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.

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.

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.

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.

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.

CONVENTION OF THE CAS CONFERENCE OF YOUNG TALENTS FOR THE NEXT CENTURY

From March 30 to April 2, 1997, the CAS Conference of Young Talents for the Next Century was successfully convened in Beijing. The conference is aimed at reviewing and swapping the experience in cultivating young talents and further perfecting various policies in this regard. At the same time, it provides a forum for the exchange of ideas and an opportunity of mutually learning from each other among participants. The scientists attending the meeting were out standing researchers younger than 45 in age and from various disciplines. In addition, most of them are century-cross-ing leaders and disciplinary pace-setters in their own specialities. During the conference, Chinese Premier Li Peng met the participants. He encouraged the broad masses of young S&T workers to forge ahead by opening new horizons and through ceaseless creation so that they can make more con-

组织行为学视角下某医院青年人才培养的理论分析与实践探索

青年人才是推动公立医院高质量发展的重要资源与后备力量。现实中,青年人才培养离不开工作(岗位)设计、组织结构、组织文化等组织内部行为和客观环境,需要找到适宜的培养路径和方法增强青年人才工作动力、提升青年人才发展主动性和创新性、筑牢青年人才秉持医院公益性理念,更好地服务医疗卫生战略需求。北京天坛医院基于组织行为学,积极推进“人才强院”战略,根据医、药、技、护、管各岗位特点,基于青年人才岗位培养历练等组织要素,打造应用复合型青年人才培养的“苗圃工程”,大力推动实施“青年科学家计划”,为不同类型青年人才提供高质量培养与发展平台。

某院青年人才队伍职业发展现状分析与对策研究

目的全面了解医院青年人才队伍现状和青年人才职业发展需求,进一步加强青年人才队伍建设。方法以问卷调查方式对201名青年人才进行全面调研,明确医院在青年人才队伍培养中存在的问题以及青年人才职业发展困惑和需求。结果医院在青年人才队伍培养方面存在培养体系不健全、高层次青年人才总量不足、培养方式不够多元化等3个问题。结论医院将从加强政治引领和政策宣传、优化分层分类培养机制、搭建多元化成长平台、加强人文关怀等4个方面加强青年人才队伍建设。

教育强国背景下高校高层次青年人才队伍建设的内在逻辑与实施路径

高层次青年人才是高校未来发展和竞争力凸显的关键要素,研究高校高层次青年人才队伍建设的内在逻辑,对提升高校竞争力、全面实现国家“教育、科技、人才”三位统筹发展有重要意义。基于2016年排名前100所高校建设的高层次青年人才储备数据为样本,借助多元回归模型对高校高层次青年人才队伍建设的影响因素进行研究。研究发现:高校综合得分、高校层次和科技经费均对高校建设高层次青年人才具有显著正向预测作用,学科建设、经费预算对建设高层次青年人才没有显著影响。提出高校要通过扩大高校办学水平宣传、优化科研环境、加强学科建设、多元筹措教育经费增加经费预算等方式来加强高层次青年人才建设,以便在未来的高校竞争中赢得优势。

国家自然科学基金青年科学基金项目立项的影响因素分析——以上海交通大学医学院为例

目的·基于医学领域国家自然科学基金青年科学基金项目资助率低的现状,对项目申请人展开深入调查,定量分析项目立项的影响因素,为进一步提升项目申报质量、加强青年医学人才培养提供数据参考和决策依据。方法·采用横断面调查法,选取上海交通大学医学院各二级学院及13所附属医院在2020—2022年有国家自然科学基金青年科学基金项目申报经历的申请人进行问卷调查,以项目申请结果为因变量,以申请人基本情况和申报情况等为自变量,通过Logistic逐步回归模型建模与分析。结果·对921名项目申请者的分析结果显示,学历(OR=1.86,95%CI1.14~3.04)、毕业院校(OR=2.45,95%CI 1.47~4.08)、有较为充分的前期工作基础(OR=4.22,95%CI 2.44~7.29)、代表作平均影响因子(OR=1.10,95%CI1.04~1.17)、申请书自评总分(OR=1.06,95%CI1.04~1.08)是项目立项的主要影响因素。且项目获批者代表作平均影响因子和最高影响因子呈逐年递增的趋势。此外,青年医师和专职科研人员项目获批的影响因素不同,青年医师的毕业时间越长,获批率越低。结论·青年科学基金项目资助率低下,对科研成果的要求逐年提升,应注重前期积累,提高申请书撰写质量,并进一步采取措施,加强青年医学人才早期培养,完善分类培养举措,着力夯实研究基础。

