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The Increasing Trends of Short and Long Sleep Duration among Chinese Adults from 2010 to 2018:A Repeated Nationally Representative Cross-sectional Survey 认领 引用
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作者 Yun Chen Lan Wang +12 位作者 Mei Zhang Sifan Hu Yan Shao Xiao Zhang Chun Li Jie Chen Zhenping Zhao Yanhong Dong Lin Lu Maigeng Zhou Limin Wang Junliang Yuan Hongqiang Sun 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2026年第1期46-59,共14页
Objective This study aimed to determine the temporal trends in sleep duration among Chinese adults.Methods In this series of repeated nationally representative cross-sectional surveys(China Chronic Disease and Risk Fa... Objective This study aimed to determine the temporal trends in sleep duration among Chinese adults.Methods In this series of repeated nationally representative cross-sectional surveys(China Chronic Disease and Risk Factors Surveillance)conducted between 2010 and 2018,a total of 645,420 adult participants(97,741 in 2010;175,749 in 2013;187,777 in 2015;and 184,153 in 2018)were included in the trend analysis.Linear and logistic regression models were utilized to assess trends in sleep duration.Results In 2018,the estimated overall mean sleep duration among the Chinese adult population was7.58(SD,1.45)hours per day,with no significant trend from 2010.A significant increase in short sleep duration(≤6 hours)was observed in the total population,from 15.3%(95%CI:14.1%–16.5%)in 2010 to18.5%(95%CI:17.7%–19.3%)in 2018(P9 hours)was also significant,increasing in weighted prevalence from 7.2%(95%CI:6.3%–8.1%)in 2010 to 9.0%(95%CI:8.2%–9.9%)in 2018(P<0.001).Conclusion The prevalence of both short and long sleep durations significantly increased among Chinese adults from 2010 to 2018,highlighting the urgency of health initiatives to promote optimal sleep duration in China. 展开更多
关键词 Sleep duration Trend analysis Repeated cross-sectional study Nationally representative survey CCDRFS
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Clinical characteristics of acupoint sensitization in patients with essential hypertension:a cross-sectional matched case-control study 认领 引用
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作者 GONG Yu HAO Xiaomin +2 位作者 LIU Qingguo TIAN Junjian LIU Yu 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2026年第3期684-694,共11页
OBJECTIVE:To observe the characteristics of acupoint sensitization in patients with essential hypertension,analyze the mechanical pain threshold and tenderness threshold of each acupoint,and summarize the clinical cha... OBJECTIVE:To observe the characteristics of acupoint sensitization in patients with essential hypertension,analyze the mechanical pain threshold and tenderness threshold of each acupoint,and summarize the clinical characteristics of high-sensitivity acupoints.METHODS:This study employed a cross-sectional matched case-control design and enrolled a total of 448 volunteer participants,including 224 patients with hypertension and 224 healthy controls.The main outcome measures included measuring the mechanical pain threshold and tenderness threshold of 16 highly sensitive acupoints in both hypertensive subjects and healthy controls.The receiver operating characteristic curve method was used to evaluate the sensitivity of each acupoint.Additionally,the rules of mechanical pain threshold,tenderness threshold sensitization rate,and degree of sensitization of each acupoint in hypertension patients were summarized to identify the optimal highly sensitive acupoints related to hypertension.RESUITS:The mechanical pain threshold and tenderness threshold of hypertensive patients were significantly lower than those of healthy subjects,the difference was statistically significant(P<0.001),indicating that the mechanical pain threshold and tenderness threshold of hypertensive patients at various points had a downward trend.Acupoints with high incidence of sensitization in hypertensive patients include Quchi(LI11),Taichong(LR3),Fenglong(ST40),Xingjian(LR2),Taixi(KI3)and Renying(ST9).CONCLUSION:This study successfully achieved the objective of exploring acupoint sensitization in patients with primary hypertension.Hypertensive patients exhibited significantly lower mechanical pain thresholds and pressure pain thresholds compared to healthy subjects.These findings provide clinical evidence for acupoint selection in acupuncture treatment for primary hypertension. 展开更多
关键词 essential hypertension acupoint sensitization ROC analyses cross-sectional studies case-control studies
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Association of online health information exposure with disease awareness initial symptom severity in benign prostatic hyperplasia:a cross-sectional study 认领 引用
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作者 Xiaoxiao Guo Mingyu Chang +2 位作者 Gangyue Hao Fengbo Zhang Haoran Xia 《The Canadian Journal of Urology》 SCIE 2026年第3期573-582,共10页
Background:Benign prostatic hyperplasia(BPH)is prevalent among aging men.Whether exposure to internet-derived health information is associated with disease awareness and symptom burden at initial diagnosis remains unc... Background:Benign prostatic hyperplasia(BPH)is prevalent among aging men.Whether exposure to internet-derived health information is associated with disease awareness and symptom burden at initial diagnosis remains unclear.Methods:We conducted a cross-sectional study of 400 newly diagnosed BPH outpatients.Participants were classified by prior exposure to internet-derived BPH content.BPH awareness and International Prostate Symptom Scores(IPSS)were compared using the Mann-Whitney U test and multivariate linear regression adjusted for age,education,and disposable income.Stratified analyses were performed according to educational attainment,disposable income,and content format.Results:Exposure to internet-derived BPH content was independently associated with higher awareness and lower IPSS.Compared with unexposed participants,exposed participants had higher awareness(median 1.5 vs.0)and lower IPSS(median 7.0 vs.10.5)(both p<0.001).In multivariable models,being unexposed was associated with a 1.39-point lower awareness score and a 2.20-point higher IPSS(both p<0.001).In stratified analyses,the associations remained significant across education and income strata.Among exposed participants,those accessing text-based or mixed-format content had higher awareness and lower IPSS than those exposed to videos only(both p<0.001).Conclusions:This study shows that exposure to internet-derived health content is significantly associated with higher BPH awareness and a lower symptom burden at initial presentation.Text-based or mixed-format content may be more effective than video-only formats. 展开更多
