The association between interactive health literacy and dietary behaviors among Chinese college students: a large-scale cross-sectional study.

Background: The association between health literacy and healthy dietary behaviors has been explored in the European population. However, there is currently no evidence available specifically pertaining to Chinese college students particularly for interactive health literacy. Aims: The objective of this study was to investigate the association between interactive health literacy (IHL) and dietary behaviors in Chinese college students. Methods: This study included 11,856 Chinese college students (mean age = 18.8 years, SD = 1.2 years). We defined nine healthy dietary behaviors as consumption of water, egg, milk and milk products, vegetables, fruit, red meat, soy and soy products, seafood, and sugar-sweetened beverages. For each food group, participants who met the criterion for being a regular consumer of the item were assigned a score of 1, and otherwise were assigned a score of 0. Thus, the dietary behaviors score ranged from 0 to 9, with higher scores indicating healthier dietary behaviors. We used the revised 28-item Chinese Adolescent Interactive Health Literacy Questionnaire (CAIHLQ) to evaluate IHL; a higher score on this scale indicates a greater health literacy. Multivariate logistic regression was used to analyze the association between IHL level and frequency of different numbers of dietary behaviors. Results: After adjusting for sex, age, annual family income, place of residence, father's education level, and mother's education level, there was a clear and significant positive association between IHL and the likelihood of exhibiting diverse dietary behaviors. The adjusted odds ratio (95% CI) of exhibiting given nine dietary behaviors with reference to tertile 1 according to categories of IHL was as follows: 1.055 (0.694, 1.603) for tertile 2 and 1.849 (1.269, 2.696) for tertile 3 (p for trend = 0.001). Similarly, there are significant positive associations between IHL and the likelihood of exhibiting 2-8 dietary behaviors, except for exhibiting any one dietary behavior. We further found that, in addition to the health awareness factor, there were significant positive associations between physical activity and nutrition factors, and healthier dietary behaviors. Further, there was a significant negative association between interpersonal relationships and dietary behavior. Conclusion: The findings indicate a positive relationship between IHL and dietary behavior, such that the higher the level of IHL among college students, the healthier the dietary behavior they tend to adopt in their daily lives. These findings suggest the importance of developing stages of change-based educational interventions, which could help individuals with limited IHL to not only acquire necessary health-related knowledge but also to strengthen their motivation to engage in healthy dietary behaviors. Future studies should employ longitudinal prospective designs or randomized controlled trials to establish a causal association between IHL and healthy dietary behaviors.

The relationship between internet addiction and risk of suboptimal health status among Chinese college students.

Internet addiction (IA) is a prevalent trend among college students, and the relationship between severe IA and poor health status among college students has been well established. However, whether IA is associated with suboptimal health status (SHS) in college students is unclear. This study aimed to investigate the association between IA and SHS risk in Chinese college students. We conducted a cross-sectional study to assess whether IA was related to SHS risk in 2265 college students in Shenyang, China. SHS was assessed using the Suboptimal Health Status Questionnaire with a cutoff score of ≥35 to document SHS. IA was assessed using the validated 20-item Young's Internet Addiction Test with cutoff scores of 31-49 and 50-100 for mile and moderate-to-severe cases, respectively. The prevalence rate of SHS was 54.0%. After adjusting for potential confounding factors, the IA categories were positively related to a higher risk of SHS. The odds ratios (95% confidence intervals) for SHS across IA categories were 1.00, 7.66 (6.00, 9.78), and 27.93 (20.95, 37.24) (P for trend: <.001) after adjusting for multiple confounding factors. This is the first cross-sectional study to demonstrate that IA is independently associated with SHS. This finding suggests that IA is a negative risk factor for SHS.

Translation and Linguistic Validation of the Assessment of Physical Activity in Frail Older People into Simplified Chinese Using Cognitive Interviewing Methodology.

