Timing theory integrated nursing combined behavior change integrated theory of nursing on primiparous influence

BACKGROUND The comprehension and utilization of timing theory and behavior change can offer a more extensive and individualized provision of support and treatment alternatives for primipara.This has the potential to enhance the psychological well-being and overall quality of life for primipara,while also furnishing healthcare providers with efficacious interventions to tackle the psychological and physiological obstacles encountered during the stages of pregnancy and postpartum.AIM To explore the effect of timing theory combined with behavior change on selfefficacy,negative emotions and quality of life in patients with primipara.METHODS A total of 80 primipara cases were selected and admitted to our hospital between August 2020 and May 2022.These cases were divided into two groups,namely the observation group and the control group,with 40 cases in each group.The nursing interventions differed between the two groups,with the control group receiving routine nursing and the observation group receiving integrated nursing based on the timing theory and behavior change.The study aimed to compare the pre-and post-nursing scores of Chinese Perceived Stress Scale(CPSS),Edinburgh Postpartum Depression Scale(EPDS),Self-rating Anxiety Scale(SAS),breast milk knowledge,self-efficacy,and SF-36 quality of life in both groups.RESULTS After nursing,the CPSS,EPDS,and SAS scores of the two groups was significantly lower than that before nursing,and the CPSS,EPDS,and SAS scores of the observation group was significantly lower than that of the control group(P=0.002,P=0.011,and P=0.001 respectively).After nursing,the breastfeeding knowledge mastery,selfefficacy,and SF-36 quality of life scores was significantly higher than that before nursing,and the breastfeeding knowledge mastery(P=0.013),self-efficacy(P=0.008),and SF-36 quality of life(P=0.011)scores of the observation group was significantly higher than that of the control group.CONCLUSION The integration of timing theory and behavior change integrated theory has been found to be an effective approach in alleviating negative mood and stress experienced by primipara individuals,while also enhancing their selfefficacy and overall quality of life.This study focuses on the key concepts of timing theory,behavior change,primipara individuals,negative mood,and quality of life.

Distributional and behavioral responses of the wintering Oriental Storks to drought in China’s largest freshwater lake

Extreme droughts are increasing in frequency and severity globally as a result of climate change.Developing understanding of species’responses to drought is crucial for their conservation,especially in regions experi-encing increased aridity.Although numerous studies have investigated birds’responses to drought,the emphasis has primarily been on landbirds.Drought can significantly alter the wetland environments that waterbirds inhabit,but the response of waterbirds to drought remains understudied.In this study,we surveyed the distri-bution and behavior of Oriental Storks(Ciconia boyciana)in Poyang Lake,which is the largest freshwater lake in China.Results indicate that drought-induced catchment areas at the lowest water level limited the total popu-lation size of Oriental Storks in the sub-lakes.Sub-lakes with large catchment areas at the lowest water level demonstrated a capacity to support a larger population of wintering Oriental Storks.Over time,Oriental Storks exhibited a gradual concentration in Changhu Lake,characterized by larger catchments,after resource depletion in sub-lakes with smaller catchments.Additionally,the duration of Oriental Storks’vigilance and moving be-haviors decreased significantly compared with that observed before the drought.After the drought,Oriental Storks increased their foraging efforts,as evidenced by increased presence in deeper water and reaching their heads and necks into deeper water to forage,higher search rates,but lower foraging rates.In accordance with area-restricted search theory,reductions in habitat quality resulting from drought,including extensive fish die-offs,forced Oriental Storks to increase their foraging efforts.Sustaining a specific water area in sub-lakes during droughts can preserve resource availability,which is crucial for the conservation of Oriental Storks.Imple-menting measures such as water level control and micro-modification of lake bottoms in sub-lakes might mitigate the impact of drought on the piscivorous Oriental Storks.

