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Socioeconomic Factors and their Influence on Suicide rate: a Multiple Regression case Study in Washington 社会经济因素及其对自杀率的影响:以华盛顿地区为例
Pub Date : 2023-01-01 DOI: 10.26502/fjhs.140
Zixuan Wu, Yueqian Zhang
Washington State's suicide rate is 11% higher than the national average, making it one of the top 10 states with the highest suicide rates in the U.S.. Although efforts have been made to address behavioral factors that contribute to suicide risk, little attention has been given to the impact of socioeconomic factors on the mental health of Washington residents. The purpose of the research is to investigate the relationship between socioeconomic status and suicide rates in Washington State. The results of the study can help guide policymakers and healthcare professionals in developing intervention strategies to reduce suicide risk. The suicide rate among Washington residents from 2011-2020 was provided by the 57 vital statistics jurisdictions participating in the Vital Statistics Cooperative Program. Three indicators, including poverty rate, lower than high school graduate rate, and unemployment rate, were chosen to explore the relationship between socioeconomic factors and suicide rate. The data from 57 jurisdictions were analyzed using R, with F tests and multiple linear regressions employed. The multiple R-squared value was 0.7648, indicating that 76.48% of the variation can be explained by the independent variables. These results suggest that poverty and employment rates have a significant positive relationship with suicide rate. However, the relationship between lower educational attainment and suicide rate was not statistically significant. Addressing the issue of rising suicide rates requires a collaborative effort between healthcare officials and policymakers. Policymakers should prioritize promoting job opportunities and providing educational resources to alleviate financial stress and increase access to mental healthcare.
华盛顿州的自杀率比全国平均水平高出11%,使其成为美国自杀率最高的10个州之一。尽管人们已经努力解决导致自杀风险的行为因素,但很少有人关注社会经济因素对华盛顿居民心理健康的影响。本研究的目的是调查华盛顿州社会经济地位与自杀率之间的关系。研究结果可以帮助指导决策者和医疗保健专业人员制定干预策略,以降低自杀风险。2011-2020年华盛顿居民的自杀率由参与生命统计合作项目的57个生命统计管辖区提供。选取贫困率、低于高中毕业率和失业率三个指标,探讨社会经济因素与自杀率的关系。来自57个司法管辖区的数据使用R进行分析,并采用F检验和多元线性回归。多重r平方值为0.7648,说明76.48%的变异可以由自变量解释。这些结果表明,贫困和就业率与自杀率有显著的正相关关系。然而,低教育程度与自杀率之间的关系没有统计学意义。解决自杀率上升的问题需要医疗官员和政策制定者之间的合作努力。决策者应优先考虑促进就业机会和提供教育资源,以减轻经济压力并增加获得精神卫生保健的机会。
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引用次数: 0
Rapid Diagnosis of Invasive Fungal Infections Caused by Candida and Aspergillus Species in Patients Admitted to Intensive Care Unit of a Tertiary Care Hospital 某三级医院重症监护病房患者假丝酵母菌和曲霉菌所致侵袭性真菌感染的快速诊断
Pub Date : 2023-01-01 DOI: 10.26502/fjhs.138
Shaila Akhtar, Shaheda Anwar, Ahmed Abu Saleh
Introduction: Invasive fungal infections (IFI) are common nosocomial infections in immunosuppressed individuals. Rapid diagnosis of IFIs is important to support the growing number of at-risk patients and standardize the treatment guidelines. The study aimed to assess the role of serum 1,3-β-D-Glucan (BDG) and galactomannan (GM) biomarkers and real-time PCR in the rapid diagnosis of IFIs.
