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Herbs Used to Treat Depression: An Updated Review 用于治疗抑郁症的草药:最新回顾
Pub Date : 2024-05-17 DOI: 10.22270/jddt.v14i5.6604
Mohit Arora, Ritu Rani, A. Singh, A. Singh
Depression is a prevalent mental illness. In addition to being a substantial contribution to the overall global disease burden, depression is one of the main causes of disability worldwide. Complementary therapies are necessary because of the drawbacks of standard antidepressant therapy, including side effects, even though the former can help reduce depression symptoms and avoid relapse of the illness. Because they have fewer side effects and are less expensive than other therapies for depression, herbal medications have drawn a lot of interest recently. Compared to synthetic medications, herbal plants have fewer adverse effects and exhibit antidepressant properties. As such, they may be able to help people who are depressed. Because herbs have fewer adverse effects than conventional drugs, many people prefer them for symptom treatment. If traditional medications aren't working for you because of side effects, poor efficacy, or accessibility issues, using phytomedicine can be a good alternative. This review will concentrate on herbs that are used to cure depression. Keywords: Herbal medicines, Depression, Herb, Treatment, St. John’s Wort
抑郁症是一种普遍存在的精神疾病。抑郁症不仅是全球疾病负担的重要组成部分,也是导致全球残疾的主要原因之一。尽管标准抗抑郁疗法有助于减轻抑郁症状和避免复发,但由于这种疗法存在副作用等缺点,因此有必要采用辅助疗法。与其他治疗抑郁症的方法相比,草药的副作用较小,而且价格较低,因此最近引起了人们的广泛关注。与合成药物相比,草本植物的不良反应较少,且具有抗抑郁特性。因此,它们或许可以帮助抑郁症患者。由于草药的不良反应比传统药物少,因此许多人更喜欢用草药来治疗症状。如果传统药物因副作用、疗效不佳或可及性问题而对您无效,使用植物药不失为一种好的选择。本综述将重点介绍用于治疗抑郁症的草药。关键词草药 抑郁症 草药 治疗 圣约翰草
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引用次数: 0
A Comprehensive Review of Insomnia and Its Regimenal Management in The Unani System of Medicine 全面回顾失眠及其在尤那尼医学体系中的调理方法
Pub Date : 2024-05-15 DOI: 10.22270/jddt.v14i5.6562
Meraj Meraj, Abdul Rehman M.I., Naseem Ahmad Khan, Sadique Husain, Noushiba Khan
Objective: The objective of this review is to explore the Regimenal Therapy for the Management of Insomnia in contrast to Unani Classical Literature. Therefore, further clinical studies will be done for its scientific validation. Data Source: The review data were gathered from peer-reviewed research articles taken from several online resources, including PubMed, Google, and Google Scholar. Keywords including Insomnia, and prevalence of insomnia were part of the online search strategy. Library of Hakim Syed Ziaul Hasan, Bhopal was also accessed for the Unani Classical literature. Summary: Insomnia is characterized as a persistent difficulty with sleep initiation, duration, consolidation, or quality that occurs despite adequate opportunity and circumstances for sleep, and results in some form of daytime impairment. It is currently a prevalent disease with the incidence varying globally between 10% and 60%. Insomnia is described as Sahar or Bekhaabi in the Unani System of Medicine. Thirty Unani Classical Literature reviewed; 19 were relevant to Insomnia, and 9 were related to Regimenal Therapy. Thirteen therapies explored: Naṭūl, Sa‘ūṭ, Tadhīn, Ḥammām, Dalk, Riyāḍat, Ṭilā’, Ḍimād, Lakhlakha, Shamūm, Qaṭūr, Nashūq, Pāshoya. These therapies are beneficial for managing Insomnia. Conclusion: The implication of Regimenal Therapy appears promising and describes its possible uses for Insomnia. Use of regimenal therapies with fewer drugs, which seems to be effective for Insomnia. Further clinical studies are required to scientifically validate the existing Regimenal Therapy about its efficacy and safety. Keywords: Insomnia, Ilaj bil Tadbeer, Regimenal therapy, Sahar, Unani System of Medicine
