In the era of the digital economy,digital trade has demonstrated strong vitality,becoming a crucial driving force for the highquality development of national and regional economies.However,understanding the resilience...In the era of the digital economy,digital trade has demonstrated strong vitality,becoming a crucial driving force for the highquality development of national and regional economies.However,understanding the resilience of digital trade in the face of external crises is an important topic.Taking the backdrop of Sino-US trade friction,this paper constructs a resilience index system for digital trade.It utilizes entropy method,kernel density estimation,and ArcGIS mapping to calculate and visually analyze the resilience of China’s digital trade from 2017 to 2021.Additionally,a Tobit model is constructed to explore the main influencing factors of digital trade resilience patterns.The research findings indicate:1)temporally,during the period of Sino-US trade friction,China’s digital trade resilience shows an overall upward trend,but there are regional differences in resilience levels across the country,with a severe polarization phenomenon.2)Spatially,high resilience is observed in the eastern and central regions of China,while the western and northeastern regions exhibit low resilience.3)From a dimensional perspective,the resistance of digital trade resilience displays a spatial distribution of high values in the east and low values in the west.The recovery force is aggregated along coastal areas,and the renewal force tends to aggregate along the eastern coastline.4)Factors such as economic scale,industrial structure,urbanization rate,government fiscal expenditure,and technological talents significantly promote the enhancement of digital trade resilience.This study reveals the dynamic characteristics and influencing factors of digital trade resilience in responding to external shocks,providing theoretical basis and policy suggestions for enhancing digital trade resilience,and promoting high-quality economic development in China.展开更多
BACKGROUND Return to work(RTW)serves as an indication for young and middle-aged colorectal cancer(CRC)survivors to resume their normal social lives.However,these survivors encounter significant challenges during their...BACKGROUND Return to work(RTW)serves as an indication for young and middle-aged colorectal cancer(CRC)survivors to resume their normal social lives.However,these survivors encounter significant challenges during their RTW process.Hence,scientific research is necessary to explore the barriers and facilitating factors of returning to work for young and middle-aged CRC survivors.AIM To examine the current RTW status among young and middle-aged CRC survivors and to analyze the impact of RTW self-efficacy(RTW-SE),fear of progression(FoP),eHealth literacy(eHL),family resilience(FR),and financial toxicity(FT)on their RTW outcomes.METHODS A cross-sectional investigation was adopted in this study.From September 2022 to February 2023,a total of 209 participants were recruited through a convenience sampling method from the gastrointestinal surgery department of a class A tertiary hospital in Chongqing.The investigation utilized a general information questionnaire alongside scales assessing RTW-SE,FoP,eHL,FR,and FT.To analyze the factors that influence RTW outcomes among young and middle-aged CRC survivors,Cox regression modeling and Kaplan-Meier survival analysis were used.RESULTS A total of 43.54%of the participants successfully returned to work,with an average RTW time of 100 days.Cox regression univariate analysis revealed that RTW-SE,FoP,eHL,FR,and FT were significantly different between the non-RTW and RTW groups(P<0.05).Furthermore,Cox regression multivariate analysis identified per capita family monthly income,job type,RTW-SE,and FR as independent influencing factors for RTW(P<0.05).CONCLUSION The RTW rate requires further improvement.Elevated levels of RTW-SE and FR were found to significantly increase RTW among young and middle-aged CRC survivors.Health professionals should focus on modifiable factors,such as RTW-SE and FR,to design targeted RTW support programs,thereby facilitating their timely reintegration into mainstream society.展开更多
As complex and diverse ecosystems,cities encounter numerous challenges posed by both nature and humanity.Architecture,serving as the framework and texture of the city,has undoubtedly emerged as a crucial guide in addr...As complex and diverse ecosystems,cities encounter numerous challenges posed by both nature and humanity.Architecture,serving as the framework and texture of the city,has undoubtedly emerged as a crucial guide in addressing urban resilience issues.Roof greening and vertical greening of buildings,as ecofriendly urban green infrastructures,hold significant potential for mitigating these challenges.This paper explores the methods and strategies for implementing roof greening and vertical greening as solutions to enhance urban resilience.The objective is to offer valuable insights for sustainable urban development,encourage the widespread adoption of these greening techniques in urban construction,and ultimately strengthen urban resilience.展开更多
This paper created an evaluation index system for agricultural green resilience,consisting of five dimensions:resistibility,recoverability,adaptability,innovatability,and reconstructability.We used the entropy method ...This paper created an evaluation index system for agricultural green resilience,consisting of five dimensions:resistibility,recoverability,adaptability,innovatability,and reconstructability.We used the entropy method to measure the agricultural green resilience levels of 30 provinces(municipalities/autonomous regions)in China from 2007 to 2021 and employed spatial Markov chains and geographic detectors to reveal the dynamics and evolution of the patterns and influencing factors of the agricultural green resilience.The study shows that the level of agricultural green resilience in China displayed a slight upward trend from 2007 to 2021,but the overall level remained low.Spatially,a distribution pattern of“eastern China>central China>northeastern China>western China”was observed.The transfer process for agricultural green resilience exhibited a“path dependence”characteristic that maintained its initial state,while it also showed a“trickle-down effect.”This means that the regions adjacent to provinces(municipalities/autonomous regions)with higher levels of agricultural green resilience tend to have an increased probability of an upward movement in their ranking.However,such movements are not leapfrogging and only occur at the adjacent levels.The spatial differentiations in the agricultural green resilience levels are primarily driven by the technological innovation capacity and market maturity,with interactions between these factors exhibiting both dual-factor enhancements and nonlinear enhancements.Accordingly,efforts should be made to strengthen support for the less-developed regions,increase research and development investment in the agricultural sector,and improve the market systems for agricultural products to enhance agricultural green resilience.展开更多
Under current climate warming, the growth resilience of plantation forests after extreme droughts has garnered increasing attention. Platycladus orientalis Linn. is an evergreen tree species commonly used for afforest...Under current climate warming, the growth resilience of plantation forests after extreme droughts has garnered increasing attention. Platycladus orientalis Linn. is an evergreen tree species commonly used for afforestation, and the stability of P. orientalis plantation forests in the Loess Hilly region directly affects the ecological and environmental security of the entire Loess Plateau of China.However, systematic analyses of the growth resilience of P. orientalis plantation forests after extreme droughts along precipitation gradients remain scarce. In this study, we collected tree ring samples of P.orientalis along a precipitation gradient(255, 400, and 517 mm) from 2021 to 2023 and used dendroecological methods to explore the growth resilience of P. orientalis to drought stress on the Loess Plateau. Our findings revealed that the growth resilience of P. orientalis increased with increasing precipitation, enabling the trees to recover to the pre-drought growth levels. In regions with low precipitation(255 mm), the plantation forests were more sensitive to extreme droughts, struggling to recover to previous growth levels, necessitating conditional artificial irrigation. In regions with medium precipitation(400 mm), the growth of P. orientalis was significantly limited by drought stress and exhibited some recovery ability after extreme droughts, therefore warranting management through rainwater harvesting and conservation measures. Conversely, in regions with high precipitation(517 mm), the impacts of extreme droughts on P. orientalis plantation forests were relatively minor. This study underscored the need for targeted strategies tailored to different precipitation conditions rather than a "one-size-fits-all" approach to utilize precipitation resources effectively and maximize the ecological benefits of plantation forests. The findings will help maintain the stability of plantation forests and improve their ecosystem service functions in arid and semi-arid areas.展开更多
