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A critical review on garbhopghatkarabhava related to dietetics 与营养学有关的 Garbhopghatkarabhava 评述
Pub Date : 2024-07-11 DOI: 10.37022/wjcmpr.v6i2.332
Dixit Neha, Poonam Choudhary
Garbhopaghatakara Bhavas deals with concerns that may cause Upaghata (damage) to the growing fetus (Garbha). It includesAhara, viharaj and mansikfactors that are dangerous during pregnancy. Maternal Ahara has a crucial role in regulating maternal health and fetal growth. The word "Ambu" in Garbhasambhavasamagri refers to a nutrient-dense portion for good conceptus growth. Any defect in "Ambubhava" has a negative impact on pregnancy by preventing the growing fetus from receiving adequate nutrients. This paper discuss the Garbhopghatakarabhava related to Aharawith rationality. Scientific knowledge of these factors can improve birth outcomes by removing hazardous variables.
Garbhopaghatakara Bhavas 涉及可能对成长中的胎儿(Garbha)造成 Upaghata(伤害)的问题。它包括孕期危险的阿哈拉(Ahara)、维哈拉杰(viharaj)和曼西克(mansik)因素。母体 Ahara 在调节母体健康和胎儿生长方面起着至关重要的作用。Garbhasambhavasamagri》中的 "Ambu "一词指的是有利于胎儿生长的营养丰富的部分。任何 "Ambubhava "的缺陷都会对妊娠产生负面影响,使正在成长的胎儿无法获得充足的营养。本文讨论了与阿哈拉瓦相关的 Garbhopghatakarabhava 的合理性。对这些因素的科学认识可以通过消除危险变数来改善分娩结果。
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引用次数: 0
The versatility of klotho protein: insights into its multifaceted functions in health and disease klotho 蛋白的多功能性:洞察其在健康和疾病中的多方面功能
Pub Date : 2024-06-05 DOI: 10.37022/wjcmpr.v6i2.328
Sonali Raj, Mehak Ahuja
The Klotho protein, initially discovered for its role in aging and calcium metabolism, has emerged as a multifunctional regulator with diverse impacts on health and disease. Beyond its functions in maintaining phosphate homeostasis and suppressing aging pathways, Klotho exhibits pleiotropic effects in various physiological processes, including cognition, cardiovascular health, and cancer suppression. This review elucidates themechanisms underlying Klotho's versatile functions, shedding light on its involvement in modulating signaling pathways such as insulin/IGF-1, Wnt, and fibroblast growth factor (FGF) pathways. Furthermore, we explore the therapeutic potential of Klotho modulation in combating age-related diseases, neurodegeneration, and metabolic disorders. Understanding the complexities of Klotho biology unveils novel strategies for therapeutic interventions and highlights its significance in promoting healthy aging and disease prevention.
Klotho 蛋白最初是因其在衰老和钙代谢中的作用而被发现的,如今它已成为对健康和疾病具有多种影响的多功能调节因子。除了维持磷酸盐平衡和抑制衰老途径的功能外,Klotho 还在认知、心血管健康和癌症抑制等各种生理过程中表现出多效应。本综述阐明了 Klotho 多种功能的内在机理,揭示了它参与调节胰岛素/IGF-1、Wnt 和成纤维细胞生长因子(FGF)通路等信号通路的情况。此外,我们还探讨了调控 Klotho 在防治老年相关疾病、神经变性和代谢紊乱方面的治疗潜力。对 Klotho 生物学复杂性的了解揭示了治疗干预的新策略,并强调了其在促进健康老龄化和疾病预防方面的重要意义。
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引用次数: 0
Teamwork significantly improves pathology slide diagnosis: students’ perspective 团队合作明显改善病理切片诊断:学生的观点
Pub Date : 2024-05-21 DOI: 10.37022/wjcmpr.v6i2.327
Dragan Jovanovic, Tatjana Gazibara, Adlekha Shashikanth, Olubukola Yeku, Andrew Wolfram, Christina Krupinsky, Teya Van Biljouw Bath
Background & objectives: Team-based learning is a pedagogical strategy that enhances student knowledge through individual testing and group collaboration. The objective of this preliminary study was to examine if students’ collaborative annotation improved understanding of microscopic morphology and diagnosis of pathological slides. Methods: Mean individual and then group scores of pathology slides analysis by Path2 students were compared by the Wilcoxon signed rank test and group differences by ANOVA. Students' attitudes toward TBL were examined using a short 8-item questionnaire which graded responses on a 5-point Likert scale. Analyses were performed in the SPSS version 20.Probability level of p<0.05 was statistically significant. Results: