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Imbalances of both systolic and diastolic hypertension is implicated by a series of causative agents, a cross-sectional health survey 收缩期和舒张期高血压的失衡与一系列的致病因子有关,一项横断面健康调查
Pub Date : 2018-03-03 DOI: 10.7439/IJBR.V9I2.4422
Rupom Mitra, A. Towhid, Md. Habibur Rahman, Md. Al Amin, D. N. Roy
Background and Objectives: Hypertension (HTN) or high blood pressure is a chronic medical condition in which the blood pressure in the arteries is elevated. Blood pressure is summarized by two measurements, systolic and diastolic, which depend on whether the heart muscle is contracting (systole) or relaxed between beats (diastole). Our survey based study is carried out to estimate the current consequences of HTN among the populations of southern cities in Bangladesh. Methods: We have conducted our research in context on population’s age, gender, family history, addictive probability with type of drug habit, age of onset of respondents. We have compared systolic value with diastolic regarding these parameters by the help of self-designed standard questionnaire relevant with hypertension by manual data collection over six month’s period. Total 350 subject respondents were investigated by majorly visiting at their home, work places and hospitals. Descriptive statistics were applied to the collected data and analyzed using Microsoft Excel software. Results: 52.8% was male respondents and 47.8% was female of which 27.3% was the age range 56-65 years and another top most 23.4% was 46-55 years old. 90-100 mm/Hg diastolic value was noticed for 84.9% participants whereas 101-110mm/Hg was for remaining 9.3%. On the other hand, 140-150 and 151-160mm/Hg systolic pressure measured for 36.1% and 26.8% patients. Although 43.4% respondents answered yes in question for conveying hypertension from their family history but 56.6% was not at all. Narcotics substances immensely do impact in high blood pressure pathogenesis as it has showed almost 54.63% users among them betel & tobacco are experienced at least 71% following for smoking 29%. However, 68% betel & tobacco consumers had diastolic pressure 90-100 mm/Hg and 140-150 mm/Hg systolic value was measured for 37% betel and tobacco addicts followed by 26% chain smokers persist systolic pressure 151-160 mm/Hg range. Interestingly the maximum numbers of 32.2% peoples was first affected by hypertension in their age 36-45 years and 24.9% was the age range of 46-55 in second position. Conclusion: Hypertension is a major public health problem and it is diagnosed on the basis of a persistent high blood pressure. Unfortunately, the tendency to start hypertension in young age is increasing day by day. Everybody should be very conscious about this severe health issue to give up all kind of habit forming narcotic agents.
背景和目的:高血压(HTN)或高血压是一种慢性疾病,其中动脉血压升高。血压由收缩压和舒张压两项测量来总结,这取决于心肌在搏动之间是收缩(收缩)还是放松(舒张)。我们进行了基于调查的研究,以估计HTN在孟加拉国南部城市人口中的当前后果。方法:调查对象的年龄、性别、家族史、成瘾概率与吸毒类型、发病年龄等。我们通过手工收集6个月的高血压相关数据,自行设计标准问卷,比较了这些参数的收缩压和舒张压。共调查了350名受访者,主要是通过访问他们的家、工作场所和医院。对收集的数据进行描述性统计,并使用Microsoft Excel软件进行分析。结果:男性占52.8%,女性占47.8%,其中56 ~ 65岁占27.3%,46 ~ 55岁占23.4%。84.9%的参与者注意到90- 100mm /Hg的舒张值,其余9.3%的参与者注意到101-110mm/Hg的舒张值。另一方面,收缩压为140-150和151-160mm/Hg的患者分别为36.1%和26.8%。43.4%的人认为有家族病史,但56.6%的人认为没有。麻醉品对高血压的发病机制有很大的影响,研究表明,近54.63%的使用者中,槟榔和烟草的使用者至少有71%的人吸烟,其次是29%的人。然而,68%的槟榔和烟草消费者的舒张压为90-100 mm/Hg, 37%的槟榔和烟草成瘾者的收缩压为140-150 mm/Hg,其次是26%的连续吸烟者的收缩压为151-160 mm/Hg。有趣的是,在36-45岁的人群中,首次患高血压的人数最多,占32.2%,其次是46-55岁,占24.9%。结论:高血压是一个重大的公共卫生问题,在持续高血压的基础上进行诊断。不幸的是,在年轻时开始高血压的趋势日益增加。每个人都应该意识到这一严重的健康问题,放弃各种形成习惯的麻醉剂。
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引用次数: 0
Gender based inequality in care seeking of under five children 五岁以下儿童求医方面的性别不平等
Pub Date : 2018-03-03 DOI: 10.7439/IJBR.V9I2.4626
Nilesh Gothi, G. Kumar, Aditi Gothi
Objective: The objective of present study is to assess difference in treatment seeking behavior of families in urban slums for their male and female child. Methods: Study was carried out in urban slums of Udaipur city. Total 34 slums were clustered in the city. Six families were selected from every cluster. Results: Ratio between male and female children was 1:1. Most of the families chose unqualified care providers for girls as compared to boys. Expenditure on health care was more for boys. Conclusion: Utilization of government medical facilities was very less by rural population and even lesser in case of girls. There appear to be significant difference in seeking care for male and female child.
