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Microbes: Friends or foe? An overview on the impact of COVID-19 pandemic on human health and modern eugenics for recurrence prevention 微生物:是敌是友?COVID-19大流行对人类健康的影响及现代优生学预防复发综述
Pub Date : 2021-01-01 DOI: 10.4103/ed.ed_27_20
Divyanu Jain, A. Sood, H. Takenaka, M. Sano, S. So, I. Tomita, N. Kanayama, A. Jain
Microbes are an essential component of our ecosystem which have coexisted with humans and all other life forms for millions of years. These microbes have proven beneficial in our everyday life in many ways, but the recognized pathogenic forms have also proven to be dangerous to human life. The recent pandemic caused by the severe acute respiratory syndrome coronavirus 2 is evidence for the significant impact of negative human interference with the natural ecosystem which might include but is not limited to rapid urbanization, pollution, agricultural change, food consumption, and global warming. In this context, the principle of “eugenics” proposed by Sir Galton has been discussed in the current perspective. The aim of this review is to discuss the application of ethical scientific practices to promote healthy human evolution without disturbing the ecological balance. We reviewed literature relevant to the impact of microbial systems on public health including the recent COVID-19 pandemic. We suggest that the concept of “modern eugenics” should be reconsidered in ethical scientific terms by focusing on the beneficial gene(s) and eliminating harmful gene(s) of pathogenic organisms. This might contribute to the human genetic enhancement and facilitate a safe symbiotic ecosystem. In the past, scientists have successfully developed simple and safe bioassays for the identification of mutagens and carcinogens using pathogenic microorganisms. Similarly, recently developed gene therapies using viral vectors are excellent examples of the ethical and scientific application of modern eugenics for healthy human evolution. Therefore, it is necessary to establish an “International Society for Positive Science” comprising of individuals from all fields to critically analyze the positive and ethical use of science to promote and strengthen the cohabitation of all species and prevent the recurrence of future pandemics.
微生物是我们生态系统的重要组成部分,与人类和所有其他生命形式共存了数百万年。这些微生物已被证明在许多方面对我们的日常生活有益,但公认的致病形式也已被证明对人类生命是危险的。最近由严重急性呼吸综合征冠状病毒2引起的大流行证明,人类对自然生态系统的负面干预可能包括但不限于快速城市化、污染、农业变化、粮食消费和全球变暖。在此背景下,高尔顿爵士提出的“优生学”原则在当前的视角下得到了讨论。这篇综述的目的是讨论伦理科学实践在不破坏生态平衡的情况下促进人类健康进化的应用。我们回顾了与微生物系统对公共卫生影响相关的文献,包括最近的COVID-19大流行。我们建议从伦理科学的角度重新考虑“现代优生学”的概念,关注致病生物的有益基因和消除有害基因。这可能有助于人类基因增强和促进安全的共生生态系统。在过去,科学家们已经成功地开发了简单而安全的生物测定方法,用于利用病原微生物鉴定诱变剂和致癌物。同样,最近开发的使用病毒载体的基因疗法是现代优生学在伦理和科学上应用于健康人类进化的极好例子。因此,有必要建立一个由各个领域的个人组成的"国际实证科学学会",以批判性地分析科学的积极和合乎道德的使用,以促进和加强所有物种的共存,并防止未来大流行病的再次发生。
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引用次数: 0
Comparative effect of neonatal and adult exposure to monosodium glutamate 新生儿和成人接触味精的比较效果
Pub Date : 2021-01-01 DOI: 10.4103/ed.ed_24_20
A. Stephen, A. Ushie, O. Wilson
Purpose: Exposure to monosodium glutamate (MSG) is reported to have different effects on exposed rats depending on the age of exposure, believed to be as a result of its ability to pass the blood–brain barrier and affect the level and function of neurotransmitters in the central nervous system. Aim: The present study is aimed at understanding the differential effect of MSG in rats exposed either as neonate, neonate plus adult or adult only by measuring the metabolism of selected neurotransmitters in the brain. Materials and Methods: Neonates were grouped into 2 administered 4 mg/g body weight MSG and Saline (control) on postnatal days 2, 4, 6, 8, and 10. The rats were allowed to mature for 30 weeks afterwards the MSG group were further divided into three groups (n = 6) and administered saline, 5 and 10 mg/g of MSG. Two other groups, not exposed to MSG at neonatal age, were similarly administered 5 and 10 mg/g of MSG, administration lasted for 6 weeks. Key enzymes of acetylcholine and tyrosine metabolisms as well as alanine aminotransferase (ALT) and aspartate aminotransferase (AST) were measured in whole brain homogenates. Results: Showed an increase in acetylcholinesterase and tyrosine hydroxylase activities which occurred similarly in both neonatal and adult administered groups. AST and ALT showed a similar activity significantly higher adult groups. Conclusion: MSG affected both neonate and adult administered groups similarly in a dose dependent manner.
