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Fenugreek: A Health promoting Food 胡芦巴:一种促进健康的食品
Pub Date : 2023-06-30 DOI: 10.54393/pbmj.v6i06.883
M.A.K. Niazi, Farooq Hassan
Lifestyle decisions, food habits, stress, environmental variables, and synthetic substances are all contributing to the rapid advancement of human diseases. It has been demonstrated that the herb fenugreek is effective in treating conditions like cancer, high cholesterol, diabetes, and inflammation. Fenugreek extracts and powders have been successfully used in the culinary and pharmaceutical industries because of its therapeutic properties. This review aim was to emphasize the significant nutritional advantages and therapeutic uses of fenugreek as a strong treatment for a range of diseases.
生活方式的决定、饮食习惯、压力、环境变量和合成物质都是导致人类疾病快速发展的原因。已经证明葫芦巴对治疗癌症、高胆固醇、糖尿病和炎症等疾病有效。胡芦巴提取物和粉末已成功地用于烹饪和制药行业,因为它的治疗特性。这篇综述的目的是强调胡芦巴的显著营养优势和治疗用途,作为一系列疾病的强治疗。
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引用次数: 0
In Silico Post Translational Analysis of Functional Single Nucleotide Alterations in Human TERT Gene Associated with Acute Myeloid Leukemia 与急性髓系白血病相关的人TERT基因功能单核苷酸改变的计算机翻译后分析
Pub Date : 2023-05-31 DOI: 10.54393/pbmj.v6i05.881
Anam Munir, A. Akram, Khansa Jamil, Asma I Tahir
Acute myeloid leukemia (AML) refers to a diverse assemblage of hematological malignancies that constitute clonal expansion of immature myeloid progenitor cells in the peripheral blood and bone marrow. TERT gene ensures telomeres maintenance, chromosome stability and prevention of malignancy. The TERT gene has several single nucleotide polymorphisms (SNPs) that have been linked to a number of diseases, including AML. Objective: To classify the harmful TERT gene mutations, and to analyze them using various computational approaches at structural, functional and translational expression levels Methods: National Centre for Biotechnology Information (NCBI) database was used to retrieve nsSNPs of TERT gene (Q53H, V170M, A184T, S255Y, A288V, H412Y, I540M, R631W) reported in AML and they were analyzed using various bioinformatics tools. Results: In this in silico analysis, it was observed that seven out of eight SNPs had a damaging effect; they could affect the protein stability, protein-protein interactions, hydrophobicity, protein folding, three-dimensional structure, secondary structure and conservation profile. 3D models were generated and validated by various tools and the structural effect of these alterations was observed on protein function that was destabilizing to the RNA folding, protein-protein interactions and other functionally associated proteins. Analysis of post translational modifications showed no significant effect of these mutations. Conclusions: These SNPs could be used in future as potential targets in disease diagnosis, biological markers and protein studies.
急性髓系白血病(AML)是一种由外周血和骨髓中未成熟髓系祖细胞克隆扩增而形成的多种血液系统恶性肿瘤。TERT基因确保端粒的维持,染色体的稳定和恶性肿瘤的预防。TERT基因有几个单核苷酸多态性(snp),与包括AML在内的许多疾病有关。目的:从结构、功能和翻译表达水平对TERT有害基因突变进行分类,并采用多种计算方法进行分析。方法:利用国家生物技术信息中心(NCBI)数据库检索AML中报道的TERT基因(Q53H、V170M、A184T、S255Y、A288V、H412Y、I540M、R631W)的非单核苷酸多态性,并采用多种生物信息学工具进行分析。结果:在这个计算机分析中,观察到8个snp中有7个具有破坏性作用;它们可以影响蛋白质的稳定性、蛋白质-蛋白质相互作用、疏水性、蛋白质折叠、三维结构、二级结构和保护剖面。通过各种工具生成和验证3D模型,观察到这些改变对蛋白质功能的结构影响,这些影响对RNA折叠,蛋白质-蛋白质相互作用和其他功能相关蛋白质不稳定。翻译后修饰分析显示这些突变没有显著影响。结论:这些snp可作为疾病诊断、生物标志物和蛋白质研究的潜在靶点。
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引用次数: 0
