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1.
Sci Total Environ ; 927: 172044, 2024 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-38554953

RESUMO

Sedimentary records of polycyclic aromatic hydrocarbons (PAHs) and phthalates could reflect energy consumption and industrial production adjustment. However, there is limited knowledge about their effects on variations of PAH and phthalate compositions in the sediment core. The PAH and phthalate sedimentary records in Huguangyan Maar Lake in Guangdong, China were constructed, and random forest models were adopted to quantify the associated impact factors. Sums of sixteen PAH (∑16 PAH) and seven phthalate (∑7 PAE) concentrations in the sediment ranged from 28.8 to 1110 and 246-4290 µg/kg dry weight in 1900-2020. Proportions of 5-6 ring PAHs to the ∑16 PAHs increased from 32.0 %-40.7 % in 1900-2020 with increased coal and petroleum consumption, especially after 1980. However, those of 2-3 ring PAHs decreased from 30.7 % to 23.6 % due to the biomass substitution with natural gas. The proportions of bis (2-ethylhexyl) phthalate to the ∑7 PAEs decreased from 52.3 %-29.1 % in 1900-2020, while those of di-isobutyl phthalate increased (13.7 % to 42.3 %). The shift from traditional plasticizers to non-phthalates drove this transformation, though the primary plastic production is increasing. Our findings underscore the effectiveness of optimizing energy structures and updating chemical products in reducing organic pollution in aquatic environments.


Assuntos
Monitoramento Ambiental , Sedimentos Geológicos , Lagos , Ácidos Ftálicos , Hidrocarbonetos Policíclicos Aromáticos , Poluentes Químicos da Água , China , Sedimentos Geológicos/química , Lagos/química , Poluentes Químicos da Água/análise , Ácidos Ftálicos/análise , Hidrocarbonetos Policíclicos Aromáticos/análise , Desenvolvimento Econômico
3.
J Infect Dis ; 228(6): 715-722, 2023 09 15.
Artigo em Inglês | MEDLINE | ID: mdl-37202147

RESUMO

BACKGROUND: An orally aerosolized adenovirus type-5 vector-based coronavirus disease 2019 (COVID-19) vaccine (Ad5-nCoV) has recently been authorized for boosting immunization in China. Our study aims to assess the environmental impact of the use of aerosolized Ad5-nCoV. METHODS: We collected air samples from rooms, swabs from the desks on which the vaccine nebulizer was set, mask samples from participants, and blood samples of nurses who administered the inoculation in the clinical trials. The viral load of adenovirus type-5 vector in the samples and the antibody levels against the wild-type severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) strain in serum were detected. RESULTS: Only one (4.00%) air sample collected before initiation of vaccination was positive and most air samples collected during and after vaccination were positive (97.96%, 100%, respectively). All nurses in trial A showed at least 4-fold increase of the neutralizing antibody against SARS-CoV-2 after initiation of the study. In trial B, the proportion of positive mask samples was 72.97% at 30 minutes after vaccination, 8.11% at day 1, and 0% at days 3, 5, and 7. CONCLUSIONS: Vaccination with the orally aerosolized Ad5-nCoV could result in some spillage of the vaccine vector viral particles in the environment and cause human exposure. Clinical Trials Registration. NCT04840992 and NCT05303584.


Assuntos
Vacinas contra COVID-19 , COVID-19 , Humanos , COVID-19/prevenção & controle , SARS-CoV-2/genética , Ensaios Clínicos Controlados Aleatórios como Assunto , Anticorpos Neutralizantes , Adenoviridae/genética , Anticorpos Antivirais
4.
Front Cardiovasc Med ; 9: 1045262, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36531734

