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Evaluation of Ampicillin- Lactose Incompatibility Reactions at Solid-State Using Physicochemical Methods 用物理化学方法评价氨苄西林-乳糖不相容反应
Pub Date : 2022-05-01 DOI: 10.52547/rabms.8.2.69
Amir Ali Babazadeh miyandoab, Leila Barghi, Nesa Yousefi, F. Ghaderi
Background & Aims : One of the significant steps in the preformulation of pharmaceutical dosage forms is to examine active pharmaceutical ingredient (API) compatibility with the excipients applied with it. Drug-excipient incompatibility affects the stability, effectiveness, safety, and quality of the final product. Therefore, it is vital, for fruitful drug production, to sort out excipients compatible with the active pharmaceutical ingredient. The aim of this study was to evaluate the compatibility of ampicillin with lactose through differential scanning calorimetry (DSC) and Fourier-transform infrared spectroscopy (FTIR) physicochemical methods. Materials & Methods : To formulate powder samples, 300 mg ampicillin and lactose powder was discharged into a vial in a ratio of 1: 1, and 20% v/w water was added and then vortexed. Also, samples of pure drug and pure excipient were prepared by the same method. The direct compression method was applied to formulate the tablet samples. The samples were stored at 60° C in the oven and possible incompatibilities were examined for four consecutive weeks by observing the DSC thermograms and FTIR spectra. Results : According to the results, it is recommended to eschew the formulation of ampicillin with lactose for possible incompatibilities. Conclusion : Based on the obtained results and the changes in the main peaks of absorption of the drug-excipient mixture in the fourth week compared to the first day, there is the possibility of incompatibility in the mixture of ampicillin and lactose. Also, the observation of discoloration in the powder and tablets in the fourth week compared to the first day indicates the occurrence of a kind of incompatibility in the drug-excipient mixture.
背景与目的:药物剂型预配制的重要步骤之一是检查原料药与辅料的相容性。药物-赋形剂不相容影响最终产品的稳定性、有效性、安全性和质量。因此,筛选出与药物活性成分相匹配的赋形剂,对药品生产的顺利进行至关重要。本研究采用差示扫描量热法(DSC)和傅里叶变换红外光谱(FTIR)等理化方法评价氨苄西林与乳糖的相容性。材料与方法:将氨苄西林和乳糖粉300 mg按1:1的比例倒入小瓶中,加入20% v/w的水,然后旋流制备粉末样品。用同样的方法制备了纯药物和纯赋形剂样品。采用直接压缩法制备片剂样品。样品在60°C的烘箱中保存,通过观察DSC热像图和FTIR光谱连续四周检查可能的不相容性。结果:根据结果,建议避免氨苄西林与乳糖配伍。结论:根据所获得的结果和第4周与第1天相比药物-辅料混合物的主要吸收峰的变化,氨苄西林与乳糖混合物可能存在配伍不相容的情况。同时,观察第四周的粉剂和片剂与第一天相比的变色情况,说明药物-赋形剂混合物中出现了一种不相容。
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引用次数: 1
Effect of Antihypertensive Drugs on Placental Villi of Preeclamptic Patients: A Histopathological Study 降压药物对子痫前期患者胎盘绒毛的影响:一项组织病理学研究
Pub Date : 2022-05-01 DOI: 10.52547/rabms.8.2.64
Hamideh Ansari, Mohammad Faizan Ansari, Smrity Gupta, Medha Das
Background & Aims : The placenta has been described as the most accurate record of the infant’s prenatal experience. The present study was a quantitative study and it was carried out to see the effect of pre-eclampsia on histopathology of placenta and the comparative changes in placenta of preeclamptic patients taking antihypertensives. Materials & Methods : A total of 60 patients were selected from the Obstetrics and Gynecology Department of Jawahar Lal Nehru Medical College & Hospital, AMU, Aligarh, UP, India and were grouped into control, untreated, and treated groups. Placenta of each group was fixed in 10% formalin solution and processed for section cutting. 5-micron thick sections were prepared and stained with Hematoxylin-eosin and Wiegerts & Van gieson stain and observed under the light of the microscope. A total of 200villi/hpf was counted and percentages for each parameter were expressed. Result : It has been shown that there was a significant reduction (<0.05) in the percentage of placental villi showing syncytial knot, cytotrophoblast proliferation, Basement membrane thickening, fibrinoid necrosis, and stromal fibrosis. Conclusion : It has been concluded that antihypertensive drugs were not only effective in controlling the symptoms of pre-eclampsia but also effective in minimizing the placental histopathology and helpful in continuation of pregnancy under low utero-placental flow without completely normalizing the placental changes.
