Health Of People Research Articles

Relationship of Resilience With Depression, Anxiety, and Stress Among Nursing and Midwifery Students in Qom, Iran, During the COVID-19 Pandemic

Background and Objectives: The COVID-19 pandemic affected physical and mental health of people, including college students. Several studies in Iran have reported high symptoms of depression, anxiety, and stress in college students during the pandemic; however, few studies have investigated their resilience during the pandemic. This study aims to determine the relationship of resilience with anxiety, depression, and stress of nursing and midwifery students in Qom, Iran during the COVID-19 pandemic. Methods: This is a descriptive-correlational study. Participants were 192 nursing and midwifery students of Qom University of Medical Sciences in 2021, who were selected using a simple random sampling method. The instruments included the Corona Disease Anxiety Scale, the Connor-Davidson resilience scale, and the 21-item depression, anxiety, stress scale (DASS-21). The data was analyzed using descriptive statistics and analytical tests of Pearson’s correlation test and regression analysis in SPSS software, version 22. Results: The mean score of anxiety, depression, stress, and total DASS-21 score was 14.6±4.4, 14.48±4.29, 15±4.32, and 32.46±9.88, respectively. The mean total resilience score was 53.5±16.5. There was a significant negative correlation between depression, anxiety, stress, and total DASS-21 score with resilience in students during the pandemic (P<0.001). Conclusion: During the COVID-19 pandemic, nursing and midwifery students’ resilience had a significant relationship with their depression, anxiety, and stress. The lower resilience can increase the stress, depression, and anxiety of nursing and midwifery students.

'I am more stressed if my infection affects others': development of a COVID-19-related stress scale in older people and examination of its validity and associations with mental health risks.

COVID-19 was a collective traumatic event; however, different individuals may have perceived it differently. This study investigated what older people in a collective culture perceived as stressful during COVID-19 and examined how different stressors related to COVID-19 infection and mental health risks. Thirty-six participants from diverse backgrounds engaged in a three-round Delphi study to generate items for a COVID-19-related stress scale for older adults (CSS-OA). Subsequently, 4674 people (aged ≥60 years) participated in a cross-sectional telephone survey; interviewers collected their responses to CSS-OA and information about COVID-19 infection, depressive symptoms, anxiety, loneliness and demographics. Exploratory factor analysis and confirmatory factor analysis were conducted on CSS-OA. A multiple indicator multiple cause (MIMIC) model was used to examine associations between CSS-OA and other measures. The Delphi process generated eight items, all secondary or tertiary stressors related to infection. Exploratory factor analysis revealed a three-factor model, and confirmatory factor analysis confirmed an excellent fit (comparative fit index = 0.99, root mean square error of approximation = 0.06). Pre-existing mental health conditions, having family members/friends infected with COVID-19, loneliness, anxiety and depressive symptoms were associated with higher stress. Conversely, self-infection with COVID-19, older age, being female and living alone were negatively associated with some domains of CSS-OA (all P < 0.05). The Delphi process enhanced our understanding of what older people perceived as stressful, much of which resulted from certain healthcare strategies and reflected cultural influences. These and the MIMIC results highlight the need to balance public health policies with respect to infectious diseases and older people's mental health and quality of life.

Monitoring the Cascade of Monocyte-Derived Macrophages to Influenza Virus Infection in Human Alveolus Chips.

Respiratory viruses ravage the world and seriously threaten people's health. Despite intense research efforts, the immune mechanism underlying respiratory virus-induced acute lung injury (ALI) and pulmonary fibrosis (PF) has not been fully elucidated. Here, the cascade of monocyte-derived macrophages to influenza A virus infection is monitored on an optimized human alveolus chip to reveal the role of macrophages in the development of ALI and PF. We find that viral infection causes damage to the alveolar air-liquid barrier and the release of inflammatory cytokines, which induce the M0 macrophages to gather and polarize to the M1 phenotype at the damaged site through recruitment, adhesion, migration, and activation, leading to ALI. Afterward, M1 macrophages polarize into the M2 phenotype, and then transform into myofibroblasts, followed by enhanced secretion of various anti-inflammatory cytokines and profibrotic cytokines, to promote PF. Our study provides an insight into the pathogenesis of virus-induced ALI and PF, which will assist in the development of therapeutic strategies and drugs for treating influenza and other respiratory virus infections.

