How work stress influence turnover intention among Chinese local undergraduate university teachers: the mediating effect of job burnout and the moderating effect of self-efficacy.

Background: Turnover intention is one of the common disturbances that affect the career development and management of university teachers. With an aim to solve this thorny issue, the study examined the associations between turnover intention and work stress among local undergraduate university teachers in China. Methods: A questionnaire survey was carried out on 7,565 local university teachers. Initially, confirmatory factor analysis was employed to validate the reliability and validity of the scale. Subsequently, descriptive statistics and correlation analyses were conducted. Following this, a latent moderated structural equation (LMS) was used to explore the relationship among work stress, job burnout, self-efficacy, and turnover intention. Moreover, the bias-corrected Bootstrap method was applied to further examine the mediating effects, moderating effects, and moderated mediating effects in the model. Results: The hypothesized moderated mediation model was verified significant. Work stress directly and positively predicted job burnout and turnover intention, with job burnout serving a partial mediating role between work stress and turnover intention. Additionally, self-efficacy negatively moderated the direct impact of work stress on job burnout, as well as the mediating effect of job burnout. As the self-efficacy of university teachers increased, the direct effect of work stress on job burnout and the mediating effect of job burnout decreased. Conclusion: This study expanded the research on the antecedent variables of university teachers' turnover intention and revealed the individual contingency mechanism by which work stress affected turnover intention: the negative moderating effect of self-efficacy. Work stress induced university teachers' turnover intention, and this phenomenon was more obvious for faculties with low self-efficacy. Administrators of local undergraduate universities need to rationalize the allocation of teachers' job responsibilities and pay attention to the negative consequences of work stress in order to reduce turnover intentions. Particular attention should be paid to enhance teachers' self-efficacy. The findings of this study can provide in-depth recommendations for university faculty management and policy making, which can help shape a working atmosphere more conducive to teaching and research, thus enhancing the overall quality and competitiveness of faculty members within universities.

Influence of academic involution atmosphere on college students' stress response: the chain mediating effect of relative deprivation and academic involution.

BACKGROUND: In recent years, the phenomenon of academic involution atmosphere among college students has gradually attracted the focus of education and social circles. Thus, this study targets college students as the research object and constructs a hypothetical model to explore the relationship between academic involution atmosphere and college students' stress response, as well as the mediating role of relative deprivation and academic involution. METHODS: A survey was conducted on 1090 college students using the Academic Involution Atmosphere Scale, Relative Deprivation Scale, Personal Academic Involution Scale, and Stress Response Scale. RESULTS: The results show that: (1) Academic involution atmosphere, relative deprivation, and academic involution are significantly and positively correlated with stress response; (2) Academic involution atmosphere not only directly predicts college students' stress response, but also indirectly predicts them through relative deprivation and academic involution, respectively; (3) Relative deprivation and academic involution have a chain mediating effect between academic involution atmosphere and stress response. CONCLUSIONS: The findings of this study reveal the influence of academic involution atmosphere on college students' stress response and the mechanism, providing beneficial insights for reducing college students' stress response and maintaining their psychological well-being.

The influence of labor education participation on the subjective well-being of college students: chain mediation effect of self-efficacy and healthy lifestyle.

Background: In the process of modernization, along with economic development, intensified social competition, and increasing mental health problems such as anxiety and depression, the issue of subjective well-being has received widespread attention. The level of subjective well-being of college students also affects whether society can achieve sustainable development. In philosophy, political science, economics, sociology and other disciplines, labor is regarded as an important factor affecting subjective well-being. Labor education is an educational activity carried out by Chinese universities in recent years. This further inspires the author to think, for the college students, will the labor education received on campus have an impact on the subjective well-being? What characteristics will its impact mechanism present? What are the characteristics of the influence on subjective well-being?. Methods: This research adopts a cross-sectional design, specifically employing a random sampling approach. In this study, the questionnaire was distributed to the college's students of 14 universities in China through the Internet. A total of 2100 questionnaires were collected. Results: This paper mainly used questionnaires to collect data, and on this basis, examined the relationship between labor education participation, self-efficacy, healthy lifestyle and subjective well-being of college students. The results showed that: (1) Labor education participation positively affected college students' subjective well-being. (2) Self-efficacy partially mediated the relationship between labor education participation and college students' subjective well-being. (3) Healthy lifestyle partially mediated the relationship between labor education participation and college students' subjective well-being. (4) Self-efficacy and healthy lifestyle played a chain mediating role between labor education participation and college students' subjective well-being.

Does Early Parental Conflict Impact Current Depression Among Older Adults in Rural China? A Chain-Mediated Model Analysis.

