Yihui1577 was bred after over 10 generations by crossing R16 and Yunan purple rice. Many new hybrid rice varieties have been bred with Yihui1577, of which Gangyou1577. Ilyou1577, Nyou1577 and Yixiang1577 were certifie...Yihui1577 was bred after over 10 generations by crossing R16 and Yunan purple rice. Many new hybrid rice varieties have been bred with Yihui1577, of which Gangyou1577. Ilyou1577, Nyou1577 and Yixiang1577 were certified by Sichuan Crop Variety Release Committee, Gangyou1577 and Yixiang1577 were certified by National Crop Variety Release Committee. The series varieties bred with Yihui1577 have been used widely with accumulated area of 1,200,000 ha. By using Yihui1577 as breeding material, an excellent restore line Yihui3003 and some other restore lines, such as Yihui1979 and Yihui315 with good quality and combination ability have been bred. Analysis of combination ability and stability of restore line Yihui1577 was made by using agricultural experimentation and statistical approach. The combination ability analysis was made by not complete dual crossing method with 4 CMS lines and 6 restorer lines. It shows that the general combination ability effect value of Yihui1577 is 0.226, while Minghui63 is -0.113. So the general combination ability of Yihui1577 is prior to that of Minghui63. Stability analysis shows that the F value of Gangyou1577 is 1.81378, while Sanyou63 is 1.40327, both doesn't reach significant level. So Gangyou1577 has the same stability as Sanyou63.The same conclusion is got in the stability analysis of the breeds of II you 1577, Yixiang1577, Nyou 1577 and so on.展开更多
To develop a HPIX-UV-MS method for identifying the constituents in theChinese drug Notoginseng (the root of Panax notoginseng). Methods A Phenomenex Luna C_(18) column(250 mm x 4.6 mm ID, 5 μm) was utilized. Water co...To develop a HPIX-UV-MS method for identifying the constituents in theChinese drug Notoginseng (the root of Panax notoginseng). Methods A Phenomenex Luna C_(18) column(250 mm x 4.6 mm ID, 5 μm) was utilized. Water containing 0.005% formic acid (A) and acetonitrilecontaining 0.005% formic acid (B) were used as gradient eluents. UV spectra were recorded in range195 - 400 nm. Both positive and negative ion ESI modes were used. Results The constituents inNotoginseng were well separated and detected. Fourteen compounds were identified by comparing theirretention time and ESI-MS data with those obtained from the reference compounds. Forty-one compoundswere deduced by data analysis of MS and literature; among them, yesanchinosides-H and -E,chikusetsusaponin-L_5, malonyl-ginsenoside-R_(g_1), the isomers of notoginsenosides-J, -A, -R_1, -G,-R_2, and ginsenoside-Rh_3 were discovered in Notoginseng for the first time. Conclusion Thismethod gives high sensitivity and good separation, and is suitable for identifying the constituentsin Notoginseng. This result is helpful for further phytochemical research on Notoginseng. Based onthis result, further quality control can be studied.展开更多
The characteristics of sustainable development problems in the developing countries is discussed.In order to develop and use decision support system (DSS) for supporting sustainable development problem decision making...The characteristics of sustainable development problems in the developing countries is discussed.In order to develop and use decision support system (DSS) for supporting sustainable development problem decision making in the developing countries,this paper presents a strategy of constructing the DSS for sustainable development.A methodology of representing the model of sustainable development problems and developing a nonprocedural modeling language that is used to define sustainable development problems,a methodology of numeric and non numeric operation based theorem proving is given in this paper.展开更多
Objectives:To explore the factors affecting breastfeeding behaviors in women after cesarean section.Methods:This is a qualitative study that used a phenomenological approach.This study used individual face-to-face int...Objectives:To explore the factors affecting breastfeeding behaviors in women after cesarean section.Methods:This is a qualitative study that used a phenomenological approach.This study used individual face-to-face interviews with 19 women who underwent a cesarean section in a Women and Children’s Hospital in China between July to September 2019.Information saturationwas used to determine sample size.Data were analyzed using a thematic content analysis method.Themes were developed based on the theory of planned behavior.Results:Thirteen(68.42%)had a planned cesarean section,and six(31.58%)cesarean sections were unplanned or emergent.Three major themes emerged:ambivalent attitude about breastfeeding,motivation to comply with the traditional cultural norms,and barriers and challenges.The motivating factors for breastfeeding after cesarean sections included perceived benefits of human milk,support from healthcare professionals,and responsibility for breastfeeding.The challenges for breastfeeding after cesarean sections included physical discomfort,knowledge and skills deficit of breastfeeding,lactation deficiency,and lack of knowledge and coping skills in managing their depressive mood after cesarean sections.There were a couple of neutral factors,such as the influences of family and peers.These factors could influence women either positively as facilitators or negatively as barriers.Conclusions:The findings can offer valuable information for healthcare professionals to help women breastfeed after cesarean sections.To promote women’s breastfeeding behaviors after cesarean sections,it is necessary to change women’s attitudes,belief systems,and the external environments and help them become more confident.展开更多
Tunnel stability control is a world-wide difficult problem. For the sake of solving it,the new theory of soft rock engineering mechanics has been estabilished. Some key points,such as the definition and classification...Tunnel stability control is a world-wide difficult problem. For the sake of solving it,the new theory of soft rock engineering mechanics has been estabilished. Some key points,such as the definition and classification of soft rock, mechanical deformation mechanism of a soft rock tunnel, the critical support technique of soft rock tunnel and the new theory of the soft rock tunnel stability control are proposed in this paper.展开更多
