Malaria is considered one of the major causes of travel-related morbidity and mortality,especially among non-immune travelers from non-endemic countries to the endemic regions.According to a multicenter study from the...Malaria is considered one of the major causes of travel-related morbidity and mortality,especially among non-immune travelers from non-endemic countries to the endemic regions.According to a multicenter study from the GeoSentinel surveillance network,malaria was the most frequent cause of fever in 21%of returning travelers,followed by dengue,typhoid fever,chikungunya and rickettsiosis[1].Individuals traveling from regions without malaria transmission to areas where it is endemic face a heightened risk of contracting the disease due to their lack of immunity.Despite the official malaria-free status of the Russian Federation since 2010,annual cases of severe Plasmodium(P.)falciparum malaria continue to be reported[2].This underscores the necessity for heightened clinical vigilance and improved preventive strategies especially in non-endemic settings.展开更多
The epidemioiogical features of lung cancer in Beijing during 1977 ?1986 were analysed. The data collected showed that lung cancer ncidence and mortality rates ranks first among all other malignant tumor and had been ...The epidemioiogical features of lung cancer in Beijing during 1977 ?1986 were analysed. The data collected showed that lung cancer ncidence and mortality rates ranks first among all other malignant tumor and had been on the increase from year to year. The mortality rate in urban area was higher than that in its suburbs. While the male incidence was higher than that of the female. The sex ratio of the male to female incidence rates was 1.56. The incidence rate rises with age. The lung cancer is one of the lesser prevised cancer and the five-year relative survival rate is 6.5% for both sexes in 19S2 ?1983. The lung cancer mortality rate in Beijing urban area is compared in this report with other countries in the world, and it is found that the female mortality rate of lung cancer in Beijing is among the highest.展开更多
Objective:To study the epidemiological features of pancreatic cystadenoma and cystadenocarcinoma in China during the last 10 years and to analyze the diagnosis and treatment.Methods:Reports on pancreatic cystadenoma a...Objective:To study the epidemiological features of pancreatic cystadenoma and cystadenocarcinoma in China during the last 10 years and to analyze the diagnosis and treatment.Methods:Reports on pancreatic cystadenoma and cystadenocarcinoma published from 2000 to 2009 were retrieved from various databases,such as WANFANG data,VIP web and China National Knowledge Infrastructure(CNKI).The epidemiological features of pancreatic cystadenoma and cystadenocarcinoma and its diagnosis and treatment were analyzed.Results:Totally 1 865 patients with pancreatic cystadenoma and cystadenocarcinoma were reported in China during the last 10 years.The male to female ratio was approximately 1:2.1.The accurate ages were reported in 1 536 cases,the average age of them was 50.8 years,whose average age from 40 to 60 years old accounted 75.9% of the patients.65.3% of the cases were located in East China and Central China.Abdominal pain was the main clinical manifestation and was found in 54.9% of the patients.Pancreatoduodenectomy and resection of body and tail of the pancreas were the main procedure for the treatment of pancreatic cystadenoma and cystadenocarcinoma.Conclusion:Pancreatic cystadenoma and cystadenocarcinoma were mainly found in older women in East and Central China.Preoperative diagnosis is difficult.Pancreatoduodenectomy and resection of pancreatic body and tail were the main procedure for the treatment of pancreatic cystadenoma and cystadenocarcinoma.展开更多
Introduction:Infants have the highest incidence of meningococcal meningitis(MM)among all age groups in China.Infants receive their first and second doses of serogroup A meningococcal polysaccharide vaccine at 6 and 9 ...Introduction:Infants have the highest incidence of meningococcal meningitis(MM)among all age groups in China.Infants receive their first and second doses of serogroup A meningococcal polysaccharide vaccine at 6 and 9 months of age.Methods:We extracted data on MM cases among 0–11-month-old children reported during 2006–2023 from the National Notifiable Diseases Registry System and the National Meningococcal Disease Surveillance System and conducted an