摘要：Background This study assessed the prevalence of gastroesophageal reflux disease(GERD)in a general adult population from Temuco in southern *** association of GERD with demographic variables was also *** A cross-sectional study among the general population of Temuco in southern Chile was conducted in 2017,using a validated and reliable questionnaire for detecting *** urban area of Temuco,with a population of 245,317 inhabitants(2002 census),was divided into four zones,which were representative of the socioeconomic sectors of the *** sample size was estimated assuming a prevalence of 52.8%,an accuracy of 3.0%,a confidence level of 95.0%,and a design effect of *** sampling was used to build *** prevalence of GERD was determined and associated factors were studied by means of bivariate and multivariate *** A total of 1,069 subjects(47.9%women,median age 40 years)from the selected subareas were *** prevalence of GERD was 44.8%.The most frequently reported symptom was regurgitation(54.8%).One-third of subjects took medication to control symptoms and was considered‘sick’by the instrument,although>68%of them had never sought medical *** was a significant association between GERD and age(P<0.001)and female gender(P=0.001).Conclusions In this population-based study,the prevalence of GERD was high(44.8%).GERD was associated with age and female gender.

摘要：Objective： To examine factors of the youth physical activity promotion （YPAP） model that are associated with Chinese international students＇ meeting PA recommendations （MPAR）. Methods： A total of 649 （females = 320, males = 329） Chinese international college students participated in the study. This study was conducted in the United States （US.） between June and August in 2011. Participants completed an online survey regarding their demographic, PA, predisposing, enabling, and reinforcing factors. Results： Logistic nested-regression analysis suggested that being male, having a higher body mass index, perceived competence, self-efficacy, attitude, and enjoyment all increased （p 〈 0.001） the participants＇ odds of MPAR. Except language barriers, all of the enabling and reinforcing factors predicted MPAR indirectly through the predisposing factors （p 〈 0.001）. Conclusion： Understanding factors that influence PA among Chinese international students is an important step in the process of promoting their long-term health and wellbeing. Designing program that address the identified key factors may help colleges and universities achieve this goal.

摘要：目的研究针对脑卒中患者及其家属的家庭干预方案的有效性。方法采用整群随机对照试验设计。2021年10月至2022年6月在泰国中部猜纳省抽取6个地区,分为实验组(3个地区)和对照组(3个地区),各招募了31个家庭,即31例新发脑卒中患者及家属(家庭照顾者和家庭成员)。以纽曼系统模型为框架,构建包含压力评估和基于家庭干预措施的脑卒中患者家庭干预方案。实验组实施脑卒中患者家庭干预方案,对照组接受常规护理。在基线、4周和12周后,分别对脑卒中后患者的功能状态、抑郁和并发症,家庭照顾者的护理负担和压力,以及家庭照顾者和家庭成员的家庭功能进行了评估。统计方法采用描述性统计、χ^(2)检验和重复测量方差分析等。结果实施家庭干预方案12周后,与对照组相比,脑卒中患者的功能状态改善,抑郁症状减轻,照顾者负担和压力减轻,家庭功能改善,差异均有统计学意义(P<0.05)。实验组有3例患者出现并发症,对照组有7例出现并发症。结论基于纽曼系统模型构建的脑卒中患者家庭干预方案对于改善泰国社区脑卒中患者状况、减轻家庭照顾者负担及改善其家庭功能有重要作用。可考虑延长该干预方案的持续时间,并评估其持续效果。

摘要：The pedagogy employed in health care education must continually be questioned and expanded. Student nurses must be prepared for nursing practice that continually changes, consequently alternative concepts in nurse education must be considered. The aims were to provide student nurses with reflection skills and to evaluate the potential of studying the reflective process using visual art at a museum as an enriched activity in education. A pedagogical program with Gibbs’ reflection model was used as a complement. The study was conducted at a University College of health Sciences in Sweden in collaboration with a visual art museum. Data were collected during a period of three years. A random sample (n = 35 of n = 98 students’ reports) was selected for qualitative analysis. The painting by George-Pierre Seurat, Seated woman was used as a source of inspiration. Analysis was conducted of the excerpts generated from the steps in Gibbs’ reflection model and from students’ evaluations of the teaching-learning structure. The results show that students were able to build hypothetical situations around the character depicted in the painting. They observed and described a great many aspects of the reflective process. The chosen painting was regarded as suitable for its purpose, and a source of inspiration. It could be interpreted as a patient you might meet in clinical practice. The students′ evaluations show that they became aware of knowledge they had not thought of before, and a way of taking a step closer to clinical practice. It could be concluded that art museum could be regarded as a stimulating environment that nurtured the reflective process. Consequently, visual art museums have to be considered as possible teaching learning milieus to be used in nurse education. It is to be hoped that this study will contribute to further development of visual art museums as teaching learning settings.

