BACKGROUND Intracranial and extracranial artery stenosis is associated with cerebral infarction.Vascular calcification and atherosclerosis are the main causes of stenosis and major risk factors for cardiovascular and ...BACKGROUND Intracranial and extracranial artery stenosis is associated with cerebral infarction.Vascular calcification and atherosclerosis are the main causes of stenosis and major risk factors for cardiovascular and cerebrovascular events in patients with type 2 diabetes mellitus(T2DM).Bone turnover biomarkers(BTMs)are associated with vascular calcification,atherosclerosis,glucose,and lipid metabolism.AIM To investigate the association of circulating BTM levels with severe intracranial and extracranial artery stenosis in patients with T2DM.METHODS For this cross-sectional study including 257 T2DM patients,levels of the BTMs serum osteocalcin(OC),C-terminal cross-linked telopeptide of type I collagen(CTX),and procollagen type I N-peptide were measured by electrical chemiluminescent immunoassay,and artery stenosis was assessed by color Doppler and transcranial Doppler.Patients were grouped according to the existence and location(intracranial vs.extracranial)of artery stenosis.Correlations between BTM levels,previous stroke,stenosis location,and glucose and lipid metabolism were analyzed.RESULTS T2DM patients with severe artery stenosis had a higher frequency of previous stroke and levels of all three tested BTMs(all P<0.05)than patients without.Some differences in OC and CTX levels were observed according to the location of artery stenosis.Significant associations were also observed between BTM levels and some glucose and lipid homeostasis parameters.On multivariate logistic regression analysis,all BTMs were significant predictors of artery stenosis in T2DM patients with and without adjustment for confounding factors(all P<0.001),and receiver operating characteristic curve analysis demonstrated the ability of BTM levels to predict artery stenosis in T2DM patients.CONCLUSION BTM levels were found to be independent risk factors for severe intracranial and extracranial artery stenosis and were differentially associated with glucose and lipid metabolism in patients with T2DM.Therefore,BTMs may be promising biomarkers and potential therapeutic targets for artery stenosis.展开更多
DEAR EDITOR,Mountainous regions are generally characterized by high species turnover,yet studies applying novel conceptual frameworks to analyze the spatial structure and organization of montane biota along elevationa...DEAR EDITOR,Mountainous regions are generally characterized by high species turnover,yet studies applying novel conceptual frameworks to analyze the spatial structure and organization of montane biota along elevational gradients remain scarce.Based on the zeta diversity framework—a novel turnover metric that focuses on average number of species shared across sites—and a comprehensive presence-absence dataset of small mammals collected from 22 elevational gradients in the Mountains of Southwest China(MSC).展开更多
Highly happy nurses are more productive, engaged and loyal. If nurses are satisfied, then their intention to leave is low. Aim: to investigate the impact of Saudi nurses’ happiness on their intention to turnover in t...Highly happy nurses are more productive, engaged and loyal. If nurses are satisfied, then their intention to leave is low. Aim: to investigate the impact of Saudi nurses’ happiness on their intention to turnover in the Kingdom of Saudi Arabia. Research Hypothesis: H0. There is no relationship between the nurses’ happiness on their intention to turnover among Saudi nurses. H1. The happy Saudi nurses will have a lower turnover intention among Saudi nurses in the Medina region. Design: Quantitative, cross-sectional, and correlational study designs have been used. Setting: Big public hospital in Medina from June to October 2022. Sample: A quota, convenience sample of 281 Saudi nurses. Tools: A. Oxford happiness inventory to measure the nurses’ happiness. B. Turnover Intention Scale to evaluate the Saudi nurses’ intention to leave their current job. Results: More than half of the nurses had moderate happiness, but more than 75% of the Saudi nurses had a desire to leave. The relationship between happiness and turnover intentions is negative. Conclusion: Magnet-like work environments in Saudi Arabia are critical to recruit and retain nurses with critical nursing shortages. Recommendations: Encourage governmental policy-makers to formulate national policies and KPIs in order to make them happy and retain them. .展开更多
Amazon’s internal and external environments were analyzed using PEST and SWOT models.Taking into account of relevant literature on strategic human resource management(SHRM)and models like the Harvard model and the hu...Amazon’s internal and external environments were analyzed using PEST and SWOT models.Taking into account of relevant literature on strategic human resource management(SHRM)and models like the Harvard model and the human resource management/industrial relation(HRM/IR)model,the reasons for Amazon’s employee high turnover rate were analyzed.In this paper,several solutions to this issue are indicated,including improving incentive policies and organizing training.At the end of this paper,my personal experiences and the lessons learned throughout the course are summarized.展开更多
Nurse turnover can negatively impact delivering patient care in the health facilities which will affect the patient’s health and reduce the quality of care. The MOH faces a serious challenge or high nursing staff tur...Nurse turnover can negatively impact delivering patient care in the health facilities which will affect the patient’s health and reduce the quality of care. The MOH faces a serious challenge or high nursing staff turnover and the intention to leave the workforce. <strong>Aim:</strong> To explore one of the significant human recourse problems in the MOH and affecting the healthcare system, which is, factors affecting nurses’ turnover in governmental hospitals using Alhassa governmental hospitals as a case study.<strong> Method:</strong> A quantitative research method used to explore the factors affecting nurses’ turnover in the governmental hospitals in Alhassa. <strong>Result:</strong> According to the study finding, management style was a factor more likely to indicate nurses’ turnover. It defines the impact of management style and works environment on nurses’ and clients’ systems. Individual factors were the second influence on their turnover. The balance between nurses’ work and their family need was the first issue that had affected their work. Organization factors are also an influence on the nurses’ turnover in Alhassa region. <strong>Conclusion: </strong>Nurses’ turnover is a significant issue in a human resource in MOH. This study first applied in Alhassa region that highlighted the factors that affect nurses’ turnover. Nurses’ turnover is a continuous problem that occurs in the health facilities related to management method causes, personal causes or organizational causes. Management style was the most influences on nurses’ turnover in this study changing or modifying management style that can intent nurses to continue their work in the hospital in Alhassa region.展开更多
