To analyze the time trend and potential influencing factors of hospitalization of children with mental disorders in Beijing.

The information on hospital admissions of children with mental disorders living in Beijing from 2014 to 2018 was collected. Joinpoint regression model and grey correlation analysis were used to explore the changing trend of hospital admissions and the correlation intensity of the influencing factors.

From 2014 to 2018, the number of hospitalized children with mental disorders showed an upward trend with an average annual change rate of 19.33%. In the subgroup, the number of hospitalized children with mood disorders increased most rapidly (average annual percentage rate change (AAPC) =34.39%), followed by female children (AAPC=31.97%). The results of grey correlation analysis showed that per capita disposable income (correlation degree 0.841) and per capita GDP (correlation degree 0.837) had the strongest correlation with the number of hospitalized children with mental disorders.

The number of hospitalized children with mental disorders increased significantly from 2014 to 2018, and the trend of hospitalization of children with mental disorders with different characteristics and the correlation order of influencing factors were different. We should focus on the strongly related factors of different children with mental disorders and strengthen the mental health education and prevention and control of children in Beijing so as to provide reference for the formulation of relevant policies.

To investigate the relationship between folic acid supplementation behavior and the risk of gestational diabetes mellitus (GDM) in peri-pregnant women, so as to provide evidence for health care of perinatal women.

Based on the monitoring data of pregnancy health care system in Tongzhou district of Beijing from January 2016 to December 2021, multivariate stepwise Logistic regression model and interaction model were used to investigate the effect of folic acid supplementation behavior on the risk of GDM in perinatal women.

A total of 92 708 subjects were included in this study, including 9 926 patients with GDM, with a prevalence rate of 10.71%. The results of Logistic regression analysis showed that folic acid supplementation during perinatal period (OR=0.627, 95%CI: 0.421-0.933), regular folic acid supplementation (OR=0.927,95%CI: 0.887-0.968), simple folic acid supplementation (OR=0.815, 95%CI: 0.778-0.853), and folic acid supplementation before pregnancy (OR=0.921, 95%CI: 0.882-0.963) were associated with the reduced risk of GDM (P<0.05). The results of interaction analysis showed that there was significant interaction between folic acid supplementation type (OR=0.761, 95%CI:0.726-0.798) and folic acid supplementation time (OR=0.721, 95%CI: 0.658-0.791) and whether folic acid supplementation was regular or not (P<0.05).

Folic acid supplementation before pregnancy and folic acid alone can effectively reduce the incidence of GDM. Nutrition and health education before pregnancy should be strengthened and the importance of regular folic acid supplementation before pregnancy should be emphasized in order to reduce the risk of GDM and protect maternal and infant health.

To understand the current situation of nosocomial infection management in primary medical institutions in Guizhou Province, and to provide reference for standardizing the professional development of nosocomial infection management in primary medical institutions.

By using the method of electronic questionnaire survey, the management of nosocomial infection in primary medical institutions in Guizhou Province from April 1 to 30, 2022 was investigated, and 611 valid questionnaires were retrieved.

Among the 611 primary health care institutions, 401 medical institutions set up nosocomial infection committees, 149 medical institutions set up independent nosocomial infection management departments, 321 medical institutions were equipped with full-time staff for nosocomial infection management, and 573 medical institutions were equipped with part-time staff for nosocomial infection management. In total, 321 primary health care institutions were equipped with 334 full-time staff for nosocomial infection management. The average age was (35.19±8.57) years old, the gender was mainly female, the major was nursing, and the degree was bachelor degree or below. The management of nosocomial infection in different types of primary health care institutions was compared and analyzed, and there were differences in age, professional background, educational background, and working years of nosocomial infection department (P < 0.05). The focus of the full-time staff of nosocomial infection management was the issue of salary.

The construction of the organizational structure of nosocomial infection management in private grass-roots medical institutions in Guizhou Province needs to be strengthened, and some full-time staff are engaged in nosocomial infection management for a short time, so they need to strengthen their ability and training.

To understand the current situation of death anxiety of the elderly in rural areas of Sichuan and its influencing factors.

A questionnaire survey was conducted among 702 rural elderly from 6 prefecture-level cities in Sichuan Province. On the basis of describing the current situation of death anxiety, the χ² test and logistic regression analysis were used to explore the influencing factors of death anxiety.

