1.Association of alcohol consumption with aortic aneurysm and dissection risk:results from the UK Biobank cohort study
Liang YAOWEN ; Zou GUOXIANG ; Wang DINGCHEN ; Zeng WEIYUE ; Zhang JIARUI ; Huang XIAORAN ; Lin MIAO ; Mai CONG ; Song FEI'ER ; Zhang YUELIN ; Meng JINXIU ; Feng HONGLIANG ; Huang YU ; Li XIN
World Journal of Emergency Medicine 2024;15(6):465-474
BACKGROUND:Previous studies have reported inconsistent results with positive,negative,and J-shaped associations between alcohol consumption and the hazard of aortic aneurysm and dissection(AAD).This study aimed to examine the connections between weekly alcohol consumption and the subsequent risk of AAD. METHODS:The UK Biobank study is a population-based cohort study.Weekly alcohol consumption was assessed using self-reported questionnaires and the congenital risk of alcohol consumption was also evaluated using genetic risk score(GRS).Cox proportional hazards models were used to estimate hazard ratios(HRs)with 95%confidence intervals(CIs)for the associations between alcohol consumption and AAD.Several sensitivity analyses were performed to assess the robustness of the results. RESULTS:Among the 388,955 participants(mean age:57.1 years,47.4%male),2,895 incident AAD cases were documented during a median follow-up of 12.5 years.Compared with never-drinkers,moderate drinkers(adjusted HR:0.797,95%CI:0.646-0.984,P<0.05)and moderate-heavy drinkers(adjusted HR:0.794,95%CI:0.635-0.992,P<0.05)were significantly associated with a decreased risk of incident AAD.Interaction-based subgroup analysis revealed that the protective effect of moderate drinking was reflected mainly in participants younger than 65 years and women. CONCLUSION:Our findings support a protective effect of moderate alcohol consumption on AAD,but are limited to participants younger than 65 years and women.
2.Association of alcohol consumption with aortic aneurysm and dissection risk:results from the UK Biobank cohort study
Liang YAOWEN ; Zou GUOXIANG ; Wang DINGCHEN ; Zeng WEIYUE ; Zhang JIARUI ; Huang XIAORAN ; Lin MIAO ; Mai CONG ; Song FEI'ER ; Zhang YUELIN ; Meng JINXIU ; Feng HONGLIANG ; Huang YU ; Li XIN
World Journal of Emergency Medicine 2024;15(6):465-474
BACKGROUND:Previous studies have reported inconsistent results with positive,negative,and J-shaped associations between alcohol consumption and the hazard of aortic aneurysm and dissection(AAD).This study aimed to examine the connections between weekly alcohol consumption and the subsequent risk of AAD. METHODS:The UK Biobank study is a population-based cohort study.Weekly alcohol consumption was assessed using self-reported questionnaires and the congenital risk of alcohol consumption was also evaluated using genetic risk score(GRS).Cox proportional hazards models were used to estimate hazard ratios(HRs)with 95%confidence intervals(CIs)for the associations between alcohol consumption and AAD.Several sensitivity analyses were performed to assess the robustness of the results. RESULTS:Among the 388,955 participants(mean age:57.1 years,47.4%male),2,895 incident AAD cases were documented during a median follow-up of 12.5 years.Compared with never-drinkers,moderate drinkers(adjusted HR:0.797,95%CI:0.646-0.984,P<0.05)and moderate-heavy drinkers(adjusted HR:0.794,95%CI:0.635-0.992,P<0.05)were significantly associated with a decreased risk of incident AAD.Interaction-based subgroup analysis revealed that the protective effect of moderate drinking was reflected mainly in participants younger than 65 years and women. CONCLUSION:Our findings support a protective effect of moderate alcohol consumption on AAD,but are limited to participants younger than 65 years and women.
