Poor oral health was associated with higher risk of gastric cancer: Evidence from 1431677 participants

BACKGROUND In recent years,the association between oral health and the risk of gastric cancer(GC)has gradually attracted increased interest.However,in terms of GC incidence,the association between oral health and GC incidence remains contro-versial.Periodontitis is reported to increase the risk of GC.However,some studies have shown that periodontitis has no effect on the risk of GC.Therefore,the present study aimed to assess whether there is a relationship between oral health and the risk of GC.AIM To assess whether there was a relationship between oral health and the risk of GC.METHODS Five databases were searched to find eligible studies from inception to April 10,2023.Newcastle-Ottawa Scale score was used to assess the quality of included studies.The quality of cohort studies and case-control studies were evaluated separately in this study.Incidence of GC were described by odds ratio(OR)and 95%confidence interval(CI).Funnel plot was used to represent the publication bias of included studies.We performed the data analysis by StataSE 16.RESULTS A total of 1431677 patients from twelve included studies were enrolled for data analysis in this study.According to our analysis,we found that the poor oral health was associated with higher risk of GC(OR=1.15,95%CI:1.02-1.29;I2=59.47%,P=0.00<0.01).Moreover,after subgroup analysis,the outcomes showed that whether tooth loss(OR=1.12,95%CI:0.94-1.29;I2=6.01%,P>0.01),gingivitis(OR=1.19,95%CI:0.71-1.67;I2=0.00%,P>0.01),dentures(OR=1.27,95%CI:0.63-1.19;I2=68.79%,P>0.01),or tooth brushing(OR=1.25,95%CI:0.78-1.71;I2=88.87%,P>0.01)had no influence on the risk of GC.However,patients with periodontitis(OR=1.13,95%CI:1.04-1.23;I2=0.00%,P<0.01)had a higher risk of GC.CONCLUSION Patients with poor oral health,especially periodontitis,had a higher risk of GC.Patients should be concerned about their oral health.Improving oral health might reduce the risk of GC.

Combining RUSLE model and the vegetation health index to unravel the relationship between soil erosion and droughts in southeastern Tunisia

Droughts and soil erosion are among the most prominent climatic driven hazards in drylands,leading to detrimental environmental impacts,such as degraded lands,deteriorated ecosystem services and biodiversity,and increased greenhouse gas emissions.In response to the current lack of studies combining drought conditions and soil erosion processes,in this study,we developed a comprehensive Geographic Information System(GIS)-based approach to assess soil erosion and droughts,thereby revealing the relationship between soil erosion and droughts under an arid climate.The vegetation condition index(VCI)and temperature condition index(TCI)derived respectively from the enhanced vegetation index(EVI)MOD13A2 and land surface temperature(LST)MOD11A2 products were combined to generate the vegetation health index(VHI).The VHI has been conceived as an efficient tool to monitor droughts in the Negueb watershed,southeastern Tunisia.The revised universal soil loss equation(RUSLE)model was applied to quantitatively estimate soil erosion.The relationship between soil erosion and droughts was investigated through Pearson correlation.Results exhibited that the Negueb watershed experienced recurrent mild to extreme drought during 2000–2016.The average soil erosion rate was determined to be 1.8 t/(hm2•a).The mountainous western part of the watershed was the most vulnerable not only to soil erosion but also to droughts.The slope length and steepness factor was shown to be the most significant controlling parameter driving soil erosion.The relationship between droughts and soil erosion had a positive correlation(r=0.3);however,the correlation was highly varied spatially across the watershed.Drought was linked to soil erosion in the Negueb watershed.The current study provides insight for natural disaster risk assessment,land managers,and stake-holders to apply appropriate management measures to promote sustainable development goals in fragile environments.

