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Association of Serum Gamma Glutamyl Transferase with the Parameters of Metabolic Syndrome 血清谷氨酰转移酶与代谢综合征参数的关系
Pub Date : 2021-03-15 DOI: 10.59566/ijbs.2021.17001
S. Khatiwada, Bimal Chaulaigai, S. Kunwar
Background: This study was conducted to investigate the relationship between serum GGT (gamma glutamyl transferase) level and the components of metabolic syndrome in Nepalese metabolic syndrome patients. Methods: Anthropometric data and blood pressure was recorded for 100 metabolic syndrome patients. The height, weight, and waist circumference were recorded, and fasting blood samples were analysed for blood glucose, triglyceride, high density lipoprotein (HDL) cholesterol and GGT level. Results: Waist circumference, systolic BP, diastolic BP, blood glucose, triglyceride, and HDL cholesterol were 102.17 ± 8.12 Cm, 130.16 ± 14.70 mmHg, 84.45 ± 11.48 mmHg, 128.2 ± 50.4 mg/dL, 205.6 ± 101.4 mg/dL and 53.9 ± 15.9 mg/dL respectively. The median (with IQR) serum GGT level was 41.5 IU/L (21.2, 71.7). GGT level showed significant positive correlation with diastolic BP (r=0.311, p=0.002) and negative with HDL cholesterol (r=-0.359, p<0.001). Conclusions: Metabolic syndrome patients have serum GGT level in the upper normal range, it correlates with some components of metabolic syndrome.
背景:本研究旨在探讨尼泊尔代谢综合征患者血清GGT (γ -谷氨酰转移酶)水平与代谢综合征各组成部分的关系。方法:记录100例代谢综合征患者的人体测量资料和血压。记录身高、体重和腰围,分析空腹血样中的血糖、甘油三酯、高密度脂蛋白(HDL)胆固醇和GGT水平。结果:腰围、收缩压、舒张压、血糖、甘油三酯、HDL胆固醇分别为102.17±8.12 Cm、130.16±14.70 mmHg、84.45±11.48 mmHg、128.2±50.4 mg/dL、205.6±101.4 mg/dL、53.9±15.9 mg/dL。血清GGT水平中位数(含IQR)为41.5 IU/L(21.2, 71.7)。GGT水平与舒张压呈正相关(r=0.311, p=0.002),与高密度脂蛋白胆固醇呈负相关(r=-0.359, p<0.001)。结论:代谢综合征患者血清GGT水平处于正常上端,与代谢综合征的部分成分相关。
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引用次数: 0
Role of Combination Therapy in Relapsed Ewing’s Sarcoma 联合治疗在复发性尤文氏肉瘤中的作用
Pub Date : 2019-12-15 DOI: 10.59566/ijbs.2019.15112
John Thomas Palathingal, Ghanbar Mahmoodi Chalbatani, A. K. Rajan, Christina Daniel, Dan Monsy
Ewing's Sarcoma has increased chances of relapsing and metastases with deposits of lesions in other bones and organs. Its peak occurrence is between the age group of 10 to 20 years affecting the elderly too. We present a case on Relapsing of Ewing's Sarcoma in the right finger and metastases to the left knee joint. The PET CT initially revealed a small metabolically active lesion in the lateral aspect of the base of the right ring finger. With recurrence of chief complaint, PET CT image, MRI scan, and other confirmative procedures he was confirmed with RES. He was followed by a chemotherapy protocol of VAC/IE in 17 cycles, radiation therapy and additional therapy. Our patient showed improvement in his side effects with immunotherapy for his hair loss. He did not undergo any surgical procedures. Appropriate patient counselling and discharge medications with time to time reviewing were carried out in the patient. This case elaborates the benefits of combination therapy in an RES when compared to chemotherapy alone.