In the article, the fully discrete finite difference scheme for a type of nonlinear reaction-diffusion equation is established. Then the new function space is introduced and the stability problem for the finite differ...In the article, the fully discrete finite difference scheme for a type of nonlinear reaction-diffusion equation is established. Then the new function space is introduced and the stability problem for the finite difference scheme is discussed by means of variational approximation method in this function space. The approach used is of a simple characteristic in gaining the stability condition of the scheme.展开更多
Objective:This study aimed to explore the understanding of healthcare providers working in the internal medicine department in Shanghai regarding a good death.Methods:The data of the study was collected using face-to-...Objective:This study aimed to explore the understanding of healthcare providers working in the internal medicine department in Shanghai regarding a good death.Methods:The data of the study was collected using face-to-face semi-structured interviews.Through purposive sampling,16 physicians and 13 nurses who had experiences of caring for adult patients with life-threatening illnesses at the end-of-life stage in Shanghai were interviewed.The interviews were analyzed using qualitative content analysis.Results:Six characteristics of a good death emerged:no suffering,companionship and care,no worries or concerns,dying with dignity,involvement and acceptance,and less impact on the family.Eighteen categories were identified:dying without experiencing suffering;being relieved of symptoms and suffering;being relieved of psychological suffering;avoiding the use of futile treatment and resuscita-tion;being cared for and accompanied by family;receiving good health care;having a meaningful life without regrets;making good arrangements for family issues;having a chance to say goodbye;having a quality life before death;dying in a decent environment;the personal will to be respected;maintaining the integrity of the body;death of the patient being accepted by the family and healthcare providers;the death occurred despite the best efforts to care for the patient;limited financial and care burden;shortly affected quality of life of the patient;and improved family cohesion.Conclusion:Family members’early involvement in caring for patients at the end-of-life stage helps achieve a good death.For patients with a terminal illness,avoiding unnecessary medical treatment and resuscitation could be the first step in achieving better patient death and promoting the development of advanced care planning in the mainland of China.展开更多
Objectives:This study aimed to explore childbirth fear and childbirth preparation among primigravid women in the late pregnancy from 36 to 40 weeks gestation.Methods:We purposively recruited 18 primigravid women into ...Objectives:This study aimed to explore childbirth fear and childbirth preparation among primigravid women in the late pregnancy from 36 to 40 weeks gestation.Methods:We purposively recruited 18 primigravid women into in-depth interviews,21 birth companions,and 13 health workers into focus group discussions.Participants were recruited from two community hospitals'maternity waiting homes in Lilongwe,Malawi.Semi-structured interview guides were used to collect data that were analyzed using content analysis.NVivo11 computer software was used to organize the data.Results:The four categories developed were:"ambivalent pregnancy feelings","dependence on traditional childbirth counseling","inadequate prenatal childbirth instruction"and"inconsistent roles of a birth companion".The findings suggest that primigravid women who were mainly exposed to traditional childbirth mentoring rather than professional care providers,experienced childbirth fear,and lacked proper psychosocial childbirth preparation.Conclusions:Childbirth fear among primigravid women emanate from personal;family;ineffective traditional counseling;and inadequate antenatal childbirth instruction.Birth companions may increase childbirth stress.However,our findings highlight birth companions as readily available psychosocial support resources among primigravid women.We recommend that professional childbirth instruction during antenatal care should be strengthened to surpass traditional childbirth counseling.Appropriateness and effectiveness of birth companions need to be carefully assessed.展开更多
In this paper,we report the synthesis and characterization of a wheel-shaped icosanuclear Cu-containing polyoxometalate(POM),K_(12)Li_(13)[Cu_(2)0Cl(OH)_(24)(H_(2)O)_(12)(P_(8)W_(48)O_(184))]·22H_(2)O(K_(12)Li_(1...In this paper,we report the synthesis and characterization of a wheel-shaped icosanuclear Cu-containing polyoxometalate(POM),K_(12)Li_(13)[Cu_(2)0Cl(OH)_(24)(H_(2)O)_(12)(P_(8)W_(48)O_(184))]·22H_(2)O(K_(12)Li_(13)-Cu_(2)0P_(8)W_(48)).The resulting cation-exchanged tetrabutylammonium salt of the polyoxoanion Cu_(2)0P_(8)W_(48)(TBA-Cu_(2)0P_(8)W_(48))exhibits high efficiency for visible-light-driven H_(2) production in the presence of an[Ir(ppy)2(dtbbpy)][PF_(6)]photosensitizer and a triethanolamine electron donor.Under optimal conditions,the turnover number for H_(2) production reaches~2892 after 5 h of photocatalysis and thereafter continuously increases to~13400 in a long-term 120 h reaction,representing the best performance among all reported transition-metal-substituted POM catalysts.Mechanistic studies confirm the existence of reductive and oxidative quenching processes,of which the reductive quenching pathway is dominant.Various stability tests demonstrate that the TBA-Cu_(2)0P_(8)W_(48) catalyst slowly dissociates Cu ions under turnover conditions;however,both the starting TBA-Cu_(2)0P_(8)W_(48) and its molecular decomposition products are dominant active species for efficient and long-term H_(2) production.展开更多
