Strong Support Research Articles

Gaya Hidup Remaja Terhadap Belanja Online Shop Menggunakan Aplikasi Shopee Kota Pontianak

The influence of the internet on the community environment is very influential, because the internet can bring a very wide network for customers or teenagers to choose alternative shopping online. The support of an online application system can make it easier for teenagers to see applications just shopping online in the onlineshop application, so that the attraction to shop through online or e-commerce can be an attraction for teenagers to facilitate them in the process of selecting and purchasing the desired product. Basically, the shopee application is an online shopping platform that is in great demand because it is a platform that is tailored for the region and provides an easy and fast online shopping experience for teenagers through strong support and logistics. The purpose of this study is to find out how the lifestyle of teenagers in Pontianak City towards online shopping using the shopee application. The research method that will be used in this study is using quantitative methods, with this research will use survey methods. Research hypothesis: the research hypothesis used is descriptive analysis carried out through testing descriptive hypotheses. The result of the analysis is whether the research hypothesis can be generalized or not.

A new species of the Cyrtodactyluschauquangensis species group (Squamata, Gekkonidae) from Lao Cai Province, Vietnam.

We describe a new species of the genus Cyrtodactylus based on five adult specimens from Bac Ha District, Lao Cai Province, northern Vietnam. Cyrtodactyluslucisp. nov. is distinguished from the remaining Indochinese bent-toed geckos by a combination of the following morphological characteristics: medium size (SVL up to 89.5 mm); dorsal tubercles in 17-19 irregular transverse rows; ventral scales in 32-34 longitudinal rows at midbody; precloacal pores present in both sexes, 9 or 10 in males, 8 or 9 in females; 12-15 enlarged femoral scales on each thigh; femoral pores 9-12 in males, 5-10 in females; postcloacal tubercles 2-4; lamellae under toe IV 21-23; dorsal pattern consisting of 5 or 6 irregular dark bands, a thin neckband without V-shape or triangle shape in the middle, top of head with dark brown blotches; subcaudal scales transversely enlarged. Molecular phylogenetic analyses recovered the new species as the sister taxon to C.gulinqingensis from Yunnan Province, China, with strong support from all analyses and the two taxa are separated by approximately 8.87-9.22% genetic divergence based on a fragment of the mitochondrial ND2 gene. This is the first representative of Cyrtodactylus known from Lao Cai Province.

Individual and community-level factors associated with khat (Catha edulis) use among women of reproductive age in Halaba zone, South Ethiopia: a multilevel mixed effect analysis.

There is a paucity of data on factors associated with khat chewing among women of reproductive age using multilevel analysis. Furthermore, the effects of some potential factors like stressful life events, knowledge about and attitude toward the effects of khat have been given little attention and are not well understood. Therefore, this study aimed to examine the prevalence and multilevel factors associated with khat use among women of reproductive age in Halaba zone, South Ethiopia. A community-based cross sectional study was conducted in Halaba zone from February to July, 2023. Systematic random sampling technique was used to include 1573 study participants. The dependent variable was current khat use, which is operationalized as using khat within 30 days preceding the study. An interviewer administered questionnaire was used for the data collection. The prevalence of current khat use among women of reproductive age was 65.9% [95%CI (63.5-68.2%)]. Factors significantly associated with khat use were; ages of women 35 and above years [Adjusted Odds Ratio (AOR) = 6.35, 95% CI: (3.62, 11.13)], ever married [AOR = 2.41, 95% CI: (1.10, 5.31)], secondary and above education [AOR = 0.28, 95% CI: (0.15, 0.49)], belong to richer household [AOR = 1.75, 95% CI: (1.12, 2.75)], mass media use [AOR = 3.12, 95% CI: (1.85, 4.81)], low knowledge about khat effects [AOR = 3.12, 95% CI: (1.85, 5.24)], positive attitude towards khat use [AOR = 11.55, 95% CI: (6.76, 19.71)], and strong social support [AOR = 0.43, 95% CI: (0.28, 0.64)] and non-user friend [AOR = 0.31, 95% CI: (0.20, 0.48)]. From the community level variables: rural residence [AOR = 5.06, 95% CI: (1.82, 14.09)] was significantly associated with khat use. Khat use among women of reproductive age was found to be very high. From individual-level factors: advanced ages of women, secondary and above education, live in the richer wealth quintile, mass media exposure, low knowledge on khat effects, positive attitude towards khat use, strong social support, and from community-level variables: residing in rural area were significantly associated with khat use. Khat use screening for all women of childbearing age, as well as referral to substance use disorder centers for those women identified as having khat use disorder, should become a standard of care in all health facilities.

