OBJECTIVETo study the relationship between the prevalence of microalbuminuria and components of metabolic syndrome in Shanghai.

METHODSA total of 3532 Shanghai Chinese (men 1622, women 1910) aged over 20 years were included. Body mass index (BMI), blood pressure, fasting plasma glucose, lipid profile and plasma insulin concentrations were measured in all subjects. Oral glucose tolerance test was performed in those subjects without knowing the diabetic history. Urinary albumin-to-creatinine ratio (ACR) was measured in an early morning spot urine sample. Microalbuminuria was diagnosed when ACR was between 30 and 300 mg/g.

RESULTS(1) The prevalence of microalbuminuria was increasing with aging (P < 0.001). When compared with subjects having normal ACR, the waist-hip ratio, systolic and diastolic pressure, serum triglyceride level, fasting plasma glucose and homeostasis model assessment-insulin resistance (HOMA-IR) were all significantly increased in those subjects with microalbuminuria. (2) Along with the increment of number of items on metabolic disorders, the prevalence of microalbuminuria was significantly increased (P for trend < 0.001). (3) Multiple logistic regression analyses revealed that hypertension and hyperglycemia were independent factors associated with microalbuminuria (OR = 2.15, P < 0.001 and OR = 1.64, P = 0.01 respectively). Those subjects with two or more items on metabolic disorders had higher odd ratio for the development of microalbuminuria (OR = 3.93 and 4.77, both P < 0.001) when compared with the subjects without metabolic disorder.

CONCLUSIONThe prevalence of microalbuminuria was independently associated with hypertension and hyperglycemia. The subjects with multiple metabolic abnormalities had higher risk for the development of microalbuminuria, especially in metabolic syndrome.

Adult ; Albuminuria ; complications ; epidemiology ; Blood Glucose ; metabolism ; Blood Pressure ; China ; epidemiology ; Female ; Humans ; Insulin ; blood ; Insulin Resistance ; physiology ; Logistic Models ; Male ; Metabolic Diseases ; complications ; Prevalence ; Random Allocation ; Risk Factors ; Triglycerides ; blood

OBJECTIVETo investigate the morbidity and potential risk factors of chronic diabetic complication in Zhejiang province.

METHODSIn the paper the morbidity of diabetic chronic complication was illustrated, using descriptive statistics. The potential risk factors of diabetic chronic complication were studied with logistic regression modeling, using data from a large retrospective study involving 1083 patients from two hospitals in Zhejiang province.

RESULTSPrincipal chronic diabetic complications were found to be cardiovascular diseases, ophthalmic diseases, nephropathy, esthetic diseases, plant nerve diseases, cerebral blood vessel diseases, limbsblood vessel diseases and athletic nerve diseases. The principal potential risk factors would include the courses of diabetes and hypertension, age, age being diagnosed, blood pressure, baseline blood glucose, two hour blood glucose after dietary, HBAIC, nitroglycerine, cholesterol, high density lipoprotein cholesterol and low density lipoprotein cholesterol.

CONCLUSIONThe analytic method used in the paper was fit for the study of morbidity and potential risk factors of other chronic diseases complication and the discriminant function could be built for clinical diagnosis.

China ; epidemiology ; Chronic Disease ; Diabetes Complications ; Diabetes Mellitus ; epidemiology ; Female ; Humans ; Hypertension ; epidemiology ; etiology ; Logistic Models ; Male ; Morbidity ; Multivariate Analysis ; Retrospective Studies ; Risk Factors

OBJECTIVEIn order to study the epidemiology of TEM-1 genes of Neisseria gonorrhoeae (Ng) in Wuxi area.

METHODSIn the light from foreign literature that positive Ng strains of beta-lactamase contain plasmid sequences of TEM-1 genes, heminested PCR for TME-1 genes of Ng detection was self-designed. Ng of 195 strains were detected, that were isolated in Wuxi area from Jan to the Oct, 2002.

RESULTSThere were 138 TEM-1 genes positive in 195 isolated strains with a positive rate of 70.8%. There was one case of heminested PCR product of TEM-1 genes which showed the homogeneity was 99% in Wuxi area, when comparing with pFA7 sequences of positive Ng plasmid of beta-lactase from register GenBank.

