Patient safety has become a priority for the health system, including dentistry. Several studies showed that health care meant to improve people＇s health is an important source of disease. Good clinical practices aim...Patient safety has become a priority for the health system, including dentistry. Several studies showed that health care meant to improve people＇s health is an important source of disease. Good clinical practices aim to maximize effectiveness and therapeutic compliance, minimize risks and costs, respecting the patient＇s choice from generic drugs, also from the moment of prescribing, the supervision of drug-related events must be taken into account, not only on the patient but also in the environment. Pharmacovigilance and pharmacoecovigilance have to be conceived as a clinical practice in dentistry. There is no established culture of drug induced reaction reports by dentists in Uruguay, and awareness of environmental care is incipient. The pharmacy of faculty of dentistry, （Universidad de la Repfiblica）, an institutional project that has been developed since 2006, is in a transformation process. The pharmacovigilance dentistry Node is in full development. The toxicovigilance and pharmacoecovigilance activities are recent. The general aim of this project was to establish the pbarmacovigilance, toxicovigilance and pharmacoecovigilance clinical practice in dentistry. The widespread use of cosmetic as toothpastes, or mouth rinses, drugs and dental materials, as well as exposure to chemical contaminants through the population＇s living habits and the environmental damage caused by drug wastes requires comprehensive and up-to-date information to establish rational strategies.展开更多
Big Data applications in the health service field have gradually been paid more close attention. Based on big data technology, more and more health information platforms are beginning to take effects, such as disease ...Big Data applications in the health service field have gradually been paid more close attention. Based on big data technology, more and more health information platforms are beginning to take effects, such as disease prevention, precision medicine, reducing expenditures for medical care and public health, improving medicine research and development. Meanwhile, the platforms have to face a lot of risks, such as health data disclosure, dispute of health data ownership, implicit contradiction explicit, unsustainable platform operation and so on. With the solutions of these risks, the construction of the public platform can provide better service for the citizens, hospital, pharmaceutical company, R＆D institutions or and other parties.展开更多
China has experienced rapid urbanization in recent decades along with dramatic economic growth. Previous studies have shown that urbanization has both positive and negative effects on health. However, there is a lack ...China has experienced rapid urbanization in recent decades along with dramatic economic growth. Previous studies have shown that urbanization has both positive and negative effects on health. However, there is a lack of research on the overall effects of urbanization on the epidemic transition of environmental health risks considering various pathways in China. In the present study, we studied the contributions of different aspects of urbanization in China to epidemic transitions using provincial and multi-year （1995, 2000, 2005, and 2010） panel data. Statistical models with fixed and random effects were developed to explore the impacts of different urbanization indicators on the overall epidemic tran- sition of environmental health （general model） and the changes in cause-specific mortality rates of typ- ical diseases （cause-specific models）. The results show that the impacts of non-communicable diseases continue to grow during the urbanization process in China. The ratio of communicable disease-related mortality to non-communicable disease-related mortality continues to decrease over time. The general model shows that the improved medical conditions （coefficient =-0.0011, P= 0.037）, the improved urban infrastructure （e.g., tap water supply） （coefficient = -0.00065, P 〈 0,001）, and the rise in income （coefficient = -0.00027, P = 0.047） during the urbanization process are important factors that promote this overall epidemic transition. The cause-specific models show that the mechanisms behind the general model are complicated. More attention should be paid to non-communicable diseases in urban health management. Specific health policies for different diseases should incorporate the considerations of dif- ferent impact pathwavs of urbanization,展开更多
Urban public health is an important global issue, and receives extensive attention. It is necessary to compare urban public health status among different cities, so that each city can define its own health patterns an...Urban public health is an important global issue, and receives extensive attention. It is necessary to compare urban public health status among different cities, so that each city can define its own health patterns and limiting factors. The following assessment indicators were established to evaluate urban public health status： living conditions, physical health, education and culture, envir- onmental quality, and social security. A weighted-sum model was used in combination with these indicators to compare the urban public health status in four cities-- Beijing, New York, London, and Tokyo--using data for 2000-2009. Although the urban public health level of Beijing was lower than that of the other cities, it showed the greatest increase in this level over the study period. Different patterns of urban public health were identified： London had the most balanced, steady pattern （almost all factors performed well and developed stably）; New York and Tokyo showed balanced, but unsteady patterns （most factors remained high, though social security and environ- mental quality fluctuated）; Beijing had the most unba- lanced, unsteady pattern （the different factors were at different levels, and education and culture and social security fluctuated）. For enhanced urban public health status, environmental quality and education and culture clearly need to be improved in Beijing. This study demonstrates that a comparison of different cities is helpful in identifying limiting factors for urban public health and providing an orientation for future urban development.展开更多
文摘Patient safety has become a priority for the health system, including dentistry. Several studies showed that health care meant to improve people＇s health is an important source of disease. Good clinical practices aim to maximize effectiveness and therapeutic compliance, minimize risks and costs, respecting the patient＇s choice from generic drugs, also from the moment of prescribing, the supervision of drug-related events must be taken into account, not only on the patient but also in the environment. Pharmacovigilance and pharmacoecovigilance have to be conceived as a clinical practice in dentistry. There is no established culture of drug induced reaction reports by dentists in Uruguay, and awareness of environmental care is incipient. The pharmacy of faculty of dentistry, （Universidad de la Repfiblica）, an institutional project that has been developed since 2006, is in a transformation process. The pharmacovigilance dentistry Node is in full development. The toxicovigilance and pharmacoecovigilance activities are recent. The general aim of this project was to establish the pbarmacovigilance, toxicovigilance and pharmacoecovigilance clinical practice in dentistry. The widespread use of cosmetic as toothpastes, or mouth rinses, drugs and dental materials, as well as exposure to chemical contaminants through the population＇s living habits and the environmental damage caused by drug wastes requires comprehensive and up-to-date information to establish rational strategies.
