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Determinants of nutritional recovery status and survival time among children from 0 to 14 years old with acute malnutrition admitted to a therapeutic feeding center in Oromia, Southern Ethiopia: A retrospective cohort study 埃塞俄比亚南部奥罗米亚治疗性喂养中心收治的0 - 14岁急性营养不良儿童营养恢复状况和生存时间的决定因素:一项回顾性队列研究
Pub Date : 2023-03-09 DOI: 10.18488/98.v10i1.3315
M. I. Sanchez-Lopez, Maria Del Mar Giner-Oliver, Marta Lluesma-Vidal, Laura García-Garcés, Carmen Trull-Ahuir, Cayetana Ruiz-Zaldibar
Some studies have been conducted in Ethiopia to analyze the predictive factors associated with recovery or mortality in children with acute malnutrition, but no recent studies carried out in Oromia have analyze nutritional recovery status in this children. we studied the factors affecting nutritional recovery for survival in acutely malnourished children Southern Ethiopia. cohort study that included the children admitted to the (blinded for review) hospital (Oromia, Ethiopia) for acute malnutrition from January 2015 to December 2016 (n = 440). Kaplan–Meier tests and log-rank tests were used to describe the survival. Chi-squared tests and Spearman and Mann–Whitney U correlation tests were also employed. The mean survival time was shorter in children with severe versus moderate malnutrition at admission (49 days vs. 101 days; log-rank p = 0.042). The survival time was shorter in children with severe acute malnutrition at the time of admission. Survival time of children with moderate acute malnutrition was shorter in children who came from rural areas compared to urban areas. Severe acute malnutrition was associated with hospital stays, death rates, or transfer to another hospital. Practical implications: the results of this study may improve the care of children with malnutrition.
在埃塞俄比亚进行了一些研究,分析了与急性营养不良儿童康复或死亡率相关的预测因素,但最近在奥罗米亚进行的研究没有分析这些儿童的营养恢复状况。我们研究了影响埃塞俄比亚南部急性营养不良儿童营养恢复生存的因素。队列研究,纳入2015年1月至2016年12月在埃塞俄比亚奥罗米亚(Oromia)医院因急性营养不良入院的儿童(n = 440)。Kaplan-Meier检验和log-rank检验用于描述生存率。还采用卡方检验和Spearman和Mann-Whitney U相关检验。入院时重度营养不良儿童的平均生存时间较中度营养不良儿童短(49天对101天;Log-rank p = 0.042)。入院时严重急性营养不良患儿的生存时间较短。中度急性营养不良儿童的生存时间在农村地区比在城市地区短。严重急性营养不良与住院时间、死亡率或转院有关。实际意义:本研究结果可改善营养不良儿童的护理。
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引用次数: 0
The Outcome and Hepatic Function of an Extended Category II Treatment in a HIV-Seronegative Suspected Extensively Drug-Resistant TB Patient 对一名hiv血清阴性疑似广泛耐药结核病患者进行扩展第二类治疗的结果和肝功能
Pub Date : 2020-01-01 DOI: 10.18488/journal.98.2020.71.1.6
Ato Kwamena Tetteh, E. Agyarko, J. Otchere, L. Bimi, I. Ayi
Article History Received: 15 October 2019 Revised: 20 November 2019 Accepted: 23 December 2019 Published: 27 January 2020
收稿日期:2019年10月15日修稿日期:2019年11月20日收稿日期:2019年12月23日发布日期:2020年1月27日
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引用次数: 0
Renal-Biofunction Potentials of Ethanolic Extract of Solanum Melongena Linn Fruit on Monosodium Glutamate- Intoxicated Rats and Kidney Histology 龙葵果实醇提物对谷氨酸钠中毒大鼠肾脏生物功能电位及肾脏组织学研究
Pub Date : 2019-01-01 DOI: 10.18488/JOURNAL.98.2019.61.1.8
U. O. Mbah, Ijere D. Nwanne, O. Jeremiah, Anthony Cemaluk C. Egbuonu
