Service Components Research Articles

Access to Child Psychotherapy in High- and Low/Middle-income Nations: A Cross-national Perspective and Potential Approaches

Psychotherapy of different types is recognized across the globe as an essential component of child and adolescent mental health services. At the same time, there are barriers and challenges in obtaining access to this modality that are as widespread as its acceptance. This article reviews barriers to accessing child and adolescent psychotherapy in high-income countries (HIC) as well as low/middle-income countries (LMIC). It also briefly reviews approaches to improve access using different interventions and modalities. We also report on our experience using one particular intervention, case management within pediatric collaborative care, as a promising approach for improving access in underserved populations.

РАЗВИТИЕ ЦИФРОВИЗАЦИИ В СЕЛЬСКИХ ТЕРРИТОРИЯХ В ПОСТКОВИДНЫЙ ПЕРИОД И ЕГО ВЛИЯНИЕ НА ЭКОНОМИКУ СЕЛЬСКОГО ХОЗЯЙСТВА

The coronavirus pandemic continues to pose serious challenges to agricultural production since 2020. Restrictions on trade in agricultural products affect marketing opportunities and the availability of operational resources. Seasonal labor is becoming scarce, and new consumption patterns and hygiene requirements pose new challenges for the industry. Restrictions imposed due to the coronavirus pandemic have led to an unprecedented market situation. In this work, to study the digital divide between rural and urban areas, the profile indicators of rural residents of the Russian Federation who did not have access to the Internet in 2019-2021 were analyzed. The research substantiated the service components of the digital potential of rural areas, which together will allow the development of information and communication technologies in rural areas and agricultural organizations, the skills of people who are participants in the digital transformation of processes in all spheres of rural life. Such service components include: 1) information and communication technologies and infrastructure; 2) digital management of business processes in an agricultural organization; 3) electronic digital business; 4) digital competence and literacy of rural residents and employees of agricultural organizations to assess the possibility of digital interaction with each other. A detailed analysis of trends in the digital gap in the use of the Internet through the construction of logit models made it possible to confirm the results obtained that in the absence of completed secondary education and work, the risk of a rural resident becoming one of those who do not use the Internet, that is, being in “digital isolation”, increases, and more significantly compared to other characteristics considered.

Methodological and procedural characteristics of measuring inflation in Kazakhstan: Proposal of a new procedure for calculating inflation at regional level

The current measure of inflation in Kazakhstan presents several problems. This paper first illustrates the method and procedure currently followed and then proposes a new methodology to address the problems highlighted and calculate inflation at regional level. To this end, the weights of the different components of goods and services are calculated using cluster analysis. The results indicate that the regional weights for calculating inflation in Kazakhstan should be different from those currently used for the different products and services. The measurement of inflation can therefore be improved by adopting a different methodology for calculating its regional weights and by complying with international recommendations in terms of sampling design.

The new digital archive at the Neanderthal Museum

The management and publication of digital data on online repositories constitutes a task that is becoming more and more relevant for museums and cultural heritage institutions alike. Not only is it important to archive the growing volume of data produced on a daily basis, but also to make this data available and reach out to old and new audience targets, such as fellow researchers, students, enthusiasts, in new and meaningful ways. The Neanderthal Museum, since two decades engaged in the development and establishment of a diversified digital offer, profiting from the recent completion of the DISAPALE project and its hundreds of newly scanned 3D models, has created a brand new online portal, planned as the core of its digital activity. The history of development (specifically the NESPOS portal), the issues encountered in the planning and realization phases (e.g. requirements for efficiency and long-term maintainability, freedom from previous dependencies on proprietary software), as well as the design decisions and technical solutions are critically discussed, highlighting strengths, weaknesses and possible future improvements. An introduction to the client-server architecture is provided, detailing the development of the back-end using a lightweight Java server component with integrated PostgreSQL relational database and the user-facing front-end built with modern web technologies to create a tailor-made, flexible and clutter-free web application. Finally a short look at the current status of scientific enterprises in digital archaeology is given, with a specific focus on the entanglements between museums, cultural heritage institutions and government entities.

