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Psychosocial burden of addiction: A study in correlation to urinary cotinine levels in tobacco chewers 成瘾的社会心理负担:烟草咀嚼者尿中可替宁水平的相关研究
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2021-07-01 DOI: 10.4103/jnsbm.JNSBM_156_20
K. Nikam, K. Wingkar, Rajendrakumar Katte, Rajesh Joshi, Rajashekar K. Kallur
Background: Tobacco usage is a foremost avoidable risk factor for the progress and development of the psychological disease, its deleterious psychological effects through multiple mechanisms.To find out psychosocial impact in correlation to urinary cotinine levels of tobacco chewers (TC) and non tobacco chewers (NTC). Materials and Methods: A total of 600 TC and NTC (18–65 years) were studied using the Hamilton anxiety (Ham-A) and Hamilton depression (Ham-D) scale, Fagerstrom Test for Nicotine Dependence-Smokeless Tobacco (FTND-ST) scale, and structured questionnaire. Results: Psychosocial response by anxiety and depression scale for NTC and TC mean score comparison was found to be highly significant (P < 0.001). The mean urinary cotinine value in TC was increased as compared to the NTC group. Correlation of urinary cotinine levels with Ham-A, Ham-D, and FTND-ST was found significant (P < 0.001). The receiver operating characteristic curve for predicting optimal scores for FTND-ST was 4.5 and 16.5 for anxiety and depression. Conclusion: This is the first report from Belgaum which illuminates the linkage between tobacco chewing, psychological health risk factors, and addiction burden with urinary cotinine levels.
背景:烟草使用是心理疾病进展和发展的首要可避免的危险因素,其有害心理影响是通过多种机制产生的。目的探讨咀嚼烟草者(TC)和非咀嚼烟草者(NTC)尿可替宁水平与心理社会影响的关系。材料与方法:采用汉密顿焦虑(Ham-A)和汉密顿抑郁(Ham-D)量表、Fagerstrom尼古丁依赖-无烟烟草测验(FTND-ST)量表和结构化问卷对600名18-65岁的TC和NTC进行研究。结果:焦虑抑郁量表对NTC和TC均分的社会心理反应比较有显著性差异(P < 0.001)。与NTC组相比,TC组平均尿可替宁值升高。尿可替宁水平与Ham-A、Ham-D和FTND-ST有显著相关性(P < 0.001)。预测焦虑和抑郁FTND-ST最佳得分的受试者工作特征曲线分别为4.5分和16.5分。结论:这是Belgaum首次阐明烟草咀嚼、心理健康危险因素和成瘾负担与尿可替宁水平之间的联系。
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引用次数: 0
Seroprevalence of TORCH-S infections among pregnant woman: A study from vellore district (South India) 印度南部vellore地区孕妇TORCH-S感染的血清流行病学研究
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2021-07-01 DOI: 10.4103/jnsbm.JNSBM_103_20
P. Rajendiran, N. Saravanan, Mageshbabu Ramamurthy, S. Sankar, N. David, A. Nair, Rajasekar Aruliah, B. Nandagopal, G. Sridharan
Introduction: TORCH-S agents include Toxoplasma gondii, Rubella virus, Cytomegalovirus, Herpes simplex virus (HSV) (1 and 2), and Treponema pallidum (syphilis) which are transmissible in utero at various stages of gestation. Description of the Hypothesis Tested: TORCH-S agents are known to cause adverse fetal outcomes and pregnancy loss. The Approach Used: Pregnant women attending a multispecialty hospital for regular antenatal care and high-risk pregnant women with a bad obstetric outcome from a rural area of Vellore District were recruited. A total of 180 pregnant women recruited from two centers were used. Pregnant women were evaluated for their serological status (IgM and IgG) against TORCH-S agents using commercial enzyme-linked immunosorbent assay kits available for respective pathogens. Results: Among the samples (n = 180) collected, IgM antibodies were positive in 3 (1.66%) for Toxoplasma gondii and 1 (0.55%) for HSV1. IgG antibodies were positive in 14 (7.77%) women for T. gondii, 152 (84.44%) for Rubella virus, 110 (61.11%) for CMV, 125 (69.44%) for the HSV-1 (16.66%), 30 were positive for HSV-2, and 5 (2.77%) women were positive for Treponema pallidum. In the 17–25-year age group, the number of IgG positives for T. gondii and HSV-2 were lower compared to other pathogens. Conclusions: The study reports a high prevalence of IgG to TORCH-S agents in pregnant women indicating a high risk among these populations. Routine screening for TORCH-S agents among antenatal women is warranted as timely diagnosis, and proper intervention could help initiate appropriate management. Information of these infections could help the clinicians for appropriate counseling on the potential for adverse fetal outcomes and preventive measures to the mothers.
