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A COMBINATION OF DIFFERENT DIETARY STRUCTURES AND PERSONALIZED NURSING INTERVENTIONS FOR THE EFFECT ON GALLBLADDER CONTRACTION AND COMPLICATIONS AFTER LAPAROSCOPIC CHOLECYSTECTOMY 不同饮食结构及个性化护理干预对腹腔镜胆囊切除术后胆囊收缩及并发症的影响
IF 6.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2025-11-21 DOI: 10.1093/schbul/sbaf199.065
Hui Zhu, Bin Liu, Jiangwei Xi, Bingqing Luo, Xinbo Wang, Wei Zheng
Objective To investigate the effects of combining different dietary structures with personalized nursing interventions on the recovery of gallbladder contraction function, recurrence of gallstones, and complications in patients after laparoscopic cholecystectomy (LCPL). Methods 150 patients with cholelithiasis who underwent LCPL were randomly divided into control group, observation group A, and observation group B. The control group received routine postoperative dietary guidance and nursing care. On the basis of routine care, observation group A received a low-fat, high-fiber dietary structure combined with personalized nursing interventions. Observation group B received a balanced lipid dietary structure, mainly composed of unsaturated fatty acids, combined with personalized nursing interventions. Results At six months post-operation, the gallbladder ejection fraction (GBEF) in observation group B was significantly higher, while the gallstone recurrence rate and gallbladder sludge formation rate were significantly lower than those in observation group A and the control group (p<.05; p<.05). The SF-36 scores of both observation groups were superior to those of the control group, with the improvement being more significant in observation group B (p<.05). The dietary compliance of both observation groups was significantly higher than that of the control group (p<.05). Conclusion After minimally invasive gallbladder-preserving lithotomy, implementing a balanced lipid diet predominantly composed of unsaturated fatty acids, combined with systematic and personalized nursing interventions, can promote the recovery of gallbladder contraction function, reduce the long-term risk of gallstone recurrence and gallbladder sludge formation, and improve patients’ quality of life. Acknowledgments This study was supported by Medical Science Research Project of Hebei Province (No. 20220578).
目的探讨不同饮食结构配合个性化护理干预对腹腔镜胆囊切除术(LCPL)患者胆囊收缩功能恢复、胆囊结石复发及并发症的影响。方法将150例行LCPL的胆石症患者随机分为对照组、观察A组和观察b组,对照组给予常规的术后饮食指导和护理。观察A组患者在常规护理的基础上,给予低脂、高纤维膳食结构,并结合个性化护理干预。观察B组给予以不饱和脂肪酸为主的均衡脂质膳食结构,并结合个性化护理干预。结果术后6个月,观察B组胆囊射血分数(GBEF)显著高于观察A组和对照组,胆囊结石复发率和胆囊污泥形成率显著低于观察A组和对照组(p amp;lt; 0.05; p amp;lt; 0.05)。两组患者SF-36评分均优于对照组,其中观察B组改善更为显著(p < 0.05)。观察组和对照组的饮食依从性均显著高于对照组(p < 0.05)。结论微创保胆取石术后,实施以不饱和脂肪酸为主的均衡脂质饮食,结合系统、个性化的护理干预,可促进胆囊收缩功能的恢复,降低胆结石复发和胆囊污泥形成的长期风险,提高患者的生活质量。本研究由河北省医学科学研究项目(No. 20220578)资助。
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引用次数: 0
PSYCHOLOGICAL BARRIERS IN LEGAL ADAPTATION TO INTERNATIONAL CYBERCRIME NORMS 法律适应国际网络犯罪规范的心理障碍
IF 6.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2025-11-21 DOI: 10.1093/schbul/sbaf199.047
Dongming Wang
Objective This study examines the psychological barriers—including cognitive biases, risk perceptions, and behavioral resistance—faced by Chinese legal decision-makers in adapting to the UN Convention against Cybercrime’s integration paradigm. It aims to identify how mental health factors such as anxiety, cognitive dissonance, and organizational stress influence legislative and judicial alignment with international standards, ultimately affecting the implementation efficacy of global cybercrime governance. Subjects and Methods A mixed-methods approach was employed with 200 legal practitioners (legislators, judges, prosecutors). Quantitative surveys measured attitudes, risk perceptions, and behavioral intentions using adapted psychological scales. Qualitative interviews (n = 30) explored cognitive biases and organizational influences. Behavioral experiments (n = 50) tested decision-making under simulated case scenarios. Data were analyzed via factor analysis, thematic coding, and logistic regression to map psychological drivers of compliance. Results Significant psychological barriers were identified: 68% of respondents exhibited cognitive dissonance and sovereignty-related anxiety, leading to resistance against extraterritorial jurisdiction. Judges demonstrated risk aversion, with only 32% willing to apply international norms over domestic precedents. Organizational culture exacerbated stress and resistance, particularly among prosecutors concerned about performance evaluations. Limited exposure to international legal psychology (reported by only 15% of legislators) further hindered adaptive behaviors. Conclusions Psychological factors critically impede the integration of international cybercrime norms in China. Addressing mental barriers—through cognitive reframing, behavioral nudges, and psychology-informed training—is essential for effective legal adaptation. This study underscores the importance of integrating mental health and psychological perspectives into legal reform processes to enhance both practitioner well-being and systemic compliance.