The average individual scores ranged from 44.0 to 50.0 out of 100. The differences between the groups were not observed. The average group scores ranged from 75.0 to 82.0percentage. Compared with the average individual score, all group scores were statisticallysignificantly higher (p<0.001). Group scores among students who had low performance were statistically significantly higher compared to their individual scores. This was also observed among high performance students (p<0.003). In terms of TBL attitudes, all average attitude scores were positive (the highest were reported for active learning). Attitudes score did notcorrelate with the Path1 grade. No difference in attitudes was found between high and low performing students. Conclusion: Group analysis of pathology slides significantly improves the success in making a pathological diagnosis, both for low performance and for high performance students. The strongest positive attitude was observed for “Promotes opportunity for active learning”, “Group dynamics potentiate learning outcome” and “Encourage discussion for differential diagnosis”. We progressively incorporated these collaborative approaches into virtual environment in pathology courses at our medical faculty that have been shown to further improve students’ engagement and learning outcomes, promotes opportunities for active engagement and interaction.
背景与目标:基于团队的学习是一种通过个人测试和小组合作来增强学生知识的教学策略。本初步研究的目的是探讨学生通过合作注释是否能提高对病理切片显微形态学和诊断的理解。研究方法:通过 Wilcoxon 符号秩检验比较 Path2 学生病理切片分析的个人平均分和小组平均分,通过方差分析比较小组差异。学生对 TBL 的态度采用 8 个项目的简短问卷进行调查,问卷采用 5 点李克特量表进行评分。分析在 SPSS 20 版本中进行,P<0.05 为具有统计学意义。结果个人平均得分在 44.0 到 50.0 之间(满分 100 分)。没有观察到组间差异。小组平均得分介于 75.0 到 82.0 之间。与个人平均得分相比,所有小组得分在统计上都显著较高(P<0.001)。在统计上,成绩差的学生的小组得分明显高于他们的个人得分。在成绩优秀的学生中也观察到了这种情况(p<0.003)。在 TBL 态度方面,所有学生的平均态度得分都是积极的(主动学习的学生得分最高)。态度得分与 Path1 成绩无关。成绩好的学生和成绩差的学生在态度上没有差异。结论无论是成绩差的学生还是成绩好的学生,对病理切片进行小组分析都能明显提高病理诊断的成功率。在 "促进主动学习的机会"、"小组动态提高学习效果 "和 "鼓励讨论鉴别诊断 "方面,学生的态度最为积极。我们逐步将这些协作方法纳入本医学院病理学课程的虚拟环境中,结果表明这些方法能进一步提高学生的参与度和学习效果,促进积极参与和互动的机会。
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引用次数: 0
A Prospective Observational Study to Evaluate Safety and Efficacy of Intraarticular Administration of Triamcinolone Acetonidein Knee Osteoarthritis in A Tertiary Care Hospital 一项前瞻性观察研究:评估一家三级医院在膝关节骨关节炎中关节腔内注射曲安奈德的安全性和有效性
Pub Date : 2024-05-13 DOI: 10.37022/wjcmpr.v6i2.324
Lazaru P, N. S. K. J, Chenna Reddy D, Aliveli Bai B, Naga Nandini Ch, K.S Prathyusha G, Jyothirmai V P, Sowmya S
Objective: Osteoarthritis is a chronic disease marked by cartilage deterioration, affecting millions globally.  Although incurable, it can be managed with adjuvant therapy. This study aims to assess the safety and efficacy of intra-articular Triamcinolone acetonide in knee OA, a corticosteroid used for OA, Rheumatoid arthritis, gouty arthritis, and skin disorders. Methods: In a prospective observational study with 120 participants, pain severity was evaluated using numerical pain rating and KL-grade scales, while joint space narrowing was assessed via X-ray reports. Subjects were categorized by severity and prescribed intra-articular Triamcinolone acetonide, analgesics, NSAIDs, PPIs, and supplements. They were monitored for pain reduction. Results: Pain scores were evaluated using NPRS and KL-grade scale: initially, severe pain affected 4.1% (n=5), moderate 86.6% (n=104), mild 9.1% (n=11). After three follow-ups over 6 months, severe pain decreased to 1.6% (n=2), moderate to 84.1% (n=101), and mild increased to 14.1% (n=17). Conclusion: Our study concludes that intra-articular triamcinolone acetonide, combined with oral and topical analgesics, PPIs, nutritional, and vitamin supplements, is safer and more effective for knee OA, improving patient quality of life, reducing disease severity, prescription charges, and adverse drug reactions.
