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Lessons From a Behavior Change Intervention to Improve Provider-Parent Partnerships and Care for Hospitalized Newborns and Young Children in Kenya. 从行为改变干预改善提供者-父母伙伴关系和照顾住院的肯尼亚新生儿和幼儿的经验教训。
IF 2.5 Q4 ELECTROCHEMISTRY Pub Date : 2023-11-30 DOI: 10.9745/GHSP-D-23-00004
Charlotte E Warren, Pooja Sripad, Charity Ndwiga, Chantalle Okondo, Felicitas M Okwako, Caroline W Mwangi, Timothy Abuya

Enhancing respectful, responsive, integrative, and nurturing care for hospitalized newborns and young children (aged 0-24 months) is globally recognized but under-researched in low- and middle-income countries. Responsive, family-centered interventions target providers and parents and emphasize partnership in caring roles. From February 2020 to August 2021, we engaged in a participatory co-creation process with parents, providers, and newborn and child health stakeholders in Kenya to develop a comprehensive provider behavior change intervention and implemented it across 5 hospitals in Nairobi and Bungoma counties in Kenya. The multifaceted intervention included a 7-module orientation, feedback meetings, job aids, and psychosocial support-leveraging in-person and remote modalities-for providers working in newborn and pediatric units. We used a mixed-methods evaluation drawing on a pre-post provider survey, pre-post qualitative interviews with providers and parents, and a follow-up parental survey. There were significant post-intervention improvements in provider knowledge on safeguarding sleep, positioning and handling, and protecting skin. However, there were also significant reductions in providers' knowledge in identifying a child's pain, parental stress, and environmental stress. Among parents who received coaching from providers, there were higher levels of interpersonal communication between parent and provider, parental empowerment, and improved ability to provide integrated, responsive care to their child. Despite the challenges of implementing a provider-focused intervention to improve care for hospitalized newborns and young children during the global COVID-19 pandemic, we have demonstrated that it is feasible to implement a hybrid virtual and in-person process to influence several outcomes, including provider knowledge and practice, improved provider partnerships with parents, and parents' capacity to engage in the care of their newborn or young child.

加强对住院新生儿和幼儿(0-24个月)的尊重、敏感、综合和养育性护理是全球公认的,但在低收入和中等收入国家却缺乏研究。响应性的、以家庭为中心的干预措施以提供者和父母为目标,并强调在照顾角色中的伙伴关系。从2020年2月至2021年8月,我们与肯尼亚的父母、提供者以及新生儿和儿童健康利益攸关方共同参与了一个参与式共同创造过程,以制定一项全面的提供者行为改变干预措施,并在肯尼亚内罗毕和本戈马县的5家医院实施。多方面的干预包括7个模块的指导、反馈会议、工作辅助和心理社会支持——利用面对面和远程模式——为新生儿和儿科部门的提供者提供支持。我们使用了一种混合方法的评估方法,包括对提供者的事后调查、对提供者和父母的事后定性访谈以及对父母的后续调查。干预后,在保障睡眠、体位和处理以及保护皮肤方面,提供者的知识有了显著的改善。然而,提供者在识别孩子的痛苦、父母压力和环境压力方面的知识也显著减少。在接受提供者指导的父母中,父母与提供者之间的人际沟通水平更高,父母授权更高,为孩子提供综合响应性护理的能力也有所提高。尽管在全球COVID-19大流行期间实施以提供者为中心的干预措施以改善住院新生儿和幼儿的护理面临挑战,但我们已经证明,实施虚拟和面对面混合流程来影响几个结果是可行的,包括提供者的知识和实践,改善提供者与父母的伙伴关系,以及父母参与新生儿或幼儿护理的能力。
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引用次数: 0
Effect of ε-carbide (Fe 2.4 C) on Corrosion and Hydrogen Diffusion Behaviors of Automotive Ultrahigh-Strength Steel Sheet, 초고강도급 자동차용 강재 내 ε-carbide (Fe 2.4 C)가 부식 및 수소확산거동에 미치는 영향 Effect of ε-carbide (Fe 2.4 C) on Corrosion and Hydrogen Diffusion Behaviors of Automotive Ultrahigh-Strength Steel Sheet,超高强度汽车用钢材内ε-carbide (Fe 2.4 C)对腐蚀及氢气扩散行为的影响
IF 0.6 Q4 ELECTROCHEMISTRY Pub Date : 2021-10-31 DOI: 10.14773/CST.2021.20.5.295
Jin-seong Park, Du Yun, H. Seong, Sung Jin Kim, 박진성, 윤덕빈, 성환구, 김성진
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引用次数: 0
A Study on the Corrosion Behavior of Magnesium Alloy Sealed with Chemical Conversion Coating and Sol-gel Coating 化学转化涂层与溶胶-凝胶涂层密封镁合金的腐蚀行为研究
