China’s economy demonstrated remarkable resilience in 2025,with its GDP exceeding RMB 140 trillion for the first time and achieving a five percent year-on-year growth.This performance marked the successful conclusion...China’s economy demonstrated remarkable resilience in 2025,with its GDP exceeding RMB 140 trillion for the first time and achieving a five percent year-on-year growth.This performance marked the successful conclusion of the 14th Five-Year Plan(2021-2025),during which the country’s economy achieved“four consecutive leaps,”expanding from RMB 110 trillion to 120 trillion,then to 130 trillion,and finally to 140 trillion.展开更多
Purpose-This study explores how managerial leadership and organizational innovation interact to enhance resilience and risk management in railway supply chains and how these capabilities contribute to sustained compet...Purpose-This study explores how managerial leadership and organizational innovation interact to enhance resilience and risk management in railway supply chains and how these capabilities contribute to sustained competitive advantage.It emphasizes the strategic importance of resilience in railway systems that face operational complexity,regulatory pressures and increasing exposure to systemic risks.Design/methodology/approach-A mixed-methods design was employed,integrating survey data from 186 railway organizations with six case studies involving railway operators,rolling stock manufacturers and supply chain partners across multiple regions.Constructs were measured using validated scales and hypothesized relationships were tested using Structural Equation Modeling(SEM).Case study interviews were analyzed thematically to provide contextual understanding of leadership practices and innovation strategies.Findings-The results confirm that transformational managerial leadership significantly predicts innovation adoption,which in turn strengthens resilience and risk management capabilities.Resilience emerged as a powerful driver of competitive advantage,reinforcing its role as a strategic capability rather than a reactive response to disruptions.Furthermore,innovation was shown to partially mediate the relationship between leadership and resilience,highlighting its function as the operational channel through which vision translates into capability.Originality/value-This study contributes to the literature by integrating the Resource-Based View(RBV)and Dynamic Capabilities(DC)framework into the context of railway supply chains.It is among the first to empirically validate the mediating role of innovation between leadership and resilience,offering both theoretical advancements and actionable strategies for building resilient and competitive railway systems.展开更多
Background:Self-esteem,life satisfaction,resilience,and coping strategies are closely linked to depression;however,their interrelationships and relative contributions to depressive outcomes remain insufficiently under...Background:Self-esteem,life satisfaction,resilience,and coping strategies are closely linked to depression;however,their interrelationships and relative contributions to depressive outcomes remain insufficiently understood.This study aimed to examine these associations in individuals with major depressive disorder(MDD)and healthy controls and to evaluate their predictive and mediating roles in depression.Methods:This analytical cross-sectional study included 311 participants(158 patients with MDD and 153 healthy controls)recruited from the Psychiatry Outpatient Clinics of Mugla Training and Research Hospital.Psychiatric diagnoses were confirmed using the Structured Clinical Interview for DSM-5(SCID-5).Groups were balanced for age,sex,and education using propensity score matching(PSM).Participants completed the Rosenberg Self-Esteem Scale,Satisfaction with Life Scale,Brief Resilience Scale,Brief COPE Inventory,and Beck Depression Inventory.Results:Compared with healthy controls,individuals with MDD reported significantly lower life satisfaction and resilience and higher depressive symptom severity,whereas self-esteem did not differ significantly between groups.Emotion-focused coping decreased with increasing depression severity,while avoidant coping showed a modest but significant increase in severe depression.Logistic regression analyses identified life satisfaction(OR=0.95,p=0.004)and resilience(OR=0.92,p=0.002)as significant protective predictors of depression.Mediation analyses demonstrated that life satisfaction partially mediated the relationship between self-esteem and depression,whereas resilience exerted a predominantly direct effect.Conclusion:Life satisfaction and resilience emerge as key protective factors against depression.Self-esteem appears to influence depressive outcomes indirectly through life satisfaction rather than through a direct effect.These findings underscore the importance of interventions that enhance resilience and promote positive evaluations of life in individuals at risk for depression.展开更多
Background:Exposure to environmental vulnerability poses significant threats to adolescent suicidal ideation,while individual resilience can mitigate these adverse effects with notable gender commonalities and differe...Background:Exposure to environmental vulnerability poses significant threats to adolescent suicidal ideation,while individual resilience can mitigate these adverse effects with notable gender commonalities and differences.However,research examining how these factors co-configure at the individual level remains limited,particularly from a gender-specific perspective.Thus,the present study aims to adopt a person-centered analytic approach to identify gender-specific configurations of environmental vulnerability and individual resilience associated with suicidal ideation among Chinese adolescents.Methods:Data were collected from 2616 Chinese primary and secondary school students(aged 10–17;1223 girls).Participants completed validated scales