In the era of the digital economy,digital trade has demonstrated strong vitality,becoming a crucial driving force for the highquality development of national and regional economies.However,understanding the resilience...In the era of the digital economy,digital trade has demonstrated strong vitality,becoming a crucial driving force for the highquality development of national and regional economies.However,understanding the resilience of digital trade in the face of external crises is an important topic.Taking the backdrop of Sino-US trade friction,this paper constructs a resilience index system for digital trade.It utilizes entropy method,kernel density estimation,and ArcGIS mapping to calculate and visually analyze the resilience of China’s digital trade from 2017 to 2021.Additionally,a Tobit model is constructed to explore the main influencing factors of digital trade resilience patterns.The research findings indicate:1)temporally,during the period of Sino-US trade friction,China’s digital trade resilience shows an overall upward trend,but there are regional differences in resilience levels across the country,with a severe polarization phenomenon.2)Spatially,high resilience is observed in the eastern and central regions of China,while the western and northeastern regions exhibit low resilience.3)From a dimensional perspective,the resistance of digital trade resilience displays a spatial distribution of high values in the east and low values in the west.The recovery force is aggregated along coastal areas,and the renewal force tends to aggregate along the eastern coastline.4)Factors such as economic scale,industrial structure,urbanization rate,government fiscal expenditure,and technological talents significantly promote the enhancement of digital trade resilience.This study reveals the dynamic characteristics and influencing factors of digital trade resilience in responding to external shocks,providing theoretical basis and policy suggestions for enhancing digital trade resilience,and promoting high-quality economic development in China.展开更多
The multifrequency voltage(MFV)stress,including switching impulses and harmonics,commonly appearing in the modern power system will stimulate the multifrequency impedance dynamics behaviours of electrical insulation.T...The multifrequency voltage(MFV)stress,including switching impulses and harmonics,commonly appearing in the modern power system will stimulate the multifrequency impedance dynamics behaviours of electrical insulation.Therefore,this article presents a novel concept of insulation resilience response(IRR)by employing polymer insulation materials,which may be extended to electrical insulation resilience(EIR).The focus is on understanding reversible recovery performance and supporting physics-informed condition assessment for electrical insulation exposed to MFV.The underlying physical mechanisms and modelling methodologies are integrated to characterise the IRR behaviours of polymer insulation systems.The multifrequency dielectric/impedance properties of different resin dielectrics under diverse temperatures are comparatively investigated as proofofconcept cases.Furthermore,multidimensional sensitivity indicators are developed to quantify the electrical insulation resilience behaviour.A radar plot representation integrating resilience sensitivity indicators qualitatively assesses the IRR behaviours of polymer insulation systems.Additionally,a quantification methodology,including the resilience index(RI)and time-varied RI(TVRI),is proposed for the reversible recovery performance analysis for electrical insulation,respectively.Ultimately,an application-oriented framework derived from TVRI is provided to analyse the recovery performance evolution behaviours of electrical insulation under complex operating conditions.This offers a key theoretical foundation for insulation performance characterisation and condition analysis for high-voltage power equipment.展开更多
Understanding and strengthening community-level resilience to natural hazard-induced disasters is critical for the management of adverse impacts of such events and the growth of community well-being.A key gap in achie...Understanding and strengthening community-level resilience to natural hazard-induced disasters is critical for the management of adverse impacts of such events and the growth of community well-being.A key gap in achieving this is limited standardized and validated disaster resilience measurement frameworks that operate at local levels and are universally applicable.The Flood Resilience Measurement for Communities(FRMC)is a foremost tool for community flood resilience assessment.It follows a structured approach to comprehensively assess community flood resilience across five classes of capacities(capitals)to support strategic investment in resilience strengthening initiatives.The FRMC is a further development of an earlier version(the FRMT,the Flood Resilience Measurement Tool).The FRMT has been developed and applied between 2015 and 2017 in 118 flood prone communities across nine countries.It has been validated in terms of content and face validity as well as in terms of reliability.To reduce redundancy and survey eff ort,the FRMC holds a lesser number of indicators(44 versus 88)and has now been applied in over 320 communities across 20 countries.We examine the validation for the revised resilience construct and the new community applications and present a comprehensive overview of the statistical and user validation process and outcomes in both practical and scientific terms.The results confirm the validity,reliability as well as usefulness of the FRMC framework and tool.Furthermore,our approach and results provide insights for other resilience measurement approaches and their validation eff orts.We also present a comprehensive discussion about the dynamic aspects of flood resilience at community level,and the many validation aspects that need to be incorporated both in terms of quantification eff orts as well as usability on the ground.展开更多
Since the beginning of this year, the China-US economic and trade tensions have brought many challenges to China's clothing export companies. Nevertheless, in the face of difficulties, China's clothing foreign...Since the beginning of this year, the China-US economic and trade tensions have brought many challenges to China's clothing export companies. Nevertheless, in the face of difficulties, China's clothing foreign trade still shows strong resilience and adaptability. From January to May, China's clothing exports showed characteristics such as increased volume, lower prices, category differentiation, and multi-point market layout. Meanwhile, Chinese clothing companies have actively responded to trade friction impacts by closely monitoring tariff negotiations, accelerating transformation and upgrading, exploring diversified international markets, and deepening domestic markets.展开更多
To improve the resilience of railway stations,a typical station was selected as the research object,and an isolation design was introduced.Twenty-four groups of near-fault pulse-like ground motions were selected.The s...To improve the resilience of railway stations,a typical station was selected as the research object,and an isolation design was introduced.Twenty-four groups of near-fault pulse-like ground motions were selected.The seismic resilience of the no-isolation railway stations(NIRS)and the isolation railway stations(IRS)were compared to provide a numerical result of the improvement in resilience.The results show that in the station isolation design,the station's functional requirements and structural characteristics should be considered and the appropriate placement of isolation bearings is under the waiting room.Under the action of a rare earthquake,the repair cost,repair time,rate of harm and death of the IRS were decreased by 8.04 million,18.30 days,6.93×10^(-3)and 1.21×10^(-3),respectively,when compared to the NIRS.The IRS received a seismic resilience grade of three-stars and the NIRS only one-star,indicating that rational isolation design improves the seismic resilience of stations.Thus,for the design of stations close to earthquake faults,it is suggested to utilize appropriate isolation techniques to improve their seismic resilience.展开更多
