THE EFFECTIVENESS OF A HORTICULTURE THERAPY CLASS ON PERCEIVED EMOTIONS FOR COLLEGE NURSING STUDENTS: A PRELIMINARY STUDY

poster abstractObjective: Horticultural therapy (HT) is a dynamic, guided therapeutic process that involves healthcare providers teaching patients to work with plants and natural materials. Through engaging in horticultural activities, patients achieve specific goals such as improved physical strength, memory, cognitive abilities, task initiation, language skills, and socialization. The aim of the study was to evaluate the efficacy of a horticultural therapy (HT) class for college nursing students who perceive high levels of stress in their academic and clinical nursing studies. Method: The study was conducted at a health science university in an urban city of northern Taiwan. After explaining the procedure to and receiving consent from participants, a total of 116 college, nursing students, aged 20-39 years, mean age 26.90 (4.72), all females were recruited into the study. One group pretest and posttest design and convenient sampling were adopted. Participants received a pretest one week prior to the three-week HT class. The three-week HT class was conducted once per week with two hours for each section. Learning was evaluated with a posttest one week after the end of the HT class. Personal characteristics and outcome data was collected by a constructed questionnaire including five parts: the demographic section, the attitude towards HT, the knowledge of HT, the perceived emotional status, and the Chinese State-Trait Anxiety Inventory (C-STAI). Results: After the three-week HT class, student-perceived emotional management and status significantly improved. While students perceived greater HT knowledge, there was no significant difference in the HT knowledge pre and post-test scores. While a decrease in anxiety was found, it failed to reach a 0.05 level of significance. It showed relationships between pretest emotional status and previous experience with the decreased level of anxiety in the results of the multiple regression analysis. Conclusion: Engaging students in experiencing HT during an academic class could improve college nursing students' emotional status. Further refinement of the HT class and research design are suggested, such as adding a control group and involving more therapeutic activities into the class

Effects of ACE inhibition on endothelial progenitor cell mobilization and prognosis after acute myocardial infarction in type 2 diabetic patients

OBJECTIVE: We aimed to assess the chemotactic response of endothelial progenitor cells to angiotensin-converting enzyme inhibitors in T2DM patients after acute myocardial infarction, as well as the associated prognosis. METHODS: Sixty-eight T2DM patients with acute myocardial infarction were randomized to either receive or not receive daily oral perindopril 4 mg, and 36 non-diabetic patients with acute myocardial infarction were enrolled as controls. The numbers of circulating CD45−/low+CD34+CD133+KDR+ endothelial progenitor cells, as well as the stromal cell-derived factor-α and high-sensitivity C reactive protein levels, were measured before acute percutaneous coronary intervention and on days 1, 3, 5, 7, 14, and 28 after percutaneous coronary intervention. Patients were followed up for 6 months. Chinese Clinical Trial Registry: ChiCTR-TRC-12002599. RESULTS: T2DM patients had lower circulating endothelial progenitor cell counts, decreased plasma vascular endothelial growth factor and α levels, and higher plasma high-sensitivity C reactive protein levels compared with non-diabetic controls. After receiving perindopril, the number of circulating endothelial progenitor cells increased from day 3 to 7, as did the plasma levels of vascular endothelial growth factor and stromal cell-derived factor-α, compared with the levels in T2DM controls. Plasma high-sensitivity C reactive protein levels in the treated group decreased to the same levels as those in non-diabetic controls. Furthermore, compared with T2DM controls, the perindopril-treated T2DM patients had lower cardiovascular mortality and occurrence of heart failure symptoms (

Thermal management of the hotspots in 3-D integrated circuits

Vertical integration for microelectronics possesses significant challenges due to its fast dissipation of heat generated in multiple device planes. This paper focuses on thermal management of a 3-D integrated circuit, and micro-channel cooling is adopted to deal with the 3-D integrated circuitthermal problems. In addition, thermal through-silicon vias are also used to improve the capacity of heat trans-mission. It is found that combination of microchannel cooling and thermal through-silicon vias can remarkably alleviate the hotspots. The results presented in this paper are expected to aid in the development of thermal design guidelines for 3-D integrated circuits

