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Evaluation Thrombocytosis in CKD Stage V Patient on Hemodialysis Treatment : Case Report 血液透析治疗对CKD V期患者血小板增多的评价:1例报告
Pub Date : 2023-06-22 DOI: 10.37022/wjcmpr.v5i3.267
Putu Nindya, Ayu Ningrum Subadra, Wayan Sunaka
Chronic kidney disease (CKD), also known as renal failure, primarily affects people with a history of hypertension and diabetes. In this medical condition, the rate of filtration or kidney function can decrease over the course of a month or a year. Several studies have found an increase in pro-inflammatory cytokines in patients with CKD. Platelet dysfunction and hyperreactivity have been linked to chronic inflammation. When the platelet count exceeds 450,000/l, thrombocytosis occurs. It is also referred to as thrombocythemia. Reactive thrombocytosis accounts for 80-90% of all thrombocytosis events, with inflammation being one of the most common causes. We report a 67-year-old man presenting to the hospital with fever and weakness. The patient had a history of CKD stage V and currently was rceiving hemodialysis treatment. Laboratory finding showed patient had thrombocytosis. Further examination is required to determine the cause of thrombocytosis in CKD patient.
慢性肾脏疾病(CKD),也被称为肾衰竭,主要影响有高血压和糖尿病病史的人。在这种情况下,滤过率或肾功能会在一个月或一年的时间内下降。一些研究发现CKD患者的促炎细胞因子增加。血小板功能障碍和高反应性与慢性炎症有关。当血小板计数超过45万/升时,发生血小板增多。它也被称为血小板增多症。反应性血小板增多占所有血小板增多事件的80-90%,炎症是最常见的原因之一。我们报告一名67岁男子以发烧和虚弱来医院就诊。患者有CKD V期病史,目前正在接受血液透析治疗。实验室结果显示患者有血小板增多症。需要进一步的检查来确定CKD患者血小板增多的原因。
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引用次数: 0
Case Report on Autosomal Dominant Polycystic Kidney Disease 常染色体显性多囊肾病1例报告
Pub Date : 2023-06-16 DOI: 10.37022/wjcmpr.v5i3.269
M. Y, Divyajyothi B, B. P., D. K, Sagarika T
The most prevalent hereditary renal cystic disease, is a set of conditions defined by the formation of renal cysts and a variety of extra renal symptoms, is known as  autosomal dominant Poly-cystic kidney disease(ADPKD). ADPKD is sometimes referred to as "adult PKD." It is typically diagnosed between the ages of 30 and 50 when signs and symptoms first arise.  Two genes have been found to cause ADPKD, is PKD1 (chromosome 16p13.3) and PKD2 (4q21).Urinary blood in the urine, hypertension, anaemia brought on by CKD, and liver cysts may all be risk factors for ADPKD. Hypertension, impaired renal function, palpable kidneys, microscopic or gross hematuria, recurrent urinary tract infections, lower back pain, and shortness of breath are the most typical clinical manifestations of ADPKD. In our study we are aimed to summarize the case report is to mainly slows the cyst growth and Urine accumulates within cysts and delays ensuing loss of kidney function, which ultimately delays the need for renal replacement therapy and improves patients' quality of life. It has been observed that a variety of treatments can reduce the symptoms and progression of ADPKD.
