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  • 文章类型: Journal Article
    目的:了解1990年至2019年中国和全球水果摄入不足导致的食管癌(EC)疾病负担,按年龄和性别进行分层。
    方法:合并全球疾病负担研究(GBD2019)以计算死亡人数,标准化死亡率,1990年至2019年,中国和全球按年龄和性别划分的水果摄入量低,导致残疾调整生命年(DALY)和EC的DALY率。应用种群归因分数(PAF)估算了低水果摄入量引起的EC比例。Joinpoint用于估算年均变化百分比(AAPC),以反映中国和全球因水果摄入量不足而导致的EC负担的时间变化趋势。
    结果:在2019年的中国人口中,男性EC的归因DALY为356,000人年,而女性为80,600人年。中国不同年龄组归因标准化死亡率和DALY率随年龄增长而增加,在70岁及以上的人群中达到顶峰。从1990年到2019年在中国,死亡人数,标准化死亡率,由于水果摄入不足而导致的EC的DALY和标准化DALY率呈下降趋势(AAPC:-1.62%,-4.54%,-2.10%和-4.88%,分别),具有统计学意义(P<0.001)。
    结论:中国水果摄入不足导致的欧共体总体负担呈下降趋势。然而,由于人口老龄化,中国的疾病负担仍然高于全球平均水平。因此,预防和健康教育工作应集中在水果摄入量低的人群上。
    OBJECTIVE: To understand the disease burden of esophageal cancer (EC) attributable to inadequate fruit intake in China and global from 1990 to 2019 stratified by age and sex.
    METHODS: Global Burden of Disease Study (GBD 2019) were pooled to calculate the number of deaths, standardized mortality rate, disability-adjusted life years (DALY) and DALY rate of EC attributed to low fruit intake in China and globally by age and sex from 1990 to 2019. The population attributable fractions (PAF) were applied to estimate the proportion of EC caused by low fruit intake. Joinpoint was used to estimate average annual percentage of change (AAPC) to reflect the time change trend of the EC burden attributable to inadequate fruit intake in China and globally.
    RESULTS: In the Chinese population in 2019, the attributable DALY of EC in males was 356,000 person-years, while it was 80,600 person-years in females. The attributable standardized mortality and DALY rates for different age groups in China increased with age, peaking in the group aged 70 years and above. From 1990 to 2019 in China, the number of deaths, standardized mortality rates, DALY and standardized DALY rates of EC attributable to inadequate fruit intake showed a decreasing trend (AAPCs: -1.62%, -4.54%, -2.10% and -4.88%, respectively), with statistical significance (P<0.001).
    CONCLUSIONS: The overall burden of EC attributed to inadequate fruit intake in China has demonstrated a downward trend. However, due to the aging population, the disease burden in China remains higher than the global average. Hence, prevention and health education efforts should focus on the population with low fruit intake.
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  • 文章类型: Editorial
    暂无摘要。
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  • 文章类型: Journal Article
    背景:研究表明,糖尿病和抑郁症之间存在很强的双向关联,糖尿病会增加患抑郁症的风险,反之亦然。糖尿病患者的抑郁与血糖控制不良有关,并发症,和可怜的自我照顾。
    目的:探讨全球有关糖尿病和抑郁症的研究现状,以帮助了解当前的研究环境并确定潜在的未来研究领域。
    方法:采用文献计量学方法,利用Scopus数据库收集2004年至2023年发布的相关研究文章。分析包含发布模式,重要贡献者,研究重点,流行的主题,最有影响力的文章,旨在辨别新兴的研究课题。
    结果:共确定了3229篇符合检索标准的出版物。在过去的二十年中,与糖尿病和抑郁症有关的出版物数量显着增加。生产力最高的国家是美国(n=1015;31.43%),其次是中国(n=325;10.07%),英国(n=236;7.31%),和德国(n=218;6.75%)。分析描述了抑郁症和糖尿病研究的三个主要主题。首先,探索这种共病的患病率和病因;第二,对干预措施的关注,特别是随机对照试验,旨在加强抑郁症患者的糖尿病管理;最后,对这种双向关系所涉及的危险因素和生物学机制的调查。
    结论:最近对糖尿病和抑郁症之间的关系的兴趣激增。这可以帮助研究人员确定文献中缺乏的领域,并塑造未来的研究。
    BACKGROUND: Studies have shown a strong bidirectional association between diabetes and depression, with diabetes increasing the risk of developing depression and vice versa. Depression among patients with diabetes is associated with poor glycemic control, complications, and poor self-care.