measuring environmental vulnerability,individual resilience,and suicidal ideation.Latent profile analysis(LPA)was conducted separately by gender.Results:Gender differences were prominent:males exhibited higher resilience and lower suicidal ideation,while females reported higher environmental vulnerability and elevated levels of suicidal ideation.LPA identified three distinct profiles for males:Low Vulnerable–High Protective–Low Risk(LHL),Medium Vulnerable–Low Protective–Low Risk(MLL),and High Vulnerable–Low Protective–High Risk(HLH).Four profiles emerged for females:LHL,MLL,Medium Vulnerable–Low Protective–Medium Risk(MLM),and HLH.Crucially,within the HLH profile,males exhibited particularly deficient humor(η^(2)=0.19)and confidence(η^(2)=0.16),while females formed a distinct subgroup characterized by severe academic and family stressors(η^(2)=0.30–0.36).Conclusion:The study underscores developing gender-specific mental health interventions using a nuanced,person-centered approach that considers both environmental risk and individual resilience factors,which allows for targeted suicide prevention strategies addressing the unique needs of male and female adolescents.展开更多
Self-compassion is an important psychological resource that improves health-related quality of life and diabetes self-management;however,the psychological processes underlying these associations remain unclear.This st...Self-compassion is an important psychological resource that improves health-related quality of life and diabetes self-management;however,the psychological processes underlying these associations remain unclear.This study examined the roles of meaning in life and resilience in the relationship between self-compassion and both health-related quality of life and diabetes self-management.Participants were 301 individuals living with type 2 diabetes(176(58.5%)females,M age=49.69,SD=12.36)conveniently selected from two tertiary healthcare institutions in Nigeria.They completed self-report measures of self-compassion,meaning in life,resilience,health-related quality of life and diabetes selfmanagement.Multiple regression analyses indicated that self-compassion positively predicted health-related quality of life and diabetes self-management.Meaning in life and resilience independently and positively predicted health-related quality of life and diabetes self-management.Mediation analysis showed that meaning in life mediated the association between self-compassion and health-related quality of life,as well as diabetes self-management.Likewise,resilience mediated the connection between self-compassion and health-related quality of life,and diabetes self-management behaviour.Intervention for diabetes self-management should focus on promoting self-compassion,meaning in life and resilience abilities of patients,as they can potentially improve health and self-care behaviours needed for recovery.展开更多
Background:Submarine personnel often experience insomnia and reduced psychological resilience due to extended deployments in confined,high-stress environments.Effective non-pharmacological interventions are needed to ...Background:Submarine personnel often experience insomnia and reduced psychological resilience due to extended deployments in confined,high-stress environments.Effective non-pharmacological interventions are needed to improve sleep quality and resilience in this population.This study aimed to investigate the effect of virtual reality(VR)combined with forest therapy interventions on psychological resilience and sleep quality among submarine personnel with insomnia symptoms.Methods:Using convenience sampling,92 submarine personnel with insomnia symptoms undergoing recuperation at a PLA sanatorium between July 2023 and May 2025 were randomly allocated to experimental and control groups(n=46 each).The control group received forest therapy intervention,while the intervention group received combined VR and forest therapy interventions.Pre-and post-intervention assessments were conducted using the Pittsburgh Sleep Quality Index(PSQI)and Connor-Davidson Resilience Scale(CD-RISC).Results:There is no significant differences between two groups before the intervention on sleep or psychological resilience.Both groups showed significant pre-to post-intervention improvements in sleep and resilience;however,mixed-ANOVA results showed that the intervention(VR+forest therapy)group achieved significantly better outcomes than the control group at post-intervention after Bonferroni correction,including lower PSQI total and key component scores(subjective sleep quality,sleep efficiency,daytime dysfunction)and higher CD-RISC resilience scores.Conclusions:The integration of virtual reality and forest therapy effectively improved sleep quality and psychological resilience among submarine personnel with insomnia symptoms.This combined intervention shows promise as a non-pharmacological approach in military healthcare settings;however,further studies are needed to validate and generalize these findings.展开更多
Objectives:Although standardized residency trainees are at high risk for depression,anxiety,and suicidal ideation,the psychological pathways connecting depression and anxiety to suicidal ideation,especially the modera...Objectives:Although standardized residency trainees are at high risk for depression,anxiety,and suicidal ideation,the psychological pathways connecting depression and anxiety to suicidal ideation,especially the moderating role of resilience,remain elusive.This study aimed to examine the associations between depression,anxiety,and suicidal ideation among physicians undergoing standardized residency training,and to investigate the moderating roles of different dimensions of individual resilience,namely tenacity,strength,and optimism.Methods:A convenience sampling method was adopted to recruit 133 resident physicians.Validated instruments assessing individual resilience,depressive symptoms,anxiety levels,and suicidal