CONCLUSIONData showed that the Ng strains with TEM-1 genes were the prevalent ones in Wuxi area.

China ; epidemiology ; Drug Resistance, Bacterial ; genetics ; Gonorrhea ; epidemiology ; microbiology ; Humans ; Neisseria gonorrhoeae ; enzymology ; genetics ; Polymerase Chain Reaction ; beta-Lactamases ; genetics

OBJECTIVETransfusion transmitted virus (TTV) DNA was detected in serum samples obtained from healthy infants and volunteer blood donors living in Jiujiang city in an attempt to shed light on the prevalence of TTV infection and the transmission route of TTV infection in infants.

METHODSModified untranslated region, polymerase chain reaction (UTR PCR) and N22 PCR were performed to test TTV DNA in serum samples from 86 infants and 58 blood donors.

RESULTSTTV DNA was detected by UTR PCR in 51 (53.5%) infants and 58 (100%) in blood donors, while that tested by N22 PCR was 14 (16.3%) and 22 (37.3%) in infants and blood donors, respectively. Among infants younger than 30 days, 1 - 6 months and 7 - 12 months of age, TTV DNA was detected by UTR PCR and N22 PCR at rates of 0, 33.3%, 95.0% and 0, 7.4%, 30.0%, respectively.

CONCLUSIONThe prevalence rates of TTV DNA detected by UTR PCR were 95% in infants of 7 - 12 months after birth and 100% in healthy blood donors in Jiujiang city. However the results obtained by N22 PCR were much less frequently in the same population. Results showed that significant difference did exist in the prevalence of TTV DNA detected by the two different PCR systems. Age-dependent increase of TTV infection was observed in early childhood, while environmental sources were considered to be the most common route of TTV acquisition as the primary infection in infants. However, the prevalence of TTV in infants of 7 - 12 months was similar to that in healthy adults in the same region.

Base Sequence ; China ; epidemiology ; DNA Virus Infections ; epidemiology ; virology ; DNA, Viral ; chemistry ; genetics ; Humans ; Infant ; Infant, Newborn ; Molecular Sequence Data ; Polymerase Chain Reaction ; Prevalence ; Sequence Analysis, DNA ; Sequence Homology, Nucleic Acid ; Torque teno virus ; genetics

OBJECTIVETo understand the role of insulin-receptor gene in the development of insulin resistance on a population-based study in China.

METHODSPolymerase chain reaction (PCR) was used to amplify the EXON2 of the insulin-receptor gene and all amplified products were analyzed by direct sequencing.

RESULTSThree genotypes of single nucleotide at the site of 2257 in EXON2 of the insulin-receptor gene were identified. In 237 of the 345 cases (68.7%), homozygote genotype of CC phenotype was found with a gene frequency of 0.825; 13 cases (3.77%) showed homozygote genotype of TT phenotype with a gene frequency of 0.175 and the rest 95 cases (27.54%) showed heterozygote genotype of CT phenotype. Data were in agreement with the test of Hardy-Weinberg balance (chi(2) = 0.2898, upsilon = 3 - 2 = 1, 0.5 < P < 0.75). The serum level of triglyceride and the HOMA-IR index, the status of insulin resistance assessed by homeostasis model assessment (HOMA), were lower in the TT or CT genotype group than that in the CC genotype group (P < 0.05). Comparing with CC genotype, the proportion of CT genotype (18.4%) in the insulin resistance group (large than 75th percentile of HOMA-IR) was significantly lower than that in the control group (30.6%) (P = 0.022, OR = 0.493). The proportion of TT genotype (2.3%) in insulin resistance group was lower than that in the control group (4.3%, P = 0.297). logistic analysis revealed that after adjusting possible confounding factors such as taking anti-hypertensive and anti-diabetic medications, serum triglyceride and high density lipoprotein cholesterol (HDL-C), hypertension, BMI, smoking history, the OR value of people in the insulin resistance group with CT genotype was 0.448 (95% CI: 0.214 to 0.940) compared to the group with CC genotype.

