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New Frontiers in Medicine and Medical Research Vol. 12最新文献

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Cervical Dysplasias and Cervical Cancers 子宫颈发育不良及子宫颈癌
Pub Date : 2021-08-27 DOI: 10.9734/bpi/nfmmr/v12/2050e
G. Halle-Ekane, Derick Nembulefack
Cancer of the cervix is the second most common gynaecological malignancy and the leading cause of cancer mortality among women in Cameroon. Knowledge and attitudes toward cervical cancer screening depend largely on gender and educational level. The objective of this study was to determine the knowledge of cervical cancer and the attitudes and practices towards Pap smear screening among male and female university students. This was a cross-sectional study that involved 416 students, carried-out from February to May 2017 among students of the University of Buea, Cameroon. Data was collected using a pretested questionnaire and analysed using Epi-Info version 7. Statistical significance was set at Pvalue <0.05. The mean age of the participants was 22.08 (± 4.03) years. Up to 82.2% of participants had heard about cervical cancer. Only 25.2% of participants had “good” knowledge of cervical cancer. There was no statistically significant difference in the overall knowledge between gender (P=0.81); however, there was an association between having “good” knowledge and being a health science student (P<0.001). About two-thirds of the students knew that having multiple sexual partners was a risk factor of cervical cancer, while more than 50%, could not identify early sexual intercourse, smoking, family history, and multiple deliveries as risk factors. Only 4.8% of the female students had had a Pap smear. The low uptake was attributed to barriers: the cost of screening, lack of information on screening programs, fear, and beliefs that pap smear screening is painful. To conclude, knowledge of cervical cancer among university students was poor without a gender difference. Uptake of Pap smear screening was very low. There is the need for more health education and prevention programs targeting males and females.
宫颈癌是第二大常见的妇科恶性肿瘤,也是喀麦隆妇女癌症死亡的主要原因。对子宫颈癌筛查的认识和态度主要取决于性别和教育水平。本研究的目的是了解男女大学生对子宫颈癌的认识及对子宫颈抹片检查的态度和做法。这是一项横断面研究,涉及416名学生,于2017年2月至5月在喀麦隆布埃亚大学的学生中进行。使用预测问卷收集数据,并使用Epi-Info version 7进行分析。p值<0.05,差异有统计学意义。参与者平均年龄为22.08(±4.03)岁。高达82.2%的受访者听说过子宫颈癌。只有25.2%的受访者对子宫颈癌有“良好”的认识。性别间总体知识差异无统计学意义(P=0.81);然而,拥有“良好”知识与成为健康科学学生之间存在关联(P<0.001)。大约三分之二的学生知道有多个性伴侣是宫颈癌的危险因素,而超过50%的学生不知道过早性交、吸烟、家族史和多次分娩是危险因素。只有4.8%的女学生做过子宫颈抹片检查。低吸收率归因于障碍:筛查的成本,缺乏筛查计划的信息,恐惧,以及认为子宫颈抹片检查是痛苦的。综上所述,大学生对宫颈癌的认知程度较低,性别差异不大。巴氏涂片筛查的接受率非常低。有必要针对男性和女性开展更多的健康教育和预防项目。
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引用次数: 0
Ocular Manifestations of Diabetes Mellitus in Patients Attending Tertiary Care Hospital in Pondicherry, India 印度本地治里三级医院糖尿病患者的眼部表现
Pub Date : 2021-08-27 DOI: 10.9734/bpi/nfmmr/v12/12096d
N. Raman, Amod Hansdak, E. Sanjana
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引用次数: 0
The Cartilage Surface: Frictional Forces Conducting on (Cartilage/Cartilage) Pair 软骨表面:传导在(软骨/软骨)对上的摩擦力
Pub Date : 2021-08-27 DOI: 10.9734/bpi/nfmmr/v12/4073f
M. Sójka, Z. Pawlak
The negatively charged cartilage surface is supported by smart slippage lamellar-repulsive lubrication. The surface amorphous layer (SAL) covers the natural surface of articular cartilage. The friction is largely associated with charge density by electrostatic repulsion between the two cartilage surfaces. At pH 7.4 (± 1) we observed stable and low friction coefficient. This study examined the frictional conducting of the normal articular cartilage in relation to the surface of unhealthy one. Following sliding tests of a (cartilage/ cartilage) the worn surfaces wettability and friction coefficient were studied. It is concluded that the phospholipids bilayers formation, a lubricant influenced the friction performance.