侵袭性真菌感染(IFI)是免疫抑制个体中常见的医院感染。ifi的快速诊断对于支持越来越多的高危患者和使治疗指南标准化具有重要意义。本研究旨在评估血清1,3-β- d -葡聚糖(BDG)和半乳甘露聚糖(GM)生物标志物和实时PCR在IFIs快速诊断中的作用。
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引用次数: 0
Transcriptome of Left Ventricle and Sinoatrial Node in Young and Old C57 Mice. 青年和老年C57小鼠左心室和窦房结的转录组。
Pub Date : 2023-01-01 Epub Date: 2023-09-27 DOI: 10.26502/fjhs.134
Jia-Hua Qu, Kirill V Tarasov, Yelena S Tarasova, Khalid Chakir, Edward G Lakatta

Advancing age is the most important risk factor for cardiovascular diseases (CVDs). Two types of cells, within the heart pacemaker, sinoatrial node (SAN), and within the left ventricle (LV), control two crucial characteristics of heart function, heart beat rate and contraction strength. As age advances, the heart's structure becomes remodeled, and SAN and LV cell functions deteriorate, thus increasing the risk for CVDs. However, the different molecular features of age-associated changes in SAN and LV cells have never been compared in omics scale in the context of aging. We applied deep RNA sequencing to four groups of samples, young LV, old LV, young SAN and old SAN, followed by numerous bioinformatic analyses. In addition to profiling the differences in gene expression patterns between the two heart chambers (LV vs. SAN), we also identified the chamber-specific concordant or discordant age-associated changes in: (1) genes linked to energy production related to cardiomyocyte contraction, (2) genes related to post-transcriptional processing, (3) genes involved in KEGG longevity regulating pathway, (4) prolongevity and antilongevity genes recorded and curated in the GenAge database, and (5) CVD marker genes. Our bioinformatic analysis also predicted the regulation activities and mapped the expression of upstream regulators including transcription regulators and post-transcriptional regulator miRNAs. This comprehensive analysis promotes our understanding of regulation of heart functions and will enable discovery of gene-specific therapeutic targets of CVDs in advanced age.

年龄的增长是心血管疾病(CVD)最重要的危险因素。心脏起搏器内的两种细胞,即窦房结(SAN)和左心室(LV),控制着心脏功能的两个关键特征,即心率和收缩强度。随着年龄的增长,心脏结构发生重塑,SAN和LV细胞功能恶化,从而增加了心血管疾病的风险。然而,SAN和LV细胞中与年龄相关的变化的不同分子特征从未在衰老背景下的组学尺度上进行过比较。我们对四组样本进行了深度RNA测序,即年轻LV、老年LV、年轻SAN和老年SAN,随后进行了大量生物信息学分析。除了分析两个心室之间基因表达模式的差异(LV与SAN)外,我们还确定了心室特异性一致或不一致的年龄相关变化:(1)与心肌细胞收缩相关的能量产生相关的基因,(2)与转录后处理相关的基因;(3)参与KEGG寿命调节途径的基因,(4)GenAge数据库中记录和策划的长寿和抗长寿基因,以及(5)CVD标记基因。我们的生物信息学分析还预测了调节活性,并绘制了上游调节因子的表达图,包括转录调节因子和转录后调节因子miRNA。这一综合分析促进了我们对心脏功能调节的理解,并将有助于发现老年心血管疾病的基因特异性治疗靶点。
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引用次数: 0
Ophthalmic Manifestations in Granulomatosis with Polyangiitis: A Narrative Review 肉芽肿合并多血管炎的眼部表现:述评
Pub Date : 2023-01-01 DOI: 10.26502/fjhs.130
Jasreen Kaur Sandhu, Gurkaranvir Singh, S. Batth, Navjot Kaur
Granulomatosis with polyangiitis (GPA), a type of vasculitis, is characterized by necrotizing inflammation of small-medium blood vessels and is associated with anti-neutrophil cytoplasmic antibodies (ANCA). While GPA commonly affects the upper respiratory tract, lungs, and kidneys, ocular manifestations can also occur as a part of systemic GPA or isolated GPA involving eyes, the diagnosis of which can be challenging. Ocular involvement in GPA is variable and can present as scleritis, keratitis, conjunctivitis, uveitis, or orbital involvement. This review article briefly explores the etiology of GPA with a focus on the ophthalmic manifestations of GPA, including their clinical features, diagnosis, differentials, and treatment options. Understanding the ocular manifestations can help in early diagnosis, preventing irreversible eye damage and vision loss. Conclusion: The small blood vessels in almost any organ or tissue can be involved in GPA, the involvement of the eye being one such organ which can present with non-specific signs and symptoms in both generalized and isolated forms. Knowledge of the ocular manifestations of GPA can help catch the disease in its initial stage and prevent irreversible eye damage. Despite being recognized in over half of patients with GPA, ophthalmic signs go misdiagnosed in most patients. The most efficacious strategy for preventing disease mortality and morbidity is having a high level of clinical suspicion, early diagnosis, and commencing immunosuppressive medication early in the disease course.
