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Aim. To explore potential resilience and psychological flexibility patterns in nurses and analyze the effects of related factors such as growth mindset and professional recognition of categories. Background. Resilience and psychological flexibility can help nurses resist occupational pressure and play essential roles in promoting personal growth and professional development. Methods. A latent category approach was used to examine the patterns of heterogeneity in resilience and flexibility among 805 nurses. Differences in the influences related to resilience and flexibility were analyzed using univariate and multivariate logistic regressions, with demographic information, growth mindset, and career recognition as covariates. Results. Participants were divided into three potential categories: toughness-flexible (32.8%), power-deficit-emotional (23.1%), and toughness-rigid (44.1%). The results of multivariate logistic regression analysis showed that monthly income, mode of employment, growth mindset, and professional identity were influential factors in the potential categories of nurse resilience and flexibility. Conclusion. One cohort of nurses had high resilience and low flexibility, and psychological rigidity was related to the fact that the monthly income was less than RMB 5,000 and the contractual mode of employment. An excellent growth mindset and a high professional identity indicate that nurses are resilient and flexible. Implications for Nursing Management. Hospitals and nursing managers should pay attention to nurses' different career development needs and implement appropriate safeguards. [ABSTRACT FROM AUTHOR]

A large number of drainage pipes and canals in China have been in disrepair for a long time and there have been problems such as leakage and corrosion. In response to these problems, this paper studies a non-excavation technology for repairing the arched canal structure—the in-situ spraying method. To study the influence of the original canal structure on the mechanical characteristics of the lining structure by in-situ spraying and the restraint effect on the lining structure, a field model test with a similar ratio of 1:2 was conducted in the field test pit. By conducting four stages of three-point concentrated load loading tests, the mechanical characteristics of the lining structure were investigated to reveal the influence of the canal structure on the force of the lining structure. The test results show that: the maximum crack width of the newly added lining structure is 0.27 mm and the normal service ultimate bearing capacity of the arched structure repaired by H-70 reaches 150 kN; comparing the loading test and the numerical simulation results, the difference between the two vault displacement results is 4.65% and the results are relatively consistent. The displacement of the bottom of the lining structure is small and the participation of the bottom plate is small, while the displacement of the upper arch structure of the lining is significantly larger than the lateral displacement, indicating that the canal structure can effectively limit the lateral displacement of the newly added lining and that the canal structure is greatly reduced. The bending moment of the lining structure is improved and the restraint effect on the arch foot is more obvious. This paper proposes the use of H-70 to repair arched canal structures by the in-situ spraying method and seeks to prove the feasibility of this method and fill the gap of research in this area. This paper provides the structural design basis and experimental knowledge for the construction of the repair method, which has important practical significance for the pipeline repair project in the future. [ABSTRACT FROM AUTHOR]

Aim: To explore the experiences of nurses' work stress related to COVID‐19 regular epidemic prevention and control in China. Background: The global COVID‐19 epidemic is still severe, and China's ongoing regular epidemic prevention and control still cannot be relaxed, which places demands on nurses. Methods: Thirty nurses and eight nurse managers were interviewed using semistructured in‐depth interviews, and the data were analysed by the Colaizzi seven‐step analysis method. Results: Four themes were extracted as follows: environmental factors, organizational factors, personal factors and positive factors in coping with stress. Conclusions: Nursing managers should pay attention to construction of the first‐line departments of regular epidemic prevention and control. The shortage of nurses' human resources and the increase of nurse–patient conflicts are problems that need to be solved urgently. In addition, this research also emphasizes the importance of promoting nurses' stress‐related growth and thinking about the possibility of reform. Implications for Nursing Management: The construction of the hospital environment and increasing the resilience of nursing teams require attention. We should attach importance to the training of nurses' communication skills and provide sufficient organizational support and economic guarantees for nurses. Finally, perhaps we should also consider whether it is necessary to reform the relevant hospital systems and how to reform them. [ABSTRACT FROM AUTHOR]

