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Objective @#To learn the epidemic distribution of avian influenza virus in external environments in Liaoning Province,and to provide evidence for the prevention and control of avian influenza.@*Methods @#The environmental samples were collected monthly during 2016 and 2017（including samples from emergency monitoring in June to August,2016 and March to May,2017）from live poultry markets,live poultry wholesale markets,large-scale poultry farms（households）,free-range poultry famers and poultry processing factories in Liaoning Province. Real-time polymerase chain reaction assay was used to detect nucleic acid of Influenza A as well as H5,H7 and H9 subtypes in the environmental samples. The distribution of avian influenza virus in external environments in Liaoning Province was analyzed.@*Results @#A total of 4 037 environmental samples were collected and detected from 2016 to 2017,there were 177 copies of type A avian influenza virus and the positive rate of avian influenza A virus was 4.38%. The positive rate in 2017 was 6.26%, which was higher than 2.40% in 2016（P<0.05）. H9 subtype had the highest positive rate of 3.07%;H7 subtype was first detected in 2017. The positive rates of avian influenza virus from the first to fourth quarters of a year were 8.54%,4.88%,2.17% and 1.45%,respectively. The positive rates of avian influenza virus in live poultry markets were 8.08%,the highest among different sites,and the subtypes were mainly H9. The positive rates of avian influenza virus in samples of poultry cage and poultry washing sewage were 23.47% and 15.96%. H5 and H9 subtypes were detected in all types of samples,and H7 subtypes or mixed types were detected in samples of feces,poultry cage,poultry drinking water and chopping board.@*Conclusion @#The subtypes of avian influenza virus in the environments of Liaoning Province were mostly H9 and H5,and the H7 was first detected in 2017. Live poultry markets should be the key monitoring sites,especially in winter and spring.
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Objective@#To analyze the genetic characterization of 2B genotype rubella virus strains first isolated in Liaoning province.@*Methods@#Vero/Slam cells were used to isolate rubella viruses from throat swabs. Fragments of the E1 gene (739 nucleotides) were amplified by reverse transcription-polymerase chain reaction (RT-PCR) and the PCR products were sequenced and analyzed. The phylogenetic trees were constructed with rubella 2B genotypes reference strains.@*Results@#RVi/Liaoning.CHN/13.18/1[2B] was isolateded from the case which had a history of international travel and probably imported from abroad. RVi/Liaoning.CHN/13.18/1[2B] was in the same 1ineage with RVs/Edinburgh.GBR/6.12[2B] and RVs/Kawasaki.JPN/17.11/1[2B], but far from the epidemic strains isolated in China in recent years. RVi/Liaoning.CHN/14.18/1[2B] belonged to the same lineage with rubella virus 2B genotype strains isolated in China from 2014 to 2015, and had the highest homology with RVi/Chouzhou.Anhui.CHN/17.15/2[2B] and RVi/Shaoyang.Zhejiang. CHN/13.13[2B].@*Conclusions@#It was the first time to isolate the 2B genotype rubella virus in Liaoning province and the strain belonged to different 1ineage.
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Objective@#To provide scientific evidence for the prevention and control of the hand, foot and mouth disease (HFMD), we analyzed the epidemiological characteristics and pathogen surveillance of HFMD cases which were reported in Liaoning Province from 2008 to 2017.@*Methods@#The information of cases and laboratory monitoring were collected from the HFMD reports of 2008-2017. The epidemic intensity, three distribution and pathogen composition of HFMD were analyzed by using descriptive epidemiological method .@*Results@#There were 290 339 cases reported during 2008 to 2017 and the average incidence was 66.56/100000. The peak incidence was found for June to August, The incidence of crowd was mainly in the 0-6 years old children, and the male / female incidence ratio was 1.50∶1. Among 16 498 laboratory diagnosis cases, EV-A71 positive cases were 4 974 (30.15%), CV-A16 positive cases were 5 130(31.10%), and the other enteroviruses positive cases were 6 394 (38.76%).@*Conclusions@#The overall situation of HFMD in Liaoning province showed a fluctuating downward trend from 2008 to 2017. The epidemic had obvious seasonality and population, and the pathogenic characteristics were constantly changing, Monitoring should be strengthened.