目的:本研究的目的是评估城市贫民窟家庭对其男孩和女孩儿童寻求治疗行为的差异。方法:在乌代浦尔市城市贫民窟进行研究。这个城市共有34个贫民窟。每组选出6个家庭。结果:男女患儿比例为1:1。与男孩相比,大多数家庭为女孩选择了不合格的照顾者。男孩在医疗保健方面的支出更多。结论:农村人口对政府医疗设施的利用率非常低,女孩的利用率更低。男童和女童在寻求照顾方面存在显著差异。
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引用次数: 0
Extra-pulmonary tuberculosis - A retrospective study 肺外结核——一项回顾性研究
Pub Date : 2018-01-30 DOI: 10.7439/ijbr.v9i1.4521
A. Poudyal, R. Gurung, N. Poudyal, R. Baral, B. Khanal, S. Bhattacharya
Background: Tuberculosis can occur in various organ systems of human body. In the recent years, there has been an increase in the occurrence of extra-pulmonary tuberculosis (EPTB) worldwide. As very little data is available regarding the situation of EPTB in Eastern Nepal, this study was conducted to assess its frequency in various organ systems of the body and to evaluate the role of demographic factors like sex and age in its causation. Aim : To see the prevalence of EPTB among the patient attending a tertiary care hospital, BPKIHS. Methods: Extrapulmonary specimens received for Acid Fast Bacilli (AFB) microscopy in the TB Laboratory, BP Koirala Institute of Health Sciences, Dharan from 1 st July 2010–30 th June 2011 were included in the study. Age, sex and origin of specimens were retrieved and analyzed. Results: High male prevalence was noted with Male: Female ratio of 1.6:1. Maximum specimens were received from age group 0-15 years followed by 16-30years. Body fluids were the most common specimen submitted for EPTB examination. Out of 1823 suspected cases of EPTB, 11 cases were found to be positive by microscopic method, out of the positives cases eight were male and remaining were female. Conclusion: EPTB is high amongst male in their productive age. Tubercular lymphadenitis is the most common form of EPTB. Introduction of newer and rapid method for the diagnosis of EPTB is utmost necessary for country like ours where diagnosis of Extrapulmonary Tuberculosis is still a challenge.
