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Atherosclerosis risk factors in male patients qualified for percutaneous stenting of lower extremity arteries. A retrospective cohort study 男性患者经皮下肢动脉支架置入的动脉粥样硬化危险因素回顾性队列研究
Pub Date : 2016-06-15 DOI: 10.12775/MBS.2016.012
Adrianna Trofimiuk, Klaudia Koza, Paweł Grzelązka, J. Budzyński
Cele. Przewlekle niedokrwienie konczyn dolnych (PNKD) jest trzecim, co do czestości, schorzeniem sercowo- naczyniowym, dotyczącym okolo 20-30% doroslej populacji. Określenie czynnikow ryzyka PNKD jest istotne dla wczesnej diagnozy i wlaściwego leczenia chorych. Celem pracy bylo porownanie czestości wystepowania poszczegolnych czynnikow ryzyka u pacjentow leczonych wewnątrznaczyniowo z powodu PNKD z danymi pochodzącymi z duzych badan epidemiologicznych w Polsce dotyczących populacji ogolnej, pacjentow z chorobą naczyn wiencowych i mozgowych. Material i metody. Dokonano retrospektywnej oceny dokumentacji medycznej 73 mezczyzn leczonych po raz pierwszy wewnątrznaczyniowo z powodu PNKD, a stwierdzoną czestośc wystepowania glownych czynnikow ryzyka miazdzycy porownano z danymi z piśmiennictwa. Wyniki. Badani pacjenci z PNKD znamiennie cześciej palili tyton i mieli cukrzyce w porownaniu z wyniki polskich badan epidemiologicznych, takich jak: POLSCREEN, WOBASZ i NATPOL PLUS. Prezentowali oni znamiennie czestsze wystepowania nadciśnienia tetniczego niz w badaniach WOBASZ i NATPOL PLUS, wiekszą czestośc dyslipidemii niz w badaniach POLSCREEN i NATPOL PLUS oraz wiekszą czestośc BMI ≥ 25 kg/m 2 niz w badaniu POLSCREEN i mniejszą niz w badaniu NATPOL PLUS. W porownaniu z pacjentami z chorobą wiencową (CHW) pacjenci z PNKD mieli znamiennie rzadziej nadciśnienie tetnicze, nadwage lub otylośc, ale cześciej palili i mieli dyslipidemie. Wnioski. Pacjenci z PNKD prezentowali wiekszą czestośc i nasilenie czynnikow ryzyka miazdzycy oraz wielopoziomowej manifestacji miazdzycy niz osoby z populacji ogolnej oraz pacjenci z CHW, co wskazuje na koniecznośc poprawy leczenia zachowawczego w tej grupie chorych.
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引用次数: 0
Naso-Sinusal Tuberculosis: 3 Cases Report 鼻窦结核3例报告
Pub Date : 2016-06-15 DOI: 10.20286/NOVA-JMBS-050104
A. Mardassi, H. Dimassi, S. Nefzaoui, S. Benzarti
Introduction: Tuberculosis remains a real public health problem in Tunisia. Extra-pulmonary localizations account for 20 to 30% of tuberculosis disease, dominated by the node, osseous and urogenital localization. Case Report: The authors present three cases of nasosinusal tuberculosis, an unusual and rare localization of the disease, in a man and 2 women aged respectively of 30, 65 and 36 years. Results: The main symptoms were dominated by nasal obstruction, posterior throwing and dental pain. CT-scan showed a filling of the nasosinusal cavities with various stages of bony lysis. In all the cases, tuberculosis was confirmed histologically after an endoscopic middle meatotomy. Investigations looking for tuberculosis elsewhere were negative in all cases. Treatment was based on anti-tuberculosis drugs during 9 to 12 months. The evolution was favourable in all the cases. Conclusions: Nasosinusal tuberculosis is a rare chronic infection associating often variable levels of bony lysis. Histological exam remains the best way to confirm it. Therapy is based on anti-tuberculosis drugs. Medical investigations must usually search other localizations of the disease.