目的:本综述的目的是对照尤那尼经典文献,探讨失眠症的调理疗法。因此,将进一步开展临床研究,对其进行科学验证。数据来源:综述数据来自同行评审的研究文章,这些文章来自多个在线资源,包括PubMed、Google和Google Scholar。失眠和失眠症患病率等关键词是在线搜索策略的一部分。此外,还访问了博帕尔市 Hakim Syed Ziaul Hasan 图书馆的尤那尼经典文献。摘要:失眠的特点是尽管有足够的睡眠机会和环境,但在睡眠的开始、持续时间、巩固或质量方面仍存在持续性困难,并导致某种形式的日间功能障碍。目前,失眠症是一种常见疾病,全球发病率在 10%至 60%之间。在尤那尼医学体系中,失眠被描述为 Sahar 或 Bekhaabi。我们查阅了 30 篇尤那尼经典文献,其中 19 篇与失眠症有关,9 篇与调理疗法有关。探讨了 13 种疗法:Naṭūl、Sa'ūṭ、Tadhīn、Ḥammām、Dalk、Riyāḍat、Ṭilā'、 imād、Lakhlakha、Shamūm、Qaṭūr、Nashūq、Pāshoya。这些疗法对治疗失眠症很有帮助。结论调理疗法的意义似乎很有希望,并描述了其对失眠症的可能用途。使用较少药物的调理疗法似乎对失眠症有效。还需要进一步的临床研究来科学验证现有调理疗法的有效性和安全性。关键词失眠 伊拉吉-比尔-塔德比尔 综合疗法 萨哈尔 乌纳尼医学体系
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引用次数: 0
The pattern of cardiovascular disease in River Nile State (October 2019-April 2020) 尼罗河州的心血管疾病模式(2019 年 10 月至 2020 年 4 月)
Pub Date : 2024-05-15 DOI: 10.22270/jddt.v14i5.6542
Abubaker Ibrahim Mohamed, Ashraf ALakkad, S. K. Noor
Background: The rise of cardiovascular diseases poses a significant global threat, not only in terms of morbidity and mortality but also due to their substantial economic burden. Understanding the specific patterns of CVDs within various populations is crucial for effective prevention, early diagnosis, and management. Objective: This study aimed to determine the pattern of cardiovascular disease using echocardiography in River Nile State. Methods: This prospective cross-sectional hospital-based study conducted from October 2019 to April 2020 aimed to ascertain the pattern of cardiovascular diseases using echocardiography in River Nile State. A sample of 1000 participants from Atbara Teaching Hospital, Atbara Complex, and Shendi Teaching Hospital was included. The study population comprised all Sudanese patients undergoing echocardiography in the region. Inclusion criteria involved patients presenting for echocardiography who consented to participate, while refusal to participate constituted exclusion criteria. Data collection involved obtaining written consent from patients and recording echocardiographic findings, including age, gender, and patterns of heart disease, using standardized data sheets. Results: The findings revealed a mean age of 72±6.8 years, with females comprising 64.7% of the sample. Hypertensive heart disease (31.5%) and valvular lesions (29.8%) emerged as the most prevalent cardiovascular diseases. Ischemic heart disease (11.2%), rheumatic heart disease (8.3%), and cardiomyopathy (5.7%) were also notable. Patterns of cardiovascular diseases showed significant associations with age and gender, with hypertensive heart disease and valvular lesions more prevalent in older age groups, while congenital heart disease was more prevalent among younger individuals (20–40 years). Conclusion: The study revealed that hypertensive heart disease (31.5%) and valvular lesions (29.8%) as the dominant CVD patterns. Focusing on these conditions with tailored prevention, early diagnosis, and management is crucial, especially for older individuals. Keywords: Cardiac diseases, Comorbidity, Nile State, Pattern.
