In the traditional power transmission network planning,deterministic analysis methods are widely used.In such methods,all contingencies are deemed to have the same occurrence probability,which is not reasonable.In thi...In the traditional power transmission network planning,deterministic analysis methods are widely used.In such methods,all contingencies are deemed to have the same occurrence probability,which is not reasonable.In this paper,risk assessment is introduced to the process of transmission network planning considering the probabilistic characteristics of contingencies.Risk indices are given to determine the weak points of the transmission network based on local information,such as bus risk,line overload risk,contingency severity.The indices are calculated by the optimal cost control method based on risk theory,which can help planners to quickly determine weak points in the planning and find solution to them.For simplification,only line overload violation is considered.Finally,the proposed method is validated by an IEEE-RTS test system and a real power system in China from two aspects.In the first case,the original system is evaluated by the proposed method to find the weak points,and then four planning schemes are established,among which the best scheme is selected.In the second case,four initial planning schemes are established by combining the experiences of planners,and after the evaluation by using the proposed method,the best planning scheme is improved based on the information of weak points in the initial schemes,and the risk of improved scheme is reduced from 42 531.86 MW·h per year to 4 431.26 MW·h per year.展开更多
Objective:To search for risk factors that affect mother-to-infant transmission of hepatitis B virus (HBV). Methods: To obtain studies eligible for meta-analysis, China biological medicine discs and MEDLINE citations w...Objective:To search for risk factors that affect mother-to-infant transmission of hepatitis B virus (HBV). Methods: To obtain studies eligible for meta-analysis, China biological medicine discs and MEDLINE citations were surveyed. Mother HBV DNA or HBeAg positivity, neonate HBeAg positivity, mode of delivery, threatened abortion and threatened premature labor were processed with meta analysis. Criteria for selection of published studies for meta analysis were based on principle by Abdolmaleky HM[1]. Odds ratio (OR) was calculated and summarized by fixed effect model or random-effects model using RevMan software. The heterogeneity of the group of ORs was assessed using an x2 test. The significance of the pooled OR was determined by the u-test. The strength of association was assessed using the OR. An OR>1. 0 indicated a positive association between the risk factor and neonate HBV infection. Results: After meta analysis of factors concerned, a significant association was found between the positivity of HBeAg in mother and neonate, of HBV DNA in mother peripheral serum, and HBV mother-to-infant transmission, with a pooled OR equal to 19.43 (95% CI=8. 77-43. 06), 36.5 (95% 01=19.85-67.11), and 36. 5 (95% CI=19. 85-67. 11) respectively. Mode of delivery, threatened abortion and threatened premature labor proved not to be of risk factors on the mother-to-infant transmission of HBV. Conclusion: Mother HBV DNA or HBeAg positivity and neonate HBeAg positivity were proved to be of risk factors affecting the transmission of HBV from mother to fetal.展开更多
The severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)pandemic,which has lasted for nearly a year,has made people deeply aware of the strong transmissibility and pathogenicity of SARS-CoV-2 since its outbreak...The severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)pandemic,which has lasted for nearly a year,has made people deeply aware of the strong transmissibility and pathogenicity of SARS-CoV-2 since its outbreak in December 2019.By December 2020,SARS-CoV-2 had infected over 65 million people globally,resulting in more than 1 million deaths.At present,the exact animal origin of SARS-CoV-2 remains unclear and antiviral vaccines are now undergoing clinical trials.Although the social order of human life is gradually returning to normal,new confirmed cases continue to appear worldwide,and the majority of cases are sporadic due to environmental factors and lax self-protective consciousness.This article provides the latest understanding of the epidemiology and risk factors of nosocomial and community transmission of SARS-CoV-2,as well as strategies to diminish the risk of transmission.We believe that our review will help the public correctly understand and cope with SARS-CoV-2.展开更多