目的:据报道,暴露于味精(MSG)对暴露的大鼠有不同的影响,这取决于暴露的年龄,这被认为是由于它能够通过血脑屏障并影响中枢神经系统神经递质的水平和功能。目的:通过测量脑内特定神经递质的代谢,了解味精对雏鼠、雏鼠加成年鼠和成年鼠的不同作用。材料与方法:将新生儿分为两组,分别于出生后第2、4、6、8和10天给予体重为4 mg/g的味精和生理盐水(对照组)。大鼠成熟30周后,味精组再分为3组(n = 6),分别给予生理盐水、5和10 mg/g味精。另外两组在新生儿时未暴露于味精,同样给予5和10 mg/g味精,给药持续6周。测定全脑匀浆中乙酰胆碱和酪氨酸代谢的关键酶以及谷丙转氨酶(ALT)和天冬氨酸转氨酶(AST)。结果:显示乙酰胆碱酯酶和酪氨酸羟化酶活性的增加,在新生儿和成人给药组发生类似。成人组AST和ALT活性相近,且显著升高。结论:味精对新生儿和成人给药组的影响相似,呈剂量依赖性。
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引用次数: 0
Influence of lifestyle factors on reproductive hormones and micronutrients in workers occupationally exposed to heavy metals 生活方式因素对职业性重金属暴露工人生殖激素和微量营养素的影响
Pub Date : 2021-01-01 DOI: 10.4103/ed.ed_19_20
C. Obi-Ezeani, C. Dioka, S. Meludu
Context: Unhealthy lifestyles or social habits such as smoking and alcohol consumption in addition to heavy metals exposure may enhance alterations in micronutrients and fertility hormones. Aim: The aim of the study was to examine the influence of smoking and alcohol consumption on reproductive hormones and micronutrients in workers exposed to heavy metals. Materials and Methods: Fifty workers from auto repair workshops and 44 occupationally unexposed control participants were recruited for the study. The occupationally exposed workers and control were further grouped into alcohol drinking smokers (ADS) and abstainers. The occupationally exposed workers comprised 28 ADS and 22 abstainers, while the control comprised 24 ADS and 20 abstainers. Blood samples were analyzed for lead (Pb), cadmium (Cd), selenium (Se), and zinc (Zn); testosterone (Tt), follicle-stimulating hormone (FSH), and luteinizing hormone (LH); and statistical significance set at P < 0.05. Results: Pb, Cd, FSH, and LH levels were significantly higher, while Se, Zn, and Tt levels were significantly lower in the occupationally exposed workers compared to the control. Blood Pb and Cd levels in the exposed ADS were significantly higher compared to exposed abstainers and the control groups. Blood Se level was significantly lower in the exposed ADS compared to the exposed abstainers and control groups (P < 0.05). Blood Zn level in the exposed ADS was significantly lower compared to the exposed abstainers and abstainers in the control group. Serum Tt level was significantly lower in the exposed ADS compared to the exposed abstainers and control groups (P < 0.05). The serum FSH and LH were significantly higher in the exposed ADS compared to the control groups (P < 0.05). Conclusion: Smoking and alcohol consumption may exacerbate the adverse effect of heavy metal exposure on reproductive health and fertility. Hence, these workers should be enlightened on the imminent dangers of such unhealthy habits.
