BACKGROUND This work explored the effects of cognitive behavior therapy(CBT)-based comprehensive nursing intervention(CNI)mode in arch expansion to treat patients with orthodontic osteodilated arch(OOA).AIM To explore...BACKGROUND This work explored the effects of cognitive behavior therapy(CBT)-based comprehensive nursing intervention(CNI)mode in arch expansion to treat patients with orthodontic osteodilated arch(OOA).AIM To explore the application effect of CBT-based CNI model in orthodontic expansion arch treatment.METHODS Using convenient sampling method,81 patients with OOA were selected and rolled into a control group(Ctrl group,40 cases)and an observation group(Obs group,41 cases).During the treatment,patients in the Ctrl group received routine nursing intervention mode,and the those in the Obs group received CBT mode on the basis of this.Before and after intervention,the incidence of oral mucositis,the mastery rate of correct arch expansion method,self-rating anxiety scale score,soft scale index,and plaque index were compared for patients in different groups.In addition,satisfaction and complications were comparatively analyzed.RESULTS Incidence of oral mucositis in the Obs group was lower(14.6%vs 38.5%),and the mastery rate of correct arch expansion method was obviously higher(90.2%vs 55.0%)was obviously higher(all P<0.05).Meanwhile,the soft scale index and plaque index in the Obs group were much lower(P<0.05).The compliance(90.24%)and satisfaction(95.12%)in the Obs group were greatly higher(P<0.05).CONCLUSION The CBT-based CNI mode greatly improved the mastery rate of correct arch expansion method during arch expansion in treating patients with OOA and enhanced the therapeutic effect of arch expansion and the oral health of patients,improving the patient compliance.展开更多
This article explores the relationship between the tourist's cognition of the landscape experience and the environmental conservation efforts at three distinct tourist sites in mountains of southwestern China. A t...This article explores the relationship between the tourist's cognition of the landscape experience and the environmental conservation efforts at three distinct tourist sites in mountains of southwestern China. A total of 1500 on-site questionnaire surveys were distributed and 1142 valid questionnaires were used for statistical analysis. Results from multi-group path analysis showed that both cognition of the cultural landscape experience and cognition of the natural landscape experience had positive impacts on environmental conservation behaviors and behavior intentions of tourists. Results from comparative analysis among the three tourist sites indicated that cognition of the cultural landscape experience had a stronger power to predict senior environmental conservation behaviors and behavior intentions than cognition of the natural landscape experience, whereas cognition of the natural landscape experience had more power to predict general environmental conservation behaviors and behavior intentions than cognition of the cultural landscape experience. Furthermore, our findings benefit environmental management and sustainabilityat tourist sites.展开更多
Spillover effects play a crucial role in hindering the effective implementation of green behavior.Whether it pertains to enterprises or individuals,engaging in green behavior often leads to increased costs.However,the...Spillover effects play a crucial role in hindering the effective implementation of green behavior.Whether it pertains to enterprises or individuals,engaging in green behavior often leads to increased costs.However,the benefits derived from green behavior cannot be fully recouped but rather spill over and benefit other non-green entities,thereby undermining the incentives for companies or individuals to engage in green practices.The study categorizes the spillover effects of corporate green investment into three aspects based on the channels through which they occur:environmental spillover,inter-industry spillover(vertical spillover),and intra-industry spillover(horizontal spillover).While these three spillover mechanisms work in tandem with green behavior,existing literature has predominantly focused on the "free-rider " effect of environmental spillover and horizontal spillover,neglecting the impact of vertical spillover.Additionally,this paper provides a comprehensive review of measures aimed at incentivizing corporate green investment.Current government-level measures often overlook the multifaceted nature of spillover effects stemming from green behavior and the factors influencing corporate decision-making in this regard,resulting in various limitations and deficiencies.The paper argues that,besides relying solely on direct interventions from external actors such as the government or society,a more significant emphasis should be placed on enhancing the role of enterprises as a fundamental approach.This involves fostering the endogenous capacity of enterprises to generate green investment and facilitating a beneficial interaction that respects corporate autonomy.Consequently,policymakers should consider multiple dimensions of spillover effects and design appropriate mechanisms that leverage the inherent capabilities of enterprises,thus stimulating green investment.This approach represents a crucial area for future research that warrants further in-depth inve stigation.展开更多