Objective:Unmet supportive care needs(SCNs)impact pediatric cancer patients and their parents.This study aimed to explore the unmet SCNs from the perspective of Chinese children with cancer and their parents through l...Objective:Unmet supportive care needs(SCNs)impact pediatric cancer patients and their parents.This study aimed to explore the unmet SCNs from the perspective of Chinese children with cancer and their parents through lived experiences.Methods:The data of this study was collected using face-to-face semi-structured interviews.The participants were recruited from the oncology units of three children’s hospitals in China’s cities(Shanghai,Guangzhou,and Hefei)from October 2020 to December 2021.Data were analyzed using Colaizzi’s sevenstep phenomenological analysis method.Results:Eight pediatric cancer patients and twenty-four parents were enrolled in the study.Four main themes and eight subthemes(both children’s and parent’s perspectives)were generated:1)meeting the ongoing needs along the cancer trajectory(can you tell me what comes next;our needs are growing);2)communicating with a family focus(they only talk to my parents;let each family member have a voice);3)providing care beyond the treatment(I am bigger than my body[the children’s needs for emotional consolidation and information about their prognosis];there are things beyond treatment);4)getting support from the community(I am not a monster[the children were unhappy about being treated differently];we want to connect with the resources near us).Conclusion:This study revealed multiple unmet SCNs from the perspective of Chinese children with cancer and their parents.The findings call for comprehensive and in-depth supportive care beyond treatment,integration of the family member voice in pediatric cancer care,and a coordinated pediatric cancer support mechanism in the Chinese healthcare system.展开更多
The stress analysis of surrounding rock for two random geometry tunnels is studied in this paper by using Schwarz’s alternating method. The simple and effective alternating algorithm is found, in which the surplus su...The stress analysis of surrounding rock for two random geometry tunnels is studied in this paper by using Schwarz’s alternating method. The simple and effective alternating algorithm is found, in which the surplus surface force is approximated by Fourier series, thus the iteration derivation can be conducted according to the precision required, finally, the stress results with high precision are obtained.展开更多
Objective:This study aimed to explore the perceptions of parents of children with autism spectrum disorder(ASD)and their coping strategies.Methods:The data of the study was collected using face-to-face semi-structured...Objective:This study aimed to explore the perceptions of parents of children with autism spectrum disorder(ASD)and their coping strategies.Methods:The data of the study was collected using face-to-face semi-structured interviews.The participants were purposefully selected from the three schools in Mpumalanga Province because they had children diagnosed with ASD and data was analyzed using thematic content analysis.In this study,primary caregivers were selected.In the end,12 women were interviewed,and the data saturation was reached.Ethical considerations and measures to ensure trustworthiness were carried out throughout the study.Results:The findings revealed two themes:caregivers’understanding and misconceptions of ASD and coping mechanisms used in dealing challenges of caring for a child with ASD;and five subthemes:lack of knowledge,cultural beliefs,prayer,strong support system,and acceptance.Conclusion:Based on the findings,more awareness campaigns should be done on ASD to increase parents’understanding of the condition.Understanding the cultural beliefs of parents regarding ASD may assist health care professionals in developing care practices that are accepted in their culture,and may enhance parents’coping skills.展开更多
Objectives:The study aimed to explore the experiences of nursing undergraduates participating in a simulation-centred educational program in hospice care in Macao,China.Methods:This descriptive qualitative study was b...Objectives:The study aimed to explore the experiences of nursing undergraduates participating in a simulation-centred educational program in hospice care in Macao,China.Methods:This descriptive qualitative study was based on the data collected through semi-structured individual interviews.Seventeen nursing undergraduates in Macao,China who attended the simulation-centred program in hospice care participated in this qualitative from November to December 2020.This program included three parts:introduction to hospice care(2 h),management of terminal symptoms(10 h),and hospice situation simulations(6 h).The interview data were analyzed using qualitative content analysis.Results:This study revealed two themes and six sub-themes.Theme 1 was developing competencies in caring for dying patients and their families,which included four subcategories of sensitivity to patients’needs,knowledge of hospice care,skills of symptom control and comfort supply,and communication skills.Theme 2 was improving the ability to self-care and support colleagues,which included two subcategories of reflection on life and death and sharing and supporting among colleagues.Conclusion:This program improved the competency of nursing undergraduates in hospice care and participants’learning experience was good.展开更多
