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    Editorial
    Commentary of concept and domains of public health
    MA Jin
    2010, 30 (8):  877. 
    doi: 10.3969/j.issn.1674-8115.2010.08.001

    Abstract ( 1857 )   PDF (1953KB) ( 1106 )  

    In practice, public health includes three domains, that is, health improvement, health protection and health service. Health improvement depends on social economy, local government roots of the profession, health promotion and all determinants of health. Health protection deals mainly with communicable disease control, environment and occupational health protection, and chemicals and rays protection. Health service capacity improvement depends on the quality and efficiency of health system and health economics. The core skills and knowledge of public health are epidemiology, biostatistics, clinical trials, low and ethics. This paper deals with the commentary of concept and domains of public health in China through system literature review.

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    Original article (Preventive medicine)
    Effects of maternal fenvalerate exposure on sexual differentiation of male offspring rats
    ZHOU Yi-jun, LI Xiao-feng, LIANG Chen, et al
    2010, 30 (8):  879. 
    doi: 10.3969/j.issn.1674-8115.2010.08.002

    Abstract ( 1841 )   PDF (3786KB) ( 1410 )  

    Objective To investigate the effects of maternal fenvalerate exposure on sexual differentiation of male offspring rats. Methods Forty pregnant SD rats were randomly divided into three fenvalerate groups (treated with 2, 10 and 50 mg/kg fenvalerate respectively on day 12 to 18 of gestation by means of intragastric injection) and control group (treated with corn oil). The birth weight of all male and female offspring rats were measured on postnatal day 2. The body weight and anogenital distance of 25 male offspring rats randomly selected from each group were measured on postnatal day 4, 8, 12, 16, 20, 24 and 28. These 25 male offspring rats in each group were sacrificed on postnatal day 30, and organ coefficients of testis were calculated. Results There was no significant difference in birth weight of offspring rats between control group and fenvalerate groups (P>0.05). The body weight of male offspring rats in 2 mg/kg fenvalerate group was significantly higher than that of control group on postnatal day 8, 12 and 16 (P<0.05), and the body weight of male offspring rats in 50 mg/kg fenvalerate group was significantly lower than that of control group on postnatal day 28(P<0.01). The anogenital distance in fenvalerate groups was significantly shorter than that in control group on postnatal day 4, 8, and 12 (P<0.05 or P<0.01), while there was no significant difference in anogenital distance between fenvalerate groups and control group on postnatal day 24 and 28 (P>0.05). The organ coefficients of testis in 10 mg/kg and 50 mg/kg fenvalerate groups were significantly lower than that of control group (P<0.05). Conclusion Maternal exposure to fenvalerate has definite effects on sexual differentiation of male offspring rats, which can shorten anogenital distance of male offspring rats in early stage after birth.

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    Relationship of chronic disease-related behaviors between housewives and their family members
    DAI Fei, LING Ding-e, TAN You-ming, et al
    2010, 30 (8):  883. 
    doi: 10.3969/j.issn.1674-8115.2010.08.003

    Abstract ( 1615 )   PDF (3292KB) ( 1261 )  

    Objective To explore the relationship of chronic disease-related behaviors between housewives and their family members. Methods Investigations of chronic disease-related behaviors (smoking, high-salt intake, high-fat intake, lack of physical activity, breakfast skipping and sleep disorder) based on self-designed questionnaires were carried out in 283 female residents selected from a community of Shanghai, and 278 effective questionnaires were recovered from 202 housewives (housewife group) and 76 non-housewives (control group). The prevalences of chronic disease-related behaviors were compared between housewife group and control group, and the prevalences of these behaviors were compared between family members of those with these behaviors in housewife group and control group. Results There was no significant difference in the prevalences of behaviors of smoking, high-salt intake, high-fat intake, lack of physical activity, breakfast skipping and sleep disorder between housewife group and control group (P>0.05). The prevalences of behaviors of high-salt intake, high-fat intake and lack of physical activity of family members of those with these behaviors in housewife group were significantly higher than those of family members of women with these behaviors in control group (P<0.05), while there was no significant difference in the prevalences of behaviors of smoking, breakfast skipping and sleep disorder between family members of those with these behaviors in housewife group and those of women with these behaviors in control group (P>0.05). Conclusion The chronic disease-related behaviors of high-salt intake, high-fat intake and lack of physical activity of housewives may be associated with those of their family members.

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    Analysis of characteristics of knowledge, attitudes and practice in outpatients with sexually transmitted diseases
    XU Gang, CAI Yong, LU Xiao-nian, et al
    2010, 30 (8):  886. 
    doi: 10.3969/j.issn.1674-8115.2010.08.004

    Abstract ( 2167 )   PDF (4079KB) ( 1362 )  

    Objective To analyse the characteristics of sexually transmitted diseases(STD) related knowledge, attitudes and practice in outpatients with STD, and provide baseline information for STD/AIDS prevention. Methods With crosssectional method, 156 outpatients diagnosed with STD were randomly selected and investigated by anonymous face to face interview with a self-designed questionnaire which included basic personal information, general knowledge on prevention and treatment of STD, STD related attitudes and high-risk behaviors, and 151 questionnaires (96.79%) were recovered in all. Results Of all the patients, 71.5% aged between 20 and 40 years. There was no significant difference in the average score of STD knowledge between males and females (P>0.05). The transmission routes with lower rates of awareness were sharing toilet or bathtub (66.9%) and sharing linen or bedding (49.7%), and the non-transmission routes with lower rates of awareness were bite by mosquitos (68.9%) and kissing (62.3%). The percentage of males with positive attitude towards pre-marriage and extra-marriage sexual behaviors was significantly lower than that of females (P<0.05). Patients with two or more sexual partners accounted for 67.5% of the total, and 11.9% had ten or more sexual partners. 37.8% of patients had sexual intercourse even after suspect of infection, 41.1% did not use condoms in the latest sexual intercourse, and only 74.3% informed sexual partners of their illness. Conclusion It is imperative to carry out prompt and effective interventions such as propagation of knowledge, guidance of attitudes, behaviors and heath seek for outpatients with STD in high risks of AIDS.