Occupational Heat Stress in the Floriculture Industry of Ethiopia: Health Risks and Productivity Losses

Background: The Ethiopian flower industry is growing fast with successful diversification of export products under greenhouse structures. Higher temperatures in the greenhouses pose a serious threat to the health of workers and add to the risk of occupational heat stress. Excessive heat in workplace settings also reduces work capacity and labour productivity. This study aims to investigate the level of heat exposure, and workers’ and managers’ perceptions and behavioural responses towards extreme heat exposure in a warming climate. Methods: We used the Wet Bulb Globe Temperature (WBGT) measured in representative greenhouses to capture the heat exposure during hotter and cooler seasons following ISO 7243 (generally risk of heat stress occurs when WBGT exceeds 26°C). A comparative cross-sectional study design with a stratified sampling method was used to assess occupational heat stress and workers’ perceptions of the impact of heat on their health and productivity in six different floriculture greenhouses in Ethiopia representing three different agro-ecologies and products. A questionnaire survey was conducted (30 managers/supervisors and 305 workers;76.1% female) to capture perceptions on heat exposures, symptoms of potential health impacts, productivity losses and coping mechanisms. Results: Heat exposure varied across different agroecologies, product types and greenhouse materials with a median WBGT Index of 25.5°C and a range from 18.1°C to 31.5°C. The impact of heat stress also varied across different employment sectors and geographical regions. Overall, workers in cut-flower greenhouses are exposed to higher than recommended WBGT Index (26°C) for 3 - 6 working hours daily. 65% of the managers reported that heat stress has a significant impact on the workers’ labour productivity, but do not have guidance about working in hot conditions. Workers reported more heat-related health issues and reduced productivity, especially in the mid-altitude greenhouses. About 50% of the workers reported that heat exposure decreased work productivity during hot hours. Sweating, exhaustion, heat-rashes, dehydration, crumps, nausea and headache were self-reported health issues. Labour productivity losses ranged from no loss to 19.5% in the mid- and low-altitudes. Conclusions and Recommendations: Excessive workplace heat in the greenhouses is both an occupational health hazard and detrimental to productivity in the floriculture industry. However, the level of understanding and actions on the ground regarding occupational heat stress are low. The code of conduct in place now does not consider the occupational heat stress issues. Multiple actions (engineering, management, training and policy-related recommendations) have to be implemented by Ethiopian Horticultural Producers and Exporters Association (EHPEA) and farm owners to mitigate heat stress and loss of productivity. Designing and implementing these heat prevention strategies and incorporating them into the code of conduct is in the interests of both employers and employees.

Association between Tooth Loss and Hypertension: A Systematic Review

Background: An independent relationship between tooth loss and hypertension appears to exist. Objectives: The aim of this study was to systematically review the relationship between tooth loss/number of teeth and hypertension. Materials and Methods: This review was conducted based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Guidelines. We searched all the relevant studies in international databases of PubMed and Google Scholar search engines from January 2000 to December 2023. Results: Fourteen studies (11 cross sectionals, 2 descriptives and 1 Cohort) met the inclusion criteria for this review. Most cross-sectional studies showed that participants with more tooth loss exhibited a greater proportion of hypertension and higher systolic blood pressure than those with less tooth loss. Cohort study showed that the loss of 8 or more teeth was associated with a higher risk of developing hypertension. Descriptive studies reported that missing teeth were marginally significantly associated with hypertension. Conclusion: This study has revealed a significantly higher SBP in patients with fewer remaining teeth or more tooth loss. In addition, those with more tooth loss showed a higher risk of hypertension than those with less tooth loss.

Valuing health effects from the industrial air pollution in rural Tianjin,China

High concentrations of air pollutants such as total suspended particulates(TSP) and sulfur dioxide(SO_2) have serious impacts on nearby populations. In this paper, a survey of rural Tianjin residents' willingness-to-pay for health improvement was reported on, and the MBDC(multiple bounded discrete choice) model was adopted to study the respondents' willingness-to-pay to prevent respiratory illnesses. The results showed that the willingness-to-pay for health improvement was affected by respondents' health condition, work situation and environmental awareness, but not by personal habits, such as smoking. If person's willingness-to-pay to avoid respiratory diseases can be considered equal to the cost to personal health caused by air pollution, the total cost will reach 538×10 6 RMB Yuan(RMB, equal to 65 million USD) per year.

Noise Induced Hearing Loss in Children:Preventing the Silent Epidemic

Noise-induced hearing loss and related tinnitus are often unrecognized problems, especially in non-occupational settings. Research indicates that increasing numbers of children and adolescents have or are acquiring noise induced hearing losses. Noise induced hearing loss can almost completely be prevented with simple precautionary measures. Educational programs rarely exist outside of those mandated in occupational settings. Health Communication theory can be applied to hearing health for developing effective loss prevention programs. Dangerous Decibels is one example of an effective multi-disciplinary effort to develop and disseminated prevention strategies.

