Risk assessment of unintention injury among preschool children in Shunyi District of Beijing / 中国学校卫生

Objective@#To understand the current situation and associated factors of unintentional injury among preschool children in Shunyi District, and to provide reference for the development of unintentional injury intervention measures.@*Methods@#Three kindergartens in Shunyi district were selected through stratified cluster sampling method, and all the parents were surveyed online by self-designed questionnaire.@*Results@#The proportion of low, medium and high risk assessment of unintentional injury in preschool children were 59.5%, 37.5% and 3.0%, respectively. Risk of unintentional injury increased significantly with age and grade(χ 2=12.35, 12.70, P<0.05). The risk of unintentional injury in inter-generational care (3.7%) was higher than that in parental care(2.4%). The higher the education level of the primary caretaker and family income, the higher level of unintentional injury risk(χ 2=11.23, 14.10, P<0.05).There were significant differences in the risk for burning, poisoning, other accidental injury, prevention of accidental injury and total score of unintentional injury among children of different ages and classes(F=8.26，5.61，4.95，6.15，7.86；9.88，8.39，4.25，6.27，7.55，P<0.05). There was statistical significance in burning risk between boys and girls(t=-4.27, P<0.05). There was statistical significance in unintentional injury prevention between children of different residence(t=9.11, P<0.05). There were significant differences in behavior supervision among risk among children of different ages and grades(P<0.05). Multiple linear regression analysis showed that education level of primary caregivers (college:B=-2.66, 95%CI=-4.69--0.63; bachelor degree or higher:B=-3.80, 95%CI=-5.90--1.70), annual family income (B=-2.82, 95%CI=-4.80--0.84) were associated with unintentional injury risk of preschool children(P<0.05).@*Conclusion@#Health education of unintentional injury prevention among preschool children should focus on the primary caretaker with low education and low family income, which is crucial for prevention of children s injury.

Measurement and analysis of community health staffing standards / 中华医院管理杂志

Objective To measure the gap of community health staffing and establish new norms for community health facilities by means of the WHO Workload indicator of staffing need (WISN) method,for reference of the government in evaluation and decision making of community health staffing. Methods With Xicheng District of Beijing as an example,we collected data on community health staffing and calculated the total demand,measuring the total demand and supply,and gap or surplus in the staffing.Results in 2013,the demand of community health staffing was about 1 7.18 million standard equivalents in Xicheng,while the supply was 10.5 12 million.The WISN ratio was 0.67 for community health supply and demand,in which the ratio of physicians was close to 1,while that of nurses and public health workers was far below 1.850 extra community health staff was needed to reach the total of 2 602 persons.Conclusion The demand and supply of community health service in Xicheng District was seriously unbalanced,a huge gap featuring overstaffing of nurses and inadequate public health workers.This results from the enhancement of primary public health services and rising utilization of community healthcare services in recent years,which deserves high attention from government of all levels,by increasing the staffing of community health staffing standards.

Health-related behavior among in-service staff living in Xicheng District of Beijing / 中华健康管理学杂志

Objective To investigate health related behavior and its affecting factors among occupational populations living in Xicheng District of Beijing so as to provide good evidence for health management services.Methods A total of 33 936 permanent residents aged 15 years or above living in Xicheng District of Beijing were randomly selected with stratified multi-stage cluster random sampling method from November 2008 to March 2009,among whom 12 980 incumbency residents aged 18-60 years old were analyzed.A self-designed questionnaire was used,and height,body weight and blood pressure were measured.Multivariate non-conditional logistic regression was used for data analysis.Results The responding rate was 92.3％ (33 936/36 761).The rate of lacking physical exercise,overweight,current cigarette smoking,alcohol drinking,over-intake of salt and obesity was 62.2％ (8 074/12 980),31.6％ (4 104/12 980),25.0％ (3 249/12 980),23.5％ (3 047/12 980),17.9％ (2 324/12 980)and 8.7％(1 125/12 980),respectively.In logistic regression,the risk factors of insufficient physical exercises were current cigarette smoking and over-intake of salt,while its protective factors were male,age and higher education level (all P＜0.05).The risk factors of overweight and obesity were male,age,alcohol consumption and over-intake of salt,while its protective factor was higher education level (P＜0.05).The risk factors of current cigarette smoking were male,age,alcohol drinking,lack of physical exercises and over-intake of salt,while its protective factor was higher education level (P＜0.05).The risk factors of alcohol consumption were male,age,overweight and obesity,current cigarette smoking and over-intake of salt (all P＜0.05).The risk factors of over-intake of salt were overweight and obesity,current cigarette smoking,alcohol intake and lack of physical exercises,while its protective factor was higher education level (P＜0.05).Conclusion Our investigation suggests that the occupational population should be offered with health education and behavioral intervention.