RESUMO

Background: Chronic heart failure (CHF) is a major public health concern, as it is associated with poor prognosis and heavy financial burden. In recent years, there has been increasing interest in medications for CHF in China, but few studies pay attention to the effects of nutrition and infection. Methods and results: This was a retrospective study collected patients with CHF admitted to the Department of Cardiology of Qilu Hospital of Shandong University from January 2017 to May 2018. Patients were classified according to the prognosis and the financial burden. Through comparison and regression analysis, we found that the factor associated with worse prognosis were decreased heart rate, albumin and prealbumin; ß-blockers and mineralocorticoid receptor antagonism (MRA) were the factor improved the prognosis of patients with CHF; the factor overburdening financial condition were infection, decreased prealbumin, high Alanine aminotransferase (ALT), usage of recombinant human brain natriuretic peptide (rhBNP) and Levosimendan; aspirin and Sacubitril/Valsartan were the factor releasing financial burden of patients with CHF. Then, we grouped by Controlling Nutritional Status (CONUT) score, which enabled evaluation of the patient's protein reserve and immune defenses. Patients in the malnutrition group had higher infection ratios, longer hospital stays, and greater hospital expenses than the normal group. The improvement ratios of therapeutic outcomes in the moderate or severe malnutrition group were lower than in the normal and mild malnutrition group. Conclusion: Malnutrition and infection caused poor prognosis and increased financial burden of patients with CHF. The high CONUT score indicated the CHF patient's unfavorable prognosis and heavy financial burden.

5.
Artigo em Inglês | MEDLINE | ID: mdl-35886178

RESUMO

In recent years, accessibility has been considered a vital policy objective in the development of a sustainable transportation system. Accessibility can make a significant contribution to quality of life. The accessibility of desirable locations, such as households and commercial locations, is usually underpinned by land use patterns and transportation infrastructure. The accessibility of different activities is largely determined by the spatial distribution of activities and associated transport networks in a metropolitan area. In order to examine how location choice behaviors of urban activities influence urban forms and land use patterns, accessibility has been used extensively to consider the impact of both the spatial distribution of opportunities (e.g., employment or services) and the transport cost of reaching them. However, in most cases, only those static/aggregate accessibility terms that are represented by the "logsum" of all available transport modes have traditionally been used in urban transport planning and modeling analysis. In this study, according to urban activities, several Integrated Spatial Economic (ISE) models i.e., PECAS (Production, Exchange, Consumption, Allocation, System) models were developed to study the relationship between dynamic, Time-Dependent Accessibility (TDA) and the location choice behavior of urban activities in the City of Wuhan, China. The developed models were then used as tools to investigate the impact of dynamic/disaggregate short-term TDA on location choice behaviors of various urban activities such as households and commercial. Regarding the household location choice, the ISE modeling results revealed that urban households living in the downtown area of the City of Wuhan were sensitive to TDA to employment centers, especially during the morning peak time. In addition, commercial services prefer locations that offer a high level of accessibility during off-peak times. Based on the results of this study, it is recommended that planning exercises, such as the development of zoning and the allocation of urban activities and public facilities, pay more attention to dynamic, short-term TDA, which is essential for urban sectors to carry out daily activities, than their static, composite accessibility counterparts.


Assuntos
Qualidade de Vida , Meios de Transporte , China , Cidades , Modelos Econômicos
6.
Acta Pharm Sin B ; 11(9): 2850-2858, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33723501

RESUMO

COVID-19 pandemic caused by SARS-CoV-2 infection severely threatens global health and economic development. No effective antiviral drug is currently available to treat COVID-19 and any other human coronavirus infections. We report herein that a macrolide antibiotic, carrimycin, potently inhibited the cytopathic effects (CPE) and reduced the levels of viral protein and RNA in multiple cell types infected by human coronavirus 229E, OC43, and SARS-CoV-2. Time-of-addition and pseudotype virus infection studies indicated that carrimycin inhibited one or multiple post-entry replication events of human coronavirus infection. In support of this notion, metabolic labelling studies showed that carrimycin significantly inhibited the synthesis of viral RNA. Our studies thus strongly suggest that carrimycin is an antiviral agent against a broad-spectrum of human coronaviruses and its therapeutic efficacy to COVID-19 is currently under clinical investigation.