关键词 Benign prostatic hyperplasia internet-derived health content disease awareness international prostate symptom score cross-sectional survey
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Estimation of cross-sectional areas of individual tree stems using remotely collected data 认领 引用
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作者 Gabriel Lessa Lavagnoli Gilson Fernandes da Silva +3 位作者 Giovanni Correia Vieira André Quintao Almeida Adriano Ribeiro de Mendonca Carlos Pedro Boechat Soares 《Journal of Forestry Research》 SCIE EI CAS CSCD 2026年第1期216-229,共14页
We investigated the impact of convexity and isoperimetric deficits on the accuracy of sectional area estimates of tree stems using traditional methods(caliper,tape,formulas based on stem diameter and circumference).In... We investigated the impact of convexity and isoperimetric deficits on the accuracy of sectional area estimates of tree stems using traditional methods(caliper,tape,formulas based on stem diameter and circumference).In two complementary experiments,the use of photographs to estimate cross-sectional areas was first validated,then the use of a caliper and diameter tape was computer-simulated.The results indicated that the photographic method offers high precision,with mean relative errors below 0.1%,minimal deviation,and no significant bias,and the traditional methods led to substantial and systematic errors,with deviations from circularity and convexity significantly increasing the errors in area estimation. 展开更多
关键词 Tree cross-sectional area measurement Isoperimetric decit Convexity decit Photographic estimation Forest mensuration Stem geometry Error analysis
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Association between the fear of cancer recurrence and Traditional Chinese Medicine constitution in breast cancer patients:a cross-sectional study 认领 引用
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作者 WANG Runxi FANG Liyuan +6 位作者 WANG Yan XIE Yi FANG Yuhang SUI Bailu YUAN Xinhe CHEN Yu ZHANG Ying 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2026年第3期715-725,共11页
OBJECTIVE:To investigate the association between Traditional Chinese Medicine(TCM)constitution and fear of cancer recurrence(FCR)in breast cancer survivors.METHODS:A cross-sectional study was conducted among breast ca... OBJECTIVE:To investigate the association between Traditional Chinese Medicine(TCM)constitution and fear of cancer recurrence(FCR)in breast cancer survivors.METHODS:A cross-sectional study was conducted among breast cancer patients at Guang'anmen Hospital of the Chinese Academy of Traditional Chinese Medicine,China,during the period from April 9,2023,to July 2,2024.Data were collected on participants'common sociodemographic characteristics,medical history,scores on the Fear of Cancer Recurrence Inventory(FCRI),and TCM constitution classification.Statistical analyses employed independent samples t-test,χ2test,Fisher's exact test,one-way analysis of variance,Spearman's correlation coefficient,multiple linear regression analysis,and multivariate logistic regression analysis.RESULTS:A total of 279 eligible breast cancer patients enrolled in this study.The most prevalent TCM constitutions were‘Qi-depression',‘Peaceful'and‘Yangdeficiency'.All nine TCM constitutions of breast cancer patients exhibited significant correlations with FCR scores.The strongest positive correlation was observed between‘Qi-stagnation'and FCR(r=0.5576,P<0.0001),followed by‘Qi-deficiency'(r=0.4465,P<0.0001).By contrast,the Peaceful correlation showed a significant negative correlation with FCR(r=-0.363,P<0.0001).Multiple linear regression analysis showed that TCM constitution,lymph node metastasis,and endocrine therapy were influencing factors for FCR in breast cancer patients(P<0.05).Additionally,multivariate logistic regression analysis was performed to identify factors associated with TCM constitution in breast cancer patients.After adjusting for potential confounding factors including age,disease stage,pathological type,immunohistochemical status,lymph node metastasis,disease duration,and treatment modality,FCR,disease stage,age,and surgical modality were found to be significantly associated with TCM constitution(all P<0.05).CONCLUSION:This study demonstrates a significant association between TCM constitution and FCR in breast cancer patients,suggesting that FCR can potentially be interpreted within the theoretical framework of TCM.These findings thus provide a theoretical foundation for TCMC-informed management strategies targeting FCR in breast cancer patients. 展开更多
关键词 breast neoplasms Traditional Chinese Medicine constitution fear of cancer recurrence cross-sectional studies
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Simulation Analysis of the Extrusion Process for Complex Cross-Sectional Profiles of Ultra-High Strength AluminumAlloy 认领 引用
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作者 Tianxia Zou Yilin Sun +3 位作者 Fuhao Fan Zhen Zheng Yanjin Xu Baoshuai Han 《Computers, Materials & Continua》 SCIE EI 2026年第4期471-491,共21页
