摘要：
Aim To explore and explain the mechanisms that influence surface acting in nursing students with different characteristics.
To explore and explain the mechanisms that influence surface acting in nursing students with different characteristics.
Background Nurses are now expected to deliver patient-centered care which necessitates the emotional labor. Surface acting, a form of emotional labor, can lead to negative outcomes. Given that nursing students are the backbone of the future nursing profession, there is an urgent need to investigate their surface acting tendencies and identify potential factors for early intervention.
Nurses are now expected to deliver patient-centered care which necessitates the emotional labor. Surface acting, a form of emotional labor, can lead to negative outcomes. Given that nursing students are the backbone of the future nursing profession, there is an urgent need to investigate their surface acting tendencies and identify potential factors for early intervention.
Design A cross-sectional study.
A cross-sectional study.
Methods This study was surveyed in a vocational college in Gansu, China. Participants completed the general information questionnaire, Bem Sex Role Inventory, Professional Identity Questionnaire of Nursing Students and Surface Acting Scale. K-means cluster analysis was performed, followed by random forest algorithm and SHapley Additive exPlanations based on Python program.
This study was surveyed in a vocational college in Gansu, China. Participants completed the general information questionnaire, Bem Sex Role Inventory, Professional Identity Questionnaire of Nursing Students and Surface Acting Scale. K-means cluster analysis was performed, followed by random forest algorithm and SHapley Additive exPlanations based on Python program.
Results A total of 1241 nursing students from vocational college were investigated and were clustered into 4 groups. The five dimensions of professional identity had higher feature importance in all four groups, with professional self-image having the highest feature importance in Cluster 3. Professional self-image and understanding retention benefits and turnover risks were negative predictors of surface acting in all four groups. Social comparison and self-reflection, independence of career choice and social modeling regarding nursing profession were positively correlated with surface acting in specific groups. In Cluster 1, there exists a positive correlation between professional self-image and the constructs of social comparison and self-reflection; as well as a negative correlation between maternal education and understanding of retention benefits and turnover risks.
A total of 1241 nursing students from vocational college were investigated and were clustered into 4 groups. The five dimensions of professional identity had higher feature importance in all four groups, with professional self-image having the highest feature importance in Cluster 3. Professional self-image and understanding retention benefits and turnover risks were negative predictors of surface acting in all four groups. Social comparison and self-reflection, independence of career choice and social modeling regarding nursing profession were positively correlated with surface acting in specific groups. In Cluster 1, there exists a positive correlation between professional self-image and the constructs of social comparison and self-reflection; as well as a negative correlation between maternal education and understanding of retention benefits and turnover risks.
Conclusions Professional identity significantly influences surface acting behaviors among nursing students, with professional self-image serving as a key negative predictor. Positive family conditions, access to educational resources, parental literacy, masculine or feminine gender roles and first-year nursing students, these traits have implications when dimensions of professional identity are used to predict surface acting behaviors.
Professional identity significantly influences surface acting behaviors among nursing students, with professional self-image serving as a key negative predictor. Positive family conditions, access to educational resources, parental literacy, masculine or feminine gender roles and first-year nursing students, these traits have implications when dimensions of professional identity are used to predict surface acting behaviors.
作者：
Yan, Yin;Derong, Tan;Qin, Tong;Zhi, Xu;Xia, Liu
期刊：
European Journal of Oncology Nursing,2025年76:102884 ISSN：1462-3889
通讯作者：
Yan, Y
作者机构：
[Yan, Yin; Xia, Liu; Qin, Tong] Univ South China, Affiliated Hosp 1, Hengyang Med Sch, Dept Oncol Breast Lymphoma Subspecialty, Hengyang, Hunan, Peoples R China.;[Derong, Tan] Univ South China, Affiliated Hosp 1, Hengyang Med Sch, Dept Oncol Abdominal Tumor Subspecialty, Hengyang, Hunan, Peoples R China.;[Zhi, Xu] Univ South China, Affiliated Hosp 1, Hengyang Med Sch, Dept Oncol Head & Neck Pelv Tumor Subspecialty, Hengyang, Hunan, Peoples R China.;[Yan, Y] 69 Chuanshan Rd, Hengyang City, Hunan Province, Peoples R China.
通讯机构：
[Yan, Y ] 6;69 Chuanshan Rd, Hengyang City, Hunan Province, Peoples R China.
摘要：
Purpose The study aims to explore the factors influencing advance care planning among cancer patients, recognizing the importance of understanding these factors to enhance patient outcomes and ensure that patients' preferences are honored.
The study aims to explore the factors influencing advance care planning among cancer patients, recognizing the importance of understanding these factors to enhance patient outcomes and ensure that patients' preferences are honored.
Methods Conducted from May to November 2023, this qualitative descriptive study employed a phenomenological research approach. In-depth face-to-face interviews and observations were utilized to gather insights into the factors influencing participation in advance care planning, guided by a semi-structured interview outline based on social ecosystem theory. Content analysis and thematic analysis were applied to identify and interpret key themes from the data.
Conducted from May to November 2023, this qualitative descriptive study employed a phenomenological research approach. In-depth face-to-face interviews and observations were utilized to gather insights into the factors influencing participation in advance care planning, guided by a semi-structured interview outline based on social ecosystem theory. Content analysis and thematic analysis were applied to identify and interpret key themes from the data.
Results A total of 17 cancer patients participated in the interviews. The analysis revealed four main themes. Facilitating factors included optimistic health views and positive attitudes toward advance care planning, which encouraged engagement. Conversely, barriers such as a lack of understanding of advance care planning, misconceptions, and negative attitudes hindered participation. Family dynamics played a significant role; trust in family decisions facilitated discussions, while family pressure created challenges. Economic burdens and cultural taboos surrounding death, along with reliance on healthcare providers, impeded open conversations. These findings highlight the necessity for targeted strategies to enhance patient involvement in advance care planning.