Background:Nurses'turnover has been a major concern globally,which is strongly influenced by nurses'intent to leave.However,only a few large sample studies on the predictive factors associated with nurses'...Background:Nurses'turnover has been a major concern globally,which is strongly influenced by nurses'intent to leave.However,only a few large sample studies on the predictive factors associated with nurses'turnover intention were conducted in Jiangsu Province.This study mainly aims to examine the level and factors that influence nurses to leave their work in Jiangsu Province of Eastern China.Methods:A cross-sectional survey of 1978 nurses was conducted at 48 hospitals in 14 key cities throughout Jiangsu Province.The turnover intention in nurses was measured by the scale of intent to leave the profession.The work environment of nurses was measured by the Chinese version of the Practice Environment Scale.A multiple linear regression model was applied to analyse the factors associated with turnover intention.Results:The resignation rate of nurses in the hospitals of Jiangsu Province ranged from 0.64%to 12.71%in 2016.The mean scores were 15.50±3.44 for turnover intention,and 3.06±0.51 for work environment.Involvement in hospital affairs,resource adequacy,age,professional title,year(s)working,employment type and education level were the predictors of nurse intent to leave(P<0.05).Conclusion:The work environment of nurses in hospitals must be improved in staffing and resource and nurses'involvement in hospital affairs.The current study corroborates that nurses have high turnover intention.Thus,effective measures are needed to improve nurse accomplishment,professional status,participation in hospital affairs and career planning to reduce their turnover intention.展开更多
Objective:The paper aimed to explore the impact of work support and potential for career advancement on the nurse turnover intention in order to find an effective approach to curb high turnover.Methods:A cross-section...Objective:The paper aimed to explore the impact of work support and potential for career advancement on the nurse turnover intention in order to find an effective approach to curb high turnover.Methods:A cross-sectional survey of 526 nurses from eight teaching hospitals in Tianjin,China,was conducted to test the hypothesized multilevel model.The organizational career growth scale,work support scale,and the nurse turnover intention scale were used to measure the effect of organizational career growth and work support on nurse turnover intention.Finally,SPSS 17.0 and AMOS 17.0 software were used to analyse the relationship of these variables.Results:The score of the three scales nurse turnover,organizational career growth,and work support were 1.98±0.60,2.40±0.50,and 4.06±0.98,respectively.The total and direct effects of work support on turnover intention were0.361(p<0.01)and0.147(p<0.01),respectively.The indirect effect was0.169 with a 95%bootstrap confidence interval of0.257 to0.102.Conclusion:The study showed a lack of work support negatively and directly associated with nurse turnover intention.Additional opportunities for career growth within the organization may strengthen the effect of work support and consequently increase the retention of qualified nursing staff.展开更多
China’s forests cover 208.3 million ha and span a wide range of climates and a large variety of forest types including tropical,temperate,and boreal forests.However the variation patterns of fine root(<2 mm in dia...China’s forests cover 208.3 million ha and span a wide range of climates and a large variety of forest types including tropical,temperate,and boreal forests.However the variation patterns of fine root(<2 mm in diameter biomass,production,and turnover from the south to the north are unclear.This study summarizes fine root biomass(FRB),production(FRP)and turnover rate(FRT)in Chi na’s forests as reported by 140 case studies published from 1983 to 2014.The results showed that the mean values o FRB,FRP and FRT in China’s forests were 278 gm^(-2)366 gm^(-2)a^(-1),and 1.19 a^(-1),respectively.Compared with other studies at the regional or global scales,FRB in China’s forests was lower,FRP was similar to estimates a the global scale,but FRT was much higher.FRB,FRP,and FRT in China’s forests increased with increasing mean annual precipitation(MAP),indicating that fine root vari ables were likely related to MAP,rather than mean annua temperature or latitude.This is possibly due to the smal variation in temperature but greater variation in precipitation during the growing season.These findings suggest that spatiotemporal variation in precipitation has a more profound impact on fine root dynamics in China’s forests,and this will impact carbon and nutrient cycles driven by root turnover in the future.展开更多
Objective: This study aims to determine the mediating effects of psychological empowerment on abusive supervision and turnover intention as perceived by nurses to provide information to change the status of nurse turn...Objective: This study aims to determine the mediating effects of psychological empowerment on abusive supervision and turnover intention as perceived by nurses to provide information to change the status of nurse turnover.Methods: A cross-sectional survey (a questionnaire examining perceptions of abusive supervision,measurement of psychological empowerment,and questionnaire for turnover intention) was used to collect data.A total of 1127 clinical nurses,who were recruited through convenience sampling,participated in the survey.Results: Nurses' average perceived abusive supervision,psychological empowerment,and turnover intention scores were 1.62 ± 0.95,3.24 ± 0.83,and 14.17 ± 3.78,respectively.Psychological empowerment was found to mediate the relationship between abusive supervision and turnover intention (P< 0.01).Turnover intention tends to be stronger and psychological empowerment reduced when nurse managers adopt an abusive leadership style.Conclusions: Nurses' psychological empowerment is an intermediary variable that predicts the relationship between abusive supervision and turnover intention.Nurse managers should manage abusive supervision to increase nurses' psychological empowerment and decrease turnover intention.展开更多