目的:骨关节炎是一种以软骨退化为特征的慢性疾病,影响着全球数百万人。 虽然无法治愈,但可以通过辅助治疗来控制病情。本研究旨在评估膝关节 OA 关节腔内曲安奈德的安全性和有效性,曲安奈德是一种用于治疗 OA、类风湿性关节炎、痛风性关节炎和皮肤病的皮质类固醇。研究方法在一项有 120 名参与者参加的前瞻性观察研究中,疼痛严重程度通过数字疼痛评级和 KL 等级量表进行评估,关节间隙狭窄则通过 X 光报告进行评估。受试者按严重程度进行分类,并开具关节内曲安奈德、止痛药、非甾体抗炎药、PPI 和补充剂。对他们的疼痛减轻情况进行监测。结果:疼痛评分采用 NPRS 和 KL 等级评分法进行评估:最初,4.1%(5 人)为重度疼痛,86.6%(104 人)为中度疼痛,9.1%(11 人)为轻度疼痛。经过 6 个月的三次随访,重度疼痛患者降至 1.6%(2 人),中度疼痛患者降至 84.1%(101 人),轻度疼痛患者增至 14.1%(17 人)。结论我们的研究得出结论,关节内曲安奈德与口服和局部止痛药、PPIs、营养和维生素补充剂联合使用,对膝关节 OA 更安全、更有效,可改善患者的生活质量,降低疾病严重程度、处方费用和药物不良反应。
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引用次数: 0
Current status of Rabies Prophylaxis in Dalaba (Republic of Guinea) 达拉巴(几内亚共和国)的狂犬病预防现状
Pub Date : 2024-04-17 DOI: 10.37022/wjcmpr.v6i1.320
L. Soromou, Matho Sonomou, Mohamed Keyra
Objective: Rabies is a real risk to public health, and remains a zoonosis with considerable medical and economic impact on both humans and animals. The aim of this study was to identify and evaluate rabies control measures applied in the urban township of Dalaba. Materials   and   Methods: The methodology adopted was based on consultation of animal health managers and analysis of archives; field surveys of human health services, owner-managers of domestic carnivores and livestock breeders; and evaluation of anti-epizootic measures.                 Results: From 2010 to 2017, consultation of executives and analysis of archives revealed the following data: 25 reported cases of carnivore bites, of which 19 were observed by veterinary practitioners; 32 cases of clinical animal rabies recorded, including 18 dogs, 13 cattle and 1 cat; and 103 animal rabies vaccinations. A search of health facility consultation registers showed 400 cases of bites attributable to carnivores, of which 37 victims were subjected to post-exposure vaccination. From 112 carnivore owners surveyed, (50.89%) claimed to be perfectly aware of the disease. To prevent the disease, 14.28% have their animals caged; 22.32% vaccinate and 29.82% vaccinate regularly; 14.29% have their dogs castrated, and 31.25% feed their animals regularly. Among the 210 carnivores registered, 45 dogs (21.43%) and 2 cats (0.95%) have been vaccinated against rabies, giving a vaccination coverage rate of 22.38%. Conclusion: At the end of this research, we noted that rabies constitutes a real threat and a major zoonosis requiring the adoption of strategies for better control.
