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The Effect of Honey on Bacteria Isolated from Urinary Tract Infections among Patients Attending Ruhengeri Referral Hospital 蜂蜜对鲁亨盖里转诊医院尿路感染患者所分离细菌的影响
Pub Date : 2024-04-15 DOI: 10.22270/jddt.v14i4.6104
Ishimwe Alain Prudence, Munezero Pierre Celestin, Migabo Hiberte, Itangimbabazi Josue, Saramba Eric
Background: Urinary tract infections (UTIs) occur when bacteria enter the urethra from the skin or rectum and infect the bladder, causing symptoms. UTIs are becoming increasingly multidrug-resistant, with some drugs no longer effective in treatment. According to the National Center for Biotechnology Information (NCBI), honey has been shown to have high osmotic pressure and high acidity that prevent the multiplication of bacteria. This study aimed to evaluate the effect of honey on bacteria isolated from urine samples collected from patients with UTI’s attending Ruhengeri Referral Hospital. Methodology: Urine samples were collected in sterile containers at Ruhengeri Referral Hospital and transported to the microbiology laboratory at the Ruhengeri Institute of Higher Education (INES Ruhengeri). Two types of honey, raw and processed were used as antimicrobial agents on bacteria isolated from UTIs. Various methods were used to isolate and identify bacterial isolates, including culture on solid medium, gram staining, and biochemical tests. Results: The most commonly isolated bacterium was S. aureus (33.3%) which is in the second group of bacteria susceptible to honey, followed by P. aeruginosa (13.8%) and CoNS (13.8%). E. coli, K. pneumonia, and Streptococcus spp. each accounted for 11.2%. The former and the latter were the most susceptible bacteria to natural honey honey (mIZ = 36 ±2.83; ±4.24 mm, respectively), while E. aerogenes was the least isolated bacterium at 5.5% and the least susceptible to honey. Conclusion: Honey was showed to exhibit an antimicrobial effect against all bacteria isolated from the UTI, suggesting natural honey as a remedy in controlling urinary tract bacterial infection. Further studies are needed to evaluate its capacity compared to classical antibiotics currently used to treat bacteria in UTIs. The practical way to use honey to get targeted area is also an interested point that need to be investigated. Keywords: Urinary tract infection; honey; bacteria.
背景:尿路感染(UTI)是指细菌从皮肤或直肠进入尿道,感染膀胱并引起症状。尿路感染对多种药物的耐药性越来越强,有些药物已不再有效。美国国家生物技术信息中心(NCBI)的资料显示,蜂蜜具有高渗透压和高酸度,可阻止细菌繁殖。本研究旨在评估蜂蜜对从鲁亨盖里转诊医院尿毒症患者尿液样本中分离出的细菌的影响。研究方法尿液样本在鲁亨盖里转诊医院的无菌容器中收集,然后送往鲁亨盖里高等教育研究所(INES Ruhengeri)的微生物实验室。两种蜂蜜(生蜂蜜和加工蜂蜜)被用作抗菌剂,以抑制从尿道炎中分离出来的细菌。采用多种方法分离和鉴定细菌分离物,包括固体培养基培养、革兰氏染色和生化测试。结果:最常见的分离细菌是金黄色葡萄球菌(33.3%),它是第二类对蜂蜜易感的细菌,其次是铜绿假单胞菌(13.8%)和CoNS(13.8%)。大肠杆菌、肺炎双球菌和链球菌各占 11.2%。前者和后者是对天然蜂蜜最敏感的细菌(mIZ = 36 ±2.83; ±4.24 mm,分别为36 ±2.83; ±4.24 mm),而铜绿假单胞菌是分离到的最少的细菌,占 5.5%,也是对蜂蜜最不敏感的细菌。结论蜂蜜对UTI中分离出的所有细菌都有抗菌作用,这表明天然蜂蜜是控制尿路细菌感染的一种良药。与目前用于治疗尿道炎细菌的传统抗生素相比,蜂蜜的抗菌能力还需要进一步研究评估。此外,如何将蜂蜜用于目标区域也是一个需要研究的问题。关键词:尿路感染;蜂蜜;细菌尿路感染;蜂蜜;细菌
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引用次数: 0
