Virtual Ring Research Articles

Nonlinear Vibrations of Composite Cylindrical–Cylindrical Shells with Bolt Loosening Connection

The nonlinear vibrations of composite cylindrical–cylindrical shells with bolt loosening connections are investigated. First, a theoretical model of such a combined shell is developed, with a multisegmental virtual material ring technique being adopted to replicate the partial bolt looseness in the bolted connection zone of two single shells. Furthermore, to consider the nonlinear vibration issue of such a bolted connection zone affected by external excitation amplitude, the equivalent Young’s modulus of the virtual material is defined, and the equation of motion is derived to solve nonlinear vibration parameters. Finally, three single composite cylindrical shells are connected with 12 bolts to form two combined shell specimens, and experimental tests are carried out to validate the model and examine the nonlinear vibration characteristics of such combined shells. Also, the impact of partial bolt loosening parameters on the nonlinear vibration behaviors is investigated with some important findings being summarized. The analysis methods, modeling techniques, test methods and important conclusions proposed in this study provide a useful reference for the study of the vibration issues of bolted composite shells.

Influence of loss function and electron dose on ptychography of 2D materials using the Wirtinger flow

Iterative phase retrieval is based on minimising a loss function as a measure of the consistency of an initial guess and underlying experimental data. Under ideal experimental conditions, real data contains Poissonian noise due to counting statistics. In this work, we use the Wirtinger Flow concept in combination with four common loss functions, being the L1 loss, the mean-squared error (MSE), the amplitude loss and the Poisson loss. Since only the latter reflects the counting statistics as an asymmetric Poisson distribution correctly, our simulation study focuses on two main cases. Firstly, high-dose momentum-resolved scanning transmission electron microscopy (STEM) of an MoS2 monolayer is considered for phase retrieval. In this case, it is found that the four losses perform differently with respect to chemical sensitivity and frequency transfer, which we interprete in terms of the substantially different signal level in the bright and dark field part of diffraction patterns. Remedies are discussed using further simulations, addressing the use of virtual ring detectors for the dark field, or restricting loss calculation to the bright field. Secondly, a dose series is presented down to 100 electrons per diffraction pattern. It is found that all losses yield qualitatively reasonable structural data in the phase, whereas only MSE and Poisson loss range at the correct amplitude level. Chemical contrast is, in general, reliably obtained using the Poisson concept, which also provides the most continuous spatial frequency transfer as to the reconstructed object transmission function.

Quantization of Virtual Grothendieck Rings and Their Structure Including Quantum Cluster Algebras

Quantization of Virtual Grothendieck Rings and Their Structure Including Quantum Cluster Algebras

Incidence, Predictors, and Outcomes of Paravalvular Regurgitation After TAVR in Sievers Type 1 Bicuspid Aortic Valves

BackgroundTranscatheter aortic valve replacement (TAVR) in patients with bicuspid aortic valve (BAV) stenosis is technically challenging and is burdened by an increased risk of paravalvular regurgitation (PVR). ObjectivesThe aim of this study was to identify the incidence, predictors, and clinical outcomes of PVR after TAVR in Sievers type 1 BAV stenosis. MethodsConsecutive patients with Sievers type 1 BAV stenosis undergoing TAVR with current-generation transcatheter heart valves (THVs) in 24 international centers were enrolled. PVR was graded as none/trace, mild, moderate, and severe according to echocardiographic criteria. The endpoint of major adverse events (MAEs), defined as a composite of all-cause death, stroke, or hospitalization for heart failure, was assessed at the last available follow-up. ResultsA total of 946 patients were enrolled. PVR occurred in 423 patients (44.7%)—mild, moderate, and severe in 387 (40.9%), 32 (3.4%), and 4 (0.4%) patients, respectively. Independent predictors of moderate or severe PVR were a larger virtual raphe ring perimeter (adjusted OR: 1.07; 95% CI: 1.02-1.13), severe annular or left ventricular outflow tract calcification (adjusted OR: 5.21; 95% CI: 1.45-18.77), a self-expanding valve (adjusted OR: 9.01; 95% CI: 2.09-38.86), and intentional supra-annular THV positioning (adjusted OR: 3.31; 95% CI: 1.04-10.54). At a median follow-up of 1.3 years (Q1-Q3: 0.5-2.4 years), moderate or severe PVR was associated with an increased risk of MAEs (adjusted HR: 2.52; 95% CI: 1.24-5.09). ConclusionsAfter TAVR with current-generation THVs in Sievers type 1 BAV stenosis, moderate or severe PVR occurred in about 4% of cases and was associated with an increased risk of MAEs during follow-up.