This study evaluated the renal biofunction potentials of ethanolic extract of Solanum melongena Linn fruit on monosodium glutamate-intoxicated rats' and kidney histology using standard protocol. Twenty four Wistar rats that weighed 105.00 ± 7.00 g were used. The rats were assigned into 6 groups of 4 each and fed thus: Group 1 (control, feed and distilled water only), Group 2 (8000mg/kg body weight monosodium glutamate (MSG)), Group 3 (300mg/kg body weight (bw) the sample extract), Group 4 (8000mg/kg bw MSG + 100mg/kg bw the sample extract ), Group 5(8000mg/kg bw MSG+ 300mg/kg bw the sample extract) and Group 6 (8000mg/kg bw MSG+ 500mg/kg bw the sample extract) daily for 14 days. The results were expressed as mean ± S.E.M and one-way analysis of variance (ANOVA), followed by a Duncan posthoc test was done to test for significance using SPSS version 22.0. The exposure of MSG resulted in a significant (P =0.05) increase in the activities of serum urea, creatinine, potassium ion, chloride ion, and sodium ion compared to the control. MSG and ethanolic extract of Solanum melongena Linn fruit co-treated groups at different concentrations were significantly (P =0.05) reduced to become comparable to the control group. MSG consumption in high concentration alters renal biofunction and this is also evident in the histology of the studied rats' kidney sections. However, the protective roles of ethanolic extract of Solanum melongena Linn fruit were notably at 500mg/kg of body weight in rats, a pointer to the dose-dependent function. electrolytes used in the assessment of function. that high MSG in renal function There is a significantly (P=0.05) higher serum urea and creatinine concentration in the MSG only group compared to the control induced-toxicity that the function in to free interaction the
本研究采用标准方案评价茄汁乙醇提取物对谷氨酸钠中毒大鼠肾脏的生物功能电位和肾脏组织的影响。选用Wistar大鼠24只,体重105.00±7.00 g。将大鼠分为6组,每组4只,分别饲喂:1组(对照组、饲料和蒸馏水)、2组(味精8000mg/kg体重)、3组(样品提取物300mg/kg体重)、4组(味精8000mg/kg体重+样品提取物100mg/kg体重)、5组(味精8000mg/kg体重+样品提取物300mg/kg体重)、6组(味精8000mg/kg体重+样品提取物500mg/kg体重),每天饲喂14 d。结果以均数±标准差表示,采用单因素方差分析(ANOVA),采用SPSS 22.0版进行Duncan事后检验,检验显著性。与对照组相比,味精暴露导致血清尿素、肌酐、钾离子、氯离子和钠离子活性显著升高(P =0.05)。不同浓度的龙葵果实共处理组的味精和乙醇提取物显著降低(P =0.05),与对照组相当。高浓度味精摄入会改变肾脏生物功能,这在研究大鼠肾脏切片的组织学上也很明显。而在500mg/kg体重时,茄汁乙醇提取物对大鼠的保护作用显著,具有剂量依赖性。用于功能评估的电解质。高味精对肾功能的影响:仅味精组血清尿素和肌酐浓度显著高于对照组(P=0.05)
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引用次数: 0
Effect of Plasmodium Falciparum on Liver Function Parameters of Children in Akoko Area of Ondo State, Nigeria 恶性疟原虫对尼日利亚翁多州阿科科地区儿童肝功能指标的影响
Pub Date : 2018-01-01 DOI: 10.18488/journal.98.2018.51.1.5
A. O. Olusola, M. O. Akanbi
Background: Malaria remains one of the most important causes of morbidity and mortality in endemic areas, primarily affecting children under five years of age. The highest death burden occurs in young children who have not yet developed protective immune mechanisms against the parasite. Objective: This study was undertaken to investigate the effect of Plasmodium falciparum infection on liver function in malaria patients in Ikare Akoko, Ondo State Nigeria. Methods: Blood samples taken from 101 patients (children between the ages of 6 months – 5years) at the State Specialist Hospital Ikare Akoko Ondo State Nigeria between August to October, 2012 were examined. After screening, the patients were grouped