Studying the spatiotemporal distribution characteristics and coupling coordination relationship of urban and rural resilience is of substantial theoretical and practical significance to improving the ability of urban ...Studying the spatiotemporal distribution characteristics and coupling coordination relationship of urban and rural resilience is of substantial theoretical and practical significance to improving the ability of urban and rural areas to resist risk and for promoting their coordinated development.This study establishes a comprehensive evaluation index system of urban and rural resilience that encom-passes industrial,social,and ecological subsystems as well as stability,sensitivity,and adaptability.For each of the prefecture-level city in Northeast China,we evaluated its urban and rural resilience and determined the coupling coordination level between them using data spanning 2010,2015,and 2020.The resilience levels of both urban and rural areas in Northeast China are continuously improving.The high-value area of urban resilience is mainly located in the central cities of Northeast China,and prominent in urban agglomeration areas,while rural resilience is predominantly high in the north and low in the south.The high-value area of the coupling coordination degree is mainly distributed in the arc-shaped zone extending from south to north in the eastern part of Northeast China,with the level of coupling coordination increased overall.Non-parametric testing revealed significant differences in urban industrial stability,urban in-dustrial adaptability,rural industrial stability,rural social adaptability,and rural ecological stability among types of cities differing in their coupling coordination development.Our findings provide a reference for enhancing urban and rural resilience and their coordin-ated development path in Northeast China.展开更多
BACKGROUND Traumatic fractures are mainly caused by various exogenous traumatic events,which not only damage patients’physical health but also affect their psychological state and aggravate stress responses.AIM To an...BACKGROUND Traumatic fractures are mainly caused by various exogenous traumatic events,which not only damage patients’physical health but also affect their psychological state and aggravate stress responses.AIM To analyze the influencing factors of psychological resilience of patients with traumatic fractures and the effect of psychological resilience on posttraumatic growth(PTG).METHODS This study included 188 patients with traumatic fractures admitted to the First People’s Hospital of Shangqiu from November 2022 to November 2023.The participants were categorized based on the patient’s psychological resilience assessed by the Connor-Davidson Resilience Scale(CD-RISC)into the better resilience group(CD-RISC score≥60 points,n=80)and the poor resilience group(CD-RISC score<60 points,n=108).Patients’sleep quality was assessed with the Pittsburgh Sleep Quality Index(PSQI).The identification of the influencing factors of psychological resilience in patients with traumatic fractures was realized by binary Logistic regression(with factors such as sex,age,injury cause,trauma severity,fracture site,personality,and PSQI included for analysis).The determination of the PTG status of all participants used the Chinese version of the Posttraumatic Growth Inventory(C-PTGI).Furthermore,a Spearman correlation analysis was conducted to analyze the association between psychological resilience and PTG.RESULTS The psychological resilience of patients with traumatic fractures was related to age,sex,trauma severity,and personality.The better resilience group demonstrated statistically lower PSQI scores than the poor resilience group(P<0.05).The Logistic regression analysis revealed sex,age,trauma severity,personality,and sleep quality as influencing factors of CD-RISC scores in patients with traumatic fractures(all P<0.05).The score of each C-PTGI dimension and the total score(relating to others,new possibilities,personal strength,spiritual change,and appreciation of life)were higher in the better resilience group than in the poor resilience group(all P<0.05).Spearman correlation analysis indicated a positive association of the CD-RISC score in patients with traumatic fractures with the scores of all dimensions of C-PTGI and the total C-PTGI score(all P<0.05).CONCLUSION The factors influencing the psychological resilience of patients with traumatic fractures include age,sex,trauma severity,personality,and sleep quality,and psychological resilience is closely associated with PTG.展开更多
Rural resilience,a core capability for addressing systemic risks and enabling sustainable development,is increasingly vital to promoting urban-rural integrated development and rural revitalization strategies.However,c...Rural resilience,a core capability for addressing systemic risks and enabling sustainable development,is increasingly vital to promoting urban-rural integrated development and rural revitalization strategies.However,current research lacks exploration of the collaborative mechanisms between rural economic resilience(RER)and rural social resilience(RSR)in ecologically vulnerable areas.Based on the practical context of rural sustainable development in such regions,this study investigates the interaction between RER and RSR from a resilience coordination perspective.In this paper,a rural resilience evaluation framework for collaborative development of economic and social resilience was established.By employing the coupling coordination degree model,obstacle degree model,and equilibrium entropy model,this paper examines the synergies,constraints,and potential of rural resilience subsystems in Jinchang City,Gansu Province,China,in 2020.The results reveal that:1)RER contributes to RSR by stabilizing the economy,enhancing community adaptability,and driving modernization.In turn,RSR strengthens RER by mitigating instability,building social capital,and fostering confidence—together forming a mutually reinforcing coupling mechanism.2)The rural economic and social resilience level in Jinchang City remains generally low with spatially clustered patterns,while the coupling coordination degree is at an intermediate level overall,with 62.59%of villages exhibiting unbalanced development between rural economic and social resilience.3)RER and RSR demonstrate synergistic degradation in ecologically vulnerable areas,where low-level rural economic and social resilience induce integrated systemic deterioration.4)Considering the unbalanced development of rural economic and social resilience in ecologically fragile areas,differentiated coordination pathways are proposed for three village typologies:RER-lagging villages,RSR-lagging villages,and villages where RER and RSR develop synchronously but lack effective coordination.These findings offer spatial governance strategies and practical guidance for enhancing rural resilience and advancing sustainable development in ecologically vulnerable regions.展开更多
BACKGROUND Research examining the relationships among anxiety,depression,self-perceived burden(SPB),and psychological resilience(PR),along with the determinants of PR,in patients with chronic renal failure(CRF)receivi...BACKGROUND Research examining the relationships among anxiety,depression,self-perceived burden(SPB),and psychological resilience(PR),along with the determinants of PR,in patients with chronic renal failure(CRF)receiving maintenance hemodia-lysis(MHD)is limited.AIM To investigate the correlation between anxiety,depression,SPB,and PR in pati-ents with CRF on MHD.METHODS This study included 225 patients with CRF on MHD who were admitted between June 2021 and June 2024.The anxiety level was evaluated using the Self-Rating Anxiety Scale(SAS);the depression status was assessed using the Self-Rating Depression Scale(SDS);the SPB was measured using the SPB Scale(SPBS);and the PR was determined using the Connor–Davidson Resilience Scale(CD-RISC).The correlations among the SAS,SDS,SPB,and CD-RISC were analyzed using Pearson’s correlation coefficients.Univariate and multivariate analyses were performed to identify the factors that influence the PR of patients with CRF on MHD.RESULTS The SAS,SDS,SPB,and CD-RISC scores of the 225 patients were 45.25±15.36,54.81±14.68,32.31±11.52,and 66.48±9.18,respectively.Significant negative correlations were observed between SAS,SDS,SPB,and CD-RISC.Furthermore,longer dialysis vintage(P=0.015),the absence of religious beliefs(P=0.020),lower monthly income(P=0.008),higher SAS score(P=0.013),and higher SDS score(P=0.006)were all independent factors that adversely affected the PR of patients with CRF on MHD.CONCLUSION Patients with CRF on MHD present with varying degrees of anxiety,depression,and SPB,all of which exhibit a significant negative correlation with their PR.Moreover,longer dialysis vintage,the absence of religious beliefs,lower monthly income,higher SAS score,and higher SDS score were factors that negatively affected the PR of patients with CRF on MHD.展开更多
