Survey data analysis of the related risk factors of echinococcosis in Inner Mongolia of China and Mongolia

Objective: The aim of the study is to analyze the risk factors of hepatic echinococcosis in mass epidemiological studies in Inner Mongolia of China and Mongolia and provide a basis for related authorities to make appropriate preventive measures.Methods: Eight areas in Inner Mongolia and Zamyn-Üüd region of Mongolia were selected as epidemiological fields. By distributing epidemiological questionnaires to local residents and performing serological examinations and abdominal ultrasound examinations, the data results were collected and analyzed to obtain the risk factors.Results: In this research, there were 7,373 cases of valid data in the area of Inner Mongolia and 1,500 cases in the area of Mongolia. The mean age of the whole survey samples was 52.86 ± 13.90, and the ratio of the female (58.35%) was much higher than that of the male (41.65%). Both univariate analysis and multivariate analysis in this study showed that the female (14.7%) had a higher risk of hepatic echinococcosis than the male (10.9%). From the perspective of profession, children, educators and medical personnel had a lower incidence, herdsmen had the highest positive rate of the disease (15.8%). Living in pastoral areas, having been to pastoral areas, eating uncooked food and drinking unboiled water, raising dogs and surrounding activities of foxes and voles can also increase the risk of positivity.Conclusions: Our findings demonstrate that the most important risk factor of hepatic echinoccosis is unhealthy lifestyles and customs in farmers and herdsmen. It is possible to provide a basis for related authorities to make effective protective measures aiming at hepatic echinococcosis.

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Prevalence and associated factors for Pterygium in Han and Mongolian adults: across-sectional study in inner Mongolian, China

10.21203/rs.2.196/v1 ◽

2019 ◽

Author(s):

Yuhan Wang ◽

Guangliang Shan ◽

Linyang Gan ◽

Yonggang Qian ◽

Ting Chen ◽

...

Keyword(s):

Risk Factors ◽

Protective Factors ◽

Rural Areas ◽

Inner Mongolia ◽

Univariate Analysis ◽

Education Level ◽

Study Cohort ◽

Sectional Study ◽

Factors Associated ◽

Significant Difference

Abstract Background: To investigate the prevalence of and factors associated with pterygium in Han and Mongolian adults at four survey sites in Inner Mongolia, China. Methods: A population-based, cross-sectional study was conducted. Using a stratified sampling method, we eventually included 2,651 participants of at least30 years of age from a total of 3,468 eligible residents. Factors associated with pterygium were analysed using univariate analysis and logistic regression models. Results: There were 1,910 Han adults and 741 Mongolian adults included in this study. The mean± standard deviation of age for individuals in the study cohort was 48.93±11.06 years. The overall prevalence of pterygium was 6.4% (n=169), and the prevalences of bilateral and unilateral pterygium were 1.4% (n=38) and 4.8% (n=128), respectively. The most common grade of pterygium was Grade 2. After univariate analysis, eleven factors were considered in a multivariate analysis. The results indicated that age (P<0.001), education level (P<0.001), outdoor occupation (P=0.026), and time spent in rural areas (P<0.001) were significantly associated with pterygium, whereas gender and ethnicity were not risk factors. In subgroup analysis, BMI≥28 was a protective factor for Han individuals (OR 0.42, 95% CI 0.21-0.81, P=0.01), but a risk factor for Mongolian individuals (OR 2.39, 95% CI 1.02-5.58, P=0.044). The BF% in Han and Mongolian individuals had significant difference (P<0.001). Conclusions: Our results indicated that an outdoor occupation, old age and time spent in rural areas are risk factors for pterygium in Inner Mongolia. Living near an urban survey site (Hohhot and Tsining District) and having a higher education level are protective factors for pterygium. Ethnicity, gender, smoking, diabetes and high blood pressure are not associated with pterygium. Different dietary structures in Han and Mongolian adults may lead to different fat content of body and therefore contributes to the prevalence of pterygium. Keywords: Pterygium, prevalence, Han and Mongolian, risk factors, protective factors

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Toxoplasma gondii antibodies and related risk factors in mammals at Sorocaba zoo, São Paulo, BrazilToxoplasma gondii antibodies and related risk factors in mammals at Sorocaba zoo, São Paulo, Brazil

Semina Ciências Agrárias ◽

10.5433/1679-0359.2017v38n4supl1p2845 ◽

2017 ◽

Vol 38 (4Supl1) ◽

pp. 2845

Author(s):

Renata Bezerra Marujo ◽

Helio Langoni ◽

Leila Sabrina Ullmann ◽

Maysa Pellizzaro ◽

Ramiro Das Neves Dias Neto ◽

...

