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Determinants for asthma control, quality of life and use of complementary and alternative medicine in asthmatic pediatric patients in four cities

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World Journal of Pediatrics 2018年第5期14卷 482-491页

作者： kam Lun Hon Yan Min Bao kate C.Chan Kin Wai Chau Rong-Shan Chen Kun Tat Gary Cheok Wa Keung Chiu Li Deng Chun-Hui He Kin Mui Ieong Jeng Sum C.Kung Ping Lam Shu Yan David Lam Qun ui Lee So Lun Lee Ting Fan Leung Theresa N.H.Leung Lei Shi ka ka Siu Wei-Ping Tan Maggie Haitian Wang Tak Wai Wong Bao-Jing Wu Ada Y.F.Yip Yue-Jie Zheng Daniel K.Ng Department of Pediatrics The Chinese University of Hong Kong 6/F Prince of Wales HospitalRoom 84042ShatinN.THong Kong SARChina Department ofR espiratory Diseases Shenzhen Children’s HospitalShenzhen 518026China Hong Kong Society of P ediatric Respirology and Aller gy Hong K ong S ARChina Pediatric Respiratory andSleep Disorders Center Room 1315DArgyle Centre Phase 1688 Nathan RoadMongkokKowloonHong K ong S ARChina Department of R espiration Guangzhou Women and Children’s Medical CenterGuangzhou 510623China Department of P ediatrics Kiang Wu HospitalMacaoChina Department of P ediatrics and A dolescent Medicine United Christian Hospital130Hip Wo StreetKwun TongHong K ong S ARChina Department of P ediatrics Central Hospital Conde S.JanuarioMacaoChina Department of P ediatrics and A dolescent Medicine Caritas Medical Center111Wing Hong StreetSham Shui PoHong K ong S ARChina Department of P ediatrics and A dolescent Medicine Tuen Mun Hospital23 Tsing Chung Koon RoadTuen MunNewT erritoriesHongK ongS ARChina Department of P ediatrics and A dolescent Medicine Princess Margaret Hospital2-10 Princess Margaret Hospital RoadLai Chi KokKowloonHong K ong S ARChina Department of P ediatrics and A dolescent Medicine Queen Mary Hospital102Pokfulam RoadHong K ong S ARChina Department of P ediatrics and A dolescent Medicine The University of Hong KongHong K ong S ARChina Department of P ediatrics and A dolescent Medicine Pamela Youde Nethersole Eastern Hospital3Lok Man RoadChaiwanHong K ong S ARChina Department of P ediatrics The University of Hong Kong-Shenzhen Hospital1Haiyuan 1st RoadFutianShenzhenChina Department of P ediatrics and A dolescent Medicine Kwong Wah Hospital25 Waterloo RoadKLN Hong K ong S ARChina Department of P ediatrics Sun Yat-sen Memorial HospitalSun Yat-sen UniversityGuangzhou 510120China JC School of Public Health and Primary Care Faculty of MedicineThe Chinese University of Hong KongHong K ong S ARChina Department of P ediatrics and A dolescen

Background Asthma is a significant chronic health problem worldwide. Management aims at disease control by reducing functional impairment and exacerbations and improving quality of life (QoL). We report a multi-center study to survey asthma control and QoL in four cities in the Pearl River Delta. Methods The conjoint survey involved ten Hong Kong pediatric hospitals/units, two Shenzhen hospitals, two Macao hos-pitals, and two Guangzhou hospitals on asthma control (using Asthma Control Test) and QoL (Pediatric Allergic Disease Quality of Life Questionnaire, PADQLQ). Acceptability of a treatment is graded as very good/good/fair/poor. Results Good asthma control was only reported in 80% subjects in Hong Kong, but higher in sister cities (85–94%, P<0.001). Allergic rhinitis, 'incense burning', and 'smoker in family' were prevalent among the four cities. Logistic regres-sion showed better control of asthma was associated with better PADQLQ (B=?0.029, P < 0.001), better acceptability of bronchodilator (B=?1.488, P = 0.025), negatively with 'smoker in family' (B=?0.83, P = 0.015) and various PADQLQ domains. Conversely, worse PADQLQ was associated with allergic rhinitis severity (B=4.77, P <0.001), poor control of asthma (B=7.56, P <0.001), increased frequency of traditional Chinese medicine use (B=1.7, P < 0.05), increased fre-quency of bronchodilator usage (B=1.05, P < 0.05), 'smoker in family' (B=4.05, P < 0.05), and incense burning at home (B=3.9, P < 0.05). Conclusions There are some clinical and cultural differences among the four southern Chinese cities within the Guangdong province. This study identifies potentially modifiable environmental and treatment factors associated with poor asthma control and QoL for health-care interventions. Having a smoker in the family is independently associated with poor asthma control and QoL.

