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Zhang L, Sha W, Lin Q, Fang Y. Can single disease payment impact hospitalization expenses and quality in district hospital? A case study in Fujian, China. Int J Equity Health 2024; 23:53. [PMID: 38481259 PMCID: PMC10938684 DOI: 10.1186/s12939-024-02134-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2023] [Accepted: 02/23/2024] [Indexed: 03/17/2024] Open
Abstract
BACKGROUND China is exploring payment reform methods for patients to address the escalating issue of increasing medical costs. While most district hospitals were still in the stage of Single Disease Payment (SDP) due to conditions, there is a scarcity of research on comprehensive assessment of SDP. This study aims to evaluate the implementation of SDP in a district hospital, and provided data support and scientific reference for improving SDP method and accelerating medical insurance payment reform at district hospitals. METHODS Data was collected from 2337 inpatient medical records at a district hospital in Fuzhou, China from 2016 to 2021. These diagnoses principally included type 2 diabetes, planned cesarean sections, and lacunar infarction. Structural variation analysis was conducted to examine changes in the internal cost structure and dynamic shifts in medical expenses for both the insured (treatment group) and uninsured (control group) patients, pre- and post-implementation of the SDP policy on August 1, 2018. The difference-in-differences (DID) method was employed to assess changes in hospitalization expenses and quality indicators pre- and post-implementation. Furthermore, subjective evaluation of medical quality was enhanced through questionnaire surveys with 181 patients and 138 medical staff members. RESULTS The implementation of SDP decreased the medical expenses decreased significantly (P < 0.05), which can also optimize the cost structure. The drug cost ratio descended significantly, and the proportion of laboratory fee rose slightly. The changes in infection rate, cure rate, and length of stay indicated enhanced medical quality (P < 0.05). The satisfaction of inpatients with SDP was high (89.2%). Medical staff expressed an upper middle level of satisfaction (77.2%) but identified difficulties with the implementation such as "insufficient coverage of disease types". CONCLUSION After the implementation of SDP in district hospitals, considerable progress has been achieved in restraining medical expenses, coupled with notable enhancements in both medical quality and patient satisfaction levels. However, challenges persist regarding cost structure optimization and underutilization of medical resources. This study suggests that district hospitals can expedite insurance payment reform by optimizing drug procurement policies, sharing examination information, and strengthening the management of medical records.
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Affiliation(s)
- Liangwen Zhang
- State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen University, Xiamen Fujian, 361102, PR China
- Key Laboratory of Health Technology Assessment of Fujian Province University, School of Public Health, Xiamen University, Xiamen Fujian, 361102, PR China
| | - Wanqiu Sha
- State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen University, Xiamen Fujian, 361102, PR China
- Key Laboratory of Health Technology Assessment of Fujian Province University, School of Public Health, Xiamen University, Xiamen Fujian, 361102, PR China
| | - Qiyu Lin
- State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen University, Xiamen Fujian, 361102, PR China
- Key Laboratory of Health Technology Assessment of Fujian Province University, School of Public Health, Xiamen University, Xiamen Fujian, 361102, PR China
| | - Ya Fang
- State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen University, Xiamen Fujian, 361102, PR China.
- Key Laboratory of Health Technology Assessment of Fujian Province University, School of Public Health, Xiamen University, Xiamen Fujian, 361102, PR China.
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Schaap R, Coenen P, Zwinkels W, de Wolff M, Hazelzet A, Anema J. Training for Supervisors to Improve Sustainable Employment of Employees with a work Disability: A Longitudinal Effect and Process Evaluation from an Intervention Study with Matched Controls. J Occup Rehabil 2024; 34:180-196. [PMID: 37249785 PMCID: PMC10227387 DOI: 10.1007/s10926-023-10118-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 04/17/2023] [Indexed: 05/31/2023]
Abstract
PURPOSE Supervisors play a crucial role in sustainable employment of employees with a work disability. The 'Mentorwijs' (literal translation: Mentorwise) training was developed to train supervisors in knowledge, attitudes and skills needed to guide these employees. This study evaluated the effect of 'Mentorwijs' on employees' employment and supervisors' behavioral outcomes. METHODS Register- and questionnaire data were obtained from 73 employees and 1,526 matched controls to measure employment (≥ 1/month, ≥ 12 h/week and ≥ 3 consecutive months (≥ 1 h/month)) during a 12-month follow-up period. Questionnaire data were obtained from 127 supervisors who followed the 'Mentorwijs' training, to assess their knowledge, self-efficacy, intention to adopt and applied behaviors. RESULTS Employment for ≥ 1 h/month did not significantly improve after 3 (β = 0.05; CI=-0.07-0.16), 6 (β = 0.07; CI=-0.04-0.18), 9 (β = 0.08; CI=-0.02-0.18) and 12 (β = 0.01; CI=-0.08-0.10) months among employees whose supervisors followed 'Mentorwijs' compared to those who did not. Significant effects were found after 8 months (β = 0.11; CI = 0.01-0.21). Comparable effects were found for employment ≥ 12 hour/week and ≥ 3 consecutive months (≥ 1 hour/month). Supervisors' knowledge and self-efficacy significantly improved as a result of 'Mentorwijs', but no effects were found for intention to adopt and applied behaviors. CONCLUSIONS 'Mentorwijs' is a promising training to improve the guidance of employees with a work disability. Further research is needed to examine how long-term effects of 'Mentorwijs' on employment can be sustained.
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Affiliation(s)
- Rosanne Schaap
- Department of Public and Occupational Health, Amsterdam UMC, Amsterdam, The Netherlands.
| | - Pieter Coenen
- Department of Public and Occupational Health, Amsterdam UMC, Amsterdam, The Netherlands
| | | | - Marianne de Wolff
- Sustainable Productivity and Employability, Netherlands Organization for Applied Scientific Research TNO, Leiden, The Netherlands
| | - Astrid Hazelzet
- Sustainable Productivity and Employability, Netherlands Organization for Applied Scientific Research TNO, Leiden, The Netherlands
| | - Johannes Anema
- Department of Public and Occupational Health, Amsterdam UMC, Amsterdam, The Netherlands
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Chen H, Cao B, Yang J, Ren H, Xia X, Zhang X, Yan W, Liang X, Li C. Construction and effect evaluation of prediction model for red blood cell transfusion requirement in cesarean section based on artificial intelligence. BMC Med Inform Decis Mak 2023; 23:213. [PMID: 37828543 PMCID: PMC10568840 DOI: 10.1186/s12911-023-02286-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Accepted: 09/04/2023] [Indexed: 10/14/2023] Open
Abstract
OBJECTIVES This study intends to build an artificial intelligence model for obstetric cesarean section surgery to evaluate the intraoperative blood transfusion volume before operation, and compare the model prediction results with the actual results to evaluate the accuracy of the artificial intelligence prediction model for intraoperative red blood cell transfusion in obstetrics. The advantages and disadvantages of intraoperative blood demand and identification of high-risk groups for blood transfusion provide data support and improvement suggestions for the realization of accurate blood management of obstetric cesarean section patients during the perioperative period. METHODS Using a machine learning algorithm, an intraoperative blood transfusion prediction model was trained. The differences between the predicted results and the actual results were compared by means of blood transfusion or not, blood transfusion volume, and blood transfusion volume targeting postoperative hemoglobin (Hb). RESULTS Area under curve of the model is 0.89. The accuracy of the model for blood transfusion was 96.85%. The statistical standard for the accuracy of the model blood transfusion volume is the calculation of 1U absolute error, the accuracy rate is 86.56%, and the accuracy rate of the blood transfusion population is 45.00%. In the simulation prediction results, 93.67% of the predicted and actual cases in no blood transfusion surgery; 63.45% of the same predicted blood transfusion in blood transfusion surgery, and only 20.00% of the blood transfusion volume is the same. CONCLUSIONS In conclusion, this study used machine learning algorithm to process, analyze and predict the results of a large sample of cesarean section clinical data, and found that the important predictors of blood transfusion during cesarean section included preoperative RBC, surgical method, the site of surgery, coagulation-related indicators, and other factors. At the same time, it was found that the overall accuracy of the AI model was higher than actual blood using. Although the prediction of blood transfusion volume was not well matched with the actual blood using, the model provided a perspective of preoperative identification of high blood transfusion risks. The results can provide good auxiliary decision support for preoperative evaluation of obstetric cesarean section, and then promote the realization of accurate perioperative blood management for obstetric cesarean section patients.
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Affiliation(s)
- Hang Chen
- School of Computer Science and Technology, Xi'an Jiaotong University, Xi'an, 710049, Shaanxi, China
- Department of Information Service, Shaanxi Provincial People's Hospital, Xi'an, 710068, Shaanxi, China
| | - Bowei Cao
- Department of Information Service, Shaanxi Provincial People's Hospital, Xi'an, 710068, Shaanxi, China
| | - Jiangcun Yang
- Department of Transfusion Medicine, Shaanxi Provincial People's Hospital, Xi'an, 710068, Shaanxi, China
| | - He Ren
- Beijing HealSci Technology Co., Ltd, Beijing, 100022, China
| | - Xingqiu Xia
- Beijing HealSci Technology Co., Ltd, Beijing, 100022, China
| | - Xiaowen Zhang
- Department of Information Service, Shaanxi Provincial People's Hospital, Xi'an, 710068, Shaanxi, China
| | - Wei Yan
- Department of Information Service, Shaanxi Provincial People's Hospital, Xi'an, 710068, Shaanxi, China
| | - Xiaodan Liang
- Department of Information Service, Shaanxi Provincial People's Hospital, Xi'an, 710068, Shaanxi, China
| | - Chen Li
- School of Computer Science and Technology, Xi'an Jiaotong University, Xi'an, 710049, Shaanxi, China.
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Zhang MY, Hu XQ, Zhang H, Sun LL. Evaluation of the application effect of the child life care model in caring for unaccompanied children infected with COVID-19. Asian J Surg 2022; 46:1969-1972. [PMID: 36610910 PMCID: PMC9771754 DOI: 10.1016/j.asjsur.2022.12.061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Accepted: 12/14/2022] [Indexed: 12/24/2022] Open
Affiliation(s)
- Meng-Ying Zhang
- Nursing Department, The Third People's Hospital of Shenzhen, Shenzhen, 518000, China
| | - Xue-Qing Hu
- Nursing Department, The Third People's Hospital of Shenzhen, Shenzhen, 518000, China
| | - Hao Zhang
- Nursing Department, The Third People's Hospital of Shenzhen, Shenzhen, 518000, China
| | - Lu-Lu Sun
- Nursing Department, The Third People's Hospital of Shenzhen, Shenzhen, 518000, China.
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Cai H, Zheng H, Li J, Hao C, Gu J, Liao J, Hao Y. Implementation and evaluation of crowdsourcing in global health education. Glob Health Res Policy 2022; 7:50. [PMID: 36522678 PMCID: PMC9753011 DOI: 10.1186/s41256-022-00279-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Accepted: 10/30/2022] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND Current global health course is most set as elective course taught in traditional teacher-taught model with low credit and short term. Innovate teaching models are required. Crowdsourcing characterized by high flexibility and strong application-orientation holds its potential to enhance global health education. We applied crowdsourcing to global health teaching for undergraduates, aiming to develop and evaluate a new teaching model for global health education. METHODS Crowdsourcing was implemented into traditional course-based teaching via introducing five COVID-19 related global health debates. Undergraduate students majoring in preventative medicine and nursing grouped in teams of 5-8, were asked to resolve these debates in reference to main content of the course and with manner they thought most effective to deliver the messages. Students' experience and teaching effect, were evaluated by questionnaires and teachers' ratings, respectively. McNemar's test was used to compare the difference in students' experience before and after the course, and regression models were used to explore the influencing factors of the teaching effect. RESULTS A total of 172 undergraduates were included, of which 122 (71%) were females. Students' evaluation of the new teaching model improved after the course, but were polarized. Students' self-reported teaching effect averaged 67.53 ± 16.8 and the teachers' rating score averaged 90.84 ± 4.9. Students majoring in preventive medicine, participated in student union, spent more time on revision, and had positive feedback on the new teaching model tended to perform better. CONCLUSION We innovatively implemented crowdsourcing into global health teaching, and found this new teaching model was positively received by undergraduate students with improved teaching effects. More studies are needed to optimize the implementation of crowdsourcing alike new methods into global health education, to enrich global health teaching models.
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Affiliation(s)
- Huanle Cai
- Department of Medical Statistics, School of Public Health, Sun Yat-Sen University, No.74 Zhongshan 2nd Road, Guangzhou, 510080, China
| | - Huiqiong Zheng
- Department of Medical Statistics, School of Public Health, Sun Yat-Sen University, No.74 Zhongshan 2nd Road, Guangzhou, 510080, China
| | - Jinghua Li
- Department of Medical Statistics, School of Public Health, Sun Yat-Sen University, No.74 Zhongshan 2nd Road, Guangzhou, 510080, China
- Sun Yat-Sen Global Health Institute, Sun Yat-Sen University, Guangzhou, China
- Center for Health Information Research, Sun Yat-Sen University, Guangzhou, China
| | - Chun Hao
- Department of Medical Statistics, School of Public Health, Sun Yat-Sen University, No.74 Zhongshan 2nd Road, Guangzhou, 510080, China
- Sun Yat-Sen Global Health Institute, Sun Yat-Sen University, Guangzhou, China
- Center for Health Information Research, Sun Yat-Sen University, Guangzhou, China
| | - Jing Gu
- Department of Medical Statistics, School of Public Health, Sun Yat-Sen University, No.74 Zhongshan 2nd Road, Guangzhou, 510080, China
- Sun Yat-Sen Global Health Institute, Sun Yat-Sen University, Guangzhou, China
- Center for Health Information Research, Sun Yat-Sen University, Guangzhou, China
| | - Jing Liao
- Department of Medical Statistics, School of Public Health, Sun Yat-Sen University, No.74 Zhongshan 2nd Road, Guangzhou, 510080, China.
- Sun Yat-Sen Global Health Institute, Sun Yat-Sen University, Guangzhou, China.
- Center for Health Information Research, Sun Yat-Sen University, Guangzhou, China.
| | - Yuantao Hao
- Department of Medical Statistics, School of Public Health, Sun Yat-Sen University, No.74 Zhongshan 2nd Road, Guangzhou, 510080, China
- Sun Yat-Sen Global Health Institute, Sun Yat-Sen University, Guangzhou, China
- Center for Health Information Research, Sun Yat-Sen University, Guangzhou, China
- Peking University Center for Public Health and Epidemic Preparedness and Response, Peking University, Beijing, China
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Guo Y, Chen J, Shi F, Peng X, Ma X, Fang D. The effect of China's carbon emission trading on eco-efficiency: an empirical study at the city level. Environ Sci Pollut Res Int 2022; 29:84827-84843. [PMID: 35790634 DOI: 10.1007/s11356-022-21617-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/27/2022] [Accepted: 06/18/2022] [Indexed: 06/15/2023]
Abstract
Carbon emission trading has been actively applied in many countries, and its operational effect has received widespread attention. However, previous studies mostly focused on single environmental effect, and the investigation of the comprehensive environmental effect needs to be further supplemented. Based on this, this paper explores the comprehensive environmental effect of carbon emission trading with eco-efficiency as the starting point. First, this paper measures eco-efficiency using the super-efficient minimum distance to strong efficient frontier (MinDS) model with undesirable outputs. Second, this paper uses the propensity score matching difference in difference (PSM-DID) model to quantify the effect of carbon emission trading on eco-efficiency. Finally, this paper examines the mediating mechanism of the effect of carbon emission trading on eco-efficiency based on the mediating effect model. The results show that carbon emission trading can improve the level of urban eco-efficiency. Energy savings and increased efficiency effectively mediate the promoting effect of carbon emission trading on eco-efficiency. The mediating push effect of R&D innovation and industrial structure restructuring has not yet appeared. This paper can not only provide policy basis for the improvement of carbon emission trading market but also provide reference for the construction of carbon emission trading market in developing countries.
