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10 September 2013, Volume 11 Issue 3 Previous Issue    Next Issue

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Impact on activity of AST, ALT, ALP and SDH for snails in project of afforestation for schistosomiasis control with different modes Zhang Shiqing, Xu Yumei, Cao Zhiguo, Jin Wei, Yang Weiping. 2013, 11 (3):  125-127,156.  doi: 10.3969/j.issn.1672-2302.2013.03.001 Abstract ( 2958 )   Objective To clarify the influence on activity of AST, ALT, ALP and SDH for snails in project of afforestation for schistosomiasis control with different modes. Methods  Three spots with different modes, cultivation with interval plantation, cultivation without plantation, no cultivation and plantation were selected in the project of afforestation for schistosomiasis control in Anhui Province, and three spots with grass land or reeds nearby were also selected. Snails in the spots selected were collected to assay the activity of AST, ALT, ALP and SDH. Results  The activity of AST, ALT, and ALP for snails in woodland was obviously higher than that in grass land or reeds land, and SDH for snails was lower in woodland. The activity of AST、ALT、ALP and SDH for snails all was the highest in the mode of cultivation with interval plantation, the next was in the mode of cultivation without plantation, and the lowest was in the mode of no cultivation and plantation. Conclusion  The change of ecological environment caused by project of afforestation for schistosomiasis control had certain influence on enzyme histochemistry of snails, which world disturb energetic metabolism of snails and affect the survival and reproduction on snails. The effect on snail control in the mode of cultivation with interval plantation would be better for its obviously influence on enzymatic activity of snails. Related Articles | Metrics

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Establishment of spatial database for schistosomiasis by using GPS and Google Earth Ding ping, HeJiebao, Li Sheng, Yao Jinfu, Chu Qiong, Tang Xiping 2013, 11 (3):  128-130.  doi: 10.3969/j.issn.1672-2302.2013.03.002 Abstract ( 2876 )   Objective To evaluate spatial database for schistosomiasis established by using GPS and Google Earth. Method Daguan District in Anqing City was selected as the research object, the GPSMAP76 handset was used to determine the latitude and longitude data of endemic villages, snail environments, positive snail areas and acute infection areas of the district, then the data were transferred into the Google Earth map to establish spatial database for schistosomiasis. Results The transferred data on Google Earth can be displayed by category, and in the meantime, the data can be used for drawing, doing some simple spatial analysis and early warning, measuring the length and calculating the snail-infected areas. Conclusion It is very easy to establish spatial database for schistosomiasis by using GPS and Google Earth, which has the value of practical application. Related Articles | Metrics

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Analysis on the distribution of infected Oncomelania snails in Anhui Province from 2006 to 2012 Gao Fenghua, Zhang Shiqing, He Jiachang, Wang Tianping, Yang Weiping, Li Tingting 2013, 11 (3):  131-133.  doi: 10.3969/j.issn.1672-2302.2013.03.003 Abstract ( 2756 )   objectiveTo understand the distribution of infected Oncomelania snails in Anhui Province in recent years.  Methods The data of snail distribution from 2006 to 2012 were collected, the spatial database of infected snails was set up, and the distribution of infected snails was analyzed.  Results  From 2006 to 2012, the infected snails were mainly distributed in the transmission-controlled endemic regions. Compared with 2006, the number of counties with infected snails, the number of spots with infected snails, the area with infected snails, the mean density of infected snails and the infection rate of snails decreased by 79.3%, 92.7%, 91.4%, 95.2% and 95.5%, respectively. The number of environments with infected snails found repeatedly accounted for 27% in the recent 7 years. Conclusion  In the recent 7 years, the distribution of infected snails in Anhui Province showed a downward trend by effective measures for schistosomiaisis control and some natural factors. But the distribution of infected snail is difficult to forecast, so the risk of infection is still high. Snail survey and control should be strengthened to realize the target of transmission control before 2015. Related Articles | Metrics