COVID-19 drives medical education reform to promote "healthy China 2030" action plan.

In June 2019, the Chinese government proposed the Healthy China Action Plan (2019-2030) development strategy, which focuses on disease prevention and health promotion. It is expected that by 2030, the national health literacy level will be significantly improved, premature mortality caused by major chronic diseases will be significantly reduced, the average healthy life expectancy will be greatly improved, and the main health indicators of residents will enter the ranks of high-income countries. Unfortunately, at the end of 2019, COVID-19 began to break out in Wuhan, China, which had a huge impact on China's economy and people's health. A series of problems in China's health care and medical education were exposed in the prevention and treatment of the epidemic. How to reform medical education and build a medical talent training system with Chinese characteristics is the key to achieving China's Health 2030 strategy. This article will explore the direction of medical education reform in China under the background of the "Healthy China 2030" strategy and the post pandemic era.

Goat Milk Protein-Derived ACE Inhibitory Peptide SLPQ Exerts Hypertension Alleviation Effects Partially by Regulating the Inflammatory Stress of Endothelial Cells.

Hypertension has always posed a severe threat to people's health. Food-derived angiotensin-converting enzyme (ACE)-inhibitory peptides have the potential to both prevent and treat hypertension. In the current investigation, two ACE-inhibitory peptides (SLPQ and PYVRYL) from goat milk were studied for their endothelial effects using EA.hy926 cells. PYVRYL outperformed SLPQ, yet neither impacted cell survival below 200 μg/mL. Investigation of SLPQ's impact on EA.hy926 cell expression revealed 114 differentially expressed genes, with 65 downregulated and 49 upregulated. The genes were enriched in cytokine interactions, coagulation cascades, Hippo signaling, and ECM-receptor interaction. Decreased c-x-c motif chemokine ligand 2 (CXCL2), integrin subunit beta 2 (ITGB2), and fbj murine osteosarcoma viral oncogene homologue (FOS) expression and increased secreted phosphoprotein 1 (SPP1) expression may protect endothelial cells from inflammation. Our findings suggest that beyond ACE inhibition, SLPQ aids blood pressure control by influencing endothelial function, paving the way for its use as an antihypertensive food ingredient.

PRevention Intervention and Support in Mental health for people with aphasia (Aphasia PRISM): protocol and mixed methods analysis plan for two feasibility studies

BackgroundPeople with aphasia commonly experience depression and anxiety. The individual therapy program, Aphasia PRevention Intervention and Support in Mental health (Aphasia PRISM) offers low intensity psychotherapeutic interventions using communication supports. Trained stroke clinicians from disciplines other than psychology (e.g., allied health professional, nurse, doctor) can deliver such interventions. The aim of the planned studies is to test the acceptability, feasibility and preliminary effectiveness of Aphasia PRISM for preventing depression and anxiety and supporting wellbeing in people with aphasia after stroke.MethodThis protocol describes two feasibility studies of the Aphasia PRISM using parallel, convergent, mixed methods designs. Participants will be adults with aphasia after stroke from a metropolitan healthcare site (Study A, pre-post case series, approximate n = 6) and two regional/rural sites (Study B, randomised controlled trial, n = 30; random allocation to either: treatment arm Aphasia PRISM + usual care; or attention control of secondary stroke prevention information + usual care) in Victoria, Australia. Eligible participants will be offered 7 weekly intervention sessions (via telehealth or in person). Other participant groups include stroke clinicians / site managers and family members. Feasibility will be assessed with treatment acceptability ratings (primary outcome) and secondary outcomes such as recruitment rate and participant clinical response. Participant clinical responses to intervention will be collected pre-intervention (baseline), concurrently (4 week acceptability measure), immediately post (8 weeks), follow-up (3 months) and follow-up at 6 months (Study B only). Descriptive statistics will be used to analyse quantitative data based on the type and distribution of data. Reflexive thematic analysis, an inductive approach will be used to analyse qualitative data.DiscussionAphasia PRISM offers the potential for trained stroke clinicians to deliver low intensity psychotherapeutic interventions with communication supports to people with aphasia. Studies A and B were registered with the Australian New Zealand Clinical Trials registry under one registration (ACTRN12620000209998) 20th February 2020.