简介:TORCH-S病原体包括刚地弓形虫、风疹病毒、巨细胞病毒、单纯疱疹病毒(HSV)(1型和2型)和梅毒螺旋体(梅毒),它们可在妊娠的不同阶段在子宫内传播。检验假设描述:已知TORCH-S制剂可导致不良胎儿结局和妊娠丢失。采用的方法:从Vellore地区的农村地区招募在多专科医院接受常规产前护理的孕妇和产科结果不佳的高危孕妇。总共从两个中心招募了180名孕妇。使用针对各自病原体的商用酶联免疫吸附测定试剂盒,评估孕妇对TORCH-S药物的血清学状态(IgM和IgG)。结果:180份样本中,弓形虫IgM抗体阳性3例(1.66%),单纯疱疹病毒1型阳性1例(0.55%)。弓形虫IgG抗体阳性14例(7.77%),风疹病毒抗体阳性152例(84.44%),巨细胞病毒抗体阳性110例(61.11%),1型单纯疱疹病毒抗体阳性125例(69.44%),2型单纯疱疹病毒抗体阳性30例,梅毒螺旋体抗体阳性5例(2.77%)。在17 - 25岁年龄组中,弓形虫和2型单纯疱疹病毒IgG阳性人数低于其他病原体。结论:该研究报告了对TORCH-S药物的IgG在孕妇中的高流行率,表明这些人群中存在高风险。在产前妇女中对TORCH-S代理商进行常规筛查是必要的,因为及时诊断,适当的干预可以帮助启动适当的管理。这些感染的信息可以帮助临床医生对潜在的不良胎儿结局和母亲的预防措施进行适当的咨询。
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引用次数: 0
Intravenous magnesium sulfate and isoxsuprine for arrest of preterm labor: A comparative study 静脉注射硫酸镁和异苏嘌呤用于早产停搏的比较研究
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2021-07-01 DOI: 10.4103/jnsbm.JNSBM_147_20
Rohit Jeswani, Yamini Patil, S. Patil
Background: Despite advances in obstetrics and neonatal care, the rate of incidence of preterm births continues to increase. Use of tocolytic agents such as magnesium sulfate and isoxsuprine could help in arresting preterm labor. Considering the paucity in studies comparing these two agents, a comparative analysis is obligatory. Objective: The objective of the study was to compare the safety, efficacy, and success rate of magnesium sulfate and isoxsuprine in the arrest of preterm labor. Methodology: Eighty-two antenatal women belonging to 28–37 weeks of gestational age, with regular uterine contractions, cervical dilatation (≤3 cm), and <50% cervical effacement admitted with complaints of preterm labor pain were randomly allocated into two groups with 41 participants in each group. Group 1 received 40 mg isoxsuprine for 24 h and later, isoxsuprine capsule 40 mg was given orally twice a day for 7 days, and Group 2 received 4 g magnesium sulfate for 12 h if uterine quiescence was achieved by the end of 2 h. Demographic data, medical history, and clinical data were collected. The outcome variables measured included side effects and the success rate (effacement% and cervical dilatation). Statistical analysis was performed using R software (Version 3.6.0). Results: The majority of the patients in both the groups with <25% effacement had successful tocolysis (P > 0.05). In Group 2, patients with <1 cm of cervical dilatation had successful tocolysis compared to Group 1 (P < 0.05). A highly significant association was observed between the percentage of effacement and cervical dilation, successful tocolysis (P < 0.001). Tachycardia and hypertension were observed more in Group 1, whereas nausea and vomiting were common in Group 2. The overall success rate was better in Group 2 (85.37%) compared to Group 1 (65.85%). Conclusion: Magnesium sulfate was slightly more effective in arresting preterm labor with lesser side effects as compared to isoxsuprine.
