2016年 · 第10卷第05期

In the past century, with the development of social economy and the progress of industrialization, human lifestyle has undergone great changes. Deaths caused by coronary atherosclerotic heart disease (CAD) and stroke have replaced infectious diseases and occupied the first place in the world. Blood pressure control is an important part of the "high-risk group strategy", and the health management of hypertensive patients is the top priority of cardiovascular disease prevention in China. In view of this theme, this issue organizes a key number with the theme of "hypertension management".

In the past century, with the development of social economy and the progress of industrialization, human lifestyle has undergone great changes. Deaths caused by coronary atherosclerotic heart disease (CAD) and stroke have replaced infectious diseases and occupied the first place in the world. The World Health Organization reported in 1999 that 30.9 percent of deaths and 10.3 percent of disability-adjusted life years lost worldwide are due to cardiovascular disease^[1]。 According to World Health Statistics 2008, released by the World Health Organization in 2008, global deaths from cardiovascular diseases will rise from 17.1 million in 2004 to 23.4 million by 2030, with about 80 percent of deaths and about 90 percent of the increase in deaths occurring in low-and middle-income countries^[2]。

"National Basic Public Health Service Standards (2011 Edition)" focuses on the contents of "Maternal Health Management Service Standards"^[1]It is stipulated that primary medical and health institutions should establish health management services such as Maternal Health Care Manual, prenatal follow-up and postpartum visit for pregnant women in their jurisdiction. Migrant pregnant women have been in a state of "unable to manage the outflow place and unwilling to manage the inflow place" for a long time, which has become a difficult group in health management and increased the difficulty of service implementation. We aimed to understand the utilization of health management projects for migrant pregnant women in Jining, analyze the factors affecting the utilization, and provide reference for promoting the development of basic public health services.

metabolic syndrome (MS) is a group of metabolic disorders with insulin resistance as the core and seriously affecting the body's health, mainly including abdominal obesity, hyperglycemia (diabetes or impaired glucose regulation), hypertension, dyslipidemia [hypertriglyceridemia and/or low high density lipoprotein cholesterolemia], etc.^[1]。 With the prevalence of resting lifestyle, the economic growth and the improvement of living standard, the prevalence of MS in adults in China was 15% in 2005^[2]。 The urine albumin-to-creatinine ratio (ACR) is a sensitive indicator of early renal injury^[3]This ratio is relatively stable, and abnormalities can occur before the subject's creatinine and urea nitrogen reflect the changes of renal function indexes. The increase of ACR has strong predictive value for vascular complications, progressive renal impairment and MS^[4]。 Recent studies have found that normal high values of ACR (<30 mg/g) also significantly increased the prevalence of MS^[5,6]。 We analyzed the correlation between them by using the data of some physical examination people in Chongqing, and discussed the optimal cut-off point of ACR for screening MS, which provided the basis and basis for adjusting the normal range of ACR.

Medical staff is a special group. Their cognition of diseases may have a beneficial impact on their health, but special work pressure may endanger their health. As the defender of national health, medical staff' own health status cannot be ignored. Bioelectric impedance method is a simple, safe, non-invasive and economical method, which can be used for nutritional evaluation and nutritional efficacy monitoring^[1]。 We used a body composition analyzer to test 1,110 medical staff in the First Affiliated Hospital of Wenzhou Medical University, and compared the consistency of three widely used obesity indicators, namely body mass index (BMI), waist-to-hip ratio and body fat percentage (F%).

With the development of society and economy, the improvement of people's living standard, unreasonable diet and living habits lead to the increasing number of patients with hyperlipidemia, and the related cardiovascular and cerebrovascular diseases, hypertension, diabetes, atherosclerosis and other chronic diseases are also increasing year by year^[1,2]。 Related studies have shown that dyslipidemia is also the central link causing obesity^[3]。 Calculation of waist circumference and height ratio, i.e. waist to height ratio, has become another meaningful index to evaluate obesity and screen hyperlipidemia after body mass index (BMI)^[4]。 By comparing and analyzing the results of waist-to-height ratio and blood lipid of 2 174 officers and men of different ages in a certain district, this paper discusses the relationship between waist-to-height ratio and blood lipid, and provides guidance for disease prevention of related army populations.

In recent years, the situation of prevention and control of tuberculosis epidemic in schools in China is severe, and tuberculosis outbreaks occur frequently^[1]The epidemic of tuberculosis among students not only causes damage to the physical and mental health of students, but also may affect the students' further education, causing strong repercussions from the students' families and society^[2,3]Therefore, the control of students' tuberculosis focuses on the prevention and treatment of tuberculosis in schools. From 2011 to 2014, the number of tuberculosis cases in schools in Minhang District, Shanghai showed an upward trend. The cases were mostly distributed in colleges and universities and middle schools. Students were a special group with high personnel density and close contact with each other. Once cases appeared, they were easily infected and spread. This survey was carried out in order to deeply understand the problems existing in the propaganda and knowledge popularization of tuberculosis prevention and control on campus in this district, and further improve the strategy of tuberculosis prevention and control in schools.

One study found that for every dollar spent to increase the rate of treatment for depression and anxiety, there was a $4 gain in health and work ability^[1]。

A review showed that loneliness and loneliness can increase the risk of stroke developing or developing coronary atherosclerotic heart disease (CHD) by 30%; Similar effects to other recognized risk factors, such as anxiety or work stress^[1]。

With the proposal of "Healthy China 2020" and the improvement of people's health awareness, health management has been paid more and more attention by all walks of life. Health management is in the initial stage in China, especially the development of community health management is not perfect. As a primary medical institution directly facing residents, it is of great significance to carry out health management in the community to improve the health service system. Health management is a continuous dynamic process of infinite cycle. In a single cycle, health problems are solved, and the continuous cycle guarantees health management to advance towards the end of health^[1]While the core of the PDCA cycle lies in the continuous improvement, spiraling up, and finally achieving the set goal^[2]It is consistent with the philosophy of health management. On the basis of analyzing the health management models at home and abroad, this study combines the four links of community health management (risk assessment, health intervention, follow-up monitoring and effect evaluation) with the four processes of PDCA cycle quality management (Plan: Plan; Do: execution; Check: inspection; Action: correction and treatment), and carries out health risk assessment from 7 angles, health intervention from 7 aspects, health monitoring from 6 modules, and establishes the link between community health service center and family interaction to obtain health information, community doctor and residents interaction, so as to achieve the goal of continuously improving the quality of community health management. According to individual health risk factors, we carry out individual guidance, formulate personalized goals and dynamically track the effect, so as to carry out a virtuous circle of health management for community residents repeatedly and persistently for a long time, so as to comprehensively protect the health of community residents.

Diabetes mellitus is the third major chronic non-infectious disease after tumor and cardiovascular and cerebrovascular diseases. Its lifelong medication and incurable characteristics bring serious troubles to patients. Patients' lifestyle and behavior habits are closely related to the outcome of disease, and effective health management can delay the occurrence of complications well^[1,2,3]。 However, the current situation is still too much emphasis on the diagnosis and treatment of diabetes and neglect the health management of diabetes^[4,5]In particular, the whole-process and integrated health management system of pre-hospital prevention, in-hospital education and post-hospital rehabilitation guidance has not yet been established. With the enhancement of public health awareness and the increase of information demand, and the penetration of mobile Internet technology in medical services, Internet plus technology can excellent enhance the convenience and effectiveness of diabetes health management and improve the efficiency of closed-loop health management. The constituent elements of the closed-loop health management model of diabetic people under the Internet plus model which has been carried out in our hospital are described below.