青年人才在网红村运营中的作用及其实现机制研究——基于行动者网络的视角

近年来,我国许多地区的乡村物质环境建设取得了巨大的成就,但是这些美丽乡村普遍面临同质化严重、依赖政府财政投入、闲置资源无法有效盘活等难题,亟须借助乡村运营来突破发展瓶颈。基于行动者网络的视角,以浙江安吉红庙村“深蓝计划”项目为例,对青年人才引导下的行动者联盟构成及作用机制进行解析。研究表明:青年人才作为特殊行动者,引导村集体、村民、政府、游客、网民和社交平台等异质行动者,在虚实网络空间中通过转译完成了村庄存量资源到“现金流”资产的蜕变,展现出更好的内生性、灵活性和创造性,但同时也暴露了一系列问题。帮助青年人才等有为精英更好地“嵌入”乡村治理,壮大以村集体、村民为核心的内生力量将是乡村运营的重要议题。

高校青年科技人才培养与发展策略研究

高校青年科技人才是国家创新体系的重要组成部分,做好高校青年科技人才的培养与发展工作对提升国家科技创新能力具有重要意义。文章探讨了高校青年科技人才的发展现状以及影响高校青年科技人才发展的关键因素,从个人、高校、政府三个层面提出人才应主动提升个人创新创业能力、高校应帮助青年科技人才快速成长、政府应完善青年科技人才支持政策的对策建议,以提升高校青年科技人才培养与发展实效。

北京地区高校青年教师队伍建设及对策研究

当前,北京市已经形成了一支数量规模满足需求、结构更趋合理、发展态势良好的教师队伍,其中高校青年科技人才规模和结构同增。然而,北京地区高校青年教师的总体工作满意度仅处于一般水平,最不满意的是收入福利与工作评价。同时,青年教师队伍建设还存在教学专业化水平低、缺少高层次人才、青年后备人才培养薄弱、现有人才政策对青年支持不足、薪酬激励机制不健全、职称晋升制度不完善等问题。建议加强高校青年教师政策体系的顶层设计,健全多元化的人才培养机制,突出高层次人才和后备人才培养,完善薪酬体系,完善考核晋升和职称制度,推动北京地区高校青年教师全面发展。

社会系统论视角下中阿青年人才培养合作研究

中国同阿拉伯国家在青年人才培养方面的合作为推动中阿命运共同体建设提供了人才储备和智力支持。从社会系统论角度分析,中阿青年人才培养合作历经70年的发展,在积极的外部环境因素推动下,形成了具有强大生命力的自创生动态发展体系,为中阿各领域务实合作提供了不竭动力。2004年中阿合作论坛成立后,中阿青年人才培养合作进入机制化发展阶段,逐步形成政府、高校、智库、企业多方参与,覆盖语言、政治、经贸、文化、科技等众多领域,包含高等教育、基础教育、职业教育等综合机制。中阿高质量共建“一带一路”进一步丰富了中阿青年人才培养合作的内涵,双方加大了对高精尖、高层次青年人才培养合作的力度。依托全方位、多面向的中阿青年人才培养合作机制平台,一批科研型、语言复合型、技术应用型人才成长起来。中阿青年人才培养合作取得丰硕成果的同时,仍面临一些挑战,中阿教育合作品牌的吸引力有待提升,双方的人才政策沟通应继续增强,人才培养合作应谨防非对称性依赖。

海外经历对青年科技人才的影响研究——基于上海市海归与本土青年科技人才调查数据的比较

海外经历对青年科技人才有多重影响。上海市范围内的调查数据显示,在观念认知上,海归青年科技人才对国情的认知表达与本土青年科技人才存在不同,奋斗精神和奉献意识更强;更习惯从全球角度看待和评价城市,更具忧患意识;事业成功观更符合主导价值观,但未来信心度偏低。在职业发展上,他们的工作动力受外部影响更小;工作专注度和投入度相对更高,能力发挥更充分,成功率更高;更重视评价机制和经费支持;对受非科研事务牵绊的体验更深,更期待稳定的科研资助项目和完善的知识产权保护。在生活体验上,他们的美好生活体验度偏低,更难以平衡工作与生活。在上述调查分析基础上,建议针对海归青年科技人才群体的特点和不同诉求,分类施策,更好引进、留住和用好有海外经历的青年科技人才。