Challenges and Motivating Factors of Orthodontic Treatment among Patients Attending Komfo Anokye Teaching Hospital

Background: Orthodontic treatment poses challenges such as discomfort, aesthetic concerns, dietary restrictions, time commitment, and financial considerations for patients. These challenges can deter individuals from pursuing treatment or cause anxiety during the process. However, patients are motivated by the desire to improve their appearance, boost self-confidence, and enhance oral health. They also value the long-term benefits of treatment, including improved dental function and overall well-being. Professional recommendations from dentists and orthodontists, along with social support from family and friends, further encourage patients to undergo treatment. Understanding these challenges and motivating factors is crucial for orthodontic professionals to tailor treatment plans and ensure positive experiences and successful outcomes for their patients. Objective: To determine the challenges and motivating factors of orthodontic treatment among patients attending Komfo Anokye Teaching Hospital. Method: The study was conducted at Komfo Anokye Teaching Hospital in Kumasi, Ghana, with a sample size of 60 orthodontic patients. Data was collected using self-administered questionnaires and analyzed using SPSS software. Ethical approval was obtained, and the findings were shared with stakeholders. Results: Findings showed a higher representation of females (63.3%) seeking orthodontic treatment. Common motivations for seeking orthodontic treatment included aesthetic Concerns (38.2%), misaligned teeth (28.1%) and recommendation from dentist (19.2%). Challenges reported included pain and discomfort (36.7%), difficulty chewing (15%), expensive treatment (14.4%) and missed appointments (11.7%). Factors motivating treatment continuation were visible improvements (30%), achieving optimal results (23%), reducing pain and discomfort (17%). External influences, such as family pressure, also played a role. Patients appreciated the support of healthcare providers during treatment but suggested better pain management and education. Conclusion: The study provided valuable insights into patient motivations, challenges and factors influencing satisfaction and adherence to orthodontic treatment at KATH.

Ministry of Commerce:Full of confidence,clear direction,strong motivation

On March 12,the official account of the International Business Daily of the Ministry of Commerce published an article titled“Foreign trade enterprises:full of confidence,clear direction,strong motivation”.The content is as follows:This year,China is still facing a tough foreign trade situation.On the one hand,many international organizations predict that global economic growth in 2024 will still be lower than the historical average and the pressure on external demand will increase;on the other hand,trade protectionism and unilateralism are on the rise,geopolitical conflicts,the global“super election year”and other spillover factors have created many uncertainties.

Labor Motivation and Its Influence on Workers’Productivity-A Secondary Publication

The productivity of an institution is achieved,in large part,by creating a harmonious environment that reflects the satisfaction,empowerment,and collaborative spirit of each employee.From this perspective,management will consider upgrades using all tactics that allow for the achievement of these goals,including direct effort and the involvement of all stakeholders.The objective of this study was to examine the relationship between work motivation and the productivity of workers in the communal board of the Barrio Sur corregimiento in the province of Colón.Using the questionnaire as an instrument,as well as the descriptive method,allowed for the report and evaluation of the characteristics of the workers,indicating interpersonal deficits and distancing in the motivations that drive administrative action.By incorporating different approaches previously analyzed and developed by different authors familiar with the subject,it was possible to achieve substantial results,such as the need to implement administrative strategies that harmoniously incorporate workers,showing that,despite motivation problems,the work environment where one works is very important in the performance of their duties.Managing to motivate the direct participation of the workers selected as part of the sample,who showed full satisfaction with the results framed within the framework of individual improvement and,above all,the commitment to the institution to improve its work.

