1.Implicit and explicit measures of loyalty assessment among military cadets
Xuerong LIU ; Yu ZHAN ; Wei LI ; Libin ZHANG ; Mengxue ZHAO ; Xinyan GAO ; Zhiyi CHEN ; Zhengzhi FENG
Journal of Army Medical University 2024;46(3):203-208
		                        		
		                        			
		                        			Objective To explore the relevant relationship and specificity between the implicit and explicit loyalty of military cadets in order to provide a theoretical basis and objective indicators for a more comprehensive and objective assessment for individual loyalty.Methods E-Prime 2.0,a classic implicit association paradigm was employed to construct an implicit association loyalty test for 64 military cadets.Simultaneously,an explicit loyalty measurement was conducted using the Chinese Military Personnel Loyalty Scale.Results ① Significant implicit effect was observed in the loyalty assessment of military cadets,indicating a general tendency to perceive higher levels of personal loyalty and lower levels of loyalty to external entities.② Explicit loyalty assessment revealed that the participants had the highest loyalty score towards the Party,the Nation,and the People(4.79±0.34),followed by the loyalty score to their profession(4.38±0.53),and the relatively lower loyalty score towards the unit and leaders(4.03±0.83).Among the 3 dimensions of loyalty,the normative loyalty score ranked highest,while continuance loyalty score took lower.③ There were no correlations among the scores of loyalty to the Party,the Nation,and the People(r=-0.030,P=0.823),to the profession(r=-0.047,P=0.728),to the unit(r=0.050,P=0.710),or to the leaders(r=0.043,P=0.749).Conclusion The implicit effect in the loyalty assessment is significant in military cadets,and there is no significant correlation between explicit and implicit loyalty measurements.Thus,we cannot rely solely on explicit measurements to assess their loyalty attitudes.
		                        		
		                        		
		                        		
		                        	
2.Effect of military operation types on dual factors of mental health in Chinese veterans:mediating role of psychological quality
Yuanyuan LI ; Yan WANG ; Xingya LIAO ; Xiaoling ZHANG ; Ke XIONG ; Shujuan SUN ; Zhengzhi FENG
Journal of Army Medical University 2024;46(14):1600-1608
		                        		
		                        			
		                        			Objective To explore the effects of military operation types on the mental health of Chinese veterans and the mediating role of psychological quality based on a dual-factor model of mental health.Methods Cross-sectional study design was adopted in this study.Self-designed demographic information questionnaire,patient health questionnaire depression module-9 item(PHQ-9),general anxiety disorder-7(GAD-7),satisfaction with life scale and psychological quality questionnaire were used to survey on 3 027 Chinese veterans.Results ① Compared to the one-factor model and the two-factor models with other indicators,the dual-factor model of mental health,with anxiety symptoms as a negative indicator and life satisfaction as a positive indicator,fitted better(Chi-square/df=8.927,GFI=0.974,AGFI=0.962,RMSEA=0.051,NNFI=0.985,IFI=0.988,CFI=0.988).②Taking the subjects who did not participate in war/non-war military operations as the reference,psychological quality showed significant relatively mediating effects between war and life satisfaction,and between war and anxiety symptoms(P<0.05),while no such significances were observed in the corresponding ones for non-war military operations.③ War could decrease veterans'life satisfaction through full mediation of cognitive,adaptive and personality dimensions of psychological quality,and increase anxiety symptoms through partial mediation of the personality dimension of psychological quality.Conclusion The dual-factor model of mental health is applicable to Chinese veteran population,and psychological quality plays a mediating role between war and mental health.
		                        		