BACKGROUND Resilience is an individual’s ability and psychological rebound capacity to adapt well after experiencing adversity,trauma,etc.Patients with strong resilience can face illnesses actively.AIM To determine t...BACKGROUND Resilience is an individual’s ability and psychological rebound capacity to adapt well after experiencing adversity,trauma,etc.Patients with strong resilience can face illnesses actively.AIM To determine the association of resilience with coping styles and quality of life in patients with malignancies.METHODS This study included patients with malignant tumors who were hospitalized at Fuyang Hospital Affiliated to Anhui Medical University from March 2022 to March 2024.The Connor-Davidson Resilience Scale,Medical Coping Modes Questionnaire,Social Support Rating Scale,and the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 were utilized to assess patients’resilience,coping styles,social support,and quality of life,respectively.Pearson correlation analysis was conducted to assess the correlations.RESULTS A total of 175 patients with malignant tumors demonstrated no marked difference in terms of age,education level,employment status,monthly household income,and disease staging(P<0.05).Further,patients with malignancies demonstrated scores of 17.49±1.20,17.27±1.46,and 11.19±1.29 points in terms of coping styles in confrontation,avoidance,and resignation dimensions,respectively.Subjective support,objective support,and support utilization scores in terms of social support were 10.67±1.80,11.26±2.08,and 9.24±1.14 points,respectively.The total resilience score and tenacity,self-improvement,and optimism dimension scores were positively correlatedwith the confrontation coping style score,whereas the total resilience score and tenacity and self-improvementscores were negatively associated with avoidance and resignation coping style scores(P<0.05).The total resiliencescore and the tenacity dimension score were positively associated with physical,role,cognitive,emotional,andsocial functions,as well as global health status(P<0.05),and were inversely related to fatigue,insomnia,andeconomic difficulties(P<0.05).CONCLUSIONThe resilience of patients with malignancies is positively associated with the confrontation dimension in the copingstyle,the total and various social support domain scores,and the overall quality of life.Clinical medical staff needto pay attention to the effect of medical coping styles and social support on the resilience level of patients withmalignancies to further improve their quality of life.展开更多
To quantify the seismic resilience of buildings,a method for evaluating functional loss from the component level to the overall building is proposed,and the dual-parameter seismic resilience assessment method based on...To quantify the seismic resilience of buildings,a method for evaluating functional loss from the component level to the overall building is proposed,and the dual-parameter seismic resilience assessment method based on postearthquake loss and recovery time is improved.A threelevel function tree model is established,which can consider the dynamic changes in weight coefficients of different category of components relative to their functional losses.Bayesian networks are utilized to quantify the impact of weather conditions,construction technology levels,and worker skill levels on component repair time.A method for determining the real-time functional recovery curve of buildings based on the component repair process is proposed.Taking a three-story teaching building as an example,the seismic resilience indices under basic earthquakes and rare earthquakes are calculated.The results show that the seismic resilience grade of the teaching building is comprehensively judged as GradeⅢ,and its resilience grade is more significantly affected by postearthquake loss.The proposed method can be used to predict the seismic resilience of buildings prior to earthquakes,identify weak components within buildings,and provide guidance for taking measures to enhance the seismic resilience of buildings.展开更多
This paper introduces the Integrated Security Embedded Resilience Architecture (ISERA) as an advanced resilience mechanism for Industrial Control Systems (ICS) and Operational Technology (OT) environments. The ISERA f...This paper introduces the Integrated Security Embedded Resilience Architecture (ISERA) as an advanced resilience mechanism for Industrial Control Systems (ICS) and Operational Technology (OT) environments. The ISERA framework integrates security by design principles, micro-segmentation, and Island Mode Operation (IMO) to enhance cyber resilience and ensure continuous, secure operations. The methodology deploys a Forward-Thinking Architecture Strategy (FTAS) algorithm, which utilises an industrial Intrusion Detection System (IDS) implemented with Python’s Network Intrusion Detection System (NIDS) library. The FTAS algorithm successfully identified and responded to cyber-attacks, ensuring minimal system disruption. ISERA has been validated through comprehensive testing scenarios simulating Denial of Service (DoS) attacks and malware intrusions, at both the IT and OT layers where it successfully mitigates the impact of malicious activity. Results demonstrate ISERA’s efficacy in real-time threat detection, containment, and incident response, thus ensuring the integrity and reliability of critical infrastructure systems. ISERA’s decentralised approach contributes to global net zero goals by optimising resource use and minimising environmental impact. By adopting a decentralised control architecture and leveraging virtualisation, ISERA significantly enhances the cyber resilience and sustainability of critical infrastructure systems. This approach not only strengthens defences against evolving cyber threats but also optimises resource allocation, reducing the system’s carbon footprint. As a result, ISERA ensures the uninterrupted operation of essential services while contributing to broader net zero goals.展开更多
Earthquakes pose significant perils to the built environment in urban areas.To avert the calamitous aftermath of earthquakes,it is imperative to construct seismic resilient cities.Due to the intricacy of the concept o...Earthquakes pose significant perils to the built environment in urban areas.To avert the calamitous aftermath of earthquakes,it is imperative to construct seismic resilient cities.Due to the intricacy of the concept of urban seismic resilience(USR),its assessment is a large-scale system engineering issue.The assessment of USR should be based on the notion of urban seismic capacity(USC)assessment,which includes casualties,economic loss,and recovery time as criteria.Functionality loss is also included in the assessment of USR in addition to these criteria.The assessment indicator system comprising five dimensions(building and lifeline infrastructure,environment,society,economy,and institution)and 20 indicators has been devised to quantify USR.The analytical hierarchy process(AHP)is utilized to compute the weights of the criteria,dimensions,and indicators in the urban seismic resilience assessment(USRA)indicator system.When the necessary data for a city are obtainable,the seismic resilience of that city can be assessed using this framework.To illustrate the proposed methodology,a moderate-sized city in China was selected as a case study.The assessment results indicate a high level of USR,suggesting that the city possesses strong capabilities to withstand and recover from potential future earthquakes.展开更多