最常见的遗传性肾囊性疾病,是一组由肾囊肿形成和各种肾外症状所定义的疾病,被称为常染色体显性多囊性肾病(ADPKD)。ADPKD有时被称为“成人PKD”。它通常在30到50岁之间被诊断出来,这时症状和体征首次出现。目前发现有两个基因可导致ADPKD,分别是PKD1(染色体16p13.3)和PKD2 (4q21)。尿中带血、高血压、CKD引起的贫血、肝囊肿都可能是ADPKD的危险因素。高血压、肾功能受损、可触肾、镜下或肉眼血尿、反复尿路感染、腰痛、呼吸短促是ADPKD最典型的临床表现。在我们的研究中,我们的目的是总结病例报告,主要是减缓囊肿的生长和囊肿内尿液的积累,延迟肾功能的丧失,最终延迟肾脏替代治疗的需要,提高患者的生活质量。已经观察到多种治疗方法可以减轻ADPKD的症状和进展。
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引用次数: 0
Software programmes employed as medical devices 用作医疗设备的软件程序
Pub Date : 2023-06-16 DOI: 10.37022/wjcmpr.v5i3.268
Sri Tejaswi Suravarapu, Koushik Yetukuri
The opportunity to successfully develop and roll out patient-centric digital health platforms is represented by Software as a medical device (SaMD).Software is now a crucial component of all products and is widely integrated into digital platforms that are used for medical purposes as technology in all areas of health care continues to progress. Artificial intelligence (AI) is a potent and currently evolving technology that has the potential to enhance capabilities in a wide range of sectors. Medical device companies have been fascinated in artificial intelligence. Nowadays Artificial intelligence based medical devices are gaining a lot of attention. Artificial intelligence-enabled medical devices have the potential to completely transform the way that healthcare is provided by enabling physicians to diagnose and treat their patients more precisely and successfully while also enhancing their overall level of care. The three primary objectives of the medical devices that are incorporated with AI are being developed by medical device companies as technology progresses are chronic disease management, medical imaging and Internet of Things (IoT). Quite apart from its advantages, artificial intelligence in medical devices also has drawbacks, such as the necessity for regulation to keep up with the rate of technological innovation. The softwares such as Eye Art and IDxDR for the identification of diabetic retinopathy, Quant X for breast abnormalities, Gleamer BoneView for fractures on X rays and   software for the management of type 1 diabetes i.e., Dreamed Advisor Pro and as well as the AI-ECG platform are just a few instances of the artificial intelligence-infused software’s that are discussed in this article.
软件即医疗设备(SaMD)代表了成功开发和推出以患者为中心的数字健康平台的机会。随着医疗保健各个领域的技术不断进步,软件现已成为所有产品的关键组成部分,并被广泛集成到用于医疗目的的数字平台中。人工智能(AI)是一项强大的、正在发展的技术,有可能增强广泛领域的能力。医疗设备公司一直对人工智能着迷。如今,基于人工智能的医疗设备正受到广泛关注。支持人工智能的医疗设备有可能彻底改变医疗保健的提供方式,使医生能够更准确、更成功地诊断和治疗患者,同时提高他们的整体护理水平。随着技术的进步,医疗器械企业正在开发与人工智能相结合的医疗器械的三个主要目标是慢性疾病管理、医疗成像和物联网(IoT)。除了优点之外,医疗设备中的人工智能也有缺点,比如监管必须跟上技术创新的速度。用于识别糖尿病视网膜病变的Eye Art和IDxDR等软件,用于乳腺异常的Quant X,用于X射线骨折的Gleamer BoneView和用于管理1型糖尿病的软件,即dreamadvisor Pro以及AI-ECG平台只是本文讨论的人工智能注入软件的几个例子。
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引用次数: 0
Treatment of Pathological Fracture Following Unicameral Bone Cyst in Unusual Location of Proximal Radius: Rare Case Report 桡骨近端异常位置单骨囊肿病理性骨折的治疗:罕见病例报告
Pub Date : 2023-06-13 DOI: 10.37022/wjcmpr.v5i3.266
Frans Lazio, Triharto Banjaran Sakti, Agus Eka Wiradiputra
Unicameral bone cysts (UBCs) are benign bone lesions predominantly affecting children and teenagers. This case report highlights the rare occurrence of a simple bone cyst in the proximal radius in  a 29-year-old woman with a pathological fracture. Although the proximal radius is an uncommon site for UBC occurrence, the surgical approach required special care due to the complex anatomical structures near the fracture site. The surgical management of UBCs  aims to prevent or manage pathological fractures, facilitate cyst healing, prevent recurrence, and reduce the risk of refracture.  Understanding the treatment options and involving patients in the decision-making process are crucial for achieving the best possible results in managing UBCs with pathological fractures. The decision to pursue nonoperative or operative treatment should be made in consultation with healthcare professionals, considering factors such as clinical presentation, radiological features, and symptoms.
