1.Association of hypertension onset age with diabetes
GAO Hui ; ZHU Xuting ; ZHANG Lei ; XIA Qinghua ; WANG Yingquan ; ZHANG Yanping ; XU Jiangmin ; SHI Yue ; SHI Wuyue ; JIANG Yu ; WAN Jinbao
Journal of Preventive Medicine 2024;36(11):921-925,930
Objective:
To examine the association of hypertension onset age with diabetes, so as to provide insights into reducing the the risk of cardiovascular events.
Methods:
Permanent residents aged 35 to 75 years were selected through the program of early screening and comprehensive intervention for the high-risk cardiovascular disease population in Changning District and Baoshan District, Shanghai Municipality from 2016 to 2020. Demographic information, disease history, hypertension onset age, blood pressure and fasting blood glucose were collected through questionnaire surveys, physical examination and laboratory tests. The residents were divided into four groups based on the onset age of hypertension: <45, 45-<55, 55-<65 and ≥65 years old, and the residents with normal blood pressure were selected as control. The association of hypertension onset age with prediabetes and diabetes were identified using a multivariable logistic regression model.
Results:
A total of 25 228 residents were recruited, including 8 753 males (34.70%) and 16 475 females (65.30%). The prevalence of hypertension was 43.80%. There were 1 779, 3 274, 3 781 and 2 217 cases with hypertension onset age of <45, 45-<55, 55-<65 and ≥65 years old, respectively, and 14 177 residents with normal blood pressure. The prevalence of prediabetes and diabetes were 24.01% and 11.29%, respectively. Multivariable logistic regression analysis showed that after adjusting for confounding factors such as gender, marital status and educational level, compared with the normal blood pressure group, the risk of prediabetes was higher in the hypertension onset age groups of <45 (OR=1.345, 95%CI: 1.164-1.553), 45-<55 (OR=1.365, 95%CI: 1.212-1.536) and 55-<65 years old (OR=1.376, 95%CI: 1.239-1.527), and the risk of diabetes was higher in the hypertension onset age groups of <45 (OR=2.302, 95%CI: 1.906-2.775), 45-<55 (OR=2.349, 95%CI: 2.016-2.734), 55-<65 (OR=1.909, 95%CI: 1.667-2.184) and ≥65 years old (OR=1.315, 95%CI: 1.131-1.526).
Conclusion
There are statistically significant associations between hypertension onset age with prediabetes and diabetes.
2.The Exploration of the Integration Model of Party-Building and Business in Public Hospitals from a Problem-Oriented Perspective
Chinese Hospital Management 2024;44(6):93-96
Affiliated Beijing Chaoyang Hospital of Capital Medical University focus on problem solving.By applying the dual responsibility for one position system and compacting the main responsibility of party and government leaders,the hospital aims to achieve organic integration of party building and business organic integration of party building and businessat the organizational management level.By emphasizing on adopting systematic thinking method and establishing modernized hospital management systems,the hospital aims to achieve integration at the institutional system level.Adhering to the joint efforts of the party building and administrative work and focusing on improving comprehensive service quality,the hospital aims to achieve integration at the behavioral level.By valuing ideological integration and guiding hospital cultural construction with strict political standards,the hospital aims to achieve integration at the cultural level.Through systematic organizational reformation,a new approach to the organismic integration of party building and business in public hospitals has been explored,and a new mechanism with innovative vitality and effective results has been initially formed.
3.The Exploration of the Integration Model of Party-Building and Business in Public Hospitals from a Problem-Oriented Perspective
Chinese Hospital Management 2024;44(6):93-96
Affiliated Beijing Chaoyang Hospital of Capital Medical University focus on problem solving.By applying the dual responsibility for one position system and compacting the main responsibility of party and government leaders,the hospital aims to achieve organic integration of party building and business organic integration of party building and businessat the organizational management level.By emphasizing on adopting systematic thinking method and establishing modernized hospital management systems,the hospital aims to achieve integration at the institutional system level.Adhering to the joint efforts of the party building and administrative work and focusing on improving comprehensive service quality,the hospital aims to achieve integration at the behavioral level.By valuing ideological integration and guiding hospital cultural construction with strict political standards,the hospital aims to achieve integration at the cultural level.Through systematic organizational reformation,a new approach to the organismic integration of party building and business in public hospitals has been explored,and a new mechanism with innovative vitality and effective results has been initially formed.
