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目的了解海南省居民对高温天气健康风险的感知情况。方法以海南省18周岁以上居民为研究对象,采用自填式问卷在海南省沿海地区的海口市、三亚市、定安县、昌江县进行调查,共回收有效问卷1316份。结果调查对象高温天气健康风险感知度平均得分为(2.95±0.95)分,认为高温天气对自己健康危害几乎没有、较小、一般、较大和很大者分别占7.15%、22.41%、42.86%、23.63%和3.95%。多因素Logistic回归分析显示,居住在高温天气频发地区、相关知识了解程度高、健康状况较差、在高温天气中原有疾病加重者、家庭收入低者风险感知度较高,其OR值(95%CI值)分别是1.95(1.33—2.86)、1.91(1.23~2.95)、1.84(1.00。3.37)、3.95(2.99—5.22)、2.99(1.52—5.87)。结论海南省居民对高温天气健康风险感知状况一般,今后应建立有效的高温热浪预警系统,通过适当的风险沟通方式提高公众对高温天气健康风险的感知。 相似文献
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Laparoscopic surgery during pregnancy 总被引:5,自引:3,他引:2
Background: Laparoscopic surgery is known for its many advantages, but the use of this modality during pregnancy is still under discussion.
Methods: The subjects in this discussion are the unknown influence of the pneumoperitoneum and the fear of damaging the uterus while
inserting the Veress needle and trocars. In a review of recent literature describing laparoscopic surgery during pregnancy,
no complications were seen. We performed four laparoscopic appendectomies and three laparoscopic cholecystectomies between
12 and 33 weeks estimated gestational age (EGA).
Results: All pregnancies passed without complications and ended in at-term deliveries of healthy babies.
Conclusions: The risks, precautions to avoid them, and the safety of laparoscopic surgery during pregnancy are discussed in the light
of our experience and reports in recent literature.
Received: 26 September 1995/Accepted 3 May 1996 相似文献
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Kara J. Kallies Luis D. Ramirez Brandon T. Grover Shanu N. Kothari 《Surgery for obesity and related diseases》2018,14(12):1843-1849
Background
Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) are the most commonly performed bariatric procedures. RYGB involves altered gastrointestinal anatomy and 2 anastomoses, while SG involves gastric resection. When potential patients view images of the procedures, they may perceive RYGB to involve significant risk compared with SG, in which no significant gastrointestinal alterations are depicted.Objective
To evaluate preferences for RYGB versus SG.Setting
Survey of U.S. adults.Methods
An electronic survey was distributed to 1000 U.S. adults. Respondents selected either RYGB or SG based on (1) procedural pictures alone, (2) only data on risks and benefits of each procedure, (3) pictures with corresponding risk/benefit profile, and (4) pictures with mismatched information.Results
Overall, 999 individuals met inclusion criteria; 66 (7%) had undergone bariatric surgery and were excluded. Mean age and body mass index of respondents was 44.8 ± 14.6 years (n?=?922) and 28.7 ± 8.0 kg/m2 (n?=?915). A higher proportion of patients preferred RYGB to SG when images only were provided (54% versus 46%), when information only was provided (63% versus 37%), and when correct information with the procedure image was provided (57% versus 43%). When presented with mismatched information and images, 56% preferred RYGB information?+?SG image versus SG information?+?RYGB image (44%).Conclusions
Based on this survey, providing evidence-based risks and benefits of a procedure resulted in the majority of respondents choosing RYGB over SG. When procedure images were provided alone, preference for RYGB and SG were similar. There are likely other factors contributing to increasing SG volume aside from patient preference. 相似文献39.
《Radiologia》2022,64(2):128-135
Exposure to ionizing radiation is a decisive factor in women's choice of entering the field of interventional radiology. This issue explains the low percentage of women in interventional radiology and the high number of women who take leave from work when they are pregnant even though they have no problems with their pregnancy.The current guidelines and legal framework regarding pregnancy and ionizing radiation from different national institutions are not in line with the scientific evidence. They establish recommendations based on disinformation and a need to protect the fetus that has not been scientifically validated. Lack of knowledge and lack of evidence-based information could contribute to gender-based inequality at work.This article reviews the evidence from the articles and clinical guidelines in PubMed, paying special attention to publications from the last five years (2015-2020). Additionally, it reports the results of an online survey of healthcare professionals exposed to radiation in their work. 相似文献
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Charles A. McKay Jr. 《Journal of medical toxicology》2013,9(4):308-312
Chelation therapy is often used to treat mercury poisoning. Public health personnel are often asked about mercury toxicity and its treatment. This paper provides a public health department response to use of a mercury-containing cosmetic in Minnesota, a perspective on two unpublished cases of chelation treatment for postulated mercury toxicity, and comments on the use of a nonsystemic treatment for removal of mercury following the Iraqi seed coat poisoning incident. Physicians should evaluate sources of exposure, biomarkers, and risks and benefits before recommending chelation therapy for their patients. Potential risks to chelation therapy and its little understood subtle or latent effects are areas of public health concern. 相似文献