ABSTRACT
Objective In the current study, we aim to analyze the sub-health status and its potential influencing factors on white-collar population in Hangzhou, and to provide the basis for improving their health consciousness and life styles. Methods A total of 2156 employees who work at private enterprises, state-owned enterprises, joint ventures and sole proprietorship enterprises in Hangzhou, were recruited for the survey on the sub-health status via a stratified cluster random sampling method. The sub-health incidence was assessed using the standard sub-health rating scale (SHMS V1.0) and the risk factors for sub-health were analyzed by the logistic regression. Results A total of 2156 questionnaires were distributed and 2117 were returned. The valid questionnaires were 2046 and the responsive rate was 96.65%. Among the 2046 respondents, sub-health was 1062, accounting for 51.91%. The multivariate logistic regression analysis showed that male, age over 30 years old, divorce/widowhood, joint venture, sole proprietorship, bad habits, family disharmony and low job recognition were risk factors for sub-health in white-collar population. Marriage, master degree, management positions, senior white-collar workers, monthly income of more than 5000 yuan, regular sports, serving state-owned enterprises were the sub-health protection factors for white-collar population. Conclusion Totally 51.91% of the white-collar workers in Hangzhou were in sub-health state. Furthermore, male, over 30 years old, divorced/widowed, working in joint venture or sole proprietorship, bad habits, family disharmony and low job recognition are risk factors for sub-health.
ABSTRACT
<p><b>BACKGROUND</b>It is still a challenge for the cardiac surgeons to achieve adequate revascularization for diffused coronary artery disease (CAD). Coronary endarterectomy (CE) offers an alternative choice of coronary artery reconstruction and revascularization. In this study, short-term result of CE combined with coronary artery bypass graft (CABG) was discussed in the treatment for the diffused CAD.</p><p><b>METHODS</b>From January 2012 to April 2014, 221 cases of CABG were performed by the same surgeon in our unit. Among these cases, 38 cases of CE + CABG were performed, which was about 17.2% (38/221) of the cohort. All these patients were divided into two groups: CE + CABG group (Group A) and CABG alone group (Group B). All clinical data were compared between the two groups, and postoperative complications and in-hospital mortality were analyzed. The categorical and continuous variables were analyzed by Chi-square test and Student's t-test respectively.</p><p><b>RESULTS</b>Diabetes mellitus, hypertension, hyperlipidemia, and peripheral vascular disease were more common in group A. In this cohort, a total of 50 vessels were endarterectomized. Among them, CE was performed on left anterior descending artery in 11 cases, on right coronary artery in 29 cases, on diagonal artery in 3 cases, on intermediate artery in 2 cases, on obtuse marginal artery in 5 cases. There was no hospital mortality in both groups. The intro-aortic balloon pump was required in 3 cases in Group A (3/38), which was more often than that in Group B (3/183). At the time of follow-up, coronary computed tomography angiogram showed all the grafts with CE were patent (50/50). There is no cardio-related mortality in both groups. All these patients were free from coronary re-intervention.</p><p><b>CONCLUSIONS</b>Coronary endarterectomy + CABG can offer satisfactory result for patients with diffused CAD in a short-term after the operation.</p>