背景:结核病可发生在人体各器官系统。近年来,世界范围内肺外结核(EPTB)的发病率有所上升。由于关于尼泊尔东部EPTB情况的数据很少,因此进行了这项研究,以评估其在身体各器官系统中的频率,并评估性别和年龄等人口因素在其病因中的作用。目的:了解在三级保健医院就诊的患者中EPTB的患病率。方法:选取2010年7月1日至2011年6月30日在英国柯伊拉腊卫生科学研究所结核病实验室进行抗酸杆菌(AFB)显微检查的肺外标本。对标本的年龄、性别和来源进行检索和分析。结果:男性患病率高,男女比例为1.6:1。0 ~ 15岁年龄组最多,16 ~ 30岁次之。体液是最常见的EPTB检查标本。在1823例EPTB疑似病例中,镜检阳性11例,阳性病例中男性8例,其余为女性。结论:EPTB在育龄男性中高发。结核性淋巴结炎是EPTB最常见的形式。在我国这样的诊断仍然是一个挑战的国家,引进更新和快速的诊断方法是非常必要的。
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引用次数: 1
Comparative study of oral clonidine and oral gabapentin in attenuation of pressor response to direct laryngoscopy and tracheal intubation 口服可乐定与口服加巴喷丁对直接喉镜和气管插管降压反应的比较研究
Pub Date : 2018-01-30 DOI: 10.7439/IJBR.V9I1.4598
J. Galat, C. Upasani
Background: Laryngoscopy and intubation causes reflex sympatho-adrenal response in the form of tachycardia and hypertension. The hemodynamic responses during laryngoscopy and endotracheal intubation should be abolished to balance the myocardial oxygen supply and demand which is a key note in the safe conduct of anaesthesia. The present study compared the effect of oral clonidine with oral gabapentin for attenuating hemodynamic pressor responses to laryngoscopy and tracheal intubation. Methods: Total ninety patients of ASA grade I and II, age between 18-50 years, BMI 18 to 25 and who were posted for elective surgeries under general anesthesia were selected for the study. They were divided into three groups of 30 patients in each. Group P received oral placebo (control), group –C received 0.2mg of oral clonidine and group G received 800mg oral gabapentin. Heart rate, systolic blood pressures, diastolic blood pressures mean blood pressures and rate pressure product were noted before induction, after induction, during laryngoscopy and 1,2,3,4,5,10 and 15 minutes after laryngoscopy and intubation. Results: There was significant rise in hemodynamic parameters after laryngoscopy and intubation. Oral clonidine (0.2 mg) and oral gabapentin (800 mg) when given 90mins prior to surgery effectively attenuated the rise in heart rate, systolic blood pressure, diastolic blood pressure, mean arterial pressure and rate pressure product to laryngoscopy and intubation as compared to oral Placebo. Conclusion: Both the drugs, tablet  clonidine 0.2mg and capsule  gabapentin 800mg when given orally  was found to be safe and without any side effects like hypotension and bradycardia.
背景:喉镜检查和插管引起反射性交感-肾上腺反应,表现为心动过速和高血压。应消除喉镜检查和气管插管时的血流动力学反应,以平衡心肌供氧量和需氧量,这是麻醉安全进行的关键。本研究比较了口服可乐定与口服加巴喷丁在喉镜和气管插管时降低血流动力学压力反应的效果。方法:选取ASA I级和II级患者90例,年龄18 ~ 50岁,BMI 18 ~ 25,在全麻下择期手术。他们被分为三组,每组30名患者。P组给予口服安慰剂(对照),c组给予口服可乐定0.2mg, G组给予口服加巴喷丁800mg。在诱导前、诱导后、喉镜检查时以及喉镜检查和插管后1、2、3、4、5、10、15分钟分别记录心率、收缩压、舒张压、平均血压和心率压积。结果:喉镜检查和插管后血流动力学参数明显升高。与口服安慰剂相比,术前90分钟口服可乐定(0.2 mg)和口服加巴喷丁(800 mg)可有效降低心率、收缩压、舒张压、平均动脉压和喉镜检查和插管时的心率压升高。结论:口服可乐定片剂0.2mg、加巴喷丁胶囊800mg均安全,无低血压、心动过缓等副作用。
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引用次数: 0
Experience of human milk banking from tertiary care centre of South Rajasthan 南拉贾斯坦邦三级保健中心母乳库的经验
Pub Date : 2018-01-30 DOI: 10.7439/IJBR.V9I1.4594
Badrilal Meghwal, Manisha Balai, B. Jain
Background and objective: Human milk bank plays an essential role by providing human milk to infants who would otherwise not be able to receive human milk. This retrospective study was carried out to review the basic characteristics of donors and recipients, and the amounts and contamination of breast milk donated at the human milk bank from a tertiary care hospital in South Rajasthan. Materials and methods: Milk banks collect, screen, store, process, and distribute human milk. Data regarding clinical characteristics of the donor mother and recipients, and collected human milk for a period of 9 months (April – December 2017) were obtained from medical records and analysed. Results: The donor pool consisted of 3117 mothers with total sittings of milk donation being 6787. Maximum number (1763; 56.5%) of donor mothers were recruited from gynaecological indoor units. A total of 789.8 L milk was collected, and 767.4 L milk was processed. There were 1492 neonate beneficiaries. Preterm neonates were the most common beneficiaries. Conclusion: Human milk banks serve a vital function by providing human milk for premature infants, sick or hospitalized infants and others who, for a variety of reasons, would otherwise not have access to mothers’ milk. The use of donor milk is widely endorsed. Additionally, establishing a nationwide network of human milk banking and successfully integrating human milk banking services with newborn care will further contribute to the progress of milk banking and reducing preventable newborn deaths.