into two. Group 1, the test group (those who tested positive to falciparum malaria) and a total of 101 children were selected into this group while 101 children who tested negative to malaria were selected into group 2 (control group). Changes in the activities of serum enzymes were determined in both groups using normal range values as baseline. Results: In falciparum malaria patients, the serum alanine aminotransferase (ALT), aspartate aminotransferase (AST) and alkaline phosphatase (ALP) activities respectively were 63.10+2.76, 138.46+5.04, 70.50±4.33 and those of the non infected patients respectively were 62.39+2.96, 131.46+4.38 and 65.57 ±2.39. This indicates the serum levels of ALT, AST and ALP in infected patients were significantly (P = 0.05) elevated relative to their non-infected counterparts, an indication of defective liver function. Conclusion: This study suggests that malaria parasites could be responsible for derangement of the liver functions in patients and could therefore contribute to organ damage in affected individuals if not treated.
背景:疟疾仍然是流行地区发病和死亡的最重要原因之一,主要影响五岁以下儿童。死亡负担最高的是尚未形成针对寄生虫的保护性免疫机制的幼儿。目的:研究恶性疟原虫感染对尼日利亚翁多州伊卡雷阿科科疟疾患者肝功能的影响。方法:对2012年8月至10月在尼日利亚Ondo州Ikare Akoko州立专科医院采集的101例患者(年龄在6个月至5岁之间)的血液样本进行检测。筛选后,将患者分为两组。第1组,即试验组(恶性疟疾检测呈阳性的儿童)和101名儿童被选入该组,而101名疟疾检测呈阴性的儿童被选入第2组(对照组)。以正常范围值为基线测定两组血清酶活性的变化。结果:恶性疟疾患者血清丙氨酸转氨酶(ALT)、天冬氨酸转氨酶(AST)和碱性磷酸酶(ALP)活性分别为63.10+2.76、138.46+5.04、70.50±4.33,未感染患者血清ALT、AST和ALP活性分别为62.39+2.96、131.46+4.38和65.57±2.39。这表明,与未感染的患者相比,感染患者血清中ALT、AST和ALP水平显著升高(P = 0.05),表明肝功能存在缺陷。结论:本研究提示疟疾寄生虫可能导致患者肝功能紊乱,因此如果不加以治疗,可能会导致患者器官损伤。
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引用次数: 2
Determination of the Seasonality of Bovine Tuberculosis Disease from the Risk Based Disease Management 从基于风险的疾病管理确定牛结核病的季节性
Pub Date : 2017-01-01 DOI: 10.18488/JOURNAL.98.2017.41.1.5
B. Senturk
This study is among major epidemics in the world and Turkey is conducted to evaluate the seasonality of the risk factors of the disease bovine tuberculosis. The seasonal distribution of Turkey’s outbreak of bovine tuberculosis in the 2005-2014 year was investigated in this study. Office International des Epizooties outbreak data was used to determine Turkey’s monthly bovine tuberculosis outbreak data at the provincial level for this evaluation. Turkey's 81 provinces, seven geographic regions, and 12-month outbreak data are evaluated. The distribution of the four seasons of the outbreak to the coast and inland are analyzed for the determined seasonality of the disease. In the study, it was found that Turkey reached the highest number of outbreaks of the disease throughout the summer at a rate of 29.44%. In the study, the risk of bovine tuberculosis disease, diseases of the seasonality of the summer months when the investigation come to the fore, has been carefully assessed in terms of planning for disease control measures. As a result, reveals how it should be used in the identification of disease-specific risk that results obtained in the fight against the disease in this study and the importance of the fight against the disease. Taking control of the disease and timely measures for the disease will contribute to the reduction of costs related to the disease.
