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Objective:To analyze the correlation between gastric disharmony and daily eating behaviors in college students, and to provide intervention measures for improving gastric disharmony among college students.Methods:From April 10 to 30, 2021, 3 825 college students from five Chinese medicine colleges and universities in China were selected for this study using the multi-level sampling method. The information regarding college student's general situation, daily eating behavior, and stomach disharmony was collected by questionnaire.Results:A total of 3 700 valid questionnaires were collected, with an effective response rate of 96.73%. The average age was (20.0 ± 3.0) years, and 66.41% of college students included in this study were female. Students with different characteristics had different gastric disharmonies and eating behaviors, and gastric disharmony was correlated with eating behavior. Multivariate analysis results showed that snacking ( OR = 1.11, 95% CI: 1.02-1.21), partial eclipse ( OR = 1.12, 95% CI: 1.00-1.26), picky eaters ( OR = 1.23, 95% CI: 1.08-1.41), and supper ( OR = 1.19, 95% CI: 1.04-1.36) were positively correlated with gastric disharmony. Eating regular meals ( OR = 0.86, 95% CI: 0.79-0.94) and 80% fullness ( OR = 0.89, 95% CI: 0.81-0.98) were negatively correlated with gastric disharmony. Conclusion:Poor eating behaviors may be an important factor leading to gastric disharmony.
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Welding operations are widely present in the manufacturing production process, involving a large number of occupational groups, and are the key occupations where work injuries and occupational diseases occur in China. For different welding processes and welding materials, the content and focus of occupational health monitoring are different. At present, the item of occupational health examination in welding operation is in poor consistency with the on-site exposure of occupational hazard factors, and it is mainly concentrated in the stage of disease development, which can not reflect the early health damage caused by welding dust exposure in time. The emergence of biomarkers of welding dust can make up for this defect. Therefore, it is of great significance to describe the current situation of occupational health monitoring of welding dust and summarize the research progress of related biomarkers for the early prevention of diseases caused by welding dust and the practice of occupational health monitoring.
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Occupational Health , Welding , Occupational Exposure/analysis , Dust/analysis , Biomarkers , Air Pollutants, Occupational/analysisABSTRACT
ABSTRACT INTRODUCTION: Smartphone and application use can improve communication and monitoring of chronic diseases, including chronic kidney disease, through self-management and increased adherence to treatment. OBJECTIVE: To assess smartphone use in patients with chronic kidney disease on dialysis and their willingness to use mobile applications as a disease self-management strategy. DESIGN AND SETTING: This was a cross-sectional study of chronic kidney disease patients on hemodialysis in the São Francisco Valley in the Northeast Region, Brazil. METHODS: The questionnaire developed by the authors was administered between April and June 2021. Cronbach's alpha coefficient for the construct was 0.69. Associations between the dependent and independent variables were determined using univariate analysis. Multivariate analysis with logistic regression analysis was also performed. RESULTS: A total of 381 patients were included, of whom 64% had a smartphone, although only 3.1% knew of a kidney disease-related application. However, 59.3% believed that using an application could help them manage their disease. Having a smartphone was associated with treatment adherence, higher educational attainment, and higher per capita income. Educational attainment remained an independent factor in multivariate analysis. CONCLUSION: More than 64% of patients had a smartphone, although few knew of applications developed for kidney disease. More than half of the population believed that technology use could benefit chronic kidney disease treatment. Smartphone ownership was more common among the younger population, with higher educational attainment and income, and was associated with greater adherence to hemodialysis sessions.
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Resumo O presente artigo tem dois objetivos integrados: (i) identificar a representação da saúde na Agenda 2030, a partir dos indicadores relacionados à saúde operacionalizados por instituições internacionais e nacionais; e (ii) comparar as potencialidades das plataformas para o monitoramento dos compromissos de saúde brasileiros nos ODS. Argumenta-se que ainda existem controvérsias importantes trazidas pela maior complexidade da Agenda 2030, em particular na operacionalização dos indicadores relacionados à saúde, cujos determinantes perpassam muitos outros objetivos e metas. O monitoramento e avaliação mais efetivos dos compromissos brasileiros nos ODS requer melhoria, com maior desagregação e estratificação dos indicadores na população, ainda que o retrato do país hoje disponibilizado nas diversas plataformas nacionais e internacionais já seja amplo.