尤因氏肉瘤复发和转移的几率增加,并伴有其他骨骼和器官的病变沉积。其高峰发生在10至20岁年龄组,老年人也受到影响。我们报告一个右指尤文氏肉瘤复发并转移到左膝关节的病例。PET CT最初显示在右无名指基部侧面有一个小的代谢活性病变。主诉复发后,经PET CT、MRI扫描等确认,患者接受res治疗。随后给予VAC/IE化疗方案,共17个周期,放疗及附加治疗。我们的病人用免疫疗法治疗脱发的副作用有所改善。他没有接受任何外科手术。对患者进行适当的患者咨询和出院药物治疗,并定期进行复查。本病例阐述了与单独化疗相比,RES联合治疗的益处。
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引用次数: 0
Communication Disorders among Children in a Developing Country, Nigeria 尼日利亚一个发展中国家儿童的沟通障碍
Pub Date : 2019-12-15 DOI: 10.59566/ijbs.2019.15098
W. Adegbiji, G. Olajide, Olawale Olubi O, Ahmed Ali, A. Adeniyi
Background: Communication disorders in children are an invisible disability posing challenges to otorhinolaryngologist in developing countries. The aim of this study was to determine the prevalence, sociodemographic features, aetiology, types of communication disorders among under 18 years children attending our facility. Methods: This was a prospective study conducted in ear, nose and throat department in a Nigerian university teaching hospital, from June 2014 to May 2019. Data were obtained by using pretested interviewers assisted questionnaires from consented patients and analyzed using SPSS version 20.0. Results: Prevalence of communication disorder was 16.1%. Male was 68.2% with male to female ratio of 2.1:1. Communication disorder is commoner in first child 58.1% and detected by mother in 70.5% cases. Major cause was due to infection in 68.2%. Large percentage of communication disorder were language disorder in 60.8% and speech disorders which constitute 39.2% with associated varying degrees of hearing impairment in 78.8% of them. Sensorineural hearing impairment was noted in 69.6% cases. Language disorders were delayed speech & language, mutism and specific language impairment in 22.6%, 16.6% and 14.7% respectively. Major speech disorder was articulation problem in 15.7%. Main sources of referral were 52.5% from paediatrician while 30.9% was from general practitioners. Conclusions: There was high prevalence of communication disorder which was associated with high prevalence of hearing impairment. The major causes were infection with inadequate obstetrics management.
背景:儿童沟通障碍是发展中国家耳鼻喉科医师面临的一种无形障碍。本研究的目的是确定在我们医院就诊的18岁以下儿童中交流障碍的患病率、社会人口学特征、病因学和类型。方法:前瞻性研究于2014年6月至2019年5月在尼日利亚某大学教学医院耳鼻喉科进行。数据采用预测的访谈者辅助患者问卷,使用SPSS 20.0版本进行分析。结果:交际障碍患病率为16.1%。男性占68.2%,男女比例为2.1:1。交际障碍常见于第一胎58.1%,由母亲发现的占70.5%。主要原因是感染,占68.2%。其中语言障碍占60.8%,言语障碍占39.2%,伴有不同程度的听力障碍占78.8%。69.6%为感音神经性听力障碍。语言障碍中言语和语言迟缓、缄默症和特异性语言障碍分别占22.6%、16.6%和14.7%。主要言语障碍为发音问题,占15.7%。转诊来源主要为儿科医生52.5%,全科医生30.9%。结论:交际障碍的高发与听力障碍的高发有关。主要原因是感染和产科管理不到位。
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引用次数: 0
Determination of Gestational Age by Tibial Length using Ultrasound in A Nigerian Tertiary Hospital 尼日利亚某三级医院胫骨长度超声测定胎龄
Pub Date : 2019-12-15 DOI: 10.59566/ijbs.2019.15104
C. C. Achebe, O. Adesiyun, I. Aremu, O. T. Orewole, S. Aremu, A. Bakare, K. Adewoye, A. Okunlola
BACKGROUND: Determining fetal gestational age accurately is important to good obstetric care and outcome. Methods like measurement of symphysio-fundal height have been used but not accurate. With the advent of ultrasound, various fetal biometric parameters e.g. BPD, FKL, and fetal limbs are now being used. AIMS AND OBJECTIVES: The aim of this study is to ultrasonographically evaluate the usefulness of fetal tibial lengths as an alternate to femur lengths in predicting gestational age from the second to third trimesters. MATERIAL AND METHODS: A total of 500 pregnant Nigerian women between the GA of 13 to 41 week had ultrasound scan evaluation done at the fetal assessment unit of a Teaching Hospital. Fetal biometric parameters BPD, FL, and TL were measured and recorded against the calculated gestational age from the last menstrual periods. RESULTS: There was a strong relationship between TL and EGA with a significant positive linear correlation (r= 0.915 P<0.05). For FL, r= 0.900 and for BPD r=0.906, all related to GA. The study has also shown a good correlation between TL and the other measured variables. For TL and FL, r=0.889 while TL and BPD r=0.867, making TL a substitute limb for limb measurement and as a pointer to a skeletal anomaly or delayed bone growth or dwarfs. The mean TL ranged from 13.47 mm at 13 week to 74.64 mm at 41 weeks of gestation. CONCLUSION: This study has been able to justify the tibia as an important substitute for femur in the prediction of GA especially where the femur is susceptible to errors.
