Objective:This study aimed to explore the effects of our rational emotive behavior therapy(REBT)program on symptoms,anxiety,depression,and sleep state in patients with colorectal cancer(CRC)undergoing chemotherapy.Met...Objective:This study aimed to explore the effects of our rational emotive behavior therapy(REBT)program on symptoms,anxiety,depression,and sleep state in patients with colorectal cancer(CRC)undergoing chemotherapy.Methods:From October 2020 to May 2021,fifty-six patients with CRC in a hospital in the Hunan Province were randomly divided into an intervention group(n=28)and a control group(n=28).The patients in the intervention group completed a 6-week REBT program based on routine nursing care,including four courses:1)establish a relationship and formulate health files;2)group communications and study symptom management;3)continuously provide health knowledge and strengthen healthy behavior;and 4)review the treatment and summary.The control group maintained routine nursing care.The simplified Chinese version of the Memorial Symptom Assessment Scale Short Form(MSASeSFeSC),the Hospital Anxiety and Depression Scale(HADS),and the Pittsburgh Sleep Quality Index(PSQI)scale were used to investigate and compare the intervention effects of the two groups at baseline(T1,before the intervention),four weeks(T2),and six weeks(T3)after the intervention.Results:The intervention group was significantly improved in symptoms,anxiety,depression,and sleep state,compared with the control group.At T2,MSASeSFeSC(24.43±4.26 vs.28.07±3.91),symptom distress(17.29±4.04 vs.19.39±3.59),symptom frequency(7.14±1.51 vs.8.68±1.42),HADS(13.68±3.38 vs.15.86±3.79),anxiety(3.89±1.85 vs.5.18±2.18),and depression(9.79±2.06 vs.10.68±2.23),showed that the difference between the two groups was statistically significant(P<0.05).At T3,MSASeSFeSC(23.89±3.54 vs.30.14±3.94),symptom distress(17.61±3.52 vs.21.32±3.57),symptom frequency(6.29±1.49 vs.8.82±1.47),HADS(11.82±2.57 vs.16.29±3.13),anxiety(3.21±1.64 vs.5.61±1.77),and depression(8.61±1.52 vs.10.68±1.81),showed that the difference between the two groups was statistically significant(P<0.05).The sleep state of the intervention group was better than the control group at T3,with decreased score of PSQI[4.00(3.00,8.00)vs.9.00(7.00,12.50),Z=-3.706,P<0.001].Conclusion:The 6-week REBT program can effectively improve the symptom,anxiety,depression,and sleep state of patients with CRC undergoing chemotherapy,which could as a care plan for patients with CRC who are repeatedly admitted to the hospital for chemotherapy.展开更多
As part of a comprehensive environmental management system, many countries establish emission control targets for mass emissions of a pollutant. Such targets are often the key objective of an environmental policy, suc...As part of a comprehensive environmental management system, many countries establish emission control targets for mass emissions of a pollutant. Such targets are often the key objective of an environmental policy, such as an emission trading program. In China, however, it is more than just an objective of one particular policy; it has become a concept that has influenced many national environmental policies and activities. The objective of this article is to review the implementation of the total emission control policy in the past 10 years and explore emerging issues in its implementation. The article has three sections: a summary of the implementation experience, issues with the design and implementation of the policy, and policy recommendations.展开更多
This study applies the situational theory of publics (STP) to a health crisis by exploring the effect of anger on public behavior. The results of a survey administered on the case of the candlelight rallies on the U...This study applies the situational theory of publics (STP) to a health crisis by exploring the effect of anger on public behavior. The results of a survey administered on the case of the candlelight rallies on the U.S. beef imports in South Korea in 2008 demonstrated that involvement, problem recognition, and constraint recognition predicted communication behaviors as well as various issue-related online and offline behaviors. In addition, anger was found to be a significant driving force for publics to perform the behaviors. The segmented publics showed significantly different levels of anger, information processing and seeking, online behaviors, and participation in the candlelight rallies展开更多
In order to enhance efficiency of the nitrogen and phosphorus removal of sewage treatment plant, Taking Wu Long kou sewage treatment plant project in Zhengzhou as an example, this article introduces the structure, the...In order to enhance efficiency of the nitrogen and phosphorus removal of sewage treatment plant, Taking Wu Long kou sewage treatment plant project in Zhengzhou as an example, this article introduces the structure, the working principle, the craft character, as well as the problems existed in the practical application of the improved oxidation ditch, and raises some corresponding processing countermeasures. Looked from the running situation of Wu Long kou sewage treatment plant, the improved oxidation ditch have certain advantages in city sewage treatment, such as high organic removing efficiency, good removing effect of nitrogen and phosphorus, low investing expenses and operating cost and so on. It is a craft that is worth promoting in urban sewage treatment.展开更多
