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Exclusive breastfeeding greater than 50%, success of education in a university hospital in Bogotá: Case-control study

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World Journal of clinical Pediatrics 2024年第1期13卷 23-30页

作者： Marcela Murillo Galvis Sofia Ortegon Ochoa Clara Eugenia Plata García Maria Paula Valderrama Junca Dayanna Alejandra Inga Ceballos Daniel Mauricio Mora Gómez Claudia M Granados Martin Rondón department of Pediatrics Hospital Universitario San IgnacioBogotá110111Colombia department of clinical epidemiology and biostatistics Pontifica Universidad JaverianaBogotá110111Colombia

BACKGROUND Maintenance rates of exclusive breastfeeding(EBF)worldwide are low,thus,one of the objectives of the summary of policies on breastfeeding(BF)in world nutrition goals for 2025 are that at least 50%of infants under six months of age receive EBF that *** Objective of this study is to document the rates of EBF in children born in San Ignacio University Hospital(HUSI)and identify factors associated with *** To document the percentages of EBF in those that were born at HUSI and identify factors associated to their *** This is a study of cases and controls in an analytic,retrospective cohort that took children born alive between January 2016 and January 2019 at HUSI located in the city of Bogotá,*** Receiving information about BF at HUSI was able to maintain EBF up until 4 mo(OR=1.65;95%CI:1.02-2.66).The presence of gynecologic and obstetric comorbidities(OR=0.32;95%CI:0.12-0.83),having mastitis(OR=0.56;95%CI:0.33-0.94),and receiving information from mass media(OR=0.52;95%CI:0.31-0.84)are factors associated with not maintaining *** Receiving education at a Women-and Child-Friendly Institution was the only significant factor to achieve EBF until 4 mo,with a frequency greater than the one reported in the country,which matches multiple studies where counseling and individualized support on BF achieve this *** about BF and early detection of obstetric/gynecologic complications must be strengthened among the healthcare staff in charge of mothers during ***,strategies must be promoted to continue BF such as creating milk banks with the objective of increasing BF rates even when mothers return to work.

关键词： Breastfeeding Women-and Child-Friendly Institutional Strategy Strategies Adherence Education

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Effectiveness of colorectal cancer screening integrating non-genetic and genetic risk: a prospective study based on UK Biobank data

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Cancer Biology & Medicine 2024年第8期21卷 712-723页

作者： Yu Zhang Chao Sheng Zhangyan Lyu Hongji Dai Fangfang Song Fengju Song Yubei Huang Kexin Chen department of epidemiology and biostatistics Key Laboratory of Molecular Cancer EpidemiologyKey Laboratory of Prevention and Control of Human Major DiseasesMinistry of EducationNational Clinical Research Center for CancerTianjin Medical University Cancer Institute and HospitalTianjin Medical UniversityTianjin 300060China

Objective: Few studies have evaluated the benefits of colorectal cancer(CRC) screening integrating both non-genetic and genetic risk factors. Here, we aimed to integrate an existing non-genetic risk model(QCancer-10) and a 139-variant polygenic risk score to evaluate the effectiveness of screening on CRC incidence and ***: We applied the integrated model to calculate 10-year CRC risk for 430,908 participants in the UK Biobank, and divided the participants into low-, intermediate-, and high-risk groups. We calculated the screening-associated hazard ratios(HRs) and absolute risk reductions(ARRs) for CRC incidence and mortality according to risk ***: During a median follow-up of 11.03 years and 12.60 years, we observed 5,158 CRC cases and 1,487 CRC deaths, respectively. CRC incidence and mortality were significantly lower among screened than non-screened participants in both the intermediateand high-risk groups [incidence: HR: 0.87, 95% confidence interval(CI): 0.81±0.94;0.81, 0.73±0.90;mortality: 0.75, 0.64±0.87;0.70, 0.58±0.85], which composed approximately 60% of the study population. The ARRs(95% CI) were 0.17(0.11±0.24) and 0.43(0.24±0.61), respectively, for CRC incidence, and 0.08(0.05±0.11) and 0.24(0.15±0.33), respectively, for mortality. Screening did not significantly reduce the relative or absolute risk of CRC incidence and mortality in the low-risk group. Further analysis revealed that screening was most effective for men and individuals with distal CRC among the intermediate to high-risk ***: After integrating both genetic and non-genetic factors, our findings provided priority evidence of risk-stratified CRC screening and valuable insights for the rational allocation of health resources.

