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Objective:To investigate the per capita expenses of physical examination and its related factors in health examination (management) institutions in 2019.Methods:Using the census method, the basic information, including the name, address, nature, level and operation nature of the institutions, and per capita expenses of physical examination in provincial health examination (management) institutions in 2019 were collected by questionnaire survey. Rank sum test and Spearman correlation analysis were used to analyze the data.Results:In 2019, the top three provinces in terms of per capita expenses of physical examination were Shanghai, Inner Mongolia Autonomous Region and Beijing, with 612.00 yuan, 547.90 yuan and 528.83 yuan, respectively; Guizhou Province, Xinjiang Uygur Autonomous Region and Guangdong Province ranked the last three, with 255.25 yuan, 244.00 yuan and 235.10 yuan, respectively. There were significant differences in per capita expenses of physical examination among different health examination (management) institutions in different regions and of different institutional nature, institutional level and business nature (all P<0.05). The per capita expenses of physical examination was positively correlated with the local per capita health care expenditure, the proportion of local population aged 15-64 years and the proportion of local people with education of college and above ( r=0.465, 0.374 and 0.401, all P<0.05). Conclusions:There are differences in the per capita expenses of physical examination in health examination (management) institutions among different regions, institutional nature, institutional level and business nature in 2019, and it is related to the per capita health care expenditure, age and educational level of the local people.
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Objective:The study seeks to explore the factors influencing the psychological status and sleep quality of medical workers amid the ongoing COVID-19 pandemic, in order to provide data sources and theoretical basis for the development of relevant psychological intervention programs.Methods:Employing the convenience sampling method, general information questionnaire (age, gender, marital status, educational background, job status, etc.), Generalized Anxiety Disorder-7 and Patient Health Questionnaire, epidemic stress index scale, and sleep quality questionnaire were distributed to medical staff between February 18 and April 3, 2020, using the PEM mental health care platform of by ZhongShengKaiXin for medical staff issued. Descriptive, single factor, and correlation analyses, as well as multiple linear regression analysis were used to analyze the data.Results:Overall, 24, 845 questionnaires were collected from 23 provinces, of which 24, 687 were valid, with a recovery rate of 99.36%. The findings showed that the proportion of medical personnel with symptoms of anxiety and depression was 50.58% and 51.37%, respectively; 16.11% had poor or very poor anti-stress ability; and 71.78% reported poor or very poor sleep quality. There was a positive correlation between anxiety, depression, anti-stress ability, and sleep quality ( P<0.05). Anxiety was positively correlated with depression, stress tolerance, and sleep quality( r=0.787, 0.667, and 0.486, all P<0.001); depression was positively correlated with stress tolerance and sleep quality ( r=0.709 and 0.586, both P<0.001); and stress tolerance was positively correlated with sleep quality ( r=0.452, P<0.001). Multiple linear regression analysis results showed that age, gender, marital status, educational background, professional title, job status, and participation influenced the anxiety levels of medical personnel in the backdrop of the pandemic ( P<0.001). Depression levels of medical staff were influenced by gender, educational background, job position, and participation ( P<0.001), while gender, marital status, educational background, job position, and participation influenced the stress tolerance levels ( P<0.001). The sleep quality of medical workers was influenced by age, gender, job position, participation in the fight against the pandemic, and professional title ( P<0.001). Conclusions:Amid the ongoing COVID-19 pandemic, medical staff reported poor mental health status and sleep quality, which can be attributed to diverse factors. The research findings can be useful for assisting medical staff to strengthen their self-cognition, while also providing certain psychological counseling data and theoretical basis for management departments.
