Objective:The introduction of the vicarious resilience concept in psychology and mental health nursing literature is a highly promising advancement.By utilizing this novel concept,experts in various domains can enhanc...Objective:The introduction of the vicarious resilience concept in psychology and mental health nursing literature is a highly promising advancement.By utilizing this novel concept,experts in various domains can enhance their comprehension of how to foster resilience in individuals by observing and learning from the resilience of others.This concept analysis aims to elucidate the concept of vicarious resilience in mental health nursing by defining its related attributes,antecedents,and consequences.Methods:Walker and Avant’s strategy for concept analysis method was used.This review specifically examined mental health nurse providers.A comprehensive literature search was performed in the PubMed,Medline,the Cochrane Library,and CINAHL databases.The inclusion criterion was Englishlanguage documents on vicarious resilience within mental health nursing.Results:A total of 24 articles were included.The concept’s attributes were empathy,hope,resourcefulness,awareness,and spirituality.Antecedents were associated with listening to patients’trauma narratives,self-care,self-awareness,and support from colleagues.Consequences were enhanced well-being,changes in life goals,adaptation,personal growth,and increased personal resilience.Currently,there is only one tool in the empirical reference.Conclusion:Interpreting the concept of vicarious resilience in mental health nursing and determining its characteristics can be utilized to design nursing interventions to develop vicarious resilience and enhance the quality of care in mental health facilities.展开更多
The performance of lithium-ion batteries(LIBs)gradually declines over time,making it critical to predict the battery’s state of health(SOH)in real-time.This paper presents a model that incorporates health indicators ...The performance of lithium-ion batteries(LIBs)gradually declines over time,making it critical to predict the battery’s state of health(SOH)in real-time.This paper presents a model that incorporates health indicators and ensemble Gaussian process regression(EGPR)to predict the SOH of LIBs.Firstly,the degradation process of an LIB is analyzed through indirect health indicators(HIs)derived from voltage and temperature during discharge.Next,the parameters in the EGPR model are optimized using the gannet optimization algorithm(GOA),and the EGPR is employed to estimate the SOH of LIBs.Finally,the proposed model is tested under various experimental scenarios and compared with other machine learning models.The effectiveness of EGPR model is demonstrated using the National Aeronautics and Space Administration(NASA)LIB.The root mean square error(RMSE)is maintained within 0.20%,and the mean absolute error(MAE)is below 0.16%,illustrating the proposed approach’s excellent predictive accuracy and wide applicability.展开更多
Sweet potato not only contains primary materials such as dietary fiber, vitamin and soluble protein, but also provides abundant secondary metabolic products which have hygienical functions, like caffeic acid and caffe...Sweet potato not only contains primary materials such as dietary fiber, vitamin and soluble protein, but also provides abundant secondary metabolic products which have hygienical functions, like caffeic acid and caffeoylqinic acid derivatives, and anthocyanins, carotanoids. Many studies showed that many secondary products of sweet potato have hygienical functions as quenching free radicals, antioxidation, and preventing cancer, cardiovascular disease and diabetes. Further understanding of the hygienical functions of components in sweet potato is considered to be one of the important factors for developing new uses of sweet potato.展开更多
This paper cursorily introduced some ideas and approaches of ecosystem health researches. The definition and connotations of forest ecosystem health have also been expatiated. Defining forest ecosystem health has been...This paper cursorily introduced some ideas and approaches of ecosystem health researches. The definition and connotations of forest ecosystem health have also been expatiated. Defining forest ecosystem health has been discussed from the management objective approach, ecosystem approach, and integration approach. To impel the relative researches in China, more attention on the properties of a forest ecosystem should be paid.展开更多
Noroviruses(NoVs) are the main cause of viral gastroenteritis outbreaks worldwide, and oysters are the most common carriers of NoV contamination and transmission. NoVs bind specifically to oyster tissues through histo...Noroviruses(NoVs) are the main cause of viral gastroenteritis outbreaks worldwide, and oysters are the most common carriers of NoV contamination and transmission. NoVs bind specifically to oyster tissues through histo-blood group antigens(HBGAs), and this facilitates virus accumulation and increases virus persistence in oysters. To investigate the interaction of HBGAs in Pacific oysters with GⅡ.4 NoV, we examined HBGAs with ELISAs and investigated binding patterns with oligosaccharide-binding assays using P particles as a model of five GⅡ.4 NoV capsids. The HBGAs in the gut and gills exhibited polymorphisms. In the gut, type A was detected(100%), whereas type Leb(91.67%) and type A(61.11%) were both observed in the gills. Moreover, we found that seasonal NoV gastroenteritis outbreaks were not significantly associated with the specific HBGAs detected in the oyster gut and gills. In the gut, we found that strain-2006 b and strain-96/96 US bound to type A and H1 but only weakly bound to type Leb; in contrast, the Camberwell and Hunter strains exhibited weak binding to types H1 and Ley, and strain-Sakai exhibited no binding to any HBGA type. In the gills, strain-96/96 US and strain-2006 b bound to type Leb but only weakly bound to type H1; strains Camberwell, Hunter, and Sakai did not bind to oyster HBGAs. Assays for oligosaccharide binding to GⅡ.4 NoV P particles showed that strain-95/96 US and strain-2006 b strongly bound to type A, B, H1, Leb, and Ley oligosaccharides, while strains Camberwell and Hunter showed weak binding ability to type H1 and Ley oligosaccharides and strain-Sakai showed weak binding ability to type Leb and Ley oligosaccharides. Our study presents new information and enhances understanding about the mechanism for NoV accumulation in oysters. Further studies of multiple NoV-tissue interactions might assist in identifying new or improved strategies for minimizing contamination, including HBGA-based attachment inhibition or depuration.展开更多
Objective:To identify the effects of health literacy levels on health outcomes in patients with diabetes in a type V health center in Western Jamaica.Method:A correlational survey design with a random sampling techniq...Objective:To identify the effects of health literacy levels on health outcomes in patients with diabetes in a type V health center in Western Jamaica.Method:A correlational survey design with a random sampling technique was used.An 18-item questionnaire and the Newest Vital Sign tool were administered to 88 consenting adults with diabetes to assess their health literacy levels.Their health outcomes were evaluated with docket review.Data were analyzed using SPSS version 18.Results:The participants were predominantly female(77.3%),aged 51-70 years,married(44%),employed(46%),and diagnosed with diabetes>10 years(42%).Only 13.6%of the study population was adequately health literate.The health literacy scores for gender were not significant(P=0.84).The health literacy scores of the patients with different ages and educational levels were significant(P<0.001).Pearson's correlations revealed no linear relationship between health literacy scores and health outcome(r=0.185,P=0.084).Conclusion:Limited health literacy and high likelihood of limited health literacy are predominant in the study population.Age and educational level are significantly associated with health literacy levels.However,these findings suggest no association between health literacy level and diabetic health outcomes.展开更多
