The growing utilization of critical care echocardiography(CCE) by clinicians necessitates a meticulous review of clinical conditions in critically ill patients, both before and during the examination. The reviewing pr...The growing utilization of critical care echocardiography(CCE) by clinicians necessitates a meticulous review of clinical conditions in critically ill patients, both before and during the examination. The reviewing process of clinical conditions minimizes the risk of overlooking or misinterpreting crucial findings. This article proposes a comprehensive strategy, namely BILL strategy, to integrate into the CCE protocol, where "B" represents baseline respiratory and hemodynamic support, "I" signifies information gleaned from invasive monitoring, including central venous pressure and thermodilution-derived cardiac output, the first "L" denotes laboratory results such as central venous oxygen saturation, troponin, and brain natriuretic peptide, and the second "L" refers to lung ultrasound data. Combining the BILL strategy with CCE can enhance comprehensive understanding of critical conditions, potentially leading to improved diagnostic accuracy and patient outcomes.展开更多
Objectives To evaluate the effects of white noise on pain-related cortical response,pain score,and behavioral and physiological parameters in neonates with procedural pain.Methods A double-blind,randomized controlled ...Objectives To evaluate the effects of white noise on pain-related cortical response,pain score,and behavioral and physiological parameters in neonates with procedural pain.Methods A double-blind,randomized controlled trial was conducted.Sixty-six neonates from the Neonatal Intensive Care Unit in a university-affiliated general hospital were randomly assigned to listen to white noise at 50 dB(experimental group)or 0 dB(control group)2 min before radial artery blood sampling and continued until 5 min after needle withdrawal.Pain-related cortical response was measured by regional cerebral oxygen saturation(rScO_(2))monitored with near-infrared spectroscopy,and facial expressions and physiological parameters were recorded by two video cameras.Two assessors scored the Premature Infant Pain Profile-Revised(PIPP-R)independently when viewing the videos.Primary outcomes were pain score and rScO_(2)during arterial puncture and 5 min after needle withdrawal.Secondary outcomes were pulse oximetric oxygen saturation(SpO_(2))and heart rate(HR)during arterial puncture,and duration of painful expressions.The study was registered at the Chinese Clinical Trial Registry(ChiCTR2200055571).Results Sixty neonates(experimental group,n=29;control group,n=31)were included in the final analysis.The maximum PIPP-R score in the experimental and control groups was 12.00(9.50,13.00),12.50(10.50,13.75),respectively(median difference−0.5,95%CI−2.0 to 0.5),and minimum rScO_(2)was(61.22±3.07)%,(61.32±2.79)%,respectively(mean difference−0.325,95%CI−1.382 to 0.732),without significant differences.During arterial puncture,the mean rScO_(2),HR,and SpO_(2)did not differ between groups.After needle withdrawal,the trends for rScO_(2),PIPP-R score,and facial expression returning to baseline were different between the two groups without statistical significance.Conclusion The white noise intervention did not show beneficial effects on pain-related cortical response as well as pain score,behavioral and physiological parameters in neonates with procedural pain.展开更多
Objectives:The purpose of this study was to describe relationships between negative emotions and perceived emotional support in parents of children admitted to the pediatric intensive care unit(PICU).Methods:This cros...Objectives:The purpose of this study was to describe relationships between negative emotions and perceived emotional support in parents of children admitted to the pediatric intensive care unit(PICU).Methods:This cross-sectional descriptive study conducted face-to-face interviews between January 2019 and January 2020.Study variables included depression(PHQ-9 Scale),anxiety(Emotional Distress-Anxiety-Short Form 8a),anger(Emotional Distress-Anger-Short Form 5a),fear(Fear-Affect Computerized Adaptive Test),somatic fear(Fear-Somatic Arousal-Fixed Form),loneliness(Revised 20-item UCLA Loneliness Scale),and perceived emotional support(Emotional Support-Fixed Form).Results:Eighty parents reported symptoms of depression 8.00(4.00,13.75),anxiety(23.43±7.80),anger(13.40±5.46),fear(72.81±27.26),somatic fear 9.00(6.00,12.75),loneliness(39.35±12.00),and low perceived emotional support(32.14±8.06).Parents who were young,single,low-income,and with limited-post secondary education reported greater loneliness and lower perceived emotional support.Fear correlated with depression(r=0.737,P<0.01)and anxiety(r=0.900,P<0.01).Inverse relationships were discovered between perceived emotional support and loneliness(r=-0.767,P<0.01),anger(r=-0.401,P<0.01),and depression(r=-0.334,P<0.01).Conclusions:The cluster of negative emotions identified will serve as potential targets for future interventions designed to enhance support for parents of critically ill children.展开更多
