Two-way Interaction Research Articles

Exposure to secondhand smoke among school-going adolescents in Malaysia: Results from the National Health and Morbidity Survey (NHMS) 2022: Adolescent Health Survey (AHS).

The adverse effects of secondhand smoke (SHS) exposure on health have been well established. Using the NHMS 2002: Adolescent Health Survey (AHS), this study attempts to evaluate the extent and factors associated with SHS exposure among Malaysian school-going adolescents. We conducted the NHMS 2022: AHS to gather a representative sample of school-age teenagers. We employed a cross-sectional study design and a multi-stage sampling procedure. We utilized a pre-validated self-administered questionnaire to collect data from the selected respondents. The data analysis included adjusted odds ratios (AORs) with 95% confidence intervals (95% CIs). Additionally, we investigated the possible two-way interactions between the independent variables. The SHS prevalence was 42.0%. Exposure to secondhand smoke (SHS) was associated with male gender (AOR=1.28; 95 CI: 1.20-1.38), older age (AOR=1.46; 95% CI: 1.33-1.60), Malay (AOR=1.88; 95% CI: 1.49-2.37), Bumiputra Sabah (AOR=2.23; 95% CI: 1.67-2.99), Bumiputra Sarawak (AOR=2.43; 95% CI: 1.80-3.28), and Chinese ethnicity (AOR=2.89; 95 CI: % 2.30-3.64), as well as current smoking (AOR=2.78; 95% CI: 2.50-3.09), having separated or divorced parents (AOR=1.12; 95% CI: 1.02-1.23), and parental tobacco product use (AOR=4.75; 95% CI: 4.44-5.08). We found significant interactions between: 1) Age group with gender and ethnicity; 2) Gender and ethnicity; and 3) Parental smoking status with gender, response to tobacco use, parents' marital status, and ethnicity. Parental characteristics, sociodemographic characteristics, and SHS exposure are strongly correlated. In addition, there is evidence of smoking displacement to the house from other areas by parents/guardians. This study offers a fresh perspective on how these variables influence the likelihood of SHS exposure for Malaysian school-age teenagers. More efforts should focus on parental variables and sociodemographic traits, especially parental smoking cessation support.

Eyestrains among smartphone users while watching videos in Taipei MRT carriages: a comparison between sitting and standing postures

In MRT carriages, more passengers are watching videos on their smartphones during daily commutes, yet the impact of these viewing conditions on visual strain remains unexplored. This study examined eyestrain in 24 male and 24 female participants while watching videos on smartphones in two postures (sitting and standing) and over two durations (15 min and 30 min) in Taipei MRT carriages. We measured critical flicker fusion frequency (CFF) reduction, visual fatigue scale (VFS) scores, and viewing distance (VD) for each trial. Results revealed significant effects of sex, posture, and viewing duration on visual strain, with notable two-way interactions (sex × posture and posture × time) influencing most outcomes. Women showed greater CFF reduction while sitting compared to standing (3.47 Hz vs. 1.90 Hz, p < 0.001) and maintained shorter VDs while seated (25.5 cm vs. 34.3 cm, p < 0.001). However, they reported higher VFS scores when standing (8.94 vs. 4.60, p < 0.001), indicating increased discomfort while standing in the moving MRT carriage. Men exhibited higher CFF reduction (2.81 Hz) than women while standing (1.90 Hz) (p < 0.01), but this difference was not observed while sitting. Eyestrain indicators significantly worsened after 30 min of viewing compared to 15 min, with stronger effects on VFS scores and VDs. This finding supports the recommendation to take breaks after 20 min of smartphone use, even in MRT carriages. Although subjective eyestrain is not always recognized, watching videos on smartphones while seated can result in unexpectedly high levels of objective visual fatigue, indicated by CFF reduction. Our findings suggest that eyestrain patterns in MRT carriages differ from those reported in previous studies. Seated passengers, particularly females with shorter VD, may experience unrecognized eyestrain that could impact eye health, while standing passengers may face greater discomfort. These results highlight the need for increased awareness and preventive measures to mitigate eyestrain in digital public transportation environments.

