ABSTRACT
Objective To investigate the dynamic changes of severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) specific antibody IgG positive rate in coronavirus disease 2019 (COVID-19) survivors in China. Methods the relevant literatures about the positive rate of SARS-COV-2 specific antibody IgG in COVID-19 survivors in China were retrieved from PubMed, Embase, CNKI, Wanfang database and VIP database from December 2019 to February 24, 2022. The quality of the documents were assessed according the revised AHRQ (Agency for Healthcare Research and Quality) statement. Freeman-tukey double arsinusoidal conversion method was used to calculate the positive rate, and StataSE15.0 software was used for statistical analysis. Subgroup analysis was performed according to detection method and fragment, and publication bias was examined by Egger method. Results A total of 12 articles were included, IgG was detected from the first month to the twelfth month after SARS-COV-2 infection, and the total sample size ranged from 74 to 2 907 cases per month. The positive rate was the highest in the second month and the third month, 96.35% (95% CI: 93.98%-98.14%) and 97.23% (95% CI: 94.47%-99.05%) respectively. The positive rate decreased gradually with time, and reached 73.63% (95% CI: 50.31%-91.45%) in the twelfth month. The results of subgroup analysis showed that the heterogeneity between studies with the different detection method and the different detection fragment were significant differences (X2=5.02-39.57, all P < 0.05). Egger method test published bias, and the difference was not statistically significant (t=1.85, P=0.101). Conclusion Most people, one year after infection with SARSCOV- 2, could still detect SARS-COV-2 specific antibody IgG.
ABSTRACT
Objective: To describe the epidemiological characteristics of COVID-19 patients in Shaanxi Province from December 2021 to January 2022. Methods: All COVID-19 patients' information was obtained from the Health Committee of Shaanxi Province. SPSS 26.0 and Stata MP 16.0 were used to analyze the distribution of Time, Population and Region. Descriptive statistical method was used to investigate the correlation between age, gender and clinical syndrome types of patients. Results: The duration of this epidemic was 43 days, and 2 080 confirmed cases in total, which distributed in cities of Xi'an (2 053 cases), Xianyang (13 cases), Yan'an (13 cases) and Weinan (1 cases). The mean age of the patients was 35.91+or-17.72 years old, the number of male patients was higher than that of female, and 93.7% of the patients had mild symptoms. The age and gender of the patients were statistically correlated with the symptom type (P < 0.001). Conclusion: Preventing the imported and the spread of domestic cases are currently the main measures to prevent COVID-19 in China. People should abide by the requirements and duties of epidemic prevention and control. Health management and strict quarantine should apply for keynote areas and populations. Meanwhile, the discovery of asymptomatic patients is important to prevent the potential epidemic.
ABSTRACT
Objective: To investigate the predictive values of fasting blood glucose and triglyceride/high-density lipoprotein cholesterol ratio (TG/HDL-C) in non-diabetic patients with COVID-19. Methods: A total of 39 non-diabetic patients with COVID-19 admitted to the Fourth Hospital of Xi'an from December 2021 to January 2022 were included. And 34 health examination subjects from the Second Affiliated Hospital of Xi'an Jiaotong University were matched as health control according to their propensity score. The clinical characteristics and laboratory test results between groups were compared, and the predictive value of fasting glucose and TG/HDL-C in non-diabetic COVID-19 patients was analyzed by logistic regression and receiver operating curve (ROC). Results: COVID-19 patients were either mild (30 cases) or common type (9 cases) with mild symptoms and good clinical prognosis. The median age was 29.0 (20.0, 49.0) years, 24 (61.5%) were males. Fasting blood glucose (4.30+or-0.47 mmol/L) and HDL-C [1.07 (0.86, 1.30) mmol/L] levels in COVID-19 patients were significantly lower than healthy controls [5.15+or-0.70 mmol/L, 2.24 (1.77, 3.05) mmol/L], the differences were statistically significant (t=6.277, P < 0.001;Z=6.026, P < 0.001). However, low density lipoprotein cholesterol (LDL-C) [2.40 (1.81, 2.91) mmol/L] and TG/HDL-C [0.91 (0.54, 1.52)] in COVID-19 patients were significantly increased compared to healthy controls [1.11 (0.99, 1.30) mmol/L, 0.54 (0.33, 0.90)], and the differences were statistically significant (Z=-6.271, -2.801, all P < 0.005). Logistic regression analysis showed that fasting blood glucose on admission could be an independent protective factor (OR:0.020, 95% CI: 0.003 ~ 0.150) and elevated TG/HDL-C be a risk factor (OR:4.802, 95% CI: 1.249 ~ 18.460) for COVID-19 infection among non-diabetic populations. The ROC curve showed that fasting blood glucose and TG/HDL-C were good at predicting the risk of COVID-19, and the area under the curve (AUC) were 0.871 and 0.708, respectively, and was 0.895 when combined. Conclusion: Decreased fasting blood glucose and elevated TG/HDL-C would be risk factors for COVID-19 infection in the non-diabetic population, and both have good predictive value for the incidence of COVID-19.