epidemiological and clinical analysis.Results:During the study period,721 infant MM cases were reported.Incidence decreased from 7.31 cases per million to 2.74 per million,while the all-age incidence declined from 1.27 cases per million to 0.06 per million.Among 210 cases with serogrouping results,five serogroups(A,B,C,W,Y)and nongroupable strains were detected.Serogroup A cases decreased from 36.36%to 1.87%during the study period,while serogroup B increased from 14.55%to 67.29%.Fever,nausea,and/or vomiting were common symptoms across all serogroups.The frequencies of petechiae and/or purpura in serogroup A(73%)and C(92%)were substantially higher than in other serogroups.Among serogroup B cases,26.42%developed petechiae and/or purpura,26.42%exhibited neck stiffness,and 13.21%had positive Kernig’s and/or Brudzinski’s signs.Conclusions:The incidence of MM in infants has significantly decreased but remains higher than incidence across all age groups.Serogroup B cases were the most common.Atypical symptoms in infant cases challenge timely diagnosis.We suggest eligible infants receive meningococcal vaccination timely,and the development of serogroup B meningococcal vaccines should be accelerated.展开更多
Objective Since HFMD was designated as a class C communicable disease in May 2008,18 months surveillance data have been accumulated to December 2009.This article was to describe the distribution of HFMD for age,sex,ar...Objective Since HFMD was designated as a class C communicable disease in May 2008,18 months surveillance data have been accumulated to December 2009.This article was to describe the distribution of HFMD for age,sex,area,and time between 2008 and 2009,to reveal the characteristics of the epidemic.Methods We analyzed weekly reported cases of HFMD from May 2008 to December 2009,and presented data on the distribution of age,sex,area and time.A discrete Poisson model was used to detect spatial-temporal clusters of HFMD.Results More than 1 065 000 cases of HFMD were reported in China's Mainland from May 2008 to December 2009 （total incidence：12.47 per 10 000）.Male incidence was higher than female for all ages and 91.9% of patients were 5 years old.The incidence was highest in Beijing,Shanghai,Zhejiang and Hainan.The highest peak of HFMD cases was in April and the number of cases remained high from April to August.The spatial-temporal distribution detected four clusters.Conclusion Children 5 years old were susceptible to HFMD and we should be aware of their vulnerability.The incidence was higher in urban than rural areas,and an annual pandemic usually starts in April.展开更多
·AIM: To determine the prevalence of asthenopia and identify any associated risk factors in the college students in Xi’an, China. · METHODS: From April to September 2012, 1 500 students from five universiti...·AIM: To determine the prevalence of asthenopia and identify any associated risk factors in the college students in Xi’an, China. · METHODS: From April to September 2012, 1 500 students from five universities in Xi’an were selected according to a multi -stage stratified cluster sampling method. Data on demographic features, lifestyle or dietary habits, health status, living environment conditions, sleep and mental status, and asthenopia symptoms were collected through a self -administered validated questionnaire. Univariate logistic regression and multivariate logistic regression analysis modified by the factor analysis were performed to evaluate risk factors for asthenopia. ·RESULTS: Fifty-seven percent of the college students complained of asthenopia. Statistically significant risk factors for asthenopia in the univariate analysis included 13 variables. Multivariate analysis revealed a significant relationship between the use of computer and asthenopia (OR 1.21, 95% CI: 1.09 to 1.35). Good sleep and mental status (OR 0.86, 95% CI: 0.76 to 0.97), good living environment conditions (OR 0.67, 95% CI: 0.60 to 0.76), and high intake of green leafy vegetables (OR 0.89, 95% CI: 0.80 to 0.98) were found to be strong predictors of decreasing the occurrence of asthenopia complaints. ·CONCLUSION: Asthenopia symptom appeares to be common among college students; and it is strongly associated with computer use, psychosocial state, environment conditions and dietary habits, suggesting that additional studies are warranted to verify these risk factors and establish prevention guidelines, especially for college students. ·展开更多
