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Endovascular treatment of ruptured dorsal pancreatic artery pseudoaneurysm: case report 胰背动脉假性动脉瘤破裂的血管内治疗1例
Pub Date : 2023-05-24 DOI: 10.15406/mojbm.2023.08.00186
José Maria Pereira de Godoy, Laura Souza de Lima, Lenina Mariana de Morais Castellari, Guilherme Gerloff Antunes, Gustavo Josimar Rossini, Henrique Jose Pereira de Godoy, Henrique Amorim Santos, Fernando Reis Neto
The objective of the present study is to report the technical success of the endovascular procedure in the treatment of pseudoaneurysm of the dorsal pancreatic artery. A 60-year-old white male patient came to the emergency room, complaining of the appearance of an ulcerated wound in the distal third of the left lower limb for 20 days. Alcoholic, smoker and previous diagnosis of chronic pancreatitis. On physical examination, upon admission, the abdomen was normotensive, painless on palpation and without masses or visceromegaly. During the investigation of this ulcer and 12 hours after admission, the patient developed diffuse abdominal pain and distension, more intense in the upper abdomen and associated with peritonitis. A computed tomography scan of the upper abdomen and pelvis was performed, which showed a pseudoaneurysm of the dorsal artery of the pancreas with frank extravasation of contrast into the abdominal cavity, in addition to a moderate amount of free blood around the liver. He underwent endovascular embolization treatment, in which he was selectively catheterized splenic artery and dorsal pancreas with therapeutic success.
本研究的目的是报告血管内手术治疗胰腺背动脉假性动脉瘤的技术成功。一名60岁白人男性患者来到急诊室,主诉左下肢远端三分之一处出现溃疡,持续20天。酗酒、吸烟及既往诊断为慢性胰腺炎者。入院时体格检查,腹部血压正常,触诊无痛,无肿块或内脏肿大。在调查该溃疡期间和入院后12小时,患者出现弥漫性腹痛和腹胀,上腹更剧烈,并伴有腹膜炎。对上腹部和骨盆进行计算机断层扫描,显示胰腺背动脉假性动脉瘤,造影剂明显外渗至腹腔,肝脏周围有适量游离血。他接受了血管内栓塞治疗,选择性地在脾动脉和胰腺背侧置管,治疗成功。
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引用次数: 0
Consensus Recommendation (from the 11th Conference of the European Federation for Colorectal Cancer): Adjuvant Chemotherapy after Neoadjuvant Chemoradiotherapy for Rectal Cancer and TME Surgery 共识建议(来自第11届欧洲结直肠癌联合会会议):直肠癌和TME手术新辅助放化疗后的辅助化疗
Pub Date : 2023-05-18 DOI: 10.15406/mojbm.2022.07.00169
Irene Kührer, Stefan Benz, Milica Maksimovic, Béla Teleky
Chemoradio therapy followed by total mesorectal excision is the standard of care for rectal cancer. Although locoregional recurrence and survival have improved, distant recurrence has not. Adjuvant chemotherapy might prevent distant metastases, however, its use for patients with rectal cancer treated with preoperative radiochemotherapy and surgery is largely debated. Available data do not support its routine use in these settings, unlike in colon cancer where adjuvant therapy role is well established. According to ESMO Guidelines, adjuvant chemotherapy after preoperative radiochemo therapy with postoperative histology stage III and high-risk stage II can be considered (level of evidence is lower than in colon cancer). These consensus recommendations have been developed based on the review of current evidence and expert opinions, and are expected to assist in selecting subgroups of patients that could benefit from adjuvant chemotherapy after neoadjuvant radio chemotherapy and TME surgery and choosing chemotherapeutic agent in different post-operative scenarios.