背景与目的:胎盘被认为是婴儿产前经历最准确的记录。本研究为定量研究,旨在观察子痫前期对胎盘组织病理学的影响,以及子痫前期患者服用降压药后胎盘的比较变化。材料与方法:选取印度北方邦阿利格尔贾瓦哈尔·拉尔·尼赫鲁医学院及医院妇产科60例患者,分为对照组、未治疗组和治疗组。各组胎盘固定于10%福尔马林溶液中,切片处理。制备5微米厚的切片,用苏木精-伊红和Wiegerts & Van gieson染色,在显微镜下观察。共计算200villi/hpf,并表示各参数的百分比。结果:胎盘绒毛出现合胞结、细胞滋养细胞增生、基底膜增厚、纤维蛋白样坏死、间质纤维化的百分率明显降低(<0.05)。结论:降压药不仅能有效控制先兆子痫的症状,而且能最大限度地减少胎盘组织病理学,有助于在子宫-胎盘低流量、胎盘变化未完全正常化的情况下继续妊娠。
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引用次数: 0
Multidrug Resistance among Clinical Isolates of Acinetobacter lwoffii 伊沃氏不动杆菌临床分离株多药耐药研究
Pub Date : 2022-05-01 DOI: 10.52547/rabms.8.2.104
Shohreh Afsharyavari
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引用次数: 2
Analysis of platelet parameters in patients with non-hematological disorders 非血液学疾病患者血小板参数分析
Pub Date : 2022-05-01 DOI: 10.52547/rabms.8.2.56
Priyanka Pappula, Vallamreddy Siva Kota Reddy, Vaheda Begam Korrapadu, Hima Bindu Gurram
Background & Aims : People with diabetes, exhibit increased platelet reactivity. Both insulin resistance and insulin deficiency increase platelet reactivity. Platelets play a vital role in the pathogenesis of acute coronary syndromes (ACS). It has been shown that PC and MPV are independent predictors for poor outcome in primary intracerebral hemorrhage. The aim of the study is to analyze the platelet parameters in patients with some non-hematological disorders such as diabetes mellitus type 2, acute coronary syndrome, and acute ischemic stroke. Materials & Methods : Blood samples were collected from 400 subjects and analysed using the Sysmex KX-21 automated hematology analyser. 300 patients presenting with non-hematological disorders and 100 age and sex matched healthy controls were checked for Platelet indices such as PC, MPV, PDW and P-LCR. The platelet morphology was studied on peripheral blood smear for considering the arrangement, granularity and size of platelets. Results : In total non-hematological disorders, DM type 2 accounts 37.33% (n=112), followed by 35.67% of ACS (n=107), and 27% of AIS (n=81). In diabetes mellitus type 2, PC was statistically elevated along with MPV compared with healthy controls. MPV and PDW were significantly raised in the patients admitted with ACS. In acute ischemic stroke, we noted that there was an elevation in MPV and a decrease in PC compared to them in the control group. Study showed discrete arrangement of platelets in 90% of DM type 2, 88% of ACS, and 80% of AIS patients. PBS in various clinical conditions showed granularity of platelets in 84 % of DM type 2, 81% of ACS and 83% of AIS patients. Study showed increased percentage of macrothrombocytes as 60% of DM type 2, 56% of ACS and 52% of AIS patients. The percentage of large platelets on PBS was increased beyond normal limits in DM type 2, ACS and AIS cases, indicating that there is an increase in size of the platelets supporting an increase in MPV. Conclusion : The measurement of platelet indices may provide useful diagnostic and prognostic information to emergency physicians caring for patients with ACS and AIS.
