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Optimization of extraction method for ipomoea aquatica forssk. [indian river spinach] from its whole plant 海苔提取方法的优化。[印度河菠菜]从整个植物中提取
Pub Date : 2017-05-28 DOI: 10.24327/IJRSR.2017.0805.0254
M. Sasikala, R. Sundaraganapathy
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引用次数: 1
A rare case of broad ligament ectopic pregnancy 宽韧带异位妊娠1例
Pub Date : 2017-05-28 DOI: 10.24327/IJRSR.2017.0805.0283
S. Ganta, S. S.K
Ectopic pregnancy continues to be an obstetric challenge despite the advancement of technology. Abdominal pregnancy is rare (1in 10,000 births) and extremely serious form of extra uterine pregnancy. It can pose a major diagnostic hurdle with many being diagnosed only intra-operatively. We report a case of a 26 year old nullipara who presented with 6 weeks of amenorrhea with abdominal pain since 5 hours and one episode of syncope. She was hemodynamically unstable, routine ultrasound revealed an empty uterus with free fluid in the abdomen. It was diagnosed as a ruptured ectopic pregnancy and taken up for an emergency laparotomy. She had a right broad ligament ectopic pregnancy which had ruptured. Both the tubes, ovaries and uterus was found intact. Excision of the ruptured ectopic mass on the right side of the broad ligament was done. The specimen was sent for histopathological examination and confirmed. Postoperative course was uneventful and serum HCG was undetectable at the fourth week after surgery. Awareness about this rare form of ectopic pregnancy is observational and mainly comes from reported cases. A high index of suspicion is needed for early diagnosis and intervention.
尽管技术进步,异位妊娠仍然是一个产科挑战。腹式妊娠非常罕见(万分之一),而且是非常严重的子宫外妊娠。它可能构成一个主要的诊断障碍,许多只在术中被诊断出来。我们报告了一个26岁的产妇谁提出了6周闭经与腹痛自5小时和一次发作晕厥。她血流动力学不稳定,常规超声显示子宫空,腹部有游离液体。诊断为宫外孕破裂并接受紧急剖腹手术。她的右阔韧带异位妊娠已破裂。输卵管、卵巢和子宫都完好无损。切除右侧阔韧带破裂的异位肿块。标本送组织病理检查并确认。术后过程平稳,术后第四周血清HCG未检出。对这种罕见的异位妊娠的认识是观察性的,主要来自报告的病例。早期诊断和干预需要高度的怀疑指数。
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引用次数: 1
A pharmacovigilance study on drugs used in the treatment and management of hypertension in tirupur zone 蒂鲁普尔地区高血压治疗与管理用药的药物警戒研究
Pub Date : 2017-05-28 DOI: 10.24327/IJRSR.2017.0805.0302
A. Muthukumar, R. Sundaraganapathy, S. Suganthi, T. Ramu, S. Mohan
The main aim of this study was to evaluate the incidence of ADRs, the patients who are receiving or taking antihypertensive medications. ADR monitoring is an important part of post marketing surveillance which helps in generating data safety of medications. Main aim to ADRs monitoring is to the promoting rational use of drugs, safe use of medicines improving patient care, improving public health. This was a prospective, observational, voluntary reporting study. Study was conducted in and around Coimbatore. Samples are collected in all age group. We are taken support of ‘Suspected Adverse Drug Reaction Reporting form from IPC to collect samples. A total of 34 adverse drug reactions were observed in hypertensive patients during the 3 months study. A high percentage of adverse drug reaction occurred in middle age and female patients. Combination therapy was high occurrence of adverse drug reaction as compared to immunotherapy. Cardiovascular adverse drug reactions constituted a major component, followed by gastrointestinal and respiratory complaints. Beta-blockers were the drug category associated with majority of adverse drug reaction, followed by angiotensin. The present evaluation has revealed opportunities or interventions especially or avoidable ADRs which will help in promoting safer drug use, information to the healthcare professionals. Improve the quality of patient care and educate to increase awareness.