Context: With the view to reorient both STI/HIV/AIDS prevention and adolescents pregnancies, this research study aims at evaluating cognitive and behavioral acquisitions, as well as the process of interactive sex educ...Context: With the view to reorient both STI/HIV/AIDS prevention and adolescents pregnancies, this research study aims at evaluating cognitive and behavioral acquisitions, as well as the process of interactive sex education participatory approach among adolescents in Kinshasa high schools. Methods: Based on a “pre and post” virtually experimental design, two crosswise surveys were conducted in Kinshasa, for six months in 2011-2012 on 484 high school students (pre-survey) and on 441 high school students (post-survey), whose age range from 14 - 19 years including both sexes. Two participatory educational talks (PET) “A” and “B”, covered weekly in two different schools, were compared to a control group school. The PET “A” consisted of interactive interpersonal communication sessions given by an external expert as a substitute for the life education course in one school. The PET “B” carried out in another school, included more educational talk sessions, led by the external expert and supplemented by a close follow-up of teenagers divided into small groups of 10 participants. The subjects’ assessment was based on their knowledge, attitudes and practices relating to STI/HIV/AIDS dual prevention as well as to unwanted pregnancies. Results: The subjects involved in the PET “B” displayed a better/higher performance based on their knowledge, attitudes and practices related to STI/HIV/AIDS dual prevention and unwanted pregnancies. Broadly speaking, knowledge has been improved 6 times with the PET “B” (OR = 6, 10, IC 95%) (3.24 - 11.9), and 3 times with the PET “A” (OR = 3, 45, IC 95%) (1.79 - 6.81), compared to control school. Similarly, findings on subjects’ attitudes show an improvement rated 12 times with the PET”B” (OR = 11, 99, IC 95%) (5.67 - 27.38) and 5 times for the PET “A” (OR = 5.51, IC 95%) (2.54 - 12.87). As far as the subjects’ practices are concerned, an improvement of 6 more times of protected sexual intercourses with the PET “B” compared with the control school group (OR = 6, 52, IC 95%) (3.60 - 12.0). The process assessment records a spontaneous involvement of schools enhanced by the positive contribution of Life Education and Biology teachers;add a massive participation of adolescents who requested permanent PET program. Conclusion: The results of this study suggest that school sexual education programs can be improved to increase the quality of apprenticeship. The use of interactive methods and the consideration of the adolescents’ specific needs that take into account the gender approach may bring about beneficial advantages on both educational outcomes and reproductive health of adolescents.展开更多
The cognition and attitudes of resources environment affect environmental behavior of behavior subject,the changes of attitude and behavior become one of the key factors of influencing harmonious and healthy developme...The cognition and attitudes of resources environment affect environmental behavior of behavior subject,the changes of attitude and behavior become one of the key factors of influencing harmonious and healthy development of ecological environment. With PRA survey method for obtaining questionnaire data and based on behavior geography and social psychology theory,farming-pastoral,dry grassland,desert grassland, typical project village alpine grassland of returning fazing land to grasslands as an example,with main body cognitive perspective of the aid of resources,the article analyzed space dissimilation of stakeholders environmental cognitive and behavior preference response in the area of returning grazing land to grasslands from ecological environment from policy environment,ecological environment and family economic environment aspects. The results showed that： stakeholders judgment of Grassland degradation in different ecological function area had obvious regularity,the cognitive proportion of Grassland degradation gradually increase from farming-pastora to alpine savanes. The satisfaction from returning grazing land to grasslands showed a changing tendency of reversed U. stakeholders had more strongly negative cognition in the area of dry steppe and desertsteppe. From farming-pastoral to alpine savanes,the economic environment tend to worse situation. Negative environmental behaviors tend to increase,Positive behavior on the contrary.展开更多
