Deep learning and fatigue life prediction remain focal research areas in rail vehicle engineering.This study addresses the vibration fatigue of wheelset lifting lug in Chengdu Metro Line 1 bogies,aiming to develop a f...Deep learning and fatigue life prediction remain focal research areas in rail vehicle engineering.This study addresses the vibration fatigue of wheelset lifting lug in Chengdu Metro Line 1 bogies,aiming to develop a fatigue life prediction method for critical bogie components using deep learning models and measured track load spectra.Extensive field tests on Chengdu Metro Line 1 were conducted to acquire acceleration and stress response data of the wheelset lifting lug,generating training samples for the neural network system.Component stress responses were calculated via time-domain track acceleration and validated against in-situ stress measurements.Results show that neural network-fitted dynamic stress values exhibit excellent consistency with measured data,with errors constrained within 5%.This study validates the proposed small-sample deep learning approach as an effective and accurate solution for fatigue life prediction of critical bogie components under operational load conditions.展开更多
To address the challenges posed by tunnel construction in the alpine region,silica fume mixed concrete is commonly used as a construction material.The correlation between silica fume content and the lining life requir...To address the challenges posed by tunnel construction in the alpine region,silica fume mixed concrete is commonly used as a construction material.The correlation between silica fume content and the lining life requires immediate investigation.In view of this phenomenon,the durability of unit lining concrete is predicted by analyzing three key indicators:carbonation depth,relative dynamic elastic modulus,and residual quality.This prediction is achieved by integrating the Entropy Weight Method,Grey theory life prediction model and BP artificial neural networks using data from tests and predictions of these indicators.Then,the Entropy Weight-Grey theory-BP Network Model is compared with other methods to analyze the predicted life.Finally,verify the sci-entificity of this model,and the optimum silica fume content of unit concrete lining is verified.The results showed,1)The addition of silica fume will accelerate the carbonization of unit concrete lining,and slow down the freeze-thaw cycle and sulfate erosion.2)The utilization of artificial neural networks is essential for enhancing the realism of the data,as it emphasizes the significance of silica fume content.3)Silica fume content of 10%results in the longest life and is the most suitable for lining construction.4)A comparison between single-factor and multi-factor predictions indicates that the multi-factor approach yields a longer maximum life.This improvement can be attributed to the inclusion of additional factors,such as freeze-thaw cycles and carbonation,which enhance the predicted life when employing these methods.In conclusion,the Entropy Weight-Grey Theory-BP Network life prediction Model is well-suited for tunnel lining in the alpine sulfate area of northwest China.展开更多
Introduction: Common low-back pain is a frequent reason for consultation and a genuine public health problem. Preserving quality of life remains one of the main challenges. Objective: To evaluate the quality of life o...Introduction: Common low-back pain is a frequent reason for consultation and a genuine public health problem. Preserving quality of life remains one of the main challenges. Objective: To evaluate the quality of life of patients with low back pain seen in rheumatology consultations at Brazzaville University Hospital. Patients and Method: Cross-sectional, analytical study with control group, conducted at the Brazzaville University Hospital, from January 2 to September 30, 2023. Patients over 30 years of age, seen for documented common low-back pain, were included. Study variables were epidemiological, clinical and functional. The EIFEL and SF-36 scores were used to assess functional impact and quality of life, respectively. Results: We included 96 people divided into two groups: 48 patients with low back pain and 48 controls. The frequency of common low-back pain was 12.8%. The mean age of patients with low back pain was 59.14 ± 11.86 years. Women predominated (sex ratio 0.3). Degenerative disc disease was the main etiology. Common low-back pain had a moderate impact on functional abilities, with a mean EIFEL score of 11 +/− 5.51. Quality of life was impaired in patients with low back pain (overall SF-36 at 43.95%) compared with the control group, with a statistically significant difference (P Conclusion: Common low back pain affects patients’ overall quality of life, particularly in terms of physical pain and limitations due to physical condition.展开更多
High-rise housing is being built in increasingly densely populated urban residential areas in Tokyo,Japan.On the other hand,detached houses are built on small,subdivided sites.In urban residential areas where detached...High-rise housing is being built in increasingly densely populated urban residential areas in Tokyo,Japan.On the other hand,detached houses are built on small,subdivided sites.In urban residential areas where detached houses are lined up,many elements related to daily life are located near roadside space and spill out onto the road.This is a distinctive modern urban residential landscape.The purpose of this study is to get closer to the reality of urban residential life.For that,we will consider the characteristics and roles of elements related to daily life that can be observed in many areas around roadside space in an urban residential area lined with detached houses,in urban living environments.This study focuses on the detached residential area of Bunkyo Ward.A field survey will be conducted to investigate the amount of elements related to daily life that can be observed from the road.In addition,we will conduct a questionnaire survey of residents in the survey area regarding their use of and awareness of the roadside space.Finally,we will investigate the relationship between lifestyle factors and urban residential life from both quantitative and qualitative perspectives.展开更多
Objective:To evaluate and compare the quality of life(QoL)in patients with multidrug-resistant(MDR-TB)and drug-sensitive(DS-TB)as well as to investigate factors associated with QoL among MDR-TB patients in real-world ...Objective:To evaluate and compare the quality of life(QoL)in patients with multidrug-resistant(MDR-TB)and drug-sensitive(DS-TB)as well as to investigate factors associated with QoL among MDR-TB patients in real-world scenarios at the Haji Hospital,Surabaya.Methods:We conducted a case-control study from June to December 2024.MDR-TB and DS-TB patients were classified into case and control groups,respectively.We used the World Health Organization’s Quality of Life Brief(WHOQOL-BREF)instrument and Patient Health Questionnaire-9(PHQ-9)to assess QoL and depression levels,respectively.Multivariate analysis was used to analyze factors associated with QoL of patients with MDR-TB.Results:Forty-one patients with MDR-TB and 43 with DS-TB were enrolled in the study.A mean score for all domains(physical,psychological,social relationship,environmental)and total mean score of WHOQOL-BREF was significantly lower in MDR-TB than those with DS-TB(P<0.05).The prevalence of depression and the mean score of PHQ-9 were significantly higher in MDR-TB than in DS-TB(P<0.05).PHQ-9 negatively correlates with the WHOQOL-BREF score(r=-0.502,P<0.05)among MDR-TB patients.MDR-TB patients with depression were significantly associated with low QoL in the physical(OR 3.611;95%CI 2.393-6.951;P=0.029),psychological(OR 1.672;95%CI 1.179-5.941;P=0.021),social relationship(OR 2.586;95%CI 1.611-2.909;P=0.014),and environmental domains(OR 1.926;95%CI 1.047-2.147;P=0.048).Conclusions:MDR-TB patients had worse QoL than DS-TB.Those with depression were associated with low QoL.Strategies that identify and tackle alterations in the QoL for MDR-TB patients are necessary during TB treatment.展开更多