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Objective@#To explore the value of applying optical coherence tomography (OCT) in the physical examination of the eyes of primary and secondary school teachers in Wuchang District, Wuhan.@*Methods@#A total of 3,495 teachers in primary and secondary schools in Wuchang District, who were examined at Physical Examination Center of Renmin Hospital of Wuhan University from September to December, 2018, were enrolled, including 1 130 men and 2 365 women, aged 22-93 years. All enrolled subjects underwent visual acuity assessment, slit lamp examination, direct ophthalmoscopy, and OCT of the macula. The chi-square test was used to analyze differences between different age groups for the ten most common eye diseases and positive findings, as well as the difference in the detection rate of macular disease between OCT and direct ophthalmoscopy.@*Results@#The detection rate of eye diseases was 70.76% (2 473/3 495 people) in this study; 551 people <40 years old, 775 people aged 40-64 years old, and 1 147 aged ≥65 years old had abnormalities. There were significant differences in the detection rates of ametropia, cataract, maculopathy, postoperative cataract, pathological myopic fundus change, pterygium, trichiasis, retinal arteriosclerosis, and cup disk ratio abnormality between the three groups (χ²=100.24, 1037.23, 507.61, 232.50, 14.46, 54.92, 21.48, 84.24, 17.73, respectively, all P<0.05), but there was no significant difference in conjunctivitis between the three age groups (χ2=0.58, P>0.05). The detection rate of OCT for maculopathy was higher than that for direct ophthalmoscopy (χ²=36.357, P<0.05), and the detection rate of OCT for macular anterior membrane, macular degeneration, pathological myopia, retinochoroidopathy, and macular split was higher than that for direct ophthalmoscope; the difference was statistically significant (χ²=10.065, 4.932, 19.836, 12.010, respectively, all P<0.05).@*Conclusion@#Primary and secondary school teachers have different distributions of eye diseases depending on their age group. Health education and physical examination of the eye can be provided according to the age of the teacher, which is conducive to early prevention and treatment of eye diseases. OCT has important application value in physical examination and the screening of macular diseases.
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Objective:To explore the value of applying optical coherence tomography (OCT) in the physical examination of the eyes of primary and secondary school teachers in Wuchang District, Wuhan.Methods:A total of 3,495 teachers in primary and secondary schools in Wuchang District, who were examined at Physical Examination Center of Renmin Hospital of Wuhan University from September to December, 2018, were enrolled, including 1 130 men and 2 365 women, aged 22-93 years. All enrolled subjects underwent visual acuity assessment, slit lamp examination, direct ophthalmoscopy, and OCT of the macula. The chi-square test was used to analyze differences between different age groups for the ten most common eye diseases and positive findings, as well as the difference in the detection rate of macular disease between OCT and direct ophthalmoscopy.Results:The detection rate of eye diseases was 70.76% (2 473/3 495 people) in this study; 551 people <40 years old, 775 people aged 40-64 years old, and 1 147 aged ≥65 years old had abnormalities. There were significant differences in the detection rates of ametropia, cataract, maculopathy, postoperative cataract, pathological myopic fundus change, pterygium, trichiasis, retinal arteriosclerosis, and cup disk ratio abnormality between the three groups (χ2=100.24, 1037.23, 507.61, 232.50, 14.46, 54.92, 21.48, 84.24, 17.73, respectively, all P<0.05), but there was no significant difference in conjunctivitis between the three age groups (χ 2=0.58, P>0.05). The detection rate of OCT for maculopathy was higher than that for direct ophthalmoscopy (χ2=36.357, P<0.05), and the detection rate of OCT for macular anterior membrane, macular degeneration, pathological myopia, retinochoroidopathy, and macular split was higher than that for direct ophthalmoscope; the difference was statistically significant (χ2=10.065, 4.932, 19.836, 12.010, respectively, all P<0.05). Conclusion:Primary and secondary school teachers have different distributions of eye diseases depending on their age group. Health education and physical examination of the eye can be provided according to the age of the teacher, which is conducive to early prevention and treatment of eye diseases. OCT has important application value in physical examination and the screening of macular diseases.
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Objective To evaluate the clinical value of non-invasive skin autofluorescence measurement of advanced glycation end products (AGE) to screen for both diabetes mellitus and impaired glucose tolerance (IGT). Methods A total of 389 individuals who underwent physical examination at Renmin Hospital of Wuhan University from December 2016 to August 2017, and were willing to participate were enrolled in our study. 293 people meeting the criteria were included finally. AGE value in the skin tissue was measured non-invasively via autofluorescence with the DM Scanner. Two-hour oral glucose tolerance testing, and measurements of fasting blood glucose and glycosylated hemoglobin were also performed for each patient. Results Among 293 subjects, 209 had normal glucose metabolism, 50 had IGT, and 34 had diabetes mellitus. The measured Advanced glycation end product values in these groups were (69.44 ± 7.28) AU, (79.67 ± 5.65) AU, and (81.17 ± 9.28) AU, respectively. The differences between groups were statistically significant (P<0.05). Pearson correlation analysis showed a significant positive correlation between autofluorescence measurements and fasting blood glucose, glycosylated hemoglobin and glucose level 2 hours after oral glucose loading (r=0.472, 0.433, and 0.546, respectively;P<0.001). The sensitivity of DM Scan screening for IGT was 84.00％, with a specificity of 84.87％. For diabetes mellitus, the sensitivity was 79.41％, and the specificity 84.87％. Conclusion DM Scan has high sensitivity in screening for diabetes mellitus and IGT. It has important clinical value in the early diagnosis of IGT.