Antimony smelting activities damage the soil and vegetation surroundings while generating economic value.However,no standardizedmethods are available to diagnose the extent of soil degradation at antimony smelting sit...Antimony smelting activities damage the soil and vegetation surroundings while generating economic value.However,no standardizedmethods are available to diagnose the extent of soil degradation at antimony smelting sites.This study developed a standardized framework for assessing soil quality by consideringmicrobial-induced resilience and heavymetal contamination at Xikuangshan antimony smelting site.The soil resilience index(SRI)and soil contamination index(SCI)were calculated byMinimum Data Set and geo-accumulation model,respectively.After standardized by a multi-criteria quantitative procedure of modified Nemerow’s pollution index(NPI),the integrated assessment of soil quality index(SQI),which is the minimumof SRINPI and SCINPI,was achieved.The results showed that Sb and As were the prominent metal(loid)pollutants,and significant correlations between SQI and SRI indicated that the poor soil quality was mainly caused by the low level of soil resilience.The primary limiting factors of SRI were Fungi in high andmiddle contaminated areas,and Skermanella in low contaminated area,suggesting that the weak soil resilience was caused by low specific microbial abundances.Microbial regulation and phytoremediation are greatly required to improve the soil quality at antimony smelting sites from the perspectives of pollution control and resilience improvement.This study improves our understanding of ecological effects of antimony smelting sites and provides a theoretical basis for ecological restoration and sustainable development of mining areas.展开更多
BACKGROUND Return to work(RTW)serves as an indication for young and middle-aged colorectal cancer(CRC)survivors to resume their normal social lives.However,these survivors encounter significant challenges during their...BACKGROUND Return to work(RTW)serves as an indication for young and middle-aged colorectal cancer(CRC)survivors to resume their normal social lives.However,these survivors encounter significant challenges during their RTW process.Hence,scientific research is necessary to explore the barriers and facilitating factors of returning to work for young and middle-aged CRC survivors.AIM To examine the current RTW status among young and middle-aged CRC survivors and to analyze the impact of RTW self-efficacy(RTW-SE),fear of progression(FoP),eHealth literacy(eHL),family resilience(FR),and financial toxicity(FT)on their RTW outcomes.METHODS A cross-sectional investigation was adopted in this study.From September 2022 to February 2023,a total of 209 participants were recruited through a convenience sampling method from the gastrointestinal surgery department of a class A tertiary hospital in Chongqing.The investigation utilized a general information questionnaire alongside scales assessing RTW-SE,FoP,eHL,FR,and FT.To analyze the factors that influence RTW outcomes among young and middle-aged CRC survivors,Cox regression modeling and Kaplan-Meier survival analysis were used.RESULTS A total of 43.54%of the participants successfully returned to work,with an average RTW time of 100 days.Cox regression univariate analysis revealed that RTW-SE,FoP,eHL,FR,and FT were significantly different between the non-RTW and RTW groups(P<0.05).Furthermore,Cox regression multivariate analysis identified per capita family monthly income,job type,RTW-SE,and FR as independent influencing factors for RTW(P<0.05).CONCLUSION The RTW rate requires further improvement.Elevated levels of RTW-SE and FR were found to significantly increase RTW among young and middle-aged CRC survivors.Health professionals should focus on modifiable factors,such as RTW-SE and FR,to design targeted RTW support programs,thereby facilitating their timely reintegration into mainstream society.展开更多
Low resilience levels in patients with cancer have been associated with anxiety,depression,and reduced quality-of-life(QoL),resilience serves as a crucial mediating variable in these pathways,constituting one of the m...Low resilience levels in patients with cancer have been associated with anxiety,depression,and reduced quality-of-life(QoL),resilience serves as a crucial mediating variable in these pathways,constituting one of the most actively investigated research domains.Recent studies on the correlation between resilience,coping styles,and QoL have offered important insights into the potential psychological mechanisms through which resilience could affect emotional well-being and overall QoL in patients with cancer.These findings suggest that low resilience constitutes a significant risk factor for cancer prognosis.This study reviews the negative impact of low resilience on cancer prognosis and highlights resilience-enhancing interventions.Promoting resilience-focused interventions may represent a promising approach to ameliorate anxiety and depression,thus improving QoL and potentially improving clinical prognosis for patients with cancer.展开更多
Bioethics is the argumentative discipline of decisions and actions that reduce conflicts of interest,dilemmas,or asymmetries between the parties involved in biomedical research.The objective of this work was to review...Bioethics is the argumentative discipline of decisions and actions that reduce conflicts of interest,dilemmas,or asymmetries between the parties involved in biomedical research.The objective of this work was to review and compare the dimensions used by bioethics in the communicative management of the pandemic,namely:risk,vulnerability,resilience,and stigma.A documentary,exploratory,transversal,and retrospective work was carried out with a sample of sources indexed in international repositories,considering the search by keywords and the publication period from 2020 to 2024.The results demonstrate the prevalence of supply,contagion,symptoms,and help against COVID-19.展开更多
Patients with chronic kidney disease(CKD),particularly those undergoingmaintenance hemodialysis(MHD),often experience mental health issues.Recentstudies have indicated a significantly elevated prevalence of anxiety an...Patients with chronic kidney disease(CKD),particularly those undergoingmaintenance hemodialysis(MHD),often experience mental health issues.Recentstudies have indicated a significantly elevated prevalence of anxiety and depressioncoupled with reduced resilience in this population.The complex interactionbetween these three factors is exacerbated by multiple negative influences.This study reviews recent advances in research on the relationship betweenmental health impairment,quality of life(QoL),and prognosis in patients withCKD.The findings revealed that prolonged MHD dependence,economic burdenof healthcare,and other psychological factors diminish patients’resilience andintensify negative emotions(e.g.,anxiety and depression).The interactionsbetween negative emotions and physiology create a vicious cycle,deterioratingQoL and clinical outcomes.We propose that patients with long-term MHDdependentCKD should be classified as a high-risk group for mental healthimpairments that need regular psychological screening and personalized psychomedicalinterventions.This integrated management model may help improvenegative emotions and disrupt the bidirectional psychophysiological interplay,offering a novel clinical pathway for improving the QoL and prognosis.展开更多