Objective:To evaluate the effect of cognitive behavioral therapy on cancer-related fatigue in breast cancer patients.Methods:Computer search for CNKI,VIP,Wanfang database,CBM,PubMed,Embase,CINAHL,The Cochrane library ...Objective:To evaluate the effect of cognitive behavioral therapy on cancer-related fatigue in breast cancer patients.Methods:Computer search for CNKI,VIP,Wanfang database,CBM,PubMed,Embase,CINAHL,The Cochrane library as of 2019 randomized controlled trials on October 20 for cognitive behavioral therapy intervention for breast cancer due to fatigue.Results:A total of 6 RCTs were included,472 patients.Cognitive Behavioral Therapy has a strong effect on cancer related fatigue compared with the usual care[SMD=-1.19,95%CI(-1.86,-0.53),P=0.0004].Results:Available evidence suggests that CBT can alleviate cancer-related fatigue in breast cancer patients,and the above studies still need to continue to conduct relevant studies for validation.展开更多
In the implementation of corporate environmental responsibility,‘greenwashing’is a pseudo-social behavior which is theopposite of‘genuine green’behaviors.With the improvement of the public awareness of environment...In the implementation of corporate environmental responsibility,‘greenwashing’is a pseudo-social behavior which is theopposite of‘genuine green’behaviors.With the improvement of the public awareness of environmental protection and the strengthening of the government environmental supervision,more and more enterprises are learning the green behavior adaptively.The frequentoccurrence of greenwashing has become a‘disharmonious’voice in the construction of ecological civilization.Institutional theory holdsthat institutional factors make organizations become more similar in structure and performance due to institutional forces.This paper describes an exploratory research on the law of group behavior in corporate greenwashing,analyzes the isomorphic mechanism of corporate greenwashing based on the institutional theory,and carries out an empirical test by using the data of A-share listed companiesin heavily polluting industries during the period of 2010−2016.The research in this paper shows that corporate greenwashing behavioris significantly affected by neighboring enterprises in the same region,and proves the existence of the‘bandwagon’effect.The results of analysis based on the nature of property rights show that state-owned enterprises have more significant regional isomorphic behaviors,indicating that state-owned enterprises are more inclined to claim legitimacy through the institutional isomorphism of greenwashing.Results of further analysis show that,greenwashing isomorphism does not significantly improve the operating performance of enterprises,but the similarity strengthens the ability of these enterprises to bear risks under an uncertain environment.As such,this provides empirical evidence support for the hypothesis that‘organizational isomorphism is usually for legitimacy rather than efficiency’in the institutional theory.The research in this paper reveals the land-derived characteristic of greenwashing behavior,and provides adecisive reference for policy implication.For the control of greenwashing,the central government should enforce and standardize theenterprise environmental report in terms of institutional arrangement,unify the form and content of disclosure,and improve the credibility and comparability of environmental information disclosure.The local governments need to strengthen the supervision of enterprises within their jurisdiction,as well as the coordination,cooperation and information sharing between departments,increase the punishment of violations,break the legal for enterprises to obtain socialrecognition by greenwashing.Meanwhile,it is necessary for the promotion of‘genuine green’large companies and state owned enterprises as role models.展开更多
基金The research was reviewed and approved by the Review Committee of Hospital of Chengdu University of Traditional Chinese Medicine(Approval No.NSH-23-319).
文摘BACKGROUND This work explored the effects of cognitive behavior therapy(CBT)-based comprehensive nursing intervention(CNI)mode in arch expansion to treat patients with orthodontic osteodilated arch(OOA).AIM To explore the application effect of CBT-based CNI model in orthodontic expansion arch treatment.METHODS Using convenient sampling method,81 patients with OOA were selected and rolled into a control group(Ctrl group,40 cases)and an observation group(Obs group,41 cases).During the treatment,patients in the Ctrl group received routine nursing intervention mode,and the those in the Obs group received CBT mode on the basis of this.Before and after intervention,the incidence of oral mucositis,the mastery rate of correct arch expansion method,self-rating anxiety scale score,soft scale index,and plaque index were compared for patients in different groups.In addition,satisfaction and complications were comparatively analyzed.RESULTS Incidence of oral mucositis in the Obs group was lower(14.6%vs 38.5%),and the mastery rate of correct arch expansion method was obviously higher(90.2%vs 55.0%)was obviously higher(all P<0.05).Meanwhile,the soft scale index and plaque index in the Obs group were much lower(P<0.05).The compliance(90.24%)and satisfaction(95.12%)in the Obs group were greatly higher(P<0.05).CONCLUSION The CBT-based CNI mode greatly improved the mastery rate of correct arch expansion method during arch expansion in treating patients with OOA and enhanced the therapeutic effect of arch expansion and the oral health of patients,improving the patient compliance.