放化疗后全肠系膜切除是直肠癌的标准治疗方法。虽然局部复发率和生存率有所提高,但远处复发率却没有提高。辅助化疗可能会防止远处转移,然而,它在术前放疗和手术治疗的直肠癌患者中的应用存在很大争议。现有数据不支持在这些情况下常规使用,不像在结肠癌中,辅助治疗的作用已经确立。根据ESMO指南,术前放化疗后,术后组织学为III期和高危II期,可考虑辅助化疗(证据水平低于结肠癌)。这些共识建议是基于对现有证据和专家意见的回顾而制定的,有望有助于在新辅助放化疗和TME手术后选择可受益于辅助化疗的患者亚组,以及在不同的术后情况下选择化疗药物。
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引用次数: 0
Multirésistance to antibiotics of pathogens isolated from human, animal and environment in the District of Bamako, Mali 马里巴马科区从人、动物和环境中分离的病原体对抗生素的多重抗性
Pub Date : 2023-04-20 DOI: 10.15406/mojbm.2023.08.00185
J. Ouedraogo, Lassina Gadi Timbiné, B. Traoré, Abdoul Karim Sangaré, E. Sogodogo, K. Haukka, B. Kouriba, Amadou Hamadoun Babana
In Mali, coli and Salmonella infections are one of the most common bacterial diseases in outpatients. Treatment of these diseases has become challenging due to the emergence of pathogens with increasing resistance to available antimicrobial agents. The aim of this study is to determine the prevalence and evaluate the antibiotic resistance profile of the most frequently isolated strains of these bacteria involved in bacterial infections in Bamako, Mali. In this study, 400 samples of human, animal and environmental origin were obtained in the study area. The isolated bacteria were identified by biochemical tests. Disk diffusion method was applied to determine the antibiotic sensitivity of bacterial agents. Our results showed that, only 321 enterobacteria were isolated from the 958 samples analyzed. The most isolated pathogenic bacteria was E. coli with frequency rate of 20.77%. The others enterobacteria were Klebsiella sp. (6.05%), and Salmonella sp. (3.86%). All pathogenic bacteria isolated in this study, were highly resistant to Amoxicillin, Ticarcillin (100% for Klebsiella sp., isolated from all samples), and sensitive to Imipenem, Cefoxitine and Nitrofurantoine. According to the present survey, apart from Salmonella isolated from human and environmental samples, all the pathogenic bacteria isolated from human, animal and environmental sources showed multiple antibiotic resistance with a MAR index as high as 0.7 for E. coli from human source. This high level of multiresistance indicates that these human, animal and environment at Bamako could constitute a “high risk” source of antibiotic contamination.
在马里,大肠杆菌和沙门氏菌感染是门诊病人中最常见的细菌性疾病之一。由于出现了对现有抗菌素耐药性日益增强的病原体,这些疾病的治疗变得具有挑战性。本研究的目的是确定马里巴马科这些细菌感染中最常见的分离菌株的流行情况并评估其抗生素耐药性。在本研究中,在研究区获得了400份来自人类、动物和环境的样本。分离的细菌经生化试验鉴定。采用纸片扩散法测定细菌药敏。结果显示,958份样本中仅分离出321株肠杆菌。检出最多的病原菌为大肠杆菌,检出率为20.77%。其余肠杆菌为克雷伯氏菌(6.05%)和沙门氏菌(3.86%)。本研究中分离的所有病原菌均对阿莫西林、替卡西林高度耐药(所有样本中分离的克雷伯氏菌100%耐药),对亚胺培南、头孢西汀和呋托万敏感。根据目前的调查,除从人和环境中分离的沙门氏菌外,从人、动物和环境中分离的所有致病菌均表现出多重抗生素耐药性,其中人源大肠杆菌的MAR指数高达0.7。这种高水平的多重耐药性表明,巴马科的这些人类、动物和环境可能构成抗生素污染的“高风险”来源。
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引用次数: 0
Adverse effects, studied on ants, of six products largely used by humans; a mini review 人类常用的六种产品对蚂蚁的不良影响一个小回顾
Pub Date : 2023-02-06 DOI: 10.15406/mojbm.2023.08.00176
Marie Claire Cammaerts
Working on ants as models, we examined the side effects of six largely used products, separately published our findings, and here summarize them for the readers’ convenience. The herbicides, the active substance of which is pelargonic acid, must be used only for not cultivated area since they impact the live of the soil fauna. Imodium, the active substance of which is Loperamide, used to stop diarrhea, should be used during short time periods, monitoring the patients as for their food consumption, locomotion, social relationships, cognition and dependence on the drug use. Only small amount of the myorelaxant Epsipram, the active substance of which is Tetrazepam, should be used, monitoring the patients as for their activity, locomotion, social relationships, stress, cognition, memory and dependence on the drug consumption. The antiemetic Motilium, the active substance of which is Domperidone, should be used after having made an adequate clinical examination of the patients, take then care of them monitoring them as for their health since side effects may occur. The dietary supplement Cognizing, the active substance of which is citicoline, should not be used, being inefficient and causing stress, agitation, nervousness and strong dependence on its consumption. The dietary supplement PQQ is efficient and has no adverse effect; it could be used, but at low doses, since, being novel, some not yet observed side effects may occur.
