Influencing factors of early post-traumatic stress disorder in young and middle-aged individuals with open globe injuries in west China:a cross-sectional study

AIM:To evaluate the prevalence of early post-traumatic stress disorder(PTSD)among young and middle-aged patients who have suffered open globe injuries,and to identify the psychosocial factors influencing PTSD in these patients.METHODS:A total of 280 patients who underwent ocular trauma surgery between January 2023 and January 2024 were selected through convenience sampling.Data were collected using a custom-designed demographic questionnaire,the Connor-Davidson Resilience Scale(CDRISC),the Cognitive Emotion Regulation Questionnaire(C-ERRI),and the PTSD Checklist-Civilian Version(PCL-C).Univariate analysis and stepwise multiple linear regression analysis were performed to determine the factors affecting PTSD in these patients.RESULTS:The average PTSD score for the patients was 33.22±13.48.The scores for individual PTSD dimensions,ranked from highest to lowest,were recurrent traumatic experiences,heightened arousal,avoidance reactions,and social dysfunction.Positive PTSD symptoms were observed in 85 patients(30.36%).Univariate analysis indicated that gender,postoperative vision,marital status,psychological resilience,and rumination were significant factors affecting PTSD symptoms(χ^(2)/t=6.53,17.88,8.83,2.17,and 14.1,respectively;all P<0.05).Pearson correlation analysis showed a positive correlation between rumination and PTSD symptoms(r=0.73,P<0.01)and a negative correlation between psychological resilience and PTSD symptoms(r=-0.14,P<0.05).Stepwise multiple linear regression analysis identified postoperative vision(notably eye removal),rumination levels,and psychological resilience(optimism)as major factors influencing PTSD in these patients(R^(2)=0.57,P<0.001).CONCLUSION:Young and middle-aged patients with open globe injuries have a high incidence of PTSD.Significant risk factors for early PTSD include primary enucleation,high levels of rumination,and low psychological resilience(optimism).Conversely,patients with good postoperative vision recovery,low rumination levels,and high levels of optimism are less likely to develop PTSD.Healthcare providers should pay special attention to patients who undergo primary enucleation,strive to reduce their rumination levels,and enhance their psychological resilience,thereby promoting a positive and optimistic attitude towards their condition and reducing the incidence of PTSD.

Correlation between psychological traits and the use of smart medical services in young and middle-aged adults: An observational study

BACKGROUND Psychological problems affect economic development.However,there is a huge gap between mental health service resources and mental health service needs.Existing mental health service technology and platforms cannot meet all the diverse mental health needs of people.Smart medicine is a new medical system based online that can effectively improve the quality and efficiency of medical services and make mental health services accessible.AIM To explore the level of intelligent medical use among young and middle-aged people and its correlation with psychological factors.METHODS Convenience sampling was used to select 200 young and middle-aged patients with medical experience at the Third People's Hospital of Chengdu between January 2022 and January 2023 as the research subjects.The general condition Questionnaire,Eysenck Personality Questionnaire,Symptom Checklist-90,General Health Questionnaire,and Smart Medical Service Use Intention Questionnaire were used to collect data.Pearson’s correlation was used to analyze the correlation between the participants’willingness to use smart medical services and their personality characteristics,psychological symptoms,and mental health.RESULTS The results revealed that the mental health of young and middle-aged people was poor,and some had psycho-logical problems such as anxiety,depression,and physical discomfort.Familiarity,acceptance,and usage of smart healthcare in this population are at a medium level,and these levels correlate with psychological characteristics.Acceptance was positively correlated with E,and negatively correlated with P,anxiety,fear,anxiety/insomnia,and social dysfunction.The degree of use was negatively correlated with P,obsessive-compulsive symptoms,depression,anxiety,hostility,paranoia,and somatic symptoms.CONCLUSION The familiarity,acceptance,and usage of smart medical services among the middle-aged and young groups are related to various psychological characteristics.

