Résumé
@#Objective To observe the effects of different health education patterns on chronic nonspecific low back pain (CNLBP). Methods From September, 2016 to April, 2017, 75 patients with CNLBP after rehabilitation were randomly divided into control group (n=45) and Back School group (n=30). The Back School group received group teaching including physiological and anatomy of lumbar spine, ergonomics, healthy posture and function exercise, once a week for four weeks. While the control group received the booklets including the same contents. They were self-assessed with Visual Analogue Scale (VAS), Oswestry Disability Index (ODI), and the 36-item Short Form (SF-36) before education, and one and three months of follow-up in clinics, or with call back services and Wechat. The recur-rence frequency was recorded. Results The score of VAS increased in both groups in the follow-up, but increased less in the Back School group (Z>2.645, P<0.01). The recurrence frequency was less in the Back School group (Z=-2.082, P<0.05), with more ODI score (Z=2.265, P<0.05) after three months of follow-up. The bodily pain score of SF-36 was more in the Back School group after one and three months of follow-up (t>2.273, P<0.05). Conclusion Health education with Back School may benefit to maintain the curative effects and function, reduce recur-rence, and improve the quality of life of CNLBP patients.
Résumé
Objective To learn the current status of the resources of mental health organizations in Hangzhou,and to provide evidence for the government departments to formulate plans and to allocate mental health service resources reasonably.Methods The investigation was conducted by Hangzhou Mental Health Office,which compiled and issued "Hangzhou Mental Health Services Questionnaire",and reported by the District Mental Health Office.Data was statistically analyzed on mental health service organizations,beds,outpatient visits,hospitalization visits and spiritual practitioners in 2015.Results Totally 29 organizations,11 rehabilitation centers and 128 community occupation therapy institutions carried out mental health services,and 24 medical organizations and all the rehabilitation centers were located in the main city.A total of 3,079 beds in these organizations were recorded,that is to say,each 10,000 people own 3.54 beds with 3.86 beds per 10,000 people in the main city and 2.24 beds per 10,000 people in the disfrict.The bed utilization rate was over 80％.There were 467 psychiatrists (including the assistants) and 833 psychiatric nurses in Hangzhou,in other words,there were 5.37 psychiatrists and 9.57 psychiatric nurses serving every 100,000 people.The ratio of beds and personnel of the mental health service was 1:0.42.Conclusion The mental health service resources in the urban was better than the county,but the distribution of service resources among different areas was not balanced.Although the level of the density of beds,and the number of people practicing were high,that still can not meet the needs of society.
Résumé
Objective To investigate cancer high - risk rate,screening rate,detection rate in Zhejiang urban area and to provide the further evidence for cancer screening,early detection and treatment programs. Methods Epidemiological investigation and cancer risk evaluation were launched among 40 - 69 years old residents in Hangzhou and Ningbo city. People who were at high risk of lung cancer,liver cancer,upper digestive tract cancer,female breast cancer and colorectal cancer could receive clinical screening for free. Cancer high risk rates,screening rate and clinical detection rates were calculated. Results A total of 41 547 residents finished questionnaires and cancer risk evaluation. Cancer high risk rates of lung,liver,upper digestive,female breast and colorectal were 14. 05% ,12. 58% ,23. 28% ,11. 50% and 11. 82% , respectively. The rates of people who encountered single,couple,three,four and five types of cancer high risk were 29. 64% ,10. 97% ,3. 41% ,1. 16% ,0. 38% ,respectively. Screening rates for the five types of cancer were 50. 91% for lung cancer,49. 16% for liver cancer,19. 55% for upper digestive tract cancer,56. 25% for female breast cancer and 21. 75% for colorectal cancer. Lung cancer/ suspected lung cancer detection rate was 2. 42% . Breast cancer screening BI- RADS Grade 4 - 5 detection rate was 6. 71% . Upper digestive tract cancer detection rate was 0. 32% . Liver cancer detection rate was 0. 04% . Colorectal cancer detection rate was 0. 75% . Conclusion Technical solutions and program management should be improved to enhance the effect of cancer screening,early detection and treatment programs.