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MULTIRESOLUTION ANALYSIS, SELF-SIMILAR TILINGS AND HAAR WAVELETS ON THE HEISENBERG GROUP 被引量:2
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作者 刘和平 刘宇 王海辉 《Acta Mathematica Scientia》 SCIE CSCD 2009年第5期1251-1266,共16页
In this article, the properties of multiresolution analysis and self-similar tilings on the Heisenberg group are studied. Moreover, we establish a theory to construct an orthonormal Haar wavelet base in L^2(H^d) by ... In this article, the properties of multiresolution analysis and self-similar tilings on the Heisenberg group are studied. Moreover, we establish a theory to construct an orthonormal Haar wavelet base in L^2(H^d) by using self-similar tilings for the acceptable dilations on the Heisenberg group. 展开更多
关键词 Heisenberg group multiresolution analysis WAVELETS self-similar tilings
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Female Sex Workers and Their Association with Self-Help Groups in Thane, Maharashtra, India: A Comparative Analysis in the Context of HIV Program Outcome 被引量:1
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作者 Awdhesh Yadav Saravanamurthy P. Sakthivel +2 位作者 Shaikh Tayyaba Uma Shah Ashok Agarwal 《World Journal of AIDS》 2016年第4期186-196,共11页
Objectives: Understanding the role of Self-Help Group (SHG) in light of the evolving dynamics of sex work needs to be delved into to strategize HIV interventions among FSWs in India. This paper aims to study the HIV p... Objectives: Understanding the role of Self-Help Group (SHG) in light of the evolving dynamics of sex work needs to be delved into to strategize HIV interventions among FSWs in India. This paper aims to study the HIV program outcome among the FSWs associated with SHGs and FSWs not associated with SHGs in Thane, Maharashtra. Study Design: This cross-sectional study was undertaken from the Behavioral Tracking Survey (BTS) conducted among 503 FSWs in Thane in 2015. Two-stage probability based conventional sampling was done for selection of brothel and bar based FSWs, while Time Location Cluster (TLC) sampling was done for home, lodge and street based sex workers. Methods: Bivariate and multivariate logistic regression were performed to compare and contrast between FSWs associated with SHG and those not associated with SHG with respect to the utilization of HIV related services by them. “Condom use”, “consistent condom use”, “contact with peer-educators”, “counseling sessions” and “HIV testing” were chosen as indicators on HIV service utilization. Results: 8% (38) of FSWs are registered with SHG;92% aged ≥25 years, 47% illiterate, and 71% are currently married. The likelihood of utilizing HIV services including, knowledge on HIV/AIDS and its mode of transmission (OR: 5.54;CI: 1.87 - 16.60;p Conclusions: Considering the improved HIV program outcomes among FSWs associated with SHG, HIV interventions among FSWs could consider facilitating the formation of SHGs with FSWs as one of the key strategies to empower the community for ensuring better program outcomes. 展开更多
关键词 Female Sex Workers self-Help group HIV Thane EMPOWERMENT
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The Presence of an Exercise Instructor or Group Members Affects Physical Self-Concept and Physical Self-Esteem: An Experimental Study in the Elderly
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作者 Jens Kleinert Fabian Pels Leslie Podlog 《Health》 2014年第13期1616-1627,共12页
Background: Physical self-concept and physical self-esteem are important sources of general self-esteem and overall health. Evidence indicates that exercise leads to an enhancement in physical self-concept and physica... Background: Physical self-concept and physical self-esteem are important sources of general self-esteem and overall health. Evidence indicates that exercise leads to an enhancement in physical self-concept and physical self-esteem. Until now however, it remained unclear whether the beneficial effects of exercise were impacted by different types of exercise environments. Thus, the purpose of this study was to experimentally investigate, whether the presence or absence of an instructor or other group members influenced elder adults’ physical self-concept and esteem. Method: Participants were 46 women and 20 men (Mean age 65.4, SD = 4.36) who were randomly assigned to one of four experimental