目的研究中国法律决策者在适应《联合国打击网络犯罪公约》整合范式时所面临的心理障碍,包括认知偏差、风险感知和行为抗拒。它旨在确定焦虑、认知失调和组织压力等心理健康因素如何影响立法和司法与国际标准的一致性,最终影响全球网络犯罪治理的实施效率。研究对象和方法采用混合方法对200名法律从业人员(立法者、法官、检察官)进行调查。定量调查使用适应性心理量表测量态度、风险感知和行为意图。定性访谈(n = 30)探讨了认知偏差和组织影响。行为实验(n = 50)在模拟情景下测试决策。通过因子分析、主题编码和逻辑回归分析数据,绘制依从性的心理驱动因素。结果发现了显著的心理障碍:68%的受访者表现出认知失调和主权相关焦虑,导致对治外法权的抵制。法官表现出规避风险的态度,只有32%的法官愿意将国际规范置于国内判例之上。组织文化加剧了压力和阻力,特别是在关心绩效评估的检察官中。对国际法律心理学的了解有限(只有15%的立法者报告)进一步阻碍了适应行为。结论心理因素严重阻碍了国际网络犯罪规范在中国的融入。解决心理障碍——通过认知重构、行为推动和心理知情培训——对于有效的法律适应至关重要。这项研究强调了将心理健康和心理学观点纳入法律改革进程的重要性,以提高从业者的福祉和系统合规。
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引用次数: 0
STUDY ON THE EFFECTS OF TARGETED NURSING INTERVENTIONS UNDER ULTRASOUND MONITORING ON PLAQUE STABILITY AND HEMODYNAMICS IN PATIENTS WITH VULNERABLE CAROTID PLAQUE 超声监测下针对性护理干预对颈动脉易损斑块患者斑块稳定性及血流动力学影响的研究
IF 6.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2025-11-21 DOI: 10.1093/schbul/sbaf199.036
Xiaomin Hu, Xianda Jia, Peng Zhao, Jiang Zhai, Wen Shen
Objective To investigate the effects of targeted nursing intervention under ultrasound monitoring on plaque stability, hemodynamics, and clinical adverse events in patients with vulnerable carotid plaques. Methods A total of 90 patients with vulnerable carotid plaques were divided into two groups. The control group received routine nursing intervention, while the observation group received targeted nursing intervention under ultrasound monitoring on the basis of routine nursing. The clinical efficacy, pre- and post-treatment plaque stability indicators, hemodynamic indicators, and the incidence of clinical adverse events and adverse reactions were compared between the two groups. Results The total clinical effective rate of the observation group was significantly higher than that of the control group (p&lt;.05). After treatment, the fibrous cap thickness in the observation group was significantly greater than that in the control group, the plaque area was significantly smaller, and the plaque echo score was significantly lower than that of the control group (p&lt;.05). The PSV in the observation group was significantly lower than that in the control group, and the EDV was significantly higher than that of the control group (p&lt;.05). The incidence of clinical adverse events was lower in the observation group than in the control group (p&lt;.05). Conclusion Targeted nursing interventions under ultrasound monitoring can achieve personalized nursing adjustments by dynamically evaluating the characteristics and hemodynamic changes of vulnerable carotid plaques, effectively improving plaque stability, improving vascular blood flow status, reducing the risk of clinical adverse events, and ensuring good safety. Acknowledgment This study was supported by Research Fund Project of Hebei Provincial Health Commission (No. 20231470).
目的探讨超声监测下针对性护理干预对颈动脉易损斑块患者斑块稳定性、血流动力学及临床不良事件的影响。方法将90例颈动脉易损斑块患者分为两组。对照组接受常规护理干预,观察组在常规护理的基础上,在超声监测下进行针对性护理干预。比较两组患者的临床疗效、治疗前后斑块稳定性指标、血流动力学指标、临床不良事件及不良反应发生率。结果观察组临床总有效率显著高于对照组(p < 0.05)。治疗后,观察组纤维帽厚度显著大于对照组,斑块面积显著小于对照组,斑块回声评分显著低于对照组(p< 0.05)。观察组患者PSV显著低于对照组,EDV显著高于对照组(p . amp;lt; 0.05)。观察组临床不良事件发生率低于对照组(p < 0.05)。结论超声监测下的针对性护理干预可以通过动态评估颈动脉易损斑块的特征及血流动力学变化,实现个性化护理调整,有效提高斑块稳定性,改善血管血流状态,降低临床不良事件发生风险,保证良好的安全性。本研究得到河北省卫生健康委员会科研基金项目(No. 20231470)资助。
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引用次数: 0
SOCIAL-PSYCHOLOGICAL MECHANISMS DRIVING CARBON SINK MONITORING TECHNOLOGY OPTIMIZATION AND COMMUNITY PARTICIPATION IN SANYA MANGROVE ECOSYSTEM CONSERVATION: A MENTAL HEALTH AND BEHAVIORAL SCIENCE PERSPECTIVE 基于心理健康和行为科学视角的三亚红树林生态系统保护碳汇监测技术优化和社区参与的社会心理机制
IF 6.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2025-11-21 DOI: 10.1093/schbul/sbaf199.041
Youwei Lin, Ruina Liu, Yunfeng Shi
Objective This study examines how social-psychological mechanisms optimize carbon sink monitoring technologies and enhance community participation in conserving Sanya’s mangrove ecosystems. Grounded in environmental psychology and behavioral science, it identifies strategies to improve both technological effectiveness and local engagement in blue carbon initiatives while assessing mental health co-benefits including reduced eco-anxiety and enhanced well-being. Subjects and Methods A mixed-methods approach was employed, comprising quantitative surveys with 300 local residents, fishers, and tourism stakeholders to assess environmental attitudes and