Impacts of poor working conditions, occupational psychology, and enterprise risk factors on occupational injury by path analysis / 环境与职业医学

Background Occupational injuries, which can result in absenteeism, disability, or death, are closely related to poor working conditions. However, the improvement of operating conditions are often time-consuming and require significant economic inputs. Both occupational psychology and enterprise risk factors have been proved to be related to the occurrence of occupational injuries, but their roles in the influence path of adverse working conditions leading to occupational injuries remain unclear. Objective To explore the roles of occupational psychology and enterprise risk factors in the impact of adverse working conditions on occupational injury, so as to provide a scientific basis for enterprises with adverse working conditions to carry out targeted occupational injury intervention programs. Methods The survey data of 5997 manufacturing enterprises were obtained from the European Survey of Enterprises on New and Emerging Risks (ESENER) database. The data on enterprise risk characteristics, occupational injuries, working conditions, and occupational psychological factors were extracted and assigned. Occupational injury differences by enterprise categories were examined by chi-square test. Correlations between interest variables were evaluated by Spearman test. Path analysis with Bootstrap method was conducted using AMOS 26 software, and ratio of chi-square statistic to degree of freedom (χ2/ν), comparative fit index (CFI), Tucker-Lewis index (TLI), and root mean square error of approximation (RMSEA) were used to evaluate the path model candidates. The effect size and its proportion were calculated for variables (occupational psychological factors, enterprise risk factors, and adverse working conditions) included in the final model. Results The M (P25, P75) scores of occupational injuries, adverse working conditions, and occupational psychological factors were 40 (20, 50), 50 (30, 60), and 20 (10, 30), respectively. The enterprises that reported occupational injuries accounted for 25.5% (1550 enterprises) of the total enterprises. Proportions of the enterprises that reported occupational injuries varied significantly by company scale, branch companies, temporary employment, language barriers, and establishment time (P<0.05). The results of Spearman test showed that occupational injuries were positively correlated with working conditions (rs=0.440), occupational psychological factors (rs=0.205), company scale (rs=0.307), temporary employment (rs=0.282), and language barriers (rs=0.158); but negatively correlated with branch companies (rs=−0.180) and establishment time (rs=−0.176) (P<0.05). In the path analysis, the fitness indexes of the final model were χ2/ν=2.85, CFI=0.997, TLI=0.993, and RMSEA=0.018 (90%CI: 0.011, 0.025). The indirect effect size values and constituent ratios of enterprise risk factors and occupational psychological factors in the effect of adverse working conditions on occupational injuries were 0.166 (30.01%) and 0.013 (3.13%) respectively. The indirect effect size value of occupational psychological factors in the effect of enterprise risk factors on occupational injuries and its constituent ratio were 0.022 and 6.85%. Conclusion Enterprises with adverse working conditions may control the risk of occupational injuries by offering better solutions to surmount language barriers and temporary employment, developing occupational psychological intervention and optimization programs such as improving working hours system. At the same time, large enterprises, enterprises without branches, or enterprises with a long history are the focus of occupational injury prevention and control.

Prognostic impacts of marital status on patients with buccal mucosa squamous cell carcinoma / 口腔疾病防治

Objective@# To explore the influence of marital status on the survival of patients with buccal mucosa squamous cell carcinoma (BMSCC) and to provide a scientific basis for risk assessment and nursing decisions for these patients.@*Methods @# A total of 1 006 BMSCC participants were identified in the Surveillance, Epidemiology, and End Results(SEER) database. Kaplan-Meier analysis was used to evaluate the effect of marital status (married, unmarried and unhappily married) on the survival of patients with buccal squamous cell carcinoma. The independent prognostic effect of marital status was further determined by univariate and multivariate Cox proportional hazard regression analysis.@*Results@# Marital status was an independent prognostic factor for BMSCC patients (P=0.001). Married patients had the best survival, while separated/divorced/widowed patients had the worst survival (HR=1. 445, P=0.001), and never married patients had an intermediate risk (HR=1.297, P=0.040).@*Conclusion@#Marital status was an independent prognostic factor for BMSCC patients. Unmarried and unhappily married patients had worse survival, which suggests that we should pay more attention to patients’ marital status, especially unmarried and unhappily married patients.