IF 0.6 Q4 ELECTROCHEMISTRY Pub Date : 2021-08-31 DOI: 10.14773/CST.2021.20.4.175
D. U. Lee, Shivshankar Chaudhari, Seungyong Choi, M. Moon, MinYoung Shon
Magnesium alloy is limited in the industrial field because its standard electrode potential is -2.363 V vs. NHE (Normal Hydrogen Electrode) at 25 ℃. This high electrochemical activity causes magnesium to quickly corrode with oxygen in air; chemical conversion coating prevents corrosion but causes surface defects like cracks and pores. We have examined the anti-corrosion effect of sol-gel coating sealed on the defected conversion coating layer. Sol-gel coatings produced higher voltage current and smaller pore than the chemical conversion coating layer. The conversion coating on magnesium alloy AZ31 was prepared using phosphate-permanganate solution. The sol-gel coating was designed using trimethoxymethylsilane (MTMS) and (3-Glycidyloxypropyl) trimethoxysilane (GPTMS) as precursors, and aluminum acetylacetonate as a ring-opening agent. The thermal shock resistance was tested by exposing specimens at 140 ℃ in a convection oven; the results showed changes in the magnesium alloy AZ31 surface, such as oxidization and cracking. Scanning electron microscope (FE-SEM) analysis confirmed a sealed sol-gel coating layer on magnesium alloy AZ31. Electrochemical impedance spectroscopy (EIS) measured the differences in corrosion protection properties by sol-gel and conversion coatings in 0.35 wt% NaCl solution, and the potentiodynamic polarization test and confirmed conversion coating with the sol-gel coating show significantly improved resistance by crack sealing.
镁合金在25℃下的标准电极电位为-2.363 V,相对于NHE(普通氢电极),在工业领域受到限制。这种高电化学活性导致镁在空气中迅速被氧气腐蚀;化学转化涂层可以防止腐蚀,但会导致表面缺陷,如裂缝和气孔。对有缺陷的转化涂层进行了密封的溶胶-凝胶涂层的防腐效果测试。溶胶-凝胶涂层比化学转化涂层产生更高的电压电流和更小的孔隙。采用磷酸盐-高锰酸盐溶液在镁合金AZ31上制备了转化涂层。以三甲氧基甲基硅烷(MTMS)和(3-甘油三酯氧基丙基)三甲氧基硅烷(GPTMS)为前驱体,乙酰丙酮铝为开环剂,设计了溶胶-凝胶涂层。通过在对流烘箱中保温140℃测试试样的抗热震性能;结果表明,镁合金AZ31表面发生了氧化和开裂等变化。扫描电镜(FE-SEM)分析证实AZ31镁合金表面存在一层密封的溶胶-凝胶涂层。电化学阻抗谱(EIS)测试了溶胶-凝胶涂层和转化涂层在0.35 wt% NaCl溶液中防腐性能的差异,动电位极化测试和确定的转化涂层采用溶胶-凝胶涂层封裂后的耐腐蚀性能显著提高。
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引用次数: 0
Failure Evaluation Plan of a Reactor Internal Components of a Decommissioned Plant 退役核电站反应堆内部部件的故障评估计划
IF 0.6 Q4 ELECTROCHEMISTRY Pub Date : 2021-08-31 DOI: 10.14773/CST.2021.20.4.189
S. Hwang, Sung-Woo Kim, M. J. Choi, S. Cho, Dongjun Kim
A technology for designing and licensing a dedicated radiation shielding facility needs to be developed for safe and efficient operation an R&D center. Technology development is important for smooth operation of such facilities. Causes of damage to internal structures (such as baffle former bolt (BFB) of pressurized water reactor) of a nuclear power reactor should be analyzed along with prevention and countermeasures for similar cases of other plants. It is important to develop technologies that can comprehensively analyze various characteristics of internal structures of long term operated reactors. In high-temperature, high-pressure operating environment of nuclear power plants, cases of BFB cracks caused by irradiated assisted stress corrosion cracks (IASCC) have been reported overseas. The integrity of a reactor’s internal structure has emerged as an important issue. Identifying the cause of the defect is requested by the Korean regulatory agency. It is also important to secure a foundation for testing technology to demonstrate the operating environment for medium-level irradiated testing materials. The demonstration testing facility can be used for research on material utilization of the plant, which might have highest fluence on the internal structure of a reactor globally.