7.
J Comput Assist Tomogr ; 44(5): 708-713, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32936578

RESUMO

OBJECTIVE: Assessing collateral status is important in acute ischemic stroke (AIS). The purpose of this study was to establish an easy and rapid method for evaluating collateral flow. METHODS: A total of 60 patients with AIS were enrolled. The patients were aged 18 to 85 years with endovascular therapy treatment within 10 hours after the appearance of stroke symptoms, prestroke modified Rankin Scale ≤1, Alberta Stroke Program Early CT Score ≥6, and the occlusion of large vessels in anterior circulation. We reformed imaging strategies by conducting a small-dose group-injection test before normal computed tomography angiography (CTA) scanning and selected the visual collateral score and the regional leptomeningeal score scales as the single-phase CTA collateral flow assessment scales with the replacement of the parasagittal anterior cerebral artery territory by anterior cerebral artery regions adjacent to the longitudinal fissure and then verified, respectively, the consistencies between the 2 single-phase CTA-based collateral scales and the digital subtraction angiography (DSA)-based American Society of Interventional and Therapeutic Neuroradiology/Society of Interventional Radiology scale and compared the prognosis of endovascular therapy between the AIS patients in the poor-collateral-flow group and the other patients' group assessed by 2 single-phase CTA-based collateral scales. RESULTS: There was a high consistency between the 2 single-phase CTA-based collateral flow scales with DSA-based American Society of Interventional and Therapeutic Neuroradiology/Society of Interventional Radiology scale. The assessment by using CTA-based collateral flow assessment methods generated consistent results. CONCLUSION: The single-phase CTA-based visual collateral score scale and regional leptomeningeal score scale can be used as the imaging evidence for the evaluation of collateral flow in AIS patients in the majority of grassroots hospitals where DSA is difficult to carry out.


Assuntos
Isquemia Encefálica/diagnóstico por imagem , Angiografia Cerebral/métodos , Circulação Colateral/fisiologia , Angiografia por Tomografia Computadorizada/métodos , Acidente Vascular Cerebral/diagnóstico por imagem , Idoso , Angiografia Digital/métodos , Encéfalo/irrigação sanguínea , Encéfalo/diagnóstico por imagem , Encéfalo/fisiopatologia , Isquemia Encefálica/complicações , Isquemia Encefálica/fisiopatologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Acidente Vascular Cerebral/complicações , Acidente Vascular Cerebral/fisiopatologia
8.
Neurosurgery ; 87(3): 523-529, 2020 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-32171016

RESUMO

BACKGROUND: Despite advances in the treatment of poor-grade aneurysmal subarachnoid hemorrhage (aSAH), predicting the long-term outcome of aSAH remains challenging, although essential. OBJECTIVE: To predict long-term outcomes after poor-grade aSAH using decision tree modeling. METHODS: This was a retrospective analysis of a prospective multicenter observational registry of patients with poor-grade aSAH with a World Federation of Neurosurgical Societies (WFNS) grade IV or V. Outcome was assessed by the modified Rankin Scale (mRS) at 12 mo, and an unfavorable outcome was defined as an mRS of 4 or 5 or death. Long-term prognostic models were developed using multivariate logistic regression and decision tree algorithms. An additional independent testing dataset was collected for external validation. Overall accuracy, sensitivity, specificity, and area under receiver operating characteristic curves (AUC) were used to assess model performance. RESULTS: Of the 266 patients, 139 (52.3%) had an unfavorable outcome. Older age, absence of pupillary reactivity, lower Glasgow coma score (GCS), and higher modified Fisher grade were independent predictors of unfavorable outcome. Modified Fisher grade, pupillary reactivity, GCS, and age were used in the decision tree model, which achieved an overall accuracy of 0.833, sensitivity of 0.821, specificity of 0.846, and AUC of 0.88 in the internal test. There was similar predictive performance between the logistic regression and decision tree models. Both models achieved a high overall accuracy of 0.895 in the external test. CONCLUSION: Decision tree model is a simple tool for predicting long-term outcomes after poor-grade aSAH and may be considered for treatment decision-making.