肉芽肿病合并多血管炎(GPA)是一种血管炎,其特征是中小血管的坏死性炎症,并与抗中性粒细胞胞质抗体(ANCA)相关。虽然GPA通常影响上呼吸道、肺和肾脏,但眼部表现也可作为系统性GPA的一部分或累及眼部的孤立性GPA,其诊断可能具有挑战性。GPA的眼部受累是可变的,可以表现为巩膜炎、角膜炎、结膜炎、葡萄膜炎或眼眶受累。本文简要探讨了GPA的病因,重点介绍了GPA的眼科表现,包括其临床特征、诊断、鉴别和治疗方案。了解眼部表现有助于早期诊断,预防不可逆的眼损伤和视力丧失。结论:GPA几乎可累及任何器官或组织的小血管,而眼是其中一个受累器官,可表现出非特异性体征和症状,既可广泛累及,也可孤立累及。了解GPA的眼部表现可以帮助在疾病的早期发现疾病,防止不可逆的眼睛损伤。尽管在超过一半的GPA患者中被识别出来,但大多数患者的眼科症状被误诊。预防疾病死亡率和发病率的最有效策略是具有高度的临床怀疑,早期诊断,并在病程早期开始免疫抑制药物。
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引用次数: 0
Bronchial Asthma and Its Associated Risk Factors Among Adults with Thyroid Nodules 成人甲状腺结节患者支气管哮喘及其相关危险因素
Pub Date : 2023-01-01 DOI: 10.26502/fjhs.144
Imad R Musa
Background: Bronchial asthma (BA) and thyroid nodules (TNs) are growing global health challenges. The present study thus aimed to investigate the prevalence of BA and its associated risk factors among adults with TNs in the eastern region of the Kingdom of Saudi Arabia (KSA).
背景:支气管哮喘(BA)和甲状腺结节(tnn)是日益增长的全球健康挑战。因此,本研究旨在调查沙特阿拉伯王国(KSA)东部地区成年TNs患者BA患病率及其相关危险因素。
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引用次数: 0
Technological Innovations in COVID-19 Diagnostics in Singapore 新加坡COVID-19诊断技术创新
Pub Date : 2023-01-01 DOI: 10.26502/fjhs.127
Wenfa Ng
SARS-CoV-2 that caused the COVID-19 pandemic is one exceptional virus with its high transmissivity and delayed onset of symptoms. This article describes the efforts put forth by the biotech industry and universities in Singapore to develop diagnostic tests that aid the detection of positive cases. Direct tests such as RT-PCR and antigen rapid test profile the virus nucleic acid and viral proteins, respectively. But, of equal importance in case detection and treatment are serological tests that measure the relative abundance of IgM and IgG which is indicative of infection phase and quality of immune response in positive cases. Other tests such as isothermal amplification, CRISPR-based diagnostics and breath tests are also in development or in emergency use and would undoubtedly provide valuable usage experience important for the development of molecular assays to detect the next pathogen of global concern.
