Personalized and continuous care intervention affects rehabilitation,living quality,and negative emotions of patients with breast cancer

BACKGROUND Breast cancer is among the most common malignancies worldwide.With progress in treatment methods and levels,the overall survival period has been prolonged,and the demand for quality care has increased.AIM To investigate the effect of individualized and continuous care intervention in patients with breast cancer.METHODS Two hundred patients with breast cancer who received systemic therapy at The First Affiliated Hospital of Hebei North University(January 2021 to July 2023)were retrospectively selected as research participants.Among them,134 received routine care intervention(routing group)and 66 received personalized and continuous care(intervention group).Self-rating anxiety scale(SAS),self-rating depression scale(SDS),and Functional Assessment of Cancer Therapy-Breast(FACT-B)scores,including limb shoulder joint activity,complication rate,and care satisfaction,were compared between both groups after care.RESULTS SAS and SDS scores were lower in the intervention group than in the routing group at one and three months after care.The total FACT-B scores and five dimensions in the intervention group were higher than those in the routing group at three months of care.The range of motion of shoulder anteflexion,posterior extension,abduction,internal rotation,and external rotation in the intervention group was higher than that in the routing group one month after care.The incidence of postoperative complications was 18.18%lower in the intervention group than in the routing group(34.33%;P<0.05).Satisfaction with care was 90.91% higher in the intervention group than in the routing group(78.36%;P<0.05).CONCLUSION Personalized and continuous care can alleviate negative emotions in patients with breast cancer,quicken rehabilitation of limb function,decrease the incidence of complications,and improve living quality and care satisfaction.

Adverse Effects of Inactivated Foot-and-Mouth Disease Vaccine—Possible Causes Analysis and Countermeasures

Foot-and-mouth disease (FMD) is an infectious and sometimes fatal viral disease that affects cloven-hoofed animals, and Chinese government adopts compulsory immunization measures for FMD. The adverse effects of FMD vaccine to pigs, cattle and goats have been reported increasingly frequent during the spring and autumn seasons when large numbers of farm livestock are vaccinated. The financial losses caused by vaccine adverse effects have been a serious concern for both farmers and primary prevention personnel. There are various causative factors reported to involve into adverse effect of FMD vaccine, including the inappropriate vaccine production, transportation and storage, livestock poor tolerance, and unqualified vaccinating manipulations. Symptomatic treatment and early drug prevention have a certain effect on the adverse effects. To analyze causes and propose countermeasures, in the current study possible reasons during the production and processing procedures of inactivated FMD vaccine were reviewed and corresponding countermeasures were recommended. The review may provide references for better use of vaccine to prevent FMD.

A Cross-Sectional Study of the Causes, Effects and Management Strategies for Stress and Burnout among Nurses in the Fako Division, Cameroon

Introduction: Stress and burnout are a reality which nurses encounter and try to cope with especially in the Emergency Department (ED) so that they can provide optimal patient care. Nurses who work in ED are front line providers of immediate medical care needed to stabilize patients. With the known critical shortage of health workforce in Cameroon, nurses are overloaded with work and often experience stress and burnout. Aim: This study aimed at determining the causes, effects and management strategies of stress and burnout among nurses working in the ED in hospitals in the Fako Division, Cameroon. Methods: This study was a descriptive cross-sectional study. The sample consisted of seventy nurses from five different hospitals. A purposive sampling technique was used and data was analyzed using SPSS version 16.0. Data was collected using a structured questionnaire developed from the International Stress Management Scale. Results: The highest reported cause of stress in this study was heavy workload (12.88%) and the least was no experience in handling the challenges of the department. The leading reported effect of stress was the development of musculoskeletal disorders such as joint and back pain (16.48%) and the least effect was contemplating quitting the profession (5.99%). The major management strategy used was humour (8.27%), while the least was crying out stress to feel relieved (2.18%). Conclusion: The major cause of stress and burnout among nurses in our study setting was heavy workload, which mostly results in joint and back pain. Moreover, humour was the prime management strategy for stress and burnout among nurses in the emergency department in the study setting. Thus more nurses should be employed and the working conditions of nurses improved to reduce the workload in the study hospitals.

