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SUBSTRATE SPECIFICITY OF Β-GLUCOSIDASE FROM YUCCA GLORIOSA LEAVES. 丝兰叶β-葡萄糖苷酶的底物特异性
Q4 Medicine Pub Date : 2024-07-01
T Giorgadze, T Gognadze

Yucca gloriosa leaves contain a considerable number of steroid glycosides. In the plant's intact leaves, the biosynthesis of furostanol glycosides occurs, which are then converted into spirostanol glycosides by the action of β-glucosidase. Two forms of β-glucosidase are found in Yucca gloriosa leaves. Form I (molecular weight 32,000) hydrolyzes both oligofurostanosides, converting them into the corresponding oligospirostanosides, as well as the synthetic substrate 4-nitrophenyl-β-D-glucopyranoside. Form II (molecular weight 68,000) hydrolyzes only 4-nitrophenyl-β-D-glucopyranoside and does not cleave oligofurostanosides. Both enzymes have an optimum temperature of 37°C and an optimum pH of 6.3-6.5. Glucono-1,5-lactone inhibited the activity of both enzymes. The β-glucosidase of Form I shows higher affinity for its natural substrates than for the synthetic ones. The Km value for the β-glucosidase of Form I is 7.7 mM in relation to the total oligofurostanosides of the leaves of Yucca gloriosa, and 18.3 mM in relation to the synthetic substrate. The affinity for the natural substrates is higher than for the synthetic ones. The data received allow us to conclude that the affinity of Form I β-glucosidase from Yucca gloriosa leaves does not depend on either the structure of the oligosaccharide fragment linked to the nucleus or the structure of the aglycone (of steroid origin).

丝兰叶含有大量甾体苷。在植物的完整叶片中,呋喃甾醇苷进行生物合成,然后在β-葡萄糖苷酶的作用下转化为螺甾醇苷。在丝兰叶中发现了两种形式的 β-葡萄糖苷酶。形式 I(分子量 32,000)水解两种低聚呋喃甾苷,将其转化为相应的低聚螺甾苷以及合成底物 4-硝基苯基-β-D-吡喃葡萄糖苷。形式 II(分子量 68,000)只水解 4-硝基苯基-β-D-吡喃葡萄糖苷,不分解低聚螺甾苷。这两种酶的最适温度为 37°C,最适 pH 值为 6.3-6.5。葡萄糖酸-1,5-内酯抑制两种酶的活性。形式 I 的 β-葡萄糖苷酶对天然底物的亲和力高于合成底物。形式 I 的 β-葡萄糖苷酶对丝兰叶中的低聚呋喃甾苷总量的 Km 值为 7.7 毫摩尔,而对合成底物的 Km 值为 18.3 毫摩尔。对天然底物的亲和力高于合成底物。根据所获得的数据,我们可以得出结论:丝兰叶中的Ⅰ型β-葡萄糖苷酶的亲和力既不取决于与核相连的寡糖片段的结构,也不取决于苷元(类固醇)的结构。
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引用次数: 0
ANALYSIS OF THE CLINICAL EFFECTIVENESS OF USING THE CREATED COMBINED FIBRIN-BONE SCAFFOLD FOR THE RECONSTRUCTION OF BONE TISSUE DEFECTS OF THE JAWS. 分析使用创建的纤维蛋白-骨结合支架重建颌骨骨组织缺损的临床效果。
Q4 Medicine Pub Date : 2024-07-01
Yu Yevchuk, M Rozhko, A Pantus, I Yarmoshuk, P Pantus

The aim of the study was the clinical study of the framework ability of the PRF scaffold obtained by simultaneous centrifugation of the patient's blood and bone-plastic material.

Materials and methods: A total of 60 patients, aged between 20 and 50 years, with radicular cysts of the jaws, were selected for inclusion into the clinical studies. All patients were divided into groups I and II, who underwent cystectomy and bone plastic surgery according to the standard technique using mineralized CenoBone®. However, group II used a scaffold prepared according to the protocol developed by us (patent №136410 and patent №156181) using a titanium Ti-6Al-4V filter developed by us (patent № 152966).

Results: The results of the aforementioned postoperative radiological examinations confirm the efficacy of the filter, and the technique devised by our research team, which enables the creation of a stable fibrin matrix with embedded granules of bone-plastic material. The efficacy of the treatment was evidenced by the simultaneous uniform regeneration of bone tissue across the entire thickness of the defect in group II, with a success rate of 86.66%. This is evidenced by the organized architecture of bone tissue with a pronounced trabecular pattern, which correlated with bone density indices from 715.18+14.33 to 652.42+27.34 HU. In this group of patients, these values corresponded to the intact bone. In contrast, in 22 (77.08%) patients of group I, the predominant bone structure was compact, with values ranging from 965.47+21.25 to 876.26+24.67 HU. This observation is believed to be attributed to the presence of unresorbed material granules, which form a compact framework for bone germination. Nevertheless, among the 22 patients in group I, only 13 (59.09%) exhibited complete restoration of the defect, while the remaining 9 (40.91%) displayed indications of merely peripheral bone restoration, characterized by a pronounced granular pattern in the centre.

