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Child abuse is a significant public health issue that can affect children's physical and mental health. However, few studies have examined rural Chinese left-behind children. The role of social cohesion of rural Chinese communities in the prevention of child abuse remains understudied. The present study aims to investigate certain factors that could reduce child abuse problems, placing a special focus on the protective role of social cohesion, especially for left-behind rural children. Data were collected from a sample of 1,049 school-aged rural children from the largest middle school in China's Henan Province. It was found that social cohesion directly affected physical abuse and emotional abuse; furthermore, social cohesion was more significantly associated with emotional abuse, whereas sexual abuse was a more significant issue for left-behind children than for those living with their parents. However, the moderating effect of the left-behind status on the association between social cohesion and physical abuse was not significant. Our findings suggest that social cohesion is an important factor for preventing emotional and sexual abuse. Thus, it is necessary to enhance social cohesion in rural Chinese communities with left-behind children to reduce their risk of experiencing child abuse.Background Evidence regarding the relationships among high plasma triglycerides (TG), all-cause mortality, and atherosclerotic cardiovascular disease (ASCVD) events in low-to-moderate risk individuals is limited. The aim of this study was to determine whether the presence of high TG levels influences the risk of all-cause mortality and ASCVD events in a population cohort followed in the real-world clinical setting. Methods and Results A retrospective longitudinal cohort analysis using administrative databases of 3 Italian Local Health Units was performed. All individuals with at least one TG measurement between January 1, 2010 and December 31, 2015 were followed through December 2016. Outcome measures included incident ASCVD events and all-cause mortality. Individuals with normal TG levels (500 mg/dL). 158 042 individuals (142 289 with normal, 15 558 with high, and 195 with very high TG) were considered. In the whole cohort, the overall incidence rates of ASCVD and all-cause mortality were 7.2 and 17.1 per 1000 person-years, respectively. After multivariate adjustment for potential confounders, individuals with high and very high TG showed a significantly increased risk of all-cause mortality (hazard ratio [HR]=1.49 [95% confidence interval (CI) 1.36-1.63], P less then 0.001, and HR=3.08 [95% CI 1.46-6.50], P less then 0.01, respectively) and incident ASCVD events (HR=1.61 [95% CI 1.43-1.82], P less then 0.001, and HR=2.30 [95% CI 1.02-5.18], P less then 0.05, respectively) as compared to those with normal TG. Conclusions Moderate-to-severe elevation of TG is associated with a significantly increased risk of all-cause mortality and ASCVD events in a large cohort of low-to-moderate cardiovascular risk individuals in a real-world clinical setting.Little research has examined the effects of internet use in promoting well-being among middle-aged and older people using large-scale samples in developing countries. Using a subsample of a national survey with 4,083 adults aged 50 years and above, we explored this topic in China. Internet users were found to be significantly younger, more educated, with a higher SES, and more likely to live in urban areas. Structural equation modeling showed that internet use was indirectly associated with higher levels of happiness, and this association was mediated by less loneliness and more volunteering. In the multi-group analysis, age, gender, and household registration (urban vs. rural) moderated path coefficients but did not impact the general pattern. This study suggests promising benefits of internet use for Chinese middle-aged and older adults. In addition, the digital divide between our urban and rural subsamples calls for interventions to promote internet use in rural areas.The management of scapholunate injuries and dissociation remains debatable. Traditional methods of fixation had centred around open procedures, but advances in wrist arthroscopic techniques has redefined both major anatomical findings and operative approaches. This article challenges two main existing dogmas first, the anatomy of the scapholunate ligament and second, the management of these injuries. For the first, we propose that scapholunate stability is in fact maintained by a whole anatomic complex, consisting of well-defined capsuloligamentous structures and extrinsic ligaments, and that the scapholunate ligament itself probably has a limited role. For the second, we challenge the notion that scapholunate injuries often require open procedures and propose that mini-invasive arthroscopic dorsal repair of the scapholunate complex is an efficient technique and sufficient for achieving long-term stability.Derangements in cerebrovascular structure and function can impair cognitive performance throughout ageing and in cardiometabolic disease states, thus increasing dementia risk. Modifiable lifestyle factors that cause a decline in cardiometabolic health, such as physical inactivity, exacerbate these changes beyond those that are associated with normal ageing. The purpose of this review was to examine cerebrovascular, cognitive and neuroanatomical adaptations to ageing and the potential benefits of exercise training on these outcomes in adults 50 years or older. We systematically searched for cross-sectional or intervention studies that included exercise (aerobic, resistance or multimodal) and its effect on cerebrovascular function, cognition and neuroanatomical adaptations in this age demographic. The included studies were tabulated and described narratively. Aerobic exercise training was the predominant focus of the studies identified; there were limited studies exploring the effects of resistance exercise training and multimodal training on cerebrovascular function and cognition. Y-27632 Collectively, the evidence indicated that exercise can improve cerebrovascular function, cognition and neuroplasticity through areas of the brain associated with executive function and memory in adults 50 years or older, irrespective of their health status. However, more research is required to ascertain the mechanisms of action.
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