The tax accounting and financial accounting' s different target, different legal basis, different accounting principles as well as the different time of recognition between incomes and expenses will result in signifi...The tax accounting and financial accounting' s different target, different legal basis, different accounting principles as well as the different time of recognition between incomes and expenses will result in significant differences between accounting income and taxable income. We think that drawing on the experience of the United States and other countries to establish the specialized accounting theory and methods, the implementation of tax accounting and financial accounting separation is an inevitable requirement. Whether the financial accounting and tax accounting should be separated, of which the key lies in the degree of difference and coordinability between accounting income and taxable income. We believe that from our tax system, financial system and the history and current status of the development of accounting systems perspective, it do not exist realistic necessity of the separation between the tax accounting and the financial accounting.展开更多
As one of the greatest female poets in the nineteenth century of American literature, Emily Dickinson depicted the beauty in death with the unique secluded touch. Death, the most recurrent theme of her poems, is adequ...As one of the greatest female poets in the nineteenth century of American literature, Emily Dickinson depicted the beauty in death with the unique secluded touch. Death, the most recurrent theme of her poems, is adequately unfolded in her I felt a funeral, in my brain. The beauty of death is revealed from visual and auditory perspectives.展开更多
Because of the discrepancy of project types,the project progress curves present different characteristics.Studying project progress curves can reduce management risk of project and overall grasp the enforcement condit...Because of the discrepancy of project types,the project progress curves present different characteristics.Studying project progress curves can reduce management risk of project and overall grasp the enforcement condition of the project.Combining project characteristic,this paper reaches 4 kinds of project progress curve patterns.If the front of the progress curve is concave,and its rear is protruding in the break point,it is named as S model.If its front is protruding and its rear is concave in the break point,it is named as the reverse side of S model.If the front and rear are concave in the break point,it is named as J model,and two half sections are both upward protruding,it is named as the reverse side of J model.Through a case study,it shows that application project progress curve model can better raise project management.展开更多
This paper focuses on how the implementation of a single regional political instrument is perceived, understood and communicated. Designed as a regional political instrument, the Norwegian Ministry of Transport and Co...This paper focuses on how the implementation of a single regional political instrument is perceived, understood and communicated. Designed as a regional political instrument, the Norwegian Ministry of Transport and Communications started a pilot project: "Driver education as a part of upper secondary school in district Norway". The focal point in this paper is to explore how the professional participants understand and interpret the project as a regional political instrument in order to maintain the local community, identity and local belonging. The theoretical approach is based on Giddens's actor/structure theory, while the analysis based on discourse analysis, in the analysis we separated the arguments used in the professional discourse. We detected different categories of argument in the discourses among the professionals. In addition to the professional discourse, we became aware of a personal discourse. In both discourses the political instrument was perceived to be important in order to maintain the local community, create equality and maintain local identity and a sense of belonging.展开更多
The ethical project of education hinges on the ideal of caring relations between teachers and students, an ideal that entails deep emotional commitments on the part of teachers. Drawing on interview data from a larger...The ethical project of education hinges on the ideal of caring relations between teachers and students, an ideal that entails deep emotional commitments on the part of teachers. Drawing on interview data from a larger study of teachers’ lived experiences in Singapore’s secondary schools,this paper examines the cultural politics of caring as an emotional practice in teaching. The ethic of care serves to construct normative accounts of good teaching based on "feeling rules," and becomes a disciplinary technology for evaluating the professional, social and emotional competencies of teachers. I suggest that this project in turn entails an ideological effort to mobilize teachers’ emotional attachment to this ethical ideal. The ethic of care shapes the subjectivities, beliefs, and practices of English teachers, particularly as they circulate through the neoliberal imperatives of educational accountability regimes.展开更多
基金support from the Education Department of Hunan Province(No.19A419).