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Affiliation(s)
- Yishan Guo
- School of Statistics, Dongbei University of Finance and Economics, Dalian, 116025, China
| | - Jingquan Chen
- Institute of Economic & Social Development, Dongbei University of Finance and Economics, Dalian, 116025, China
| | - Feng Shi
- College Office, Fushun Vocational Technical Institute, Fushun, 110172, China
| | - Xuepeng Peng
- College Office, Fushun Vocational Technical Institute, Fushun, 110172, China
| | - Xiaojun Ma
- School of Statistics, Dongbei University of Finance and Economics, Dalian, 116025, China
| | - Dan Fang
- College of International Economics & Trade, Dongbei University of Finance and Economics, Dalian, 116025, China.
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Cao MM, Li H, Zha ZQ, Zhou JY, Luo PF, Gong JY, Ma HM, Sun XB, Chen WQ. [ Effect evaluation of the primary screening strategy for liver cancer in rural areas of China]. Zhonghua Zhong Liu Za Zhi 2022; 44:990-996. [PMID: 36164703 DOI: 10.3760/cma.j.cn112152-20211031-00800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
Objective: To estimate the effectiveness of the primary screening strategy for liver cancer in rural areas to provide basic information for the optimization and perfection of the technical program for the early detection and treatment of liver cancer. Methods: Residents including males aged 35-64 and females aged 45-64 from 9 counties in rural China between 2013 and 2015 were selected as the target population. The participant was classified into a high-risk and non-high-risk group based on the standardized questionnaire or HBsAg, and the Chi-squared test was applied to compare differences between the two groups. The Cox proportional hazard regression models were applied to assess hazard ratio (HR) and its 95% confidence interval (CI). Results: 358 348 participants were recruited from 2013 to 2015. 1 196 individuals were identified with liver cancer until December 31, 2021, with an incidence density of 52.0/10(5) person-years. Of the participants, 54 650 were assessed as high risk (15.3%) based on the questionnaire and the status of HBsAg. The high-risk population had a higher incidence density (168.3/10(5) person-years vs 31.5/10(5) person-years) and higher risk of developing liver cancer (HR=2.98, 95% CI=2.64-3.35), compared to the non-high-risk group. Based on the questionnaire-based high-risk assessment system, 47 884 (13.4%) individuals were identified as high risk, who showed statistical differences in terms of incidence density and incidence risk, in comparison to the low-risk population (all P<0.05). HBsAg can screen out a higher proportion of high-risk individuals who are women, non-smokers, non-drinkers, and individuals without a family history of liver cancer (all P<0.05). The sensitivity analysis of the effectiveness of the whole primary screening method is stable, and high-risk individuals still had a higher risk of liver cancer. Conclusions: The primary screening method of the questionnaire-based risk assessment system and HBsAg can achieve satisfactory effectiveness. The questionnaire-based risk assessment system could identify high-risk individuals to some extent, however, it still needs to be improved to meet the actual requirements.
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Affiliation(s)
- M M Cao
- Office of Cancer Screening, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - H Li
- Office of Cancer Screening, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - Z Q Zha
- Institute of Chronic Non-communicable Diseases Prevention and Control, Anhui Provincial Center for Disease Control and Prevention, Hefei 230601, China
| | - J Y Zhou
- Department for Chronic Non-communicable Diseases Control, Jiangsu Provincial Center for Disease Control and Prevention/Public Health Research Institute of Jiangsu Province, Nanjing 210009, China
| | - P F Luo
- Department for Chronic Non-communicable Diseases Control, Jiangsu Provincial Center for Disease Control and Prevention/Public Health Research Institute of Jiangsu Province, Nanjing 210009, China
| | - J Y Gong
- Department of Preventive Management, Shandong Cancer Hospital and Institute/Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan 250117, China
| | - H M Ma
- Department of Preventive Management, Shandong Cancer Hospital and Institute/Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan 250117, China
| | - X B Sun
- Department of Disease Prevention, the Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou 450046, China
| | - W Q Chen
- Office of Cancer Screening, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
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Swillens JEM, Voorham QJM, Akkermans RP, Nagtegaal ID, Hermens RPMG. Nationwide implementation of a multifaceted tailored strategy to improve uptake of standardized structured reporting in pathology: an effect and process evaluation. Implement Sci 2022; 17:52. [PMID: 35907877 PMCID: PMC9338618 DOI: 10.1186/s13012-022-01224-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Accepted: 07/14/2022] [Indexed: 11/23/2022] Open
Abstract
Background Implementation strategies are aimed at improving guideline adherence. Both effect and process evaluations are conducted to provide insights into the success or failure of these strategies. In our study, we evaluate the nationwide implementation of standardized structured reporting (SSR) in pathology. Methods An interrupted time series analysis was conducted to evaluate the effect of a previously developed implementation strategy, which consisted of various digitally available elements, on SSR in pathology laboratories. A segmented regression analysis was performed to analyze the change in mean SSR percentages directly after the strategy introduction for pathology reporting and specific subcategories. In addition, we analyzed the change in trend in the weekly percentages after strategy introduction, also for subgroups of tumor groups, retrieval methods, and type of laboratory. The change in SSR use after the strategy introduction was determined for all pathology laboratories. We further conducted a process evaluation in which the exposure to the strategy elements was determined. Experiences of the users with all strategy elements and the remaining barriers and potential strategy elements were evaluated through an eSurvey. We also tested whether exposure to a specific element and a combination of elements resulted in a higher uptake of SSR after strategy introduction. Results There was a significant increase in an average use of SSR after the strategy introduction for reporting of gastrointestinal (p=.018) and urological (p=.003) oncological diagnoses. A significant increase was present for all oncological resections as a group (p=.007). Thirty-three out of 42 pathology laboratories increased SSR use after the strategy introduction. The “Feedback button”, an option within the templates for SSR to provide feedback to the provider and one of the elements of the implementation strategy, was most frequently used by the SSR users, and effectiveness results showed that it increased average SSR use after the strategy introduction. Barriers were still present for SSR implementation. Conclusions Nationwide SSR implementation improved for specific tumor groups and retrieval methods. The next step will be to further improve the use of SSR and, simultaneously, to further develop potential benefits of high SSR use, focusing on re-using discrete pathology data. In this way, we can facilitate proper treatment decisions in oncology. Supplementary Information The online version contains supplementary material available at 10.1186/s13012-022-01224-5.
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Affiliation(s)
- Julie E M Swillens
- Scientific Center for Quality of Healthcare (IQ Healthcare), Radboud Institute for Health Sciences (RIHS), Radboud University Medical Centre, Postbus 9101, 6500 HB Nijmegen, Kapittelweg 54 (route 160), Nijmegen, The Netherlands.
| | | | - Reinier P Akkermans
- Scientific Center for Quality of Healthcare (IQ Healthcare), Radboud Institute for Health Sciences (RIHS), Radboud University Medical Centre, Postbus 9101, 6500 HB Nijmegen, Kapittelweg 54 (route 160), Nijmegen, The Netherlands
| | - Iris D Nagtegaal
- Department of Pathology, Radboud Institute for Molecular Life Sciences (RIMLS), Radboud University Medical Centre, Nijmegen, The Netherlands
| | - Rosella P M G Hermens
- Scientific Center for Quality of Healthcare (IQ Healthcare), Radboud Institute for Health Sciences (RIHS), Radboud University Medical Centre, Postbus 9101, 6500 HB Nijmegen, Kapittelweg 54 (route 160), Nijmegen, The Netherlands
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Smit DJM, van Oostrom SH, Engels JA, van der Beek AJ, Proper KI. A study protocol of the adaptation and evaluation by means of a cluster-RCT of an integrated workplace health promotion program based on a European good practice. BMC Public Health 2022; 22:1028. [PMID: 35597983 PMCID: PMC9123680 DOI: 10.1186/s12889-022-13352-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2022] [Accepted: 05/03/2022] [Indexed: 11/10/2022] Open
Abstract
Background An integrated workplace health promotion program (WHPP) which targets multiple lifestyle factors at different levels (individual and organizational) is potentially more effective than a single component WHPP. The aim of this study is to describe the protocol of a study to tailor a European good practice of such an integral approach to the Dutch context and to evaluate its effectiveness and implementation. Methods This study consists of two components. First, the five steps of the Map of Adaptation Process (MAP) will be followed to tailor the Lombardy WHP to the Dutch context. Both the employers and employees will be actively involved in this process. Second, the effectiveness of the integrated Dutch WHPP will be evaluated in a clustered randomized controlled trial (C-RCT) with measurements at baseline, 6 months and 12 months. Clusters will be composed based on working locations or units - dependent on the organization’s structure and randomization within each organization takes place after baseline measurements. Primary outcome will be a combined lifestyle score. Secondary outcomes will be the separate lifestyle behaviors targeted, stress, work-life balance, need for recovery, general health, and well-being. Simultaneously, a process evaluation will be conducted. The study population will consist of employees from multiple organizations in different industry sectors. Organizations in the intervention condition will receive the integrated Dutch WHPP during 12 months, consisting of an implementation plan and a catalogue with activities for multiple lifestyle themes on various domains: 1) screening and support; 2) information and education; 3) adjustments in the social, digital or physical environment; and 4) policy. Discussion The MAP approach provides an appropriate framework to systematically adapt an existing WHPP to the Dutch context, involving both employers and employees and retaining the core elements, i.e. the catalogue with evidence-based activities on multiple lifestyle themes and domains enabling an integrated approach. The following process and effect evaluation will contribute to further insight in the actual implementation and effectiveness of the integrated WHP approach. Trial registration NTR (trialregister.nl), NL9526. Registered on 3 June 2021. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-022-13352-0.
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Affiliation(s)
- Denise J M Smit
- Center for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment, Bilthoven, 3721 MA, The Netherlands. .,Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, 1081 BT, The Netherlands.
| | - Sandra H van Oostrom
- Center for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment, Bilthoven, 3721 MA, The Netherlands
| | - Josephine A Engels
- Occupation & Health Research Group, HAN University of Applied Sciences, Nijmegen, 6525 EN, the Netherlands
| | - Allard J van der Beek
- Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, 1081 BT, The Netherlands
| | - Karin I Proper
- Center for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment, Bilthoven, 3721 MA, The Netherlands.,Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, 1081 BT, The Netherlands
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Ma Y, Cheng L, Zhang D, Zhang F, Zhou S, Ma Y, Guo J, Zhang Y, Xing B. Stabilization of Pb, Cd, and Zn in soil by modified-zeolite: Mechanisms and evaluation of effectiveness. Sci Total Environ 2022; 814:152746. [PMID: 34979223 DOI: 10.1016/j.scitotenv.2021.152746] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/17/2021] [Revised: 12/15/2021] [Accepted: 12/24/2021] [Indexed: 06/14/2023]
Abstract
As a type of soil stabilization material, zeolite has good cation exchange ability and synchronous stabilization potential for multiple active heavy metal cations in soil. However, natural zeolite contains relatively high amounts of impurities, and has a single heavy metal stabilization mechanism, which limits its capacity to stabilize heavy metals in soil. To develop a stabilization material that could efficiently stabilize several heavy metals simultaneously, in the present study, modified zeolite (MZEO) was prepared via NaCl pretreatment, chitosan modification, modified chitosan loading, and CaSiO3 modification to enable Pb, Cd, and Zn stabilization in soil. The aim of the present study was to explore zeolite modification technologies, reveal the stabilization mechanism of polymetallic contaminated soil and evaluate the stabilization effects of MZEO. According to the results, the modification treatment increased the cation exchange capacity of MZEO nearly 8-fold, the specific surface area 3.4-fold, and its internal pore structure was richer, with more adsorption sites. The appearance of a -NH2 absorption bands confirmed the loading of chitosan successfully, and the modification enhanced the heavy metal stabilization mechanism. Upon the addition of MZEO to Baiyin soil, the chemical morphologies of heavy metals changed, which reduced the weak acid extracted forms of Pb, Cd, and Zn in the soil by 21%, 10%, and 19%, respectively. The potential mechanisms of free heavy metal reduction were ion exchange with Na in MZEO, heavy metal mineral formation by Al replacement in the crystal lattice, and bonding with SiO32- formed by the hydrolysis of MZEO-loaded synaptic CaSiO3 particles, to form silicate precipitation. MZEO application minimized heavy metal leaching risk in the soil and heavy metal biological/plant accessibility, with potential economic benefits. MZEO has promising applications in polluted soil remediation.