Agricultural heritage systems have the characteristics of ecological fragility and cultural sensitivity.For a long time,the conservation and sustainable development of agricultural heritage systems have received atten...Agricultural heritage systems have the characteristics of ecological fragility and cultural sensitivity.For a long time,the conservation and sustainable development of agricultural heritage systems have received attention from all sectors.However,there are few measurements of tourism disturbance(TD)and community resilience(CR)in agricultural heritage sites,and research on the relationship between the two is even more lacking.This study selects six villages in the Honghe Hani Rice Terraced System(HHRTS)as examples and constructs an evaluation system for TD and CR.Through questionnaires and in-depth interviews,it explores the response relationship between TD and CR of heritage site,and compares the response relationship of villages in different stages of tourism development.The results indicate that the heritage site's current response relationship between TD and CR shows a positive response type,and the development of tourism has brought positive responses and effects.There are differences in the interactive relationship between TD and CR among communities with different levels of tourism development.In communities with poor tourism development,CR is more susceptible to the impact of TD than other communities.The stability of the relationship between TD and CR response gradually tends to stabilize from poor,good,and moderate tourism development.展开更多
The concept of community resilience in the contexts of climate change and disasters draws increasing attention and interest from practitioners and researchers in recent development discourse. This paper provides a cri...The concept of community resilience in the contexts of climate change and disasters draws increasing attention and interest from practitioners and researchers in recent development discourse. This paper provides a critical review of six selected frameworks of community resilience building operationalized in Bangladesh over the span of years. In other words, this study aims to contribute to the understanding of resilience through a systematic analysis of the dimensions and indicators of community resilience frameworks. The analysis shows that comprehensive and effective community resilience frameworks should incorporate the missing components linked to fundamental elements of good governance, economic growth, environmental sustainability, social transformation, and capacity development. The paper concludes by highlighting a few other areas of grave concern that need more appropriate attention, considering the severe threats posed by climate change and natural disasters in line with sustainable development goals. Finally, this study recommends further research regarding the effectiveness of these frameworks in different climatic and disaster contexts that can lead the concept into a new dimension of community resilience and sustainability.展开更多
As the scale of urban rail transit(URT)networks expands,the study of URT resilience is essential for safe and efficient operations.This paper presents a comprehensive review of URT resilience and highlights potential ...As the scale of urban rail transit(URT)networks expands,the study of URT resilience is essential for safe and efficient operations.This paper presents a comprehensive review of URT resilience and highlights potential trends and directions for future research.First,URT resilience is defined by three primary abilities:absorption,resistance,and recovery,and four properties:robustness,vulnerability,rapidity,and redundancy.Then,the metrics and assessment approaches for URT resilience were summarized.The metrics are divided into three categories:topology-based,characteristic-based,and performance-based,and the assessment methods are divided into four categories:topological,simulation,optimization,and datadriven.Comparisons of various metrics and assessment approaches revealed that the current research trend in URT resilience is increasingly favoring the integration of traditional methods,such as conventional complex network analysis and operations optimization theory,with new techniques like big data and intelligent computing technology,to accurately assess URT resilience.Finally,five potential trends and directions for future research were identified:analyzing resilience based on multisource data,optimizing train diagram in multiple scenarios,accurate response to passenger demand through new technologies,coupling and optimizing passenger and traffic flows,and optimal line design.展开更多
Objective:This study evaluated the effect of resilience on depression among patients with breast cancer from individual and familial perspectives by exploring the mediating and moderating effects of family resilience ...Objective:This study evaluated the effect of resilience on depression among patients with breast cancer from individual and familial perspectives by exploring the mediating and moderating effects of family resilience between individual resilience and depression.Methods:A questionnaire survey was conducted among 337 patients with breast cancer who were admitted to the Oncology Department of Jiangsu Province Hospital.The survey included demographic information,the Connor–Davidson Resilience Scale(CD-RISC),the Family Resilience Assessment Scale(FRAS),and the Chinese version of the Patient Health Questionnaire-9(PHQ-9)for Depression.The relationship among individual resilience,family resilience,and depression was analyzed using hierarchical regression and bootstrap test to assess the mediating and moderating effects of family resilience.Results:The depression scores were(13.50±5.16),the individual resilience scores were(48.62±17.50),and the family resilience scores were(105.98±24.35).Significant differences in depression scores were observed in terms of family monthly income,average weekly exercise before diagnosis,post-diagnosis interpersonal relationship quality,and overall sleep quality in the past month(p<0.05).Patients with lower individual resilience had significantly higher depression scores than those with higher resilience(F=24.314,p<0.001),and similarly,patients with lower family resilience had higher depression scores than those with higher family resilience(F=41.660,p<0.001).Individual resilience and family resilience were significantly negatively correlated with depression(r=-0.447 and-0.441,respectively,p<0.001).Hierarchical regression analysis and bootstrap test showed that family resilience(β=-0.310,p<0.001)had a partial mediating effect between individual resilience(β=-0.321,p<0.001)and depression.The indirect effect size was-0.038,the 95%CI was(-0.056,-0.020),and the direct effect ratio was 71.43%.The interaction of family resilience and individual resilience had a moderating effect on depression(B=0.166,p<0.001).Family resilience negatively moderated the relationship between individual resilience and depressive symptoms and enhanced the protective effect of individual resilience against depression with increasing family resilience.Conclusion:Family resilience has mediating and moderating effects between individual resilience and depression in patients with breast cancer.展开更多
Critical infrastructure systems(CISs)play a key role in the socio-economic activity of a society,but are exposed to an array of disruptive events that can greatly impact their function and performance.Therefore,unders...Critical infrastructure systems(CISs)play a key role in the socio-economic activity of a society,but are exposed to an array of disruptive events that can greatly impact their function and performance.Therefore,understanding the underlying behaviors of CISs and their response to perturbations is needed to better prepare for,and mitigate the impact of,future disruptions.Resilience is one characteristic of CISs that influences the extent and severity of the impact induced by extreme events.Resilience is often dissected into four dimensions:robustness,redundancy,resourcefulness,and rapidity,known as the“4Rs”.This study proposes a framework to assess the resilience of an infrastructure network in terms of these four dimensions under optimal resource allocation strategies and incorporates interdependencies between different CISs,with resilience considered as a stochastic variable.The proposed framework combines an agent-based infrastructure interdependency model,advanced optimization algorithms,Bayesian network techniques,and Monte Carlo simulation to assess the resilience of an infrastructure network.The applicability and flexibility of the proposed framework is demonstrated with a case study using a network of CISs in Austin,Texas,where the resilience of the network is assessed and a“what-if”analysis is performed.展开更多