    OBJECTIVE: To explore the present state of research globally concerning diabetes and depression, to aid understanding the current research landscape and identify potential future areas of research.
    METHODS: A bibliometric approach was used, utilizing the Scopus database to gather pertinent research articles released from 2004 to 2023. Analyses encompassed publication patterns, significant contributors, research focal points, prevalent themes, and the most influential articles, aimed at discerning emerging research subjects.
    RESULTS: A total of 3229 publications that met the search criteria were identified. A significant increase in the number of publications related to diabetes and depression has been observed in the past two decades. The most productive nation was the USA (n = 1015; 31.43%), followed by China (n = 325; 10.07%), the UK (n = 236; 7.31%), and Germany (n = 218; 6.75%). Three principal themes in research on depression and diabetes were delineated by the analysis. First, the exploration of the elevated prevalence and etiology of this comorbidity; second, the focus on interventions, particularly randomized controlled trials, aimed at enhancing diabetes management among individuals with depression; and finally, the investigation of the involved risk factors and biological mechanisms underlying this bidirectional relationship.
    CONCLUSIONS: There has been a recent surge of interest in the relationship between diabetes and depression. This could aid researchers to identify areas lacking in the literature and shape future research.
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  • 文章类型: Journal Article
    流感A/H9病毒在全球野生和国内禽类中传播,继续进化并构成人畜共患风险。近年来,人类感染A/H9N2亚型禽流感病毒(AIV)的人数大大增加,并且出现了携带A/H9N2来源内部基因的新型重组体。使用不同的名称来描述流通和新兴的A/H9谱系。为了解决这个问题,来自动物和公共卫生实验室的国际专家组,由WOAH/FAO动物流感专家网络认可,基于对来自全球采样的A/H9AIV的10,638个血凝素序列的分析,创建了一个实用的谱系分类和命名系统。该系统结合了系统发育关系和流行病学特征,旨在追踪新兴和循环的谱系和进化枝。为了帮助血统和分支分配,已经创建了一个在线工具。这种拟议的分类能够快速理解A/H9AIV的全球传播和演变。
    Influenza A/H9 viruses circulate worldwide in wild and domestic avian species, continuing to evolve and posing a zoonotic risk. A substantial increase in human infections with A/H9N2 subtype avian influenza viruses (AIVs) and the emergence of novel reassortants carrying A/H9N2-origin internal genes has occurred in recent years. Different names have been used to describe the circulating and emerging A/H9 lineages. To address this issue, an international group of experts from animal and public health laboratories, endorsed by the WOAH/FAO Network of Expertise on Animal Influenza, has created a practical lineage classification and nomenclature system based on the analysis of 10,638 hemagglutinin sequences from A/H9 AIVs sampled worldwide. This system incorporates phylogenetic relationships and epidemiologic characteristics designed to trace emerging and circulating lineages and clades. To aid in lineage and clade assignment, an online tool has been created. This proposed classification enables rapid comprehension of the global spread and evolution of A/H9 AIVs.
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  • 文章类型: Journal Article
    背景:由于过分拥挤的生活条件和有限的医疗保健资源,在监狱中,镰刀是一个普遍存在的问题。最近发表在《感染与公共卫生杂志》上的一项研究发现,在不同地区和设施的囚犯中,sc疮的患病率差异很大。本综述旨在通过进行系统评价和荟萃分析来确定囚犯中sc疮的全球患病率和预测因素。
    方法:我们遵循系统评价和荟萃分析检查表的首选报告项目来报告我们的系统评价和荟萃分析的结果。相关数据库,包括PubMed,科克伦图书馆,ScienceDirect,和其他灰色文献数据库被用来搜索和检索文章。该研究包括以英语编写的已发表和未发表的研究,用于报告囚犯中人sc疮的患病率。此评论已在PROSPERO上注册。使用I2统计量评估数据的异质性。使用STATA17软件进行荟萃分析,95%的置信区间。研究人员还进行了发表偏倚和敏感性分析。
    结果:该综述包括7项研究,涉及1,309,323名囚犯。所有纳入的研究都涉及横断面研究设计。囚犯中sc疮的患病率从意大利的0.72%到喀麦隆的41.01%不等。囚犯中人类sc疮的全球合并患病率为6.57%(95%CI;2.16-19.94)。根据亚组分析,非洲囚犯sc疮的总体患病率为19.55%(95%CI;9.44-40.45),而非洲以外囚犯的患病率为1.57%(95%CI;0.77-3.19)。在监狱里度过的时间,分享衣服或床,和卫生习惯被发现是与囚犯发展为人类sc疮的可能性显着相关的因素。
    结论:在全世界的囚犯中,人类sc疮的总体患病率很高。在监狱里呆更多时间的囚犯共用衣服或床位,卫生习惯差的人更有可能患上sc疮。因此,政策制定者和计划管理者应努力降低监狱中sc疮的患病率。本系统评价和荟萃分析的方案已在国际前瞻性系统评价注册簿中注册,注册号为CRD42024516064。
    BACKGROUND: Scabies is a widespread issue in prisons due to overcrowded living conditions and limited healthcare resources. A recent study published in the Journal of Infection and Public Health discovered that the prevalence of scabies varies greatly among prisoners in different regions and facilities. This review aimed to determine the global prevalence and predictors of scabies among prisoners by conducting a systematic review and meta-analysis.