Modern approaches in the diagnosis, treatment and prevention from obesity

Today, from 1.0 to 1.9 billion adults are overweight, including 312-650 million of them, and 124 million children and adolescents are obese. In Russia and Europe, about 60% of residents are obese and overweight. According to WHO forecasts, by 2025 the number of obese patients will double and will account for 30-50% of the population of economically developed countries. Morbid obesity is usually a multifactorial disease that is acquired and progresses under the influence of many factors (geography, level of economic development, cultural values, lifestyle, and others) as well as hereditary predisposition. Among people suffering from comorbid obesity, there is an atypical course of concomitant comorbid diseases. Against the background of morbid obesity, the likelihood of acquiring other diseases of organs and systems increases: the cardiovascular system, hormonal system, digestive tract, erosive esophagitis, fatty liver dystrophy, cirrhosis of the liver, obstructive sleep apnea, osteoarthritis, etc. To confirm the presence of morbid obesity in humans, the following indicators are evaluated: the number of kilograms per square meter of human body area (BMI calculation), waist circumference, triglyceride index, as well as the use of instrumental diagnostics: radiation and ultrasound methods to study the level of obesity of internal organs. To date, orlistat, sibutramine and liraglutide have been registered in Russia for the conservative therapy of morbid obesity, i.e. the choice of drugs is very limited. Surgical methods and electrical stimulation of the stomach are also used. Obesity ranked 5th in the world ranking of risk factors for premature death. A targeted policy and an integrated approach aimed at improving the system of medical care for overweight and obese patients should become key factors in achieving the national goal of improving people's health and well-being. The expansion of preventive measures at the local, regional and federal levels will help significantly reduce the spread of this pathology and prevent the development of an "obesity pandemic".

INSECURE ON THE PERSPECTIVE OF TAFSĪR AL-JAYLĀNĪ

Insecurity has now become a common thing that affects many people. Many people worry about their future or feel inferior when facing reality or interacting with others. Excessive worry can prevent someone from doing activities or doing something. Insecurity can be a disease that disrupts people's mental health. If not handled well, anxiety, low self-esteem, and feeling unable to accept oneself completely, including feeling inferior, can make someone prefer to be alone and what is most worrying is that when insecurity is not handled well, there is a risk of increasing cases of suicide. Insecurity can be caused by many things, including changes in the environment and times. Materialism results in the loss of the essence of life, which leads to a crisis of meaning, values ​​, and spirituality. Spiritual values ​​can help someone avoid insecurity. A spiritual crisis and mental well-being can trigger emotional anxiety. This research aims to explore the Al-Qur'an's views regarding the phenomenon of insecurity in Tafsīr al-Jaylānī. From an Islamic perspective, the solution to overcoming insecurity includes obedience to Allah, humility, and patience. This research method is qualitative with a character thematic approach. Although al-Jaylānī does not discuss insecurity explicitly, he emphasizes the importance of repentance and returning to spiritual values. The implications of the interpretation show that the Qur'an provides solutions through obedience, patience, and strengthening self-confidence.