我们以蚂蚁为模型,研究了六种广泛使用的产品的副作用,分别发表了我们的发现,并在这里总结了它们,以方便读者。以天竺葵酸为活性物质的除草剂,由于影响土壤动物的生存,只能在非耕地使用。易莫得的活性物质为洛哌丁胺,用于止泻,应在短时间内使用,监测患者的饮食、运动、社会关系、认知和对药物的依赖。只需少量使用以四西泮为活性物质的肌肉松弛剂Epsipram,监测患者的活动、运动、社会关系、应激、认知、记忆和对药物的依赖。止吐药莫替利姆,其活性物质是多潘立酮,应在对患者进行充分的临床检查后使用,照顾他们,监测他们的健康,因为可能会发生副作用。膳食补充剂Cognizing,其活性物质为胞胆碱,不宜使用,效率低,易引起应激、躁动、神经紧张,食用依赖性强。膳食补充剂PQQ有效,无不良反应;它可以使用,但剂量要小,因为它是一种新型药物,可能会出现一些尚未观察到的副作用。
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引用次数: 0
Aortic thrombus with multiple visceral and extremity emboli post Covid-19 with lung cancer 新冠肺炎合并肺癌后主动脉血栓合并多发性内脏和四肢栓塞
Pub Date : 2022-09-29 DOI: 10.15406/mojbm.2022.07.00172
Daniel Nobile, Beatriz Camelini Moreno, Amanda Fernandes Vidal da Silva, Vinicius Menin Brandi, José Maria Pereira de Godoy
The aim of the present study is to present a case report of a patient who developed aortic thrombosis with multiple embolizations to kidneys, spleen, superior mesenteric and extremities and a lung tumor mass. A 56-year-old patient, she reports that 45 days ago she had Covid-19 and no need for hospitalization. Now, she presented with abdominal pain and was hospitalized and underwent an angio tomography of the chest, abdomen, aortic thrombosis and emboli in several viscera and extremities. She was medically treated for visceral emboli, but one week later she had an extremity embolism that was treated with an embolectomy. And a lung biopsy revealed neoplasia. Post-Covid 19 aortic thrombus can result in multiple visceral and extremity embolic events, associated with lung cancer, an incidental finding can occur and serves as a warning to these patients.
本研究的目的是提出一个病例报告的病人发展为主动脉血栓形成多栓塞到肾脏,脾脏,肠系膜上和四肢和肺肿瘤肿块。她是一名56岁的患者,她报告说,45天前她感染了Covid-19,不需要住院。现在,她出现腹痛,住院并接受了胸部,腹部血管断层扫描,主动脉血栓形成,多处脏器和四肢栓塞。她接受了内脏栓塞的医学治疗,但一周后,她发生了四肢栓塞,并进行了栓塞切除术。肺活检显示有肿瘤。covid - 19后主动脉血栓可导致多种内脏和四肢栓塞事件,与肺癌相关,这是一种偶然发现,可作为对这些患者的警告。
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引用次数: 0
“Complex” kinesiological conundrum-could microzyman machinations/inhibitions explain the relative tardiness of initial infantile human locomotion? “复杂”kinesiological conundrum-could microzyman阴谋/禁忌解释最初的幼稚的人类运动的相对迟到吗?