    METHODS: We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis checklist to report the findings of our systematic review and meta-analysis. Relevant databases including PubMed, Cochrane Library, ScienceDirect, and other grey literature databases were used to search and retrieve articles. The study included both published and unpublished research written in English languages for studies reporting the prevalence of human scabies among prisoners. This review has been registered on PROSPERO. The heterogeneity of the data was evaluated using the I2 statistic. A meta-analysis was conducted using STATA 17 software, with a 95% confidence interval. The researchers also conducted publication bias and sensitivity analysis.
    RESULTS: The review included 7 studies involving 1, 309,323 prisoners. All included studies involved cross-sectional study design. The prevalence of scabies among prisoners ranges from 0.72% in Italy to 41.01% in Cameroon. The global pooled prevalence of human scabies among prisoners was found to be 6.57% (95% CI; 2.16-19.94). According to subgroup analysis, the overall prevalence of scabies among African prisoners was 19.55% (95% CI; 9.44-40.45), while the prevalence among prisoners outside of Africa was 1.57% (95% CI; 0.77-3.19). The length of time spent in prison, sharing of clothing or beds, and hygiene practices were found to be factors that were significantly associated with the likelihood of prisoners developing human scabies.
    CONCLUSIONS: The overall prevalence of human scabies is high among prisoners worldwide. Prisoners who spent more time in prison shared clothing or beds, and had poor hygiene practices were more likely to develop human scabies. Thus, efforts should be made by policymakers and program administrators to decrease the prevalence of scabies in prisons. The protocol for this systematic review and meta-analysis was registered in the International Prospective Register of Systematic Reviews with registration number CRD42024516064.
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  • 文章类型: Journal Article
    食物过敏患病率的增加被认为是继哮喘和过敏性鼻炎的第一波增加之后的第二波过敏流行。众所周知,在许多国家或地区,过敏性疾病的流行将伴随着经济发展和城市化。在发达国家,三分之一的儿童患有至少一种过敏性疾病,这些疾病包括食物过敏,湿疹,过敏性鼻炎和哮喘。食物过敏通常是影响婴幼儿的第一过敏表现。确切的病因尚不清楚。临床表现包括单纯性皮疹或口腔周围瘙痒,血管性水肿和潜在致命的过敏反应的更严重的表现。在所有儿童过敏反应病例中,食物是最常见的原因。在发达国家,导致食物过敏的常见过敏原包括鸡蛋,牛奶,鱼,小麦,花生和坚果。然而,发展中国家的食物过敏原模式存在明显差异。根据哮喘的流行病学,食物过敏在农村地区也不太常见。清楚了解解释城乡人口食物过敏差异的原因将为制定有效的食物过敏一级预防方法铺平道路。
    The increase in the prevalence of food allergy has been considered as the second wave in the allergy epidemic following the first wave of increase in asthma and allergic rhinitis. It is well known that the prevalence of allergic conditions would follow economic development and urbanization in many countries or regions. In developed countries, one in three children suffered from at least one allergic disorder and these conditions include food allergy, eczema, allergic rhinitis and asthma. Food allergy is very often the first allergic manifestation affecting infants and young children. The exact etiologies are not known. The clinical manifestations ranged from a simple rash or an itch around the mouth, to the more severe manifestations of angioedema and potentially fatal anaphylaxis. Among all cases of childhood anaphylaxis, food is the most common cause. The common allergens resulting in food allergies in developed countries include egg, milk, fish, wheat, peanuts and tree nuts. However, there are marked variations in the patterns of food allergens in developing countries. In line with the epidemiology of asthma, food allergy is also much less common in rural areas. Clear understanding of reasons explaining the disparity of food allergies between urban and rural population would pave the way to the development of effective primary prevention for food allergy.