背景:心血管疾病的增加对全球构成了重大威胁,这不仅表现在发病率和死亡率方面,还表现在其沉重的经济负担上。了解不同人群心血管疾病的具体模式对于有效预防、早期诊断和管理至关重要。研究目的本研究旨在利用超声心动图确定尼罗河州的心血管疾病模式。方法:这是一项以医院为基础的前瞻性横断面研究:这项基于医院的前瞻性横断面研究于 2019 年 10 月至 2020 年 4 月进行,旨在利用超声心动图确定尼罗河州的心血管疾病模式。研究样本包括来自阿特巴拉教学医院、阿特巴拉综合医院和申迪教学医院的 1000 名参与者。研究对象包括该地区所有接受超声心动图检查的苏丹患者。纳入标准包括同意参加超声心动图检查的患者,拒绝参加则构成排除标准。数据收集工作包括获得患者的书面同意,并使用标准化数据表记录超声心动图检查结果,包括年龄、性别和心脏病类型。结果结果显示,患者平均年龄为(72±6.8)岁,女性占样本的 64.7%。高血压心脏病(31.5%)和瓣膜病变(29.8%)是最常见的心血管疾病。缺血性心脏病(11.2%)、风湿性心脏病(8.3%)和心肌病(5.7%)也很常见。心血管疾病的发病模式与年龄和性别有显著关联,高血压性心脏病和瓣膜病变在年龄较大的人群中更为常见,而先天性心脏病在年轻人(20-40 岁)中更为常见。结论研究显示,高血压心脏病(31.5%)和瓣膜病变(29.8%)是心血管疾病的主要模式。对这些疾病进行有针对性的预防、早期诊断和管理至关重要,尤其是对老年人而言。关键词心脏疾病 并发症 尼罗河状态 模式
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引用次数: 0
Profile of pathogenic bacteria isolated from cow's milk in N'Djamena: associated risk factors and antibiotic resistance 从恩贾梅纳牛奶中分离出的病原菌概况:相关风险因素和抗生素耐药性
Pub Date : 2024-05-15 DOI: 10.22270/jddt.v14i5.6535
Mbaïgolmem Valery Beral, Bessimbaye Nadlaou, T. Abdelsalam
Raw milk and its derivatives are foodstuffs vulnerable to contamination by microorganisms including pathogenic bacteria and failure to comply with hygiene rules. The objective of this study was to determine the profile of pathogenic bacteria isolated from cow's milk and to evaluate the effectiveness of antibiotics commonly used in veterinary and human medicine against these bacteria in Chad. This was a prospective and analytical study based on bacteriological examination including 180 milk samples collected in 10 districts of N'Djamena. The isolation, identification and testing of sensitivity of isolated bacteria to antibiotics were carried out under standard food bacteriology conditions. Among 180 milk samples which were screened by bacteriological examination, 71 (34.44%) cases were positive. The bacterial strains isolated were: Staphylococcus aureus (38.03%), Streptococcus agalactiae (18.31%), Staphylococcus hyicus (11.27%), Streptococcus uberis (7.04%), Escherichia coliO157H7 (7.04%), Streptococcus pyogenes (5.63%), Aeromonas hydrophila (5.63%), Listeria monocytogenes (4.22%) and Mycobacterium tuberculosis (2.81%). The risk factors most frequently associated with milk contamination were hand milking (100%) followed by unsanitary environment (65%), 35% of milks were sold in reused bottles and 58% of vendors and producers were uneducated. The antibiogram of the 69 isolated bacterial agents showed reduced sensitivities to beta-lactams and aminoglycosides, and varied resistance to cyclins and fluoroquinolones. Streptomycin remains an aminoglycoside most sensitive to all strains of pathogenic bacteria with an average level of 95.7%. Staphylococci (Staphylococcus aureus and Staphylococcus hyicus) developed an average resistance of 80.15% to methycillin, 80.1% to vancomycin and all bacteria showed an average resistance of 85% to metronidazole. Streptococci strains (Streptococcus agalactiae, Streptococcus uberis and Streptococcus pyogenes) were very sensitive (76.3%) to vancomycin. The isolated Listeria monocytogenes strains were 100%sensitive to aminoglycosides and beta-lactams. The two-strains of Mycobacterium tuberculosis detected by GeneXpert had a profile of 50%sensitivity and 50%resistance to rifampicin. This study not only made it possible to know the high rate and frequency of pathogenic bacteria in cow's milk as well as the associated risk factors, but also showed a reduction in sensitivity of bacteria to aminopenicillins and aminoglycosides, a strong resistance of Staphylococcus aureus to methicillin and vancomycin and a high sensitivity of streptococci to vancomycin.
