2017年 · 第11卷第02期

With the rapid development of economy, the prevalence of diabetes and its complications is increasing. Diabetes screening helps to reduce the incidence of diabetes and the risk of diabetic complications. Diabetic complication screening helps to delay the progression of complications and prevent serious complications, especially serious consequences such as disability and death, and plays the role of "screening to promote prevention". In this expert forum column, Wu Hang and Sun Zilin discussed the appropriate techniques for screening diabetes and diabetic complications. At present, there are still many huge challenges in the screening of diabetes and its complications in China. The sensitive, specific, simple and inexpensive suitable technology for screening diabetes and diabetic complications needs further research and optimization; The public and even medical workers have insufficient awareness of screening for diabetes and its complications. It is recommended to increase publicity and education, encourage regular screening, and increase the screening rate of diabetes and diabetic complications; At the same time, we will effectively carry out research on relevant screening tools and methods to improve the screening level of diabetes and diabetic complications in China. Let diabetes tertiary prevention start with screening.

With the rapid development of economy, the prevalence of diabetes and its complications is increasing. As a country with a large population, the prevalence of diabetes reached 11.6%, and the prevalence of prediabetes reached 50.1%^[1]。 In 2016, the theme of World Diabetes Day was "Eye on Diabetes", and it was proposed that type 2 Diabetes (T2DM) screening is very important to change the course of the disease and reduce the risk of complications. Diabetes complications screening is the core content of the management of various types of Diabetes. Diabetes screening can help to reduce the incidence of diabetes and reduce the risk of diabetic complications. Diabetes screening can help to delay the progression of complications and prevent serious complications, especially serious consequences such as disability and death, and play the role of "screening to promote prevention"^[2]。

With the development of economy, the prevalence of diabetes in the world is rising rapidly, so the prevention and treatment of diabetes has become an increasingly important public health problem. The role of exercise in diabetes prevention and treatment has been widely accepted, but how to give each diabetic patient an individualized and specific exercise regimen has long been an open question, and there are few related studies. Based on this situation, the American Diabetes Association (ADA) issued the 2016 Physical Activity/Exercise and Diabetes: ADA Position Statement (hereinafter referred to as the 2016 Position Statement) in November 2016^[1]To give guiding recommendations on this issue.

Fingertip pulse oximetry monitoring has the advantages of non-invasive and simple, can continuously and dynamically reflect the oxygenation status of the body, detect hypoxemia early, provide the basis for clinical rescue and nursing, and has been widely used in clinical practice^[1]。 Pulse oximetry monitoring is to fix the probe finger cuff of the pulse oximetry monitor to the fingertip or toe nail bed of the patient, use the finger or toe as a container for holding hemoglobin, and measure the light conduction intensity through the tissue bed to calculate blood oxygen saturation. Pulse oximetry monitoring is an indirect measurement of blood oxygen saturation, and its results are affected by many factors, so it is very important to adopt the correct measurement method^[2]。 Stroke is the most common cerebrovascular disease, and pulse oximetry monitoring is often needed clinically. In practice, the selection of pulse oxygen saturation monitoring site of stroke patients is often arbitrary, and sometimes, for convenience and to avoid irritable patients' limb turbulence, blood oxygen saturation monitoring is chosen on the hemiplegic limb. The purpose of this study is to investigate whether there is any difference in pulse oximetry between the healthy side and the affected side of hemiplegic patients after stroke, and which side is more accurate, so as to provide a basis for the correct measurement of pulse oximetry in hemiplegic patients.

The health condition of medical workers is inseparable from the quality of medical services, but now medical workers are under heavy and stressful work, and they are overloaded all the year round^[1,2]。 According to many surveys, the health status of medical workers has decreased significantly due to the heavy pressure of work, and less than one third of them feel better in general health. At present, the research on health of medical workers focuses on sub-health state and psychological state^[3,4,5]。 Most of the studies on physical exercise of medical workers are relatively general and the scope is relatively large^[6,7,8]Conducting relevant research on the current status of physical exercise of clinicians can provide a basis for hospitals to formulate targeted relevant policies and improve the health of such people.

In his State of the Union address in early 2015, President Barack Obama proposed launching a new "precision medicine initiative."^[1]。 In just over a year, the term precision medicine quickly became popular all over the world, with academic circles flocking to interpret it, media hyping it, and various academic conferences and scientific research projects named "precision". This craze is no less than translational medicine in those days. Translational medicine has been implemented for nearly 20 years, and there seem to be few cases of truly achieving successful and ideal translations. What's even more interesting is that the American scientist who first proposed translational medicine and then proposed precision medicine is actually the same person. Whether precision medicine has the same fate as translational medicine is still unknown. However, in addition to the enthusiasm and imagination of the fresh concept of precision medicine, we must carefully think about its connotation and logic. From a deeper level, we must seriously ask the way of medical development. If China continues to follow the ideas of the Americans like this, can it break the bottleneck of modern medical development and truly realize the strategic goal of a healthy China?