The influence of interdisciplinary literacy on learning effects among college students: the mediating effects of online physical education on learning behavior

IntroductionThe development of high-quality physical education curriculums is required in the information age. Interdisciplinary literacy and student learning behavior are two significant factors that affect the quality of teaching and learning. This study explores the relationship between interdisciplinary literacy (IDL) and learning effects (LE) among Chinese college students during the COVID-19 pandemic, as well as the mediating effects of online physical education learning behaviors (OPELB). This research aims to provide a reference for the development of high-quality online physical education. MethodsThe study involved 691 college students from 10 general universities in Shaanxi Province as research subjects. Descriptive statistics, Pearson correlation analysis, multiple regression analysis and Bootstrap testing were used to evaluate the mediating effects. ResultsThere was a significant positive relationship between the three variables of IDL, OPELB, and LE (p < 0.001). Multiple regression analysis found that IDL significantly and positively predicted LE and OPELB (p < 0.001), and OPELB predicted LE (p < 0.001). IDL among college students had a total effect of 0.816 on LE, with OPELB accounting for 22.67% of the mediated effect. DiscussionThis study demonstrates that OPELB has a partial mediating effect on IL and LE, and stable IDL and OPELB improve LE. Therefore, teachers should pay attention to improving students' IDL while encouraging them to develop better OPELB to achieve satisfactory learning outcomes.

Perceived a community with shared future for doctor-patient and benefit finding: a moderated mediation model.

BACKGROUND: Under the background that the concept of a community with shared future for mankind has been advocated, the doctor-patient relationship has rapidly sublimated into a community with shared future for doctor-patient. The purpose of this study was to analyze the changes and relationships of anxiety, perceived a community with shared future for doctor-patient (PCSF), health self-consciousness (HSC) and benefit finding (BF) in the outbreak stage of COVID-19 and in the stable stage of COVID-19. METHODS: The questionnaire consisted of a self-designed health self-consciousness scale, perceived a community with shared future for doctor-patient scale, revised 7-item generalized anxiety disorder scale and benefit finding scale. Questionnaires were administered in the outbreak stage of COVID-19 and in the stable stage of COVID-19 to address public anxiety, BF, and trust between medical staff and patients. RESULTS: Risk perception will increase anxiety in public, and the public who trust medical staff and the ability of the government to prevent and control the epidemic will have a higher PCSF. Compared with those in the outbreak stage of COVID-19, PCSF, HSC and BF all decreased in the stable stage of COVID-19. HSC partly plays a mediating role in the process of the influence of PCSF and BF (95% CI = [0.3785, 0.5007], [0.2357, 0.3695], P < .001). The R-value of the model in the outbreak stage of COVID-19 and in the stable stage of COVID-19 were 0.555 and 0.429, and the value of R2 was 0.308 and 0.184 respectively (P < .001). In the stable stage of COVID-19, the coefficient of anxiety ✕ PCSF is negative. The B values of anxiety and PCSF are positive, and the moderating effect is negative (P = .038). Anxiety has a negative moderating effect between PCSF and HSC, indicating that anxiety will weaken the positive impact of PCSF on HSC. It means that there exists a substitution relationship between anxiety and PCSF. CONCLUSIONS: The common goal of medical staff and patients is health, and health is the premise of the meaning of life. Vigorously advocating for PCSF can not only promote a harmonious doctor-patient relationship, but also establish a good HSC and improve the understanding of the meaning of life in the public. Furthermore, if the common concept of a community with a shared future for doctor-patient is integrated into the values of life, it may be more stable and long-term to maintain a good doctor-patient relationship. In addition, we should guard against the influence of high-level anxiety on the path of meaning perception.

