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Risk factor of amblyopia in children in Madagascar 马达加斯加儿童弱视的危险因素
Pub Date : 2022-09-05 DOI: 10.37022/wjcmpr.v4i4.221
Rakotoarisoa Rivo Tahiry Rabetafika, H. Randrianarisoa, Andoniaina Orlando Andriamiadanalisoa, Rindra Rafanomezantsoa, L. Raobela
Purpose: The aims of this study was to determine risk factor of amblyopia in malagasy children. Methods: It was a case-control study doing at Hospital University Joseph Ravoahangy Andrianavalona from 1st september to 01st february 2022. The case were children who had functional amblyopia. The control were children who didn’t have amblyopia and came to the hospital for vision anomaly and had a similar demography specificity like case. The number of controls was twice the number of cases. All children with organic ophthalmic pathologies were excluded. The data was processed by Epi.info 7.0 software. We used Odds Ratio (OR) test to find association between amblyopia and risk factor.  Confidence interval (CI) was fixed at 95%. Association was significant for a value of p<0,05. Results: 38 cases was found for 76 controls. A significant association was found for amblyopia and personnal history OR:4.85CI[1.87-12.58]p<0,00 ; familial history OR :4,84CI[2,02-11,59]p<0,00 ; for esotropia OR :6,60CI[2,62-16,56]p<0,00 ; for exotropia OR :3,07CI[1,21-7,75]p<0,01 ; for anisometropia OR :26,90CI[5,73-126.16]p<0,00 ; for hyperopia OR:4,16CI[1,69-10,25]p<0,0 and for astigmatism OR :0,22CI[0,08-0,57]p<0,00. Conclusion: Functional amblyopia was associated  in children with personal and family history of strabismus and ametropia. Children with esotropia, exotropia, hyperopia, astigmatism, and anisometropia was associated with functional amblyopia. A systematic vision field is necessary for patient with risk factor.  
目的:本研究的目的是确定马达加斯加儿童弱视的危险因素。方法:采用2022年9月1日至2月1日在安德烈亚纳瓦洛纳约瑟夫拉沃阿汉吉医院大学进行的病例对照研究。这些病例是患有功能性弱视的儿童。对照组为无弱视但因视力异常就诊的儿童,与病例具有相似的人口统计学特异性。对照组的数量是病例数量的两倍。排除所有有器质性眼科病变的儿童。数据采用Epi.info 7.0软件处理。我们使用比值比(OR)检验来发现弱视与危险因素之间的关系。置信区间(CI)固定为95%。相关性显著,p< 0.05。结果:对照组76例,发现38例。弱视与个人病史有显著相关性OR:4.85CI[1.87-12.58]p<0 000;OR:4,84 ci [2,02-11,59]p<0;内斜视OR:6,60 ci [2,62-16,56]p<0,00;外斜视OR:3,07 ci [1,21-7,75]p< 0.01;屈光参差OR: 2690 ci [5,73-126.16]p<0;远视OR:4,16 ci [1,69 ~ 10,25]p<0,0,散光OR: 0,22 ci [0,08 ~ 0,57]p<0,00。结论:儿童功能性弱视与斜视和屈光不正的个人和家族史有关。患有内斜视、外斜视、远视、散光和屈光参差的儿童与功能性弱视有关。有危险因素的患者需要系统的视野。
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引用次数: 0
Neglected Radial Collateral Ligament Rupture: Rare Case Report 被忽视的桡骨副韧带断裂:罕见病例报告
Pub Date : 2022-08-24 DOI: 10.37022/wjcmpr.v4i4.222
Wira Aditya I Gusti Ngurah, Agus Eka Wiradiputra, Paramartha Wijaya Putra I Gusti Ngurah
Introduction : Rupture of the Radial Collateral Ligament (RCL) of the index metacarpophalangeal (MCP) joint is mostly related to acute local mechanical causes, which severely affect the stability of the MCP joint. Radial collateral ligament (RCL) injuries account for 10-40% of collateral ligament injuries of the thumb metacarpophalangeal joint.ere, we present an extremely rare case of chronic RCL injury. Patient Concern : Pain in the thumb of the right hand accompanied by weakness when trying to grasp something. Complaints are not accompanied by swelling. Patient said 2 years ago had an accident. Thumb at right hand is said to be swollen and shifting. Diagnosis : Based on the combination of physical examination, X-ray, and ultrasonic and magnetic resonance imaging, the patient was diagnosed with Radial Collateral Ligament rupture. Eventually, intra-operative findings confirmed the diagnosis. Intervention : Patient was underwent ligament reconstruction using a Palmaris Longus tendon graft. Conclusion : Favorable results suggest that the free tendon graft using Palmaris Longus is a suitable, safe, and technically feasible procedure for the operative treatment of chronic instability of the thumb metacarpophalangeal joint after radial hyperadduction trauma and complete rupture or deinsertion of the radial collateral ligament.
