In the phishing email literature, recent researchers have given much attention to individual differences in phishing susceptibility from the perspective of the Big Five personality traits. Although the effectiveness and advantages of the phishing susceptibility measures in the signal detection theory (SDT) framework have been verified, the cognitive mechanisms that lead to individual differences in these measures remain unknown. The current study proposed and examined a theoretical path model to explore how the Big Five personality traits, related knowledge and experience and the cognitive processing of emails (i.e., mail elaboration) influence users\' susceptibility to phishing emails. A sample of 414 Chinese participants completed the 44-item Big Five Personality Inventory (BFI-44), Mail Elaboration Scale (MES), Web Experience Questionnaire, Experience with Electronic Mail Scale, Knowledge and Technical Background Test and a demographic questionnaire. The phishing susceptibility measures were calculated after the participants finished an email legitimacy task in a role-playing scenario. The results showed that the general profile of the \"victim personality\" included low conscientiousness, low openness and high neuroticism, and Internet experience and computer and web knowledge played an important role. All of these factors have significant indirect effects on phishing susceptibility by influencing mail elaboration. Moreover, the probabilities of checking for further information or deleting the email reflect the sensitivity of email judgment. These findings reveal the mediating role of cognitive processing between individual factors and phishing susceptibility. The theoretical implications of this study for the phishing susceptibility literature and its applications to phishing risk interventions or training programs are discussed.

Disasters and pandemics pose unique challenges to health care delivery. As health care resources continue to be stretched due to the increasing burden of the coronavirus disease (COVID-19) pandemic, telemedicine, including tele-education, may be an effective way to rationally allocate medical resources. During the COVID-19 pandemic, a multimodal telemedicine network in Sichuan Province in Western China was activated immediately after the first outbreak in January 2020. The network synergizes a newly established 5G service, a smartphone app, and an existing telemedicine system. Telemedicine was demonstrated to be feasible, acceptable, and effective in Western China, and allowed for significant improvements in health care outcomes. The success of telemedicine here may be a useful reference for other parts of the world.

To evaluate the validity and acceptability of at-home self-collection to test for high-risk human papillomavirus (HPV) and sexually transmitted infections among women overdue for cervical cancer screening by national guidelines.
Low-income, infrequently screened women were recruited from the general population in North Carolina to participate in an observational study. Participants provided two self-collected cervicovaginal samples (one at home and one in the clinic) and a clinician-collected cervical sample. Samples were tested for high-risk HPV, Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, and Mycoplasma genitalium. Cervical samples were also tested by liquid-based cytology.
Overall, 193 women had conclusive high-risk HPV results for all three samples and cytology results. Prevalence of high-risk HPV within self-home samples (12.4%) was not different from that within clinician samples (11.4%; P=.79) and from that within self clinic samples (15.5%; P=.21). Positivity for high-risk HPV in all sample types increased with increasing grades of cervical abnormality (P<.001). Self-home samples detected high-risk HPV in all identified cases of high-grade squamous intraepithelial lesions and of cervical intraepithelial neoplasia 2 or worse. Detection was comparable across sample types for T vaginalis (range 10.2-10.8%), M genitalium (3.3-5.5%), C trachomatis (1.1-2.1%), and N gonorrhoeae (0-0.5%). Kappa values between sample types ranged from 0.56 to 0.66 for high-risk HPV, 0.86-0.91 for T vaginalis, and 0.65-0.83 for M genitalium. Most participants reported no difficulty understanding self-collection instructions (93.6%) and were willing to use self-collection in the future (96.3%).
Mail-based, at-home self-collection for high-risk HPV and sexually transmitted infection detection was valid and well accepted among infrequently screened women in our study. These findings support the future use of high-risk HPV self-collection to increase cervical cancer screening rates among higher risk women in the United States.

OBJECTIVE: To evaluate and compare mail and meeting forms in evaluation of Delphi study.
METHODS: Delphi study by mail and meeting approaches was used to determine the health information dataset. Experts were required to grade the listed items through three indexes: importance, necessity and availability. Study duration, coefficient of variation of items, authority coefficient and coordination coefficient of the experts\' opinion of two forms of study were calculated and compared.
RESULTS: The study duration was four months through mail form and 2 days through meeting. Compared with the first round, the coefficient of variation decreased (P<0.001, all of the three indexes by two forms), and the cooperation index increased (P<0.005) in the second round. The experts\' opinions were easier to be consistent through meeting than through mail(P<0.033). And the authority coefficient by meeting consultation (0.83 ± 0.05) was higher than that by mail (0.77 ± 0.03) (P=0.001).
CONCLUSIONS: Both mail and meeting forms of Delphi study can determine the health information dataset,but meeting consultation is better and requires shorter study duration.