Causal mechanisms of the psychological needs for online gamified learning and the impact on learning engagement among college students

ABSTRACT This study explores the development process of psychological needs in online gamified learning (OGL) among university students and examines its impact on learning engagement. Grounded in Self-Determination Theory (SDT), the research conducted a purposive sampling survey involving 483 university students with diversified academic backgrounds. Results from Mplus-based analysis show: Perceived autonomy correlates positively with perceived relatedness and perceived competence; Autonomy-Supportive Motivation is positively linked to the three basic psychological needs; Perceived autonomy, perceived relatedness, and perceived competence are positively associated with intrinsic motivation; Intrinsic motivation further correlates positively with learning engagement; and intrinsic motivation, along with the basic psychological needs, mediates the relationship between autonomy-supportive motivation and learning engagement in college students within a OGL environment. Additionally, the study found that external orientation negatively moderated the link between autonomy-supportive motivation and perceived autonomy in college students. The main value of this study is that it reveals the logical relationships within students’ psychological needs in the context of OGL, validating the development process of students’ psychological needs and its impact on learning engagement, emphasizing the crucial two-way interaction between teachers and students, and creating an indirect impetus driven by external contexts, causal factors, and behavioral structures.

Standardized Ileal Digestibility of Amino Acids in Hybrid Rye Ground to Two Particle Sizes and Fed With or Without Multienzyme Supplement to Young Growing Pigs.

A newly developed hybrid rye with enhanced ergot resistance has potential as an alternative energy source for pigs. An experiment was conducted to evaluate the effects of particle size (PS) and multienzyme supplement (MES) on the apparent total tract digestibility (ATTD) of energy and nutrients and the standardized ileal digestibility (SID) of amino acids (AA) in hybrid rye fed to growing pigs. Bono and Gatano, two hybrid rye varieties, were ground to either a coarse (1111 and 1210 μm) or a fine (594 and 717 μm) PS using a hammer mill. Eighteen ileal-cannulated barrows (initial BW = 18.2 ± 1.0 kg) were randomly assigned to 1 of 9 dietary treatments in a replicated 9 × 3 incomplete Latin square design to give six observations per treatment. Among the nine experimental diets, eight featured two hybrid rye varieties (Bono or Gatano), either coarsely or finely ground, as the only source of AA with or without MES, while an N-free diet was used to estimate the endogenous losses of AA at the distal ileum. All diets contained titanium dioxide as an indigestible marker. Each period lasted 9 days, with the first 5 days being for adaptation followed by 2 days each for faecal and ileal digesta collection. Data were analysed using the MIXED procedure of SAS, with the final model having variety, PS, MES, their two-way interactions, and a three-way interaction. No interactions were noted except that the apparent ileal digestibility and SID of crude protein (CP) and most AA in Gatano had greater effects of MES than Bono (Variety × MES; p < 0.05). The ATTD of dry matter (DM), gross energy (GE) and CP were greater (p < 0.05) in Bono diets than in Gatano diets. Finely ground hybrid rye diets had higher (p < 0.05) ATTD of neutral detergent fibre assayed with a heat stable amylase and expressed inclusive of residual ash (NDF) and ether extract compared to coarsely ground hybrid rye diets. Dietary MES supplementation increased (p < 0.05) the ATTD of DM, GE, CP, NDF, acid detergent fibre expressed inclusive of residual ash, and ash in hybrid rye diets. In conclusion, the nutrients digestibility of hybrid rye can be affected by its variety. PS reduction improved the nutrient digestibility in hybrid rye, and MES supplementation improved the energy and AA digestibility in hybrid rye fed to growing pigs.

The wave-current combined effect on the dynamic response of monopile-supported system considering fluid-structure interactions

ABSTRACT The monopile-supported offshore wind turbines (OWTs) are subjected to complex marine environment loads, the dynamic responses of wind turbine structures under wave and current loads are critical for structural safety assessment, which involves the interaction of fluid and structure fields. This study proposed an approach for simulating the two-way (T-W) fluid-structure interaction (FSI), the dynamic responses of the wind turbine support structure under the combined action of wave and current load are investigated. Subsequently, the effect of wave-current interaction, scour depth and flow velocity on the dynamic responses of monopile-supported OWTs are analysed and some useful guidelines are provided. The results indicate that the wave-current interaction can strongly influence the dynamic responses of OWTs, especially for larger scour depth and higher flow velocity. In addition, the displacement amplitude of OWT decreases by 15% under the current load in consideration of the fluid-structure interaction and the bearing performance of the pile improves accordingly.