Keyword(s):

Risk Factors ◽

Toxoplasma Gondii ◽

Feeding Habits ◽

Univariate Analysis ◽

Multivariate Logistic Regression Analysis ◽

Sao Paulo ◽

São Paulo ◽

Intermediate Hosts ◽

Serum Samples ◽

Related Risk

Toxoplasmosis is a parasitic zoonosis with worldwide distribution and different wild species either are involved in maintenance of the pathogen in the environment as definitive or intermediate hosts serving as font of feeding or prey to definitive hosts. The present study aimed to investigate Toxoplasma gondii antibodies and the risk factors relating to infection in mammals at Sorocaba Zoo, state of São Paulo, Brazil. Serum samples collected from 153 animals were analyzed using the modified agglutination test (MAT; cutoff ? 25). Seropositivity was found in 62 animals (40.5%; 95% CI: 33.1-48.5%), with different titers. Significant differences were observed in relation to the ages of the animals, origin, presence of free-ranging animals in the enclosure and feeding habits, through univariate analysis (p ? 0.05). Multivariate logistic regression analysis showed that only age (p = 0.03) had significance for the study. Adult animals were 3.5 more likely to become infected than were young ones. In relation to feeding habits, herbivores (80%) and carnivores (46.5%) were the animals most affected. These results highlight the presence of T. gondii in animals at Brazilian zoos, and suggest that continuous transmission is occurring at zoos.

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Toxoplasma gondii antibodies and related risk factors in mammals at Sorocaba zoo, São Paulo, BrazilToxoplasma gondii antibodies and related risk factors in mammals at Sorocaba zoo, São Paulo, Brazil

Semina Ciências Agrárias ◽

10.5433/1679-0359.2017v38n4suplp2845 ◽

2017 ◽

Vol 38 (4Supl1) ◽

pp. 2845 ◽

Cited By ~ 4

Author(s):

Renata Bezerra Marujo ◽

Helio Langoni ◽

Leila Sabrina Ullmann ◽

Maysa Pellizzaro ◽

Ramiro Das Neves Dias Neto ◽

...

Keyword(s):

Risk Factors ◽

Toxoplasma Gondii ◽

Feeding Habits ◽

Univariate Analysis ◽

Multivariate Logistic Regression Analysis ◽

Sao Paulo ◽

São Paulo ◽

Intermediate Hosts ◽

Serum Samples ◽

Related Risk

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Anatomy of Major Duodenal Papilla Influences ERCP Outcomes and Complication Rates: A Single Center Prospective Study

Journal of Clinical Medicine ◽

10.3390/jcm9061637 ◽

2020 ◽

Vol 9 (6) ◽

pp. 1637

Author(s):

Gheorghe G. Balan ◽

Mukul Arya ◽

Adrian Catinean ◽

Vasile Sandru ◽

Mihaela Moscalu ◽

...

Keyword(s):

Risk Factors ◽

Univariate Analysis ◽

Anatomical Variations ◽

Type I ◽

Complication Rates ◽

Duodenal Papilla ◽

Type Iv ◽

Major Duodenal Papilla ◽

Related Risk ◽

Procedural Complication

Background: Endoscopic retrograde cholangiopancreatography (ERCP) has been one of the most intensely studied endoscopic procedures due to its overall high complication rates when compared to other digestive endoscopy procedures. The safety and outcome of such procedures have been linked to multiple procedure- or patient-related risk factors. The aim of our study is to evaluate whether the morphology of the major duodenal papilla influences the ERCP outcomes and complication rates. Methods: A total of 322 patients with a native papilla have been included in the study over an eight month period. Morphology of the papilla has been classified into normal papilla and four anatomical variations (Type I-IV). All patients have been prospectively monitored over a 15 day period after ERCP. Procedural outcomes and complication rates have been registered. Results: Morphology of the papilla influences both overall complication rates (95%CI, p = 0.0066) and post-ERCP pancreatitis rates (95%CI, p = 0.01001) in univariate analysis. Type IV papillae have proven to be independent risk factors for post-ERCP pancreatitis in multivariate analysis (OR = 12.176, 95%CI, p = 0.005). Type I papillae have been significantly linked to difficult cannulation (AUC = 0.591, 95%CI, p = 0.008); Conclusions: In the monitored cohort morphology of the major duodenal papilla has significantly influenced both ERCP outcomes and post-procedural complication rates.

