To evaluate the efficacy of changing grains on the prevention and treatment of Kashin-Beck Disease （KBD） in children, community-based trials were acquired from seven electronic databases （up to July 2014）. As a re...To evaluate the efficacy of changing grains on the prevention and treatment of Kashin-Beck Disease （KBD） in children, community-based trials were acquired from seven electronic databases （up to July 2014）. As a result, the methodological quality of the six trials that have been included into our analysis was low. The pooled ORs favoring the prevention and treatment effects of changing grains were 0.15 （95% CI： 0.03-0.70） and 2.13 （95% CI： 1.44-3.16） respectively by meta-analysis. Subgroup analysis demonstrated the pooled OR favoring treatment effect of exchanging grains rather than drying grains both compared with endemic grains. The results showed that changing grains had obvious effects on the prevention and treatment of KBD in children. However, the evidences were limited by the potential biases and confounders. Large and well-designed trials are still needed.展开更多
Using a geographic information system (GIS), the relations between a georeferenced data set of Culex pipiens s.l. collected in Portugal mainland during seven years (2006-2012) and meteorological and physiographic para...Using a geographic information system (GIS), the relations between a georeferenced data set of Culex pipiens s.l. collected in Portugal mainland during seven years (2006-2012) and meteorological and physiographic parameters are evaluated. This work is one of the results of a long-term surveillance program of pernicious insects that act as vectors of various diseases;its focus is on the possibility of prevention that can be achieved with abundance data. The focus on Culex pipiens is justified by its abundance and its competence as a vector for numerous health issues. The cumulative distribution of monthly captures by each meteorological parameter allows to compute thresholds corresponding to mosquito massive presence related to 90% of the captures. Using the weather parameters measured in the network of weather stations across the country, a monthly average of each parameter of interest (temperature, humidity, etc.) is computed and an interpolation of the results is made to produce raster maps corresponding to each month. The previously obtained thresholds are applied to each map, producing spatial masks with the relevant zones for each parameter. The intersection of the various masks for each month shows the most densely populated area of Culex, and the ensemble allows us to observe the evolution of mosquito presence through the critical season, which is from May to October at these latitudes. In parallel, mosquito abundance data are related to physiographic parameters. The relative distribution of female mosquitoes across land cover types in each month allows identifying which classes and seasons are most relevant. Orthometric altitude related to the presence of 90% of the catches shows the limits reached by mosquitoes in each month. The results are applied to the previously obtained climate envelopes, delimiting critical areas where the level of risk of transmission of the pathogens for which Culex pipiens is a competent vector is high and countermeasures should be concentrated, allowing its planning, and targeting on a monthly basis. The described procedure can be used with other relevant vectors in any region of the world, whenever abundance data is available.展开更多
The mitochondrion which contains its own double-stranded circular DNA is a semi-independent organelle that plays critical roles in cell activity. Mitochondrial DNA （mtDNA） is maternally inherited through several mec...The mitochondrion which contains its own double-stranded circular DNA is a semi-independent organelle that plays critical roles in cell activity. Mitochondrial DNA （mtDNA） is maternally inherited through several mechanisms that have been proposed （Luo et al., 2013） and, if mitochondrial mutations are inherited to the offspring, it is possible to cause mitochondrial diseases such as neuropathy, cardiomyopathy, myopathy, and liver failure.展开更多
About 10 million people in China are infected with hepatitis C virus(HCV),with the seroprevalence of anti-HCV in the general population estimated at 0.6%.Delaying effective treatment of chronic hepatitis C(CHC)is asso...About 10 million people in China are infected with hepatitis C virus(HCV),with the seroprevalence of anti-HCV in the general population estimated at 0.6%.Delaying effective treatment of chronic hepatitis C(CHC)is associated with liver disease progression,cirrhosis,hepatocellular carcinoma,and liver-related mortality.The extrahepatic manifestations of CHC further add to the disease burden of patients.Managing CHC-related advanced liver diseases and systemic manifestations are costly for both the healthcare system and society.Loss of work productivity due to reduced well-being and quality of life in CHC patients further compounds the economic burden of the disease.Traditionally,pegylatedinterferon plus ribavirin(PR)was the standard of care.However,a substantial number of patients are ineligible for PR treatment,and only 40%–75%achieved sustained virologic response.Furthermore,PR is associated with impairment of patient-reported outcomes(PROs),high rates of adverse events,and poor adherence.With the advent of direct acting antivirals(DAAs),the treatment of CHC patients has been revolutionized.DAAs have broader eligible patient populations,higher efficacy,better PRO profiles,fewer adverse events,and better adherence rates,thereby making it possible to cure a large proportion of all CHC patients.This article aims to provide a comprehensive evaluation on the value of effective,curative hepatitis C treatment from the clinical,economic,societal,and patient experience perspectives,with a focus on recent data from China,supplemented with other Asian and international experiences where China data are not available.展开更多
基金2023年度教育部人文社会科学研究青年基金项目(23YJCZH303):交通和用地协同发展背景下城市轨道站域传染病传播的影响机制和风险识别研究世界银行全球环境基金GEF国际合作项目(7204890):Consultancy for Summary Reports and Multimedia Dissemination for GEF6 China SCIAP Project(TOD中国可持续城市发展试点项目总结报告)中国博士后科学基金面上资助项目(2020M680332):基于复杂适应系统理论的城市适灾景观勘测模型与规划响应研究。
基金supported by the National Natural Scientific Foundation of China(No.81402639,81472924,81101337)
文摘To evaluate the efficacy of changing grains on the prevention and treatment of Kashin-Beck Disease （KBD） in children, community-based trials were acquired from seven electronic databases （up to July 2014）. As a result, the methodological quality of the six trials that have been included into our analysis was low. The pooled ORs favoring the prevention and treatment effects of changing grains were 0.15 （95% CI： 0.03-0.70） and 2.13 （95% CI： 1.44-3.16） respectively by meta-analysis. Subgroup analysis demonstrated the pooled OR favoring treatment effect of exchanging grains rather than drying grains both compared with endemic grains. The results showed that changing grains had obvious effects on the prevention and treatment of KBD in children. However, the evidences were limited by the potential biases and confounders. Large and well-designed trials are still needed.