Medicinal Effect of Pyridoxine - Magnesium for the Cure of Autism Spectrum Disorder 吡哆醇镁治疗自闭症谱系障碍的疗效观察
Pub Date : 2023-05-31 DOI: 10.54393/pbmj.v6i05.866
Hafiza Madiha Jaffar, Sadia Sukhera, S. Batool, Asma Draz, B. Rizwan, Zeenat Islam
Dietary interventions involving the use of magnesium and vitamin B6 supplements are considered the most commonly employed therapeutic approach for autism spectrum disorder  (ASD). However, there is currently a lack of investigation into the medicinal efficacy of vitamin and mineral supplementation in improving ASD symptoms. Nonetheless, several researchers have observed a prevalence of nutritional and metabolic abnormalities among individuals with autism. While there is some evidence suggesting that nutrient and mineral supplementation may enhance these fundamental physiological processes, further research is necessary to establish their effectiveness. This review aims to explore potential direct and indirect contributions of metabolism to the primary symptoms of autism, as well as provide evidence regarding nutritional deficiencies and metabolic dysfunction. The present review systematically investigates the existing body of evidence regarding the utilization of high-dose vitamin B6-mg supplementation for the therapeutic intervention in individuals, encompassing both pediatric and adult populations, diagnosed with autism spectrum disorder
饮食干预包括使用镁和维生素B6补充剂被认为是自闭症谱系障碍(ASD)最常用的治疗方法。然而,目前缺乏关于补充维生素和矿物质对改善ASD症状的疗效的研究。尽管如此,一些研究人员已经观察到自闭症患者普遍存在营养和代谢异常。虽然有一些证据表明,营养和矿物质补充剂可能会增强这些基本的生理过程,但需要进一步的研究来确定其有效性。本综述旨在探讨代谢对自闭症主要症状的潜在直接和间接影响,并为营养缺乏和代谢功能障碍提供证据。本综述系统地调查了现有的关于使用高剂量维生素B6-mg补充剂进行个体治疗干预的证据,包括儿童和成人,诊断为自闭症谱系障碍
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引用次数: 0
Development of Indigenous Alkaline Phosphatase Kit for the Detection of Milk Quality 国产牛奶品质检测碱性磷酸酶试剂盒的研制
Pub Date : 2023-05-31 DOI: 10.54393/pbmj.v6i05.875
S. Mazhar, Naaz Abbas, Y. Saleem, Q. Syed, S. Riaz, Ramsha Essa, Bakhtawar Bukhari, Saira Ashfaq, Ishrat Perveen, Syed Hussain Imam Abidi
Milk is a profoundly nutritious food that provides the favorable environment and nutrition for the growth development of large number of microorganisms. Microbiological quality assurance techniques could be usually utilized as a speedy strategy to survey the microbiological nature of crude and pasteurized milk. Objective: To develop indigenous rapid kit for determination and differentiation of milk quality, microbial presence, pasteurized and unpasteurized milk. Methods: Some 14-milk raw and pasteurized milk samples were collected from different geographical areas of Lahore and different brands of pasteurized milk. The colorimetric indigenous alkaline phosphatase milk quality detection kit was prepared for 200 reactions was developed. Alkaline phosphatase kit was tested at different temperature and volume of milk. Results: Results showed that a wide range of milk that bought from local stores and nearby market with exorbitant cost milk types shown no difference in milk quality in terms of presence of microbes. Moreover, different effect of pasteurized milk was observed after affirm test the variety stayed blue and not changed. Conclusions: This indigenous kit is test is quick monetary strategy that can be utilized for identification of milk quality on the basis of microbial presence, therefore, pasteurized or unpasteurized milk can be tested in field as well.
