Subjects: Medicine, Pharmacy >> Preventive Medicine and Hygienics submitted time 2023-07-26 Cooperative journals: 《中国全科医学》
Abstract： Background Based on the particularity of children and the adjustment of birth policy in recent years，the development of pediatrician team is becoming more and more important. However，most of the current studies on the shortage of pediatricians are qualitative，lacking of quantitative researches. Objective To establish a multi-perspective demand forecasting model，comprehensively analyze the shortage of pediatricians in Jiangsu，and provide reference for promoting the development of children's health during the "14th Five-Year Plan" period in Jiangsu Province and accelerating the construction of pediatrician team in the new era. Methods According to the relevant indicators of pediatric medical services in Jiangsu Province in 2018 obtained from "2018 Jiangsu Provincial Health Service Survey and Analysis Report"，and the basic data of pediatrics in each city of Jiangsu Province was obtained from "2019 Jiangsu Provincial Statistical Yearbook" and the database of the Jiangsu Provincial Health Statistics Information Center. Using SPSS 24.0 analysis software，a multi-perspective demand forecasting model was developed from the perspectives of supply and demand，and a comprehensive analysis of the number of pediatrician shortage in Jiangsu Province was performed. Results The proportion of female physicians in the pediatrician team in Jiangsu is relatively high. The young and middle pediatricians occupy a leading position. The academic backgrounds of the pediatricians are mainly undergraduate. The professional title structure is much reasonable. Most of pediatricians have been working for over 20 years. Combined with the basic situation of the pediatrician team in Jiangsu and the perspective of supply and demand，the shortage number of pediatricians in Jiangsu Province was 18 300 and the average shortage number of physicians in 13 cities is 1 500. Conclusion There is an overdemand of resources for pediatric care and a high workload for physicians with an imbalance in the gender and title structure of the workforce; the special practice environment leads to increased practice risk. It is necessary to strengthen the personnel training and introduction policies，consolidate the professional foundation of personnel，and explore a new management model of "Internet + medical consortium".
Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2023-03-28 Cooperative journals: 《中国全科医学》
Abstract： Background There is no effective cure for Alzheimer's disease. Early identification of mild cognitive impairment（MCI） and determination of its sensitive warning indicators are current research hotspots. Objective To explore the relationship between taste recognition decline and cognitive function，and to clarify the value of taste recognition decline in early recognition of MCI. Methods From July to August 2022，30 older adults with MCI were recruited from a Nanjing community by convenience sampling method，and were compared to age-，sex-，and years of education-matched 32 healthy controls. The General Information Questionnaire，the Montreal Cognitive Assessment-Beijing Version（MoCA-Beijing），the Mini-Mental State Examination（MMSE），the Activities of Daily Living（ADL），and the Clinical Dementia Rating were used to assess demographics，cognitive function，status of activities of daily living，and severity of dementia，respectively. The taste function was examined by the whole mouth test. Correlation analysis and the receiver operating characteristic（ROC） curve were used to determine the value of taste recognition decline in early warning of MCI. Results Two groups had no significant differences in average age，gender ratio and average years of education（P>0.05），but significantly differed in the average MoCA-Beijing score and MMSE score（P<0.05）. Compared with healthy controls，MCI patients had much lower average scores in overall taste recognition，sweet taste recognition，salty taste recognition and bitter taste recognition（P<0.05）. In MCI patients，the overall taste recognition score was positively correlated with overall cognitive function，attention，orientation（r=0.433，0.540，0.392，P<0.05），salty taste recognition score was positively correlated with delayed recall ability（r=0.379，P<0.05），bitter taste recognition score was positively correlated with attention（r=0.471，P<0.05），umami taste recognition score was positively correlated with language ability（r=0.408，P<0.05）. The AUC of the total score of taste recognition ability in predicting MCI was 0.781，with 0.844 sensitivity，0.600 specificity，and an optimal cut-off value of 18.5. Conclusion Decreased abilities of sweet，salty and bitter recognition were found in MCI patients. The decreased ability of taste recognition was closely related to cognitive function. The decrease in the total score of taste recognition ability may partially predict MCI，and is a key early warning indicator of MCI.
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