Physical activity and exercise in children with chronic health conditions

In the last two or three decades,physical activity(PA) has gained increasing recognition as being essential for maintaining good health and improving quality of life for all ages.Children have traditionally been active in both free play and organized sports.However,there has been a recent decline in the PA levels among children for various reasons.This lifestyle change has resulted in increased obesity accompanied by a rise in diabetes and cardiovascular risk among otherwise healthy children.These lifestyle changes have been shown to be even more a problem when the child is already affected by a chronic disease.Due to medical limitations and contraindications,much care must be taken to make certain that these children are involved in the appropriate volume and intensity of exercise.The type of activity must also be given careful consideration to avoid undue risk for the child who may have problems such as poor balance,limited strength,poor vision,or cognitive disability.Further complications are either caused or exacerbated by lack of sufficient PA.The priority beyond concern for safety should be focused on ensuring the highest quality of life possible.The purpose of this review is to examine how PA can benefit children with selected chronic health conditions.

The Relationship between Working Conditions and Adverse Health Symptoms of Employee in Solar Greenhouse

To determine the correlation between the working environment and the health status of employees in solar greenhouse, 1171 employees were surveyed. The results show the ＇Greenhouse diseases＇ are affected by many factors. Among general uncomforts, the morbidity of the bone and joint damage is the highest and closely related to labor time and age. Planting summer squash and wax gourd more easilv cause skin pruritus.

Health risk of whole body vibration in mining trucks during various operational conditions

Mining machineries are generally exposed to intensive vibrations in harsh mining environment. If vibrations are beyond the tolerable limit, the machine and its operator health will be under the risk. In this work, the vibration of a mining truck at different operational conditions are simulated and discussed. To achieve this aim, three haul roads with low, medium and poor qualities are considered based on the ISO standard. Accordingly, the vibration of a mining truck in different speeds, payload and distribution qualities of materials in the dump body are evaluated in each haul road quality using Trucksim software. The simulation results with statistical discussions indicate that the truck speed and the materials distribution quality have significant effects on the root mean square(RMS) of vertical vibrations. However, the effect of the payload is not considerable on the RMS. Moreover, the accumulation of materials on the rear side of the truck dump body is efficient on the vibrational health risk.

Identification of Health and Welfare Parameters for Rabbit Production and Definition of an Evaluation Score

The knowledge on rabbit welfare may be improved by the use of correct tools for monitoring the different aspects of rabbit industrial farming. Therefore, the aim of this study was to define parameters related to health and welfare of animals in industrial farms with intensive husbandry. Health, management, environmental and productive parameters were firstly characterized and then a protocol to assess welfare of rabbits was define. The research was conducted on 8 industrial farms from 2004 to 2007 and around 30 inspections were done in each farm. At each visit, the health conditions were established by： （1） necropsy on animals of different productive category; （2） specific laboratory investigations based on the lesions observed; （3） checking the presence of parasites in environmental faecal samples; （4） bacteriological examination of vaginal, nasal and rectal swabs of rabbit of different age. The immune conditions and the efficacy of vaccinations were measured by determining anti-Myxomatosis and anti-Rabbit Haemorrhagic Disease antibodies using competitive ELISAs, and anti-Encephalitozoon cunicoli antibodies by immunocarbonassay. The environmental conditions were evaluated by measuring air temperature, relative humidity, ammonia concentration and bacterial/fungal count. Finally the productive parameters were also recorded and elaborated. All the entered values were then utilized for defining a score system to establish health and welfare conditions.

An Innovative Person-Centered Model for Provision of Mental, Social and Medical Care for People Living with Dementia

Globally there is an increased digitalization going on with an increasing number of people having access to the internet, having smartphones and now also in many countries being expected to access health-related information and schedule appointments through websites, apps or web-based portals. Healthcare providers have also adopted this with an increasing number of public or private organizations providing web-based portals as well as app interfaces to some of the largest electronic healthcare systems. The benefit of this is easier access, more efficient provision of services, increased transparency and improved workflows. This may increase the population’s capability to manage their conditions and reduce the contacts to, thereby burdening healthcare professionals. But not all will be able to benefit from this digital (r)evolution. Those who will not be able to include people with dementia. For people with dementia to also be able to take advantage of digital health tools and services, it will require planning and involvement of caregivers. In 2017, we presented the Epital Care Model as a framework to organize an efficient people-centered cross-disciplinary and cross-sectoral way to organize activities, roles, responsibilities and describe geographical locations and used technologies in response to individuals’ specific diagnoses and everyday changes in their condition. In 2021, an EU-funded project was initiated to investigate how living labs and scaling up could be done building upon the ECM. One of the living labs was organized around an organization providing care to PWD in Netherlands. In the period 2021 to 2024, we have tried to identify ways for how the ECM could be used to digitally enable the services provided by the organization. In 2022, the care organization tanteLouise started a project originally named Daycare Centre2.0 (now called “Van Thuis Uit” meaning “From Home”), together with healthcare insurance company CZ, and developed a model for onboarding people with dementia and introducing them to specific interventions based on their personal goals and needs. We here present how the ECM and the “Van Thuis Uit” can be mapped within each other to create synergy in creating a healthcare setting for people with dementia. This work may serve as a model for other conditions, where individuals are likely to need more intensive support from their informal caregivers due to a relatively rapid progression of the condition or development of severe impairments. Examples here can be neurologic conditions such as multiple sclerosis and amyotrophic lateral sclerosis or the final stage of conditions that require palliation.

