Narrative nursing for negative emotions in patients with acute pancreatitis:Based on model construction and application

BACKGROUND Acute pancreatitis(AP),as a common acute abdomen disease,has a high incidence rate worldwide and is often accompanied by severe complications.Negative emotions lead to increased secretion of stress hormones,elevated blood sugar levels,and enhanced insulin resistance,which in turn increases the risk of AP and significantly affects the patient's quality of life.Therefore,exploring the intervention effects of narrative nursing programs on the negative emotions of patients with AP is not only helpful in alleviating psychological stress and improving quality of life but also has significant implications for improving disease outcomes and prognosis.AIM To construct a narrative nursing model for negative emotions in patients with AP and verify its efficacy in application.METHODS Through Delphi expert consultation,a narrative nursing model for negative emotions in patients with AP was constructed.A non-randomized quasi-experimental study design was used in this study.A total of 92 patients with AP with negative emotions admitted to a tertiary hospital in Nantong City of Jiangsu Province,China from September 2022 to August 2023 were recruited by convenience sampling,among whom 46 patients admitted from September 2022 to February 2023 were included in the observation group,and 46 patients from March to August 2023 were selected as control group.The observation group received narrative nursing plan,while the control group was given with routine nursing.Self-rating anxiety scale(SAS),self-rating depression scale(SDS),positive and negative affect scale(PANAS),caring behavior scale,patient satisfaction scale and 36-item short form health survey questionnaire(SF-36)were used to evaluate their emotions,satisfaction and caring behaviors in the two groups on the day of discharge,1-and 3-month following discharge.RESULTS According to the inclusion and exclusion criteria,a total of 45 cases in the intervention group and 44 cases in the control group eventually recruited and completed in the study.On the day of discharge,the intervention group showed significantly lower scores of SAS,SDS and negative emotion(28.57±4.52 vs 17.4±4.44,P<0.001),whereas evidently higher outcomes in the positive emotion score,Caring behavior scale score and satisfaction score compared to the control group(P<0.05).Repeated measurement analysis of variance showed that significant between-group differences were found in time effect,inter-group effect and interaction effect of SAS and PANAS scores as well as in time effect and inter-group effect of SF-36 scores(P<0.05);the SF-36 scores of two groups at 3 months after discharge were higher than those at 1 month after discharge(P<0.05).CONCLUSION The application of narrative nursing protocols has demonstrated significant effectiveness in alleviating anxiety,ameliorating negative emotions,and enhancing satisfaction among patients with AP.

A Narrative Analysis of The Mayor of Casterbridge through Labov Model

The Linguist Labov develops a model to analyze the narrative,that is,the famous Labov Model.Under this model,Thomas Hardy's The Mayor of Casterbridge is reexamined from abstract,orientation,complicating event(s),resolution,and coda.By this method,Hardy's intention to reveal the tragic life of man will be deeply explored.

Acceptance Process Model of Patients’ Life with Terminally Ill in Home Hospice and Development of a Narrative Approach for Nurses

The prime aim of this study was to find a psychological process model of patients with terminally ill in home hospice investigating the contents of a narrative, and the secondary aim was to create a narrative approach program for nurses. Ten patients narrated their thinking or feelings along with some prepared questions in two sessions. Patients’ narrative data were categorized by a qualitative analysis and 34 categories were chosen. They perceived good points in home hospice like “Being able to spend time freely”, “Close relationships with care staffs and strong confidence”, though they perceived trouble points like “Suffering from putting burden on the people around me” or “Worries about economic problems”. They perceived psychological changes through illness like “Having peace of mind and becoming kind” “Desire for a natural death”. Moreover they perceived their life like “Acceptance of one’s life including illness” “My life lived with satisfaction”. They regarded as important things such as “Spending life time usefully” “Feelings of my family members and of those around me”, and as hopes “Hope to leave my living proof” “Living left time to the fullest”. From these categories, we propose an acceptance model of patients’ life and a narrative program for nurses.

Analysis the Australian Children's Literature “Lennie Lighthouse” on Labov's Narrative Model

Lennie Lighthouse is written by Paul Jennings, who is an English-born Australian childrenbook writer. His books mainly focus on short stories whichcould lead the reader into an unusual series of events that ended with a twist. Now Paul Jennings has achieved a great success and has became a well-known children's book writer. In this paper, the stylistic features and the narrative structurein"Lennie Lighthouse"would be analyzed based on Labov's narrative model, especially the external evaluations and internal evaluationsin the story.Finally it intended to explore that how the children story could attract such a diverse group of readers and the structure of this legendary story would be deduced and writing stylewould be analyzed in this paper.

