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In vitro evaluation of the accuracy of ProPex II, Raypex 6 and iPex II electronic apex locators in primary molar teeth ProPexⅱ、Raypex 6、iPexⅱ电子牙尖定位器在初级磨牙中准确性的体外评价
Pub Date : 2016-05-01 DOI: 10.4103/2394-2010.184227
L. Demiriz, M. Koçak, B. Sağlam, S. Kocak
Background: Electronic apex locators (EALs) have become popular to measure the working length in permanent teeth in recent years, and they have helped for estimation of the working length more accurate. Objective: The purpose of this study is to evaluate the accuracy of ProPex II, Raypex 6 and iPex II EALs in primary molar teeth. Materials and Methods: Fifteen mandibular primary second molar teeth with 48 root canals were measured by all EALs. The direct length (DL) of the root canals was measured visually. The differences between DL and electronic working length (EWL) measurements of each device were calculated. Statistically analysis was performed using Student′s t-test, and the significance level was at 5%. Results: For the measurements of ProPex II, the reliability of ±0.5 mm was determined in 77% of all root canals. For Raypex 6, the same result (77%) was observed when the accuracy was also accepted as ±0.5 mm. On the other hand, the result was found as 79% in the measurements of iPex II when the same accuracy limit (±0.5 mm) was considered. When the accuracy limit was ±1 mm, the determined values were 96% for ProPex II and Raypex 6 and 94% for iPex II. There was no significant difference between each EAL group (P > 0.05). Conclusion: The ProPex II, Raypex 6, and iPex II EALs showed similar results and all tested EALs were able to determine the working length in primary molar teeth accurately.
背景:近年来,电子牙尖定位仪(EALs)被广泛应用于恒牙工作长度的测量,它有助于更准确地估计恒牙的工作长度。目的:评价ProPex II、Raypex 6和iPex II型EALs在初级磨牙上的准确性。材料与方法:15颗下颌第一第二磨牙,48根根管,全部用EALs测量。目测根管直接长度(DL)。计算了每个装置的DL和电子工作长度(EWL)测量值之间的差异。统计学分析采用Student’st检验,显著性水平为5%。结果:对于ProPex II的测量,在77%的根管中确定了±0.5 mm的可靠性。对于Raypex 6,当精度也接受为±0.5 mm时,观察到相同的结果(77%)。另一方面,当考虑相同的精度极限(±0.5 mm)时,iPex II的测量结果为79%。当精度限为±1 mm时,ProPex II和Raypex 6的测定值为96%,iPex II的测定值为94%。各组间差异无统计学意义(P > 0.05)。结论:ProPex II、Raypex 6、iPex II EALs检测结果相似,均能准确测定乳牙的工作长度。
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引用次数: 3
Assessment of peak kilovoltage accuracy in ten selected X-ray centers in Lagos metropolis, South-Western Nigeria: A quality control test to determine energy output accuracy of an X-ray generator 尼日利亚西南部拉各斯市10个选定x射线中心的峰值千伏电压精度评估:确定x射线发生器能量输出精度的质量控制测试
Pub Date : 2016-05-01 DOI: 10.4103/2394-2010.184231
M. Akpochafor, A. Omojola, K. Soyebi, S. Adeneye, M. Aweda, Helen Bolanle Ajayi
Background: Most X-ray centers recruited for this study admitted that there have been no maintenance checks on the energy output accuracy of their X-ray machines. Most centers complained of recurrent machine breakdown due to poor power supply, while others pointed out that X-ray machine age could be a contributory factor to poor image quality. Aim and Objectives: To determine peak kilovoltage (kVp) accuracy of individual X-ray unit and to compare their values with recommended standards and to further establish if machine age has a significant effect on mean kVp accuracy. Materials and Methods: One dedicated conventional X-ray unit in each of the ten diagnostic centers was used for this study denoted as D 1−D 10 . kVp was measured using a noninvasive Unfors ThinX RAD kVp meter. The kVp accuracy test was carried out by positioning the Unfors ThinX RAD kVp meter at the center of the beam axis of the patient′s couch at a focus to image distance of 100 cm. The X-ray machine technical factors were varied by selecting tube potential within the range of 50−120 kVp at a fixed tube current of 20 mA. Data analysis value was done using GraphPad Prism version 5.0 statistics software (GraphPad Software, Inc., San Diego, California, USA). Results: The kVp accuracy test for X-ray units D 1 , D 2 , D 5 , D 6 , D 7 , and D 8 were within an acceptable limit of ±5% at all selected tube potential from 50 to 120 kVp, X-ray units D 2 and D 6 showed accurate compliance at much lower kVp accuracy values. X-ray units D 3 and D 10 were above ±5% accuracy limit at all selected kVp tube potential. No statistically significant differences exist between machine age and mean kVp accuracy (P = 0.770). Conclusion: One-fourth of the total kVp accuracy results were above ±5% limit. Old X-ray machine had higher chances of failed kVp accuracy. Traces of failed test were also noticed in X-ray machines below 5 years.
