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).
{"title":"A COMBINATION OF DIFFERENT DIETARY STRUCTURES AND PERSONALIZED NURSING INTERVENTIONS FOR THE EFFECT ON GALLBLADDER CONTRACTION AND COMPLICATIONS AFTER LAPAROSCOPIC CHOLECYSTECTOMY","authors":"Hui Zhu, Bin Liu, Jiangwei Xi, Bingqing Luo, Xinbo Wang, Wei Zheng","doi":"10.1093/schbul/sbaf199.065","DOIUrl":"https://doi.org/10.1093/schbul/sbaf199.065","url":null,"abstract":"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&lt;.05; p&lt;.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&lt;.05). The dietary compliance of both observation groups was significantly higher than that of the control group (p&lt;.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).","PeriodicalId":21530,"journal":{"name":"Schizophrenia Bulletin","volume":"190 1","pages":""},"PeriodicalIF":6.6,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145559591","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}
Pub Date : 2025-11-21DOI: 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.
{"title":"PSYCHOLOGICAL BARRIERS IN LEGAL ADAPTATION TO INTERNATIONAL CYBERCRIME NORMS","authors":"Dongming Wang","doi":"10.1093/schbul/sbaf199.047","DOIUrl":"https://doi.org/10.1093/schbul/sbaf199.047","url":null,"abstract":"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.","PeriodicalId":21530,"journal":{"name":"Schizophrenia Bulletin","volume":"30 1","pages":""},"PeriodicalIF":6.6,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145559644","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}
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<.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<.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<.05). The incidence of clinical adverse events was lower in the observation group than in the control group (p<.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).
{"title":"STUDY ON THE EFFECTS OF TARGETED NURSING INTERVENTIONS UNDER ULTRASOUND MONITORING ON PLAQUE STABILITY AND HEMODYNAMICS IN PATIENTS WITH VULNERABLE CAROTID PLAQUE","authors":"Xiaomin Hu, Xianda Jia, Peng Zhao, Jiang Zhai, Wen Shen","doi":"10.1093/schbul/sbaf199.036","DOIUrl":"https://doi.org/10.1093/schbul/sbaf199.036","url":null,"abstract":"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).","PeriodicalId":21530,"journal":{"name":"Schizophrenia Bulletin","volume":"165 1","pages":""},"PeriodicalIF":6.6,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145559651","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}
Pub Date : 2025-11-21DOI: 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.
{"title":"SOCIAL-PSYCHOLOGICAL MECHANISMS DRIVING CARBON SINK MONITORING TECHNOLOGY OPTIMIZATION AND COMMUNITY PARTICIPATION IN SANYA MANGROVE ECOSYSTEM CONSERVATION: A MENTAL HEALTH AND BEHAVIORAL SCIENCE PERSPECTIVE","authors":"Youwei Lin, Ruina Liu, Yunfeng Shi","doi":"10.1093/schbul/sbaf199.041","DOIUrl":"https://doi.org/10.1093/schbul/sbaf199.041","url":null,"abstract":"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.","PeriodicalId":21530,"journal":{"name":"Schizophrenia Bulletin","volume":"30 1","pages":""},"PeriodicalIF":6.6,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145559298","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}
Pub Date : 2025-11-21DOI: 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.
{"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}
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).
{"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}
Pub Date : 2025-11-21DOI: 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.
{"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}
Pub Date : 2025-11-21DOI: 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<.05). The above indicators were included in the logistic regression analysis equation. It can be seen that stent type LEO, stent diameter < 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.
{"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&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.","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}
Pub Date : 2025-11-21DOI: 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.
{"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}
Pub Date : 2025-11-21DOI: 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<.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.
{"title":"META ANALYSIS OF PAIN SYMPTOMS IN ADOLESCENT NON SUICIDAL SELF-INJURY PATIENTS BASED ON NEUROIMAGING FEATURES","authors":"Yingzhe Zhao, Zhenxiang Zang, Jing Liu","doi":"10.1093/schbul/sbaf199.018","DOIUrl":"https://doi.org/10.1093/schbul/sbaf199.018","url":null,"abstract":"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.","PeriodicalId":21530,"journal":{"name":"Schizophrenia Bulletin","volume":"98 1","pages":""},"PeriodicalIF":6.6,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145559432","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}