A total of 17 cancer patients participated in the interviews. The analysis revealed four main themes. Facilitating factors included optimistic health views and positive attitudes toward advance care planning, which encouraged engagement. Conversely, barriers such as a lack of understanding of advance care planning, misconceptions, and negative attitudes hindered participation. Family dynamics played a significant role; trust in family decisions facilitated discussions, while family pressure created challenges. Economic burdens and cultural taboos surrounding death, along with reliance on healthcare providers, impeded open conversations. These findings highlight the necessity for targeted strategies to enhance patient involvement in advance care planning.
Conclusion Cancer patients' advance care planning is influenced by positive factors like optimistic health views and supportive family dynamics, as well as obstacles such as misconceptions, cultural taboos, and economic burdens. Targeted interventions are needed to empower patients and better align care with their values.
Cancer patients' advance care planning is influenced by positive factors like optimistic health views and supportive family dynamics, as well as obstacles such as misconceptions, cultural taboos, and economic burdens. Targeted interventions are needed to empower patients and better align care with their values.
摘要：
Landslides can pose a significant threat and damage to life and property. Rapid and accurate determination of the location of landslides is critical to preventing and stopping geohazards. Currently, manual visual interpretation, semiautomatic interpretation, and traditional machine learning interpretation of landslides are less efficient and cannot meet the requirements of certain high-standard interpretation, while the object detection technology based on deep learning is developing rapidly, and its application in the field of intelligent interpretation of landslides is still immature. In this paper, YOLOv5, YOLOv6, YOLOv7, and YOLOv8 algorithms are evaluated to obtain the ideal landslide detection effect. In the respective variant models of YOLOv5, YOLOv6, and YOLOv7, the corresponding optimal landslide detection variants are YOLOv5x, YOLOv6n, and YOLOv7. Among the variant models of YOLOv8, YOLOv8n requires the least number of parameters and has the fastest detection speed. However, because the YOLOv8n model has the potential to be optimized in three aspects, such as feature fusion, attentional mechanism, and loss function, it was improved in this study in these three aspects. In this study, the improved model was named the YOLOv8-DBW model. Compared with YOLOv8n, this model has three main advantages: (1) Precision, recall, F1 score, mAP 0.5 , and mAP 0.5:0.95 are improved by 11.8%, 2.0%, 7.3%, 12.4%, and 5.4%, respectively; (2) higher detection accuracy, more accurate localization, and determination of the extent of landslides, as well as lower leakage rate; (3) the model can detect landslides of different sizes completely and accurately when in the scenarios of single landslide, multiple landslides, and multiple disturbances. This model still has potential for optimization in terms of computational resource consumption and detection of generalizability.
摘要：
China is experiencing an increasingly serious aging population. Cognitive function is an important factor and guarantee for the quality of life of older people. Therefore, to achieve healthy aging, this study aimed to examine the sequential multiple mediating effects of indoor ventilation frequency and cognitive function on anxiety and self-rated health in the Chinese older people population. Using the 2018 China Longitudinal Health and Longevity Survey (CLHLS) dataset, we finally selected 10,372 Chinese seniors over the age of 65. First, we describe the basic socio-demographic information of the sample population. Second, Spearman correlation analysis was used to determine whether there was a correlation between indoor ventilation frequency, anxiety, self-rated health, and cognitive function among Chinese older people. Finally, the SPSS macro process program was used to complete the sequence multiple mediation analysis. Indoor ventilation frequency, anxiety, self-rated health and cognitive function were significantly correlated (p < 0.01). Indoor ventilation frequency not only has a direct positive impact on the cognitive function of older people (effect = 0.1427; Standard error = 0.0201; 95%CI: LL = 0.1034, UL = 0.1821), but also indirectly affected cognitive function through three pathways: independent mediation of anxiety (effect = 0.0078; Standard error = 0.0021; 95%CI: LL = 0.0041, UL = 0.0121), independent mediating effect of self-rated health (effect = 0.0154; Standard error = 0.0030; 95%CI: LL = 0.0098, UL = 0.0215), and the chain mediating effect between anxiety and self-rated health (effect = 0.0046; Standard error = 0.0009; 95%CI: LL = 0.0029, UL = 0.0065). All projects are self-reported and some results may be biased. In the future, it may be more inspiring to explore more detailed and specific effects of indoor air quality on cognitive function in older people. Studies have shown that indoor ventilation frequency can improve cognitive function by reducing anxiety and improving self-rated health in older people Chinese. Encouraging older adults to increase the frequency of indoor ventilation will benefit their mental health and cognitive function. This study provides empirical evidence for the association between indoor ventilation frequency and cognitive function in older people Chinese adults. We used nationally representative data to investigate the relationship between indoor ventilation frequency and cognitive function and further explored the mediating role of anxiety and self-rated health in Chinese older adults. Indoor ventilation frequency can not only directly affect cognitive function in older people, but also indirectly affect cognitive function through anxiety and self-rated health. Anxiety and self-rated health have a series of mediating effects between indoor ventilation frequency and cognitive function.
期刊：
JOURNAL OF GLOBAL HEALTH,2025年15:04001 ISSN：2047-2978
通讯作者：
Zhang, YP
作者机构：
[Zhuang, Xinqi; Lei, Xiaoyu; Zhang, Yin-Ping; Zhang, YP; Zhang, Dandan; Zhang, Jianzhong] Xi An Jiao Tong Univ, Hlth Sci Ctr, Sch Nursing, West Yanta Rd 76, Xian 710061, Shaanxi, Peoples R China.;[Zhang, Dandan] Univ South China, Affiliated Nanhua Hosp, Inst Clin Res, Hengyang Med Sch, Hengyang, Hunan, Peoples R China.;[Liu, Fen] Univ South China, Affiliated Hosp 1, Hengyang Med Sch, Dept Gynecol & Obstet, Hengyang, Hunan, Peoples R China.;[Cui, Tianxin] Univ Edinburgh, Sch Hlth Social Sci, Edinburgh, Scotland.
通讯机构：
[Zhang, YP ] X;Xi An Jiao Tong Univ, Hlth Sci Ctr, Sch Nursing, West Yanta Rd 76, Xian 710061, Shaanxi, Peoples R China.