A more resilient livelihood is increasingly recognized as an efficient way to improve vulnerable households’food security and optimize their dietary decisions.This study quantifies rural household resilience in weste...A more resilient livelihood is increasingly recognized as an efficient way to improve vulnerable households’food security and optimize their dietary decisions.This study quantifies rural household resilience in western China,identifies the three pillars(absorptive capacity,adaptive capacity,and transformative capacity)contribution to resilience,and then establishes the estimated Resilience Capacity Index(RCI)linked with food security and dietary diversity supported by the multiple indicator multiple cause(MIMIC)model.Results show that,despite geographical heterogeneity,the RCI consistently increased from 2015 to 2021.Households with a higher RCI inheriting better capacity to deal with risk and shocks are significantly and positively correlated with increasing food expenditure and diversifying food choices.It can be because resilient households will allocate more money to food expenditure instead of saving for livelihood uncertainty.Thus,policymakers can provide more incentives for rural households to adopt more dynamic and effective risk management strategies.This,in turn,could yield positive spillover effects by preventing human capital loss associated with dietary-related chronic diseases and mortality.展开更多
Specialized households serve as the primary units within specialized villages in China,and their capacity to withstand risks and external influences significantly shapes the future trajectory of specialized villages a...Specialized households serve as the primary units within specialized villages in China,and their capacity to withstand risks and external influences significantly shapes the future trajectory of specialized villages and the overall vitality of the rural economy.In this study,we established a measurement indicator system based on the definition of specialized households’resilience,elucidating the logical connection between specialized households’resilience and rural industrial development in China.The musical instrument industry in Lankao County,Henan Province of China,was employed as a case;survey data,the entropy method,and an obstacle diagnosis model were used to examine how instrument production specialized households responded to the challenges posed by Corona Virus Disease 2019(COVID-19)and the tightening of national environmental protection policies,yielding the following key findings:1)there exists substantial variation in the comprehensive resilience levels among different specialized households;2)the ability to learn and adapt is the most significant contributor to the overall resilience level of specialized households;3)technological proficiency and access to skilled talent emerge as pivotal factors influencing specialized households’resilience;4)the positioning of specialized households within the industrial supply chain and the stability of their income have a direct bearing on their resilience level.The influence of specialized households’resilience on industrial development primarily manifests in the following ways:stronger resilience correlates with increased stability in production and sales,fostering a more proactive approach to future actions.However,heightened exposure to the external macroeconomic environment can lead to a higher rate of export reduction.To enhance the development resilience of entities like specialized households and family farms,and to invigorate rural economic development,escalating investments in rural science and technology and prioritizing the training of technical talent become imperative.展开更多
Based on the HS 4-digit code trade data in UNCOMTRADE from 1995 to 2020, this paper analyzes the characteristics of the evolution of the global PG trade network using the complex network approach and analyzes the chan...Based on the HS 4-digit code trade data in UNCOMTRADE from 1995 to 2020, this paper analyzes the characteristics of the evolution of the global PG trade network using the complex network approach and analyzes the changes in its resilience at the overall and country levels, respectively. The results illustrated that:(1) The scale of the global PG trade network tends to expand, and the connection is gradually tightened, experiencing a change from a “supply-oriented” to a “supply-and-demand” pattern, in which the U.S., Russia, Qatar, and Australia have gradually replaced Canada, Japan, and Russia to become the core trade status, while OPEC countries such as Qatar, Algeria, and Kuwait mainly rely on PG exports to occupy the core of the global supply, and the trade status of other countries has been dynamically alternating and evolving.(2) The resilience of the global PG trade network is lower than that of the random network and decreases non-linearly with more disrupted countries. Moreover, the impact of the U.S. is more significant than the rest of countries. Simulations using the exponential random graph model(ERGM) model revealed that national GDP, institutional quality, common border and RTA network are the determinants of PG trade network formation, and the positive impact of the four factors not only varies significantly across regions and stages, but also increases with national network status.展开更多
Due to the time-varying topology and possible disturbances in a conflict environment,it is still challenging to maintain the mission performance of flying Ad hoc networks(FANET),which limits the application of Unmanne...Due to the time-varying topology and possible disturbances in a conflict environment,it is still challenging to maintain the mission performance of flying Ad hoc networks(FANET),which limits the application of Unmanned Aerial Vehicle(UAV)swarms in harsh environments.This paper proposes an intelligent framework to quickly recover the cooperative coveragemission by aggregating the historical spatio-temporal network with the attention mechanism.The mission resilience metric is introduced in conjunction with connectivity and coverage status information to simplify the optimization model.A spatio-temporal node pooling method is proposed to ensure all node location features can be updated after destruction by capturing the temporal network structure.Combined with the corresponding Laplacian matrix as the hyperparameter,a recovery algorithm based on the multi-head attention graph network is designed to achieve rapid recovery.Simulation results showed that the proposed framework can facilitate rapid recovery of the connectivity and coverage more effectively compared to the existing studies.The results demonstrate that the average connectivity and coverage results is improved by 17.92%and 16.96%,respectively compared with the state-of-the-art model.Furthermore,by the ablation study,the contributions of each different improvement are compared.The proposed model can be used to support resilient network design for real-time mission execution.展开更多
It is of great significance to systematically analyze the cultivated land system resilience(CLSR) for the black soil protection and national food security.The CLSR is impacted by planting structure adjustment and cult...It is of great significance to systematically analyze the cultivated land system resilience(CLSR) for the black soil protection and national food security.The CLSR is impacted by planting structure adjustment and cultivated land quality decline,posing major hidden dangers to food security.It is urgent to evaluate the CLSR at multiple spatio-temporal scales.This study took Liaoning Province in the black soil region of Northeast China as an example.Based on the resilience theory,this study constructed the CLSR evaluation system from the input-feedback perspective at the provincial-scale and the city-scale,and used the rank-sum ratio comprehensive evaluation method(RSR) to analyze the key influencing factors of CLSR in Liaoning Province and its 14 cities from 2000 to 2019.The results showed that:1) the time series changes of CLSR at the provincial-scale and the city-scale in Liaoning Province were similar,both showing an increasing trend.2) The CLSR in Liaoning Province presented a spatial pattern of ‘high in the west and low in the east’ at the city-scale.3) There were seven and six main influencing factors of CLSR at the provincial-scale and the city-scale,respectively.In addition to the net income per capita of rural households,other influencing factors of CLSR were different at the provincial-scale and the city-scale.The feedback factors were dominant at the provincial-scale,and the input factors and feedback factors were dominant at the city-scale.The results could provide a reference for the utilization of black soil and draw on the experience of regional agricultural planning and adjustment.展开更多