Mental health literacy (MHL) is vital for raising mental health awareness, reducing stigma, and improving health-related decision making, which may have lifelong consequences for patients with mental disorders. To examine MHL about depression among rural left-behind children (LBC) in China and explore differences between LBC and non-left-behind children (NLBC). A total of 3456 rural school children (mean age = 13.02 years) in fourth to ninth grades who were living in Sichuan, Anhui, and Henan provinces were surveyed in April and July 2018 using stratified random cluster sampling. More NLBC correctly recognized depression compared with LBC (p < 0.05). The most common sources of mental health information were the TV and the Internet. LBC felt more uneasy if they asked for help (p < 0.01). Statistical differences in help-seeking barriers were observed between LBC and NLBC (p < 0.05). Respondents showed low levels of depression-related MHL compared with peer groups in other countries, LBC showed lower MHL than NLBC in terms of the correct recognition rate of depression, attitude toward seeking help, etc. More school-based interventions should be implemented in rural schools, and parent involvement and digital-based educational strategies should be considered. [ABSTRACT FROM AUTHOR]

• The full-scale tests results of damaged RCPs rehabilitated by centrifugal spraying tech were introduced. • A 3D finite element model of "Damaged Pipe-Repair Lining" structure was established based on CDP and Cohesive Zone models. • Influence rule of related variables on the structure bearing capacity was obtained. • New design method of centrifugal spraying technology for trenchless restoration was elaborated. There has been growing interest in using trenchless technology, especially centrifugal spraying techniques, to renovate the sewer pipe network in China. In this study, a damaged reinforced concrete pipe (RCP) (i.e., 14.7% vertical deformation) with one-meter diameter is rehabilitated by centrifugally spraying on a 50 mm thickness mortar lining. The ultimate (D u) D-load only increased by 2% compared to host pipe's residual strength; however, other pipe properties exhibited improvement. Based on the behavior of two experimental results, finite element models were established, and an innovative pipeline damage quantization model was proposed. Through parameter sensitivity analysis, the effects of interface strength and fracture energy on pipe bearing capacity were studied. It was discovered that interface bonding performance affected the service load of the rehabilitated pipe. From the analysis of pipeline initial state deformation influence on the repaired structure bearing capacity, it was discovered that selecting a reasonable repair time point can effectively improve the functionality of the pipe network and reduce repair costs. An analysis of RCPs structural repair with a vertical deformation larger than 14% revealed that it is difficult to repair damaged pipes only employing mortar spraying. A structural design method based on the service load and ultimate load is presented in this paper. [ABSTRACT FROM AUTHOR]

Objectives: In view of the serious ageing of China's population and the low desire of elderly people to purchase institutionalised elderly care services, we explored the willingness of Chinese elderly people to purchase institutionalised elderly care services and its influencing factors., Design: This was a cross-sectional study. Three multivariate logistic regression analysis models of the willingness of elderly people to purchase institutionalised elderly care services were established (model 1: 'reluctance - willingness'; model 2: 'reluctance - hesitation'; and model 3: 'hesitation - willingness') to explore the factors that influence elderly people's willingness to purchase institutionalised elderly care services., Setting: This study was based on the 2022 Psychology and Behaviour Investigation of Chinese Residents database., Participants: Research data from 4123 older adults who met the requirements of this study were screened from the database., Results: Of the 4123 respondents, roughly equal numbers had negative and positive attitudes towards purchasing institutionalised senior care services (1125, 27.3% vs 1079, 26.2%, respectively), and 1919 (46.5%) had hesitant attitudes. The analysis of model 1 showed that medical insurance participation, the number of children and siblings, chronic diseases and per capita monthly household income had an influential effect on the willingness of elderly people to purchase institutional care. In model 2, we found that factors such as per capita monthly household income and anxiety led to hesitancy among older adults to purchase institutionalised senior care services. In model 3, we further found that social support and health literacy led to a shift from hesitation to willingness to purchase institutionalised elderly care services., Conclusion: The number of children, number of siblings, per capita monthly income of the family, medical insurance participation, health status, health literacy and social support were found to be the main factors influencing the purchase of institutionalised care by elderly individuals., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)