Comparing interventions for early psychosis: a systematic review and component network meta-analysis

'Early Intervention in Psychosis' (EIP) services have been associated with improved outcomes for early psychosis. However, these services are heterogeneous and many provide different components of treatment. The impact of this variation on the sustained treatment effects is unknown. We performed a systematic review and component network meta-analysis (cNMA) of randomised controlled trials (RCTs) that compared specialised intervention services for early psychosis. We searched CENTRAL (published and unpublished), EMBASE, MEDLINE, CINAHL, PsycINFO and Web of Science from inception to February 2023. Primary outcomes were negative and positive psychotic symptoms at 3-month and 1-year follow-up and treatment dropouts. Secondary outcomes were depressive symptoms and social functioning at 1-year follow-up. We registered a protocol for our study in PROSPERO (CRD42017057420). We identified 37 RCTs including 4599 participants. Participants' mean age was 25.8 years (SD 6.0) and 64.0% were men. We found evidence that psychological interventions (this component grouped all psychological treatment intended to treat, or ameliorate the consequences of, psychotic symptoms) are beneficial for reducing negative symptoms (iSMD-0.24, 95% CI-0.44 to-0.05, p=0.014) at 3-month follow-up and may be associated with clinically relevant benefits in improving social functioning scores at 1-year follow-up (iSMD-0.52, 95% CI-1.05 to 0.01, p=0.052). The addition of case management has a beneficial effect on reducing negative symptoms (iSMD-1.17, 95% CI-2.24 to-0.11, p=0.030) and positive symptoms (iSMD-1.05, 95% CI-2.02 to-0.08, p=0.033) at 1-year follow-up. Pharmacotherapy was present in all trial arms, meaning it was not possible to examine the specific effects of this component. Our findings suggest psychological interventions and case management in addition to pharmacotherapy as the core components of services for early psychosis to achieve sustained clinical benefits. Our conclusions are limited by the small number of studies and sparsely connected networks. National Institute for Health and Care Research.

Der qualitätsbewusste Digitale Zwilling

Abstract Connecting a digital twin to its associated cyber-physical system improves system knowledge and supports effective operation. The presented reference architecture includes a service component that manages different services to optimize process quality. Two exemplary services illustrate the potential of this reference architecture. A model-driven approach with design and runtime models is used to increase the level of abstraction.

Leisure Education Grounded in Social Justice: A Facilitation Technique that Contributes to Inclusive Leisure and Therapeutic Recreation

Leisure education is an important area of service that encourages people to participate actively in physically, mentally, socially, and emotionally healthy activities. This educational approach empowers people to make decisions, discover new information and resources about leisure, and navigate stressful transitions throughout their lives. The purpose of this paper is to clarify that leisure education is grounded on principles of social justice and facilitates two synergistic service contexts of inclusive leisure and therapeutic recreation (TR). To achieve this purpose, this paper contains supportive literature identifying that leisure education grounded in social justice principles is a facilitation technique used in providing inclusive leisure and TR services. Further, the literature presented in the paper provides a rationale for grounding leisure education on social justice to assist people in achieving goals of leisure associated with authenticity and self-determination, positive health and well-being, and flourishing. The paper increases understanding of leisure education and ways TR practitioners can use it to positively support people to live the lives they value. Therefore, this paper provides a unique contribution to the literature by identifying that social justice can be the basis for leisure education as a component of both TR and inclusive leisure services designed to help participants experience authenticity and self-determination culminating in leisure, positive health, well-being, and flourishing.

