难以保证样品代表性、各种检测方法关注点不同且各有利弊、标准物质的选取对最终测定结果有较大影响的结论。为解决上述难题,建议开展以下3方面工作:(1)研发一种符合地表水中石油类赋存状况的水样采集器;(2)将地表水环境质量标准中"石油类"指标分为"低沸点挥发性石油类"和"高沸点半挥发性石油类"指标分别检测;(3)分流域或河流开展石油类标准物质研制工作。

呼吸功能训练在胃肠外科加速康复护理中的应用

目的探究胃肠外科围手术期间实施加速康复护理及呼吸功能训练的临床效果。方法选取2019年1月—2020年12月收治的结直肠癌患者,选取80例患者进行分组研究,对照组40例实施常规护理,观察组40例实施加速康复护理,重点训练患者呼吸功能,比较两组围手术期间的护理情况。结果手术时间相比,观察组明显缩短,差异有统计学意义(P<0.05);失血量、输液量及尿量相比,观察组的量显著降低,差异有统计学意义(P<0.05)。首次排便、排气时间相比,较短的为观察组差异有统计学意义(P<0.05);首次经口饮水、下床时间相比,观察组时间明显缩短,差异有统计学意义(P<0.05)。观察组并发症总发生率为7.50%,对照组为32.50%,组间差异有统计学意义(P<0.05)。术后随时间推移,两组疼痛评分逐渐下降,各时间点评分相比,观察组分值更低,差异有统计学意义(P<0.05)。胃管、尿管留置时间相比,观察组明显缩短,差异有统计学意义(P<0.05);观察组进食早于对照组,住院天数少于对照组,总费用低于对照组,差异有统计学意义(P<0.05)。术后两组肺功能通气指标相比,观察组指标水平均高于对照组,组间差异有统计学意义(P<0.05)。结论在胃肠外科手术患者围术期运用加速康复护理,着重锻炼患者呼吸功能,可有效改善患者术中、术后相关指标,减少患者并发症的发生,缩短住院时间且节省医药费。

潘家口水库水体中有机物分布特征及变化趋势分析

为了解潘家口水库网箱清理活动对水环境改善具体情况,摸清潘家口水库现存主要污染物种类及特征,针对研究区域不同时间和空间表层水体样品开展了分析研究。利用全二维气相色谱飞行时间质谱联用的高通量筛查技术方法,对潘家口水库2017、2018年水体样品进行检测,检测结果经匹配度、检出率等条件进一步筛选确认,对确认结果进行化合物属性及用途分类,将最终结果用于污染物种类变化趋势分析。与2017年结果相比,2018年减少化合物244种(包括38种酮类、27种烷烃类、26种酚类、21种酯类和15种有机酸类化合物及其他),其中包含用于工业中间体的25种化合物,用于香料香精的14种化合物,用于食品添加剂的12种化合物,用于工业生产的8种化合物,用于医药的6种化合物以及用于增塑剂的14种化合物等。与2017年结果相比,2018年增加化合物22种(包括10种酯类、3种酮类、2种醚类、1种苯类、1种醇类、1种醛类、1种有机酸类化合物及其他),其中包括用于香料香精的5种化合物,用于增塑剂的4种化合物,用于中间体的2种化合物以及用于阻燃剂的1种化合物等。研究结果表明该区域水体中有机化合物数量在2017年后大幅减少,可能由该区域开展的养殖网箱清理活动导致。

环境中持久性有机污染物溯源方法研究进展

为有效控制持久性有机污染物(POPs)的污染,科学合理使用溯源方法判断污染来源并加以控制是目前较直接有效的一种手段。系统分析了单体稳定同位素分析技术、特征化合物指数法、主成分分析法和受体模型法的基本原理及在POPs溯源方面的相关应用,比较了各方法的优缺点,并对在线同位素分析技术和气相色谱质谱联用仪进行了讨论与展望。

Adaptive unscented Kalman filter for parameter and state estimation of nonlinear high-speed objects

An adaptive unscented Kalman filter （AUKF） and an augmented state method are employed to estimate the timevarying parameters and states of a kind of nonlinear high-speed objects. A strong tracking filter is employed to improve the tracking ability and robustness of unscented Kalman filter （UKF） when the process noise is inaccuracy, and wavelet transform is used to improve the estimate accuracy by the variance of measurement noise. An augmented square-root framework is utilized to improve the numerical stability and accuracy of UKF. Monte Carlo simulations and applications in the rapid trajectory estimation of hypersonic artillery shells confirm the effectiveness of the proposed method.

