The present work aims to assess earthquake-induced earth-retaining(ER)wall displacement.This study is on the dynamics analysis of various earth-retaining wall designs in hollow precast concrete panels,reinforcement co...The present work aims to assess earthquake-induced earth-retaining(ER)wall displacement.This study is on the dynamics analysis of various earth-retaining wall designs in hollow precast concrete panels,reinforcement concrete facing panels,and gravity-type earth-retaining walls.The finite element(FE)simulations utilized a 3D plane strain condition to model full-scale ER walls and numerous nonlinear dynamics analyses.The seismic performance of differentmodels,which includes reinforcement concrete panels and gravity-type and hollowprecast concrete ER walls,was simulated and examined using the FE approach.It also displays comparative studies such as stress distribution,deflection of the wall,acceleration across the wall height,lateral wall displacement,lateral wall pressure,and backfill plastic strain.Three components of the created ER walls were found throughout this research procedure.One is a granular reinforcement backfill,while the other is a wall-facing panel and base foundation.The dynamic response effects of varied earth-retaining walls have also been studied.It was discovered that the facing panel of the model significantly impacts the earthquake-induced displacement of ER walls.The proposed analytical model’s validity has been evaluated and compared with the reinforcement concrete facing panels,gravity-type ER wall,scientifically available data,and American Association of State Highway and Transportation Officials(AASHTO)guidelines results based on FE simulation.The results of the observations indicate that the hollow prefabricated concrete ER wall is the most feasible option due to its lower displacement and high-stress distribution compared to the two types.The methodology and results of this study establish standards for future analogous investigations and professionals,particularly in light of the increasing computational capabilities of desktop computers.展开更多
It is of great significance to systematically analyze the cultivated land system resilience(CLSR) for the black soil protection and national food security.The CLSR is impacted by planting structure adjustment and cult...It is of great significance to systematically analyze the cultivated land system resilience(CLSR) for the black soil protection and national food security.The CLSR is impacted by planting structure adjustment and cultivated land quality decline,posing major hidden dangers to food security.It is urgent to evaluate the CLSR at multiple spatio-temporal scales.This study took Liaoning Province in the black soil region of Northeast China as an example.Based on the resilience theory,this study constructed the CLSR evaluation system from the input-feedback perspective at the provincial-scale and the city-scale,and used the rank-sum ratio comprehensive evaluation method(RSR) to analyze the key influencing factors of CLSR in Liaoning Province and its 14 cities from 2000 to 2019.The results showed that:1) the time series changes of CLSR at the provincial-scale and the city-scale in Liaoning Province were similar,both showing an increasing trend.2) The CLSR in Liaoning Province presented a spatial pattern of ‘high in the west and low in the east’ at the city-scale.3) There were seven and six main influencing factors of CLSR at the provincial-scale and the city-scale,respectively.In addition to the net income per capita of rural households,other influencing factors of CLSR were different at the provincial-scale and the city-scale.The feedback factors were dominant at the provincial-scale,and the input factors and feedback factors were dominant at the city-scale.The results could provide a reference for the utilization of black soil and draw on the experience of regional agricultural planning and adjustment.展开更多
Soil heavy metal pollution is one of the main environmental problems in Pearl River Delta Economic?Zone of China. Based on multi-purpose regional geochemical survey, regional eco-geochemical assessment, local eco-geoc...Soil heavy metal pollution is one of the main environmental problems in Pearl River Delta Economic?Zone of China. Based on multi-purpose regional geochemical survey, regional eco-geochemical assessment, local eco-geochemical assessment and comprehensive appraisal, the eco-geochemical survey and assessment in Pearl River Delta Economic Zone of 41,698 km2?were completed. Samples from soils were collected in accordance with the two-layer grid method. Totally 54 elements and indicators for soils were determined. Compared to deep soils, the sampled surface soils are enriched in OrgC, N, P, Cd, S,Hg, Ag, B, Au, S and poor with As, Ni, I, Co, Cr, V, MgO, Sc, Al2O3, Fe2O3?etc. The characteristics of geochemical reference value of element in soil that inherited soil parent material and regional elements combined features