Trajectories of negative and positive experiences of caregiving for older adults with severe dementia: application of group-based multi-trajectory modelling.

Family caregivers of older adults with severe dementia have negative and positive experiences over the course of caregiving. We aimed to delineate joint trajectories (patterns over time) for negative and positive experiences, identify risk factors associated with membership of joint trajectories, and ascertain the association between joint trajectories and caregivers' outcomes after the death of the older adult. Two hundred fifteen family caregivers of older adults with severe dementia in Singapore were surveyed every 4 months for 2 years, and 6 months after the death of the older adult. Using group-based multi trajectory modelling, we delineated joint trajectories for positive (Gain in Alzheimer Care Instrument) and negative (sub-scales of modified Caregiver Reaction Assessment) experiences of caregiving. We identified four joint trajectories - "very high positive, low negative" (23% of caregivers), "high positive, moderate negative" (28%), "very high positive, moderate negative" (28%), and "high positive, high negative" (21%). Caregivers of older adults with more behavioural symptoms, and who did not receive strong emotional support from family were more likely to have "high positive, moderate negative" or "very high positive, moderate negative" trajectory. Compared to caregivers with "very high positive, low negative" trajectory, caregivers with "very high positive, moderate negative" or "high positive, high negative" trajectories expressed greater grief and distress, with the latter also having lower spiritual well-being and quality of life at 6 months after the death of the older adult. The caregiving experiences for older adults with severe dementia vary between caregivers but remain stable over time. Modifiable risk factors identified for trajectories involving negative experiences of caregiving may be targeted in future interventions to improve the experience of caregiving and caregiver quality of life and distress after the death of the older adult. http://www. gov (NCT03382223).

Refined analysis of flood-regional composition under changing environment in the middle reach of Hanjiang River

To investigate the flood-regional composition under changing environmental conditions in the middle reach of Hanjiang River (MHR), a data-driven hydrological simulation model and its related quantitative methods were developed. The flood-regional composition of Huangzhuang(HZ) in the MHR was quantitatively analyzed, and the influence of environmental changes on river flood routing was discussed. The primary research findings are as follows: ① A hydrological simulation model based on support vector regression machine (SVRM) is constructed to simulate the daily average flow process of HZ from 1965 to 2021. The Nash-Sutcliffe Efficiency (NSE) coefficient achieved values above 0.95, and the overall relative error (RE) was within ± 1 %, indicating excellent simulation performance. ② A quantitative analysis method has been proposed to identify the composition of flood areas. The results indicate that the upper reach of Hanjiang River (UHR) is the primary contributor to floods in the MHR, accounting for 60.62 % to 78.05 % of the total. The Tangbai River (TR) contributed between 14.1 % and 27.4 %, whereas the Nan River had a smaller contribution of only 6.83 % to 8.85 %. ③ Trend analysis indicates that the proportion of floods originating from the UHR increases in the summer flood season and decreases in the autumn flood season, while those changes of TR and Nanhe River (NR) are coincidental, especially in the autumn flood season, the proportion of floods in the TR increases significantly. The impact of floods from the UHR and TR cannot be ignored when implementing flood control measures. ④ A comprehensive analysis method has been proposed to quantify the integrated impacts of environmental changes. The results show that environmental changes had a relatively minor impact on flood routing and its flood-regional composition. However, they did affect the flood propagation process, resulting in earlier occurrences in peak flow, increased in peak discharge, and rapid rise and fall of floodwaters for floods exceeding 12,000 m3/s. These research findings provide strong foundational support for designing flood-regional, as well as flood control and disaster reduction systems in the MHR.

An Overview of the Application of Convolutional Neural Networks inSentiment Analysis