文摘Using a geographic information system (GIS), the relations between a georeferenced data set of Culex pipiens s.l. collected in Portugal mainland during seven years (2006-2012) and meteorological and physiographic parameters are evaluated. This work is one of the results of a long-term surveillance program of pernicious insects that act as vectors of various diseases;its focus is on the possibility of prevention that can be achieved with abundance data. The focus on Culex pipiens is justified by its abundance and its competence as a vector for numerous health issues. The cumulative distribution of monthly captures by each meteorological parameter allows to compute thresholds corresponding to mosquito massive presence related to 90% of the captures. Using the weather parameters measured in the network of weather stations across the country, a monthly average of each parameter of interest (temperature, humidity, etc.) is computed and an interpolation of the results is made to produce raster maps corresponding to each month. The previously obtained thresholds are applied to each map, producing spatial masks with the relevant zones for each parameter. The intersection of the various masks for each month shows the most densely populated area of Culex, and the ensemble allows us to observe the evolution of mosquito presence through the critical season, which is from May to October at these latitudes. In parallel, mosquito abundance data are related to physiographic parameters. The relative distribution of female mosquitoes across land cover types in each month allows identifying which classes and seasons are most relevant. Orthometric altitude related to the presence of 90% of the catches shows the limits reached by mosquitoes in each month. The results are applied to the previously obtained climate envelopes, delimiting critical areas where the level of risk of transmission of the pathogens for which Culex pipiens is a competent vector is high and countermeasures should be concentrated, allowing its planning, and targeting on a monthly basis. The described procedure can be used with other relevant vectors in any region of the world, whenever abundance data is available.
文摘The mitochondrion which contains its own double-stranded circular DNA is a semi-independent organelle that plays critical roles in cell activity. Mitochondrial DNA （mtDNA） is maternally inherited through several mechanisms that have been proposed （Luo et al., 2013） and, if mitochondrial mutations are inherited to the offspring, it is possible to cause mitochondrial diseases such as neuropathy, cardiomyopathy, myopathy, and liver failure.
文摘About 10 million people in China are infected with hepatitis C virus(HCV),with the seroprevalence of anti-HCV in the general population estimated at 0.6%.Delaying effective treatment of chronic hepatitis C(CHC)is associated with liver disease progression,cirrhosis,hepatocellular carcinoma,and liver-related mortality.The extrahepatic manifestations of CHC further add to the disease burden of patients.Managing CHC-related advanced liver diseases and systemic manifestations are costly for both the healthcare system and society.Loss of work productivity due to reduced well-being and quality of life in CHC patients further compounds the economic burden of the disease.Traditionally,pegylatedinterferon plus ribavirin(PR)was the standard of care.However,a substantial number of patients are ineligible for PR treatment,and only 40%–75%achieved sustained virologic response.Furthermore,PR is associated with impairment of patient-reported outcomes(PROs),high rates of adverse events,and poor adherence.With the advent of direct acting antivirals(DAAs),the treatment of CHC patients has been revolutionized.DAAs have broader eligible patient populations,higher efficacy,better PRO profiles,fewer adverse events,and better adherence rates,thereby making it possible to cure a large proportion of all CHC patients.This article aims to provide a comprehensive evaluation on the value of effective,curative hepatitis C treatment from the clinical,economic,societal,and patient experience perspectives,with a focus on recent data from China,supplemented with other Asian and international experiences where China data are not available.