本研究的主要目的是评估正在接受或正在服用抗高血压药物的患者的不良反应发生率。不良反应监测是上市后监测的重要组成部分,有助于生成药物安全性数据。不良反应监测的主要目的是促进合理用药,安全用药,改善患者护理,改善公共卫生。这是一项前瞻性、观察性、自愿报告性研究。研究是在哥印拜陀及其周边地区进行的。在所有年龄组收集样本。我们使用IPC的“疑似药物不良反应报告表”来收集样本。在3个月的研究中,高血压患者共观察到34例药物不良反应。药物不良反应发生率较高的是中年和女性患者。与免疫治疗相比,联合治疗药物不良反应发生率高。心血管药物不良反应是主要组成部分,其次是胃肠道和呼吸系统疾病。β受体阻滞剂是与大多数药物不良反应相关的药物类别,其次是血管紧张素。目前的评估揭示了机会或干预措施,特别是或可避免的不良反应,这将有助于促进更安全的药物使用,信息卫生保健专业人员。提高病人护理的质量,并进行教育以提高认识。
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引用次数: 1
Questioning the concept of affordable housing - affordable to who in tanzania? 质疑经济适用房的概念——在坦桑尼亚谁负担得起?
Pub Date : 2017-05-28 DOI: 10.24327/IJRSR.2017.0805.0233
L. Mosha
Vast majority of African people cannot afford adequate housing. UNCHS define adequate housing as the one with acceptable level of privacy, space, physical accessibility, security, security of tenure, structural stability, durability, lighting, heating, ventilation and basic social infrastructural services. About 50% of African population is currently urban dwellers out of which 75% cannot afford formal housing. The concept of affordable housing was conceived with an aim of saving the low income earners and the poor to access formal housing especially in poor countries. Tanzania is one of the poor countries with Gross Domestic Product per capita income record of 842.37 US$ in 2015 and defines affordable housing as the one which can adequately shelter all people below and above the poverty line. Literature review was carried out to understand country’s economies and individual’s affordability levels in housing. Field surveys assisted to learn various housing scenarios in rural and urban areas; as well as planned and unplanned urban housing in Tanzania. This study has found out that 7.2% and 21.5% of Tanzanian households were below the food poverty line and basic needs poverty line respectively and they cannot afford adequate housing. The low income earners who are not necessarily in these percentages can hardly afford adequate formal housing because they cannot easily access financial institutions. Consequently formal housing units produced by National Housing Corporation and other commercial housing developers are bought by high income earners. The affordable housing concept is practically unaffordable housing concept to the targeted people. Policy makers, Spatial Planners and Architects should redefine affordable housing and propose pragmatic decent housing approaches to realistically assist the low income earners in poor countries.
绝大多数非洲人买不起足够的住房。人类住区中心将适当住房定义为具有可接受程度的隐私、空间、实际可达性、安全、租住保障、结构稳定性、耐久性、照明、供暖、通风和基本社会基础设施服务的住房。目前约有50%的非洲人口是城市居民,其中75%的人买不起正式住房。提出负担得起的住房概念的目的是使低收入者和穷人能够获得正式住房,特别是在贫穷国家。坦桑尼亚是贫穷国家之一,2015年人均国内生产总值(gdp)为842.37美元,并将经济适用房定义为能够充分容纳所有贫困线以下和以上人口的住房。进行文献综述,以了解国家的经济和个人的住房负担能力水平。实地调查有助于了解农村和城市地区的各种住房情况;以及坦桑尼亚已规划和未规划的城市住房。本研究发现,坦桑尼亚有7.2%和21.5%的家庭分别处于食物贫困线和基本需求贫困线以下,他们无法负担足够的住房。不一定属于这些百分比的低收入者很难负担足够的正式住房,因为他们不容易进入金融机构。因此,由国家住房公司和其他商业住房开发商生产的正式住房单元被高收入者购买。对于目标人群来说,经济适用房概念实际上是不可负担的住房概念。政策制定者、空间规划师和建筑师应该重新定义经济适用房,并提出实用的体面住房方法,切实帮助贫穷国家的低收入者。
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引用次数: 3
Oral periimplant bone loss: platform switching or shifting? – a review 口腔种植体周骨丢失:平台切换还是移动?——回顾
Pub Date : 2017-05-28 DOI: 10.24327/ijrsr.2017.0805.0312
Avni Jain, Vinaya Bhat, C. Hegde
Background: Prevention of crestal bone loss by inward shifting of the implant abutment junction has gained popularity among implant manufactures over the last few years. However, effect of stepping down the size of implant platform on crestal bone loss is not known. Objective of this review article is to discuss the concept of platform switching and shifting. Purpose: The purpose of this article is to discuss the literature dealing with the platform switching and platform shifting concept. Materials and Methods: Thorough literature search using PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), EMBASE, Web of Sciences, AMED (Ovid) was done. Results: Literature search revealed studies involving concepts of platform switching and platform shifting. Conclusion: Effect of platform switching on crestal bone loss is very well documented as compared to platform shifting.