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Affiliation(s)
- Yan Ma
- School of Chemical and Environmental Engineering, China University of Mining and Technology, Beijing 100083, China; Stockbridge School of Agriculture, University of Massachusetts, Amherst, MA 01003, USA.
| | - Lu Cheng
- School of Chemical and Environmental Engineering, China University of Mining and Technology, Beijing 100083, China
| | - Dading Zhang
- Center International Group Co., Ltd., Beijing 100176, China
| | - Fan Zhang
- School of Chemical and Environmental Engineering, China University of Mining and Technology, Beijing 100083, China
| | - Shengkun Zhou
- Beijing Solid Waste Treatment Co., Ltd., Beijing 100101, China
| | - Yue Ma
- School of Chemical and Environmental Engineering, China University of Mining and Technology, Beijing 100083, China
| | - Jianda Guo
- School of Chemical and Environmental Engineering, China University of Mining and Technology, Beijing 100083, China
| | - Yaru Zhang
- School of Chemical and Environmental Engineering, China University of Mining and Technology, Beijing 100083, China
| | - Baoshan Xing
- Stockbridge School of Agriculture, University of Massachusetts, Amherst, MA 01003, USA
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Deng Y, Jiang TT, Ji PH, Chen WQ, Zhang YL, Hong Y, Zhou RM, Yang CY, Hu YB, Lin XM, Zhao DY. [Effectiveness of health education interventions targeting taeniasis and cysticercosis among primary school students in disease-elimination pilot areas of Henan Province]. Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi 2021; 33:583-589. [PMID: 35128888 DOI: 10.16250/j.32.1374.2021215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
OBJECTIVE To compare the changes of knowledge, attitude and practice (KAP) related to taeniasis and cysticercosis among primary school students before and after health education interventions in disease-elimination pilot areas of Henan Province, so as to evaluate the effectiveness of health education interventions. METHODS A primary school was selected from each of Dushu, Bowang and Yangji townships, Fangcheng County, Henan Province from 2017 to 2019; then, 2 to 3 classes were randomly selected from grade 4 to 6 in each primary school, and finally, all students in these classes were enrolled as study subjects. A thematic health education lecture pertaining to taeniasis and cysticercosis was given once each year by means of "health education in class". The KAP towards taeniasis and cysticercosis was investigated among primary school students using selffilled structured questionnaires, and the changes of awareness of taeniasis and cysticercosis control knowledge and percentage of healthy behaviors formation were compared in primary school students among years and following various frequencies of health education interventions. RESULTS More than 10 thousand person-time primary school students received health education interventions during the period from 2017 to 2019, and a total of 1 223 person-time primary school students were investigated during the 3-year study period, including 633 person-time men and 590 person-time women and 88.55% of primary school students at ages of 10 to 12 years. The proportion of households raising pigs and using dry toiliets decreased from 5.30% (24/453) and 18.10% (82/453) in 2017 to 3.60% (13/361) and 11.08% (40/361) in 2019, respectively. The awareness rate of taeniasis and cysticercosis control knowledge increased significantly from 0.22% (1/453) in 2017 to 62.59% (256/409) in 2018 and 76.73% (277/361) in 2019 (χ2 = 567.60, P < 0.001), and the awareness rate was 85.25% (104/122) among primary school students attending the thematic special health education courses for successive three times. The awareness rates of taeniasis and cysticercosis control knowledge were 0.44% (1/225), 58.00% (116/200) and 71.63% (149/208) among male students and 0 (0/338), 66.99% (140/209) and 83.66% (128/153) among female students from 2017 to 2019, and there was a significant difference in the awareness of taeniasis and cysticercosis control knowledge between male and female students in 2019 (χ2 = 7.14, P = 0.01). On-site teaching by doctors was the students' favorite way to receive health education interventions (70.07%, 857/1 223), followed by watching health education videos (58.63%, 717/1 223) and seeing parasite specimens (48.9%, 598/1 223). The proportion of students' families who used cutting boards for raw and cooked food separately increased from 7.28% (33/453) in 2017 to 47.37% (171/361) in 2019, was 67.21% (82/122) among students attending the health education courses for successive three times. The proportion of students who frequently washed their hands before meals and after using toilet increased from 71.96% (324/453) in 2017 to 89.47% (319/361) in 2019 and was 95.90% (117/122) among students attending the health education courses for successive three times. In addition, the percentage of students washing hands frequently in families using dry toilets was significantly lower in those who did not use dry toilets (χ2 = 9.21, P = 0.002), and the proportion of students with a habit of eating raw or undercooked meat decreased significantly from 35.76% (162/453) in 2017 to 6.65% (24/361) in 2019 (χ2 = 69.11, P < 0.01). CONCLUSIONS The thematic health education activity of "health education in class" contributes greatly to the increase in the awareness of taeniasis and cysticercosis control knowledge and the rate of healthy behaviors formation among primary school students in diseaseelimination pilot areas of Henan Province.
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Affiliation(s)
- Y Deng
- Henan Provincial Center for Disease Control and Prevention, Zhengzhou, Henan 450016, China
| | - T T Jiang
- Henan Provincial Center for Disease Control and Prevention, Zhengzhou, Henan 450016, China
| | - P H Ji
- Henan Provincial Center for Disease Control and Prevention, Zhengzhou, Henan 450016, China
| | - W Q Chen
- Henan Provincial Center for Disease Control and Prevention, Zhengzhou, Henan 450016, China
| | - Y L Zhang
- Henan Provincial Center for Disease Control and Prevention, Zhengzhou, Henan 450016, China
| | - Y Hong
- Fangcheng County Center for Disease Control and Prevention, Henan Province, China
| | - R M Zhou
- Henan Provincial Center for Disease Control and Prevention, Zhengzhou, Henan 450016, China
| | - C Y Yang
- Henan Provincial Center for Disease Control and Prevention, Zhengzhou, Henan 450016, China
| | - Y B Hu
- School of Public Health, Zhengzhou University, China
| | - X M Lin
- Henan Provincial Center for Disease Control and Prevention, Zhengzhou, Henan 450016, China
| | - D Y Zhao
- Henan Provincial Center for Disease Control and Prevention, Zhengzhou, Henan 450016, China
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Wang W, Song W, Zhou T, Wang Z, Christie P, Wu L. Soil Metal Immobilization in Agricultural Land Contaminated with Cadmium and Lead: A Case Study of Effectiveness Evaluation in Lanping, Southwest China. Bull Environ Contam Toxicol 2021; 107:1227-1235. [PMID: 34080037 DOI: 10.1007/s00128-021-03267-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Accepted: 05/15/2021] [Indexed: 06/12/2023]
Abstract
The growth of edible crops on land that is highly polluted with potentially toxic elements is prohibited in many developed countries, but the growth of fiber or energy crops may be permitted. Here, we have evaluated metal immobilization in a maize field polluted with cadmium (Cd) and lead (Pb) to determine the thresholds of soil CaCl2-extractable Cd and Pb and to assess management options designed to maximize food safety. Based on geographical and statistical methods we found that when the soil pH was increased from 5.24 to 6.24, the soil CaCl2-extractable Cd and Pb values decreased by 47.8 and 74.7%, respectively. Soil CaCl2-extractable Pb concentrations need to be < 2.14 mg kg-1 in order to comply with the Chinese maximum permissible grain Pb concentration (< 0.2 mg kg-1). Immobilization increased the percentage of samples that were below permissible levels from 77.4% to 96.2% (grain Cd) and 90.6% to 96.2% (grain Pb) during the period 2017 to 2019. To avoid excessive or inadequacy immobilization, the spatial distribution of correlation coefficients of soil pH, CaCl2-extractable or grain Cd/Pb may be helpful in the precise management of immobilization for long-term remediation.
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Affiliation(s)
- Wenyong Wang
- CAS Key Laboratory of Soil Environment and Pollution Remediation, Institute of Soil Science, Chinese Academy of Sciences, Nanjing, 210008, China
| | - Wei Song
- Jiangsu Firefly Environmental Science and Technology Co. Ltd, Nanjing, 210008, China
| | - Tong Zhou
- CAS Key Laboratory of Soil Environment and Pollution Remediation, Institute of Soil Science, Chinese Academy of Sciences, Nanjing, 210008, China
| | - Zhaoyang Wang
- CAS Key Laboratory of Soil Environment and Pollution Remediation, Institute of Soil Science, Chinese Academy of Sciences, Nanjing, 210008, China
| | - Peter Christie
- CAS Key Laboratory of Soil Environment and Pollution Remediation, Institute of Soil Science, Chinese Academy of Sciences, Nanjing, 210008, China
| | - Longhua Wu
- CAS Key Laboratory of Soil Environment and Pollution Remediation, Institute of Soil Science, Chinese Academy of Sciences, Nanjing, 210008, China.
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Zhao LY, Liu XT, Zhao ZL, Gu R, Ni XM, Deng R, Li XY, Gao MJ, Zhu WN. Effectiveness of enhanced recovery after surgery in the perioperative management of patients with bone surgery in China. World J Clin Cases 2021; 9:10151-10160. [PMID: 34904085 PMCID: PMC8638060 DOI: 10.12998/wjcc.v9.i33.10151] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/27/2021] [Revised: 09/07/2021] [Accepted: 09/29/2021] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Enhanced recovery after surgery (ERAS) was introduced in China in 2007. Over time, the scope of ERAS has expanded from abdominal surgery to orthopedics, urology and other fields. Continuous development and research has contributed to progress of ERAS in China. In 2019, to promote the application of ERAS in bone tumor surgery, we formed the “Consensus of Experts on Perioperative Management of Accelerated Rehabilitation in Major Surgery of Bone Tumors in China”.
AIM To evaluate the effect of enhanced recovery after bone tumor surgery in perioperative management in China.
METHODS One hundred and seven patients who underwent bone tumor surgery at the Second Affiliated Hospital of Xi’an Jiaotong University between May 2019 and April 2021 were randomized into a study group (53 cases) and a control group (54 cases). The study group adopted the ERAS protocol and the control group adopted conventional care. Main outcome measures included postoperative length of stay (LOS), postoperative complications, mortality, and 30-d readmission rates. Secondary outcomes included postoperative visual analog scale (VAS) score of pain, number of blood transfusions, drainage volume in 24 h after operation, patient satisfaction 30 d after discharge, VAS score at 30 d after discharge, and daily standing walking time.
RESULTS There were no significant differences in the baseline data, clinical features and surgical site between the two groups. The LOS in the study group with the ERAS protocol was 7.72 ± 3.34 d compared with 10.28 ± 4.27 d in the control group who followed conventional care. The incidence of postoperative nausea and vomiting (PONV) in the study group was 19% and 37% in the control group. The VAS scores of pain on postoperative day 1 (POD1) and POD3 in the study group were 4.79 ± 2.34 and 2.79 ± 1.53 compared with 5.28 ± 3.27 and 3.98 ± 2.27 in the control group. The drainage volume in 24 h after the operation was 124.36 ± 23.43 mL in the study group and 167.43 ± 30.87 mL in the control group. The number of blood transfusions in the study group was also lower. The patient satisfaction rate was higher in the study group than in the control group.
CONCLUSION The ERAS protocol in the perioperative period of bone tumor surgery can decrease LOS, PONV, and postoperative pain, blood transfusion and 24-h drainage, improve patient satisfaction and accelerate recovery.
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Affiliation(s)
- Li-Yan Zhao
- Department of Anesthesiology, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an 710004, Shaanxi Province, China
| | - Xiong-Tao Liu
- Department of Anesthesiology, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an 710004, Shaanxi Province, China
| | - Zhi-Li Zhao
- Department of Anesthesiology, PLA Air Force 986 Hospital, Xi'an 710054, Shaanxi Province, China
| | - Ru Gu
- Department of Anesthesiology, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an 710004, Shaanxi Province, China
| | - Xiu-Mei Ni
- Department of Anesthesiology, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an 710004, Shaanxi Province, China
| | - Rui Deng
- Department of Anesthesiology, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an 710004, Shaanxi Province, China
| | - Xiao-Ying Li
- Department of Anesthesiology, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an 710004, Shaanxi Province, China
| | - Ming-Ji Gao
- Department of Anesthesiology, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an 710004, Shaanxi Province, China
| | - Wei-Na Zhu
- Department of Anesthesiology, PLA Air Force 986 Hospital, Xi'an 710054, Shaanxi Province, China
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Kui Y, Han S, Liu BX, Tian T, Yu WJ, Yao RX, Wang X, Wu WP. [Effectiveness of a new health education pathway for echinococcosis control among primary school students in hyper-endemic regions]. Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi 2021; 33:254-261. [PMID: 34286526 DOI: 10.16250/j.32.1374.2021078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
OBJECTIVE To investigate the effectiveness of a new health education pathway for echinococcosis control among primary school students in regions highly prevalent for echinococcosis in China. METHODS Six primary schools were randomly selected from echinococcosis hyper-endemic regions, with 13 classes assigned to the intervention group and 9 to the control group, and all students in these 21 classes were recruited as the study subjects. Echinococcosis health education was performed through the pathway of assessing the current status-strengthening the building of teaching resources-focusing on practices in the intervention group, while routine health education was given in the control group. A questionnaire survey was performed to assess the score of echinococcosis control knowledge (including theoretical knowledge score and mean daily practical capability score) before and after the health education interventions to evaluate the effectiveness of this new health education pathway for echinococcosis control. RESULTS The mean score of echinococcosis control knowledge was 68.86 ± 18.70 points at baseline, with the mean theoretical knowledge score of 40.97 ± 10.75 points, and the mean daily practical capability score of 27.89 ± 12.50 points. Clustering analysis showed three types of populations, including "unsatisfactory", "learn and apply creatively", and "rote learning", which accounted for 24.62% (240/975), 45.74% (446/975) and 29.64% (289/975), respectively. The mean score of echinococcosis control knowledge was 81.08 ± 18.15 points in the intervention group during the final assessment, with the mean theoretical knowledge score of 43.65 ± 9.40 points, and the mean daily practical capability score of 37.43 ± 12.22 points, and both were significantly higher relative to baseline (t = -4.201 and -15.202, both P values < 0.01). The mean score of echinococcosis control knowledge was comparable between at baseline (70.55 ± 19.46 points) and final assessment (71.74 ± 19.37 points) in the control group (t = -0.87, P > 0.05). CONCLUSIONS The awareness of echinococcosis control knowledge is fair among primary school students in echinococcosis hyper-endemic regions; however, the capability of combining theoretical learning and practices requires to be improved. The health education mode based on the pathway of assessing the current status-strengthening the building of teaching resources-focusing on practices seems to remarkably improve the understanding of echinococcosis control knowledge among primary school students in echinococcosis hyper-endemic regions.
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Affiliation(s)
- Y Kui
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases, National Center for International Research on Tropical Diseases, Shanghai 200025, China
| | - S Han
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases, National Center for International Research on Tropical Diseases, Shanghai 200025, China
| | - B X Liu
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases, National Center for International Research on Tropical Diseases, Shanghai 200025, China
| | - T Tian
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases, National Center for International Research on Tropical Diseases, Shanghai 200025, China
| | - W J Yu
- Sichuan Provincial Center for Disease Control and Prevention, China
| | - R X Yao
- Sichuan Provincial Center for Disease Control and Prevention, China
| | - X Wang
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases, National Center for International Research on Tropical Diseases, Shanghai 200025, China
| | - W P Wu
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases, National Center for International Research on Tropical Diseases, Shanghai 200025, China
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15
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Fan X, Gu Y, Guan B. The effect of dispatch of national medical teams to Wuhan on its control and prevention of COVID-19. Public Health 2021; 198:1-5. [PMID: 34325232 PMCID: PMC8078900 DOI: 10.1016/j.puhe.2021.04.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2020] [Revised: 03/17/2021] [Accepted: 04/20/2021] [Indexed: 11/25/2022]
Abstract
Objectives As a unique prevention and control measure, the dispatch of national medical teams to Wuhan has played a key role in protecting Wuhan against COVID-19. This study aimed to quantitatively evaluate the effect of this key measure in reducing infections and fatalities. Study design A scenario analysis is used in this study, where the forming of scenarios is on the basis of the stages of medical to Wuhan. We divided the evaluation into 4 scenarios: Scenario Ⅰ—no dispatch, Scenario Ⅱ—dispatch of 4599 medical staff, Scenario Ⅲ—dispatch of 16,000 staff, and Scenario Ⅳ—dispatch of 32,000 staff. Methods The extended Susceptible-Exposed-Infectious-Recovered-Death model was adopted to quantify the effect of the dispatch of national medical teams to Wuhan on COVID-19 prevention and control. Results The dispatch dramatically cuts the channels for the transmission of the virus and succeeds in raising the cure rates while reducing the fatality rates. If there were no dispatch at all, a cumulative total of 158,881 confirmed cases, 18,700 fatalities and a fatality rate of 11.77% would have occurred in Wuhan, which are 3.2 times, 4.8 times and 1.5 times the real figures respectively. The dispatch has avoided 108,541 confirmed cases and 14,831 fatalities in this city. Conclusions The proven successful measure provides valuable experience and enlightenment to international cooperation on prevention and control of COVID-19, as well as a similar outbreak of new emerging infectious diseases.
