1.Association between screen time and psychological behaviors of preschool children in Lanzhou City
Lei HUANG ; Nan NAN ; Yue SU ; Pengli WANG ; Xiaoyan WU ; Jinxian GUO
Chinese Journal of Child Health Care 2024;32(3):242-247
【Objective】 To analyze the associations between different types of video screen time and psychological behaviors of preschool children, in order to provide evidence for promoting the development of children′s mental health. 【Methods】 From February to March 2023, a total of 1 361 parents of children aged 3 - 6 years from 6 kindergartens of Lanzhou were surveyed by cluster sampling method.Parents were surveyed to obtain information about the video use, and the children′s Strengths and Difficulties questionnaire (parent version) was used to assess children′s psychological and behavioral problems. 【Results】 The rate of daily screen time exceeding standard was 36.96% (503/1 361).The screen time was mainly spent in watching TV cartoons, followed by educational APP.The detection rate of abnormal total difficulty score was 11.61% (158/1 361), and the abnormalities of peer communication (32.26%) and prosocial behavior (12.34%) were the most prominent.After adjusting for related factors by multiple Logistic regression analysis, total screen time≥2h/d (OR=1.802) was found to be a risk factor for abnormal total difficulty score; watching TV cartoons≥2h/d was a risk factor for abnormal total difficulty score (OR=2.409) and peer communication (OR=2.222); playing games≥1h/d was a risk factor for abnormal total difficulty score, emotional symptoms, conduct problems, hyperactive behavior, and abnormalities of peer communication, the differences were all statistically significant (P<0.05).However, educational APP screen time<1h/d was a protective factor for abnormal total difficulty score(OR=0.615) and prosocial behavior (OR=0.549), but educational APP screen time≥2h/d was a risk factor for conduct problems (OR=2.302), the differences were all statistically significant (P<0.05). 【Conclusions】 The screen time of preschool children in Lanzhou cannot be ignored, and there is a significant correlation between overuse and children′s psychological and behavioral problems.Parents and schools should attach importance to the parent-child and peer interaction of preschool children and strengthen the intervention of preschool children′s video behavior.
2.Analysis of Medication Regularity of Prescriptions Containing Cangzhu (Atractylodes Lancea) - Huangbai (Phellodendron Amurense) Based on Data Mining
Pengli SU ; Peng XU ; Yanhong WANG ; Yaqi ZU ; Kun LI ; Yufeng ZHAO
Journal of Traditional Chinese Medicine 2024;65(13):1392-1398
ObjectiveTo analyze medication regularity of presciptions containing Cangzhu (Atractylodes Lancea) - Huangbai (Phellodendron Amurense) based on data mining. MethodsAll the prescriptions containing Cangzhu-Huangbai in Dictionary of Chinese Medical Formulas (《中医方剂大辞典》) and the fifth edition of Chinese Pharmacopoeia (《中华医典》) were retrieved, setting up a database, counting the number of prescriptions involved, the composition of formulas in the prescriptions, the properties of the medicinal, the number of types of diseases and syndromes treated by the prescriptions, and the frequency of their appearances; drawing a network diagram of the medicinal combinations; analysing the medicinal combinations based on the association rules of the Apriori algorithm, and at the same time, analysing the association rules for the medicinal involved in the high-frequency diseases, and the core prescriptions containing Cangzhu-Huangbai pairs for specific diseases were extracted, and the medicinal in the core prescriptions were classified into four categories of raising yang and eliminating dampness, fortifying spleen and eliminating dampness, clearing dampness-heat, and specialised disease-use. ResultsA total of 323 prescriptions were identified, involving 318 Chinese herbal medicines, 52 syndromes, 200 diseases, among which arthralgia, beriberi, atrophy-flaccidity, leukorrhea, hernia-type diseases, headache, and haemorrhoids appeared more than 10 times. Through analyzing the core prescriptions for high-frequency diseases, we had four findings. Firstly, medicinal of spleen-fortifying and dampness-removing were the most frequent used in core prescriptions of Cangzhu-Huangbai pair (353 times), and the medication mode was combination of qi-blood supplement medicinal and qi rectifying medicinal, usually using Huangqi (Astragalus mongholicus), Renshen (Panax ginseng), Processed Gancao (Glycyrrhiza glabra), Baizhu (Atractylodes macrocephala), Danggui (Levisticum officinale), Chenpi (Citrus reticulata), Xiangfu (Cyperus rotundus). Then followed by the combination of heat-clearing and dampness-draining medicinal (213 times), usually using Fangji (Stephania tetrandra), Niuxi (Achyranthes bidentata), and Banxia (Pinellia ternata), and this type of heat-clearing and dampness-draining medicinal is most frequently used for haemorrhoids, and beriberi is the most frequent disease. The combination of yang-raising and dampness-removing medicinal (212 times), often using Qianghuo (Hansenia weberbaueriana), Chaihu (Elephantopus scaber), Fangfeng (Carum carvi), and this type of medicinal is most frequently used for headache, and atrophy-flaccidity is the most frequent disease. The combination of medicinal for specialised diseases was used the least frequently (39 times). ConclusionCangzhu-Huangbai pair were often combined with medicinal of yang-raising and dampness-removing, spleen-fortifying and dampness-removing, and heat-clearing and dampness-draining to expel dampness pathogen, at the same time combined with disease-specific medicinal to treat disease and syndrome together.