Ultra-high-strength aluminumalloy profile is an ideal choice for aerospace structuralmaterials due to its excellent specific strength and corrosion resistance.However,issues such as uneven metal flow,stress concentrat... Ultra-high-strength aluminumalloy profile is an ideal choice for aerospace structuralmaterials due to its excellent specific strength and corrosion resistance.However,issues such as uneven metal flow,stress concentration,and forming defects are prone to occur during their extrusion.This study focuses on an Al-Zn-Mg-Cu ultra-high-strength aluminum alloy profile with a double-U,multi-cavity thin-walled structure.Firstly,hot compression experiments were conducted at temperatures of 350○C,400○C,and 450○C,with strain rates of 0.01 and 1.0 s−1,to investigate the plastic deformation behavior of the material.Subsequently,a 3D coupled thermo-mechanical extrusion simulation model was established using Deform-3D to systematically analyze the influence of die structure and process parameters on metal flow velocity,effective stress/strain,and temperature distribution.The simulation revealed significant velocity differences,stress concentration,and uneven temperature distribution.Key parameters,including mesh density,extrusion ratio,die fillet,and bearing length,were optimized through full-factorial experiments.This optimization,combined with a stepped flow-guiding die design,effectively improved the metal flow pattern during extrusion.Trial production based on both the initial and optimized parameters were carried out.A comparative analysis demonstrates that the optimized scheme results in a final profile whose cross-section matches the target design closely,with complete filling of complex features and no obvious forming defects.This research provides a valuable reference for the extrusion process optimization and die design of complex-section profiles made from ultra-high-strength aluminum alloys. 展开更多
关键词 Ultra-high-strength aluminum alloy extrusion complex cross-section die optimization process optimization
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Multidimensional cognitive impairment in hepatosplenic schistosomiasis:A cross-sectional study 认领 引用
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作者 Iris Campos Lucas Norma Arteiro Filgueira +3 位作者 Ana Lucia Domingues Edmundo Pessoa Lopes Ianca Karine Prudencio Albuquerque Breno Jose Alencar Pires Barbosa 《World Journal of Psychiatry》 SCIE 2026年第4期319-326,共8页
BACKGROUND Cognitive impairment is a well-recognized complication of liver diseases,primarily associated with cirrhotic portal hypertension.However,its spectrum and prevalence in patients with non-cirrhotic portal hyp... BACKGROUND Cognitive impairment is a well-recognized complication of liver diseases,primarily associated with cirrhotic portal hypertension.However,its spectrum and prevalence in patients with non-cirrhotic portal hypertension due to hepatosplenic schistosomiasis(HSS)remain poorly characterized,particularly regarding domains beyond minimal hepatic encephalopathy(MHE).AIM To characterize cognitive performance and determine the prevalence of deficits across multiple domains in a large cohort of patients with HSS.METHODS This cross-sectional study enrolled 200 adult patients with confirmed HSS at a Brazilian reference center.Participants underwent a comprehensive psychometric battery,including Mini-Mental State Examination for global cognition,the animal verbal fluency test for MHE and semantic fluency,the clock drawing test for visuospatial and executive functions,the digit span test(DST)for attention and working memory,and the Goo-Go test for inhibitory control.Impairment was defined using established,education-adjusted cut-offs.RESULTS The cohort had a mean age of 56.4 years and limited formal education(mean 4.9 years).Global cognitive impairment,defined as a Mini-Mental Examination Score<25,was identified in 36.5%of patients.Domain-specific assessment revealed a high prevalence of deficits in visuospatial and planning abilities,affecting 67%of patients according to the clock drawing test.Working memory impairments were detected in 53.5%(forward DST)and 83%(backward DST)of participants.Abnormal performance on the Go/No-Go test,indicating deficits in inhibitory control,was observed in 66.5%of the sample.The animal verbal fluency test identified MHE in 24.5%of participants,a finding significantly associated with lower educational attainment(P<0.01).Notably,while MHE was strongly linked to the presence of portosystemic shunts(P=0.0018),deficits in other cognitive domains were highly prevalent regardless of portosystemic shunts status.CONCLUSION Cognitive impairment in HSS is highly prevalent and encompasses a broad range of deficits,extending well beyond MHE.These findings support the implementation of routine,multidimensional cognitive screening in standard management of HSS patients. 展开更多
关键词 Cognitive impairment Schistosomiasis mansoni Portal hypertension Neuropsychological tests Executive function Hepatic encephalopathy Portosystemic shunts Psychometric Cross-sectional studies
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Cross-sectional survey of factors influencing treatment adherence in elderly cancer patients in rural mountainous Guangyuan,China 认领 引用
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作者 Li-Hua Ran Chao-Chao Qin 《World Journal of Clinical Oncology》 2026年第7期129-141,共13页
BACKGROUND In the rural mountainous areas of Guangyuan,elderly patients with malignant tumors are poorly managed in terms of toxic side effects after comprehensive antitumor therapy,severely affecting their treatment ... BACKGROUND In the rural mountainous areas of Guangyuan,elderly patients with malignant tumors are poorly managed in terms of toxic side effects after comprehensive antitumor therapy,severely affecting their treatment adherence.AIM To explore the factors influencing treatment adherence in elderly cancer patients in rural mountainous Guangyuan and clarify the relative importance of each factor.METHODS This multicenter cross-sectional survey assessed 103 elderly patients with malignant tumors in rural mountainous areas of Guangyuan who completed core scales.Research tools included the Supportive Care Needs Survey Short Form,the Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events,the Comprehensive Score for financial Toxicity,psychological sta-tus scales(Hospital Anxiety and Depression Scale/Distress Thermometer/Social Support Rating Scale),and the Medication Adherence