This year marks the 20th anniversary of the Comprehensive Strategic Partnership between China and Spain.Over these two decades,this relationship has matured into a model of mutual respect,strategic foresight,and vibra...This year marks the 20th anniversary of the Comprehensive Strategic Partnership between China and Spain.Over these two decades,this relationship has matured into a model of mutual respect,strategic foresight,and vibrant cooperation,serving as a cornerstone for stability and growth in both nations and offering a reference for productive China-EU engagement.展开更多
基金Under the auspices of National Natural Science Foundation of China(No.42471205)the General Scientific Research Project of Zhejiang Provincial Department of Education(No.2024JYTYB12)the Philosophy and Social Science Planning Project of Zhejiang Province(No.23NDJC109YB)。
文摘In the era of the digital economy,digital trade has demonstrated strong vitality,becoming a crucial driving force for the highquality development of national and regional economies.However,understanding the resilience of digital trade in the face of external crises is an important topic.Taking the backdrop of Sino-US trade friction,this paper constructs a resilience index system for digital trade.It utilizes entropy method,kernel density estimation,and ArcGIS mapping to calculate and visually analyze the resilience of China’s digital trade from 2017 to 2021.Additionally,a Tobit model is constructed to explore the main influencing factors of digital trade resilience patterns.The research findings indicate:1)temporally,during the period of Sino-US trade friction,China’s digital trade resilience shows an overall upward trend,but there are regional differences in resilience levels across the country,with a severe polarization phenomenon.2)Spatially,high resilience is observed in the eastern and central regions of China,while the western and northeastern regions exhibit low resilience.3)From a dimensional perspective,the resistance of digital trade resilience displays a spatial distribution of high values in the east and low values in the west.The recovery force is aggregated along coastal areas,and the renewal force tends to aggregate along the eastern coastline.4)Factors such as economic scale,industrial structure,urbanization rate,government fiscal expenditure,and technological talents significantly promote the enhancement of digital trade resilience.This study reveals the dynamic characteristics and influencing factors of digital trade resilience in responding to external shocks,providing theoretical basis and policy suggestions for enhancing digital trade resilience,and promoting high-quality economic development in China.
基金supported by the Science and Technology Project of State Grid Corporation of China(Grant 5500-202455120A-1-1-ZN).
文摘The multifrequency voltage(MFV)stress,including switching impulses and harmonics,commonly appearing in the modern power system will stimulate the multifrequency impedance dynamics behaviours of electrical insulation.Therefore,this article presents a novel concept of insulation resilience response(IRR)by employing polymer insulation materials,which may be extended to electrical insulation resilience(EIR).The focus is on understanding reversible recovery performance and supporting physics-informed condition assessment for electrical insulation exposed to MFV.The underlying physical mechanisms and modelling methodologies are integrated to characterise the IRR behaviours of polymer insulation systems.The multifrequency dielectric/impedance properties of different resin dielectrics under diverse temperatures are comparatively investigated as proofofconcept cases.Furthermore,multidimensional sensitivity indicators are developed to quantify the electrical insulation resilience behaviour.A radar plot representation integrating resilience sensitivity indicators qualitatively assesses the IRR behaviours of polymer insulation systems.Additionally,a quantification methodology,including the resilience index(RI)and time-varied RI(TVRI),is proposed for the reversible recovery performance analysis for electrical insulation,respectively.Ultimately,an application-oriented framework derived from TVRI is provided to analyse the recovery performance evolution behaviours of electrical insulation under complex operating conditions.This offers a key theoretical foundation for insulation performance characterisation and condition analysis for high-voltage power equipment.
基金funded by the Z Zurich Foundation,Zurich,Switzerland as a contribution to the Zurich Climate Resilience Alliance。
文摘Understanding and strengthening community-level resilience to natural hazard-induced disasters is critical for the management of adverse impacts of such events and the growth of community well-being.A key gap in achieving this is limited standardized and validated disaster resilience measurement frameworks that operate at local levels and are universally applicable.The Flood Resilience Measurement for Communities(FRMC)is a foremost tool for community flood resilience assessment.It follows a structured approach to comprehensively assess community flood resilience across five classes of capacities(capitals)to support strategic investment in resilience strengthening initiatives.The FRMC is a further development of an earlier version(the FRMT,the Flood Resilience Measurement Tool).The FRMT has been developed and applied between 2015 and 2017 in 118 flood prone communities across nine countries.It has been validated in terms of content and face validity as well as in terms of reliability.To reduce redundancy and survey eff ort,the FRMC holds a lesser number of indicators(44 versus 88)and has now been applied in over 320 communities across 20 countries.We examine the validation for the revised resilience construct and the new community applications and present a comprehensive overview of the statistical and user validation process and outcomes in both practical and scientific terms.The results confirm the validity,reliability as well as usefulness of the FRMC framework and tool.Furthermore,our approach and results provide insights for other resilience measurement approaches and their validation eff orts.We also present a comprehensive discussion about the dynamic aspects of flood resilience at community level,and the many validation aspects that need to be incorporated both in terms of quantification eff orts as well as usability on the ground.
文摘Since the beginning of this year, the China-US economic and trade tensions have brought many challenges to China's clothing export companies. Nevertheless, in the face of difficulties, China's clothing foreign trade still shows strong resilience and adaptability. From January to May, China's clothing exports showed characteristics such as increased volume, lower prices, category differentiation, and multi-point market layout. Meanwhile, Chinese clothing companies have actively responded to trade friction impacts by closely monitoring tariff negotiations, accelerating transformation and upgrading, exploring diversified international markets, and deepening domestic markets.
基金National Natural Science Foundation of China under Grant No.52278534Sichuan Provincial Natural Science Foundation of China under Grant No.2022NSFSC0423。
文摘To improve the resilience of railway stations,a typical station was selected as the research object,and an isolation design was introduced.Twenty-four groups of near-fault pulse-like ground motions were selected.The seismic resilience of the no-isolation railway stations(NIRS)and the isolation railway stations(IRS)were compared to provide a numerical result of the improvement in resilience.The results show that in the station isolation design,the station's functional requirements and structural characteristics should be considered and the appropriate placement of isolation bearings is under the waiting room.Under the action of a rare earthquake,the repair cost,repair time,rate of harm and death of the IRS were decreased by 8.04 million,18.30 days,6.93×10^(-3)and 1.21×10^(-3),respectively,when compared to the NIRS.The IRS received a seismic resilience grade of three-stars and the NIRS only one-star,indicating that rational isolation design improves the seismic resilience of stations.Thus,for the design of stations close to earthquake faults,it is suggested to utilize appropriate isolation techniques to improve their seismic resilience.
