Testing and comparing two self-care-related instruments among older Chinese adults

OBJECTIVES:The study aimed to test and compare the reliability and validity, including sensitivity and specificity of the two self-care-related instruments, the Self-care Ability Scale for the Elderly (SASE), and the Appraisal of Self-care Agency Scale-Revised (ASAS-R), among older adults in the Chinese context. METHODS:A cross-sectional design was used to conduct this study. The sample consisted of 1152 older adults. Data were collected by a questionnaire including the Chinese version of SASE (SASE-CHI), the Chinese version of ASAS-R (ASAS-R-CHI) and the Exercise of Self-Care Agency scale (ESCA). Homogeneity and stability, content, construct and concurrent validity, and sensitivity and specificity were assessed. RESULTS:The Cronbach's alpha (α) of SASE-CHI was 0.89, the item-to-total correlations ranged from r = 0.15 to r = 0.81, and the test-retest correlation coefficient (intra-class correlation coefficient, ICC) was 0.99 (95% CI, 0.99-1.00; P<0.001). The Cronbach's α of ASAS-R-CHI was 0.78, the item-to-total correlations ranged from r = 0.20 to r = 0.65, and the test-retest ICC was 0.95 (95% CI, 0.92-0.96; P<0.001). The content validity index (CVI) of SASE-CHI and ASAS-R-CHI was 0.96 and 0.97, respectively. The findings of exploratory and confirmatory factor analyses (EFA and CFA) confirmed a good construct validity of SASE-CHI and ASAS-R-CHI. The Pearson's rank correlation coefficients, as a measure of concurrent validity, between total score of SASE-CHI and ESCA and ASAS-R-CHI and ESCA were assessed to 0.65 (P<0.001) and 0.62 (P<0.001), respectively. Regarding ESCA as the criterion, the area under the receiver operator characteristic (ROC) curve for the cut-point of SASE-CHI and ASAS-R-CHI were 0.93 (95% CI, 0.91-0.94) and 0.83 (95% CI, 0.80-0.86), respectively. CONCLUSION:There is no significant difference between the two instruments. Each has its own characteristics, but SASE-CHI is more suitable for older adults. The key point is that the users can choose the most appropriate scale according to the specific situation

Experimental observation of non-Abelian earring nodal links in phononic crystals

Nodal lines are symmetry-protected one-dimensional band degeneracies in momentum space, which can appear in numerous topological configurations such as nodal rings, chains, links, and knots. Very recently, non-Abelian topological physics has been proposed in space-time inversion (PT) symmetric systems, and attract widespread attention. One of the most special configurations in non-Abelian system is the earring nodal link, composing of a nodal chain linking with an isolated nodal line, is signature of non-Abelian topology and cannot be elucidated using Abelian topological classifications. However, the earring nodal links have not been yet observed in real system. Here we design the phononic crystals with earring nodal links, and verify its non-Abelian topologicial charge in full-wave simulations. Moreover, we experimentally observed two different kinds of earring nodal links by measuring the band structures for two phononic crystals. Specifically, we found that the order of the nodal chain and line can switch after band inversion but their link cannot be severed. Our work provides experimental evidence for phenomena unique to non-Abelian band topology and our simple acoustic system provides a convenient platform for studying non-Abelian charges.Comment: 14 pages, 3 figure

Testing and comparing two self-care-related instruments among older Chinese adults

Objectives The study aimed to test and compare the reliability and validity, including sensitivity and specificity of the two self-care-related instruments, the Self-care Ability Scale for the Elderly (SASE), and the Appraisal of Self-care Agency Scale-Revised (ASAS-R), among older adults in the Chinese context. Methods A cross-sectional design was used to conduct this study. The sample consisted of 1152 older adults. Data were collected by a questionnaire including the Chinese version of SASE (SASE-CHI), the Chinese version of ASAS-R (ASAS-R-CHI) and the Exercise of Self-Care Agency scale (ESCA). Homogeneity and stability, content, construct and concurrent validity, and sensitivity and specificity were assessed. Results The Cronbach's alpha (α) of SASE-CHI was 0.89, the item-to-total correlations ranged from r = 0.15 to r = 0.81, and the test-retest correlation coefficient (intra-class correlation coefficient, ICC) was 0.99 (95% CI, 0.99±1.00; P<0.001). The Cronbach's α of ASAS-R-CHI was 0.78, the item-to-total correlations ranged from r = 0.20 to r = 0.65, and the test-retest ICC was 0.95 (95% CI, 0.92±0.96; P<0.001). The content validity index (CVI) of SASE-CHI and ASAS-R-CHI was 0.96 and 0.97, respectively. The findings of exploratory and confirmatory factor analyses (EFA and CFA) confirmed a good construct validity of SASE-CHI and ASAS-R-CHI. The Pearson's rank correlation coefficients, as a measure of concurrent validity, between total score of SASE-CHI and ESCA and ASAS-R-CHI and ESCA were assessed to 0.65 (P<0.001) and 0.62 (P<0.001), respectively. Regarding ESCA as the criterion, the area under the receiver operator characteristic (ROC) curve for the cut-point of SASE-CHI and ASAS-R-CHI were 0.93 (95% CI, 0.91±0.94) and 0.83 (95% CI, 0.80±0.86), respectively. Conclusion There is no significant difference between the two instruments. Each has its own characteristics, but SASE-CHI is more suitable for older adults. The key point is that the users can choose the most appropriate scale according to the specific situation.publishedVersionNivå

Co-infusion of haplo-identical CD19-chimeric antigen receptor T cells and stem cells achieved full donor engraftment in refractory acute lymphoblastic leukemia

