Objective To investigate the current status of occupational burnout，work-non-work boundary penetration and work-family conflict among dermatology nurses and study the interaction among the three，explore the mediating role of work-family conflict，and provide a reference for formulating intervention measures to reduce occupational burnout of dermatology nurses and improve clinical nursing work efficiency. Methods From April to May 2025，a random sampling method was used to survey 174 dermatology nurses from 5 grade-A tertiary general hospitals in Chengdu using the work-non-work boundary penetration scale，work-family conflict scale and occupational burnout scale，and the data were analyzed. Results The work-non-work boundary penetration score of dermatology nurses was （48.83±7.64）points，work-family conflict score was （58.74±9.25）points，and occupational burnout score was （60.32±12.54）points. The scores of work-non-work boundary penetration，work-family conflict，and occupational burnout of dermatology nurses with different clinical nursing professional titles，ages，average monthly night shift frequency，average monthly total salary，and marital status were compared，and the differences were statistically significant（all P<0.05）. Work-non-work boundary penetration was positively correlated with burnout（r=0.591，P<0.01），work-family conflict was positively correlated with burnout（r=0.629，P<0.01），and work-non-work boundary permeability was positively correlated with work-family conflict（r=0.635，P<0.01）. Work-family conflict partially mediated the relationship between work-non-work boundary permeability and burnout among dermatology nurses，with a mediating effect value of 0.208，accounting for 35.74% of the total effect. Conclusion Work-non-work boundary permeability，work-family conflict，and burnout all at relatively high levels among dermatology nurses，and work-family conflict partially mediates the relationship between work-non-work boundary permeability and burnout. Reducing work-family conflict and work-non-work boundary permeability among dermatology nurses can help improve their burnout and enhance clinical nursing efficiency.

Objective To investigate the current status and influencing factors of work-related behaviors，psychological resilience，and occupational burnout among cardiology nurses，and analyze the relationships and mediating effects among the three factors，aiming to improve occupational burnout among cardiology nurses and enhance the efficiency of clinical nursing work. Methods From June to August 2025，a random sampling method（random number table method） was used to select respondents. A questionnaire survey was conducted among 185 cardiology nurses from seven grade-A tertiary comprehensive hospitals in Beijing using the general situation scale，work connectedness scale，resilience scale，and burnout scale. The influencing factors of work-related behaviors，psychological resilience，and occupational burnout，as well as the correlation among them，were analyzed. The mediating effect of psychological resilience on the relationship between work-related behaviors and burnout among cardiology nurses was also investigated. Results The scores of work connectedness，psychological resilience and job burnout of cardiology nurses were （18.24±3.84），（97.42±14.63） and （60.32±12.54）points，respectively. There were statistically significant differences in job burnout， work connectedness and psychological resilience among cardiology nurses in terms of age，total clinical nursing work hours，nursing professional title，average number of night shifts per month，average monthly total salary and marital status（all P<0.05）. The work connectedness score of cardiology nurses was positively correlated with job burnout score（r=0.628，P<0.01） and negatively correlated with psychological resilience scores（r=-0.524，P<0.01）. Psychological resilience score was also negatively correlated with job burnout score（r=-0.591，P<0.01）. Psychological resilience partially mediated the relationship between work connectedness and burnout in cardiology nurses，with an effect value of 0.227，accounting for 34.08% of the total effect. Conclusion Work connectivity and psychological resilience are important factors influencing occupational burnout among cardiology nurses. Work connectivity directly affects burnout or indirectly through the mediating role of psychological resilience. Improving work connectivity and psychological resilience in cardiology nurses can significantly reduce the severity of their occupational burnout.

Objective To analyze the distribution characteristics of occupational disease cases in Chenzhou City from 2005 to 2023 and provide a reference for occupational disease prevention and control. Methods Data on occupational disease cases in Chenzhou City from 2005 to 2023 were collected，and descriptive analysis were conducted on age at onset，length of employment，disease categories，regional distribution，industry sectors，and enterprise size. Results From 2005 to 2023，a total of 3 505 cases of occupational diseases were reported in Chenzhou City，covering 8 categories and 26 specific types，with an increasing trend followed by a decreasing trend. The top three types of occupational diseases were pneumoconiosis（3 087 cases，88.07%），occupational chemical poisoning（354 cases，10.10%），and occupational ear，nose，and throat（ENT） and oral diseases（45 cases，1.28%）. The most common specific diseases were coal workers' pneumoconiosis，silicosis，arsenic and its compound poisoning，lead and its compound poisoning，and noise-induced deafness，totaling 3 329 cases（95.00%）. Males accounted for the majority of cases（3 463，98.80%）. Most patients were aged 41-<61 years（2 871 cases，81.91%），with a long average duration of occupational exposure[（16.41±8.57）years]. Geographically，cases were concentrated in Yongxing County（1 003 cases，28.62%），Jiahe County（767 cases，21.88%），and Yizhang County（660 cases，18.83%），totaling 2 430 cases（69.33%）. There was a statistically significant difference in the composition of occupational diseases among counties，cities，and districts（P<0.05）. While pneumoconiosis was the predominant type in most regions，Guiyang County had a higher proportion of occupational chemical poisoning. Occupational disease cases were primarily reported in small and medium-sized enterprises（2 767 cases，88.05%），with private and state-owned enterprises being the majority（2 546 cases，72.64%）. The most affected industries were coal mining and nonferrous metal mining and processing（3 067 cases，87.50%），with key occupations being coal miners and tunneling workers. Conclusion It is necessary to strengthen the prevention and control of occupational diseases in key industries such as coal and non-ferrous metal mining，as well as small and medium-sized state-owned and private enterprises.

