Influencia del tiempo psicológico y el autocontrol en el malestar psicológico en adultos argentinos / Influence of psychological time and self-control on psychological distress in Argentinian adults

Resumen El objetivo de este estudio fue conocer si la temporalidad subjetiva -perspectiva y foco temporales- y la capacidad de autocontrol e impulsividad repercuten en el malestar psicológico, en particular durante la pandemia por COVID-19. La conjetura teórica es que el tiempo psicológico está estrechamente vinculado a la autorregulación, que influye en el desarrollo de la impulsividad y el autocontrol e impacta en el malestar psicológico. Se diseñó un modelo y se realizó un estudio empírico cuantitativo, no experimental y transversal (. = 279; 78 % mujeres; ME = 30.14 años; DE = 11.21). Los resultados del análisis de correlación mostraron relaciones significativas entre las variables de interés. Para determinar las variables predictoras del malestar psicológico se realizó un análisis de regresión lineal múltiple. El 48 % de la varianza del malestar psicológico fue explicado por el pasado negativo, autocontrol e impulsividad, y focos temporales futuro y presente. Finalmente, se probó el modelo teórico diseñado para analizar los efectos directos e indirectos del malestar psicológico a través de un análisis de senderos que presentó un buen ajuste a los datos, ya que explicó el 50 % de la varianza de aquel. La perspectiva y el foco temporal explicaron el 53 % de la variabilidad del autocontrol, y presentaron efectos indirectos sobre el malestar psicológico a través del autocontrol. El autocontrol influyó de manera inversa en el malestar. Los hallazgos indican que el tiempo subjetivo y el autocontrol sirven para explicar estados psicológicos, incluso en pandemia, lo cual confirma estudios previos que muestran la importancia de las variables de personalidad -además de las biológicas y contextuales- en la aparición de malestar psicológico.

Abstract Psychological time is an essential aspect of humans. Two of the most important notions of subjective temporality are time perspective and temporal focus. Time perspective is a process by which the flow of personal and social experiences are framed in five different temporal categories: past negative, past positive, present hedonistic, present fatalistic and future. Temporal focus refers to the attention people devote to thinking about the past, present, and future. Previous research shows there is a strong relation between psychological time and self-regulatory processes, specifically self-control and impulsivity. Self-control is the ability to inhibit impulsive behaviors or reactions that can keep the person from pursuing the proposed goals. On the other hand, impulsivity refers to a short attention span and a tendency to engage in risky behaviors, and to prefer immediate rewards. Both subjective temporality and self-regulatory processes influence behaviors and psychological states such as psychological distress. In particular, the objective of this study was to find out if subjective temporality -time perspective and temporal focus-- and self-control and impulsivity have repercussions on psychological distress, particularly during the COVID-19 pandemic, in an Argentinian sample. The theoretical conjecture is that subjective temporality is closely linked to self-regulation, which influences the development of impulsivity and self-control, and impacts psychological distress. A quantitative, non-experimental, and cross-sectional empirical study was carried out (. = 279; 78 % women; ME = 30.14 years old; SD = 11.21). Firstly, the results of the correlational analysis showed significant relations between the variables. Then, to facilitate further analyses, an index variable of self-control was created, which included the scores of self-control and three dimensions of impulsivity. An optimal parallel analysis was performed. It indicated the existence of a single dimension. Then a semi-confirmatory factor analysis was ran, which showed acceptable results (KMO = .68; X. (6) = 198.8, . < .001; GFI = .99; RMSR = 0.03). Thirdly, to determine the predictive variables of psychological distress, a multiple linear regression analysis was performed. It was found that 48 % of the variance of psychological distress was explained by negative past, self-control index, and future and present temporal focuses (. (4, 266) = 64.66, . < .001, R. = .49, R. adjusted = .48). The best predictor variable was past negative. Afterwards, a theoretical model was tested to explain the direct and indirect causes of psychological distress. It presented a good fit (X./gl = 1.63; GFI = .99; RMSEA = .04). Time perspective and temporal focus explained 53 % of the variability of self-control and presented indirect effects on psychological distress through self-control. Self-control inversely influenced psychological distress; more self-control generates less psychological distress. The model explained half of the variance of psychological distress (R. = .50). The findings indicate that subjective temporality and self-control explain psychological states, even during a pandemic, which confirms previous studies that show the importance of personality variables -in addition to biological and contextual variables- in the manifestation of psychological distress. The results support the theory that psychological time can be considered as a personality trait underlying self-control and psychological distress. A theoretical and practical discussion of the results is presented.

Suporte Familiar, Traço/Estado Depressivo e Motivos para Viver em Usuários da Atenção Primária/Secundária / Family Support, Depressive Traits/Conditions and Reasons For Living in Primary/Secondary Care Users / Lo Apoyo Familiar, Rasgos/Condiciones Depresivos y Razones Para Vivir en Usuarios de la Atención Primaria/Secundaria

