AIM： To identity the factors influencing colorectal cancer （CRC） screening behavior and willingness among Chinese outpatients.METHODS： An outpatient-based face-to-face survey was conducted from August 18 to Septem...AIM： To identity the factors influencing colorectal cancer （CRC） screening behavior and willingness among Chinese outpatients.METHODS： An outpatient-based face-to-face survey was conducted from August 18 to September 7, 2010 in Changhai Hospital. A total of 1200 consecutive patients aged ≥ 18 years were recruited for interview. The patient＇s knowledge about CRC and screening was pre-measured as a predictor variable, and other pre- dictors included age, gender, educational level, month- ly household income and health insurance status. The relationship between these predictors and screening behavior, screening willingness and screening approach were examined using Pearson＇s 2 test and logistic regression analyses.RESULTS： Of these outpatients, 22.5% had undergone CRC screening prior to this study. Patients who had participated in the screening were more likely to have good knowledge about CRC and screening （OR： 5.299, 95% CI： 3.415-8.223）, have health insurance （OR： 1.996, 95% CI： 1.426-2.794） and older in age. Higher income, however, was found to be a barrier to the screening （OR： 0.633, 95% CI： 0.467-0.858）. An analysis of screening willingness showed that 37.5% of the patients would voluntarily participated in a screen at the recommended age, but 41.3% would do so under doctor＇s advice. Screening willingness was positively correlated with the patient＇s knowledge sta- tus. Patients with higher knowledge levels would like to participate in the screening （OR： 4.352, 95% CI： 3.008-6.298）, and they would select colonoscopy as a screening approach （OR： 3.513, 95% CI： 2.290-5.389）. However, higher income level was, again, a bar- rier to colonoscopic screening （OR： 0.667, 95% CI： 0.505-0.908）. CONCLUSION： Patient＇s level of knowledge and in-ome should be taken into consideration when conducting a feasible CRC screening.展开更多
Obesity is known to be a major risk factor of type 2 diabetes （T2D） and responsible for most lipid abnormalities associated with the disease but limited data on such association are available for diabetic patients o...Obesity is known to be a major risk factor of type 2 diabetes （T2D） and responsible for most lipid abnormalities associated with the disease but limited data on such association are available for diabetic patients of Igbo ethnicity in the South East region of Nigeria. A case-control study involving 72 T2D patients and 75 non-diabetic （ND） patients （control） ofIgbo ethnicity was conducted. Demographic and anthropometric data were obtained followed by blood collection for the determination of fasting blood sugar （FBS）, total cholesterol （TC）, triglyceride （TG）, high density lipoprotein （HDL） and low density lipoprotein （LDL）. Obesity based on waist circumference （WC） was significantly higher （p 〈 0.001） in T2D patients compared to their non-diabetic counterparts. Similarly, TC, TG and LDL levels were significantly （p 〈 0.001） higher in T2D patients while HDL was significantly lower （p 〈 0.001） in T2D patients compared to the control. The proportion of dyslipidaemia characterized by high TC, high TG, high LDL and low HDL was significantly higher （p 〈 0.001） in T2D patients. BMI correlated positively （p 〈 0.05） with WC, TC, and LDL while FBS correlated positively （p 〈 0.05） with TG but negatively with HDL. In conclusion, dyslipidaemia characterised by hypercholesterolaemia, hypertriglyceridaemia, elevated LDL and reduced HDL, as well as obesity were associated with T2D and correlated with FBS in this population.展开更多
To assess the efficacy of pharmacist lead insulin management in improvement of HbAlc. Patients were referred to the LMttS （Licking Memorial Health Systems） Outpatient Medication Therapy Insulin Clinic by their physi...To assess the efficacy of pharmacist lead insulin management in improvement of HbAlc. Patients were referred to the LMttS （Licking Memorial Health Systems） Outpatient Medication Therapy Insulin Clinic by their physician during the time periods of July 2012 through March 2013 and August 2014 through December 2014. Physician authorization permitted pharmacists to provide clinical monitoring in order to evaluate and adjust insulin, GLP-I agonist and amylin mimetic doses by adhering to approved dosing guidelines and policy and procedures. Hemoglobin Atc values were obtained from the patients electronic medical records. Patients achieved an average decrease in HbAlc of 0.8 percentage points over a mean of 83 days. Pharmacist insulin management is an innovative pharmacy service through which clinical pharmacists can have an impact on patients＇ HbAtc.展开更多