背景:本研究招募的大多数x射线中心承认,他们的x射线机没有对能量输出精度进行维护检查。大多数中心抱怨说,由于供电不足,机器经常发生故障,而另一些中心则指出,x光机的年龄可能是导致图像质量差的一个因素。目的和目的:确定单个x射线单元的峰值千伏电压(kVp)精度,并将其值与推荐标准进行比较,并进一步确定机器年龄是否对平均千伏电压精度有显着影响。材料和方法:本研究使用十个诊断中心各一台专用的常规x射线设备,编号d1 - d10。kVp采用无创Unfors ThinX RAD kVp仪测量。kVp精度测试通过将Unfors ThinX RAD kVp计定位在患者沙发光束轴的中心,聚焦成像距离为100 cm进行。在固定管电流为20 mA的条件下,选择50 ~ 120 kVp范围内的管电位来改变x射线机的技术因素。数据分析值采用GraphPad Prism 5.0版统计软件(GraphPad software, Inc., San Diego, California, USA)。结果:x射线单元d1、d2、d2、d2、d2、d2、d6、d7和d8的kVp准确度测试在所有选定的管电位从50到120 kVp范围内均在±5%的可接受范围内,x射线单元d2和d6在更低的kVp准确度值下显示准确的依从性。在所有选择的kVp管电位下,x射线单元d3和d10的准确度都在±5%以上。机器年龄与平均kVp准确率无统计学差异(P = 0.770)。结论:四分之一的kVp准确度在±5%以上。旧的x光机有更高的机会失败的kVp精度。5年以下的x光机也发现检测不合格的痕迹。
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引用次数: 17
Assessment of completeness and legibility of prescriptions received at community pharmacies 评估在社区药房收到的处方的完整性和易读性
Pub Date : 2016-05-01 DOI: 10.4103/2394-2010.184242
E. Vigneshwaran, M. Sadiq, V. Prathima
Introduction: A prescription is a written order put into practice by a health-care practitioner such as physician, dentist, hakim, vaidya, veterinarian in the form of instructions that govern the plan of care/treatment for every individual patient. Prescription errors account for elevated number of medication errors that could potentially result in unwanted effects. These are considered as most preventable and on the other hand common cause of iatrogenic injuries and increased health care cost. Thus, it is essential to know the fact on completeness and legibility of prescriptions. Objectives: This study was intended to assess the legibility and completeness of prescriptions which are received at pharmacist attended community pharmacies settings of rural India. Materials and Methods: It is a prospective, cross-sectional research work performed among community pharmacies sited in Anantapur, Andhra Pradesh, India. Put together, 285 prescriptions were acknowledged during the study episode, from different hospitals and clinics with different specialty physicians. The completeness of prescriptions was analyzed by means of a checklist of vital dimensions in parallel to the World Health Organization guidelines for medication order writing. The legibility was assessed based on the scoring system on quality of prescription. Results: This study results show that all the prescriptions were hand written. The legibility was lacking in almost half of the prescriptions analyzed. We also found that prescriptions are less concentrated on patients′ information and medication information than physicians′ information. Conclusion: It is necessary to critically address and evaluate the completeness and legibility of the prescriptions in a continuous and frequent manner. Further, this is the time to change it into the computerized electronic prescribing from handwritten prescription to reduce the medication errors.