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Objective To study the nutritional risks in elderly patients with prostate cancer and explore its related factors.Methods 346 elderly patients with prostate cancer in Wuhan area from May 2013 to May 2014 were chosen as the objects in this study.Nutritional risk screening 2002 was used to evaluate nutritional risk.The sleep quality,anxiety,lower urinary tract symptoms,differentiation and other data of patients were collected.The influencing factors for nutritional risk in the patients were analyzed.Results The ratio of nutritional risk in elderly advanced prostate cancer patients was 35.3％ (122/346).The nutritional risk was increased with age (P＜0.05).The prostate cancer patients with nutritional risk had a higher international prostate symptom score (IPSS) (P＜ 0.05).Monovariate factor analysis showed that sleep quality,operation,pathology staging,radiotherapy,chemotherapy,lower urinary tract symptoms (LUTS) were the impact factors for nutritional status in elderly patients with prostate cancer (P＜0.05).Logistic regression analysis showed that age (OR=0.29),sleep quality (OR=0.25) were the protective factors for the nutritional status,while surgery (OR=12.67),pathological staging (OR=1.65),radiotherapy (OR=2.65),SPSS (OR=1.55),chemotherapy (OR=1.85) were the risk factors for nutritional status (P＜ 0.05).Conclusions The incidence of nutritional risk is high in elderly prostate cancer patients.Age,sleep quality are the protective factors,and operation,pathology staging,SPSS,chemotherapy,and radiotherapy are the risk factors for nutritional status.
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Objective To evaluate the effect of the individualized health management on senile mental disorders.Methods 421 patients with senile mental disorders were randomized into two groups:the intervention group (n =213) received routine antipsychotic drugs treatment,health education and individual health management,and the control group(n=208) received only population health education and routine drug antipsychiatric treatment.Results The Brief Psychiatric Rating Scale (BPRS) scores in two group were significantly higher after treatment than before treatment (all P＜0.01).The BPRS score in each period after treatment were significantly higher in intervention group than in control group (all P＜0.01).The mini mental state examination (MMSE) score in two treatment groups were significantly higher after treatment than before treatment (all P＜0.01).The MMSE score in each period after treatment were significantly higher in intervention group than in control group (all P＜0.05).Conclusions The individualized health management in senile mental disorders is not only feasible,but also effective.
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Objective To improve self-management of diabetics with role lack.Methods A total of 121 diabetics with role lack were enrolled and received mass education and individual counseling.Serum levels of glucose and lipid profiles and body mass index (BMI) were assessed and compared before and after intervention by using paired t test.Results Knowledge on diabetes ( 79.37 ± 12.45 vs 31.69 ± 9.36,t =2.860,P ＜ 0.05) and self-management skills ( 9.21 ± 2.85 vs 4.43 ± 1.72,t =2.812,P ＜ 0.05 ) were significantly improved after receiving health education,although fasting plasma glucose [ ( 6.3 ± 1.8 ) vs (8.1 ±2.1) mmol/L,t =2.736,P ＜0.05],2-h postprandial blood glucose [(8.1 ±3.7) vs (12.8 ±4.1)mmol/L,t =3.549,P ＜ 0.05 ],glycosylated hemoglobin Alc [ (6.4 ± 2.5 ) ％ vs (7.1 ± 2.7 ) ％,t =2.603,P ＜ 0.05 ],total cholesterol [ ( 5.2 ± 2.3 ) vs ( 6.3 ± 2.4 ) mmol/L,t =2.036,P ＜ 0.05 ],triglyceride [(1.7±0.7) vs (2.4±0.8) mmol/L,t=2.368,P＜0.05] and BMI [(25.6±6.2) vs (27.3±6.5)kg/m2,t =2.546,P ＜ 0.05 ] were largely decreased.Conclusion Health education could improve selfmanagement and cure of diabetic patient with role lack.
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One hundred and six men aged >60 years were assigned to Group A (60 to 69 years old, n=33), Group B (70 to 79 years old, n=38) or Group C ( >80 years old, n =35), respectively. Serum testosterone, broadband ultrasound attenuation (BUA), speed of sound (SOS) , and stiffness (STI) were determined. Our results showed that as age increased, serum testosterone, BUA, SOS and STI decreased; serum testosterone was positively correlated with BUA ( r=0.62, P<0.05 ) and SOS ( r=0.54, P<0.05 ). We thus suggest that serum testosterone in elderly men might be closely related with bone mineral density.