Daily average intake of alcohol during pregnancy has consistently been associated with short term adverse outcomes such as miscarriage, preterm birth and intrauterine growth restriction, a large variety of malformatio...Daily average intake of alcohol during pregnancy has consistently been associated with short term adverse outcomes such as miscarriage, preterm birth and intrauterine growth restriction, a large variety of malformations, as well as long term adverse outcomes such as foetal alcohol syndrome, mental retardation and general impairment of cognitive functions including intelligence, attention, learning abilities as well as social and behavioural functions. Weekly average consumption and alcohol binge drinking (usually defined as ≥ 5 drinks on a single occasion) independently of high daily average intake has not been consistently associated with short and long term adverse outcomes. Health authorities in most countries recommend that pregnant women completely abstain from alcohol. Even so, many health professionals including doctors, midwives and nurses do not provide information to pregnant women in accordance with the offcial recommendations, although a large proportion of women of child bearing age and pregnant women drink alcohol, especially before recognition of pregnancy. The discrepancy between guidelines and the information practice of health personnel is likely to continue to exist because guidelines of abstinence are not clearly evidence-based and not in line with current focus on autonomy and informed choice for patients, and because guidelines do not consider the everyday clinical communication situation.展开更多
Objectives:To investigate health literacy profiles using a multidimensional tool in the elderly,analyze the factors related to health literacy,and explore the relationships between health literacy and health-related b...Objectives:To investigate health literacy profiles using a multidimensional tool in the elderly,analyze the factors related to health literacy,and explore the relationships between health literacy and health-related behaviors.Methods:A cross-sectional survey including 440 participants was conducted at a community health center and a village health center in Changsha,Hunan Province,between June 2020 and August 2020.We used the Health Literacy Questionnaire(HLQ)to assess the elderly’s health literacy.Sociodemographic data and health-related behaviors of them were surveyed with a self-designed questionnaire.Latent profile analysis,Pearson’s chi-squared and ordinal logistic regression were used to analyze the data.Results:The median age of the 440 respondents was 68 years.The participants had the lowest scores in the“appraisal of health information”subscale(2.22±0.52),followed by“navigating the healthcare system”subscale(2.89±0.81)of HLQ.Based on the analysis of three profiles,respondents who were 60 e74 years(OR=2.06,95%CI:1.23e3.42,P=0.006),living in urban areas(OR=3.28,95%CI:2.17e4.94,P<0.001),with secondary education or above(OR=2.86,95%CI:1.92e4.27,P<0.001),and having health insurance(OR=1.89,95%CI:1.02e3.51,P=0.042)were significantly associated with health literacy.Statistically significant associations were found between health literacy level and health-related behaviors,including medical service-seeking behavior(χ^(2)=25.14,P<0.001),exercising regularly(χ^(2)=34.08,P<0.001),and taking a medical examination in the past 12 months(χ^(2)=24.76,P<0.001).Conclusion:The multidimensional health literacy survey has identified the low health literacy level among the elderly in community settings.It revealed the relationships of sociodemographic character-istics,including age,education level and residence,with health literacy.These findings emphasized the importance of health literacy in promoting health behaviors,guiding a profound understanding of the Chinese elderly’s health needs and health literacy to develop community-based health promotion interventions.展开更多
In order to improve patient care in the United States there,the government made a mandate called HIE(Health Information Exchange).This order was created from the belief that sharing digital health in-formation between...In order to improve patient care in the United States there,the government made a mandate called HIE(Health Information Exchange).This order was created from the belief that sharing digital health in-formation between,across,and within health communities will improve one's healthcare experience across their lifespan.Patient health information,i.e.the personal health record,should be shareable between healthcare providers;such as private practice physicians,home health agencies,hospitals and nursing care facilities.Most of the U.S.hospitals now have electronic health records,however,with a lack of standards for structuring health information and unified communication protocols to share health information across providers,only a small percentage of U.S.hospitals engage in computerized HIE.In order to understand barriers and facilitators in the U.S.of HIE adoption,we reviewed the published research literature between 2010 and 2015.Our search yielded 664 articles from Medline,PsychInfo,Global health,InSpec,Scopus and Business Source Complete databases.Thirty-nine articles met our inclusion criteria.This article presents the compiled organizational and end user barriers and facilitators along with suggested methods to achieve continuity of care through HIE.展开更多
Objectives:To describe the characteristics and relationships of social isolation and health promoting behaviors of Chinese older adults with different health statuses.Methods:Totally 485 older adults were recruited.Th...Objectives:To describe the characteristics and relationships of social isolation and health promoting behaviors of Chinese older adults with different health statuses.Methods:Totally 485 older adults were recruited.They were divided into three groups based on their health status:healthy group(n=72),group with one disease(n=183)and group with multimorbidity(n=230).Lubben Social Network Scale-6 and Health-Promoting Lifestyle Profile II were used to measure their social isolation and health-promoting behaviors,respectively.Results:Among the aged with one disease or multimorbidity,30.6%(56/183)and 31.7%(73/230)were socially isolated,respectively,based on the score of the Lubben Social Network Scale-6.The three groups differed significantly in health-promoting behaviors and scores on several subscales.The group with multimorbidity exhibited more social isolation and fewer health-promoting behaviors than other groups.Social isolation was among the factors adversely affecting health-promoting behaviors in older adults.Conclusions:Health care providers should help older adults with multimorbidity preserve the remaining abilities to improve health-promoting behaviors.Meanwhile,it is important to support healthy older adults to increase self-responsibility to achieve healthy aging.展开更多