简介:处方是由医生、牙医、哈基姆、vaidya、兽医等保健从业人员以指导每位患者护理/治疗计划的指示形式实施的书面命令。处方错误导致了药物错误数量的增加,这可能会导致意想不到的后果。这些被认为是最可预防的,另一方面也是医源性伤害和增加保健费用的常见原因。因此,了解处方的完备性和易读性是至关重要的。目的:本研究旨在评估在印度农村药剂师参加的社区药房设置收到的处方的易读性和完整性。材料和方法:这是一项前瞻性的,横断面的研究工作,在印度安得拉邦安纳塔普尔的社区药房进行。在研究期间,共有285张处方被确认,来自不同的医院和诊所,拥有不同的专业医生。对照世界卫生组织开具医嘱的指导方针,通过核对重要方面来分析处方的完整性。采用处方质量评分系统对易读性进行评价。结果:本研究结果显示处方均为手写处方。在被分析的处方中,几乎有一半的处方缺乏可读性。我们还发现,处方对患者信息和药物信息的关注程度低于医生信息。结论:有必要对处方的完整性和易读性进行持续和频繁的批判性处理和评价。此外,现在是将手写处方改为计算机电子处方的时候了,以减少用药错误。
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引用次数: 2
Predictors of hypertension, hypercholesterolemia, and dyslipidemia of men living in a periurban community in Ghana 加纳城郊社区男性高血压、高胆固醇血症和血脂异常的预测因素
Pub Date : 2016-05-01 DOI: 10.4103/2394-2010.184232
F. Vuvor, M. Steiner-Asiedu, K. Saalia, W. Owusu
Aims and Objective: Unhealthy lifestyles influence the incidence of diet-related noncommunicable diseases such as hypertension. This study examined the effects of some lifestyles and their effects on blood pressure (BP) and cholesterol of men. Materials and Methods: The WHO stepwise questionnaires were used to collect data on 207 men aged ≥18 years living in a periurban community in Ghana. Dietary, anthropometric, clinical, and biochemical data were collected. Results and Analyses: About 24.6% of the subjects were overweight with body mass index ≥25 kg/m 2 , 26.1% were hypertensive with systolic BP >140 mmHg, 8.7% were diagnosed with hypercholesterolemia with total cholesterol >5.18 mmol/L, and 34.8% of the participants had dyslipidemic with blood "low-density lipoprotein" >2.29 mmol/L. Binary logistic regression revealed that tobacco smokers and overweight men were about 4 times (odds ratio [OR]: 3.68, P < 0.01) and more than twice (OR: 2.46, P < 0.01) likely to suffer from hypertension, respectively. Men with fat intake ≥60% of nutrient adequacy ratio were about 3 times more likely to suffer from hypercholesterolemia (OR: 2.72, P < 0.05). Tobacco users and overweight men were both about 3 times (OR: 2.65, P = 0.02) more likely to be dyslipidemic. Conclusion: These results suggest that tobacco use, overweight, and high intake of dietary fat were associated with high risk of cardiovascular events among men in the study group.
