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A Systematic review of Inflammatory biomarkers, Clinical significance, Detection, and their therapeutic agents 对炎症生物标记物、临床意义、检测及其治疗药物的系统回顾
Pub Date : 2024-03-30 DOI: 10.30574/wjbphs.2024.17.3.0137
Varahalarao Vadlapudi, Sandeep Kulkarni
Biomarkers in inflammation are measurable and valuable biological indicators that can be used to assess the severity, presence, progression of inflammatory processes within the body. Inflammation is a complex physiological response that occurs in response to various stimuli, such as tissue damage, infections, and autoimmune reactions. There are several types of biomarkers Cytokines, Eicosanoids, Calprotectin, E-selectin, P-selectin, Fibrinogen, C-reactive protein (CRP), Exosomes, Myeloperoxidase (MPO), Chemokines , Neurofilament light chain (NfL), MMPs, 8-isoPGF2α, TIMPs, cell NO2-, adhesion molecules, PTX3, autoantibodies, complements, sRAGE, NT-proBNP, acute-phase and immunology-related proteins, thrombogenicity markers, ghrelin, leptin and adipokines, Presepsin, p75ECD, phosphorylated neurofilament heavy (pNfH), IDO1 and TARC, SCCA2, CTACK, EDN, MDC, LDH, and commonly used in the context of inflammation. We analysed the literature through online databases such as PubMed ScienceDirect and Google Scholar were used to search for journals and studies published. In this review, we discuss about different types of biomarkers involved in inflammation and their levels of elevation in various disease conditions. Quantified inflammatory biomarkers are effective clinical strategy for correct and reasonable drug treatment. There may have been advancements in the development of new treatments or therapies since my last update. Therapeutic agents like colchicine can modulate the immune response to reduce inflammation.
炎症生物标志物是可测量的、有价值的生物指标,可用于评估体内炎症过程的严重程度、存在和进展。炎症是一种复杂的生理反应,是对组织损伤、感染和自身免疫反应等各种刺激的反应。生物标志物有多种类型 细胞因子、二十烷酸、钙粘蛋白、E-选择素、P-选择素、纤维蛋白原、C 反应蛋白 (CRP)、外泌体、髓过氧化物酶 (MPO)、趋化因子、神经丝轻链 (NfL)、MMPs、8-isoPGF2α、TIMPs、细胞 NO2-、粘附分子、PTX3、自身抗体、补体、sRAGE、NT-proBNP、急性期和免疫学相关蛋白、血栓形成标志物、胃泌素、瘦素和脂肪因子、Presepsin、p75ECD、磷酸化神经丝重型(pNfH)、IDO1 和 TARC、SCCA2、CTACK、EDN、MDC、LDH,以及炎症中常用的指标。我们通过 PubMed ScienceDirect 和 Google Scholar 等在线数据库对文献进行了分析,以搜索期刊和发表的研究。在这篇综述中,我们讨论了不同类型的炎症生物标志物及其在各种疾病中的升高水平。量化炎症生物标志物是正确合理用药的有效临床策略。自上次更新以来,新的治疗方法或疗法的开发可能有所进展。秋水仙碱等治疗药物可以调节免疫反应以减轻炎症。
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引用次数: 0
Using bone cement in re-bridging incudostapedial joint 使用骨水泥重新连接门颊骨关节
Pub Date : 2024-03-30 DOI: 10.30574/wjbphs.2024.17.3.0118
Basem Hamdan Alkousheh, Mohammed Talal Al-kofahi, Ahmed Mohammad Smadi, Thabet Hussein Mugdadi, Bassil Ahmad Bany omar
Objective: to evaluate the hearing outcomes of using ionomeric bone cement in re-bridging incudostapedial joint discontinuity. Methods: This study included 50 patients who had ossiculoplasty using ionomeric bone cement for re-bridging of incudostapedial joint. There pre and post-operative audiologic outcomes were evaluated and reviewed by using pure tone audiometry averages and the air bone gap values with a follow up period of one year. Results: 42 patients (84%) had a post-operative air bone gap less than 20 dB following one year of surgery. The pre and post-operative mean of pure tune averages were 50.04±7.28 and 32.74±7.07 respectively (P value<0.01). The pre and post-operative mean of air bone gap were 36.56±6.41 and 17.60±5.77 respectively which was statistically significant (P value<0.01). Conclusion: using of ionomeric bone cement is a good grafting material in incudostapedial re-bridging ossiculoplasty being cost effective, easy applicable and biocompatible and give a satisfactory hearing outcome in selected patients.