EKSTREMAL SİTUASİYALARDA İLKİN PSİXOLOJİ YARDIMIN XÜSUSİYƏTLƏRİ

Many people do not realize that primary psychological care is an early psychosocial intervention that should be used not only in accidents and disasters, but also after any trauma that causes sudden stress. Early psychological intervention reduces the impact of stress and prevents long-term traumatic stress problems. The article discusses the principles and rules of providing psychological first aid in extreme situation. The effectiveness of the crisis intervention approach is critical to protecting people's physical and mental health. Because a person who can come out of a crisis healthy is at risk of developing serious mental problems after the crisis.

What internet- and mobile-based interventions are currently available for adults with overweight or obesity experiencing symptoms of depression? A systematic review.

Given the high prevalence of overweight and obesity and high comorbidity of depressive symptoms, there is a need for low-threshold, accessible care approaches for people with overweight/obesity aimed at improving mental health. Internet and mobile-based interventions (IMI) represent an innovative complementary treatment option. This review systematically searches for IMI aimed at improving mental health in people with overweight/obesity. We conducted a systematic literature search according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) criteria in the databases MEDLINE, Cochrane Library, PsycINFO, Web of Science and Google Scholar. Randomized controlled trials (RCTs) of IMI for adults with overweight/obesity and comorbid depressive symptoms aiming at improving mental health were screened and extracted. Study quality was assessed with RoB 2 (revised Cochrane Risk of Bias tool in RCTs). After excluding duplicates, n = 790 results were included in title and abstract screening. After full-text-screening of n = 26 studies, n = 3 RCT studies were included. All interventions aimed to reduce both weight and depressive symptoms. In two RCTs, a significant reduction in both depressive symptoms and weight was achieved. One RCT indicated a significant reduction in depressive symptoms, but not in weight. Two intervention had a duration of 6 months and were guided by health carers, the third takes 3 months and can be used without professional guidance. There is evidence that IMI are effective in improving mental health for people with overweight/obesity and comorbid depressive symptoms. However, currently there are few interventions aiming at reducing depressive symptoms, all targeting English-speaking people. As IMI for depressive symptoms can be easily integrated in the somatic therapy of obesity as additional option and has high public health potential, target group-adapted and low-threshold accessible interventions in different languages should be developed and implemented for improving mental health in people with overweight/obesity. Prospero registration number: CRD42023361771.

Evaluation of Knowledge, Attitude and Practice of Pharmacists in Tehran Pharmacies regarding Environmental Health Issues to Increase Good Pharmacy Practice

Background: In addition to being the most accessible medical center in the community, the pharmacy is a center for storing and providing medicines and cosmetics that are directly related to people's health. Therefore, observing environmental health issues in the pharmacy, which is managed by the pharmacist, is considered necessary. In this study, considering the direct and high impact of observing various aspects of environmental health on the good pharmacy practice and its value, it has been tried by examining the level of knowledge, attitude and practice of pharmacists in the pharmacies of Tehran city and presenting it, the necessary ground for promotion The environmental health status of pharmacies should be provided. Methods: In this research, standard researcher-made questionnaires were designed and after checking its validity by clinical pharmacists, environmental health and biostatistics experts and its reliability with Cronbach's alpha test, It was completed by the pharmacists of Tehran community pharmacies in the period of April to September 2022, observing ethical points and preserving their identity, in order to show their knowledge, attitude and performance towards environmental health issues in the pharmacy where they operate. Then the obtained data were analyzed in SPSS version 23.0 statistical software. Results: Examination of the data obtained from this study showed that the pharmacists in the study have the appropriate level of knowledge and attitude, but their performance in pharmacies is different. Conclusion: Observation of the results of the study shows that due to the lack of appropriate practical training and the lack of strict rules by regulatory authorities, despite the appropriate level of knowledge of pharmacists, in practice do not consider themselves very obliged to observe health principles.

