The Association between Problematic Internet Use,Resilience,and Fatigue in First-Year Medical College Students in China:A Moderated Mediation Model

Background:Resilience is crucial for medical college students to thrive in the highly stressful environment of medical education.However,the prevalence of problematic internet use(PIU)in this population may negatively impact their resilience.This study investigated the influence of problematic online gaming(PG)and problematic social media use(PSMU)on the resilience of medical college students in China.Methods:A sample of 5075 first-year medical college students from four Chinese universities was studied.PG served as the independent variable,resilience as the dependent variable,fatigue as the mediator,and PSMU as the moderator.Structural equation modeling was conducted using LISREL 8.80.Additionally,a moderated mediation model was evaluated using the jAMM module in jamovi 2.6.13.Results:The study’s findings revealed significant negative correlations between resilience and the variables of PG,PSMU,and fatigue.Fatigue mediated the relationship between PG and resilience(B=−0.04,95%CI=[−0.05,−0.03]).PSMU moderated the direct relationship between PG and resilience with the interaction term PG×PSMU significant(B=−0.004,t=−6.501,p<0.001)and the first stage(PG→fatigue)of the mediation with PG×PSMU significant(B=0.055,t=8.351,p<0.001).The detrimental effects of PG on resilience were more pronounced among individuals with lower levels of PSMU.Conclusion:This study concluded that addressing PIU,particularly PG,is essential for fostering resilience in medical college students.While PSMU itself is maladaptive,the underlying social media engagement may serve a protective role through social support in mitigating the adverse effects of PG on resilience.

The Influence of Internet Use on Women’s Depression and Its Countermeasures—Empirical Analysis Based on Data from CFPS

Based on China Family Panel Studies(CFPS)2018 data,the multiple linear regression model is used to analyze the effects of Internet use on women’s depression,and to test the robustness of the regression results.At the same time,the effects of Internet use on mental health of women with different residence,age,marital status and physical health status are analyzed.Then,we can obtain that Internet use has a significant promoting effect on women’s mental health,while the degree of Internet use has a significant inhibitory effect on women’s mental health.In addition,the study found that women’s age,education,place of residence,marital status,length of sleep,working status and physical health status are the main factors affecting the mental health of Chinese women.In the heterogeneity investigation of residence,age,marital status and physical health status,Internet use has a greater negative impact on the Center for Epidemiological Studies Depression Scale(CES-D8)scores of women in rural areas,has a significant positive impact on the mental health of middle-aged and elderly women or women with spouses,and has a positive impact on the mental health of physically unhealthy women.Therefore,in view of women’s mental health needs and the problems existing in the use of the Internet,this paper puts forward some suggestions to further improve the overall mental health level of women.

Does Internet use promote the adoption of agricultural technology?Evidence from 1449 farm households in 14 Chinese provinces

China is characterized as ’a large country with many smallholder farmers’ whose participation in modern agriculture is key to the country’s modern agriculture development. Promoting smallholder farmers’ adoption of modern agricultural production technology is one effective way to improve the capabilities of smallholder farmers. This paper aims to explore the impact of Internet use on the adoption of agricultural production technology by smallholder farmers based on a survey of 1 449 smallholders across 14 provinces in China. The results suggest that Internet use can significantly promote technology adoption, with the probability of adopting new crop varieties, water-saving irrigation technology and straw-returning technology increasing by 0.200, 0.157 and 0.155, respectively. Furthermore, the effect of Internet use is found to be heterogeneous with a greater effect on smallholder farmers having low education levels, limited training, and high incomes. To increase agricultural production technology adoption by smallholders, rural Internet infrastructure and Internet use promotion should be the focus for the Chinese government.