reflected that the elements enriched in the soil was interrelated with acid rock, sandstone and shale. The spatial distribution characteristics of element regional geochemistry were conditional by regional environmental geological conditions,and effected by human activities. The Pearl River Delta plain is a typical geochemical landscape area with regional anomaly of multiple-elements. The north, western and eastern parts of the Pearl River Delta Economic Zone are quite different in geochemical features due to regional geological background, soil parent materials, geomorphic characteristics and human activities. Environment quality evaluation results show that the grade I and grade II soil accounted for 19.9% and 57.3% of the total area. Many samples that widely distributed in the economic developed of Pearl River Delta Plain area reached the third-grade of national soil environment standard. The soil enriched in Cd, Hg, As, and the area ratio accounting for 22.8% of the total area. It is mainly controlled by the geochemical background, the Pearl River Delta formation evolution process, especially the marine transgression process lead to Cd, Cu, Zn and Pb enrichment in Pearl River Delta plain. At the same time, under the influence of higher pressure of human activities, all kinds of exogenous input material carrying heavy metal pollutants on soil environmental quality also could not to ignore.展开更多
The influence of RE (RE = La, Ce. Pr. Nd, Sm, Eu, Gd. Tb. Dy, Er, Yb) additives with dilute concentrations on the electrical properties of Pd has been studied. All RE elements increase the specific resistivity (ρ) an...The influence of RE (RE = La, Ce. Pr. Nd, Sm, Eu, Gd. Tb. Dy, Er, Yb) additives with dilute concentrations on the electrical properties of Pd has been studied. All RE elements increase the specific resistivity (ρ) and decrease the resistance temperature coefficient (α) of Pd. and (ρ.α) Pd-RE ls equal to (ρ· α)Pd.The RE elements before Gd reduce the thermo-emf of Pd on Cu. other heavy RE enhance the thermo-emf.The experimental data of normalized Pd-0.1 at.-%RE alloys indicate that the effect of light RE additives on the specific resistivity of Pd is larger than that of heavy RE and Ce. Eu and Yb show anomalous strong effect. The valence and atomic size are main factors influencing the electrical properties.展开更多
Objective:To explore the influence of physical exercise,psychological resilience,and peer influence on subjective well-being,and then build a model of moderated mediation.Methods:Physical Activity Rating,Connor Davisi...Objective:To explore the influence of physical exercise,psychological resilience,and peer influence on subjective well-being,and then build a model of moderated mediation.Methods:Physical Activity Rating,Connor Davision Resilience Scale,Peer Influence Scale,and Index of Well-Being were used.This paper investigated 790 undergraduates.Results:(1)Physical exercise has a significant positive predictive effect on subjective well-being(β=0.43,P<0.001);(2)Psychological resilience plays a part in mediating the relationship between physical exercise and subjective well-being.The mediating effect value is 0.18;(3)The relationship between physical exercise and psychological resilience moderated by the peer influence.Compared with the low peer influence(β simple=0.01,t=0.06,P>0.05),physical exercise has a stronger positive predictive effect on psychological resilience in college students with high peer influence(β simple=0.87,t=2.07,P<0.05).Conclusion:Physical exercise affects college students'subjective well-being through psychological resilience,and peer influence moderates the mediating effect of psychological resilience.展开更多
Background:Currently,building resilience in nurses is recognized as an important factor that helps maintain their health and stay in their profession;thus,identifying which factors can help them build resilience is ne...Background:Currently,building resilience in nurses is recognized as an important factor that helps maintain their health and stay in their profession;thus,identifying which factors can help them build resilience is necessary.Methods:A cross-sectional survey design was used,and 1356 nurses from 11 general hospitals in Guangzhou,China,were assessed using the Chinese version of the Conner-Davidson Resilience Scale,the General Self-Efficacy Scale,the Simplified Coping Style Questionnaire,and the Job Stress Scale of Chinese nurses.The demographic characteristics of participants were also gathered.Results:The mean total score of nurses' resilience is 59.99 (SD 13.59),which was significantly lower (P < 0.001) than that of the general people in China.The regression analysis affirmed that the factors which influence the resilience of nurses include self-efficacy,coping style,job stress,and education level (R2 =49.4%,P < 0.001).Conclusion:Nurses had low resilience.They could not effectively cope with job challenges and recover from adversity.Strengthening self-efficacy,choosing active coping,decreasing job stress,and enhancing educational training can effectively improve their resilience.展开更多
