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Comparison of downstaging, pap smear, colposcopy and colpo-directed biopsy in the detection of cancer cervix 宫颈下分期、巴氏涂片、阴道镜及阴道穿刺活检检测宫颈癌的比较
Pub Date : 2022-09-12 DOI: 10.26452/ijrps.v13i3.2498
Nithya R, Rajalekshmi M, Nasreen Banu M
Cancer cervix accounts for 80% of female genital cancer and is the most common genital cancer. India accounts for 27% of the incidence all over the world. The mortality due to cancer cervix is 14.7%. To  assess the reliability of downstaging in early detection of the precancerous lesion. To correlate the findings in 110 women with unhealthy cervix by cytology, colposcopy directed biopsies. The work was carried out continuously over one year and 2 months. 110 women were evaluated. When Cytology was compared with Colposcopy, Cytology had only 38.8% sensitivity. Cytology showed higher specificity (98.4%). 95% of the patients with abnormal Cytology had abnormal colposcopy. Colposcopy showed a sensitivity of 96.3% and a specificity of 72.3%. Sensitivity was more than a Pap smear, but specificity was less than  a pap smear. Thus, colposcopy offers an excellent tool for evaluating cervical lesions. It is an easy and perspective method, and its importance lies in teaching, diagnosis and management of cervical lesions, neoplastic and non- neoplastic.
宫颈癌占女性生殖器癌症的80%,是最常见的生殖器癌症。印度占全世界发病率的27%。宫颈癌的死亡率为14.7%。评估降分期在早期发现癌前病变中的可靠性。通过细胞学、阴道镜指导下的活组织检查,将110名宫颈不健康妇女的发现联系起来。这项工作连续进行了一年零两个月。110名女性接受了评估。当细胞学检查与阴道镜检查比较时,细胞学检查的敏感性仅为38.8%。细胞学显示更高的特异性(98.4%)。95%细胞学异常的患者阴道镜检查异常。阴道镜检查的敏感性为96.3%,特异性为72.3%。敏感性高于子宫颈抹片检查,但特异性低于子宫颈抹片检查。因此,阴道镜检查为评估宫颈病变提供了一个很好的工具。它是一种简便易行的方法,在宫颈肿瘤和非肿瘤病变的教学、诊断和治疗中具有重要意义。
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引用次数: 0
Effect of Multimodal Exercise Program on Functional Outcome, Fatigue and Emotional Health in Mastectomy Patient with Concomitant Rheumatoid Arthritis: A Case Study 多模式运动计划对乳房切除术合并类风湿关节炎患者的功能结局、疲劳和情绪健康的影响:一个案例研究
Pub Date : 2022-08-12 DOI: 10.26452/ijrps.v13i3.2125
Saumi Sinha, Rohit Balasaheb Rahane, Rakesh Kumar Sinha
Breast cancer is among the most prevalent type of cancer among women. Mastectomy is a common surgical option for breast cancer, which usually leads to significant functional impairment. Fatigue, anxiety and depression are reported by mastectomy patients. This study aims to investigate the effect of a multimodal exercise program on improving functional impairment, fatigue, anxiety and depression after mastectomy. A 40-year-old female presented with abnormal tissue growth, pain and nipple discharge at the right breast. She was diagnosed with invasive ductal carcinoma stage I and undertook six weeks of neoadjuvant chemotherapy followed by modified radical mastectomy (MRM). Postoperatively, patient had a functional impairment, fatigue, anxiety and depression. An eight-week multimodal exercise program comprising ROM exercises, strength and endurance training, breathing exercises and functional activities was given. DASH for assessing upper extremity functions, BFI for assessing the impact of fatigue on daily activities and HADS for assessing anxiety and depression. An eight-week multimodal exercise program effectively improves functional impairment, fatigue, anxiety and depression in mastectomy patients with rheumatoid arthritis.
