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1.
Dig Dis Sci ; 69(1): 56-65, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-37943383

RESUMO

BACKGROUND: The worldwide incidence of acute pancreatitis (AP) is increasing, but the dominant etiology of AP may vary by country. Mixed etiologies are involved in the increase in the number of AP patients. AIMS: This study was to analyze the etiological changes and prognosis of AP patients and explore the prognosis of AP patients with mixed etiologies. METHODS: Using a retrospective analysis method, AP patients hospitalized from January 2007 to December 2021 were selected from a pancreatic center in Nanchang, China. Trends in the main etiologies were analyzed, and the severity and prognosis of different etiologies were compared. RESULTS: A total of 10,071 patients were included. Cholelithiasis (56.0%), hyperlipidemia (25.3%), and alcohol (6.5%) were the top three etiologies. The proportion of acute biliary pancreatitis (ABP) showed a decreasing trend, while the proportion of hypertriglyceridemic pancreatitis (HTGP) and alcoholic AP showed an increasing trend (all ptrend < 0.001). The incidence of organ failure and necrotizing pancreatitis was higher in patients with HTGP than in those with AP induced by other etiologies (all p < 0.05). There was no statistically significant difference in mortality among patients with different etiologies. Patients with AP due to a mixed hypertriglyceridemia-alcoholic etiology had higher ICU admission rates and were more severe than those with AP induced by other mixed etiologies. CONCLUSION: In the past 15 years, the proportion of ABP has trended downward, while those of HTGP and alcoholic AP have risen. Among patients with mixed etiologies, those with a mixed hypertriglyceridemia-alcoholic etiology had a worse prognosis.


Assuntos
Hipertrigliceridemia , Pancreatite Alcoólica , Humanos , Estudos Retrospectivos , Doença Aguda , Hipertrigliceridemia/epidemiologia , Prognóstico
2.
Artigo em Inglês | MEDLINE | ID: mdl-36674138

RESUMO

Although the negative effect of air pollution on life satisfaction has been examined in many studies, comparative analyses of mobility-based exposures to air pollution and momentary wellbeing have been rare to date, despite the fact that they are essential to improve wellbeing. Drawing on individuals' space-time trajectories of two surveys conducted in 2012 and 2017 in Beijing, we investigate the temporal variations in activity satisfaction and mobility-based air pollution from monitoring stations and real-time air pollutant sensors, respectively. Furthermore, we explore how mobility-based air pollution dynamically influences activity satisfaction. The results show that air quality in Beijing improved from 2012 to 2017, and activity satisfaction increased as well. The negative relationship between them is more significant on workdays but insignificant on weekends. Moreover, real-time air pollution data show higher accuracy than monitor-based data, which suggests that future studies should pay more attention to real-time air pollution assessments.


Assuntos
Poluentes Atmosféricos , Poluição do Ar , Humanos , Pequim , Material Particulado/análise , Monitoramento Ambiental/métodos , Poluentes Atmosféricos/análise , Poluição do Ar/análise , Satisfação Pessoal , China
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