Game-Based Vehicle Strategy Equalization Algorithm for Unsignalized Intersections

To address the coordination issue of connected autonomous vehicles (CAVs) at unsignalized intersections, this paper proposes a game-theory-based distributed strategy equalization algorithm. To begin, the vehicles present in the scene are conceptualized as participants in a game theory. The decision-payoff function takes into account three critical performance indicators: driving safety, driving comfort, and driving efficiency. Then, virtual logic lines connect the front and rear extremities of vehicles with odd and even numbers at the intersection to create a virtual logic ring. By dividing the virtual logic ring into numerous overlapping game groups, CAVs can engage in negotiation and interaction within their respective game groups. This enables the revision of action strategies and facilitates interaction between the overlapping game groups. A further application of the genetic algorithm (GA) is the search for the optimal set of strategies in constrained multi-objective optimization problems. The proposed decision algorithm is ultimately assessed and certified through a collaborative simulation utilizing Python and SUMO. In comparison to the first-come, first-served algorithm and the cooperative driving model based on cooperative games, the average passing delay is decreased by 40.7% and 6.17%, respectively, resulting in an overall improvement in the traffic system’s passing efficiency.

Morphological and dynamic analysis of the normal aortic valve with 4D computed tomography.

To evaluate the precise dimensions of the normal aortic root, especially the true aortic annulus, during the cardiac cycle using an innovative reconstruction method based on Multiphase Cardiac CT (MCCT) and to assess the feasibility and the reproducibility of this method for aortic root analysis. Between January 2019 and June 2021, 30 optimal consecutive ECG-gated MCCT of patients with normal tricuspid aortic valve were analyzed using an in-house software. Aortic annulus border was pinpointed on 9 reconstructed planes and the 3D coordinates of the 18 consecutive points were interpolated into a 3D curve using a cubic spline. Three additional planes were generated at the level of the left ventricular outflow tract, the level of the Valsalva sinus and the level of the sinotubular junction. This procedure was repeated for all the 10 temporal phases of the RR interval. The aortic annulus mean 3D and 2D areas were 7.67 ± 1.51 cm2 and 5.16 ± 1.40 cm2, respectively. Mean 2D diameter was 2.51 ± 0.23 cm. The mean global area expansion was 11.8 ± 3.5% and the mean perimeter expansion of 7.1 ± 2.6%. During the cardiac cycle, the left ventricle outflow tract expands, reaching its maximum surface at the end of diastole, followed by the aortic annulus, the valsalva sinuses and the sinotubular junction. The aorta changes from a clover shaped cone during diastole to more cylindrical shape during systole. Compared to the 3D measurements, the analysis of the virtual basal ring significantly underestimates the annulus area, perimeter, and mean diameter. 4D morphometric analysis enables to have a precise and reproducible evaluation of the aortic annulus. The aortic annulus and root are deformable structures that undergo a unique expansion sequence during the cardiac cycle which should be considered for procedural planning.

Location privacy protection of nodes in the perception layer of the Internet of things based on Radio Frequency Identification location aware algorithm

AbstractTo ensure the security of node location privacy in the perception layer of the Internet of Things, this study proposes a location privacy protection method based on RFID location awareness algorithm. This method first introduces an adaptive multi tree anti‐collision algorithm based on collision trees when perceiving and locating the location information of nodes in the perception layer of the Internet of Things, to prevent signal collisions between multiple readers and writers. Then, based on the obtained node location results, a IoT perception layer node location privacy protection scheme based on virtual ring strategy is used to randomly initiate directed co hop routing using the virtual nodes generated after random walking, avoiding the visible area of the source node location, and transmitting data to the aggregation node in the form of the shortest routing path to protect the privacy and security of the node location. Finally, experiments are carried out to prove the progressiveness of the proposed method. The experimental results show that this method can prolong the security period of the source and aggregation nodes in the perception layer of the Internet of Things, protect the privacy and security of node positions, and has great application value.

Investigating the Effects of Avatarization and Interaction Techniques on Near-field Mixed Reality Interactions with Physical Components.