Scale.Descriptive statistics,correlation analysis,multiple linear regression,and relative weight analysis were used for data processing.RESULTS The average Medication Adherence Scale score was 4.12±1.85 points,with 53.9%of patients having poor treatment adherence.Univariate and correlation analyses showed that supportive care needs,symptom severity,financial toxicity,anxiety/depression,and lack of social support were all significantly correlated with treatment adherence(all P<0.05).On multivariate analysis,financial toxicity was the primary associated factor(relative weight 28.40%),with direct medical costs having the strongest negative independent association(β=-0.312,P=0.001).Symptom burden,especially fatigue(β=-0.254,P=0.002),and psychological status(β=0.234,P=0.005)were the second and third most influential factors,respectively,whereas social support was a protective factor.Supportive care needs also had an independent influence.The comprehensive model explained 51.8%of the variance in treatment adherence(R2=0.518,P<0.001).CONCLUSION The treatment adherence of elderly patients with malignant tumors in the rural mountainous areas of Guangyuan is jointly influenced by multidimensional factors.Financial toxicity had the strongest association with treatment adherence,while symptom management and psychological support serve as key supporting elements.This study provides a clear direction for the development of precise medical management and policies for this special population and the construction of a comprehensive intervention model. 展开更多
关键词 Elderly cancer patients Treatment adherence Symptom burden Cross-sectional survey Supportive care needs Psychological factors
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Correlation of fourteen subjectively reported adverse mental states with insomnia:Gender differences in a cross-sectional study 认领 引用
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作者 Bing-Xin Tian Jie Fang +4 位作者 Ke Ji Jie Yang Yun-Xia Tan Fu-Gui Liu Ling Liu 《World Journal of Psychiatry》 SCIE 2026年第7期313-326,共14页
BACKGROUND Although numerous studies indicate that adverse mental states negatively affect sleep,few have systematically analyzed the association between various adverse mental states and insomnia.Furthermore,potentia... BACKGROUND Although numerous studies indicate that adverse mental states negatively affect sleep,few have systematically analyzed the association between various adverse mental states and insomnia.Furthermore,potential gender differences within such associations remain underexplored.AIM To investigate gender differences in correlations between adverse mental states and insomnia,and identify genderspecific risk factors for severe insomnia.METHODS A multicenter cross-sectional survey method was employed.A total of 2009 adult participants(2019-2021)completed an insomnia clinical assessment form.The form covered sociodemographic information,14 subjectively reported adverse mental states,core insomnia symptoms,and the Pittsburgh Sleep Quality Index.RESULTS Depression,apathy,fatigue,impatience-irritability,grief,forgetfulness,and slow response were significantly associated with insomnia.Timidity,indecision,suspiciousness,catatonia,decreased willpower,taciturnity,and inattention showed no significant association with insomnia.Grief(r=0.062,P<0.05),fatigue(r=0.065,P<0.05),and slow response(r=0.080,P<0.01)were correlated with increased time to fall asleep in women;no mental factors influencing sleep latency were identified in men.Apathy(r=0.073,P<0.05)was associated only with increased nocturnal awakenings in men,but not in women.Impatience-irritability was a risk factor for severe insomnia exclusively in men(odds ratio=1.62,95%CI:1.13-2.32,P=0.009),while grief was a risk factor specifically for women(odds ratio=1.83,95%CI:1.20-2.80,P=0.005).CONCLUSION Not all adverse mental states are significantly associated with insomnia,and the correlation between adverse mental states and insomnia varies according to gender and specific sleep dimensions. 展开更多
关键词 Cross-sectional study Gender differences Insomnia Adverse mental states Risk factors
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Approximation of urinary bladder volume with few measurements on cross-sectional imaging 认领 引用
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作者 Robert Nelson Celine Torkzad +2 位作者 Dallas Sturdevant Pardeep K Mittal Michael R Torkzad 《World Journal of Radiology》 2026年第6期42-49,共8页
BACKGROUND Accurate estimation of urinary bladder volume(UBV)is important for diagnosing and managing bladder disorders.Computed tomography(CT)is often used as a reference standard;however,existing measurement methods... BACKGROUND Accurate estimation of urinary bladder volume(UBV)is important for diagnosing and managing bladder disorders.Computed tomography(CT)is often used as a reference standard;however,existing measurement methods vary in complexity and efficiency.AIM To determine whether UBV can be accurately estimated on CT using a single sagittal measurement compared with multidimensional measurements and reference volumetric analysis.METHODS CT abdomen-pelvis studies of 80 individuals without urinary tract pathology were retrospectively analyzed.Bladder volume was determined using manual volumetric tracing as the reference standard.Sagittal long axis[sagittal length(SL)],sagittal short axis[sagittal short(SS)],and transverse diameter[right-to-left(RL)]were measured,and single-and multidimensional products(SL,SL×SS,SL×SS×RL)were correlated with reference volume using Pearson correlation coefficients.Linear regression models were derived,and agreement was assessed using Bland-Altman analysis.RESULTS SL demonstrated the strongest single-dimension correlation with bladder volume(r=0.92),compared with SS(r=0.87)and RL(r=0.68).Multidimensional measurements showed slightly higher correlations(SL×SS:r=0.98;SL×SS×RL:r=0.99).A simplified linear formula was derived:Bladder volume(mL)=5×SL(mm)-222.Bland-Altman analysis showed negligible bias and all values within the limits of agreement for the single-dimension model.CONCLUSION UBV can be accurately estimated using a single sagittal CT measurement in healthy individuals.This simplified approach provides a rapid and reproducible alternative to multidimensional methods without meaningful loss of accuracy and may serve as a reference standard for validating ultrasound-based bladder volume estimation. 展开更多
