60岁以下成年女性心理压力现状、影响因素及干预对策研究——以重庆市为例

回顾和梳理压力以及女性心理压力影响因素的相关文献,通过问卷调查对重庆市4270位60岁以下成年女性的心理压力程度进行分析,考察影响60岁以下成年女性心理压力的相关因素。通过有序Logistic回归分析发现,年龄、户籍、教育程度、年收入情况、工作时长、女性人才重视程度、对政策和制度的熟悉程度等变量显著影响着60岁以下成年女性的心理压力。研究结果显示:60岁以下成年女性中,农村户籍的女性心理压力显著高于城市户籍;年龄越大、工作时长越长,心理压力越大;受教育程度和年收入水平越高、女性人才重视程度越高、对政策和制度熟悉程度越高,心理压力越小。基于此,提出以下4条干预对策:重视低收入成年女性的心理问题;重视农村“留守中老年女性”的心理健康问题;重视企事业单位女性的心理健康问题;加强对成年女性心理健康教育、舆论引导及政策宣讲等。

基于MSCT容积重建技术的中国汉族男性60岁判别方法

本文应用MSCT(多层螺旋CT)容积重建技术寻找与中老年男性年龄变化相关性较好的观测点位,构建单指标及多指标联合应用的中国汉族男性60岁判别式。收集177例40~70岁中国男性盆部MSCT扫描的医学数字成像和通信(digital imaging and communication in medicine,DICOM)原始影像数据,应用OsiriXMD v13.0.0软件进行容积重建,筛选出与年龄变化高度相关的点位,进行形态学观测,构建分级标准,最后采用Fisher判别法,构建60岁判别模型。最终筛选出第五腰椎、髂嵴后部及部分骶翼三个观测点位,分别构建中国男性60岁单指标及多指标联合应用判别模型。第五腰椎、髂嵴后部及部分骶翼单指标判别率分别为80.8%、78.0%、87.0%,三个指标联合应用判别率为91.0%。研究结果证明,应用MSCT容积重建技术,通过观测第五腰椎、髂嵴后部及部分骶翼,判别中国男性60岁年龄点,具有较好的可行性及准确性,可用于相关案件的判别。

China's 60 years of industrial transformation reviewed

In China, the real industrialization and modernization process started in 1949, when the Chinese people were emancipated from the yoke of the Kuomintang and the People's Republic of China (P.R.C) was founded. However, the road of emancipation has been a bumpy one. In particular, the emancipation of the mind has often been full of twists and turns. The tremendous liberation of social productive forces originated in the emancipation of the mind, whose truth has been tested by economic development practices. In the past 60 years China has paid tremendous efforts and costs in pursuit of emancipation, and today it still needs to emancipate the mind anew. For 60 years, since the formation of P.R. C, the country has kept pursuing the emancipation of the mind while exploring ways of change in institution, strategy and policy. In the first 30 years China attempted to devise an idealistic approach of transition to the socialist planned economic system, which was characterized by continuous revolution and movement. In the second 30 years China explored a realistic approach of transition to the socialist market economic system, which is characterized by incremental reform and opening-up. For six decades industry has remained at the forefront of transformation. The emancipation of the mind and the realization of change aim to ultimately make China a strong nation with an affluent people. The purpose of the six-decade struggle in new China is to erase the stigma of "being poor and blank," secure a firm and strong foothold in the world, restore China's status as a world power and let the Chinese people enjoy the affluence and welfare of a well-off society. The central mission of this national revitalization is to realize industrialization. Therefore, industrialization has been the central theme of China's revitalization in the past 60 years. After 60 years of industrialization, hundreds of millions of Chinese people are now able to enjoy ever-increasing wealth from industrial civilization. However, still a larger proportion of China's 1.3 billion people are awaiting industrial civilization. In this sense, industrialization is not only the focus of China's socioeconomic development but also the world's largest livelihood mission. Industrial development is more of a means of enhancing people's livelihood than a means of regaining the title as a world power. This will become one of the distinctive characteristics of China's industrialization in the new stage.

China's Electric Power Industry over 60 Years

The year 2009 marks the 60th anniversary of the People's Republic of China.During the 60 years when the new China continuously developed and got stronger,China's power industry supplied streams of electricity for economic development and people's life,making outstanding contributions to China's growth.

Power Grid Development in 60 Years since the Foundation of P.R.C.

Foreword Since the foundation of P.R.C.,the China's power grid develops with a high rate.By now,grids in all provinces except Xinjiang,Tibet,Hainan and Taiwan are AC/DC interconnected together,forming the structure of power grid interconnection in the whole country.