The Influence of Swimming Athletes’ Burnout on Their Sports Participation Motivation in Hunan, China

Objective:This study aims to explore the effect of swimming athletes’burnout on their sports motivation in Hunan University,China.It seeks to understand how burnout influences various motivational factors,providing insights for optimizing swimming sports courses and enhancing student participation.Method:Employing random sampling,the study surveyed 260 swimming athletes from Hunan University.The research utilized a questionnaire divided into three parts:demographic information,the Athlete Burnout Questionnaire(ABQ),and the Intrinsic Motivation Inventory(IMI).Pearson’s r correlation analysis was conducted using SPSS to examine the relationships between burnout dimensions and motivational factors.Results:The study found significant correlations between a reduced sense of accomplishment and various motivational dimensions,including“interest/enjoyment,”“perceived competence,”“perceived choice,”and particularly“perceived tension.”Physical exhaustion showed a significant correlation only with“perceived tension,”indicating a strong link between psychological stress and physical fatigue.Sports devaluation was significantly correlated with“perceived tension,”suggesting that psychological stress impacts athletes’valuation of their sport.Conclusion:The findings highlight the complex interplay between burnout and motivation in swimming athletes.Psychological stress,as indicated by“perceived tension,”emerges as a key factor influencing both the physical and emotional aspects of burnout.The study underscores the need for holistic training approaches that balance physical training with psychological well-being,personalized coaching,and supportive environments to enhance intrinsic motivation and manage stress effectively.

The Dynamic Interplay Between Language Motivation and English Speaking Fluency:Implications for Effective Teaching Strategies

In this study,we aim to investigate the reciprocal influence between language motivation and English speaking fluency among language learners,and to draw implications for effective teaching methodologies.By analyzing multiple cases of language learners in conjunction with relevant theories and practical insights,the study uncovers a dynamic correlation between language motivation and speaking fluency.The research findings indicate that heightened language motivation can positively impact learners’speaking fluency,while improved oral skills,in turn,bolster learners’language confidence and motivation.Building on these insights,the study proposes impactful teaching approaches,such as cultivating learners’enthusiasm for language acquisition,providing diverse opportunities for oral practice,and fostering active engagement in language communication.These strategies are designed to enhance language motivation and speaking fluency among learners,offering valuable guidance and reference for educators.

Chemical interaction motivated structure design of layered metal carbonate hydroxide/MXene composites for fast and durable lithium ion storage

Rational architecture design has turned out to be an effective strategy in improving the electrochemical performance of electrode materials for batteries.However,an elaborate structure that could simultaneously endow active materials with promoted reaction reversibility,accelerated kinetic and restricted volume change still remains a huge challenge.Herein,a novel chemical interaction motivated structure design strategy has been proposed,and a chemically bonded Co(CO_(3))_(0.5)OH·0.11 H_(2)O@MXene(CoCH@MXene)layered-composite was fabricated for the first time.In such a composite,the chemical interaction between Co^(2+)and MXene drives the growth of smaller-sized CoCH crystals and the subsequent formation of interwoven CoCH wires sandwiched in-between MXene nanosheets.This unique layered structure not only encourages charge transfer for faster reaction dynamics,but buffers the volume change of CoCH during lithiation-delithiation process,owing to the confined crystal growth between conductive MXene layers with the help of chemical bonding.Besides,the sandwiched interwoven CoCH wires also prevent the stacking of MXene layers,further conducive to the electrochemical performance of the composite.As a result,the as-prepared CoCH@MXene anode demonstrates a high reversible capacity(903.1 mAh g^(-1)at 100 mA g^(-1))and excellent cycling stability(maintains 733.6 mAh g^(-1)at1000 mA g^(-1)after 500 cycles)for lithium ion batteries.This work highlights a novel concept of layerby-layer chemical interaction motivated architecture design for futuristic high performance electrode materials in energy storage systems.

