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An Unpropitious Surprise Post Vaginal Hysterectomy – A Case of Incidentally Discovered Extra-Gastrointestinal Stromal Tumour 阴道子宫切除术后的意外惊喜--一个偶然发现的胃肠道外间质瘤病例
Pub Date : 2024-05-12 DOI: 10.31344/ijhhs.v8i2.645
J. Minal, Nikhil P V, Bhargavi K Nagabhushan, N. Murali, Nidha Gaffoor
Extra-gastrointestinal stromal tumours (EGIST) are rare mesenchymal tumours that arise outside the gastrointestinal tract and mainly affect the omentum, mesentery, and retroperitoneum. We report a case of EGIST in an elderly female patient at an unusual location. The patient was referred to our centre with hemoperitoneum post vaginal hysterectomy for the treatment of third-degree utero-vaginal prolapse. Ultrasonography (USG) of abdomen and pelvis was done which revealed a heterogenous tumour in the upper abdomen. The tumour mass measured 23x18x8.5cms and was abutting the greater curvature of stomach without infiltration. A diagnosis of extra-gastrointestinal stromal tumour, spindle cell type, high grade, with pseudo signet ring appearance was rendered based on the morphology and immunohistochemistry with CD117(c-kit) and DOG1. Rupture of cancerous mass in the abdomen is one of the causes to be kept in mind in hemoperitoneum and EGIST should be considered in the differential diagnosis of large, multi-nodular, primary lesions of the abdomen. A high degree of suspicion is needed as these patients present late and are often diagnosed incidentally during investigations for unrelated medical conditions. 10% of EGISTs are primarily disseminated and the site of origin cannot be established with certainty, emphasizing the enigma of its origin as encountered in the present case.International Journal of Human and Health Sciences Vol. 08 No. 02 Apr’24 Page: 207-211
胃肠道外间质瘤(EGIST)是一种罕见的间叶肿瘤,发生在胃肠道以外,主要累及网膜、肠系膜和腹膜后。我们报告了一例EGIST病例,患者是一名老年女性,发病部位不寻常。患者因三度子宫阴道脱垂行阴道子宫切除术后出现血性腹水而转诊至本中心。腹部和盆腔超声波检查(USG)显示上腹部有一异质肿瘤。肿瘤大小为23x18x8.5厘米,与胃大弯相邻,无浸润。根据肿瘤的形态以及CD117(c-kit)和DOG1的免疫组化结果,诊断为胃肠道外间质瘤,纺锤形细胞型,高分化,假标志环外观。腹部癌肿破裂是腹腔积血的原因之一,在鉴别诊断腹部巨大、多结节、原发性病变时应考虑 EGIST。需要高度怀疑,因为这些患者发病较晚,通常是在检查无关疾病时偶然被诊断出来的。10%的EGISTs主要是播散性的,无法确定其起源部位,这就强调了本病例中遇到的起源之谜:207-211
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引用次数: 0
A Morphometric Study of Nasal Index among Owo Indigenes of Ondo State, Nigeria 尼日利亚翁多州奥沃土著人鼻指数形态计量学研究
Pub Date : 2024-05-12 DOI: 10.31344/ijhhs.v8i2.638
Godswill Ogheneyebrorue Okoro, J. Igabari, Great O Owhefere
Objective: The purpose of this study was to investigate the morphometric characteristics of the nasal index among the Yoruba people of Owo, in Ondo State of Southern Nigeria, and to ascertain whether there is sexual dimorphism in their nasal characteristics.Methods: The study adopted the multistage, descriptive, cross-sectional survey design. A random sample of 130 males and 130 females between the ages of 18 – 55 years was taken.For each subject, the nasal height was measured and recorded as distance between nasion and subnasale while the nasal width was measured and recorded as distance between the most lateral points of right and left ala of the nose using a sliding digital caliper. Data obtained were analysed using both descriptive statistics (Mean and Standard deviation) and inferential statistics (t-test) to describe the nature of the data.Results: Data analyses showed that the mean nasal height was 42.34 ± 0.54 for males and 42.14 ± 0.56 for females and that the difference was statistically significant (p< 0.05). The mean nasal width was 40.77 ± 0.85 for males and 40.41 ± 0.42 for females and that the difference was statistically significant (p<0.05). The mean nasal index was 96.68 ± 2.91 for males and 95.43 ± 1.66 for females, and that the difference between both groups was statistically significant (p<0.05). Among the male respondents, 3.8%, 24.6% and 71.5%exhibited the Leptorrhine, Mesorrhine and Platyrrhine nose types, while for the female respondents, the respective proportions were 5.4%, 28.5% and 66.1% for Leptorrhine, Mesorrhine and Platyrrhine nose types.Conclusion: We observed sexual dimorphism in the nasal characteristics of Owo indigenes in Nigeria and the Platyrrhine type of nose was prevalent among them.International Journal of Human and Health Sciences Vol. 08 No. 02 Apr’24 Page: 165-169
研究目的本研究旨在调查尼日利亚南部翁多州奥沃市约鲁巴人鼻指数的形态特征,并确定他们的鼻部特征是否存在性别二态性:研究采用多阶段、描述性、横断面调查设计。使用滑动数字卡尺测量并记录每位受试者的鼻高,即鼻翼与鼻下之间的距离;测量并记录每位受试者的鼻宽,即左右鼻翼最外侧点之间的距离。数据分析采用描述性统计(平均值和标准偏差)和推断性统计(t 检验)来描述数据的性质:数据分析显示,男性的平均鼻高为(42.34 ± 0.54),女性为(42.14 ± 0.56),差异具有统计学意义(P< 0.05)。男性和女性的平均鼻宽分别为 40.77 ± 0.85 和 40.41 ± 0.42,差异有统计学意义(P<0.05)。男性的平均鼻指数为 96.68 ± 2.91,女性为 95.43 ± 1.66,两组之间的差异具有统计学意义(P<0.05)。在男性受访者中,有 3.8%、24.6% 和 71.5%的人表现为鳞鼻型、中鼻型和板鼻型,而在女性受访者中,鳞鼻型、中鼻型和板鼻型的比例分别为 5.4%、28.5% 和 66.1%:我们观察到尼日利亚奥沃土著人的鼻部特征存在性别二态性,其中钝鼻型最为普遍:165-169
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引用次数: 0
Perceptions on Indigenous Medicine, First Aid and Treatment of Snakebite among Sri Lankan Farmers 斯里兰卡农民对本土药物、急救和蛇伤治疗的看法
Pub Date : 2024-05-12 DOI: 10.31344/ijhhs.v8i2.631
Hmp Herath, B. Banneheka, F. Marikar
Since snakebite is a serious public health concern in Asia, one of the most affected countries is Sri Lanka. The incidence, species variety, clinical symptoms, and management of snakebite in Asia, with a focus on Sri Lanka, are all covered in this review paper. Many of the venomous snake species found in Asia are abundant and diverse. Snake bites are a typical occurrence, especially in rural areas where farming and encounters between humans and snakes are common. Numerous snake species, including the dangerous Russell’s viper and the spectacled cobra, are found in Sri Lanka specifically. Depending on the type of snake bitten and the amount of venom administered, different clinical symptoms might result from a snake bite. Pain, bruising, swelling, and systemic symptoms like nausea, vomiting, and paralysis are typical ones. Treatment that is given too slowly or not at all can result in fatal consequences. Antivenom delivery, wound care, and supportive measures are all essential components of managing snake bite cases effectively. However, obstacles including a lack of access to medical facilities and less availability of antivenom sometimes make it difficult to get treatment quickly, particularly in isolated places and concern about indigenous treatment as well. Public awareness campaigns, better healthcare facilities, and epidemiology research are only a few of the measures taken against snakebite in Sri Lanka. To lessen the number of snakebites in, government institutions, medical professionals, and international organizations must work together. Better antivenom medicines and improved preventive and treatment plans for snakebite in this area require more study and funding.International Journal of Human and Health Sciences Vol. 08 No. 02 Apr’24 Page: 116-125