willingness to participate; experimental trials with 50 participants comparing traditional expert-led monitoring and AI-assisted community-co-designed monitoring incorporating behavioral nudges; and qualitative interviews with 20 key informants exploring psychosocial barriers and motivational drivers. Data were analyzed using structural equation modeling. Results Psychological engagement significantly improved with community-co-designed AI tools, increasing participation by 45% compared to traditional methods. Collective efficacy emerged as the strongest predictor of sustained involvement. Mental health benefits were observed, with participants reporting lower eco-anxiety and higher well-being. Primary barriers included technological distrust among older residents and perceived inefficacy related to slow policy feedback. Conclusions Social-psychological mechanisms are critical for optimizing carbon sink technologies and fostering community-driven mangrove protection. Integrating behavioral science through personalized feedback, identity-based messaging, and participatory AI enhances both ecological outcomes and resident well-being. Future efforts should address intergenerational engagement strategies and policy frameworks that reinforce psychological incentives. Acknowledgments The research was supported by: (1) the Hainan Provincial Joint Project of Sanya Yazhou Bay Science and Technology City, Grant No: 2021JJLH0055; (2) the Project of Sanya Yazhou Bay Science and Technology City, Grant No: SKJC-JYRC-2024-41; (3) the Youth Project of Yazhou Bay Innovation Institute of Hainan Tropical Ocean University, Grant No: 2022CXYQNXM02; (4) the Hainan Tropical Ocean University Talent Recruitment Scientific Research Startup Project, Grant No: RHDRC202207.
目的探讨社会心理机制对碳汇监测技术的优化和社区参与对三亚红树林生态系统保护的影响。它以环境心理学和行为科学为基础,确定了提高技术有效性和当地参与蓝碳倡议的战略,同时评估了心理健康的共同利益,包括减少生态焦虑和提高幸福感。研究对象和方法采用了混合方法,包括对300名当地居民、渔民和旅游利益相关者进行定量调查,以评估他们对环境的态度和参与意愿;50名参与者的实验试验,比较传统的专家主导的监测和人工智能辅助的社区共同设计的监测,包括行为推动;并与20名关键线人进行定性访谈,探讨心理障碍和动机驱动因素。数据分析采用结构方程模型。结果社区共同设计的人工智能工具显著改善了心理参与,与传统方法相比,参与率提高了45%。集体效能是持续参与的最强预测因子。观察到心理健康益处,参与者报告生态焦虑降低,幸福感提高。主要障碍包括老年居民对技术的不信任以及与缓慢的政策反馈相关的感知效率低下。结论社会心理机制对优化碳汇技术和促进社区驱动的红树林保护至关重要。通过个性化反馈、基于身份的信息传递和参与式人工智能整合行为科学,可以提高生态结果和居民福祉。未来的努力应着眼于加强心理激励的代际参与战略和政策框架。(1)海南省三亚湾科技城联合项目,资助号:2021JJLH0055;(2)三亚亚州湾科技城项目,批准号:SKJC-JYRC-2024-41;(3)海南热带海洋大学亚州湾创新研究院青年项目,资助号:2022CXYQNXM02;(4)海南热带海洋大学人才招聘科研启动项目,批准号:RHDRC202207。
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引用次数: 0
EXPLORATION OF THE CLINICAL EFFICACY OF ANLOTINIB COMBINED WITH DOCETAXEL IN LUNG CANCER 安洛替尼联合多西他赛治疗肺癌的临床疗效探讨
IF 6.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2025-11-21 DOI: 10.1093/schbul/sbaf199.060
Aizhen Xu, Maoqing Chen, Xiaoyu Liang, Wenfei Xu
Objectives The purpose of this article is to explore the clinical efficacy of anlotinib combined with docetaxel in lung cancer. Methods A retrospective analysis was conducted on 100 lung cancer patients admitted to our hospital from March 2020 to February 2025. Among them, 50 patients received treatment with docetaxel (the control group), and 50 patients received treatment with anlotinib combined with docetaxel (the observation group). The clinical efficacy, quality of life, and adverse reactions of the two groups were compared. Results After treatment, in the control group, there was 1 case of complete response, 13 cases of partial response, 17 cases of stable disease, and 19 cases of progressive disease; in the observation group, there were 2 cases of complete response, 18 cases of partial response, 20 cases of stable disease, and 10 cases of progressive disease. The overall therapeutic effect of the observation group was better than that of the control group. After the treatment, there were no significant differences in the scores of social function, role function and cognitive function between the two groups. However, the scores of emotional function, physical function and general health of the observation group were significantly higher than those of the control group. Moreover, there was no significant difference in the incidence of adverse reactions between the two groups. Conclusions The treatment combining anlotinib with docetaxel is beneficial for enhancing the clinical efficacy of lung cancer patients, improving their quality of life, and does not increase the risk of adverse reactions.