Effect of CICARE communication nursing model combined with motivational psychological intervention in patients with postintensive care unit syndrome

BACKGROUND Post-intensive care syndrome(PICS)is a term used to describe a constellation of new or worsened dysfunctions in the physical,cognitive,or mental health status of critically ill patients after their discharge from the intensive care unit(ICU).These dysfunctions persist beyond the acute phase of illness and have a significant impact on both the patient and their family.Connect,Introduce,Communicate,Ask,Respond,Exit(CICARE)communication advocates that patients should be respected and accepted when receiving medical services.Clinicians should attach importance to the communication mode of feelings,including connection,introduction,communication,ask,response,and exit 6 steps.AIM To assess the impact of CICARE communication on the reduction of anxiety,depression,and post-traumatic stress disorder(PTSD)symptoms in patients transitioning from the ICU to other care settings.METHODS This prospective,randomized,controlled study was performed between October 2021 and March 2023.Intensive Care Unit Memory Tool was used to evaluate patients’ICU memory.The Hospital Anxiety and Depression Scale was employed to determine the presence of anxiety or depression symptoms.Impact of Event Scale-Revised was utilized to assess the presence of PTSD.All data were processed and analyzed using R language software version 4.1.0.The measurement data were expressed as mean±SD,and the t test was used.The count data were analyzed by theχ2 test and expressed as[n(%)].RESULTS In total,248 subjects were included in this study.Among them,206 were successfully followed up for three months after transfer from the ICU,and 42 cases were lost to follow-up.There was no significant difference in the composition of ICU memory between the two groups.The application of the CICARE communication nursing model combined with the motivational psychological intervention nursing model,as well as the adoption of only the motivational psychological intervention nursing model,demonstrated favorable effects on PICS.Both groups of patients showed a reduction in anxiety scores,depression scores,and PTSD scores following the implementation of these two nursing models.However,it is noteworthy that the experimental group exhibited greater improvements compared to the control group.CONCLUSION Our findings suggest that CICARE communication nursing mode may have good influence on relieving PICS.

Demonizing "Made-in-China" Found Politically Motivated

"Formaldehyde", a very strange word both in English or in Chinese, has all of sudden become a headline blowout. " You have all hairy body, why call others demons?" as Chinese saying goes, meaning you have a lot of problems with the same thing, how can you stand easy to reproach others? Demonizing "Made-in-China" is politically motivated!" That's what one would often hear from Chinese manufacturers amid the reciprocal recalls of the alleged unsafe products from each other. What's in store for "Made-in-China" in the future?

The European Political Community:Establishment,Motivation and Prospect

The European Political Community(EPC)is a forum-like institution established by the European countries out of their geopolitical needs and to overcome the dilemma of EU enlargement after the outbreak of Ukraine crisis.It has held three summit meetings so far in Prague on 6 October 2022,Burboac on 1 June 2023 and Granada on 5 October 2023 respectively.

Cooperation between EU and India: Motivations and Constraints

In recent years,the EU and India have increased interactions and deepened their cooperation in political,economic and security fields.Amid the backdrop of intensifying great-power rivalry between China and the US and the security confrontation between the US and Russia,the growing ties between the EU and India,as two important forces in the looming multipolar world,will significantly impact the evolution of the international geopolitical structure and China’s external strategic environment.

A Study on Organizational Commitment,Work Motivation,and Job Performance After the COVID-19 Epidemic in Taiwan-The Mediating Effects of Work Motivation and Organizational Communication

The purpose of this study is to explore the correlation between organizational commitment and job performance among employees in Taiwan Residents companies after the COVID-19 epidemic,and to use work motivation and organizational communication as intermediary variables to further understand the interaction between them.Using hierarchical multiple regression analysis and bootstrap method to analyze,the research results show that organizational commitment has a significant positive impact on work motivation and work performance,and work motivation also has a significant positive impact on work performance.In addition,organizational communication has a mediating effect on organizational commitment and work motivation,and work motivation also has a mediating effect on organizational commitment and work machine performance.The results of this study hope to understand the working conditions of organizations and employees after the COVID-19 epidemic,and provide relevant business operators with follow-up references for their operations.