关键词： Colorectal cancer screening polygenic risk score incidence mortality

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Changes on Stroke Burden Attributable to Ambient Fine Particulate Matter in China

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Biomedical and Environmental Sciences 2024年第8期37卷 823-833页

作者： Jingyu Wang Yan Wang Xiaohua Liang Keyong Huang Fangchao Liu Shufeng Chen Xiangfeng Lu Jianxin Li department of epidemiology Fuwai HospitalNational Center for Cardiovascular DiseasesChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100037China Key Laboratory of Cardiovascular epidemiology Chinese Academy of Medical SciencesBeijing 100037China department of clinical epidemiology and biostatistics Children’s Hospital of Chongqing Medical UniversityNational Clinical Research Center for Child Health and DisordersMinistry of Education Key Laboratory of Child Development and DisordersChongqing Key Laboratory of Pediatric Metabolism and Inflammatory DiseaseChongqing 400016China

Objective In recent decades,China has implemented a series of policies to address air *** aimed to assess the health effects of these policies on stroke burden attributable to ambient fine particulate matter(PM_(2.5)).Methods Joinpoint regression was applied to explore the temporal tendency of stroke burden based on data from the Global Burden of Disease 2019 *** The age-standardized rates of disability-adjusted life year(DALY)for stroke attributable to ambient PM2.5 in China,increased dramatically during 1990-2012,subsequently decreased at an annual percentage change(APC)of-1.98[95% confidence interval(CI):-2.26,-1.71]during *** ischemic stroke(IS),the age-standardized DALY rates doubled from 1990 to 2014,and decreased at an APC of-0.83(95%CI:-1.33,-0.33)during *** hemorrhage(ICH)showed a substantial increase in age-standardized DALY rates from 1990 to 2003,followed by declining trends,with APCs of-1.46(95%CI:-2.74,-0.16)during 2003-2007 and-3.33(95%CI:-3.61,-3.06)during 2011-2019,***,the age-standardized DALY rates for subarachnoid hemorrhage(SAH)generally declined during *** Our results clarified the dynamic changes of the ambient PM_(2.5)-attributable stroke burden in China during 1990-2019,highlighting the health effects of air quality improvement policies.

关键词： Ambient fine particulate matter Stroke Disease burden Temporal trend Policy

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Healthy life expectancy with cardiovascular disease among Chinese rural population based on the prospective cohort study

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Journal of Geriatric Cardiology 2024年第8期21卷 799-806页

作者： Feng JIANG Xiao-Tian LIU Ze HU Wei LIAO Shuo-Yi LI Rui-Fang ZHU Zhen-Xing MAO Jian HOU Sohail Akhtar Fayaz Ahmad Tahir Mehmood Chong-Jian WANG department of epidemiology and biostatistics College of Public HealthZhengzhou UniversityZhengzhouChina department of Mathematics and Statistics The University of HaripurHaripurPakistan School of Natural Sciences National University of Sciences and TechnologyIslamabadPakistan

BACKGROUND Limited research has explored the impact of cardiovascular disease(CVD)on healthy life expectancy(HLE)especially in resource-limited *** study aimed to investigate the association between CVD and HLE in Chinese rural *** This study included 11,994 participants aged 45 years and older from the baseline and follow-up surveys of the Henan rural cohort *** status was measured via a Visual Analogue *** multistate Markov model was applied to estimate the association between CVD and transitions in health,unhealthiness and ***-specific total life expectancy,HLE and unhealthy life expectancy were calculated by the multistate life table *** During a mean follow-up time of 3.85(3.84–3.86)years,there were 588 deaths *** individuals with CVD,the risk of switching from health to unhealthiness status was increased by 71%[hazard ratio(HR)=1.71,95%CI:1.42–2.07],the chance of recovery was reduced by 30%(HR=0.70,95%CI:0.60–0.82).Men aged 45 years without CVD could gain an extra 7.08(4.15–10.01)years of HLE and lose 4.00(1.60–6.40)years of unhealthy life expectancy compared to their peers with CVD,*** corresponding estimates among women were 8.62(5.55–11.68)years and 5.82(2.59–9.04)years,*** This study indicated that CVD was significantly associated with poorer health status and lower HLE among Chinese rural *** is an important public health policy to adopt targeted measures to reduce the CVD burden and enhance the quality of life and HLE in resource-limited areas.

