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.

某三甲肿瘤专科医院年轻干部选拔任用工作实践及探索

为了探索适合高校附属医院年轻干部选拔、培养、考核机制与路径,为年轻干部选拔任用工作提出建议,本研究以某高校附属三级甲等肿瘤专科医院年轻干部选拔任用工作为例,通过文献研究、定性研究和定量研究,分析该专科医院年轻干部选拔任用工作的现状,探索医院选拔任用年轻干部的机制。研究结果显示该医院对年轻干部的选拔、任用和培养工作十分重视,已经建立了系统完备、科学规范、有效管用的年轻干部选拔培养考核制度和机制,以保障医院高质量发展需要,为医院的长远发展提供有力的干部人才支撑。

广州血液中心“基于项目的学习”培训模式的应用

2020—2024年6月期间广州血液中心引用“基于项目的学习”相关原理开展了19个年轻骨干素养培训项目,本文通过分析项目开展的情况以及成效,总结血站“基于项目的学习”培训模式的应用特点,分享血站“基于项目的学习”培训的三个实施策略:一是问题聚焦注重现实性,二是形式设计注重互动性,三是环境构建注重开放性。

能源型央企青年科技人才队伍建设的路径与建议

能源型央企是国家战略科技力量的重要组成部分,迫切需要发挥科技引领能源高质量发展作用,亟须培养一批具有旺盛科研精力和高度创新力的青年科技人才队伍。本文深入分析新时代加强能源型央企青年科技人才队伍建设的重要意义,以某一能源型央企下属科研单位作为调研对象,深刻剖析能源型央企青年科技人才培养存在的问题,进而提出加强青年科技人才队伍建设的系统性思路以及可以采取的管理创新和激励措施。

中坚青年干部治村的实践样态与作用机制研究——基于赣鄂两个村庄的调查

农村青年干部是基层干部队伍中的新鲜血液,也是推进乡村发展、乡村建设、乡村治理的生力军和中坚力量。通过对赣南F村和鄂南T村两个村庄的案例剖析,探讨青年村干部助推乡村有效治理的内在作用机制。结果表明:村干部队伍中存在一定数量的青年干部,但并不是所有的青年村干部都会在乡村治理实践中积极主动作为,只有部分具有较强责任认知和治理能力的中坚青年干部可以助推乡村治理效能提升;中坚青年干部提升乡村治理绩效的作用机制具体表现为在包容性的制度环境和治理环境下,以个体正向责任认知形塑村干部群体履责行为,以聚合性治理能力强化基层组织治理能力。基于此,建议充分发挥中坚青年干部的引领带动示范作用,构建老中青干部梯次配备的干部架构,优化青年干部的在地化培养机制,以促进村干部群体积极有效作为,增强基层组织治理能力。

习近平关于青年干部重要论述及其时代价值

实现中华民族伟大复兴,归根结底在于培养造就堪当时代重任的接班人。基于领导科学理论分析框架,习近平总书记关于青年干部的系列论述围绕青年干部培养何以重要、培养何种能力、如何加以培养等重大问题,涵盖战略层面、个人层面、组织层面,形成了富有科学性、全面性、系统性、实践性的理论体系。这一体系从青年干部成长规律和队伍建设的客观实际出发,在吸收马克思主义青年干部观、总结中国共产党百年干部培养实践经验、着眼两个大局及世情国情党情深刻变化的基础上,为青年干部成长成才提供了科学指引,深化了对政党执政规律的科学认识、顺应了国家治理现代化的客观需要,也为新时代做好青年干部选人用人工作指明了前进方向。

党外年轻干部发现储备机制研究——以哈尔滨工程大学为例

构建党外年轻干部发现储备机制是巩固和壮大新时代统一战线、实施人才强国战略的时代要求。高等院校是培养和选拔党外代表人士的重要基地。通过从政治、品德、才能、业绩、声誉等多维度构建高校党外年轻干部发现识别标准和指标体系,并从发现场景、发现方式、发现主体、发现时点等几方面着手建立全链条的高校党外年轻干部发现储备机制,在此基础上以哈尔滨工程大学为例,提出了一系列与党外年轻干部储备相适应的协同工作机制,为高等院校做好党外年轻干部发现、储备、培育、使用工作提供了可供参考的思路。

