1.Policy framework and support systems for early family education and rehabilitation for infants and toddlers with developmental impairments
Chenchen ZHU ; Sisi LIAO ; Yue LIU ; Jianming PAN ; Zhulin ZHU ; Bihua XIA ; Ying XIE
Chinese Journal of Rehabilitation Theory and Practice 2025;31(3):324-330
Objective To explore the policy foundations of early family education and rehabilitation support systems for children with developmental disabilities aged zero to three years,based on the International Classification of Functioning,Disability and Health(ICF),and to construct a comprehensive,whole-person and whole-lifecycle support system integrating early childhood education and rehabilitation services for families;and to propose corresponding sys-tem architecture,construction pathways and governance models.Methods Policy documents were compared,which were related to children's rehabilitation from the World Health Orga-nization,early education guidelines for children with disabilities from the United Nations Educational,Scientific and Cultural Organization,the U.S.Individuals with Disabilities Education Act,European Union children's reha-bilitation policies,and the"14th Five-Year Plan"from China Disabled Persons'Federation.The related policy frameworks and key content of early family education and rehabilitation were reviewed,and the composition,implementation pathways and governance models of the support system were systymatically analyzed.Results The support system consisted of early screening and assessment,family education and parent training,counsel-ing and personalized education and rehabilitation support,community support and resource integration,and re-mote digital support platforms.The study proposed the implementation pathways for five systems,including early screening and assessment,family education and parent training,counseling and personalized rehabilitation support,community support and resource integration,and remote digital support platforms.It emphasized gover-nance mechanisms such as multidisciplinary collaboration,interdepartmental coordination and support from re-mote digital platforms to build a continuous service chain from standardized assessments to interdepartmental collaboration.Conclusion The person-centered approach and whole life span development concept based on the ICF model,as well as the guiding principles of the health services continuum,provide systematic theoretical and policy support for early childhood education and rehabilitation for children with developmental disabilities aged zero to three years.Through multidisciplinary collaboration,interdepartmental coordination and the application of digital platforms,a scientific,continuous and child-centered support system can be built.This not only facilitates early detection and precise intervention but also promotes multi-party collaboration among families,communities and profes-sional institutions.It will further integrate disability prevention,rehabilitation and healthcare services,thereby im-proving children's functional abilities and family quality of life.
2.Policy framework and support systems for early family education and rehabilitation for infants and toddlers with developmental impairments
Chenchen ZHU ; Sisi LIAO ; Yue LIU ; Jianming PAN ; Zhulin ZHU ; Bihua XIA ; Ying XIE
Chinese Journal of Rehabilitation Theory and Practice 2025;31(3):324-330
Objective To explore the policy foundations of early family education and rehabilitation support systems for children with developmental disabilities aged zero to three years,based on the International Classification of Functioning,Disability and Health(ICF),and to construct a comprehensive,whole-person and whole-lifecycle support system integrating early childhood education and rehabilitation services for families;and to propose corresponding sys-tem architecture,construction pathways and governance models.Methods Policy documents were compared,which were related to children's rehabilitation from the World Health Orga-nization,early education guidelines for children with disabilities from the United Nations Educational,Scientific and Cultural Organization,the U.S.Individuals with Disabilities Education Act,European Union children's reha-bilitation policies,and the"14th Five-Year Plan"from China Disabled Persons'Federation.The related policy frameworks and key content of early family education and rehabilitation were reviewed,and the composition,implementation pathways and governance models of the support system were systymatically analyzed.Results The support system consisted of early screening and assessment,family education and parent training,counsel-ing and personalized education and rehabilitation support,community support and resource integration,and re-mote digital support platforms.The study proposed the implementation pathways for five systems,including early screening and assessment,family education and parent training,counseling and personalized rehabilitation support,community support and resource integration,and remote digital support platforms.It emphasized gover-nance mechanisms such as multidisciplinary collaboration,interdepartmental coordination and support from re-mote digital platforms to build a continuous service chain from standardized assessments to interdepartmental collaboration.Conclusion The person-centered approach and whole life span development concept based on the ICF model,as well as the guiding principles of the health services continuum,provide systematic theoretical and policy support for early childhood education and rehabilitation for children with developmental disabilities aged zero to three years.Through multidisciplinary collaboration,interdepartmental coordination and the application of digital platforms,a scientific,continuous and child-centered support system can be built.This not only facilitates early detection and precise intervention but also promotes multi-party collaboration among families,communities and profes-sional institutions.It will further integrate disability prevention,rehabilitation and healthcare services,thereby im-proving children's functional abilities and family quality of life.
3.Analysis and treatment of infectious diseases among the naval ship crew during prolonged deployment at sea
Linhua QIN ; Wanning TONG ; Zhiwu ZHENG ; Jiao LYU ; Yunxing SHI ; Guozhong ZHOU ; Zhulin PAN
Chinese journal of nautical medicine and hyperbaric medicine 2016;23(2):95-97
Objective To investigate the incidence of infectious diseases among the naval shipboard personnel during prolonged deployment at sea and the therapeutic effects.Methods The constitution ratio of infectious diseases among the ship crew during prolonged deployment at sea was calculated and morbidity rates of various infectious diseases at different stages of deployment were compared,and the therapeutic effects of different antibiotics were carefully evaluated.Results During the whole course of prolonged deployment at sea,the constitution ratio of infectious diseases from high percentage to low percentage was respiratory tract infection(65.61%),gastrointestinal tract infection (32.01%),urinary system infection (1.19%) and paronychia(1.19%).The morbidity of gastrointestinal tract infection during the middle stage of deployment was significantly higher than those of the early and late stages.The morbidity of respiratory tract infection during the middle and late stages of deployment was significantly higher than that of the early stage.During the middle and late stages,the cure rate of azithromycin to non-viral respiratory tract infection was significant higher that of cefuroxime.Conclusions Both respiratory tract infection and gastrointestinal tract infection were all commonly seen during prolonged deployment at sea.Significant differences could be noted in the morbidity of respiratory tract infection and respiratory tract infection at different stages of deployment.The therapeutic effect of azithromycin was obviously superior to cefuroxime in the treatment of non-viral respiratory tract infection during the middle and late stages of prolonged deployment at sea.