关键词： Healthy cardiovascular life

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Counterfactual analysis of the 2023 Omicron XBB wave in China

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Infectious Disease Modelling 2024年第1期9卷 195-203页

作者： Hengcong Liu Xiangyanyu Xu Xiaowei Deng Zexin Hu Ruijia Sun Junyi Zou Jiayi Dong Qianhui Wu Xinhua Chen Lan Yi Jun Cai Juanjuan Zhang Marco Ajelli Hongjie Yu School of Public Health Fudan UniversityKey Laboratory of Public Health SafetyMinistry of EducationShanghaiChina Laboratory for Computational epidemiology and Public Health Department of Epidemiology and BiostatisticsIndiana University School of Public HealthBloomingtonINUSA

Background:China has experienced a COVID-19 wave caused by Omicron XBB variant starting in April *** aim is to conduct a retrospective analysis exploring the dynamics of the outbreak under counterfactual scenarios that combine the use of vaccines,antiviral drugs,and nonpharmaceutical ***:We developed a mathematical model of XBB transmission in China,which has been calibrated using SARS-CoV-2 positive rates per *** age-specific infection-hospitalization risk,infection-ICU risk,and infection-fatality risk were used to estimate disease burdens,characterized as number of hospital admissions,ICU admissions,and ***:We estimated that in absence of behavioral change,the XBB outbreak in spring 2023 would have resulted in 0.86 billion infections(∼61%of the total population).Our counterfactual analysis shows that the synergetic effect of vaccination(70%vaccination coverage),antiviral treatment(20%receiving antiviral treatment),and moderate nonpharmaceutical interventions(20%isolation and L1 PHSMs)could reduce the number of deaths to levels close to seasonal influenza(1.17 vs.0.65 per 10,000 individuals and 5.85 vs.3.85 per 10,000 individuals aged 60+,respectively).The maximum peak prevalence of hospital and ICU admissions are estimated to be lower than the corresponding capacities(8.6 vs.10.4 per 10,000 individuals and 1.2 vs.2.1 per 10,000 individuals,respectively).Conclusion:Our findings suggest that the capacity of the Chinese healthcare system was adequate to face the Omicron XBB wave in spring 2023 but,at the same time,supports the importance of administering highly effective vaccine with long-lasting immune response,and the use of antiviral treatments.

关键词： wave analysis starting

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Development and validation of the NCC‐BC‐A scale to assess patient‐reported outcomes for breast cancer patients in China

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Cancer Innovation 2024年第6期3卷 45-57页

作者： Fei Ma Xiaoyan Yan Xiuwen Guan Tianmou Liu 无 National Cancer Center/National clinical Research Center for Cancer/Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical CollegeBeijingChina clinical Research Institute Institute of Advanced Clinical MedicinePeking UniversityBeijingChina department of epidemiology and biostatistics School of Public HealthPeking UniversityBeijingChina PRO‐BC China Standards Committee