在亚洲,蛇咬伤是一个严重的公共卫生问题,斯里兰卡是受影响最严重的国家之一。本综述文章将介绍亚洲(重点是斯里兰卡)蛇咬伤的发病率、蛇的种类、临床症状和处理方法。在亚洲发现的许多毒蛇种类丰富多样。被蛇咬伤是一种常见现象,尤其是在农村地区,那里的农耕活动和人蛇相遇十分普遍。斯里兰卡有许多蛇类,包括危险的罗素蝰和眼镜蛇。被蛇咬伤后可能会出现不同的临床症状,具体取决于被咬蛇的种类和毒液的量。疼痛、瘀伤、肿胀以及恶心、呕吐和麻痹等全身症状是典型的症状。如果治疗太慢或根本没有治疗,可能会导致致命后果。注射抗蛇毒血清、伤口护理和支持性措施都是有效处理蛇咬伤病例的重要组成部分。然而,包括缺乏医疗设施和抗蛇毒血清供应不足在内的障碍有时会使患者难以获得快速治疗,特别是在偏远地区,人们还担心土著治疗。提高公众认识运动、改善医疗设施和流行病学研究只是斯里兰卡针对蛇咬伤采取的几项措施。为了减少蛇咬伤的数量,政府机构、医疗专业人员和国际组织必须共同努力。在这一领域,更好的抗蛇毒血清药物和更好的蛇咬伤预防和治疗计划需要更多的研究和资金:116-125
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引用次数: 0
Recurrent Ear Discharge in Primary Care: Exploring the Possibility of Cholesteatoma - A Case Report 基层医疗中反复出现的耳部分泌物:探讨胆脂瘤的可能性 - 病例报告
Pub Date : 2024-05-12 DOI: 10.31344/ijhhs.v8i2.647
A. Rashid, Khadijah Mohd Nor, Loh Tze Liang, Muhammad Farid Hashim, Faezah Hassan
Cholesteatoma is a benign lesion of the keratin-producing squamous epithelium, most commonly arising in the middle ear and mastoid. It is rarely found within the external auditory canal. It presents mainly as unilateral lesions and is often destructive and locally invasive. Hence, early detection and referral to an otorhinolaryngology specialist are warranted due to its grave sequelae. This report is about a rare and atypical case of an external ear canal cholesteatoma (EECC) in a young patient. The diagnosis and referral were delayed due to the nature of the disease that resembles an infection, the rarity and atypical presentation of the case, and a low index of suspicion. Therefore, a high index of suspicion based may lead to a timely diagnosis, management, prevention of serious complications, and optimal preservation of ear function.International Journal of Human and Health Sciences Vol. 08 No. 02 Apr’24 Page: 215-219 
胆脂瘤是产生角蛋白的鳞状上皮的良性病变,最常见于中耳和乳突。它很少出现在外耳道内。它主要表现为单侧病变,通常具有破坏性和局部侵袭性。因此,由于其严重的后遗症,应及早发现并转诊至耳鼻喉科专科医生。本报告涉及一例罕见的非典型外耳道胆脂瘤(EECC)年轻患者。由于疾病的性质类似感染,病例罕见且表现不典型,加上怀疑指数较低,因此诊断和转诊被延误。因此,高怀疑指数可能会导致及时诊断、治疗、严重并发症的预防以及耳功能的最佳保护:215-219
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引用次数: 0
Inside the Disposal Box: A Study on Biomedical Waste Awareness Among Aspiring Dental Professionals 处理箱内:关于有抱负的牙科专业人员对生物医疗废物的认识的研究
Pub Date : 2024-05-12 DOI: 10.31344/ijhhs.v8i2.643
S. Tamboli, Faraz Tamboli
Background: Biomedical waste management across India has become a growing concern for dentists. This study investigates biomedical waste management knowledge in the context of dental education. The aim of this study is to determine the knowledge, compliance and understanding levels of dental students regarding the processing and disposal of biomedical waste.Methods: This study was conducted among students and interns of a rural dental college in Maharashtra, India. A pre-designed survey was administered to dental students in various academic years. Investigations include waste classification, segregation, disposal technologies, safety procedures, and environmental impacts associated with biomedical waste.Results: A total of 