背景和目的:母乳库发挥了至关重要的作用,为婴儿提供母乳,否则将无法获得母乳。这项回顾性研究的目的是审查供体和受体的基本特征,以及南拉贾斯坦邦一家三级保健医院母乳库捐赠的母乳的数量和污染情况。材料和方法:母乳库收集、筛选、储存、处理和分发母乳。从医疗记录中获取9个月(2017年4月至12月)供母和受体的临床特征数据以及收集的母乳数据并进行分析。结果:共有3117名母亲参与供体,共捐乳6787次。最大数量(1763;56.5%)的供体母亲是从妇科室内单位招募的。共收集牛奶789.8 L,加工牛奶767.4 L。共有1492名新生儿受益。早产儿是最常见的受益者。结论:母乳库通过为早产儿、生病或住院婴儿以及其他由于各种原因无法获得母乳的人提供母乳而发挥着至关重要的作用。使用母乳是被广泛认可的。此外,建立全国母乳库网络,并成功地将母乳库服务与新生儿护理结合起来,将进一步促进母乳库工作的进展,减少可预防的新生儿死亡。
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引用次数: 2
Retracted: Saliva: A systematic review on its diagnostic utility 撤回:唾液:其诊断功能的系统综述
Pub Date : 2018-01-30 DOI: 10.7439/IJBR.V9I1.4233
Neeharika Mortha, D. Uppala, N. Kothia, S. Majumdar, K. Sravya
Introduction: A paradigm shift in recent years has led to the consideration of the oral cavity (and, thus, oral disease) not in isolation but as a component integrated with systemic physiology, important in maintaining systemic health and reflective of systemic disease. Saliva has been studied extensively as a potential diagnostic tool over the last decade due to its ease and non-invasive accessibility along with its abundance of biomarkers. Aim & Objective: This is a systematic review of the studies published in past 15 years in electronic databases regarding the utility of saliva as a diagnostic tool Materials & Methods: Data collection from electronic databases, followed by data extraction and management. Results & Conclusion: Of 85 studies considered among 510, represent the evolution of saliva in screening neoplasm, with 34 different analytes detected in this population followed by 22 in metablic disorders and the least being in systemic disorders. Most abundantly applied technique being ELISA, common analyte being Immunoglobulins. The application of high throughput proteomic techniques in various studies in the past decade has led to the discovery of new biomarkers.
近年来,一种范式的转变导致人们不再孤立地考虑口腔(以及口腔疾病),而是将其作为与全身生理学相结合的一个组成部分,对维持全身健康和反映全身疾病很重要。在过去的十年中,唾液作为一种潜在的诊断工具被广泛研究,因为它容易和非侵入性的可及性以及它丰富的生物标志物。目的与目的:这是对过去15年在电子数据库中发表的关于唾液作为诊断工具的研究的系统综述。材料与方法:从电子数据库中收集数据,然后进行数据提取和管理。结果与结论:在510项研究中,85项研究代表了唾液在筛查肿瘤中的演变,在该人群中检测到34种不同的分析物,其次是22种代谢疾病,最少的是系统性疾病。应用最广泛的技术是ELISA,常用的分析物是免疫球蛋白。在过去的十年中,高通量蛋白质组学技术在各种研究中的应用导致了新的生物标志物的发现。
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引用次数: 0
A study of the clinical and etiological profile of patients presenting with Congenital Heart Diseases 先天性心脏病患者的临床和病因分析
Pub Date : 2018-01-30 DOI: 10.7439/IJBR.V9I1.4601
K. Jain, B. Jain, D. Sareen
Introduction: Congenital Heart Diseases are amongst the major congenital malformations contributing to infant mortality. Most CHDs are diagnosed in infancy and cyanosis and cardiac failure are the principal signs. Later, in childhood or adolescence, CHD patients may present differently. Objective: To Study the clinical & Etiological profile of Patient presenting as CHD. Material and Methods : This prospective study was conducted in Dept. of pediatrics, RNT Medical College, Udaipur. 100 children having sign and symptoms suggestive of CHD, attending the Balchikitsalay, were included in this study. Each case worked out by a detailed history, physical examination and various investigations. 1. CBC 2. Chest X-Ray 3. Echo Cardiography. Results: Majority of the cases in our study were of Acyanotic CHD (73%) and most of them presented during 0-1 Year of life (78.08%). Dyspnoea was the commonest symptoms seen in (62%) followed by FTT in (40%) cases and Recurrent RTI in (36%) cases, Refusal to feed in (34%) cases, cyanosis in (25%) cases, Anoxic Spell in (5%) of cases. 