背景:准确确定胎儿胎龄对良好的产科护理和结局很重要。测量联合生理-基底高度等方法已被采用,但并不准确。随着超声技术的出现,各种胎儿生物特征参数如BPD、FKL、胎儿四肢等已被广泛应用。目的和目的:本研究的目的是超声评估胎儿胫骨长度替代股骨长度在预测妊娠中期至晚期胎龄方面的有用性。材料和方法:在一家教学医院的胎儿评估部门,共有500名怀孕13至41周的尼日利亚孕妇进行了超声扫描评估。测量胎儿生物特征参数BPD、FL和TL,并根据最后一次月经计算的胎龄进行记录。结果:TL与EGA呈极显著正线性相关(r= 0.915 P<0.05)。FL的r= 0.900, BPD的r=0.906,均与GA有关。该研究还表明,学习效率与其他测量变量之间存在良好的相关性。TL和FL的r=0.889, TL和BPD的r=0.867, TL可以代替肢体测量,作为骨骼异常或骨骼生长迟缓或侏儒的指标。平均TL从13周的13.47 mm到41周的74.64 mm不等。结论:这项研究已经能够证明胫骨作为股骨预测GA的重要替代品,特别是在股骨容易出错的情况下。
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引用次数: 0
Auricular Anthropometry in South Western Nigeria Populace: Age and Sex Disparity, a Tool for Identification and Auricular Reconstruction among Nigerian Blacks 尼日利亚西南部人口的耳廓人体测量:年龄和性别差异,尼日利亚黑人耳廓识别和重建的工具
Pub Date : 2019-09-15 DOI: 10.59566/ijbs.2019.15091
S. Aremu
INTRODUCTION: There are population variations among people from different regions around the world in terms of auricle dimensions. This means it is not suitable to use foreign standards of auricle dimensions as a guideline for Nigerians undergoing plastic pinna reconstruction. Knowledge about the normal human ear dimensions and morphological features of various populations can be helpful from the anthropological and forensic point of view to provide data procedures for the inclusion and exclusion of persons for identification on the basis of ear variations collected from criminals. METHODOLOGY: This was a cross-sectional study conducted among the populace of South-West, Nigeria between. Two hundred subjects (100 males and 100 females) between 10 and 50 years of age were selected for the study. They are divided into four age range groups in years. Group A (10-20), B (21-30), C (31-40) and D (41-50). The anthropometric parameters of the external ear were measured by the indirect method and variation according to age and sex were studied. These are the Total length of the ear (TLE), the Total width of the ear (TWE), Total lobular length (TLL) and Total lobular width (TLW). RESULTS: Our study showed the distribution of age and sex into four groups(A-B) with most of the males falling in B (N=32) while the females in group A (N=36). The age range for the subjects enrolled in the study was between 10 to 50 years. Group B has the highest number of subjects (N=64), while Group D had the least number of subjects (N=32) as well as the least number of male subjects (N=12). CONCLUSION: This study has shown a significant difference between auricular anthropometry in relation to age and sex of the subjects studied with men having relatively higher mean values than women.