单院系骨囊肿(ubc)是一种主要影响儿童和青少年的良性骨病变。本病例报告强调了一个罕见的单纯性骨囊肿发生在桡骨近端在一个29岁的女性病理性骨折。尽管桡骨近端是UBC发生的罕见部位,但由于骨折部位附近复杂的解剖结构,手术入路需要特别小心。ubc的手术治疗旨在预防或控制病理性骨折,促进囊肿愈合,防止复发,降低再骨折的风险。了解治疗方案并让患者参与决策过程对于治疗ubc伴病理性骨折的最佳结果至关重要。选择非手术治疗还是手术治疗应咨询医疗保健专业人员,考虑临床表现、放射学特征和症状等因素。
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引用次数: 0
VACCINES VERSUS COVID-19 VACCINES: MANEUVER TIMELINE OF DEVELOPMENT AND TRIAL DESIGNS 疫苗与COVID-19疫苗:开发和试验设计的机动时间表
Pub Date : 2023-06-09 DOI: 10.37022/wjcmpr.v5i3.265
Soni Gaddam, Haritha Pasupulati, S. Padi
Recent pandemic of coronavirus disease 2019 (COVID-19) has made a serious threat to public health and became a global burden with millions of people at risk of death. At that time, there were no approved antiviral drugs and vaccines for COVID-19, but few drugs are repurposed with limited benefit. In less than a year, several COVID-19 vaccines have already been approved and hundreds of vaccines are undergoing clinical evaluation. This review focuses on need for vaccines, benefits of vaccination, the World Health Organization initiated new global strategy ‘the Immunization Agenda 2030’ (IA2030), stages and timeline of development, and clinical evaluation of traditional vaccines. We have summarized comparison of clinical evaluation between traditional vaccines and conventional drugs in the pre-pandemic era. The review briefly discusses the prioritized approaches, accelerated timeline of clinical evaluation, and seamless and immunobridging clinical trial designs of COVID-19 vaccines in the pandemic period. We have thoroughly searched recent literature and data on this topic and made a summary of current advances, regulatory amendments, and future perspectives of development and approval of vaccines.
最近的2019冠状病毒病(COVID-19)大流行对公共卫生构成严重威胁,并成为全球负担,数百万人面临死亡风险。当时,没有批准的COVID-19抗病毒药物和疫苗,但很少有药物被重新利用,效果有限。在不到一年的时间里,已有几种COVID-19疫苗获得批准,数百种疫苗正在进行临床评估。本综述的重点是疫苗需求、疫苗接种的益处、世界卫生组织发起的新的全球战略“2030年免疫议程”、发展阶段和时间表以及传统疫苗的临床评价。我们总结了大流行前传统疫苗与常规药物的临床评价比较。本综述简要讨论了大流行时期COVID-19疫苗的优先方法、加快临床评估时间表以及无缝和免疫桥接临床试验设计。我们彻底检索了有关该主题的最新文献和数据,并总结了目前的进展、监管修订以及疫苗开发和批准的未来前景。
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引用次数: 1
A General Review on Cryptosporidium Parvum: Pathogenesis, Diagnosis and Treatment 小隐孢子虫的发病机制、诊断与治疗综述
Pub Date : 2023-06-03 DOI: 10.37022/wjcmpr.v5i3.264
F. Mohammad, Doaa Abd Alabas Muhammed Ridh, Osamah Faisal Kokaz
Cryptosporidium parvum is one causes of severe diarrheal disease worldwide and contributed to neonatal and early infect mortality. C. parvum is responsible for most zoonotic infections in human. Cryptosporidium is intra cellular protozoan parasite belong to phylum Apicomplexa. Cryptosporidium can spread to various organs and systems of the body especially pancreatic, hepatobiliary as well as extra- intestinal such as pulmonary system and leading to chronic disease and weakness.The infection can be acute and self-limiting illness in immunocomponent patients, whereas in immunocompromised cryptosporidiosis can become a chronic and life threaten disease.
小隐孢子虫是世界范围内严重腹泻疾病的原因之一,并导致新生儿和早期感染死亡。细小梭菌是人类大多数人畜共患感染的原因。隐孢子虫是细胞内原生动物寄生虫,属于顶复合体门。隐孢子虫可扩散到身体的各个器官和系统,特别是胰腺、肝胆以及肠外如肺系统,导致慢性疾病和虚弱。免疫功能低下的隐孢子虫病可成为慢性和危及生命的疾病,而免疫功能低下的隐孢子虫病可成为急性和自限性疾病。
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引用次数: 0
The Ability of Microorganisms to Produce Antibiotics- A Review 微生物产生抗生素的能力——综述
Pub Date : 2023-05-25 DOI: 10.37022/wjcmpr.v5i3.263
Viren Ranpariya, Neha Tarpara
Antibiotics are chemicals that prevent or eliminate bacterial growth and are widely used in various applications. They were first discovered by Alexander Fleming in 1928 when he noticed that a mold called Penicillium notatum inhibited the growth of Staphylococcus aureus bacteria. Since then, antibiotics have been extensively studied and utilized to combat bacterial infections.There are several potential sources of antibiotic-producing microorganisms, including soil, water, plants, animals, and even fermented foods. Actinomycetes, a type of bacteria commonly found in soil, are known for their ability to produce a wide range of antibiotics. Marine environments are also considered a rich source of antibiotic-producing microorganisms.The production of antibiotics by bacteria is of great interest, as it offers the potential for the development of new natural product-based drugs. Actinomycetes, particularly Streptomyces species, have been a major focus of antibiotic research and have yielded thousands of distinct secondary metabolites, many of which are antibiotics.Antibiotics play various natural functions in microbial interactions in different environments. They can act as weapons or shields, protecting bacteria from predators or competing microbes. Antibiotics can also have concentration-dependent effects, acting as inhibitors at high concentrations and mediators of intracellular signaling at low concentrations.The production of antibiotics by bacteria in soil and plant-associated environments has been extensively studied. Bacterial genera such as Bacillus, Pseudomonas, and Streptomyces have been found to produce bioactive peptides with antimicrobial properties. These antibiotics can help bacteria survive in harsh environments by inhibiting the growth of predators or competitors.
