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The role of blood pressures in patients with a headache 血压在头痛患者中的作用
Pub Date : 2016-07-11 DOI: 10.20286/NOVA-JMBS-050205
M. Mazdeh, M. Khazaei, A. Sayad, J. Z. Bagherpour, M. Taheri
Background: A headache is the most common cause of patients referred to the doctor. About 40 percent of people are suffering from a headache for at least once a year. Due to it's the high prevalence and its association with cardiovascular diseases, hypertension was considered as a  health problem in industrialized and developing countries. The aim of this study was to investigate the role of blood pressure in patients with a headache referred to the neurological clinic during  2014-2015 in Hamadan. Method: This cross-sectional study was performed to evaluate patients with a headache referred to the neurological clinic. Exclusion criteria included: a headache with a specific cause (a migraine, stroke, chronic daily headache, kidney disease, Diabetes Mellitus, history of heart disease or use of cigarette. The data were entered into the list and then were analyzed by SPSS software through paired T-test and chi-square test. Results: In this study, the 100 patients with a headache (78% females and 22% males) were investigated. The average age of patients was 60.07±13.175 years. The prevalence of stage 1 & 2 hypertension was 85%, and prehypertension prevalence of 7% was reported. Most of the headaches were in the frontal (33 %). Furthermore, the most headaches occur in varied time (70%). There wasn’t a significant correlation between age (P-value=0.698), gender (P-value=0.952), headache and blood pressure. Conclusion: The results obtained from the present study indicated that there was not any significant correlation between a headache and blood pressure, and the prevalence of blood pressure in the patients with a headache was similar to those who do not have headaches. Keywords: Blood Pressure, Hypertension, Headache
背景:头痛是患者向医生就诊的最常见原因。大约40%的人每年至少头痛一次。由于高血压的高患病率及其与心血管疾病的关联,在工业化国家和发展中国家,高血压被认为是一个健康问题。本研究的目的是调查2014-2015年在哈马丹神经病学诊所就诊的头痛患者中血压的作用。方法:本横断面研究进行评估患者头痛转介神经病学诊所。排除标准包括:有特定原因的头痛(偏头痛、中风、慢性每日头痛、肾病、糖尿病、心脏病史或吸烟史)。将数据录入表中,用SPSS软件进行配对t检验和卡方检验。结果:对100例头痛患者(女性78%,男性22%)进行了调查。患者平均年龄为60.07±13.175岁。1期和2期高血压的患病率为85%,高血压前期患病率为7%。大多数头痛发生在前额叶(33%)。此外,大多数头痛发生在不同的时间(70%)。年龄(p值=0.698)、性别(p值=0.952)与头痛、血压无显著相关。结论:本研究结果表明,头痛与血压之间没有显著相关性,头痛患者的血压患病率与无头痛患者相似。关键词:血压,高血压,头痛
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引用次数: 1
Some Functional Properties of Kafirin Extracted from a- High- Tannin Sorghum Cultivar 高单宁高粱提取物卡菲林的一些功能性质
Pub Date : 2016-07-10 DOI: 10.20286/NOVA-JMBS-050202
Abd Elmoneim O. Elkhalifa, S. Ahmed, S. Ahmed
Kafirin was extracted form a whole high tannins sorghum flour (Fetarita). Different functional properties of produced protein were studied and sorghum flour was used as a control. Results showed that the extracted kafirin has a significant low loose and packed bulk densities compared to the control sorghum flour. The porosity of the control (0.374 g/ml) significantly higher than the extracted kafirin (0.196 g/ml). The Carr index for the kafirin was 20.4%, while it was 39.2% for the sorghum flour Alkaline water retention, as well as water and oil holding capacity of the extracted protein were highly significant than the control, and the results showed that kafirin was highly viscous with a water holding capacity of 2.01 ml H 2 O/g protein, oil holding capacity of 2.10 ml oil/g protein. There is no significant differences between the emulsifying activity of the kafirin and the control, while the kafirin had high emulsifying stability than the control by 11%. No foam capacity and stability were observed for the control, while the kafirin showed 2.75% foam capacity with no foam stability reported. Results shows that the control sorghum flour took longer time (84.9 sec) to completely be wet in cold water than the extracted kafirin (25.0 sec). SEM results of the kafirin supports the development in functional properties. Keywords: Sorghum, Kafirin, Functional properties; SEM.