中国语际翻译的历史最早可以追溯到西汉时期,但当时翻译的主要内容都是佛经,直到清朝才出现了第一首被译成中文的英语诗歌——A Psalm of Life。而清朝至今,这首诗已有多个译本。在20世纪70年代,德国学者凯瑟琳娜·赖斯在其著作《...中国语际翻译的历史最早可以追溯到西汉时期,但当时翻译的主要内容都是佛经,直到清朝才出现了第一首被译成中文的英语诗歌——A Psalm of Life。而清朝至今,这首诗已有多个译本。在20世纪70年代,德国学者凯瑟琳娜·赖斯在其著作《翻译批评——潜力与制约》中,提出了以文本类型为导向,结合语言内因素(语言范畴)、语言外因素(语用范畴)和功能因素(功能范畴)的翻译批评模式。因此,基于赖斯的翻译批评模式,文章从文本类型、语言范畴、语用范畴和功能范畴四方面对黄新渠、黄杲炘和黄一宁三人的译本进行对比赏析。通过分析发现,三人的译本基本都再现了原文的内容和风格,句式、节奏上也基本与原文保持一致;而在语义、词汇、语法和文体上,每一译本都有其各自的优点。此外,译本的语用和功能因素也显著影响了翻译策略的选择。展开更多
BACKGROUND People living with human immunodeficiency virus(HIV)are aging as a result the benefits of combination antiretroviral therapy.AIM To provide descriptions of eligible existing studies on demographics,methodol...BACKGROUND People living with human immunodeficiency virus(HIV)are aging as a result the benefits of combination antiretroviral therapy.AIM To provide descriptions of eligible existing studies on demographics,methodologies,and outcome measures related to health-related quality of life(HRQoL)in the context of HIV and aging.METHODS The MEDLINE,CINAHL,Scopus,and PsycINFO databases were systematically searched using the terms HIV,age,and HRQoL to find studies published between January 1995 and June 2022.Key variables of the eligible studies were identified and categorized into demographics(e.g.,study sites,study year),methodologies(e.g.,use of conceptual frameworks,measures used),and outcome measures[e.g.,HRQoL,quality of life(QoL)].The PRISMA 2009 checklist was followed.RESULTS A total of 68 published studies involving 53504 participants were included.The majority of the studies(55.88%)were conducted in North America,with relatively few studies conducted in Africa.The median age of participants was 51.0 years(IQR=11.0).Over one-third(32.56%)of all participants were older people living with HIV aged 50 years and older Four studies included only older female participants,and six studies included only men who have sex with men.Outcome mea-sures were assessed as HRQoL(26.47%)or QoL(36.76%).Overall,data from African studies,older women living with HIV,socioeconomic status(e.g.,employment,income,education),sexual behavioral risks,theoretical frameworks used,and follow-up studies were limited.CONCLUSION This narrative review highlights imbalances and gaps in research on HRQoL in the context of HIV and aging,providing direction for future studies in this area.展开更多
This study,conducted during an internship at the Tumor Hospital of S Province,employs a qualitative research paradigm.The primary research subjects were 11 hospitalized breast cancer patients,with data collected throu...This study,conducted during an internship at the Tumor Hospital of S Province,employs a qualitative research paradigm.The primary research subjects were 11 hospitalized breast cancer patients,with data collected through semi-structured interviews and observation,followed by content analysis.The study aims to explore the disease experiences and life experiences of breast cancer patients,investigating what their illness means to them and whether it has led to a different understanding of the meaning of their lives.The findings reveal that the reconstruction of life meaning among breast cancer patients manifests as“new perceptions of existence,new attitudes toward life,and new life goals.”展开更多
BACKGROUND Insomnia is a common sleep disorder that negatively impacts quality of life and is frequently comorbid with depression and anxiety.Chronic insomnia affects approximately 15%of the global population,with hig...BACKGROUND Insomnia is a common sleep disorder that negatively impacts quality of life and is frequently comorbid with depression and anxiety.Chronic insomnia affects approximately 15%of the global population,with higher prevalence among females and the elderly.While existing research suggests a bidirectional relationship between insomnia and emotional disorders,the specific impact of insomnia severity on depression,anxiety,and quality of life remains unclear.This study investigates the correlation between insomnia severity and these factors in psychiatric outpatients,hypothesizing that greater insomnia severity is associated with higher levels of depression and anxiety,as well as poorer quality of life.AIM To explore the correlation between insomnia severity and depression,anxiety,and quality of life in primary chronic insomnia patients.METHODS From June to December 2023,345 patients with primary insomnia in Chifeng city were recruited and divided into three groups based on Pittsburgh sleep quality index(PSQI)scores:Mild(n=137),moderate(n=162),and severe(n=46).Demographic data were collected via questionnaires.Self-rating depression scale(SDS),self-rating anxiety scale(SAS),PSQI,and short form 36(SF-36)scores were compared,and Pearson and partial correlation analyses were performed.RESULTS The greater the degree of insomnia,the greater the symptoms of depression and anxiety(P<0.001).The more severe the insomnia,the lower the SF-36 score(excluding body pain),and the difference between the three groups was statist ically significant(P<0.001).Pearson correlation analysis and partial correlation analysis depicted the SDS score and SAS score were apparently positively correlated with the severity of insomnia(P<0.001).Pearson correlation analysis and partial correlation analysis depicted the SF-36 scores were apparently positively correlated with the severity of insomnia(P<0.05).CONCLUSION Depression and anxiety are independent factors influencing insomnia severity in primary chronic insomnia patients.Higher depression/anxiety levels correlate with worse insomnia,impacting quality of life.展开更多
Objectives:The study assessed the physical and environmental quality of life(QoL)of patients with chronic kidney disease(CKD)undergoing maintenance hemodialysis(HD)therapy at the Benue State University Teaching Hospit...Objectives:The study assessed the physical and environmental quality of life(QoL)of patients with chronic kidney disease(CKD)undergoing maintenance hemodialysis(HD)therapy at the Benue State University Teaching Hospital,Makurdi.Materials and Methods:An exploratory qualitative research design was adopted to conduct research on patients with CKD undergoing HD at the Benue State University Teaching Hospital,Makurdi,between October 2024 and May 2025.A researcher developed a semi-structured open-ended interview guide,and audio tapes were used to purposively collect data from 15 consented participants.The data were analyzed using NVivo version 10.0 for descriptive purposes.Results:The data revealed two(2)major themes:perceived body discomfort(body pain,nausea/vomiting,physical fatigue,physical dependence,life,as subthemes)and constraints(restricted lifestyle and barriers to access to HD therapy as subthemes).Conclusion:Although HD is perceived as a hope for CKD patients,the treatment severely compromises their physical and environmental QoL.展开更多
Several contemporary ophthalmological researches have been shifting from a clinical-centered perspective to a more patient-centered approach.This evolution is particularly evident in the study of primary open-angle gl...Several contemporary ophthalmological researches have been shifting from a clinical-centered perspective to a more patient-centered approach.This evolution is particularly evident in the study of primary open-angle glaucoma(POAG),in which some investigations have focused on the complex interplay between objective medical parameters and subjective patient experiences.Given that glaucoma remains one of the leading causes of irreversible blindness globally,the integration of quality of life(QoL)metrics into routine clinical workflows is indispensable for improving patient care(1,2).展开更多
