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Modern medical model advocates holistic medical treatment and holistic care, which transforms the concern about diseases in traditional medicine into the concern about people in modern medicine. Narrative medicine, as a tool for practicing holistic medical treatment and holistic care, runs through the whole process of patients’ entering medical procedures. It not only meets the needs of patients’ disease-related narratives, but also provides a new and more comprehensive way of communication for both doctors and patients, which is helpful to promote the comprehensive recovery of patients and the healthy development of doctor-patient relationship. At present, narrative medicine is facing some difficulties in the process of local practice in China. Social work, as one of the main bodies of multi-disciplinary and inter-professional cooperation in the medical field, can give full play to its professional advantages to help the new exploration of narrative medicine practice in China.
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Objective@#To explore the current prevalence of dyslipidemia in adult population of 9 provinces of China and the epidemic characteristics of this disease. The potential influence of social economic development on dyslipidemia was also observed.@*Methods@#Present research data are derived from the result of the investigation about survey on health and nutrition in China in 2011, in which multistage stratified cluster random sampling method was adopted to investigate the 24 345 individuals in 216 communities from 9 provinces in China and 10 242 blood samples were collected. In this research, 8 669 blood samples of people over 18 years old were selected for final analysis. After adjustment of age, the percentage of dyslipidemia patients in Chinese adults was calculated.@*Results@#The percentage of dyslipidemia in Chinese adults is 39.91% (3 460/8 669). The percentage of dyslipidemia at the age of 18-24, 35-44, 45-59 and over 60 years old were 30.25% (373/1 233),37.19% (774/2 081), 44.22% (1 304/2 949) and 41.94%(1 009/2 406),respectively (χ2=333.02, P<0.01); the percentage of dyslipidemia in male and female population was 51.11% (1 956/3 827) and 31.06%(1 504/4 842), respectively (χ2=60.35, P<0.01); the percentage of dyslipidemia in urban residents and rural residents was 42.56% (1 144/2 687) and 38.72%(2 316/5 982), respectively (χ2=11.72, P<0.01);the percentage of dyslipidemia in high-GDP regions and low-GDP regions was 43.04% (1 567/3 641) and 37.65% (1 893/5 028), respectively (χ2=25.57, P<0.01) .The prevalence of adult hypercholesterolemia in Chinese adult is 9.01% (781/8 669), the prevalence of borderline increased cholesterol is 22.54% (1 954/8 669), the prevalence of hypertriglyceridemia is 27.02% (2 342/8 669), the prevalence of lower high-density lipoproteinemia is 14.36% (1 245/8 669) and the prevalence of increased low-density lipoproteinemia was 10.23% (887/8 669). All prevalence rates are significantly higher compared to the 2005 survey results.@*Conclusion@#The prevalence of dyslipidemia in Chinese adults is high and the prevalence increases in a fast pace. The current situation of dyslipidemia in Chinese adults is critical and targeted strategies should be applied to control the dyslipidemia in adult Chinese population.
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Objective To analyze the malnutrition status among children and adolescents of Wa ethnicity in Lincang prefecture,Yunnan province from 2005 to 2014,and to provide evidence for the improvement of the situation.Methods From 2005 to 2014,children and adolescents aged 7 to 18,from 19 primary and secondary schools in Cangyuan county of Lincang prefecture,Yunnan province,were chosen,using the multistage-stratified-random cluster sampling method,to receive physic examination.WHO-2006 standard was used.Situation related to the rate of growth retardation and malnutrition among students was analyzed,from 2005 to 2014.Data was from the National Student Physical Health Research Project.From 2000 to 2014,trends on nutrition development among these students were also studied.Results The rates related to growth retardation among 7-18 years-old Wa boys in 2005,2010 and 2014 were 45.61％,52.36％ and 35.85％,with the rates of thinness as 1.44％,0.76％ and 1.36％,respectively.Rates on malnutrition were 52.35％,56.01％ and 41.13％,respectively.Rates related to growth retardation among 7-18 years-old Wa girls were 42.03％,47.41％ and 33.06％,respectively,with rates of thinness as 0.91％,0.68％ and 0.83％,respectively.The rates on malnutrition were 46.13％,49.77％ and 35.56％,respectively.From year 2005 to 2014,spurt on height growth of boys and girls were among the 13-14 years-old and 9-10 years-old,respectively.Girls were 4 years earlier,entering the sudden increase in the peak age than boys.Sex difference on height among the 18 years-old Wa youngsters were 11.99,9.34 and 11.38 cm in 2005,2010 and 2014,respectively.Conclusion Malnutrition status of retardation on growth among Wa children and adolescents remained quite serious.