原奶及其衍生物是容易受到微生物(包括致病菌)污染和不符合卫生规则的食品。这项研究的目的是确定从牛奶中分离出来的致病菌的概况,并评估乍得兽医和人类医学中常用的抗生素对这些细菌的有效性。这是一项基于细菌学检查的前瞻性分析研究,包括在恩贾梅纳 10 个区收集的 180 份牛奶样本。在标准食品细菌学条件下,对分离出的细菌进行了分离、鉴定和抗生素敏感性测试。在通过细菌学检查筛选出的 180 份牛奶样本中,有 71 份(34.44%)呈阳性。分离出的细菌菌株有金黄色葡萄球菌(38.03%)、无乳链球菌(18.31%)、透明葡萄球菌(11.27%)、尤伯杯链球菌(7.04%)、大肠杆菌 O157H7(7.04%)、化脓性链球菌(5.63%)、嗜水气单胞菌(5.63%)、单核细胞增生李斯特菌(4.22%)和结核分枝杆菌(2.81%)。与牛奶污染最常见的风险因素是手工挤奶(100%),其次是不卫生的环境(65%),35%的牛奶用重复使用的瓶子出售,58%的销售商和生产商没有受过教育。69 种分离细菌的抗生素图谱显示,它们对β-内酰胺类和氨基糖苷类药物的敏感性降低,对环素类和氟喹诺酮类药物的耐药性各不相同。链霉素仍然是对所有致病菌株最敏感的氨基糖苷类药物,平均敏感度为 95.7%。葡萄球菌(金黄色葡萄球菌和水葡萄球菌)对甲基西林的平均耐药性为 80.15%,对万古霉素的平均耐药性为 80.1%,所有细菌对甲硝唑的平均耐药性为 85%。链球菌菌株(无乳链球菌、透明链球菌和化脓链球菌)对万古霉素非常敏感(76.3%)。分离出的单核细胞增生李斯特菌株对氨基糖苷类和β-内酰胺类药物 100%敏感。通过 GeneXpert 检测到的两株结核分枝杆菌对利福平的敏感性和耐药性各为 50%和 50%。这项研究不仅使人们了解到牛奶中致病菌的高感染率和高频率以及相关的风险因素,还显示出细菌对氨基青霉素类和氨基糖苷类药物的敏感性降低,金黄色葡萄球菌对甲氧西林和万古霉素的耐药性强,链球菌对万古霉素的敏感性高。
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引用次数: 0
Ananas comosus (Pineapple): A Comprehensive Review of Its Medicinal Properties, Phytochemical Composition, and Pharmacological Activities 菠萝(Ananas comosus):菠萝的药用特性、植物化学成分和药理活性综述
Pub Date : 2024-05-15 DOI: 10.22270/jddt.v14i5.6557
Ankit Sharma, Lalit Kumar, Meenakshi Malhotra, A. Singh, A. Singh
Herbal medicine, also known as phytomedicine, utilizes various plant parts like leaves, fruits, roots, bark, or flowers for their health benefits, standing as an alternative healthcare approach to conventional medicine. Traditional herbal remedies, integral to medical systems worldwide, notably in China and India, are gaining global recognition for their efficacy and fewer side effects. Approximately 80% of the world's population relies on traditional herbal medicine for primary healthcare, as per the World Health Organization. Ananas comosus (L.) Merril, commonly known as pineapple, belongs to the Bromeliaceae family, encompassing about 50 genera and 200 species. Pineapple, a perennial herbaceous plant, exhibits unique physical attributes, with its main parts including the stem, leaves, peduncle, multiple fruit, crown, shoots, and roots. Pineapple contains various amino acids, including tyrosine and tryptophan, along with bromelain, an enzyme aiding digestion by breaking down proteins. This review outlines previous research on the phytochemical and pharmacological characteristics of Ananas comosus, highlighting its diverse medicinal properties. From antimicrobial and anticancer activities to antioxidant, anti-inflammatory, and hepatoprotective effects, pineapple demonstrates significant therapeutic potential across multiple health domains. Additionally, its nutritional value and traditional uses further underscore its importance as a versatile herbal remedy. Keywords: Ananas comosus, pineapple, phytochemicals, pharmacological activities, medicinal properties, bromelain.
草药,又称植物药,利用植物的各种部分,如叶、果实、根、树皮或花,来达到保健的目的,是传统医学之外的另一种保健方法。传统草药疗法是全球(尤其是中国和印度)医疗体系中不可或缺的一部分,因其疗效显著、副作用较少而获得全球认可。据世界卫生组织统计,全球约有 80% 的人口依赖传统草药进行初级保健。菠萝(Ananas comosus (L.) Merril)俗称菠萝,属于凤梨科,约有 50 属 200 种。菠萝是一种多年生草本植物,具有独特的物理特性,其主要部分包括茎、叶、花序梗、多果、树冠、嫩枝和根。菠萝含有多种氨基酸,包括酪氨酸和色氨酸,以及菠萝蛋白酶,这是一种通过分解蛋白质帮助消化的酶。本综述概述了以往关于菠萝的植物化学和药理特性的研究,重点介绍其多种药用特性。从抗菌和抗癌活性到抗氧化、抗炎和保肝作用,菠萝在多个健康领域都显示出巨大的治疗潜力。此外,菠萝的营养价值和传统用途进一步凸显了其作为一种多功能草药的重要性。关键词:菠萝菠萝(Ananas comosus)、菠萝、植物化学物质、药理活性、药用特性、菠萝蛋白酶。
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引用次数: 0
Exploring Neuroprotective Botanical Remedies in Neurodegenerative Conditions: A Review 探索神经退行性疾病中的神经保护植物疗法:综述
Pub Date : 2024-05-15 DOI: 10.22270/jddt.v14i5.6544
Ankit Sharma, Meenakshi Malhotra, A. Singh, A. Singh