150 students participated. The male/female ratio is 1:1.31. On average, 88% and 12% of students have correct and incorrect information about biomedical waste.Conclusion: The results of this study can form the basis for the development of educational strategies and interventions to raise awareness and ensure responsible biomedical waste management in medical education, dentistry, and medical facilities.International Journal of Human and Health Sciences Vol. 08 No. 02 Apr’24 Page: 198-202
背景:印度各地的生物医疗废物管理已成为牙科医生日益关注的问题。本研究调查了牙科教育背景下的生物医疗废物管理知识。本研究旨在确定牙科学生对生物医疗废物处理和处置的了解、遵守和理解水平:本研究在印度马哈拉施特拉邦一所农村牙科学院的学生和实习生中进行。对不同学年的牙科学生进行了预先设计的调查。调查内容包括废物分类、隔离、处理技术、安全程序以及与生物医疗废物相关的环境影响:共有 150 名学生参与了调查。男女比例为 1:1.31。平均而言,分别有 88% 和 12% 的学生对生物医疗废物有正确和错误的认识:本研究的结果可作为制定教育战略和干预措施的依据,以提高人们的认识,确保在医学教育、牙科和医疗机构中负责任地管理生物医疗废物:198-202
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引用次数: 0
Knowledge, Attitude and Practice of Lifestyle Modifications Among Hypertensive Patients Visiting A Tertiary Care Hospital in Central India 印度中部一家三级医院的高血压患者对改变生活方式的认识、态度和实践
Pub Date : 2024-05-12 DOI: 10.31344/ijhhs.v8i2.634
Deepti Amborkar, A. Kasulkar, Madhur Gupta
Background: Globally, hypertension is a major problem. The cornerstone of the strategy for preventing hypertension is making appropriate lifestyle modifications. The present study was carried out to assess knowledge, attitude and practice of lifestyle modifications among hypertensive patients.Methods: This cross-sectional questionnaire-based study carried out among 343 hypertensive patients visiting a tertiary care hospital.Results: We observed that although majority of hypertensive had good knowledge and attitude about lifestyle changes in hypertension, least were adherent to those. Conclusion: The treatment of hypertension is greatly aided by preventive medication. In order to lower the prevalence of hypertension in a nation, assessments of knowledge, attitudes, and practices regarding lifestyle change are fundamentally necessary.International Journal of Human and Health Sciences Vol. 08 No. 02 Apr’24 Page: 140-146
背景:在全球范围内,高血压是一个主要问题。预防高血压战略的基石是调整适当的生活方式。本研究旨在评估高血压患者对改变生活方式的认识、态度和实践:这项横断面问卷调查的对象是在一家三级医院就诊的 343 名高血压患者:我们发现,虽然大多数高血压患者对改变高血压生活方式有良好的认识和态度,但坚持改变生活方式的患者最少。结论预防性药物对高血压的治疗有很大帮助。为了降低一个国家的高血压患病率,对改变生活方式的知识、态度和实践进行评估是非常必要的:140-146
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引用次数: 0
A Case Report on Acotiamide’s Role in De-Prescribing PPI – An Offbeat Approach 关于阿可替胺在停用 PPI 中的作用的病例报告--一种非传统的方法
Pub Date : 2024-05-12 DOI: 10.31344/ijhhs.v8i2.646
V. Vishnupriya
Proton pump Inhibitors (PPI) are the commonest over the counter medications which are abused. Its prescribed even for minor gastric events and patients tend to take it for indefinite periods.PPI abuse can lead to wide range of toxic events like nephritis, osteoporosis, cardiac events, Clostridium infections, vitamin malabsorption. There are not many reports on management of pantaprazole abuse. Acotiamide is a drug which enhances acetylcholine release from enteric neurons through muscarinic receptor antagonism and acetylcholinesterase (AchE) inhibition, thereby enhancing gastric emptying and gastric accommodation. Here I am presenting a 36-year-old female with daily pantaprazole or omeprazole 40mg intake. She came for quitting the PPIs and was successfully managed with acotiamide and gradual tapering of the PPI.International Journal of Human and Health Sciences Vol. 08 No. 02 Apr’24 Page: 212-214