Palliative care extends beyond the individual child to encompass their family,healthcare providers,and broader socio-emotional networks.Timely and analytically informed palliative interventions not only alleviate the ...Palliative care extends beyond the individual child to encompass their family,healthcare providers,and broader socio-emotional networks.Timely and analytically informed palliative interventions not only alleviate the emotional burden experienced by terminally ill children and their family caregivers due to prolonged caregiving but also enhance the quality of life in the child’s final stages.Currently,it is particularly important to note that an overemphasis on the healing function of physical spaces may risk relegating humanistic care to the margins once again.Therefore,when accompanying children through their end-of-life journey,it is essential to fully respect their need to express memories,maintain autonomy,and preserve dignity.They should be gently“seen”and compassionately accompanied until the very end,thereby facilitating a meaningful farewell that embodies a form of spiritual ecology.展开更多
BACKGROUND Some non-insulin-based insulin resistance(IR)indices have been found to be associated with metabolic syndrome(MetS);however,few cohort studies have compared the capacities of these indices for predicting in...BACKGROUND Some non-insulin-based insulin resistance(IR)indices have been found to be associated with metabolic syndrome(MetS);however,few cohort studies have compared the capacities of these indices for predicting incident MetS in young adults.AIM To investigate the associations of various non-insulin-based IR(NI-IR)indices with new-onset MetS in young military personnel.METHODS A total of 2890 armed forces personnel in Taiwan who were aged 18-39 years and did not have MetS at baseline were followed to monitor the incidence of new-onset MetS from 2014 to the end of 2020.Six NI-IR indices,including the metabolic score for IR(METS-IR),triglyceride(TG)-to-high-density lipoprotein cholesterol(HDL-C)ratio,TG glucose(TyG)index,Zhejiang University(ZJU)index,total cholesterol(TC)-to-HDL-C ratio,and alanine transaminase(ALT)-to-aspartate transaminase(AST)ratio,were defined according to specific criteria.Incident MetS was identified on the basis of each annual health examination using the International Diabetes Federation criteria.Multiple Cox regression analyses were conducted,adjusting for age,sex,waist circumference,smoking status,alcohol consumption status,and physical activity,to assess the associations of the NI-IR indices with incident MetS.The area under the receiver operating characteristic curve(AUROC)was used to compare the capacities of these NI-IR indices for predicting new-onset MetS.RESULTS During a median follow-up of 5.8 years,there were 673 patients with new-onset MetS(23%).All six of the NI-IR indices were significantly and positively associated with incident MetS.In the entire cohort,the greatest AUROC was found for the METS-IR[0.782;95%confidence interval(CI):0.762-0.801;all P values compared to the other NIIR indices<0.05],followed by the TG/HDL-C ratio(0.752;95%CI:0.731-0.772),ZJU index(0.743;95%CI:0.722-0.764),TyG index(0.734;95%CI:0.713-0.756),TC/HDL-C ratio(0.731;95%CI:0.709-0.752),and then the ALT/AST ratio(0.734;95%CI:0.713-0.756).CONCLUSION This study suggests that almost all the NI-IR indices are associated with the development of MetS in military young adults.The METS-IR is the strongest predictor of new-onset MetS before midlife.展开更多
Objective:To explore the significance of continuing care in improving self-care ability and quality of life in patients with chronic obstructive pulmonary disease(COPD).Methods:A total of 60 COPD patients treated in o...Objective:To explore the significance of continuing care in improving self-care ability and quality of life in patients with chronic obstructive pulmonary disease(COPD).Methods:A total of 60 COPD patients treated in our department between June 2023 and June 2024 were randomly divided into control and observation groups.The control group received routine care,while the observation group received additional continuing care.Self-care ability and quality of life were compared between the two groups.Results:After the intervention,the observation group demonstrated higher self-care ability and quality of life scores compared to the control group(P<0.05).Conclusion:Continuing care for COPD patients has a positive impact on enhancing self-care ability and improving quality of life,making it worth recommending.展开更多
This study aimed to evaluate the association of a healthy lifestyle pattern with mortality risk among patients with type 2 diabetes mellitus(T2DM).Data were derived from a prospective cohort study enrolling 13776Chine...This study aimed to evaluate the association of a healthy lifestyle pattern with mortality risk among patients with type 2 diabetes mellitus(T2DM).Data were derived from a prospective cohort study enrolling 13776Chinese patients with T2DM.A healthy lifestyle pattern was constructed based on six lifestyle factors,including smoking status,alcohol consumption,dietary habits,physical activity,sedentary time,and sleep duration.Multivariate Cox proportional hazards models were used to estimate hazard ratios(HRs)and 95%confidence intervals(CIs)for all-cause and cause-specific mortality.During a median follow-up of 9.78 years,2497 deaths were recorded.Compared with T2DM patients with a lifestyle pattern scoring 0–2,those scoring 5–6 had a 40%lower risk for all-cause mortality(HR=0.60,95%CI:0.52–0.69),a 33%lower risk for cardiovascular disease mortality(HR=0.67,95%CI:0.52–0.86),and a 25%lower risk for cancer mortality(HR=0.75,95%CI:0.58–0.97).Additionally,we found that the association between the lifestyle pattern and all-cause mortality risk was stronger in females than in males(P for interaction<0.05).In conclusion,adherence to a healthy lifestyle pattern is associated with a decreased risk of all-cause,cardiovascular disease,and cancer mortality.These findings have important implications for reducing premature mortality among patients with T2DM.展开更多
Under the background of resource shortage and global warming,it is of great significance to explore the status,influencing factors and carbon emission reduction effect of waste recycling in China after the implementat...Under the background of resource shortage and global warming,it is of great significance to explore the status,influencing factors and carbon emission reduction effect of waste recycling in China after the implementation of new waste classification policy for guiding waste classification and carbon emission accounting.In this research,the temporal and spatial changes and influencing factors of waste recycling were studied from subdistrict level,life-cycle carbon emission reduction was predicted and policy suggestions for waste recycling were proposed.The results showed that after the implementation of new waste classification policy,the amount of recycled waste and the proportion of low-value recycled waste increased by 420.93 t and 2.29%per month on average,respectively.The district center has the largest amount of recycled waste.Income was the main factors affecting waste recycling,and online shopping and takeout could become important sources of recyclable waste.Accounting cradle-to-grave life cycle carbon footprint,waste plastics takes up the most contribution,accounting for 39.11%,and nearly 391.68 Mt CO_(2eq) would be reduced by waste recycling in China by 2030.Therefore,in the process of waste classification,refining waste classification to increase the amount of low-value recyclables,and rationally deploying collection and transportation vehicles to ensure efficient waste recycling are of great significance to achieve the goal of“carbon peaking and carbon neutrality”.展开更多
