Objective To explore the mechanism of resilience and social adaptation of the rear middle school students ,and the mediation effect of coping .Methods Totally 641 rural junior high school students were surveyed by the resilience scale for chi‐nese adolescents (HKRA) ,social Adaptation for middle school students (SAS‐SSS) and coping style scale of middle school students (CSSMSS) .Results (1)The girls of the rear middle school were higher than boys in resilience ,problem‐solving ,feeling ventilation and social adaptation(P< 0 .05) ,but lower in fantasy (P< 0 .05) .(2) There were significant correlations in problem‐solving ,help‐seeking ,withdrawal ,resilience and social adaptation .(3)The results showed that partial ,rather than full ,mediation of problem‐sol‐ving was found between resilience and social adaptation ,the mediation effect accounted for 44 .4% .Conclusion The rear middle school students′s resilience and problem‐solving were important factors for their adapting society .

Objective:To exploring the developmental characteristics of 8 to 16 year-old children of parental authority and behavioral autonomy.Methods:251 children and adolescents aged 8 to 16 were investigated by questionnaires and interviews in light of different domains(moral,conventional,personal,and friendship)to research about parental authority and behavioral autonomy.Results:①The results suggested that children and adolescents' justment of legitimacy was significant in different domains;②From 8 to 16,age had significant differences in all issues;③From 8 to 16,children and adolescents' justification of personal issues had significant difference among grades,and 55% of them focused on personal reasons.④From 8 to 16,there were significant differences in justment of legitimacy in personal diary between boys and girls.Conclusion:From 8 to 16,children and adolescents' justment of legitimacy and their obedience to parental authority are significant in different domains.With the increasing of years,the development of their behavioral autonomy is rising.

Objective To explore the mediating role of self-confidence in the parental rearing style and facing-audience com munication apprehension(FACA).Methods The Chinese College Students' Facing-audience Communication Apprehension Scale (revised version of 2011),the Short-form Egna Minnen av Barndoms Uppfostran for Chinese(s-EMBU-C) and the Overall Self-confidence Questionnaire Version of College Students were adopted to survey on 1 072 college freshmen from Guizhou Province.Results FACA in the freshmen of non-one-child was significantly higher than that in the freshmen of one-child,FACA in the freshmen of good performance was significantly lower than that in the freshmen of middle and poor performance;FACA of college freshmen,parental rearing style and self-confidence were significantly correlated with each other;self-confidence played a complete mediated role between the parental care and FACA,and a partial mediated role between the parental control and FACA.Conclusion Self-confidence has significant mediate effect between the parental rearing style and FACA of college freshmen.

Objective To analyze the risk factors of poor prognosis in patients with extended-spectrum β-lactamase producing enterobacterales(ESBL-E)bloodstream infection,and establish a nomogram prediction model to provide help for clinical diagnosis and treatment.Methods A total of 235 patients with ESBL-E bloodstream infection were collected from the First People's Hospital of Jiande City.According to their prognosis,the patients were divided into survival group(n=211)and death group(n=224).The clinical data of the patients were collected,and the independent risk factors of poor prognosis were screened by multivariate Logistic regression analysis.The nomogram was established and verified.Results The mortality of ESBL-E bloodstream infection patients with shock,respiratory failure,diabetes and leukemia,ICU admission,hypoproteinemia,increased or decreased white blood cells,and thrombocytopenia was higher(P＜0.05).Multivariate Logistic regression analysis showed that combined shock,respiratory failure and leukemia were independent risk factors for death from ESBL-E bloodstream infection.Conclusion The nomogram prediction model of adverse prognostic risk factors in patients with ESBL-E bloodstream infection can provide help for clinicians to judge the poor prognosis in the early stage,and it is of reference significance to take early intervention measures to reduce the mortality of patients.