牛奶是一种营养丰富的食品,为大量微生物的生长发育提供了良好的环境和营养。微生物质量保证技术通常可以作为一种快速的策略来调查粗奶和巴氏杀菌奶的微生物性质。目的:研制国产牛奶质量、微生物存在、巴氏灭菌乳和非巴氏灭菌乳的快速检测和鉴别试剂盒。方法:从拉合尔不同地理区域和不同品牌的巴氏奶中采集14份生奶和巴氏奶样品。制备了原生碱性磷酸酶乳质量比色检测试剂盒,并研制了200个反应的比色检测试剂盒。对碱性磷酸酶试剂盒在不同温度和牛奶体积下进行了检测。结果:结果表明,从当地商店和附近市场购买的各种牛奶价格过高,牛奶质量在微生物存在方面没有差异。此外,巴氏奶的不同效果,经确认试验后品种保持蓝色,没有变化。结论:本试剂盒是一种快速的检测方法,可用于基于微生物存在的牛奶质量鉴定,因此,巴氏灭菌或未经巴氏灭菌的牛奶也可在现场进行检测。
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引用次数: 0
The Effectiveness of High Intensity Electromagnetic Stimulation in Spastic Stroke Patients 高强度电磁刺激治疗痉挛性脑卒中的疗效
Pub Date : 2023-05-31 DOI: 10.54393/pbmj.v6i05.872
Muslim Khan, Aftab Ali, Zakir Khan, Abid Jan, S. Fahad, Samiullah Khan, Mansoor Ahmad, Rakan Abdullah Alwabel
In stroke patients, spasticity level allows to predict the patient’s rehabilitation outcome. Objective: To evaluate the anti-spastic effectiveness of high intensity electromagnetic stimulation (HIES) in stroke patients. Methods: Twenty (n=20) spastic stroke patients were assigned randomly into two groups; the study participants were briefed about the aim & methodology of the study & written consent were taken. Ten therapy sessions were given to the stroke’s patient spastic muscles in the treatment group (TG) with HIES, while in the controlled group (CG) 10 electrotherapy session along with kinesiotherapy was delivered. The outcome measures of the study were MAS (Modified Ashworth scale) & Barthel index (BI) was used as, for spasticity and for the patient’s quality life evaluation, respectively. After the one-month therapeutic plan results were obtained & compared based on the pre-treatment score & post-treatment score on the afore-mentioned specified outcome measures. Results: The analysis of data shows that treatment group score improved significantly, up to 68% & similarly, spasticity decreased from 2.86±0.075 in the beginning to 0.58±0.86 points on MAS, while on the other hand, control group score up to 31% enhanced & on the MAS scale, spasticity diminished from 2.45±0.57 in the start to 1.49±0.87 points. As per Barthel index, improvement for CG & TG was 72% & 80% respectively. Conclusions: This study results shows that high intensity electromagnetic stimulation (EMS) is highly effective in the reduction of stroke-specific spasticity.
在脑卒中患者中,痉挛水平可以预测患者的康复结果。目的:评价高强度电磁刺激(HIES)对脑卒中患者的抗痉挛效果。方法:20例痉挛性脑卒中患者随机分为两组;向研究参与者简要介绍了研究的目的和方法,并取得了书面同意。治疗组(TG)采用HIES对中风患者痉挛肌肉进行10次治疗,对照组(CG)进行10次电疗和运动疗法。研究结果采用MAS(改良Ashworth量表)和Barthel指数(BI)分别作为痉挛和患者质量生活的评价指标。1个月治疗计划结束后,根据上述指标的治疗前评分和治疗后评分进行比较。结果:数据分析显示,治疗组的评分明显提高,达到68%,同样,痉挛从开始时的2.86±0.075分下降到MAS的0.58±0.86分,而对照组的评分达到31%,痉挛从开始时的2.45±0.57分下降到MAS的1.49±0.87分。根据Barthel指数,CG和TG分别改善了72%和80%。结论:本研究结果表明,高强度电磁刺激(EMS)在减少脑卒中特异性痉挛方面非常有效。
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引用次数: 1
Characterization, Amplification, and Phylogenetic Analysis of Gossypium herbaceum Using rbcL Molecular Marker 草棉rbcL分子标记的鉴定、扩增及系统发育分析
Pub Date : 2023-05-31 DOI: 10.54393/pbmj.v6i05.891
Aftab Iqbal, Muhammad Zia Ur Rehman
People have used medicinal plants for centuries to produce traditional remedies that greatly interest modern health care. One of these plants, Gossypium herbaceum or commonly called Arabian cotton, has been used in various medicinal applications. Scientists are turning to DNA barcoding, a molecular technique that identifies species using standardized DNA regions. Objective: To evaluate samples of Gossypium herbaceum and their physical properties. Methods: DNA was extracted from the plant material, and its quality and quantity were checked. Using PCR and gel electrophoresis, amplification of the RBCL gene was done. Purification of the PCR products was done for DNA sequencing. After that, all the DNA sequences were compared with the available DNA sequences in public databases. The relationship between Gossypium herbaceum and other related species was evaluated using the neighbour-joining method for phylogenetic analysis. Results: The results showed a high percentage of pairwise nucleotide sequence identity with Gossypium richmond and Gossypium hirsutum. The study demonstrated the potential of DNA barcoding using the rbcL gene as a reliable method for identifying and confirming Gossypium herbaceum. Also, this study provides valuable insight into the phylogenetic relationships of this medicinal plant species. Conclusions: The findings support the conservation and appropriate use of medicinal plants and highlight the importance of ensuring the authenticity and quality of herbal products.