Study On The Mechanism Of Panic Buying Under Omicron Virus Impact

China has shown strong social cohesion and epidemic prevention and control actions in the face of the sudden new crown epidemic. This study uses questionnaire survey (N=208) data to investigate the important role of group factors and individual anxiety as mediating variables in the panic buying of the new crown epidemic through an empirical study. It was found that group factors significantly and positively influenced panic buying and individual anxiety significantly and positively influenced panic buying;government control significantly influenced panic buying through the mediating effect of group factors and individual anxiety. By exploring the mechanism of government control on panic buying and the role of group factors and individual anxiety as mediating variables, the study proposes thoughts on the way government control is guided in public crisis events. Government control is a policy risk, which affects individual anxiety through group factors and thus panic buying, and panic buying can lead to scarcity of goods and thus market risk. [ FROM AUTHOR] Copyright of Journal of Pharmaceutical Negative Results is the property of ResearchTrentz and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Mediating effect of mindfulness level on the relationship between marital quality and postpartum depression among primiparas.

BACKGROUND: Postpartum depression refers to a depressive episode or depressive symptoms up to 12 mo after delivery. Trait mindfulness has presented a protective factor for postpartum depressive symptoms and proved efficient in improving relationship satisfaction among couples. AIM: To investigate the correlations among mindfulness, marital quality, anxiety, and depression in a large city in western China during the post-corona virus infectious disease-2019 era and determine whether trait mindfulness mediates the relationship between marital quality and postpartum anxiety and depression among primiparas. METHODS: A cross-sectional study was conducted. The self-administered questionnaire was submitted online through smartphones. The levels of mindfulness, anxiety, depression, and marital quality were respectively investigated by the mindful attention awareness scale (MAAS), the self-rating anxiety scale (SAS), the self-rating depression scale (SDS), and the marriage perception scale (MPS) in these enrolled Han and Tujia primiparas. RESULTS: No statistical significance was observed in the prevalence of postpartum anxiety and depression, nor scores of MAAS and MPS-Total in different regions or ethnicities (P > 0.05). However, MPS-Marital interaction (P < 0.05), MPS-Family relationship (MPS-FR) (P < 0.01), and MPS-Marital conflict (MPS-MC) (P < 0.01) scores of urban primiparas were higher than those of rural primiparas. The MPS-MC score of Han primiparas was higher than that of Tujia primiparas (P < 0.05). Negative correlations were observed between MAAS and SAS (r = -0.457, P < 0.01), and MAAS and SDS (r = -0.439, P < 0.01). SAS has revealed a highly positive correlation with SDS (r = 0.720, P < 0.01) and a weak negative correlation with MPS (r = -0.200, P < 0.05). Besides, a weak negative correlation was observed between MAAS and MPS-MC (r = -0.184, P < 0.05), and a weak positive correlation was noticed between SAS and MPS-MC (r = -0.225, P < 0.01). Mediation analysis demonstrated a full mediation effect of mindfulness level on the relationship between MPS-FR and postpartum anxiety (P < 0.05, 95%CI: -0.384 to 0.033), MPS-MC and postpartum anxiety (P < 0.01, 95%CI: 0.027-0.193), MPS-FR and postpartum depression (P < 0.05, 95%CI: -0.365 to 0.031), and MPS-MC and postpartum depression (P < 0.01, 95%CI: 0.022-0.206). CONCLUSION: Mindfulness demonstrates negative correlations with marital conflict, postpartum anxiety and depression, and it may have cross-ethnic and trans-regional characteristics. Although the mindfulness levels have revealed no significant mediating effect between the total score of marital quality and postpartum depression in this study, it demonstrates a full mediation effect on the relationships between family relationships, marital conflict, and postpartum anxiety and depression.