CONCLUSIONThe hybridization CT genotype at the site of 2257 in EXON2 of insulin-receptor gene might have a candidate gene to serve as a protective factor for insulin resistance.

Adult ; China ; Exons ; genetics ; Female ; Gene Frequency ; Genotype ; Humans ; Insulin Resistance ; genetics ; Logistic Models ; Male ; Middle Aged ; Multivariate Analysis ; Polymerase Chain Reaction ; Polymorphism, Genetic ; genetics ; Receptor, Insulin ; genetics ; Risk Factors ; Sequence Analysis, DNA ; Triglycerides ; blood

OBJECTIVEThis study is to understand the difference of semen quality among the different areas and the related factors.

METHODSFive hundred and sixty-two people were under from seven provinces.

RESULTSResults showed that the quantity and density of semen, the rate of moving forward semen, livability, percent age of normal formed semen and the total number of semen were statistically different among the seven areas. The difference was ranged as 28.82%, with the highest 2.95 ml in Shanxi province and the lowest 2.29 ml in Henan province. Geometric mean of semen density was found the lowest 36.27 x 10(6)/ml in Guizhou province, next to it was 42.52 x 10(6)/ml in Shandong province and the highest was 74.77 x 10(6)/ml in Hebei province. The percent age with forward progression of semen was seen the lowest 44.40% in Henan province, followed by 51.88% in Hebei province and 52.88% in Zhejiang province and the highest were 76.50% in Shanghai, 75.24% in Shanxi province, with a range of 72.30%. The highest semen viability was 85.89% in Shanghai, while the lowest 72.35% in Henan, with a range of 18.71%. Normal sperm morphology was seen the lowest 68.45% in Hebei province, with the highest 88.06% in Guizhou province, and the range was 28.65%. The geometric mean of total sperm count was seen the highest 204.23 x 10(6)/ml in Hebei province and the lowest 77.69 x 10(6)/ml in Guizhou province. Results showed through analysis of variance that some indexes were different in some provinces.

CONCLUSIONThe results indicated that the semen quality was different in different regions in China and its influential factors may be region and geography environment.

Adult ; China ; Humans ; Male ; Residence Characteristics ; Semen ; cytology ; physiology ; Socioeconomic Factors ; Sperm Count ; Sperm Motility ; Spermatozoa ; physiology

OBJECTIVETo investigate the relationship between microwave radiation and male reproductivity.

METHODSAfter filling out questionnaire and body check, we carried out molecular epidemiological studies, using single cell gel electrophoresis (SCGE) and sperm automatic analysis among people working on radar.

RESULTSQuality of semen and semi-clinical injury of sperm among the people working on radar had changed when radar electromagnetic wave frequency distance, intensity, lasting time and protection shield were changing. Dose-response relationship was noticed and the increase of sperm dysmorphia played a principal role. The results between exposed group and control group showed significant difference (P < 0.01).

CONCLUSIONPeople working on radar who suffered from non-ionization for long time and had bad radar shield protection would show semi-clinical injury on sperm and bad semen quality. However, it did not affect the male reproductive function. It was necessary to reinforce the protection of non-ionization and to improve male reproductive health care of people working on radar.

Adult ; Comet Assay ; Cross-Sectional Studies ; Dose-Response Relationship, Radiation ; Fertility ; physiology ; radiation effects ; Humans ; Male ; Occupational Exposure ; analysis ; Radar ; Radiation, Nonionizing ; Spermatozoa ; cytology ; radiation effects ; Time Factors

OBJECTIVETo study the immediate and long-term effects of disasters caused by floods on residents health status.

METHODSStratified sampling by ranks of flood disaster occurred in 1996 and 1998, flood disaster areas and control areas were carried out. A retrospective study was also carried out to study all diseases involved during 1996 - 1999.

RESULTSThe incident rates of acute infectious disease in flooding areas in 1996 and 1998 were both higher than those of non-flooding areas (863.181/100 000 and 736.591/100 000, respectively). But there was no different between the incident rate of the first years in flooding areas and that of non-flooding areas. The prevalence rates of 8 kinds of chronic diseases related to circulatory system, nervous system, digestive system, injury and poisonous diseases in flooding areas were also higher than that in the non-flooding areas. The highest incidence rates of most diseases were in the mountainous flooding areas, followed by areas collapsed by flooding, and the lowest were seen in soakedareas by floods. The incidence rates of intestinal infectious diseases and respiratory infectious diseases were lower in areas where prevention and control measures were weak.

