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老年糖尿病女性继发性骨质疏松及其相关骨折(英文) 被引量:7
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作者 王晓平 丁洪流 《中国循证医学杂志》 CSCD 2008年第7期517-524,共8页
目的继发性骨质疏松在原发性骨质疏松病人中很常见。糖尿病为已知继发性骨质疏松病因之一。虽然I型糖尿病和糖尿病性骨质疏松有明确联系,但II型糖尿病对骨质健康的影响颇具争议。方法调查WHI参试者中II型糖尿病与骨质疏松及在不同骨骼... 目的继发性骨质疏松在原发性骨质疏松病人中很常见。糖尿病为已知继发性骨质疏松病因之一。虽然I型糖尿病和糖尿病性骨质疏松有明确联系,但II型糖尿病对骨质健康的影响颇具争议。方法调查WHI参试者中II型糖尿病与骨质疏松及在不同骨骼部位的骨折的关系。结果对此研究人群一些常见危险因素诸如年龄、种族、体密度指标、是否采用激素替代疗法、既往骨折史与骨质疏松及骨折显著相关。糖尿病女性似具降低的骨质疏松患病危险,但此现象在调节其他危险因素后不再显著[调节前HR=0.78,95%CI(0.61,0.99);调节后HR=0.93,95%CI(0.73,1.19)]。糖尿病对骨折的影响在不同的骨骼部位有所变化。在糖尿病女性中髋部骨折危险显著增加[HR=2.54,95%CI(1.14,5.66)],但未见脊柱骨折危险[HR=1.71,95%CI(0.81,3.60)]及手臂骨折危险[HR=0.92,95%CI(0.48,1.76)]有显著变化。尽管总体骨折危险在糖尿病与非糖尿病女性中,无明显不同[HR=1.37,95%CI(0.89,2.09)],但在随访2 000天后可见,糖尿病患者危险增加两倍并具有统计学意义[HR=2.01,95%CI(1.21,3.35)],提示糖尿病不同阶段的危害不同。结论我们的发现显示II型糖尿病或许与骨质疏松没有明确联系,但其至少特异性增加髋部骨折。此外,总体骨折危险呈时间依赖式增长。 展开更多
关键词 糖尿病 骨质疏松 骨折 相关性分析
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Alzheimer’s disease:epidemiology,genetics,and beyond 被引量:5
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作者 王晓平 丁洪流 《Neuroscience Bulletin》 SCIE CAS CSCD 2008年第2期105-109,共5页
Alzheimer's disease (AD) is an increasing epidemic threatening public health. Both men and women are susceptible to the disease although women are at a slightly higher risk. The prevalence of AD rises exponentially... Alzheimer's disease (AD) is an increasing epidemic threatening public health. Both men and women are susceptible to the disease although women are at a slightly higher risk. The prevalence of AD rises exponentially in elderly people from 1% at age of 65 to approximately 40%-50% by the age of 95. While the cause of the disease has not been fully understood, genetics plays a role in the onset of the disease. Mutations in three genes (APP, PSENI, and PSEN2) have been found to cause AD and APOE4 allele increases the risk of the disease. As human genomic research progresses, more genes have been identified and linked with AD. Genetic screening tests for persons at high risk of AD are currently available and may help them as well as their families better prepare for a later life with AD. 展开更多
关键词 Alzheimer's disease amyloid precursor protein PRESENILIN APOE
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Migraine as a sex-conditioned inherited disorder: evidences from China and the world 被引量:2
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作者 王晓平 丁洪流 +1 位作者 耿昌明 蒋玉美 《Neuroscience Bulletin》 SCIE CAS CSCD 2008年第2期110-116,共7页
Migraine is a complex and heterogeneous disorder. Although several genetic models has been proposed including autosomal-dominant/autosomal recessive, sex-linked, sex-limited, mitochondrial, and multi-gene, none of the... Migraine is a complex and heterogeneous disorder. Although several genetic models has been proposed including autosomal-dominant/autosomal recessive, sex-linked, sex-limited, mitochondrial, and multi-gene, none of these models can well-explain the transmission of the disease. We hypothesied that migraine is a sex-conditioned inherited disorder (autosomal dominant in females and autosomal recessive in males). This hypothesis is supported by the evidence such as the locations of genes associated with familial hemiplegic migraine, possibly "typical" migraine as well (dominantly on chromosome 19p, lq, and 2q), male:female ratio of prevalence (1:2-1:4), the mostly youth-onset, the provocation by the contraceptives, the induction by menstruation, and the self-limitation after menopause. Female sex-hormones appear to be the key contributor to a higher prevalence of migraine in female. Socio-environmental factors may also play an important role. 展开更多
关键词 EPIDEMIOLOGY GENETICS MIGRAINE familial hemiplegic migraine
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影响伤残人员就业及工作意愿的障碍因素
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作者 王晓平 丁洪流 《环境与职业医学》 CAS 北大核心 2008年第5期500-504,共5页
[目的]伤残人员就业是一项重要的社会和公共卫生挑战。尽管该人群中大部分能够工作,并且就业可以明显改善他们的生活,很多伤残人员目前处于失业状态。本研究对影响"麻萨诸塞州就业与伤残调查"参试者就业及工作意愿的障碍因素... [目的]伤残人员就业是一项重要的社会和公共卫生挑战。尽管该人群中大部分能够工作,并且就业可以明显改善他们的生活,很多伤残人员目前处于失业状态。本研究对影响"麻萨诸塞州就业与伤残调查"参试者就业及工作意愿的障碍因素加以探讨。[方法]基于一项开展于2003年在总数为2952名加入麻萨诸塞州医疗计划的伤残人员的横断面(cross- sectional)调查。[结果]虽然伤残及健康问题对伤残人员就业有重要影响,这些并非决定该类人员工作意愿的主要因素。然而,社会经济地位,与工作有关的活动,以及有关政策或专项计划与就业和工作意愿二者皆为相关。[结论]由于影响工作意愿的障碍多为政策性因素,改变现有政策或者制定专为鼓励伤残人员工作而设计的计划,对成功帮助他们获取就业从而改善生活质量至关重要。 展开更多
关键词 卫生政策 伤残 就业
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