Suchergebnisse

Liang, Yongjia: Introduction : religious revival of ethnic China#Ma, Rong: A Han vs. minorities dual structure of chinese society#Bilik, Naran: The worship of Chinggis Khan : ethnicity, nation-State and situational relativity#Shen, Haimei: Risk society, the predicaments of folk religion and experience of modernity : the guardian spirits in the Mandi Dailue ethnic society of Xishuangbanna #Liang, Yongjia: Turning Gwer Sa La Festival into intangible cultural heritage : state superscription of popular religion in Southwest China#Zhang, Yahui: The relation between politics and religion at a Tibetan Buddhist temple from a historical anthropology perspective

Purpose Presenting a chain mediation model to investigate whether mobile phone dependence results in a reduction in health-related quality of life (HRQoL) among Chinese college students, through the mediating effect of chronotype and sleep quality. Design and Setting A cross-sectional survey was conducted on students from a Chinese university using a validated structured questionnaire. Sample 2014 freshmen. Measures The study measured the students' level of mobile phone dependence using the Self-rating Questionnaire for Adolescent Problematic Mobile Phone Use. Chronotype and sleep quality were measured by the Chinese version of the Morningness-Eveningness Questionnaire (MEQ) and the Pittsburgh Sleep Quality Index (PSQI), respectively. HRQoL was evaluated using the five-level EuroQol five-dimensional questionnaire (EQ-5D-5L), including a descriptive system and a visual analog scale (VAS). Analysis Descriptive statistical analysis, correlation analysis, and mediation analysis. Results Mobile phone dependence had a significant negative effect on HRQoL as indicated by both the EQ-5D-5L index score and EQ-VAS score ( P < .001 for both). Additionally, it was found to significantly predict chronotype (MEQ score) ( β = −.546, P < .001) and sleep quality (PSQI score) ( β = .163, P < .001). Chronotype negatively predict sleep quality ( β = −.058, P < .001), and sleep quality was a significant negative predictor of HRQoL (EQ-5D-5L index score, β = −.008, P < .001; EQ-VAS score, β = −1.576, P < .001). Conclusion Mobile phone dependence negatively impacts students' HRQoL through chronotype and sleep quality, and there is a chain mediating effect. Students should consider making lifestyle changes to improve their HRQoL and promote health.

BACKGROUND: Therapeutic hypothermia may need prolonged duration for the patients with severe traumatic brain injury (sTBI). METHODS: The Long-Term Hypothermia trial was a prospective, multicenter, randomized, controlled clinical trial to examine the safety and efficacy in adults with sTBI. Eligible patients were 18–65, Glasgow Coma Scale score at 4 to 8, and initial intracranial pressure (ICP) ≥ 25 mm Hg, randomly assigned to the long-term mild hypothermia group (34–35 °C for 5 days) or normothermia group at 37 °C. The primary outcome was the Glasgow outcome scale (GOS) at 6 months. Secondary outcomes included ICP control, complications and laboratory findings, the length of ICU and hospital stay, and GOS at 6 months in patients with initial ICP ≥ 30 mm Hg. This trial is registered with ClinicalTrials.gov, NCT01886222. FINDINGS: 302 patients were enrolled from June 25, 2013, to December 31, 2018, with 6 months follow-up in 14 hospitals, 156 in hypothermia group and 146 in normothermia group. There was no difference in favorable outcome (OR 1·55, 95%CI 0·91–2·64; P = 0·105) and in mortality (P = 0·111) between groups. In patients with an initial ICP ≥ 30 mm Hg, hypothermic treatment significantly increased favorable outcome over normothermia group (60·82%, 42·71%, respectively; OR 1·861, 95%CI 1·031–3·361; P = 0·039). Long-term mild hypothermia did not increase the incidences of complications. INTERPRETATION: Long-term mild hypothermia did not improve the neurological outcomes. However, it may be a potential option in sTBI patients with initial ICP ≥ 30 mm Hg. FUNDING: : Shanghai municipal government and Shanghai Jiao Tong University/School of Medicine.