The Assessment of Physical Activity in Frail Older People (APAFOP) is a patient-reported outcome measure assessing physical activity among community-dwelling older adults. However, this instrument has not been verified in the Chinese context. Thus, we translated the APAFOP into Chinese and then linguistically validated the Chinese version of APAFOP (APAFOP-C) by following the guidelines developed by Beaton and Willis. The translation process took 6 months. We identified nine translation issues in the translation process, of which experiential equivalence issues were the most frequent. It took three rounds of cognitive interviews to achieve linguistic validity, and the most significant issues were related to the layout of the questionnaire identified during the cognitive interview. In conclusion, the items of the APAFOP-C were considered comprehensive and relevant to assessing the physical activities of frail older adults in China. This study has laid the foundation for future evaluation of its measurement properties.

Developing a Non-Pharmacological Intervention Programme for Wandering in People with Dementia: Recommendations for Healthcare Providers in Nursing Homes.

BACKGROUND: Wandering among people with dementia (PwD) is associated with a high risk of injury and death. The stigma of dementia prevents Chinese dementia families from seeking information and support earlier, which increases the demand for long-term care facilities. Despite universal recognition of the importance of care facilities, healthcare providers in care facilities still lack the relevant nursing knowledge and skills, including non-pharmacological interventions (NPIs) that have been proven to be effective in preventing wandering. Systematic and culturally appropriate NPI programmes for healthcare providers to manage wandering among PwD in long-term care facilities are still lacking. We aimed to develop an evidence-based and culturally appropriate NPI programme for wandering in PwD to guide healthcare providers in nursing homes to prevent wandering and its adverse outcomes. METHODS: The NPI programme was developed according to the framework of the Belgian Centre for Evidence-Based Medicine (CEBAM). We, (1) performed a systematic literature search to summarize the available evidence, (2) developed evidence-based recommendations for the NPI programme based on the existing evidence, and (3) carried out a validation process to revise the content of the recommendations and to determine the grades of recommendations, including group meetings with experts and a survey for end-users. RESULTS: Based on 22 publications and validation from 7 experts and 76 end users, we developed 21 recommendations covering 4 domains: (1) caregiver education, (2) preventing excessive wandering, (3) promoting safe walking, and (4) preventing people with dementia from going missing. We created almost all recommendations of the four domains with accompanying levels of evidence and grades of recommendations. CONCLUSIONS: By combining the evidence with expert and end-user opinions, a comprehensive NPI programme was developed to support institutional healthcare providers to prevent wandering and its adverse outcomes. The benefits of this programme are currently being tested.

Moderating effect of work-related social support on the relationship between role conflicts and job satisfaction among female nurses pursuing a further degree in China.

AIM: This study aimed to determine the moderating effect of work-related social support on the relationship between work-family-school role conflicts and job satisfaction among female registered nurses pursuing further degrees in China. METHODS: The study had a cross-sectional correlational design. Convenience sampling was applied to recruit participants from eight hospitals in China from January to August 2017. SPSS software and the PROCESS macro were used to conduct the data analyses in the present study. RESULTS: A total of 320 nurses were included in the present study. Work-family-school role conflicts were negatively correlated with job satisfaction (r = -0.21, P < 0.001). Work-related social support was a significant moderator (interaction effect: ß = 0.22, P = 0.039) on the relationship between work-family-school role conflicts and job satisfaction. CONCLUSIONS: The study revealed that when nurses perceived that they received a low or moderate level of social support in the workplace that strengthened the relationship between work-family-school role conflicts and job satisfaction. Hospital administrators should implement school- and family-friendly policies that increase the social support provided to nurses pursuing further degrees to balance their responsibilities of work, family and school and to improve their job satisfaction.

Psychometric Evaluation of the Chinese Version of Mild Cognitive Impairment Questionnaire among Older Adults with Mild Cognitive Impairment.

BACKGROUND: There is a lack of instruments for measuring quality of life (QOL) in Chinese patients with mild cognitive impairment (MCI). This study aimed to translate the Mild Cognitive Questionnaire (MCQ) into the Chinese language and to evaluate the reliability and construct validity of the MCQ-Chinese among older adults with MCI. METHODS: Linguistic translation and validation of the questionnaire were conducted according to the MCQ developer and Oxford University Innovation guidelines. After a pilot test, the final version of the MCQ-Chinese was applied to a convenience sample of older adults with MCI (n = 186). Cronbach's alpha and confirmatory factor analyses were used to assess the reliability and construct validity of the MCQ-Chinese. In addition, non-parametric analysis was used to assess convergent and discriminant validity. RESULTS: The total scale and all the factors had good internal consistency, with Cronbach's alpha values ranging from 0.90 to 0.92. Confirmatory factor analysis indicated satisfactory goodness of fit for the 2-factor MCQ. The MCQ-Chinese had a good convergent validity, and the discriminant validity was confirmed with a significant difference in MCQ scores in different health conditions. CONCLUSIONS: MCQ-Chinese is a reliable tool for assessing QOL among Chinese older adults with MCI.

