Objective: To analyze the effects of health literacy on overweight and obesity among primary school students and their parents in terms of salt, oil and sugar reduction (referred to as the "three reductions"), so as to provide a theoretical basis for the development of obesity control measures. Methods: From March to April 2024, a total of 1 022 fourthgrade primary school students and 913 parents were surveyed in 24 classes in six counties in Shandong Province using multistage cluster random sampling, and physical measurements of primary school students were conducted. Pearsons correlation analysis and ordered multivariate Logistic regression were used to investigate the associations between health literacy of primary school students and their parents with overweight and obesity among children. Results: The detection rates of overweight and obesity primary school students in Shandong Province were 14.87% and 24.66%, respectively, with significant sex difference in obesity rate (29.46% for boys and 19.76% for girls) (χ2=12.93, P<0.01). In addition to students reducing oil scores, parental reducing salt,reducing oil,reducing sugar, comprehensive health literacy scores and students reducing salt,reducing sugar and comprehensive health literacy scores showed a negative relationship with students overweight and obesity (r=-0.10, -0.08, -0.07, -0.10, -0.04, -0.07, -0.03, P<0.05). The overweight and obesity rates among primary school students with high parental reducing salt,reducing oil,reducing sugar and composite health literacy scores were lower (OR=0.69, 0.69, 0.71, 0.63, P<0.05); and the overweight and obesity rate among students with high parental and low parental and high and low parental health literacy scores were lower (OR=0.68, 0.57, P<0.05). Conclusion Improving health literacy regarding "three reductions" for parents and children, especially parents, can effectively reduce the risk of childhood overweight and obesity.

Objective To investigate the value of olfactomedin domain family 4(OLFM4),cathepsin C(CTSC),LL-37 and procalcitonin(PCT)combined detection in the early diagnosis of bacterial infection in pa-tients with trauma or surgery.Methods A total of 160 patients with trauma or surgery admitted to a hospital from January to July 2023 were selected for blood culture or secretion culture.According to the results of bac-terial culture,120 patients with positive bacterial culture were selected as positive group and 40 patients with negative bacterial culture were selected as negative group.The positive group was divided into 53 Gram-nega-tive bacteria infection group(G-bacteria group)and 67 Gram-positive bacteria infection group(G+bacteria group)according to the types of pathogens.Another 30 healthy subjects in a hospital during the same period were selected as the control group.The serum levels of OLFM4,CTSC,LL-37 and PCT,and the relative mR-NA expression levels of OLFM4,CTSC and LL-37 in neutrophils were compared among all groups and posi-tive groups.Results Serum levels of OLFM4,CTSC,LL-37 and PCT in negative and positive groups were significantly higher than those in control group,with statistical significance(P＜0.05).The relative expres-sion levels of OLFM4,CTSC and LL-37 mRNA in negative and positive groups were significantly higher than those in control group,with statistical significance(P＜0.05).The serum PCT level of G-bacteria group was significantly higher than that of G+bacteria group,and the differences was statistically significant(P＜0.05).The serum levels of CTSC and LL-37 in patients with sensitive bacteria were significantly higher than those in patients with drug-resistant bacteria,and the serum levels of OLFM4 in patients with drug-resistant bacteria were significantly higher than those in patients with sensitive bacteria,with statistical significance(P＜0.05).The relative expression levels of CTSC mRNA and LL-37 mRNA in neutrophils in patients with sensitive bacteria were significantly higher than those in patients with drug-resistant bacteria,and the differ-ences were statistically significant(P＜0.05).Conclusion PCT can be used as an early diagnosis and evalua-tion index of bacterial infection in patients with trauma or surgery.OLFM4 and LL-37 can better distinguish the infection of sensitive bacteria from drug-resistant bacteria and judge the curative effect and prognosis.

Objective:To survey the continuing medical education training needs for village doctors in Beijing suburbs.Methods:A qualitative study on the continuing medical education training needs for village doctors was conducted in Beijing Huairou district from March to July 2021. Six township hospital managers, 19 village doctors, 15 village cadres and 30 villagers from 15 villages of 3 townships in the district selected by purposive sampling method attended the face-to-face, individual, in-depth interviews. A semi-structured interview outline was developed based on literature review and expert consultation. The content of the interviews was analyzed by the thematic framework method.Results:Among 19 rural doctors, 11 preferred the full-time training, while 8 were unable to participate in the full-time training. Most of township hospital managers and village doctors thought the ideal form of training was "classroom knowledge teaching teaching" (5/6, 16/19)and "outpatient clerkship"(6/6, 13/19). The training contents for village doctors were basic medical knowledge and skills, including diagnosis and treatment of common diseases, identification of common symptoms and management of chronic diseases; the appropriate techniques of traditional Chinese medicine including acupuncture, moxibustion, cupping and scraping; and public health including epidemic prevention and control, infectious disease detection and reporting.Conclusion:For improving the applicability and practicality of training for village doctors, it is necessary to apply rational training methods and forms, and develop targeted training program and contents based on training needs.