卡菲林是从一种完整的高单宁高粱粉(Fetarita)中提取的。以高粱粉为对照,研究了所制蛋白质的不同功能特性。结果表明,与对照高粱粉相比,提取的卡菲林具有较低的松散密度和堆积密度。对照品的孔隙度(0.374 g/ml)显著高于提取品的卡非林(0.196 g/ml)。卡菲林的卡尔指数为20.4%,而高粱粉的碱性保水率为39.2%,提取蛋白的持水和持油能力均显著高于对照,结果表明,卡菲林具有高粘性,持水能力为2.01 ml h2o /g蛋白,持油能力为2.10 ml oil/g蛋白。卡非林的乳化活性与对照无显著差异,但其乳化稳定性比对照高11%。对照组没有泡沫容量和稳定性,而卡非林的泡沫容量为2.75%,没有泡沫稳定性的报道。结果表明,对照高粱粉在冷水中完全浸湿的时间(84.9秒)比提取的高粱粉(25.0秒)长。扫描电镜结果支持了其功能性质的发展。关键词:高粱;卡菲林;功能特性;扫描电镜。
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引用次数: 3
Plasma Proteins in Enterica Serovar Typhi patients in Northern Sudan 苏丹北部伤寒肠血清型患者的血浆蛋白
Pub Date : 2016-07-10 DOI: 10.20286/NOVA-JMBS-050201
N. Mohamed, Mohieldin Omer
Background: The study entailed a quantitative assessment of serum total protein, albumin, globulin, and albumin. Method: globulin ratio in individuals who diagnosed positively with typhoid fever and detection any alteration in plasma protein in receptiveness to typhoid titers. One hundred positively diagnosed with typhoid infection mean age (41.5 ± 2.1) years on zero day treatments. In addition to healthy one hundred individuals mean age (42.9 ± 1.9) years were recruited in this study. Results: There were significant difference  P. value = 0.000   in total protein, serum albumin, serum globulin and A/G ratio for typhoid positive and negative,  mean (8.4±0.01,6.8±0.06), (3.5±0.01, 4.1±0.03), (4.9±0.01, 2.8±0.06), (0.7 ± 0.003, 1.5 ± 0.02) respectively. No significant difference, P. value was 0.632, 0.832 and 0.760 serum total protein (7.5 ± 0.92, 7.6 ± 0.79) serum albumin (3.8 ± 0.38, 3.8 ± 0.37) and serum globulin (3.8 ± 0.16, 3.9 ± 0.16) for males and females respectively. Also no significant difference, P. value was 0.11, 0.60, and 0.06 serum total protein (8.4 ± 0.01, 8.4± 0.02) serum albumin (3.5 ± 0.01, 3.5 ± 0.01) and serum globulin (5.0 ± 0.01, 4.9 ± 0.01) for titer 1/160 and titer 1/320. Conclusion: Low albumin level and hypoglycemia should be surveillant when anti typhoid pharmaceutical commenced. Key words: Plasma Proteins, Enterica Serovar Typhi, Sudan
背景:该研究包括对血清总蛋白、白蛋白、球蛋白和白蛋白的定量评估。方法:对诊断为伤寒阳性的个体进行球蛋白比检测,并检测血浆蛋白对伤寒滴度的变化。经零日治疗的100例伤寒确诊患者平均年龄(41.5±2.1)岁。除健康个体外,本研究还招募了100名平均年龄(42.9±1.9)岁的个体。结果:伤寒阳性与阴性患者血清总蛋白、血清白蛋白、血清球蛋白、A/G比值p值分别为(8.4±0.01、6.8±0.06)、(3.5±0.01、4.1±0.03)、(4.9±0.01、2.8±0.06)、(0.7±0.003、1.5±0.02),p值差异有统计学意义(p值= 0.000)。男女血清总蛋白(7.5±0.92,7.6±0.79)、血清白蛋白(3.8±0.38,3.8±0.37)、血清球蛋白(3.8±0.16,3.9±0.16)p值分别为0.632、0.832和0.760,差异无统计学意义。血清总蛋白(8.4±0.01,8.4±0.02)、血清白蛋白(3.5±0.01,3.5±0.01)和血清球蛋白(5.0±0.01,4.9±0.01)在滴度为1/160和1/320时p值分别为0.11、0.60和0.06,差异无统计学意义。结论:抗伤寒用药时应警惕低白蛋白和低血糖。关键词:血浆蛋白,血清型伤寒肠菌,苏丹
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引用次数: 0
A study of lipid profile Levels of Type II Diabetes Mellitus 2型糖尿病患者血脂水平的研究
Pub Date : 2016-07-09 DOI: 10.20286/NOVA-JMBS-050203
M. Sabahelkhier., M. A. Awadllah, A. Idrees, A. Mohammed, M. Idris