背景:在过去的几年中,通过向内移动种植体基台连接处来预防牙冠骨丢失在种植体制造商中越来越受欢迎。然而,缩小种植平台大小对冠骨丢失的影响尚不清楚。本文的目的是讨论平台切换和移位的概念。目的:本文的目的是讨论有关平台切换和平台转换概念的文献。材料和方法:使用PubMed、Cochrane中央对照试验注册中心(Central)、EMBASE、Web of Sciences、AMED (Ovid)进行全面的文献检索。结果:文献检索揭示了涉及平台切换和平台转移概念的研究。结论:与平台移动相比,平台切换对嵴骨丢失的影响已被充分证明。
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引用次数: 2
Sustainable oriented innovation in the hotel industry of mazatlán, méxico 可持续导向的酒店行业创新mazatlán, msamxico
Pub Date : 2017-05-28 DOI: 10.24327/IJRSR.2017.0805.0300
Ibarra J.P, M. Velarde, E. Olmos, A. Alvarado
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引用次数: 2
Assessment of biofuel potential in india 印度生物燃料潜力评估
Pub Date : 2017-05-28 DOI: 10.24327/IJRSR.2017.0805.0287
N. Sharma
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引用次数: 4
The influence of some iatrogenic factors on a cytomorphometric analysis of gingival cells and periodontal status among diabetic patients 一些医源性因素对糖尿病患者牙龈细胞形态和牙周状况的影响
Pub Date : 2017-05-28 DOI: 10.24327/ijrsr.2017.0805.0250
Mohammed M Al Abdaly, M. Almalki, K. Saleh
Background: The relation between dental restorations and periodontal health are more important so the healthy periodontal status requires correction of dental restorations that is mandatory for the protection of periodontal tissues. Aims of the study: The present study was designed to evaluate the effect of some iatrogenic factors on a cytomorphometric analysis of gingival cells and periodontal status among diabetic patients. Subjects and Methods: The sample of the present study consisted of three hundred diabetic patients and they were divided into three equal groups 100 patients per group control group, composite fillings group and metal ceramic crown group. They were selected from the clinics of the college of dentistry King Khalid University. Plaque index (PI), gingival index (GI), and clinical attachment loss (CAL) were recorded. The cytomorphometric changes were evaluated by the Cytological investigation (MN Apoptotic and Necrotic Test). The results were collected and analyzed by ANOVA test. Results: In the present study there were significant differences were detected in all clinical parameters in the samples of the study groups where there was an increase in (PI), (GI), and (CAL) of study groups compared to control group. In a cytomorphometric analysis of gingival cells, there was no significant increase of apoptosis and necrosis compared to control group. Conclusions: The results of a current study revealed that there were increased gingival inflammation and attachment loss in both study groups compared to the control group, but there was a significance induction of micronuclei formation in all groups.