关键词： Asthma Complementary and alternative medicine Control Inhaled bronchodilator Inhaled corticosteroid Pediatric Allergic Disease Quality of Life Questionnaire Smoking Traditional Chinese medicine

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成人尿失禁临床指南

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国外医学（护理学分册） 1993年第4期12卷 157-158页

作者： McCormick ka 周钱陈宇

本指南是健康护理政策和研究机构发表的第二版临床实践指南的摘选.本指南是由4名护理专家、8名临床医生、1名老年病和心理学专家、1名治疗专家和1名病人组成的小组,分析研究了1965到1991年间28个数据库中关于ui 的7000篇文摘及500篇论文... 详细信息

本指南是健康护理政策和研究机构发表的第二版临床实践指南的摘选.本指南是由4名护理专家、8名临床医生、1名老年病和心理学专家、1名治疗专家和1名病人组成的小组,分析研究了1965到1991年间28个数据库中关于ui 的7000篇文摘及500篇论文后,于1992年3月23日发表的.本文对成人尿失禁的种类、评估、治疗方法及护理进行了详细论述.

关键词：尿失禁成人护理

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综述：一些证据显示盆底肌训练可减少分娩12个月内的孕妇尿失禁

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英国医学杂志中文版 2010年第4期13卷 238-239页

作者： Hay-Smith J Mφrkved S Fairbrother ka 卫茂玲(译) 方芳(校) Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women 四川大学华西医院中国循证医学中心四川大学华西二院妇产科

问题：盆底肌肉训练（PFMT）预防和（或）治疗怀孕或产后妇女尿失禁（u1）和大便失禁（F1）是否有效？研究范围纳入研究的包括随机对照试验（RCTs）或半随机对照试验，评估盆底肌肉训练（PFMT）减少怀孕或产后妇女泌尿系（ui）和大便失... 详细信息

问题：盆底肌肉训练（PFMT）预防和（或）治疗怀孕或产后妇女尿失禁（u1）和大便失禁（F1）是否有效？研究范围纳入研究的包括随机对照试验（RCTs）或半随机对照试验，评估盆底肌肉训练（PFMT）减少怀孕或产后妇女泌尿系（ui）和大便失禁（FI）。见PFMT进一步细节的补充数据。主要结果是自我报告的ui或FI.

关键词：尿失禁盆底肌训练半随机对照试验盆底肌肉训练孕妇分娩证据综述

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Global burden of enteric infections related foodborne diseases,1990-2021:findings from the Global Burden of Disease Study 2021

Science in One Health

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Science in One Health 2024年第1期3卷 189-197页

作者： Tianyun Li Ne Qiang Yujia Bao Yongxuan Li Shi Zhao ka Chun Chong Xiaobei Deng Xiaoxi Zhang Jinjun Ran Lefei Han School of Global Health Chinese Center for Tropical Diseases ResearchShanghai Jiao Tong University School of MedicineShanghai 200025China One Health Center Shanghai Jiao Tong University-The University of EdinburghShanghai 200025China School of Public Health Shanghai Jiao Tong University School of MedicineShanghai 200025China School of Public Health Tianjin Medical UniversityTianjin 300070China Centre for Health Systems and Policy Research Jockey Club School of Public Health and Primary CareThe Chinese University of Hong KongHong KongChina

Background:Understanding the global burden of enteric infections is crucial for prioritizing control strategies for foodborne and waterborne *** study aimed to assess the global burden of enteric infections in 2021 and identify risk factors from One Health ***:Leveraging the Global Burden of Disease(GBD)2021 database,the incidence,disability-adjusted life years(DALYs),and deaths of enteric infections and the subtypes were estimated,including diarrheal diseases,typhoid and paratyphoid fever,invasive non-typhoidal Salmonella(iNTS)infections,and other intestinal infectious *** estimates were quantified by absolute number,age-standardized incidence rate(ASIR),agestandardized mortality rate(ASMR)and age-standardized DALY rate with 95%uncertainty intervals(uis).Thirteen pathogens and three risk factors associated with diarrheal diseases were ***:In 2021,the global age-standardized DALY rate of enteric infections was 1020.15 per 100,000 popultion(95%ui:822.70-1259.39 per 100,000 population)with an estimated annual percentage change(EAPC)of-4.11%(95%confidence interval:-4.31%to-3.90%)in 1990-2021.A larger burden was observed in regions with lower socio-demographic index(SDI)*** disease was the most serious subtype with Western Sub-Saharan Africa exhibiting the highest age-standardized DALY rate(2769.81 per 100,000 population,95%ui:1976.80-3674.41 per 100,000 population).Children under 5 and adults over 65 years suffered more from diarrheal diseases with the former experiencing the highest global age-standardized DALY rate(9382.46 per 100,000 population,95%ui:6771.76-13,075.12 per 100,000 population).Rotavirus remained the leading cause of diarrheal diseases despite a cross-year decline in the observed age-standardized DALY *** water,sanitation,and handwashing contributed most to the disease ***:The reduced burden of enteric infections suggested the effectiveness of previous control strategies;how

关键词： Enteric infections Diarrheal disease Foodborne Disease burden Global health One Health

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