Background: Tuberculosis is an infectious disease with an estimated 1.45 million deaths every year. Many patients get infected as a result of ignorance of the risk factors that contribute to disease transmission. Meth...Background: Tuberculosis is an infectious disease with an estimated 1.45 million deaths every year. Many patients get infected as a result of ignorance of the risk factors that contribute to disease transmission. Methodology: A descriptive epidemiological study was conducted on 258 patients presenting with pulmonary tuberculosis. Patients’ sputa were collected for laboratory analysis and patients were required to respond to a structured questionnaire on risk factors for transmission. Data among stratified groups were compared using bivariate analysis. Statistical significance was considered at p Results: There were significantly more males than females associated with pulmonary tuberculosis infection (χ2 = 0.963;df = 1;p (64.3%) patients were living in single rooms with 110 (42.6%) living with more than two people with a maximum of 10 people in a single room. Only 73 (28.3%) were living alone in a single room and only 7 families (2.7%) were living in houses with five or more rooms. Alcohol consumers and smokers were 102 (39.5%) and 93 (36%) respectively. Half of the patients (137 (53.3%)) had not completed secondary education with only 16 (6.2%) having completed tertiary education. Recurrent cases were 54 (21%) while those exposed to the disease either at home or working place were 75 (29.2%). Out of 171 patients who agreed to test for HIV, 46 (26.9%) were positive. Marital status had no effect on incidence of disease. Conclusion: Emphasis should be given to creating awareness of the risk factors associated with transmission of tuberculosis in order to reduce the rate of infection.展开更多
According to current guidelines, exposing mucous membrane to blood and body fluids of HIV infected people is risk of transmission. About 30% - 80% of HIV infected people have at least one oral manifestation. The most ...According to current guidelines, exposing mucous membrane to blood and body fluids of HIV infected people is risk of transmission. About 30% - 80% of HIV infected people have at least one oral manifestation. The most frequently occurring oral manifestations (pseudomembranous candidiasis, linear gingival erythema, etc.) give rise to bleeding either spontaneously or after stimulation, and strenuous stirring during oral sex and deep-mouth kissing increase risk of bleeding from oral manifestations, exposing oral and genital mucous membrane of partners to the blood. However, current guidelines assert that there’s little to no risk of getting HIV from oral sex and deep-mouth kissing. These guidelines are conflict with each other, suggesting potential problems with current prevention strategies which are based on the guidelines. After discussing existing data on animals, lesbians, young peoples, and occupational exposures, this paper suggests oral sex and deep-mouth kissing are risk factors when one partner has HIV-associated oral bleeding manifestations, and the number of infections associated with oral sex and deep-mouth kissing is significant. Current guidelines on HIV risk factors should be reevaluated urgently, and new studies should be undertaken with an open mind to explore risk factors.展开更多
Malaria is still the major parasitic disease in the world, with approximately 438,000 deaths in 2015. Environmental risk factors (ERF) have been widely studied, however, there are discrepancies in the results abo...Malaria is still the major parasitic disease in the world, with approximately 438,000 deaths in 2015. Environmental risk factors (ERF) have been widely studied, however, there are discrepancies in the results about their influence on malaria transmission. Recently, papers have been published about geospatial analysis of ERF of malaria to explain why malaria varies from place to place. Our primary objective was to identify the environmental variables most used in the geospatial analysis of malaria transmission. The secondary objective was to identify the geo-analytic methods and techniques, as well as geo-analytic statistics commonly related to ERF and malaria. We conducted a systematized review of articles published from January 2004 to March 2015, within Web of Science, Pubmed and LILACS databases. Initially 676 articles were found, after inclusion and exclusion criteria, 29 manuscripts were selected. Temperature, land use and land cover, surface moisture and vector breeding site were the most frequent included variables. As for geo-analytic methods, geostatistical models with Bayesian framework were the most applied. Kriging interpolations, Geographical Weighted Regression as well as Kulldorff’s spatial scan were the techniques more widely used. The main objective of many of these studies was to use these methods and techniques to create malaria risk maps. Spatial analysis performed with satellite images and georeferenced data are increasing in relevance due to the use of remote sensing and Geographic Information System. The combination of these new technologies identifies ERF more accurately, and the use of Bayesian geostatistical models allows a wide diffusion of malaria risk maps. It is known that temperature, humidity vegetation and vector breeding site play a critical role in malaria transmission;however, other environmental risk factors have also been identified. Risk maps have a tremendous potential to enhance the effectiveness of malaria-control programs.展开更多