Neuroprotection refers to the mechanisms and strategies used to protect the Central Nervous System (CNS) from neuronal injuries caused by neurodegenerative disorders. Neurodegenerative disorders are a type of chronic condition in which parts of the nervous system deteriorate over time, most notably the brain. These disorders have a slow and gradual effect on an individual. Neurodegeneration is a neuropathological condition and brain aging process. The brain pathology of neurodegenerative and cerebrovascular disease is a leading cause of death worldwide, with a death rate of approximately 8% and an incidence rate of approximately 2/1000. It is a major health issue in the twenty-first century. According to researchers, this disease affects over 50 million people worldwide. These disorders primarily affect people over the age of 65, and the World Health Organization predicts that this number will more than double in the next 30 years. Confusion, difficulty thinking, pain, muscle spasms, behavioral changes, paralysis, tremors, balance problems, coordination issues, hunched posture, and fatigue are symptoms of these disorders. These disorders are caused by age, genetics, medical history, habits, routine, and environment. This review article is focused on herbs such as Crocus sativus and Curcuma longa which are very helpful in Neurodegenerative diseases and serve as a resource for future research. Keywords: Neurodegeneration, Medicinal Herbs, Neuroprotection, Neuroprotective plants, Parkinson, Alzheimer.
神经保护是指用于保护中枢神经系统(CNS)免受神经退行性疾病造成的神经元损伤的机制和策略。神经退行性疾病是一种慢性疾病,神经系统的某些部分会随着时间的推移而退化,其中最明显的是大脑。这些疾病会对人产生缓慢而渐进的影响。神经退行性病变是一种神经病理状态和大脑衰老过程。神经退行性疾病和脑血管疾病的脑部病理变化是全球死亡的主要原因,死亡率约为 8%,发病率约为 2/1000。它是二十一世纪的一个主要健康问题。据研究人员称,这种疾病影响着全球 5000 多万人。这些疾病主要影响 65 岁以上的人群,世界卫生组织预测,这一数字在未来 30 年内将增加一倍以上。精神错乱、思维困难、疼痛、肌肉痉挛、行为改变、瘫痪、震颤、平衡问题、协调问题、驼背姿势和疲劳是这些疾病的症状。这些疾病是由年龄、遗传、病史、习惯、作息和环境造成的。这篇综述文章主要介绍了对神经退行性疾病有很大帮助的草药,如茜草和莪术,并为未来的研究提供了参考。关键词神经变性 药用草药 神经保护 神经保护植物 帕金森 阿尔茨海默氏症
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引用次数: 0
Health Risks Associated with Tobacco Consumption in Humans: An Overview 与人类吸烟有关的健康风险:概述
Pub Date : 2024-05-15 DOI: 10.22270/jddt.v14i5.6523
Shanmugam M Sakthisankaran, Devaraj Sakthipriya, Mahalingam Swamivelmanickam
Tobacco use remains a significant public health concern globally, with over 8 million anticipated deaths annually by 2030, despite declining rates in some high-income nations. Smoking is prevalent worldwide, particularly in developing and middle-income countries, where over 80% of smokers reside. The inhalation of tobacco substances leads to various diseases, including cancer and respiratory ailments, resulting in more deaths than AIDS, tuberculosis, and other major causes combined. Secondhand smoke exposure also poses significant health risks. The economic burden of tobacco-related deaths and diseases is substantial, especially in low- and middle-income economies, where almost 80% of tobacco-related deaths occur. Lack of awareness, societal influence, and ineffective enforcement of anti-tobacco laws contribute to widespread tobacco use. Although anti-tobacco campaigns and policies have shown some success, challenges persist, particularly in rural areas where tobacco dependence is high. In India, despite declining tobacco use attributed to awareness campaigns and increased taxes on cigarettes, certain demographics, such as middle-aged individuals, illiterates, and rural residents, continue to have high tobacco consumption rates due to inadequate implementation of anti-tobacco norms and limited access to information. Quitting smoking can significantly extend life expectancy and reduce the risk of smoking-related diseases. However, nicotine addiction poses a challenge, with only a small percentage of users successfully quitting without assistance. Professional support and cessation drugs can double the likelihood of successful quitting, and nicotine replacement therapy has shown effectiveness. Overall, there is no safe level of cigarette use, emphasizing the importance of comprehensive tobacco control efforts to mitigate the global health and economic impacts of tobacco use. This review deals with the health risks associated with tobacco consumption in humans. Keywords: Tobacco, Nicotine, Carcinogens, Cancer, Cardiovascular diseases.