ideation were administered.Spearman correlation analysis was used to evaluate the relationships among the variables.Hierarchical regression analysis was conducted to assess the moderating roles of tenacity,strength,and optimism in the associations between depression,anxiety,and suicidal ideation.Results:Depressive symptoms and anxiety levels were both positively associated with suicidal ideation(p<0.001).All three resilience dimensions were negatively correlated with suicidal ideation(tenacity:r=−0.504,strength:r=−0.477,optimism:r=−0.440,all p<0.001).Tenacity,strength,and optimism significantly moderated the associations between depression and suicidal ideation(all p<0.05).When resilience levels in these dimensions were high,the associations between depression and suicidal ideation were weaker.Strength and optimism also moderated the associations between anxiety and suicidal ideation(strength:p=0.028,optimism:p=0.028).When the resiliences(strength and optimism)were high,the associations between anxiety and suicidal ideation were weaker.Conclusion:Individual resilience,particularly in the dimensions of tenacity,strength,and optimism,may serve as protective correlates for physicians in training,being associated with weaker relationships between depression,anxiety,and suicidal ideation.These findings highlight the potential value of resilience-enhancing strategies in clinical training settings,although causal inferences cannot be drawn due to the cross-sectional design.展开更多
Objectives:Psychological resilience is a critical resource for vocational high school students navigating social biases and fostering mental well-being.This six-month longitudinal study investigated the developmental ...Objectives:Psychological resilience is a critical resource for vocational high school students navigating social biases and fostering mental well-being.This six-month longitudinal study investigated the developmental trajectories of discrimination perception,vocational identity,and psychological resilience in this population.It further examined the longitudinal mediating role of vocational identity in the relationship between discrimination perception and psychological resilience.Methods:A total of 526 students from five vocational high schools in Guangdong,China,were assessed via convenience sampling at two time points:baseline(T1,September 2023)and six-month follow-up(T2,March 2024).Measures of discrimination perception,psychological resilience,and vocational identity were administered.Data were analyzed using a cross-lagged panel model to test for bidirectional relationships.Results:Over the six-month period,students showed significant decreases in discrimination perception and vocational identity,but a significant increase in psychological resilience.The cross-lagged model revealed significant bidirectional relationships:discrimination perception and psychological resilience negatively predicted each other over time(β=−0.124,p<0.01;β=−0.200,p<0.001),while psychological resilience and vocational identity positively predicted each other(β=0.084,p<0.05;β=0.076,p<0.05).The mediation analysis revealed a dual-pathway mechanism.T1 discrimination perception exerted both a significant direct negative effect on T2 psychological resilience(β=−0.332,p<0.001)and a significant indirect positive effect via T1 vocational identity(indirect effect=0.020,95%CI[0.001,0.046]).This confirms a partial mediating role,indicating that vocational identity functions as a compensatory mechanism,transforming the experience of discrimination perception into a potential source of psychological resilience.Conclusions:For vocational high school students,perception of discrimination directly undermines psychological resilience,but also indirectly fosters it through the positive development of vocational identity.These findings highlight vocational identity as a pivotal mechanism in the complex relationship between social adversity and mental resilience.展开更多
Prolonged droughts have emerged as a major impediment to the revitalization of pastoral regions worldwide because they significantly augment their susceptibility to the deleterious effects of global climate change,ove...Prolonged droughts have emerged as a major impediment to the revitalization of pastoral regions worldwide because they significantly augment their susceptibility to the deleterious effects of global climate change,overgrazing,and land degradation.This study,conducted in 106 pastoral villages across 33 pastoral banners of Inner Mongolia Autonomous Region of China between August 2021 and October 2022,used a community resilience evaluation indicator system to assess drought resistance.By calculating a community resilience index,the research explored influencing factors and proposed countermeasures,aiming to enhance resilience to prolonged drought.The results revealed three key findings.1)Pastoral areas exhibited a limited degree of community resilience to drought disasters(overall score=0.28),with resilience levels forming a pyramid-shaped hierarchy.2)Dimensional analysis showed that resilience scores decreased sequentially across five domains:social(0.53)>cultural(0.44)>environmental(0.38)>economic(0.32)>management(0.27).These results highlight the crucial role of economic and management resilience in enhancing community resilience,particularly when accompanied by pre-and post-disaster government support and social security,both of which must be improved.3)Key factors influencing community resilience included geographical location,traffic accessibility,and frequency and severity of droughts.From a drought resilience perspective,targeted strategies and recommendations are proposed to provide novel and practical approaches for achieving sustainable development in pastoral areas and rural regions as a whole.展开更多
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
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
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