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Affiliation(s)
- X Fan
- Institute of Social Development, Chinese Academy of Macroeconomic Research, Beijing, 100038, China.
| | - Y Gu
- Institute of Social Development, Chinese Academy of Macroeconomic Research, Beijing, 100038, China
| | - B Guan
- Institute of Social Development, Chinese Academy of Macroeconomic Research, Beijing, 100038, China
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Wu XL, Duan HJ, Qi RT, Yan F, Fu YR, Ma TB. [Evaluation of the effect of the integrated echinococcosis control program in Ningxia Hui Autonomous Region from 2011 to 2018]. Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi 2020; 32:598-604. [PMID: 33325194 DOI: 10.16250/j.32.1374.2020227] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
OBJECTIVE To evaluate the effect of the integrated echinococcosis control program in Ningxia Hui Autonomous Region from 2011 to 2018. METHODS A package of integrated interventions were employed for echinococcosis control in 22 counties (districts) of Ningxia Hui Autonomous Region from 2011 to 2018, including screening of human echinococcosis, treatment of echinococcosis patients, deworming of domestic dogs and monitoring of infections, surveillance of echinococcosis in bovines and sheep, health education. The detection of human echinococcosis, seroprevalence of anti-Echinococcus antibody in children at ages of 6 to 12 years, the Echinococcus coproantigen-positive rate in domestic dogs, prevalence of echinococcosis in bovines and sheep, and the awareness of echinococcosis control knowledge were investigated and compared during the period between 2011 and 2018. RESULTS The detection of human echinococcosis appeared a decline tendency in Ningxia Hui Autonomous Region over years during the period from 2011 to 2018 (χ2trend = 82.22, P < 0.05), and the prevalence of human echinococcosis decreased from 0.31% in 2011 to 0.15% in 2018. The seroprevalence of anti-Echinococcus antibody appeared a decline tendency in children at ages of 6 to 12 years over years (χ2trend = 439.64, P < 0.01), and the prevalence of anti-Echinococcus antibody decreased from 6.12% in 2011 to 0.67% in 2018. The Echinococcus coproantigen-positive rate appeared a decline tendency in domestic dogs over years (χ2trend = 260.33, P < 0.05), and the prevalence of anti-Echinococcus antibody decreased from 7.11% in 2011 to 0.75% in 2018. The prevalence of bovine and sheep echinococcosis reduced from 3.26% and 5.08% in 2011 to 1.35% and 0.76% in 2018, and Echinococcus predominantly parasitized in bovine (92.00%) and sheep (93.94%) livers. A total of 63 stool samples were collected from red fox, wolf and badger in Xiji and Haiyuan counties of Ningxia Hui Autonomous Region in 2013 and 2014, with no Echinococcus coproantigen-positives detected, and 107 domestic cats and 3 domestic dogs were dissected in these two counties, with no Echinococcus found. A total of 6 046 wild mice were dissected in Xiji County, Yuanzhou District and Haiyuan County of Ningxia Hui Autonomous Region from 2016 to 2019, and the prevalence of E. multilocularis was 0.31%. The awareness of echinococcosis control knowledge appeared an increasing tendency in Ningxia Hui Autonomous Region over years from 2011 to 2018 (χ2trend = 3 367.97, P < 0.01), and the awareness increased from 21.83% in 2011 to 72.24% in 2018. CONCLUSIONS The integrated echinococcosis control program achieves a remarkable effect in Ningxia Hui Autonomous Region, and the transmission of echinococcosis has been preliminarily controlled. However, the echinococcosis transmission risk remains in few regions, and the integrated echinococcosis control program remains to be reinforced.
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Affiliation(s)
- X L Wu
- Ningxia Hui Autonomous Region Center for Disease Control and Prevention, Yinchuan 750004, China
| | - H J Duan
- Ningxia Hui Autonomous Region Center for Disease Control and Prevention, Yinchuan 750004, China
| | - R T Qi
- Ningxia Hui Autonomous Region Center for Disease Control and Prevention, Yinchuan 750004, China
| | - F Yan
- Ningxia Hui Autonomous Region Center for Disease Control and Prevention, Yinchuan 750004, China
| | - Y R Fu
- Ningxia Hui Autonomous Region Center for Disease Control and Prevention, Yinchuan 750004, China
| | - T B Ma
- Ningxia Hui Autonomous Region Center for Disease Control and Prevention, Yinchuan 750004, China
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Dai QF, Gao JH, Liu L, Fu YB, Li ZJ, Zhao LP, Yu XC, Li B. [Application of shear wave elastography in acupuncture research]. Zhen Ci Yan Jiu 2020; 45:1019-22. [PMID: 33415864 DOI: 10.13702/j.1000-0607.200194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
In recent years, a new technique of elastic quantization imaging, the ultrasound-based shear wave elastography (SWE) is arising, which has advantages of real-time, non-invasion, rapid imaging and strong repeatability, and quantifying the elastic properties of soft tissues including thyroid gland, breast, prostate, muscle tendon, ligament, etc.. It has been gradually applied to clinical and experimental researches of acupuncture and has an extensive application prospect. The present paper briefly introduces the application of SWE in accurately locating the acupoint, Deqi from needled acupoints, acupuncture manipulations, and evaluation of efficacy of acupuncture in the treatment of musculofascial diseases.
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Affiliation(s)
- Qiu-Fu Dai
- Centre of Acupuncture and Moxibustion, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing Key Laboratory of Acupuncture Neuromodulation, Beijing 100010, China
| | - Jun-Hong Gao
- Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700
| | - Lu Liu
- Centre of Acupuncture and Moxibustion, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing Key Laboratory of Acupuncture Neuromodulation, Beijing 100010, China
| | - Yuan-Bo Fu
- Centre of Acupuncture and Moxibustion, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing Key Laboratory of Acupuncture Neuromodulation, Beijing 100010, China
| | - Zhi-Juan Li
- Clinical Medical School, Beijing University of Chinese Medicine, Beijing 100029
| | - Luo-Peng Zhao
- Centre of Acupuncture and Moxibustion, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing Key Laboratory of Acupuncture Neuromodulation, Beijing 100010, China
| | - Xiao-Chun Yu
- Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700
| | - Bin Li
- Centre of Acupuncture and Moxibustion, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing Key Laboratory of Acupuncture Neuromodulation, Beijing 100010, China
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Wang J, Song Y. Effect of water pollution control on provincial boundaries of River-Director System: based on the study of the Yangtze River valley in China. Environ Sci Pollut Res Int 2020; 27:35217-35227. [PMID: 32592055 DOI: 10.1007/s11356-020-09684-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/12/2020] [Accepted: 06/10/2020] [Indexed: 06/11/2023]
Abstract
We analyze the driving mechanism of the River-Director System reform in the article. Using the ordered probit model, the effect of the River-Director System policy was evaluated by observing the monthly water quality data of 170 water areas along the boundary of the Yangtze River system. It determines that the driving force of the local government's basin governance under the river system is mainly the top-down policy directives and that the driving path is effective synergy, rights, and diffusion in the article. We find that the upstream provinces and municipalities that implemented reforms have significantly improved the water quality of the waters in the border basin, compared with the provinces and cities that have not implemented the reform of the river system and the river basins that have implemented policy reforms but are located in the lower reaches of the rivers. At the same time, the city's reforms have significantly improved the quality of the junction basin water body. The implementation of the River-Director System has reduced the occurrences of local pollution emission and improved the water quality of the provincial boundaries through sewage treatment. We further validate the robustness of the basic conclusions by deleting special samples and changing the window type and other robust tests. Finally, through monthly examinations on the implementation of the policy, it finds that the effectiveness of the policy reform became more apparent in the eleventh month.
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Affiliation(s)
- Juan Wang
- School of Management, Wuhan Institute of Technology, Wuhan, 430073, China.
| | - Yifei Song
- School of Management, Wuhan Institute of Technology, Wuhan, 430073, China
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19
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Chen Y, Cheng J, Xu Z, Hu W, Lu J. Live poultry market closure and avian influenza A (H7N9) infection in cities of China, 2013-2017: an ecological study. BMC Infect Dis 2020; 20:369. [PMID: 32448137 PMCID: PMC7245998 DOI: 10.1186/s12879-020-05091-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2020] [Accepted: 05/13/2020] [Indexed: 01/24/2023] Open
Abstract
Background Previous studies have proven that the closure of live poultry markets (LPMs) was an effective intervention to reduce human risk of avian influenza A (H7N9) infection, but evidence is limited on the impact of scale and duration of LPMs closure on the transmission of H7N9. Method Five cities (i.e., Shanghai, Suzhou, Shenzhen, Guangzhou and Hangzhou) with the largest number of H7N9 cases in mainland China from 2013 to 2017 were selected in this study. Data on laboratory-confirmed H7N9 human cases in those five cities were obtained from the Chinese National Influenza Centre. The detailed information of LPMs closure (i.e., area and duration) was obtained from the Ministry of Agriculture. We used a generalized linear model with a Poisson link to estimate the effect of LPMs closure, reported as relative risk reduction (RRR). We used classification and regression trees (CARTs) model to select and quantify the dominant factor of H7N9 infection. Results All five cities implemented the LPMs closure, and the risk of H7N9 infection decreased significantly after LPMs closure with RRR ranging from 0.80 to 0.93. Respectively, a long-term LPMs closure for 10–13 weeks elicited a sustained and highly significant risk reduction of H7N9 infection (RRR = 0.98). Short-time LPMs closure with 2 weeks in every epidemic did not reduce the risk of H7N9 infection (p > 0.05). Partially closed LPMs in some suburbs contributed only 35% for reduction rate (RRR = 0.35). Shenzhen implemented partial closure for first 3 epidemics (p > 0.05) and all closure in the latest 2 epidemic waves (RRR = 0.64). Conclusion Our findings suggest that LPMs all closure in whole city can be a highly effective measure comparing with partial closure (i.e. only urban closure, suburb and rural remain open). Extend the duration of closure and consider permanently closing the LPMs will help improve the control effect. The effect of LPMs closure seems greater than that of meteorology on H7N9 transmission.
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Affiliation(s)
- Ying Chen
- School of Public Health, Key Laboratory of Tropical Diseases Control of Ministry of Education, One Health Center of Excellence for Research &Training, Sun Yat-sen University, Guangzhou, China.,School of Public Health and Social Work, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia
| | - Jian Cheng
- School of Public Health and Social Work, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia
| | - Zhiwei Xu
- School of Public Health and Social Work, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia
| | - Wenbiao Hu
- School of Public Health and Social Work, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia
| | - Jiahai Lu
- School of Public Health, Key Laboratory of Tropical Diseases Control of Ministry of Education, One Health Center of Excellence for Research &Training, Sun Yat-sen University, Guangzhou, China.
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20
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Choi JW, Kim SJ, Park HK, Jang SI, Kim TH, Park EC. Effects of a mandatory DRG payment system in South Korea: Analysis of multi-year nationwide hospital claims data. BMC Health Serv Res 2019; 19:776. [PMID: 31666066 PMCID: PMC6822472 DOI: 10.1186/s12913-019-4650-8] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2018] [Accepted: 10/16/2019] [Indexed: 11/17/2022] Open
Abstract
Background In 2002, a voluntary diagnosis-related groups (DRGs) payment system was introduced in South Korea for seven disease groups, and participation in the DRGs was mandated for all hospitals beginning in 2013. The primary aim of this study was to compare results reflective of patient care between voluntary participation hospitals (VPHs) and mandatory participation hospitals (MPHs) governed by either the DRGs or fee-for-service (FFS) payment system. Methods We collected DRGs and FFS inpatient records (n=3,038,006) from the Health Insurance Review and Assessment for the period of July 2011 to July 2014 and compared length-of-stay, total medical costs, shifting services to an outpatient setting, and readmission rates according to payment system, time of DRGs implementation, and hospital type. We analyzed the effects of mandatory introduction in DRGs payment system on results for patient care and used generalized estimating equations with difference-in-difference methodology. Results Most notably, patients at MPHs had significantly shorter LOS and lower readmission rates than VPH patients after mandatory introduction of the DRGs. Shifting services to an outpatient setting was similar between the groups. Conclusions Our findings suggest that the DRGs payment policy in Korea has decreased LOS and readmission rates. These findings support the continued implementation and enlargement of the DRGs payment system for other diseases in South Korea, given its potential for curbing unnecessary resource usage encouraged by FFS. If the Korean government deliberates on expansion of the DRGs to include other diseases with higher rates of complications, policymakers need to monitor deterioration of health care quality caused by fixed pricing.
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Affiliation(s)
- Jae Woo Choi
- College of Pharmacy, Yonsei Institute of Pharmaceutical Sciences, Yonsei University, Incheon, Korea.,Institute of Health Services Research, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, Korea
| | - Seung-Ju Kim
- Institute of Health Services Research, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, Korea.,Department of Nursing, College of Nursing, Eulji University, Seongnam, South Korea
| | - Hye-Ki Park
- Institute of Health Services Research, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, Korea.,Department of International Cooperation, Health Insurance Review & Assessment Service, Wonju, Korea
| | - Sung-In Jang
- Institute of Health Services Research, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, Korea.,Department of Preventive Medicine, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, Korea
| | - Tae Hyun Kim
- Institute of Health Services Research, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, Korea.,Department of Hospital Administration, Graduate School of Public Health, Yonsei University, Seoul, Korea
| | - Eun-Cheol Park
- Institute of Health Services Research, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, Korea. .,Department of Preventive Medicine, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, Korea. .,Department of Hospital Administration, Graduate School of Public Health, Yonsei University, Seoul, Korea.
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21
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Juan Z, Ying X, Shun-Xiang C, Jian-Bing L. [Final evaluation of health education on prevention and control of schistosomiasis in Hubei Province from 2004 to 2015]. Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi 2019; 31:171-174. [PMID: 31184050 DOI: 10.16250/j.32.1374.2018145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
OBJECTIVE To evaluate the health education effect of schistosomiasis in Hubei Province after implementing of the Outline of National Mid-Long-Term Plan for Schistosomiasis Prevention and Control (2004-2015). METHODS Based on questionnaires and datum review, the data of health education for integrated prevention and control of schistosomiasis in Hubei Province from 2004 to 2015 were collected to evaluate the effect of health education. RESULTS A total of 16 662 499 schistosomiasis health education publicity materials were distributed, 28 712 times of media propaganda were conducted, 174 506 warning signs were established, 185 985 promotional slogans were issued, 1 212 810 pieces of personal protective equipment were distributed, 9 248 village officer training courses were organized, and 5 569 school teacher training courses in primary and secondary schools were conducted in 63 counties (cities, districts) of 13 cities in Hubei Province from 2004 to 2015. A total of 4 815 people were surveyed in 3 counties in 2015. The awareness rate of schistosomiasis control knowledge was 91.62%, and the correct rates of beliefs and attitudes were 89.54% and 96.91% respectively. The overall rate of correct behavior of the population was 91.91%. The related indicators, such as schistosomiasis infection rate, acute infection cases, and others, declined year by year over the same period. CONCLUSIONS The schistosomiasis health education in Hubei Province has obvious effects on enhancing the knowledge and attitudes of schistosomiasis control in populations and promoting the formation of correct schistosomiasis control behavior among residents. It has played an active role and is an important mean in comprehensive prevention and control of schistosomiasis.