Mixed reality (MR) interactions feature users interacting with a combination of virtual and physical components. Inspired by research investigating aspects associated with near-field interactions in augmented and virtual reality (AR & VR), we investigated how avatarization, the physicality of the interacting components, and the interaction technique used to manipulate a virtual object affected performance and perceptions of user experience in a mixed reality fundamentals of laparoscopic peg-transfer task wherein users had to transfer a virtual ring from one peg to another for a number of trials. We employed a 3 (Physicality of pegs) X 3 (Augmented Avatar Representation) X 2 (Interaction Technique) multi-factorial design, manipulating the physicality of the pegs as a between-subjects factor, the type of augmented self-avatar representation, and the type of interaction technique used for object-manipulation as within-subjects factors. Results indicated that users were significantly more accurate when the pegs were virtual rather than physical because of the increased salience of the task-relevant visual information. From an avatar perspective, providing users with a reach envelope-extending representation, though useful, was found to worsen performance, while co-located avatarization significantly improved performance. Choosing an interaction technique to manipulate objects depends on whether accuracy or efficiency is a priority. Finally, the relationship between the avatar representation and interaction technique dictates just how usable mixed reality interactions are deemed to be.

Study of the influence of virtual guard ring width on the performance of SPAD detectors in 180 nm standard CMOS technology

The influence of the virtual guard ring width (GRW) on the performance of the p-well/deep n-well single-photon avalanche diode (SPAD) in a 180 nm standard CMOS process was investigated. TCAD simulation demonstrates that the electric field strength and current density in the guard ring are obviously enhanced when GRW is decreased to 1 μm. It is experimentally found that, compared with an SPAD with GRW = 2 μm, the dark count rate (DCR) and afterpulsing probability (AP) of the SPAD with GRW = 1 μm is significantly increased by 2.7 times and twofold, respectively, meanwhile, its photon detection probability (PDP) is saturated and hard to be promoted at over 2 V excess bias voltage. Although the fill factor (FF) can be enlarged by reducing GRW, the dark noise of devices is negatively affected due to the enhanced trap-assisted tunneling (TAT) effect in the 1 μm guard ring region. By comparison, the SPAD with GRW = 2 μm can achieve a better trade-off between the FF and noise performance. Our study provides a design guideline for guard rings to realize a low-noise SPAD for large-array applications.

Enhancing photodetection efficiency of CMOS SiPMs using virtual guard rings in a standard 0.35 µm process

AbstractIn this letter, a design of virtual guarded SiPMs fabricated in a standard 0.35μm standard complementary metal oxide semiconductor (CMOS) process is introduced. The performance of these virtual guarded cells (VGC) is compared to that of conventional cells with real guard rings, referred to as physical guarded cells (PGC). Specifically, the photon detection efficiency (PDE) of both types of SiPMs is evaluated. For this, PDE calculations are conducted at different overvoltages (OVs) and the PDE is compared depending on the wavelength before conducting measurements. The results demonstrate that the VGC SiPM outperforms the PGC SiPM, exhibiting a true PDE of (22.5 ± 0.5)%, which is significantly higher than the PDE of (10.9 ± 0.3)% obtained for the PGC SiPM. The superior PDE of the VGC SiPM is attributed to a larger active or photosensitive area due to the virtual guard rings and a thinner n‐layer in the photosensitive region.

Aortic Annuloplasty: Focus on the Use of an External Teflon Ring.

Aortic annuloplasty has been clearly demonstrated to have a protective influence in aortic valve repair. Over the past 20 years, different annuloplasty concepts have been proposed by different groups. However, the most appropriate approach to enable long-term annular stability remains highly controversial. The aim of this article is to give a general overview of all types of aortic annuloplasty, particularly focusing on the use of an external Teflon ring, as proposed by our group. In this technique, external root dissection is performed in the same fashion as for reimplantation; the only difference is that it is necessary to go below the coronary ostia take-off. A series of pledgeted sutures (usually between 6 and 9 sutures) are placed at the level of the virtual basal ring. The external ring is made using a Teflon strip with a length of 8 to 9 cm, to reduce the annulus to a diameter of between 21 and 23 mm. The sub-annular sutures are then passed at the appropriate level through the Teflon strip and the strip is parachuted outside the aortic root base, passing under the coronary ostia. The two ends of the Teflon strip are tied at the level of the non-coronary sinus. Aortic annuloplasty is a crucial step to improve valve competence and stabilization. While several techniques offer good mid- to long-term results, annuloplasty with an external Teflon ring appears to be a simple and effective alternative to guarantee stable root diameters. Longer follow-up studies are needed to confirm the mid- to long-term results.