3.Association of alcohol consumption with aortic aneurysm and dissection risk:results from the UK Biobank cohort study
Liang YAOWEN ; Zou GUOXIANG ; Wang DINGCHEN ; Zeng WEIYUE ; Zhang JIARUI ; Huang XIAORAN ; Lin MIAO ; Mai CONG ; Song FEI'ER ; Zhang YUELIN ; Meng JINXIU ; Feng HONGLIANG ; Huang YU ; Li XIN
World Journal of Emergency Medicine 2024;15(6):465-474
BACKGROUND:Previous studies have reported inconsistent results with positive,negative,and J-shaped associations between alcohol consumption and the hazard of aortic aneurysm and dissection(AAD).This study aimed to examine the connections between weekly alcohol consumption and the subsequent risk of AAD. METHODS:The UK Biobank study is a population-based cohort study.Weekly alcohol consumption was assessed using self-reported questionnaires and the congenital risk of alcohol consumption was also evaluated using genetic risk score(GRS).Cox proportional hazards models were used to estimate hazard ratios(HRs)with 95%confidence intervals(CIs)for the associations between alcohol consumption and AAD.Several sensitivity analyses were performed to assess the robustness of the results. RESULTS:Among the 388,955 participants(mean age:57.1 years,47.4%male),2,895 incident AAD cases were documented during a median follow-up of 12.5 years.Compared with never-drinkers,moderate drinkers(adjusted HR:0.797,95%CI:0.646-0.984,P<0.05)and moderate-heavy drinkers(adjusted HR:0.794,95%CI:0.635-0.992,P<0.05)were significantly associated with a decreased risk of incident AAD.Interaction-based subgroup analysis revealed that the protective effect of moderate drinking was reflected mainly in participants younger than 65 years and women. CONCLUSION:Our findings support a protective effect of moderate alcohol consumption on AAD,but are limited to participants younger than 65 years and women.
4.Association of alcohol consumption with aortic aneurysm and dissection risk:results from the UK Biobank cohort study
Liang YAOWEN ; Zou GUOXIANG ; Wang DINGCHEN ; Zeng WEIYUE ; Zhang JIARUI ; Huang XIAORAN ; Lin MIAO ; Mai CONG ; Song FEI'ER ; Zhang YUELIN ; Meng JINXIU ; Feng HONGLIANG ; Huang YU ; Li XIN
World Journal of Emergency Medicine 2024;15(6):465-474
BACKGROUND:Previous studies have reported inconsistent results with positive,negative,and J-shaped associations between alcohol consumption and the hazard of aortic aneurysm and dissection(AAD).This study aimed to examine the connections between weekly alcohol consumption and the subsequent risk of AAD. METHODS:The UK Biobank study is a population-based cohort study.Weekly alcohol consumption was assessed using self-reported questionnaires and the congenital risk of alcohol consumption was also evaluated using genetic risk score(GRS).Cox proportional hazards models were used to estimate hazard ratios(HRs)with 95%confidence intervals(CIs)for the associations between alcohol consumption and AAD.Several sensitivity analyses were performed to assess the robustness of the results. RESULTS:Among the 388,955 participants(mean age:57.1 years,47.4%male),2,895 incident AAD cases were documented during a median follow-up of 12.5 years.Compared with never-drinkers,moderate drinkers(adjusted HR:0.797,95%CI:0.646-0.984,P<0.05)and moderate-heavy drinkers(adjusted HR:0.794,95%CI:0.635-0.992,P<0.05)were significantly associated with a decreased risk of incident AAD.Interaction-based subgroup analysis revealed that the protective effect of moderate drinking was reflected mainly in participants younger than 65 years and women. CONCLUSION:Our findings support a protective effect of moderate alcohol consumption on AAD,but are limited to participants younger than 65 years and women.
5.Association of alcohol consumption with aortic aneurysm and dissection risk:results from the UK Biobank cohort study
Liang YAOWEN ; Zou GUOXIANG ; Wang DINGCHEN ; Zeng WEIYUE ; Zhang JIARUI ; Huang XIAORAN ; Lin MIAO ; Mai CONG ; Song FEI'ER ; Zhang YUELIN ; Meng JINXIU ; Feng HONGLIANG ; Huang YU ; Li XIN
World Journal of Emergency Medicine 2024;15(6):465-474
BACKGROUND:Previous studies have reported inconsistent results with positive,negative,and J-shaped associations between alcohol consumption and the hazard of aortic aneurysm and dissection(AAD).This study aimed to examine the connections between weekly alcohol consumption and the subsequent risk of AAD. METHODS:The UK Biobank study is a population-based cohort study.Weekly alcohol consumption was assessed using self-reported questionnaires and the congenital risk of alcohol consumption was also evaluated using genetic risk score(GRS).Cox proportional hazards models were used to estimate hazard ratios(HRs)with 95%confidence intervals(CIs)for the associations between alcohol consumption and AAD.Several sensitivity analyses were performed to assess the robustness of the results. RESULTS:Among the 388,955 participants(mean age:57.1 years,47.4%male),2,895 incident AAD cases were documented during a median follow-up of 12.5 years.Compared with never-drinkers,moderate drinkers(adjusted HR:0.797,95%CI:0.646-0.984,P<0.05)and moderate-heavy drinkers(adjusted HR:0.794,95%CI:0.635-0.992,P<0.05)were significantly associated with a decreased risk of incident AAD.Interaction-based subgroup analysis revealed that the protective effect of moderate drinking was reflected mainly in participants younger than 65 years and women. CONCLUSION:Our findings support a protective effect of moderate alcohol consumption on AAD,but are limited to participants younger than 65 years and women.