Objective To investigate the impact of psychological capital and occupational stress on job burnout among community traditional Chinese medicine physicians in a certain district of Shanghai，and to explore the mediating role of psychological capital between occupational stress and job burnout，aiming to provide references for reducing job burnout among community traditional Chinese medicine physicians. Methods Using convenience sampling，157 community traditional Chinese medicine physicians in a certain district of Shanghai from April to May 2025 were investigated using the psychological capital scale，occupational stress scale，and job burnout scale，and the data were analyzed. Results The mean scores of occupational stress，psychological capital，and job burnout among community traditional Chinese medicine physicians were （61.35±11.98），（87.32±13.13） and （78.38±17.11）points，respectively. Statistically significant differences in occupational stress were observed among community traditional Chinese medicine physicians with respect to gender，age，years of service，professional title，marital status，and monthly income（all P<0.05）. Similarly，statistically significant differences in psychological capital were found in terms of age，years of service，professional title and monthly income（all P<0.05）. There were statistically significant differences in occupational burnout in terms of age，length of service，professional title，and monthly income（all P<0.05）. A higher level of occupational stress was associated with a higher level of job burnout of community traditional Chinese medicine physicians（r=0.365，P<0.01），a higher level of psychological capital was linked to lower levels of both occupational stress and job burnout（r=-0.489，-0.418，both P<0.01）. Psychological capital partially mediated the relationship between occupational stress and job burnout among community traditional Chinese medicine physicians，with an effect value of 0.275，accounting for 44.43% of the total effect. Conclusion Occupational stress had a positive impact on job burnout among community traditional Chinese medicine physicians，while psychological capital partially mediated this relationship. Hospital management should reduce occupational stress of community traditional Chinese medicine physicians and implement interventions to enhance their psychological capital levels，thereby reducing job burnout.

Objective To analyze the influencing factors of thyroid abnormalities among non-medical radiation workers in Nantong City and provide a scientific basis for developing targeted occupational health protection strategies. Methods By convenient sampling，916 non-medical radiation workers were selected as the observation group from the physical examination data of radiation workers in Nantong City from May 1，2023 to April 30，2024，and 369 workers who had never been exposed to ionizing radiation were selected as the control group. The differences in thyroid structure，thyroid function，and thyroid abnormalities between the observation group and the control group were compared. Collect the occupational health examination data such as gender，age，body mass index（BMI），length of exposure to radiation，smoking，drinking，blood pressure，blood sugar，and occupational category of the staff in the observation group，and analyze the influence of each variable on thyroid abnormalities. Results Among the 916 radiation workers，128（13.97%） had abnormal thyroid structure，83（9.06%） had abnormal thyroid function，and 196（21.40%） had abnormal thyroid. The thyroid structure，thyroid function and thyroid abnormality rate in the observation group were all higher than those in the control group，and the differences were all statistically significant（χ²=31.148，7.272，34.850，all P<0.01）. Age was positively correlated with thyroid structure and thyroid abnormalities（r=0.109，0.107，both P<0.01）. The length of service exposed to radiation was positively correlated with thyroid structure，thyroid function and thyroid abnormalities（r=0.186，0.066， 0.185，all P<0.05）. Multivariate Logistic regression analysis showed that women，those with longer exposure to radiation，and the industrial flaw detection group had a higher risk of thyroid structure，thyroid function，and thyroid abnormalities（all P<0.05）. Conclusion Long-term exposure to low-dose ionizing radiation has a certain impact on thyroid abnormalities in non-medical radiation workers. Radiation protection for women，those with long exposure to radiation，and industrial radiographic workers should be strengthened.