关键词 Urinary bladder volume Computed tomography Sagittal measurement Volumetric analysis Bladder volume estimation Cross-sectional imaging
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A Cross-sectional Analysis of Prenatal Bisphenol an Exposure and Pregnancy Characteristics in Northeastern Yunnan, China 认领 引用
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作者 Xuemei Ding Jin Fu +6 位作者 Guoju Wan Liu Yang Xinyue Wen Ruijiao Yuan Yanqiong Liu Yao Wu Jie Gao 《Journal of Clinical and Nursing Research》 2026年第1期231-234,共4页
Objective:To assess prenatal Bisphenol A(BPA)exposure levels and explore their preliminary associations with maternal and fetal characteristics in a population from Northeastern Yunnan.Methods:A cross-sectional analys... Objective:To assess prenatal Bisphenol A(BPA)exposure levels and explore their preliminary associations with maternal and fetal characteristics in a population from Northeastern Yunnan.Methods:A cross-sectional analysis was performed using data and urine samples from 70 pregnant women in their third trimester recruited at Qujing Central Hospital.Urinary BPA was measured by HPLC-MS/MS.Participants were stratified into high and low BPA exposure groups based on the median concentration.Results:BPA was detected in all samples(100%)with a median concentration of 2.41μg/L(IQR:0.68-4.96).The high BPA exposure group(≥2.41μg/L)had a significantly higher proportion of gestational diabetes mellitus(GDM)(42.9%vs.17.1%,p=0.021)and a lower median fetal birth weight(3250 g vs.3450 g,p=0.048)compared to the low exposure group.Conclusion:This pilot study reveals ubiquitous BPA exposure in pregnant women from Northeastern Yunnan.The observed preliminary associations with GDM and reduced fetal birth weight warrant further investigation in larger,longitudinal studies. 展开更多
关键词 Bisphenol A Pregnancy Exposure assessment Cross-sectional study China
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Prevalence and Influencing Factors of Fatigue in Patients with Inflammatory Bowel Disease:A Cross-Sectional Study 认领 引用
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作者 Huiqin Zhong Xiaojun Wang Ya Shao 《Journal of Clinical and Nursing Research》 2026年第6期242-250,共9页
Objective:To investigate the prevalence of fatigue and identify its associated influencing factors in patients with inflammatory bowel disease(IBD),thereby providing an evidence base for targeted clinical intervention... Objective:To investigate the prevalence of fatigue and identify its associated influencing factors in patients with inflammatory bowel disease(IBD),thereby providing an evidence base for targeted clinical interventions.Methods:A cross-sectional survey design was adopted.A total of 204 patients with confirmed IBD diagnoses were consecutively enrolled from the gastroenterology outpatient clinics and inpatient wards of a tertiary-level hospital in Shiyan,Hubei Province,China,between June 2023 and June 2024.Fatigue was assessed using the IBD-Fatigue(IBD-F)scale.Sociodemographic characteristics,disease-related parameters,inflammatory biomarkers,and psychological status were simultaneously collected.Univariable analyses and multivariable logistic regression were performed to identify independent determinants of fatigue.Results:Among the 204 enrolled IBD patients,142(69.61%)had fatigue(IBD-F≥13).Univariable analyses revealed that sex,disease activity status,anemia,C-reactive protein(CRP)level,serum albumin level,sleep quality,anxiety,and depression were significantly associated with fatigue occurrence(all p<0.05).Multivariable logistic regression identified active disease phase(OR=3.12,95%CI:1.54–6.31,p=0.002),comorbid anemia(OR=2.87,95%CI:1.42–5.80,p=0.004),elevated CRP(OR=2.43,95%CI:1.21–4.88,p=0.013),poor sleep quality(OR=2.19,95%CI:1.10–4.36,p=0.026),and comorbid depression(OR=3.56,95%CI:1.76–7.19,p=0.001)as independent risk factors for fatigue;serum albumin≥35 g/L was identified as a protective factor(OR=0.48,95%CI:0.24–0.96,p=0.037).Fatigue was significantly and negatively correlated with health-related quality of life(r=−0.61,p<0.001).Conclusion:The prevalence of fatigue in IBD patients is as high as 69.61%,and it is independently associated with disease activity,elevated inflammatory markers,anemia,sleep disturbance,and depression,significantly impairing patients’quality of life.Routine fatigue screening and comprehensive multidimensional management strategies should be integrated into standard IBD care. 展开更多
关键词 Inflammatory bowel disease Fatigue Influencing factors Cross-sectional study
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Gut microbial characteristics of the damp-heat constitution:a population-based multicenter cross-sectional study 认领 引用 被引量：4
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作者 LI Tianxing ZHU Linghui +9 位作者 WANG Xueke TANG Jun YANG Lingling PANG Guoming LI Huang WANG Liying DONG Yang ZHAO Shipeng LI Yingshuai LI Lingru 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2025年第1期140-151,共12页
