1.Effectiveness and feasibility of web-based lifestyle and behavior intervention
Haiyun WU ; Yao HE ; Ping PAN ; Guoqiang LE
Chinese Journal of Health Management 2008;2(6):333-337
Objective To evaluate the effectiveness and feasibility of web-based lifestyle Or behavior intervention on Chinese urban adults.Methods Six hundred and eighty-one adult subjects were rand omly assigned to the intervention group (n=341) or the control group (n=340).The intervention group was encouraged to visit a specified interactive web site at 1east once a month to submit self-report health diaries.and provided with individualized health promotion instructions and tailored counseling at the chat room or through email.The control group received routine medical services.The primary outcomes were changes in cigarette smoking,alcohol consumption,fruit or vegetable intake,and physical exercise duration at 6 month from baseline.Intention-to-treat method was used for data analysis.Results At 6 month,smoking cessation rate was 23.6% in intervention group and 4.6% in control group (X2=22.4,P<0.05),and daily alcohol consumption decreased by 28.6 g in intervention group compared to 6.1 g in control group (t=14.9.P<0.05).There Was no significant change in physical exercise duration for those with sub-optimal physical activities between the two groups.In contrast to the control group.mean systolic blood pressure,fasting blood glucose,and body mass index of the hypertensive,diabetic,or overweight/obese subjects in the intervention group showed statistically significant decrease.There was no significant change in serum cholesterol level for the participants with hypercholestemlemia in both groups.The attrition rate was 6.7% in the intervention group.Conclusion Web-based health management services may be helpful in promoting healthy lifestyle and behavior and enhancing the care of chronic conditions including hypertension,diabetes,overweight and obese.
2.Neurological monitoring and evaluation of neonates during extracorporeal membrane oxygenation
Chinese Journal of Applied Clinical Pediatrics 2020;35(14):1113-1116
Extracorporeal membrane oxygenation (ECMO) is the last resort for the severe and reversible respiratory or cardiac diseases in neonates and has been increasingly used in China.With the advancement of medical management and surgical techniques and the accumulation of ECMO treatment experience, the overall survival rate has increased.However, neurological complications and long-term poor outcomes is still common.Therefore, the monitoring and evaluation of neurological functions in the progress of ECMO treatment make sense.The combination of multiple monitoring methods can minimize neurological damage and improve long-term prognosis.In this review, the indications, advantages and disadvantages, timing and frequency, duration and neurodevelopmental outcome evaluation of monitoring techniques commonly used in neonatal ECMO therapy were reviewed.