Enhancing urban resilience is a powerful strategy for mitigating floods caused by both intensive human activities and climate change.However,existing studies have limitations,highlighting the need for a more comprehen...Enhancing urban resilience is a powerful strategy for mitigating floods caused by both intensive human activities and climate change.However,existing studies have limitations,highlighting the need for a more comprehensive framework for assessing flood resilience based on the resilience evolution process.Therefore,the objective of this study was to develop an integrated framework for evaluating urban flood resilience,incorporating Bayesian networks and Geographic Information Systems(GIS)to explore the driving mechanisms behind flood resilience with the Beijing-Tianjin-Hebei urban agglomeration in China as a case study.The results indicated that:(1)inundation risk,population risk,and flooding mitigation were the most critical indicators influencing urban flood resilience;(2)Chengde and Tangshan emerged as key areas with high resistance capabilities,while Zhangjiakou and Baoding showed notable strengths in functional recovery;(3)the average value of urban flood resilience decreased from 0.58 under a 5-year rainfall return period to 0.54 under a 100-year rainfall return period,representing a 5.6% decrease,with Zhangjiakou exhibiting the highest flood resilience.These findings are of significant importance for policymakers involved in flood risk management.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
The majority of individuals maintain normal physiological and behavioral function despite experiencing severe traumatic stress,demonstrating psychological resilience.Yet a clinically significant proportion develops in...The majority of individuals maintain normal physiological and behavioral function despite experiencing severe traumatic stress,demonstrating psychological resilience.Yet a clinically significant proportion develops increased vulnerability,often presenting as stress-related psychiatric conditions such as major depressive disorder(MDD)[1].The global prevalence of MDD is surging unprecedentedly,contributing substantially to the global burden of disease and disability.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
In the last two decades,seismic resilience(SR)has been developed as a main concept for the assessment of the structural vulnerabilities of buildings and city centres.In particular,historical centers consist of adjacen...In the last two decades,seismic resilience(SR)has been developed as a main concept for the assessment of the structural vulnerabilities of buildings and city centres.In particular,historical centers consist of adjacent buildings organized in blocks with common characteristics and similar typologies.The paper proposes a meth-odology to quantify SR for urban regions,by overcoming the state of the art studies that focus on assessing the SR for singular buildings.In this regard,the presented methodology may calculate the SR of blocks of buildings for the assessment of recovery investments of historical city centers.The main idea is to assess the level of vulnerability by accurate 3D surveys and visual inspections in order to select empirical fragility curves.The proposed methodology was herein applied to the city center of San Marino,designated by UNESCO as a world heritage site.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
Urban resilience is an emerging research topic of urban studies, and its essence is described by the ability of cities to resist, recover, and adapt to uncertain disturbances. This paper constructs a "Size-Densit...Urban resilience is an emerging research topic of urban studies, and its essence is described by the ability of cities to resist, recover, and adapt to uncertain disturbances. This paper constructs a "Size-Density-Morphology" urban ecological resilience evaluation system, uses a coupling coordination degree model to measure the degree of coupling coordination between urbanization and ecological resilience in the Pearl River Delta from 2000 to 2015, and conducts an in-depth discussion on its spatiotemporal characteristics. The results show the following.(1) From 2000 to 2015, the urbanization level of cities in the study area generally increased while the level of ecological resilience declined. The coupling coordination degree between the two systems decreased from basic coordination to basic imbalance.(2) In terms of spatial distribution, the coupling coordination degree between urbanization and ecological resilience of cities presented a circular pattern that centered on the cities at the estuary of the Pearl River and increased toward the periphery.(3) Ecological resilience sub-systems played variable roles in the coupling coordination between urbanization and ecological resilience. Specifically, size resilience mainly played a reverse blocking role;the influence of morphology resilience was generally positive and continued to increase over time;the effect of density resilience was positive and continued to decline and further became negative after falling below zero. The main pathways for achieving coordinated and sustainable development of future urbanization and ecological resilience in the Pearl River Delta include: leading the coordinated development of regions with new urbanization, improving ecological resilience by strictly observing the three areas and three lines, adapting to ecological carrying capacity, and rationally arranging urban green spaces.展开更多
文摘China’s economy demonstrated remarkable resilience in 2025,with its GDP exceeding RMB 140 trillion for the first time and achieving a five percent year-on-year growth.This performance marked the successful conclusion of the 14th Five-Year Plan(2021-2025),during which the country’s economy achieved“four consecutive leaps,”expanding from RMB 110 trillion to 120 trillion,then to 130 trillion,and finally to 140 trillion.