ABSTRACT
Objective: To determine the epidemiological characteristics of COVID-19 in Shaanxi Province. Methods: Epidemiological analysis was conducted on the confirmed cases of COVID-19 (n=245) from January 23rd, 2020 through February 21st, 2020 based on the official data announced by Shaanxi Province. The effects of local population migration, prevention and control measures on the epidemic were explored. Results: As of February 21st, 2020, a total of 245 COVID-19 cases had been notified in Shaanxi Province, with a cumulative incidence rate of 0.63 per 100 000, of which imported cases accounted for 47.34%. The high incidence was observed between January 31st and February 5th. Xi'an had the largest number of COVID-19 cases, followed by Ankang, Hanzhong and Xianyang, totally accounting for 81.20% of the cases in the province. In terms of social factors, daily morbidity was positively correlated with Baidu migration scale index 14 days before. On January 25th, the provincial health emergency response was launched, and on January 31st, it was further upgraded for quarantine. On February 20th, the provincial prevention and control system was implemented by classified areas. There were no emerging local cases after February 21st and no confirmed cases for 28th consecutive days as of March 19th. Local cases and close contacts were cleared to zero on March 27th. Conclusion: The COVID-19 epidemic in Shaanxi Province is mainly concentrated in Guanzhong area and southern Shaanxi, with a widespread pattern in all cities. The prevention and control measures have effectively contained the epidemic, with a declining incidence. However, quarantine of suspected cases and close contacts remains crucial for routine prevention and control strategy.
ABSTRACT
To explore characteristics of patients with pneumonia infected by 2019 Novel Coronavirus (COVID-19) in 2019 outside Hubei Province, China. 40 patients with pneumonia infected by COVID-19 which were confirmed by COVID-19 nucleic acid test were included. Procalcitonin (PCT), serum amyloid A (SAA), C-reactive protein (CRP) and computed tomography (CT) manifestations were analyzed. 40% of patients had clear contact history with Wuhan or other areas of Hubei Province. 60% of patients were clustered diseases and 40% were imported cases. 75% of patients had initial fever, 7.5% had cough, 5% had sore throat at first. 45% had decreased lymphocyte count, 72.5% and 55% patients had increased levels of SAA and CRP. 72.5% of the patients showed multiple ground glass lesions in one or two lungs on chest CT. 90% of the patients with pneumonia are of the common type, and a-interferon atomization inhalation combined with Lopinavir/Ritonavir tablets were given to patients during treatment. 62.5% of the patients were treated with antibiotics, and 15% with hormone. All patients improved after treatment, and 14 patients were cured and discharged. Family cluster infection and asymptomatic infection may be the main way of spreading of COVID-19 pneumonia outside Hubei Province in China.
ABSTRACT
OBJECTIVE: To understand the epidemiological characteristics of confirmed cases of COVID-19 in Xi 'an, Shaanxi Province during cluster outbreak and explore the prevention and control strategies for the epidemic caused by the Delta SARS-CoV-2 variant. METHODS: The confirmed cases of COVID-19 who were treated in Xi'an People's Hospital, a designated hospital, were enrolled in the study, the data of the patients such as baseline data, diagnostic types and initial symptoms were retrospectively reviewed. RESULTS: Among 703 confirmed cases of COVID-19, the gender ratio of male to female was 1.16:1, the age ranged between 10 months and 94 years old, with the median age 33 years old;the patients with mild symptoms(58.46%) and the patients with common symptoms(39.12%) were dominant. 70.13% of the patients were vaccinated with 2 doses of COVID-19 vaccine, 13.51% have not been vaccinated. In terms of the initial symptoms of COVID-19, the patients with cough accounted for 42.96%, the patients with pharyngeal symptoms accounted for 29.87%, and the patients with fever accounted for 25.60%. Totally 129 patients did not have obvious symptoms during the initial stage. There was significant difference in the influence of age and vaccination on severity of disease(P<0.05). The patients aged no less than 60 years old were the high-risk population for the severe(57.14%) and critically severe(66.67%) symptoms;the morbidity rates of severe symptoms(50.00%) and critically severe symptoms(66.67%) were high among the patients without vaccination. CONCLUSION: The local cluster outbreak caused by Delta SARS-CoV-2 variant in Xi 'an, Shaanxi province are characterized by strong transmission power and fast transmission. It is necessary to focus on the prevention and control among the populations of infants and old people, enhance the epidemiological surgery, precisely trace and isolate close contacts, identify and take interventions to illness condition in early stage. In daily prevention and control, fever, as a typical symptom, should be monitored, and it is necessary to boost the comprehensiveness and sensitivity of symptom monitoring. Universal vaccination remains one of the effective measures for protection of vulnerable populations.
ABSTRACT
Objective: To investigate the changes of serum lipoxin A4 (LXA4), caspase recruitment domain containing protein 9 (Card9), and pentraxin 3 (PTX-3) in patients with severe acute pancreatitis (SAP) and their predictive value of multiple organ dysfunction syndrome (MODS).
ABSTRACT
Objective: To evaluate the life quality of patients with Kashin-Beck disease (KBD), and to analyze its influencing factors.
ABSTRACT
Objective: To analyze the epidemiological characteristics of confirmed cases of coronavirus disease 2019 (COVID-19) in Xi'an, so as to provide scientific basis for the prevention and control measures.
ABSTRACT
Objective: To analyze the epidemiological characteristics of COVID-19 cases reported in Xianyang City from January to February 2020.