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Longitudinal studies to evaluate stress in first year medical students through cold pressor response and psychological variables 通过冷压反应和心理变量评估医学生压力的纵向研究
Pub Date : 2018-05-08 DOI: 10.15406/mojap.2018.05.00185
K. SriNageswari, A. Malhotra, Gurjit Kaur, I. Kapoor
It is well known that stress and anxiety impair cognitive performance. Stress related anxiety disorders and depression have been reported in undergraduate medical students during the time course of medical education. If the vulnerable students are picked up and diagnosed in the early stages of stress by subjecting them to various physiological and psychological tests, development of stress related anxiety disorders, depression and other psychosomatic illnesses at a later stage could be averted. The study was initiated with these aims and objectives. Medical students comprise a homogenous set of population with similar ethnic, socio-economic background and similar age group. Students who were diagnosed to be suffering from depression, anxiety disorders or undergoing medication for any psychiatric illness were excluded from the study and referred to the Psychiatry department of Government medical college, Chandigarh. Not all the students respond to medical education with the development of stress symptoms and the studies employing variables that are correlates of stress might not prospectively identify the vulnerable students. Stewart et al.1 investigated depression and anxiety in Ist year medical students in a longitudinal study with a gap of eight months between wave one and wave two. However, many of the reported studies are cross sectional. Hence, it was felt desirable to evaluate stress in first year medical students through physiological and psychological variables during longitudinal studies conducted in two phases which are beneficial over cross sectional studies and follow up studies after giving relaxation training to the next batch of students.
众所周知,压力和焦虑会损害认知能力。在医学教育的过程中,压力相关性焦虑障碍和抑郁已被报道。如果这些易受伤害的学生在压力的早期阶段被挑选出来,并通过对他们进行各种生理和心理测试来诊断,就可以避免在后期发展为与压力有关的焦虑症、抑郁症和其他身心疾病。这项研究是以这些目的和目标开始的。医学生是一个具有相似种族、社会经济背景和相似年龄组的同质群体。被诊断患有抑郁症、焦虑症或正在接受任何精神疾病药物治疗的学生被排除在研究之外,并被转介到昌迪加尔政府医学院的精神病学部门。并不是所有的学生对医学教育的反应都是压力症状的发展,采用与压力相关的变量的研究可能无法前瞻性地识别出弱势学生。Stewart等人1在一项纵向研究中调查了一年级医学生的抑郁和焦虑,在第一波和第二波之间有8个月的间隔。然而,许多报道的研究都是横断面的。因此,在分两阶段进行的纵向研究中,通过生理和心理变量来评估医学生的压力,这比横断面研究和对下一批学生进行放松训练后的后续研究更有益。
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引用次数: 0
Obesity and brain alteration 肥胖与大脑改变
Pub Date : 2018-05-03 DOI: 10.15406/MOJAP.2018.05.00184
Zenia Claros Coca
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引用次数: 0
Facial nerve: embryology and anatomy of its nucleus 面神经:胚胎学及其核的解剖学
Pub Date : 2018-05-01 DOI: 10.15406/MOJAP.2018.05.00183
Danilo Alej, O. roGarcía
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引用次数: 1
Antibacterial in vitro of effect urtica dioica and piper angustifolium in alpacas (vicugna pacus) with diarrheal enteropathies 羊驼腹泻性肠病的体外抑菌效果研究
Pub Date : 2018-04-26 DOI: 10.15406/mojap.2018.05.00182
Carhuapoma Dv, Mayhua Mp, Valencia Mn, Li-zhong He
The study was antibacterial to the effect of Urtica dioica and Piper angustifolium in vitro in alpacas with enteropathy. 120 faecal samples from 90 calves born 15 days alpacas were taken. Escherichia coli, Clostridium sp were obtained through biochemical tests. The antibacterial susceptibility was evaluated in three groups: Matico G1, G2 and G3-Nettle Witness-Enrofloxacin concentrations 10 and 5% by disk diffusion method and method Optical turbidimetry. The MIC and MBC was significant (P<0.01) Escherichia coli in groups G1 (Sensitive=29.3±0.2a, Intermediate=15.2±0.3a, resistance=0.0) and G2 (Sensitive=26, 1±0.4ab, Intermediate=16.2 ±0.2a resistance=0.0) and CMB G1 (0.1a±22.0, 21.0 ±1.3a), G2 (0.5ab±37.0, 39.0±0.2ab) against group G3 (=20.2±0.2ac Sensitive, Intermediate =15.1±0.1ac, Resistance=10.4±0.3c) and CMB (0.4ac±420, 460±1.6c), Urtica dioica and Piper angustifolium demonstrate antibacterial effectiveness in alpacas of diarrheal enteropathies.