几个世纪以来,人们一直使用药用植物来制作传统的药物,这些药物对现代卫生保健非常感兴趣。其中一种植物,棉,或通常称为阿拉伯棉,已被用于各种医药应用。科学家们正转向DNA条形码,这是一种利用标准化DNA区域识别物种的分子技术。目的:对棉花样品及其物理性质进行评价。方法:从植物材料中提取DNA,并对其质量和数量进行检验。采用PCR和凝胶电泳对RBCL基因进行扩增。对PCR产物进行纯化,进行DNA测序。然后,将所有DNA序列与公共数据库中可用的DNA序列进行比较。采用邻系连接法进行系统发育分析,评价了棉与其他近缘种的亲缘关系。结果:结果表明,该基因与红棉和毛棉的双核苷酸序列同源性较高。该研究证明了利用rbcL基因进行DNA条形码技术作为鉴定和确认棉属植物的可靠方法的潜力。同时,该研究也为该药用植物的系统发育关系提供了有价值的见解。结论:研究结果支持了药用植物的保护和合理利用,强调了确保草药产品的真实性和质量的重要性。
{"title":"Characterization, Amplification, and Phylogenetic Analysis of Gossypium herbaceum Using rbcL Molecular Marker","authors":"Aftab Iqbal, Muhammad Zia Ur Rehman","doi":"10.54393/pbmj.v6i05.891","DOIUrl":"https://doi.org/10.54393/pbmj.v6i05.891","url":null,"abstract":"People have used medicinal plants for centuries to produce traditional remedies that greatly interest modern health care. One of these plants, Gossypium herbaceum or commonly called Arabian cotton, has been used in various medicinal applications. Scientists are turning to DNA barcoding, a molecular technique that identifies species using standardized DNA regions. Objective: To evaluate samples of Gossypium herbaceum and their physical properties. Methods: DNA was extracted from the plant material, and its quality and quantity were checked. Using PCR and gel electrophoresis, amplification of the RBCL gene was done. Purification of the PCR products was done for DNA sequencing. After that, all the DNA sequences were compared with the available DNA sequences in public databases. The relationship between Gossypium herbaceum and other related species was evaluated using the neighbour-joining method for phylogenetic analysis. Results: The results showed a high percentage of pairwise nucleotide sequence identity with Gossypium richmond and Gossypium hirsutum. The study demonstrated the potential of DNA barcoding using the rbcL gene as a reliable method for identifying and confirming Gossypium herbaceum. Also, this study provides valuable insight into the phylogenetic relationships of this medicinal plant species. Conclusions: The findings support the conservation and appropriate use of medicinal plants and highlight the importance of ensuring the authenticity and quality of herbal products.","PeriodicalId":19844,"journal":{"name":"Pakistan BioMedical Journal","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135434808","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
Role of Ultrasonography in Detection of Male Infertility 超声检查在男性不育症诊断中的作用
Pub Date : 2023-05-31 DOI: 10.54393/pbmj.v6i05.870
Khadija Bakhtawar, N. Arshad
Infertility is the inability of a couple of reproductive age to have conception even after one year without interruption of sexual activity. Young couples who are affected with infertility are 10-15% worldwide and 40-60 % are males. Approximately 80 million people are facing this problem. Azoospermia is the main presenting symptom of infertility. Various diseases such as varicocele, orchitis, and trauma are the most common causes of infertility. Objective: To investigate the effectiveness of scrotal ultrasonography in the diagnosis of causes of male infertility and to check the sonographic findings of the normal or pathological scrotum. Methods: Various search engines were used to perform a systemic literature review. Google scholar, NCBI, PubMed, and Medscape provide the articles for this systemic literature review. Male infertility, ultrasound, and causes are the main keywords that are used for searching articles related to this topic. Results: 45 articles were reviewed and 40 were included in this systematic review. The main finding of this review is that most of the infertile patients had azoospermia. The most common cause of male infertility is a varicocele and other causes include hydrocele, epididymal-orchitis, cysts of testes and epididymis, and trauma. For effective diagnosis and treatment of infertility sonographic scrotal evaluation must be included. Conclusions: The conclusion of this review is that measurement of the volume of testes and detection of varicocele by ultrasonography is very helpful for the physician for assessment of causes of male infertility