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    Awareness and behavioral research of AIDS among female sex workers in small entertainment venues in Shanghai
    CAI Yong, SHANG Mei-li, SHEN Tian, et al
    2010, 30 (8):  890. 
    doi: 10.3969/j.issn.1674-8115.2010.08.005

    Abstract ( 2706 )   PDF (4379KB) ( 1601 )  

    Objective To explore the awareness and behavior of acquired immunodeficiency syndrome (AIDS) among female sex workers in Shanghai. Methods Multi-stage cluster random sampling method was adopted to obtain a random sample of five districts in Shanghai, then two communities of each district were randomly selected, and a total of 324 female sex workers from 88 massage parlors and hair salons explicitly providing sexual services completed a questionnaire survey and interview. Results The correct answer rate of AIDS-related knowledge was 60.8%, which was higher in female sex workers from urban area than that in those from rural area (P<0.05). 29.5% of female sex workers had commercial sexual services without condom use for the request from guests, and 46.3% experienced condom slip off or breakage during commercial sexual services. Female sex workers from suburban area had more high-risk behaviors than those from urban area in oral and anal sex (P<0.05). Conclusion AIDS-related education should be strengthened to reduce high-risk behaviors among female sex workers in small entertainment venues of Shanghai, and particular attention should be paid to those from suburban area.

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    1∶1 matched case-control study on risk factors of congenital heart diseases
    MI Jing, MENG Can, JIA Xian-jie, et al
    2010, 30 (8):  894. 
    doi: 10.3969/j.issn.1674-8115.2010.08.006

    Abstract ( 2305 )   PDF (3634KB) ( 1209 )  

    Objective To investigate the environmental risk factors associated with the development of congenital heart diseases (CHD). Methods Eighty-six children with CHD were screened from 16 698 children aged between 0 to 5 years in Bengbu, Anhui Province by stratified cluster sampling. A population-based 1∶1 matched case-control study was conducted, and each case was matched with one normal control by gender and birth date (with difference no more than one month). The risk factors of CHD were analysed by univariate and multivariate Logistic regression analysis. Results Four risk factors were screened to be associated with the development of CHD, including maternal exposure to poisonous chemicals during first trimester of pregnancy (OR, 1.745), maternal respiratory infection during first trimester of pregnancy (OR, 1.747), abnormal childbearing history(OR, 1.644)and river around the dwelling place(OR, 1.487). Conclusion Maternal exposure to poisonous chemicals and maternal respiratory infection during first trimester of pregnancy, as well as abnormal childbearing history and river around dwelling place are major environmental risk factors contributing to CHD in neonates.

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    Correlative study of trace elements and toxic elements in maternal blood and umbilical cord blood
    SHI Rong, WANG Pei, GAO Yu, et al
    2010, 30 (8):  897. 
    doi: 10.3969/j.issn.1674-8115.2010.08.007

    Abstract ( 1826 )   PDF (5171KB) ( 1628 )  

    Objective To investigate the levels of trace elements and heavy metal elements in maternal blood and umbilical cord blood, and explore their correlation. Methods Maternal blood samples were collected from 249 healthy pregnant women, and 259 umbilical cord blood samples were also obtained from Shanghai and Dalian, with 241 matched maternal blood samples and umbilical cord blood samples. The mass concentrations of Cu, Fe, Se, Mn, Zn, Pb and Cd in blood samples were determined by inductively coupled plasma mass spectrometry,and that of Hg was detected by automatic mercury analyser.The correlation of each element in maternal blood and umbilical cord blood was explored with Spearman correlation analysis. Results The mass concentrations of Cu, Se, Zn, Pb and Cd in maternal blood were 1 493.0 μg/L, 126.2 μg/L, 6 260.0 μg/L, 57.2 μg/L and 1.1 μg/L,respectively, and were significantly higher than those in umbilical cord blood (614.6 μg/L, 107.6 μg/L, 2 150.0 μg/L, 35.0 μg/L and 0.6 μg/L, respectively)(P<0.01). The mass concentrations of Fe, Mn and Hg were 432.6 μg/L, 52.9 μg/L and 1.5 μg/L, respectively in maternal blood, and were significantly lower than those in umbilical cord blood (512.2 μg/L, 77.1 μg/L and 2.4 μg/L, respectively)(P<0.01). The mass concentrations of Hg in 3 maternal blood samples (1.2%) and 9 cord blood samples (3.4%) exceeded the recommended reference standard of U.S. Environmental Protection Agency (5.8 μg/L), the mass concentrations of Pb in 30 maternal blood samples (12.0%) and 15 cord blood samples (5.8%) exceeded the recommended reference standard of Federal Occupational and Environmental Hygiene Committee (100 μg/L),and the mass concentrations of Cd in 14 maternal blood samples (5.6%) and 9 cord blood samples (3.5%)exceeded the recommended reference standard of U.S. Occupational Safety and Health Administration (5 μg/L). Except Fe, the mass concentrations of all the other elements in maternal blood were positively related with those in umbilical cord blood (P<0.01). Conclusion The levels of Pb, Cd and Hg may exceed the recommended reference standard in maternal blood and umbilical cord blood of some pregant women and fetuses, and the levels of trace elements and heavy metal elements in maternal blood may be associated with those in umbilical cord blood. Regular monitoring of levels of heavy metal elements and appropriate supplement of trace elements are needed during pregnancy.

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    Longitudinal comparison of disease recognition in patients with asthma in Shanghai
    TANG Wei, WAN Huan-ying
    2010, 30 (8):  902. 
    doi: 10.3969/j.issn.1674-8115.2010.08.008

    Abstract ( 1340 )   PDF (4223KB) ( 1315 )  

    Objective To investigate the disease recognition with popularization of knowledge of asthma in patients with asthma in Shanghai. Methods Five hundred and thirty patients with asthma treated in 18 hospitals of 12 districts in Shanghai in 2008 were surveyed with questionnaires, which were concerned with knowledge of asthma inflammation property, asthma diagnosis and monitoring and asthma treatment. The results of survey were compared with findings from 198 patients with asthma treated in the same districts in Shanghai in 2004 surveyed with the same questionnaires. Results A total of 519 effective questionnaires were recovered, with the recovery rate of 97.9%.The percent of patients in 2008 who realized that the chronic inflammation of asthma was not caused by bacterial infection and antibiotics were not needed in the treatment of asthma  was significantly lower than that in 2004 (48.5% vs 64.1%, P<0.05), and the situations were same for those treated either in secondary or tertiary hospitals (P<0.05).  The percent of patients in 2008 who recognized that lung function test should be included in the diagnosis of asthma was significantly higher than that in 2004 (71.4% vs 56.1%, P<0.05), and the situations were same for those treated either in secondary or tertiary hospitals (P<0.05). The percents of patients in 2008 who used peak flow meter for asthma monitoring and who were for routine follow up were significantly higher than those in 2004 (39.5% vs 22.2%, P<0.05; 84.2% vs 62.2%, P<0.05). The majority of patients had a good understanding of drug types and ways of drug delivery in treatment of asthma both in 2008 and 2004. There was no significant difference in the percent of patients who mastered procedures of metered dose inhaling between 2008 and 2004(27.6% vs 24.8%, P>0.05). Conclusion Asthma education has improved disease recognition in patients with asthma in Shanghai in recent years. However, there is still much room for improvement for patients treated in secondary hospitals.

