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Objective:To analyze the epidemic status and characteristics of human brucellosis in Ordos City, and to provide basis for formulating perfect prevention and control countermeasures of brucellosis.Methods:The data of reported human brucellosis cases in Ordos City from 2016 to 2020 were collected through the Chinese Disease Prevention and Control Information System. Descriptive epidemiological method was used to analyze the distributions of time, region and population.Results:Totally 2 861 cases of human brucellosis were reported in Ordos City from 2016 to 2020. The average annual incidence rate was 27.68/100 000 and no deaths. The incidence rate of human brucellosis decreased year by year from 2016 to 2018 (24.11/100 000, 20.82/100 000, 20.11/100 000). But the incidence rate began to pick up in 2019 (24.59/100 000) and rose to 48.53/100 000 in 2020. The incidence peak was from March to August (1 882 cases). The cases had been reported in all over 9 banners (districts) of the city. The cumulative number of reported cases from more to less was Hangjin Banner, Dalat Banner, Otog Front Banner, Jungar Banner, Otog Banner, Dongsheng District, Wushen County, Ejin Horo Banner and Kangbashi District. The cases were predominantly male, and the sex ratio of male to female was 2.23∶1.00 (1 974 ∶ 887). The onset was mainly young and middle-aged adults, and the age was mainly 30-69 years old (2 541 cases). Farmers accounted for 65.26% (1 867 cases) in all reported cases, followed by herdsmen, accounting for 18.98% (543 cases).Conclusions:There is an obvious upward trend of human brucellosis in Ordos City in recent years, mainly among young and middle-aged male farmers. Health education for key populations should be strengthened, as well as personal protection during high-risk operations.
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ABSTRACT: Based on the panel data of 134 counties (cities and districts) from 1998 to 2017, the temporal-spatial variation characteristics and influencing factors of agricultural eco-efficiency in Shandong Province were analyzed by using various methods, such as the super-efficiency SBM (slacks-based measure) model considering undesired output and the STIRPAT (stochastic impacts by regression on population, affluence, and technology) model, which helps clarify the improvements needed for agricultural eco-efficiency and provides a basis for the development of ecological agriculture in Shandong Province. Results showed the following: (1) During 1998-2017, the agricultural eco-efficiency of Shandong Province showed a fluctuating increasing tendency, but the overall efficiency value wasrelatively low. (2) The agricultural eco-efficiency of Shandong Province had a significant regional disparity, and its spatial agglomeration gradually weakened. The spatial distribution had a sporadic distribution of high value areas at first and then gradually formed the "low-high-low-high" zonal distribution from west to east. (3) The net income per capita of farmers and the added value of the primary industry had a significantly positive correlation with the agricultural eco-efficiency of Shandong Province, while the mechanization level, the planting area per capita, the level of financial support to agriculture and the planting structure exhibited a mainly negative correlation with the agricultural eco-efficiency of Shandong Province. Moreover, the added value of the primary industry and the financial support to agriculture in the 0.75 quantile had no significant influence on the agricultural eco-efficiency of Shandong Province, and the planting structure in the 0.25 and 0.75 quantiles also had no significant influence.
RESUMO: Com base nos dados do painel de 134 municípios (cidades, distritos) na província de Shandong de 1998 a 2017, as características de variação espacial e temporal da ecoeficiência agrícola na província de Shandong foram analisadas usando vários métodos, como o modelo SBM (Medida baseada EM estacas) supereficiente. Considerando indesejados produção e modelo STIRPAT (Impactos estocásticos da regressão da população, da afluência e da tecnologia), ajudará a esclarecer a direção da melhoria da eco eficiência agrícola na província de Shandong e fornecerá uma base para o desenvolvimento da agricultura ecológica. Os resultados mostraram que (1) em 1998-2017, a ecoeficiência agrícola da província de Shandong mostrou uma tendência ascendente na flutuação, mas o valor geral da eficiência foi baixo. (2) A distribuição espacial da distribuição esporádica inicial da área de alto valor se formou gradualmente de oeste para leste, distribuição zonal " "baixo-alto-baixo-alto"" (3) O lucro líquido per capita dos agricultores e o valor acrescentado da indústria primária foram significativamente correlacionados positivamente com a ecoeficiência agrícola da província de Shandong. O nível de mecanização, a área de plantio per capita, o apoio financeiro ao nível agrícola e a estrutura de plantio, entre eles, o valor acrescentado da indústria primária e o apoio financeiro à agricultura em 0,75 quantil, a estrutura de plantio em 0,25 e 0,75 quantil na ecoeficiência agrícola da província de Shandong não é significativa.
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Objective To investigate and analyze the effect of serum micro inflammatory and nutritional indexes of psychological intervention combined with enalapril maleate tablets on the treatment of the patients with maintenance hemodialysis. Methods 100 patients with chronic renal failure in Jiande the first people's hospital from February 2015 to August 2016 were selected as the subjects, and randomly divided into the control group and the experimental group. The control group and the experimental group were given enalapril maleate tablets, at the same time, the experimental group were received psychological intervention. The changes of serum micro inflammation indexes and nutritional indexes in the the two groups were compared and analyzed. Results The HsCRP, TNF alpha levels in the experimental group decreased significantly than those in the control group, the differences had statistical significant (P<0.05). The levels of prealbumin and plasma albumin in the experimental group were significantly higher than those in the control group (P<0.05). After treatment, the SAS score in the experimental group was (42.3±5.2) points, and the SDS score was (40.1±5.9) points. The SAS score in the control group was (60.9±9.2) points, and the SDS score was (59.1±7.4) points. The scores of depression and anxiety in the experimental group were significantly lower than those in the control group (P<0.05). Conclusion Psychological intervention combined with enalapril maleate tablets used in maintenance hemodialysis patients, which can significantly improve patients' serum inflammation index, restore the nutritional status of patients, eliminate the negative emotion of patients, with further clinical promotion and application significance.
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Objective To explore the clinical effect of hemodialysis combined with hemoperfusion in treatment of secondary hyperparathyroidism. Methods 32 patients with secondary hyperparathyroidism were selected and randomly divided into two groups:the observation group(16 cases) and the control group(16 cases). The patients in the observation group were treated with hemodialysis combined with hemoperfusion, and in the control group, the patients were treated with conventional hemodialysis. Then the levels of serum phosphorus, serum calcium, serum intact parathyroid hormone(iPTH) and skin itching,and weakness and so on were compared. Results After treatment,the level of iPTH in the observation group decreased significantly(P ＜ 0.05) ,but in control group it decreased not obviously, and compared with it before treatment there was no significant difference. After treatment, in the two groups the level of serum phosphorus was significantly lower(P ＜0.05) ,and the level of serum calcium was significantly higher (P ＜ 0.05), and the level of serum phosphorus and iPTH had significant differences between the two groups (P ＜0. 05) ,while no significant difference in serum calcium. In the observation group,skin itching,muscle weakness and other symptoms were improved significantly compared with those in the control group (P ＜ 0.05). Conclusion Hemodialysis combined with hemoperfusion in treatment of secondary hyperparathyroidism was very effective.