这项研究是世界上主要流行病之一,在土耳其进行是为了评估牛结核病危险因素的季节性。本研究调查了2005-2014年土耳其牛结核病暴发的季节分布。国际兽疫局的暴发数据被用于确定土耳其省一级的每月牛结核病暴发数据。评估了土耳其81个省、7个地理区域和12个月的疫情数据。分析了沿海和内陆暴发的四季分布,确定了该病的季节性。在这项研究中,发现土耳其在整个夏季的发病率最高,为29.44%。在这项研究中,在规划疾病控制措施方面仔细评估了牛结核病的风险,这种季节性疾病是在调查开始的夏季出现的。因此,揭示了它应该如何用于识别疾病的特定风险,在本研究中获得的结果在与疾病的斗争中以及与疾病的斗争的重要性。控制疾病并及时采取措施将有助于减少与疾病有关的费用。
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引用次数: 0
A Rare Clinical Presentation of Lipoma- Palmar Lipomatosis 一种罕见的脂肪瘤临床表现-手掌脂肪瘤病
Pub Date : 2017-01-01 DOI: 10.18488/JOURNAL.98.2017.41.6.12
Khan Mohd Shahbaaz, M. Surendra, K. Sanjay
Introduction- Lipoma is the most common and most widely distributed tumor seen in the body. The most common clinical presentation is a gradually increasing, soft and non-tender mass. These tumours are very rare in hands and if they are present then they are of small size and usually one in number. Herewith we are presenting a case of Palmar Lipomatosis which had a large tumour and 4 small size tumour in same palm. Case report- Herewith we are reporting a case of a 40 years old female, presented with the complaints of multiple swellings in the right palm. She first noticed a small swelling on the thenar aspect of palm about 1½ years back; which was slowly, progressively increasing in size since then. Meanwhile patient also noticed some other swellings in the same palm. Incisions were given over thenar, hypothenar and at the bases of finger. All the tumors were removed en-masse. Biopsy report was fibrolipoma. Conclusion- Palmar lipoma is very rare tumour. Palm has very limited space for these tumours to grow but still these tumours can be found in palm. Very limited case reports about the lipoma of hand are present in literature. Here we presented a rare case of palmer lipomatosis which has multiple lipomatous swellings in same plam. They were removed successfully without any residual deformity.
脂肪瘤是人体最常见、分布最广的肿瘤。最常见的临床表现是一个逐渐增大,柔软和无痛的肿块。这些肿瘤在手部非常罕见,如果它们存在,它们的体积很小,通常只有一个。在此,我们报告一个手掌脂肪瘤病的病例,在同一手掌有一个大的肿瘤和四个小的肿瘤。病例报告-我们在此报告一例40岁女性,表现为右手掌多处肿胀。大约一年半前,她第一次注意到手掌大鱼际有一个小肿块;从那时起,它的规模就在缓慢地逐步扩大。同时,患者还发现同一手掌有其他肿胀。在大鱼际、鱼际下及指底处开切口。所有肿瘤全部切除。活检报告为纤维脂肪瘤。结论:掌脂肪瘤是一种罕见的肿瘤。手掌的肿瘤生长空间非常有限但这些肿瘤仍然可以在手掌中找到。文献中关于手部脂肪瘤的病例报道非常有限。我们报告一例罕见的palmer脂肪瘤病,在同一平面有多个脂肪瘤性肿胀。它们被成功移除,没有任何残留的畸形。
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引用次数: 1
Major Depression with Delusional Prevalence and Fixation in Neurotransmitters 重度抑郁症妄想患病率及神经递质固定
Pub Date : 2017-01-01 DOI: 10.18488/journal.98.2017.41.13.28
S. Trifu, A. Teodorescu, Lusia Voinescu Loredana, Eduard Carp George
Making a differential diagnosis between schizoaffective disorder with major depressive episode and paranoid schizophrenia is difficult. The patient is at the threshold of neurotic versus psychotic, the intensity of ideation phenomenon being very high and specific to both disorders, it is required an assessment based on life and disorder history information, but also the emotional presence of the patient in the clinical interview. In this case study we suggest a literature comparison but also an evaluation profile of the disorder, marked by a psychiatric illness in which the person shows both affective symptoms (depressive or maniac) and symptoms of schizophrenia (such as