Facilitators and barriers to parent-child communication in pediatric palliative care:An integrative review

Objectives:This study aimed to identify facilitators and barriers to parent-child communication in pediatric palliative care,providing insights for medical professionals developing targeted interventions to enhance parent-child communication and improve its effectiveness.Methods:Whittemore and Knafl’s integrative review method was employed to guide a systematic search for literature in six databases(Medline,Embase,CINAHL Complete,PsycINFO,Web of Science,and Cochrane Library).Peer-reviewer articles published in the English language from inception to December 2023.All of the identified studies were screened,extracted,and analyzed independently by two researchers.Results:Twenty-four articles were included.Thefindings of the relevant studies were analyzed using thematic analysis.Four themes were identified as facilitators:legacy-making,resilience training programs,guidance from the healthcare team,and positive communication.Seven themes were identified as barriers:denial,being unprepared and evasive,mutual protection,being overwhelmed by painful emotions and overloaded with information,incorrect views of medical professionals and parents,negative communication,and cultural context.Conclusions:Parents and professionals should avoid myths about protecting the child and encourage open communication that respects the child’s wishes.The specialized pediatric palliative care team should carefully monitor parent-child communication,determine if any obstacles exist,and design more interventions to enhance it.

Transformer-based correction scheme for short-term bus load prediction in holidays

To tackle the problem of inaccurate short-term bus load prediction,especially during holidays,a Transformer-based scheme with tailored architectural enhancements is proposed.First,the input data are clustered to reduce complexity and capture inherent characteristics more effectively.Gated residual connections are then employed to selectively propagate salient features across layers,while an attention mechanism focuses on identifying prominent patterns in multivariate time-series data.Ultimately,a pre-trained structure is incorporated to reduce computational complexity.Experimental results based on extensive data show that the proposed scheme achieves improved prediction accuracy over comparative algorithms by at least 32.00%consistently across all buses evaluated,and the fitting effect of holiday load curves is outstanding.Meanwhile,the pre-trained structure drastically reduces the training time of the proposed algorithm by more than 65.75%.The proposed scheme can efficiently predict bus load results while enhancing robustness for holiday predictions,making it better adapted to real-world prediction scenarios.

Is there sufficient evidence to support the use of antibiotic holiday just before the second stage of an infected total hip or knee arthroplasty revision surgery?

The practice of implementing an antibiotic holiday before the second stage of hip or knee arthroplasty is currently controversial due to limited evidence for this approach,as per the International Consensus Meeting 2018 on Musculoskeletal Infection.A greater understanding of this issue could augment the quality of Alrayes and Sukeik’s mini-review(2023)on diagnosing,managing,and treating periprosthetic knee infections.However,a significant lack of literature exists concerning the optimal duration for the antibiotic holiday,calling for more research before establishing any clinical guidelines.

指向学科核心素养的高中学生英语自主泛读探究——以Roman holiday剧本阅读为例

分析英语学科核心素养与高中英语自主泛读、高中英语自主泛读与影视剧本阅读的关系。以Roman holiday剧本阅读为例,从读前、读中、读后三个环节探究学科核心素养下高中学生英语自主泛读的方法。认为英语自主泛读不仅能培养学生的学习能力、思维品质,还能发展学生的鉴赏能力,提高学生的人文素养。

Analysis of the Development Mode Evolution of Holiday Resorts in Suburban Areas of Beijing City

To study the investment activities of tourism developers in suburban tourism destinations of metropolis.421 holiday resorts around Beijing City are selected to study the evolution process of their economic types and development modes.The results show that the development mode of holiday resorts in suburban Beijing is guided by state investment,collectively operated by rural residents,and supplemented by private or other investment types.

自由青春释放,责任担当诠释——多维度视域下赏析《罗马假日》(Roman Holiday)

《罗马假日》(Roman Holiday)20世纪经典剧本,百看不厌,看后回味无穷,感受到公主青春无限,感叹公主激情四射,感觉公主光彩照人和感触公主精湛演绎,这部浪漫晦涩的经典爱情剧本改编成电影在电影史获得3项奥斯卡大奖,可谓经典当中的典范。该文从女主角高雅纯洁的爱情作基石,启迪青年人对和谐美满自由幸福的爱情生活追求和向往的同时,赞扬年轻人自律后的民族大义精神,诠释敢于担当自己肩上责任。

Effect of Chinese national holidays and weekends versus weekday admission on clinical outcomes in patients with STEMI undergoing primary PCI

