European People

欧洲人
  • 文章类型: Comparative Study
    文献报道,欧洲和东亚国家之间冠状病毒病(COVID-19)大流行的医疗影响存在显着差异;具体而言,欧洲的COVID-19死亡率明显高于东亚。考虑到这种差异,我们的叙述性综述旨在比较欧洲和东亚国家幸存者中严重或危重COVID-19后1年随访计算机断层扫描(CT)残留肺部异常的患病率和特征.进行了文献检索,以确定有关严重或危重COVID-19幸存者CT肺部异常的患病率和特征的文章。数据库分析确定了16篇研究文章,9来自欧洲,7来自东亚(全部来自中国)。我们的分析发现,欧洲的CT肺部异常患病率高于中国的研究(82%vs.52%)。虽然在中国研究中最普遍的肺部异常是毛玻璃混浊(35%),欧洲研究中最普遍的肺部异常是线性(59%)和网状混浊(55%),其次是支气管扩张(46%)。虽然我们的发现需要确认,与中国的COVID-19幸存者相比,欧洲人的肺部异常患病率和严重程度更高,这可能反映了由于更严重的肺损伤而导致的更大的结构扭曲。
    The literature reports that there was a significant difference in the medical impact of the coronavirus disease (COVID-19) pandemic between European and East Asian countries; specifically, the mortality rate of COVID-19 in Europe was significantly higher than that in East Asia. Considering such a difference, our narrative review aimed to compare the prevalence and characteristics of residual lung abnormalities at one-year follow-up computed tomography (CT) after severe or critical COVID-19 in survivors of European and East Asian countries. A literature search was performed to identify articles focusing on the prevalence and characteristics of CT lung abnormalities in survivors of severe or critical COVID-19. Database analysis identified 16 research articles, 9 from Europe and 7 from East Asia (all from China). Our analysis found a higher prevalence of CT lung abnormalities in European than in Chinese studies (82% vs. 52%). While the most prevalent lung abnormalities in Chinese studies were ground-glass opacities (35%), the most prevalent lung abnormalities in European studies were linear (59%) and reticular opacities (55%), followed by bronchiectasis (46%). Although our findings required confirmation, the higher prevalence and severity of lung abnormalities in European than in Chinese survivors of COVID-19 may reflect a greater architectural distortion due to a more severe lung damage.
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  • 文章类型: Journal Article
    目的:多项研究报道了人巨细胞病毒(HCMV)在1型糖尿病和移植后糖尿病发病机制中的潜在作用。然而,HCMV与2型糖尿病(T2DM)之间的关联尚不清楚.在本文中,我们采用荟萃分析方法来研究HCMV感染与T2DM之间的潜在相关性.
    方法:我们的研究数据来自PubMed,Embase,WebofScience,科克伦图书馆,中国国家知识基础设施和万方网数据库从成立到2022年11月。使用ReviewManagerV.5.4软件,进行了荟萃分析.
    结果:我们的分析包括22项研究中的18139例患者。在亚洲分组中,与健康组相比,T2DM组患者HCMV感染频率明显较高,且年龄较大.在欧洲,2型糖尿病患者HCMV感染频率低于健康组,尽管这种差异没有统计学意义。在调整了人口因素后,T2DM对HCMV状态的风险的校正OR没有发现显著(校正OR=1.19,95%CI=0.88~1.62,p>0.05).此外,有血管病变的T2DM患者HCMV感染率明显高于无血管病变的T2DM患者(OR=1.87,95%CI=1.24~2.83,p<0.05)。在伴有HCMV感染的T2DM中,空腹血糖水平和CD8+T淋巴细胞比例显著升高。相反,空腹血胰岛素水平,与健康组相比,CD4+T淋巴细胞比例和CD4+/CD8+比值显著降低。
    结论:目前,现有证据并不能明确了解T2DM和HCMV感染之间是否存在显著关联.此外,2型糖尿病伴HCMV感染表现出明显更差的血糖调节和免疫标志物,以及更高的血管病变频率。
    CRD42022342066。
    Multiple studies have reported a potential contribution of human cytomegalovirus (HCMV) to the pathogenesis of type 1 diabetes and post-transplantation diabetes. However, the association between HCMV and type 2 diabetes mellitus (T2DM) remains unclear. In this paper, we employ the meta-analysis approach to investigate the potential correlation between HCMV infection and T2DM.