Are vulnerable farmers more easily influenced?Heterogeneous effects of Internet use on the adoption of integrated pest management

The Internet is believed to bring more technological dividends to vulnerable farmers during the green agriculture transformation.However,this is different from the theory of skill-biased technological change,which emphasizes that individuals with higher levels of human capital and more technological endowments benefit more.This study investigates the effects of Internet use on farmers'adoption of integrated pest management(IPM),theoretically and empirically,based on a dataset containing 1015 farmers in China's Shandong Province.By exploring the perspective of rational inattention,the reasons for the heterogeneity of the effects across farmers with different endowments,i.e.,education and land size,are analyzed.The potential endogeneity issues are addressed using the endogenous switching probit model.The results reveal that:(1)although Internet use significantly positively affects farmers'adoption of IPM,vulnerable farmers do not benefit more from it.Considerable selection bias leads to an overestimation of technological dividends for vulnerable farmers;(2)different sources of technology information lead to the difference in the degree of farmers'rational inattention toward Internet information,which plays a crucial role in the heterogeneous effect of Internet use;and(3)excessive dependence on strong-tie social network information sources entraps vulnerable farmers in information cocoons,hindering their ability to reap the benefits of Internet use fully.Therefore,it is essential to promote services geared towards elderly-oriented Internet agricultural technology information and encourage farmers with strong Internet utilization skills to share technology information with other farmers actively.

Supervision Matters： Teenagers＇ Perception of Parents＇ Involvement in Their Internet Use

With the growing popularity of digital devices, lntemet has become an integral part of teenagers＇ daily life. As teenagers are in a complicated period of development, parents struggle in supervising their use of the intemet. This study takes the teenagers＇ standpoint and explores how the teenagers perceive their parents＇ involvement in their Internet use. Survey was conducted towards teenagers in the UAE, which has the highest penetration of digital devices in the Gulf region as well as one of the highest in the world. The results showed that girls usually receive more supervision fi＇om parents than boys. The older the teenagers are and the more they depend on the Internet, the more they perceive parents＇ supervision to be beneficial. However, not enough supervision has been given to those who access the Internet more frequently. The findings indicate more parents＇ supervision is needed from the teenagers＇ point of view. Discussions are made from psychological and socio-cultural perspectives and suggestions for future research are presented.

Examining urban-rural differences in the impact of Internet use on older adults’ depression: evidence from China

Both Internet use’s impact on depression and urban-rural disparities related to information and communication technologies(ICTs)are crucial topics in the information systems discipline.So far,limited studies have explored these topics in a comprehensive way.This study aims to explore the impact of Internet use on urban and rural older adults’depression and provide insights into how ICTs play positive roles in human behaviors.Based on data from the China Health and Retirement Longitudinal Study,we used the panel-data regression approach to examine the relationships between older adults’Internet use and depression,and adopted the propensity score matching and the difference-in-difference approach to test the robustness of our findings.We found that the influencing mechanisms behind Internet use’s impact on urban and rural older adults’depression are different.Internet use not only directly reduces rural older adults’depression but also indirectly reduces it via the mediation of social activity,while the impact of Internet use on urban older adults’depression is fully mediated by social activity.We found that Internet use exerts different impacts on urban and rural older adults’depression,and rural older adults can receive a greater benefit.

The impact of lockdown policy on depressive symptoms among pregnant women in China:mediating effects of internet use and family support

Background:Although more and more attention has been paid to the psychological consequences of the lockdown policy amongst pregnant women,the underlying mechanism linking the lockdown policy to maternal depression has not been studied in the context of China.This study aimed to explore the association between the lockdown policy and maternal depressive symptoms,and whether such association was mediated by internet use and/or family support.Methods:This cross-sectional study used multi-stage sampling techniques in central and western China.Data were collected from 1266 pregnant women using a structtured questionnaire that measured internet use,family support,and depressive symptoms.The Patient Health Questionnaire-9(PHQ-9)was used to measure depressive symptoms.Internet use was measured by length of usage and varierity of purpose for internet use.Family support was measureed by spousal support and parental support.The structural equation modelling was employed to conduct mediation analysis to test the specificity of the hypothetical paths.Results:Overall,527 respondents(41.63%)presented depressive symptoms.The lockdown policy was negatively associated with depressive symptoms in pregnant women(β=−0.925,95%CI=−1.510,−0.360).The impact of the lockdown policy on depressive symptoms was partially mediated by internet use(β=1.589,95%CI=0.730,2.807)and family support(β=−0.162,95%CI=−0.341,−0.017),accounting for 42.67%of the total effect.Conclusions:The lockdown policy was generally associated with fewer depressive symptoms in pregnant women.The lockdown policy increased maternal depressive symptoms through increased internet use,but decreased maternal depressive symptoms through enhanced family support.The findings suggest that the psychological consequence of the lockdown policy may vary across different populations,and warrant the need to take into consideration the features of subgroups.