Influence of Storage Conditions on Four Chipping Potato Cultivars Developed in North Dakota

Cold temperature storage (lower than 10 °C) has been used as a management strategy to extend marketability and reduce potato storage losses. However, cold temperatures may result in dark-colored chips through a process known as cold-induced sweetening (CIS). ‘Dakota Crisp’ and ‘Dakota Diamond’ are two North Dakota State University potato breeding program cultivar releases selected for cold-chipping ability with high tuber yield potential. Two-year storage trials were conducted to examine sugar development and tuber processing quality of four cultivars grown at three nitrogen rates under irrigated and non-irrigated field conditions. The two-way interaction between storage period and storage temperature was significant for sucrose content, glucose content, visual chip color, and Agtron values, indicating a difference in sugar development for each storage temperature profile. Among the four cultivars evaluated under both irrigated and non-irrigated production conditions, ‘Dakota Pearl’ accumulated significantly less sucrose and glucose compared to other cultivars under the same storage conditions. ‘Dakota Crisp’ produced acceptable chip color from 8.9 °C after long term storage, while ‘Dakota Diamond’ produced acceptable chip color from 8.9 °C for up to 6 months of storage. These results emphasize the importance of developing cultivar-specific management profiles including storage and the informational need for producers and processors in determining the best practices for individual cultivars.

Participation in organised sports and longitudinal development of physical activity in Swiss youth: the population-based SOPHYA cohort

BACKGROUND: Maintaining physical activity throughout life is crucial for overall health and wellbeing. Yet the age-related decline in average physical activity, a natural phenomenon also observed in animals, poses a challenge. This study aimed to investigate whether participation in organised sports supported by the Swiss Youth+Sports (Y+S) programme is associated with sustaining or enhancing physical activity among children and adolescents during 5 years of follow-up. METHODS: The longitudinal study was nested in the population-based SOPHYA (Swiss children’s Objectively measured PHYsical Activity) cohort. Participants aged 6–16 years at SOPHYA1 (2014) with complete accelerometer data from baseline and follow-up assessment (SOPHYA2, 2019) were included. The primary exposure was participation in organised sport during the follow-up period, calculated by linkage with the Y+S database as the number of days with at least one activity in Y+S-offered programmes for ages 5 to 20 years. The primary outcome was the categorisation of participants into physical activity “improvers” or “worseners”. Improvers in the respective physical activity categories – total activity counts per minute (CPM), minutes in moderate-to-vigorous activity (MVPA), minutes in light activity (LPA) and minutes in sedentary behaviour (SB) – increased or maintained their active physical activity during the 5 follow-up years. Information on confounders and effect modifiers (sex, age, body mass index (BMI), language region, household income, education) was obtained by self-report at baseline. Logistic regressions examined the relationship between organised sport participation and the probability of being a physical activity improver in each physical activity intensity category separately. Covariates for the final models were selected through a stepwise procedure based on the Bayesian information criterion from a maximal model containing all covariates as well as all two-way interactions with organised sport and between them. All models were a priori adjusted for technical variables (season of measurement; wear time; duration of follow-up). RESULTS: The analysis included 432 participants. There was a strong CPM, MVPA and LPA decline from 2014 to 2019, but an increase in SB. Nevertheless, the prevalence of improvers was 22.5% for CPM, 9.5% for MVPA, 26.9% for LPA and 9.7% for SB. Engagement in organised sport between 2014 and 2019 was positively associated with CPM, MVPA and SB, but not with LPA improver status. For 30 additional days of participation in organised sport over the five years of the study, the odds of being an improver vs being a worsener increased by 4.0% for CPM (95% CI: 0.13–7.69), 6.2% for MVPA (95% CI: 0.82–11.54) and 6.0% for SB (95% CI:−1.49–13.97). CONCLUSION: The results provide supporting evidence that organised sport in the context of the Swiss Y+S programme may empower the young to maintain an active lifestyle and even offset the age-related decline in physical activity.

