2011年 · 第05卷第01期

Spring returns to the earth, and everything is renewed. 2011 is the fifth year of the establishment of Chinese Journal of Health Management. In the big family of Chinese Medical Association series magazines, this journal can achieve today's achievements. First of all, I would like to thank Chinese Medical Association Magazine for its continuous care and guidance, and at the same time, I would like to thank the experts, readers and authors who love this journal for their support and love. In 2011, which coincides with the opening year of China's "Twelfth Five-Year Plan", we will continue to implement the policies of the Party and the state on health work on the basis of the past, implement the principle of combining theory with practice, popularization and improvement, and strive to promote academic exchanges in health management, and promote the development of health management disciplines and talent building.

The prevalence of diabetes mellitus (DM) is increasing year by year. Using the convenience of self-developed special statistical analysis system for health examination and information management of health examination, we analyzed the physical examination data of 30 704 employees in Jinan Railway Bureau in the past five years. The results are reported as follows.

With the development of society and economy, the process of international urbanization in Wuhan is getting faster and faster, and more and more foreigners come to Wuhan. In order to ensure and facilitate the treatment of foreign guest patients, our hospital opened the special ward for foreign guest patients on May 1st, 2006, and signed contracts with many international and domestic groups and organizations. So far, 206 patients from 23 countries around the world have been treated, and their inpatient medical diagnosis and treatment have been retrospectively analyzed, and their experience has been summarized, aiming at continuously improving, perfecting and improving the level of foreign-related medical services. The analysis of the present report is as follows.

In recent years, the rate of re-selection and referral to others in medical abortion (mifepristone combined with misoprostol) is significantly higher than in surgical abortion^[1]But it is still a last resort remedy after contraceptive failure. Therefore, understanding the awareness rate of reproductive health knowledge of patients with medical abortion and improving their reproductive health are important topics for family planning workers to study under the new situation. This paper uses a questionnaire to comprehensively analyze the reproductive health knowledge level and influencing factors of 133 patients with medical abortion, so as to provide data for further comprehensive health education among patients with medical abortion, and provide relevant basis and reference for effectively reducing the occurrence of unwanted pregnancy.

Osteoporosis (OP) is a systemic skeletal disease characterized by bone mass reduction, bone density reduction, bone fragility and increased fracture risk caused by changes in bone tissue microstructure. Osteopenia is often accompanied by changes in biochemical markers of bone metabolism. Type Ⅰ collagen C-telopeptide (β-CTx) is the most widely used biochemical metabolic marker of collagen degradation at present, and its level reflects the bone resorption activity of osteoclasts. It is an effective biochemical marker of metabolic bone disease characterized by significant enhancement of osteoclast activity^[1]。 Ultrasonometry (QUS) is a commonly used method for the determination of bone mineral density (BMD) to screen for osteoporosis and predict the risk of osteoporotic fractures^[2]。 In this study, the measured values of β-CTX and ultrasound bone mineral density in healthy people were grouped and controlled to analyze their application in osteoporosis screening and their correlation.

Helicobacter pylori (HP) is a kind of bacteria parasitizing the surface of human gastric mucosa. HP infection is closely related to chronic active gastritis, gastroduodenal ulcer and gastric cancer^[1]。 HP infection is widespread in all parts of the world, and the infection rate of HP in our population is 30% ~60%^[2]。 Therefore, HP detection is of great significance for early detection and treatment of HP infection and prevention of related diseases.¹³C urea breath test and HP antibody detection are two kinds of HP detection methods commonly used in clinic. The HP detection rates of different genders, ages and sources of physical examination in health examination and the use of the two methods are compared and analyzed, so as to accumulate data for the research of health examination.

In the 1930s, the concept of quality of life (QOL) was first put forward in the United States, which has gradually attracted attention and attention since then. In 1985, the US FDA requested that the clinical trial evaluation of new anti-cancer drugs should have both data for improving survival time and quality of life^[1]。 At present, the evaluation of quality of life, clinical physiological indexes and economic evaluation have become the routine indexes of prevention and clinical intervention measures.