Conclusions: The stable combined fibrin scaffold obtained by us, has a pronounced osteoconductive and osteoinductive effect, which is reflected in the complete restoration of bone tissue throughout the thickness of the defect.

该研究的目的是对通过同时离心患者血液和骨塑料材料而获得的 PRF 支架的框架能力进行临床研究:共选取了 60 名年龄在 20 至 50 岁之间的颌骨根状囊肿患者进行临床研究。所有患者被分为 I 组和 II 组,I 组按照标准技术使用矿化 CenoBone® 进行囊肿切除和骨整形手术。不过,II组使用的是根据我们开发的方案(专利号№136410和专利号№156181)制备的支架,使用的是我们开发的钛Ti-6Al-4V过滤器(专利号№152966):上述术后放射学检查结果证实了该过滤器的疗效,也证实了我们的研究团队所设计的技术,该技术能够形成稳定的纤维蛋白基质,并嵌入骨塑材料颗粒。在第二组中,整个缺损厚度的骨组织同时均匀再生,成功率高达 86.66%,这证明了治疗的有效性。骨组织的组织结构具有明显的骨小梁形态,与骨密度指数的相关性从 715.18+14.33 到 652.42+27.34 HU。在这组患者中,这些数值与完整的骨骼相对应。与此相反,在第一组的 22 名患者(77.08%)中,主要的骨结构是致密的,其数值从 965.47+21.25 到 876.26+24.67 HU 不等。这一观察结果被认为是由于存在未被吸收的材料颗粒,从而形成了骨发芽的紧密框架。然而,在第一组的 22 名患者中,只有 13 人(59.09%)的缺损得到了完全修复,其余 9 人(40.91%)仅显示出外围骨修复的迹象,其特征是中心有明显的颗粒状图案:我们获得的稳定的纤维蛋白组合支架具有明显的诱导骨生成和诱导骨生成作用,这体现在整个缺损厚度的骨组织完全恢复上。
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引用次数: 0
ISOLATION AND PURIFICATION OF TRANSGLUTAMINASE 1 USING BIOCHEMICAL TECHNIQUES. 利用生化技术分离和纯化转谷氨酰胺酶 1。
Q4 Medicine Pub Date : 2024-07-01
A Ibrahim, S Rashed

Transglutaminase 1 catalyzes the creation of covalent bonds between proteins, play an essential role in various biological processes and industrial applications. The study aims to isolate and purify transglutaminase 1 from the blood serum of healthy individuals using numerous biochemical techniques. TGMs 1 are isolated and purified from the blood serum of healthy volunteers samples who were not smokers and had not taken any medications at the time of the sample collection. The results show that these techniques included precipitation with 65% ammonium sulfate, dialysis, and negative ion exchange chromatography, successfully separating a single prominent band with high activity using DEAE-cellulose. The enzyme activity recovery was estimated at approximately 33.01%. Subsequently, gel filtration using Sephadex G-100 revealed a single fraction with high TGM 1 activity. This fraction exhibited a purification factor of 9.09, with an estimated recovery of enzyme activity of around 29.6%. The isolated and purified TGM 1's approximate molecular weight was around 73,115 Daltons, as assessed through gel filtration chromatography with Sephadex G-100. The study indicated that the optimal conditions for the isolated and partially purified TGM 1 enzyme were a pH of 6.4 and a temperature of 37°C, using a concentration of 0.5 mmol/L of the substrate tetramethylbenzidine. The results indicated that purified TGM1 may be an alternative to other sources.

转谷氨酰胺酶 1 能催化蛋白质之间共价键的生成,在各种生物过程和工业应用中发挥着重要作用。这项研究旨在利用多种生化技术从健康人的血清中分离和纯化转谷氨酰胺酶 1。研究人员从健康志愿者的血清样本中分离纯化了转谷氨酰胺酶 1,这些志愿者在采集样本时不吸烟,也没有服用任何药物。结果表明,这些技术包括用 65% 的硫酸铵沉淀、透析和负离子交换色谱法,利用 DEAE-纤维素成功分离出一条具有高活性的突出带。酶活性回收率估计约为 33.01%。随后,使用 Sephadex G-100 进行凝胶过滤,发现了一个具有高 TGM 1 活性的馏分。该馏分的纯化系数为 9.09,酶活性回收率估计约为 29.6%。经 Sephadex G-100 凝胶过滤色谱法评估,分离纯化的 TGM 1 大约分子量为 73,115 道尔顿。研究表明,分离和部分纯化 TGM 1 酶的最佳条件是 pH 值为 6.4,温度为 37°C,底物四甲基联苯胺的浓度为 0.5 mmol/L。结果表明,纯化的 TGM1 可能是其他来源的替代品。
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引用次数: 0
STUDY ON THE EFFECTS OF ART PAINTING COMBINED WITH SPORTS ON MYOPIA PREVENTION AND VISION IMPROVEMENT. 研究艺术绘画与体育运动相结合对预防近视和改善视力的影响。
Q4 Medicine Pub Date : 2024-07-01
Y Wu, K Wu, T Du

