Background: Workers’ health condition is an important issue. It affects not only the well-being of workers but also the firms and society as a whole through medical costs and productivity losses due to absenteeism an...Background: Workers’ health condition is an important issue. It affects not only the well-being of workers but also the firms and society as a whole through medical costs and productivity losses due to absenteeism and presenteeism. Data and Methods: Data were obtained from 1136 employees at an operational site of a large corporation. The dataset contained both medical checkups and working record information. Health factors affecting long-term absence (over three days in three months) were analyzed. Logistic regression models and the procedure for selecting proper covariates based on likelihood test statistics and the Akaike information criterion were used. Results: Among health factors, high-density lipoprotein cholesterol (HDL-C) and blood sugar levels were important in the selected model. For HDL-C, the odds ratio (OR) based on one standard deviation difference was 0.75 with a 95% confidence interval (CI) of 0.59 - 0.95. For blood sugar, the OR was 1.20 with a 95% CI of 1.01 - 1.42. Improving HDL-C and blood sugar levels would reduce long-term absence by 25% and 20%, respectively. Conclusion: Controlling HDL-C and blood sugar levels is important to reduce long-term absenteeism. These factors can be improved by modifying eating habits. Since the operational site has its own company cafeterias, which most employees use, nutritional intervention is relatively easy with little or no cost. It may be worthwhile to implement nutritional intervention, especially for patients with low HDL-C or high blood sugar levels. Limitations: The results of this study were based on one operational site of a corporation. The employees were mainly operators working inside the building. The results may be different from other types of jobs and working conditions, such as fieldwork. Analyses of different types of jobs and working conditions are necessary.展开更多
目的探讨沙库巴曲缬沙坦联合马来酸左旋氨氯地平治疗原发性高血压伴稳定型心绞痛(EH+SAP)的效果。方法选取2021年5月~2023年4月新疆生产建设兵团第一师医院EH+SAP患者128例,采用随机数字表法分为两组,各64例。两组均给予常规治疗,对照...目的探讨沙库巴曲缬沙坦联合马来酸左旋氨氯地平治疗原发性高血压伴稳定型心绞痛(EH+SAP)的效果。方法选取2021年5月~2023年4月新疆生产建设兵团第一师医院EH+SAP患者128例,采用随机数字表法分为两组,各64例。两组均给予常规治疗,对照组采用奥美沙坦联合马来酸左旋氨氯地平治疗,观察组采用沙库巴曲缬沙坦联合马来酸左旋氨氯地平治疗。两组均连续治疗8周后进行疗效评估。比较两组治疗前、治疗8周血压、心绞痛情况、硝酸甘油用量变化,并检测中性粒细胞/高密度脂蛋白胆固醇比值(NHR)、心血管调节肽(salusin-β)水平。分析治疗8周NHR、salusin-β与血压、心绞痛情况、硝酸甘油用量的关系。统计两组治疗期间不良反应发生率。结果观察组治疗总有效率高于对照组[92.19%(59/64)比78.13%(50/64),P<0.05];治疗8周后两组24 h平均收缩压(24 h SBP)[(124.26±8.58)mmHg比(129.15±9.04)mm Hg]、24 h平均舒张压(24 h DBP)[(84.46±6.21)mmHg比(88.12±6.77)mmHg]、收缩压变异性(SBPV)[(9.54±2.42)mmHg比(10.63±2.30)mmHg]、舒张压变异性(DBPV)[(7.59±1.54)mmHg比(8.32±1.43)mmHg]、心绞痛发作次数[(0.33±0.10)次/周比(0.44±0.13)次/周]、心绞痛持续时间[(2.73±0.61)min比(3.42±0.98)min]、硝酸甘油用量[(0.17±0.05)mg/周比(0.23±0.06)mg/周]、NHR[(4.32±0.89)比(4.79±0.93)]、salusin-β[(3.65±0.57)nmol/L比(3.96±0.55)nmol/L]降低,且观察组低于对照组(P均<0.05);两组治疗8周NHR、salusin-β与24 h SBP、24 h DBP、SBPV、DBPV、心绞痛发作次数、心绞痛持续时间、硝酸甘油使用量均呈正相关(P<0.05);治疗期间两组水肿、头晕、潮红、心悸、低血压发生率比较,差异无统计学意义(P>0.05)。结论沙库巴曲缬沙坦联合马来酸左旋氨氯地平对EH+SAP疗效显著,可有效控制患者血压,减轻心绞痛症状,可能与调节NHR、salusin-β水平变化有关,且安全性有保障。展开更多
Background: Smoking continues to be one of the most popular recreational practices despite its known harmful effects. Aim: The purpose of this survey was to assess the prevalence of smoking in the Caribbean and the co...Background: Smoking continues to be one of the most popular recreational practices despite its known harmful effects. Aim: The purpose of this survey was to assess the prevalence of smoking in the Caribbean and the correlation of smoking with the disease states of high blood pressure, diabetes and high cholesterol whose risk is known to be higher among smokers. Findings: Our study found a smoking prevalence of 22% in the population, similar to that reported by the World Health Organization (20%) and a positive correlation between smoking and diabetes. Conclusion: The survey shows that smoking numbers within the population are still high and that smoking increases the risk of certain disease states within smokers. Aggressive global efforts to reduce smoking should continue so as to minimize the negative impact of smoking on health.展开更多
