Wheezing in Chinese schoolchildren: disease severity distribution and management practices, a community-based study in Hong Kong and Guangzhou

BACKGROUND: Asthma is a common chronic disease and information on its management practices at the community level is helpful in identifying problems and improving asthma care. OBJECTIVE: To assess the severity status and management of the asthma symptom of wheeze of children at the community level in Hong Kong (HK) and Guangzhou (GZ). METHODS: Cross-sectional study of children aged 10 years using the International Study of Asthma and Allergic disease in Childhood (ISAAC Phase II protocol). Asthma management and lung function were assessed in 178 (98 from HK and 80 from GZ) randomly selected children with wheeze over the past 12 months. RESULTS: Eighty-three percent, 11%, 6% and 0% of children suffered from intermittent, mild persistent, moderate persistent and severe persistent asthma, respectively, according to the frequency of their symptoms. Addition of spirometric parameter only changed the asthma severity classification in 2.8% of children. Medications were used by 30.6% and 71.3% of children for wheeze in HK and GZ, respectively. In HK, inhaled beta(2)-agonist (73.3% among the drug users) was the commonest medication used followed by inhaled corticosteroid (ICS) (23.3%). In GZ, inhaled beta(2)-agonist was used by 75.4% of children, but use of ICS (26.3%), oral beta(2)-agonist (26.3%), oral theophylline (45.6%), oral ketotifen (36.8%) and oral steroid (35.1%) were also common. ICS was only used by 11.4% of children with persistent asthma. Ten percent and 18.7% of children in HK and GZ, respectively, had emergency department visits, while 16.3% and 11.6% of children in HK and GZ, respectively, had missed school secondary to asthma over the past 1 year. CONCLUSIONS: Most children in the community had intermittent asthma and addition of lung function to symptoms did not significantly affect classification of asthma severity. Significant morbidity was seen even in this group of children with mostly intermittent and mild persistent asthma.     

广州市海珠区3~12岁儿童身高调查及影响因素分析

目的:了解广州市海珠区儿童身高发育情况,分析其影响因素。方法:随机抽取海珠区904名3~12岁儿童进行体格测量,对家长进行问卷调查,获得儿童身高及其影响因素的相关数据。结果:3~5岁组男、女童,6~岁组男童,7~8岁组男、女童,9~岁组男童的身高均值均低于全国水平(P<0.05)。当前身高低于遗传身高的儿童占21.6%;与遗传身高一致占65%;高于遗传身高的占13.4%。母亲身高,体型是否肥胖,经常吃钙片、喝牛奶,慢性疾病史,每天运动时间为身高的影响因素(P<0.05)。结论:广州市海珠区儿童身高发育的整体水平较低,大部分儿童没有发挥身高的生长潜能,应重视环境因素对身高的影响,采取相应干预措施,促进儿童身高增长。     

广州市肺结核患者门诊直接医疗费用及构成分析

目的 了解广州市肺结核患者在门诊确诊前及治疗过程的直接医疗费用及构成,为完善结核病医疗保障政策,控制医疗费用,减轻患者医疗负担提供循证依据.方法 采用前瞻性追踪研究方法,对2015年1月至2018年12月在广州市各区结核病防治机构的门诊中确诊及治疗的肺结核患者进行追踪研究.通过文献研究及专家咨询法设计《广州市肺结核疾病...     

The Third World Integrative Medicine Congress Abstracts (Excerption)

The 3rd World Integrative Medicine Congress (3rd WIMCO) was held on September 22-24, 2007 in Guangzhou, China. The Congress has showed the academic achievements of integrative medicine in the recent five years covering a wide range of fields, such as basic and experimental research; clinical research; theory, education and management research; new drug research and development; and application of evidence-based medicine.     