为了研发中心的安全高效运行,需要开发一种设计和许可专用辐射屏蔽设施的技术。技术开发对于此类设施的顺利运行至关重要。应分析核反应堆内部结构(如压水堆挡板架螺栓)损坏的原因,并针对其他电厂的类似情况进行预防和对策。开发能够全面分析长期运行反应堆内部结构各种特性的技术是很重要的。在核电站高温高压运行环境中,辐照辅助应力腐蚀裂纹(IASCC)引起的BFB裂纹在国外已有报道。反应堆内部结构的完整性已成为一个重要问题。韩国监管机构要求确定缺陷原因。同样重要的是,确保测试技术的基础,以证明中等水平辐照测试材料的操作环境。示范测试设施可用于研究核电站的材料利用率,这可能对全球反应堆的内部结构产生最高影响。
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引用次数: 1
Application of High Performance Coatings for Service Life Extension of Steel Bridge Coatings 高性能涂料在钢桥涂料中的应用
IF 0.6 Q4 ELECTROCHEMISTRY Pub Date : 2021-08-31 DOI: 10.14773/CST.2021.20.4.169
Chan-Young Lee
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引用次数: 2
원자로 내부구조물 균열개시 민감도에 미치는 영향인자 고찰 考察核反应堆内部结构裂纹起始灵敏度的影响因子
IF 0.6 Q4 ELECTROCHEMISTRY Pub Date : 2021-08-31 DOI: 10.14773/CST.2021.20.4.210
황성식, 최민재, 김성우, 김동진
To safely operate domestic nuclear power plants approaching the end of their design life, the material degradation management strategy of the components is important. Among studies conducted to improve the soundness of nuclear reactor components, research methods for understanding the degradation of reactor internals and preparing management strategies were surveyed. Since the IGSCC (Intergranular Stress Corrosion Cracking) initiation and propagation process is associated with metal dissolution at the crack tip, crack initiation sensitivity was decreased in the hydrogenated water with decreased crack sensitivity but occurrence of small surface cracks increased. A stress of 50 to 55% of the yield strength of the irradiated materials was required to cause IASCC (Irradiation Assisted Stress Corrosion Cracking) failure at the end of the reactor operating life. In the threshold-stress analysis, IASCC cracks were not expected to occur until the end of life at a stress of less than 62% of the investigated yield strength, and the IASCC critical dose was determined to be 4 dpa (Displacement Per Atom). The stainless steel surface oxide was composed of an internal Cr-rich spinel oxide and an external Fe and Ni-rich oxide, regardless of the dose and applied strain level.
为了使接近设计寿命的国产核电站安全运行,部件的材料降解管理策略非常重要。在提高核反应堆部件可靠性的研究中,对了解反应堆内部退化和制定管理策略的研究方法进行了调查。由于IGSCC(晶间应力腐蚀裂纹)的萌生和扩展过程与裂纹尖端的金属溶解有关,因此在氢化水中裂纹的萌生敏感性降低,裂纹敏感性降低,但表面小裂纹的出现增加。在反应堆运行寿命结束时,需要辐照材料屈服强度的50%至55%的应力才能导致IASCC(辐照辅助应力腐蚀开裂)失效。在阈值应力分析中,IASCC裂纹直到寿命结束时才会出现,应力小于所研究屈服强度的62%,并且IASCC临界剂量被确定为4 dpa(每原子位移)。不锈钢表面氧化物由内部富cr尖晶石氧化物和外部富Fe和ni氧化物组成,与剂量和施加应变水平无关。
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引用次数: 0
Electrochemical Characteristics of Synthesized Nb 2 O 5 -Li 3 VO 4 Composites as Li Storage Materials 合成n2o5 - li3vo4复合材料作为储锂材料的电化学特性
IF 0.6 Q4 ELECTROCHEMISTRY Pub Date : 2021-08-31 DOI: 10.14773/CST.2021.20.4.183
Youngmo Yang, H. Seo
The increasing demand for energy storage in mobile electronic devices and electric vehicles has emphasized the importance of electrochemical energy storage devices such as Li-ion batteries (LIBs) and supercapacitors. For reversible Li storage, alternative anode materials are actively being developed. In this study, we designed and fabricated an Nb2O5-Li3VO4 composite for use as an anode material in LIBs and hybrid supercapacitors. Nb2O5 powders were dissolved into a solution and the precursors were precipitated onto Li3VO4 through a simple, low-temperature hydrothermal reaction. The annealing process yielded an Nb2O5-Li3VO4 composite that was characterized by X-ray diffraction, electron microscopy, and X-ray photoelectron spectroscopy. Electrochemical tests revealed that the Nb2O5-Li3VO4 composite electrode demonstrated increased capacities of approximately 350 and 140 mAh g-1 at 0.1 and 5 C, respectively, were maintained up to 1000 cycles. The reversible capacity and rate capability of the composite electrode were enhanced compared to those of pure Nb2O5-based electrodes. These results can be attributed to the microstructure design of the synthesized composite material.
