Effects of a closed-loop system against SARS-CoV-2 at the Beijing 2022 Olympic Winter Games:a descriptive and modeling study

BACKGROUND:To assess the efficacy of the epidemic prevention measures of the“closed-loop”system adopted by the Beijing 2022 Olympic Winter Games(BOWG).METHODS:We retrospectively collected and analyzed information,including age,sex,nationality,vaccination status,date of diagnosis,and date of entry,from 280 SARS-CoV-2-positive individuals identified during the BOWG.A susceptibility-exposed-infectious-remove model was employed to evaluate the effectiveness of epidemic prevention strategies on controlling the spread of SARS-CoV-2 under different scenarios during the BOWG.RESULTS:Regarding SARS-CoV-2-positive cases,97.9%were imported,and 96.4%were asymptomatic.The median age was 37 years(range:29–47 years),and 73.9%were male,with the majority of cases being broadcasters and European attendees.Regarding vaccination status,93.5%were fully vaccinated,and six cases were considered to have been infected in the closed-loop system during the BOWG.Assuming that the BOWG adopted a semi-closed-loop management system,the cumulative number of confirmed cases would be 1,137 for quick quarantine measures(3 d later)implemented and 5,530 for delayed quarantine measures(9 d later)implemented.This modeling revealed that stringent pandemic prevention measures and closed-loop management effectively controlled the spread of SARS-CoV-2 during the BOWG.CONCLUSION:Imported cases are considered the main risk factor for SARS-CoV-2 transmission during mass gatherings,but a comprehensive closed-loop system could minimize transmission among attendees and general personnel.

Myxoid adrenal cortical adenoma—the first case reported in China

Myxoid adrenal cortical adenoma is a rare tumor and till now only 9 cases have been presented in the world. We here report another case of myxoid adenoma of the adrenal gland in a 45-year-old Chinese man who was admitted to hospital because of the right adrenal mass and mild hypertension. At surgery, the mass was well-circumscribed, measured 3.3 cm in diameter. Light-microscopic findings showed most of the tumor region with myxoid stroma, and the tumor cells were benign-look- ing. Immunohistochemical study showed the tumor had the positivity for vimentin, synaptophysin, neuron specific endolase but negative with cytokeratin and epithelial membrane antigen. Moreover, it was negative with alpha-inhibin that is not in accordance with those reported. There was no finding corresponding to malignancy.

TREATMENT OF HEADACHE WITH TRADITIONAL AURICULOACUPOINT THERAPY(Continuned)

Headache is a frequent symptom due toadverse stimulation to pain-sensitiveintracranial or extracranial tissues.The loca-tion of pain may be in the frontal,temporal,parietal,or the occipital regions.Headache is most

CLINICAL APPLICATION OF TRADITIONAL AURICULOACUPOINT THERAPY(Continued)

TREATMENT OF VASCULARHYPERTENSIONVascular hypertension is a chronic dis-order with elevated blood pressure in the ar-teries.It can be classified into the primarytype and the secondary type:the former,representing 80-90% of all cases,is due tofunctional disturbance of the central nerv-ous system and the blood vascular motorcenter;while the latter is symptomatic ofother diseases,such as compromised renalperfusion,arteriosclerosis,or intracranialtumors.Early primary vascular

The cross-sectional and longitudinal association of the BODE index with quality of life in patients with chronic obstructive pulmonary disease

Background The body mass index, airflow obstruction, dyspnea, and exercise capacity （BODE） index was shown at predicting the risk of death, exacerbation and disease severity among patients with COPD, but few studies verified relationship between BODE index and health related quality of life （HRQoL） among Chinese COPD patients. The objective of this study was to evaluate the relationship between BODE index and HRQoL in cross-sectional and longitudinal association analyses. Methods A multi-center prospective cohort study was initially conducted in 491 stable COPD patients in Beijing, China. Health status （HRQoL） was assessed by St. George＇s Respiratory Questionnaire （SGRQ）; the BODE index was calculated for each patient; dyspnea was assessed using the 5-grade Medical Research Council dyspnea scale. Other measurements included socio-demographic, body mass index （BMI）, lung function test and 6-minute-walk test （6MWT）. Patients were then followed monthly for 12 months. Results Only 450 patients completed the 1-year follow up and were enrolled in our present analyses. Mean age was （65.2 ±10.6）years,＇ men 309 （68.7%）. The BODE index was categorized into 4 subgroups： 0-2, 3-4, 5-6 and 7-10. At baseline BODE index was gradually increased with baseline total SGRQ and SGRQ subscales （P trend 〈0.001）. For individual components of BODE index, with the decrease of airflow limitation, and 6MWD, and with the increase of Medical Research Council （MRC） dyspnea grade, total SGRQ and SGRQ subscales were increased correspondingly, P trend 〈0.05, respectively. Similar association patterns were found between baseline BODE index and its individual components and mean SGRQ scores at the end of 1-year follow up. By multiple linear regression analyses, baseline BODE index was not only significantly associated with SGRQ score at baseline but also with SGRQ score at the end of 1-year follow up after adjustment for age, male, current smoking, 13s being 0.434 and 0.378, respectively. Conclusions BODE index is associated with SGRQ score cross-sectionally and longitudinally among stable COPD patients. BODE index might have potential to be used as a sensitive tool to assess the status of quality of life and to monitor disease progression among stable COPD patients.