Health status and health service demand of residents in Beijing Xicheng District / 中华全科医师杂志

A survey with self-designed questionnaire was conducted among (33 936)permanent residents aged over 15 years in Beijing Xicheng District,who were randomly selected using stratified multistage cluster sampling method.The items of survey included the prevalence of chronic diseases,behavioral risk factors and intention of visiting doctor.The results revealed that the prevalence of hypertension,diabetes,coronary heart disease,chronic arthropathy,dyslipidemia,chronic obstructive pulmonary disease (COPD) and stroke was 21.9％,8.0％,7.4％,5.8％,5.6％,3.2％ and 2.5％,respectively.Lacking physical exercise (49.3％) was the most frequent behavior risk factors of chronic diseases.The results also showed that 62.6％ residents chose large hospitals as first preference for seeking health care,only 23.7％ residents chose community health services institutions.The survey indicates that integrated intervention and management of chronic disease should be further enhanced in communitics; and the health insurance policy should be adapted to attract more residents to utilize community health service as primary care setting.

Effects of Hyperbaric Oxygen on Cognition after Leukoaraiosis / 中国康复理论与实践

@#Objective To study the effect of hyperbaric oxygen on cognitive dysfunction in patients with leukoaraiosis (LA). Methods 48 cases of moderate or severe LA with cognitive dysfunction were divided into 2 groups: the experimental group accepted hyperbaric oxygen (HBO) besides routine therapy, while the control group accepted routine therapy only. Both groups were assessed with Montreal cognition assessment (MoCA). Results The scores of MoCA in patients in the experimental group improved after treatment（P<0.05）, and was more than that of the control group（P<0.05）. Conclusion HBO can improve the cognitive function in patients with LA.

Epidemiological Study on Arteriosclerosis Evaluated by Pulse Wave Velocity in China(review) / 中国康复理论与实践

@#The pulse wave velocity(PWV)known as one of important monitoring methods in crowd more can precisely reveal the occurrence of cardiovascular events.The brachia-ankle PWV(baPWV)is referred to cosmically epidemiological study in crowd.PWV is known as a vicarious mark of arteriosclerotic burden and an independent risk factor.Moreover,used for decision the therapeutic effect.Our study initially showed that PWV was only a mark of cardiovascular events and was not a predict end point.

Cognitive Function of the Patients with Leukoaraiosis at Different Extent / 中国康复理论与实践

@# Objective To explore the characteristics of cognitive function in patients with leukoaraiosis(LA)at different extent.Methods The cognitive function of 66 patients with different extent of LA and 49 healthy controls were measured using the MoCA scale,and the relationship between the cognitive function and the extent of LA was evaluated.Results The LA was more severe,the cognitive function of patients was more poor.The cognitive function of patients with type Ⅳ LA significantly decreased than the patients with type Ⅰ LA and the controls,especially in the language,memory,visuoconstructional and executive functions(P<0.05).While the function of naming,attention,abstraction and orientation showed no significant difference between the patients with LA and the controls(P>0.05).Conclusion Moderate and severe LA may cause impairment of cognitive function.