This study consists of two parts; the Part one is to evaluate the level of Blood glucose and lipid profile  among diabetic patients(121 patients) which are compared with non-diabetic subjects (60 persons)  and  part two is to correlate lipid profile with cardiovascular abnormalities among type II diabetic patients. The diabetic patients were collected from Jabir Aboeleiz Center for Diabetes (51.9±11.22 years). Sixty healthy non-diabetic subjects were chosen as controls (52.44±10.76years). Blood glucose, total cholesterol (TC), triglycerides (TG) and high density lipoprotein (HDL) were measured by enzymatic colorimetric methods in both groups, and low density lipoprotein cholesterol (LDL) was calculated for each sample. Among diabetic patients, there is high glucose level, serum total cholesterol, triglycerides and LDL cholesterol (p 0.05). The study concluded that higher level of cholesterol, triglyceride and LDL-cholesterol in diabetic patients compared to non-diabetic subjects with lower level of serum HDL-cholesterol in diabetic patient compared to non- diabetic subjects. Keywords: Diabetic, Insulin, Mellitus and lipid.
本研究由两部分组成;第一部分评估糖尿病患者(121例)与非糖尿病患者(60例)的血糖和血脂水平,第二部分评估II型糖尿病患者血脂水平与心血管异常的相关性。糖尿病患者来自Jabir Aboeleiz糖尿病中心(51.9±11.22岁)。选取健康非糖尿病患者60例(52.44±10.76岁)作为对照。采用酶比色法测定两组患者的血糖、总胆固醇(TC)、甘油三酯(TG)和高密度脂蛋白(HDL),并计算各组患者的低密度脂蛋白胆固醇(LDL)。糖尿病患者血糖、血清总胆固醇、甘油三酯、低密度脂蛋白胆固醇均较高(p < 0.05)。该研究得出结论,糖尿病患者的胆固醇、甘油三酯和低密度脂蛋白胆固醇水平高于非糖尿病患者,而糖尿病患者的血清高密度脂蛋白胆固醇水平低于非糖尿病患者。关键词:糖尿病,胰岛素,糖尿病,血脂
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引用次数: 8
Body composition analysis in women aged 50-80 in Kujawsko-Pomorskie Voivodeship 库贾维斯科-波莫尔斯基省50-80岁妇女身体成分分析
Pub Date : 2016-06-20 DOI: 10.12775/MBS.2016.016
Andrzej Chęsy, G. Chęsy, W. Sikorski, A. Rakowski, Paweł Rakowski, M. Kuśmierek, K. Dmitruk, M. Tafil-Klawe
Otylośc to problem coraz cześciej wystepujący w polskiej populacji. Przyczyną jest nadmierne dostarczanie energii z pokarmow w stosunku do ilości zuzywanych przez organizm, a takze zbyt mala aktywnośc fizyczna. Czynniki te prowadzą do nadmiernego zwiekszenia ilości tkanki tluszczowej, niekorzystnie wplywającej na stan zdrowia. Celem badania jest ocena skladu ciala kobiet miedzy 50 a 80 rokiem zycia zamieszkujących wojewodztwo kujawsko-pomorskie. W badaniu uczestniczyly 1902 mieszkanki wojewodztwa kujawsko-pomorskiego, ktore podzielono na sześc grup wie-kowych. Oceniono u nich za pomocą metody bioimpedancji elektrycznej poziom masy tluszczowej i beztluszczowej ciala. Określono rowniez zawartośc wody w organizmie i pośrednio poziom podstawowej przemiany materii. Wraz z wiekiem u kobiet nastepuje obnizenie beztluszczowej masy ciala i poziomu wody w organizmie. Obserwuje sie natomiast wzrost masy ciala i jednocześnie zawartości tkanki tluszczowej u kobiet miedzy 50 a 70 rokiem zycia. Powyzej 70 roku zycia tendencja ta ulega odwroceniu i dochodzi do spadku masy ciala i poziomu tkanki tluszczowej. Jednocześnie zaobserwowano, ze wraz z wiekiem poziom podstawowej przemiany materii systematycznie ulega zmniejszeniu w populacji.