The Status and Challenges of HIV Services in Niger State: A Cross-Sectional Survey of Providers and Clients

<i>Introduction</i>: The incidence of HIV/AIDS in Nigerian is on the decline, but with the trio of high inflation, high unemployment, and high terrorism in the country; lot of synergies are still needed to end the HIV scourge. <i>Objective</i>: The study was carried out to determine the status of HIV services in Niger state. <i>Method</i>: A cross-sectional survey, using a simple randomization sampling method, and the client’s viewpoint in health facilities across Niger state was undertaken to examine the challenges faced by HIV service providers. Data from 351 HIV providers, 361 clients were collected using questionnaires; IBM and Pearson correlation were used for descriptive and inferential statistics respectively. <i>Results</i>: The mean age of the providers was (M = 30.50, SD = 8.2). Challenges included poor salary (M = 2.44, SD = 1.16), staff shortage (M = 3.01, SD = 1.24), lack of recognition & incentives (M = 2.57, SD = 0.99; M = 2.63, SD = 1.08), others were infrastructural deficit, inadequate funding, training and materials; poor electricity and internet; lack of research and unionism among others. The non-enabling factors challenges were burnt out (M = 3.01, SD = 0.99), insecurity (M = 3.51, SD = 1.09), working extra hours (M = 3.02; SD = 0,98), migration desire (M = 3.87, SD = 1.06). <i>Conclusion</i>: It is highly overdue, that all HIV stakeholders in the country take complete custodian of all HIV service components; come up with a sustainable policy to steer toward HIV eradication program, by increasing the enabling factors, and reducing the non-enabling factors.

Characteristics of the health districts in Italy and their implication in primary health care policies: an analysis of socio-demographic trends.

The Health District (HD) is a critical component of Italy's National Health Service, responsible for ensuring Primary Health Care (PHC) services in response to community health needs. The Italian government established a national strategic reform program, the National Recovery and Resilience Plan (PNRR), starting in 2022, with a series of health interventions to reorganize the PHC setting, the main reform being the Ministerial Decree 77/2022 (DM77). Our study aimed to provide a description of socio-demographic data and to assess the correlation between HDs, in order to suggest health intervention priorities in PHC reforms. We conducted our analysis using a cross-sectional record linkage of data from multiple sources to compare organizational and socio-demographic variables. A dataset was created with each of the 21 Italian Regions' HDs data of population, land area, mean age, ageing index, old-age dependency ratio, birth rate and death rate. The Inland Areas Project data was integrated for a socio-economic perspective. Our study identified comparable groups of HDs, considering demographical, socio-economic and geographical aspects. The study provides a baseline understanding of the Italian situation prior to the implementation of DM77. It also highlights that inhabitants number cannot be the only variable to take into account for the definition of Italian HDs organisation and PHC reform, providing intercorrelated variables that take into account geographic location, demographic data, and socio-economic aspects. By acknowledging the interplay of demographic, socio-economic, and geographic factors, policymakers can tailor interventions to address diverse community needs, ensuring a more effective and equitable PHC system.

Quality Management in Pharmaceutical Development of Biotechnology-Derived Medicinal Products: Implementation and Evaluation

SCIENTIFIC RELEVANCE. One of the challenges associated with the development of medicines lies in creating a quality management system (QMS) and tools to assess its performance.AIM. The study aimed to propose a QMS model for the development of biotechnology-derived medicinal products and a performance evaluation tool for this QMS universally applicable in the research centre of the company regardless of the specific activities of its individual divisions.MATERIALS AND METHODS. The study analysed internal audit outcomes, noncompliance responses, and the document flow of the research centre. Parameter values for quality index (QI) calculations were entered into validated Microsoft Excel spreadsheets. Data analysis and visualisation involved using the Microsoft Power Business Intelligence (BI) business analytics platform (mainly, the Power BI Desktop and Power BI Service components).RESULTS.The QMS was implemented, and the authors proposed their QMS performance evaluation tool universally applicable to all the divisions of the research centre. CONCLUSIONS. The authors proposed their QMS model for the development of biotechnology-derived medicinal products and the QI tool for collecting digital data, carrying out standardised monitoring, and tracking QMS status changes. The QI tool is universal for all company departments regardless of their requirements, easy to use, and customisable by adding individual company-specific quality parameters. This makes the QI tool applicable not only to drug development departments but also to other research units.

