新媒体背景下青海疾控机构健康科普策略探讨

健康科普作为重要公共卫生产品，是最经济有效的公共卫生策略之一，对提升公众健康水平至关重要。疾病预防控制机构(简称“疾控机构”)作为健康科普权威机构，新媒体时代面临机遇和挑战。本文通过调查分析青海疾控机构健康科普现状，从传播者、传播内容、传播手段和接受者角度等方面梳理问题和短板。在新媒体背景下，借助健康传播相关理论，从完善“两库一机制”、准确把握角色定位、构建平台矩阵、提升靶向服务精准化、打造特色品牌和规范科普宣传形象6方面，为青海疾控机构健康科普工作提出策略建议。     

医学科普短视频在新冠肺炎疫情期间对全民健康教育的影响——以抖音短视频平台为例

2020年初,新冠肺炎疫情迅速蔓延,在此次突发公共卫生事件中及时传播正确的防疫知识显得尤为重要。近年来,短视频以其"短、小、快"的特点快速为大众所接受,其在疫情特殊时期承担起了为大众快速传递、广泛普及医学防疫知识的重要使命。文章以抖音短视频平台为例,结合疫情期间较为成功的短视频案例,对医学科普短视频在新冠肺炎疫情期间对全民健康教育的影响进行探讨,进一步剖析其在传播及快速发展中存在的优势及不足,并提出了一些想法,以期在后疫情时代,能有更多、更优质的医学科普短视频涌现,为健康中国添砖加瓦。     

新媒体环境下中医药膳食疗的传播

随着人们对健康需求的不断增强和国家对健康事业的高度重视,中医药膳食疗正迎来较好的发展机遇,"药食同源"产业潜力巨大。在新媒体蓬勃发展的环境下,分析新媒体传播的精准性、互动性、碎片化特点,探究中医药膳食疗的新媒体传播策略对传播药膳食疗文化、普及养生保健意识、宣传药膳食疗知识、推广药膳食疗产品具有重要意义,并能带动药膳食疗相关产业的发展、加速药膳食疗的现代化,为我国人民的健康事业和我国的健康产业做出贡献。     

双一流建设学科背景下开展道地药材溯源实践活动及成果分享——以三七溯源实践活动为例

以云南道地药材三七为例,开展道地药材溯源实践活动,了解中药材"从生产到消费"全程的质量可追溯体系,探索中药材真伪优劣的影响因素,提出中药溯源实践对于中药鉴定学课程内涵建设的教学设计。拍摄教学视频片,通过课程网站链接、公众号推送及课堂播放,共享中药溯源实践成果,并通过新媒体传播和宣传中医药文化,为大众"爱上中医、认识中药、走向健康"科普学习提供平台。     

新媒体时代健康科普讲座的转向与出路

当下，公众对健康的关注度空前提升，而一些机构开展健康科普讲座却举步维艰。总体来看，健康科普讲座发挥了重要作用，但在操作层面却面临现实挑战，涉及讲座目标、公众需求、交流方式、传播渠道、立足手段五大方面。新媒体时代健康科普讲座仍然是当下有效的健康教育手段，但需要对传统讲座方法赋予新的内涵，作出转向和调整。健康科普讲座应作出以下转向，一是对讲座目标的“大用”转向，跳出科普知识局囿，促进公众主动寻找健康知识和信息；二是对讲座内容的身心合一转向，站在身心角度设计课程，增进人们的社会支持，促进人与人的信任；三是对讲座效果的愉悦转向，打破对讲座效果的偏见，把带来愉悦、兴趣激发作为健康科普的重要目标；四是讲座者的“正业”转向，建立专业健康科普讲座队伍。具体到操作层面，健康科普讲座者要严进严出，打造讲座品牌；细分人群，组织同质受众；讲好故事，增强情感叙事；整体策划，做到全媒立体传播；科学评价，重视远期效果。     

医学科技工作者要重视科普实践

医学科普承担的是宣传和普及医学科学知识、倡导健康生活方式,提高全民族身体素质的任务.医学科技工作者有责任将这些医学领域的新知识、新理论、新观念、新技术和新动态变为更通俗易懂的科普文章,以便被更广泛的公众所了解,从而提高公众在医学领域的科学素养,为医学的进一步发展提供良好的科学环境.     