目的探讨安洛替尼联合多西他赛治疗肺癌的临床疗效。方法对2020年3月至2025年2月我院收治的100例肺癌患者进行回顾性分析。其中50例患者接受多西他赛治疗(对照组),50例患者接受安洛替尼联合多西他赛治疗(观察组)。比较两组患者的临床疗效、生活质量及不良反应。结果治疗后,对照组完全缓解1例,部分缓解13例,病情稳定17例,病情进展19例;观察组完全缓解2例,部分缓解18例,病情稳定20例,病情进展10例。观察组整体治疗效果优于对照组。治疗后,两组患者的社会功能、角色功能和认知功能得分均无显著差异。观察组患者的情绪功能、身体功能和一般健康状况得分均显著高于对照组。此外,两组的不良反应发生率无显著差异。结论安洛替尼联合多西他赛治疗有利于提高肺癌患者的临床疗效,改善患者的生活质量,且不增加不良反应的发生风险。
{"title":"EXPLORATION OF THE CLINICAL EFFICACY OF ANLOTINIB COMBINED WITH DOCETAXEL IN LUNG CANCER","authors":"Aizhen Xu, Maoqing Chen, Xiaoyu Liang, Wenfei Xu","doi":"10.1093/schbul/sbaf199.060","DOIUrl":"https://doi.org/10.1093/schbul/sbaf199.060","url":null,"abstract":"Objectives The purpose of this article is to explore the clinical efficacy of anlotinib combined with docetaxel in lung cancer. Methods A retrospective analysis was conducted on 100 lung cancer patients admitted to our hospital from March 2020 to February 2025. Among them, 50 patients received treatment with docetaxel (the control group), and 50 patients received treatment with anlotinib combined with docetaxel (the observation group). The clinical efficacy, quality of life, and adverse reactions of the two groups were compared. Results After treatment, in the control group, there was 1 case of complete response, 13 cases of partial response, 17 cases of stable disease, and 19 cases of progressive disease; in the observation group, there were 2 cases of complete response, 18 cases of partial response, 20 cases of stable disease, and 10 cases of progressive disease. The overall therapeutic effect of the observation group was better than that of the control group. After the treatment, there were no significant differences in the scores of social function, role function and cognitive function between the two groups. However, the scores of emotional function, physical function and general health of the observation group were significantly higher than those of the control group. Moreover, there was no significant difference in the incidence of adverse reactions between the two groups. Conclusions The treatment combining anlotinib with docetaxel is beneficial for enhancing the clinical efficacy of lung cancer patients, improving their quality of life, and does not increase the risk of adverse reactions.","PeriodicalId":21530,"journal":{"name":"Schizophrenia Bulletin","volume":"146 1","pages":""},"PeriodicalIF":6.6,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145559395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
BILATERAL ROTATOR CUFF TEARS DUE TO TETANUS: A CASE REPORT 破伤风致双侧肩袖撕裂1例
IF 6.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2025-11-21 DOI: 10.1093/schbul/sbaf199.042
Zhanchuan Yu, Guisheng Yu, Jiajun Xu, Fanxiao Liu, Changhao Yang, Xingchen Wei, Lianxin Li
Objectives To report a rare case of bilateral rotator cuff tears caused by generalized tetanus, analyze the injury mechanism, and describe surgical treatment, rehabilitation, and one-year follow-up. Methods The 53-year-old male patient, presenting with bilateral shoulder pain and restricted mobility and a history of tetanus 5 months prior, underwent magnetic resonance imaging (MRI) which confirmed bilateral rotator cuff tears. Following three months of physical therapy and medical management that failed to alleviate symptoms or improve shoulder function, surgical intervention was performed: the right rotator cuff tear was repaired via a mini-open surgical approach, while the left tear was managed conservatively. Postoperatively, the patient received standardized rehabilitation protocols and regular follow-up assessments. Results Conservative management of the left shoulder resulted in pain relief and satisfactory functional recovery. The surgical incision achieved primary healing. The patient had no procedure-related complications after surgery. The patient demonstrated significant recovery of shoulder joint function, with marked improvements in muscle strength and sensory function compared to the pre-treatment baseline. At the last follow-up, the operated right shoulder demonstrated a Constant Score of 79, Neer Shoulder Score of 70, University of California, Los Angeles (UCLA) Shoulder Rating Scale of 26, and American Shoulder and Elbow Surgeons (ASES) Score of 59.5. Conclusions Generalized tetanus can lead to rotator cuff tears, which present diagnostic challenges with a high propensity for underdiagnosis and misdiagnosis, warranting increased clinical vigilance. The open rotator cuff repair is an optional surgical procedure for treating rotator cuff tears caused by generalized tetanus. Acknowledgments This research was supported by the Natural Science Foundation of Shandong Province (No. ZR2022MH056, No. ZR2021QH307).