质子泵抑制剂(PPI)是最常见的滥用非处方药。泮托拉唑滥用可导致肾炎、骨质疏松症、心脏病、梭菌感染、维生素吸收不良等多种中毒事件。有关泮托拉唑滥用管理的报告并不多。阿考替胺是一种通过毒蕈碱受体拮抗作用和乙酰胆碱酯酶(AchE)抑制作用增强肠神经元乙酰胆碱释放的药物,从而增强胃排空和胃容纳能力。在这里,我介绍一位每天服用泮托拉唑或奥美拉唑 40 毫克的 36 岁女性。她前来戒除 PPIs,并通过服用阿考替胺和逐步减少 PPI 成功戒除:212-214
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引用次数: 0
Use of Simulation in Medical Education 在医学教育中使用模拟教学
Pub Date : 2024-05-12 DOI: 10.31344/ijhhs.v8i2.630
Abdus Salam, Shaima Akter, Md Mushtahid Salam, Salaheldin Taher, Abdulhameed Gadmor Moftah, M. Pasha, Hamida Begum, S. Satwi, Hasbullani Zakaria
 Abstract not availableInternational Journal of Human and Health Sciences Vol. 08 No. 02 Apr’24 Page: 111-115
摘要不详《国际人类与健康科学杂志》第 08 卷第 02 期 24 年 4 月 第 111-115 页:111-115
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引用次数: 0
Goiter Prevalence and Associated Factors among Women in Hargeisa, Somalila 索马里哈尔格萨妇女的甲状腺肿患病率及相关因素
Pub Date : 2024-05-12 DOI: 10.31344/ijhhs.v8i2.642
S. Dahir, Afnan Abdirahman Mohamed, Hassan Jama H Hassan, Recep Ercin Sonmez, Mehmet Sait Ozsoy, J. Kiruja, Orhan Alimoglu
Background: Goiter, which is associated with various risk factors, is highly prevalent in Hargeisa region of Somalia and is a serious health problem among women living in the region.Objective: This study aims to reveal the true extent of the problem, identify the causative factors and suggest preventive methods accordingly.Methods: A cross-sectional analysis was conducted on 270 female patients randomly selected from 1659 patients at Hargeisa Group Hospital (HGH), in Somalia, between January and August of 2022. The study sample was equally distributed between those with and without a diagnosis of goiter. Independent risk factors were identified by making comparisons between groups.Results: For the study group, dietary habits were identified as an important risk factor for the development of goiter. Patients who regularly consumed ‘cabbage’ - 188 (87.4%) had a higher rate of goiter compared to those who did not - 64 (47.4%); (p<0.001). Furthermore, those who consumed iodized salt regularly or more frequently - 54 (40%) were less likely to have goiter compared to those who did not - 128 (94.8%); (p<0.001). The use of non-iodized salt and cabbage consumption were identified as predictive factors for the development of goiter.Conclusion: Randomized studies with larger study groups should be conducted. The Minister of Health, health professionals and the media should work in cooperation to raise public awareness and take necessary precautions.International Journal of Human and Health Sciences Vol. 08 No. 02 Apr’24 Page: 192-197
背景:甲状腺肿大与各种风险因素有关,在索马里哈尔格萨地区非常普遍,是该地区妇女的一个严重健康问题:本研究旨在揭示该问题的真实程度,确定致病因素并提出相应的预防方法:2022 年 1 月至 8 月期间,从索马里哈尔格萨团体医院(HGH)的 1659 名患者中随机抽取了 270 名女性患者进行横断面分析。研究样本在确诊甲状腺肿和未确诊甲状腺肿的患者中平均分配。通过组间比较,确定了独立的风险因素:在研究组中,饮食习惯被认为是甲状腺肿大发病的重要风险因素。经常食用 "卷心菜 "的患者有 188 人(87.4%)患甲状腺肿大,而不经常食用 "卷心菜 "的患者有 64 人(47.4%)患甲状腺肿大(P<0.001)。此外,与不食用碘盐的 128 人(94.8%)相比,经常或更频繁食用碘盐的 54 人(40%)患甲状腺肿大的可能性较小;(p<0.001)。使用非碘盐和食用卷心菜被认为是甲状腺肿大的预测因素:结论:应进行随机研究,并扩大研究群体。卫生部长、卫生专业人员和媒体应通力合作,提高公众意识并采取必要的预防措施:192-197
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引用次数: 0