Simbolismo social asociado y actitud manipulativa en niños amazónicos peruanos / Simbolismo social associado e atitude manipulativa em crianças amazônicas peruanas / Associated social symbolism and manipulative attitudes towards children from the peruvian amazon

Resumen El Simbolismo Social Asociado (SSA) y la Actitud Manipulativa (AM) están presentes en la mayoría de niños de nueve años de edad de la Amazonía peruana con desarrollo intelectual adecuado (71.2%). El estudio se realizó en 52 niños y sus padres mediante entrevistas en pequeños grupos, aplicándose la prueba TMP y dos guías de entrevista (niños-padres). Los resultados señalan correspondencia significativa entre la preferencia (niños) y la decisión de compra del producto simbolizado (padres), y el 78,5% elegían la misma marca que sus pares. Las dificultades de comprensión del contenido material de la publicidad (CMP) involucran al 78,9% (mayor en área urbana). Existe interdependencia significativa entre AM (niños) y reacciones de compra (padres) y alta discordancia entre respuestas (niños-padres). Educar en la comprensión del CMP a partir de nueve años, podría disminuir las consecuencias del SSA mediante programas psicosociales para la salud mental escolar.

Resumo O Simbolismo Social Associado (SSA) e a Atitude Manipuladora (AM) estão presentes na maioria das crianças de nove anos de idade, da Amazônia Peruana, com desenvolvimento intelectual adequado (71,2%). O estudo foi realizado com 52 crianças e seus pais, por meio de entrevistas em pequenos grupos, aplicando-se o teste TMP e dois roteiros de entrevista (crianças-pais). Os resultados indicam correspondência significativa entre a preferência (crianças) e a decisão de compra do produto simbolizado (pais), e 78,5% escolheram a mesma marca que seus amigos. As dificuldades de compreensão do conteúdo material da publicidade (CMP) envolvem 78,9% (maior na área urbana). Existe interdependência significativa entre AM (crianças) e reações de compra (pais) e alta discordância entre respostas (crianças-pais). Educar, na compreensão do CMP, a partir de nove anos, poderia diminuir as consequências do SSA através de programas psicossociais para a saúde mental escolar.

Abstract Associated social symbolism (ASS) and the manipulative attitude (MA) are present in most nine-year-old children from the Peruvian Amazon with adequate intellectual development (71.2%). The study was conducted in 52 children and their parents through interviews in small groups, applying the TMP test and two interview guides (child-parents). The results indicated significant correspondence between the preference (children) and the decision to purchase the product symbolized (parents), and 78.5% chose the same brand as their peers. Difficulties in understanding the content of advertising material (CAM) involve 78.9% (higher in urban area). There is significant interdependence between MA (children) and buying reactions (parents) and high discordance between responses (children-parents). Educate in the understanding of the CAM from nine years, could reduce the consequences of ASS through psychosocial programs for school mental health.

Progress in epidemiological research on relationship between psychological and social factors and stroke / 中华流行病学杂志

Stroke has caused a heavy disease burden across the world, and it has become a worldwide public health problem. Several studies have assessed the relationship between psychological and social factors and risk of stroke so far. This paper summarizes the progress in epidemiological research on the relationship between psychological and social factors (depression, psycho-social stress, anxiety, loneliness, psychological distress, social support, social isolation, and social network) and the risk for stroke, the results of these studies were inconsistent. Most studies showed an association between these factors and the incidence of stroke, but there were still some studies showing no such association.

Suicidal status and its risk factors of people living with HIV/AIDs / 上海交通大学学报（医学版）

Although antiretroviral therapy appears to prolong the lifespan of people living with HIV/AIDS (PLWH), but the suicidal risk of these people is still significantly higher than the general population. Some PLWH had suicidal ideation, attempted suicide, and suicidal plan. The reasons for the high risk among these people mainly include as follows. ①The demographic factors include gender, sexual orientation, age, religion, race, etc. ②The social psychological factors are stressors (stressful or traumatic life events, social or interpersonal problems and mental illness), stigma, hiding HIV history, etc. Social or interpersonal problems include discrimination, social isolation, lack of social support, etc. Mental diseases include depression, anxiety disorders, substance use disorders, etc. In order to reduce the suicidal risk of PLWH, the government and related organizations can research and improve these social psychological factors.