带负电荷的软骨表面由智能滑动板层排斥润滑支撑。表面无定形层(SAL)覆盖在关节软骨的自然表面。摩擦很大程度上与两个软骨表面之间的静电斥力引起的电荷密度有关。在pH 7.4(±1)时,我们观察到稳定的低摩擦系数。本研究考察了正常关节软骨与不健康关节软骨表面的摩擦传导关系。通过a(软骨/软骨)的滑动试验,研究了磨损表面的润湿性和摩擦系数。结论是磷脂双分子层的形成影响了润滑油的摩擦性能。
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引用次数: 0
Determination of Clinical Profile and Causality of Cutaneous Adverse Drug Reactions among Patients Attending Tertiary Care Teaching Hospital in South India 南印度三级护理教学医院患者皮肤药物不良反应的临床特征和因果关系的测定
Pub Date : 2021-08-27 DOI: 10.9734/bpi/nfmmr/v12/11252d
Archana Mavoori, S. Bala, S. Pamar, K. Podila, D. Sriram
Background: Cutaneous adverse drug reaction (CADR) is any undesirable change in the structure or function of the skin and its appendages related to drug eruption regardless of the aetiology is called the. CADRs manifest with diverse morphological pattern ranging from trivial urticaria to severe forms such as SJS, TEN vasculitis which can be fatal. They are called as non severe CADRs and CADRs respectively. Identifying the responsible drug in this new era of enhanced multi-drug research is a difficult undertaking, but it can help prevent more issues and provide safer medications. Objective: The goal of this study was to determine the clinical profile and aetiology of CADR in patients in a tertiary care hospital in Hyderabad. Methods: A 6-month observational hospital-based study was conducted among patients attending the dermatological OPD of a medical college and hospital in Hyderabad.Patients with probable drug-related cutaneous lesions were included in the study, and the substance responsible for the lesions was determined. Recent drug history was recorded in a format prescribed by the Indian National Pharmacovigilance Programme, and causality was determined using WHO-Uppsala Monitoring Centre (WHO-UMC) criteria. Results: Males (52.4%) and females (52.4%) made up the study population (47.6 percent ).The majority of them were between the ages of 51 and 60.Urticaria (19.05 percent), erythema multiforme (17.46 percent), and morbilliform rash were the most prevalent CADR patterns observed (17.46 percent ).Antibiotics (39 percent), NSIADs (26 percent), and ATT were the most commonly used medications for these responses (18 percent ). Conclusions: CADRs, both severe and non-severe, cause significant morbidity in industrial employees, and the importance of pharmacovigilance should be emphasised even more to prevent such reactions. The necessity of the hour is to identify such reactions quickly using skin tests and dermatoscopy..
背景:皮肤药物不良反应(CADR)是指与药物疹有关的皮肤及其附属物的结构或功能的任何不良变化,与病因无关。cadr表现为多种形态,从轻微的荨麻疹到严重的SJS、TEN血管炎等可致命的形式。它们分别被称为非严重cadr和cadr。在这个加强多药物研究的新时代,确定负责任的药物是一项艰巨的任务,但它可以帮助预防更多问题并提供更安全的药物。目的:本研究的目的是确定海德拉巴一家三级保健医院患者的CADR的临床特征和病因学。方法:在海德拉巴一所医学院和医院皮肤科门诊就诊的患者中进行了为期6个月的以医院为基础的观察研究。可能有药物相关皮肤病变的患者被纳入研究,并确定了导致病变的物质。以印度国家药物警戒规划规定的格式记录了近期用药史,并根据世卫组织-乌普萨拉监测中心(WHO-UMC)的标准确定了因果关系。结果:男性占52.4%,女性占52.4%,占47.6%。他们中的大多数年龄在51岁到60岁之间。荨麻疹(19.05%)、多形性红斑(17.46%)和麻疹型皮疹是观察到的最常见的CADR模式(17.46%)。抗生素(39%)、NSIADs(26%)和ATT是这些反应最常用的药物(18%)。结论:cadr不论是严重的还是非严重的,在工业从业人员中都有显著的发病率,应更加强调药物警戒的重要性,以防止此类反应的发生。当务之急是通过皮肤试验和皮肤镜检查来快速识别这些反应。
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引用次数: 0
Study on Herbal Medicines, Ascorbic Acid, Cyanocobalamin, Tenofovir, Treatment on HBeAg Positive or HBeAg Negative in Chronic Hepatitis B: A Combination of Treatment with Herbs 中药、抗坏血酸、氰钴胺素、替诺福韦治疗慢性乙型肝炎HBeAg阳性或阴性的研究:中药联合治疗
