Association of eHealth Literacy With Colorectal Cancer Knowledge and Screening Practice Among Internet Users in Japan

Background

In rapidly developing Internet-user societies, eHealth literacy has become important in promoting wellness. Although previous studies have observed that poor health literacy is associated with less knowledge and screening practice of colorectal cancer (CRC), little is known about whether eHealth literacy is associated with these variables.

Objective

The present study examined associations between eHealth literacy, knowledge of CRC, and CRC screening practices.

Methods

Data were analyzed for 2970 Japanese adults (men, 49.9%; mean age ± SD, 39.7 ± 10.9 years) who responded to an Internet-based cross-sectional survey. Knowledge of the definition of CRC, its risk factors and screening practice, previous experience of CRC screening, score on the Japanese version of the eHEALS (J-eHEALS), sociodemographic attributes (sex, age, marital status, educational attainment, and household income level), and frequency of Internet usage were obtained. Sociodemographic attributes and frequency of Internet usage were used as control variables in the multiple regression and logistic regression models.

Results

eHealth literacy was positively associated with CRC knowledge (β = .116, < .001), when the covariables of both eHealth literacy and CRC knowledge were used in the multiple regression model. Moreover, after controlling for sociodemographic factors, which were significantly associated with eHealth literacy and CRC screening practice, an increase of 1 point in the eHEALS score signified that participants were 1.03 times (95% CI = 1.01–1.05) more likely to undergo CRC screening.

Conclusions

Internet users with high eHealth literacy are more likely to have knowledge and previous screening practice related to CRC compared to those with low eHealth literacy.     

尿路结石的规范治疗知识在广西试点基层医院培训效果评价

目的 探讨在广西基层医院推广＂尿路结石治疗的规范诊疗技术＂的必要性及推广效果,制定适合我区基层医院使用的尿路结石诊疗规范.方法 选择马山县为试点,对县、镇、乡村等各级医院的相关医务人员进行集中培训,并对培训前后医生的泌尿系结石诊疗水平进行考核,评估培训效果和意义.结果 前期调查发现马山县各级医院的医生对泌尿系结石的诊疗知识存在明显缺陷.经过培训,受训医生对＂泌尿系结石＂知识的知晓率由44.8%提高到82.3%,成绩从培训前（44.27±17.21）分提高到（80.07±5.77）分,培训后的各级医院成绩均有所提高（P〈0.01）,培训效果良好.结论 广西基层医院医生的尿路结石诊疗知识存在明显缺陷,急需专业培训.通过培训,受训医生尿路结石的诊疗水平得到显著提高,值得在广西各基层医院推广.     

功能性便秘与胃肠激素的关系

功能性便秘是临床常见的功能性胃肠病之一,严重影响患者的工作和生活质量,易诱发严重的并发症,其病因及发病机制尚未明确,可能与胃肠神经内分泌异常、平滑肌病变、肠道动力异常、药物不良反应、滥用泻剂、精神心理问题、饮食及排便习惯等有关。胃肠激素是由胃肠道内分泌细胞和神经细胞释放的一类小分子化学物质,广泛分布于人体内,是调节胃肠运动的重要物质,在便秘的发生发展中亦有重要作用,本文就胃肠激素与功能性便秘的关系作一简要讨论。     

Headache and associations with lifestyle among pupils in senior level elementary school

Objective - To assess the course of depression or borderline depression and its determinants in elderly primary care patients. Design - An observational cohort study with three measurements, at inclusion and after 6 and 12 months. Setting - 14 general practitioners (GPs) in the western region of the Netherlands. Patients - From a baseline random sample of 582 consecutive elderly patients 65+years of age, a total of 39 patients with depression and 60 with borderline depression were available for this cohort study. Main outcome measures - Diagnostic assessment was carried out in the patients' homes by trained interviewers according to the Diagnostic Interview Schedule (plus additional questions to assess minor depression). Results - Of the 39 patients with depression at baseline, 20 had depression after 6 months, and 18 after 12 months. Of the 60 patients with borderline depression at baseline, 53 had no evidence of depression after 6 months, and 54 had no evidence after 12 months. However, 7 patients had depression at 6 months and 6 patients at 12 months. Two determinants were related to a depressed state at 6 or 12 months among the patients with borderline depression: recognition by the GP and living with a partner. Conclusion - The results suggest that once elderly patients suffer from depression, this condition remains present for a long time. The prognosis for borderline depression was better, although 20% became depressed at 6 and/or 12 months. Future studies should aim to identify this group of patients.     

全面统筹 科学发展——完善神木医改的几点建议

以学者的视角来审视神木医改现象,并为完善神木医改提出几点建议,设计有效的救济制度;加强健康教育和健康促进;提高传染病和突发公共卫生事件的预防能力;加强慢性病和生活方式疾病的防控;加大职业卫生的投入和改善;关注弱势人群;重视环境保护和可持续发展;继续提高卫生领域专业人员的素质等。将神木县通过医改所展现的为政为民的现实做法展示给大家,把和谐的场景呈现给社会。     

生物质气化炉在燃煤型氟中毒病区推广应用研究

目的 了解生物质气化降氟炉的设计原理及主要技术指标,评价使用效果,为在燃煤型氟中毒病区推广应用提供科学依据.方法 调查生物质气化炉的设计原理和主要技术指标及产品实验数据.随机抽取142户居民调查使用生物质气化炉前后用煤量、用柴量、炊事时间,计算平均值.结果 生物质气化炉平均用煤量、用柴量分别为7.92、11.20 kg...     

南阳市健康促进县创建工作实践与思考

本文阐述了南阳市健康促进县创建工作中的主要措施、取得的成效及主要经验,对存在的问题进行了梳理,并提出了可行性整改建议。研究结果可为健康促进县(区)建设、全民健康水平的提升及健康中国战略目标的推进提供参考和借鉴。     

从积极防御战略浅析我军新型饮用水安全保障体系的构建

随着我军新时期积极防御军事战略的实行,未来战争战场环境将愈发复杂与多样,部队所面临的饮用水水源与水质将更加复杂。我军现有饮用水安全检测、净化技术与装备还存在信息化、一体化程度不高,新型制取饮用水技术研究深度不够,以及对涉及国家安全的重要战略要地水资源现状有待进一步调研等情况。为能在各种特殊和恶劣条件下确保作战人员的饮水用安全,应建立国家战略水资源安全防护体系,加快水安全卫生装备信息化和全天候适应性研究,深入开展特殊环境下饮用水保障新技术研究。     

中文科技期刊内容生产能力提升策略

【目的】 提出一套系统、有效的中文科技期刊内容生产能力提升方案,以快速推进我国中文科技期刊的能力建设和创新发展进程。【方法】 通过对161种期刊的问卷调研、166种SCIE或EI收录期刊出版单位署名的相关文献调研和2家期刊社的实地调研,多方向、多角度地对高水平期刊的内容生产过程进行系统探究。【结果】 从内容质量控制、生产周期控制和内容显示质量控制3个视角总结、提炼出高水平中文科技期刊提升内容生产能力的9项核心策略:组约优质稿件、提升初审质量、提升同行评议质量、提升编校质量、优化生产流程、采用网络首发和预印本、拓展内容的数字化制式、提高主题部分的质量和显示度、提供英文译文。【结论】 期刊生产流程的优化和再造是内容生产能力提升的主要途径,而科学家精准注力办刊是期刊内容质量提升的动力引擎,新技术和新模式汇集的生产过程是生产效率和显示质量提升的加速器。