Objective This study aimed to explore the perceptions of good death of the older adults living in Bang Nang Li Sub-District,Amphawa District,Samut Songkhram Province,Thailand.Method The data of the study was collected...Objective This study aimed to explore the perceptions of good death of the older adults living in Bang Nang Li Sub-District,Amphawa District,Samut Songkhram Province,Thailand.Method The data of the study was collected using in-depth interviews between October 2019 to January 2020.The data collected a total of 14 older adults who had firsthand experience in caring for terminally ill patients were recruited for the study.Content analysis was employed to analyze qualitative data.Results The results of this study revealed the perceptions of good death which were categorized into three main themes and eight sub-themes,including 1)death without suffering(not suffering from life support devices,dying with care);2)natural death(death with the end of life expectancy,death with illness or ailments);and 3)death without the worries(preparation for death,spiritual and belief practice toward preparation for death,family and property management before death,death among family members and at their familiar place).Conclusion The findings of this research provided the insight to clarify the understanding of the perceptions on a good death of older adults.The findings can be used to support the practice and management of nursing education and health care providers who have to be involved in palliative care for terminally ill older adults.展开更多
Objective:This study aimed to describe the social determinants of health influencing obesity for the aged in a community context and based on the perspectives of various stakeholders.Methods:This was qualitative conte...Objective:This study aimed to describe the social determinants of health influencing obesity for the aged in a community context and based on the perspectives of various stakeholders.Methods:This was qualitative content analysis study using data from the focus group,individual in-depth interview,and observation.The study population was domiciled in Pakpoon Village,Mung Dis-trict,Nakhon Si Thammarat Province,a tight-knit settlement typical of most retirement communities.Data were collected through two focus group discussions,direct observation,and in-depth interviews with 19 participants.Respondents represented key community groups:local nurses and public health officers,elderly residents,family caregivers(family members),and village health volunteers.Results:The participants shared similar perspectives about the social determinants of health influencing obesity in the aged,which spanned three themes.These were:1)neighborhood food environment(easy access to unhealthy food,no choice to recruit healthy food);2)social networks influencing obesity(family affects food choices and prohibitions on exercise;belief,and socially imposed body image per-ceptions contributing to obesity in the aged);and 3)knowledge,attitudes,and beliefs behind lifestyle choices that cause obesity in the elderly(lack of awareness,personal attitudes,job and familial duties as barriers to engaging in physical activities;over-consumption behaviors lead to obesity in older people).Conclusion:These three themes were the root causes of obesity in the elderly in Pakpoon’s retirement community.This finding suggests that policymakers and nurses can create healthy environments,both to treat and prevent obesity,by raising awareness in younger generations,providing aging the provision of healthy food choices for older adults,encouraging health care professionals to share knowledge,and by modifying the attitudes and beliefs of both caregivers and older adults.展开更多
Objective:This study aimed to explore health care team members’understanding of the factors influencing the optimal selection of central venous access devices(CVADs).Methods:The data of the study was collected using ...Objective:This study aimed to explore health care team members’understanding of the factors influencing the optimal selection of central venous access devices(CVADs).Methods:The data of the study was collected using semi-structured interviews.Twenty-six hospital medical staff(four hospital manager,15 head nurses,7 nurse)with experience in peripheral or central catheterization from four regions(Northern China,Southern China,Northwest China,and Qinghai-Tibet China)in China were interviewed between June and October 2021.Content analysis was used to analyze the data.Results:The results revealed five themes and 14 sub-themes.Patients:concerns,resources,requirements,and evaluation(security concerns,support resources,life requirements,evaluation among patients);nurses:awareness,knowledge,and popularizing methods(awareness of intravenous therapy,understanding of professional knowledge,forms of popularizing methods);doctors:support and involvement(support for decision-making,involvement in intravenous work);hospital managers:authority,quality control and continuing education(management of catheterization authority,quality control of intravenous infusion,investment in continuing education)and environment:differences and commonalities(differences in social support,and current commonalities).Conclusion:Nurses and other healthcare team members’understanding,selection,use,and recommendation of CVADs have an indirect effect on patients’decision-making.Therefore,hospital managers and government departments can indirectly strengthen medical team cooperation and improve learning education in order to improve the safety of patients receiving intravenous infusions.展开更多
The effects of ration level and feeding frequency on digestibility in juvenile soft-shelled turtle, Pelodiscus sinensis, were investigated. Four ration levels 1.5%, 2.5%, 4.0% and satiation (6.0% BW/d) were used. Ap...The effects of ration level and feeding frequency on digestibility in juvenile soft-shelled turtle, Pelodiscus sinensis, were investigated. Four ration levels 1.5%, 2.5%, 4.0% and satiation (6.0% BW/d) were used. Apparent digestibility (AD) of dry matter (DMAD), protein (PAD) and protein real digestibility (PRD) were significantly affected by ration level, but not by feeding frequency when the ration level was similar. However, the feeding frequency affected the AD, DMAD, PAD and PRD significantly when the turtles were fed to satiation. The relationship between fecal protein content (Y) and protein intake (At) can be expressed as a quadric equation: Y=-0.1742+0.1476X-0.0003X^2 (r^2=0.876, n=27, F=93.92, P〈0.01).展开更多
基金The study is approved by the state 863 program in China (the program No.2002AA2070002)and Sichuan province 15 rice breeding key project.