目的:评估使用离子骨水泥重新连接口内镫骨关节不连续性的听力效果。方法:本研究包括 50 名使用离子骨水泥进行骨成形术以重新桥接门腭关节的患者。通过使用纯音测听平均值和空气骨间隙值对患者术前和术后的听力结果进行评估和复查,随访期为一年。结果42 名患者(84%)术后一年的气骨间隙小于 20 分贝。术前和术后纯音平均值分别为 50.04±7.28 和 32.74±7.07(P 值<0.01)。空气骨间隙的术前和术后平均值分别为(36.56±6.41)和(17.60±5.77),差异有统计学意义(P 值<0.01)。结论:使用离子骨水泥是进行镫骨内侧再桥接骨成形术的一种良好的移植材料,具有成本低、易于使用、生物相容性好等优点,可为选定的患者带来满意的听力效果。
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引用次数: 0
Effect of nadolol in treatment of induced ocular hypertension in rabbits 纳多洛尔对治疗兔子眼压过高的影响
Pub Date : 2024-03-30 DOI: 10.30574/wjbphs.2024.17.3.0122
Baha'a A. Abdul-Hussein, Hassanen A. Radi, Sara Majeed Kareem
In glaucoma, as optic neuropathy gradually proceeds unnoticed by the patient, early detection and treatment is of paramount importance in arresting or controlling the progress of damage. To explore effects of topical nadolol on intraocular pressure (IOP) ocular hypertensive eyes of rabbits. A group of 36 males of the rabbits were included in this study. Induction of ocular hypertension was achieved by injection of hydroxy propyl methylcellulose in the anterior chamber of rabbits right eye. The present study was designed to evaluate the possible beneficial therapeutic effect. The included rabbits were divided into distilled water group, timolol (0.25% and 0.5%) groups, and nadolol (0.25% and 0.5%). Each of drug eye drops (including distilled water) were instilled into right eyes 3 times/day for 10 days therapeutically. The rabbits had been examined for the IOP, pupil diameter, light reflex, corneal reflex, and conjunctival redness prior to instillation of drugs and along the trial period. Results: Ocular hypotensive effects of nadolol (0.25%) and (0.5%) eye drops were more efficient than that of distilled water (P<0.01). Furthermore, nadolol eye drop was more efficient than timolol eye drop (0.01>P>0.05) in its ocular hypotensive effect in both concentrations along the trial period. In both parts of the present study and regarding each of mean pupil diameter, light reflex, corneal reflex and conjunctival redness, nadolol (0.25% or 0.5%) eye drops had no significant adverse effect (P > 0.05). Conclusions: Nadolol eye drops instilled 3 times / day had an obvious beneficial, safe, and tolerable therapeutic ocular hypotensive effects on hydroxy propyl methyl cellulose - induced ocular hypertension in rabbits.