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Affiliation(s)
- Zhang Juan
- Hubei Provincial Center for Disease Control and Prevention, Wuhan 430079, China
| | - Xiao Ying
- Hubei Provincial Center for Disease Control and Prevention, Wuhan 430079, China
| | - Cai Shun-Xiang
- Hubei Provincial Center for Disease Control and Prevention, Wuhan 430079, China
| | - Liu Jian-Bing
- Hubei Provincial Center for Disease Control and Prevention, Wuhan 430079, China
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22
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Shen Y, Wang X, Wang ZW, Chen Z, Zhu ML, Chang C, Gao RL. [Effect of comprehensive intervention on hypertension control program in workplaces in China]. Zhonghua Liu Xing Bing Xue Za Zhi 2019; 40:212-217. [PMID: 30744275 DOI: 10.3760/cma.j.issn.0254-6450.2019.02.017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To evaluate the effect of comprehensive intervention program on hypertension control in workplaces in China. Methods: The study design was a non-randomized controlled trial. First, 20 sub-centers were selected across China, then hypertension patients in 2-4 workplaces were selected as the intervention group, and hypertension patients in 1 comparable workplace selected, as the control group in each sub-center. The comprehensive intervention strategy which integrating workplace primary prevention of cardiovascular diseases and standardized management of hypertension was adopted in the intervention group for at least 2 years. Patients in the control group continued their usual health care, and only baseline data and 2-year data was collected. Analyses were conducted for hypertension patients in 30 stated-owned enterprises (SOEs), including 20 for the intervention group and 10 for the control group. The primary outcome was the control rate ofhypertension while the intervention effect (IE) was estimated by using the formula: differential value of intervention group[rate (mean)]-differential value of control group[rate (mean)]. Results: Overall, 2 622 patients completed the 2-year follow-up, of which 2 055 were in the intervention group and 567 in the control group, respectively. After 2 years of intervention, the IE on the level of SBP and DBP for intervention group and control group were-7.5 and-3.9 mmHg, respectively (P<0.05). BMI decreased by 0.4 kg/m(2), with the regular exercise rate as 36.4% and alcohol consumption rate decreased by 14.0%, respectively (P<0.05). The smoking rate decreased by 6.1% (P>0.05). The overall hypertension control rate was 25.0%, and further subgroup analysis showed that our intervention program was particularly effective for those with high education level (27.6%), white-collar employees (41.9%), and those from SOEs whose affiliated hospital had been separated away (41.9%). Conclusion: The comprehensive intervention program could greatly improve the hypertension control in the workplaces in China.
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Affiliation(s)
- Y Shen
- Department of Social Medicine and Health Education, School of Public Health, Peking University, Beijing 100191, China
| | - X Wang
- Division of Prevention and Community Health, National Center for Cardiovascular Disease, Fuwai Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 102308, China
| | - Z W Wang
- Division of Prevention and Community Health, National Center for Cardiovascular Disease, Fuwai Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 102308, China
| | - Z Chen
- Division of Prevention and Community Health, National Center for Cardiovascular Disease, Fuwai Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 102308, China
| | - M L Zhu
- Division of Prevention and Community Health, National Center for Cardiovascular Disease, Fuwai Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 102308, China
| | - C Chang
- Department of Social Medicine and Health Education, School of Public Health, Peking University, Beijing 100191, China
| | - R L Gao
- Department of Cardiology, Fuwai Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100037, China
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23
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Liang S, Jian-Feng Z, Yi-Xin H, De-Rong H, Jie M, Jun G, Chao-Yong X, Lian-Heng Z, Lin W, Yin-Ping Z, Jing Z, Xuan Z, Yi-Qing X, Bo-Chao S, Gui-Sheng D, Jian-Feng C, Dao-Kuan S, Wei L, Kun Y. [Evaluation of implementation effect of schistosomiasis control program in Jiangsu Province from 2010 to 2015]. Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi 2019; 30:615-618. [PMID: 30891970 DOI: 10.16250/j.32.1374.2018209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
OBJECTIVE To evaluate the actual effect of the schistosomiasis control program in Jiangsu Province from 2010 to 2015. METHODS A total of 67 schistosomiasis-endemic counties in 10 cities were selected, and a combination of retrospective investigation and on-site investigation was adopted to collect and record the epidemic data of the counties from 2010 to 2015, and a retrospective survey database of epidemic situation was established. The effects of integrated control strategies with both Oncomelania hupensis snail control and infection source control were evaluated. RESULTS From 2010 to 2015, 2 465 911 persons who lived in endemic areas were detected for schistosomiasis, with 16 974 positive cases of blood examinations, and 8 positive cases of fecal examinations. Totally 5 145 people with advanced schistosomiasis were treated and 40 460 people with the history of schistosome cercarial-infested water contact received the expanded chemotherapy. A total of 127 636 cattle raised in the endemic areas were detected, and 51 619 cattle (head-times) with the history of cercarial-infested water contact also received the expanded chemotherapy. The area with snails control by molluscicides was 18 604.84 hm2. By the end of 2015, schistosomeinfected snails had not been found and there was no zoological schistosome infection for 5 consecutive years, and in addition, there had been no acute schistosome-infected persons for 6 consecutive years in the whole province. The area with snails dropped to 1 977.18 hm2, with a decreasing rate of 55.24% compared with that in 2010. CONCLUSIONS After the implementation of the plan for the prevention and control of schistosomiasis in Jiangsu Province (2010-2015), the prevention and control of schistosomiasis has achieved remarkable effects and realized the goal of the plan.
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Affiliation(s)
- Shi Liang
- Key Laboratory of National Health Commission on Parasitic Disease Control and Prevention, Jiangsu Provincial Key Laboratory on Parasite and Vector Control Technology, Jiangsu Institute of Parasitic Diseases, Public Health Research Center at Jiangnan University, Wuxi 214064, China
| | - Zhang Jian-Feng
- Key Laboratory of National Health Commission on Parasitic Disease Control and Prevention, Jiangsu Provincial Key Laboratory on Parasite and Vector Control Technology, Jiangsu Institute of Parasitic Diseases, Public Health Research Center at Jiangnan University, Wuxi 214064, China
| | - Huang Yi-Xin
- Key Laboratory of National Health Commission on Parasitic Disease Control and Prevention, Jiangsu Provincial Key Laboratory on Parasite and Vector Control Technology, Jiangsu Institute of Parasitic Diseases, Public Health Research Center at Jiangnan University, Wuxi 214064, China
| | - Hang De-Rong
- Key Laboratory of National Health Commission on Parasitic Disease Control and Prevention, Jiangsu Provincial Key Laboratory on Parasite and Vector Control Technology, Jiangsu Institute of Parasitic Diseases, Public Health Research Center at Jiangnan University, Wuxi 214064, China
| | - Min Jie
- Jiangsu Provincial Office of Leading Group for Schistosomiasis and Other Endemic Diseases Control, China
| | - Ge Jun
- Jiangsu Provincial Office of Leading Group for Schistosomiasis and Other Endemic Diseases Control, China
| | - Xie Chao-Yong
- Nanjing Municipal Center for Disease Control and Prevention, Jiangsu Province, China
| | - Zhang Lian-Heng
- Zhenjiang Municipal Center for Disease Control and Prevention, Jiangsu Province, China
| | - Wang Lin
- Zhenjiang Municipal Center for Disease Control and Prevention, Jiangsu Province, China
| | - Zuo Yin-Ping
- Yangzhou Municipal Center for Disease Control and Prevention,Jiangsu Province, China
| | - Zhou Jing
- Suzhou Municipal Center for Disease Control and Prevention, Jiangsu Province, China
| | - Zhang Xuan
- Wuxi Municipal Center for Disease Control and Prevention, Jiangsu Province, China
| | - Xie Yi-Qing
- Changzhou Municipal Center for Disease Control and Prevention, Jiangsu Province, China
| | - Sun Bo-Chao
- Yancheng Municipal Center for Disease Control and Prevention, Jiangsu Province, China
| | - Ding Gui-Sheng
- Nantong Municipal Center for Disease Control and Prevention, Jiangsu Province, China
| | - Chen Jian-Feng
- Taizhou Municipal Center for Disease Control and Prevention, Jiangsu Province, China
| | - Sun Dao-Kuan
- Jinhu County Schistosomiasis Control Station, Huai'an, Jiangsu Province, China
| | - Li Wei
- Key Laboratory of National Health Commission on Parasitic Disease Control and Prevention, Jiangsu Provincial Key Laboratory on Parasite and Vector Control Technology, Jiangsu Institute of Parasitic Diseases, Public Health Research Center at Jiangnan University, Wuxi 214064, China
| | - Yang Kun
- Key Laboratory of National Health Commission on Parasitic Disease Control and Prevention, Jiangsu Provincial Key Laboratory on Parasite and Vector Control Technology, Jiangsu Institute of Parasitic Diseases, Public Health Research Center at Jiangnan University, Wuxi 214064, China
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Vluggen S, Hoving C, Schaper NC, de Vries H. A web-based program to improve treatment adherence in patients with type 2 diabetes: Development and study protocol. Contemp Clin Trials 2018; 74:38-45. [PMID: 30290275 DOI: 10.1016/j.cct.2018.10.002] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2018] [Revised: 09/28/2018] [Accepted: 10/01/2018] [Indexed: 11/23/2022]
Abstract
BACKGROUND Many patients with type 2 diabetes mellitus (T2DM) sub-optimally adhere to core treatment recommendations, such as healthy diets, sufficient physical activity and pharmacological support. This paper describes the development of the web-based computer-tailored program My Diabetes Profile (MDP), incorporating identified success factors of web-based interventions, and the protocol for testing the effectiveness of this program in a randomized multicentre trial. METHODS Formative research - including the input of a program committee, qualitative and quantitative studies with patients and health professionals and a literature search - yielded input for the development of the MDP program. MDP provides video and text tailored advice, based on determinants and salient beliefs derived from the I-Change Model, on decreasing unhealthy snack intake, increasing physical activity, and improving adherence to both oral blood glucose lowering drugs and self-administered insulin therapy. Patients with T2DM recruited by practice nurses and diabetes nurses across the Netherlands fill in online questionnaires at baseline and six-months follow-up. Participants are randomized on patient level to the intervention group (access to the MDP program) or control group (receiving care as usual). DISCUSSION The formative research using co-creation principles proved essential in the development of the MDP program and involved various disciplines in T2DM management including target group representatives. Co-creation revealed clearly that patients needed short and attractive messages. Consequently, a mix of video and short text messages were chosen for the ultimate program format. Pilot testing was useful to further shape the program to needs of patients and professionals. TRIAL REGISTRATION Dutch Trial Register NTR6840; Archived program website: http://www.webcitation.org/6xXz01S7X.
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Affiliation(s)
- S Vluggen
- Department of Health Promotion, School CAPHRI, Maastricht University, Maastricht, the Netherlands.
| | - C Hoving
- Department of Health Promotion, School CAPHRI, Maastricht University, Maastricht, the Netherlands.
| | - N C Schaper
- Department of Endocrinology and Internal Medicine, School CAPHRI, Maastricht University Medical Centre (MUMC+), Maastricht, the Netherlands.
| | - H de Vries
- Department of Health Promotion, School CAPHRI, Maastricht University, Maastricht, the Netherlands.
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Ying X, Juan Z, Yan-Yan C, Xiao-Rong Z, Li T, Hui H, Jian-Bing L, Hong Z, Shun-Xiang C. [Evaluation of transmission control of schistosomiasis in 19 counties (cities, districts) of Hubei Province in 2013]. Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi 2018; 28:513-518. [PMID: 29469482 DOI: 10.16250/j.32.1374.2016069] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
OBJECTIVE To evaluate the schistosomiasis transmission control in 19 counties (cities, districts) of Hubei Province in 2013. METHODS The epidemic villages from different counties were randomly sampled by the cluster sampling method as the evaluation villages. The schistosome infection status of human and livestock, the Oncomelania hupensis snail status, the documents and data of schistosomiasis control, acute infection control and health education were investigated in the field. RESULTS The serum examination of schistosome infection was performed to 29 631 residents, and 2 068 were positive, with a positive rate of 6.98% (0.78% -16.47%). The stool examination was performed to 2 021 sero-positive persons, and 47 cases were stool-positive, with an infection rate of 0.16% (0 - 0.82%). The cattle was the main domestic animals in 19 counties (cities, districts), and the measures of replacing cattle with machine for cultivation were done in 17 counties (cities, districts). Totally 105 cattle in Caidian District and Huangpi District received stool examinations and no positives were detected. A total of 1 579.37 hm2 and 31 829 frames in 154 environments were surveyed, and 4 857 snails were collected. Of the 1 935 living snails dissected, no infected snails were detected. The files regarding the schistosomiasis morbidity and snail status have been established in 19 counties (cities, districts) since 2009. CONCLUSIONS The transmission of schistosomiasis in 19 counties (cities, districts) of Hubei Province has reached the standard of transmission controlled.