导读:世界各地不同地区的人在耳廓尺寸方面存在人口差异。这意味着使用国外耳廓尺寸标准作为尼日利亚人进行塑料耳廓重建的指导是不合适的。从人类学和法医学的角度来看,了解不同人群的正常人耳尺寸和形态特征有助于提供数据程序,以便根据从犯罪分子收集的耳朵变异来确定包括和排除人员。方法:这是一项在尼日利亚西南部民众中进行的横断面研究。200名研究对象(100名男性和100名女性)年龄在10到50岁之间。他们按年龄分为四个年龄组。A组(10-20),B组(21-30),C组(31-40),D组(41-50)。采用间接法测定外耳的人体测量参数,并研究其随年龄和性别的变化。这些是耳总长度(TLE),耳总宽度(TWE),小叶总长度(TLL)和小叶总宽度(TLW)。结果:我们的研究显示,年龄和性别分布为4组(A-B),男性以B组(N=32)为主,女性以A组(N=36)为主。研究对象的年龄范围在10到50岁之间。B组受试者人数最多(N=64), D组受试者人数最少(N=32),男性受试者最少(N=12)。结论:本研究表明,耳廓人体测量在年龄和性别方面存在显著差异,男性的平均值相对高于女性。
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引用次数: 0
Clinicoepidemiological Presentation of Sinonasal Mass in A Nigerian Tertiary Health Care Centre 尼日利亚三级卫生保健中心鼻窦肿块的临床流行病学表现
Pub Date : 2019-09-15 DOI: 10.59566/ijbs.2019.15084
W. Adegbiji, S. Aremu, Ganiyu O. Akanbi, J. Omotayo
Background: Sinonasal masses are common worldwide with clinical entity ranges from simple sinonasal polyps to malignancy. This study aimed at determining the prevalence, Sociodemographic features, clinical characteristics, clinical presentation, and management outcome of sinonasal masses. Materials and Methods: This was a retrospective study of patients with sinonasal masses in ear, nose and throat department of our center over a period of ten years (from November 2008 to October 2018). Data were retrieved from the clinic register and hospital medical record. Information on sociodemographic features, the clinical presentation of presentation, examination findings, CT Scan findings, diagnosis and treatment outcomes were retrieved. Data obtained were collated and analysed by using SPSS version 18.0. Results: The total number of patients seen over the studied period was 4,678 Male accounted for 62.9% with male to female ratio of 1.7:1. Sinonasal masses were bilateral in 44.3%, left-sided in 32.0% and right-sided in 23.7. Multiple grapelike sinonasal masses accounted for 50.5% while single sinonasal masses accounted for 49.5%. Commonest anatomical origin was ethmoid sinuses in 50.5%. Main clinical features were nasal blockage 83.5% and nasal discharge 63.9%. Masses extension was into 52.6% Intranasal/sinuses and 34.0% orbital extension. Main histological diagnosis were ethmoidal (simple) nasal polyps in 49.5%, squamous cell carcinoma in 17.5%, antrochoanal polyp in 9 3% and inverted papilloma in 9.3%. Histological examination showed simple inflammatory nasal polyps in 58.8%, benign tumour in 13.4% and malignant tumour in 23.7%. Patients were managed by 76.3% surgery, 16.5% surgery and radiotherapy and 7.2% chemoradiotherapy. Recurrent masses and death from malignancy were 8.2% and 2.1% respectively. Conclusions: Sinonasal masses are perceived and presented as a simple disorder with nasal obstructions and discharge. It consists of polyps and malignant tumour. Nasal Polyps are commoner than the neoplastic tumour. The commonest origin of the sinonasal masses was ethmoid sinuses which may be because polyps are the most common causes of sinonasal masses as shown in our study. Further evaluation revealed that majority of the unilateral sinonasal masses were neoplastic. They are poorly managed and presented in advanced stage to the otorhinolaryngologist, head and neck surgeon. Late presented patients had palliative treatment with resultant high recurrence and fatality. Thus Health education, serial and early screening are highly recommended.