The collective Unmanned Weapon System-of-Systems(UWSOS)network represents a fundamental element in modern warfare,characterized by a diverse array of unmanned combat platforms interconnected through hetero-geneous net...The collective Unmanned Weapon System-of-Systems(UWSOS)network represents a fundamental element in modern warfare,characterized by a diverse array of unmanned combat platforms interconnected through hetero-geneous network architectures.Despite its strategic importance,the UWSOS network is highly susceptible to hostile infiltrations,which significantly impede its battlefield recovery capabilities.Existing methods to enhance network resilience predominantly focus on basic graph relationships,neglecting the crucial higher-order dependencies among nodes necessary for capturing multi-hop meta-paths within the UWSOS.To address these limitations,we propose the Enhanced-Resilience Multi-Layer Attention Graph Convolutional Network(E-MAGCN),designed to augment the adaptability of UWSOS.Our approach employs BERT for extracting semantic insights from nodes and edges,thereby refining feature representations by leveraging various node and edge categories.Additionally,E-MAGCN integrates a regularization-based multi-layer attention mechanism and a semantic node fusion algo-rithm within the Graph Convolutional Network(GCN)framework.Through extensive simulation experiments,our model demonstrates an enhancement in resilience performance ranging from 1.2% to 7% over existing algorithms.展开更多
The rising frequency of extreme disaster events seriously threatens the safe and secure operation of the regional integrated electricity-natural gas system(RIENGS).With the growing level of coupling between electric a...The rising frequency of extreme disaster events seriously threatens the safe and secure operation of the regional integrated electricity-natural gas system(RIENGS).With the growing level of coupling between electric and natural gas systems,it is critical to enhance the load restoration capability of both systems.This paper proposes a coordinated optimization strategy for resilience-enhanced RIENGS load restoration and repair scheduling and transforms it into a mixed integer second-order cone programming(MISOCP)model.The proposed model considers the distribution network reconfiguration and the coordinated repair strategy between the two systems,minimizing the total system load loss cost and repair time.In addition,a bi-directional gas flow model is used to describe the natural gas system,which can provide the RIENGS with more flexibility for load restoration during natural gas system failure.Finally,the effectiveness of the proposed approach is verified by conducting case studies on the test systems RIENGS E13-G7 and RIENGS E123-G20.展开更多
BACKGROUND Evaluating the psychological resilience of lung cancer(LC)patients helps understand their mental state and guides future treatment.However,there is limited research on the psychological resilience of LC pat...BACKGROUND Evaluating the psychological resilience of lung cancer(LC)patients helps understand their mental state and guides future treatment.However,there is limited research on the psychological resilience of LC patients with bone me-tastases.AIM To explore the psychological resilience of LC patients with bone metastases and identify factors that may influence psychological resilience.METHODS LC patients with bone metastases who met the inclusion criteria were screened from those admitted to the Third Affiliated Hospital of Wenzhou Medical University.The psychological scores of the enrolled patients were collected.They were then grouped based on the mean psychological score:Those with scores lower than the mean value were placed in the low-score group and those with scores equal to or greater than the mean value was placed in the high-score group.The baseline data(age,gender,education level,marital status,residence,monthly income,and religious beliefs),along with self-efficacy and medical coping mode scores,were compared.RESULTS This study included 142 LC patients with bone metastases admitted to our hospital from June 2022 to December 2023,with an average psychological resilience score of 63.24±9.96 points.After grouping,the low-score group consisted of 69 patients,including 42 males and 27 females,with an average age of 67.38±9.55 years.The high-score group consisted of 73 patients,including 49 males and 24 females,with a mean age of 61.97±5.00 years.χ2 analysis revealed significant differences between the two groups in education level(χ2=6.604,P=0.037),residence(χ2=12.950,P=0.002),monthly income(χ2=9.375,P=0.009),and medical coping modes(χ2=19.150,P=0.000).Independent sample t-test showed that the high-score group had significantly higher self-efficacy scores(t=3.383,P=0.001)and lower age than the low-score group(t=4.256,P<0.001).Furthermore,multivariate logistic regression hazard analysis confirmed that self-efficacy is an independent protective factor for psychological resilience[odds ratio(OR)=0.926,P=0.035,95%confidence interval(CI):0.862-0.995],while age(OR=1.099,P=0.003,95%CI:1.034-1.169)and medical coping modes(avoidance vs confrontation:OR=3.767,P=0.012,95%CI:1.342-10.570;resignation vs confrontation:OR=5.687,P=0.001,95%CI:1.974-16.385)were identified as independent risk factors.A predictive model based on self-efficacy,age,and medical coping modes was developed.The receiver operating characteristic analysis showed an area under the curve value of 0.778(95%CI:0.701-0.856,P<0.001),indicating that the model has good predictive performance.CONCLUSION LC patients with bone metastases are less psychologically resilient than the general population.Factors such as self-efficacy,age,and medical coping modes influence their psychological resilience.Patients with low self-efficacy,old age,and avoidance/resignation coping modes should be closely observed.展开更多
This paper evaluates literature across multiple disciplines and stakeholder types to identify commonalities and contradictions in definitions for community resilience.It aims to support cross-disciplinary discourse to...This paper evaluates literature across multiple disciplines and stakeholder types to identify commonalities and contradictions in definitions for community resilience.It aims to support cross-disciplinary discourse to build an interdisciplinary understanding of community resilience.This work identifies the differences between mono-,multi-,inter-,and cross-disciplinary approaches to inform community resilience strategies in academic and practice-based contexts.Four themes for community resilience were identified through a review of cross-disciplinary literature.These include(1)diverse yet convergent definitions of community resilience and the evolution from equilibrium to adaptation to transformation;(2)equitable and inclusive strategies for the development of community resilience initiatives;(3)when and at what scale strategies should be implemented;and(4)community resilience as a process or an outcome.This work is valuable to those seeking to familiarise themselves with the concept of community resilience,including educators who deliver courses on community resilience and policy-makers.It is novel in that it presents an interdisciplinary framework for navigating the community resilience discourse beyond individual professional boundaries.展开更多
基金Under the auspices of National Natural Science Foundation of China(No.42471205)the General Scientific Research Project of Zhejiang Provincial Department of Education(No.2024JYTYB12)the Philosophy and Social Science Planning Project of Zhejiang Province(No.23NDJC109YB)。
文摘In the era of the digital economy,digital trade has demonstrated strong vitality,becoming a crucial driving force for the highquality development of national and regional economies.However,understanding the resilience of digital trade in the face of external crises is an important topic.Taking the backdrop of Sino-US trade friction,this paper constructs a resilience index system for digital trade.It utilizes entropy method,kernel density estimation,and ArcGIS mapping to calculate and visually analyze the resilience of China’s digital trade from 2017 to 2021.Additionally,a Tobit model is constructed to explore the main influencing factors of digital trade resilience patterns.The research findings indicate:1)temporally,during the period of Sino-US trade friction,China’s digital trade resilience shows an overall upward trend,but there are regional differences in resilience levels across the country,with a severe polarization phenomenon.2)Spatially,high resilience is observed in the eastern and central regions of China,while the western and northeastern regions exhibit low resilience.3)From a dimensional perspective,the resistance of digital trade resilience displays a spatial distribution of high values in the east and low values in the west.The recovery force is aggregated along coastal areas,and the renewal force tends to aggregate along the eastern coastline.4)Factors such as economic scale,industrial structure,urbanization rate,government fiscal expenditure,and technological talents significantly promote the enhancement of digital trade resilience.This study reveals the dynamic characteristics and influencing factors of digital trade resilience in responding to external shocks,providing theoretical basis and policy suggestions for enhancing digital trade resilience,and promoting high-quality economic development in China.