Person-Centered Climate, Garden Greenery and Well-Being among Nursing Home Residents: A Cross-Sectional Study.

Nursing home residents' well-being is often proxy-rated in studies, and few studies have explored the association between resident-rated person-centered climate, garden greenery, and resident-rated well-being. A cross-sectional study was conducted. Questionnaire data from a convenient sample of 470 nursing home residents in a city in Southeast China in 2021 were analyzed using multiple linear regressions, with block-wise models. The instruments used were the Person-centered Climate Questionnaire-Patient version, the Nursing Home Greenery Index, and, for well-being, the EuroQol-Visual Analogue Scale, the Life Satisfaction Questionnaire, and the 9-item Patient Health Questionnaire (depression symptoms). In the unadjusted models, the person-centered climate was positively associated with general health (ß 0.29, p < 0.001), person-centered climate and greenery with life satisfaction (ß 0.39, and 0.18; both p < 0.001), and negatively with depression (ß -0.28, and ß -0.23, both p < 0.001). After adjusting for personal and nursing home characteristics, the associations between person-centered climate, greenery, and well-being remained statistically significant. The three models explained 36%, 35%, and 21% of the variance in general health, life satisfaction, and depression, respectively. This study provides knowledge on person-centered climate in long-term care and the access to greenery.

One-Dimensional Conjugated Carbon Nitrides: Synthesis and Structure Determination by HRTEM and Solid-State NMR.

Two-dimensional (2D) graphitic carbon nitrides (g-C3N4) have sparked much interest as photocatalysts. However, they suffer from high activation energy and a low separation rate of photoexcited charge carriers. Here we report a viable strategy to craft one-dimensional carbon nitrides denoted as polymelem (PM). Our PM possesses NH-bridged and the N-bridged tautomers, both of which are π-conjugated polymers based on aromatic tri-s-triazine units, as revealed by solid-state nuclear magnetic resonance (NMR), Fourier transform infrared (FTIR), and Raman techniques. A 2D 1H double-quantum-single-quantum (DQ-SQ) NMR spectrum illustrates that the 2D architecture of PM is constructed by the formation of interchain N-H···N hydrogen bonds between different 1D PM chains. PM exhibits largely improved photocatalytic efficiency compared to g-C3N4. This can be attributed to the conjugated structures of PM, which are conducive to the decrease in activation energy and separation rate of photogenerated charge carriers.

Reliability and validity of the Chinese version of the Work-Family-School Role Conflicts Scale among nurses.

OBJECTIVE: To translate and validate the Chinese version of the Work-Family-School Role Conflicts Scale (WFSRCs-S) among nurses with multiple roles. METHODS: A sample of 233 registered nurses pursuing an advanced degree was recruited from 8 university hospitals in 5 cities in China from March to July 2016. The original scale of WFSRCs-S was translated into Chinese and revised to reflect cultural meaning, using standard translation methodology, and its reliability and validity were assessed. RESULTS: The content validity index of the 12-item WFSRCs-S-Chinese was 0.83, and the item level of content validity index ranged from 0.79 to 1.00. The exploratory factor analysis yielded a three-factor solution (work-school-to-family role conflict, family-school-to-work role conflict, and work-family-to-school role conflict) and explained 71.9% of the total variance for WFSRCs-S-Chinese. The Cronbach's α coefficients for the total scale and the three sub-scales were 0.87, 0.79, 0.78, and 0.87. The confirmatory factor analysis revealed that the measurement model was satisfied, and the test-retest reliability of WFSRCs-S-Chinese was 0.85. The WFSRCs-S-Chinese score was positively associated with burnout (r = 0.36, P < 0.001) and negatively related to role-related social support (r = -0.18, P = 0.046), thereby establishing concurrent validity. CONCLUSION: The reliability and construct validity of the WFSRCs-S-Chinese suggest that this scale could be useful to assess inter-role conflicts among nurses with multiple roles in China.