Model B-I for marco rectangular element is presented for the first time in this paper. To establish the influence surf ace for resultant R of bending plates, a number of generalized distributive loads q are defined. I...Model B-I for marco rectangular element is presented for the first time in this paper. To establish the influence surf ace for resultant R of bending plates, a number of generalized distributive loads q are defined. It is shown by numerical examples that Model B-I and the formula for the generalized distributive loads advanced in this paper are featured by high accuracy, low memory space and flexibility in practical application, and that they are especially effective for plate structures subject to moving loads, such as the two-dimensional continuous plates of highway bridges and the flat stabs in piled jetty engineering.展开更多
Leaching is an important way of separation of trace elements from coal. Based on leaching experiments, the content of trace elements separated out from coal is related to their existing state and content in coal, the ...Leaching is an important way of separation of trace elements from coal. Based on leaching experiments, the content of trace elements separated out from coal is related to their existing state and content in coal, the duration of leaching process, temperature of leaching liquor and its acidity and basicity. The higher the temperature of leaching liquor and the longer the leaching time, the higher the contents of separated trace elements will be. In the course of leaching, the pH values of leaching liquors change and different trace elements are affected differently by the pH values.展开更多
The given work studies the reason of the change of a superfluous current near crystallization temperature of an amorphous αPbSb metal alloy and at the same time founds out the influence of ultrasonic processing (USP)...The given work studies the reason of the change of a superfluous current near crystallization temperature of an amorphous αPbSb metal alloy and at the same time founds out the influence of ultrasonic processing (USP) on the properties of αPbSb-nSi solar elements (SE), made by Shottki diodes technology (ShD) with a metal alloy. It is found that occurrence of a superfluous current αPbSb-nSi ShD under the influence of thermoannealing is connected with changes of structure of an amorphous film of metal at transition in a polycrystalline condition. VAC damaged αPbSb-nSi Sh Dare very sensitive to annealing time. Eventually, even at room temperature, level of a superfluous current decreases, i.e. “the wound” put by mechanical damage sort of heals, restoration process occurs the faster, the higher the annealing temperature is. Function of γt annealing parameters changes in an interval and the influence USP on photo-electric properties αPbSb-nSi SE depends on the chosen UIT mode.展开更多
BACKGROUND Evaluating the psychological resilience of lung cancer(LC)patients helps understand their mental state and guides future treatment.However,there is limited research on the psychological resilience of LC pat...BACKGROUND Evaluating the psychological resilience of lung cancer(LC)patients helps understand their mental state and guides future treatment.However,there is limited research on the psychological resilience of LC patients with bone me-tastases.AIM To explore the psychological resilience of LC patients with bone metastases and identify factors that may influence psychological resilience.METHODS LC patients with bone metastases who met the inclusion criteria were screened from those admitted to the Third Affiliated Hospital of Wenzhou Medical University.The psychological scores of the enrolled patients were collected.They were then grouped based on the mean psychological score:Those with scores lower than the mean value were placed in the low-score group and those with scores equal to or greater than the mean value was placed in the high-score group.The baseline data(age,gender,education level,marital status,residence,monthly income,and religious beliefs),along with self-efficacy and medical coping mode scores,were compared.RESULTS This study included 142 LC patients with bone metastases admitted to our hospital from June 2022 to December 2023,with an average psychological resilience score of 63.24±9.96 points.After grouping,the low-score group consisted of 69 patients,including 42 males and 27 females,with an average age of 67.38±9.55 years.The high-score group consisted of 73 patients,including 49 males and 24 females,with a mean age of 61.97±5.00 years.