不孕症是一对育龄夫妇在没有中断性活动的情况下,即使在一年后仍无法受孕。全世界10-15%的年轻夫妇患有不育症,其中40- 60%为男性。大约有8000万人面临这个问题。无精子症是不孕症的主要表现。各种疾病,如精索静脉曲张、睾丸炎和创伤是不孕症的最常见原因。目的:探讨阴囊超声检查对男性不育症病因的诊断价值,并对正常阴囊和病理阴囊的超声表现进行检查。方法:使用各种搜索引擎进行系统的文献综述。Google scholar、NCBI、PubMed和Medscape为这一系统文献综述提供了文章。男性不育、超声波和原因是搜索与此主题相关文章的主要关键词。结果:共纳入文献45篇,纳入文献40篇。本综述的主要发现是大多数不孕症患者有无精子症。男性不育最常见的原因是精索静脉曲张,其他原因包括精索积液、附睾-睾丸炎、睾丸和附睾囊肿以及创伤。为了有效的诊断和治疗不孕症,必须包括超声阴囊评估。结论:超声测量睾丸体积和检测精索静脉曲张对诊断男性不育症的病因有重要帮助
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引用次数: 0
Clinical Profile of the Stroke Recovering Patients in the Acute Rehabilitation Setting in Peshawar 白沙瓦急性康复中心脑卒中康复患者的临床分析
Pub Date : 2023-05-31 DOI: 10.54393/pbmj.v6i05.874
Muslim Khan, Aftab Ali, Zakir Khan, Abid Jan, S. Fahad, Samiullah Khan, Mansoor Ahmad, Rakan Abdullah Alwabel
All stroke patients across the stroke spectrum frequently experience functional deficits of varying degrees. Despite the idea of post-stroke functional advancement, there is a lack of information regarding post-acute stroke recovery. Objective: To track the progress of acute stroke patients admitted to acute stroke rehabilitation centers in terms of functional recovery. Methods: A cohort study was designed and extracted the data of ninety-five (N=95) acute stroke patients admitted to the center for the acute rehabilitation program (ARP). Ninety-five (N=95) post-stroke patients with the mRS 3-4 (Modified ranking scale) admitted to the centers were enrolled for this retrospective cohort study. All enrolled patients for the study went through functional, neurophysiological and quality of life assessment/evaluation was taken at the time of admission to the center and before the discharge from the center. The score at the discharge were the functional outcomes and were used to compare them with the score taken at the time of admission (baseline score). Results: The results of the retrospective cohort showed that the average length of stay was 56.40 days. After the intervention of the intensive ARP significant improvement were observed in all test score. The removal rate for foley catheter (p=0.003), Nasogastric tubes (p=0.00) was found for all patients at the time of discharge. Conclusions: The study's findings demonstrated that ARP can help acute stroke patients who have functional deficits improve their functional status. To find more efficient forms of intervention in the acute-stroke rehabilitation, this study advises future research
所有中风患者都经常经历不同程度的功能缺陷。尽管有脑卒中后功能进步的想法,但缺乏关于急性脑卒中后恢复的信息。目的:了解急性脑卒中患者在急性脑卒中康复中心的功能恢复情况。方法:设计并提取急性康复项目(ARP)中心收治的95例急性脑卒中患者的资料。95例mRS评分为3-4(改良分级量表)的脑卒中后患者(N=95)入组本回顾性队列研究。所有纳入研究的患者在进入中心时和出院前都进行了功能、神经生理和生活质量评估。出院时的评分是功能结果,并用于与入院时的评分(基线评分)进行比较。结果:回顾性队列结果显示,平均住院时间为56.40天。经强化ARP干预后,各项测试成绩均有显著改善。所有患者出院时foley catheter的拔除率(p=0.003),鼻胃管的拔除率(p=0.00)。结论:本研究结果表明,ARP可以帮助急性脑卒中功能缺陷患者改善其功能状态。为了在急性脑卒中康复中找到更有效的干预形式,本研究建议未来的研究
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引用次数: 0
Transforming Medical Education and Training 改革医学教育和培训
Pub Date : 2023-05-31 DOI: 10.54393/pbmj.v6i05.877
Khizar Hayat
