OBJECTIVE:To provide behavioral intervention strategies for the reduction of health risks involved in Chinese inhabitants' self-medication.METHODS:The health risks and the behavioral patterns involved in Chinese inhabitants' self-medication were analyzed.RESULTS &CONCLUSION:The self-medication behaviors of Chinese inhabitants can only be intervened through strengthening the health education,improving Chinese inhabitants' self-medication ability,standardizing the management of packaging and descriptions of OTC,promoting and enforcing GPP,launching consumer medication counseling services extensively,enhancing pharmacists' quality,reinforcing supervision and reporting of adverse drug reactions,etc.

This article analyses and describes the influencing mechanism of hospital alliance on quality of care from six aspects:product and technology,organizational structure,psychosocial climate, management,organizational culture,and competition in medical service market.In order to ensure and improve the medical quality,this study discusses that hospital alliance can not only ally in the form but also optimize the internal structure,strengthen the integration of organizational culture of the institutions, gradually form a social psychological climate of“Quality First”.In addition,the government′s regulation on the medical service market is also indispensable.

The operational main body,fund source,information source and its assessment,service contents and forms of the major medical and health information service platforms for the public in United Kingdom,USA,Canada and Australia were compared and analyzed with suggestions put forward for establishing government-led non-profitable medical and health information service platforms,namely enlarging the depth and width of medical and health information service,promoting the assessment of information service on the platforms by the third party,enforcing the management of medical and health information service platforms,improving the interaction and feedback between website maintenance staff and users,and strengthening the construction of digital medical service system.

OBJECTIVE:To discuss the health risk links involved in self-medication of Chinese urban residents. METHODS: Based on literature study and the experts consultation, the high risk links of the self-medication were defined according to the process of self-medication behavior and the probability of the health harm involved in the self-medication behavior, and the intervention suggestions were put forward for the health risks. RESULTS & CONCLUSIONS: The health risk links involved in self-medication of Chinese urban residents appear as 6 links include self-diagnostic error, incorrect drug choice, failing to understand or follow drug package inserts in taking drugs, irrational drug use, unaware of the drug contraindication, disregarding the physiological particularity of the special drug users. Carrying out education on self-mediation and behavior management among the residents, and reinforcing the government control are the effective ways to reduce the health risk of self-medication.

Objective To study the serum level of resistin and IL‐6 in the sepsis‐induced acute lung injury (ALI) in rats and to probe the relation of IL‐6 and resistin to ALI and its possible mechanism .Methods The forty‐five Wistar rats were randomly as‐signed to three groups ,a control group ,a sham group and a model group .ALI was induced by intravenous injective of LPS (10 mg/kg) and those animals were killed after 6 hours ,12 hours ,24 hours .The lung wet/dry weight ratio ,serum IL‐6 was detected by chemiluminescence and resistin levels were detected by ELISA .Results Compared with the control group and the sham group ,the lung wet/dry weight ratio ,lung pathologic tissue score ,the serum level of resistin and IL‐6 were increased(P<0 .05) .Positive cor‐relation was observed between resistin and IL‐6 in different time .Conclusion Resistin possibly participate the process of sepsis in‐duces ALI .

Objective: To investigate the trend in burden of mental disorders among the elderly in China from 1990 to 2021, so as to provide the basis for formulating prevention, control and intervention measures for mental disorders in this population. Methods: Based on the data of the Global Burden of Disease 2021 (GBD 2021), the number of cases, prevalence, disability-adjusted life years (DALY) and DALY rate of mental disorders among the elderly in China were collected, and standardized prevalence and DALY rate were calculated using the world standard population. The burden of mental disorders was analyzed, and the trend in burden was analyzed using average annual percent change (AAPC). Results: The standardized prevalence and standardized DALY rate of mental disorders among the elderly in China showed upward trends from 1990 to 2021 (AAPC=0.160% and 0.286%, both P<0.05). In 2021, there were 38.944 9 million cases of mental disorders among the elderly in China, the DALY was 5.389 8 million person-years, the standardized prevalence was 14 462.91/105, and the standardized DALY rate was 1 993.69/105, with the increases of 184.12%, 192.90%, 5.71% and 9.60% compared to 1990, respectively. The burden of mental disorders increased significantly among the elderly aged 60 to <65, 65 to <70, 70 to <75, and 75 to <80 years, with the increases of 5.81%, 5.92%, 6.08% and 6.03% in prevalence, and the increases of 10.16%, 10.12%, 10.31% and 9.88% in DALY rates, respectively. Depression and anxiety ranked the top two in standardized prevalence and standardized DALY rates. The standardized prevalence and standardized DALY rate of autism showed the largest increases, at 18.82% and 18.10%, respectively, while congenital intellectual disabilities exhibited the largest decreases, at 36.15% and 29.71%, respectively. The standardized prevalence and standardized DALY rate of mental disorders were higher in women than in men (both P<0.05). Compared to men, women had higher standardized prevalence and standardized DALY rates of depression, anxiety and congenital intellectual disabilities, but lower standardized prevalence and standardized DALY rates of schizophrenia, autism, attention deficit hyperactivity disorder, and other mental disorders (all P<0.05). Conclusion The burden of mental disorders among the elderly population in China showed an upward trend from 1990 to 2021, with heavier burdens observed among women, individuals aged 60 to <80 years, and those with depression and anxiety.