Assuntos
Tomada de Decisão Clínica/métodos , Árvores de Decisões , Aprendizado de Máquina , Hemorragia Subaracnóidea/terapia , Resultado do Tratamento , Adulto , Idoso , Feminino , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Prognóstico , Curva ROC
9.
SAGE Open Med ; 6: 2050312118798278, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30345053

RESUMO

OBJECTIVES: Acute muscle injury and potentially fatal rhabdomyolysis may occur with the use of statins and certain enzyme inhibitors, but data on this topic from China are quite limited. This study aimed to measure the concomitant exposure of patients to different statins and their enzyme inhibitors or interacting medications in 76 hospitals in six Chinese cities. METHODS: Prescription database was retrieved from Hospital Prescription Analysis Cooperation Project from January 2015 to December 2015, covering 76 tertiary facilities in six cities in China. Every evidence-based enzyme inhibitor was included, and labeled enzyme inhibitors and other relevant information were identified and obtained using the Drug Safety Update from the UK Medicines and Healthcare Products Regulatory Agency. The proportions of different statin types among all patients and those co-medicated with their inhibitors were examined. RESULTS: A total of 296,765 patients exposed to statins were included in this study. 80% of patients (n = 144,863, 80.5%) were concomitantly prescribed a CYP3A4-metabolized statin with an interacting drug during the study period. Among those prescribed a non-CYP3A4-metabolized statin, 40.0% of patients were concomitantly given an interacting drug, and approximately 20% of patients were concomitantly given a labeled inhibitor, predominantly calcium channel blockers, other statins, and fibrates. Rates of co-prescription were higher in patients aged over 65 years and in patients taking high-dose statins. CONCLUSION: Statins were frequently co-prescribed with metabolic inhibitors in China, where drug safety strategy on highlighting warnings and contraindications of statins are still lacking. For high-dose statins patients who are over 65 years and co-administered with any metabolic inhibitors, prescribers and pharmacists should be more concerned in order to prevent adverse drug reactions.

10.
Cancer Manag Res ; 10: 1665-1675, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29970965

RESUMO

Modern radiotherapy (RT) is being enriched by big digital data and intensive technology. Multimodality image registration, intelligence-guided planning, real-time tracking, image-guided RT (IGRT), and automatic follow-up surveys are the products of the digital era. Enormous digital data are created in the process of treatment, including benefits and risks. Generally, decision making in RT tries to balance these two aspects, which is based on the archival and retrieving of data from various platforms. However, modern risk-based analysis shows that many errors that occur in radiation oncology are due to failures in workflow. These errors can lead to imbalance between benefits and risks. In addition, the exact mechanism and dose-response relationship for radiation-induced malignancy are not well understood. The cancer risk in modern RT workflow continues to be a problem. Therefore, in this review, we develop risk assessments based on our current knowledge of IGRT and provide strategies for cancer risk reduction. Artificial intelligence (AI) such as machine learning is also discussed because big data are transforming RT via AI.

11.
Oncotarget ; 8(16): 27481-27488, 2017 Apr 18.
Artigo em Inglês | MEDLINE | ID: mdl-28415694

RESUMO

The association of single nucleotide polymorphisms rs1053239 and rs2479 of cell death-inducing DFFA-like effector c with the risk of metabolic syndrome and its components, and with the efficacy and cost-effectiveness of antihypertensive drugs was investigated. Totally 1064 subjects with metabolic syndrome and 1099 controls of Chinese Han nationality were recruited. Clinical assessment was conducted with medication records collected at baseline and during 5-year follow-up. Carriers of rs2479 A allele were at higher risk to develop elevated fasting glucose than non-carriers (P = 0.004). A allele at rs2479 were associated with a 5-year aggravation of blood triglyceride (P < 0.001) and diastolic blood pressure (P = 0.003), and C allele at rs1053239 with the exacerbation of systolic (P < 0.001) and diastolic blood pressure (P = 0.001). Moreover, efficacy and cost-effectiveness of angiotensin II-targeted drugs were higher in subjects with rs2479 A allele or rs1053239 C allele. These findings suggest that carriers of rs2479 A allele are predisposed to the development of increased fasting glucose, and the progressive elevation of blood triglyceride. Individuals with A allele at rs2479 or C allele at rs1053239 are more susceptible to a rapid progression of blood pressure, and benefit more from angiotensin II-targeted therapy.