移动电子设备和电动汽车对储能的需求不断增加,这突出了电化学储能设备(如锂离子电池(LIBs)和超级电容器)的重要性。对于可逆锂存储,替代阳极材料正在积极开发中。在本研究中,我们设计并制造了一种Nb2O5-Li3VO4复合材料,用作LIBs和混合超级电容器的阳极材料。将Nb2O5粉末溶解在溶液中,并通过简单的低温水热反应将前体沉淀到Li3VO4上。退火过程产生了Nb2O5-Li3VO4复合材料,该复合材料通过X射线衍射、电子显微镜和X射线光电子能谱进行了表征。电化学测试表明,Nb2O5-Li3VO4复合电极在0.1和5℃下分别表现出约350和140mAh g-1的容量增加,并保持高达1000次循环。与纯Nb2O5基电极相比,复合电极的可逆容量和倍率能力增强。这些结果可归因于合成的复合材料的微观结构设计。
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引用次数: 0
양성자 조사가 316 스테인리스강의 미세조직과 표면산화 특성에 미치는 영향 质子照射对316不锈钢微组织和表面氧化特性的影响
IF 0.6 Q4 ELECTROCHEMISTRY Pub Date : 2021-06-30 DOI: 10.14773/CST.2021.20.3.158
임연수, 김동진, 황성식, 최민재, 조성환
Austenitic 316 stainless steel was irradiated with protons accelerated by an energy of 2 MeV at 360 ℃, the various defects induced by this proton irradiation were characterized with microscopic equipment. In our observations irradiation defects such as dislocations and micro-voids were clearly revealed. The typical irradiation defects observed differed according to depth, indicating the evolution of irradiation defects follows the characteristics of radiation damage profiles that depend on depth. Surface oxidation tests were conducted under the simulated primary water conditions of a pressurized water reactor (PWR) to understand the role irradiation defects play in surface oxidation behavior and also to investigate the resultant irradiation assisted stress corrosion cracking (IASCC) susceptibility that occurs after exposure to PWR primary water. We found that Cr and Fe became depleted while Ni was enriched at the grain boundary beneath the surface oxidation layer both in the non-irradiated and proton-irradiated specimens. However, the degree of Cr/Fe depletion and Ni enrichment was much higher in the proton-irradiated sample than in the non-irradiated one owing to radiation-induced segregation and the irradiation defects. The microstructural and microchemical changes induced by proton irradiation all appear to significantly increase the susceptibility of austenitic 316 stainless steel to IASCC.