背景与目的:糖尿病患者血小板反应性增高。胰岛素抵抗和胰岛素缺乏都会增加血小板反应性。血小板在急性冠脉综合征(ACS)的发病机制中起着至关重要的作用。研究表明,PC和MPV是原发性脑出血预后不良的独立预测因子。本研究旨在分析2型糖尿病、急性冠状动脉综合征、急性缺血性脑卒中等非血液学疾病患者的血小板参数。材料与方法:收集400名受试者的血液样本,使用Sysmex KX-21全自动血液分析仪进行分析。对300例非血液病患者和100例年龄和性别匹配的健康对照者进行了血小板指数如PC、MPV、PDW和P-LCR的检测。为了考虑血小板的排列、粒度和大小,对外周血涂片上的血小板形态进行了研究。结果:非血液学疾病中,2型糖尿病占37.33% (n=112), ACS占35.67% (n=107), AIS占27% (n=81)。2型糖尿病患者与健康对照组相比,PC随MPV升高有统计学意义。急性冠脉综合征患者MPV和PDW明显升高。在急性缺血性卒中中,我们注意到与对照组相比,MPV升高,PC降低。研究显示,90%的2型糖尿病患者、88%的ACS患者和80%的AIS患者存在血小板离散排列。不同临床条件下的PBS显示84%的2型糖尿病患者、81%的ACS患者和83%的AIS患者的血小板粒度。研究显示,2型糖尿病患者中有60%、ACS患者中有56%、AIS患者中有52%的大血小板增加。在2型糖尿病、ACS和AIS病例中,PBS上大血小板的百分比超过正常范围,表明血小板大小的增加支持MPV的增加。结论:血小板指标的测定可为急诊医师诊治ACS和AIS患者提供有用的诊断和预后信息。
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引用次数: 0
Study of serum lipid profile in patients with oral submucous fibrosis and oral squamous cell carcinoma and their comparative analysis 口腔黏膜下纤维化和口腔鳞状细胞癌患者血清脂质谱的研究及比较分析
Pub Date : 2022-05-01 DOI: 10.52547/rabms.8.2.90
Sangeeta Khyalia
Background & Aims : The aim of this study was to evaluate serum lipid profile and compare their levels between the patients with oral submucous fibrosis (OSMF) and oral squamous cell carcinoma (OSCC). Materials & Methods : This descriptive study was done in two groups of patients; OSMF and OSCC patients. There were forty-five participants in each group. Serum samples obtained from centrifugation of 12 hour fasting blood samples was analyzed by fully automated analyzer Beckman coulter AU-680 for estimation of the lipid levels (cholesterol, triglycerides (TGL), and high‑density lipids (HDL)) using colorimetric methods. Low‑density lipid (LDL) values were obtained by calculation. Results : The comparison of lipid profile between Oral Submucous Fibrosis and Oral Carcinoma cases shows statistically significant results for TC, HDL and LDL. Conclusion : The change in lipid levels may have an early diagnostic or prognostic role in oral premalignant and malignant lesions.
背景与目的:本研究的目的是评估口腔黏膜下纤维化(OSMF)和口腔鳞状细胞癌(OSCC)患者的血脂水平并进行比较。材料与方法:本描述性研究分为两组患者;OSMF和OSCC患者。每组有45名参与者。用全自动贝克曼库尔特AU-680分析仪对空腹血样离心12小时获得的血清样本进行分析,用比色法估计脂质水平(胆固醇、甘油三酯(TGL)和高密度脂质(HDL))。通过计算获得低密度脂(LDL)值。结果:口腔黏膜下纤维化与口腔癌患者血脂比较,TC、HDL、LDL差异有统计学意义。结论:脂质水平变化对口腔癌前、恶性病变具有早期诊断和预后作用。
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引用次数: 0
The Prevalence of Impacted Third Molar, Impaction Angulation, and Impaction Depth in Patients Visiting Dental Clinics and Private Offices in Ghaemshahr, Iran, in 2016 2016年在伊朗Ghaemshahr牙科诊所和私人诊所就诊的患者中第三磨牙嵌塞、嵌塞角度和嵌塞深度的患病率
Pub Date : 2022-05-01 DOI: 10.52547/rabms.8.2.83
Seyed Mehdi Taghain, A. Maboudi, Mahmoud Goli, A. Sameie, L. Sadri
Background & Aims : The present study aimed to determine the prevalence of impacted third molar as well as impaction angulation and depth. Materials & Methods : In this cross-sectional descriptive study, 261 panoramic radiographs belonging to patients visiting dental clinics and offices in Ghaemshahr, Iran, were evaluated and the presence of impacted wisdom teeth was examined. Moreover, the angulation of impacted teeth, impaction depth, and the relationship of the tooth to the mandibular ramus were recorded. The data were recorded, collected, and statistically analyzed in SPSS 22 using the non-parametric chi-square test. p <0.05 was considered significant. Results : Of the 261 patients entering the study, 52 (17.69%) had at least one impacted tooth. Of the total number of patients with impacted teeth, 31 were women (mean prevalence of 19.87% of the total population of women) and 21 were men (15.22% of the total population of men), showing no significant difference (p=0.29). In terms of impaction depth based on Pell and Gregory’ classification, Class C impaction depth was the most prevalent in the maxilla, while Class A was the most prevalent in the mandible. The most prevalent impaction in terms of angulation in relation to the second molar was vertical in the maxilla and vertical and mesioangular in the mandible. Conclusion : Based on results, the prevalence of impacted wisdom teeth in patients was 17.69%. This may not be a striking amount, but it is still of significance since the possible complications of impacted teeth are costly and problematic.