目的:狂犬病对公共卫生构成真正的威胁,并且仍然是一种对人类和动物都有相当大的医疗和经济影响的人畜共患疾病。本研究旨在确定和评估在达拉巴城镇实施的狂犬病控制措施。材料和方法:采用的方法基于对动物健康管理人员的咨询和档案分析;对人类健康服务机构、家养食肉动物的所有者管理者和牲畜饲养者的实地调查;以及对防疫措施的评估。 结果:从 2010 年到 2017 年,对管理人员的咨询和档案分析显示了以下数据:报告的食肉动物咬伤病例 25 例,其中兽医观察到 19 例;记录的临床动物狂犬病病例 32 例,包括 18 只狗、13 头牛和 1 只猫;动物狂犬病疫苗接种 103 例。对医疗机构就诊登记簿的检索显示,有 400 例被食肉动物咬伤的病例,其中 37 名受害者接受了接触后疫苗接种。在接受调查的 112 名食肉动物主人中,50.89% 的人声称完全了解这种疾病。为预防该疾病,14.28%的人将动物关在笼子里;22.32%的人接种疫苗,29.82%的人定期接种疫苗;14.29%的人对狗进行阉割,31.25%的人定期给动物喂食。在登记的 210 只食肉动物中,有 45 只狗(21.43%)和 2 只猫(0.95%)接种了狂犬病疫苗,疫苗接种覆盖率为 22.38%。结论在这项研究结束时,我们注意到狂犬病是一种真正的威胁,也是一种主要的人畜共患病,需要采取更好的控制策略。
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引用次数: 0
Detection of Hbv Dna By Direct Pcr Protocol And Nested Pcr Protocol And Comparing Them. In Chronic Patients and Healthy Carriers of Hepatitis B Virus. 用直接 Pcr 法和嵌套 Pcr 法检测 Hbv Dna 并进行比较。慢性乙型肝炎患者和健康乙型肝炎病毒携带者。
Pub Date : 2024-03-17 DOI: 10.37022/wjcmpr.v6i1.317
MushtaqTalib Al-Safi
Hepatitis B virus is a major public health problem, and the outcome of infection depends on the effectiveness of the virus's interaction with the host, and in particular on the strength of the natural and conditioned response of humoral and cellular immunity. This study was conducted to assess the clinical status, genetic immunity and viral (viral) traits of Iraqi patients with chronic hepatitis B virus and healthy carriers of hepatitis B surface antigen, as well as to show the relationship between the immune status and the chronic condition of the disease. The study included (60) patients with chronic hepatitis B virus type (B) and (60) healthy hepatitis B surface antigen carriers who attended the Teaching Hospital for Gastrointestinal and Liver Diseases in Nasiriya City Al-Hussein Teaching Hospital, Thalassemia Center and the Central Blood Bank in Nasiriya Citysouthern of Iraq. for the period from the first period. From February 2022 until the end of February 2022, the average age of patients infected with chronic hepatitis B virus was 64.5 years, and the average age of healthy carriers of hepatitis B surface antigen was 35. 1 year, and the ratio of males to females was (12.2:) for chronic patients and (13.6:) for carriers of the disease. As for the deoxyribonucleic acid, it was (100%) in chronic patients and healthy carriers using the Nested type polymerase chain reaction, and at a rate of (30.0%) and (46.7%) in chronic patients and healthy carriers, respectively using the polymerase chain reaction technique. direct with a significant difference between the two interactions. The current results confirm that a nested PCR protocol to detect HBV DNA is a more sensitive way of detecting HBV in Iraq CHB patients and carriers. Recent advanced techniques such as nucleic acid assays, quantitative assays for viral load and RT-PCR for Iraqi viral hepatitis laboratories are recommended.