背景:口腔修复体与牙周健康之间的关系越来越重要,因此健康的牙周状态需要对口腔修复体进行矫正,这是保护牙周组织的必要条件。研究目的:本研究旨在评估一些医源性因素对糖尿病患者牙龈细胞形态分析和牙周状况的影响。研究对象与方法:将300例糖尿病患者随机分为3组,每组100例,对照组、复合材料充填组和金属陶瓷冠组。他们是从哈立德国王大学牙科学院的诊所中挑选出来的。记录菌斑指数(PI)、牙龈指数(GI)和临床附着损失(CAL)。通过细胞学检查(MN凋亡和坏死试验)评估细胞形态学变化。收集结果并采用方差分析检验进行分析。结果:在本研究中,在研究组样本的所有临床参数中检测到显著差异,研究组的(PI), (GI)和(CAL)与对照组相比有所增加。在牙龈细胞的细胞形态分析中,与对照组相比,凋亡和坏死没有明显增加。结论:目前的一项研究结果显示,与对照组相比,两个研究组的牙龈炎症和附着丧失都有所增加,但在所有组中都有显著的微核诱导形成。
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引用次数: 0
Study on use of self medication among rural and urban people of kodad, telangana, india 印度泰伦加纳邦科达德城乡居民自我药疗使用情况研究
Pub Date : 2017-05-28 DOI: 10.24327/IJRSR.2017.0805.0305
S. S. Reddy, S. Nagunath
Self medication is a major form of self-care. It involves the use of medicinal products by the consumer to treat self recognized disorder, symptoms, recurrent disease or minor health problems. It is independent of age for both males and females(5). Medicines for self medication are often called Over the Counter (OTC) drug, which are available without a Doctors prescription through pharmacies, mostly in the less developed countries. Recent development of the pharmaceutical companies contribute to a wide spread availability of OTC Medicine. The study was conducted in Rural and Urban areas of Kodad, Telangana state, nalgonda dist, 508206. In these areas there are several type of people for eg: some of the people are educated, some are illiteracy ,some are workers etc. The study was done in for the 200 people of different age groups of male and female. It was found that the urban people (54.74%) of male, (12%) of the female are taking self medication .In the rural people the (45.26%)of the male and (43%) of the female are taking self medication and among the educated people those who are studying ssc below they are taking self medication for about (24.21%) in male and (29.09%) are female and those who are studying 12 class (14.75%) male and (26%) of female students among the degree students in male are (58.94%) and the female are (38.18%). The students of above degree in male are about (2.10%)and (12.72%) of female students and it was seen that mostly (17.89%) of male and (10.90%) of female taking self medication for fever and for both fever and headache are (32.65%) of male and (25.26%) of female are taking self medication. For fever and acidity (10.52%)of male and (1.81%) of female are taking medication.Mostly (2.10%) of male and (3.15%) of female taking self medication for acidity and it was seen that people who are taking self medication they are using common sources of medication like pharmacy store (20%) and from grocery shop is (29.09%), and from other persons is about (27.27%). It was observed that since >5years he (75%) of the people are taking self medication and (50%) of the peoplethey are taking from 2-5 years,and (65%) of people taking self medication more than 2years. It was found that most of the people are taking self medication because of their personal convenience (45%), and also due to the long wait for check up (20%) and some of other reasons like illness is minor, lack of time, lack of money and others. It also found that (41.05%) of male and (23.63%) of female are having knowledge about the drugs, and (53.68%) of male and (74.54%) of female are not having knowledge about the drugs. It was observed that complications occurred due to self medication about (12.63%) of male and female didn’t occurred any complications and (24%) of the people given self medication to the children and (82%) of people not given self medication to their children.