Clinical Features and Prognostic Risk Factors of Choroic Plexus Tumors in Children

Background:Decision-making concerning the treatment ofchoroid plexus tumor (CPT)in pediatric patients remains a topic of considerable debate.The aim of this work was to describe clinical features and prognostic risk factors of CPT in the pediatric population and to provide theoretical opinions regarding clinical decisions for CPT. Methods:The data of 96 patients with CPT and younger than 14 years were retrospectively analyzed.Clinical characteristics such as pathological type of CPTs,rate and severity of hydrocephalus,treatment and outcome,and recurrence were investigated.For categorical variables,the Pearson's Chi-square test was performed.The Mann-Whitney U-test was used for comparisons between nonnormally distributed parameters.Log-rank test was used for progression-free survival (PFS). Results:The study included 70 choroid plexus papilloma (CPP)cases,17 atypical choroid plexus papilioma (aCPP)cases,and 9 choroid plexus carcinoma (CPC)cases.Compared with patients with CPP or aCPP,patients with CPC had a shorter disease course (median:CPP, 4 months;aCPP,2 months;CPC,1 month;H:23.5,P <0.001),higher rate of acute hydrocephalus (CPP,27.1%;aCPP,52.9%;CPC, 77.8%;x^2 =10.9,P <0.05),and lower incidence of cure rate (CPP,85.7%;aCPP,70.5%;CPC,33.3%;x^2 =13.5,P <0.05).The severity of hydrocephalus with tumor in the lateral or third ventricle was significantly higher than that with tumors in the fourth ventricle (severe hydrocephalus:lateral ventricle,51.7%;third ventricle,47.0%;fourth ventricle,11.1%;x^2 =26.0,P <0.001).Patients with gross total surgical resection had no better PFS than those with partial resection because of the use of adjuvant therapy in the latter (x^2 =4.0,P >0.05). Patients with CPC experienced shorter time for recurrence than those with CPP or aCPP (x^2 =40.1,P <0.0001). Conclusions:Our results indicated that CPP in the fourth ventricle could trigger serious clinical symptoms at an early stage,requiring early intervention.Adjuvant treatment might be necessary for patients with partially resected CPP,aCPP,and CPC to achieve a favorable outcome.

Risk factors and the prognosis of sexual dysfunction in male patients with pituitary adenomas： a multivariate analysis

性机能障碍(SD ) 的影响对有影响物理、心理的健康的垂体腺瘤的许多男病人令人烦恼。研究探索了识别与垂体腺瘤影响性功能和男病人的预后的风险因素。254 个男病人，在 18 和 60 之间变老，意味着楶敤吗？

Predictive value of serum uric acid on cardiovascular disease and all-cause mortality in urban Chinese patients

Background The association between increased serum uric acid （SUA） levels and cardiovascular risk has been debated for decades. Several large studies have provided conflicting results regarding the clinical significance of elevated SUA levels in cardiovascular disease （CVD） or cerebrovascular disease. The aim of this study was to investigate the relationship between SUA and CVD and all-cause mortality and their potential diagnostic value. Methods A total of 3570 in-patients ranging in age from 56 to 95 years （mean （67.36_＋11.36） years） were selected from 20 hospitals in Beijing and Shanghai. A carefully designed questionnaire was used to gather baseline data of each patient All patients were divided into two main groups according to their SUA levels： high SUA and normal SUA groups. Serum indices and other important parameters were measured. Results Compared with normal SUA group, high SUA group had significant difference in systolic blood pressure （SBP）, total cholesterol （TC）, triglyceride （TG）, high density lipoprotein cholesterol （HDL-C）, body mass index （BMI）, and age （P 〈0.05 or P 〈0.01）. High SUA prevailed in female and patients with history of essential hypertension, while history of smoking and diabetes showed no significant difference between two groups. All-cause and CVD mortality occurred more frequently in high SUA group than in normal SUA group. In the accumulative survival analysis, high SUA group had lower survival rate than normal SUA group both in CVD and all-cause mortality. COX regression analysis indicated that the history of smoking, age and high SUA were independent risk factors for the development of CVD. Conclusions These preliminary observations suggest that patients with high SUA levels would face higher risk of mortality. SUA measurement may be applied as a routine predictor for clinical assessment.