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Objective To explore the spatial distribution of measles from 2013 through 2015 in Liaoning province,China and to provide references for measles control and prevention. Methods The GeoDa 1.4. 6 program was used to conduct exploratory spatial data analysis to identify the spatial distribution characteristics and pattern of measles in Liaoning province. Results The frequency analysis showed that the measles epidemic situation appeared to have significant positive skewing within 105 counties of Liaoning province in each year from 2013 through 2015. The global trend analysis indicated a balanced trend in 2013 and 2015,and that the high incidence measles areas were located in the eastern and northern provincial regions in 2014. The global Moran'sⅠwas 0.294 5,0.391 9,and 0.147 7,and general G values were 0.015 9,0.012 0,and 0.013 5,revealing a positive spatial autocorrelation and a high-high aggregation model for each year between 2013 and 2015. The local spatial autocorrelation analysis recognized 5 core areas and 25 hot-spot counties with a high incidence of the measles epidemic,mainly distributed in Shenyang,Fuxin,Tieling,Fushun,Benxi,Liaoyang,Panjin,and Huludao. Conclusion Measles cases were clustered geographically in Liaoning province from 2013 through 2015. Spatial epidemiology methods may offer insights for the epidemiologic study of measles.
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Objective@#To analyze the gene characterization on the first imported D8 genotype measles virus in Liaoning province.@*Methods@#In this study, Vero/Slam cells were used to isolate measles viruses from throat swabs. Fragments of the H gene (1854 nucleotides) and N gene (450 nucleotides) were amplified by reverse transcription-polymerase chain reaction (RT-PCR) and the PCR products were sequenced and analyzed.@*Results@#The measles virus isolates and World Health Organization (WHO) D8 genotype reference strain (MVi/Manchester.GBR/30.94) belonged to the same branch in the genetic relationship tree. The nucleotide homology of the N and H gene was 98.9%. Phylogenetic trees were constructed with reference strains of the genotype D8 measles virus of China downloaded from GenBank. The result showed that the nucleotide similarities between the measles virus isolated in this study and the D8 genotype measles virus prevalent in Hong Kong from 2012 to 2016 and MVi/LosPatios.COL/11.18/D8 in Columbia was 100%.@*Conclusions@#It is the first time to do surveillance for the D8 genotype measles virus since measles virus surveillance was carried out. It was of great significance to accumulate the bases of measles virus molecular epidemiology in Liaoning province, and helpful to analyze and trace the transmission of measles virus in the whole country and the world.
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Objective To explore the epidemiological characteristics of malaria in Liaoning Province from 1951 to 2014,so as to provide the evidence for further control of the disease. Methods The data of registered malaria cases in Liaoning Province from 1951 to 2014 were collected and analyzed with epidemiological methods. Results From 1951 to 2014,there were report-ed malaria cases each year. The peaks of incidence were in 1953,1962 and 1973,the incidence rates were 136.67/100000, 256.81/100000 and 35.89/100000 respectively and the numbers of patients were 27862,65460 and 11523,respectively. From 1977 to 2014,the incidence rates were all less than 1/100000. From 1951 to 1980,the occupations of patients were main-ly farmers,and from 1981 to 2014 were mainly workers,farmers and exported laborers. Conclusion The malaria endemic situ-ation in Liaoning Province experienced the periods from outbreaks to basically elimination,and the long-term surveillance will be the further working emphasis.
