Biomedical subjects

Taiping Wang

Publications and source records attributed to Taiping Wang.

3 recordsLinked to original sources

PubMed2006

Premature mortality in people with epilepsy in rural China: a prospective study.

BACKGROUND: In China, few studies have described annual mortality associated with epilepsy in a general population and these have provided a range of 3.0-7.9 deaths per 100,000 people. We calculated the case fatality rate (CFR), proportional mortality rate (PMR), and standardised mortality ratio (SMR) to assess mortality in people with epilepsy in rural China. METHODS: The target population was people with epilepsy who participated in an assessment of epilepsy management at primary health level in rural China. Neurologists confirmed the diagnosis using strict criteria in all participants who were then treated with phenobarbital. Demographic data and putative cause of death were recorded for each person whose death was reported. PMRs for each cause of death and SMRs were estimated on the basis of the 2004 Chinese population. FINDINGS: Case fatality rate was 1.4% (35 deaths) among 2455 people with epilepsy. The age-adjusted PMRs for injury, stroke, neoplasm, myocardial infarction, and pneumonia were 30%, 30%, 15%, 6%, and 5%, respectively. The SMR was 3.9 (95% CI 3.8-3.9). Patients aged 15-29 years had higher mortality ratios than did those in other age-groups, with SMRs exceeding 23. INTERPRETATION: Risk for premature death is three to four times higher in people with epilepsy than in the general Chinese population. Furthermore, the risk in young people with epilepsy in China is much higher than previously reported. Injury, stroke, myocardial infarction, and pneumonia are among the leading putative causes of death in patients with epilepsy in rural China.

Adolescent↗

PubMed2005

Development of the fecal coliform total maximum daily load using Loading Simulation Program C++ and tidal prism model in estuarine shellfish growing areas: a case study in the Nassawadox coastal embayment, Virginia.

In this study, a linked model system including the Loading Simulation Program C++ (LSPC) and the tidal prism water quality model (TPWQM) was proposed as an alternative tool for total maximum daily load (TMDL) studies. The feasibility of the model system was tested by a case study in the Nassawadox Creek, a Virginia tidal water shellfish growing area. The watershed model, driven by hourly precipitation, simulates hydrology and fecal coliform accumulation and transport processes in the watershed. The simulated surface runoff and subsurface flow as well as fecal coliform loads from the watershed are discharged to the tidal creek. The tidal prism model simulates fecal coliform transport in the Creek. The model results demonstrate the effectiveness in simulating hydrology and fecal coliform concentration in the watershed and its embayment. A series of sensitivity runs was conducted to estimate the load reduction necessary for fecal coliform concentration to meet the water quality standards. The model application to the Nassawadox Creek indicates that the model system is useful in developing fecal coliform TMDLs for estuarine shellfish growing areas.

Animals↗

PubMed2002

[Epidemiological survey on epilepsy among rural populations in five provinces in China].

OBJECTIVE: To investigate the prevalence of epilepsy and its treatment gap in rural areas of China. METHODS: A door-to-door epidemiological survey on epilepsy was conducted among 55616 rural residents in 5 counties, each in a province (Heilongjiang, Ningxia, Shanxi, Henan, and Jiangsu) selected by random cluster sampling. All people diagnosed or suspected as epileptic during the screening phase were rechecked by neurologists. RESULTS: A definite diagnosis of epilepsy was made among 387 people with a prevalence rate 7.0 per thousand (age-adjusted rate 6.8 per thousand). The prevalence of active epilepsy was 4.6 per thousand, and the incidence of epilepsy was 28.8/100 000. Of the people with epilepsy, 40.6% had not been treated, 35.4% were treated irregularly. The treatment gap of active epilepsy was 62.6%. CONCLUSION: The prevalence of epilepsy in the rural areas in China was much higher than it was reported previously. About two thirds of the patients with epilepsy has not received regular treatment. A rational intervention strategy should be developed as soon as possible.

Adolescent↗