文摘Purpose-This study explores how managerial leadership and organizational innovation interact to enhance resilience and risk management in railway supply chains and how these capabilities contribute to sustained competitive advantage.It emphasizes the strategic importance of resilience in railway systems that face operational complexity,regulatory pressures and increasing exposure to systemic risks.Design/methodology/approach-A mixed-methods design was employed,integrating survey data from 186 railway organizations with six case studies involving railway operators,rolling stock manufacturers and supply chain partners across multiple regions.Constructs were measured using validated scales and hypothesized relationships were tested using Structural Equation Modeling(SEM).Case study interviews were analyzed thematically to provide contextual understanding of leadership practices and innovation strategies.Findings-The results confirm that transformational managerial leadership significantly predicts innovation adoption,which in turn strengthens resilience and risk management capabilities.Resilience emerged as a powerful driver of competitive advantage,reinforcing its role as a strategic capability rather than a reactive response to disruptions.Furthermore,innovation was shown to partially mediate the relationship between leadership and resilience,highlighting its function as the operational channel through which vision translates into capability.Originality/value-This study contributes to the literature by integrating the Resource-Based View(RBV)and Dynamic Capabilities(DC)framework into the context of railway supply chains.It is among the first to empirically validate the mediating role of innovation between leadership and resilience,offering both theoretical advancements and actionable strategies for building resilient and competitive railway systems.
文摘Background:Self-esteem,life satisfaction,resilience,and coping strategies are closely linked to depression;however,their interrelationships and relative contributions to depressive outcomes remain insufficiently understood.This study aimed to examine these associations in individuals with major depressive disorder(MDD)and healthy controls and to evaluate their predictive and mediating roles in depression.Methods:This analytical cross-sectional study included 311 participants(158 patients with MDD and 153 healthy controls)recruited from the Psychiatry Outpatient Clinics of Mugla Training and Research Hospital.Psychiatric diagnoses were confirmed using the Structured Clinical Interview for DSM-5(SCID-5).Groups were balanced for age,sex,and education using propensity score matching(PSM).Participants completed the Rosenberg Self-Esteem Scale,Satisfaction with Life Scale,Brief Resilience Scale,Brief COPE Inventory,and Beck Depression Inventory.Results:Compared with healthy controls,individuals with MDD reported significantly lower life satisfaction and resilience and higher depressive symptom severity,whereas self-esteem did not differ significantly between groups.Emotion-focused coping decreased with increasing depression severity,while avoidant coping showed a modest but significant increase in severe depression.Logistic regression analyses identified life satisfaction(OR=0.95,p=0.004)and resilience(OR=0.92,p=0.002)as significant protective predictors of depression.Mediation analyses demonstrated that life satisfaction partially mediated the relationship between self-esteem and depression,whereas resilience exerted a predominantly direct effect.Conclusion:Life satisfaction and resilience emerge as key protective factors against depression.Self-esteem appears to influence depressive outcomes indirectly through life satisfaction rather than through a direct effect.These findings underscore the importance of interventions that enhance resilience and promote positive evaluations of life in individuals at risk for depression.
基金supported by the Major Planning Project of Philosophy and Social Science of Guangdong Province(GD23ZD17)the Humanities and Social Sciences Program of the Ministry of Education(23YJA190006)+3 种基金the Ministry of Education(MOE)Major Project of Philosophy and Social Sciences Research(2025JZDZ024)the MOE Project of the Key Research Institute of Humanities and Social Sciences in Universities(22JJD190008)a grant from the Research Center for Brain Cognition and Human Development of Guangdong(2024B0303390003)the Psychological Services and Counseling Base for the Happy Guangzhou Project.