Abs Root-MUSIC （MUltiple Signal Classification） is the polynomial rooting form of MUSIC, namely, the spectrum peak searching is resplaced by the polynomial rooting in MUSIC implementation. The coefficients finding o...Abs Root-MUSIC （MUltiple Signal Classification） is the polynomial rooting form of MUSIC, namely, the spectrum peak searching is resplaced by the polynomial rooting in MUSIC implementation. The coefficients finding of the polynomial is the critical problem for Root-MUSIC and its improvements By analyzing the Root-MUSIC algorithm thoughly, the finding method of the polynomial coefficient is deduced and the concrete calculation formula is given, so that the speed of polynomial finding roots will get the bigger exaltation. The particular simulations are given and attest correctness of the theory analysis and also indicate that the proposed algorithm has preferable estimating performance.展开更多
The tidal flat along the Changjiang(Yangtze) River estuary has long been reclaimed for the agricultural purposes, with the prevailing hydrological conditions during such pedogenic transformations being of great import...The tidal flat along the Changjiang(Yangtze) River estuary has long been reclaimed for the agricultural purposes, with the prevailing hydrological conditions during such pedogenic transformations being of great importance to their successful development. In this study, samples of surface sediment from Chongming Dongtan, situated at the mouth of the Changjiang River estuary, were collected and analyzed in order to understand how hydrological management can influence the concentrations of heavy metals and salt ions in pore water, and chemical fractionation of heavy metals during the reclamation process. We performed a series of experiments that simulated three dif ferent hydrological regimes: permanent flooding(R1), alternative five-day periods of wetting and drying(R2), continuous field capacity(R3). Our results exhibited good Pearson correlations coefficients between heavy metals and salt ions in the pore water for both R1 and R2. In particular, the concentrations of salt ions in the pore water decreased in all three regimes, but showed the biggest decline in R2. With this R2 experiment, the periodic concentration patterns in the pore water varied for Fe and Mn, but not for Cr, Cu, Pb and Zn. Neither the fractionation of Ni nor the residual fractions of any metals changed significantly in any regime. In R1, the reducible fractions of heavy metals(Cr, Cu, Zn and Pb) in the sediment decreased, while the acid extractable fractions increased. In R2, the acid extractable and the reducible fractions of Cr, Cu, Zn and Pb both decreased, as did the oxidizable fraction of Cu. These data suggest that an alternating hydrological regime can reduce both salinity and the availability of heavy metals in sediments.展开更多
The purpose of the present research was to investigate the predictors to Chinese college students seeking psychological help from professionals. By surveying 1,408 Chinese college students at five universities in Chin...The purpose of the present research was to investigate the predictors to Chinese college students seeking psychological help from professionals. By surveying 1,408 Chinese college students at five universities in China's Mainland, the results showed that among the factors examined, problem severity and help-seeking attitudes directly predicted help-seeking intention, while gender and subjective norms had a significant effect on college students＇ professional psychological help-seeking intention through help-seeking attitudes. Overall, the model explained 25% and 38.0% （for half-1 and half-2 data sets, respectively） of the variances of help-seeking intention. The results indicated that mainland Chinese college students rationally knew that they should choose to seek such professional help when the problem got severer enough, although they were emotionally reluctant to seek professional psychological help due to negative subjective norms around them. The implications and limitations were discussed.展开更多
Scholars from environmental psychology,geography, disaster science, and sociology have recently focused attention on evacuation and relocation behaviors and influencing factors in hazard-threatened areas. However, exi...Scholars from environmental psychology,geography, disaster science, and sociology have recently focused attention on evacuation and relocation behaviors and influencing factors in hazard-threatened areas. However, existing studies are mainly focused on developed countries and the influence of individual characteristics,household characteristics, and the perception of risk of urban households on evacuation and relocation behaviors.Few studies examine developing countries and the influence of farmers' sense of place in geological hazardthreatened areas. Using statistics of farming households in an area threatened by landslides, this is a pilot study to explore the relationship of sense of place to the relocation willingness of farming