Abstract This article has two integrated objectives: (i) to identify the representation of health in the 2030 Agenda from health-related indicators implemented by international and national institutions; and (ii) to compare the potential of platforms for monitoring Brazilian health commitments in the SDGs. It is argued that there are still important controversies brought about by the greater complexity of the 2030 Agenda, particularly in the operationalization of health-related indicators, whose determinants permeate many other objectives and goals. Finally, even though the picture of the country currently available on national and international platforms is already broad, improvements are required for more effective monitoring and evaluation of Brazilian commitments in the SDGs, with greater disaggregation and stratification of indicators in the population.
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Objective To investigate the status of radiological protection in Baoji City. Methods Using the questionnaire survey method, the survey forms were sent to the radiology clinics and other relevant units in the counties and districts of the city to investigate the basic situation of radiology and treatment of medical and health institutions, basic information of radiology and treatment equipment, personal information of radiation workers, and health monitoring of radiation workers. Results There is 1.13 X-ray diagnostic equipment per 10, 000 people, 0.015 radiotherapy equipment per 10, 000 people in Baoji City, and One million people own 11.4 CTs. There are 1, 102 radiation workers in Baoji City, and 2.92 per 10, 000 people. The occupational health check rate of medical radiation personnel was 87.7% within 2 years, the personal dose monitoring rate was 90.4%, the radiation worker training rate was 73.6% within 2 years, about the holding rate of "Radiation Staff Certificate" in Baoji City was 73.0%, and the occupational health file rate was 89.2%. The evaluation indexes of various health monitoring were lower, especially in township hospitals (35.7%～50.8%). Conclusion On the whole, the number of radiological diagnosis and treatment equipment is small, and Class A large equipment is almost blank. The city is stronger than the county in health monitoring. The status of health monitoring is very different from urban to rural areas.
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Objective To understand the situation of occupational health monitoring status of medical radiation workers in radiation diagnosis and treatment institutions, to provide reference for the evaluation of radiation protection measures as well as for the health supervision/inspection agencies, and to maximize the protection of occupational health rights of medical workers in radiation diagnosis and treatment. Methods Questionnaires were distributed then collected in the radiation diagnosis and treatment institutions in Qinzhou. The data were analyzed afterwards. Results A total of 850 medical radiation workers were recruited from 101 institutions that had obtained the radiation diagnosis and treatment license in Qinzhou. Among them, the physical examination rate of radiation diagnosis and treatment staff was 96.94%, the personal dosimeter monitoring rate was 93.41%, the training rate of radiation protection and legal knowledge was 94.12%, and the monitoring rate of equipment performance stability was 51.49%. Conclusion The occupational health monitoring of radiation workers in high-level institutions relatively meets the standard, and the management of occupational health monitoring in township hospitals, private hospitals and dental clinics is not satisfactory. The monitoring rate of radiation equipment performance in the whole city is generally low. Health supervision and law enforcement departments should strengthen law enforcement, urge the institutions to conduct radiation occupational health monitoring in an orderly manner according to law, and protect the health rights/interests of radiation diagnosis and treatment workers to the maximum extent.