The purpose of this study is to explore the influence of cognitive behavioral therapy on the psychological state and sexual life quality of patients with premature ejaculation,and to analyze the relationship between p...The purpose of this study is to explore the influence of cognitive behavioral therapy on the psychological state and sexual life quality of patients with premature ejaculation,and to analyze the relationship between psychological state and sexual life quality.By comparing the related indexes of the experimental group(receiving cognitive behavioral therapy)and the control group,the results show that the general data of the two groups are comparable.After the intervention,the improvement of psychological state(anxiety and depression)and the improvement of sexual life quality in the experimental group were greater than those in the control group,and the psychological state index was negatively correlated with the score of sexual life quality.The discussion part points out that cognitive behavioral therapy can improve patients'psychological state through cognitive reconstruction,behavior training and other mechanisms,and then improve the quality of sexual life.It has the advantages of non-drug and self-regulation,but it has the limitations of long treatment period and limited effect on some patients.There are some shortcomings in this study,such as small sample size and short research time.In the future,we can expand the sample,extend the follow-up,explore joint treatment and pay attention to individual differences to improve the treatment effect and the reliability of the study.展开更多
This study adopts a communication studies perspective,employing Lasswell’s“5W”model as the theoretical framework and integrating the“6W”elements of translation communication to systematically examine the translat...This study adopts a communication studies perspective,employing Lasswell’s“5W”model as the theoretical framework and integrating the“6W”elements of translation communication to systematically examine the translation and dissemination model of the English version of Mo Yan’s novel“Life and Death Are Wearing Me Out,”translated by Howard Goldblatt.By analyzing key elements such as communication content,translator strategies,dissemination channels,and reader reception,the study elucidates the intrinsic mechanisms behind the work’s successful overseas dissemination.The findings reveal that effective communication stems from the synergistic interplay of four dimensions:the intercultural adaptability of the work itself,the translator’s agential mediation,diversified dissemination channels,and reader-oriented translation strategies.This research provides theoretical and practical insights for promoting Chinese literature globally,demonstrating that successful intercultural communication requires an integrated approach encompassing the work,translator,channels,and reader research.展开更多
Chronic obstructive pulmonary disease(COPD)is a complex condition marked by considerable interindividual heterogeneity.Comorbidities exacerbate this variability,worsening disease severity and reducing health-related q...Chronic obstructive pulmonary disease(COPD)is a complex condition marked by considerable interindividual heterogeneity.Comorbidities exacerbate this variability,worsening disease severity and reducing health-related quality of life(HRQoL).Despite the high prevalence of COPD in China,COPD patient clusters remain poorly characterized.This study aimed to identify and validate clusters of Chinese patients with COPD,characterized primarily by comorbidity profiles,using cluster analysis.This cross-sectional,multicenter cohort study used data from the Chinese Enjoying Breathing Program(2020–2023).HRQoL was measured using the EuroQol five dimension(EQ-5D).Dimension reduction was performed via multiple correspondence analysis on 31 variables,including indicators of 27 comorbidities and four sociodemographic or health-related characteristics.Unsupervised machine learning algorithms,K-means++,and hierarchical clustering identified distinct clusters.Robustness was assessed using random forest classification.Logistic regression evaluated the association between cluster membership and EQ-5D outcomes.Among 11145 patients,59.4%had comorbidities.Four clusters emerged:young male smokers,biomass-exposed females,respiratory comorbidity,and elderly multimorbid.The last two clusters had notably lower HRQoL.Cluster analysis identified four clinically meaningful COPD patient clusters based on comorbidities and risk profiles,each with distinct HRQoL outcomes.These findings support targeted public health interventions and integrated care strategies for COPD management.展开更多
Objective:To study the relationship between qi stagnation constitution and suboptimal health status(SHS)or lifestyle.Methods:From 2012 to 2013,we conducted a cross-sectional survey of 24159 Chinese individuals aged 12...Objective:To study the relationship between qi stagnation constitution and suboptimal health status(SHS)or lifestyle.Methods:From 2012 to 2013,we conducted a cross-sectional survey of 24159 Chinese individuals aged 12-80 years.The qi stagnation constitution was assessed using the Constitution in Chinese Medicine Questionnaire.Health status was evaluated through medical records and the Subhealth Measurement Scale V1.0(SHMS V1.0).Health-promoting lifestyles were measured using the Health-Promoting Lifestyle Profile Ⅱ(HPLP-Ⅱ).Results:Of the 24159 participants,16.1%and 15.2%were classified as“always”and“sometimes”having the qi stagnation constitution,respectively.Those classified as“rarely”having the qi stagnation constitution scored higher on both the HPLP-Ⅱ and SHMS V1.0.The participants classified as“always”having the qi stagnation constitution showed a significant association with SHS or disease compared to other imbalanced constitutions.Those in the“always”category were approximately 21 times more likely to be classified as having SHS(odds ratio[OR]:21.17,95%confidence interval[CI]:15.74-28.45),whereas those in the“sometimes”category were approximately six times more likely(OR:5.89,95%CI:5.04-6.90).Accordingly,the qi stagnation constitution score was significantly associated with the diagnosis of SHS,with an area under the curve of 0.77(P<.001).A score of 18.75 yielded the highest Youden Index(0.407),with a sensitivity of 60.5%and a specificity of 80.3%.Significant associations were observed between health-promoting lifestyles and qi stagnation constitution severity in an ordinal regression analysis(P<.001).Protective factors included stress management(OR:1.59),self-actualization(OR:1.57),and exercise(OR:1.36).In contrast,poorer interpersonal relationships(OR:0.79),greater health responsibilities(OR:0.86),and poorer nutrition(OR:0.91)were associated with increased severity.Conclusion:Modulating the qi stagnation constitution through lifestyle interventions may help prevent the progression of SHS to disease,which aligns with core preventive principles in traditional Chinese medicine.展开更多
基金supported by the CRRC Original Technology TenYear Cultivation Program(Grant No.2022CYY007)。
文摘Deep learning and fatigue life prediction remain focal research areas in rail vehicle engineering.This study addresses the vibration fatigue of wheelset lifting lug in Chengdu Metro Line 1 bogies,aiming to develop a fatigue life prediction method for critical bogie components using deep learning models and measured track load spectra.Extensive field tests on Chengdu Metro Line 1 were conducted to acquire acceleration and stress response data of the wheelset lifting lug,generating training samples for the neural network system.Component stress responses were calculated via time-domain track acceleration and validated against in-situ stress measurements.Results show that neural network-fitted dynamic stress values exhibit excellent consistency with measured data,with errors constrained within 5%.This study validates the proposed small-sample deep learning approach as an effective and accurate solution for fatigue life prediction of critical bogie components under operational load conditions.