Study on the association of multimorbidity with sleep and diet in young and middle-aged adults in Chongqing region,China

Background:The prevalence of multimorbidity is increasing,with a notable shift towards younger age groups.Methods:Convenience sampling was employed to select 15,988 young and middle-aged adults in Chongqing as the study population.The Apriori algorithm was used to identify the multimorbidity patterns within this population,while an unordered binary logistic regression model was applied to assess the association between sleep,diet and the risk of multimorbidity.Results:The study population had an average age of 39.2±10.1 years.Apriori association rules revealed that the most prevalent binary chronic disease multimorbidity pattern was dyslipidaemia+hypertension(14.78%),while the most common ternary chronic disease multimorbidity pattern was diabetes+dyslipidaemia+hypertension(9.66%).The logistic regression analysis revealed that a lower rating of sleep quality was associated with an elevated risk of multimorbidity(odds ratio(OR)=1.17,95%confidence interval(CI):1.01,1.36).Individuals who adhere to a meat-based diet(OR=1.45,95%CI:1.25,1.68)and those with elevated salt intake(OR=1.22,95%CI:1.01,1.47)were also observed to have an increased risk of multimorbidity.Additionally,a greater likelihood of multimorbidity was observed among those following a spicy diet(OR=1.3,95%CI:1.11,1.52)and consuming more oil(OR=1.16,95%CI:1.01,1.33).Conclusion:A poor sleep quality and a dietary preference for meat-based,salt,spicy and oils were found to be associated with an increased risk of multimorbidity progression among young and middle-aged populations.It is recommended that young and middle-aged adults should pay attention not only to sleep duration but also to sleep quality and improve dietary habits to reduce the likelihood of multimorbidity.

Characteristics and Influencing Factors of Self- Advocacy in Young and Middle-Aged Patients with Breast Cancer: A Latent Profile Analysis

Objective:To explore the potential categories and influencing factors of self-advocacy in young and middle-aged patients with breast cancer and to provide a theoretical basis for personalized intervention.Methods:From September 2023 to March 2024,314 young and middle-aged breast cancer patients were studied.Female cancer patients were surveyed using the self-advocacy scale,social support rating scale,and chronic health literacy scale.Latent profile analysis was used to investigate the heterogeneity and influencing factors of self-advocacy.Results:Self-advocacy among young and middle-aged breast cancer patients were classified into two potential categories:low advocacy-lack of support(51.7%)and high advocacy-effective communication(48.3%).Binary logistic regression analysis indicated that educational level,per capita monthly income,social support,and health literacy were significant influencing factors of these categories(P<0.05).Conclusion:Self-advocacy in young and middle-aged breast cancer patients demonstrates categorical heterogeneity.Identifying self-advocacy characteristics and implementing targeted intervention strategies—focused on self-efficacy and improving health literacy—can enhance self-advocacy in these patients.

The Relationship between Mental Health Literacy and Subjective Well-Being of Young and Middle-Aged Residents: Perceived the Mediating Role of Social Support and Its Urban-Rural Differences

This study investigates mental health literacy among young and middle-aged urban and rural residents and the differences in mental health literacy,perceived social support and subjective well-being.From January to February 2022,620 participants(320 rural and 300 urban residents)from three provinces of China were selected by con-venience sampling.A general data questionnaire,mental health literacy scale,perceived social support scale and subjective well-being scale were administered.The mental health literacy scores of urban residents were 3.34±0.57 and those of rural residents were 2.73±0.79.The results of multiple regression analysis showed that the mental health literacy scores of rural residents were more significant than those of urban residents in terms of sex and age,while urban residents’mental health literacy scores were more significant than those of rural resi-dents in terms of monthly income.Mental health literacy,perceived social support and subjective well-being of young and middle-aged urban and rural residents were all positively correlated(P<0.01).While the level of mental health literacy is better among urban residents than rural residents,perceived social support plays a partial mediating role between mental health literacy and subjective well-being of both urban and rural residents,and should be the focus of researchers seeking to improve the level of well-being of residents.