Application of Brachial-Ankle Pulse Wave Velocity in High Cardiovascular Risk Patients / 中国康复理论与实践

@#Objective To observe the relationship between brachial-ankle pulse wave velocity(baPWV)and cardiovascular risk factors as well as clinical cardiovascular events in high cardiovascular risk patients.MethodsRelevant clinical data,including baPWV,height,weight,waist circumference,blood pressure,heart rate,history and blood biochemistry test were collected in 111 consecutive patients with high cardiovascular risk.High cardiovascular risk patients are defined as those who developed cardiovascular events (coronary heart disease,ischemic stroke and transient ischemic attack) before or those who have two or more cardiovascular risk factors(more than 50 years old,smoking,obesity,hypertension,diabetes mellitus and hyperlipidemia).The number of risk factors and cardiovascular events between patients with high baPWV (≥1700 cm/s) and low baPWV (<1700 cm/s) were compared.ResultsCompared with low baPWV group,the cardiovascular events and the number of cardiovascular risk factors were higher in high baPWV group(35.3% versus 60.5%,P<0.01 and (3.9±1.2)versus (4.4±0.9),P<0.05,respectively).The factors influencing baPWV were age (P<0.001)and systolic blood pressure (P<0.01).ConclusionIn patients with high cardiovascular risk,the cardiovascular events and the number of risk factors were more frequent in patients with higher baPWV.Age and systolic blood pressure are independent risk factors of baPWV.

Relationship of Congnitive Function with Different Location and Stage of First-ever Lacunar Infarction / 中国康复理论与实践

@#Objective To explore the characters of cognitive dysfunction for first-ever lacunar infarction (LI). Methods 136 first-ever diagnosed LI patients were evaluated with Alzheimer's disease assessment scale (ADAS) 72 h, 2 weeks, 1 month, 3 months and 6 months after attack. The scores were compared with the baseline and those of 76 normal control. Results Memory: during the first 72 h, significant difference was shown between the every location of LI (including the basal ganglia, corona radiate,frontal lobe, temporal lobe,parietal lobe, periventricular location, centrum semiovale, thalamus) and normal control (P<0.05); but between the certain location of LI and that of normal control 2 weeks, 1, 3 and 6 months after attack (P<0.05). Language: there was significant difference between every location of LI and normal control 72 h, 2 weeks and 1 month after attack (P<0.05), but between the certain location of LI and that of normal control 3 and 6 months after attack (P<0.05). Practice: there was significant difference through every visit time point of all the LI patients compared with normal control (P<0.05). Attention: Significant difference (P<0.05) was found between every location LI patients and normal control 72 h after attack, but between certain location LI patients and normal control 2 weeks, 1, 3 and 6 months after attack (P<0.05). Orientation:LI was insufficient to cause to decline in orientation. Conclusion There are mild to severe cognitive dysfunctions in the first-ever diagnosed LI patients, which need pay attention to and intervene in time.

Prevalence and Relevant Risk Factors of Low Blood Pressure in China / 中华高血压杂志

Objective　 To study the prevalence and relevant risk factors of low blood pressure and its influence on cardiovascular diseases in China. Methods　A cross-sectional study for low blood pressure was conducted using the data of the third national survey of blood pressure in 1991. Low blood pressure was defined for systolic (SBP) and diastolic (DBP) pressure less than the tenth percentile for the sample (SBP≤98mmHg and DBP≤60mmHg). Results　The prevalence of low blood pressure for males and females were 2.7% and 7.4%, respectively. The prevalence of low blood pressure for females was higher than that of males (P<0.01). Prevalence of low blood pressure was 7.62%, 6.97%, 4.40%, 3.22%, 2.65%, 1.94% for age groups 15～, 25～, 35～, 45～, 55～, 65～, respectively. The prevalence of low blood pressure was gradually declined with aging. There was large variation in the prevalence of low blood pressure for different minorities. The prevalence of low blood pressure was higher in the southern rather than the northern part of China. Logistic regression showed that the age (OR 0.97, 95%CI 0.97～0.98, per 10 mmHg), BMI (OR 0.80, 95%CI 0.80～0.81), drinking (OR 0.89, 95%CI 0.86～0.93) and heart rate (OR 0.981, 95%CI 0.980～0.982) had reverse relationship with low blood pressure. The sex had a positive relationship with low blood pressure. The prevalence of stroke and myocardial infarction in the population with low blood pressure was lower than that of normal pressure or hypertension (P<0.01). Conclusion　The prevalence and relevant risk factors of low blood pressure in China were various. We speculate that low blood pressure in Chinese population appears to be a normal state of physiology.The difinite influence in health needs cohort studies to confirm.