Characteristics of adverse events following immunization in Changsha in 2021 / 公共卫生与预防医学

Objective To analyze the characteristics of suspected adverse events following immunization (AEFI) in Changsha in 2021. Methods Data on AEFI cases and vaccination doses of all vaccines in 2021 were obtained from the China Information System for Disease Control and Prevention．Descriptive epidemiological methods were used for data analysis. Results A total of 1 658 AEF1 cases were reported in Changsha in 2021. The male to female ratio was 0.80:1. The ≤1 year old group, 2-6 years old group, and ≥7 years old group accounted for 15.80%, 24.31%, and 59.89%, respectively. Among all AEFIs，common and rare adverse reactions accounted for 85.34% and 2.65% respectively, with reported incidence rates being 4.777 and 0.219 per 100 000 doses，respectively．The total estimated AEFI rate was 7.122 per 100 000 doses. The incidences of severe AEFI and non-serious AEFI were 0.185 and 6.937 per 100 000 doses, respectively. The top five vaccines reported by AEFI were AC meningitis/Hib triple vaccine (574.713 per 100 000 doses, 1 case), measles vaccine (72.836 per 100 000 doses, 62 cases), DTP vaccine (Cell-free) (64.614 per 100 000 doses, 61 cases), freeze-dried live attenuated influenza vaccine (nasal spray) (61.805 per 100 000 doses , 1 case), and herpes zoster vaccine (CHO cells) (54.715 per 100 000 doses , 3 cases). Conclusion The reported incidence of AEFIs decreased slightly in Changsha in 2021．Most adverse reactions were mild，and the incidence of adverse reactions were low.

Analysis of a family with congenital dysfibrinogenemia caused by an Arg275His mutation in the gamma chain of fibrinogen / 中华医学遗传学杂志

<p><b>OBJECTIVE</b>To explore the clinical phenotype of a family affected with congenital dysfibrinogenemia and potential mutations underlying the disease.</p><p><b>METHODS</b>Coagulation testing and hepatorenal function testing were conducted on 18 individuals from three generations. Plasma fibrinogen was extracted and analyzed with SDS-PAGE electrophoresis. All of the exons and flanking sequences of fibrinogen FGA, FGB, FGG genes were analyzed by PCR, and the products were subjected to Sanger sequencing.</p><p><b>RESULTS</b>Hepatorenal function, prothrombin time and activated partial thromboplastin time of the proband were all normal. However, his thrombin time was significantly prolonged. Fibrinogen activity was decreased, while the concentration of antigen was in the normal range. The results of his mother, brother, and nephew were similar. DNA sequencing has confirmed that the proband, his mother, brother, and nephew have all carried a g.5877G>A mutation in the exon 8 of the FGG gene, which resulted in replacement of arginine (Arg) by histidine (His) at position 275.</p><p><b>CONCLUSION</b>The Arg275His mutation of the fibrinogen gamma chain probably underlies the pathogenesis of congenital dysfibrinogenemia in this family.</p>

Postpartum change of blood pressure and its risk factors in patients with hypertensive disorders in pregnancy / 中南大学学报(医学版)

OBJECTIVE@#To investigate the change of blood pressure in patients with hypertensive disorders in pregnancy after delivery and the risk factors.@*METHODS@#In a retrospective cohort study, we collected subjects from villages and towns in Liuyang by cluster sampling method. Before enrolling in this cohort, all had established health records from January 2010 to December 2011. We collected the medical records and maternal health care manuals of this cohort as our data materials, focusing on the blood pressure records as well as related features. We compared the differences of recovery rate of postpartum blood pressure in different kinds of antenatal blood pressure groups with χ2 test. In order to explore the main factors influencing the recovery rate of blood pressure of patients with hypertensive disorders in pregnancy, we conducted univariate and multivariate analysis by χ2 test and unconditional logistic regression analysis.@*RESULTS@#Among the 460 women with hypertensive disorders in pregnancy in our analysis, the recovery rate of postpartum blood pressure reached 88.7%. Multivariate analysis showed that the risk factors influencing the recovery rate of postpartum blood pressure included advanced age (OR=0.436), higher degree of hypertensive disorders in pregnancy (OR=0.436), and hypertension with simultaneously high systolic and diastolic blood pressures (OR=0.192).@*CONCLUSION@#For most patients with hypertensive disorders in pregnancy, the blood pressure may decrease to normal level 42 days after delivery. Women with advanced age, higher degree of hypertensive disorders in pregnancy and hypertension with simultaneously high systolic and diastolic blood pressures should be given more attention.

A population based study on incidence and determinants of preterm birth in Liuyang Hunan / 中南大学学报(医学版)

OBJECTIVE@#To describe the incidence and to discuss the risk factors of premature birth in rural areas of Liuyang.@*METHODS@#We collected subjects from villages and towns in Liuyang through cluster sampling method. Before enrolling in this cohort, all of them had established health records from January 2010 to December 2011. We followed up the early, middle and late stages of pregnancy until delivery, and collected medical records and maternal health care manual of this cohort as our data materials. We explored the main influence factors of premature delivery by χ2 test and unconditional logistic regression analysis for single factor and multivariate analysis.@*RESULTS@#Among 6270 women who enrolled in our cohort, 259 were diagnosed as premature birth. The incidence (4.13%) was lower than the national average level. Non-conditional logistic regression analysis showed that the risk factors of premature birth were as follows: OR of placental abruption was 7.678 (95% CI: 2.249-26.215), that of premature rupture of fetal membranes (PROM) was 5.177 (95% CI: 3.945-6.793), that of uterine abnormal and deformity was 2.675 (95% CI: 1.007-7.107), that of placenta anomaly was 2.633 (95% CI: 1.666-4.162), that of hypertension in pregnancy was 2.172 (95% CI: 1.044-4.521), that of pregnancy complications was 1.806 (95% CI: 1.033-3.157), that of male fetus was 1.429 (95% CI: 1.086-1.881). Protective factors of preterm birth were too frequent prenatal examination (OR=0.502, 95% CI: 1.033-3.157) and single pregnancy (OR=0.155, 95% CI: 0.075-0.319).@*CONCLUSION@#Preterm delivery is caused by complicated factors, such as placental abruption, PROM and male fetus. Comprehensive measures should be taken to reduce preterm birth.