Urban residents'behavioral response to climate change and its influencing factors:A case study of Tianjin,China

Climate change is a global issue that poses a significant risk to the global economy and therefore warrants coordinated collective action.Employing a questionnaire survey in China,this study presents urban residents'behavioral response to climate change and its influencing factors.The results indicated that urban residents in Tianjin often took low-cost,intuitive,and quickly implementable actions,namely behavioral coping responses.Proactive adaptive behavior was also evident,which involved greater financial investment.Furthermore,according to regression analysis results of urban residents'behavior and its influencing factors,knowledge of climate change manifested a positive correlation with urban residents'behavioral coping response.In contrast,cost manifested a negative correlation with urban residents'proactive adaptive behavior,which was a more complex,costly,and challenging anticipatory action.Knowledge of climate change manifested a positive correlation with both behavioral coping response and proactive adaptive behavior.Finally,recommendations for encouraging beneficial behaviors among urban residents are suggested.

A New Approach to Analyzing Behavioral Change Propagation in Redesigning of Drone Camera Stabilizer

Redesigning of complex products is not an easy task. Engineering change requirements can be extracted at any stage of the product redesign process, and it makes the management of engineering change become a challenging mission. The motivation for this study is to find the shortest path of behavioral change propagation (BCP), minimize the BCP, access to the special behavioral elements in order to better managing the BCP and classifying the behavioral attribute of the elements in terms of their relationship to change by betweenness centrality coefficient (BNCC), clustering coefficient (CLC), reachability coefficient (RC) and change propagation index (CPI). In this article, the procedure of managerial decision-making is proposed by combining system restrictions in behavioral clustering design structure matrix (BCDSM) with optimization algorithms. The practicality of suggested method is verified in redesign procedure of a phantom drone camera stabilizer as a case study. The results, indicate that the absorption of change by behavioral elements is dominant in the mechanical (63.9%), electrical (61.1%) and thermal (38.9%) behaviors of the drone camera stabilizer system in redesign process. These elements are best candidates for reducing the cost and time of behavioral changes in the system redesign and are desirable for the designer.

Dynamic changes of behaviors, dentate gyrus neurogenesis and hippocampal miR-124 expression in rats with depression induced by chronic unpredictable mild stress

The depression-like behavior phenotype,neurogenesis in the dentate gyrus and miR-124 expression in the hippocampus are the focus of current research on the pathogenesis of depression and antidepressant therapy.The present study aimed to clarify the dynamic changes of depression-like behavior,dentate gyrus neurogenesis and hippocampal miR-124 expression during depression induced by chronic stress to reveal pathological features at different stages of depression and to further provide insight into depression treatment.Chronic unpredictable mild stress depression models were established by exposing Sprague-Dawley rats to various mild stressors,including white noise,thermal swimming,stroboscopic illumination,soiled cages,pairing with three other stressed animals,cold swimming,tail pinch,restraint and water and food deprivation.Chronic unpredictable mild stress model rats underwent dynamic observation from 1 to 8 weeks and were compared with a control group(normal feeding without any stressors).To observe changes in the depression-like behavior phenotype during chronic unpredictable mild stress-induced depression,a sucrose preference test was used to evaluate the degree of anhedonia.An open-field test was used to evaluate locomotor activity and anxiety status.Compared with the control group,chronic unpredictable mild stress rats lost weight but did not have a depression-like behavioral phenotype at 1-4 weeks.Chronic unpredictable mild stress rats presented decreased sucrose preference and locomotor activity at 5-8 weeks.In addition,chronic unpredictable mild stress rats did not have significant anxiety-like behavior during 1-8 weeks of modeling.To observe neurogenesis dysfunctions and changes in neuronal number in the dentate gyrus during chronic unpredictable mild stress-induced depression,markers(DCX and DCX/BrdU)of neural proliferation and differentiation and the neuronal marker NeuN were assessed by immunofluorescence.Compared with the control group,neurogenesis and the neuronal number in the dentate gyrus did not change from 2 to 6 weeks;however,neural proliferation and differentiation in the dentate gyrus decreased,and the number of neurons decreased until the eighth week in the chronic unpredictable mild stress group.Real-time quantitative reverse transcription polymerase chain reaction assays and fluorescence in situ hybridization were used to measure the expression of hippocampal miR-124 during chronic unpredictable mild stress-induced depression.The results showed that the expression of hippocampal miR-124 was unchanged during the first 4 weeks but increased from 5 to 6 weeks and decreased from 7 to 8 weeks compared with the control group.These findings indicate that during chronic unpredictable mild stress-induced depression,the behavioral phenotype,miR-124 expression in the hippocampus,neurogenesis in the dentate gyrus and neuronal numbers showed dynamic changes,which suggested that various pathological changes occur at different stages of depression.All experimental procedures and protocols were approved by the Experimental Animal Ethics Committee of Guangzhou University of Chinese Medicine of China in March 2015.

