目的 构建老年脑卒中后偏瘫患者康复期健康干预联合体并探讨其实践效果。方法 选取2020年1月至2021年8月安徽医科大学第二附属医院收治的93例老年脑卒中后偏瘫患者,随机分为对照组(46例)与研究组(47例)。对照组给予康复期的常规健康干预...目的 构建老年脑卒中后偏瘫患者康复期健康干预联合体并探讨其实践效果。方法 选取2020年1月至2021年8月安徽医科大学第二附属医院收治的93例老年脑卒中后偏瘫患者,随机分为对照组(46例)与研究组(47例)。对照组给予康复期的常规健康干预,研究组构建康复期健康干预联合体并将其应用于患者。比较2组入院时、出院当天及出院3个月的美国国立卫生研究院卒中量表(National Institute of Health Stroke Scale,NIHSS)评分、简化Fugl-Meyer运动功能评分(Fugl-Meyer Motor Function Assessment,FMA)、改良Barthel指数、10 m步行时间测试(10 meter walk time test,10MWT)、脑卒中专用生活质量量表(Stroke Specific Quality of Life Scale,SS-QOL)评分及起立―行走计时测试(timed up and go test,TUGT)时间,并比较患者依从性。结果 与对照组相比,研究组出院当天、出院3个月的NIHSS评分、10MWT、TUGT较低(P<0.05);简化FMA运动功能评分、改良Barthel指数、SS-QOL评分较高(P<0.05)。研究组患者依从性良好率高于对照组(P<0.05)。结论 在老年脑卒中后偏瘫患者康复期实施基于健康干预联合体的干预,可减轻神经功能缺损,促进患者肢体运动功能、步行能力及日常生活活动能力改善,并促进其依从性及生活质量提升。展开更多
Background: Floorball training offers a motivating and socially stimulating team activity for older adults, and 12 weeks of floorball training twice a week among men aged 65—76 years have been shown to have positive ...Background: Floorball training offers a motivating and socially stimulating team activity for older adults, and 12 weeks of floorball training twice a week among men aged 65—76 years have been shown to have positive effects on a number of physiological parameters important for health. However, the effect of long-term participation in floorball training among male elderly has not been investigated. The aim of the present study was to examine the effect of 26-month self-organized regular participation in floorball training on cardiovascular fitness, body composition, blood lipids, glucose control, and physical function among recreationally active men aged 66—78 years.Methods: After completing a 12-week randomized and controlled intervention with floorball and petanque training in the autumn 2014 or spring2015, 15 subjects chose to participate in floorball training(floorball group, FG), whereas 16 subjects resumed their usual lifestyle(control group,CG). FG took part in self-organized floorball training 1.7 sessions of 40 min/week, and CG continued their normal recreationally active lifestyle during a 26-month follow-up period. At baseline and after the follow-up period subjects were tested for cardiovascular fitness, glucose control(resting blood samples), body composition dual-energy X-ray absorptiometry(DXA-scanning), and functional capacity.Results: In FG, the decline in maximal oxygen uptake(VO_(2max)) during the follow-up period was lower(242 ± 379 mL/min, p = 0.01), blood glycosylated hemoglobin(HbA1c) increased less(—1.6 ± 2.9 mmol/L, p = 0.02), and leg bone mineral density increased more(0.03 ± 0.05 g/cm^2,p = 0.02) than those in CG. The effects on body mass, total lean body mass, fat mass, blood lipids, and physical function were similar in FG and CG.Conclusion: Approximately twice weekly floorball sessions with 40 min/session over 26-month appear to reduce age-related decline in cardiovascular fitness and glucose control and improve leg bone mineral density, suggesting that long-term participation in floorball training can be considered as a health-enhancing activity in recreationally active male elderly.展开更多
An integrated evaluation system under randomness and fuzziness was developed in this work to systematically assess the risk of groundwater contamination in a little town, Central China. In this system, randomness of t...An integrated evaluation system under randomness and fuzziness was developed in this work to systematically assess the risk of groundwater contamination in a little town, Central China. In this system, randomness of the parameters and the fuzziness of the risk were considered simultaneously, and the exceeding standard probability of contamination and human health risk due to the contamination were integrated. The contamination risk was defined as a combination of "vulnerability" and "hazard". To calculate the value of "vulnerability", pollutant concentration was simulated by MODFLOW with random input variables and a new modified health risk assessment(MRA) model was established to analyze the level of "hazard". The limit concentration based on environmental-guideline and health risk due to manganese were systematically examined to obtain the general risk levels through a fuzzy rule base. The "vulnerability" and "hazard" were divided into five categories of "high", "medium-high", "medium", "low-medium" and "low", respectively. Then, "vulnerability" and "hazard" were firstly combined by integrated evaluation. Compared with the other two scenarios under deterministic methods, the risk obtained in the proposed system is higher. This research illustrated that ignoring of uncertainties in evaluation process might underestimate the risk level.展开更多