Promoting the Learners’Motivation in Learning Chinese as a Second Language:From Demotivation to Motivational Strategies

Motivation is a key factor that influences the outcome of second language(L2)learning.Chinese as a second language(CSL)learners,however,may experience demotivation in their Chinese learning process which will,more often than not,reduce their learning interest and eventually affect their learning effect,therefore,it is necessary to enhance the learners’motivation level.This article first reviews the research literature in motivation in general,then discusses the CSL learners’demotivation in their Chinses learning process studying in China.Finally,it introduces motivational strategies to activate CSL learners’motivation in learning Chinese.

Controversy of International Carbon-motivated Border Tax Adjustment and Its Impact on China's Manufacturing Industries

Carbon-motivated border tax adjustment (BTA) aims to compensate for the loss of competitiveness of carbon intensive products due to carbon dioxide abatement actions.Based on the analysis of the international background of carbon-motivated BTAs,this paper discusses the fundamental motivation leading to US policy transformation,the potential impacts of the policy on China's manufacturing industries,and the compatibility of the policy to WTO rules.Carbon-motivated BTAs violate the fundamental principle of the UNFCCC,and potentially conflict with the core WTO principle of non-discrimination reflected in the GATT Articles I and III.However,Article XX of the GATT may be applicable.Thus,the author suggests several measures to alleviate the impacts of carbon-motivated BTAs,and puts forward countermeasures based on carbon consumption per capita.

Motivations and Impacts of the ROK’s Deepening Relations with NATO

In June 2022,President of the Republic of Korea(ROK)Yoon Suk-yeol,only one month into his office,attended the summit of the North Atlantic Treaty Organization(NATO)in Madrid,the first time for the country’s head of state,and announced the establishment of a permanent mission to NATO on the occasion.

To explore patients’ perceptions about motivators and barriers of adherence to highly active antiretroviral therapy among people living with HIV: A qualitative study

Objective:For people living with HIV(PLHIV),strict adherence to highly active antiretroviral therapy(HAART)is the key to effective treatment and retention in human immunodeficiency virus(HIV)care.There are many factors which promote or halt the antiretroviral therapy(ART)adherence practices.Therefore,the present study aimed to examine the HAART adherence levels and to explore patients’views about barriers and facilitators to HIV treatment adherence.Methods:Semi-structured interviews were conducted among 15 PLHIV at the ART clinic of Dr.Ram Manohar Lohia Hospital,New Delhi.Interviews were audio-recorded in the local Hindi language,and bilingual experts(English and Hindi)transcribed verbatim.Qualitative data were coded for themes and subthemes and analyzed using a phenomenological approach as per thematic content analysis.Results:Feeling of hopelessness,delayed ART initiation,difficult initial phase of ART,forget to take ART on time,fear of disclosure of HIV diagnosis,lack of privacy and negative social support,and impact of lockdown due to COVID-19 were revealed as significant barriers to ART adherence.At the same time,commitment to raise and educate children,ART to increase life span,maintain oneself to be physically fit and healthy,only a single pill per day,very supportive counselors and health-care professionals,and hope to give birth to a healthy child were identified as facilitators of HIV retention.Conclusion:Understanding patient’s perception about ART adherence,its motivational and barrier factors which are directly affecting ART adherence and retention of PLHIV in HIV treatment and follow-ups are of utmost importance to improve ART adherence during HIV patient care services.