导言:指掌指关节桡侧副韧带(RCL)断裂多与局部急性力学原因有关,严重影响MCP关节的稳定性。桡侧副韧带(RCL)损伤占拇指掌指关节副韧带损伤的10-40%。在此,我们报告一例极为罕见的慢性RCL损伤病例。患者关注:右手拇指疼痛,并伴有抓东西时无力。不适不伴有肿胀。病人说两年前出了车祸。据说右手拇指肿胀移位。诊断:结合体格检查、x线、超声、磁共振等影像学检查,诊断为桡骨副韧带断裂。最终,术中结果证实了诊断。干预:患者接受掌长肌腱移植韧带重建。结论:利用掌长肌游离肌腱移植是一种适合、安全、技术可行的方法,可用于治疗桡骨内收过度创伤和桡骨副韧带完全断裂或脱位后拇指掌指关节慢性不稳。
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引用次数: 0
Ethnopharmacology of solanum nigrum: A review 龙葵民族药理学研究进展
Pub Date : 2022-08-01 DOI: 10.37022/wjcmpr.v4i4.223
Keerthana Sd, Ashna Philip, Rehman Abdul, R. M, Sagheer Ahmed Syed, Afrid Syed, B. Dr
Solanum nigrum is a flowering plant that originated in Eurasia and has now spread to the Americas, Australia, and South Africa. European black nightshade, blackberry nightshade, or simply black nightshade are all names for this plant. Sn is a vital plant in traditional medicine that may be found all over the world. S. Nigrum, an annual to short-lived perennial herb with white or mauve flowers followed by berries, has been shown to have powerful analgesic, antidiarrheal, antibacterial, antioxidant, and cytotoxic effects. Traditional Indian medicine has employed s.nigrum infusions to treat diarrhoea, gastrointestinal disorders, and fever. The plant's juice is used to treat ulcers and other skin conditions. The fruits are used as a tonic, laxative, and digestive aid.
龙葵(Solanum nigrum)是一种开花植物,原产于欧亚大陆,现在已传播到美洲、澳大利亚和南非。欧洲黑茄,黑莓茄,或简单的黑茄都是这种植物的名字。锡是传统医学中重要的植物,在世界各地都可以找到。一种一年生到短命的多年生草本植物,开白色或淡紫色的花,结浆果,具有强大的镇痛、止泻、抗菌、抗氧化和细胞毒性作用。传统的印度医学已经使用缬草输液来治疗腹泻、胃肠道疾病和发烧。这种植物的汁液被用来治疗溃疡和其他皮肤疾病。这种水果被用作补品、泻药和助消化剂。
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引用次数: 1
Review on obsessive-compulsive disorder 强迫症综述
Pub Date : 2022-05-31 DOI: 10.37022/wjcmpr.v4i3.216
Venkata Nagaraju Gorre, Karishma Shaik, Tanuja Pothavarapu, Sri Sushma Kaki, Sumayya Shaik, Sumanth Shekar Vinodula
OCD is a syndrome characterized by obsessions and compulsions, as well as other neuropsychiatric features, and is often associated with primary psychiatric disorders and various neurologic conditions. If severe, OCD can seriously interfere with the patient’s quality of life. The mainstay of treatment is psychotherapy, especially cognitive-behavioural therapy, and pharmacologic interventions, especially selective serotonin reuptake inhibitors (SSRIs). Unfortunately, a significant proportion of patients are refractory to these treatment modalities. A new understanding abuts the neurobiology of OCD has led to novel investigational treatments, especially neuromodulation techniques.