青光眼患者的视神经病变是在不知不觉中逐渐发展的,因此早期发现和治疗对阻止或控制损害的发展至关重要。目的:探讨局部使用纳多洛尔对兔子眼内压(IOP)高眼压症的影响。本研究共纳入了 36 只雄性兔子。在兔子右眼前房注射羟丙基甲基纤维素诱发眼压升高。本研究旨在评估可能的有益治疗效果。兔子被分为蒸馏水组、噻吗洛尔(0.25% 和 0.5%)组以及纳多洛尔(0.25% 和 0.5%)组。每种药物眼药水(包括蒸馏水)均滴入右眼,每天 3 次,疗程 10 天。在滴入药物前和试验期间,对兔子的眼压、瞳孔直径、对光反射、角膜反射和结膜发红进行了检查。结果在试验期间,纳多洛尔(0.25%)和(0.5%)滴眼液的降眼压效果均优于蒸馏水(PP>0.05)。在本研究的两个部分以及平均瞳孔直径、对光反射、角膜反射和结膜发红方面,纳多洛尔(0.25% 或 0.5%)滴眼液均无明显不良反应(P>0.05)。结论纳多洛尔滴眼液每天滴入 3 次,对羟丙基甲基纤维素诱导的兔子眼压升高有明显的有益、安全和可耐受的降眼压治疗作用。
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引用次数: 0
The benefits of purple sweet potato waste flour in the ratio of maintaining the quality of Lohmann brown chicken eggs 紫甘薯废粉在保持 Lohmann 褐壳鸡蛋质量的配比中的益处
Pub Date : 2024-03-30 DOI: 10.30574/wjbphs.2024.17.3.0098
Gede Adit, Puspa Dantayasa, W. Suarna, Desak Putu Mas, Ari Candrawati
Lohmann brown chickens are laying hens as a source of egg supply. However, eggs are easily damaged if stored, it is necessary to improve egg quality, one of which can be done by utilizing purple sweet potato waste. This research aims to determine the effect of using purple sweet potato waste flour in rations on the quality of Lohmann brown chicken eggs stored for 5 weeks, carried out in Candiksuma Village, Melaya District, Jembrana Regency Bali for 12 weeks. The design used was a completely randomized design (CRD) consisting of 4 treatments and 4 replications. The treatment consisted of rations without purple sweet potato waste flour as a control (A), and rations containing 5% purple sweet potato waste flour (B), 10% (C), and 15% (D). Each experimental unit consisted of 10 chickens aged 65 weeks. After one month of treatment, 96 eggs were taken to be stored. The variables observed were egg weight, egg pH, egg specific gravity, egg yolk color, eggshell thickness, egg white percentage, egg yolk percentage, egg white index, egg yolk index, and haugh units (HU). The research results showed that giving purple sweet potato waste flour did not reduce egg quality in the variables of egg weight, egg pH, egg specific gravity, egg yolk percentage, egg white index, and egg yolk index during 5 weeks of storage. A decrease in egg quality occurs in egg yolk color, eggshell thickness, egg white percentage, and Haugh Units (HU). It can be concluded that providing purple sweet potato waste flour in the ration can maintain the quality of Lohmann brown chicken eggs stored for 5 weeks.
Lohmann 棕鸡是作为鸡蛋供应来源的产蛋鸡。然而,鸡蛋在储存过程中很容易损坏,因此有必要提高鸡蛋的质量,而利用紫甘薯废料可以提高鸡蛋的质量。本研究旨在确定在口粮中使用紫甘薯废粉对存放 5 周的 Lohmann 棕壳鸡蛋质量的影响,研究在巴厘岛 Jembrana 县 Melaya 区 Candiksuma 村进行,为期 12 周。采用的设计是完全随机设计(CRD),包括 4 个处理和 4 个重复。处理包括不含紫甘薯废粉的日粮作为对照(A),以及含 5%紫甘薯废粉的日粮(B)、10%(C)和 15%(D)。每个实验单元由 10 只 65 周龄的鸡组成。饲养一个月后,取 96 枚鸡蛋储存。观察变量包括鸡蛋重量、鸡蛋 pH 值、鸡蛋比重、蛋黄颜色、蛋壳厚度、蛋白百分比、蛋黄百分比、蛋白指数、蛋黄指数和豪氏单位(HU)。研究结果表明,在鸡蛋储存 5 周期间,在鸡蛋重量、鸡蛋 pH 值、鸡蛋比重、蛋黄百分比、蛋白指数和蛋黄指数等变量方面,给予紫甘薯废粉不会降低鸡蛋质量。蛋黄颜色、蛋壳厚度、蛋白百分比和哈氏单位(HU)则会降低鸡蛋质量。由此可以得出结论,在日粮中添加紫甘薯废粉可以保持 Lohmann 棕壳鸡蛋储存 5 周的质量。
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引用次数: 0
Clinical research methodology: A narrative review 临床研究方法:叙述性综述
Pub Date : 2024-03-30 DOI: 10.30574/wjbphs.2024.17.3.0129
Kalpesh Khutade, N. Kumari, Harshada Shah
Research necessitates a systematic approach, meticulous planning, and execution as planned. The study consists of predefined components, such as aims, population, conduct/technique, outcome, and statistical considerations. Understanding the fundamental aspects of methodology is crucial for any researcher, as it ensures objective, reliable, and repeatable results. This narrative review explored various aspects of the methodology used in conducting clinical research. A literature search was conducted using relevant keywords from various databases and article bibliographies.