Advance in Rehabilitation after Lumber Disc Surgery (review) / 中国康复理论与实践

Lumbar disc herniation is an important cause of chronic low back pain, for which surgery has a great effect. However, there remain some residual symptoms, such as pain, disability, etc. It's effective for postoperative rehabilitation to relieve pain, and improve the disability and psychological status. However, the optimal rehabilitation program is controversial. So it's necessary to consider various aspects including time, site, frequency, intensity and pattern for an optimal rehabilitation choice, which needs further study. Psychological factors shall be concerned by medical workers as well.

Analysis of therapeutic efficacy and treatment model of interventional treatment in hepatic hemangiomas with poor blood supply / 中华消化杂志

Objective To analyze the efficacy and complications of interventional treatment in hepatic hemangiomas with poor blood supply,and to explore the mode of treatment.Methods From May 2013 to October 2016,at Tianjin Third Central Hospital,82 patients with hepatic hemangiomas with poor blood supply were enrolled and divided into intervention group,puncture group and combination group.Conventional hepatic artery intubation was performed in intervention group,using a microcatheter to superselect to hemangioma and injecting pingyangmycin-lipiodol emulsion into the tumor of hemangioma.Patients of puncture group underwent the ultrasound-guided percutaneous liver puncture,and the pingyangmycin-lipiodol emulsion was injected into the tumor.The patients of combination group first received intervention treatment,and the pingyangmycin-lipiodol emulsion were injected again into the tumor area lacking of iodized oil deposition through percutaneous transhepatic puncture.After treatment,the complications and clinical efficacy of patients in three groups were evaluated and the reasons of patients lost to follow-up were analyzed.The analysis of variance,Chi-square test and Fisher's exact test were performed for statistical analysis.For patients lost to follow up,intention-to-treat (ITT) analysis and per protocol (PP) analysis were used.Results Among 82 patients with hepatic hemangiomas with poor blood supply,there were 27 in intervention group,24 in puncture group and 31 in combination group.Seven patients developed serious complications such as liver failure.At three months after the treatment,the overall efficacy of combination group (20.9％,9/31) was higher than that of intervention group (7.4％,2/27) and puncture group (4.2 ％,1/24),and the differences were statistically significant (x2 =6.296,P =0.014;x2 =5.622,P =0.031).At six months after the treatment,the overall efficacy of combination group (ITT analysis 70.3 ％,26/37;PP analysis 71.0 ％,22/31) was still higher than that of intervention group (40.9％,9/22) and puncture group (7/18),and the differences were statistically significant (ITT analysis x2 =4.929 and 4.969,PP analysis x2 =4.789 and 4.851;all P＜0.05).At twelve months after the treatment,a total of 41 patients of three group were lost.Among them,the patients with ineffective treatment by clinical effect evaluation accounted for 63.4％ (26/41),which was higher than those with significantly effective treatment (12.2 ％,5/41) and those with effective treatment (24.4 ％,10/41),and the differences were statistically significant (x2=22.873 and 12.676,both P＜0.01).Conclusions The efficacy of the interventional treatment alone for hepatic hemangiomas with poor blood supply is poor and the complications should be considered when selecting the appropriate treatment methods.

Efficacy and safety of № I Empirical Prescription for Chronic Prostatitis in the treatment of type Ⅲ refractory chronic prostatitis / 中华男科学杂志