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<p><b>OBJECTIVE</b>To investigate the clinicpathologic features and diagnosis of plasmablastic lymphoma (PBL).</p><p><b>METHODS</b>Eleven cases of PBL were collected and followed up, with review of the literature. HIV and EBV status and their relationships with the tumor were specially compared as well.</p><p><b>RESULTS</b>In the current cohort, 10 patients were serologically HIV negative; the male to female ratio was 8 to 3, and the median age was 57 years. Ten cases showed extranodal involvement and one case was nodal based. At presentation, five patients had mid-facial involvement, including sinonasal area (3 cases) and oral cavity (2 cases). Histologically, six were PBL of oral mucosa type, and five were PBL with plasmacytic differentiation. In all cases, the neoplastic cells expressed CD138 and MUM-1, and were negative for CD20 and CD3ε; the median Ki-67 index was 80%. Five cases were EBER1/2 in situ hybridization positive. IgH or/and Igκ gene rearrangement was detected in all five cases examined.</p><p><b>CONCLUSIONS</b>Most patients were no congenital or acquired immunodeficiency in the retrospective study. Of the died patients, EBER1/2 in situ hybridization were negative and their disease staging were Ⅳ, The neoplastic cells were immunoblastic or plasmablastic, sometimes the plasmacytoid cell can be seen and the neoplastic cell had mature plasma cell phenotype, the pathologic diagnosis of the lymphoma is still controversial now. Differentiate with plasma cell neoplasm is difficult, it is necessary to accumulate more cases for advanced study and observation in the future.</p>
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Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Rearranjo Gênico , Hibridização In Situ , Mieloma Múltiplo , Plasmócitos , Linfoma Plasmablástico , Diagnóstico , Patologia , RNA Viral , Metabolismo , Estudos RetrospectivosRESUMO
To analyze the genetic characterization of epidemic mumps virus strains in Liaoning Province and provide the basis for mumps control. A total of 32 mumps viruses strains were isolated during 2008-2104. The fragment of SH genes and HN genes were amplified by RT-PCR, the PCR products were sequenced and analyzed. Basing on the 316 nucleotides of SH gene, The phylogenetic analyses were processed with the data of WHO mumps reference strains downloaded from GenBank and 32 mumps viruses strains. It showed that the 31 mumps virus strains belong to F genotype except MuVi/Liaoning. CHN/16.11 which was G genotype . Comparing to the A reference strains (Jeryl-Lynn and S-79), F genotype MuV were mutated on 12 amino acids sites and 27 amino acids siteson on HN gene. F genotype MuV added one N-glycosylation site in 464th-466th amino acids. The antigenic sites on HN were mutated on 121th, 123th, 279th, 287th, 336th, 356th and 442th. Maybe, it will influence the MuV antigenic.
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Humanos , Sequência de Bases , China , Genótipo , Proteína HN , Química , Genética , Dados de Sequência Molecular , Caxumba , Virologia , Vírus da Caxumba , Química , Classificação , Genética , Filogenia , Alinhamento de Sequência , Proteínas Virais , Química , GenéticaRESUMO
The epidemic characteristics and genotype of Bacillus anthracis strains in Liaoning Province ,China was analyze in this study .Six Bacillus anthracis strains from 2001 to 2011 were studied with multiple‐locus variable‐number tandem repeat analysis (MLVA) .BioNumerics4 .0 software was used to analyze the DNA fingerprint of statistics ,and cluster analysis results were obtained .Clustering analysis found that the 6 strains could be divided into two genotypes .For anthrax outbreaks ,the ge‐netic markers of multiple‐locus variable‐number tandem repeat were highly similar .It's suggested that MLVA is quite useful for investigation of strain relatedness in regions of outbreaks .
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To wished to characterize the hemagglutinin (H) gene of the measles virus epidemic strain H1a in Liaoning Province (China) from 1997-2014 to provide a basis for the control and elimination of measles. All 63 measles virus strains were the H1a genotype. Fragments of the H gene (1854 nucleotides) and nucleoprotein (N) gene (450 nucleotides) were amplified by reverse transcription-polymerase chain reaction (RT-PCR) and the PCR products sequenced and analyzed. Phylogenetic-trees were constructed with reference strains of the genotype-H measles virus downloaded from GenBank, including Chinese measles virus strains isolated in 1993-1994 and the vaccine reference strains S-191 and C-47. Sixty-three strains of the measles virus in 1997-2014 belonged to genotype H1a. The mean evolutionary rate for gene N-450 was higher than that for the H gene. All 63 strains of the measles virus were mutated from: serine (Ser S) to asparagine (Asn N) in the 240th amino acid; arginine (Arg R) to glycine (Gly G) in the 243th; and tyrosine (Tyr Y) to Asn N in the 481th amino acid. All measles virus strains in cluster 2 were mutated from proline (Pro P) to leucine (Leu L) in the 397th amino acid. The other neutralization sites showed no apparent difference when comparing the nucleotides/amino acids of the H gene of S191 vaccine strains.