A depressão pode ser desenvolvida, agravada e/ou prevenida em função de alguns fatores como suporte familiar e motivos para viver, além da possibilidade de ser concebida como traço e estado depressivo. O objetivo principal desta pesquisa foi testar um modelo teórico preditivo (path analysis) do suporte familiar sobre traço/estado depressivo e sobre os motivos para viver, em uma amostra de 123 participantes, composta por dois grupos: pacientes do CAPS-AD e da ESF e, posteriormente, verificar as diferenças desses aspectos na amostra estudada. Foram aplicados uma ficha sociodemográfica, a Escala Baptista de Depressão - Adulto (EBADEP-A), Inventário de Percepção de Suporte Familiar (IPSF), Escala de Traço e Estado Depressivo (ETED) e Escala Brasileira de Motivos para Viver (BEMVIVER). O resultado da path analysis indicou que os motivos para viver são explicados pelo estado e traço depressivo e pelo suporte familiar. Os pacientes do CAPS-AD, tinham maiores níveis de sintomatologia depressiva e estado depressivo do que o grupo do ESF. Pacientes do ESF apresentaram médias maiores de suporte familiar e motivos para viver. Conclui-se que investir em estratégias que potencializem os motivos para viver e o suporte familiar podem reduzir os riscos de sintomatologia depressiva.

Depression can be developed, worsened and/or prevented depending on some factors such as: family support and reasons for living, in addition to the possibility of being conceived with a depressive trait and state. The main objective of this research was to test a predictive theoretical model (path analysis) of family support on the depressive trait/state and reasons for living, in a sample of 123 participants, composed of two groups: patients from the Psychosocial Care Center- Alcohol and Drugs (CAPS-AD) and the Family Health Strategy (ESF) and verify the differences of these aspects in the studied sample. A sociodemographic form, the Baptista Depression Scale -Adult (EBADEP-A), the Perceived Family Support Inventory (IPSF), Trait and Depressive State Scale (DTS) and the Brazilian Scale of Reasons to Live (BEMVIVER) were applied. The result of the path analysis indicated that the reasons for living are explained by the depressive state and trait and family support. CAPS-AD patients had higher levels of depressive symptoms and depressive state than the ESF group. ESF patients presented higher means of family support and reasons to live. It is concluded that investing in strategies that enhance the reasons to live and family support can reduce the risks of depressive symptoms.

La Depresión puede desarrollarse, agravarse y prevenirse dependiendo de factores como: apoyo familiar y razones para vivir, además puede de ser concebido con un rasgo y estado depresivo. El objetivo de esta investigación fue probar un modelo teórico predictivo del apoyo familiar sobre el rasgo/estado depresivo y las razones de vivir y verificar las diferencias de esos aspectos en la muestra estudiada, de 123 participantes compuesta por dos grupos: pacientes del Centro de Atención Psicosocial - Alcohol y Drogas (CAPS-AD) y la Estrategia de Salud de la Familia (ESF). Se aplicó un formulario sociodemográfico, Escala de Depresión de Baptista - Adulto (EBADEP-A), Inventario de Apoyo Familiar Percibido (IPSF), Escala de Rasgo y Estado Depresivo (DTS), Escala Brasileña de Razones para Vivir (BEMVIVER). El resultado del análisis indicó que las razones para vivir a ser explicadas por el estado y rasgo depresivo y por el apoyo familiar. Los pacientes CAPS-AD tenían niveles más altos de síntomas y estado depresivo que el grupo ESF. Los pacientes ESF presentaron mayores medios de apoyo familiar y razones para vivir. Se concluye que invertir en estrategias que potencien estas razones y apoyo familiar puede en la reducción de los riesgos de síntomas depresivos.

Use of structural models to elucidate the occurrence of falls among older adults according to abdominal obesity: a cross-sectional study

Abstract BACKGROUND: Obesity is a risk factor for falls in older adults, but the effects of body fat distribution and its interaction with other factors are not well established. OBJECTIVES: To verify the occurrence of falls among older adults with and without abdominal obesity and the effects of sociodemographic, health, and behavioral variables on this outcome. DESIGN AND SETTING: A cross-sectional study in an urban area of Alcobaça, Brazil. METHODS: Men and women older than 60 years with (270) and without (184) abdominal obesity were included. Sociodemographic, health, and behavioral data were collected using validated questionnaires in Brazil. Descriptive and path analyses were performed (P < 0.05). RESULTS: The occurrence of falls was high in participants with abdominal obesity (33.0%). In both groups, a higher number of morbidities (β = 0.25, P < 0.001; β = 0.26, P = 0.002) was directly associated with a higher occurrence of falls. Among participants without abdominal obesity, a lower number of medications (β = -0.16; P = 0.04), a higher number of depressive symptoms (β = 0.15; P = 0.04), worse performance on the agility and dynamic balance tests (β = 0.37; P < 0.001), and lower functional disability for basic activities of daily living (β = -0.21; P = 0.006) were directly associated with the occurrence of falls. CONCLUSION: Adults older than 60 years with abdominal obesity have a higher prevalence of falls. Different factors were associated with the occurrence of falls in both groups.