研究了荨麻疹和鹅毛椒对羊驼肠病的体外抗菌作用。从90头出生15天的羊驼身上采集了120份粪便样本。生化试验得到大肠杆菌、梭状芽胞杆菌。采用纸片扩散法和方法光学比浊法分别对Matico G1、G2和G3-Nettle witness -恩诺沙星浓度为10和5%的3组进行抗菌敏感性评价。G1组(Sensitive=29.3±0.2a, Intermediate=15.2±0.3a, resistance=0.0)、G2组(Sensitive= 26,1±0.4ab, Intermediate=16.2±0.2a resistance=0.0)和CMB组(G1组(0.1a±22.0,21.0±1.3a)、G2组(0.5ab±37.0,39.0±0.2ab)与G3组(=20.2±0.2ac Sensitive, Intermediate= 15.1±0.1ac, resistance= 10.4±0.3c)和CMB组(0.4ac±420,460±1.6c)相比MIC和MBC差异均有统计学意义(P<0.01)。羊驼腹泻性肠病的荨麻疹和鹅毛吹证明抗菌效果。
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引用次数: 3
Proprioceptive neuromuscular facilitation (PNF) vs. task specific training in acute stroke: the effects on neuroplasticity 本体感觉神经肌肉促进(PNF)与任务特异性训练对急性卒中神经可塑性的影响
Pub Date : 2018-04-24 DOI: 10.15406/MOJAP.2018.05.00181
Poonam Chaturvedi, A. Singh, A. Tiwari, D. Kulshreshtha, P. Maurya, A. Thacker
Stroke is the major cause of disability. Disability associated with hemiplegia or hemiparesis markedly limits the independent living and social participation in at least half of all stroke survivors.1 Recovery of motor function after stroke involves relearning motor skills and is mediated by neuroplasticity. Although many molecular signalling pathways are involved, brain-derived neurotrophic factor (BDNF) has emerged as a key facilitator of neuroplasticity involved in motor learning and rehabilitation after stroke.2 Recent research has focused on developing rehabilitation strategies that facilitate such neuroplasticity to maximize functional outcome post stroke. A variety of neurologically based techniques are used by physical therapists in the treatment of hemiplegic patients. Although these techniques are used widely, few studies have been reported in the literature validating these diverse approaches for specific conditions or problems. Proprioceptive Neuromuscular Facilitation (PNF) is a philosophy of treatment based on principles of neurophysiology. Kabat3,4 suggested that patterns of movements performed in combination with other facilitatory procedures result in enhanced voluntary responses. The PNF approach to treatment uses the principle (based on early phylogenetic and embryologic observations that control of motion proceeds from proximal to distal body regions. Facilitation of trunk control, therefore, is used to influence the extremities.3–8 Studies reported PNF intervention in subacute and chronic stroke. Studies to the best of our knowledge regarding PNF implementation in acute stroke and its effects on neuroplasticity are still lacking. On the other side a task-oriented exercise program as a new strategy focuses on functional retraining in subjects with stroke by using multi-system interactions, including the musculoskeletal, cognitive, and neurological systems.9–11 Task oriented exercise focuses on individual’s goals and personal needs; and using verbal and visual feedback during practice.9,12,13