Bridging Tradition and Modern Pharmacology of Bergenia ciliata (Haw.) Sternb: A Review 连接传统与现代药理学的纤毛虫(Bergenia ciliata (Haw.) Sternb):综述
Pub Date : 2024-04-15 DOI: 10.22270/jddt.v14i4.6495
Upakar Rai, Barkha Rai
Bergenia ciliata, a perennial rhizomatous herb holds a special place in the traditional herbal healthcare system due to its diverse therapeutic uses and potentials. Validation of its efficacy with scientific investigation is a prerequisite of any prospective herbal resource. The plant is a rich source of various bioactive chemical compounds. The present review is an attempt to consolidates comprehensive information sourced from 100 different literatures, exploring the plant's distribution, phytochemistry, traditional medicinal uses, and pharmacological activities specially focusing on some prevalent diseases of present day. The herb’s antimicrobial, anticancer, antiulcer and antidiabetic properties signify its potential in modern pharmacology. The review underscores B. ciliata's relevance in drug development and nutraceutical formulations, bridging age-old wisdom with contemporary healthcare solutions. Further exploration into its bioactive compounds and clinical applications promises innovative avenues in therapeutic intervention. Keywords: Bergenia ciliata, perennial rhizomatous herb, traditional herbal healthcare, age-old wisdom
Bergenia ciliata 是一种多年生根状茎草本植物,因其多种多样的治疗用途和潜力而在传统草药保健系统中占有特殊地位。通过科学调查验证其功效是任何潜在草药资源的先决条件。该植物是各种生物活性化合物的丰富来源。本综述试图整合来自 100 篇不同文献的综合信息,探讨该植物的分布、植物化学、传统药用和药理活性,尤其侧重于当今的一些流行疾病。这种草药的抗菌、抗癌、抗溃疡和抗糖尿病特性表明了它在现代药理学中的潜力。这篇综述强调了纤毛虫在药物开发和营养保健配方中的相关性,将古老的智慧与现代医疗保健解决方案相结合。对其生物活性化合物和临床应用的进一步探索有望为治疗干预提供创新途径。关键词纤毛草 多年生根状茎草本植物 传统草药保健 传统智慧
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引用次数: 0
Pharmacovigilance: A Necessary Tool for Drug Safety Monitoring Globally 药物警戒:全球药物安全监测的必要工具
Pub Date : 2024-04-15 DOI: 10.22270/jddt.v14i4.6516
Asra Mansuri, T. Zaman
Pharmacovigilance, which is like a parasol to define the procedures for monitoring and analysing adverse drug reactions (ADRs), is a crucial part of efficient clinical practise, public health initiatives, and drug control systems. The volume of data processed has increased as a result of the rise in reported adverse drug reactions (ADRs), and understanding pharmacovigilance requires a high degree of skill in order to quickly identify medication hazards and defend the product against an unwarranted removal. An impartial method of evaluation would strengthen the present global network of pharmacovigilance centres, which is managed by the Uppsala Monitoring Centre. This would take into account contentious and significant medication safety problems that might have a negative impact on public health across international borders. Pharmacovigilance has recently focused mostly on identifying previously unrecognised or poorly understood adverse medication occurrences. Pharmacovigilance is a crucial and essential component of clinical research, and it is now expanding in many nations. However, with the turn of the millennium, pharmacovigilance confronts enormous