目的和目的:不健康的生活方式影响高血压等与饮食有关的非传染性疾病的发病率。这项研究调查了一些生活方式的影响,以及它们对男性血压和胆固醇的影响。材料与方法:采用世界卫生组织(WHO)的分步调查问卷对居住在加纳城郊社区的207名年龄≥18岁的男性进行数据收集。收集饮食、人体测量、临床和生化数据。结果与分析:24.6%的受试者体重指数≥25 kg/ m2, 26.1%的受试者为高血压,收缩压>140 mmHg, 8.7%的受试者为高胆固醇血症,总胆固醇>5.18 mmol/L, 34.8%的受试者为血脂异常,血液“低密度脂蛋白”>2.29 mmol/L。二元logistic回归分析显示,吸烟男性和超重男性患高血压的可能性分别为4倍(比值比[OR]: 3.68, P < 0.01)和2倍以上(比值比[OR]: 2.46, P < 0.01)。脂肪摄入量≥营养充足比60%的男性发生高胆固醇血症的可能性约为3倍(OR: 2.72, P < 0.05)。吸烟者和超重男性患血脂异常的可能性都是前者的3倍(OR: 2.65, P = 0.02)。结论:这些结果表明,吸烟、超重和高膳食脂肪摄入与研究组男性心血管事件的高风险相关。
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引用次数: 3
Effect of yoga therapy on quality of life and depression in premenopausal nursing students with mastalgia: A randomized controlled trial with 6-month follow-up 瑜伽治疗对绝经前护生乳房痛患者生活质量和抑郁的影响:一项随访6个月的随机对照试验
Pub Date : 2016-05-01 DOI: 10.4103/2394-2010.184229
Sukanya Raghunath, N. Raghuram, Sandhya Ravi, N. Ram, A. Ram
Introduction: Mastalgia is a common problem and disturbs women′s reproductive lives. There is no known organic etiology for mastalgia and also no definitive treatment. Considering the impact of mastalgia on the quality of life (QoL), it appears that mind-body interventions such as yoga would play an important role. Yoga has shown a beneficial effect in reducing pain, anxiety, and depression, thereby improving the QoL. Objective: To compare the benefits of yoga with the physical activity in improving the QoL in nursing students with mastalgia. Materials and Methods: An institutional ethical committee approved this randomized active control trial (RCT) with a follow-up of 6 months on premenopausal women above 18 years with breast pain (pain score >2) of more than 3 months duration. Women already practicing yoga, on hormonal treatment, or diagnosed with malignancy were excluded. Eighty consenting nursing students were randomized into the yoga therapy or control (brisk walk) arm (for 12 weeks). QoL and Beck Depression Inventory (BDI) questionnaires were administered prior to the intervention and 3 months and 6 months after the intervention. Results: RM-ANOVA group effect was significant in BDI, F (1, 67) = 2632.72, P (<0.001) and in overall QoL, F (1, 67) =6881.41, (P < 0.001). Post hoc test (paired sample t-test) showed better improvement in the yoga group (0-3 months, 0-6 months) in both QoL (P < 0.001) (in all the four domains) and depression scores (P < 0.001) compared to the control group. Conclusion: QoL and depression scores improved with yoga in nursing students with mastalgia.