Effect of Age and Sex on Stroke Mortality of Young and Middle-aged Adults in China,2002–2019,and Predictions to 2030

Objective This study aimed to examine the trends in stroke mortality among young and middle-aged adults in China.Methods Data were obtained from the China national vital registration system.Significant changes in mortality were assessed by Joinpoint regression.Age-period-cohort analysis was used to explain the reasons for the changes.Future mortality and counts were predicted by the Bayesian age-period-cohort model.Results Between 2002 and 2019,a total of 6,253,951 stroke mortality in young and middle-aged adults were recorded.The age-adjusted mortality rates(AAMRs)of women showed a downward trend.The annual percent changes(APC)were-3.5%(-5.2%,-1.7%)for urban women and-2.8%(-3.7%,-1.9%)for rural women.By contrast,the AAMRs per 100,000 for rural men aged 25–44 years continued to rise from 9.40 to 15.46.The AAMRS for urban men aged 25–44 years and urban and rural men aged 45–64years did not change significantly.Between 2020 and 2030,the projected stroke deaths are 1,423,584 in men and 401,712 in women.Conclusion Significant sex and age disparities in the trends of stroke mortality among young and middle-aged adults were identified in China.Targeted health policy measures are needed to address the burden of stroke in the young generation,especially for rural men,with a focus on the prevention and management of high risk factors.

Factors associated with financial support in old age for young and middle-aged rural residents in China

This study examined the factors associated with financial support in old age from three primary mechanisms-personal savings,family support,and social insurance-to explore the implications for the future development of China's rural social welfare system.Cross-sectional surveys of 1392 young and middle-aged rural residents were conducted in July and August2012.The results showed that while social insurance was increasingly acceptable,personal savings and family support still had fundamental value.Combining the three mechanisms,the rural old-age welfare system presented nontraditional features.China's new rural endowment insurance is discussed as a means to address the need for financial support among the rural aging population.

Psychosocial Adaptation Level and Work Participation Rate of Young and Middle-aged Patients with Coronary Heart Disease after PCI

[Objectives]The research aimed to understand the psychosocial adjustment to illness of young and middle-aged patients with coronary heart disease after PCI and their participation situation in work.[Methods]210 young and middle-aged patients aged 18-59 years with coronary heart disease treated by PCI in a tertiary hospital of Suzhou from July of 2020 to November of 2022 were selected,and general information of patients in three days after operation was registered.Self-report psychosocial adjustment to illness scale(PAIS-SR)was used to investigate the psychosocial adjustment to illness of patients in 1,3 and 6 months after operation and the participation rate of work.[Results]The psychosocial adjustment to illness of young and middle-aged patients with coronary heart disease after PCI was different in gender,age,education level,marital status,hypertension,diabetes,postoperative cardiac color Doppler ultrasound results(left ventricular ejection fraction)and the number of stents(P<0.05).[Conclusions]The psychosocial adjustment to illness of young and middle-aged patients with coronary heart disease after PCI needs to be improved.The psychosocial adjustment to illness of men is higher than that of women.The older the age is,the lower the psychosocial adjustment to illness is.The psychosocial adjustment to illness of patients with high educational background is higher than those with low educational background,while the psychosocial adjustment to illness of married people is higher than unmarried people.The psychosocial adjustment to illness of patients with hypertension and/or diabetes is lower.

Correlation of blood uric acid level with the degree of anxiety as well as the neurotransmitter and cytokine secretion in young and middle-aged patients with anxiety disorder

Objective:To study the correlation of blood uric acid level with the degree of anxiety as well as the neurotransmitter and cytokine secretion in young and middle-aged patients with anxiety disorder.Methods: The young and middle-aged patients diagnosed with generalized anxiety disorder in our hospital between March 2015 and February 2018 were selected as the anxiety group, and the healthy subjects receiving physical examination during the same period were selected as the control group. Peripheral blood was collected to determine the contents of uric acid, neurotransmitters and cytokines, and Hamilton Anxiety Scale (HAMA) was adopted to judge the degree of anxiety.Results: The blood uric acid level of anxiety group was obviously higher than that of control group and the higher the HAMA scores, the more significant the rising of blood uric acid levels;serum 5-hydroxytryptamine (5-HT), norepinephrine (NE), dopamine (DA), interleukin-1α (IL-1α), IL-17 and interferon-γ (IFN-γ) contents of anxiety group were significantly higher than those of control group whereas neuropeptide Y (NPY), IL-4 and transforming growth factor-β (TGF-β) contents were significantly lower than those of control group;blood uric acid level of the anxiety group was positively correlated with 5-HT, NE, DA, IL-1 , IL-17 and IFN-γ contents, and negatively correlated with NPY, IL-4 and TGF-β contents.Conclusion: The rise of blood uric acid level in young and middle-aged patients with anxiety disorder is related to the aggravation of anxiety degree as well as the abnormal secretion of neurotransmitters and cytokines.