背景:鼻窦肿块在世界范围内是常见的,其临床特征从单纯的鼻窦息肉到恶性肿瘤都有。本研究旨在确定鼻窦肿块的患病率、社会人口学特征、临床特征、临床表现和治疗结果。材料与方法:回顾性研究我中心耳鼻喉科近十年(2008年11月至2018年10月)的鼻窦肿物患者。数据从诊所登记和医院病历中检索。检索社会人口学特征、临床表现、检查结果、CT扫描结果、诊断和治疗结果等信息。采用SPSS 18.0对所得数据进行整理和分析。结果:研究期间患者总数4678例,男性占62.9%,男女比例为1.7:1。双侧占44.3%,左侧占32.0%,右侧占23.7%。多发葡萄状鼻窦肿块占50.5%,单鼻窦肿块占49.5%。最常见的解剖来源为筛窦(50.5%)。主要临床表现为鼻塞83.5%,鼻溢63.9%。肿块扩展到52.6%的鼻内/鼻窦和34.0%的眼眶。组织学诊断以单纯性鼻筛息肉(49.5%)、鳞状细胞癌(17.5%)、鼻后鼻孔息肉(9.3%)和内翻性乳头状瘤(9.3%)为主。组织学检查显示单纯性炎性鼻息肉占58.8%,良性肿瘤占13.4%,恶性肿瘤占23.7%。手术占76.3%,手术加放疗占16.5%,放化疗占7.2%。肿瘤复发和恶性死亡分别为8.2%和2.1%。结论:鼻窦肿块被认为是一种简单的疾病,伴有鼻塞和鼻分泌物。它由息肉和恶性肿瘤组成。鼻息肉比肿瘤更常见。鼻窦肿块最常见的起源是筛窦,这可能是因为我们的研究显示,息肉是鼻窦肿块最常见的原因。进一步的检查显示大多数单侧鼻窦肿块为肿瘤。他们管理不善,并在晚期向耳鼻喉科医生,头颈外科医生提出。晚期患者接受姑息治疗,导致高复发率和病死率。因此,强烈建议进行健康教育、系列和早期筛查。
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引用次数: 2
Generate Better Hypertrophic Cardiomyopathy Model Using Induced Pluripotent Stem Cells and Crispr/Cas9 利用诱导多能干细胞和Crispr/Cas9构建更好的肥厚性心肌病模型
Pub Date : 2019-09-15 DOI: 10.59566/ijbs.2019.15079
Zhe Han
Hypertrophic cardiomyopathy (HCM) has been a heart disease causing the most sudden cardiac death among young people in US, and this problem still remains unsolved. In this paper, we will reintroduce HCM and discuss the methods that could be used to treat it. Many other studies, involving animal models; Induced pluripotent stem cells (iPSCs); CRISPR/Cas9, would also be mentioned to understand the disease better. Many techniques are useful in curing HCM. One of the helpful mechanisms would be iPSCs, which helps reprogramming a patient's somatic cells, differentiating them into cells needed for the study. Due to different background issues, CRISPR/Cas 9 would then be added to generate isogenic iPSCs. Combining both mechanisms would help in comparing patient's HCM iPSCs and control iPSCs, which provides us more information about pathogenic background of HCM and further assists in the process of curing HCM.