乳腺癌是女性中最常见的癌症之一。乳房切除术是治疗乳腺癌的常见手术选择,通常会导致严重的功能损害。乳房切除术患者有疲劳、焦虑和抑郁的报告。本研究旨在探讨多模式运动方案对改善乳房切除术后功能障碍、疲劳、焦虑和抑郁的影响。一名40岁女性,因右乳组织生长异常、疼痛及乳头溢液而就诊。她被诊断为浸润性导管癌I期,并接受了六周的新辅助化疗,随后进行了改良根治性乳房切除术(MRM)。术后患者出现功能障碍、疲劳、焦虑、抑郁等症状。给予为期八周的多模式锻炼计划,包括ROM锻炼,力量和耐力训练,呼吸练习和功能活动。DASH用于评估上肢功能,BFI用于评估疲劳对日常活动的影响,HADS用于评估焦虑和抑郁。一项为期八周的多模式运动计划有效改善了类风湿性关节炎乳房切除术患者的功能损伤、疲劳、焦虑和抑郁。
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引用次数: 0
Colonoscopic Profile of Lower Gastrointestinal Bleed in Adults: A Tertiary Care Centre Based Study 成人下消化道出血的结肠镜检查:一项基于三级护理中心的研究
Pub Date : 2022-08-10 DOI: 10.26452/ijrps.v13i3.2092
Fahad Dadu, Sachin Dhande, Mahendrakumar Kalappan, Jagadeesan Mohanan, Magesh Kumar Sivanesan, Damodharan Jeyachandran
Lower Gastro intestinal (LGIB) bleeding is one of the most important clinical symptoms which have significant morbidity and mortality. It has an annual admission rate of 0.15% with mortality rate of 5-10%. LGIB can be caused by a number of causes, including both neoplastic and non-neoplastic lesions. Colonoscopy is the gold standard diagnostic measure which is a simple, convenient and cost-effective procedure. The present study aimed to assess the Colonoscopic profile of LGIB presented to our tertiary care centre. This is a cross-sectional observational study conducted in a tertiary health care centre. A total number of 58 adult subjects with LGIB aged above 18 years were recruited over a period of six months after obtaining written informed consent. All included patients underwent detailed history, clinical examination, blood tests and colonoscopic evaluation. Results were analysed. In our study among the 58 subjects (n=33) were males, which were equal to 57%. The majority of our patients were between the mean age of 31-40 years. Most colonoscopic findings were suggestive of ulcerative colitis, which equalled to 31%. Other different aetiologies of LGIB were as following: carcinoma of the colon (15%), haemorrhoids (15%), colonic polyps (14%) carcinoma of anal canal (5%) and so on. The majority of our patients had moderate anaemia, which was equal to 45% and this was due to persistent LGIB. The incidence of lower GI bleeding increased with increasing age among our patients. The leading cause of lower GI bleeding was found to be ulcerative colitis. The prevalence of colon cancer increases with increase in age. It was followed by CA colon, haemorrhoids, and colonic polyps; hence colonoscopy is recommended in all patients with chronic LGIB.
下消化道出血(LGIB)是临床上最重要的症状之一,具有很高的发病率和死亡率。年入院率为0.15%,死亡率为5-10%。LGIB可由多种原因引起,包括肿瘤和非肿瘤病变。结肠镜检查是金标准诊断措施,是一种简单,方便和经济有效的程序。本研究的目的是评估LGIB的结肠镜档案提交给我们的三级保健中心。这是一项在三级卫生保健中心进行的横断面观察研究。在获得书面知情同意后的六个月内,总共招募了58名18岁以上的LGIB成人受试者。所有患者均接受了详细的病史、临床检查、血液检查和结肠镜检查。对结果进行分析。在我们的研究中,58名受试者(n=33)中男性占57%。大多数患者的平均年龄在31-40岁之间。大多数结肠镜检查结果提示溃疡性结肠炎,占31%。其他不同病因:结肠癌(15%)、痔疮(15%)、结肠息肉(14%)、肛管癌(5%)等。我们的大多数患者有中度贫血,相当于45%,这是由于持续的LGIB。下消化道出血的发生率随着患者年龄的增长而增加。下消化道出血的主要原因是溃疡性结肠炎。结肠癌的患病率随着年龄的增长而增加。其次是CA结肠、痔疮和结肠息肉;因此,建议所有慢性LGIB患者进行结肠镜检查。
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引用次数: 0
Design and Synthesis of 3, 5-Diphenylpyrazole derivatives as Selective Estrogen Receptor Modulators 选择性雌激素受体调节剂3,5 -二苯基吡唑衍生物的设计与合成
Pub Date : 2022-07-23 DOI: 10.26452/ijrps.v13i3.1778
Pritam N. Dube, Vivekanand A. Chatpalliwar, Yogita B. Thombare, Tushar N. Lokhande
This exploratory work encompasses synthetic chemistry to develop novel 3, 5- diphenylethanone derivatives compounds based on the medicinally relevant scaffold of pyrazole as that of standard SERM i.e. Tamoxifen and Raloxifene. Specific strategies for the synthesis of novel analogues were used and were subjected to modeling and docking studies for analyzing the ER subtype selectivity. The in-silico studies were conducted in order to attain a better insight into the interactions of these molecules with their target receptor in order to study their subtype selectivity and preferential binding site. The various orientations taken by ligands while binding the estrogen receptor-α were studied over 1ERR (PDB) using Schrodinger Maestro environments. The anti-cancer potential of these derivatives were evaluated in estrogen receptor-positive cell lines in an in vitro assay, exploring MCF-7 and Zr-75-1 cell lines. Amongst all, the derivatives that displaced promising anticancer activity (4-chloro substituted, compound 4b) were selectively screened for in vivo anti-cancer activity subjected to NMU administration mammary carcinoma in female Sprague- Dawley rat. As hormone estrogen has been largely implemented in the metastasis of breast cancer, it has become imperative to measure levels of the hormone in tumor-affected animals. The percentage of incidences, tumor latency, tumor burden, and tumor volume was measured after sacrificing the experimental animals.