浅论卫气不足与广州地区鼻鼽的关系

卫气的功能与肺、脾、肾三脏密切相关,鼻鼽的发病与卫气强弱关系密切。广州地区鼻鼽患者多见卫气不足,是由其体质特点及生活习惯所造成。运用温阳解表的方法调理卫气治疗鼻鼽疗效确切,提示卫气不足与广州地区鼻鼽确实存在一定关系。     

走传承创新路,塑中医药名刊——《广州中医药大学学报》办刊30周年回顾与展望

藉《广州中医药大学学报》(以下简称《学报》)创刊30周年之际,回顾《学报》办刊30年的变革与发展历程,总结《学报》的办刊特色与思路,提出《学报》的未来发展规划。《学报》在30年办刊中始终坚持中医药特色、学术前沿性和编辑规范性的定位,不断求新,不断发展,从小到大,从弱到强,逐步规范化、精品化,使《学报》的学术地位和学术影响力逐步得到了社会和学术界的认可。     

广州中医药大学计算机基础教学改革思路

面对日新月异的计算机技术及信息时代的到来,医学院校的每一个学生都必须掌握计算机的基本技能。因而,我校计算机基础教学再也不能"以不变应万变",而必须体现现代教学理论,以提高医学生计算机应用能力和文化素质为出发点,为学生今后的学习和工作打好基础。作为一个一直在教学第一线的教师,笔者认为应从以下几个方面进行改革,以适应不断变化的形势需要。     

Prevalence of mild cognitive impairment and its subtypes in community-dwelling residents aged 65 years or older in Guangzhou,China

BackgroundPrevalence of mild cognitive impairment (MCI) has been reported substantial variations, and mostly in Western countries. Less is known about MCI in the south of China. The study is to estimate the prevalence of MCI and its subtypes in residents aged 65 year or older in community-dwelling residents of Guangzhou, China.MethodsThe study was a community-based, cross-sectional study conducted in rural and urban areas of Guangzhou between April and October 2009. Eight communities were randomly selected using a cluster sampling method. Each elderly was interviewed with Montreal Cognitive Assessment, the Mini-Mental state examination, Auditory Verbal Learning Test, the Clinical Dementia Rating scale et al. MCI was classified as amnestic MCI (a-MCI) or nonamnestic MCI (na-MCI).Results2427 individuals were contacted, but in-person interviews were conducted with 2111 participants. 299 participants with MCI were identified. The prevalence of MCI, a-MCI and na-MCI was 14.2%, 12.2%, 2.0% respectively. The prevalence of MCI and a-MCI increased with age, decreased with education level, and was higher in rural areas than in urban areas. The difference of prevalence of MCI and a-MCI between women with men wasn't statistically significant(MCIχ2 = 1.0, OR 0.9, 95%CI = 0.6-1.2; a-MCIχ2 = 1.0, OR 0.9, 95%CI = 0.6–1.2), when controlling for education by logistic regression analysis.ConclusionsThe results suggest that 14.2% of elderly individuals are affected by MCI in Guangzhou, China. And MCI was dominated by a-MCI. The prevalence of MCI and a-MCI increased with age, decreased with education level, and was higher in the rural population compared to the urban population.     

广州市某三甲医院护士睡眠质量状况

目的:研究广州市某三甲医院护士睡眠质量的状况,分析影响其睡眠质量的因素,提出相应的对策,从而提高护士的睡眠质量,促进护士的身心健康。方法:采用匹兹堡睡眠质量指数量表(PSQI)及自制一般情况调查表,以广州市某三甲医院护士为研究对象,采用整群抽样方法对该院206名在职护士进行问卷调查资料收集,并进行统计学分析。结果:1该院PSQI7分者共69人(33.5%),PSQI平均得分(6.72±3.27),与常模比较差异显著(t=20.84,P0.05);2不同科室的护士在入睡时间、睡眠障碍、日间功能障碍及PSQI总分差异显著(F=3.903,5.543,2.448,3.079;P0.05),其他4个因子的比较上,差异均无统计学意义(P0.05)。结论:该院临床护士整体睡眠质量差,应采取有效措施进行干预,以提高他们的身心健康水平。