Objective To investigate the characteristics and influencing factors of mental health status of permanent residents in Yichang, Hubei Province. Methods A total of 9 576 permanent residents aged 18 years and older from Yichang City were selected by a multistage random sampling method between June and October 2022. The PHQ-9 was used to assess the residents’ depressive symptoms, the GAD-7 was used to assess their anxiety symptoms, the ISI was used to assess their insomnia status, and the PCL-5 was used to assess their stress status. The influence factors of depression and anxiety were analyzed using χ2 test and logistic regression. Results A total of 9 122 valid questionnaires were completed. The detection rate of depression, anxiety, insomnia, and stress symptoms were 29.98%, 19.03%, 11.97% and 1.58%, respectively. Gender, education level, monthly family income, self-rated health status, mental health literacy level, total GAD-7 score, total ISI score, and total PCL-5 score were the main factors that caused residents' anxiety symptoms, while gender, education level, self-rated health status, total PHQ-9 score, total ISI score, and total PCL-5 score were the main factors that caused residents' anxiety symptoms. Conclusion The prevalence of depression and anxiety is high among the permanent residents in Yichang, while the situation of insomnia and stress is relatively good. Measures such as improving the level of mental health literacy can be taken to improve mental health level of residents in Yichang.

AIM: To explore the current status, research hotspots, and trends of global uveitis research to provide a theoretical basis and references for researchers in the field of uveitis, and promote further development in this area.METHODS: Relevant literatures on uveitis were retrieved from the China National Knowledge Infrastructure(CNKI)database, Wanfang database, and Web of Science core collection database since their establishment until 24 August 2023. The country/publishing institutions, research authors, high-frequency keywords, and burst keywords were visual analyzed by using software such as GraphPad Prism 9, CiteSpace 6.2. R2, and VOSviewer.RESULTS: Research teams for uveitis have been formed in various countries globally. The top three countries in terms of publications are the United States of America(7 585 papers), the United Kingdom(2 412 papers)and Germany(1 679 papers). The top three foreign institutions in terms of publications are Harvard University, Oregon Health & Science University, and Moorfields Eye Hospital, while the top three domestic institutions are Affiliated Eye Hospital of Shandong University of Traditional Chinese Medicine, Chongqing Medical University, and Zhongshan Ophthalmic Center, Sun Yat-sen University. The analysis of high-frequency keywords and burst keywords in Chinese and English shows that research hotspots mainly focus on exploring pathogenesis and different treatment methods for uveitis. The research hotspots related to uveitis treatment are transitioning to molecular biology-related research topics, such as molecular biological signaling pathways(NF-κB signaling pathway with a strength value of 22.89), biological agents(adalimumab with a strength value of 32.21), and tumor necrosis factor(with a strength value of 48.44). Related research is also expanding to basic experiments on relevant rats.CONCLUSIONS: In recent years, the research hotspots and trends of global uveitis mainly focus on precise diagnosis, pathogenesis, and more effective treatment methods. It is important for more scholars to dedicate themselves to uveitis-related research in the future to make breakthroughs and progress in the field. More large-scale and multicenter clinical studies on uveitis can provide high-quality research evidence.