文摘Yihui1577 was bred after over 10 generations by crossing R16 and Yunan purple rice. Many new hybrid rice varieties have been bred with Yihui1577, of which Gangyou1577. Ilyou1577, Nyou1577 and Yixiang1577 were certified by Sichuan Crop Variety Release Committee, Gangyou1577 and Yixiang1577 were certified by National Crop Variety Release Committee. The series varieties bred with Yihui1577 have been used widely with accumulated area of 1,200,000 ha. By using Yihui1577 as breeding material, an excellent restore line Yihui3003 and some other restore lines, such as Yihui1979 and Yihui315 with good quality and combination ability have been bred. Analysis of combination ability and stability of restore line Yihui1577 was made by using agricultural experimentation and statistical approach. The combination ability analysis was made by not complete dual crossing method with 4 CMS lines and 6 restorer lines. It shows that the general combination ability effect value of Yihui1577 is 0.226, while Minghui63 is -0.113. So the general combination ability of Yihui1577 is prior to that of Minghui63. Stability analysis shows that the F value of Gangyou1577 is 1.81378, while Sanyou63 is 1.40327, both doesn't reach significant level. So Gangyou1577 has the same stability as Sanyou63.The same conclusion is got in the stability analysis of the breeds of II you 1577, Yixiang1577, Nyou 1577 and so on.
基金NationalBasicResearchProgramofChina (No .G19990 5 44 0 6)NationalNaturalScienceFoundationofChina(No .3 9970 898)
文摘To develop a HPIX-UV-MS method for identifying the constituents in theChinese drug Notoginseng (the root of Panax notoginseng). Methods A Phenomenex Luna C_(18) column(250 mm x 4.6 mm ID, 5 μm) was utilized. Water containing 0.005% formic acid (A) and acetonitrilecontaining 0.005% formic acid (B) were used as gradient eluents. UV spectra were recorded in range195 - 400 nm. Both positive and negative ion ESI modes were used. Results The constituents inNotoginseng were well separated and detected. Fourteen compounds were identified by comparing theirretention time and ESI-MS data with those obtained from the reference compounds. Forty-one compoundswere deduced by data analysis of MS and literature; among them, yesanchinosides-H and -E,chikusetsusaponin-L_5, malonyl-ginsenoside-R_(g_1), the isomers of notoginsenosides-J, -A, -R_1, -G,-R_2, and ginsenoside-Rh_3 were discovered in Notoginseng for the first time. Conclusion Thismethod gives high sensitivity and good separation, and is suitable for identifying the constituentsin Notoginseng. This result is helpful for further phytochemical research on Notoginseng. Based onthis result, further quality control can be studied.
基金the National Natural Science Foundation of China!(No.79990 580 )
文摘The characteristics of sustainable development problems in the developing countries is discussed.In order to develop and use decision support system (DSS) for supporting sustainable development problem decision making in the developing countries,this paper presents a strategy of constructing the DSS for sustainable development.A methodology of representing the model of sustainable development problems and developing a nonprocedural modeling language that is used to define sustainable development problems,a methodology of numeric and non numeric operation based theorem proving is given in this paper.
基金We thank all the mothers who participated in this study.