The field of natural language processing, or NLP, uses its understanding of human language to find practical solutions to issues. It mainly includes two parts: the core task and the application. The core task represents the common problem that needs to be solved in various natural language application directions. It includes language models, morphology, grammar analysis, semantic analysis, etc. At the same time, the application section focuses on specific natural language processing tasks such as machine translation, information retrieval, question-answering systems, dialogue systems, etc. Natural language processing has made a significant contribution to the development of human society and the economy and provides strong support for all aspects of research work. Opinion mining, or sentiment analysis, is a subfield of natural language processing that develops systems for identifying and extracting ideas from text. Sentiment analysis is a hot topic since it has many practical applications. Many opinion-expressing texts are available on review sites, forums, blogs, and social media as the amount of publicly available information on the Internet grows. This unstructured information can then be automatically transformed into structured data about products, services, brands, politics, or other topics on which people can express their opinions using sentiment analysis systems. This information can be used for marketing analytics, public relations, product reviews, network sponsor ratings, product feedback, and customer service. With the rapid growth of labeled sample data sets and the notable enhancement in graphics processor (GPU) performance, convolutional neural network research has advanced rapidly and achieved remarkable leads to various computer vision tasks. By reviewing the application of CNN, we see that convolutional operations are naturally suitable for some text processing and, thus, naturally suitable for the background of sentiment analysis.

A pilot study of an intergenerational program for people in residential aged care with cognitive impairment and children from a co-located early learning centre during COVID-19.

Intergenerational programs in residential aged care may improve well-being and combat loneliness and social isolation in older people with cognitive impairment. This pilot study investigated the effects of a semi-structured intergenerational group, including children from a co-located early learning centre and people living in residential aged care with cognitive impairment. This 9-week study used a mixed methods pre- and post-program design. Sessions were designed and delivered once per week by Occupational Therapists and took into account residents' interests and children's developmental needs and interests, identified in pre-program interviews. Nine older people with cognitive impairment and 13 children participated. The program was well attended despite disruptions and complications caused by COVID-19 and weather conditions. Older people valued the opportunity to engage with the children. Children were observed to gain confidence in communicating and forming friendships with older people with different levels of ability. There did not appear to be any change in loneliness or neuropsychiatric symptoms. The intergenerational program benefited participants and received strong support from family members and staff of the early learning centre and aged care home.

Research on Three-dimensional Reconstruction

Nowadays, with the continuous development of the field of computer vision and computer graphics, 3D reconstruction technology has become an area that has attracted much of people’s attention. 3D reconstruction refers to creating a 3D model of an object in the real world by extracting information from multiple 2D images or sensor data. This technology has important usages in many fields, including virtual reality, augmented reality, cultural heritage preservation, medical image processing, industrial design, etc. This thesis examines the application of 3D reconstruction in various fields, discusses the definition of development history, its wide application in life, and its advantages and disadvantages. This article is divided into four parts and discusses the algorithm research of 3D reconstruction in four fields. Through an in-depth study of 3D reconstruction technology, we can better understand its role in different fields and provide strong support for developing and innovating related applications. As more accurate devices and algorithms continue to advance, 3D reconstruction technology is expected to show its significant potential in more and more fields and create more realistic and useful digital experiences for us.

The Path to Optimize the Authorized Legislative Power of Special Economic Zones

The authorized legislative system of China’s special economic zones has provided strong support for the successful implementation of reform and opening up. However, with the vigorous development of the special economic zone economy, the authorized legislative power of special economic zones also faces a series of opportunities and challenges, involving key issues such as power boundaries, legal frameworks, and scope definition. This study focuses on the legitimacy analysis of the authorization decisions made by the National People’s Congress and its Standing Committee, the legitimacy analysis of the authorization of the National People’s Congress to formulate regulations by the government of special economic zones, as well as the review and supervision of the authorized legislation of special economic zones. It explores the enhancement and prospects of legislative authority in Special Economic Zones, aiming to establish a theoretical foundation for the standardization of the legislative power of special economic zones in China, promote the establishment of legal frameworks and the sustained prosperity of special economic zones.

Nepalese tourism from the lens of residents: An assessment of impact perception, attitude, and action towards tourism development in Gandaki province, Nepal

Residents’ perception, attitude, and support towards the tourism industry are the key determinants of tourism success. Therefore, understanding residents’ perceptions is critically important for the long-term sustainability of the tourism industry. However, such studies are meagre in the context of Nepalese tourism, one of the most popular nature and culture-based tourism destinations in the global tourism arena. In this study, we assessed the residents’ perception towards tourism impact, and their attitude and subsequent action towards future tourism development in three popular destinations: Pokhara, Ghandruk, and Ghorepani of Gandaki province, Nepal. Data were collected on a Likert scale ranging from 1 to 7 via a questionnaire survey with 600 randomly selected local residents. The result revealed that irrespective of differences in demographic variables, all the residents showed a high level of agreement that the benefits of tourism outweigh the prevalent costs. The result also revealed that both residents’ attitude and support were significantly influenced by socio-economic impacts and thus most residents despite having few anticipated concerns showed prevalent positive attitude and strong support for tourism promotion. However, residents not directly benefited from tourism and the residents of farther distance from the core touristic regions showed reluctancy for the further promotion of tourism. Thus, it suggests that diverse group of people have no equitable access to the resources and benefits of tourism. Therefore, to maintain the long-term sustainability of tourism industry in this region, the stakeholders are required to involve diverse group of local residents not only in devising effective strategies for mitigating anticipated concerns and assuring equitable benefits to the diverse group of people but also in formulating tourism policy and in the process of tourism development. Had this approach been successful, it would be instrumental in devising sustainable tourism plans and policies for similar other destinations across the entire country.