结核病在突尼斯仍然是一个真正的公共卫生问题。肺外定位占结核病的20%至30%,以淋巴结、骨和泌尿生殖系统定位为主。病例报告:作者报告了三例鼻窦结核,一种罕见的疾病的罕见定位,在一个男人和2个女人,年龄分别为30,65和36岁。结果:主要症状以鼻塞、后抛、牙痛为主。ct扫描显示鼻窦腔充盈并伴有不同阶段的骨溶解。在所有病例中,结核在内镜下中肉切开术后病理证实。在其他地方寻找结核病的调查在所有病例中均为阴性。治疗在9至12个月期间以抗结核药物为基础。这种进化在所有情况下都是有利的。结论:鼻鼻结核是一种罕见的慢性感染,常伴有不同程度的骨溶解。组织学检查仍是确诊的最佳方法。治疗以抗结核药物为基础。医学调查通常必须寻找疾病的其他部位。
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引用次数: 0
The impact of physical activity in the: „Keep your body straight” program on the selected features of body posturę in frontal and transverse planes in children aged 7-9 years “保持身体挺直”运动对7-9岁儿童正横面体位特征的影响
Pub Date : 2016-06-15 DOI: 10.12775/MBS.2016.013
M. Mrozkowiak, Mirosława Szark-Eckard, H. Żukowska, B. Augustyńska
The main causes of majority of health problems in children and teenagers include incorrect health behaviors and adverse effects of socioeconomic environment.  The purpose of this study is to determine the impact of physical activity in the ‘Keep your body straight’ program on incorrect body postures in children aged 7-9 years. Material and methods. 1864 children in classes I-III of primary schools were included in the study. The assessment of posture was conducted in six half-year long editions under the 3-year program using a photogrammetric method and concerned the same group of pupils. Children participated in corrective activities as a part of the ‘Keep your body straight’ program.  The above mentioned program positively influenced the torso bending angle to the left and less to the right. A similar effect was observed in the size of the maximum inclination of the atlas vertebra to the left,  in the spinous process and to a lesser extent, in the inclination to the right. In addition, a positive effect was noticed in  pelvic rotation in the transverse plane. Other features like the angle of shoulder line, the asymmetry of waist triangle height and width, the asymmetry of shoulders, shoulder blades and pelvis in frontal plane did not reveal any significant differences in the process.      Conclusions. 1. Corrective activities of the ‘Keep your body straight’ program combined with education of parents are moderately effective means in the correction process of wrong postures in frontal and transverse planes in children of both sexes aged 7-9 years. 2. Physical activity applied within the program significantly influenced the vertical orientation of torso and maximum deviation of the spinous process of vertebrae in the frontal plane and the value of pelvic rotation in the transverse plane. 3. The effectiveness of the program can be enhanced by an individual approach to every ‘advanced incorrect’ posture in a child, which could not be achieved under the program due to insufficient funds of the school.
