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March 2018, Volume 21, No.8 Abstracts(A)

Interpretation and Comments on 2017 American Guideline for the PreventionDetectionEvaluationand Management of High Blood Pressure in Adults GUO Yi-fang12*ZHAO Wen-jun1LIANG Yi1

1.Hebei Medical UniversityShijiazhuang 050000China

2.Hebei General HospitalShijiazhuang 050000China

*Corresponding authorGUO Yi-fangChief physicianProfessorE-mailguoyifang@hotmail.com.cn

   【Abstract】 After its publication in 2013evidence-based guideline for the management of high blood pressure in adults report from the panel members of appointed to the Eighth Joint National CommitteeJNC8 has caused widespread controversy in the world.Four years latersome academic institutionssuch as the American College of CardiologyACC and the American Heart AssociationAHA),organized experts to write a new version of hypertension guidelines.Many recommendations of the new guidelines were impacted significantly by the results of SPRINT trailand made more radical recommendations for the diagnosis of hypertension and the targets of blood pressure control.Because of the different national conditionssome of the guidelines may not apply to China.The clinical practice in China should still be based on the current Chinese guidelines for the prevention and treatment of hypertension.

   【Key words】 HypertensionGuidebooksDiagnosisBlood pressure determinationAntihypertensive agents

 

An Equity Analysis of International Health LEI Guang-he1*ZHANG Hai-xia2

1.School of Humanities and Management of Guangdong Medical University/Institute of Health Law and Policy of Guangdong Medical UniversityDongguan 523808China

2.Guangdong Medical University Class of 2013Dongguan 523808China

*Corresponding authorLEI Guang-hePrafessorE-mail258002183@qq.com

   【Abstract】 In recent yearsthe health status of individuals in various countries worldwide has been greatly improvedbut the health conditions across different countries differ significantly and health inequity still exists.The main purpose of this paper is to study the changes in international health equity in the last decade.The fairness of international health was investigated and its relevant factors were determined in terms of life expectancymaternal mortalityinfant and child mortality as well as other commonly used indices.Thuswe objectively compared the health conditions in our country with those in other countrieswhich allows us to learn from international experiences and lessons in order to better develop our health facilities.

   【Key words】 HealthEquityLife expectancyMaternal mortalityChild mortality

 

Recent Advances in Human Trace Element Determination Methods and Clinical Application XIONG Chan1LI Qing2MA Qing-wei23*

1.Institute of ChemistryGraz UniversityGraz 8010Austria

2.Bioyong Technology IncBeijing 102206China

3.Academy for Advanced Interdisciplinary StudiesPeking UniversityBeijing 100871China

*Corresponding authorMA Qing-weiE-mailmaqw@clintof.com

   【Abstract】 Trace elements play an important role in maintaining human metabolism and life activitiesand affect human health in a complicated way.Excessive intake of certain trace elements might be toxic to human whereas inadequate intake of essential elements may lead to human metabolic disorders caused by enzyme dysfunction.With the rapid development of industrialization and technologymore and more heavy metal components have been spread into the environment through the sewage disposalwhich result in varying degrees of airwater and soil pollution as well as metabolic disorders due to one or more trace elements imbalances in body fluids.Using key techniques for determining the trace elements can identify the balance status of trace elements in human body.In this paperwe compared the characteristics and application challenges of various techniques related to trace element determinationaiming to provide theoretical support and technical guidance for clinical use of such determinations.

   【Key words】 Trace elementMedical laboratory scienceReference valuesInductively coupled plasma-mass spectrometry

 

Development of a Structured Treatment and Education Program for Insulin-treated Type 2 Diabetic Patients in China LIU Ke-ke1LI Ming-zi1*JIANG Hua1LIU Ye-ling1LUO Ying-ying2SUN Xiao-hong1SHEN Jing-jing1JI Li-nong2

1.Peking University School of NursingBeijing 100191China

2.Department of EndocrinologyPeking University People's HospitalBeijing 100191China