Objective:To compare the clinical effects of endoscope-assisted and direct prosthetic augmentation mammaplasty through inframammary fold incisions.Methods:The clinical data of patients who underwent prosthetic augmentation mammaplasty through inframammary fold incisions in Chongqing Huamei Plastic Surgery Hospital from June 2021 to October 2022 were collected. At the same time, the clinical data of patients who underwent the operation under direct vision from June 2015 to May 2021 were collected as control group. The operation time, postoperative drainage tube indwelling time, length of hospital stay and postoperative drainage volume within 1-3 days were recorded in the two groups, and the incision healing, breast morphology and complications were collected. The data were processed by SPSS 26.0 software, which accorded with the measurement data of normal distribution with Mean ± SD, and t-test was used for comparison between the two groups. The data were presented as frequency and (or) percentage, and Fisher’s exact test was used for comparison between the two groups. When P < 0.05, the difference was considered statistically significant. Results:A total of 169 female patients aged 21-48 years old were enrolled, including 71 patients in the endoscope-assisted group and 98 patients in the direct group. There was no significant difference in age, body mass index, prosthesis volume and postoperative follow-up time between the two groups ( P > 0.05). The operation process of the two groups was smooth, and the incisions healed by first intention after the operation. The operation time in the endoscope-assisted group was (123.5±13.5) min, which was slightly longer than that in the direct group [(111.5±8.1) min] ( t=7.20, P<0.001), and the postoperative drainage tube indwelling time[(2.6 ±0.7) d)] was significantly shorter than that in the direct group [(4.2±1.0) d] ( t=-11.58, P < 0.001). The length of hospital stay in the endoscope-assisted group [(2.8±0.8) d] was significantly shorter than that in the direct group [(4.6±1.3) d] ( t=-10.33, P < 0.001). The total amount of bilateral drainage in the endoscope-assisted group was (151.0±30.1) ml on the 1st to 3rd day after the operation, which was significantly lower than that in the direct group[(265.0±48.1) ml ] ( t=-17.62, P < 0.001). During the follow-up for one year, the breast shape and hand feeling of the two groups were good, and there was no infection, prosthesis rupture, displacement or exposure. The patients were satisfied with the results of the operation. The rates of capsular contracture, nipple-areola hypoesthesia and scar hyperplasia in the endoscope-assisted group were 0.7% (1/138), 0.7% (1/138) and 0 (0/138), respectively, which were lower than those in the direct group [2.7%(5/188), 3.7%(7/188) and 2.7%(5/188)], respectively, but the differences were not statistically significant ( P > 0.05). Conclusion:Both endoscope-assisted and direct prosthetic augmentation mammaplasty through an inframammary fold incision can achieve satisfactory results. The operation time of endoscope-assisted augmentation mammaplasty is slightly longer than that under direct vision, but the surgical trauma of that is less, the postoperative drainage tube indwelling time and length of hospital stay are shortened, and the amount of bleeding in the operation area is reduced.

Objective:To compare the clinical effects of endoscope-assisted and direct prosthetic augmentation mammaplasty through inframammary fold incisions.Methods:The clinical data of patients who underwent prosthetic augmentation mammaplasty through inframammary fold incisions in Chongqing Huamei Plastic Surgery Hospital from June 2021 to October 2022 were collected. At the same time, the clinical data of patients who underwent the operation under direct vision from June 2015 to May 2021 were collected as control group. The operation time, postoperative drainage tube indwelling time, length of hospital stay and postoperative drainage volume within 1-3 days were recorded in the two groups, and the incision healing, breast morphology and complications were collected. The data were processed by SPSS 26.0 software, which accorded with the measurement data of normal distribution with Mean ± SD, and t-test was used for comparison between the two groups. The data were presented as frequency and (or) percentage, and Fisher’s exact test was used for comparison between the two groups. When P < 0.05, the difference was considered statistically significant. Results:A total of 169 female patients aged 21-48 years old were enrolled, including 71 patients in the endoscope-assisted group and 98 patients in the direct group. There was no significant difference in age, body mass index, prosthesis volume and postoperative follow-up time between the two groups ( P > 0.05). The operation process of the two groups was smooth, and the incisions healed by first intention after the operation. The operation time in the endoscope-assisted group was (123.5±13.5) min, which was slightly longer than that in the direct group [(111.5±8.1) min] ( t=7.20, P<0.001), and the postoperative drainage tube indwelling time[(2.6 ±0.7) d)] was significantly shorter than that in the direct group [(4.2±1.0) d] ( t=-11.58, P < 0.001). The length of hospital stay in the endoscope-assisted group [(2.8±0.8) d] was significantly shorter than that in the direct group [(4.6±1.3) d] ( t=-10.33, P < 0.001). The total amount of bilateral drainage in the endoscope-assisted group was (151.0±30.1) ml on the 1st to 3rd day after the operation, which was significantly lower than that in the direct group[(265.0±48.1) ml ] ( t=-17.62, P < 0.001). During the follow-up for one year, the breast shape and hand feeling of the two groups were good, and there was no infection, prosthesis rupture, displacement or exposure. The patients were satisfied with the results of the operation. The rates of capsular contracture, nipple-areola hypoesthesia and scar hyperplasia in the endoscope-assisted group were 0.7% (1/138), 0.7% (1/138) and 0 (0/138), respectively, which were lower than those in the direct group [2.7%(5/188), 3.7%(7/188) and 2.7%(5/188)], respectively, but the differences were not statistically significant ( P > 0.05). Conclusion:Both endoscope-assisted and direct prosthetic augmentation mammaplasty through an inframammary fold incision can achieve satisfactory results. The operation time of endoscope-assisted augmentation mammaplasty is slightly longer than that under direct vision, but the surgical trauma of that is less, the postoperative drainage tube indwelling time and length of hospital stay are shortened, and the amount of bleeding in the operation area is reduced.