Connexin:a potential novel target for protecting the central nervous system?

Connexin subunits are proteins that form gap junction channels, and play an important role in communication between adjacent cells. This review article discusses the function of connexins/hemichannels/gap junctions under physiological conditions, and summarizes the findings re-garding the role of connexins/hemichannels/gap junctions in the physiological and pathological mechanisms underlying central nervous system diseases such as brain ischemia, traumatic brain and spinal cord injury, epilepsy, brain and spinal cord tumor, migraine, neuroautoimmune disease, Alzheimer’s disease, Parkinson’s disease, X-linked Charcot-Marie-Tooth disease, Peli-zaeus-Merzbacher-like disease, spastic paraplegia and maxillofacial dysplasia. Connexins are considered to be a potential novel target for protecting the central nervous system.

A bifunctional bone scaffold combines osteogenesis and antibacterial activity via in situ grown hydroxyapatite and silver nanoparticles

Hydroxyapatite(HA)nanoparticles and silver(Ag)nanoparticles are expected to enable desirable bioactivity and antibac-terial properties on biopolymer scaffolds.Nevertheless,interfacial adhesion between HA/Ag and the biopolymer is poor due to the large physicochemical differences between these components.In this study,poly L-lactic acid(PLLA)powder was first surface-modified with bioactive polydopamine(PDA)in an alkaline environment.Next,HA and Ag nanoparticles were grown in situ on the PDA-coated PLLA powder,which was then adhered to the porous bone scaffold using a selective laser-sintering process.Results showed that HA and Ag nanoparticles were homogenously distributed in the matrix,with enhanced mechanical properties.Simulated body fluid bioactivity tests showed that the in situ grown HA-endowed scaffold shows excellent bioactivity.In vitro tests confirmed that the scaffold exhibits favorable biocompatibility with human umbilical cord mesenchymal stem cells,as well as strong antibacterial activity against Gram-negative Escherichia coli.Furthermore,in vivo assays indicated that the scaffold promoted bone generation,with a new bone area fraction of 71.8%after 8 weeks’implantation,without inflammation.

Simulation of shear layers interaction and unsteady evolution under different double backward-facing steps

High-order accurate schemes are employed to numerically simulate the interaction of a supersonic jet and a co-directional supersonic inflow. A double backward-facing step model is proposed to investigate the interaction between the jet shear layer and the supersonic inflow shear layer. It is found that due to the interaction of the shear layer, a secondary jet is injected into the recirculation zone at the intersection of the two shear layers. The secondary jet produced by the interaction of the two shear layers has a periodicity because of shear layers interaction. The distinction in the shape of double backward-facing steps will induce changes in the period of the secondary jet. The analysis and discussion of the periodicity of the secondary jet are mainly focused in this letter.

高楼层楼口可自动装卸垃圾系统

楼道垃圾难以清扫、高楼层直接朝窗口扔垃圾而导致人员受伤、底楼层垃圾遍地而发臭、规模宏大的生活广场找不到垃圾桶的问题一直是一个城市的痛点也是难点。为解决高楼居民因垃圾而存在的各种问题,设计了一种专门应对高层居民楼、写字楼、规模宏大的生活广场的垃圾清理系统,实现定点定时,定位应急的垃圾清扫系统,并且具有一定的可操作性,如观测到存在垃圾,便可以点开app,智能垃圾桶便自动前来,后与垃圾管道对接运输垃圾。如果能够大面积推广,可以极大的便利我们日常生活的便利,从一定程度上面提高我们的生活水平。

Protective effect of Wnt-5a against amyloid beta-induced memory impairment in rats

Recent studies suggest that the activation of the Wnt signaling pathway improves memory function in rats.This study investigated the effects of Wnt-5a on amyloid β （Aβ）-induced cognitive impairment.Aβ25-35 was injected into the rat right lateral ventricle to induce Alzheimer＇s disease-associated pathology,and Wnt-5a was injected as a potential therapeutic treatment.Immunofluorescence staining showed that compared with normal rats,Aβ25-35 significantly decreased postsynaptic density-95 protein expression in the rat hippocampal CA1 region,but Wnt-5a pretreatment blocked this decrease.This study shows that Wnt-5a can reduce Aβ-induced cognitive impairment,and that it has the potential to be a new therapeutic strategy for the treatment of Alzheimer＇s disease.