摘要：
BACKGROUND: As fertility rates decline and population ageing intensifies, the conflict between career and childbearing continues to impact clinicians, especially women. Exploring gender differences in the fertility intentions of male and female clinicians could help with identifying barriers to childbearing, developing effective policies to support work-life balance, and addressing the gap in research on gender disparities in this field. METHODS: We conducted a cross-sectional survey among health care personnel in Chinese public hospitals. Through cluster sampling from highly active WeChat groups, we gathered 698 responses from clinicians to the third fertility intention questionnaire online. We then used descriptive statistics and χ(2) tests for analysis. RESULTS: Men (28.28%) had higher intentions of having a third child than women (20.71%) (P = 0.013). In terms of reasons, female clinicians were more concerned than male clinicians about the impact on their career development (P = 0.002), difficulties in job hunting (P = 0.039), and physical injuries caused by multiple births (P < 0.001), and whether the elderly can help (P = 0.001). Conversely, men's apprehensions centred on economic factors such as real house costs (P < 0.001), policy support (P = 0.036), and wives' disagreement (P < 0.001). In discussing governmental interventions, men showed a higher level of interest in policies related to child care (P < 0.001), employment stability for women (P < 0.001), extended maternity leave (P < 0.001), and financial assistance than women (P < 0.001). CONCLUSIONS: Our findings show substantial gender-specific differences in third-child fertility intentions among clinicians. To address this, the government should consider divisions in family roles, future societal needs, and women's career development. Policies should focus on balancing work and family by offering affordable childcare, flexible parenting leave, financial incentives, and career support, ensuring childbirth does not negatively impact women's professional growth, and fostering gender equality in parenting.
摘要：
Geohazards may cause great damage to human life and property. It is of great significance to carry out geohazard sensitivity evaluation studies to recognize the development characteristics of geohazards and to predict key hazard areas. In this study, three algorithms, namely, random forest (RF), artificial neural network (ANN), and logistic regression (LR), were used to evaluate the geohazard sensitivity in Xinning, China. Through preliminary remote-sensing interpretation and field validation work, 346 geohazard sites were obtained. Nine influence factors, such as elevation, slope, slope direction, normalized vegetation index (NDVI), rainfall in 2019, distance to rivers, kernel density, distance to faults, and stratigraphic lithology, were selected according to the actual situation of the study area. Three algorithms were evaluated by comparing the size of the area under their receiver’s operating characteristic (ROC) curves (AUC), recall, and F1-score. The results showed that AUC values were 0.8105 (RF), 0.7654 (ANN), and 0.7855 (LR), recall values were 0.7903 (RF), 0.7334 (ANN), and 0.7500 (LR), and F1-score values were 0.7868 (RF), 0.7314 (ANN), and 0.7463 (LR). The RF algorithm had the largest AUC, recall, and F1-score values, indicating that the geohazard sensitivity evaluation model based on the RF algorithm is superior to the ANN and LR algorithms.
摘要：
AIMS: Although anxiety and depression are frequently linked to coronary heart disease, a network analysis of comorbid anxiety and depression and their association with quality of life in patients undergoing percutaneous coronary intervention (PCI) remains unclear from the perspective of symptom interactions. We aimed to investigate the network structure and symptom patterns of anxiety and depression, and their relationship with quality of life in patients undergoing PCI. METHODS AND RESULTS: This study included 528 patients undergoing PCI. The seven-item Generalized Anxiety Disorder Scale, nine-item Patient Health Questionnaire, and World Health Organization Quality of Life Questionnaire-Brief Version were used as measurement tools. The R software was used to construct and interpret the network structure. The symptoms "sleep disturbance," "irritability," and "uncontrollable worry" showed the highest expected influence centrality. Three bridge symptoms were identified: "sleep disturbance," "excessive worry," and "trouble relaxing." Among the three strongest edges, two were associated with anxiety and depressive symptoms. Ten symptoms were directly associated with quality of life, with "fatigue" showing the strongest relationship. In the network comparison test, significant differences in global strength were observed between the male and female groups. CONCLUSION: "Sleep disturbance," plays a critical role in the current network, while "excessive worry," "trouble relaxing," and "fatigue" were identified as key priorities owing to their high correlation with "sleep disturbance" and quality of life. Focusing on these symptoms may help mitigate the risk of multiple-symptom interactions and provide tailored intervention measures for patients undergoing PCI. REGISTRATION: Chinese Clinical Trial Registry ChiCTR230007581.
作者机构：
[He, Mei; Du, Bing; Guo, Hui; Jia, Xiangbin; Xia, K; Chen, Guodong; Xia, Kun; Lyu, Yongqing] Cent South Univ, Ctr Med Genet, MOE Key Lab Rare Pediat Dis,Sch Life Sci, Changsha, Peoples R China.;[He, Mei; Du, Bing; Guo, Hui; Jia, Xiangbin; Xia, K; Chen, Guodong; Xia, Kun; Lyu, Yongqing] Cent South Univ, Sch Life Sci, Hunan key Lab Med Genet, Changsha, Hunan, Peoples R China.;[He, Mei] Hunan Prov Maternal & Child Hlth Care Hosp, NHC Key Lab Birth Defect Res & Prevent, Changsha, Hunan, Peoples R China.;[Guo, Hui] Furong Lab, Changsha, Hunan, Peoples R China.;[Xia, K; Xia, Kun] Univ South China, Hengyang Med Sch, Hengyang 421001, Hunan, Peoples R China.
通讯机构：
[Jia, XB; Xia, K ] C;Cent South Univ, Ctr Med Genet, MOE Key Lab Rare Pediat Dis,Sch Life Sci, Changsha, Peoples R China.;Cent South Univ, Sch Life Sci, Hunan key Lab Med Genet, Changsha, Hunan, Peoples R China.;Univ South China, Hengyang Med Sch, Hengyang 421001, Hunan, Peoples R China.