Objective To explore the influence of organizational support on the career satisfaction of doctors in public hospitals and the mediating effect of role stress.Methods Using the survey data of 523 public hospital doctors from 9 medical institutions in 4 places in 2022,OLS linear regression model was used to analyze the influence of organizational support on career satisfaction,and Bootstrap test was used to explore the mediating effect of role stress.Results Organizational support had a positive effect on the career satisfaction of doctors in public hospitals,and for every unit increase in organizational support score,career satisfaction score will increase by 0.528 points.And role stress had a negative effect on the career satisfaction of doctors in public hospitals.Conclusion Organizational managers should take measures to promote the positive impact of organizational support on doctors'career satisfaction in public hospitals,reduce doctors'role stress,and continuously improve their career satisfaction.

Objective To sort out the organisational support strategies adopted by typical public hospitals to improve the mental health of healthcare workers,to provide reference for hospitals around the world,and to enhance the healthcare health force.Methods In December 2023,57 cases of organisational support for healthcare workers'mental health in public hospitals were searched and screened,and the textual content of specific measures in the case hospitals was coded using thematic framework analysis.Two rounds of expert consultation were conducted to further screen typical cases.Results 4 General strategies of system optimisation,professional services,promotion and education,and humanistic care and their corresponding 9 sub-strategies were identified based on the coding content.The 11 typical cases screened by experts were further summarised and analysed to distil the specific practices carried out by each hospital to improve the mental health of healthcare workers.Conclusion The mental health status of healthcare workers is not optimistic,and hospitals need to pay full attention to it and take supportive organisational measures to address the existing problems.For example,expanding the reserve of psychological professionals,enhancing the application of information technology,and improving the willingness of healthcare professionals to accept mental services.

Objective To sort out the organisational support strategies adopted by typical public hospitals to improve the mental health of healthcare workers,to provide reference for hospitals around the world,and to enhance the healthcare health force.Methods In December 2023,57 cases of organisational support for healthcare workers'mental health in public hospitals were searched and screened,and the textual content of specific measures in the case hospitals was coded using thematic framework analysis.Two rounds of expert consultation were conducted to further screen typical cases.Results 4 General strategies of system optimisation,professional services,promotion and education,and humanistic care and their corresponding 9 sub-strategies were identified based on the coding content.The 11 typical cases screened by experts were further summarised and analysed to distil the specific practices carried out by each hospital to improve the mental health of healthcare workers.Conclusion The mental health status of healthcare workers is not optimistic,and hospitals need to pay full attention to it and take supportive organisational measures to address the existing problems.For example,expanding the reserve of psychological professionals,enhancing the application of information technology,and improving the willingness of healthcare professionals to accept mental services.

Objective To sort out the organisational support strategies adopted by typical public hospitals to improve the mental health of healthcare workers,to provide reference for hospitals around the world,and to enhance the healthcare health force.Methods In December 2023,57 cases of organisational support for healthcare workers'mental health in public hospitals were searched and screened,and the textual content of specific measures in the case hospitals was coded using thematic framework analysis.Two rounds of expert consultation were conducted to further screen typical cases.Results 4 General strategies of system optimisation,professional services,promotion and education,and humanistic care and their corresponding 9 sub-strategies were identified based on the coding content.The 11 typical cases screened by experts were further summarised and analysed to distil the specific practices carried out by each hospital to improve the mental health of healthcare workers.Conclusion The mental health status of healthcare workers is not optimistic,and hospitals need to pay full attention to it and take supportive organisational measures to address the existing problems.For example,expanding the reserve of psychological professionals,enhancing the application of information technology,and improving the willingness of healthcare professionals to accept mental services.