Browse Articles
Discover research articles across all indexed journals
How the nursing work environment moderates the relationship between clinical judgment and person-centered care among intensive care unit nurses
Background Person-centered care focuses on individualized care that respects patients’ values, preferences, and autonomy. To enhance the quality of critical care nursing, institutions need to identify the factors influencing ICU nurses’ ability to provide person-centered care. This study explored the relationship between clinical judgment ability and person-centered care among intensive care unit (ICU) nurses, emphasizing how the ICU nursing work environment moderates this relation. Methods A cross-sectional survey was conducted between September 4 and September 18, 2023, with 192 ICU nurses recruited from four general hospitals with a convenience sample (valid response rate = 97.4%). Participants completed online self-report structured questionnaires. The collected data were analyzed using hierarchical multiple regression and PROCESS macro Model 1, with a 95% bias-corrected bootstrap confidence interval to verify moderating effects. Results Clinical judgment ability (β = .24, p < .001) and ICU nursing work environment (β = .50 p < .001) were found to be significant predictors of person-centered care. These two predictors explained the 47.0% of person-centered care in the final hierarchical regression model. Additionally, Clinical judgment (B = 0.28, p < .001, Boot. 95%CI = 0.13~0.42) and the ICU nursing work environment (B = 0.41, p < .001, Boot. 95%CI = 0.30~0.52) positively affected person-centered care, and the interaction term of clinical judgment and ICU nursing work environment (B = 0.16, p = .026, Boot. 95%CI = 0.02~0.30) also positively affected person-centered care. The moderating effect was particularly significant when the ICU nursing work environment score was 2.90 points (below 14.6%, above 85.4%) or higher on a scale of 1–5 and As the ICU nursing work environment score increased, the positive moderating effect also increased. Conclusions The ICU nurses’ clinical judgment ability positively affected person-centered care, and the nursing work environment moderated the relationship between clinical judgment ability and person-centered care. Therefore, strategies for enhancing person-centered care among ICU nurses should focus on developing educational programs to improve clinical judgment ability and implementing comprehensive efforts to effectively improve and manage the nursing work environment.
Risk-based bridge life cycle cost and environmental impact assessment considering climate change effects
Factors associated with contracting border malaria: A systematic and meta-analysis
Vector resistance, human population movement, and cross-border malaria continue to pose a threat to the attainment of malaria elimination goals. Border malaria is prominent in border regions characterised by poor access to health services, remoteness, and vector abundance. Human socio-economic behaviour, vectoral behaviour, access and use of protective methods, age, sex, and occupation have been identified in non-border regions as key predictors for malaria. We conducted a systematic and meta-analysis review to characterise and establish pooled effect sizes of the factors associated with the occurrence of border malaria. An exhaustive search was done in EBSCOHost (Medline Full Text), Health Source, Google Scholar, Regional Office for Africa Library, African Index Medicus, and PubMed databases. A total of 847 articles were identified from the search and after screening for quality and eligibility, twelve (12) articles were included in the review. Pooled odds ratios, inverse variance statistic (I2), Luis Furuya-Kanamori (LFK) index, and forest plot were computed. Findings from this study suggest night outdoor activities (POR 2.87 95% CI, 1.17 7,01), engaging in forestry activities (POR 2.76 95% CI, 2.08 3.67), working in mines (POR 197 95% CI, 175 22171), access to poor housing structure (POR 3.42 95% CI, 2.14 5.46), and cross-border movement (POR 50.86 95% CI, 12.88 200.85) none use of insecticide-treated nets (POR 5.09 95% CI, 2.44 10.63) were all significantly associated with contracting malaria within border regions. The use of insecticide-treated nets (ITN) (POR 0.61 95% CI, 0.50 0.76) and indoor residual spraying (IRS) (POR 0.61 95% CI, 0.47 0.79) were protective. Risk factors for border malaria are comparable to non-border malaria. Effective border malaria control requires an integrated and targeted approach that addresses socio-economic, environmental, and behavioural drivers. Established vector control interventions remain protective and should be sustained to mitigate the border malaria burden effectively. Novel strategies should be developed to address the unique challenge of cross-border human population movement underpinned by robust regional, bilateral, and multi-sectoral collaborative initiatives.