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引用次数: 1
Incidence of postpartum mood disorders depending on selected risk factors – a logistic regression model 产后情绪障碍的发生率取决于选定的危险因素-逻辑回归模型
Pub Date : 2016-06-18 DOI: 10.12775/MBS.2016.010
Marzena Kaźmierczak, Grażyna Gebuza, Estera Mieczkowska, Małgorzata Gierszewska
The aim of the study was to assess the severity of mood disorders in women in the first and sixth week postpartum and to determine the incidence of baby blues depending on selected risk factors. Material and methods. 285 postpartum women were enrolled in the study. The research project was divided into two stages (first and sixth week postpartum). The Edinburgh Postnatal Depression Scale (EPDS) was used to assess the severity of mood disorders. The indicator of the presence of disorders was set at ≥ 12 points on the 30-point EPDS scale. In order to determine the impact of selected independent variables on the dichotomous dependent variable (baby blues), a logistic regression model was used based on the formula. Results. In the first week postpartum, baby blues was found in 23.2% of the postpartum women. The risk for postnatal depression after six weeks postpartum was determined in 17.3% of the women. The odds ratio for baby blues correlated with: unfavorable financial situation of the women (OR=2.56), a family history of mental disorders (OR=3.87), and dissatisfaction with medical care received during childbirth (OR=5.24).  Conclusions Cases of baby blues were determined in every fourth woman from the sample group. The risk for postnatal depression was found in 17.3% of women after six weeks postpartum. The odds ratio for baby blues was affected by the following statistically significant factors: unfavorable financial situation of the women, genetic predispositions and dissatisfaction with perinatal medical care.
该研究的目的是评估产后第一周和第六周女性情绪障碍的严重程度,并根据选定的风险因素确定婴儿忧郁的发生率。材料和方法。285名产后妇女参加了这项研究。研究项目分为两个阶段(产后第1周和第6周)。使用爱丁堡产后抑郁量表(EPDS)评估情绪障碍的严重程度。在30分的EPDS量表中,存在障碍的指标设为≥12分。为了确定所选自变量对二分类因变量(婴儿蓝)的影响,根据公式使用逻辑回归模型。结果。产后第一周,23.2%的产后妇女出现产后忧郁。17.3%的妇女在产后6周后有产后抑郁的风险。产后忧郁的优势比与以下因素相关:妇女经济状况不佳(OR=2.56),精神障碍家族史(OR=3.87),分娩时对医疗服务不满意(OR=5.24)。结论:样本组中有四分之一的女性患有婴儿忧郁症。产后6周后,17.3%的女性有产后抑郁的风险。婴儿忧郁的优势比受到以下统计上显著因素的影响:妇女不利的经济状况、遗传倾向和对围产期医疗保健的不满。
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引用次数: 0
Improvement of cure after hematopoietic stem cel transplantations in children 儿童造血干细胞移植后治愈率的提高
Pub Date : 2016-06-17 DOI: 10.12775/MBS.2016.009
J. Styczyński, R. Dębski, Anna Krenska, K. Czyżewski, S. Koltan, N. Irga-Jaworska, M. Szalewska, M. Niedźwiecki, J. Stefanowicz, E. Adamkiewicz‐Drożynska, M. Płonowski, E. Leszczyńska, M. Krawczuk-Rybak, T. Ociepa, T. Urasiński, M. Wysocki