    The data of our study were collected from PubMed, Embase, Web of Science, Cochrane Library, China National Knowledge Infrastructure and WAN FANG databases from inception to November 2022. Using the Review Manager V.5.4 software, the meta-analysis was performed.
    A total of 18 139 patients from 22 studies were included in our analysis. In the Asian subgroup, the patients with T2DM group had a significantly higher frequency of HCMV infection and older age compared with the healthy group. In the European, the frequency of HCMV infection in the T2DM was lower than the healthy group, although this difference was not statistically significant. After adjusting for demographic factors, the adjusted OR of T2DM for risk of by HCMV status was not found to be significant (adjusted OR=1.19, 95% CI=0.88 to 1.62, p>0.05). Additionally, T2DM with vasculopathy had a significantly higher rate of HCMV infection compared with those without vasculopathy (OR=1.87, 95% CI=1.24 to 2.83, p<0.05). Among T2DM with HCMV infection, there were significant increases in fasting blood glucose levels and the proportion of CD8+ T lymphocytes. Conversely, fasting blood insulin levels, the proportion of CD4+ T lymphocyte and the CD4+/CD8+ ratio were significantly decreased compared with the healthy group.
    At present, the available evidence does not provide a clear understanding of whether there is a significant association between T2DM and HCMV infection. Additionally, T2DM with HCMV infection exhibited significantly worse blood glucose regulation and immune markers, as well as a higher frequency of vasculopathy.
    CRD42022342066.
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  • 文章类型: Meta-Analysis
    已经利用候选基因方法和全基因组扫描对特应性皮炎(AD)的遗传关联进行了广泛的研究。这里,我们全面评估了现有文献,以确定AD中候选基因的相关性,从而进一步了解疾病的病因.我们系统地筛选了所有探索欧洲和亚洲血统病例中多态性与AD风险之间关联的研究,并通过随机效应荟萃分析综合了现有证据。我们确定了99项符合我们的纳入/排除标准的研究,这些研究检查了欧洲人的17个候选基因座和亚洲人的14个候选基因。我们证实了欧洲和亚洲人群的FLG变异与AD风险之间的显著关联,而现有数据的合成揭示了欧洲人中IL18和TGFB1基因以及亚洲人IL12RB1和MIF基因的新基因座,这些基因座尚未通过全基因组关联研究鉴定。我们的发现为欧洲和亚洲祖先的AD风险位点提供了全面的证据,验证先前的关联,并揭示可能暗示先前未探索的生物学途径的新基因座。
    Atopic dermatitis (AD) has been extensively investigated for genetic associations utilizing both candidate gene approaches and genome-wide scans. Here, we comprehensively evaluated the available literature to determine the association of candidate genes in AD to gain additional insight into the etiopathogenesis of the disease. We systematically screened all studies that explored the association between polymorphisms and AD risks in cases of European and Asian ancestry and synthesized the available evidence through a random-effects meta-analysis. We identified 99 studies that met our inclusion/exclusion criteria that examined 17 candidate loci in Europeans and 14 candidate genes in Asians. We confirmed the significant associations between FLG variants in both European and Asian populations and AD risk, while synthesis of the available data revealed novel loci mapped to IL18 and TGFB1 genes in Europeans and IL12RB1 and MIF in Asians that have not yet been identified by genome-wide association studies. Our findings provide comprehensive evidence for AD risk loci in cases of both European and Asian ancestries, validating previous associations as well as revealing novel loci that could imply previously unexplored biological pathways.