目的报道一例罕见的广泛性破伤风致双侧肩袖撕裂,分析损伤机制,描述手术治疗、康复及1年随访。方法53岁男性患者,5个月前出现双侧肩痛,活动受限,有破伤风史,行磁共振检查证实双侧肩袖撕裂。三个月的物理治疗和药物治疗未能缓解症状或改善肩功能,我们进行了手术干预:右肩袖撕裂通过小开放手术入路修复,而左肩袖撕裂则保守处理。术后,患者接受标准化的康复方案和定期随访评估。结果左肩保守治疗后疼痛减轻,功能恢复满意。手术切口初步愈合。患者术后无手术相关并发症。患者表现出明显的肩关节功能恢复,与治疗前基线相比,肌肉力量和感觉功能明显改善。在最后一次随访中,手术右肩的评分为79分,无肩评分为70分,加州大学洛杉矶分校(UCLA)肩部评分为26分,美国肩肘外科医生(ASES)评分为59.5分。结论广泛性破伤风可导致肩袖撕裂,这给诊断带来了挑战,容易漏诊和误诊,需要提高临床警惕。开放式肩袖修复术是治疗广泛性破伤风引起的肩袖撕裂的一种可选手术方法。本研究得到山东省自然科学基金项目(项目编号:No。ZR2022MH056,不。ZR2021QH307)。
{"title":"BILATERAL ROTATOR CUFF TEARS DUE TO TETANUS: A CASE REPORT","authors":"Zhanchuan Yu, Guisheng Yu, Jiajun Xu, Fanxiao Liu, Changhao Yang, Xingchen Wei, Lianxin Li","doi":"10.1093/schbul/sbaf199.042","DOIUrl":"https://doi.org/10.1093/schbul/sbaf199.042","url":null,"abstract":"Objectives To report a rare case of bilateral rotator cuff tears caused by generalized tetanus, analyze the injury mechanism, and describe surgical treatment, rehabilitation, and one-year follow-up. Methods The 53-year-old male patient, presenting with bilateral shoulder pain and restricted mobility and a history of tetanus 5 months prior, underwent magnetic resonance imaging (MRI) which confirmed bilateral rotator cuff tears. Following three months of physical therapy and medical management that failed to alleviate symptoms or improve shoulder function, surgical intervention was performed: the right rotator cuff tear was repaired via a mini-open surgical approach, while the left tear was managed conservatively. Postoperatively, the patient received standardized rehabilitation protocols and regular follow-up assessments. Results Conservative management of the left shoulder resulted in pain relief and satisfactory functional recovery. The surgical incision achieved primary healing. The patient had no procedure-related complications after surgery. The patient demonstrated significant recovery of shoulder joint function, with marked improvements in muscle strength and sensory function compared to the pre-treatment baseline. At the last follow-up, the operated right shoulder demonstrated a Constant Score of 79, Neer Shoulder Score of 70, University of California, Los Angeles (UCLA) Shoulder Rating Scale of 26, and American Shoulder and Elbow Surgeons (ASES) Score of 59.5. Conclusions Generalized tetanus can lead to rotator cuff tears, which present diagnostic challenges with a high propensity for underdiagnosis and misdiagnosis, warranting increased clinical vigilance. The open rotator cuff repair is an optional surgical procedure for treating rotator cuff tears caused by generalized tetanus. Acknowledgments This research was supported by the Natural Science Foundation of Shandong Province (No. ZR2022MH056, No. ZR2021QH307).","PeriodicalId":21530,"journal":{"name":"Schizophrenia Bulletin","volume":"76 1","pages":""},"PeriodicalIF":6.6,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145559474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
THE IMPACT OF DEPRESSIVE SYMPTOMS ON HEALTH-RISK BEHAVIORS AMONG UNIVERSITY STUDENTS 大学生抑郁症状对健康危害行为的影响
IF 6.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2025-11-21 DOI: 10.1093/schbul/sbaf199.074
Yan Wang, Jian Liu
Objective Depression among university students is a significant public health issue. This study aims to investigate the specific impact of depressive symptoms on the engagement of various health-risk behaviors in this population, to inform targeted interventions and health promotion strategies. Methods A cross-sectional survey was conducted with 850 undergraduates recruited via stratified random sampling. Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression Scale (CES-D). Engagement in health-risk behaviors (substance use, poor nutrition, physical inactivity, risky sexual behavior) was measured with a self-report questionnaire. Data were analyzed using multivariate logistic regression, controlling for key demographics. Results A high prevalence of clinically significant depressive symptoms (32.5%) was found. Students with moderate to severe depressive symptoms had significantly higher odds of engaging in health-risk behaviors. They were 3.2 times more likely to report binge drinking, 4.1 times more likely to use tobacco, and 2.8 times more likely to be physically inactive compared to students with minimal symptoms. A clear dose–response relationship was observed, linking greater depression severity with increased risk behaviors. Conclusions Depressive symptoms are a strong predictor of health-risk behaviors among university students. These findings highlight the urgent need to integrate mental health screening and psychological support into campus healthcare. Early intervention for depression is crucial for mitigating associated risky behaviors and improving overall student well-being. Acknowledgment This research was supported by study on the mechanism of preventing religious infiltration in universities from the perspective of cultural self-confidence.
