数字经济背景下“康养+数字”产业模式研究

数字经济背景下,为积极应对人口老龄化问题,康养服务与时俱进建设智慧健康体系,在补齐养老服务短板方面进行了有益尝试。本文以康养服务智慧健康体系建设为中心,结合数字经济背景的时代特点,阐述了数字经济背景下“康养+数字”产业模式的特点,分析了数字经济背景下“康养+数字”产业模式建设的困境,即经济观念滞后、融资能力较弱、数字技术壁垒、数字消费萎靡、数字康养人才少;重点从更新经济观念、增强融资能力、打破技术壁垒、推动消费升级、培养专业人才等方面探讨了“康养+数字”产业模式建设的出路。

我国西南地区田园康养产业发展路径研究——以攀枝花仁和区为例

基于“农业+、康养+”的规划理念,探究田园与康养相结合新的发展模式,将“三产融合”“三生空间”“生态康养”贯穿于田园康养产业发展的全域过程和产业链中。以攀枝花仁和区为例,构建“农业+、康养+”的田园康养产业布局发展路径,为我国康养产业发展实践提供实证研究。

“康养+”模式下的五感农田

通过探索“康养+”模式下的五感农田,以促进大众健康为目的,利用农田生态资源、食药资源和文化资源,与医学、养生学融合,构建自然、生态、绿色、休闲的康养生活模式。

云南“康养”产业与休闲体育融合发展分析

伴随着老龄化问题与“亚健康”现象的逐渐增加,这些人群对闲暇之余的休闲养生和如何健康地去运动的需求越来越迫切,现代社会的发展已经从对衣食的需求转向了休闲养生。休闲式的体育发展势将以更加休闲化和娱乐化的形式呈现,以至能更好地融合到人民群众的日常生活。《昆明市大健康产业发展规划(2019-2030年)》的发布,提出以全市力量推进大健康产业具有代表性的示范区的建设,建设一个成为我国绿色健康的城市和顶级健康生活的如水赴壑的目的地。建设成为世界级健康生活目的地是云南的一项战略举措,也是实施“健康中国2030”战略的本质要求。本文采用了文献法、实地调查法、个案分析等方法,对两者融合的发展路径进行了研究分析,对云南省康养产业与休闲体育融合过程中出现的问题进行分析,对云南省休闲体育发展所遇到的问题提出解决方案。

攀枝花“康养+”产业融合发展研究

主要研究攀枝花"康养+"产业融合发展的背景和发展方向,从攀枝花现有的已经利用资源和未利用的资源出发,找寻"康养+"产业与工业、农业、旅游、医疗、文化的结合发展方向。"康养+"加出新的模式,新的融合,加出新的业态,加出新的格局,加出新的生活。顺应中央到地方关于转型发展、绿色发展的相关需求,稳中求进的走出一个"康养+"新模式。

Effects of Slow Release Fertilizer on the Yield and Nutrient Use Efficiency of Carnation and Its Environmental Protection Effect

[Objective] The aim was to study the effects of slow release fertilizer on the yield,economic benefit and nutrient use efficiency of carnation and environmental pollution.[Method] Taking carnation（Dianthus caryophyllus）as research object,the application effect and environmental protection effect of slow release fertilizer on carnation were discussed through field plot test.[Result] The main agronomic characters of carnation improved after the application of slow release fertilizer;compared with Conv-F treatment,the yield of carnation with slow release fertilizer increased by 18.67%-20.83%,and its economic benefit increased by 105 500 yuan/hm2,while the ratio of output to input improved by 74.29%;under the same NPK ratio and nutrient amount,the yield,economic benefit and ratio of output to input of carnation after the application of slow release fertilizer increased by 2.11%,14 800 yuan and 16.2%,respectively;besides,the application of slow release fertilizer improved the nutrient use efficiency of carnation,and N,P and K nutrient use efficiency in Opt-F-0.7% treatment increased by 13.88%,8.57% and 30.14% compared with Conv-F treatment.[Conclusion] Slow release fertilizer could not only reduce the waste of fertilizer resources and improve fertilizer use efficiency but also decrease the pollution caused by nutrient loss,which had important practical significance for protecting ecological environment and promoting the sustainable development of agriculture.