Background:Old-growth forests are irreplaceable with respect to climate change mitigation and have considerable carbon(C)sink potential in soils.However,the relationship between the soil organic carbon(SOC)turnover ra...Background:Old-growth forests are irreplaceable with respect to climate change mitigation and have considerable carbon(C)sink potential in soils.However,the relationship between the soil organic carbon(SOC)turnover rate and forest development is poorly understood,which hinders our ability to assess the C sequestration capacity of soil in old-growth forests.Methods:In this study,we evaluated the SOC turnover rate by calculating the isotopic enrichment factor β(defined as the slope of the regression between ^(13)C natural abundance and log-transformed C concentrations)along 0-30 cm soil profiles in three successional forests in subtropical China.A lower β(steeper slope)is associated with a higher turnover rate.The three forests were a 60-year-old P.massoniana forest(PF),a 100-year-old coniferous and broadleaved mixed forest(MF),and a 400-year-old monsoon evergreen broadleaved forest(BF).We also analyzed the soil physicochemical properties in these forests to examine the dynamics of SOC turnover during forest succession and the main regulators.Results:The β value for the upper 30-cm soils in the BF was significantly(p<0.05)higher than that in the PF,in addition to the SOC stock,although there were nonsignificant differences between the BF and MF.The β value was significantly(p<0.05)positively correlated with the soil recalcitrance index,total nitrogen,and available nitrogen contents but was significantly(p<0.01)negatively correlated with soil pH.Conclusions:Our results demonstrate that SOC has lower turnover rates in old-growth forests,accompanied by higher soil chemical recalcitrance,nitrogen status,and lower soil pH.This finding helps to elucidate the mechanism underlying C sequestration in old-growth forest soils,and emphasizes the important value of old-growth forests among global C sinks.展开更多
Based on the factors impact strength model(FISM), we studied on calculation formulas of influence strength and key elements of FISM, and analyzed the turnover time of railway freight transportation of China. The resul...Based on the factors impact strength model(FISM), we studied on calculation formulas of influence strength and key elements of FISM, and analyzed the turnover time of railway freight transportation of China. The results show that wagon transfer time is the most critical factor among the three subjective factors of wagons turnover time. The FISM based analysis of wagon transfer time show that the wagon turnover time is significantly correlated with transit time with resorting. Among the seven factors of detention time of transit time with resorting, the time of waiting to departing, converging, and waiting to break-up are key factors, while the time of make-up, break-up, arrival and departure are general factors. We carried out one empirical research based on the data of Baoji East Railway Station in 2015. The results of empirical research and FISM are consistent completely.展开更多
The three-pool and first-order model separates the mineralizable organic carbon into active,slow,and passive carbon pools.This paper used the model and decomposition curves of the soil organic carbon to fit the active...The three-pool and first-order model separates the mineralizable organic carbon into active,slow,and passive carbon pools.This paper used the model and decomposition curves of the soil organic carbon to fit the active pool and its decomposition rate,slow pool and its decomposition rate.The results showed that the size of the active pool from different profiles accounted for 2.09%-3.08% of the total soil organic carbon and the mean residue time was 3.57-17.21 days.And the size of the slow pool accounted for 3.19%-43.55% and the mean residue time was 1.12-4.94 years.Acid hydrolysis(6M HCl) was used to fractionate the passive organic carbon,which accounted for 50.83%-94.44% of the total soil organic carbon.展开更多
Objectives:The study was conducted to make a bibliometric analysis of published literature in order to assess the research status of nurse turnover in China.Methods:We obtained 239 papers from two major electronic dat...Objectives:The study was conducted to make a bibliometric analysis of published literature in order to assess the research status of nurse turnover in China.Methods:We obtained 239 papers from two major electronic databases,CNKI and Wanfang from 2000 to 2015(updated to 31st,December).Articles in languages other than Chinese were excluded.The keywords used were‘nurses’or‘nursing staff’and‘leave’or‘intend to leave’.Results:A total of 239 articles met the inclusion criteria,including 33 masters'dissertations and 206 journal articles.206 articles were published in twenty-five kinds of journals in China.Nursing journals had the biggest share,about(88%,181/206).82%(196/239)articles are quantitative research.239 articles come from 26 different provinces,cities or autonomous regions.The top ten regions which have the largest number of publications are Beijing,Shandong,Shanghai,Guangdong,Heilongjiang,Jiangsu,Hunan,Zhejiang,Hubei,Liaoning provinces.The coauthored articles account for 75%of all the publications.Only a small fraction of research works has obtained fundings.Conclusion:Further studies are greatly needed on the development of sound measures to tackle nurse turnover and shortage.The following improvements should be made,such as strengthening nursing researcher'consciousness and capability and increasing nursing fundings in China.展开更多
Objectives:The unrelenting migration trend of Filipino nurses to other countries has threatened the quality of patient care services in the country.This study explored the extent of nurses'organizational commitmen...Objectives:The unrelenting migration trend of Filipino nurses to other countries has threatened the quality of patient care services in the country.This study explored the extent of nurses'organizational commitment and turnover intention in the Philippines.Furthermore,predictors of nurses'organizational commitment and turnover intention were identified.Methods:A cross-sectional research design was adopted for this study.Two hundred nurses from nine rural hospitals in the Central Philippines were asked to participate in the study and 166 nurses responded(an 83%response rate).Two standardized instruments were used:the Organizational Commitment Questionnaire and the Six-item Turnover Intention Inventory Scale.Results:Findings revealed that Philippine nurses were moderately committed(3.13±0.24)to and were undecided(2.42±0.67)whether or not to leave their organization.Nurses'age(P=0.006),gender,(t=-2.25,P=0.026),education(t=2.38,P<0.001),rank(t=4.38,P<0.001),and work experience(t=2.18,P=0.031)correlated significantly with organizational commitment,while nurses'age(P=0.028)and education(t=1.99,P=0.048)correlated significantly with turnover intention.An inverse relationship was identified between the organizational commitment and turnover intention(r=-0.22,P=0.005).Conclusion:The findings of this study highlight the need for formulation and implementation of interventions to promote life-long commitment in nurses and to reduce turnover rates.展开更多
