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This study aims to explore the impact of dual learning on preschool teachers' thriving at work and creative performance, and whether preschool teachers' thriving at work acts as a mediating factor in the relationship between dual learning and teachers' creative work. The participants were preschool teachers from Taiwan. Convenience sampling was used, resulting in a sample size of 388 people. The study results found that preschool teachers' dual learning, which includes both exploitative and exploratory learning, can improve the novelty and usefulness of their work and creativity. Furthermore, the study found that preschool teachers' thriving at work mediates the relationship between dual learning and creativity. This study also discovered that dual learning should combine and complement both exploitative and exploratory learning to achieve balance and the most significant effect. Therefore, it is essential to first help preschool teachers engage in both exploitative and exploratory learning. Schools and kindergartens can also provide relevant courses to help teachers combine these two learning methods. By integrating and complementing their advantages and disadvantages, a balance in learning can be achieved, thereby promoting teachers' creativity in their work.

This study aims to explore whether the creativity of university students in Higher Vocational Education in China can enhance their creative performance through autonomous motivation. The theoretical foundation of this study is interactionist model of creativity, the study employs structural equation modeling for analysis and validation. A survey assessing creativity, creative performance, and autonomous motivation was administered to students from higher vocational schools in China, yielding a valid sample of 392. The overall model results indicate that the creativity of vocational college students has a significant positive impact on creative performance, creativity positively predicted autonomous motivation, which enhanced creative performance. The autonomous motivation partially mediates the relationship between creativity and creative performance. The findings recommend that higher vocational institutions initiate creative activities to foster students' creativity and continuously bolster their autonomous motivation, thus enhancing the creative performance of future technical and skilled professionals -- vocational college students.

The cultivation of innovative ability is an important part of China's current long-term education planning and innovative development-driven strategy, as well as an important issue of university teaching reform. The cultivation of innovative ability of dance professionals in colleges and universities is a problem of great concern for dance majors in terms of innovative teaching and new curriculum reform. The purpose of this study is to analyze the relationship between innovative self-efficacy and innovative ability of dance majors, as well as the gender differences between the two. Through a questionnaire survey of dance majors in 6 universities in central China, 565 valid questionnaires were collected, and the relationship between variables was tested by difference analysis and Structural Equation Model model. The research results show that there are significant differences between genders in terms of innovative self-efficacy and innovative ability of dance majors; the innovative self-efficacy of dance majors has a positive impact on their innovative ability.

Boredom is a topic worth studying, especially the impact of boredom on college students' study is worthy of further study. This research explained the related concepts of boredom firstly. According to the research content of previous researchers, boredom was divided into external influences and internal influences. The researcher also combined the 4 variables of boredom and college students' learning attitude, academic achievement and college students' behavior to explore their relationship. The researcher hope that this kind of relationship can provide advice to educators that will affect college students from different aspects and help college students improve their academic achievement.

This study was to explore the current state of creativity among university teachers in Shaanxi, China. The study was based on creativity systems theory and a questionnaire survey was conducted with a convenience sample of university teachers in Shaanxi Province. A total of 711 teachers from 30 universities were sampled to compare the effects of demographic variables such as gender, title, subject background, and creativity award experience on statistical differences in creativity, and SPSS was used to analyse the effects between teachers' cognitive needs and creativity in the university context. The results of the study revealed that there were significant differences between title, subject background, and creativity award experience on creativity and cognitive needs of university teachers in Shaanxi; and there was a positive and significant effect of cognitive needs of university teachers on creativity.

Critical thinking represents one of the most absolutely vital talents for every individual, both in the workplace and in their personal lives. Critical thinking has become a primary concern for all educational institution students in recent decades, particularly Chinese undergraduates. The intention of this study was to investigate the needs analysis of Chinese international college undergraduates' perceptions of critical thinking skills incorporated into a cross-cultural communication course, as well as their expectations of critical thinking skills instructional coursework throughout the cross-cultural communication context. Throughout this mixed-methods investigation, 78 Chinese international college students volunteered to complete a critical thinking disposition inventory (CTDI) as the primary research instrument, in addition to a semi-structured interview. The research uncovered that Chinese international undergraduates exhibited unclear notions of critical thinking abilities. As a byproduct of China's education system, the majority of Chinese international college undergraduates were flooded with dismissive attitudes toward critical thinking abilities. In order to control their academic advancement in a more critical and analytical fashion, Chinese students expressed a pressing need for critical thinking skills to be included in their cross-cultural communication course.

Considering job resources of college teachers as a mediating variable, this study analyzed the relationship between job crafting and job engagement and established a model of the mechanism underlying the effects of job crafting on job engagement. This theoretical hypothesis model was empirically validated using 300 valid questionnaires completed by college teachers in Hebei Province, China, who were selected through convenience sampling. Job crafting directly affected job resources, and job resources exerted a direct effect on job engagement. However, job resources played a full mediating role in the relationship between job crafting and job engagement after it was added as a mediating variable.

