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Comparison of vergence mechanisms between university students with good and poor sleep quality

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International Journal of Ophthalmology(English edition) 2024年第2期17卷 353-358页

作者： Pui Juan Woi joyce Yi Ling Lu Mohd Izzuddin Hairol Wan Nur Amirah Ibrahim Optometry and Vision Science Programme Center for Community Health Studies(ReaCH)Faculty of Health SciencesUniversiti Kebangsaan MalaysiaKuala Lumpur 50300Malaysia Centre of Optometry Studies Faculty of Health SciencesUniversiti Teknologi MARASelangor BranchPuncak Alam CampusSelangor 42300Malaysia

AIM:To compare the vergence mechanisms between good and poor sleepers in university ***:A total of 64 university students were recruited in this *** validated Malay version of Pittsburgh Sleep Quality Index questionnaire(PSQI-M)was used to measure the participants’sleep quality over the past *** were categorized as good sleepers(n=32)and poor sleepers(n=32)based on the PSQI-M *** and fusional vergences were measured at distance and ***-Whitney U test was used to compare heterophoria,negative fusional vergence(NFV),and positive fusional vergence(PFV)at distance and near between good and poor *** correlation analysis was used to study the relationship between PSQI-M score and PFV at ***:Both distance and near heterophorias were not significantly different between good and poor sleepers(P>0.05).There was a difference in distance PFV(P0.05).Distance PFV was negatively correlated with PSQI-M score(rs=-0.33,P<0.05).CONCLUSION:University students with poor sleep quality demonstrates a reduced ability to maintain fusion with increasing convergence demand at *** quality assessment during binocular vision examination in university students is recommended.

关键词： binocular vision vergence sleep quality university students

The effect of electrical current on lubricant film thickness in boundary and mixed lubrication contacts measured with ultrasound

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Friction 2024年第8期12卷 1882-1896页

作者： Julio A.CAO-ROMERO-GALLEGOS Saeid TAGHIZADEH Oscar A.AGUILAR-ROSAS R.S.DWYER-joyce Leonardo I.FARFAN-CABRERA Tecnologico de Monterrey Escuela de Ingeniería y CienciasAve.Eugenio Garza Sada 2501MonterreyN.L.64849México Department of Mechanical Engineering Leonardo Centre for TribologyUniversity of SheffieldSheffield S13JDUK

This work explores experimentally the effects of DC electrical currents on lubricant film thickness alteration in lubricated sliding steel contacts in the boundary and mixed regime as measured by *** experiments were performed in a two-electrode cell-based pin-on-disk tester instrumented with ultrasonic *** and electrified tribological tests were conducted on steel flat-on-flat contacts under various speeds and loads using both a mineral base oil and a gear *** thickness,coefficient of friction(CoF),and electrical contact resistance(ECR)were measured during short experiments(30 s)in unelectrified and electrified(1.5 and 3 A)*** results suggest that film thickness,CoF,and all ECR are altered by passing DC currents through the *** particular,film thickness increased and decreased,respectively,by applying electricity at the different speeds and loads *** alterations were majorly ascribed to oil viscosity decrease by local heat and surface oxidation caused by electrical discharge and break down at the interface.

关键词： electrified sliding ultrasonic measurement electric vehicles pin-on-disk

The "Black Myth" Marks a New Milestone for China-Made Games in Overseas Market

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China's Foreign Trade 2024年第5期 41-42页

作者： joyce Lee 不详

Since its first launch on August 20th,the game"Black Myth:Wukong"has broken many previous records for domestic single-player games,and also provides a chance for global game players to see Chinese games as among the world's best *** number of online users on the entire platform exceeded3 million at its most,and more than10 million copies of the games were sold within the first four days after the *** has received more than 270thousand reviews in total and 96%positive reviews on the Steam platform,providing a chance for global game players to enjoy the best of Chinese games。

关键词： Miles games Market

Diagnosis and management of malaria in the intensive care unit

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Journal of Intensive Medicine 2024年第1期4卷 3-15页

作者： George Akafity Nicholas Kumi joyce Ashong Department of Research Monitoringand EvaluationCape Coast Teaching HospitalCape CoastGhana Intensive Care Unit Department of Critical Care and AnesthesiaCape Coast Teaching HospitalCape Coast Department of Paediatrics and Child Health Cape Coast Teaching HospitalCape CoastGhana

Malaria is responsible for approximately three-quarters of a million deaths in humans globally each *** of the morbidity and mortality reported are from Sub-Saharan Africa and Asia,where the disease is *** non-endemic areas,malaria is the most common cause of imported infection and is associated with significant mortality despite recent advancements and investments in elimination *** malaria often requires intensive care unit admission and can be complicated by cerebral malaria,respiratory distress,acute kidney injury,bleeding complications,and *** care management includes prompt diagnosis and early initiation of effective antimalarial therapy,recognition of complications,and appropriate supportive ***,the lack of diagnostic capacities due to limited advances in equipment,personnel,and infrastructure presents a challenge to the effective diagnosis and management of *** article reviews the clinical classification,diagnosis,and management of malaria as relevant to critical care clinicians,highlighting the role of diagnostic capacity,treatment options,and supportive care.