关键词：
autism spectrum disorders;brain development;de novo mutations;NAA15;neurodevelopmental disorders
摘要：
Neurodevelopmental disorders (NDDs) encompass a group of conditions that impact brain development and function, exhibiting significant genetic and clinical heterogeneity. NAA15, the auxiliary subunit of the N-terminal acetyltransferase complex, has garnered attention due to its association with NDDs. However, the precise role of NAA15 in cortical development and its contribution to NDDs remain elusive. By employing targeted sequencing on a large Chinese cohort affected by ASD and conducting an extensive literature review, we have compiled 64 distinct variants in the NAA15 gene identified among individuals with neurodevelopmental disorders. Our research demonstrates that loss of NAA15 leads to a substantial increase in neuronal count, potentially resulting in aberrant brain development and triggering repetitive as well as anxious behaviors in mice models. Furthermore, disorder-associated variants within NAA15 impair axon and synapse formation processes crucial for neural connectivity establishment. These findings shed light on the consequences of NAA15 deficiency along with its de novo mutations on brain development while unraveling the cellular mechanisms underlying NDDs.
期刊：
Asia-Pacific Journal of Oncology Nursing,2025年12:100702 ISSN：2347-5625
通讯作者：
Chen, YY
作者机构：
[Guo, Junchen; Xu, Xianghua; Chen, Yongyi; Hu, Yonghong] Hunan Canc Hosp, Dept Palliat Care, Changsha, Peoples R China.;[Guo, Junchen] Univ Wollongong, Sch Nursing, Wollongong, NSW, Australia.;[Zeng, Linghao] Univ South China, Sch Nursing, Hengyang, Peoples R China.;[Dai, Yunyun] Univ Wollongong, Hlth Serv Res Inst, Wollongong, NSW, Australia.
通讯机构：
[Chen, YY ] H;Hunan Canc Hosp, Dept Palliat Care, Changsha, Peoples R China.
关键词：
Palliative care;Shared-care management;Delphi technique;End of life care
摘要：
Objective Shared-care management (SCM) in palliative care is a collaborative model where shared care teams work in partnership with patients' original healthcare providers, employing multimodal strategies including consultations and coordinated referrals to enhance quality of care for patients. The evidence regarding its implementation remains fragmented and lacks detailed explanations, which impedes its application in clinical practice. This study aimed to develop a SCM standard of palliative care in adults in mainland regions of China.
Shared-care management (SCM) in palliative care is a collaborative model where shared care teams work in partnership with patients' original healthcare providers, employing multimodal strategies including consultations and coordinated referrals to enhance quality of care for patients. The evidence regarding its implementation remains fragmented and lacks detailed explanations, which impedes its application in clinical practice. This study aimed to develop a SCM standard of palliative care in adults in mainland regions of China.
Methods Initial standard framework identification was achieved via literature evidence summary. From April to August 2024, two rounds of Delphi method was conducted with the purposes of modifying the standard. To establish consensus, items with a mean importance score > 3.50 and the coefficient of variation of item scores < 0.25 were retained.
Initial standard framework identification was achieved via literature evidence summary. From April to August 2024, two rounds of Delphi method was conducted with the purposes of modifying the standard. To establish consensus, items with a mean importance score > 3.50 and the coefficient of variation of item scores < 0.25 were retained.
Results The first round involved 35 experts, with a follow-up participation of 33 in the second round. The Kendall concordance coefficients of the two rounds of experts consultation were 0.128 and 0.134, respectively (all P < 0.001), indicating consensus among the experts. At the end of the second round, the average importance score of each item was 4.73-5.00. A total of 8 modules including SCM team, applicable population, process of SCM, contents of SCM, start time, precautions, effectiveness evaluation and quality control, and the corresponding 22 items were finally identified in this standard.
The first round involved 35 experts, with a follow-up participation of 33 in the second round. The Kendall concordance coefficients of the two rounds of experts consultation were 0.128 and 0.134, respectively (all P < 0.001), indicating consensus among the experts. At the end of the second round, the average importance score of each item was 4.73-5.00. A total of 8 modules including SCM team, applicable population, process of SCM, contents of SCM, start time, precautions, effectiveness evaluation and quality control, and the corresponding 22 items were finally identified in this standard.
Conclusions The establishment of the standard in this study provides a critical framework that can be adopted by healthcare institutions to ensure that SCM services are delivered uniformly and effectively in mainland regions of China.
The establishment of the standard in this study provides a critical framework that can be adopted by healthcare institutions to ensure that SCM services are delivered uniformly and effectively in mainland regions of China.
摘要：
BACKGROUND: To investigate the association between indoor ventilation frequency and symptoms of depression and anxiety in older persons. METHODS: A binary logistic regression model was used to analyze the effects of indoor ventilation frequency on depression and anxiety by using data from the 2018 Chinese longitudinal healthy longevity survey (CLHLS). RESULTS: A total of 9,690 older persons with an average age of (83.20 ± 11.27) years were included, including 4,458 males (46.0%) and 5,232 females (54.0%). The average score of indoor ventilation frequency was (6.06 ± 1.98) points, including 770 people (7.9%) with low frequency, 3,066 people (31.6%) with medium frequency, and 5,854 people (60.4%) with high frequency. 842 (8.7%) had symptoms of depression and 204 (2.1%) had symptoms of anxiety. Compared with the older persons with low indoor ventilation frequency, the older persons with higher ventilation frequency had a lower incidence of depression (OR(95%CI) = 1.92 (1.50 ∼ 2.46), 1.51 (1.27 ∼ 1.79); P < 0.001). However indoor ventilation frequency was not associated with anxiety symptoms. CONCLUSION: Indoor ventilation frequency is related to depressive symptoms in older persons. Communities and families should pay more attention to indoor ventilation and intervene in time to promote and improve the mental health of older persons.
摘要：
Background Anxiety is a common and significant problem in patients who need to undergo colonoscopy. However, the question of which non-pharmacological intervention is the best strategy to reduce anxiety in patients undergoing colonoscopy remains unanswered.
Anxiety is a common and significant problem in patients who need to undergo colonoscopy. However, the question of which non-pharmacological intervention is the best strategy to reduce anxiety in patients undergoing colonoscopy remains unanswered.