Objective: To investigate the current vision status and health trend of computer science students at a certain university, and to compare the effects of exercise and painting on the prevention of myopia and the improvement of visual health.

Methods: The study involved testing and recording the vision of students from the 2020, 2021, and 2022 cohorts upon their entry to the university, analysing the changes in vision of the 2020 cohort students over three consecutive years, and recording the vision of students from the 2021 cohort who participated in basketball, table tennis, roller skating, and painting interest classes as well as non-interest classes. Statistical analysis was conducted using SPSS 18.0 software, with the chi-square (χ2) test and chi-square trend test used for intergroup comparisons.

Results: The rate of poor vision among new students showed an increasing trend over three consecutive years, at 84.72%, 87.22%, and 89.12%, respectively. The vision development of the 2020 cohort students showed a significant downward trend over three academic years (χ2 trend=16.829, P=0.000). After interventions involving exercise and painting, there was a significant difference in vision between students in the interest classes and those in the non-interest classes (χ2=11.429, P=0.010), with students in the interest classes showing noticeable improvements in visual health.

Conclusion: The rate of poor vision among computer science students at a certain university is on the rise. However, through interventions involving exercise and painting, students' visual health has significantly improved, and the rate of vision decline has been effectively slowed.

目的调查某大学计算机专业学生的视力现状和健康趋势,比较运动和绘画对预防近视和改善视力健康的效果:研究对 2020、2021 和 2022 届学生入学时的视力进行测试和记录,分析 2020 届学生连续三年的视力变化情况,并记录 2021 届学生参加篮球、乒乓球、轮滑、绘画兴趣班和非兴趣班的视力情况。统计分析采用 SPSS 18.0 软件,组间比较采用卡方(χ2)检验和卡方趋势检验:新生视力不良率连续三年呈上升趋势,分别为 84.72%、87.22% 和 89.12%。2020届学生的视力发展在三个学年中呈显著下降趋势(χ2 trend=16.829,P=0.000)。经过运动和绘画干预后,兴趣班学生与非兴趣班学生的视力有显著差异(χ2=11.429,P=0.010),兴趣班学生的视力健康状况有明显改善:结论:某大学计算机专业学生的视力不良率呈上升趋势。结论:某大学计算机专业学生视力不良率呈上升趋势,但通过运动和绘画等干预措施,学生视力健康状况明显改善,视力下降速度有效减缓。
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引用次数: 0
STRESS RESILIENCE AND DECISION-MAKING UNDER PRESSURE: ENHANCING ATHLETIC PERFORMANCE IN COMPETITIVE SPORTS. 压力下的应变能力和决策能力:提高竞技体育的运动成绩。
Q4 Medicine Pub Date : 2024-07-01
L Stepanyan, G Lalayan

This study investigates the cognitive and neurobiological mechanisms behind decision-making under stress in competitive sports, focusing on how the development of decision-making skills enhances stress resilience and improves athletic performance. The research examines how high-pressure environments affect athletes' ability to make quick decisions and explores effective training methods, including video-based feedback and virtual reality simulations. The study draws on cognitive-behavioral, neurobiological, and ecological models to analyze key findings from empirical research. Results indicate that targeted cognitive training, particularly through video simulation and virtual reality, significantly improves decision-making abilities under stress, enhancing emotional regulation and cognitive flexibility. These improvements are crucial for athletes in maintaining high performance under pressure. The research concludes that integrating decision-making training into sports preparation not only boosts immediate competitive results but also strengthens long-term stress resilience and mental health.

本研究调查了竞技体育压力下决策背后的认知和神经生物学机制,重点关注决策技能的发展如何增强抗压能力并提高运动成绩。研究探讨了高压环境如何影响运动员做出快速决策的能力,并探索了有效的训练方法,包括基于视频的反馈和虚拟现实模拟。研究借鉴了认知行为学、神经生物学和生态学模型,分析了实证研究的主要发现。研究结果表明,有针对性的认知训练,尤其是通过视频模拟和虚拟现实技术进行的训练,能显著提高压力下的决策能力,增强情绪调节能力和认知灵活性。这些改善对于运动员在压力下保持高水平表现至关重要。研究得出结论,将决策训练融入体育备战不仅能提高即时竞技成绩,还能增强长期抗压能力和心理健康。
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引用次数: 0
EVALUATION OF DENTAL AND PERIODONTAL STATUS IN CHILDREN WITH TYPE 1 DIABETES MELLITUS. 评估 1 型糖尿病儿童的牙齿和牙周状况。
Q4 Medicine Pub Date : 2024-07-01
L Ferizi-Shabani, Sh Mrasori, V Ferizi, G Barku, M Gjocaj, B Krasniqi, B Lenjani

Diabetes mellitus is a well-known predisposing factor for oral diseases.