Purpose: The study aimed to investigate the relationships between early parental conflict, marital and parent-child relationships, and current depression among rural older adults, and to examine its gender differences. Methods: Using data obtained from the China Health and Retirement Longitudinal Study (CHARLS) conducted in 2018, we selected 2347 adults aged 60 years and older in rural China and used a structural equation model to evaluate the mechanisms behind early parental conflict and current depression among such adults. Results: Early parental conflict impacted current depression among rural older adults, and marital and parent-child relationships played mediating roles in the mechanism. However, there were gender differences in the paths: early parental conflict directly impacted older males' depression, but not among females; marital relationships acted as a mediator between early parental conflict and current depression among older females, but not among males. Conclusion: Among older adults in rural China, early parental conflict can affect current depression through the indirect path of marital relationships as well as the chain mediating path between marital and parent-child relationships.

Relationship between career maturity, psychological separation, and occupational self-efficacy of postgraduates: moderating effect of registered residence type.

BACKGROUND: With the slowdown of economic growth and the increasing pressure of employment competition worldwide during the normalized epidemic prevention and control, the job-hunting intention and behavior of college graduates deserve in-depth study. This study explores the relationship between the career maturity, psychological separation and occupational self-efficacy of postgraduates, and provides a theoretical basis for improving their career maturity. METHODS: A questionnaire survey was carried out on postgraduates with 584 valid data in China by using the Career Maturity Scale, Psychological Separation Scale and the Occupational Self-efficacy Scale. A structural equation model and bias-corrected self-sampling method were adopted to explore their relationship. The moderating effect of registered residence type was tested. RESULTS: The results show that: (1) The higher the level of psychological separation of postgraduates, the higher their career maturity. (2) Occupational self-efficacy plays a mediating role in the process of psychological separation promoting career maturity. (3) The registered residence type moderates the latter half of the mediating process of psychological separation, occupational self-efficacy, and career maturity. Moreover, occupational self-efficacy plays a more significant role in promoting the career maturity of postgraduates with rural registered residence. CONCLUSIONS: This study reveals the relationship between the career maturity, psychological separation and occupational self-efficacy of postgraduates. At the same time, it also verifies the mediating role of occupational self-efficacy and the moderating role of registered residence type. The result is helpful for postgraduates to understand the level of their career maturity and improve their career decision-making level and career development ability.

The effect of smartphone dependence on learning burnout among undergraduates: the mediating effect of academic adaptability and the moderating effect of self-efficacy.

Introduction: Smartphone dependence is closely related to the physical and mental health development of undergraduates and their learning. The purpose of this study was to explore the relationship between smartphone dependence, academic adaptability, self-efficacy and learning burnout among undergraduates and its underlying mechanisms. Methods: The study was conducted on 2,110 undergraduates using the Smartphone Dependence Scale, the Undergraduates Learning Adjustment Scale, the Learning Burnout Undergraduates Scale and the Self-Efficacy Scale to develop a mediation model and a moderation model. Results: The findings of this study revealed that (1) smartphone dependence significantly negatively predicted academic adaptability; (2) academic adaptability significantly negatively predicted learning burnout; (3) smartphone dependence significantly positively predicted learning burnout; (4) academic adaptability partially mediated the effect of smartphone dependence on learning burnout; (5) self-efficacy played a moderating role in the effect of academic adaptability on learning burnout. Conclusion: These findings can help researchers and educators better understand the underlying mechanisms between smartphone dependence and learning burnout in undergraduates.

The Effect of Academic Adaptability on Learning Burnout Among College Students: The Mediating Effect of Self-Esteem and the Moderating Effect of Self-Efficacy.

Background: With the popularization of higher education, the problems of academic adaptability and learning burnout among college students have become increasingly prominent. The purpose of this study was to investigate the relationship between academic adaptability, learning burnout, self-esteem and self-efficacy of college students and their underlying mechanisms. Methods: The study was conducted on 2110 college students using the College Student Learning Adjustment Scale, the Learning Burnout Undergraduates Scale, the Self-Esteem Scale, and the Self-Efficacy Scale to establish a mediating model of adjustment. SPSS 26.0 was used for descriptive statistics and Pearson correlation analysis. Model 4 and Model 14 in the process plug-in prepared by Hayes (2017) were used for mediating effects analysis and moderating mediator analysis respectively, and the significance of the mediating effects was tested using the bias-corrected percentile Bootstrap method. Results: (1) academic adaptability significantly and positively predicted self-esteem; (2) self-esteem significantly and negatively predicted learning burnout; (3) academic adaptability significantly and negatively predicted learning burnout; (4) self-esteem partially mediated the effect of academic adaptability on learning burnout; and (5) self-efficacy moderated the latter half of the mediation process of academic adaptability-self-esteem-learning burnout. Conclusion: These findings are useful for college educators and related researchers to better understand the mechanisms underlying the relationship between academic adaptability and learning burnout, thus providing practical and effective operational suggestions on the prevention and intervention of learning burnout in college students.

