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.

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.

A Case Study on the Impact of Mother-to-Mother Support Groups on Maternal, Infant and Young Child Nutrition and Care Practices in Habaswein and Wajir South Districts of North Eastern Kenya

Only about 25% of babies are exclusively breast fed until six months of age in developing countries though they are at a greater risk of infection and infant mortality. The Global Strategy for Maternal, Infant and Young Child Feeding (MI- YCF) Strategy developed by WHO/UNICEF in 2002 was to revitalize world attention to the impact of feeding practices on the nutritional status, growth, development, health and survival of infants and children. The data for this case study was collected through key informant interviews, observations and review of Save the Children nutrition programme reports and surveys. This information was then organized to produce a detailed description of the maternal, infant and young child nutrition programme in Habaswein and Wajir South districts or sub-counties. The maternal and infant young child nutrition (MIYCN) programme was launched in Habaswein and Wajir South districts in January 2012. The MIYCN programme followed recommendations of a Knowledge, Practice and Coverage (KPC) survey report in July 2012. To date, the programme has formed 48 Mother-to-mother Support Groups (MTMSGs), which are actively promoting the uptake of the recommended MIYCN practices in the community. MIYCN indicators have been markedly improved between July 2011 and February 2013 when surveys were conducted. The uptake of kitchen gardening has picked up significantly at Meri site and some mothers now have a changed attitude towards unskilled home deliveries and are conducting referrals for skilled births. The marked improvements in the performance of MIYCN indicators between July 2011 and February 2013 inWajir South and Habaswein districts can be partly attributed to the MIYCN programme established in January 2012. However, a randomized community trial is still required to provide conclusive results on the impact of care support groups on maternal, infant and young child feeding in this region.

Pour un accompagnement des familles endeuillées avec un enfant en basâge Supporting Bereaved Families with Young Children

Objective:The violent death of a young parent from cancer has a profound effect on both spouse and children.The family must adapt to the absence of the bereaved and reorganize to raise the children as best they can.Very young children are particularly vulnerable,as they are generally unable to express their suffering.To give them a voice,we have designed an innovative system,The Little Match Girl,as part of a health democracy approach.Methods:We assessed the effects of their participation in the group for a population of eight children and their parents.The six parents assessed their child(ren)’s emotion regulation before and after therapy using the ERC-vf scale.The FACES IV enabled us to assess the cohesion and adaptability of each family.Results:All eight children showed improved emotion regulation.The program promotes family resilience.However,difficulties persist in rigid or disengaged families.Conclusion:We hope that other cancer centers will follow our model to give a place to very young children dealing with the death of a parent from cancer,and to encourage family empowerment.

Black Community College Students and Opinions and Beliefs on Weight in the Community: A Focus Group Study

Objective: The purpose of this study was to better understand black community college students’ beliefs on obesity in their community. Methods: Participants were 18 - 21 years old and African American/Hispanic Black. Focus group sessions were conducted with a discussion guide. Thematic analysis was used to analyze results. Results: Five focus groups were conducted. Four major themes emerged: My Culture Matters, The Effects of Slavery are Still Present, Meet Me Where I Want to Be, Not Where Society Wants Me, and If They Have Been Fat, They Get Me. It is clear that weight programs need to be sensitive to cultural preferences. Conclusion: Our results present unique factors related to overweight/obesity in the Black community.

A Coaching Program for Recently Licensed Young Drivers in the Netherlands： Which Drivers Are Attracted？

In line with European developments, a Dutch second phase coaching program, referred to as the DX- （Driver Xperience） program, was developed for young novice drivers to counteract their high accident risk. More specifically, the aim of the DX-program was to enable young drivers to make responsible decisions and develop positive attitudes regarding four levels of the driving task： combining life style and driving, planning and navigation, participating in different traffic situations and handling the vehicle. In this paper, the design principles of the program are described. The empirical study focused on the entry characteristics of the participating young drivers （n = 3,117） as compared to a reference group of young drivers （n = 345）. Results show that the DX-program attracted young drivers that, in some respects, showed a more risky profile than average young drivers in terms of speed violations, anger and the number of fines. In addition, four groups of participants with sharply differing driving styles could be distinguished. Implications for educational design and follow-up research are discussed within the theoretical framework of self-regulated learning.