73 Patients had abnormal chest X-ray finding on presentation. Conclusion: Acyanotic CHD were most commonly seen in children rather than cyanotic CHD.VSD was most common acyanotic congenital heart disease in infancy. Among cyanotic CHDs, Tetralogy of Fallot is the most common lesion. All cases of CHD should be under regular monitoring so as to permit optimal growth and development. A high index of suspicion, a detailed history, physical examination, chest X-ray along with the use of 2-D-Echocardiography which not only helps us to diagnose most of the cases of congenital heart disease but also help in diagnosing severity of the lesion.
前言:先天性心脏病是导致婴儿死亡的主要先天性畸形之一。大多数冠心病在婴儿期被诊断出来,紫绀和心力衰竭是主要症状。后来,在儿童或青少年时期,冠心病患者的表现可能有所不同。目的:探讨冠心病患者的临床及病因学特点。材料和方法:本前瞻性研究在乌代浦尔RNT医学院儿科进行,纳入了100名在Balchikitsalay就诊的有提示冠心病体征和症状的儿童。每个病例都经过详细的病史、体格检查和各种调查。1. CBC 2。胸部x光片心动描记法。结果:无精子型冠心病占多数(73%),发病时间以0 ~ 1岁为主(78.08%)。呼吸困难是最常见的症状(62%),其次是FTT(40%)和复发性呼吸道感染(36%),拒绝进食(34%),发绀(25%),缺氧(5%)。73例患者就诊时胸部x线表现异常。结论:儿童无青紫型冠心病较青紫型冠心病多见。室间隔缺损是婴幼儿最常见的无氰型先天性心脏病。在紫绀型冠心病中,法洛四联症是最常见的病变。所有冠心病病例都应定期监测,以确保最佳的生长和发展。高度怀疑,详细的病史,体格检查,胸部x光片以及二维超声心动图的使用不仅有助于我们诊断大多数先天性心脏病病例,而且有助于诊断病变的严重程度。
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引用次数: 1
Significance of plasma total cholesterol-VLDL cholesterol ratio (TC/VLDLC) in Type-2 diabetes mellitus 血浆总胆固醇- vldl胆固醇比值(TC/VLDLC)在2型糖尿病中的意义
Pub Date : 2018-01-30 DOI: 10.7439/IJBR.V9I1.4577
S. Srinivas, S. Nagendra, Prashanthkumar Goudappala, T. KashinathR
Dyslipidemia is a significant predisposing factor of diabetes mellitus induced cardio vascular complications in Type-2 Diabetes mellitus (T2DM) subjects. Triacylglycerols and Cholesterol along with phospholipids forms the basic components of tissue lipids and alterations either in their formation or in their composition leads to dyslipidemia. VLDL transports most of the endogenous triacylglyerols. This study was undertaken to assess the significance of plasma total cholesterol- VLDLC ratio (TC/VLDLC) in assessing dyslipidemic status of T2DM subjects as well as to compare the utility of this ratio with known cardio vascular disease markers like Atherogenic Coefficient and Atherogenic Index of Plasma. T-2DM subjects in the age group of 35-65 years attending Medicine OPD, Subbaiah Medical College Hospital and Research center, Shivamogga for routine check-up were randomly selected. A fasting heparinised blood sample was collected from normal control subjects as well as T-2DM subjects. The samples were centrifuged, separated plasma employed for estimation of Total Cholesterol, Triacylglycerol, HDL-Cholesterol and fasting glucose levels. VLDL Cholesterol, Atherogenic Coefficient (AC), Atherogenic Index of Plasma (AIP) and TC/VLDLC ratio calculated. A significant raise(p<0.001) is observed in levels of fasting glucose, TC,TAG, VLDLC, AC, and AIP in T2DM subjects as compared to normal control subjects where as a significant fall is seen in the calculated values of TC/VLDLC ratio. Hence it can be concluded that along with AC and AIP the TC/VLDLC ratio is a valuable additional marker of diabetes induced dyslipidemia suggesting its clinical utility in assessing and prevention of dyslipidemia induced cardio vascular complications in T2DM subjects.