Purpose: To identify the relationship between emotional intelligence, occupational well-being, and work engagement among Chinese clinical nurses. Methods: This cross-sectional study is based on survey responses provided by 1744 registered nurses from a Chinese hospital. The survey utilized emotional intelligence, occupational well-being, and work engagement scales. Results: A questionnaire was distributed to nurses, and among them, 1744 filled it in. Work engagement was related to demographic characteristics. The nurses' work engagement score was 28.99±5.46. Work engagement was positively correlated with emotional intelligence (r=.94, p < .01) and occupational well-being (r=.96, p < .01). Conclusions The current work engagement of nurses in China is at a medium level. It is influenced by emotional intelligence and occupational well-being.

Purpose: To identify the relationship between emotional intelligence, occupational well-being, and work engagement among Chinese clinical nurses. Methods: This cross-sectional study is based on survey responses provided by 1744 registered nurses from a Chinese hospital. The survey utilized emotional intelligence, occupational well-being, and work engagement scales. Results: A questionnaire was distributed to nurses, and among them, 1744 filled it in. Work engagement was related to demographic characteristics. The nurses' work engagement score was 28.99±5.46. Work engagement was positively correlated with emotional intelligence (r=.94, p < .01) and occupational well-being (r=.96, p < .01). Conclusions The current work engagement of nurses in China is at a medium level. It is influenced by emotional intelligence and occupational well-being.

Objective:To analyze the current status of utilization behavior of basic public health services among elderly migrants in China and to explore its association with social capital.Method:This was a cross-sectional study. The data were obtained from the 2017 National Dynamic Monitoring and Survey on the Health and Family Planning of Migrants (Volume A), and the study subjects were selected by stratified, multi-stage and probability proportional to size sampling methods, covering all 31 provinces (autonomous regions or municipalities), and Xinjiang Production and Construction Corps in China. Participants were migrants aged 60 and above who had resided in their current location for over 6 months without household registration. Demographic and sociological characteristics along with relevant information were collected. Utilization of basic public health services was indicated by the establishment of health records and receipt of health education. Social capital indicators encompassed social networks, family support, social participation, civic engagement, social trust, sense of social belonging, and social cohesion. Logistic regression models were applied to analyze the association between social capital and utilization of basic public health services among elderly migrants.Results:A total of 5 728 elderly migrants were included, with a mean age of (66.03±5.56) years, and 3 302 (57.6%) were males. Among them, 1 892 (33.0%) had established health records in their residence, and 2 372 (58.6%) had received health education. Logistic regression analysis revealed positive associations of social networks ( OR=1.287, 95% CI:1.130-1.466), social participation ( OR=1.426, 95% CI:1.238-1.644), and civic engagement ( OR=1.340, 95% CI:1.171-1.533), with the establishment of health records and receipt of health education among elderly migrants. Interestingly, lower levels of family support ( OR=0.741, 95% CI:0.642-0.855) were associated with higher rates of health record establishment and health education receipt. A sense of social belonging ( OR=1.355, 95% CI:1.150-1.596) showed a positive correlation with health record establishment, while social cohesion ( OR=1.264, 95% CI:1.080-1.478) positively correlated with the receipt of health education. Conclusions:Currently, the rates of health record establishment and health education receipt among elderly migrants in China are less satisfactory. Most dimensions of social capital demonstrate positive associations with the utilization of basic public health services among this population.

Objective To explore the correlation between serum levels of miR-193a-3p,activated transcription factor 5(ATF5),clinicopathological characteristics and chemotherapy efficacy in patients with triple negative breast cancer(TNBC).Methods A total of 120 patients with TNBC admitted to our hospital were collected as the research group.In the same period,120 cases with benign breast disease in our hospital were selected as the control group.Serum levels of miR-193a-3p and ATF5 were detected,and the relationship between them and clinicopathological characteristics were detected in two groups.According to the therapeutic effect,TNBC patients were divided into the treatment ineffective group(n=50)and the treatment effective group(n=70).The expression levels of miR-193a-3p and ATF5 were compared between the two groups,and factors affecting the chemotherapy efficacy of TNBC patients were analyzed.Results Compared with before chemotherapy,the serum miR-193a-3p level increased and ATF5 level decreased in TNBC patients after chemotherapy(P＜0.05).Compared with the control group,the serum miR-193a-3p level of TNBC patients decreased in the research group before chemotherapy,and ATF5 level increased(P＜0.05).The expression level of miR-193a-3p was lower and the expression level of ATF5 was higher in patients with tumor diameter≥3 cm,lymph node metastasis,low histological grade,clinical stage Ⅲ and Ki-67＞30%(P＜0.05).In TNBC patients,compared with the treatment effective group,patients in the treatment ineffective group showed a decreased serum miR-193a-3p level and an increased ATF5 level(P＜0.05).Lower level of miR-193a-3p,higher level of ATF5,lymph node metastasis,tumor diameter≥3 cm,low histological grade,and TNM stage Ⅲ were risk factors affecting the efficacy of chemotherapy in TNBC patients(P＜0.05).Conclusion Low level of miR-193a-3p and high level of ATF5 in the serum of TNBC patients are risk factors for chemotherapy efficacy.