AIM： To analyze the characteristics of epidemiological, clinical and survival patterns among patients with carcinoma of the stomach. METHODS： We retrospectively studied the characteristics of 186 gastric adenocarcin...AIM： To analyze the characteristics of epidemiological, clinical and survival patterns among patients with carcinoma of the stomach. METHODS： We retrospectively studied the characteristics of 186 gastric adenocarcinoma patients at Ahwaz Jundishapur University Hospitals （AJSUH） from September 1, 1996 to September 1, 2002. All the patients had histopathologically-confirmed malignancy. Demographic variables, family history of gastric cancer （GC）, clinicopathologic characteristics and treatment-related variables were analyzed. Univariate analysis was performed with the log-rank test and multivariate analysis with Cox regression. P 〈 0.05 was considered statistically significant. RESULTS： Male to female ratio was 2.6：1. The mean age was 60.6 years and 14% of the patients were younger than 40 years. Adenocarcinoma, gastric lymphoma, and gastric metastasis were found in 94.5%, 2.3%, and 3% patients, respectively. There was an average of 6-mo delay between the initial symptoms and the diagnosis. Among adenocarcinoma groups, intestinal type was the commonest （55.9%） and the distal third was the most common localization （88.4%）. One hundred and thirty-four patients （72.1%） were males. Thirty-one patients （17%） had a family history of GC. Surgery was performed in 90% of patients （non-curative）. CONCLUSION： The epidemiological features of GC in south Iran mimic those in high-risk areas. There is a higher frequency of GC in young patients at our institution. Patients are detected and treated after a relatively long delay. Most patients present in advanced stages, which favors a poor overall survival, Family history of GC has a significant problem in our area, Studying the etiology of this cancer in south Iran and earlier diagnosis and subsequent better cares are recommended.展开更多
To introduce the epidemical, pathological, and clinical characteristics as well as the diagnostic and therapeutical experiences of endomyocardial fibrosis(EMF) in China. [WT5”BX] Data sources.[WT5”BZ]A CMBdisc searc...To introduce the epidemical, pathological, and clinical characteristics as well as the diagnostic and therapeutical experiences of endomyocardial fibrosis(EMF) in China. [WT5”BX] Data sources.[WT5”BZ]A CMBdisc search was done of the Chinese language literature published from January 1983 through June 1997 about EMF and/or restrictive cardiomyopathy. A manual search was then done for other contributions, including abstracts, between January 1965 and June 1997. [WT5”BX] Results. [WT5”BZ]Eighty seven Chinese cases of EMF were collected in this paper. There were 49 men and 38 women, with a mean age of 28±13 years(range, 8 to 68 years). The distribution of the cases is mainly in the south of China. Combined right and left ventricular disease occurs in 48 percent of cases, with pure right ventricular involvement occurring in 42 percent and pure left ventricular involvement in the remaining 10 percent of patients who are examined postmortem. The diagnosis of EMF was confirmed in 21 cases at autopsy, and in 66 cases by echocardiography, angiocardiography, and/or endomyocardial biopsy which showed the characteristic changes. Clinically, right sided disease is the commonest variety. Endocardiectomy and tricuspid(n=7) or mitral(n=1) valves replacement have been performed in 8 patients. There were 2 operative deaths. Six patients had a satisfactory recovery postoperatively and living well in the follow up duration. [WT5”BX] Conclusion.展开更多
Introduction:On September 16,2024,the Puyang City CDC received a report of a suspected foodborne disease outbreak involving 14 individuals who developed nausea,vomiting,and diarrhea following attendance at a hotel ban...Introduction:On September 16,2024,the Puyang City CDC received a report of a suspected foodborne disease outbreak involving 14 individuals who developed nausea,vomiting,and diarrhea following attendance at a hotel banquet.Upon notification,the District CDC immediately deployed a specialized investigation team to characterize the epidemiological features of the outbreak,identify the causative pathogen,assess potential transmission risks,and implement effective control and prevention measures.Methods:We integrated comprehensive on-site epidemiological investigations,clinical symptom analyses,and laboratory diagnostics to isolate and