Maternal childhood polyvictimization and neglect of their children: Evidence among Salar Muslim women

BackgroundLimited research has been conducted on child neglect among ethnic minority groups in China. The Salar, a Turkic-Muslim ethnic minority predominantly residing in western China, face unique challenges in this regard. Influenced by their ethnicity, Islam, and Chinese Confucianism, Salar women are particularly vulnerable to various forms of childhood victimization. These victimizations further compound the difficulties they face in providing adequate care for their children. ObjectiveThe 3-D polyvictimization theory introduced three key concepts to measure polyvictimization: invasiveness, exploitativeness, and severity. These concepts aim to provide a nuanced understanding of an individual’s victimization experiences. In light of this theory, this study aims to test a hypothesis regarding the relationship between childhood polyvictimization experienced by Salar mothers and the neglect of their children. MethodA probability proportional to size (PPS) sampling approach was used to collect a random representative multi-stage cluster sample of 201 married Salar women in 2022. Random effects Poisson regression models were used to test the five hypotheses. ResultsThe participants reported a 65.6% rate of child neglect, and all the mothers included in the study had a history of childhood polyvictimization. The Poisson regression in the main effect model demonstrated that invasive and exploitative of the childhood polyvictimization are associated with child neglect. Moreover, a two-way interaction between invasiveness and exploitativeness, as well as exploitativeness and severity of the childhood polyvictimization, showed a strong positive association with child neglect. Lastly, a three-way interaction involving invasiveness, exploitativeness, and severity of the childhood polyvictimization was also strongly positively associated with child neglect. ConclusionsThis research indicates that a history of maternal childhood polyvictimization is associated with an increased risk of child neglect, especially when the experiences of polyvictimization involved high levels of invasiveness and exploitativeness. It emphasizes the importance of considering the nuanced nature of polyvictimization in understanding its relationship with child neglect.

In Vitro Comparison of Direct Attachment Shape and Size on the Orthodontic Forces and Moments Generated by Thermoplastic Aligners During Expansion.

To evaluate the effects of varying direct attachment shape and size on the forces and moments generated by thermoplastic aligners during simulated expansion. An invitro orthodontic force tester (OFT) was used to measure the forces and moments from a typodont where the buccal teeth were translated lingually 0.2 mm to simulate expansion. Hemi-ellipsoid and rectangular attachments with either 0.5 or 1.0 mm thickness were added on upper right first premolar (UR4), second premolar (UR5) and first molar (UR6). Analysis of variance (ANOVA) was used to determine two-way interactions among the factors on the outcomes. The interactions between group and tooth were significant for all outcomes (p < 0.001). The greatest buccal forces (Fy) were observed with 1 mm rectangular attachment on the UR4 (0.78 ± 0.29 N), with 1 mm hemi-ellipsoid attachment on UR5 (0.28 ± 0.21 N) and with 0.5 mm rectangular attachment on UR6 (1.71 ± 0.18 N). The greatest buccolingual moments (Mx) were obtained with 1 mm rectangular attachment on UR4 (5.61 ± 1.43 Nmm), without any attachments on UR5 (3.33 ± 1.73 Nmm) and with 1 mm hemi-ellipsoid attachment on UR6 (4.18 ± 4.31). Direct attachment shape and size had a significant effect on the orthodontic forces and moments generated by thermoplastic aligners during simulated expansion. Although loads varied significantly by tooth morphology and its location in the arch, best forces and moments for expansion were obtained with 1 mm rectangular attachments on UR4s, 1 mm hemi-ellipsoid attachments on UR5s and 0.5 mm rectangular attachments on UR6s.

Study on the influence mechanism of elastic appendage on the longitudinal stability of high-speed planing craft

Aiming at the problem of porpoising during high-speed navigation of planing crafts, this study designed a localized elastic appendage installed in the high-pressure area of the boat bottom, which can improve the longitudinal stability of the planing craft through its passive deformation. The ship model towing test and numerical simulation of rigid model (RM) and local elastic model (LEM) are carried out under still water conditions. The flow field calculation of RM based on CFD and the two-way fluid-structure interaction simulation of LEM based on CFD-FEM are all in good agreement with the experimental data. The test and numerical results indicate that in the speed range of 1–11 m/s, the maximum deformation of the LEM elastic appendage can approach 4 mm. There is an obvious improvement in longitudinal stability following deformation. The stable speed range is increased by 1.2 times and the trim angle of LEM is reduced by a maximum of 15% when compared to RM at the same speed. In terms of resistance, RM and LEM exhibit almost identical characteristics. Based on the details of flow field and the pressure distribution obtained by the numerical simulation, the mechanical properties of the planing craft after the deformation of the local elastic appendage have been analyzed, which provides a new design idea for the planing craft to improve the longitudinal stability.