Influencing factors of fatigue in young and middle-aged patients with coronary heart disease:a cross-sectional study

Objective:To examine the present state of fatigue in young and middle-aged patients with coronary heart disease(CHD)and to identify the elements that may be affecting it.Methods:From December 2020 to June 2021,240 young and middle-aged patients with CHD who were being treated in the cardiology department of a tertiary care hospital in Suzhou were chosen using a convenience sampling method in order to gather data on the patients’sociodemographic status,fatigue,social support,and stress.Results:Of the 240 disseminated questionnaires,220 valid responses were returned,resulting in an effective recovery rate of 91.67%.The frequency of exhaustion was 51.8%,and the fatigue score was(5.27±2.77).The stress score was(11.15±3.36),while the overall social support score was(39.13±4.72).Binary logistic regression analysis indicated that age,exercise,staying up late,stress,social support,high-sensitivity troponin T,high-density lipoprotein,and ejection fraction were independent risk factors for fatigue in young and middle-aged patients with CHD(P<0.05).Conclusions:Fatigue is more prevalent in young and middle-aged patients with CHD.Clinical nurses can create a unique management plan for patients based on their lifestyle and behavioral patterns,stress levels,social support,and clinical signs to reduce fatigue.

Association of fatigue with short-term prognosis in young and middle-aged patients with coronary heart disease

Background:To investigate the effect of fatigue on the short-term prognosis of young and middle-aged patients with coronary heart disease(CHD).Methods:A cross-sectional,observational survey was distributed at a tertiary hospital in Suzhou,China.Patients were assessed for fatigue and their prognosis was assessed at 3 and 6 months after discharge.General Information Questionnaire,Fatigue Scale and Seattle Angina Questionnaire(SAQ)were used for the survey.The Cox proportional hazard model was used to analyze the impact of fatigue on the occurrence of major adverse cardiac events(MACEs)at 3 and 6 months after discharge.Multiple linear regression models were used to analyze the effect of fatigue on health-related quality of life(HRQoL)at 3 and 6 months after discharge.Results:199 patients were followed up with in the end.43 patients(21.6%)with MACE three months after discharge had a total SAQ score of(399.76±39.61).The overall SAQ score was(425.14±22.66)and 52 patients(26.1%)experienced MACE six months after discharge.Fatigue was identified as a risk factor for MACE 6 months after discharge by the Cox proportional hazard model(HR=2.939,95%CI:0.177~0.655,P=0.001)and as an independent risk factor for quality of life 3 and 6 months after discharge by multiple linear regression(P<0.001).Conclusions:In individuals who are young or middle-aged and have coronary heart disease,fatigue is a risk factor for the short-term prognosis.It is advised that clinical professionals prioritize patient fatigue assessment and improve management of fatigue symptoms.

Experience of Treating Hypertension from Liver and Spleen Among Middle-Aged and Young Patients:A Summary

Qi deficiency of the spleen and stomach,transportation,phlegm and dampness generate endogenous and turbid phlegm that violates the position of yang clearance.As a result,dizziness cis resulted.The author believes that the incidence of middle-aged and young patients with hypertension is mostly related to the dysfunction of liver and spleen.Liver depression and qi stagnation is the beginning of the onset;spleen deficiency and dyskinesia is the norm of the onset;and liver and spleen imbalance is the origin of the onset.It is advocated that regulating the liver and spleen to restore the rise and fall,harmonizing qi and blood and preventing lesions are the main treatment methods for the treatment of middle-aged and young people’s hypertension,which is conducive to the development of more clinical diagnosis and treatment ideas for hypertension amomg middle-aged and young people.

