Sea level rise （SLR） is a major projected threat of climate change that is expected to affect developing coastal cities located in estuarine delta regions, Shanghai is one such city, being located in the Yangtze Riv...Sea level rise （SLR） is a major projected threat of climate change that is expected to affect developing coastal cities located in estuarine delta regions, Shanghai is one such city, being located in the Yangtze River Delta （YRD）, It is difficult, however, for decision-makers to implement adaptation due to the uncer- tain causes, magnitudes, and timings of SLR behaviors, This paper attempts to map the causes and mag- nitudes of SLR behaviors on a decadal scale, We analyze the tidal level records from 11 tidal gauge stations and the corresponding bathymetry measurements around these stations since 1921, We identify three new SLR behaviors along the Shanghai coast due to anthropogenic geomorphologic changes （AGCs）, besides the well-known eustatic sea level rise （ESLR）, tectonic subsidence （TS）, and urban land subsidence （ULS）, The first new behavior is regional sea level rise （RSLR）, which occurs as a result of land reclamation and deep waterway regulation, The second is regional sea level fall （RSLF）, which occurs because the channel bed is eroded due to sediment supply decline in the river catchment, The last SLR behavior is local tidal datum rise （LTDR）. Thus, we project that the magnitude of SLR for the Shanghai coast ranges from 10 cm to 16 cm from 2011 to 2030, Clarifying SLR behaviors is important to aid local decision- makers in planning structural and non-structural measures to combat escalating flood damage costs in an estuarine delta system; this field is full of future challenges,展开更多
This paper presents the behavior simulation of high level radioactive waste repository in Beishan granite site which is the most potential one in China.Based on the results from site characterization in Beishan granit...This paper presents the behavior simulation of high level radioactive waste repository in Beishan granite site which is the most potential one in China.Based on the results from site characterization in Beishan granite site,the conceptual model of repository in this site is proposed and its calculation model is developed with software GoldSim.After verification,this calculation model is applied to simulate the展开更多
<strong>Background:</strong><span><span><span style="font-family:""><span style="font-family:Verdana;"> Many factors influence the expressions of pain in pr...<strong>Background:</strong><span><span><span style="font-family:""><span style="font-family:Verdana;"> Many factors influence the expressions of pain in primiparous women aside from contractions of the uterus. </span><b><span style="font-family:Verdana;">Objective:</span></b><span style="font-family:Verdana;"> This study aimed to describe the level labor pain, level of labor pain behaviors based on cultural pain behaviors at 3 - 4 cm of cervical dilation or the beginning of the active phase of labor among primiparous Muslim women in Indonesia. </span><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"> This was a study with 42 primiparous Muslim women who gave birth in the labor room at Bhinneka Bhakti Husada Hospital and Community Health Center Pamulang, Indonesia from June until January 2017. The women were asked to describe on a 100 mm Visual Analogue Scale the intensity of level of labor pain in their abdomen during the last contractions at 3 - 4 cm of cervical dilation, and Pain Behaviors Observation Scale to observe pain behaviors. Descriptive statistics were used to analyze the data. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> The findings showed that the mean score of level of labor pain at 3 - 4 cm of cervical dilation was 86.38 (SD = 4.47) and most participants experienced high level of labor pain (97.6%). The expression of cultural labor pain behaviors including saying praises to Allah, </span><i><span style="font-family:Verdana;">Asma</span></i><span style="font-family:Verdana;">’</span><i><span style="font-family:Verdana;">aul husna</span></i><span style="font-family:Verdana;">, reciting the Qur’an, </span><i><span style="font-family:Verdana;">sholawat</span></i><span style="font-family:Verdana;">.</span></span></span></span>展开更多
