2018年 · 第12卷第01期

The year 2017 passed by, and the year 2018 came suddenly. In the foreword, editor-in-chief Zeng Qiang wrote an article with the title of "Mission Carrying Health in the New Era and Building the Dream of Rejuvenation", summarizing the work and achievements of this magazine in 2017, and also putting forward the requirements for the magazine in 2018: from focusing on "the development of disease management and health examination" to focusing on "the comprehensive and coordinated development of the future health service industry"; Explain the concept of health management and take the pulse of the standardized development of health management; Further improve the quality of the magazine and expand the reader group; Strengthen scientific research on health management and carry out academic controversy.

The year 2017 passed by, and the year 2018 came suddenly. When we celebrate the New Year, we are full of relief, gratitude and anticipation!

In April 2013, * made important instructions on the construction of "think tanks with Chinese characteristics", proposing to build "new think tanks with Chinese characteristics", emphasizing that think tanks are an important part of national soft power. The Third Plenary Session of the 18th CPC Central Committee also emphasized "strengthening the construction of new think tanks with Chinese characteristics and establishing a sound decision-making consultation system"^[1]。 In January 2015, the General Office of the CPC Central Committee and the General Office of the State Council issued the Opinions on Strengthening the Construction of New Type Think Tanks with Chinese Characteristics^[2]。 On 5 March 2016, at the fourth session of the 12th National People's Congress, Premier * proposed to build a new think tank with Chinese characteristics^[3]。 It can be seen that the construction of think tanks has been put on the important agenda of the CPC Central Committee and the State Council. The important role of think tank decision-making has been proved by Chinese and foreign history, especially in the era of knowledge economy marked by informatization. Facing the rapid innovation, scientific decision-making not only needs to give full play to the personal ingenuity of leaders, but also the innovative role of collective wisdom. Health management is an emerging discipline. After more than ten years of theoretical and practical exploration, it is urgent to let think tanks take the lead before health management policies are formulated and released. Building a new type of health management think tank with Chinese characteristics is the call of the times, and it is an urgent need for the development of Chinese health management theory and practice to today. The construction of "new think tank of health management" is an inevitable choice for the development of health management under the new normal of innovation-driven development.

gastric cancer (GC) is one of the most common digestive tract tumors, which seriously threatens human life and health. In recent decades, with the improvement of people's living conditions, the formation of good eating habits, Helicobacter pylori (H. pylori, Hp) eradication and other factors, the overall incidence of gastric cancer has decreased, but its incidence rate still ranks fourth among male tumors in the world, and its mortality rate ranks third, and the incidence rate of men is twice that of women^[1,2]。 China is a country with a high incidence of gastric cancer. According to the 2015 China Cancer Data Report, there are 679,000 new cases and 498,000 deaths of gastric cancer in China every year. Its incidence and mortality rate rank second among malignant tumors. New cases and deaths of gastric cancer in China account for about 42.6% and 45.0% of the world^[3]。 Therefore, reducing the incidence and mortality of gastric cancer in China is a major public health problem that needs to be solved urgently, and it is also in line with the growing demand of our people for a better life.

The 2017 edition of the UK Clinical Guidelines for the Prevention and Treatment of Osteoporosis (hereinafter referred to as the 2017 edition of the Guidelines) was published in the journal Arch Osteoporos^[1]。 In the 4th issue of 2017, we interpreted the background of the guidelines update, applicable subjects and users, osteoporotic fracture risk assessment and lifestyle intervention management, etc.^[2]This issue will be interpreted from the aspects of anti-osteoporosis clinical drug intervention management. Compared with the 2013 edition, the 2017 edition of the Guide has added a lot of content in the drug intervention chapter, and includes almost all clinical treatment drugs for osteoporosis at present. The new guidelines change the previous framework clauses that only mention the direction and application principles of drug intervention. From the perspective of disease intervention management, the clinical drug intervention mechanism, purpose, indications (objects), usage, course of treatment, results, efficacy evaluation, Precautions, common adverse drug reactions and their prevention and treatment measures are comprehensively and detailed, especially emphasizing the safety of drug application. It is characterized by retaining the results of randomized controlled trials (RCTs) of drug research and complementing the results of randomized clinical observations (real world research, RWRs) of drug application, which effectively improves the guidance and leading role of the guidelines in readers' clinical work.

