目的调查某三甲儿童医院重症患儿照顾者决策疲劳现状,并分析其影响因素。方法采用便利抽样法,于2022年6月-2023年6月选取在儿童重症监护室(pediatric intensive care unit,PICU)住院治疗的118例重症患儿的照顾者作为研究对象,采用一般...目的调查某三甲儿童医院重症患儿照顾者决策疲劳现状,并分析其影响因素。方法采用便利抽样法,于2022年6月-2023年6月选取在儿童重症监护室(pediatric intensive care unit,PICU)住院治疗的118例重症患儿的照顾者作为研究对象,采用一般资料调查表、决策疲劳量表、家庭成员决策自我效能量表对其进行调查。结果该组重症患儿照顾者决策疲劳量表得分为(12.16±3.81)分,决策疲劳量表得分与家庭成员决策自我效能量表得分呈负相关(r=-0.882,P=0.012)。多元线性回归分析结果显示,重症患儿照顾者性别、患儿入住PICU天数、家庭平均月收入、决策自我效能是患儿照顾者决策疲劳的独立影响因素(R^(2)=0.952,_(△)R^(2)=0.902,F=16.819,P<0.001)。结论PICU重症患儿照顾者决策疲劳处于中等水平,医护人员应重点关注女性、家庭平均月收入低、患儿入住PICU时间长、决策自我效能水平低的患儿照顾者,及时向照顾者提供重症患儿病情、治疗方案、预后等信息,加强其心理支持,提升照顾者决策自我效能,从而降低其决策疲劳水平。展开更多
Breaking down the entire structure of a material implies severing all the bonds between its atoms either by applying work or by heat transfer. Because bond-breaking is indifferent to either means, there is a kind of e...Breaking down the entire structure of a material implies severing all the bonds between its atoms either by applying work or by heat transfer. Because bond-breaking is indifferent to either means, there is a kind of equivalence between heat energy and strain energy. Based on this equivalence, we assume the existence of a constant maximum storage of energy that includes both the strain energy and the corresponding equivalent heat energy. A temperaturedependent fracture strength model is then developed for ultrahigh temperature ceramics （UHTCs）. Model predictions for UHTCs, HfB2, TiC and ZrB2, are presented and compared with the experimental results. These predictions are found to be largely consistent with experimental results.展开更多
The stiction of a thin plate induced by the capillary force has attracted much attention in the broad range of applications. A novel method is presented to calculate the capillary adhesion problem of the plate through...The stiction of a thin plate induced by the capillary force has attracted much attention in the broad range of applications. A novel method is presented to calculate the capillary adhesion problem of the plate through analytical method. The expressions of the surface energy, the strain energy and the total potential energy of the plate-substrate system have been analyzed and delineated. By means of continuum mechanics and the principle of minimum potential energy, the governing equation of the plate with an arbitrary shape and the corresponding transversality boundary condition due to the moving bound have been derived. Then the critical adhesion radius of the circular plate has been solved according to the supplementary transversality condition. Thus the deflections of the plates are analytically calculated with different critical adhesion radii. The results may be beneficial to the engineering application and the micro/nanomeasurement.展开更多
Delaminations in structures may significantly reduce the stiffness and strength of the structures and may affect their vibration characteristics. As structural components, beams have been used for various purposes, in...Delaminations in structures may significantly reduce the stiffness and strength of the structures and may affect their vibration characteristics. As structural components, beams have been used for various purposes, in many of which beams are often subjected to axial loads and static end moments. In the present study, an analytical solution is developed to study the coupled bending-torsion vibration of a homogeneous beam with a single delamination subjected to axial loads and static end moments. Euler-Bernoulli beam theory and the ＂free mode＂ assumption in delamination vibration are adopted. This is the first study of the influences of static end moments upon the effects of delaminations on natural frequencies, critical buckling loads and critical moments for lateral instability. The results show that the effects of delamination on reducing natural frequencies, critical buckling load and critical moment for lateral instability are aggravated by the presence of static end moment. In turn, the effects of static end moments on vibration and instability characteristics are affected by the presence of delamination. The analytical results of this study can serve as a benchmark for finite element method and other numerical solutions.展开更多
After assuming the Chinese presidency in March 2013, Xi Jinping introduced the new political slogan ＂the Chinese Dream,＂ which he does not only address to the domestic audience but also aims to promote to the world....After assuming the Chinese presidency in March 2013, Xi Jinping introduced the new political slogan ＂the Chinese Dream,＂ which he does not only address to the domestic audience but also aims to promote to the world. Since his inaugural trip abroad, Xi has repeatedly speeches when addressing international catchphrase received as much appeal as used the term ＂Chinese Dream＂ in his audiences. However, nowhere has the in Africa. Simultaneously, African academics and other interested parties have observed the promotion of the idea of an African Dream by the Chinese Communist Party （CCP） with great suspicion as they view it simply as a projection of China＇s own foreign policy onto Africa. But what do the Chinese Dream and African Dream actually mean？ How can we make sense out of these terms？ In order to decode or demystify the meaning behind the Chinese Dream narrative in the context of China＇s foreign policy, this paper argues that it is essential to examine how it is constructed and projected to the international audience, in particular to Africa. The Chinese Dream is understood as a narrative which is strategically used by the CCP in order to shape perceptions and behavior of other international actors according to their own agenda. Moreover, the dynamic interactions between the media and politics and how they impinge on the formation and projection of the Chinese Dream and African Dream narrative will also be taken into account.展开更多