Parasitology ‒ As an Important Scientific Field of Medicine

Abstract Medical parasitology is the science that studies human parasites, diseases caused by them, and measures to combat these diseases. Medical parasitology is an important part of the science of parasitology (which includes zooparasitology and phytoparasitology) and studies the causes, transmission, pathogenesis, clinic, epidemiology, immunology and treatment of parasitic diseases in humans, as well as ways of prevention and control of these diseases. Traditionally, parasitic diseases include diseases caused by protozoa (protozoa), diseases caused by helminths (helminthoses) and diseases caused by arthropods. One of the most important tasks facing parasitology is the development and implementation of scientific-based measures against diseases caused by parasites in order to protect people's health, protect agricultural animals and plants from various diseases.

Winter Bathing in Denmark: A Qualitative Case Study on Winter Bathing's Impact on Mental Health.

Mental health disease constitutes 25% of the total burden of disease in Denmark. In the last few years, an increasing tendency for seeking the ocean has arisen, and winter bathing is one of the outdoor activities with a large rise in popularity. The purpose of this study was to explore if and how regular winter bathing in blue spaces can affect people's mental health. This study employed a qualitative design using fieldwork with semi-structured interviews with four members from three different winter bathing clubs. The empirical data were thematically analyzed followed by theoretical analysis. The results revealed five themes: Social Connectedness; Blue Nature as a Free Space; The Motivation Behind Winter Bathing; It is More Than an Ice-Cold Shock; and Finding Mental Peace in Winter Bathing. The results suggest that winter bathing in blue spaces contributed to improved mental health for the informants. In conclusion, regular winter bathing enhanced the participants' mental health. A relatively short time in the ice-cold water provided mental peace which transferred to the rest of daily life in general, which emphasizes the mental health-promoting potential of winter bathing. Positive emotions were cultivated through exposure to blue spaces, including inner calm and a sense of safety. Winter bathing also served as a space for social connectedness and community building, facilitated by the club environment in which meaningful social interactions occurred.

Investigation on preparation and properties of gel type 188W/188Re generator

As one of the most important integrated nuclides for diagnosis and treatment in recent years, rhenium-188 (188Re) has a broad scope in the clinical application. Due to the specific properties of such radionuclide, it was mainly provided by the chromatographic 188W-188Re generators. There is no doubt that the application of 188Re in the treatment of various diseases depended on the development of 188W-188Re generator. Considering the high standards of such technology on radioactive activity of 188W and impurity content, a 188W-188Re generator filled with the zirconium tungstate gel has been prepared in this work. The effects of molar ratio of chemical agents, pH, reaction temperature, drying methods, rinsing methods and other conditions on the synthesis of gel particles have been studied. Furthermore, a variety of characterization techniques were used to observe the macro-/micro-morphology and chemical structure of gel particles. It can be concluded that vacuum freeze-dried method could significantly increase the specific surface area, pore size and tungsten content of gel particle. In order to decrease the content of 188W in the elute, a handful of acidic alumina was filled in the bottom of our 188W-188Re generator, an elution and purification integrated-generator was formed. During the first five processes, the nuclear purity of 188Re solution was above 99.99%, the radiochemical purity was approximately 99.5%, the pH value was 5.0–7.0 and the average elution efficiency reached up to 82.7%. In addition, the leakage rate of 188W was low as 1.60 × 10−6, and the peak of elute curve was located at 2 mL without the trailing phenomenon. This work lays a solid foundation for the domestic demand of daughter nuclide 188Re, further makes an outstanding contribution to the application of the radiation therapy technology and the protection of people's health.

