Analysis of eight-year follow-up data of plateau workers by color doppler echocardiography / 中华劳动卫生职业病杂志

Objective@#To analyze the heart rate changes and risk factors, as a result of high altitude.@*Methods@#Retrospective analysis of echocardiographic data of plateau workers at a railway maintenance company from 2006 to 2013. The survival curve method was used to analyze the abnormal rate of the heart. Kaplan-Meier method and Cox proportional hazards regression model were used to analyze the influencing factors.@*Results@#In the first occurrence of cardiac abnormalities, the main types of abnormalities were right atrium enlargement (53.47%) , right ventricle enlargement (17.36%) , and tricuspid regurgitation (16.67%) . Cox regression analysis showed that workplace altitude and first physical examination age are two influencing factors of cardiac abnormalities, and their relative risk was 1.661 and 1.039. At high altitudes (3 600~4 000 m) , nearly 40% of workers heart has not changed. But this adaptation does not observed in the ultra-high altitudes (≥4 000 m) .@*Conclusion@#There are individual differences in human adaptability to high altitude. We should take more stringent measures of health care for older people and those who work at more than 4000m. And we should abide by the rotation system for railways that are suitable for the plateau.

Avaliação da imobilidade tônica em codornas de corte via análise de sobrevivência' / Tonic immobility evaluation in meat quail via survival analysis

Tonic immobility (TI) is a way to measure fear, as characterized by the reduced capacity to respond to external stimuli. The time spent in TI indicates the level of fear. Since TI is measured as the time until event occurrence, survival analysis stands out as a suitable statistical method to treat these data. We aimed to investigate the influence of possible factors (lines, sex and age) on fear behavior in meat quail (Coturnix coturnix) measured through TI by using survival analysis (non parametric Kaplan-Meyer method via logrank test). The dataset was composed by TI information provided by 50 animals from each line (UFV1 and UFV2) in each age (14 and 28 days of age), totalizing 200 records. Despite the slight difference between the two evaluated ages, there was no significance for this factor between each studied line, UFV1 (P= 0.1493) and UFV2 (P= 0.2583). The logrank test indicated significant difference (P= 0.0407) between levels of line/sex groups at 14 days of age. We noted that males from UFV2 line presented higher fear behavior in relation to males from UFV1 line. No significant differences were observed for this factor when considering 28 days of age.(AU)

Atypical and anaplastic meningiomas in a public hospital in São Paulo State, Brazil / Meningiomas atípicos e anaplásicos em um hospital público de São Paulo, Brasil

Atypical/anaplastic (World Health Organization (WHO) grades II and III) are less common and have poorer outcomes than benign meningiomas. This study aimed to analyze the outcome of patients with these tumors.Method Overall/recurrence-free survivals (RFS) and the Karnofsky Performance Scale of 52 patients with grades II (42) and III (9) meningiomas surgically treated were analyzed (uni/multivariate analysis).Results Total/subtotal resections were 60.8%/35.3%. Patients <60 years-old and grade II tumors had longer survival. Grade II tumors, total resection andde novo meningioma had better RFS (univariate analysis). Patients >60 years-old, de novo meningioma and radiotherapy had longer survival and patients <60 years-old and with grade II tumors had longer RFS (multivariate analysis). Recurrence rate was 51% (39.2% Grade II and 66.7% Grade III). Operative mortality was 1.9%.Conclusion Age <60 years-old, grade II tumors and de novomeningiomas were the main predictors for better prognosis among patients with grades II and III meningiomas.

Meningiomas atipicos/anaplásticos (graus II e III da World Health Organization (WHO)) são menos comuns e tem prognóstico pior que os benignos. Este estudo visa analisar o prognóstico de pacientes com estes tumores.Método Sobrevida/sobrevida livre de doença (SLD) e índice de Karnofsky de 52 pacientes com meningiomas graus II (42) e III (9) tratados cirurgicamente foram avaliados (análises uni/multivariada).Resultados Pacientes <60 anos e com tumores grau II tiveram sobrevida mais longa. Tumores grau II , ressecção total e meningioma de novotiveram melhor SLD (análise univariada). Pacientes >60 anos, meningiomade novo e radioterapia tiveram sobrevida mais longa e, pacientes <60 anos e com tumores grau II tiveram SLD mais longa (análise multivariada). Recidiva ocorreu em 51% (39.2% Graus II e 66,7% Graus III). A mortalidade operatória foi 1,9%.Conclusão Idade <60 anos, meningiomas grau II e de novo foram preditores de melhor prognóstico entre pacientes com meningiomas graus II/ III.

Statistical methods for comparing survival rates at a fixed time point / 中华流行病学杂志

Comparison of survival curves between two groups is an important part of disease prognosis study.Log-rank test is commonly used,but when the two curves' later intersecting opening is too large,the proportion of assumptions is not established,thus the Log-rank test is ineffective.We introduces five statistical tests to compare two survival curves at a fixed time points:classic method,logarithmic transformation,cloglog transformation,arcsine transformation and logit transformation.Through the study we found that if the overall survival curves are difficult to compare between groups tested with Log-rank test method or Two-stage test method,the fixed time point test can effectively determine whether there was significant difference in survival rate at a fixed time point.Among the five fixed time point tests,cloglog transformation could give more precise result.