文摘Background:Exposure to environmental vulnerability poses significant threats to adolescent suicidal ideation,while individual resilience can mitigate these adverse effects with notable gender commonalities and differences.However,research examining how these factors co-configure at the individual level remains limited,particularly from a gender-specific perspective.Thus,the present study aims to adopt a person-centered analytic approach to identify gender-specific configurations of environmental vulnerability and individual resilience associated with suicidal ideation among Chinese adolescents.Methods:Data were collected from 2616 Chinese primary and secondary school students(aged 10–17;1223 girls).Participants completed validated scales measuring environmental vulnerability,individual resilience,and suicidal ideation.Latent profile analysis(LPA)was conducted separately by gender.Results:Gender differences were prominent:males exhibited higher resilience and lower suicidal ideation,while females reported higher environmental vulnerability and elevated levels of suicidal ideation.LPA identified three distinct profiles for males:Low Vulnerable–High Protective–Low Risk(LHL),Medium Vulnerable–Low Protective–Low Risk(MLL),and High Vulnerable–Low Protective–High Risk(HLH).Four profiles emerged for females:LHL,MLL,Medium Vulnerable–Low Protective–Medium Risk(MLM),and HLH.Crucially,within the HLH profile,males exhibited particularly deficient humor(η^(2)=0.19)and confidence(η^(2)=0.16),while females formed a distinct subgroup characterized by severe academic and family stressors(η^(2)=0.30–0.36).Conclusion:The study underscores developing gender-specific mental health interventions using a nuanced,person-centered approach that considers both environmental risk and individual resilience factors,which allows for targeted suicide prevention strategies addressing the unique needs of male and female adolescents.
文摘Self-compassion is an important psychological resource that improves health-related quality of life and diabetes self-management;however,the psychological processes underlying these associations remain unclear.This study examined the roles of meaning in life and resilience in the relationship between self-compassion and both health-related quality of life and diabetes self-management.Participants were 301 individuals living with type 2 diabetes(176(58.5%)females,M age=49.69,SD=12.36)conveniently selected from two tertiary healthcare institutions in Nigeria.They completed self-report measures of self-compassion,meaning in life,resilience,health-related quality of life and diabetes selfmanagement.Multiple regression analyses indicated that self-compassion positively predicted health-related quality of life and diabetes self-management.Meaning in life and resilience independently and positively predicted health-related quality of life and diabetes self-management.Mediation analysis showed that meaning in life mediated the association between self-compassion and health-related quality of life,as well as diabetes self-management.Likewise,resilience mediated the connection between self-compassion and health-related quality of life,and diabetes self-management behaviour.Intervention for diabetes self-management should focus on promoting self-compassion,meaning in life and resilience abilities of patients,as they can potentially improve health and self-care behaviours needed for recovery.
文摘Background:Submarine personnel often experience insomnia and reduced psychological resilience due to extended deployments in confined,high-stress environments.Effective non-pharmacological interventions are needed to improve sleep quality and resilience in this population.This study aimed to investigate the effect of virtual reality(VR)combined with forest therapy interventions on psychological resilience and sleep quality among submarine personnel with insomnia symptoms.Methods:Using convenience sampling,92 submarine personnel with insomnia symptoms undergoing recuperation at a PLA sanatorium between July 2023 and May 2025 were randomly allocated to experimental and control groups(n=46 each).The control group received forest therapy intervention,while the intervention group received combined VR and forest therapy interventions.Pre-and post-intervention assessments were conducted using the Pittsburgh Sleep Quality Index(PSQI)and Connor-Davidson Resilience Scale(CD-RISC).Results:There is no significant differences between two groups before the intervention on sleep or psychological resilience.Both groups showed significant pre-to post-intervention improvements in sleep and resilience;however,mixed-ANOVA results showed that the intervention(VR+forest therapy)group achieved significantly better outcomes than the control group at post-intervention after Bonferroni correction,including lower PSQI total and key component scores(subjective sleep quality,sleep efficiency,daytime dysfunction)and higher CD-RISC resilience scores.Conclusions:The integration of virtual reality and forest therapy effectively improved sleep quality and psychological resilience among submarine personnel with insomnia symptoms.This combined intervention shows promise as a non-pharmacological approach in military healthcare settings;however,further studies are needed to validate and generalize these findings.
基金supported by Jiangsu Cancer Hospital Science and Technology Development Fund Project(NO.XHMS202404)Nanjing Medical Science and Technology Development Fund Project(GBX22289).