文摘Objectives:To explore the factors affecting breastfeeding behaviors in women after cesarean section.Methods:This is a qualitative study that used a phenomenological approach.This study used individual face-to-face interviews with 19 women who underwent a cesarean section in a Women and Children’s Hospital in China between July to September 2019.Information saturationwas used to determine sample size.Data were analyzed using a thematic content analysis method.Themes were developed based on the theory of planned behavior.Results:Thirteen(68.42%)had a planned cesarean section,and six(31.58%)cesarean sections were unplanned or emergent.Three major themes emerged:ambivalent attitude about breastfeeding,motivation to comply with the traditional cultural norms,and barriers and challenges.The motivating factors for breastfeeding after cesarean sections included perceived benefits of human milk,support from healthcare professionals,and responsibility for breastfeeding.The challenges for breastfeeding after cesarean sections included physical discomfort,knowledge and skills deficit of breastfeeding,lactation deficiency,and lack of knowledge and coping skills in managing their depressive mood after cesarean sections.There were a couple of neutral factors,such as the influences of family and peers.These factors could influence women either positively as facilitators or negatively as barriers.Conclusions:The findings can offer valuable information for healthcare professionals to help women breastfeed after cesarean sections.To promote women’s breastfeeding behaviors after cesarean sections,it is necessary to change women’s attitudes,belief systems,and the external environments and help them become more confident.
文摘Tunnel stability control is a world-wide difficult problem. For the sake of solving it,the new theory of soft rock engineering mechanics has been estabilished. Some key points,such as the definition and classification of soft rock, mechanical deformation mechanism of a soft rock tunnel, the critical support technique of soft rock tunnel and the new theory of the soft rock tunnel stability control are proposed in this paper.
文摘In the article, the fully discrete finite difference scheme for a type of nonlinear reaction-diffusion equation is established. Then the new function space is introduced and the stability problem for the finite difference scheme is discussed by means of variational approximation method in this function space. The approach used is of a simple characteristic in gaining the stability condition of the scheme.
文摘Objective:This study aimed to explore the understanding of healthcare providers working in the internal medicine department in Shanghai regarding a good death.Methods:The data of the study was collected using face-to-face semi-structured interviews.Through purposive sampling,16 physicians and 13 nurses who had experiences of caring for adult patients with life-threatening illnesses at the end-of-life stage in Shanghai were interviewed.The interviews were analyzed using qualitative content analysis.Results:Six characteristics of a good death emerged:no suffering,companionship and care,no worries or concerns,dying with dignity,involvement and acceptance,and less impact on the family.Eighteen categories were identified:dying without experiencing suffering;being relieved of symptoms and suffering;being relieved of psychological suffering;avoiding the use of futile treatment and resuscita-tion;being cared for and accompanied by family;receiving good health care;having a meaningful life without regrets;making good arrangements for family issues;having a chance to say goodbye;having a quality life before death;dying in a decent environment;the personal will to be respected;maintaining the integrity of the body;death of the patient being accepted by the family and healthcare providers;the death occurred despite the best efforts to care for the patient;limited financial and care burden;shortly affected quality of life of the patient;and improved family cohesion.Conclusion:Family members’early involvement in caring for patients at the end-of-life stage helps achieve a good death.For patients with a terminal illness,avoiding unnecessary medical treatment and resuscitation could be the first step in achieving better patient death and promoting the development of advanced care planning in the mainland of China.
文摘Objectives:This study aimed to explore childbirth fear and childbirth preparation among primigravid women in the late pregnancy from 36 to 40 weeks gestation.Methods:We purposively recruited 18 primigravid women into in-depth interviews,21 birth companions,and 13 health workers into focus group discussions.Participants were recruited from two community hospitals'maternity waiting homes in Lilongwe,Malawi.Semi-structured interview guides were used to collect data that were analyzed using content analysis.NVivo11 computer software was used to organize the data.Results:The four categories developed were:"ambivalent pregnancy feelings","dependence on traditional childbirth counseling","inadequate prenatal childbirth instruction"and"inconsistent roles of a birth companion".The findings suggest that primigravid women who were mainly exposed to traditional childbirth mentoring rather than professional care providers,experienced childbirth fear,and lacked proper psychosocial childbirth preparation.Conclusions:Childbirth fear among primigravid women emanate from personal;family;ineffective traditional counseling;and inadequate antenatal childbirth instruction.Birth companions may increase childbirth stress.However,our findings highlight birth companions as readily available psychosocial support resources among primigravid women.We recommend that professional childbirth instruction during antenatal care should be strengthened to surpass traditional childbirth counseling.Appropriateness and effectiveness of birth companions need to be carefully assessed.