研究需要系统的方法、细致的规划和按计划执行。研究由预先确定的部分组成,如目的、人群、行为/技术、结果和统计考虑因素。了解方法论的基本方面对任何研究人员来说都至关重要,因为它能确保研究结果客观、可靠且可重复。本叙述性综述探讨了临床研究方法的各个方面。我们使用各种数据库和文章书目中的相关关键词进行了文献检索。
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引用次数: 0
Years lived with disabilities of the working-age population owing to injuries 劳动适龄人口因伤致残的年数
Pub Date : 2024-03-30 DOI: 10.30574/wjbphs.2024.17.3.0110
Yu. Gantugs, А.Purevgerel, P. Tseden
Introduction: Cases of mortality and illness caused by injury in Mongolian population have increased drastically in recent years, and in 2022, 5th cause of illness and the 3rd cause of mortality. On average, more than 146,000 new cases of accidents and injuries are registered in Mongolia every year. More than 69% of it is a working-age population. Purpose and objectives: The purpose of the research work is to calculate the number of years lived with disability due to accidents among the working-age population of Mongolia. Research materials and methods: The study design is a Retrospective Cohort Study. The research work was carried out according to the WHO's burden of disease determination method. We collected quantitative data on disease numbers in Mongolia from the year 2016 to 2020 from the database of the Health Development Centre and National Center for Traumatology. The number of years lived with a disability was calculated using 306,823 quantitative information of the working-age (15-61) population of Mongolia in 2016-2020. Results: In Mongolia, 61.0% (n=187047) of the causes of accidents and injuries among the working-age population over 5 years were men and 39.0% (n=119776) were women. Considering the causes of accidents and injuries among the working-age population, 49.3% of all illnesses are falls, 25.3% are homicides, 22.9% are road accidents, and the rest are suicides, intoxication/exposure to toxic substances.120469 years of living with disability due to accidents caused by external causes of the working-age population of Mongolia over 5 years. The number of years lived with a disability was 77,135 years (64.0%) for men and 43,334 (36.0%) years for women. Conclusion: The working-age population of Mongolia has 120,469 years of living with disabilities caused by accidents caused by external causes. 1.8 times more years are lost than men and women.
导言:近年来,蒙古人口因伤致死和致病的病例急剧增加,到2022年,已成为第5大致病原因和第3大致死原因。蒙古平均每年新登记的事故和伤害病例超过 14.6 万例。其中 69% 以上为劳动适龄人口。目的和目标:研究工作的目的是计算蒙古劳动适龄人口因事故致残的年数。研究材料和方法:研究设计为回顾性队列研究。研究工作按照世界卫生组织的疾病负担确定方法进行。我们从健康发展中心和国家创伤中心的数据库中收集了 2016 年至 2020 年蒙古疾病数量的定量数据。利用 2016-2020 年蒙古国劳动适龄人口(15-61 岁)的 306 823 个定量信息,计算了残疾生活年数。结果显示在蒙古,5岁以上工作年龄人口的事故和伤害原因中,61.0%(n=187047)为男性,39.0%(n=119776)为女性。从劳动适龄人口的意外伤害原因来看,49.3%的疾病是跌倒,25.3%是他杀,22.9%是交通事故,其余的是自杀、中毒/接触有毒物质。男性残疾生活年数为 77 135 年(64.0%),女性为 43 334 年(36.0%)。结论蒙古劳动适龄人口因外部原因造成的事故而致残的年数为 120,469 年。男性和女性的残疾年数分别是男性和女性的 1.8 倍。
{"title":"Years lived with disabilities of the working-age population owing to injuries","authors":"Yu. Gantugs, А.Purevgerel, P. Tseden","doi":"10.30574/wjbphs.2024.17.3.0110","DOIUrl":"https://doi.org/10.30574/wjbphs.2024.17.3.0110","url":null,"abstract":"Introduction: Cases of mortality and illness caused by injury in Mongolian population have increased drastically in recent years, and in 2022, 5th cause of illness and the 3rd cause of mortality. On average, more than 146,000 new cases of accidents and