Theoretical study of Ti and Cr as candidate assisted metals for mechanical exfoliation of monolayer transition metal dichalcogenides
Factors influencing fans’ spectating experience and configuration effects in CBA league
The low satisfaction of fans’ spectator experience, the weak willingness to continue to watch games have become the realistic barriers limiting the sustained and favorable development of Chinese Basketball Association league (CBA League). Using Structural Equation Modeling (SEM) and Fuzzy-set Qualitative Comparative Analysis (fsQCA), this study clarifies the complex causal relationship behind the phenomenon of fans’ spectator experience, explore the linkage mechanism between different influencing factors of spectator experience. Also constructs a variety of grouping paths to enhance the fans’ spectator experience in the CBA League. The results shows that Sense, Feel, Think, Act, Relate and Spectator Service all positively affect the satisfaction of the live Spectator experience in the CBA League. Among six influencing factors, none of them is the necessary condition for high satisfaction of Fans’ Spectator Experience. In this way, the characteristics of multi-factors and different paths of the live Spectator experience were verified. Influential factors were coupled to form six grouping paths for high satisfaction of the fans’ spectator experience, which were categorized into two types of configurations by combining the grouping characteristics: 1) Led by spectator service, feel and act experience co-driven, 2) Spectator service and think experience co-driven. The findings provide theoretical guidance for enhancing fan experience and meeting the practical needs of cultivating loyal CBA fan groups while expanding the league’s influence.
Demonstration of active neutron interrogation of special nuclear materials using a high-intensity short-pulse-laser-driven neutron source
AbstractDetecting shielded special nuclear material, such as nuclear explosives, is a difficult challenge pursued by non-proliferation, anti-terrorism, and nuclear security programs worldwide. Interrogation with intense fast-neutron pulses is a promising method to characterize concealed nuclear material rapidly but is limited by suitable source availability and proven instrumentation. In this study we have pioneered a demonstration of such an interrogation method using a high-intensity, short-pulse, laser-driven neutron source that offers potential benefits compared to conventional neutron sources. The measurement results reported here represent the first experimental demonstration of this interrogation approach on enriched uranium items and demonstrate the feasibility of a precise measurement using realistic nuclear materials, representative of field scenarios, even with just a single laser-driven neutron pulse. Bright pulsed sources can overcome the nuisance background of items with strong internal neutron sources, improving analytical power, while single-shot assay is attractive in high-throughput situations where time is at a premium. The science and technology of this type of neutron production is developing rapidly, and we anticipate that practical mobile interrogation systems will become available based on the detection concepts demonstrated here to meet the growing measurement needs.
Perceived racial discrimination, resilience, and oral health behaviours of adolescents with immigrant backgrounds
Introduction Unmet oral health needs remain a significant issue among immigrant adolescents, often exacerbated by experiences of racial discrimination. This study aimed to examine the associations between perceived discrimination and oral health behaviours in adolescents with immigrant backgrounds and explore the potential moderating role of resilience on this association. Methods Ethical approval for this cross-sectional study was obtained from the University of Alberta Research Ethics Board. Participants were 12 to 18-year-old adolescents from immigrant backgrounds. Participants were recruited through nine community organizations using a snowball sampling technique. After obtaining active parental consent and assent from the adolescent, the participants completed a questionnaire covering demographics, oral health behaviours, and perceived racial discrimination and resilience. Perceived racial discrimination and resilience were measured using validated scales. Descriptive statistics summarized variables. Logistic regression assessed associations, controlling for confounding factors. Resilience’s moderating impact was analyzed via the interaction model of regression analysis. Results In this cross-sectional study of 316 participants, average age of 15.3 (SD = 1.9) years, and a median age of 15 years (Inter Quartile Range-12-18), 76% reported discrimination experiences. Adjusted analysis showed that an increase of one unit in the total discrimination distress score was associated with 51% less likelihood of categorizing self-rated oral health as good (OR = 0.49, 95% CI: 0.29–0.81). The odds of brushing teeth more than twice a day, as opposed to once a day, decreased by 58% with one unit increase in the total discrimination distress score (OR = 0.42, 95% CI: 0.25–0.71). The odds of visiting the dentist for an urgent procedure instead of a regular check-up were 2.3 times higher with a unit increase in the total discrimination distress score (OR = 2.3: 95% CI:1.3–4.0) Resilience did not moderate the observed association. Conclusion Perceived racial discrimination was associated with the pattern for dental attendance, tooth brushing frequency, and self-rated oral health. Resilience did not moderate the observed association.