背景:不健康的生活方式或社会习惯,如吸烟和饮酒,以及接触重金属,可能会增加微量营养素和生育激素的变化。目的:这项研究的目的是研究吸烟和饮酒对接触重金属的工人生殖激素和微量营养素的影响。材料与方法:从汽车修理厂招募50名工人和44名职业未暴露的对照组进行研究。职业暴露工人和对照组进一步分为饮酒吸烟者(ADS)和戒酒者。职业暴露组有28例ADS和22例戒酒者,对照组有24例ADS和20例戒酒者。分析血样中的铅(Pb)、镉(Cd)、硒(Se)和锌(Zn);睾酮(Tt)、促卵泡激素(FSH)、促黄体生成素(LH);P < 0.05,差异有统计学意义。结果:与对照组相比,职业暴露工人的Pb、Cd、FSH和LH水平显著升高,而Se、Zn和Tt水平显著降低。暴露在ADS中的血铅和镉水平明显高于暴露的戒酒者和对照组。ADS暴露组血硒水平显著低于不暴露组和对照组(P < 0.05)。ADS暴露组血锌水平明显低于不暴露组和不暴露组。ADS暴露组血清Tt水平显著低于未暴露组和对照组(P < 0.05)。ADS暴露组血清FSH、LH显著高于对照组(P < 0.05)。结论:吸烟和饮酒可加重重金属暴露对生殖健康和生育的不良影响。因此,这些工人应该认识到这些不健康习惯的潜在危险。
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引用次数: 0
Envisaging political commitment and financial investment to accomplish elimination of all forms of viral hepatitis by 2030 展望到2030年实现消除一切形式病毒性肝炎的政治承诺和财政投资
Pub Date : 2020-10-01 DOI: 10.4103/ed.ed_11_20
S. Shrivastava, P. Shrivastava
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引用次数: 0
Prevalence of open defecation among households with toilets and associated factors in rural areas of district Sonepat in Haryana 哈里亚纳邦索内帕特农村地区有厕所的家庭露天排便的流行情况及相关因素
Pub Date : 2020-10-01 DOI: 10.4103/ed.ed_22_20
B. Rani, Anshu Yadav, S. Jha, A. Punia, Sanjeet Singh
Context: Constructing latrines and getting people to use them is one of the most effective means of improving public health and saving lives. However, building toilets alone cannot eliminate open defecation. Aims: The aim was to estimate the prevalence of open defecation and factors associated with open defecation in rural areas of a district of Haryana. Settings and Design: This community-based cross-sectional study was carried out in a rural field practice area attached to the department of community medicine of a rural medical college. Subjects and Methods: The study was carried out from July to October 2019. The data were collected from 368 randomly selected households on a pretested semi-structured proforma. Ethical approval was obtained from the institutional ethics committee. Statistical Analysis Used: The data were analyzed using the software R, version 3.6.2. Chi-square, Fisher's exact test, crude odds ratio, adjusted odds ratio with 95% confidence interval, and P value were calculated. Results: The prevalence of open defecation was 30.97% despite having a household toilet. Among the study participants practicing open defecation, the prevalence of open defecation was significantly higher among scheduled caste (64.9%), illiterates (42.7%), laborers (56.6%), and low family income (41.5%). The participants who have constructed latrine recently, i.e., <1 year before (87%), latrine constructed by government expenses (76.9%), and rarely cleaning of the latrine (76.5%) also contributed significantly. Multivariate logistic regression analysis showed that four of these predictor variables, caste, occupation of the head of the family, years since latrine constructed, and latrine cleaning remained significant predictors of open field defecation. Conclusions: Open defecation is common among latrines owners. This behavior is associated with various several structural and sociocultural factors. The present sanitation campaign should consider shifting from toilet construction to toilet use.
