1.Population and chigger mite infection of rodents in Pudong New Area, Shanghai
Xinchen LU ; Xuyue CAI ; Chen LIN ; Jun LIU ; Siyu YU ; Yongting YUAN ; Hanzhao LIU
Shanghai Journal of Preventive Medicine 2023;35(12):1218-1222
ObjectiveTo investigate the population and chigger mite infection of rodents in Pudong District, Shanghai, so as to provide the scientific basis for the prevention and control of rodents and chigger transmitted diseases. MethodsThe monitoring work was conducted in four points including Xuanqiao, Hangtou, Laogang and Nanhui New Town with night trapping method from 2020 to 2022. Habitats as farmland, wasteland, rural residential areas, and parks were selected. The rodent species were identified and rodent density was calculated. All chigger mites were collected from the earlaps and auricular fossae of the rodents. The species of chigger mites were identified and the chigger mite index was calculated. ResultsA total of 222 rodents were captured. They belonged to 5 species, 4 genera, 2 families and 2 orders, including 4 species, 3 genera, and 1 family of Rodentia and 1 species of Insectivora. M. musculus was the dominant species, with a composition ratio of 54.05%. Total 80 chigger mites were captured, with a detection rate of 36.03%. The total chigger index was 0.36 and Rattus tanezumi held the highest (6.00), followed by M. musculus (0.48). There were 3 species of chigger mites, L.deliense, L.scutellare, and L.gaohuense. L.deliense was the dominant specie, accounting for 55.00%. ConclusionThere is a risk of chigger-borne disease transmission in Pudong New Area with M. musculus as the dominant host and L. deliense as the dominant species.
2.Difference analysis of imported malaria characteristics in Pudong New Area of Shanghai before and after COVID-19
Qi LU ; Xinchen LU ; Xuyue CAI ; Siyu YU ; Hanzhao LIU ; Suzhen CHEN ; Anmei SHEN
Shanghai Journal of Preventive Medicine 2023;35(10):1011-1015
ObjectiveTo describe the differences in imported malaria cases before and after the COVID-19 pandemic in Pudong New Area, Shanghai, to explore the possible impact of isolation measures during the pandemic on malaria, and to provide a basis for formulation of malaria control strategies during the prevention and control of major infectious diseases in the future. MethodsInformation on malaria cases reported in Pudong New Area from 2017 to 2022 was collected and divided into two groups: cases before the COVID-19 pandemic (2017‒2019) and cases after the COVID-19 pandemic (2020‒2022). Analysis was conducted on information such as gender, age, parasite species, country of infection, place of onset, time of onset, time of first diagnosis, time of confirmed diagnosis, hospitalization, and duration of treatment for both groups. ResultsThe pre-COVID group consisted of 21 cases, and post-COVID group consisted of 28 cases, with male and falciparum malaria predominating in both groups. There were statistically significant differences between the two groups in terms of Shanghai residency status, use of preventive measures, and adherence to standardized treatment (P<0.05). The time interval from symptom onset to first diagnosis was longer in the pre-COVID group than that in the post-COVID group (Z=-2.617, P<0.05 ). The interval from the first diagnosis to the confirmed diagnosis and duration of treatment were shorter in the pre-COVID group than that in the post-COVID group (Z=-3.381, P<0.05; Z=-4.148, P<0.05). There was no significant difference in gender, age, malaria classification, source of infection, onset area, length of hospital stay, complications, severe cases, and interval between onset and diagnosis between the two groups (P>0.05). ConclusionAfter the outbreak of COVID-19, the medical priority plan prolongs the treatment time of malaria patients, increasing the risk of severe illness and death.
3.Interventional treatment with covered stent graft for retrograde Stanford type A aortic dissection and intramural hematoma: A systematic review and meta-analysis
Hanzhao ZHU ; Peng HOU ; Zhengxi CHEN ; Lin XIA ; Liyun ZHANG ; Shiqiang YU ; Jincheng LIU ; Weixun DUAN
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery 2020;27(09):1037-1044
Objective To evaluate the prognosis of interventional treatment with covered stent graft for retrograde Stanford type A aortic dissection and intramural hematoma by single-arm meta-analysis. Methods Related studies on treating retrograde Stanford type A aortic dissection and intramural hematoma with covered stent graft were retrieved from the databases by computer, including PubMed, EMbase, The Cochrane Library, Wanfang Data, VIP, CNKI and CBM, from inception to January 2020. Literatures were screened by researchers step by step according to the predefined inclusion and exclusion criteria. Quality of the enrolled literatures was evaluated, and data were extracted from the included studies. Afterwards, single-arm meta-analysis was carried out by the R3.6.3 software. Results A total of 12 English and 5 Chinese studies were included, which were all case series, and the quality of all literatures was moderate evaluated by Newcastle-Ottawa Scale (NOS). After analyzing the clinical prognosis of 260 patients, the 30-day mortality was 6% (95%CI 0.04 to 0.11, P=0.97), the late mortality was 8% (95%CI 0.05 to 0.14, P=0.78), the incidence of endoleak was 21% (95%CI 0.16 to 0.29, P=0.06), the incidence of stroke was 5% (95%CI 0.03 to 0.09, P=0.99), the incidence of new aortic dissection was 7% (95%CI 0.04 to 0.11, P=0.96), the incidence of dissection progression was 10% (95%CI 0.07 to 0.16, P=0.24), and the absorption rate of intramural hematoma was 84% (95%CI 0.37 to 1.00, P<0.01). Conclusion Interventional treatment with covered stent graft for retrograde Stanford type A aortic dissection and intramural hematoma can obtain good early treatment results for some patients, and can be used as a safe and effective treatment for aged patient with high risk who cannot tolerate surgery. Endoleak, stroke and new aortic dissection are the early serious complications of this method.