Objective To clarify the current status of occupational health among migrant workers in the coal mining industry，explore occupational health risk assessment models suitable for migrant workers in the coal mining industry and corresponding risk prevention and control measures. Methods Totally 20 kinds of positions for labor dispatch workers in 15 coal mining industries with normal production in Taiyuan City from November 2018 to December 2024 were selected as the research objects. The occupational hazard risk index method，risk rating table method，semi-quantitative risk assessment comprehensive index method，qualitative risk matrix method，Romania risk assessment method of occupational accidents and diseases（MLSP） were used to assess the occupational health risks of labor dispatch workers in different positions，and the evaluation results were compared. After converting by risk ratio，Kendall correlation analysis was used to compare the correlation of five risk ratios. Results There were significant differences between dispatched workers and regular employees in terms of occupational health examinations and the provision of personal protective equipment. The modified International Council on Mining Metals（ICMM） risk rating method showed strong consistency with the occupational hazard risk index method and the qualitative occupational disease risk assessment method（Kendall method，W=0.875，0.640，both P<0.01），poor consistency with the contact index method（W=0.333，P<0.05），and poor consistency with the qualitative risk matrix method（W=0.100，P>0.05）.The occupational health risks of migrant workers in different positions in the coal mine industry were intolerable risks，very high risks，and high risks. Conclusion The occupational health examination for dispatched workers and the provision of personal protective equipment should be uniformly responsible by the employing unit. The modified ICMM semi-quantitative evaluation method and the occupational hazard risk index method demonstrate strong consistency and applicability in assessing the occupational health risks of migrant workers in different positions in the coal mining industry who are exposed to silica dust and coal dust. Qualitative assessment methods are not applicable to risk assessment of migrant workers in different positions in the coal mine industry. Further research is needed to evaluate the scoring of the semi-quantitative contact index method in GBZ/T 298-2017 "Guidelines for occupational health risk assessment of Chemicals in the Workplace".

Objective To investigate the work-related musculoskeletal disorders（WMSDs） associated with poor working postures among underground support workers，and to construct a risk identification and assessment system for WMSDs in workers. Methods Ten support workers from a coal mine of Shendong Group in northern Shaanxi Province from July to September 2023 were selected as the evaluation objects. The BlazePose model within the MediaPipe framework system was integrated with the rapid upper limb assessment（RULA） method to evaluate WMSD risks，and comparing it with expert scores to evaluate the reliability of this method. Results Comparing the RULA scores of three experts with the evaluation results of this assessment method，the intraclass correlation coefficients（ICC） values were all >0.85. According to RULA score，the average angle of neck was 14.2°. The concentrated average angles for the wrist，upper arm，and forearm were 24.8°，and 22.5°-40.5°，respectively，corresponding to RULA scores of 2-3 points. The average wrist angle was 24.8°，with a score distribution of 3 points. Neck postures centered around 14.2°，with most receiving 4 points. In rib and roof support tasks，level 3 risks accounted for 50.0% and 41.7% of postures，respectively，while level 4 risks exceeded 20.0% in both tasks. Conclusion The computer vision-based RULA assessment method constructed in this assessment demonstrates strong stability and accuracy under low-light underground mining conditions. The analysis identifies key tasks contributing to level 4 WMSD risks among support workers，providing reference for reducing the risk of WMSDs in support workers.

Objective To develop a bloodborne occupational exposure risk scale for operating room nurses based on the hazard analysis and critical control point（HACCP） theory and test its reliability and validity. Methods Based on the HACCP theory，the item pool of the scale was initially formulated through literature review and semi-structured interviews. The initial scale was developed via Delphi expert consultation，analytic hierarchy process，and pre-survey. From January to December 2024，operating room nurses from two grade-A tertiary general hospitals in Jiangsu Province were selected using convenience sampling for item analysis and reliability-validity testing. Results The scale comprised 31 items across 5 dimensions：hazard identification and risk perception，risk exposure possibility，severity of risk consequences，critical control point execution ability，and environmental and management support. Through three rounds of exploratory factor analysis，5 common factors were extracted，with a cumulative variance contribution rate of 64.829%. The overall item-level content validity index（I-CVI） ranged from 0.854 to 1.000，the single-item scale-level CVI/universal agreement（S-CVI/UA） was 0.875，and the scale-content validity index/average（S-CVI/Ave） was 0.976. The scale showed a Cronbach's α coefficient of 0.872 and a test-retest reliability of 0.895. Conclusion The bloodborne occupational exposure risk scale for operating room nurses demonstrates good reliability and validity，enabling objective evaluation of their risk levels. It has certain reference and guidance significance for occupational protection training，assessment，and process optimization of operating room nurses.