groups differing across two factors—group versus no-group and instructor versus no-instructor. Participants took part in an 8-week-walking program with a comparable number of training sessions across the four experimental groups. Physical self-concept and physical self-esteem were assessed both pre and post exercise intervention. Results: Descriptively, the highest improvement in physical self-concept and esteem were observed in the instructor/no-group and the no-instructor/group condition. Between these two conditions, no significant difference of change was observed. Moreover, no improvement was observed when both instructor and group were present. Conclusion: Effects of either instructor presence or group presence may be explained by mechanisms of social integration and social support. An unexpected absence of effects on self-concept and esteem under the instructor/group condition are explained with reference to an individual’s cognitive dissonance caused by the need to adapt to different exercise oriented goals or attitudes of the instructor and the group members which might hinder the positive development of the self. 展开更多
关键词 PHYSICAL self-ESTEEM PHYSICAL self-CONCEPT Social Environment EXERCISE group INSTRUCTOR
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Synthesis and Self-Assembly Properties of Single-Chain Amphiphiles Containing Schiff Base Chromophore
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作者 WU Li-xin and LI Guo-wen(Institute of Theoretical Chemistry, Jilin University, Changchun, 130023)LIANG Ying-qiu(Department of Chemistry, Nanjing University, Nanjing, 210008) 《Chemical Research in Chinese Universities》 SCIE CAS CSCD 1992年第4期428-431,共4页
A series of single-chain amphiphiles containing Schiff base moiety(CnSchC4N+ , n=4, 7, 10, 12, 16) were synthesized. The self-assembly properties were investigated by 1H NMR spectra, DSC and EM for aqueous solutions o... A series of single-chain amphiphiles containing Schiff base moiety(CnSchC4N+ , n=4, 7, 10, 12, 16) were synthesized. The self-assembly properties were investigated by 1H NMR spectra, DSC and EM for aqueous solutions of these samples. The aggregates, vesi-cles, were formed when n=7. The influence of additional group-O-is discussed. 展开更多
关键词 SYNtheSIS self-ASSEMBLY Schiff base Additional group AGGREGATE
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Group training on the improvement of college students'career decision-making self-efficacy
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作者 Jin-liang Wang Da-jun Zhang Jing-jin Shao 《Health》 2010年第6期551-556,共6页
A group training was conducted on 17 college students to improve their career decision-making self-efficacy (CDMSE). The result showed that there was significant difference between the pre-test and the post-test for t... A group training was conducted on 17 college students to improve their career decision-making self-efficacy (CDMSE). The result showed that there was significant difference between the pre-test and the post-test for the experimental group (n = 17), whereas no significant difference was found between the pre-test and the post- test for the control group (n = 17). In the pre-test, there was no significant difference between the experimental group and the control group, and obvious difference between the two groups was found in the post-test. This indicated that the group training was effective on improving the CDMSE of the college students whose scores of CDMSE were below 27% point of the total students. 展开更多
关键词 College Student group TRAINING ATTRIBUTION TRAINING CAREER DECISION-MAKING self-EFFICACY
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The Effectiveness of Self-regulated Learning Strategies on Chinese College Students' English Learning
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作者 张晓雁 李安玲 《海外英语》 2011年第10X期127-128,共2页
The purpose of this paper is to argue the effectiveness of self-regulated learning in English education in Chinese college classroom instruction. A study is given to show whether the introduction of self-regulated lea... The purpose of this paper is to argue the effectiveness of self-regulated learning in English education in Chinese college classroom instruction. A study is given to show whether the introduction of self-regulated learning can help improve Chinese college students' English learning, and help them perform better in the National English test-CET-4 (College English Test Level-4,). 展开更多