		                        		
		                        		
		                        	
3.Effect of perceived stress on sleep quality in military personnel serving in plateau:regulatory effect of occupational stress
Ke XU ; Mengxue ZHAO ; Jia WANG ; Jingxuan ZHANG ; Fan XIA ; Juan JIANG ; Zhengzhi FENG
Journal of Army Medical University 2024;46(14):1618-1625
		                        		
		                        			
		                        			Objective To explore the features of sleep quality and its relationship with perceived stress and occupational stress in military personnel serving in high-altitude regions.Methods Cross-sectional study design was adopted in this study.In February 2023,self-designed demographic data questionnaire,Pittsburgh sleep quality index(PSQI),perceived stress scale(PSS-10)and job content questionnaire(JCQ)were applied to survey 3 784 soldiers from a unit stationing in plateau subjected by cluster sampling.Results The total score of PSQI was 5.37±2.78 in the participants,and the total score and the scores of each dimension of PSQI were significantly higher than the national norms for Chinese(P<0.001).There were significant differences in PSQI scores among different age,length of military service,nationality,length of stationing in plateau,education level and family structure(P<0.001).The low perceived stress group had significantly lower PSQI scores than the high perceived stress group(t=-12.108,P<0.001).Regulatory effect analysis showed that the length of stationing in plateau,work autonomy,work psychological requirements,and social support in the work environment could modulate the relationship between perceived stress and sleep quality(t=8.326,-3.788,-2.145,-6.656,P<0.05),and explained 14.6%,7.6%,7.0%and 7.9%of the variance of sleep quality,respectively.Conclusion The military personnel serving in high-altitude regions have a poor sleep quality.Age,time of military service,time of stationing in plateau,nationality,family structure,education level,perceived stress,and occupational stress are important factors affecting their sleep quality.The length of stationing in plateau time and occupational stress,can modulate the relationship between perceived stress and sleep quality.
		                        		
		                        		
		                        		
		                        	
4.The revision of behavioral activation/inhibition scales in military population and the examination of psychometric properties
Xiaoxia WANG ; Rui ZHANG ; Xiao CHEN ; Keyu LIU ; Lifei WANG ; Jin ZHANG ; Xiao LIU ; Zhengzhi FENG
Chinese Journal of Behavioral Medicine and Brain Science 2018;27(1):78-84
		                        		
		                        			
		                        			Objective To examine the adaptability of Carver and White' s behavioral activation/in-hibition scales(BIS/BAS Scales)in a large sample of Chinese military-man,and to revise the instrument and validate its factor structure. Methods A total of 2 921 Chinese military-men completed four subscales:one for the Behavioral Inhibition System,and three for the Behavioral Approach System(drive,reward re-sponsiveness,fun seeking).Data were analyzed using exploratory and confirmatory factor analysis.The internal consistency of the subscales and the complete scale were examined. Results The findings did not support Carver and White's 4-factor structure which was validated in a sample of Chinese college students.A 3-factor structure(behavioral inhibition,reward responsiveness,drive)in Chinese military-man were extracted and validated using confirmatory factor analysis(CFA)(KMO=0.87,CFI=0.94,RMSEA=0.06).The Cronbach α of behavioral inhibition,drive and reward responsiveness were 0.78,0.71 and 0.67 respectively.The internal consistencies of behavioral inhibition and drive were higher than four-factor model of Chinese college students and the internal consistencies of drive and reward responsiveness were less than American young adults.Be-havioral inhibition and drive positively predicted depressive symptoms(βBIS=0.332,βDrive=0.076,P<0.001),and reward responsiveness negatively predicted depressive symptoms(βRRS=-0.140,P<0.001). Conclusion The BIS/BAS Scales(revised Chinese military version)has acceptable reliability and validi-ty,and can be utilized as a measurement tool for assessing the approach/avoidance motivation of Chinese ser-vicemen.
		                        		