Study on Water and Soil Conservation Effects of Grassland Based on Live Vegetation Volume at Various Time Scales

Based on the observation data of rainfall,vegetation,runoff and sediment yield in the experimental plots located in Hetian Town,Changting County of Fujian Province during 2007-2010,the changing characteristics and interrelation of live vegetation volume of grass,rainfall parameters,and water(soil)conservation effect RE(SE)were analyzed at four time scales of rainfall event,month,season,and year.The results showed that with the increase of time scales,the rainfall and vegetation indicators increased or decreased more or less,and the variation range of RE was small,while SEslowly decreased.The mean REchanged by 10%-20% at different time scales,and the observed water conservation effect of the grassland was the best at season scale while the worst at year scale.The soil conservation effect of the grassland was the best at month scale and the worst at season scale.The water conservation effect of the grass was mainly controlled by rainfall factors,including rainfall duration and precipitation at rainfall event scale,and the maximum intensity of precipitation within 30 min at longer time scales.However,the soil conservation effect of the grass was mainly controlled by vegetation factors,including the contribution of the litter on soil surface at rainfall event scale,the interaction of rainfall and vegetation at month and season scales,and the live vegetation volume of the grass at year scale.Consequently,at different time scales,the factors influencing water and soil conservation changed and interacted,and the observed water and soil conservation effects were also different,indicating that the influence of time scales deserves attention in both research and management practices.

Effect of solvent on the initiation mechanism of living anionic polymerization of styrene:A computational study

For living anionic polymerization(LAP),solvent has a great influence on both reaction mechanism and kinetics.In this work,by using the classical butyl lithium-styrene polymerization as a model system,the effect of solvent on the mechanism and kinetics of LAP was revealed through a strategy combining density functional theory(DFT)calculations and kinetic modeling.In terms of mechanism,it is found that the stronger the solvent polarity,the more electrons transfer from initiator to solvent through detailed energy decomposition analysis of electrostatic interactions between initiator and solvent molecules.Furthermore,we also found that the stronger the solvent polarity,the higher the monomer initiation energy barrier and the smaller the initiation rate coefficient.Counterintuitively,initiation is more favorable at lower temperatures based on the calculated results ofΔG_(TS).Finally,the kinetic characteristics in different solvents were further examined by kinetic modeling.It is found that in benzene and n-pentane,the polymerization rate exhibits first-order kinetics.While,slow initiation and fast propagation were observed in tetrahydrofuran(THF)due to the slow free ion formation rate,leading to a deviation from first-order kinetics.

Moral Perspective as Depicted in the Archetypes on Divine-Human Perspective of Dianshizhai Pictorial

This article examines the archetypes related to the divine-human perspective in the Dianshizhai Pictorial and uses the basic theory of“Myth-Archetype Criticism”to analyze the concepts of moral perspective and the view of cause and effect reflected in the text.It summarizes the interactive modes and various archetypes of cause and effect in three contexts:gods to humans,humans to gods,and humans to humans,explores the social reality and the relevant views of moral perspective and causality reflected in the illustrated magazine,and reveals the archetype foundation of the narrative of moral perspective retribution in Dianshizhai Pictorial in the three dimensions of psychology,literature,and society.

CLINICAL STUDY ON THE TIME OF TREATING CHEMOTHERAPY INDUCED TOXIC AND SIDE EFFECTS IN MALIGNANT TUMOR PATIENTS BY ACUPOINT INJECTION OF ASTRAGALUS ROOT INJECTION

Objective: To investigate the suitable time of treating virulent and side effects of chemotherapy for malignant tumor by acupoint injection of Astragalus Root injection. Methods: Sixty three patients with malignant tumor were divided into three groups: prevention treatment (PT) group (n=23 cases),post chemotherapy treatment (PCT) group( n=22 cases), Western medicine (WM) group ( n=18 cases). The patients in PT, PCT and WM groups were treated respectively from the fifth day on before chemotherapy and from the first day on after chemotherapy, 18 days in all. The patients in WM group were administered Batilol and Leucogen from the first day on after chemotherapy. Changes of leukocytes and immunoglobulin before and after treatment were observed. Results: 1) Acupoint injection of Astragalus Root injectio could increase the number of leukocytes and immunoglobulin content and its effect was better than that of Western medicine (P<0.05); 2) The effect of PT group was better than that of PCT group in preventing and treating virulent and side effects of chemotherapy (P<0.05). Conclusion: It should be stressed on prevention of malignant tumor by using acupoint injection of Astragalus Root for relieving virulent and side effects of chemotherapy.

Integration system research and development for three-dimensional laser scanning information visualization in goaf

An integration processing system of three-dimensional laser scanning information visualization in goaf was developed. It is provided with multiple functions, such as laser scanning information management for goaf, cloud data de-noising optimization, construction, display and operation of three-dimensional model, model editing, profile generation, calculation of goaf volume and roof area, Boolean calculation among models and interaction with the third party soft ware. Concerning this system with a concise interface, plentiful data input/output interfaces, it is featured with high integration, simple and convenient operations of applications. According to practice, in addition to being well-adapted, this system is favorably reliable and stable.