injuries are registered in Mongolia every year. More than 69% of it is a working-age population. Purpose and objectives: The purpose of the research work is to calculate the number of years lived with disability due to accidents among the working-age population of Mongolia. Research materials and methods: The study design is a Retrospective Cohort Study. The research work was carried out according to the WHO's burden of disease determination method. We collected quantitative data on disease numbers in Mongolia from the year 2016 to 2020 from the database of the Health Development Centre and National Center for Traumatology. The number of years lived with a disability was calculated using 306,823 quantitative information of the working-age (15-61) population of Mongolia in 2016-2020. Results: In Mongolia, 61.0% (n=187047) of the causes of accidents and injuries among the working-age population over 5 years were men and 39.0% (n=119776) were women. Considering the causes of accidents and injuries among the working-age population, 49.3% of all illnesses are falls, 25.3% are homicides, 22.9% are road accidents, and the rest are suicides, intoxication/exposure to toxic substances.120469 years of living with disability due to accidents caused by external causes of the working-age population of Mongolia over 5 years. The number of years lived with a disability was 77,135 years (64.0%) for men and 43,334 (36.0%) years for women. Conclusion: The working-age population of Mongolia has 120,469 years of living with disabilities caused by accidents caused by external causes. 1.8 times more years are lost than men and women.","PeriodicalId":23738,"journal":{"name":"World Journal of Biology Pharmacy and Health Sciences","volume":"38 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140363486","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
Noise and PM2.5 levels in children's park adjacent to airport 机场附近儿童公园的噪音和 PM2.5 水平
Pub Date : 2024-03-30 DOI: 10.30574/wjbphs.2024.17.3.0115
Shigeru Suna
Background: Sanuki Kodomo-no-Kuni Children's park adjacent to Takamatsu airport is a facility where visitors can watch airplanes take off and land up close and learn about science and technology. However, because it is not a school facility, the hygienic conditions such as noise and PM2.5 levels are not well known despite the current situation where many infants and elementary school students use this facility. Method: Noise and PM2.5 levels were measured at a point in the park 170 m from the runway center. Rsults: Three takeoffs and three landings were made during the measurement period. Instantaneous noise levels of 92.5 to 96.5 dB(A) were recorded during takeoff and 79.9 to 82.2 dB(A) during landing. The PM2.5 level every 30 minutes was 8 μg/m3 at the beginning of the measurement, but 21 μg/m3 was measured at the end, and a trend of increasing PM2.5 levels over time was observed. Conclusion: Noise levels during takeoffs and landings were instantaneous but high. Since previous studies have reported health effects of chronic exposure to aircraft noise, including misbehaviours in young children, memory loss in school children, increased birth rate of low birthweight infants, and hearing loss due to chronic exposure. It was considered desirable to avoid excessive exposure to aviation noise.
