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Objective To explore the Helicobacter pylori (Hp) infection rate and antibody typing of 1111 physical examination people in plateau area, and to analyze the risk factors of Hp infection by logistics regression analysis. Methods 1111 healthy people with physical examination in plateau area from January 2022 to December 2022 were selected as the research subjects. The Hp infection rate and antibody typing were calculated, and the risk factors of Hp infection were analyzed by logistics regression analysis. Results The Hp infection rate of physical examination people in plateau area was 62.47% (694/1 111). The infection rate of type I HP in infected patients was higher than that of type Ⅱ HP(75.50% vs 24.50%) (χ2=361.141, P2=4.418, 8.708, 16.565, 32.583, P=0.036, 0.003, 2=5.153, P=0.023). Often eating pickled or barbecued foods [OR (95%CI)=2.038 (1.049-3.961)], history of chronic gastric disease [OR(95%CI)=1.706 (1.132-2.569)] and family members living together≥4 [OR (95%CI)=1.857 (1.135-3.037)] were risk factors of Hp infection, and regular garlic consumption [OR (95%CI)=0.559 (0.346-0.903)] was a protective factor (P=0.036, 0.011, 0.014, 0.018). Conclusion The Hp infection rate and antibody Ure positive rate are higher in physical examination people in plateau area, and chronic gastric disease history and often eating pickled or barbecued foods are risk factors of Hp infection.
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ObjectiveTo investigate the risk factors of fertility behaviors with preterm birth and low birth weight， and to develop a nomogram model to predict the occurrence of low birth weight. MethodsBirth registration information in Shanghai from 2010 to 2020 was collected， and ANOVA and Chi-square tests were used to compare the differences in reproductive behavior factors and newborn health status across time. The odds ratio （OR） value and 95%CI were calculated by a multi-classification logistic regression model to determine the association between reproductive behavior factors and preterm birth or low birth weight infants. A nomogram model was established based on logistic model and the area under the ROC curve was used to assess the effect of the model. ResultsThis analysis included 2 089 384 live newborns. The incidence of full-term low birth weight， preterm normal weight and preterm low birth weight in Shanghai was 0.94%， 2.48% and 2.01%， respectively. From 2010 to 2020， 40.00% women had a history of abortion， the proportion of women who gave birth at age ≥40 years old increased from 1.05% to 2.24%， the proportion of fathers aged ≥40 years increased from 4.79% to 7.48%， and the proportion of women with postgraduate or above increased from 4.81% to 11.74%. The incidence of preterm low birth weight in Shanghai showed an increasing trend over time. Logistic regression analysis showed that the risk of preterm low birth weight was lower in female than in male infants （OR=0.97， 95%CI： 0.95‒0.98）， and the risk of full-term low birth weight was higher than in male infants （OR=1.85， 95%CI： 1.80‒1.90）. The risk of preterm birth and low birth weight was lower for couples of childbearing age with higher education. The risk of preterm low birth weight in newborns tended to increase with maternal age at childbirth >30 years， paternal age ≥40 years， and the number of abortions >2 times. Mother <25 or >35 years， father aged 30‒34 years， and the number of abortions >3 times were the risk factors of full-term low birth weight infants. ConclusionCouples of childbearing age who choose to have children at too high or too low age may increase the risk of preterm birth or low birth weight， so it is necessary to strengthen population awareness and promote age-appropriate childbirth. Multiple abortions are also associated with preterm birth and low birth weight， and it is advisable to popularize the scientific knowledge of contraception and birth control to reduce unnecessary abortions. The nomogram in the study can visualize the risk of full-term and low birth weight infant at different levels of factors， which can assist couples preparing for pregnancy in making decisions about the timing of childbirth and understanding the level of risk.
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Objective To explore the risk factors of unplanned readmission in patients with acute myocardial infarction in plateau area. Methods The convenience sampling method was used to select 220 patients with acute myocardial infarction in the hospital's internal medicine department from January 2020 to May 2021. The patients were divided into two groups according to whether they had unplanned readmission within one year, 79 patients were included in readmission group, and 141 patients without unplanned readmission were included in non-readmission group. Clinical data of the 220 patients with acute myocardial infarction in plateau area were collected by reviewing electronic medical records, and laboratory examination and angiography examination were performed 1 day before discharge. Univariate and multivariate logistic regression analysis were carried out, and ROC curve risk prediction model was established. Results There were statistically significant differences in age, history of myocardial infarction, history of PCI, history of stroke, blood calcium, and Kilip cardiac function between the two groups (P < 0.05). Logistic regression analysis showed that age ≥60 years old, history of myocardial infarction, history of PCI, history of stroke, blood calcium and Kilip cardiac function grading were positively correlated with unscheduled readmission (P < 0.05). The ROC curve was drawn with the occurrence of unplanned readmission as the state variable. The AUC area was 0.801, the predictive sensitivity was 88.94%, and the specificity was 57.92%. Conclusion Unplanned readmission of AMI patients in plateau areas is related to multiple factors. It is necessary to identify high-risk groups as early as possible in combination with risk factors and develop individualized intervention measures.
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O presente trabalho foi realizado na Floresta Nacional (FLONA) de São Francisco de Paula, no Rio Grande do Sul. Teve como objetivo determinar, via análise de regressão logística, os fatores ambientais que influenciam a ocorrência das espécies Araucaria angustifolia (Bertol.) Kuntze e Podocarpus lambertii Klotzsch ex Endl. em uma área de Floresta Ombrófila Mista na FLONA de São Francisco de Paula. Para o estudo, foram avaliados os indivíduos com cap=30cm, em 1.000 subunidades amostrais de 10 x 10m, demarcadas em 10 conglomerados permanentes de 1ha (100 x 100m) previamente instalados na floresta. Em cada subunidade amostral, foram avaliados os fatores passíveis de influenciar a ocorrência das espécies, como os fatores relativos ao habitat: físicos do solo (profundidade, presença de afloramentos rochosos e umidade), exposição à luz e inclinação do terreno; e os fatores relativos à concorrência: área basal, densidade do sub-bosque e frequência de indivíduos. Pelos resultados obtidos, foi possível concluir que a Araucaria angustifolia ocorre em locais com solos profundos, expostos para o norte e com baixa frequência de indivíduos. Por outro lado, Podocarpus lambertii prefere locais não pedregosos, pouco inclinados, com exposição sul, relativamente úmidos, com alta frequência de indivíduos e alta densidade do sub-bosque.
The present research was accomplished at São Francisco de Paula's National Forest (FLONA), in Rio Grande do Sul. The objective was to determine, through logistics regression analysis, the environmental and competition factors that could influence on the occurrence of Araucaria angustifolia (Bertol.) Kuntze and Podocarpus lambertii former Klotzsch Endl. species in Mixed ombrophylous forest. For the study, the individuals with cap=30cm had been evaluated, in 1000 samples of 10 x 10m, demarcated in ten permanent conglomerate of 1ha (100 x 100m) previously installed in the forest. In each sample the factors that might influence the occurrence of the species and the factors related the habitat was assessed as physical of the soil (depth, rocky outcrop and humidity), exhibition to the light and the relief inclination. The competition factors were: basal area, sub-forest density and individuals' frequency . For the obtained results it had been possible to conclude that the Araucaria angustifolia prefers places with deep soils, north exposition and low individuals frequency. On the other hand, Podocarpus lambertii prefers no stony places, little sloping, with south exposition, relatively humid, with high frequency of individuals and high sub-forest density.