大多数儿童和青少年健康问题的主要原因包括不正确的健康行为和社会经济环境的不利影响。本研究的目的是确定“保持身体挺直”项目中体育活动对7-9岁儿童不正确身体姿势的影响。材料和方法。1864名小学1 - 3年级的儿童参与了这项研究。在为期3年的项目中,使用摄影测量法对同一组学生进行了为期半年的姿势评估。孩子们参加了纠正活动,这是“保持身体挺直”计划的一部分。上述方案对躯干左弯角度有正向影响,对右弯角度影响较小。在棘突椎体最大向左倾斜的大小和较小程度的向右倾斜中也观察到类似的效果。此外,骨盆横向旋转也有积极作用。其他特征如肩线角度、腰三角形高度和宽度的不对称、肩、肩胛骨和骨盆额平面的不对称等在过程中没有明显差异。结论:1。“保持身体挺直”矫正活动结合家长教育是7-9岁男女儿童正横面错误体位矫正过程中较为有效的手段。2. 在该方案中进行的体育活动显著影响了躯干的垂直方向和脊柱棘突在额平面上的最大偏差以及骨盆在横平面上的旋转值。3.该计划的有效性可以通过对孩子的每个“高级错误”姿势的个别方法来提高,由于学校资金不足,该计划无法实现。
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引用次数: 0
The changes in body build and strength in female after a 4-month combined judo and strength training program 4个月柔道与力量训练相结合后女性体质与力量的变化
Pub Date : 2016-06-15 DOI: 10.12775/MBS.2016.017
Aleksandra Stachoń, A. Burdukiewicz, J. Pietraszewska, Justyna Andrzejewska, T. Stefaniak, Jaroslaw Maslinski
In judo great significance is attached to the development of strength, which is crucial for performing offensive and defensive actions during fights. Another aspect of strength training is improvement of body build and general physical health of female athletes. The present study aims to estimate the changes of strength and body composition in non-elite female judoists from academic sports clubs after a combined judo and strength training program. The study examined changes in body build and muscle strength in 20 female judoists participating in judo training and additional adaptive strength training. The anthropometric, physical and motoric measurements were performed twice at four months interval, before and after a combined training program. After the completion of the training program, significant increases of about 10 kg in back muscle strength and of about 2 kg in hand grip strength were noted. No increases in muscle mass and body girths were observed; however, fat mass decreased for about 0.6 kg, which was additionally confirmed by skinfolds thickness measurements. Body mass and BMI remained unchanged. The analysis using Sheldon’s somatotypes revealed a tendency towards lower endomorphy among the studied judoists after four months training period. The results of the present study indicate that even experienced but non-elite academic female judoists could improve their back muscle strength, handgrip strength, and body composition by completing the proposed strength training program along with judo training.
柔道非常重视力量的发展,这对于在战斗中进行进攻和防御动作至关重要。力量训练的另一个方面是提高女运动员的体型和整体身体健康。本研究的目的是评估非优秀学术体育俱乐部女柔道运动员在柔道与力量训练相结合后力量和身体成分的变化。这项研究调查了20名女性柔道运动员在参加柔道训练和额外的适应性力量训练后,体型和肌肉力量的变化。在联合训练计划前后,每隔4个月进行两次人体测量、物理和运动测量。训练计划完成后,背部肌肉力量显著增加约10公斤,手部握力显著增加约2公斤。没有观察到肌肉量和体围增加;然而,脂肪量减少了约0.6公斤,这一点也得到了皮肤褶皱厚度测量的证实。体重和身体质量指数保持不变。利用谢尔登的身体类型进行的分析显示,经过四个月的训练后,被研究的柔道运动员有降低自身形态的趋势。本研究结果表明,即使是经验丰富但非优秀的学术女性柔道运动员,也可以通过完成所提出的力量训练计划来改善其背部肌肉力量,握力和身体成分。
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引用次数: 1
The Impacts of Modern Technology on Food 现代科技对食品的影响
Pub Date : 2016-06-12 DOI: 10.20286/NOVA-JMBS-050186
Muhammad Haidar Hussien, Muhammad Ilham Miskon, A. F. Kamaruddin, Nursyazwanie Ishak
Nowadays, modern technology utilization on food is widely practiced and as a result, there are good and bad impacts of this practice. How they impact the society and why we have to utilize them despite of their impacts? The objective of this article is to determine the good and bad impacts will human globally face when utilizing the modern technology on food. The investigation first focuses on history and evolution of food from ancient until now and the evaluation of the good and bad impact of them on food. The scope also covers on four main classification of food processing related to the use of modern technology; food packaging and storage, food coloring and flavoring, food preservation and food fortification. As such, they are still being used to cater the increasing population demand that need food for survival despite the impacts encountered. The investigation and evaluation methods used are qualitative approach which is conducted through journals, articles, books and literature.
