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Objective To quantitatively analyze the current status and development trends regarding the land use regression (LUR) models on ambient air pollution studies.Methods Relevant literature from the PubMed database before June 30,2017 was analyzed,using the Bibliographic Items Co-occurrence Matrix Builder (BICOMB 2.0).Keywords co-occurrence networks,cluster mapping and timeline mapping were generated,using the CiteSpace 5.1.R5 software.Relevant literature identified in three Chinese databases was also reviewed.Results Four hundred sixty four relevant papers were retrieved from the PubMed database.The number of papers published showed an annual increase,in line with the growing trend of the index.Most papers were published in the journal of Environmental Health Perspectives.Results from the Co-word cluster analysis identified five clusters:cluster #0 consisted of birth cohort studies related to the health effects of prenatal exposure to air pollution;cluster #1 referred to land use regression modeling and exposure assessment;cluster #2 was related to the epidemiology on traffic exposure;cluster #3 dealt with the exposure to ultrafine particles and related health effects;cluster #4 described the exposure to black carbon and related health effects.Data from Timeline mapping indicated that cluster #0 and #1 were the main research areas while cluster #3 and #4 were the up-coming hot areas of research.Ninety four relevant papers were retrieved from the Chinese databases with most of them related to studies on modeling.Conclusion In order to better assess the health-related risks of ambient air pollution,and to best inform preventative public health intervention policies,application of LUR models to environmental epidemiology studies in Chinashould be encouraged.
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Objective To quantitatively analyze the current status and development trends regarding the land use regression (LUR) models on ambient air pollution studies.Methods Relevant literature from the PubMed database before June 30,2017 was analyzed,using the Bibliographic Items Co-occurrence Matrix Builder (BICOMB 2.0).Keywords co-occurrence networks,cluster mapping and timeline mapping were generated,using the CiteSpace 5.1.R5 software.Relevant literature identified in three Chinese databases was also reviewed.Results Four hundred sixty four relevant papers were retrieved from the PubMed database.The number of papers published showed an annual increase,in line with the growing trend of the index.Most papers were published in the journal of Environmental Health Perspectives.Results from the Co-word cluster analysis identified five clusters:cluster #0 consisted of birth cohort studies related to the health effects of prenatal exposure to air pollution;cluster #1 referred to land use regression modeling and exposure assessment;cluster #2 was related to the epidemiology on traffic exposure;cluster #3 dealt with the exposure to ultrafine particles and related health effects;cluster #4 described the exposure to black carbon and related health effects.Data from Timeline mapping indicated that cluster #0 and #1 were the main research areas while cluster #3 and #4 were the up-coming hot areas of research.Ninety four relevant papers were retrieved from the Chinese databases with most of them related to studies on modeling.Conclusion In order to better assess the health-related risks of ambient air pollution,and to best inform preventative public health intervention policies,application of LUR models to environmental epidemiology studies in Chinashould be encouraged.
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Objective To summarize the clinical characteristics , diagnosis and surgical method of intra-ductal papilloma(IP)of breast without nipple discharge .Methods The clinical data of 84 IP patients(130 le-sions)without nipple discharge admitted from Feb .2011 to Oct.2013 were analyzed retrospectively .Results The age of the 84 patients were mainly ranging from 30 to 50 years old.113(86.92%)lesions were≤10 mm in size, 84(64.42%)lesions had a distance≤20 mm to nipple, 57 accompanied by adenosis , 43 accompanied by fibro-cystic adenosis , 48 accompanied by fibroadenoma , 14 with ductal hyperplasia , and 2 with atypical ductal hyper-plasia.After a follow-up of 3 to 36 months, 5 cases had recurrence , including 4 cases of IP and 1 case of ductal carcinoma in situ.Conclusions IP without nipple discharge has no typical clinical symptoms .Ultrasound exam-ination may have positive findings , but not typical .Preoperative diagnosis is difficult and surgical biopsy is rec-ommended.Multiple and atypical ductal hyperplasia has possibility of recurrence , so follow-up is necessary.