背景:尽管产科和新生儿护理取得了进展,但早产的发生率仍在继续增加。使用硫酸镁和异苏嘌呤等抗早产药物有助于阻止早产。考虑到比较这两种药物的研究较少,有必要进行比较分析。目的:比较硫酸镁与异苏嘌呤在早产儿停搏中的安全性、有效性和成功率。方法:82例胎龄28 ~ 37周,子宫收缩规律,宫颈扩张(≤3cm), 0.05的产前妇女。与1组相比,2组宫颈扩张长度<1 cm的患者成功溶胎(P < 0.05)。在宫颈扩张、成功溶胎之间观察到高度显著的相关性(P < 0.001)。组1以心动过速、高血压多见,组2以恶心、呕吐多见。总成功率2组为85.37%,1组为65.85%。结论:与异苏嘌呤相比,硫酸镁在阻止早产方面的效果稍好,副作用较小。
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引用次数: 0
Serum levels of nitric oxide and its correlation with endothelial nitric oxide synthase gene expression among type 2 diabetic patients with or without hypertension: A comparative study in a tertiary care hospital of North East India 伴有或不伴有高血压的2型糖尿病患者血清一氧化氮水平及其与内皮型一氧化氮合酶基因表达的相关性:印度东北部一家三级医院的比较研究
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2021-07-01 DOI: 10.4103/jnsbm.JNSBM_205_20
B. Goswami, Swapan Sarkar, B. Bhattacharjee, Shauli Sengupta
Background: The serum nitric oxide (NO) data in Type 2 diabetes mellitus (T2DM) patients reported by different scientific literature are controversial. Some research articles reported increased NO levels in diabetes patients, whereas others reported the opposite. Hence, this study was designed to compare the serum NO levels in T2DM patients with or without hypertension among subjects reporting to the Diabetes Nutrition Clinic (DNC) of a tertiary care hospital of Tripura. Aims: The aim of this study was to estimate serum levels of NO among Type 2 diabetic patients with or without hypertension, to determine the endothelial NO synthase (eNOS) gene expression at the transcriptional level, and also to assess the correlation between serum NO and eNOS gene expression among the study subjects. Materials and Methods: This hospital-based cross-sectional study was conducted from March 2019 to February 2020 among 198 diabetic patients attending the DNC of a tertiary care hospital of Tripura. Estimation of serum NO was performed using the ELISA technique and eNOS gene expression was performed using the reverse transcription-polymerase chain reaction technique. All statistical analysis was done using SPSS software version 25. Results: This study was conducted among 98 type 2 diabetic patients having hypertension and 100 controls, i.e., type 2 diabetics without hypertension. The mean serum level of NO in diabetic patients with hypertension was 35.35 ± 13.65 μmoles/L, whereas in the control group, i. e., diabetic patients without hypertension, it was 89.83 ± 10.29 μmoles/L, which was statistically significant (P < 0.001). A significant correlation (P < 0.001) was also found between serum NO level and eNOS gene expression among the study subjects. Conclusion: In conclusion, significantly higher serum NO levels were observed among the T2DM patients without hypertension as compared to the T2DM patients having hypertension.