Energy Optimization Using Reptile Search in Wireless Sensor Networks

Energy saving in wireless sensor networks (WSNs) is a critical problem for diversity of applications. Data aggregation between sensor nodes is huge unless a suitable sensor data flow management is adopted. Clustering the sensor nodes is considered an effective solution to this problem. Each cluster should have a controller denoted as a cluster head (CH) and a number of nodes located within its supervision area. Clustering demonstrated an effective result in forming the network into a linked hierarchy. Thus, balancing the load distribution in WSNs to make efficient use of the available energy sources and reducing the traffic transmission can be achieved. In solving this problem we need to find the optimal distribution of sensors and CHs; thus, we can increase the network lifetime while minimizing the energy consumption. In this paper, a Reptile Search Algorithm (RSA) for preserving location privacy and congestion avoidance with less delay guaranteed is proposed. With this routing technique, the complete sensor field is divided into different subdivisions and each subdivision elects a target area by computing its transmission distance. The backbone of the dynamic routing protocol consists of a virtual ring called bell nodes and a radial line called tentacle nodes employs more nodes to construct the network. The amount of radial line and radius of the virtual ring in a network are conjointly determined to ease the communication path from the node to sink. The radial line paths are routed directionally and bell nodes are routed with angular directions probabilistically. From the routing path, the tentacle nodes collect the data to dynamic sink which will assure that the information is going to be collected with less delay and attacker cannot guess their positions. The experimental results show that the proposed RSA method accomplishes enhanced performance in terms of energy consumption, packet delivery delay and lifetime.

10 Ward and Hospital Simulation in Unity

Abstract Aims To investigate ward and hospital design and its effects on efficiency and queues. Methods A starter project in C# and Unity simulates two different ward designs and the effects of gender on waiting times. Results Initial results show the queue for single bed bays can be substantially reduced (possibly by up to a half) in appropriately designed wards. Video: https://youtu.be/Hw9NXONCRTc Conclusions Due to gender issues, it is common for bays to be assigned single genders which can create virtual ring fencing of beds which can impact on waiting times. Current models are often Excel based and are static and do not reflect the actual physical properties of the hospital. This project shows the potential of a dynamic simulation in new ward designs. It is possible that each hospital in the NHS could have its own model, linking its physical attributes (the actual building) to a mathematical model and these can be compared for efficiency. New buildings could be simulated and compared for costs and efficiencies substantially reducing guesswork and challenge building orthodoxy and introduce evidence into hospital design.

A depth-of-interaction rebinning method based on both geometric and activity weights

Background and objectiveFor positron emission tomography (PET) scanners with depth-of-interaction (DOI) measurement, the DOI rebinning method that utilizes DOI information to process the projection data is critical to image quality. Current DOI rebinning methods map coincidence events onto the rebinned sinogram based on the correlation of lines of response (LOR). This study aims to incorporate prior radioactivity distribution of the imaging object into DOI rebinning to obtain better image quality. MethodsA DOI rebinning method based on both geometric and activity weights was proposed to assign coincidence events to the rebinned sinogram defined by a virtual ring. The geometric weights, representing the correlation between LORs, were calculated based on the areas of intersection. The activity weights, reflecting the activity distribution of the imaging object, were derived from the previous reconstructed image. ResultsMonte Carlo simulation data from four phantoms, including the image quality phantom, Derenzo phantom, and two rat-like ROBY phantoms, was used to evaluate the proposed method. The recovery coefficient (RC), contrast recovery coefficient (CRC), structural similarity index measure (SSIM), and peak signal-to-noise ratio (PSNR) were used as image quality metrics. Compared to other DOI rebinning methods, the proposed method achieved the highest RC (maximum improvement of 32%) and CRC at the same noise level and was also optimal in terms of the SSIM and PSNR. Meanwhile, incorporating the prior activity distribution into DOI rebinning also improved the image reconstruction speed. ConclusionsThis work developed a new DOI rebinning method combining the correlation of LORs with the prior activity distribution, achieving relatively optimal image quality and reconstruction speed. Furthermore, it still needs to be evaluated on the actual equipment.