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    Investigation of psychological health condition of undergraduate students in Shanghai universities
    WU Ping, CHEN Fu-guo
    2010, 30 (8):  906. 
    doi: 10.3969/j.issn.1674-8115.2010.08.009

    Abstract ( 2019 )   PDF (4358KB) ( 1336 )  

    Objective To investigate the psychological health condition of undergraduate students in Shanghai universities. Methods From January to February 2009, 1 800 undergraduate students were selected from Shanghai universities, and investigation of psychological health condition was conducted with Symptom Checklist 90 (SCL-90). The findings of SCL-90 were compared with domestic norm(aged 18 to 29 years), and percent of students with psychological disorders was obtained. Furthermore, the total score and scores of each symptom of SCL-90 were compared among students with different characteristics (major, gender, grade, permanent registered residence, single child or not, family economic condition and academic performance). Results A total of 1 533 valid questionnaires were recovered. Compared with domestic norm(aged 18 to 29 years), the percent of students with psychological disorders was 28.4%. The total score and scores of each symptom of SCL-90 of males, junior students, those with extremely poor family economic condition and poorer academic performance were relatively higher, while there was no significant difference in the total score and scores of each symptom of SCL-90 among students with different majors, permanent registered residence and those with or without siblings. Conclusion The prevalence of psychological disorders of undergraduate students in Shanghai universities is relatively higher, and gender, grade, family economic condition and academic performance are major influential factors. Individual psychological health education should be conducted in universites.

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    Effects of |community-based dietary intervention on type 2 diabetes mellitus
    ZHU Jing-fen, XIE Qing-wen, DAI Fei, et al
    2010, 30 (8):  910. 
    doi: 10.3969/j.issn.1674-8115.2010.08.010

    Abstract ( 1925 )   PDF (3894KB) ( 1227 )  

    Objective To investigate the effects of community-based dietary intervention on type 2 diabetes mellitus. Methods One hundred and eighty-seven patients with confirmed type 2 diabetes mellitus were selected from a community in Shanghai, and were randomly assigned to intervention group (n=95) and control group (n=92). Patients in intervention group received dietary intervention and health education for 6 month under the guidance of community doctors, while those in control group did not. The condition of dietary control, knowledge of dietary, parameters of physical examinations, serum glucose and serum lipid were compared before and after intervention between two groups. Results Compared with those before intervention, the rate of favorable dietary control and awareness of dietary knowledge significantly increased after intervention in intervention group (P<0.05), the waist hip ratio and serum triglyceride significantly decreased (P<0.05), the fasting plasma glucose (FPG) and 2 h postprandial glucose (PG2h) significantly decreased, and were significantly lower than FPG and  PG2h of control group (P<0.05). Conclusion Community-based dietary intervention has some effects on the control of type 2 diabetes mellitus.

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    Original article (Public health administration)
    HIV/AIDS national model for health promotion and education
    CAI Yu-yang, SHI Li-li, Himanshu Ardawatia, et al
    2010, 30 (8):  914. 
    doi: 10.3969/j.issn.1674-8115.2010.08.011

    Abstract ( 1733 )   PDF (5376KB) ( 1147 )  

    Objective To establish spread and trends of human immunodeficiency virus/acquired immune-deficiency syndrome (HIV/AIDS) national model as well as to explore computer-visualised case-based pattern of HIV/AIDS education by HIV/AIDS at national levels. Methods A typical data from sub-Saharan African countries were used to design the reference mode. HIV/AIDS model based on the design concept of T21 national model was established in analysing the population, economy and society. Results The national model established and analysed revealed the trend of HIV/AIDS propagation and its corresponding impact on the population, economy and society identified over fifty years. Conclusion The HIV/AIDS national model besides illustrating the spread, trend and hazard of HIV/AIDS on the general population, it is a useful tool for health promotion and education for the entire population.

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    United medical group: positive exploration of Chinese managed health care model
    HUANG Qi-min, HUANG Deng-xiao, GUO Ying-ying, et al
    2010, 30 (8):  919. 
    doi: 10.3969/j.issn.1674-8115.2010.08.012

    Abstract ( 1684 )   PDF (6733KB) ( 1286 )  

    Objective To explore the applicable experience of managed health care model as well as the prospect of united medical group model in China, and put forward suggestions for promoting the healthy development of united medical group. Methods Interviews and small-scale group meetings were conducted to seek the opinions on medical reform from 15 experts of relevant governmental departments and medical institutions in Shanghai. District A undergoing united medical group model and District B and District C with similar model of operation in Shanghai were chosen, and 560 patients (360 in District A, 100 in District B and 100 in District C) and 358 medical staff (258 in District A and 100 in District B) were randomly selected for questionnaire interviews, which were concerned with the operation, results and prospect of united medical group model as well as the feasibility and prospect of managed health care model. Results Favourable prospect of united medical group model was concluded by experts with suspected way of operation. A total of 348 and 556 questionnaires were recovered from medical staff and patients, respectively, with 315 and 544 effective questionnaires, respectively. 72.38% of the respondents held the opinion that managed health care model could be partially applied to united medical group model, and 53.33% believed it was necessary to try the united medical group model. The awareness of models was not ideal among the respondents, unfavourable operation was considered by 66.94%, and there were significant differences in the management of primary care physician system between District A and District B (P=0.000). There were significant differences in the acceptance level of managed health care model between medical staff and patients (P<0.01). Conclusion It is feasible for China to learn from managed health care model under national conditions. Though lack of publicity with poor operation now, united medical group model is a positive exploration of Chinese managed health care model, and may have a sound future.