Based on institutional theory, this study explores the causal relationship between teacher professional identity, perceived institutional norms, and teachers' conformity behavior in colleges and universities in Hunan Province. A questionnaire survey was conducted on 500 teachers from two universities in Hunan Province. The reliability and validity test results and structural equation modeling analysis show that the professional identity of college teachers positively affects their conformity behavior, and that perceived institutional norms partially mediate the relationship between teacher professional identity and teacher conformity behavior. The research enriches the application of institutional theory in university organization and provides an empirical basis for universities to improve teachers' conformity behavior.

This study aims to explore the impact of perceived transformational leadership on knowledge sharing behavior among university teachers in Anhui Province, China. Using a questionnaire survey method, convenient sampling was conducted among college teachers in Anhui Province. With 326 teachers as the research subjects, SPSS software was used to analyze the relationship between teachers' perception of transformational leadership and knowledge sharing behavior in the context of colleges and universities. Additionally, this study compared the impact of demographic variables such as age, teaching experience, and professional title on teachers' knowledge sharing behavior. The research results indicate that Anhui university teachers' perception of transformational leadership has a significant positive impact on knowledge sharing behavior. Moreover, there are significant differences in teachers' knowledge sharing behavior based on their age, teaching experience, and professional titles.

Physical education teachers in colleges and universities have the crucial responsibility of acting as mentors and guides for the healthy growth of students. The work engagement of these teachers affects the quality of higher education personnel training and health education. Based on the job demand-resource model, this study conducted a questionnaire survey on 500 physical education teachers in 20 colleges and universities in Hebei Province, China. The subjects were selected through convenience sampling. Out of the total, 456 valid questionnaires were recovered. The intermediary effect was tested through the AMOS model analysis and the Bootstrap method. The results revealed that the perceived organizational support of the participating physical education teachers in colleges and universities can positively affect their sense of teaching efficacy, which in turn positively affects work engagement and has a partial mediating effect on the relationship between perceived organizational support and work engagement.

Physical education teachers are the practitioners of physical education curriculum reform who work at the front line of teaching, and their innovation behavior play a crucial role in promoting the smooth implementation of physical education curriculum reform. This study uses goal orientation theory as a theoretical basis to explore the mediation effect of learning goal orientation in the influence of perceived organization support on physical education teachers' innovation behavior. A total of 402 valid questionnaires were collected from physical education teachers in 40 schools at the basic education level in China, and the relationship between the variables was tested using structural equation modeling. The findings showed that physical education teachers' perceived organizational support had a positive effect on learning goal orientation and innovation behavior. Physical education teachers' learning goal orientation significantly influenced their innovation behavior. Additionally, learning goal orientation partially mediated the relationship between perceived organizational support and innovation behavior.

Strengthening the cultivation of students' innovation ability is an urgent requirement for the construction of China's innovation system, and vocational colleges are a crucial driving force for cultivating technical innovation talents. Therefore, this study aims to explore the influence of metacognition on innovative behavior among vocational college students in Hainan, China and the differences between the behavior of boys and girls. Five vocational colleges were selected by purposive sampling. A total 600 students and 577 valid questionnaires were obtained, with 285 male and 292 female respondents. The results of the study found that the metacognition of boys and girls in vocational colleges has a positive and substantial impact on innovative behavior, and that the effect of metacognition on the innovative behavior of girls is higher than that of boys.

This study aimed to investigate the effects of Jiangsu University teachers' competency and engagement on their job performance and determine whether teacher competency affects job performance through the mediating role of engagement. We constructed a theoretical model based on self-determination theory (SDT) and the job demand-resource model and validated it using structural equation modeling (SEM). The study sample comprised teachers from 8 types of undergraduate colleges and universities in Jiangsu Province, China. Three hundred and fifty-four university teachers were surveyed using the Teacher Competency Scale, the Utrecht Work Engagement Scale, and the Job Performance Scale. The results showed a significant positive effect of university teachers' competency on their engagement and job performance. Additionally, SEM analysis showed a partial mediation effect of engagement in the relationship between teacher competency and job performance. The findings not only enrich our understanding of the mechanisms underlying the relationship between university teachers' competency and job performance but also extend the scope of SDT and suggest practical discussions and recommendations.