Phytonutrients Composition of Nigerian Banana Fruits (Musa species) And Their Peel Extracts 尼日利亚香蕉果实(Musa 种)及其果皮提取物的植物营养素组成
Pub Date : 2024-05-12 DOI: 10.31344/ijhhs.v8i2.639
Justinah Folasade John Isa
Objective: The aim of this study is to determine the phytonutrients components of banana fruits and that of their peel extracts.Methods: Two (2) banana fruit types; Yoruba (local) and Igbo banana and their peel extracts were evaluated in this researchResults: The two banana types revealed the presence of some bioactive compounds such as like phenols, alkaloids, flavonoids, glycoside, terpenoid, tannin, saponin, carotenoids, potassium, sodium and fibre at varying concentrations. The phytonutrients analysis of the banana fruits samples showed that Alkaloids had a mean range between 0.17±0.002 and 0.18±0.001mm. Phenolic contents with the mean values ranging from 1.57±0.01 to 1.70±0.01mm. Carotenoid had a mean range between 3.79±0.003 and 5.01±0.01mm. There was no significance difference in the Flavonoids contents with the mean values 0.09±0.00 to 0.09±0.001mm. Potassium contents mean values of the two banana fruits samples ranged from 165.5±0.71 to 175.00±2.83mm, Sodium contents of the banana fruits samples ranged from 122.00±0.00 to 117.00±1.41mm and Fibre contents ranged from 0.01±0.001 to 0.02±0.002mm. The phytonutrients analysis of the banana peel extract showed the presence of glycoside, terpenoid, alkaloids, flavonoids, tannin and saponins. The presence of these phytonutrients confirms the two Musa species tested to be of medicinal value. The extract of the two selected banana peels showed various inhibitory effect against selected microbial isolates. The results of this study revealed that Yoruba (local) banana peel extracts has the highest zone of inhibition (26.50±3.61mm) on Staphylococcus aureus compared to Igbo banana peel extracts (20.33±2.47mm). However, Igbo banana peel extract (18.33±1.61mm) showed a little higher growth inhibition on Escherichia coli compared to Yoruba (local) banana peel extract (17.43±1.68mm).Conclusion: The presence of these bioactive compounds in banana fruits and their peel showed a positive role in maintaining immune function in the body system.International Journal of Human and Health Sciences Vol. 08 No. 02 Apr’24 Page: 170-176 
研究目的本研究旨在确定香蕉果实及其果皮提取物的植物营养成分:本研究评估了两种香蕉果实:约鲁巴香蕉(当地)和伊格博香蕉及其果皮提取物:结果:两种香蕉均含有一些生物活性化合物,如不同浓度的酚类、生物碱、黄酮类、苷类、萜类、单宁、皂苷、类胡萝卜素、钾、钠和纤维。香蕉果实样品的植物营养素分析表明,生物碱的平均值范围在 0.17±0.002 和 0.18±0.001 毫米之间。酚含量的平均值范围为 1.57±0.01 至 1.70±0.01mm。类胡萝卜素的平均值在 3.79±0.003 和 5.01±0.01 毫米之间。黄酮类化合物含量的平均值为 0.09±0.00 至 0.09±0.001mm,没有显著差异。钾含量的平均值为 165.5±0.71 至 175.00±2.83mm,钠含量的平均值为 122.00±0.00 至 117.00±1.41mm,纤维含量的平均值为 0.01±0.001 至 0.02±0.002mm。对香蕉皮提取物进行的植物营养素分析表明,其中含有苷类、萜类、生物碱、黄酮类、单宁和皂苷。这些植物营养素的存在证实了所测试的两种麝香植物具有药用价值。两种所选香蕉皮的提取物对所选微生物分离物有不同的抑制作用。研究结果表明,与伊格博香蕉皮提取物(20.33±2.47 毫米)相比,约鲁巴(当地)香蕉皮提取物对金黄色葡萄球菌的抑制面积最大(26.50±3.61 毫米)。然而,伊格博香蕉皮提取物(18.33±1.61 毫米)对大肠杆菌的生长抑制作用略高于约鲁巴(当地)香蕉皮提取物(17.43±1.68 毫米):结论:香蕉果实及其果皮中存在的这些生物活性化合物对维持人体系统的免疫功能具有积极作用:170-176
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引用次数: 0
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International Journal of Human and Health Sciences (IJHHS)
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