这项探索性工作包括合成化学,以吡唑作为标准SERM的药用相关支架,即他莫昔芬和雷洛昔芬为基础,开发新的3,5 -二苯乙烷衍生物。采用特定的策略合成新的类似物,并进行建模和对接研究,以分析ER亚型选择性。为了更好地了解这些分子与其靶受体的相互作用,以研究它们的亚型选择性和优先结合位点,进行了计算机研究。在Schrodinger Maestro环境下,研究了1ERR (PDB)条件下配体与雌激素受体-α结合时的不同取向。这些衍生物在雌激素受体阳性细胞系(MCF-7和Zr-75-1细胞系)的体外抗癌潜力进行了评估。其中,选择性筛选了具有抗癌活性的衍生物(4-氯取代化合物4b)在NMU作用下对雌性Sprague- Dawley大鼠乳腺癌的体内抗癌活性。由于雌激素在乳腺癌的转移过程中发挥了重要作用,因此在受肿瘤影响的动物体内测量雌激素水平已成为一项势在必行的工作。牺牲实验动物后,测定发病率、肿瘤潜伏期、肿瘤负荷和肿瘤体积。
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引用次数: 0
In silico predictions of NADPH oxidase binding properties of selected flavonoids - Protective role in arsenic induced neurotoxicity 选定的黄酮类化合物NADPH氧化酶结合特性的计算机预测-在砷诱导的神经毒性中的保护作用
Pub Date : 2022-07-08 DOI: 10.26452/ijrps.v13i3.1520
Rupasree Peruru
a
一个
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引用次数: 0
Liver vs Uterus – A Rare Case of Cornual Ectopic Pregnancy 肝与子宫-角异位妊娠一例罕见
Pub Date : 2022-06-25 DOI: 10.26452/ijrps.v13i2.1315
Shajni Krishna G M, Hephzibah Kirubamani
Implantation of the fertilised egg in any place other than the endometrial cavity or the uterus constitutes the term ectopic pregnancy. This can occur in any part of the abdominal cavity, with the fallopian tube being the most common location, including the cornua of the uterus, ovary and Cervix. Though the exact aetiology remains unknown, pelvic inflammatory disease (PID), previous ectopic gestation, pelvic surgeries, in vitro fertilisation, ipsilateral salpingectomy, infertility, history of medical termination of pregnancy, and certain types of contraception are considered risk factors. The most common method of diagnosis is by ultrasound – transabdominal or transvaginal. Treatment options include medical and surgical methods, depending on a number of factors like the gestational age, ultrasound findings, haemodynamic stability of the patient, beta HCG level and the patient’s desire for future fertility. Below is a rare case of how a cornual pregnancy presented to us with co-existing liver pathology. With the desire for future fertility taken into consideration, medical management was opted by the patient and executed. The patient showed good recovery and ectopic gestation was resolved.