hurdles in aspect of improving safety and monitoring of medications. Today, several pharmacovigilance centres are engaged for drug safety monitoring in this global arena. In this overview, we'll talk about medication safety, the function of international pharmacovigilance centres, the advantages and drawbacks of pharmacovigilance, and how it may be used in the future by the healthcare industry. Keywords: Drug safety, Adverse drug reaction, Drug Monitoring, Erice declaration, pharmacovigilance
药物警戒就像一把遮阳伞,定义了监测和分析药物不良反应(ADRs)的程序,是高效临床实践、公共卫生举措和药物控制系统的重要组成部分。由于报告的药物不良反应(ADRs)增加,处理的数据量也随之增加,因此了解药物警戒需要很高的技能,以便快速识别药物危害,保护产品免受不必要的撤消。公正的评估方法将加强目前由乌普萨拉监测中心管理的全球药物警戒中心网络。这将考虑到可能对跨国公共健康产生负面影响的有争议的重大药物安全问题。最近,药物警戒的重点主要是发现以前未被发现或人们对其了解甚少的不良用药事件。药物警戒是临床研究的重要组成部分,目前在许多国家都在扩大。然而,随着新千年的到来,药物警戒在提高安全性和药物监测方面面临着巨大的障碍。如今,全球已有多家药物警戒中心从事药物安全监控工作。在这篇综述中,我们将讨论药物安全、国际药物警戒中心的功能、药物警戒的优点和缺点,以及医疗保健行业未来可能如何使用药物警戒。关键词药物安全、药物不良反应、药物监测、埃里斯宣言、药物警戒
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引用次数: 0
Platelet-Rich Plasma Therapy for Chronic Low Back Pain with Neuropathic Component in a Pain Medicine Clinic in Mexico: Retrospective Study 在墨西哥一家疼痛医学诊所开展的富血小板血浆疗法治疗伴有神经病理性成分的慢性腰背痛:回顾性研究
Pub Date : 2024-04-15 DOI: 10.22270/jddt.v14i4.6541
César Amescua-García, María del Rocío Guillén-Núñez, Alfredo Martínez-Alvarado, Fernando Izquierdo-Moncayo, Luis Rujana-Galaviz, Daniela Hernández-Rodríguez
Introduction: Low back pain is a common problem affecting millions worldwide. Even after surgical treatment some patients do not improve; others suffer from persistent radiculopathy. We define Complex Chronic Low Back Pain (CCLBP) as any low back pain that has lasted for at least three months and has at least two triggering pain mechanisms. Objective: To describe our experience with platelet-rich plasma (PRP) therapy in managing CCLBP with a neuropathic component Methods: Quantitative, retrospective analysis from 57 medical records of patients treated with PRP for CCLBP. We used IBM-SPSS 21 to obtain descriptive statistics, Chi-square, Student T and Odds-Ratio. Results: The mean age of our sample was 59.8 (±14.4) years, with 6.51 (±8.7) years of pain and a follow-up of 9 (±12.2) months. 33.3% had lumbar surgery, 29.8% had lumbar trauma, 31.6% used a walking aid, 56.7% had MODIC changes on MRI, and 42% of them received intraosseous-PRP technic. 84.2% reported severe pain (VAS 8-10). The results showed that 96.5% of patients experienced some improvement after PRP treatment. Additionally, 10.5% experienced pain suppression. No significant differences in age, lumbar trauma, lumbar surgery, diseases, or the use of walking aids between patients who benefited from PRP treatment and those who did not. VAS after treatment shows significance (p<0.01) with 5.36±2.6 points. Subjects with less than five years of radicular pain had an improvement greater than 3 points on VAS (OR 7.38, IC95% 1.72-31.7). Conclusion: Autologous platelet-rich plasma injections for chronic low back pain with a neuropathic component are an effective alternative to address CCLBP’s current challenge. New studies with greater statistical power are necessary to make a statement of efficacy, but with the data obtained, it seems a promising option. Keywords: Platelet-Rich Plasma, Low Back Pain, Radiculopathy, Intraosseous