Antibiotics/antibacterial drug use, their marketing and promotion during the post-antibiotic golden age and their role in emergence of bacterial resistance

During the post-antibiotic golden age, it has seen a massive antibiotic/antibacterial production and an increase in irrational use of these few existing drugs in the medical and veterinary practice, food industries, tissue cultures, agriculture and commercial ethanol production globally. The irrational drug use has been further exacerbated by the increased marketing and promotion of these drugs by the pharmaceutical companies thus increasing their accessibility in the public and hence their improper use. The lack of production and introduction of the newer and effective antibiotic/antibacterial drugs in clinical practice in the post-antibiotic golden age has seen an increase in the emergence of the resistant pathogenic bacterial infections creating a significant problem in the global health of humankind. The massive productions of the antibiotic/antibacterial drugs have contributed to the poor disposal of these drugs and hence many of them are discharged in various water bodies contributing to the environmental antibiotic/antibacterial drug pollution. In the environment, these drugs exert pressure on the environmental bacteria by destroying useful bacteria that are responsible for the recycling of the organic matter and as well as promoting the selection of the resistant pathogenic bacteria that can spread in human and animal population thus causing an increase in the observed bacterial disease burden and hence a significant global public health problem. The resistant bacterial diseases lead to the high cost, increased occurrence of adverse drug reactions, prolonged hospitalization, the exposure to the second- and third-line drugs like in MDR-TB and XDR-TB that leads to toxicity and deaths as well as the increased poor production in agriculture and animal industry and commercial ethanol production.

A Study on the Theory and Approach of Environmental Impact Assessment in General Land Use Planning

In this paper,the theory and approach of environmental impact assessment in general land use planning are studied from different aspects.First,starting from the content and concept of general land use planning,the necessity of environmental impact assessment in general land use planning is illustrated.On the basis of its evaluation theories and methodologies,it attempts to establish index system of environmental impact assessment in general land use planning,and point outs that current general land use planning requires public participation.

The Relationship between Students’ Anxiety and Internet Use Disorders: A Meta-Analysis

Theoretical models have predicted a positive association between anxiety and Internet use disorders.However,thefindings of previous studies are conflicting,with some reporting a positive association and others proposing no relationship between the two.To explore the true relationship between the two and analyze the reasons for the differences,100 primary studies involving 108,539 subjects were entered into a meta-analysis.The results showed that(1)there was a significant positive correlation between students’anxiety and Internet use disorder(r=0.330);(2)the moderating effect of anxiety type was significant.(3)The moderating effects of the measurement instrument for Internet use disorder,the measurement instrument for anxiety,the subject’s grade level,the subject’s region,and the type of publication were not significant.The question of how the different anxiety types of students and IUD have different mechanisms of action needs to be further explored.

Using Artificial Intelligence in the Internet of Things

The Internet of Things （IoT） has received much attention over the past decade. With the rapid increase in the use of smart devices, we are now able to collect big data on a daily basis. The data we are gathering （and related problems） are becoming more complex and uncertain. Researchers have therefore turned to artificial intelligence （AI） to efficiently deal with the problems ereated by big data.

