Objective: To investigate the trends in prevalence of depression symptoms among middle-aged and elderly residents at ages of 45 years and older in China from 2011 to 2018, so as to provide insights into depression prevention and control among middle-aged and elderly residents. Methods: Demographic features and evaluation data of depressive symptoms were collected from middle-aged and elderly residents at ages of 45 years and older recorded during four follow-ups in the China Health and Retirement Longitudinal Study (CHARLS), and the depressive symptoms were screened using the Center for Epidemiological Studies Depression Scale (CES-D). Following sampling weights, non-response weights, and post-stratification weighting, the detection of depressive symptoms was analyzed among the middle-aged and elderly residents with different demographics, and the trends in prevalence of depressive symptoms were identified using annual percent change (APC). Results: A total of 48 223 middle-aged and elderly residents were enrolled, including 12 624, 10 427, 12 144, and 13 028 residents in 2011, 2013, 2015 and 2018, with mean ages of (58.8±9.4), (58.9±9.2), (59.0±9.2), and (61.1±9.2) years, respectively. The prevalence of depressive symptoms was 34.5% (95%CI: 33.3%-35.8%), 29.6% (95%CI: 28.5%- 30.8%), 30.6% (95%CI: 29.4%-31.8%), and 35.0% (95%CI: 33.6%-36.4%) among middle-aged and elderly residents in 2011, 2013, 2015 and 2018, respectively, with no remarkable changing trends seen (APC=0.4%, t=0.188, P=0.868). Higher detection was seen among residents at advanced ages, among women than among men, among rural residents than among urban residents, among residents with lower educational levels, among widowed and unmarried residents than among married residents, among unemployed residents than among employees, and among residents that had lower per capita personal consumption expenditures than mean expenditures than among residents that had higher per capita personal consumption expenditures than mean expenditures (all P<0.05). Conclusions There were no obvious trends in prevalence of depressive symptoms among middle-aged and elderly residents in China from 2011 to 2018, and individuals with advanced ages, women, urban residents and those with low educational and economic levels should be given a high priority for depression control.

Objective To study the sub-health status and health-risky behaviors of left behind middle school students in Chongqing Three-gorge area and provide the reference for targeted interventions .Methods 1 528 cases of left behind middle school students were collected from three middle school by multistage cluster random sampling in a reservoir of Chongqing ,surveyed with questionnaire about health-risky behaviors and Multidimensional Sub-health Questionnaire of Adolescents(MSQA) .Results The rates of psychosomatic sub-health symptoms were 45 .0% ,body sub-health symptoms detection rate was 23 .3% ,psychological sub-health symptoms detection rate was 40 .1% .Body energy insufficiency ,the physiological function ,decreased resistance detection rate were 10 .2% ,15 .1% and 12 .0% ,respectively .The emotional problems ,behavioral problems ,social adaptation difficulties detection rate were 25 .9% ,16 .8% ,34 .3% ,respectively .The symptoms of sub-health detection rate of boys was higher than that of girls (P>0 .05) ,the junior grade One was higher than the senior grade One(P<0 .05) ,the one-child was higher than non-only child(P>0 .05) ,the boarding students was significantly higher than the day students(P<0 .05) .Logistic regression analysis showed that the risk factors had unhealthy diet behavior ,deliberately harm behavior ,suicide behavior ,unintentional injury behavior and Internet addiction .Conclusion The sub-health problem of left behind middle school student in Chongqing three-gorge area is in a general level ,the relevant departments should take some targeted interventions to improve students'health level .

Islet β cell protection is one of the key strategies for diabetes treatment. The new antidiabetic drug sodium-glucose cotransporter 2(SGLT2)inhibitor decreases blood glucose by inhibiting glucose reabsorption in the renal tubule, independent of insulin. Various clinical studies have shown that SGLT2 inhibitors improve β cell function. Furthermore, animal experiments have indicated that SGLT2 inhibitors increase β cell mass. SGLT2 inhibitors promote islet regeneration through stimulating β cell proliferation, inhibiting β cell apoptosis and dedifferentiation, enhancing transdifferentiation of α cells to β cells, and initiating progenitor-derived β cell neogenisis. Indirect effects of metabolic improvement(i.e.lowering glucose, losing weight, improving lipid metabolism), inhibiting inflammatory reaction, inducing glucagon-like peptide-1 secreted from α cells, and regulating gene changes might be involved in the β cell protection of SGLT2 inhibitors.

