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Objective TolearnthehealthstatusofemptynesterswithdiabetesinthemountainssouthwestofZhejiangand toexploretheinfluencingfactors.Methods Usingthemethodofstratified-random-clustersampling,78emptynesters with diabetes and 1 56 non -empty nesters with diabetes who come from five streets and 1 0 towns of 30 community (or village)were selected and investigated by questionnaire and physical examination were conducted.Univariate analysis were conducted to compare the differences about lifestyle,biochemical indicators and health status between the two groups and multivariateunconditionallogisticregressionanalysiswereconductedtoanalyzetheinfluencingfactors.Results The prevalence of hypertension of empty nest group was 70.51%,and the prevalence of hypertension of non-empty nest group was 58.97%.Fasting blood glucose level of empty nest group was 9.39 ±5.73 mmol/L,higher than that of the non-empty nest group(P<0.05 ).There was significant difference between the two groups in other indicators,such as drinking rate,high -salt diet rate,obesity rate,triglyceride levels,regular exercise rate,vegetables/fruits ≥4 days/week proportion,fish/meat≥4 days/week,awareness of their own blood pressure and blood sugar awareness (P<0.05).After adjustment for age,the obesity rate,abnormal rate of triglycerides,fish/meat(≥4 days/week)intake,regular exercise rate,blood pressure and blood sugar awareness rate were lower among non-empty nesters with diabetes,and overweight rate,systolic blood pressure abnormal rate,fasting glucose ratio,alcohol and high salt diet were higher in empty nest group patientswithdiabetes.Conclusion Emptynesterswithdiabeteshavearelativelyhighproportionoflackofexercise, inadequate nutrition intake,alcohol consumption,high-salt diet and lack of health knowledge and other unhealthy factors. The community health services and individual guidance for the empty nesters should be strengthened to improve the health status of empty nesters with diabetes.
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Iodine Deficiency Disorders (IDD) is still prevalent in Indonesia. Since 1994 the Government of Indonesia launched iodized salt as the sole method to eliminate IDD. Unfortunately, many parts of the country, particularly in mountainous area could not achieve the target due to some reasons.The objective of the present study was to ascertain that iodine supplementation into drinking water can fill the gap. It was a school-based, long-term trial of iodine supplementation into drinking water in schoolchildren aged 8-10 years. That drinking water contained 200μg iodine/L. Four hundred and forty one children in Ngargoyoso sub-district were included in the study. Drop method of water iodization was used. Goiter was determined by palpation. The reduction of Total Goiter Rate (TGR) indicates effectiveness of the supplementation.TGRdecreased from 51.9% (2010) to 34.3% (2011) to 25.2 (2012) consecutively. No dropout wasreported. It seems thatsevere IDD endemic area with abundance of drinking water from spring well would benefit from the supplementation.
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Objective To explore the influencing factors of insulin resistance among children in the mountainous area. Methods One middle school and 2 primary schools in Longquan city were randomly selected,47 classes of schoolchildren aged 1 0 -1 5 years were selected.Weight,height,waist circumstance (WC),blood pressure,blood glucose (FBG), serum insulin (FINS),triglycerides (TG),high -density lipoprotein (HDL -C)and total cholesterol (TC)were determined.Influencing factors of insulin resistance were analyzed by univariate and multiple logistic regression analysis. Results A total of 2 1 25 students were enrolled in this study.The 75th percentile of HOMA -IR was 2.59 respectively. The univariate analysis showed that HOMA -IR was significantly associated with HDL -C,TG,non HDL -C,BMI,WC, SBP,DBP and FPG (P <0.05).The multiple logistic regression analysis showed that WC (OR =1 .07,95%CI =1 .06 -1 .09),FPG (OR =2.29,95%CI =1 .78 -2.94),HDL -C (OR =0.34,95%CI =0.21 -0.56)and TG (OR =1 .43, 95%CI =1 .1 4 -1 .78)were the risk factors of insulin resistance.Conclusion WC,FPG,TG may be the risk factors of insulin resistance among children in the mountainous area,while HDL -C is the protective factor.
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Objective To develop a spatio-temporal model of mountainous Oncomelania hupensis snails based on the Bayes-ian model,and to analyze and identify the spatio-temporal pattern at a village scale. Methods The data including the intensity and spatial distribution of live and infected snails from 2000 to 2006 and the village boundary were collected. The independent and interactive spatio-temporal models were established,and then the best fitness model was selected to analyze the spatio-temporal pattern of live and infected snails. Results The interactive model of live snails and the independent model of infected snails were relative fitness models,and the models showed 95%CI(confidence interval)of the spatial and temporal coefficient included ze-ro,and indicated that the spatial and temporal correlation of live and infected snails was not significant at a village scale. Conclu-sion There is no significant spatial and temporal correlation of live and infected mountainous snails at a village scale,and the fur-thermore study should be carried out at a small scale.
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Objective To evaluate the molluscicidal effect of black plastic mulching in mountainous areas of Yunnan Prov-ince. Methods In Leqiu Village,Nanjian County,Yunnan Province,the terraced fields with Oncomelania hupensis snails were divided into A,B,C,D,E groups,and of which,A,B,C,D groups,as the experimental groups,were administered with sim-ple black plastic mulching for 30 days,60 days,90 days and 120 days respectively;Group E,as the control group,was adminis-tered with 50%niclosamide ethanolamine salt wettable powder spraying. Results In Group C and D(simple black film mulching for 90 days and 120 days),no snails were found after the administration,the average density of living snails decreased by 100%, and the cost of one year was similar to that of the control group. Conclusion The molluscicidal effect of black plastic mulching is good in mountainous areas.
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Objective To understand the status of knowledge and attitude of schistosomiasis control among the human populafion in schistosomiasis transmission-controlled area of Changqiu mountainous areas.Methods The subjects were selected by the random cluster sampling method among residents and students in these alias,then they were investigated by questionnaire.Resuits A total of 150 residents and 209 students were selected.There were 60% of the residents whose awareness rates of the knowledge on schistosomiasis control were above 90%.The correction rates of the questions in residents were between 99.30% and 100%.and the awareness rates about the questionswhether re-infection would occure after schistosomiasis was cured and the remedy for schistosomiasisof female adults were both 75.40%.The correction rates of the two question8 on attitude and behaviour of schistosomiasis control in adults were above 80.00%.In students'questionnaires.the awareness rates of knowledge on schistosomiasis control were above 90%.except the two questions on the shape of the snailand the infection-risk months of schistosomiasis.The correction rates of attitude and behaviour of schistosomiasis control were aslo above 80%.Conclusion The correction rates of knowledge,attitude and behaviour of schistosomiasis control of adults and students have reached the national goal of schistosomiasis control in 2008.
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Objective To investigate the nutritional components and aging-delaying action of some wild berries such as vaccimum vitia-idaea, vitis amurensis, and actinidia arguta in Changbai Mountainous area. Methods Contents of vitamin B 1, B 2, C, niacin, ?-carotene, and minerals such as Fe, Ca and Zn were analyzed. Wild berry juice was administered to aged mice for 30 days respectively at the doses of 3 g?kg -1 and 6 g?kg -1. Then activities of SOD and GSH-Px, and contents of MDA and lipofuscin were measured. Results Contents of vitamin B 1, B 2, C, ?-carotene, and Fe, Ca, Zn in the berries were significantly higher than those in common cultivated fruits. In the meantime, activities of SOD and GSH-Px in red blood cells and the liver were enhanced remarkably (P