近60年黑龙江省极端降水事件分布特征

文中采用泰森多边形、反距离权重、Mann-Kendall检验和小波分析法分析黑龙江省1960—2021年33个气象站逐日降水数据,系统研究了6个极端降水指数的空间分布特征、时间尺度上的趋势变化、突变性和周期性。结果表明,极端降水指数空间分布变化显著,研究区北部和南部降水量较大、西部地区降水强度较大;在0.05的置信区间内,极端降水事件突变多发生在20世纪60年代和80年代左右,且主周期变化中心为41年前后;人为因素和自然因素极大地影响着极端降水指数的变化,极端降水事件对城市化进程、自然地理因素和大尺度气候因子有一定的指示作用。

Celebrating 60 Years

On November 1, 2018, Morocco and China celebrated the 60th anni-versary of diplomatic relations. On this occasion. Aziz Mekouar.Ambassador of the Kingdom of Morocco to China, spoke to ChinAfrica on a number of topics, including trade relations between the two countries and Morocco＇s participation in the Belt and Road Initiative. An edited vetsion of the interview follows.

Tibet's Dramatic Changes Over the Last 60 Years

The days when Wangdu was a serf are long gone, since democratic reform in Tibet in 1959 declared the endof serfdom there. However, he won fame and was remembered as Serf Champa.

A Great Undertaking Comes to Fruition——Du Yuzhou on 60 Years of China Textile

For the past 60 years, China has reached the pinnacle after going through many trials and tribulations. At this historical moment, how do we evaluate the national textile industry’s past, present, and future, and the individuals who lead it? We turn to Du Yuzhou, president of China National Textile and Apparel Council, with our questions.

A summary of China’s 60 years of financial reform and transformation

The 60 years of China’s financial development has been divided into two phases,the planned economy and reform and opening-up.During the planned economy,monetary finance policy strongly supported rapid development of the national economy,as indicated by the significantly higher growth rates in monetary and credit than in major economic indicators of the national economy.During the 30 years of reform and opening-up,China’s financial system developed at a super-normal pace,establishing relatively complete and sound financial institutions and market systems,and continuously pushing forward the process of rule of law and financial internationalization. The 60 years of development in China's financial system have embarked on a path different from the West’s.The following are the valuable experiences learned from China's financial development: 1)Consistently put development as the top priority,and promote development through reform; 2)Adhere to the general principle of financial stability,and proceed from China’s reality; 3)Promote financial development surrounding the real economy; 4)Put forward financial innovation in an appropriate manner; 5)Guard against and defuse financial risks,and adhere to the principal of gradual and orderly opening-up. Amid complex domestic and international economic and financial situations,China needs to improve its regulatory mechanism of monetary policy and its financial market system,deepen the reform of financial institutions,and improve the financial regulatory system so as to make greater achievements.

上海市高境镇60岁及以上未接种新冠疫苗人群的评估和动员效果调查

目的 :探讨提升老年人新型冠状病毒疫苗接种率的应对措施。方法 :于2022年6—7月期间,选取由上海市宝山区高境镇社区卫生服务中心家庭医生上门进行评估动员的516名社区居民作为研究对象,将其中由签约家庭医生进行评估和动员的236名居民作为调查组,将其余未由签约家庭医生进行评估和动员的280名居民作为对照组,收集两组居民的性别、年龄、既往疾病史、评估与动员结果等信息,进行汇总分析。结果 :516名社区居民中,无新型冠状病毒疫苗接种禁忌证,建议接种者274名(53.1%),调查组与对照组居民的新型冠状病毒疫苗接种评估结果差异具有统计学意义(P <0.05)。516名社区居民中,调查组无禁忌证、同意接种新型冠状病毒疫苗的为75名(31.8%),对照组无禁忌证、同意接种新型冠状病毒疫苗的为47名(16.8%),调查组与对照组居民的新型冠状病毒疫苗接种动员结果差异具有统计学意义(P <0.05)。结论 :对于适宜接种人群,签约家庭医生应及时提供专业建议,以提升老年人及家属对接种新型冠状病毒疫苗的安全性及必要性认知,同时安排签约家庭医生参与自己所负责辖区老年居民的接种评估和动员工作,并通过电话、微信、视频等方式灵活高效地开展评估和动员。