Diabetes is a leading chronic disease of childhood and adolescence. In addition to the well-known auto-immune, insulin-dependent diabetes mellitus (type 1 diabetes (T 1D)), the past two decades have witnessed the ...Diabetes is a leading chronic disease of childhood and adolescence. In addition to the well-known auto-immune, insulin-dependent diabetes mellitus (type 1 diabetes (T 1D)), the past two decades have witnessed the emergence of type 2 diabetes (T2D) in children and adolescents, which previously was only seen in middle-aged or older adults. One of the key components of diabetes management is physical activity (PA). The beneficial effects of increased PA and decreased sedentary behavior are extremely important in youth with diabetes because of the markedly increased long-term risk of cardiovascular disease in this population compared to persons without diabetes. This review aims to comprehensively summarize the epidemiologic, observational research published and listed in PubMed between 1970 and 2012 on PA and sedentary behaviors, as well as physical fitness in children and adolescents with T1D and T2D. Additionally, we describe briefly the state of knowledge on perceived barriers of PA in persons with diabetes, with a focus on hypoglycemia. Finally, we provide an overview of the epidemiological literature pertaining to health benefits of increased PA in youth with TID and T2D and briefly discuss the topic of exercise-related hypoglycemia, Copyright ~ 2012, Shanghai University of Sport. Production and hosting by Elsevier B.V. All rights reserved.展开更多
Objective:Individuals travel locally and internationally in order to find alternative treatments which are less-toxic and more beneficial to their health and wellness.Despite the popularity of the western system of me...Objective:Individuals travel locally and internationally in order to find alternative treatments which are less-toxic and more beneficial to their health and wellness.Despite the popularity of the western system of medicine,cupping therapies are gaining enormous attention in Pakistan as a system of traditional and complementary medicine to ensure the quality of life and wellness notions of the people.The present study aims to examine the effectiveness of dry cupping therapy(DCT)on the health,wellness,and quality of life preferences of health-seeking travelers in a sample of Faisalabad.Methods:DCT was performed for 15-20 minutes on subjects by using 3-5 disposable cupping glasses.Study participants filled the questionnaires before and after DCT interventions.Partial least square structural equation modeling technique is used in order to statistically analyze the data.Results:A total of 187 subjects participated in two DCT interventions at Coural Wellness Center Faisalabad and provided their final responses after 30 days from 2nd DCT.Respondents’perceptions of their physical feelings were generally found in a significantly positive and direct relation with DCT and health status(HS),i.e.,body pain(β=0.019),vitality(β=0.138),and bodily movement(β=0.207).This trend was observed in the psychological feelings of respondents as well,i.e.,emotional feelings(β=0.169).DCT significantly mediated the overall phenomenon and variance account for values were found between 20%and 80%for all the study constructs.The scores of all the health and wellness items on the questionnaire were significantly improved in 79.68%of studied participants after 1st and 2nd DCT interventions except for social functioning.Conclusion:Findings of the present study suggest that DCT has an important role in determining the health perceptions and HS of health travelers without potential side-effects.It can improve the health and overall quality of life of the people by positively influencing their physical and psychological health perceptions.It additionally leads to improve travelers’emotion,behavior,and other daily matters.展开更多
The Universal Declaration of Human Rights refers to the human right to health and well-being including medical care, but for the majority of people whom are not covered by health insurance this is better said than don...The Universal Declaration of Human Rights refers to the human right to health and well-being including medical care, but for the majority of people whom are not covered by health insurance this is better said than done. Ensuring the access of all citizens to the needed medical care requires the provision of health insurance coverage to a population pool and gradually expanding the pool to the whole nation. The ethical perspective of pooling resources across various groups of people with different levels of income and different health risks associated with age, genetics, and lifestyle, may raise the issue of individual autonomy versus social solidarity. Governmental, social, private, and community-based healthcare coverage have been used in different countries with varying details in the sources of funding, pooling of contributions, and the purchase of the covered healthcare services; these models have had varying levels of success depending on not only the availability of funds, but also on the political commitment of the state and the social solidarity and cultural attitude of the population towards universal healthcare. Therefore, universal healthcare requires not only a certain level of economic development, but also a strong sense of solidarity among the people as well as a political commitment in their government. I argue that the statement regarding the right to health, well-being, and medical care needs to be rethought, and instead universal access to essential healthcare should be regarded as a basic human right.展开更多
Acquired hemophilia A (AHA) is a rare, hemorrhagic autoimmune disease, whose pathogenesis involves reduced coagulation factor Ⅷ (FⅧ) activity related to the appearance of inhibitors against FⅧ. Common etiologic...Acquired hemophilia A (AHA) is a rare, hemorrhagic autoimmune disease, whose pathogenesis involves reduced coagulation factor Ⅷ (FⅧ) activity related to the appearance of inhibitors against FⅧ. Common etiological factors include autoimmune diseases, ma-lignancy, and pregnancy. We report two cases of AHA in solid cancer. The first case is a 63-year-old man who developed peritoneal and intestinal bleeding after gastrectomy for gastric cancer. He was diagnosed with AHA, and was treated with prednisone, followed by cyclophosphamide. In the second case, a 68-year-old man developed a subcutaneous hemorrhage. He was diagnosed with AHA in hepatocellular carcinoma on CT imaging, and treated with rituximab alone. Hemostasis was achieved for both patients without bypassing agents as the amount of inhibitors was reduced and eradicated. However, both patients died within 1 yeardue to cancer progression. Successful treatment for AHA in solid cancer can be diffcult because treatment of the underlying malignancy is also required.展开更多