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Objective To study the characteristics and trend of illegal driving behavior in China to provide evidence for related policy enforcement.Methods Using indices as death rate of ten thousand vehicle,death rate per 100 000 population,thousands of road mileage,degree of motorization and death ratio etc.to analyze the current situation,characteristics of illegal vehicle driving behavior related to road traffic injuries,in China.Results From 2006 to 2010,death ratio on vehicle road traffic injuries related to the top five illegal driving behaviors were as follows:speeding (from 0.33 down to 0.17),on refuse to give way to others (from 0.26 to 0.14),on driving without license (from 0.21 to 0.08),on illegal driving encroachment (from 0.17 to 0.04) and on reverse driving (from 0.11 to 0.07).Death rates related to vehicle road traffic injuries on drunk driving or fatigue driving were 0.04 in 2010 and 0.02 in 2010,respectively.Conclusion Despite the fact that the number of vehicle road traffic injuries appeared a declining trend,the severity was increasing.Illegal driving behavior was still prevalent in China.
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Objective To study the prevalent situation of the traffic illegal behaviors ,characteristics of high occurrence and its related risk factors among the residents in Yunnan during 2010 to offer the scientific basis for making the related strategy and countermeasure of road traffic injury prevention and control .Methods By adopting the multistage stratified proportion random cluster sampling method ,the permanent residents aged over 18 years old were randomly sampled from each family for conducting the survey during 2010 .Then the prevalent situation and characteristics of unsafe traffic behaviors were analyzed .Results the oc‐currence rate of unsafe traffic behaviors was 59 .09% .The helmet wearing rate was 40 .45% ,the wearing rate of safe belt in drivers was 46 .75% ;the drunk driving rate was 18 .05% ;The fatigue driving rate was 29 .06% ;the rate of driving without license was 16 .25% .The populations of having high traffic illegal behaviors were male ,ethic minorities ,unmarried people and blue‐collar work‐ers .Conclusion The unsafe traffic behaviors of Yunnan residents is still serious .
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Animal gastrointestinal tract contains a complex community of microbes, whose composition ultimately reflects the co-evolution of microorganisms with their animal host. The gut microbial community of humans and animals has received significant attention from researchers because of its association with health and disease. The application of metagenomics technology enables researchers to study not only the microbial composition but also the function of microbes in the gastrointestinal tract. In this paper, combined with our own findings, we summarized advances in studying gastrointestinal tract microorganism with metagenomics and the bioinformatics technology.
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Animals , Humans , Gastrointestinal Tract , Microbiology , Hyperglycemia , Inflammatory Bowel Diseases , Metagenome , Physiology , Metagenomics , Methods , ObesityABSTRACT
Objective To investigate the influence of individual psychological intervention on quality of life of HIV infection / AIDS patients.Methods 50 cases diagnosed as HIV infection / AIDS were selected,randomly divided into the control group and the observation group with 25 cases in each group.The control group received routine treatment and care,while for the observation group,the psychological health and quality of life were measured with SCL-90,SF-36 scales,then personalized psychological intervention was implemented after analyzing the influencing factors.Three months after discharge,the assessment test was carried out using SCL-90 and SF-36 scales,then compared the quality of mental health and life situation of the two groups.Results Mental health and quality of life between the observation group and the control group before intervention was not statistically significant.After intervention,the comparison is statistically significant Conclusions Individualized psychological intervention can improve patients quality of life.