在英国死于克鲁茨菲尔特-雅各布病变体的死亡人数
N J Andrews1, C P Farrington, H J T Ward
1Public Health Laboratory Service, Communicable Disease Surveillance Centre, London, UK.
Lancet (London, England)
|March 7, 2003
概括
在英国,克鲁茨菲尔特-雅各布疾病 (vCJD) 死亡率的变体显示出放缓的趋势,在2000年达到顶峰. 虽然最近的数据令人鼓舞,但未来vCJD死亡人数的增加仍然是一个可能性.
科学领域:
- 流行病学 流行病学
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 变体克鲁茨菲尔特-雅各布病 (vCJD) 是一种致命的神经退行性疾病.
- 监测vCJD死亡率趋势对于公共卫生监测至关重要.
- 以前的趋势表明vCJD病例可能会增加.
研究的目的:
- 从1995年起,分析英国vCJD死亡率数据.
- 为了估计vCJD死亡率的基本趋势.
- 评估vCJD死亡的未来发展轨迹.
主要方法:
- 在英国对vCJD死亡数据的分析.
- 统计建模以确定死亡率趋势.
- 估计死亡率趋势中的二次元件.
主要成果:
- 2000年,英国的vCJD死亡人数为28人,2001年为20人,2002年为17人.
- 死亡率趋势呈现出显著的二次元组件 (p=0.005).
- 分析表明,vCJD死亡率的上升趋势正在放缓,2000年达到峰值.
结论:
- 慢化vCJD死亡率的趋势是一个令人鼓舞的公共卫生指标.
- 观察到的趋势表明vCJD死亡人数的增加不是指数的.
- 尽管趋势放缓,但不能排除未来vCJD死亡率的增加.
相关概念视频
Lethal Alleles
Agouti: A Lethal Allele
Lucien Cuénot discovered lethal alleles in 1905 while studying the inheritance of coat color in mice. The agouti gene is responsible for the color of the coat in mice. This gene codes for an agouti-signaling protein, which is responsible for melanin distribution in mammals. The wild-type allele gives rise to gray-brown coat color in mice, while the mutant allele gives rise to yellow coat color. In addition to coat color, the agouti gene is associated with the yellow...
Lucien Cuénot discovered lethal alleles in 1905 while studying the inheritance of coat color in mice. The agouti gene is responsible for the color of the coat in mice. This gene codes for an agouti-signaling protein, which is responsible for melanin distribution in mammals. The wild-type allele gives rise to gray-brown coat color in mice, while the mutant allele gives rise to yellow coat color. In addition to coat color, the agouti gene is associated with the yellow...
Alterations in Respiration II
There are numerous types of normal and abnormal respiration. Based on ventilatory movements, breathing patterns are classified as regular, deep, or shallow. Examples include Biot's breathing, Cheyne-Stokes respiration, Kussmaul's breathing, hyperventilation, and hypoventilation. Each pattern is clinically significant and aids in evaluating patients.
In Biot's breathing, the respiratory rate and depth are irregular, alternating between periods of deep gasping and apnea. Common causes include...
In Biot's breathing, the respiratory rate and depth are irregular, alternating between periods of deep gasping and apnea. Common causes include...
Thomson's e/m Experiment
In a beam of charged particles created by a heated cathode, the particles move at different speeds. However, many applications need a beam with uniform particle speeds. An arrangement known as a velocity selector uses electric and magnetic fields to pick particles with a particular speed from the beam.
A particle with charge q, speed v, and mass m enters an area from the top, where the magnetic and electric fields are perpendicular both to the particle's motion and to one another. The magnetic...
A particle with charge q, speed v, and mass m enters an area from the top, where the magnetic and electric fields are perpendicular both to the particle's motion and to one another. The magnetic...
Inborn Errors of Metabolism
Phenylketonuria (PKU) is a protein metabolism disorder characterized by high blood levels of the amino acid phenylalanine. This results from a mutation in the gene responsible for phenylalanine hydroxylase, an enzyme that converts phenylalanine into tyrosine. When this enzyme is deficient, phenylalanine builds up in the blood, leading to symptoms such as vomiting, rashes, seizures, growth deficiency, and severe mental retardation. An early diagnosis and a diet restricting phenylalanine intake...
Kubler Ross's Stages of Dying
Elisabeth Kübler-Ross significantly advanced psychology's understanding of the process of dying with her influential book, On Death and Dying (1969). She focused on studying terminally ill individuals and outlined five stages commonly experienced when coping with death: denial, anger, bargaining, depression, and acceptance.
In denial, individuals reject the reality of their condition, often thinking, "This isn't true; I feel fine," as a way to protect themselves from emotional distress. Anger...
In denial, individuals reject the reality of their condition, often thinking, "This isn't true; I feel fine," as a way to protect themselves from emotional distress. Anger...
Amebiasis
Entamoeba histolytica, a protozoan parasite, is responsible for intestinal and extraintestinal amebiasis. Though a significant proportion of infections remain asymptomatic, approximately 50 million individuals annually are estimated to present with clinical disease, resulting in up to 100,000 deaths globally. The disease burden is disproportionately high in regions with lower socioeconomic status, such as parts of India, Africa, Mexico, and Latin America.Etiology and TransmissionThe infective...