如今,现代技术在食品上的广泛应用,因此,这种做法有好的和坏的影响。它们是如何影响社会的,为什么我们必须利用它们,尽管它们的影响?本文的目的是确定人类在利用现代食品技术时将面临的好影响和坏影响。调查首先侧重于从古代到现在的食物的历史和演变,并评价它们对食物的好影响和坏影响。该范围还包括与使用现代技术有关的食品加工的四种主要分类;食品包装和储存,食品着色和调味,食品保存和食品强化。因此,尽管受到了影响,它们仍然被用来满足日益增长的人口对生存所需粮食的需求。使用的调查和评价方法是定性方法,通过期刊,文章,书籍和文献进行。
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引用次数: 1
Emergence of Storm Resistant Mechanisms in Pseudomonas aeruginosa Isolated from Burn Patients Hospitalized in Ghotbeddin Shirazi Burn Hospital Ghotbeddin Shirazi烧伤医院烧伤患者铜绿假单胞菌抗风暴机制的研究
Pub Date : 2016-06-12 DOI: 10.20286/NOVA-JMBS-050185
N. Pirbonyeh, Mitra Zardosht, A. Emami, S. Rostampour, A. Moattari, Abdolkhalegh Keshavarzi
Introduction: Pseudomonas aeruginosa is a bacterium has capability of presenting different policies against antimicrobial agents. These capacities make this bacterium as one of the most important cause of nosocomial infection especially among burned patients. Methods: In this cross sectional study, total of 253 hospitalized burned patients (During September 2013 to November 2014) in Ghotbeddin Shirazi were evaluated for P. aeruginosa. Confirmed isolates tested for Metallo-β-lactamase (MBLs) producing and related genes bla IMPI, II , bla SPM , bla KHM , bla VIM , efflux pump activity, and OprD mutations. Results: From total of 56 (22%) P. aeruginosa isolates, 32 (57.14%) were MBLs while in genetic evaluation, only bla IMPII, bla KHM and bla VIM genes were detected. While 52 (92.8%) isolates had MexAB-OprM gene but 44(78.6%) isolates had efflux pump activity. In OprD sequencing evaluation it has been proved that the most imipenem resistance isolates have mutations in this related gene. Based on the results it has been proved that the circulating P. aeruginosa isolates in Shiraz burn center are armed with the most potential resistant mechanisms. Conclusion: According to that the most isolates have the potential of express different mechanisms of resistance, it is highly recommended to evaluate the circulating infectious agents periodically and determine their resistant algorithm to control them before being resistant and being dominant in health centers.
简介:铜绿假单胞菌是一种对抗菌药物具有不同策略的细菌。这些能力使这种细菌成为医院感染的最重要原因之一,特别是在烧伤患者中。方法:采用横断面研究方法,对2013年9月至2014年11月在戈特贝丁设拉兹住院的253例烧伤患者进行铜绿假单胞菌检测。已确认的分离株检测了金属β-内酰胺酶(MBLs)产生及相关基因bla IMPI、II、bla SPM、bla KHM、bla VIM、外排泵活性和OprD突变。结果:56株铜绿假单胞菌(占22%)中,32株(占57.14%)为MBLs基因,而遗传评价中仅检测到bla IMPII、bla KHM和bla VIM基因。52株(92.8%)含有MexAB-OprM基因,44株(78.6%)具有外排泵活性。在OprD测序评估中证实,大多数亚胺培南耐药分离株存在该相关基因突变。结果表明,设拉子烧伤中心流行的铜绿假单胞菌具有最潜在的耐药机制。结论:鉴于大多数分离株具有表达不同耐药机制的潜力,建议定期对流行感染因子进行评估,确定其耐药算法,在耐药形成并在卫生中心占主导地位之前进行控制。
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引用次数: 6
Anatomical Study of the Water Cells Area in the Dromedary Camels Rumen (Camelus dromedarius) 单峰骆驼瘤胃水细胞区解剖学研究
Pub Date : 2016-06-12 DOI: 10.20286/NOVA-JMBS-050183
G. Allouch
Introduction: The aim of this study was to establish a description of the water cells area in dromedary camels. Methods: Ten clinically healthy of both sexes and different age, 4-9 years old were used in this study. The rumen was cut and opened, the contents were emptied of the rumen, then washed by running tap water to remove the ingestion. They were preserved in 10% formalin for 3-4 days to study object. Results: This study has shown that the water cells area was consisted of many of the primary, secondary and partially folds confining the longitudinal, transversely cells. Conclusions: The longitudinal and transverse cell forms the water cells which was considered chambers in which water was stored in camel's stomach.