肥厚性心肌病(HCM)是导致美国年轻人心脏性猝死最多的一种心脏疾病,这一问题至今仍未得到解决。在本文中,我们将重新介绍HCM,并讨论可用于治疗它的方法。许多其他的研究,包括动物模型;诱导多能干细胞;CRISPR/Cas9也会被提及,以便更好地了解这种疾病。治疗HCM有许多有用的技术。其中一个有用的机制是iPSCs,它可以帮助重新编程患者的体细胞,将它们分化成研究所需的细胞。由于不同的背景问题,随后将添加CRISPR/ cas9来生成等基因iPSCs。结合这两种机制有助于比较HCM患者的iPSCs和对照iPSCs,从而为HCM的发病背景提供更多信息,进一步帮助HCM的治疗过程。
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引用次数: 0
A Finite Element Study on Comparision of Stress Distribution around the Vertical and Angled Abutments in Implants 种植体垂直基台与倾斜基台应力分布比较的有限元研究
Pub Date : 2019-06-15 DOI: 10.59566/ijbs.2019.15068
M. Anand, Gulab Chad Baid, H. S. Mohammed, Prasad A. Hari, Vinaya Kundapur, M. Swetha
Background: Appearance or aesthetics play an important role in the lives of most people specially professionals and any restorations with less than optimal aesthetics will probably not acceptable. Dental implants have earned an excellent reputation for Biocompatibility, Predictability and function throughout the past decades. Use of angulated abutments may be the method of choice when anatomic limitations preclude the axial placement of an implant. A variety of pre angled abutments are available at specific divergence angles, additionally, custom angled abutments may be cast to profile necessary for an acceptable prosthetic outcome. Objectives: The purpose of this study was to evaluate and compare the stress distribution around the vertical (0 degree) and angled (15, 20 degree) abutments in implants. This study was carried out under a vertical force of 100 N and horizontal force of 50 N respectively for all the situations. Materials & Methods: A 3D finite element model was made of anterior maxillary right canine region using the details from the CT scan using the computer software (ANSYS 11). A stimulated 13 × 4.2 mm implant was placed in the centre of the b one and its superstructure was created. Two different loading conditions for 3 different abutment angulations (0, 15, & 20 degree) relative to long axis of implant were applied. The stress generated in the cortical and cancellous bone around the implant was recorded and evaluated with the help of ANSYS. Resuts: It was shown that on vertical loading and horizontal loading of 100 N and 50 N respectively on zero degree angulated abutment, the Von Mises stresses were seen to be uniformly distributed all along the implants in the cortical and cancellous bone. It was also shown that vertical and horizontal loading of 100N and 50 N respectively produced maximum stresses n both cortical and cancellous bone around the neck of Implant for both the 15 degree and 20 degree angulated abutments. Conclusion: the zero degree produced the least amount of stress so as far as possible the Implants should be placed along the axial loading directions of the proposed prosthesis.
背景:外观或美学在大多数人的生活中扮演着重要的角色,特别是专业人士,任何低于最佳美学的修复都可能是不可接受的。在过去的几十年里,牙种植体在生物相容性、可预测性和功能方面赢得了良好的声誉。当解剖限制排除种植体的轴向放置时,使用成角基台可能是选择的方法。各种预角度的基台可在特定的发散角度,另外,定制角度的基台可以铸造成一个可接受的假体结果所必需的轮廓。目的:本研究的目的是评估和比较种植体垂直(0度)和倾斜(15度,20度)基牙周围的应力分布。本研究分别在100 N的垂直力和50 N的水平力下进行。材料与方法:利用计算机软件ANSYS 11对上颌前牙右犬齿区进行三维有限元建模。将一个13 × 4.2 mm的刺激植入体放置在b的中心,并创建其上部结构。3种不同的基台角度(0度、15度和20度)相对于种植体的长轴应用了两种不同的加载条件。利用ANSYS软件记录种植体周围皮质骨和松质骨产生的应力并进行评估。结果:0度成角基牙在垂直和水平分别施加100 N和50 N载荷时,Von Mises应力在皮质骨和松质骨内沿种植体均匀分布。结果表明,垂直和水平载荷分别为100N和50n时,15°和20°成角基牙种植体颈部周围皮质骨和松质骨的应力均最大。结论:零度产生的应力最小,种植体应尽可能沿拟种植体的轴向加载方向放置。
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引用次数: 0
Fever, Night Sweats and Weight Loss in an Asian Man: Not Always TB 亚洲男性的发烧、盗汗和体重减轻:不全是结核病
Pub Date : 2019-06-15 DOI: 10.59566/ijbs.2019.15076
Roseleen Sheelan, Kayleigh Lawrence, D. Mosby, A. Abdelhafiz
A 36-year-old British born Asian man was admitted to hospital with a dry cough, fever of one-week duration and a two-day history of diarrhoea. He was eventually diagnosed with pneumocystis jirovecii pneumonia secondary to human immunodeficiency virus infection. This case was challenging diagnostically due to the lack of a complete history initially and full history not being available until later in the admission. A normal chest x-ray also complicated matters. Around 90% of patients with pneumocystis jirovecii pneumonia have chest x-ray changes. Following diagnosis using high resolution computed tomography scan and bronchoalveolar lavage and subsequent treatment with co-trimoxazole and antiretroviral therapy, the patient recovered uneventfully.