中风是致残的主要原因。与偏瘫或偏瘫相关的残疾明显限制了至少一半中风幸存者的独立生活和社会参与中风后运动功能的恢复涉及运动技能的再学习,并由神经可塑性介导。尽管涉及许多分子信号通路,脑源性神经营养因子(BDNF)已成为脑卒中后运动学习和康复中神经可塑性的关键促进者最近的研究集中在发展康复策略,促进这种神经可塑性,以最大限度地提高中风后的功能结果。物理治疗师在治疗偏瘫患者时使用了多种基于神经学的技术。虽然这些技术被广泛使用,但文献中很少有研究报道证实这些不同的方法适用于特定的条件或问题。本体感觉神经肌肉促进(PNF)是一种基于神经生理学原理的治疗哲学。kabat3,4表明,与其他促进程序相结合的动作模式可以增强自愿反应。PNF治疗方法采用基于早期系统发育和胚胎学观察的原则,即运动控制从身体近端到远端进行。因此,躯干控制的便捷性被用来影响四肢。3-8项研究报道了PNF干预亚急性和慢性卒中。据我们所知,关于急性卒中中PNF的实施及其对神经可塑性的影响的研究仍然缺乏。另一方面,以任务为导向的锻炼计划作为一种新的策略,通过使用多系统的相互作用,包括肌肉骨骼、认知和神经系统,重点关注中风患者的功能再训练。9-11任务导向练习侧重于个人目标和个人需求;在练习中使用语言和视觉反馈
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引用次数: 7
The influence of polysorbate tween 80 on somatic health rats in experiment 聚山梨酯80对躯体健康大鼠的影响
Pub Date : 2018-04-20 DOI: 10.15406/MOJAP.2018.05.00180
M. Mantskava, N. Momtselidze, N. Mitagvaria, L. Davlianidze, M. Devdariani, M. Nebieridze, L. Gumberidze, I. Kvachakidze, N. Sikhariulidze
On the one hand, changes in blood circulation support the development of pathology, and on the other hand, the increase and intensification of pathological changes stimulates the process of slowing blood flow. For the normal functioning of systems, organs, tissues, cells, it is necessary to balance all physical and physiological factors that will ensure fluidity of blood corresponding to the needs and loads at a given time.
一方面,血液循环的变化支持病理的发展,另一方面,病理变化的增加和加剧刺激了血流减慢的过程。为了系统、器官、组织、细胞的正常运作,有必要平衡所有的物理和生理因素,以确保血液的流动性与特定时间的需求和负荷相对应。
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引用次数: 1
Anatomical variations on the origin of the dorsal scarular artery: about 58 dissections 背软骨动脉起源的解剖学变异:约58例解剖
Pub Date : 2018-04-18 DOI: 10.15406/MOJAP.2018.05.00179
P. Nyemb, C. Fontaine, X. Demondion, Maurice Demeulaere, F. Descamps, J. Ndoye
The arteria dorsalis scapulae is usually described as the last collateral branch of the subclavia arteria. In this case its origin is localized below the anterior scalene muscle (scalenus anterior).1 Some authors describe this artery as the deep branch of the arteria transversa cervicis, arising next to the anterior edge of the trapezius muscle.1 Irrespective of its origin, the arteria dorsalis scapulae represents the main vascular pedicle of the trapezius muscle and surrounding integuments. Any microvascular surgery in the trapezian region therefore implies an excellent knowledge of the anatomy of the arteria dorsalis scapulae whose origin and therefore the path can be very variable.2 The authors of this work report different birth modalities of the arteria dorsalis scapulae from its original trunks.