With the increase of global environmental risk and health risk factors and the continuous increase of public health emergencies in China, the emergence of public health problems and the epidemic situation of chronic diseases have caused serious damage to public health. According to the World Health Organization (WHO) study: 1/3 of human diseases can be avoided through preventive care; One-third of diseases can be effectively controlled by early detection; Another one-third of diseases can improve the treatment effect through communication of information. In the 21st century, medicine with disease as the research object has developed into human health as the research object. Medicine will also enter the era of prediction, prevention, personalized treatment and health management. People' s health concepts and public demand for medical and health information are changing, and the society needs to provide relevant academic platforms to disseminate health knowledge. In the network age, its interactive mode and characteristics have given birth to a large number of new media and information expression forms. In the practical research of health information service by relevant institutions and scholars in China, as of September 5, 2009, 835 related papers were searched in the literature collected by China Academic Journal Network with the theme of "health information service", and it was found that there is a general lack of research on the concept and practice of health information service for the public in China. To study and solve these problems, this paper holds that, first of all, the government should guide from the policy formulation, so that the practice development of health information service in China has a good network platform and running environment, perfect the public health information service system, form a platform to support self-health management and public health information service, fully meet the public health information needs, solve the conflict between health resources and needs, and save medical resources. This plays an important role in improving public health information literacy, health level and quality of life.

Clinical work focuses on diagnosis and treatment, but what is at the core of health management? That is the management of health risk factors. Specifically, it is the identification, evaluation and intervention of risk factors. Regarding the concept of health risk factors, from the perspective of population health and epidemiology, all factors that can increase the risk of morbidity and death in the population can be regarded as risk factors, and they are also the concept of etiology at the epidemiological level. Therefore, risk factors, like etiology, conform to the law of causal inference in probability theory, that is, risk factors must occur before the disease, and the increase of morbidity probability in the population caused by risk factors is not interfered by other factors (mixed factors).

With the transformation of biomedical model to bio-psychological-social medical model, the research on the risk factors of cardiovascular disease has been extended to include behavioral characteristics, emotional states, life events and personality characteristics in recent years. In clinical work, we should not only pay attention to the diagnosis of physical diseases, but also pay attention to the investigation, evaluation and intervention of related psychosocial factors of cardiovascular patients. The treatment of patients is not only limited to physiological drug treatment, but also pay attention to their psychological problems. It is of great significance to give comprehensive psychological training as soon as possible.

Refined health management of flight personnel can effectively promote the health of groups and individuals, improve the quality of healthy life, improve the working ability and prolong the working years of aviation operations.

Health management is the whole process of comprehensive detection, analysis, assessment, prediction and prevention of health risk factors of individuals or populations^[1]。 Different from the concept of traditional medical model, it can effectively reduce the health risks of individuals or groups, reduce the waste of medical resources, and increase the healthy life span and quality of life of modern people^[2]。 As a collective unit of labor force, enterprises have organizational advantages and innate conditions to carry out health management. Implementing the new mode of health management will help enterprises to reserve healthy human capital, improve labor force, reduce human resource losses and reduce medical expenses. It is more important to improve the health status of employees, identify potential risk factors, provide necessary health interventions and medical care measures, and improve the physical and mental health level of employees.

Since the 1980s, besides teaching and research, universities have also undertaken the task of economic development. They play a unique role in the triple helix structure of university-industry-government, and serve the economic development of the country and the region. "Entrepreneurship" has become a new task of universities. This kind of entrepreneurial behavior is prominently manifested in developing high technology, promoting new industries, and transferring knowledge and technology generated by universities to economic activities^[1]。 A number of European and American universities, such as MIT, give full play to their own advantages, promote their own development by serving regional economic and social construction and improving national competitiveness, thus giving birth to the development mode of entrepreneurial universities. The basic characteristics of entrepreneurial universities are academic entrepreneurship and knowledge capitalization. Entrepreneurial universities emphasize the role of universities in socio-economic development. Universities should not only impart knowledge, but also cultivate students' entrepreneurial ability; Not only to generate knowledge and transfer technology, but also to directly participate in and serve entrepreneurial activities^[2,3]。