前言:本研究的目的是建立单峰骆驼水细胞面积的描述。方法:选取10例临床健康的4 ~ 9岁男女儿童作为研究对象。切开并打开瘤胃,清空瘤胃内的内容物,然后用自来水冲洗以清除摄入物。在10%福尔马林中保存3-4天作为研究对象。结果:本研究表明,水细胞面积由许多初级、次级和部分褶皱组成,这些褶皱限制了纵向和横向的细胞。结论:骆驼胃的纵、横细胞构成水细胞,水细胞被认为是储存水的腔室。
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引用次数: 2
Histopathological Effect on Different Rat Tissues Induced By the Trihalomethane-Bromoform Administered In Drinking Water 饮水中三卤甲烷-溴仿对大鼠不同组织的组织病理学影响
Pub Date : 2016-06-07 DOI: 10.20286/NOVA-JMBS-050180
M. Abdelhalim, Y. M. H. Salaheldeen, O. Idris., E. Abdelsalam, M. Sabahelkhier.
Introduction: The experiment was designed to investigate the histopathological changes in rat’s tissues due to the effect of the trihalomethane (THM) -bromoform when administered in drinking water. Methods: A group of male Wistar rat was exposed to trihalomethane-bromoform (TBM) at concentration 750 ppm in their drinking water and dose 38.72 mg/kg per day for a month. Results: The growth rate and food intake were not affected by treatment, but TBM reduced significantly water consumption. Conclusions: This study demonstrate that, the brominated THM-bromoform administered in the drinking water induced cancer to the liver and caused hyperplasia to the urinary bladder beside the nephrotoxicity and the toxicity in small intestine demonstrated in the current study.
前言:本实验旨在研究饮水中三卤甲烷(THM) -溴仿对大鼠组织病理学的影响。方法:雄性Wistar大鼠饮水中三卤甲烷-溴仿(TBM)浓度为750 ppm,剂量为38.72 mg/kg / d,连续1个月。结果:处理对生长速度和采食量没有影响,但TBM显著降低了水分消耗。结论:本研究表明,除本研究显示的肾毒性和小肠毒性外,饮水中溴化thm - bromo仿还可引起肝脏癌和膀胱增生。
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引用次数: 3
The use of pedicled musculocutaneous flap of the trapezius muscle for the treatment of skin defect after two stage thoracic spine stabilisation – case report 带蒂斜方肌肌皮瓣治疗胸椎二期稳定术后皮肤缺损1例
Pub Date : 2016-05-06 DOI: 10.12775/MBS.2016.004
K. Elster, M. Kułakowski, Maciej Leciejewski, L. Grzelak, Ł. Paczesny
Musculocutaneous flaps play an important role in modern reconstructive surgery. They are useful in the treatment of primary traumatic skin lesions and secondary lesions formed during complicated healing of the surgical wounds. The case of 60 years old woman undergoing complicated healing of the wound after spine surgery is presented. The patient was qualified to spine surgery due to metastatic tumour caused by the lung cancer. The use of pedicled flap facilitated healing of the wound; thus, there was no need to remove implants stabilising pathologically fractured spine. The issue of ‘reconstructive ladder’ is discussed in the paper with various treatment options. Indications, surgical technique and postoperative care are thoroughly discussed providing an overview on this valuable method of treatment which allows a successful termination of complicated wound healing process.