新时代高校党外青年教师协同育人功能及实践路径研究

随着我国高等教育改革的不断深化,党外青年教师的比例也大幅提高。为充分利用高校党外青年教师群体优势,发挥高校党外青年教师协同育人功能,该文从数量、教育水平、身份、资源及政治意识五个方面分析高校党外青年教师的群体优势,采用问卷调查的形式对本专业大学生价值观展开调查。根据调查结果总结并得出发挥协同育人功能的实施路径,提出进一步提升党外青年教师工作水平与责任意识的建议。

二十世纪五六十年代湖北青壮年支援新疆建设述略

二十世纪五六十年代,湖北支边青壮年响应国家号召,支援新疆社会主义建设。经过宣传动员、审核批准、分配安置和教育巩固等工作,先后有94421名支边青壮年和21757名家属进疆,他们不仅是新疆工农业战线上的生力军,而且带来了先进的生产经验和科学技术,增进了各民族的交往交流交融。这不仅为新时期做好对口援疆工作提供重要的借鉴,而且为现实维度的铸牢中华民族共同体意识提供了可感知的示范价值和鲜活案例。

“空间转向”的本土化以及网络文学空间叙事研究趋向

中国叙事学在受到国外研究影响的同时保持独立思考,不断从本土叙事资源中探索新路径,开创新模式,形成了独具特色的本土文艺理论话语体系,但在空间叙事的“本土化”方面,囿于古典小说对于时间的高度依赖和现当代小说对于乡土书写的执着关注,导致空间研究一度被忽视。伴随着与网络空间关系最为密切的网络文学的崛起,国内网络文学研究的“空间转向”逐渐受到重视。以硕士研究生为代表的青年学者,对网络文学的空间叙事表达了较多关注。这一发展趋向基本契合网文的“青年”属性,表明Z世代不仅在网络文学阅读和批评上,甚至在理论研究层面,都能够立足网络文学这块热土,依仗互联网原生居民得天独厚的网感优势,朝向中国文艺批评理论创新的伟大使命进发。

绿肥种植密度对咖啡幼龄园杂草群落及咖啡生长的影响

绿肥种植是一种比较理想的杂草控制技术,通过田间试验研究了绿肥硬皮豆不同种植密度对咖啡幼龄园杂草群落和咖啡生长的影响。绿肥种植5月后,对5种硬皮豆种植密度〔S0、S1、S2、S3、S4分别为0、0.5、1.0、1.5、2.0 kg·(667 m^(2))^(-1)〕的杂草群落和咖啡生长情况开展调查。结果表明,随着硬皮豆种植密度的增加,优势杂草香附子重要值显著降低,杂草群落及优势杂草香附子的高度、密度、盖度及生物量均低于对照S0。随着硬皮豆种植密度增加,杂草群落Margalef丰富度指数、Shannon-Wiener多样性指数先降低后增加,Simpson优势度指数逐渐降低,Pielou均匀度指数逐渐增加。硬皮豆种植处理下杂草群落高度、密度、盖度及生物量的响应比均显著低于对照S0,硬皮豆种植显著降低了Simpson优势度指数的响应比,显著提高了Pielou均匀度指数的响应比。功能群分类中禾本科的重要值表现为S2和S3处理显著高于对照S0,其余功能群的重要值差异不显著。杂草功能群分类的重要值与群落多样性指数间相关性不显著。硬皮豆种植后咖啡植株的株高、冠幅、地径、叶长、叶宽、一级分枝对数、最长一级分枝长、最长一级分枝节间数及叶片厚度均高于对照S0,其中叶宽差异达显著水平。整体上,硬皮豆种植在一定程度上促进了咖啡植株生长,对杂草群落及优势杂草香附子具有显著的控制效果,显著降低了杂草群落优势度,短期内对杂草群落丰富度及多样性无影响。咖啡幼龄园种植硬皮豆建议采用种植密度1.0 kg·(667 m^(2))^(-1),可获得较高的经济效益和生态效益。

科技期刊学术共同体的发展与维护——以《环境卫生工程》期刊为例

学术共同体是科技期刊重要的思想源泉,一个优秀的学术共同体能够引导和支撑期刊稳定持续发展。信息时代,回归学术共同体的学术价值、建立良性循环的学术共同体是推动科技期刊发展的必经之路。从学术共同体的构建、发展、维护及编辑在学术共同体中的角色定位等方面,探讨了科技期刊与学术共同体相互促进的良性发展机制,以期为行业其他科技期刊构建学术共同体提供思路。

青年单身群体:追寻理想伴侣还是享受自由生活?

目的:探索青年单身群体的心理特点以及选择单身对青年产生的影响。方法:选择26名处于单身状态的青年进行深度访谈,运用扎根理论对访谈内容进行分析,并进行理论建构。结果:单身群体分为追寻者、自由者和空白者,不同类型存在不同心理特征和需求。追寻者更多关注情感需求,主要面临择偶困境;自由者更多关注自主需求,主要面临社交困境;空白者两者兼有。除了情感满足与自我发展的冲突之外,单身青年还需应对个人选择与社会环境的冲突。结论:不同类型的单身群体既面临着不同的困境,又有相似的矛盾冲突,青年只有平衡情感需求和自主需求才能较好地适应当下。