Abstract Background This study aimed to explore discrepancies in adolescents with chronic illness and their parents’ perceptions of family resilience, as well as the relationship between these ...differences and the psychological adjustment of adolescents with chronic illness. Methods A cross-sectional study was conducted. A total of 264 dyads of parents (77.7% mothers, mean age 41.60 years, SD = 6.17) and adolescents (48.5% girls, mean age 12.68 years, SD = 2.11) with chronic illness were recruited through convenience sampling from three children’s hospitals in Wenzhou, Hangzhou, and Shanghai, China between June 2022 and May 2023. The Chinese version of the Family Resilience Scale and the Psychological Adjustment Scale, which are commonly used measures with good reliability and validity, were employed to assess family resilience and psychological adaption, respectively. The data were analyzed using polynomial regression and response surface analysis. Results Adolescents with chronic illness reported higher family resilience than their parents (t=-2.80, p < 0.05). The correlations between family resilience and adolescents’ psychological adjustment reported by the adolescents ( r = 0.45–0.48) were higher than parents ( r = 0.18–0.23). In the line of congruence, there were positive linear (a1 = 1.09–1.60, p < 0.001) and curvilinear (a2=-1.38∼-0.72, p < 0.05) associations between convergent family resilience and adolescents’ psychological adjustment. In the line of incongruence, when adolescents reported lower family resilience than parents, adolescents had a lower level of psychological adjustment (a3=-1.02∼-0.45, p < 0.05). Adolescents’ sociability decreased when the perceived family resilience of parent-adolescent dyads converged (a4 = 1.36, p < 0.01). Conclusion The findings highlighted the importance of considering the discrepancies and congruence of family resilience in the parent-child dyads when developing interventions to improve the psychological adjustment of adolescents with chronic illness. Interventions aimed at strengthening family communication to foster the convergence of perceptions of family resilience in parent-adolescent dyads were warranted.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
Psychological distress is common in maintenance hemodialysis patients, and high psychological resilience can promote psychological well-being. The current research focuses on psychological resilience ...protective factors such as family resilience and social support. However, the trajectories of psychological resilience, family resilience, and social support over time and their longitudinal relationships in maintenance hemodialysis patients have not been fully explored yet. Therefore, this study aims to explore the longitudinal relationship between these factors.
Patients who received regular hemodialysis treatment for more than three months at dialysis centers of three tertiary hospitals in Zhejiang, China, were recruited from September to December 2020. A total of 252 patients who met the inclusion and exclusion criteria completed three follow-up surveys, including social support, family resilience, and psychological resilience assessments. A repeated measures ANOVA was used to explore differences in their respective scores at different time points. The cross-lagged analysis was performed in AMOS using the maximum likelihood method to examine the the reciprocal predictive relationships between these factors.
Social support and psychological resilience remained relatively stable over time, whereas family resilience indicated a little increasing trend. According to the cross-lagged analysis, higher T1 social support predicted higher family resilience at T2 β = 0.123, 95% CI (0.026-0.244). Further, the effects of T2 social support to T3 family resilience β = 0.194, 95%CI (0.039-0.335) and psychological resilience β = 0.205, 95%CI (0.049-0.354) were significant. Finally, the effects of T2 family resilience to T3 social support β = 0.122, 95%CI (0.010-0.225) and psychological resilience β = 0.244, 95%CI (0.119-0.359) were also significant.
The study showed that the directionality of the relationship appears to be from social support or family resilience to patients' psychological resilience but not vice versa. This finding reminds healthcare professionals to emphasize the vital role of social and family resources in providing appropriate support and interventions for maintenance hemodialysis patients to promote psychological resilience and mental health development.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
The strengthening scientific and reasonable quantitative evaluation of innovation performance of low-carbon technology breakthrough innovation network in manufacturing industry under the background ...of economic globalization is of important significance, which can enrich relevant theoretical system of low-carbon technology breakthrough and improve the core competitiveness of Chinese manufacturing industries. In this paper, the scientific and reasonable quantitative evaluation of the innovation performance of low-carbon technology breakthrough innovation network is firstly determined as a dynamic (time-varying) evaluation problem, which involves multi-source influencing factors. Note that many evaluation objects in the innovation performance of an innovation network are gray, ambiguous and dynamic variables, which are difficult to be quantified and the collected industrial data has certain discreteness and fluctuation. Hence, a fuzzy clustering analysis on influencing variables of innovation performance of low-carbon technology innovation network is carried out via the sampling data from 28 manufacturing industries during 2011-2016. Moreover, an innovation performance evaluation model for low-carbon technology innovation network is constructed through analytic hierarchy process (AHP), grey theory and fuzzy clustering analysis. Based on this model, the qualitative and quantitative evaluations of innovation performances of the innovation network before and after low-carbon technology breakthrough are realized. The results show that the low-carbon technology breakthrough innovation has a positive effect on improving the development level of manufacturing industry. In addition, the construction performance evaluation model not only decreases the influences of subjective factors by combining qualitative analysis with quantitative analysis, but also applies the grey theory innovatively to determine the membership matrix. It realizes accurate, systematic and scientific evaluation of the innovation performance of the low-carbon technology breakthrough innovation network in the manufacturing industries. Finally, the research conclusions provide the theoretical and practical references to the strategic arrangement of the low-carbon technology breakthrough innovation in Chinese manufacturing industries.