Life table characteristics of the female sandfly, Phlebotomus papatasi (Scopoli) (Diptera: Psychodidae) under three food regimes.

Background & objectives: In Egypt, Phlebotomus papatasi is the main vector of cutaneous leishmaniasis. In nature, P. papatasi feeds on blood from different hosts and sucrose (other sugars) mainly from fig fruits. The aim of this study was to examine the effects of three food regimes on the life table parameters of females mainly the life expectancy as a factor determining the fly’s capability for Leishmania transmission. Methods: Females maintained on different diets (30% sucrose solution, Guinea pig blood and sucrose followed by blood) under laboratory conditions were observed for offspring emergence to examine the survival period expressed as the median emergence time (E50) and female fecundity (females/female). Life table was constructed including the mean life expectancy at emergence (e0) as a measure of longevity and the mortality rate per day (qx). Results: Females fed on sucrose-blood has the highest fecundity and the shortest E50 compared to those fed on other diets. The mean life expectancy at emergence (e0) differed significantly with the highest value being for females fed on sucrose. Interpretation & conclusion: The calculated expectancies for female life beyond the infective age (8 days) indicated that more flies would survive to become infective when fed on sucrose-blood meals than those offered blood alone which increases its capability for Leishmania transmission.

Olfactory groove meningiomas: surgical technique and follow-up review

BACKGROUND: Olfactory groove meningiomas comprise 4-10 percent of the intracranial meningiomas. Generally they give signs of brain compression due to great size they reach before diagnosis. In this study, the clinical outcome of patients with olfactory groove meningiomas surgically treated was analyzed. METHOD: 17 patients operated on from 1988-2006. Female: 16, Male: 1. Age: 19-76 years-old (mean=53.12± 13.11). Follow-up: 1-209 months (mean=51.07±12.73. Bifrontal/bifrontal-bi-orbital approaches were used. Outcome was analyzed using survival/recurrence-free Kaplan-Mayer curves. RESULTS:16 had WHO grade 1; one grade 2 meningiomas. Resection Simpson's grade 1 was in achieved in 64.7 percent, grade 2 in 29.4 percent and grade 3 in 5.9 percent. There was no recurrence during the follow-up. Global and operative mortality were 11.8 percent. Main postoperative complications were osteomielitis (11.8 percent) and pneumonia (5.9 percent). CONCLUSION: Extensive approaches allowed total resection of most olfactory groove meningiomas with no recurrence during the follow-up, but operative mortality and local complications were high.

INTRODUÇÃO: Os meningiomas da goteira olfatória constituem 4-10 por cento dos meningiomas intracranianos. Geralmente eles causam sinais de compressão do tronco cerebral porque atingem grandes tamanhos antes do diagnóstico. Neste estudo foram analisadas os resultados do tratamento cirúrgico de pacientes com meningiomas da goteira olfatória. MÉTODO: 17 pacientes operados de 1988-2006. Mulheres: 16. Homens: 1. Idade: 19-76 anos (média=53,12±13,11). Seguimento: 1-209 meses (média=51,07±12,73. Foram utilizados acessos bifrontal/bifrontal bi-orbital. A evolução clinica foi analisada usando curvas de sobrevida e de sobrevida livre de doença de Kaplan-Mayer. RESULTADOS: 16 pacientes tinham meningioma WHO grau 1; um tinha meningioma grau 2. Ressecção Simpson grau 1 foi obtida em 64.7 por cento, grau 2 em 29.4 por cento e grau 3 em 5.9 por cento. Não houve recidiva durante o seguimento. A mortalidade global e a pós-operatória foram 11.8 por cento. As principais complicações pós-operatórias foram osteomielite (11.8 por cento) e pneumonia (5.9 por cento). CONCLUSÃO: Abordagens extensas possibilitaram ressecção total da maioria dos meningiomas da goteira olfatória sem recidiva durante o seguimento, mas a mortalidade operatória e as complicações locais foram altas.

Statistical Analysis for Prognosis of CNS Tumor According to the New WHO Classification

The authors have reviewed and followed up 664 operated patients at the Department of Neurosurgery, Chonnam University Hospital from January 1984 to December 1993 according to the new WHO classification of CNS neoplasms. The sex ratio(M:F) was 1:1.1 and the age distribution showed a peak between 51 to 60 years. Common tumors were glioma(28%), meningioma(21%), pituitary adenoma(15%), schwannoma(9%), metastatic tumor(8%) in the decreasing order of frequency. The most common tumor was glioblastoma(33%) within the category of gliomas. Incidence of pediatric brain tumors was about 12% among the all intracranial tumors. Survival curves for astrocytomas, pilocytic astrocytomas, anaplastic astrocytomas, glioblastoma and metastatic tumors were obtained from follow-up studies of the brain tumor patients regardless of therapeutic mode.