关键词： Malaria Intensive care unit Severe malaria Antimicrobial resistance Antimalarials Artemisinin-based combination therapy

An Assessment of Procurement Risks Management Systems in the Public Sector

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Chinese Business Review 2024年第2期23卷 76-86页

作者： Atoapem Frimpong Barimah joyce-Jael Amoafoa Mensah Malaysia University of Science and Technology Petaling JayaMalaysia Kwame Nkrumah University of Science and Technology KumasiGhana

Risk management in public procurement is a critical aspect that needs to be addressed in the public *** studies have been conducted to understand the challenges and factors influencing risk management in public *** studies have explored the importance of risk management principles,the role of political influence,and the need for effective risk assessment and *** research has also highlighted the need for specific risk management mechanisms and tools to be implemented in public procurement *** management reforms in the public sector are essential but often circumvented due to assorted reasons,such as political influence and the emergence of new *** research investigation employs a quantitative research design.A total of 380 questionnaires were recovered from *** study showed that the public sector has a procurement risk management system that is effective,but there may be some areas for improvement in the prequalification process,onboarding process,and support provided to newly onboarded ***,the public sector used some strategies to mitigate and control contract risks during the procurement process,but there were some areas for improvement in the review and lessons learned process,risk mitigation measures,contract monitoring and performance evaluation mechanisms,and communication and documentation ***,the results suggest that there were constraints placed on the risk management strategies currently utilized by professionals working in the public *** constraints include insufficient support and buy-in from senior management and stakeholders,bureaucratic or administrative hurdles,inadequate policies and regulations,insufficient training and skill development opportunities,and insufficient *** study highlights the significance of tackling risk management in the realm of public procurement and offers valuable perspectives on avenues for enhancement,obstacl

关键词： public sector public procurement suppliers risk management strategies

Impact of Social Determinants of Health on Self-Perceived Resilience: An Exploratory Study of Two Cohorts of Adults with Congenital Heart Disease

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Congenital Heart Disease 2024年第1期19卷 33-48页

作者： Albert Osom Krysta S.Barton Katie Sexton Lyndia Brumback joyce P.Yi-Frazier Abby R.Rosenberg Ruth Engelberg Jill M.Steiner Department of Biostatistics University of WashingtonSeattleWA98195USA Biostatistics Epidemiology and Analytics for Research(BEAR)Core Seattle Children’s Research InstituteSeattleWA98101USA College of Medicine University of WashingtonSeattleWA98195USA Center for Clinical and Translational Research Seattle Children’s Research InstituteSeattleWA98101USA Department of Psychosocial Oncology and Palliative Care Dana-Farber Cancer InstituteDepartment of MedicineBoston Children’s HospitalBostonMA02215USA Department of Pediatrics Harvard Medical SchoolBostonMA02215USA Division of Pulmonary Critical Care and Sleep MedicineDepartment of Medicine&Cambia Palliative Care Center of ExcellenceUniversity of WashingtonHarborview Medical CenterSeattleWA98104USA Division of Cardiology Department of Medicine&Cambia Palliative Care Center of ExcellenceUniversity of WashingtonSeattleWA98195USA

Social determinants of health(SDOH)affect quality of *** investigated SDOH impacts on self-perceived resilience among people with adult congenital heart disease(ACHD).Secondary analysis of data from two com-plementary studies:a survey study conducted May 2021–June 2022 and a qualitative study conducted June 2020–August *** was assessed through CD-RISC10 score(range 0–40,higher scores reﬂect greater self-perceived resilience)and interview *** and SDOH(education,employment,living situa-tion,monetary stability,ﬁnancial dependency,area deprivation index)data were collected by healthcare record review and *** used linear regression with robust standard errors to analyze survey data and performed a thematic analysis of interview *** participants(N=127)mean age was 42±14 years;51%were female,87%*** was moderate(75%)or complex(25%);41%functional class C or ***(mean 30±7)varied by monetary stability:compared to people with difﬁculty paying bills,resilience was 15.0 points higher(95%CI:6.9–23.1,p<0.001)for people reporting having enough money and 14.2 points higher(95%CI:5.9–22.4,p=0.001)for those reporting just enough *** participants’(N=25)mean age was 32 years(range 22–44);52%were female,72%*** was moderate(56%)or complex(44%);76%functional class C or *** discussed factors affecting resilience aligned with each of the major SDOH,prominently,economic stability and healthcare access and *** stability may be important for supporting self-perceived resi-lience in *** knowledge can inform the development of resilience interventions for this population.

关键词： Social determinants of health adult congenital heart disease resilience ﬁnancial stability