Pub Date : 2022-02-23 DOI: 10.15406/mojbm.2022.07.00163
S. Ayoade
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引用次数: 0
Critical healthcare for the elderly against COVID-19 : a multidisciplinary approach 针对COVID-19的老年人关键医疗保健:多学科方法
Pub Date : 2022-02-16 DOI: 10.15406/mojbm.2022.07.00161
Ana Claudia Araújo da Silva, Ana Rosa Bomfim da Silva, Ana Suzane Pereira Martins, Bárbara Hellen da Silva Azevedo, Emília Natália Santana de Queiroz, Eveline Thomaz Moura Santos de Vasconcelos Soares, Fabiana Freire Anastacio, João Victor Lopes Oliveira, José Leonildo Fernandes de Queiroz, Josias Nelson Torres de Amorim, Joycilaine Beatriz Barros de Lima, Juliana de Pontes Nobre, Juliany Narieza de Carvalho Medeiros, Kaique Warley Nascimento Arrais, Larissa Helena da Silva, Magável Raulinho de Sousa, Mariana Pequeno de Melo, Maurício Caxias de Souza, Nayara Ferreira da Costa, Nara Franklin Santos Martins, Nayra Cristina da Silva, Pamella de Castro Duarte Pordeus, Paula Andréa Rebouças Leite, Thamyris Meygam Gomes Cardoso, Vanessa Silva de Castro Monte
Objective: Describe critical health care for the elderly against COVID-19 in a multidisciplinary approach. Method: This is a qualitative study, with an exploratory documentary and detailed descriptive approach, with a bibliometric emphasis. Where several studies will be gathered for the characterization of each element present in their results. Results and discussion: Several studies were analyzed and discussed about the topics related to this study, they are: critical health care, health of the elderly, Covid-19 and multi disciplinary care. Scientific articles of national and international origin contributed effectively to the discussion of these results. Conclusion: This study achieved its objective, as it described critical health care for the elderly against COVID-19 in a multi disciplinary approach, it contributed satisfactorily to the entire academic community world wide, enabling the creation of new studies on this topic.
目的:用多学科方法描述老年人抗COVID-19的关键卫生保健。方法:这是一项定性研究,采用探索性文献和详细描述方法,重点是文献计量学。将收集若干项研究,以确定其结果中存在的每个元素的特征。结果与讨论:对与本研究相关的几项研究进行了分析和讨论,它们是:重症卫生保健、老年人健康、Covid-19和多学科护理。来自国内和国际的科学文章有效地促进了对这些结果的讨论。结论:本研究实现了其目标,因为它以多学科的方式描述了针对COVID-19的老年人关键医疗保健,它为全世界整个学术界做出了令人满意的贡献,使该主题的新研究得以创建。
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引用次数: 0
Side effects of drugs studied on ant models: a mini review 药物在蚂蚁模型上的副作用研究:综述
Pub Date : 2022-01-04 DOI: 10.15406/mojbm.2021.06.00156
M. Cammaerts
Using ants as models, we studied until now the side effects of 47 products used by humans and, over these studies we published five summaries of our main findings. After that, we studied the side effects of six other drugs used by humans, and we here summarize these lastly obtained results. These six other drugs were dextromethorphan, amitriptylin, escitalopram, fluvoxamine, iverectin, and indapamide. For each of them, we found side effects similar to those reported for humans, but we also observed side effects not yet mentioned for humans. They concerned among others the locomotion, the activity, the sensory perception, the social relationships and the learning. Practitioners and pharmacists should take cognizance of our works for more adequately and safely used the six drugs we examined. Our six works are published and thus available, but they can also be provided by the author(s). All over our studies, ants appeared to be excellent biological models; the experiments could be made easily, rapidly and at lost cost, while providing statistically significant results.