乙型肝炎病毒是一个重大的公共卫生问题,感染的结果取决于病毒与宿主相互作用的有效性,特别是取决于体液免疫和细胞免疫的自然和条件反应的强度。本研究旨在评估伊拉克慢性乙型肝炎病毒感染者和乙型肝炎表面抗原健康携带者的临床状态、遗传免疫力和病毒(病毒)特征,以及免疫状态与疾病慢性化之间的关系。研究对象包括(60 名)慢性乙型肝炎病毒(乙型)患者和(60 名)健康乙型肝炎表面抗原携带者,他们都曾在伊拉克南部纳西里耶市侯赛因教学医院胃肠道和肝病教学医院、地中海贫血中心和纳西里耶市中央血库就诊。2022 年 2 月至 2022 年 2 月底,慢性乙型肝炎病毒感染者的平均年龄为 64.5 岁,乙型肝炎表面抗原健康携带者的平均年龄为 35.1岁,慢性病患者的男女比例为(12.2:),携带者的男女比例为(13.6:)。至于脱氧核糖核酸,使用巢式聚合酶链反应,慢性病患者和健康携带者的脱氧核糖核酸为(100%),使用聚合酶链反应技术,慢性病患者和健康携带者的脱氧核糖核酸率分别为(30.0%)和(46.7%)。 直接的,两者之间的相互作用差异显著。目前的结果证实,巢式 PCR 方案检测 HBV DNA 是检测伊拉克慢性阻塞性肺病患者和携带者中 HBV 的一种更灵敏的方法。建议伊拉克病毒性肝炎实验室采用核酸检测、病毒载量定量检测和 RT-PCR 等最新先进技术。
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引用次数: 0
A review of entamoebahistolytica genome, virulence factors, phylogenetic tree and treatment 盘尾丝虫基因组、毒力因子、系统发育树和治疗方法综述
Pub Date : 2024-03-17 DOI: 10.37022/wjcmpr.v6i1.316
Hind AbdulzahraAbdulkadhim Alshaibani
The study in this review aims to know and study the parasite Entamoebahistolytica that causes Amoebiasis worldwide. During its life cycle, E. histolytica passes through several phases, trophozoite stage, precyst stage, the cyst stage, the Metacyst stage, and Metacystictrophozoite stage. In this study, the spread of the parasite globally and in the Arab world and methods of treating the disease were also discussed. The Genomic structureof E. histolytica, like other organisms, is characterized by diversity and heterogeneity in its genetic content, which is one of the most important reasons for its survival and its ability to infect. Interestingly, the genome of the E. histolytica contains a large amount of genes presumed to be of bacterial origin. The study of the genetic diversity of E. histolytica gives paths to the developmental change that resulted in the emergence of evolutionary features or traits. Understanding amoebic virulence is important. Several studies have shown that genetic factors influence the virulence of parasitic infections. Studying the virulence of E. histolytica by Serine-rich protein (REHP) gene is among the important issues used in molecular epidemiological studies.
本综述旨在了解和研究导致全球阿米巴病的寄生虫--Entamoebahistolytica。在其生命周期中,E. histolytica 会经历几个阶段:滋养体阶段、前囊阶段、囊阶段、元囊阶段和元孢子虫阶段。本研究还讨论了寄生虫在全球和阿拉伯世界的传播情况以及治疗该疾病的方法。与其他生物一样,组织溶解虫的基因组结构也具有多样性和异质性的特点,这是其生存和感染能力的最重要原因之一。有趣的是,组织溶解酵母菌的基因组中含有大量推测来自细菌的基因。对组织溶解阿米巴原虫基因多样性的研究为了解导致进化特征或性状出现的发展变化提供了途径。了解阿米巴的毒性非常重要。多项研究表明,遗传因素会影响寄生虫感染的毒力。通过富丝氨酸蛋白(REHP)基因研究组织溶血性阿米巴虫的毒力是分子流行病学研究的重要课题之一。
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引用次数: 0
A review of leishmania genome, hosts, virulence factors, pathogenesis and treatment 利什曼病基因组、宿主、致病因子、发病机制和治疗综述
Pub Date : 2024-03-16 DOI: 10.37022/wjcmpr.v6i1.315
Abdul–Jaleel Aziz KarimAlqaraghli
The study aims in this review to study the Leishmania genus parasite that causes Leishmaniasis, in its clinical forms Cutaneous Leishmaniasis (CL), MucocutanousLeishmaniasis (ML) and Visceral Leishmaniasis (VL). When studying the parasite's genetic composition of the genome of the nucleus and the genome of the kinetoplast, which constitutes 10-20% of the total DNA, it was found that despite the difference in pathogenicity between the types of the parasite L., the genetic material is similar and maintains the genetic content. CL is a self-healing disease, but prompt treatment is important to avoid unattractive scarring and parasite spread. Of all the drugs of choice, Pentostam and Glucantime are the first line of treatment for all types of leishmaniasis, but there are serious attempts to discover new therapies.
