BackgroundLow medication compliance among patients with severe mental disorders increases the disease burden on both the patients' families and the society. Medication adherence is influenced by numerous factors. Traditional methods such as Logistic regression struggle to quantify the importance of these factors. By introducing Extreme Gradient Boosting （XGBoost） combined with Shapley Additive Explanations （SHAP）， enables the quantification of the relative contribution weights of each factor， providing support for identifying the core influencing factors. ObjectiveTo explore the influencing factors of medication adherence among patients with severe mental disorders in Zhuhai， aiming to provide references for optimizing patient management strategies. MethodsExtract the data of patients with severe mental disorders who were registered on the mental health system platform in Zhuhai City from January 1， 2023 to March 31， 2025. A total of 9 329 patients were finally included for analysis. Influencing factors were screened using univariate analysis and multivariate logistic regression analysis， and an XGBoost model combined with the SHAP algorithm was constructed to quantify the importance of each influencing factor. ResultsAmong 9 329 patients， 8 446 demonstrated medication adherence， yielding an adherence rate of 90.53%. Multivariable analysis identified several risk factors significantly associated with medication non-adherence， being unmarried （OR=1.237， 95% CI： 1.019–1.502） or divorced （OR=1.389， 95% CI： 1.038–1.832）， a diagnosis of mental retardation with psychiatric disorders （OR=3.025， 95% CI： 2.402–3.796） or paranoid psychosis （OR=5.117， 95% CI： 3.086–8.299）， a disease duration of 2–4 years （OR=1.355， 95% CI： 1.085–1.696）， 4–6 years （OR=2.143， 95% CI： 1.671–2.747）， or >6 years （OR=1.681， 95% CI： 1.365–2.079）， lack of guardian subsidies （OR=1.412， 95% CI： 1.099–1.801）， absence of a disability certificate （OR=1.900， 95% CI： 1.588–2.282）， not being enrolled in care and support groups （OR=1.384， 95% CI： 1.183–1.617） or community services （OR=1.313， 95% CI： 1.042–1.645）， and not cohabiting with a guardian （OR=1.257， 95% CI： 1.048–1.501）. Conversely， the enrollment in special outpatient disease programs （OR=0.716， 95% CI： 0.609–0.842） and a family history of mental illness （OR=0.713， 95% CI： 0.503–0.982） were identified as protective factors. The XGBoost model exhibited robust predictive performance， with a sensitivity of 0.433， specificity of 0.944， accuracy of 0.891， Area Under the Curve （AUC） of 0.837， and F1 value of 0.449. Feature importance ranking indicated that the top three factors were disease duration， diagnosis， and the acquisition of disability certificates. ConclusionPolicy-based support （acquisition of disability certificates， special outpatient disease enrollment） and clinical disease characteristics （disease duration， diagnosis type） are key factors affecting medication adherence among patients with severe mental disorders in Zhuhai City. ［Funded by Zhuhai Medical Research Project （number， 2220009000281）］

Objective To explore the effect of arthroscopic double locking ring suture technique on shoulder joint function in small and medium-sized patients with rotator cuff tear.Methods From January 2020 to June 2022,54 small and medium-sized patients with rotator cuff tear were selected and randomly divided into control group and treatment group with 27 cases in each group.The control group was repaired by conventional single-row modified Mason-Allen technique,while the treatment group was repaired by arthroscopic double locking ring suture technique.The operation time,blood loss,total hospitalization time,the clinical efficacy and recurrence rate 6 months after operation of the two groups were compared.The pain at different time points,abduction of shoulder joint,University of California at Los Angeles(UCLA)scale,American Shoulder and Elbow Surgeons(ASES)scale and Constant-Murley scale before and 3 months after operation were compared.The incidence of joint stiffness was followed up for 6 months.Results The operation time in the treatment group was significantly shorter than that in the control group,with statistical significance(P＜0.05).After 6 months'follow-up,the total excellent and good rate in the treatment group was significantly higher than that in the control group,with statistical significance(P＜0.05).At the 1,3 and 6 months after operation,the visual analogue scale(VAS)of the two groups decreased compared with that before operation,and the treatment group was lower than that of the control group,with statistical significance(P＜0.05).Three months after operation,the UCLA scale,ASES scale and Constant-Murley scale of the two groups were higher than those before operation,and the treatment group was higher than that of the control group,and the differences were statistically significant(P＜0.05).At the 1,3 and 6 months after operation,the abduction range of the patients in the two groups increased compared with that before operation,and the differences were statistically significant(P＜0.05).During the follow-up of 6 months,the incidence of joint stiffness in the treatment group was 3.70%,which was significantly lower than that in the control group(29.63%),and the differences were statistically significant(P＜0.05).After 6 months'follow-up,the recurrence rate in the treatment group was 0.00%,which was significantly lower than that in the control group(18.52%),with statistical significance(P＜0.05).Conclusion Small and medium-sized patients with rotator cuff tears can be treated by arthroscopic double locking ring suture technology,which can shorten the operation time,effectively relieve the pain of patients,improve shoulder joint mobility,improve shoulder joint function,reduce the incidence and recurrence rate of joint stiffness,and improve clinical efficacy.