households while controlling for other variables. The results show that:(1) Households with higher scores of place identity and place dependence are less willing to relocate, whereas place attachment has no significant relationship to household relocation willingness;(2) Risk perception dimensions, including probability,threat, and controllability have a significant relationship to household relocation willingness, while worry and fear of the unknown have no significant relationship;(3) Household characteristics, including income, whether a household has experienced economic loss from landslides, and social support are significantly correlated with household relocation willingness, while gender, age, experience, distance to hazard sites, size of household, children, older people, and housing material are not. The results for information and education are not robust. This study contributes to the current literature by improving the understanding of the relationship of sense of place to the relocation willingness of farming households in villages threatened by geological disasters in rural China.展开更多
The stochastic resource allocation(SRA) problem is an extensive class of combinatorial optimization problems widely existing in complex systems such as communication networks and unmanned systems. In SRA, the ability ...The stochastic resource allocation(SRA) problem is an extensive class of combinatorial optimization problems widely existing in complex systems such as communication networks and unmanned systems. In SRA, the ability of a resource to complete a task is described by certain probability,and the objective is to maximize the reward by appropriately assigning available resources to different tasks. This paper is aimed at an important branch of SRA, that is, stochastic SRA(SSRA) for which the probability for resources to complete tasks is also uncertain. Firstly, a general SSRA model with multiple independent uncertain parameters(GSSRA-MIUP) is built to formulate the problem. Then,a scenario-based reformulation which can address multi-source uncertainties is proposed to facilitate the problem-solving process. Secondly, in view of the superiority of the differential evolution algorithm in real-valued optimization, a discrete version of this algorithm was originally proposed and further combined with a specialized local search to create an efficient hybrid optimizer. The hybrid algorithm is compared with the discrete differential evolution algorithm, a pure random sampling method, as well as a restart local search method. Experimental results show that the proposed hybrid optimizer has obvious advantages in solving GSSRA-MIUP problems.展开更多
The timing dynamics of regulating negative emotion with expressive suppression and cognitive reappraisal were investigated in a Chinese sample. Event-Related Potentials were recorded while subjects were required to vi...The timing dynamics of regulating negative emotion with expressive suppression and cognitive reappraisal were investigated in a Chinese sample. Event-Related Potentials were recorded while subjects were required to view, suppress emotion expression to, or reappraise emotional pictures. The results showed a similar reduction in self-reported negative emotion during both strategies. Additionally, expressive suppression elicited larger amplitudes than reappraisal in central-frontal P3 component(340–480 ms). More importantly, the Late Positive Potential(LPP) amplitudes were decreased in each 200 ms of the 800–1600 ms time intervals during suppression vs. viewing conditions. In contrast, LPP amplitudes were similar for reappraisal and viewing conditions in all the time windows, except for the decreased amplitudes during reappraisal in the 1400–1600 ms. The LPP(but not P3) amplitudes were positively related to negative mood ratings, whereas the amplitudes of P3, rather than LPP, predict self-reported expressive suppression. These results suggest that expressive suppression decreases emotion responding more rapidly than reappraisal, at the cost of greater cognitive resource involvements in Chinese individuals.展开更多
文摘The growing utilization of critical care echocardiography(CCE) by clinicians necessitates a meticulous review of clinical conditions in critically ill patients, both before and during the examination. The reviewing process of clinical conditions minimizes the risk of overlooking or misinterpreting crucial findings. This article proposes a comprehensive strategy, namely BILL strategy, to integrate into the CCE protocol, where "B" represents baseline respiratory and hemodynamic support, "I" signifies information gleaned from invasive monitoring, including central venous pressure and thermodilution-derived cardiac output, the first "L" denotes laboratory results such as central venous oxygen saturation, troponin, and brain natriuretic peptide, and the second "L" refers to lung ultrasound data. Combining the BILL strategy with CCE can enhance comprehensive understanding of critical conditions, potentially leading to improved diagnostic accuracy and patient outcomes.