4.The Exploration of the Integration Model of Party-Building and Business in Public Hospitals from a Problem-Oriented Perspective
Chinese Hospital Management 2024;44(6):93-96
Affiliated Beijing Chaoyang Hospital of Capital Medical University focus on problem solving.By applying the dual responsibility for one position system and compacting the main responsibility of party and government leaders,the hospital aims to achieve organic integration of party building and business organic integration of party building and businessat the organizational management level.By emphasizing on adopting systematic thinking method and establishing modernized hospital management systems,the hospital aims to achieve integration at the institutional system level.Adhering to the joint efforts of the party building and administrative work and focusing on improving comprehensive service quality,the hospital aims to achieve integration at the behavioral level.By valuing ideological integration and guiding hospital cultural construction with strict political standards,the hospital aims to achieve integration at the cultural level.Through systematic organizational reformation,a new approach to the organismic integration of party building and business in public hospitals has been explored,and a new mechanism with innovative vitality and effective results has been initially formed.
5.The Exploration of the Integration Model of Party-Building and Business in Public Hospitals from a Problem-Oriented Perspective
Chinese Hospital Management 2024;44(6):93-96
Affiliated Beijing Chaoyang Hospital of Capital Medical University focus on problem solving.By applying the dual responsibility for one position system and compacting the main responsibility of party and government leaders,the hospital aims to achieve organic integration of party building and business organic integration of party building and businessat the organizational management level.By emphasizing on adopting systematic thinking method and establishing modernized hospital management systems,the hospital aims to achieve integration at the institutional system level.Adhering to the joint efforts of the party building and administrative work and focusing on improving comprehensive service quality,the hospital aims to achieve integration at the behavioral level.By valuing ideological integration and guiding hospital cultural construction with strict political standards,the hospital aims to achieve integration at the cultural level.Through systematic organizational reformation,a new approach to the organismic integration of party building and business in public hospitals has been explored,and a new mechanism with innovative vitality and effective results has been initially formed.
6.The Exploration of the Integration Model of Party-Building and Business in Public Hospitals from a Problem-Oriented Perspective
Chinese Hospital Management 2024;44(6):93-96
Affiliated Beijing Chaoyang Hospital of Capital Medical University focus on problem solving.By applying the dual responsibility for one position system and compacting the main responsibility of party and government leaders,the hospital aims to achieve organic integration of party building and business organic integration of party building and businessat the organizational management level.By emphasizing on adopting systematic thinking method and establishing modernized hospital management systems,the hospital aims to achieve integration at the institutional system level.Adhering to the joint efforts of the party building and administrative work and focusing on improving comprehensive service quality,the hospital aims to achieve integration at the behavioral level.By valuing ideological integration and guiding hospital cultural construction with strict political standards,the hospital aims to achieve integration at the cultural level.Through systematic organizational reformation,a new approach to the organismic integration of party building and business in public hospitals has been explored,and a new mechanism with innovative vitality and effective results has been initially formed.
7.The Exploration of the Integration Model of Party-Building and Business in Public Hospitals from a Problem-Oriented Perspective
Chinese Hospital Management 2024;44(6):93-96
Affiliated Beijing Chaoyang Hospital of Capital Medical University focus on problem solving.By applying the dual responsibility for one position system and compacting the main responsibility of party and government leaders,the hospital aims to achieve organic integration of party building and business organic integration of party building and businessat the organizational management level.By emphasizing on adopting systematic thinking method and establishing modernized hospital management systems,the hospital aims to achieve integration at the institutional system level.Adhering to the joint efforts of the party building and administrative work and focusing on improving comprehensive service quality,the hospital aims to achieve integration at the behavioral level.By valuing ideological integration and guiding hospital cultural construction with strict political standards,the hospital aims to achieve integration at the cultural level.Through systematic organizational reformation,a new approach to the organismic integration of party building and business in public hospitals has been explored,and a new mechanism with innovative vitality and effective results has been initially formed.