尽管一些高收入国家的吸烟率有所下降,但烟草使用仍然是全球重大的公共卫生问题,预计到 2030 年每年将有 800 多万人死于烟草使用。吸烟在全世界都很普遍,尤其是在发展中国家和中等收入国家,超过 80% 的吸烟者居住在这些国家。吸入烟草物质会导致各种疾病,包括癌症和呼吸系统疾病,造成的死亡人数比艾滋病、肺结核和其他主要疾病造成的死亡人数总和还要多。二手烟暴露也对健康构成重大威胁。与烟草相关的死亡和疾病造成了巨大的经济负担,尤其是在中低收入经济体,几乎 80% 的烟草相关死亡发生在这些国家。缺乏意识、社会影响以及反烟草法律执行不力是造成烟草使用广泛的原因。尽管反烟草运动和政策取得了一些成效,但挑战依然存在,尤其是在烟草依赖性较高的农村地区。在印度,尽管烟草使用率的下降归功于宣传活动和香烟税的增加,但由于反烟草规范执行不力以及获取信息的渠道有限,中年人、文盲和农村居民等特定人群的烟草消费率仍然很高。戒烟可以大大延长预期寿命,降低罹患吸烟相关疾病的风险。然而,尼古丁成瘾是一个挑战,只有一小部分吸烟者在没有帮助的情况下成功戒烟。专业支持和戒烟药物可以使成功戒烟的可能性增加一倍,尼古丁替代疗法也显示出了效果。总体而言,香烟使用量没有一个安全水平,这强调了全面控烟工作对减轻烟草使用对全球健康和经济影响的重要性。本综述探讨与人类烟草消费相关的健康风险。关键词烟草 尼古丁 致癌物质 癌症 心血管疾病
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引用次数: 0
Sero-prevalence of hepatitis B virus and associated factors among pregnant women attending antenatal care in Bosaso general hospital, Puntland, Somalia 2023: A cross-sectional study design 2023 年在索马里邦特兰博萨索综合医院接受产前检查的孕妇中乙型肝炎病毒血清流行率及相关因素:横断面研究设计
Pub Date : 2024-05-15 DOI: 10.22270/jddt.v14i5.6564
Mohyadin Abdullahi Ahmed, Ahmed Mohammed Ibrahim, R. Yusuf, Beder Jama Yusuf, Abdirahman Muhumed Mahamud, Fatima Said Duale, Mustafe Abdi Ali, Mustafa Mohamud Farah
Background: Hepatitis is an inflammation of the liver caused by a variety of infectious and non-infectious agents, leading to a range of health problems. Hepatitis B virus (HBV) can cause    both acute and chronic liver disease, and the most common virus that can be transmitted from mother to child and other modes of transmission are contact with blood or other body fluids during sexual intercourse, unsafe injections, or exposure to sharp instruments. Objective: To determine the seroprevalence and associated factors of HBV infection among pregnant women attending the Antenatal Clinic at Bosaso General Hospital, Puntland, Somalia, in 2023. Methods: A cross-sectional study was conducted among 302 pregnant women who underwent routine ANC at Bosaso General hospital from March 15 to May 15. Study participants were interviewed using a structured questionnaire. A systematic random sampling technique was used to identify participants. Data entry, editing, and cleanup of the collected data were performed by the principal investigator using EPI data, and data analysis was performed using SPSS software version 20 to examine the association between each independent variable and the outcome variable. Bivariate and multivariate logistic regression analyses were performed to determine associations. Result: A total of 302 respondents participated in the study, with a response rate of 96.8%. The overall prevalence of hepatitis B infection among pregnant women was 6.6% (95% CI = 4.0–9.8). Having a history of dental procedures (AOR = 5.52, 95% CI = 1.190–25.68), a history of blood transfusion (AOR = 5.02, 95% CI = 1.088–23.19), a history surgical procedure (AOR = 4.7, 95% CI = 1.014–21.76), or having a family history of HBV infection (AOR = 10.07, 95% CI = (1.27–79.63) were significant predictors of HBV infection among pregnant women. Conclusion: The seroprevalence of HBV was intermediate (2–8%) in the study area according to WHO classification. A history of dental procedures, blood transfusion, surgical procedures, and a family history of hepatitis B virus infection were significantly associated with HBV infection. Keywords: Sero-prevalence; Bosaso; hepatitis B virus; pregnant women.