<p><b>Objective</b>To evaluate the efficiency and safety of № I Empirical Prescription for Chronic Prostatitis (№ I EPCP) in the treatment of type Ⅲ refractory chronic prostatitis.</p><p><b>METHODS</b>We randomly assigned 53 cases of type Ⅲ refractory chronic prostatitis with damp-heat and blood stasis to an experimental and a control group to receive № I EPCP at 1 dose per day and saw palmetto extract at 160 mg bid), respectively, all for 8 weeks. Before and after 4 and 8 weeks of treatment, we obtained The National Institute of Health Chronic Prostatitis Symptom Index (NIH-CPSI) scores, Traditional Chinese Medicine Syndrome Scores (TCMSS), maximum urinary flow rate (Qmax), average urinary flow rate (Qavg), Hamilton Depression Rating Scale (HAMD) scores and Hamilton Anxiety Rating Scale (HAMA) scores, and compared them between the two groups of patients.</p><p><b>RESULTS</b>Totally 48 of the patients completed the medication and follow-up, 25 in the experimental and 23 in the control group. Compared with the baseline, the NIH-CPSI scores after 8 weeks of treatment were significantly decreased in the experimental (27.82 ± 7.25 vs 15.46 ± 4.77, P <0.05) and the control group (25.98 ± 6.47 vs 21.06 ± 5.74, P <0.05), and so were the TCMSSs (24.64 ± 9.82 vs 16.42 ± 6.33 and 9.15 ± 3.74, P <0.05, and 23.67 ± 8.73 vs 18.55 ± 5.92 and 13.48 ± 4.45, P <0.05); the Qmax at 8 weeks were dramatically increased in the experimental group (［18.45 ± 7.81］ vs ［23.44 ± 8.73］ ml/s, P <0.05) and the control (［17.58 ± 6.92］ vs ［21.26 ± 8.32］ ml/s, P <0.05), and so was the Qavg (［11.27 ± 5.33］ vs ［16.51 ± 7.36］ ml/s, P <0.05 and ［10.66 ± 5.82］ vs ［13.44 ± 6.16］ ml/s, P <0.05); the HAMD scores were remarkably reduced in the experimental group (22.74 ± 6.37 vs 17.62 ± 5.71 and 12.54 ± 5.22, P <0.05) and the control (23.55 ± 7.14 vs 22.34 ± 6.88 and 21.62 ± 5.63, P <0.05), and so were the HAMA scores (21.37 ± 7.15 vs 18.42 ± 6.35 and 14.63 ± 7.11, P <0.05 and 20.54 ± 6.77 vs 19.87 ± 6.24 and 19.42 ± 7.04, P <0.05). No obvious adverse reactions were observed in either of the two groups during the medication.</p><p><b>CONCLUSIONS</b>№ I EPCP deserves promotion and clinical application for its definite effectiveness and safety in the treatment of type Ⅲ refractory chronic prostatitis with damp-heat and blood stasis.</p>

Impact of Socioeconomic, Behavioral and Psychological Factors for Children's Self-Reported Oral Symptoms / 치위생과학회지

This study investigated factors affecting the subjective experience of oral symptoms among 2,285 elementary school students in the fourth and sixth grades using the Korean survey on the Health of Youth and Children in 2010. After conducting chi-square and Mann-Whitney U tests, we performed multiple logistic regression analysis to determine the factors affecting children's experience of oral symptoms. We found that the factors most frequently associated with the subjective experience of more oral symptoms were lower tooth brushing frequency, greater intake of foods that cause dental caries, higher stress levels, and lower levels of support from friends. In conclusion, determinants of children's oral health, such as children's oral health behaviors and psychological factors must be considered in a multifaceted approach to developing programs to promote oral health among children.

Advances in Study on Gastrointestinal Mucosal Low-grade Inflammation in Functional Dyspepsia / 胃肠病学

Functional dyspepsia( FD)is a common functional gastrointestinal disorder,its pathogenesis has not been fully clarified. Recent studies showed that gastrointestinal mucosal low-grade inflammation had been found in patients with FD,and impaired mucosal integrity,psychological factor and abnormal brain-gut axis may promote the inflammation formation,which may also contribute to the onset and persistence of FD. This article reviewed the advances in study on gastrointestinal mucosal low-grade inflammation in FD.

Assessment of psychological status and quality of life in patients with functional constipation / 中华内科杂志

Objective To investigate the states of psychological condition and the quality of life in patients with functional constipation (FC) by comparing with those of healthy controls.Methods Symptom Checklist-90(SCL-90)and Patient Assessment Constipation-Quality of Life(PAC-QOL)were tested by self-report questionnaire in sixty patients with FC and thirty healthy controls with corresponding age and gender.Results (1)There was no difierence in age,body mass index and sex ratio between the FC patients and healthy controls,but the scores of stool form and frequency of defecation were significantly different between the two groups.(2)The following items of SCL-90 i.e.total scores,total symptomatic index.the number of positive items and positive symptom distress level were obviously higher in the FC patients than in controls (P＜0.05).The scores of the nine factors of SCL-90 except terror were also higher in the FC patients than in controls.(3)The average total score and scores of four sections (physical discomfort,psychological discomfort,anxiety,satisfaction) of PAC-QOL in FC patients were higher than those in basal level.(4)The average score of PAC-QOL was significantly correlated with the scores of SCL-90,especially in anxiety and depression.(5)The severity of symptoms in the FC patients was significantly correlated with the average score of PAC-QOL and the total score of SCL-90.Conclusioils FC patients have obviously psychological abnormality,which affects the quality of life significantly.The scores of quality of life is a better parameter to reflect the healthy status of the FC patients than the laboratory tests and the clinical symptoms.