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    Econometric analysis of influencing factors of government investment in mental health service in Shanghai
    CHEN Yang, ZHAN Guo-fang, ZHAO Ming, et al
    2010, 30 (8):  925. 
    doi: 10.3969/j.issn.1674-8115.2010.08.013

    Abstract ( 2077 )   PDF (3890KB) ( 1239 )  

    Objective To explore the influencing factors of district government investment in mental health service in Shanghai, and provide referrences for financing mechanism of mental health service. Methods The data of government investment in mental health service, populations and economic status, prevalences of mental diseases and status of mental health service supply in 19 districts of Shanghai from 2004 to 2008 were investigated, and the influencing factors of government investment in mental health service were analysed with econometric model. Results The district government investment in mental health service of Shanghai was related to fiscal revenue per capital, gross domestic product per capital, ratios of patients with mental diseases to total populations, accident rates of patients with mental diseases and numbers of medical staff in mental health centers (P<0.05), and accident rate of patients with mental diseases was the most important influencing factor (r=0.715, P=0.000). Conclusion District government in Shanghai should establish a rational financing mechanism in line with the economic status, and allocate a proper budget for mental health service from total government expenditure.

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    Investigations of financing status for mental health service in Shanghai
    CHEN Yang, ZHAN Guo-fang, DING Lei, et al
    2010, 30 (8):  929. 
    doi: 10.3969/j.issn.1674-8115.2010.08.014

    Abstract ( 1678 )   PDF (3053KB) ( 1333 )  

    Objective To investigate the financing status for mental health service in Shanghai, and provide policy advice for improvement of mental health financing mechanism in Shanghai. Methods The income status (government investment, medical income, drug income and the other income) and expenditure status (special financial expenditure, personnel expenditure, public expenditure and individual and family subsidiary expenditure) of Shanghai Mental Health Center and 19 district mental health centers of Shanghai in 2008 were investigated with self-designed questionnaires, and the data of total income and total expenditure of Shanghai mental health institutions in 2008 was obtained. Results The total income of Shanghai mental health institutions in 2008 was 774.610 0 million yuan, and government investment, medical income, drug income and the other income accounted for 21.37%, 48.34%, 28.25% and 2.04%, respectively. The total expenditure of Shanghai mental health institutions in 2008 was 863.399 8 million yuan, and special financial expenditure, personnel expenditure, public expenditure and individual and family subsidiary expenditure accounted for 8.45%, 40.91%, 47.39% and 3.25%, respectively. Conclusion The government investment in mental health service is relatively lower in Shanghai. Government should invest more in mental health service, and establish a multichannel, multidirectional and multilevel financing mode.

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    Investigations in mental health service financing in 19 districts of Shanghai
    CHEN Yang, ZHAN Guo-fang, ZHANG Yun-ting, et al
    2010, 30 (8):  932. 
    doi: 10.3969/j.issn.1674-8115.2010.08.015

    Abstract ( 1639 )   PDF (4678KB) ( 1355 )  

    Objective To analyse the current situations of mental health service financing in 19 districts of Shanghai, and propose advise for improvement of mental health service financing mechanism in Shanghai. Methods The prevalences of mental diseases, conditions of mental health service supply, general financial situations and financing situations of mental health service in 19 districts of Shanghai were investigated, and the problems existing in mental health service financing were analysed. Results Government investment was less than 30% of the total incomes in 13 district mental health centers, and conditions differed significantly among districts. The majority of incomes of mental health centers came from medical treatment and drugs. Conclusion Government investment in mental health service is insufficient now in Shanghai. District government should allocate a rational budget to ensure a favorable mental health service supply.

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    Investigation of labs with different development modes in general hospitals
    YU Wei-jie, WANG Chun-ming, FEI Xin, et al
    2010, 30 (8):  937. 
    doi: 10.3969/j.issn.1674-8115.2010.08.016

    Abstract ( 1619 )   PDF (4783KB) ( 1431 )  

    Objective To investigate and analyse the development of labs with different modes in general hospitals. Methods Seventeen labs with three development modes in Renji Hospital affiliated to Shanghai Jiaotong University School of Medicine were selected, among which 2 were key labs, 1 was central lab and the other 14 were specialty labs. Selfdesigned questionnaires were adopted to investigate the development status of labs with different modes, and the development trend of labs were explored with interview and group discussion. Results The experiment area and numbers of staff, precision instrument, clinical test programs, cultivated graduate students and research programs in key labs far surpassed those of central lab and specialty labs. The percent of staff with master or doctor degree in key labs was higher than that in specialty labs, and the number of precision instrument purchased after 2005 was much higher than those in central lab and specialty labs. In 2008, 29 graduate students conducted thesis-related research in central lab, with 11 tertiary disciplines which accounted for 42.31% of all the disciplines. Conclusion Key lab leads the comprehensive development, and central lab has exhibited the characteristics of broad coverage of disciplines.

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    Comparative analysis of working situation and social support between local and migrant female nursing workers in Shanghai
    QIN Mei-jiao, FU Xiao-ting, HANG Wan-jun, et al
    2010, 30 (8):  941. 
    doi: 10.3969/j.issn.1674-8115.2010.08.017

    Abstract ( 2031 )   PDF (2809KB) ( 1222 )  

    Objective To investigate the differences in income, labor security and social support between local and migrant female nursing workers in Shanghai. Methods Female nursing workers from 29 hospitals of 12 districts in Shanghai were selected by random sampling, and were investigated with questionnaires which were involved with basic personal information, working time, average monthly income, pre-post training, labor security and social support. Results It was found that 82.11% of migrant female nursing workers in Shanghai and 24.32% of local female nursing workers did not have overtime wages (P<0.05), 25.23% of local female nursing workers and 89.78% of migrant female nursing workers did not sign labor contracts (P<0.05), and 46.74% of local female nursing workers were trained for at least half a year, while 95.92% of migrant female nursing workers were trained for less than 3 months. Besides, support attitude from family members had influence on self-assessment of female nursing workers (r=0.288, P<0.05). Conclusion There exist significant differences in basic condition, working time, average monthly income, pre-post training, labor security and social support demand between local and migrant female nursing workers in Shanghai. Household registration discrimination should be abandoned, and social support network system should be established for social support demand of migrant female nursing workers.

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    Survey on utilization of community health services and influential factors for residents in Shanghai
    SHEN Tian, CHENG Hua, CHEN Zhuo-jun, et al
    2010, 30 (8):  944. 
    doi: 10.3969/j.issn.1674-8115.2010.08.018

    Abstract ( 2052 )   PDF (5749KB) ( 1514 )  

    Objective To investigate the utilization of community health services for residents in Shanghai, and analyse the influential factors. Methods Cluster random sampling was adopted to enroll residents in Jing'an District, Changning District, Pudong New Area and Baoshan District of Shanghai to investigate the utilization of community health services, and self-designed questionnaires were recovered for descriptive statistics and influential factor analysis. Results A total of 3 187 out of 3 600 questionnaires were recovered, with the effective rate of 88.53%. The comprehensive utilization rate of community health services for residents in Shanghai was 80.9%. The females, elderly, retirees, those with low education level, low income, spouse loss, medical insurance or social insurance, and those who served in state-owned enterprises or collective enterprises had higher utilization rates of community health services. Medical treatment and medicine purchase were the items of services most frequently used (62.7% and 21.7%, respectively), while the utilization rates of health protection, health education, health examination and rehabilitation were less than 20%. Conclusion Comprehensive utilization of community health services is favorable for residents in Shanghai, while there are some items of services with less utilization. Age, education background and income are major influential factors for utilization of community health services.

