ABSTRACT
<p><b>OBJECTIVE</b>To filter the indicators of evaluation on the diagnosis, treatment and management of MDR-TB through Delphi.</p><p><b>METHODS</b>Three rounds Delphi was implemented by asking for the 30 experts'score and suggestion of 60 evaluation indicators. The experts were selected from experienced MDR-TB workers. Then the concentration degree (with each indicator's score average and full mark rate to reflect) and coordination degree (with coordination coefficient w to reflect) were analyzed, and the coefficient of variation of each indicator, enthusiasm and authority coefficient Cr etc were calculated. After that, new indicators system was constructed and the experts' were asked for suggestion again. The enthusiasm and coordinate coefficient were used to measure the effect of Delphi.</p><p><b>RESULTS</b>All of the enthusiasm coefficients of experts in three rounds were 100% (30/30), and 40% (12/30), 53% (16/30) and 10% (3/30) of the experts gave suggestions. The degrees of experts' authority in the first 2 rounds were high and the averages were 0.82 and 0.86, respectively. A total of 34 indicators were left after 6 indicators modified and 26 indicators deleted. The 10 indicators were the core indicators, and the average scores of 34 indicators were all higher than 4.7 and the coefficients of variation were less than 0.1, respectively. The coordination coefficients of specialists' opinion were 0.36, 0.25 and 0.68, respectively.</p><p><b>CONCLUSION</b>The final evaluation indicator system include 34 indicators, and the result of the filtering indicators on the diagnosis, treatment and management of MDR-TB through Delphi is good.</p>
Subject(s)
Humans , Delphi Technique , Expert Systems , Tuberculosis, Multidrug-Resistant , Diagnosis , TherapeuticsABSTRACT
<p><b>OBJECTIVE</b>To explore the public health situation and needs in Anxian after Wenchuan earthquake so as to make an effective strategy for disease control and prevention.</p><p><b>METHODS</b>69 concentrated settlements with 100 residents were investigated. Probability proportion to size was adopted for sampling of 2200 residents from 687 scattered households (about 440 000 scattered residents). The content of this survey included drinking water, food hygiene, environment sanitation, planning immunity and medical health service, disease surveillance and so on. SPSS 16.0 was used for data analysis, and statistical interpretation was used to describe the results.</p><p><b>RESULTS</b>90.9% (31/66) resettled residents in Anxian lived in tents, 7.6% (5/66) lived in the movable-plate house, 93.3% (621/666) scattered households lived in tents and 71.9% (446/621) of them lived in tents which were built by residents themselves; the rate of drinking water disinfection in resettlement sites and scattered households were 97.1% (66/68) and 94.6% (650/687); 12.8% scattered residents had mouldy or food; 50% of resettlement sites raised animals; 43.6% (17/39) medical station didn't have bacterin inoculation service; 66.7% (10/15) lacked sufficient disinfection equipment; register rate was 50.0% (33/66) and report rate of symptoms and infectious diseases was 56.1% (37/66).</p><p><b>CONCLUSION</b>There was still some risk of enteric and vector-borne diseases in Anxian, therefore, some tailored measures should be very important.</p>
Subject(s)
Humans , Disasters , Earthquakes , Environmental Monitoring , Health Care Surveys , Health Services , Health Services Needs and Demand , Water SupplyABSTRACT
<p><b>OBJECTIVE</b>To explore the mental health status of residents scattered living in Anxian after Wenchuan earthquake so as to provide scientific basis for further mental health intervention.</p><p><b>METHODS</b>A face to face interview was conducted among the scattered residents with designed questionnaire, which had three parts of the physical and emotional reaction, the relax methods and the social care and supports expected. Two-stage probability proportional to size (PPS) sample method was performed to sample 2184 from 0.44 million scattered residents in Anxian. On the basis of statistical description, mental health of different characteristics groups was compared.</p><p><b>RESULTS</b>Three main symptoms of posttraumatic stress disorders in 2184 residents (11.23+/-3.44) were higher than the 103 fire victims in Hunan in 2003 (10.06+/-3.26), three factor scores of SCL-90 (5.76+/-1.74) were higher than normal in 1998 repair mode (n=23 891) (4.72+/-1.44), and the statistical difference was observed (t=10.77, P<0.05; t=706.04, P<0.05). Comparing the mental health of different groups, some significant differences were found by age, gender and education background.</p><p><b>CONCLUSION</b>The earthquake disaster brought prevalent physical and emotional reaction. Elderly people, female, junior students need mental intervention immediately. Therefore, strengthen the mental education and assistance (especially in high risk groups) would be of more significance.</p>