Bandgap engineering of hierarchical network-like SnIn4S8 microspheres through preparation temperature for excellent photocatalytic performance and high stability

The effect of synthesis temperature and reaction time on the visible-light photocatalytic activity of hierarchical network-like SnIn4S8 microspheres was investigated by the low-temperature co-precipitation strategy. The preparation temperature and reaction time have great influence on the photocatalytic activity of SnIn4S8, and the optimal preparation temperature and reaction time are 70℃ and 3 h, respectively.The SnIn4S8 shows good reusability and high stability with no observable decrease of photocatalytic activity in five consecutive cycles.

Multiple-stage spatial-temporal cooperative guidance without time-to-go estimation

This paper investigates the spatial-temporal cooperative guidance problem for multiple flight vehicles without relying on time-to-go information.First,a two-stage cooperative guidance strategy,namely the cooperative guidance and the Proportional Navigation Guidance(PNG)stage strategy,is developed to realize the spatial-temporal constraints in two dimensions.At the former stage,two controllers are designed and superimposed to satisfy both impact time consensus and impact angle constraints.Once the convergent conditions are satisfied,the flight vehicles will switch to the PNG stage to ensure zero miss distance.To further extend the results to three dimensions,a planar pursuit guidance stage is additionally imposed at the beginning of guidance.Due to the inde-pendence of time-to-go estimation,the proposed guidance strategy possesses great performance in satisfying complex spatial-temporal constraints even under flight speed variation.Finally,several numerical simulations are implemented to verify the effectiveness and advantages of the proposed results under different scenarios.

Novel BiOBr/Bi2S3 high-low junction prepared by molten salt method for boosting photocatalytic degradation and H_(2)O_(2)production

The molten salt method focuses on improving the crystallinity of synthetic materials and avoiding the high energy consumption of traditional synthesis processes.In this work,a novel BiOBr/Bi_(2)S_(3)high-low junction with large contact area was constructed by the molten salt method combined with the ion exchange strategy.Its unique energy band structure and new charge transfer mechanism realize the rapid migration of photogenerated charges between different components.Specifically,Bi_(2)S_(3)was grown on BiOBr in situ by a high-temperature molten salt reaction.Due to the deep valence band position of BiOBr and the narrow band gap of Bi_(2)S_(3),an intrinsic internal electric field and band bending are produced at the interface,forming a high-low junction photocatalyst with an intimate interface.In addition,the BiOBr/Bi_(2)S_(3)composite maintains a high oxidation potential and produces high and robust photocatalytic oxidation activity.In the molten state,the close binding of BiOBr and Bi_(2)S_(3)can be promoted through the ion-exchange strategy,resulting in excellent photocatalytic degradation rates of bisphenol A and tetracycline and in-situ generation of H_(2)O_(2).Finally,the mechanism of carriers separation and transfer in BiOBr/Bi_(2)S_(3)high-low junction is also discussed.Density functional theory(DFT)results found that the improvement of O_(2)adsorption ability would promote the occurrence of oxygen reduction reaction(ORR),and make positive contributions to the enhanced H_(2)O_(2)production activity.This study will provide a new perspective for broadening the spectral response range of Bi-based photocatalytic materials and preparing high-low junction photocatalysts with dense interface by the molten salt method.

Lattice expansion boosting photocatalytic degradation performance of CuCo_(2)S_(4) with an inherent dipole moment

Realizing efficient charge separation and directional transfer is a challenge for single-component semiconductors.The spatial electric field generated by dipole moment could promote charge separation.Here,three-dimensional hierarchical Cu Co_(2)S_(4)microspheres with lattice distortion were prepared,and lattice distortion was modulated by changing feed Co/Cu molar ratios in synthesis.Cu Co_(2)S_(4)showed asymmetric crystal structure,leading to generation of dipole moment.The charge separation efficiency of Cu Co_(2)S_(4)was related to lattice distortion,and lattice expansion was in favor for charge separation.The Cu Co_(2)S_(4)with feed Cu/Co molar ratio of 1:4 (CCS-4) showed the maximum lattice expansion and exhibited the highest photocatalytic activity,which was attributable to the highest charge separation efficiency and the largest specific surface area.CCS-4 can remove 95.4%of tetracycline hydrochloride within 40 min photocatalysis,and effectively improve the biodegradability of pharmaceutical wastewater.Importantly,this study provides a new vision for constructing single-component photocatalysts with high photocatalytic performance.