背景:不同科学文献报道的2型糖尿病(T2DM)患者血清一氧化氮(NO)数据存在争议。一些研究文章报道糖尿病患者一氧化氮水平升高,而另一些则相反。因此,本研究旨在比较在特里普拉邦三级医院糖尿病营养诊所(DNC)就诊的伴有或不伴有高血压的2型糖尿病患者的血清NO水平。目的:本研究的目的是评估伴有或不伴有高血压的2型糖尿病患者血清NO水平,确定内皮NO合成酶(eNOS)基因在转录水平上的表达,并评估研究对象血清NO与eNOS基因表达的相关性。材料与方法:这项以医院为基础的横断面研究于2019年3月至2020年2月在特里普拉邦一家三级医院的DNC就诊的198名糖尿病患者中进行。ELISA法测定血清NO,逆转录-聚合酶链反应法测定eNOS基因表达。所有统计分析均采用SPSS软件25版进行。结果:本研究纳入了98例伴有高血压的2型糖尿病患者和100例对照组,即无高血压的2型糖尿病患者。糖尿病合并高血压患者血清NO平均水平为35.35±13.65 μmol /L,对照组即糖尿病无高血压患者血清NO平均水平为89.83±10.29 μmol /L,差异有统计学意义(P < 0.001)。研究对象血清NO水平与eNOS基因表达之间也存在显著相关(P < 0.001)。结论:无高血压的T2DM患者血清NO水平明显高于有高血压的T2DM患者。
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引用次数: 7
An interesting case of unilateral multiple impacted unerupted teeth in a young adolescent child: A case report and discussion 一例有趣的单侧多牙阻生未出牙的青少年儿童:病例报告和讨论
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2021-07-01 DOI: 10.4103/jnsbm.jnsbm_12_21
A. Deep, S. Thakur, Cheranjeevi Jayam
Impaction of teeth is a relatively common manifestation that comes across a clinician, however, multiple impacted unerupted teeth are rarely seen and are manifested due to several genetic, systemic, and local factors. In this case report, A 14-year-old male patient presented with unilateral multiple impacted unerupted primary and permanent teeth affecting the left side of the face and also delayed eruption of teeth on the opposite side. The history and relevant clinical findings depicted a picture toward primary failure of eruption (PFE) as provisional diagnosis. This paper also discusses the clinical presentation of the case and various treatment options that can be employed for the management of such a case. The rarity of this case report lies in the fact that although PFE is seen with a common picture of bilateral involvement based on the clinical and radiographic presentation, this case report presented with unilateral involvement of the dentition, a less commonly described variant in the literature.
牙齿嵌塞是临床医生遇到的一种相对常见的表现,然而,由于遗传、全身和局部因素的影响,多发嵌塞未出牙很少见到。在这个病例报告中,一名14岁的男性患者表现出单侧多颗未萌出的乳牙和恒牙影响左侧面部,同时另一侧牙齿也延迟萌出。病史和相关的临床表现描述了一种初步诊断为原发性喷发失败(PFE)的画面。本文还讨论了该病例的临床表现和各种治疗方案,可用于此类病例的管理。本病例报告的罕见之处在于,尽管根据临床和影像学表现,PFE通常表现为双侧受累,但本病例报告表现为单侧受累,这是文献中较不常见的一种变异。
{"title":"An interesting case of unilateral multiple impacted unerupted teeth in a young adolescent child: A case report and discussion","authors":"A. Deep, S. Thakur, Cheranjeevi Jayam","doi":"10.4103/jnsbm.jnsbm_12_21","DOIUrl":"https://doi.org/10.4103/jnsbm.jnsbm_12_21","url":null,"abstract":"Impaction of teeth is a relatively common manifestation that comes across a clinician, however, multiple impacted unerupted teeth are rarely seen and are manifested due to several genetic, systemic, and local factors. In this case report, A 14-year-old male patient presented with unilateral multiple impacted unerupted primary and permanent teeth affecting the left side of the face and also delayed eruption of teeth on the opposite side. The history and relevant clinical findings depicted a picture toward primary failure of eruption (PFE) as provisional diagnosis. This paper also discusses the clinical presentation of the case and various treatment options that can be employed for the management of such a case. The rarity of this case report lies in the fact that although PFE is seen with a common picture of bilateral involvement based on the clinical and radiographic presentation, this case report presented with unilateral involvement of the dentition, a less commonly described variant in the literature.","PeriodicalId":16373,"journal":{"name":"Journal of Natural Science, Biology, and Medicine","volume":"44 1","pages":"256 - 259"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88444552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A rare occurrence of calcifying epithelial odontogenic tumor in a young female 年轻女性罕见的钙化上皮性牙源性肿瘤
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2021-07-01 DOI: 10.4103/jnsbm.jnsbm_48_21
A. Praveen, R. Thriveni, Dipanwita Chakraborty, Malashri Ghatke, Miriyala Shree Vibha
Calcifying epithelial odontogenic tumor (CEOT) is a rare benign odontogenic tumor which can occur extraosseous or intraosseous. The etiopathogenesis of CEOT is not known. It has a propensity toward mandibular molar ramus region and has no sex predilection. The treatment of choice for CEOT ranges from either enucleation, curettage to enucleation, marginal/segmental resection, and radical and extensive resection (hemimandibulectomy) or hemimaxillectomy. This case report describes an incidence and clinical management of CEOT in a young female patient.