OBJECTIVE:To investigate the difference in gut microbiota between population with damp-heat constitution(DHC)and balanced constitution(BC).METHODS:A multi-centered cross-sectional casecontrol study was conducted,which... OBJECTIVE:To investigate the difference in gut microbiota between population with damp-heat constitution(DHC)and balanced constitution(BC).METHODS:A multi-centered cross-sectional casecontrol study was conducted,which included 249 participants with damp-heat constitution or balanced constitution.Baseline information of participants was collected,and stool samples were collected for gut microbiota analysis.Principal coordinate analysis,linear discriminant analysis effect size analysis,receiver operating characteristic,random forest model,and phylogenetic investigation of communities by reconstruction of unobserved states methods were used to reveal the relationship between gut microbiota and the damp-heat constitution.RESULTS:Compared to those in the BC group,the richness and diversity of the microbiota,specifically those of several short-chain fatty acid producing genera such as Barnesiella,Coprobacter,and Butyricimonas,were significantly decreased in the DHC group.Regarding biological functions,flavonoid biosynthesis,propanoate metabolism,and nucleotide sugar metabolism were suppressed,while arachidonic acid metabolism and glutathione metabolism were enriched in the DHC group.Finally,a classifier based on the microbiota was constructed to discriminate between the DHC and BC populations.CONCLUSION:The gut microbiota of the DHC population exhibits significantly reduced diversity and is closely related to inflammation,metabolic disorders,and liver steatosis,which is consistent with clinical observations,thus serving as a potential diagnostic tool for traditional Chinese medicine constitution discrimination. 展开更多
关键词 damp-heat constitution balanced constitution Traditional Chinese medicine constitution microbiota inflammatory PICRUSt multicenter study cross-sectional studies
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Association between Non-high-density Lipoprotein Cholesterol to High-density Lipoprotein Cholesterol Ratio(NHHR)and Stroke among Adults in the USA:A Cross-Sectional NHANES Study 认领 引用 被引量：5
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作者 Haixia Ma Huaqiu Chen Peichang Wang 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2025年第1期37-46,共10页
Objective The relationship between non-high-density lipoprotein(NHDL)cholesterol to high-density lipoprotein cholesterol(HDL-C)ratio(NHHR)and stoke remains unknown.This study aimed to evaluate the association between ... Objective The relationship between non-high-density lipoprotein(NHDL)cholesterol to high-density lipoprotein cholesterol(HDL-C)ratio(NHHR)and stoke remains unknown.This study aimed to evaluate the association between the adult NHHR and stroke occurrence in the United States of America(USA).Methods To clarify the relationship between the NHHR and stroke risk,this study used a multivariable logistic regression model and a restricted cubic spline(RCS)model to investigate the association between the NHHR and stroke,and data from the National Health and Nutrition Examination Survey(NHANES)from 2005 to 2018.Subgroup and sensitivity analyses were conducted to test the robustness of the results.Results This study included 29,928 adult participants,of which 1,165 participants had a history of stroke.Logistic regression analysis of variables demonstrated a positive association between NHHR and stroke(OR 1.24,95%CI:1.03-1.50,P=0.026).Compared with the lowest reference group of NHHR,participants in the second,third,and fourth quartile had a significantly increased risk of stroke after full adjustments(OR:1.35,95%CI:1.08-1.69)(OR:1.83,95%CI:1.42-2.36)(OR:2.04,95%CI:1.50-2.79).In the total population,a nonlinear dose-response relationship was observed between the NHHR and stroke risk(P non-linearity=0.002).This association remained significant in several subgroup analyses.Further investigation of the NHHR may enhance our understanding of stroke prevention and treatment.Conclusion Our findings suggest a positive correlation between the NHHR and an increased prevalence of stroke,potentially serving as a novel predictive factor for stroke.Timely intervention and management of the NHHR may effectively mitigate stroke occurrence.Prospective studies are required to validate this association and further explore the underlying biological mechanisms. 展开更多
关键词 NHHR Stroke NHANES Cross-sectional study
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Latent profilesof ambivalence over emotional expression in young breast cancer patients:A cross-sectional study 认领 引用 被引量：2
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作者 Xiaocen Chen Zhao Wang +3 位作者 Sibo Wang Fang Zhang Xueyu Li Jing Zhao 《International Journal of Nursing Sciences》 CSCD 2025年第4期379-385,I0004,I0005,共7页
Objectives:This study aimed to classify young breast cancer patients into distinct ambivalence over emotional expression and to explore the factors influencingthe level of ambivalence over emotional expression.Methods... Objectives:This study aimed to classify young breast cancer patients into distinct ambivalence over emotional expression and to explore the factors influencingthe level of ambivalence over emotional expression.Methods:A total of 217 young breast cancer patients were enrolled from a tertiary Grade A oncology hospital in Tianjin,China,using the convenience sampling method.All participants completed the general questionnaire,Ambivalence over Emotion Expression Questionnaire(AEQ),and Family Adapt-Ability and Cohesion Evaluation Scales-Chinese Version(FACES-CV).We employed exploratory latent profileanalysis for ambivalence over emotional expression profilingand logistic regression analysis to identify the influentialfactors Results:The results of the latent profileanalysis supported the models of four latent profiles,which were definedas“low conflict-lowexpression reflection”(19.2%),“high conflict-high inhibition expression”(43.9%),“moderate conflict-highregret expression”(18.1%),and“moderate conflict-desire understand”(18.8%).Logistic regression revealed that family cohesion,marital status,residence,per capita monthly income,and cancer stage were the influencingfactors of ambivalence over emotional expression in young breast cancer patients(P<0.05)Conclusions:Levels of ambivalence over emotional expression ameast cancer patients with breast cancer were highly heterogeneous.Medical staff should provide psychological counseling and health education tailored to the unique characteristics of emotional expression ambivalence in different patient groups to promote healthy emotional expression among patients. 展开更多
关键词 Ambivalence Breast neoplasms Cross-sectional studies Emotions Nursing Young adult
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Occupational influences on dietary quality among postpartum women:a cross-sectional study in Beijing,China 认领 引用 被引量：1