乳房痛是困扰女性生殖生活的常见问题。乳房痛没有已知的器质性病因,也没有明确的治疗方法。考虑到乳房痛对生活质量(QoL)的影响,似乎瑜伽等身心干预将发挥重要作用。瑜伽在减轻疼痛、焦虑和抑郁方面显示出有益的效果,从而提高生活质量。目的:比较瑜伽与体育锻炼对护生乳房痛患者生活质量的改善作用。材料和方法:一个机构伦理委员会批准了这项随机主动对照试验(RCT),对18岁以上、乳房疼痛(疼痛评分>2)持续时间超过3个月的绝经前妇女进行了6个月的随访。已经在练习瑜伽、接受激素治疗或被诊断为恶性肿瘤的女性被排除在外。80名同意的护生被随机分为瑜伽治疗组和对照组(快走组)(为期12周)。在干预前、干预后3个月和6个月分别进行生活质量和贝克抑郁量表(BDI)问卷调查。结果:BDI的RM-ANOVA组效应显著,F (1,67) = 2632.72, P(<0.001);总体生活质量F (1,67) =6881.41, P <0.001)。事后检验(配对样本t检验)显示,与对照组相比,瑜伽组(0-3个月,0-6个月)在生活质量(所有四个领域)和抑郁评分(P < 0.001)方面都有更好的改善。结论:瑜伽能提高护生乳痛患者的生活质量和抑郁评分。
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引用次数: 5
Study of anxiolytic effect of ethanolic extract of drumstick tree leaves on albino mice in a basic neuropharmacology laboratory of a postgraduate teaching institute 鸡腿叶乙醇提取物对白化小鼠的抗焦虑作用在研究生教学基础神经药理实验室的研究
Pub Date : 2016-05-01 DOI: 10.4103/2394-2010.184228
A. Bhattacharya, S. Santra, S. Mahapatra, P. Sahu, D. Agrawal, S. Kumar
Objectives: Anxiety is a serious condition, leading to depression. The statistics of anxiety is alarming and needs an effective, low-cost remedy. Drumstick tree is known as Moringa oleifera belonging to the Moringaceae family. In previous studies, drumstick leaves revealed a storehouse of active ingredients possessing anxiolytic property. In this study, the anxiolytic effect of drumstick leaves was studied using elevated plus maze (EPM) and staircase models at four doses 50, 100, 200, and 400 mg/kg. Materials and Methods: It is a randomized control study. Albino mice were used in this study, a total of 72, divided into six groups, each group consisting of 6 mice. Group I: Control (normal saline orally at 2 ml/kg body weight); Group II: Standard (diazepam 10 mg/kg orally); Group III, IV, V, and VI (ethanolic extract of Moringa oleifera [EMO] 50, 100, 200, and 400 mg/kg, respectively). EMO leaves were administered at 50, 100, 200, and 400 mg/kg doses orally 1 h before the experiments and their effects observed. Results: In the EPM method, the time spent in open arm and closed arm before and after drug administration was analyzed by one-way ANOVA followed by Bonferroni′s test. In the staircase test, the comparison of steps climbed and rears before and after drug administration were done by nonparametric tests, Kruskal-Wallis test followed by Mann-Whitney′s test. In both models, the extract showed a significant response at 200 and 400 mg/kg. Conclusion: Thus, EMO leaves exhibited anxiolytic activity in both models at higher doses.
目的:焦虑是一种严重的疾病,会导致抑郁。焦虑的统计数据令人担忧,需要一种有效、低成本的治疗方法。鸡腿树被称为辣木,属于辣木科。在以前的研究中,鸡腿叶揭示了具有抗焦虑特性的有效成分的仓库。采用升高+迷宫(EPM)和阶梯模型研究鸡腿叶在50、100、200和400 mg/kg 4种剂量下的抗焦虑作用。材料与方法:随机对照研究。本研究选用白化病小鼠,共72只,分为6组,每组6只。第一组:对照组(生理盐水2 ml/kg体重口服);II组:标准(地西泮10mg /kg口服);III、IV、V、VI组(辣木[EMO]乙醇提取物分别为50、100、200、400 mg/kg)。实验前1 h分别给药50mg /kg、100mg /kg、200mg /kg、400mg /kg的EMO叶片,观察其作用。结果:EPM法对给药前后开臂和闭臂时间采用单因素方差分析,并采用Bonferroni检验。楼梯检验采用非参数检验、Kruskal-Wallis检验和Mann-Whitney检验比较给药前后爬的台阶和爬的台阶。在两种模型中,提取物在200和400 mg/kg时均表现出显著的响应。结论:高剂量的EMO叶在两种模型中均表现出抗焦虑活性。
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引用次数: 8
Study of dyslipidemia and antioxidant status in chronic kidney disease patients at a hospital in South East Asia 东南亚某医院慢性肾病患者血脂异常和抗氧化状态的研究
Pub Date : 2016-01-01 DOI: 10.4103/2394-2010.177494
Kamal Kachhawa, M. Varma, Poonam Kachhawa, D. Agrawal, M. Shaikh, Sanjay Kumar