背景:建造厕所并让人们使用它们是改善公共卫生和拯救生命的最有效手段之一。然而,仅靠修建厕所并不能消除露天排便。目的:目的是估计哈里亚纳邦一个地区农村地区露天排便的流行程度和与露天排便相关的因素。设置与设计:本以社区为基础的横断面研究在一所农村医学院社区医学系附属的农村野外实践区进行。研究对象和方法:研究于2019年7月至10月进行。数据是从368个随机选择的家庭中收集的,采用预先测试的半结构化形式。获得了机构伦理委员会的伦理批准。使用方法:使用R软件进行数据分析,版本为3.6.2。计算卡方、Fisher精确检验、粗优势比、校正95%置信区间优势比和P值。结果:尽管有家庭厕所,露天排便的发生率为30.97%。在露天排便的研究参与者中,排便率在低种姓(64.9%)、文盲(42.7%)、劳动者(56.6%)和低收入家庭(41.5%)中显著较高。最近(即少于1年前)建造厕所的参与者(87%)、政府费用建造厕所的参与者(76.9%)和很少清洁厕所的参与者(76.5%)也有显著贡献。多变量logistic回归分析显示,种姓、一家之主的职业、建造厕所的年限和厕所清洁这四个预测变量仍然是露天场所排便的重要预测因素。结论:露天排便在厕所主人中较为常见。这种行为与各种结构和社会文化因素有关。目前的卫生运动应考虑从厕所建设转向厕所使用。
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引用次数: 1
Diesel exhaust particles induced oxidative stress, autophagy, and apoptosis in human umbilical vein endothelial cells 柴油机尾气颗粒诱导人脐静脉内皮细胞氧化应激、自噬和凋亡
Pub Date : 2020-10-01 DOI: 10.4103/ed.ed_37_20
Yang Guo, Longfei Guan, Yu Ji, Hangil Lee, Wenjing Wei, Changya Peng, Xiaokun Geng, Yuchuan Ding
Background: Air pollution is one of the greatest public health concerns worldwide. In order to understand its mechanism of harm, we investigated the effects of diesel exhaust particles (DEPs), one of the major constituents of ambient air pollutants, on reactive cell viability, oxygen stress, autophagy, and apoptosis. Materials and Methods: In in vitro human umbilical vein endothelial cell (HUVEC) model, cells were exposed to freshly dispersed DEP preparations at 0, 12.5, 25, 50, 100, or 200 µg/mL for 24 h or at 50 µg/mL DEP for 1, 3, 6, 12, or 24 h. Cell survival and oxidative stress were determined by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay, activity of nicotinamide adenine dinucleotide phosphate (NADPH) oxidase (NOX), and generation of reactive oxygen species (ROS). Protein expressions of autophagy (Beclin-1, p62, and light chain 3 [LC3]-II) and apoptosis (Bcl2 and Bax) were assayed by Western blotting. Results: DEP induced a significant dose-dependent and temporal decrease in cell viability and increase in ROS generation and NOX activity, in association with decreased or increased protein levels of p62 or Beclin-1, as well as conversion of the LC3 in a dose-dependent manner. DEP increased pro-apoptotic protein Bax and decreased anti-apoptotic protein Bcl2. Conclusions: These results demonstrated that DEP exposure induced cytotoxicity, oxidative stress, autophagy, and apoptosis in HUVECs. Novel insight into the mechanisms of cardiovascular diseases caused by air pollution may be provided through these findings.
背景:空气污染是全世界最严重的公共卫生问题之一。为了了解其危害机制,我们研究了柴油机尾气颗粒(DEPs)对细胞活性、氧胁迫、自噬和凋亡的影响。材料与方法:在体外人类脐静脉内皮细胞(HUVEC)模型,细胞暴露在新鲜分散DEP准备在0,12.5,25岁,50岁,100年,或者200µg / mL 24小时50岁µg / mL环保局为1,3、6、12或24 h。细胞生存和氧化应激是由3 - (4 5-dimethylthiazol-2-yl) 2, 5-diphenyltetrazolium溴化分析,活动的烟酰胺腺嘌呤二核苷酸磷酸(NADPH)氧化酶(NOX),和一代的活性氧(ROS)。Western blotting检测细胞自噬(Beclin-1、p62、轻链3 [LC3]-II)和凋亡(Bcl2、Bax)蛋白表达。结果:DEP诱导了显著的剂量依赖性和时间依赖性细胞活力降低,ROS生成和NOX活性增加,与p62或Beclin-1蛋白水平的降低或升高以及LC3的转化以剂量依赖性的方式相关。DEP增加促凋亡蛋白Bax,降低抗凋亡蛋白Bcl2。结论:这些结果表明DEP暴露可诱导HUVECs细胞毒性、氧化应激、自噬和凋亡。这些发现可能会对空气污染引起的心血管疾病的机制提供新的见解。
