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Objective@#To develop the outcome evaluation index system for home care service of disabled elderly based on the long-term care insurance in Guangzhou.@*Methods@#Delphi method was used to develop the outcome evaluation index system for home care service of disabled elderly under the long-term care insurance in Guangzhou. The Analytic Hierarchy Process was used to determine the weights of all indexes.@*Results@#After two rounds of expert consultation, questionnaire response rates were 86.67%, 100%; expert authority coefficients were 0.843, 0.858; coefficients of variation ranged from 0.07 to 0.23 and 0.00 to 0.14; coordination coefficients ranged from 0.221 to 0.355 and 0.379 to 0.433 (P<0.01). The final index system consisted of 5 first-level indicators, 17 second-level indicators, and 59 third-level indicators. The analytic hierarchy process was used to determine the weights of all indexes, and the consistency test (CR<0.1) was performed.@*Conclusions@#The outcome evaluation index system for home care service of disabled elderly under the long-term care insurance in Guangzhou was scientific and reliable, the weights of all indexes were reasonable, which could provide reference for the designated service institution on evaluation and improvement of the effect of home care service of long-term care insurance for disabled elderly.
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Objective The purpose is to discuss the characteristics of the TCM syndromes of the patients with advanced gastric cancer, in order to reveal the pathological characteristics of Chinese medicine. Methods By observing the symptoms and signs of 126 patients with advanced gastric cancer, the TCM syndromes was used to analyze the distribution of TCM syndromes' frequency and the scores of symptoms. Results The resut showed that the common TCM syndromes for the disease location were stomach, spleen, liver, kidney, gallbladder, large intestine, small intestine, lung, utreus, heart, brain and bladder, where the frequency of stomach, spleen were higher than other. And the common TCM syndromes for the disease pathology were Qi deficiency, blood deficiency, Qi stagnation, blood stasis, toxin, phlegm, dampness, Yin deficiency, Qi revresion, heat, food stagnation, water stagnation and Yang deficiency.Conclusions The common TCM syndromes for the disease location of advanced gastric cancer were stomach, spleen, liver, kidney; And the common TCM syndromesfor the disease pathology were Qi deficiency and blood deficiency, Qi stagnation, blood stasis, toxin, phlegm, dampness, Yin deficiency, Qi revresion, heat, food stagnation, water stagnation and Yang deficiency.
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Objective To evaluate the influence of chronic psychosocial stress on BMI in adolescents.Methods Physical examination and questionnaire survey were conducted among the students of junior grade 1 and senior grade 1 in 10 middle schools in Xuzhou in September 2011.Their body height and weight were measured at baseline survey and the self-report information about socio-demographic data,emotional symptoms (depressive symptoms,anxiety symptoms),and life style/behavior were collected from them.Chronic psychosocial stress was assessed with Multidimensional Life Events Rating Questionnaire (MLERQ),which consists of five items,stress of family life,school life,peer relation,gender relation and health growth.Results A total of 5 473 valid questionnaires were collected for analysis (2 841 from boys and 2 632 from girls).The follow-up measurement of body height and weight were conducted in September 20 13.A total of 4 316 students (2 171 boys,2 145 girls) were surveyed,and 1 157 students missed the follow up.The psychosocial stress score in the overweight and obese girls at baseline survey was positively associated with BMI-Z increase at follow up survey (P＜0.01).No such effect was observed among the boys at follow-up survey.Conclusion High level of chronic psychosocial stress could lead to BMI increase in overweight and obese girls,suggesting that female adolescents are susceptible population of psychosocial stress induced obesity.
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Objective To describe the relationships between sleep duration,dietary patterns and overweight/obesity among adolescents in Xuzhou,and to develop prevention and intervention strategies for adolescent-obesity.Methods Data of 3 103 boys and girls from 5 junior high schools were analyzed.Self-reported information on duration of sleep,dietary patterns,physical activities and time spent on watching video/audio program were assessed and physique data was also collected.Descriptive statistics,multiple liner regression and logistic regression models were used.Results The prevalence rates on overweight and obesity in boys were 23.5％ and 22.5％,and in girls were 18.1％ and 11.9％,respectively.Proportions of insufficient sleep (＜ 8 h/d) in boys appeared 28.1％ and in girls as 33.0％.From logistic regression analysis revealed that there appeared risk on the prevalence of overweight and obesity in boys who had sleep duration ＜7 h/d [OR(95％CI):1.72 (1.08-2.74)],but no significant association was found between duration of sleep and overweight/ obesity in girls.After adjusting on age,levels of parental education,family income,physical activities,time spent on watching video/audio programs,and weight status,boys who had sleep duration less than 7 h/d would have the odds ratio of 1.69 (1.10-2.73),for the likelihood of increasing the frequency of eating snacks compared to their counterparts who had sleep duration of ≥8 h/d.Conclusion The Shortened duration of sleep seemed an independent risk factor on overweight/ obesity among male adolescents,and it was associated with the increased frequency of eating snacks.Data from our study showed that the dietary patterns might play a role in the association between duration of sleep and overweight/obesity,among male adolescents.