Introduction: The prevalence of hyperlipidemia is a most common problem in developed and developing society. Abnormal increase level of total cholesterol, triglyceride (TG), very low-density lipoprotein (VLDL), and LDL caused cardiovascular disease (CVD) in chronic kidney disease (CKD). Dyslipidemia is a known marker for CVD in the common population. Significant abnormal total cholesterol, LDL, TG, VLDL, and high-density lipoprotein (HDL) are present in CKD patients. Materials and Methods: In this study, we tried to find out the levels of lipid profile and antioxidant levels in CKD patients and its correlation with CVD. This study included 159 human subjects of age group between 40 and 65 years, out of which 78 patients were CKD and rest 81 patients are matched healthy subjects (control group). Results and Discussion: Our study showed a significant increase in Blood Pressure compared to control subjects. Lipid profile (total cholesterol, VLDL, TG, and LDL) was found significantly deranged (P < 0.001) and there was a decrease in the levels of HDL-cholesterol compared to control subjects. Conclusion: Enzyme level (superoxide dismutase) was significantly decreased, and malondialdehyde level was significantly increased compared to control subjects which show the effect of dyslipidemia and oxidative stress associated with the chronic kidney disorder.
导读:高脂血症的流行是发达社会和发展中社会最常见的问题。慢性肾脏疾病(CKD)中总胆固醇、甘油三酯(TG)、极低密度脂蛋白(VLDL)和低密度脂蛋白水平异常升高引起心血管疾病(CVD)。在普通人群中,血脂异常是心血管疾病的一个已知标志。CKD患者总胆固醇、LDL、TG、VLDL和高密度脂蛋白(HDL)明显异常。材料与方法:在本研究中,我们试图了解CKD患者的血脂水平和抗氧化水平及其与CVD的关系。本研究纳入159名年龄在40 - 65岁之间的人类受试者,其中CKD患者78例,其余81例为匹配的健康受试者(对照组)。结果和讨论:我们的研究显示,与对照组相比,血压明显升高。脂质谱(总胆固醇、VLDL、TG和LDL)被发现明显紊乱(P < 0.001),高密度脂蛋白胆固醇水平与对照组相比有所下降。结论:与对照组相比,超氧化物歧化酶水平显著降低,丙二醛水平显著升高,表现出与慢性肾脏疾病相关的血脂异常和氧化应激的影响。
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引用次数: 16
Correlation of salivary levels of interleukin-6 and albumin with oral squamous cell carcinoma 唾液白细胞介素-6和白蛋白水平与口腔鳞状细胞癌的相关性
Pub Date : 2016-01-01 DOI: 10.4103/2394-2010.177493
Mallikarjuna Rao, A. Ramesh, Swathi Adapa, Biju Thomas, J. Shetty
Background: Head and neck squamous cell carcinoma (HNSCC) is an aggressive epithelial malignancy and is the most common neoplasm arising in the upper aerodigestive tract. Earlier studies have shown that salivary levels of interleukin (IL)-6 were significantly higher in patients with oral squamous cell carcinoma (OSCC) when compared to healthy individuals. They were considered as useful biomarkers for early OSCC development. Albumin levels in the saliva were shown to be elevated in medically compromised patients with poor general condition and performance status. Aim: The purpose of this preliminary research is to investigate the role of IL-6 and albumin levels in the saliva as a marker for the early diagnosis and progression of OSCC. Materials and Methods: This cross-sectional study was conducted from December 2014 to May 2015. Sixty individuals were included and two groups (with 30 individuals each) were formed – Group 1: Healthy individuals and Group 2: Patients with OSCC. IL-6 and albumin levels in the saliva were measured using commercially available kits and were compared between the two groups using Mann–Whitney U test. P value of less than 0.05 was regarded to be statistically significant. Results: Mean value of IL-6 in Group 1 (healthy) was 15.06 [standard deviation (SD) is 4.42] and in Group 2 (OSCC) was 192.15 (SD is 82.76). On comparing the two mean values, it was seen that there was a significant rise in the salivary IL-6 levels in the OSCC group when compared to the healthy group. The mean value of albumin in Group 1 (healthy) was 0.28 (SD is 0.19) and in Group 2 (OSCC) was 0.82 (SD is 0.41). On comparing the two mean values, it was seen that there was a significant rise in the salivary levels of albumin in OSCC patients when compared to the healthy group. Conclusion: This study shows that IL-6 and albumin levels in the saliva can be used as useful biomarkers for OSCC.