4.Analysis and treatment of infectious diseases among the naval ship crew during prolonged deployment at sea
Linhua QIN ; Wanning TONG ; Zhiwu ZHENG ; Jiao LYU ; Yunxing SHI ; Guozhong ZHOU ; Zhulin PAN
Chinese journal of nautical medicine and hyperbaric medicine 2016;23(2):95-97
Objective To investigate the incidence of infectious diseases among the naval shipboard personnel during prolonged deployment at sea and the therapeutic effects.Methods The constitution ratio of infectious diseases among the ship crew during prolonged deployment at sea was calculated and morbidity rates of various infectious diseases at different stages of deployment were compared,and the therapeutic effects of different antibiotics were carefully evaluated.Results During the whole course of prolonged deployment at sea,the constitution ratio of infectious diseases from high percentage to low percentage was respiratory tract infection(65.61%),gastrointestinal tract infection (32.01%),urinary system infection (1.19%) and paronychia(1.19%).The morbidity of gastrointestinal tract infection during the middle stage of deployment was significantly higher than those of the early and late stages.The morbidity of respiratory tract infection during the middle and late stages of deployment was significantly higher than that of the early stage.During the middle and late stages,the cure rate of azithromycin to non-viral respiratory tract infection was significant higher that of cefuroxime.Conclusions Both respiratory tract infection and gastrointestinal tract infection were all commonly seen during prolonged deployment at sea.Significant differences could be noted in the morbidity of respiratory tract infection and respiratory tract infection at different stages of deployment.The therapeutic effect of azithromycin was obviously superior to cefuroxime in the treatment of non-viral respiratory tract infection during the middle and late stages of prolonged deployment at sea.
5.Incidence of non-infectious diseases at different stages of a prolonged escort mission onboard the frigate
Linhua QIN ; Bing ZHANG ; Guozhong ZHOU ; Zhulin PAN ; Zhiwu ZHENG ; Guangyong WANG ; Hui QIAN ; Xingying JI ; Jiao LYU ; Yunxing SHI
Journal of Navy Medicine 2015;(4):291-293
Objective To investigate the incidence of non-infectious diseases at different stages of a prolonged escort missiononboard the frigate.Methods The constituent ratio of non-infectious diseases occurred at different stages of a prolonged escort missionby a certain frigate was calculated,and the incidence of various non-infectious diseases at different stages was compared accordingly.Results For non-infectious diseases occurred during the whole course of the mission,the top 3 non-infectious diseases were lumbarmuscle strain,insomnia and motion sickness.Then came dermatitis,dental ulcer,xerophthalmia,trauma and cardiovascular diseases.The onset stages (early,middle and late stages)of various non-infectious diseases were different from one another.The incidence oflumbar muscle strain,insomnia,dermatitis,dental ulcer and xerophthalmia at late stage of the mission was significantly higher than thatat the early stage(P <0.01),and the incidence of motion sickness at the early stage was significantly higher than that at late stage(P <0.01).Conclusion With the extension of the escort mission,the incidence of lumbar muscle strain,insomnia,dermatitis,dentalulcer and xerophthalmia increased,while the incidence of motion sickness decreased.
6.Incidence of non-infectious diseases at different stages of a prolonged escort mission onboard the frigate
Linhua QIN ; Bing ZHANG ; Guozhong ZHOU ; Zhulin PAN ; Zhiwu ZHENG ; Guangyong WANG ; Hui QIAN ; Xingying JI ; Jiao LYU ; Yunxing SHI
Journal of Navy Medicine 2015;(4):291-293
Objective To investigate the incidence of non-infectious diseases at different stages of a prolonged escort missiononboard the frigate.Methods The constituent ratio of non-infectious diseases occurred at different stages of a prolonged escort missionby a certain frigate was calculated,and the incidence of various non-infectious diseases at different stages was compared accordingly.Results For non-infectious diseases occurred during the whole course of the mission,the top 3 non-infectious diseases were lumbarmuscle strain,insomnia and motion sickness.Then came dermatitis,dental ulcer,xerophthalmia,trauma and cardiovascular diseases.The onset stages (early,middle and late stages)of various non-infectious diseases were different from one another.The incidence oflumbar muscle strain,insomnia,dermatitis,dental ulcer and xerophthalmia at late stage of the mission was significantly higher than thatat the early stage(P <0.01),and the incidence of motion sickness at the early stage was significantly higher than that at late stage(P <0.01).Conclusion With the extension of the escort mission,the incidence of lumbar muscle strain,insomnia,dermatitis,dentalulcer and xerophthalmia increased,while the incidence of motion sickness decreased.
7.Combined devascularization operation in treatment of ruptured esophagogastric varices bleeding
Jiaxin LIU ; Zhulin AI ; Jixiong GUO ; Guojiang DING ; Ge PAN
Chinese Journal of General Surgery 1997;0(04):-
0.05);the disappearance rate of varices of fundus of stomach and esophagus in the combined devascularization group was higher than that in control group(P0.05).The long-term(fourth to seventh year)survived rate of the combined devascularization group was higher than that of control group(98.3% in the combined devascularization group,90.0% in control group)(P

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