简介腰背痛是影响全球数百万人的常见问题。即使接受了手术治疗,一些患者的病情仍不见好转;另一些患者则患有顽固性根神经病。我们将复杂性慢性腰背痛(CCLBP)定义为持续至少三个月、至少有两种诱发疼痛机制的腰背痛。目的描述我们使用富血小板血浆(PRP)疗法治疗具有神经病理性成分的 CCLBP 的经验:对 57 名接受 PRP 治疗的 CCLBP 患者的病历进行定量、回顾性分析。我们使用 IBM-SPSS 21 获得描述性统计、卡方、学生 T 和比值比。结果:样本的平均年龄为 59.8 (±14.4)岁,疼痛年数为 6.51 (±8.7)年,随访时间为 9 (±12.2) 个月。33.3%的患者接受过腰部手术,29.8%的患者有腰部外伤,31.6%的患者使用助行器,56.7%的患者在磁共振成像中出现MODIC改变,42%的患者接受了骨内PRP技术。84.2%的患者报告有严重疼痛(VAS 8-10)。结果显示,96.5% 的患者在接受 PRP 治疗后病情有所改善。此外,10.5%的患者疼痛得到抑制。在年龄、腰部外伤、腰部手术、疾病或使用行走辅助工具方面,PRP 治疗获益患者与未获益患者之间无明显差异。治疗后的 VAS 值为 5.36±2.6 点,具有显著性(P<0.01)。根性疼痛少于五年的受试者在 VAS 上的改善超过 3 点(OR 7.38,IC95% 1.72-31.7)。结论自体富血小板血浆注射治疗具有神经病理性成分的慢性腰背痛是解决 CCLBP 当前难题的有效替代方案。有必要进行统计能力更强的新研究,以确定其疗效,但从已获得的数据来看,这似乎是一个很有前景的选择。关键词:富血小板血浆富血小板血浆、腰痛、根病、骨内治疗
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引用次数: 0
Understanding Vitiligo: Causes, Diagnosis, Promising Advances in Treatment and Management and the Impact on Mental Health 了解白癜风:了解白癜风:病因、诊断、治疗和管理的最新进展以及对心理健康的影响
Pub Date : 2024-04-15 DOI: 10.22270/jddt.v14i4.6503
Tadikonda Rama Rao, Hafsa Sharmeen, Afshaan Tabassum, Sena Jessy Jasmine
Vitiligo is a chronic skin disorder characterized by the loss of pigmentation, resulting in white patches on the skin. The condition arises from the destruction of melanocytes, the cells responsible for producing melanin, the pigment that gives colour to the skin, hair, and eyes. Although the exact etiology of vitiligo remains elusive, it is believed to involve a complex interplay of genetic, autoimmune, and environmental factors. This overview provides the key aspects of vitiligo, including its epidemiology, pathogenesis, clinical manifestations, and current treatment approaches. The prevalence of vitiligo varies globally, affecting individuals of all ethnic backgrounds and age groups. The autoimmune hypothesis proposes that the immune system mistakenly targets and attacks melanocytes, leading to their destruction. Triggering factors, such as oxidative stress, viral infections, and neural factors, may contribute to the initiation and progression of vitiligo. Clinically, vitiligo can significantly impact the quality of life for affected individuals, both psychologically and socially. The distribution and extent of involvement vary, and the condition can affect any part of the body. Various treatment modalities are available for vitiligo, ranging from topical corticosteroids and calcineurin inhibitors to phototherapy and surgical interventions. While these approaches may help to re-pigment the skin to some extent, there is no definitive cure, and the outcomes can be unpredictable. Ongoing research is focused on understanding the molecular mechanisms underlying vitiligo and developing targeted therapies to address the root causes of the disease. Keywords: Vitiligo, Autoimmune, Melanocytes, Pigmentation, Corticosteroids, quality of life.