Getting into top-ranked management journals from business schools at the periphery: The role of doctoral education and co-authorship

Drawing upon recent extensions of the centre–periphery model, we examine research and publications by academics at the periphery within the present environment of increasing institutional pressures to publish internationally. Reviewing the emergence and the historical development of management as a discipline, we describe the fragmentation in approaches to research that has arisen in this field among countries that are typically considered as the ‘centre’ of worldwide scholarship. We propose and empirically demonstrate that the differentiation within the ‘centre’ becomes largely mirrored at the periphery with respect to attention to societal contexts, research methodology and publishing. Our companion argument that doctoral education in and/or co-authorship ties to various parts of the ‘centre’, or a lack thereof, serve as the main vehicles in generating heterogeneity and some degree of agency at the periphery receives strong support. We also find that when ties to the ‘centre’ are absent contributions from the periphery remain limited. In addition, we show that tendencies towards decontextualized research, quantitative methodologies and publishing in US-based journals have become stronger over time. The article concludes with a discussion of the theoretical contributions, main findings and the implications of our study for the possible futures of research at the periphery.

Enhanced removal of toluene in heterogeneous aquifers through injecting encapsulated ozone micro-nano bubble water

Organic contaminants have a tendency to accumulate in low-permeability aquifers, making their removal challenging and creating a bottleneck in groundwater remediation efforts. The use of ozone micro-nano bubbles, due to their smaller size compared to traditional macrobubbles, shows potential for efficient penetration into the low-permeability aquifer and effective oxidization of contaminants. This study conducted batch experiments, column studies, and 2D tank experiments to systematically investigate the remediation efficiency of toluene in a heterogeneous aquifer using ozonated water (OW), ozone micro-bubble water (OMBW), and encapsulated ozone micro-nano bubble water (EOMBW) with rhamnolipid. Experimental results showed that rhamnolipid effectively increased the densities and reduced the sizes of micro-nano bubbles, leading to improved ozone preservation and enhanced toluene degradation. Nanobubbles exhibited higher mobility compared to microbubbles in porous media, while rhamnolipid increased the density of penetrated nanobubbles by 9.6 times. EOMBW demonstrated superior efficiency in oxidizing toluene in low-permeability aquifers, and a numerical model was developed to successfully simulate the ozone and toluene concentration. The model revealed that the increased oxidation rate by EOMBW was attributed to the preservation of ozone in micro-nano bubbles and the enhanced toluene oxidation rate. These findings contribute significantly to the application of EOMBW in heterogeneous aquifer remediation.

Investigating the Mechanism of Strong Roof Weighting and Support Resistance Near Main Withdrawal Roadway in Large-Height Mining Face

Abstract Aiming at investigating the strong roof weighting when the large height mining face is nearing the main withdrawal roadway, the 52,304 working face (WF) nearly through the main withdrawal roadway mining in a colliery of Shendong coalfield was taken as the research background. The ground pressure, roof structure, and superposition effect of stress in the last mining stage were studied by field measurement, physical simulation, and numerical calculations. The obtained results demonstrated that the main roof formed the “long step voussoir beam” structure under the influence of the main withdrawal roadway. The superposition effect of the front abutment pressure of the WF and the concentrated stress of the main withdrawal roadway caused the stress asymmetrical distribution on the two sides -level hard rock straof the main withdrawal roadway, and the stability of the pillar on the mining side decreases. The initial average periodic weighting interval was 20.7 m. While the WF approaches the main withdrawal roadway, the pillar near the WF of the main withdrawal roadway collapsed, the main roof was broken ahead of the WF, and the actual roof control distance of support and the periodic weighting interval increased by 2.56 and 1.26 times the normal state, respectively. Consequently, the “static load” of the immediate roof and the “dynamic load” of the sliding unsteadiness of the long step voussoir beam increased. The structural model of the “long step voussoir beam” under the superposition of “static and dynamic load” was established concerning those results, and an expression was proposed to compute the support resistance. Meanwhile, the mechanism of strong roof weighting was revealed when the WF was nearly through the main withdrawal roadway. The research conclusion is expected to provide a guideline for the safe withdrawal of the large-height mining faces under similar conditions.