		                        		
		                        		
		                        	
5.Analysis on social support characteristics of Chinese military men and their relationship with depression
Ran YU ; Rui ZHANG ; Liying GAN ; Zhengzhi FENG
Chongqing Medicine 2017;46(32):4558-4560
		                        		
		                        			
		                        			Objective To investigate the social support characteristics of Chinese military men and their relationship with depression.Methods A total of 10,505 officers and soldiers from navy,army,air force,and armed police was performed the questionnaire survey by using the Military Men Social Support Rate Scale.The SPSS18.0 software was used for conducting the data statistical analysis.Results High utilization rate existed in the Chinese military men.The help almost could be gotten from the organization or relatives and friends when facing the difficulties;the social support of armed police was higher than that of army,navy and air force;The subjective support of officers was higher than that of soldiers and sergeants;the objective support were lower than those of officers and soldiers;the subjective support and support availability in the soldiers aged below 20 were higher than those in soldiers aged above 20.The social support of military men showed a significantly negative correlation with depression(r=0.376,P<0.01).Condusion The higher the social support of military,the smaller the suffering from depression.
		                        		
		                        		
		                        		
		                        	
6.Validity and reliability of the Chinese Attention to Positive and Negative Inventory in college students
Qin DAI ; Zhengzhi FENG ; Shuang XU ; Junrun XIE ; Keyu LIU ; Yongju YU ; Xiaoxia WANG ; Rui ZHANG ; Ying HE ; Jiawen LI ; Jing LI ; Yunbo LIU ; Xiuna LIU ; Cuihua ZHANG ; Leifei WANG ; Xiaoxia YANG ; Qiuping GAO ; Zailing HAN
Chinese Mental Health Journal 2015;(5):395-400
		                        		
		                        			
		                        			Objective:To translate the Attention to Positive and Negative Inventory(APNI)and analyze the validity and reliability in Chinese undergraduates sample,to offer a convenient and reliable tool of measuring the cognitive bias for national researchers. Methods:The English-version APNI went through translation into Chinese, retroversion into English,translation into Chinese again,and revision several stages. Two parts of samples (1450 Chinese college students)were surveyed. Sample one (n=1000)was used for item analysis,exploratory factor a-nalysis (EFA),concurrent validity and reliability analysis,while sample 2 (n=450)was used for confirmatory fac-tor analysis (CFA). Totally 68 subjects of sample 1 were randomly chosen and resurveyed with an interval of one week. Beck depression inventory (BDI-II)and patient health questionnaire (PHQ-9)was used for concurrent validi-ty. Results:Item analysis indicated that the 22 items of Chinese APNI had good discriminability. EFA focused onattention to positive information(API)and attention to negative information(ANI)two factors. CFA showed good model fit (χ2 =1376,RMESA=0. 09,CFI=0. 94). Concurrent validity result showed that the total scores of BDI-II and PHQ-9 was negatively correlated with total scores of API (r=-0. 24,-0. 29,Ps<0. 01 ),and posi-tively correlated with total scores of ANI (r=0. 36,0. 31,Ps<0. 01). The Cronbach'αcoefficients of API and ANI sub-scale were 0. 86 and 0. 82,while the retest reliability coefficients were 0. 79 and 0. 62. Conclusion:It suggests that the Chinese APNI has good validity and reliability in a sample of college students,which could be used to eval-uate the cognitive bias of Chinese college students.
		                        		
		                        		
		                        		
		                        	
7.THE INPUT AND OUTPUT OF HEALTH HUMAN RESOURCE FOR COUNTY-LEVEL HOS-PITALS IN WESTERN CHINA
Yin ZHANG ; Zhengzhi LI ; Lingui LI
Modern Hospital 2015;(10):1-4
		                        		
		                        			
		                        			Objective To analyze the inputs and outputs of Health Human Resource for County -level Hos-pitals in Western China , discuss the reasons for low efficiency and quality , and provide references for improving the efficiency and quality of health human resources .Methods Using rank-sum ratio to evaluate the health human re-sources of 33 county -level hospitals of 11 provinces in western China , and to compare the evaluation results . Results In the comprehensive analysis of human input and output of health human resources between 11 provinces , according to the health human resources efficiency level of 11 provinces into third gear:a hard stop ( high-grade):Sichuan, Guangxi;second gear (mid-range): Gansu, Guizhou, Yunnan, Shaanxi, Ningxia, Inner Mongolia, Ti-bet, Xinjiang;third gear (low-grade):Qinghai.Conclusion In the nationwide perspective , the efficiency of the western provinces of health human resources is lower , and we need to take measures to improve the efficiency of health human resources .
		                        		