56~60周岁男性多次单采血小板献血者血常规及凝血功能评价

目的探讨56~60周岁男性多次单采血小板献血者定期捐献单采血小板对其血常规及凝血功能的影响,以便更好的指导高龄献血工作的进行。方法选取本中心2021年11月—2022年8月健康男性献血者共61例,其中单采血小板献血者51例、未捐献过单采血小板的健康全血献血者10例。单采血小板献血者均为多次单采者(近一年内捐献单采血小板>10次),多次单采者中56周岁~60周岁献血者有12例为A组,18~55周岁献血者有39例为B组;未捐献过单采血小板的健康全血献血者年龄均为56~60周岁,共10例为C组。在单采血小板采集前留取样本,检测其血常规、血栓弹力图(TEG)、凝血酶时间(TT)、凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)及纤维蛋白原(Fg)。应用SPSS26.0统计分析软件进行One-way ANOVA分析比较其差异性。结果A、B、C三组比较,Hb、Hct、PLT、MPV、PCT存在一定的差异性(P<0.05),而其他血常规指标则无明显差异性(P>0.05);A组与B组比较,红细胞、白细胞、血小板相关血常规指标均无明显差异(P>0.05);A组与C组比较,Hb、Hct显著降低,而PLT、PCT则是出现升高,两指标对比差异有统计学意义(P<0.05),其他血常规指标则无明显差异(P>0.05)。三组TEG(血栓弹力图)的R值、K值、Angle值、MA值均在正常参考范围内,且A、B、C三组之间以及A组与B组、C组比较TEG各项指标均无明显差异(P>0.05)。三组中A组与B组TT、PT、APTT均在正常参考值范围内,而Fg均出现轻微升高,C组则是TT值出现一定程度升高而其他三个指标正常;A、B、C三组间比较,TT、PT存在明显差异(P<0.05),而APTT、Fg则无明显差异;A组与B组比较,凝血相关各项指标均无明显差异(P>0.05);A组TT、PT均低于C组,且两组对比差异明显(P<0.05),而APTT、Fg则无明显差异(P>0.05)。结论56~60周岁男性单采血小板献血者定期捐献单采血小板对其血常规及凝血功能并无明显影响,但同时也应在采集过程中加强对单采者健康的监测。

60岁以上老年人群的慢性病患病情况及其影响因素研究

目的探讨60岁以上老年人群慢性病患病情况及影响因素。方法选取2022年1—12月江苏省老年病医院收治的300例60岁以上老年住院患者临床资料进行回顾性分析,调查统计其慢性病患病情况,并分析其影响因素。结果300例老年人群共163名老年人群存在慢性病,占比54.33%,慢病组性别、年龄、居住地、身体质量指数(body mass index,BMI)、文化程度、吸烟、饮酒、运动锻炼、饮食、家族慢病遗传史各项单因素与无慢病组相比,差异有统计学意义(P<0.05);结果表明年龄、居住地、BMI、吸烟、饮酒、饮食是否规律、家族慢病遗传史为60岁以上老年人群患慢性病的独立危险因素(OR=2.165、2.152、2.748、3.125、2.865、1.845、1.825,P<0.05),文化程度、运动锻炼为独立保护因素(OR=0.752、0.849,P<0.05)。结论60岁以上老年人群慢病患病率较高,主要与年龄、BMI、吸烟、饮酒等多项因素相关,临床应明确其影响因素,制定针对性防范措施,以降低老年人群慢病患病率。

Epidemiology of Cardiovascular Mortality in Patients under 60 Years Old in a Cardiology Department in West Africa, Dakar-Senegal

Background: Our study aimed to examine cardiovascular mortality within the working-age population, exploring epidemiological, clinical, and paraclinical features, complications, and identifying etiological factors linked to mortality. Methods: We conducted a descriptive and analytical retrospective study from September 2019 to August 2022 at the General Hospital Idrissa POUYE in Dakar, we reviewed all the medical records of patients from 15 to 60 years old who died while admitted in the cardiology department. Data collected were socioeconomic status, clinical history, type of cardiovascular disaese, length of hospitalization, circumstances and timing of death. The data were analyzed with R. Studio version 2022.12.0 + 353 and Excel 2019, with a P-value Results: The study included 73 patients, indicating a specific mortality rate of 8.8% and a proportional mortality of 39%. Predominantly male (sex ratio 1.2), the average age was 44. Key cardiovascular risk factors identified were sedentarism (76.7%), hypertension (28.8%), and smoking (21.9%). The leading cause for consultation was dyspnea (72.6%). Notable findings included a majority of patients presenting with general condition deterioration (90%) and cardiovascular collapse upon admission (23.3%). Physical exam revealed signs of heart failure in 63%. Echocardiography showed left ventricular ejection fraction impairment (81%) and pulmonary hypertension (78%). Immediate causes of death were primarily cardiogenic shock (45.2%) and septic shock (37%). The analytical study indicates that the data most closely associated with mortality were age, socio-economic level, ischemic heart disease (p = 0.034), rheumatic valvulopathies, pulmonary embolism (p = 0.034), hypertension (HTA) (p = 0.009), smoking (p = 0.011), diabetes (p = 0.011), dyslipidemias, prolonged bedrest (p = 0.001), morbid obesity (p = 0.001), and COVID-19 infection (p = 0.017). Conclusion: The prevalence of ischemic heart diseases, pulmonary embolisms, and valvulopathies in premature mortality statistics underscores the need for enhanced cardiovascular prevention efforts.

