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Background: Mental health symptoms such as anxiety, depression, stress, and burnout are common among healthcare workers. However, the interconnections among them remain under-explored. This study aimed to address the interrelationships among these symptoms in psychiatric nurses. Methods: We conducted a nationwide survey in the early stage of the COVID-19 pandemic (January to March 2021) to investigate the interconnectedness of depression, anxiety, stress, and burnout among psychiatric nurses. Using network analysis, we identified central symptoms, important bridge symptoms, and the correlations among these central symptoms. Results: Of the 9,224 psychiatric nurses (79.2% female) included in the statistical analyses, 27.6% reported clinically significant depression, 31.2% anxiety, 14.5% stress, and 23.8% burnout. Network analysis revealed that stress had the highest expected influence (EI) value (0.920) and the highest strength among all nodes. The node for depression scored the highest in both closeness and betweenness. Emotional exhaustion (EE) had the highest bridge expected influence (BEI) of 0.340, with the strongest intergroup association between EE and depression. No significant differences were found in gender or frontline work experience (all p > 0.05). Conclusions: Burnout, depression, anxiety, and stress are relatively common among psychiatric nurses in the context of the COVID-19 pandemic. While anxiety was the most prevalent, stress emerged as the core symptom, and depression as an important bridging node. Interventions targeting the core symptoms and bridging nodes may improve the mental health of psychiatric nurses. [ABSTRACT FROM AUTHOR]

The expedient repair of damaged airfield pavements is important to eliminate long closure periods. Rapid-setting cement (RSC) is promising for achieving target strength in a much shorter duration (4–6 h) compared to conventional repair methods. However, when the objective is to reopen the pavement within 1–2 h, there is a lack of methods to quantify the development of mechanical properties during the first few hours. In this study, a simplified maturity method is proposed to monitor the very early-strength development of two commercially available RSC mixes with different strength development mechanisms. The results were validated using hydration chemistry data from scanning electron microscope (SEM) experiments and ultrasonic pulse velocity (UPV) tests. The experimental results show that such a maturity-based approach is effective and robust in characterizing the early-strength development of the two RSC mixes despite variations in ambient temperature conditions. [ABSTRACT FROM AUTHOR]