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Investigation on endemic situation of schistosomiasis in an abandoned embankment, Huarong County,Hunan Province Cai Jianxin, Jia Tiewu, Zhao Zhengyuan, Li Yuesheng, Yu Xinling, Li Huazhong, Zhou Yubo,Huang Shengwen 2013, 11 (3):  134-136.  doi: 10.3969/j.issn.1672-2302.2013.03.004 Abstract ( 2972 )   Objective To investigate the current endemic situation of schistosomiasis at the abandoned Jicheng embankment, and make out control measures. Methods The number and living style of residents and livestock stranded at the abandoned Jicheng embankment were investigated. Snail survey was carried out twice before and after the flood season, and the infection of residents and bovine was detected by stool examination after the flood season. Results The majority of the residents stranded at Jicheng embankment were the original people, who lived in old houses scattered along the dike, drank and used river water, used non-sanitary toilets and lived by animal husbandry and fishing. Snails mainly distributed along the embankment of the Yangtze River, the density of living snails was 1.12/0.11 m2, and the infection rate of snail was 3.57%. The infection rates of residents and bovine were 20.6% and 42%, respectively. Conclusion The higher infection rate of residents and bovine suggested that the comprehensive schistosomiasis control measures with emphasis on infectious sources control should be implemented at Jicheng embankment. Related Articles | Metrics

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Clinical analysis of 12 cases of leptospirosis complicated with liver dysfunction Yang Qing, Wu Chuniao, Yu Tingting, Li Linfang, Song Lingying 2013, 11 (3):  137-138.  doi: 10.3969/j.issn.1672-2302.2013.03.005 Abstract ( 2788 )   Objective  To analyze the clinical characteristics of leptospirosis complicated with liver dysfunction retrospectively.  Methods  From April of 2010 to March of 2013,12 cases of leptospirosis complicated with liver dysfunction which had holonomic information were collected and analyzed.  Results  All cases had liver dysfunction and 66.7% had gastrointestinal manifestations (8/12). The level of ALT and AST all increased in the cases and 4 cases were more than U/ml. 5 cases (41.7%) had higher level of TBil, of which 3 cases were more than 171µmol/ml. Prothrombin time (PT) of 6 cases (50.0%) prolonged, prothrombin activity (PTA) of 3 cases (25.0%) were less than 40%, and serum albumin (Alb) of 7 cases (58.3%) decreased. Hepatomegaly was observed in 3 cases (25.0%), 1 case (8.3%) with splenomegalia and 3 cases (25.0%) with ascites. 8 cases (66.7%) were cured after anti-infection and liver protection therapy. 1 case (8.3%) was died and 3 cases (25.0%) were discharged. Conclusion  Liver dysfunction was generally found in the development process of Leptospirosis. Most of patients took a turn for the better in a short period of time. A minority of patients showed progressive development with liver sero-enzymes increased rapidly, and had serious jaundice and coagulation disorders. It should be distinguished with severe viral hepatitis. In severe cases, it even developed to liver failure and multiple organ function failure. The possibility of leptospirosis should be considered for patients with fever of unknown origin complicated with liver dysfunction. Related Articles | Metrics

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Clinical study of correlation between left ventricular torsion motion and left ventricular systolic function Zhai Daming, Zhao Yiwen, Yang Shaoling, Tang Weizhong, Tao Junjia 2013, 11 (3):  139-140.  doi: 10.3969/j.issn.1672-2302.2013.03.006 Abstract ( 2510 )   Objective To analyze the correlation between the torsion angle of left ventricular and LVEF、FS、MAM displacement, and probe the clinical value to evaluate left ventricular function. Methods 89 cases, including 50 patients with LVEF >50% and 39 patients with LVEF<50%, were selected in the study. FS and mitral MAM displacement were measured by M-mode echocardiography, LVEF was measured by Simpson’s, the torsion angle of left ventricular was measured by two-dimensional gray-scale echocardiography. Results All the torsion angles was between 2.0 degree and 13.4 degree, the mean torsion angle was 7.73±3.76 degree. LVEF、FS、MAM displacement and the torsion angle of left ventricular were obviously lower in group with LVEF<50% than that in normal contrast group (P<0.001). The torsion angle of left ventricular was correlated with LVEF、FS 、MAM displacement significantly（P <0.001）. Conclusions The torsion angle of left ventricular can be used to evaluate left ventricular general systolic function． Related Articles | Metrics