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  • 文章类型: Journal Article
    众所周知,地中海饮食(DM)对健康有益,多年的全球研究已经证实。这项研究的目的是更新先前的系统评价,该评价通过评估这种饮食的经济绩效来评估坚持DM作为预防退行性疾病的策略的成本效益。研究方法利用了三个电子数据库:PubMed,Scopus,和WebofScience。进行了全面搜索,以检索基于PROSPERO中注册的PRISMA兼容协议的文章:CRD42023493562。对所有纳入的研究进行数据提取和分析。检索到一千二百八十二篇文章,一旦重复和不相关的文章被删除,审查了15篇有用的文章。研究表明,饮食习惯之间存在明显的联系,健康,以及与饮食成本和健康支出相关的经济方面。认识到与采用DM相关的重大健康益处以及医疗保健支出的潜在节省,国家公共卫生计划必须考虑支持这种生活方式的政策。
    It is well known that the Mediterranean diet (DM) is beneficial for health, as years of research globally have confirmed. The aim of this study was to update a previous systematic review that assessed the cost-effectiveness of adherence to the DM as a strategy for the prevention of degenerative diseases by evaluating the economic performance of this diet. The research approach utilized three electronic databases: PubMed, Scopus, and Web of Science. A comprehensive search was conducted to retrieve articles based on a PRISMA-compliant protocol registered in PROSPERO: CRD 42023493562. Data extraction and analysis were performed on all included studies. One thousand two hundred and eighty-two articles were retrieved, and once duplicates and irrelevant articles were removed, fifteen useful articles were reviewed. The studies indicated a clear link between dietary habits, health, and economic aspects related to dietary cost and health spending. Recognizing the significant health benefits associated with adopting DM and the potential savings on health care spending, it is important for national public health programs to consider policies that support this lifestyle.
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  • 文章类型: Journal Article
    成人和婴儿形成视觉对象的抽象类别,但是对全球分类的发展知之甚少。这项研究旨在描述非常快速的全球分类(生物和非生物)的发展,并确定低水平刺激特征是否以及如何对这种反应做出贡献。频率标记用于表征N=69婴儿(4,7,11个月)的全球水平分类的发展,N=22名儿童(5-6岁),N=20名年轻人。图像以奇怪的范式呈现,类别变化在每第五个位置(AAAABAAABA...)。在所有年龄组都观察到强烈和显著的高层次分类,对相位加扰控制序列的响应减少(R2=0.34-0.73)。未观察到有生命目标和无生命目标的分类之间的差异。这些数据显示了从四个月到成年的生活和非生活的高级视觉分类,提供融合的证据表明,人类对从婴儿期开始的广泛分类信息高度敏感。
    Adults and infants form abstract categories of visual objects, but little is known about the development of global categorization. This study aims to characterize the development of very fast global categorization (living and non-living objects) and to determine whether and how low-level stimulus characteristics contribute to this response. Frequency tagging was used to characterize the development of global-level categorization in N = 69 infants (4, 7, 11 months), N = 22 children (5-6 years old), and N = 20 young adults. Images were presented in an oddball paradigm, with a category change at every fifth position (AAAABAAAABA…). Strong and significant high-level categorization was observed in all age groups, with reduced responses for phase-scrambled control sequences (R2 = 0.34-0.73). No differences between the categorization of living and non-living targets were observed. These data demonstrate high-level visual categorization as living and non-living from four months to adulthood, providing converging evidence that humans are highly sensitive to broad categorical information from infancy onward.