Aim: To evaluate dental caries and periodontal status of children with type 1 diabetes mellitus (T1DM).

Materials and methods: Eighty children with type 1 diabetes mellitus (age 10-15 years) have received a comprehensive oral health examination, that included the DMFT index for permanent teeth, plaque index (PI), gingival index (GI), and stimulated salivary flow rate (SSFR). P<0.05 was considered significant.

Results: HbA1c values indicated poor metabolic control of diabetes in children, which also adversely affected their oral health (9.45±2.87). The mean DMFT index in children with type 1 diabetes mellitus was notably higher at 6.56±3.56. Similarly, the plaque index (PI) and gingival index (GI) were significantly higher (2.04±0.39/1.18±0.63). In contrast, the stimulated salivary flow rate (SSFR) was observed to be lower (0.86±0.16). There was significant positive correlation between DMFT index and PI (p<0.01).

Conclusion: Children with T1DM exhibit poor oral health conditions related to the level of metabolic control. Maintenance of toothbrushing habits and regular dental check-ups recommended to manage and prevent these complications. Additionally, proper management of metabolic control can also help mitigate the adverse effects on oral health.

糖尿病是众所周知的口腔疾病易感因素。目的:评估1型糖尿病(T1DM)儿童的龋齿和牙周状况:80名1型糖尿病儿童(10-15岁)接受了全面的口腔健康检查,包括恒牙DMFT指数、牙菌斑指数(PI)、牙龈指数(GI)和刺激性唾液流速(SSFR)。结果HbA1c 值表明儿童糖尿病代谢控制不佳,这也对他们的口腔健康产生了不利影响(9.45±2.87)。1 型糖尿病儿童的平均 DMFT 指数明显较高,为 6.56±3.56。同样,牙菌斑指数(PI)和牙龈指数(GI)也明显较高(2.04±0.39/1.18±0.63)。相比之下,刺激唾液流速(SSFR)则较低(0.86±0.16)。DMFT 指数和 PI 之间存在明显的正相关性(p 结论:T1DM 患儿的口腔状况较差:患有 T1DM 的儿童口腔健康状况较差,这与代谢控制水平有关。建议保持刷牙习惯并定期进行牙科检查,以控制和预防这些并发症。此外,适当控制代谢也有助于减轻对口腔健康的不利影响。
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引用次数: 0
PREVALENCE OF DEPRESSION AMONG UNIVERSITY STUDENTS IN CHINA: A PROTOCOL FOR A SYSTEMATIC REVIEW AND META-ANALYSIS. 中国大学生抑郁症患病率:系统综述和荟萃分析方案》。
Q4 Medicine Pub Date : 2024-07-01
Ling-Ling Zhou, Zhou-Zhou Lin, Lian-Ping He

Background: Depression is a mental disorder characterized by a persistent and long-lasting depressive mood.

Objective: The aim of this study was to analyze the prevalence of depression among university students in China and to provide guidance for psychological intervention and improvement of depression among this specific population.

Methods: A systematic search was conducted on PubMed, CNKI, Wang-fang database, and Web of Science to identify relevant articles. The articles were cross-sectional studies focusing on the prevalence of depression among university students in China, with clearly defined criteria for diagnosing depression included. Excel was used independently and in duplicate to perform the screening process that involved title, abstract screening, full-text screening, data extraction and assessment of risk of bias. The standards recommended by the Agency for Healthcare Research and Quality (AHRQ) was used to evaluate the quality of observational studies.

Results: STATA 11.0 was used to pool the outcomes and perform meta-analysis, including the prevalence of depression among university students and influential factors such as sex, major, region, and the impact of COVID-19.

Conclusion: Practical psychological interventions are needed in universities in China. Continuously attention is suggested to be paid to Chinese university students' mental health, especially after public health event such as COVID-19.

