Limited awareness of diabetes hypertension in China remains a major public health

first_img Source:https://www.mailman.columbia.edu/ Reviewed by Kate Anderton, B.Sc. (Editor)Apr 25 2019Awareness and diagnoses of hypertension and diabetes in China has been limited, resulting in compromised treatment, and increased screening did not lead to significant improvements, according to a new study at Columbia University Mailman School of Public Health. Findings are online in the journal BMC Public Health.Until now, there was little information on how individuals with hypertension or diabetes in China first became aware of their conditions and what factors may have contributed to changes in awareness over time.”It does not seem that the screening activities implemented by a national health survey improved awareness and management of these conditions. The persistent limited awareness of diabetes and hypertension remains a major public health concern,” said L.H. Lumey, MD, professor of Epidemiology.Using data from the China Health and Retirement Longitudinal Study (CHARLS), researchers measured the impact of a screening program for people aged 45 years and older between 2011 and 2015. After 2011, study participants were re-interviewed every two years to monitor any changes over time in their health, economic, or social conditions. Physical examinations were repeated in 2013 and 2015, and participants were asked again if they had ever been diagnosed with hypertension, or diabetes. Over 80 percent of participants interviewed in 2011 continued to participate in 2015.Of the more than 11,000 people screened in 2011, 49 percent were identified with hypertension and 18 percent with diabetes by medical examinations. Over 80 percent of the middle-aged and elderly Chinese diagnosed with hypertension and/or diabetes in 2011 reported in 2015 that they were unaware of having the disease(s). Aware hypertension patients were more likely to be older women, live in urban areas, and have higher BMIs.Hypertension was defined as diastolic blood pressure of 90 mmHg or higher; a systolic blood pressure of 140?mmHg or higher; or both; or as currently using an anti-hypertensive medication. Diabetes was defined as a fasting plasma glucose level of 126?mg/dL or higher; an HbA1c concentration of 6.5 mg/dL or higher; or a self-report of doctor diagnosed diabetes.Related StoriesObese patients with Type 1 diabetes could safely receive robotic pancreas transplantDiet and physical exercise do not reduce risk of gestational diabetesSome people treated for type 1 diabetes may have monogenic diabetes, study findsThere was some improvement in disease awareness between 2011 and 2015, mostly attributed to a medical examination initiated by the study participants themselves (over 75 percent), by their work unit or community (12-15 percent), but rarely (less than 3 percent) by the CHARLS examination. “One possible explanation is that the screening in the health survey was seen simply as an isolated process and not as a tool for follow-up, treatment, or referral,” noted Lumey.Several reasons could explain the limited increase in reported disease awareness in 2015, according to the researchers. Some participants may not have received the physical examination and blood test results from the 2011 survey; they may have not understood the results; or, they may have forgotten the results. “They also may have been unwilling to recognize that they had been diagnosed with diabetes or hypertension or failed to take appropriate measures for disease management,” said Lumey. “This will need further study.””While we observed an increase in hypertension and diabetes awareness over time in the CHARLS survey, our results suggest a ‘failure to act on the findings’, and raise important questions about the effective communication of screening results not only in CHARLS but also in other health surveys,” noted Chihua Li of Zhengzhou Central Hospital in China.”Perhaps individuals were expected to take actions by themselves after receiving the screening results,” said Lumey. “But our findings show it is important that increased efforts are made to make sure that participants understand the medical examination results and are motivated to access the appropriate health services where needed. Providing systematic feedback of screening results to survey participants and the monitoring of disease awareness over time will be essential to improve disease recognition and facilitate optimal management.”last_img read more

Staff fraud may cost Chinas DJI drone maker 150 million

first_img Citation: Staff fraud may cost China’s DJI drone maker $150 million (2019, January 21) retrieved 17 July 2019 from https://phys.org/news/2019-01-staff-fraud-china-dji-drone.html A company spokeswoman said DJI has established a special anti-corruption group to conduct in-depth investigations Explore further Chinese drone maker DJI has placed 45 employees under investigation for alleged fraud that could cost the company more than one billion yuan ($150 million) in losses, the firm said Monday. Embattled GlaxoSmithKline hit with another fraud probecenter_img © 2019 AFP The world’s top civilian drone maker said in an internal memo that most of the employees involved in the fraud worked in the supply chain, and 29 were fired while 16 were reported to the police.The case is expected to involve more than 100 people and many people will be facing a sentence in jail, according to Friday’s memo, whose authenticity was confirmed by a company spokeswoman on Monday.The initial investigation is just “the tip of the iceberg,” the spokeswoman told AFP.The memo said the employees fraudulently inflated the prices of parts for personal financial gains.The staffers received kickbacks from suppliers that charged double or triple the price to sell parts to DJI, the memo said.A company spokeswoman said DJI has established a special anti-corruption group to conduct in-depth investigations.”DJI will not tolerate corruption because of the rapid development and will not stop its development because of corruption,” she told AFP.The company has become the latest in a string of Chinese tech firms dealing with internal misdeeds in recent months.China’s dominant ride-hailing firm Didi Chuxing uncovered more than 60 cases of corruption within the company last year.Yang Weidong, former president of Alibaba’s video-streaming platform Youku, stepped down and was put under investigation in December on suspicion of accepting improper payments, according to Chinese media. This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.last_img read more

Practice holding broom in private before next photo op Omar Abdullah to

first_img Press Trust of India SrinagarJuly 13, 2019UPDATED: July 13, 2019 17:54 IST Omar Abdullah said Parliament complex was one of the cleanest places in the country.National Conference leader Omar Abdullah on Saturday mocked the cleanliness drive at the Parliament complex, saying it was one of the cleanest places in the country.The former Jammu and Kashmir chief minister was responding to a Swachh Bharat programme held inside the Parliament complex in which several BJP MPs, including actor-turned-politician Hema Malini, could be seen wielding a broom.”But the Parliament complex is one of the cleanest places in the country, especially when the sessions are on, so what were they sweeping?” Abdullah, a three-time member of the Lok Sabha, tweeted.A short video of the Bollywood actor cleaning a road inside the complex came in for severe criticism on social media as the broom of the Mathura MP was not even touching the ground as she swept.”Ma’am please practice how to wield the (broom) in private before your next photo op,” Abdullah tweeted. “This technique you’ve employed won’t contribute much to improving cleanliness in Mathura (or anywhere else for that matter).”Pre-empting any criticism, the NC vice-president said: “I knew sweeping the dormitories in Sanawar (Himachal Pradesh) would be useful for something. I’m now qualified to comment on the (sweeping) technique of others.”ALSO READ | Video of Hema Malini sweeping goes viral. After cleaning water, she is cleaning air, says InternetALSO WATCH | PM Modi failed on every front: Omar AbdullahFor the latest World Cup news, live scores and fixtures for World Cup 2019, log on to indiatoday.in/sports. Like us on Facebook or follow us on Twitter for World Cup news, scores and updates.Get real-time alerts and all the news on your phone with the all-new India Today app. Download from Post your comment Do You Like This Story? Awesome! Now share the story Too bad. Tell us what you didn’t like in the comments Posted bySnigdha Choudhury Next Practice holding broom in private before next photo op: Omar Abdullah to Hema MaliniFormer Jammu and Kashmir CM Omar Abdullah was responding to a Swachh Bharat programme held inside the Parliament complex in which several BJP MPs, including actor-turned-politician Hema Malini, could be seen wielding a broom.advertisementlast_img read more