Objective: The aim of this study was to explore whether positive emotion mediates the relationship between job burnout and turnover intentions among Chinese nurses.Methods: A cross-sectional survey was conducted in th...Objective: The aim of this study was to explore whether positive emotion mediates the relationship between job burnout and turnover intentions among Chinese nurses.Methods: A cross-sectional survey was conducted in the present study. Full-time registered nurses(n = 150) from Grade A hospitals in Tianjin were surveyed. Pearson correlation, hierarchical regression analyses, and the Sobel test were used in the study.Results: The results illustrated that positive emotion mediated the relationship between burnout and nurses' turnover intention.Conclusions: Nursing administrators should pay more attention to the benefits of positive emotions on working motivation.It is helpful to relieve burnout in the working process so that nurses are willing to remain in their current employment.展开更多
Objective: To explore the clinical efficacy of Zoledronic Acid Injection in the treatment of postmenopausal osteoporosis with different bone turnover rates. Methods: A total of 63 patients diagnosed with postmenopausa...Objective: To explore the clinical efficacy of Zoledronic Acid Injection in the treatment of postmenopausal osteoporosis with different bone turnover rates. Methods: A total of 63 patients diagnosed with postmenopausal osteoporosis were included in this study. Each patient was administrated 5 mg/100mL Zoledronic Acid (Aclasta) intravenously once and then given a one-year prescription of 600 mg/d oral Caltrate. The bone turnover parameters (PINP, β-cross, N-MID) were measured prior to the injection of Zoledronic Acid while the bone mineral density (BMD) and the pain scores of each patient were tested before treatment and after the one-year medication. On this basis, the patients were divided into several groups according to their bone turnover rates for intergroup comparison of treatment outcomes. Results: BMD results and pain scores of all participants were significantly improved at different levels after treatment. However, these improvements had no significant differences between the patients with high and low bone turnover rates. Conclusion: Zoledronic Acid Injection can relieve bone pain, enhance the quality of life and increase the BMD in patients with postmenopausal osteoporosis, regardless of the bone turnover status.展开更多
Neural plasticity in the adult central nervous system involves the adaptation of myelination, including the formation of novel myelin sheaths by adult-born oligodendrocytes. Yet, mature oligodendrocytes slowly but con...Neural plasticity in the adult central nervous system involves the adaptation of myelination, including the formation of novel myelin sheaths by adult-born oligodendrocytes. Yet, mature oligodendrocytes slowly but constantly turn over their pre-existing myelin sheaths, thereby establishing an equilibrium of replenishment and degradation that may also be subject to adaptation with consequences for nerve conduction velocity. In this short review we highlight selected approaches to the normal turnover of adult myelin in vivo, from injecting radioactive precursors of myelin constituents in the 1960s to current strategies involving isotope labeling and tamoxifen-induced gene targeting.展开更多
The N-glycine constant infusion method was used to study protein turnover in normal adultsand perioperative patients.The protein turnover rate （Q）,synthetic rate （S） and catabolicrate （C） were derived according ...The N-glycine constant infusion method was used to study protein turnover in normal adultsand perioperative patients.The protein turnover rate （Q）,synthetic rate （S） and catabolicrate （C） were derived according to Picou’s two-pool system model,and the“end-productaveraging technique”showed the <sup>15</sup>N-glycine constant iufusion method to be reliable,witha reproducibility of ±5.1%.This measurement can be repeated after a short period,so itshould be useful for surgical nutrition study.Our results show the following:Q was significantly increased after operation （3.4±0.6 to 5.0±0.5 g protein/kg/d,P【0.01）,and S （2.6±0.5 to 3.7±0.6 g protein/kg/d,P【0.05）and C （2.3±0.5 to 3.9±0.5 g protein/kg/d,P【0.01） were increased as well.This suggeststhat the protein degradation rate outstripped the synthesis rate on post-operative day three（POD+3） when traditional （glutamine-free） total parenteral nutrition support was used.展开更多
Soil organic carbon(SOC)fractions and C turnover related enzyme activities are essential for nutrient cycling.This is because they are regarded as important indicators of soil fertility and quality.We measured the eff...Soil organic carbon(SOC)fractions and C turnover related enzyme activities are essential for nutrient cycling.This is because they are regarded as important indicators of soil fertility and quality.We measured the effects of wheat straw incorporation on SOC fractions and C turnover related enzyme activities in a paddy field in subtropical China.Soil samples were collected from 0-10 cm and 10-20 cm depths after rice harvesting.The total SOC concentrations were higher in the high rate of wheat straw incorporation treatment(NPKS2)than in the not fertilized control(CK)(P<0.05).The concentrations of labile C fractions[i.e.,water soluble organic C(WSOC),hot-water soluble organic C(HWSOC),microbial biomass C(MBC),and easily oxidizable C(EOC)],were higher in the moderate NPKS1 and NPKS2 treatments than in CK and the fertilized treatment without straw(NPK)(P<0.05).The geometric means of labile C(GMC)and C pool management index(CPMI)values were highest in NPKS2(P<0.05).The SOC concentrations correlated positively with the labile C fractions(P<0.05).Soil cellulase activity and the geometric mean of enzyme activities(GMea)were higher in NPKS2 than in CK in all soil layers(P<0.05),and the invertase activity was higher in NPKS2 than in CK in the 0-10 cm layer(P<0.05).Stepwise multiple linear regression indicated that the formation of the SOC,WSOC,HWSOC,MBC,and EOC was mostly enhanced by the cellulase and invertase activities(P<0.05).Therefore,the high rate of wheat straw incorporation may be recommended to increase soil C pool levels and soil fertility in subtropical paddy soils.展开更多
基金Supported by Beijing Municipal Hospital Management Center“Cultivation Plan”,No.PX2022032.