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  • 文章类型: Journal Article
    新生儿血斑筛查(NBS)始于1960年代初,基于布法罗的Robert\“Bob\”Guthrie博士的工作,NY,美国。他对吸收到特殊滤纸上的血液进行苯丙酮尿症筛查测试,并将其运送到远程测试实验室,这一切都开始了。NBS扩展到大量无症状的先天性疾病在许多环境中蓬勃发展,而在其他环境中尚未实现。NBS作为一种有效和有效的公共卫生预防战略的必要性,有助于在任何地方持续降低发病率和死亡率,这在医学领域是众所周知的,但政治政策制定者不一定。认识到2007年发布的国家国家统计局报告的价值,作者合作在2015年创建了全球国家统计局更新。为了继续审查国家统计局在全球的进展,并朝着更加协调和公平的筛查系统迈进,我们更新了2015年报告,提供了2024年初的信息。关于撒哈拉以南非洲和加勒比的报告,2015年失踪,已包括在内。上次报告中流行的表格已经更新,着眼于统一的比较。为了强调需要全球关注的领域,我们使用了包含类似筛选条件列表的区域表,筛选实验室的数量,以及建议采集标本的时间。讨论仅限于血斑筛查。
    Newborn bloodspot screening (NBS) began in the early 1960s based on the work of Dr. Robert \"Bob\" Guthrie in Buffalo, NY, USA. His development of a screening test for phenylketonuria on blood absorbed onto a special filter paper and transported to a remote testing laboratory began it all. Expansion of NBS to large numbers of asymptomatic congenital conditions flourishes in many settings while it has not yet been realized in others. The need for NBS as an efficient and effective public health prevention strategy that contributes to lowered morbidity and mortality wherever it is sustained is well known in the medical field but not necessarily by political policy makers. Acknowledging the value of national NBS reports published in 2007, the authors collaborated to create a worldwide NBS update in 2015. In a continuing attempt to review the progress of NBS globally, and to move towards a more harmonized and equitable screening system, we have updated our 2015 report with information available at the beginning of 2024. Reports on sub-Saharan Africa and the Caribbean, missing in 2015, have been included. Tables popular in the previous report have been updated with an eye towards harmonized comparisons. To emphasize areas needing attention globally, we have used regional tables containing similar listings of conditions screened, numbers of screening laboratories, and time at which specimen collection is recommended. Discussions are limited to bloodspot screening.
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  • 文章类型: Journal Article
    背景:尽管取得了显著进展,艾滋病毒对全球健康的影响仍然坚定,要求继续关注。了解三线抗逆转录病毒治疗对二线药物无反应的个体的有效性对于改善治疗策略至关重要。三线抗逆转录病毒治疗的病毒学结果因研究而异,强调需要进行稳健的全球估计。
    方法:对包括PubMed、MEDLINE,国际科学索引,WebofScience,和谷歌学者,进行了。采用STATA第17版统计软件进行分析。应用随机效应模型来计算合并估计值。亚组分析,异质性,出版偏见,并进行了敏感性分析.计算预测间隔以估计未来研究将落在其中的间隔。等级工具也用于确定证据的质量。
    结果:在本系统综述和荟萃分析中,纳入了15项研究,涉及1768名接受三线抗逆转录病毒治疗的HIV患者。三线抗逆转录病毒治疗的合并病毒抑制为76.6%(95%CI:71.5-81.7%)。6个月和12个月的病毒抑制率分别为75.5%和78.6%,分别。此外,三线治疗有效抑制病毒RNA拷贝数≤50拷贝/mL,≤200拷贝/mL,≤400拷贝/毫升,比率为70.7%,85.4%,和85.7%,分别。
    结论:超过四分之三的接受三线抗逆转录病毒治疗的患者实现了病毒抑制。因此,改善获得和及时开始三线治疗可能会对二线治疗失败患者的生活质量产生积极影响.
    Despite remarkable progress, HIV\'s influence on global health remains firm, demanding continued attention. Understanding the effectiveness of third-line antiretroviral therapy in individuals who do not respond to second-line drugs is crucial for improving treatment strategies. The virological outcomes of third-line antiretroviral therapy vary from study to study, highlighting the need for robust global estimates.
    A comprehensive search of databases including PubMed, MEDLINE, International Scientific Indexing, Web of Science, and Google Scholar, was conducted. STATA version 17 statistical software was used for analysis. A random-effects model was applied to compute the pooled estimates. Subgroup analysis, heterogeneity, publication bias, and sensitivity analysis were also performed. The prediction interval is computed to estimate the interval in which a future study will fall. The GRADE tool was also used to determine the quality of the evidence.
    In this systematic review and meta-analysis, 15 studies involving 1768 HIV patients receiving third-line antiretroviral therapy were included. The pooled viral suppression of third-line antiretroviral therapy was 76.6% (95% CI: 71.5- 81.7%). The viral suppression rates at 6 and 12 months were 75.5% and 78.6%, respectively. Furthermore, third-line therapy effectively suppressed viral RNA copy numbers to ≤ 50 copies/mL, ≤ 200 copies/mL, and ≤ 400 copies/mL with rates of 70.7%, 85.4%, and 85.7%, respectively.
    More than three-fourths of patients on third-line antiretroviral therapy achieve viral suppression. Consequently, improving access to and timely initiation of third-line therapy may positively impact the quality of life for those with second-line treatment failure.
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