基于CiteSpace的健康科普领域研究热点可视化分析

目的:对我国健康科普领域的文章进行分析,了解发文现状及其发展趋势,为健康科普工作及相关研究提供借鉴。方法:在中国知网数据库(CNKI)与万方数据知识平台检索2012年1月1日至2021年12月31日期间收录的健康科普相关论文,应用CiteSpace 6.1.R3可视化软件对去重后的文献关键词、作者和机构发文情况进行可视化分析。结果:共纳入1 721篇文献进行热点分析,我国健康科普领域研究发文量呈现先减少后增加的趋势。“医学科普”和“健康教育”是最主要的研究热点,微信等新媒体是主要的传播途径,专家在健康科普中的作用突显,但尚未形成较为明显的核心作者群。结论:我国健康科普研究正蓬勃发展。未来仍须提高以医务人员、医院为主体的健康科普水平,运用互联网平台,以医学科普和健康教育为主要内容宣传健康科普,并提高作者间交流合作,助力健康中国建设。     

医学科普读物的特点及对部队官兵健康素养的影响

科普知识是一种用通俗易懂的语言来解释种种科学现象和理论的知识文字,用以普及科学知识为目的。医学科普是医学科学和医学技术普及的简称,即把人类在认识医学科学实践中产生的医学科学技术、医学科学方法、医学科学思想、医学科学精神,通过多种有效的手段和途径向社会公众传播,为公众所理解和掌握,并不断提高公众医学科学文化素质的系统过程。当我们用术语对患者做健康教育时,     

新媒体平台对新冠肺炎舆情传播的影响研究

新媒体平台能够有效促进信息公开透明，避免谣言扩散；提升公众在信息透明社会背景下的话语权，帮助群众合理宣泄情感，有利于社会公众的心理健康。新媒体平台是传统媒体信息传播的有效补充，对突发性公共卫生事件舆情有着重要的影响，关注、分析新媒体信息，有利于公众及时准确接收舆情信息，促进政府部门把控舆情方向，加强公共决策的科学性。以新冠肺炎疫情期间的新媒体运行为研究对象，分析梳理新媒体信息内容特点、传播方式、公众在新媒体上的行为表现等，据此探讨突发性公共卫生事件期间新媒体的作用，以及新媒体信息传播的特征，提出突发性公共卫生事件期间舆情监控的建议，为合理应用新媒体平台、引导和监控舆情提供依据。     

南宁市三级甲等医院微信公众号健康科普传播状况及运营对策研究

目的 了解南宁市三级甲等医院微信公众号健康科普传播状况,并提出运营对策。方法 以南宁市16家三级甲等医院微信公众号为样本,应用Python 3.7软件分析16个样本公众号2020年推送的文章,从中筛选出健康科普文章。采用聚类分析等方法,从发文量、阅读量、健康热点话题等方面分析样本公众号健康科普传播状况,提出三级甲等医院微信公众号的运营对策。结果 16家样本公众号中,健康科普文章的占比偏低,健康科普文章表现形式较单一且内容质量有待提高;2020年最受关注的前3位健康热点话题为传染病及其预防、消化系统疾病及饮食健康、妇科和男科疾病。结论 三级甲等医院微信公众号可通过增加推送频率,固定推送时间,创新科普形式,设计创意标题,结合健康热点,关注受众需求,重视受众反馈,以及建立评价体系等方式,增强健康科普的传播效果。     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

Development on Adjustable Calibration Marker for Shock Wave Focus

Shock wave lithotripsy （SWL） is a treatment of choice for upper urinary stones. However, this procedure is inappropriate for obese patients because the focus is often unable to reach the target owing to the limited focal distance in shock wave source. Although treating such patients in a blast path may increase the application length of shock wave source, it＇s difficult to find this path on the lithotripter monitor. For this reason, we invented an adjustable calibration marker in order to set an effective focus in the shock wave hath.     

Study on the TCM Pathogenesis of Angiopathic Complications of Type II Diabetes

Excess production of reactive oxygen species(ROS)of mitochondrion mediated by hyperglycemia is the common pathogenesis of angiopathic complications of diabetes.TCM holds that the damp from the dysfunction of spleen.kidney and liver is the causative factor of complications of diabetes.This is similar to the mechanism of Ros resulting in angiopathic complications of diabetes.When the angiopathic complications of type II diabetes mellitus(T2DM)are difierentiated as caused by turbid damp in TCM can be explained as ROS.Since the obstruction of pathogenic damp in channels and collaterals is said to be the main pathogenesis,the treating principle should be dissolving the damp to remove the obstruction.     

Leptin, Ghrelin and TNF-α before and after Hypo-caloric Traditional Chinese Diet and Auricular Acupuncture

INTRODUCTION Obesity is a complex emergent problem, which can be possibly solved not only by the diet but also by the life style and promotion of a constant physical exercise. 1, 2 No doubt careful attentions must be given to the nutritional condition of obese people, the dietary habits, the somatic build (i.e. distribution of fat mass) and the organic functions linked to formation of the fat mass. All the parameters should be constantly monitored before, during and after a diet treatment. 3, 4, 5     

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P＜ 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P＜ 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.     

Relationship between Dysglycemia and Carotid Atherosclerosis in Tibetan Population

People with dysglycemia are at high risk for atherosclerotic diseases. This study aims at investigating the atherosclerotic vascular damage in dysglycemia and its metabolic origin in Tibetan population.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

Luo Lingjie's Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.