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    Analysis and policy suggestion on hospitalizing intention of residents in Shanghai
    BAO Yong, DU Xue-li, ZOU Lu-ming, et al
    2010, 30 (8):  948. 
    doi: 10.3969/j.issn.1674-8115.2010.08.019

    Abstract ( 2070 )   PDF (4127KB) ( 1391 )  

    Objective To investigate the hospitalizing intention of residents in Shanghai, and put forward policy suggestion. Methods Three thousand and six hundred residents were selected by random stratified sampling from 2 urban districts, 2 rural-urban fringe districrts and 2 suburban districts. Four hundred outpatients (200 from hospitals and 200 from community health centers) and 200 inpatients (from hospitals) were selected from each district for a questionnaire-based survey, which included basic information of patients, level of preferred hospital and reason for the choice of hospitals. Results A total of 3 244 questionnaires were recovered, with the recovery rate of 90.1%. For outpatients, 56.3% preferred community health centers, and 34.0% superior hospitals. For inpatients, 38.3% preferred community health centers, and 42.9% superior hospitals. For outpatients, 44.8% made the choice for close distance, 31.2% for high-quality medical care, 10.3% for friendly service, and 5.2% for low cost. For inpatients, 49.9% made the choice for high-quality medical care, 27.2% for close distance, and 7.6% for friendly service. Conclusion A new type of medical and health service delivery model should be constructed for residents in Shanghai. Much attention should be paid to the 2-level medical service system of regional medical service center and primary health care institution.

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    Study on causality assessment of adverse drug reactions
    LIN Jian-ying, HUANG Deng-xiao, SHENG Hong-bin, et al
    2010, 30 (8):  951. 
    doi: 10.3969/j.issn.1674-8115.2010.08.020

    Abstract ( 2201 )   PDF (5208KB) ( 1508 )  

    Objective To explore a quantitative method of causality assessment of adverse drug reactions (ADR). Methods By means of literature review and expert consulatation, 14 indexes of criteria level in ADR causality assessment were obtained, sub-criteria level was established for each parameter accordingly, and a questionnaire was designed. Sixty-five professionals in ADR assessment from Shanghai Food and Drug Administration and medical institutions of all levels in Shanghai were surveyed and asked to complete the questionnaires based on their knowledge and experience. Analytic hierarchy process and synthetic index method were employed to establish the quantization standard of ADR causality assessment. Ten cases of ADR reporting to national ADR monitoring center from a given company were randomly selected for demonstration. Results Index weights at criterion level and sub-criterion level were drawn after calculation, and a five-grade quantitative criterion of ADR causality assessment was proposed. The results of demonstration with 10 cases were consistent with the available findings. Conclusion The proposed fivegrade quantitative method of ADR causality assessment can serve as referrences for ADR compensation mechanism.

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    Evaluation on effects of community management on 1 671 patients with type 2 diabetes mellitus in Shanghai
    TIAN Zhao-zhao, SHI Rong
    2010, 30 (8):  956. 
    doi: 10.3969/j.issn.1674-8115.2010.08.021

    Abstract ( 1928 )   PDF (4294KB) ( 1406 )  

    Objective To evaluate the effects of community management on blood glucose control in patients with type 2 diabetes mellitus (T2DM) in Shanghai. Methods A total of 1 671 patients with T2DM randomly selected from 6 community health service centers with T2DM management in Shanghai were surveyed with questionnaires, and were divided into management group 1(poor in glucose control, n=725) and management group 2 (good in glucose control, n=946). Influencing factors of fasting blood glucose (FBG) and postprandial 2 hours blood glucose(PBG)in two groups were analysed by multivariate Logistic regression analysis. Results FBG and PBG of patients in management group 1 were (8.62±2.93) mmol/L and (11.51±3.95) mmol/L respectively, those in management group 2 were (6.77±2.24) mmol/L and (9.22±2.88) mmol/L respectively, and both were significantly different from reference standard (7 mmol/L for FBG and 10 mmol/L for PBG)(P<0.001). Logistic regression analysis revealed that duration of disease, frequency  of health education, design of exercise program and adjustment of diet and exercise were influencing factors on FBG or PBG of patients in management group 1, and duration of disease, two-way referral and administration of diet program were influencing factors on FBG or PBG of patients in management group 2. Conclusion Blood glucose of patients with T2DM may be under control in community, and community health service centers should conduct diet and exercise intervention and follow-up among patients with T2DM, especially for those with poor blood glucose control.

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    Survey analysis of consultation settlement for medical disputes in 30 medical institutions of Shanghai
    GAO Jian-wei, CAO Wen-mei, XU Yue-he, et al
    2010, 30 (8):  960. 
    doi: 10.3969/j.issn.1674-8115.2010.08.022

    Abstract ( 1760 )   PDF (4197KB) ( 1518 )  

    Objective To investigate the conditions of consultation settlement for medical disputes in medical institutions of Shanghai, and provide referrences for improvement of medical dispute settlement. Methods Thirty medical institutions of Shanghai were surveyed with self-designed questionnaires, which included the aspects of department setting, staff allocation, number of medical disputes with consultation settlement in 2007 and 2008 and recognition on consultation settlement for medical disputes in medical institutions. Results There were specific departments for management of medical disputes in each institution, with a total of 63 staff in all institutions and full-time staff in 15 institutions (50%). Those with consultation settlement accounted for 88.5% and 90.1% respectively of all the medical disputes in 2007 and 2008. When medical disputes arose, 24 institutions (80.0%) were willing to resolve by consultation, 25 (83.3%) adopted consultation settlement for social stability, 21 (70.0%) determined the compensation amount by compromise with patients, 29 (96.7%) concluded contracts with patients by written form, and 21 (70.0%) drafted contracts by themselves. Conclusion Harmonious relationship between medical institutions and patients is important, and medical institutions should improve the mechanism in consultation settlement for medical disputes.