Objective To investigate the current status of transition shock，toxic leadership behaviors of managers，and intolerance of uncertainty among newly graduated nurses，and to further explore the relationships between these factors and intolerance of uncertainty，in order to develop more targeted intervention plans in the future，stabilize the clinical nursing team and reduce talent loss，and provide reference for the construction of the clinical nursing team. Methods From November to December 2024，a convenience sampling method was used to survey 227 newly graduated nurses from six grade-A tertiary hospitals in Guizhou Province. Data were collected using a general information questionnaire，the transition shock scale，the toxic leadership behaviors of nurse managers scale，and the short intolerance of uncertainty scale，and were then analyzed. Results The mean scores for transition shock，toxic leadership behaviors of managers，and intolerance of uncertainty among newly graduated nurses were （89.28±6.39），（83.99±9.31），and （36.75±5.10）points，respectively. The transition shock and toxic leadership behaviors of managers were both positively correlated with intolerance of uncertainty（r=0.474，0.491，both P<0.05）. The nurse's gender，income satisfaction，number of night shifts，transition shock，and toxic leadership behaviors of managers were all influencing factors for intolerance of uncertainty（all P<0.05）. Conclusion The gender，income satisfaction，number of night shifts，transition shock，and toxic leadership behaviors of managers are all influencing factors for intolerance of uncertainty of 227 newly graduated nurses. Management should develop targeted intervention strategies to enhance newly graduated nurses' tolerance of uncertainty and reduce the turnover of nursing talent.

Objective To analyze the prevalence of viral hepatitis B（HBV） in Guiping City from 2013 to 2024，construct a incidence prediction model of HBV，and provide a reference basis for relevant departments to carry out HBV prevention and control work. Methods Descriptive epidemiological methods were used to analyze the distribution characteristics by temporal，spatial，and demographic of HBV in Guiping City，and autoregressive integrated moving average（ARIMA） and Bayesian structured time series（BSTS） models were constructed to fit and predict the number of monthly cases of HBV in Guiping City，and the performance of the two models was compared. Results A total of 21 359 cases of HBV were reported in Guiping City from 2013 to 2024，with an average annual incidence rate of 88.42/100 000，and the incidence rate was generally on the rise（t=3.330，P<0.01）. There were no obvious seasonal characteristics of the incidence of disease，and the male-to-female sex ratio was 2.32 ∶ 1，with young adults aged 30-<45 years predominantly. In the distribution of occupations，farmers were the main group（16 868 cases，accounting for 78.97%）. The difference in the average annual reported incidence rate between different regions was statistically significant（χ²=637.303，P<0.01）. The root mean square error of the ARIMA model and the BSTS model was 29.69 and 31.57，respectively，and the mean absolute percentage error was 21.32% and 21.92%，respectively. The monthly incidence trend of HBV in Guiping City in 2025 predicted by ARIMA model was relatively stable. Conclusion The overall incidence of HBV in Guiping City shows an increasing trend，and prevention and control work should not be neglected. It is recommended to continue to strengthen comprehensive prevention and control measures focusing on vaccination to reduce the incidence of HBV. The ARIMA model developed for fitting and prediction was slightly better than the BSTS model in general.

Objective To explore the mediating role of psychological resilience of nurses in health examination centers between leadership empowerment and occupational burnout，and to provide reference for developing intervention measures to reduce nurse occupational burnout and improve clinical nursing work efficiency. Methods Convenience sampling was used to survey 192 nurses from health examination centers in 8 grade-A tertiary comprehensive hospitals in Beijing City using the leadership authorization empowerment scale，psychological resilience scale，and occupational burnout scale from June to July 2025，and the data were analyzed. Results The leadership empowerment score of 192 nurses in the health examination center was （42.86±6.48）points，the psychological resilience score was （91.49±16.52）points，and the occupational burnout score was （60.46±13.24）points. There were statistically significant differences in the scores of leadership empowerment，psychological resilience and occupational burnout of nurses in health examination centers with different age，work experience，nursing professional title level，and average monthly salary（all P<0.05）. There was statistically significant difference in the scores of leadership empowerment of nurses in health examination centers with different marital statuses（P<0.05）. The leadership empowerment of nurses in health examination centers was negatively correlated with occupational burnout（r=-0.602，P<0.01），and positively correlated with psychological resilience（r=0.584，P<0.01）. Psychological resilience was negatively correlated with occupational burnout（r=-0.538，P<0.01）. Psychological resilience partially mediated the relationship between leadership empowerment and occupational burnout of nurses in health examination centers，with an effect value of -0.319，accounting for 44.00% of the total effect. Conclusion Psychological resilience plays a partial mediating role between leadership empowerment and occupational burnout among nurses in health examination centers. Health examination center managers should fully utilize this mediating role of psychological resilience to enhance nurses' leadership empowerment and psychological resilience，thereby reducing their level of occupational burnout。