引起COVID-19大流行的SARS-CoV-2是一种特殊的病毒,具有高传播性和延迟症状发作。这篇文章描述了新加坡生物技术产业和大学为开发有助于检测阳性病例的诊断测试所做的努力。直接检测,如RT-PCR和抗原快速检测,分别检测病毒核酸和病毒蛋白。但是,在病例检测和治疗中同样重要的是血清学测试,测量IgM和IgG的相对丰度,这表明阳性病例的感染阶段和免疫反应的质量。其他测试,如等温扩增、基于crispr的诊断和呼吸测试也在开发或紧急使用中,无疑将提供宝贵的使用经验,这对开发分子分析方法以检测下一个全球关注的病原体至关重要。
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引用次数: 0
Microsatellite Instability with BRAF V600E Associated with Delayed Presentation but Poor Survival in Stage III Colorectal Cancer. BRAF V600E微卫星不稳定性与癌症III期大肠癌的延迟表现但生存率低相关。
Pub Date : 2023-01-01 Epub Date: 2023-04-19 DOI: 10.26502/fjhs.112
Sophiya Karki, Weijing Sun, Rashna Madan, Kamal Lamsal, Sarah Schmitt, Andrew K Godwin, Anup Kasi
Colorectal cancer (CRC) has tremendous molecular and genetic heterogeneity, making it a difficult cancer to treat. Two of the key prognostic indicators of CRC include microsatellite instability (MSI) and BRAF V600E mutation. Here, we performed a retrospective survival analysis on 145 stage II and III CRC patients treated at the University of Kansas Cancer Center between 2009 and 2020. Of the 145 patients, BRAF V600E was observed in 15% patients and MSI in 28% patients. Median survival was not reached for stage II. For stage III, patients with BRAF V600E showed poor overall survival, which worsened with concurrent presence of MSI [χ2=6.4, p=0.01]. Eighty-five percent of this group was found to have right-sided CRC. For stage III, overall survival (OS) was 27 months, 37 months, 87 months and not reached for MSI-H/BRAF V600E, MSS/BRAF V600E, MSS/BRAF WT and MSI-H/BRAF WT, respectively. Although associated with poor prognosis, presence of MSI in BRAF V600E patients was associated with delayed disease presentation (mean age 77) compared to those with stable microsatellite (mean age 63) [p=0.01]. Although median survival between the groups could not be assessed for stage II due to very few deaths and/or inadequate length of study, comparison of survival trend suggests that BRAF V600E, rather than MSI, is what drives prognosis in stage II CRC. Our findings suggest that prognostic value of MSI is more relevant for stage III than stage II CRC. Patients with MSI-H and BRAF V600E have advantage of late presentation, although at the cost of poor overall prognosis.
结直肠癌癌症(CRC)具有巨大的分子和遗传异质性,是一种难以治疗的癌症。CRC的两个关键预后指标包括微卫星不稳定性(MSI)和BRAF V600E突变。在此,我们对2009年至2020年间在堪萨斯大学癌症中心接受治疗的145名II期和III期CRC患者进行了回顾性生存分析。在145名患者中,15%的患者出现BRAF V600E,28%的患者出现MSI。II期未达到中位生存率。对于III期,BRAF V600E患者的总生存率较差,随着MSI的同时存在而恶化[χ2=6.4,p=0.01]。该组中85%的患者患有右侧CRC。III期的总生存期(OS)分别为27个月、37个月和87个月,MSI-H/BRAF V600E、MSS/BRAF V6 00E、MSS/BRAF WT和MSI-H/BRAF WT未达到。尽管与不良预后相关,但与具有稳定微卫星的患者(平均年龄63岁)相比,BRAF V600E患者中MSI的存在与疾病表现延迟(平均年龄77岁)相关[p=0.01]。尽管由于死亡人数很少和/或研究时间不足,无法评估组间II期的中位生存率,生存趋势的比较表明,BRAF V600E而不是MSI是II期CRC预后的驱动因素。我们的研究结果表明,MSI的预后价值与III期CRC比II期CRC更相关。MSI-H和BRAF V600E患者具有晚期表现的优势,尽管其代价是总体预后不佳。
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引用次数: 0
A New Format for the Italian National Health System: from Hospital to Patient-Centric Care 意大利国家卫生系统的新形式:从医院到以患者为中心的护理