identify pathogenic agents from retained food samples,environmental specimens,and anal swabs collected from affected cases.The recovered isolates underwent enterotoxin-virulence-gene profiling,antimicrobialsusceptibility testing,and phylogenetic analyses.Additionally,we characterized the architecture of the enterotoxin-A-linked pathogenicity island vSaβ.Results:A total of 4 S.aureus strains were successfully isolated from 22 leftover food samples,2 environmental swabs,and 2 patient anal swabs.Contaminated donkey and goose meat was identified as the outbreak source.All isolates harbored sea and seb enterotoxin genes,exhibited PEN-OXA-ERY-CLI resistance patterns,and were identified as clonal ST59-spa t441-SCCmec IVa CA-MRSA strains.Phylogenetic analysis positioned the outbreak strains within the Asia-Pacific clade,distinguishing them from the North American ST59 sublineage.Comprehensive analysis of the sea-associated virulence island vSaβidentified a novel structural arrangement containing a type A IEC cluster(sea-sak-chp-scn).Conclusions:The detection of foodborne ST59 CAMRSA clones in this outbreak underscores the prevalence and transmission risks associated with this hypervirulent lineage.These findings emphasize the critical need to strengthen surveillance measures for CA-MRSA among food industry workers.展开更多
The low incidence of combined hepatocellular cholangiocarcinoma(cHCC-CCA)is an important factor limiting research progression.Our study extensively included nearly three decades of relevant literature and assembled th...The low incidence of combined hepatocellular cholangiocarcinoma(cHCC-CCA)is an important factor limiting research progression.Our study extensively included nearly three decades of relevant literature and assembled the most comprehensive database comprising 5,742 patients with cHCC-CCA.We summarized the characteristics,tumor markers,and clinical features of these patients.Additionally,we present the evolution of cHCC-CCA classification and explain the underlying rationale for these classification standards.We reviewed cHCC-CCA diagnostic advances using imaging features,tumor markers,and postoperative pathology,as well as treatment options such as surgical,adjuvant,and immune-targeted therapies.In addition,recent advances in more effective chemotherapeutic regimens and immune-targeted therapies were explored.Furthermore,we described the molecular mutation features and potential specific markers of cHCC-CCA.The prognostic value of Nestin has been proven,and we speculate that Nestin will also play a role in classification and diagnosis.However,further research is needed.Moreover,we believe that the possibility of using machine learning liquid biopsy for preoperative diagnosis and establishing a scoring system are directions for future research.展开更多
文摘Malaria is considered one of the major causes of travel-related morbidity and mortality,especially among non-immune travelers from non-endemic countries to the endemic regions.According to a multicenter study from the GeoSentinel surveillance network,malaria was the most frequent cause of fever in 21%of returning travelers,followed by dengue,typhoid fever,chikungunya and rickettsiosis[1].Individuals traveling from regions without malaria transmission to areas where it is endemic face a heightened risk of contracting the disease due to their lack of immunity.Despite the official malaria-free status of the Russian Federation since 2010,annual cases of severe Plasmodium(P.)falciparum malaria continue to be reported[2].This underscores the necessity for heightened clinical vigilance and improved preventive strategies especially in non-endemic settings.
文摘The epidemioiogical features of lung cancer in Beijing during 1977 ?1986 were analysed. The data collected showed that lung cancer ncidence and mortality rates ranks first among all other malignant tumor and had been on the increase from year to year. The mortality rate in urban area was higher than that in its suburbs. While the male incidence was higher than that of the female. The sex ratio of the male to female incidence rates was 1.56. The incidence rate rises with age. The lung cancer is one of the lesser prevised cancer and the five-year relative survival rate is 6.5% for both sexes in 19S2 ?1983. The lung cancer mortality rate in Beijing urban area is compared in this report with other countries in the world, and it is found that the female mortality rate of lung cancer in Beijing is among the highest.