文摘In this paper,we report the synthesis and characterization of a wheel-shaped icosanuclear Cu-containing polyoxometalate(POM),K_(12)Li_(13)[Cu_(2)0Cl(OH)_(24)(H_(2)O)_(12)(P_(8)W_(48)O_(184))]·22H_(2)O(K_(12)Li_(13)-Cu_(2)0P_(8)W_(48)).The resulting cation-exchanged tetrabutylammonium salt of the polyoxoanion Cu_(2)0P_(8)W_(48)(TBA-Cu_(2)0P_(8)W_(48))exhibits high efficiency for visible-light-driven H_(2) production in the presence of an[Ir(ppy)2(dtbbpy)][PF_(6)]photosensitizer and a triethanolamine electron donor.Under optimal conditions,the turnover number for H_(2) production reaches~2892 after 5 h of photocatalysis and thereafter continuously increases to~13400 in a long-term 120 h reaction,representing the best performance among all reported transition-metal-substituted POM catalysts.Mechanistic studies confirm the existence of reductive and oxidative quenching processes,of which the reductive quenching pathway is dominant.Various stability tests demonstrate that the TBA-Cu_(2)0P_(8)W_(48) catalyst slowly dissociates Cu ions under turnover conditions;however,both the starting TBA-Cu_(2)0P_(8)W_(48) and its molecular decomposition products are dominant active species for efficient and long-term H_(2) production.
基金This study was supported by the China National Natural Science Foundation of China Youth Science Foundation (71904030)China Medical Board Open Competition Grant (#21-427)+1 种基金Taikang Yicai Public Welfare Foundation (ZXJJ-YCGW-2021009)Fudan Nursing Founding (FNF 202124).
文摘Objective:Unmet supportive care needs(SCNs)impact pediatric cancer patients and their parents.This study aimed to explore the unmet SCNs from the perspective of Chinese children with cancer and their parents through lived experiences.Methods:The data of this study was collected using face-to-face semi-structured interviews.The participants were recruited from the oncology units of three children’s hospitals in China’s cities(Shanghai,Guangzhou,and Hefei)from October 2020 to December 2021.Data were analyzed using Colaizzi’s sevenstep phenomenological analysis method.Results:Eight pediatric cancer patients and twenty-four parents were enrolled in the study.Four main themes and eight subthemes(both children’s and parent’s perspectives)were generated:1)meeting the ongoing needs along the cancer trajectory(can you tell me what comes next;our needs are growing);2)communicating with a family focus(they only talk to my parents;let each family member have a voice);3)providing care beyond the treatment(I am bigger than my body[the children’s needs for emotional consolidation and information about their prognosis];there are things beyond treatment);4)getting support from the community(I am not a monster[the children were unhappy about being treated differently];we want to connect with the resources near us).Conclusion:This study revealed multiple unmet SCNs from the perspective of Chinese children with cancer and their parents.The findings call for comprehensive and in-depth supportive care beyond treatment,integration of the family member voice in pediatric cancer care,and a coordinated pediatric cancer support mechanism in the Chinese healthcare system.
文摘The stress analysis of surrounding rock for two random geometry tunnels is studied in this paper by using Schwarz’s alternating method. The simple and effective alternating algorithm is found, in which the surplus surface force is approximated by Fourier series, thus the iteration derivation can be conducted according to the precision required, finally, the stress results with high precision are obtained.
基金Our sincere gratitude goes to the parents of children diagnosedwith ASD.
文摘Objective:This study aimed to explore the perceptions of parents of children with autism spectrum disorder(ASD)and their coping strategies.Methods:The data of the study was collected using face-to-face semi-structured interviews.The participants were purposefully selected from the three schools in Mpumalanga Province because they had children diagnosed with ASD and data was analyzed using thematic content analysis.In this study,primary caregivers were selected.In the end,12 women were interviewed,and the data saturation was reached.Ethical considerations and measures to ensure trustworthiness were carried out throughout the study.Results:The findings revealed two themes:caregivers’understanding and misconceptions of ASD and coping mechanisms used in dealing challenges of caring for a child with ASD;and five subthemes:lack of knowledge,cultural beliefs,prayer,strong support system,and acceptance.Conclusion:Based on the findings,more awareness campaigns should be done on ASD to increase parents’understanding of the condition.Understanding the cultural beliefs of parents regarding ASD may assist health care professionals in developing care practices that are accepted in their culture,and may enhance parents’coping skills.
基金This research received the sponsor from the Academic Research Funding of Macao Polytechnic University(No.RP/ESS 02/2018).
文摘Objectives:The study aimed to explore the experiences of nursing undergraduates participating in a simulation-centred educational program in hospice care in Macao,China.Methods:This descriptive qualitative study was based on the data collected through semi-structured individual interviews.Seventeen nursing undergraduates in Macao,China who attended the simulation-centred program in hospice care participated in this qualitative from November to December 2020.This program included three parts:introduction to hospice care(2 h),management of terminal symptoms(10 h),and hospice situation simulations(6 h).The interview data were analyzed using qualitative content analysis.Results:This study revealed two themes and six sub-themes.Theme 1 was developing competencies in caring for dying patients and their families,which included four subcategories of sensitivity to patients’needs,knowledge of hospice care,skills of symptom control and comfort supply,and communication skills.Theme 2 was improving the ability to self-care and support colleagues,which included two subcategories of reflection on life and death and sharing and supporting among colleagues.Conclusion:This program improved the competency of nursing undergraduates in hospice care and participants’learning experience was good.