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Clonorchiasis in Patients with Biliary and Pancreatic Diseases: Diagnosis and Risk Factors

BioMed Research International ◽

10.1155/2020/2946541 ◽

2020 ◽

Vol 2020 ◽

pp. 1-9

Author(s):

Guolin Liao ◽

Huaqiang Ruan ◽

Peng Peng ◽

Shiquan Liu ◽

Jianfu Qin ◽

...

Keyword(s):

Risk Factors ◽

Protective Factor ◽

Univariate Analysis ◽

Clonorchis Sinensis ◽

Epidemiological Studies ◽

Pancreatic Diseases ◽

Fecal Samples ◽

Independent Risk Factors ◽

Male Patients ◽

Bile Samples

Background. Many epidemiological studies have investigated the risk factors for clonorchiasis, but endoscopic findings of this disease in endoscopic retrograde cholangiopancreatography (ERCP) have not been well characterized. In this study, we evaluated clonorchiasis in ERCP in patients with biliary and pancreatic diseases. Methods. This was a retrospective two-center study in hospitalized patients who received ERCP between January 2012 and October 2018. All patients were divided into clonorchiasis and nonclonorchiasis groups. Data were analyzed using univariate analysis and multivariate analyses. Results. A total of 1119 patients were included, and clonorchiasis was diagnosed in 19.2% patients. Detection of Clonorchis sinensis eggs in bile samples was higher than that in fecal samples (85.9% vs. 58.7%; P=0.001). In multivariate analysis, male patients (95% confidence interval (CI): 1.945–4.249, P=0.0001), age≤60 years old (95% CI: 1.212–2.474, P=0.003), patients with papilla fistula (95% CI: 0.081–0.900, P=0.033), and patients with a common bile duct (CBD) diameter<12 mm (95% CI: 1.093–2.130, P=0.013) were associated with clonorchiasis incidence. Nonclonorchiasis endoscopic diagnosis did not significantly correlate with clonorchiasis incidence (P>0.05). Conclusions. The detection of C. sinensis eggs was significantly higher in bile than in fecal samples; thus, bile samples represent a preferable sample for the diagnosis of clonorchiasis in patients with biliary obstruction. We found that male, age≤60 years old, and CBD diameter<12 mm were independent risk factors for clonorchiasis, while papilla fistula was a protective factor.

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ESSE-RF study: epidemiology and public health promotion

CARDIOVASCULAR THERAPY AND PREVENTION ◽

10.15829/1728-8800-2021-2987 ◽

2021 ◽

Vol 20 (5) ◽

pp. 2987

Author(s):

A. V. Kontsevaya ◽

S. A. Shalnova ◽

O. M. Drapkina

Keyword(s):

Public Health ◽

Risk Factors ◽

Economic Effect ◽

Population Level ◽

Epidemiological Studies ◽

Public Health Research ◽

Population Based ◽

Prevention Measures ◽

Mortality And Morbidity ◽

Related Risk

The largest population-based study in Russian modern history the Epidemiology of Cardiovascular Diseases and their Risk Factors in Regions of Russian Federation (ESSE-RF) for 8 years has become a platform for public health research and projects, relevant for the whole country. Results of the ESSE-RF study were used to identify Demography National Project parameters, to model mortality and morbidity risk at the population level, to estimate the economic burden of risk factors, to predict the economic effect of population prevention measures, to assess the feasibility of using novel biomarkers for risk stratification, as well as for external evaluation of health care system. Further, results can be used to develop a novel cardiovascular risk score, to analyze COVID-19-related risk factors, and to study health protection environment. Epidemiological studies ESSE-RF1 and ESSE-RF2 have already become a significant component of public health system in Russia, and taking into account the scope of the ESSE-RF3 study (30 regions), the role of epidemiology will increase.