The Mediating Effect of Body Dissatisfaction in Association between Obesity and Dietary Behavior Changes for Weight Loss in Chinese Children

Objective The aim of this study was to analyze the mediating effect of body dissatisfaction in correlation between obesity and dietary behavior changes for weight loss(DBCWL).Methods A total of 680 primary and middle school students were included in this study. Their body height, weight, and waistline were effectively measured, and they were also evaluated to assess their body dissatisfaction, perception of dietary behaviors, and DBCWL. The correlation among these factors was analyzed using mediating effect models.Results The prevalence of overweight/obesity and abdominal obesity was significantly higher in males than in females(P < 0.05). Overweight/obesity, abdominal obesity, and body dissatisfaction significantly increased the risk for DBCWL(OR = 2.57, 2.77, and 1.95, respectively). Overweight/obesity and abdominal obesity significantly increased the risk for body dissatisfaction(OR = 6.00 and 4.70,respectively). Significant mediating effects of body dissatisfaction were observed in correlation between overweight/obesity and DBCWL and between abdominal obesity and DBCWL(OR = 2.20 and 1.92,respectively;P < 0.05), and the proportions of mediating effects among the total effects were 48.89% and 46.60%, respectively.Conclusion Body dissatisfaction might play an important mediating effect in association between DBCWL and obesity, which indicates that guiding children to correctly recognize their body might be more conducive than promoting obese children toward weight loss through dietary behavior changes.

HIV-infected Female Sex Workers High Risk Behavior and Attitude Changes in Kaiyuan City, Yunnan Province, China

Objective To investigate the attitude and sexual behavior status and change among HIV positive female workers in entertainment sites in Kaiyuan city, Yunnan province, China. The key information should be applied in the integrated intervention program in future. Methods A cohort survey among HIV positive female workers was conducted during 12 months, between 2010 and 2012. All the risk sexual behavior and attitude were collected for assessment for the potential secondary transmission to sexual partners. Results Of 99 HIV positive women who sell sex in Kaiyuan city, 99 participated in the survey at baseline, 80, 80, 75, and 75 at 3-, 6-, 9-, and 12-month follow-ups. The percentage of participants who reported consistently used condoms in the last one month ranged between 94.5% and 95.5%. The client volume in the last one month, income per sex and age group were significant related with non-insistent condom use with their clients. Conclusion It was suggested that integrated intervention program package should include 100 percent condom use promotion for the HIV positive FSW with all sexual partners, and also, include socially support involved.

Microstructural changes during heating of super duplex stainless steel and its thermal deformation behavior

Microstructural changes during heating of highly alloyed Cr26Ni7 type super duplex stainless steel （SDSS2607） and its thermal deformation behavior were investigated. At different heating rates, the mechanism of phase transition from y phase to 6 phase and growth modes of ~ phase differed. Variations in microstructures for as- cast SDSS2607 during heat preservation at 1 220 ~C indicated two kinds of transformations from y phase to 6 phase. In-situ observations of microstructural changes during the tensile process at 1 050 showed a mutual coordination between y and 6 phases. When the true strain increased, the mutual coordination between 7 and 6 phases was damaged. Subsequently, cracks nucleated at the ＂y/g interface. With the increase in temperature, the strength of as- cast SDSS2607 decreased while its plasticity increased. Its thermoplasticity was poor, and the reduction in area of tensile specimens was less than 80%. When the deformation strain of hot compression increased, the stable deformation zone in the heat processing maps enlarged gradually. Moreover, the unstable deformation zones were extended.