Pub Date : 2023-01-01 DOI: 10.26502/fjhs.124
Matteo Maria Cati
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引用次数: 0
Prevalence and risk of Propagation of Covid-19 Infection among Prisoners in Niamey-Niger 尼亚美-尼日尔囚犯中Covid-19感染的流行和传播风险
Pub Date : 2023-01-01 DOI: 10.26502/fjhs.125
A. Lagaré, Zaliha A. Lahama, Fatima Hassane, Wilfried Hounkanrin, H. Yayé
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引用次数: 0
Moderate Production of Biofilm by Clinical isolates of E. coli and Pseudomonas spp in Burkina Faso 布基纳法索临床分离的大肠杆菌和假单胞菌适度生产生物膜
Pub Date : 2023-01-01 DOI: 10.26502/fjhs.129
Albert Oueremi, A. Ouattara, A. M. Dabiré, Rahimatou Yasmine Wendkuni Tiemtoré, Serge Sougué, Jacques Simpor
Background: I nfections caused by biofilm-producing microbes are associated with common human illnesses that are difficult to treat due to antibiotic resistance, especially when the bacteria also produce beta-lactamases. The aim of the present study was to evaluate the ability of clinical strains of Escherichia coli and Pseudomonas spp that produce beta-lactamases to produce biofilm. Methods: The study involved two clinical strains of Escherichia coli and Pseudomonas spp that produce beta-lactamases and were isolated from pus samples at the Centre Hospitalier Universitaire Pédiatrique Charles de Gaulle of Ouagadougou, Burkina Faso. Biofilm production was assessed using the microtiter plate-based crystal violet assay, with the PA01 WT strain used as a positive control for biofilm production. Biofilm was quantified by measuring optical densities with a spectrophotometer. Results: The E. coli strain was resistant to cefotaxime, ceftriaxone, and ceftazidime, while in addition to these antibiotics, Pseudomonas spp was resistant to imipenem. Both strains were beta-lactamase producers confirmed by the detection of bla NDM and bla IMP genes in E. coli and bla NDM , bla CTX and bla SHV in Pseudomonas spp . Optical density measurements after crystal violet staining showed that both strains were moderate biofilm producers. Conclusions: This study highlights that clinical isolates of E. coli and Pseudomonas spp , which are responsible for human infections and produce beta-lactamases, are also moderate biofilm producers. This is a real public health concern requiring surveillance efforts and investigations to prevent and effectively combat this form of resistance.
背景:由产生生物膜的微生物引起的感染与由于抗生素耐药性而难以治疗的常见人类疾病有关,特别是当细菌也产生β -内酰胺酶时。本研究的目的是评估大肠杆菌和假单胞菌产生β -内酰胺酶的临床菌株产生生物膜的能力。方法:研究从布基纳法索瓦加杜古戴高乐大学医院中心分离的产β -内酰胺酶的大肠埃希菌和假单胞菌两株临床菌株。采用微滴板结晶紫法评估生物膜的生成,以PA01 WT菌株作为生物膜生成的阳性对照。用分光光度计测量光密度对生物膜进行定量。结果:大肠杆菌对头孢噻肟、头孢曲松、头孢他啶耐药,假单胞菌对亚胺培南耐药。在大肠杆菌中检测到bla NDM和bla IMP基因,在假单胞菌中检测到bla NDM、bla CTX和bla SHV基因,证实这两株菌株都是β -内酰胺酶产生菌。结晶紫染色后的光密度测量表明,这两株菌株都是中等生物膜生产者。结论:本研究强调了大肠杆菌和假单胞菌的临床分离株,它们负责人类感染并产生β -内酰胺酶,也是中等生物膜生产者。这是一个真正的公共卫生问题,需要进行监测和调查,以预防和有效打击这种形式的耐药性。
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引用次数: 0
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Fortune journal of health sciences
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