"hina and Africa can create amazing value,because Africa or Morocco and China have a lot of common points,and the 2024Summit of the Forum on China-Africa Cooperation (FOCAC) can make the relationship between Afri..."hina and Africa can create amazing value,because Africa or Morocco and China have a lot of common points,and the 2024Summit of the Forum on China-Africa Cooperation (FOCAC) can make the relationship between Africa or Morocco and China even stronger."In an interview with China's Foreign Trade,Mehdi Laraki,President of the Morocco-China Business Council said,"I've been here (China)more than 65 times,but I always feel like a child every time,it's just like a miracle.展开更多
This year marks the10th anniversary of the establishment of the comprehensive strategic partnership between China and Australia,and the development of bilateral relations are getting back on the right track.Recently,D...This year marks the10th anniversary of the establishment of the comprehensive strategic partnership between China and Australia,and the development of bilateral relations are getting back on the right track.Recently,David Olsson,President and Chairman of the Australia China Business Council,stated his comments,when accepting an exclusive interview with China's Foreign Trade.展开更多
1.Chong Xu:It is my great honour to have this opportunity to interview you.You were trained as a geographer at the University of Nottingham in the UK.Can you talk to us about why you have chosen urban studies as your ...1.Chong Xu:It is my great honour to have this opportunity to interview you.You were trained as a geographer at the University of Nottingham in the UK.Can you talk to us about why you have chosen urban studies as your main research area?展开更多
The dual impact of climate change and increasing human activity has caused countries around the world,including Asian countries,to generally face more severe water security risks and challenges.Optimally utilizing and...The dual impact of climate change and increasing human activity has caused countries around the world,including Asian countries,to generally face more severe water security risks and challenges.Optimally utilizing and protecting water resources has become the common task of all countries.The 3rd Asia International Water Week(3rd AIWW),co-hosted by the Ministry of Water Resources of China and the Asia Water Council,commenced in Beijing on September 24.The conference was warmly received by guests from throughout the region,capturing Asian countries’strong feelings about water security and demonstrating how urgently needed global efforts to tackle climate change.展开更多
Objective:To summarize the evidence of tube feeding intolerance in critically ill children,aiming to provide evidence-based information for clinical nursing staff.Methods:Evidence search was done in Chinese and Englis...Objective:To summarize the evidence of tube feeding intolerance in critically ill children,aiming to provide evidence-based information for clinical nursing staff.Methods:Evidence search was done in Chinese and English databases to guide network and professional associations at home and abroad.The search time limit was from January 2014 to January 2024,nearly 10 years of relevant literature,mainly including guidelines,consensus,expert advice,best practice,evidence summary,system evaluation,and meta-analysis.Literature quality evaluation and evidence extraction were independently performed by two researchers.Results:This paper included 13 articles,including three guidelines,three systematic evaluations,three expert opinions,and four expert consensus.Twenty-six pieces of evidence were summarized from 10 aspects of feeding intolerance definition,team building,nutritional assessment,nutritional preparation,feeding protocol,feeding route,feeding management,pipeline management,gastric residual volume,and drug application.Conclusion:This paper summarized the evidence of tube feeding intolerance in critically ill children,which can provide evidence-based information for clinical practice.The abdominal signs should be closely observed when evaluating feeding intolerance,focusing on the prevention and reduction of feeding interruption.展开更多
The study adopts Byram’s Intercultural Communicative Competence(ICC)model as the theoretical framework,and structured interviews were conducted to explore the impact of street interviews on the participants’ICC.Anal...The study adopts Byram’s Intercultural Communicative Competence(ICC)model as the theoretical framework,and structured interviews were conducted to explore the impact of street interviews on the participants’ICC.Analysis results revealed street interviews help students acquire knowledge in intercultural attitudes,intercultural knowledge,skills of discovery and interaction,and critical cultural awareness,aligning with the four components of Byram’s ICC model.Meanwhile,they have positive perceptions of street interviews.Therefore,street interviews have a positive effect on the development of participants’ICC.展开更多
Anchorman:Today, being people-oriented has become acommon concern in manybusiness organizations.What does“being peo-ple-oriented”mean? Fora product,it meansbringing maximum satis-faction to the customer.