Production of Oncorhynchus mykiss biosensor based on polyvinyl alcohol/chitosan nanocomposite using phycocyanin during refrigerated storage
PtpA protein from Mycobacterium avium subsp. paratuberculosis as a potential marker of rheumatoid arthritis in humans
Studies have noted the connection between Mycobacterium avium subspecies paratuberculosis (MAP) and autoimmunity. MAP is an intracellular pathogen that infects and multiplies in macrophages. To overcome the hostile environment elicited by the macrophage, MAP secretes a battery of virulence factors to neutralize the toxic effects of the macrophage. One of the virulence factors is the Protein Tyrosine Phosphatase A (PtpA), a protein secreted by MAP that interferes in the phago-lysosome fusion, rendering the pathogen unnoticed in the cytoplasm of the macrophage. This study aimed to assess the presence of PtpA antibodies in the sera of Mexican individuals with rheumatoid arthritis (RA) and investigate its possible use as a biomarker for disease activity. We compared RA patients (n = 100) to control subjects (CS) (n = 100) by assessing specific immune responses to PtpA (the antigen) by an indirect ELISA method. Results showed a significant difference in PtpA levels between RA and CS, with RA patients having a median OD of 0.4645 compared to 0.1372 in CS. Antibodies against PtpA were present in 95% of RA patients and 16% of CS (AUC = 0.9163, p = 0.0001). Male control subjects showed higher PtpA reactivity than female CS. The Disease Activity Score (DAS-28) analysis showed that individuals with moderate to high disease activity had lower levels of PtpA reactivity. The results suggest a potential connection between RA and MAP infection.
The optimal neoadjuvant treatment strategy for HR+/HER2 + breast cancer: a network meta-analysis
AbstractThe efficacy of neoadjuvant therapy varies significantly with hormone receptor (HR) status for patients with human epidermal growth factor receptor 2 (HER2) positive breast cancer (BC). Despite extensive research on HER2 + BC, the optimal neoadjuvant strategy for HR+/HER2 + BC remains inconclusive. This study aimed to identify the optimal neoadjuvant regimen for HR+/HER2 + BC treatment. We conducted a systematic search for trials comparing neoadjuvant regimens for HR+/HER2 + BC and a network meta-analysis. Odds ratios for pathological complete response (pCR) and hazard ratios for event-free survival (EFS) were calculated. Treatment regimens were ranked using the surface under the cumulative ranking curve. 20 trials with 2809 patients were included. In pCR analysis, three neoadjuvant regimens sequentially ranked at the top, namely those comprising T-DM1, pertuzumab with trastuzumab, and tyrosine kinase inhibitor with trastuzumab, demonstrating significantly higher pCR rates than monotherapies. In EFS analysis, pertuzumab with trastuzumab ranked the first while T-DM1 containing regimen ranked the last. Anthracycline-free regimens showed a marginally higher pCR rate than anthracycline-containing regimens, while carboplatin-containing regimens demonstrated a numerically higher pCR rate than carboplatin-free regimens. Significant heterogeneity was observed in endocrine therapy analysis, which may be caused by different strategies for incorporating endocrine therapy. In conclusion, trastuzumab plus pertuzumab stands out as the optimal neoadjuvant HER2-targeting regimen for HR+/HER2 + BC Furthermore, anthracycline-free carboplatin-containing chemotherapy emerges as a promising combination treatment. Further investigation is required to clarify the role of endocrine therapy in HR+/HER2 + BC to guide its clinical application.
