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Objective:To assess the levels of self-compassion, psychological resilience, and academic adjustment of undergraduate students in a military medical university, and analyze their influencing factors and interactions.Methods:A total of 341 undergraduate students were selected by convenience and purposive sampling in a military medical university from April to May, 2022 for surveys with the General Information Questionnaire, the Chinese version of the Self-Compassion Scale, the Chinese version of the Connor-Davidson Resilience Scale, and the Academic Adjustment Scale for College Students. The collected data were analyzed through univariable analysis and multiple linear regression analysis to determine the influencing factors. AMOS 23.0 was used for path analysis.Results:The scores of self-compassion, psychological resilience, and academic adjustment of the students were at slightly high levels, with a significant positive correlation between one and another ( r s=0.580-0.611, all P<0.001). The influencing factors included professional identity, the level of received support, grade, time spent in student clubs, and the plan of postgraduate study (all P<0.05). The standardized direct effect of self-compassion on academic adjustment was 0.285 ( P=0.001), and the sum of the standardized mediating effects of psychological resilience and professional identity on self-compassion and academic adjustment was 0.314 ( P=0.001). The total mediating effect accounted for 52.42% of the total effect. Conclusions:The levels of self-compassion, psychological resilience, and academic adjustment of undergraduate students in the military medical university are influenced by multiple factors. Relevant departments should pay attention to specific populations and take targeted measures to increase the students' self-compassion, psychological resilience, and academic adjustment.
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Objective@#To study the effects of Xiaoyaosan on sexual behavior and inflammatory factors of rat with depression.@*Methods@#The establishing depressive rat models of chronic mild unpredictable stress were established. The rats were randomly divided into model group and Xiaoyaosan group, 15 in each group. The Xiaoyaosan group was given 4.612 5 g/(kg•d) Xiaoyaosan, the blank group and the model group were intragastrically administered with normal saline once daily. After 4 weeks of oral administration, mount frequency and perineal licking numbers to female rats in each experimental group were observed by sexual behavior experiment, and the spleen index and thymus index were calculated. The serum DA, IL-1β, IL-6 levels were tested by Elisa.@*Results@#Compared with the normal group, the mount frequency (4.42 ± 3.91 vs. 11.58 ± 6.54), perineal licking numbers (3.53 ± 3.29 vs. 16.36 ± 10.68) and serum DA levels (14.14 ± 0.71 pg/ml vs. 17.44 ± 4.06 pg/ml) in the model group significantly decreased (P<0.05 or P<0.01), and the thymus index (0.012 4 ± 0.001 8 vs. 0.009 3 ± 0.001 7), serum IL-1β (39.45 ± 11.98 pg/ml vs. 28.62 ± 6.61 pg/ml), IL-6 levels (9.74 ± 1.49 pg/ml vs. 6.40 ± 0.66 pg/ml) significantly increased (P<0.05 or P<0.01). Compared with the model group, the contents of serum DA in Xiaoyaosan group (15.90 ± 1.24 pg/ml vs. 14.14 ± 0.71 pg/ml) increased significantly (P<0.01), and the thymus index (0.009 9 ± 0.001 3 vs. 0.012 4 ± 0.001 8) and IL-6 levels (8.32 ± 0.39 pg/ml vs. 9.74 ± 1.49 pg/ml) decreased significantly (P<0.05).@*Conclusions@#The Xiaoyaosan had a therapeutic effect on immune dysfunction and increases the expression of serum dopamine in depressive rats, which may be one of the mechanisms of its anti-depression.
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To study application value of red cell distribution width (RDW) in prognosis evaluation of pa‐tients with acute myocardial infarction (AMI).Methods : A total of 300 AMI patients of our hospital were selected as AMI group ,another 300 subjects with normal physical examination outcome simultaneously were enrolled as healthy control group.Levels of peripheral cardiac troponin I (cTnI ) ,hsCRP ,homocysteine (Hcy) and RDW in healthy control group and AMI group before and one year after treatment ,and cardiac function indexes in AMI group before and after treatment were observed .Results : Compared with healthy control group before treatment ,there were significant rise in levels of ser‐um cTnI [(0.24 ± 0.03) ng/ml vs.(19.98 ± 2.54) ng/ml] , hsCRP [(1.05 ± 0.18) mg/L vs.(17.85 ± 1.93) mg/L] , Hcy [ (6.75 ± 0.71) μmol/L vs.(29.89 ± 3.27) μmol/L] and RDW [ (10.38 ± 1.07)% vs.(17.95 ± 1.93)%] in AMI group , P=0.001 all.On one year after treatment ,there were 57 patients (19%) with poor prognosis in AMI group . Compared with good prognosis patients before and one year after treatment ,there were significant rise in levels of cTnI , hsCRP ,Hcy ,RDW ,left ventricular end‐systolic volume index (LVESVI) and left ventricular end‐diastolic volume index (LVEDVI) ,and significant reduction in LVEF in poor prognosis patients ,P<0.05 or <0.01 ;Pearson correlation analy‐sis indicated that RDW was significant positively correlated with cTnI ,hsCRP ,Hcy ,LVESVI and LVEDVI ( r=0. 420- 0.498 , P=0.001 all) ,and significant inversely correlated with LVEF ( r= -0.468 , P=0. 001).Conclusion :RDW is correlated with myocardial injury markers ,inflammatory factors and cardiac function ,which contribute to evalu‐ate the prognosis of AMI patients .