基金funded by the Technology Funding Scheme of China Construction Second Engineering Bureau LTD(2020ZX150002)the National Natural Science Foundation Project of China(12262018).
文摘To address the challenges posed by tunnel construction in the alpine region,silica fume mixed concrete is commonly used as a construction material.The correlation between silica fume content and the lining life requires immediate investigation.In view of this phenomenon,the durability of unit lining concrete is predicted by analyzing three key indicators:carbonation depth,relative dynamic elastic modulus,and residual quality.This prediction is achieved by integrating the Entropy Weight Method,Grey theory life prediction model and BP artificial neural networks using data from tests and predictions of these indicators.Then,the Entropy Weight-Grey theory-BP Network Model is compared with other methods to analyze the predicted life.Finally,verify the sci-entificity of this model,and the optimum silica fume content of unit concrete lining is verified.The results showed,1)The addition of silica fume will accelerate the carbonization of unit concrete lining,and slow down the freeze-thaw cycle and sulfate erosion.2)The utilization of artificial neural networks is essential for enhancing the realism of the data,as it emphasizes the significance of silica fume content.3)Silica fume content of 10%results in the longest life and is the most suitable for lining construction.4)A comparison between single-factor and multi-factor predictions indicates that the multi-factor approach yields a longer maximum life.This improvement can be attributed to the inclusion of additional factors,such as freeze-thaw cycles and carbonation,which enhance the predicted life when employing these methods.In conclusion,the Entropy Weight-Grey Theory-BP Network life prediction Model is well-suited for tunnel lining in the alpine sulfate area of northwest China.
文摘Introduction: Common low-back pain is a frequent reason for consultation and a genuine public health problem. Preserving quality of life remains one of the main challenges. Objective: To evaluate the quality of life of patients with low back pain seen in rheumatology consultations at Brazzaville University Hospital. Patients and Method: Cross-sectional, analytical study with control group, conducted at the Brazzaville University Hospital, from January 2 to September 30, 2023. Patients over 30 years of age, seen for documented common low-back pain, were included. Study variables were epidemiological, clinical and functional. The EIFEL and SF-36 scores were used to assess functional impact and quality of life, respectively. Results: We included 96 people divided into two groups: 48 patients with low back pain and 48 controls. The frequency of common low-back pain was 12.8%. The mean age of patients with low back pain was 59.14 ± 11.86 years. Women predominated (sex ratio 0.3). Degenerative disc disease was the main etiology. Common low-back pain had a moderate impact on functional abilities, with a mean EIFEL score of 11 +/− 5.51. Quality of life was impaired in patients with low back pain (overall SF-36 at 43.95%) compared with the control group, with a statistically significant difference (P Conclusion: Common low back pain affects patients’ overall quality of life, particularly in terms of physical pain and limitations due to physical condition.
文摘High-rise housing is being built in increasingly densely populated urban residential areas in Tokyo,Japan.On the other hand,detached houses are built on small,subdivided sites.In urban residential areas where detached houses are lined up,many elements related to daily life are located near roadside space and spill out onto the road.This is a distinctive modern urban residential landscape.The purpose of this study is to get closer to the reality of urban residential life.For that,we will consider the characteristics and roles of elements related to daily life that can be observed in many areas around roadside space in an urban residential area lined with detached houses,in urban living environments.This study focuses on the detached residential area of Bunkyo Ward.A field survey will be conducted to investigate the amount of elements related to daily life that can be observed from the road.In addition,we will conduct a questionnaire survey of residents in the survey area regarding their use of and awareness of the roadside space.Finally,we will investigate the relationship between lifestyle factors and urban residential life from both quantitative and qualitative perspectives.
文摘Objective:To evaluate and compare the quality of life(QoL)in patients with multidrug-resistant(MDR-TB)and drug-sensitive(DS-TB)as well as to investigate factors associated with QoL among MDR-TB patients in real-world scenarios at the Haji Hospital,Surabaya.Methods:We conducted a case-control study from June to December 2024.MDR-TB and DS-TB patients were classified into case and control groups,respectively.We used the World Health Organization’s Quality of Life Brief(WHOQOL-BREF)instrument and Patient Health Questionnaire-9(PHQ-9)to assess QoL and depression levels,respectively.Multivariate analysis was used to analyze factors associated with QoL of patients with MDR-TB.Results:Forty-one patients with MDR-TB and 43 with DS-TB were enrolled in the study.A mean score for all domains(physical,psychological,social relationship,environmental)and total mean score of WHOQOL-BREF was significantly lower in MDR-TB than those with DS-TB(P<0.05).The prevalence of depression and the mean score of PHQ-9 were significantly higher in MDR-TB than in DS-TB(P<0.05).PHQ-9 negatively correlates with the WHOQOL-BREF score(r=-0.502,P<0.05)among MDR-TB patients.MDR-TB patients with depression were significantly associated with low QoL in the physical(OR 3.611;95%CI 2.393-6.951;P=0.029),psychological(OR 1.672;95%CI 1.179-5.941;P=0.021),social relationship(OR 2.586;95%CI 1.611-2.909;P=0.014),and environmental domains(OR 1.926;95%CI 1.047-2.147;P=0.048).Conclusions:MDR-TB patients had worse QoL than DS-TB.Those with depression were associated with low QoL.Strategies that identify and tackle alterations in the QoL for MDR-TB patients are necessary during TB treatment.