本综述旨在研究引起利什曼病的利什曼属寄生虫,其临床形式包括皮肤利什曼病(CL)、粘液性利什曼病(ML)和内脏利什曼病(VL)。在研究寄生虫的细胞核基因组和动粒体基因组(占总 DNA 的 10-20%)的遗传组成时发现,尽管不同类型的利什曼病寄生虫致病性不同,但遗传物质相似,并保持着遗传内容。CL 是一种自愈性疾病,但及时治疗对避免不美观的疤痕和寄生虫扩散非常重要。在所有首选药物中,Pentostam 和 Glucantime 是治疗各种类型利什曼病的一线药物,但人们也在认真尝试发现新的疗法。
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引用次数: 0
A Case report on subdural hematoma in a 60yr old male patient with ESRD 关于一名 60 岁男性 ESRD 患者硬膜下血肿的病例报告
Pub Date : 2024-03-16 DOI: 10.37022/wjcmpr.v6i1.314
Sunanda K, Bhargava Narendra J
A subdural hematoma occurs when a clot  forms between the brain and its outer covering. Chronic dialysis becomes necessary as a treatment to externally filter the blood, when kidneys are no capable of fulfilling this role. This validates that the patients undergoing hemodialysis face a higher risk of developing subdural hematoma. The KDIGO foundation guidelines  defines the chronic kidney disease using the markers such as the proteinuria and the glomerular filtration rate(GFR). Hemodialysis patient and other type  of bleeding tendency are more prone to the spontaneous traumatic  subdural hematoma and the intracerebral hematoma. This increased risk is attributed to the elevated mortality rate observed in the dialysis patient affected by the subdural hematoma. Consequently, it becomes imperative to implement the preventive measures aimed at reducing the occurrence of subdural hematoma in the individuals with the end stage renal disease, especially those undergoing the hemodialysis treatment. The high occurrence rate of the subdural hematoma and its recent surge is related to the increased use of anticoagulant in the long-term hemodialysis patient. Hence proper care for the patient is necessary to prevent devastating the disorder. This case report is demonstrating that there is a striking enrichment for the underlying comorbid conditions in the patient who has developed subdural hematoma and has the high risk of the immediate mortality.
硬膜下血肿是指血块在大脑和其外层覆盖物之间形成。当肾脏无法完成外部过滤血液的作用时,就需要进行慢性透析治疗。这就证明,接受血液透析的患者发生硬膜下血肿的风险更高。KDIGO 基金会指南使用蛋白尿和肾小球滤过率(GFR)等指标来定义慢性肾病。血液透析患者和其他类型的出血倾向者更容易发生自发性外伤性硬膜下血肿和脑内血肿。硬膜下血肿导致透析患者死亡率升高的原因就在于此。因此,当务之急是采取预防措施,减少终末期肾病患者,尤其是接受血液透析治疗的患者硬膜下血肿的发生。硬膜下血肿的高发生率及其最近的激增与长期血液透析患者越来越多地使用抗凝剂有关。因此,有必要对患者进行适当的护理,以防止该疾病造成破坏性后果。本病例报告表明,硬膜下血肿患者的潜在并发症显著增多,且有立即死亡的高风险。
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引用次数: 0
Study of the relationship between ghrel in hormone and nitric oxide in patients with chronic kidney disease in thi-qar governorate – IRAQ 研究伊拉克济加尔省慢性肾脏病患者体内荷尔蒙与一氧化氮之间的关系
Pub Date : 2024-03-05 DOI: 10.37022/wjcmpr.v6i1.313
Ali Manhal Ibrhim, Mohammed AAouda, Kadhim Mohan Manhil