背景:抑郁症是一种以持续、长久的抑郁情绪为特征的精神障碍:本研究旨在分析中国大学生抑郁症的患病率,并为这一特殊人群的心理干预和抑郁症的改善提供指导:方法:我们在PubMed、CNKI、王芳数据库和Web of Science上进行了系统检索,以确定相关文章。这些文章均为横断面研究,重点关注中国大学生抑郁症的患病率,并包含明确的抑郁症诊断标准。筛选过程包括标题筛选、摘要筛选、全文筛选、数据提取和偏倚风险评估。采用美国医疗保健研究与质量机构(AHRQ)推荐的标准来评估观察性研究的质量:使用 STATA 11.0 对研究结果进行汇总并进行荟萃分析,包括大学生抑郁症患病率以及性别、专业、地区等影响因素和 COVID-19 的影响:结论:中国高校需要切实可行的心理干预措施。结论:中国高校需要切实可行的心理干预措施,建议持续关注中国大学生的心理健康,尤其是在COVID-19等公共卫生事件发生后。
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引用次数: 0
ISOLATION, CHARACTERIZATION, AND ANTIHYPERTENSIVE ACTIVITY ALKALOIDS EXTRACTED FROM THE LEAVES OF THE ALSTONIA SCHOLARIS PLANT. ALSTONIA Scholaris 植物叶片中提取的生物碱的分离、特征和抗高血压活性。
Q4 Medicine Pub Date : 2024-07-01
R Al-Kamil, M Abed, S Al-Awad, H Al-Salman, H Hussein, D Hilyail, F Shari

The study aims to investigate the Isolation, Characterization & Antihypertensive Life of Natural Alkaloids out of certain Selected Plants. The Alstonia scholaris papers used in this study are generally available in the tropics and can be obtained in Asia. The plant sample was verified by the pharmacognosy and pharmacology department. The powdered leaves of Alstonia scholaris (500 gm) are macerated using 1% HCl (pH 2) at space temperature overnight. After that, the combination was produced alkaline by putting 25% NH4OH solution (pH 9). The combination's color changed from the red wine to the black. The alkaline mixture was then bounced satisfactorily and purified using Whatman filter paper. Four fractions (15-19) were collected from column chromatography. All the fractions have shown the same Rf value in the TLC fingerprint, therefore they are incorporated established on TLC analysis generated in Hexane: Ethyl acetate (14:6). Nitric oxide synthase inhibitor, i.e. N-nitro-L-arginine methyl ester was used to produce hypertension in rats in (40 mg/ml/kg, i.p.). Every day, it is solubilized in 0.9 per cent NaCl solution. Colourless powder compound was obtained (yield 0.4%) and having MP 132-1340 C. Rf value in (Hexane: Ethyl acetate,65:35) at 0.55, UV-Vis λmax in methanol: (nm) 297, IR (KBr), m 913 (N-H bending), 1260 (C-N Stretching), 1396 (C-N), 1165, 1259 (-C-O- stretching) 1396, 1464 (C=C, Ar.), 2831, 2928 (C-H, Aliphatic) and 3564, 3315 (N-H Stretching). The 1H NMR spectrum also portrayed the distinctive peaks for various chemical compounds. The peak of 7.28-8.85 ppm was due to multiple aromatic protons. The 6.94-7.04 ppm peaks were characteristic of ethylene amino protons, and the 1.57-2 ppm peaks were allocated to alcohol protons. L-NAME significantly elevated MABP, SBP, and DBP in pentobarbital-anesthetized rats but not HR. The mean arterial blood pressure, systolic blood pressure and diastolic blood pressure of pentobarbital-anaesthetized L-NAME caused hypertensive rats do not alter after a single intragastric injection of the isolated alkaloid. Finally, isolated alkaloids from Alstonia scholaris supplement had antihypertensive properties in hypertensive rats.