Intrapartum fetal monitoring has been criticized for the lack of evidence of improvement in fetal outcome despite causing increased operative intervention. Paradoxically, cardiotocography (CTG) has been a major driv...Intrapartum fetal monitoring has been criticized for the lack of evidence of improvement in fetal outcome despite causing increased operative intervention. Paradoxically, cardiotocography (CTG) has been a major driver for litigation for neonatal neurological injury. This analytical review tries to explore why extensive clinical studies and trials over 50 years have failed to demonstrate or bring about signifcant improvement in intrapartum fetal monitoring. There seems a need for significant reform. International congruence on most aspects of CTG interpretation [defnitions of fetal heart rate (FHR) parameters, CTG recording speed, 3-tier systems, etc .] is highly desirable to facilitate future meaningful clinical studies, evaluation and progress in this field. The FHR changes are non-specific and poor surrogate for fetal well-being. As a compromise for maintaining low false-negative results for fetal acidemia, a high false-positive value may have to be accepted. The need for redefning the place of adjuvant tests of fetal well-being like fetal blood sampling or fetal electrocardiography (ECG) is discussed. The FHR decelerations are often deterministic (center-stage) in CTG interpretation and 3-tier categorization. It is discussed if their scientifc and physiological classifcation (avoiding framing and confirmation biases) may be best based on time relationship to uterine contractions alone. This may provide a more sound foundation which could improve the reliability and further evolution of 3-tier systems. Results of several trials of fetal ECG (STAN) have been inconclusive and a need for a fresh approach or strategy is considered. It is hoped that the long anticipated Computer-aided analysis of CTG will be more objective and reliable (overcome human factors) and will offer valuable support or may eventually replace visual CTG interpretation. In any case, the recording and archiving all CTGs digitally and testing cord blood gases routinely in every delivery would be highly desirable for future research. This would facilitate well designed retrospective studies which can be very informative especially when prospective randomised controlled trials are often diffcult and resource-intensive.展开更多
The present paper is aimed to better illustrate the possible association between a particular extremely weak field, the air ions, and the human health response to this solicitation. Methods and instruments for this ki...The present paper is aimed to better illustrate the possible association between a particular extremely weak field, the air ions, and the human health response to this solicitation. Methods and instruments for this kind of analysis are here given in the form of a project: a "Ions meter", to reveal and characterize the properties of the air ions, and "APEC 300", an advanced electronic device, both instruments are with a HPR (high power of resolution). APEC 300 can give the response to the possible health effects by measurements of two electrocuteaneous parameter: the potential level and the impedance. The power of resolution of APEC 300 is much higher than that of other usual devices, for instance, the EAV ones (electroacupuncture), this instrument will be completely ready within few weeks.展开更多
The purpose of this paper is utilizing quasi-experimental study to evaluate the educational value of a documentary film for transitional care about children dental health management The method used in this study is a ...The purpose of this paper is utilizing quasi-experimental study to evaluate the educational value of a documentary film for transitional care about children dental health management The method used in this study is a pre-post survey among nurse viewers. The study was completed over a 12-month period. In the experimental group, when the nurses watched the documentary film, they evaluated the documentary film highly and reported an intention to change their transitional care practice and mind as a result of watching the documentary film. Following viewing, children and their parents felt more strongly that "children with dental problems should meet with a nurse early" and that "transitional care greatly impacts children oral health". As a result, a documentary film about oral transitional care is an effective educational tool to improve nurses' transitional care awareness among children about the importance and needs of children. The results suggest that if significant modifications are obtained, this approach can be an efficient way applicable to other contexts of patient care.展开更多
In this paper, healthy functions and mechanisms of bamboo-charcoal modified polyesters are studied. The results show that there are five healthy functions incorporated effectively in bamboo-charcoal modified polyester...In this paper, healthy functions and mechanisms of bamboo-charcoal modified polyesters are studied. The results show that there are five healthy functions incorporated effectively in bamboo-charcoal modified polyesters, such as good far-infrared radiation, good UV protection, certain negative ion emission, certain antibacteria and good absorption functions. The metal elements and carburets are mainly responsible for far-infrared, negative ion emission functions. UV prevent/on function results mainly from the carbon elements. The absorbability and bacteriostasis functions lie in the porous structures.展开更多
In more recent times, health-related quality of life (HRQOL) measurements have formed an important part of as- sessing the quality of routine care in general practice. For a measure to have clinical usefulness it must...In more recent times, health-related quality of life (HRQOL) measurements have formed an important part of as- sessing the quality of routine care in general practice. For a measure to have clinical usefulness it must not only be valid, appro- priate, reliable, responsive, and capable of being interpreted, but it must also be simple, fast to complete, easy to score, and provide useful clinical data. The Two-step method of choosing appropriate measures is introduced. Then through comparison of generic instruments with disease-specific instruments, we can conclude that sometimes a combination of generic and disease-specific HRQOL measures may be more appropriate for monitoring changes in a patient’s health status due to an intervention.展开更多
Purpose: The present study aimed to investigate the relationship between different types of sport expertise (externally-paced vs. self-paced sports) and vigilance performance in children by evaluating the cardiovas...Purpose: The present study aimed to investigate the relationship between different types of sport expertise (externally-paced vs. self-paced sports) and vigilance performance in children by evaluating the cardiovascular fitness level of the participants. Methods: Three groups of children (11.0 ± 0.2 years) differentiated in terms of their regular sport participation (football players, n = 20; track and field athletes, n = 20; non-athletic controls, n = 20) took part in the study. In one session, participants performed the Leger Multi-stage fitness test to estimate their aerobic fitness level. In another session, participants completed the Psychomotor Vigilance Task (PVT) to evaluate their vigilance performance under 2 conditions of velocity demands (normal vs. speed). Results: The results revealed that both groups of sport practitioners had higher cardiovascular fitness than non-athlete controls. In contrast, no significant differences in the performance PVT were found between track and field athletes and controls. Crucially, football players showed better performance in the PVT than track and field athletes and controls. These between-group differences were not modulated by the speed demands of the task. Conclusion: The major novel finding of this research points to a positive relationship between sport participation and vigilance performance during childhood. We discuss our results in terms of the different hypotheses put forward in the literature to explain the relationship between regular exercise and cognitive fimctioning: the "cardiovascular fitness" and the "cognitive component skills" hypotheses.2018 Published by Elsevier B.V. on behalf of Shanghai University of Sport. This is an open access article under the CC BY-NC-ND license. (http://creativecommons.org/licenses/by-nc-nd/4.0/).展开更多
基金This research did not receive any specific grant from funding agencies in the public,commercial,or not-for-profit sectors.