A Rapid and Robust Light-and-Solution-Triggered In Situ Crafting of Organic Passivating Membrane over Metal Halide Perovskites for Markedly Improved Stability and Photocatalysis.

Despite intriguing optoelectronic attributes in solar cells, light-emitting diodes, and photocatalysis, the instability of organic-inorganic perovskites poises a grand challenge for long-term applications. Herein, we report a simple yet robust strategy via light-and-solution treatment to create an organic membrane that effectively passivates CH3NH3PbI3 (MAPbI3). Specifically, the restructuring of MA+ is observed on MAPbI3 in aqueous hydrogen iodide. HIO3 molecules are generated via the reaction between water and I2 induced by photocatalysis when MAPbI3 is illuminated. The hydrogen bonding between HIO3 molecules at different perovskite particles not only directs the creeplike growth of perovskite particles but also in situ forms a passivating layer firmly anchoring on the perovskite surface with hydrophilic -NH3+ groups tethering to perovskites and hydrophobic -CH3 moieties exposed to air. Intriguingly, such MA+ film greatly improves the stability of perovskites against moisture as well as their crystal quality, considerably enhancing the photocatalytic hydrogen evolution rate.

Rocksalt-Zincblende-Wurtzite Mixed-Phase ZnO Crystals With High Activity as Photocatalysts for Visible-Light-Driven Water Splitting.

Finding out the factors that dominate photocatalytic activity is always an essential topic toward the development of highly active photocatalysts. The increased photoactivity of ZnO:Ga (L) may be attributed to the existence of homojunctions and resultant oxygen vacancies in triphasic ZnO:Ga (L), which can reduce the recombination of photogenerated carriers and provide them higher doping efficiency and higher optical gain. Then, the photocatalytic behaviors of as-prepared N doped crystals have been studied and rationalized to understand the role of each of species played in light absorption and photo activation. The N-doped ZnO:Ga (L) sample which showed higher activity than N-doped ZnO:Ga (B) and ZnO:Ga (L), the high activity could be explained by increase of visible light absorption and presence of empty impurity levels introduced by N doping.

Association between oral health-related quality of life and depressive symptoms in Chinese college students: Fitness Improvement Tactics in Youths (FITYou) project.

BACKGROUND: This study aimed to investigate a gender-specific association between oral health-related quality of life (OHRQoL) and depressive symptoms in college students, as there are limited relevant studies conducted among youths. METHODS: In 2017, a cross-sectional study of 3461 Chinese college students was conducted in Shenyang, China. OHRQoL and depressive symptoms were screened by a 14-item oral health impact profile questionnaire and a Self-rating Depression Scale, respectively. A multivariable logistic regression analysis was performed to examine the association of OHRQoL with depressive symptoms. RESULTS: The number of youths reported to have depressive symptoms was 20.7%. A univariate analysis showed that categories with a OHRQoL score over 6 were more likely to have a higher prevalence of depressive symptoms compared to the category with a score of 0 (male: ORs [95% CI]: 3.10, 2.05-4.68, P < 0.001; female: ORs [95% CI]: 3.11, 2.38-4.05, P < 0.001). Similar results were observed after adjusting for sociodemographic, anthropometric, and lifestyle-related covariates (male: ORs [95% CI]: 3.07, 1.98-4.76, P < 0.001; female: ORs [95% CI]: 2.90, 2.21-3.81, P < 0.001). CONCLUSIONS: College students who have higher OHRQoL tend to have a lower prevalence of depressive symptoms.

Large-Scale and Galvanic Replacement Free Synthesis of Cu@Ag Core-Shell Nanowires for Flexible Electronics.