Assuntos
Anti-Hipertensivos/uso terapêutico , Estudos de Associação Genética , Predisposição Genética para Doença , Síndrome Metabólica/tratamento farmacológico , Síndrome Metabólica/genética , Polimorfismo de Nucleotídeo Único , Proteínas/genética , Adulto , Anti-Hipertensivos/farmacologia , Proteínas Reguladoras de Apoptose , Estudos de Casos e Controles , Análise Custo-Benefício , Feminino , Seguimentos , Genótipo , Humanos , Masculino , Síndrome Metabólica/epidemiologia , Síndrome Metabólica/metabolismo , Pessoa de Meia-Idade , Vigilância da População , Resultado do Tratamento
12.
Clin Exp Hypertens ; 37(8): 627-32, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26114352

RESUMO

OBJECTIVE: This study aimed to find out the impact of metabolic syndrome (MS) and hypertension on medical costs of patients with acute myocardial infarction (AMI) at hospital. METHODS: Patients with AMI at Qilu Hospital of Shandong University during January 2011 to May 2013 were separated into four groups according to whether with MS or history of hypertension. Comparison of medical costs, complication rate and cost-effectiveness ratio were analyzed. RESULTS: We found that total costs, each day costs, medical treatment costs, chemical examination costs and drug costs were significantly different in four groups. In variance analysis, MS led to high medical costs without significance. Hypertension was a significant factor influencing medical costs and lead to low medical costs. In multiple linear regression, we found that body mass index (BMI) and percutaneous coronary intervention (PCI) were important predictors of total costs and each day costs. With higher BMI and utilization rate of PCI, medical costs were increased. Trend of total costs in four groups is similar to that of the rate of PCI utilization. CONCLUSIONS: Metabolic syndrome has no impact on medical costs because of discordance in MS components. Hypertension will lead to lower PCI utilization rate, which results in less medical costs and bad hospital outcomes.


Assuntos
Custos de Cuidados de Saúde/estatística & dados numéricos , Hipertensão/complicações , Pacientes Internados , Síndrome Metabólica/complicações , Infarto do Miocárdio/economia , Idoso , China , Análise Custo-Benefício , Feminino , Humanos , Hipertensão/economia , Masculino , Síndrome Metabólica/economia , Pessoa de Meia-Idade , Infarto do Miocárdio/etiologia
13.
Clin Interv Aging ; 10: 329-37, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25670890

RESUMO

BACKGROUND: Older patients with acute myocardial infarction (AMI) usually have a poor prognosis, but whether this poor prognosis leads to high hospital costs remains unclear. This study investigated the clinical outcomes of and costs incurred by older patients with AMI and metabolic syndrome (MS) in hospital. METHODS AND RESULTS: Patients with AMI seen at Qilu Hospital of Shandong University between January 2011 and May 2013 were separated into four groups: young non-MS patients (n=282), older non-MS patients (n=324), young MS patients (n=217), and older MS patients (n=174). We found that advanced age was significantly associated with worse clinical outcomes, and that the clinical outcomes in patients with AMI and MS are also worsened. At the same cost (RMB¥10,000), older patients with and without MS had a markedly increased number of cardiovascular incidences compared with younger patients without MS. In a comparison of the incremental cost-effectiveness ratio (ICER) of percutaneous coronary intervention, older patients without MS had a lower ICER for cardiovascular incidences and a higher ICER for cardiac event-free survival rate when compared with young patients without MS, but a lower ICER for cardiovascular incidences and a higher ICER for cardiac event-free survival rate when compared with older MS patients. CONCLUSION: Older AMI patients have poor clinical outcomes and their treatment is not cost-effective; however, the results are worse in patients with AMI and MS. Percutaneous coronary intervention is a cost-effective therapy in older patients with AMI, but its cost-effectiveness decreases in patients with AMI and MS.