Objective To explore the effect of arthroscopic double locking ring suture technique on shoulder joint function in small and medium-sized patients with rotator cuff tear.Methods From January 2020 to June 2022,54 small and medium-sized patients with rotator cuff tear were selected and randomly divided into control group and treatment group with 27 cases in each group.The control group was repaired by conventional single-row modified Mason-Allen technique,while the treatment group was repaired by arthroscopic double locking ring suture technique.The operation time,blood loss,total hospitalization time,the clinical efficacy and recurrence rate 6 months after operation of the two groups were compared.The pain at different time points,abduction of shoulder joint,University of California at Los Angeles(UCLA)scale,American Shoulder and Elbow Surgeons(ASES)scale and Constant-Murley scale before and 3 months after operation were compared.The incidence of joint stiffness was followed up for 6 months.Results The operation time in the treatment group was significantly shorter than that in the control group,with statistical significance(P＜0.05).After 6 months'follow-up,the total excellent and good rate in the treatment group was significantly higher than that in the control group,with statistical significance(P＜0.05).At the 1,3 and 6 months after operation,the visual analogue scale(VAS)of the two groups decreased compared with that before operation,and the treatment group was lower than that of the control group,with statistical significance(P＜0.05).Three months after operation,the UCLA scale,ASES scale and Constant-Murley scale of the two groups were higher than those before operation,and the treatment group was higher than that of the control group,and the differences were statistically significant(P＜0.05).At the 1,3 and 6 months after operation,the abduction range of the patients in the two groups increased compared with that before operation,and the differences were statistically significant(P＜0.05).During the follow-up of 6 months,the incidence of joint stiffness in the treatment group was 3.70%,which was significantly lower than that in the control group(29.63%),and the differences were statistically significant(P＜0.05).After 6 months'follow-up,the recurrence rate in the treatment group was 0.00%,which was significantly lower than that in the control group(18.52%),with statistical significance(P＜0.05).Conclusion Small and medium-sized patients with rotator cuff tears can be treated by arthroscopic double locking ring suture technology,which can shorten the operation time,effectively relieve the pain of patients,improve shoulder joint mobility,improve shoulder joint function,reduce the incidence and recurrence rate of joint stiffness,and improve clinical efficacy.

Background Currently,there has been a gradual increase in the incidence of mental diseases,becoming a problem that has attracted great concern of the general public.Zhuhai is a core city of the Guangdong-Hong Kong-Macao Greater Bay Area,and the local government have attached great importance to the mental health of residents.The systematic study on the mental health has focused largely on pregnant women and medical workers,yet few are on the adult residents.Objective To investigate the prevalence and its influencing factors of anxiety and depression among adult residents in Zhuhai,so as to provide references for formulating targeted psychological intervention strategies.Methods From September 1 to December 1,2021,a cohort of 5 600 permanent residents aged 18 years and above in Zhuhai were selected through multistage sampling.All participants were subjected to complete Patients' Health Questionnaire Depression Scale-9 item(PHQ-9),Generalized Anxiety Disorder Scale-7 item(GAD-7)and National Mental Health Literacy Questionnaire based on Wenjuanxing software.Then Logistic regression was employed to identify the factors associated with anxiety and depression among the residents.Results Among the 5 600 residents,depressive symptoms were detected in 842(15.04％)residents and anxiety symptoms in 579(10.34％)residents.Logistic regression analysis yielded that female gender(OR=1.488),living in Doumen district(OR=1.942),junior college/undergraduate level(OR=3.602),postgraduate and above(OR=5.904),irregular meal pattern(OR=3.320),comorbid chronic diseases(OR=3.244),disqualification of self-assessment(OR=3.414)and disqualification of mental health skill(OR=2.131)were risk factors for depression symptoms,whereas age≥25 years old(of all age groups OR<1),monthly per capita income>20 000 yuan(OR=0.438)and exercising≥3 times a week(OR=0.431)were protective factors for depression symptoms.Age of 25～34 years old(OR=2.051),living in Jinwan district(OR=1.729)or Doumen district(OR=1.901),junior college/undergraduate level(OR=2.955),postgraduate and above(OR=6.662),irregular meal pattern(OR=2.741),comorbid chronic diseases(OR=3.535),disqualification of self-assessment(OR=3.325)and disqualification of mental health skill(OR=1.838)were risk factors for anxiety symptoms,while monthly per capita income of 6 001～9 000 yuan(OR=0.665)and exercising≥3 times a week(OR=0.572)were protective factors for anxiety symptoms.Conclusion The mental health status of adult residents in Zhuhai is affected by various factors,including gender,age,region of residence,education level,meal pattern,exercise frequency and chronic diseases.