How Does Multinational Corporations' CSR Influence Purchase Intention? The Role of Consumer Ethnocentrism and Consumer Ambivalence

Given the increasingly strained relationship between humans and the environment, green marketing has become a necessity for the sustainable development of society. In this context, this paper seeks to explore the influence of multinational enterprises' green marketing behavior on Chinese consumers' green consumption willingness. Through reviewing the related theories and deeply analyzing multinational corporations' CSR, a theoretical model of multinational corporations' CSR and consumer purchase intention has been built in this paper based on consumers' perceptions. The paper provides empirical research on the multinational corporations' CSR, corporate image, consumer ambivalence, and purchase intention, and offers a hypothesis of the relationship between the four. Consumer ethnocentrism can significantly negatively regulate the relationship between corporate image and consumers' willingness to buy and further negatively regulate the process of establishing the corporate social responsibility system of multinational corporations.

Influence Mechanism of Construction Supply Chain Information Collaboration Based on Structural Equation Model

The construction supply chain has many stakeholders and complex and diverse information, which cause various information exchange problems that diminish project management efficiency. Thus, information collaboration is an important factor in the construction supply chain. This study aims to improve the efficiency of project management by analyzing the factors hindering information collaboration in the construction supply chain in order to determine their internal influencing mechanisms. The relevant data of 281 construction employees is collected by questionnaire survey. The relationship among stakeholders (SH), information technology (IT), external stability mechanism (ESM), and information collaboration is then quantitatively evaluated based on the structural equation model (SEM). The results show that stakeholders, information technology, and the external stability mechanism have an influence on information collaboration, while stakeholders do not have a significant influence. Information technology and the external stability mechanism significantly influence information collaboration and provide a mediation role between stakeholders and information collaboration. The innovation of this work is the quantification of information collaboration influencing factors in the construction supply chain and the analysis of its potential path relationship according to the mediating effect test. Its theoretical contribution is to address the research gap in construction supply chain information collaboration and expand the research scope of construction project collaborative management regarding information collaboration. Finally, this work has a practical contribution by providing suggestions for improving the efficiency of building supply information collaboration.

The Digital Divide in the Post-corona Era: Focused on Social Participation

With the worldwide spread of COVID-19, existing face-to-face activities, especially social activities, have been incorporated as part of online services in the pandemic era. Therefore, the digital divide that continues to change with the development of technology has also become a serious social problem in the aftermath of COVID-19. This study aims to illuminate how the divide in a more digitized society and changes in Internet use caused by COVID-19 affect satisfaction with social participation activities. The analysis revealed that the motivation to use digital devices has a static effect on satisfaction with social participation activities. The variance in Internet social participation due to COVID-19 showed a significant mediating effect between digital motivation and social participation satisfaction. Furthermore, mobile usage skills were found to have static moderating effects between digital motivation and variance in Internet social participation, digital motivation, and satisfaction with social participation. These results suggest that there is a clear gap in social participation according to individual digital capabilities in the spread of information and communication technology services after COVID-19. © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.

How Teaching Presence Facilitate Rural Teachers' Learning Engagement in MOOC for Teacher Education: The Mediating Effect of Learning Motivation

Under the dual influence of the rapid development of education informatization and the severe impact of COVID-19, online training has become a normal way of professional learning for teachers. Teaching presence and learning engagement, as important factors affecting learning effect, have received extensive attention from educational researchers and practitioners. Based on a teacher education MOOC, this study conducted a questionnaire survey on 169 rural teachers who participated in this MOOC, and explored the relationship and mechanism of teaching presence, learning motivation and learning engagement perceived by rural teachers. This study found that there was a significant positive correlation between teaching presence, learning motivation, and learning engagement, and learning motivation played a partial mediating role in teaching presence and learning engagement. In the following MOOCs for teacher education, MOOC designers should enhance the sense of teaching presence from three aspects: learning design, learning organization, and learning intervention, and stimulate the learning motivation of rural teachers, so as to achieve the occurrence of deep online learning for rural teachers. © 2022 ACM.