基金Under the auspices of National Natural Science Foundation of China(No.42171198,42001117)Science and Technology Development Plan Project of Jilin Province(No.YDZJ202201ZYTS493)。
文摘Studying the spatiotemporal distribution characteristics and coupling coordination relationship of urban and rural resilience is of substantial theoretical and practical significance to improving the ability of urban and rural areas to resist risk and for promoting their coordinated development.This study establishes a comprehensive evaluation index system of urban and rural resilience that encom-passes industrial,social,and ecological subsystems as well as stability,sensitivity,and adaptability.For each of the prefecture-level city in Northeast China,we evaluated its urban and rural resilience and determined the coupling coordination level between them using data spanning 2010,2015,and 2020.The resilience levels of both urban and rural areas in Northeast China are continuously improving.The high-value area of urban resilience is mainly located in the central cities of Northeast China,and prominent in urban agglomeration areas,while rural resilience is predominantly high in the north and low in the south.The high-value area of the coupling coordination degree is mainly distributed in the arc-shaped zone extending from south to north in the eastern part of Northeast China,with the level of coupling coordination increased overall.Non-parametric testing revealed significant differences in urban industrial stability,urban in-dustrial adaptability,rural industrial stability,rural social adaptability,and rural ecological stability among types of cities differing in their coupling coordination development.Our findings provide a reference for enhancing urban and rural resilience and their coordin-ated development path in Northeast China.
文摘BACKGROUND Traumatic fractures are mainly caused by various exogenous traumatic events,which not only damage patients’physical health but also affect their psychological state and aggravate stress responses.AIM To analyze the influencing factors of psychological resilience of patients with traumatic fractures and the effect of psychological resilience on posttraumatic growth(PTG).METHODS This study included 188 patients with traumatic fractures admitted to the First People’s Hospital of Shangqiu from November 2022 to November 2023.The participants were categorized based on the patient’s psychological resilience assessed by the Connor-Davidson Resilience Scale(CD-RISC)into the better resilience group(CD-RISC score≥60 points,n=80)and the poor resilience group(CD-RISC score<60 points,n=108).Patients’sleep quality was assessed with the Pittsburgh Sleep Quality Index(PSQI).The identification of the influencing factors of psychological resilience in patients with traumatic fractures was realized by binary Logistic regression(with factors such as sex,age,injury cause,trauma severity,fracture site,personality,and PSQI included for analysis).The determination of the PTG status of all participants used the Chinese version of the Posttraumatic Growth Inventory(C-PTGI).Furthermore,a Spearman correlation analysis was conducted to analyze the association between psychological resilience and PTG.RESULTS The psychological resilience of patients with traumatic fractures was related to age,sex,trauma severity,and personality.The better resilience group demonstrated statistically lower PSQI scores than the poor resilience group(P<0.05).The Logistic regression analysis revealed sex,age,trauma severity,personality,and sleep quality as influencing factors of CD-RISC scores in patients with traumatic fractures(all P<0.05).The score of each C-PTGI dimension and the total score(relating to others,new possibilities,personal strength,spiritual change,and appreciation of life)were higher in the better resilience group than in the poor resilience group(all P<0.05).Spearman correlation analysis indicated a positive association of the CD-RISC score in patients with traumatic fractures with the scores of all dimensions of C-PTGI and the total C-PTGI score(all P<0.05).CONCLUSION The factors influencing the psychological resilience of patients with traumatic fractures include age,sex,trauma severity,personality,and sleep quality,and psychological resilience is closely associated with PTG.
基金Under the auspices of National Natural Science Foundation of China(No.42271222)Natural Science Foundation of Gansu Province(No.22JR5RA130)。
文摘Rural resilience,a core capability for addressing systemic risks and enabling sustainable development,is increasingly vital to promoting urban-rural integrated development and rural revitalization strategies.However,current research lacks exploration of the collaborative mechanisms between rural economic resilience(RER)and rural social resilience(RSR)in ecologically vulnerable areas.Based on the practical context of rural sustainable development in such regions,this study investigates the interaction between RER and RSR from a resilience coordination perspective.In this paper,a rural resilience evaluation framework for collaborative development of economic and social resilience was established.By employing the coupling coordination degree model,obstacle degree model,and equilibrium entropy model,this paper examines the synergies,constraints,and potential of rural resilience subsystems in Jinchang City,Gansu Province,China,in 2020.The results reveal that:1)RER contributes to RSR by stabilizing the economy,enhancing community adaptability,and driving modernization.In turn,RSR strengthens RER by mitigating instability,building social capital,and fostering confidence—together forming a mutually reinforcing coupling mechanism.2)The rural economic and social resilience level in Jinchang City remains generally low with spatially clustered patterns,while the coupling coordination degree is at an intermediate level overall,with 62.59%of villages exhibiting unbalanced development between rural economic and social resilience.3)RER and RSR demonstrate synergistic degradation in ecologically vulnerable areas,where low-level rural economic and social resilience induce integrated systemic deterioration.4)Considering the unbalanced development of rural economic and social resilience in ecologically fragile areas,differentiated coordination pathways are proposed for three village typologies:RER-lagging villages,RSR-lagging villages,and villages where RER and RSR develop synchronously but lack effective coordination.These findings offer spatial governance strategies and practical guidance for enhancing rural resilience and advancing sustainable development in ecologically vulnerable regions.
基金Supported by Key Research Fund of Wannan Medical College,No.WK2021ZF15Research Foundation for Advanced Talents of Wannan Medical College,No.YR202213+3 种基金Foundation of Anhui Educational Committee,No.2023AH051759Excellent Youth Research Project of Anhui UniversitiesNo.2023AH030107Horizontal Project of Wannan Medical College,No.622202504003 and No.662202404013.