Impact of a private sector residential early parenting program on clinically significant postnatal depressive symptoms experienced by women: Audit of routinely collected data.

Early parenting services in Australia offer brief structured residential programs to address moderate to severe non-psychotic mental health problems among women and unsettled infant/toddler behaviours. The aims were to (1) estimate the immediate and medium-term impact of a five-night psychoeducational residential early parenting program on postpartum depressive symptoms and (2) identify the factors associated with improvement or worsening of postpartum depressive symptoms after completing the program and six weeks post-discharge. Audit of routinely collected medical record data from pre-admission, pre-discharge and post-discharge assessments of a consecutive cohort of women admitted, with their infants/toddlers in a 15-month period to Masada Private Hospital Early Parenting Centre. Data included structured questions assessing: demographic characteristics, access to family and social support, past and current mental health problems, reproductive and obstetric health, chronic health conditions, breastfeeding problems, coincidental major life events, health risk behaviours and infant/toddler feeding, sleeping and crying behaviours. Standardised instruments included the Partner Interaction after Birth Scale (PIBS), the MacLean Screening Instrument for Borderline Personality Disorder (MSI-BPD), Modified Fatigue Assessment Scale (FAS) and selected items from the Karitane Parenting Confidence Scale. The primary outcomes were Edinburgh Postnatal Depression Scale scores at pre-discharge and follow up assessments. Data were analysed using multinomial logistic regression models in which individual and psychosocial characteristics at pre-admission were included as predictors of the likelihood of the changes of the outcomes from pre-admission to pre-discharge and follow up. Complete data from 1220 of 1290 (95%) eligible women were available to assess pre-admission to pre-discharge and from 559 (45.8%) to assess pre-discharge to six-week follow-up changes. The mean pre-admission EPDS score was 11.7 (95% CI: 11.5; 12.0), pre-discharge it was 7.1 (95% CI: 6.9; 7.4) and at six-week follow up it was 5.7 (95% CI: 5.3; 6.1). We found that almost all women experienced a clinically meaningful and rapid improvement in depressive symptoms of at least this magnitude (reduction in mean EPDS scores of 4.6 points from pre-admission to pre-discharge (five nights) and a further reduction of 1.2 points pre-discharge to follow up) (six weeks) and we identified an interpretable set of risk factors for symptoms that did not improve or worsened. The adverse outcomes were associated with having symptoms of borderline personality disorder, a partner experienced as lacking kindness and care, coincidental adverse events and having a child younger than six months. Residential early parenting programs, which take a psycho-educational approach to strengthening caregiving skills, maximising agency, and reducing helplessness, have a rapid beneficial effect on women's postpartum depressive symptoms. These programs provide a valuable and effective component of comprehensive mental health services. Long-term dialectical behaviour therapy is indicated for women with borderline personality disorder traits for whom early parenting programs alone are insufficient to improve depressive symptoms.

Factors Influencing Efficiency of Cross-Border Transport Management System Using Rfid Sensor Technology in Cross-Border Transport Management System, Nong Khai Border Checkpoint