6.Association of alcohol consumption with aortic aneurysm and dissection risk:results from the UK Biobank cohort study
Liang YAOWEN ; Zou GUOXIANG ; Wang DINGCHEN ; Zeng WEIYUE ; Zhang JIARUI ; Huang XIAORAN ; Lin MIAO ; Mai CONG ; Song FEI'ER ; Zhang YUELIN ; Meng JINXIU ; Feng HONGLIANG ; Huang YU ; Li XIN
World Journal of Emergency Medicine 2024;15(6):465-474
BACKGROUND:Previous studies have reported inconsistent results with positive,negative,and J-shaped associations between alcohol consumption and the hazard of aortic aneurysm and dissection(AAD).This study aimed to examine the connections between weekly alcohol consumption and the subsequent risk of AAD. METHODS:The UK Biobank study is a population-based cohort study.Weekly alcohol consumption was assessed using self-reported questionnaires and the congenital risk of alcohol consumption was also evaluated using genetic risk score(GRS).Cox proportional hazards models were used to estimate hazard ratios(HRs)with 95%confidence intervals(CIs)for the associations between alcohol consumption and AAD.Several sensitivity analyses were performed to assess the robustness of the results. RESULTS:Among the 388,955 participants(mean age:57.1 years,47.4%male),2,895 incident AAD cases were documented during a median follow-up of 12.5 years.Compared with never-drinkers,moderate drinkers(adjusted HR:0.797,95%CI:0.646-0.984,P<0.05)and moderate-heavy drinkers(adjusted HR:0.794,95%CI:0.635-0.992,P<0.05)were significantly associated with a decreased risk of incident AAD.Interaction-based subgroup analysis revealed that the protective effect of moderate drinking was reflected mainly in participants younger than 65 years and women. CONCLUSION:Our findings support a protective effect of moderate alcohol consumption on AAD,but are limited to participants younger than 65 years and women.
7.Association of alcohol consumption with aortic aneurysm and dissection risk:results from the UK Biobank cohort study
Liang YAOWEN ; Zou GUOXIANG ; Wang DINGCHEN ; Zeng WEIYUE ; Zhang JIARUI ; Huang XIAORAN ; Lin MIAO ; Mai CONG ; Song FEI'ER ; Zhang YUELIN ; Meng JINXIU ; Feng HONGLIANG ; Huang YU ; Li XIN
World Journal of Emergency Medicine 2024;15(6):465-474
BACKGROUND:Previous studies have reported inconsistent results with positive,negative,and J-shaped associations between alcohol consumption and the hazard of aortic aneurysm and dissection(AAD).This study aimed to examine the connections between weekly alcohol consumption and the subsequent risk of AAD. METHODS:The UK Biobank study is a population-based cohort study.Weekly alcohol consumption was assessed using self-reported questionnaires and the congenital risk of alcohol consumption was also evaluated using genetic risk score(GRS).Cox proportional hazards models were used to estimate hazard ratios(HRs)with 95%confidence intervals(CIs)for the associations between alcohol consumption and AAD.Several sensitivity analyses were performed to assess the robustness of the results. RESULTS:Among the 388,955 participants(mean age:57.1 years,47.4%male),2,895 incident AAD cases were documented during a median follow-up of 12.5 years.Compared with never-drinkers,moderate drinkers(adjusted HR:0.797,95%CI:0.646-0.984,P<0.05)and moderate-heavy drinkers(adjusted HR:0.794,95%CI:0.635-0.992,P<0.05)were significantly associated with a decreased risk of incident AAD.Interaction-based subgroup analysis revealed that the protective effect of moderate drinking was reflected mainly in participants younger than 65 years and women. CONCLUSION:Our findings support a protective effect of moderate alcohol consumption on AAD,but are limited to participants younger than 65 years and women.