钙化上皮性牙源性肿瘤(CEOT)是一种罕见的良性牙源性肿瘤,可发生在骨外或骨内。CEOT的发病机制尚不清楚。它倾向于下颌磨牙分支区,没有性别偏好。CEOT的治疗选择包括去核、刮除到去核、边缘/节段切除、根治性和广泛切除术(半下颌管切除术)或半上颌切除术。本病例报告描述了一名年轻女性患者CEOT的发病率和临床处理。
{"title":"A rare occurrence of calcifying epithelial odontogenic tumor in a young female","authors":"A. Praveen, R. Thriveni, Dipanwita Chakraborty, Malashri Ghatke, Miriyala Shree Vibha","doi":"10.4103/jnsbm.jnsbm_48_21","DOIUrl":"https://doi.org/10.4103/jnsbm.jnsbm_48_21","url":null,"abstract":"Calcifying epithelial odontogenic tumor (CEOT) is a rare benign odontogenic tumor which can occur extraosseous or intraosseous. The etiopathogenesis of CEOT is not known. It has a propensity toward mandibular molar ramus region and has no sex predilection. The treatment of choice for CEOT ranges from either enucleation, curettage to enucleation, marginal/segmental resection, and radical and extensive resection (hemimandibulectomy) or hemimaxillectomy. This case report describes an incidence and clinical management of CEOT in a young female patient.","PeriodicalId":16373,"journal":{"name":"Journal of Natural Science, Biology, and Medicine","volume":"22 1","pages":"268 - 271"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74465973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cullin 1 as a proangiogenic factor and its relationship with vascular endothelial growth factor and p21 are associated with the length of gestational age of pre-eclampsia Cullin 1作为促血管生成因子及其与血管内皮生长因子和p21的关系与子痫前期胎龄的长短有关
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2021-07-01 DOI: 10.4103/jnsbm.JNSBM_123_20
T. Samara, H. Wibowo, I. Liem, A. Prijanti, Andrijono
Background: Cullin 1 (CUL1), vascular endothelial growth factor (VEGF), and p21 are proteins that play a role in pregnancy. CUL1 and VEGF are proangiogenic factors, whereas p21 is an antiangiogenic factor. An imbalance between proangiogenic and antiangiogenic factors is one of the various factors that cause pre-eclampsia (PE). The aim of this study was to analyze CUL1 levels in the relationship with VEGF levels and p21 levels based on gestational age at delivery in PE. Materials and Methods: This was a cross-sectional study of 70 placentas from PE patients divided in two groups of gestational age at delivery: <34 weeks and ≥34 weeks. Levels of CUL1, VEGF, and p21 were examined by the enzyme-linked immunosorbent assay technique. Statistical analysis was assessed by Spearman correlation test and Chi-square test, with a significant P < 0.05. Results: Low levels of CUL1 and low levels of VEGF were related with <34 weeks of gestational age at delivery, whereas high levels of CUL1 and high levels VEGF were related with ≥34 weeks of gestational age at delivery. There was a negative correlation between the high ratios of p21/CUL1 and <34 weeks of gestational age at delivery in PE. Conclusions: Low levels of CUL1 and low levels VEGF and high ratios of p21/CUL1 were associated with <34 weeks of gestational age at delivery in PE.