在子宫内膜腔或子宫以外的任何地方植入受精卵构成术语异位妊娠。这可以发生在腹腔的任何部位,以输卵管为最常见的位置,包括子宫角、卵巢和子宫颈。虽然确切的病因尚不清楚,但盆腔炎(PID)、既往异位妊娠、盆腔手术、体外受精、同侧输卵管切除术、不孕症、药物终止妊娠史和某些类型的避孕被认为是危险因素。最常见的诊断方法是经腹或经阴道超声。治疗方案包括药物和手术方法,这取决于许多因素,如胎龄、超声检查结果、患者血流动力学稳定性、β HCG水平和患者对未来生育的愿望。以下是一例罕见的角妊娠合并肝脏病变的病例。考虑到未来生育的愿望,患者选择医疗管理并执行。患者恢复良好,异位妊娠解除。
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引用次数: 0
Dermis as an Interposing Reinforcing Layer for Repairing Large Urethrocutaneous Fistula Following Hypospadias Surgery 真皮在尿道下裂术后大尿道瘘修复中的应用
Pub Date : 2022-06-23 DOI: 10.26452/ijrps.v13i2.1264
Qassim Y N
a
一个
{"title":"Dermis as an Interposing Reinforcing Layer for Repairing Large Urethrocutaneous Fistula Following Hypospadias Surgery","authors":"Qassim Y N","doi":"10.26452/ijrps.v13i2.1264","DOIUrl":"https://doi.org/10.26452/ijrps.v13i2.1264","url":null,"abstract":"<jats:p>a</jats:p>","PeriodicalId":14285,"journal":{"name":"International Journal of Research in Pharmaceutical Sciences","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87921463","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
Ichthyosis Uterus – A Rare Premalignant Lesion of Endometrium 子宫鱼鳞病-一种罕见的子宫内膜癌前病变
Pub Date : 2022-06-06 DOI: 10.26452/ijrps.v13i2.889
Sai Supriya Muthyala, Niruby Rasendrakumar, Nidhi Sharma
Ichthyosis (ikTHeosis) uterus is a rare  benign metaplastic transformation  of uterine endometrium into stratified squamous epithelium. The word ichthyosis (plural ichthyoses) comes from two ancient Greek (ixtus), meaning fish and disease. The metaplastic epithelium is parakeratotic with absent granular layer. Premalignant potential of this benign transformation has not been established due to the rarity of occurrence. We report a case of 72 year old female, post menopausal with the complaints of painless lower abdominal distension for past six months. She had no history of menorrhagia or dysmenorrhea in her previous menstrual cycles. USG abdomen was done. She was taken up for elective hysterectomy with a diagnosis of hydrometra. Total abdominal hysterectomy with bilateral salpingo-oophorectomy with pelvic lymph node sampling done. Peritoneal fluid cytology, peritoneal biopsy was done. Gross section of specimen was seen and the same sent for histopathological examination. Based on these histological findings a diagnosis of Ichthyosis uteri with focal High grade Squamous intraepithelial lesion of endometrium was made. In our case, there is a direct continuity of the squamous metaplasia of the endocervix and the endometrial lining. This supports the benign metaplastic spread of squamous epithelium from the transformation zone of the cervix into the uterine cavity. However, the stimulation of squamous metaplasia in uterine endometrium as a result of long term hydrometra is being hypothesised in our patient. The association of hydrometra, squamous metaplasia and dysplastic changes in endometrium are speculated.
子宫鱼鳞病是一种罕见的良性子宫内膜化生转化成层状鳞状上皮。鱼鳞病这个词(复数ichthyoses)来自两个古希腊文(ixtus),意思是鱼和疾病。化生上皮角化不全,无颗粒层。由于罕见,这种良性转化的癌前潜能尚未确定。我们报告一个72岁的女性,绝经后的投诉无痛下腹胀过去六个月。既往月经周期无月经过多或痛经史。完成USG腹部检查。她被诊断为子宫积水,接受选择性子宫切除术。全腹子宫切除术,双侧输卵管卵巢切除术,盆腔淋巴结取样。腹膜液细胞学检查,腹膜活检。观察标本大体切片,送组织病理检查。根据这些组织学结果,我们诊断为子宫鱼鳞病伴局灶性子宫内膜高级别鳞状上皮内病变。在我们的病例中,宫颈内膜和子宫内膜的鳞状化生有直接的连续性。这支持从子宫颈转化区向子宫腔的鳞状上皮良性化生扩散。然而,在我们的患者中,长期积水导致子宫内膜鳞状皮化生的刺激是假设的。推测子宫内膜积水、鳞状化生和发育不良的关系。
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引用次数: 0
Quality and Regulation Standards for Ventilator as Medical Devices in India 印度呼吸机作为医疗器械的质量和监管标准
Pub Date : 2022-06-06 DOI: 10.26452/ijrps.v13i2.887
Nidhi Pandey, Arti R Thakkar, Ramanpreet Walia
The Drugs & Cosmetic act is meant to regularize safety & quality of medical devices, which is applied to all medical devices, implemented from 1st April 2020. Earlier 37 medical devices were regulated/ notified in India. The present study focuses on the devices which require regulations but still lack the quality check points for scrutiny from Central Drug standard control organization (CDSCO), Delhi. Furthermore, it aims to provide quality checklist  for two upcoming devices (Ventilator) which is neither categorized nor regulated by Central Drug standard control organization, Delhi. Since the medical devices aid in diagnosing, treatment and palliative care, it is essential to check the quality such that it matches with the International standards. Post covid-19 outbreak ventilators have come under surveillance and notified as medical devices. The present study monitors all parameters for regulation of the ventilator. The survey based quality & regulation standards for ventilator as medical devices has been incorporated in this study.