Effect of prenatal exposure to passive smoking on leptin of neonatal cord blood and birth weight in a rural area of Yunnan Province / 环境与职业医学

Background Previous studies have shown that active smoking during pregnancy can reduce the level of neonatal cord blood leptin, and thereby affect birth weight. However, few studies have studied the association of passive smoking during pregnancy with leptin in neonatal cord blood and birth weight. Objective To explore the effects of passive smoking in varied pregnancy stages and entire pregnancy on neonatal cord blood leptin level and birth weight in a certain rural area of Yunnan, and potential mediating role of cord blood leptin. Methods Based on a prospective prenatal cohort study conducted in Xuanwei County, Yunnan Province, a total of 545 mother-infant pairs were included in this study from early pregnancy enrollment to delivery. The demographic information and reproductive history of the subjects were collected by questionnaire. The urine samples of pregnant women in the first, second, and third trimesters of pregnancy were collected during regular prenatal examinations. Umbilical cord blood samples were collected from newborns at birth. The concentration of urine cotinine (UC) was measured by ultra-high performance liquid chromatography-tandem mass spectrometry (UHPLC-MS/MS). According to the results of UC level during pregnancy, the study subjects were divided into three groups: negative group (<LOD), low exposure group (LOD-M), and high exposure group(>M). The level of leptin in cord blood was detected by ELISA. Multiple linear regression was used to analyze the effect of passive smoking on umbilical cord blood leptin in newborns during pregnancy. Path analysis was used to explore the relationship among passive smoking during pregnancy, neonatal cord blood leptin, and birth weight. Results The average exposure rate of passive smoking during pregnancy was 87.28%, and the exposure rate for entire pregnancy was 76.88%. The median concentration of leptin in neonatal cord blood was 4.17 μg·L−1. After adjusting for maternal age, ethnicity, educational level, pre-pregnancy body mass index (BMI), gestational weight gain, parity, annual household income, infant sex, and birth weight, we found that low level (b=−3.388, P=0.001) and high level (b=−2.738, P=0.006) of passive smoking in the first trimester of pregnancy had negative associations with leptin concentration of cord blood by multiple linear model. The path analysis results showed that passive smoking in the first trimester and pre-pregnancy BMI directly affected leptin levels, and the sizes of direct effects were −0.073 and −0.087 (both P<0.05) respectively. Passive smoking in late pregnancy, gestational weight gain, premature, newborn girls, parity, and pre-pregnancy BMI directly affected birth weight, and the sizes of direct effects were −0.063, 0.191, −0.301, −0.128, −0.121, and 0.167 (all P<0.05), respectively. No mediating role of leptin was found in the effect of passive smoking on neonatal birth weight. Conclusion Passive smoking exposure during pregnancy is common among rural women in Yunnan Province. Passive smoking in the first trimester may be key in decreasing the leptin level of neonatal cord blood. Passive smoking in third trimester may lead to a decrease in birth weight. No evidence shows that leptin mediates the relationship between passive smoking and birth weight.

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.

Effects of ambient temperature on metabolic syndrome and pathway analysis / 环境与职业医学

Background In recent years, the incidence of metabolic syndrome (MS) is increasing significantly in China. Some studies have found that temperature is related to single metabolic index, but there is a lack of research on associated mechanism and identifying path of the influence of temperature on MS. Objective Based on the data of Guangdong Province, to investigate the effect of temperature on MS and its pathway. Methods A total of 8524 residents were enrolled by multi-stage random sampling from October 2015 to January 2016 in Guangdong. Basic characteristics, behavioral characteristics, health status, and physical activity level were obtained through questionnaires and physical examinations, and meteorological data were obtained from meteorological monitoring sites. We matched individual data both with the temperature data of the physical examination day and of a lag of 14 d. A generalized additive model was used to explore the exposure-effect relationship between temperature and MS and its indexes, calculate effect values, and explore the effects of single-day lag temperature. Based on the literature and the results of generalized additive model analysis, a path analysis was conducted to explore the pathways of temperature influencing MS. Results The association between daily average temperature on the current day or lag 14 day and MS risk was not statistically significant. When daily average temperature increased by 1 ℃, the change values of fasting blood-glucose (FBG), systolic blood pressure (SBP), diastolic blood pressure (DBP), and high density lipoprotein cholesterol (HDL-C) were −0.033 (95%CI: −0.040-−0.026) mmol·L−1, −0.662 (95%CI: −0.741-−0.583) mmHg, −0.277 (95%CI: −0.323-−0.230) mmHg, and −0.005 (95%CI: −0.007-−0.004) mmol·L−1 respectively. The effects of average daily temperature on FBG, blood pressure, HDL-C, and waist circumference lasted until lag 14 day. The effects of daily average temperature on SBP and DBP were the largest on the current day. Daily average temperature of current day had direct and indirect effects on FBG and SBP. Temperature had an indirect effect on TG, and the intermediate variables were waist circumference and FBG, with an indirect effect value of −0.011 (95%CI: −0.020-−0.002). The indirect effects of daily average temperature on SBP, FBG, and TG were weak. Conclusion There is no significant correlation between temperature and risk of MS, and daily average temperature of current day could significantly affected blood pressure and FBG with a lag effect. Daily average temperature of current day has indirect effects on FBG and TG.

Path analysis of the effect of irrational beliefs on the structures of the planned behavior model in the field of physical activity / Análise do caminho do efeito das crenças irracionais nas estruturas do modelo de comportamento planejado no campo da atividade física

ABSTRACT The aim of the present study was to path analysis of the hypothesized model of the irrational beliefs on the constructs of the planned behavior model, in particular the physical activity intention, and also the prediction of the physical activity intention based on the constructs of irrational beliefs. 320 male and female students of Semnan Province were randomly selected and completed Planned Behavior and Irrational Beliefs (Ahwaz) questionnaires. A path analysis model was used to analyse the relationships between variables and calculate the direct and indirect structural effects. Also, multiple regression analysis was used to predict theoretical constructs of planned behavior using irrational beliefs dimensions. The results indicated that the hypothesized model is not in accordance with the data of this study and direct effect of irrational beliefs on subjective norms is not meaningful. By eliminating the effect of irrational beliefs on subjective norms and adding the effect of subjective norms on perceived behavioral control, a new model was obtained that was fitted with the data. Also, the results show that two variables of Demand for approval and problem avoidance were significant predictors of physical activity intention. The results of this study showed that irrational beliefs, both directly and indirectly (through attitudes and perceived behavioral control), have an effect on the physical activity intention. Therefore, it is important to reduce the irrational beliefs in order to develop the intentions of physical activity and the physical activity itself.