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Schistosomiasis|Transmission control|Snail|Endemic situation control|QingyangCounty Wang Zhongming 2013, 11 (3):  141-143.  doi: 10.3969/j.issn.1672-2302.2013.03.007 Abstract ( 2978 )   Objective To analyze the change trend of schistosomiasis in Qingyang County from 2003 to 2012 and provide basis for making out control strategies. Methods The data of the endemic situation of schistosomiasis in Qingyang County from 2003 to 2012 were collected and analyzed. Results The infection rate of residents and cattle was below 1% in 2 consecutive years. No infectious snails were found and no acute schistosomiasis cases occurred for many years. All the villages got to the criteria of endemic control and all the townships got to the criteria of transmission control by the end of 2009. The snail areas and the villages with snails took on the rising trends from 2003 to 2012 year. There were new infected cases and advanced schistosomiasis cases, as well as new infected cattle nearly every year. Conclusions Qingyang county had reached the criteria of transmission control, but there still existed some factors to consolidate the endemic situation. It was suggested that we should strengthen infectious source control and snail control. Related Articles | Metrics

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Evaluation on the first injection of hepatitis B vaccination in Kunshan City in 2012 Tong Lan 2013, 11 (3):  144-145.  doi: 10.3969/j.issn.1672-2302.2013.03.008 Abstract ( 2762 )   　　Objective To evaluate the first injection of hepatitis B vaccination, and analyze the factors that influence the coverage rate, and provide the basis for the correct execution of neonatal hepatitis B immunization strategy. Methods The condition of the first injection of hepatitis B vaccination in all the inoculation clinics and maternity wards in Kunshan in 2012 were analyzed by the method of descriptive epidemiology . Results The rate of first injection of hepatitis B vaccination was higher. Children borne out of the hospital was the major cause of vaccination not timely. Preterm birth and low weight were the major causes of vaccination undone. There existed the situation of expanding contraindications. Conclusion The main ways to improve the hepatitis B vaccination rate timely were to promote the rate of hospitalized delivery, carry out vaccination in maternity ward strictly and grasp contraindication correctly. Related Articles | Metrics

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Analysis of the distribution and treatment of patients with advanced schistosomiasis in Guichi districtin 2012 Ke Yongwen, He Zonggui, Wu Qiang 2013, 11 (3):  146-148.  doi: 10.3969/j.issn.1672-2302.2013.03.009 Abstract ( 2849 )   Objective To analyze the distribution of advanced schistosomiasis and evaluate the therapeutic effect in Guichi district in 2012. Methods According to the list of patients with advanced schistosomiasis determined by the provincial and municipal experts, the information about the therapeutic effect was collected and analyzed in 2012. Results Among 575 alive advanced schistosomiasis patients, the sex ratio of male and female was 1.22:1, 83.83% of the patients were older than 55 years old, 89.2% were primary school education degree, and 92.7% were farmers. 64.35% of the patients with ascites, and 32.9% with splenectomised. The average survival time after operation was 19 years. 77.92% of the patients were living in the villages which had reached transmission interruption, and 60% were from Lake endemic areas. The average age of the patients who were diagnosed firstly as schistosomiasis and advanced schistosomiasis was 22.7 and 55.1 years old, respectively. 12.87% of the patients were complicated with HBV infection. 98.61% of the patients accepted the antischistosoma therapy. 97.1% of the patients got better after treatment. 10 cases died, and 70% of them died from upper gastrointestinal hemorrhage, hepatic coma and other complications. Conclusion The patients with advanced schistosomiasis were mainly distributed in heavy endemic areas, and most of the them were farmers, old ages, lower education degree, long course of disease, and the therapeutic effect was obvious. Related Articles | Metrics