文摘BACKGROUND Research examining the relationships among anxiety,depression,self-perceived burden(SPB),and psychological resilience(PR),along with the determinants of PR,in patients with chronic renal failure(CRF)receiving maintenance hemodia-lysis(MHD)is limited.AIM To investigate the correlation between anxiety,depression,SPB,and PR in pati-ents with CRF on MHD.METHODS This study included 225 patients with CRF on MHD who were admitted between June 2021 and June 2024.The anxiety level was evaluated using the Self-Rating Anxiety Scale(SAS);the depression status was assessed using the Self-Rating Depression Scale(SDS);the SPB was measured using the SPB Scale(SPBS);and the PR was determined using the Connor–Davidson Resilience Scale(CD-RISC).The correlations among the SAS,SDS,SPB,and CD-RISC were analyzed using Pearson’s correlation coefficients.Univariate and multivariate analyses were performed to identify the factors that influence the PR of patients with CRF on MHD.RESULTS The SAS,SDS,SPB,and CD-RISC scores of the 225 patients were 45.25±15.36,54.81±14.68,32.31±11.52,and 66.48±9.18,respectively.Significant negative correlations were observed between SAS,SDS,SPB,and CD-RISC.Furthermore,longer dialysis vintage(P=0.015),the absence of religious beliefs(P=0.020),lower monthly income(P=0.008),higher SAS score(P=0.013),and higher SDS score(P=0.006)were all independent factors that adversely affected the PR of patients with CRF on MHD.CONCLUSION Patients with CRF on MHD present with varying degrees of anxiety,depression,and SPB,all of which exhibit a significant negative correlation with their PR.Moreover,longer dialysis vintage,the absence of religious beliefs,lower monthly income,higher SAS score,and higher SDS score were factors that negatively affected the PR of patients with CRF on MHD.
文摘BACKGROUND Resilience is an individual’s ability and psychological rebound capacity to adapt well after experiencing adversity,trauma,etc.Patients with strong resilience can face illnesses actively.AIM To determine the association of resilience with coping styles and quality of life in patients with malignancies.METHODS This study included patients with malignant tumors who were hospitalized at Fuyang Hospital Affiliated to Anhui Medical University from March 2022 to March 2024.The Connor-Davidson Resilience Scale,Medical Coping Modes Questionnaire,Social Support Rating Scale,and the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 were utilized to assess patients’resilience,coping styles,social support,and quality of life,respectively.Pearson correlation analysis was conducted to assess the correlations.RESULTS A total of 175 patients with malignant tumors demonstrated no marked difference in terms of age,education level,employment status,monthly household income,and disease staging(P<0.05).Further,patients with malignancies demonstrated scores of 17.49±1.20,17.27±1.46,and 11.19±1.29 points in terms of coping styles in confrontation,avoidance,and resignation dimensions,respectively.Subjective support,objective support,and support utilization scores in terms of social support were 10.67±1.80,11.26±2.08,and 9.24±1.14 points,respectively.The total resilience score and tenacity,self-improvement,and optimism dimension scores were positively correlatedwith the confrontation coping style score,whereas the total resilience score and tenacity and self-improvementscores were negatively associated with avoidance and resignation coping style scores(P<0.05).The total resiliencescore and the tenacity dimension score were positively associated with physical,role,cognitive,emotional,andsocial functions,as well as global health status(P<0.05),and were inversely related to fatigue,insomnia,andeconomic difficulties(P<0.05).CONCLUSIONThe resilience of patients with malignancies is positively associated with the confrontation dimension in the copingstyle,the total and various social support domain scores,and the overall quality of life.Clinical medical staff needto pay attention to the effect of medical coping styles and social support on the resilience level of patients withmalignancies to further improve their quality of life.
基金The National Key Research and Development Program of China(No.2023YFC3805003)。
文摘To quantify the seismic resilience of buildings,a method for evaluating functional loss from the component level to the overall building is proposed,and the dual-parameter seismic resilience assessment method based on postearthquake loss and recovery time is improved.A threelevel function tree model is established,which can consider the dynamic changes in weight coefficients of different category of components relative to their functional losses.Bayesian networks are utilized to quantify the impact of weather conditions,construction technology levels,and worker skill levels on component repair time.A method for determining the real-time functional recovery curve of buildings based on the component repair process is proposed.Taking a three-story teaching building as an example,the seismic resilience indices under basic earthquakes and rare earthquakes are calculated.The results show that the seismic resilience grade of the teaching building is comprehensively judged as GradeⅢ,and its resilience grade is more significantly affected by postearthquake loss.The proposed method can be used to predict the seismic resilience of buildings prior to earthquakes,identify weak components within buildings,and provide guidance for taking measures to enhance the seismic resilience of buildings.
基金funded by the Office of Gas and Electricity Markets(Ofgem)and supported by De Montfort University(DMU)and Nottingham Trent University(NTU),UK.
文摘This paper introduces the Integrated Security Embedded Resilience Architecture (ISERA) as an advanced resilience mechanism for Industrial Control Systems (ICS) and Operational Technology (OT) environments. The ISERA framework integrates security by design principles, micro-segmentation, and Island Mode Operation (IMO) to enhance cyber resilience and ensure continuous, secure operations. The methodology deploys a Forward-Thinking Architecture Strategy (FTAS) algorithm, which utilises an industrial Intrusion Detection System (IDS) implemented with Python’s Network Intrusion Detection System (NIDS) library. The FTAS algorithm successfully identified and responded to cyber-attacks, ensuring minimal system disruption. ISERA has been validated through comprehensive testing scenarios simulating Denial of Service (DoS) attacks and malware intrusions, at both the IT and OT layers where it successfully mitigates the impact of malicious activity. Results demonstrate ISERA’s efficacy in real-time threat detection, containment, and incident response, thus ensuring the integrity and reliability of critical infrastructure systems. ISERA’s decentralised approach contributes to global net zero goals by optimising resource use and minimising environmental impact. By adopting a decentralised control architecture and leveraging virtualisation, ISERA significantly enhances the cyber resilience and sustainability of critical infrastructure systems. This approach not only strengthens defences against evolving cyber threats but also optimises resource allocation, reducing the system’s carbon footprint. As a result, ISERA ensures the uninterrupted operation of essential services while contributing to broader net zero goals.
基金supported by the National Key R&D Program of China(No.2023YFC3805100)the National Natural Science Foundation of China(Nos.52222811 and 52494963)。
文摘Earthquakes pose significant perils to the built environment in urban areas.To avert the calamitous aftermath of earthquakes,it is imperative to construct seismic resilient cities.Due to the intricacy of the concept of urban seismic resilience(USR),its assessment is a large-scale system engineering issue.The assessment of USR should be based on the notion of urban seismic capacity(USC)assessment,which includes casualties,economic loss,and recovery time as criteria.Functionality loss is also included in the assessment of USR in addition to these criteria.The assessment indicator system comprising five dimensions(building and lifeline infrastructure,environment,society,economy,and institution)and 20 indicators has been devised to quantify USR.The analytical hierarchy process(AHP)is utilized to compute the weights of the criteria,dimensions,and indicators in the urban seismic resilience assessment(USRA)indicator system.When the necessary data for a city are obtainable,the seismic resilience of that city can be assessed using this framework.To illustrate the proposed methodology,a moderate-sized city in China was selected as a case study.The assessment results indicate a high level of USR,suggesting that the city possesses strong capabilities to withstand and recover from potential future earthquakes.