Objective: When abnormalities in kidney structure or function are evident for more than three months, it is referred to as chronic kidney disease (CKD), a complicated and progressive chronic disorder that can have devastating health effects. Either reduced glomerular filtration rate or indicators of renal injury could be evident. End-stage renal disease (ESRD) patients are increasingly choosing PD, HD, and kidney transplantation as treatments to extend their lives because of the development of renal replacement therapies, such as kidney transplantation, hemodialysis (HD), peritoneal dialysis (PD), and continuous renal replacement therapy (which is frequently used for acute renal failure). Loss of muscle mass may result from dialysis treatments that increase protein breakdown and decrease protein synthesis. These reactions continue after dialysis. The purpose of this research is to look into the connection between the ghrelin. Materials and Method: In order to determine the blood lipid profile and Ghrelin hormone levels, 90 individuals with Chronic Kidney Disease (CKD) on dialysis were divided into 45 males, 45 females, and 90 healthy subjects. The Ghrelin hormone concentration was compared with the other biochemical parameters, and the relationship between the hormones Ghrelin and Nitric Oxide was also found. Results: Ninety healthy subjects and ninety chronic kidney disease (CKD) patients with dialysis had their blood lipid profiles and Ghrelin hormone and nitric oxide levels measured. The results included a comparison of the hormone's concentration with other biochemical parameters and the identification of the hormone's relationship with nitric oxide. Results:  When compared to the control group, dialysis patients' nitric oxide levels significantly decreased (p≤0.05). There were no discernible variations in the levels of serum nitric oxide between the sexes. (p < 0.05).Ghrelin levels in the blood serum of dialysis patients were significantly lower than those in the control group (p≤0.05). Additionally, it was demonstrated that the level of the hormone Ghrelin was significantly lower in females than in males (p≤0.05). Conclusion: When comparing dialysis patients to the control group, we detect a significant drop in the levels of Ghrelin Hormone and Nitric Oxide in patients with chronic kidney disease.It follows that low nitric oxide and ghrelin levels in chronic renal disease patients can cause kidney failure to progress to an advanced degree and eventually require dialysis.
目的:当肾脏结构或功能出现明显异常超过三个月时,就被称为慢性肾脏病(CKD),这是一种复杂的渐进性慢性疾病,可对健康造成破坏性影响。肾小球滤过率降低或肾损伤指标都可能很明显。由于肾移植、血液透析(HD)、腹膜透析(PD)和持续肾脏替代疗法(常用于急性肾衰竭)等肾脏替代疗法的发展,越来越多的终末期肾病(ESRD)患者选择腹膜透析、血液透析和肾移植作为延长生命的治疗方法。透析治疗会增加蛋白质分解,减少蛋白质合成,从而导致肌肉质量下降。这些反应在透析后仍会持续。本研究的目的是探讨胃泌素之间的联系。材料和方法:为了测定血脂概况和胃泌素激素水平,90 名接受透析治疗的慢性肾脏病(CKD)患者被分为 45 名男性、45 名女性和 90 名健康受试者。将胃泌素激素浓度与其他生化指标进行比较,并研究胃泌素激素与一氧化氮之间的关系。研究结果对 90 名健康受试者和 90 名接受透析治疗的慢性肾脏病(CKD)患者的血脂概况、胃泌素激素和一氧化氮水平进行了测量。结果包括激素浓度与其他生化参数的比较,以及确定激素与一氧化氮的关系。结果 与对照组相比,透析患者的一氧化氮水平明显下降(P≤0.05)。性别间血清一氧化氮水平无明显差异。(透析患者血清中的胃泌素水平明显低于对照组(p≤0.05)。此外,研究还表明,女性荷尔蒙 Ghrelin 水平明显低于男性(p≤0.05)。结论在将透析患者与对照组进行比较时,我们发现慢性肾病患者的胃泌素激素和一氧化氮水平明显下降,由此可见,慢性肾病患者的一氧化氮和胃泌素水平过低会导致肾衰竭发展到晚期,最终需要进行透析。
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引用次数: 0
期刊
World Journal of Current Medical and Pharmaceutical Research
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