Background Data regarding the influence of weekends and Chinese national holiday＇s admission on the outcomes of patients with ST-elevated myocardial infarction （STEMI） is lacking. This study sought to investigate the effect of Chinese national holidays and weekend admission on outcomes in patients with STEMI undergoing primary percutaneous coronary intervention （PPCI）. Methods Patients pre- senting with STEMI within 12 h of symptom onset who underwent PPCI were retrospectively enrolled. The primary outcome of in-hospital mortality and major adverse cardiovascular events in patients presenting Chinese national holiday＇s and weekends versus weekdays was evaluated. Results A total of 441 STEMI patients were enrolled in this study. Of these, 129 （29.3%） patients were admitted during Chinese national holidays and weekends and 312 （70.7%） during weekdays. Patients admitted during holidays and weekends were more likely to present with Killip class Ⅲ-Ⅳ. Patients admitted during holidays and weekends experienced a significantly longer door-to-baUoon time, symptom onset-to-door time as well as symptom onset-to-balloon time. The in-hospital mortality between patients presenting holidays and weekends versus weekdays was comparable. However, patients admitted during holidays and weekends have a signitieantly higher rate of in-hospital major adverse cardiovascular events. Multivariate analysis demonstrated that holidays and weekends admission was independ- ently associated with adverse outcomes. Conclusions In China, STEMI patients undergoing PPCI during national holidays and weekends have worse in-hospital outcomes compared to those admitted during weekdays. These findings suggest that continuous efforts should be undertaken to enhance the Chinese healthcare system and to ensure that comparable outcomes are achieved for all STEMI patients regardless of time of presentation.

Mass Human Migration and the Urban Heat Island during the Chinese New Year Holiday: A Case Study in Harbin City, Northeast China

Many Chinese people leave big cities for family reunions during the Chinese New Year （CNY）, which is the most important public holiday in China. However, how modem mass human migration during the CNY holiday affects the urban heat island （UHI） is still un- known. Here, the authors investigate the role of modem human migration for the UHI effects during the CNY holiday for the period of 1992-2006 in Harbin City, Northeast China. The results show that during the CNY week, the UHI effects expressed as daily mean, maxi- mum, and minimum temperature differences between urban and rural stations averaged over the period of 1992-2006 are 0.65℃ （43%）, 0.31℃ （48%）, and 1.14℃ （71%） lower than during the background period （four weeks before and four weeks after the CNY week）, re- spectively. Our findings identify previously unknown impacts of modem mass human migration on the UHI effects based on a case study in Harbin City.

Electrochemical corrosion behavior of carbon steel with bulk coating holidays

With epoxy coal tar as the coating material, the electrochemical corrosion behavior of Q235 with different kinds of bulk coating holidays has been investigated with EIS （Electrochemical Impedance Spectroscopy） in a 3.5vo1% NaCI aqueous solution. The area ratio of bulk coating holiday to total coating area of steel is 4.91%. The experimental results showed that at free corrosion potential, the corrosion of carbon steel with disbonded coating holiday is heavier than that with broken holiday and disbonded ＆ broken holiday with time; Moreover, the effectiveness of Cathodic Protection （CP） of carbon steel with broken holiday is better than that with disbonded holiday and disbonded ＆ broken holiday on CP potential -850 mV （vs CSE）. Further analysis indicated that the two main reasons for corrosion are electrolyte solution slowly penetrating the coating, and crevice corrosion at steel/coating interface near holidays. The ratio of impedance amplitude （Z） of different frequency to minimum frequency is defined as K value. The change rate of K with frequency is related to the type of coating holiday.

鉴于Holidays的课外阅读延伸教学设计

在一次研讨活动上,来自不同学校的两位青年教师执教了两节课外阅读的同课异构研讨课。基于《牛津小学英语》6A Unit 6 Holiday整体单元教学后的课外阅读延伸教学,自主选材,内容不限。教师A选择的是绘本教学,通过讲述Kitty猫和Bob狗在不同的节日所做的不同事情,引出一句格言——Good luck,good healthy,hood cheer,I wish you happy every day!教师B则选择的是《新概念英语》Favourite holiday。

Influence of “Holiday Tourism Circle of Beijing” on Chengde Tourism Spatial Alteration and Reconstruction

Chengde City,famous for its cultural sightseeing tourism industry,and is located in China's"Capital Holiday Tourism Circle".This location is advantageous,because of the recent boom in China's national tourism industry.This industry has gone through several structural and development changes with in the past several years.A result of these restructuring patterns is the great changes concerning competitive and cooperative relations among tourism destinations,which have precipitated the decline of the traditional sightseeing pattern. Northern China's"Capital Holiday Tourism Circle"is one of nine key areas within the Chinese tourism industry under development during the Eleventh Five-Year Plan.In the present article the method of"Distance Decline of The Tourist Flow"was used to define the flow of tourists in the Capital Holiday Tourism Circle and its influence upon Chengde's tourism spatial distribution.3 aspects will be discussed:(1)The transformation from sightseeing to leisure markets makes the change possible in Chengde's tourism spatial pattern.(2)The location advantage(adjacent to Beijing and Tianjin) also leads to the change in Chengde tourism spatial pattern.(3)The establishment of freeways also contributes to a great degrees of change. The rapid development of leisure tourism might lead to the change from nucleus model to a diversified one within Chengde's tourism.Specifically,Chengde is developing the tourism industry with the central heritage area as the nucleus and the northern forest, pasture,southern mountain,and rivers as its periphery.