背景:肝炎是由多种传染性和非传染性病原体引起的肝脏炎症,可导致一系列健康问题。乙型肝炎病毒(HBV)可导致急性和慢性肝病,是最常见的母婴传播病毒,其他传播途径包括性交时接触血液或其他体液、不安全注射或接触锐器。研究目的确定 2023 年在索马里邦特兰博萨索总医院产前门诊就诊的孕妇中 HBV 感染的血清流行率和相关因素。研究方法对 3 月 15 日至 5 月 15 日期间在博萨索综合医院接受常规产前检查的 302 名孕妇进行了横断面研究。研究人员使用结构化问卷对参与者进行了访谈。采用系统随机抽样技术确定参与者。主要研究人员使用 EPI 数据对收集到的数据进行了录入、编辑和清理,并使用 SPSS 软件 20 版进行了数据分析,以检验每个独立变量与结果变量之间的关联。为确定两者之间的关联性,进行了二元和多元逻辑回归分析。结果共有 302 名受访者参与了研究,回复率为 96.8%。孕妇乙型肝炎感染率为 6.6%(95% CI = 4.0-9.8)。有牙科手术史(AOR = 5.52,95% CI = 1.190-25.68)、输血史(AOR = 5.02,95% CI = 1.088-23.19)、手术史(AOR = 4.7,95% CI = 1.014-21.76)或有 HBV 感染家族史(AOR = 10.07,95% CI = (1.27-79.63))是孕妇感染 HBV 的重要预测因素。结论根据世界卫生组织的分类,该研究地区的 HBV 血清流行率处于中等水平(2%-8%)。牙科手术史、输血史、外科手术史和乙型肝炎病毒感染家族史与 HBV 感染密切相关。关键词血清流行率;博萨索;乙型肝炎病毒;孕妇。
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引用次数: 0
Histopathologic Changes in the Placenta of Pregnant Women with Preeclampsia 子痫前期孕妇胎盘的组织病理学变化
Pub Date : 2024-05-15 DOI: 10.22270/jddt.v14i5.6585
M. Obut, Süleyman Cemil Oğlak, F. Aşır, Fatma Tuba Karakaş, Nilüfer Dönmezdil, Elif Ağaçayak, E. Şeker, Murat Akkuş
Objective: The placenta plays a key role in the development of pre-eclampsia. Knowledge of the histopathologic changes in the preeclamptic placenta will improve our understanding of the pathophysiology of preeclampsia, which may contribute to the development of timely interventions, prevention strategies or treatment options. Therefore, in this study, we investigated the histopathologic changes in the placentas of pre-eclampsia patients. Material and Methods: This study was conducted between May 01, 2023, and January 31, 2024, at tertiary hospital. A total of 30 pregnancies were included in the study, 15 with preeclampsia and 15 that were otherwise normal pregnancies. After delivery by cesarean section, the placentas of these patients were taken to the Department of Histology and Embryology examined histologically by staining with hematoxylin-eosin. Results: Compared to the control group, the placentas of the pre-eclampsia patients showed a more degeneration of the villi, hemorrhage in the intervillous area, the presence of immune cells, vasodilation, and congestion. In addition, there were more fibrinoid accumulations and more syncytial knots in the placentas of the pre-eclampsia patients. Conclusion: There were histologic differences between the placenta of pre-eclampsia patients and the control group. The studies that search the precursor markers leading to these histopathologic changes are necessary to improve our understanding of preeclampsia and to develop further strategies such as treatment options and prevention strategies. Keywords: Preeclampsia, hematoxylin-eosin staining, histopathologic examination
目的:胎盘在子痫前期的发病过程中起着关键作用。对子痫前期胎盘组织病理学变化的了解将提高我们对子痫前期病理生理学的认识,从而有助于制定及时的干预措施、预防策略或治疗方案。因此,本研究对子痫前期患者胎盘的组织病理学变化进行了研究。材料与方法本研究于 2023 年 5 月 1 日至 2024 年 1 月 31 日在三级医院进行。共有 30 名孕妇参与研究,其中 15 名患有子痫前期,15 名为正常妊娠。剖宫产后,这些患者的胎盘被送往组织学和胚胎学部门,通过苏木精-伊红染色进行组织学检查。结果显示与对照组相比,子痫前期患者的胎盘中绒毛退化、绒毛间区出血、免疫细胞、血管扩张和充血的现象更为明显。此外,子痫前期患者的胎盘中有更多的纤维素堆积和更多的合胞结。结论子痫前期患者的胎盘与对照组存在组织学差异。有必要对导致这些组织病理学变化的前体标志物进行研究,以提高我们对子痫前期的认识,并制定进一步的策略,如治疗方案和预防策略。关键词子痫前期;苏木精-伊红染色;组织病理学检查
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引用次数: 0
Evaluation of CD4 Count in HIV Infected Pregnant Women at Kibagabaga Level Two Teaching Hospital 评估基巴加巴加二级教学医院感染艾滋病毒孕妇的 CD4 细胞计数
