318 research outputs found

    Fe/N Co-doped TiO2 loaded on functionalized activated carbon fiber for photocatalytic removal of formaldehyde

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    An improved sol-gel method was used to synthesize a new type of photocatalyst Fe/N co-doped TiO2 supported on functionalized activated carbon fiber (ACF), which was applied to catalytically degrade the formaldehyde in the visible light region. The samples were improved by adjusting the amount of hydrolysis water, calcination temperature variation, different pretreatment method for functionalization of ACF and employing different concentration of sodium dodecyl benzene sulfonate (SDBS), which was used as the surfactant for TiO2 particles with a high formaldehyde degradation efficiency up to 75.6% in 120 mins, was obtained. The prepared photocatalysts were characterized via X-ray diffraction (XRD), scanning electron microscopy (SEM), energy dispersive spectroscopy (EDS) and Brunauer-Emmett-Teller specific surface analysis (BET). The SEM analysis showed that TiO2 particles were dispersed uniformly on the surface of ACF. The particles exhibited the anatase structure is the main crystalline phase and rutile also existed with the crystallite diameter of 19.5 and 24.1nm, respectively. In general, this photocatalyst can degrade low concentration of formaldehyde gas with great efficiency under visible light irradiation which is fit for the application of indoor formaldehyde degradation

    Quality of life of Chinese urban community residents: a psychometric study of the mainland Chinese version of the WHOQOL-BREF

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    <p>Abstract</p> <p>Background</p> <p>The short version of the World Health Organization's Quality of Life Instrument (WHOQOL-BREF) is widely validated and popularly used in assessing the subjective quality of life (QOL) of patients and the general public. We examined its psychometric properties in a large sample of community residents in mainland China.</p> <p>Methods</p> <p>The WHOQOL-BREF was administered to 1052 adult community residents in a major metropolitan city in southern China. The structural integrity of the 4-factor model in confirmatory factor analyses (CFA) and the relationship of QOL with demographic variables were examined. Validity was assessed using the known-group comparison (229 with vs. 823 without chronic illness), item-domain correlations, and CFA using the ML estimation in LISREL.</p> <p>Results</p> <p>Internal consistency reliability of the whole instrument (26 items) was 0.89, and the psychological, social, and environment domains had acceptable reliability (alpha = 0.76, 0.72, 0.78 respectively), while that of the physical domain was slightly lower (α = 0.67). The respective mean scores of these domains were 13.69, 14.11, 12.33 and 14.56. Item-domain correlations were much higher for corresponding domains than for non-corresponding domains, indicating good convergent validity. CFA provided a marginally acceptable fit to the a priori four-factor model when two matching content item pairs were allowed to be correlated; χ<sup>2 </sup>(244) = 1836, RMSEA = 0.088, NNFI = 0.898, CFI = 0.909. This factorial structure was shown to be equivalent between the participants with and without chronic illness. The differences in means between these two groups were significant but small in some domains; effect size = 0.55, 0.15, 0.18 in the physical, psychological, and social relationship domains respectively. Furthermore, males had significantly higher QOL scores than females in the psychological domain, while individuals with a younger age, higher income, and higher education levels also had significantly higher QOL. Compared with the international data, the Chinese in this study had relatively low QOL scores with about 5% of males and 16% of females being at risk for poor QOL.</p> <p>Conclusions</p> <p>This study has provided psychometric properties of the WHOQOL-BREF as used in China and should definitely be useful for researchers who would like to use or further refine the instrument.</p

    Defining timeliness in care for patients with lung cancer : protocol for a scoping review

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    Introduction Cancer is the second leading cause of death worldwide, and lung cancer is the single leading cause of cancer mortality worldwide. Early diagnosis of lung cancer is the key to better prognosis and longer survival. While there are substantial literature reporting delays in cancer diagnosis, there is a lack of consensus in the definitions and terms used to describe a € delay' in the treatment pathway. The aim of this scoping review is to identify and critically synthesise the operational definitions and terminologies used to describe the timely initiation of care and consequent treatments over the care pathway for patients with lung cancer. This scoping review will also compare how timeliness was operationalised in Western and Asian countries. Methods and analysis The scoping review will use the methodology described by Arksey and O'Malley and endorsed by the Joanna Briggs Institute. MEDLINE, EMBASE, CINAHL and PsycINFO electronic databases will be searched. Grey literature sources and the reference lists of key studies will be used to identify additional relevant studies. The scoping review will include all studies, irrespective of study methodology and quality. Two reviewers will independently screen all titles and abstracts to identify eligible studies for inclusion. The full texts of identified studies will be further examined and charted using a data extraction form. A narrative synthesis will be performed to assess and categorise available definitions of timeliness. Ethics and dissemination Ethical approval is not needed as this scoping review will be reviewing already published articles. The results produced from this review will be submitted to a scientific peer-reviewed journal for publication and will be presented at scientific meetings.