Aedes-borne diseases remain a public health challenge for many countries globally. The extent of spread of invasive species of Aedes mosquitoes and risk of transmission of the diseases especially around the point of e...Aedes-borne diseases remain a public health challenge for many countries globally. The extent of spread of invasive species of Aedes mosquitoes and risk of transmission of the diseases especially around the point of entry of goods such as ports is not well known in Ghana. This study investigated the ecology, distribution and risk of transmission of viral haemorrhagic fevers by Aedes mosquitoes around the port areas of Tema, Southern Ghana. The mosquitoes from this study were collected using human landing catches, ovitraps and larval collections for a period of six months. A total of 1092 containers were inspected in both seasons and of these, 237 (21.7%) were positive for mosquito larvae or pupae in rainy season while 181 (16.6%) were positive in dry season. A total of 6498 mosquitoes were collected and identified morphologically using taxonomic keys. 6038 (92.9%) were Aedes aegypti, 337 (5.2%) were Culex spp. and 123 (1.9%) were Anopheles gambiae. The Ae. aegypti larvae were found breeding in a series of water-holding containers which included disposed plastic containers, earthenware pots, car tyres, plastic barrels, plastic basins, buckets, metal drums, jerrycans and poly tank. A high proportion of Aedes aegypti eggs were found in the ovitraps during the rainy season than in the dry season in the study sites. Ae. aegypti was the most common mosquitoes biting mostly outdoors (65.6%) with more bites occurring in the rainy season (63.6%) in the two residential sites (Tema Community One and Tema New Town). The risk of transmission of viral haemorrhagic fever in the study sites was assessed using House Index, Container Index, Breteau Index and was found to be higher in Tema New town area with seasonal variations within the sites. The man-vector contact rates for the two residential sites were also found to be higher in rainy season than the dry season. These observations indicate that the risk of transmission of viral haemorrhagic fevers in the study areas is high especially in the rainy season. The implications of the findings in the formulation of future vector control programmes around the port areas in the country are discussed in the paper.展开更多
Hepatitis E virus(HEV)is a small non-enveloped single stranded RNA virus whose genotypes 3 and 4 have been associated with zoonotic transmission in industrialized countries.HEV infection is considered the main cause o...Hepatitis E virus(HEV)is a small non-enveloped single stranded RNA virus whose genotypes 3 and 4 have been associated with zoonotic transmission in industrialized countries.HEV infection is considered the main cause of acute hepatitis worldwide.In some cases,transfusion of blood components or organ transplantation have been reported as the source of infection.We have conducted a literature review on the risk of transmission through cell and tissue allografts.Although no case was found,measures to control this risk should be taken when donor profile(based upon geographical and behavioural data)recommended it.Issues to be considered in donor screening and tissue processing to assess and to reduce the risk of HEV transmission are approached.展开更多
The aim of this study was to identify the risk factors of mother-to-child transmission of HBV in positive Ag Hbs pregnant women in Cote d’Ivoire. Methods: This was a transversal prospective study that took place over...The aim of this study was to identify the risk factors of mother-to-child transmission of HBV in positive Ag Hbs pregnant women in Cote d’Ivoire. Methods: This was a transversal prospective study that took place over a period of 7 months (from February 2016 to August 2016) in 2 university hospital and 2 private clinics. We consecutively recruited 91 pregnant women who were positive for HBs Ag in prenatal consultations. For each pregnant woman record included in the study, we provided Socio-demographic (Age, marital status, education level, social rank, gravidity, parity) and biological data (HBs Ag, Anti-HBc Total Ac, Hbe Ag, Ac anti-Hbe Ac, DNA-VHB, Ac anti-HCV Ac, retroviral serology, transaminases). All of these data were collected using a survey sheet developed for the study. Results: The age of our pregnant women HBs positive ranged from 18 years to 44 years with a mean age of 30.10 years. The age group from 20 to 39 years was the most represented with a frequency of 92.31%. Almost of all positive HBs Ag pregnant women was HBe Ag negative, only 3.3% was HBe Ag positive. The viral load above 2000 IU/ml was found in 21 (23.03%) patients. There were 4 co-infected patients, which 3 HBV-HIV and 1 HBV-HCV. Only 19 (20.88%) pregnant HBs Ag positive women were able to bring back the supplementary virological assessment within a period less than one month. Conclusion: According to our work the virologic profile of positive HBs Ag in pregnant women in Cote d’Ivoire is characterized by an important viral replication objectified by a high viral load in about 23% pregnant women, a negativity of HBe antigen in 96.6% of them.展开更多
Objective:To determine hepatitis C virus(HCV) genotypes and explore the associated risk factors in chronic HCY patients.Methods:A total of 116 patients with chronic hepatitis C were subjected to polymerase chain react...Objective:To determine hepatitis C virus(HCV) genotypes and explore the associated risk factors in chronic HCY patients.Methods:A total of 116 patients with chronic hepatitis C were subjected to polymerase chain reaction(PCR) based detection out of which 112 chronic HCV patients[53 male(47.32%),59 female(52.68%);mean age(43.76±16.40) years;mean BMI(23.8± 3.9)kg]were enrolled in this study.The frequency of 6 HCV genotypes and associated risk factors were evaluated from five districts of North West Frontier Province(NWFP).Results:Genotype 3was the most prevalent in 73 samples(65.17%) followed by genotype 1 in 24(21.42%) and genotype2 in 13(11.60%) samples.Genotype3 had significantly high prevalence(P=0.0002).The results showed that 48(42.85%) samples were infected with HCV 3a:25(22.32%) with 3b;14(12.50%) with 1a;10(8.92%)with 1b;11(9.82%) with 2a;2(1.78%) with 2b;and 2 were untypable.The distribution of HCV genotypes in Murdan.Charsadda,Peshawar.Sawabi and Nowshehra districts was different.Use of unsterile equipment lor medication,barbers and previous history of hospitalization were the main risk factors for HCV transmission.Conclusions:Cenotype 3a and 3b.1a.1b and 2a are the common genotypes in NWFP.Genotype 4.5.and 6 can not be found in a single sample.The level of awareness about various modes ot transmission of HCV among the population is found to be verv low.展开更多