文摘BACKGROUND Intracranial and extracranial artery stenosis is associated with cerebral infarction.Vascular calcification and atherosclerosis are the main causes of stenosis and major risk factors for cardiovascular and cerebrovascular events in patients with type 2 diabetes mellitus(T2DM).Bone turnover biomarkers(BTMs)are associated with vascular calcification,atherosclerosis,glucose,and lipid metabolism.AIM To investigate the association of circulating BTM levels with severe intracranial and extracranial artery stenosis in patients with T2DM.METHODS For this cross-sectional study including 257 T2DM patients,levels of the BTMs serum osteocalcin(OC),C-terminal cross-linked telopeptide of type I collagen(CTX),and procollagen type I N-peptide were measured by electrical chemiluminescent immunoassay,and artery stenosis was assessed by color Doppler and transcranial Doppler.Patients were grouped according to the existence and location(intracranial vs.extracranial)of artery stenosis.Correlations between BTM levels,previous stroke,stenosis location,and glucose and lipid metabolism were analyzed.RESULTS T2DM patients with severe artery stenosis had a higher frequency of previous stroke and levels of all three tested BTMs(all P<0.05)than patients without.Some differences in OC and CTX levels were observed according to the location of artery stenosis.Significant associations were also observed between BTM levels and some glucose and lipid homeostasis parameters.On multivariate logistic regression analysis,all BTMs were significant predictors of artery stenosis in T2DM patients with and without adjustment for confounding factors(all P<0.001),and receiver operating characteristic curve analysis demonstrated the ability of BTM levels to predict artery stenosis in T2DM patients.CONCLUSION BTM levels were found to be independent risk factors for severe intracranial and extracranial artery stenosis and were differentially associated with glucose and lipid metabolism in patients with T2DM.Therefore,BTMs may be promising biomarkers and potential therapeutic targets for artery stenosis.
基金supported by the Second Tibetan Plateau Scientific Expedition and Research Program (STEP,2019QZKK0501,2019QZKK0402)National Natural Science Foundation of China (32271736)Survey of Wildlife Resources in Key Areas of Xizang (ZL202203601)。
文摘DEAR EDITOR,Mountainous regions are generally characterized by high species turnover,yet studies applying novel conceptual frameworks to analyze the spatial structure and organization of montane biota along elevational gradients remain scarce.Based on the zeta diversity framework—a novel turnover metric that focuses on average number of species shared across sites—and a comprehensive presence-absence dataset of small mammals collected from 22 elevational gradients in the Mountains of Southwest China(MSC).
文摘Highly happy nurses are more productive, engaged and loyal. If nurses are satisfied, then their intention to leave is low. Aim: to investigate the impact of Saudi nurses’ happiness on their intention to turnover in the Kingdom of Saudi Arabia. Research Hypothesis: H0. There is no relationship between the nurses’ happiness on their intention to turnover among Saudi nurses. H1. The happy Saudi nurses will have a lower turnover intention among Saudi nurses in the Medina region. Design: Quantitative, cross-sectional, and correlational study designs have been used. Setting: Big public hospital in Medina from June to October 2022. Sample: A quota, convenience sample of 281 Saudi nurses. Tools: A. Oxford happiness inventory to measure the nurses’ happiness. B. Turnover Intention Scale to evaluate the Saudi nurses’ intention to leave their current job. Results: More than half of the nurses had moderate happiness, but more than 75% of the Saudi nurses had a desire to leave. The relationship between happiness and turnover intentions is negative. Conclusion: Magnet-like work environments in Saudi Arabia are critical to recruit and retain nurses with critical nursing shortages. Recommendations: Encourage governmental policy-makers to formulate national policies and KPIs in order to make them happy and retain them. .
文摘Amazon’s internal and external environments were analyzed using PEST and SWOT models.Taking into account of relevant literature on strategic human resource management(SHRM)and models like the Harvard model and the human resource management/industrial relation(HRM/IR)model,the reasons for Amazon’s employee high turnover rate were analyzed.In this paper,several solutions to this issue are indicated,including improving incentive policies and organizing training.At the end of this paper,my personal experiences and the lessons learned throughout the course are summarized.