Evaluation of the fishbone model in simulating the seismic response of multistory reinforced concrete moment-resisting frames

The fishbone model is a simplified numerical model for moment-resisting frames that is capable of modelling the effects of column-beam strength and stiffness ratios. The applicability of the fishbone model in simulating the seismic responses of reinforced concrete moment-resisting frames of different sets of column-beam strength and stiffness ratios are evaluated through nonlinear static, dynamic and incremental dynamic analysis on six prototype buildings of 4-, 8-and 12-stories. The results show that the fishbone model is practically accurate enough for reinforced concrete frames, although the assumption of equal joint rotation does not hold in all cases. In addition to the ground motion characteristics and the number of stories in the structures, the accuracy of the model also varies with the column-beam stiffness and strength ratios. The model performs better for strong column-weak beam frames, in which the lateral drift patterns are better controlled by the continuous stiffness provided by the strong columns. When the inelastic deformation is large, the accuracy of the model may be subjected to large record-to-record variability. This is especially the case for frames of weak columns.

Frame erasure concealment in wideband speech coding based on large hidden Markov model

Frame erasure concealment is studied to solve the problem of rapid speech quality reduction due to the loss of speech parameters during speech transmission. A large hidden Markov model is applied to model the immittance spectral frequency （ISF） parameters in AMR-WB codec to optimally estimate the lost ISFs based on the minimum mean square error （MMSE） rule. The estimated ISFs are weighted with the ones of their previous neighbors to smooth the speech, resulting in the actual concealed ISF vectors. They are used instead of the lost ISFs in the speech synthesis on the receiver. Comparison is made between the speech concealed by this algorithm and by Annex I of G. 722. 2 specification, and simulation shows that the proposed concealment algorithm can lead to better performance in terms of frequency-weighted spectral distortion and signal-to-noise ratio compared to the baseline method, with an increase of 2.41 dB in signal-to-noise ratio （SNR） and a reduction of 0. 885 dB in frequency-weighted spectral distortion.

Nonlinear damage model for seismic damage assessment of reinforced concrete frame members and structures

A nonlinear damage model based on the combination of deformation and hysteretic energy and its validation with experiments are presented.Also,a combination parameter is defined to consider the mutual effect of deformation and hysteretic energy for different types of components in different loading stages.Four reinforced concrete (RC) columns are simulated and analyzed using the nonlinear damage model.The results indicate that the damage evolution evaluated by the model agrees well with the experimental phenomenon.Furthermore,the seismic damage evolution of a six-story RC frame was analyzed,revealing four typical failure modes according to the interstory drift distribution of the structure;the damage values calculated using the nonlinear damage model agree well with the four typical failure modes.

Narrative Medicine Under the Guidance of Traditional Chinese Medicine Theory

This paper is an exploration into the practice of narrative medicine in the clinical setting guided by the theory and approaches of traditional Chinese medicine(TCM).By adopting the theory of TCM,the author attempted to provide the patients with systematic treatment from the perspective of society-psychology-biology under the guidance of both the unity of Heaven and Man,and the unity of Xing(Body)and Shen(Mind/Spirit)through his clinical practice.Guided by yin-yang and Wu Xing(Five Elements)theory and focusing on the social relations of the patients for any possible relationships between patients’social,psychological and biological state,the author took the patients’emotion management as a point of departure and helped the patients recover both physically and psychologically by promoting positive transformation in patients’social,psychological,and biological state.A clinical case was provided at the end of this paper to demonstrate how the above theory was put into practice.Narrative medicine under the guidance of TCM theory can supplement modern medical humanity practices as well as extend the scope of modern medical treatment from the perspective of the unity of Heaven and Man,by enriching the content of narrative medicine,and promoting the medical model from biological medical model toward social-psychological-biological model.