Impact of spiritual beliefs and faith-based interventions on diabetes management

Management of diabetes constitutes significant social and economic burdens worldwide.There is a shortage of empirical studies on the management of diabetes and the associated mental health issues through spiritual beliefs and faith-based interventions(FBIs).It is not also clear how spiritual beliefs and FBIs account for the effective management of diabetic conditions.This article discusses the impact of spiritual beliefs and FBIs in the management of diabetes,from relationship and efficacy studies that report outcomes from experimental procedures of related interventions.The majority of the relationship studies showed positive relationships,while efficacy studies showed a high efficacy of interventions in faith-based approaches.However,none of the studies clearly reported the mechanisms of change or modality of operation in a FBI that can serve as a model across culture and context.Possible mechanisms of change were discussed for further development of a standard faith-based model,and finally,suggestions for future research were also highlighted by the authors.

Emergency department visits and hospital admissions in kidney transplant recipients during the COVID-19 pandemic:A hospitalbased study

BACKGROUND Several studies have demonstrated that the coronavirus disease 2019(COVID-19)has affected daily living and the healthcare system.No previous study has described the consequences of COVID-19 on emergency department(ED)visits and hospital admission among kidney transplant(KT)recipients.AIM To investigate the impact of the COVID-19 pandemic on ED visits and hospital admissions within 1 year in patients who underwent KT in Thailand.METHODS We conducted a retrospective study at a university hospital in Thailand.We reviewed the hospital records of KT patients who visited the ED during the outbreak of COVID-19(from January 2020 to December 2021).We used the previous 2 years as the control period in the analysis.We obtained baseline demographics and ED visit characteristics for each KT patient.The outcomes of interest were ED visits and ED visits leading to hospital admission within the 1^(st)year following a KT.The rate of ED visits and ED visits leading to hospital admissions between the two periods were compared using the stratified Cox proportional hazards model.RESULTS A total of 263 patients were included in this study:112 during the COVID-19 period and 151 during the control period.There were 34 and 41 ED visits after KT in the COVID-19 and control periods,respectively.The rate of first ED visit at 1 year was not significantly different in the COVID-19 period,compared with the control period[hazard ratio(HR)=1.02,95%confidence interval(CI):0.54-1.92;P=0.96].The hospital admission rate was similar between periods(HR=0.92,95%CI:0.50-1.69;P=0.78).CONCLUSION ED visits and hospital admissions within the 1st year in KT recipients were not affected by the COVID-19 pandemic.Despite these findings,we believe that communication between post-KT patients and healthcare providers is essential to highlight the importance of prompt ED visits for acute health conditions,particularly in post-KT patients.

Optical Fiber Grating Sensor for Force Measurement of Anchor Cable

The development of the sensor suitable for measuring large load stress to the anchor cable becomes an important task in bridge construction and maintenance. Therefore, a new type of optical fiber sensor was developed in the laboratory - optical fiber grating sensor for force measurement of anchor cable （OFBFMAC）. No similar report about this kind of sensor has been found up to now in China and other countries. This sensor is proved to be an effective way of monitoring in processes of anchor cable installation, cable cutting, cable force regulation, etc, with the accurate and repeatable measuring results. Its successful application in the tie bar cable force safety monitoring for Wuhan Qingchuan bridge is a new exploration of optical fiber grating sensing technology in bridge tie bar monitoring system.

Impact of Terminal Bud Quality on the Growth of Different Growth Forms of Seedlings in Tropical Secondary Forest

Health condition and replacement time of terminal bud were selected as quality indexes of regenerated seedlings in 3 different growth forms to analyze their impact on seedling height and ground diameter. The results showed that quality of terminal bud was related to the seedling growth, the regenerated seedlings with healthy terminal buds but no replacement experienced the largest growth amount and slight damage of terminal bud or one replacement stimulated growth of ground diameter. Multiple replacements of terminal bud would reduce seedling quality and influence its growth. Exploration of the quality characters of seedlings helped to know the dynamic features of early seedling growth, and provided theoretical support for the tending operation to improve quality of natural tropical forest.