文摘Nurse turnover can negatively impact delivering patient care in the health facilities which will affect the patient’s health and reduce the quality of care. The MOH faces a serious challenge or high nursing staff turnover and the intention to leave the workforce. <strong>Aim:</strong> To explore one of the significant human recourse problems in the MOH and affecting the healthcare system, which is, factors affecting nurses’ turnover in governmental hospitals using Alhassa governmental hospitals as a case study.<strong> Method:</strong> A quantitative research method used to explore the factors affecting nurses’ turnover in the governmental hospitals in Alhassa. <strong>Result:</strong> According to the study finding, management style was a factor more likely to indicate nurses’ turnover. It defines the impact of management style and works environment on nurses’ and clients’ systems. Individual factors were the second influence on their turnover. The balance between nurses’ work and their family need was the first issue that had affected their work. Organization factors are also an influence on the nurses’ turnover in Alhassa region. <strong>Conclusion: </strong>Nurses’ turnover is a significant issue in a human resource in MOH. This study first applied in Alhassa region that highlighted the factors that affect nurses’ turnover. Nurses’ turnover is a continuous problem that occurs in the health facilities related to management method causes, personal causes or organizational causes. Management style was the most influences on nurses’ turnover in this study changing or modifying management style that can intent nurses to continue their work in the hospital in Alhassa region.
基金This study was supported by the Jiangsu Provincial Health and Family Planning Commission(WSGL201605)
文摘Background:Nurses'turnover has been a major concern globally,which is strongly influenced by nurses'intent to leave.However,only a few large sample studies on the predictive factors associated with nurses'turnover intention were conducted in Jiangsu Province.This study mainly aims to examine the level and factors that influence nurses to leave their work in Jiangsu Province of Eastern China.Methods:A cross-sectional survey of 1978 nurses was conducted at 48 hospitals in 14 key cities throughout Jiangsu Province.The turnover intention in nurses was measured by the scale of intent to leave the profession.The work environment of nurses was measured by the Chinese version of the Practice Environment Scale.A multiple linear regression model was applied to analyse the factors associated with turnover intention.Results:The resignation rate of nurses in the hospitals of Jiangsu Province ranged from 0.64%to 12.71%in 2016.The mean scores were 15.50±3.44 for turnover intention,and 3.06±0.51 for work environment.Involvement in hospital affairs,resource adequacy,age,professional title,year(s)working,employment type and education level were the predictors of nurse intent to leave(P<0.05).Conclusion:The work environment of nurses in hospitals must be improved in staffing and resource and nurses'involvement in hospital affairs.The current study corroborates that nurses have high turnover intention.Thus,effective measures are needed to improve nurse accomplishment,professional status,participation in hospital affairs and career planning to reduce their turnover intention.
文摘Objective:The paper aimed to explore the impact of work support and potential for career advancement on the nurse turnover intention in order to find an effective approach to curb high turnover.Methods:A cross-sectional survey of 526 nurses from eight teaching hospitals in Tianjin,China,was conducted to test the hypothesized multilevel model.The organizational career growth scale,work support scale,and the nurse turnover intention scale were used to measure the effect of organizational career growth and work support on nurse turnover intention.Finally,SPSS 17.0 and AMOS 17.0 software were used to analyse the relationship of these variables.Results:The score of the three scales nurse turnover,organizational career growth,and work support were 1.98±0.60,2.40±0.50,and 4.06±0.98,respectively.The total and direct effects of work support on turnover intention were0.361(p<0.01)and0.147(p<0.01),respectively.The indirect effect was0.169 with a 95%bootstrap confidence interval of0.257 to0.102.Conclusion:The study showed a lack of work support negatively and directly associated with nurse turnover intention.Additional opportunities for career growth within the organization may strengthen the effect of work support and consequently increase the retention of qualified nursing staff.
基金supported by Grants from the National Key Research and Development Program of China(2016YFD06004040604)the Natural Science Foundation of Heilongjiang Province(No.C2016004)
文摘China’s forests cover 208.3 million ha and span a wide range of climates and a large variety of forest types including tropical,temperate,and boreal forests.However the variation patterns of fine root(<2 mm in diameter biomass,production,and turnover from the south to the north are unclear.This study summarizes fine root biomass(FRB),production(FRP)and turnover rate(FRT)in Chi na’s forests as reported by 140 case studies published from 1983 to 2014.The results showed that the mean values o FRB,FRP and FRT in China’s forests were 278 gm^(-2)366 gm^(-2)a^(-1),and 1.19 a^(-1),respectively.Compared with other studies at the regional or global scales,FRB in China’s forests was lower,FRP was similar to estimates a the global scale,but FRT was much higher.FRB,FRP,and FRT in China’s forests increased with increasing mean annual precipitation(MAP),indicating that fine root vari ables were likely related to MAP,rather than mean annua temperature or latitude.This is possibly due to the smal variation in temperature but greater variation in precipitation during the growing season.These findings suggest that spatiotemporal variation in precipitation has a more profound impact on fine root dynamics in China’s forests,and this will impact carbon and nutrient cycles driven by root turnover in the future.
基金This work was supported by the Natural Science Foundation of China(No.71704040)
文摘Objective: This study aims to determine the mediating effects of psychological empowerment on abusive supervision and turnover intention as perceived by nurses to provide information to change the status of nurse turnover.Methods: A cross-sectional survey (a questionnaire examining perceptions of abusive supervision,measurement of psychological empowerment,and questionnaire for turnover intention) was used to collect data.A total of 1127 clinical nurses,who were recruited through convenience sampling,participated in the survey.Results: Nurses' average perceived abusive supervision,psychological empowerment,and turnover intention scores were 1.62 ± 0.95,3.24 ± 0.83,and 14.17 ± 3.78,respectively.Psychological empowerment was found to mediate the relationship between abusive supervision and turnover intention (P< 0.01).Turnover intention tends to be stronger and psychological empowerment reduced when nurse managers adopt an abusive leadership style.Conclusions: Nurses' psychological empowerment is an intermediary variable that predicts the relationship between abusive supervision and turnover intention.Nurse managers should manage abusive supervision to increase nurses' psychological empowerment and decrease turnover intention.