RESUMO O objetivo do presente estudo foi traçar a análise do modelo hipotético das crenças irracionais sobre os construtos do modelo de comportamento planejado, em particular a intenção de atividade física, e também a predição da intenção de atividade física com base nos construtos de crenças irracionais. 320 estudantes do sexo masculino e feminino da província de Semnan foram selecionados aleatoriamente e completaram os questionários de Gordon (2008) e Irrational Beliefs (Ahwaz) 2005. Um modelo de análise de caminho foi utilizado para analisar as relações entre as variáveis e calcular os efeitos estruturais diretos e indiretos. Além disso, a análise de regressão múltipla foi usada para prever construções teóricas de comportamento planejado usando dimensões de crenças irracionais. Os resultados indicaram que o modelo hipotético não está de acordo com os dados deste estudo e o efeito direto das crenças irracionais sobre as normas subjetivas não é significativo. Ao eliminar o efeito das crenças irracionais sobre as normas subjetivas e adicionar o efeito das normas subjetivas sobre o controle comportamental percebido, foi obtido um novo modelo que foi ajustado aos dados. Além disso, os resultados mostram que duas variáveis ​​de demanda por aprovação e evitação de problemas foram preditores significativos da intenção de atividade física. Os resultados deste estudo mostraram que as crenças irracionais, tanto direta quanto indiretamente (por meio de atitudes e controle comportamental percebido), afetam a intenção de atividade física. Portanto, é importante reduzir as crenças irracionais a fim de desenvolver as intenções de atividade física e a própria atividade física.

An Empirical Study on Factors Affecting Medication Adherence in Outpatients with Depression: From the Perspective of Medication Support for Patients Using Pharmacies / 医薬品情報学

Objective: This study aimed to elucidate the factors that affect medication adherence in outpatients with depression using multivariate analysis.Methods: A web-based survey on medication adherence, medication attitude (Drug Attitude Inventory-10; DAI-10), medication self-management, and satisfaction with the prescribing physician/pharmacy for outpatients with depression was conducted in January 2018. T-tests and path analysis were performed to evaluate comparisons of responses based on gender, high/low importance of medication guidance, high/low intention to consult, and high/low frequency of consultations.Results: For mean scores, no significant difference was observed between males and females according to a t-test. In terms of the importance of medication guidance, the high importance group had significantly higher prescribing physician/pharmacy satisfaction and better self-management. In terms of intention to consult, respondents with high intention to consult had significantly higher scores on the DAI-10, better self-management, and higher prescribing physician/pharmacy satisfaction. In terms of frequency of consultations, only pharmacy satisfaction was significantly higher in the high-frequency group. Path analysis revealed that, in general, adherence was influenced by medication attitude and self-management, and prescribing physician/pharmacy satisfaction and self-management were influenced by medication attitude. In the intergroup comparison, pharmacy satisfaction did not affect medication adherence in males or the group with low importance of medication guidance. In addition, medication attitude did not affect adherence only in the non-consultation group.Discussion: These results suggest that it is necessary to improve the medication support measures at pharmacies for outpatients with depression. Furthermore, in order for the measures to improve medication attitudes and adherence to be effective, it is necessary for patients to understand the benefits and importance of using pharmacists effectively, including medication support and consultation, and to be actively involved in the maintenance and promotion of patients' health.

Content of mineral elements in different Artemisia argyi germplasms and their relationship with quality properties / 中国中药杂志

To clarify the content characteristics of mineral elements in different Artemisia argyi germplasm resources and their relationship with the quality properties of Artemisiae Argyi Folium, this study measured the content of 10 mineral elements including nitrogen(N), phosphorus(P), potassium(K), calcium(Ca), magnesium(Mg), aluminum(Al), manganese(Mn), iron(Fe), copper(Cu), and zinc(Zn) in 100 Artemisia argyi germplasm samples. Besides, their relationship with the quality properties of Artemisiae Argyi Folium was explored by correlation analysis, path analysis, and cluster analysis. The results demonstrated that the variation coefficient of the 10 mineral elements in Artemisiae Argyi Folium ranged from 12.23% to 64.38%, and the genetic diversity index from 0.97 to 3.09. The genetic diversities of N, P, and Zn were obvious. As revealed by the correlation analysis, N, P, and K showed strong positive correlations with each other. Except that Mg and Al were negatively correlated, Ca, Mg, Al, Mn, Fe, Cu, and Zn were positively correlated. The correlation analysis of mineral elements with the quality properties of Artemisiae Argyi Folium proved the significant correlations of 17 pairs of characters. According to the path analysis, P, K, Ca, and Mn greatly affected the yield of Artemisiae Argyi Folium, P, K, and Mg the output rate of moxa, N, P, and K the content of total volatile oil, P and K the content of eucalyptol, and P, K, and Ca the content of eupatilin. The 100 germplasm samples were clustered into three groups. Specifically, in cluster Ⅰ, the enrichment capacity of P, K, and Mg elements was strong, and the comprehensive properties of mineral elements were better, implying good development potential. Ca, Mn, Fe, and Zn elements in cluster Ⅱ and N and Al in cluster Ⅲ displayed strong enrichment capacities. This study has provided new ideas for resource evaluation and variety breeding of A. argyi and also reference for fertilizer application.