文摘Objective:To study the epidemiological features of pancreatic cystadenoma and cystadenocarcinoma in China during the last 10 years and to analyze the diagnosis and treatment.Methods:Reports on pancreatic cystadenoma and cystadenocarcinoma published from 2000 to 2009 were retrieved from various databases,such as WANFANG data,VIP web and China National Knowledge Infrastructure(CNKI).The epidemiological features of pancreatic cystadenoma and cystadenocarcinoma and its diagnosis and treatment were analyzed.Results:Totally 1 865 patients with pancreatic cystadenoma and cystadenocarcinoma were reported in China during the last 10 years.The male to female ratio was approximately 1:2.1.The accurate ages were reported in 1 536 cases,the average age of them was 50.8 years,whose average age from 40 to 60 years old accounted 75.9% of the patients.65.3% of the cases were located in East China and Central China.Abdominal pain was the main clinical manifestation and was found in 54.9% of the patients.Pancreatoduodenectomy and resection of body and tail of the pancreas were the main procedure for the treatment of pancreatic cystadenoma and cystadenocarcinoma.Conclusion:Pancreatic cystadenoma and cystadenocarcinoma were mainly found in older women in East and Central China.Preoperative diagnosis is difficult.Pancreatoduodenectomy and resection of pancreatic body and tail were the main procedure for the treatment of pancreatic cystadenoma and cystadenocarcinoma.
基金Supported by Beijing Natural Science Foundation and-Haidian Original Innovation Joint Fund(L232072).
文摘Introduction:Infants have the highest incidence of meningococcal meningitis(MM)among all age groups in China.Infants receive their first and second doses of serogroup A meningococcal polysaccharide vaccine at 6 and 9 months of age.Methods:We extracted data on MM cases among 0–11-month-old children reported during 2006–2023 from the National Notifiable Diseases Registry System and the National Meningococcal Disease Surveillance System and conducted an epidemiological and clinical analysis.Results:During the study period,721 infant MM cases were reported.Incidence decreased from 7.31 cases per million to 2.74 per million,while the all-age incidence declined from 1.27 cases per million to 0.06 per million.Among 210 cases with serogrouping results,five serogroups(A,B,C,W,Y)and nongroupable strains were detected.Serogroup A cases decreased from 36.36%to 1.87%during the study period,while serogroup B increased from 14.55%to 67.29%.Fever,nausea,and/or vomiting were common symptoms across all serogroups.The frequencies of petechiae and/or purpura in serogroup A(73%)and C(92%)were substantially higher than in other serogroups.Among serogroup B cases,26.42%developed petechiae and/or purpura,26.42%exhibited neck stiffness,and 13.21%had positive Kernig’s and/or Brudzinski’s signs.Conclusions:The incidence of MM in infants has significantly decreased but remains higher than incidence across all age groups.Serogroup B cases were the most common.Atypical symptoms in infant cases challenge timely diagnosis.We suggest eligible infants receive meningococcal vaccination timely,and the development of serogroup B meningococcal vaccines should be accelerated.
文摘Objective Since HFMD was designated as a class C communicable disease in May 2008,18 months surveillance data have been accumulated to December 2009.This article was to describe the distribution of HFMD for age,sex,area,and time between 2008 and 2009,to reveal the characteristics of the epidemic.Methods We analyzed weekly reported cases of HFMD from May 2008 to December 2009,and presented data on the distribution of age,sex,area and time.A discrete Poisson model was used to detect spatial-temporal clusters of HFMD.Results More than 1 065 000 cases of HFMD were reported in China's Mainland from May 2008 to December 2009 （total incidence：12.47 per 10 000）.Male incidence was higher than female for all ages and 91.9% of patients were 5 years old.The incidence was highest in Beijing,Shanghai,Zhejiang and Hainan.The highest peak of HFMD cases was in April and the number of cases remained high from April to August.The spatial-temporal distribution detected four clusters.Conclusion Children 5 years old were susceptible to HFMD and we should be aware of their vulnerability.The incidence was higher in urban than rural areas,and an annual pandemic usually starts in April.
