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青藏高原5县包虫病血清学与影像学诊断结果比较 被引量:4
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作者 邱加闽 李调英 +3 位作者 王虎 伊藤亮 刘凤洁 peter m schantz 《寄生虫病与感染性疾病》 CAS 2003年第3期97-100,共4页
目的比较影像学与血清学诊断方法在流行病学调查中的应用价值。方法对调查人群作B超腹部探查、胸部X光片及Dot ELISA、Em18 blot试验检测血清抗体。结果 Dot ELISA在 770 2人调查中对两型包虫病的阳性预测值为 4 8.5 % ,阴性预测值 99.... 目的比较影像学与血清学诊断方法在流行病学调查中的应用价值。方法对调查人群作B超腹部探查、胸部X光片及Dot ELISA、Em18 blot试验检测血清抗体。结果 Dot ELISA在 770 2人调查中对两型包虫病的阳性预测值为 4 8.5 % ,阴性预测值 99.3% ,人群抗体阳性率与患病率之比为 1.8∶1。Em18 blot在 4 5 4例肝、肺内占位病变者中对泡球蚴病的阳性预测值为 82 .9% ,阴性预测值 95 .3% ,对 32 7例囊型包虫病的阳性率为5 .8%。结论包虫病流调应以超声检查为主要依据 ,血清学检测阳性率不宜作为人群感染率指标。 展开更多
关键词 青藏高原 包虫病 血清学诊断 影像学诊断 流行病学 血清抗体 超声检查
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Impact of overgrazing on the transmission of Echinococcus multilocularis in Tibetan pastoral communities of Sichuan Province,China 被引量:20
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作者 WANG Qian XIAO Yong-fu +6 位作者 Dominique A Vuitton peter m schantz Francis Raoul Christine Budke maiza Campos-Ponce Philip S Craig Patrick Giraudoux 《Chinese Medical Journal》 SCIE CAS CSCD 2007年第3期237-242,共6页
Background Overgrazing was assumed to increase the population density of small mammals that are the intermediate hosts of Echinococcus multilocularis, the pathogen of alveolar echinococcosis in the Qinghai Tibet Plate... Background Overgrazing was assumed to increase the population density of small mammals that are the intermediate hosts of Echinococcus multilocularis, the pathogen of alveolar echinococcosis in the Qinghai Tibet Plateau. This research tested the hypothesis that overgrazing might promote Echinococcus multilocularis transmission through increasing populations of small mammal, intermediate hosts in Tibetan pastoral communities. Methods Grazing practices, small mammal indices and dog Echinococcus multilocularis infection data were collected to analyze the relation between overgrazing and Echinococcus multilocularis transmission using nonparametric tests and multiple stepwise logistic regression. Results In the investigated area, raising livestock was a key industry. The communal pastures existed and the available forage was deficient for grazing. Open (common) pastures were overgrazed and had higher burrow density of small mammals compared with neighboring fenced (private) pastures; this high overgrazing pressure on the open pastures measured by neighboring fenced area led to higher burrow density of small mammals in open pastures. The median burrow density of small mammals in open pastures was independently associated with nearby canine Echinococcus multilocularis infection (P=-0.003, OR=1.048). Conclusion Overgrazing may promote the transmission of Echinococcus multilocularis through increasing the population density of small mammals. 展开更多
关键词 echinococcosis hepatic Echinococcus multilocularis OVERGRAZING Tibetan pastoral communities
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