背景与目的:本研究的目的是确定第三磨牙的流行情况以及嵌塞角度和深度。材料与方法:在这项横断面描述性研究中,对伊朗Ghaemshahr牙科诊所和办公室就诊的261名患者的全景x线片进行了评估,并检查了阻生智齿的存在。此外,还记录了阻生牙的角度、嵌塞深度以及与下颌支的关系。数据记录、收集,并在SPSS 22中使用非参数卡方检验进行统计分析。P <0.05为差异有统计学意义。结果:261例患者中,52例(17.69%)至少有一颗阻生牙。其中女性31例(平均占女性总人数的19.87%),男性21例(占男性总人数的15.22%),差异无统计学意义(p=0.29)。在Pell和Gregory的嵌塞深度分类中,C类嵌塞深度在上颌骨最常见,A类嵌塞深度在下颌骨最常见。就第二磨牙的角度而言最常见的嵌塞是上颌骨的垂直嵌塞下颌骨的垂直嵌塞和中角嵌塞。结论:本组患者阻生智齿患病率为17.69%。这可能不是一个惊人的数字,但它仍然是重要的,因为阻生牙齿可能的并发症是昂贵的和有问题的。
{"title":"The Prevalence of Impacted Third Molar, Impaction Angulation, and Impaction Depth in Patients Visiting Dental Clinics and Private Offices in Ghaemshahr, Iran, in 2016","authors":"Seyed Mehdi Taghain, A. Maboudi, Mahmoud Goli, A. Sameie, L. Sadri","doi":"10.52547/rabms.8.2.83","DOIUrl":"https://doi.org/10.52547/rabms.8.2.83","url":null,"abstract":"Background & Aims : The present study aimed to determine the prevalence of impacted third molar as well as impaction angulation and depth. Materials & Methods : In this cross-sectional descriptive study, 261 panoramic radiographs belonging to patients visiting dental clinics and offices in Ghaemshahr, Iran, were evaluated and the presence of impacted wisdom teeth was examined. Moreover, the angulation of impacted teeth, impaction depth, and the relationship of the tooth to the mandibular ramus were recorded. The data were recorded, collected, and statistically analyzed in SPSS 22 using the non-parametric chi-square test. p <0.05 was considered significant. Results : Of the 261 patients entering the study, 52 (17.69%) had at least one impacted tooth. Of the total number of patients with impacted teeth, 31 were women (mean prevalence of 19.87% of the total population of women) and 21 were men (15.22% of the total population of men), showing no significant difference (p=0.29). In terms of impaction depth based on Pell and Gregory’ classification, Class C impaction depth was the most prevalent in the maxilla, while Class A was the most prevalent in the mandible. The most prevalent impaction in terms of angulation in relation to the second molar was vertical in the maxilla and vertical and mesioangular in the mandible. Conclusion : Based on results, the prevalence of impacted wisdom teeth in patients was 17.69%. This may not be a striking amount, but it is still of significance since the possible complications of impacted teeth are costly and problematic.","PeriodicalId":16970,"journal":{"name":"Journal of Research in Applied and Basic Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77471569","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
Perception of COVID-19 vaccine due to media influence and its impact 媒体影响对COVID-19疫苗的认知及其影响
Pub Date : 2022-05-01 DOI: 10.52547/rabms.8.2.97
Somya Thakan, Aditya Mehta, Shakila Mulla
Background & Aims : Social media/mobile mass communications, while providing an unprecedented capacity for the masses to communicate, has also been a major drivers in the rise of fringe opinions very damaging to public health. Reconciling principles of freedom of speech with the usage of social media for damaging falsehoods remains a conundrum for nations. Hence it was desired to conduct a study with objective of determining the influence of social media on the perception of COVID-19 vaccine. Materials & Methods : An analytical cross-sectional study was conducted from May - July 2021 (duration three months) on those who gave consent