Objective To investigate the current status of professional success among nurses in grade-A tertiary hospitals in Changsha City and its related influencing factors，in order to provide reference for improving nurses' sense of professional success in grade-A tertiary hospitals in Changsha. Methods A convenience sampling method was used to select 506 nurses from grade-A tertiary hospitals in Changsha City from October 2024 to March 2025 as the subjects. The professional resilience scale，organizational support scale，and nurse professional success scale were used for the survey，and the data were analyzed. Results The professional resilience score[M（P₂₅，P₇₅）] of 506 nurses in grade-A tertiary hospitals in Changsha City were 100.00（86.75，117.00）points，the organizational support score was 49.00（39.00，55.00）points，and the professional success score was 73.00（67.00，79.00）points. There were statistically significant differences in the total scores of professional success among nurses in grade-A tertiary hospitals in Changsha City regarding first academic degree，administrative position，number of further education or training，reasons for choosing nursing，scientific research achievements or team awards，number of academic conferences attended，whether serving as a preceptor，and whether they have received career planning（all P<0.05）. Professional success of nurses was positively correlated with professional resilience and organizational support（r=0.725，0.576，both P<0.05）. Whether serving as a preceptor，professional resilience and organizational support were all main influencing factors of nurses' professional success in grade-A tertiary hospitals in Changsha（all P<0.05）. Conclusion The professional success of nurses in grade-A tertiary hospitals in Changsha is at a moderate to high level，with professional resilience and organizational support being independent influencing factors. Based on this，nursing managers should develop personalized improvement plans from multiple perspectives，actively take intervention measures to continuously improve nurses' sense of professional success，thereby maintaining the stability of the nursing team and promoting its sustainable development.

Objective To understand the current status of occupational stress and turnover intention among junior male nurses in general hospitals in Henan Province，and to analyze the correlation between occupational stress and turnover intention. Methods From January to April 2025，207 junior male nurses in general hospitals in Henan Province were chosen randomly for survey using general information survey form，Chinese nurses stressor scale，and resignation intention scale，and the data were analyzed. Results The overall score of occupational stress of low seniority male nurses was （80.34±23.45）points，which was at a heavy level， and the overall score of turnover intention was （17.93±2.54）points，which was at a relatively high level. Correlation analysis showed that there was a positive correlation between occupational stress and turnover intention among low seniority male nurses（r=0.295，P<0.01）. Conclusion Occupational stress of low seniority male nurses has a direct effect on the turnover intention，and occupational stress is likely to occur among male nurses with higher education，lower length of service，and junior professional titles. Low seniority male nurses under contract system have a high turnover intention.

Objective To understand the overall status of health literacy competence among clinical nurses in Guangdong Province and to explore its influencing factors，in order to provide references for nursing administrators to develope targeted intervention strategies. Methods From January to March 2025，a convenience sampling method was used to recruit 472 clinical nurses from 20 hospitals across 12 cities in Guangdong Province. A general information questionnaire and the instrument of health literacy competencies（IOHLC） were used for investigation，and univariate analysis and multiple linear regression were applied to examine factors influencing health literacy competence. Results The mean total score of health literacy competence among 472 nurses was （174.50±14.67）points. The average score rate was 84.33% in the skills domain and 61.44% in the knowledge domain. Multiple linear regression analysis indicated that educational level，years of work experience，training experience，sense of achievement in health education，confidence in diverse health education，routine health education activities in the department，hospital level，and implementation of staff health promotion programs were significant factors influencing nurses' health literacy competence（β=0.090-0.125，all P<0.05）. Conclusion Clinical nurses demonstrate a moderately high level of health literacy competence，but there was a considerable discrepancy between practical skills and knowledge reserves. Nursing managers should simultaneously strengthen personal development support and workplace environment construction，foster intrinsic motivation，and collaboratively enhance nurses’ capabilities in health education and health promotion，thereby contributing to the improvement of patient health literacy and better health outcomes.

Objective To exploring the impact of extreme temperatures on the mortality risk of acute myocardial infarction（AMI） in Chengdu City，and provide scientific methods for climate adaptation policies and personalized protection for sensitive populations. Methods Data on daily meteorology，air pollutant monitoring and AMI mortality were collected in Chengdu City from 2020 to 2024. Apply a distributed lag non-linear model（DLNM） to estimate relative risk（RR） and cumulative relative risk（CRR） of extreme temperatures on AMI mortality，and conduct stratified analysis by gender and age to explore the sensitivity of different populations to extreme temperatures. Results From 2020 to 2024，the number of deaths due to AMI in Chengdu City was 32 295. The distribution relationship between daily average temperature and AMI mortality in Chengdu City showed an approximately "V" exposure-response curve. When the average daily temperature was 23 ℃，the risk of AMI mortality was the lowest. The single-day effect of extreme low temperature on AMI mortality risk followed an "S" shaped curve，with harmful effects emerging from lag 2 and peaking at lag 14，with an RR（95%CI） of 1.18（1.08-1.29）. The cumulative effect also reached its maximum at lag 14，with a CRR（95%CI） of 2.25（1.72-2.93）. The single-day effect of extreme high temperature on AMI mortality risk was strongest on lag 0，with an RR（95%CI） of 1.13（1.06-1.20），then gradually declined and persisted until lag 8. The cumulative effect peaked at lag 11，with a CRR（95%CI） of 1.59（1.42-1.78）. Subgroup analysis revealed that the CRR for extreme low temperature was higher in females than males，with CRR（95%CI） of 2.55（1.73-3.75） and 1.23（1.11-1.36），respectively. The effect on AMI mortality risk was not statistically significant for individuals aged 0-<61 years old，while for those aged ≥61 years old，the cumulative effect peaked at lag 14，with a CRR（95%CI） of 2.36（1.78-3.15）. For extreme high temperature，the peak cumulative effect occurred earlier in females（lag 9） than males（lag 14），with CRR（95%CI） of 1.75（1.56-1.96） and 1.49（1.24-1.78），respectively. Both the 0-<61 years age group and ≥61 years age group reached their maximum cumulative effects at lag11，but the CRR of the ≥61 years age group was higher than that of the 0-<61 years age group，with CRR（95%CI） of 1.65（1.46-1.86） and 1.34（1.08-1.67），respectively. Conclusion Extreme temperatures are associated with increased mortality risk from AMI，with a delayed but sustained effect for extreme low temperature and an immediate but transient effect for extreme high temperature. Females and individuals aged ≥61 years old were vulnerable subgroups.