Fund style drift and stock price crash risk – analysis of the mediating effect based on corporate financial risk

PurposeThis paper aims to identify the direct impact of fund style drift on the risk of stock price collapse and the intermediary mechanism of financial risk, so as to better protect the interests of minority investors.Design/methodology/approachThis paper takes all the non-financial companies on the Chinese Growth Enterprise Market from 2011 to 2020 as study object and selects securities investment funds of their top ten circulation stocks to study the relationship between fund style drift and stock price crash risk.FindingsFund style drift is likely to add stock price crash risk. Financial risk is positively correlated with stock price crash risk. Fund style drift affects stock price crash risk via the mediating effect of financial risk, and fund style drift and financial risk have a marked impact on the stock price crash risk of non-state enterprises, yet a non-significant impact on that of state-owned enterprises.Originality/valueThis paper links fund style drift with stock price crash risk in an exploratory manner and enriches the study perspectives of relationship between institutional investors' behaviors and stock price crash risk, thus enjoying certain academic value. On the one hand, it furnishes a new approach to the academic frontier issue concerning financial risk and stock price crash risk, and proves that financial risk is positively correlated with stock price crash risk. On the other hand, it regards financial risk as a mediating variable of fund style drift for stock price crash risk and further explores different influencing mechanism of institutional investors' behaviors.

Speciesism and Preference of Human–Artificial Intelligence Interaction: A Study on Medical Artificial Intelligence

Artificial intelligence (AI) has revolutionized the medical industry in the decade. It is critical to integrate human–computer interaction into daily clinic service and further increase the public acceptance of medical AI. Based on self-categorization theory, our research draws on speciesism as a vital cognitive factor to examine how patients' speciesism affects their acceptance of medical AI in different roles. The study adopted a positivist research paradigm by examining 249 samples of data collected during COVID-19 in China. The results indicate that patients with higher speciesism tend to have lower acceptance of medical AI in an independent role but higher acceptance in an assistive role. Furthermore, we verified the mediating effect of human–computer trust and the positive moderating role of human uniqueness perception. This article expands the practicality of speciesism from human–animal relationships into human–AI relationships and contributes to human–computer interaction from the perspective of medical AI acceptance. © 2023 Taylor & Francis Group, LLC.

The effects of parent's health literacy and health beliefs on vaccine hesitancy.

Parental vaccine hesitancy is a key factor influencing children's vaccination against infectious diseases such as the COVID-19. The current study aims to investigate how parent's health literacy and health belief affect parental hesitancy toward the COVID-19 vaccination, and navigate effective measures to help parents make vaccination decision for children. A mixed-mode web survey was conducted among parents of children aged 3-11 years. Parental vaccine hesitancy, health literacy, and health beliefs were assessed. Parallel mediation model examined whether the association between parent's health literacy and vaccine hesitancy was mediated by health beliefs. In total, 11.3% of the 346 participants reported vaccine hesitancy. Hesitant parents were more likely to be he mother (Father: 4.5%; Mother: 12.9%) and with children having allergic issues (Allergic: 18.3%; Non-allergic: 9.8%). Meanwhile, parents with lower health literacy were more likely to show hesitancy towards vaccinating their children (ß = -6.87, 95% CI = [-10.50, -3.11]). This relationship was partially mediated by more perceived barriers in vaccination (ß = -2.53, 95%CI = [-4.09, -1.02]), but not other health beliefs. In other words, parents with better health literacy may perceive fewer barriers in making vaccination decision for their children, thus being less hesitant. Accordingly, healthcare professionals and policy makers could design education service to promote parents' health literacy, and remove the perceived barriers as well as increase their confidence in following the COVID-19 vaccine guidance for children.

Mediating role of psychological resilience in the relationship between self-efficacy and professional identity among nurses.