The Ecological Effects of Young Elm Trees Belt-Pumpkin Strip Intercropping System at the Agro-Pastoral Ecotone in Northern China

Young elm trees belt-pumpkin strip intercropping was studied to solve the actual problem of resource losses in the large barren area resulted from reconverting cultivated land into forest in the agro-pastoral ecotone in northern China. The final objective was to realize effective utilization of the barren land with both ecological improvement and economic development. Field experiments were conducted together with laboratory analysis. The results indicated that the soil moisture level was remarkably increased in young elm trees belt-pumpkin strip intereropping because the pumpkin vines covered the gap between pumpkin planting-furrow and elm trees belt. The water use efficiency of the intercropping system was increased by 23.7-163.3% as compared with the single cropping. Elm trees belt-pumpkin strip intercropping changed the sequential succession trend of the grasses growing in the gap of the pumpkin planting-furrow. The annual grasses become the dominant vegetation. The nutritive value as fodder and yield of the annual grasses were also increased remarkably. The biomass of pumpkin, elm trees and grasses under intercropping increased by 24.4, 28.4 and 144.4%, respectively, as compared with those under single cropping. The land use efficiency was increased by 132%. It was also indicated that the soil erosion from the intercropping land was not increased due to pumpkin plantation. The differences in the soil erosion among intercropped area, elm trees belt and pumpkin strip with single cropping were not remarkable. Therefore, it was concluded that young elm trees belt-pumpkin strip intercropping is an effective way to utilize the barren land between the young elm trees belt and realize synergistic enhancement of ecological benefit and economic profit.

Analysis of the Causes of Insomnia in Young and Middle-aged People and Nursing Intervention Strategies of Traditional Chinese and Western Medicine

Objective:To examine insomnia in the modern young and middle-aged population and explore nursing intervention strategies using traditional Chinese and Western medicine.Methods:A total of 255 inpatients and outpatients were sampled from Shenzhen Hospital of Traditional Chinese Medicine.The Sleep Questionnaire for Young and Middle-aged People was used to assess insomnia,and a linear regression model was applied for data analysis.Results:A total of 251 valid questionnaires were collected.Correlation analysis revealed a high incidence of insomnia among respondents.Linear correlation analysis indicated that mental illness or other underlying diseases leading to pain had a significantly positive effect on symptom improvement through Chinese and Western medicine treatments(B=0.763,P<0.01).Conversely,work or life pressures(emotional or financial issues)had a significantly negative impact on treatment effectiveness(B=-0.503,P<0.01).Cross-analysis identified high life or work pressure as the primary cause of insomnia(70.1%).Conclusion:Insomnia is prevalent among the young and middle-aged in modern times,with high work or life pressure being the leading factor.

Foxes ’nest’ in tree

A family of foxes has made its home 30ft up in the air at the top of a tree in Suffolk.Donna Martell, from Ipswich, discovered the unlikely den (窝)after noticing a young fox club scaling

不同覆盖措施对寒地苹果园土壤物理特性和树体生长的影响

为探索适合东北寒地雨养苹果园幼树生长的土壤覆盖技术,以当地主栽苹果品种龙丰为试材,连续2年采用稻草、玉米秸秆、食用菌菌渣和园艺地布覆盖,以清耕为对照,研究不同覆盖处理对苹果园土壤温度、含水量、容重、孔隙度以及树体生长的影响。结果表明:覆盖可显著影响表层土壤温度,与清耕对照相比,覆盖稻草显著降低了土壤温度,覆盖玉米秸秆和覆盖食用菌菌渣能够稳定土壤温度;覆盖处理显著提高了土壤含水量,以覆盖食用菌菌渣最佳,5—10月平均土壤含水量较对照提高40.5%;覆盖有机材料可降低土壤容重,增加土壤孔隙度,在成熟期与对照差异显著,以覆盖玉米秸秆最佳。覆盖促进了龙丰幼树生长,春梢长度和新梢长度、粗度增加,干径增加,促进了叶片生长。综合比较,覆盖园艺地布促进树体生长效果最佳,覆盖玉米秸秆和覆盖食用菌菌渣对改善土壤环境效果最好,同时也能够促进树体生长。

外源调环酸钙对苹果幼树生长发育和叶片矿质营养的影响

以1年生华红/B160苹果树为试材,喷施不同浓度调环酸钙,测定秋梢生长初期新梢长势和叶部矿质元素含量的动态变化,以及第2年的成花情况,以探求外源施用调环酸钙对苹果幼树新梢生长的调控效应,筛选出适宜的调环酸钙喷施方案。结果表明:喷施调环酸钙的华红幼树秋梢生长量受到显著抑制,而新梢粗度、成花率和单株花序数提高;叶片N、Ca、Mg、Fe、Mn、B含量增加。通过主成分分析综合调控效益,发现外源喷施400 mg/L调环酸钙在秋梢控旺及促进树体营养吸收方面有较好的调控效果。