The AI-assisted Traditional Design Methods for the Construction Sustainability: A Case Study of the Lisu Ethnic Minority Village

In recent decades, economic and technical advancements have surged tremendously, accompanied by non-regulatory and unsustainable use of non-renewable assets. The ecological field of toxicology has garnered considerable focus on elucidating the impact of harmful substances on people's wellness. Environmental hazardous chemicals induce many illnesses, posing a heightened danger to youngsters, pregnant women, the elderly, and anyone with preexisting health conditions. Air pollution adversely impacts human health, leading to heightened morbidity and death, necessitating intensified toxicological investigations on industrial air pollution affecting the general populace. It is necessary to develop a computerized Ecological Toxicology-based Air Pollution Management System. Constructive social development is driven by cultural education. It can guarantee a sustainable future, protect national history, and unleash community potential. This study examines Chinese architects' perspectives and understanding of sustainability in village revitalization and conservation. It incorporates traditional Lisu building techniques and materials in Hunan, China. To close research gaps, this study looks at the contributions made by architects to traditional practice integration and environmentally conscious architectural design. This study proposes an IoT-enabled Environmental Toxicology platform for air pollution surveillance, utilizing artificial intelligence (AI) techniques to mitigate the limits of standard monitoring systems and lower total costs, enhancing human wellness. The research examined the intricate interaction between architects' understanding of sustainability, Lisu building techniques and materials, and sustainable architectural designs in village preservation and revitalization programs using path analysis on data from 326 architects in Hunan Province. Lisu building practices and materials strongly correlate with architects' awareness of and attitudes toward sustainability. According to the research, these characteristics are necessary for sustainable architectural solutions that support village revival and preservation. This study has significant theoretical and practical ramifications for academics, lawmakers, and architects. To evaluate the air quality monitoring efficacy of the suggested approach, a comprehensive series of simulation analyses is conducted, and the results are assessed at durations of 5, 15, 30, and 60 minutes. The experimental results demonstrate the superior efficacy of the suggested model compared to current methodologies. These findings could lead to the creation of sustainable design solutions that advance rural development. A thorough overview of upcoming studies on sustainable design approaches in Chinese contexts rounds out this talk.

Understanding the interactions that children and young people have with their natural and built environments: A survey to identify targets for active travel behaviour change in Wales.

Active travel offers many societal benefits, including improving people's mental and physical health and minimising our impacts on the environment. Increasing active travel is particularly important amongst children and young people (CYP), who are building habits which they will carry into adulthood. Studies on active travel amongst CYP are limited, however, with most research focusing on adult participants or on adult perceptions of children. This study sought to understand CYP's interactions with the built and natural environment-and therefore their access to active travel-through the Capability, Opportunity, Motivation, Behaviour (COM-B) model. With a stakeholder group representing local government, youth organisations and active travel organisations, we co-created two bilingual questionnaires-one for young people aged 12-16 years living in Wales and the other for parents of young people aged 12-16 years living in Wales. Both questionnaires collected information on behaviour and perceived capability, opportunity and motivation of CYP to engage with their natural and built environments. The questionnaires included a discrete choice experiment (DCE), which proposed a series of binary choice questions indicating preferences based on landscape, journey time and type of travel. A total of 124 questionnaires (38 young people and 86 parents) were returned for analysis. These data indicate that CYP's time spent outdoors is not dependent upon geography (rural/urban/suburban), season, or school holidays. There was a significant difference in capability, opportunity and motivation between parents and CYP, with parents over-estimating the psychological capability of CYP to engage outdoors. The preference data indicate that active travel is the favoured mode of transport, with both CYP and parents stating that they would increase travel time in order to travel actively. While this response is not consistent with respondent's day-to-day travel choices, it suggests that the limitations to active travel may be psychological capability and automatic motivation, rather than a lack of opportunity.

Health Workers' Attitudes Toward Adverse Gender Norms and Implications for Young People's Sexual and Reproductive Health in Nigeria.