To introduce Prof. T ian Cong-huo’s commonly used acupuncture methods and their clinical application, in order to summarize the famous doctor’s experience, promote the experience inheritance of Chinese acupuncture, and enhance the therapeutic effect of acupuncture.

Objective To explore the effect of cognitive behavior intervention on the defense style of patients with depression. Methods One hundred and forty-six patients with depression in hospitalized were divided into study group and control group according to the set sequence. The study group and the control group were given cognitive behavioral intervention and routine nursing, respectively. All patients were assessed by Hamilton depression scale (HAMD), Hamilton anxiety scale (HAMA), Simplified Coping Style Questionnaire (SCSQ), and Defense Style Questionnaire (DSQ) . Results The differences of conceal type and positive coping factor were significantly before and after intervention in the study group ( < 0.05) . In the 6th week, the differences of conceal type and positive coping factor were significantly between the two groups ( < 0.05) . The differences of HAMD and HAMA scores were significantly between the 0 th and 6 th weeks of the two groups ( <0.05) . There was negatively correlated between HAMD and positive coping factor ( <0.05) . There were positively correlated between HAMD and the cover up defense mode ( <0.05),HAMA and the cover up defense mode ( <0.05) . Conclusion The cognitive behavior intervention could improve the depression and anxiety symptoms and defense style in patients with depression.

Objective To study the influence of cognitive behavioral intervention on the quality of marriage and family function in patients with depression. Methods 146 hospitalized patients with depression were divided into study group and control group according to the set sequence. The study group were given cognitive behavioral intervention and the control group were given routine nursing.All patients were assessed by Hamilton depression scale (HAMD), Hamilton anxiety scale (HAMA), family functioning (FAD), marriage quality questionnaire (ENRICH) to evaluate the depression and family function. Results The difference in ENRICH total score, marital satisfaction, conflict resolution, children and marriage, leisure activities and the relationship with family and friends,FAD total score, problem solving, emotional response was statistically significant between before and after the intervention of the study group ( <0.05) . In the 6th weeks, the difference in ENRICH total score, marital satisfaction, conflict resolution methods, children and marriage,leisure activities and the relationship with family and friends, FAD total score, problem solving,emotional response was statistically significant between the two groups ( <0.05);The difference in HAMD,HAMA score was statistically significant between the 0th and 6 th weeks of the two groups ( <0.05) . There was a negative correlation between HAMA and conflict resolution factor (=-0.48, <0.05) . There was a positive correlation between FAD and the HAMD total score (=0.43,<0.05) . There was a negative correlation between ENRICH and HAMD total scores (r=-0.46, <0.05) .Conclusion The cognitive behavioral intervention can improve the family function and the quality of marriage in patients with depression.

Angina, Unstable ; therapy ; Angioplasty, Balloon, Coronary ; China ; Drugs, Chinese Herbal ; therapeutic use ; Humans ; Myocardial Infarction ; therapy ; Phytotherapy

Objective To study the clinical application of the lung lesion biopsy through helical CT-guided fine needle aspiration. Methods 44 cases of lung lesions were pathologically biopsy diagnosed through helical CT-guided fine needle aspiration. Results All 44 lung lesions were successfully conducted biopsy through CT-guided fine needle aspiration, and the pathological confirmed diagnosis rate was 98%. Conclusion With high diagnosis rate, CT- fine needle aspiration is clinically applicable and the complication is rare. It is easily-operated, safe and economical.

Aged ; Atropine ; Electrocardiography ; Female ; Heart Rate ; drug effects ; Humans ; Male ; Muscarinic Antagonists ; pharmacology ; therapeutic use ; Preoperative Care ; methods ; Quinuclidines ; pharmacology ; therapeutic use

Animals ; Corticosterone ; blood ; Male ; Rats ; Rats, Wistar ; Stress, Physiological