2014年 · 第08卷第06期

The core goal of clinical nutrition management is to improve clinical outcomes through sound nutritional support to the benefit of patients. However, not all patients had an indication for nutritional support. Patients at nutritional risk can improve outcomes with reasonable nutritional support. Through nutritional risk screening (NRS), screening out those patients with nutritional risks (that is, with nutritional support indications) is the basis and premise of rational nutritional management.

Traditional nutritional epidemiology studies focus on the effects of one or several single foods or nutrients on health and disease. The daily diet is a mixed diet containing multiple foods, and it is difficult to distinguish which dietary component is at play, and it is difficult to rule out interactions between the components. The effects of food on health and disease are the result of a combination of dietary factors. Therefore, it is more scientific and reasonable to study the effects of dietary patterns on health and disease.

Blood test is one of the main items of physical examination. Through blood test, we can know the health status of physical examination customers in many aspects. The quality of blood sample collection directly affects the accuracy of test results. Continuous quality improvement is developed on the basis of quality control and quality assurance. It refers to a new management mode that pays more attention to link quality control on the basis of total quality management^[1,2]In order to improve the quality of blood sample collection from physical examination customers, our department set up a continuous quality control team in July 2013, and implemented continuous quality control for 4 months, with satisfactory results. The report is as follows.

Currently, breast cancer is one of the most common malignant tumors in women. In European and American countries, breast cancer has become the most common female tumor^[1,2]。 According to the 2012 China Cancer Registry Annual Report, breast cancer ranks first in the incidence of female malignant tumors^[3]And become a disease that seriously threatens women's health and life. Chen Zhendong et al^[4]The results of the study showed that long-term survivors of breast cancer and long-term complications of treatment were the most common. Many domestic researchers used questionnaire to study the health information needs of breast cancer patients^[5,6,7]。 In the context of the popularization of online chat^[8]In 2010, our hospital established the QQ group of "Kangli Salon", a breast cancer patient club, to provide a platform for breast cancer patients and their families to communicate with doctors and patients. By analyzing the information reflected in the QQ group, we intend to understand the health information needs of breast cancer patients and their families from another angle, and provide a scientific basis for formulating targeted health management plans.

thermal texture mapping (TTM) is to collect the metabolic heat generated by human tissue cells in the process of metabolism, and after computer reconstruction and special software processing, according to the intensity of metabolic heat, the digital metabolic heat distribution image of human body is obtained. Through the intensity, shape, shape, boundary of metabolic heat and the relationship with surrounding tissues, the functional metabolic state of tissue cells can be judged. At the same time, some diseases have specific metabolic heat distribution images at different stages, which has certain diagnostic value for diseases^[1,2,3]。 In recent years, thyroid diseases have shown a high incidence trend in the physical examination population in China. As a combination of functional diagnosis and morphological diagnosis, the value of TTM in screening thyroid diseases is worth studying.

Since the discovery of the anti-rickets effects of Vitamin D (VD) in 1920, it has long been thought that VD is only related to calcium and bone metabolism. Recently, a large number of clinical studies have confirmed that VD is closely related to cardiovascular, respiratory, endocrine and immune system diseases and tumors in addition to bone diseases. In this paper, the recent research progress of VD clinical hot issues is reviewed.

osteoarthritis (OA) refers to joint diseases caused by fibrosis, chapping, ulcer and loss of joint cartilage caused by various factors. The etiology is still unclear, and its occurrence is related to age, obesity, inflammation, trauma and genetic factors. In the motherland, traditional medicine belongs to the category of "bone paralysis" and "paralysis syndrome". Epidemiological data show that with the aging of the population, the incidence of OA is increasing day by day. The prevalence of this disease is 10% ~17% in people aged 40, 50% in people over 60, and 80% in people over 75^[1]。 In the United States, OA is the leading cause of chronic disability in middle-aged and elderly people, and the second leading cause of work incapacity in men over 50 years old (after ischemic heart disease)^[2]。 The epidemiological survey of knee OA in 6 cities in China showed that the total prevalence of knee OA was 15.6%, including 7.7% in Xi'an, 11.2% in Shijiazhuang, 9.8% in Shanghai, 30.5% in Guangzhou, 16.9% in Harbin and 17.5% in Chengdu^[3]。 To this end, the World Health Organization has identified the global health theme for the period 2000-2010 as "10 Years of Bone and Joints", hoping to arouse widespread attention to bone and joint diseases on a global scale.

Analysts point out that the UK could drive patient-centred healthcare by assessing "how well people can manage their health".