Background: Against the backdrop of globalization, China remains one of the most heavily burdened countries in Asia with regard to AIDS. However, many high-risk groups and patients affected by AIDS may be less likely to actively seek care from medical institutions because of fear of experiencing shame or discrimination. Mobile apps provide a promising avenue for supporting the prevention, diagnosis, and treatment of AIDS. However, a comprehensive systematic evaluation of these mobile apps' functionality and quality has not been conducted yet., Objective: This study aims to identify the available mobile apps for AIDS in China, assess and discuss the functional features and quality of these Chinese AIDS mobile apps, and offer decision support for patients and clinical practitioners in accessing high-quality AIDS mobile apps. Furthermore, based on the evaluation results, recommendations for improvement will be provided., Methods: A systematic search was conducted on the Qimai app data platform, the Aladdin WeChat applet data platform, and WeChat to identify mobile apps related to AIDS. A snowball sampling method was used to supplement the potentially overlooked apps. The selected mobile apps underwent a rigorous screening process based on unified criteria. Subsequently, assessments were independently undertaken by 3 separate researchers and 2 patients with HIV, using both the Mobile App Rating Scale (MARS) and the User Mobile App Rating Scale (uMARS). Quantitative interpretations of the data were facilitated by the MedCalc statistical software (version 20.217, MedCalc Software)., Results: A total of 2901 AIDS mobile apps were included in the study, with 2897 identified through information retrieval and an additional 4 added via snowball sampling. After a rigorous selection process, 21 apps were determined to be usable. Among them, the Hong Feng Wan app achieved the highest combined average score, calculated based on the MARS (3.96, SD 0.33) and uMARS (4.47, SD 0.26). Overall, there was no significant correlation between MARS and uMARS (r app quality total score =0.41; P=.07; r subjective quality =0.39; P=.08). A notable issue was the widespread lack of user privacy protection, with only 24% (5/21) of the apps offering this feature., Conclusions: The number of available Chinese AIDS mobile apps is limited, with WeChat applets dominating the market. Nonetheless, the performance of WeChat mini-apps is generally inferior to that of independent apps, and there may be significant discrepancies between assessments conducted by researchers and those provided by genuine end users, emphasizing the necessity of involving real users in the development and evaluation of HIV mobile apps. In addition, developers of these Chinese HIV mobile apps need to devote attention to improving privacy protection mechanisms, in addition to considering the evaluations of researchers and real users. This will help attract more users and increase user loyalty., (©Peng Liu, Lingmeng Wang, Fuzhi Wang. Originally published in JMIR mHealth and uHealth (https://mhealth.jmir.org), 26.01.2024.)

Objective: To assess the impact of different smoking behaviors of caregivers on environmental tobacco smoke (ETS) exposure in children aged 5-6 years in Changsha, China., Methods: We conducted a cross-sectional, random digit-dial telephone survey of caregivers (n = 543) between August and October 2013. Caregivers' smoking behaviors were collected by a questionnaire. Exposure assessment was based upon determination of urinary cotinine levels in children employing gas chromatography-triple quadrupole mass spectrometry (GC-MS/MS)., Results: In children not living with a smoker, children living with one smoker, and children living with more than one smoker at home, median urinary cotinine concentrations (ng/mL) were 0.72, 2.97, and 4.46, respectively. For children living with one smoker, median urinary cotinine levels of children exposed to ETS were associated with caregiver smoking behaviors, i.e., if a caregiver consumed more cigarettes (>20 compared with ≤10; 7.73 versus 2.29 ng/mL, respectively)., Conclusions: The magnitude of ETS exposure in children is correlated with the smoking behaviors of the caregiver. Counseling for smoking cessation and educational interventions are needed urgently for smoking caregivers to increase their awareness about ETS exposure and to encourage smoking cessation at home or to take precautions to protect children's health.