and were eligible for vaccination according to the guidelines by ICMR (Indian council of medical research) and GOI (Government of India) Result : The majority of study participants 76.7% were aware of covid appropriate behaviour and preventive measures and around 61.8% of participants were aware of covid vaccination. The vast majority of the participants stated that they had obtained information about vaccinations (61.8%). The preferred method for acquiring information was social media (56.6%), followed by community health workers (15.6%), media-internet/news/television (15.3%) and very little importance to national guidelines through miking, pamphlets (5.6%). Conclusion: The impact of social media on the influence of covid vaccination was very disturbingly negative as a vast majority of study participants 60.7% tried to convince people to avoid vaccines after hearing about adverse events following vaccination through the social media platform.
背景与目的:社交媒体/移动大众传播虽然为大众提供了前所未有的沟通能力,但也成为对公共卫生非常有害的边缘观点兴起的主要驱动因素。在言论自由原则与利用社交媒体破坏谎言之间进行协调,仍然是各国面临的难题。因此,希望开展一项研究,目的是确定社交媒体对COVID-19疫苗认知的影响。材料与方法:根据ICMR(印度医学研究委员会)和GOI(印度政府)的指南,于2021年5月至7月(为期3个月)对同意并有资格接种疫苗的人进行了一项分析性横断面研究。结果:大多数研究参与者76.7%了解covid - 19适当行为和预防措施,约61.8%的参与者了解covid - 19疫苗接种。绝大多数参与者表示他们获得了有关疫苗接种的信息(61.8%)。获取信息的首选方法是社交媒体(56.6%),其次是社区卫生工作者(15.6%),媒体-互联网/新闻/电视(15.3%),通过挤奶、小册子获取国家指南的重要性很低(5.6%)。结论:社交媒体对covid - 19疫苗接种的影响是非常令人不安的负面影响,因为绝大多数研究参与者(60.7%)在通过社交媒体平台听到疫苗接种后的不良事件后试图说服人们避免接种疫苗。
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引用次数: 0
Evaluation of Three Hemoglobin Estimation Methods for Screening Blood Donors: An Experience in a South Indian Hospital 三种血红蛋白评估方法筛选献血者:在南印度医院的经验
Pub Date : 2022-03-01 DOI: 10.52547/rabms.8.1.1
Jhansi Priya Gaddam Harikrishna, Yashovardhan Araveti, Amulya Boddapati
Background & Aims : Hemoglobin (Hb) estimation is one of the mandatory tests should be carried out on all blood donors before accepting for blood donation to prevent collecting blood samples from anemic donors. Presently various methods are available for pre-donation screening of donor hemoglobin. Total Hb concentration is calculated from measured absorbance at multiple wavelengths. In this study we reviewed the performance of Compolab TS with automated SYSMEX XN 1000i hematology analyzer and with standard cyanmethemoglobin method. Materials & Methods : This is a prospective study carried out in the department of Transfusion Medicine, Narayana Medical College and Hospital, India. A total of 466 blood donors were screened and evaluated for hemoglobin estimation by three different methods. Comparison and their test performances were evaluated by analysis of coefficients of variation (CV), linear regression, and mean differences, using SPSS Software version 20.0. Results : There was no difference between the mean Hb determinations. The CVs for three methods Compolab TS, 0Coulter, and Cyanmethemoglobin methods were 0.71%, 0.44%, and 0.85%, respectively. Compolab TS and Coulter showed best agreement and the Cyanmethemoglobin showed lower determination rate compared to both the Coulter and Compolab TS tests. However, pair methods involving Cyanmethemoglobin seem to narrower limits of agreement (± 0.1636 and ± 0.2152) than Compolab TS and Coulter combination (± 0.2730). Conclusion : Estimation of Hb by Compolab TS is rapid, simple and easy and showed good agreement with the standard methods.