背景介绍毗邻高松机场的赞岐小豆之国儿童公园是一个游客可以近距离观看飞机起降并学习科学和技术知识的设施。然而,由于它不是学校设施,尽管目前有许多婴儿和小学生使用该设施,但其卫生条件(如噪音和 PM2.5 水平)并不为人所知。方法:在距离跑道中心 170 米的公园内某一点测量噪音和 PM2.5 水平。结果:测量期间进行了三次起飞和三次着陆。起飞时的瞬时噪音水平为 92.5 至 96.5 dB(A),着陆时为 79.9 至 82.2 dB(A)。在测量开始时,每 30 分钟的 PM2.5 水平为 8 μg/m3,但在测量结束时测得的 PM2.5 水平为 21 μg/m3,并观察到 PM2.5 水平随时间呈上升趋势。结论飞机起飞和着陆时的噪音水平是瞬时的,但很高。由于之前的研究报告指出,长期暴露于飞机噪音会影响健康,包括幼儿行为不端、学龄儿童记忆力减退、低出生体重儿出生率增加以及长期暴露于噪音导致听力损失。因此,最好避免过度暴露于航空噪声中。
{"title":"Noise and PM2.5 levels in children's park adjacent to airport","authors":"Shigeru Suna","doi":"10.30574/wjbphs.2024.17.3.0115","DOIUrl":"https://doi.org/10.30574/wjbphs.2024.17.3.0115","url":null,"abstract":"Background: Sanuki Kodomo-no-Kuni Children's park adjacent to Takamatsu airport is a facility where visitors can watch airplanes take off and land up close and learn about science and technology. However, because it is not a school facility, the hygienic conditions such as noise and PM2.5 levels are not well known despite the current situation where many infants and elementary school students use this facility. Method: Noise and PM2.5 levels were measured at a point in the park 170 m from the runway center. Rsults: Three takeoffs and three landings were made during the measurement period. Instantaneous noise levels of 92.5 to 96.5 dB(A) were recorded during takeoff and 79.9 to 82.2 dB(A) during landing. The PM2.5 level every 30 minutes was 8 μg/m3 at the beginning of the measurement, but 21 μg/m3 was measured at the end, and a trend of increasing PM2.5 levels over time was observed. Conclusion: Noise levels during takeoffs and landings were instantaneous but high. Since previous studies have reported health effects of chronic exposure to aircraft noise, including misbehaviours in young children, memory loss in school children, increased birth rate of low birthweight infants, and hearing loss due to chronic exposure. It was considered desirable to avoid excessive exposure to aviation noise.","PeriodicalId":23738,"journal":{"name":"World Journal of Biology Pharmacy and Health Sciences","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140361480","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
Age-related disparities in the severity course of COVID-19 COVID-19 严重程度的年龄差异
Pub Date : 2024-03-30 DOI: 10.30574/wjbphs.2024.17.3.0109
Aneliya Lazarova Gotseva, Emilia Krassimirova Naseva
COVID-19 demonstrates a different clinical severity of course in different age groups. In the present study, we present a comparative analysis regarding the risk of hospitalization and in-hospital mortality between two extreme age groups – children and young adults (0-39 years) and elderly patients (≥70 years). For the period from January to June 2022, nasopharyngeal samples of 1,611 patients at MHAT Uni Hospital (Panagyurishte, Bulgaria) were examined by PCR analysis, of which 486 had a positive result for SARS-CoV-2. From the first target group with a laboratory-confirmed diagnosis of COVID-19, there were 158 patients with an average age of 27.5 years, and only one of them was hospitalized (a 30-year-old man, unvaccinated, with bilateral pneumonia and concomitant arterial hypertension). The average age of the patients from the second target group (n=40) was 75.6 years, 29 of them were outpatients and 11 were hospitalized, among whom 5 men with an average age of 77.6 years died. The average hospital stay of the only hospitalized patient from the young age group was 6 bed days, while for patients ≥70 years of age it was 10.1 bed days. Age is among the determinants of risk of hospitalization and in-hospital mortality associated with COVID-19.