Objectives To evaluate and rank the effectiveness of various non-pharmacological interventions for reducing anxiety in patients undergoing colonoscopy in order to identify the most effective strategies.
To evaluate and rank the effectiveness of various non-pharmacological interventions for reducing anxiety in patients undergoing colonoscopy in order to identify the most effective strategies.
Methods We searched PubMed, Cochrane Library, Embase, Web of Science, and Medline for randomized controlled trials published from the database construction to March 2024. The primary outcome was the difference between pre- and post-intervention anxiety means. A network meta-analysis was conducted utilizing the “gemtc” package based on R4.3.0.
We searched PubMed, Cochrane Library, Embase, Web of Science, and Medline for randomized controlled trials published from the database construction to March 2024. The primary outcome was the difference between pre- and post-intervention anxiety means. A network meta-analysis was conducted utilizing the “gemtc” package based on R4.3.0.
Results The analysis encompassed 24 randomized controlled trials, incorporating 2525 participants and evaluating 9 non-pharmacological interventions. All non-pharmacological interventions reduced anxiety in patients undergoing colonoscopy compared to standard care, with music intervention (SMD = -0.52, 95 %CI (−0.84,-0.20)), audiovisual distraction (SMD = -0.54, 95 %CI(−0.96,-0.12)), video information (SMD = -1.47, 95 %CI(−2.03,-0.90)), individual education (SMD = -1.72, 95 %CI(−2.76,-0.70)), and electroacupuncture (SMD = -1.12, 95 %CI(−2.10,-0.13)) having statistically significant effects. SUCRA ranking identified the priority of individual education (SUCRA: 92.5 %) and video information (SUCRA: 87.7 %). Meta-regression and sensitivity analysis further demonstrated the stability of the evidence. The certainty of the evidence was mostly rated as medium to low.
The analysis encompassed 24 randomized controlled trials, incorporating 2525 participants and evaluating 9 non-pharmacological interventions. All non-pharmacological interventions reduced anxiety in patients undergoing colonoscopy compared to standard care, with music intervention (SMD = -0.52, 95 %CI (−0.84,-0.20)), audiovisual distraction (SMD = -0.54, 95 %CI(−0.96,-0.12)), video information (SMD = -1.47, 95 %CI(−2.03,-0.90)), individual education (SMD = -1.72, 95 %CI(−2.76,-0.70)), and electroacupuncture (SMD = -1.12, 95 %CI(−2.10,-0.13)) having statistically significant effects. SUCRA ranking identified the priority of individual education (SUCRA: 92.5 %) and video information (SUCRA: 87.7 %). Meta-regression and sensitivity analysis further demonstrated the stability of the evidence. The certainty of the evidence was mostly rated as medium to low.
Conclusion This review highlights the superior effects of individual education and video information in reducing anxiety in patients undergoing colonoscopy. The findings of our review could provide clinical decision-makers and healthcare practitioners, such as doctors and nurses, with evidence-based practices for selecting interventions to reduce anxiety in patients undergoing colonoscopy.
This review highlights the superior effects of individual education and video information in reducing anxiety in patients undergoing colonoscopy. The findings of our review could provide clinical decision-makers and healthcare practitioners, such as doctors and nurses, with evidence-based practices for selecting interventions to reduce anxiety in patients undergoing colonoscopy.
摘要：
In recent years, much research has been conducted on the carbon emissions trading scheme policy. However, more studies need to focus on the impact of the carbon emissions trading scheme on corporate strategy. In order to address this research gap, drawing on panel data of Chinese A-share listed companies from 2008 to 2020, a quasi-natural experiment was conducted on the impact of the carbon emissions trading scheme on corporate strategic deviance, using a staggered DID model. The results showed that the carbon emissions trading scheme is positively related to corporate strategic deviance, and this relationship has a significant lag. The mechanism analysis demonstrated that the carbon emissions trading scheme can promote innovation quality and environmental performance, thereby indirectly promoting improvement in corporate strategic deviance. The heterogeneity analysis revealed that the carbon emissions trading scheme has a more significant positive relationship with corporate strategic deviance in non-state-owned enterprises, highly polluting industries, and provinces with weak environmental regulation.
In recent years, much research has been conducted on the carbon emissions trading scheme policy. However, more studies need to focus on the impact of the carbon emissions trading scheme on corporate strategy. In order to address this research gap, drawing on panel data of Chinese A-share listed companies from 2008 to 2020, a quasi-natural experiment was conducted on the impact of the carbon emissions trading scheme on corporate strategic deviance, using a staggered DID model. The results showed that the carbon emissions trading scheme is positively related to corporate strategic deviance, and this relationship has a significant lag. The mechanism analysis demonstrated that the carbon emissions trading scheme can promote innovation quality and environmental performance, thereby indirectly promoting improvement in corporate strategic deviance. The heterogeneity analysis revealed that the carbon emissions trading scheme has a more significant positive relationship with corporate strategic deviance in non-state-owned enterprises, highly polluting industries, and provinces with weak environmental regulation.
摘要：
Objective This study examined the heterogeneity of illness perceptions in patients with lung cancer and evaluated the mediating role of self-transcendence in the relation between illness perception and demoralization.
This study examined the heterogeneity of illness perceptions in patients with lung cancer and evaluated the mediating role of self-transcendence in the relation between illness perception and demoralization.
Methods A convenience sample of 477 patients with lung cancer was selected from three tertiary hospitals in Wuhan, China, between January and June 2024. Participants completed the Brief Illness Perception Questionnaire, Self-Transcendence Scale, and Demoralization Scale. Data were analyzed using Mplus 8.3 and SPSS 25.0.
A convenience sample of 477 patients with lung cancer was selected from three tertiary hospitals in Wuhan, China, between January and June 2024. Participants completed the Brief Illness Perception Questionnaire, Self-Transcendence Scale, and Demoralization Scale. Data were analyzed using Mplus 8.3 and SPSS 25.0.