文摘Objective:This study aimed to explore the effects of our rational emotive behavior therapy(REBT)program on symptoms,anxiety,depression,and sleep state in patients with colorectal cancer(CRC)undergoing chemotherapy.Methods:From October 2020 to May 2021,fifty-six patients with CRC in a hospital in the Hunan Province were randomly divided into an intervention group(n=28)and a control group(n=28).The patients in the intervention group completed a 6-week REBT program based on routine nursing care,including four courses:1)establish a relationship and formulate health files;2)group communications and study symptom management;3)continuously provide health knowledge and strengthen healthy behavior;and 4)review the treatment and summary.The control group maintained routine nursing care.The simplified Chinese version of the Memorial Symptom Assessment Scale Short Form(MSASeSFeSC),the Hospital Anxiety and Depression Scale(HADS),and the Pittsburgh Sleep Quality Index(PSQI)scale were used to investigate and compare the intervention effects of the two groups at baseline(T1,before the intervention),four weeks(T2),and six weeks(T3)after the intervention.Results:The intervention group was significantly improved in symptoms,anxiety,depression,and sleep state,compared with the control group.At T2,MSASeSFeSC(24.43±4.26 vs.28.07±3.91),symptom distress(17.29±4.04 vs.19.39±3.59),symptom frequency(7.14±1.51 vs.8.68±1.42),HADS(13.68±3.38 vs.15.86±3.79),anxiety(3.89±1.85 vs.5.18±2.18),and depression(9.79±2.06 vs.10.68±2.23),showed that the difference between the two groups was statistically significant(P<0.05).At T3,MSASeSFeSC(23.89±3.54 vs.30.14±3.94),symptom distress(17.61±3.52 vs.21.32±3.57),symptom frequency(6.29±1.49 vs.8.82±1.47),HADS(11.82±2.57 vs.16.29±3.13),anxiety(3.21±1.64 vs.5.61±1.77),and depression(8.61±1.52 vs.10.68±1.81),showed that the difference between the two groups was statistically significant(P<0.05).The sleep state of the intervention group was better than the control group at T3,with decreased score of PSQI[4.00(3.00,8.00)vs.9.00(7.00,12.50),Z=-3.706,P<0.001].Conclusion:The 6-week REBT program can effectively improve the symptom,anxiety,depression,and sleep state of patients with CRC undergoing chemotherapy,which could as a care plan for patients with CRC who are repeatedly admitted to the hospital for chemotherapy.
文摘As part of a comprehensive environmental management system, many countries establish emission control targets for mass emissions of a pollutant. Such targets are often the key objective of an environmental policy, such as an emission trading program. In China, however, it is more than just an objective of one particular policy; it has become a concept that has influenced many national environmental policies and activities. The objective of this article is to review the implementation of the total emission control policy in the past 10 years and explore emerging issues in its implementation. The article has three sections: a summary of the implementation experience, issues with the design and implementation of the policy, and policy recommendations.