白癜风是一种慢性皮肤疾病,其特征是色素脱失,导致皮肤上出现白斑。黑色素细胞是负责产生黑色素的细胞,而黑色素是赋予皮肤、头发和眼睛颜色的色素。虽然白癜风的确切病因仍然难以捉摸,但据信它涉及遗传、自身免疫和环境因素的复杂相互作用。本概述介绍了白癜风的主要方面,包括其流行病学、发病机制、临床表现和当前的治疗方法。白癜风的发病率在全球范围内各不相同,影响着不同种族背景和年龄段的人群。自身免疫假说认为,免疫系统错误地攻击黑色素细胞,导致黑色素细胞遭到破坏。氧化应激、病毒感染和神经因素等诱发因素可能会导致白癜风的发生和发展。在临床上,白癜风会严重影响患者的生活质量,包括心理和社交方面。白癜风的分布和累及范围各不相同,可累及身体的任何部位。目前有多种治疗白癜风的方法,包括外用皮质类固醇激素和钙化蛋白抑制剂、光疗和外科手术等。虽然这些方法可以在一定程度上帮助皮肤重新着色,但目前还没有彻底治愈的方法,而且治疗效果也难以预料。目前的研究重点是了解白癜风的分子机制,并开发针对疾病根源的靶向疗法。关键词白癜风 自身免疫 黑色素细胞 色素沉着 皮质类固醇 生活质量
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引用次数: 0
Concept of Cosmetology and its Historical Background in Unani Perspective 从尤那尼观点看美容学的概念及其历史背景
Pub Date : 2024-04-15 DOI: 10.22270/jddt.v14i4.6498
Faisel Manzoor
Unani physicians have paid great attention to the use of cosmetics since very ancient times. Around 4000 BC first archaeological evidence of cosmetics usage was found in ancient Egypt. The use of perfumes, oils, burning of aromatic incense, copper eye shadows, lamp black for eyes and dying of hairs red were in practice by ancient Egyptians. Unani literature is very rich in cosmeceutical formulations taking care of appearance and dealing with cosmetic diseases in humans. In Unani classical text like Kitab-ul-Mansoori, Al-Hawi-fil-Tib, Kamil-us-Sana, Al-Qanoon-fit-Tib, Zakheera-e-Khwarzam Shahi, the details of cosmetics are mentioned under the headings of Tazeeniyaat. This systematic review can be concluded that various cosmetics and cosmeceuticals prevailing in contemporary era may have been introduced or inspired by these physicians. There are several single drugs or compound formulations described in Unani classical text. Unani cosmetics can be a very good choice owing to their range, low cost and safety and can also be incorporated as an adjuvant in several contemporary preparation. There are several Unani cosmeceuticals are described in unani classical text like Solid Cosmeceutical (Ghaza, Ghaliya, Kajal), Semi-solid Cosmeceutical (Tila, Zimad, Ubtan) and Liquid cosmeceutical (Ghusool, Pashoya). Keywords: Unani Medicine, Cosmetics, Cosmeceuticals, Tazeeniyaat
自古以来,尤那尼医生就非常重视化妆品的使用。大约公元前 4000 年,在古埃及发现了使用化妆品的第一个考古证据。古埃及人使用香水、精油、焚香、铜制眼影、灯黑眼影和染红头发。乌纳尼文献中有非常丰富的美容配方,用于护理外观和治疗人类的美容疾病。在《Kitab-ul-Mansoori》、《Al-Hawi-fil-Tib》、《Kamil-us-Sana》、《Al-Qanoon-fit-Tib》、《Zakheera-e-Khwarzam Shahi》等尤那尼经典文献中,都在 "Tazeeniyaat "标题下提到了化妆品的细节。通过这次系统回顾可以得出结论,当代流行的各种化妆品和药妆可能是由这些医生引入或启发的。尤那尼经典文献中描述了几种单一药物或复方制剂。乌纳尼化妆品种类繁多、价格低廉、安全可靠,可以作为一种很好的选择,也可以作为一种辅助剂添加到多种现代制剂中。尤那尼经典文献中描述了几种尤那尼药妆,如固体药妆(Ghaza、Ghaliya、Kajal)、半固体药妆(Tila、Zimad、Ubtan)和液体药妆(Ghusool、Pashoya)。关键词尤那尼医学、化妆品、药妆、Tazeeniyaat
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引用次数: 0
Effects of the COVID-19 pandemic on the consumption of antiretrovirals and HIV/AIDS prevention indicators at the Treichville University Hospital (Ivory Coast) COVID-19 大流行对 Treichville 大学医院(象牙海岸)抗逆转录病毒药物消费和艾滋病毒/艾滋病预防指标的影响
Pub Date : 2024-04-15 DOI: 10.22270/jddt.v14i4.6504
Gbongue Eric Tia, Ayoman Thierry-Lenoir Djadji, Y. Adehouni, Moulad Ephraïm Alliman, Ahou Axelle Edith Kouadio, Amara Kamagaté, Golberg Merveille Kouassi, Amankou Donaldo Jean-Fabius Ahua, Kouakou Emmanuel N’gbra, Assande Ange Auguste Effo, Gisèle KOUAKOU-SIRANSY