Codling moth Cydiapomonella L. is the most serious pest of apple and pear worldwide and causes damage and decreased yields. To minimize this risk, IPM tools can be applied to reduce the use of chemicals. A cost-effect...Codling moth Cydiapomonella L. is the most serious pest of apple and pear worldwide and causes damage and decreased yields. To minimize this risk, IPM tools can be applied to reduce the use of chemicals. A cost-effective application of IPM depends on the number of insects at the time of application. Several conditions and factors influence the lifecycle and numbers of generations within a year. In order to perform ex-ante evaluations of the cost-effectiveness of IPM measures against pest insects, the generic PREMISE insect model has been developed, which integrates insect's population dynamics, the climate and other conditions, applied measures, economics, environment and human health (residues). This paper describes these components of the PREMISE insect model, and how these components interact to assess the cost-effectiveness of IPM measures and the effects on the environment and human health. Codling moth is used as a case study for this generic model.展开更多
OBJECTIVE:To investigated the characteristics of patients with functional dyspepsia(FD)in terms of Sasang constitutional medicine.METHODS:A total of 116 patients with FD were recruited based on diagnosis by gastroscop...OBJECTIVE:To investigated the characteristics of patients with functional dyspepsia(FD)in terms of Sasang constitutional medicine.METHODS:A total of 116 patients with FD were recruited based on diagnosis by gastroscopy and symptomatic measurements.The distributions of Sasang constitutions and six syndromes in terms of TKM theory in the patients was compared with those from 1423 healthy subjects.RESULTS:The distribution of Sasang constitutions for the patients with FD significantly differed from that for healthy subjects,especially among women;36.7%vs 45.6%for Taeumin,28.9%vs 33.9%for Soumin,and 34.4%vs 20.4%for Soyangin.Our results assumed a high prevalence in Soyangin women(around 1.7 folds),and Soumin(45.2%),inparticular,had a high prevalence of"deficiency and coldness of spleen and stomach"compared with Taeumin(14.9%)and Soyangin types(15.7%).CONCLUSION:This study identified a trend for the frequency of FD and the Sasang constitutions.The findings may provide new ideas for the study of prevention and management of FD.展开更多
文摘目的 构建老年脑卒中后偏瘫患者康复期健康干预联合体并探讨其实践效果。方法 选取2020年1月至2021年8月安徽医科大学第二附属医院收治的93例老年脑卒中后偏瘫患者,随机分为对照组(46例)与研究组(47例)。对照组给予康复期的常规健康干预,研究组构建康复期健康干预联合体并将其应用于患者。比较2组入院时、出院当天及出院3个月的美国国立卫生研究院卒中量表(National Institute of Health Stroke Scale,NIHSS)评分、简化Fugl-Meyer运动功能评分(Fugl-Meyer Motor Function Assessment,FMA)、改良Barthel指数、10 m步行时间测试(10 meter walk time test,10MWT)、脑卒中专用生活质量量表(Stroke Specific Quality of Life Scale,SS-QOL)评分及起立―行走计时测试(timed up and go test,TUGT)时间,并比较患者依从性。结果 与对照组相比,研究组出院当天、出院3个月的NIHSS评分、10MWT、TUGT较低(P<0.05);简化FMA运动功能评分、改良Barthel指数、SS-QOL评分较高(P<0.05)。研究组患者依从性良好率高于对照组(P<0.05)。结论 在老年脑卒中后偏瘫患者康复期实施基于健康干预联合体的干预,可减轻神经功能缺损,促进患者肢体运动功能、步行能力及日常生活活动能力改善,并促进其依从性及生活质量提升。
文摘Background: Floorball training offers a motivating and socially stimulating team activity for older adults, and 12 weeks of floorball training twice a week among men aged 65—76 years have been shown to have positive effects on a number of physiological parameters important for health. However, the effect of long-term participation in floorball training among male elderly has not been investigated. The aim of the present study was to examine the effect of 26-month self-organized regular participation in floorball training on cardiovascular fitness, body composition, blood lipids, glucose control, and physical function among recreationally active men aged 66—78 years.Methods: After completing a 12-week randomized and controlled intervention with floorball and petanque training in the autumn 2014 or spring2015, 15 subjects chose to participate in floorball training(floorball group, FG), whereas 16 subjects resumed their usual lifestyle(control group,CG). FG took part in self-organized floorball training 1.7 sessions of 40 min/week, and CG continued their normal recreationally active lifestyle during a 26-month follow-up period. At baseline and after the follow-up period subjects were tested for cardiovascular fitness, glucose control(resting blood samples), body composition dual-energy X-ray absorptiometry(DXA-scanning), and functional capacity.Results: In FG, the decline in maximal oxygen uptake(VO_(2max)) during the follow-up period was lower(242 ± 379 mL/min, p = 0.01), blood glycosylated hemoglobin(HbA1c) increased less(—1.6 ± 2.9 mmol/L, p = 0.02), and leg bone mineral density increased more(0.03 ± 0.05 g/cm^2,p = 0.02) than those in CG. The effects on body mass, total lean body mass, fat mass, blood lipids, and physical function were similar in FG and CG.Conclusion: Approximately twice weekly floorball sessions with 40 min/session over 26-month appear to reduce age-related decline in cardiovascular fitness and glucose control and improve leg bone mineral density, suggesting that long-term participation in floorball training can be considered as a health-enhancing activity in recreationally active male elderly.