Purpose: To identify the relationship between emotional intelligence, occupational well-being, and work engagement among Chinese clinical nurses. Methods: This cross-sectional study is based on survey responses provided by 1744 registered nurses from a Chinese hospital. The survey utilized emotional intelligence, occupational well-being, and work engagement scales. Results: A questionnaire was distributed to nurses, and among them, 1744 filled it in. Work engagement was related to demographic characteristics. The nurses' work engagement score was 28.99±5.46. Work engagement was positively correlated with emotional intelligence (r=.94, p < .01) and occupational well-being (r=.96, p < .01). Conclusions The current work engagement of nurses in China is at a medium level. It is influenced by emotional intelligence and occupational well-being.

Objective To explore the risk factors of aspiration during hospitalization in patients with ischemic stroke (IS) and establish a predictive model. Methods Based on the case-control design, clinical materials of 316 IS patients treated in the Department of Neurology of Suzhou Ninth Hospital Affiliated to Soochow University from March 2022 to October 2023 were retrospectively collected. According to incidence of aspiration during hospitalization, the patients were divided into case group with 89 cases (aspiration occurred during hospitalization) and control group with 227 cases (no aspiration occurred during hospitalization). Univariate and multivariate Logistic regression analyses were performed in both groups to screen out the risk factors of aspiration during hospitalization in IS patients. R software was used to extract 70 % of the data from the two groups as the training set (establishing a Nomogram model), and the remaining 30 % data was used as test set. Value of predictive model was evaluated by area under the curve (AUC) of the receiver operating characteristic (ROC) curve, calibration curve, and decision curve. Results There were significant differences in the terms of age, the National Institutes of Health Stroke Scale (NIHSS) score, number of lesions, homocysteine (Hcy) level, spontaneous cough, and grading of Wada drinking water test between the case group and the control group (P < 0.05). Multivariate Logistic analysis showed that large age (OR=2.201, 95 %CI, 1.254 to 3.865), high NIHSS score (OR=4.816, 95 %CI, 1.652 to 14.041), multiple lesions (OR=2.649, 95 %CI, 1.249 to 5.613), high level of Hcy (OR=1.501, 95 %CI, 1.044 to 2.158), weakened or absent spontaneous cough (OR=3.384, 95 %CI, 1.639 to 6.987), and high grading of Wada drinking water test (OR=2.878, 95 %CI, 1.422 to 5.783) were the risk factors of aspiration during hospitalization in IS patients (P < 0.05). In the training set, the AUC of the Nomogram model for predicting aspiration during hospitalization in IS patients was 0.872 (95 %CI, 0.827 to 0.919), and was 0.859 (95 %CI, 0.807 to 0.904) in the test set. The calibration curve analysis showed that P value was 0.869 in the training set and 0.898 in the test set. The decision curve analysis for both the training set and test set showed that the Nomogram model was of good clinical applicability. Conclusion The risk of aspiration during hospitalization in IS patients is related to large age, high NIHSS score, multiple lesions, high level of Hcy, weakened or absent spontaneous cough, and high grading of Wada drinking water test. The Nomogram predictive model established on these factors can effectively evaluate the risk of aspiration during hospitalization in IS patients.

Objective:To explore the effect of patient engagement on medication safety for patients with chronic disease through a systematic review.Methods:Relevant randomized controlled trials of patient engagement on medication safety were searched from PubMed, EMBASE, The Cochrane Library, CNKI, Wanfang and VIP database. The literature was screened according to inclusion and exclusion criteria, and data extraction and literature quality evaluation was conducted on the selected literature.Results:A total of 15 eligible studies was included. Most of the studies occurred in outpatient and home settings, and the subjects were patients with chronic diseases. Patient engagement strategies can be divided into three categories: (1) patient engagement in medical decision-making; (2) patient engagement in medication adjustment; (3) patient engagement in medication management. The outcomes of medication safety included medication adherence, medication knowledge, medication beliefs, adverse events and medication errors. Intervention strategies for patients to actively engage in medication safety significantly improved patients′ medication knowledge and beliefs, but did not improve medication adherence of patients.Conclusion:Promoting patient active engagement is an effective intervention measure to improve patients ′ perception of medication safety. Due to the limited quality and quantity of the included studies, more high-quality studies are needed to verify the above conclusions.