依托咪酯与丙泊酚用于60岁以上老年患者全身麻醉的比较观察

目的:探讨依托咪酯、丙泊酚在60岁以上老年患者全身麻醉中的应用效果。方法:采用随机对照法将某医院收治的70例60岁以上老年手术全身麻醉患者分为甲组(依托咪酯)和乙组(丙泊酚),各35例,比较两组血流动力学指标变化情况、术后苏醒情况及用药安全性。结果:甲组患者T1-T3时段HR、DBP、SBP水平显著高于乙组(P<0.05);甲组患者自主呼吸恢复、睁眼及拔管时间显著短于乙组(P<0.05);甲组患者不良反应发生率与乙组差异无统计学意义(P>0.05)。结论:在60岁以上老年患者全身麻醉中,依托咪酯较丙泊酚更利于维持围术期血流动力学的稳定性,术后苏醒更快,建议选择依托咪酯。

60岁以上脓毒症患者单核细胞活化标志物sCD14、sCD163与新发心功能障碍和短期预后相关

目的:探讨60岁以上脓毒症患者血清可溶性分化簇(sCD)14、sCD163水平与新发心功能障碍(SICD)和短期预后的关系。方法:选取年龄≥60岁脓毒症患者98例为脓毒症组,另选取100例健康志愿者为对照组。采用酶联免疫吸附法(ELISA)检测2组血清sCD14、sCD163水平。根据心功能情况(新发左室射血分数<50%和/或二尖瓣血流最大流速/心房收缩期二尖瓣血流最大流速比值<0.8诊断为SICD)将患者分为SICD组(59例)和非SICD组(39例)。采用多因素Logistic回归分析影响脓毒症患者继发SICD的危险因素。绘制受试者工作特征(ROC)曲线,分析血清sCD14、sCD163水平对老年脓毒症患者SICD风险及院内28 d死亡的预测价值。结果:脓毒症组患者血清sCD14、sCD163水平高于对照组(P均<0.05),且治疗后逐渐降低(P均<0.01);各时间点SICD组患者血清sCD14、sCD163水平高于非SICD组(P均<0.01)。经多因素Logistic回归分析,序贯器官衰竭评分(SOFA)、血清N末端B型利钠肽原(NT-proBNP)、sCD14、sCD163水平是脓毒症患者继发SICD的独立危险因素(P均<0.05)。经ROC曲线分析,联合检测血清sCD14、sCD163水平预测年龄≥60岁脓毒症患者SICD发生风险或院内28 d死亡的曲线下面积分别为0.920(95%CI:0.860~0.979)、0.940(95%CI:0.884~0.995),较SOFA或NT-proBNP值单独预测更优(P均<0.05)。结论:血清sCD14、sCD163水平可作为预测≥60岁脓毒症患者发生SICD的生物标志物,对于短期预后不良亦有预测价值。

120例60岁以上老年人心电图特征研究

分析健康体检中60岁以上老年人常规心电图特征。选取2021年4月—2023年7月于安顺市西秀区妇幼保健院进行常规心电图检测的120例60岁以上老年人为研究对象。按照性别分为对照组与实验组,女性纳入对照组,男性纳入实验组,每组各60例,均接受心电图常规检测。比较两组老年人心电图正常与异常情况。结果显示,实验组心电图正常人数少于对照组(P<0.05),实验组心电图异常形式多于对照组(P<0.05)。研究发现,120例60岁以上老年人心电图比较中,女性心电图检测情况优于男性,女性异常情况少于男性。