The worldwide prevalence of hepatitis C virus(HCV)infection in children is 0.05%-0.4% in developed countries and 2%-5% in resource-limited settings, where inadequately tested blood products or un-sterile medical injec...The worldwide prevalence of hepatitis C virus(HCV)infection in children is 0.05%-0.4% in developed countries and 2%-5% in resource-limited settings, where inadequately tested blood products or un-sterile medical injections still remain important routes of infection. After the screening of blood donors, motherto-child transmission(MTCT) of HCV has become the leading cause of pediatric infection, at a rate of 5%. Maternal HIV co-infection is a significant risk factor for MTCT and anti-HIV therapy during pregnancy seemingly can reduce the transmission rate of both viruses. Conversely, a high maternal viral load is an important, but not preventable risk factor, because at present no anti-HCV treatment can be administered to pregnant women to block viral replication. Caution is needed in adopting obstetric procedures, such as amniocentesis or internal fetal monitoring, that can favor fetal exposure to HCV contaminated maternal blood, though evidence is lacking on the real risk of single obstetric practices. Mode of delivery and type of feeding do not represent significant risk factors for MTCT. Therefore, there is no reason to offer elective caesarean section or discourage breast-feeding to HCV infected parturients. Information on the natural history of vertical HCV infection is limited. The primary infection is asymptomatic in infants. At least one quarter of infected children shows a spontaneous viral clearance(SVC) that usually occurs within 6 years of life. IL-28 B polymorphims and genotype 3 infection have been associated with greater chances of SVC. In general, HCV progression is mild or moderate in children with chronic infection who grow regularly, though cases with marked liver fibrosis or hepatic failure have been described. Non-organ specific autoantibodies and cryoglobulins are frequently found in children with chronic infection, but autoimmune diseases or HCV associated extrahepatic manifestations are rare.展开更多
BACKGROUND Understanding the transmission dynamics of severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)infection among healthcare workers(HCWs)and their social contacts is crucial to plan appropriate risk-re...BACKGROUND Understanding the transmission dynamics of severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)infection among healthcare workers(HCWs)and their social contacts is crucial to plan appropriate risk-reduction measures.AIM To analyze the socio-demographic risk factors and transmission of SARS-CoV-2 infection among HCWs in two tertiary care hospitals in Dubai,United Arab Emirates.METHODS The demographic and clinical characteristics were available for all HCWs in both facilities from the human resources department.A cross-sectional survey was conducted from January-April 2022 among HCWs who tested positive through Reverse Transcriptase Polymerase Chain Reaction of the nasopharyngeal swab for SARS-CoV-2 between March 2020 and August 2021 in two tertiary-level hospitals.The survey included questions on demographics,work profile,characteristics of coronavirus disease 2019(COVID-19),and infection among their household or co-workers.The survey also checked the knowledge and perception of participants on the infection prevention measures related to SARS-CoV-2.RESULTS Out of a total of 346 HCWs infected with SARS-CoV-2,286(82.7%)HCWs consented to participate in this study.From the sample population,150(52.5%)of participants were female,and a majority(230,80.4%)were frontline HCWs,including 121 nurses(121,42.4%).Only 48(16.8%)participants were fully vaccinated at the time of infection.Most infected HCWs(85%)were unaware of any unprotected exposure and were symptomatic at the time of testing(225,78.7%).Nearly half of the participants(140,49%)had co-infection among household,and nearly one-third(29.5%)had coinfection among three or more household.Another 108(37.8%)participants reported crossinfection among co-workers.The frontline HCWs were significantly more infected(25.1%vs 8.6%,P<0.001)compared to non-frontline HCWs.Another significant risk factor for a high infection rate was male sex(P<0.001).Among the infected frontline HCWs,a significantly higher proportion were male and shared accommodation with family(P<0.001).COVID-19 vaccination significantly reduced the infection rate(83.2%vs 16.8,P<0.001)among HCWs.Most participants(99.3%)were aware about importance of appropriate use of personal protective equipment.However,only 70%agreed with the efficacy of the COVID-19 vaccination in preventing an infection and severe disease.CONCLUSION The risk profiling of the HCWs infected with SARS-CoV-2 found that working at frontline and being male increase the rate of infection.COVID-19 vaccination can effectively reduce the rate of transmission of SARS-CoV-2 among HCWs.展开更多