Effects of temperature change on elastic behavior of steel beams with semi-rigid connections

Based on the nonlinear displacement-strain relationship,the virtual work principle method was used to establish the nonlinear equilibrium equations of steel beams with semi-rigid connections under vertical uniform loads and temperature change.Considering the non-uniform temperature distribution across the thickness of beams,the formulas for stresses and vertical displacements were presented.On the basis of a flowchart for analysis of the numerical example,the effect of temperature change on the elastic behavior of steel beams was investigated.It is found that the maximal stress is mainly influenced by axial temperature change,and the maximal vertical displacement is principally affected by temperature gradients.And the effect of temperature gradients on the maximal vertical displacement decreases with the increase of rotational stiffness of joints.Both the maximal stress and vertical displacement decrease with the increase of rotational stiffness of joints.It can be concluded that the effects of temperature changes and rotational stiffness of joints on the elastic behavior of steel beams are significant.However,the influence of rotational stiffness becomes smaller when the rotational stiffness is larger.

Internet Through Mobile Phone and Its Cognitive and Behavioral Impact： Changing Sexuality

This study investigates how Internet media in the mobile phone influence on the cognitive and behavioral aspects of human sexuality. Sex is being deviating from socially accepted behaviors; ranging from bisexuality to homosexuality. Based on the qualitative methodology using particular case studies and textual analysis as well as survey research leading to quantitative methodology, this assumes of a transition of cultures as a result of the thorough impact of Internet towards society. In conclusion, lnternet implicit practices in the Mobile Phone in youth and teen societies storms a big change in sexuality, is also affecting towards the human cognitive and behavioral phases of the social life in traditional Buddhist rural village setting in Sri Lanka.

Comparison of Public Health Nurse’s Lifestyle Counseling Skills for Clients with Different Readiness of Behavior Changes in Primary Care Settings

Purpose: Public health nurses (PHNs) are required to assess the readiness of the clients and provide lifestyle counseling accordingly. The purpose of this study was to compare the lifestyle counseling provided for clients with different levels of readiness based on self-evaluations and independent assessment. Methods: Participants were PHNs with 10 years’ experience or less. Lifestyle counseling skills were measured through a simulated counseling session in a primary setting lasting up to 30 minutes, followed by a review session, where the participant provided self-evaluations, and the simulated client provided others-evaluations, of the session. The simulated clients played the role of clients at either the pre-contemplation or contemplation stage of preparedness as per the stages of behavior change theory. Results: The self-evaluation results showed that the mean scores for five of the six skill categories, are lower in the precontemplation-stage client cases than in the contemplation-stage client cases, and significantly so for two skill categories. The others-evaluations showed significantly lower mean scores for all skill categories in the precontemplation cases than in the contemplation cases. Conclusion: The PHNs and simulated clients agreed that lifestyle counseling skills were inadequate for the precontemplation cases, as compared with the contemplation cases. The lifestyle counseling skills of PHNs with less experience may not be well-adjusted to the readiness of the client, indicating difficulties in supporting less prepared clients.

Moving Away from Coercion: Social Justice and Behavior Change in Disability Services

The use of coercion to alter behavior in persons with intellectual and other developmental disabilities has a long history. Despite the work of leaders in the development of Positive Behaviour Support (PBS), the use of chemical, mechanical, physical or personal, and environmental restraints continues, resulting in traumatization, physical and emotional harm, and in some instances, death. When coercion is used, the trust between people breaks down, and the lack of trust is reinforced by the power differentials present when coercion occurs. Social justice provides an avenue for rebalancing power and regaining trust, but people affected by disabilities have historically been excluded from theories of social justice and, in some cases, do not fall within the definition of what it means to be a person in the paradigms put forth by a number of different authors. The term non-coercive has been used in an attempt to reframe behavior change theories and practices, but this term describes the absence of negative circumstances and interventions, rather than the presence of positive and affirming interactions which improve the quality of life of all stakeholders.