血脂异常是2型糖尿病(T2DM)患者发生糖尿病引起的心血管并发症的重要易感因素。甘油三酯和胆固醇与磷脂一起构成组织脂质的基本成分,它们的形成或组成的改变会导致血脂异常。VLDL运输大部分内源性三酰甘油。本研究旨在评估血浆总胆固醇- VLDLC比值(TC/VLDLC)在评估T2DM受试者血脂异常状态中的意义,并将该比值与已知的心血管疾病指标(如血浆动脉粥样硬化系数和动脉粥样硬化指数)进行比较。随机选择在Shivamogga Subbaiah医学院附属医院及研究中心内科门诊进行常规检查的年龄在35-65岁的T-2DM受试者。从正常对照受试者和T-2DM受试者中采集空腹肝素化血样。将样品离心,分离血浆用于估计总胆固醇、甘油三酯、高密度脂蛋白胆固醇和空腹血糖水平。计算VLDL胆固醇、动脉粥样硬化系数(AC)、血浆动脉粥样硬化指数(AIP)及TC/VLDL比值。与正常对照组相比,T2DM患者的空腹血糖、TC、TAG、VLDLC、AC和AIP水平显著升高(p<0.001),而TC/VLDLC比值的计算值显著下降。因此,我们可以得出结论,TC/VLDLC比值与AC和AIP一起是糖尿病引起的血脂异常的一个有价值的附加指标,提示其在评估和预防T2DM患者血脂异常引起的心血管并发症方面的临床应用。
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引用次数: 2
Influence of gender on nerve conduction velocity in healthy adults in urban population of a developing country 性别对发展中国家城市健康成人神经传导速度的影响
Pub Date : 2018-01-30 DOI: 10.7439/IJBR.V9I1.4541
Wasim Rahaman, M. Ghosh, A. Chaudhuri, S. Majumdar, M. Ghar, A. Biswas
Background: Gender plays important role on amplitude, duration and latency of motor and sensory nerve conduction studies. Aims: To compare the effect of gender on nerve conduction properties of upper and lower limbs in Median and Tibial nerves in an urban population of eastern India. Materials and methods: 60 healthy adults (30 male and 30 female volunteers) in the age group of 18 to 60 years without any significant present or past systemic illness were selected for the study. Nerve Conduction Study of both Right and Left Median nerve in case of Upper Limbs and both Right and Left Tibial nerve in case of Lower Limb were performed. Results were analysed using SPSS version 16. Results: In right median nerve Proximal and Distal Latency were more in males; Proximal and Distal Amplitude were more in females; Nerve Conduction Velocity was more in males; F-Wave Latency was more in males.In left median nerve Proximal and Distal Latency were more in male; Proximal and Distal Amplitude were more in females; Nerve Conduction Velocity was more in males; F-Wave Latency was more in males. In right Tibial nerve Distal Latency was more in males; Proximal and Distal Amplitude were more in females; Nerve Conduction Velocity was more in males; F-Wave Latency was more in females.In left tibial nerve Distal Latency was significantly more in males; Proximal and Distal Amplitude were more in females; Nerve Conduction Velocity was more in males; F-Wave Latency was significantly more in females. Conclusions: The Nerve Conduction Study Parametersvaries according to gender. This variation is due to difference in Height, Limb Length, Weight, BMI, Thickness and Density of subcutaneous tissue, Muscle Mass. Influence of gender must be taken into consideration during Nerve Conduction Study and establishing normative data for reference value of Neurophysiological Laboratories for different population remains essential.