Taking relations as known conditions: A tagging based method for relational triple extraction

Relational triple extraction refers to extracting entities and relations from natural texts, which is a crucial task in the construction of knowledge graph. Recently, tagging based methods have received increasing attention because of their simple and effective structural form. Among them, the two-step extraction method is easy to cause the problem of category imbalance. To address this issue, we propose a novel two-step extraction method, which first extracts subjects, generates a fixed-size embedding for each relation, and then regards these relations as known conditions to extract the objects directly with the identified subjects. In order to eliminate the influence of irrelevant relations when predicting objects, we use a relation-special attention mechanism and a gate unit to select appropriate relations. In addition, most current models do not account for two-way interaction between tasks, so we design a feature interactive network to achieve bidirectional interaction between subject and object extraction tasks and enhance their connection. Experimental results on NYT, WebNLG, NYT⋆ and WebNLG⋆ datasets show that our model is competitive among joint extraction models.

After initial acquisition, problem-solving leads to better long-term performance than example study, even for complex tasks

BackgroundSuccessful implementation of effective acquisition strategies (e.g., example study, problem-solving) could help improve mathematics performance. However, it is not yet fully understood when each acquisition strategy should be used, despite the practical value of this knowledge for mathematics textbook authors, teachers, and students. AimsBuilding upon two recent perspectives on when example study and problem-solving are beneficial, we proposed that the optimal acquisition strategy could depend on both task complexity and retention interval (i.e., time between the final practice opportunity and the test). We conducted a multi-classroom experiment to test this proposition. Sample166 typically-developing Dutch fifth-grade students participated (Mage = 11.14 years; 42.2% boys). MethodsWe used a 2 (Task Complexity: simple vs. complex) x 2 (Acquisition Strategy: example study vs. problem-solving) x 2 (Retention Interval: 5 min vs. 1 week) between-subjects design with problem-solving performance as dependent variable. ResultsThere was no evidence for the hypothesised three-way interaction effect of task complexity, acquisition strategy, and retention interval. However, there was evidence for the hypothesised two-way interaction effect of acquisition strategy and retention interval, independent of task complexity. More specifically, after 5 min, there was no statistically significant performance difference between students studying worked examples and those solving practice problems, but after 1 week, students solving practice problems outperformed those studying worked examples. ConclusionsOur findings imply that, after initial acquisition, problem-solving leads to better long-term problem-solving performance than example study. This holds true even for a relatively complex task and with limited instruction.

Investigating the pathophysiology and evolution of internal carotid dissection: a fluid-structure interaction simulation study.

Arterial dissection, a condition marked by the tearing of the carotid artery's inner layers, can result in varied clinical outcomes, including progression, stability, or spontaneous regression. Understanding these outcomes' underlying mechanisms is crucial for enhancing patient care, particularly with the increasing use of computer simulations in medical diagnostics and treatment planning. The aim of this study is to utilize computational analysis of blood flow and vascular wall to: (1) understand the pathophysiology of stroke-like episodes in patients with carotid artery dissection; and (2) assess the effectiveness of this method in predicting the evolution of carotid dissection. Utilizing contrast-enhanced magnetic resonance angiography (MRA), we segmented images of the patient's right internal carotid artery. These images were transformed into 3D solids for simulation in Ansys multifisic software, employing a two-way fluid structure interaction (FSI) analysis. Simulations were conducted across two wall conditions (atherosclerotic and normal) and three pressure states (hypotension, normotension, hypertension). The simulations indicated a significant pressure discrepancy between the true and false lumens of the artery. This suggests that flap motion and functional occlusion under hypertensive conditions could be the cause of the clinical episodes. Thrombotic risk and potential for dissection extension were not found to be critical concerns. However, a non-negligible risk of vessel dilation was assessed, aligning with the patient's clinical follow-up data. This study highlights specific hemodynamic parameters that could elucidate carotid artery dissection's mechanisms, offering a potential predictive tool for assessing dissection progression and informing personalized patient care strategies.