Treatment of Insomnia by Regulating False Recongition / 国际中医中药杂志

The purpose of this text is to explore a valid therapeutic method for insomnia.We discovered that when the person's consciousness activity play a predominant role in a sleep process,the cause of insomnia is a false recognition disturbing self-fulfillment of consciousness.Thus the treating principle is to correct false recognition and permit a natural consciousness sleep.We creale cognition-manipulation therapy to help patients get rid of false recognition and learn how to get into sleep from conscious state by self-reguladon.

Research of personality and psychological factor in irritable bowel syndrome / 重庆医科大学学报

Objective:To investigate the influence of the personality characteristics and psychological factor on attack of irritable bowel syndrome.Methods:99 patients from 2000 to 2006 in our hospital and normal group were tested by EPQ and SCL-90.Results:Compared with normal group,IBS group had significantly lower E factor score and higher N factor score of EPQ(P

Xu Hailing Psychological Factors of College Students’ Internet Usage / 中国心理卫生杂志

Objective: To explore the psychological factors of college students'internet usage. Method: Based on an open-end investigation, we got a questionnaire. 813 college students were surveyed by this questionnaire. Results:1.5% subjects can be defined as internet addiction disorder (IAD) according to Bread' IAD scale. Six factors were extracted by means of factor analysis, and the results indicated that the psychology factor of college students' Internet use could be a multifaceted nature. We did not find significant difference between user with IAD and common users.

Analysis of personality and behavioral characteristics of patients with primary lung cancer / 中国实用内科杂志

0.05).The elevated scales of anxiety,depression,indignation,indignation in,indignation-out,intellect,self restrain in LCG had significant difference from CG on measuring of TCBQ,but the scales of optimistic and social support in the latter were obviously higher than the former(t=1.996～2.235,all P

The Psychological Effect of Hand and Arm Massage on Middle-Aged Women / 간호학회지

Massage therapy is a traditional, alternative and nonphamacological means of promoting rest and relaxation. However, nursing intervention by massage for middle-aged women is rarely practiced by nurses. The purpose of this research was to examine the effects of the hand and arm massage as an independent nursing intervention tool for middle- aged women. The data used in this research were collected from forty-nine subjects using a nonequivalent control group non- synchronized design. Twenty-four persons for the experimental group and Twenty-five persons for the control group were selected from D city and C city from July 1997 to September 2000. Subjects' ages were between forty and fifty-six years old with mean the age of 45.6. Hand and arm massage developed by Cayce and Reilly was applied to the experimental group for a session of 15 minutes two or three times a week for four weeks. The instruments used for the measurement of the subjects' stress, anxiety, depression and the middle-life crisis were Langners's 22-item Screening Score, Spielberger's State Anxiety Inventory, Zung's Self-rating Depression Scale, and Kim's Middle Life Crisis Scale(1988). These psychological factors were measured before and after the implementation of hand and arm massage. The data were analyzed with mean+/-s.d, percent, t-test, and a paired t-test. The results were summarized as follows; 1. Before the treatment, there were no significant differences between the two groups. 2. After the treatment, there were significant differences in the stress and the occurrence of mid life crisis between the two groups. The findings suggest that the use of the hand and arm massage for middle-aged women made significant changes in the level of stress and middle life crisis. Therefore, it is recommended that hand and arm massage be used as an independent nursing intervention tool for middle-aged women. For further research, is needed replication of this concept of research with different subjects in a larger population. Also, it is recommended to investigate the effects of massage with aroma therapy for the berefit of decreasing womens' stress level further.

A Study of The Relationship Between The Degree of Patient's Satisfaction with the Results of Aesthetic Operantion and Psychological Factors

No abstract available.

A Discussion about Effect of Psychological Factor and Social Factor on the Prevention and Treatment of Gastrointestinal Tumor / 中国临床心理学杂志

Modern medicine is in the new phase of transform from biomedical model to bio-psycho-social medical model. Biological factors interact with the social and psychological factors. We should think highly of not only biological factor but also social factor and psychological factor in the prevention and treatment of gastrointestinal tumor. It is an important mission of medical workers to carry out new medical model in clinical practice.