In the ever-evolving field of medicine, it is crucial for medical education and training to keep pace with advancements in healthcare. Innovative approaches to medical education are essential to equip future healthcare professionals with the knowledge, skills, and competencies required to navigate complex medical landscapes. As we strive for excellence in healthcare delivery, it is time to embrace new paradigms in medical education and training that leverage technology, interdisciplinary collaboration, and learner-centered approaches. One promising avenue for innovation in medical education is the integration of technology. The digital era has revolutionized how we access information and interact with the world, and medical education should be no exception. Virtual reality (VR), augmented reality (AR), and simulation-based training can provide immersive learning experiences, allowing students to practice complex procedures and develop clinical skills in a safe and controlled environment. Online platforms and mobile applications can enhance self-directed learning, offer interactive modules, and facilitate global collaboration among medical students and professionals. By harnessing the power of technology, medical education can transcend geographical boundaries, promote lifelong learning, and foster a culture of innovation. Furthermore, interdisciplinary collaboration has become increasingly crucial in modern healthcare, and medical education should reflect this reality. Collaborative learning experiences that bring together students from various healthcare disciplines, such as medicine, nursing, pharmacy, and allied health professions, can promote a holistic understanding of patient care and enhance teamwork and communication skills. Interprofessional education (IPE) initiatives can create opportunities for shared learning, breaking down professional silos and fostering a collaborative healthcare ecosystem. By embracing interdisciplinary approaches, medical education can prepare future healthcare professionals to work effectively in multidisciplinary teams, ultimately leading to improved patient outcomes and healthcare delivery. Lastly, learner-centered approaches that prioritize individualized learning and active engagement can revolutionize medical education. Traditional didactic lectures are giving way to interactive and problem-based learning methods that encourage critical thinking, clinical reasoning, and application of knowledge. Small group discussions, case-based learning, and flipped classrooms are examples of learner-centered approaches that encourage active participation and foster deeper understanding. Additionally, incorporating reflective practice, mentorship programs, and real-world clinical experiences can enhance the professional and personal development of medical students, promoting empathy, resilience, and ethical decision-making. In conclusion, embracing innovative approaches to medical education and training is imperativ
在不断发展的医学领域,医学教育和培训与医疗保健的进步保持同步至关重要。创新的医学教育方法对于为未来的医疗保健专业人员提供导航复杂医疗景观所需的知识、技能和能力至关重要。在我们努力追求卓越的医疗服务的同时,现在是时候在医学教育和培训中采用新的范例,利用技术、跨学科合作和以学习者为中心的方法。医学教育创新的一个有希望的途径是技术的整合。数字时代已经彻底改变了我们获取信息和与世界互动的方式,医学教育也不应例外。虚拟现实(VR)、增强现实(AR)和基于模拟的培训可以提供身临其境的学习体验,使学生能够在安全和受控的环境中练习复杂的程序并培养临床技能。在线平台和移动应用程序可以增强自主学习,提供互动模块,并促进医学生和专业人员之间的全球协作。通过利用技术的力量,医学教育可以超越地理界限,促进终身学习,培养创新文化。此外,跨学科合作在现代医疗保健中变得越来越重要,医学教育应该反映这一现实。将来自不同医疗保健学科(如医学、护理、药学和联合医疗专业)的学生聚集在一起的协作学习体验,可以促进对患者护理的整体理解,并增强团队合作和沟通技巧。跨专业教育(IPE)计划可以为共享学习创造机会,打破专业孤岛,促进协作式医疗保健生态系统。通过采用跨学科的方法,医学教育可以培养未来的医疗保健专业人员在多学科团队中有效地工作,最终改善患者的治疗效果和医疗保健服务。最后,以学习者为中心的方法,优先考虑个性化学习和积极参与,可以彻底改变医学教育。传统的说教式讲座正在让位于互动式和基于问题的学习方法,这些方法鼓励批判性思维、临床推理和知识应用。小组讨论、基于案例的学习和翻转课堂都是以学习者为中心的方法,鼓励积极参与和培养更深层次的理解。此外,结合反思实践、指导计划和现实世界的临床经验可以提高医学生的专业和个人发展,促进同理心、弹性和道德决策。总之,采用创新的方法进行医学教育和培训是必要的,以确保未来的医疗保健专业人员有充分的装备来应对快速发展的医疗保健环境的挑战。通过利用技术、促进跨学科合作和采用以学习者为中心的方法,我们可以彻底改变医学教育,培养一代适应能力强、技术熟练、致力于提供以患者为中心的护理的医疗保健专业人员。在引领医疗保健的未来之际,让我们拥抱创新,不断努力加强医学教育,为所有人创造一个更健康、更光明的未来。