Background
Circular RNAs (circRNAs) participate in the occurrence and progression of many cancers. CircRNA ataxin 7 (circATXN7) (circBase ID: hsa_circ_0066436) plays a promoting influence on gastric ...cancer progression. However, the biological role of circATXN7 in non‐small cell lung cancer (NSCLC) is indistinct.
Methods
Levels of circATXN7, microRNA (miR)‐7‐5p, and profilin 2 (PFN2) mRNA were detected using quantitative real‐time polymerase chain reaction (RT‐qPCR). Proliferation, apoptosis, metastasis, and invasion were analyzed using cell counting kit‐8 (CCK‐8), colony formation, 5‐ethynyl‐2′‐deoxyuridine (EdU), flow cytometry, and transwell assays. Protein levels were analyzed using western blotting (WB) and immunohistochemistry (IHC). The relationship between circATXN7 or PFN2 and miR‐7‐5p was analyzed by dual‐luciferase reporter and RNA immunoprecipitation (RIP) assays. The biological function of circATXN7 was verified by xenograft assay.
Results
CircATXN7 and PFN2 were highly expressed in NSCLC, whereas miR‐7‐5p expression had the opposite trend. CircATXN7 overexpression constrained apoptosis and promoted proliferation, metastasis, invasion, and epithelial‐mesenchymal transition of NSCLC cells, but circATXN7 silencing played the opposing influence and repressed xenograft tumor growth in vivo. CircATXN7 served as a miR‐7‐5p sponge, and circATXN7 regulated malignant behaviors of NSCLC cells through sponging miR‐7‐5p. PFN2 acted as a miR‐7‐5p target. PFN2 silencing overturned the promoting effect of miR‐7‐5p inhibitor on NSCLC cell malignancy, while PFN2 overexpression reversed the inhibitory impact of miR‐7‐5p mimic on NSCLC cell malignancy.
Conclusion
CircATXN7 accelerated the malignancy of NSCLC cells through adsorbing miR‐7‐5p and upregulating PFN2, offering evidence to support circATXN7 as a target for NSCLC treatment.
Graphic illustrating that circATXN7 adsorbs miR‐7‐5p and sequesters miR‐7‐5p activity, and subsequently relieves the inhibitory effect of miR‐7‐5p on PFN2, leading to the promotion of NSCLC progression.
Objectives:
Evidence regarding the possible influence of social factors on psychological resilience among maintenance hemodialysis patients is scarce. The aim of this study was to explore the ...relationship among socioeconomic status, family resilience, and social support, and psychological resilience among Chinese maintenance hemodialysis patients.
Methods:
This cross-sectional study was conducted in the hemodialysis centers of three comprehensive hospitals in China from September to December 2020 using convenience sampling. Two hundred fifty-eight patients receiving maintenance hemodialysis were investigated using a sociodemographic questionnaire, the Chinese version of the Medical Outcomes Study-Social Support Survey (MOS-SSS), Chinese Family Resilience Assessment Scale (C-FRAS), and Chinese version of the Conner and Davidson resilience scale (CD-RISC).
Results:
Maintenance hemodialysis patients reported a low level of physical resilience, with a score of (58.92 ± 15.27). Hierarchical linear regression analysis showed that education level (β = 0.127,
p
= 0.018), maintenance of a positive outlook by the family (β = 0.269,
p
= 0.001), positive social interaction support from the family (β = 0.233,
p
= 0.002), and tangible support (β = −0.135,
p
= 0.037) were significantly associated with psychological resilience.
Conclusion:
SES, family resilience and social support may be potential predictive factors of psychological resilience. Interventions to improve the family resilience and social support may be beneficial to promote the psychological resilience of Chinese maintenance hemodialysis patients.
This study aimed to explore the positive effects of online games on college students' psychological demands and individual growth.
A qualitative study design was carried out in September 2021. ...Semi-structured, in-depth, and individual interviews were conducted with a purposive sample of 20 undergraduates who played the online game "Glory of Kings" from six universities. Thematic analysis was employed to explore the positive features caused by "Glory of Kings".
College students reported three positive effects of online games, namely, satisfying the need for personal growth, meeting the requirement of social life and promoting academic performance.
College educators and families should take advantage of the positive effect of online games to guide college students to use online games reasonably.
Anxiety may stay with nursing students throughout their internship and even persist afterwards. Although many studies have explored the effects of perceived stress on anxiety, the relationship ...between pre-internship perceived stress and post-internship anxiety levels has not been clarified. In addition, none had focused on the moderating roles of career adaptability and professional commitment between perceived stress and anxiety. This study aims to investigate the influence of pre-internship perceived stress on the post-internship anxiety level of nursing college students, and to analyze the moderating effects of career adaptability and professional commitment on their relationships.