Objective To investigate the correlation between early adversity and self-esteem on depression and anxiety in adolescents， so as to provide basis for improving the psychological status of adolescents. Methods From March to April 2023，a questionnaire survey was conducted among students from 3 middle schools in Xi'an by cluster sampling. The questionnaire included self-designed general condition questionnaire，childhood injury questionnaire，child health questionnaire-9，extensive anxiety screening scale-7 and Robert self-esteem scale. The scores of each scale were compared，and the correlation between the above indicators and depression and anxiety was analyzed. Results The total depression score of the survey subjects was （4.88±4.71）points，and the score of anxiety was （3.42±4.06）points. The depression score of male and female subjects was （4.19±4.34） and （5.61±4.97）points，respectively，and the anxiety score was （2.99±3.79） and （3.88±4.29）points，respectively. The early adversity was positively correlated with depression（β=0.207，95%CI：0.179-0.237，P<0.05） and anxiety（β=0.157，95%CI：0.131-0.182，P<0.05）. Self-esteem was negatively correlated with depression（β=-0.478， 95%CI：-0.532--0.423，P<0.05） and anxiety（β=-0.354，95%CI：-0.404--0.306，P<0.05）. Conclusion Early adversity is the risk factor for depression and anxiety in adolescents. Meanwhile，self-esteem is the protective factor of depression and anxiety，and the impact on girls is more obvious. It is recommended to take relevant measures to improve the mental health level of adolescents.

Objective To investigate the job satisfaction of rural-oriented medical graduates in Henan Province after their grassroots service post-training，analyzing the influencing factors to inform future policy-making. Methods A stratified cluster random sampling method was employed to select rural-oriented medical students enrolled between 2010 and 2012 at three universities in Henan Province（Xinxiang Medical University，Henan University of Science and Technology and Zhengzhou University） as the study subjects. The Minnesota satisfaction questionnaire-short form（MSQ-SF） was used to assess job satisfaction，followed by data analysis. Results The overall job satisfaction score of the general practice oriented students in three universities in Henan Province was （2.95±0.84）points，with intrinsic and extrinsic satisfaction scores of （3.06±0.88）points and （2.74±0.88）points，respectively. Statistically significant differences were observed in job satisfaction scores across three dimensions（overall，intrinsic，and extrinsic） regarding grade，staffing status，five insurances and one fund（social security），income level，and attitudes toward general practice（all P<0.05）. Furthermore，a statistically significant difference in extrinsic job satisfaction was found among students working in different departments（P<0.05）. The results of multiple linear regression analysis indicated that income and attitudes toward general practice were influencing factors for both overall and intrinsic job satisfaction（all P<0.05），social security，income level，and attitudes toward general practice were identified as influencing factors for extrinsic job satisfaction among rural-oriented medical graduates（all P<0.05）. Conclusion The job satisfaction scores of the first three cohorts of general practice oriented students in Henan Province for grassroots services are not high in all dimensions and need further improvement. It is recommended to enhance the job satisfaction of these general practice oriented students by improving compensation packages and strengthening talent development pathways.

