马鞍山市2010～2011年食源性致病菌监测结果分析

目的为了解食源性致病菌污染状况,控制食品生物性污染。方法按国家食源性致病菌监测方案要求,无菌采集超市(商店)、农贸市场、餐饮店制售的10类食品496份,监测10种致病菌。结果肉类、餐饮食品、速冻熟制米面制品、即食非发酵性豆制品、动物水产品检出单核细胞增生李斯特氏菌、金黄色葡萄球菌、蜡样芽孢杆菌、副溶血性弧菌四种致病菌24株;单核细胞增生李斯特氏菌占致病菌构成比的62.50%,金黄色葡萄球菌29.17%;肉类食品致病菌检出率高达11.21%。结论肉类及其制品是食源性疾病的高危食品,单核细胞增生李斯特氏菌、金黄色葡萄球菌则是食源性疾病的高风险致病菌。     

安徽省临床分离致泻性大肠埃希菌主要流行基因型及同源性分析

目的 了解安徽地区临床分离致泻性大肠埃希菌(DEC)的耐药状况、基因同源性及主要基因型.方法 采用微量肉汤稀释法进行药物敏感性试验,采用多位点序列分型(MLST)和脉冲场凝胶电泳(PFGE)分型进行基因型检测和同源性分析.结果 268株DEC中,57.1％为多重耐药菌,其中肠聚集性大肠埃希菌(EAEC)118株,肠毒素...     

157例妊娠梅毒孕妇规范治疗后新生儿血清学追踪观察

目的:观察妊娠梅毒孕妇经过规范治疗后新生儿血清学情况。方法:分析2012年1月至2016年6月我院产前门诊及各区县保健站妊娠梅毒孕妇及所生新生儿的梅毒感染情况。结果:157例新生儿中,TRUST和TPPA同时阳性40例(25.5%), TPPA单阳性者106例(67.5%)。母亲TRUST及TPPA双阳性时,新生儿TRUST阳性40例, TPPA阳性为105例,均高于母亲TPPA单阳性时的新生儿比例。40例TRUST及TPPA双阳性的新生儿中,39例(97.5%)于出生后6个月TRUST转阴,转阴高峰在出生后3个月(32例,80.0%);8例(20.0%)于出生后6个月TPPA转阴,25例(62.5%)于出生后9个月转阴,12个月全部转阴。106例TPPA单阳性新生儿中,13例(12.3%)TPPA于出生后6个月转阴,75例(70.7%)于出生后9个月转阴,12个月全部转阴。所有随访的新生儿无一例出现先天梅毒。结论:妊娠梅毒孕妇规范治疗后能够明显降低先天梅毒感染率。     

马鞍山市社区老年人跌倒现况分析

目的 了解马鞍山市社区老年人跌倒分布特征及影响因素,为制定社区老年人跌倒干预措施提供理论依据。方法 采用整群随机抽样的方法,选择居住在马鞍山市社区的60岁以上老年人进行入户访谈,调查过去1年的跌倒状况。 结果 3476名社区老年人中过去1年跌倒发生（人）率为10.0%,重复跌倒发生（人）率为3.1%;跌倒发生（次）率为18.0% ,重复跌倒发生（次）率为7.9%。1年内跌倒发生总体呈上升趋势,12月份达到高峰,1天中跌倒主要发生在6[DK]∶00~11[DK]∶00,14[DK]∶00~18[DK]∶00两个时间段;住所外跌倒发生率略高于住所内,公路/小区道路是跌倒最常发生的地点;在全部跌倒人群中,跌倒受伤率为57.9%,就医率为30.4%。有序logistic结果显示,较高的年龄、患慢性病、有疼痛、与日常生活能力正常相比日常生活能力障碍、处于抑郁状态的老年人更容易跌倒。结论 社区老年人跌倒问题不容忽视,应根据老年人跌倒特点开展有针对性的预防措施。     

经膀胱造瘘口采用气压弹道超声碎石清石系统治疗膀胱铸型结石(附一例报告)

目的:探讨经耻骨上膀胱造瘘口气压弹道超声碎石清石系统治疗永久性膀胱造瘘合并膀胱铸型结石患者的临床疗效和意义.方法:采用连续硬膜外麻醉,经永久性膀胱造瘘口入镜,对1例需永久性膀胱造瘘合并膀胱铸型结石的患者行超声气压弹道碎石术.结果:该患者通过永久性膀胱造瘘口进镜碎石成功,碎石时间158 min.术中、术后无膀胱痉挛、大出血、膀胱穿孔、电解质紊乱等并发症.经结石成分红外光谱分析提示为感染性结石.结论:经耻骨上膀胱造瘘口行肾镜EMS气压弹道联合超声碎石清石术是治疗永久性膀胱造瘘合并膀胱结石的安全、有效的方法.     

马鞍山市城市老年人日常生活能力现状及影响因素研究

目的 了解马鞍山市城市老年人日常生活能力现状及影响因素,为制定预防和干预措施提供参考依据。方法 于2016年12月 - 2017年3月,采用整群抽样方法,对安徽省马鞍山市的3 476名城市老年人进行问卷调查。采用SPSS16.0进行统计学分析。结果 在3 476名60岁以上的城市老年人中,ADL受损者有635人,受损率为18.3%。较大年龄是城市老年人ADL受损的危险因素;较高文化程度、较多经济收入、已婚、独居、经常体育锻炼和较好主观支持可能是城市老年人ADL受损的保护因素。结论 马鞍山市城市老年人的日常生活能力受损情况较为严重。应针对危险因素,完善相应政策,采取有效的措施,促进健康的老龄化。     

Development of psychological resilience and associations with emotional and behavioral health among preschool left-behind children

Purpose

This study aimed to explore the development of psychological resilience and its associations with emotional and behavioral health among preschool left-behind children (LBC).

Methods

LBC in 26 preschools of Fuyang City, Hefei City, and Maanshan City of Anhui Province were included at baseline survey; and baseline children in the junior and middle classes of preschools as targeted samples were recruited for the 1-year follow-up. Multivariable linear regression models were performed to examine associations of psychological resilience with emotional and behavioral health.

Results

In total, 1463 LBC were included at baseline and 568 of the 905 targeted LBC completed the 1-year follow-up. Change patterns of psychological resilience were identified as the stable-high pattern (19.0%), increasing pattern (18.3%), declining pattern (15.9%), and stable-low pattern (46.8%). The results showed that psychological resilience at baseline was positively associated with later dietary behavior habits and prosocial behaviors, and negatively associated with later problematic behaviors and sleep problems. In addition, children with the declining pattern had more problematic behaviors and sleep problems, and fewer prosocial behaviors at follow-up. Children with the increasing pattern and stable-high pattern had more prosocial behaviors, better dietary behavior habits, and fewer problematic behaviors and sleep problems at follow-up.

Conclusions

The majority of preschool LBC had lower psychological resilience and its level among some LBC changed during the follow-up. Higher psychological resilience was a protective factor for emotional and behavioral health. Timely assessing psychological resilience and then strengthening it are needed to promote the emotional and behavioral health of preschool LBC.