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.

NOTICE ON THE 98' SYMPOSIUM FOR YOUNG CHINESE SCHOLARS

Under the joint sponsorship of the CAS and the National Natural Science Foundation of China, the 98’ Symposium for Young Chinese Scholars is aimed to promote academic exchange and cooperation with Chinese scholars both at home and abroad, encourage the students staying abroad to serve the motherland in various

A TOTAL OF 40 YOUNG SCHOLARS WIN THE 1995 CAS AWARDS FOR YOUNG SCIENTISTS

The laureates of the 1995 CAS Awards for Young Scientists have been appraised and decided by the Awards’ jury.A total of 40 young scholars won the Awards, including 10 first-grade prize recipients—Xi Nanhua with the Institute of Mathematics,Wang Yunping with the Institute of Physics,Qiu Minghua with the Kunming Institute of Botany,Gan Weiqun with the Mt. Zijinshan Observatory, Zhang Zhongjie with the

哲学社会科学青年学者的主客观社会地位研究

在社会分层和科学社会学相关理论的基础上探讨青年学者的主客观地位及其影响因素。对上海市部分高校青年学者的抽样调查数据分析研究发现以下情况:首先,无论是客观维度的声望地位还是主观维度的地位认同,青年学者都存在显著分化。尤其是声望地位的分布非常偏斜,不同学者在学术荣誉和成果方面的差异很大。其次,青年学者的声望地位受到年龄、性别、工作动机和博士毕业院校的显著影响,但家庭背景的影响不显著,说明学术共同体内部的声望地位具有较高的开放性。最后,青年学者当前和未来的地位认同受到财富、权力和声望这三个经典的社会地位维度影响而综合形成。上述结论揭示了青年学者主客观社会地位的影响机制,可为优化人才政策提供启示。

贡献导向下理工类青年长江学者项目的政策有效性评估——基于211高校的准自然实验

本研究以2015年首次设立的“青年长江学者项目”作为准自然实验,采用2012—2017年104所211高校的科技统计数据,通过构建PSM-DID模型,评估理工类青年长江学者项目的贡献成效。实证结果表明,理工类青年长江学者项目取得了一定成效,可以促进高校学术贡献的提升,特别表现在提升高被引SCI论文数量、科技著作数量、自然科学基金资助项目数量方面。但是,理工类青年长江学者项目并未显著提升高校的经济贡献与社会贡献。异质性分析发现,理工类青年长江学者项目对高校学术贡献的提升作用会因高校层次、高校所在区域、高校类型呈现差异化效果。影响机制分析发现,理工类青年长江学者项目有效性取决于高校人力资本结构与人才保障水平。通过系列稳健性检验,本文结论依然成立,研究结果可为青年长江学者项目的评价与实施优化提供经验证据与政策启示。

贯彻落实党的二十大精神大力引进留学青年学者——高层次留学青年学者归国就业影响分析

党的二十大要求把各方面优秀人才集聚到党和人民事业中来,其中留学归国青年学者是一个重要组成部分。该研究对留学归国青年学者在海外求学求职信息接触渠道、到国内高校就业原因及影响因素等进行问卷调查分析,结合部分青年学者访谈,总结归纳留学青年学者的引才信息获取途径,到国内高校就业的原因及影响因素等。提出国内高校要提升引才针对性,进一步扩大宣传;塑造良好形象,提升学界口碑;落实待遇,解决后顾之忧;营造潜心科研、国际化的学术氛围等建议。

科研项目经费使用“包干制”政策研究——基于国家杰出青年科学基金试点工作总结

创造性的科研工作是促进国家科技发展的核心,推动新时代科研人员心无旁骛地开展探索性科研活动是新形势下国家发展的必然要求。为赋予科研人员更大的经费使用自主权,国家自然科学基金委员会按照政府工作报告要求,在广泛调研、充分论证的基础上,在国家杰出青年科学基金中率先启动经费使用“包干制”试点工作并积极推动落实。本文通过问卷调研的方式,收集试点过程中一手数据资料,及时了解政策改革推进情况,掌握改革成效,系统分析“包干制”政策落实中存在的问题。立足科研活动全链条,为经费使用“包干制”政策改进和实施提出建议,为推动赋予科研人员更大经费使用自主权相关政策的制定和优化提供经验和决策依据。

中青年学者要努力提升“三个结合”的重要能力

对于中青年哲学社会科学工作者而言,最重要的能力是把经典马克思主义和中国化马克思主义有机结合起来的能力、把历史和理论有机结合起来的能力、把党的理论话语和学科话语有机结合起来的能力。运用党的创新理论尤其是习近平新时代中国特色社会主义思想的代表作,即两个“1·5讲话”和“2·7讲话”来阐析这“三个结合”,可以得出这个结论:中青年学者提升“三个结合”能力的途径虽然有多条,但是最根本的途径是要认真研读习近平新时代中国特色社会主义思想的代表作,深刻把握习近平新时代中国特色社会主义思想的精髓要义。