基金Fundamental Research Funds for the Central Universities of China(No.xjj2012052)
文摘·AIM: To determine the prevalence of asthenopia and identify any associated risk factors in the college students in Xi’an, China. · METHODS: From April to September 2012, 1 500 students from five universities in Xi’an were selected according to a multi -stage stratified cluster sampling method. Data on demographic features, lifestyle or dietary habits, health status, living environment conditions, sleep and mental status, and asthenopia symptoms were collected through a self -administered validated questionnaire. Univariate logistic regression and multivariate logistic regression analysis modified by the factor analysis were performed to evaluate risk factors for asthenopia. ·RESULTS: Fifty-seven percent of the college students complained of asthenopia. Statistically significant risk factors for asthenopia in the univariate analysis included 13 variables. Multivariate analysis revealed a significant relationship between the use of computer and asthenopia (OR 1.21, 95% CI: 1.09 to 1.35). Good sleep and mental status (OR 0.86, 95% CI: 0.76 to 0.97), good living environment conditions (OR 0.67, 95% CI: 0.60 to 0.76), and high intake of green leafy vegetables (OR 0.89, 95% CI: 0.80 to 0.98) were found to be strong predictors of decreasing the occurrence of asthenopia complaints. ·CONCLUSION: Asthenopia symptom appeares to be common among college students; and it is strongly associated with computer use, psychosocial state, environment conditions and dietary habits, suggesting that additional studies are warranted to verify these risk factors and establish prevention guidelines, especially for college students. ·
文摘AIM： To analyze the characteristics of epidemiological, clinical and survival patterns among patients with carcinoma of the stomach. METHODS： We retrospectively studied the characteristics of 186 gastric adenocarcinoma patients at Ahwaz Jundishapur University Hospitals （AJSUH） from September 1, 1996 to September 1, 2002. All the patients had histopathologically-confirmed malignancy. Demographic variables, family history of gastric cancer （GC）, clinicopathologic characteristics and treatment-related variables were analyzed. Univariate analysis was performed with the log-rank test and multivariate analysis with Cox regression. P 〈 0.05 was considered statistically significant. RESULTS： Male to female ratio was 2.6：1. The mean age was 60.6 years and 14% of the patients were younger than 40 years. Adenocarcinoma, gastric lymphoma, and gastric metastasis were found in 94.5%, 2.3%, and 3% patients, respectively. There was an average of 6-mo delay between the initial symptoms and the diagnosis. Among adenocarcinoma groups, intestinal type was the commonest （55.9%） and the distal third was the most common localization （88.4%）. One hundred and thirty-four patients （72.1%） were males. Thirty-one patients （17%） had a family history of GC. Surgery was performed in 90% of patients （non-curative）. CONCLUSION： The epidemiological features of GC in south Iran mimic those in high-risk areas. There is a higher frequency of GC in young patients at our institution. Patients are detected and treated after a relatively long delay. Most patients present in advanced stages, which favors a poor overall survival, Family history of GC has a significant problem in our area, Studying the etiology of this cancer in south Iran and earlier diagnosis and subsequent better cares are recommended.