The Effectiveness of Hyperlipidemia Prevention Intervention Designed to Affect Behavior Change: Focus on Changes in Health Behavior

Hyperlipidemia prevention intervention for behavior change was conducted on subjects in their 30s and 40s to evaluate changes in health behavior and investigate the effectiveness of these changes, with respect to early prevention and improvement of disease. Subjects were middle-aged individuals aged 30 - 49, suffering from serum lipid abnormalities. Intervention designed to affect behavior change was implemented for 3 weeks in 11 employees (nine males, two females) at five workplaces. Intervention mainly consisted of improving self-efficacy. The study’s purpose was explained and the written consent was obtained from subjects. Subjects filled questionnaires (characteristics, history of present illness, health behavior, self-efficacy scale for prevention of hyperlipidemia, etc.) both before and after intervention. Subjects recorded their physical activity using accelerometers and dietary intake photographically. Each subject created realistic behavior goals and recorded their progress using self-monitoring charts. Data were analyzed using descriptive statistics;therefore, pre- and post-intervention data were compared. Physical activity and achievement rate of goals during the first week and over the next 2 - 3 weeks were compared. Health behavior scores showed modification of behavior in a desirable direction after intervention compared with those before intervention. No significant difference in self-efficacy before and after intervention was observed. However, the subscale for diet was significantly higher after intervention compared with that before intervention. Steps, total calories, and activity calories were increased in the second and third weeks compared with those in the first week. Three weeks of intervention resulted in health behavior changing in a desirable direction. We infer that intervention in the form of self-monitoring using accelerometers that make physical activity visible was effective in leading to behavior change.

Latent Possibility for a Change of the Fertility Behaviors of Rural－Urban Migrants

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Health education pattern based on behavior change wheel makes positive effects on negative emotions of patients with new tumors

Objective:To construct the pattern of health education based on the Behavior Change Wheel(BCW)and to investigate whether positive effects on patients with new tumors.Methods:A total of 140 patients with new tumors were randomly divided into completely informed group,partly informed group and uninformed group.The collected data was evaluated by using the general information questionnaire,self-rating anxiety scale(SAS)as well as the self-rating depression scale(SDS).Health education intervention was made to improve the mental health of patients.Results:The SDS and SAS scores of completely informed and partly informed groups were higher than those in the uninformed group.After health education intervention,the SDS and SAS scores of all groups were higher than those before.Conclusion:There were some negative influences when patients with new tumors were informed about the disease.Health education pattern based on BCW makes positive effects on the negative emotions of patients with new tumors.

Promoting Health Behavior Change in Canada: A Quality Improvement Project Integrating Prevention and Wellness in Frontline Care