Objective To investigate the status of professional identity among vocational undergraduate nursing students before internship，analyze its correlation with anxiety and self-efficacy，and explore the factors affecting professional identity，so as to provide references for nursing students' pre-internship career planning and mental health education. Methods In April 2025，a total of 285 undergraduate nursing students from Zhejiang Pharmaceutical University，who were about to enter clinical internship，were selected as the survey subjects via cluster sampling method. Conduct a survey using the general situation questionnaire，nurses' occupational identity scale，self-rating anxiety scale（SAS），and general self-efficacy scale（GSES），and the data were analyzed. Results The mean score of pre-internship occupational identity among nursing students was （102.73±14.01）points，with 77.89% of the students at a moderate or higher level. The mean score of self-efficacy was （23.99±5.58）points，showing a significant positive correlation with professional identity（r=0.467，P<0.05）. The mean score of anxiety was （43.46±7.41）points，showing a significant negative correlation with professional identity（r=-0.312，P<0.05）. There were statistically significant differences in pre-internship professional identity among nursing students of different genders，whether parents or relatives worked in healthcare，reasons for choosing nursing，and post-graduation intentions（all P<0.05）. Gender，family medical background，reason for choosing nursing，and post-graduation intention were all influencing factors of professional identity. Conclusion The overall level of pre-internship professional identity of nursing students in vocational undergraduate universities is relatively high，and higher professional identity is associated with greater self-efficacy and lower anxiety. It is suggested that nursing educators and administrators should focus on students with low professional identity and develop targeted interventions to enhance their professional identity and stabilize the nursing workforce.

Objective To conduct a scoping review of studies on the application of mobile health in health anxiety（HA），and to provide references for HA management practices based on mHealth and further related research. Methods Following the scoping review methodological framework，a systematic search was performed in nine Chinese and English databases including PubMed，Embase，Web of Science，and CNKI from the establishment of the databases to August 2025. Results A total of 12 relevant studies were included. Intervention formats mainly included mobile applications，professional websites，emails，text messages，phone calls，chatbots，and video conferences. mHealth significantly improved HA symptoms，negative emotions，quality of life，and functional status，with effects sustained for 6-12 months. Overall，adverse reactions were mild，primarily consisting of transient increases in anxiety，and no serious adverse events were reported. Conclusion mHealth demonstrates significant efficacy and good safety in managing HA，offering diversified formats and structured strategies for HA interventions. Future efforts should focus on optimizing user experience，improving safety assessments，and advancing high quality long-term studies.

Objective To conduct a meta-analysis to investigate the interventional effect of mindfulness-based stress reduction（MBSR） on occupational burnout among clinical nurses，and to provide a reference for alleviating burnout in this population. Methods We systematically searched PubMed，Web of Science，the Cochrane Library，China National Knowledge Infrastructure（CNKI），WanFang Data，and VIP from their inception to October 2025 for randomized controlled trials（RCTs） examining the effects of MBSR on burnout among nurses. Two researchers independently performed literature screening，data extraction，and methodological quality assessment. Meta-analysis was conducted using RevMan 5.4 software. Results A total of 12 articles involving 928 nurses were included. The Meta-analysis results showed statistically significant differences between the intervention group and the control group in emotional exhaustion（SMD=-1.94，95%CI：-2.66--1.22，P<0.01），depersonalization（SMD=-1.62，95%CI：-2.16--1.08，P<0.01），and reduced personal accomplishment（SMD=-1.18，95%CI：-2.16--0.20，P<0.01）. Subgroup analysis indicated that intervention durations of 6 and 8 weeks significantly reduced nurses' emotional exhaustion levels，with the most pronounced effect at 8 weeks. Intervention durations ranging from 6 to 12 weeks significantly reduced depersonalization，with the most pronounced effect at 8 weeks. Both intervention modalities studied reduced emotional exhaustion and depersonalization，but the differences between the two modality groups were not statistically significant（all P>0.05）. Intervention durations of 6 and 12 weeks reduced the levels of reduced personal accomplishment（both P<0.01），but the effect of the intervention modality was not significant（P>0.05）. Conclusion MBSR can effectively alleviate occupational burnout among clinical nurses. It is recommended that healthcare institutions promote its application as a psychological support program for nurses.

Objective To analyze the dynamic changes and equity of human resources in county-level centers for disease prevention and control（county-level CDCs） in the non-Pearl River Delta Regions of Guangdong Province from 2019 to 2023，and to provide a reference for the construction of talent teams in county-level CDCs. Methods Human resource data of county-level CDCs in the non-Pearl River Delta Region of Guangdong Province from 2019 to 2023 were collected via the "CDC Comprehensive Management System" and subjected to descriptive analysis. Health resources agglomeration degree（HRAD） and population agglomeration degree（PAD） were used to analyze the equity of human resource allocation. Results From 2019 to 2023，the number of on-the-job personnel in county-level CDCs in the non-Pearl River Delta Region increased from 3 102 to 3 432，and the number of county-level CDCs personnel per 10 000 people rose from 0.65 to 0.71. The proportions of personnel aged 0-<35 years，with a bachelor's degree or above，and with senior professional titles increased year by year（all P<0.05），with the number increasing by 50.59%，59.69% and 55.75%，respectively. In the western wing and mountainous areas，the HRAD values were all <1，while the HRAD/PAD values were all >1，indicating that the allocation of human resources was insufficient in terms of geographical area but excessive relative to the population. Conclusion From 2019 to 2023，the total number of personnel in county-level CDCs in the non-Pearl River Delta Region of Guangdong Province increased steadily，and the personnel structure showed a trend of being younger，more highly educated，and having higher professional titles. However，there were problems such as the proportion of technical personnel failing to meet the standard，significant regional differences，and the need to improve the efficiency of human resource allocation in the western wing and mountainous areas. It is suggested that government departments should strengthen policy inclination towards primary-level CDCs in the non-Pearl River Delta Region，implement targeted policies according to the characteristics of different regions，and comprehensively adjust the total staffing based on various factors. CDC administrative departments and CDCs should strengthen talent training and optimize the post structure.