背景与目的:血红蛋白(Hb)检测是所有献血者接受献血前必须进行的强制性检测之一,以防止从贫血献血者中采集血样。目前有多种方法可用于捐献前筛查供体血红蛋白。总血红蛋白浓度是计算从测量吸光度在多个波长。在这项研究中,我们回顾了Compolab TS与自动SYSMEX xn1000i血液学分析仪和标准氰高铁血红蛋白方法的性能。材料与方法:这是一项在印度Narayana医学院和医院输血医学系进行的前瞻性研究。通过三种不同的方法对466名献血者进行了筛查和血红蛋白评估。采用SPSS软件20.0版,通过变异系数(CV)分析、线性回归分析和均值差异分析,比较两组的检验效果。结果:两组血红蛋白测定平均值无差异。Compolab TS法、0Coulter法和Cyanmethemoglobin法的CVs分别为0.71%、0.44%和0.85%。Compolab TS和Coulter方法的一致性最好,氰高铁血红蛋白的检出率较Coulter和Compolab TS方法低。然而,涉及氰高铁血红蛋白的配对方法似乎比Compolab TS和Coulter组合(±0.2730)的一致性范围更窄(±0.1636和±0.2152)。结论:Compolab TS法测定Hb快速、简便,与标准方法吻合较好。
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引用次数: 0
Comparative analysis of e-learning during covid-19 pandemic: a cross sectional survey among health sciences students in northern India covid-19大流行期间电子学习的比较分析:印度北部卫生科学专业学生的横断面调查
Pub Date : 2022-03-01 DOI: 10.52547/rabms.8.1.44
Shweta M. Chaudhary, Rishi Kumar Bharti, Swati Yadav, Rinku Garg
Background & Aims : To prepare qualified doctors for today’s environment in which the internet provides universal digital information, the teaching methods used for educating and training medical school students should be reconsidered for their effectiveness. The aim of this study was to investigate effectiveness of online teaching in facilitating medical education during the COVID-19 pandemic in northern India. Materials & Methods : This Cross-sectional, online survey study was conducted on total 334 students of 18-22 years' age by giving questionnaire which consisted of 10 questions. Informed consent was also taken. Questionnaire was given through online Google forms and link shared through social media and responses were collected. Questions were 5-point Likert-type questions, ranging from strongly disagree to strongly agree. Responses were collected in a one-week period. Statistical analysis was done using MS Excel program (ver. 2019, Microsoft, Redmond, WA, USA). Results : It was shown that 36.5% of the students disagree for “effectiveness of online teaching whereas 69.9% of them agree for “preference for online teaching to offline teaching. The commonly perceived disadvantages as perceived by students to using online teaching platforms were problematic internet connection (42.5%) and lack of two-way interaction. (22.2%). P values calculated for mean of paramedical and medical group was 0.03, which was statistically significant . Conclusion : Our study results showed that 82.6% of the students agreed that online teaching has not successfully replaced the offline teaching. Whereas 91.5% of the students felt they could not learn practical skills through online teaching. This indicates practical skills remain as potential disadvantage for online teaching.
