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Because of the problem of local scour caused by the change of the flow structure caused by the water-resistance of the column bridge pier, the theoretical analysis, and indoor water tank test were used to study the effect of installing a new anti-scouring device in front of the bridge pier on the local scour reduction effect; the influence of the main design parameters such as the height of the protective device, the angle of the protective device and the distance from the protective device to the bridge pier on the local scour of the bridge pier was selected, and the optimal parameter design combination was selected. The test results show that: under the same water flow conditions, the maximum scour depth reduction rate of the measuring point under the protection of the protective device is 48.4% to 74.2% compared with the unprotected scour; the reduction rate of the bridge pier is relative to the relative height of the device and the device equivalent. The angle and the distance between the device and the bridge pier are related, and the shock reduction rate decreases with the increase of the flow intensity. In the test range, the ratio of the device height to the water depth is 2/3, the device angle is 60 °, and the distance from the bridge pier is 3. When the diameter of the pier is doubled, the effect of reducing the impact on the pier is the best.

In order to reduce the local scour before the antiscour device of piers, this paper proposed an improvement on a "V-type" device. That was to say, wing plates were set on the surface of the "V-type" device to enhance the diversion and reduce the local scour. To explore the protection effect of the modified device, the inclination angles of the wing plates were set to three angles, and the scour characteristics around the device were studied through the flume scour test and numerical simulation test. The results showed that the wing plates can reduce the impact force of the diving flow which was at the front end of the protective device. Besides, they could also disturb the flow around both sides of the device and weaken its sediment carrying capacity. Thus, the local scour around the device was effectively reduced. Especially, when the wing plates were 30°, the performance of reducing the local scour was the best. [ABSTRACT FROM AUTHOR]

This study investigates the resilient modulus of vertical vibration compacted cement-stabilized macadam (CSM). The reliability of the vertical vibration compaction method (VVCM) for CSM was verified. Then the influences of four factors on the resilient modulus were studied and a resilient modulus prediction equation was proposed. Subsequently, the influences of aggregate type, cement dosage, and gradation on the initial and ultimate resilient moduli were studied. Results show that compared to the quasi-static-compaction method, the VVCM has a smaller influence on the optimum water content and aggregate gradation, and VVCM specimens have a higher correlation with the on-site cores. The increase of cement dosages and curing times can improve the resilient modulus and the proposed prediction equation can accurately predict the resilient modulus growth of the CSM. When the cement dosage and aggregate gradation are identical, the initial and ultimate resilient moduli of the cement-stabilized limestone are the largest, followed by the cement-stabilized granite and sandstone. The initial and ultimate resilient moduli of the CSM increase linearly as the cement dosage increases. Moreover, the skeleton-dense gradation helps to improve the initial and ultimate resilient moduli of the CSM. This study provides guidance for the design and construction of a CSM base. [ABSTRACT FROM AUTHOR]

To reduce asphalt pavement temperature and improve its anti-rutting performance in summer, thermally resistant friction course (referred to as TRFC-13), heat-reflective coating (referred to as HRC) and thermally resistant and heat-reflective coating integrated pavement (referred to as TR-HRC) were developed, and their cooling effect, anti-rutting performance and durability were evaluated. In addition, machine-made sands were applied to improve the anti-skid performance of the coating. The results show that compared with ordinary SMA-13 samples, the surface temperature of the TRFC-13, HRC and TR-HRC samples decreased by approximately 6.8°C, 11.2°C and 13.2°C, respectively. At the air temperature of approximately 40°C, the field road surface temperature of the TRFC-13, HRC and TR-HRC decreased by approximately 7.4°C, 12.2°C and 14.0°C, respectively. The higher the air temperature is, the better the anti-rutting performances of these three kinds of pavement. At the air temperature of 39°C, the dynamic stability of the TRFC-13, HRC and TR-HRC is 1.56 times, 1.86 times and 1.88 times that of the ordinary SMA-13, respectively. The results also show that HRC has a strong abrasion resistance and that spreading 40 wt% of machine-made sands can ensure the coatings achieve the best British Pendulum Number, without influencing its cooling performance. [ABSTRACT FROM AUTHOR]