文摘Objective:The introduction of the vicarious resilience concept in psychology and mental health nursing literature is a highly promising advancement.By utilizing this novel concept,experts in various domains can enhance their comprehension of how to foster resilience in individuals by observing and learning from the resilience of others.This concept analysis aims to elucidate the concept of vicarious resilience in mental health nursing by defining its related attributes,antecedents,and consequences.Methods:Walker and Avant’s strategy for concept analysis method was used.This review specifically examined mental health nurse providers.A comprehensive literature search was performed in the PubMed,Medline,the Cochrane Library,and CINAHL databases.The inclusion criterion was Englishlanguage documents on vicarious resilience within mental health nursing.Results:A total of 24 articles were included.The concept’s attributes were empathy,hope,resourcefulness,awareness,and spirituality.Antecedents were associated with listening to patients’trauma narratives,self-care,self-awareness,and support from colleagues.Consequences were enhanced well-being,changes in life goals,adaptation,personal growth,and increased personal resilience.Currently,there is only one tool in the empirical reference.Conclusion:Interpreting the concept of vicarious resilience in mental health nursing and determining its characteristics can be utilized to design nursing interventions to develop vicarious resilience and enhance the quality of care in mental health facilities.
基金supported by Fundamental Research Program of Shanxi Province(No.202203021211088)Shanxi Provincial Natural Science Foundation(No.202204021301049).
文摘The performance of lithium-ion batteries(LIBs)gradually declines over time,making it critical to predict the battery’s state of health(SOH)in real-time.This paper presents a model that incorporates health indicators and ensemble Gaussian process regression(EGPR)to predict the SOH of LIBs.Firstly,the degradation process of an LIB is analyzed through indirect health indicators(HIs)derived from voltage and temperature during discharge.Next,the parameters in the EGPR model are optimized using the gannet optimization algorithm(GOA),and the EGPR is employed to estimate the SOH of LIBs.Finally,the proposed model is tested under various experimental scenarios and compared with other machine learning models.The effectiveness of EGPR model is demonstrated using the National Aeronautics and Space Administration(NASA)LIB.The root mean square error(RMSE)is maintained within 0.20%,and the mean absolute error(MAE)is below 0.16%,illustrating the proposed approach’s excellent predictive accuracy and wide applicability.
文摘Sweet potato not only contains primary materials such as dietary fiber, vitamin and soluble protein, but also provides abundant secondary metabolic products which have hygienical functions, like caffeic acid and caffeoylqinic acid derivatives, and anthocyanins, carotanoids. Many studies showed that many secondary products of sweet potato have hygienical functions as quenching free radicals, antioxidation, and preventing cancer, cardiovascular disease and diabetes. Further understanding of the hygienical functions of components in sweet potato is considered to be one of the important factors for developing new uses of sweet potato.
基金This study was supported by the National Natural Science Foundation of China (30170744) Chinese Academy of Sciences (A grant KZCX2-406) and Changbai Mountain Open Research Station.
文摘This paper cursorily introduced some ideas and approaches of ecosystem health researches. The definition and connotations of forest ecosystem health have also been expatiated. Defining forest ecosystem health has been discussed from the management objective approach, ecosystem approach, and integration approach. To impel the relative researches in China, more attention on the properties of a forest ecosystem should be paid.
基金Supported by the National Natural Science Foundation of China(No.31471663)the Qingdao Postdoctoral Application Research Project
文摘Noroviruses(NoVs) are the main cause of viral gastroenteritis outbreaks worldwide, and oysters are the most common carriers of NoV contamination and transmission. NoVs bind specifically to oyster tissues through histo-blood group antigens(HBGAs), and this facilitates virus accumulation and increases virus persistence in oysters. To investigate the interaction of HBGAs in Pacific oysters with GⅡ.4 NoV, we examined HBGAs with ELISAs and investigated binding patterns with oligosaccharide-binding assays using P particles as a model of five GⅡ.4 NoV capsids. The HBGAs in the gut and gills exhibited polymorphisms. In the gut, type A was detected(100%), whereas type Leb(91.67%) and type A(61.11%) were both observed in the gills. Moreover, we found that seasonal NoV gastroenteritis outbreaks were not significantly associated with the specific HBGAs detected in the oyster gut and gills. In the gut, we found that strain-2006 b and strain-96/96 US bound to type A and H1 but only weakly bound to type Leb; in contrast, the Camberwell and Hunter strains exhibited weak binding to types H1 and Ley, and strain-Sakai exhibited no binding to any HBGA type. In the gills, strain-96/96 US and strain-2006 b bound to type Leb but only weakly bound to type H1; strains Camberwell, Hunter, and Sakai did not bind to oyster HBGAs. Assays for oligosaccharide binding to GⅡ.4 NoV P particles showed that strain-95/96 US and strain-2006 b strongly bound to type A, B, H1, Leb, and Ley oligosaccharides, while strains Camberwell and Hunter showed weak binding ability to type H1 and Ley oligosaccharides and strain-Sakai showed weak binding ability to type Leb and Ley oligosaccharides. Our study presents new information and enhances understanding about the mechanism for NoV accumulation in oysters. Further studies of multiple NoV-tissue interactions might assist in identifying new or improved strategies for minimizing contamination, including HBGA-based attachment inhibition or depuration.