Background: The critical need for Health Behaviour Change (HBC) for preventative care has been highlighted by the COVID-19 pandemic. This quality improvement project assessed the effectiveness and acceptability of Fountain of Health HBC tools as a minimal intervention for primary and secondary prevention among Canadian clinicians and their patients. Methods: Clinicians received HBC education and tools (paper tools and app-based) to assist their patients in setting a S.M.A.R.T (Specific, Measurable, Action-oriented, Realistic, Time-limited) goal at baseline and assessed four weeks later. Primary outcome measures were: 1) patient self-report of success at goal attainment;2) patient self-reported evaluation of change in well-being and health attitudes;and 3) clinician experience and engagement. Results: A total of 2184 clinicians received HBC education. Of these, 759 clinicians registered to participate in the project. 961 patients set S.M.A.R.T. HBC goals using either the paper tools (PT) or the app format. Patient data revealed nearly all patients (89% of PT users and 90% of app users) at least partially succeeded in attaining their goal at a four-week follow-up. Most patients (85% of PT and 80% of app users) also reported improvement in their well-being. A significant difference in health beliefs and attitudes was found in both PT (p < 0.001) and app users (p = 0.003). Conclusions: HBC is challenging. Educating and providing clinicians with HBC tools as a minimal intervention was found to be a successful health prevention strategy to improve patient well-being and health attitudes, and achieve S.M.A.R.T. goals. Results show HBC tools, education, and support for clinicians are both acceptable and effective for HBC in frontline care. These findings are relevant and timely given greater reliance on virtual care in the wake of the COVID-19 pandemic. Further research with rigorous methodology is needed to implement programs to achieve sustainable HBC to promote health on a large scale.

Misdiagnosed behavior change revealing fatal primitive intra-cerebral echinococcosis

Central nervous system involvement in hydatidosis is rare compared to other somatic localizations: 1-5%. It is schematically divided into two major types: cerebral involvement and spinal involvement. The brain is a rare localization of hydatid cyst accounting for only 2% of all hydatid disease. The psychiatric manifestations revealing cerebral hydatidosis remain exceptional and often unrecognized and neglected by practitioners despite their potential severity. We report two original observations of fatal cerebral hydatidosis revealed by behavior change (psychomotor agitation, aggressiveness, persecutory delusion, and auditory and visual hallucinations) insufficiently explored in two women aged 45 and 17. The possibility of cerebral hydatidosis must always be evoked in front of any psychiatric symptomatology that remains unexplained in endemic areas for echinococcosis.

Regional Variability of Climate Change Hot-Spots in East Asia

The regional climate change index （RCCI） is employed to investigate hot-spots under 21st century global warming over East Asia. The RCCI is calculated on a 1-degree resolution grid from the ensemble of CMIP3 simulations for the B1, AIB, and A2 IPCC emission scenarios. The RCCI over East Asia exhibits marked sub-regional variability. Five sub-regional hot-spots are identified over the area of investigation： three in the northern regions （Northeast China, Mongolia, and Northwest China）, one in eastern China, and one over the Tibetan Plateau. Contributions from different factors to the RCCI are discussed for the sub-regions. Analysis of the temporal evolution of the hot-spots throughout the 21st century shows different speeds of response time to global warming for the different sub-regions. Hot-spots firstly emerge in Northwest China and Mongolia. The Northeast China hot-spot becomes evident by the mid of the 21st century and it is the most prominent by the end of the century. While hot-spots are generally evident in all the 5 sub-regions for the A1B and A2 scenarios, only the Tibetan Plateau and Northwest China hot-spots emerge in the B1 scenario, which has the lowest greenhouse gas （GHG） concentrations. Our analysis indicates that subregional hot-spots show a rather complex spatial and temporal dependency on the GHG concentration and on the different factors contributing to the RCCI.

Contributions of climate change, land use change and CO2 to changes in the gross primary productivity of the Tibetan Plateau

The ecosystems on the Tibetan Plateau(TP) are highly vulnerable to climate change, rising CO2 concentration, and land-use and land-cover change(LULCC), but their contributions to changes in the gross primary productivity(GPP) of the TP are not clearly understood. In this study, the role of these three factors on the interannual variations(IAVs) and trends of the TP’s GPP were investigated using 12 terrestrial biosphere models. The ensemble simulations showed that climate change can explain most of the changes in the GPP, while the direct effect of LULCC and rising CO2(mainly fertilization effect) contributed 10% and-14% to the mean GPP values, 37% and -20% to the IAV, and 52% and -24% to the GPP’s trend, respectively. The LULCC showed higher contributions to the significant positive trend in the annual GPP of the TP. However, the results from different model simulations showed that considerable uncertainties were associated with the effects of LULCC on the GPP of the TP.