自我用药是自我保健的一种主要形式。它涉及消费者使用医药产品来治疗自我认识的紊乱、症状、复发性疾病或轻微的健康问题。对于男性和女性来说,它与年龄无关(5)。自我治疗的药物通常被称为非处方(OTC)药物,这些药物无需医生处方即可通过药店获得,主要在欠发达国家。制药公司最近的发展促进了非处方药的广泛使用。该研究是在特伦甘纳邦科达的农村和城市地区进行的,编号508206。在这些地区有几种类型的人,例如:有些人受过教育,有些人是文盲,有些人是工人等。这项研究是在200名不同年龄段的男性和女性中进行的。发现城市人(54.74%)的男性(12%)的女性正在自我药物在农村人口(45.26%)的男性和女性(43%)的自我中药物和受过教育的人那些研究ssc低于他们正在自我药物治疗(24.21%),男性和女性(29.09%)和那些正在研究12类(14.75%)的男性和女性(26%)的学生学位学生在男性(58.94%),女性(38.18%)。在本科以上学历的学生中,男学生约占(2.10%),女学生约占(12.72%),其中发热自行用药的男学生占17.89%,头痛自行用药的女学生占10.90%,发热和头痛均自行用药的男学生占32.65%,女学生占25.26%。因发烧和胃酸而服药的男性占10.52%,女性占1.81%。大多数(2.10%)的男性和(3.15%)的女性自行服用药物治疗胃酸。研究发现,自行服用药物的人使用常见的药物来源,如药房(20%)和杂货店(29.09%),以及从其他人处服用(27.27%)。我们观察到,在>5年的人群中有75%的人在服用自我药物,在2-5年的人群中有50%的人在服用自我药物,在2年以上的人群中有65%的人在服用自我药物。调查发现,大多数人服用自我药疗是因为个人方便(45%),也因为等待检查时间长(20%),以及其他一些原因,如病情轻微、没有时间、没有钱等。男性(41.05%)和女性(23.63%)对药物有了解,男性(53.68%)和女性(74.54%)对药物不了解。结果发现,因自我药疗而发生并发症的男性占12.63%,未发生任何并发症的女性占12.63%,给予子女自我药疗者占24%,未给予子女自我药疗者占82%。
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引用次数: 0
A prospective study on assessment of drug induced qt interval prolongationin inpatient department at a tertiary care hospital 某三级医院住院部药物致qt间期延长的前瞻性研究
Pub Date : 2017-05-28 DOI: 10.24327/ijrsr.2017.0805.0237
A. Nejati, H. Singh, A. Naghdi
Objective: The present study is aimed to assess drug induced QT-interval prolongation in hospital inpatients through ECG data, predictors of risk factor for QT-interval prolongation and drug-drug interactions. Methodology: It is a prospective observational study conducted in inpatient setting. The data collected in pre design data collection form for 110 patients, who are assessed for the period of six months. The prescription with at least one QT-interval prolonging drugs were considered for this study. The collected data included demographics, mean change in QT-interval with drugs, ECG data and safety analysis data. Result: The total number of patients screened was 110. Among the study patients most of them 50.91% were older age. Major comorbidities were diabetes mellitus 39(35.45%) and hypertension 36(32.72%). There was a high prevalence (46.45%) of QT-interval prolongation. The mean QTc in prolonged group was 495±34.4ms.Ondansetron (61.18%), Metronidazole (58.18%), Ciprofloxacin (20.9%), Azithromycin (16.36%) and Domperidone (11.81%) were associated with marked QTc-interval prolongation. Female sex, longer hospitalization, electrolyte abnormalities and older age were associated with drug induced QT-interval prolongation.97 (88.18%) prescriptions showed drug interaction involving QT-interval prolongation. The most common drug interaction was found to be between ondansetron and metronidazole in 41 prescription followed by ondansetron and ciprofloxacin in 15 prescription. Of the 97 interventions proposed, the most frequent suggestion was on stop/avoid/dose adjustment (13.40%) followed by ECG monitoring (10.40%). 16.49% of interventions were accepted and therapy was changed. Conclusion: This study demonstrates the high prevalence of a prolonged QTinterval in patients. Cardiac drugs and antibiotics were frequently involved in drug induced QT-interval prolongation. A simple ECG and a calculated QT interval can be used to plan management and caution us on probable electrolyte abnormalities and drug therapies. The current study demonstrated the importance of routine medication review and the need of a pharmacist in a multidisciplinary team.
目的:本研究旨在通过心电图数据、qt间期延长危险因素的预测因素和药物-药物相互作用来评估住院患者药物性qt间期延长。方法:这是一项在住院环境下进行的前瞻性观察性研究。采用设计前数据收集表收集110例患者的数据,对其进行为期6个月的评估。本研究考虑了至少一种延长qt间期药物的处方。收集的数据包括人口统计数据、用药后qt间期的平均变化、心电图数据和安全性分析数据。结果:共筛查患者110例。研究患者中以老年患者居多,占50.91%。主要合并症为糖尿病39例(35.45%),高血压36例(32.72%)。qt间期延长的发生率较高(46.45%)。延长组平均QTc为495±34.4ms。昂丹司琼(61.18%)、甲硝唑(58.18%)、环丙沙星(20.9%)、阿奇霉素(16.36%)和多潘立酮(11.81%)与qtc间期明显延长相关。女性、住院时间较长、电解质异常和年龄较大与药物引起的qt间期延长有关88.18%的处方存在延长qt间期的药物相互作用。最常见的药物相互作用是41份处方中的昂丹西琼与甲硝唑,其次是15份处方中的昂丹西琼与环丙沙星。在提出的97项干预措施中,最常见的建议是停止/避免/剂量调整(13.40%),其次是心电图监测(10.40%)。16.49%的干预措施被接受并改变治疗方法。结论:本研究表明qt间期延长在患者中普遍存在。药物性qt间期延长常与心脏药物和抗生素有关。简单的心电图和计算的QT间期可用于计划管理和提醒我们可能的电解质异常和药物治疗。目前的研究证明了常规药物审查的重要性和药剂师在多学科团队中的必要性。
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引用次数: 0
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International journal of recent scientific research
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