Abstract Background Elderly patients with relapsed and refractory acute lymphoblastic leukemia (ALL) have poor prognosis. Autologous CD19 chimeric antigen receptor-modified T (CAR-T) cells have potentials to cure patients with B cell ALL; however, safety and efficacy of allogeneic CD19 CAR-T cells are still undetermined. Case presentation We treated a 71-year-old female with relapsed and refractory ALL who received co-infusion of haplo-identical donor-derived CD19-directed CAR-T cells and mobilized peripheral blood stem cells (PBSC) following induction chemotherapy. Undetectable minimal residual disease by flow cytometry was achieved, and full donor cell engraftment was established. The transient release of cytokines and mild fever were detected. Significantly elevated serum lactate dehydrogenase, alanine transaminase, bilirubin and glutamic-oxalacetic transaminase were observed from days 14 to 18, all of which were reversible after immunosuppressive therapy. Conclusions Our preliminary results suggest that co-infusion of haplo-identical donor-derived CAR-T cells and mobilized PBSCs may induce full donor engraftment in relapsed and refractory ALL including elderly patients, but complications related to donor cell infusions should still be cautioned. Trial registration Allogeneic CART-19 for Elderly Relapsed/Refractory CD19+ ALL. NCT0279955

Expert Consensus on Microtransplant for Acute Myeloid Leukemia in Elderly Patients -Report From the International Microtransplant Interest Group

Recent studies have shown that microtransplant (MST) could improve outcome of patients with elderly acute myeloid leukemia (EAML). To further standardize the MST therapy and improve outcomes in EAML patients, based on analysis of the literature on MST, especially MST with EAML from January 1st, 2011 to November 30th, 2022, the International Microtransplant Interest Group provides recommendations and considerations for MST in the treatment of EAML. Four major issues related to MST for treating EAML were addressed: therapeutic principle of MST (1), candidates for MST (2), induction chemotherapy regimens (3), and post-remission therapy based on MST (4). Others included donor screening, infusion of donor cells, laboratory examinations, and complications of treatment

A study of factors affecting spray-congealed micropellets for drug delivery

Ph.DDOCTOR OF PHILOSOPH

Effects of Transition Metal Ions on the Colour of Blue-Green Beryl

This study reports the effects of transition metal ions on the colour of blue-green beryl. Industrial cameras were used to measure colour in the CIELAB colour space. X-ray fluorescence (XRF), X-ray diffraction (XRD), infrared spectroscopy (IR), and ultraviolet-visible (UV–vis) spectroscopy were used for characterization. The d–d transition of Fe3+ with sixfold coordination, the O2−→Fe3+ charge transfer, and the charge transition of binuclear metal M–M complexes formed by [Fe2(OH)4]2+ in the channel caused a yellow tone, whereas the charge transfer of Fe2+/Fe3+ with sixfold coordination caused a blue-green tone. The chroma of blue-green beryl was negatively correlated with the ratio of Cs+Mn to Fe contents. The lightness of blue-green beryl was negatively correlated with the total content of transition metal ions

Effects of Transition Metal Ions on the Colour of Blue-Green Beryl

This study reports the effects of transition metal ions on the colour of blue-green beryl. Industrial cameras were used to measure colour in the CIELAB colour space. X-ray fluorescence (XRF), X-ray diffraction (XRD), infrared spectroscopy (IR), and ultraviolet-visible (UV–vis) spectroscopy were used for characterization. The d–d transition of Fe3+ with sixfold coordination, the O2−→Fe3+ charge transfer, and the charge transition of binuclear metal M–M complexes formed by [Fe2(OH)4]2+ in the channel caused a yellow tone, whereas the charge transfer of Fe2+/Fe3+ with sixfold coordination caused a blue-green tone. The chroma of blue-green beryl was negatively correlated with the ratio of Cs+Mn to Fe contents. The lightness of blue-green beryl was negatively correlated with the total content of transition metal ions

Investigation of Atmospheric Dynamic and Thermodynamic Structures of Typhoon Sinlaku (2020) from High-Resolution Dropsonde and Two-Way Rawinsonde Measurements

Profiling the vertical atmospheric structure for typhoons remains challenging. Here, the atmospheric dynamic and thermodynamic structures were investigated during the passage of Typhoon Sinlaku (2020) over Xisha Islands in the South China Sea for the period 28 July to 2 August 2020, mainly based on two-way rawinsonde and dropsonde measurements in combination with surface-based automatic weather station observations, disdrometer measurements, and Himawari-8 geostationary satellite images. The study period was divided to three stages: the formation stage of tropical depression (pre-TD), tropical depression (TD), and tropical storm (TS). The wind speed and local vertical wind shear reached the maximum value at 3 km above mean sea level (AMSL) before the typhoon approached the Xisha islands. Pseudo-equivalent potential temperature (θse) was found to decrease with the altitude below 2 km AMSL; temperature inversions occurred frequently within this altitude range, particularly during the TS stage. This seemed a typical capping inversion that indicated a downward motion above 2 km AMSL. The temperature increased slightly with the development of Typhoon Sinlaku (2020) at altitudes of 8–10 km AMSL. This indicated that our observations presumably captured the air mass warmed by the condensation, which was a good signature of an upper air in the tropical cyclone. In addition, wind speed (particularly in the lower stratosphere), specific humidity, and equivalent potential temperature escalated significantly when the tropical depression strengthened into Typhoon Sinlaku (2020), which indicated that the typhoon constantly obtained energy from the sea surface during its passage over the study region. The thermodynamic and dynamic structures of atmosphere advance our understanding of the inner structure of typhoons during the different evolutionary stages