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OBJECTIVE: To analyze the distribution characteristics of surveillance results of key occupational diseases in Nanning City.METHODS: The occupational health monitoring data of key occupational diseases of Nanning City from 2015 to 2019 were collected using judgment sampling method and analyzed by descriptive epidemiology method. RESULTS: A total of 38 cases of key occupational diseases were reported in Nanning City during the past 5 years.The main diseases were occupational pneumoconiosis and occupational noise-induced deafness(ONID). The rate of occupational health examination was 40.06%, showing an increasing trend with the increase of years(P<0.01). The detection rate of occupational pneumoconiosis was higher than that of ONID(0.19% vs 0.01%, P<0.01). However, the abnormal detection rate of occupational health special examination in noise-exposed workers was higher than that in dust-exposed workers(10.98% vs 0.35%, P<0.01). The detection rate of pneumoconiosis-like changes in dust-exposed workers was the highest in private enterprises(P<0.01). The detection rate of binaural high frequency average hearing threshold ≥40 dB was highest in small and micro enterprises and private enterprises(all P<0.01). The detection rate of blood lead level >400 μg/L was 24.75%, and 98.80% of the abnormal workers were concentrated in medium-sized foreign-funded enterprises. The detection rates of abnormal leukocyte, neutrophil and platelet counts in benzene-exposed workers were 1.17%, 3.21% and 0.26% respectively. CONCLUSION: Among the key occupational disease risk factors in Nanning City, the number of workers exposed to dust and noise is relatively high, which results in serious consequences and harm. But the hazards of lead and benzene cannot be ignored. Emphasis should be placed on strengthening the supervision and management of key occupational diseases in small and medium-sized micro-enterprises and private enterprises.
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An intelligent nursing system for hospital wards is designed. With STM32 as the core and Internet of things technology, the intelligent nursing system can obtain body temperature, heart rate and control all the facilities in the ward by itself through the mobile APP. The intelligent nursing system has the advantages of simple operation, high accuracy of measurement data, stiff stability and good real-time performance. It can not only realize comprehensive real-time health monitoring for patients, but also greatly reduce the workload of nurses and improve work efficiency.
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Humans , Hospitals , TechnologyABSTRACT
Objective:To analyzes the current status of radiation protection in non-medical sectors, together with the vulnerable spots in the prevention and control of occupational radiation sickness in China in order to provides both technical basis for occupational health management in non-medical radiation sectors and the better protection of occupational health benefits for radiation workers.Methods:The monitoring plan for this survey was worked out on the part of the National Institute for Radiological Protection, China CDC. Survey and monitoring of the current status of radiation protection and occupational health management were, under the monitoring the plan, completed by the relevant agencies of all provincial-level regions for the key industries of non-medical sectors countrywide, involving occupational health monitoring, personal dose monitoring, radiation protection monitoring instruments equipped, and radiation protection monitoring in workplace. Based on the survey result , the deficiencies in radiation protection and occupational health monitoring in non-medical sectors were analyzed.Results:The survey of non-medical sectors was divided into general investigation and detailed monitoring, with the general investigations covering 9 075 non-medical institutions in 31 provincial-level regions across the country. Of them, a total of 4 911 institutions within 329 district-level regions received detailed investigation and radiation protection monitoring. As survey result , the X, γ ambient dose equivalent rates for the institutions using ray-generator are greater than 2.5 μSv/h, about 2.35% of the total, with a maximum of 817 μSv/h. The values for those using radioactive sources were greater than 2.5 μSv/h, about 9.57%, with a maximum of 1 700 μSv/h. The frequencies of personal dose monitoring and occupational health examination were 72.9% and 82.1%, respectively.Conclusions:There is still a gap in radiation protection between the current status and the national regulations and standards in non-medical sectors, so both regulation and management of radiation protection should be further strengthened.
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A wearable wireless health monitoring system for drug addicts in compulsory rehabilitation centers was proposed. The system can continuously monitor multiple physiological parameters of drug addicts in real time, and issue early warning information when abnormal physiological parameters occur, so as to play the role of timely medical practice. In addition, this study proposes a convolutional neural network (CNN)model, which can evaluate the health status of drug addicts based on multiple physiological parameters. Experiments show that the model can be applied to the task of body state recognition in the open physiological parameter data set, and the recognition accuracy can reach up to 100% in a single physiological parameter data set; when the whole physiological data set is used, the recognition accuracy can reach 99.1%. The recognition accuracy exceeds the performance of the traditional pattern recognition method on this task, which verifies the superiority of the model.