Abstract Suppression of energy disorders in the vertical direction of a photovoltaic device, along which charge carriers are forced to travel, has been extensively studied to reduce unproductive charge recombination and thus achieve high-efficiency perovskite solar cells. In contrast, energy disorders in the lateral direction of the junction for large-area modules are largely overlooked. Herein, we show that the micro-inhomogeneity characteristics in the surface lateral energetics of formamidinium (FA)-based perovskite films also significantly influence the device performance, particularly with accounting for the stability and scale-up aspects of the devices. By using organic amidinium passivators, instead of the most commonly used organic ammonium ones, the micro-inhomogeneity in the lateral energy landscapes can be suppressed, greatly improving device stability and efficiency of FA-based single-junction perovskite solar cells.

Abstract Background Immunosuppressive therapy plays a crucial role in treating membranous nephropathy, with previous studies highlighting its benefits for patients with primary membranous nephropathy (PMN). Guidelines suggest that the management of membranous nephropathy should be tailored to individual risk levels. However, there is a lack of real-world studies examining the effects of immunosuppressive therapy on renal outcomes in PMN patients. This study aimed to investigate the relationship between immunosuppressive therapy and renal prognosis in PMN patients. Methods This was a real-world retrospective study including patients diagnosed with PMN in Shenzhen Second People’s Hospital and Hechi People’s Hospital. Univariate and multivariate Cox regression analysis and Kaplan-Meier survival analysis were used. Results After propensity score-matching, 464 PMN patients were included and they were assigned to conservative and immunosuppressive group in a 1:1 ratio. Immunosuppressive therapy was the protective factor of renal composite outcome (HR = 0.65, p

In China, higher education increasingly emphasizes innovation and entrepreneurship, recognizing its pivotal role in enhancing college students’ entrepreneurial skills. While extensive research exists on entrepreneurship education for undergraduate students in Chinese universities and vocational colleges, there is a notable gap in studies specifically addressing entrepreneurship coaching for vocational art and design students. This investigation addresses this gap by examining the development of entrepreneurship coaching indicators for vocational art and design majors through a comprehensive literature review. By employing the fuzzy Delphi method, a questionnaire survey involving 12 experts was conducted to establish entrepreneurship coaching indicators for vocational art and design majors in Guangdong, China. The findings reveal a framework comprising entrepreneurship knowledge, practical skills, entrepreneurial dispositions, and intentions, organized into 4 dimensions, 15 principal indicators, and 46 sub-indicators.

Abstract Background Video-assisted thoracic surgery decortication for phase 3 thoracic empyema is widely accepted, but its optimal timing has not been established. We aim to investigate and assess this timing, in terms of overall survival, for chronic empyema. Methods Two hundred four patients with pneumonia-caused phase 3 empyema were treated with video-assisted thoracic surgery decortication over 10-years at Changhua Christian Hospital. The 90-day post-operative survival status was analyzed, and we compared the survivor group versus the non-survivor group. A receiver operating characteristic curve was used to identify the optimal decortication timing. Results A comparison between survivors and non-survivors showed statistical differences among age (p=0.004), presence of cardiovascular disease (p=0.018), presence of end-stage renal disease (p=0.002), duration to surgery (p=0.013), length of intensive care unit stay (p=0.010), and overall length of hospital stay (p=0.015). ROC curve analysis determined the cut-off for video-assisted thoracic surgery decortication, based on optimal 90-day post-operative survival, to be 7.5 days after hospitalization; mortality increases threefold thereafter (14.2% vs 44.6%, p7.5 days negatively impacted 90-day post-operative survival. Conclusions Patients receiving decortication surgery within 7.5 days of hospital admission had better overall survival.

Abstract As a critical parameter, thermal conductivity directly determines the heat transfer and temperature variation within rocks, which can lead to mechanical damage and chemical corrosion. Consequently, understanding the thermal conductivity of stone heritage is vital for assessing their deterioration mechanisms and developing effective conservation strategies. This study obtained sandstone samples from the Yungang Grottoes and subjected them to freeze–thaw cycle experiments to generate weathered sandstone samples. Subsequently, the thermal conductivity of these samples was measured under both dry and water-saturated state using the transient plane source method. To analyze the relationship between air–water saturation, porosity, and thermal conductivity, a saturation influence coefficient was introduced. Thereafter, the effectiveness and applicability of 13 commonly used thermal conductivity mixing law prediction models were evaluated based on experimental data. The results suggested that the influence of water saturation on the thermal conductivity of rocks varies with porosity, and water saturation significantly enhances the thermal conductivity of weathered sandstone. Among the 13 common models, the Geometric mean model was found to be more accurate than other models, with superior performance in both dry (MAE, RMSE, MAPE are 0.148, 0.214, 5.59% respectively) and water-saturated (MAE, RMSE, MAPE are 0.244, 0.170, 8.4% respectively) state. The Albert model demonstrates a good fit in the dry state, whereas the Walsh model (with maximum effect), Ribaud model, and Huang model also exhibit good fitting efficacy in the water-saturated state. This study provides a solid foundation for better predicting the thermal conductivity of weathered stone heritage and developing effective preventive conservation strategies.