基金The research grant for a potential lecturer was supported by Suan Sunadha Rajabhat Thailand.
文摘Objective This study aimed to explore the perceptions of good death of the older adults living in Bang Nang Li Sub-District,Amphawa District,Samut Songkhram Province,Thailand.Method The data of the study was collected using in-depth interviews between October 2019 to January 2020.The data collected a total of 14 older adults who had firsthand experience in caring for terminally ill patients were recruited for the study.Content analysis was employed to analyze qualitative data.Results The results of this study revealed the perceptions of good death which were categorized into three main themes and eight sub-themes,including 1)death without suffering(not suffering from life support devices,dying with care);2)natural death(death with the end of life expectancy,death with illness or ailments);and 3)death without the worries(preparation for death,spiritual and belief practice toward preparation for death,family and property management before death,death among family members and at their familiar place).Conclusion The findings of this research provided the insight to clarify the understanding of the perceptions on a good death of older adults.The findings can be used to support the practice and management of nursing education and health care providers who have to be involved in palliative care for terminally ill older adults.
文摘Objective:This study aimed to describe the social determinants of health influencing obesity for the aged in a community context and based on the perspectives of various stakeholders.Methods:This was qualitative content analysis study using data from the focus group,individual in-depth interview,and observation.The study population was domiciled in Pakpoon Village,Mung Dis-trict,Nakhon Si Thammarat Province,a tight-knit settlement typical of most retirement communities.Data were collected through two focus group discussions,direct observation,and in-depth interviews with 19 participants.Respondents represented key community groups:local nurses and public health officers,elderly residents,family caregivers(family members),and village health volunteers.Results:The participants shared similar perspectives about the social determinants of health influencing obesity in the aged,which spanned three themes.These were:1)neighborhood food environment(easy access to unhealthy food,no choice to recruit healthy food);2)social networks influencing obesity(family affects food choices and prohibitions on exercise;belief,and socially imposed body image per-ceptions contributing to obesity in the aged);and 3)knowledge,attitudes,and beliefs behind lifestyle choices that cause obesity in the elderly(lack of awareness,personal attitudes,job and familial duties as barriers to engaging in physical activities;over-consumption behaviors lead to obesity in older people).Conclusion:These three themes were the root causes of obesity in the elderly in Pakpoon’s retirement community.This finding suggests that policymakers and nurses can create healthy environments,both to treat and prevent obesity,by raising awareness in younger generations,providing aging the provision of healthy food choices for older adults,encouraging health care professionals to share knowledge,and by modifying the attitudes and beliefs of both caregivers and older adults.
基金Practice Teaching research project of Shandong University (No.2021Y240).
文摘Objective:This study aimed to explore health care team members’understanding of the factors influencing the optimal selection of central venous access devices(CVADs).Methods:The data of the study was collected using semi-structured interviews.Twenty-six hospital medical staff(four hospital manager,15 head nurses,7 nurse)with experience in peripheral or central catheterization from four regions(Northern China,Southern China,Northwest China,and Qinghai-Tibet China)in China were interviewed between June and October 2021.Content analysis was used to analyze the data.Results:The results revealed five themes and 14 sub-themes.Patients:concerns,resources,requirements,and evaluation(security concerns,support resources,life requirements,evaluation among patients);nurses:awareness,knowledge,and popularizing methods(awareness of intravenous therapy,understanding of professional knowledge,forms of popularizing methods);doctors:support and involvement(support for decision-making,involvement in intravenous work);hospital managers:authority,quality control and continuing education(management of catheterization authority,quality control of intravenous infusion,investment in continuing education)and environment:differences and commonalities(differences in social support,and current commonalities).Conclusion:Nurses and other healthcare team members’understanding,selection,use,and recommendation of CVADs have an indirect effect on patients’decision-making.Therefore,hospital managers and government departments can indirectly strengthen medical team cooperation and improve learning education in order to improve the safety of patients receiving intravenous infusions.
基金Project supported by the Scientific and Research Bureau of Shenzhen, China
文摘The effects of ration level and feeding frequency on digestibility in juvenile soft-shelled turtle, Pelodiscus sinensis, were investigated. Four ration levels 1.5%, 2.5%, 4.0% and satiation (6.0% BW/d) were used. Apparent digestibility (AD) of dry matter (DMAD), protein (PAD) and protein real digestibility (PRD) were significantly affected by ration level, but not by feeding frequency when the ration level was similar. However, the feeding frequency affected the AD, DMAD, PAD and PRD significantly when the turtles were fed to satiation. The relationship between fecal protein content (Y) and protein intake (At) can be expressed as a quadric equation: Y=-0.1742+0.1476X-0.0003X^2 (r^2=0.876, n=27, F=93.92, P〈0.01).