{"title":"Diesel exhaust particles induced oxidative stress, autophagy, and apoptosis in human umbilical vein endothelial cells","authors":"Yang Guo, Longfei Guan, Yu Ji, Hangil Lee, Wenjing Wei, Changya Peng, Xiaokun Geng, Yuchuan Ding","doi":"10.4103/ed.ed_37_20","DOIUrl":"https://doi.org/10.4103/ed.ed_37_20","url":null,"abstract":"Background: Air pollution is one of the greatest public health concerns worldwide. In order to understand its mechanism of harm, we investigated the effects of diesel exhaust particles (DEPs), one of the major constituents of ambient air pollutants, on reactive cell viability, oxygen stress, autophagy, and apoptosis. Materials and Methods: In in vitro human umbilical vein endothelial cell (HUVEC) model, cells were exposed to freshly dispersed DEP preparations at 0, 12.5, 25, 50, 100, or 200 µg/mL for 24 h or at 50 µg/mL DEP for 1, 3, 6, 12, or 24 h. Cell survival and oxidative stress were determined by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay, activity of nicotinamide adenine dinucleotide phosphate (NADPH) oxidase (NOX), and generation of reactive oxygen species (ROS). Protein expressions of autophagy (Beclin-1, p62, and light chain 3 [LC3]-II) and apoptosis (Bcl2 and Bax) were assayed by Western blotting. Results: DEP induced a significant dose-dependent and temporal decrease in cell viability and increase in ROS generation and NOX activity, in association with decreased or increased protein levels of p62 or Beclin-1, as well as conversion of the LC3 in a dose-dependent manner. DEP increased pro-apoptotic protein Bax and decreased anti-apoptotic protein Bcl2. Conclusions: These results demonstrated that DEP exposure induced cytotoxicity, oxidative stress, autophagy, and apoptosis in HUVECs. Novel insight into the mechanisms of cardiovascular diseases caused by air pollution may be provided through these findings.","PeriodicalId":11702,"journal":{"name":"Environmental Disease","volume":"52 1","pages":"112 - 119"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81540929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Magnitude of fluorosis and various interventions to reduce fluorosis in Gujarat, India 印度古吉拉特邦氟中毒程度和减少氟中毒的各种干预措施
Pub Date : 2020-10-01 DOI: 10.4103/ed.ed_29_20
S. Patel, K. Mehta, P. Kotecha
Background: Gujarat is one of the endemic states for the prevalence of fluorosis due to high fluoride levels in water of many villages in the state. Aim and Objectives: To determine the prevalence of dental fluorosis and skeletal fluorosis in Vadodara district, Gujarat, India, and to document various interventions conducted by Government to reduce the prevalence of fluorosis in Gujarat. Materials and Methods: A cross sectional survey was carried out in 11 villages (6 with high fluoride level and 5 with normal fluoride level) by house to house visits. Various interventions like capacity building of faculties, diagnostic, treatment and counseling for fluorosis and alternate water supply facilities were provided. Results: The prevalence of dental fluorosis and skeletal fluorosis was 59.31% and 18.65% in high fluoride areas, while it was 39.21% and 12.54% in normal fluoride areas, respectively. After estimation of this problem, and other research studies carried in Gujarat, the Government of Gujarat provided a fluorine meter to measure the fluoride level in water and urine in all government medical colleges of the state. Capacity building of faculties from various departments was done regarding the epidemiology, diagnosis, treatment, and counseling of fluorosis patients. Early diagnosis and treatment were provided to all fluorosis patients visiting tertiary care hospitals. Alternate drinking water supply was also provided by the government. Conclusion: Both dental and skeletal fluorosis was high in Gujarat and field level diagnostic facilities are inadequate. A coordinated training program helped to identify the problem and suggest remedial measures. An integrated and comprehensive approach is required to reduce the problem of fluorosis in Gujarat.