Dr. Yeh-chong Chan （Y.C. Chan） is one of the earliest acupuncturists in the United States （US）. He served for seven years in the first acupuncture center in the US, which was established in Washington, D.C. in 197...Dr. Yeh-chong Chan （Y.C. Chan） is one of the earliest acupuncturists in the United States （US）. He served for seven years in the first acupuncture center in the US, which was established in Washington, D.C. in 1972. In 1979, he moved the clinic to Rockville, Maryland and continued to practice acupuncture there for over 30 years. He is a well-known licensed acupuncturist （LAc）, one of the developers of the acupuncture profession, and a scholar of acupuncture and traditional Chinese medicine （TCM）. He has treated two US Governors （In the US, the title Governor refers to the chief executive of each state or insular territory and the political and ceremonial head of the state.） and many sports stars. He is the author of books entitled Acupuncture Practice in the United States,展开更多
The prevalence of cardiovascular diseases （CVDs） is associated with the socioeconomic prosperity, lifestyle changes, accelerated process of ageing and urbanization. The prevalence of CVDs is continuously increasing ...The prevalence of cardiovascular diseases （CVDs） is associated with the socioeconomic prosperity, lifestyle changes, accelerated process of ageing and urbanization. The prevalence of CVDs is continuously increasing in China and will remain an upward trend in the next 10 years. CVDs are the leading cause of death for Chinese in both urban area and rural area. Nowadays, 41.09% of deaths in rural area and 42.52% of deaths in urban area are caused by CVDs in China. The burden of CVDs remains heavy and has become an important public health problem. Effective strategies should be enforced urgently for the prevention of CVDs under the supervision of the government. In 2012, the Ministry of Health of China and 14 governmental departments jointly issued the Work Plan for Chronic Disease Prevention and Control in China （2012-2015）, a guideline for the prevention of chronic diseases, especially CVDs in China.展开更多
Since the outbreak of coronavirus disease 2019(COVID-19),the vast number of nurses have gone all out to fighting against the epidemic under the leadership of the Party Central Committee with the core of General Secret...Since the outbreak of coronavirus disease 2019(COVID-19),the vast number of nurses have gone all out to fighting against the epidemic under the leadership of the Party Central Committee with the core of General Secretary Xi Jinping,and they have attracted wide attention from the public.2020-the International Year of the Nurse and the Midwife-is a crucial year for Nursing,which marks the 200th anniversary of Florence Nightingale's birth,the founder of modern nursing.The theme for International Nurses Day in 2020 is Nurses:A Voice to Lead-Nursing the World to Health.In the special period of responding to the epidemic,how do Chinese nurses practice this theme?How to quickly mobilize nurses from different hospitals across the country to combat with the virus?How to take care of patients with nursing professional knowledge and expertise?For the answers,the Chinese Nursing Journals Publishing House(CNJPH)interviewed Professor Xinjuan Wu,President of the Chinese Nursing Association(CNA),Editor-in-Chief of Chinese Journal of Nursing,Director of the Nursing Department of Peking Union Medical College Hospital,who was awarded the Florence Nightingale Medal in 2011.展开更多
BACKGROUND Obesity is an important factor to cause the obstructive sleep apnea-hypopnea syndrome(OSAHS).Higher body mass index(BMI)often results in more severe OSAHS.Currently,the common measures for controlling the w...BACKGROUND Obesity is an important factor to cause the obstructive sleep apnea-hypopnea syndrome(OSAHS).Higher body mass index(BMI)often results in more severe OSAHS.Currently,the common measures for controlling the weight mainly include diet control,increase exercise and so on.Motivational interviewing(MI)could explore the patient’s internal state and make the patient realize his/her ambivalence,resulting in the change in his/her behavior.This process emphasizes respecting the patient’s autonomy.AIM To evaluate the effect of MI on the weight control of patients with OSAHS.METHODS A randomized controlled study was conducted in 100 obese OSAHS patients undergoing surgical treatment at Shengjing Hospital of China Medical University.The patients were divided into an intervention group and a control group,with 50 cases each.The control group was given routine health education after the operation;in addition to the regular health education,the intervention group was given MI according to a predetermined plan.Obesity-related indicators,postoperative complications,and the sleep status of both groups were evaluated before and 6 mo