文摘Big Data applications in the health service field have gradually been paid more close attention. Based on big data technology, more and more health information platforms are beginning to take effects, such as disease prevention, precision medicine, reducing expenditures for medical care and public health, improving medicine research and development. Meanwhile, the platforms have to face a lot of risks, such as health data disclosure, dispute of health data ownership, implicit contradiction explicit, unsustainable platform operation and so on. With the solutions of these risks, the construction of the public platform can provide better service for the citizens, hospital, pharmaceutical company, R＆D institutions or and other parties.
基金supported by the National Natural Science Foundation of China(71433007)the National Key Research and Development Program of China(2016YFC0207603)supported by China Scholarship Council(CSC)under the State Scholarship Fund
文摘China has experienced rapid urbanization in recent decades along with dramatic economic growth. Previous studies have shown that urbanization has both positive and negative effects on health. However, there is a lack of research on the overall effects of urbanization on the epidemic transition of environmental health risks considering various pathways in China. In the present study, we studied the contributions of different aspects of urbanization in China to epidemic transitions using provincial and multi-year （1995, 2000, 2005, and 2010） panel data. Statistical models with fixed and random effects were developed to explore the impacts of different urbanization indicators on the overall epidemic tran- sition of environmental health （general model） and the changes in cause-specific mortality rates of typ- ical diseases （cause-specific models）. The results show that the impacts of non-communicable diseases continue to grow during the urbanization process in China. The ratio of communicable disease-related mortality to non-communicable disease-related mortality continues to decrease over time. The general model shows that the improved medical conditions （coefficient =-0.0011, P= 0.037）, the improved urban infrastructure （e.g., tap water supply） （coefficient = -0.00065, P 〈 0,001）, and the rise in income （coefficient = -0.00027, P = 0.047） during the urbanization process are important factors that promote this overall epidemic transition. The cause-specific models show that the mechanisms behind the general model are complicated. More attention should be paid to non-communicable diseases in urban health management. Specific health policies for different diseases should incorporate the considerations of dif- ferent impact pathwavs of urbanization,
基金Financial support is provided by the National Natural Science Foundation of China （Grant No. 40901269）, the Program for New Century Excellent Talents in University （NCET-09-0226）, the National Science Foundation for Innovative Research Group （No. 51121003）, and the Fundamental Research Funds for the Central Universities. The authors would also thank the help of the editor and the comments of the reviewers, which significantly improved the quality of this paper.
文摘Urban public health is an important global issue, and receives extensive attention. It is necessary to compare urban public health status among different cities, so that each city can define its own health patterns and limiting factors. The following assessment indicators were established to evaluate urban public health status： living conditions, physical health, education and culture, envir- onmental quality, and social security. A weighted-sum model was used in combination with these indicators to compare the urban public health status in four cities-- Beijing, New York, London, and Tokyo--using data for 2000-2009. Although the urban public health level of Beijing was lower than that of the other cities, it showed the greatest increase in this level over the study period. Different patterns of urban public health were identified： London had the most balanced, steady pattern （almost all factors performed well and developed stably）; New York and Tokyo showed balanced, but unsteady patterns （most factors remained high, though social security and environ- mental quality fluctuated）; Beijing had the most unba- lanced, unsteady pattern （the different factors were at different levels, and education and culture and social security fluctuated）. For enhanced urban public health status, environmental quality and education and culture clearly need to be improved in Beijing. This study demonstrates that a comparison of different cities is helpful in identifying limiting factors for urban public health and providing an orientation for future urban development.