基金Projects(51039001,51009063) supported by the National Natural Science Foundation of ChinaProject(SX2010-026) supported by State Council Three Gorges Project Construction Committee Executive Office,China+1 种基金Project(2012BS046) supported by Henan University of Technology,ChinaProject(BYHGLC-2010-02) supported by the Guangzhou Water Authority,China
文摘An integrated evaluation system under randomness and fuzziness was developed in this work to systematically assess the risk of groundwater contamination in a little town, Central China. In this system, randomness of the parameters and the fuzziness of the risk were considered simultaneously, and the exceeding standard probability of contamination and human health risk due to the contamination were integrated. The contamination risk was defined as a combination of "vulnerability" and "hazard". To calculate the value of "vulnerability", pollutant concentration was simulated by MODFLOW with random input variables and a new modified health risk assessment(MRA) model was established to analyze the level of "hazard". The limit concentration based on environmental-guideline and health risk due to manganese were systematically examined to obtain the general risk levels through a fuzzy rule base. The "vulnerability" and "hazard" were divided into five categories of "high", "medium-high", "medium", "low-medium" and "low", respectively. Then, "vulnerability" and "hazard" were firstly combined by integrated evaluation. Compared with the other two scenarios under deterministic methods, the risk obtained in the proposed system is higher. This research illustrated that ignoring of uncertainties in evaluation process might underestimate the risk level.
文摘Codling moth Cydiapomonella L. is the most serious pest of apple and pear worldwide and causes damage and decreased yields. To minimize this risk, IPM tools can be applied to reduce the use of chemicals. A cost-effective application of IPM depends on the number of insects at the time of application. Several conditions and factors influence the lifecycle and numbers of generations within a year. In order to perform ex-ante evaluations of the cost-effectiveness of IPM measures against pest insects, the generic PREMISE insect model has been developed, which integrates insect's population dynamics, the climate and other conditions, applied measures, economics, environment and human health (residues). This paper describes these components of the PREMISE insect model, and how these components interact to assess the cost-effectiveness of IPM measures and the effects on the environment and human health. Codling moth is used as a case study for this generic model.
基金Supported by the a National Research Foundation of Korea(NRF)Grant funded by the Ministry of Science,ICT&Future Planning(No.2006-2005173)
文摘OBJECTIVE:To investigated the characteristics of patients with functional dyspepsia(FD)in terms of Sasang constitutional medicine.METHODS:A total of 116 patients with FD were recruited based on diagnosis by gastroscopy and symptomatic measurements.The distributions of Sasang constitutions and six syndromes in terms of TKM theory in the patients was compared with those from 1423 healthy subjects.RESULTS:The distribution of Sasang constitutions for the patients with FD significantly differed from that for healthy subjects,especially among women;36.7%vs 45.6%for Taeumin,28.9%vs 33.9%for Soumin,and 34.4%vs 20.4%for Soyangin.Our results assumed a high prevalence in Soyangin women(around 1.7 folds),and Soumin(45.2%),inparticular,had a high prevalence of"deficiency and coldness of spleen and stomach"compared with Taeumin(14.9%)and Soyangin types(15.7%).CONCLUSION:This study identified a trend for the frequency of FD and the Sasang constitutions.The findings may provide new ideas for the study of prevention and management of FD.