The impact of emotional expression by artificial intelligence recommendation chatbots on perceived humanness and social interactivity

Artificial intelligence-powered chatbots capable of expressing emotions have gained significant popularity in the realm of customer service. Although previous studies have explored the impact of emotional expression in chatbots, there is a lack of understanding regarding the precise effects of different emotional cues. In this study, we drew upon social presence theory to investigate how different emotional cues conveyed by recommendation chatbots affect perceived humanness, social interactivity, and social presence. We conducted a series of scenario-based online experiments to shed light on these dynamics. We found that all three emotional cues (text, emoticons, and images) employed by chatbots can increase perceived humanness and social interactivity. Social presence appears to be an underlying mechanism for these positive relationships. We also observed two-way interactions for any pair of emotional cues and a three-way interaction for all three emotional cues. Ultimately, to elicit the most favorable customer perception, we propose that a mode of emotional expression using either text or emoticons alone is most appropriate. These findings deepen our understanding of the impact of emotional expressions in chatbots and offer novel insights into how to deploy chatbots in customer service.

Trust enhanced POI recommendation with collaborative learning

With the rapid development and popularization of smart mobile devices, users tend to share their visited points-of-interest (POIs) on the network with attached location information, which forms a location-based social network (LBSN). LBSNs contain a wealth of valuable information, including the geographical coordinates of POIs and the social connections among users. Nowadays, lots of trust-enhanced approaches have fused the trust relationships of users together with other auxiliary information to provide more accurate recommendations. However, in the traditional trust-aware approaches, the embedding processes of the information on different graphs with different properties (e.g., user-user graph is an isomorphic graph, user-POI graph is a heterogeneous graph) are independent of each other and different embedding information is directly fused together without guidance, which limits their performance. More effective information fusion strategies are needed to improve the performance of trust-enhanced recommendation. To this end, we propose a Trust Enhanced POI recommendation approach with Collaborative Learning (TECL) to merge geographic information and social influence. Our proposed model integrates two modules, a GAT-based graph autoencoder as trust relationships embedding module and a multi-layer deep neural network as a user-POI graph learning module. By applying collaborative learning strategy, these two modules can interact with each other. The trust embedding module can guide the selection of user’s potential features, and in turn the user-POI graph learning module enhances the embedding process of trust relationships. Different information is fused through the two-way interaction of information, instead of travelling in one direction. Extensive experiments are conducted using real-world datasets, and results illustrate that our suggested approach outperforms state-of-the-art methods.

The influence of the rotor spacing distance and rotating speed ratio on the power production of dual rotor wind turbines using a modified two-way interaction blade element momentum method

The present study aims to develop an accurate and fast improved blade element method (BEM) with two-way rotor-rotor interaction model which can account for two-way rotor-rotor interaction and the influence of rotor spacing while most previous BEM models for co-axis dual rotor wind turbines (DRWT) ignore the rear to front rotor interaction effect. A modified BEM model distinct from computationally intensive Computation Fluids Dynamics (CFD) model, is proposed for DRWTs. Validation of the present model is conducted by comparing it with experimental data from referenced literature for both co- and counter-rotating configuration. In our case study, for both co- and counter-rotating configurations, the power coefficient (CP) maps exhibit a double-hump shape instead of a single peak on the power output -λ curve observed in a single rotor wind turbine system. This characteristic may lead the DRWT to a local CPmax condition rather than the global CPmax while pursing the optimum operational condition. Although the counter-rotating DRWT can achieve a higher CPmax for most rotor spacing ratio (S/R) cases, it exhibits inferior power output than the single rotor for the S/R = 0.1 case. The present model can serve as a rapid and accurate model for configuring and control strategy evaluating DRWTs.

Understanding the impact of dementia on spousal relationships: A qualitative study with female spousal carers of people living with dementia.