目的大学生抑郁症是一个重大的公共卫生问题。本研究旨在探讨抑郁症状对该人群参与各种健康风险行为的具体影响,为有针对性的干预和健康促进策略提供信息。方法采用分层随机抽样的方法对850名大学生进行横断面调查。使用流行病学研究中心抑郁量表(CES-D)评估抑郁症状。参与危害健康的行为(物质使用、营养不良、缺乏身体活动、危险性行为)通过自我报告问卷进行测量。数据分析采用多元逻辑回归,控制关键人口统计学。结果临床明显抑郁症状发生率高(32.5%)。有中度至重度抑郁症状的学生从事危害健康行为的几率明显更高。与症状轻微的学生相比,他们报告酗酒的可能性是后者的3.2倍,吸烟的可能性是后者的4.1倍,缺乏运动的可能性是后者的2.8倍。一个明确的剂量-反应关系被观察到,将更严重的抑郁与增加的危险行为联系起来。结论抑郁症状是大学生健康风险行为的重要预测因子。这些发现强调了将心理健康筛查和心理支持纳入校园医疗保健的迫切需要。对抑郁症的早期干预对于减轻相关的危险行为和提高学生的整体幸福感至关重要。文化自信视角下的高校宗教渗透防范机制研究为本研究提供了支持。
{"title":"THE IMPACT OF DEPRESSIVE SYMPTOMS ON HEALTH-RISK BEHAVIORS AMONG UNIVERSITY STUDENTS","authors":"Yan Wang, Jian Liu","doi":"10.1093/schbul/sbaf199.074","DOIUrl":"https://doi.org/10.1093/schbul/sbaf199.074","url":null,"abstract":"Objective Depression among university students is a significant public health issue. This study aims to investigate the specific impact of depressive symptoms on the engagement of various health-risk behaviors in this population, to inform targeted interventions and health promotion strategies. Methods A cross-sectional survey was conducted with 850 undergraduates recruited via stratified random sampling. Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression Scale (CES-D). Engagement in health-risk behaviors (substance use, poor nutrition, physical inactivity, risky sexual behavior) was measured with a self-report questionnaire. Data were analyzed using multivariate logistic regression, controlling for key demographics. Results A high prevalence of clinically significant depressive symptoms (32.5%) was found. Students with moderate to severe depressive symptoms had significantly higher odds of engaging in health-risk behaviors. They were 3.2 times more likely to report binge drinking, 4.1 times more likely to use tobacco, and 2.8 times more likely to be physically inactive compared to students with minimal symptoms. A clear dose–response relationship was observed, linking greater depression severity with increased risk behaviors. Conclusions Depressive symptoms are a strong predictor of health-risk behaviors among university students. These findings highlight the urgent need to integrate mental health screening and psychological support into campus healthcare. Early intervention for depression is crucial for mitigating associated risky behaviors and improving overall student well-being. Acknowledgment This research was supported by study on the mechanism of preventing religious infiltration in universities from the perspective of cultural self-confidence.","PeriodicalId":21530,"journal":{"name":"Schizophrenia Bulletin","volume":"104 1","pages":""},"PeriodicalIF":6.6,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145559506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
EXPLORING THE INFLUENCING FACTORS OF STENT THROMBOSIS IN PATIENTS WITH INTRACRANIAL ANEURYSMS (IA) AFTER INTERVENTIONAL EMBOLIZATION AND THE CORRESPONDING NURSING INTERVENTION STRATEGIES 探讨颅内动脉瘤介入栓塞后支架血栓形成的影响因素及相应的护理干预策略
IF 6.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2025-11-21 DOI: 10.1093/schbul/sbaf199.038
Li Chen, Jianwei Liang, Dan Liu, Wenyu Yang
Objective To explore and analyze the influencing factors and nursing intervention strategies of stent thrombosis in patients with intracranial aneurysm (IA) after interventional embolization. Method A total of 112 patients with intracranial aneurysms were selected as research objects, and divided into thrombus group (n = 11) and non-thrombus group (n = 101) according to whether intra-stent thrombosis occurred after surgery. Firstly, univariate analysis was used to analyze the factors affecting intrastent thrombosis after interventional embolization of intracranial aneurysms. The assigned values of statistically significant factors were included in the Logistic regression equation to explore the high-risk factors affecting intracranial aneurysm thrombosis after interventional embolization, and formulate nursing intervention strategies for these influencing factors. Results Compared with the non-thrombotic group, the thrombus group had higher systolic blood pressure, longer operation time, higher proportion of diabetes mellitus, higher proportion of LEO stent type, stent diameter ≥ 3 mm, and higher proportion of postoperative inadequate anticoagulation, the differences were statistically significant (p&lt;.05). The above indicators were included in the logistic regression analysis equation. It can be seen that stent type LEO, stent diameter &lt; 3 mm, operation time ≥ 3 h, and inadequate anticoagulation therapy can be considered as the risk factors for inducing stent thrombosis. Conclusions The factors influencing the occurrence of stent thrombosis after interventional embolization in intracranial aneurysm patients include stent type, stent diameter, operation time, anticoagulation therapy, etc., and the corresponding nursing intervention strategies are formulated according to the above high-risk factors, so as to reduce the risk of postoperative stent thrombosis.