肌皮瓣在现代重建外科中起着重要的作用。它们可用于治疗创伤性皮肤原发病变和外科伤口复杂愈合过程中形成的继发病变。病例60岁的妇女经历复杂的愈合后,脊柱手术的伤口。该患者因肺癌引起的肿瘤转移,适合脊柱外科手术。带蒂皮瓣的应用有利于创面愈合;因此,不需要移除固定病理性骨折脊柱的植入物。本文讨论了“重建阶梯”的问题,并提出了各种治疗方案。适应症,手术技术和术后护理进行了深入的讨论,提供了一个有价值的治疗方法,允许成功终止复杂的伤口愈合过程的概述。
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引用次数: 0
Radicalization of surgical treatment in pediatric melanoma malignum 小儿恶性黑色素瘤手术治疗的根治化
Pub Date : 2016-05-06 DOI: 10.12775/MBS.2016.002
Estera Rodziewicz, Krzysztof Dymek, Paulina Rypolc, M. Wysocki, Irena Daniluk-Matraś, P. Gałązka
I n t r o d u c t i o n . Melanoma is one of the most malignant cancers; however, melanoma in children is a very rare disease, accounting for only 1% of all new cases of cancer diagnosed annually. The objective of this paper is to present two cases of pediatric melanoma malignum with respect to model of surgical management related to stage of the disease with surgical approach based on current guidelines of American Joint Committee on Cancer (AJCC). C a s e  r e p o r t s . In first case of 4-year old girl, the melanotic lesion was on the right arm and sentinel lymph node in in right axillary region. After sentinel lymph node biopsy (SLNB) of right axillary space and histologic diagnosis of confirmed malignancy, the patient was qualified for regional lymphadenectomy. The final staging was IIIC grade, and further therapy with interferon was continued. In the second case of 17-year old boy, with congenital naevus on the right earlobe, a SLNB of the right axillary lymph node was performed. Histologic examination of the lymph node did not reveal metastasis to the lymph node. The final was grade IIA and no further therapy was required. C o n c l u s i o n s . Both patients remain in complete clinical remission for 9 and 12 months after the diagnosis, confirmed by imaging and laboratory examinations. Both cases underline proper therapeutic approach based on radicalization of surgical treatment, sentinel lymph node biopsy followed by regional lymphadenectomy and interferon therapy in case of confirmed metastasis or no further therapy in case of negative histology of sentinel lymph node.
我不知道该怎么做,但我知道该怎么做。黑色素瘤是最恶性的癌症之一;然而,儿童黑色素瘤是一种非常罕见的疾病,每年仅占所有新诊断癌症病例的1%。本文的目的是根据美国癌症联合委员会(AJCC)的现行指南,介绍两例儿童恶性黑色素瘤的手术治疗模式与疾病分期的关系。这是一个很好的例子。第一例患者为4岁女童,黑变病灶位于右臂,前哨淋巴结位于右腋窝区。经右腋窝间隙前哨淋巴结活检(SLNB)及病理确诊为恶性肿瘤后,患者符合行局部淋巴结切除术的条件。最终分期为IIIC级,并继续使用干扰素进一步治疗。第二例为17岁男孩,右耳垂先天性痣,行右腋窝淋巴结SLNB。淋巴结的组织学检查未发现淋巴结转移。最终为IIA级,无需进一步治疗。我想我的孩子们都是这样的。经影像学和实验室检查证实,两例患者在诊断后9个月和12个月均处于完全临床缓解期。这两个病例都强调了正确的治疗方法,基于手术治疗的根治性,前哨淋巴结活检,然后进行区域淋巴结切除术和干扰素治疗,如果确认转移,或者在前哨淋巴结组织学阴性的情况下不进行进一步治疗。
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引用次数: 0
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