delusions, hallucinations). Hypothesis: symptoms of the patient are oscillating between paranoid elements (paranoid schizophrenia) and affective elements (schizoaffective disorder). These oscillations are based on a fragile Ego structure with cognitive rigidity. The study outlines an immature-dependent personality profile, based on interpretativity, with passive-aggressive elements, hypersensitivity, psychotic operation and through psychotic elements manifested in the past (auditory hallucinations, as voices). Also, the basis of the transfer and counter-transference elements identified, the emotional resonance is low, with a risk of psychotic decompensation. Conclusions: Depressive schizoaffective disorder is characterized by presence of both depressive and schizophrenia symptoms in the same time period. Depressive symptoms includes: depressed mood, reduced interest, sluggishness, low energy, difficulty concentrating, insomnia, feelings of despair. During the same episode are present symptoms of schizophrenia: hallucinations, delusions of control, state of hyper-vigilance, delusions injury. Clinical examination cannot be a chance encounter because the history of mental suffering tight interfere with subject's essential history in that it creates a gap and that subjectivity psychiatric symptoms inferred immense emotional and personal participation of the subject.
鉴别诊断分裂情感性障碍伴重度抑郁发作和偏执型精神分裂症是困难的。患者处于神经症与精神病的阈值,思维现象的强度非常高且对两种疾病都有特异性,需要基于生活和疾病病史信息进行评估,也需要在临床访谈中患者的情感存在。在这个案例研究中,我们建议进行文献比较,同时也对这种障碍进行评估,以精神疾病为特征,患者表现出情感症状(抑郁或狂躁)和精神分裂症症状(如妄想、幻觉)。假设:患者的症状在偏执因素(偏执型精神分裂症)和情感因素(分裂情感障碍)之间摇摆。这些振荡是基于具有认知刚性的脆弱自我结构。该研究概述了一种基于解释性的不成熟依赖型人格特征,具有被动攻击因素、超敏感、精神病性操作以及通过过去表现出来的精神病性因素(幻听,如声音)。此外,在移情和反移情因素的基础上,情感共鸣较低,有精神病失代偿的风险。结论:抑郁性分裂情感性障碍的特点是在同一时期同时出现抑郁和精神分裂症症状。抑郁症状包括:情绪低落、兴趣减退、行动迟缓、精力不足、注意力难以集中、失眠、感到绝望。在同一发作期间出现精神分裂症的症状:幻觉、控制妄想、高度警惕状态、妄想损伤。临床检查不可能是一次偶然的相遇因为精神痛苦的历史会干扰受试者的基本历史因为它会造成一个缺口主观性精神症状推断出受试者巨大的情感和个人参与。
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引用次数: 0
The Potential Protective Role of Chamomile Extract on Rat Liver Ultrastructural Changes Induced by 2, 4-Dichlorophenoxyacetic Acid 洋甘菊提取物对2,4 -二氯苯氧乙酸致大鼠肝脏超微结构改变的潜在保护作用
Pub Date : 2016-01-01 DOI: 10.18488/journal.98/2016.3.1/98.1.11.20
Dalal A. Al-Baroudi, Thanaa. A. El-kholy, Reham A. Arafat, A. Ali
The current study aimed to demonstrate the hepatoprotective effect of chamomile extract and its role in relieving the ultrathin structure changes in liver tissue caused by 2, 4-Dichlorophenoxy acetic acid (2, 4-D) using electron microscopy.This experiment was performed on 12 -14 weeks old male Wistar rats divided into six groups (six animals each). The first group was kept as control. The second and third groups received orally accumulative doses of 75 and 150 mg/kg body weight (b.wt.), of 2, 4- D respectively. The forth group received orally Chamomile extract (500 mg/kg b.wt.) alone. The last two groups received Chamomile extract with either doses of 2, 4-D (75 or 150 mg/kg b.wt). At the end of the experimental period (4 weeks), the liver was dissected and examined by electron microscope. Histopathological examination of liver sections of rats administered 2, 4-D75 mg/kg showed differences in nuclear shapes and size, envelope and increase