Background:The commonly used international patient‐reported outcome scales for breast cancer were developed before the advent of multiple targeted therapies and immunotherapies,rendering them potentially insufficient for current clinical ***,it is necessary to develop a specific patient‐reported outcome scale tailored for breast cancer patients in China to optimize the management model for these ***:A comprehensive literature search was performed in the PubMed,Embase,Wanfang,and CNKI databases to extract dimensions and items for a potential patient‐reported outcome *** Delphi method was used to modify,add,subtract,and adjust the language of items until the experts reached a consensus on the first *** draft was further refined using a cognitive test and a *** optimized scale was used for a formal survey,and the items were further analyzed and screened using metrics such as the coefficient of variation,correlation coefficient,internal item consistency,factor analysis,reliability,and ***:A total of 10,954 articles were analyzed,and 237 were used to create a pool of 277 patient‐reported outcome *** two rounds of Delphi expert consultation,the experts'authority coefficients were 0.739 and *** a cognitive test,several items were adjusted to enhance *** adjustments were made following a presurvey of 200 advanced breast cancer patients,resulting in a 38‐item patient‐reported outcomes scale,termed NCC‐BC‐*** the national formal survey,588 advanced breast cancer patients *** component analysis showed good consistency among the items and sufficient difference between the *** results were normally distributed with good *** Cronbach'sαcoefficient of the scale was 0.925 and the test–retest reliability was ***:The NCC‐BC‐A scale has high validity and *** comprehensively considered the characteristics of systemic trea

关键词： breast cancer patient‐reported outcome quality of life

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Sex Disparities in the Association of Blood Pressure Parameters and Arterial Sclerosis Risk

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Biomedical and Environmental Sciences 2024年第7期37卷 795-799页

作者： Dongdong Zhang Weiling Chen Minqi Gu Xi Li Yuying Wu Xueru Fu Ping Tang Fulan Hu Jing Li Xizhuo Sun Dongsheng Hu Ming Zhang department of General Practice The Affiliated Luohu Hospital of Shenzhen University Medical SchoolShenzhen 518060GuangdongChina department of Allergy and clinical Immunology State Key Laboratory of Respiratory DiseaseNational Clinical Research Center for Respiratory DiseaseGuangzhou Institute of Respiratory Healththe First Affiliated Hospital of Guangzhou Medical UniversityGuangzhou 510120GuangdongChina department of biostatistics and epidemiology School of Public HealthShenzhen University Medical SchoolShenzhen 518060GuangdongChina

Cardiovascular disease(CVD)is the leading cause of death worldwide[1].Arterial sclerosis(AS)and hypertension are the main risk factors and pathological bases of *** pulse wave velocity(PWV)measurements could reflect early progression of *** on the structure-function properties of the vascular wall and hemodynamics,strong evidence suggests that any increase in blood pressure levels can mechanically impair the ability of the endothelium to maintain vascular homeostasis[2].High levels of blood pressure parameters,such as systolic blood pressure(SBP),diastolic blood pressure(DBP),pulse pressure(PP),and mean arterial pressure(MAP)have been identified as essential risk biomarkers for atherosclerosis.

关键词： Blood Arterial atherosclerosis

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Plant-based dietary patterns and risk of esophageal cancer:A prospective cohort study spanning 17 years

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Chinese Journal of Cancer Research 2024年第1期36卷 36-45页

作者： Xiaorui Zhang Feifan He Jiayue Li Ru Chen Xinqing Li Li Li Fen Liu Shaoming Wang Wenqiang Wei department of epidemiology and Health Statistics School of Public HealthBeijing Municipal Key Laboratory of Clinical EpidemiologyCapital Medical UniversityBeijing 100069China National Central Cancer Registry office National Cancer Center/National Clinical Research Center for Cancer/Cancer HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100021China department of Cancer epidemiology National Cancer Center/National Clinical Research Center for Cancer/Cancer HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100021China

Objective: Plant-based diets have multiple health benefits for cancers;however, little is known about the association between plant-based dietary patterns and esophageal cancer(EC).This study presents an investigation of the prospective associations among three predefined indices of plant-based dietary patterns and the risk of ***: We performed endoscopic screening for 15,709 participants aged 40-69 years from two high-risk areas of China from January 2005 to December 2009 and followed the cohort until December 31, 2022. The overall plant-based diet index(PDI), healthful plant-based diet index(h PDI), and unhealthful plant-based diet index(u PDI), were calculated using survey responses to assess dietary patterns. We applied Cox proportional hazard regression to estimate the multivariable hazard ratios(HRs) and 95% confidence intervals(95% CIs) of EC across 3plant-based diet indices and further stratified the analysis by ***: The final study sample included 15,184 participants in the cohort. During a follow-up of 219,365person-years, 176 patients with EC were identified. When the highest quartile was compared with the lowest quartile, the pooled multivariable-adjusted HR of EC was 0.50(95% CI, 0.32-0.77) for h PDI. In addition, the HR per 10-point increase in the h PDI score was 0.42(95% CI, 0.27-0.66) for ECs. Conversely, u PDI was positively associated with the risk of EC, and the HR was 1.80(95% CI, 1.16-2.82). The HR per 10-point increase in the u PDI score was 1.90(95% CI, 1.26-2.88) for ECs. The associations between these scores and the risk of EC were consistent in most subgroups. These results remained robust in sensitivity ***: A healthy plant-based dietary pattern was associated with a reduced risk of EC. Emphasizing the healthiness and quality of plant-based diets may be important for preventing the development of EC.