背景:性别对运动和感觉神经传导的振幅、持续时间和潜伏期有重要影响。目的:比较性别对印度东部城市人群上肢和下肢正中神经和胫骨神经传导特性的影响。材料与方法:选择年龄在18 - 60岁之间,无明显系统性疾病的健康成人60例(男30例,女30例)作为研究对象。对上肢的左右正中神经和下肢的左右胫神经进行神经传导研究。使用SPSS version 16对结果进行分析。结果:男性右侧正中神经近端和远端潜伏期较多;近端和远端振幅在女性中较多;神经传导速度男性多;f波潜伏期在男性中更多。左正中神经近端和远端潜伏期男性多;近端和远端振幅在女性中较多;神经传导速度男性多;f波潜伏期在男性中更多。右胫神经远端潜伏期男性多;近端和远端振幅在女性中较多;神经传导速度男性多;f波潜伏期在女性中更多。左侧胫神经远端潜伏期男性明显多于左侧胫神经;近端和远端振幅在女性中较多;神经传导速度男性多;f波潜伏期在女性中明显更多。结论:神经传导研究参数因性别而异。这种差异是由于身高、肢体长度、体重、身体质量指数、皮下组织的厚度和密度、肌肉质量的差异。在神经传导研究中必须考虑性别的影响,建立规范的数据供不同人群的神经生理实验室参考仍是必要的。
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引用次数: 2
Assessment of neurodevelopmental abnormalities in children with severe acute malnutrition between the age of 6 months to 30 months 6个月至30个月间严重急性营养不良儿童神经发育异常的评估
Pub Date : 2018-01-30 DOI: 10.7439/IJBR.V9I1.4547
V. Jain, Swati Patel, N. Agarwal, A. Gaur
Objectives : To assess the developmental abnormalities in Severe Acute Malnutrition using Developmental Assessment Scale for Indian Infants (DASII). Design: Hospital based Prospective Analytical Study. Setting : Department of Pediatrics, Kamla Raja Hospital, Gajra Raja Medical College, Gwalior. Participants: Children with severe acute malnutrition as per criteria of WHO between the age of 6 months and 30 months admitted in the hospital between March 2015 to January 2017. Method: Patients were first managed as per WHO guidelines of SAM. At the end of stabilization phase detailed neurological examination was done to look for neurological deficits by Development Assessment Scale for Indian Infants (DASII). Results: A total of 70 cases were enrolled. Mean Development Quotient for cases was 79.7(23.5) against a population mean of 112.28(10.7) (p 11.5cm [91.5(16.4)]. On analyzing patients having stunting, it was found that a significant proportion of them had low Motor DQ (chi 2 4.1, p value 0.023), low Mental DQ (chi 2 2.9, p value 0.038), and low Mean DQ (chi 2 3.1, p value 0.036) when compared to patients not having stunting. Conclusions : SAM patients have both low Mental DQ and Motor DQ. Low MUAC is associated with Low Motor DQ. Stunting is associated with low Motor and Mental DQ.
目的:应用印度婴儿发育评估量表(DASII)评估严重急性营养不良的发育异常。设计:基于医院的前瞻性分析研究。单位:瓜廖尔Gajra Raja医学院Kamla Raja医院儿科。参与者:2015年3月至2017年1月期间入院的6个月至30个月的世卫组织标准的严重急性营养不良儿童。方法:首先按照WHO的SAM指南对患者进行管理。在稳定期结束时,通过印度婴儿发育评估量表(DASII)进行详细的神经学检查以寻找神经学缺陷。结果:共入组70例。病例的平均发育商数为79.7(23.5),而总体平均值为112.28(10.7)(p 11.5cm[91.5(16.4)])。通过对发育不良患者的分析发现,与未发育不良患者相比,发育不良患者的运动DQ (chi 2 4.1, p值0.023)、精神DQ (chi 2 2.9, p值0.038)和平均DQ (chi 2 3.1, p值0.036)较低的比例显著高于发育不良患者。结论:SAM患者有较低的精神DQ和运动DQ。低MUAC与低运动DQ相关。发育迟缓与低运动和智力DQ有关。
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引用次数: 2
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International journal of biomedical research
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