Application of time series modeling to a national reference frame realization

This paper presents an option for modern dynamic terrestrial reference system realization in Uzbekistan for user needs. An additive model is explored to predict patterns of time series and investigate means of constructing forecast time series models in the future. The main components(trend, periodical, and irregular) of the KIUB(DORIS) and KIT3, TASH, MADK, and MTAL(GNSS) international stations coordinate time series were investigated. It was shown that seasonal nonlinear trends occurred both in the height(U) component of all stations and the east(E) component of high mountainous stations such as MTAL and MADK. The seasonal periodical portion of the time series determined from the additive model has a complicated pattern for all sites and can be explained as both hydrological signals in the region and improvement of observational quality. Amplitudes of the best-fitting sinusoids in the North component ranged between 1.73 and 8.76 mm; the East component ranged between 0.82 and 11.92 mm; and the Up component ranged between 3.11 and 40.81 mm. Regression analysis of the irregular portion of the height component of the two techniques at the Kitab station using tropospheric parameters(pressure and temperature) was confirmed as only 57% of the stochastic portion of the time series.

PHYSICAL MODELLING OF ISOTHERMAL DIE FORGING PROCESS OF Ti-ALLOY STRUCTURAL AIR-FRAME PART WITH ETYPE CROSS-SECTION AND VARYING THICKNESS RIB

Isothermal flashless die forging process of Ti - alloy structural air - frame part with varying thickness rib has been modelled in this paper.The results of present study show that a upside - down trapezoid rib would be formed and buckling would occure as blank is reduced,if the thickness of billet is maller than or equal to the thickness of rib. During modelling process of structural air frame part with E type cross - section rib, the saddle or lap would be formed finally at the middle of transverse rib between ribs with increase in deformation.If metal is allowed to flow out at confluence of longitudinal and transverse rib, the lop defect would be eliminated,, but a pipe cavity is obvious on corresponding loca- tion of blank. of defect formation depends on distance of metal flow ,friction,temperature homoge- neity of the blank and complexity of the part.

Narrative Framing on C- E Translation of President Xi's Diplomatic Speeches

Narratives are"the everyday stories we live by"(Baker, 2006:3), they are featured by inter-media, inter-disciplines and inter-genres and play key role in cross-cultural communication. Narratives not only represent reality, but constitute reality by"accentuating, undermining or modifying aspects of the narrative(s) encoded in the source text or utterance"(Baker, 2006:5) in a way to intensify or weaken international political conflict, and in doing so participate in shaping social reality. The narrative account on translation raised up by Mona Baker"may constitute yet another turning point in translation studies"(Fan, 2009: 57), because she reveals that translation not only closely connects politics, but also creates politics(Baker, 2011:6). This provides a theoretical basis for us to discuss how translation shapes political speeches from the perspective of narration.Framing is what makes narratives takes into effective. The thesis will interpret translation of President Xi's diplomatic speeches from Baker's narrative account by the following framing means: labeling and repositioning of participants. It analyzes how President Xi's diplomatic speeches serves for enhancing consensus and reducing conflicts. It is hoped that the thesis will offer some suggestions on building a narrative system with Chinese characteristics and establishing more effective and skilled strategies for international communication.

Extended intrinsic mean spin tensor for turbulence modelling in non-inertial frame of reference

We investigate the role of extended intrinsic mean spin tensor introduced in this work for turbulence modelling in a non-inertial frame of reference. It is described by the Euclidean group of transformations and, in particular, its significance and importance in the approach of the algebraic Reynolds stress modelling, such as in a nonlinear K-ε model. To this end and for illustration of the effect of extended intrinsic spin tensor on turbulence modelling, we examine several recently developed nonlinear K-ε models and compare their performance in predicting the homogeneous turbulent shear flow in a rotating frame of reference with LES data. Our results and analysis indicate that, only if the deficiencies of these models and the like be well understood and properly corrected, may in the near future, more sophisticated nonlinear K-ε models be developed to better predict complex turbulent flows in a non-inertial frame of reference.

W-F STRUCTURE: A NEW ALGORITHM ON WIRE-FRAME MODELING

This paper advances a new algorithm oriented to geometry modeling (GM) by using frame model. The elemental data structure of frame model is the vertex. This afeoithm provides a general and rapid method. By this way,we can link the vertices to construct the elemental frame and need not consider the topological relation among vertices which consist of the concrete entity. Then, we can combine the elemental frames to complete frame modeling by using aided-line method referring to concrete entity. We will discuss two keystones in the paper. Then we give a 3D geometry modeling example based on wire-frame model using the new algorithm.