Purpose: This study aimed to examine the factors influencing the efficiency of the cross-border transport management system using RFID sensor technology in the cross-border transport management system, Nong Khai border Checkpoint and develop a Structural Equation Model (SEM) for cross-border transport management system Nong Khai border Checkpoint. Method: This study was a quantitative study. The sample group consisted of 450 cross-border logistics service providers in Thailand and used a questionnaire to collect data to analyze the data by percentage, mean, standard deviation statistics, Confirmatory Factor Analysis (CFA) and Structural Equation Model analysis (SEM). Results and Conclusion: The research findings revealed that 1) Service and Performance variables influenced cross-border transport management system at the statistical significance level (p<.05) which was consistent with the theory. The observed variables had component weights between 0.241 to 0.79 and were significantly different from zero at the 0.01 level for 11 variables, one variable different from zero at the 0.05 level, and the reliability values. of latent variables were between 0.058 - 1.153 and 3) The harmonization of models based on assumptions and empirical data and found that all thresholds were within the acceptable (pass) criteria, Structural Equation Model analysis (Chi-Square = 44.113, df = 35, p = 0.139, RMSEA = 0.026, GFI =0.026, AGFI = 0.960). Research Implications: In order to have satisfied or effective service level, cross-border transport management system using RFID sensor technology in Cross-border Transport Management System must have a one-stop service to fulfil all the requirement to cross the border of all vehicles every day, the service must be done in a speedy manner. For the service itself, it has to be reliable and service with equitability and adequate. Originality/Value: This research provides the knowledge and practice for Cross-border Transport Management System, Nong Khai Border Checkpoint locating at Thailand and Laos borders to improve its facility, infrastructure as well as its service component to meet the requirement of logistics companies that use the service.

Survival and predictors of adult patients admitted to intensive care unit in Yekatit 12 Hospitals, Addis Ababa, Ethiopia.

Background In hospitals, one of the main service components is an intensive care unit (ICU) that provides aggressive therapy for critically ill and high-risk patients. The availability of ICU beds has been progressively growing in Africa, but many studies show that the ICU mortality rate is very high. However, many of those studies are only descriptive and focus on medical or surgical patients. This study includes patients from all wards except pediatrics. Methods A retrospective cohort study was carried out in the intensive care unit at Yekatit 12 Hospital, Ethiopia. The Kaplan-Meier method was used to describe the probability of survival in ICU stay. The Cox proportional hazard model was used for the multivariate analysis to determine the possible associations of predictor variables and to obtain the adjusted hazard ratios. A statistically significant association was declared at p <0.05 with a 95% confidence interval. Results The survival rate was 69.7% with a mortality rate of 30.3%. This study confirmed that the risk of mortality among ICU patients was the education status of the study participants, attending primary education was twice that of patients attending higher education with an adjusted hazard ratio (AHR) (AHR=2.097, 95% CI:1.081,4.067). Patients admitted to ICU because of shock were more than four times at risk of death compared to other causes (AHR= 4.51, 95% CI: 2.41, 8.45). The risk of mortality among ICU patients admitted because of brain injury was more than two times compared to other patients (AHR=2.77, 95% CI: 1.18, 6.47). Patients with respiratory failure were more than two times at risk of mortality (AHR=2.42, 95% CI: 1.19, 4.87). Conclusions The survival of ICU patients was low. Formal education level, patients admitted for shock, brain injury, and respiratory failure were found to be significantly associated with the survival of ICU patients.

Discoloration on Laser Welds of AISI 321 Tubes

Abstract In this contribution, a fabrication problem is discussed, related to Laser Beam Welding (LBW). Strictly speaking, the case study presented herein does not constitute a failure as such, since the subject components never made it to component service. In the narrow sense of the word, a component failure happens if and when a part does no longer serve its proper function. This is definitely not the case in the study put forward in this paper. However, one could argue that a product that cannot be marketed for lack of certain properties, or because of certain shortcomings, is rendered worthless for the manufacturer and this, in turn, could be considered a failure. In this case study, the issue of discoloration on the surfaces of welded austenitic stainless steel is discussed. This is a well-known and well-researched fabrication problem. Dependent upon service conditions of affected parts, discoloration might be detrimental to the normally outstanding corrosion resistance of this class of high-alloy steels.