Dried earth layers of artificial forestland in the Loess Plateau of Shaanxi Province

By determining the earth moisture content of artificial forestland between 0 and 6 m deep in the Loess Plateau of Shaanxi province, the vertical change of moisture content, distribution and formation causes of a dried earth layer are researched. The results show that the average moisture content is 9.3%-9.5% between 2 and 4 m under artificial forest of over 10 year＇s growth in Guanzhong Plain, and chronic weak dried earth layers are developed which show that the dried earth layers are distributed extensively on the Loess Plateau. The southern boundary of the dried earth layer has reached the northern foot of the Qinling Mountains. When precipitation reaches 600 mm, there are weak dried earth layers between 2 and 4 m under artificial forest of more than 10 years old. When the precipitation is between 400 and 500 mm, there are moderate dried earth layers. When precipitation is above 800 mm, there are no dried earth layers. There are no dried earth layers under meadow land, corn land and less than 5 years old of artificial forestland in central and southern parts of the Loess Plateau. The development of dried earth layers under cypress forest is weaker than broad-leaved forest. Under the same climatic conditions, the development of dried earth layers under the loess tableland is nearly at the same level as the 2nd and 3rd river terrace. Dried earth layers developed in membrane water zone, and the buried depth is small and motion velocity is slow in the Loess Plateau, which is the direct water factor of the formation of the dried earth layer, while differences of tree age and tree species are the plant factors that consumed much moisture. From the depth of the gravity water and the membrane water in Guanzhong Plain, it is clear that the formation cause of dried earth layers is mainly due to natural factors. The dried layers generally develop in middle-aged artificial forestland that consumed too much moisture, which is the general character of earth moisture in subhumid and semiarid zones. The appearance of dried layers doesn＇t show that the forest doesn＇t develop in this area; this is depended on their development intensity. Artificial forest of Chinese poplar, locust tree and Chinese scholartree consuming less water can be planted in the areas where dried earth layer developed weakly, but can not be planted in the areas where dried earth layer developed intensely.

A retrospective analysis of the safety and efficacy of low dose tacrolimus (FK506) for living donor liver transplant recipients

We sought to evaluate the efficacy and effects of low-dose tacrolimus （FK506） to recipients with living donor liver transplantation （LDLT）. A total of 66 patients who underwent LDLT between 2001 and 2007 were enrolled in this study. According to different doses of tacrolimus, the recipients were randomly divided into two groups： the low-dose tacrolimus group （group A） and the normal-dose tacrolimus group （group B）. The blood concentration of tacrolimus and its side effects including infection, hyperglycemia, hypertension, high blood creatinine and jaundice were monitored once a week at the perioperative period, and once a month thereafter. Besides, the survival rates of the recipients were analyzed at the 1and 3-year time point after operation. Among these patients, no significant acute rejection was detected after LDLT. The incidences of infection, hyperglycemia, liver dysfunction and renal impairment in group A were markedly lower than those in group B. However, no significant differences were detected in the incidence of hypertension between the two groups. Moreover, the recipients in each group had a similar survival rate according to the results of 1and 3-year follow-up. The incidence of side effects that associated with tacrolimus positively correlated with tacrolimus blood concentration. In conclusion, long-term and low-dose administration of tacrolimus is a safe and effective treatment for LDLT recipients.

Debates on the Causes of Global Warming

The controversy between the IPCC and Non-governmental IPCC(NIPCC) on the attribution of global warming are reviewed.IPCC holds that today's global warming is mainly due to anthropogenic activities rather than natural variability,which is emphasized by NIPCC.The surface temperature observations since the mid-20th century support the hypothesis of anthropogenic impact,but for the last one hundred years or so,natural forcings such as solar activity, volcanic eruptions and thermohaline circulation variations also have had great influences on the Earth's climate,especially on inter-decadal timescales.In addition,evidence suggests that the Medieval Warm Period(MWP) and Little Ice Age (LIA) are closely associated with the solar activity over the past 1 thousand years.Over the past 10 thousand years, the North Atlantic cold events and solar activity are closely correlated.Nevertheless,the physical mechanisms of the solar-climate variability and interrelation are not well understood,yet.Notably,a prevailing view recently indicates that galactic cosmic rays may result in climatic cooling through modulating global low cloud cover.However,its process and mechanism need to be further investigated.

Giant Volume Magnetostriction Caused by Itinerant Electron Metamagnetic Transition and Pronounced Invar Effects in La(Fe_xSi_(1-x))_(13) Compounds

A first-order itinerant electron metamagnetic (IEM) transition above the Curie temperature Tc for ferromagnetic La(Fe_xSi_1-x)13 compounds has been confirmed by applying magnetic field. The volume change just above T_C for x=0.88 is huge of about 1.5%, which is caused by a large magnetic moment induced by the IEM transition. These compounds have a possibility for practical applications as giant magnetostrictive materials. Pronounced Invar effects bring about a negative thermal expansion below TC, closely correlated with the negative mode-mode coupling among spin fluctuations.