Cluster trajectory of SOFA score in predicting mortality in sepsis

Objective: Sepsis is a life-threatening condition. Sequential Organ Failure Assessment (SOFA) score is commonly used to assess organ dysfunction and predict ICU mortality, but it is taken as a static measurement and fails to capture dynamic changes. This study aims to investigate the relationship between dynamic changes in SOFA scores over the first 72 hours of ICU admission and patient outcomes. Design, setting, and participants: 3,253 patients in the Medical Information Mart for Intensive Care IV database who met the sepsis-3 criteria and were admitted from the emergency department with at least 72 hours of ICU admission and full-active resuscitation status were analysed. Group-based trajectory modelling with dynamic time warping and k-means clustering identified distinct trajectory patterns in dynamic SOFA scores. They were subsequently compared using Python. Main outcome measures: Outcomes including hospital and ICU mortality, length of stay in hospital and ICU, and readmission during hospital stay, were collected. Discharge time from ICU to wards and cut-offs at 7-day and 14-day were taken. Results: Four clusters were identified: A (consistently low SOFA scores), B (rapid increase followed by a decline in SOFA scores), C (higher baseline scores with gradual improvement), and D (persistently elevated scores). Cluster D had the longest ICU and hospital stays, highest ICU and hospital mortality. Discharge rates from ICU were similar for Clusters A and B, while Cluster C had initially comparable rates but a slower transition to ward. Conclusion: Monitoring dynamic changes in SOFA score is valuable for assessing sepsis severity and treatment responsiveness.Comment: 26 pages, 4 figures, 2 table

Nuclear liquid-gas phase transition with machine learning

The machine-learning techniques have shown their capability for studying phase transitions in condensed matter physics. Here, we employ the machine-learning techniques to study the nuclear liquid-gas phase transition. We adopt an unsupervised learning and classify the liquid and gas phases of nuclei directly from the final state raw experimental data of heavy-ion reactions. Based on a confusion scheme which combines the supervised and unsupervised learning, we obtain the limiting temperature of the nuclear liquid-gas phase transition. Its value $9.24\pm0.04~\rm MeV$ is consistent with that obtained by the traditional caloric curve method. Our study explores the paradigm of combining the machine-learning techniques with heavy-ion experimental data, and it is also instructive for studying the phase transition of other uncontrollable systems, like QCD matter.Comment: 9 pages, 8 figures, 1 table; Physical Review Research, in press (2020

SPEEK Membrane of Ultrahigh Stability Enhanced by Functionalized Carbon Nanotubes for Vanadium Redox Flow Battery

Proton exchange membrane is the key factor of vanadium redox flow battery (VRB) as their stability largely determine the lifetime of the VRB. In this study, a SPEEK/MWCNTs-OH composite membrane with ultrahigh stability is constructed by blending sulfonated poly(ether ether ketone) (SPEEK) with multi-walled carbon nanotubes toward VRB application. The carbon nanotubes disperse homogeneously in the SPEEK matrix with the assistance of hydroxyl group. The blended membrane exhibits 94.2 and 73.0% capacity retention after 100 and 500 cycles, respectively in a VRB single cell with coulombic efficiency of over 99.4% at 60 mA cm−2 indicating outstanding capability of reducing the permeability of vanadium ions and enhancing the transport of protons. The ultrahigh stability and low cost of the composite membrane make it a competent candidate for the next generation larger-scale vanadium redox flow battery

Insights into Chinese perspectives on do-not-resuscitate (DNR) orders from an examination of DNR order form completeness for cancer patients

PURPOSE: Discussing end-of-life care with patients is often considered taboo, and signing a do-not-resuscitate (DNR) order is difficult for most patients, especially in Chinese culture. This study investigated distributions and details related to the signing of DNR orders, as well as the completeness of various DNR order forms. METHODS: Retrospective chart reviews were performed. We screened all charts from a teaching hospital in Taiwan for patients who died of cancer during the period from January 2010 to December 2011. A total of 829 patient records were included in the analysis. The details of the DNR order forms were recorded. RESULTS: The DNR order signing rate was 99.8 %. The percentage of DNR orders signed by patients themselves (DNR-P) was 22.6 %, while the percentage of orders signed by surrogates (DNR-S) was 77.2 %. The percentage of signed DNR forms that were completely filled out was 78.4 %. The percentage of DNR-S forms that were completed was 81.7 %, while the percentage of DNR-P forms that were completely filled out was only 67.6 %. CONCLUSION: Almost all the cancer patients had a signed DNR order, but for the majority of them, the order was signed by a surrogate. Negative attitudes of discussing death from medical professionals and/or the family members of patients may account for the higher number of signed DNR-S orders than DNR-P orders. Moreover, early obtainment of signed DNR orders should be sought, as getting the orders earlier could promote the quality of end-of-life care, especially in non-oncology wards