Hope Buffers the Effect of Fear of COVID-19 on Depression among College Students: Insomnia as a Mediator.

BACKGROUND: In the period of the global pandemic, psychophysical problems induced by the fear of COVID-19 among college students deserve attention since the dormitory environment in college greatly increases the possibility of COVID-19 infection. METHODS: A hypothesized mediated moderation model was to be verified using a cross-sectional study among 2453 college students. Fear of COVID-19, insomnia, hope, and depression were assessed by using the relevant scales. RESULTS: (1) The fear of COVID-19 was positively correlated to depression (ß = 0.365, t = 5.553, 95% CI = [0.236, 0.494]); (2) hope moderated the influence of the fear of COVID-19 on depression (ß = -0.093, t = -4.066, 95% CI = [-0.137, -0.048]), as well as on insomnia (ß = -0.095, t = -4.841, 95% CI = [-0.133, -0.056]); and (3) the mediated moderation model with hope as the moderator and insomnia as the full mediating variable between fear of COVID-19 and depression was verified (ß = -0.060, 95% CI = [-0.093, -0.028]). CONCLUSIONS: The findings suggest that hope is a vital mechanism to explain the relationship between the fear of COVID-19 and depression in early adulthood. In practical application, mental health practitioners should focus on boosting hope and alleviating insomnia when addressing COVID-19-related depression issues among college students.

The influence of occupational values on college students' willingness to apply for civil servants: The mediating role of political efficacy.

At present, civil servant positions have become the main employment target of many college students in China, and there is a deep motivation behind this phenomenon. This research conducted an empirical study on college students in 2022 with 566 valid data by using the convenience sampling method. The occupational values scale, political efficacy scale, and the willingness to apply for civil servants scale were used. Descriptive statistical analysis, correlation analysis, and common method deviation were performed by SPSS 26.0 to test the reliability of each scale and the discriminant validity of variables. In addition, the structural equation model and bias-corrected bootstrap were used to explore the influence of occupational values on college students' willingness to apply for civil servants and analyze the mediating role of political efficacy. The results show that: (1) The dimensions of career stability, prestige value, and public service motivation of occupational values have significant positive impacts on college students' willingness to apply for civil servants, among which public service motivation has the most significant impact. (2) Occupational values have significant positive impacts on college students' political efficacy. (3) Political efficacy has a significant positive impact on the college students' willingness to apply for civil servants. (4) Political efficacy plays a partial mediating role in the transmission path of occupational values and willingness to apply for civil servants. These findings further clarify the logical relationship between occupational values and civil servants' willingness, providing a theoretical basis and practical reference for college educators to implement college students' career education.

Predicting prognosis of heart failure using common malnutrition assessment tools: A systematic review and meta-analysis.

BACKGROUND AND AIMS: COUNT score, PNI score, and GNRI scores are associated with cardiovascular events. This review identifies the most accurate malnutrition assessment tools based on these scores in predicting mortality and readmission outcomes in HF patients. MATERIAL AND METHODS: PubMed via MEDLINE, EMBASE were searched to identify studies assessing malnutrition using CONUT, PNI and GNRI. A meta-analysis was carried out to pool the hazard ratios on mortality and readmission rates. The methodological quality was assessed using the Newcastle-Ottawa Scale. RESULTS: The mortality in HF patients with malnutrition assessed by CONUT showed pooled HR of 1.23. HF patients with all severe, moderate, and mild risk of malnutrition showed mortality with HR 3.56, 2.71 and 1.57 respectively. For malnutrition assessed with GNRI, HF patients with all severe, moderate, and mild risk of malnutrition showed mortality with HR 4.17, 2.73 and 1.73 respectively. No significance difference in association of CONUT score with pooled HR of readmission rate was observed HR 0.99. With PNI, HF patients with all severe and moderate risk of malnutrition showed mortality with HR 2.14 and HR 1.68 respectively, although they failed to achieve significance. CONCLUSION: CONUT and GNRI are the superior prognostic indicator than PNI in prediction of mortality associated with risk of malnutrition.

Risk factors for hospital readmissions in pneumonia patients: A systematic review and meta-analysis.