跨学科研究对学者科研产出的影响——以化学领域“杰青”学者为例

实施创新驱动发展战略需要发挥科技人才的引领作用。对2000—2020年239位化学领域“杰青”学者的履历、发表的SCI文献及施引文献进行分析后发现,在纵向跨(一级)学科学习经历方面,学者的跨学科比例较低,仅有15位学者在本、硕、博阶段具有跨学科学习背景,总体占比6.3%;在发表的SCI文献(目标文献)与引用其发表文献的文献(施引文献)方面,施引文献的跨学科程度更高;目标文献的跨学科多样性、差异性程度相对较高并与科研产出存在正相关关系,均衡性与产出之间存在负相关关系,施引文献的跨学科性则与产出之间无显著关系;化学和化学工程学、物理学与天文学、生物化学遗传学与分子生物学等领域交叉融合程度最深;目标文献的跨学科程度与科研产出之间存在U形非线性关系,意味着在跨学科研究的初始阶段,学者由于要学习更多领域的新知识和研究范式,科研产出水平各方面指标会出现不同程度的下降,但当到达一定阈值后,更高水平和程度的跨学科研究则有利于提升科研产出。高质量发展阶段,科学的进展与关键核心技术的突破离不开学科间深度交叉融合。为此,应改革人才培养模式,优化跨学科课程体系设计,保障跨学科人才供给;立足于学科核心,坚持“问题导向”,促进相近学科间进行跨学科研究;建立符合跨学科特点的学术评价和激励机制,鼓励学者勇闯“无人区”。

基金资助对杰出青年学者研究方向的影响

青年人才是未来科技创新的主力军,关注科学基金对科研人员研究方向的资助导向,有助于青年人才实现创新突破、聚焦前沿。从“环境-动机-行为”视角,本文依据主题的凝聚性、合作的持续性和团队的稳定性3个维度设定了7个反映杰出青年研究方向聚焦的量化指标,以2018—2020年“北京市杰出青年科学基金”获得者为例进行实证研究。研究结果发现,在基金资助下,学者们的研究主题越发深入,与同领域学者的合作持续加强,内部的学术团队越发稳定。观测杰出青年3个阶段的综合评分,分析研究方向的变化趋势,发现在基金资助下,95%的学者研究方向趋于聚焦,包括逐渐聚焦、缓慢聚焦、聚焦稳定和延迟聚焦4类;5%的学者研究方向趋于不断拓展,与其学科演变和不断融合发展有密切关系。从基金项目管理的视角,建议通过基金项目引导学者开展兴趣驱动、目标明确的研究,为学者们提供稳定、持续的基金项目支持,以保障其不断进行深入研究。

学科归属、学科认同与旅游学科建设——“‘旅游一代’与旅游学科发展”专题学者对话录

我国旅游学科经过四十多年的探索和建设,取得了长足的发展。但由于我国旅游学科诞生背景的多元化,学科逻辑与框架不鲜明、基础理论缺乏、知识外溢与原创性不明显等问题始终困扰着旅游学科地位的提升,加上最近几年新冠疫情的影响,在招生、就业等多重困境下,旅游学者的学科认同危机愈发严峻,身份焦虑问题愈发突出。“旅游一代”(Tourism Generation)是伴随着我国旅游本科和研究生教育发展而形成的学者群体。相较于由传统学科介入旅游研究的学者,“旅游一代”以旅游学科为核心来思考研究问题,既习惯于用独特学科视角来研究与分析旅游现象,又能根据研究需求,采用不同学科的研究范式与方法阐释研究问题。这种研究方式具有更好的研究连贯性,但由于缺乏传统学科的系统训练,常常被学界所诟病。而一个不可否认的事实是,“旅游一代”已经是我国旅游学科和专业建设的主力军。“旅游一代”的学科归属和学科认同,对旅游学科的发展起着关键性作用,而旅游学科的发展与建设又影响学者的学科归属和学科认同。基于这种判断,2022年10月下旬~11月中旬,《旅游论坛》编辑部发起主题为“‘旅游一代’与旅游学科发展”的专题学者对话活动,邀请了5位本科阶段到博士阶段均接受旅游管理专业教育、年龄均在40岁以下的“旅游一代”青年学者,结合其自身科研和教学经历,分享他们关于学科归属、学科认同与旅游学科建设的思考。有两点需要说明,第一,参与本次活动的5位年轻学者一致同意,共同对所发表的内容承担第一作者责任;第二,考虑到学者代际过渡性问题,本次对话活动特别委托陕西师范大学地理科学与旅游学院白凯教授为召集人和主持人。