《药品和化妆品法》旨在规范医疗器械的安全和质量,适用于所有医疗器械,自2020年4月1日起实施。此前,印度对37种医疗器械进行了监管/通报。目前的研究集中在需要监管但仍然缺乏德里中央药物标准控制组织(CDSCO)审查的质量检查点的设备上。此外,它旨在为两种即将推出的设备(呼吸机)提供质量清单,这两种设备既没有被德里中央药物标准控制组织分类,也没有受到监管。由于医疗器械有助于诊断、治疗和缓和护理,因此必须检查其质量,使其符合国际标准。2019冠状病毒病爆发后,呼吸机已受到监测,并作为医疗设备进行通报。本研究监测呼吸机调节的所有参数。本研究纳入了以调查为基础的医疗器械呼吸机质量管理标准。
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引用次数: 0
Drinking Water and Sanitation Practices in North-Western Part of Kottayam District - A Cross Sectional Epidemiological Study Kottayam地区西北部的饮用水和卫生习惯-一项横断面流行病学研究
Pub Date : 2022-05-11 DOI: 10.26452/ijrps.v13i2.495
Sreekanth .S. Kaithavalappil, Deepa Sreekanth, Anjana Karunakaran Nair, Dayana Nicholas, Kenneth Nelson
Safe drinking water and good sanitation facilities are prime factors for a healthy community. This will in turn limit the spread of diarrhoeal diseases. The purpose of the present cross-sectional epidemiological study was to obtain baseline data on drinking water in Vaikom, Kottayam district, Kerala, India. In this study, thirty households were surveyed and the targeted participants were mothers of the households with children under the age of five. Drinking water samples were collected and analyzed for bacterial contamination by membrane filtration (MF) techniques. 40% of the households used borehole water, while 33.3% used household tap water, 16.7% used healthy water and 6.7% depended on tanker truck water as a drinking water source. Only 3.3% uses bottled water as the primary drinking water source.73% of the water samples collected from tanker truck source are contaminated with Escherichia coli(E.Coli) and 61% of well water samples are contaminated with E.coli. For the bottled water category, it was seen only 2% was contaminated. Any presence of E.coli in the potable water means it is not safe to use. Continuous monitoring of water quality and effectiveness of the treatment processes, and following regulations, are essential to ensure that the water quality meets the set standards.
安全的饮用水和良好的卫生设施是健康社区的主要因素。这将反过来限制腹泻疾病的传播。本横断面流行病学研究的目的是获得印度喀拉拉邦Kottayam地区Vaikom饮用水的基线数据。在本研究中,调查了30个家庭,目标参与者是有5岁以下儿童家庭的母亲。采用膜过滤技术对饮用水样品进行细菌污染分析。40%的家庭使用井水,33.3%的家庭使用自来水,16.7%的家庭使用健康水,6.7%的家庭依赖罐车水作为饮用水源。只有3.3%的人使用瓶装水作为主要饮用水源。从油罐车来源收集的水样中有73%被大肠杆菌污染,61%的井水样品被大肠杆菌污染。在瓶装水类别中,只有2%被污染。任何存在于饮用水中的大肠杆菌都意味着它是不安全的。持续监测水质和处理过程的有效性,并遵守规定,对确保水质符合既定标准至关重要。
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引用次数: 1
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International Journal of Research in Pharmaceutical Sciences
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