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作者 Jian Zhao Min Zhang 《Global Health Journal》 CAS 2025年第2期94-103,共10页
Objective:Postpartum nutrition plays a critical role in maternal recovery and long-term health.However,the nutritional status of working mothers in the postpartum period remains understudied.This study aimed to assess... Objective:Postpartum nutrition plays a critical role in maternal recovery and long-term health.However,the nutritional status of working mothers in the postpartum period remains understudied.This study aimed to assess the dietary quality of postpartum women in urban Beijing,identify occupational-related factors influencing their diet,and explore potential interventions to improve maternal nutrition during the postpartum period.Methods:In this cross-sectional analysis,554 women one year after delivery were recruited from ten community health centers.Sociodemographic,occupational and postpartum care variables were collected via questionnaire.Dietary intake over the preceding year was assessed using a food frequency questionnaire.The modified dietary balance index for postpartum women were used for dietary quality assessment.Results:The study revealed severe dietary imbalances among postpartum women,characterized by excessive consumption of cereals,eggs,and meats,while their intake of vegetables,fruits,and dairy products was inadequate.According to dietary balance index for postpartum women,66.25%of mothers showed varying degrees of excessive intake.45.31%of mothers experienced varying levels of insufficient intake,with only 19.86%of participants having a relatively balanced diet.Occupational differences were observed,with women in the commercial employment group showing higher levels of excessive food intake.The analysis of influencing factors showed that family monthly income,maternity leave,and postpartum care significantly affected the dietary quality.Conclusions:Postpartum women in Beijing experience widespread dietary imbalances,with both excesses and deficiencies.Occupational context and related factors significantly shape diet quality.These findings highlight the need for targeted nutritional interventions tailored to the specific challenges of different occupational groups. 展开更多
关键词 Postpartum dietary quality Dietarybalance index Occupational factors Maternal health Cross-sectional study
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Response of River Cross-Sectional Characteristics to Tidally Driven Diversion-Drainage Regulation 认领 引用
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作者 LI Shou-qian HU Rui +4 位作者 ZHANG Rui WANG Zhi-li LIU Huai-xiang ZHOU Shi-huan XU Xian-zi 《China Ocean Engineering》 SCIE EI CSCD 2025年第6期1083-1096,共14页
The downstream region of the Yangtze River in China experiences tidal influences, with most tributary inlets regulated by hydraulic hubs that control water diversion and drainage. The cross-sectional characteristics o... The downstream region of the Yangtze River in China experiences tidal influences, with most tributary inlets regulated by hydraulic hubs that control water diversion and drainage. The cross-sectional characteristics of these rivers under intermittent diversion and drainage remain uncertain due to various boundary conditions, including tidal fluctuations from the Yangtze River, hydraulic hub operations, and tributary water levels. This study examines the Yanglintang River as a case study, utilizing a two-dimensional water-sediment numerical model to analyze the response of river cross-sections under varying diversion-to-drainage ratios. The findings demonstrate that river cross-sections transform from a regular trapezoidal shape to a pot-bottom configuration, achieving equilibrium within 2 to 3 years under the influence of water diversion and drainage. The operational duration of water diversion and drainage shows minimal impact on river cross-sectional morphology, with bed scouring reaching approximately 10 cm when the operational duration doubles. However, the flow rate of water diversion-drainage operations emerges as the primary factor controlling river cross-sectional morphology, resulting in bed scouring magnitude of approximately 1 m under doubled flow rate conditions. 展开更多
关键词 tide-influenced river diversion-drainage duration diversion-drainage flow rate cross-sectional morphology erosion and deposition trends
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Associations between qi stagnation constitution,suboptimal health status,and lifestyle factors in southern China:A population-based cross-sectional study 认领 引用
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作者 Haiyun Zhang Jieyu Chen +7 位作者 Jieling Chen Yangzhi Liu Jiahui Yu Ji Wang Yumei Zhou Longmei Yu Hiu Yee Kwan Xiaoshan Zhao 《Journal of Traditional Chinese Medical Sciences》 CAS CSCD 2025年第4期521-530,共10页
Objective:To study the relationship between qi stagnation constitution and suboptimal health status(SHS)or lifestyle.Methods:From 2012 to 2013,we conducted a cross-sectional survey of 24159 Chinese individuals aged 12... Objective:To study the relationship between qi stagnation constitution and suboptimal health status(SHS)or lifestyle.Methods:From 2012 to 2013,we conducted a cross-sectional survey of 24159 Chinese individuals aged 12-80 years.The qi stagnation constitution was assessed using the Constitution in Chinese Medicine Questionnaire.Health status was evaluated through medical records and the Subhealth Measurement Scale V1.0(SHMS V1.0).Health-promoting lifestyles were measured using the Health-Promoting Lifestyle Profile Ⅱ(HPLP-Ⅱ).Results:Of the 24159 participants,16.1%and 15.2%were classified as“always”and“sometimes”having the qi stagnation constitution,respectively.Those classified as“rarely”having the qi stagnation constitution scored higher on both the HPLP-Ⅱ and SHMS V1.0.The participants classified as“always”having the qi stagnation constitution showed a significant association with SHS or disease compared to other imbalanced constitutions.Those in the“always”category were approximately 