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Affiliation(s)
- Xiao Ying
- Hubei Provincial Institute of Schistosomiasis Control, Hubei Provincial Center for Disease Control and Prevention, Wuhan 430079, China
| | - Zhang Juan
- Hubei Provincial Institute of Schistosomiasis Control, Hubei Provincial Center for Disease Control and Prevention, Wuhan 430079, China
| | - Chen Yan-Yan
- Hubei Provincial Institute of Schistosomiasis Control, Hubei Provincial Center for Disease Control and Prevention, Wuhan 430079, China
| | - Zhou Xiao-Rong
- Hubei Provincial Institute of Schistosomiasis Control, Hubei Provincial Center for Disease Control and Prevention, Wuhan 430079, China
| | - Tang Li
- Hubei Provincial Institute of Schistosomiasis Control, Hubei Provincial Center for Disease Control and Prevention, Wuhan 430079, China
| | - He Hui
- Hubei Provincial Institute of Schistosomiasis Control, Hubei Provincial Center for Disease Control and Prevention, Wuhan 430079, China
| | - Liu Jian-Bing
- Hubei Provincial Institute of Schistosomiasis Control, Hubei Provincial Center for Disease Control and Prevention, Wuhan 430079, China
| | - Zhu Hong
- Hubei Provincial Institute of Schistosomiasis Control, Hubei Provincial Center for Disease Control and Prevention, Wuhan 430079, China
| | - Cai Shun-Xiang
- Hubei Provincial Institute of Schistosomiasis Control, Hubei Provincial Center for Disease Control and Prevention, Wuhan 430079, China
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De Craemer M, Verloigne M, De Bourdeaudhuij I, Androutsos O, Iotova V, Moreno L, Koletzko B, Socha P, Manios Y, Cardon G. Effect and process evaluation of a kindergarten-based, family-involved cluster randomised controlled trial in six European countries on four- to six-year-old children's steps per day: the ToyBox-study. Int J Behav Nutr Phys Act 2017; 14:116. [PMID: 28851434 PMCID: PMC5576230 DOI: 10.1186/s12966-017-0574-z] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2016] [Accepted: 08/20/2017] [Indexed: 01/22/2023] Open
Abstract
BACKGROUND The ToyBox-intervention is a theory- and evidence-based intervention delivered in kindergartens to improve four- to six-year-old children's energy balance-related behaviours and prevent obesity. The current study aimed to (1) examine the effect of the ToyBox-intervention on increasing European four- to six-year-old children' steps per day, and (2) examine if a higher process evaluation score from teachers and parents was related to a more favourable effect on steps per day. METHODS A sample of 2438 four- to six-year-old children (51.9% boys, mean age 4.75 ± 0.43 years) from 6 European countries (Belgium, Bulgaria, Germany, Greece, Poland and Spain) wore a motion sensor (pedometer or accelerometer) for a minimum of two weekdays and one weekend day both at baseline and follow-up to objectively measure their steps per day. Kindergarten teachers implemented the physical activity component of the ToyBox-intervention for 6 weeks in total, with a focus on (1) environmental changes in the classroom, (2) the child performing the actual behaviour and (3) classroom activities. Children's parents received newsletters, tip cards and posters. To assess intervention effects, multilevel repeated measures analyses were conducted for the total sample and the six intervention countries separately. In addition, process evaluation questionnaires were used to calculate a total process evaluation score (with implementation and satisfaction as a part of the overall score) for teachers and parents which was then linked with the physical activity outcomes. RESULTS No significant intervention effects on four- to six-year-old children' steps per weekday, steps per weekend day and steps per average day were found, both in the total sample and in the country-specific samples (all p > 0.05). In general, the intervention effects on steps per day were least favourable in four- to six-year-old children with a low teachers process evaluation score and most favourable in four- to six-year-old children with a high teachers process evaluation score. No differences in intervention effects were found for a low, medium or high parents' process evaluation score. CONCLUSION The physical activity component of the ToyBox-intervention had no overall effect on four- to six-year-old children' steps per day. However, the process evaluation scores showed that kindergarten teachers that implemented the physical activity component of the ToyBox-intervention as planned and were satisfied with the physical activity component led to favourable effects on children's steps per day. Strategies to motivate, actively involve and engage the kindergarten teachers and parents/caregivers are needed to induce larger effects.
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Affiliation(s)
- Marieke De Craemer
- Department of Movement and Sport Sciences, Ghent University, Watersportlaan 2, 9000 Ghent, Belgium
| | - Maïté Verloigne
- Department of Movement and Sport Sciences, Ghent University, Watersportlaan 2, 9000 Ghent, Belgium
- Research Foundation Flanders, Brussels, Belgium
| | - Ilse De Bourdeaudhuij
- Department of Movement and Sport Sciences, Ghent University, Watersportlaan 2, 9000 Ghent, Belgium
| | - Odysseas Androutsos
- Department of Nutrition and Dietetics, Harokopio University, School of Health Science & Education, E. Venizelou 70, 17671 Athens, Greece
| | - Violeta Iotova
- Medical University Varna, Clinic of Paediatric Endocrinology, UMHAT “St. Marina”, “Hr. Smirnenski” Blvd, Varna, Bulgaria
| | - Luis Moreno
- University of Zaragoza, GENUD (Growth, Exercise, Drinking behaviour and Development), C/Corona de Aragón 42, 50009 Zaragoza, Spain
| | - Berthold Koletzko
- University of Munich Medical Centre, Dr. von Hauner Children’s Hospital, Lindwurmstr.4, 80337 Munich, Germany
| | - Piotr Socha
- Children’s Memorial Institute, Al. Dzieci Polskich 20, 04–730 Warsaw, Poland
| | - Yannis Manios
- Department of Nutrition and Dietetics, Harokopio University, School of Health Science & Education, E. Venizelou 70, 17671 Athens, Greece
| | - Greet Cardon
- Department of Movement and Sport Sciences, Ghent University, Watersportlaan 2, 9000 Ghent, Belgium
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Zhu Y, Feng X, Li H, Huang Y, Chen J, Xu G. A randomized controlled trial to evaluate the impact of a geo-specific poster compared to a general poster for effecting change in perceived threat and intention to avoid drowning 'hotspots' among children of migrant workers: evidence from Ningbo, China. BMC Public Health 2017; 17:530. [PMID: 28558673 PMCID: PMC5450153 DOI: 10.1186/s12889-017-4462-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2016] [Accepted: 05/24/2017] [Indexed: 11/10/2022] Open
Abstract
Background Drowning among children of migrant workers is a major, though neglected public health issue in China. Methods A randomised controlled trial was used to examine the potential impact of viewing a preventive health poster with/without geo-located drowning events on perceptions of drowning risk among Chinese migrant children. A total of 752 children from three schools in Jiangbei district were selected by multi-stage sampling and randomly assigned to the intervention (n = 380) or control (n = 372). Multilevel models were used to analyse changes in responses to the following questions after viewing the assigned poster for 10 min: (1) “Do you believe that drowning is a serious health problem in Ningbo city?”; (2) “Do you believe that there are lots of drowning-risk waters around you?”; (3) “Do you believe that the likelihood of your accessing a drowning-risk water is great?”; and (4) “Would you intend to avoid accessing to those drowning-risk waters when being exposed?” Results At baseline there were no significant differences between the intervention and control groups in perceptions of drowning risk or covariates. Following the intervention, participants that viewed the geo-specific poster were more likely to respond more favourably to the first three questions (p < 0.001) than those who viewed the standard poster. However, there was no substantive difference between the geo-specific or standard poster in terms of changing intentions to avoid drowning hotspots (p = 0.214). Conclusions Use of ‘geo-located’ information added value to the effectiveness of a drowning prevention poster for enhancing awareness of drowning hotspots among children of migrant workers. Trial registration Chinese Clinical Trial Registry ChiCTR-IOR-16008979 (Retrospectively registered) (The date of trial registration: Aug 5, 2016, the date of enrolment of the first participant: Nov 10, 2015).
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Affiliation(s)
- Yinchao Zhu
- Institute of Non-Communicable Diseases Control and Prevention, Ningbo Municipal Center for Disease Control and Prevention, No. 237, Yongfeng Road, Haishu District, Ningbo City, 315010, People's Republic of China
| | - Xiaoqi Feng
- Population Wellbeing and Environment Research Lab (PowerLab), School of Health and Society, Faculty of Social Sciences, University of Wollongong, Northfields Avenue, Wollongong, Australia.,Early Start Research Institute, Faculty of Social Sciences, University of Wollongong, Northfields Avenue, Wollongong, Australia
| | - Hui Li
- Institute of Non-Communicable Diseases Control and Prevention, Ningbo Municipal Center for Disease Control and Prevention, No. 237, Yongfeng Road, Haishu District, Ningbo City, 315010, People's Republic of China
| | - Yaqin Huang
- Department of Health Surveillance, Jiangbei District Center for Disease Control and Prevention, No. 466, Qingjiang Road, Jiangbei District, Ningbo City, 315020, People's Republic of China
| | - Jieping Chen
- Institute of Non-Communicable Diseases Control and Prevention, Ningbo Municipal Center for Disease Control and Prevention, No. 237, Yongfeng Road, Haishu District, Ningbo City, 315010, People's Republic of China
| | - Guozhang Xu
- Institute of Non-Communicable Diseases Control and Prevention, Ningbo Municipal Center for Disease Control and Prevention, No. 237, Yongfeng Road, Haishu District, Ningbo City, 315010, People's Republic of China.
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Larsen MR, Aust B, Høgelund J. Improving the effectiveness of sickness benefit case management through a public-private partnership? A difference-in-difference analysis in eighteen Danish municipalities. BMC Public Health 2017; 17:329. [PMID: 28420369 DOI: 10.1186/s12889-017-4236-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2016] [Accepted: 04/06/2017] [Indexed: 11/16/2022] Open
Abstract
Background The aim of this study was to investigate whether a multidimensional public-private partnership intervention, focussing on improving the quality and efficiency of sickness benefit case management, reduced the sickness benefit duration and the duration until self-support. Methods We used a difference-in-difference (DID) design with six intervention municipalities and 12 matched control municipalities in Denmark. The study sample comprised 282,103 sickness benefit spells exceeding four weeks. The intervention group with 110,291 spells received the intervention, and the control group with 171,812 spells received ordinary sickness benefit case management. Using register data, we fitted Cox proportional hazard ratio models, estimating hazard ratios (HR) and confidence intervals (CI). Results We found no joint effect of the intervention on the sickness benefit duration (HR 1.02, CI 0.97–1.07) or the duration until self-support (HR 0.99, CI 0.96–1.02). The effect varied among the six municipalities, with sickness benefit HRs ranging from 0.96 (CI 0.93–1.00) to 1.13 (CI 1.08–1.18) and self-support HRs ranging from 0.91 (CI 0.82–1.00) to 1.11 (CI 1.06–1.17). Conclusions Compared to receiving ordinary sickness benefit management the intervention had on average no effect on the sickness benefit duration or duration until self-support. However, the effect varied considerably among the six municipalities possibly due to differences in the implementation or the complexity of the intervention. Electronic supplementary material The online version of this article (doi:10.1186/s12889-017-4236-5) contains supplementary material, which is available to authorized users.
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Dröes RM, Meiland FJM, Evans S, Brooker D, Farina E, Szcześniak D, Van Mierlo LD, Orrell M, Rymaszewska J, Chattat R. Comparison of the adaptive implementation and evaluation of the Meeting Centers Support Program for people with dementia and their family carers in Europe; study protocol of the MEETINGDEM project. BMC Geriatr 2017; 17:79. [PMID: 28376895 PMCID: PMC5381019 DOI: 10.1186/s12877-017-0472-x] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2016] [Accepted: 03/31/2017] [Indexed: 11/17/2022] Open
Abstract
Background The MEETINGDEM study aims to implement and evaluate an innovative, inclusive, approach to supporting community dwelling people with mild to moderate dementia and their family carers, called the Meeting Centers Support Program (MCSP), in three countries in the European Union (EU): Italy, Poland and United Kingdom. Demonstrated benefits of this person-centered approach, developed in The Netherlands, include high user satisfaction, reduced behavioral and mood problems, delayed admission to residential care, lower levels of caregiving-related stress, higher carer competence, and improved collaboration between care and welfare organizations. Methods The project will be carried out over a 36 month period. Project partners in the three countries will utilize, and adapt, strategies and tools developed in the Netherlands. In Phase One (month 1-18) activities will focus on establishing an initiative group of relevant organizations and user representatives in each country, exploring pathways to care and potential facilitators and barriers to implementing the program, and developing country specific implementation plans and materials. In Phase Two (month 19‑36) training will be provided to organizations and staff, after which the meeting centers will be established and evaluated for impact on behavior, mood and quality of life of people with dementia and carers, cost-effectiveness, changes in service use, user satisfaction and implementation process. Discussion An overall evaluation will draw together findings from the three countries to develop recommendations for successful implementation of MCSP across the EU. If the Meeting Centers approach can be widely implemented, this could lead to major improvements in dementia care across Europe and beyond. Trial registration The trial was retrospectively registered in May 2016: trial number: NTR5936.
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Affiliation(s)
- R M Dröes
- Department of Psychiatry, VU University medical center/GGZinGeest, Postbox 74077, 1070 BB, Amsterdam, The Netherlands.
| | - F J M Meiland
- Department of Psychiatry, VU University medical center/GGZinGeest, Postbox 74077, 1070 BB, Amsterdam, The Netherlands
| | - S Evans
- Association for Dementia Studies, University of Worcester, Henwick Grove, Worcester, WR26AJ, UK
| | - D Brooker
- Association for Dementia Studies, University of Worcester, Henwick Grove, Worcester, WR26AJ, UK
| | - E Farina
- Santa Maria Nascente IRCCS Clinical Research Center, Don Carlo Gnocchi Foundation, Via Alfonso Capecelatro 66, 20148, Milan, Italy
| | - D Szcześniak
- Department of Psychiatry, Wroclaw Medical University, Pasteura 10, 50-367, Wroclaw, Poland
| | - L D Van Mierlo
- Department of Psychiatry, VU University medical center/GGZinGeest, Postbox 74077, 1070 BB, Amsterdam, The Netherlands
| | - M Orrell
- Institute of Mental Health, University of Nottingham, Triumph Road, Nottingham, NG7 2TU, UK
| | - J Rymaszewska
- Department of Psychiatry, Wroclaw Medical University, Pasteura 10, 50-367, Wroclaw, Poland
| | - R Chattat
- Department of Psychology, University of Bologna, Viale Berti Pichat 5, Bologna, Italy
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Holm A, Høgelund J, Gørtz M, Rasmussen KS, Houlberg HSB. Employment effects of active labor market programs for sick-listed workers. J Health Econ 2017; 52:33-44. [PMID: 28182999 DOI: 10.1016/j.jhealeco.2017.01.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/16/2016] [Revised: 01/23/2017] [Accepted: 01/24/2017] [Indexed: 06/06/2023]
Abstract
We use register data of 88,948 sick-listed workers in Denmark over the period 2008-2011 to investigate the effect of active labor market programs on the duration until returning to non-subsidized employment and the duration of this employment. To identify causal treatment effects, we exploit over-time variation in the use of active labor market programs in 98 job centers and time-to- event. We find that ordinary education and subsidized job training have significant positive employment effects. Subsidized job training has a large, positive effect on the transition into employment but no effect on the subsequent employment duration. In contrast, ordinary education has a positive effect on employment duration but no effect on the transition into employment. The latter effect is the result of two opposing effects, a large positive effect of having completed education and a large negative lock-in effect, with low re-employment chances during program participation.