基金This work was supported by grants from Guangdong Nurse Association[gdshsxh2021a058]Department of Science and Technology of Guangdong Province[2014A020212396].
文摘Objectives To evaluate the effects of white noise on pain-related cortical response,pain score,and behavioral and physiological parameters in neonates with procedural pain.Methods A double-blind,randomized controlled trial was conducted.Sixty-six neonates from the Neonatal Intensive Care Unit in a university-affiliated general hospital were randomly assigned to listen to white noise at 50 dB(experimental group)or 0 dB(control group)2 min before radial artery blood sampling and continued until 5 min after needle withdrawal.Pain-related cortical response was measured by regional cerebral oxygen saturation(rScO_(2))monitored with near-infrared spectroscopy,and facial expressions and physiological parameters were recorded by two video cameras.Two assessors scored the Premature Infant Pain Profile-Revised(PIPP-R)independently when viewing the videos.Primary outcomes were pain score and rScO_(2)during arterial puncture and 5 min after needle withdrawal.Secondary outcomes were pulse oximetric oxygen saturation(SpO_(2))and heart rate(HR)during arterial puncture,and duration of painful expressions.The study was registered at the Chinese Clinical Trial Registry(ChiCTR2200055571).Results Sixty neonates(experimental group,n=29;control group,n=31)were included in the final analysis.The maximum PIPP-R score in the experimental and control groups was 12.00(9.50,13.00),12.50(10.50,13.75),respectively(median difference−0.5,95%CI−2.0 to 0.5),and minimum rScO_(2)was(61.22±3.07)%,(61.32±2.79)%,respectively(mean difference−0.325,95%CI−1.382 to 0.732),without significant differences.During arterial puncture,the mean rScO_(2),HR,and SpO_(2)did not differ between groups.After needle withdrawal,the trends for rScO_(2),PIPP-R score,and facial expression returning to baseline were different between the two groups without statistical significance.Conclusion The white noise intervention did not show beneficial effects on pain-related cortical response as well as pain score,behavioral and physiological parameters in neonates with procedural pain.
基金This work was supported by the West Virginia University School of Nursing Research Investment Fund.
文摘Objectives:The purpose of this study was to describe relationships between negative emotions and perceived emotional support in parents of children admitted to the pediatric intensive care unit(PICU).Methods:This cross-sectional descriptive study conducted face-to-face interviews between January 2019 and January 2020.Study variables included depression(PHQ-9 Scale),anxiety(Emotional Distress-Anxiety-Short Form 8a),anger(Emotional Distress-Anger-Short Form 5a),fear(Fear-Affect Computerized Adaptive Test),somatic fear(Fear-Somatic Arousal-Fixed Form),loneliness(Revised 20-item UCLA Loneliness Scale),and perceived emotional support(Emotional Support-Fixed Form).Results:Eighty parents reported symptoms of depression 8.00(4.00,13.75),anxiety(23.43±7.80),anger(13.40±5.46),fear(72.81±27.26),somatic fear 9.00(6.00,12.75),loneliness(39.35±12.00),and low perceived emotional support(32.14±8.06).Parents who were young,single,low-income,and with limited-post secondary education reported greater loneliness and lower perceived emotional support.Fear correlated with depression(r=0.737,P<0.01)and anxiety(r=0.900,P<0.01).Inverse relationships were discovered between perceived emotional support and loneliness(r=-0.767,P<0.01),anger(r=-0.401,P<0.01),and depression(r=-0.334,P<0.01).Conclusions:The cluster of negative emotions identified will serve as potential targets for future interventions designed to enhance support for parents of critically ill children.
