RESUMEN
Background: Increasing evidence suggest a racial bias in pulse oximetry measurement, but this was under investigated in Asian pediatric populations. Methods: Via the Pediatric Intensive Care database, this retrospective study included pediatric patient records of arterial oxygen saturation (SaO2) and oxygen saturation on pulse oximetry (SpO2) measured within 10 min. Discrepancy was examined, and potential predictors of occult hypoxemia (defined as SaO2 <88% with the paired SpO2 ≥92%) as well as its association with outcomes were explored by logistic regression. Results: A total of 390 patients were included with 454 pairs of SaO2-SpO2 readings. The study population consisted of Han Chinese (99.0%) and 43.6% were female. Occult hypoxemia was observed in 20.0% of the patients, with a mean SaO2 of 71.4 ± 15.8%. Potential predictors of occult hypoxemia included female, being first admitted to cardiac ICU, congenital heart disease, increased heart rate, while patients with prior surgery records were less likely to experience occult hypoxemia. Patients with occult hypoxemia had numerically higher in-ICU mortality (16.7% versus 10.9%) and in-hospital mortality (17.9% versus 10.9%), but the associations were not statistically significant. Conclusions: There was a substantial proportion of hypoxemia that was not detected by pulse oximetry in the Chinese pediatric patients, which might be predicted by several characteristics and seemed to associate with mortality.
RESUMEN
Perceptions of residents in ecological resettlement area are important for evaluating the implementation effect of ecological relocation and sustainable development of world heritage site. With the residents from three different resettlement communities in Wulingyuan Scenic Area as the research object, we carried out a diachronic study on changes of the resettlers' perceptions of ecological relocation at different times and the main driving factors based on systematic survey data in 2010 and 2016. The results showed that in the year 2010 and 2016, resettlers reacted negatively to the indicators such as "enhancement of employment opportunity", "improvement of education and training opportunity", "enhanced environment in scenic area", "recognizing the identity change 'from rural to non-rural' after relocation". They favored the indicators such as "undermining traditional value", "lack of supervision during the implementation of policies". In 2016, resettlers of different gender, age and average monthly income had substantial different opinions on the economic and psychological impacts of ecological relocation. Education and income level had great impacts on their opinions of ecological relocation policies. Resettlers relocated by the way of investment for developing perceived were more sensitive to the economic impacts. Economic and policy impacts became the dominant driving factors for their general perception of ecological relocation. They pay more attention to employment, children's education opportunity as well as social security system for relocation.