Assuntos
Síndrome Metabólica/economia , Síndrome Metabólica/epidemiologia , Infarto do Miocárdio/economia , Infarto do Miocárdio/epidemiologia , Fatores Etários , Envelhecimento , Doenças Cardiovasculares/economia , Doenças Cardiovasculares/epidemiologia , China , Análise Custo-Benefício , Intervalo Livre de Doença , Feminino , Preços Hospitalares , Humanos , Tempo de Internação , Masculino , Infarto do Miocárdio/cirurgia , Intervenção Coronária Percutânea/efeitos adversos , Intervenção Coronária Percutânea/economia , Estudos Retrospectivos
14.
Hypertens Res ; 38(2): 123-31, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25273554

RESUMO

High-normal blood pressure is considered a precursor of stage 1 hypertension that is associated with metabolic disorders. This study aims to investigate whether the pharmacologic treatment of high-normal blood pressure affects metabolism, especially in abdominally obese individuals, and the pharmacoeconomics of two antihypertensive agents, telmisartan and indapamide. Subjects with high-normal blood pressure were randomly assigned to receive telmisartan, indapamide or placebo for 3 years. All the subjects were instructed to modify their lifestyle to reduce blood pressure throughout the study. A total of 221 subjects were randomly assigned to telmisartan, 213 to indapamide and 230 to placebo. After the 3-year intervention, blood pressure was lower in the telmisartan and indapamide groups (P<0.05), FPG in the telmisartan group was lower during the first 2 years (P<0.05) and no characteristic differences were found in those with abdominal obesity among the three groups (P>0.05). The percentage of subjects with metabolic syndrome was significantly decreased in the telmisartan and indapamide groups (P<0.05), but was only significantly decreased in the telmisartan group for subjects with abdominal obesity (P<0.05). The acquisition cost for telmisartan was ~1.86 times higher than for indapamide for a similar antihypertensive effect. The intervention for high-normal blood pressure with telmisartan and indapamide appeared to be feasible and reduced the risk of metabolic syndrome. Telmisartan was more effective, whereas indapamide had better pharmacoeconomic benefits.


Assuntos
Anti-Hipertensivos/uso terapêutico , Benzimidazóis/uso terapêutico , Benzoatos/uso terapêutico , Pressão Sanguínea/efeitos dos fármacos , Hipertensão/tratamento farmacológico , Indapamida/uso terapêutico , Doenças Metabólicas/prevenção & controle , Obesidade/complicações , Idoso , Anti-Hipertensivos/farmacologia , Benzimidazóis/farmacologia , Benzoatos/farmacologia , China , Método Duplo-Cego , Feminino , Humanos , Hipertensão/complicações , Hipertensão/fisiopatologia , Indapamida/farmacologia , Masculino , Doenças Metabólicas/etiologia , Doenças Metabólicas/fisiopatologia , Pessoa de Meia-Idade , Obesidade/fisiopatologia , Telmisartan , Resultado do Tratamento
15.
Clin Interv Aging ; 9: 711-8, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24812498

RESUMO

BACKGROUND: The purpose of this study was to evaluate the impact of type 2 diabetes mellitus on hospitalization costs in older patients with acute myocardial infarction (MI). METHODS: Retrospective analysis of data from the case retrieval system of Qilu Hospital of Shandong University located in Jinan city of Shandong Province was done for patients with acute MI from January 1, 2011 to December 31, 2012. RESULTS: Stenting was an important factor affecting older patients' total hospitalization costs (ß=0.685, P=0.000) and treatment costs during the follow-up period (duration of hospital stay only, ß=0.508, P=0.000). Stenting was also a protective factor in the prevention of acute heart failure (HF) in older patients with acute MI during the follow-up period (odds ratio 0.189, 95% confidence interval 0.059-0.602, P=0.005). Implementation of percutaneous coronary intervention reduced the incidence of acute HF in older inpatients with acute MI (27.8% versus 4.3%, P=0.001) and without diabetes (18.2% versus 3.8%, P=0.001). Moreover, among the elderly, the incremental cost-effectiveness ratio estimate for implementing percutaneous coronary intervention in diabetic patients was higher than in nondiabetic patients. CONCLUSION: Stenting was a protective factor for preventing acute HF in the elderly during the follow-up period. From the perspective of reducing the incidence of acute HF in inpatients, implementation of percutaneous coronary intervention after an acute MI is more cost-effective in older patients with diabetes mellitus than in those without it.