基金Supported by the Chongqing Medical University Program for Youth Innovation in Future Medicine,No.W0019Chongqing Municipal Education Commission’s 14th Five-Year Key Discipline Support Project,No.20240101 and No.20240102。
文摘BACKGROUND Return to work(RTW)serves as an indication for young and middle-aged colorectal cancer(CRC)survivors to resume their normal social lives.However,these survivors encounter significant challenges during their RTW process.Hence,scientific research is necessary to explore the barriers and facilitating factors of returning to work for young and middle-aged CRC survivors.AIM To examine the current RTW status among young and middle-aged CRC survivors and to analyze the impact of RTW self-efficacy(RTW-SE),fear of progression(FoP),eHealth literacy(eHL),family resilience(FR),and financial toxicity(FT)on their RTW outcomes.METHODS A cross-sectional investigation was adopted in this study.From September 2022 to February 2023,a total of 209 participants were recruited through a convenience sampling method from the gastrointestinal surgery department of a class A tertiary hospital in Chongqing.The investigation utilized a general information questionnaire alongside scales assessing RTW-SE,FoP,eHL,FR,and FT.To analyze the factors that influence RTW outcomes among young and middle-aged CRC survivors,Cox regression modeling and Kaplan-Meier survival analysis were used.RESULTS A total of 43.54%of the participants successfully returned to work,with an average RTW time of 100 days.Cox regression univariate analysis revealed that RTW-SE,FoP,eHL,FR,and FT were significantly different between the non-RTW and RTW groups(P<0.05).Furthermore,Cox regression multivariate analysis identified per capita family monthly income,job type,RTW-SE,and FR as independent influencing factors for RTW(P<0.05).CONCLUSION The RTW rate requires further improvement.Elevated levels of RTW-SE and FR were found to significantly increase RTW among young and middle-aged CRC survivors.Health professionals should focus on modifiable factors,such as RTW-SE and FR,to design targeted RTW support programs,thereby facilitating their timely reintegration into mainstream society.
文摘As complex and diverse ecosystems,cities encounter numerous challenges posed by both nature and humanity.Architecture,serving as the framework and texture of the city,has undoubtedly emerged as a crucial guide in addressing urban resilience issues.Roof greening and vertical greening of buildings,as ecofriendly urban green infrastructures,hold significant potential for mitigating these challenges.This paper explores the methods and strategies for implementing roof greening and vertical greening as solutions to enhance urban resilience.The objective is to offer valuable insights for sustainable urban development,encourage the widespread adoption of these greening techniques in urban construction,and ultimately strengthen urban resilience.
基金supported by the Research on the Mechanisms and Policies for the Collaborative Promotion of High-Quality Development in the Private Enterprises of Fujian Province Through Digital Finance and Green Finance(FJ2024MGCA021)a key project of basic theory research in philosophy and social sciences guided by Marxism in universities in Fujian Province and Research on the Mechanism and Pathways for Empowering Green Innovation in Fujian Province Through the Deep Integration of Digital Economy and Real Economy(FJKX-2023XKB003)a Science and Technology Innovation Think Tank Research Project of Fujian Association for Science and Technology.
文摘This paper created an evaluation index system for agricultural green resilience,consisting of five dimensions:resistibility,recoverability,adaptability,innovatability,and reconstructability.We used the entropy method to measure the agricultural green resilience levels of 30 provinces(municipalities/autonomous regions)in China from 2007 to 2021 and employed spatial Markov chains and geographic detectors to reveal the dynamics and evolution of the patterns and influencing factors of the agricultural green resilience.The study shows that the level of agricultural green resilience in China displayed a slight upward trend from 2007 to 2021,but the overall level remained low.Spatially,a distribution pattern of“eastern China>central China>northeastern China>western China”was observed.The transfer process for agricultural green resilience exhibited a“path dependence”characteristic that maintained its initial state,while it also showed a“trickle-down effect.”This means that the regions adjacent to provinces(municipalities/autonomous regions)with higher levels of agricultural green resilience tend to have an increased probability of an upward movement in their ranking.However,such movements are not leapfrogging and only occur at the adjacent levels.The spatial differentiations in the agricultural green resilience levels are primarily driven by the technological innovation capacity and market maturity,with interactions between these factors exhibiting both dual-factor enhancements and nonlinear enhancements.Accordingly,efforts should be made to strengthen support for the less-developed regions,increase research and development investment in the agricultural sector,and improve the market systems for agricultural products to enhance agricultural green resilience.