Creep deformation monitoring of landslides in a reservoir area

Effective utilization of reservoirs facilitates the distribution of water resources in both time and space, providing strong support for the sustainable growth of the economy and society. However, the periodic water level fluctuations of a reservoir during its operation may lead to geological hazards such as landslides. Here, we conducted a comparative analysis of the deformation processes of reservoir and non-reservoir landslides in the Jilintai area between 2017 and 2022 using Interferometric Synthetic Aperture Radar (InSAR) technology and wavelet analysis. Results show that more unstable locations were found on shaded slopes with a soil moisture of 6–10% than on sunny ones with a soil moisture of 15–19%. Both reservoir and non-reservoir landslides showed continuous and prolonged creep displacement over time. The deformation curve of the reservoir landslides displayed a step-like trend, whereas it was a linear trend without the discernible acceleration period for the non-reservoir landslides. Furthermore, the wavelet analysis revealed that the deformation of reservoir landslides follows a one-year period, almost synchrony with reservoir level changes. The results from this work deepen our understanding of kinematic processes of reservoir and non-reservoir landslides, which is crucial for reasonable and effective landslide monitoring and prevention.

Assessing support for mental health policies among policy influencers and the general public in Alberta and Manitoba, Canada

BackgroundThere is a need to improve mental health policy in Canada to address the growing population burden of mental illness. Understanding support for policy options is critical for advocacy efforts to improve mental health policy. Our purpose was to describe support for population-level healthy public policies to improve mental health among policy influencers and the general public in Alberta and Manitoba; and, identify associations between levels of support and sociodemographic variables and relative to the Nuffield Bioethics Intervention Ladder framework.MethodsWe used data from the 2019 Chronic Disease Prevention Survey, which recruited a representative sample of the general public in Alberta (n = 1792) and Manitoba (n = 1909) and policy influencers in each province (Alberta n = 291, Manitoba n = 129). Level of support was described for 16 policy options using a Likert-style scale for mental health policy options by province, sample type, and sociodemographic variables using ordinal regression modelling. Policy options were coded using the Nuffield Council on Bioethics Intervention Ladder to classify support for policy options by level of intrusiveness.ResultsPolicy options were categorized as ‘Provide Information’ and ‘Enable Choice’ according to the Nuffield Intervention Ladder. There was high support for all policy options, and few differences between samples or provinces. Strong support was more common among women and among those who were more politically left (versus center). Immigrants were more likely to strongly support most of the policies. Those who were politically right leaning (versus center) were less likely to support any of the mental health policies. Mental health status, education, and Indigenous identity were also associated with support for some policy options.ConclusionsThere is strong support for mental health policy in Western Canada. Results demonstrate a gap between support and implementation of mental health policy and provide evidence for advocates and policy makers looking to improve the policy landscape in Canada.

Pelaksanaan Kegiatan Ekstrakurikuler Band di MAN 2 Kota Padang dengan Pendekatan Literasi Plus Media

This study aims to describe the implementation of band extracurricular activities at MAN 2 Padang City. This type of research is qualitative research with descriptive methods. Data collection techniques were carried out by observation, interviews, literature study, and documentation. The data in this study used secondary data. The steps of analyzing data are collecting, describing and concluding data. Band extracurricular activities at MAN 2 Padang City with a literacy plus media approach are carried out with 3 stages, namely planning, implementation, and evaluation. band extracurricular activities at MAN 2 Padang City have become one of the extracurricular activities that can develop students' musical abilities. The planning process, practice, and strong support from coaches and coaches have contributed to the success of this extracurricular band. For the students involved, this extracurricular band has provided a lot of knowledge and experience in developing musical abilities and art activities and has provided inspiration to develop their musical abilities further.

Teaching Reform of Literature Retrieval Course under the Accreditation of Engineering Education

The professional certification of engineering education has put forward new requirements for talent training in the new period, and the literature retrieval course can not only cultivate the information quality of students, but also provide strong support for the talent training requirements put forward by the engineering certification as a course with strong practicability. Here we analyze the problems in the process of teaching the literature search course for the bioengineering majors of Linyi University and put forward the corresponding solutions to provide a little experience and suggestions for the reform of other courses in the future.