背景:头颈部鳞状细胞癌(HNSCC)是一种侵袭性上皮恶性肿瘤,是上消化道最常见的肿瘤。早期的研究表明,与健康个体相比,口腔鳞状细胞癌(OSCC)患者唾液中白细胞介素(IL)-6的水平明显更高。它们被认为是早期OSCC发展的有用生物标志物。唾液中的白蛋白水平在一般情况和表现不佳的医学受损患者中被证明是升高的。目的:本初步研究的目的是探讨唾液中IL-6和白蛋白水平在OSCC早期诊断和进展中的作用。材料与方法:本横断面研究于2014年12月至2015年5月进行。纳入60人,分为两组(每组30人):第一组:健康个体,第二组:OSCC患者。使用市售试剂盒检测唾液中IL-6和白蛋白水平,使用Mann-Whitney U检验比较两组之间的差异。P值小于0.05为有统计学意义。结果:1组(健康组)IL-6均值为15.06[标准差(SD) 4.42], 2组(OSCC组)IL-6均值为192.15 (SD为82.76)。在比较两个平均值时,可以看到OSCC组的唾液IL-6水平比健康组明显升高。1组(健康组)白蛋白均值为0.28 (SD = 0.19), 2组(OSCC组)白蛋白均值为0.82 (SD = 0.41)。在比较两个平均值时,可以看到,与健康组相比,OSCC患者的唾液白蛋白水平显著升高。结论:唾液中IL-6和白蛋白水平可作为OSCC的有用生物标志物。
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引用次数: 4
Behavior of health workers toward the implementation of clinical guidelines 卫生工作者对实施临床指南的行为
Pub Date : 2016-01-01 DOI: 10.4103/2394-2010.175014
Samal Janmejaya
Background: The maternal health situation in the country always presents challenges before the overall health system in India. Implementation of clinical guidelines can bring uniformity and standards of treatment protocol, leading to better maternal health outcome. Objectives: To understand the attitude, behavior, and challenges faced by health workers with regard to the implementation of clinical guidelines and protocols in the domain of maternal health. Setting and Design: Different cadres of health care providers working at the district and block levels were selected conveniently with the permission of the State health administration. In addition, nursing and medical academicians were also included in the study. Materials and Methods: A pilot qualitative study in two districts of Assam was carried out. Different cadres of health workers such as Medical Officers (MO), Rural Health Practitioners (RHP), and Nurses working at the district and block levels were interviewed in-depth with the help of a semistructured interview schedule, which lasted for 26 days during May-July 2014. Results: The study elicited several pertinent issues related to the implementation of clinical guidelines, which include the introduction of clinical guidelines as a part of academic training, awareness about clinical guidelines, the commonest conditions for which clinical guidelines are used, challenges faced in accessing and implementing guidelines, and specific areas where clinical guidelines should be developed. Poor penetration of clinical guideline implementation was observed in the domain of maternal health care in the study area. Conclusion: Given the situation of maternal morbidity and mortality, the implementation of clinical guidelines appears rational.