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Algorithms , Electrocardiography , Monitoring, Physiologic , Neural Networks, Computer , Wearable Electronic DevicesABSTRACT
Objective@#Analyzes of the monitoring results of silicosis in key occupational disease monitoring in Tianjin in 2017, providing reference for continuous monitoring, and prevention and control work of silicosis.@*Methods@#Monitor and analyze the current state of silica dust hazard enterprises, the health status of silica dust workers, and the characteristics of newly developed silicosis cases in accordance with the national 2017 work plan for key occupational disease monitoring and occupational health risk assessment.@*Results@#In 2017, 210 enterprises have silica dust hazard in Tianjin, silica dust workplaces exceed the standard rate is 34.73%, 5 695 workers' health examination who contact with silica dust were collected. 2 were detected occupational contraindication, the abnormal detection rate of chest examination is 3.60%, the abnormal index of lung function mainly is FVC, the abnormal rate is 15.8%. The abnormal rate increases with working years. In 2017, 193 new cases of silicosis were reported most cases were developed after years of decontamination. Most enterprises with cases had already out of market, only 7 were still producing.@*Conclusion@#The key prevention and control in Tianjin was enterprises with silica dust excess of standard, as well as older and longer working years workers, adopting effective measures to reduce the concentration of silica dust in workplace is a fundamental measure to reduce the risk of silicosis.
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Smart dressings, which show obvious advantage and potential in wound treatment and real-time monitoring, attract widespread attention in recent years. Real-time and dynamic acquiring wound information is vital to the treatment and prognosis of wound. Further research on smart dressings is helpful for wound management, personalized treatment, and realization of medical application translation of health monitoring technology. In the article, we categorize smart dressings and conclude their functions according to the type of micro-environment information of wound gathered by smart dressings.
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Objective@#To understand the status of occupational health surveillance for workers on offshore platforms.@*Methods@#The research period was from 2014 to 2016. From 2014 to 2016, a cross-sectional survey method was adopted to select 429 people for offshore oil production, drilling and operation platforms and their first-line workers to conduct workplace occupational hygiene. Investigation, occupational hazard factor testing, occupational health check of workers, collation and statistical analysis of surveys and test data, and comparison of occupational health surveillance among workers of different types of offshore platforms.@*Results@#From 2014 to 2016, the results of chemical harmful factors detection of occupational diseases in the offshore platform were in line with the national occupational health exposure limit requirements. The noise of some platform posts exceeded the standard, such as: oil platform oil, oil and oil and gas processing workers, diesel engines for drilling and working platforms. Worker noise exceeds national occupational health limits p[Lex, 8 h>85 dB(A)].There was a statistically significant difference in the occupational health of workers on the same platform with the age and length of service (P<0.05).@*Conclusion@#Workers on different platforms at sea may be subject to different levels of occupational health damage, and the occupational hazards brought by noise to platform workers are particularly prominent.
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Nanogenerator (triboelectric nanogenerator and piezoelectric nanogenerator) has experienced a rapid development since it was proposed. This technique can covert various mechanical energies into electric energy, including human motion energy, wind energy, acoustic energy and ocean energy. The converted electricity can be used for health monitoring and physiological function regulation, such as pulse detection, bioelectrical stimulation and cardiac pacing. This review summarizes the structure, working mechanism, output performance of nanogenerator and its latest progress in circulatory system, nervous system, biological tissue, sleep and rescue system. Additionally, a further analysis was also made on the application challenge of nanogenerator in clinical treatment. In the future, nanogenerator is expected to be an auxiliary power source, or even to replace battery to power medical electronic device and realize the self-powered health monitoring and physiological function regulation of human body.