Assessment of Computed Tomography Imaging for Isolated Type 1 Bicuspid Aortic Valve Repair: A Comparison between Internal and External Suture Annuloplasty Techniques.

The ideal position of suture annuloplasty relative to the aortic annulus (internal or external) remains unclear. This study aimed to investigate the effectiveness of internal and external suture annuloplasty for isolated type 1 bicuspid aortic valve (BAV) repair. Electrocardiogram (ECG)-gated computed tomography (CT) was used to compare the two techniques and analyze their impact on the aortic annulus. We retrospectively analyzed 20 patients who underwent isolated type 1 BAV repair with either internal or external suture annuloplasty. Each group included 10 patients with comparable clinical features. Preoperative and postoperative ECG-gated CT scans were performed to assess the anatomical relationship between the ventricular-aortic junction (VAJ) and virtual basal ring (VBR), and to measure the height of annuloplasty from the VBR at predefined landmarks in both groups. Perioperative annular geometries, including annular area and perimeter, were measured to quantify the impact of annuloplasty on annular expansibility. The discrepancy between the postoperative annular dimension and size of the Hegar dilator were compared between groups to evaluate the effectiveness of annuloplasty. In both groups, VAJ was higher than VBR at the right coronary (RC) ostium (7.7 3.3 mm) and the raphe (7.9 1.5 mm). The height from the VBR to the external suture annuloplasty shared a similar pattern at the RC ostium and raphe (5.3 1.1 mm and 4.8 1.0 mm, respectively). In contrast, the height differences were minimal for these landmarks in the internal group. Postoperative annular area expansibility decreased in the internal group compared to preoperative levels (4.9 2.3% vs. 8.9 5.5%, p = 0.038), while no significant change was found in the external group (7.6 4.1% vs. 6.5 2.8%, p = 0.473). The internal group showed less area discrepancy between the VBR and the Hegar dilator both at systole (10.1 3.7% vs. 30.1 16.6%, p = 0.004) and diastole (5.7 4.9% vs. 20.9 14.5%, p = 0.009) compared to the external group. Internal suture annuloplasty results in better positioning relative to the VBR than external suture annuloplasty due to the absence of VAJ interference. While this results in more precise annular reduction and less expansibility in the short term, a long-term follow-up evaluation is necessary to assess its effectiveness.

A Hybrid Scheme for Disaster-Monitoring Applications in Wireless Sensor Networks.

Disaster monitoring is a primary task for wireless sensor networks. Systems for the rapid reporting of earthquake information are a crucial aspect of disaster monitoring. Furthermore, during emergency rescue after a large earthquake, wireless sensor networks can provide pictures and sound information to save lives. Therefore, when accompanied by multimedia data flow, the alert and seismic data sent by the seismic monitoring nodes must be sufficiently fast. We present herein the architecture of a collaborative disaster-monitoring system that can obtain seismic data in a highly energy-efficient manner. In this paper, a hybrid superior node token ring MAC scheme is proposed for disaster monitoring in wireless sensor networks. This scheme consists of set-up and steady-state stages. A clustering approach was proposed for heterogeneous networks during the set-up stage. The proposed MAC operates in the duty cycle mode at the steady-state stage and is based on the virtual token ring of ordinary nodes, the polling all the superior nodes in one period, and alert transmissions with a low-power listening and shortened preamble approach during the sleep state. The proposed scheme can simultaneously satisfy the requirements of three types of data in disaster-monitoring applications. Based on embedded Markov chains, a model of the proposed MAC was developed and the mean queue length, mean cycle time, and mean upper bound of the frame delay were obtained. Using simulations under various conditions, the clustering approach performed better than the pLEACH approach, and the theoretical results of the proposed MAC were verified. We found that alerts and superior data have outstanding delay and throughput performances even under heavy traffic intensity, and the proposed MAC can provide a data rate of several hundred kb/s for superior and ordinary data. Considering all three types of data, the frame delay performances of the proposed MAC are better than those of the WirelessHART and DRX schemes, and the alert data of the proposed MAC have a maximum frame delay of 15 ms. These satisfy the application requirements of disaster monitoring.