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Pathophysiology and Risk Factors for Cholelithiasis in Patients with Crohn’s Disease

Physiological Research ◽

10.33549/physiolres.934302 ◽

2019 ◽

pp. S173-S182

Author(s):

I. STURDIK ◽

A. KRAJCOVICOVA ◽

Y. JALALI ◽

M. ADAMCOVA ◽

M. TKACIK ◽

...

Keyword(s):

Risk Factors ◽

Crohn’S Disease ◽

Crohn's Disease ◽

Parenteral Nutrition ◽

Univariate Analysis ◽

Abdominal Ultrasound ◽

Control Group ◽

Healthy Population ◽

Retrospective Case ◽

Independent Risk Factors

Cholelithiasis is more common in patients with Crohn’s disease (CD) than in the healthy population. The aim here was to examine risk factors for cholelithiasis in a cohort of CD patients and to compare the prevalence of cholelithiasis in a cohort of CD patients with that in a control group. This was a single-center retrospective case-control study. The cohort comprised all consecutive CD patients who underwent abdominal ultrasound from January 2007 to January 2018. The control group comprised age- and gender-matched non-CD patients referred for upper gastrointestinal tract dyspepsia. The study included 238 CD patients and 238 controls. The prevalence of cholelithiasis in the CD and control groups was 12.6 % and 9.2 %, respectively (risk ratio (RR), 1.36; p=0.24). Univariate analysis revealed that cholelithiasis was associated with multiple risk factors. Multivariate analysis identified age (OR, 1.077; 95 % CI, 1.043–1.112; p<0.001) and receipt of parenteral nutrition (OR, 1.812; 95 % CI, 1.131–2.903; p=0.013) as independent risk factors for cholelithiasis in CD patients. The prevalence of cholelithiasis in CD patients was higher than that in the control group; however, the difference was not statistically significant. Age and receipt of parenteral nutrition were independent risk factors for cholelithiasis in CD patients.

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Prevalence of and related risk factors in oral mucosa diseases among residents in the Baoshan District of Shanghai, China

PeerJ ◽

10.7717/peerj.8644 ◽

2020 ◽

Vol 8 ◽

pp. e8644

Author(s):

Shuyun Ge ◽

Lin Liu ◽

Qi Zhou ◽

Binbin Lou ◽

Zengtong Zhou ◽

...

Keyword(s):

Risk Factors ◽

Alcohol Use ◽

Oral Mucosa ◽

Control Strategies ◽

Age Groups ◽

Epidemiological Studies ◽

Scientific Basis ◽

Aphthous Ulcer ◽

Related Risk ◽

Baoshan District

Background Oral mucosal diseases (OMDs) encompass a variety of different types of diseases. Our aim was to evaluate the prevalence and related risk factors of OMDs among residents in the Baoshan District of Shanghai, China, and provide a scientific basis for prevention and control strategies. Methods A sample of 653 residents aged 17 to 92 years from the Baoshan community was investigated in 2014. Each resident was surveyed by questionnaire to evaluate their oral mucosa and oral mucosa examinations were conducted. We followed up with 607 residents in 2018. All data were statistically analyzed using the SPSS 25.0 software package (Chicago, IL, USA) at the general population, gender and age levels. A X2 test was used to compare rates of risk factors and logistic regression analysis was used to detect the correlation between disease and risk factors. Results The prevalence rate of OMDs was found to be 9.19%–9.56% (2014–2018). The most common OMDs were atrophic glossitis (1.84%), recurrent aphthous ulcer (RAU, 1.68%), burning mouth syndrome (BMS, 1.38%), oral lichen planus (OLP, 1.23%) and traumatic ulcers (1.23%). The prevalence of RAU and BMS in different age groups was significantly different. Tobacco and alcohol use and psychological factors in the OMDs group were higher than the no-OMDs group. Systemic diseases including diabetes mellitus (DM) was significantly relevant to OLP. Conclusion Age, tobacco and alcohol use, and psychological factor correlated strongly with the occurrence and development of OMDs, and they should be the focus of primary prevention. General epidemiological studies suggested that OLP was closely related to DM.

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Surgical site infection in a Greek general surgery department: who is at most risk?

Journal of Wound Care ◽

10.12968/jowc.2021.30.4.268 ◽

2021 ◽

Vol 30 (4) ◽

pp. 268-274

Author(s):

Anna Bekiari ◽

George Pappas-Gogos ◽

Dimitrios Dimopoulos ◽

Efthalia Priavali ◽

Konstantina Gartzonika ◽

...