关键词： Esophageal cancer diet dietary pattern epidemiology nutrition prospective cohort study

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Drawing on the Development Experiences of Infectious Disease Surveillance Systems Around the World

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China CDC weekly 2024年第41期6卷 1065-1074页

作者： Huimin Sun Weihua Hu Yongyue Wei Yuantao Hao department of epidemiology and biostatistics School of Public HealthPeking UniversityBeijingChina Peking University Center for Public Health and Epidemic Preparedness&Response BeijingChina Key Laboratory of epidemiology of Major Diseases(Peking University) Ministry of EducationBeijingChina.

High-quality infectious disease surveillance systems are foundational to infectious disease prevention and *** major infectious disease surveillance systems globally can be categorized as either indicatorbased,which are more specific,or event-based,which are more *** surveillance systems commonly utilize multi-source data,strengthened information sharing,advanced technology,and improved early warning accuracy and *** experience may provide valuable insights for ***’s existing infectious disease surveillance systems require urgent enhancements to monitor emerging infectious diseases and improve the integration and learning capabilities of early warning *** such as establishing multi-stage surveillance systems,promoting cross-sectoral and cross-provincial data sharing,applying advanced technologies like artificial intelligence,and cultivating professional talent should be adopted to enhance the development of intelligent and multipoint-triggered infectious disease surveillance systems in China.

关键词： China. strengthened utilize

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Injury Mortality of Children and Adolescents Aged 0–19 Years—China,2010–2021

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China CDC weekly 2024年第14期6卷 294-299,I0001-I0006页

作者： Jingtao Zhou Min Zhao Hao Huang David C.Schwebel Peishan Ning Zhenzhen Rao Peixia Cheng Li Li Guoqing Hu department of epidemiology and Health Statistics Hunan Provincial Key Laboratory of Clinical EpidemiologyXiangya School of Public HealthCentral South UniversityChangsha CityHunan ProvinceChina department of Psychology University of Alabama at BirminghamBirminghamALUSA department of Child Adolescent and Women’s HealthSchool of Public HealthCapital Medical UniversityBeijingChina National clinical Research Center for Geriatric Disorders Xiangya HospitalCentral South UniversityChangsha CityHunan ProvinceChina

Introduction:To examine the recent trends in child injury mortality in ***:Injury mortality data of 2010–2021 for children and adolescents aged 0–19 years were from the China Health Statistics *** mortality disparities across urban *** locations,gender,and age groups were *** percent change(APC),average annual percent change(AAPC),and their 95%confidence intervals(95%CI)were estiamted usimg Joinpoint regression ***:The age-standardized injury mortality significantly dropped from 21.87 to 9.41 per 100,000 population among children and youth aged 0–19 years during 2010–2021,with an AAPC of−6.7%(95%CI:−8.2%,−5.2%).The urban-rural disparity and gender gap in injury mortality reduced *** 2021,drowning and road traffic crashes were the top two causes of child injury deaths,explaing 31.1%and 27.9%of total injury deaths,*** accounted for 62.3%of injury deaths among infants younger than a ***,the suicide mortality rate rose from 2.16 to 3.42 per 100,000 population between 2010 and 2021 among teenagers aged 15–19 *** analyses yielded similar ***:During 2010–2021,the injury mortality decreased significantly among Chinese children and adolescents,and the responding urbanrural disparities narrowed.

关键词： injury younger narrow

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