基金Supported by the National Outstanding Young Foundation (No.60825104)the National Natural Science Foundation of China (No.60736009)
文摘Abs Root-MUSIC （MUltiple Signal Classification） is the polynomial rooting form of MUSIC, namely, the spectrum peak searching is resplaced by the polynomial rooting in MUSIC implementation. The coefficients finding of the polynomial is the critical problem for Root-MUSIC and its improvements By analyzing the Root-MUSIC algorithm thoughly, the finding method of the polynomial coefficient is deduced and the concrete calculation formula is given, so that the speed of polynomial finding roots will get the bigger exaltation. The particular simulations are given and attest correctness of the theory analysis and also indicate that the proposed algorithm has preferable estimating performance.
基金Supported by the National Natural Science Foundation of China(Nos.41271466,41671461)
文摘The tidal flat along the Changjiang(Yangtze) River estuary has long been reclaimed for the agricultural purposes, with the prevailing hydrological conditions during such pedogenic transformations being of great importance to their successful development. In this study, samples of surface sediment from Chongming Dongtan, situated at the mouth of the Changjiang River estuary, were collected and analyzed in order to understand how hydrological management can influence the concentrations of heavy metals and salt ions in pore water, and chemical fractionation of heavy metals during the reclamation process. We performed a series of experiments that simulated three dif ferent hydrological regimes: permanent flooding(R1), alternative five-day periods of wetting and drying(R2), continuous field capacity(R3). Our results exhibited good Pearson correlations coefficients between heavy metals and salt ions in the pore water for both R1 and R2. In particular, the concentrations of salt ions in the pore water decreased in all three regimes, but showed the biggest decline in R2. With this R2 experiment, the periodic concentration patterns in the pore water varied for Fe and Mn, but not for Cr, Cu, Pb and Zn. Neither the fractionation of Ni nor the residual fractions of any metals changed significantly in any regime. In R1, the reducible fractions of heavy metals(Cr, Cu, Zn and Pb) in the sediment decreased, while the acid extractable fractions increased. In R2, the acid extractable and the reducible fractions of Cr, Cu, Zn and Pb both decreased, as did the oxidizable fraction of Cu. These data suggest that an alternating hydrological regime can reduce both salinity and the availability of heavy metals in sediments.
文摘The purpose of the present research was to investigate the predictors to Chinese college students seeking psychological help from professionals. By surveying 1,408 Chinese college students at five universities in China's Mainland, the results showed that among the factors examined, problem severity and help-seeking attitudes directly predicted help-seeking intention, while gender and subjective norms had a significant effect on college students＇ professional psychological help-seeking intention through help-seeking attitudes. Overall, the model explained 25% and 38.0% （for half-1 and half-2 data sets, respectively） of the variances of help-seeking intention. The results indicated that mainland Chinese college students rationally knew that they should choose to seek such professional help when the problem got severer enough, although they were emotionally reluctant to seek professional psychological help due to negative subjective norms around them. The implications and limitations were discussed.
