1.Evaluation and prediction analysis of 5-year survival rate of cervical cancer patients based on cycle analysis
Journal of Public Health and Preventive Medicine 2021;32(2):73-76
Objective To understand the relative survival rate of cervical cancer patients in our hospital in the past 5 years, and to predict the relative survival rate in the next 5 years. The study can provide data information and scientific basis for cervical cancer prevention and treatment in Changde City. Methods According to the tumor registration database of our hospital, the 5-year relative survival rate of cervical cancer patients from 2010 to 2014 was evaluated by the cycle analysis method, and further stratified analysis was carried out according to the age of diagnosis and the township area. By establishing a generalized linear model based on the cycle analysis method, we predict the 5-year relative survival rate of patients in the future 2015-2019 period. Results From 2005 to 2019, the incidence of cervical cancer was the highest in the 45-54 age group, accounting for 40.54%. The incidence of cervical cancer was the lowest in the age group over 74, accounting for 2.72%. From 2010 to 2014, the overall 5-year relative survival rate of cervical cancer patients in our hospital was 92.73%, and the 5-year relative survival rates of patients <45, 45-54, 55-64, 65-74, and >74 years old were 93.51%, 92.82%, 89.16%, 85.71% and 63.83%, respectively. The 5-year relative survival rates of urban and rural patients were 94.73% and 91.86%, respectively. It is predicted that the overall 5-year relative survival rate from 2015 to 2019 is 93.78%. Conclusion Compared with the previous second 5-year periods, the 5-year relative survival rate of patients in the future 2015-2019 will still show an upward trend, the age difference gradient will continue to be maintained, and the urban-rural difference will further decrease.
2.HIV/AIDS antiretroviral treatment and its influencing factors in Yining of Xinjiang
Qian HE ; Zhimaiti·Aikebaier AI ; Xiaomin HU ; Bixin XYU ; Mingjian NI
Journal of Public Health and Preventive Medicine 2022;33(3):113-117
Objective To investigate the current status and its influencing factors of ART coverage and VL inhibition rate of HIV/AIDS in Yining City, Xinjiang, and to provide reference for AIDS prevention and treatment. Methods The ART data for 2017-2019 years in Yining, Xinjiang was retrieved from the National AIDS Antiretroviral Treatment Information System, to analyze the changing trend of ART coverage rate and VL inhibition rate of HIV/AIDS. Logistics regression model was used to analyze the influencing factors of untreated HIV/AIDS and uninhibited VL. Results The coverage rate of antiviral treatment in Yining city from 2017 to 2019 was 73.39%, 78.06% and 87.03%, respectively. The inhibition rates of VL were 83.91%, 85.05% and 86.09%, respectively, showing an increasing trend year by year. Female, other transmission routes, positive sexual partner detection, and testing and special investigation reduced the risks of untreated HIV/AIDS, while other domicile locations, non-marital and non-commercial heterosexual contact, and unawareness of their own VL increased the risks of untreated HIV/AIDS. Female, 26-35 years old, 36-45 years old, 46~55 years old, >55 years old, primary school, junior high school, high school or technical secondary school, junior college or above, and male-male sex behavior reduced the risks of unsuppressed VL of HIV/AIDS, while other domicile locations, non-marital and non-commercial heterosexual contact, and unawareness of their own VL increased the risks of unsuppressed VL in HIV/AIDS. Conclusion The ART coverage rate and VL inhibition rate in Yining, Xinjiang rise year by year, approaching the expected target. Targeted education and supervision should be conducted to promote the realization of “90-90-90” in 2020 and “95-95-95” target in 2030.
3.Effect of inhaled budesonide on the prevention of bronchopulmonary dysplasia in premature infants and its impact on the development of intelligence at 1 year old
Qian XYU ; Shunxian ZHANG ; Lirong LUO ; Hongli WANG ; Minhong XU ; Shaowei YU
Journal of Public Health and Preventive Medicine 2021;32(2):77-80
Objective To evaluate potential protective effects of inhaled budesonide on bronchopulmonary dysplasia (BPD) in premature infants and its impact on the intelligence development at 1 year of age. Methods A total of 82 preterm infants admitted to the neonatal intensive care center from January 2017 to January 2018 were selected as research subjects. The enrolled subjects were divided into a study group (Budesonide) and a control group (saline) by random number table method, with 41 cases in each group. The incidence of BPD, mortality, hospitalization time, time of withdrawal and oxygenation, and complications were compared between the two groups. The patients were regularly followed up to 1 year old after discharge. The physical growth and Gesell intelligence development of the two groups were compared. Results The incidence of BPD in the study group was significantly lower than that in the control group, and the difference was statistically significant (P<0.05). There was no significant difference in mortality between the two groups. The hospitalization time, weaning and oxygenation time, and 1-week re-intubation rate in the study group were significantly lower than those in the control group (P<0.05). There was no significant difference between the two groups in the incidence of adverse reactions and physical growth at 1 year old and Gesell intelligence evaluation. Conclusion Budesonide aerosol inhalation reduced the incidence of BPD in premature infants, shortened hospitalization and weaning time, and there were no near-term and long-term adverse reactions.
4.Characteristics of blood uric acid level and its correlation with metabolic indexes in obese adolescentsu
Zidong LI ; Yanan HE ; Shuaiwei QIAN ; Xiaomin LI ; Xia XYU ; Chunyan LI
Journal of Public Health and Preventive Medicine 2023;34(2):87-91
Objective To explore the characteristics of blood uric acid levels and its correlation with calcium and phosphorus levels, and glucose and lipid metabolism in obese adolescents in weight-loss training camps. Methods In this study, 357 obese adolescents aged 12-18 were selected as the research subjects, and 135 normal-weight adolescents were selected as the controls. The body shape and blood uric acid characteristics of the subjects were measured and analyzed. Further, 59 subjects were selected from the obese adolescents for blood calcium, blood phosphorus and glucose and lipid metabolism index tests to analyze the correlation between blood uric acid level and calcium, phosphorus, and glucose and lipid metabolism indicators. Results The average blood uric acid level of obese adolescents was (527.12±122.94)μmol/L, (566.58±122.51)μmol/L for boys, and (468.35±97.79)μmol/L for girls. The blood uric acid level of the obesity group was significantly higher than that of the control group (P<0.001 for boys, P<0.05 for girls), and it was higher in boys than in girls (P<0.01). Obese adolescents with high uric acid accounted for 73.39%. The HOMA-IR of obese adolescents was 5.79±3.04. The blood uric acid level was significantly correlated with blood calcium, total cholesterol, and low-density lipoprotein cholesterol (P<0.05). Gender and low-density lipoprotein cholesterol were the main influencing factors of blood uric acid (P<0.05). Conclusion Obese adolescents have high blood uric acid levels, low calcium and high phosphorus in the body, and a higher incidence of insulin resistance. There exists a positive correlation between the blood uric acid level and the body's calcium and phosphorus metabolism and glucose and lipid metabolism in obese adolescents. Clinical monitoring of lipid metabolism indicators such as low-density lipoprotein has certain reference value for the prevention and treatment of hyperuricemia.