目的探讨颅内动脉瘤(IA)介入栓塞后支架内血栓形成的影响因素及护理干预策略。方法选取112例颅内动脉瘤患者作为研究对象,根据术后支架内是否形成血栓分为血栓组(n = 11)和非血栓组(n = 101)。首先,采用单因素分析分析颅内动脉瘤介入栓塞后血栓形成的影响因素。将具有统计学意义的因素赋值纳入Logistic回归方程,探讨介入栓塞后颅内动脉瘤血栓形成的高危因素,并针对这些影响因素制定护理干预策略。结果与非血栓组相比,血栓组收缩压较高,手术时间较长,糖尿病患者比例较高,LEO支架类型比例较高,支架直径≥3 mm,术后抗凝不良比例较高,差异均有统计学意义(p< 0.05)。以上指标纳入logistic回归分析方程。可以看出,支架类型LEO,支架直径&;lt;3mm、手术时间≥3h、抗凝治疗不充分均可视为诱发支架内血栓形成的危险因素。结论颅内动脉瘤患者介入栓塞后支架血栓形成的影响因素包括支架类型、支架直径、手术时间、抗凝治疗等,针对上述高危因素制定相应的护理干预策略,降低术后支架血栓形成的风险。
{"title":"EXPLORING THE INFLUENCING FACTORS OF STENT THROMBOSIS IN PATIENTS WITH INTRACRANIAL ANEURYSMS (IA) AFTER INTERVENTIONAL EMBOLIZATION AND THE CORRESPONDING NURSING INTERVENTION STRATEGIES","authors":"Li Chen, Jianwei Liang, Dan Liu, Wenyu Yang","doi":"10.1093/schbul/sbaf199.038","DOIUrl":"https://doi.org/10.1093/schbul/sbaf199.038","url":null,"abstract":"Objective To explore and analyze the influencing factors and nursing intervention strategies of stent thrombosis in patients with intracranial aneurysm (IA) after interventional embolization. Method A total of 112 patients with intracranial aneurysms were selected as research objects, and divided into thrombus group (n = 11) and non-thrombus group (n = 101) according to whether intra-stent thrombosis occurred after surgery. Firstly, univariate analysis was used to analyze the factors affecting intrastent thrombosis after interventional embolization of intracranial aneurysms. The assigned values of statistically significant factors were included in the Logistic regression equation to explore the high-risk factors affecting intracranial aneurysm thrombosis after interventional embolization, and formulate nursing intervention strategies for these influencing factors. Results Compared with the non-thrombotic group, the thrombus group had higher systolic blood pressure, longer operation time, higher proportion of diabetes mellitus, higher proportion of LEO stent type, stent diameter ≥ 3 mm, and higher proportion of postoperative inadequate anticoagulation, the differences were statistically significant (p&amp;lt;.05). The above indicators were included in the logistic regression analysis equation. It can be seen that stent type LEO, stent diameter &amp;lt; 3 mm, operation time ≥ 3 h, and inadequate anticoagulation therapy can be considered as the risk factors for inducing stent thrombosis. Conclusions The factors influencing the occurrence of stent thrombosis after interventional embolization in intracranial aneurysm patients include stent type, stent diameter, operation time, anticoagulation therapy, etc., and the corresponding nursing intervention strategies are formulated according to the above high-risk factors, so as to reduce the risk of postoperative stent thrombosis.","PeriodicalId":21530,"journal":{"name":"Schizophrenia Bulletin","volume":"8 1","pages":""},"PeriodicalIF":6.6,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145559589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
THE CLINICAL EFFICACY OF PAIN NURSING IN EMERGENCY FRACTURE PATIENTS 急诊骨折患者疼痛护理的临床效果
IF 6.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2025-11-21 DOI: 10.1093/schbul/sbaf199.044
Xiaochun Li
Objectives This article aims to observe the clinical effect of pain nursing intervention on emergency fracture patients. Methods A retrospective analysis was conducted on 80 patients with traumatic fractures admitted to our emergency department. These patients were divided into a control group and an observation group, with 40 cases in each group. The control group received routine nursing, while the observation group adopted the pain nursing on the basis of the control group. The VAS, SDS and SAS scores of the two groups of patients before and after nursing were compared, as well as the compliance and nursing satisfaction. Results After the nursing care, the VAS scores of both groups were lower than those before the nursing care, and the VAS score of the observation group was significantly lower than that of the control group. The SDS and SAS scores of both groups were lower than those before nursing, and the SDS and SAS scores of the observation group were significantly lower than those of the control group. The treatment compliance and nursing satisfaction of the observation group were significantly higher than those of the control group. Conclusions Pain nursing can effectively relieve the pain of fracture patients in the emergency department, improve their negative emotions, enhance their treatment compliance and nursing satisfaction, and be conducive to their postoperative recovery.