强迫症是一种以强迫和强迫以及其他神经精神特征为特征的综合征,通常与原发性精神疾病和各种神经系统疾病有关。如果病情严重,强迫症会严重影响患者的生活质量。主要的治疗方法是心理治疗,特别是认知行为疗法,以及药物干预,特别是选择性血清素再摄取抑制剂(SSRIs)。不幸的是,很大一部分患者对这些治疗方式难以治愈。对强迫症神经生物学的新认识导致了新的研究治疗方法,特别是神经调节技术。
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引用次数: 0
Symbols to be used in labelling of medical devices 用于医疗器械标签的符号
Pub Date : 2022-05-13 DOI: 10.37022/wjcmpr.v4i3.214
Yuktha Lakshmi Dasari, Ramaiah Maddi
This document specifies different symbols used to express information supplied for a medical device. This document is applicable to symbols used in a broad spectrum of medical devices, that are available globally and to meet different regulatory requirements. These symbols can be used on the medical device itself, on its packaging, or in the accompanying information. The requirements of this document are not intended to apply to symbols specified in other standards.
本文档规定了用于表示为医疗设备提供的信息的不同符号。本文件适用于广泛的医疗器械中使用的符号,这些符号在全球范围内可用,并满足不同的法规要求。这些符号可用于医疗器械本身、其包装或随附信息。本文档的要求不适用于其他标准中规定的符号。
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引用次数: 0
ISO Standards of Medical Devices ISO医疗器械标准
Pub Date : 2022-05-13 DOI: 10.37022/wjcmpr.v4i3.213
Deepika Dharavath, Ramaiah Maddi
The medical device has become a decisive device in many instances. As there are more unsafe, the producer should bestow with an ideal medical device in phases of quality & safety. To produce a consistent device universally, there are some standards to be followed. Standards can cover a broad range of business and technology types, including IVDs and medical devices, and software that escort them. Standards are essential to maintain product compliance while synchronizing comparable requirements both nationally and internationally. For medical device industrialists, ISO standards derogatory not only making high-quality medical devices but enduring amenable to regulatory requirements while doing. For medical device companies, adherence to ISO medical device standards can lead to the elaboration of safer and more efficacious products that are more closely allied with user needs. In addition, attaining ISO correspondence certification is a required step in retrieving certain international marketplaces.
在许多情况下,医疗设备已成为决定性的设备。由于不安全因素较多,生产商应在质量和安全阶段赋予理想的医疗器械。为了生产一种普遍一致的设备,有一些标准需要遵循。标准可以涵盖广泛的业务和技术类型,包括ivd和医疗设备,以及为它们护航的软件。标准对于保持产品合规性,同时同步国内和国际上的可比要求至关重要。对于医疗器械实业家来说,ISO标准不仅贬损了高质量的医疗器械,而且在做监管要求的同时也经久不衰。对于医疗器械公司而言,遵守ISO医疗器械标准可导致更安全、更有效、更符合用户需求的产品。此外,获得ISO对应认证是检索某些国际市场的必要步骤。
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引用次数: 1
Artificial Intelligence based Software as Medical Device 基于人工智能的医疗设备软件
Pub Date : 2022-05-12 DOI: 10.37022/wjcmpr.v4i3.212
Ahalya Gade, Ramaiah Maddi
Even the most basic of artificial intelligence (AI) systems can outperform humans in some milestone tasks. The following article will present the study on how AI-based software can be used in medical devices. The medical industry has seen astounding advances in AI is used extensively in medical sciences and many other sectors. AI-based software as a medical device will deliver safe and effective software functionality that improves the quality of care that patient receives. Along with its benefits, it also faces challenges, including the need for regulation to keep up with the pace of technology.
即使是最基本的人工智能(AI)系统也可以在一些里程碑式的任务中超越人类。下面的文章将介绍如何将基于人工智能的软件用于医疗设备的研究。医疗行业取得了惊人的进步,人工智能广泛应用于医学科学和许多其他领域。基于人工智能的软件作为医疗设备将提供安全有效的软件功能,从而提高患者接受的护理质量。在带来好处的同时,它也面临着挑战,包括需要监管以跟上技术的步伐。
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引用次数: 1
Recent advances on novel periodontal drug delivery system 新型牙周给药系统研究进展
Pub Date : 2022-04-28 DOI: 10.37022/wjcmpr.v4i2.210
V. K, Aathika Shaik, Susanna Panadi, Gopi Bukkisetti, Sravani Gosula, R. Menda, Waseem Baba Shaik
Periodontitis is an infectious disease resulting in inflammation the supporting within tissues of the teeth,    progressive attachment loss and bone loss-carranza. Some of the etiology and risk factors are Microbial factors, local factors, systemic factors,   genetic factors and behaviour factors. Periodontitis can occur at any age, most frequently observe in adults at the age of 30-35years.   It involves the degeneration of periodontal ligaments, resorption of alveolar bone resulting in the disruption of the structure of the teeth. In global population nearly 10-15% of people are suffering with severe periodontitis according to WHO. In management of periodontal infection Antibacterial agents are most widely used. Widening of PDL space, generalised loss of alveolar bone are the radiographic feature. Treatment requires more aggressive surgical care. Because of abundant source, lack of toxicity and high tissue compatibility the Biodegradable polymers are extensively employed in periodontal drug delivery devices. In the last decades, the treatment has been optimized for the use of drug delivery systems to the periodontal pocket, with the advantage of delivering the drug in the specific site, sustaining and/or controlling the drug concentration. Recently, the use of new drug delivery systems has been receiving great interest. This review approaches the main delivery systems for the administration of drugs to the periodontal pocket, their usefulness as well as the advancement of these systems effectiveness in the periodontal therapy.