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Humans , Electric Power Supplies , ElectricityABSTRACT
Objective:To research and design a wearable system for intelligent health monitoring and guidance of diagnosis and treatment so as to real-timely monitor the parameters of main vital signs of wearers and to achieve the intelligent health monitoring and guidance of diagnosis and treatment for wearers.Methods: The microsensor technique was its core, and blue tooth, 3G and (or) 4G mobile data communication function were applied in the design. And the vital signs of wearers were gathered, and threshold value was set to forewarn the warning. And then the data of vital signs were sent to cloud data platform of remote distant, and these data could be real-timely applied by doctor in diagnosis and treatment. Besides, the voice communication and GPS functions were integrated so as to got guidance of diagnosis, treatment and deliverance.Results: The system can real-timely collected, transfer and save the vital signs of wearers and forewarn abnormal vital signs of them. At the same time, the voice guidance and positioning could be implemented, and these function could actively forewarning at necessary time, therefore, it could timely treat and cure for wearers. Besides, it could provided speech communication function to achieve health monitoring and remote distance guidance for wearers.Conclusion: The system is convenient to wear and possesses series of powerful functions, and it has very high practical value for those with chronic ill or with special operations.
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Objective@#This study aims at the review result of Guangzhou occupational health examination from 2012-2016 to analyze the distribution of crowd and to discover the occupational health hazard factors and key Protection object by finding the situation of the goal of occupational hazard factor diseases through review examination. @*Methods@#By using retrospective study method, to choose those people who have accepted occupational health review examination handled by the review examination group of Guangzhou Occupational Prevention and Treatment Hospital from 2012 to 2016. And comprehensively analyze the review result of occupational health examination in 5 years. @*Results@#There are 8618 cases of occupational health review examination handled by Guangzhou Occupational Prevent and Treatment Hospital and with complete data. From the Personnel structure, it refers that they are Predominantly male and their ages are mainly distributed under 40-year-old. Most of them work under the occupational disease inductive factors less than 5 years and most of the factor is contacting with noise. In the recent 5 years, we found out 1906 cases of occupational contraindications through total review, which takes 22.12% of total number of review People, including noise occupational contraindication in 61.59%. And we found 435 cases of suspected occupational disease which takes 5.05% of total number of review People, including suspected occupational noise deafness which takes the property of 60.23% and appears the most common disease. Suspected occupational diseases and occupational taboos are mainly male patients, and the age is mainly in the 30-49 age group, the working age is mainly less than 5 years. @*Conclusion@#Occupational health examination is an important Part in occupational health, occupational health examination review is the most Prior Part in the occupational health examination, which Plays a key role to discover the target disease of the occupational hazard factors in time, Prevent the development of occupational diseases and protect laborer occupational health.
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Current research,application,advantages and disadvantages of wearable health monitoring items based on soft sensor technology in foreign countries and China were introduced and analyzed,and the application in diseases monitoring,emotion monitoring,monitoring of rehabilitation training,monitoring of sport training,operational safety monitoring in special environments,casualty search during war and disaster,monitoring of the elderly and children and etc were also described.The characteristics of the items were analyzed,and some countermeasures were put forward to solve the problems in materials safety,data quality,industrial standard,unclear efficacy and etc.The study and prospective of soft physiological sensing technology were expounded in detail.
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OBJECTIVES: Acceleration plethysmograms (APGs) are obtained by taking the second derivative of photoplethysmograms (PPGs) and are noninvasive circulatory signals related to risk factors for atherosclerosis with age. There has been growing interest in the development of mobile devices to collect and analyze PPG single features for ambulatory health monitoring. The present study aimed to extract a new feature from the morphologies of APG and PPG signals to classify the dominant indices related to the pulsatile volume of blood in tissue according to age. METHODS: Ten APG and 14 PPG indices were simultaneously extracted. All indices were compared via Pearson correlation coefficients (r) and a regression analysis. We introduced a combined index extracted from both the PPG and APG indices defined as the inflection point area plus the d_peak (IPAD). The participants included 93 healthy adults aged 36–86 years with a mean ± standard deviation age of 57.43 ± 11.99 years. RESULTS: The d_peak and age index for the APG indices were significantly correlated with age (r = −0.408, p < 0.0001 and r = 0.296, p = 0.0039, respectively). Only the A1 time for PPG indices was moderately correlated with age (r = −0.247, p = 0.017). The stiffness index, including individual height information, was not related to age (r = −0.031, p = 0.7713). However, the combined IPAD index was significantly more correlated with age (r = 0.56, p < 0.001) than the other indices. CONCLUSIONS: The proposed index outperformed the other 24 indices for evaluating vascular aging. We suggest that the IPAD is a significant factor related to the clinical information embedded in the PPG waveform.