Model Experiment on Integral Seismic Behavior of Reinforced Concrete Frame with Split Columns

Based on a series of previous studies, an experiment on the integral seismic behavior of a 1/3 scaled model of two-bay and three-story reinforced concrete frame with split columns at lower two stories is performed under cyclic loading. The original columns at lower two stories of the model frame are short columns and they are replaced by the split columns. The hysteresis curves between the horizontal cyclic load and the lateral displacement at the top of the model frame, indicate that under the cyclic loading, the model frame undergoes the process of cracking, yielding, and maximum loading before being destroyed at the ultimate load. They also indicate that the model frame has better ductility, and the ratio of the ultimate displacement to the yielding displacement, reaches 6.0. The yielding process of the model frame shows that for the frame with split columns, plastic hinges are generated at the ends of beams and then the columns begin yielding while the frame still possesses the bearing and deformation capacity. The design idea of directly changing the short column to long one in the reinforced concrete frame may be realized by replacing the short column with the split one.

Bilateral shear strength of rectangular frame column based on simplified space truss-arch model

To investigate the bilateral shear strength of rectangular frame column subjected to oblique horizontal load, we presented a simplified space truss-arch model developed from unilateral truss-arch model. Main parameters in the new model were the cross-sectional area, transverse reinforcement raito, axial load, and material strength of the column. The reduction coefficient of concrete sterength owing to the severe cracking of column was also introduced in the model. Finally, 14 specimens under oblique horizontal load were tested to verified the feasibility and applicability of the space truss-arch model.

Chinese-to-English Translation of Publicity on Chinese Minority Culture From Narrative Perspectives

Narrative is a literary notion.In narrative translation theory,narrative involves personal narrative,public narrative,disciplinary narrative,and meta-narrative.This paper adopts the notions of personal narrative,public narrative,and meta-narrative to analyze specific cases concerning the Chinese-to-English translation on Chinese minority culture publicity,proposes two narrative translation models,namely,the annotation narrative translation model and the manipulative narrative translation model,and explores the concrete translation procedures and the embodied meta-narrative,covering introduction to minority tales,minority festivals,and minority customs.Narrative translation research is part of the multidisciplinary or interdisciplinary turn in the 21st century,and this research is an organic part of cross-cultural communication translatology.

An Improved Functional Hierarchy Frame Model for System Maintainability

By means of analogy, this paper analyses the present functional hierarchyframe model for system maintainability, and presents an improved model. Practical applicationindicates that the improved model is visualized, more convenient and perfected over the perviousmodels.

A theoretical model to predict the rising trajectory of single bubble with zigzagging path in still water

The rising motion of single bubble in still liquid is a natural phenomenon,which has high theoretical research significance and engineering application prospect.Experimental observations and numerical simulations for prediction of the rising trajectory of a single bubble in still liquid are being carried out,while the concise but accurate theoretical or mechanism model is still not well developed.In this article,a theoretical model of a single bubble based on experimental observation of flow around bluff body is proposed to predict the rising trajectory of zigzagging bubbles in still water.The prediction correlation of bubble lateral movement frequency and bubble steer angle are established based on three degrees of freedom frame.The model has achieved good trajectory prediction effect in the bubble rising experiment.The average simulation time per unit moving time of bubble is 2.5 s.

Quantum Realities and Observer-Dependent Universes: An Advanced Observer Model

This paper presents a novel observer model that integrates quantum mechanics, relativity, idealism, and the simulation hypothesis to explain the quantum nature of the universe. The model posits a central server transmitting multi-media frames to create observer-dependent realities. Key aspects include deriving frame rates, defining quantum reality, and establishing hierarchical observer structures. The model’s impact on quantum information theory and philosophical interpretations of reality are examined, with detailed discussions on information loss and recursive frame transmission in the appendices.

A MULTIPLE STRUCTURE RECONSTRUCTION ALGORITHM BASED ON WIRE FRAME MODEL

A “LAG & RLC” visualization algorithm has been presented to display a clear three dimensional structure from stereo slice data which has the characteristics of multiple layer structure. This algorithm is based on wire frame model which can do multiple logical operations and has multiple display effects. It has wide use in biomedical science and computer graphics. The practical system is based on PC with a TVGA adapter at least 512k byte display memory and 2M byte extended memory.