Does internet use improve the public evaluation of government environmental governance (GEG) in China? An analysis using the Chinese Social Survey, 2013−2017

Based on three datasets of the Chinese Social Survey(CSS)2013,2015,and 2017 and the National Statistical Yearbook,this study examined whether and in what ways using the Internet may or may not affect the public evaluation of government environmental governance(GEG).There are three main findings.First,Internet use has a negative influence on the public evaluation of GEG.Second,there has been an urban-rural difference in terms of Internet use;especially for the rural resident,increasing their use of the Internet significantly lowered their evaluation of GEG.Third,Internet use affects GEG mainly through political trust,whilst it tends to enhance people’s perception of environmental problems;however,it has little influence on their evaluation of GEG.This finding implies that public evaluation of GEG should be viewed as an important inter-subjective dimension of GEG;especially in the Internet era,it has become increasingly necessary for the government to not only continuously improve the quality of governance by dealing with actual/practical environmental issues,but also enhance its ability to react to the public opinions online effectively and appropriately.

Internet addiction and problematic Internet use: A systematic review of clinical research

AIM: To provide a comprehensive overview of clinical studies on the clinical picture of Internet-use related addictions from a holistic perspective. A literature search was conducted using the database Web of Science.METHODS: Over the last 15 years, the number of Internet users has increased by 1000%, and at the same time, research on addictive Internet use has proliferated. Internet addiction has not yet been understood very well, and research on its etiology and natural history is still in its infancy. In 2013, the American Psychiatric Association included Internet Gaming Disorder in the appendix of the updated version of the Diagnostic and Statistical Manual for Mental Disorders(DSM-5) as condition that requires further research prior to official inclusion in the main manual, with important repercussions for research and treatment. To date, reviews have focused on clinical and treatment studies of Internet addiction and Internet Gaming Disorder. This arguably limits the analysis to a specific diagnosis of a potential disorder that has not yet been officially recognised in the Western world, rather than a comprehensive and inclusive investigation of Internet-use related addictions(including problematic Internet use) more generally. RESULTS: The systematic literature review identified a total of 46 relevant studies. The included studies used clinical samples, and focused on characteristics of treatment seekers and online addiction treatment. Four main types of clinical research studies were identified, namely research involving(1) treatment seeker characteristics;(2) psychopharmacotherapy;(3) psychological therapy; and(4) combined treatment. CONCLUSION: A consensus regarding diagnostic criteria and measures is needed to improve reliability across studies and to develop effective and efficient treatment approaches for treatment seekers.

Perceived Social Support and Symptoms of Depression and Anxiety among Chinese Adolescents:A Moderated Chain Mediation Model

Background:Although previous studies indicate that perceived social support might be associated with adolescent psychological problems,the specific mechanism has not been thoroughly discussed.Based on theoretical and empirical research on problematic Internet use(PIU)and sleep quality,this study explored whether they play a mediating role between perceived social support and symptoms of depression and anxiety among adolescents.Furthermore,we investigated whether these relationships varied by place of residence.Methods:A sample of 2115 Chinese adolescents was included,and analyzed data related to perceived social support,PIU,sleep quality,symptoms of depression and anxiety,and sociodemographic variables.Correlation analysis,mediation,and moderation analysis were mainly used.Results:Perceived social support was negatively correlated with depressive symptoms(r=−0.22,p<0.001)and anxiety symptoms(r=−0.20,p<0.001)among adolescents.PIU and sleep quality played a chain mediating role in the relationship between perceived social support and symptoms of depression and anxiety in adolescents.Additionally,the place of residence moderated the relationships between perceived social support and PIU and symptoms of depression and anxiety.Perceived social support was a significant negative predictor of PIU and symptoms of depression and anxiety among adolescents in urban areas but not in rural areas.Conclusion:The findings suggest that low levels of perceived social support may lead to more PIU and poorer sleep quality,which may further increase the risk of symptoms of depression and anxiety in adolescents,especially in urban areas.