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    Cost-effectiveness analysis of domestic and imported drug eluting stents in patients undergoing treatment of acute myocardial infarction
    ZHANG Yun-ting, LI Na, CHEN Yang, et al
    2010, 30 (8):  964. 
    doi: 10.3969/j.issn.1674-8115.2010.08.023

    Abstract ( 2158 )   PDF (5135KB) ( 1494 )  

    Objective To investigate the clinical effects, safety and cost of domestic and imported drug eluting stents in patients undergoing treatment of acute myocardial infarction. Methods The data of 440 patients undergoing treatment of acute myocardial infarction with domestic drug eluting stents (n=318, domestic stent group) or imported drug eluting stents (n=122, imported stent group) in two hospitals of Shanghai were obtained by chart review and telephone follow-up from January 2007 to June 2009. Comparison and analysis were conducted in two groups with effect, safety and economic parameters as dependent variables and the other related factors of patients as independent variables. Results There was no significant difference in mortality during hospitalization, mortality in one year of follow-up, percent of recurrence of myocardiopathy and percent of a second conventional coronary angiography (CAG) or a second percutaneous coronary intervention between two groups (P>0.05). The cost of drug eluting stents per person and cost of each drug eluting stent in imported stent group were significantly higher than those of domestic stent group (P<0.001). Patients with medical insurance paid much less for drug eluting stents per person than those without medical insurance (P<0.05). No matter with medical insurance or not, patients in imported stent group paid much more for drug eluting stents per person than those in domestic stent group (P<0.05). Conclusion Domestic drug eluting stents have better cost-effective properties than imported drug eluting stents in treatment of acute myocardial infarction. Higher payment ratio should be implemented on imported drug eluting stents for a more widely use of domestic drug eluting stents.

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    Effects of comprehensive intervention with peer education on AIDS prevention among female migrant workers in Shanghai
    XU Ai-jun, SHI Rong
    2010, 30 (8):  969. 
    doi: 10.3969/j.issn.1674-8115.2010.08.024

    Abstract ( 1663 )   PDF (4438KB) ( 1384 )  

    Objective To investigate the effects of comprehensive intervention with peer education on acquired immunodeficiency syndrome (AIDS) prevention among female migrant workers in Shanghai. Methods Two manufactories in Pudong New Area of Shanghai similar in scale and characteristics with female migrant workers as major staff were selected, and 329 female migrant workers were enrolled by cluster random sampling method. Female migrant workers in one manufactory were served as peer education intervention group (n=211), and those in the other manufactory were served as conventional intervention group (n=118). The baseline data of two groups were obtained by questionnaire survey, and interventions were conducted respectively in both groups. Comprehensive intervention with peer education was conducted in peer education intervention group, and comprehensive intervention without peer education was carried out in conventional intervention group. Ten days after intervention, questionnaires were sent out again for evaluation of effects of intervention by scores and awareness rates of AIDS-related knowledge and analysis of influence factors by multivariate Logistic regression analysis. Results The average scores of AIDS-related knowledge in both peer education intervention group and conventional intervention group before intervention were 11, and were increased to 15 and 13, respectively after intervention. There were significant differences between scores of AIDS-related knowledge before intervention and those after intervention in both groups and between scores of two groups after intervention (P<0.05 or P<0.01). Of all the awareness rates of 17 items of AIDS-related knowledge, those of 12 and 6 items were significantly increased in peer education intervention group and conventional intervention group, respectively. Multivariate Logistic regression analysis revealed that the total score of AIDS-related knowledge after intervention was related to peer education and AIDS-related health education, and discussion on emotion and sex with workmates (P<0.05). Conclusion The effects of comprehensive peer education in AIDS prevention among female migrant workers in Shanghai are better than those of conventional intervention, and peer education is one of the independent influential factors of total score of AIDS-related knowledge after intervention.

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    Application progress of clinical pathway for diabetes management
    LI Mian, BI Yu-fang
    2010, 30 (8):  973. 
    doi: 10.3969/j.issn.1674-8115.2010.08.025

    Abstract ( 2029 )   PDF (4103KB) ( 1346 )  

    The prevalence of diabetes mellitus has increased substantially over the past years. As a new strategy for improving disease management, clinical pathway for diabetes mellitus management has been extensively developed. In this review, the application status, implementation procedures, problems and strategies of clinical pathway for diabetes mellitus management are reviewed.

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    Original article (Teaching administration)
    Status survey on resident/specialist training of Shanghai Jiaotong University School of Medicine
    ZHANG Xiong, NI Wei-jie, JIA Na-er, et al
    2010, 30 (8):  977. 
    doi: 10.3969/j.issn.1674-8115.2010.08.026

    Abstract ( 1654 )   PDF (5479KB) ( 1507 )  

    Objective To explore an characteristic resident training mode of Shanghai Jiaotong University School of Medicine with improved efficiency and quality of training on the basis of status investigation and practical experience. Methods Two self-designed questionnaires were designed for survey in residents and instructors of 10 hospitals, and the obtained data were statistically analysed. Results The program of standardized resident training had drawn greater attention from each hospital, and some valuable experience had abtained. However, there still existed many problems in quality monitoring and assessment of training. Conclusion Clinical skills and comprehensive capabilities should be enhanced in residents, and new resident training management system should be explored.

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    Sampling survey on perception of general practice education in medical students
    XIE Qing-wen, TANG Hong-mei, ZHU Jing-fen, et al
    2010, 30 (8):  982. 
    doi: 10.3969/j.issn.1674-8115.2010.08.027

    Abstract ( 1673 )   PDF (4379KB) ( 1361 )  

    Objective To investigate the perception of general practice education in medical undergraduate students, and explore the necessity of general practice education. Methods Juniors of five-year clinical medicine major who had not received systematic general practice compulsory courses in Shanghai Jiaotong University School of Medicine were selected, and surveys with self-designed questionnaires including willingness of learning general practice courses, willingness of being general practitioners and suggestions on general practice education were conducted. Results All questionnaires (n=92) were valid and were recovered. 63.0% of the students who would not work in community health service centers in future considered it necessary to receive general practice education, and the percents of those who would not be general practitioners and who would like to be specialists in future were 65.2% and 77.2%, respectively. 66.3% of the students were willing to become general practitioners, and the main reason was employment pressure (31.1%). Students who were unwilling to be general practitioners due to "small room for potential development" and "lower social status" accounted for 35.0% and 30.0%, respectively. 70.7% of the students considered it necessary to open general practice courses in medical colleges, and 56.6% suggested the ratio of theory courses to practice courses might be 2∶1 or 1∶1. Conclusion The majority of medical students think it necessary to receive general practice education. It is important for medical colleges to conduct more general practice-related education, and more favorable policies should be implemented for government to attract more medical students to be general practitioners in future.