in heterochromatin masses. Adminstration of 2, 4-D150mg/kg showed pyknosis and changes inmitochondria, endoplasmic reticulum, Kupffer cells, increases in lysosomes and lipid droplets. Chamomile group showed the normal control ultra structure of the liver. In group treated with chamomile and 2, 4-D75,there was improvements in all degenerative changes induced by 2, 4-D75. Chamomile and 2, 4-D150 groupshowed partial improvement in both nucleus and the mitochondria. Chamomile reduces the oxidative damage induced by 2, 4-D due to its antioxidant properties. It is recommended that Chamomile extract can be taken to ameliorate hepatotoxicity.
本研究旨在通过电镜验证洋甘菊提取物的保肝作用及其对2,4 -二氯苯氧基乙酸(2,4 - d)引起的肝组织超薄结构变化的缓解作用。实验选用12 ~ 14周龄雄性Wistar大鼠,分为6组,每组6只。第一组作为对照。第二组和第三组分别口服累积剂量75和150 mg/kg体重(b.wt.) 2,4 - D。第四组只口服洋甘菊提取物(500 mg/kg b.wt)。最后两组服用洋甘菊提取物,剂量为2,4 - d(75或150毫克/公斤体重)。实验结束(4周),解剖大鼠肝脏,电镜观察。给药2,4 - d75 mg/kg的大鼠肝脏切片组织病理学检查显示,细胞核形状和大小、包膜和异染色质团块增加。给药2,4 - d150mg /kg后,线粒体、内质网、库普弗细胞固缩、改变,溶酶体和脂滴增加。洋甘菊组小鼠肝脏超微结构正常。洋甘菊和2,4 - d75治疗组,2,4 - d75诱导的所有退行性改变均有改善。洋甘菊和2,4 - d150组对细胞核和线粒体均有部分改善。由于其抗氧化特性,洋甘菊减少了2,4 - d引起的氧化损伤。建议服用洋甘菊提取物来改善肝毒性。
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引用次数: 2
Seroprevalence of Herpes Simplex Virus Type 2 (HSV-2) Infection among HIV Patients Accessing Healthcare at Federal Medical Centre, Keffi, Nigeria 在尼日利亚Keffi联邦医疗中心接受医疗保健的艾滋病毒患者中单纯疱疹病毒2型(HSV-2)感染的血清患病率
Pub Date : 2016-01-01 DOI: 10.18488/JOURNAL.98/2016.3.2/98.2.31.37
G. Pennap, V. Oti
Herpes simplex virus type 2 (HSV-2) infections is a sexually transmitted infection worldwide, with public health implications especially as a driving force behind the Human Immunodeficiency Virus (HIV) epidemic. It is known to cause genital ulcer as well as lesions. It is a lifelong recurrent disease with no cure. Due to the lack of documented HSV-2 studies among HIV patients in this study area with an estimated HIV prevalence of 38.7%, there was a need for estimating the seroprevalence of HSV-2 infection among HIV patients. The sera of 223 consenting HIV positive patients were screened for HSV-2 specific IgG using an ELISA test kit (Cortez Diagnostic, Inc, USA). Chi-square test was performed to identify possible risk factors associated with the viral seropositivity. The overall seroprevalence HSV-2 infection was 77.6%. Females recorded a prevalence of 84.5% and males 51.0% (p > 0.05). Participants aged ≤ 20 and ≥ 61 years recorded a prevalence of 100%, while the lowest prevalence (66.7%) was observed in those aged 51-60 years (p > 0.05). There was a statistically significant association between the seroprevalence of HSV-2 and locality. Patients from the rural setting had a higher prevalence (85.2%) of the infection than those from the urban setting (72.6%) (p ≤ 0.05). However, marital status, occupation, level of education, antiretroviral therapy (ART) status and CD4 counts, had no statistically significant association with HSV-2 infection (p > 0.05). The prevalence of 77.6% reported in this study is a cause for alarm. Awareness campaigns and health education that will promote behavioral change might be the most important strategy to mitigate transmission as most of the infected persons usually show no clinical symptoms.
