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Indirect Heamagglutination as An Immunodiagnostic Technique For Cystic Echinococcosis In Iraqi Patients 间接血凝作为伊拉克囊性包虫病的免疫诊断技术
Pub Date : 2016-03-28 DOI: 10.12996/gmj.2016.19
A. Al-ezzy, Walaa Najm Abood
Background: The aim is to determine the effectiveness of indirect Haemagglutination (IHA) as diagnostic techniques for Cystic Echinococcosis in Iraqi and possible correlation of age and gender in disease occurrence. Patients and Methods: Patients presented with clinical manifestation of hydatidosis (202) were selectively enrolled in this study.  IHA technique using sensitized sheep red blood cells coated with an Echinococcus granulosus antigen was applied. Results: One hundred and one patients (50%) were males, with the mean age (33.50±7. 8) years. The rest were females with mean age (29.78±9. 6) years.  IHA positive cases were (19.3% ) and the reminders (80.7%) were negative .IHA positive  females (22.8%) compared with (15.8%) in males without  statistical significant difference (P Value= 0.212) nor correlation between gender and IHA results (P Value= 0.214)  . The majority of patients belongs to (24-30) years ,( 31-36) years and (18-23) years age groups .Among males, higher number of positive cases at (31-36) years followed by (24-30) years and (49-54) years. Among females, higher number of positive cases at(24-30) years followed by (37-42) years  and (18-23) years. Statistical significant difference (P Value= 0.001) reported between genders according to age group distribution without significant correlation between age group according to gender and IHA results (P Value= 0.268). Conclusion: the IHA consider rapid, reliable and adequate technique that make it possible to process a large number of samples simultaneously and that do not require highly trained technical personnel. Females appear to be more susceptible to CE than male especially in younger age groups. Key words: Indirect Haemagglutination, Hydatidosis, age, gender, Iraq
背景:目的是确定间接血凝(IHA)作为伊拉克囊性包虫病诊断技术的有效性,以及年龄和性别在疾病发生中的可能相关性。患者与方法:有临床表现的包虫病患者(202例)选择性入选。采用致敏绵羊红细胞包被细粒棘球绦虫抗原的IHA技术。结果:男性101例(50%),平均年龄(33.50±7岁)。8)年。其余为女性,平均年龄(29.78±9)岁。6)年。IHA阳性病例占19.3%,提示阴性病例占80.7%,女性IHA阳性病例占22.8%,男性IHA阳性病例占15.8%,差异无统计学意义(P值= 0.212),性别与IHA结果无相关性(P值= 0.214)。患者以(24-30)岁、(31-36)岁和(18-23)岁年龄组居多,男性以(31-36)岁较多,其次为(24-30)岁和(49-54)岁。在女性中,24 ~ 30岁的阳性病例数最多,其次是37 ~ 42岁和18 ~ 23岁。性别按年龄组分布差异有统计学意义(P值= 0.001),性别按年龄组与IHA结果无显著相关性(P值= 0.268)。结论:IHA考虑采用快速、可靠和充分的技术,使同时处理大量样品成为可能,并且不需要训练有素的技术人员。女性似乎比男性更容易患CE,尤其是在年轻年龄组。关键词:间接血凝,包虫病,年龄,性别,伊拉克
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引用次数: 1
Review on Ebola Virus Disease: Its Outbreak and Current Status 埃博拉病毒病研究综述:疫情爆发及现状
Pub Date : 2015-10-25 DOI: 10.4172/2161-1165.1000204
Gebretadik Fa, Seifu Mf, Gelaw Bk
Background : Ebola virus disease (EVD) is caused by Ebola viruses (EBOV), members of the group of hemorrhagic fevers and it is one of the most dangerous infection diseases with mortality rates up to 90%. Ebola was firstly described in 1976 and since then occurred sporadically in Central Africa. Till 2014, twenty four outbreaks were described, but the number of deaths not exceeding 300 per outbreak. As of May 20, 2015 the cumulative number, suspected, and laboratory-confirmed cases attributed to Ebola virus was 26, 969, including 11,135 deaths. Pathogenesis : Ebola Viruses do not replicate through cell division, but instead insert their own genetic sequencing into the deoxyribonucleic acid (DNA) of the host cell and subsequently hijack all cellular processes, including transcription and translation. In essence, the host cell becomes a factory of viral proteins. As new viral capsules are formed, they bud from the host cell, taking a part of the host cell’s outer membrane, thus cloaking themselves against detection by the host’s immune system. In some cases, the patient’s immune system can produce enough antibodies to defeat the infection. With EVD, the virus can often reproduce so rapidly that the immune system never catches up. Transmission : The natural reservoir of EBOV is believed to be bats, particularly  fruit  bats,  and  it  is  primarily  transmitted  between  humans  and  from  animals  to humans  through  body  fluids. Clinical presentation : Symptoms  of  EVD include  abrupt  onset  of  fever, myalgias,  and  headache  in  the  early  phase,  followed  by  vomiting,  diarrhea  and possible  progression  to  hemorrhagic  rash,  life-threatening  bleeding,  and  multi organ failure in the later phase. Treatment : There are no approved treatments or vaccines available for EVD until today; the mainstay of therapy is supportive care.  However, there are a bunch of therapeutic approaches on the track which could have the real impact on control and prevention of this global threat.  High fatality, combined with the absence of treatment and vaccination options, makes Ebola virus an important public health pathogen and biothreat pathogen of category A. Keywords: Ebola virus, Ebola virus disease, hemorrhagic fever, outbreak, epidemic, supportive care, reservoir, West Africa.