Management of defoliation in Trifolium vesiculosum S. for the production of seeds / [Manejo da desfolha em Trifolium vesiculosum Savi para a produção de sementes]

The present study aims to determine the appropriate defoliation management for the production of seeds and forage in arrowleaf clover via trail analysis. The results obtained demonstrated that defoliation practices have a great influence on the composition of seed yield and germination power. In addition, when the goal is the maximum balance between dry matter production and seed yield, this can be achieved in up to two defoliation practices. These results are confirmed by analyzing the positive association between the weight of a thousand seeds and the seed yield. When the third defoliation practice is performed, it negatively correlates with the weight of a thousand seeds, suggesting that, with the increase in defoliation frequency, there is a lower weight of a thousand seeds, and, therefore, lower seed yield. Therefore, management planning in Trifolium vesiculosum Savi that aims at natural reseeding, maximum yield and seed germination must prioritize one to two defoliation practices, aiming to promote favorable conditions for the perennialization of the species. In this context, the trail analysis proved to be a useful tool as a criterion for obtaining the ideal management aiming at the production of seeds and forage in vesicular clover.(AU)

O presente estudo visa determinar o manejo de desfolha adequado para a produção de sementes e de forragem em trevo-vesiculoso via análise de trilha. Os resultados obtidos demonstraram que as práticas de desfolha possuem grande influência na composição do rendimento de sementes e no poder germinativo. Além disso, quando o objetivo for o máximo equilíbrio entre a produção de matéria seca e o rendimento de sementes, esse pode ser alcançado em até duas práticas de desfolha. Esses resultados são confirmados ao se analisar a associação positiva entre o peso de mil sementes e o rendimento de sementes. Quando realizada a terceira prática de desfolha, esta se correlaciona negativamente com o peso de mil sementes, sugerindo que, com o aumento da frequência de desfolha, ocorre menor peso de mil sementes e, por conseguinte, menor rendimento de sementes. Portanto, o planejamento do manejo em T. vesiculosum Savi que objetive a ressemeadura natural, o máximo rendimento e a germinação de sementes deve priorizar até duas práticas de desfolha, visando promover condições favoráveis para a perenização da espécie. Nesse contexto, a análise de trilha demonstrou ser uma ferramenta útil como critério para obtenção do manejo ideal visando à produção de sementes e de forragem em trevo-vesiculoso.(AU)

Path analysis of Sino-foreign scientific and technological cooperation in COVID-19 research / 中华医院管理杂志

Objective:To provide a basis for policy support of Sino-foreign cooperation in the area of COVID-19, through exploring the composition, integration and main path of Sino-foreign scientific research cooperation in this field.Methods:Based on bibliometrics theory and the core database of Web of Science, Sino-foreign cooperative literatures in COVID-19 research area were screened to construct the keyword co-occurrence network. VOSviewer 1.6.16 software was used for cluster analysis, internal and external connectivity measurement and path exploration.Results:In COVID-19 research area, there were 61 countries, each of which had published more than 10 papers in cooperation with China. The proportion of Sino-US cooperative papers was the highest, accounting for 48.0%. The collaborative research field was divided into five clusters: basic medicine, clinical medicine, public mental health, epidemiology, and environmental impacts. The internal connectivity rate of basic medicine cluster was the highest(60.2%), and the lowest was epidemiology cluster(20.1%). The integration degree of basic medicine cluster and clinical medicine cluster was high, and the number of connecting nodes accounted for 27.7% and 21.9% in the two clusters. Through path analysis, a collaborative research main path of " emergent transmission-infection mechanism-clinical characteristics-anxiety" had been formed in the field.Conclusions:Sino-foreign scientific and technological cooperation in the field of COVID-19 was still in the early stage of development, but the research clusters had initially constructed. Some clusters showed high convergence and integration, and formed a main path of the collaborative research field. In order to realize the in-depth development of research in this field and the full utilization of cooperation resources, the health management department can formulate accurate health policies of scientific and technological cooperation for the development stages of different clusters according to the main path.

Construction strategy of medical resource integration in regional medical alliance based on grounded theory / 中华医院管理杂志

Objective:To explore the integration path of medical resources in regional medical consortium, find out the problems affecting the process of integration, and put forward relevant suggestions.Methods:Methods According to the purposive sampling and combined with grounded theoretical research methods, semi-structured interviews were conducted with 73 government officials, heads and backbones of medical institutions in different regions of a city from August to November 2019. The data obtained from semi-structured interviews were analyzed by using grounded theory, and the path framework of medical resource integration in regional medical consortium was constructed through open coding, spindle coding and selective coding.Results:Four key links of medical resource integration in the regional medical alliance were sorted out, namely, integration prerequisites, integration strategies, support conditions, and integration methods, which together constituted the main axis of the theoretical framework. In addition, integration methods were affected by integration prerequisites, integration strategies and support conditions. The four factors and integration willingness served as influencing factors to exert impact on the integration tendency.Conclusions:The integration of medical resources in the medical alliance is a systematic project, which emphasizes the organic and overall governance of each key link, and the interaction between various elements will affect the final effect of medical resource integration.