肩胛骨背动脉通常被认为是锁骨下动脉的最后一个侧支。在本病例中,其起源位于前斜角肌(前斜角肌)下方一些作者将此动脉描述为颈横动脉的深分支,起源于斜方肌的前缘不论其起源如何,肩胛骨背动脉代表了斜方肌及其周围被膜的主要血管蒂。因此,任何斜方肌区的微血管手术都需要对肩胛骨背动脉的解剖学有很好的了解,肩胛骨背动脉的起源和路径都是多变的本文报道了肩胛骨背动脉与原始干的不同生成方式。
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引用次数: 0
Naringin protects rat lung against the doxorubicin-induced biochemical injury 柚皮苷对阿霉素诱导的大鼠肺生化损伤具有保护作用
Pub Date : 2018-04-16 DOI: 10.15406/mojap.2018.05.00178
Ganesh Ch, R. Jagetia, T. Lalrinpuii
Since the isolation of doxorubicin (DOX) in 1960s from Streptomyces peucetius it has emerged as one of the most effective anticancer drugs for the treatment of cancer.1,2 Doxorubicin has been used clinically since 1970s, for the treatments of several malignant tumours including myeloblastic leukemias, lymphomas, breast cancer, small cell lung cancer, ovarian cancer, childhood solid cancers and soft tissue sarcomas.3‒5 The doxorubicin also finds its utility in the treatment of liver cancers.6 Recent phase I clinical trial has reemphasized the application of doxorubicin in conjunction with lurbinectedin (PM01183) as a useful paradigm in the treatment of patients presenting with small cell lung cancer.7
自20世纪60年代从peucetius链霉菌中分离出阿霉素(DOX)以来,它已成为治疗癌症最有效的抗癌药物之一。1,2自20世纪70年代以来,阿霉素已在临床上用于治疗几种恶性肿瘤,包括髓母细胞白血病、淋巴瘤、乳腺癌、小细胞肺癌、卵巢癌、儿童实体癌和软组织肉瘤。阿霉素在治疗肝癌方面也有应用最近的I期临床试验再次强调了阿霉素联合鲁比粘连素(PM01183)作为治疗小细胞肺癌患者的有用范例的应用
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引用次数: 5
Stress versus immunity 压力与免疫
Pub Date : 2018-04-13 DOI: 10.15406/mojap.2018.05.00177
A. Liaudat, P. Bosch, Nancy Rodríguez
Stress can be defined as a real or supposed threat to physical or psychological integrity of an individual, resulting in a physiological and /or behavioral response.1 The degree of damage caused by the stress depends on the nature, intensity and duration of the stimuli as well as the stage of gestation at which the stressor is applied.2 Dhabhar & McEwen3 showed that the activation of the physiologic stress response systems can also enhance immune function as evidenced by increase in allergic contact sensitivity or delayed-type hypersensitivity. In contrast, acute stress has no effect on the course of irritant contact sensitivity, an immune reaction that does not involve an Ag-specific memory response. Herbert & Cohen4 suggested that objective stressful events leas to larger immune changes than subjective self-reports of stress and that interpersonal events are related to different immune outcomes than non-social events.
压力可以被定义为对个体生理或心理完整性的真实或假想的威胁,从而导致生理和/或行为反应应激造成的损害程度取决于刺激的性质、强度和持续时间,以及应激源施加的妊娠阶段Dhabhar和McEwen3表明,生理应激反应系统的激活也可以增强免疫功能,如过敏性接触敏感或延迟型超敏反应的增加。相反,急性应激对刺激性接触敏感性的过程没有影响,这是一种不涉及ag特异性记忆反应的免疫反应。赫伯特和科恩4认为,客观的压力事件比主观的压力自我报告导致更大的免疫变化,人际事件与非社会事件相比与不同的免疫结果相关。
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引用次数: 0
Beta 2-microglobulin amyloidosis causing carpal tunnel syndrome, mimic steal syndrome β 2-微球蛋白淀粉样变引起腕管综合征,模拟偷窃综合征
Pub Date : 2018-04-12 DOI: 10.15406/mojap.2018.05.00176
O. Mohamed, M. Taher, Walyeldin Elfakey
Normal kidneys filter and remove excess small proteins from the blood; thus, keeping blood levels normal. When the kidneys failed, as in patients receiving dialysis, one type of small protein called beta 2-microglobulin builds up in the blood. When this occurs, beta 2-microglobulin molecules may join together, like the links of a chain, forming a few very large molecules from many smaller ones. These large molecules can form deposits and eventually damage the surrounding tissues and cause great discomfort. This condition is called dialysis-related amyloidosis (DRA).1
正常的肾脏过滤和清除血液中多余的小蛋白质;从而保持血液水平正常。当肾脏衰竭时,就像接受透析的病人一样,一种叫做β 2微球蛋白的小蛋白质会在血液中积聚。当这种情况发生时,β 2-微球蛋白分子可能会像链环一样连接在一起,由许多较小的分子形成几个非常大的分子。这些大分子会形成沉积物,最终损害周围组织,引起极大的不适。这种情况被称为透析相关性淀粉样变性(DRA)
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引用次数: 0
期刊
MOJ Anatomy & Physiology
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