背景:印度的孕产妇健康状况一直是印度整体卫生系统面临的挑战。实施临床指南可以使治疗方案统一和标准,从而改善产妇保健结果。目的:了解卫生工作者在执行孕产妇保健领域临床指南和协议方面的态度、行为和面临的挑战。设置和设计:在国家卫生行政部门的许可下,方便地选择了在地区和街区一级工作的不同保健提供者干部。此外,护理和医学院士也被纳入研究。材料和方法:在阿萨姆邦的两个地区进行了一项试点定性研究。在半结构化访谈时间表的帮助下,对不同的卫生工作者干部,如医务人员(MO)、农村卫生从业人员(RHP)和在地区和街区工作的护士进行了深入访谈,该访谈计划于2014年5月至7月持续了26天。结果:本研究引出了与临床指南实施相关的几个相关问题,包括临床指南作为学术培训的一部分的引入,对临床指南的认识,临床指南使用的最常见情况,获取和实施指南面临的挑战,以及临床指南应该制定的具体领域。在研究区域的孕产妇保健领域观察到临床指南实施的渗透性差。结论:考虑到产妇发病率和死亡率的情况,临床指南的实施是合理的。
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引用次数: 1
Role of coconut oil and soda bicarbonate in gastric lavage in the management of celphos poisoning 椰子油和碳酸氢钠在洗胃治疗头孢中毒中的作用
Pub Date : 2016-01-01 DOI: 10.4103/2394-2010.177495
K. J. Devi, Kasomhung Soreingam, V. Singh
Context: Celphos poisoning is one of the most common and lethal poison with no antidote available till now. Aims: To evaluate the effectiveness of new treatment regimen and interventions to reduce the mortality from celphos poisoning. Settings and Design: A profile of 30 patients with alleged intake of celphos tablets who got admitted in intensive care unit (ICU) was studied. Materials and Methods: In all the 30 patients with alleged celphos poisoning, extensive gastric lavage was done with a mixture of coconut oil and sodium bicarbonate solution. Strict monitoring, both invasive and noninvasive was done and symptomatic/supportive treatment was carried out on a patient-to-patient basis. Statistical Analysis: At the end of the study, all the data were compiled systematically and statistical analysis was carried out using the nonparametric tests and value of P < 0.05 was considered significant. Results: Majority of the patients were young with a mean age of 20.14 ± 3.62 years and had good educational level. Most of the patients presented clinically with cardiovascular signs and symptoms (60%), followed by respiratory distress (13.33%) and little higher incidence of multiorgan symptomatology (16.67%). The mean stay of the patients in ICU was 5.62 ± 1.24 days and the survival rate was 40%. Conclusions: With the treatment regimen we have formulated, we were able to save 40% of our patients and recommend the use of this regimen by all the intensivists and physicians.
背景:蝇中毒是最常见和最致命的中毒之一,至今没有解毒剂。目的:评价新治疗方案及干预措施对降低青光磷中毒死亡率的效果。设置和设计:研究了30例因服用celphos片剂而入住重症监护病房(ICU)的患者。材料与方法:在所有30例声称celphos中毒的患者中,用椰子油和碳酸氢钠溶液的混合物进行了广泛的洗胃。进行了严格的监测,包括侵入性和非侵入性,并在患者对患者的基础上进行对症/支持性治疗。统计分析:研究结束时,对所有资料进行系统整理,采用非参数检验进行统计分析,以P < 0.05为差异有统计学意义。结果:患者以年轻为主,平均年龄20.14±3.62岁,文化程度良好。临床表现以心血管症状体征居多(60%),其次为呼吸窘迫(13.33%),多器官症状发生率略高(16.67%)。患者在ICU的平均住院日为5.62±1.24 d,生存率为40%。结论:通过我们制定的治疗方案,我们能够挽救40%的患者,并推荐所有重症监护医师和医生使用该方案。
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引用次数: 4
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Journal of Health Research and Reviews
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