为了辨识油气智慧管道系统中存在的信息安全风险,通过基于系统论事故分析模型(systems-theoretic accident modeling and process,STAMP)的方法,对油气智慧管道系统的信息物理安全进行全面评估与分析。首先,系统综合分析了油气智慧管道...为了辨识油气智慧管道系统中存在的信息安全风险,通过基于系统论事故分析模型(systems-theoretic accident modeling and process,STAMP)的方法,对油气智慧管道系统的信息物理安全进行全面评估与分析。首先,系统综合分析了油气智慧管道涉及的设备、设施、工艺、元件,评估其安全性。其次,通过建立STAMP模型,深入分析了各层级、元件之间的反馈信息与控制动作,形成了明确的控制反馈回路,突显了元件之间的关联与控制关系。在此基础上,系统辨识出了潜在的信息风险因素,推导并构建了可能发生的系统失效场景。以天然气输气首站油气智慧管道系统为例,研究验证了基于STAMP模型的可行性和有效性。结果显示,该方法不仅直观地描述了元件之间的关联与控制关系,而且从物理层功能安全的角度全面考虑了信息风险,特别凸显了过程控制系统(process control systems,PCS)及易受攻击的操作员站。与传统方法相比,本研究所提出的方法将信息物理安全风险因素的识别率提升至80%以上,提高了40%以上,有助于避免不必要的安全措施冗余设计,提高了安全风险管控的准确性。展开更多
基金Supported by Major State Basic Research Program of China ("973" Program,No. 2009CB219700 and No. 2010CB23460)Tianjin Municipal Science and Technology Development Program (No. 09JCZDJC25000)Specialized Research Fund for the Doctoral Program of Higher Education of China (No.20090032110064)
文摘In the traditional power transmission network planning,deterministic analysis methods are widely used.In such methods,all contingencies are deemed to have the same occurrence probability,which is not reasonable.In this paper,risk assessment is introduced to the process of transmission network planning considering the probabilistic characteristics of contingencies.Risk indices are given to determine the weak points of the transmission network based on local information,such as bus risk,line overload risk,contingency severity.The indices are calculated by the optimal cost control method based on risk theory,which can help planners to quickly determine weak points in the planning and find solution to them.For simplification,only line overload violation is considered.Finally,the proposed method is validated by an IEEE-RTS test system and a real power system in China from two aspects.In the first case,the original system is evaluated by the proposed method to find the weak points,and then four planning schemes are established,among which the best scheme is selected.In the second case,four initial planning schemes are established by combining the experiences of planners,and after the evaluation by using the proposed method,the best planning scheme is improved based on the information of weak points in the initial schemes,and the risk of improved scheme is reduced from 42 531.86 MW·h per year to 4 431.26 MW·h per year.
文摘Objective:To search for risk factors that affect mother-to-infant transmission of hepatitis B virus (HBV). Methods: To obtain studies eligible for meta-analysis, China biological medicine discs and MEDLINE citations were surveyed. Mother HBV DNA or HBeAg positivity, neonate HBeAg positivity, mode of delivery, threatened abortion and threatened premature labor were processed with meta analysis. Criteria for selection of published studies for meta analysis were based on principle by Abdolmaleky HM[1]. Odds ratio (OR) was calculated and summarized by fixed effect model or random-effects model using RevMan software. The heterogeneity of the group of ORs was assessed using an x2 test. The significance of the pooled OR was determined by the u-test. The strength of association was assessed using the OR. An OR>1. 0 indicated a positive association between the risk factor and neonate HBV infection. Results: After meta analysis of factors concerned, a significant association was found between the positivity of HBeAg in mother and neonate, of HBV DNA in mother peripheral serum, and HBV mother-to-infant transmission, with a pooled OR equal to 19.43 (95% CI=8. 77-43. 06), 36.5 (95% 01=19.85-67.11), and 36. 5 (95% CI=19. 85-67. 11) respectively. Mode of delivery, threatened abortion and threatened premature labor proved not to be of risk factors on the mother-to-infant transmission of HBV. Conclusion: Mother HBV DNA or HBeAg positivity and neonate HBeAg positivity were proved to be of risk factors affecting the transmission of HBV from mother to fetal.
基金National Key Research and Development Program of China,No.2018YFC2001900National Natural Science Foundation of China,No.81873952 and No.81670770.
文摘The severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)pandemic,which has lasted for nearly a year,has made people deeply aware of the strong transmissibility and pathogenicity of SARS-CoV-2 since its outbreak in December 2019.By December 2020,SARS-CoV-2 had infected over 65 million people globally,resulting in more than 1 million deaths.At present,the exact animal origin of SARS-CoV-2 remains unclear and antiviral vaccines are now undergoing clinical trials.Although the social order of human life is gradually returning to normal,new confirmed cases continue to appear worldwide,and the majority of cases are sporadic due to environmental factors and lax self-protective consciousness.This article provides the latest understanding of the epidemiology and risk factors of nosocomial and community transmission of SARS-CoV-2,as well as strategies to diminish the risk of transmission.We believe that our review will help the public correctly understand and cope with SARS-CoV-2.