A video shot at a hospital in Beijing went viral on the social network in late January,in which a woman wept inconsolably in the hall of the Guang’anmen Hospital.She revealed that she had been waiting for two days bu...A video shot at a hospital in Beijing went viral on the social network in late January,in which a woman wept inconsolably in the hall of the Guang’anmen Hospital.She revealed that she had been waiting for two days but still couldn’t get an outpatient appointment,as they had all been booked by scalpers.The scalpers resold one appointment for 4,500 yuan（$688）,15 times higher than the original fee of300 yuan（$46）.展开更多
文摘AIM： To identity the factors influencing colorectal cancer （CRC） screening behavior and willingness among Chinese outpatients.METHODS： An outpatient-based face-to-face survey was conducted from August 18 to September 7, 2010 in Changhai Hospital. A total of 1200 consecutive patients aged ≥ 18 years were recruited for interview. The patient＇s knowledge about CRC and screening was pre-measured as a predictor variable, and other pre- dictors included age, gender, educational level, month- ly household income and health insurance status. The relationship between these predictors and screening behavior, screening willingness and screening approach were examined using Pearson＇s 2 test and logistic regression analyses.RESULTS： Of these outpatients, 22.5% had undergone CRC screening prior to this study. Patients who had participated in the screening were more likely to have good knowledge about CRC and screening （OR： 5.299, 95% CI： 3.415-8.223）, have health insurance （OR： 1.996, 95% CI： 1.426-2.794） and older in age. Higher income, however, was found to be a barrier to the screening （OR： 0.633, 95% CI： 0.467-0.858）. An analysis of screening willingness showed that 37.5% of the patients would voluntarily participated in a screen at the recommended age, but 41.3% would do so under doctor＇s advice. Screening willingness was positively correlated with the patient＇s knowledge sta- tus. Patients with higher knowledge levels would like to participate in the screening （OR： 4.352, 95% CI： 3.008-6.298）, and they would select colonoscopy as a screening approach （OR： 3.513, 95% CI： 2.290-5.389）. However, higher income level was, again, a bar- rier to colonoscopic screening （OR： 0.667, 95% CI： 0.505-0.908）. CONCLUSION： Patient＇s level of knowledge and in-ome should be taken into consideration when conducting a feasible CRC screening.
文摘Obesity is known to be a major risk factor of type 2 diabetes （T2D） and responsible for most lipid abnormalities associated with the disease but limited data on such association are available for diabetic patients of Igbo ethnicity in the South East region of Nigeria. A case-control study involving 72 T2D patients and 75 non-diabetic （ND） patients （control） ofIgbo ethnicity was conducted. Demographic and anthropometric data were obtained followed by blood collection for the determination of fasting blood sugar （FBS）, total cholesterol （TC）, triglyceride （TG）, high density lipoprotein （HDL） and low density lipoprotein （LDL）. Obesity based on waist circumference （WC） was significantly higher （p 〈 0.001） in T2D patients compared to their non-diabetic counterparts. Similarly, TC, TG and LDL levels were significantly （p 〈 0.001） higher in T2D patients while HDL was significantly lower （p 〈 0.001） in T2D patients compared to the control. The proportion of dyslipidaemia characterized by high TC, high TG, high LDL and low HDL was significantly higher （p 〈 0.001） in T2D patients. BMI correlated positively （p 〈 0.05） with WC, TC, and LDL while FBS correlated positively （p 〈 0.05） with TG but negatively with HDL. In conclusion, dyslipidaemia characterised by hypercholesterolaemia, hypertriglyceridaemia, elevated LDL and reduced HDL, as well as obesity were associated with T2D and correlated with FBS in this population.
文摘To assess the efficacy of pharmacist lead insulin management in improvement of HbAlc. Patients were referred to the LMttS （Licking Memorial Health Systems） Outpatient Medication Therapy Insulin Clinic by their physician during the time periods of July 2012 through March 2013 and August 2014 through December 2014. Physician authorization permitted pharmacists to provide clinical monitoring in order to evaluate and adjust insulin, GLP-I agonist and amylin mimetic doses by adhering to approved dosing guidelines and policy and procedures. Hemoglobin Atc values were obtained from the patients electronic medical records. Patients achieved an average decrease in HbAlc of 0.8 percentage points over a mean of 83 days. Pharmacist insulin management is an innovative pharmacy service through which clinical pharmacists can have an impact on patients＇ HbAtc.
文摘A video shot at a hospital in Beijing went viral on the social network in late January,in which a woman wept inconsolably in the hall of the Guang’anmen Hospital.She revealed that she had been waiting for two days but still couldn’t get an outpatient appointment,as they had all been booked by scalpers.The scalpers resold one appointment for 4,500 yuan（$688）,15 times higher than the original fee of300 yuan（$46）.