Exploring the motivation and barriers that nurses experience when enrolling for a Master’s in emergency and disaster nursing

Background:There is a growing interest in postgraduate nursing education in Saudi Arabia,including the availability of Master’s and PhD degrees in nursing.Consequently,various specialized studies in nursing have emerged,such as the Master’s in emergency and disaster nursing.However,only a limited number of studies have been conducted in Saudi Arabia to explore the factors that can have a positive or negative impact on a Master’s program from the students’perspective.Furthermore,no studies have investigated the motivation and barriers encountered by registered nurses when it comes to enrolling in a Master’s program in emergency and disaster nursing at Taif University.Methods:A qualitative descriptive approach was employed for this study.A total of 12 postgraduate nurses who had successfully obtained a Master’s degree in emergency and disaster nursing from Taif University participated in the research.Results:Two themes emerged from the analysis.The first theme centered around the motivation to enroll in the Master’s degree program,which encompassed the desire to improve knowledge and skills,enhance self-learning abilities,and achieve financial advancement.The second theme focused on the barriers faced when enrolling in the Master’s program,which included challenging admission criteria and requirements,high program costs,and difficulties in obtaining scholarships.Conclusions:This study identified several motivations and barriers related to the enrollment in a Master’s program in emergency and disaster nursing at Taif University.Therefore,it is recommended that efforts be made to increase financial support and facilitate fellowships to support students in their pursuit of this program.

Effect of Collective Bargaining on Employee Motivation in the Zimbabwean Gold Mining Sector

The purpose of this study is to determine the effect of collective bargaining on employee motivation in the Zimbabwean gold mining sector.The continued restless among employees at various gold mines in the midlands province has resulted in productivity levels dwindling.There has been increased labour turnover by employees as well as increased union representation to management.Questionnaire were used to collect data.In this article a population of one thousand employees was used.A sample of two hundred employees was selected across the board.The results of the study indicate positive relationships between collective bargaining and job satisfaction among the employees in the Zimbabwean gold mining sector.Implications of these results are that the human resource interventions are required in order to create an environment in which employees can freely engage in collective bargaining.Furthermore,the results indicate that collective bargaining engenders intrinsic motivation and above all allows for the protection of employee’s rights and welfare as well as promoting industrial democracy.This study recommends that managers should guard against preventing or obstructing employees from seeking legal redress to protect their interest.In addition,labour officers should be given the right of reasonable access to workers during working hours at their organisations for the purposes of advising the workers on the law.The employees should be given a latitude to belong to a trade union and or workers committee.

Digital Locomotives

In 1990,a landmark report of the South Commission represented a defining moment for the Global South,calling for South-South cooperation and consecrating the theory of the“locomotives of the South.”The report emphasised that countries in the Global South could not expect former colonisers and imperialist forces to be the driver of their development.“The new locomotive forces have to be found within the South itself,”it argued.

高校实验技术人员内在动力激励模式探讨

实验技术人员是高校仪器共享平台的核心力量,如何建设并稳定一支业务精干、素质优良、结构合理的高水平实验技术队伍,充分调动实验技术人员的主动性和创造性,是提高平台服务和管理水平的关键。以中山大学中山医学院科研仪器平台为例,探讨通过建立成长督促的交互学习氛围,协助技术员职业自信的建立,培养技术员爱岗敬业的工匠精神,从而激发技术人员积极向上的内在动力,实践证明这些模式可有效地提升队伍的稳定性和平台整体的服务效能。

急性心肌梗死患者心脏运动康复依从动机的质性研究

目的探究急性心肌梗死(acute myocardial infarction,AMI)行经皮冠状动脉介入(percutaneous coronary intervention,PCI)治疗患者心脏运动康复的依从动机,为提升患者运动康复参与及行为改变提供建议和依据。方法采用描述性质性研究,通过目的抽样法选取2021年7月至2022年1月在上海某三级甲等医院复诊的29例AMI患者进行半结构式深度访谈,其中18例来源于心脏康复中心、11例来源于随访门诊。采用内容分析法整理访谈资料。结果共提炼3个主题和9个亚主题:患者的运动体验(康复获益感、风险感知),患者的心理状态(悲观、恐惧、积极心态)和社会支持(家庭依恋及支持、专业指导及支持、同伴交流及支持、物理资源及支持)。结论护理人员应重视AMI行PCI治疗患者的运动体验、心理状态及社会支持情况,以提高患者心脏运动康复依从动机。