基金jointly supported by the China Postdoctoral Science Foundation(No.2020 M682951)the National Natural Science Foundation of China(No.NSFC41773088)the Key Research Program of the Chinese Academy of Sciences(No.QYZDJ-SSW-DQC003).
文摘Background:Old-growth forests are irreplaceable with respect to climate change mitigation and have considerable carbon(C)sink potential in soils.However,the relationship between the soil organic carbon(SOC)turnover rate and forest development is poorly understood,which hinders our ability to assess the C sequestration capacity of soil in old-growth forests.Methods:In this study,we evaluated the SOC turnover rate by calculating the isotopic enrichment factor β(defined as the slope of the regression between ^(13)C natural abundance and log-transformed C concentrations)along 0-30 cm soil profiles in three successional forests in subtropical China.A lower β(steeper slope)is associated with a higher turnover rate.The three forests were a 60-year-old P.massoniana forest(PF),a 100-year-old coniferous and broadleaved mixed forest(MF),and a 400-year-old monsoon evergreen broadleaved forest(BF).We also analyzed the soil physicochemical properties in these forests to examine the dynamics of SOC turnover during forest succession and the main regulators.Results:The β value for the upper 30-cm soils in the BF was significantly(p<0.05)higher than that in the PF,in addition to the SOC stock,although there were nonsignificant differences between the BF and MF.The β value was significantly(p<0.05)positively correlated with the soil recalcitrance index,total nitrogen,and available nitrogen contents but was significantly(p<0.01)negatively correlated with soil pH.Conclusions:Our results demonstrate that SOC has lower turnover rates in old-growth forests,accompanied by higher soil chemical recalcitrance,nitrogen status,and lower soil pH.This finding helps to elucidate the mechanism underlying C sequestration in old-growth forest soils,and emphasizes the important value of old-growth forests among global C sinks.
基金Funded by the Fundamental Research Funds for the Central Universities of China(No.26816WTD23)the National United Engineering Laboratory of Integrated and Intelligent Transportation of Southwest Jiaotong University,P.R.China(No.2682017ZT11)
文摘Based on the factors impact strength model(FISM), we studied on calculation formulas of influence strength and key elements of FISM, and analyzed the turnover time of railway freight transportation of China. The results show that wagon transfer time is the most critical factor among the three subjective factors of wagons turnover time. The FISM based analysis of wagon transfer time show that the wagon turnover time is significantly correlated with transit time with resorting. Among the seven factors of detention time of transit time with resorting, the time of waiting to departing, converging, and waiting to break-up are key factors, while the time of make-up, break-up, arrival and departure are general factors. We carried out one empirical research based on the data of Baoji East Railway Station in 2015. The results of empirical research and FISM are consistent completely.
基金Supported by the Work Project of China Geological Survey (1212010911062)Guangxi Zhuang Autonomous Region Innovation Project (0842008)National Natural Science Foundation (40872213)
文摘The three-pool and first-order model separates the mineralizable organic carbon into active,slow,and passive carbon pools.This paper used the model and decomposition curves of the soil organic carbon to fit the active pool and its decomposition rate,slow pool and its decomposition rate.The results showed that the size of the active pool from different profiles accounted for 2.09%-3.08% of the total soil organic carbon and the mean residue time was 3.57-17.21 days.And the size of the slow pool accounted for 3.19%-43.55% and the mean residue time was 1.12-4.94 years.Acid hydrolysis(6M HCl) was used to fractionate the passive organic carbon,which accounted for 50.83%-94.44% of the total soil organic carbon.
文摘Objectives:The study was conducted to make a bibliometric analysis of published literature in order to assess the research status of nurse turnover in China.Methods:We obtained 239 papers from two major electronic databases,CNKI and Wanfang from 2000 to 2015(updated to 31st,December).Articles in languages other than Chinese were excluded.The keywords used were‘nurses’or‘nursing staff’and‘leave’or‘intend to leave’.Results:A total of 239 articles met the inclusion criteria,including 33 masters'dissertations and 206 journal articles.206 articles were published in twenty-five kinds of journals in China.Nursing journals had the biggest share,about(88%,181/206).82%(196/239)articles are quantitative research.239 articles come from 26 different provinces,cities or autonomous regions.The top ten regions which have the largest number of publications are Beijing,Shandong,Shanghai,Guangdong,Heilongjiang,Jiangsu,Hunan,Zhejiang,Hubei,Liaoning provinces.The coauthored articles account for 75%of all the publications.Only a small fraction of research works has obtained fundings.Conclusion:Further studies are greatly needed on the development of sound measures to tackle nurse turnover and shortage.The following improvements should be made,such as strengthening nursing researcher'consciousness and capability and increasing nursing fundings in China.
文摘Objectives:The unrelenting migration trend of Filipino nurses to other countries has threatened the quality of patient care services in the country.This study explored the extent of nurses'organizational commitment and turnover intention in the Philippines.Furthermore,predictors of nurses'organizational commitment and turnover intention were identified.Methods:A cross-sectional research design was adopted for this study.Two hundred nurses from nine rural hospitals in the Central Philippines were asked to participate in the study and 166 nurses responded(an 83%response rate).Two standardized instruments were used:the Organizational Commitment Questionnaire and the Six-item Turnover Intention Inventory Scale.Results:Findings revealed that Philippine nurses were moderately committed(3.13±0.24)to and were undecided(2.42±0.67)whether or not to leave their organization.Nurses'age(P=0.006),gender,(t=-2.25,P=0.026),education(t=2.38,P<0.001),rank(t=4.38,P<0.001),and work experience(t=2.18,P=0.031)correlated significantly with organizational commitment,while nurses'age(P=0.028)and education(t=1.99,P=0.048)correlated significantly with turnover intention.An inverse relationship was identified between the organizational commitment and turnover intention(r=-0.22,P=0.005).Conclusion:The findings of this study highlight the need for formulation and implementation of interventions to promote life-long commitment in nurses and to reduce turnover rates.