Pub Date : 2021-08-27 DOI: 10.9734/bpi/nfmmr/v12/12532d
Nguyen Thi Thu Trieu, T. Duc
In 2016, WHO’s World Health Assembly called for global elimination of viral hepatitis by 2030 and set global targets of achieving a 90% reduction in new cases of hepatitis B and hepatitis C, a 65% reduction in deaths from hepatitis B and hepatitis C, and treatment of 80% of people living with these infections. Individual countries are now in different stages of developing their own viral hepatitis elimination plans. The goal of antiviral therapy for hepatitis B is to reduce a patient's risks for progressive liver disease through prolonged suppression and eradication of HBV infection up to 100% limit and to arrest, ameliorate HBV-related liver damage. Phyllanthus urinaria, Adenosma Glutinosum, Eclipta Prostrata, Ascorbic Acid, Cyanocobalamin combination plus Tenofovir in treatment of acute and chronic hepatitis B. Method the combination of drugs derived from natural and artificial medicaments. This study has a stronger effect on the immune system, effective good against HBV replication. This is a substantial new insight into the pathogenesis of the disease, with a clear path toward clinical application, or which would lead to a substantial advance and perfect in management or public health policy. During the actual follow-up of this therapy being applied to patients for more than 10 years, the proposed research compound for the eradication of the hepatitis B virus has completed its assigned task.
2016年,世卫组织世界卫生大会呼吁到2030年在全球消除病毒性肝炎,并设定全球目标,实现乙型和丙型肝炎新发病例减少90%,乙型和丙型肝炎死亡人数减少65%,并对80%的感染患者进行治疗。各国目前正处于制定本国消除病毒性肝炎计划的不同阶段。乙型肝炎抗病毒治疗的目标是通过长期抑制和根除HBV感染达到100%的限度来降低患者进展性肝病的风险,并阻止和改善HBV相关的肝损害。茶花、谷氨酸腺瘤、黄花、抗坏血酸、氰钴胺素联合替诺福韦治疗急慢性乙型肝炎的方法:药物来源于天然药物和人工药物。本研究对免疫系统有较强的作用,有效良好的对抗HBV复制。这是对疾病发病机制的重大新认识,具有明确的临床应用路径,或将导致管理或公共卫生政策的实质性进步和完善。在对该疗法应用于患者的10多年的实际随访中,提出的用于根除乙型肝炎病毒的研究化合物已经完成了其指定的任务。
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引用次数: 0
Vertical Root Fracture Repair with Resin Composite; Three-Year Follow-up 树脂复合材料修复垂直根骨折三年随访
Pub Date : 2021-08-27 DOI: 10.9734/bpi/nfmmr/v12/2122f
Ines Kallel, E. Moussaoui, N. Douki
According to the American Association of Endodontists, "a 'true' vertical root fracture is defined as a complete or incomplete fracture initiated from the root at any level, usually directed buccolingually." Vertical root fracture (VRF) usually starts from an internal dentinal crack and develops over time, due to masticatory forces and occlusal loads. When they occur in teeth, those types of fractures can present difficulties in diagnosis, and there are however many clinic and radiographical signs which can guide clinicians to the existence of the fracture. Prognosis, most often, is hopeless, and differential diagnosis from other etiologies may be difficult sometimes. Patients with VRFs typically present with minimal signs and symptoms during the early stage. In this paper, we present a case of VRF diagnosed after surgical exploration; the enlarged fracture line was filled with a fluid resin. A 36-month clinical and radiological follow-up showed an asymptomatic tooth, reduction of the periodontal probing depth from 7 mm prior to treatment to 4 mm with no signs of ankylosis. In this work, the diagnosis and treatment alternatives of vertical root fracture were discussed through the presented clinical case.