基金This research did not receive any specific grant from funding agencies in the public,commercial,or non-profit sectors
文摘Objective:To identify the effects of health literacy levels on health outcomes in patients with diabetes in a type V health center in Western Jamaica.Method:A correlational survey design with a random sampling technique was used.An 18-item questionnaire and the Newest Vital Sign tool were administered to 88 consenting adults with diabetes to assess their health literacy levels.Their health outcomes were evaluated with docket review.Data were analyzed using SPSS version 18.Results:The participants were predominantly female(77.3%),aged 51-70 years,married(44%),employed(46%),and diagnosed with diabetes>10 years(42%).Only 13.6%of the study population was adequately health literate.The health literacy scores for gender were not significant(P=0.84).The health literacy scores of the patients with different ages and educational levels were significant(P<0.001).Pearson's correlations revealed no linear relationship between health literacy scores and health outcome(r=0.185,P=0.084).Conclusion:Limited health literacy and high likelihood of limited health literacy are predominant in the study population.Age and educational level are significantly associated with health literacy levels.However,these findings suggest no association between health literacy level and diabetic health outcomes.
文摘Daily average intake of alcohol during pregnancy has consistently been associated with short term adverse outcomes such as miscarriage, preterm birth and intrauterine growth restriction, a large variety of malformations, as well as long term adverse outcomes such as foetal alcohol syndrome, mental retardation and general impairment of cognitive functions including intelligence, attention, learning abilities as well as social and behavioural functions. Weekly average consumption and alcohol binge drinking (usually defined as ≥ 5 drinks on a single occasion) independently of high daily average intake has not been consistently associated with short and long term adverse outcomes. Health authorities in most countries recommend that pregnant women completely abstain from alcohol. Even so, many health professionals including doctors, midwives and nurses do not provide information to pregnant women in accordance with the offcial recommendations, although a large proportion of women of child bearing age and pregnant women drink alcohol, especially before recognition of pregnancy. The discrepancy between guidelines and the information practice of health personnel is likely to continue to exist because guidelines of abstinence are not clearly evidence-based and not in line with current focus on autonomy and informed choice for patients, and because guidelines do not consider the everyday clinical communication situation.
基金funded with the Hunan Key Laboratory Platform for Nursing(2017TP1004)。
文摘Objectives:To investigate health literacy profiles using a multidimensional tool in the elderly,analyze the factors related to health literacy,and explore the relationships between health literacy and health-related behaviors.Methods:A cross-sectional survey including 440 participants was conducted at a community health center and a village health center in Changsha,Hunan Province,between June 2020 and August 2020.We used the Health Literacy Questionnaire(HLQ)to assess the elderly’s health literacy.Sociodemographic data and health-related behaviors of them were surveyed with a self-designed questionnaire.Latent profile analysis,Pearson’s chi-squared and ordinal logistic regression were used to analyze the data.Results:The median age of the 440 respondents was 68 years.The participants had the lowest scores in the“appraisal of health information”subscale(2.22±0.52),followed by“navigating the healthcare system”subscale(2.89±0.81)of HLQ.Based on the analysis of three profiles,respondents who were 60 e74 years(OR=2.06,95%CI:1.23e3.42,P=0.006),living in urban areas(OR=3.28,95%CI:2.17e4.94,P<0.001),with secondary education or above(OR=2.86,95%CI:1.92e4.27,P<0.001),and having health insurance(OR=1.89,95%CI:1.02e3.51,P=0.042)were significantly associated with health literacy.Statistically significant associations were found between health literacy level and health-related behaviors,including medical service-seeking behavior(χ^(2)=25.14,P<0.001),exercising regularly(χ^(2)=34.08,P<0.001),and taking a medical examination in the past 12 months(χ^(2)=24.76,P<0.001).Conclusion:The multidimensional health literacy survey has identified the low health literacy level among the elderly in community settings.It revealed the relationships of sociodemographic character-istics,including age,education level and residence,with health literacy.These findings emphasized the importance of health literacy in promoting health behaviors,guiding a profound understanding of the Chinese elderly’s health needs and health literacy to develop community-based health promotion interventions.
文摘In order to improve patient care in the United States there,the government made a mandate called HIE(Health Information Exchange).This order was created from the belief that sharing digital health in-formation between,across,and within health communities will improve one's healthcare experience across their lifespan.Patient health information,i.e.the personal health record,should be shareable between healthcare providers;such as private practice physicians,home health agencies,hospitals and nursing care facilities.Most of the U.S.hospitals now have electronic health records,however,with a lack of standards for structuring health information and unified communication protocols to share health information across providers,only a small percentage of U.S.hospitals engage in computerized HIE.In order to understand barriers and facilitators in the U.S.of HIE adoption,we reviewed the published research literature between 2010 and 2015.Our search yielded 664 articles from Medline,PsychInfo,Global health,InSpec,Scopus and Business Source Complete databases.Thirty-nine articles met our inclusion criteria.This article presents the compiled organizational and end user barriers and facilitators along with suggested methods to achieve continuity of care through HIE.
