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Objective To screen the chronic kidney disease (CKD) patients among the high-risk groups in Jing'an district of Shanghai,and provide suggestions for the screening and analysis of CKD.Methods Retrospective analysis was used to analyze the disease status of high-risk groups of CKD who participated in community screening from July 2016 to November 2018.A total of 25 199 subjects underwent two laboratory examinations at intervals of more than 3 months.The CKD was diagnosed in high-risk groups according to the diagnostic criteria,and the patients with CKD were classified and stratified.The screening population was divided into groups according to gender,age and medical history to compare the difference in the detection rate of CKD.Results There were 788 CKD patients diagnosed previously in this screening population,and 3 713 CKD patients were confirmed by this district-level hospitals screening.Potential CKD patients were 4.71 times as many as previously known CKD patients.The CKD detection rate was 14.73％.The CKD detection rate of female high-risk group was higher than that of male (16.00％ vs 13.00％,x2=44.213,P ＜ 0.001).The CKD detection rate in the elderly group (≥65 years old) was higher than that in the non-elderly group (14.94％ vs 13.76％,x2=4.001,P=0.046).The CKD detection rate in high-risk group with hypertension,hyperuricemia and family history of chronic nephritis was significantly higher than those in the group without such diseases (all P ＜ 0.05).Conclusions The number of patients detected in high-risk groups of CKD is 4.71 times as much as previously known patients,indicating that it is very necessary to carry out CKD screening in community high-risk group.Women,elder,hypertension,hyperuricemia,and a family history of chronic nephritis are independent risk factors for patients at high risk of CKD.
ABSTRACT
Objective@#To screen the chronic kidney disease (CKD) patients among the high-risk groups in Jing'an district of Shanghai, and provide suggestions for the screening and analysis of CKD.@*Methods@#Retrospective analysis was used to analyze the disease status of high-risk groups of CKD who participated in community screening from July 2016 to November 2018. A total of 25 199 subjects underwent two laboratory examinations at intervals of more than 3 months. The CKD was diagnosed in high-risk groups according to the diagnostic criteria, and the patients with CKD were classified and stratified. The screening population was divided into groups according to gender, age and medical history to compare the difference in the detection rate of CKD.@*Results@#There were 788 CKD patients diagnosed previously in this screening population, and 3 713 CKD patients were confirmed by this district-level hospitals screening. Potential CKD patients were 4.71 times as many as previously known CKD patients. The CKD detection rate was 14.73%. The CKD detection rate of female high-risk group was higher than that of male (16.00% vs 13.00%, χ2=44.213, P<0.001). The CKD detection rate in the elderly group (≥65 years old) was higher than that in the non-elderly group (14.94% vs 13.76%, χ2=4.001, P=0.046). The CKD detection rate in high-risk group with hypertension, hyperuricemia and family history of chronic nephritis was significantly higher than those in the group without such diseases (all P<0.05).@*Conclusions@#The number of patients detected in high-risk groups of CKD is 4.71 times as much as previously known patients, indicating that it is very necessary to carry out CKD screening in community high-risk group. Women, elder, hypertension, hyperuricemia, and a family history of chronic nephritis are independent risk factors for patients at high risk of CKD.
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Objective To study the development and utilization of Li medicine resources in Hainan Province, analyze the existing problems and present specific suggestions for the rational exploitation and utilization of Li medicine resources.Methods SWOT analysis was carried out on the development and utilization of Li medicine in Hainan by means of literature analysis and field survey.Results The advantage of Li medicine lies in its long history and sufficient resources.The complicated ethnic factors within Li nationality hindered the development of Li medicine and resulted in the lack of basic research.Although the relevant policies and market demands have brought opportunities for the development of Li medicine, the rapid development of society may pose a potential threat to the development and protection of Li medicine resources.Conclusion The unique advantages of Li medicine ought to be used to create Li medicine brand.While Hainan is building its international tourism island, the health benefits of Li medicine should be promoted.Through the creation of Li medicine schools or departments, new professionals need to be trained to continue the development and utilization of Li medicine.
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The paper described the necessity of social capital utilization for public hospitals, and analyzed the model and characteristics of public hospital financing. It is pointed out that the key to the public-benefit nature in the financing calls for distinguishing responsibilities of the government and the market, defining the reasonable level and manner for investors' return, and building corresponding incentive mechanism and supervision mechanism.