{"title":"Transforming Medical Education and Training","authors":"Khizar Hayat","doi":"10.54393/pbmj.v6i05.877","DOIUrl":"https://doi.org/10.54393/pbmj.v6i05.877","url":null,"abstract":"In the ever-evolving field of medicine, it is crucial for medical education and training to keep pace with advancements in healthcare. Innovative approaches to medical education are essential to equip future healthcare professionals with the knowledge, skills, and competencies required to navigate complex medical landscapes. As we strive for excellence in healthcare delivery, it is time to embrace new paradigms in medical education and training that leverage technology, interdisciplinary collaboration, and learner-centered approaches. \u0000One promising avenue for innovation in medical education is the integration of technology. The digital era has revolutionized how we access information and interact with the world, and medical education should be no exception. Virtual reality (VR), augmented reality (AR), and simulation-based training can provide immersive learning experiences, allowing students to practice complex procedures and develop clinical skills in a safe and controlled environment. Online platforms and mobile applications can enhance self-directed learning, offer interactive modules, and facilitate global collaboration among medical students and professionals. By harnessing the power of technology, medical education can transcend geographical boundaries, promote lifelong learning, and foster a culture of innovation. \u0000Furthermore, interdisciplinary collaboration has become increasingly crucial in modern healthcare, and medical education should reflect this reality. Collaborative learning experiences that bring together students from various healthcare disciplines, such as medicine, nursing, pharmacy, and allied health professions, can promote a holistic understanding of patient care and enhance teamwork and communication skills. Interprofessional education (IPE) initiatives can create opportunities for shared learning, breaking down professional silos and fostering a collaborative healthcare ecosystem. By embracing interdisciplinary approaches, medical education can prepare future healthcare professionals to work effectively in multidisciplinary teams, ultimately leading to improved patient outcomes and healthcare delivery. \u0000Lastly, learner-centered approaches that prioritize individualized learning and active engagement can revolutionize medical education. Traditional didactic lectures are giving way to interactive and problem-based learning methods that encourage critical thinking, clinical reasoning, and application of knowledge. Small group discussions, case-based learning, and flipped classrooms are examples of learner-centered approaches that encourage active participation and foster deeper understanding. Additionally, incorporating reflective practice, mentorship programs, and real-world clinical experiences can enhance the professional and personal development of medical students, promoting empathy, resilience, and ethical decision-making. \u0000In conclusion, embracing innovative approaches to medical education and training is imperativ","PeriodicalId":19844,"journal":{"name":"Pakistan BioMedical Journal","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87139230","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
Determine the Curing Effects of Silybum marianum (milk thistle) Administered Orally to Non-Alcoholic Fatty Liver Disease (NAFLD) Patients for Six Months 确定水飞蓟(水飞蓟)口服治疗非酒精性脂肪肝(NAFLD)患者6个月的疗效
Pub Date : 2023-04-30 DOI: 10.54393/pbmj.v6i04.869
Aqsa Qurban, Hamid Khan, Fizza Ali, Saba Abbas, S. A. Hameed, Nousheen Hussain
Silybum marianum is the scientific name of milk thistle. For centuries, it is used to treat hepatitis, cirrhosis, jaundice, diabetes, and indigestion. The bioactive agents of milk thistle contain Apigenin, silybin, betaine, free fatty acids, silybin, silychristin, and silidianin. Objective: To determine the potential of Silybum marianum (milk thistle) in non-alcoholic fatty liver disease patients. Methods: It was a cross-sectional and experimental based study with NAFLD patients. A significant age range of 30 to 60 years was chosen for the 40 patients (20 men and 20 women). Screening period after liver biopsies (before and after