χ2 analysis revealed significant differences between the two groups in education level(χ2=6.604,P=0.037),residence(χ2=12.950,P=0.002),monthly income(χ2=9.375,P=0.009),and medical coping modes(χ2=19.150,P=0.000).Independent sample t-test showed that the high-score group had significantly higher self-efficacy scores(t=3.383,P=0.001)and lower age than the low-score group(t=4.256,P<0.001).Furthermore,multivariate logistic regression hazard analysis confirmed that self-efficacy is an independent protective factor for psychological resilience[odds ratio(OR)=0.926,P=0.035,95%confidence interval(CI):0.862-0.995],while age(OR=1.099,P=0.003,95%CI:1.034-1.169)and medical coping modes(avoidance vs confrontation:OR=3.767,P=0.012,95%CI:1.342-10.570;resignation vs confrontation:OR=5.687,P=0.001,95%CI:1.974-16.385)were identified as independent risk factors.A predictive model based on self-efficacy,age,and medical coping modes was developed.The receiver operating characteristic analysis showed an area under the curve value of 0.778(95%CI:0.701-0.856,P<0.001),indicating that the model has good predictive performance.CONCLUSION LC patients with bone metastases are less psychologically resilient than the general population.Factors such as self-efficacy,age,and medical coping modes influence their psychological resilience.Patients with low self-efficacy,old age,and avoidance/resignation coping modes should be closely observed.展开更多
This paper deals with the shape and influenced factors of surface non-continuous deformation due to mining. With finite element method, analysis are made to derive the relations between discontinuous deformation and m...This paper deals with the shape and influenced factors of surface non-continuous deformation due to mining. With finite element method, analysis are made to derive the relations between discontinuous deformation and mining affection, weak plane’s position & thickness, and mechanical property of weak-plane medium. The mutual affection of multiple weak-planes is also discussed. The results of the paper lay a foundation for constructing the calculation method of surface discontinuous deformation.展开更多
目的:家庭抗逆力能帮助早产儿家庭应对困难和逆境,可促进家庭成员之间的联系和支持以及个人心理健康的提升。本文调查新生儿重症监护病房(Neonatal Intensive Care Unit,NICU)出院早产儿家庭抗逆力的现状及影响因素,为日后干预方案的制...目的:家庭抗逆力能帮助早产儿家庭应对困难和逆境,可促进家庭成员之间的联系和支持以及个人心理健康的提升。本文调查新生儿重症监护病房(Neonatal Intensive Care Unit,NICU)出院早产儿家庭抗逆力的现状及影响因素,为日后干预方案的制订提供参考依据。方法:通过方便抽样的方法,选取2022年11月至2023年1月收治于同济大学附属妇产科医院NICU治愈出院的192例早产儿及192例早产儿父母中的主要照护者为研究对象,基于生态系统理论应用中文版家庭抗逆力量表简化版(shortened Chinese version of the Family Resilience Assessment Scale,FRAS-C)、简易应对行为问卷(SimplifiedCopingStyleQuestionnaire,SCSQ)、Zarit照顾负担量表(ZaritCaregiver Burden Interview,ZBI)、中文版育儿胜任感量表(Chinese Version of Parenting Sense of Competence Scales,CV-PSOC)、家庭关怀度测评量表(Family Concern Index Questionnaire,APGAR)和社会支持评定量表(the Social Support Rating Scale,SSRS)对其进行调查。结果:NICU出院早产儿家庭抗逆力总评分为96.87±6.20,应对方式、育儿效能、家庭关怀度和社会支持均是其主要的影响因素(均P<0.05),可解释其89.6%的变异度。结论:NICU出院早产儿家庭抗逆力尚需提高,受到生态系统中各系统层面因素的共同作用,微系统层面对家庭抗逆力的预测作用最强,其中应对方式是关键因素,提示医务工作者应在早产儿从NICU到家庭过渡阶段有意识地引导早产儿家庭采取积极的应对方式,以提高NICU出院早产儿家庭的抗逆力水平。展开更多
基金supported by Supported by the Science and Technology Research Program of the Institute of Mountain Hazards and Environment,CAS(IMHE-ZDRW-01)the National Natural Science Foundation of China,China(Grant Numbers:42077275&42271086)the Special Project of Basic Research-Key Project,Yunnan(Grant Number:202301AS070039).
文摘The present work aims to assess earthquake-induced earth-retaining(ER)wall displacement.This study is on the dynamics analysis of various earth-retaining wall designs in hollow precast concrete panels,reinforcement concrete facing panels,and gravity-type earth-retaining walls.The finite element(FE)simulations utilized a 3D plane strain condition to model full-scale ER walls and numerous nonlinear dynamics analyses.The seismic performance of differentmodels,which includes reinforcement concrete panels and gravity-type and hollowprecast concrete ER walls,was simulated and examined using the FE approach.It also displays comparative studies such as stress distribution,deflection of the wall,acceleration across the wall height,lateral wall displacement,lateral wall pressure,and backfill plastic strain.Three components of the created ER walls were found throughout this research procedure.One is a granular reinforcement backfill,while the other is a wall-facing panel and base foundation.The dynamic response effects of varied earth-retaining walls have also been studied.It was discovered that the facing panel of the model significantly impacts the earthquake-induced displacement of ER walls.The proposed analytical model’s validity has been evaluated and compared with the reinforcement concrete facing panels,gravity-type ER wall,scientifically available data,and American Association of State Highway and Transportation Officials(AASHTO)guidelines results based on FE simulation.The results of the observations indicate that the hollow prefabricated concrete ER wall is the most feasible option due to its lower displacement and high-stress distribution compared to the two types.The methodology and results of this study establish standards for future analogous investigations and professionals,particularly in light of the increasing computational capabilities of desktop computers.