    Defining timeliness in care for patients with lung cancer : a scoping review

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    Objectives Early diagnosis and reducing the time taken to achieve each step of lung cancer care is essential. This scoping review aimed to examine time points and intervals used to measure timeliness and to critically assess how they are defined by existing studies of the care seeking pathway for lung cancer. Methods This scoping review was guided by the methodological framework for scoping reviews by Arksey and O'Malley. MEDLINE, EMBASE, CINAHL and PsycINFO electronic databases were searched for articles published between 1999 and 2019. After duplicate removal, all publications went through title and abstract screening followed by full text review and inclusion of articles in the review against the selection criteria. A narrative synthesis describes the time points, intervals and measurement guidelines used by the included articles. Results A total of 2113 articles were identified from the initial search. Finally, 68 articles were included for data charting process. Eight time points and 14 intervals were identified as the most common events researched by the articles. Eighteen different lung cancer care guidelines were used to benchmark intervals in the included articles; all were developed in Western countries. The British Thoracic Society guideline was the most frequently used guideline (20%). Western guidelines were used by the studies in Asian countries despite differences in the health system structure. Conclusion This review identified substantial variations in definitions of some of the intervals used to describe timeliness of care for lung cancer. The differences in healthcare delivery systems of Asian and Western countries, and between high-income countries and low-income-middle-income countries may suggest different sets of time points and intervals need to be developed.

    Impulsive synchronization of state delayed discrete complex networks with switching topology

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    In this paper, global exponential synchronization of a class of discrete delayed complex networks with switching topology is investigated by using Lyapunov-Ruzimiki method. The impulsive scheme is designed to work at the time instant of switching occurrence. A time-varying delay dependent criterion for impulsive synchronization is given to ensure the delayed discrete complex networks switching topology tending to a synchronous state. Furthermore, a numerical simulation is given to illustrate the effectiveness of main results. © 2012 Springer-Verlag

    General wellbeing and work impacts among community pharmacists during crisis management

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    Background: Community pharmacists are highly accessible for advice, as most pharmacies are open long hours and no appointment is needed. Community pharmacists, as essential community health workers, play a critical role in the fight against coronavirus disease 2019 (COVID-19). This study aimed to determine the general wellbeing and work impacts of pharmacists and the factors important for adaptability and resilience during the COVID-19 pandemic. Methods: This study adopted a cross-sectional design. Community pharmacists from various professional networks in Australia were invited through emails and social media posts to complete an anonymous online survey during the second wave of the COVID-19 pandemic in Victoria, Australia. Results: Sixty-five community pharmacists completed the online survey. The respondents reported fair levels of general wellbeing during the COVID-19 pandemic, with a mean self-related health score of 33.57 (s.d. = 13.19) out of a maximal of 96, despite relatively high levels of job stress and emotional labour. Lower levels of general wellbeing were correlated with higher levels of job stress (r = 0.645, P < 0.01) and emotional labour (r = 0.513, P < 0.01), and lower levels of occupational self-efficacy (r = −0.566, P < 0.01). Leader member exchange was negatively correlated with job stress (r = −0.419, P < 0.01) and positively correlated with psychological safety (r = 0.693, P < 0.01). The linear regression models showed that female pharmacists had lower occupational self-efficacy (β = −0.286, P = 0.024), but higher psychological safety (β = 0.234, P = 0.042). Higher work ability was associated with lower job stress (β = −0.529, P < 0.001), higher occupational self-efficacy (β = 0.511, P = 0.001), and poorer self-related health (β = −0.659, P < 0.001). Conclusions: The findings highlight the importance of a supportive work environment in helping community pharmacists to feel psychologically safe and reduce stress during a crisis

    Adaptation strategies in transnational education: a case study of an Australian Master of Health Administration Course offered to Chinese managers