Path analysis of the influence of social support and ruminant meditation on post-traumatic growth of pulmonary tuberculosis patients / 中国实用护理杂志

Objective:To explore the path and relationship between social support and ruminant meditation of tuberculosis patients on their post-traumatic growth (PTG).Methods:A total of 156 patients treated from January 2018 to August 2019 were selected as the research objects. The social support rating scale, event-related ruminant meditation questionnaire, and post-traumatic growth rating scale were used for investigation and analysis, and 150 valid questionnaires were obtained. The path analysis method was used to analyze the mutual influence between people.Results:The patient ′s post-traumatic growth, social support and ruminant meditation scores were (62.71±12.28), (38.19±9.79) and (27.28±11.18) points, respectively; social support and purposeful ruminant meditation directly affected tuberculosis patient's PTG (effect value was 0.57); social support indirectly positively affected the patient's PTG through purposeful ruminant meditation (indirect value was 0.77), and purposeful ruminant meditation was the mediating variable. Conclusion:The PTG, ruminant contemplation level and social support of pulmonary tuberculosis patients need to be improved. Social support can directly and indirectly affect the PTG level of pulmonary tuberculosis patients.

The effect of health literacy on health status among residents in Qingdao, China: a path analysis

BACKGROUND@#Health literacy is a public health goal which can be used as an independent factor of health outcomes. This study aimed to assess the association between health literacy and health status, as well as the two mediating factors of behavior and self-efficacy among residents aged 15-69 years in Qingdao.@*METHODS@#A cross-sectional survey was implemented among residents aged 15-69 years (N = 3793) in Qingdao, China. A combination of stratified cluster random and proportional probability sampling methods was used to select subjects for this study. Data were collected using "The Chinese Citizen Health Literacy Questionnaire (2019)". We proposed a hypothetical model for the relationship between sociodemographic characteristics, health literacy, self-efficacy, health behavior, and health status, and used path analysis to validate the hypothesis.@*RESULTS@#The path analysis showed that higher education (β = 0.293) and income (β = 0.135) are positively and directly associated with greater health literacy, which was positively associated with health status (β = 0.057). Health literacy is a direct influencing factor of health behavior (β = 0.070) and self-efficacy (β = 0.099). Health behavior (β = 0.041) and self-efficacy (β = 0.173) exerted a positive direct effect on health status. The model explained 14.1% of variance for health literacy, 3.8% for self-efficacy, 5.7% for health behavior, and 15.0% for health status.@*CONCLUSIONS@#Health literacy was identified to be a critical factor in health status. The results emphasized that the dissemination of health knowledge, development of healthy behavior, and cultivation of self-efficacy should be jointly promoted to reinforce the level of health status among residents in future work.

Modelo predictivo de conducta de infidelidad sexual entre personas casadas / Predictive model of sexual infidelity behavior among married persons

Resumen La infidelidad marital es relativamente frecuente a pesar de sus consecuencias. Este estudio tuvo como objetivo desarrollar un modelo predictivo de la conducta sexual infiel en personas casadas, mediante el análisis de siete variables que participan en el fenómeno de la infidelidad. Se colectó una muestra de 790 personas casadas (53.4 % mujeres y 47.6 % hombres) por rutas al azar en Monterrey, México. Se aplicó la Escala de Valoración de la Relación, Índice de Satisfacción Sexual, Escala de Actitud hacia la Exclusividad Marital, Escalas de Conducta Infiel, Escala de Búsqueda de Sensaciones Sexuales y Escala de Engrandecimiento Marital. Se especificó el modelo con 2 variables exógenas correlacionadas (búsqueda de sensaciones sexuales y engrandecimiento marital) y 5 variables endógenas (actitud hacia la infidelidad, satisfacción marital, satisfacción sexual, deseo de infidelidad sexual y conducta de infidelidad sexual). De cada 100 participantes, 6 estaban insatisfechos con su matrimonio, 13 con las relaciones sexuales con su pareja y 20 veían más defectos que virtudes en sus parejas. Además, 83 informaron no incurrir en conductas de infidelidad sexual, 60 indicaron total rechazo hacia la propia infidelidad, 72 no mostraron deseo de infidelidad sexual y 51 reportaron no buscar de sensaciones sexuales. El modelo mostró un efecto grande sobre la conducta de infidelidad sexual, explicando 70.8 % de su varianza, y tuvo un buen ajuste: χ 2 (7) = 11.93, P = 0.10, RMSEA = 0.03 y SRMR = 0.01. Se concluye que la variable más crítica es el deseo de infidelidad sexual, cuyo determinante más importante es la búsqueda de sensaciones sexuales. La correlación negativa entre esta última variable y engrandecimiento marital indica que estas 2 variables se pueden modular una a la otra. A su vez, el modelo remarca aspectos de insatisfacción marital y sexual.

