Transitional care for patients with chronic obstructive pulmonary disease

Objectives:To observe the effects of transitional care on the quality of life of chronic obstructive pulmonary disease(COPD)patients.Methods:A total of 114 COPD patients were recruited from the First Affiliated Hospital,Sun Yat-sen University,Guangzhou,China and divided equally into an intervention group and control group.Following discharge,patients from the intervention group recieved threemonths intervention in addition to regular nursing care,while control group patients received regular nursing care only.Patients’quality of life was measured using the St.George’s respiratory questionnaire(SGRQ),the 12-item General Health Questionnaire(GHQ-12)and body mass index(BMI).Results:The symptoms section score,the activity section score,the impacts section score,the total score and the rate of mental disorders were significantly changed after the intervention while there was no statistical difference in BMI between groups.Conclusions:Transitional care can improve health-related quality of life in COPD patients who have recently suffered an exacerbation.

City level CO_(2) and local air pollutants co-control performance evaluation: A case study of 113 key envir on mental protection cities in China

‘Co-control',or synergistically reducing CO_(2)and local air polluta nt emissions,is an important strategy for cities to achieve'low carb on'and'blue sky'simultaneously.However,there were few studies to evaluate and compare the level of co-control of CO_(2) and local air pollutants in cities year.The present study proposed qualitative and quantitative methods to evaluate the level of co-control of CO_(2)and three local air pollutant(SO_(2).NOX,and particulate matter PM)emissions in key environmental protection cities in China over two periods(2012-2015 and 2015-2018).Statistical analysis found that,though three local air pollutant emissions positively correlated with CO_(2) emission,no significantly positive correlation was found between local air pollutants emission reductions and CO_(2) emission reductions,indicating that co-control effects were poor in general.By using the co-control effect coordinate system,qualitative evaluation showed that less than half of the sample cities could achieve co-control of the total amount of CO_(2) and local air pollutants.By employing the indicator of emission reduction equivalence(EReq),quantitative evaluation showed that the co-control level of the sample cities improved in 2015-2018 compared with 2012-2015.Further regression analysis showed that,reducing coal consumption and economic development significantly enhanced the co-control performance of the observed cities.The present case study proved that the proposed methods for evaluation and comparison of the city co-control performance works well,and can be used in other countries and regions to promote global cities racing to carbon and local air pollutants co-control.