In the past 30 years, China's lung cancer mortality rate has increased by 465%, making it the world's largest lung cancer country, with the fastest growth in the past 10 years. At present, the incidence of lung cancer in China is increasing by 26.9% every year. It is estimated that by 2025, the number of lung cancer patients in China will reach 1 million/year^[1]。 According to the latest cancer statistics in China, lung cancer ranked first in the incidence and mortality of male malignant tumors in 2015^[2]。 Therefore, actively carrying out low-dose CT (LDCT) screening to achieve early detection, diagnosis and treatment of lung cancer will improve the prognosis of lung cancer people in China. With the results of many LDCT screening studies in the world, many LDCT screening studies have been gradually started in China since 2000^[3]Almost all of these studies are carried out in cities with high incidence of lung cancer, such as Beijing, Tianjin and Xuanwei in Yunnan. As of 2013, only one authoritative guidance on lung cancer screening has been issued in China, that is, the Technical Plan of Cancer Early Diagnosis and Early Treatment Project compiled by the Expert Committee of the National Health and Family Planning Commission (2011 edition)^[4]。

Self-management behavior of schizophrenic patients refers to the ability of patients to cope with their own mental illness and take care of themselves with the assistance of medical staff and their main caregivers^[1]。 As a chronic severe mental illness, the importance of self-management of schizophrenia patients has been widely recognized by scholars at home and abroad. Studies show that^[2]In addition to treatment, the prognosis of patients with schizophrenia is related to whether the patient has good self-management ability. The American Institute of Mental Health emphasizes that individuals with mental illness have important responsibilities in the process of self-management and recovery^[3]。 In order to improve the prognosis and quality of life of patients with schizophrenia, we used the self-management scale to investigate the self-management behavior of patients with schizophrenia in remission, aiming to understand the self-management behavior status and influencing factors of this special group.

Alzheimer disease (AD) is a progressive neurodegenerative disease caused by multiple factors^[1]。 The causes and mechanisms of AD are still unclear, and there is no specific treatment in clinic. The treatment focuses on slowing down the patient's condition and improving the quality of life^[2,3]。 Clinical manifestations of AD include cognitive decline, personality change and dementia; Because of the relatively poor mobility and self-care ability, AD patients have a higher degree of dependence on caregivers, which brings a larger family burden. In recent years, there are more studies on the quality of life of patients and the burden of caregivers and families caused by them at home and abroad, but the single study is mainly focused on the burden of caregivers or families^[4,5]。 We also included AD patients and their caregivers as research objects, aiming to evaluate the quality of life, caregiver burden and family burden of AD patients and the possible influencing factors, so as to propose targeted intervention measures to improve the quality of life of patients, and at the same time provide strategies and suggestions for reducing the burden of caregivers and families.

Against the background of the increasing burden of chronic non-communicable diseases globally, chronic diseases such as diabetes, hypertension and malignant tumors are on the rise and getting younger^[1]These diseases are associated with lifestyle risk factors such as smoking, alcohol consumption, unhealthy diet, lack of physical activity, and mental stress^[2]。 According to the World Health Organization, healthy lifestyles account for 60 percent of total health^[3]。 As health management workers, we must attach importance to and strengthen lifestyle management, and help people prevent diseases and improve their health through lifestyle collection, assessment and health promotion education. Accordingly, Southern Hospital launched lifestyle management services in 2010, mainly collecting lifestyles through paper questionnaires and carrying out corresponding evaluation and intervention. However, it encountered many difficulties in the implementation process, such as long time to fill in paper questionnaires, difficulty to fill in, high refusal rate, high missing rate, high misfilling rate, high loss rate, and a lot of time, material resources and manpower for manual evaluation and writing reports. In order to solve these problems, Nanfang Hospital built an intelligent lifestyle management information system based on the information health management operation mode in 2015. It is intended to evaluate the application effect of the system by comparing the development of lifestyle management services before and after the operation of the information system^[4]。