Analisis Waktu Tunggu Pelayanan Foto Thorax pada Pasien Rawat Jalan

Background: The time between the patient's arrival and the testing findings is known as the waiting time for the results of a x-ray chest. The amount of time patients must wait to receive medical care from a health service unit, it also reflects how the hospital handles service components that are customized to the needs and demands of patients in public hospitals. This study aims to determine the suitability of waiting time for outpatient chest x-ray services with the standard of Indonesia Ministry of Health No.129/Menkes/SK/II/2008.Methods: The type of research used in this paper is qualitative by using the case study for analyzing the waiting time of x-ray chest in outpatients.Results: Eight patients, or 16% of the total had waiting time of three hours or more. Out of all patients, 84% or 42 patients had a waiting period of less than three hours. 22 minutes is the quickest waiting time, while 5 hours 56 minutes is the late waiting time. Such that in outpatients, the typical wait time for a x-ray chest picture is one hour and thirty minutes.Conclusions: Siloam Sriwijaya Hospital Palembang in adjusting the Minimum Service Standards the Hospital has met the minimum service standards of the Decree of the Minister of Health No. 129/Menkes/SK/II/2008 that the waiting time for a chest photo is ≤ 3 hours.

Exploring service provider perspectives on service user engagement across service components in coordinated specialty care programs for psychosis.

Engagement in services is a core element to successful outcomes for service users and programs. In coordinated specialty care (CSC) programs, designed for individuals experiencing first-episode psychosis, engagement has only been measured programmatically and not by service component. This qualitative study sought to explore provider perspectives on service user engagement in service components of CSC. Semistructured interviews were conducted with 20 service providers from five community-based early intervention programs for psychosis in the United States. Interviews were recorded and transcribed verbatim, and thematic analysis was used to analyze the data collected. Provider participants described barriers and facilitators that contribute to disengagement or engagement in four service components within early intervention programs: individual psychotherapy, family education and support, medication management, and vocational services. Barriers identified included substance use, stigma, trauma, and external pressures. Identified barriers to engagement in CSC were both unique to individual components and cut across them. By better understanding the complexity of barriers and their intersections within and across CSC components, there can be more effective policy and program development to reduce disengagement and hopefully increase positive outcomes for service users. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Drivers of Disrespect and Abuse in Obstetric Care: An Integrated Review

Pregnancy and childbirth are pivotal moments in a woman's reproductive journey, demanding compassionate and respectful care to ensure safe motherhood. Respectful Maternity Care (RMC) upholds the dignity and rights of women during labor and childbirth, recommended by the World Health Organization (WHO) to safeguard against mistreatment. Despite global attention, obstetric violence, encompassing mistreatment, disrespect, and abuse, persists worldwide. This integrative review explores the drivers of disrespect and abuse (D&A) within obstetric care, focusing on antenatal, intra-partum, and postnatal settings. The study synthesizes evidence from diverse literature sources, revealing socio-demographic factors as key drivers, particularly affecting women of lower social status. Structural deficiencies, provider biases, and cultural barriers exacerbate mistreatment, underscoring the need for comprehensive reforms. Findings emphasize the urgent need for patient-centered approaches, cultural competence training, and systemic improvements to ensure equitable and respectful maternal care. Recommendations include prioritizing woman-centered care, enhancing healthcare provider training, fostering supportive environments, and empowering communities to report instances of mistreatment. Stakeholders are urged to address workforce challenges, prioritize training, and enhance support for marginalized mothers. This review contributes to the discourse on maternal health and human rights, advocating for dignified maternity care as a fundamental component of comprehensive maternal healthcare services.

Estimation of Water Yield and Soil Erosion in Samanalawewa Watershed in Sri Lanka using GIS-based InVEST Model