返乡青年参与乡村治理:实践基础、治理绩效与优化路径——基于皖南水镇的调研

吸纳青年农民返乡担任农村干部是实现乡村组织振兴的重要路径。采用实地研究方法,通过对皖南水镇的治理变迁过程进行经验考察发现,农村家庭内部的代际支持为青年农民返乡参与乡村治理提供了良好的社会基础,在这一基础上,地方政府通过提高村干部经济待遇、完善村干部选任制度可以有效吸引青年农民返乡担任农村干部。由于长期在城市社会中学习、工作,青年农民往往有着更具现代性的治理理念、行为模式和能力结构,因此青年干部治村能够有效推动乡村治理的现代化进程;但由于长期脱离村庄,青年干部在价值取向、社会关联和认知结构等方面高度脱嵌于村庄社会,这给青年干部治村和乡村治理带来新的挑战。双重影响之下,青年干部主导的乡村治理表现为一种“脱嵌的现代化”形态。对此,可以通过建立村社本位的激励性薪酬制度、对青年干部开展社会化培养、构建组织化的“传帮带”机制,帮助青年干部实现对村庄社会的重新嵌入,从而规避治理主体脱嵌的不利影响,提高青年干部的治理绩效。

黄文秀优秀品质促进青年干部成长的价值逻辑与实践路径

青年干部的成长事关党和人民事业的兴旺发达。黄文秀是新时代青年党员干部的优秀代表。学习黄文秀先进事迹,就是要深刻理解黄文秀“不忘初心、信念坚定,不辱使命、敢于担当,不畏艰辛、奋勇拼搏,不负韶华、甘于奉献”的优秀品质的丰富内涵,继续弘扬传承黄文秀优秀品质,从榜样中汲取前行力量。新时代的青年干部要主动将时代价值与青年担当相结合、社会价值与民族精神相融合、个人价值与社会发展相联结,自觉担负起党和人民赋予的历史重任,做到坚守初心,对党忠诚;情系群众,不辱使命;扎根基层,攻坚克难;勇担重任,奉献青春。

中坚青年干部治村:何以可能与何以可为——基于中部地区农村治理实践的考察

随着基层治理现代化转型,农村基层干部队伍结构呈现出年轻化、知识化趋势。基于中部地区农业型村庄青年村干部治理实践的田野调查发现,村干部队伍中存在一部分中坚青年干部,他们不仅改变了村治主体结构,同时也影响了村庄内部治理生态。制度性吸纳、在地化培养与多重性激励共同构成中坚青年干部治村的现实基础。中坚青年干部群体能够更好地适配治理事务的政务化与服务化、治理过程的规范化与文牍化等基层治理转型带来的新变化,并且在推动乡村治理数字化平台建设与推进数字技术赋能乡村治理、培育乡村新产业新业态与助力村民实现共同富裕等方面发挥着积极正向的治理功能,在一定程度上能够助推乡村治理绩效的提升。在实践中,要充分发挥中坚青年干部的引擎功能与示范效应,创新培养方式,不断优化个体治理能力结构,建立更加有效的差异化激励机制。

农村基层干部青年化对提升村民收入的影响——基于农村发展治理的分析视角

农村基层干部青年化是大势所趋,农村基层干部作为农村发展的“领头羊”肩负重大的历史使命,组织振兴是乡村振兴的目标之一,青年干部则为基层组织提供新鲜血液。为研究农村基层青年干部的富民效应,通过2021年南京农业大学的中国土地调查数据,运用计量经济学模型进行实证分析,探究农村基层干部青年率对行政村村民经济收入的影响。结果表明,农村基层干部的青年率的提升可以显著带动行政村村民收入提高,发展集体产业经济和开展村内民主治理活动对村民收入也有显著的正向影响,青年干部在农村发展社区治理上也存在不足,健康的农村基层干部年龄结构应该是有较大青年基层干部比例的同时兼具一定数量的年长基层干部,实现乡村发展治理的综合全面。