这项研究旨在调查某些精选植物中天然生物碱的分离、特征和抗高血压作用。本研究中使用的 Alstonia scholaris 纸张一般可在热带地区获得,也可在亚洲获得。植物样本已经过药物学和药理学部门的验证。Alstonia scholaris 的粉末叶片(500 克)在室温下用 1% HCl(pH 值为 2)浸渍过夜。然后,加入 25% 的 NH4OH 溶液(pH 值为 9)使组合物呈碱性。混合物的颜色从红葡萄酒变为黑色。然后,碱性混合物被成功反弹,并用 Whatman 滤纸进行纯化。柱层析收集到四个馏分(15-19)。所有馏分在 TLC 指纹中都显示出相同的 Rf 值,因此它们在正己烷中生成的 TLC 分析中合并成立:乙酸乙酯(14:6)。一氧化氮合酶抑制剂,即 N-硝基-L-精氨酸甲酯,用于产生大鼠高血压(40 毫克/毫升/千克,静脉注射)。每天将其溶解在 0.9% 的氯化钠溶液中。在(正己烷:乙酸乙酯,65:35)中的 Rf 值为 0.红外光谱(KBr),m 913(N-H 弯曲),1260(C-N 拉伸),1396(C-N),1165,1259(-C-O- 拉伸),1396,1464(C=C,Ar.),2831,2928(C-H,脂肪族)和 3564,3315(N-H 拉伸)。1H NMR 光谱也显示出各种化合物的独特峰值。7.28-8.85 ppm 的峰是由多个芳香质子造成的。6.94-7.04 ppm 的峰为乙烯氨基质子,1.57-2 ppm 的峰为醇质子。L-NAME 能明显升高戊巴比妥麻醉大鼠的 MABP、SBP 和 DBP,但不能升高 HR。向戊巴比妥麻醉的 L-NAME 致高血压大鼠胃内注射一次分离出的生物碱后,其平均动脉血压、收缩压和舒张压均无变化。最后,从 Alstonia scholaris 补充剂中分离出的生物碱对高血压大鼠具有降压作用。
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引用次数: 0
PREVALENCE AND FACTORS OF PROFESSIONAL BURNOUT AMONG PRIMARY HEALTHCARE WORKERS IN THE REPUBLIC OF KAZAKHSTAN: RESULTS OF A NATIONAL STUDY. 哈萨克斯坦共和国初级保健工作者职业倦怠的发生率和因素:一项全国性研究的结果。
Q4 Medicine Pub Date : 2024-07-01
S Lее, M Assimov, Y Ignatiev, F Bagiyarova, G Absatarova, A Kudaibergenova, Sh Mardanova, T Tsapenko, B Tanabayev, Assel Ibrayeva, Anel Ibrayeva, I Fakhradiyev

Professional burnout is a significant issue in healthcare, particularly among primary healthcare (PHC) workers. This study aims to assess the prevalence and contributing factors to professional burnout among PHC workers in Kazakhstan, a country undergoing healthcare reforms and the implementation of new medical care standards.

Methods: This cross-sectional study was conducted from 2021 to 2023 across 324 medical organizations in Kazakhstan, including 232 organizations in 2021, 76 in 2022, and 16 in 2023. The study involved 10,459 participants: 2,595 doctors, 5,612 nurses, and 2,252 healthcare managers. Data were collected using a shortened version of the Maslach Burnout Inventory (MBI) questionnaire, assessing emotional exhaustion (EE), depersonalization (DP), and personal achievement (PA). Statistical analysis was performed using IBM SPSS Statistics version 22, employing binary logistic regression to evaluate the impact of various factors on burnout indicators.

Results: The study found that young PHC workers aged 18-39 exhibited the highest levels of emotional exhaustion, with mean EE scores of 3.81±0.45 for doctors, 3.72±0.44 for nurses, and 3.72±0.44 for managers. In contrast, workers over 60 years old reported lower EE levels: 3.28±0.40 for doctors, 3.30±0.40 for nurses, and 3.38±0.41 for managers. Female PHC workers demonstrated lower risks of EE (OR=0.80, 95% CI [0.66, 0.97], p=0.022) and DP (OR=0.79, 95% CI [0.65, 0.96], p=0.025) compared to males, but also reported lower PA levels (OR=0.81, 95% CI [0.67, 0.99], p=0.027). Additionally, managers with postgraduate education had higher risks of EE (OR=1.25, 95% CI [1.05, 1.50], p=0.015), DP (OR=1.28, 95% CI [1.06, 1.54], p=0.013), and PA (OR=1.34, 95% CI [1.10, 1.63], p=0.015). Regional differences were also significant, with the highest PA levels observed in the Turkestan region (OR=1.4, 95% CI [1.14, 1.71], p=0.011), and the highest EE levels in Pavlodar (OR=1.33, 95% CI [1.11, 1.60], p=0.010).

Conclusions: The findings highlight significant variability in burnout levels among PHC workers in Kazakhstan, influenced by age, gender, education level, work experience, and geographic region. Younger workers and those with less experience are at higher risk of burnout, while regional disparities suggest the need for tailored interventions. Addressing these factors is crucial to improving job satisfaction and mental well-being among PHC workers in Kazakhstan.