文摘Objectives:To describe the characteristics and relationships of social isolation and health promoting behaviors of Chinese older adults with different health statuses.Methods:Totally 485 older adults were recruited.They were divided into three groups based on their health status:healthy group(n=72),group with one disease(n=183)and group with multimorbidity(n=230).Lubben Social Network Scale-6 and Health-Promoting Lifestyle Profile II were used to measure their social isolation and health-promoting behaviors,respectively.Results:Among the aged with one disease or multimorbidity,30.6%(56/183)and 31.7%(73/230)were socially isolated,respectively,based on the score of the Lubben Social Network Scale-6.The three groups differed significantly in health-promoting behaviors and scores on several subscales.The group with multimorbidity exhibited more social isolation and fewer health-promoting behaviors than other groups.Social isolation was among the factors adversely affecting health-promoting behaviors in older adults.Conclusions:Health care providers should help older adults with multimorbidity preserve the remaining abilities to improve health-promoting behaviors.Meanwhile,it is important to support healthy older adults to increase self-responsibility to achieve healthy aging.
文摘Diabetes is a leading chronic disease of childhood and adolescence. In addition to the well-known auto-immune, insulin-dependent diabetes mellitus (type 1 diabetes (T 1D)), the past two decades have witnessed the emergence of type 2 diabetes (T2D) in children and adolescents, which previously was only seen in middle-aged or older adults. One of the key components of diabetes management is physical activity (PA). The beneficial effects of increased PA and decreased sedentary behavior are extremely important in youth with diabetes because of the markedly increased long-term risk of cardiovascular disease in this population compared to persons without diabetes. This review aims to comprehensively summarize the epidemiologic, observational research published and listed in PubMed between 1970 and 2012 on PA and sedentary behaviors, as well as physical fitness in children and adolescents with T1D and T2D. Additionally, we describe briefly the state of knowledge on perceived barriers of PA in persons with diabetes, with a focus on hypoglycemia. Finally, we provide an overview of the epidemiological literature pertaining to health benefits of increased PA in youth with TID and T2D and briefly discuss the topic of exercise-related hypoglycemia, Copyright ~ 2012, Shanghai University of Sport. Production and hosting by Elsevier B.V. All rights reserved.
文摘Objective:Individuals travel locally and internationally in order to find alternative treatments which are less-toxic and more beneficial to their health and wellness.Despite the popularity of the western system of medicine,cupping therapies are gaining enormous attention in Pakistan as a system of traditional and complementary medicine to ensure the quality of life and wellness notions of the people.The present study aims to examine the effectiveness of dry cupping therapy(DCT)on the health,wellness,and quality of life preferences of health-seeking travelers in a sample of Faisalabad.Methods:DCT was performed for 15-20 minutes on subjects by using 3-5 disposable cupping glasses.Study participants filled the questionnaires before and after DCT interventions.Partial least square structural equation modeling technique is used in order to statistically analyze the data.Results:A total of 187 subjects participated in two DCT interventions at Coural Wellness Center Faisalabad and provided their final responses after 30 days from 2nd DCT.Respondents’perceptions of their physical feelings were generally found in a significantly positive and direct relation with DCT and health status(HS),i.e.,body pain(β=0.019),vitality(β=0.138),and bodily movement(β=0.207).This trend was observed in the psychological feelings of respondents as well,i.e.,emotional feelings(β=0.169).DCT significantly mediated the overall phenomenon and variance account for values were found between 20%and 80%for all the study constructs.The scores of all the health and wellness items on the questionnaire were significantly improved in 79.68%of studied participants after 1st and 2nd DCT interventions except for social functioning.Conclusion:Findings of the present study suggest that DCT has an important role in determining the health perceptions and HS of health travelers without potential side-effects.It can improve the health and overall quality of life of the people by positively influencing their physical and psychological health perceptions.It additionally leads to improve travelers’emotion,behavior,and other daily matters.
文摘The Universal Declaration of Human Rights refers to the human right to health and well-being including medical care, but for the majority of people whom are not covered by health insurance this is better said than done. Ensuring the access of all citizens to the needed medical care requires the provision of health insurance coverage to a population pool and gradually expanding the pool to the whole nation. The ethical perspective of pooling resources across various groups of people with different levels of income and different health risks associated with age, genetics, and lifestyle, may raise the issue of individual autonomy versus social solidarity. Governmental, social, private, and community-based healthcare coverage have been used in different countries with varying details in the sources of funding, pooling of contributions, and the purchase of the covered healthcare services; these models have had varying levels of success depending on not only the availability of funds, but also on the political commitment of the state and the social solidarity and cultural attitude of the population towards universal healthcare. Therefore, universal healthcare requires not only a certain level of economic development, but also a strong sense of solidarity among the people as well as a political commitment in their government. I argue that the statement regarding the right to health, well-being, and medical care needs to be rethought, and instead universal access to essential healthcare should be regarded as a basic human right.
文摘Acquired hemophilia A (AHA) is a rare, hemorrhagic autoimmune disease, whose pathogenesis involves reduced coagulation factor Ⅷ (FⅧ) activity related to the appearance of inhibitors against FⅧ. Common etiological factors include autoimmune diseases, ma-lignancy, and pregnancy. We report two cases of AHA in solid cancer. The first case is a 63-year-old man who developed peritoneal and intestinal bleeding after gastrectomy for gastric cancer. He was diagnosed with AHA, and was treated with prednisone, followed by cyclophosphamide. In the second case, a 68-year-old man developed a subcutaneous hemorrhage. He was diagnosed with AHA in hepatocellular carcinoma on CT imaging, and treated with rituximab alone. Hemostasis was achieved for both patients without bypassing agents as the amount of inhibitors was reduced and eradicated. However, both patients died within 1 yeardue to cancer progression. Successful treatment for AHA in solid cancer can be diffcult because treatment of the underlying malignancy is also required.