Wstep. Transplantacja komorek krwiotworczych (HSCT) jest wazną metodą terapeutyczną w wielu wrodzonych i nabytych chorobach, w tym nowotworowych, zespolach niewydolności szpiku oraz zaburzeniach immunologicznych i metabolicznych. Celem pracy jest analiza wynikow HSCT w pojedynczym ośrodku pediatrycznym w okresie 12 lat. Pacjenci i metodyka. Analizie poddano wyniki przeszczepien wykonanych w latach 2003-2015 w Klinice Pediatrii, Hematologii i Onkologii w Bydgoszczy. Transplantacje analizowano w trzech przedzialach czasowych: 2004-2007, 2008-2011 oraz 2012-2015. Wyniki. Wykonano 318 HSCT, w tym 186 alloge-nicznych (68 zgodnych rodzinnych i 118 od dawcow alternatywnych) oraz 132 autologiczne. Średnie przezycie po HSCT, wyznaczone metodą Kaplana-Meiera wynioslo 8,1 lat. Calkowite prawdopodobienstwo przezycia (pOS) wynioslo 0,64±0,03; pOS po allo-HSCT wynosi 0,62±0,04, a po auto-HSCT 0,67±0,05. Nie wykazano znamiennych roznic w pOS zarowno po allo-HSCT, jak i po auto-HSCT pomiedzy drugim (2008-2011) i trzecim (2012-2015) analizowanym okresie. Jednakze, pOS bylo wyzsze w dru-gim i trzecim okresie w stosunku do okresu pierwszego (2004-2007), zarowno dla wszystkich pacjentow, jak i u pacjentow po auto-HSCT. W grupie pacjentow allo-HSCT, uzyskano wzrost pOS o ponad 20% (43% vs 66% vs 64% w kolejnych przedzialach czasu; ns). Wnioski. Wyniki HSCT uzyskiwane aktualnie w na-szym ośrodku są porownywalne z wynikami podawanymi w miedzynarodowych rejestrach.
{"title":"Improvement of cure after hematopoietic stem cel transplantations in children","authors":"J. Styczyński, R. Dębski, Anna Krenska, K. Czyżewski, S. Koltan, N. Irga-Jaworska, M. Szalewska, M. Niedźwiecki, J. Stefanowicz, E. Adamkiewicz‐Drożynska, M. Płonowski, E. Leszczyńska, M. Krawczuk-Rybak, T. Ociepa, T. Urasiński, M. Wysocki","doi":"10.12775/MBS.2016.009","DOIUrl":"https://doi.org/10.12775/MBS.2016.009","url":null,"abstract":"Wstep. Transplantacja komorek krwiotworczych (HSCT) jest wazną metodą terapeutyczną w wielu wrodzonych i nabytych chorobach, w tym nowotworowych, zespolach niewydolności szpiku oraz zaburzeniach immunologicznych i metabolicznych. Celem pracy jest analiza wynikow HSCT w pojedynczym ośrodku pediatrycznym w okresie 12 lat. Pacjenci i metodyka. Analizie poddano wyniki przeszczepien wykonanych w latach 2003-2015 w Klinice Pediatrii, Hematologii i Onkologii w Bydgoszczy. Transplantacje analizowano w trzech przedzialach czasowych: 2004-2007, 2008-2011 oraz 2012-2015. Wyniki. Wykonano 318 HSCT, w tym 186 alloge-nicznych (68 zgodnych rodzinnych i 118 od dawcow alternatywnych) oraz 132 autologiczne. Średnie przezycie po HSCT, wyznaczone metodą Kaplana-Meiera wynioslo 8,1 lat. Calkowite prawdopodobienstwo przezycia (pOS) wynioslo 0,64±0,03; pOS po allo-HSCT wynosi 0,62±0,04, a po auto-HSCT 0,67±0,05. Nie wykazano znamiennych roznic w pOS zarowno po allo-HSCT, jak i po auto-HSCT pomiedzy drugim (2008-2011) i trzecim (2012-2015) analizowanym okresie. Jednakze, pOS bylo wyzsze w dru-gim i trzecim okresie w stosunku do okresu pierwszego (2004-2007), zarowno dla wszystkich pacjentow, jak i u pacjentow po auto-HSCT. W grupie pacjentow allo-HSCT, uzyskano wzrost pOS o ponad 20% (43% vs 66% vs 64% w kolejnych przedzialach czasu; ns). Wnioski. Wyniki HSCT uzyskiwane aktualnie w na-szym ośrodku są porownywalne z wynikami podawanymi w miedzynarodowych rejestrach.","PeriodicalId":18339,"journal":{"name":"Medical and Biological Sciences","volume":"10 1","pages":"51-56"},"PeriodicalIF":0.0,"publicationDate":"2016-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72979855","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: 1