牙周炎是一种传染性疾病,导致牙齿组织内的支持炎症,进行性附着物丧失和骨质流失。病因和危险因素包括微生物因素、局部因素、全身因素、遗传因素和行为因素。牙周炎可发生于任何年龄,最常见于30-35岁的成年人。它包括牙周韧带的退化,牙槽骨的吸收,导致牙齿结构的破坏。据世卫组织统计,在全球人口中,近10-15%的人患有严重牙周炎。在牙周感染的治疗中,抗菌药物的应用最为广泛。牙槽骨间隙变宽,牙槽骨全身性丧失是影像学特征。治疗需要更积极的外科护理。生物可降解聚合物因其来源丰富、毒性低、组织相容性好等优点被广泛应用于牙周给药装置中。在过去的几十年里,治疗已经优化为使用药物输送系统到牙周袋,具有在特定部位输送药物,维持和/或控制药物浓度的优势。最近,使用新的给药系统受到了极大的关注。本文综述了牙周袋给药的主要给药系统及其在牙周治疗中的应用和进展。
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引用次数: 0
The Current Evolutions in the Pharmacotherapeutic Management of Heart Failure 心力衰竭药物治疗管理的最新进展
Pub Date : 2022-04-16 DOI: 10.37022/wjcmpr.v4i2.211
J. D., Dwarakesh B, Ananda Deepak V, D. A
The heart failure remains as global pandemic, more than 23 million people are suffering from heart failure worldwide. The morbidity, mortality and economic burden are increasing rapidly day by day. In order to overcome this situation novel therapies to be developed to treat the heart failure. Many novel therapies accomplished all phases of clinical trials and ruling the pharmaceutical market such as sacubitril valsartan with a positive outcome on heart failure. Some new promising potent compounds such as vericiguat, omecamtiv mecarbil proved themselves by reducing HF complications. In addition, researchers are working very keenly in order to develop to new drug therapies for heart failure. In recent days, many new clinical instances have reported in development of drugs mainly to manage HF patients with mid-range and preserved left ventricular ejection fraction. This article targets to review the Current evolutions in the pharmacological plan of heart failure and focuses on the emerging potential therapeutic agents.
心力衰竭仍然是全球流行病,全世界有超过2300万人患有心力衰竭。发病率、死亡率和经济负担日益迅速增加。为了克服这种情况,需要开发新的治疗心力衰竭的方法。许多新疗法完成了临床试验的所有阶段,并统治着制药市场,如苏比里尔缬沙坦,对心力衰竭有积极的结果。一些新的有前景的强效化合物,如vericiguat, omecamtiv mecarbil,通过减少心衰并发症证明了自己的作用。此外,研究人员正在非常积极地工作,以开发新的药物治疗心力衰竭。最近几天,许多新的临床病例报道了主要用于治疗中程和保留左室射血分数的HF患者的药物的开发。本文旨在回顾心力衰竭药物计划的最新进展,并重点介绍新兴的潜在治疗药物。
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引用次数: 0
Assessment of role of clinical pharmacist in the evaluation of prescriptions in a tertiary care teaching hospital: a prospective observational study 三级教学医院临床药师在处方评价中的作用评价:一项前瞻性观察研究
Pub Date : 2022-04-13 DOI: 10.37022/wjcmpr.v4i2.209
H. P, N. M, Sunith Kumar K, Lankeswar Rao
Background: Prescribing of medicines is an integral part of the provision of health care. For effective and safe treatment, it is essential that prescribing and administration of drug should be evaluated from time to time. Prescription errors account for 70% medication errors that could potentially results in adverse drug reactions. Aim and objectives: The purpose of the study to identify errors, major factors which are responsible for the occurrence of medication errors, and to analyse the role of clinical pharmacist in medication errors and to observe the adverse drug reactions. Methodology: A Prospective observational study was conducted in MNR medical College and Hospital, Sangareddy district. The data was collected from the inpatients of General Medicine department by using standard case report form through direct patient interview and collected data was analysed to identify medication errors and adverse drug reactions. Results: 500 prescriptions were analysed, in that 300 prescriptions presented with different types of medication errors.  For medication errors the prevalence of females is more than males. Age group between 31-50 showing medication errors. 141 were found to be prescribing errors, 62 administration errors, 69 dispensing errors and 28 monitoring errors. Incidence of dose and strength errors (50.35%), wrong time administration errors (51.61%), wrong drug administration errors (21.73%), monitoring not requested (50%). Prescribing errors were more common in general medicine department. Essential and non-essential drugs, level of severity, were found to be statistically significant (P value <0.05). Conclusion: Clinical pharmacist should act as an effective medical staff by conducting awareness and education programs for nursing staff and other health care professionals regarding detection, reporting and occurrence of medication errors.