8.Association of alcohol consumption with aortic aneurysm and dissection risk:results from the UK Biobank cohort study
Liang YAOWEN ; Zou GUOXIANG ; Wang DINGCHEN ; Zeng WEIYUE ; Zhang JIARUI ; Huang XIAORAN ; Lin MIAO ; Mai CONG ; Song FEI'ER ; Zhang YUELIN ; Meng JINXIU ; Feng HONGLIANG ; Huang YU ; Li XIN
World Journal of Emergency Medicine 2024;15(6):465-474
BACKGROUND:Previous studies have reported inconsistent results with positive,negative,and J-shaped associations between alcohol consumption and the hazard of aortic aneurysm and dissection(AAD).This study aimed to examine the connections between weekly alcohol consumption and the subsequent risk of AAD. METHODS:The UK Biobank study is a population-based cohort study.Weekly alcohol consumption was assessed using self-reported questionnaires and the congenital risk of alcohol consumption was also evaluated using genetic risk score(GRS).Cox proportional hazards models were used to estimate hazard ratios(HRs)with 95%confidence intervals(CIs)for the associations between alcohol consumption and AAD.Several sensitivity analyses were performed to assess the robustness of the results. RESULTS:Among the 388,955 participants(mean age:57.1 years,47.4%male),2,895 incident AAD cases were documented during a median follow-up of 12.5 years.Compared with never-drinkers,moderate drinkers(adjusted HR:0.797,95%CI:0.646-0.984,P<0.05)and moderate-heavy drinkers(adjusted HR:0.794,95%CI:0.635-0.992,P<0.05)were significantly associated with a decreased risk of incident AAD.Interaction-based subgroup analysis revealed that the protective effect of moderate drinking was reflected mainly in participants younger than 65 years and women. CONCLUSION:Our findings support a protective effect of moderate alcohol consumption on AAD,but are limited to participants younger than 65 years and women.
9.Sleep quality among lesbian, gay, bisexual, transgender, intersex, queer and other sexual minority (lgbtiq+) people in Vietnam
Mai Pham Phuong ; Hang Tran Thi Le ; Thanh Nguyen Cong
Vietnam Journal of Public Health 2024;10(1):41-50
Objectives: This study aimed to describe the sleep quality among lesbian, gay, bisexual, transgender, intersex, queer, and other sexual minority (LGBTIQ+) people in Vietnam and several associated factors.
Methods: This is a cross-sectional study design. We utilized anonymous web-based survey to collect data. A total of 274 LGBTIQ+ individuals voluntarily participated in an anonymous web-based survey. The Pittsburgh Sleep Quality Index (PSQI) was used to measure the sleep quality in this study. Logistic regression was estimated to identify the associated factors.
Results: The prevalence of poor sleep quality was 91.6% among LGBTIQ+ people in Vietnam. Behaviors mentioned in the study include diet, use of electronic devices, sexual behaviors, condom use, and anxiety disorders. Research has shown that LGBTIQ+ people had anxiety disorders (95% CI: 1.9 - 11.9) and cisgender men (95% CI: 1.3 - 25.3) had a statistical impact on sleep quality with p < 0.05.
Conclusion: Our study indicated the high prevalence of poor sleep quality among LGBTIQ+ people in Vietnam. Findings highlighted the need for research and tailored interventions for specific sub-groups within the LGBTIQ+ community, which are crucial to exploring hidden risk factors and supporting the LGBTIQ+ community to improve sleep quality, then bettering their quality of life.
10.Clinical characteristics and antiviral therapy of influenza in immunosuppressed hospitalized patients
Yafen LIU ; Yue WANG ; Yanxin WANG ; Huan MAI ; Yuanyuan CHEN ; Yifan ZHANG ; Baiyi LIU ; Yisi LIU ; Ying JI ; Xu CONG ; Yan GAO
Chinese Journal of Clinical Infectious Diseases 2023;16(2):120-127
Objective:To analyse the clinical characteristics and antiviral therapy in immunosuppressed hospitalized patients with influenza.Methods:The clinical data of 273 patients with positive influenza A or B virus nucleic acid admitted in Peking University People’s Hospital from November 2015 to March 2022 were retrospectively analyzed. Among them, 123 were immunosuppressed and 150 were non-immunosuppressed. The clinical characteristics and antiviral therapy in immunosuppressed patients with influenza were analyzed. SPSS 22.0 software was used to analyze the data.Results:Chemotherapy for malignancies was the most common cause of immunosuppression (61.8%, 76/123), followed by haemopoietic stem cell transplantation (24.4%, 30/123). The common symptoms were fever (93.5%, 115/123) and cough (41.5%, 51/123). The proportions of co-infections (22.8%, 28/123) and complications (43.9%, 54/123) in immunosuppressed hospitalized patients were higher than those in non-immunosuppressed patients ( χ2=9.365 and 7.496, both P<0.01). Compared with single drug therapy, combination of antiviral drugs did not shorten the fever time, negative conversion time of virus nucleic acid and the length of hospital stay, and reduce the death ( U/ χ2=312.5, 356.0, 749.5 and 0.185, all P>0.05). Compared to patients without corticosteroids use, the use of corticosteroids did not increase mortality in immunosuppressed patients ( χ2=2.508, P=0.113). Conclusions:Classical symptoms may be absent in immunosuppressed patients with influenza, and early detection of influenza virus is still an important means of early diagnosis. Co-infections and complications are more common in immunosuppressed influenza patients. Immunosuppressed influenza patients did not benefit from the combination of antiviral therapy.


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