Tendinopathy of the long head of the biceps tendon – physical examination confronted with shoulder arthroscopy findings 二头肌肌腱长头的肌腱病-体格检查面对肩关节镜检查结果
Pub Date : 2016-06-16 DOI: 10.12775/MBS.2016.008
J. Zabrzyński, A. Szumlański
Tendinopatia jest powszechnym problemem medycznym o wieloczynnikowej etiologii. Ściegno glowy dlugiej mieśnia dwuglowego ramienia jest podatne na urazy z powodu uwarunkowan anatomicznych oraz biomechanicznych. Celem badania bylo przedstawienie wynikow badania przedmiotowego oraz wynikow artroskopii barku u pacjen-tow z tendinopatią ściegna bicepsa. Badanie podzielono na dwie fazy:przedoperacyjną oraz artroskopową. Pierwsza faza skladala sie z pieciu testow klinicznych,oceny poziomu bolu za pomocą skali VAS oraz analizy historii schorzenia.Druga faza polegala na artroskopii barku z wykonaniem tenotomii lub tenodezy ściegna bicepsa. Badanie przedmiotowe wykazalo, ze najbardziej precy-zyjnym testem do oceny tendinopatii ściegna bicepsa byla tkliwośc w bruździe miedzyguzkowej. Średni wynik w opar-ciu o skale VAS to 7,8. Wywiad schorzenia byl w polowie urazowy, a w polowie o przeciązeniowej etiologii. Artro-skopia barku ujawnila inne schorzenia w stawach ramien-nych, a najczestszą zmianą byly uszkodzenia stozka rotato-row. Wielu autorow podkreśla związek pomiedzy tendinopatią bicepsa a innymi uszkodzeniami barku oraz problematyke precyzji testow klinicznych w diagnostyce tendinopatii. W obliczu licznych zmian towarzyszących tendinopatii bicepsa diagnostyka powinna byc poszerzona o inne badania obrazo-we oraz artroskopie barku uznawaną jako zloty standard.
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引用次数: 3
The increased body mass index effect on declarative memory 体重指数增加对陈述性记忆的影响
Pub Date : 2016-06-15 DOI: 10.12775/MBS.2016.011
Blanka Dwojaczny, Tomasz Zegarski, W. Sikorski, P. Złomańczuk, M. Tafil-Klawe
Several lines of evidence suggest that being overweight or obese not only impacts the cardiovascular and respiratory systems but also exert a negative effect on the central nervous system. We examined the relationship between body mass index and cognitive performance in three groups of volunteers: obese (17 women; aged 59.88 ± 4.29; BMI 34.08 ± 2.31), overweight (35 women; aged 59.70 ± 4.68; BMI 27.87± 1.44), and normal body weight group (18 women; aged 64.5 ±4.84; BMI 23.53 ± 1.21). To evaluate the cognitive performance in our subjects we used face/name association test. Our data demonstrate that the increased body mass weight may have a negative effect on some cognitive function such as declarative memory.
