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Objective:To evaluate the effect of modified Shengjiang Powder acupoint application on hypertension patients with phlegm-heat syndrome. Methods:A total of 61 patients in Shijiazhuang hospital of traditional chinese medicine (TCM) meeting the inclusion criteria from September 2018 to September 2019 were randomly divided into two groups, the treatment group was 30 cases, the control group was 31 cases. The control group was given Amlodipine Besylate Tablets orally, and the treatment group added modified Shengjiang Powder acupoint application, and both groups were treated for 4 weeks. TCM syndrome scores were performed before and after treatment, and 24 h ambulatory blood pressure were measured with an ambulatory blood pressure monitor, including daytime mean systolic blood pressure (dMSBP), daytime mean diastolic blood pressure (dMDBP), night time mean systolic blood pressure (nMSBP), and night time mean diastolic blood pressure (nMDBP), 24-hour mean systolic blood pressure (24 hMSBP), 24-hour mean diastolic blood pressure (24 hMDSBP) and blood pressure circadian rhythm detection. Results:After treatment, the nMSBP and 24 hMSBP in the treatment group were significantly lower than those control group ( t values were -2.331,-1.511, P values were 0.045, 0.033), the blood pressure circadian rhythm [(8.87 ± 8.33)% vs. (6.94 ± 6.12)%, t=1.034] of the treatment group was significantly higher than those of the control group ( P<0.05); mdizziness, headache, head wraps, vomiting, sputum salivation, upset, mouth pain, insomnia scores of the treatment group after treatment were significantly lower than those in the control group ( P<0.05). Conclusion:The modified Shengjiang Powder acupoint application can reduce the blood pressure level of hypertension patients with phlegm-heat syndrome, especially for the improvement of night blood pressure, and improve the clinical symptoms.
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Objective:To describe health service use and trend of treatment and rehabilitation rates among people with psychiatric disability from 2007 to 2013.Methods:Data collected by the 2006 Second China National Sample Survey and the 2007-2013 National Disability Monitoring Survey were utilized and analyzed.The 2006 National Sample Survey on Disabilities investigated 2 526 145 non-institutionalized representative civilians in 734 counties across mainland China.Psychiatric disability was diagnosed by clinical psychiatrists according to ICD-10 and WHO DAS Ⅱ criteria.The 2007 to 2013 National Disability Monitoring Survey selected 1 to 2 study sites among each of the 734 study counties that had been investigated by the Second China National Sample Survey.Information on living conditions,health service use,education and employment were recorded.Results:The data showed that treatment and rehabilitation rates for people with psychiatric disability had largely increased from 2007 to 2013 among adults aged 18 years or older,with the treatment and rehabilitation rates from 49.52％ and 21.8％ to 66.9％ and 58.7％ respectively,and the rates among those with 17 years or younger from 23.5％ to 43.9％.However,with regard to the effect of the treatment and rehabilitation services,a much larger proportion of people with psychiatric disability reported that the effect was soso instead of good or very good.In addition,among those who received rehabilitation service,most received day care or psychotherapy service,only less than 8％ participated work therapy,farming therapy or working skill trainings.Conclusion:The results suggest treatment and rehabilitation rates among people with psychiatric disability are largely increased from 2007 to 2013,while the quality of the service needs further attention.
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Objective To investigate the relations between psychiatric disability and co-morbid disability caused by injury,severity of the disabilities,as well as the unmet health care need among people living with both disabilities.Methods Data collected through both the Second China National Sample Survey on Disabilities in 2006 and the Follow-up Studies in 2009,were utilized.Sampling weights were considered to appropriately estimate situations in the total Chinese population.Results Among people with psychiatric disability,2.7％ of them were affected by other injurycaused disabilities as visual,hearing,speech,psychical and intellectual disabilities.Among people with disability that caused by injuries,1.8％ of them were living with psychiatric disability as well.The prevalence rates of psychiatric disability and injury caused disability were as 0.94％ and 0.63％,respectively.More than half of the co-morbid people were living with profound disabilities while 46.32％ of the people living with both disabilities developed co-morbid disabilities in the same year.Data from the follow-up program showed that 56.25％ of the people living with co-morbid disabilities did not receive any psychiatric treatment which were in need.Conclusion There seemed a close but bidirectional relationship existed between the mental disorders and injuries that calling for better mental health services provided for people with psychiatric disabilities.
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Objective To investigate how suicide microblog users in China "act" and "speak" differently from other microblog users without suicide idea.Methods The suicide group consisted of 31 Chinese microblog users identified as suicide via online information provided by a Sina microblog user,and the control group consisted of 30 active microblog users without suicide idea screened by using suicide-related psychological scales.The differences in 10 microblog use behavioral characteristics and 88 linguistic characteristics between the suicide group and the control group were compared with normality test and rank sum test respectively.Results In the behavioral characteristics,the suicide group used hyperlinks and "@" less frequently than the control group [0.04 (0.04) vs.0.06 (0.04),P=0.029;0.60 (0.27) vs.0.69 (0.18),P=0.028],and was more self-focused [0.47 (0.25) vs.0.30 (0.10),P=0.010].In the linguistic characteristics,the suicide group showed less frequency in using measure word,work related word and apostrophe than the control group (P＜0.05),and showed more frequency in using pronoun,personal pronoun,third person singular,non-specific pronoun,word expressing social experience,word expressing anxiety,word expressing exclusion,sexual word,religious word,second person singular,human being related word,negative emotion related word,anger related word,sadness or death related word (P＜0.05).Conclusion Suicides seemed to interact less with others,showed more self-concern and more negative expressions,use more cognitively exclusive,death-related,religion-related words,and use less work-related words.The results of this study might be helpful for the research on suicide among netizen.