基金financial support from the STS Program of the Chinese Academy of Sciences (KFJ-SW-STS-175)the National Natural Science Foundation of China (Grant No. 41401198)+2 种基金the West Light Foundation of the Chinese Academy of Sciences (Y5R2080080)the Youth Talent Team Program of the Institute of Mountain Hazards and Environment,the Chinese Academy of Sciences (SDSQB-2015-01)the Youth Innovation Promotion Association, the Chinese Academy of Sciences (2016332)
文摘Scholars from environmental psychology,geography, disaster science, and sociology have recently focused attention on evacuation and relocation behaviors and influencing factors in hazard-threatened areas. However, existing studies are mainly focused on developed countries and the influence of individual characteristics,household characteristics, and the perception of risk of urban households on evacuation and relocation behaviors.Few studies examine developing countries and the influence of farmers' sense of place in geological hazardthreatened areas. Using statistics of farming households in an area threatened by landslides, this is a pilot study to explore the relationship of sense of place to the relocation willingness of farming households while controlling for other variables. The results show that:(1) Households with higher scores of place identity and place dependence are less willing to relocate, whereas place attachment has no significant relationship to household relocation willingness;(2) Risk perception dimensions, including probability,threat, and controllability have a significant relationship to household relocation willingness, while worry and fear of the unknown have no significant relationship;(3) Household characteristics, including income, whether a household has experienced economic loss from landslides, and social support are significantly correlated with household relocation willingness, while gender, age, experience, distance to hazard sites, size of household, children, older people, and housing material are not. The results for information and education are not robust. This study contributes to the current literature by improving the understanding of the relationship of sense of place to the relocation willingness of farming households in villages threatened by geological disasters in rural China.
基金supported by the National Natural Science Foundation of China under Grant No.71361130011
文摘The stochastic resource allocation(SRA) problem is an extensive class of combinatorial optimization problems widely existing in complex systems such as communication networks and unmanned systems. In SRA, the ability of a resource to complete a task is described by certain probability,and the objective is to maximize the reward by appropriately assigning available resources to different tasks. This paper is aimed at an important branch of SRA, that is, stochastic SRA(SSRA) for which the probability for resources to complete tasks is also uncertain. Firstly, a general SSRA model with multiple independent uncertain parameters(GSSRA-MIUP) is built to formulate the problem. Then,a scenario-based reformulation which can address multi-source uncertainties is proposed to facilitate the problem-solving process. Secondly, in view of the superiority of the differential evolution algorithm in real-valued optimization, a discrete version of this algorithm was originally proposed and further combined with a specialized local search to create an efficient hybrid optimizer. The hybrid algorithm is compared with the discrete differential evolution algorithm, a pure random sampling method, as well as a restart local search method. Experimental results show that the proposed hybrid optimizer has obvious advantages in solving GSSRA-MIUP problems.
基金supported by National Natural Science Foundation of China(NSFC3117098931371042)+1 种基金the Keygrant Project of Chinese Ministry of Education(NO.311032)the Special Grant for Postdoctoral Research in Chongqing(Xm2014059)
文摘The timing dynamics of regulating negative emotion with expressive suppression and cognitive reappraisal were investigated in a Chinese sample. Event-Related Potentials were recorded while subjects were required to view, suppress emotion expression to, or reappraise emotional pictures. The results showed a similar reduction in self-reported negative emotion during both strategies. Additionally, expressive suppression elicited larger amplitudes than reappraisal in central-frontal P3 component(340–480 ms). More importantly, the Late Positive Potential(LPP) amplitudes were decreased in each 200 ms of the 800–1600 ms time intervals during suppression vs. viewing conditions. In contrast, LPP amplitudes were similar for reappraisal and viewing conditions in all the time windows, except for the decreased amplitudes during reappraisal in the 1400–1600 ms. The LPP(but not P3) amplitudes were positively related to negative mood ratings, whereas the amplitudes of P3, rather than LPP, predict self-reported expressive suppression. These results suggest that expressive suppression decreases emotion responding more rapidly than reappraisal, at the cost of greater cognitive resource involvements in Chinese individuals.