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Affiliation(s)
- Anders Holm
- Department of Sociology, Western University, London, Ontario, N6A 5C2, Canada; Department of Economics, Western University, London, Ontario, N6A 5C2, Canada.
| | - Jan Høgelund
- The Danish Working Environment Authority, Landskronagade 33, DK-2100 Copenhagen Ø, Denmark
| | - Mette Gørtz
- University of Copenhagen, Department of Economics, Øster Farimagsgade 5, DK-1353 Copenhagen K, Denmark
| | - Kristin Storck Rasmussen
- Marselisborg - Development, Competence, Knowledge, Robert Jacobsens vej 76A, DK-2300 Copenhagen S, Denmark
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Yi Y, Shun-Xiang C, Xi-Bao H, Hong Z, Hui H, Xiao-Rong Z, Han-Cheng L, Yong J, Bo L. [Emergency response and effect evaluation on schistosomiasis control in rescue of shipwreck event in Yangtze River]. Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi 2016; 29:18-23. [PMID: 29469380 DOI: 10.16250/j.32.1374.2016138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
OBJECTIVE To evaluate the effect of schistosomiasis control in"Oriental Star shipwreck event"in Jianli County, Hubei Province, so as to provide experiences for schistosomiasis prevention and control in rescue of emergency in the future. METHODS According to the data of historical schistosomiasis prevalence and the results of the field survey in the townships in the upstream and downstream of the rescue spots, the emergency handling measures of schistosomiasis control were evaluated. Meanwhile, the Oncomelania hupensis snail situation, priority crowd chemotherapy, key aquatic monitoring, and illness monitoring of people and livestock were investigated to evaluate the schistosomiasis control effect after the events comprehensively. RESULTS There were no schistosome-infected snails found in the place of shipwreck and the rescue spots. The average density of O. hupensis snails in 5 townships of Jianli County was 0.064 snails/0.1 m2, and there were no infected snails found. The positive rate of 2 090 migrants in the schistosomiasis serologic tests was 0.29% and there were no positive ones found in the fecal examination. There were no acute schistosomiasis cases found by the sentinel surveillance fever clinics, and also no positive cattle were found. The results of sentinel mice monitoring in the place of shipwreck and 4 villages in the upstream and downstream showed no infected mice were found. CONCLUSIONS The schistosomiasis control measures taken after the shipwreck is effective, which achieves the goal of no schistosomiasis transmission after emergency.
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Affiliation(s)
- Yuan Yi
- Institute of Schistosomiasis Control, Hubei Center for Disease Control and Prevention, Wuhan 430079, China
| | - Cai Shun-Xiang
- Institute of Schistosomiasis Control, Hubei Center for Disease Control and Prevention, Wuhan 430079, China
| | - Huang Xi-Bao
- Institute of Schistosomiasis Control, Hubei Center for Disease Control and Prevention, Wuhan 430079, China
| | - Zhu Hong
- Institute of Schistosomiasis Control, Hubei Center for Disease Control and Prevention, Wuhan 430079, China
| | - He Hui
- Institute of Schistosomiasis Control, Hubei Center for Disease Control and Prevention, Wuhan 430079, China
| | - Zhou Xiao-Rong
- Institute of Schistosomiasis Control, Hubei Center for Disease Control and Prevention, Wuhan 430079, China
| | - Liu Han-Cheng
- Institute of Schistosomiasis Control, Hubei Center for Disease Control and Prevention, Wuhan 430079, China
| | - Jiang Yong
- Institute of Schistosomiasis Control, Hubei Center for Disease Control and Prevention, Wuhan 430079, China
| | - Li Bo
- Institute of Schistosomiasis Control, Hubei Center for Disease Control and Prevention, Wuhan 430079, China
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Momsen AMH, Stapelfeldt CM, Nielsen CV, Nielsen MBD, Aust B, Rugulies R, Jensen C. Effects of a randomized controlled intervention trial on return to work and health care utilization after long-term sickness absence. BMC Public Health 2016; 16:1149. [PMID: 27829455 PMCID: PMC5103458 DOI: 10.1186/s12889-016-3812-4] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2015] [Accepted: 11/03/2016] [Indexed: 11/28/2022] Open
Abstract
Background The aim of the RCT study was to investigate if the effect of a multidisciplinary intervention on return to work (RTW) and health care utilization differed by participants’ self-reported health status at baseline, defined by a) level of somatic symptoms, b) health anxiety and c) self-reported general health. Methods A total of 443 individuals were randomized to the intervention (n = 301) or the control group (n = 142) and responded to a questionnaire measuring health status at baseline. Participants were followed in registries measuring RTW and health care utilization. Relative risk (RR) and odds ratio (OR) were used as measures of associations. Results were adjusted for gender, age, educational level, work ability and previous sick leave. Results Among all responders we found no effect of the intervention on RTW. Among participants with low health anxiety, the one-year probability of RTW was lower in the intervention than in the control group (RR = 0.79 95 % CI 0.68-0.93), but for those with high health anxiety there was no difference between the groups (RR = 1.15 95 % CI 0.84-1.57). Neither general health nor somatic symptoms modified the effect of the intervention on RTW. The intervention had no effect on health care utilization. Conclusions The multidisciplinary intervention did not facilitate RTW or decrease health care utilization compared to ordinary case management in subgroups with multiple somatic symptoms, health anxiety or low self-rated health. However, the intervention resulted in a reduced chance of RTW among participants with low health anxiety levels. Trial registration ISRCTN43004323, and ISRCTN51445682
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Affiliation(s)
- Anne-Mette H Momsen
- DEFACTUM - Social & Health Services & Labour Market, Central Denmark Region, Aarhus, Denmark. .,MarselisborgCentret, P.P. Oerums Gade 11, 1B, 8000, Aarhus C, Denmark.
| | | | - Claus Vinther Nielsen
- Section of Clinical Social Medicine and Rehabilitation, Institute of Public Health, Aarhus University, Aarhus, Denmark
| | - Maj Britt D Nielsen
- COWI A/S, Lyngby, Denmark.,The National Research Centre for the Working Environment, Copenhagen, Denmark
| | - Birgit Aust
- The National Research Centre for the Working Environment, Copenhagen, Denmark
| | - Reiner Rugulies
- The National Research Centre for the Working Environment, Copenhagen, Denmark.,Department of Public Health, University of Copenhagen, Copenhagen, Denmark.,Department of Psychology, University of Copenhagen, Copenhagen, Denmark
| | - Chris Jensen
- National Centre for Occupational Rehabilitation, Rauland, Norway.,Department of Public Health and General Practice, Norwegian University of Science and Technology, Trondheim, Norway
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Cuenen A, Brijs K, Brijs T, Van Vlierden K, Daniels S, Wets G. Effect evaluation of a road safety education program based on victim testimonials in high schools in Belgium. Accid Anal Prev 2016; 94:18-27. [PMID: 27240125 DOI: 10.1016/j.aap.2016.05.006] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/27/2015] [Revised: 01/28/2016] [Accepted: 05/03/2016] [Indexed: 06/05/2023]
Abstract
For several decades policy makers worldwide have experimented with testimonials as a strategy to promote road safety supportive views in a wide variety of target populations such as recidivists and students. In its basic format, a (relative of) a victim or an offender brings a personal testimonial of what it is to experience a traffic accident. The underlying idea is that such a testimonial will emotionally affect participants, thereby stimulating them to cognitively reflect upon their own behavior and responsibility as a road user. Unfortunately, empirical literature on the effectiveness of this strategy is rather scarce and inconsistent. This study investigated the effect of a large-scale program with victim testimonials for high schools in Belgium on five socio-cognitive and behavioral variables drawn from the Theory of Planned Behavior (i.e., attitude, subjective norm, perceived behavioral control, behavioral intention and behavior). Moreover, this study investigated program effects on participants' cognitive and emotional estate and whether this influences the program's impact on socio-cognitive and behavioral variables. Our test sample included 1362 students, who were assigned to a baseline - follow-up group and a post-test - follow-up group. We questioned both groups, a first time (just before or after session attendance) on paper, and a second time (two months after session attendance) online. Results indicate the program had, both immediate and two months after attendance, small to medium positive effects on most socio-cognitive and behavioral variables. However, effects depended on participants' demographic profile, their baseline values on the socio-cognitive and behavioral variables, and the degree to which they were cognitively/emotionally affected by the program. We discuss the practical implications of these findings and formulate recommendations for the development of future interventions based on victim testimonials.
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Affiliation(s)
- Ariane Cuenen
- Transportation Research Institute (IMOB), Hasselt University, Diepenbeek, 3590, Belgium.
| | - Kris Brijs
- Transportation Research Institute (IMOB), Hasselt University, Diepenbeek, 3590, Belgium; Faculty of Applied Engineering Sciences, Hasselt University, Diepenbeek, 3590, Belgium
| | - Tom Brijs
- Transportation Research Institute (IMOB), Hasselt University, Diepenbeek, 3590, Belgium
| | - Karin Van Vlierden
- Transportation Research Institute (IMOB), Hasselt University, Diepenbeek, 3590, Belgium
| | - Stijn Daniels
- Transportation Research Institute (IMOB), Hasselt University, Diepenbeek, 3590, Belgium
| | - Geert Wets
- Transportation Research Institute (IMOB), Hasselt University, Diepenbeek, 3590, Belgium
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Battjes-Fries MCE, van Dongen EJI, Renes RJ, Meester HJ, Van't Veer P, Haveman-Nies A. Unravelling the effect of the Dutch school-based nutrition programme Taste Lessons: the role of dose, appreciation and interpersonal communication. BMC Public Health 2016; 16:737. [PMID: 27495168 PMCID: PMC4975919 DOI: 10.1186/s12889-016-3430-1] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2015] [Accepted: 08/03/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND To unravel the effect of school-based nutrition education, insight into the implementation process is needed. In this study, process indicators of Taste Lessons (a nutrition education programme for Dutch elementary schools) and their association with changes in behavioural determinants relevant to healthy eating behaviour are studied. METHODS The study sample consisted of 392 Dutch primary school children from 12 schools. Data were collected using teacher and child questionnaires at baseline, and at one and six months after the intervention. Multilevel regression analyses were conducted to study the association between dose, appreciation and children's engagement in interpersonal communication (talking about Taste Lessons with others after the lessons), and change in knowledge, awareness, skills, attitude, emotion, subjective norm and intention towards two target behaviours. RESULTS With an average implementation of a third of the programme activities, dose positively predicted change in children's subjective norm of the teacher after one month. Teachers and children highly appreciated Taste Lessons. Whereas teacher appreciation was inversely associated, child appreciation was positively associated with children's change in awareness, emotion and subjective norm of teachers after one month and in attitude and subjective norm of parents after six months. Interpersonal communication was positively associated with children's change in five determinants after one month and in attitude and intention after six months. CONCLUSIONS The implementation process is related to the programme outcomes of Taste Lessons. Process data provide valuable insights into factors that contribute to the effect of interventions in real-life settings.
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Affiliation(s)
- Marieke C E Battjes-Fries
- Division of Human Nutrition, Wageningen University, P.O. Box 8129, 6700 EV, Wageningen, The Netherlands.
| | - Ellen J I van Dongen
- Division of Human Nutrition, Wageningen University, P.O. Box 8129, 6700 EV, Wageningen, The Netherlands
| | - Reint Jan Renes
- Division of Strategic Communication, Wageningen University, 6700 EW, Wageningen, The Netherlands
| | - Hante J Meester
- Steunpunt Smaaklessen & EU Schoolfruit, Division of Food Chemistry, Wageningen University, 6700 AA, Wageningen, The Netherlands
| | - Pieter Van't Veer
- Division of Human Nutrition, Wageningen University, P.O. Box 8129, 6700 EV, Wageningen, The Netherlands
| | - Annemien Haveman-Nies
- Division of Human Nutrition, Wageningen University, P.O. Box 8129, 6700 EV, Wageningen, The Netherlands
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Hoefsmit N, Houkes I, Boumans N, Noben C, Winkens B, Nijhuis FJN. The Effectiveness of an Intervention to Enhance Cooperation Between Sick-Listed Employees and Their Supervisors (COSS). J Occup Rehabil 2016; 26:229-36. [PMID: 26386993 PMCID: PMC4854938 DOI: 10.1007/s10926-015-9606-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
Introduction Early return-to-work (RTW) after sick leave is considered to support employees' quality of life. Successful RTW requires adequate cooperation between absent employees and their supervisors. This study assesses the effectiveness of an intervention for COoperation regarding RTW between Sick-listed employees and their Supervisors (COSS; i.e. 'conversation roadmap', monitoring of cooperation and, if necessary, extra occupational physician support). Methods In this field study, employees on sick leave for 2-10 weeks, aged 18 up to and including 60, and performing paid labour for at least 12 h per week were included. Terminally ill were excluded. Multivariate regression (correcting for baseline quality of life) was used to compare 6-months follow up data regarding quality of life between the groups. Using Cox regression analyses, time until first-, full-, and sustainable RTW was compared between groups. Results In total 64 employees received COSS or common practice. No significant group differences were found regarding all study outcomes. The COSS group had a higher chance of work resumption than the common practice group. The hazard ratio was 1.39 for first RTW (95 % CI 0.81-2.37), 1.12 for full RTW (95 % CI 0.65-1.93) and 1.10 for sustainable RTW (95 % CI 0.63-1.95). Conclusions COSS has no significant effects. Yet, the results regarding work resumption show a tendency towards effectiveness. Therefore, COSS can be further developed and applied in practice. Researchers should try to prevent some limitations of the present study in future research, for instance by finding a more common research setting.
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Affiliation(s)
- Nicole Hoefsmit
- Department of Social Medicine, Faculty of Health, Medicine and Life Sciences, Caphri School for Public Health and Primary Care, Maastricht University, P.O. Box 616, Maastricht, The Netherlands.
| | - Inge Houkes
- Department of Social Medicine, Faculty of Health, Medicine and Life Sciences, Caphri School for Public Health and Primary Care, Maastricht University, P.O. Box 616, Maastricht, The Netherlands
| | - Nicolle Boumans
- Department of Social Medicine, Faculty of Health, Medicine and Life Sciences, Caphri School for Public Health and Primary Care, Maastricht University, P.O. Box 616, Maastricht, The Netherlands
| | - Cindy Noben
- Department of Health Services Research, Faculty of Health, Medicine and Life Sciences, Caphri School for Public Health and Primary Care, Maastricht University, P.O. Box 616, Maastricht, The Netherlands
| | - Bjorn Winkens
- Department of Methodology and Statistics, Faculty of Health, Medicine and Life Sciences, Caphri School for Public Health and Primary Care, Maastricht University, P.O. Box 616, Maastricht, The Netherlands
| | - Frans J N Nijhuis
- Department of Work and Social Psychology, Faculty of Psychology and Neuroscience, Maastricht University, P.O. Box 616, Maastricht, The Netherlands
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Battjes-Fries MCE, Haveman-Nies A, Zeinstra GG, van Dongen EJI, Meester HJ, van den Top-Pullen R, Van't Veer P, de Graaf K. Effectiveness of Taste Lessons with and without additional experiential learning activities on children's willingness to taste vegetables. Appetite 2017; 109:201-8. [PMID: 27215840 DOI: 10.1016/j.appet.2016.05.020] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2016] [Revised: 05/14/2016] [Accepted: 05/18/2016] [Indexed: 11/24/2022]
Abstract
This study assessed the effectiveness of the Dutch school programme Taste Lessons with and without additional experiential learning activities on children's willingness to taste unfamiliar vegetables. Thirty-three primary schools (877 children in grades 6-7 with a mean age of 10.3 years) participated in Taste Lessons Vegetable Menu (TLVM, lessons and extra activities), Taste Lessons (TL, lessons), or a control group. A baseline and follow-up measurement was used to assess for each child: number of four familiar and four unfamiliar vegetables tasted, quantity tasted, choice of vegetable of which to eat more, and number of vegetables willing to taste again later. Furthermore, children filled out a questionnaire on daily vegetable intake and food neophobia. Multilevel and Cox regression analyses were conducted to compare changes in the outcome measures between the three study groups. No significant intervention effects were found on willingness to taste unfamiliar vegetables. Neither were effects found on familiar vegetables, except for number of familiar vegetables tasted (p < 0.05). Furthermore, no significant intervention effects were found on daily vegetable consumption and food neophobia. These results indicate that more intensive school-based nutrition education activities are needed to increase children's willingness to taste unfamiliar vegetables and increase their vegetable intake.