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Adult , Humans , Acceleration , Aging , Atherosclerosis , Photoplethysmography , Risk Factors , Vascular StiffnessABSTRACT
Introducción: La vigilancia de la salud es una función esencial de la salud pública en la que deben participar diferentes actores. La normativa vigente para Costa Rica, delimita el quehacer de algunos actores y de otros no, como es el caso de farmacia. Objetivo: Describir aspectos relacionados con las acciones de los especialistas en farmacia en el proceso de vigilancia de la salud en el contexto costarricense. Métodos: Investigación cualitativa realizada entre agosto y octubre del 2014. Se visitaron 22 áreas de salud en la zona urbana y 5 en la rural, se entrevistaron de forma voluntaria y confidencial a informantes claves, 22 de farmacia, 2 de medicina, 1 de enfermería, 1 psicología y 1 de trabajo social; todos miembros de las comisiones locales de vigilancia epidemiológica. Resultados: El accionar de los especialistas en farmacia está centrado principalmente en las labores específicas tradicionales que se realizan en un establecimiento farmacéutico, funciones relacionadas con la gestión de los medicamentos. Se ejecutan menos labores orientadas hacia lo externo en el escenario poblacional, rol que se encuentra limitado debido a necesidades y dificultades administrativas. Conclusiones: Los especialistas en farmacia tienen potencial y oportunidades para realizar actividades de vigilancia de la salud, la hacen en parte pero con poco protagonismo porque su función continúa centrada en el medicamento sin proyección hacia otros escenarios de la atención primaria en la salud. Están ausentes otras actividades que podrían contribuir a lograr mejores condiciones de bienestar en las diversas poblaciones(AU)
Introduction: Health surveillance is an essential public health function in which different actors must participate. The current legislation for Costa Rica defines the work of some of these actors but not that of others, as in the case of pharmacy. Objective: To describe aspects related to the actions of pharmacy specialists in the process of health surveillance in the Costa Rican context. Methods: Qualitative research conducted from August to October 2014. Twenty two health areas were visited in urban areas and 5 in rural settings; key informants were voluntarily and confidentially interviewed, that is, 22 from pharmacies, 2 from medical centers, one from the nursing area, one from psychology service and one from social work are. All of them were members of local epidemiological surveillance commissions. Results: The actions of the pharmacy specialists are primarily focused on specific traditional tasks performed in a pharmaceutical center, and related to drug management. Lower number of actions is carried out to extend them to the population setting, since this role is limited due to administrative difficulties and requirements. Conclusions: Pharmacy specialists have potentialities and opportunities for health surveillance, which they partially carry out, but their role continues to be focused on medicines, without going farther into other settings within the primary health care. Other types of activities that might attain better wellbeing in several populations are also lacking(AU)
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Humans , Primary Health Care/standards , Professional-Patient Relations/ethics , Diagnosis of Health Situation , Public Health Surveillance/methods , Costa RicaABSTRACT
The term“specific pathogen free” ( SPF) implies the bioexclusion of a defined list of organisms that can cause disease in a host.Due to many different factors including animal source, vivarium layout, microbiological history, engineering standards, operation practice, and experimental needs, the bioexclusion list tends to be specific for many institutions using live animals in biomedical research.As such, the design and implementation of institution-specific health monitoring program can also vary based on needs.By comparison, laboratory animal producers and users in China are subject to GB regulations which have established a national bioexclusion list based on animal health categories, as well as set detailed engineering standards for vivarium operations based on specific animal health profiles.In addition to summarizing the SPF list of major rodent vendors in North America, the purpose of this article is to bring attention to the different factors animal users should take into consideration when evaluating one ’ s own bioexclusion list and designing institution-specific health monitoring program for laboratory mice and rats, in order to assure animal colony health and scientific integrity.