BACKGROUND: Factors that are associated with the short-term rehospitalization have been investigated previously in numerous studies. However, the majority of these studies have not produced any conclusive results because of their smaller sample sizes, differences in the definition of pneumonia, joint pooling of the in-hospital and post-discharge deaths and lower generalizability. AIM: To estimate the effect of various risk factors on the rate of hospital readmissions in patients with pneumonia. METHODS: Systematic search was conducted in PubMed Central, EMBASE, MEDLINE, Cochrane library, ScienceDirect and Google Scholar databases and search engines from inception until July 2021. We used the Newcastle Ottawa (NO) scale to assess the quality of published studies. A meta-analysis was carried out with random-effects model and reported pooled odds ratio (OR) with 95% confidence interval (CI). RESULTS: In total, 17 studies with over 3 million participants were included. Majority of the studies had good to satisfactory quality as per NO scale. Male gender (pooled OR = 1.22; 95%CI: 1.16-1.27), cancer (pooled OR = 1.94; 95%CI: 1.61-2.34), heart failure (pooled OR = 1.28; 95%CI: 1.20-1.37), chronic respiratory disease (pooled OR = 1.37; 95%CI: 1.19-1.58), chronic kidney disease (pooled OR = 1.38; 95%CI: 1.23-1.54) and diabetes mellitus (pooled OR = 1.18; 95%CI: 1.08-1.28) had statistically significant association with the hospital readmission rate among pneumonia patients. Sensitivity analysis showed that there was no significant variation in the magnitude or direction of outcome, indicating lack of influence of a single study on the overall pooled estimate. CONCLUSION: Male gender and specific chronic comorbid conditions were found to be significant risk factors for hospital readmission among pneumonia patients. These results may allow clinicians and policymakers to develop better intervention strategies for the patients.

Role of rumination and hope on negative life events and suicidal ideation under the background of normalization of pandemic prevention and control: A moderated mediation model.

Introduction: The study aimed to investigate the impact and mechanism of negative life events on college students' suicidal ideation during the COVID-19 pandemic and the buffering effect of hope under the background of normalization of pandemic. Methods: A total of 5211 participants took part in this study. Self-reported negative life events, rumination, hope and suicide ideation were measured using a range of questions and scales. Our research demonstrated that the incidence of suicidal ideation among college freshmen in the past week was higher during the COVID-19 pandemic than that before the pandemic. In this study, conditional process model 15 was used to verify the hypothetical model of rumination as a potential mediator and hope as a moderator. Results: The hypothesized moderated mediation model was verified significant (ß = -0.047, 95% CI = [-0.061, -0.035]), and hope was found to moderate the direct effect of negative life events on suicidal ideation (ß = -0.039, t = -2.937, 95% CI = [-0.065, -0.013]) as well as the indirect effect of through the mediator rumination (ß = -0.134, t = -10.850, 95% CI = [-0.158, -0.110]). Discussion: We found that rumination partially mediated the effect of negative life events on suicidal ideation, and hope buffered the direct and indirect effect of negative life events on suicidal ideation. The implications of the findings for clinical interventions are discussed, including the importance of hope arousal as a protective factor and rumination as a cognitive mechanism for emotion regulation under the background of normalization of pandemic.

Prediction of stroke-associated pneumonia by the A2DS2, AIS-APS, and ISAN scores: a systematic review and meta-analysis.

Background: Different scoring systems (A2DS2, AISAPS, ISAN) have been designed to predict the risk of in-hospital stroke-associated pneumonia (SAP). Studies have assessed the accuracy of these scores for predicting SAP. We performed this meta-analysis to consolidate the evidence on the predictive accuracies for SAP of the A2DS2, AISAPS, and ISAN scores.Materials and methods: We conducted a systematic search for all studies reporting the SAP predictive accuracy of A2DS2, AISAPS, or ISAN scores in the databases of PubMed Central, SCOPUS, MEDLINE, Embase, and Cochrane from inception until December 2020. We used the STATA software for the meta-analysis.Results: We included 19 studies with 35 849 patients. The pooled score sensitivities were 78% (95% CI, 71%-83%) for A2DS2, 79% (95% CI, 77%-81%) for AISAPS, and 79% (95% CI, 77%-81%) for ISAN. The pooled score specificities were 73% (95% CI, 65%-80%) for A2DS2, 74% (95% CI, 69%-79%) for AISAPS, and 74% (95% CI, 69%-79%) for ISAN. We found significant heterogeneity for all the scoring systems based on the chi-square test results and an I2 statistic > 75%. We performed meta-regression to explore the source of heterogeneity and found that patient selection (p< 0.05) and reference standards (p< 0.05) in the sensitivity model, index test standards (p< 0.05), flow and timing of tests (p< 0.01) in the specificity model, and mean age (p < 0.001) in the joint model were the source of heterogeneity.Conclusions: To summarize, we found that A2S2, AISAPS and ISAN have moderate predictive accuracy for SAP with A2S2 having a stable cutoff value.