背景:开药是提供卫生保健的一个组成部分。为了有效和安全的治疗,必须不时地对药物的处方和管理进行评估。处方错误占可能导致药物不良反应的药物错误的70%。目的和目的:本研究的目的是识别差错、导致用药差错发生的主要因素,分析临床药师在用药差错中的作用,并观察药物不良反应。方法:在Sangareddy区MNR医学院和医院进行前瞻性观察研究。采用患者直接访谈的方式,采用标准病例报告表对全科住院患者进行数据收集,并对收集到的数据进行分析,识别用药错误和药物不良反应。结果:对500张处方进行分析,其中300张处方存在不同类型的用药错误。对于用药错误,女性的患病率高于男性。年龄在31-50岁之间出现用药错误。其中处方错误141例,管理错误62例,调剂错误69例,监测错误28例。剂量和强度错误发生率(50.35%)、给药时间错误发生率(51.61%)、给药错误发生率(21.73%)、未要求监测发生率(50%)。处方错误在全科较为常见。基本药物与非基本药物的严重程度差异有统计学意义(P值<0.05)。结论:临床药师应作为一名有效的医务人员,对护理人员和其他卫生保健专业人员进行用药错误的发现、报告和发生的认识和教育。
{"title":"Assessment of role of clinical pharmacist in the evaluation of prescriptions in a tertiary care teaching hospital: a prospective observational study","authors":"H. P, N. M, Sunith Kumar K, Lankeswar Rao","doi":"10.37022/wjcmpr.v4i2.209","DOIUrl":"https://doi.org/10.37022/wjcmpr.v4i2.209","url":null,"abstract":"Background: Prescribing of medicines is an integral part of the provision of health care. For effective and safe treatment, it is essential that prescribing and administration of drug should be evaluated from time to time. Prescription errors account for 70% medication errors that could potentially results in adverse drug reactions. \u0000Aim and objectives: The purpose of the study to identify errors, major factors which are responsible for the occurrence of medication errors, and to analyse the role of clinical pharmacist in medication errors and to observe the adverse drug reactions. \u0000Methodology: A Prospective observational study was conducted in MNR medical College and Hospital, Sangareddy district. The data was collected from the inpatients of General Medicine department by using standard case report form through direct patient interview and collected data was analysed to identify medication errors and adverse drug reactions. \u0000Results: 500 prescriptions were analysed, in that 300 prescriptions presented with different types of medication errors.  For medication errors the prevalence of females is more than males. Age group between 31-50 showing medication errors. 141 were found to be prescribing errors, 62 administration errors, 69 dispensing errors and 28 monitoring errors. Incidence of dose and strength errors (50.35%), wrong time administration errors (51.61%), wrong drug administration errors (21.73%), monitoring not requested (50%). Prescribing errors were more common in general medicine department. Essential and non-essential drugs, level of severity, were found to be statistically significant (P value <0.05). \u0000Conclusion: Clinical pharmacist should act as an effective medical staff by conducting awareness and education programs for nursing staff and other health care professionals regarding detection, reporting and occurrence of medication errors.","PeriodicalId":23642,"journal":{"name":"World Journal of Current Medical and Pharmaceutical Research","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82344954","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: 1
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World Journal of Current Medical and Pharmaceutical Research
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