after the intervention.RESULTS Patients in the intervention group had significantly improved body weight,BMI,and waist and neck circumferences compared with patients in the control group(P<0.05).Regarding complications at 6 mo after operation,the incidence of cough and reflux in patients in the intervention group was significantly lower than that in the control group(P<0.05).In addition,the Epworth Sleepiness Scale and Self-Rating Scale of Sleep scores of patients in the intervention group were significantly lower than those in the control group,and the sleep status of patients in the intervention group was improved(P<0.05).CONCLUSION MI intervention has a significant advantage over postoperative routine health education.It can greatly change the lifestyle,further control the postoperative weight,reduce the occurrence of complications,improve the quality of sleep,and improve long-term postoperative efficacy in OSAHS patients.展开更多
Interviewing is one of the most common and most powerful research methods in sociology. To provide an overview of interviewing in social research, the preliminaries and some tactics applied in interviewing are illustr...Interviewing is one of the most common and most powerful research methods in sociology. To provide an overview of interviewing in social research, the preliminaries and some tactics applied in interviewing are illustrated firstly. Secondly, various forms of interviewing employed in social research are analyzed specifically. Finally, the issues of interviewing are critically examined.展开更多
Teasing can be approached as a linguistic resource for examining the interpersonal issues of im/politeness and face,or as a discursive strategy for displaying relationships or constructing social identities.However,st...Teasing can be approached as a linguistic resource for examining the interpersonal issues of im/politeness and face,or as a discursive strategy for displaying relationships or constructing social identities.However,studies have underestimated the discursive constraints of teasing in specific contexts.Meanwhile,a majority of teasing studies were based on Western cultures and did not pay sufficient attention to the variety of teasing across cultures.By collecting data from two Chinese entertainment interviews,where the interviewer employs teasing frequently for performing institutional roles,this study examined how teasing functions to assist the interviewer to complete communicative goals,and explored the discursive constraints of teasing in media context.Data analysis exemplified how teasing helped the interviewer to manage an interview event,obtain the guest’s disclosure and seek audience involvement,helping to construct the interviewer’s professionality.Implications for understanding the discursive features of teasing in the Chinese media context were addressed.展开更多
Expert Profile:Prof.Douglas R.MacFarlane is an Australian Laureate Fellow at Monash University's School of Chemistry and leader of the Energy Program in the Australian Centre for Electromaterials Science.He is the...Expert Profile:Prof.Douglas R.MacFarlane is an Australian Laureate Fellow at Monash University's School of Chemistry and leader of the Energy Program in the Australian Centre for Electromaterials Science.He is the Australian Academy of Science's Craig Medalist 2018 and winner of the Victoria Prize for Science and Innovation 2018.展开更多
Purpose:The aim of this study was to evaluate the impact of motivational interviewing(MI)on the quality of life and its related factors in type 2 diabetes mellitus(T2DM)patients with poor long-term glycemic control.De...Purpose:The aim of this study was to evaluate the impact of motivational interviewing(MI)on the quality of life and its related factors in type 2 diabetes mellitus(T2DM)patients with poor long-term glycemic control.Design and methods:One hundred tenT2DMpatientswithpoor long-termglycemic control that were hospitalized in our institution were enrolled in this study and randomly assigned to receive eitherMI or routine diabetes education intervention.Patients'body mass index values,Homeostatic Model Assessment-Insulin Resistance(HOMA-IR)scores,and levels of glycated hemoglobin(HbA1C),triglycerides,high-and low-density lipoproteincholesterols,Summary of Diabetes Self-management Activities and Diabetes Specific Quality of Life assessments were recorded before and six months after intervention.Results:Baseline scores for all measurements did not differ between patients in the control and MI groups.Although MI resulted in a significant reduction of HbA1c and serum lipid levels compared with the baseline,the effect was not significantly different from the control intervention.However,the improvement in HOMA-IR scores was significantly greater in the MI group compared with the control intervention(2.8±2.8 vs.5.7±4.7;p=0.000).Moreover,MI significantly elevated diabetes self-management activities ratings compared with the control intervention(13.2±3.4 vs.10.9±4.3;p=0.004).Conclusion:Compared to routine diabetes education,MI is a more effective approach for improving HOMA-IR and self-management of T2DM patients with poor long-term glycemic control.展开更多