Assessment of the Accuracy of Estimation of Blood Loss by Health Care Professionals in Federal Medical Centre Assessment Owerri, Nigeria

Background: Visually estimated blood loss has long been known to be im-precise, inaccurate, and often underestimated, which may lead to delayed di-agnosis and treatment. Aim: To determine the accuracy of blood estimates by health workers in surgical and obstetric specialties. Methodology: This was a cross sectional single blinded observational study done in January 2016 to determine discrepancy between actual blood loss (ABL) and estimated blood loss (EBL) by consenting healthcare practitioners working in various surgical and obstetric departments of the Federal Medical centre, Owerri. Reconsti-tuted whole blood was obtained from the blood bank, and simulated scena-rios with known measured blood loss were created using common surgical materials. Visually estimated blood loss was performed by medical personnel. Percent errors of estimated blood loss were calculated and comparisons were made among the health professionals. The statistical analysis was done using SPSS version 21. Results: A total of 113 health professionals comprising 64 doctors and 49 nurses assessed 7 clinical scenarios. On the average, there was a general tendency for the health workers to under estimate the volume. Ma-jority of the participants underestimated the blood volume by more than 20% of actual volume. Though the nurses were more likely to underestimate blood volume than the doctors however, there was no statistical difference between the estimations by the nurses and the doctors except in station 3 with a p val-ue of 0.045. Conclusion: This finding calls for action in training and retrain-ing of every health worker in blood loss estimation, so that intervention can be initiated early.

The Impact of Hearing Loss on Health: Interprofessional Guidance for Health and Primary Care Providers (PCPs)

In the United States, approximately one in eight (13 percent, or 30 million)individuals aged 12 years or older has bilateral hearing loss. Whenunaddressed and untreated, hearing loss is associated with and contributesto other significant health issues;specifically, social isolation, depression,stress, and anxiety, incidental falls, dementia and impaired cognition, andreduced quality of life. This is a public health concern. Health and primarycare providers are in a unique position to have a positive impact by probingthe hearing of the patients they see, providing information, and makingappropriate referrals to reduce deleterious effects when this impairmentoccurs.Abbreviations: Hertz (Hz);High frequency hearing loss (HFHL);Personallistening devices (PLDs);Sensorineural hearing loss (SNHL)Format: Small group discussion, classroom and clinical practicum settings.Target audience: The student and practicing health professions (e.g.occupational and physical therapy, psychologists, physician assistants,nursing, and medical) involved and the relevant point in their training andpractice.

Trust and Security on Semantic HIM (Health Information Management)

Information technology have changed information media by networking and internet using technology in health as same as another part improve efficiency and effectiveness. Currently, the medical document is reality-based medicine, so that is the most important, richest and the most realistic source of medical and health information. Health information management systems that require systems to the storage, retrieval, storage and elimination of health records (by law), and adjust to the rules of professional. These processes are difficult and time consuming for human. In the meantime semantic HIM seem best solution.

The portrayal of hearing loss information in online Mandarin videos

Background/purpose:With increasing accessibility to the Internet,patients frequently use the Internet for hearing healthcare information.No study has examined the information about hearing loss available in the Mandarin language on online video-sharing platforms.The study’s primary purpose is to investigate the content,source,understandability,and actionability of hearing loss information in the Mandarin language’s one hundred most popular online videos.Method:In this project,publicly accessible online videos were analyzed.One hundred of the most popular Mandarin-language videos about hearing loss were identified(51 videos on YouTube and 49 on the Bilibili video-sharing platform).They were manually coded for different popularity metrics,sources,and content.Each video was also rated using the Patient Education Materials Assessment Tool for Audiovisual Materials(PEMAT-AV)to measure the understandability and actionability scores.Results:The video sources were classified as either media(n=36),professional(n=39),or consumer(n=25).The videos covered various topics,including symptoms,consequences,and treatment of hearing loss.Overall,videos attained adequate understandability scores(mean=73.6%)but low(mean=43.4%)actionability scores.Conclusions:While existing online content related to hearing loss is quite diverse and largely understandable,those videos provide limited actionable information.Hearing healthcare professionals,media,and content creators can help patients better understand their conditions and make educated hearing healthcare decisions by focusing on the actionability information in their online videos.