Convergence of COVID-19 and recurrent stroke:In-hospital mortality risks explored

This editorial comments on the article by Desai et al,which investigates the impact of coronavirus disease 2019(COVID-19)on in-hospital mortality among patients with recurrent stroke using data from the 2020 National Inpatient Sample.The findings reveal significantly higher mortality rates in COVID-19-positive patients compared to non-COVID-19 patients,particularly among middle-aged individuals,males,and ethnic minorities.This editorial explores the underlying mechanisms contributing to these outcomes and discusses the clinical implications for targeted management strategies in high-risk groups.The results emphasize the need for comprehensive approaches to mitigate the heightened risks faced by recurrent stroke patients during the COVID-19 pandemic.

Comprehensive health condition assessment on partial sewers in a southern Chinese city based on fuzzy mathematic methods

A self-developed sewer health assessment system using the fuzzy comprehensive evaluation and analytical hierarchy process was applied to give a comprehensive health condition evaluation on part of the local sewers in a southern Chinese city based on the sewer video data collected by a sewer inspection closed circuit television （CCTV） robot. Aside from the overall condition evaluation, the structure, function, and stability status of the sewer were also analyzed using the method. A comprehensive index H was proposed to give the overall health condition of pipes with different defects, and Ht, Hs, and If were used to quantify the defects affecting the tightness, stability, and function of the pipe, respectively. Results show that 48% of the inspected pipes were in good condition （0〈H〈0.25）, and about 33% of the sewer pipes analyzed were categorized to be at severe or urgent condition levels （H 〉 0.5）, although most of the pipes were installed only within five years. Frequent sedimentation affects the function of the sewer, and deformation and joint damage affect the structure of the sewer.

Etched Optical Fiber Vibration Sensor to Monitor Health Condition of Beam Like Structures

Using a center etched single mode optical fiber, a simple vibration senor is designed to monitor the vibrations of a simply supported beam. The sensor has high linear response to the axial displacement of about 0.8mm with a sensitivity of 32mV/10p, m strain. The sensor is tested for periodic and suddenly released forces, and the results are found to coincide with the theoretical values. This simple design, small in size and low cost sensor may find applications in industry and civil engineering to monitor the vibrations of the beam structures and bridges.

Health Condition of Migrant Women Workers

WITH the deepening of economic reform, an increasingly large surplus labor force is transforming urban areas. They are flocking to areas such as Guangdong Province, which has attracted the highest number of rural migrant workers in the country. In the first six months of 1996, its registered migrant labor force from other provinces reached 5.4 million; in Zhongshan City alone, it numbers more than 400,000, among whom 240,000 are women.

厦门市公共场所集中空调通风系统卫生状况及评价

目的调查评价厦门市公共场所集中空调通风系统污染状况,为卫生管理提供依据。方法依据《公共场所集中空调通风系统卫生规范》(卫监督发〔2006〕58号)的要求,于2009年5月～9月对厦门市四星级以上宾馆及大型公共场所共43家集中空调进行卫生检测,检测送风中可吸入颗粒物(PM10)和细菌总数、真菌总数、β-溶血性链球菌;风管内表面积尘量和积尘中细菌总数、真菌总数β-溶血性链球菌以及检测冷却塔水中的嗜肺军团菌。结果公共场所集中空调送风系统可吸入颗粒物(PM10)合格率93.55%,细菌总数合格率为90.32%,真菌总数合格率为96.77%,风管内表面积尘量合格率为98.49%,风管内细菌总数合格率为97.24%,风管内真菌合格率为94.97%,送风系统及风管内β-溶血性链球菌均未检出,冷却塔水中的嗜肺军团菌检出率为29.17%。结论公共场所集中空调通风系统存在一定程度的污染,应加强卫生管理。

Syndrome Differentiation of Chinese Medicine in Mars 500 Long-Term Closed Environment

Objective:To summarize and elucidate the characteristics and evolvement of Chinese medicine(CM)patterns reflecting the physical and mental conditions of participants in the Mars 500 long-term closed environment.Methods:The DS01-T Digital TCM Four-Diagnostic Instrument and CM Inquiring Diagnostic Questionnaire were used to collect information from 6 participants in the Mars 500 International Joint Research Project,through diagnostic methods of observation,palpation and inquiry according to CM theory.During the 520 days of the experiment,data collection was performed 37 times;a total of over 400 digital images of tongues and facial complexion and over 20,000 data were collected.These data were then analyzed by a team of experts in CM,statistics,and data mining.Results:The CM pattern evolvement of participants in the long-term closed environment followed some common trends.Qi deficiency was the main CM pattern observed,with individual features depending on constitutional differences[manifested in varying degrees of accompanying patterns of Gan(Liver)qi stagnation,Pi(Spleen)deficiency,dampness encumbering,or yin deficiency].Conclusion:The research has verified the effectiveness of CM syndrome differentiation based on the four diagnostic methods,which should serve as a solid foundation for observation,monitoring,and intervention in regard to the health conditions of astronauts in long-term space flights in the future.