To explore the mediating role of resilience in the relationship between general self-efficacy and professional identity of nurses during the COVID-19 pandemic. A cross-sectional design was employed. A total of 982 nurses from four Grade III, class A hospitals in Shandong Province were investigated using general information questionnaire, nurses' professional identity rating scale, general self-efficacy scale (GSES), and Connor-Davidson flexibility scale (CD-RISC). SPSS22.0 and Amos21.0 were used for data analysis and structural equation modeling. p % counseling The nurses had a score of （27.038±5.933） for general self-efficacy score, 38.290±6.234 for psychological resilience, and （114.99±16.209） for professional identity. A positive correlation between general self-efficacy, professional identity, and psychological resilience (<0.01) was found. The SEM analysis shows that psychological resilience plays a mediating role between general self-efficacy and professional identity. The ratio of the effect is 75.155. During the COVID-19 pandemic, the levels of general self-efficacy and professional identity of nurses was medium, while psychological resilience was high. Nurses' general self-efficacy can affect their professional identity through psychological resilience. During the pandemic, the psychological status of nurses should not be ignored. Nursing managers should fully utilize of group and cognitive therapy based on mindfulness to improve nurses' psychological resilience and general self-efficacy, and to promote nurses' professional identity, so as to ensure the lower turnover rate.

The mediating role of resilience between perceived social support and sense of security in medical staff following the COVID-19 pandemic: A cross-sectional study.

Background: The COVID-19 pandemic not only posed a serious threat to public life and health but also had a serious impact on people's mental health, especially that of medical staff. Perceived social support is an important factor in one's sense of security. Objective: Following the COVID-19 pandemic, the goal is to explore the potential mediating role of resilience in the relationship between perceived social support and the sense of security of Chinese medical personnel. Methods: The multi-stage proportionally stratified convenience sampling method was adopted to select 4,076 medical professionals from 29 hospitals in Guangdong Province between September 2020 and October 2020. The Sense of Security Scale for Medical Staff, the Chinese version of the Connor-Davidson Resilience Scale, and the Perceived Social Support Scale were employed in this study. For statistical analysis and structural equation modeling (SEM), the SPSS 23.0 and Amos 24.0 software packages were used. Regression analysis was used to select the control variables to be included in the SEM. SEM analysis was conducted to verify the mediating effect of resilience on the relationship between perceived social support and a sense of security. Results: Pearson's correlation analysis showed that perceived social support and resilience were positively associated with a sense of security (correlation coefficients range from 0.350 to 0.607, P < 0.01), and perceived social support (correlation coefficients range from 0.398 to 0.589, P < 0.01) was positively associated with resilience. Structural equation modeling revealed that resilience played a partial mediating role in the association between perceived social support and a sense of security (60.3% of the effect of perceived social support on security was direct, and 39.7% of the effect was mediated by resilience). Conclusions: Hospital managers should make efforts to develop resilience. Interventions based on resilience should be developed to enhance the perception of social support and strengthen one's sense of security.

Relationship Between Mental Health Education Competency and Interpersonal Trust Among College Counselors: The Mediating Role of Neuroticism.

Objective: Based on the motivated cognition account, this study aimed to explore the relationship between mental health education competency and interpersonal trust among college counselors, as well as the mediating effect of neuroticism. Materials and Methods: A total of 483 college counselors were selected, including 155 men and 328 women. The youngest college counselor was 22 years old and the oldest was 56 years old (M = 31.69, SD = 6.12). The college counselors were asked to fill out the Mental Health Education Competency Scale for College Counselors, a 10-item short version of the Big Five Inventory, and an Interpersonal Trust Scale. Results: (1) This study found a significantly positive correlation between mental health education competency and interpersonal trust. (2) Mental health education competency and interpersonal trust were negatively correlated with neuroticism. (3) The mediating role of neuroticism in the association between mental health education competency and interpersonal trust was significant. Conclusion: Mental health education competency partly affected interpersonal trust via the mediating effect of neuroticism.

Influence of empathy on work alienation among Chinese nurses during the COVID-19 pandemic: The mediating effect of ego depletion.