平衡减肥功在减重患者中的应用效果观察

目的:观察平衡减肥功在减重患者中的应用效果。方法:选取2023年3月—2024年3月佛山市中医院治未病中心收治的超重、肥胖患者80例作为研究对象,采用随机数表法分为对照组与观察组,各40例。对照组接受常规健康管理,观察组在对照组基础上联合平衡减肥功疗法。比较两组减重效果、体质量相关指标、体脂肪质量、体脂率、血脂水平。结果:观察组减重总有效率高于对照组,差异有统计学意义(P=0.0122);干预后,两组体质量、身体质量指数、腰围、臀围均下降,观察组优于对照组,差异有统计学意义(P<0.05);干预后,两组体脂肪质量及体脂率下降,观察组低于对照组,差异有统计学意义(P<0.05);干预后,观察组甘油三酯、总胆固醇、低密度脂蛋白胆固醇水平低于干预前及对照组,差异有统计学意义(P<0.05)。结论:平衡减肥功在减重患者中的应用效果显著,可有效降低减重患者体质量,减少身体脂肪,缩小腰围、臀围,改善血脂指标。

基于健康信念理论的轻食智能厨具设计策略——以减肥人群为例

针对减肥人群对肥胖后果认识不到位、健康饮食习惯难以养成的现状,提出基于健康信念理论的轻食智能厨具设计策略。运用健康信念理论分析减肥人群生理、心理、行为特征,得到用户需求和设计机会点,总结出厨具产品在功能、使用、交互方面的触点,结合产品情感化设计原则,从本能层、行为层、反思层提出轻食智能厨具的设计策略。轻食智能厨具设计策略。该方法可为面向健康饮食场景中的轻食厨具产品设计和健康设计的探索扩宽思路。

LIS与HIS集成研究

医院业务的发展要求能实现信息系统的集成。我们分析了医疗信息系统互联的不同方式,提出一种集成现有实验室信息系统(LIS)与医院信息系统(HIS)的方案。它使用多层分布式技术改进客户机/服务器应用模式,参考IHE(Integrating the Healthcare Enterprise)实验室技术框架(LAB-TF)确定参与工作流程集成的功能单元和事务,并采用Health Level 7(HL7)医疗信息交换标准实现信息交互。可保留原有的大部分处理,避免系统整合带来安全性、可维护性和实时性问题,保护了原有的投入,避免重建系统所带来的风险。

年龄相关性听力损失健康危害与日常干预的研究进展

年龄相关性听力损失(ARHL)是当前老龄化社会中最普遍且严重威胁老年人身心健康的慢性疾病,其是一种以听觉毛细胞丢失、血管纹病变、螺旋神经节凋亡以及听觉神经中枢退化为主要表现的感音神经性听力损失,显著降低患者的生活质量。本文重点对ARHL与阿尔茨海默病、抑郁症、虚弱之间的关系以及ARHL日常干预的研究进展进行综述,旨在提高人们对ARHL健康危害的认知水平和重视程度,并通过实施日常干预措施形成健康的生活方式来延缓ARHL的发生及发展。

HIS与商业健康保险实时赔付系统的接口研究与实现

目的:实现医院信息系统、社会医疗保险、商业健康保险的系统集成,解决天津市城职人员的商业保险报销补偿周期长、流程繁琐等问题。方法:基于HIS和社保系统,采用WebService接口技术,结合PowerBuilder 9.0编程开发商保接口及相关子程序。结果:该接口有效地集成了HIS、社保和商保系统,实现了天津市城职人员的商保门诊和住院费用的实时赔付,为患者提供了更加快捷高效的优质服务。结论:该接口的设计具有较强的实用性、普适性,为社保和商保的融合推广提供了强有力的信息技术支持。

传染病报告自动监控软件嵌入我院HIS中的应用

目的通过在HIS中嵌入传染病自动监控软件以提高传染病报告管理质量。方法在该院HIS基础上嵌入传染病自动监控软件,实现了其疫情疫报工作的网络化、信息化。结果传染病自动监控软件的嵌入优化了其传染病报告流程,实现了及时、准确、全面地收集院内有关传染病的相关情况并及时上报,减少了其漏报、迟报现象的发生,提高了传染病报告管理工作的效率和质量。结论在HIS中嵌入传染病自动监控软件开拓了应用信息化、网络化管理医院公共卫生工作的思路。