文摘Background: Tuberculosis is an infectious disease with an estimated 1.45 million deaths every year. Many patients get infected as a result of ignorance of the risk factors that contribute to disease transmission. Methodology: A descriptive epidemiological study was conducted on 258 patients presenting with pulmonary tuberculosis. Patients’ sputa were collected for laboratory analysis and patients were required to respond to a structured questionnaire on risk factors for transmission. Data among stratified groups were compared using bivariate analysis. Statistical significance was considered at p Results: There were significantly more males than females associated with pulmonary tuberculosis infection (χ2 = 0.963;df = 1;p (64.3%) patients were living in single rooms with 110 (42.6%) living with more than two people with a maximum of 10 people in a single room. Only 73 (28.3%) were living alone in a single room and only 7 families (2.7%) were living in houses with five or more rooms. Alcohol consumers and smokers were 102 (39.5%) and 93 (36%) respectively. Half of the patients (137 (53.3%)) had not completed secondary education with only 16 (6.2%) having completed tertiary education. Recurrent cases were 54 (21%) while those exposed to the disease either at home or working place were 75 (29.2%). Out of 171 patients who agreed to test for HIV, 46 (26.9%) were positive. Marital status had no effect on incidence of disease. Conclusion: Emphasis should be given to creating awareness of the risk factors associated with transmission of tuberculosis in order to reduce the rate of infection.
文摘According to current guidelines, exposing mucous membrane to blood and body fluids of HIV infected people is risk of transmission. About 30% - 80% of HIV infected people have at least one oral manifestation. The most frequently occurring oral manifestations (pseudomembranous candidiasis, linear gingival erythema, etc.) give rise to bleeding either spontaneously or after stimulation, and strenuous stirring during oral sex and deep-mouth kissing increase risk of bleeding from oral manifestations, exposing oral and genital mucous membrane of partners to the blood. However, current guidelines assert that there’s little to no risk of getting HIV from oral sex and deep-mouth kissing. These guidelines are conflict with each other, suggesting potential problems with current prevention strategies which are based on the guidelines. After discussing existing data on animals, lesbians, young peoples, and occupational exposures, this paper suggests oral sex and deep-mouth kissing are risk factors when one partner has HIV-associated oral bleeding manifestations, and the number of infections associated with oral sex and deep-mouth kissing is significant. Current guidelines on HIV risk factors should be reevaluated urgently, and new studies should be undertaken with an open mind to explore risk factors.
文摘Malaria is still the major parasitic disease in the world, with approximately 438,000 deaths in 2015. Environmental risk factors (ERF) have been widely studied, however, there are discrepancies in the results about their influence on malaria transmission. Recently, papers have been published about geospatial analysis of ERF of malaria to explain why malaria varies from place to place. Our primary objective was to identify the environmental variables most used in the geospatial analysis of malaria transmission. The secondary objective was to identify the geo-analytic methods and techniques, as well as geo-analytic statistics commonly related to ERF and malaria. We conducted a systematized review of articles published from January 2004 to March 2015, within Web of Science, Pubmed and LILACS databases. Initially 676 articles were found, after inclusion and exclusion criteria, 29 manuscripts were selected. Temperature, land use and land cover, surface moisture and vector breeding site were the most frequent included variables. As for geo-analytic methods, geostatistical models with Bayesian framework were the most applied. Kriging interpolations, Geographical Weighted Regression as well as Kulldorff’s spatial scan were the techniques more widely used. The main objective of many of these studies was to use these methods and techniques to create malaria risk maps. Spatial analysis performed with satellite images and georeferenced data are increasing in relevance due to the use of remote sensing and Geographic Information System. The combination of these new technologies identifies ERF more accurately, and the use of Bayesian geostatistical models allows a wide diffusion of malaria risk maps. It is known that temperature, humidity vegetation and vector breeding site play a critical role in malaria transmission;however, other environmental risk factors have also been identified. Risk maps have a tremendous potential to enhance the effectiveness of malaria-control programs.
文摘Aedes-borne diseases remain a public health challenge for many countries globally. The extent of spread of invasive species of Aedes mosquitoes and risk of transmission of the diseases especially around the point of entry of goods such as ports is not well known in Ghana. This study investigated the ecology, distribution and risk of transmission of viral haemorrhagic fevers by Aedes mosquitoes around the port areas of Tema, Southern Ghana. The mosquitoes from this study were collected using human landing catches, ovitraps and larval collections for a period of six months. A total of 1092 containers were inspected in both seasons and of these, 237 (21.7%) were positive for mosquito larvae or pupae in rainy season while 181 (16.6%) were positive in dry season. A total of 6498 mosquitoes were collected and identified morphologically using taxonomic keys. 6038 (92.9%) were Aedes aegypti, 337 (5.2%) were Culex spp. and 123 (1.9%) were Anopheles gambiae. The Ae. aegypti larvae were found breeding in a series of water-holding containers which included disposed plastic containers, earthenware pots, car tyres, plastic barrels, plastic basins, buckets, metal drums, jerrycans and poly tank. A high proportion of Aedes aegypti eggs were found in the ovitraps during the rainy season than in the dry season in the study sites. Ae. aegypti was the most common mosquitoes biting mostly outdoors (65.6%) with more bites occurring in the rainy season (63.6%) in the two residential sites (Tema Community One and Tema New Town). The risk of transmission of viral haemorrhagic fever in the study sites was assessed using House Index, Container Index, Breteau Index and was found to be higher in Tema New town area with seasonal variations within the sites. The man-vector contact rates for the two residential sites were also found to be higher in rainy season than the dry season. These observations indicate that the risk of transmission of viral haemorrhagic fevers in the study areas is high especially in the rainy season. The implications of the findings in the formulation of future vector control programmes around the port areas in the country are discussed in the paper.