Functional magnetic resonance imaging of internet addiction in young adults

AIM: To report the results of functional magnetic resonance imaging(f MRI) studies pertaining internet addiction disorder(IAD) in young adults.METHODS: We conducted a systematic review on Pub Med, focusing our attention on f MRI studies involving adult IAD patients, free from any comorbid psychiatric condition. The following search words were used, both alone and in combination: f MRI, internet addiction, internet dependence, functional neuroimaging. The search was conducted on April 20^(th), 2015 and yielded 58 records. Inclusion criteria were the following: Articles written in English, patients' age ≥ 18 years, patients affected by IAD, studies providing f MRI results during resting state or cognitive/emotional paradigms. Structural MRI studies, functional imaging techniques other than f MRI, studies involving adolescents, patients with comorbid psychiatric, neurological or medical conditions were excluded. By reading titles and abstracts, we excluded 30 records. By reading the full texts of the 28 remaining articles, we identified 18 papers meeting our inclusion criteria and therefore included in the qualitative synthesis.RESULTS: We found 18 studies fulfilling our inclusion criteria, 17 of them conducted in Asia, and including a total number of 666 tested subjects. The included studies reported data acquired during resting state or different paradigms, such as cue-reactivity, guessing or cognitive control tasks. The enrolled patients were usually males(95.4%) and very young(21-25 years). The most represented IAD subtype, reported in more than 85% of patients, was the internet gaming disorder, or videogame addiction. In the resting state studies, the more relevant abnormalities were localized in the superior temporal gyrus, limbic, medial frontal and parietal regions. When analyzing the task related fmri studies, we found that less than half of the papers reported behavioral differences between patients and normal controls, but all of them found significant differences in cortical and subcortical brain regions involved in cognitive control and reward processing: Orbitofrontal cortex, insula, anterior and posterior cingulate cortex, temporal and parietal regions, brain stem and caudate nucleus.CONCLUSION: IAD may seriously affect young adults' brain functions. It needs to be studied more in depth to provide a clear diagnosis and an adequate treatment.

Problematic Internet use in drug addicts under treatment in public rehab centers

BACKGROUND Problematic Internet use(PIU)or Internet addiction has been recognized to be a behavioral addiction characterized by excessive or poorly controlled preoccupations,urges,or behaviors regarding computer use and Internet access that leads to impairment or distress resembling substance abuse.AIM To investigate the prevalence and characteristics of Internet use and abuse in a group of drug addicts from Southern Italy,by means of a specific questionnaire[“Questionario sull’Utilizzo delle Nuove Tecnologie”(QUNT)].METHODS All subjects(183)were heavy smokers,almost 50%of them used heroin and/or opioid compounds,30%alcohol,10%cannabis,8%cocaine,and 5%were polydrug users.Almost 10%of the individuals were also suffering from gambling disorder.RESULTS The time spent online was more than 4 hours a day in the total sample,with a slight prevalence in male subjects.Cocaine and cannabis users spent more than 6 hours online,significantly more than opioid and alcohol abusers.Distribution of the QUNT factors was not different in both sexes.Cocaine users showed higher scores at the“loss of control”,“pornography addiction”,and“addiction to social networks”factors,for the stimulant effect of this substance.Moreover,15 out of the total 17 cocaine users were pathological gamblers.Positive and statistically significant relationships were observed between some QUNT factors and body mass index.CONCLUSION These findings indicate that PIU is less severe in subjects taking sedative substances,such as heroin/opioids and alcohol,than in subjects taking stimulants.Alternatively,it may be used as a“stimulant”trigger in cocaine and cannabis users.Flattening effect of abuse drugs was noted on possible sex-related differences in QUNT items.We observed a sort of“protective”effect of a love relationship and/or living together with a partner,as those engaged subjects showed lower scores on different items than single subjects or those living alone.The relationship between time spent online(and related sedentary lifestyle)and body mass index would suggest that Internet use might be a contributing factor to increasing weight gain and obesity amongst adolescents and young adults worldwide.Our findings also highlighted the specific vulnerability of drug addicts who use stimulants,rather than sedative compounds,to other kinds of behavioral addictions,such as gambling disorder.