关键词 self-regulated learning GOAL-SETTING self-instructional strategies motivation self-EFFICACY EXPERIENTIAL group and control group
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Investigation for the transcultural self-efficacy of nurses in Guizhou,China 被引量:1
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作者 Juan Li Bei Wu +3 位作者 Zhuang He Jiru Liu Rong Xiao Yong Luo 《International Journal of Nursing Sciences》 CSCD 2020年第2期191-197,共7页
Aim:As conflict caused by cultural diversity among patients in China continues to rise,hospitals are in urgent need for improvement of transcultural efficacy among nurses.This study aims to evaluate the transcultural ... Aim:As conflict caused by cultural diversity among patients in China continues to rise,hospitals are in urgent need for improvement of transcultural efficacy among nurses.This study aims to evaluate the transcultural self-efficacy of nurses working in the tertiary general hospital in Guizhou Province,an ethnic minority region in western China,and to identify whether nurses'demographic characteristics affect their transcultural self-efficacy.Method:We used the Chinese version of the Transcultural Self-Efficacy Tool(TSET-CV)to survey 1,190 inservice nurses.Results:Results showed that the level of transcultural self-efficacy of the nurses was generally moderate;few of the nurses had high or low transcultural self-efficacy.The nurses'transcultural self-efficacy was affected by demographic variables,including age,marital status,employment type,income,work experience,and whether or not they were head nurses.Having a stable work environment,a stable marriage,a good educational background,and a high-ranked professional title were associated with increased transcultural self-efficacy.Conclusion:Nursing administrators in hospitals should offer continuing education on transcuitural nursing according to nurses'demographic characteristics and the SEST scores. 展开更多
关键词 China General hospitals Minority groups Nurses self efficacy Surveys and questionnaires Transcultural nursing
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Synthesis and curing of a novel amino-containing phthalonitrile derivative 被引量:13
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作者 Ke Zeng Ke Zhou Wen Rui Tang Yan Tang Hong Fei Zhou Tao Liu Yi Peng Wang Hai Bing Zhou Gang Yang 《Chinese Chemical Letters》 SCIE CAS CSCD 2007年第5期523-526,共4页
A novel phthalonitrile derivative containing an amino group, 3,5-bis(3,4-dicyanophenoxy)aniline (CPA), was synthesized via a nucleophilic displacement of 4-nitrophthalonitrile and 5-aminoresorcinol hydrochloride. ... A novel phthalonitrile derivative containing an amino group, 3,5-bis(3,4-dicyanophenoxy)aniline (CPA), was synthesized via a nucleophilic displacement of 4-nitrophthalonitrile and 5-aminoresorcinol hydrochloride. The structure of CPA was confirmed by Fourier transform infrared spectra (FT-IR) and nuclear magnetic resonance (^1H NMR). Thermal analysis performed on CPA revealed that the novel phthalonitrile derivative showed a self-promotion curing behavior and the resulting polymer exhibited outstanding heat-resistance. 展开更多
关键词 Phthalonitrfle derivative Amino group self-promotion curing behavior
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The Self-catalytic Esterification Reaction of O-Phosphoryl Serine Derivative
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作者 JinTangDU YahMeiLI ZhongZhouCHEN ShiZhongLUO YuFenZHAO 《Chinese Chemical Letters》 SCIE CAS CSCD 2005年第7期856-858,共3页
O-Phosphoryl serine derivative can perform self-catalytic esterification reaction in the mixture of CH3OH and CHCl3 at the room temperature. The phosphoryl group participation was the key step of the esterification. T... O-Phosphoryl serine derivative can perform self-catalytic esterification reaction in the mixture of CH3OH and CHCl3 at the room temperature. The phosphoryl group participation was the key step of the esterification. This type of reactions were proposed through an intermediate of mixed phosphoric-carboxylic anhydride that might provide a clue to the function of the phosphoryl group in the phosphorylated enzymes and in the prebiotic synthesis of protein. 展开更多
关键词 O-Phosphoryl serine self esterification phosphoryl group participation.