Adverse gender norms within the health care system are detrimental to the sexual and reproductive health of young people. This study assessed the attitudes of health workers toward adverse gender norms related to intimate partner relationships across three domains: intimate partner violence (IPV); sexuality; and reproductive health behavior. A cross-sectional quantitative survey was conducted among 255 health workers in youth-friendly primary health centers in Ebonyi State, Nigeria. Attitudes to gender norm statements were assessed on a 3-point scale of agree (3 points), partially agree (2 points), and disagree (1 point). Mean attitude scores were estimated for each statement and the predictors of attitudes were determined through multiple linear regression analysis with p-value set at .05. Majority of the health workers held gender biases regarding male control over sexual decision-making, men's higher desire and value for sex, and the woman's responsibility to prevent pregnancy. Over 40% of the respondents associated women carrying condoms with promiscuity, and 39.6% believed that only men have the "social" rights to purchase condoms. Urban residence predicted health workers' attitudes to adverse gender norms related to sexuality (β = -.179, p = .003). Findings from this study provide a basis for in-service training programs that are designed to change the attitudes of health workers to adverse gender norms and transform their practices.

Influence of personal and career burnout on female employers' subjective evaluation of workplace acoustic environment.

Burnout is an increasingly common problem in modern work settings that significantly affects people's health and well-being. Several studies have emphasized the impact of career burnout on employees' performance and efficiency. It is unknown whether career burnout mediated by personal burnout may affect employees' perception of their workplace physical environment attributes. This research aims to understand if personal and career burnout can affect employers' acoustic environment evaluation of their workplace. Considering commonly experienced or highly experienced personal and career burnout among working women, the study targeted female university faculty members. The research involved stratified sampling and employed data from 272 individuals across five public and private universities in Tehran. Collected data were analyzed using SmartPLS (latest release 4.1). The results revealed a significant link between personal and career burnout and the subjective evaluation of workplace acoustic environment. Career burnout mediated the relationship between personal burnout and negative evaluation of the workplace acoustic environment. This study provides compelling evidence that experiences of burnout, whether related to personal or career aspects, substantially impact the subjective assessment of the acoustic environment within the workplace. The results underscore the complex interplay between an individual's degree of burnout and their subjective perception of the acoustic dimensions of their work environment. The findings extend our understanding of how psychological factors might shape our interpretation of the physical workplace.

Frequency of internet use, economic income, and health of the population-comparative analysis of urban and rural areas based on Chinese General Social Survey.

People's health is one of the important supports for China's economic development. This study uses the 2021 Chinese General Social Survey (CGSS) data to empirically test the impact of residents' Internet use frequency and economic income on residents' health level, and analyzes the differences between urban and rural areas. The empirical test results show that, firstly, the frequency of Internet use can promote the health level of residents, and the promotion effect of Internet use frequency on the health level of rural residents is higher than that of urban residents; Secondly, economic income has a positive promoting effect on the health level of the entire sample of residents, but in urban samples, the regression between economic income and residents' health level is not significant. Third, in the heterogeneity test of region, gender and age, it is found that the impact of residents' Internet use frequency and economic income on residents' health level also has urban-rural differences. Based on this, this study suggests that the government can continue to make efforts to further promote the health level of residents by improving the Internet penetration rate, strengthening the use of Internet skills, carrying out Internet professional skills training and promoting the high-quality development of Internet content.

Mental health and resilience in young people on Saint Helena Island.

This study explored the mental health needs and strengths of young people (aged 11-18 years) living on the remote island of Saint Helena (SH). 24 young people and their carers completed standardised inventories assessing mental health and resilience, of whom 15 of the young people and their carers participated in semi-structured interviews enquiring into mental health awareness, contributing factors to young people's mental health and resilience, as well as experience with local mental health services. Descriptive data were reported based on the quantitative measures and thematic analysis was applied to the interview transcripts. A number of young people were found to meet criteria for mental health problems while they showed high levels of resilience. The themes derived from young people's interviews were broadly centred around mental health boosters, including personal successes, social interactions, engagement in pleasurable activities and use of anxiety management strategies; and around limitations of living in SH in terms of limited resources and difficulty in maintaining trust in the community. From the carers, the themes revolved around awareness of mental health needs and strengths in young people, perceived barriers to access support mainly due to apprehensions around stigma and anonymity. Recommendations for improvement of mental health provision are made.