Abstract In this work, four mainstream machine learning (ML) techniques are used to evaluate the bulk porosity and static elastic modulus of weathered Yungang Grottoes sandstone. Datasets are gathered from the experiments, which includes 432 groups effective experimental data including 8 inputs features. bulk porosity and static elastic modulus were considered as outputs to determine the weathering degrees of Yungang Grottoes sandstone. The 4 performance criteria were used to evaluate the ML models. Results demonstrate that the Artificial Neural Network (ANN) is the best-fitted models for estimating the bulk porosity and static elastic modulus compared to Multiple Linear Regression (MLR), Support Vector Regression (SVR), Gaussian Process Regression (GPR). The accuracy of the trained model for static elastic modulus is slightly higher than that of bulk porosity. The GPR and ANN model can accurately predict the bulk porosity and static elastic modulus in training stages. The ANN with multi-hidden layers developed is competent with high degree of precision and generalization ability for bulk porosity and static elastic modulus compared to other selected regression-based ML models (MLR, SVR, and GPR). The coefficient of determinations of ANN in the range of (0.9537–0.9641) during the testing stages is more stable and higher than that of (0.8883–0.9453) other built ML models. The prediction efficiency of pretrained ANN model was well adjusted for the actual and forecast datasets at the training and testing stages, and the error range was no more than 0.7% and 0.15 GPa at both stages of prediction for bulk porosity and static elastic modulus respectively. And the ANN based static elastic modulus prediction model’s error proportions significantly decreased and were confined to a modest range between + 10% and − 10%. The proposed surrogate models are valid for the bulk porosity ranging from 7 to 14% and the static elastic modulus ranging from 0.7 to 1.4 Gpa, which can be utilized for the accurate and fast prediction of the weathering degrees of Yungang Grottoes sandstone.

Abstract The intratumoral microbiome (TM) refers to the microorganisms in the tumor tissues, including bacteria, fungi, viruses, and so on, and is distinct from the gut microbiome and circulating microbiota. TM is strongly associated with tumorigenesis, progression, metastasis, and response to therapy. This paper highlights the current status of TM. Tract sources, adjacent normal tissue, circulatory system, and concomitant tumor co‐metastasis are the main origin of TM. The advanced techniques in TM analysis are comprehensively summarized. Besides, TM is involved in tumor progression through several mechanisms, including DNA damage, activation of oncogenic signaling pathways (phosphoinositide 3‐kinase [PI3K], signal transducer and activator of transcription [STAT], WNT/β‐catenin, and extracellular regulated protein kinases [ERK]), influence of cytokines and induce inflammatory responses, and interaction with the tumor microenvironment (anti‐tumor immunity, pro‐tumor immunity, and microbial‐derived metabolites). Moreover, promising directions of TM in tumor therapy include immunotherapy, chemotherapy, radiotherapy, the application of probiotics/prebiotics/synbiotics, fecal microbiome transplantation, engineered microbiota, phage therapy, and oncolytic virus therapy. The inherent challenges of clinical application are also summarized. This review provides a comprehensive landscape for analyzing TM, especially the TM‐related mechanisms and TM‐based treatment in cancer.

Abstract Background The suicide risk in patients with atrial fibrillation receiving novel oral anticoagulants or warfarin has not been evaluated in real-world practice. Moreover, reducing vitamin K levels may increase the suicide risk, underscoring the importance of selecting appropriate oral anticoagulants to prevent unintended outcomes. Therefore, we aimed to evaluate the association between different types of oral anticoagulants and the risk of attempted and completed suicide among patients with atrial fibrillation. Methods This nationwide study retrieved data from Taiwan's National Health Insurance Research Database from 2012 to 2020. This study included patients with atrial fibrillation aged 20 years and older who newly received oral anticoagulant treatment, and who had no contraindications for NOACs and no history of suicide-related events. The main outcomes were suicide-related outcomes, including attempted suicide and completed suicide. This study employed the target trial emulation framework to improve the causal inference for the observed association. Results A total of 103,768 (71.74%) patients taking NOACs and 40,877 (28.26%) patients taking warfarin were included in this study. Compared to those receiving warfarin, patients receiving NOACs were associated with a lower risk of suicide-related outcomes (HR, 0.82; 95% CIs, 0.69–0.96). Conclusions The findings of this cohort study suggested that patients receiving NOACs were associated with a lower risk of suicidal attempts but similar risk of complete suicide, compared to those receiving warfarin. Considering the risk of suicide, NOACs could be the preferred anticoagulants for patients with atrial fibrillation.