Objective: To understand the impact of Covid-19 on the prevention and consumption of antiretroviral drugs at Treichville University Hospital. Methods: This was a retrospective cross-sectional study with a descriptive, multicenter aim, carried out in six screening and treatment departments for HIV patients at the Treichville University Hospital. Monthly order reports from January 2019 to December 2021 from six services were used to collect data on screening and antiretroviral treatment. After a univariate analysis, an Anova made it possible to carry out a comparison of several variables between the study periods. Results: In total, a decrease of 40 to 55% (p>0.05) in the consumption of antiretrovirals was recorded compared to 2019. The antiretrovirals affected more specifically were tenofovir 300mg, lamivudine 150 mg, abacavir / adult lamivudine, lopiritonavir and the tenofovir / adult lamivudine combination (p<0.05). Therapeutic protocols and prevention data varied between 2019 and 2021 with a drop in the prescription of dolutegravir to the profile of efavirenz and a drop of 17.5% of individuals screened in 2020. Conclusion: The Covid-19 health crisis has led to a drop in the frequency of HIV testing and a non-significant effect on the consumption of antiretrovirals essential for the management of the disease. Keywords: Covid-19; Antiretrovirals; Prevention; HIV
目的了解 Covid-19 对特雷维尔大学医院抗逆转录病毒药物的预防和使用的影响。研究方法这是一项回顾性横断面研究,以描述性、多中心为目的,在特雷维尔大学医院的六个艾滋病患者筛查和治疗部门进行。研究使用了六个部门从 2019 年 1 月至 2021 年 12 月的月度订单报告,以收集有关筛查和抗逆转录病毒治疗的数据。在进行单变量分析后,利用 Anova 方法对研究期间的多个变量进行了比较。结果显示与 2019 年相比,抗逆转录病毒药物的消耗量总共减少了 40% 至 55%(p>0.05)。受影响较大的抗逆转录病毒药物包括替诺福韦 300 毫克、拉米夫定 150 毫克、阿巴卡韦/成人拉米夫定、洛匹托那韦和替诺福韦/成人拉米夫定复方制剂(p<0.05)。治疗方案和预防数据在 2019 年和 2021 年之间有所变化,多罗替拉韦的处方量下降到依非韦伦的概况,2020 年接受筛查的人数下降了 17.5%。结论Covid-19健康危机导致艾滋病检测频率下降,对治疗该疾病所必需的抗逆转录病毒药物的消费影响不大。关键词:Covid-19;抗逆转录病毒药物Covid-19;抗逆转录病毒药物;预防;艾滋病毒
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引用次数: 0
Immunohistochemical Analysis of Sperm Aquaporin-3 Expression in Men with Varicocele 精索静脉曲张男性精子 Aquaporin-3 表达的免疫组化分析
Pub Date : 2024-04-15 DOI: 10.22270/jddt.v14i4.6569
Senem Çetin Duran, Murat Akkuş, Enis Duran, F. Aşır, Nilüfer Dönmezdil, E. Yildizhan, Dilara Konk, K. Uçkan
Objective: The primary objective of this study is to detect potential alterations in sperm cells in cases of varicocele using immunohistochemical methods. Materials and Methods: In this study, semen samples obtained with consent from infertile males aged between 25-40 years were analyzed for the presence of varicocele and other determined factors, and were divided into two groups: a normozoospermic control group and a group diagnosed with varicocele. Direct swim-up techniques were utilized to separate spermatozoa with high motility. Immunohistochemical staining methods were employed to visualize protein expression, and the results were photographed at high magnification for documentation. Results: This research was conducted on sperm samples collected from males diagnosed with varicocele and from a healthy control group. The findings suggest that the presence of aquaporin-3 protein is associated with low or negative expression in sperm cells in the presence of varicocele. Immunohistochemical analyses have revealed a reduced or absent expression of aquaporin 3 in patients with varicocele compared to healthy individuals. Conclusion: The results of this study clearly demonstrate the adverse effects of varicocele on the structural and functional integrity of spermatozoa. Given that aquaporin-3 protein is critical for the motility of spermatozoa, the reduced expression or absence of this protein sheds light on the molecular mechanisms of male infertility. Keywords: Sperm DNA fragmentation, immunohistochemistry, Varicocele, protein expression, male infertility, aquaporin-3.