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Mu-Xin C, Jia-Xu C. [ Effect evaluation of three ELISA kits in detection of paragonimiasis]. Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi 2016; 28:264-268. [PMID: 29469417 DOI: 10.16250/j.32.1374.2016072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
OBJECTIVE To evaluate the effects of 3 kinds of ELISA reagents on the detection of human paragonimiasis. METHODS A total of 45 serum samples from patients with paragonimiasis, 218 serum samples from patients with other parasitic diseases as well as 80 serum samples from healthy people were detected by GD-ELISA (IgG antigen ELISA detection reagent), ESELISA (using excretory/secretory (ES) products of Paragonimus westermani), and sAg-ELISA (using semi-purified antigen (sAg) of P. westermani), respectively. The effects of the 3 reagents were evaluated and compared. RESULTS The sensitivities of GD-ELISA, ES-ELISA, and sAg-ELISA were 95.6% (95% CI:89.6%~100.0%), 93.3% (95% CI:86.0%~100.0%) and 86.7% (95% CI:76.8%~96.6%), respectively; the specificities of the above three reagents were 88.6% (95% CI:85.0%~ 92.2%), 88.9% (95% CI:85.3%~92.5%) and 99.0 % (95% CI:97.9%~100.0%), respectively, and the Youden indexes of them were 0.84, 0.82 and 0.86, respectively. CONCLUSIONS sAg-ELISA is more suitable than GD-ELISA and ES-ELISA for clinical sample tests in paragonimiasis endemic areas in China.
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Affiliation(s)
- Chen Mu-Xin
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, WHO Collaborating Center for Tropical Diseases, Key Laboratory of Parasite and Vector Biology, National Health and Family Planning Commission, Shanghai 200025, China
| | - Chen Jia-Xu
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, WHO Collaborating Center for Tropical Diseases, Key Laboratory of Parasite and Vector Biology, National Health and Family Planning Commission, Shanghai 200025, China
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Feng T, Jian-Xia T, Feng L, Sui X, Ya-Ping G, De-Sheng T, Guo-Ding Z, Hai-Yong H, Hua-Yun Z, Jun C. [Evaluation of Wondfo Rapid Diagnostic Kit for detecting Plasmodium ovale and analysis of influencing factors]. Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi 2016; 28:146-150. [PMID: 29469290 DOI: 10.16250/j.32.1374.2016022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
OBJECTIVE To evaluate the Wondfo Rapid Diagnostic Kit (Pf-LDH/Pan -pLDH) for detecting Plasmodium ovale and analyze the influence of parasitaemia, concentration and polymorphism of pLDH on the performances. METHODS A total of 100 blood samples from P. ovale patients confirmed by PCR were detected with the Wondfo Rapid Diagnostic Kit according to the manufacturers'instructions. The parasitaemia was determined by the microscopic examination. The concentration of pLDH was measured by ELISA tests. The LDH gene of P. ovale was amplified by PCR and sequenced. The influence of these three factors on the positive rate was analyzed. RESULTS The overall positive rate of Wondfo Rapid Diagnostic Kit was 70.0% (70/100). The positive rate was 27.3% for the samples with parasitaemia ≤ 500 parasites/μl and reached 75.0%-75.4% when parasitaemia > 500 parasites/μl. The positive rate was 6.7% for samples with a low pLDH concentration (A values ≤ 0.100) and reached 95.1%-100% at a high pLDH concentration (A values > 0.100). The results of sequence analysis indicated that all the samples could be divided into 2 types, P. o. curtisi and P. o. wallikeri. The gene homology of LDH between 2 types was 97%. There were 24 single nucleotide polymorphism (s) (SNPs) between 2 types, while only 3 SNPs were non-synonymous mutations. The homology of LDH amino acid sequences between 2 types was 99%; only 3 amino acids were different. The positive rates for P. o. curtisi and P. o. wallikeri were 73.1% (38/52) and 66.7% (32/48) respectively; there was no statistically significant difference (P > 0.05). CONCLUSIONS The Wondfo Rapid Diagnostic Kit (Pf-LDH/Pan-pLDH) performs better than most of the similar products for the detection of P. ovale, and the positive rates are closely related to the parasitaemia and concentration of pLDH, while no related to the polymorphism of pLDH gene.
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Affiliation(s)
- Tang Feng
- Jiangsu Institute of Parasitic Diseases, Key Laboratory of Parasitic Disease Control and Prevention, Ministry of Health, Jiangsu Provincial Key Laboratory on Parasite and Vector Control Technology, Wuxi 214064, China
| | - Tang Jian-Xia
- Jiangsu Institute of Parasitic Diseases, Key Laboratory of Parasitic Disease Control and Prevention, Ministry of Health, Jiangsu Provincial Key Laboratory on Parasite and Vector Control Technology, Wuxi 214064, China
| | - Lu Feng
- Jiangsu Institute of Parasitic Diseases, Key Laboratory of Parasitic Disease Control and Prevention, Ministry of Health, Jiangsu Provincial Key Laboratory on Parasite and Vector Control Technology, Wuxi 214064, China
| | - Xu Sui
- Jiangsu Institute of Parasitic Diseases, Key Laboratory of Parasitic Disease Control and Prevention, Ministry of Health, Jiangsu Provincial Key Laboratory on Parasite and Vector Control Technology, Wuxi 214064, China
| | - Gu Ya-Ping
- Jiangsu Institute of Parasitic Diseases, Key Laboratory of Parasitic Disease Control and Prevention, Ministry of Health, Jiangsu Provincial Key Laboratory on Parasite and Vector Control Technology, Wuxi 214064, China
| | - Tong De-Sheng
- Jiangsu Institute of Parasitic Diseases, Key Laboratory of Parasitic Disease Control and Prevention, Ministry of Health, Jiangsu Provincial Key Laboratory on Parasite and Vector Control Technology, Wuxi 214064, China
| | - Zhu Guo-Ding
- Jiangsu Institute of Parasitic Diseases, Key Laboratory of Parasitic Disease Control and Prevention, Ministry of Health, Jiangsu Provincial Key Laboratory on Parasite and Vector Control Technology, Wuxi 214064, China
| | - Hua Hai-Yong
- Jiangsu Institute of Parasitic Diseases, Key Laboratory of Parasitic Disease Control and Prevention, Ministry of Health, Jiangsu Provincial Key Laboratory on Parasite and Vector Control Technology, Wuxi 214064, China
| | - Zhou Hua-Yun
- Jiangsu Institute of Parasitic Diseases, Key Laboratory of Parasitic Disease Control and Prevention, Ministry of Health, Jiangsu Provincial Key Laboratory on Parasite and Vector Control Technology, Wuxi 214064, China
| | - Cao Jun
- Jiangsu Institute of Parasitic Diseases, Key Laboratory of Parasitic Disease Control and Prevention, Ministry of Health, Jiangsu Provincial Key Laboratory on Parasite and Vector Control Technology, Wuxi 214064, China
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Ning-Bo H, Peng H, Zong-Ti S, Xi-Guang F, Yi D, Guang-Huai Y, Jin-Song L, Yan-Hong Z, Shao-Yun C, Shou-Ju N, Wen L. [ Effect evaluation of water conservancy project with ditches managed against Oncomelania hupensis in Yunnan Province]. Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi 2016; 28:178-181. [PMID: 29469296 DOI: 10.16250/j.32.1374.2015151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
OBJECTIVE To evaluate the effect of hydraulic schistosomiasis control project with ditches managed on Oncomelania hupensis snail control. METHODS From 2009 to 2011, the snail investigations and schistosomiasis surveillance were carried out in Dali City and Yongsheng County, two sites of national schistosomiasis surveillance. The history data of schistosomiasis control were collected and analyzed. RESULTS At the harden sections of the water conservancy project with ditches managed in Shajing Village of Dali City, only one snail was found in 2010 with the density of living snails of 0.004 snails/0.1 m2, while the densities of living snails were respectively 0.080, 0.002 snails/0.1 m2 and 0.007 snails/0.1 m2 in unhardened sections of the project from 2009 to 2011. No snails were found in the harden sections of the water conservancy project with ditches managed in Gaojiacun Village of Yongsheng County, while the densities of living snails were respectively 0.040, 0.030 snails/0.1 m2 and 0.040 snails/0.1 m2 in unhardened sections of the project from 2009 to 2011. After the ditches were hardened, no infected snails were found from 2009 to 2011, and the appearance rate of frames with snails and density of living snails were both decreased, while they were both higher in unhardened ditches. CONCLUSIONS The hydraulic schistosomiasis control project has obvious effect on control snails, but the maintain work should be strengthened after the project is completed.
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Affiliation(s)
- Huang Ning-Bo
- Yunnan Institute of Endemic Disease Control and Prevention, Yunnan Province, Dali 671000, China
| | - Huang Peng
- Yunnan Institute of Endemic Disease Control and Prevention, Yunnan Province, Dali 671000, China
| | - Shao Zong-Ti
- Yunnan Institute of Endemic Disease Control and Prevention, Yunnan Province, Dali 671000, China
| | - Feng Xi-Guang
- Yunnan Institute of Endemic Disease Control and Prevention, Yunnan Province, Dali 671000, China
| | - Dong Yi
- Yunnan Institute of Endemic Disease Control and Prevention, Yunnan Province, Dali 671000, China
| | - Yang Guang-Huai
- Dali Schistosomiasis Control Station, Yunnan Province, China
| | - Li Jin-Song
- Dali Schistosomiasis Control Station, Yunnan Province, China
| | - Zhang Yan-Hong
- Dali Schistosomiasis Control Station, Yunnan Province, China
| | - Chen Shao-Yun
- Yongsheng Schistosomiasis Control Station, Yunnan Province, China
| | - Nie Shou-Ju
- Yongsheng Schistosomiasis Control Station, Yunnan Province, China
| | - Li Wen
- Yongsheng Schistosomiasis Control Station, Yunnan Province, China
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Ming-Zhen H, Hong C, Yi-Qing X, Yong-Gen Z, Shi-Ying Z. [Effect of comprehensive schistosomiasis control in Changzhou City from 2004 to 2014]. Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi 2015; 28:310-312. [PMID: 29469428 DOI: 10.16250/j.32.1374.2015208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
OBJECTIVE To evaluate the effect of comprehensive schistosomiasis control in Changzhou City in recent 10 years, so as to provide the evidences for formulating the future prevention and control strategy. METHODS The work reports and the data of the schistosomiasis comprehensive control projects in Changzhou City from 2004 to 2014 were collected, the infection status of residents and livestock as well the Oncomelania hupensis snail situation were analyzed, and the implementation effect of the comprehensive control projects was evaluated. RESULTS From 2004 to 2014, totally 215 368 person-times were examined, and the positive rate of the blood examinations of the population was 0.24% (478/198 356), and there were no positive cases detected out by using the miracidium hatching method. Totally 11 935 domestic animals were detected and no positives were found. From 2004 to 2014, the total area with snails was 92.27 hm2, and marshland, inland and mountain environments accounted for 34.75%, 34.82% and 30.43%, respectively. The newly discovered area with snails was 34.40 hm2, and marshland, inland and mountain environments accounted for 2.62%, 71.22% and 26.16%, respectively. Totally 8 511 snails were dissected and no schistosome infected snails were found. From 2004 to 2014, a total of 242 600 harmless toilets were built, 2 704 700 domestic animals were reared in pens, 5.82 km-long rivers were dredged, 2 250.11 hm2 of protective forests were constructed, a total area of 625.79 hm2 were controlled with molluscicides, and an area of 149.58 hm2 were environmentally transformed. Totally 5.4 million people received health education. The awareness rate of knowledge on schistosomiasis control of residents was 96.00% in 2014. CONCLUSIONS There exists the risks of snails import and diffusion and schistosomiasis resurrection in Changzhou City, but under the condition of continuous implementation of comprehensive control measures, the endemic situation of schistosomiasis is stable and the control achievement is consolidated in this city.
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Affiliation(s)
- He Ming-Zhen
- Changzhou Center for Disease Control and Prevention, Jiangsu Province, Changzhou 213022, China
| | - Chen Hong
- Changzhou Center for Disease Control and Prevention, Jiangsu Province, Changzhou 213022, China
| | - Xie Yi-Qing
- Changzhou Center for Disease Control and Prevention, Jiangsu Province, Changzhou 213022, China
| | - Zou Yong-Gen
- Changzhou Center for Disease Control and Prevention, Jiangsu Province, Changzhou 213022, China
| | - Zhu Shi-Ying
- Changzhou Center for Disease Control and Prevention, Jiangsu Province, Changzhou 213022, China
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Ming-Yong S, Qi-Ping W, Bang-Lin W, Xiao-Hu C. [Evaluation of end-term effectiveness of medium-and-long-term programme for schistosomiasis control in Fanchang County, Anhui Province]. Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi 2015; 28:212-214. [PMID: 29469307 DOI: 10.16250/j.32.1374.2015142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
OBJECTIVE To evaluate the end-term effectiveness of the medium-and-long-term programme for prevention and control of schistosomiasis in Fanchang County, Anhui Province. METHODS The epidemiological data of schistosomiasis were collected and analyzed in Fanchang County from 2004 to 2014. The end-term effectiveness of the programme was observed and evaluated. RESULTS From 2004 to 2014, 1 938 schistosomiasis patients and 64 256 persons with the history of infested water contact were treated. Totally 12 cattle-times of schistosome infected cattle and 2 745 cattle-times of cattle with the history of infested water contact were treated. The area with snails controlled by molluscicides was 7 758.1 hm2, and the area with snails controlled by environmental modification was 36.0 hm2. The integrated control measures were carried out in all of the endemic villages with human infection rate being higher than 1%. Up to 2014, the infection rates of human and cattle, and the incidence rate of acute schistosomiasis were reduced to 0.27%, 0 and 0, respectively; the area with snails reduced to 103.20 hm2; the densities of both living snails and infected snails showed a declining trend in general. CONCLUSIONS The effect of the integrated strategies of schistosomiasis control is remarkable, and the whole county reached the criteria of transmission-controlled of schistosomiasis.
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Affiliation(s)
- Sheng Ming-Yong
- Fanchang Station of Schistosomiasis Control, Anhui Province, Fanchang 241200, China
| | - Wu Qi-Ping
- Fanchang Station of Schistosomiasis Control, Anhui Province, Fanchang 241200, China
| | - Wan Bang-Lin
- Fanchang Station of Schistosomiasis Control, Anhui Province, Fanchang 241200, China
| | - Chen Xiao-Hu
- Fanchang Station of Schistosomiasis Control, Anhui Province, Fanchang 241200, China
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