Pub Date : 2024-05-15 DOI: 10.22270/jddt.v14i5.6513
Evariste Ntezirizaza, Ishimwe Alain Prudence, Baptiste Jean Habanabakize, Tuyishime Jean De Dieu
CD4 count measures the degree of immunosuppression in HIV-positive patients and is used to monitor HIV infection progression in human body. HIV is a virus that attacks the body’s immune system and if not treated, can lead to AIDS The rate of CD4 cells destruction is directly proportional to progressive replication of HIV. Pregnant women infected with HIV have high risk of mother to child transmission of HIV infection and are prone to excessive immunosuppression and increased viral load if their CD4 cell count is not properly maintained. Pregnancy may influence CD4 cells count reduction or don’t, that’s why this study focused on evaluation of CD4 count in HIV infected pregnant women. The objectives of this study were to determine the association between pregnancy trimesters and CD4 count among HIV infected pregnant women at KDH. The study was a cross sectional study which included 46 patients who visited kibagabaga level two teaching hospital in 5 months. Data were obtained by collecting venous blood of patients, testing their CD4 count and use of a questionnaire to evaluate the risk factors associated with changes in CD4 count. Data collected were analysed using statistical package for social sciences (SPSS) software version 22.0 and Microsoft word, the presentation of results was done using tables. Variables with p-value less than or equal to 0.05 were considered statistically significant. The study showed that there is an association between pregnancy trimesters and CD4 count among HIV infected pregnant women where 21(45.6%) women were in third trimester and had the highest CD4 count compared to women in the 2nd trimester 14(30.4%) followed by women in 1st trimester 11(24%) with p-value of 0.04 which is statistically significant. In evaluated CD4 count changes, associated risk factors were, antiretroviral treatment intake, diet intake, education level, pregnancy trimester, and closely spaced pregnancies. Which were found to have p-values 0.00, 0.00, 0.04, 0.04 and 0.01 that were statistically significant respectively. Keywords: HIV, CD4 Count, Pregnant women
CD4 细胞计数可测量 HIV 阳性患者的免疫抑制程度,用于监测 HIV 在人体内的感染进展。CD4 细胞的破坏速度与 HIV 的逐渐复制速度成正比。感染艾滋病病毒的孕妇母婴传播艾滋病病毒的风险很高,如果 CD4 细胞数量维持不当,容易造成过度免疫抑制和病毒载量增加。怀孕可能会影响 CD4 细胞数量的减少,也可能不会,这就是本研究重点评估感染 HIV 孕妇 CD4 细胞数量的原因。本研究的目的是确定在 KDH 感染 HIV 的孕妇中,怀孕三个月与 CD4 细胞计数之间的关系。该研究是一项横断面研究,包括 46 名在 5 个月内到过基巴加巴加二级教学医院的患者。研究人员通过采集患者的静脉血、检测其 CD4 细胞计数以及使用问卷评估与 CD4 细胞计数变化相关的风险因素来获取数据。收集到的数据使用社会科学统计软件包(SPSS)22.0 版和 Microsoft Word 进行分析,结果以表格形式呈现。P值小于或等于0.05的变量被认为具有统计学意义。研究结果表明,感染艾滋病毒的孕妇中,怀孕三个月与 CD4 细胞数之间存在关联,其中 21 名(45.6%)孕妇怀孕三个月,CD4 细胞数最高,相比之下,怀孕两个月的孕妇 CD4 细胞数最高,为 14 名(30.4%),其次是怀孕三个月的孕妇,CD4 细胞数最高,为 11 名(24%),P 值为 0.04,具有统计学意义。在评估的 CD4 细胞数变化中,相关的风险因素包括:抗逆转录病毒治疗的摄入量、饮食摄入量、教育水平、怀孕三个月和怀孕间隔较近。这些因素的 P 值分别为 0.00、0.00、0.04、0.04 和 0.01,具有统计学意义。关键词艾滋病毒 CD4 细胞计数 孕妇
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引用次数: 0
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Journal of Drug Delivery and Therapeutics
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