Copper nanowires (CuNWs) are considered a promising alternative to indium tin oxide due to their cost-effectiveness as well as high conductivity and transparency. However, the practical applications of copper-based conductors are greatly limited due to their rapid oxidation in atmosphere. Herein, a facile adsorption and decomposition process is developed for galvanic replacement free and large-scale synthesis of highly stable Cu@Ag core-shell nanowires. First, Ag-amine complex ([Ag(NH2R)2]+) as silver source adsorbs on CuNWs surface, and Cu@Ag-amine complex core-shell structure is formed. After that, Ag-amine complex is easily decomposed to pure Ag shell through a simple thermal annealing under air. By adjusting the concentration of Ag-aminein CuNWs solution, Cu@Ag core-shell nanowires with different thickness of silver shell can be easily obtained. The obtained core-shell nanowires exhibit high stability for at least 500 h at high temperature (140 °C) and high humidity (85 °C, 85% RH) due to the protection of Ag shell. More importantly, the conductivity and transparency of Cu@Ag nanowires-based conductors is similar to that of pure CuNWs. The large-scale and facile synthesis of Cu@Ag core-shell nanowires provides a new method to prepare stable metallic core-shell nanowires.

Nursing students' reflections on caring for end-of-life patients in a youth volunteer association.

The aim of the study was to describe nursing students' reflections on caring for end-of-life patients in a youth volunteer service. A purposive sample of 11 nursing students in one province in China were interviewed and diaries were collected. The data were analysed using qualitative content analysis. The students described the service as "an empowering care that makes a difference - but not without challenges on different levels". The service was said to provide devoted caring adjusted to the person's need, condition and wishes. According to the students, the service had an impact on them; the internal and/or external support was stimulating and rewarding, whereas deficient support was frustrating and made them feel helpless. They emphasized the need for improvements at different levels. In conclusions, the youth volunteer service empowers both patients and students and can be seen as person-centred care. The students' professional knowledge, skills and ability improved, while these aspects were still perceived as deficient. Appropriate curriculum and training for nursing students are necessary and should be tailored to improving students' caring ability and confidence. Expanding the service was emphasized and suggestions for improvements were identified.

Three-Dimensional Stretchable and Transparent Conductors with Controllable Strain-Distribution Based on Template-Assisted Transfer Printing.

Although stretchable transparent conductors, stemmed from the strategies of both conductive composite and structural design of nonstretchable conductors, have been extensively studied, these conductors either suffer from low stretchability or require a complex fabrication process, which drastically limits their practical applications. Here, we propose a novel strategy combining the design of substrates and a simple template-assisted transfer printing process to fabricate three-dimensional (3D) transparent conductors. The strategy not only eliminates the complex and costly fabrication processes but it also endows conductors with high stretchability and long-term stability, thanks to the controllable strain distribution as well as the seamless connection between the conductor layer and the substrate. These newly designed 3D conductors achieve a low sheet resistance of 1.0 Ω/sq with a high transmittance of above 85% and remain stable without obvious resistance change during 1000 stretching-relaxation cycles until 60% strain, which are superior to most reported conductors. A large-area stretchable heater based on the 3D conductor realizes the temperature fluctuation below 10% even under a large strain, thus showing huge application prospects in the field of wearable healthcare electronics. The simple solution-processed fabrication method and high performance such as stretchability and low resistance change over a large strain range promote the practical applications of these newly designed 3D conductors.

Highly Conductive Ag Paste for Recoverable Wiring and Reliable Bonding Used in Stretchable Electronics.

Stretchable wiring and stretchable bonding between a rigid chip/component and a stretchable substrate are two key factors for stretchable electronics. In this study, a highly conductive stretchable paste has been developed with commercial Ag microflakes and poly(dimethylsiloxane), which can be used to fabricate stretchable wirings and bondings under a low curing temperature of 100 °C with printing method. Herein, recoverabilities as to recovery time and recovery resistance of the wirings are defined and discussed. The effect of Ag composition and the tensile strain rate on the recoverability of the wirings are also examined. The wiring with a low resistivity of 8.7 × 10-5 Ω cm shows much better recoverability than nanowire-based wirings due to the flake nature of the Ag particles. When stretched to 50 and 100% of strain, the resistance of the patterned wiring increases by only 10 and 110%, respectively. Moreover, the resistance of the wiring during 20% tensile cyclic test remains within 1.1 times even after 1000 cycles, thus demonstrating significant durability. The paste was utilized to fabricate conductive tracks and stretchable bondings to assemble a rigid chip to fabricate a stretchable demo. When stretched to 50% of strain, resistance of the wiring was increased by 90%. It is anticipated that the newly developed paste will be used to fabricate various stretchable wirings, bondings, and packaging structures by a simple printing process, thus enabling mass production of stretchable electronic devices.