抗生素是一种防止或消除细菌生长的化学物质,广泛应用于各种领域。1928年,亚历山大·弗莱明首次发现了这种细菌,当时他注意到一种叫做青霉的霉菌可以抑制金黄色葡萄球菌的生长。从那时起,抗生素被广泛研究并用于对抗细菌感染。产生抗生素的微生物有几种潜在来源,包括土壤、水、植物、动物,甚至发酵食品。放线菌是一种常见于土壤中的细菌,以其生产多种抗生素的能力而闻名。海洋环境也被认为是产生抗生素的微生物的丰富来源。利用细菌生产抗生素引起了极大的兴趣,因为它为开发新的基于天然产物的药物提供了潜力。放线菌,特别是链霉菌,一直是抗生素研究的主要焦点,已经产生了数千种不同的次生代谢物,其中许多是抗生素。抗生素在不同环境下微生物相互作用中发挥着不同的天然功能。它们可以作为武器或盾牌,保护细菌免受捕食者或竞争微生物的侵害。抗生素也可能具有浓度依赖性作用,在高浓度时作为抑制剂,在低浓度时作为细胞内信号传导的介质。细菌在土壤和植物相关环境中产生抗生素已经得到了广泛的研究。细菌属如芽孢杆菌、假单胞菌和链霉菌已被发现产生具有抗菌特性的生物活性肽。这些抗生素可以通过抑制捕食者或竞争对手的生长来帮助细菌在恶劣的环境中生存。
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引用次数: 0
A comparative study of the ability of the fungus Aspergillus niger on two alternative media, wheat bran and rice husk. 黑曲霉在麦麸和稻壳两种培养基上发酵能力的比较研究。
Pub Date : 2023-03-31 DOI: 10.37022/wjcmpr.v5i2.261
Kadhim H. A Al-Ameri, S. Ali
Citric acid is one of the important organic acids in the fields of industry, agriculture, medicine, etc., and it can be obtained in many ways, the best of which is biological methods using microorganisms. The current study aimed to prepare two cheap and environmentally friendly culture media for the purpose of producing citric acid from Aspergillus niger. The two media, one from rice husks and the other from Wheat bran, where a comparison was made between them regarding which is more efficient in supporting the fungus A. niger compared to the standard medium, the best temperature and pH for production were also assessed. Eight isolates were obtained, all of which produced acid to varying degrees. No.1 was the highest and best in terms of production 3.1 gm/l, followed by isolate No. 2 with an amount of 2.5 g/l. It was observed that the amount of acid produced increased with the increase of the biomass of the fungus. The study showed variable results regarding the production of citric acid from isolates of A. niger, where the wheat bran medium was the best result, where the resulting concentration of acid was 5.1 gm/l, compared to 4.4 g/l for the medium of rice husks. The results showed that the best temperature was 25°C, as it gave a concentration of citric acid of 3.4 g/l, while the best pH was 6 where the concentration of citric acid produced It was 3 grams per liter.the study showed that there were no significant differences with regard to the sugars adopted in this experiment, as it gave significant similar results in terms of the amount of acid produced as well as the biomass of the fungus Aspergillus niger, while ammonium nitrate was the best among the nitrate sources used, with a production quantity of 4 gm/l .