Patients with severe trauma require an extremely timely treatment and transfusion plays an irreplaceable role in the emergency treatment of such patients. An increasing number of evidence-based medicinal evidences and clinical practices suggest that patients with severe traumatic bleeding benefit from early transfusion of low-titer group O whole blood or hemostatic resuscitation with red blood cells, plasma and platelet of a balanced ratio. However, the current domestic mode of blood supply cannot fully meet the requirements of timely and effective blood transfusion for emergency treatment of patients with severe trauma in clinical practice. In order to solve the key problems in blood supply and blood transfusion strategies for emergency treatment of severe trauma, Branch of Clinical Transfusion Medicine of Chinese Medical Association, Group for Trauma Emergency Care and Multiple Injuries of Trauma Branch of Chinese Medical Association, Young Scholar Group of Disaster Medicine Branch of Chinese Medical Association organized domestic experts of blood transfusion medicine and trauma treatment to jointly formulate Chinese expert consensus on blood support mode and blood transfusion strategies for emergency treatment of severe trauma patients ( version 2024). Based on the evidence-based medical evidence and Delphi method of expert consultation and voting, 10 recommendations were put forward from two aspects of blood support mode and transfusion strategies, aiming to provide a reference for transfusion resuscitation in the emergency treatment of severe trauma and further improve the success rate of treatment of patients with severe trauma.

Objective:To investigate the application effect of the best evidence for prevention of perioperative delirium in elderly patients with hip fracture.Methods:Using the convenient sampling method, a total of 62 elderly patients with hip fractures admitted to the Trauma Department of Provincial Hospital Affiliated to Shandong First Medical University from January to August 2021 were selected as the control group, and 62 elderly patients with hip fractures admitted from September 2021 to April 2022 were selected as the observation group. At the same time, 17 nurses from the same department were selected as the research objects. According to the standard procedures and clinical conversion system application methods of the Evidence Based Clinical Evidence Practice System at the Joanna Briggs Institute in Australia, the best evidences were applied to the prevention of delirium in elderly hip fracture patients during the perioperative period. Before and after the application of evidence, the compliance rates of the review indicators, the scores of knowledge and attitude on prevention of delirium in elderly patients with hip fracture and the occurrence of delirium in patients were compared.Results:After the application of evidence, the compliance rates of review indicators were higher than those before the application, and the differences were statistically significant ( P < 0.05). The knowledge accuracy and attitude scores of delirium prevention in elderly nurses with hip fractures during perioperative period were higher than those before application, and the differences were statistically significant ( P<0.05). The number of delirium cases in the observation group was lower than that in the control group, and the duration of delirium was shorter than that in the control group, and the differences were statistically significant ( P<0.05) . Conclusions:The clinical application of the best evidence for perioperative delirium prevention in elderly hip fractures can improve nurses' awareness and attitude towards perioperative delirium prevention in elderly hip fractures, and reduce the occurrence of delirium in patients.

Objective:To explore the relationship among social support, discharge readiness and quality of life in elderly patients with hip fracture, and to analyze the mediating effect of discharge readiness on social support and quality of life.Methods:This study was a cross-sectional study. From June 2020 to July 2021, 220 elderly patients with hip fracture who underwent surgical treatment in the Trauma Center of the Shandong Provincial Hospital Affiliated to Shandong First Medical University were selected as the research object. The patients were surveyed using the General Information Questionnaire, Social Support Rate Scale (SSRS) , Readiness for Hospital Discharge Scale (RHDS) , and the 12-item Short From Health Survey (SF-12) .Pearson correlation was used to explore the correlation among variables, and AMOS 23.0 software was used to construct structural equation model, and Bootstrap method was used to test the mediating effect. A total of 220 questionnaires were distributed, and 193 valid questionnaires were recovered, with a valid rate of 87.73 % (193/220) .Results:Among 193 elderly patients after hip fracture surgery, the total scores of RHDS, SSRS and SF-12 were (79.39±6.42) , (38.62±6.74) , and (65.39±9.28) , respectively. Social support was positively correlated with discharge readiness ( r=0.39, P<0.01) , discharge readiness was positively correlated with quality of life ( r=0.67, P<0.01) , and social support was positively correlated with quality of life ( r=0.56, P<0.01) . The results of path analysis showed that discharge readiness of elderly patients after hip fracture surgery could positively predict quality of life (β=0.54, P<0.01) , and social support could positively predict discharge readiness (β=0.23, P<0.01) and quality of life (β=0.34, P<0.01) . Discharge readiness played a partial mediating role between social support and quality of life, with a mediating effect of 0.124 2, accounting for 26.76% of the total effect. Conclusions:Discharge readiness of elderly patients after hip fracture surgery is low. Discharge readiness partially mediates the relationship between social support and quality of life. Nurses should formulate corresponding intervention measures to improve the social support and discharge readiness of elderly patients after hip fracture surgery, thereby improving their quality of life.