Self-catalyzed copper-silver complex inks for low-cost fabrication of highly oxidation-resistant and conductive copper-silver hybrid tracks at a low temperature below 100 °C.

Cu-Ag complex inks are developed for printing conductive tracks of low cost, high stability, and high conductivity on heat-sensitive substrates such as polyethylene terephthalate (PET) substrates. The inks show an obvious self-catalyzed characteristic due to the in situ formation of fresh metal nanoparticles which promote rapid decomposition and sintering of the inks at a low temperature below 100 °C. The temperature is 40-60 °C lower than those of general Cu complex inks and 100-120 °C lower than those of general Cu/Ag particle inks. Highly conductive Cu-Ag tracks of 2.80 × 10-5 Ω cm and 6.40 × 10-5 Ω cm have been easily realized at 100 °C and 80 °C, respectively. In addition, the printed Cu-based tracks not only show high oxidation resistance at high temperatures of up to 140 °C (the maximum tolerable temperature of current PET substrate) but also show excellent stability at high humidity of 85% because of the very uniform Cu-Ag hybrid structure. The printable tracks exhibit great potential application in various wearable devices fabricated on textiles, papers, and other heat-sensitive substrates.

Bottom-Up Electrodeposition of Large-Scale Nanotwinned Copper within 3D Through Silicon Via.

This paper is the first to report a large-scale directcurrent electrodeposition of columnar nanotwinned copper within through silicon via (TSV) with a high aspect ratio (~4). With this newly developed technique, void-free nanotwinned copper array could be fabricated in low current density (30 mA/cm²) and convection conditions (300 rpm), which are the preconditions for copper deposition with a uniform deep-hole microstructure. The microstructure of a whole cross-section of deposited copper array was made up of (111) orientated columnar grains with parallel nanoscale twins that had thicknesses of about 22 nm. The hardness was also uniform along the growth direction, with 2.34 and 2.68 GPa for the top and bottom of the TSV, respectively. The gelatin additive is also first reported hereas a key factor in forming nanoscale twins by adsorbing on the cathode surface, in order to enhance the overpotential for cathodic reaction during the copper deposition process.

Printable and Flexible Copper-Silver Alloy Electrodes with High Conductivity and Ultrahigh Oxidation Resistance.

Printable and flexible Cu-Ag alloy electrodes with high conductivity and ultrahigh oxidation resistance have been successfully fabricated by using a newly developed Cu-Ag hybrid ink and a simple fabrication process consisting of low-temperature precuring followed by rapid photonic sintering (LTRS). A special Ag nanoparticle shell on a Cu core structure is first created in situ by low-temperature precuring. An instantaneous photonic sintering can induce rapid mutual dissolution between the Cu core and the Ag nanoparticle shell so that core-shell structures consisting of a Cu-rich phase in the core and a Ag-rich phase in the shell (Cu-Ag alloy) can be obtained on flexible substrates. The resulting Cu-Ag alloy electrode has high conductivity (3.4 µΩ·cm) and ultrahigh oxidation resistance even up to 180 °C in an air atmosphere; this approach shows huge potential and is a tempting prospect for the fabrication of highly reliable and cost-effective printed electronic devices.

Low Temperature Sintering Cu6 Sn5 Nanoparticles for Superplastic and Super-uniform High Temperature Circuit Interconnections.

Brittle intermetallics such as Cu6 Sn5 can be transformed into low cost, nonbrittle, superplastic and high temperature-resistant interconnection materials by sintering at temperatures more than 200 °C lower than its bulk melting point. Confirmed via in situ TEM heating, the sintered structure is pore-free with nanograins, and the interface is super-uniform.