根据美国牙髓医师协会的定义,“‘真正的’垂直牙根骨折被定义为从牙根开始的任何水平的完全或不完全骨折,通常是由牙根引导的。”由于咀嚼力和咬合负荷的作用,垂直牙根骨折(VRF)通常从牙本质内裂缝开始,随着时间的推移而发展。当它们发生在牙齿上时,这些类型的骨折可能在诊断上存在困难,然而有许多临床和放射学迹象可以指导临床医生发现骨折的存在。大多数情况下,预后是没有希望的,与其他病因的鉴别诊断有时可能很困难。vrf患者通常在早期表现出最小的体征和症状。本文报告一例经手术探查后诊断为VRF的病例;用液体树脂填充扩大的骨折线。36个月的临床和放射学随访显示无症状牙齿,牙周探探深度从治疗前的7毫米减少到4毫米,无强直迹象。本文通过所报道的临床病例,探讨垂直根骨折的诊断和治疗方案。
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引用次数: 0
Study on Cochlear Implants (CIs) and Plasticity of the Auditory System 人工耳蜗植入与听觉系统可塑性的研究
Pub Date : 2021-08-27 DOI: 10.9734/bpi/nfmmr/v12/12571d
T. Gabr
Cochlear implants (CIs) represent very successful solution in severe to profound hearing loss. However, the outcome of CIs show great variability among cochlear implantees. Central factors are important contributors to the success despite of the peripheral factors play an important role. The great variability in CIs outcomes might be related to auditory plasticity. The appropriate auditory inputs are crucial for central auditory development either through natural or electrical hearing. Hearing deprivation has drastic effect on central auditory function in contrary to hearing restoration through CIs which has positive central impact and proper communication and perception.
人工耳蜗是解决重度到重度听力损失的一种非常成功的方法。然而,人工耳蜗植入者的ci结果有很大的差异。中心因素是成功的重要因素,尽管外围因素也起着重要作用。CIs结果的巨大差异可能与听觉可塑性有关。适当的听觉输入对于中枢听觉的发展至关重要,无论是通过自然听觉还是电听觉。听力剥夺对中枢听觉功能的严重影响,与通过CIs恢复听力相反,CIs具有积极的中枢影响和正确的沟通和感知。
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引用次数: 0
An Experimental Study on Histological Evaluation of the effect of Pure Nicotine and Pentoxifylline Gel on Oral Ulcers 纯尼古丁己酮茶碱凝胶治疗口腔溃疡的组织学评价实验研究
Pub Date : 2021-08-27 DOI: 10.9734/bpi/nfmmr/v12/4076f
S. Basha, Hazar Al-Harbi, S. El-Refai
Background: Ulcerative conditions are common and are observed in almost 25% of the younger generations including children and young adults, which requires profound attention. Among the available topical therapeutics in treatment of oral ulceration is pure nicotine. It is an alkaloid derived and found in the Solanaceae plants and exerts its effects through suppression of inflammatory pathway. The therapeutic role of pure nicotine on regression of oral ulcers has been studied and showed effectiveness in reducing pain and ulcer erythema.The most appropriate channel for delivering local drug therapy to the oral cavity seems to be gel based topical formulations. Pentoxifylline is an anti-inflammatory xanthine derivative that has been approved nowadays for peripheral arterial disease therapy, moreover it exhibits an anti-tumor necrosis factor (TNF)-(alpha) effect, reverses fibroblast proliferation and may act to decrease the oral ulcers pain and duration.Aims: The present experimental study aims to determine Histological Evaluation of the Effect of Pure Nicotine and Pentoxifylline Gel on Oral UlcersMaterials and Methods: Thirty six male Albino rats weighing 200-250 gm were used in this study. Oral ulcers were induced in the right buccal mucosa all rat population. The rat population was divided into three main groups, twelve rats each. Topical pure nicotine, pentoxiphylline gel and placebo were applied for each group four times daily on the ulcers. Four rats from each group were sacrificed at day two, four, and eight right cheek mucosa was removed and prepared for histological examination.Results: The results of our study showed complete healing of the ulcer with absence of any sign of inflammation and increase in keratinization by day 8 in pure nicotine group, while in pentoxiphylline group the ulcers did not heal completely or produce any keratinization when compared to the nicotine group. In regards to control group, profound ulceration and inflammation were seen from day 2 until day 8.