文摘Hepatitis E virus(HEV)is a small non-enveloped single stranded RNA virus whose genotypes 3 and 4 have been associated with zoonotic transmission in industrialized countries.HEV infection is considered the main cause of acute hepatitis worldwide.In some cases,transfusion of blood components or organ transplantation have been reported as the source of infection.We have conducted a literature review on the risk of transmission through cell and tissue allografts.Although no case was found,measures to control this risk should be taken when donor profile(based upon geographical and behavioural data)recommended it.Issues to be considered in donor screening and tissue processing to assess and to reduce the risk of HEV transmission are approached.
文摘The aim of this study was to identify the risk factors of mother-to-child transmission of HBV in positive Ag Hbs pregnant women in Cote d’Ivoire. Methods: This was a transversal prospective study that took place over a period of 7 months (from February 2016 to August 2016) in 2 university hospital and 2 private clinics. We consecutively recruited 91 pregnant women who were positive for HBs Ag in prenatal consultations. For each pregnant woman record included in the study, we provided Socio-demographic (Age, marital status, education level, social rank, gravidity, parity) and biological data (HBs Ag, Anti-HBc Total Ac, Hbe Ag, Ac anti-Hbe Ac, DNA-VHB, Ac anti-HCV Ac, retroviral serology, transaminases). All of these data were collected using a survey sheet developed for the study. Results: The age of our pregnant women HBs positive ranged from 18 years to 44 years with a mean age of 30.10 years. The age group from 20 to 39 years was the most represented with a frequency of 92.31%. Almost of all positive HBs Ag pregnant women was HBe Ag negative, only 3.3% was HBe Ag positive. The viral load above 2000 IU/ml was found in 21 (23.03%) patients. There were 4 co-infected patients, which 3 HBV-HIV and 1 HBV-HCV. Only 19 (20.88%) pregnant HBs Ag positive women were able to bring back the supplementary virological assessment within a period less than one month. Conclusion: According to our work the virologic profile of positive HBs Ag in pregnant women in Cote d’Ivoire is characterized by an important viral replication objectified by a high viral load in about 23% pregnant women, a negativity of HBe antigen in 96.6% of them.
基金supported by Higher Education Commission(HEC)of Pakistan
文摘Objective:To determine hepatitis C virus(HCV) genotypes and explore the associated risk factors in chronic HCY patients.Methods:A total of 116 patients with chronic hepatitis C were subjected to polymerase chain reaction(PCR) based detection out of which 112 chronic HCV patients[53 male(47.32%),59 female(52.68%);mean age(43.76±16.40) years;mean BMI(23.8± 3.9)kg]were enrolled in this study.The frequency of 6 HCV genotypes and associated risk factors were evaluated from five districts of North West Frontier Province(NWFP).Results:Genotype 3was the most prevalent in 73 samples(65.17%) followed by genotype 1 in 24(21.42%) and genotype2 in 13(11.60%) samples.Genotype3 had significantly high prevalence(P=0.0002).The results showed that 48(42.85%) samples were infected with HCV 3a:25(22.32%) with 3b;14(12.50%) with 1a;10(8.92%)with 1b;11(9.82%) with 2a;2(1.78%) with 2b;and 2 were untypable.The distribution of HCV genotypes in Murdan.Charsadda,Peshawar.Sawabi and Nowshehra districts was different.Use of unsterile equipment lor medication,barbers and previous history of hospitalization were the main risk factors for HCV transmission.Conclusions:Cenotype 3a and 3b.1a.1b and 2a are the common genotypes in NWFP.Genotype 4.5.and 6 can not be found in a single sample.The level of awareness about various modes ot transmission of HCV among the population is found to be verv low.