Cognitive components of aging-related increase in word-finding difficulty

ABSTRACT Word-finding difficulty (WFD) is a common cognitive complaint in aging, manifesting both in natural speech and in controlled laboratory tests. Various theories of cognitive aging have addressed WFD, and understanding its underlying mechanisms can help to clarify whether it has diagnostic value for neurodegenerative disease. Two influential “information-universal” theories attribute it to rather broad changes in cognition. The processing speed theory posits a general slowdown of all cognitive processes, while the inhibitory deficit hypothesis (IDH) predicts a specific problem in suppressing irrelevant information. One “information specific” theory of language production, the transmission deficit hypothesis (TDH), posits a breakdown in retrieval of phonological word forms from a corresponding lemma. To adjudicate between these accounts, we administered an online gamified covert naming task featuring picture-word interference (PWI), previously validated to elicit similar semantic interference and phonological facilitation effects as overt naming tasks. 125 healthy adults aged 18 to 85 completed the task, along with a battery of executive function tasks and a naturalistic speech sample to quantify WFD in connected speech. PWI effects provided strong support for the TDH but limited support for IDH, in that semantic interference increased and phonological facilitation decreased across the lifespan. However, neither of these effects on single-word retrieval associated with WFD measured in connected speech. Rather, overall reaction time for word retrieval (controlling for psychomotor slowing) was the best predictor of spontaneous WFD and executive function decline, suggesting processing speed as the key factor, and that verbal reaction time may be an important clinical measure.

A256 NAVIGATING IBD CARE : HEALTHCARE PROVIDERS’ INSIGHTS ON IMPLEMENTATION OF NURSE NAVIGATOR-LED IBD FLARE PATHWAY

Abstract Background Disparities in access to healthcare for persons living with inflammatory bowel disease (IBD) persist. An IBD nurse navigational role promises to improve access to evidence-based specialist care by minimizing inequities in access to care. Little is known about how to implement a provincial nurse navigational role in the Canadian health system. Aims This study aims to explore healthcare providers' perceptions of barriers and facilitators to the implementation of an evidence-based IBD flare pathway through a provincial nurse navigational role. Methods This was a national qualitative study performed in collaboration with the CCC PACE Program, in which two virtual semi-structured group interviews were conducted in 2022. One group interview was with six IBD nurses from three provinces, and the second was with five gastroenterologists from five provinces. Participants were purposefully recruited. The Consolidated Framework for Implementation Research (CFIR) and the Capability, Opportunity, Motivation, and Behaviour (COM-B) frameworks informed the interview script development. Data were transcribed verbatim and subjected to content analysis, with major themes categorized into the COM-B domains. The results of preliminary data analysis are presented. Results While IBD nurses emphasized the critical role of effective communication tools, standardized referral systems, strong administrative support and patient education and engagement as facilitators, they also highlighted challenges like patient resistance, variability of training and the necessity for tailored patient care. Other barriers identified were the medical complexity of managing overlapping conditions, remote vs in-person considerations and the perception and definition of a flare. On the other hand, IBD-focused gastroenterologists emphasized the potential of integrating pathways into electronic medical records and the value of empowering nurse navigators. However, they pointed out concerns regarding the inherent variability in disease presentation, entrenched medical beliefs, comfort levels with nurse-led pathways and the inherent diversity in medical practices. Both groups identified resource constraints as a barrier and an effective triage process as a facilitator. Conclusions This study sheds light on the multifaceted perceptions of healthcare providers concerning the implementation of an evidence-based IBD flare pathway through a provincial nurse navigational role. These insights underline the complexity of implementing a nurse navigational role and the need for targeted interventions and resources to address the identified barriers while leveraging the facilitators. Funding Agencies CCC

The convergence of total-factor energy efficiency across Chinese cities: A distribution dynamics approach

Improving energy efficiency is considered the most direct route to reducing carbon emissions on a massive scale. To examine the long-run trend of China's energy efficiency, this paper employs a distribution dynamics approach to analyze the convergence of total-factor energy efficiency (TFEE) across 286 Chinese cities between 2002 and 2014. The result suggests the existence of convergence, which comes more from the efficiency declines in the high TFEE cities rather than the efficiency gains in the low TFEE cities. Despite the fact that a few cities have performed well in energy efficiency, the majority of cities have converged to a low-efficiency point. Further analyses show that the inefficiency was attributed to inefficient energy use in small- and medium-sized cities. Our analysis provides strong scientific support for China's ongoing energy conservation and environmental protection policies.