Background: Nurses' work alienation has become increasingly serious due to the increase in workload and risk during the coronavirus disease 2019 (COVID-19). However, no studies have investigated the link between empathy, ego depletion, and work alienation among Chinese nurses. The present study aimed to evaluate Chinese nurses' empathy, ego depletion, and work alienation and to examine whether nurses' ego depletion mediates the relationship between empathy and work alienation. Methods: This was a descriptive, cross-sectional study involving 353 nurses from Shaanxi. The Jefferson Scale of Empathy-Health Professionals, Self-Regulating Fatigue Scale and Work Alienation Questionnaire were used to collect data through an online survey. Structural equation modeling was conducted to analyze the mediating model. Results: Work alienation was negatively correlated with empathy (r = -0.305, p < 0.01) and positively correlated with ego depletion (r = 0.652, p < 0.01). Empathy was negatively correlated with ego depletion (r = -0.325, p < 0.01). Empathy can directly predict work alienation (ß = -0.263, p < 0.01), while ego depletion has a mediating effect between empathy and work alienation (ß = -0.309, p < 0.01), and the mediating effect accounts for 54.02% of the total effect. Conclusion: Nurses' work alienation was at a moderate-to-high level. Improving empathy can reduce work alienation through less ego depletion. Nursing managers should discover nurses' work alienation as soon as possible. Interventions to improve empathy can help replenish nurses' psychological resources, thereby reducing ego depletion and work alienation.

The Relationship Between College Students' Interpersonal Relationship and Mental Health: Multiple Mediating Effect of Safety Awareness and College Planning.

Purpose: The research intends to find the internal influence mechanism of interpersonal relationship on college students' mental health. College students have many mental health problems, which can easily lead to extreme events. It is of great research value to explore the relationship among interpersonal relationship, safety awareness, college planning, and mental health. Participants and Methods: GHQ, WHOQOL-BREF, SWBS-CC, LSIB, and TSCS scales were used, revised questionnaire for cluster sampling of college students, 1661 valid samples. SPSS 26.0 and PROCESS V4.1 were used for analysis, and nonparametric Bootstrap method was used to test the significance level of the mediating effect. Results: There are significant differences in interpersonal relationship, safety awareness, and college planning between high mental health group and low mental health group. There are differences in safety awareness between genders. There is a positive correlation among interpersonal relationship, safety awareness, college planning, and mental health. Interpersonal relationship has a positive predictive effect on mental health. There are three mediating pathways of interpersonal relationship on mental health: independent mediating effect pathway of safety awareness, independent mediating effect pathway of college planning, and chain mediating effect pathway through safety awareness and college planning. Conclusion: This study reveals the Influence mechanism of interpersonal relationships on college students' mental health. The relationship between interpersonal relationship and mental health is affected by the multiple mediating effects of safety awareness and college planning. It provides a new perspective for preventing and intervening mental health problems. College students' personality has plasticity, which can be interfered by mediating mechanism. The present findings could help college students actively participate in interpersonal communication, improve safety awareness, and make a good college planning, so as to enhance the mental health level of college students.

Mediating Effect of COVID-19 Pandemic on Single Use Plastic Production, Usage and Disposal Management Models Correlations

This research examines the consequences of the COVID-19 epidemic on the production, use, and disposal of single-use plastics. This research explores the intricate relationships between the impacts of COVD-19 on single-use plastic production, usage, and waste management with a focus on the mediating effects of the pandemic related to model parameters and correlations to develop a trustworthy approach. The report examines first the increasing evidence regarding the pandemic's influence on various users and industries, and then the consequences for waste management and the environment. The research then examined the relationships and modelling framework correlations between the variables utilised to estimate the influence of COVID-induced changes in production, consumption, and management on single-use plastics. The study variables captured the influence of production, usage, and disposal on the environment. The study's parameters are equally linked to types of usage, have a pronominal effect, and disposal plays a vital role in the environmental impact, which makes them extremely dynamic for parameters in this study. Single-use plastic aggregation in the environment is predicted to be a dominant mechanism by disposal behaviour. © 2023 Institute of Physics Publishing. All rights reserved.