文摘This study applies the situational theory of publics (STP) to a health crisis by exploring the effect of anger on public behavior. The results of a survey administered on the case of the candlelight rallies on the U.S. beef imports in South Korea in 2008 demonstrated that involvement, problem recognition, and constraint recognition predicted communication behaviors as well as various issue-related online and offline behaviors. In addition, anger was found to be a significant driving force for publics to perform the behaviors. The segmented publics showed significantly different levels of anger, information processing and seeking, online behaviors, and participation in the candlelight rallies
文摘In order to enhance efficiency of the nitrogen and phosphorus removal of sewage treatment plant, Taking Wu Long kou sewage treatment plant project in Zhengzhou as an example, this article introduces the structure, the working principle, the craft character, as well as the problems existed in the practical application of the improved oxidation ditch, and raises some corresponding processing countermeasures. Looked from the running situation of Wu Long kou sewage treatment plant, the improved oxidation ditch have certain advantages in city sewage treatment, such as high organic removing efficiency, good removing effect of nitrogen and phosphorus, low investing expenses and operating cost and so on. It is a craft that is worth promoting in urban sewage treatment.
文摘The tax accounting and financial accounting' s different target, different legal basis, different accounting principles as well as the different time of recognition between incomes and expenses will result in significant differences between accounting income and taxable income. We think that drawing on the experience of the United States and other countries to establish the specialized accounting theory and methods, the implementation of tax accounting and financial accounting separation is an inevitable requirement. Whether the financial accounting and tax accounting should be separated, of which the key lies in the degree of difference and coordinability between accounting income and taxable income. We believe that from our tax system, financial system and the history and current status of the development of accounting systems perspective, it do not exist realistic necessity of the separation between the tax accounting and the financial accounting.
文摘As one of the greatest female poets in the nineteenth century of American literature, Emily Dickinson depicted the beauty in death with the unique secluded touch. Death, the most recurrent theme of her poems, is adequately unfolded in her I felt a funeral, in my brain. The beauty of death is revealed from visual and auditory perspectives.
文摘Because of the discrepancy of project types,the project progress curves present different characteristics.Studying project progress curves can reduce management risk of project and overall grasp the enforcement condition of the project.Combining project characteristic,this paper reaches 4 kinds of project progress curve patterns.If the front of the progress curve is concave,and its rear is protruding in the break point,it is named as S model.If its front is protruding and its rear is concave in the break point,it is named as the reverse side of S model.If the front and rear are concave in the break point,it is named as J model,and two half sections are both upward protruding,it is named as the reverse side of J model.Through a case study,it shows that application project progress curve model can better raise project management.
文摘This paper focuses on how the implementation of a single regional political instrument is perceived, understood and communicated. Designed as a regional political instrument, the Norwegian Ministry of Transport and Communications started a pilot project: "Driver education as a part of upper secondary school in district Norway". The focal point in this paper is to explore how the professional participants understand and interpret the project as a regional political instrument in order to maintain the local community, identity and local belonging. The theoretical approach is based on Giddens's actor/structure theory, while the analysis based on discourse analysis, in the analysis we separated the arguments used in the professional discourse. We detected different categories of argument in the discourses among the professionals. In addition to the professional discourse, we became aware of a personal discourse. In both discourses the political instrument was perceived to be important in order to maintain the local community, create equality and maintain local identity and a sense of belonging.
基金funded by the Office of Educational Research (OER), National Institute ofEducation (NIE), Singapore under OER5/11 LCY
文摘The ethical project of education hinges on the ideal of caring relations between teachers and students, an ideal that entails deep emotional commitments on the part of teachers. Drawing on interview data from a larger study of teachers’ lived experiences in Singapore’s secondary schools,this paper examines the cultural politics of caring as an emotional practice in teaching. The ethic of care serves to construct normative accounts of good teaching based on "feeling rules," and becomes a disciplinary technology for evaluating the professional, social and emotional competencies of teachers. I suggest that this project in turn entails an ideological effort to mobilize teachers’ emotional attachment to this ethical ideal. The ethic of care shapes the subjectivities, beliefs, and practices of English teachers, particularly as they circulate through the neoliberal imperatives of educational accountability regimes.