纳入社区管理的糖尿病患者听功能调查与分析

目的对纳入社区管理的糖尿病患者进行糖尿病耳病知晓率调查及听力评估,分析糖尿病患者听力损失特点,为将听力保健纳入社区糖尿病管理提供科学依据。方法2018~2020年北京某社区管理的719例(1438耳)糖尿病患者,对其进行问卷调查、病史采集、专科查体、听力学检查。对结果进行统计学分析。结果(1)糖尿病患者听力损失知晓率为32.5%(234/719),纯音听力检查后发现听力损失者占94.7%(1362/1438);在主诉听力正常的954耳中,92.8%(885/954)有不同程度的听力损失。(2)中青年组(438耳)中听力损失者占89.7%(393/438),其中高频听力损失者占80.6%(353/438);在主诉听力正常的334耳中,有88.0%(294/334)出现不同程度的听力损失。(3)病程≥10年糖尿病患者听力损失程度高于病程<10年者(P<0.05)。合并高血压和(或)高脂血症的糖尿病患者听力损失程度更重(P<0.05)。结论糖尿病患者听力损失自察率低,发生率高,尤其是中青年患者。糖尿病病程及合并共病是听力损失发展的危险因素,应引起医患双方的关注。

Unsupervised construction of health indicator for rotating machinery via multi-criterion feature selection and attentive variational autoencoder

Health indicator(HI)construction is a crucial task in degradation evaluation and facilitates the prognostic and health management(PHM)of rotating machinery.Excluding interference from artificial labeling,the HI construction approaches in an unsupervised manner have attracted substantial attention.Nevertheless,current unsupervised methods generally struggle with two problems:(1)ignorance of both redundancy between features and global variability of features during the feature selection process;(2)inadequate utilization of information from different sampling moments.To tackle these problems,this work develops a novel unsupervised approach for HI construction that integrates multi-criterion feature selection and the Attentive Variational Autoencoder(Attentive VAE).Explicitly,a multi-criterion feature selection(Mc FS)algorithm together with an elaborately designed metric is proposed to determine a superior feature subset,considering the relevance,the redundancy,and the global variability of features simultaneously.Then,for the adequate utilization of the information from distinct sampling moments,a deep learning model named Attentive VAE is established.The Attentive VAE is solely fed with the selected features in the health state for model training and the HI is derived through the reconstruction error to reveal the degradation degree of machinery.Two case studies based on genuine experimental datasets are involved to quantitatively evaluate the superiority of the developed approach,demonstrating its superiority over other unsupervised methods for characterizing degradation processes.The effectiveness of both the Mc FS algorithm and the Attentive VAE is verified by ablation experiments,respectively.

HL7在HIS标准化建设中的应用

简述了当前医院信息系统HIS的发展状况和HIS发展中的标准化需求及HL7的自身特点,详细介绍了基于HL7引擎的标准化检验信息系统的结构和信息交互过程,最后指出运用HL7是HIS标准化建设的重要途径。

中国中老年人听力损失与抑郁症状的关联研究

目的:探索中国中老年人听力损失与抑郁症状的纵向关联,为中老年人抑郁的预防提供依据。方法:采用中国健康与养老追踪调查(China Health and Retirement Longitudinal Study,CHARLS)2011至2020年中参加2次及以上的受访者数据。听力损失通过自我报告进行评估,抑郁症状通过简版流调用抑郁自评量表(CESD-10)量表进行测量。采用K-M曲线和log-rank检验比较不同分组间发生抑郁症状的风险。采用Cox比例风险回归模型探索听力损失与抑郁症状的纵向关联。结果:研究共纳入12 952例研究对象。基线时1 416(10.9%)例研究对象自报听力损失。在中位随访时间为5.42年的随访中,5 498例研究对象出现抑郁症状。在未调整模型中,基线时的听力损失组发生抑郁症状的风险是无听力损失组的1.34倍(P<0.05),逐步调整社会人口学因素、行为生活方式因素及健康相关因素后,基线时的听力损失仍是抑郁症状的危险因素(HR=1.21,95%CI=1.10~1.34)。结论:听力损失会增加抑郁症状的发生风险,对听力损失进行干预可有效降低抑郁症状的发生。