Distribution characteristics of meridian sinew (jingjin) syndrome in 313 cases of whiplash-associated disorders / 中国结合医学杂志

<p><b>OBJECTIVE</b>To investigate and analyze the characteristics of Meridian Sinew (Jingjin) syndrome in patients with whiplash-associated disorders (WAD).</p><p><b>METHODS</b>From August 2010 to September 2011, 313 WAD cases from New York and California states were collected. The survey mostly collects the information of "Sinew Knotted Points" and symptoms of four types of Meridian Sinew differentiation-Taiyang, Shaoyin, Shaoyang and Yangming.</p><p><b>RESULTS</b>Among the cases which are on the average of medium injury level, the higher frequency of "Sinew Knotted Points" tenderness were found on Jianwaishu (SI 14), Jianzhongshu (SI 15), Tianchuang (SI 16), C3-6 Spinous Process, Dazhui (GV 14), Fengchi (GB 20), Tianliao (SJ 15) and Tianding (LI 17). The most commonly presented symptoms were widespread spasm and tenderness in the neck (Taiyang), difficulty in lateral flexion (Shaoyang), problems of extension and flexion (Taiyang), and stiffness and pain during neck movement (Yangming). Among the cases, 237 cases (75.72%) were related to Taiyang Meridian Sinew syndrome, 82 cases (26.20%) to Shaoyin syndrome and 175 (55.91%) and 176 (56.23%) cases to Shaoyang and Yangming syndrome respectively. The most of cases presented in a combination format. The syndrome distribution under Grade I, II and III reflected that more combination of the Meridian Sinew syndromes in the whiplash injury patients which is resulted from more severity of injury.</p><p><b>CONCLUSION</b>It is practical to identify the location of abnormality through Meridian Sinew differentiation, considering both "Sinew Knotted Points" tenderness and corresponding symptoms, for the local neck symptoms of WAD.</p>

A comparative study on health statistical survey system between China and the United States of American / 预防医学

Objective To compare the difference on health statistical survey system between China and United States of American.Methods Four aspects in statistical agencies,legislation,survey items and health statistics information were compared.Results The system in China has its own characteristics,but it also faced with many challenges,including the relatively slow transfer and exchange of statistical information,the lack of legislation on data dissemination and sharing,the insufficient diversification of survey items and survey content.Conclusion The statistics information center of Ministry of Health should strengthen the management and coordination to ensure the data collection timely and accurately.The policies should be strengthened to protect data privacy and improve data dissemination.