研究目的本研究的主要目的是利用免疫组化方法检测精索静脉曲张病例中精子细胞的潜在变化。材料与方法:在本研究中,我们对 25-40 岁不育男性的精液样本进行了分析,以确定是否存在精索静脉曲张和其他确定因素,并将其分为两组:正常无精子对照组和确诊为精索静脉曲张组。采用直接游离技术分离运动能力强的精子。采用免疫组化染色法观察蛋白表达情况,并将结果放大拍照存档。结果:这项研究是针对从被诊断患有精索静脉曲张的男性和健康对照组中采集的精子样本进行的。研究结果表明,精索静脉曲张患者的精子细胞中,aquaporin-3 蛋白的存在与低表达或负表达有关。免疫组化分析表明,与健康人相比,精索静脉曲张患者体内的aquaporin-3表达减少或消失。结论本研究结果清楚地表明精索静脉曲张对精子的结构和功能完整性有不利影响。鉴于水蒸发蛋白 3 蛋白对精子的运动至关重要,该蛋白的表达减少或缺失揭示了男性不育的分子机制。关键词精子DNA碎片 免疫组织化学 精索静脉曲张 蛋白表达 男性不育 水华素-3
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引用次数: 0
Advancements In Pharmacotherapy for Hyperlipidemia: A Comprehensive Review of Recent Drug Innovations and Clinical Outcomes 高脂血症药物治疗的进展:近期药物创新和临床结果的全面回顾
Pub Date : 2024-04-15 DOI: 10.22270/jddt.v14i4.6533
Hrithik Dey, Vatsala Agarwal, MD Naushad Ali, Astha Upadhyay, Sufia Shafieq, Bhupender Dixit, Sahil Tomar, Mahewish Tarannum
Hyperlipidemia, characterized by elevated blood lipid levels, significantly contributes to cardiovascular diseases (CVDs), the leading cause of global mortality per the World Health Organization (WHO). Studies reveal a 20-30% increase in coronary heart disease risk for every 1 mmol/L rise in LDL-C levels. While statins are widely used, novel pharmacotherapeutic approaches are necessary for effective hyperlipidemia management and CVD risk reduction. Recent clinical trials demonstrate the efficacy of innovative drugs like proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors in lowering LDL-C levels and reducing adverse cardiovascular events. These findings highlight the potential of new therapies to enhance existing treatments for hyperlipidemia. Additionally, safety evaluations of emerging lipid-lowering agents address concerns about adverse effects and long-term risks. Despite progress, challenges persist in refining treatment strategies and ensuring equitable access to advanced therapies, especially for marginalized populations. Incorporating innovative pharmacotherapies into current approaches offers personalized and efficient hyperlipidemia management. Continued research and interdisciplinary collaborations are vital for advancing our understanding of lipid metabolism and translating scientific discoveries into improved patient outcomes and cardiovascular health. Ongoing innovation and investment in tailored hyperlipidemia therapies are crucial for better outcomes in individuals at risk of CVDs. Keywords: hyperlipidemia, pcsk9 inhibitors, bempedoic acid, evinacumab, inclisiran mipomersen, volanesorsen