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Einstein’s Dark Energy via Similarity Equivalence, ‘tHooft Dimensional Regularization and Lie Symmetry Groups 被引量:4
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作者 Mohamed S. El Naschie 《International Journal of Astronomy and Astrophysics》 2016年第1期56-81,共26页
Realizing the physical reality of ‘tHooft’s self similar and dimensionaly regularized fractal-like spacetime as well as being inspired by a note worthy anecdote involving the great mathematician of Alexandria, Pytha... Realizing the physical reality of ‘tHooft’s self similar and dimensionaly regularized fractal-like spacetime as well as being inspired by a note worthy anecdote involving the great mathematician of Alexandria, Pythagoras and the larger than life man of theoretical physics Einstein, we utilize some deep mathematical connections between equivalence classes of equivalence relations and E-infinity theory quotient space. We started from the basic principles of self similarity which came to prominence in science with the advent of the modern theory of nonlinear dynamical systems, deterministic chaos and fractals. This fundamental logico-mathematical thread related to partially ordered sets is then applied to show how the classical Newton’s kinetic energy E = 1/2mv<sup>2</sup> leads to Einstein’s celebrated maximal energy equation E = mc<sup>2</sup> and how in turn this can be dissected into the ordinary energy density E(O) = mc<sup>2</sup>/22 and the dark energy density E(D) = mc<sup>2</sup>(21/22) of the cosmos where m is the mass;v is the velocity and c is the speed of light. The important role of the exceptional Lie symmetry groups and ‘tHooft-Veltman-Wilson dimensional regularization in fractal spacetime played in the above is also highlighted. The author hopes that the unusual character of the analysis and presentation of the present work may be taken in a positive vein as seriously attempting to propose a different and new way of doing theoretical physics by treating number theory, set theory, group theory, experimental physics as well as conventional theoretical physics on the same footing and letting all these diverse tools lead us to the answer of fundamental questions without fear of being labelled in one way or another. 展开更多
关键词 Equivalence Relation SCALING Intermediate Asymptotic Golden Mean Scaling Einstein self Similarity Fractal Scaling E-INFINITY Special Relativity Random Cantor Sets ‘tHooft Regularization Fractal Quantum Field Quantum Gravity Exceptional Lie Symmetry groups
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SELF-DUAL PERMUTATION CODES OVER FORMAL POWER SERIES RINGS AND FINITE PRINCIPAL IDEAL RINGS 被引量:1
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作者 张光辉 刘宏伟 《Acta Mathematica Scientia》 SCIE CSCD 2013年第6期1695-1710,共16页