基金Under the auspices of National Natural Science Foundation of China(No.42301296)Postdoctoral Research Foundation of China(No.2022M723130)Key Projects of Social Science Planning Fund of Liaoning Province,China(No.L23AGL001)。
文摘It is of great significance to systematically analyze the cultivated land system resilience(CLSR) for the black soil protection and national food security.The CLSR is impacted by planting structure adjustment and cultivated land quality decline,posing major hidden dangers to food security.It is urgent to evaluate the CLSR at multiple spatio-temporal scales.This study took Liaoning Province in the black soil region of Northeast China as an example.Based on the resilience theory,this study constructed the CLSR evaluation system from the input-feedback perspective at the provincial-scale and the city-scale,and used the rank-sum ratio comprehensive evaluation method(RSR) to analyze the key influencing factors of CLSR in Liaoning Province and its 14 cities from 2000 to 2019.The results showed that:1) the time series changes of CLSR at the provincial-scale and the city-scale in Liaoning Province were similar,both showing an increasing trend.2) The CLSR in Liaoning Province presented a spatial pattern of ‘high in the west and low in the east’ at the city-scale.3) There were seven and six main influencing factors of CLSR at the provincial-scale and the city-scale,respectively.In addition to the net income per capita of rural households,other influencing factors of CLSR were different at the provincial-scale and the city-scale.The feedback factors were dominant at the provincial-scale,and the input factors and feedback factors were dominant at the city-scale.The results could provide a reference for the utilization of black soil and draw on the experience of regional agricultural planning and adjustment.
文摘Soil heavy metal pollution is one of the main environmental problems in Pearl River Delta Economic?Zone of China. Based on multi-purpose regional geochemical survey, regional eco-geochemical assessment, local eco-geochemical assessment and comprehensive appraisal, the eco-geochemical survey and assessment in Pearl River Delta Economic Zone of 41,698 km2?were completed. Samples from soils were collected in accordance with the two-layer grid method. Totally 54 elements and indicators for soils were determined. Compared to deep soils, the sampled surface soils are enriched in OrgC, N, P, Cd, S,Hg, Ag, B, Au, S and poor with As, Ni, I, Co, Cr, V, MgO, Sc, Al2O3, Fe2O3?etc. The characteristics of geochemical reference value of element in soil that inherited soil parent material and regional elements combined features reflected that the elements enriched in the soil was interrelated with acid rock, sandstone and shale. The spatial distribution characteristics of element regional geochemistry were conditional by regional environmental geological conditions,and effected by human activities. The Pearl River Delta plain is a typical geochemical landscape area with regional anomaly of multiple-elements. The north, western and eastern parts of the Pearl River Delta Economic Zone are quite different in geochemical features due to regional geological background, soil parent materials, geomorphic characteristics and human activities. Environment quality evaluation results show that the grade I and grade II soil accounted for 19.9% and 57.3% of the total area. Many samples that widely distributed in the economic developed of Pearl River Delta Plain area reached the third-grade of national soil environment standard. The soil enriched in Cd, Hg, As, and the area ratio accounting for 22.8% of the total area. It is mainly controlled by the geochemical background, the Pearl River Delta formation evolution process, especially the marine transgression process lead to Cd, Cu, Zn and Pb enrichment in Pearl River Delta plain. At the same time, under the influence of higher pressure of human activities, all kinds of exogenous input material carrying heavy metal pollutants on soil environmental quality also could not to ignore.
文摘The influence of RE (RE = La, Ce. Pr. Nd, Sm, Eu, Gd. Tb. Dy, Er, Yb) additives with dilute concentrations on the electrical properties of Pd has been studied. All RE elements increase the specific resistivity (ρ) and decrease the resistance temperature coefficient (α) of Pd. and (ρ.α) Pd-RE ls equal to (ρ· α)Pd.The RE elements before Gd reduce the thermo-emf of Pd on Cu. other heavy RE enhance the thermo-emf.The experimental data of normalized Pd-0.1 at.-%RE alloys indicate that the effect of light RE additives on the specific resistivity of Pd is larger than that of heavy RE and Ce. Eu and Yb show anomalous strong effect. The valence and atomic size are main factors influencing the electrical properties.