职业倦怠是医疗保健领域的一个重要问题,尤其是在初级医疗保健(PHC)工作者中。哈萨克斯坦正在进行医疗改革并实施新的医疗标准,本研究旨在评估哈萨克斯坦初级卫生保健工作者职业倦怠的发生率和诱因:这项横断面研究从 2021 年到 2023 年在哈萨克斯坦的 324 家医疗机构中进行,其中 2021 年 232 家,2022 年 76 家,2023 年 16 家。研究涉及 10459 名参与者:2595 名医生、5612 名护士和 2252 名医疗保健管理人员。研究使用马斯拉赫职业倦怠量表(Maslach Burnout Inventory,MBI)的简化版问卷收集数据,评估情绪衰竭(EE)、人格解体(DP)和个人成就感(PA)。统计分析使用 IBM SPSS 统计软件 22 版,采用二元逻辑回归法评估各种因素对倦怠指标的影响:研究发现,18-39 岁的年轻初级保健工作者的情绪耗竭程度最高,医生的平均 EE 得分为 3.81±0.45,护士的平均 EE 得分为 3.72±0.44,管理人员的平均 EE 得分为 3.72±0.44。相比之下,60 岁以上工人的 EE 水平较低:医生为 3.28±0.40,护士为 3.30±0.40,管理人员为 3.38±0.41。与男性相比,女性初级保健工作者的 EE(OR=0.80,95% CI [0.66,0.97],p=0.022)和 DP(OR=0.79,95% CI [0.65,0.96],p=0.025)风险较低,但报告的 PA 水平也较低(OR=0.81,95% CI [0.67,0.99],p=0.027)。此外,受过研究生教育的管理人员具有更高的EE(OR=1.25,95% CI [1.05,1.50],p=0.015)、DP(OR=1.28,95% CI [1.06,1.54],p=0.013)和PA(OR=1.34,95% CI [1.10,1.63],p=0.015)风险。地区差异也很明显,突厥斯坦地区的 PA 水平最高(OR=1.4,95% CI [1.14,1.71],p=0.011),巴甫洛达尔地区的 EE 水平最高(OR=1.33,95% CI [1.11,1.60],p=0.010):研究结果表明,哈萨克斯坦初级保健工作者的职业倦怠程度受年龄、性别、教育程度、工作经验和地理区域的影响而存在很大差异。年轻工作者和工作经验较少的工作者倦怠风险较高,而地区差异则表明有必要采取有针对性的干预措施。解决这些因素对于提高哈萨克斯坦初级保健工作者的工作满意度和心理健康至关重要。
{"title":"PREVALENCE AND FACTORS OF PROFESSIONAL BURNOUT AMONG PRIMARY HEALTHCARE WORKERS IN THE REPUBLIC OF KAZAKHSTAN: RESULTS OF A NATIONAL STUDY.","authors":"S Lее, M Assimov, Y Ignatiev, F Bagiyarova, G Absatarova, A Kudaibergenova, Sh Mardanova, T Tsapenko, B Tanabayev, Assel Ibrayeva, Anel Ibrayeva, I Fakhradiyev","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Professional burnout is a significant issue in healthcare, particularly among primary healthcare (PHC) workers. This study aims to assess the prevalence and contributing factors to professional burnout among PHC workers in Kazakhstan, a country undergoing healthcare reforms and the implementation of new medical care standards.</p><p><strong>Methods: </strong>This cross-sectional study was conducted from 2021 to 2023 across 324 medical organizations in Kazakhstan, including 232 organizations in 2021, 76 in 2022, and 16 in 2023. The study involved 10,459 participants: 2,595 doctors, 5,612 nurses, and 2,252 healthcare managers. Data were collected using a shortened version of the Maslach Burnout Inventory (MBI) questionnaire, assessing emotional exhaustion (EE), depersonalization (DP), and personal achievement (PA). Statistical analysis was performed using IBM SPSS Statistics version 22, employing binary logistic regression to evaluate the impact of various factors on burnout indicators.</p><p><strong>Results: </strong>The study found that young PHC workers aged 18-39 exhibited the highest levels of emotional exhaustion, with mean EE scores of 3.81±0.45 for doctors, 3.72±0.44 for nurses, and 3.72±0.44 for managers. In contrast, workers over 60 years old reported lower EE levels: 3.28±0.40 for doctors, 3.30±0.40 for nurses, and 3.38±0.41 for managers. Female PHC workers demonstrated lower risks of EE (OR=0.80, 95% CI [0.66, 0.97], p=0.022) and DP (OR=0.79, 95% CI [0.65, 0.96], p=0.025) compared to males, but also reported lower PA levels (OR=0.81, 95% CI [0.67, 0.99], p=0.027). Additionally, managers with postgraduate education had higher risks of EE (OR=1.25, 95% CI [1.05, 1.50], p=0.015), DP (OR=1.28, 95% CI [1.06, 1.54], p=0.013), and PA (OR=1.34, 95% CI [1.10, 1.63], p=0.015). Regional differences were also significant, with the highest PA levels observed in the Turkestan region (OR=1.4, 95% CI [1.14, 1.71], p=0.011), and the highest EE levels in Pavlodar (OR=1.33, 95% CI [1.11, 1.60], p=0.010).</p><p><strong>Conclusions: </strong>The findings highlight significant variability in burnout levels among PHC workers in Kazakhstan, influenced by age, gender, education level, work experience, and geographic region. Younger workers and those with less experience are at higher risk of burnout, while regional disparities suggest the need for tailored interventions. Addressing these factors is crucial to improving job satisfaction and mental well-being among PHC workers in Kazakhstan.</p>","PeriodicalId":12610,"journal":{"name":"Georgian medical news","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142498746","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
ENDOVASCULAR INTERVENTIONS: A NEW INSIGHTS AND CLINICAL PRACTICE. 血管内介入治疗:新见解和临床实践。
Q4 Medicine Pub Date : 2024-07-01
H Abed, A Hussein, S Jaber

The study efforts on evaluating the effectiveness, complications, and advancements in endovascular interventions such as angioplasty, stenting, embolization, and endovascular aneurysm repair (EVAR) across various patient groups and vascular diseases.