基金supported by the National Natural Science Foundation(No.71704132)
文摘Objective: The aim of this study was to explore whether positive emotion mediates the relationship between job burnout and turnover intentions among Chinese nurses.Methods: A cross-sectional survey was conducted in the present study. Full-time registered nurses(n = 150) from Grade A hospitals in Tianjin were surveyed. Pearson correlation, hierarchical regression analyses, and the Sobel test were used in the study.Results: The results illustrated that positive emotion mediated the relationship between burnout and nurses' turnover intention.Conclusions: Nursing administrators should pay more attention to the benefits of positive emotions on working motivation.It is helpful to relieve burnout in the working process so that nurses are willing to remain in their current employment.
文摘Objective: To explore the clinical efficacy of Zoledronic Acid Injection in the treatment of postmenopausal osteoporosis with different bone turnover rates. Methods: A total of 63 patients diagnosed with postmenopausal osteoporosis were included in this study. Each patient was administrated 5 mg/100mL Zoledronic Acid (Aclasta) intravenously once and then given a one-year prescription of 600 mg/d oral Caltrate. The bone turnover parameters (PINP, β-cross, N-MID) were measured prior to the injection of Zoledronic Acid while the bone mineral density (BMD) and the pain scores of each patient were tested before treatment and after the one-year medication. On this basis, the patients were divided into several groups according to their bone turnover rates for intergroup comparison of treatment outcomes. Results: BMD results and pain scores of all participants were significantly improved at different levels after treatment. However, these improvements had no significant differences between the patients with high and low bone turnover rates. Conclusion: Zoledronic Acid Injection can relieve bone pain, enhance the quality of life and increase the BMD in patients with postmenopausal osteoporosis, regardless of the bone turnover status.
基金supported by the Deutsche Forschungsgemeinschaft(DFG,WE2720/2-2 and WE2720/4-1,both to HBW)
文摘Neural plasticity in the adult central nervous system involves the adaptation of myelination, including the formation of novel myelin sheaths by adult-born oligodendrocytes. Yet, mature oligodendrocytes slowly but constantly turn over their pre-existing myelin sheaths, thereby establishing an equilibrium of replenishment and degradation that may also be subject to adaptation with consequences for nerve conduction velocity. In this short review we highlight selected approaches to the normal turnover of adult myelin in vivo, from injecting radioactive precursors of myelin constituents in the 1960s to current strategies involving isotope labeling and tamoxifen-induced gene targeting.
文摘The N-glycine constant infusion method was used to study protein turnover in normal adultsand perioperative patients.The protein turnover rate （Q）,synthetic rate （S） and catabolicrate （C） were derived according to Picou’s two-pool system model,and the“end-productaveraging technique”showed the <sup>15</sup>N-glycine constant iufusion method to be reliable,witha reproducibility of ±5.1%.This measurement can be repeated after a short period,so itshould be useful for surgical nutrition study.Our results show the following:Q was significantly increased after operation （3.4±0.6 to 5.0±0.5 g protein/kg/d,P【0.01）,and S （2.6±0.5 to 3.7±0.6 g protein/kg/d,P【0.05）and C （2.3±0.5 to 3.9±0.5 g protein/kg/d,P【0.01） were increased as well.This suggeststhat the protein degradation rate outstripped the synthesis rate on post-operative day three（POD+3） when traditional （glutamine-free） total parenteral nutrition support was used.
基金This work was funded by the Shanghai Agriculture Applied Technology Development Program,China(Grant No.G20190308)the National Key Research and Development Program of China(2016YFD0801106).
文摘Soil organic carbon(SOC)fractions and C turnover related enzyme activities are essential for nutrient cycling.This is because they are regarded as important indicators of soil fertility and quality.We measured the effects of wheat straw incorporation on SOC fractions and C turnover related enzyme activities in a paddy field in subtropical China.Soil samples were collected from 0-10 cm and 10-20 cm depths after rice harvesting.The total SOC concentrations were higher in the high rate of wheat straw incorporation treatment(NPKS2)than in the not fertilized control(CK)(P<0.05).The concentrations of labile C fractions[i.e.,water soluble organic C(WSOC),hot-water soluble organic C(HWSOC),microbial biomass C(MBC),and easily oxidizable C(EOC)],were higher in the moderate NPKS1 and NPKS2 treatments than in CK and the fertilized treatment without straw(NPK)(P<0.05).The geometric means of labile C(GMC)and C pool management index(CPMI)values were highest in NPKS2(P<0.05).The SOC concentrations correlated positively with the labile C fractions(P<0.05).Soil cellulase activity and the geometric mean of enzyme activities(GMea)were higher in NPKS2 than in CK in all soil layers(P<0.05),and the invertase activity was higher in NPKS2 than in CK in the 0-10 cm layer(P<0.05).Stepwise multiple linear regression indicated that the formation of the SOC,WSOC,HWSOC,MBC,and EOC was mostly enhanced by the cellulase and invertase activities(P<0.05).Therefore,the high rate of wheat straw incorporation may be recommended to increase soil C pool levels and soil fertility in subtropical paddy soils.