单纯疱疹病毒2型(HSV-2)感染是一种世界性的性传播感染,具有公共卫生影响,特别是作为人类免疫缺陷病毒(HIV)流行背后的驱动力。已知它会引起生殖器溃疡和病变。这是一种终生复发的疾病,无法治愈。由于该研究区HIV患病率估计为38.7%,缺乏对HIV患者中2型单纯疱疹病毒的研究记录,因此有必要估计HIV患者中2型单纯疱疹病毒的血清患病率。采用ELISA检测试剂盒(Cortez Diagnostic, Inc ., USA)对223名HIV阳性患者的血清进行HSV-2特异性IgG的筛查。采用卡方检验确定与病毒血清阳性相关的可能危险因素。2型单纯疱疹病毒的总血清阳性率为77.6%。女性患病率84.5%,男性51.0% (p > 0.05)。≤20岁和≥61岁的人群患病率为100%,51 ~ 60岁人群患病率最低,为66.7% (p > 0.05)。2型单纯疱疹病毒血清阳性率与地区有统计学意义的相关性。农村地区的感染率(85.2%)高于城市地区的感染率(72.6%)(p≤0.05)。而婚姻状况、职业、受教育程度、抗逆转录病毒治疗(ART)状况和CD4计数与HSV-2感染无统计学意义(p > 0.05)。本研究报告的患病率为77.6%,值得警惕。提高认识运动和促进行为改变的健康教育可能是减轻传播的最重要战略,因为大多数感染者通常没有临床症状。
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引用次数: 1
Dyspnea as an Unusual Presentation of Rickets in A 3-Month-Old Infant: A Case Report 呼吸困难是佝偻病的一个不寻常的表现在3个月的婴儿:一个病例报告
Pub Date : 2016-01-01 DOI: 10.18488/journal.98/2016.3.2/98.2.27.30
J. Okudo
Rickets, a condition caused by a deficiency of vitamin D, has a myriad of presentations and affects children all over the world. Infants who are exclusively breastfed by mothers who are vitamin D deficient are affected, particularly in the absence of vitamin D supplementation during pregnancy. While breast feeding is encouraged, breast milk is deficient in vitamin D thus; exclusively breastfed infants require vitamin D supplementation. This case describes a three-week-old male infant with a continuum of rickets, which went undiagnosed from the initial presentation of noisy, difficult breathing and snoring at the pediatric emergency department. This case emphasizes that rickets may not always have a classical presentation.
佝偻病是一种由维生素D缺乏引起的疾病,有无数种表现形式,影响着全世界的儿童。由缺乏维生素D的母亲纯母乳喂养的婴儿会受到影响,特别是在怀孕期间没有补充维生素D的情况下。虽然鼓励母乳喂养,但母乳缺乏维生素D;纯母乳喂养的婴儿需要补充维生素D本病例描述了一个三周大的男婴,患有连续的佝偻病,从最初在儿科急诊科表现为嘈杂,呼吸困难和打鼾而未被诊断出来。这个病例强调佝偻病可能并不总是有经典的表现。
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引用次数: 0
期刊
Journal of Diagnostics
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