到目前为止,我们以蚂蚁为模型,研究了人类使用的47种产品的副作用,在这些研究中,我们发表了五份主要发现的摘要。在那之后,我们研究了人类使用的其他六种药物的副作用,我们在这里总结这些最后得到的结果。这六种药物分别是右美沙芬、阿米替林、艾司西酞普兰、氟伏沙明、依维菌素和吲达帕胺。对于每一种药物,我们都发现了与人类相似的副作用,但我们也观察到尚未提到的人类副作用。它们主要涉及运动,活动,感官知觉,社会关系和学习。从业人员和药师应重视我们的工作,以更充分和安全地使用我们检查的六种药物。我们的六部作品已经出版,因此可以使用,但它们也可以由作者提供。在我们所有的研究中,蚂蚁似乎是优秀的生物模型;这些实验可以简单、快速、成本低廉地进行,同时提供具有统计学意义的结果。
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引用次数: 1
Challenging the safety and efficiency of homeopathy: Ignatia amara as an example, ants as models 挑战顺势疗法的安全性和有效性:以伊格纳蒂亚·阿玛拉为例,蚂蚁为模型
Pub Date : 2019-01-03 DOI: 10.15406/MOJBM.2019.04.00105
M. Tricot, D. Cammaerts
Homeopathic treatments are considered by the vast majority of the scientific community as non-effective, apart from a well-documented placebo effect. Nevertheless, some experimental results raise questions about their efficiency, and numerous practitioners still consider homeopathy as an efficient alternative treatment instead of usual pharmaceutical drugs. Homeopathy is thus nowadays debated among the general public, practitioners and medical schools, and is still used by many patients in search for “natural” treatments. It is therefore relevant to bring information to feed this debate and to investigate the efficiency and safety of homeopathic drugs. We examined on ants, used as biological models, the effects of a homeopathic drug, Ignatia amara, advocated to ease symptoms of stress. We tested the effects of thus drug on ant’s ethological and physiological traits (1) under normal condition, then (2) under a stressing situation. We found that (1) this drug was not without adverse effects but slightly impacted some ants’ traits; (2) this drug could reduce the adverse effects caused by the stressing situation. It nearly fully restored the ants’ locomotion, orientation ability, audacity, tactile perception, brood caring, social relationship, escaping behavior, cognition, and slightly the memory. No adaptation and no habituation to the effects of Ignatia amara occurred, and no dependence on its consumption developed. The causes and mechanisms of these effects remain unknown to us, but our results support the hypothesis that, in some given cases, for some specific health problems, and using adequate product(s) and dose(s), a homeopathic treatment based on Ignata amara extracts could help patients to recover from stress symptoms.
顺势疗法被绝大多数科学界认为是无效的,除了有充分证据证明的安慰剂效应。然而,一些实验结果对其有效性提出了质疑,许多从业者仍然认为顺势疗法是一种有效的替代治疗方法,而不是通常的药物。因此,顺势疗法如今在公众、医生和医学院中备受争议,许多患者仍在使用顺势疗法寻求“自然”疗法。因此,有必要为这场辩论提供信息,并调查顺势疗法药物的有效性和安全性。我们以蚂蚁为生物模型,对顺势疗法药物伊格纳提亚玛拉(ignatiamara)的效果进行了研究,该药物主张缓解压力症状。我们测试了这些药物对蚂蚁行为和生理特性的影响(1)在正常情况下,然后(2)在应激情况下。我们发现:(1)该药物并非没有副作用,但对蚂蚁的某些性状有轻微影响;(2)该药可减轻应激状态引起的不良反应。它几乎完全恢复了蚂蚁的运动能力、定向能力、胆识、触觉、育儿能力、社会关系、逃跑行为、认知能力,记忆能力略有恢复。对黄芪的作用没有发生适应和习惯化,也没有形成对黄芪消费的依赖。这些影响的原因和机制尚不清楚,但我们的结果支持这样的假设,即在某些特定情况下,对于某些特定的健康问题,使用适当的产品和剂量,基于野藤提取物的顺势疗法可以帮助患者从压力症状中恢复过来。
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引用次数: 1
What is life? revisited 生命是什么?重新审视
Pub Date : 2018-07-31 DOI: 10.15406/MOJBM.2018.03.00083
V. Mendez
{"title":"What is life? revisited","authors":"V. Mendez","doi":"10.15406/MOJBM.2018.03.00083","DOIUrl":"https://doi.org/10.15406/MOJBM.2018.03.00083","url":null,"abstract":"","PeriodicalId":127077,"journal":{"name":"MOJ Biology and Medicine","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132137343","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
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