Results Three latent illness perception profiles were identified among patients with lung cancer: low (27.25%), moderate (40.04%), and high (32.71%). Mediation analyses revealed a partial mediation effect in the relation between illness perception and demoralization in the low versus moderate (SE = 1.56, 95% CI = 14.71, 20.86) and high versus low illness perception groups (SE = 1.71, 95% CI = 35.44, 42.71).
Three latent illness perception profiles were identified among patients with lung cancer: low (27.25%), moderate (40.04%), and high (32.71%). Mediation analyses revealed a partial mediation effect in the relation between illness perception and demoralization in the low versus moderate (SE = 1.56, 95% CI = 14.71, 20.86) and high versus low illness perception groups (SE = 1.71, 95% CI = 35.44, 42.71).
Conclusions Patients with lung cancer exhibited heterogeneous illness perceptions, and self-transcendence partially mediated the relation between illness perception and demoralization. Promoting self-transcendence may help mitigate the negative impact of illness perceptions on demoralization. Clinical interventions aimed at reducing negative illness perceptions and enhancing self-transcendence should be prioritized in the care of patients with lung cancer.
Patients with lung cancer exhibited heterogeneous illness perceptions, and self-transcendence partially mediated the relation between illness perception and demoralization. Promoting self-transcendence may help mitigate the negative impact of illness perceptions on demoralization. Clinical interventions aimed at reducing negative illness perceptions and enhancing self-transcendence should be prioritized in the care of patients with lung cancer.
期刊：
PSYCHOLOGY RESEARCH AND BEHAVIOR MANAGEMENT,2025年18:917-927 ISSN：1179-1578
通讯作者：
Li, Min;Chen, YJ
作者机构：
[Huang, Meijiao; Li, Min; Tang, Meiling; Chen, Yongjun] Univ South China, Hengyang Med Coll, Dept Neurol, Affiliated NanhuaHosp, Hengyang 421002, Hunan, Peoples R China.;[Tang, Meiling] Univ South China, Hengyang Med Coll, Dept Pediat, Affiliated NanhuaHosp, Hengyang 421002, Hunan, Peoples R China.;[Liu, Lu] Univ South China, Hengyang Med Coll, Dept Gen Med, Affiliated NanhuaHosp, Hengyang 421002, Hunan, Peoples R China.;[Zhu, Linping] Univ South China, Hengyang Med Coll, Dept Gastrointestinal Surg, Affiliated NanhuaHosp, Hengyang 421002, Hunan, Peoples R China.
通讯机构：
[Li, M; Chen, YJ ] U;Univ South China, Hengyang Med Coll, Dept Neurol, Affiliated NanhuaHosp, Hengyang 421002, Hunan, Peoples R China.
关键词：
sleep problems;sleep disturbance;parenting stress;emotional symptom;autistic children
摘要：
PURPOSE: To investigate the association among sleep problems in autistic children, emotional symptom in autistic children and parenting stress. METHODS: This study recruited a total of 292 children with autism in two special education schools in Hunan province, China. The average age of the autistic children in this study was 6.5 ± 2.8 years. Sleep problems in autistic and parenting stress were measured by Youth Self-Rating Insomnia Scale (YSIS), Sleep Disturbance Scale for Children (SDSC), and The Parenting Stress Index-Short Form (PSI-SF-15). The main analysis included latent profile analysis, multivariate logistic regression analysis, and mediation analysis. RESULTS: The prevalence for sleep disturbance and insomnia symptoms in autistic children were 38.7% and 13.0%, respectively. Parenting stress was divided into three groups: low-risk group (81 participants, 28%), middle-risk group (134 participants, 46%), and high-risk group (77 participants, 26%). Sleep problems (insomnia and sleep disturbance) and emotional symptoms (anxiety and depression) in children with autism were risk factors for parental stress. Depressive symptom in autistic children was significant in mediating the relationship between insomnia symptoms and parenting stress. CONCLUSION: There is a significant effect of sleep problems in autistic children, as these sleep issues can substantially increase parental stress, with depressive symptoms in autistic children serving as a positive mediator.
期刊：
Journal of Affective Disorders,2025年372:173-181 ISSN：0165-0327
通讯作者：
Wu, GJ;Wan, X
作者机构：
[Liu, Yumeng; Liu, Xiang; Li, Lifeng; Peng, Dechang; Deng, Yingke; Li, Haijun] Nanchang Univ, Affiliated Hosp 1, Jiangxi Med Coll, Dept Radiol,Jiangxi Prov Key Lab Precis Pathol & I, Nanchang, Jiangxi, Peoples R China.;[Wei, Zhipeng] Nanchang Univ, Affiliated Hosp 2, Dept Radiol, Jiangxi Med Coll, Nanchang, Jiangxi, Peoples R China.;[Li, Lifeng] Univ South China, Affiliated Changsha Cent Hosp, Hengyang Med Sch, Dept Radiol, Hengyang, Hunan, Peoples R China.;[Wu, Guojiang; Li, Jiangping; Wu, GJ] Nanchang Univ, Affiliated Hosp 1, Jiangxi Med Coll, Dept Psychosomat Med, Nanchang, Jiangxi, Peoples R China.;[Wan, Xin; Wan, X] Nanchang Univ, Affiliated Hosp 1, Jiangxi Med Coll, Dept TCM, Nanchang, Jiangxi, Peoples R China.
通讯机构：
[Wan, X ; Wu, GJ ] N;Nanchang Univ, Affiliated Hosp 1, Jiangxi Med Coll, Dept Psychosomat Med, Nanchang, Jiangxi, Peoples R China.;Nanchang Univ, Affiliated Hosp 1, Jiangxi Med Coll, Dept TCM, Nanchang, Jiangxi, Peoples R China.
关键词：
Major depressive disorder;Esketamine;Tract-based spatial statistical analysis;Antidepressant
摘要：
Introduction Esketamine has demonstrated acute antidepressant effects in patients with major depressive disorder (MDD). This study investigated whether these effects associate with reversible white matter fiber integrity recovery using diffusion imaging.
Esketamine has demonstrated acute antidepressant effects in patients with major depressive disorder (MDD). This study investigated whether these effects associate with reversible white matter fiber integrity recovery using diffusion imaging.