COVID-19 在不同年龄组的临床病程中表现出不同的严重程度。在本研究中,我们对两个极端年龄组--儿童和青年(0-39 岁)与老年患者(≥70 岁)--的住院风险和院内死亡率进行了比较分析。2022 年 1 月至 6 月期间,MHAT 联合医院(保加利亚帕纳久里什特)对 1,611 名患者的鼻咽样本进行了 PCR 分析,其中 486 人的 SARS-CoV-2 结果呈阳性。经实验室确诊为 COVID-19 的第一组目标群体中有 158 名患者,平均年龄为 27.5 岁,其中只有一人住院治疗(一名 30 岁的男子,未接种疫苗,患有双侧肺炎并伴有动脉高血压)。第二组目标患者(40 人)的平均年龄为 75.6 岁,其中 29 人是门诊患者,11 人住院治疗,其中 5 名男性患者死亡,平均年龄为 77.6 岁。唯一一名年轻组住院患者的平均住院日为 6 天,而年龄≥70 岁的患者的平均住院日为 10.1 天。年龄是与 COVID-19 相关的住院风险和院内死亡率的决定因素之一。
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引用次数: 0
Schedule of pneumococcal conjugated vaccination and incidence of asthmatic exacerbation in children 肺炎球菌结合疫苗接种时间表与儿童哮喘加重的发生率
Pub Date : 2024-03-30 DOI: 10.30574/wjbphs.2024.17.3.0134
Sahel Rasmi Ali Al-Zeghoul, Obeidallah Abdelmajeed Obeidallah Alkhatatbeh, Saif Ali Mohamad Jabali, Shawq Walid Atallah Althaher, Osama Ibrahim Suleiman Abu Quta
Background: Chronic asthma is a complex condition. An abrupt rise in eosinophil counts, deterioration of asthma symptoms, increased reliance on bronchodilators with or without oral/IV corticosteroids, and a higher frequency of emergency room visits with hospitalisations or antibiotic use have been identified as indicators of the effectiveness of the pneumococcal conjugate vaccine in preventing illness. Aim: The objective of this study was to assess the clinical importance of scheduling the pneumococcal conjugate vaccine in reducing the occurrences of asthma exacerbations and their subsequent complications in children, as previously described. Methods: A study at Queen Rania Abdullah for Children Hospital in Amman, Jordan, examined 200 children aged 3-14 with chronic asthma who were hospitalized from 2022 to 2023 due to wheezing. The children were divided into four groups based on their experience with the flu vaccine and PCV13. The study used a detailed questionnaire to gather information about the children's background, health history, vaccination history, and vaccination history. The results were analyzed using chi-square testing and a 95% confidence interval. Results: A paediatric clinic in Jordan had 200 asthmatic kids, with 40.5% having not received the flu or PCV13 shot. The remaining 43.5% had received the flu shot but forgot to get the PCV13. About 11% of the kids in Group II were asthmatic and received both the flu shot and PCV 13. The study found a positive correlation between Groups I-IV for men but not for women. Age groups had similar distribution rates, with 21.0% for ages 3 to 6, 34.0% for ages 6 to 9, 37.5% for ages 9 to 12, and 7.5% for ages 12 to 15. There was a strong link between the rates of wheezing episodes in Groups I through IV compared to rates of occasional versus frequent episodes in the past seasonal year.
背景:慢性哮喘是一种复杂的疾病:慢性哮喘是一种复杂的疾病。嗜酸性粒细胞计数的突然上升、哮喘症状的恶化、对使用或不使用口服/静脉注射皮质类固醇的支气管扩张剂的依赖性增加,以及因住院或使用抗生素而去急诊室就诊的频率增加,已被确定为肺炎球菌结合疫苗预防疾病有效性的指标。目的:如前所述,本研究旨在评估安排接种肺炎球菌结合疫苗对减少儿童哮喘加重及其后续并发症发生的临床重要性。研究方法约旦安曼拉尼娅-阿卜杜拉王后儿童医院的一项研究对 2022 年至 2023 年期间因喘息而住院的 200 名 3-14 岁慢性哮喘儿童进行了检查。根据接种流感疫苗和 PCV13 的经验,这些儿童被分为四组。研究采用详细的调查问卷收集儿童的背景、健康史、疫苗接种史和接种史等信息。研究结果采用卡方检验和 95% 置信区间进行分析。结果约旦一家儿科诊所有 200 名哮喘儿童,其中 40.5% 的儿童没有接种过流感疫苗或 PCV13 疫苗。其余 43.5%的儿童注射过流感疫苗,但忘记注射 PCV13。第二组中约有 11% 的儿童患有哮喘,但同时接种了流感疫苗和 PCV13。研究发现,第一至第四组之间存在正相关,男性如此,女性则不然。各年龄组的分布率相似,3 至 6 岁为 21.0%,6 至 9 岁为 34.0%,9 至 12 岁为 37.5%,12 至 15 岁为 7.5%。第一至第四组的喘息发作率与过去一季中偶尔发作率和频繁发作率之间存在密切联系。
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引用次数: 0