文摘To introduce the epidemical, pathological, and clinical characteristics as well as the diagnostic and therapeutical experiences of endomyocardial fibrosis(EMF) in China. [WT5”BX] Data sources.[WT5”BZ]A CMBdisc search was done of the Chinese language literature published from January 1983 through June 1997 about EMF and/or restrictive cardiomyopathy. A manual search was then done for other contributions, including abstracts, between January 1965 and June 1997. [WT5”BX] Results. [WT5”BZ]Eighty seven Chinese cases of EMF were collected in this paper. There were 49 men and 38 women, with a mean age of 28±13 years(range, 8 to 68 years). The distribution of the cases is mainly in the south of China. Combined right and left ventricular disease occurs in 48 percent of cases, with pure right ventricular involvement occurring in 42 percent and pure left ventricular involvement in the remaining 10 percent of patients who are examined postmortem. The diagnosis of EMF was confirmed in 21 cases at autopsy, and in 66 cases by echocardiography, angiocardiography, and/or endomyocardial biopsy which showed the characteristic changes. Clinically, right sided disease is the commonest variety. Endocardiectomy and tricuspid(n=7) or mitral(n=1) valves replacement have been performed in 8 patients. There were 2 operative deaths. Six patients had a satisfactory recovery postoperatively and living well in the follow up duration. [WT5”BX] Conclusion.
文摘Introduction:On September 16,2024,the Puyang City CDC received a report of a suspected foodborne disease outbreak involving 14 individuals who developed nausea,vomiting,and diarrhea following attendance at a hotel banquet.Upon notification,the District CDC immediately deployed a specialized investigation team to characterize the epidemiological features of the outbreak,identify the causative pathogen,assess potential transmission risks,and implement effective control and prevention measures.Methods:We integrated comprehensive on-site epidemiological investigations,clinical symptom analyses,and laboratory diagnostics to isolate and identify pathogenic agents from retained food samples,environmental specimens,and anal swabs collected from affected cases.The recovered isolates underwent enterotoxin-virulence-gene profiling,antimicrobialsusceptibility testing,and phylogenetic analyses.Additionally,we characterized the architecture of the enterotoxin-A-linked pathogenicity island vSaβ.Results:A total of 4 S.aureus strains were successfully isolated from 22 leftover food samples,2 environmental swabs,and 2 patient anal swabs.Contaminated donkey and goose meat was identified as the outbreak source.All isolates harbored sea and seb enterotoxin genes,exhibited PEN-OXA-ERY-CLI resistance patterns,and were identified as clonal ST59-spa t441-SCCmec IVa CA-MRSA strains.Phylogenetic analysis positioned the outbreak strains within the Asia-Pacific clade,distinguishing them from the North American ST59 sublineage.Comprehensive analysis of the sea-associated virulence island vSaβidentified a novel structural arrangement containing a type A IEC cluster(sea-sak-chp-scn).Conclusions:The detection of foodborne ST59 CAMRSA clones in this outbreak underscores the prevalence and transmission risks associated with this hypervirulent lineage.These findings emphasize the critical need to strengthen surveillance measures for CA-MRSA among food industry workers.
基金supported by the National Natural Science Foundation of China[82160578]the Natural Science Foundation of Jiangxi Province[20212BCJ23024]the Health Department of Jiangxi Province[202130346].
文摘The low incidence of combined hepatocellular cholangiocarcinoma(cHCC-CCA)is an important factor limiting research progression.Our study extensively included nearly three decades of relevant literature and assembled the most comprehensive database comprising 5,742 patients with cHCC-CCA.We summarized the characteristics,tumor markers,and clinical features of these patients.Additionally,we present the evolution of cHCC-CCA classification and explain the underlying rationale for these classification standards.We reviewed cHCC-CCA diagnostic advances using imaging features,tumor markers,and postoperative pathology,as well as treatment options such as surgical,adjuvant,and immune-targeted therapies.In addition,recent advances in more effective chemotherapeutic regimens and immune-targeted therapies were explored.Furthermore,we described the molecular mutation features and potential specific markers of cHCC-CCA.The prognostic value of Nestin has been proven,and we speculate that Nestin will also play a role in classification and diagnosis.However,further research is needed.Moreover,we believe that the possibility of using machine learning liquid biopsy for preoperative diagnosis and establishing a scoring system are directions for future research.