背景:Cullin 1 (CUL1)、血管内皮生长因子(VEGF)和p21是在妊娠中起作用的蛋白。CUL1和VEGF是促血管生成因子,而p21是抗血管生成因子。促血管生成因子和抗血管生成因子之间的不平衡是导致先兆子痫(PE)的各种因素之一。本研究的目的是分析CUL1水平与PE分娩时胎龄的VEGF水平和p21水平之间的关系。材料和方法:这是一项横断面研究,来自PE患者的70个胎盘被分为两组:分娩时胎龄<34周和≥34周。采用酶联免疫吸附法检测CUL1、VEGF和p21的水平。统计学分析采用Spearman相关检验和卡方检验,P < 0.05。结果:低水平CUL1和低水平VEGF与分娩<34孕周有关,而高水平CUL1和高水平VEGF与分娩≥34孕周有关。p21/CUL1的高比值与PE分娩时<34周胎龄呈负相关。结论:低水平的CUL1和低水平的VEGF以及高比例的p21/CUL1与PE分娩时<34周胎龄有关。
{"title":"Cullin 1 as a proangiogenic factor and its relationship with vascular endothelial growth factor and p21 are associated with the length of gestational age of pre-eclampsia","authors":"T. Samara, H. Wibowo, I. Liem, A. Prijanti, Andrijono","doi":"10.4103/jnsbm.JNSBM_123_20","DOIUrl":"https://doi.org/10.4103/jnsbm.JNSBM_123_20","url":null,"abstract":"Background: Cullin 1 (CUL1), vascular endothelial growth factor (VEGF), and p21 are proteins that play a role in pregnancy. CUL1 and VEGF are proangiogenic factors, whereas p21 is an antiangiogenic factor. An imbalance between proangiogenic and antiangiogenic factors is one of the various factors that cause pre-eclampsia (PE). The aim of this study was to analyze CUL1 levels in the relationship with VEGF levels and p21 levels based on gestational age at delivery in PE. Materials and Methods: This was a cross-sectional study of 70 placentas from PE patients divided in two groups of gestational age at delivery: <34 weeks and ≥34 weeks. Levels of CUL1, VEGF, and p21 were examined by the enzyme-linked immunosorbent assay technique. Statistical analysis was assessed by Spearman correlation test and Chi-square test, with a significant P < 0.05. Results: Low levels of CUL1 and low levels of VEGF were related with <34 weeks of gestational age at delivery, whereas high levels of CUL1 and high levels VEGF were related with ≥34 weeks of gestational age at delivery. There was a negative correlation between the high ratios of p21/CUL1 and <34 weeks of gestational age at delivery in PE. Conclusions: Low levels of CUL1 and low levels VEGF and high ratios of p21/CUL1 were associated with <34 weeks of gestational age at delivery in PE.","PeriodicalId":16373,"journal":{"name":"Journal of Natural Science, Biology, and Medicine","volume":"1 1","pages":"140 - 144"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89832887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Presurgical nasoalveolar molding therapy in cleft lip palate infant: A successful case report 唇腭裂婴儿鼻牙槽成形术1例成功报道
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2021-07-01 DOI: 10.4103/jnsbm.JNSBM_99_20
Vinod Kumar, M. Shakir, R. Koppalkar, Anisha Nanda, B. Karthika, Aleena Babu, K. Pravin
Nasoalveolar molding (NAM) is a recent infant orthopedic appliance constructed in cleft lip and palate patients below 3–4 months of age because the moldability of primary cartilage is very high due to high estrogen content in infants below 4 months of age. We started NAM therapy in this case at 3 weeks of age and continued till 4 months of age, the cleft lip gap decreased from 19 mm to 9 mm and palate (alveolar) gap reduced from 9 mm to 3 mm, there was also improvement in nasal anatomy. This is an important case report in which we have successfully completed NAM therapy and also followed the case after lip surgery for 6 months which resulted in better surgical outcome in terms of function and esthetics. In conclusion, we suggest that presurgical NAM improves esthetics, decreases cleft deformities, and prepares the patients for less surgical procedures with better results.
