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OBJECTIVE@#To evaluate the efficacy of Chinese medicine acupoint application (CMAA) combined with Western medicine for perennial allergic rhinitis (PAR) in children.@*METHODS@#In this prospective, parallel, randomized, placebo-controlled and single-blind trial from August to September, 2017, 180 children with PAR were randomly assigned to an integrative group (CMAA and Montelukast), CMAA group (CMAA and placebo tablet), or Montelukast group (placebo CMAA and Montelukast). Participants were applied with CMAA for 6 sessions over 2 weeks, and/or Montelukast Chewable Tablet orally once daily for 12 weeks. The changes in severity of symptoms were measured by Visual Analog Scale (VAS) and rhinitis control assessment test (RCAT) at 0, 2, 4 and 12 weeks of treatment. Blood samples were collected for serum interleukin-4, interferon gamma γ and T helper type 1 (Th1)/Th2 flow cytometric analysis at the time points of 0, 4 and 12 weeks.@*RESULTS@#Eight cases dropped out from the trial, 3 in the integrative group, 2 in the CMAA group and 3 in the Montelukast group. The VAS scores decreased significantly while the RCAT scores increased significantly in all three groups at 4 and 12 weeks compared with baseline (P<0.01 or P<0.05). The VAS scores were significantly lower while the RCAT scores were significantly higher in the integrative and CMAA groups than the Montelukast group at 2 and 4 weeks (P<0.01 or P<0.05). At 2, 4 and 12 weeks, the scores of nasal congestion, sneezing, sleep problem, and rhinitis symptom control in the integrative and CMAA groups increased significantly compared with baseline (P<0.01 or P<0.05). The least percentages of Th2 and the most alleviated Th2 shift (highest Th1/Th2) were observed in the integrative group at 12 weeks compared with the other two groups (P<0.05).@*CONCLUSION@#The combination of CMAA with Montelukast might be more effective and appropriate than either option alone for children with PAR. (Registered at Chinese Clinical Trial Register, registration No. ChiCTR-IOR-17012434).
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OBJECTIVE: To analyze the epidemiological characteristics of malaria in Leshan City, so as to provide the evidence for formulating the strategy and measures for consolidating the achievements of malaria elimination. METHODS: The data of epidemiological characteristics of malaria in Leshan City from 1950 to 2015 were collected and analyzed with the descriptive epidemiology method. RESULTS: There were four larger scale epidemics of malaria in Leshan City from 1950 to 2015. The order of malaria in infectious diseases dropped from the first to the twentieth. The peak season for malaria epidemics ceased. The Plasmodium species, patient age, occupation and sex distribution of malaria were different in the different periods. In November 2016, the whole city achieved the national standard for malaria elimination. CONCLUSIONS: After years of prevention and control, the epidemiological characteristics of malaria have changed significantly in Leshan City, and the effect of anti-malarial measures is significant. In the future, we should strengthen the monitoring, and prevention and control of imported malaria.
Assuntos
Malária/epidemiologia , China/epidemiologia , Cidades , Epidemias , Humanos , Plasmodium/classificação , Estações do AnoRESUMO
<p><b>OBJECTIVE</b>To investigate prevalence of diabetes mellitus (DM), impaired glucose tolerance (IGT), impaired fasting glucose (IFG) in Baotou Iron & Steel Company and to provide scientific evidence for prevention and intervention of DM.</p><p><b>METHODS</b>Prevalence of DM was studied in 20 221 workers aged 20 years and over (male 15 124 and female 5 097), with the criteria set by the American Diabetes Association (ADA, 1997), in Baotou Iron & Steel Company.</p><p><b>RESULTS</b>Prevalence of DM, IGT and IFG was 3.22%, 3.48% and 2.09%, respectively in 20 221 subjects, adjusted for age, which increased with age, body mass index and waist to hip ratio, and 56.30% of them were newly-diagnosed. Family history of DM and overweight correlated to prevalence of DM, IGT and IFG, which was higher in mental workers than that in physical laborers. The lower level of education, the higher prevalence of DM, IGT and IFG. Prevalence of DM, IGT and IFG in the workers working under high-temperature condition had no significantly difference with that in the control group. Mean blood pressure was significantly higher in persons with DM, IGT and IFG than that in the normal controls.</p><p><b>CONCLUSIONS</b>Age, overweight, obesity, family history of DM, mental work, low level of education, and history of gestation with a huge fetus all were risk factors for DM, IGT and IFG. There is no significant impact of high temperature environment on prevalence of DM, IGT and IFG.</p>