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    Multiple regression analysis of influencing factors for critical thinking ability of medical students
    ZHANG Ya-qing, LI Li-sha, CHEN Ying, et al
    2010, 30 (8):  986. 
    doi: 10.3969/j.issn.1674-8115.2010.08.028

    Abstract ( 2265 )   PDF (5526KB) ( 1710 )  

    Objective To analyse the influencing factors for critical thinking ability of students majored in clinical medicine and nursing, and provide referrences for critical thinking ability cultivation in medical students. Methods A total of 590 students majored in clinical medicine and nursing were selected by cluster sampling method, and questionnaires of Critical Thinking Disposition Inventory-Chinese Version (CTDI-CV) were adopted for survey. With critical thinking ability as dependent variable and general conditions and related variables (gender, grade, major, educational background, only child, religious belief, family information, census register, health condition, part-time job, time of extracurricular reading, loving one's profession, practical training, sense of achievement, understanding of critical thinking ability and personality) as independent variables, influencing factors for critical thinking ability were screened with multiple linear regression analysis. Results Critical thinking ability was significantly related to sense of achievement, time of extracurricular reading, understanding of critical thinking ability and religious belief in medical students (P<0.01). Conclusion Cultivating sense of achievement, enhancing extracurricular reading ability, deepening understanding of critical thinking ability and establishing a scientific world outlook and methodology may be effective ways to develop critical thinking ability of students majored in clinical medicine and nursing.

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    Investigation in current curriculum system and regulation requirement of preventive medicine undergraduate major
    TANG Hong-mei, WANG Xiao-lei, XIE Qin-wen, et al
    2010, 30 (8):  991. 
    doi: 10.3969/j.issn.1674-8115.2010.08.029

    Abstract ( 1942 )   PDF (4463KB) ( 1314 )  

    Objective To investigate and analyse the program objective and curriculum system of preventive medicine undergraduate major, and provide basis for the curriculum system reform. Methods Two hundred and twenty-five medical professionals or teachers in Shanghai were investigated with questionnaires, which were concerned with aspects of program objective, curriculum system, teaching contents and teaching methods of preventive medicine undergraduate major. Results 63.6% of participants believed that the current program objective of preventive medicine undergraduate major could meet the actual demand of public health undertakings, and 44.4% pointed out that 40% to 60% of knowledge learned from colleges could be utilized in work. 83.6% of participants recommended to adopt an integrated design of experiment, 91.5 % agreed to open more optional courses, 55.1% proposed to go on a field trip to Center for Disease Control or Department of Health Supervision for at least 6 months, more than 60% suggested to offer courses such as community medicine, communication and behavioral science, 91.6% advised to participate in the field investigations, and 87.6% and 67.1% offered to enrich the classes with case analysis and multimedia, respectively. Conclusion The program objective and curriculum system of preventive medicine undergraduate major should be regulated to fit the changes in medical modes and effectively solve the problems of public health.

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    Comparison of evidence-based medicine education between postgraduates and undergraduates
    ZHANG Jing, QIU Yu-lan, MU Yong-cheng
    2010, 30 (8):  995. 
    doi: 10.3969/j.issn.1674-8115.2010.08.030

    Abstract ( 2061 )   PDF (4046KB) ( 1241 )  

    Objective To determine the different teaching key points and aim of evidence-based medicine education for postgraduates or undergraduates. Methods One hundred and fifty-one postgraduates and 55 undergraduates taking evidence-based medicine elective course were surveyed with questionnaires, which included four aspects of knowledge, attitudes, practice and barriers to evidence-based medicine. Results Both postgraduates and undergraduates had less knowledge of evidence-based medicine and agreed that it was difficult to practice evidence-based medicine, and there was no significant difference in these two aspects between them. However, there were significant differences in the aspects of attitudes and barriers to evidence-based medicine between postgraduates and undergraduates (P<0.05), and postgraduates held more interests, and more postgraduates thought it necessary to learn evidence-based medicine course. Conclusion Evidence-based medicine education should progress with different teaching key points at each stage.

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    Survey of mental health of art school students in Shaoxing
    GUO Ping, WANG Wei, GAO Wen-bin
    2010, 30 (8):  999. 
    doi: 10.3969/j.issn.1674-8115.2010.08.031

    Abstract ( 1616 )   PDF (4267KB) ( 1361 )  

    Objective To investigate the mental health status and personality characteristics of art students in Shaoxing. Methods Four hundred and sixty-eight students were selected from three art schools in Shaoxing by stratified clustered random sampling, and were surveyed with Psychological Health Inventory (PHI). The validity of PHI was measured by three validity subscales, the mental health status of subjects were evaluated by seven clinical subscales, raw scores of subscales were compared with Chinese norms, and were statistically analysed with T scores. Results Four hundred and twenty-six valid scales were recovered, with the recovery rate of 91.02%. The raw scores of subscales of male subjects were higher than Chinese norms, and statistical differences were found in all the clinical subscales (P<0.05 or P<0.01) except the subscale of hypochondria. There was no significant difference in the raw scores of subscale of psychopathic deviate between female subjects and Chinese norms. The raw scores of subscale of depression and hypomania in female subjects were significantly higher than Chinese norms (P<0.01), while those of the other subscales were significantly lower than Chinese norms (P<0.01). The main psychological problems of art school students were hypomania (19.48%), unreality (19.01%) and depression (15.02%). The detection rates of deviant personality (60≤T score<70) and psychopathic personality (T score≥70) were 44.37% and 17.61%, respectively. The detection rate of psychopathic personality in male subjects (31.2%) was significantly higher than that in female subjects (14.6%)(P<0.01). Conclusion Psychological monitoring and education should be conducted among art school students with 60≤T score <70 or T≥70 in PHI, and individual psychological intervention should be performed accordingly.