mHealth as a health system strengthening tool in China

Over the past 70 years,there was a rapid epidemiological transition in disease burden in China,from infectious disease to non-communicable diseases(NCDs),which requires long-term prevention and management.Rapid growth in mobile phone use,internet connectivity and digital health technology,presents new opportunities for improvement in NCD healthcare delivery and population-based outcomes.Although there were a growing number of research to evaluate the feasibility and effectiveness of the mobile health(mHealth)interventions for NCD management,the extent to which mHealth contributes towards the health system strengthening in China remains unknown.In this paper,we provided a high-level overview of mHealth in China and its role for Chinese health system strengthening.We conclude with several recommendations for the future of mHealth research in China based on existing evidence identified.

Public Participation in Land Use Planning:Values and Case Analysis

Objective:we want to explore values and methods of public participation in land use planning through analysis on values of public participation and case of Ji'an County in Jiangxi Province.Methods:document and data method,case analysis method,qualitative and quantitative combined methods.Results:public participation in land use plays a positive role in improving science and practice of planning.Conclusions:preparation and implementation of land use planning should manifest human-oriented,public participation,wisdom of the masses,scientific demonstration,and democratic decision-making.

Development of a Universal Internet-Based Prevention Program for Ecstasy and New Psychoactive Substances

In recent years, the Internet has received increasing recognition as an effective means of facilitating public health interventions. In particular, delivering prevention for substance use to school students via the Internet appears to be an area of great potential. The Climate Schools: Ecstasy and Emerging Drugs Module, a school-based prevention program, facilitated by the Internet, was developed to address the use of ecstasy and new and emerging drugs (Emerging Psychoactive Substances or Novel Psychoactive Substances). This four-lesson course was designed to be delivered to Australian adolescents (aged 15 to 16 years) during their standard health education classes at school, and is based on a harm-minimisation and social influence approach. The program was developed in response to the important public health challenge of new and emerging drugs as well as to address the prevention of ecstasy use among young people. To our knowledge, this will be the first school- and Internet-based prevention program specifically targeting these substances. This paper describes the process involved in developing this new Internet-based substance use prevention program.

Patient Education Level and Utilization of Internet Resources by Patients in Orthopedic Hip and Knee Consultations

Introduction: Internet has become an increasingly popular source of reference for patients to learn about their medical problems. It is easily accessible, and a large number of uncensored information is available online written from various sources and perspectives. However, the role of internet and its impact on patient’s care and understanding of the disease remains unclear. The purpose of this study is to evaluate the role and effect of internet use for patients seeking consultation for hip and knee arthritis. More specifically, the relationship between patient’s education level, internet use, motives for doing background readings, perception of internet information, and reactions to the available information will be studied. Method: Patients seeking orthopaedic consultation for knee or hip arthritis at the Toronto Western Hospital were identified and invited to fill out a questionnaire on their first visit. The questionnaire was designed to assess the patients’ pre-consultation reading habits, their use of internet, and their reaction to what they have read on the internet. The questionnaire also included questions about the respondent’s background.Results: In comparing patients holding college/university degree (CU) with patients having no college/university education (NoCU), the CU group were associated with increased internet use (CU vs. NoCU: 71.0% vs. 48.3%;p 0.01) and background reading (CU vs. NoCU: 82.2% vs. 17.8%;p 0.001) prior to consultation;fewer incidence of anxiety following internet use (CU vs. NoCU: 29.9% vs. 53.6%;p 0.05);and higher rates of decisions influenced by internet use (CU vs. NoCU: 20.8% vs. 3.6%, p 0.05). Internet users demonstrated a higher confidence in gathering and understanding medical information (Internet users vs. non-internet users: 6.59 ± 2.05 vs. 5.03 ± 2.78;p 0.001) and rated the accuracy of information on internet at 7.18 ± 2.01 (max = 10). Conclusion: Internet use can influence patient’s treatment decision, anxiety level, and understanding of their disease. Caregivers must recognize the growing trend of internet use and should counsel and educate their patients appropriately based on what they have read to help them accurately appreciate the nature of their disease.