文摘中国语际翻译的历史最早可以追溯到西汉时期,但当时翻译的主要内容都是佛经,直到清朝才出现了第一首被译成中文的英语诗歌——A Psalm of Life。而清朝至今,这首诗已有多个译本。在20世纪70年代,德国学者凯瑟琳娜·赖斯在其著作《翻译批评——潜力与制约》中,提出了以文本类型为导向,结合语言内因素(语言范畴)、语言外因素(语用范畴)和功能因素(功能范畴)的翻译批评模式。因此,基于赖斯的翻译批评模式,文章从文本类型、语言范畴、语用范畴和功能范畴四方面对黄新渠、黄杲炘和黄一宁三人的译本进行对比赏析。通过分析发现,三人的译本基本都再现了原文的内容和风格,句式、节奏上也基本与原文保持一致;而在语义、词汇、语法和文体上,每一译本都有其各自的优点。此外,译本的语用和功能因素也显著影响了翻译策略的选择。
文摘BACKGROUND People living with human immunodeficiency virus(HIV)are aging as a result the benefits of combination antiretroviral therapy.AIM To provide descriptions of eligible existing studies on demographics,methodologies,and outcome measures related to health-related quality of life(HRQoL)in the context of HIV and aging.METHODS The MEDLINE,CINAHL,Scopus,and PsycINFO databases were systematically searched using the terms HIV,age,and HRQoL to find studies published between January 1995 and June 2022.Key variables of the eligible studies were identified and categorized into demographics(e.g.,study sites,study year),methodologies(e.g.,use of conceptual frameworks,measures used),and outcome measures[e.g.,HRQoL,quality of life(QoL)].The PRISMA 2009 checklist was followed.RESULTS A total of 68 published studies involving 53504 participants were included.The majority of the studies(55.88%)were conducted in North America,with relatively few studies conducted in Africa.The median age of participants was 51.0 years(IQR=11.0).Over one-third(32.56%)of all participants were older people living with HIV aged 50 years and older Four studies included only older female participants,and six studies included only men who have sex with men.Outcome mea-sures were assessed as HRQoL(26.47%)or QoL(36.76%).Overall,data from African studies,older women living with HIV,socioeconomic status(e.g.,employment,income,education),sexual behavioral risks,theoretical frameworks used,and follow-up studies were limited.CONCLUSION This narrative review highlights imbalances and gaps in research on HRQoL in the context of HIV and aging,providing direction for future studies in this area.
基金Lingnan Normal University and College of Education’s university-level course-based ideological and political education demonstration project,“Course-Based Ideological and Political Education Demonstration Course for‘Women’s Social Work’”(Project No.:LSSZ202507)Undergraduate Innovation and Entrepreneurship Training Program project,“Sharing a Room,Healing Together:Leading the Way in‘Three-Shared,One-Community’Services for Patients’Family Members”(Project No.:X202410579028)。
文摘This study,conducted during an internship at the Tumor Hospital of S Province,employs a qualitative research paradigm.The primary research subjects were 11 hospitalized breast cancer patients,with data collected through semi-structured interviews and observation,followed by content analysis.The study aims to explore the disease experiences and life experiences of breast cancer patients,investigating what their illness means to them and whether it has led to a different understanding of the meaning of their lives.The findings reveal that the reconstruction of life meaning among breast cancer patients manifests as“new perceptions of existence,new attitudes toward life,and new life goals.”
文摘BACKGROUND Insomnia is a common sleep disorder that negatively impacts quality of life and is frequently comorbid with depression and anxiety.Chronic insomnia affects approximately 15%of the global population,with higher prevalence among females and the elderly.While existing research suggests a bidirectional relationship between insomnia and emotional disorders,the specific impact of insomnia severity on depression,anxiety,and quality of life remains unclear.This study investigates the correlation between insomnia severity and these factors in psychiatric outpatients,hypothesizing that greater insomnia severity is associated with higher levels of depression and anxiety,as well as poorer quality of life.AIM To explore the correlation between insomnia severity and depression,anxiety,and quality of life in primary chronic insomnia patients.METHODS From June to December 2023,345 patients with primary insomnia in Chifeng city were recruited and divided into three groups based on Pittsburgh sleep quality index(PSQI)scores:Mild(n=137),moderate(n=162),and severe(n=46).Demographic data were collected via questionnaires.Self-rating depression scale(SDS),self-rating anxiety scale(SAS),PSQI,and short form 36(SF-36)scores were compared,and Pearson and partial correlation analyses were performed.RESULTS The greater the degree of insomnia,the greater the symptoms of depression and anxiety(P<0.001).The more severe the insomnia,the lower the SF-36 score(excluding body pain),and the difference between the three groups was statist ically significant(P<0.001).Pearson correlation analysis and partial correlation analysis depicted the SDS score and SAS score were apparently positively correlated with the severity of insomnia(P<0.001).Pearson correlation analysis and partial correlation analysis depicted the SF-36 scores were apparently positively correlated with the severity of insomnia(P<0.05).CONCLUSION Depression and anxiety are independent factors influencing insomnia severity in primary chronic insomnia patients.Higher depression/anxiety levels correlate with worse insomnia,impacting quality of life.
文摘Objectives:The study assessed the physical and environmental quality of life(QoL)of patients with chronic kidney disease(CKD)undergoing maintenance hemodialysis(HD)therapy at the Benue State University Teaching Hospital,Makurdi.Materials and Methods:An exploratory qualitative research design was adopted to conduct research on patients with CKD undergoing HD at the Benue State University Teaching Hospital,Makurdi,between October 2024 and May 2025.A researcher developed a semi-structured open-ended interview guide,and audio tapes were used to purposively collect data from 15 consented participants.The data were analyzed using NVivo version 10.0 for descriptive purposes.Results:The data revealed two(2)major themes:perceived body discomfort(body pain,nausea/vomiting,physical fatigue,physical dependence,life,as subthemes)and constraints(restricted lifestyle and barriers to access to HD therapy as subthemes).Conclusion:Although HD is perceived as a hope for CKD patients,the treatment severely compromises their physical and environmental QoL.
文摘Several contemporary ophthalmological researches have been shifting from a clinical-centered perspective to a more patient-centered approach.This evolution is particularly evident in the study of primary open-angle glaucoma(POAG),in which some investigations have focused on the complex interplay between objective medical parameters and subjective patient experiences.Given that glaucoma remains one of the leading causes of irreversible blindness globally,the integration of quality of life(QoL)metrics into routine clinical workflows is indispensable for improving patient care(1,2).
