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Role of Psychological Distress in the Assessment of Chronic Illness Care and Self-Management Behaviors of Elderly Patients with T2DM Chronic Complications.

Diabetes Metab Syndr Obes

January 2025

Department of Nursing, Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200072, People's Republic of China.

Background: This study sought to explore the interrelationship between diabetes-related distress, patient evaluations of chronic illness management, and self-management practices among older adults diagnosed with T2DM and associated chronic complications.

Methods: This was a cross-sectional study including 264 older adults with T2DM in Shanghai, China. Chinese version of Problem Areas in Diabetes Scale (PAID-C), Patient Assessment of Chronic Illness Care (PACIC) and Diabetes Self-Management Behaviour for Older (DSMB-O) were employed.

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Current work environments, driven by globalization, demographic changes, and digitalization, demand substantial adaptation, which leads to decreased employee well-being. While occupational psychology research has identified supportive mechanisms, it often lacks a deepened understanding of how interventions function. This study aims to analyze the impacts of VUCA contexts and leadership behavior on job crafting, focusing on white-collar workers.

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Background: Despite tremendous advances in antiretroviral therapy (ART) against HIV-1 infections, no cure or vaccination is available. Therefore, discovering novel therapeutic strategies remains an urgent need. In that sense, miRNAs and miRNA therapeutics have moved intensively into the focus of recent HIV-1-related investigations.

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The fluke Clinostomum complanatum, a parasite of piscivorous birds, but also reptiles and rarely mammals, has established several foci in the western Palaearctic regions. Previous studies pointed out the complicated taxonomy of the genus, but broader population genetic analysis of C. complanatum has not yet been carried out.

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Introduction: Large-scale sports events have a profound impact on the enhancement of residents' national identity. The study takes the Hangzhou Asian Games as an opportunity to investigate the influence of such events on national identity and the underlying factors.

Methods: The study takes the impact of residents' involvement in the Asian Games on their national identity as the research object, constructs a theoretical model with subjective well-being and city image as the mediator variables, randomly selects 1,096 residents by questionnaire survey, and analyzes their interrelationships as well as deeper influencing factors by using structural equation modeling and bootstrap.

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