the use of one capsule of S. marianum (Silymarin Standardize milk Thistle 300mg/day metabolic maintenance). Ultrasound technology assessed the liver condition at the start of the study and after the herbal 6-months therapy. Results: Out of 40 patients, 10 (25%) had hyperlipidemia and 5 (12.5%) were diabetics. The results of the 6-month therapy research study showed that the blood AST and ALT levels of NAFLD patients had significantly decreased. The average ALT and AST baseline concentrations were 85 and 65.9IU/ml, respectively. AST value (before and after therapy) showed a statistically significant difference in 80% of the NAFLD patients treated with S. marianum (32 out of 40; p=0.007). With a p-value of 0.05, alanine transaminase (ALT) normalization of disease severity was accomplished in 65% of patients (26 out of 40 patients). Conclusions: The therapy of NAFLD via S. marianum is successful in terms of biochemical improvement, especially when other medications have failed or when used in conjunction with other therapeutic techniques
水飞蓟是水飞蓟的学名。几个世纪以来,它被用来治疗肝炎、肝硬化、黄疸、糖尿病和消化不良。水飞蓟的生物活性成分包括芹菜素、水飞蓟素、甜菜碱、游离脂肪酸、水飞蓟素、水飞蓟素和水飞蓟素。目的:探讨水飞蓟在非酒精性脂肪肝患者中的应用潜力。方法:对NAFLD患者进行横断面实验研究。40名患者(20名男性和20名女性)的年龄范围为30至60岁。肝脏活检后的筛选期(使用水飞蓟(水飞蓟标准水飞蓟300mg/天代谢维持)1粒胶囊前后)。超声技术在研究开始时和草药治疗6个月后评估肝脏状况。结果:40例患者中,高脂血症10例(25%),糖尿病5例(12.5%)。6个月的治疗研究结果显示,NAFLD患者血液中AST和ALT水平明显降低。ALT和AST基线平均浓度分别为85和65.9IU/ml。在接受马里安菌治疗的NAFLD患者中,80%的患者AST值(治疗前后)差异有统计学意义(32 / 40;p = 0.007)。p值为0.05,65%的患者(40例患者中有26例)实现了疾病严重程度的谷丙转氨酶(ALT)正常化。结论:在改善NAFLD的生化改善方面,特别是在其他药物无效或与其他治疗技术联合使用时,马里安菌治疗是成功的
{"title":"Determine the Curing Effects of Silybum marianum (milk thistle) Administered Orally to Non-Alcoholic Fatty Liver Disease (NAFLD) Patients for Six Months","authors":"Aqsa Qurban, Hamid Khan, Fizza Ali, Saba Abbas, S. A. Hameed, Nousheen Hussain","doi":"10.54393/pbmj.v6i04.869","DOIUrl":"https://doi.org/10.54393/pbmj.v6i04.869","url":null,"abstract":"Silybum marianum is the scientific name of milk thistle. For centuries, it is used to treat hepatitis, cirrhosis, jaundice, diabetes, and indigestion. The bioactive agents of milk thistle contain Apigenin, silybin, betaine, free fatty acids, silybin, silychristin, and silidianin. Objective: To determine the potential of Silybum marianum (milk thistle) in non-alcoholic fatty liver disease patients. Methods: It was a cross-sectional and experimental based study with NAFLD patients. A significant age range of 30 to 60 years was chosen for the 40 patients (20 men and 20 women). Screening period after liver biopsies (before and after the use of one capsule of S. marianum (Silymarin Standardize milk Thistle 300mg/day metabolic maintenance). Ultrasound technology assessed the liver condition at the start of the study and after the herbal 6-months therapy. Results: Out of 40 patients, 10 (25%) had hyperlipidemia and 5 (12.5%) were diabetics. The results of the 6-month therapy research study showed that the blood AST and ALT levels of NAFLD patients had significantly decreased. The average ALT and AST baseline concentrations were 85 and 65.9IU/ml, respectively. AST value (before and after therapy) showed a statistically significant difference in 80% of the NAFLD patients treated with S. marianum (32 out of 40; p=0.007). With a p-value of 0.05, alanine transaminase (ALT) normalization of disease severity was accomplished in 65% of patients (26 out of 40 patients). Conclusions: The therapy of NAFLD via S. marianum is successful in terms of biochemical improvement, especially when other medications have failed or when used in conjunction with other therapeutic techniques","PeriodicalId":19844,"journal":{"name":"Pakistan BioMedical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77285211","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
Pakistan BioMedical Journal
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