1.A prediction model for hypertension risk among residents aged 18 to 79 years
GONG Haiying ; XUE Fengyu ; LIU Xiaofen ; XING Ruiting ; MIAO Yuyang ; ZHAO Yao
Journal of Preventive Medicine 2025;37(10):1075-1080
Objective:
To construct a hypertension risk prediction model for residents aged 18-79 years, so as to provide an assessment tool for early screening and prevention of hypertension in high-risk groups.
Methods:
The permanent residents aged 18-79 years from 6 townships (streets) in Fangshan District of Beijing Municipality were selected as the study subjects using a multi-stage stratified random sampling method from March to June 2023. Demographic information, lifestyle, body mass index (BMI), blood pressure, fasting blood glucose, and blood lipid were collected through questionnaire survey, physical examination, and laboratory tests. Subjects were randomly divided into training and validation sets at a 7∶3 ratio. The logistic regression model was used to screen the risk factors of hypertension, and a hypertension risk prediction nomogram was constructed. Receiver operating characteristic (ROC) curve, calibration curve, and decision curve analysis were used to verify the discrimination, fit, and clinical application value of the model.
Results:
A total of 4 438 subjects were included, including 2 365 males (53.29%) and 2 073 females (46.71%), with a mean age of (44.99±14.90) years. The prevalence of hypertension was 35.29% (1 566 cases), and the standardized prevalence was 24.74%. The logistic regression model screened out 9 influencing factors of hypertension. The nomogram was established as ln[p/ (1-p)]= -2.873 + 0.935×40-<50 years + 1.463×50-<60 years + 1.908×60-<70 years + 2.346×70-79 years + 0.298×male-0.675×college degree or above + 0.384×smoking + 0.227×drinking + 0.572×overweight + 1.449×obesity + 0.557×heart rate ≥80 beats/min + 0.428×diabetes + 0.484×dyslipidemia. The area under the ROC curve of the validation set was 0.821 (95%CI: 0.798-0.843), and the calibration curve results showed that the calibration curve fitted the actual curve well. Decision curve analysis showed that the threshold probability was in the range of 0.10 to 0.70, and the model had good predictive value and clinical application value.
Conclusion
The nomogram based on age, gender, educational level, smoking, drinking, body mass index, heart rate, diabetes, and dyslipidemia can be used to predict the risk of hypertension among residents aged 18-79 years.
2.Practice and achievements of medical waste management project in medical institutions
Quanfu YE ; Fengyu MIAO ; Shujuan SHAN
Chinese Journal of Infection Control 2017;16(4):346-350
Objective To introduce practice efficacy and achievement of medical waste management project in medical institutions.Methods Twenty pilot medical institutions in 6 provinces and 1 520 extended medical institutions in each provinces (municipality, city) in China were selected to perform medical waste management project, the current situation of medical waste management in China was explored to develop a new feasibility plan and practice.ResultsCatalogue of medical waste classification (revised manuscript) and Medical waste classification collection list) were formulated, which enhanced supervision ability of medical and health administration on medical waste management.Medical waste management training system was established, best available techniques/best environmental practices(BAT/BEP)for medical waste management were achieved, cooperation and promotion ability of medical waste management project was strengthened.Conclusion Medical waste management project has made great achievements since it is implemented in medical institutions, the achievement can be used as reference for medical waste management in China.
3.Impact factors related to HIV voluntary counseling and testing of pregnant women in Liangshan Yi Autonomous Prefecture, Sichuan.
Siwei LI ; Shize ZHANG ; Yanxi LI ; Weiting YANG ; Lin JIANG ; Xing CHANG ; Hui LIU ; Ying HUANG ; Xin WEN ; Yanfang YANG ; Hailiang YU ; Fengyu MIAO ; Zhongfu LIU
Chinese Journal of Preventive Medicine 2015;49(11):1014-1016
China
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Counseling
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Female
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HIV Infections
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diagnosis
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Humans
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Pregnancy


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