基金funded by the National Natural Science Foundation of China (42071047)Innovation Fund Project for College Teachers in Gansu Province (2025A-008)+1 种基金Research Capability Enhancement Plan for Young Teachers at Northwest Normal University (NWNU-LKQN2024-19)Basic Research Innovation Group Project of Gansu Province (22JR5RA129)。
文摘Under current climate warming, the growth resilience of plantation forests after extreme droughts has garnered increasing attention. Platycladus orientalis Linn. is an evergreen tree species commonly used for afforestation, and the stability of P. orientalis plantation forests in the Loess Hilly region directly affects the ecological and environmental security of the entire Loess Plateau of China.However, systematic analyses of the growth resilience of P. orientalis plantation forests after extreme droughts along precipitation gradients remain scarce. In this study, we collected tree ring samples of P.orientalis along a precipitation gradient(255, 400, and 517 mm) from 2021 to 2023 and used dendroecological methods to explore the growth resilience of P. orientalis to drought stress on the Loess Plateau. Our findings revealed that the growth resilience of P. orientalis increased with increasing precipitation, enabling the trees to recover to the pre-drought growth levels. In regions with low precipitation(255 mm), the plantation forests were more sensitive to extreme droughts, struggling to recover to previous growth levels, necessitating conditional artificial irrigation. In regions with medium precipitation(400 mm), the growth of P. orientalis was significantly limited by drought stress and exhibited some recovery ability after extreme droughts, therefore warranting management through rainwater harvesting and conservation measures. Conversely, in regions with high precipitation(517 mm), the impacts of extreme droughts on P. orientalis plantation forests were relatively minor. This study underscored the need for targeted strategies tailored to different precipitation conditions rather than a "one-size-fits-all" approach to utilize precipitation resources effectively and maximize the ecological benefits of plantation forests. The findings will help maintain the stability of plantation forests and improve their ecosystem service functions in arid and semi-arid areas.
基金funded by the Natural Science Foundation of China(Grant No.41971264)。
文摘Agricultural heritage systems have the characteristics of ecological fragility and cultural sensitivity.For a long time,the conservation and sustainable development of agricultural heritage systems have received attention from all sectors.However,there are few measurements of tourism disturbance(TD)and community resilience(CR)in agricultural heritage sites,and research on the relationship between the two is even more lacking.This study selects six villages in the Honghe Hani Rice Terraced System(HHRTS)as examples and constructs an evaluation system for TD and CR.Through questionnaires and in-depth interviews,it explores the response relationship between TD and CR of heritage site,and compares the response relationship of villages in different stages of tourism development.The results indicate that the heritage site's current response relationship between TD and CR shows a positive response type,and the development of tourism has brought positive responses and effects.There are differences in the interactive relationship between TD and CR among communities with different levels of tourism development.In communities with poor tourism development,CR is more susceptible to the impact of TD than other communities.The stability of the relationship between TD and CR response gradually tends to stabilize from poor,good,and moderate tourism development.
文摘The concept of community resilience in the contexts of climate change and disasters draws increasing attention and interest from practitioners and researchers in recent development discourse. This paper provides a critical review of six selected frameworks of community resilience building operationalized in Bangladesh over the span of years. In other words, this study aims to contribute to the understanding of resilience through a systematic analysis of the dimensions and indicators of community resilience frameworks. The analysis shows that comprehensive and effective community resilience frameworks should incorporate the missing components linked to fundamental elements of good governance, economic growth, environmental sustainability, social transformation, and capacity development. The paper concludes by highlighting a few other areas of grave concern that need more appropriate attention, considering the severe threats posed by climate change and natural disasters in line with sustainable development goals. Finally, this study recommends further research regarding the effectiveness of these frameworks in different climatic and disaster contexts that can lead the concept into a new dimension of community resilience and sustainability.
基金supported by the National Natural Science Foundation of China(72288101,72331001,and 72071015)the Research Grants Council of the Hong Kong Special Administrative Region(PolyU 15222221)+1 种基金the 111 Center(B20071)an XPLORER PRIZE.
文摘As the scale of urban rail transit(URT)networks expands,the study of URT resilience is essential for safe and efficient operations.This paper presents a comprehensive review of URT resilience and highlights potential trends and directions for future research.First,URT resilience is defined by three primary abilities:absorption,resistance,and recovery,and four properties:robustness,vulnerability,rapidity,and redundancy.Then,the metrics and assessment approaches for URT resilience were summarized.The metrics are divided into three categories:topology-based,characteristic-based,and performance-based,and the assessment methods are divided into four categories:topological,simulation,optimization,and datadriven.Comparisons of various metrics and assessment approaches revealed that the current research trend in URT resilience is increasingly favoring the integration of traditional methods,such as conventional complex network analysis and operations optimization theory,with new techniques like big data and intelligent computing technology,to accurately assess URT resilience.Finally,five potential trends and directions for future research were identified:analyzing resilience based on multisource data,optimizing train diagram in multiple scenarios,accurate response to passenger demand through new technologies,coupling and optimizing passenger and traffic flows,and optimal line design.
基金supported by the National Natural Science Foundation of China (No.82203171)the Jiangsu Province Science and Technology Coordination Research Project (No.JSKXKT2023040).
文摘Objective:This study evaluated the effect of resilience on depression among patients with breast cancer from individual and familial perspectives by exploring the mediating and moderating effects of family resilience between individual resilience and depression.Methods:A questionnaire survey was conducted among 337 patients with breast cancer who were admitted to the Oncology Department of Jiangsu Province Hospital.The survey included demographic information,the Connor–Davidson Resilience Scale(CD-RISC),the Family Resilience Assessment Scale(FRAS),and the Chinese version of the Patient Health Questionnaire-9(PHQ-9)for Depression.The relationship among individual resilience,family resilience,and depression was analyzed using hierarchical regression and bootstrap test to assess the mediating and moderating effects of family resilience.Results:The depression scores were(13.50±5.16),the individual resilience scores were(48.62±17.50),and the family resilience scores were(105.98±24.35).Significant differences in depression scores were observed in terms of family monthly income,average weekly exercise before diagnosis,post-diagnosis interpersonal relationship quality,and overall sleep quality in the past month(p<0.05).Patients with lower individual resilience had significantly higher depression scores than those with higher resilience(F=24.314,p<0.001),and similarly,patients with lower family resilience had higher depression scores than those with higher family resilience(F=41.660,p<0.001).Individual resilience and family resilience were significantly negatively correlated with depression(r=-0.447 and-0.441,respectively,p<0.001).Hierarchical regression analysis and bootstrap test showed that family resilience(β=-0.310,p<0.001)had a partial mediating effect between individual resilience(β=-0.321,p<0.001)and depression.The indirect effect size was-0.038,the 95%CI was(-0.056,-0.020),and the direct effect ratio was 71.43%.The interaction of family resilience and individual resilience had a moderating effect on depression(B=0.166,p<0.001).Family resilience negatively moderated the relationship between individual resilience and depressive symptoms and enhanced the protective effect of individual resilience against depression with increasing family resilience.Conclusion:Family resilience has mediating and moderating effects between individual resilience and depression in patients with breast cancer.