In this paper, we study self-dual permutation codes over formal power series rings and finite principal ideal rings. We first give some results on the torsion codes associated with the linear codes over formal power s... In this paper, we study self-dual permutation codes over formal power series rings and finite principal ideal rings. We first give some results on the torsion codes associated with the linear codes over formal power series rings. These results allow for obtaining some conditions for non-existence of self-dual permutation codes over formal power series rings. Finally, we describe self-dual permutation codes over finite principal ideal rings by examining permutation codes over their component chain rings. 展开更多
关键词 self-dual code group code permutation code formal power series ring finiteprincipal ideal ring
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Exploration on the Teaching Method of Legal English
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作者 胡发富 《科教文汇》 2007年第09X期106-106,共1页
Legal English isvery important for the study and the usage of law , combing personal study and usage of law, I summa-rize the teaching method of legal English to help those who want to study and use Legal English to m... Legal English isvery important for the study and the usage of law , combing personal study and usage of law, I summa-rize the teaching method of legal English to help those who want to study and use Legal English to make some progress. 展开更多
关键词 法学英语 教学方法 案例分析法 分组讨论 大学 法学专业
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FINITE p-GROUPS WHICH CONTAIN A SELF-CENTRALIZING CYCLIC NORMAL SUBGROUP
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作者 郝成功 靳竹萱 《Acta Mathematica Scientia》 SCIE CSCD 2013年第1期131-138,共8页
For any prime p, all finite noncyclic p-groups which contain a self-centralizing cyclic normal subgroup are determined by using cohomological techniques. Some applications are given, including a character theoretic de... For any prime p, all finite noncyclic p-groups which contain a self-centralizing cyclic normal subgroup are determined by using cohomological techniques. Some applications are given, including a character theoretic description for such groups. 展开更多
关键词 finite p-group self-centralizing cyclic normal subgroup 2-nilpotent group cohomology group irreducible complex character
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Inducible Expression and Splicing of Candida Group I Ribozyme in E.coli
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作者 SHANGYuan WANGChen ZHANGYi 《Wuhan University Journal of Natural Sciences》 EI CAS 2005年第2期465-471,共7页
The Ca. LSU intron flanking a 129 bp cxon upstream and a fOO bp exondownstream was inserted into the lacZ gene on pRS426 to transform E. coli. Northern blot analysisand RT-PCR showed that splicing of Ca. LSU in E. col... The Ca. LSU intron flanking a 129 bp cxon upstream and a fOO bp exondownstream was inserted into the lacZ gene on pRS426 to transform E. coli. Northern blot analysisand RT-PCR showed that splicing of Ca. LSU in E. coli is efficient upon inducible expression of theprecursor RNA, In contrast, co-lranscriptional self-splicing of the intron in vitro is much lessactive. Therefore, this E. coli splicing system can be used as a better model to investigate theeffect of the ribozyme inhibitors on Ca. LSUsplicing in living cell. We examined (he effects ofneomycin sulfatc and pentamidine on Ca. LSU splicing in E. coli, and found that these drugsdoes-dependently inhibit the intron splicing. However, heomycin is more potent than pentamidine inthis action. 展开更多