背景:溃疡性疾病是常见的,在近25例患者中观察到% of the younger generations including children and young adults, which requires profound attention. Among the available topical therapeutics in treatment of oral ulceration is pure nicotine. It is an alkaloid derived and found in the Solanaceae plants and exerts its effects through suppression of inflammatory pathway. The therapeutic role of pure nicotine on regression of oral ulcers has been studied and showed effectiveness in reducing pain and ulcer erythema.The most appropriate channel for delivering local drug therapy to the oral cavity seems to be gel based topical formulations. Pentoxifylline is an anti-inflammatory xanthine derivative that has been approved nowadays for peripheral arterial disease therapy, moreover it exhibits an anti-tumor necrosis factor (TNF)-(alpha) effect, reverses fibroblast proliferation and may act to decrease the oral ulcers pain and duration.Aims: The present experimental study aims to determine Histological Evaluation of the Effect of Pure Nicotine and Pentoxifylline Gel on Oral UlcersMaterials and Methods: Thirty six male Albino rats weighing 200-250 gm were used in this study. Oral ulcers were induced in the right buccal mucosa all rat population. The rat population was divided into three main groups, twelve rats each. Topical pure nicotine, pentoxiphylline gel and placebo were applied for each group four times daily on the ulcers. Four rats from each group were sacrificed at day two, four, and eight right cheek mucosa was removed and prepared for histological examination.Results: The results of our study showed complete healing of the ulcer with absence of any sign of inflammation and increase in keratinization by day 8 in pure nicotine group, while in pentoxiphylline group the ulcers did not heal completely or produce any keratinization when compared to the nicotine group. In regards to control group, profound ulceration and inflammation were seen from day 2 until day 8.
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引用次数: 0
Epidemiology of Foot and Mouth Disease (FMD) in South Sudan: A Review 南苏丹口蹄疫流行病学研究综述
Pub Date : 2021-08-27 DOI: 10.9734/bpi/nfmmr/v12/2775f
E. Ochi, Mohamed A. Suliman, A. O. Ismail
A review of Foot and Mouth Disease (FMD) was made to provide principal epidemiological data on the disease situation in South Sudan. Five serotypes of FMD virus; A, O, C, SAT1 and SAT2 were revealed in cattle, goats and sheep. Of which serotypes O and SAT 2 seemed to be the most prevalent in seven States of the country. The overall mean prevalence of FMD in Unity and Lakes States showed the highest and lowest rates of 56% and 25%, respectively. Young stock showed a mortality of 50% compared to 20% in adult cattle, sheep and goats. In the face of FMD outbreak a significant reduction in more than 10% milk yield and weight losses were revealed. The impact of FMD on the livelihoods of pastoralists and agro-pastoralists is most pronounced in reduced milk production. This has contributed to malnourished children and the elderly people. Development of control strategies for FMD is imperative for sustainable development of livestock in South Sudan.
对口蹄疫进行了审查,以提供有关南苏丹口蹄疫情况的主要流行病学数据。口蹄疫病毒的五种血清型;在牛、山羊和绵羊中检出A、O、C、SAT1和SAT2。其中,血清型O和sat2似乎在该国七个州最为普遍。Unity州和Lakes州的总体平均口蹄疫患病率最高和最低,分别为56%和25%。幼畜的死亡率为50%,而成年牛、绵羊和山羊的死亡率为20%。面对口蹄疫疫情,产奶量显著减少10%以上,体重下降。口蹄疫对牧民和农牧民生计的影响最明显的是牛奶产量减少。这造成了儿童和老年人营养不良。制定口蹄疫控制战略对南苏丹畜牧业的可持续发展至关重要。
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引用次数: 0
Diagnostic Dilemma Associated with Rhinomaxillary Mucormycosis: A Case Report of a Non COVID-19 Patient 鼻上颌毛霉菌病的诊断困境:1例非COVID-19患者报告
Pub Date : 2021-08-27 DOI: 10.9734/bpi/nfmmr/v12/4180f
S. Arya, Jyoti Beniwal, Vaibhav Thakkar, Sandeep Saurabh, Ashish Pillania, A. Raina, Satya Prakash Giri
Mucormycosis is a life-threatening, opportunistic infection which poses a diagnostic and therapeutic challenge for the scientific community. It is a disease of the diseased. Rhinocerebral form of mucormycosis is the most common form. Initial site of occurrence is usually nasal mucosa or palate and subsequently fungi spreads to surrounding areas causing wide-spread necrosis. This life threatening pathology still attains a high mortality rate if an early diagnosis is not achieved. Therefore, proper neuroimaging, specific diagnostic tests like culture and histopathology for the early diagnosis is considered a step of grave importance for the appropriate management of the patient.
毛霉病是一种危及生命的机会性感染,对科学界的诊断和治疗提出了挑战。这是一种病态的疾病。鼻-脑型毛霉病是最常见的形式。最初发生的部位通常是鼻黏膜或上颚,随后真菌扩散到周围区域,引起广泛的坏死。如果不能早期诊断,这种危及生命的病理仍然具有很高的死亡率。因此,适当的神经影像学,特异性的诊断测试,如培养和组织病理学,早期诊断被认为是一个非常重要的步骤,对患者的适当管理。
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引用次数: 0
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New Frontiers in Medicine and Medical Research Vol. 12
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