文摘Critical infrastructure systems(CISs)play a key role in the socio-economic activity of a society,but are exposed to an array of disruptive events that can greatly impact their function and performance.Therefore,understanding the underlying behaviors of CISs and their response to perturbations is needed to better prepare for,and mitigate the impact of,future disruptions.Resilience is one characteristic of CISs that influences the extent and severity of the impact induced by extreme events.Resilience is often dissected into four dimensions:robustness,redundancy,resourcefulness,and rapidity,known as the“4Rs”.This study proposes a framework to assess the resilience of an infrastructure network in terms of these four dimensions under optimal resource allocation strategies and incorporates interdependencies between different CISs,with resilience considered as a stochastic variable.The proposed framework combines an agent-based infrastructure interdependency model,advanced optimization algorithms,Bayesian network techniques,and Monte Carlo simulation to assess the resilience of an infrastructure network.The applicability and flexibility of the proposed framework is demonstrated with a case study using a network of CISs in Austin,Texas,where the resilience of the network is assessed and a“what-if”analysis is performed.
基金This paper was supported by the National Natural Science Foundation of China(NSFC)(71973138 and 72061137002)the Ministry of Science and Technology of China(2023YFE0105009).
文摘A more resilient livelihood is increasingly recognized as an efficient way to improve vulnerable households’food security and optimize their dietary decisions.This study quantifies rural household resilience in western China,identifies the three pillars(absorptive capacity,adaptive capacity,and transformative capacity)contribution to resilience,and then establishes the estimated Resilience Capacity Index(RCI)linked with food security and dietary diversity supported by the multiple indicator multiple cause(MIMIC)model.Results show that,despite geographical heterogeneity,the RCI consistently increased from 2015 to 2021.Households with a higher RCI inheriting better capacity to deal with risk and shocks are significantly and positively correlated with increasing food expenditure and diversifying food choices.It can be because resilient households will allocate more money to food expenditure instead of saving for livelihood uncertainty.Thus,policymakers can provide more incentives for rural households to adopt more dynamic and effective risk management strategies.This,in turn,could yield positive spillover effects by preventing human capital loss associated with dietary-related chronic diseases and mortality.
基金Under the auspices of the China Social Science(No.21BJY218)National Natural Science Foundation of China(No.41801113)Newcomer funding from Institute of Geographic Sciences and Natural Resources Research,Chinese Academy of Sciences(No.E0V00100)。
文摘Specialized households serve as the primary units within specialized villages in China,and their capacity to withstand risks and external influences significantly shapes the future trajectory of specialized villages and the overall vitality of the rural economy.In this study,we established a measurement indicator system based on the definition of specialized households’resilience,elucidating the logical connection between specialized households’resilience and rural industrial development in China.The musical instrument industry in Lankao County,Henan Province of China,was employed as a case;survey data,the entropy method,and an obstacle diagnosis model were used to examine how instrument production specialized households responded to the challenges posed by Corona Virus Disease 2019(COVID-19)and the tightening of national environmental protection policies,yielding the following key findings:1)there exists substantial variation in the comprehensive resilience levels among different specialized households;2)the ability to learn and adapt is the most significant contributor to the overall resilience level of specialized households;3)technological proficiency and access to skilled talent emerge as pivotal factors influencing specialized households’resilience;4)the positioning of specialized households within the industrial supply chain and the stability of their income have a direct bearing on their resilience level.The influence of specialized households’resilience on industrial development primarily manifests in the following ways:stronger resilience correlates with increased stability in production and sales,fostering a more proactive approach to future actions.However,heightened exposure to the external macroeconomic environment can lead to a higher rate of export reduction.To enhance the development resilience of entities like specialized households and family farms,and to invigorate rural economic development,escalating investments in rural science and technology and prioritizing the training of technical talent become imperative.
基金funded by the National Natural Science Foundation of China Projects (Grant number 71703128)Anhui Provincial Higher Education Research Key Project (grant number: 2024AH052139)。
文摘Based on the HS 4-digit code trade data in UNCOMTRADE from 1995 to 2020, this paper analyzes the characteristics of the evolution of the global PG trade network using the complex network approach and analyzes the changes in its resilience at the overall and country levels, respectively. The results illustrated that:(1) The scale of the global PG trade network tends to expand, and the connection is gradually tightened, experiencing a change from a “supply-oriented” to a “supply-and-demand” pattern, in which the U.S., Russia, Qatar, and Australia have gradually replaced Canada, Japan, and Russia to become the core trade status, while OPEC countries such as Qatar, Algeria, and Kuwait mainly rely on PG exports to occupy the core of the global supply, and the trade status of other countries has been dynamically alternating and evolving.(2) The resilience of the global PG trade network is lower than that of the random network and decreases non-linearly with more disrupted countries. Moreover, the impact of the U.S. is more significant than the rest of countries. Simulations using the exponential random graph model(ERGM) model revealed that national GDP, institutional quality, common border and RTA network are the determinants of PG trade network formation, and the positive impact of the four factors not only varies significantly across regions and stages, but also increases with national network status.
基金the National Natural Science Foundation of China(NNSFC)(Grant Nos.72001213 and 72301292)the National Social Science Fund of China(Grant No.19BGL297)the Basic Research Program of Natural Science in Shaanxi Province(Grant No.2021JQ-369).
文摘Due to the time-varying topology and possible disturbances in a conflict environment,it is still challenging to maintain the mission performance of flying Ad hoc networks(FANET),which limits the application of Unmanned Aerial Vehicle(UAV)swarms in harsh environments.This paper proposes an intelligent framework to quickly recover the cooperative coveragemission by aggregating the historical spatio-temporal network with the attention mechanism.The mission resilience metric is introduced in conjunction with connectivity and coverage status information to simplify the optimization model.A spatio-temporal node pooling method is proposed to ensure all node location features can be updated after destruction by capturing the temporal network structure.Combined with the corresponding Laplacian matrix as the hyperparameter,a recovery algorithm based on the multi-head attention graph network is designed to achieve rapid recovery.Simulation results showed that the proposed framework can facilitate rapid recovery of the connectivity and coverage more effectively compared to the existing studies.The results demonstrate that the average connectivity and coverage results is improved by 17.92%and 16.96%,respectively compared with the state-of-the-art model.Furthermore,by the ablation study,the contributions of each different improvement are compared.The proposed model can be used to support resilient network design for real-time mission execution.
基金Under the auspices of National Natural Science Foundation of China(No.42301296)Postdoctoral Research Foundation of China(No.2022M723130)Key Projects of Social Science Planning Fund of Liaoning Province,China(No.L23AGL001)。
文摘It is of great significance to systematically analyze the cultivated land system resilience(CLSR) for the black soil protection and national food security.The CLSR is impacted by planting structure adjustment and cultivated land quality decline,posing major hidden dangers to food security.It is urgent to evaluate the CLSR at multiple spatio-temporal scales.This study took Liaoning Province in the black soil region of Northeast China as an example.Based on the resilience theory,this study constructed the CLSR evaluation system from the input-feedback perspective at the provincial-scale and the city-scale,and used the rank-sum ratio comprehensive evaluation method(RSR) to analyze the key influencing factors of CLSR in Liaoning Province and its 14 cities from 2000 to 2019.The results showed that:1) the time series changes of CLSR at the provincial-scale and the city-scale in Liaoning Province were similar,both showing an increasing trend.2) The CLSR in Liaoning Province presented a spatial pattern of ‘high in the west and low in the east’ at the city-scale.3) There were seven and six main influencing factors of CLSR at the provincial-scale and the city-scale,respectively.In addition to the net income per capita of rural households,other influencing factors of CLSR were different at the provincial-scale and the city-scale.The feedback factors were dominant at the provincial-scale,and the input factors and feedback factors were dominant at the city-scale.The results could provide a reference for the utilization of black soil and draw on the experience of regional agricultural planning and adjustment.
