西西河

主题:致萨苏:我虽然和你没什么交情,但想提醒你一句,不要被人利用 -- woodbear

共:💬325 🌺739 🌵16
全看分页树展 · 主题 跟帖
家园 喵喵,故園MM跟我的想法如出一轍 :) 談談九二一地震與糖尿病。

昨晚的回帖提到九二一地震後糖尿病患者確實在地震後呈現增加的趨勢。

研究方法是以全民健保記錄追蹤九二一地震前六個月與九二一地震後一年慢性疾病(高血压,心脏病,关节炎,糖尿病)就診的記錄。結果發現糖尿病患者確實在地震後呈現增加的趨勢。 (全文如下。 )

woodbear認為我舉的九二一的研究例證是孤證, 但是糖尿病被人注意以來,世界上發生過多少次大規模的地震呢?

今日九二一的追蹤,確實証明有這樣的相關性,那麼為什麼不能給災民做這方面的檢查。

我的婆婆糖尿病,我的乾爹糖尿病,乾爹的母親洗腎洗到數度休克,腳指頭截斷。

若能幫助人們及早發現與治療以免於日後痛苦,為何不做呢? 此時不做,要待何時再做?

災區那麼多的受困者,現有的糖尿病患者分佈廣散,確實急需血糖儀與測紙。

美國這裡較便宜。 我婆婆回大陸半年,我們都定時托人帶針頭試紙回去。 (三餐前都要測,用量很大。)

施先生若真要"推销"自己的保健品,他背進山的就應該是自己的產品。

救災的人在最困苦的地方揮汗貢獻,能否多給事實掌聲?

現在的噓聲,大半來自臆測啊。

我每讀一個跟帖,就不由得心驚一次。

剛剛讀到薩在小徑的家園博客的留言,忍不住重重嘆息。

有朋友認為至少施先生應避嫌,這倒讓我想起老和尚背漂亮姑娘過河的故事了。。。

希望薩蘇學老和尚的智慧。淡然放下。知道自己做得對就好。

我認為薩的文章與背後正直熱血的性格,是他個人也是西西河一個珍貴的資產。

THE EFFECTS OF THE 921 TAIWAN EARTHQUAKE ON MOBILITY AMONG PUBLIC EMPLOYEES IN THE DISASTER AREA: ISEE-268.

ABSTRACTS

Epidemiology. 14(5) Supplement:S52, September 2003.

Chang, T Y (1); Ou Yang, Y C; Hsiao, Y Y; Chan, C C

Abstract:

Introduction: On September 21, 1999, a powerful earthquake of magnitude 7.3 on the Richter scale struck central Taiwan and caused a total of 2,347 deaths. From the scale and the degree of damage, it is believed to be the worst earthquake in 20th century Taiwan. Past studies related to earthquakes discussed the immediate effects on the mortality and causes of deaths, but rare studies emphasized the prolong effects on the mobility. One cohort study presented the increasing numbers of incident cases of hypertension, heart disease, arthritis, and diabetes within the first 6 months, however, without the pre-earthquake clinical diagnosis or medical records, the relationship between the new cases of chronic diseases occurrence and the earthquake inducement was unknown. With the completely National Health Insurance (NHI) system in Taiwan, the purpose of this study was to describe the prevalent pattern of chronic diseases and to clarify the different mobility between the pre-earthquake and the post-earthquake in the 921 Taiwan Earthquake.

Methods: We carried out two sets of questionnaire survey to collect individual information related to damage of this earthquake and personal life style between 2002 and 2003. 3,637 persons comprised public employees and their family members were voluntary to supply personal identity numbers to link the NHI system for individual outpatient enrollment analysis. The data from March 21, 1999, through March 20, 2001 were obtained from the Bureau of NHI. According to the occurrence of the 921 Taiwan Earthquake, the outpatient data of this population was divided to pre-earthquake and post-earthquake time-periods with every 6 months. The trends of outpatient frequency and outpatient number of all diseases and specific chronic diseases were determined and the incident cases were observed during the two years.

Results: We observed that the total outpatient frequencies of all diseases in this population increased from 20,411 times in the half-year pre-earthquake to 23,103 times in the one-year post-earthquake and slightly decrease to 21,401 times in the 1.5-year post-earthquake. Male had higher outpatient frequencies than female and both gender had the same trend as the total of all diseases. In the outpatient numbers of all diseases, however, total outpatient numbers continued to increase from 2,677 persons in the pre-earthquake to 2,773 persons in the post-earthquake. The most age group to use healthcare service was 40-49 years old. Our findings presented rising trends in the prevalent rates of diabetes mellitus (ICD-9: 250) and hypertensive disease (ICD-9: 401-405) after this earthquake, but the prevalent rate of ischaemic heart disease (ICD-9: 410-414) reduced at the first 6 months and then increased in the post-earthquake. We also observed the numbers of incident cases on bronchitis, emphysema and asthma (ICD-9: 490-493) were more than other chronic diseases after this earthquake.

Conclusions: We concluded the prevalent patterns of chronic diseases on public employees and their family members were affected by the 921 Taiwan Earthquake, and the long-term effects of this earthquake on respiratory system would be more study in the future.

(C) 2003 Lippincott Williams & Wilkins, Inc.

全看分页树展 · 主题 跟帖


有趣有益,互惠互利;开阔视野,博采众长。
虚拟的网络,真实的人。天南地北客,相逢皆朋友

Copyright © cchere 西西河