文摘The worldwide prevalence of hepatitis C virus(HCV)infection in children is 0.05%-0.4% in developed countries and 2%-5% in resource-limited settings, where inadequately tested blood products or un-sterile medical injections still remain important routes of infection. After the screening of blood donors, motherto-child transmission(MTCT) of HCV has become the leading cause of pediatric infection, at a rate of 5%. Maternal HIV co-infection is a significant risk factor for MTCT and anti-HIV therapy during pregnancy seemingly can reduce the transmission rate of both viruses. Conversely, a high maternal viral load is an important, but not preventable risk factor, because at present no anti-HCV treatment can be administered to pregnant women to block viral replication. Caution is needed in adopting obstetric procedures, such as amniocentesis or internal fetal monitoring, that can favor fetal exposure to HCV contaminated maternal blood, though evidence is lacking on the real risk of single obstetric practices. Mode of delivery and type of feeding do not represent significant risk factors for MTCT. Therefore, there is no reason to offer elective caesarean section or discourage breast-feeding to HCV infected parturients. Information on the natural history of vertical HCV infection is limited. The primary infection is asymptomatic in infants. At least one quarter of infected children shows a spontaneous viral clearance(SVC) that usually occurs within 6 years of life. IL-28 B polymorphims and genotype 3 infection have been associated with greater chances of SVC. In general, HCV progression is mild or moderate in children with chronic infection who grow regularly, though cases with marked liver fibrosis or hepatic failure have been described. Non-organ specific autoantibodies and cryoglobulins are frequently found in children with chronic infection, but autoimmune diseases or HCV associated extrahepatic manifestations are rare.
文摘BACKGROUND Understanding the transmission dynamics of severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)infection among healthcare workers(HCWs)and their social contacts is crucial to plan appropriate risk-reduction measures.AIM To analyze the socio-demographic risk factors and transmission of SARS-CoV-2 infection among HCWs in two tertiary care hospitals in Dubai,United Arab Emirates.METHODS The demographic and clinical characteristics were available for all HCWs in both facilities from the human resources department.A cross-sectional survey was conducted from January-April 2022 among HCWs who tested positive through Reverse Transcriptase Polymerase Chain Reaction of the nasopharyngeal swab for SARS-CoV-2 between March 2020 and August 2021 in two tertiary-level hospitals.The survey included questions on demographics,work profile,characteristics of coronavirus disease 2019(COVID-19),and infection among their household or co-workers.The survey also checked the knowledge and perception of participants on the infection prevention measures related to SARS-CoV-2.RESULTS Out of a total of 346 HCWs infected with SARS-CoV-2,286(82.7%)HCWs consented to participate in this study.From the sample population,150(52.5%)of participants were female,and a majority(230,80.4%)were frontline HCWs,including 121 nurses(121,42.4%).Only 48(16.8%)participants were fully vaccinated at the time of infection.Most infected HCWs(85%)were unaware of any unprotected exposure and were symptomatic at the time of testing(225,78.7%).Nearly half of the participants(140,49%)had co-infection among household,and nearly one-third(29.5%)had coinfection among three or more household.Another 108(37.8%)participants reported crossinfection among co-workers.The frontline HCWs were significantly more infected(25.1%vs 8.6%,P<0.001)compared to non-frontline HCWs.Another significant risk factor for a high infection rate was male sex(P<0.001).Among the infected frontline HCWs,a significantly higher proportion were male and shared accommodation with family(P<0.001).COVID-19 vaccination significantly reduced the infection rate(83.2%vs 16.8,P<0.001)among HCWs.Most participants(99.3%)were aware about importance of appropriate use of personal protective equipment.However,only 70%agreed with the efficacy of the COVID-19 vaccination in preventing an infection and severe disease.CONCLUSION The risk profiling of the HCWs infected with SARS-CoV-2 found that working at frontline and being male increase the rate of infection.COVID-19 vaccination can effectively reduce the rate of transmission of SARS-CoV-2 among HCWs.
文摘为了辨识油气智慧管道系统中存在的信息安全风险,通过基于系统论事故分析模型(systems-theoretic accident modeling and process,STAMP)的方法,对油气智慧管道系统的信息物理安全进行全面评估与分析。首先,系统综合分析了油气智慧管道涉及的设备、设施、工艺、元件,评估其安全性。其次,通过建立STAMP模型,深入分析了各层级、元件之间的反馈信息与控制动作,形成了明确的控制反馈回路,突显了元件之间的关联与控制关系。在此基础上,系统辨识出了潜在的信息风险因素,推导并构建了可能发生的系统失效场景。以天然气输气首站油气智慧管道系统为例,研究验证了基于STAMP模型的可行性和有效性。结果显示,该方法不仅直观地描述了元件之间的关联与控制关系,而且从物理层功能安全的角度全面考虑了信息风险,特别凸显了过程控制系统(process control systems,PCS)及易受攻击的操作员站。与传统方法相比,本研究所提出的方法将信息物理安全风险因素的识别率提升至80%以上,提高了40%以上,有助于避免不必要的安全措施冗余设计,提高了安全风险管控的准确性。