Methods: Patients undergoing endovascular procedures were meticulously prepared with detailed history, physical examinations, and relevant investigations. Procedures were conducted in dedicated areas like the Cath Lab and hybrid operation rooms equipped with fluoroscopic imaging systems. Interventions included balloon angioplasty, stent insertion, embolization, and EVAR. Statistical analysis was performed to assess the effectiveness and safety of the interventions.

Results: Peripheral Artery Disease (PAD): Out of 941 cases, 62.5% were male and 91% were over 40 years old. Femoral artery (25.8%) and below-the-knee (38%) were common lesion sites. Balloon angioplasty was used in 77.7% of cases, with a 73.7% success rate. Complications were minimal, with 96.3% reporting none. Endovascular Aortic Aneurysm and Dissection Repair: Among 29 patients, 86.2% were male, and 89.7% had abdominal aortic aneurysms. EVAR was performed in 86.2% of cases, with a 96.6% success rate and minimal complications (6.9% wound infection). Deep Vein Thrombosis (DVT): In 16 cases, 75% of treatments were effective, with 93.75% experiencing no complications. Venous Hypertension in CKD Patients on Dialysis: All 18 patients were aged 46-65. Balloon angioplasty was performed in 38.89% of cases, with 44.44% success rate and no complications. Pelvic Congestion Syndrome (PCS): In 23 patients, coil embolization was used, achieving 100% success with no complications. Arteriovenous Malformation (AVM): Out of 23 cases, 87% were successfully treated with embolization, and 13% were referred for surgery. Arterial Aneurysms: Three cases of aneurysms in different arteries were successfully treated with stent-grafts, with no complications. Renal Artery Stenosis (RAS): All three cases were treated successfully with balloon angioplasty, with no complications.

Conclusion: Over two years, endovascular interventions at our center demonstrated significant advancements and high success rates with minimal complications. The study underscores the efficacy and safety of these techniques in treating a variety of vascular conditions, highlighting the potential for improved patient outcomes and recovery. Continuous advancements in endovascular technology and techniques promise further enhancements in the management of complex vascular diseases.

该研究旨在评估血管成形术、支架植入术、栓塞术和血管内动脉瘤修补术(EVAR)等血管内介入疗法在不同患者群体和血管疾病中的有效性、并发症和进展:方法:接受血管内手术的患者都经过精心准备,包括详细的病史、体格检查和相关检查。手术在专用区域进行,如配备透视成像系统的阴道实验室和混合手术室。介入治疗包括球囊血管成形术、支架植入术、栓塞术和 EVAR。对干预措施的有效性和安全性进行了统计分析:外周动脉疾病(PAD):在 941 个病例中,62.5% 为男性,91% 年龄在 40 岁以上。股动脉(25.8%)和膝下动脉(38%)是常见的病变部位。77.7%的病例采用了球囊血管成形术,成功率为73.7%。并发症极少,96.3%的病例报告无并发症。血管内主动脉瘤和夹层修复术:29 名患者中,86.2% 为男性,89.7% 患有腹主动脉瘤。86.2%的病例进行了EVAR,成功率为96.6%,并发症极少(6.9%伤口感染)。深静脉血栓(DVT):在 16 例病例中,75% 的治疗有效,93.75% 没有出现并发症。接受透析治疗的慢性肾脏病患者静脉高血压:所有 18 名患者的年龄都在 46-65 岁之间。38.89%的病例进行了球囊血管成形术,成功率为 44.44%,无并发症。盆腔充血综合征(PCS):在 23 例患者中使用了线圈栓塞术,成功率达 100%,且无并发症。动静脉畸形(AVM):在 23 例病例中,87% 的患者成功接受了栓塞治疗,13% 的患者需接受手术治疗。动脉瘤:三例不同动脉的动脉瘤均通过支架移植成功治愈,无并发症。肾动脉狭窄(RAS):所有三例病例均成功接受了球囊血管成形术,无并发症:结论:两年来,我们中心的血管内介入治疗取得了重大进展,成功率高,并发症少。这项研究强调了这些技术在治疗各种血管疾病方面的有效性和安全性,凸显了改善患者预后和康复的潜力。血管内治疗技术的不断进步有望进一步提高复杂血管疾病的治疗效果。
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引用次数: 0
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Georgian medical news
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