关键词 Candida albicans E. coli group I ribozyme self-SPLICING drug inhibition
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Survey and Inquiry for English Teachers' Self-development in Freshly Certificated Universities in Guangxi
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作者 FAN Xin-heng 《海外英语》 2014年第2X期13-14,共2页
With great a quantity of upgraded colleges accounted in Guangxi Zhuang Automous Region,self-development of college English teachers directly appeals to the quality of teaching,English curriculum program and academic d... With great a quantity of upgraded colleges accounted in Guangxi Zhuang Automous Region,self-development of college English teachers directly appeals to the quality of teaching,English curriculum program and academic development competence.The paper preliminarily stepped in the internal and external elements on the them to carry on inquiry to the findings that these teachers are in good consciousness of language skills,specialized knowledge and personal communication,common improvement conformed with the achievements abroad.And by interviewing the convenient sampling the inquiryshows that they have the consciousness of changing with times.The hardest challenging is deficiency of quality education channels to promote their teaching competence and academic ability.The paper is advisory for playing vital role in their self-development inquiry in a whole perspective. 展开更多
关键词 self-DEVELOPMENT BELIEFS group communication refle
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具有自组装特性的有机小分子材料研究进展
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作者 王桂霞 王佳伟 +3 位作者 王彩钥 张新宇 周超 孔翔飞 《精细化工》 EI CAS CSCD 北大核心 2024年第11期2334-2344,共11页
具有自组装特性的有机小分子结构一般由三部分构成:分子一端为锚定基团,另一端为调控性能的尾部基团,中间通过主链相连。此类分子通常采用硅烷类、硫醇类、酸类等作为锚定基团;尾部基团一般由吸电子基团或供电子基团构成;主链一般由不... 具有自组装特性的有机小分子结构一般由三部分构成:分子一端为锚定基团,另一端为调控性能的尾部基团,中间通过主链相连。此类分子通常采用硅烷类、硫醇类、酸类等作为锚定基团;尾部基团一般由吸电子基团或供电子基团构成;主链一般由不同长度的烷基链或芳香环组成。该文综述了近年来具有自组装特性的有机分子结构的特点和性质,并介绍其在生物医学、传感及防腐领域中的应用。通过比较此类分子自组装成膜改性器件的优缺点,总结其构效关系,并对未来自组装特性有机小分子的结构提出一定的设想。 展开更多
关键词 自组装 锚定基团 链长 尾部基团 构效关系
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巴林特小组活动对护理人员职业倦怠感负性情绪及自我效能的影响
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作者 杨福娟 方晓霞 +2 位作者 乔红伟 蔡楠楠 张洁 《临床心身疾病杂志》 CAS 2024年第3期157-160,共4页
目的探讨巴林特小组活动对呼吸与危重症医学科护理人员职业倦怠感、负性情绪及自我效能的影响。方法将64名护理人员随机均分为对照组和试验组。对照组护理人员给予心理健康讲座,试验组护理人员在对照组基础上给予巴林特小组活动。采用... 目的探讨巴林特小组活动对呼吸与危重症医学科护理人员职业倦怠感、负性情绪及自我效能的影响。方法将64名护理人员随机均分为对照组和试验组。对照组护理人员给予心理健康讲座,试验组护理人员在对照组基础上给予巴林特小组活动。采用相应的量表评估两组护理人员干预前后的职业倦怠感、负性情绪及自我效能状况。结果干预后试验组护理人员中文版职业倦怠量表(MBI)总分及情绪衰竭、去个性化维度评分均低于干预前和对照组,个人成就感维度评分高于干预前和对照组(P<0.01);干预后试验组护理人员焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均低于干预前和对照组,一般自我效能感量表(GSES)评分高于干预前和对照组(P<0.01)。结论巴林特小组活动能够提高呼吸与危重症医学科护理人员的自我效能感,改善其职业倦怠感及负性情绪状况。 展开更多