柠檬酸是工业、农业、医药等领域的重要有机酸之一,柠檬酸的制备方法很多,其中最好的是利用微生物的生物方法。本研究旨在为黑曲霉生产柠檬酸制备两种廉价、环保的培养基。两种培养基,一种来自稻壳,另一种来自麦麸,在这两种培养基之间进行了比较,关于与标准培养基相比,哪种培养基更有效地支持黑曲霉,并评估了生产的最佳温度和pH值。分离得到8株不同程度产酸的菌株。1号菌株产量最高,为3.1 g/l,其次是2号菌株,产量为2.5 g/l。结果表明,随着真菌生物量的增加,产酸量也随之增加。该研究显示了黑曲霉分离株生产柠檬酸的不同结果,其中麦麸培养基效果最好,产酸浓度为5.1 g/l,而稻壳培养基的产酸浓度为4.4 g/l。结果表明,最佳温度为25℃,生成的柠檬酸浓度为3.4 g/l;最佳pH为6,生成的柠檬酸浓度为3 g/l。研究表明,本实验所采用的糖类没有显著差异,在产酸量和真菌黑曲霉生物量方面均有显著相似的结果,而硝酸铵是所使用的硝酸盐源中最好的,产量为4 gm/l。
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引用次数: 0
A herbo health care for gums and throat 一种用于牙龈和喉咙保健的草药
Pub Date : 2023-03-14 DOI: 10.37022/wjcmpr.v5i2.258
N. N, P. S, V. S, V. M, P. R., A. A
The use of herbal gum paint in the treatment of dental problems is not very common. Most of the drugs used are synthetic and are in used over the years mainly for antibacterial activity in the oral cavity. It includes various side effects that are always a limit for their use. Natural remedies are always more desirable and acceptable and are more effective with fewer side effects. ThemicroorganismincludesEscherichiacoli, Klebsiella pneumonia, Staphylococcusepidermidis, and staphylococcus aureus which causegingivitisanddent cavities. The current study objective is to formulate and evaluate an herbal gum paint that is useful in the long term and has rheological characteristics and stability too. The local anesthetic activity is studied and the antimicrobial activity of gum paint is examined by disc diffusion method and compared activity between F1-betel leaf oil, F2- clove oil, and an F3 (F1+F2) – both betel leaf and clove oil. F3 shows a synergistic effect on microbes than the other two and has the maximum zone of inhibition.
使用草药牙龈漆治疗牙齿问题并不常见。大多数使用的药物是合成的,多年来主要用于口腔的抗菌活性。它包括各种副作用,这些副作用总是限制它们的使用。自然疗法总是更可取,更容易接受,更有效,副作用更少。这些微生物包括大肠杆菌、肺炎克雷伯菌、表皮葡萄球菌和金黄色葡萄球菌,它们会导致活动和牙齿蛀牙。目前的研究目的是研制一种长期使用的、具有流变特性和稳定性的草药口香糖涂料。采用盘扩散法研究了牙龈漆的局部麻醉活性和抗菌活性,并比较了F1-槟榔叶油、F2-丁香油和F3 (F1+F2) -槟榔叶和丁香油的活性。F3对微生物的协同作用强于其他两种,抑制区最大。
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引用次数: 0
Insilico pharmacological evaluation of dibenzosuberenone derivatives as antidepressant 二苯并亚苯酮衍生物抗抑郁药物的体外药理评价
Pub Date : 2023-03-12 DOI: 10.37022/wjcmpr.v5i2.257
S. A, Umarani G, Tamilarasi G, Senthilkumar R, M. K
A new drug takes a long time and is expensive to introduce.By using insilico drug design, you can save time and money. Utilizing computational software, a novel Schiff's base Dibenzosuberenone derivative was designed and molecular docking studies were performed using autodock software. To predict Absorption, Distribution, Metabolism, Excretion, and Molecular Properties of Dibenzosuberenone derivatives, insilico screening was performed. It should be examined how its Dibenzosuberenone derivatives interact with specific targets. The Dibenzosuberenone derivatives were successfully identified as targets in this study.
一种新药需要很长时间,而且引进成本很高。通过使用计算机药物设计,您可以节省时间和金钱。利用计算软件,设计了一种新型希夫碱二苯并醌衍生物,并使用autodock软件进行了分子对接研究。为了预测二苯并亚烯酮衍生物的吸收、分布、代谢、排泄和分子性质,进行了硅筛选。应该研究其二苯并酮衍生物如何与特定靶标相互作用。本研究成功地鉴定了二苯并醌衍生物。
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引用次数: 0
期刊
World Journal of Current Medical and Pharmaceutical Research
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