The scores of emotional dimensions of death anxiety, stress and pain, time consciousness, and cognitive dimension of the elderly in rural areas of Sichuan were (1.10 ±1.33), (2.29 ±1.80),(0.76±0.79), and (1.18±0.79), respectively. The total score was (5.33±3.68), and 245 (34.90%) had high death anxiety. Multivariate analysis showed that the number of children (OR=0.742, 95%CI: 0.630-0.875)), subjective well-being (OR=0.453,95%CI: 0.335-0.612)) and physical fitness (OR=0.581, 95%CI: 0.452-0.746) were the protective factors of death anxiety in the elderly, while chronic diseases (OR=1.575, 95%CI: 1.032-2.404)) were the risk factors of death anxiety.

The death anxiety of the elderly in the rural areas of Sichuan is at a medium-low level, and the rural elderly with a small number of children, chronic diseases, poor physical fitness, and low subjective well-being have a higher level of death anxiety, which should be paid more attention to.

To understand the effect of establishing health records on the acceptance of health management services in young and middle-aged floating population with hypertension and type 2 diabetes, and to provide references for improving the utilization rate of health management services and realizing the equalization of basic public health services.

Based on the population characteristics, family characteristics, health and public service characteristics of 6 391 young and middle-aged patients with chronic diseases aged 30 to 59 years old in 2017, Probit model and tendency score matching method were used to analyze the effect of health files on the acceptance of health management services in young and middle-aged floating population with hypertension and type 2 diabetes.

The results of Probit model showed that the coefficients of establishing health records for hypertension patients, type 2 diabetes patients, and patients with both diseases were 0.940, 0.905, and 1.333, respectively, and they were all significant at 1% level, indicating that the establishment of health records had a positive effect on the health management services of young and middle-aged floating population with chronic diseases. After correcting the endogenous problems of the model, the result remained robust. Heterogeneity analysis found that there were differences in age, self-rated health, and health education in the establishment of health records.

The establishment of health records has a positive impact on the acceptance of health management services for patients with chronic diseases in young and middle-aged floating population. In the future, we should pay attention to the basic public health service needs of patients with hypertension and type 2 diabetes in young and middle-aged floating population, carry out health education and publicity work for patients with different characteristics, and improve the awareness and utilization rate of basic public health services.

To evaluate the service effect of health education institutions in China, identify the existing problems, and put forward feasible solutions.

The Technique for Order Preference by Similarity to an Ideal Solution (TOPSIS) and Rank-sum ratio (RSR) were used to evaluate the service effect of health education institutions in 31 provinces (autonomous regions and municipalities directly under the central government).

In total 14 indicators for evaluating the service effectiveness of health education institutions were selected in the study. Among them, the top two index with the largest weight were the number of people covered by short messages and the number of audio and video products, while the last two were the number of host websites and the number of programs by co-operating with TV stations. The evaluation of entropy weight TOPSIS method showed that the Ci value of each region was between 0.022 and 0.665. The evaluation results of RSR method showed that the number of areas where the service effect of health education institutions was poor, average, good, and excellent were 2,13, 13, and 3, respectively. The general trend of the two results was basically consistent with that of the fuzzy joint model.

The fuzzy combination of entropy weight TOPSIS method and RSR method can better evaluate the service effect of health education institutions in China. There is an imbalance between the content and the region in the service of health education institutions. We should increase the total investment in health education publicity and human resources, and put forward measures according to the differences of different regions, so as to improve the service effect of health education institutions and enhance residents’ well-being and satisfaction.

To analyze the coupling and coordination relationship of high-quality development of tertiary public general hospitals in Guangxi, and to explore the path of high-quality development of tertiary public general hospitals, so as to provide a basis for related policy formulation.

The evaluation index system of high-quality development of tertiary public general hospitals in Guangxi was constructed from the four dimensions of medical quality, operational efficiency, sustainable development, and satisfaction evaluation. The coefficient of variation method and rank sum ratio method were used to comprehensively evaluate and classify the high-quality development level of the tertiary public general hospitals in 14 prefectures and cities in Guangxi in 2019, and the coupling coordination degree model was used to calculate the coupling and coordinated development level.

Most of the sample hospitals were in the primary coordination stage, and the proportion of other coupling coordination types from high to low were intermediate coordination (22.73%), reluctant coordination (18.18%), on the verge of disorder (13.64%), and good coordination (4.55%). According to the principle of optimal classification, the tertiary public hospitals in Guangxi were divided into high, medium, and low grades. Most of the hospitals were in the middle level and there was much room for development and progress.

The coupling coordination degree of the tertiary public general hospitals in Guangxi is not high, and there are still some problems, such as uneven distribution of medical resources, large differences in medical quality, and lack of motivation for personnel training. It is necessary to improve the medical service system and improve the core competitiveness.