背景:古吉拉特邦是氟中毒流行的流行邦之一,因为该邦许多村庄的水中氟化物含量高。目的和目标:确定印度古吉拉特邦瓦多达拉地区氟牙症和氟骨症的发病率,并记录政府为减少古吉拉特邦氟牙症发病率而采取的各种干预措施。材料与方法:采用横断面调查的方法,对11个村(高氟村6个,正常村5个)进行家访。提供了各种干预措施,如院系能力建设、氟中毒的诊断、治疗和咨询以及替代供水设施。结果:高氟区氟牙症和氟骨症患病率分别为59.31%和18.65%,正常氟区氟牙症和氟骨症患病率分别为39.21%和12.54%。在估计了这一问题并在古吉拉特邦进行了其他研究之后,古吉拉特邦政府提供了一台氟计,用于测量该邦所有政府医学院的水和尿液中的氟含量。在氟中毒患者的流行病学、诊断、治疗和咨询等方面开展了各科室教师的能力建设。对所有到三级医院就诊的氟中毒患者进行早期诊断和治疗。政府还提供了备用饮用水。结论:古吉拉特邦氟牙症和氟骨症发病率高,但现场诊断设施不足。一项协调一致的培训计划有助于确定问题并提出补救措施。需要采取综合和全面的办法来减少古吉拉特邦的氟中毒问题。
{"title":"Magnitude of fluorosis and various interventions to reduce fluorosis in Gujarat, India","authors":"S. Patel, K. Mehta, P. Kotecha","doi":"10.4103/ed.ed_29_20","DOIUrl":"https://doi.org/10.4103/ed.ed_29_20","url":null,"abstract":"Background: Gujarat is one of the endemic states for the prevalence of fluorosis due to high fluoride levels in water of many villages in the state. Aim and Objectives: To determine the prevalence of dental fluorosis and skeletal fluorosis in Vadodara district, Gujarat, India, and to document various interventions conducted by Government to reduce the prevalence of fluorosis in Gujarat. Materials and Methods: A cross sectional survey was carried out in 11 villages (6 with high fluoride level and 5 with normal fluoride level) by house to house visits. Various interventions like capacity building of faculties, diagnostic, treatment and counseling for fluorosis and alternate water supply facilities were provided. Results: The prevalence of dental fluorosis and skeletal fluorosis was 59.31% and 18.65% in high fluoride areas, while it was 39.21% and 12.54% in normal fluoride areas, respectively. After estimation of this problem, and other research studies carried in Gujarat, the Government of Gujarat provided a fluorine meter to measure the fluoride level in water and urine in all government medical colleges of the state. Capacity building of faculties from various departments was done regarding the epidemiology, diagnosis, treatment, and counseling of fluorosis patients. Early diagnosis and treatment were provided to all fluorosis patients visiting tertiary care hospitals. Alternate drinking water supply was also provided by the government. Conclusion: Both dental and skeletal fluorosis was high in Gujarat and field level diagnostic facilities are inadequate. A coordinated training program helped to identify the problem and suggest remedial measures. An integrated and comprehensive approach is required to reduce the problem of fluorosis in Gujarat.","PeriodicalId":11702,"journal":{"name":"Environmental Disease","volume":"106 1","pages":"107 - 111"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87949453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
High frequency ultrasonography of the facial nerve: Another effective method to observe the course of idiopathic facial nerve paralysis 面神经高频超声:观察特发性面神经麻痹病程的又一有效方法
Pub Date : 2020-10-01 DOI: 10.4103/ed.ed_30_20
Jing Zhu, Xiaohua Li, Ya-Chun Han, Yu Cao, Longfei Guan, Xiaokun Geng
Objective: This study was designed to investigate and compare both ultrasonographic and electrophysiological methods of examination of the facial nerve in idiopathic facial paralysis (IFP). Materials and Methods: Patients with IFP diagnosed between January 2018 and June 2019 (n = 178) underwent ultrasonographic and electrophysiological examinations of the facial nerve, within the 1st week of symptoms and every 1–3 following weeks until asymptomatic, with comparisons between the affected and unaffected sides. Results: There were significant differences in the ultrasonographic diameter and the electrophysiological results obtained from the facial nerve between the affected and unaffected sides. Ninety-one patients completed follow-up and underwent re-examination of the facial nerve by ultrasonography and/or electromyography. The difference between the affected and unaffected sides in terms of the ultrasonographic diameter of the facial nerve gradually decreased with the course of the disease. The ultrasonographic diameter of the facial nerve of the affected side was greater by 0.3 mm than that of the unaffected side for more than 3 weeks, indicative of a poor prognosis, which was consistent with the electrophysiological results. Conclusions: The combination of ultrasonographic and electrophysiological examinations of the facial nerve serves to better guide clinical treatment and assess the prognosis of IFP.
