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Objective:To investigate the current risk awareness of medical online live webcasts among physicians in public hospital, so as to provide reference in promoting the peaceful development of medical online live webcast.Methods:From March 15th to 31st, 2022, the research team used the convenience sampling method to conduct a questionnaire survey on the risk awareness of medical online live webcast among doctors in public hospitals with the help of the " Physician Daily" Internet platform. All data were analyzed descriptively, and the comparison between groups was conducted by Chi square test.Results:1 015 questionnaires were recovered, of which 828 were valid, with an effective recovery rate of 81.6%. 741 doctors (89.5%) knew about the medical webcast, and 752 doctors (90.8%) thought that the medical webcast was risky. More than 50.0% of doctors believed that misleading the public, disclosing patients′ privacy and ideological risk were the risk points of live webcast; Health science popularization, doctor-patient humanistic activities and free medical activities were suitable for live webcast; Live webcast with goods and medical diagnosis were inappropriate for live webcast. There were significant differences in the cognition of doctors with different professional titles on the ideological risk, disclosure of patient privacy, health science popularization, medical and patient humanistic activities, and live webcasting with goods ( P < 0.05). 219 doctors participated in the medical network live webcast, of which 148 (67.6%) reported live webcast. Conclusions:Physicians in public hospitals are generally aware of medical webcasting and believe that there are risks in such behavior. But physicians with different professional titles have different cognitions on the risk points, suitable content, inappropriate behavior, and live webcastreporting of medical webcasting.
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Objective:To analyze the operation status of official voice in Beijing municipal hospitals and explore the countermeasures to optimize the operation of official short video tiktok.Methods:The 21 Beijing municipal tertiary public hospitals were selected as the research objects. The 17 tiktok numbers which had been approved by the hospital as of December 31, 2020 were included. The data of basic accounts, fans, points, themes, contents, and number of periodicity were analyzed. The theme and the number of praise of the short video tiktok that broke through 10 thousand times were analyzed. The current situation and problems of official voice in Beijing municipal hospitals were analyzed.Results:The 17 official tiktok accounts of the hospital issued 2 059 pieces of tiktok, 1 737.5 thousand fans, and 9 231.8 thousand times of points, the average number of entries was 4.5 thousand times. The official tiktok construction of Beijing municipal hospitals was still in its infancy. The problems included: the weakening of IP image and the lack of system design, lack of content productivity and interaction, unclear positioning and lack of operation strategy.Conclusions:The optimization of hospital official tiktok operation needs to properly handle the relationship between science and interest, systematicness and efficiency. We should clarify the account positioning, improve productivity, strengthen interaction, enhance linkage, and do a good job in supervision.
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The role of retinol binding protein 4 (RBP4) in insulin resistance was recently identified. Our study investigated the correlation between RBP4 levels with lipid and glucose metabolism in a case-control study of women with gestational diabetes mellitus (GDM). Between May 2008 and May 2010, 70 pregnant women (24-28 weeks gestation) were recruited, including 35 women with GDM and 35 healthy controls. Blood samples were collected prior to and after oral glucose tolerance tests (OGTT) to detect serum RBP4, insulin, glycated hemoglobin, triglyceride (TG) and total cholesterol (TC) levels; the insulin resistance index (HOMA-IR) was calculated. Serum RBP4 levels in the GDM group were significantly higher than the control group (22.9 ± 3.09 µg/ml versus 17.9 ± 3.91 µg/ml; p < 0.01). Insulin, TC and TG levels in the GDM group and the control group were all significantly higher than the control group (p < 0.05). Serum RBP4 levels in the GDM group were correlated with HOMA-IR, TG and blood glucose levels at 1 h and 2 h after glucose was administered (r = 0.49, 0.49, 0.52,0.52, respectively; p < 0.01). In conclusion, serum RBP4 levels are elevated in GDM cases than controls. In addition, RBP4 correlates with abnormalities of insulin resistance, glucose and lipid metabolism.