Abstract Marital infidelity is relatively frequent despite its consequences. The aim of the study was to develop a predictive model of sexual infidelity behavior among married persons, through the analysis of seven variables related to the infidelity construct. A sample of 790 married persons (53.4 % women and 47.6 % men) was collected in Monterrey, Mexico using random route sampling. The Relationship Assessment Scale, Sexual Satisfaction Index, Attitude toward Marital Exclusivity Scale, Unfaithful Behavior Scales, Sexual Sensation Seeking Scale, and Marital Aggrandizement Scale were applied. A model with 2 correlated exogenous variables (sexual sensation seeking and marital aggrandizement) and 5 endogenous variables (attitude towards infidelity, marital satisfaction, sexual satisfaction, desire for sexual infidelity, and sexual infidelity behavior) was specified. Six out of 100 participants were dissatisfied with their marriage and 13 with sexual relations with their partner and 20 saw more defects than virtues in their partners. In addition, 83 informed not engaging in sexual infidelity behaviors, 60 indicated total rejection towards own sexual infidelity, 72 showed no desire for sexual infidelity and 51 reported not seeking sexual sensations. The model showed a large effect on the sexual infidelity behavior, explaining 70.8 % of its variance, and had a close fit: χ 2 (7) = 11.93, P-value = 0.10, RMSEA = 0.03, and SRMR = 0.01. It is concluded that the most critical variable in the model is the desire for sexual infidelity, whose most important determinant was the sexual sensation seeking. The negative correlation between this last variable and marital aggrandizement indicates that these 2 variables can be modulated one to the other. Furthermore, the model highlights aspects of marital and sexual dissatisfaction.

Correlations between soil attributes and the occurrence of nematodes and grain yield in an off-season maize crop in Mato Grosso do Sul / Correlações entre atributos do solo e ocorrência de nematóides e produtividade de grãos em milho safrinha no Mato Grosso do Sul

Systems of soil cultivation and use directly influence crop yield by interfering with the soil chemical, physical, and biological attributes. This study aimed to evaluate the correlation between maize grain yield, soil chemical and biological attributes, and the occurrence of nematodes in maize crops grown in the off-season, in the state of Mato Grosso do Sul. Soil samples from 21 off-season maize crops were collected in 2015. The samples were used to identify and quantify nematodes, determine biomass carbon and microbial activity, and for chemical analysis. The attributes were clustered based on the variables evaluated using the mean Euclidean distance and Ward's clustering method. The interrelationship between the variables was analyzed by correlations, and its unfolding in the cause and effect investigations was evaluated by the path analysis. Organic matter and microbial biomass carbon positively influence grain yield. Magnesium negatively influences the population of Pratylenchulus spp. in maize crops. The potential acidity and organic matter are related to the presence of Rotylenchulus spp.

Sistemas de cultivo e uso do solo influenciam diretamente o rendimento das culturas, interferindo nos atributos químicos, físicos e biológicos do solo. Este trabalho teve como objetivo avaliar a correlação entre a produtividade de grãos de milho, os atributos químicos e biológicos do solo e a ocorrência de nematoides em milho cultivado no período de entressafra, no estado do Mato Grosso do Sul. Amostras de solo de 21 safras de milho fora de temporada foram coletadas em 2015. As amostras foram usadas para identificar e quantificar os nematóides, determinar a atividade microbiana e o carbono da biomassa, e para análises químicas. Os atributos foram agrupados com base nas variáveis avaliadas usando a distância euclidiana média e o método de agrupamento de Ward. A inter-relação entre as variáveis foi analisada por meio de correlações, e seu desdobramento nas investigações de causa e efeito foi avaliado pela análise de trilha. A matéria orgânica e o carbono da biomassa microbiana influenciam positivamente o rendimento de grãos. O magnésio influencia negativamente a população de Pratylenchulus spp. nas culturas de milho. A acidez potencial e a matéria orgânica estão relacionadas à presença de Rotylenchulus spp.

RNA-seq Analysis of Spinal Cord Tissues after Brachial Plexus Root Avulsion in Mice

Background Brachial plexus root avulsion (BPRA) can cause motor neuron death, nerve degeneration andupper limb motor dysfunction. The molecular mechanisms of motor neuron death and nerve degeneration arelargely unknown and there are no effective therapies to increase the functional recovery after BRPA.Aim: To detect the early pathway changes in spinal cord tissues after brachial plexus root avulsion.Methods A mouse brachial plexus avulsion and re-implantation model was constructed, and the C5-C7segments of the spinal cords were dissected three days after the surgery. We used RNA-seq to identify theexpression changes of genes and gene networks in spinal cord tissues.Results A total of 2253 differentially expressed genes were found significantly changed with 1852 upregulatedand 401 downregulated at 3 days after BPRA. Gene ontology (GO) enrichment analysis showed thatdifferentially expressed genes were most enriched in immune system process, regulation of immune systemprocess, defense response, plasma membrane part, extracellular region part, cell surface, protein binding,receptor binding, glycosaminoglycan binding. Kyoto Encyclopedia of Genes and Genomes (KEGG) pathwayanalysis showed that the most enriched pathways included osteoclast differentiation, NF-kappa B, cytokinecytokine receptor interaction, TNF, hematopoietic cell lineage, complement and coagulation cascades, PI3KAkt, ECM-receptor interaction, NOD-like receptor, Toll-like receptor signaling pathway.Conclusions This study systematically identified the critical genes and signaling pathways in BPRA pathology.These results expand our understanding of the complex molecular mechanisms involved in BPRA and provide afoundation for future research of spinal cord tissue injury and repair.