Keyword(s):

Risk Factors ◽

General Surgery ◽

Risk Index ◽

Univariate Analysis ◽

University Hospital ◽

Candida Spp ◽

Asa Score ◽

Icu Stay ◽

Related Risk ◽

Starting Point

Objective: Surgical site infections (SSIs) are associated with protracted hospitalisation, antibiotics administration, and increased morbidity and mortality. This work investigated the incidence rate of SSIs in the Department of General Surgery at the University Hospital of Ioannina, Greece, the associated risk factors and pathogens responsible. Method: In this prospective cohort study, patients who underwent elective procedures under general anaesthesia were enrolled. Risk factors monitored included age, sex, body mass index, smoking, alcohol consumption, preoperative length of stay, chemoprophylaxis, intensive care unit (ICU) stay, American Society of Anesthesiology (ASA) score, and the National Nosocomial Infections Surveillance System (NNIS) basic SSI risk index. Results: Of the 1058 enrolled patients, 80 (7.6%) developed SSIs. Of the total cohort, 62.5% of patients received chemoprophylaxis for >24 hours. A total of 20 different pathogens, each with multiple strains (n=108 in total), were identified, 53 (49.5%) Gram-negative rods, 46 (42%) Gram-positive cocci, and nine (8.4%) fungi (Candida spp.). Escherichia coli was the prevalent microorganism (24.3%). SSI-related risk factors, as defined by univariate analysis, included: ICU stay, ASA score >2 (p<0.001), NNIS score >0, and wound classes II, III, and IV. Also, serum albumin levels <3.5g/dl were associated with increased rate of SSIs. The multivariate model identified an NNIS score of >0 and wound classes II, III, and IV as independent SSI-related risk factors. Conclusion: This study showed high SSI rates. Several factors were associated with increased SSI rates, as well as overuse of prophylactic antibiotics. The results of the present study could be a starting point for the introduction of a system for recording and actively monitoring SSIs in Greek hospitals, and implementation of specific guidelines according to risk factors.

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Procedure and Patient-Related Risk Factors for Post-ERCP Pancreatitis Associated with Prophylactic Pancreatic Stent and Rectal Indomethacin

10.21203/rs.3.rs-118168/v1 ◽

2020 ◽

Author(s):

Hossein Ghalehnoei ◽

Ahmad Hormati ◽

Amir Houshang Mohammad Alizadeh ◽

Sajjad Ahmadpour ◽

Hassan Abedi

Keyword(s):

Risk Factors ◽

Pancreatic Duct ◽

Univariate Analysis ◽

Pancreatic Stent ◽

Endoscopic Retrograde ◽

Significant Incidence ◽

Related Risk ◽

Significant Difference ◽

Prophylactic Pancreatic Duct Stents ◽

Rectal Indomethacin

Abstract Background: Pancreatitis is one of the most crucial complications following endoscopic retrograde cholangiopancreatography (ERCP). The purpose of the current study was to investigate a potential procedure and patient-related risk factors for post-ERCP pancreatitis (PEP) in two groups: prophylactic pancreatic stent and rectal indomethacin.Methods: Two different prophylactic modalities were planned and complications were assessed based on defined inclusion criteria. In this study, the patients were evaluated for the procedure and patient-related risk factors in post-ERCP pancreatitis in the recipient groups of the prophylactic pancreatic stent or rectal indomethacin.Results: Pancreatitis was confirmed in 27 of all 175 selected patients after ERCP. By univariate analysis, two variables were significant with the development of PEP. Regarding the patient-related risk factors, unique subjects with common bile duct(CBD) dilated 10mm were more exposed to an increased chance of PEP (p=0. 015); meanwhile, other factors didn’t correlate with the increased possibility of PEP in both groups. The only procedure-related risk factor for PEP was deep cannulation of the pancreatic duct in both groups during the procedure with an incremental significant incidence of pancreatitis (p=0.005). Prophylactic pancreatic stent and rectal indomethacin showed no effects on reducing post ERCP pancreatitis. Additionally, there was no significant difference between these two strategies in the rate of PEP.Conclusion: Prophylactic pancreatic duct stents and administration of rectal indomethacin cannot have particular methods for reducing the occurrence of PEP. The increase in time of deep cannulation and the presence of CBD dilation <10mm could be considered as important risk factors.

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