文摘Palliative care extends beyond the individual child to encompass their family,healthcare providers,and broader socio-emotional networks.Timely and analytically informed palliative interventions not only alleviate the emotional burden experienced by terminally ill children and their family caregivers due to prolonged caregiving but also enhance the quality of life in the child’s final stages.Currently,it is particularly important to note that an overemphasis on the healing function of physical spaces may risk relegating humanistic care to the margins once again.Therefore,when accompanying children through their end-of-life journey,it is essential to fully respect their need to express memories,maintain autonomy,and preserve dignity.They should be gently“seen”and compassionately accompanied until the very end,thereby facilitating a meaningful farewell that embodies a form of spiritual ecology.
基金Supported by Medical Affairs Bureau Ministry of National Defense,No.MND-MAB-D-114222Hualien Armed Forces General Hospital,No.HAFGH-D-114008.
文摘BACKGROUND Some non-insulin-based insulin resistance(IR)indices have been found to be associated with metabolic syndrome(MetS);however,few cohort studies have compared the capacities of these indices for predicting incident MetS in young adults.AIM To investigate the associations of various non-insulin-based IR(NI-IR)indices with new-onset MetS in young military personnel.METHODS A total of 2890 armed forces personnel in Taiwan who were aged 18-39 years and did not have MetS at baseline were followed to monitor the incidence of new-onset MetS from 2014 to the end of 2020.Six NI-IR indices,including the metabolic score for IR(METS-IR),triglyceride(TG)-to-high-density lipoprotein cholesterol(HDL-C)ratio,TG glucose(TyG)index,Zhejiang University(ZJU)index,total cholesterol(TC)-to-HDL-C ratio,and alanine transaminase(ALT)-to-aspartate transaminase(AST)ratio,were defined according to specific criteria.Incident MetS was identified on the basis of each annual health examination using the International Diabetes Federation criteria.Multiple Cox regression analyses were conducted,adjusting for age,sex,waist circumference,smoking status,alcohol consumption status,and physical activity,to assess the associations of the NI-IR indices with incident MetS.The area under the receiver operating characteristic curve(AUROC)was used to compare the capacities of these NI-IR indices for predicting new-onset MetS.RESULTS During a median follow-up of 5.8 years,there were 673 patients with new-onset MetS(23%).All six of the NI-IR indices were significantly and positively associated with incident MetS.In the entire cohort,the greatest AUROC was found for the METS-IR[0.782;95%confidence interval(CI):0.762-0.801;all P values compared to the other NIIR indices<0.05],followed by the TG/HDL-C ratio(0.752;95%CI:0.731-0.772),ZJU index(0.743;95%CI:0.722-0.764),TyG index(0.734;95%CI:0.713-0.756),TC/HDL-C ratio(0.731;95%CI:0.709-0.752),and then the ALT/AST ratio(0.734;95%CI:0.713-0.756).CONCLUSION This study suggests that almost all the NI-IR indices are associated with the development of MetS in military young adults.The METS-IR is the strongest predictor of new-onset MetS before midlife.
基金Baoding Science and Technology Bureau Project“Study on the Impact of Continuing Care on Self-Care Ability and Quality of Life in COPD Patients”(Project No.2441ZF276)。
文摘Objective:To explore the significance of continuing care in improving self-care ability and quality of life in patients with chronic obstructive pulmonary disease(COPD).Methods:A total of 60 COPD patients treated in our department between June 2023 and June 2024 were randomly divided into control and observation groups.The control group received routine care,while the observation group received additional continuing care.Self-care ability and quality of life were compared between the two groups.Results:After the intervention,the observation group demonstrated higher self-care ability and quality of life scores compared to the control group(P<0.05).Conclusion:Continuing care for COPD patients has a positive impact on enhancing self-care ability and improving quality of life,making it worth recommending.
基金supported by the Jiangsu Provincial Health Commission Medical Research Project(Grant Nos.M2020085 to J.S.and H2023022 to X.F.)the Outstanding Youth Fund of Jiangsu Natural Science Foundation(Grant No.BK20230005 to D.H.)Suzhou Science and Technology Bureau Livelihood Technology-Technology Demonstration Project(Grant No.SS202010 to Y.L.)。
文摘This study aimed to evaluate the association of a healthy lifestyle pattern with mortality risk among patients with type 2 diabetes mellitus(T2DM).Data were derived from a prospective cohort study enrolling 13776Chinese patients with T2DM.A healthy lifestyle pattern was constructed based on six lifestyle factors,including smoking status,alcohol consumption,dietary habits,physical activity,sedentary time,and sleep duration.Multivariate Cox proportional hazards models were used to estimate hazard ratios(HRs)and 95%confidence intervals(CIs)for all-cause and cause-specific mortality.During a median follow-up of 9.78 years,2497 deaths were recorded.Compared with T2DM patients with a lifestyle pattern scoring 0–2,those scoring 5–6 had a 40%lower risk for all-cause mortality(HR=0.60,95%CI:0.52–0.69),a 33%lower risk for cardiovascular disease mortality(HR=0.67,95%CI:0.52–0.86),and a 25%lower risk for cancer mortality(HR=0.75,95%CI:0.58–0.97).Additionally,we found that the association between the lifestyle pattern and all-cause mortality risk was stronger in females than in males(P for interaction<0.05).In conclusion,adherence to a healthy lifestyle pattern is associated with a decreased risk of all-cause,cardiovascular disease,and cancer mortality.These findings have important implications for reducing premature mortality among patients with T2DM.
基金supported by the Construction of Environmental Science and Engineering Discipline for the Goal of Carbon Peaking and Carbon Neutrality Funding comes from Beijing Forestry University(No.2022XKJS0207).
文摘Under the background of resource shortage and global warming,it is of great significance to explore the status,influencing factors and carbon emission reduction effect of waste recycling in China after the implementation of new waste classification policy for guiding waste classification and carbon emission accounting.In this research,the temporal and spatial changes and influencing factors of waste recycling were studied from subdistrict level,life-cycle carbon emission reduction was predicted and policy suggestions for waste recycling were proposed.The results showed that after the implementation of new waste classification policy,the amount of recycled waste and the proportion of low-value recycled waste increased by 420.93 t and 2.29%per month on average,respectively.The district center has the largest amount of recycled waste.Income was the main factors affecting waste recycling,and online shopping and takeout could become important sources of recyclable waste.Accounting cradle-to-grave life cycle carbon footprint,waste plastics takes up the most contribution,accounting for 39.11%,and nearly 391.68 Mt CO_(2eq) would be reduced by waste recycling in China by 2030.Therefore,in the process of waste classification,refining waste classification to increase the amount of low-value recyclables,and rationally deploying collection and transportation vehicles to ensure efficient waste recycling are of great significance to achieve the goal of“carbon peaking and carbon neutrality”.