Clonal phylogenies inferred from bulk, single cell, and spatial transcriptomic analysis of epithelial cancers
Epithelial cancers are typically heterogeneous with primary prostate cancer being a typical example of histological and genomic variation. Prior studies of primary prostate cancer tumour genetics revealed extensive inter and intra-patient genomic tumour heterogeneity. Recent advances in machine learning have enabled the inference of ground-truth genomic single-nucleotide and copy number variant status from transcript data. While these inferred SNV and CNV states can be used to resolve clonal phylogenies, however, it is still unknown how faithfully transcript-based tumour phylogenies reconstruct ground truth DNA-based tumour phylogenies. We sought to study the accuracy of inferred-transcript to recapitulate DNA-based tumour phylogenies. We first performed in-silico comparisons of inferred and directly resolved SNV and CNV status, from single cancer cells, from three different cell lines. We found that inferred SNV phylogenies accurately recapitulate DNA phylogenies (entanglement = 0.097). We observed similar results in iCNV and CNV based phylogenies (entanglement = 0.11). Analysis of published prostate cancer DNA phylogenies and inferred CNV, SNV and transcript based phylogenies demonstrated phylogenetic concordance. Finally, a comparison of pseudo-bulked spatial transcriptomic data to adjacent sections with WGS data also demonstrated recapitulation of ground truth (entanglement = 0.35). These results suggest that transcript-based inferred phylogenies recapitulate conventional genomic phylogenies. Further work will need to be done to increase accuracy, genomic, and spatial resolution.
Biosynthesis and health promoting traits of green synthesized cobalt oxide nanoparticles
Research on hydrodynamic performance of S-type turbine based on linear wave
The hydrodynamic performance of a Savonius type turbine (S-type turbine) in wave field is studied. The method of combining numerical simulation with physical experiment is adopted.Based on linear wave theory and turbulence model, Star CCM+numerical simulation software is used for digital modeling, and overlapping grid technology is used for grid modeling. Dynamic Fluid Body Interaction (DFBI) model is called to control the movement of S-type turbine, and second-order time discretization is adopted to establish a two-dimensional wave field model and conduct numerical simulation. At the same time, the physical test system of S-type turbine was developed for physical experiment verification, and the rotating performance of S-type turbine under different wave heights and pe-riods was measured, and the results of numerical simulation and physical experiment were com-prehensively evaluated. The results show that in wave field, the inverted S-shape arrangement of horizontal axis is better than the positive S-shape arrangement of horizontal axis and the vertical axis arrangement, and the captured energy is more than 3 times. At the same time, the fluctuating rotation speed of S-type turbine in wave field needs to be close to the wave frequency to capture more wave energy, which has guiding significance for practical engineering.
PNMA1 is a novel immune modulator and therapeutic target in hepatocellular carcinoma linked to bile acid metabolism
Association between age-related hearing loss and depression: A systematic review and meta-analysis
Introduction This meta-analysis examined the relationship between age-related hearing loss (ARHL) and depression in older adults, and further explored whether this relationship is moderated by age and gender. Methods We searched in 4 English databases: PubMed, Embase, Web of Science, and Cochrane Library. Ultimately, we identified 9 studies, involving 3 cohort studies and 6 cross-sectional studies. We used Hedges’ g as the effect size, and all pooled analyses were performed using random-effects models. Results ARHL patients had higher depressive symptom scores than non-ARHL older adults (g = 0.52). When divided into subgroups based on study type, a large effect size was demonstrated in the cross-sectional study group (g = 0.68) and was not statistically different in the cohort study group (g = 0.06). Meta-regression results showed that the effect size of depression in older adults with ARHL was significantly associated with the percentage of females (t = 5.97, p = 0.000) and not significantly associated with age (t = 0.94, p = 0.364). Conclusions Patients with ARHL are more likely to be depressed than older adults with normal hearing, and this relationship is influenced by the gender of the patients.