With the continuous development of China's national economy and the change of people's lifestyle, the number of people with hypertension and dyslipidemia is increasing day by day. Hypertension and dyslipidemia can cause various cardiovascular and cerebrovascular diseases. In recent years, the incidence rate is increasing year by year and the age of onset is decreasing, which has become a major public health problem^[1]。 At present, some research shows that the health status of civil servants is worrying. Psychological pressure, long-term desk work, lack of physical exercise and other reasons make most civil servants in a sub-health state for a long time, and become the high-risk group of hypertension and dyslipidemia^[2]。 The health of civil servants is related to the prosperity and long-term stability of the country, so it is urgent to study the health status of civil servants. In order to find an effective way to improve the physique of patients with dyslipidemia and build a health management system suitable for the physique of civil servants in China, we intervene with dyslipidemia civil servants through health management means, and compare the indexes of body mass index (BMI), waist circumference, systolic blood pressure, diastolic blood pressure, total cholesterol (TC), triglyceride (TG), high density lipoprotein-cholesterol (HDL-C) and low density lipoprotein-cholesterol (LDL-C) of civil servants before and after management, so as to explore the influence of health management on blood pressure and dyslipidemia in civil servants.

polycystic ovarian syndrome (PCOS) is a common gynecological endocrine disease, with an incidence rate of 6% to 8% of women of childbearing age and 30% to 60% of anovulatory infertility patients. According to reports, obese PCOS patients account for about 60% to 70% of all PCOS, and some non-obese PCOS patients also show an increase in the proportion of perivascular or omental fat distribution. Therefore, weight loss treatment is very important for PCOS patients, especially obese patients. At present, obese patients with PCOS are mainly treated with clinical drugs, and there is a lack of effective dietary intervention and weight management patterns^[1]。 We treated obese patients with PCOS for 12 weeks on the basis of conventional drug treatment supplemented with glycemic load (GL) diet, and observed and evaluated the curative effect.

cardiovascular disease (CVD) has become a major disease burden in most developing countries, and early prevention is an important strategy to reduce the occurrence of CVD. One of the key strategies for early prevention of CVD lies in the early identification of high-risk individuals, and the effective identification of high-risk individuals in the clinic relies on sound cardiovascular risk assessment tools^[1]。 At present, cardiovascular risk assessment tools and models at home and abroad are based on various risk factors to comprehensively assess the absolute risk of cardiovascular disease in the future in the short term (5 or 10 years) or long term (lifetime). However, the 10-year morbidity risk prediction model, which is widely used in the field of cardiovascular disease prevention, is not suitable for young individuals. Age is the most important risk factor to predict the risk of cardiovascular disease. For young individuals, even if the three cardiovascular risk factors are combined, there is very little chance that the absolute risk of cardiovascular disease in 10 years is high^[2,3]。 It is easy to make young individuals neglect the importance of preventing cardiovascular diseases and improving poor lifestyles, which is not conducive to early prevention of cardiovascular diseases.

Health management arose in the United States in the 20th century, and health management industry has been developed in China in the 21st century^[1]After years of research and practice, health management has shown obvious effects in preventing diseases, regulating health care, and reducing medical expenses^[2]。 Since 2005, some national societies in China have successively established academic institutions related to health management, such as the Health Management Branch of Chinese Medical Association, the Health Risk Assessment and Control Professional Committee of Chinese Preventive Medicine Association, etc. The Chinese Journal of Health Management was also founded in 2007^[3]。 With the development of health management academic institutions, the definition of health management, the scope of health management services, the discipline system of health management and other related basic theories have formed a unified understanding, which makes the theoretical and practical research in health management in China prosperous day by day. Academic prosperity also fueled the development of industry. It is estimated that in 2013, the number of health management (physical examination) institutions nationwide has increased from about 2,000 in 2005 to more than 10,000, with nearly 500,000 employees and more than 400 million annual physical examinations. At present, there are more than 600,000 non-medical health management institutions in China, with 30 million employees^[4]。

The academic debate on how to write a good examination report has been for several months, which has aroused strong resonance and enthusiastic response in various physical examination institutions at all levels all over the country. The editorial department received 18 academic articles on this topic, most of which came from front-line examiners, and published many constructive views and opinions.