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Survey on the application of health education products for schistosomiasis control in Anhui Province Li Tingting, He Jiachang, Wang Hao, Zhang Gonghua, Gao Fenghua 2013, 11 (3):  149-152.  doi: 10.3969/j.issn.1672-2302.2013.03.010 Abstract ( 2805 )   Objective To investigate the application of health education products on schistosomiasis control, and provide the basis for design health education products targeted. Methods Local residents, floating population and students were investigated by a designed questionnaire about the application of health education products. Results Local residents watched more TV and film than floating people (P <0.01) , and students in middle school had more video health education than pupil（P <0.05）. Local residents had higher coverage by newspaper, propagandistic pictures and display panels（P <0.01）. Students in middle school got more propagandistic pictures than pupil（P <0.05）. There was no difference for people to get the daily necessities with schistosomiasis knowledge. Conclusion There was some difference for the application of health education products, therefore, the design and the application for health education products should based on different targeted population to get the best promotion effect. Related Articles | Metrics

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Analysis on poor eyesight situation among elementary and secondary school students in Shushan district of Hefei City Qi Xiaoqian, Wang Liping, Cui Guanghui, Bi Fanglong 2013, 11 (3):  153-156.  doi: 10.3969/j.issn.1672-2302.2013.03.011 Abstract ( 2854 )   Objective To investigate the situation and main risk factors of poor eyesight in elementary and secondary school students in Shushan district, Hefei City，and provide evidences for making out prevention strategies. Methods By randomization cluster sampling method, the classrooms from Grade 4 of elementary schools to Grade 3 of high schools in eight schools were selected monitor the environment of classrooms, and the questionnaires-poor vision investigation form for primary and middle school students was completed at the same time. Results The rate of poor eyesight at elementary and secondary school students in Shushan district was 60.08%. It increased significantly with the rising of daily short-distance reading time, daily time spent on homework，the application time of projection instrument in classes，and the frequency of reading in strong light . In contrast, it decreased gradually with the rising of daily time spent on physical exercise and sleeping, the frequency of changing seat and eye exercise, the consumption of fruit and vegetables or food enriched with vitamin A. Conclusion The rate of poor eyesight at elementary and secondary school students in Shushan district was higher than national average rate. The school should strengthen the anti-myopia knowledge propaganda, and parents should help their children to develop good living and studying habits to create favorable environment for eye health for them. Related Articles | Metrics

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Analysis report of Anhui provincial technique competition for diagnosis of parasitic diseases in 2013 ⅠCapability analysis of theoretical knowledge Li Qiyang, Sun Chengsong, Guo Jianduo, Wang Qizhi,Zhang Shiqing, Luo Junping, Zhang Cheng, Zhang Guangming, Xu Mei, Yin Xiaomei, Zhou Li, Zhang Lesheng, Wang Fengfeng, Wang Tianping 2013, 11 (3):  157-160.  doi: 10.3969/j.issn.1672-2302.2013.03.012 Abstract ( 2784 )   Objective To understand the capability of theoretical knowledge among professionals from different level of parasitic diseases control institutions in Anhui province and promote the training of professionals. Methods All contestants were grouped by the gender, age, professional title, level of institution, and different control task of parasitic diseases, and then their total and different part scores of theoretical knowledge were statistically analyzed by SPSS 18.0 software. Results The average score of 72 contestants from 18 teams was below passing score and 54.17% of contestants did pass the test. The average score of schistosomiasis and other parasitic diseases barely reached the passing score and the percentage of contestants whose scores of other parasitic diseases and comprehensive knowledge were below passing score was more than 50%. There was no significant difference of total theoretical knowledge score among genders, ages, and professional titles (P＞0.05), and a significant difference between different level of institution (P＜0.05). There was no significant difference of total and different part score among different control task of parasitic diseases (P＞0.05). Conclusion It is low and urgent to promote the capability of theoretical knowledge among professionals from different level of parasitic diseases control institutions in Anhui province. Related Articles | Metrics