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  • 文章类型: Systematic Review
    一些流行病学研究强调了基于高水果和蔬菜摄入量的饮食与更好的健康状况之间的关联。然而,老年人欧洲人无法管理推荐的水果和蔬菜消费。本系统综述旨在探讨与欧洲老年人食用水果和蔬菜有关的主要因素。我们在Medline上进行了文献检索,Scopus,和WebofScience从成立到2022年5月。选择了发表的文章,包括与欧洲老年人的某些水果和蔬菜消费有关的数据。新城堡-渥太华规模和国家心脏,肺,和血液研究所工具由两名作者独立用于方法学质量评估。共检索到60篇,以及来自21项高质量横断面研究和5项中到高质量队列研究的数据,共有109,516人参加,是合成的。主要分析的相关因素是与人口统计学和社会经济地位有关的因素,比如性,年龄,婚姻状况,教育水平,和收入。然而,调查结果显示差异很大。一些证据表明可能存在正相关,而其他证据显示有相反或根本没有关联。人口和社会经济因素与水果和蔬菜消费之间的关系尚不清楚。需要更多具有适当设计和相应统计方法的流行病学研究。
    Several epidemiological studies stress the association between a diet based on high fruits and vegetables intake and a better health condition. However, elderly Europeans cannot manage the recommended fruits and vegetables consumption. This systematic review aims to explore the main factors related to fruits and vegetables consumption in elderly Europeans. We conducted literature searches on Medline, Scopus, and Web of Science from inception to May 2022. Published articles including data related to certain fruits and vegetables consumption among elderly Europeans were selected. The New Castle-Ottawa Scale and National Heart, Lung, and Blood Institute tools were used for methodological quality assessment by two authors independently. A total of 60 articles were retrieved, and data from twenty-one high-quality cross-sectional studies and five moderate-to-high-quality cohort studies, including a total of 109,516 participants, were synthesized. Associated factors mostly analyzed were those relating to demographic and socioeconomic status, such as sex, age, marital status, educational level, and income. However, the findings show a high discrepancy. Some evidence suggests a possible positive association, while other evidence shows an inverse or no association at all. The relationship between demographic and socioeconomic factors with fruits and vegetables consumption is not at all clear. More epidemiological studies with an appropriate design and corresponding statistical methods are required.
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  • 文章类型: Meta-Analysis
    背景:与上个世纪相比,龋齿流行病学已经开始将釉质龋齿纳入龋齿患病率和经验的确定中。本系统评价和荟萃分析的目的是评估龋齿状态,包括对釉质龋齿的估计,欧洲青少年。
    方法:四个数据库(MedlineOvid,Embase,CINAHL,和SweMed)从2000年1月1日至2021年9月20日进行了系统搜索,以获取有关12-19岁儿童龋齿患病率和龋齿经验的同行评审出版物;其中还包括对牙釉质病变的评估。使用随机效应模型计算汇总估计值。
    结果:总体而言,选择了30篇出版物进行系统评价,涵盖25项观察性研究。并非所有研究都可以用于荟萃分析。龋齿患病率为77%(n=22项研究)。据报道,16-19岁年龄组的患病率最高,在2010年之前进行龋齿检查的研究中。总体平均DMFT评分为5.93(n=14项研究),斯堪的纳维亚青少年明显低于其他欧洲青少年(4.43vs.8.89).牙釉质龋齿的比例(n=7项研究)为50%,最低年龄组(12-15岁)最高。本系统评价的结果反映了龋齿分布在个体上的偏斜,牙齿和表面水平;在牙齿和表面水平,也根据年龄而变化。
    结论:尽管在2010年或之后进行了龋齿检查的研究表明龋齿患病率降低,青春期的龋齿仍然是一种负担。因此,预防更严重龋齿病变发展的潜力,从青春期早期大量的釉质龋齿中可以看出,应该充分利用。为了发生这种情况,牙釉质龋齿应成为国家登记册中流行病学报告的一部分。
    In contrast with the last century, caries epidemiology has begun integrating enamel caries into determinations of caries prevalence and experience. The objective of the present systematic review and meta-analysis was to assess the caries status including estimations of enamel caries, of European adolescents.
    Four databases (Medline Ovid, Embase, CINAHL, and SweMed+) were systematically searched from 1 January 2000 through 20 September 2021 for peer-reviewed publications on caries prevalence and caries experience in 12-19-year-olds; that also included evaluations of enamel lesions. Summary estimates were calculated using random effect model.
    Overall, 30 publications were selected for the systematic review covering 25 observational studies. Not all studies could be used in the meta-analyses. Caries prevalence was 77% (n = 22 studies). Highest prevalence was reported in the age groups 16-19 years, and in studies where caries examinations were done before 2010. The overall mean DMFT score was 5.93 (n = 14 studies) and it was significantly lower among Scandinavian adolescents than among other European adolescents (4.43 vs. 8.89). The proportion of enamel caries (n = 7 studies) was 50%, and highest in the lowest age group (12-15 years). Results from the present systematic review reflected the caries distribution to be skewed at individual-, tooth- and surface levels; at tooth and surface level, also changed according to age.
    Although studies in which the caries examinations had been done in 2010 or later documented a reduction in caries prevalence, caries during adolescence still constitutes a burden. Thus, the potential for preventing development of more severe caries lesions, as seen in the substantial volume of enamel caries during early adolescence, should be fully exploited. For this to happen, enamel caries should be a part of epidemiological reporting in national registers.
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