目的:探讨特发性面瘫(IFP)患者面神经的超声检查方法与电生理检查方法的比较。材料与方法:2018年1月至2019年6月诊断为IFP的患者(178例),在出现症状的第1周内,每1-3周进行一次面神经超声和电生理检查,直至无症状,并比较受累侧和未受累侧。结果:患侧与未患侧面神经超声内径及电生理结果有显著差异。91例患者完成随访,并通过超声和/或肌电图重新检查面神经。随着病程的发展,患侧与未患侧面神经超声内径的差异逐渐减小。超声示患侧面神经直径比未患侧大0.3 mm,持续3周以上,预后较差,与电生理结果一致。结论:面神经超声与电生理检查相结合能更好地指导临床治疗和评价IFP的预后。
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引用次数: 1
Chemical analysis of drinking water to compare reverse osmosis processed and unprocessed water quality 对饮用水进行化学分析,比较反渗透处理后和未处理后的水质
Pub Date : 2020-07-01 DOI: 10.4103/ed.ed_21_20
Dushyant Singh, S. Mulla
Context: Reverse osmosis (RO) is a water purification technology that uses semi-permeable membrane to remove ions, molecules, and larger particles from drinking water. However, it is to be remembered that water contains range of minerals, necessary for the human body. Low mineral content has been observed to cause various health hazards such as dental caries, hypertension, and coronary artery disease. Aims: The aim of this study is to perform the chemical analysis of drinking water processed by RO in terms of total dissolved solids (TDS), hardness and fluoride and to compare it with RO-unprocessed (non-RO) water and further to find the association with health hazards such as dental caries and cardiovascular diseases (CVD). Materials and Methods: A community-based observational study was conducted on medical and para-medical staff families. For qualitative data, the Pearson's Chi-square test and for quantitative data, Student's t and ANOVA tests were applied. Pearson correlation coefficient was calculated to know the correlation between TDS and hardness of water and represented in a Scatter Diagram. Results: Out of 466 families, 231 were RO users and 235 were non-RO users. Even after practicing regular servicing of RO unit by the majority RO-users, mean values of TDS, hardness and fluoride were significantly less than RO unprocessed water and were also less than the desired minimum values. Positive family history of dental caries and CVD was significantly associated with the use of RO water. Conclusion: RO process diminishes the chemical quality of drinking water in terms of TDS, hardness, and fluoride and is associated with health hazards. Standardization of chemical quality of RO purifiers for domestic use is equally important as it is being carried out commercially.
背景:反渗透(RO)是一种利用半透膜去除饮用水中的离子、分子和较大颗粒的水净化技术。然而,要记住的是,水含有一系列人体所必需的矿物质。据观察,矿物质含量低会导致各种健康危害,如龋齿、高血压和冠状动脉疾病。目的:本研究的目的是对RO处理后的饮用水进行化学分析,包括总溶解固形物(TDS)、硬度和氟化物,并将其与RO未处理(非RO)水进行比较,进一步发现其与龋齿和心血管疾病(CVD)等健康危害的关系。材料和方法:以社区为基础对医务人员和辅助医务人员家庭进行观察性研究。对于定性数据,采用Pearson卡方检验;对于定量数据,采用Student’st检验和ANOVA检验。计算Pearson相关系数,了解TDS与水硬度的相关性,并以散点图表示。结果:466个家庭中,231个为RO使用者,235个为非RO使用者。即使在大多数RO用户对RO装置进行定期维修后,TDS、硬度和氟化物的平均值明显低于RO未处理水,也低于期望的最小值。龋齿和心血管疾病家族史阳性与反渗透水的使用显著相关。结论:反渗透工艺在TDS、硬度和氟化物方面降低了饮用水的化学质量,并与健康危害有关。家用反渗透净化器的化学质量标准化与商业化应用同样重要。
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引用次数: 0
Quantitative estimation of urinary ortho-cresol by high pressure liquid chromatography for biomonitoring of toluene exposed population 用高压液相色谱法定量测定尿中邻甲酚对甲苯暴露人群的生物监测
Pub Date : 2020-07-01 DOI: 10.4103/ed.ed_23_20
A. Yadav, A. Chakrabarti, Geoffrey Nengzapum