		                        		
		                        		
		                        	
8."Exploration on Correspondence between Food Efficacy and Body Constitution Types under the Guidance of ""Donguibogam"""
Tianhong WANG ; Yi ZHANG ; Weiwen LIANG ; Zhang WANG ; Zhengzhi CUI
World Science and Technology-Modernization of Traditional Chinese Medicine 2014;(1):116-122
		                        		
		                        			
		                        			Donguibogam was introduced from traditional Chinese medicine (TCM) instead of the local representa-tive work of the Democratic People's Republic of Korea (DPRK). It is also the concrete manifestation of theories of different schools of doctors according to Dr. Xu Jun's medical thoughts. In this paper, from Dr. Xu's advocacy to Taoism and the concept of aftercare spirit, the exploration was made on health cultivation for different body constitu-tions. According to the health cultivation effects of the medicinals and edible food, the focus was made on the sys-tematic collation and induction of more than 1 400 kinds of herbs contained in the soup liquid from papers in three volumes. The medicinals were divided into eight categories, which were benefiting qi, nourishing yin, tonifying yang, clearing heat and promoting dieresis, drying dampness and resolving phlegm, promoting blood circulation for remov-ing blood stasis, dispersing stagnated liver qi, nourishing blood for hemostasis. Donguibogam specified the health cultivation concept from the correspondence between the body constitution and the medicinal performance. It has a certain guiding significance to the current health cultivation.
		                        		
		                        		
		                        		
		                        	
9.Study on deficits of switching function in video game addicts
Bao ZHANG ; Sai HUANG ; Zhengzhi FENG
Chongqing Medicine 2013;(29):3527-3528,3531
		                        		
		                        			
		                        			Objective To study the characteristics of the deficits of switching function in video game addicts .Methods A total of 21 game addicts and 21 normal participants were performed a classic task switch task ,then the switching cost between two groups was compared .Results The results showed that the switching cost was significant greater for game addicts (372 ms) than that for health participants(180 ms) ,t=3 .63 ,P<0 .05 .Conclusion The present study suggested that the switching function was impaired to a certain extent for video game addicts ,and it might be one of the cognitive mechanisms for causing the game addicts .
		                        		
		                        		
		                        		
		                        	
10.The significance of central region lymph nodes dissection for differentiated thyroid carcinoma
Zhengzhi ZHU ; Shengying WANG ; Hui ZHANG ; Defeng PENG ; Jinhai ZHU ; Rongxin ZHANG ; Tingjing YAO ; Ziyan WANG
Journal of Endocrine Surgery 2012;06(4):234-236
		                        		
		                        			
		                        			Objective To explore the rule of central region lymph nodes metastasis in differentiated thyroid carcinoma (DTC) and the significance of central region lymph nodes neck dissection in surgical operation for DTC.Methods The clinical and pathological data of 122 lymph nodes in 109 patients (31 female and 78 male) with DTC undergoing neck lymph nodes ( central region lymph nodes included) dissection from Jan.2003 to Jun.2007 in our hospital were analyzed retrospectively.According to preoperative physical examination and imaging analysis,patients were divided into clinical cervical lymph nodes metastasis ( cN + ) group and clinical no cervical lymph nodes metastasis (cNO) group and compared respectively with their pathological data after surgery.Resuits Of the 122 lymph nodes,lymph node metastasis rate was significantly higher in region Ⅵ than in region Ⅱ,Ⅲ and Ⅳ.The difference had statistical significance (P <0.01 ).65.6% (80/122) metastasis was in the central region.81.2% (56/69) patients in cN + group and 45.3% (24/53) patients in cN0 group had central region lymph nodes metastasis.Conclusions Central region lymph nodes metastasis is common for patients with DTC.Routine neck dissection in central region should be done in DTC operation.
		                        		
		                        		
		                        		
		                        	
            
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