文摘The purpose of this study is to explore the influence of cognitive behavioral therapy on the psychological state and sexual life quality of patients with premature ejaculation,and to analyze the relationship between psychological state and sexual life quality.By comparing the related indexes of the experimental group(receiving cognitive behavioral therapy)and the control group,the results show that the general data of the two groups are comparable.After the intervention,the improvement of psychological state(anxiety and depression)and the improvement of sexual life quality in the experimental group were greater than those in the control group,and the psychological state index was negatively correlated with the score of sexual life quality.The discussion part points out that cognitive behavioral therapy can improve patients'psychological state through cognitive reconstruction,behavior training and other mechanisms,and then improve the quality of sexual life.It has the advantages of non-drug and self-regulation,but it has the limitations of long treatment period and limited effect on some patients.There are some shortcomings in this study,such as small sample size and short research time.In the future,we can expand the sample,extend the follow-up,explore joint treatment and pay attention to individual differences to improve the treatment effect and the reliability of the study.
基金2024 Jiangsu Normal University Postgraduate Research and Practice Innovation Program(Project No.:2024XKT1750)。
文摘This study adopts a communication studies perspective,employing Lasswell’s“5W”model as the theoretical framework and integrating the“6W”elements of translation communication to systematically examine the translation and dissemination model of the English version of Mo Yan’s novel“Life and Death Are Wearing Me Out,”translated by Howard Goldblatt.By analyzing key elements such as communication content,translator strategies,dissemination channels,and reader reception,the study elucidates the intrinsic mechanisms behind the work’s successful overseas dissemination.The findings reveal that effective communication stems from the synergistic interplay of four dimensions:the intercultural adaptability of the work itself,the translator’s agential mediation,diversified dissemination channels,and reader-oriented translation strategies.This research provides theoretical and practical insights for promoting Chinese literature globally,demonstrating that successful intercultural communication requires an integrated approach encompassing the work,translator,channels,and reader research.
基金supported by the Ministry of Science and Tech-nology of the People’s Republic of China(2023ZD0506000)the CAMS Innovation Fund for Medical Sciences(ClFMS,2023-I2M-2-001)the Non-profit Central Research Institute Fund of Chinese Academy of Medical Sciences(2022-ZHCH330-01).The statements made and views expressed are solely the responsibility of the authors.
文摘Chronic obstructive pulmonary disease(COPD)is a complex condition marked by considerable interindividual heterogeneity.Comorbidities exacerbate this variability,worsening disease severity and reducing health-related quality of life(HRQoL).Despite the high prevalence of COPD in China,COPD patient clusters remain poorly characterized.This study aimed to identify and validate clusters of Chinese patients with COPD,characterized primarily by comorbidity profiles,using cluster analysis.This cross-sectional,multicenter cohort study used data from the Chinese Enjoying Breathing Program(2020–2023).HRQoL was measured using the EuroQol five dimension(EQ-5D).Dimension reduction was performed via multiple correspondence analysis on 31 variables,including indicators of 27 comorbidities and four sociodemographic or health-related characteristics.Unsupervised machine learning algorithms,K-means++,and hierarchical clustering identified distinct clusters.Robustness was assessed using random forest classification.Logistic regression evaluated the association between cluster membership and EQ-5D outcomes.Among 11145 patients,59.4%had comorbidities.Four clusters emerged:young male smokers,biomass-exposed females,respiratory comorbidity,and elderly multimorbid.The last two clusters had notably lower HRQoL.Cluster analysis identified four clinically meaningful COPD patient clusters based on comorbidities and risk profiles,each with distinct HRQoL outcomes.These findings support targeted public health interventions and integrated care strategies for COPD management.
基金supported by the National Natural Science Foundation of China(T2341019)NSFC-Guangdong Joint Fund(U1132001)+9 种基金General Program of the National Natural Science Foundation of China(82174243 and 82204948)Natural Science Foundation of Guangdong Province,China(2023A1515110757)Guangzhou Science and Technology Plan Project(2024B03J1343)Major Scientific and Technological Project of Guangzhou Municipal Health Commission(20252D003)Research Project of Traditional Chinese Medicine Bureau of Guangdong Province(20241208)General project of Beijing Natural Science Foundation(7242227)Fundamental Research Funds for the Central Universities(BZY-JMZY-2022-001 and 2023-JYB-JBZD-009)High-level Key Discipline of the National Administration of Traditional Chinese Medicine-Traditional Chinese Constitutional Medicine(zyyzdxk-2023251)Major Science and Technology Special Projects in Hubei Province(2023BCA005)the Chief Scientist Research Project of Hubei Shizhen Laboratory(HSL2024SX0002).
文摘Objective:To study the relationship between qi stagnation constitution and suboptimal health status(SHS)or lifestyle.Methods:From 2012 to 2013,we conducted a cross-sectional survey of 24159 Chinese individuals aged 12-80 years.The qi stagnation constitution was assessed using the Constitution in Chinese Medicine Questionnaire.Health status was evaluated through medical records and the Subhealth Measurement Scale V1.0(SHMS V1.0).Health-promoting lifestyles were measured using the Health-Promoting Lifestyle Profile Ⅱ(HPLP-Ⅱ).Results:Of the 24159 participants,16.1%and 15.2%were classified as“always”and“sometimes”having the qi stagnation constitution,respectively.Those classified as“rarely”having the qi stagnation constitution scored higher on both the HPLP-Ⅱ and SHMS V1.0.The participants classified as“always”having the qi stagnation constitution showed a significant association with SHS or disease compared to other imbalanced constitutions.Those in the“always”category were approximately 21 times more likely to be classified as having SHS(odds ratio[OR]:21.17,95%confidence interval[CI]:15.74-28.45),whereas those in the“sometimes”category were approximately six times more likely(OR:5.89,95%CI:5.04-6.90).Accordingly,the qi stagnation constitution score was significantly associated with the diagnosis of SHS,with an area under the curve of 0.77(P<.001).A score of 18.75 yielded the highest Youden Index(0.407),with a sensitivity of 60.5%and a specificity of 80.3%.Significant associations were observed between health-promoting lifestyles and qi stagnation constitution severity in an ordinal regression analysis(P<.001).Protective factors included stress management(OR:1.59),self-actualization(OR:1.57),and exercise(OR:1.36).In contrast,poorer interpersonal relationships(OR:0.79),greater health responsibilities(OR:0.86),and poorer nutrition(OR:0.91)were associated with increased severity.Conclusion:Modulating the qi stagnation constitution through lifestyle interventions may help prevent the progression of SHS to disease,which aligns with core preventive principles in traditional Chinese medicine.