文摘目的调查某三甲儿童医院重症患儿照顾者决策疲劳现状,并分析其影响因素。方法采用便利抽样法,于2022年6月-2023年6月选取在儿童重症监护室(pediatric intensive care unit,PICU)住院治疗的118例重症患儿的照顾者作为研究对象,采用一般资料调查表、决策疲劳量表、家庭成员决策自我效能量表对其进行调查。结果该组重症患儿照顾者决策疲劳量表得分为(12.16±3.81)分,决策疲劳量表得分与家庭成员决策自我效能量表得分呈负相关(r=-0.882,P=0.012)。多元线性回归分析结果显示,重症患儿照顾者性别、患儿入住PICU天数、家庭平均月收入、决策自我效能是患儿照顾者决策疲劳的独立影响因素(R^(2)=0.952,_(△)R^(2)=0.902,F=16.819,P<0.001)。结论PICU重症患儿照顾者决策疲劳处于中等水平,医护人员应重点关注女性、家庭平均月收入低、患儿入住PICU时间长、决策自我效能水平低的患儿照顾者,及时向照顾者提供重症患儿病情、治疗方案、预后等信息,加强其心理支持,提升照顾者决策自我效能,从而降低其决策疲劳水平。
基金The project was supported by the National Natural Science Foundation of China （90505015 and 10702035）.
文摘Breaking down the entire structure of a material implies severing all the bonds between its atoms either by applying work or by heat transfer. Because bond-breaking is indifferent to either means, there is a kind of equivalence between heat energy and strain energy. Based on this equivalence, we assume the existence of a constant maximum storage of energy that includes both the strain energy and the corresponding equivalent heat energy. A temperaturedependent fracture strength model is then developed for ultrahigh temperature ceramics （UHTCs）. Model predictions for UHTCs, HfB2, TiC and ZrB2, are presented and compared with the experimental results. These predictions are found to be largely consistent with experimental results.
基金supported by Scientific Research Foundation of China University of Petroleum(Y081513)National Natural Science Foundation of China(10802099)Doctoral Fund of Ministry of Education of China(200804251520)
文摘The stiction of a thin plate induced by the capillary force has attracted much attention in the broad range of applications. A novel method is presented to calculate the capillary adhesion problem of the plate through analytical method. The expressions of the surface energy, the strain energy and the total potential energy of the plate-substrate system have been analyzed and delineated. By means of continuum mechanics and the principle of minimum potential energy, the governing equation of the plate with an arbitrary shape and the corresponding transversality boundary condition due to the moving bound have been derived. Then the critical adhesion radius of the circular plate has been solved according to the supplementary transversality condition. Thus the deflections of the plates are analytically calculated with different critical adhesion radii. The results may be beneficial to the engineering application and the micro/nanomeasurement.
文摘Delaminations in structures may significantly reduce the stiffness and strength of the structures and may affect their vibration characteristics. As structural components, beams have been used for various purposes, in many of which beams are often subjected to axial loads and static end moments. In the present study, an analytical solution is developed to study the coupled bending-torsion vibration of a homogeneous beam with a single delamination subjected to axial loads and static end moments. Euler-Bernoulli beam theory and the ＂free mode＂ assumption in delamination vibration are adopted. This is the first study of the influences of static end moments upon the effects of delaminations on natural frequencies, critical buckling loads and critical moments for lateral instability. The results show that the effects of delamination on reducing natural frequencies, critical buckling load and critical moment for lateral instability are aggravated by the presence of static end moment. In turn, the effects of static end moments on vibration and instability characteristics are affected by the presence of delamination. The analytical results of this study can serve as a benchmark for finite element method and other numerical solutions.
文摘After assuming the Chinese presidency in March 2013, Xi Jinping introduced the new political slogan ＂the Chinese Dream,＂ which he does not only address to the domestic audience but also aims to promote to the world. Since his inaugural trip abroad, Xi has repeatedly speeches when addressing international catchphrase received as much appeal as used the term ＂Chinese Dream＂ in his audiences. However, nowhere has the in Africa. Simultaneously, African academics and other interested parties have observed the promotion of the idea of an African Dream by the Chinese Communist Party （CCP） with great suspicion as they view it simply as a projection of China＇s own foreign policy onto Africa. But what do the Chinese Dream and African Dream actually mean？ How can we make sense out of these terms？ In order to decode or demystify the meaning behind the Chinese Dream narrative in the context of China＇s foreign policy, this paper argues that it is essential to examine how it is constructed and projected to the international audience, in particular to Africa. The Chinese Dream is understood as a narrative which is strategically used by the CCP in order to shape perceptions and behavior of other international actors according to their own agenda. Moreover, the dynamic interactions between the media and politics and how they impinge on the formation and projection of the Chinese Dream and African Dream narrative will also be taken into account.