*Corresponding authorLI Ming-ziProfessorE-maillimingzi@bjmu.edu.cn

   【Abstract】 Objective To develop a structured treatment and education programSTEP for insulin-treated type 2 diabetic patients in China.Methods By reviewing literaturewe analyzed the needs of insulin-treated type 2 diabetic patients.Based upon the standards of structured curriculum development and empowerment theory as well as the pedagogic principlesthe structured curricula and teaching materials were developedand further revised and improved by experts.Results The curricula set 29 learning objectives covering 3 domainsnamelythe cognitivepsychomotor and affective domain.The curriculum contents include 2 therapeutic items and 10 educational items.Delivered by professional doctors and nurses once a weekthe curricula comprise a 4-week group session.The outcome evaluations include formative assessment and summative assessment.Formative assessment is conducted throughout the whole teaching process in order to timely identify the problems of the patients and give solutions and summative assessment indicators include diabetic knowledgebehaviorself-efficacy and laboratory indices.Conclusion With the guiding of empowerment theoryguidelines and literature reviewthe SETP developed for insulin-treated Chinese type 2 diabetic patients meets the global standards.With concise contents and standardized teaching processthis STEP has the potential to empower more type 2 diabetic patients to adopt intensive insulin treatment and deserves further clinical application.

   【Key words】 Diabetes mellitustype 2InsulinStructured curriculumPatient education

 

Effect of First-year Follow-up Intervention for Post-discharge CHD Patients from Provincial-Municipal- and County- level Hospitals in YunnanChinaa Multicenter Randomized Controlled Clinical Study SUN Huang1LI Rui-jie1LU Ya-nan1GUO Tao1*SHU Zhan-kun2HE Ze-yuan3LU Jing 4LIU Yong-hua5

1.Department of CardiologyFirst Affiliated Hospital of Kunming Medical UniversityKunming 650032China

2.Department of CardiologyLuoping County People's HospitalLuoping 655800China

3.Department of CardiologyPeople's Hospital of Yulong CountyYulong 674100China

4.Department of Cardiologythe People's Hospital of Wenshan PrefectureWenshan 663000China

5.Department of CardiologyBaoshan People's HospitalBaoshan 678000China

*Corresponding authorGUO TaoProfessorDoctoral supervisorE-mailGuotao_20@hotmail.com

   【Abstract】 Objective To study whether the intervention therapy for post-discharge coronary heart diseaseCHD patients conducted in the first-year follow-upa program participated by provincial-municipal- and county-level hospitals in southwest China's Yunnan provinceis an effective way to improve patient compliance with secondary prevention and to reduce the incidence of major adverse cardiovascular eventsMACE.Methods Altogether 2 119 eligible CHD patientswho were discharged from First Affiliated Hospital of Kunming Medical UniversityBaoshan People's Hospitalthe People's Hospital of Wenshan PrefecturePeople's Hospital of Yulong CountyLuoping County People's Hospital located in Yunnan from September 12014 to August 312015were recruited by the programwith 915 patients randomly assigned to the intervention group and 1 204 to the control group based on the admission time.The control group only received the follow-up intervention at the end of the first year after dischargebut the intervention group received face-to-face interview before discharge and a one-year positive post-discharge follow-upincluding 13 telephone visits and face-to-face interviews conducted at the end of the 1st6th and 12th months after discharge with the contents of MACEcompliance with secondary preventive medication and vital signsand lab results.Results In the end78085.2% in the intervention group and 99282.4% in the control group completed the follow-up intervention.At one year after dischargethe differences between the two groups in death rateincidence of non-fatal MICABG treatmentstroke and bleeding had no statistical significanceP>0.05.The intervention group had fewer patients with PCI treatmentunplanned inpatient treatment and MACEP<0.05.The differences between the two groups in BMISBPDBP and frequency of exercise had no statistical significance eitherP>0.05.The intervention group had lower average value of HR and LDL-C but higher average value of LVEFlonger average time of exercise and higher average medication fee than the control groupP<0.05.The differences between the two groups in the use of ACEI/ARB and β-blocker had no statistical significanceP>0.05.The intervention group had higher rates of use aspirinclopidogrel and statins than the control group


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