Method Twenty patients with MDD and 20 healthy controls received 2-week esketamine treatment. Patients received 0.25 mg/kg intravenous esketamine. Emotional and cognitive recovery were assessed. Diffusion tensor imaging and tract-based spatial statistics evaluated white matter fiber integrity pre/post-treatment. Correlation analyses examined associations between white matter changes and clinical scales.
Twenty patients with MDD and 20 healthy controls received 2-week esketamine treatment. Patients received 0.25 mg/kg intravenous esketamine. Emotional and cognitive recovery were assessed. Diffusion tensor imaging and tract-based spatial statistics evaluated white matter fiber integrity pre/post-treatment. Correlation analyses examined associations between white matter changes and clinical scales.
Results Compared to controls, patients with MDD exhibited decreased fractional anisotropy (FA) values of cerebral white matter fibers involving the association fibers, the commissural fibers and projection fibers. Esketamine effectively reduced depression, anxiety, and suicidal ideation scores while improving cognitive function. However, no reversible recovery of compromised white matter integrity was observed after 2 weeks of esketamine treatment. FA reductions in projection fibers correlated with anxiety and suicidal ideation severity.
Compared to controls, patients with MDD exhibited decreased fractional anisotropy (FA) values of cerebral white matter fibers involving the association fibers, the commissural fibers and projection fibers. Esketamine effectively reduced depression, anxiety, and suicidal ideation scores while improving cognitive function. However, no reversible recovery of compromised white matter integrity was observed after 2 weeks of esketamine treatment. FA reductions in projection fibers correlated with anxiety and suicidal ideation severity.
Limitations Concurrent sertraline use and lack of placebo control limited our ability to isolate esketamine's effects. The wide age range may have introduced response variability. We used minimal effective dosages based on previous research. The small sample size limited statistical power. Larger, more controlled studies are needed to validate these preliminary findings.
Concurrent sertraline use and lack of placebo control limited our ability to isolate esketamine's effects. The wide age range may have introduced response variability. We used minimal effective dosages based on previous research. The small sample size limited statistical power. Larger, more controlled studies are needed to validate these preliminary findings.
Discussion This study enhances MDD neuropathological understanding, with widespread white matter impairment and associations between projection fibers and symptom severity. While producing significant antidepressant effects, short-term esketamine did not recover compromised white matter microstructure.
This study enhances MDD neuropathological understanding, with widespread white matter impairment and associations between projection fibers and symptom severity. While producing significant antidepressant effects, short-term esketamine did not recover compromised white matter microstructure.
摘要：
In pursuing sustainable environmental solutions, the concept of 'waste to treasure' has emerged as a promising approach. In this study, a new process is proposed to combine solid copper slag with hydrogen peroxide (H2O2) to remove nitrogen oxides (NOx) from acidic exhaust gases, thus effectively utilizing waste materials. Firstly, different smelting slags were screened to determine the catalytic potential of copper slag for hydrogen peroxide. Subsequently, the catalytic activity of the copper slags at various stages of the copper smelting process was thoroughly evaluated and optimized. In addition, a multifactorial evaluation of slow-cooled copper slag catalysts for removing NOx was carried out. Preliminary indications are that the iron phase in the copper slag is identified as the main source of catalytic activity sites. The results suggest that Fe2+/Fe3+ sites on the surface of the Fe phase in the slow-cooled copper slag may be crucial in improving the NOx removal efficiency. The main reactive oxygen species detected in the system were <middle dot>OH, <middle dot>O2(-), and 1O2. In addition, the transformation products, formation pathways, and reaction mechanisms of NO in the liquid phase were initially investigated and determined. This study provides a green and sustainable path for the utilization of solid waste and management of atmospheric fumes in the non-ferrous metal industry and offers new perspectives to address environmental challenges in industrial processes.
期刊：
Frontiers in Public Health,2025年12:1464214 ISSN：2296-2565
通讯作者：
Chen, L
作者机构：
[Chen, Lijie; Zeng, Xindian] Univ South China, Affiliated Nanhua Hosp, Hengyang Med Sch, Hengyang, Hunan, Peoples R China.;[Zeng, Xindian] Key Lab Hengyang Hlth Hazard Factors Inspect & Qua, Hengyang, Hunan, Peoples R China.;[Chen, Lu] Chinese Peoples Liberat Army Gen Hosp, Nephrol Inst Chinese Peoples Liberat Army, Natl Clin Res Ctr Kidney Dis,Beijing Key Lab Kidne, Dept Nephrol,StateKey Lab Kidney Dis,Med Ctr 1, Beijing, Peoples R China.
通讯机构：
[Chen, L ] C;Chinese Peoples Liberat Army Gen Hosp, Nephrol Inst Chinese Peoples Liberat Army, Natl Clin Res Ctr Kidney Dis,Beijing Key Lab Kidne, Dept Nephrol,StateKey Lab Kidney Dis,Med Ctr 1, Beijing, Peoples R China.
关键词：
GHE;OOPHE;SHE;THE;the financing structure
摘要：
BACKGROUND: Fairness in health funding has always been a priority in China. This article aims to study the trends in total health expenditure (THE), government health expenditure (GHE), social health expenditure (SHE), and out-of-pocket health expenditure (OOPHE) among China, the world, and upper-middle-income countries from 2000 to 2019. The goal is to provide a theoretical basis for the Chinese government to adjust and formulate health-related policies. METHODS: Aggregate time-series data were collected from the World Health Organization (WHO) and the World Bank (WB) Open Data sources from 2000 to 2019. These data were compared and some of it analyzed using cluster analysis methods. RESULTS: The financing structure level of THE in China is currently above average among upper-middle-income countries. The proportion of THE in GDP for upper-middle-income countries and China remains relatively stable and slow growth, and is consistently lower than the world average. The proportions of GHE and SHE in THE in China and upper-middle-income countries converged toward the world average level. But the proportion of OOPHE in THE in China is higher than that of two. Overall, the proportions of GHE exhibited an upward trend and the proportion of SHE and OOPHE exhibited a downward trend in China. What's more, the changes in China are more pronounced. The proportion of THE in GDP of China increased by 0.84% from 2000 to 2019, and it ranked 24th among the 51 upper-middle-income countries in 2019, and Compared with it in 2000 there has been a consistently positive increase rate. The per capita health expenditure in China was $42.11 in 2000 and it's $535.13 in 2019, which rapidly grow to the level of upper-middle-income countries and narrow the gap with the level of the world. CONCLUSION: The financing structure of THE is increasingly optimized, but the level of financing still needs improvement in China. The government should continue to optimize the financing structure of THE, increase GHE, encourage social capital investment, decrease the proportion of OOPHE, diversify financing and reimbursement policies to promote hierarchical medical system, promote health management for an aging population, and formulate health expenditure plans for public health emergencies.
