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Objective To investigate how economic development and health resource input impact infant mortality in Shanghai. Methods Data on GDP per capita, the number of health facility beds per 10,000 population, and the infant mortality rate in Shanghai from 1991 to 2020 were selected and analyzed using the vector error correction model. Results A long-term equilibrium relationship existed between infant mortality, GDP per capita, and the number of health beds per 10,000 persons, with the elasticity coefficient of infant mortality being-2. 83 (95% CI:-3. 86-1. 80) for GDP per capita and-3. 02 (95% CI: -5. 03-- 1. 01) for the number of health beds per 10,000 persons. The maximum value is reached in the 5th and 6th year respectively and has a long-term negative impact. Conclusion The improvement of infant health cannot be achieved without the two-way promotion of socio-economic and health resource investment. It is necessary to promote the effective combination of investment in health resources and economic development, improve the construction of the maternal and child healthcare service system, strengthen the leading role of the Government, and build an efficient mechanism for the investment of health resources. [ABSTRACT FROM AUTHOR]

Abstract Background The ongoing rise in the prevalence of hypertension in children and adolescents is considered to be accompanied with the epidemic of childhood overweight and obesity. In this study, we established a large scale cross-sectional study in Shanghai, China, which presented a new evidence for the correlation of hypertension prevalence with overweight and obesity stages in Chinese children and adolescents. Methods A school-based cross-sectional study was conducted during February to December 2009 in Shanghai, China, including total 78,114 children and adolescents. Body weight, height, waist circumference (WC) and blood pressure (BP) were measured. Overweight and obesity were defined according to sex- and age- specific Chinese reference data. Results Both SBP and DBP were very significantly increased in overweight (OW) and obese (OB) groups. With age and sex controlled, BMI and WC were independently positively correlated with SBP and DBP. The prevalence of high SBP, DBP and hypertension were markedly higher among OW and OB children than normal weight (NW) group. Odds ratios (ORs) for high SBP, high DBP and high BP were significantly greater in OW and OB children than NW group, and showed a trend increase correlating with obesity stages (all P Conclusions In this study on a large school-based population in Shanghai, China, BMI and WC are positively correlated with SBP and DBP. Being overweight or obese greatly increased the risk of hypertension in Chinese children and adolescents, in which WC is considered as a more sensitive indicator than BMI.

The cross-sectional shape of the nanotube is a key factor governing fundamental mechanical properties of the nanotube and the nanotube forest. In contrast to most circular nanotubes, in the present work, we demonstrate that the holey phenine nanotubes have polygonal cross sections with diameter-dependent number of sides. The non-circular cross section is attributed to the high twistability of the continuous C–C chains in the phenine nanotube. Consequently, the phenine nanotube forest has a square lattice structure rather than the regular hexagonal lattice of the carbon nanotube forest, resulting in a smooth buckling process under biaxial compression. The buckling pattern of the phenine nanotube forest is highly ordered with the orientation determined by the initial dislocation that frequently appears in the phenine nanotube forest. [ABSTRACT FROM AUTHOR]

Objective This study was designed to evaluate the prevalence of thyroid nodules (TNs) and its relationship with urine iodine concentrations (UICs) after the regional rapid economic growth and lifestyle changes. Methods A cross-sectional survey was conducted in the general population aged 15-69 years. A questionnaire regarding general and personal characteristics and relevant information was administered. Ultrasonography of the thyroid was performed, and serum triiodothyronine (T3), tetraiodothyronine (T4), serum thyroid stimulating hormone (TSH), free triiodothyronine (FT3), free tetraiodothyronine (FT4), thyroglobulin antibody (TgAb), thyroid peroxidase antibody (TPOAb), and TSH receptor antibody (TRAb) levels were measured for each individual subject. Results The prevalence rates of TNs in the whole population, females and males were 27.76%, 34.04%, and 21.60%, respectively. The prevalence of multiple nodules increased with age, whereas the prevalence peaks differed between males and females. The median UICs in the whole population and females with non-TNs were higher than those of subjects with TNs ( P =0.0035, P =0.0068). The median UICs in subjects with a single TN were higher than those in subjects with multiple TNs ( P =0.0164, P =0.0127). The result showed a U-shaped curve relationship between UIC and prevalence of TNs. The prevalence of TNs was the lowest when the UIC was 140-400 μg/L. Conclusion The prevalence of TNs was nearly 30% and increased with age. The relationship between UIC and prevalence of TNs is U-shaped, with an increase in risk when the UIC was <140 μg/L and >400 μg/L. Very low or high UIC levels need attention and correction. [ABSTRACT FROM AUTHOR]

Background: The behavior of mentors impacts the quality and experience of nursing students who are studying in clinical placement. Accurately assessing the behavior of mentors is fundamental to training, regulating, guiding, and improving their behavior and quality of teaching., Purpose: To test the validity and reliability of the Clinical Nursing Mentors' Behavior Scale (CNMBS) among mentors., Methods: This study included three stages. During the first stage, seven Chinese experts were invited to evaluate content validity. During the second stage, the test-retest reliability was examined with 63 mentors. During the third stage, a cross-sectional study was conducted. Seven hundred and sixty-six nursing mentors from five hospitals in Beijing, Shenzhen, and Sichuan completed the survey either online or in hard copy form. The data collected from the questionnaire were analyzed using item analysis, construct validity, internal consistency and discriminant validity, with the results used to determine the psychometric characteristics of the CNMBS., Results: The content validity index for the CNMBS was .91. The intra-class correlation coefficient was .89; the range of the item discrimination critical ratio was 9.42-22.43 (p < .001), and the item-total correlation was .35- .70 (p < .001). The three factors of "guiding personal growth", "promoting professional development", and "providing psychosocial support" and a total of 23 items were identified, with item factor loadings ranging from .51 to .79. The three factors explained 50.99% of total variance. The internal consistency of the CNMBS earned a Cronbach's α coefficient of .92, while those of the three subscales were .89, .86 and .75, respectively., Conclusions: The Clinical Nursing Mentors' Behavior Scale demonstrated high validity and reliability, supporting the CNMBS as a valid tool for assessing the teaching behavior of mentors.