文摘Objective:To explore the influence of physical exercise,psychological resilience,and peer influence on subjective well-being,and then build a model of moderated mediation.Methods:Physical Activity Rating,Connor Davision Resilience Scale,Peer Influence Scale,and Index of Well-Being were used.This paper investigated 790 undergraduates.Results:(1)Physical exercise has a significant positive predictive effect on subjective well-being(β=0.43,P<0.001);(2)Psychological resilience plays a part in mediating the relationship between physical exercise and subjective well-being.The mediating effect value is 0.18;(3)The relationship between physical exercise and psychological resilience moderated by the peer influence.Compared with the low peer influence(β simple=0.01,t=0.06,P>0.05),physical exercise has a stronger positive predictive effect on psychological resilience in college students with high peer influence(β simple=0.87,t=2.07,P<0.05).Conclusion:Physical exercise affects college students'subjective well-being through psychological resilience,and peer influence moderates the mediating effect of psychological resilience.
文摘Background:Currently,building resilience in nurses is recognized as an important factor that helps maintain their health and stay in their profession;thus,identifying which factors can help them build resilience is necessary.Methods:A cross-sectional survey design was used,and 1356 nurses from 11 general hospitals in Guangzhou,China,were assessed using the Chinese version of the Conner-Davidson Resilience Scale,the General Self-Efficacy Scale,the Simplified Coping Style Questionnaire,and the Job Stress Scale of Chinese nurses.The demographic characteristics of participants were also gathered.Results:The mean total score of nurses' resilience is 59.99 (SD 13.59),which was significantly lower (P < 0.001) than that of the general people in China.The regression analysis affirmed that the factors which influence the resilience of nurses include self-efficacy,coping style,job stress,and education level (R2 =49.4%,P < 0.001).Conclusion:Nurses had low resilience.They could not effectively cope with job challenges and recover from adversity.Strengthening self-efficacy,choosing active coping,decreasing job stress,and enhancing educational training can effectively improve their resilience.
文摘Model B-I for marco rectangular element is presented for the first time in this paper. To establish the influence surf ace for resultant R of bending plates, a number of generalized distributive loads q are defined. It is shown by numerical examples that Model B-I and the formula for the generalized distributive loads advanced in this paper are featured by high accuracy, low memory space and flexibility in practical application, and that they are especially effective for plate structures subject to moving loads, such as the two-dimensional continuous plates of highway bridges and the flat stabs in piled jetty engineering.
文摘Leaching is an important way of separation of trace elements from coal. Based on leaching experiments, the content of trace elements separated out from coal is related to their existing state and content in coal, the duration of leaching process, temperature of leaching liquor and its acidity and basicity. The higher the temperature of leaching liquor and the longer the leaching time, the higher the contents of separated trace elements will be. In the course of leaching, the pH values of leaching liquors change and different trace elements are affected differently by the pH values.
文摘The given work studies the reason of the change of a superfluous current near crystallization temperature of an amorphous αPbSb metal alloy and at the same time founds out the influence of ultrasonic processing (USP) on the properties of αPbSb-nSi solar elements (SE), made by Shottki diodes technology (ShD) with a metal alloy. It is found that occurrence of a superfluous current αPbSb-nSi ShD under the influence of thermoannealing is connected with changes of structure of an amorphous film of metal at transition in a polycrystalline condition. VAC damaged αPbSb-nSi Sh Dare very sensitive to annealing time. Eventually, even at room temperature, level of a superfluous current decreases, i.e. “the wound” put by mechanical damage sort of heals, restoration process occurs the faster, the higher the annealing temperature is. Function of γt annealing parameters changes in an interval and the influence USP on photo-electric properties αPbSb-nSi SE depends on the chosen UIT mode.
基金Zhejiang Provincial Medical and Health Science and Technology Plan Project,No.2024KY401Zhejiang Provincial Traditional Chinese Medicine Science and Technology Plan Project,No.2024ZF136Zhejiang Province Traditional Chinese Medicine Science and Technology Project,No.2023ZL170.