Objective:The objective of this meta-analysis was to evaluate the effect of motivational interviewing(MI)on self-management in patients with type 2 diabetes.Methods:Randomised controlled trials that assessed the effec...Objective:The objective of this meta-analysis was to evaluate the effect of motivational interviewing(MI)on self-management in patients with type 2 diabetes.Methods:Randomised controlled trials that assessed the effects of MI on self-management and HbA1c levels in patients with type 2 diabetes were systematically reviewed using multiple electronic databases.Weighted mean differences with 95%confidence intervals were calculated for continuous data.Results:Ten trials were included in this meta-analysis.The self-management ability of patients with type 2 diabetes who underwent MI was significantly better than that of patients in the control group(WMD,2.37;95%CI,1.77e2.98;p<0.00001).Subgroup analysis showed that short-term MI(6 months)resulted in a significant decrease in the HbA1c level(p<0.05)but that this advantage was not present for relatively long-term MI(>6 months)(p>0.05).Conclusions:MI was associated with improved self-management abilities among patients with type 2 diabetes,and short-term MI(6 months)effectively decreased the HbA1c level.The effect of long-term MI(>6 months)on the HbA1c level remains uncertain.Large-scale,higher-quality randomised controlled trials are needed to confirm the present findings.展开更多
Objective:The extremely low incidence of male breast cancer (MBC) leads to lack of prospective randomized phase III studies worldwide. Especially in China,all studies on Chinese patients with MBC were based on small s...Objective:The extremely low incidence of male breast cancer (MBC) leads to lack of prospective randomized phase III studies worldwide. Especially in China,all studies on Chinese patients with MBC were based on small sample size and single institute experience. The aim of this study was to provide overall view of characteristics of Chinese patients with MBC by means of summarizing all related papers published in Chinese journals. Methods: An online search was made in CBM,VIP,CNKI,and CBA databases to find all published articles of interest on Chinese patients with MBC. And eight subjects including the proportion of MBC in all breast cancer,age,tumor location,clinical stages,pathological subtypes,treatment modalities,ER/PR expression,and 5-year survival rate were selected to calculate the proportion and their 95% interval confidence. Results: There were 122 papers with 2584 patients enrolled. The basic features of Chinese patients with MBC included:(1) MBC only with a proportion of 1.06% of all the breast cancer; (2) The mean age at diagnosis was 57.6 years old; (3) Tumor mainly located in the areolar region (74.83%) with obvious nipple and/or skin involvement; (4) Nearly 62.62% patients were in early stage before accepting treatment; (5) Infiltrating ductal carcinoma accounted for 79.05% of all pathological subtypes; (6) ER/PR expression rate was 65.86%; (7) Radical resection was up to 86.06% in all surgical modalities; (8) The 5-year survival rate was 57.33%. Conclusion: The results showed in this study were an overall view of Chinese patients with MBC whose characteristics were similar to that reported in the West. Though this study provided a little bit stronger confidence than a single study collected in this paper,studies with more powerful evidence are urgently demanding in China.展开更多
文摘"hina and Africa can create amazing value,because Africa or Morocco and China have a lot of common points,and the 2024Summit of the Forum on China-Africa Cooperation (FOCAC) can make the relationship between Africa or Morocco and China even stronger."In an interview with China's Foreign Trade,Mehdi Laraki,President of the Morocco-China Business Council said,"I've been here (China)more than 65 times,but I always feel like a child every time,it's just like a miracle.
文摘This year marks the10th anniversary of the establishment of the comprehensive strategic partnership between China and Australia,and the development of bilateral relations are getting back on the right track.Recently,David Olsson,President and Chairman of the Australia China Business Council,stated his comments,when accepting an exclusive interview with China's Foreign Trade.
文摘1.Chong Xu:It is my great honour to have this opportunity to interview you.You were trained as a geographer at the University of Nottingham in the UK.Can you talk to us about why you have chosen urban studies as your main research area?