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Objective To discuss the effect of evaluation on research performance of a upper first-class hospital in Guangxi by comprehensive index method,and to verify the scientific and practical of this method.Methods Five indexes for evaluating the research performance were selected,and different weight to each index was endowed.The original data were translated,comprehensive index method was applied to evaluate the research performance of that hospital from 2007 to 2012.Results The final sorting results were obtained through the comprehensive index method.Of the output quality from 2007 to 2012,year 2012 ranked the first,the comprehensive index value is 2.413;and year 2007 ranked the last,the value is 0.138.Conclusions The value was high relative,which accorded with the fact,comprehensive index method can evaluate the research performance precisely and rationally.
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Objective To provide reference for improving the performance of public health by establishing performance evaluation framework of public health in rural areas of China.Methods The performance evaluation framework of public health in rural areas is established by literature research,theoretical derivation and Delphi method.The results of expert consultation are tested by W test of Kendall coordination coefficient and chi-square test.Results The performance evaluation framework of public health in rural areas contains four conceptual modules,ten performance goals and twenty-eight performance evaluation indexes.The positive coefficient of experts is 0.889.The average values of authoritative grade of experts are between 0.681～0.715.The Kendall W uniformity coefficients of the necessity,sensitivity and maneuverability of the indexes are respectively 0.167,0.209 and 0.185.The P values are less than 0.01.Conclusion The performance evaluation framework of public health in rural areas has certain application value.It is necessary to pay attention to scientific nature and applicability in developing performance evaluation of public health in rural areas.
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Objective To analyze the histopathology of patients with atypical squamous cells of undetermined significance (ASCUS),and provide evidence for further classification and clinical treatment of ASCUS.Methods The histopathology of cervical biopsy specimens from 249 patients with ASCUS diagnosed by liquid-based cervical cytology examination was analyzed retrospectively. Results Among the 249 ASCUS patients, the proportion of patients with inflammation was 34.14% (85/249), morphological change by human papillomaviral infection was 19.28%(48/249), CIN I was 32.53%(81/249),CIN II was 8.84%(22/249),CIN III was 3.21%(8/249), infiltrating squamous cell carcinoma was 1.20%(3/249),and endometrioid adenocarcinoma was 0.80%(2/249) . Conclusion It is very important to to further definitude the diagnosis of ASCUS, because a certain proportion of cervical cancer and precancerous leisions woud be confirmed.
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To explore healthcare disparities in rural China two years after the implementation of the Essential Public Health Service [EPHS] reform in 2009. A cross-sectional study was conducted by surveying 930 hypertension patients [HPs] from different regions in rural China in 2011. The percentages of patients using recommended four or more follow-up visits in a year were calculated by patient socio-demographic characteristics and statistically examined using chi-square and logistic regression to uncover disparities and correlated factors in EPHS use. The rates were not significantly different by age, gender, education, insurance status or income, but significantly different by region and hypertension history [p < 0.01]. Higher rates were also observed on patients who sought actively follow-up service at clinics, making appointment for the next follow-up with doctors, awareness of the need of follow-up, more satisfied with the follow-up services, and better medication adherence [p < 0.01]. There were no disparities observed among HPs in the use of follow-up services, suggesting that the reform has to some extent achieved its goal in ensuring equal access to EPHS. In this regard, regional implementation of the national policies and improvement of EPHS management at local level should be further improved
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Humans , Female , Male , Public Health , Hypertension , Rural Population , Rural Health Services , Health SurveysABSTRACT
Objectives To identify the mainstream studies and their development trends in health management research, and enable domestic scholars and institutions in their decision making to select strategic research fields and their discipline development on health management. Methods Co-citation cluster analysis of high-frequency citations, combined with co-word cluster analysis of high-frequency of MeSH terms were used to discover research focuses. This was followed by statistical analysis of the content of each cluster, and demonstration of the research trends through citation and subject strategic diagrams. Results Eight hot sub-fields have been identified both before and after 2002, which include both cross and separate topics. Conclusion With a multi-disciplinary characteristic, health management has not yet developed into a mature and stable research field; Health management involves the whole management process of healthcare services; Mental health management, chronic disease management and its primary health care service are all constant hotspots of studies. Health literacy is an area deserving greater attention in health management; Health management should interact with health insurance,making it part of the medical insurance system.