Proportional of wheezing events in asthmatic children post-vaccination of annual flu vaccine 哮喘儿童接种年度流感疫苗后发生喘息事件的比例
Pub Date : 2024-03-30 DOI: 10.30574/wjbphs.2024.17.3.0135
Sahel Rasmi Ali Al-Zeghoul, Obeidallah Abdelmajeed Obeidallah Alkhatatbeh, Saif Ali Mohamad Jabali, Shawq Walid Atallah Althaher, Osama Ibrahim Suleiman Abu Quta
Background: The common childhood chronic disease asthma causes hospitalisation and exacerbations due to respiratory tract viral infections like influenza. Due to uncertainty about the benefits and role of influenza vaccines in preventing asthma exacerbations, many children with asthma do not receive them, despite recommendations from organisations like the Canadian National Advisory Committee on Immunisation. There are two main types of influenza vaccines: intramuscular trivalent inactivated and intranasal cold-adapted, live attenuated. Both vaccines are highly immunogenic and induce an adequate immune response, but their clinical efficacy varies by season and age. Aim: The aim of this study was to investigate the occurrence of increased wheeze rates in stable asthmatic children who received the annual flu vaccine, compared to a control group of asthmatic children who did not receive the vaccine. Methods: A retrospective study at the Queen Rania Abdullah for Children Hospital in Amman, Jordan, examined the vaccination status of 200 asthmatic children aged 3-14. The study focused on recurrent wheezing episodes and the minimum 12-month period between the last annual flu vaccination and asthmatic exacerbation. The study excluded uncontrolled or partially controlled patients for the past 12 months. Data was collected from demographic information, vaccination history, and past wheezing episodes. The children were divided into two groups, one without the flu vaccine and the other with the flu vaccine. A comprehensive questionnaire was used to assess sociodemographic and disease-related factors. If children received the vaccination as per the National Vaccination Schedule, their vaccination status was considered complete. Results: A study of 200 asthmatic children in Jordan found that 35% did not receive a flu vaccine, placing them in Group I. 65% had received a flu vaccine in the previous year. Males had higher distribution rates in both flu-based groups, with a statistically insignificant positive correlation. Age categories showed similar distribution rates, with 21.0% for 3-6 years, 34.0% for 6-9 years, 37.5% for 9-12 years, and 7.5% for 12-15 years. No significant correlation was found between receiving the flu vaccine and wheezing rates in the last seasonal year. Frequent wheezing episodes were higher in experienced groups than in naïve groups.
背景:常见的儿童慢性病哮喘会因呼吸道病毒感染(如流感)而导致住院和病情恶化。由于流感疫苗在预防哮喘恶化方面的益处和作用尚不确定,尽管加拿大国家免疫咨询委员会等组织提出了建议,但许多哮喘儿童并没有接种流感疫苗。流感疫苗主要有两种:肌肉注射三价灭活疫苗和鼻内注射冷适应减毒活疫苗。这两种疫苗的免疫原性都很高,能诱导适当的免疫反应,但其临床疗效因季节和年龄而异。目的:本研究旨在调查与未接种疫苗的哮喘儿童对照组相比,接种了年度流感疫苗的稳定期哮喘儿童出现喘息率升高的情况。研究方法约旦安曼的拉尼娅-阿卜杜拉王后儿童医院开展了一项回顾性研究,调查了 200 名 3-14 岁哮喘儿童的疫苗接种情况。研究的重点是反复发作的喘息以及最后一次接种流感疫苗与哮喘加重之间至少 12 个月的间隔时间。研究排除了过去 12 个月内病情未得到控制或部分得到控制的患者。研究人员通过人口统计学信息、疫苗接种史和既往喘息发作情况收集数据。儿童被分为两组,一组未接种流感疫苗,另一组接种了流感疫苗。采用综合问卷评估社会人口学和疾病相关因素。如果儿童按照国家疫苗接种计划接种了疫苗,则认为他们的疫苗接种情况是完整的。研究结果对约旦 200 名哮喘儿童的研究发现,35% 的儿童没有接种过流感疫苗,属于 I 组。在两个流感疫苗接种组中,男性的接种率都较高,但正相关性在统计学上并不显著。年龄组的分布率相似,3-6 岁为 21.0%,6-9 岁为 34.0%,9-12 岁为 37.5%,12-15 岁为 7.5%。接种流感疫苗与上一季节的喘息率之间没有发现明显的相关性。接种过流感疫苗的人群中频繁出现喘息的比例要高于未接种过流感疫苗的人群。
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