To understand the attitude of public health physicians towards prescription rights, and to provide support and reference for further exploring the policy formulation and promotion of public health physicians’ prescription rights.

By using the key person method and snowball method, an online cross-sectional questionnaire survey was conducted among public health doctors in all levels of disease prevention and control centers, hospitals, maternal and child health hospitals, grass-roots medical institutions, professional public health and other institutions in Sichuan Province. A total of 246 questionnaires about the current situation, cognition, influence, attitude, and suggestions of public health doctors on prescription rights were qualitatively and quantitatively analyzed.

About 95% of the participants supported to give public health doctors the right of prescription, which was a sign of the identity of public health “doctors”, which could promote the integration of prevention and treatment, improve the efficiency and quality of the public health system, and improve the medical professional ability of public health doctors, so as to improve the quality and effect of public health. The lack of prescription power would reduce the medical professional recognition of public health physicians and the effectiveness of public health doctors in undertaking public health work. Most participants expressed their willingness to accept different forms of prescription rights.

The community of public health doctors has a high demand for prescription rights, and it is considered that the implementation of prescription rights of public health doctors is an important measure to improve the current situation of the separation of medical treatment and prevention of public health doctors and promote the high-quality development of public health doctors.

To investigate the predictive value of infection-related blood indexes combined with palliative performance scale (PPS) score in 14-day survival of patients with pulmonary infection after palliative treatment.

A total of 111 inpatients with pulmonary infection treated in the Department of Palliative Medicine, West China Fourth Hospital of Sichuan University from January 2022 to December 2022 were divided into survival group (n = 53) and death group (n = 58) according to the survival condition of 14 days after treatment. Age, sex, prevalence, infection-related blood index level, and PPS score of the two groups were compared by univariate analysis. Multivariate COX regression analysis was used to analyze the factors affecting the 14-day survival prognosis of patients with pulmonary infection after palliative treatment. The nomogram was constructed and the receiver operating characteristic (ROC) curve was used to verify the predictive performance of the model. The reliability of the model was determined by calibration curve and the clinical practicability of the model was evaluated by decision curve analysis (DCA).

Compared with the 14-day survival group, the palliative treatment group had lower PPS score, higher C-reactive protein, procalcitonin, white blood cell, and neutrophil count, and the difference was statistically significant (P<0.05). The results of multivariate COX regression analysis showed that high procalcitonin level (HR=2.201, 95%CI:1.394-3.143) and low PPS score were independent risk factors for poor prognosis of patients with pulmonary infection after palliative treatment for 14 days (with reference to < 20%, 20%-30%: HR=0.333, 95%CI: 0.183-0.606; 40%-50%: HR=0.125,95%CI: 0.043-0.362; > 50%: HR=0.107, 95%CI: 0.014-0.814). The nomogram was constructed based on procalcitonin combined with PPS score. The area under the ROC curve (AUC value: 0.864, 95%CI: 0.809-0.919), calibration curve, and DCA curve results showed that the model had good predictive efficiency and clinical practicability compared with single index prediction.

Procalcitonin level combined with PPS score is a good predictor of poor prognosis in patients with pulmonary infection after palliative treatment for 14 days.

To explore the mechanism of online social participation affecting the health of the elderly through online social support and online risk exposure, and to explain the regulatory role of intergenerational cohabitation.

The data of online social participation and health status of people over 60 years old in Henan Province in 2023 were selected, and the moderated mediating effect, moderating effect, and regulated mediating effect were tested with the moderated intermediary effect model in PROCESS4.0 macro program.

Online social participation positively affected online social support (β=1.734, P < 0.001) and online risk exposure (β=1.453, P < 0.001). Online social support positively affected physical health (β=0.183, P < 0.001) and mental health (β=0.398, P < 0.001). Online risk exposure negatively affected physical health (β=-0.490,P < 0.001) and mental health (β=-0.598, P < 0.001). The interaction between online social participation and intergenerational cohabitation negatively affected online risk exposure (β=-0.784, P < 0.001), and the mediating effect differences between intergenerational cohabitation group and non-intergenerational cohabitation group were 0.384 (95%CI: 0.146-0.678) and 0.469(95%CI: 0.205-0.778) respectively on the physical/mental health path of online social participation.

Online social participation has a positive impact on the physical and mental health of the elderly through online social support, and a negative impact on physical and mental health through online risk exposure. Intergenerational cohabitation weakens the positive impact of online social participation on online risk exposure and the intermediary effect of online risk exposure.