多项证据表明,超重或肥胖不仅会影响心血管和呼吸系统,还会对中枢神经系统产生负面影响。我们研究了三组志愿者的体重指数和认知能力之间的关系:肥胖(17名女性;年龄59.88±4.29;BMI(34.08±2.31)、超重(35名女性;年龄59.70±4.68;BMI 27.87±1.44),正常体重组(18例;年龄64.5±4.84;Bmi(23.53±1.21)。为了评估研究对象的认知能力,我们使用了面孔/名字联想测试。我们的数据表明,体重增加可能会对一些认知功能产生负面影响,比如陈述性记忆。
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引用次数: 0
Anabolic steroid abuse and pancreatic insulinoma 合成代谢类固醇滥用与胰腺胰岛素瘤
Pub Date : 2016-06-15 DOI: 10.12775/MBS.2016.015
Aleksandra Oleśna, A. Durczyński, P. Hogendorf, M. Nowicki, J. Strzelczyk
Wprowadzenie. Naduzywanie steroidow anabolicznych jest czeste wśrod kulturystow. Powiązane jest to z wieloma negatywnymi skutkami zdrowotnymi – w tym z rozwojem nowotworow. Opis przypadku. 29-letni kulturysta z rocznym przyjmowaniem duzych dawek steroidow anabolicznych w wywiadzie zaprezentowal kilka epizodow neuroglikopenii z towarzyszącymi utratami przytomności. Wyniki badan obrazowych (USG, MRI, EUS) ujawnily lite ognisko o dośc wyraźnych granicach i średnicy 2cm w trzonie trzustki. Objawy pacjenta ukladaly sie w obraz triady Whipple’a (hiperinsulinemia z towarzyszącą hipoglikemią oraz ustepowanie objawow po podaniu glukozy). Innych odchylen od normy nie zaobserwowano. Pacjent zostal zakwalifiko-wany do leczenia chirurgicznego – przeprowadzono zabieg wyluszczenia guza trzustki. Przebieg pooperacyjny byl powiklany wystąpieniem przetoki trzustkowej, wymagającej reoperacji z zespoleniem trzustkowo-jelitowym sposobem Roux. Badanie histopatologiczne wykazalo obecnośc oto-rebkowanego lagodnego guza neuroendokrynnego. Pacjent byl poddany obserwacji przez 3 lata, w tym czasie nie zaobserwowano nawrotu choroby. Wnioski. Biorąc pod uwage czeste zjawisko zazywania sterydow anabolicznych przez kulturystow, niniejsza praca zwraca uwage na mozliwośc wtornego rozwoju kolejnego, potencjalnie zagrazającego zyciu nowotworu. Guz insulinowy nie byl poprzednio opisywany u sportowcow. Kulturyści powinni byc świadomi pewnych nastepstw zdro-wotnych w związku z zazywaniem steroidow anabolicznych.
{"title":"Anabolic steroid abuse and pancreatic insulinoma","authors":"Aleksandra Oleśna, A. Durczyński, P. Hogendorf, M. Nowicki, J. Strzelczyk","doi":"10.12775/MBS.2016.015","DOIUrl":"https://doi.org/10.12775/MBS.2016.015","url":null,"abstract":"Wprowadzenie. Naduzywanie steroidow anabolicznych jest czeste wśrod kulturystow. Powiązane jest to z wieloma negatywnymi skutkami zdrowotnymi – w tym z rozwojem nowotworow. Opis przypadku. 29-letni kulturysta z rocznym przyjmowaniem duzych dawek steroidow anabolicznych w wywiadzie zaprezentowal kilka epizodow neuroglikopenii z towarzyszącymi utratami przytomności. Wyniki badan obrazowych (USG, MRI, EUS) ujawnily lite ognisko o dośc wyraźnych granicach i średnicy 2cm w trzonie trzustki. Objawy pacjenta ukladaly sie w obraz triady Whipple’a (hiperinsulinemia z towarzyszącą hipoglikemią oraz ustepowanie objawow po podaniu glukozy). Innych odchylen od normy nie zaobserwowano. Pacjent zostal zakwalifiko-wany do leczenia chirurgicznego – przeprowadzono zabieg wyluszczenia guza trzustki. Przebieg pooperacyjny byl powiklany wystąpieniem przetoki trzustkowej, wymagającej reoperacji z zespoleniem trzustkowo-jelitowym sposobem Roux. Badanie histopatologiczne wykazalo obecnośc oto-rebkowanego lagodnego guza neuroendokrynnego. Pacjent byl poddany obserwacji przez 3 lata, w tym czasie nie zaobserwowano nawrotu choroby. Wnioski. Biorąc pod uwage czeste zjawisko zazywania sterydow anabolicznych przez kulturystow, niniejsza praca zwraca uwage na mozliwośc wtornego rozwoju kolejnego, potencjalnie zagrazającego zyciu nowotworu. Guz insulinowy nie byl poprzednio opisywany u sportowcow. Kulturyści powinni byc świadomi pewnych nastepstw zdro-wotnych w związku z zazywaniem steroidow anabolicznych.","PeriodicalId":18339,"journal":{"name":"Medical and Biological Sciences","volume":"13 1","pages":"73-76"},"PeriodicalIF":0.0,"publicationDate":"2016-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82057035","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
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