文摘The dual impact of climate change and increasing human activity has caused countries around the world,including Asian countries,to generally face more severe water security risks and challenges.Optimally utilizing and protecting water resources has become the common task of all countries.The 3rd Asia International Water Week(3rd AIWW),co-hosted by the Ministry of Water Resources of China and the Asia Water Council,commenced in Beijing on September 24.The conference was warmly received by guests from throughout the region,capturing Asian countries’strong feelings about water security and demonstrating how urgently needed global efforts to tackle climate change.
文摘Objective:To summarize the evidence of tube feeding intolerance in critically ill children,aiming to provide evidence-based information for clinical nursing staff.Methods:Evidence search was done in Chinese and English databases to guide network and professional associations at home and abroad.The search time limit was from January 2014 to January 2024,nearly 10 years of relevant literature,mainly including guidelines,consensus,expert advice,best practice,evidence summary,system evaluation,and meta-analysis.Literature quality evaluation and evidence extraction were independently performed by two researchers.Results:This paper included 13 articles,including three guidelines,three systematic evaluations,three expert opinions,and four expert consensus.Twenty-six pieces of evidence were summarized from 10 aspects of feeding intolerance definition,team building,nutritional assessment,nutritional preparation,feeding protocol,feeding route,feeding management,pipeline management,gastric residual volume,and drug application.Conclusion:This paper summarized the evidence of tube feeding intolerance in critically ill children,which can provide evidence-based information for clinical practice.The abdominal signs should be closely observed when evaluating feeding intolerance,focusing on the prevention and reduction of feeding interruption.
文摘The study adopts Byram’s Intercultural Communicative Competence(ICC)model as the theoretical framework,and structured interviews were conducted to explore the impact of street interviews on the participants’ICC.Analysis results revealed street interviews help students acquire knowledge in intercultural attitudes,intercultural knowledge,skills of discovery and interaction,and critical cultural awareness,aligning with the four components of Byram’s ICC model.Meanwhile,they have positive perceptions of street interviews.Therefore,street interviews have a positive effect on the development of participants’ICC.
文摘Anchorman:Today, being people-oriented has become acommon concern in manybusiness organizations.What does“being peo-ple-oriented”mean? Fora product,it meansbringing maximum satis-faction to the customer.
文摘Dr. Yeh-chong Chan （Y.C. Chan） is one of the earliest acupuncturists in the United States （US）. He served for seven years in the first acupuncture center in the US, which was established in Washington, D.C. in 1972. In 1979, he moved the clinic to Rockville, Maryland and continued to practice acupuncture there for over 30 years. He is a well-known licensed acupuncturist （LAc）, one of the developers of the acupuncture profession, and a scholar of acupuncture and traditional Chinese medicine （TCM）. He has treated two US Governors （In the US, the title Governor refers to the chief executive of each state or insular territory and the political and ceremonial head of the state.） and many sports stars. He is the author of books entitled Acupuncture Practice in the United States,
文摘The prevalence of cardiovascular diseases （CVDs） is associated with the socioeconomic prosperity, lifestyle changes, accelerated process of ageing and urbanization. The prevalence of CVDs is continuously increasing in China and will remain an upward trend in the next 10 years. CVDs are the leading cause of death for Chinese in both urban area and rural area. Nowadays, 41.09% of deaths in rural area and 42.52% of deaths in urban area are caused by CVDs in China. The burden of CVDs remains heavy and has become an important public health problem. Effective strategies should be enforced urgently for the prevention of CVDs under the supervision of the government. In 2012, the Ministry of Health of China and 14 governmental departments jointly issued the Work Plan for Chronic Disease Prevention and Control in China （2012-2015）, a guideline for the prevention of chronic diseases, especially CVDs in China.
文摘Since the outbreak of coronavirus disease 2019(COVID-19),the vast number of nurses have gone all out to fighting against the epidemic under the leadership of the Party Central Committee with the core of General Secretary Xi Jinping,and they have attracted wide attention from the public.2020-the International Year of the Nurse and the Midwife-is a crucial year for Nursing,which marks the 200th anniversary of Florence Nightingale's birth,the founder of modern nursing.The theme for International Nurses Day in 2020 is Nurses:A Voice to Lead-Nursing the World to Health.In the special period of responding to the epidemic,how do Chinese nurses practice this theme?How to quickly mobilize nurses from different hospitals across the country to combat with the virus?How to take care of patients with nursing professional knowledge and expertise?For the answers,the Chinese Nursing Journals Publishing House(CNJPH)interviewed Professor Xinjuan Wu,President of the Chinese Nursing Association(CNA),Editor-in-Chief of Chinese Journal of Nursing,Director of the Nursing Department of Peking Union Medical College Hospital,who was awarded the Florence Nightingale Medal in 2011.