Background: Dementia does not merely affect individuals, the carer and the person living with dementia, but also has a profound impact on their spousal relationship. As such, this study aimed to gain a deeper understanding of how dementia affects spousal relationships with a focus on interpersonal (i.e. relationship adjustment, communication engagement and emotional connection between two individuals) and intrapersonal (i.e. loss of self within the context of relationships) dynamics using a qualitative approach. The study also explored how carers adapt to such relationship challenges in the context of dementia care.Methods: A phenomenological approach was used to capture the subjective experiences of female spousal carers, who regularly support their partner living with dementia. A total of nine semi-structured interviews were conducted.Results: Relationship adjustment theme highlighted how learning to acknowledge role shifts from a spouse to a carer is critical for carers to manage relationship difficulties. Emotional connection theme demonstrated the importance of reminiscing about the shared history between dyads to cope with feelings of loss of affective intimacy. Communication engagement theme revealed carers' need to learn a new way of communicating due to the decrease in meaningful communication and two-way interaction. Sense of self theme highlighted the importance of self-compassion to overcome feelings of self-loss and isolation.Conclusion: Findings suggest that improving the relationship between female spousal carers and their partner living with dementia may require targeted interventions addressing different factors. Such interventions can include a couple's life story approach to enable couples to reminisce about their shared experiences, interactive communication training to enhance meaningful engagements, and a psychological approach such as compassion-focused therapy to overcome emotional challenges and facilitate self-compassion.

The influence of the self-issuing jet on the flow-induced vibration suppression

In order to weaken the vibration response of the cylinder, the self-issuing jet method based on an internal pipe is investigated. The ocean current is modeled by Reynolds Average Navier-Stokes (RANS) method and the Shear Stress Transport (SST) k-ω transient model in order to fit the actual engineering. The motion is transformed into a mass-spring-damped oscillator model, and it will be solved by the Newmark-β method. A two-way fluid-structure interaction (FSI) numerical simulation channel is established by using embedded user-defined functions. The numerical method is demonstrated with relevant experimental results. It is found that the scheme to increase the velocity of the jet by reducing the outlet width is feasible. The self-issuing jet significantly reduces the amplitude ratio, and the amplitude ratio is reduced by 92.70% in Desynchronization region. Meanwhile, the self-issuing jet decreases the locking region of vortex resonance.

Neighborhood Greenspace, Extreme Heat Exposure, and Sleep Quality over Time among a Nationally Representative Sample of American Children.

Children's sleep is essential for healthy development, yet over a third of children in the United States experience inadequate sleep. Environmental factors can influence sleep: greenspace exposure can promote better sleep, while heat exposure can disrupt sleep. As global climate change raises nighttime and daytime temperatures, greenspace may mitigate the negative effects of heat stress on sleep. We examined the direct effects of neighborhood greenspace and extreme heat exposure on sleep and the statistical interaction between greenspace and heat exposure on sleep outcomes among a nationally representative, four-year longitudinal sample of 8580 U.S. children ages 9-10 years at baseline. Hierarchical linear models incorporated a neighborhood greenspace measure: percent open park space within individual child census tracts, a measure of extreme neighborhood heat exposure during the summer months, and extensive individual and neighborhood-level covariates to test main and interaction effects on child sleep quality. Neighborhood open park space was related to better sleep quality, after controlling for covariates. Additionally, neighborhood extreme heat exposure was associated with worse sleep quality. A two-way interaction was found between neighborhood open park space and neighborhood heat exposure on sleep quality, suggesting open park space mitigated the negative effects of heat on sleep. The results indicate the potential contribution of open greenspace to improve child sleep and enhance resilience to extreme heat, which is an adverse outcome of climate change.

Debates over the role of Traditional Chinese Medicine on COVID-19: A computational comparison between professionals and laypersons in Chinese online knowledge community

Leveraging a large collection of textual data (N = 21,539) from a Chinese online community, we employed structural topic modeling to investigate the thematic disparities between professionals and laypersons, regarding the effectiveness of Traditional Chinese Medicine (TCM) on COVID-19. Findings reveal that laypersons are the dominant communicators in terms of discussion volume, who often focus on relevant news events, societal or political aspects of TCM. In contrast, professionals keep concentrating on issues related to medical expertise, and do not shift attentions as frequent as laypersons. Despite the dominant influence of professionals on laypersons’ agenda, two-way agenda interactions identified confirm that lay public is empowered to negotiate with elite professionals under certain topics. Our results provide novel insights into the dynamic nature of attentions, behaviors, and relations among prominent communication actors, and encourage future research to examine the individual-level and societal-level impacts of these constructs in the emerging online media landscape.