柚木幼林期生长与分枝性状的无性系变异与选择

[目的]研究柚木Tectona grandis无性系生长与分枝性状遗传变异及相关性,综合评价并筛选速生、优良枝型的柚木无性系。[方法]调查位于广西凭祥市的19个5年生柚木无性系的生长和分枝性状,进行重复力估算和相关性分析,并通过主成分分析计算每个无性系的综合得分。[结果]柚木无性系间树高、胸径和单株材积差异极显著(P<0.001),变异系数28.2%~38.8%,重复力0.821~0.863;不同无性系间平均分枝角度、分枝基径和分枝长度呈极显著差异(P<0.001),变异系数16.3%~57.9%,重复力0.497~0.817;生长和分枝性状之间存在极显著(P <0.01)或显著(P <0.05)相关;利用主成分得分值大小和15%的入选率,兼顾生长和分枝性状,选出了3个优良的柚木无性系(7765、6601、7703),其综合得分大于对照,它们的树高、胸径、单株材积的平均值分别为5.68 m、6.20 cm和11.52 dm3,分别比相应均值提高了10.65%、15.39%和31.51%,选择后现实增益分别达到了9.07%、10.69%和30.20%。[结论]5年生柚木无性系间生长与枝条性状存在丰富的遗传变异,有较高的改良潜力。生长和分枝性状受中等至较强的遗传控制。通过对5年生柚木无性系综合评价,选出了3个速生且分枝特性优良的柚木无性系,可作为优质柚木无性系材料在桂西南地区推广种植。

邻体竞争和土壤对植物叶功能性状及其种内变异的影响

为探究亚热带幼树植物功能性状的种内变异与邻体竞争和土壤的关系,选取亚热带12个常见树种的幼树为研究对象,分析与植物资源获取、利用相关的6个叶功能性状(比叶面积、叶面积、叶干物质含量、叶片氮含量、叶片磷含量、叶厚度)的差异,探讨不同植物功能性状的种内变异程度及邻体竞争与土壤因素对其性状变化的影响。结果表明:6个叶功能性状的变异程度不同,其中比叶面积变异系数最大,变异范围16.71%~55.31%;叶干物质含量的种内变异系数最低。邻体竞争和土壤因素共同驱动叶功能性状的变化,但邻体竞争为主要驱动因素。邻体竞争指数与邻体高度指数对比叶面积和叶片磷含量有显著正影响(P<0.05),而叶面积和叶干物质含量仅随邻体高度指数的增大而显著减小或降低(P<0.05),叶片氮含量仅受土壤pH值的影响。此外,土壤含水量、土壤碳含量和土壤容重均会导致叶功能性状发生变化。因此,在营造人工林时,要充分考虑植物功能性状与环境适应的关系。

巨柏苗木天然更新的生境因子分析

为探讨巨柏Cupressus gigantea天然更新苗木生长的环境胁迫因子,以及造成巨柏天然更新困难、幼苗保存率低下的原因,研究选择朗县境内巨柏天然集中分布区3种地类的巨柏更新样地进行实地调查,采用空间代替时间的方法,统计了巨柏幼苗、幼树、成树株数等种群天然更新指标特征,选取了地类、坡向、土壤质地、土壤紧实度、土壤温度、干扰强度等19个影响更新苗木生长的生境因子进行相关性分析。研究结果表明:巨柏幼苗到成树建成的过程中保存率仅为1‰,符合数学模型:y=153.52x^(-3.528)(R^(2)=0.9661);巨柏苗木生长过程受到环境因子的强烈筛选,与水线、阴坡、树冠遮荫≥50%、枯落物、石砾、沙壤、疏松、湿润、均温、轻微放牧干扰和较强放牧干扰因子呈正相关;与坡地、阶地、阳坡、树冠遮荫<50%、砂砾、结皮、干燥、极端温度呈负相关;其中,苗木生长与阴坡和砂砾土呈显著相关,与疏松土壤呈极显著相关;越冬时生境因子温度的极端变化,是巨柏更新幼苗(1~5 a)生长过程中数量变化最剧烈的时期,15 a后苗木抗逆性明显增强,50%的幼树都可以顺利进入成树阶段。