The effect of health literacy level on health outcomes in patients with diabetes at a type v health centre in Western Jamaica

Objective:To identify the effects of health literacy levels on health outcomes in patients with diabetes in a type V health center in Western Jamaica.Method:A correlational survey design with a random sampling technique was used.An 18-item questionnaire and the Newest Vital Sign tool were administered to 88 consenting adults with diabetes to assess their health literacy levels.Their health outcomes were evaluated with docket review.Data were analyzed using SPSS version 18.Results:The participants were predominantly female(77.3%),aged 51-70 years,married(44%),employed(46%),and diagnosed with diabetes>10 years(42%).Only 13.6%of the study population was adequately health literate.The health literacy scores for gender were not significant(P=0.84).The health literacy scores of the patients with different ages and educational levels were significant(P<0.001).Pearson's correlations revealed no linear relationship between health literacy scores and health outcome(r=0.185,P=0.084).Conclusion:Limited health literacy and high likelihood of limited health literacy are predominant in the study population.Age and educational level are significantly associated with health literacy levels.However,these findings suggest no association between health literacy level and diabetic health outcomes.

Physically literate and physically educated:A rose by any other name?

In the 2013 release of the U.S. National Physical Education Standards the term ＂physically literate＂ replaced ＂physically educated＂. Un- fortunately, most discourse within the profession about the term physically literate occurred primarily after its adoption. While we agree with the spirit and intent of the term, we feel it is essential to discuss not only what has been potentially gained but also lost. In our paper, we illustrate the similarity of the terms physically educated and physically literate and essentially, from a definitional perspective, find little difference--but are these terms interchangeable？ We provide a critical review of the standards and conclude that the change to physical literacy has produced a shift away from psychomotor outcomes to cognitive outcomes. Our concerns about this are many, but most importantly they are about the need to emphasize the ＂physical＂ in physical education （PE）. It is our belief that the key to elevating the profession and maintaining and increasing support for PE is in its ability to promote and provide physical activity. Without physical activity and physical fitness as main outcomes, PE increases its vulnerability to extinction as a standard part of the U.S. K-12 education curriculum.

Health literacy in kidney disease: Review of the literature and implications for clinical practice

Health literacy is the capacity of an individual to understand information related to a disease in order to make an informed decision. In patients with kidney diseases, studies have reported increasing impact of limited health literacy on health outcomes. Our paper discusses current literature on health literacy in kidney diseases.

Multidimensional health literacy profiles and health-related behaviors in the elderly:A cross-sectional survey

Objectives:To investigate health literacy profiles using a multidimensional tool in the elderly,analyze the factors related to health literacy,and explore the relationships between health literacy and health-related behaviors.Methods:A cross-sectional survey including 440 participants was conducted at a community health center and a village health center in Changsha,Hunan Province,between June 2020 and August 2020.We used the Health Literacy Questionnaire(HLQ)to assess the elderly’s health literacy.Sociodemographic data and health-related behaviors of them were surveyed with a self-designed questionnaire.Latent profile analysis,Pearson’s chi-squared and ordinal logistic regression were used to analyze the data.Results:The median age of the 440 respondents was 68 years.The participants had the lowest scores in the“appraisal of health information”subscale(2.22±0.52),followed by“navigating the healthcare system”subscale(2.89±0.81)of HLQ.Based on the analysis of three profiles,respondents who were 60 e74 years(OR=2.06,95%CI:1.23e3.42,P=0.006),living in urban areas(OR=3.28,95%CI:2.17e4.94,P<0.001),with secondary education or above(OR=2.86,95%CI:1.92e4.27,P<0.001),and having health insurance(OR=1.89,95%CI:1.02e3.51,P=0.042)were significantly associated with health literacy.Statistically significant associations were found between health literacy level and health-related behaviors,including medical service-seeking behavior(χ^(2)=25.14,P<0.001),exercising regularly(χ^(2)=34.08,P<0.001),and taking a medical examination in the past 12 months(χ^(2)=24.76,P<0.001).Conclusion:The multidimensional health literacy survey has identified the low health literacy level among the elderly in community settings.It revealed the relationships of sociodemographic character-istics,including age,education level and residence,with health literacy.These findings emphasized the importance of health literacy in promoting health behaviors,guiding a profound understanding of the Chinese elderly’s health needs and health literacy to develop community-based health promotion interventions.

Health Literacy Level of Chinese Residents Improved to 9.48%

The 2013 Monitoring Report of Health Literacy Level of Chinese Residents announced by National Health and Family Planning Commission（NHFPC）on February 17,2015 shows that health literacy level of Chinese residents had increased to 9.48%,a rise of 0.68percentage point over 8.80% in 2012 and an increase of 3 percentage points over 6.48% in 2008.