目的探讨基于认知-行为的多层次护理干预对卒中后抑郁(post-stroke depression,PSD)的效果影响。方法选择武汉科技大学附属天佑医院神经内科2019年1月—2023年1月住院的110例PSD患者作为研究对象,对上述患者入院的前后顺序进行标号,随...目的探讨基于认知-行为的多层次护理干预对卒中后抑郁(post-stroke depression,PSD)的效果影响。方法选择武汉科技大学附属天佑医院神经内科2019年1月—2023年1月住院的110例PSD患者作为研究对象,对上述患者入院的前后顺序进行标号,随机分为2组,对照组(n=55)予以常规护理措施干预,在此基础上观察组(n=55)予以基于认知-行为的多层次护理干预。2组患者干预前和干预后1个月,分别采用汉密尔顿抑郁量表(Hamilton depression scale,HAMD)、汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)、简易精神状态检查量表(mini-mental state examination,MMSE)、Barthel指数(barthel index,BI)、生活质量综合评定问卷-74(generic quality of life inventory 74,GQOLI-74)评估患者的精神症状、认知状况、日常生活能力、生活质量。结果与观察组护理干预前和对照组干预后比较,观察组护理干预后HAMD(16.01±1.97)分、HAMA(14.37±1.48)分均明显降低(P<0.05);观察组护理干预后MMSE(28.74±3.16分)、BI(83.09±7.81分)及生活质量评分均明显升高(P<0.05)。结论基于认知-行为的多层次护理干预可明显改善PSD患者的精神症状、认知状况及日常生活能力,同时生活质量也得到明显地提高。展开更多
目的探讨儿童行为特点及其家庭管理方式对儿童哮喘控制水平影响路径。方法采用便利抽样法选取82例哮喘患儿,应用一般资料问卷、适应行为量表(AAMR)、家庭管理测量量表(FaMM)及儿童哮喘控制测试表(Childhood asthma control test,C-ACT)...目的探讨儿童行为特点及其家庭管理方式对儿童哮喘控制水平影响路径。方法采用便利抽样法选取82例哮喘患儿,应用一般资料问卷、适应行为量表(AAMR)、家庭管理测量量表(FaMM)及儿童哮喘控制测试表(Childhood asthma control test,C-ACT)进行问卷调查,分析其影响路径。结果患儿AAMR适应行为量表得分(84.87±9.16)分,FaMM量表得分(188.77±19.01)分,C-ACT得分(15.20±4.66)分。Pearson相关分析结果显示,适应性行为分别与家庭管理、哮喘控制呈正相关关系(r=0.580、0.219,P<0.05),家庭管理与哮喘控制呈正相关关系(r=0.401,P<0.05)。结构方程模型结果表明,家庭管理在哮喘患儿适应性行为和哮喘控制有部分中介调节作用,效应占比为45.95%。结论儿童行为特点能够通过家庭管理方式对患儿哮喘控制水平产生影响,临床护理人员应重视对患儿家属的健康教育管理,提升家属对疾病的认知度及家庭管理能力,以改善患儿的行为方式,达到有效控制患儿疾病的目的。展开更多
基金This study was financially supported by the National Natural Science Foundation of China-the Netherlands Organization for Scientific Research-Research Councils UK （NSFC-NWO-RCUK） （51761135023）, the Shanghai Science and Technology Committee （10dz1210600）, the National Sea Welfare Project （201005019- 09）, the National Natural Science Foundation of China （41476075）, and the China Geological Survey （DD20160246）. We would like to give a special acknowledgement to the second author, ProfessorJi-Yu Chen, who was a great scientist of estuarine and coastal research, for the excellent suggestions and guidelines he provided over a considerable period of time before he passed away.
文摘Sea level rise （SLR） is a major projected threat of climate change that is expected to affect developing coastal cities located in estuarine delta regions, Shanghai is one such city, being located in the Yangtze River Delta （YRD）, It is difficult, however, for decision-makers to implement adaptation due to the uncer- tain causes, magnitudes, and timings of SLR behaviors, This paper attempts to map the causes and mag- nitudes of SLR behaviors on a decadal scale, We analyze the tidal level records from 11 tidal gauge stations and the corresponding bathymetry measurements around these stations since 1921, We identify three new SLR behaviors along the Shanghai coast due to anthropogenic geomorphologic changes （AGCs）, besides the well-known eustatic sea level rise （ESLR）, tectonic subsidence （TS）, and urban land subsidence （ULS）, The first new behavior is regional sea level rise （RSLR）, which occurs as a result of land reclamation and deep waterway regulation, The second is regional sea level fall （RSLF）, which occurs because the channel bed is eroded due to sediment supply decline in the river catchment, The last SLR behavior is local tidal datum rise （LTDR）. Thus, we project that the magnitude of SLR for the Shanghai coast ranges from 10 cm to 16 cm from 2011 to 2030, Clarifying SLR behaviors is important to aid local decision- makers in planning structural and non-structural measures to combat escalating flood damage costs in an estuarine delta system; this field is full of future challenges,