A longitudinal study design was employed. Full-time nursing college students from a Chinese medical university were recruited by convenient sampling. All surveys were conducted via Wen Juan Xing ( www.wjx.cn ), a widely used web-based survey platform in China. Two waves of surveys were collected in the pre-internship and post-internship periods, with an interval of one year. Among 823 nursing students recruited, 692 students completed all two waves of the survey (response rate: 84.08%). Participants completed a series of questionnaires examining general demographic characteristics, perceived stress, anxiety, career adaptability, and professional commitment both before and after the internship. The bias-corrected bootstrap technique of the Hayes PROCESS macro (Model 2) was used to test the moderation effect.
Pre-internship perceived stress was positively associated with post-internship anxiety (β = 0.474, p < 0.001). Career adaptability would mitigate the effect of perceived stress on anxiety (β = -0.009, p < 0.01, 95% CI = -0.013, -0.004), and this influence became stronger for nursing college students with higher levels of career adaptability. Instead, the professional commitment would enhance the effect of perceived stress on anxiety (β = 0.004, p < 0.05, 95% CI = 0.001, 0.009).
Adequate career adaptability was key to alleviating anxiety among nursing interns. Nursing educators and clinical nursing managers should pay attention to cultivating the career adaptability of nursing college students in order to help them successfully achieve identity transformation and career development. Meanwhile, it is crucial to guide them to develop appropriate professional commitment.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
Stretchable and conductive nanocomposites are emerging as important constituents of soft mechanical sensors for health monitoring, human–machine interactions, and soft robotics. However, tuning the ...materials’ properties and sensor structures to the targeted mode and range of mechanical stimulation is limited by current fabrication approaches, particularly in scalable polymer melt techniques. Here, thermoplastic elastomer‐based nanocomposites are engineered and novel rheological requirements are proposed for their compatibility with fiber processing technologies, yielding meters‐long, soft, and highly versatile stretchable fiber devices. Based on microstructural changes in the nanofiller arrangement, the resistivity of the nanocomposite is tailored in its final device architecture across an entire order of magnitude as well as its sensitivity to strain via tuning thermal drawing processing parameters alone. Moreover, the prescribed electrical properties are coupled with suitable device designs and several fiber‐based sensors are proposed aimed at specific types of deformations: i) a robotic fiber with an integrated bending mechanism where changes as small as 5° are monitored by piezoresistive nanocomposite elements, ii) a pressure‐sensing fiber based on a geometrically controlled resistive signal that responds with a sub‐newton resolution to changes in pressing forces, and iii) a strain‐sensing fiber that tracks changes in capacitance up to 100% elongation.
Thermoplastic elastomer‐based nanocomposites, with specifically engineered rheological, mechanical, and electrical characteristics, enable multimodal mechanical sensing in thermally drawn fibers. Taking advantage of the materials’ properties and the design freedom of the thermal drawing process, the fiber‐based strain sensors can be tailored toward specific modes of deformation as well as integrate additional functionalities, such as actuation and light delivery.
Abstract
Background
Emotional expression has been suggested to affect the well-being of individuals with unintentional injuries. However, few studies have investigated it as a heterogeneous ...phenomenon. The purpose of this study was to characterize the patterns of emotional expression among patients with unintentional injuries using latent profile analysis, and to examine the relationship among these latent profiles and cognitive processing, posttraumatic growth, and posttraumatic stress disorder.
Methods
A cross-sectional study was carried out at two general hospitals in Wenzhou, China. In total, 352 patients with unintentional injuries completed the socio-demographic questionnaire, Berkeley Expressivity Questionnaire, Ambivalence Over Emotional Expression Questionnaire, Event-Related Rumination Inventory, the Posttraumatic Growth Inventory, and PTSD Checklist-Civilian Version.
Results
Three unique profiles were identified: high emotional expressivity (
n
= 238, 67.6%), moderate emotional expressivity (
n
= 45, 12.8%), and low emotional expressivity (
n
= 69, 19.6%). The ANOVA and chi-square tests demonstrated significant differences among the three groups concerning deliberate rumination and posttraumatic growth. Multinomial logistic regression analysis indicated that monthly income and time since injury significantly predicted profile membership.
Conclusions
Most patients showed high emotional expressivity after an unintentional injury. Emotional expression profiles were associated with deliberate rumination and posttraumatic growth. Emotional expression interventions tailored for different profiles are warranted after an unintentional injury.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
According to the functional structure and design structure of the manufacturing products, a low-carbon evaluation index system is established for product maintenance and support system, where the ...particularity of the working environment of manufacturing products, the maintenance ability and the support tasks of equipment manufacturing products are all considered. In particular, the expert evaluation method and the empirical analysis of factory technologists are used for a single index, and a recursive algorithm is given. According to the principle of the maximum membership degree, the merits and demerits based on the membership degree of the comments are evaluated, and both the multi-level index system and the fuzzy comprehensive evaluation method are combined. In addition, a comprehensive evaluation method, i.e. Multi-level Fuzzy Correlation Clustering Analysis (MFCCA) with a clear idea, is given for the low-carbon evaluation of the manufacturing products. Finally, the correctness, effectiveness and superiority of the proposed method are verified via the test experiments of an electric machine factory in the manufacturing industry.
PDF