基金financially supported by National Natural Science Foundation of China (Grant No. 41171121, Grant No. 41301134)
文摘This article explores the relationship between the tourist's cognition of the landscape experience and the environmental conservation efforts at three distinct tourist sites in mountains of southwestern China. A total of 1500 on-site questionnaire surveys were distributed and 1142 valid questionnaires were used for statistical analysis. Results from multi-group path analysis showed that both cognition of the cultural landscape experience and cognition of the natural landscape experience had positive impacts on environmental conservation behaviors and behavior intentions of tourists. Results from comparative analysis among the three tourist sites indicated that cognition of the cultural landscape experience had a stronger power to predict senior environmental conservation behaviors and behavior intentions than cognition of the natural landscape experience, whereas cognition of the natural landscape experience had more power to predict general environmental conservation behaviors and behavior intentions than cognition of the cultural landscape experience. Furthermore, our findings benefit environmental management and sustainabilityat tourist sites.
基金supported by Humanities and Social Sciences Youth Foundation, Department of Education of Guangdong Province (Grant No. 2021WQNCX155)。
文摘Spillover effects play a crucial role in hindering the effective implementation of green behavior.Whether it pertains to enterprises or individuals,engaging in green behavior often leads to increased costs.However,the benefits derived from green behavior cannot be fully recouped but rather spill over and benefit other non-green entities,thereby undermining the incentives for companies or individuals to engage in green practices.The study categorizes the spillover effects of corporate green investment into three aspects based on the channels through which they occur:environmental spillover,inter-industry spillover(vertical spillover),and intra-industry spillover(horizontal spillover).While these three spillover mechanisms work in tandem with green behavior,existing literature has predominantly focused on the "free-rider " effect of environmental spillover and horizontal spillover,neglecting the impact of vertical spillover.Additionally,this paper provides a comprehensive review of measures aimed at incentivizing corporate green investment.Current government-level measures often overlook the multifaceted nature of spillover effects stemming from green behavior and the factors influencing corporate decision-making in this regard,resulting in various limitations and deficiencies.The paper argues that,besides relying solely on direct interventions from external actors such as the government or society,a more significant emphasis should be placed on enhancing the role of enterprises as a fundamental approach.This involves fostering the endogenous capacity of enterprises to generate green investment and facilitating a beneficial interaction that respects corporate autonomy.Consequently,policymakers should consider multiple dimensions of spillover effects and design appropriate mechanisms that leverage the inherent capabilities of enterprises,thus stimulating green investment.This approach represents a crucial area for future research that warrants further in-depth inve stigation.
文摘Context: With the view to reorient both STI/HIV/AIDS prevention and adolescents pregnancies, this research study aims at evaluating cognitive and behavioral acquisitions, as well as the process of interactive sex education participatory approach among adolescents in Kinshasa high schools. Methods: Based on a “pre and post” virtually experimental design, two crosswise surveys were conducted in Kinshasa, for six months in 2011-2012 on 484 high school students (pre-survey) and on 441 high school students (post-survey), whose age range from 14 - 19 years including both sexes. Two participatory educational talks (PET) “A” and “B”, covered weekly in two different schools, were compared to a control group school. The PET “A” consisted of interactive interpersonal communication sessions given by an external expert as a substitute for the life education course in one school. The PET “B” carried out in another school, included more educational talk sessions, led by the external expert and supplemented by a close follow-up of teenagers divided into small groups of 10 participants. The subjects’ assessment was based on their knowledge, attitudes and practices relating to STI/HIV/AIDS dual prevention as well as to unwanted pregnancies. Results: The subjects involved in the PET “B” displayed a better/higher performance based on their knowledge, attitudes and practices related to STI/HIV/AIDS dual prevention and unwanted pregnancies. Broadly speaking, knowledge has been improved 6 times with the PET “B” (OR = 6, 10, IC 95%) (3.24 - 11.9), and 3 times with the PET “A” (OR = 3, 45, IC 95%) (1.79 - 6.81), compared to control school. Similarly, findings on subjects’ attitudes show an improvement rated 12 times with the PET”B” (OR = 11, 99, IC 95%) (5.67 - 27.38) and 5 times for the PET “A” (OR = 5.51, IC 95%) (2.54 - 12.87). As far as the subjects’ practices are concerned, an improvement of 6 more times of protected sexual intercourses with the PET “B” compared with the control school group (OR = 6, 52, IC 95%) (3.60 - 12.0). The process assessment records a spontaneous involvement of schools enhanced by the positive contribution of Life Education and Biology teachers;add a massive participation of adolescents who requested permanent PET program. Conclusion: The results of this study suggest that school sexual education programs can be improved to increase the quality of apprenticeship. The use of interactive methods and the consideration of the adolescents’ specific needs that take into account the gender approach may bring about beneficial advantages on both educational outcomes and reproductive health of adolescents.