年龄大于60岁难治性反流性食管炎患者经口胃镜分级及与肥胖的关系

目的:探讨年龄>60岁难治性反流性食管炎(RE)患者经口胃镜分级与肥胖的关系.方法:选择2019年6月至2022年9月本院收治的103例年龄>60岁RE患者为研究对象,根据不同的胃镜分级将患者分为A~B组(n=62,胃镜分级A级+B级)和C~D组(n=41,胃镜分级C级+D级).肥胖检测指标选用腰臀比、腰围和人体质量指数(BMI).采用多因素非条件Logistic回归分析法分析患者经口胃镜分级与肥胖的关系.结果:两组性别、腰围、高血压、糖尿病、高脂血症所占比比较,差异无统计学意义(P>0.05).C~D组的年龄(>75岁)、BMI(≥28kg/m^(2))、腰臀比(≥1.00)所占比明显高于A~B组,差异有统计学意义(P<0.05).经单因素分析结果显示,年龄、BMI、腰臀比可能为年龄>60岁难治性RE患者胃镜分级的影响因素.Logistic回归分析结果显示,年龄>75岁、BMI≥28kg/m^(2)、腰臀比≥1.00是年龄>60岁难治性RE患者胃镜分级为C~D级的独立危险因素(P<0.05).结论:年龄、肥胖与年龄>60岁难治性RE的发生密切相关,是难治性RE胃镜分级的影响因素.

近60年广西北部湾红树林生态区气候变化及其影响因素

利用广西北部湾红树林生态区6个市(县)的国家气象观测站1961—2019年气象资料以及海平面资料,分析近60年来该生态区基本气候要素、极端天气气候事件及海平面的变化趋势及其对红树林的影响,并分析未来气候变化对区域红树植物可能造成的影响。结果表明:北部湾红树林生态区年平均气温、年平均最低气温升高,高温日数增多,低温日数和年降水量变化趋势不明显。最长连续无降水日数多数市(县)变化趋势不明显;年霜冻日数减少;热带气旋影响个数减少但平均强度呈微弱增大趋势;大风日数减少;海平面呈缓慢上升趋势。根据RegCM4区域气候模式预估,未来40年(2021—2060年),在RCP4.5情景下,相对于参照时段(1986—2005年),该生态区年平均气温将上升0.9—1.4℃,年平均最高气温和年平均最低气温均升高,高温日数增多、低温日数减少;年降水量将增多1%—2%;最长连续无降水日数增多;霜冻日数减少;预计未来30年,广西沿海的海平面较2019年上升40—160mm。年平均气温和极端气温的升高以及冬季低温日数和霜冻日数的减少将有利于热带红树植物的北扩;夏季高温导致的蒸发加剧及夏秋季最长连续无降水日数增多,可能加剧红树林病虫害。极端灾害性天气气候事件、海平面上升和人为影响等多重作用会对红树林分布格局产生重大影响,导致红树林生态退化风险增大。

合肥市区≥60岁老人COVID-19疫苗接种调查及影响因素分析

目的了解合肥市≥60岁老人接种新型冠状病毒肺炎(COVID-19)疫苗的意愿及其影响因素,并对其疫苗接种情况进行追踪调查,分析目前影响60岁以上老人接种新冠疫苗的因素。方法选择合肥市区≥60岁老人,通过使用网络调查问卷方法开展疫苗接种意愿调查,了解≥60岁老人接种COVID-19疫苗的意愿率,对COVID-19疫苗接种意愿影响因素进行单因素及多因素分析,并对老人们进行追踪调查,了解实际接种率及未接种原因。结果合肥市区≥60岁老人接种COVID-19疫苗意愿率为76.8%,年龄、性别、受教育程度、慢性基础疾病、是否接种过流感疫苗均不影响老人接种COVID-19疫苗意愿;认为自己可能会感染COVID-19、担心COVID-19疫苗副作用及有效性、认为国内安全不需接种、受近期市内新增病例影响为影响COVID-19疫苗接种意愿的主要影响因素。追踪调查结果显示,208例老人已接种新冠疫苗,实际接种率为46.2%,计划过段时间再接种、认为≥60岁人群疫苗接种尚未开放、有多种基础疾病被告知暂不能接种、认为天气炎热身体不方便长时间排队为目前60岁以上老人尚未接种疫苗的前四位原因。结论广泛开展≥60岁老人COVID-19疫苗接种安全性、有效性及COVID-19疫苗知识及政策的宣传、严格把握老人接种禁忌、增加疫苗接种工作的人力物力、加快疫苗生产对提高疫苗接种意愿率及实际接种率有重要作用。