Aim: Quantification of urinary ortho-cresol (OC) by high pressure liquid chromatography coupled with photodiode array detector. Materials and Methods: Includes acid hydrolysis of urine, liquid–liquid extraction, and chromatography quantification of extracted OC in urine. Results: Limit of detection, limit of quantification, and coefficient of linearity (R2) were 0.18 μg/ml, 0.62 μg/ml, and 0.9998, respectively. Recovery % of method ranged from 92%, 97%, and 100%. For intraday and interday precision coefficient of variation was 0.41%, 0.64%, and 0.89%, 0.86% for urine samples spiked with OC standards final concentration of 0.25 μg/ml and 0.7 μg/ml, respectively. Results (mean ± standard deviation) of exposed and unexposed real urine samples analyzed for OC with this method were 0.92 ± 0.76 and 0.40 ± 0.20 μg/ml, respectively. Statistical analysis of results showed significant (P ≤ 0.001) difference between urinary OC among exposed and unexposed subjects. Conclusion: The present work describes precise, easy, and less time consuming method for estimation of OC in urine of population exposed to toluene. It can be used as a promising tool for biomonitoring of population exposed to toluene.
目的:采用高压液相色谱-光电二极管阵列检测器定量测定尿中邻甲酚(OC)。材料和方法:包括尿液的酸水解,液-液萃取,以及尿液中提取OC的色谱定量。结果:检测限为0.18 μg/ml,定量限为0.62 μg/ml,线性系数(R2)为0.9998。方法回收率为92%、97%、100%。当OC标准终浓度为0.25 μg/ml和0.7 μg/ml时,日内和日间的精密度变异系数分别为0.41%、0.64%和0.89%、0.86%。用该方法对暴露和未暴露的真实尿样进行检测,结果(平均值±标准差)分别为0.92±0.76和0.40±0.20 μg/ml。统计分析结果显示,暴露者与未暴露者尿OC差异有统计学意义(P≤0.001)。结论:本工作描述了一种准确、简便、省时的甲苯暴露人群尿液OC测定方法。它可作为一种有前景的甲苯暴露人群生物监测工具。
{"title":"Quantitative estimation of urinary ortho-cresol by high pressure liquid chromatography for biomonitoring of toluene exposed population","authors":"A. Yadav, A. Chakrabarti, Geoffrey Nengzapum","doi":"10.4103/ed.ed_23_20","DOIUrl":"https://doi.org/10.4103/ed.ed_23_20","url":null,"abstract":"Aim: Quantification of urinary ortho-cresol (OC) by high pressure liquid chromatography coupled with photodiode array detector. Materials and Methods: Includes acid hydrolysis of urine, liquid–liquid extraction, and chromatography quantification of extracted OC in urine. Results: Limit of detection, limit of quantification, and coefficient of linearity (R2) were 0.18 μg/ml, 0.62 μg/ml, and 0.9998, respectively. Recovery % of method ranged from 92%, 97%, and 100%. For intraday and interday precision coefficient of variation was 0.41%, 0.64%, and 0.89%, 0.86% for urine samples spiked with OC standards final concentration of 0.25 μg/ml and 0.7 μg/ml, respectively. Results (mean ± standard deviation) of exposed and unexposed real urine samples analyzed for OC with this method were 0.92 ± 0.76 and 0.40 ± 0.20 μg/ml, respectively. Statistical analysis of results showed significant (P ≤ 0.001) difference between urinary OC among exposed and unexposed subjects. Conclusion: The present work describes precise, easy, and less time consuming method for estimation of OC in urine of population exposed to toluene. It can be used as a promising tool for biomonitoring of population exposed to toluene.","PeriodicalId":11702,"journal":{"name":"Environmental Disease","volume":"8 1","pages":"78 - 82"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87307699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Environmental Disease
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