基金Supported by the School of Nursing Research Project at China Medical University,No.2017HL-21.
文摘BACKGROUND Obesity is an important factor to cause the obstructive sleep apnea-hypopnea syndrome(OSAHS).Higher body mass index(BMI)often results in more severe OSAHS.Currently,the common measures for controlling the weight mainly include diet control,increase exercise and so on.Motivational interviewing(MI)could explore the patient’s internal state and make the patient realize his/her ambivalence,resulting in the change in his/her behavior.This process emphasizes respecting the patient’s autonomy.AIM To evaluate the effect of MI on the weight control of patients with OSAHS.METHODS A randomized controlled study was conducted in 100 obese OSAHS patients undergoing surgical treatment at Shengjing Hospital of China Medical University.The patients were divided into an intervention group and a control group,with 50 cases each.The control group was given routine health education after the operation;in addition to the regular health education,the intervention group was given MI according to a predetermined plan.Obesity-related indicators,postoperative complications,and the sleep status of both groups were evaluated before and 6 mo after the intervention.RESULTS Patients in the intervention group had significantly improved body weight,BMI,and waist and neck circumferences compared with patients in the control group(P<0.05).Regarding complications at 6 mo after operation,the incidence of cough and reflux in patients in the intervention group was significantly lower than that in the control group(P<0.05).In addition,the Epworth Sleepiness Scale and Self-Rating Scale of Sleep scores of patients in the intervention group were significantly lower than those in the control group,and the sleep status of patients in the intervention group was improved(P<0.05).CONCLUSION MI intervention has a significant advantage over postoperative routine health education.It can greatly change the lifestyle,further control the postoperative weight,reduce the occurrence of complications,improve the quality of sleep,and improve long-term postoperative efficacy in OSAHS patients.
文摘Interviewing is one of the most common and most powerful research methods in sociology. To provide an overview of interviewing in social research, the preliminaries and some tactics applied in interviewing are illustrated firstly. Secondly, various forms of interviewing employed in social research are analyzed specifically. Finally, the issues of interviewing are critically examined.
基金supported by the Department of Education of Guangdong Province entitled innovation project “An Interpersonal Pragmatic Study of Humor in Chinese Broadcasting Context” (No.: 2017WQNCX042)Center for Linguistics and Applied Linguistics at Guandong Univerisity of Foreign Studies, China for the project of the frontier research and its theoretical innovation in interpersonal pragmatics (2018WZDXM006)+2 种基金China Scholarship Council (2018)participated in the Hungarian Academy funded MTA Lendulet (LP2017/5) project of Professor Dániel Z.Kádárthe support from the Chinese MOE Research Project of Humanities and Social Science (Project No.: 16JJD740006) conducted by Center for Linguistics and Applied Linguistics, Guangdong University of Foreign Studies.
文摘Teasing can be approached as a linguistic resource for examining the interpersonal issues of im/politeness and face,or as a discursive strategy for displaying relationships or constructing social identities.However,studies have underestimated the discursive constraints of teasing in specific contexts.Meanwhile,a majority of teasing studies were based on Western cultures and did not pay sufficient attention to the variety of teasing across cultures.By collecting data from two Chinese entertainment interviews,where the interviewer employs teasing frequently for performing institutional roles,this study examined how teasing functions to assist the interviewer to complete communicative goals,and explored the discursive constraints of teasing in media context.Data analysis exemplified how teasing helped the interviewer to manage an interview event,obtain the guest’s disclosure and seek audience involvement,helping to construct the interviewer’s professionality.Implications for understanding the discursive features of teasing in the Chinese media context were addressed.
文摘Expert Profile:Prof.Douglas R.MacFarlane is an Australian Laureate Fellow at Monash University's School of Chemistry and leader of the Energy Program in the Australian Centre for Electromaterials Science.He is the Australian Academy of Science's Craig Medalist 2018 and winner of the Victoria Prize for Science and Innovation 2018.