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Sequência de Aminoácidos , China , Epidemiologia , Bases de Dados Genéticas , Epidemias , Evolução Molecular , Genótipo , Hemaglutininas Virais , Química , Genética , Sarampo , Epidemiologia , Vírus do Sarampo , Genética , Fisiologia , Dados de Sequência Molecular , Mutação , FilogeniaRESUMO
Objective To prevent misdiagnoses of brucellosis and misjudgment of brucellosis outbreak through differential diagnosis between influenza and brucellosis of three new cases who were in the same work unit and underwent the longest latent period.Methods Contact history of the three new cases was investigated epidemiologically and physical examination and blood test were taken.Brucellosis antibodies of the cases and abortion cow were tested by serum tube agglutination test (SAT),and pathogen was isolated.The tonsilla and pharyngeal secretion substance of cases were collected for detection of influenza virus RNA by real-time PCR.Results The cases had contact history with brucellosis abortion cattle and/or the animal contaminated environment,and had a fever,fatigue and other symptoms.Total blood cell(WBC) was normal and proportion of lymphocyte was increased.The antibody titer in SAT test was 1:200(+++),but pathogen isolation was negative for all three cases.Brucellosis antibody of abortion cow was positive and antibody titer was 1:800 (++).The test of Bv RNA of influenza virus was positive in the three cases.Conclusions The three cases are brucellosis latent infection combined with influenza and we have excluded a misjudgment of pestilence of human brucellosis outbreak.
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Objective To analyze the clinical and X-ray manifestations of sclerosing adenosis of the breast,and to evaluate the val-ue of preoperative differential diagnosis between the sclerosing adenosis and the breast cancer combined with pathology.Methods X-ray manifestations and clinical features of 25 patients with the sclerosing adenosis of the breast confirm by surgical pathology were analyzed retrospectively.Then the X-ray manifestations and clinical features were compared with the pathological results.Results Total 25 patients suffered from the sclerosing adenosis of the breast.Among them,2 cases were bilateral sclerosing adenosis,23 ca-ses were unilateral sclerosing adenosis,6 cases with epithelial atypical hyperplasia,4 cases with intraductal papilloma,7 cases with fibroadenoma nodule formation,and the rest with the pure sclerosing adenosis.X-ray manifestations:7 cases presented the medium density nodular shadows with blurred and irregular edges,1 6 cases showed the star-shaped shadows of which 6 cases were the“black stars”,3 cases of“white stars”.One in 7 cases can only see a star shadow,another was unclear or the form was varied.1 3 patients showed the calcification among 4 cases presented the small clusters of distribution with needlepoint-like calcification,2 cases of bulky curved calcification,and the rest with scattered and regional distribution of dot,needlepoint-like calcification.Conclusion Combined with clinical manifestations,the breast X-ray plays an important role in the differential diagnosis of sclerosing adenosis and the breast cancer.
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<p><b>OBJECTIVE</b>To analyze the clinicopathological features of pancreatic neuroendocrine neoplasms (P-NENs).</p><p><b>METHODS</b>From January 2006 to December 2010, 64 patients with P-NENs were diagnosed in the Department of Pathology, West China Hospital, Sichuan University. Immunohistochemical staining of neuroendocrine markers, synaptophysin (Syn) and chromogranin A (CgA), were first made to determine whether the tumor had neuroendocrine properties, then the P-NENs were classified as neuroendocrine tumor (NET), neuroendocrine carcinoma (NEC) and mixed adenoneuroendocrine carcinoma (MANEC, G3) according to the morphological changes and proliferative activity (Ki 67 expression).</p><p><b>RESULTS</b>Of all the 64 cases detected, 60 were NETs and four were NEC. Most of the tumors were single solitary masses, and more than half of the tumors arose in the head of the pancreas, while about one third in the tail. The positive rates of CgA and Syn immunostaining were 96.9% and 95.3%, respectively. The tumor stages of the 64 patients were as follows: stage I, 44 cases; stage II, 11 cases; stage III, one case; and stage IV, 8 cases. The median age of patients in the study was 45.56 years. Of all the P-NENs, 38 cases were functional ones, presenting with characteristic clinical syndrome owing to hormone hypersecretion, while 26 cases were nonfunctional ones with no distinct clinical syndrome. 58 patients underwent surgical operation. The 5-year progression-free survival rate was 91.4%.</p><p><b>CONCLUSIONS</b>P-NENs may occur anywhere in the pancreas, and the clinical manifestations may not be easy to distinguish from other diseases. Diagnosis depends on pathological examination. Surgery is the major approach option, and the clinical prognosis is rather good. The tumor histological grade and distant metastasis are independent prognostic factors in P-NENs.</p>