目的观察疼痛护理干预对急诊骨折患者的临床效果。方法对我院急诊收治的80例外伤性骨折患者进行回顾性分析。将患者分为对照组和观察组,每组各40例。对照组给予常规护理,观察组在对照组基础上实施疼痛护理。比较两组患者护理前后的VAS、SDS、SAS评分,以及依从性和护理满意度。结果护理后,两组患者VAS评分均低于护理前,且观察组VAS评分显著低于对照组。两组患者SDS、SAS评分均低于护理前,且观察组SDS、SAS评分显著低于对照组。观察组患者的治疗依从性和护理满意度均显著高于对照组。结论疼痛护理能有效缓解急诊科骨折患者的疼痛,改善患者的负性情绪,提高患者的治疗依从性和护理满意度,有利于患者术后康复。
{"title":"THE CLINICAL EFFICACY OF PAIN NURSING IN EMERGENCY FRACTURE PATIENTS","authors":"Xiaochun Li","doi":"10.1093/schbul/sbaf199.044","DOIUrl":"https://doi.org/10.1093/schbul/sbaf199.044","url":null,"abstract":"Objectives This article aims to observe the clinical effect of pain nursing intervention on emergency fracture patients. Methods A retrospective analysis was conducted on 80 patients with traumatic fractures admitted to our emergency department. These patients were divided into a control group and an observation group, with 40 cases in each group. The control group received routine nursing, while the observation group adopted the pain nursing on the basis of the control group. The VAS, SDS and SAS scores of the two groups of patients before and after nursing were compared, as well as the compliance and nursing satisfaction. Results After the nursing care, the VAS scores of both groups were lower than those before the nursing care, and the VAS score of the observation group was significantly lower than that of the control group. The SDS and SAS scores of both groups were lower than those before nursing, and the SDS and SAS scores of the observation group were significantly lower than those of the control group. The treatment compliance and nursing satisfaction of the observation group were significantly higher than those of the control group. Conclusions Pain nursing can effectively relieve the pain of fracture patients in the emergency department, improve their negative emotions, enhance their treatment compliance and nursing satisfaction, and be conducive to their postoperative recovery.","PeriodicalId":21530,"journal":{"name":"Schizophrenia Bulletin","volume":"8 1","pages":""},"PeriodicalIF":6.6,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145559303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
META ANALYSIS OF PAIN SYMPTOMS IN ADOLESCENT NON SUICIDAL SELF-INJURY PATIENTS BASED ON NEUROIMAGING FEATURES 基于神经影像学特征的青少年非自杀自伤患者疼痛症状的Meta分析
IF 6.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2025-11-21 DOI: 10.1093/schbul/sbaf199.018
Yingzhe Zhao, Zhenxiang Zang, Jing Liu
Objectives A meta-analysis was conducted on pain symptoms in adolescent patients with Non suicidal Self Injury (NSSI) based on neuroimaging features. Methods Using platforms such as CNKI, Wanfang, Web of Science database, PubMed, etc., reference literatures covering neuroimaging features, non-suicidal self-injury behavior in adolescents, and pain symptoms were screened, and a subsequent meta-analysis was completed. In the study, a total of 20 articles met the research criteria, and subsequent meta-analysis was conducted using Stata 17.0 software. Results This study included 20 studies (with a total sample size of 3062). Meta-analysis showed that pain symptoms in adolescent NSSI patients were significantly associated with four types of neuroimaging features: (1) Structural abnormalities (such as reduced volume of insular gray matter associated with dissociative pain, SMD = -0.82); (2) Abnormal functional connectivity (such as enhanced anterior cingulate gyrus amygdala connectivity associated with pain tolerance, β = 0.43); (3) Metabolic/activation abnormalities (such as decreased hypothalamic occipital metabolism associated with delayed pain, AUC = 0.75); (4) Neurobiochemical abnormalities (increased levels of Gamma-aminobutyric acid (GABA) in the prefrontal cortex are associated with pain threshold, β = 0.47). The analysis showed high heterogeneity (I2 = 78.2%, p&lt;.001). Conclusions The pain abnormalities in adolescent NSSI patients have a clear neuroimaging basis, involving structural and functional disorders of pain processing networks (insula, anterior cingulate gyrus, etc.), as well as dysregulation of emotional regulation pathways (prefrontal-limbic system), providing a neural mechanism explanation for symptoms such as pain numbness and dissociation. In the future, large sample longitudinal studies are needed to overcome heterogeneity limitations and promote precise interventions based on neural targets.
目的基于神经影像学特征对青少年非自杀性自伤(NSSI)患者疼痛症状进行meta分析。方法利用中国知网、万方、Web of Science数据库、PubMed等平台,筛选青少年神经影像学特征、非自杀性自伤行为、疼痛症状等相关参考文献,并进行meta分析。本研究共有20篇文章符合研究标准,后续meta分析采用Stata 17.0软件进行。结果本研究共纳入20项研究,总样本量3062例。meta分析显示,青少年自伤患者的疼痛症状与四种神经影像学特征显著相关:(1)结构异常(如与分离性疼痛相关的岛叶灰质体积减少,SMD = -0.82);(2)功能连通性异常(如与疼痛耐受性相关的前扣带回杏仁核连通性增强,β = 0.43);(3)代谢/激活异常(如与延迟性疼痛相关的下丘脑枕部代谢降低,AUC = 0.75);(4)神经生化异常(前额皮质γ -氨基丁酸(GABA)水平升高与痛觉阈值相关,β = 0.47)。分析显示异质性较高(I2 = 78.2%, p<.001)。结论青少年自伤患者的疼痛异常具有明确的神经影像学基础,涉及疼痛加工网络(脑岛、扣带回前部等)的结构和功能障碍,以及情绪调节通路(前额叶-边缘系统)的失调,为疼痛麻木、分离等症状提供了神经机制解释。在未来,需要大样本的纵向研究来克服异质性的限制,并促进基于神经靶点的精确干预。
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Schizophrenia Bulletin
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