8.The Exploration of the Integration Model of Party-Building and Business in Public Hospitals from a Problem-Oriented Perspective
Chinese Hospital Management 2024;44(6):93-96
Affiliated Beijing Chaoyang Hospital of Capital Medical University focus on problem solving.By applying the dual responsibility for one position system and compacting the main responsibility of party and government leaders,the hospital aims to achieve organic integration of party building and business organic integration of party building and businessat the organizational management level.By emphasizing on adopting systematic thinking method and establishing modernized hospital management systems,the hospital aims to achieve integration at the institutional system level.Adhering to the joint efforts of the party building and administrative work and focusing on improving comprehensive service quality,the hospital aims to achieve integration at the behavioral level.By valuing ideological integration and guiding hospital cultural construction with strict political standards,the hospital aims to achieve integration at the cultural level.Through systematic organizational reformation,a new approach to the organismic integration of party building and business in public hospitals has been explored,and a new mechanism with innovative vitality and effective results has been initially formed.
9.The Exploration of the Integration Model of Party-Building and Business in Public Hospitals from a Problem-Oriented Perspective
Chinese Hospital Management 2024;44(6):93-96
Affiliated Beijing Chaoyang Hospital of Capital Medical University focus on problem solving.By applying the dual responsibility for one position system and compacting the main responsibility of party and government leaders,the hospital aims to achieve organic integration of party building and business organic integration of party building and businessat the organizational management level.By emphasizing on adopting systematic thinking method and establishing modernized hospital management systems,the hospital aims to achieve integration at the institutional system level.Adhering to the joint efforts of the party building and administrative work and focusing on improving comprehensive service quality,the hospital aims to achieve integration at the behavioral level.By valuing ideological integration and guiding hospital cultural construction with strict political standards,the hospital aims to achieve integration at the cultural level.Through systematic organizational reformation,a new approach to the organismic integration of party building and business in public hospitals has been explored,and a new mechanism with innovative vitality and effective results has been initially formed.
10.Application of Enhanced T2* Weighted Angiography Quantitative Parameters in Predicting the Invasiveness of Cystic Gland Tumors
Jing WANG ; Jiejun ZHANG ; Jinbao YU
Chinese Journal of Medical Imaging 2024;32(11):1160-1163,1169
Purpose To analyze the application value of enhanced T2* weighted angiography(ESWAN)quantitative parameters in predicting the invasiveness of cystic gland tumors.Materials and Methods A total of 81 patients with ovarian cystadenoma confirmed by pathological examination in Central Hospital of Xuancheng City,Anhui Province from June 2018 to June 2023 were retrospective selected.All patients underwent pelvic MRI examination(including ESWAN sequence).The ESWAN data was processed to obtain amplitude,phase,R2* and T2*values,and the quantitative intratumoral susceptibility signal(ITSS)ratio was automatically obtained using AnatomySketch software.According to the invasiveness of ovarian cystic gland tumors,they were divided into malignant cystic gland tumor group and benign cystic gland tumor group(including benign and borderline cystic gland tumors).The differences in various parameters between the two groups were compared,and the receiver operating curve was used to evaluate the predictive efficacy of each parameter on the invasiveness of ovarian cystic gland tumors.Results Among the 81 patients with ovarian cystic tumors,29 patients were in the malignant cystic tumor group,with an incidence rate of 35.80%.The CA-125,R2* values and ITSS ratio in the malignant cystic gland tumor group were higher than those in the benign cystic gland tumor group,and the differences were statistically significant(t=15.153,14.006,8.200,all P<0.05).The R2* value(OR=3.464,95%CI 1.712-7.008,P=0.001)and ITSS ratio(OR=8.376,95%CI 1.399-14.519,P=0.002)were independent risk factors for the occurrence of malignant ovarian cystadenoma(OR>1,P<0.05);the optimal critical values for R2* value,ITSS ratio and their combined prediction of malignant ovarian cystic tumors were 5.700,0.165 and 0.557,respectively.The area under the curve was 0.942,0.870 and 0.975,respectively.The sensitivity was 82.80%,82.80%and 89.70%,and the specificity was 96.20%,75.00%and 98.10%.Conclusion R2* value and ITSS ratio are independent predictive molecules for malignant cystic tumors,and their combination can enhance the predictive efficacy of invasiveness in ovarian cystic tumors.


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