文摘Purpose:The aim of this study was to evaluate the impact of motivational interviewing(MI)on the quality of life and its related factors in type 2 diabetes mellitus(T2DM)patients with poor long-term glycemic control.Design and methods:One hundred tenT2DMpatientswithpoor long-termglycemic control that were hospitalized in our institution were enrolled in this study and randomly assigned to receive eitherMI or routine diabetes education intervention.Patients'body mass index values,Homeostatic Model Assessment-Insulin Resistance(HOMA-IR)scores,and levels of glycated hemoglobin(HbA1C),triglycerides,high-and low-density lipoproteincholesterols,Summary of Diabetes Self-management Activities and Diabetes Specific Quality of Life assessments were recorded before and six months after intervention.Results:Baseline scores for all measurements did not differ between patients in the control and MI groups.Although MI resulted in a significant reduction of HbA1c and serum lipid levels compared with the baseline,the effect was not significantly different from the control intervention.However,the improvement in HOMA-IR scores was significantly greater in the MI group compared with the control intervention(2.8±2.8 vs.5.7±4.7;p=0.000).Moreover,MI significantly elevated diabetes self-management activities ratings compared with the control intervention(13.2±3.4 vs.10.9±4.3;p=0.004).Conclusion:Compared to routine diabetes education,MI is a more effective approach for improving HOMA-IR and self-management of T2DM patients with poor long-term glycemic control.
文摘Objective:The objective of this meta-analysis was to evaluate the effect of motivational interviewing(MI)on self-management in patients with type 2 diabetes.Methods:Randomised controlled trials that assessed the effects of MI on self-management and HbA1c levels in patients with type 2 diabetes were systematically reviewed using multiple electronic databases.Weighted mean differences with 95%confidence intervals were calculated for continuous data.Results:Ten trials were included in this meta-analysis.The self-management ability of patients with type 2 diabetes who underwent MI was significantly better than that of patients in the control group(WMD,2.37;95%CI,1.77e2.98;p<0.00001).Subgroup analysis showed that short-term MI(6 months)resulted in a significant decrease in the HbA1c level(p<0.05)but that this advantage was not present for relatively long-term MI(>6 months)(p>0.05).Conclusions:MI was associated with improved self-management abilities among patients with type 2 diabetes,and short-term MI(6 months)effectively decreased the HbA1c level.The effect of long-term MI(>6 months)on the HbA1c level remains uncertain.Large-scale,higher-quality randomised controlled trials are needed to confirm the present findings.
文摘Objective:The extremely low incidence of male breast cancer (MBC) leads to lack of prospective randomized phase III studies worldwide. Especially in China,all studies on Chinese patients with MBC were based on small sample size and single institute experience. The aim of this study was to provide overall view of characteristics of Chinese patients with MBC by means of summarizing all related papers published in Chinese journals. Methods: An online search was made in CBM,VIP,CNKI,and CBA databases to find all published articles of interest on Chinese patients with MBC. And eight subjects including the proportion of MBC in all breast cancer,age,tumor location,clinical stages,pathological subtypes,treatment modalities,ER/PR expression,and 5-year survival rate were selected to calculate the proportion and their 95% interval confidence. Results: There were 122 papers with 2584 patients enrolled. The basic features of Chinese patients with MBC included:(1) MBC only with a proportion of 1.06% of all the breast cancer; (2) The mean age at diagnosis was 57.6 years old; (3) Tumor mainly located in the areolar region (74.83%) with obvious nipple and/or skin involvement; (4) Nearly 62.62% patients were in early stage before accepting treatment; (5) Infiltrating ductal carcinoma accounted for 79.05% of all pathological subtypes; (6) ER/PR expression rate was 65.86%; (7) Radical resection was up to 86.06% in all surgical modalities; (8) The 5-year survival rate was 57.33%. Conclusion: The results showed in this study were an overall view of Chinese patients with MBC whose characteristics were similar to that reported in the West. Though this study provided a little bit stronger confidence than a single study collected in this paper,studies with more powerful evidence are urgently demanding in China.