Health Literacy Level of Chinese Residents Improved to 9.48% in 2013

Health literacy refers to the ability to obtain and understand basic healt h information and service and use such information and service to make appropriate decisions so as to maintain and enhance one’s own health.Health literacy is an important indicator to evaluate a country’s basic public health service standard and the health status of the people.

Factors that impact health-related quality of life in adults with celiac disease:A multicenter study

AIM: To evaluate the factors involved in the impairment of health-related quality of life (HRQOL) in patients with celiac disease.METHODS: A multicenter, cross-sectional prospective study was performed in patients with celiac disease who completed two HRQOL questionnaires: the gastrointestinal quality of life index (GIQLI) and the EuroQol-5D (EQ).RESULTS: Three hundred and forty patients (163 controlled with a gluten-free diet, and 177 newly diagnosed with a normal diet) were included. The GIQLI score was significantly better in patients on a gluten-free diet (GFD) than in non-treated patients on their usual diet, both in terms of the overall score (3.3 vs 2.7, respectively; P < 0.001), as well as on the individual questionnaire dimensions. Both the preference value of the EQ as the visual analogue scale were significantly better in treated than in non-treated patients (0.93 vs 0.72 P < 0.001 and 80 vs 70 P < 0.001, respectively). Variables significantly associated with a worse HRQOL score were female gender, failure to adhere to a GFD, and symptomatic status.CONCLUSION: In untreated celiac disease, the most important factors that influence patient perception of health are the presence of symptoms and a normal diet. HRQOL improves to levels similar to those described in the general population in celiac disease patients well controlled with a GFD.

A qualitative study of nurses’experiences of self-care counseling in migrant patients with heart failure

Objectives:This study aims to enhance researchers’and nurses’understanding of how to best support migrant patients with heart failure in self-care management.Previous research on self-care in heart failure patients has highlighted its importance,particularly among migrant populations.Nurses play an important role in informing and engaging patients with chronic conditions like heart failure to support their active participation in self-care.However,nurses’experiences of providing self-care counseling to migrant populations with heart failure have not been studied.Methods:A qualitative study was conducted.Nurses working with migrant patients with HF(n?13)from different types of facility in Western Sweden were interviewed between October and December 2020.Data were collected using semi-structured interviews and analyzed using inductive thematic analysis.Results:The main theme that emerged from the interviews was the difficulty for nurses“to find balance”in self-care counseling.The nurses during self-care counseling had:“to accept challenges,”“to use creative strategies,”faced“problems related to health literacy,”and“to work according to their(the nurses’)obligations.”It was evident that nurses faced several challenges in counseling migrants in self-care,including language and cultural barriers,time resource constraints,low levels of health literacy,and experienced disharmony between the law and their professional norms.They perceived building caring relationships with their patients to be crucial to fostering health-promoting self-care processes.Conclusions:To increase self-care adherence,nurses must become more sensitive to cultural differences and adapt self-care counseling to patients’health literacy.The findings of this research support and challenge nurses in providing the best counsel to migrant patients with heart failure living in Sweden’s multi-ethnic society.Policymakers in the health care organization should act to facilitate mutual cultural understanding between all involved partners for patient-safe self-care counseling.

The prevalence of health literacy of Chinese residents for infectious disease between 2011 and 2015： findings from a meta-analysis

Objective： To systematically investigate the prevalence of health literacy of Chinese residents for infectious disease between 2011 and 2015. Methods： The eligible studies were identified by searching China National Knowledge Infrastructure （CNKI）, Wanfang database and Chinese Scientific and Technical Periodicals Database. After abstracted in- formation and appraised the risk of bias of all eligible studies, Stata software versionl2.0 was used to perform statistical analysis. Results： A total of 35 cross-sectional studies, including 94631 residents, were finally included in the present study. All eligible studies were appraised as to have the quality of more than 14 grades. Meta-analysis revealed that the prevalence of health literacy of Chinese residents for infectious disease between 2011 and 2015 was 20.00% （95% CI, 18% to 23%）. Conclusion： The prevalence of health literacy of Chinese resident for infectious disease be- tween 2011 and 2015 are extremely low. And thus, it is essential to take targeted health education program depending on the characteristics of diverse group of people in order to improve the overall health of Chinese resident.