背景:埃博拉病毒病(EVD)是由出血热科成员埃博拉病毒(EBOV)引起的,是最危险的传染病之一,死亡率高达90%。埃博拉病毒于1976年首次被描述,此后在中非零星发生。截至2014年,共发生了24次暴发,但每次暴发的死亡人数不超过300人。截至2015年5月20日,由埃博拉病毒引起的疑似病例和实验室确诊病例累计数为26,969例,包括11135例死亡。发病机制:埃博拉病毒不通过细胞分裂进行复制,而是将自己的基因序列插入宿主细胞的脱氧核糖核酸(DNA)中,随后劫持包括转录和翻译在内的所有细胞过程。从本质上讲,宿主细胞变成了病毒蛋白质的工厂。当新的病毒囊形成时,它们从宿主细胞中发芽,占据宿主细胞外膜的一部分,从而使自己隐藏起来,不被宿主的免疫系统发现。在某些情况下,病人的免疫系统可以产生足够的抗体来战胜感染。对于埃博拉病毒病,病毒通常可以快速繁殖,以至于免疫系统永远赶不上。传播:据信埃博拉病毒的天然宿主是蝙蝠,特别是果蝠,它主要在人与人之间传播,并通过体液从动物传播到人。临床表现:埃博拉病毒病的症状包括早期突发性发热、肌痛和头痛,随后出现呕吐、腹泻,后期可能发展为出血性皮疹、危及生命的出血和多器官衰竭。治疗:迄今为止,尚无针对埃博拉病毒病的批准治疗方法或疫苗;治疗的主要方法是支持性护理。然而,目前有很多治疗方法可以对控制和预防这一全球威胁产生真正的影响。高致死率,加上缺乏治疗和疫苗接种方案,使埃博拉病毒成为重要的公共卫生病原体和a类生物威胁病原体。关键词:埃博拉病毒,埃博拉病毒病,出血热,暴发,流行,支持性护理,水库,西非。
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引用次数: 10
Prescription Pattern of Injection at Out Patient Pharmacy Department of Adama Hospital Medical College, Adama, 安道麦医学院安道麦医院门诊药房注射处方格局
Pub Date : 2015-10-05 DOI: 10.4172/2167-065X.1000146
B. K. Gelaw
Introduction: Injection is an infusion method of putting drugs or fluids in to the body with a hollow needle and a syringe. The use of injection for treatment accompanied with variety of disadvantages including sepsis at administration, risk of tissue toxicity, costly difficulties in correcting the error.  Injections are very expensive compared to other dosage forms and require trained personnel for administration. Moreover, unhygienic use of injections can increase the risk of transmission of potentially serious pathogens, such as hepatitis, HIV/AIDS, and blood-borne diseases. It is estimated by the WHO that about 16 billion injections are undertaken in developing countries annually and are often irrationally used. Objective : The present study was aimed to assess the prescription pattern of injections in Adama Hospital Medical College. Method: Hospital based Prospective cross sectional study was done to assess prescription pattern of injections in outpatient pharmacy of AHMC. All Prescription cards from March 24, 2015 to May 24, 2015 were taken and reviewed using pre-tested data collection format. Finally data was edited, coded, tallied and cleaned. Descriptive statistics was computed . Result: On review of 500 prescription papers, 600 injections were prescribed. The percentage of prescriptions containing name of the patient, sex, age, address, date and card number were 490 (98%), 395 (79%), 405 (81%), 250 (50%), 300 (60%) and 480 (96%) respectively. The most commonly prescribed therapeutic class was inject able antibiotics 154 (25%), anti pains 120 (20%) and diuretics 66 (11%). Injections prescribed with over, under and optimum dose were 15 (2.5%), 9 (1.5%), 576(96%), respectively. About 18 (3%), 6 (1%) and 2 (0.3%) of antibiotics were prescribed by incorrect frequency, short and extended duration of administration, respectively. Only on 190 (38%), 65 (13%) and 480 (96%) of prescription papers were names, qualification and signature of the prescribers specified respectively. Conclusion : There was rational use of injections in the hospital though there are some problems that have to be considered. Key Terms : Injection medicine, prescribing pattern, prescribers, prescription, Adama.
简介:注射是用空心针和注射器将药物或液体注入体内的一种输注方法。使用注射治疗伴随着各种缺点,包括给药时败血症,组织毒性风险,纠正错误的昂贵困难。与其他剂型相比,注射剂非常昂贵,并且需要训练有素的人员来给药。此外,不卫生地使用注射会增加潜在严重病原体的传播风险,如肝炎、艾滋病毒/艾滋病和血液传播疾病。据世卫组织估计,发展中国家每年进行约160亿次注射,而且往往使用不合理。目的:了解安道玛医院医学院注射剂处方模式。方法:采用以医院为基础的前瞻性横断面研究,对AHMC门诊药房注射剂处方模式进行评估。采集2015年3月24日至2015年5月24日所有处方卡,采用预测试数据收集格式进行审核。最后,对数据进行编辑、编码、统计和清理。进行描述性统计。结果:审查处方文件500份,共处方600支。包含患者姓名、性别、年龄、地址、日期和卡号的处方分别为490张(98%)、395张(79%)、405张(81%)、250张(50%)、300张(60%)和480张(96%)。最常用的治疗类别是注射抗生素154(25%),抗痛药120(20%)和利尿剂66(11%)。过量、不足和最佳剂量分别为15例(2.5%)、9例(1.5%)、576例(96%)。分别有18例(3%)、6例(1%)和2例(0.3%)抗生素处方频率不正确、给药时间过短和延长。只有190份(38%)、65份(13%)和480份(96%)处方纸分别注明了开处方者的姓名、资格和签名。结论:医院注射剂合理使用,但仍存在一些问题需要考虑。关键词:注射类药物,处方模式,处方者,处方,安道麦。
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引用次数: 7
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Journal of Pharmacy and Alternative Medicine
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