Outcomes Following Percutaneous Coronary Intervention in Saphenous Vein Grafts With and Without Embolic Protection Devices: A Systematic Review and Meta-Analysis.

OBJECTIVE: This study aimed to review studies comparing outcomes following percutaneous coronary intervention (PCI) in saphenous vein grafts (SVG) with and without embolic protection devices (EPD). METHODS: Databases including PubMed Central, Cochrane Library, EMBASE, CINAHL, MEDLINE, Google Scholar, ScienceDirect, and Scopus were searched from January 1964 to April 2021. We used the Cochrane risk of bias tool and the Newcastle Ottawa scale to assess the quality of published studies based on study design. From the results, we carried out a meta-analysis with a random-effects model and reported pooled odds ratio (OR) with 95% CI. RESULTS: In total, 11 studies were analyzed that included 79,009 total participants. EPD use had significantly lower odds of mortality (pooled OR = 0.69; 95% CI: 0.5-0.94). There was no significant difference in terms of major adverse cardiovascular events (MACE) (pooled OR = 0.83; 95% CI: 0.67-1.03), target vessel revascularization (pooled OR = 1; 95% CI: 0.95-1.05), periprocedural (pooled OR = 1.12; 95% CI: 0.65-1.9) and late myocardial infarction (MI) (pooled OR = 0.79; 95% CI: 0.55-1.14) with or without EPD for PCI in SVG patients. CONCLUSION: Although not statistically beneficial for MACE, target vessel revascularization, periprocedural, and late MI, EPD use does appear to significantly reduce mortality for the patients undergoing PCI in SVG. Clinicians might consider using EPD for such patients to reduce the burden of post-procedural morbidity and mortality.

Relationship between common eNOS gene polymorphisms and predisposition to coronary artery disease: Evidence from a meta-analysis of 155 published association studies.

BACKGROUND: Relationship between endothelial nitric oxide synthase (eNOS) polymorphisms and predisposition to coronary artery disease (CAD) are still controversial and ambiguous. So we performed this meta-analysis to more precisely estimate relationship between eNOS polymorphisms and CAD by pooling the results of already published studies. METHODS: We searched Pubmed, Embase, Web of Science and CNKI for eligible studies. We used Review Manager to pool the results of eligible studies. RESULTS: One hundred and fifty-five studies were included in this meta-analysis. We found that eNOS rs1799983, rs2070744 and rs869109213 polymorphisms were all significantly associated with CAD in the general population. We also detected similar significant results for eNOS rs1799983, rs2070744 and rs869109213 polymorphisms in both Caucasians and Asians in further subgroup analyses. CONCLUSIONS: This meta-analysis demonstrated that eNOS rs1799983, rs2070744 and rs869109213 polymorphisms might influence predisposition to CAD in both Caucasians and Asians.

Comparison of Telbivudine and Entecavir Therapy on Nephritic Function and Drug Resistance in Patients with Hepatitis B Virus-Related Compensated Cirrhosis.

BACKGROUND: To compare the impact of telbivudine (LDT) and entecavir (ETV) administration on nephritic function. METHOD: One hundred thirty patients diagnosed with hepatitis B virus (HBV)-related compensated cirrhosis were randomly divided into LDT (600 mg/d) or ETV (0.5 mg/d) groups. RESULTS: The drug resistance rate was higher following LDT treatment compared to ETV treatment (16.9% vs. 1.5%, P=0.0006). The mean creatinine level decreased compared to baseline in the LDT group (0.81 vs. 0.94 mg/dl, P=0.000). The change in median glomerular filtration rate (eGFR) compared to baseline in the LTD and ETV groups was 22.3 and -3.3, respectively, at 2 years (P=0.000). In patients with mild nephritic injury (eGFR< 90 ml/min/1.73m2), the median eGFR increased by 28.0 ml/min/1.73m2 in the LDT group and decreased by 4.3 ml/min/1.73m2 in the ETV group (p=0.000). The eGFR in 88.5% of patients (23/26) from the LDT group increased > 90 ml/min/1.73m2. The percentage of patients with an eGFR > 90 ml/min/1.73m2 increased from 60.0% to 92.3% in the LDT group and from 64.6% to 69.2% in the ETV group. CONCLUSION: In patients with HBV-related compensated cirrhosis, LDT treatment was more effective in protecting nephritic function and was associated with a higher drug resistance rate, but did not contribute to a better outcome compared with ETV treatment.