文摘BACKGROUND Evaluating the psychological resilience of lung cancer(LC)patients helps understand their mental state and guides future treatment.However,there is limited research on the psychological resilience of LC patients with bone me-tastases.AIM To explore the psychological resilience of LC patients with bone metastases and identify factors that may influence psychological resilience.METHODS LC patients with bone metastases who met the inclusion criteria were screened from those admitted to the Third Affiliated Hospital of Wenzhou Medical University.The psychological scores of the enrolled patients were collected.They were then grouped based on the mean psychological score:Those with scores lower than the mean value were placed in the low-score group and those with scores equal to or greater than the mean value was placed in the high-score group.The baseline data(age,gender,education level,marital status,residence,monthly income,and religious beliefs),along with self-efficacy and medical coping mode scores,were compared.RESULTS This study included 142 LC patients with bone metastases admitted to our hospital from June 2022 to December 2023,with an average psychological resilience score of 63.24±9.96 points.After grouping,the low-score group consisted of 69 patients,including 42 males and 27 females,with an average age of 67.38±9.55 years.The high-score group consisted of 73 patients,including 49 males and 24 females,with a mean age of 61.97±5.00 years.χ2 analysis revealed significant differences between the two groups in education level(χ2=6.604,P=0.037),residence(χ2=12.950,P=0.002),monthly income(χ2=9.375,P=0.009),and medical coping modes(χ2=19.150,P=0.000).Independent sample t-test showed that the high-score group had significantly higher self-efficacy scores(t=3.383,P=0.001)and lower age than the low-score group(t=4.256,P<0.001).Furthermore,multivariate logistic regression hazard analysis confirmed that self-efficacy is an independent protective factor for psychological resilience[odds ratio(OR)=0.926,P=0.035,95%confidence interval(CI):0.862-0.995],while age(OR=1.099,P=0.003,95%CI:1.034-1.169)and medical coping modes(avoidance vs confrontation:OR=3.767,P=0.012,95%CI:1.342-10.570;resignation vs confrontation:OR=5.687,P=0.001,95%CI:1.974-16.385)were identified as independent risk factors.A predictive model based on self-efficacy,age,and medical coping modes was developed.The receiver operating characteristic analysis showed an area under the curve value of 0.778(95%CI:0.701-0.856,P<0.001),indicating that the model has good predictive performance.CONCLUSION LC patients with bone metastases are less psychologically resilient than the general population.Factors such as self-efficacy,age,and medical coping modes influence their psychological resilience.Patients with low self-efficacy,old age,and avoidance/resignation coping modes should be closely observed.
文摘This paper deals with the shape and influenced factors of surface non-continuous deformation due to mining. With finite element method, analysis are made to derive the relations between discontinuous deformation and mining affection, weak plane’s position & thickness, and mechanical property of weak-plane medium. The mutual affection of multiple weak-planes is also discussed. The results of the paper lay a foundation for constructing the calculation method of surface discontinuous deformation.
文摘目的:家庭抗逆力能帮助早产儿家庭应对困难和逆境,可促进家庭成员之间的联系和支持以及个人心理健康的提升。本文调查新生儿重症监护病房(Neonatal Intensive Care Unit,NICU)出院早产儿家庭抗逆力的现状及影响因素,为日后干预方案的制订提供参考依据。方法:通过方便抽样的方法,选取2022年11月至2023年1月收治于同济大学附属妇产科医院NICU治愈出院的192例早产儿及192例早产儿父母中的主要照护者为研究对象,基于生态系统理论应用中文版家庭抗逆力量表简化版(shortened Chinese version of the Family Resilience Assessment Scale,FRAS-C)、简易应对行为问卷(SimplifiedCopingStyleQuestionnaire,SCSQ)、Zarit照顾负担量表(ZaritCaregiver Burden Interview,ZBI)、中文版育儿胜任感量表(Chinese Version of Parenting Sense of Competence Scales,CV-PSOC)、家庭关怀度测评量表(Family Concern Index Questionnaire,APGAR)和社会支持评定量表(the Social Support Rating Scale,SSRS)对其进行调查。结果:NICU出院早产儿家庭抗逆力总评分为96.87±6.20,应对方式、育儿效能、家庭关怀度和社会支持均是其主要的影响因素(均P<0.05),可解释其89.6%的变异度。结论:NICU出院早产儿家庭抗逆力尚需提高,受到生态系统中各系统层面因素的共同作用,微系统层面对家庭抗逆力的预测作用最强,其中应对方式是关键因素,提示医务工作者应在早产儿从NICU到家庭过渡阶段有意识地引导早产儿家庭采取积极的应对方式,以提高NICU出院早产儿家庭的抗逆力水平。