世界卫生组织(WHO)认为,以血脂水平升高为特征的高脂血症是心血管疾病(CVDs)的重要诱因,也是全球死亡的主要原因。研究显示,低密度脂蛋白胆固醇(LDL-C)水平每升高 1 毫摩尔/升,冠心病风险就会增加 20%-30%。虽然他汀类药物被广泛使用,但新型药物治疗方法对于有效控制高脂血症和降低心血管疾病风险十分必要。最近的临床试验证明,9 型丙蛋白转化酶枯草酶/kexin(PCSK9)抑制剂等创新药物在降低低密度脂蛋白胆固醇水平和减少不良心血管事件方面具有疗效。这些研究结果凸显了新疗法加强现有高脂血症治疗方法的潜力。此外,对新兴降脂药物的安全性评估也解决了人们对其不良反应和长期风险的担忧。尽管取得了进展,但在完善治疗策略和确保公平获得先进疗法方面仍存在挑战,尤其是边缘化人群。将创新药物疗法纳入现有方法,可提供个性化和高效的高脂血症管理。持续的研究和跨学科合作对于促进我们对脂质代谢的了解以及将科学发现转化为改善患者预后和心血管健康至关重要。对量身定制的高脂血症疗法进行持续创新和投资,对于改善心血管疾病高危人群的预后至关重要。关键词:高脂血症;PCsk9 抑制剂;贝美多酸;依维那单抗;伊利西兰-米泊美森;沃拉尼索森
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引用次数: 0
A Rare Presentation - Case Report on Tubercular Cold Abscess 罕见病例--结核性冷脓肿病例报告
Pub Date : 2024-04-15 DOI: 10.22270/jddt.v14i4.6507
Sagnika Bhattacharjee, Supta Chakraborty, Smrithimol Baby, Vartika Jain, Huda Khan
Tuberculosis is a chronic granulomatous infection that is quite common and a threat to many developing countries. However, extrapulmonary cases involving tubercular skin and soft tissue abscess formation are rare, accounting for 1 or 2% of cases of Mycobacterium TB infections with skin and soft tissue involvement. The typical extrapulmonary tuberculosis symptoms and indications are nonspecific, making diagnosis difficult and time-consuming. We present a case of right arm tubercular cold abscess in a child related to mycobacterium tuberculosis, which was diagnosed by Ziehl- Neelson stain FNAC (Fine needle Aspiration cytology) and Mantoux test (18mm) induration. Due to its rare manifestation, it often gets misdiagnosed or overlooked. A proper diagnosis will ensure a proper treatment plan. Our case further depicts the collaborative effort of healthcare professionals. The patient came back complaining about the increased swelling in his right arm. Keywords:  Tubercular Cold Abscess, Ziehl- Neelson, Fine needle Aspiration cytology, Mantoux test, Mycobacterium Tuberculosis
结核病是一种慢性肉芽肿感染,非常常见,对许多发展中国家构成威胁。然而,涉及结核性皮肤和软组织脓肿形成的肺外病例并不多见,仅占结核分枝杆菌感染累及皮肤和软组织病例的 1% 或 2%。典型的肺外结核症状和指征没有特异性,因此诊断困难且费时。我们报告了一例与结核分枝杆菌有关的儿童右臂结核性冷脓肿病例,该病例通过 Ziehl- Neelson 染色 FNAC(细针抽吸细胞学)和 Mantoux 试验(18 毫米)压痕确诊。由于表现罕见,它经常被误诊或忽视。正确的诊断可确保制定适当的治疗方案。我们的病例进一步体现了医护人员的通力合作。患者再次前来就诊时,主诉其右臂肿胀加剧。关键词 结核性冷脓肿、Ziehl- Neelson、细针抽吸细胞学、曼图氏试验、结核分枝杆菌
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引用次数: 0
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Journal of Drug Delivery and Therapeutics
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