Objectives: The aim of this study was to compare the degree of resilience and self-perceived physical and mental health in nurses before and during the COVID-19 pandemic., Background: Work-related stress among nurses is recognized as an antecedent of burnout, which in turn impacts resiliency and well-being. The work of nursing has long been noted as stressful. Although nurse resilience and perceived well-being have been shown to decrease during a period of usual stress (constant and chronic), the impact and significance of prolonged stress on nurse resilience and well-being illuminates throughout the literature., Methods: Replicating a cross-sectional prepandemic study, nurses were resurveyed in 2020 during the COVID-19 pandemic. In both studies, the Connor-Davidson Resilience Scale and PROMIS Global Health was used to measure respondent's: 1) resilience level; 2) physical health status; and 3) mental health status, respectively. Independent 2-sample t tests were performed to compare the pre-and-post score differences in the 3 outcomes. To identify characteristics that were associated with the pre-and-post differences, comparison analyses were also performed within each level of the respondents' characteristic variables., Results: A higher proportion of postsurvey respondents reported working more than 8 hours of overtime per week, had thoughts of quitting their current job, and thought their workload was too much compared with the presurvey respondents. Generally, the postgroup resilience scores and self-perceived physical and mental scores were statistically significantly lower compared with the pregroup scores, but those differences were only observed in certain subgroups defined by respondents' characteristics., Conclusions and Implications: Self-perceived physical and mental health are significantly associated with the degree of resilience and worsened during the COVID-19 pandemic, especially in younger and older nurse cohorts. Engaged nurse leaders are key to implement interventions that build resilience and perceived well-being during periods of usual and prolonged stress., Competing Interests: The authors declare no conflicts of interest., (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)

Background: Student resiliency, success, and retention are top priorities for nursing programs., Purpose: The purpose of the cross-sectional descriptive study was to identify factors associated with the resiliency level and physical and mental health of nursing students., Methods: A cross-sectional descriptive study design was used with a convenience sample of 199 nursing students from organizations that comprise the Community Patient Safety Coalition Nursing Research Consortium. Resiliency was measured with the Connor Davidson Resiliency Scale. Physical and mental health was measured with the Patient Reported Outcomes Measurement Information System Global Health Short Form., Results: Most of the nursing students in the sample were female (92%), White (94%), and in BSN programs (74.4%). Students had low resiliency (P < .0001) and low physical and mental health (P < .0001) compared with the general population., Conclusions: Student resilience was positively correlated to self-perception of physical and mental health., Competing Interests: The authors declare no conflicts of interest., (Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)

The aim of this study was to evaluate the impact of education via WeChat on the quality of bowel preparation in patients undergoing colonoscopy through a meta-analysis of randomized controlled trials. Randomized controlled trials of bowel preparation education provided via WeChat for patients undergoing colonoscopy were screened from databases such as PubMed, Web of Science, Cochrane Library, and Embase. Papers published from the date of database construction to May 1, 2021, were extracted, and a meta-analysis was performed using Review Manager software. A total of four randomized controlled trials were included in the meta-analysis. The results showed that for patients undergoing colonoscopy, education via WeChat significantly improves the quality of bowel preparation for colonoscopy, reduces the insertion time, and increases the adenoma detection rate and the patient's compliance and willingness to repeat bowel preparation. In conclusion, education via WeChat before colonoscopy can significantly improve the quality of bowel preparation., (Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.)

Objectives: The aim of this study was to identify the degree of resilience and self-perceived physical and mental health in practicing nurses., Background: Stressors and challenges of everyday demands influence resilience and well-being in acute care nurses., Methods: Nurses were surveyed using the Connor-Davidson Resilience Scale and PROMIS Global Health. One sample t test compared the study group to the general population mean of resiliency, physical and mental health scores. Linear regression analysis identified factors associated with resiliency., Results: Of the 859 practicing nurses in the sample, most were female and White, had a BSN or associate of science in nursing degree (55.2%, 30.0%) and more than 10 years of experience (57.1%), and worked in direct patient care (77.0%). Nurses had low resiliency (P < .0001) and physical health (P = .0037). Well-being factors included 2 or more missed days/shifts in 3 months (P < .001), thoughts of quitting (P = .003), and perceptions that workload was too much (P < .001)., Conclusions: Self-perceived physical and mental health was significantly associated with the degree of resilience., Competing Interests: The authors declare no conflicts of interest., (Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)