基金Supported by the National Natural Science Fund(40971039)Gansu Province Science and Technology Support Program(1011FKCA157)the Fundamental Research Funds Project of Colleges and Universities in Gansu Province
文摘The cognition and attitudes of resources environment affect environmental behavior of behavior subject,the changes of attitude and behavior become one of the key factors of influencing harmonious and healthy development of ecological environment. With PRA survey method for obtaining questionnaire data and based on behavior geography and social psychology theory,farming-pastoral,dry grassland,desert grassland, typical project village alpine grassland of returning fazing land to grasslands as an example,with main body cognitive perspective of the aid of resources,the article analyzed space dissimilation of stakeholders environmental cognitive and behavior preference response in the area of returning grazing land to grasslands from ecological environment from policy environment,ecological environment and family economic environment aspects. The results showed that： stakeholders judgment of Grassland degradation in different ecological function area had obvious regularity,the cognitive proportion of Grassland degradation gradually increase from farming-pastora to alpine savanes. The satisfaction from returning grazing land to grasslands showed a changing tendency of reversed U. stakeholders had more strongly negative cognition in the area of dry steppe and desertsteppe. From farming-pastoral to alpine savanes,the economic environment tend to worse situation. Negative environmental behaviors tend to increase,Positive behavior on the contrary.
文摘Objective:To evaluate the effect of cognitive behavioral therapy on cancer-related fatigue in breast cancer patients.Methods:Computer search for CNKI,VIP,Wanfang database,CBM,PubMed,Embase,CINAHL,The Cochrane library as of 2019 randomized controlled trials on October 20 for cognitive behavioral therapy intervention for breast cancer due to fatigue.Results:A total of 6 RCTs were included,472 patients.Cognitive Behavioral Therapy has a strong effect on cancer related fatigue compared with the usual care[SMD=-1.19,95%CI(-1.86,-0.53),P=0.0004].Results:Available evidence suggests that CBT can alleviate cancer-related fatigue in breast cancer patients,and the above studies still need to continue to conduct relevant studies for validation.
文摘In the implementation of corporate environmental responsibility,‘greenwashing’is a pseudo-social behavior which is theopposite of‘genuine green’behaviors.With the improvement of the public awareness of environmental protection and the strengthening of the government environmental supervision,more and more enterprises are learning the green behavior adaptively.The frequentoccurrence of greenwashing has become a‘disharmonious’voice in the construction of ecological civilization.Institutional theory holdsthat institutional factors make organizations become more similar in structure and performance due to institutional forces.This paper describes an exploratory research on the law of group behavior in corporate greenwashing,analyzes the isomorphic mechanism of corporate greenwashing based on the institutional theory,and carries out an empirical test by using the data of A-share listed companiesin heavily polluting industries during the period of 2010−2016.The research in this paper shows that corporate greenwashing behavioris significantly affected by neighboring enterprises in the same region,and proves the existence of the‘bandwagon’effect.The results of analysis based on the nature of property rights show that state-owned enterprises have more significant regional isomorphic behaviors,indicating that state-owned enterprises are more inclined to claim legitimacy through the institutional isomorphism of greenwashing.Results of further analysis show that,greenwashing isomorphism does not significantly improve the operating performance of enterprises,but the similarity strengthens the ability of these enterprises to bear risks under an uncertain environment.As such,this provides empirical evidence support for the hypothesis that‘organizational isomorphism is usually for legitimacy rather than efficiency’in the institutional theory.The research in this paper reveals the land-derived characteristic of greenwashing behavior,and provides adecisive reference for policy implication.For the control of greenwashing,the central government should enforce and standardize theenterprise environmental report in terms of institutional arrangement,unify the form and content of disclosure,and improve the credibility and comparability of environmental information disclosure.The local governments need to strengthen the supervision of enterprises within their jurisdiction,as well as the coordination,cooperation and information sharing between departments,increase the punishment of violations,break the legal for enterprises to obtain socialrecognition by greenwashing.Meanwhile,it is necessary for the promotion of‘genuine green’large companies and state owned enterprises as role models.