Insomnia is characterized by frequent and persistent difficulty in falling asleep or maintaining sleep，and is one of the most common sleep disorders in clinical practice. The microbiota residing in the gastrointestinal tract has the ability to regulate the function of the central nervous system. Studies have found that there is bidirectional communication between the gut microbiota and the central nervous system，known as the "microbiota-gut-brain axis"，and its changes are closely related to the occurrence and development of insomnia. Central nervous system neurotransmitters are involved in mediating the regulation of the sleep-wake cycle，and subtle changes in the levels of related neurotransmitters have a significant impact on sleep quality. This article reviews the role and research progress of neurotransmitters based on the microbiota-gut-brain axis in insomnia，systematically sorts out and comprehensively analyzes the related mechanisms and future treatment prospects，providing a new perspective for the in-depth understanding of the mechanism and effective treatment of insomnia.

Long-term human immunodeficiency virus（HIV） infection and antiretroviral therapy（ART） have led to an increasing risk of non-acquired immune deficiency syndrome（AIDS）-related complications（NADs） in HIV-infected patients. The resulting polypharmacy has also greatly increased the drug burden of patients，seriously affecting the drug self-management and safe medication of HIV/AIDS patients. This paper systematically reviews the concept，evaluation tools and influencing factors of polypharmacy in elderly HIV/AIDS patients with multimorbidity，and puts forward the management strategies of polypharmacy in elderly HIV/AIDS patients with multimorbidity，in order to provide reference for the research and nursing practice of polypharmacy management in HIV-infected patients with NADs.

Work-related musculoskeletal disorders（WMSDs） represent a prevalent occupational health issue with a substantial disease burden in the manufacturing sector. As the global transformation of manufacturing towards advanced manufacturing characterized by automation，intelligence，and digitalization，the occupational health risks of WMSDs have not been eliminated by technological upgrades. Instead，they have evolved into a complex risk system intertwined with multiple factors，including static load，highly repetitive precision operations，new forms of human-machine interaction，and cognitive-psychological stress. This paper systematically elaborated on the definition，historical development，hazard characteristics，epidemiological features，risk factors，and ergonomic intervention strategies for WMSDs. Integrating the industrial characteristics of advanced manufacturing sectors such as automotive，electronics/telecommunications，and semiconductor manufacturing，it highlights the epidemiological features of high prevalence rates and multi-site involvement（primarily neck，shoulder，waist，and back） among workers. The risk factors are analyzed from the multidimensional perspectives of physical，organizational，and psychosocial aspects. Furthermore，the effectiveness of multi-level ergonomic interventions，focusing on engineering controls，work organization optimization，and occupational health training，is summarized. Limitations of current research regarding geographical coverage，industry specificity，and the mechanisms of multifactorial interactions are analyzed. By examining the emerging occupational health challenges，this review aims to provide a scientific basis for occupational health management，policy formulation，and engineering controls in this field in China.

In the context of "Internet+Healthcare"，e-health has emerged. E-health utilizes information and communication technologies to assist and enhance a series of service processes in the field of healthcare，including prevention，diagnosis，monitoring，treatment，and management. Against this backdrop，e-health literacy has become a crucial indicator for measuring an individual's ability to effectively utilize e-health resources. This review analyzes the breakthroughs in e-health literacy research from the perspectives of the development of its concepts，theories，and practices in the evolution of the Internet era. The aim is to precisely define the concept，integrate theories，optimize practices，and construct an adaptive system that suits the times，providing a basis for improving public e-health literacy，optimizing service models，and promoting the development of e-health literacy.

As a primary risk factor for numerous chronic diseases，obesity has become a major challenge for global public health. Research indicates that its core pathophysiological mechanisms are intimately linked to the exacerbation of chronic low-grade inflammation and oxidative stress. Dietary antioxidants，such as vitamin C，vitamin E，and polyphenolic compounds，can mitigate oxidative damage，regulate metabolism，ameliorate insulin resistance，and exert anti-inflammatory effects，thus representing a potential strategy for intervening in obesity and its related metabolic complications. This article reviews the pivotal role of oxidative stress in the onset and progression of obesity，summarizes the research evidence of dietary antioxidants in clinical interventions，in order to provide reference for the prevention and treatment of obesity and related metabolic diseases through dietary approaches.