Objective To understand the epidemiological characteristics and hospitalization death disease composition of elderly hospitalized patients aged 65 years and over in Dongguan city, and provide scientific basis for the health prevention and health care work of relevant departments. Methods Through the "Guangdong province medical institutions medical records statistics management system" selected in 2015 in Dongguan city, 65 years old and over hospitalized patients with death of 959 cases, investigated the hospitalization death disease composition, analysis of its age distribution, gender distribution, the distribution of the season of death and so on. Results The top five hospitalization death disease composition were Malignant neoplasms, Ischaemic heart diseases, Cerebrovascular diseases, Pneumonia and Injury, accounting for 65. 17％ of the deaths. There were significant differences in mortality among different gender groups(P＜0. 05). There were significant differences in mortality among different age groups(P＜0. 05). The distribution of death season is the highest in spring and summer. Conclusion To master the hospitalization death disease composition of elderly hospitalized patients, strengthen health education, reduce mortality and improve the quality of life of the elderly.

Objective To explore the application of multimedia situational teaching in general surgery . Methods A total of 142 students with a five-year undergraduate program in clinical medicine from school year 2014 to 2015 were selected as the observation group to undergo situational teaching, while 155 students with the same program from school year 2015 to 2016 as the control group to adopt the traditional teaching. In the observation group, the pathophysiological changes, clinical signs, differential diagnosis and surgical complications of the disease were created. Specifically, the anatomic structure and pathophysiological changes of the disease were demonstrated in multi-dimensional and three-dimensional forms by animation, the physical pictures and clinical signs of patients were used to show the clinical signs of diseases, and video and photographs of the operation were used to create scenarios of complications during the operation. The teaching evaluation included students' written examination results and questionnaires which covered whether the students satisfied with the situational teaching method, and their evaluation of teachers and personal gains, etc. T test was performed by using SPSS 21.0. Results The average test score of the observation group (67.56±8.27) was significantly higher than that of the control group (65.89±5.53) (P<0.05). The satisfaction rate of students towards situational teaching and their personal achievements were both 97.9％ (139/142). Conclusion The multimedia situational teaching is specific and vivid, which can improve students' learninginterest and teaching effect. However, it also bears higher requirements for teachers, con-sequently the application should of specific purpose.

Objective To investigate the mental health status of students with foreign nursing spe-cialty and analyze its relationship with stress, coping style and perceived social support. Method The cluster sampling was conducted between students with foreign nursing specialty. The Perceived Social Support Scale (PSSS), Symptom Check List-90 (SCL-90), and self-designed demographic questionnaires including demographic information questionnaire, College Students Stress Scale and Coping Style Questionnaire were employed. Results Students with foreign nursing specialty obtained significantly higher scores in all factors of SCL-90 when compared to the national youth norm,and obtained significantly higher scores in factors of somatization, obsession, anxiety, fear and psychotic diseases when compared to the norm of college students. The multifactor analysis of mental health status in students with foreign nursing specialty showed that soma-tization factors contained personal stress, seeking help, family supports and other supports;obsession factors contained personal stress, negative life events, academic stress and solving problem;interpersonal sensitivity factors contained personal stress, academic stress, solving problem, self-blame, fantasy and retreat; depres-sion factors contained personal stress, academic stress, solving problem, self-blame and other supports;anxiety factors contained personal stress, academic stress, fantasy, self-blame, family supports and other supports; hostility factors contained personal stress, seeking help, retreat, fantasy and other supports; fear factors contained personal stress, academic stress, seeking help, retreat and fantasy; crankiness factors con-tained personal stress, academic stress, solving problem, retreat, self-blame, family supports and friend sup-ports; factors of psychotic diseases contained personal stress, academic stress, solving problem, self-blame and friend supports;and factors of other symptoms contained personal stress, negative life events, academic stress, retreat, self-blame, family supports, friend supports and other supports. Conclusion The mental health status of students with foreign nursing specialty was inferior to the norms of national youths and col-lege students. It was negatively correlated with stress, active coping style, friend supports and other supports;while positively correlated with passive coping style (except escape) and family supports. Therefore, mental health education toward students with foreign nursing specialty should be strengthened in order to reduce their stress, improve their coping style, enhance their social supports, and finally promote their mental and physical development.