基金This research was supported by the Key Research and Development Program of Shaanxi Province(2024GX-YBXM-010)the National Science Foundation of China(61972302).
文摘The collective Unmanned Weapon System-of-Systems(UWSOS)network represents a fundamental element in modern warfare,characterized by a diverse array of unmanned combat platforms interconnected through hetero-geneous network architectures.Despite its strategic importance,the UWSOS network is highly susceptible to hostile infiltrations,which significantly impede its battlefield recovery capabilities.Existing methods to enhance network resilience predominantly focus on basic graph relationships,neglecting the crucial higher-order dependencies among nodes necessary for capturing multi-hop meta-paths within the UWSOS.To address these limitations,we propose the Enhanced-Resilience Multi-Layer Attention Graph Convolutional Network(E-MAGCN),designed to augment the adaptability of UWSOS.Our approach employs BERT for extracting semantic insights from nodes and edges,thereby refining feature representations by leveraging various node and edge categories.Additionally,E-MAGCN integrates a regularization-based multi-layer attention mechanism and a semantic node fusion algo-rithm within the Graph Convolutional Network(GCN)framework.Through extensive simulation experiments,our model demonstrates an enhancement in resilience performance ranging from 1.2% to 7% over existing algorithms.
基金funded by the Science and Technology Project of State Grid Jilin Electric Power Co.,Ltd.(Project Name:Research onDistributionNetworkResilience Assessment and Improvement Technology for Natural Disaster Areas).
文摘The rising frequency of extreme disaster events seriously threatens the safe and secure operation of the regional integrated electricity-natural gas system(RIENGS).With the growing level of coupling between electric and natural gas systems,it is critical to enhance the load restoration capability of both systems.This paper proposes a coordinated optimization strategy for resilience-enhanced RIENGS load restoration and repair scheduling and transforms it into a mixed integer second-order cone programming(MISOCP)model.The proposed model considers the distribution network reconfiguration and the coordinated repair strategy between the two systems,minimizing the total system load loss cost and repair time.In addition,a bi-directional gas flow model is used to describe the natural gas system,which can provide the RIENGS with more flexibility for load restoration during natural gas system failure.Finally,the effectiveness of the proposed approach is verified by conducting case studies on the test systems RIENGS E13-G7 and RIENGS E123-G20.
基金Zhejiang Provincial Medical and Health Science and Technology Plan Project,No.2024KY401Zhejiang Provincial Traditional Chinese Medicine Science and Technology Plan Project,No.2024ZF136Zhejiang Province Traditional Chinese Medicine Science and Technology Project,No.2023ZL170.
文摘BACKGROUND Evaluating the psychological resilience of lung cancer(LC)patients helps understand their mental state and guides future treatment.However,there is limited research on the psychological resilience of LC patients with bone me-tastases.AIM To explore the psychological resilience of LC patients with bone metastases and identify factors that may influence psychological resilience.METHODS LC patients with bone metastases who met the inclusion criteria were screened from those admitted to the Third Affiliated Hospital of Wenzhou Medical University.The psychological scores of the enrolled patients were collected.They were then grouped based on the mean psychological score:Those with scores lower than the mean value were placed in the low-score group and those with scores equal to or greater than the mean value was placed in the high-score group.The baseline data(age,gender,education level,marital status,residence,monthly income,and religious beliefs),along with self-efficacy and medical coping mode scores,were compared.RESULTS This study included 142 LC patients with bone metastases admitted to our hospital from June 2022 to December 2023,with an average psychological resilience score of 63.24±9.96 points.After grouping,the low-score group consisted of 69 patients,including 42 males and 27 females,with an average age of 67.38±9.55 years.The high-score group consisted of 73 patients,including 49 males and 24 females,with a mean age of 61.97±5.00 years.χ2 analysis revealed significant differences between the two groups in education level(χ2=6.604,P=0.037),residence(χ2=12.950,P=0.002),monthly income(χ2=9.375,P=0.009),and medical coping modes(χ2=19.150,P=0.000).Independent sample t-test showed that the high-score group had significantly higher self-efficacy scores(t=3.383,P=0.001)and lower age than the low-score group(t=4.256,P<0.001).Furthermore,multivariate logistic regression hazard analysis confirmed that self-efficacy is an independent protective factor for psychological resilience[odds ratio(OR)=0.926,P=0.035,95%confidence interval(CI):0.862-0.995],while age(OR=1.099,P=0.003,95%CI:1.034-1.169)and medical coping modes(avoidance vs confrontation:OR=3.767,P=0.012,95%CI:1.342-10.570;resignation vs confrontation:OR=5.687,P=0.001,95%CI:1.974-16.385)were identified as independent risk factors.A predictive model based on self-efficacy,age,and medical coping modes was developed.The receiver operating characteristic analysis showed an area under the curve value of 0.778(95%CI:0.701-0.856,P<0.001),indicating that the model has good predictive performance.CONCLUSION LC patients with bone metastases are less psychologically resilient than the general population.Factors such as self-efficacy,age,and medical coping modes influence their psychological resilience.Patients with low self-efficacy,old age,and avoidance/resignation coping modes should be closely observed.
基金Royal Academy of Engineers(RAE)for funding this collaborative research via their‘Frontiers of Development’award programme.
文摘This paper evaluates literature across multiple disciplines and stakeholder types to identify commonalities and contradictions in definitions for community resilience.It aims to support cross-disciplinary discourse to build an interdisciplinary understanding of community resilience.This work identifies the differences between mono-,multi-,inter-,and cross-disciplinary approaches to inform community resilience strategies in academic and practice-based contexts.Four themes for community resilience were identified through a review of cross-disciplinary literature.These include(1)diverse yet convergent definitions of community resilience and the evolution from equilibrium to adaptation to transformation;(2)equitable and inclusive strategies for the development of community resilience initiatives;(3)when and at what scale strategies should be implemented;and(4)community resilience as a process or an outcome.This work is valuable to those seeking to familiarise themselves with the concept of community resilience,including educators who deliver courses on community resilience and policy-makers.It is novel in that it presents an interdisciplinary framework for navigating the community resilience discourse beyond individual professional boundaries.