21 times more likely to be classified as having SHS(odds ratio[OR]:21.17,95%confidence interval[CI]:15.74-28.45),whereas those in the“sometimes”category were approximately six times more likely(OR:5.89,95%CI:5.04-6.90).Accordingly,the qi stagnation constitution score was significantly associated with the diagnosis of SHS,with an area under the curve of 0.77(P<.001).A score of 18.75 yielded the highest Youden Index(0.407),with a sensitivity of 60.5%and a specificity of 80.3%.Significant associations were observed between health-promoting lifestyles and qi stagnation constitution severity in an ordinal regression analysis(P<.001).Protective factors included stress management(OR:1.59),self-actualization(OR:1.57),and exercise(OR:1.36).In contrast,poorer interpersonal relationships(OR:0.79),greater health responsibilities(OR:0.86),and poorer nutrition(OR:0.91)were associated with increased severity.Conclusion:Modulating the qi stagnation constitution through lifestyle interventions may help prevent the progression of SHS to disease,which aligns with core preventive principles in traditional Chinese medicine. 展开更多
关键词 Qi stagnation constitution Suboptimal health status Health-promoting lifestyle Traditional Chinese medicine constitution Cross-sectional study
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Cross-sectional study of the association between triglyceride glucose-body mass index and obstructive sleep apnea risk 认领 引用
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作者 Li Gong Ming Su +9 位作者 Jing-Han Xu Zhen-Fei Peng Lin Du Ze-Yao Chen Yu-Zhou Liu Lu-Cia Chan Yin-Luan Huang Yu-Tian Chen Feng-Yi Huang Chun-Li Piao 《World Journal of Diabetes》 SCIE 2025年第3期65-75,共11页
BACKGROUND The triglyceride glucose-body mass index(TyG-BMI)is a novel indicator of insulin resistance(IR).Obstructive sleep apnea(OSA)is a prevalent disorder characterized by recurrent complete or partial collapse of... BACKGROUND The triglyceride glucose-body mass index(TyG-BMI)is a novel indicator of insulin resistance(IR).Obstructive sleep apnea(OSA)is a prevalent disorder characterized by recurrent complete or partial collapse of the pharyngeal airway during sleep;however,the relationship between these two conditions remains unexplored.We hypothesized that a higher TyG-BMI is associated with the occurrence of OSA.AIM To assess the association between TyG-BMI and OSA in adults in the United States.METHODS A cross-sectional study was conducted utilizing data from the National Health and Nutrition Examination Surveys spanning from 2005-2008 to 2015-2018.TyGBMI was calculated as Ln[triglyceride(mg/dL)×fasting blood glucose(mg/dL)/2]×BMI.Restricted cubic splines were used to analyze the risk of TyG-BMI and OSA occurrence.To identify potential nonlinear relationships,we combined Cox proportional hazard regression with smooth curve fitting.We also conducted sensitivity and subgroup analyses to verify the robustness of our findings.RESULTS We included 16794 participants in the final analysis.Multivariate regression analysis showed that participants with a higher TyG-BMI had a higher OSA incidence.After adjusting for all covariates,TyG-BMI was positively correlated with the prevalence of OSA(odds ratio:1.28;95%confidence interval:1.17,1.40;P<0.001);no significant nonlinear relationship was observed.Subgroup analysis showed no strong correlation between TyG-BMI and OSA in patients with diabetes.The correlation between TyG-BMI and OSA was influenced by age,sex,smoking status,marital status,hypertensive stratification,and obesity;these subgroups played a moderating role between TyGBMI and OSA.Even after adjusting for all covariates,there was a positive association between TYG-BMI and OSA prevalence.CONCLUSION A higher TyG-BMI index is linked to higher chances of developing OSA.As TyG-BMI is an indicator of IR,managing IR may help reduce the risk of OSA. 展开更多
关键词 Obstructive sleep apnea Triglyceride glucose-body mass index Insulin resistance Cross-sectional National Health and Nutrition Examination Surveys
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A cross-sectional study of the association between dietary inflammatory index and glaucoma prevalence in a US population 认领 引用
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作者 Wen-Li Chen Li-Xia Zhang 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2025年第1期139-145,共7页
AIM:To assess the relationship between dietary inflammatory index(DII)and prevalence of glaucoma among individuals aged 40y and above in the United States.METHODS:Participants were drawn from 2 cycles of the National ... AIM:To assess the relationship between dietary inflammatory index(DII)and prevalence of glaucoma among individuals aged 40y and above in the United States.METHODS:Participants were drawn from 2 cycles of the National Health and Nutrition Examination Survey(NHANES,2005-2008)for a cross-sectional study.DII was calculated from 24-hour dietary recall questionnaire conducted by experienced researchers and data analyzed in R according to the NHANES user guide,“Stratified Multi-stage Probability Sampling”.The relationship between DII and glaucoma was evaluated by multi-factor logistic regression analysis and the existence of a non-linear association examined by restricted cubic spline(RCS)analysis.RESULTS:A total of 5359 subjects were included and the cross-sectional analysis weighted to represent the US population of 109 million.DII was elevated in glaucoma patients(P<0.001)and smoking and alcohol use contributed to significant differences(P<0.001).DII correlated negatively with Healthy Eating Index(HEI)-2015(Spearman rank correlation coefficient,r=-0.49).RCS analysis showed a linear relationship between DII and glaucoma risk(P of non-linear relationship=0.575).CONCLUSION:An increased DII is strongly associated with high risk of glaucoma and diet-induced inflammation should be controlled to delay glaucoma progression. 展开更多
关键词 glaucoma risk factors dietar y inflammatory index National Health and Nutrition Examination Survey restricted cubic spline regression cross-sectional study
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