鼻牙槽成形术(NAM)是最近一种用于3-4月龄以下唇腭裂患者的婴儿矫形器械,因为4月龄以下婴儿的高雌激素含量导致初级软骨的可塑性非常高。我们在患儿3周龄时开始治疗,一直持续到4个月大,唇裂间隙从19mm减少到9mm,腭(牙槽)间隙从9mm减少到3mm,鼻解剖也有改善。这是一个重要的病例报告,我们成功地完成了NAM治疗,并在唇部手术后随访了6个月,在功能和美观方面取得了更好的手术效果。总之,我们认为手术前NAM改善了美观,减少了唇裂畸形,并为患者准备了更少的手术,效果更好。
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引用次数: 0
Single-nucleotide polymorphisms in genes associated with drug resistance of Plasmodium vivax in two regions of South India 印度南部两个地区间日疟原虫耐药相关基因的单核苷酸多态性
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2021-07-01 DOI: 10.4103/jnsbm.JNSBM_167_20
G. Mukthayakka, A. Sajjan, R. Kashid
Background: Plasmodium vivax is reported to be the predominant cause of malaria in India. Recent emergence of resistance to chloroquine (CQ) and sulfadoxine-pyrimethamine (SP) drugs has been attributed to multiple mutations in pvmdr-1 and pvdhfr regions of P. vivax, respectively. Hence, in this study, we have assessed the single-nucleotide polymorphisms (SNPs) in pvmdr-1 and pvdhfr genes for CQ and SP drug resistance, respectively, in cases of malaria from two regions of South India. Materials and Methods: A total of 36 P. vivax isolates from Bengaluru and Vijayapura were collected and sequenced for pvmdr-1 and pvdhfr genes, and the SNPs were analyzed. Results: Out of the total 45 positive P. vivax samples assessed in this study, 36 samples were mono infection cases. No wild-type pvmdr-1 gene was observed in any of the samples analyzed. Predominant presence (83.3%) of double mutations (T958M and F1076L) was observed. In the pvdhfr gene, wild-type (36.1%) and two mutations (41.6%; S58R and S117N) were observed. New mutations were not detected in pvmdr-1 or pvdhfr gene in this study. Conclusion: The present study reports the presence of SNPs in both pvmdr-1 and pvdhfr genes in P. vivax isolates from Bengaluru and Vijayapura. Continuous monitoring of drug resistance to antimalarial drugs is essential for undertaking optimal public health measures tailored to selected regions.
背景:据报道间日疟原虫是印度疟疾的主要病因。最近出现的对氯喹(CQ)和磺胺多辛-乙胺嘧啶(SP)药物的耐药性分别归因于间日疟原虫pvmdr-1和pvdhfr区域的多重突变。因此,在这项研究中,我们评估了来自印度南部两个地区的疟疾病例中CQ和SP耐药的pvmdr-1和pvdhfr基因的单核苷酸多态性(snp)。材料与方法:收集印度Bengaluru和Vijayapura地区36株间日疟原虫分离株,进行pvmdr-1和pvdhfr基因测序,并进行snp分析。结果:在本研究评估的45份间日疟原虫阳性样本中,有36份样本为单一感染病例。在分析的任何样本中均未观察到野生型pvmdr-1基因。双突变(T958M和F1076L)主要存在(83.3%)。pvdhfr基因中有野生型(36.1%)和两个突变型(41.6%);S58R和S117N)。本研究未发现pvmdr-1或pvdhfr基因出现新的突变。结论:本研究报道了从班加罗尔和维查亚普拉分离的间日疟原虫pvmdr-1和pvdhfr基因均存在snp。持续监测抗疟药物耐药性对于采取适合选定区域的最佳公共卫生措施至关重要。
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引用次数: 0
Functional and radiological outcome of single-stage surgical treatment of late presenting developmental dysplasia of the hip 晚期发育性髋关节发育不良单期手术治疗的功能和放射学结果
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2021-07-01 DOI: 10.4103/jnsbm.jnsbm_13_21
Y. Tej, A. Hegde, Chethan B. Shetty
Background: Developmental dysplasia of the hip (DDH) is the second-most common pediatric orthopedic condition in our country. The management of children presenting with DDH in the walking stage is primarily by surgical approach due to the changes in the femoral head, acetabulum, and other soft tissues surrounding the joint. This study evaluated the functional and radiological outcome of children with DDH in the walking age group who underwent open reduction with or without femur or pelvic osteotomy. Materials and Methods: Retro-prospective Cohort Study was conducted in tertiary care hospital. All children underwent open reduction through a standard anterior approach. The hip was reduced, and stability was assessed intraoperatively, and osteotomy was performed. The functional and radiological outcome was assessed at the end of follow-up; various variables which influence the outcome were looked. Chi-square test was used to measure the association between the types of surgery with the outcome, Tonnis grade with the outcome, and these are expressed as frequency and percentage. Results: Sixty-six percent of hips in our study had excellent functional outcomes, 27% had a good outcome. About 68% of hips in our study had excellent, and 2.5% of hips in our study had a poor radiological outcome. Conclusions: The assessment of outcomes suggested that appropriate surgery based on age and intraoperative assessment will give satisfactory functional outcome, irrespective of whether acetabular/femoral procedures are done. The re-surgeries rate in our study was low as all of them had single staged combined surgical intervention.