文摘This paper presents the behavior simulation of high level radioactive waste repository in Beishan granite site which is the most potential one in China.Based on the results from site characterization in Beishan granite site,the conceptual model of repository in this site is proposed and its calculation model is developed with software GoldSim.After verification,this calculation model is applied to simulate the
文摘<strong>Background:</strong><span><span><span style="font-family:""><span style="font-family:Verdana;"> Many factors influence the expressions of pain in primiparous women aside from contractions of the uterus. </span><b><span style="font-family:Verdana;">Objective:</span></b><span style="font-family:Verdana;"> This study aimed to describe the level labor pain, level of labor pain behaviors based on cultural pain behaviors at 3 - 4 cm of cervical dilation or the beginning of the active phase of labor among primiparous Muslim women in Indonesia. </span><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"> This was a study with 42 primiparous Muslim women who gave birth in the labor room at Bhinneka Bhakti Husada Hospital and Community Health Center Pamulang, Indonesia from June until January 2017. The women were asked to describe on a 100 mm Visual Analogue Scale the intensity of level of labor pain in their abdomen during the last contractions at 3 - 4 cm of cervical dilation, and Pain Behaviors Observation Scale to observe pain behaviors. Descriptive statistics were used to analyze the data. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> The findings showed that the mean score of level of labor pain at 3 - 4 cm of cervical dilation was 86.38 (SD = 4.47) and most participants experienced high level of labor pain (97.6%). The expression of cultural labor pain behaviors including saying praises to Allah, </span><i><span style="font-family:Verdana;">Asma</span></i><span style="font-family:Verdana;">’</span><i><span style="font-family:Verdana;">aul husna</span></i><span style="font-family:Verdana;">, reciting the Qur’an, </span><i><span style="font-family:Verdana;">sholawat</span></i><span style="font-family:Verdana;">.</span></span></span></span>
文摘目的探讨基于认知-行为的多层次护理干预对卒中后抑郁(post-stroke depression,PSD)的效果影响。方法选择武汉科技大学附属天佑医院神经内科2019年1月—2023年1月住院的110例PSD患者作为研究对象,对上述患者入院的前后顺序进行标号,随机分为2组,对照组(n=55)予以常规护理措施干预,在此基础上观察组(n=55)予以基于认知-行为的多层次护理干预。2组患者干预前和干预后1个月,分别采用汉密尔顿抑郁量表(Hamilton depression scale,HAMD)、汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)、简易精神状态检查量表(mini-mental state examination,MMSE)、Barthel指数(barthel index,BI)、生活质量综合评定问卷-74(generic quality of life inventory 74,GQOLI-74)评估患者的精神症状、认知状况、日常生活能力、生活质量。结果与观察组护理干预前和对照组干预后比较,观察组护理干预后HAMD(16.01±1.97)分、HAMA(14.37±1.48)分均明显降低(P<0.05);观察组护理干预后MMSE(28.74±3.16分)、BI(83.09±7.81分)及生活质量评分均明显升高(P<0.05)。结论基于认知-行为的多层次护理干预可明显改善PSD患者的精神症状、认知状况及日常生活能力,同时生活质量也得到明显地提高。
文摘目的探讨儿童行为特点及其家庭管理方式对儿童哮喘控制水平影响路径。方法采用便利抽样法选取82例哮喘患儿,应用一般资料问卷、适应行为量表(AAMR)、家庭管理测量量表(FaMM)及儿童哮喘控制测试表(Childhood asthma control test,C-ACT)进行问卷调查,分析其影响路径。结果患儿AAMR适应行为量表得分(84.87±9.16)分,FaMM量表得分(188.77±19.01)分,C-ACT得分(15.20±4.66)分。Pearson相关分析结果显示,适应性行为分别与家庭管理、哮喘控制呈正相关关系(r=0.580、0.219,P<0.05),家庭管理与哮喘控制呈正相关关系(r=0.401,P<0.05)。结构方程模型结果表明,家庭管理在哮喘患儿适应性行为和哮喘控制有部分中介调节作用,效应占比为45.95%。结论儿童行为特点能够通过家庭管理方式对患儿哮喘控制水平产生影响,临床护理人员应重视对患儿家属的健康教育管理,提升家属对疾病的认知度及家庭管理能力,以改善患儿的行为方式,达到有效控制患儿疾病的目的。