Differential gray matter correlates and machine learning prediction of abuse and internalizing psychopathology in adolescent females
Genetic diversity and population structure studies of West African sweetpotato [Ipomoea batatas (L.) Lam] collection using DArTseq
Background Sweetpotato is a vegetatively propagated crop cultivated worldwide, predominantly in developing countries, valued for its adaptability, short growth cycle, and high productivity per unit land area. In most sub-Saharan African (SSA) countries, it is widely grown by smallholder farmers. Niger, Nigeria, and Benin have a huge diversity of sweetpotato accessions whose potential has not fully been explored to date. Diversity Arrays Technology (DArTseq), a Genotyping by Sequencing (GBS) method, has been developed and enables genotyping with high-density single nucleotide polymorphisms (SNPs) in different crop species. The aim of this study was to assess the genetic diversity and population structure of the West African sweetpotato collection using Diversity Arrays Technology through Genotyping by Sequencing (GBS). Results 29,523 Diversity Arrays Technology (DArTseq) single nucleotide polymorphism markers were used to genotype 271 sweetpotato accessions. Genetic diversity analysis revealed an average polymorphic information content (PIC) value of 0.39, a minor allele frequency of 0.26, and an observed heterozygosity of 10%. The highest value of polymorphic information content (PIC) (0.41) was observed in chromosomes 4, while the highest proportion of heterozygous (He) (0.18) was observed in chromosomes 11. Molecular diversity revealed high values of polymorphic sites (Ps), theta (θ), and nucleotide diversity (π) with 0.973, 0.158, and 0.086, respectively, which indicated high genetic variation. The pairs of genetic distances revealed a range from 0.08 to 0.47 with an overall average of 0.34. Population structure analysis divided the 271 accessions into four populations (population 1 was characterised by a mixture of accessions from all countries; population 2, mostly comprised of Nigerian breeding lines; population 3 contained exclusively landraces from Benin; and population 4 was composed by only landraces from West African countries) at K = 4, and analysis of molecular variance (AMOVA) based on PhiPT values showed that most of the variation was explained when accessions were categorized based on population structure at K = 4 (25.25%) and based on cluster analysis (19.43%). Genetic distance showed that group 4 (which constituted by landraces of Niger and Benin) was genetically distant (0.428) from groups 2 (formed by 75% of breeding lines of Nigeria), while group 1 was the closest (0.182) to group 2. Conclusions This study employed 7,591 DArTseq-based SNP markers, revealing extensive polymorphism and variation within and between populations. Variability among countries of origin (11.42%) exceeded that based on biological status (9.13%) and storage root flesh colour (7.90%), emphasizing the impact of migration on genetic diversity. Population structure analysis using principal component analysis (PCA), Neighbor-Joining (NJ) tree, and STRUCTURE at K = 4 grouped 271 accessions into distinct clusters, irrespective of their geographic origins, indicating widespread genetic exchange. Group 4, dominated by landraces (95%), showed significant genetic differentiation (Nei’s Gst = 0.428) from Group 2, mainly comprising breeding lines, suggesting their potential as heterotic groups for breeding initiatives like HEBS or ABS.
Application of a targeted amplicon sequencing panel to screen for insecticide resistance mutations in Anopheles darlingi populations from Brazil
Abstract Large-scale surveillance and informed vector control approaches are urgently needed to ensure that national malaria programs remain effective in reducing transmission and, ultimately, achieving malaria elimination targets. In South America, Anopheles darlingi is the primary malaria vector and is responsible for the majority of Plasmodium species transmission. However, little is known about the molecular markers associated with insecticide resistance in this species. In this study, we developed a low-cost, high throughput amplicon sequencing (“amp-seq”) panel, consisting of 11 amplicons targeting genes linked to mosquito species identification ( cox-1 and its2 ) and insecticide resistance ( ace-1 , GSTe2 , vgsc and rdl ). When used in tandem with dual-index barcoding of amplicons, this approach permits high numbers of loci and samples to be sequenced in single runs, thereby decreasing costs and increasing efficiency. By screening 200 An. darlingi mosquitoes collected in Brazil, our amp-seq approach identified 10 point mutations leading to amino acid changes in ace-1 (V243I, N294H, S673N, S674N/T) and GSTe2 genes (I114V, D128E, T166I, T179I, and T205A). Overall, our work has demonstrated the utility of amp-seq to provide insights into the genetic diversity of An. darlingi mosquitoes. The amp-seq approach can be applied as a wide-scale insecticide-resistance surveillance technique to better inform vector-control methods.