Photographic intervention effect on positive and negative affects during COVID-19: Mediating role of future self-continuity.

Meaning in Life (MIL) is a protective factor that buffers the impact of COVID-19 epidemic on emotions. Our study aimed to explore whether photographic intervention based on MIL could increase Positive Affect (PA) and mitigate Negative Affect (NA), and whether Future Self-Continuity (FSC) functioned as a mediator between them. In this study, 90 college students were randomly divided into an intervention group or a control group. Participants in the intervention group were asked to take a photo and describe it every 2 days lasting 2 weeks. All the participants in the two groups were measured by the Meaning in Life Questionnaire, Positive and Negative Affect Scale, and Future Self-Continuity Scale before and after the intervention. The results showed that: (1) Before the intervention, there were no significant differences in baseline levels of MIL, PA and NA, and FSC between intervention and control groups. (2) In the intervention group, compared to pre-test, the scores of MIL, PA, and FSC of post-test increased significantly, and the score of NA of post-test decreased significantly. (3) After the intervention, the scores of MIL, PA, and FSC in the intervention group were significantly higher than those in the control group; NA score in the intervention group was significantly lower than that in the control group. (4) In terms of the difference score (post-test minus pre-test), FSC was a mediator between MIL and PA. Our study demonstrated that photographic intervention could effectively improve college students' MIL, PA, and FSC while mitigating NA. Moreover, MIL could significantly enhance PA by the mediating role of FSC.

Influencing Factors and Symbiotic Mechanism of the Integration of Medical Care and Disease Prevention during the COVID-19 Pandemic: A Cross-Sectional Survey of Public Hospital Employees.

Background: The COVID-19 outbreak has accelerated the huge difference between medical care and disease prevention in Chinese medical institutions. This study aimed to investigate the relationship between the symbiotic units, environments, models, and effects of the integration of medical care and disease prevention. Methods: This cross-sectional study involved 762 employees of public hospitals in 11 cities in Zhejiang Province by random stratified sampling. We analyzed the influence paths of elements in the mechanism of integration of medical care and disease prevention and the mediating effect of symbiotic models among symbiotic units, symbiotic environments, and effects on this integration. Results: The path coefficient of the symbiotic unit on the symbiosis model was 0.46 (p < 0.001), the path coefficient of the symbiotic environment on the symbiosis model was 0.52 (p < 0.001). The path coefficient of the symbiotic unit and the environment was 0.91 (p < 0.001). The symbiotic models exhibited a partial mediation effect between symbiotic units and the effect of this integration. Sobel test = 3.27, ß = 0.152, and the mediating effect accounted for 34.6%. Conclusions: It is suggested that health policymakers and public hospital managers should provide sufficient symbiotic units, establish collaborative symbiotic models, and improve the effects of integration of medical care and disease prevention in public hospitals.

Relationships among inferiority feelings, fear of negative evaluation, and social anxiety in Chinese junior high school students.

Introduction: This study aimed to explore the relationship between feelings of inferiority and social anxiety in Chinese junior high school students. In addition, it examined the potential mediating effect of fear of negative evaluation in this relationship. Methods: A survey was administered to a sample of 734 Chinese junior high school students. The Feelings of Inadequacy Scale, Brief Fear of Negative Evaluation Scale, and Social Avoidance Distress Scale were used. Results: First, there were significant positive correlations between all subscales for the inferiority feelings, social anxiety, and fear of negative evaluation. Furthermore, fear of negative evaluation mediated the predictive effects of four inferiority subscales (i.e., self-esteem, academic ability, appearance, and physical ability) for social anxiety. However, the total score for the sense of inferiority and social confidence subscale lacked this mediating effect. Conclusion: The inferiority feelings of self-esteem, academic ability, appearance, and physical ability may directly and indirectly predict social anxiety through fear of negative evaluation.