背景:发育性髋关节发育不良(DDH)是我国第二常见的儿童骨科疾病。由于股骨头、髋臼和关节周围其他软组织的改变,儿童行走期DDH的治疗主要是通过手术方法。本研究评估了行走年龄组DDH患儿行切开复位伴或不伴股骨或骨盆截骨术的功能和影像学结果。材料与方法:在三级医院进行回顾性前瞻性队列研究。所有患儿均行标准前路切开复位术。髋关节复位,术中评估稳定性,并行截骨术。随访结束时评估功能和放射学结果;研究了影响结果的各种变量。采用卡方检验来衡量手术类型与结果、Tonnis分级与结果之间的关系,并以频率和百分比表示。结果:在我们的研究中,66%的髋关节具有良好的功能结果,27%的髋关节具有良好的结果。在我们的研究中,大约68%的髋关节具有良好的放射预后,2.5%的髋关节具有较差的放射预后。结论:结果评估表明,无论是否进行髋臼/股骨手术,基于年龄和术中评估的适当手术将获得满意的功能结果。本组患者均采用单期联合手术干预,再手术率较低。
{"title":"Functional and radiological outcome of single-stage surgical treatment of late presenting developmental dysplasia of the hip","authors":"Y. Tej, A. Hegde, Chethan B. Shetty","doi":"10.4103/jnsbm.jnsbm_13_21","DOIUrl":"https://doi.org/10.4103/jnsbm.jnsbm_13_21","url":null,"abstract":"Background: Developmental dysplasia of the hip (DDH) is the second-most common pediatric orthopedic condition in our country. The management of children presenting with DDH in the walking stage is primarily by surgical approach due to the changes in the femoral head, acetabulum, and other soft tissues surrounding the joint. This study evaluated the functional and radiological outcome of children with DDH in the walking age group who underwent open reduction with or without femur or pelvic osteotomy. Materials and Methods: Retro-prospective Cohort Study was conducted in tertiary care hospital. All children underwent open reduction through a standard anterior approach. The hip was reduced, and stability was assessed intraoperatively, and osteotomy was performed. The functional and radiological outcome was assessed at the end of follow-up; various variables which influence the outcome were looked. Chi-square test was used to measure the association between the types of surgery with the outcome, Tonnis grade with the outcome, and these are expressed as frequency and percentage. Results: Sixty-six percent of hips in our study had excellent functional outcomes, 27% had a good outcome. About 68% of hips in our study had excellent, and 2.5% of hips in our study had a poor radiological outcome. Conclusions: The assessment of outcomes suggested that appropriate surgery based on age and intraoperative assessment will give satisfactory functional outcome, irrespective of whether acetabular/femoral procedures are done. The re-surgeries rate in our study was low as all of them had single staged combined surgical intervention.","PeriodicalId":16373,"journal":{"name":"Journal of Natural Science, Biology, and Medicine","volume":"21 1","pages":"198 - 202"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81267817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of Natural Science, Biology, and Medicine
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