文摘Objectives:Although standardized residency trainees are at high risk for depression,anxiety,and suicidal ideation,the psychological pathways connecting depression and anxiety to suicidal ideation,especially the moderating role of resilience,remain elusive.This study aimed to examine the associations between depression,anxiety,and suicidal ideation among physicians undergoing standardized residency training,and to investigate the moderating roles of different dimensions of individual resilience,namely tenacity,strength,and optimism.Methods:A convenience sampling method was adopted to recruit 133 resident physicians.Validated instruments assessing individual resilience,depressive symptoms,anxiety levels,and suicidal ideation were administered.Spearman correlation analysis was used to evaluate the relationships among the variables.Hierarchical regression analysis was conducted to assess the moderating roles of tenacity,strength,and optimism in the associations between depression,anxiety,and suicidal ideation.Results:Depressive symptoms and anxiety levels were both positively associated with suicidal ideation(p<0.001).All three resilience dimensions were negatively correlated with suicidal ideation(tenacity:r=−0.504,strength:r=−0.477,optimism:r=−0.440,all p<0.001).Tenacity,strength,and optimism significantly moderated the associations between depression and suicidal ideation(all p<0.05).When resilience levels in these dimensions were high,the associations between depression and suicidal ideation were weaker.Strength and optimism also moderated the associations between anxiety and suicidal ideation(strength:p=0.028,optimism:p=0.028).When the resiliences(strength and optimism)were high,the associations between anxiety and suicidal ideation were weaker.Conclusion:Individual resilience,particularly in the dimensions of tenacity,strength,and optimism,may serve as protective correlates for physicians in training,being associated with weaker relationships between depression,anxiety,and suicidal ideation.These findings highlight the potential value of resilience-enhancing strategies in clinical training settings,although causal inferences cannot be drawn due to the cross-sectional design.
基金supported by the Guangdong Provincial Philosophy and Social Science“14th Five-Year Plan”Discipline Co-Construction Project(Grant No.GD22XJY14)the 2022 Guangdong Provincial Higher Education Teaching Reform Project(Grant No.Yue Jiao Gao[2023]4)Guangdong Polytechnic Normal University’s Project for Enhancing the Research Capacity of Doctoral Application Institution(Grant No.22GPNUZDJS48).
文摘Objectives:Psychological resilience is a critical resource for vocational high school students navigating social biases and fostering mental well-being.This six-month longitudinal study investigated the developmental trajectories of discrimination perception,vocational identity,and psychological resilience in this population.It further examined the longitudinal mediating role of vocational identity in the relationship between discrimination perception and psychological resilience.Methods:A total of 526 students from five vocational high schools in Guangdong,China,were assessed via convenience sampling at two time points:baseline(T1,September 2023)and six-month follow-up(T2,March 2024).Measures of discrimination perception,psychological resilience,and vocational identity were administered.Data were analyzed using a cross-lagged panel model to test for bidirectional relationships.Results:Over the six-month period,students showed significant decreases in discrimination perception and vocational identity,but a significant increase in psychological resilience.The cross-lagged model revealed significant bidirectional relationships:discrimination perception and psychological resilience negatively predicted each other over time(β=−0.124,p<0.01;β=−0.200,p<0.001),while psychological resilience and vocational identity positively predicted each other(β=0.084,p<0.05;β=0.076,p<0.05).The mediation analysis revealed a dual-pathway mechanism.T1 discrimination perception exerted both a significant direct negative effect on T2 psychological resilience(β=−0.332,p<0.001)and a significant indirect positive effect via T1 vocational identity(indirect effect=0.020,95%CI[0.001,0.046]).This confirms a partial mediating role,indicating that vocational identity functions as a compensatory mechanism,transforming the experience of discrimination perception into a potential source of psychological resilience.Conclusions:For vocational high school students,perception of discrimination directly undermines psychological resilience,but also indirectly fosters it through the positive development of vocational identity.These findings highlight vocational identity as a pivotal mechanism in the complex relationship between social adversity and mental resilience.
基金Under the auspices of the National Key Research and Development Program of China Science and Technology Cooperation Project of the Chinese and Russian Governments(No.2023YFE0111300)National Social Science Fund of China(No.23BGL204)Natural Science Foundation of Inner Mongolia(No.2022MS04001)。
文摘Prolonged droughts have emerged as a major impediment to the revitalization of pastoral regions worldwide because they significantly augment their susceptibility to the deleterious effects of global climate change,overgrazing,and land degradation.This study,conducted in 106 pastoral villages across 33 pastoral banners of Inner Mongolia Autonomous Region of China between August 2021 and October 2022,used a community resilience evaluation indicator system to assess drought resistance.By calculating a community resilience index,the research explored influencing factors and proposed countermeasures,aiming to enhance resilience to prolonged drought.The results revealed three key findings.1)Pastoral areas exhibited a limited degree of community resilience to drought disasters(overall score=0.28),with resilience levels forming a pyramid-shaped hierarchy.2)Dimensional analysis showed that resilience scores decreased sequentially across five domains:social(0.53)>cultural(0.44)>environmental(0.38)>economic(0.32)>management(0.27).These results highlight the crucial role of economic and management resilience in enhancing community resilience,particularly when accompanied by pre-and post-disaster government support and social security,both of which must be improved.3)Key factors influencing community resilience included geographical location,traffic accessibility,and frequency and severity of droughts.From a drought resilience perspective,targeted strategies and recommendations are proposed to provide novel and practical approaches for achieving sustainable development in pastoral areas and rural regions as a whole.
