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May 2020, Volume 23,No15 Abstracts(B)

 Prevalence and Influencing Factors of Metabolic Syndrome among Kazakh Herdsmen in Xinjiang Pastoral Area WANG Jiawei1,FAN Qiongling1,LUO Yuanyuan1,ZHAN Huaifeng2,WANG Hongjun3,CHEN Rui1,XU Yuezhen1,TAO Ning4,YOU Shuping1*
1.School of Nursing,Xinjiang Medical University,Urumqi 830011,China
2.Xinjiang Urumqi County Shuixigou Hospital,Urumqi 830000,China
3.Xinjiang Urumqi County Xiaoquxiang Hospital,Urumqi 830000,China
4.School of Public Health,Xinjiang Medical University,Urumqi 830011,China
*Corresponding author:YOU Shuping,Professor;E-mail:youshupin@163.com
【Abstract】 Background It is estimated that increasing prevalence of metabolic syndrome (MS) will cause a heavy disease burden in the future.Studies have shown that the incidence of cardiovascular events in patients with metabolic syndrome is 5.5 times higher than that in those without MS during a 5-year follow-up.Therefore,intensive studying the risk factors of MS in a given area is conducive to improving the overall quality of life of the area.Objective To explore the prevalence and influencing factors of MS among Kazakh herdsmen in Xinjiang pastoral area.Methods In this cross-sectional study,by use of multistage clustered and stratified random sampling,7 453(≥18 years old) Kazakh herdsmen in Xinjiang pastoral area were recruited during January to October 2018.They received a questionnaire survey,a physical examination and a laboratory test.The age-specific prevalence of MS in this group was standardized in accordance with that of age-matched norm population collected from China's Sixth National Population Census held in 2010,influencing factors of MS among Kazakh herdsmen in Xinjiang pastoral area were discussed.Results Among the participants,the prevalence rate of MS was 35.11% and the standardized prevalence rate was 33.46%.The trend chi-square test showed that the prevalence of MS increased with BMI increasing (χ2ttrend=1 485 436,P<0.05).By fitting regression curves for age and the number of MS components,we found that the number of MS components also increased with age increasing,so the derived fitting equation was:y=0.333+0.029x,R2=0.61.After adjusting 3 confounding factors including age,BMI,and education level,multivariate unconditional logistic regression analysis showed that female,meat-rich diet,salt tooth,fatty tooth,smoking,frequent drinking,daily drinking,occasional exercise,no exercise,familial history of hypertension and familial history of coronary heart disease were influencing factors for MS(P<0.05).Conclusion The prevalence of MS was high among Kazakh herdsmen in Xinjiang pastoral area,which was mainly influenced by gender,meat and vegetable collocation,salt tooth,fatty tooth,smoking,drinking,physical exercise,familial history of hypertension and familial history of coronary heart disease.
【Key words】 Metabolic syndrome;Prevalence;Kazakh;Herdsmen;Root cause analysis
 
Thoracoscopic Diagnosis and Treatment Procedure for Multiple Ground-glass Nodules in the Lung LIU Guangjie1,JIA Yuxuan2,XU Wenhua1,LI Bing1,SUN Pengli1,LI Lizhe1,HAN Yaqing1,LIU Qingyi1*
1.Department of Thoracic Surgery,the 4th Hospital of HeBei Medical University,Shijiazhuang 050011,China
2.School of Basic Medical Sciences,Hebei Medical University,Shijiazhuang 050017,China
*Corresponding author:LIU Qingyi,Chief physician,Professor,Master supervisor;E-mail:zhongmeijian_lqy@163.com
【Abstract】 Background  The detection rate of multiple ground-glass nodules(GGNs) in the lung is increasing with the widening application of spiral CT in lung disease screening and people's increased awareness and participation in physical examination.The management of single ground-glass nodule in the lung can follow the guidelines published by the Fleischner Society and NCCN,but there is no reference for the management of multiple GGNs in the lung.Objective To develop a diagnosis and treatment procedure for multiple GGNs in the lung based on analyzing clinical imaging data and results of CT-guided puncture biopsy of such patients,providing a reference for clinical practice.Methods In this study we summarized the data of 54 patients with multiple GGNs in the lung recruited from Department of Thoracic Surgery,the 4th Hospital of HeBei Medical University from May 2015 to December 2018.All the patients underwent thin-slice chest CT scan and all the GGNs were marked and the dominant lesions were figured out by characteristics of the lesions,including shape,density,diameter and proportion of solid components.Afterwards,CT guided puncture biopsy was performed according to the location and characteristics of the GGNs,and treatment strategies were formed accordingly.Results A total of 140 GGNs lesions were detected in the 54 patients,including 58 dominant lesions and 82 non-dominant lesions.CT-guided puncture was performed in 15 unilateral cases and 10 bilateral cases.Puncture pathology results proved that there were 20 cases of adenocarcinoma,12 cases of lepidicpredominant tumor,and 3 cases of benign tumor.Seven cases did not undergo surgery(including 2 receiving targeted drug therapy,3 with benign lesions found by biopsy,and 2 receiving radiofrequency ablation),other 47 underwent thoracic surgery,but all of them were discharged after successful treatment.A total of 50(86.2%) dominant lesions and 35(42.7%) non-dominant lesions were resected.Finally,19 cases of synchronous multiple primary lung cancer,26 cases of primary lung cancer,1 case of atypical epithelioid nodule and 1 case of atypical adenomatous hyperplasia(AAH) were diagnosed.At the same time,there were other 55 GGNs were followed up.All patients were followed up from 2 to 43 months and were all in good health.Conclusion According to the imaging data and the pathological results of CT guided puncture,appropriate surgical strategy can be worked out for multiple GGNs before surgery,so that reasonable diagnosis and treatment be made up to avoid unnecessary surgery.
【Key words】 Sarcoidosis,pulmonary;Multiple pulmonary nodules;Punctures;Diagnosis ;Therapy
British Journal of General Practice
 
Clinical Features and Diagnosis and Treatment of Ectopic Hydatidiform Mole in Early Pregnancy:Report of Two Cases LI Chanjuan1*,ZHOU Caiyun2
1.Department of Obstetrics and Gynecology,the First People's Hospital of Chuzhou,Chuzhou 239000,China
2.Department of Pathology,the First People's Hospital of Chuzhou,Chuzhou 239000,China
* Corresponding author:LI Chanjuan,Associate chief physician;E-mail:doctorlcj@yeah.net
【Abstract】 Ectopic hydatidiform mole can cause serious complications in clinical practice.Its incidence is extremely low,and it is easily to be missed and misdiagnosed.This article reports the clinical manifestations and pathological findings of two cases with ectopic hydatidiform mole.The first case was partial hydatidiform mole,and the second case was complete hydatidiform mole with cervical malignant tumor.Both cases were clinically characterized and firstly treated as ectopic pregnancy,resulting in misdiagnosis and therapeutic error.Both cases were treated by operation,and hydatidiform mole was diagnosed by pathological examination after the operation.After the follow-up and additional treatment,both cases were cured.Both the diagnosis and treatment of two cases were insufficient.Combined with relevant literature,this paper analyzes and summarizes medical records to expound typical clinical manifestations and the latest treatment progress of ectopic hydatidiform mole,in order to arouse the attention of clinicians and provide support for its early diagnosis and treatment.
【Key words】 Pregnancy,molar;Pregnancy,ectopic;Pathology
 

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