Meaning in life and well-being of older stroke survivors in Chinese communities: Mediating effects of mastery and self-esteem

The study aims to examine the role of mastery and self-esteem as a potential mediator of the relationship of meaning in life and well-being among older Chinese stroke survivors. A cross-sectional study was conducted in 214 community-dwelling older stroke survivors (128 men and 86 women), ranging from 60 years to 88 years old. The meaning in life, mastery, self-esteem and subjective well-being were measured. The results indicated that: 1) The meaning in life and subjective well-being of stroke survivors were significantly positive correlated;2) Mastery and self-esteem played partial mediating roles between existential vacuum and subjective well-being;Self-esteem played full a mediating role between suffer acceptance and subjective well-being;Mastery played a full mediating role between life control and subjective well-being;Mastery played a partial mediating role between death acceptance and subjective well-being;Self-esteem also played a partial mediating role between mastery and subjective well-being.

Identification of publication characteristics and research trends in the management of gallbladder cancer

Background:To date,no comprehensive analysis of gallbladder cancer(GBC)management has been reported.We aimed to identify the publication characteristics and research trends in managing GBC over the past three decades.Methods:We selected the 100 most cited articles and performed a bibliometric analysis to summarize the publication characteristics,explore research hotspots,and identify research trends in the management of GBC.Results:The total citations of the included articles ranged from 123 to 1822.Period II(2001–2010)yielded the highest number of included articles,whereas the lowest was in Period III(2011–2020).The United States and Japan published the most papers,in which the Memorial Sloan–Kettering Cancer Center and Nagoya University were the leading institutions,respectively.The most influential authors were Blumgart LH and Fong YM from the United States.Cooperation among countries,institutions,and authors was weak.The Annals of Surgery contributed the most articles with the highest number of total citations.The most researched topic was surgery,followed by systemic therapy and adjuvant therapy.Since Period I,the percentage of surgery-related publications continuously decreased(Periods II and III versus Period I,both p<0.001),with a concomitant increase in those of adjuvant therapy(Period III versus Period I,p=0.004)and systemic therapy(Period II versus Period I,p=0.004;Period III versus Period I,p=0.002).Conclusions:Surgery remains the preferred treatment,while there is a tendency toward adjuvant and systemic therapy in GBC management.An increase in local and international collaboration for managing GBC is required.

Reply to:The letter to the editor“Laparoscopic liver resection for malignancies confined to Couinaud's segmentⅦin the robotic surgery era”by Zizzo et al.—laparoscopic liver resection:a first choice for liver malignancies in Couinaud's segmentⅦin the robotic surgery era

We are grateful for the comments of Maurizio Zizzo et al. referring to our review article focusing on the present and future of laparoscopic liver resection (LLR) (1). In fact, this comment and letter to the editor reflects the current debates on (Ⅰ) the wide-spreading indication of LLR;(Ⅱ) whether we should consider LLR as a first-choice for malignancies confined to segment Ⅶ;(Ⅲ) the advantages and disadvantages of robotic hepatectomy.