In-stent restenosis is the major problem of percutaneous coronary interventions. Drug-eluting stent became a landmark in the treatment of coronary disease. Curcumin could be used for drug-eluting stent due to its antithrombogenity and antiproliferative properties. In this paper, 3-(4, 5-Dimethylthiazol-2-yl)-2, 5-diphenyltetrazolium bromide (MTT) assays were performed to decide the optimal concentration of curcumin for inhibiting the proliferation of vascular smooth muscle cells (VSMC). The result disclosed that more than 80% of VSMC were inhibited when the concentration of curcumin ranged from 2.5 microg/ml to 10 microg/ml (P < 0.05, compared to ethanol). Three weight percent curcumin-loaded films (3wt%, 5wt%, 8wt%) were prepared using a biodegradable polymer (poly (lactic acid-co-glycol acid), PLGA) as the carrier of curcumin. The release of lactate dehydrogenase (LDH) was used to evaluate the immediate toxicity of the curcumin-loaded PLGA films, and the three concentration curcumin-loaded films were revealed to be of no acute toxicity to the smooth muscle cells. The results of Alamar Blue test indicated that the curcumin-loaded films had better antiproliferation effect than did the 316 stainless steel (SS). Therefore, these films may be used for stent coating to inhibit the in-stent restenosis induced by VSMC proliferation.
Angioplasty, Balloon, Coronary ; Animals ; Carotid Arteries ; cytology ; Cell Proliferation ; drug effects ; Cells, Cultured ; Coated Materials, Biocompatible ; pharmacology ; Coronary Restenosis ; prevention & control ; Curcumin ; pharmacology ; Drug-Eluting Stents ; Lactic Acid ; pharmacology ; Muscle, Smooth, Vascular ; cytology ; Polyglycolic Acid ; pharmacology ; Rats

In-stent restenosis is the major problem in clinical application of coronary stent. Drug-eluting stent became a landmark in the treatment of coronary disease. However, thrombosis is still a problem of drug-eluting stent. There has been clinical report indicating that thrombosis sometimes is induced by drug-eluting stent implantation in late stage. Curcumin could be used for drug-eluting stent due to its antithrombogenity and antiproliferative properties. In this paper, three weight percent curcumin-loaded films (3wt%, 5wt%, 8wt%) were prepared using a biodegradable polymer (poly (lactic acid-co-glycol acid), PLGA) as the carrier of curcumin. The component of curcumin-loaded film was analyzed by Fourier transform infrared spectroscopy (FTIR), and the major peaks of curcumin and PLGA were both observed in the composite film. The result of in vitro platelet adhesion test shows that the number of adhered platelet reduces, and few aggregated and activated platelets are observed. For all composite films, activated partial thromboplastin time (APTT) increases. The results indicate that the curcumin-loaded films have better anticoagulative effect when compared with PLGA. In addition, all anticoagulation tests indicate "the higher the drug content in the film, the better the anticoagulative effect".
Coated Materials, Biocompatible ; pharmacology ; Coronary Restenosis ; prevention & control ; Curcumin ; pharmacology ; Drug-Eluting Stents ; Humans ; Lactic Acid ; pharmacology ; Platelet Adhesiveness ; drug effects ; Platelet Aggregation Inhibitors ; pharmacology ; Polyglycolic Acid ; pharmacology ; Polymers

The effect of micronutrient complex preparations on dark adaptation function was studied in human body. Sixty-four young students, 18 to 20 years of age, were divided into four groups. Under the normal dietary condition, the experimental groups were supplemented with different microcutrient complex preparations for two weeks.Before and after the experiment serum vita- min A and zinc level, quick dark adaptation time, near-sighted in dim light time and absolute threshold were determined. It was found that dark adaptation was much improved in the group supplemented with adequate vitamin A as well as other vitamins and zinc. So we suggested that micronutrient complex preparation should be given to operators who will concentrate their sight in low illuminance for maintaining their visual function.