一名36岁英国出生的亚裔男子因干咳、持续一周的发烧和两天的腹泻病史入院。他最终被诊断为继发于人类免疫缺陷病毒感染的肺囊虫肺炎。由于最初缺乏完整的病史,并且直到入院后才获得完整的病史,因此该病例的诊断具有挑战性。正常的胸部x光检查也使问题复杂化。约90%的肺囊虫肺炎患者有胸部x线改变。经过高分辨率计算机断层扫描和支气管肺泡灌洗诊断,以及随后的复方新诺明和抗逆转录病毒治疗,患者顺利康复。
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引用次数: 0
Stability of Blood Glucose in Fluorinated Plasma and Plane Tube Serum 氟化血浆及平面管血清血糖的稳定性
Pub Date : 2019-06-15 DOI: 10.59566/ijbs.2019.15063
A. Imtiaz, Md. Haroon Or Rashid, Avijit Loah, S. Shafiullah, A. Siddique, M. Rahman, Md. Motiur Rahman
Introduction: In 1941 Sodium fluorite containing tubes was developed. Since then these tables were used in the clinical laboratory for measurement of glucose. Sodium fluoride is a useful agent that inhibits glycolysis. The glucose level in the unpreserved blood sample can decrease by 5-7% per hour due to glycolysis. Methods: The objective to evaluate the stability of blood glucose in fluorinated plasma and plane tube serum. The Blood samples obtained from 30 participants and which pour into two different (fluorinated and plane) tube. Plasma and serum separated and storage within 25-30 Minute of the collection on average. Separated samples were aliquoted into eppendorfs and stored in the different cool box at 4-8°C. Glucose concentrations were analyzed by glucose oxidase method using the SELECTRA Pro-M Auto-analyzer at 0hours (within 30 min), 24hours and 48 hours. Paired sample t-test performed significantly at a P-value of less than 0.05. Results: Results show that the rate at which glucose concentration changed with time varies in fluorinated plasma and plane tube serum, the average mean difference of glucose 1.2 mg/dl, 9.2 mg/dl, and 3.32 mg/dl, 3.11 mg/dl in plasma and serum from 0 h-24 h and 0 h-48 h respectively. A statistically significant correlation (p<0.05) found with times of measurement. Glucose levels slightly reduce in plasma than serum within 24 h but comparatively more glycolysis occurs in plasma than serum after 24 hour. Conclusion: This study tries to find out a suitable agent for assessing blood glucose levels when the analysis delayed. Sodium fluoride is an effective agent for delay glucose analysis.
1941年研制出含萤石钠管。从那时起,这些表格被用于临床实验室测量葡萄糖。氟化钠是抑制糖酵解的有用剂。由于糖酵解,未保存的血液样品中的葡萄糖水平每小时可降低5-7%。方法:目的评价氟化血浆及平面管血清血糖的稳定性。从30名参与者身上获得的血液样本被倒入两个不同的(氟化的和平面)试管中。血浆和血清平均在采集后25-30分钟内分离并保存。将分离后的样品放入不同的冷藏箱中,4-8℃保存。在0h (30min内)、24h和48h,使用SELECTRA Pro-M Auto-analyzer用葡萄糖氧化酶法分析葡萄糖浓度。配对样本t检验在p值< 0.05时显著。结果:氟化血浆和平面管血清中葡萄糖浓度随时间变化的速率不同,0 h-24 h和0 h-48 h血浆和血清中葡萄糖的平均差值分别为1.2、9.2 mg/dl和3.32 mg/dl、3.11 mg/dl。与测量次数有统计学意义(p<0.05)。24小时内血浆葡萄糖水平比血清略有下降,但24小时后血浆糖酵解比血清糖酵解多。结论:本研究旨在寻找一种适合于血糖分析延迟的药物。氟化钠是一种有效的延迟葡萄糖分析试剂。
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引用次数: 0
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International Journal of Biomedical Science : IJBS
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