摘要：
During the pandemic, China’s control policies shifted from nationwide restrictions to precise control and monitoring, which ended with complete relaxation, presenting unique challenges for nurses. Existing qualitative studies mostly focused on the experiences of frontline nurses in the early stages of the pandemic, but they overlooked the dynamic nature of the role changes and adaptation processes as the pandemic evolved. In-depth research into nurses’ experiences across different control phases is crucial for guiding future training to improve preparedness and policy enhancements. To explore the experiences and challenges faced by frontline nurses in China during different phases of pandemic control policies. It also evaluates their training, reflects on the inadequacies of the training, and discusses how these experiences can inform future training programs while offering recommendations to enhance future emergency preparedness. This study employed a qualitative descriptive design to explore the experiences and insights of nurses during the pandemic, as well as their attitudes toward training. Twenty-four frontline nurses from various hospitals in China were recruited using snowball sampling for in-depth interviews, which spanned two months. Data analysis was conducted using Giorgi’s phenomenological approach, involving coding and theme extraction. From a content analysis perspective, five main themes were extracted from different stages of control policies during the pandemic: (1) Nurses’ feelings and responses: including early psychological stress and physical discomfort during the pandemic, adaptation and conflicts in isolation management during the rebound period, and later medical resource shortages. (2) Work achievements: covering a sense of mission, personal growth, and recognition. (3) Difficulties and challenges encountered: including initial workflow issues, resource shortages, critical care management gaps, communication barriers during the rebound period, and a decline in staff morale. (4) Training issues: rushed early training, limited content, lack of process and details during the rebound period, inconsistent standards, and lack of enthusiasm for participation. (5) Training improvement recommendations: suggesting an emphasis on training content, reasonable scheduling of training time, various forms of training, multiple assessment methods, and establishment of human resource reserves. These findings reveal the challenges faced by frontline nurses during different phases of the pandemic, emphasizing the necessity of comprehensive and systematic nurse training programs. Recommendations include regularly updating training content, enhancing communication and psychological intervention training, diversifying training formats, establishing a mechanism for continuous learning, and exploring personalized training plans to improve nurses’ preparedness in future public health crises.
摘要：
Diagnosis and treatment of endometrial diseases are crucial for women's health. Over the past decade, ultrasound has emerged as a non-invasive, safe, and cost-effective imaging tool, significantly contributing to endometrial disease diagnosis and generating extensive datasets. The introduction of artificial intelligence has enabled the application of machine learning and deep learning to extract valuable information from these datasets, enhancing ultrasound diagnostic capabilities. This paper reviews the progress of artificial intelligence in ultrasound image analysis for endometrial diseases, focusing on applications in diagnosis, decision support, and prognosis analysis. We also summarize current research challenges and propose potential solutions and future directions to advance ultrasound artificial intelligence technology in endometrial disease diagnosis, ultimately improving women's health through digital tools.
摘要：
Purpose The study aimed to identify the profiles of psychological flexibility in patients with cervical cancer and how self-perceived burden networked to different psychological flexibility profiles.
The study aimed to identify the profiles of psychological flexibility in patients with cervical cancer and how self-perceived burden networked to different psychological flexibility profiles.
Methods The Personalized Psychological Flexibility Index and the Self-Perceived Burden for Cancer Patients were used to measure psychological flexibility and self-perceived burden in patients from the “Be Resilient to Cancer” project. Latent profile analysis was used to identify profiles and computer-simulated network analysis was conducted to determine if self-perceived burden networked to any of the psychological flexibility profiles.
The Personalized Psychological Flexibility Index and the Self-Perceived Burden for Cancer Patients were used to measure psychological flexibility and self-perceived burden in patients from the “Be Resilient to Cancer” project. Latent profile analysis was used to identify profiles and computer-simulated network analysis was conducted to determine if self-perceived burden networked to any of the psychological flexibility profiles.
Results A total of 325 patients with cervical cancer were recruited in this study. Mean age was 42.26 years, the majority were married (71%) and 75.4% had early stage disease (I or II). Three profiles of psychological flexibility were identified: moderate avoidance-low acceptance/harnessing (34.8%), high avoidance-moderate acceptance/harnessing (36.9%), low avoidance and high acceptance/harnessing (28.3%). Furthermore, “worrying about damaging family relationships” and “feeling guilty about affecting family's life plans” were the most bridge symptoms as well as the targeted intervention symptoms for alleviating and aggravating the self-perceived burden respectively.
A total of 325 patients with cervical cancer were recruited in this study. Mean age was 42.26 years, the majority were married (71%) and 75.4% had early stage disease (I or II). Three profiles of psychological flexibility were identified: moderate avoidance-low acceptance/harnessing (34.8%), high avoidance-moderate acceptance/harnessing (36.9%), low avoidance and high acceptance/harnessing (28.3%). Furthermore, “worrying about damaging family relationships” and “feeling guilty about affecting family's life plans” were the most bridge symptoms as well as the targeted intervention symptoms for alleviating and aggravating the self-perceived burden respectively.
Conclusion Three patterns of psychological flexibility were recognized with two symptoms might be targeted to improve the self-perceived burden in women with cervical cancer.
Three patterns of psychological flexibility were recognized with two symptoms might be targeted to improve the self-perceived burden in women with cervical cancer.