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    Investigation and analysis of excellent course website construction of Shanghai Jiaotong University School of Medicine
    LI Chun-hong, TANG Hong-mei
    2010, 30 (8):  1003. 
    doi: 10.3969/j.issn.1674-8115.2010.08.032

    Abstract ( 2058 )   PDF (5403KB) ( 1164 )  

    Objective To investigate the current situation of excellent course website construction of Shanghai Jiaotong University School of Medicine, and explore room for improvement. Methods Two hundred teachers and 1 668 students were randomly selected from Shanghai Jiaotong University School of Medicine, and survey with questionnaires on excellent course website construction of Shanghai Jiaotong University School of Medicine including the purpose of website visit, frequency of website visit, quality of website resource, usability of website, problems in website visit and advice for improvement of website construction was conducted. Results One hundred and fifty-six effective questionnaires were recovered from teachers, with the recovery rate of 78.0%, and 1 489 effective questionnaires were recovered from students, with the recovery rate of 89.3%. 47.4% teachers and 52.9% students visited the websites for 1 to 3 times each month. 78.1% basic medicine teachers thought the website resource could meet the requirement of education, which was higher than clinical medicine teachers (56.5%) (P<0.01). 68.7% junior teachers were satisfied with the quality of website resource, which was higher than senior teachers (47.2%)(P<0.01). There existed inconvenience for the website end users such as unavailability to browse some contents and low illustration speed. Conclusion A self-managed and configurable excellent course website with easy availability should be constructed to effectively serve the medical education.

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    Current situations of domestic and overseas medical higher vocational education
    LI Yang
    2010, 30 (8):  1008. 
    doi: 10.3969/j.issn.1674-8115.2010.08.033

    Abstract ( 1540 )   PDF (4516KB) ( 1208 )  

    Medical higher vocational education, whose main task is to cultivate application talents to meet the needs of regional economic development, is an important part of higher vocational education. The analysis of development modes, development status and development trends of domestic and overseas medical higher vocational education may help to explore the suitable way to the development of medical higher vocational education in China. The current situations of education system, management system, professional set-up and curriculum structure, and teaching staff of domestic and overseas medical higher vocational education are introduced in this paper.

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    Brief original article
    Analysis of medical cost of patients with mental disorders under government assistance in Zhejiang Province
    WANG Shi-kai, GUO Ping, QIAN Min-cai, et al
    2010, 30 (8):  1012. 
    doi: 10.3969/j.issn.1674-8115.2010.08.034

    Abstract ( 1577 )   PDF (4040KB) ( 1280 )  

    Objective To analyse the medical cost of patients with mental disorders under government assistance in Zhejiang Province. Methods Three hundred and thirty-one patients with mental disorders under government assistance were selected from Huzhou Mental Health Center(n=123) and Shaoxing Mental Health Centers (n=208) between 2006 to 2009, and another 331 patients with mental disorders without government assistance were also selected from Huzhou Mental Health Center (n=123) and Shaoxing Mental Health Centers (n=208) between 2006 to 2009. The categories of mental disorders and physical conditions of patients with mental disorders under government assistance were analysed, and daily medical cost was compared between patients with mental disorders under government assistance and those with mental disorders without government assistance. Results The main categories of mental disorders in patients with mental disorders under government assistance in Huzhou and Shaoxing were schizophrenia (67.4%), mental retardation and dementia (16.3%), and mental disorders due to use of alcohol (9.1%). Meanwhile, 38.9% of patients with mental disorders under government assistance suffered from physical diseases such as digestive tract diseases (24.5%) and respiratory tract infection (16.9%). Daily medical cost of patients with mental disorders under government assistance was significantly lower than that of patients with mental disorders without government assistance in Shaoxing (P<0.05), and the same condition was found in Huzhou (P<0.01). Daily medical cost of patients with mental disorders under government assistance complicated with physical diseases was significantly higher than that of patients with mental disorders under government assistance without physical diseases (P<0.01). However, there was no significant difference in daily medical cost between patients in Huzhou and those in Shaoxing (P>0.05). Conclusion Medical cost of patients with mental disorders under government assistance is much lower than that of patients with mental disorders without government assistance, but it is still relatively higher. Medical cost may be lowered with sufficient government assistance to those needed by reducing hospitalization duration, establishing basic system of medication and treatment, and conducting regular free drug administration and follow up.

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    Improvement of physical quality of college students by aerobic exercise with device training
    XU Zhong-ming, NI Yi, ZHU Jian-nian
    2010, 30 (8):  1015. 
    doi: 10.3969/j.issn.1674-8115.2010.08.035

    Abstract ( 1751 )   PDF (2811KB) ( 1319 )  

    Objective To investigate the effectiveness of aerobic exercises with device training for improvement of physical quality of college students. Methods One hundred female college students of each grade were enrolled, and aerobic exercises with device training were conducted for 15 weeks. The changes of physical quality, physiological function and body compositions were determined and analysed before and after aerobic exercises with device training. Results With regard to the physical quality, the abilities of high jump and long jump significantly improved after aerobic exercises with device training(P<0.01). Compared with those before aerobic exercises with device training, the physiological function of heart rate, vital capacity and indexes of stair exercises were in a much better condition after aerobic exercises with device training (P<0.01). Furthermore, the body compositions including weight, fat distribution, body mass index and waist to hip ratio also approached to the standard condition after aerobic exercises with device training, and were significantly different from those before aerobic exercises with device training (P<0.01). Conclusion Aerobic exercises with device training can improve physical quality and body shape of female college students.

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    Technique and method
    Isolation and identification of cellulose-degrading bacteria under room temperature
    CHEN Yan, ZHOU Sun-quan, ZHENG Qi-shi, et al
    2010, 30 (8):  1018. 
    doi: 10.3969/j.issn.1674-8115.2010.08.036

    Abstract ( 2952 )   PDF (4710KB) ( 1541 )  

    Objective To isolate and culture the bacteria that can degrade cellulose under room temperature. Methods Samples of decayed leaves (n=6), surface soil (n=6) and polluted water (n=2) were collected, and were seeded into multiple fiber media. Compound cellulose media were used for screening, carboxymethyl cellulose sodium(CMC-Na) plates were employed for isolation, enriched media were adopted for culture, and cellulose-degrading bacteria were obtained after cellulase activity detection under temperature of 22 ℃. Genomic DNA was extracted from these bacteria, and was sequenced with universal primers for 16S rDNA. The results of sequencing were aligned with the data of Genebank to identify the target bacteria. Results Three strains of cellulose-degrading bacteria were isolated, with the cellulase activity of 0.028 μg/min, 0.57 μg/min and 1.2 μg/min, respectively. Sequencing analysis revealed that the matching rates between these 3 strains of bacteria and Paenibacillus, Candidatus Chryseobacterium massiliae and Chryseobacterium were 99%, 97% and 97%, respectively. Conclusion Cellulose-degrading bacteria can be isolated from decayed leaves, surface soil and polluted water bodies under room temperature.

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