Assuntos
Diabetes Mellitus Tipo 2/economia , Custos Hospitalares/estatística & dados numéricos , Infarto do Miocárdio/economia , Idoso , China/epidemiologia , Análise Custo-Benefício , Diabetes Mellitus Tipo 2/complicações , Feminino , Insuficiência Cardíaca/prevenção & controle , Hospitalização/economia , Humanos , Masculino , Pessoa de Meia-Idade , Infarto do Miocárdio/complicações , Infarto do Miocárdio/terapia , Intervenção Coronária Percutânea/economia , Estudos Retrospectivos , Stents/economia
16.
Vet J ; 199(3): 468-70, 2014 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-24508323

RESUMO

Anaplasma platys is a parasite of canine platelets that causes infectious cyclic thrombocytopenia. In this study, a novel real-time loop-mediated isothermal amplification (RT-LAMP) method was developed to detect A. platys. RT-LAMP primer sets were designed using a citrate synthase gene sequence and the assay was performed at 63 °C for 30 min. No cross-reactivity was observed with other Anaplasma or Ehrlichia spp. and the method exhibited a similar level of sensitivity in detecting the organism in 58 canine blood samples to that of a nested PCR. This RT-LAMP is a rapid and potentially cost-effective method of diagnosing A. platys infection in dogs.


Assuntos
Anaplasma/isolamento & purificação , Anaplasmose/diagnóstico , Doenças do Cão/diagnóstico , Técnicas de Amplificação de Ácido Nucleico/veterinária , Anaplasma/genética , Anaplasmose/parasitologia , Animais , China , Doenças do Cão/parasitologia , Cães , Ehrlichia/genética , Ehrlichia/isolamento & purificação , Técnicas de Amplificação de Ácido Nucleico/economia , Sensibilidade e Especificidade
17.
ScientificWorldJournal ; 2013: 610390, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24453883

RESUMO

Groundwater contamination is a serious threat to water supply. Risk assessment of groundwater contamination is an effective way to protect the safety of groundwater resource. Groundwater is a complex and fuzzy system with many uncertainties, which is impacted by different geological and hydrological factors. In order to deal with the uncertainty in the risk assessment of groundwater contamination, we propose an approach with analysis hierarchy process and fuzzy comprehensive evaluation integrated together. Firstly, the risk factors of groundwater contamination are identified by the sources-pathway-receptor-consequence method, and a corresponding index system of risk assessment based on DRASTIC model is established. Due to the complexity in the process of transitions between the possible pollution risks and the uncertainties of factors, the method of analysis hierarchy process is applied to determine the weights of each factor, and the fuzzy sets theory is adopted to calculate the membership degrees of each factor. Finally, a case study is presented to illustrate and test this methodology. It is concluded that the proposed approach integrates the advantages of both analysis hierarchy process and fuzzy comprehensive evaluation, which provides a more flexible and reliable way to deal with the linguistic uncertainty and mechanism uncertainty in groundwater contamination without losing important information.


Assuntos
Lógica Fuzzy , Água Subterrânea , Modelos Teóricos , Poluição da Água , Abastecimento de Água , Medição de Risco
18.
Springerplus ; 2(Suppl 1): S14, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24701382

RESUMO

Soil fertility is important factors for growth and productivity of vegetation. The relationship between vegetation and soil fertility deserves attention due to its scientific importance and practical applications. However, the effects of soil fertility on vegetation development and succession are poorly documented. Here we study soil fertility in Yanhe watershed at northern Shaanxi on five different land uses, namely shrubland, farmland, natural grassland, woodland, and artificial grassland, and in soil under restoration for 5, 10, 15, 20, and 25. Attribute recognition model based on entropy weight was used to evaluate the soil fertility of typical region in the Loess Plateau of China, which contained 52 soil samples with 6 physical and chemical indexes, including soil organic matter, soil total nitrogen, total phosphorus, etc. The results show that (1) Land use has an obvious effect on soil bulk density, total porosity and capillary porosity of surface layers, but not significant in the subsurface layer; (2) SOM, Ntotal, Nhydro and Kavail are the most in shrubland and woodland while Ptotal and Pavail in farmland, respectively; (3) Vegetation succession on eroded soil result in significant changing of soil fertility; and (4) Vegetation succession on eroded soil result in significant changing of soil fertility.