背景与目的:为了培养合格的医生,在当今的环境中,互联网提供了普遍的数字信息,用于教育和培训医学院学生的教学方法应该重新考虑其有效性。本研究的目的是调查在线教学在印度北部COVID-19大流行期间促进医学教育的有效性。资料与方法:本研究采用横断面在线调查法,对334名18-22岁的大学生进行问卷调查,问卷共10个问题。知情同意也被采纳。通过在线谷歌表格进行问卷调查,并通过社交媒体分享链接,收集反馈。问题是李克特式的5分问题,从非常不同意到非常同意。在一周的时间内收集回复。采用MS Excel软件进行统计分析。2019,微软,雷德蒙德,华盛顿州,美国)。结果:36.5%的学生不同意“在线教学的有效性”,69.9%的学生同意“在线教学优于线下教学”。学生普遍认为使用在线教学平台的缺点是网络连接问题(42.5%)和缺乏双向互动。(22.2%)。护理组和医疗组的平均值P值为0.03,差异有统计学意义。结论:我们的研究结果显示,82.6%的学生认为在线教学没有成功地取代线下教学。而91.5%的学生认为他们无法通过网络教学学到实用技能。这表明实践技能仍然是在线教学的潜在劣势。
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引用次数: 1
Evaluation of Platelet Parameters and their Prognostic Significance in Anemia and Leukemia 血小板参数在贫血和白血病中的评价及其预后意义
Pub Date : 2022-03-01 DOI: 10.52547/rabms.8.1.36
Siva Kota Reddy Vallamreddy, Priyanka Pappula, Vaheda Begam Korrapadu
Background & Aims : Most commonly assessed Platelet indices include the mean platelet volume (MPV), platelet distribution width (PDW), platelet-large cell ratio (P-LCR), and the plateletcrit (PCT). The platelet behavior is often unpredictable and complicated in Iron Deficiency Anemia. High MPV and low PDW were reported in patients with leukemia. The present study aimed to evaluate the significance of platelet parameters in anemia and leukemia cases. Materials & Methods : A cross-sectional and observational case-control study was carried out at a teaching hospital of Andhra Pradesh. We measured the platelet indices using an automated counter. Laboratory data from 200 patients of anemia and leukemias were analysed. Results : Hematological disorders such as anemia in 168 cases and Leukemia in 32 cases were recorded. Platelet parameters specifically platelet count (PC), MPV, PDW, and P-LCR were significantly lowered in acute leukemia patients than them of the control group. In chronic leukemia (both CML & CLL) patients, all the platelet parameters such as mean platelet component (MPC), MPV, PDW, and P-LCR were found to be higher than them of the control group. In the majority of chronic leukemia cases, platelets on PBS were discrete (81%) and hypogranular (55%). Inverse relationship noted between MPV and PC among anemic patients. PC in acute leukemia (both AML & ALL) patients was lower than that of the control group. PDW was significantly lower in acute leukemia patients compared to that in the control group. P-LCR was also found to be significantly lower in the acute leukemia group compared to the control group. The PC was higher and the MPV was lower in the anemic group compared to the control group. Conclusion : In chronic leukemia patients, all the platelet parameters such asPC, MPV, PDW, and P-LCR were found to be significantly higher than them of the control group. PC was higher and the MPV was lower in the anemic group compared to the control group. All the platelet parameters such as MPV, PC, PDW, and P-LCR were significantly lower in acute leukemia patients compared to them in the control group, in contrast with chronic leukemia patients where the parameters were significantly higher compared to them in the control group.
背景与目的:最常评估的血小板指标包括平均血小板体积(MPV)、血小板分布宽度(PDW)、血小板与大细胞比(P-LCR)和血小板电积(PCT)。缺铁性贫血的血小板行为往往是不可预测的和复杂的。白血病患者MPV高,PDW低。本研究旨在探讨血小板参数在贫血和白血病患者中的意义。材料与方法:在安得拉邦的一家教学医院进行了一项横断面观察性病例对照研究。我们用自动计数器测量血小板指数。分析了200例贫血和白血病患者的实验室数据。结果:记录血液病如贫血168例,白血病32例。急性白血病患者血小板参数,特别是血小板计数(PC)、MPV、PDW、P-LCR均明显低于对照组。慢性白血病(CML和CLL)患者血小板平均成分(MPC)、MPV、PDW、P-LCR等各项指标均高于对照组。在大多数慢性白血病病例中,PBS上的血小板是离散的(81%)和下颗粒的(55%)。贫血患者MPV与PC呈负相关。急性白血病(包括AML和ALL)患者的PC低于对照组。急性白血病患者的PDW明显低于对照组。急性白血病组的P-LCR也明显低于对照组。与对照组相比,贫血组PC较高,MPV较低。结论:慢性白血病患者血小板各项指标如asPC、MPV、PDW、P-LCR均明显高于对照组。与对照组相比,贫血组PC增高,MPV降低。急性白血病患者血小板参数MPV、PC、PDW、P-LCR均显著低于对照组,而慢性白血病患者血小板参数均显著高于对照组。
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Journal of Research in Applied and Basic Medical Sciences
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