摘要：目的比较针刺董氏奇穴和中医传统穴位治疗泰国老年慢性腰痛(CLBP)患者的疗效。方法采用单盲、随机对照试验设计,纳入84名慢性腰痛老年患者。所有患者被随机分为两组,一组接受董氏奇穴针刺治疗,另一组接受传统中医(TCM)穴位针刺治疗。每次治疗30 min,连续治疗7 d。治疗前后进行数字评定量表(NRS)评分、背部活动度(BROM)及背部力量的测量和比较。结果与同组治疗前比较,治疗后两组NRS评分降低,BROM增加(P0.05),而两组BROM在后伸(P<0.01)和左侧屈(P<0.05)方面的差异有统计学意义。结论针刺董氏奇穴在降低腰部疼痛NRS评分,增加腰部力量,以及增加腰前屈及右侧屈活动度方面与针刺TCM穴位的效果相当.针刺传统穴位在增加腰后伸及左侧屈活动度方面效果更佳;针刺董氏奇穴适合老年CLBP患者,应得到支持推广。

摘要：OBJECTIVE:To evaluate the efficacy,safety,satisfaction,discomfort and patient preference of moxa cones of artemisia vulgaris and charcoal ***:This comparative study of moxibustion treatment with Artemisia vulgaris and charcoal moxa cone stimulating Zhongwan(CV 12) is a cross-over single-blinded,randomized clinical trial.A total of 40 healthy subjects(24 males and 16females) participated in this *** subjects dropped out of the ***-eight subjects were treated with Artemisia vulgaris and charcoal moxa cones for 30 min in a cross-over *** treatment,the patients underwent a 30 minute waiting period,and then the temperatures at Tanzhong(CV 17),Zhongwan(CV 12) and Guanyuan(CV 4) were measured using digital infrared thermal ***:After the use of Artemisia vulgaris moxa,the patients' body temperatures were slightly lowered at Tanzhong(CV 17),Zhongwan(CV 12)and Guanyuan(CV 4),but the changes were not statistically *** the use of charcoal moxa,the patients' body temperatures were somewhat increased at Zhongwan(CV 12) and Guanyuan(CV 4),but the changes were not statistically *** Artemisia vulgaris moxa use,the body temperature difference between Zhongwan(CV 12) and Guanyuan(CV 4)was significantly *** charcoal moxa use,the body temperature difference between Tanzhong(CV 17) and Zhongwan(CV 12) was significantly decreased in males and in the whole *** change was caused by the difference in the moxibustion type and by gender ***:This pilot study found that moxibustion did not raise the body temperature,but temperature differences between acupoints were *** large-scale randomized controlled trials are needed for the effect of moxibustion on body temperature.

摘要：本文中我们简要地回顾并提供了医疗和公共研究设计中使用的一些基本概念的有关注意事项,特别是主要问题、假设检验、和样本量。此外,我们还讨论了最近几年的一些扩展和发展。

摘要：Objectives:Many studies concerning the roles and functions of school nurses exist,however,such studies are very limited in Turkey and there is any research on a comprehensive measuring tool that can evaluate teachers'and parents'perceptions and expectations of school nurses *** purpose of this study is to develop a valid and reliable assessment tool that can be used to determine parents'and teachers'expectations of school nurse's ***:For the methodological research"Parents'and Teachers'Expectations of School Nurse's Roles"scale was designed and administered at primary and high schools in *** assess the data,assessment of item variability,internal consistency,factor analysis,correlations between the scale and subscales,and test-retest reliability were ***:The content validity index for the scale was *** a result of core components analysis varimax rotation,7 factors were obtained from 54 ***'sαcoefficient for the factors ranged from 0.82 to *** intra-class correlation coefficient for the test-retest reliability was 0.859,P<***:The scale was a rather valid and reliable assessment tool in determining the parents'and teachers'expectations of school nurses'roles.

摘要：The present study aimed at determining whether short-term exposure to art in shared common areas in congregate housing units could affect health and health determinants among the residents. Ten residents (mean age 80.4 years) at one block were exposed to visual art environmental enrichment in common areas over a period of three months. Thirteen persons (mean age 86.6 years) living in another block played in-house boule. Cornell’s test, Mini-Mental tests (MMT), and face recognition test were performed to assess depression, cognition, and episodic memory, respectively before and after the intervention. The results show that visual art environmental enrichment in common areas and lack of stimulating and guiding dialogues show a change in depression scores in the intervention group (p = 0.018) and the control group (p = 0.009). MMT scores improved only in the control group (p = 0.003). No changes in episodic memory in any of the groups were observed. It could be concluded that in order to obtain a positive result of short term visual art environmental enrichment, guiding art dialogues conducted by nurses, as described in previous research, should be added to visual art environmental enrichment in healthcare settings.

摘要：Background: In the Kingdom of Saudi Arabia (KSA), recent studies revealed increasing consumption of animal products and refined foods in the diet at the expense of vegetables and fruits. These dietary changes were accused of increasing the prevalence of both overweight and obesity observed among Saudi children, adolescences and adults in the last few decades. Objectives: The present study was a cross sectional study aimed at exploring the BMI distribution among students of college of Sciences and Arts for girls Khamis Mushayt Campus 1 at King Khalid University (KKU) and investigated how Dietary habits of students female affected body mass index (BMI). Methods: A total of 240 female students aged 18 - 22 years were about 25% from total students randomly chosen from college of Arts and Science Campus 1 at Khamis Mushayt, King Khalid University, KSA for the present study. A self-reported questionnaire about the student’s dietary habits was conducted and their body mass index (BMI) was measured. Data were analyzed using SPSS statistical software and Chi-square test conducted for variables. Results: About half of the students (47%) were within normal weight, 27.4% were under weight, 16% were overweight and 9.6% were categorized obese. The majority of the students reported eating meals with their family while more than half of sample (58.7%) had eating meals during watching TV. It was worth mentioning that 84.5% of students reported eating snacks such as chocolate and chips 3 or more times per week. There were no significant differences between BMI category and dietary habits. Conclusion and Recommendations: There were no significant difference between body mass index category and dietary habits. Increasing educational programs introduced healthy dietary concepts to improve the dietary habits of female students.