19.
Chin Med J (Engl) ; 125(7): 1287-91, 2012 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-22613603

RESUMO

BACKGROUND: Intravenous urography (IVU) combined with add-on CT (IVU-CT) can help to provide more diagnostic information for determining the localization and nature of ureteral abnormalities with less irradiation dose. This study aimed to determine the value of IVU-CT for diagnosis of ureteral diseases, where IVU is insufficient to determine the diagnosis. METHODS: Two hundred and eighty patients underwent IVU for suspected ureteral disorders, which identified a definite diagnosis in 184 cases and was insufficient for definite diagnosis in 96 cases designated as indeterminate diagnosis. Subsequently 90 patients (six patients declined CT) with indeterminate diagnosis consented to undergo immediate or delayed helical CT scan. The CT data were transferred to the workstation for post-processing, and the cost and mean effective dose for each imaging method were calculated and compared indirectly. RESULTS: Of the 90 indeterminate diagnosis cases, diagnosis was determined in 86 cases by IVU-CT with a diagnostic accordance rate of 95.6%, while 184/280 (65.7%) had diagnosis determined by IVU alone. There was a significant difference between IVU and IVU-CT in the determination of the diagnosis of ureteral diseases (c(2) = 36.4, P < 0.05). The cost of IVU equals to 1/8 - 1/9 of that for CT urography (CTU), and the cost of IVU-CT is as much as 1/3 of CTU. CTU results in the highest mean effective dose, approximately nine times that for IVU and three times that for IVU-CT. CONCLUSION: IVU-CT provides valuable information for the localization and diagnosis of ureteral abnormalities and may be considered as an efficient, cost-effective and low-dose diagnostic technique in this setting.


Assuntos
Tomografia Computadorizada por Raios X/economia , Tomografia Computadorizada por Raios X/métodos , Ureter/diagnóstico por imagem , Doenças Ureterais/diagnóstico , Urografia/economia , Urografia/métodos , Adolescente , Adulto , Idoso , Criança , Análise Custo-Benefício , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
20.
Huan Jing Ke Xue ; 33(12): 4088-93, 2012 Dec.
Artigo em Chinês | MEDLINE | ID: mdl-23379127

RESUMO

Compared to drinking water or groundwater, reclaimed water contains more salts. Therefore, the effects of application of reclaimed water on the soil salinity have received great attentions. To evaluate the potential risks posed by long-term reclaimed water irrigation, we collected surface soil samples from urban green lands and suburban farmlands of Beijing represented different irrigation durations. The electrical conductivity (EC) and sodium adsorption ratio (SAR) in soils were measured subsequently. Both EC1:5 and SAR1.5 from the green land and farmland soils irrigated with reclaimed water were significantly higher than those of control treatments (drinking water or groundwater irrigation). The EC1:5 values increased by 12.4% and 84.2% than control treatments in the greenland and farmland, respectively. The SAR1:5 values increased by 64.5% and 145.8% than control treatments, respectively. No significant differences of both EC1:5 and SAR1:5 were found between of 0-10 cm and 10-20 cm soil layer. A slight decrease of soil porosity was observed. The field investigation suggested there was a high potential of soil salinization under long-term reclaimed water irrigation. Proper management practices should be implemented to minimize the soil salinity accumulation risk when using reclaimed water for irrigation in Beijing.


Assuntos
Irrigação Agrícola/métodos , Poaceae/crescimento & desenvolvimento , Cloreto de Sódio/análise , Solo/química , Águas Residuárias/química , China , Produtos Agrícolas/crescimento & desenvolvimento , Monitoramento Ambiental , Medição de Risco , Salinidade , Eliminação de Resíduos Líquidos/métodos , Águas Residuárias/análise
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