文摘Background: Workers’ health condition is an important issue. It affects not only the well-being of workers but also the firms and society as a whole through medical costs and productivity losses due to absenteeism and presenteeism. Data and Methods: Data were obtained from 1136 employees at an operational site of a large corporation. The dataset contained both medical checkups and working record information. Health factors affecting long-term absence (over three days in three months) were analyzed. Logistic regression models and the procedure for selecting proper covariates based on likelihood test statistics and the Akaike information criterion were used. Results: Among health factors, high-density lipoprotein cholesterol (HDL-C) and blood sugar levels were important in the selected model. For HDL-C, the odds ratio (OR) based on one standard deviation difference was 0.75 with a 95% confidence interval (CI) of 0.59 - 0.95. For blood sugar, the OR was 1.20 with a 95% CI of 1.01 - 1.42. Improving HDL-C and blood sugar levels would reduce long-term absence by 25% and 20%, respectively. Conclusion: Controlling HDL-C and blood sugar levels is important to reduce long-term absenteeism. These factors can be improved by modifying eating habits. Since the operational site has its own company cafeterias, which most employees use, nutritional intervention is relatively easy with little or no cost. It may be worthwhile to implement nutritional intervention, especially for patients with low HDL-C or high blood sugar levels. Limitations: The results of this study were based on one operational site of a corporation. The employees were mainly operators working inside the building. The results may be different from other types of jobs and working conditions, such as fieldwork. Analyses of different types of jobs and working conditions are necessary.
文摘目的探讨沙库巴曲缬沙坦联合马来酸左旋氨氯地平治疗原发性高血压伴稳定型心绞痛(EH+SAP)的效果。方法选取2021年5月~2023年4月新疆生产建设兵团第一师医院EH+SAP患者128例,采用随机数字表法分为两组,各64例。两组均给予常规治疗,对照组采用奥美沙坦联合马来酸左旋氨氯地平治疗,观察组采用沙库巴曲缬沙坦联合马来酸左旋氨氯地平治疗。两组均连续治疗8周后进行疗效评估。比较两组治疗前、治疗8周血压、心绞痛情况、硝酸甘油用量变化,并检测中性粒细胞/高密度脂蛋白胆固醇比值(NHR)、心血管调节肽(salusin-β)水平。分析治疗8周NHR、salusin-β与血压、心绞痛情况、硝酸甘油用量的关系。统计两组治疗期间不良反应发生率。结果观察组治疗总有效率高于对照组[92.19%(59/64)比78.13%(50/64),P<0.05];治疗8周后两组24 h平均收缩压(24 h SBP)[(124.26±8.58)mmHg比(129.15±9.04)mm Hg]、24 h平均舒张压(24 h DBP)[(84.46±6.21)mmHg比(88.12±6.77)mmHg]、收缩压变异性(SBPV)[(9.54±2.42)mmHg比(10.63±2.30)mmHg]、舒张压变异性(DBPV)[(7.59±1.54)mmHg比(8.32±1.43)mmHg]、心绞痛发作次数[(0.33±0.10)次/周比(0.44±0.13)次/周]、心绞痛持续时间[(2.73±0.61)min比(3.42±0.98)min]、硝酸甘油用量[(0.17±0.05)mg/周比(0.23±0.06)mg/周]、NHR[(4.32±0.89)比(4.79±0.93)]、salusin-β[(3.65±0.57)nmol/L比(3.96±0.55)nmol/L]降低,且观察组低于对照组(P均<0.05);两组治疗8周NHR、salusin-β与24 h SBP、24 h DBP、SBPV、DBPV、心绞痛发作次数、心绞痛持续时间、硝酸甘油使用量均呈正相关(P<0.05);治疗期间两组水肿、头晕、潮红、心悸、低血压发生率比较,差异无统计学意义(P>0.05)。结论沙库巴曲缬沙坦联合马来酸左旋氨氯地平对EH+SAP疗效显著,可有效控制患者血压,减轻心绞痛症状,可能与调节NHR、salusin-β水平变化有关,且安全性有保障。
文摘Background: Smoking continues to be one of the most popular recreational practices despite its known harmful effects. Aim: The purpose of this survey was to assess the prevalence of smoking in the Caribbean and the correlation of smoking with the disease states of high blood pressure, diabetes and high cholesterol whose risk is known to be higher among smokers. Findings: Our study found a smoking prevalence of 22% in the population, similar to that reported by the World Health Organization (20%) and a positive correlation between smoking and diabetes. Conclusion: The survey shows that smoking numbers within the population are still high and that smoking increases the risk of certain disease states within smokers. Aggressive global efforts to reduce smoking should continue so as to minimize the negative impact of smoking on health.