Healthcare Literacy Level of Traditional Chinese Medicine of Chinese Citizens was 8.55%

State Administration of Traditional Chinese Medicine（SATCM）,jointly with National Health and Family Planning Commission（NHFPC）,issued results of survey on healthcare literacy of traditional Chinese medicine（TCM）on March 31.

Pupil＇s Diet-Related Attitudes to Healthy Lifestyle

The main purpose of this article was to find out more about eating habits along with other habits, attitudes and activities of elementary school pupils. Another aim was to determine possible differences among pupils, depending on their sex, age and environment. Furthermore, based on the anthropometric data （body mass and height） and age, this article was to determine the nutritional status of pupils. The research was conducted via questionnaire constructed for the needs of this specific research. Six hundred and fifty-one pupils took part in this questionnaire in a ratio of 41：59 urban/rural and 51：49 girls/boys. Most of the interviewed pupils （73.88%） have normal body mass according to their age. The share of underweight and overweight pupils is bigger among the boys. Nutritional habits differ among pupils from the urban and rural areas, but they do not differ as much among boys and girls. In addition, their nutritional habits become worse as they grow up.

Sarcopenia is associated with Framingham risk score in the Korean population： Korean National Health and Nutrition Examination Survey （KNHANES） 2010-2011

Background Sarcopenia is a risk factor for metabolic disorders and cardiovascular disease, but the association between sarcopenia and cardiovascular risk factors according to age and obesity status in the general population remains unknown. We thus investigated these associations in the Korean population. Methods We included 8,958 and 8,518 subjects from the fifth Korean National Health and Nutrition Examination Survey （KNHANES） （from 2010 and 2011, respectively）. The study was restricted to participants 〉 20 years old who had completed the health examination survey, including whole body dual-energy X-ray absorptiometry scans. After exclusion, 7,366 subjects （3,188 men, 4,178 women） were included in our final analysis. Age was categorized according to three age groups （20-39, 40-59, mad 〉 60 years）, and subjects were catego- rized according to their sarcopenic and obesity status. Cardiovascular risk was assessed with Framingham risk score （FRS）. Results The sarco- penic obese group had a higher FRS than the non-sarcopenic obese group, which had a higher FRS than the non-sarcopenic non-obese group. Age-wise, the 20-39 year-old group showed a non-significant association between sarcopenia and FRS. In the 40-59 year-old group, regardless of obesity status, sarcopenic subjects had a higher FRS than non-sarcopenic subjects. In the 〉 60 year-old group, sarcopenic subjects had a higher FRS than non-sarcopenic subjects for the non-obese group. Conclusions Sarcopenia was associated with cardiovascular disease and may be an early predictor of its susceptibility in both elderly and middle-aged subjects. Thus, management of sarcopenia is necessary to prevent cardiovascu- lar disease.

Bread and Health

Introduction： Bread is a food full of flavors and nutrients and continues to be the basis of our daily diet. Aim： The aim of this review was the investigation of bread＇s usefulness in our daily dietary chain and health in general. Material-Method： Extensive review of the recent literature was conducted in electronic databases （Medline, Scopus, and Google Scholar） through the Association of Hellenic Academic Libraries （HEAL-Link） using the appropriate key words： bread, health, disease as well as a combination of them. Results： Bread is an excellent source of complex carbohydrates that provide the body with the energy needed. Although bread is a basic food of everyday human nutrition, it is implicated in a variety of situations that burden the human body, such as obesity. However, this happens only when it is consumed in very large quantities and when it is part of an unbalanced diet. Conclusions： Bread, when is consumed in balanced quantities can give the body plenty of nutrients essential for its good function.

Impact of Deficient Nutrition on Health Condition of Persons with Dementia

Dementia is a loss of mental ability （ability to think, remember and make logical conclusions） which, in principle affects normal everyday life of a person. Dementia is not a disease but a group of symptoms that may cause different diseases. Symptoms include change of behaviour, character and unexpected changes in the mood. Poor quality of nutrition affects significantly the intensity of dementia. Balanced diet that meets healthy safety standards and requirements will satisfy the needs of an organism for vitamins and minerals and special attention should be given to intake of folic acid, vitamin B12 and minerals zinc and selenium. Intake of omega3 fatty acids is a source of fuel for blood vessels, particularly for the ones of the nervous tissues.