文摘Intrapartum fetal monitoring has been criticized for the lack of evidence of improvement in fetal outcome despite causing increased operative intervention. Paradoxically, cardiotocography (CTG) has been a major driver for litigation for neonatal neurological injury. This analytical review tries to explore why extensive clinical studies and trials over 50 years have failed to demonstrate or bring about signifcant improvement in intrapartum fetal monitoring. There seems a need for significant reform. International congruence on most aspects of CTG interpretation [defnitions of fetal heart rate (FHR) parameters, CTG recording speed, 3-tier systems, etc .] is highly desirable to facilitate future meaningful clinical studies, evaluation and progress in this field. The FHR changes are non-specific and poor surrogate for fetal well-being. As a compromise for maintaining low false-negative results for fetal acidemia, a high false-positive value may have to be accepted. The need for redefning the place of adjuvant tests of fetal well-being like fetal blood sampling or fetal electrocardiography (ECG) is discussed. The FHR decelerations are often deterministic (center-stage) in CTG interpretation and 3-tier categorization. It is discussed if their scientifc and physiological classifcation (avoiding framing and confirmation biases) may be best based on time relationship to uterine contractions alone. This may provide a more sound foundation which could improve the reliability and further evolution of 3-tier systems. Results of several trials of fetal ECG (STAN) have been inconclusive and a need for a fresh approach or strategy is considered. It is hoped that the long anticipated Computer-aided analysis of CTG will be more objective and reliable (overcome human factors) and will offer valuable support or may eventually replace visual CTG interpretation. In any case, the recording and archiving all CTGs digitally and testing cord blood gases routinely in every delivery would be highly desirable for future research. This would facilitate well designed retrospective studies which can be very informative especially when prospective randomised controlled trials are often diffcult and resource-intensive.
文摘The present paper is aimed to better illustrate the possible association between a particular extremely weak field, the air ions, and the human health response to this solicitation. Methods and instruments for this kind of analysis are here given in the form of a project: a "Ions meter", to reveal and characterize the properties of the air ions, and "APEC 300", an advanced electronic device, both instruments are with a HPR (high power of resolution). APEC 300 can give the response to the possible health effects by measurements of two electrocuteaneous parameter: the potential level and the impedance. The power of resolution of APEC 300 is much higher than that of other usual devices, for instance, the EAV ones (electroacupuncture), this instrument will be completely ready within few weeks.
文摘The purpose of this paper is utilizing quasi-experimental study to evaluate the educational value of a documentary film for transitional care about children dental health management The method used in this study is a pre-post survey among nurse viewers. The study was completed over a 12-month period. In the experimental group, when the nurses watched the documentary film, they evaluated the documentary film highly and reported an intention to change their transitional care practice and mind as a result of watching the documentary film. Following viewing, children and their parents felt more strongly that "children with dental problems should meet with a nurse early" and that "transitional care greatly impacts children oral health". As a result, a documentary film about oral transitional care is an effective educational tool to improve nurses' transitional care awareness among children about the importance and needs of children. The results suggest that if significant modifications are obtained, this approach can be an efficient way applicable to other contexts of patient care.
文摘In this paper, healthy functions and mechanisms of bamboo-charcoal modified polyesters are studied. The results show that there are five healthy functions incorporated effectively in bamboo-charcoal modified polyesters, such as good far-infrared radiation, good UV protection, certain negative ion emission, certain antibacteria and good absorption functions. The metal elements and carburets are mainly responsible for far-infrared, negative ion emission functions. UV prevent/on function results mainly from the carbon elements. The absorbability and bacteriostasis functions lie in the porous structures.
文摘In more recent times, health-related quality of life (HRQOL) measurements have formed an important part of as- sessing the quality of routine care in general practice. For a measure to have clinical usefulness it must not only be valid, appro- priate, reliable, responsive, and capable of being interpreted, but it must also be simple, fast to complete, easy to score, and provide useful clinical data. The Two-step method of choosing appropriate measures is introduced. Then through comparison of generic instruments with disease-specific instruments, we can conclude that sometimes a combination of generic and disease-specific HRQOL measures may be more appropriate for monitoring changes in a patient’s health status due to an intervention.
基金supported by a Spanish Ministerio de Educacion y Cultura predoctoral grant(FPU13-05605)to RBproject research grants:Junta de Andalucia Proyecto de Excelencia(SEJ-6414)+1 种基金Ministerio de Economía y Competitividad(PSI2013-46385)to DS and FHMinisterio de Economia y Competitividad(PSI2016-75956-P)to DS
文摘Purpose: The present study aimed to investigate the relationship between different types of sport expertise (externally-paced vs. self-paced sports) and vigilance performance in children by evaluating the cardiovascular fitness level of the participants. Methods: Three groups of children (11.0 ± 0.2 years) differentiated in terms of their regular sport participation (football players, n = 20; track and field athletes, n = 20; non-athletic controls, n = 20) took part in the study. In one session, participants performed the Leger Multi-stage fitness test to estimate their aerobic fitness level. In another session, participants completed the Psychomotor Vigilance Task (PVT) to evaluate their vigilance performance under 2 conditions of velocity demands (normal vs. speed). Results: The results revealed that both groups of sport practitioners had higher cardiovascular fitness than non-athlete controls. In contrast, no significant differences in the performance PVT were found between track and field athletes and controls. Crucially, football players showed better performance in the PVT than track and field athletes and controls. These between-group differences were not modulated by the speed demands of the task. Conclusion: The major novel finding of this research points to a positive relationship between sport participation and vigilance performance during childhood. We discuss our results in terms of the different hypotheses put forward in the literature to explain the relationship between regular exercise and cognitive fimctioning: the "cardiovascular fitness" and the "cognitive component skills" hypotheses.2018 Published by Elsevier B.V. on behalf of Shanghai University of Sport. This is an open access article under the CC BY-NC-ND license. (http://creativecommons.org/licenses/by-nc-nd/4.0/).