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.
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supported by the National Natural Science Foundation of China(Grants No.52409016 and 52200212)Guangdong Basic and Applied Basic Research Foundation(Grant No.2020A1515110717)。
文摘Enhancing urban resilience is a powerful strategy for mitigating floods caused by both intensive human activities and climate change.However,existing studies have limitations,highlighting the need for a more comprehensive framework for assessing flood resilience based on the resilience evolution process.Therefore,the objective of this study was to develop an integrated framework for evaluating urban flood resilience,incorporating Bayesian networks and Geographic Information Systems(GIS)to explore the driving mechanisms behind flood resilience with the Beijing-Tianjin-Hebei urban agglomeration in China as a case study.The results indicated that:(1)inundation risk,population risk,and flooding mitigation were the most critical indicators influencing urban flood resilience;(2)Chengde and Tangshan emerged as key areas with high resistance capabilities,while Zhangjiakou and Baoding showed notable strengths in functional recovery;(3)the average value of urban flood resilience decreased from 0.58 under a 5-year rainfall return period to 0.54 under a 100-year rainfall return period,representing a 5.6% decrease,with Zhangjiakou exhibiting the highest flood resilience.These findings are of significant importance for policymakers involved in flood risk management.
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.
基金supported by the National Natural Science Foundation of China(32300851)Zhejiang Provincial Natural Science Foundation(LQ24h310008).
文摘The majority of individuals maintain normal physiological and behavioral function despite experiencing severe traumatic stress,demonstrating psychological resilience.Yet a clinically significant proportion develops increased vulnerability,often presenting as stress-related psychiatric conditions such as major depressive disorder(MDD)[1].The global prevalence of MDD is surging unprecedentedly,contributing substantially to the global burden of disease and disability.
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.
文摘In the last two decades,seismic resilience(SR)has been developed as a main concept for the assessment of the structural vulnerabilities of buildings and city centres.In particular,historical centers consist of adjacent buildings organized in blocks with common characteristics and similar typologies.The paper proposes a meth-odology to quantify SR for urban regions,by overcoming the state of the art studies that focus on assessing the SR for singular buildings.In this regard,the presented methodology may calculate the SR of blocks of buildings for the assessment of recovery investments of historical city centers.The main idea is to assess the level of vulnerability by accurate 3D surveys and visual inspections in order to select empirical fragility curves.The proposed methodology was herein applied to the city center of San Marino,designated by UNESCO as a world heritage site.
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.
基金Ministry of Education Humanities Social Sciences Research Project,No.21YJAZH087Guangdong Special Support ProgramPearl River S&T Nova Program of Guangzhou,No.201806010187。
文摘Urban resilience is an emerging research topic of urban studies, and its essence is described by the ability of cities to resist, recover, and adapt to uncertain disturbances. This paper constructs a "Size-Density-Morphology" urban ecological resilience evaluation system, uses a coupling coordination degree model to measure the degree of coupling coordination between urbanization and ecological resilience in the Pearl River Delta from 2000 to 2015, and conducts an in-depth discussion on its spatiotemporal characteristics. The results show the following.(1) From 2000 to 2015, the urbanization level of cities in the study area generally increased while the level of ecological resilience declined. The coupling coordination degree between the two systems decreased from basic coordination to basic imbalance.(2) In terms of spatial distribution, the coupling coordination degree between urbanization and ecological resilience of cities presented a circular pattern that centered on the cities at the estuary of the Pearl River and increased toward the periphery.(3) Ecological resilience sub-systems played variable roles in the coupling coordination between urbanization and ecological resilience. Specifically, size resilience mainly played a reverse blocking role;the influence of morphology resilience was generally positive and continued to increase over time;the effect of density resilience was positive and continued to decline and further became negative after falling below zero. The main pathways for achieving coordinated and sustainable development of future urbanization and ecological resilience in the Pearl River Delta include: leading the coordinated development of regions with new urbanization, improving ecological resilience by strictly observing the three areas and three lines, adapting to ecological carrying capacity, and rationally arranging urban green spaces.