CONCLUSIONFlood could lead to the increase of incidence rates both on acute infectious diseases and non-infectious diseases. Interventions on non-infectious diseases should also be enforced to stop the epidemics when preventing and controlling acute infectious disease.

Acute Disease ; China ; epidemiology ; Chronic Disease ; Communicable Diseases ; epidemiology ; Disasters ; Health Status ; Humans ; Residence Characteristics ; statistics & numerical data ; Retrospective Studies

OBJECTIVETo assess and analyze the risk and community treatment of hypertension in rural population of Changshu city, Jiangsu province.

METHODSA stratified cluster sampling technique was conducted to select a sample of 800 people, aged 35 - 74 years old, in a rural village according to the proportion of the national population in Changshu. Weight, height, blood pressure, serum lipid, blood glucose and other related factors were examined and analyzed.

RESULTSThe prevalence rate of hypertension in the rural area was 32.01%, and significantly higher with the increase of age (P < 0.01). The average systolic blood pressure of hypertension in females was significantly positively correlated while, the average diastolic blood pressure of male and female hypertensives was significantly negatively correlated to age. The proportions of risk factors of cardiovascular diseases (CVD) as senility, hyperlipemia, premature familial history of CVD and overweight of hypertension were significantly high than those without hypertension (P < 0.01). The percentage of medium-low risk on hypertension was 85.72%, but of high risk was 14.28%. The ratio of using medication, exclusive non-medication, comprehensive treatment or total cure were 42.05%, 2.84%, 14.20% and 59.09%, accordingly. The rates of blood pressure control under the above approaches were 35.14%, 40.00%, 36.00% and 39.77%.

CONCLUSIONAssessment on the risk of hypertension in the rural areas suggested that the priority should be given to medium-low risk groups, while the rate of medication and non-medicine intervention was at low level. It is necessary to strengthen a comprehensive intervention program for hypertension control.

Adult ; Age Factors ; Aged ; China ; epidemiology ; Community Health Services ; statistics & numerical data ; Female ; Heart Diseases ; epidemiology ; Humans ; Hypertension ; epidemiology ; therapy ; Male ; Middle Aged ; Prevalence ; Random Allocation ; Risk Factors ; Rural Health Services ; statistics & numerical data ; Rural Population ; statistics & numerical data ; Sex Factors

OBJECTIVETo study the emotional and depressive differences between severe acute respiratory syndrome (SARS) patients whose occupations were doctor/nurse and others.

METHODSDuring the three months when SARS was explosive in 2003, 524 questionnaires were collected from Xuanwu Hospital, You'an Hospital, Xiaotangshan Hospital, Renmin Hospital and Ditan Hospital in Beijing. There were 109 questionnaires finished by patients as doctors/nurses themselves. For a background matching, 109 questionnaires were also finished by the others.

RESULTSFrom 218 questionnaires, we found that the score on emotional condition (46.6204 +/- 8.4408 vs. 41.6789 +/- 8.612 95, P < 0.001) of SARS patients whose jobs were doctor/nurse was higher than the other groups on while the score of SARS patients whose jobs were doctor/nurse was lower than the other groups (37.7615 +/- 9.026 61 vs. 41.2844 +/- 9.655 25, P = 0.006) regarding depressive condition. The scores of emotional and depressive condition were all correlated with the factor as "I can not master my future".

CONCLUSIONDoctors/nurses having SARS had less emotional and depressive conditions than the others, which might due to the difference in medical knowledge, working condition and the route of infection, suggesting that psychological intervention in the post-SARS period called for attention.

Case-Control Studies ; China ; Cross Infection ; prevention & control ; psychology ; Depression ; psychology ; Female ; Health Personnel ; psychology ; Humans ; Logistic Models ; Male ; Patients ; psychology ; Severe Acute Respiratory Syndrome ; psychology ; Socioeconomic Factors ; Surveys and Questionnaires