Ecosystem services (ES) are a group of tasks performed by the earth's ecosystems that are required to support life and offer benefits to humanity. Thus, this study explores two of the water-related ecosystem services, water yield, and soil retention that were distributed in the Samanalawewa Watershed (SW) and its eight sub-watersheds in Sri Lanka, over 20 years (2000-2020) with five- year time intervals. Soil and water conservation and water yield play an important role in ecosystem management. Hydrological balance is a crucial component of the hydrological ecosystem services. Assessing water yield and soil erosion are pivotal for watershed management. Thus, this study estimated and mapped the water yield and soil erosion, using the Integrated Valuation of Ecosystem Services and Tradeoffs (InVEST 3.9.2) Annual Water Yield (AWY) and Sediment Delivery Ratio (SDR) model respectively. According to the obtained results, in 2000, 2005, 2010, 2015 and 2020, the estimated mean annual water yield was 2.62x105, 2.6x105, 3.5x105, 3.58x105 and 2.75x105 m3 ha-1year-1, respectively. Furthermore, the estimated mean annual soil erosion rates for the above- mentioned years were 53.2, 52.9, 69.7, 87.7 and 70.2 t ha-1 year-1. The estimated soil loss values of the SW are 10 to 18 times greater than the soil erosion tolerance (5 t ha-1 year-1) in Sri Lanka. The results show that the years 2015 and 2005 have the highest and the lowest water yield and total soil loss values, respectively. The upper part of the watershed has relatively moderate water yield and soil loss values than the lower part. These findings would be beneficial in developing watershed management strategies and in the implementation of suitable soil and water conservation techniques within the watershed. 
 Keywords: Ecosystem services, InVEST, Samanalawewa watershed, Soil erosion, Water yield

Long-Term Stable Superlubricity Coatings Enabled by the Interaction between the Polydimethylsiloxane Brush and Silicone Oil.

Recently, materials with superlubricity captured widespread attention on account of their great potential in energy savings and environmental protection. However, certain issues still remain to be solved for the traditional materials, such as the dependence on strict conditions and an unstable superlubricity state. Herein, a long-term stable superlubricity coating was prepared using a low-cost and simple method via an epoxy-based coating with polydimethylsiloxane (PDMS) brushes under silicone oil (SO) lubrication conditions. Compared with the pure epoxy resin matrix, the friction coefficient and wear track width of the superlubricity coating with the optimal amount of 6 wt % PDMS are reduced to 0.006 and 50.9 μm (reduced by 10-fold and 5.6-fold decrease, respectively). In addition, the coating can maintain a stable superlubricity state during a 5 h tribological test. The superlubricity of the coating results from the synergistic lubrication effect of the PDMS brush and SO. First, PDMS brushes with high-stretched conformation due to the swelling effect of the SO can significantly reduce friction. Second, a stable oil film is generated between the contact surfaces, which significantly improves the frictional performance. Moreover, the PDMS incorporated into the coating matrix, along with oil-swelling PDMS brushes on the surface, is highly beneficial for enhancing corrosion resistance of the epoxy resin matrix. Such an epoxy-based coating with long-term stable superlubricity is considered as a potential lubricating and protective surface for tribological components for long-term service.

Construction of the whole-process nursing service system for day surgery patient based on the Kano model: A pilot cluster randomized controlled trial.

The types and number of day surgeries have significantly increased, but the construction of the whole process nursing service system (WPNSS) for preoperative education, intraoperative cooperation, postoperative knowledge, and follow-up for day surgery patients is still in the exploratory stage. The aim of this study is to establish the WPNSS for day surgery patients using the Kano model and to preliminarily assess its efficacy. WPNSS for day surgery was devised leveraging Internet hospital information systems and patient mobile terminals (WeChat), guided by the World Health Organization's conceptual framework for scaling-up strategies. The system was methodically developed, progressing from defining the overall framework to delineating modular functions and developing specific educational materials and tools. A pilot test was conducted in a hospital in China. WPNSS, a patient-centric remote education and monitoring system, seamlessly amalgamates health education, online consultations, and follow-up functionalities; offering semi-automated surgical consultations, inquiry services, and postoperative follow-ups, as well as autonomously disseminating perioperative health education content. Comprising both client and server components, patients utilizing the system are inclined to recommend day surgery at the hospital to others. WPNSS delivers personalized and precise health education, consultation, and postoperative follow-up services for day surgery patients. Current results suggest that the WPNSS may improve patients' experience. Chinese Clinical Trial Register (ChiCTR2200066782).