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    Background: Management decisions in health influence patient care outcomes; however, health management development courses in China are rare. This study aims to document and evaluate a transnational Master of Health Administration (MHA) course launched in 2000 for the benefit of Chinese health managers. Methods: A case study of the MHA program jointly run by an Australian university and a Chinese Medical University was conducted. We reviewed the development of the MHA course through a document analysis (key events recorded in achieves, minutes, and audits) followed by reflection (by two course coordinators), extracting key themes related to adaptative strategies. We then conducted a questionnaire survey of 139 graduates seeking their views on relevance, satisfaction and challenges associated with each subject within the course, the relevance of key management skills (as determined by the Australasian College of Health Service Management competency framework), and the impact of the course on their personal career trajectories. Chi-square tests identified differences in the responses by age, gender, pre-training position, and current workplace. Results: The curriculum pedagogy followed the principles of practice-based reflective learning. Research findings and student feedback shaped the curriculum design and subject content, to enhance management practices of the students. Survey participants expressed high levels of satisfaction and confirmed the relevance of all study subjects. Two subjects, health economics and data management, were perceived as being the most challenging. Of the ten management skills we assessed, relatively low self-rated confidence was found in “strategic thinking” and “planning”. Younger and less experienced graduates were more likely to report learning challenges (p < 0.05). Frontline managers were least likely to obtain promotion by changing employers (χ2 = 6.02, p < 0.05) or being seconded to another position (χ2 = 9.41, p < 0.01). Conclusions: This case study illustrates the suitability of cross-country partnerships in health management training, which offers opportunities for managers to systematically explore and acquire a comprehensive set of management skills applicable to their career needs. Opportunities for developing training aligned to career development opportunities are critical for attracting and developing a competent and well-prepared health service management workforce in China

    Dynamic response mechanism of initial failure of coal mass induced by in-situ stress in an outburst inoculation process of the working face for coal mining

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    There is still a great challenge to reveal the micro-macro dynamic mechanical behavior of initial coal failure induced by mining stress field in working face as a necessary condition for the outburst occurrence. The multivariate stress loading paths for the damage and instability of mining coal were constructed based on the typical coal and gas outburst accident of mining face. PFC3D discrete software was used to carry out the visual simulation of damage and instability of coal under multiple working conditions and scales. The dynamic response law of damage and instability of mining coal was revealed, the dynamic evolution behavior of cracks in mining coal was clarified, and the prospect of outburst prevention technologies was put forward based on the initial failure process of coal induced by in-situ stress under mining. The results shown that the failure type and strength of the mined coal varied significantly with the loading and unloading rate of the principal stress. In the process of gradual unloading of stress, the macroscopic fracture surface of coal presented the form of single inclined plane or conjugate shear plane, and the failure strength of coal decreased with the increase of unloading rate. With the gradual loading in both directions of stress at the same rate, unidirectional sudden unloading or a certain residual stress maintaining state presented a macro fracture surface parallel to the direction of the intermediate principal stress. And the failure strength of coal decreased with the increase of the unloading degree or the decrease of the residual stress. Under different stress loaded, the tension-shear failure process of coal appeared successively with shear and tension cracks. In the process of instability caused by mining coal damage, the dynamic evolution of cracks presented intermittent, progressive and paroxysmal composite characteristics. The overall development process of cracks can be characterized as the initial appearance of new cracks (intermittent-sudden increase stage), crack expansion (gradual-slow increase stage), penetration and expansion (paroxysmal-slow increase stage), and the overall tearing process of coal (sudden increase stage). The mechanical strength of coal was regarded as one of the main controlling factors affecting the occurrence of outbursts. The difficulty of initial failure of coal induced by in-situ stress depended critically on the stress loading and unloading path. The coal was most prone to initial failure when the unidirectional principal stress was suddenly unloaded or the bidirectional principal stress was gradually unloaded. Based on this mechanical law, the “ideal mining mode of outburst prediction in mining working face” was proposed to represent the most dangerous state of coal in the working face

    The role of IL-33 in depression: a systematic review and meta-analysis

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    Depression has long been considered a disease involving immune hyperactivation. The impact of pro-inflammatory cytokines such as TNF-α, IL-1β, IL-6, and IL-8 on depression has been widely studied. However, the effect of IL-33, another pro-inflammatory cytokine, has been less researched. Currently, research on the correlation between IL-33 and depression risk is inconsistent. In response to these divergent results, we conducted a review and meta-analysis aimed at resolving published research on the correlation between IL-33 and depression risk, and understanding the potential role of IL-33 in the development and treatment of depression. After searching different databases, we analyzed 8 studies. Our meta-analysis showed that IL-33 had a positive correlation with reduced risk of depression. The pooled standard mean differences (SMD) = 0.14, 95% confidence interval (CI): 0.05–0.24. Subgroup analysis results showed that IL-33 and ST2 levels in cerebrospinal fluid and serum is positive correlated with reduced risk of major depressive disorder (MDD) and bipolar disorder (BD). According to the characteristics of the included literature, the results mainly focuses on Caucasian. Furthermore, according to the subgroup analysis of depression-related data sources for disease or treatment, the correlation between IL-33 and depression risk is reflected throughout the entire process of depression development and treatment. Therefore, the change of IL-33 level in serum and cerebrospinal fluid can serve as useful indicators for assessing the risk of depression, and the biomarker provides potential treatment strategies for reducing the burden of the disease
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