Research progress on epidemiological characteristics of death of diabetes in China / 预防医学

Abstract@#The diabetic complications involve blood vessels, eye, kidney and foot, and cause high disability and mortality, which severely endanger human health and quality of life. Epidemiological data have shown that the mortality of diabetes appears a tendency towards a rise in China, which results in a high burden of disease, and early screening and interventions are urgently needed to reduce the risk of mortality. Based on the publications of mortality due to diabetes in China from 2010 to 2021, this review summarizes the epidemiological characteristics of diabetes mortality and the main causes of deaths due to diabetes in China, so as to provide insights into management of diabetes epidemics and reduction in risk of diabetes mortality.

Analysis of the incidence and perinatal outcomes of multiple births in Zhejiang Province from 2008 to 2013 / 中华预防医学杂志

<p><b>OBJECTIVE</b>To analyze the trends of multiple births rates and their perinatal outcomes in Zhejiang province from 2008 to 2013.</p><p><b>METHODS</b>Data were obtained from hospital-based perinatal mortality surveillance system in Zhejiang, including all the hospitals in 30 monitoring counties (districts). All births (28 or more weeks of gestation) born in the monitoring hospitals were included in our study within 7 days after delivery from 2008 to 2013. Chi-square test was performed for statistical analyses for comparisons between regions. Trends in the incidence of multiple births and causes of perinatal death were analyzed using chi-square test for trend.</p><p><b>RESULTS</b>From 2008 to 2013, the multiple births rate in Zhejiang province was increased and the rates were 2.32% (5 551/239 636), 2.49% (6 053/243 452), 2.61% (6 549/250 594), 2.82% (7 758/275 105), 2.91% (8 803/302 447) and 3.06% (9 051/295 709), respectively. And the perinatal mortality rates for multiple births were 4.32% (240/5 551), 3.45% (209/6 053), 3.76% (246/6 549), 2.86% (222/7 758), 2.77% (244/8 803) and 2.11% (191/9 051), respectively. A significant drop in the perinatal mortality rates for multiple births was observed between 2008 and 2013 (χ(2) trend = 66.52, P < 0.001). There was a significantly greater risk for perinatal death to multiple births when compared with single birth (OR = 3.62, 95% CI: 3.42-3.83). The three leading causes of perinatal death for multiple births were birth defect, premature and/or low birth weight, and twin-twin transfusion syndrome.</p><p><b>CONCLUSION</b>The multiple births rates in Zhejiang province showed an increasing trend. The perinatal mortality rates for multiple births were decreased annually, however, it was still higher than those in developed countries.</p>

Diffusion of innovations theory in promoting the knowledge and technology for birth defects prevention / 中华医院管理杂志

Determining the approach to spread the knowledge and technology for preventing birth defects using the diffusion of innovations theory.Identifying the target group,orientation messages and promotion guidelines based on related literature,laws and clinical epidemiology studies.Pathways integrating both inter-personal communication and IT have pushed the adoption percentage of innovative knowledge for preventing birth defects up from 0％ to 97 ％ in almost no time,helping the region ranking the first in China.The innovation diffusion model has caught attention of both the government and all the community.Prevention measures against birth defects are accepted community wide,while medical workers are regulated by law in their behaviors of mothers and children healthcare services to set a model for prevention of other diseases.