2012年 · 第06卷第04期

Diabetes risk assessment is used to describe and estimate the likelihood that an individual will develop or die of diabetes in the future. Through diabetes risk assessment, individuals can comprehensively understand health risks, stimulate individuals to change bad lifestyles, formulate individualized health interventions, and evaluate the effectiveness of interventions. In this issue, Ma Aijuan et al's article studied the self-health management with the help of the risk assessment method of diabetes in adults in China, which can reduce the risk of high-risk people to a certain extent, control the progress of risk factors, and prevent or delay the occurrence of diabetes.

In 2002, the General Office of the State Council forwarded the "Opinions on Further Strengthening the Rehabilitation of the Disabled" issued by the Ministry of Health and other departments, proposing the goal of achieving "rehabilitation services for all persons with disabilities" by 2015. In recent years, the rehabilitation of the disabled has been gradually incorporated into the urban and rural grass-roots health service network, the standardized management of rehabilitation service institutions and the construction of rehabilitation talent teams have been further strengthened, and the medical and rehabilitation security system for the disabled has been gradually established. According to statistics, during the "Eleventh Five-Year Plan" period, through the implementation of a number of key rehabilitation projects, 10.379 million disabled people have been rehabilitated in different degrees^[1]。

Studies show that the incidence of coronary heart disease in premenopausal women is only 0.1% ~0.3% of that in men^[1]While the incidence of postmenopause increased sharply, reaching a level similar to that of men. Brachial-ankle pulse wave velocity (baPWV) is gaining increasing attention as a noninvasive method for assessing arterial stiffness. This study discussed the changes and influencing factors of baPWV in perimenopausal women by analyzing the measurement of baPWV in perimenopausal women.

Bone density can reflect the degree of osteoporosis, and it is also an important basis for predicting the risk of fracture. As a special group, military cadres work at their desks for a long time, eat irregularly, and exercise less. It will have an impact on the bone density and bone strength of such people. We use ultrasound bone densitometer to detect the bone density of male government officers in our district, and investigate the nutrition and living habits of relevant personnel, so as to summarize and analyze the risk factors that cause bone loss of government officers, and carry out targeted early intervention to prevent the occurrence of osteoporosis and improve the overall bone health level of government officers in our district.

Arrhythmias in the elderly are more common. Although some arrhythmias do not significantly affect the prognosis of the elderly, they cause a series of symptoms, which lead to frequent medical treatment and hospitalization of the elderly, and affect their quality of life.

osteoporosis (OP) is a common health hazard disease in middle-aged and elderly people. According to reports, at present, there are more than 200 million patients with osteoporosis in the world, and its incidence has jumped to the seventh place among common and frequently-occurring diseases. With the aging of the population and the younger age of osteoporosis, the disease has become one of the important public health problems in the world^[1]。

The research of food intolerance is a hot topic in Europe, and its application is spreading rapidly all over the world. Food intolerance refers to a complex allergic disease. It occurs when the immune system treats certain foods entering the human body as harmful substances, thus producing excessive protective immune responses against these substances and producing specific IgG antibodies^[1]And manifests as symptoms and diseases of various systems throughout the body. In this paper, four kinds of food intolerance were analyzed and the correlation between them and chronic diseases was explored.

Metabolic syndrome (MS) is a group of syndromes with central obesity, hypertension, dyslipidemia, diabetes or impaired glucose tolerance, and insulin resistance as the main clinical manifestations. These risk factors are associated with each other and can directly promote the occurrence and development of atherosclerotic cardiovascular disease and type 2 diabetes^[1]。 The study found that the elevation of serum ferritin (SF) was closely related to hypertension, lipid metabolism disorder, fasting blood glucose and central obesity^[2]。 This study analyzed the relationship between MS and SF in healthy physical examination population by studying the data of healthy physical examination population.

Hypertension is the most common chronic disease and the most important risk factor for cardiovascular and cerebrovascular diseases. One in every five adults in our population suffers from hypertension^[1]And the prevalence rate is increasing, so the prevention and treatment of hypertension is urgent. In October, 2010, Haidian District Hospital of Traditional Chinese Medicine in Beijing carried out intervention treatment with suitable techniques of traditional Chinese medicine for some hypertensive patients, and tracked and observed the blood pressure control rate of patients to verify the effect of suitable techniques of traditional Chinese medicine in chronic disease management, and provided a basis for exploring the application of suitable techniques of traditional Chinese medicine in hypertension management mode.

The core of the health care system (or medical care system) is the way and channel of raising medical and health expenses, that is, how a country or region raises medical expenses, including related policies, organizations and operating procedures. In view of this, this article focuses on the channels, ways, problems faced in financing health care in the United States, and the health care reform bill that is being implemented gradually.

Epilepsy is a chronic brain disease with a high disability rate. According to WHO data, about 50 million people worldwide suffer from epilepsy, that is, about 0.8% of people are suffering from seizures. More than half of these people live in Asia^[1]。 In China, there are currently nearly 9 million epileptic patients, of whom about 6 million are under-controlled and have seizures from time to time^[2]。 As a chronic disease, epilepsy has only gradually been recognized in recent years. In sharp contrast to the increasing prevalence rate and the aggravating harm of the disease, epilepsy patients themselves and the public have serious insufficient understanding of epilepsy, a chronic disease, and the lack of standardized disease management measures, which seriously affects the clinical cure rate of epilepsy. In fact, the onset of epilepsy is closely related to lifestyle, such as irregular life, less sleep, irregular medication, etc. may induce epileptic seizures. Therefore, a set of systematic and effective chronic disease management measures should be established for epilepsy, which can greatly improve the treatment effect of epilepsy and improve the quality of life of patients with epilepsy.

At present, health management as an active and whole-process health promotion measure has been paid full attention to. How to implement health management of physical examination team is a hot issue that people in the industry pay common attention to. The tasks of health management (medical examination) centres have begun to shift from health examination to health examination, health record management, health knowledge dissemination, disease management and comprehensive health promotion services^[1]。 Since 2009, our hospital has improved the brand of health management service by studying the regularities and characteristics of team health management, conducting scientific and comprehensive analysis.

Case: Patient Ding XX, male, 44 years old, from Huludao, Liaoning Province. Because of repeated cough and expectoration for more than 15 years, progressive dyspnea for more than 5 years. The patient complained of repeated symptoms of cough and expectoration in the past 15 years, mainly white sputum, and sometimes yellow purulent sputum. Winter and spring are prone to change. Chronic bronchitis was diagnosed in a local hospital, and antimicrobial treatment could temporarily improve, but the condition was repeated. Since then, he has not been treated regularly in the hospital, and he has been treated with oral antibacterial drugs since the onset. In the past 5 years, the patient had symptoms of chest tightness and shortness of breath, which were obvious after activity and progressively aggravated. In the past 2 years, the symptoms of shortness of breath have been significantly worsened, and slight activities have been limited. He was admitted to our hospital for outpatient treatment on November 12, 2011. The patient was in prior health and had no history of other diseases. Five years of naval service. Long-term smoking history: 30 cigarettes/day ×30 years; Alcoholism: Liquor 1 kg/day ×30 years.