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Objective Using Z-score to assess the prevalence of proximal aorta dilatation in middle-aged and aged individuals during routine transthoracic echocardiogram examinations and to identify its risk factors. Methods A total of 823 middle-aged or elderly patients on routine transthoracic echocardiogram examinations were consecutively enrolled. The internal diameters of the sinus of Valsalva (SoV ) and the ascending aorta (AA ) were measured. Z-scores were calculated according to the proposed equation for SoV and AA. A dilated aortic root was defined as a Z-score ≥1.96 or the diameter of SoV or AA ≥ 40 mm. The prevalence of proximal aorta dilatation and associated factors were analyzed. Results The prevalences of proximal aorta dilatation ,SoV dilatation ,and AA dilatation were 26.1%(25/823 ) ,6.0%(49/823 ) ,and 23.7%(195/823 ) , respectively.In the aortic root dilatation group ,age and the proportion of obesity were higher (both P<0.05) ,and there were more female subjects (30.5% or 117/384 vs.22.3% or 98/439 ,P<0.01) . The incidences of left atrial dilation ,left ventricular dilation ,left ventricular hypertrophy ,and aortic regurgitation in the aortic root dilatation group were higher than those in the non-aortic root dilatation group(P<0.05 ) .Logistic regression analysis demonstrated that sex (OR= 1.827 ,95% CI :1.248-2.673 ,P=0.002) ,hypertension (OR=1.441 ,95% CI :1.000-2.075 ,P=0.050)and left ventricular hypertrophy (OR=1.827 ,95% CI :1.248-2.673 ,P=0.002)were independently correlated with aortic root dilatation. Conclusions The prevalence of proximal aorta dilatation is high in middle-aged and aged individuals. Proximal aorta dilatation is related to sex ,age ,and body size ,and it is often accompanied by structural abnormalities of the heart.
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Objective To compare the effects of expectoration by high frequency back tapping with both hands and traditional expectoration by tapping back with a single hand on pulmonary complications in esophageal cancer patients having undergone radical resection with video-assisted thoracoscopic surgery (VATS). Methods Sixty patients after radical resection for esophageal cancer with VATS from May 2013 to January 2014 were set as the control group, in which expectoration by tapping the back with a single hand. Another 60 patients after radical resection for esophageal cancer with VATS from February 2014 to July 2014 were set as the observation group, in which the expectoration by high frequency tapping the back with both hands. The two groups were compared in terms of pulmonary complications. Result The incidence of atelectasis and pulmonary infection in the observation group were lower than those with a single hand in the control group (all P<0.05). Conclusion For the patients having undergone radical resection of esophageal carcinoma with VATS, the expectoration with high frequency back tapping with both hands is more effective in lowering atelectasis rate than that with a single hand.
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Objective To study effect of Shikonin on human cervical cancer Hela cell growth suppression in vitro and its mechanism. Methods MTT assay was used to examine the growth inhibition of Shikonin in Hela cells.And then, the measurement of both ROS Levels and Mitochondrial Membrane Potential (ΔΨm ) were performed to clarify the mechanism of antitumor in Hela cells by Shikonin.Results Shikonin significantly inhibited the growth of Hela cells in a concentration-dependent manner.Shikonin increased generation of en-dogenous reactive oxygen species ( ROS) and decreased mitochondrial membrane potential.Furthermore, anti-oxidants N-acetylcysteine ( NAC) could significantly reduce the antitumor activity of SK in Hela cells.Conclusion These results suggest that mitochondrial aerobic respiration shift and endogenous ROS augmentation contribute to the action of Shikonin against Hela cells.