基金supported by the National Key Research and Development Program of China (No.2019YFC1803604)the National Natural Science Foundation of China (Nos.42007306 and 42277193).
文摘Antimony smelting activities damage the soil and vegetation surroundings while generating economic value.However,no standardizedmethods are available to diagnose the extent of soil degradation at antimony smelting sites.This study developed a standardized framework for assessing soil quality by consideringmicrobial-induced resilience and heavymetal contamination at Xikuangshan antimony smelting site.The soil resilience index(SRI)and soil contamination index(SCI)were calculated byMinimum Data Set and geo-accumulation model,respectively.After standardized by a multi-criteria quantitative procedure of modified Nemerow’s pollution index(NPI),the integrated assessment of soil quality index(SQI),which is the minimumof SRINPI and SCINPI,was achieved.The results showed that Sb and As were the prominent metal(loid)pollutants,and significant correlations between SQI and SRI indicated that the poor soil quality was mainly caused by the low level of soil resilience.The primary limiting factors of SRI were Fungi in high andmiddle contaminated areas,and Skermanella in low contaminated area,suggesting that the weak soil resilience was caused by low specific microbial abundances.Microbial regulation and phytoremediation are greatly required to improve the soil quality at antimony smelting sites from the perspectives of pollution control and resilience improvement.This study improves our understanding of ecological effects of antimony smelting sites and provides a theoretical basis for ecological restoration and sustainable development of mining areas.
基金Supported by the Chongqing Medical University Program for Youth Innovation in Future Medicine,No.W0019Chongqing Municipal Education Commission’s 14th Five-Year Key Discipline Support Project,No.20240101 and No.20240102。
文摘BACKGROUND Return to work(RTW)serves as an indication for young and middle-aged colorectal cancer(CRC)survivors to resume their normal social lives.However,these survivors encounter significant challenges during their RTW process.Hence,scientific research is necessary to explore the barriers and facilitating factors of returning to work for young and middle-aged CRC survivors.AIM To examine the current RTW status among young and middle-aged CRC survivors and to analyze the impact of RTW self-efficacy(RTW-SE),fear of progression(FoP),eHealth literacy(eHL),family resilience(FR),and financial toxicity(FT)on their RTW outcomes.METHODS A cross-sectional investigation was adopted in this study.From September 2022 to February 2023,a total of 209 participants were recruited through a convenience sampling method from the gastrointestinal surgery department of a class A tertiary hospital in Chongqing.The investigation utilized a general information questionnaire alongside scales assessing RTW-SE,FoP,eHL,FR,and FT.To analyze the factors that influence RTW outcomes among young and middle-aged CRC survivors,Cox regression modeling and Kaplan-Meier survival analysis were used.RESULTS A total of 43.54%of the participants successfully returned to work,with an average RTW time of 100 days.Cox regression univariate analysis revealed that RTW-SE,FoP,eHL,FR,and FT were significantly different between the non-RTW and RTW groups(P<0.05).Furthermore,Cox regression multivariate analysis identified per capita family monthly income,job type,RTW-SE,and FR as independent influencing factors for RTW(P<0.05).CONCLUSION The RTW rate requires further improvement.Elevated levels of RTW-SE and FR were found to significantly increase RTW among young and middle-aged CRC survivors.Health professionals should focus on modifiable factors,such as RTW-SE and FR,to design targeted RTW support programs,thereby facilitating their timely reintegration into mainstream society.
文摘Low resilience levels in patients with cancer have been associated with anxiety,depression,and reduced quality-of-life(QoL),resilience serves as a crucial mediating variable in these pathways,constituting one of the most actively investigated research domains.Recent studies on the correlation between resilience,coping styles,and QoL have offered important insights into the potential psychological mechanisms through which resilience could affect emotional well-being and overall QoL in patients with cancer.These findings suggest that low resilience constitutes a significant risk factor for cancer prognosis.This study reviews the negative impact of low resilience on cancer prognosis and highlights resilience-enhancing interventions.Promoting resilience-focused interventions may represent a promising approach to ameliorate anxiety and depression,thus improving QoL and potentially improving clinical prognosis for patients with cancer.
文摘Bioethics is the argumentative discipline of decisions and actions that reduce conflicts of interest,dilemmas,or asymmetries between the parties involved in biomedical research.The objective of this work was to review and compare the dimensions used by bioethics in the communicative management of the pandemic,namely:risk,vulnerability,resilience,and stigma.A documentary,exploratory,transversal,and retrospective work was carried out with a sample of sources indexed in international repositories,considering the search by keywords and the publication period from 2020 to 2024.The results demonstrate the prevalence of supply,contagion,symptoms,and help against COVID-19.
文摘Patients with chronic kidney disease(CKD),particularly those undergoingmaintenance hemodialysis(MHD),often experience mental health issues.Recentstudies have indicated a significantly elevated prevalence of anxiety and depressioncoupled with reduced resilience in this population.The complex interactionbetween these three factors is exacerbated by multiple negative influences.This study reviews recent advances in research on the relationship betweenmental health impairment,quality of life(QoL),and prognosis in patients withCKD.The findings revealed that prolonged MHD dependence,economic burdenof healthcare,and other psychological factors diminish patients’resilience andintensify negative emotions(e.g.,anxiety and depression).The interactionsbetween negative emotions and physiology create a vicious cycle,deterioratingQoL and clinical outcomes.We propose that patients with long-term MHDdependentCKD should be classified as a high-risk group for mental healthimpairments that need regular psychological screening and personalized psychomedicalinterventions.This integrated management model may help improvenegative emotions and disrupt the bidirectional psychophysiological interplay,offering a novel clinical pathway for improving the QoL and prognosis.
文摘This year marks the 20th anniversary of the Comprehensive Strategic Partnership between China and Spain.Over these two decades,this relationship has matured into a model of mutual respect,strategic foresight,and vibrant cooperation,serving as a cornerstone for stability and growth in both nations and offering a reference for productive China-EU engagement.