Tunable sensitivity microfiber Sagnac loop based on a virtual reference arm for microdisplacement detection

A virtual reference arm-based microfiber Sagnac ring (MFSL) microdisplacement sensor with tunable sensitivity is proposed and demonstrated in this study. We abandon the traditional physical reference arm and build a virtual reference arm to overcome the disadvantage of the physical reference arm being susceptible to environmental influences and to achieve tunable sensitivity. A MFSL with a diameter of 4 μm was fabricated via the winding and tapering process, and a microdisplacement sensitivity of −0.34 nm/μm was obtained in the range of 0–5 μm. Experimental results show that the microdisplacement sensitivity can reach −1.40 nm/μm after cascading the simulated reference arm, which is 4.12 times that of single MFSL. In addition, by changing the parameters of the virtual reference arm without remaking the reference arm, we obtained sensors with sensitivities of −1.74 and −2.30 nm/μm. The sensor has advantages of tunable sensitivity and low cost and has potential applications in microdisplacement measurement.

Effect of Clamp Deletion on Static Behavior and Dynamic Characteristics of Loop-Free Cable Net Structures

The loop-free single-layer hyperbolic cable net structure (LSHCS) is a new tensile cable structure for buildings, and it can overcome the disadvantages of key elements and the high tension in tensile cable structures with loop cables. The imperfection of the LSHCS is that cable clamps near the inside boundary are redundant. In this paper, the static behavior and dynamic characteristics of thirty-one schemes in five levels of deleting cable clamps are carried out with ANSYS software and Midas/Gen software. The results show that SE1/1, SE2/1, SE3/1, and SE4/1 are the best cable clamp deleting schemes for their respective levels. Displacements are the most sensitive to deleting cable clamps, the natural vibration period comes in second, and tensions are not sensitive with the growth rates of 6.09%, 5.11%, 15.97%, and 19.28% in the best scheme of each level. It is concluded that schemes involving the virtual rings of cable clamps closest to the inside boundary cause the smallest effect on static behavior and dynamic characteristics. Deleting the cable clamps affects the structural stiffness significantly, but the bearing capacity is not seriously affected. It turns out that removing redundant cable clamps in the dense part of the LSHCS is feasible.

Vulnerability of the ventricular conduction axis during transcatheter aortic valvar implantation: A translational pathologic study.

The ventricular components of the conduction axis remain vulnerable following transcatheter aortic valvar replacement. We aimed to describe features which may be used accurately by interventionalists to predict the precise location of the conduction axis, hoping better to avoid conduction disturbances. We scanned eight normal adult heart specimens by 3T magnetic resonance, using the images to simulate histological sections in order accurately to place the conduction axis back within the heart. We then used histology, tested in two pediatric hearts, to prepare sections, validated by the magnetic resonance images, to reveal the key relationships between the conduction axis and the aortic root. The axis was shown to have a close relationship to the nadir of the right coronary leaflet, in particular when the aortic root was rotated in counterclockwise fashion. The axis was more vulnerable in the setting of a narrow inferoseptal recess, when the inferior margin of the membranous septum was above the plane of the virtual basal ring, and when minimal myocardium was supporting the right coronary sinus. The features identified in our study are in keeping with the original description provided by Tawara, but at variance with more recent accounts. They suggest that the vulnerability of the axis during transcatheter valvar replacement can potentially be inferred on the basis of knowledge of the position of the aortic root within the ventricular base. If validated by clinical studies, our findings may better permit avoidance of new-onset left bundle branch block following transcatheter aortic valvar replacement.

Promoting a culture of reciprocity to build social capital in advanced practice nursing students.

A virtual activity integrating the evidence-based Reciprocity Ring model was designed to enhance confidence and skills for building social capital for advanced practice registered nursing (APRN) students. The central objective of the activity was to reduce the stigma of asking for help by providing a framework for the balanced exchange of favors, thus supporting new connections and feelings of trust among APRN students. Students from two APRN practice tracks (N = 44) participated in a virtual Reciprocity Ring activity where they could post and respond to requests for help. On average, students posted 2.5 requests and received three offers for assistance; 220 connections were made overall with the major theme requests related to stress management. A retrospective survey was administered at the conclusion of the activity. Questions inquired about student confidence before, and then after, the activity for identifying resources, providing help to others, finding personal support when needed, accessing resources related to academic success, and finding solutions to problems. Student mean confidence scores were significantly higher after the activity compared with mean confidence scores before the activity (p = .01). Additionally, the effect size was large (Cohen d = 0.89). Therefore, we suggest that integrating Reciprocity Ring exercises into nursing curricula and practice can be a useful tool for promoting skills related to productive help-seeking that will support APRN students' academic and professional success.