Simple Formula of β^+-Decay Half-Lives of Nuclei Far From β-Stable Line

We generalize the formula of β^+-decay half-lives [Phys.Rev.C 78 (2006) 014305] to include all availabledata of nuclei far from the β-stable line. Good agreement with experimental data is obtained by taking into accountthe even-odd (e-o) effect.It is shown that the e-o effect on β^+-deeay half-life is apparent for the allowed β^+-transition,whereas it is not apparent for the first and second forbidden transitions.This demonstrates that the allowed β^+-transitionis more sensitive to the nuclear even-odd effect than the forbidden β^+-transition.The underlying physics is discussed.This formula can be used to predict the β^+-decay half-lives of the nuclei far from β-stability.It is useful to experimentalphysicists for analyzing the data of β^+-decay.

Causes of Restocking Delays in Absence of Real Time Inventory Tracking of Airtel Airtime

The purpose of this research was to ascertain causes of Restocking Delays in a Distributor Company of Airtel Airtime (AA) that give justification for benefits of using Real Time Inventory Tracking (R.T.I.T) in an attempt to mitigate Restocking Delays. From a study out at the Private Marketing and Trading Services (PMTS) an Authorized Distributor of Airtel Products undertaken in 2017 evidenced by Airtime scratch card and Electronic, E-Recharge Airtime among other forms to encourage R.T.I.T among other products in Telecom Companies and other Business Enterprises. The research comprises of the following areas among which included a detailed focus on a Qualitative and Quantitative approach in obtaining different categories of Restocking Delays in form of Themes and Sub Themes encountered in the Distribution Supply Chain (SC) of AA that is contained in this paper. This research continues to capture an in-depth explanation of the Managerial and Operational causes of restocking delays in respect to AA. Similarly, fast consumer products and services other than AA require a solution to Restocking Delays through implementation of Real Time Inventory Tracking Model (R.T.I.T.M) of AA among Distributor Companies (DCs). This paper also elaborated on Literature, Methodology and Findings obtained from the study. The results were obtained from regression analysis by using the Statistical Package for Social Sciences (SPSS) that showed a higher significance of Stock Turnover Period and Airtime Denomination as a contributor to Restocking Delays whereas Messages from Airtel Head office to the Distributor had a non-significant contribution to restocking Delays as in Figure 9. The research recommends a Model for R.T.I.T in Telecom Distribution SC of AA and Omnichannel Inventory Management (OIM) as a significant contributor to timely reliable inventory restocking and promotes higher sales among DCs and retailers through minimized Restocking Delays. It shows that the forces of Demand and Supply change over time with different tastes and preferences of customers. The imbalance in AA stock levels changes at given times due to unforeseen forces of consumer demand experienced by DCs, explained by the “Bullwhip Effect” due to information distortion in the Supply Chain (SC).

The effects of the environmental factors on Laminaria disease caused by alginic acid decomposing bacteria

-The rot disease of Laminaria occurs often in nurseries of sporeling and commercial cultivation in the sea and results in economic loss greatly. Usually the disease outbreaks accompanied with massive multiplication of alginic acid decomposing bacteria. From the section of the decaying Lamuutria which resulted from the inoculation of alginic acid decomposing bacteria, it was observed that the bacteria invaded the epiderm of the Laminaria surface at first, then entered the ex-odermis, endodermis and pith. In addition, there were a great amount of bacteria in the intercellular region and a lot of free cells of the algae in the decaying areas. The wall of some free cells was decomposed, which led to soft tissue or disintegration. Alginic acid decomposing bacteria are normal epiphytic microorganisms growing on Lamuutria surface. These bacteria do not cause disease at normal environmental conditions. The experiments showed that the unfavourable conditions, e. g. , wounding, overcrowding, high temperature reduced the ability of antibacterial activity and made the algae more susceptible to the pathogens and favoured the multiplication of alginic acid decomposing bacteria and finally led to the disease outbreak. The unfavourable environmental factors which resulted from a variety of reasons were the main cause of the disease.

Effect of Family Planning on Women's Lives in China

I.BackgroundFertilityhasdeclinedprecipitouslyinChinaoverthepastthreedecades,sotherearegenerationsofChinesewomenalivetodaywhohavebeenaffectedverydifferentlybyfamilyplanning.China'stotalfertilityrate(TFR)fellfrommorethansixchildreninthe1950stoaroundtwo...