关键词 巴林特小组 护理人员 职业倦怠感 负性情绪 自我效能
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照片艺术治疗在高职大学生自我意识完善与发展中的应用研究 被引量:1
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作者 秦喆 张喆 王超 《潍坊工程职业学院学报》 2024年第2期71-79,共9页
目的:以高职大学生为对象,以照片艺术治疗活动为介质,探讨其对促进高职大学生自我意识完善与发展的影响。方法:实验时间分为两个阶段,分别是:2022年3月至6月和2023年3月至6月,通过发布招募信息,学生主动报名,采取随机分组的方式分为实验... 目的:以高职大学生为对象,以照片艺术治疗活动为介质,探讨其对促进高职大学生自我意识完善与发展的影响。方法:实验时间分为两个阶段,分别是:2022年3月至6月和2023年3月至6月,通过发布招募信息,学生主动报名,采取随机分组的方式分为实验组(20人)和控制组(20人)。主要观察指标为:自我接纳问卷、自尊量表、自我调控能力问卷、自我认同量表、田纳西自我概念量表。实验组接受8次照片艺术治疗团体心理辅导;控制组不接受任何实验处理。结果:实验组成员经过照片艺术治疗团体心理辅导后其自我意识发生了显著的提升(p<0.05),相较于控制组也呈现出显著性差异(p<0.05)。此外,四周后的追踪结果显示照片艺术治疗团体辅导对学生自我意识的完善与发展方面仍具有持续作用(p<0.05),但这取决于学生通过团体辅导对照片治疗的理念和方法内化于心、外化于行的效果。结论:照片艺术治疗是促进高职大学生自我意识完善与发展的有效途径。 展开更多
关键词 照片治疗 艺术治疗 团体辅导 高职大学生 自我意识
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Mini-CEX联合MDT在急诊科住院医师规范化培训中的应用效果 被引量:1
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作者 王川江 刘景仑 +1 位作者 周发春 罗娜 《中国继续医学教育》 2024年第4期114-119,共6页
目的探讨迷你临床演练评估(mini-clinical evaluation exercise,Mini-CEX)联合多学科综合治疗协作组(multidisciplinary team,MDT)在急诊科住院医师规范化培训中的运用效果。方法选择于医院急诊科进行规范化培训的住院医师,2022年6—8... 目的探讨迷你临床演练评估(mini-clinical evaluation exercise,Mini-CEX)联合多学科综合治疗协作组(multidisciplinary team,MDT)在急诊科住院医师规范化培训中的运用效果。方法选择于医院急诊科进行规范化培训的住院医师,2022年6—8月进行规范化培训者为传统培训组,2022年9—11月进行规范化培训者为Mini-CEX联合MDT组。传统培训组35名,给予常规教学方式教学,Mini-CEX联合MDT组35名,给予Mini-CEX联合MDT教学,教学完成后评估规范化培训住院医师的理论成绩及实际操作技能,教学前、后通过Mini-CEX考核规范化培训住院医师的问诊能力、临床诊断、操作能力、查体能力、治疗方案、沟通能力,给予评判性思维能力量表-中文版(critical thinking disposition inventory—Chinese version,CTDI-CV)、学生自主学习能力评价量表评价,比较2组教学满意度。结果Mini-CEX联合MDT组理论知识、实际操作技能评分较传统培训组高,差异有统计学意义(P<0.001);Mini-CEX联合MDT组问诊能力、临床诊断、操作能力、查体能力、治疗方案、沟通能力评分较传统培训组高,差异有统计学意义(P<0.001);Mini-CEX联合MDT组CTDI-CV评分较传统培训组低,自主学习能力评分、教学满意度较传统培训组高,差异有统计学意义(P<0.001)。Mini-CEX联合MDT组教学满意度(97.14%)较传统培训组高(85.71%),差异有统计学意义(P<0.05)。结论在急诊科住院医师规范化培训中运用Mini-CEX联合MDT教学,可提升规范化培训住院医师理论及实践操作成绩,提升其综合临床能力、评判性思维能力、自学能力及教学满意度。 展开更多
关键词 急诊科 住院医师规范化培训 多学科综合治疗协作组 迷你临床演练评估 综合临床能力 评判性思维能力 自学能力
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接纳与承诺团体干预对维持性血液透析糖尿病肾病患者营养状况的影响
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作者 张晓丽 赵雪 +3 位作者 董晓艳 常玲玲 贾玉臻 刘敏 《护理实践与研究》 2024年第1期98-105,共8页
目的研究接纳与承诺团体干预对糖尿病肾病维持性血液透析患者营养状况的影响,为提高患者的生活质量、延长其生存时间提供心理干预方法。方法选取2022年7—10月在山东省某三级甲等综合医院行血液透析的糖尿病肾病63例患者为研究对象,按... 目的研究接纳与承诺团体干预对糖尿病肾病维持性血液透析患者营养状况的影响,为提高患者的生活质量、延长其生存时间提供心理干预方法。方法选取2022年7—10月在山东省某三级甲等综合医院行血液透析的糖尿病肾病63例患者为研究对象,按照组间资料具有可比性的原则分为观察组31例和对照组32例。对照组接受常规的健康教育和心理指导,观察组在对照组基础上实施接纳与承诺团体干预。比较两组患者糖尿病肾病维持性血液透析营养管理知信行评分、营养不良-炎症评分(MIS),检查两组患者血磷、血钙、白蛋白、C反应蛋白(CRP)指标。结果透析3个月后,观察组患者营养管理知信行评分均高于对照组,差异具有统计学意义(P<0.05)。透析3个月后,观察组MIS评分低于对照组,差异具有统计学意义(P<0.05)。透析3个月后,观察组患者血钙高于对照组,血磷低于对照组,白蛋白及CRP优于对照组,差异具有统计学意义(P<0.05)。结论接纳与承诺疗法通过接纳、认知解离、体验当下、以己为景、澄清价值观和承诺行动6个过程,利用正念、隐喻、知识传授及有氧运动等方法,可以提高糖尿病肾病维持性血液透析患者营养管理知信行水平和营养管理依从性,改善营养状况,维持钙磷代谢平衡。 展开更多
关键词 接纳与承诺团体干预 糖尿病肾病 维持性血液透析 营养状况 自我管理
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