Impact of water deficit in the relationship among alfalfa traits / Impacto do déficit hídrico na relação entre as características da alfafa

This study aimed to evaluate the relationship among traits related to yield and nutritive value of alfalfa genotypes grown under deficit and full irrigation conditions. Seventy-seven alfalfa genotypes were evaluated in two different cuts, the first one with full irrigation, and the second, with water deficit. A randomized block design with three replications was used. The evaluated traits were vigor, plant height, dry matter biomass, stem-to-leaf ratio, dry matter percentage, leaf and stem protein contents, in vitro dry matter digestibility, neutral detergent fiber, acid detergent fiber, and lignin. Significant interaction between genotypes and environments was reported for vigor, plant height, and lignin. The correlation between traits and path analysis of dry matter biomass was performed for each cut, aiming to identify auxiliary traits for indirect selection. Water availability did not alter the phenotypic and genotypic correlations, only their magnitudes. Regardless of the environment, plant height is one of the most promising traits for the selection of alfalfa genotypes with higher dry matter biomass since it showed a high direct effect in the same sense of its phenotypic correlations. However, the coefficient of determination obtained by the model applied to full irrigation was higher than that of the water-deficit environment, indicating the importance of variables not included in this study in the determination of alfalfa dry matter biomass under dry conditions.

Este estudo objetivou avaliar a relação entre características relacionadas à produção e o valor nutritivo de genótipos de alfafa cultivados em condições de déficit e irrigação total. Setenta e sete genótipos de alfafa foram avaliados em dois cortes diferentes, o primeiro com irrigação total e o segundo com déficit hídrico. O delineamento experimental foi em blocos casualizados, com três repetições. As características avaliadas foram: vigor, altura de planta, biomassa de matéria seca, razão colmo-folha, porcentagem de matéria seca, teores foliar e foliar de proteína, digestibilidade in vitro da matéria seca, fibra em detergente neutro, fibra em detergente ácido e lignina. Houve interação significativa entre genótipos e ambientes para vigor, altura de planta e lignina. A correlação entre características e análise de trilha da biomassa da matéria seca foi realizada para cada corte, visando identificar características auxiliares para a seleção indireta. A disponibilidade de água não alterou as correlações fenotípicas e genotípicas, apenas suas magnitudes. Independentemente do ambiente, a altura das plantas é um dos caracteres mais promissores para a seleção de genótipos de alfafa com maior biomassa de matéria seca, uma vez que apresentou alto efeito direto no mesmo sentido de suas correlações fenotípicas. Entretanto, o coeficiente de determinação obtido pelo modelo aplicado à irrigação total foi superior àquele do ambiente com déficit hídrico, indicando a importância de variáveis não incluídas neste estudo na determinação da biomassa de matéria seca de alfafa em condições secas.

Path analysis of the relationships among health knowledge of chronic diseases, lifestyle and utilization of workplace health services of teachers in a district of Beijing / 中华疾病控制杂志

Objective To understand the influence path of occupational health knowledge, behavior and lifestyle, and utilization of workplace health service on chronic diseases of teachers in a district of Beijing. Method A self-designed questionnaire was used among teachers in a district of Beijing through path analysis. Results The prevalence rate of chronic diseases in occupational population was 51.5%. The top three diseases were lumbar or spinal diseases (19.0%), hypertension (12.5%) and gastroenteritis (11.1%). The rate of overweight and obesity increased with age, and male teachers were higher than that of female teachers which was statistically significant ( 2=119.313，P<0.001).Overweight-obesity, health related knowledge and utilization of workplace services made direct effects on chronic diseases. Healthy behaviors and lifestyles made indirect effects on chronic diseases by overweight-obesity. Conclusions The teachers’ health in this district was not bad. It is recommended that we should pay attention to the population of teachers, especially the male so that to prevent and control the incidence of overweight and obesity, improve their health knowledge level and develop healthy habits, and increase the input of health resources in the workplace.

Grey correlation analysis and path analysis between isoflavones content in Astragali Radix and climate factors / 中国中药杂志

In this study, HPLC was used to determine the content of the four isoflavones of Astragalus membranceus var. mongholicus from different regions(calycosin-7-glucoside, ononin, calycosin and formononetin), and gray correlation analysis and path analysis were used to explore the influence of climate factors on the content of isoflavone components in A. membranceus var. mongholicus. The results showed that there were significant differences in the content of the four isoflavones in different areas(P<0.05); grey correlation analysis showed that the highest temperature in July, the lowest temperature in January and the daily average temperature had a greater impact on the content of flavonoid glycosides, meanwhile precipitation and relative humidity were the more important factors for the accumulation of flavonoid aglycones. According to the general analysis, the direct positive effects of the lowest temperature in January and altitude on the contents of four isoflavones in A. membranceus var. mongholicus were significant. High altitude and extreme temperature conditions might be more adverse to the formation and accumulation of isoflavone components. Therefore, the religions of A. membranceus var. mongholicus with high contents of isoflavones should be chosen the low altitude region with higher minimum temperature in January. This study provides a reference basis for the quality evaluation of A. membranceus var. mongholicus, and basic data for the selection of suitable habitat, construction of planting standards and directional cultivation of medicinal materials in A. membranceus var. mongholicus.