用能量为2MeV的质子在360℃下对奥氏体316不锈钢进行辐照,用显微设备对质子辐照产生的各种缺陷进行了表征。在我们的观察中,辐照缺陷,如位错和微空隙被清楚地揭示出来。观察到的典型辐照缺陷因深度不同而不同,表明辐照缺陷的演变遵循取决于深度的辐照损伤轮廓的特征。在压水堆(PWR)的模拟一次水条件下进行了表面氧化试验,以了解辐照缺陷在表面氧化行为中的作用,并研究暴露于压水堆一次水后产生的辐照辅助应力腐蚀开裂(IASCC)敏感性。我们发现,在未辐照和质子辐照的样品中,Cr和Fe都变得贫化,而Ni在表面氧化层下方的晶界富集。然而,由于辐射引起的偏析和辐射缺陷,质子辐照样品中的Cr/Fe贫化和Ni富集程度远高于未辐照样品。质子辐照引起的微观结构和微化学变化似乎都显著增加了奥氏体316不锈钢对IASCC的敏感性。
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引用次数: 0
쇼트피닝이 회주철의 캐비테이션 침식 저항성에 미치는 영향 短跑对灰铸铁抗型腔侵蚀性的影响
IF 0.6 Q4 ELECTROCHEMISTRY Pub Date : 2021-06-30 DOI: 10.14773/CST.2021.20.3.143
박일초
In this study, optimal shot peening process conditions were investigated for improving the cavitation erosion resistance of gray cast iron under a marine environment. Shot peening was performed with variables of injection pressure and injection time. The durability was then evaluated through cavitation erosion test which was conducted according to the modified ASTM G-32 standard. The tendency of cavitation erosion damage according to shot peening process condition was investigated through weight loss rate, surface and cross-sectional analysis of the specimen before and after the test. As a result, the shot peening process condition that could minimize cavitation erosion was when the injection pressure was the lowest and when the injection time was the shortest. This was because the flake graphite exposed on the gray cast iron surface could be easily removed under such condition. Therefore, the notch effect can be prevented by surface modification. In addition, the cavitation erosion damage mechanism of gray cast iron was discussed in detail.
本文研究了在海洋环境下提高灰铸铁抗气蚀性能的最佳喷丸工艺条件。喷丸处理是在注射压力和注射时间的变量下进行的。然后通过根据修改的ASTM G-32标准进行的气蚀试验来评估耐久性。通过试验前后试样的失重率、表面和横截面分析,研究了不同喷丸工艺条件下试样的气蚀损伤趋势。结果表明,当注射压力最低和注射时间最短时,可以最大限度地减少气蚀的喷丸工艺条件。这是因为暴露在灰铸铁表面上的片状石墨在这种条件下可以很容易地去除。因此,可以通过表面改性来防止凹口效应。此外,还对灰口铸铁的空蚀损伤机理进行了详细的探讨。
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引用次数: 0
Effects of Inhibitors on Corrosion Resistance of Steel in CaCl 2 Solution Based on Response Surface Analysis 基于响应面分析的缓蚀剂对钢在cacl2溶液中耐蚀性的影响
IF 0.6 Q4 ELECTROCHEMISTRY Pub Date : 2021-06-30 DOI: 10.14773/CST.2021.20.3.129
H. Jang
Effects of corrosion inhibitors (i.e., sodium nitrite, sodium hexametaphosphate, trimethylamine (TEA), sugar, and urea) on the corrosion resistance of carbon steel in CaCl2 solution were investigated. The test solution was designed with response surface methodology of design of experiments (DOE) in the range of 0 ~ 50 ppm for NaNO2, 0 ~ 200 ppm for (NaPO3)6, 0 ~ 2000 ppm for TEA, 0 ~ 3000 ppm for sugar, 0 ~ 200 ppm for urea with 3 wt% CaCl2. The corrosion potential and the corrosion rate were measured with potentiodynamic polarization tests and analyzed statistically to find main effects of inhibitor concentrations and interactions between them. As a result, hexametaphosphate was the most effective compound in reducing the corrosion rate. Sugar also reduced the corrosion rate significantly possibly because it covered the surface effectively with a high molecular weight. The inhibiting action of sugar was found to be enhanced by adding trimethylamine into the solution. Nevertheless, trimethylamine did not appear to be effective in inhibiting corrosion by itself. However, urea and sodium nitrite showed almost no inhibition on corrosion resistance of steel.
研究了缓蚀剂(即亚硝酸钠、六偏磷酸钠、三甲胺(TEA)、糖和尿素)对碳钢在CaCl2溶液中耐腐蚀性的影响。试验溶液采用响应面实验设计法(DOE)设计,NaNO2在0~50ppm,(NaPO3)6在0~200ppm,TEA在0~2000ppm,糖在0~3000ppm,尿素在0~200ppmCaCl2的范围内。通过动电位极化试验测量了腐蚀电位和腐蚀速率,并对其进行了统计分析,以找出缓蚀剂浓度及其相互作用的主要影响因素。因此,六偏磷酸盐是降低腐蚀速率最有效的化合物。糖还显著降低了腐蚀速率,可能是因为它用高分子量有效地覆盖了表面。发现在溶液中加入三甲胺可以增强糖的抑制作用。然而,三甲胺本身似乎并不能有效地抑制腐蚀。尿素和亚硝酸钠对钢的耐蚀性几乎没有抑制作用。
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引用次数: 1
期刊
Corrosion Science and Technology-Korea
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