Relationship between Parent-Child Attachment and Problem Behaviors among Chinese Firstborn Children in Family Transitions: A Meta-Analysis

The implementation of China’s three-child fertility policy has led to a notable increase in multiple-child families.Notably,firstborn children experience a significant transition from being an only child to a non-only child.This transition is associated with problematic behaviors,affecting their social adjustment,sibling relationships,and family harmony.Although several studies have examined the relationship between parent-child attachment and problem behaviors exhibited byfirstborn children during family transitions,thefindings have been inconsistent.Hence,a meta-analytic study was undertaken to elucidate the inconsistencies in this relationship and explore the moderating factors that may contribute to these discrepancies.Using a systematic literature retrieval and screening method,12 effect sizes were derived from the 10 eligible articles,encompassing a sample size of 5319.The meta-analysis demonstrated a low negative association between parent-child secure attachment and problem behaviors exhibited byfirstborn children during family transitions.Furthermore,the present study investigates potential moderator factors,such as children’s age and geographic region,to gain a more nuanced understanding of the relationship.Consequently,the establishment of parent-child attachment relationships has the potential to mitigate problem behaviors observed infirst-born children during family transitions.The implications of thesefindings indicate that parents can nurture secure attachment bonds with their children by demonstrating sensitive responsiveness,employing positive parenting practices,and fostering emotional availability.These efforts contribute to the cultivation of secure internal working models and positive behavioral manifestations withinfirst-born children,which in turn affect their relationships with siblings.

Island Holidays Remain First Choice during Spring Festival Overseas Travel

The Chinese New Year is just around the corner.Data released by a number of travel agencies show that the Spring Festival outbound travel market is booming.The number of tickets booked have increased by 32 percent year on year,and the prices have also increased by 10 percent.In addition,data from travel agency platforms show that economy-class air tickets for some popular travel destinations during the Spring Festival period have been sold out,and up to 65 percent fares can be saved by returning home via transit.

Holiday Sees Strong Consumption Growth

Chinese people spent 13.3 percent more on shopping and eating during the seven-day Lunar New Year holi-day,which illustrated high consumer confidence despite a softening growth momentum of the economy at the start of 2014,Xinhua reported.Analysts said the

Children’s Health, Parent-Child Activities, Using Digital Devices, and Social Competence: Serial Mediation

Background: Studies have pointed out the influence of different children’s activities and prolonged use of digital products on their social development. However, whether the parent-child activities and using digital devices were serial mediators of the relationship between children’s health and social development needs further verification. Purpose: This study explored how parent-child activities and children’s use of digital devices influence the relationship between children’s health and their social competence. Method: This study used data from Kids in Taiwan: National Longitudinal Study of Child Development and Care. A total sample of 2164 participants was used in this study. Serial mediation analyses were performed using model six of Hayes’ PROCESS (2012). Results: This study found that parent-child activities and the use of digital devices can serially mediate the relationship between children’s health and social competence. Children’s health could directly improve their social competence, but it could also serially mediate social competence by increasing parent-child activities and reducing the use of digital devices. Conclusion: Childcare policy planners and parenting educators should not only call on parents to reduce the use of electronic products for their children, but also encourage parents to spend more time interacting with their children, so that children can learn social skills by interacting with others in their daily lives.

Design of Urban Parent-Child Interaction Landscape Spaces:A Case Study of Wuhan Overseas Chinese Town(OCT) Park

From the perspective of the design of parent-child interaction landscapes,this paper took Wuhan Overseas Chinese Town (OCT) Park for example,explored children’s physiology,psychology and emotions as well as external factors,translated them into building landscape spaces,children’s emotion spaces,children’s exploration spaces,children’s social spaces,so as to facilitate parent-child interactions in these spaces,thereby to enhance the family-care education and parent-child emotional exchanges,and provide references for the construction of parent-child interaction spaces.

Strategy Research on Parent-Child Communication between Family Educations in Network Era

Internet technology is the greatest scientific and technological achievement of mankind in the 20th century.It has brought mankind into the information age and greatly changed people's way of learning,education,work,leisure and entertainment,family education and so on.In the Internet age,underage children spend a considerable amount of time online,and they spend less time talking and communicating with their parents?Therefore,the development of network technology has posed a new challenge not only to school education and social education,but also to the traditional family education[6].So,under the impact and challenge of the network era,what countermeasures do family education apply to communicate well with children?This is the center of this research.

China-SME Index Distorted by Holiday Effect

*The SME index fell modestly to 55.6 in February from 56.6 in January;expectations index improved*Real activity weakened during the Lunar New Year holiday;job market deteriorated further*Credit availability remains tight for SMEs;financing costs have edged lower*IT sector outperforms;business conditions are healthier in central-western and southem

State-Level Holiday Resorts

To promote China’s tourism industry, the State Council has approved the setting up of a group of State holiday resorts, since October 1992, as follows: 1. Dalian Jinshitan State Holiday Resort. Located in Jinsihtan scenic area in Dalian City, it covers 13.6 square kilometres and faces the sea on three sides. The resort is divided into a service area, villa area, scenic area,