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Efficacy and Safety of Combination Treatment of Oral Terbinafine and Itraconazole in Patients with Extensive Superficial Dermatophytes 口服特比萘芬和伊曲康唑联合治疗大面积表皮癣菌患者的有效性和安全性
Pub Date : 2024-02-29 DOI: 10.47363/jpr/2024(6)165
Mohammad Enamul Hoque, Suraiya Akhter, Wahida Rahman, Mohammad Mominul Hoque
Background: Dermatophytosis, a prevalent fungal infection, is instigated by species like Trichophyton, Epidermophytonand Microsporum. The current approach for treating dermatophytosis involves a blend of systemic and topical antifungal therapies, applicable to all patients except those with localized, untreated Tinea. Notably, there is a growing incidence of inadequate response to the standard treatment regimen in recent times. Objective: To evaluate the efficacy andsafety of combination treatment of oralterbinafine anditraconazole in patients with extensive superficial dermatophytes. Materials and Methods: This research comprised a randomized clinical trial involving 50 individuals diagnosed with extensive superficial dermatophytosis. Study conducted at the Department of Dermatology and Venereology, Combined Military HospitalCumilla, the study spanned from July 2022 to June 2023. During the six-week duration, patients underwent treatment with terbinafine and itraconazole, with follow-up examinations every two weeks, including relevant investigations. Evaluation of treatment outcomes occurred at both four and six weeks. Statistical analysis was performed using version 25 of the Statistical Package for the Social Sciences (SPSS). Results: This study shows the majority of the participants within the age range of 16-30 years (56.0%) and the average age of the participants is 31.74±11.77 years. In terms of gender, the majority are male (78.0%). The most prevalent diagnosis is Tinea corporis (68.0%), followed by Tinea cruris (36.0%), Tinea faciei (28.0%), and Tinea incognito (12.0%). The majority of participants (85.0%) have had the disease for 12 months or less. The most common sites are the trunk (35.0%), whole body (26.0%), and crural area (24.0%). The majority of participants experience severe itching (56.0%), followed by moderate itching (34.0%), and a smaller percentage report mild itching (10.0%). The majority of participants showed improvement, with percentages increasing from 66.0% after 2 weeks to 84.0% after 4 weeks.The percentage of cured individuals also increased over time, reaching a substantial 90.0% after 6 weeks. Conclusion: The amalgamation of terbinafine and itraconazole demonstrates a superior clinical cure rate compared to use of single systemic antifungals. However, the observed clinical cure rate percentage is lower when juxtaposed with findings from previous studies. Notably, neither combination of systemic antifungals has exhibited efficacy against tinea infections previously treated with formulations containing topical steroids
背景:皮癣是一种常见的真菌感染,由毛癣菌、表皮癣菌和小孢子菌等真菌引起。目前治疗皮癣的方法包括全身和局部抗真菌疗法,适用于所有患者,但局部未经治疗的癣病患者除外。值得注意的是,近来对标准治疗方案反应不佳的情况越来越多。目的评估口服特比萘芬和伊曲康唑联合治疗广泛表皮癣菌患者的疗效和安全性。材料与方法:本研究是一项随机临床试验,涉及 50 名被诊断为广泛性浅表皮癣的患者。研究在库米拉联合军事医院皮肤病与性病科进行,时间跨度为 2022 年 7 月至 2023 年 6 月。在为期六周的时间里,患者接受特比萘芬和伊曲康唑治疗,每两周进行一次随访检查,包括相关检查。在四周和六周时对治疗效果进行评估。统计分析采用社会科学统计软件包(SPSS)第 25 版进行。研究结果本研究显示,大多数参与者的年龄在 16-30 岁之间(56.0%),平均年龄为(31.74±11.77)岁。在性别方面,男性占大多数(78.0%)。最常见的诊断是体癣(68.0%),其次是股癣(36.0%)、面癣(28.0%)和隐性癣(12.0%)。大多数参与者(85.0%)患病时间为 12 个月或更短。最常见的发病部位是躯干(35.0%)、全身(26.0%)和胸骨部位(24.0%)。大多数参与者都有剧烈瘙痒的经历(56.0%),其次是中度瘙痒(34.0%),报告轻度瘙痒的比例较小(10.0%)。随着时间的推移,痊愈者的比例也在增加,6 周后达到 90.0%。结论特比萘芬和伊曲康唑合用的临床治愈率优于单一系统抗真菌药。然而,与之前的研究结果相比,观察到的临床治愈率百分比较低。值得注意的是,这两种全身性抗真菌药物的组合对以前使用含有局部类固醇的制剂治疗的癣菌感染都没有疗效。
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引用次数: 0
A Comprehensive Analysis to Study the Histological and Immunohistochemical Profile of Diabetic and Non-Diabetic Human Pancreases in the Indian Population 全面分析研究印度人群中糖尿病和非糖尿病人类胰腺的组织学和免疫组化特征
Pub Date : 2024-02-29 DOI: 10.47363/jpr/2024(6)164
Nithyakalyani Mohan, Anusha Sunder, Kandappa Himakar Reddy
The pathogenesis of hyperglycemia observed in most forms of diabetes is intimately tied to the islet β cell. Impairments in pro-peptide processing and secretory function, along with the loss of these vital cells, is demonstrable not only in those in whom the diagnosis is established but typically also in individuals who are at increased risk of developing the disease. Due to ethical and practical difficulties, genomic or pathological data in Indian population are remarkably missing. Here we report the immunohistological observations for 21 pancreases. We analyzed the pathological differences between diabetic and non-diabetic samples along with pathological changes associated with beta cell density, expression, size, and diameter. This study provides an insight into the immunopathological and histochemical mechanisms that highlight a number of–inflammatory, immunoregulatory and regenerative pathways, some of which have received relatively little attention so far.
大多数糖尿病的高血糖发病机制都与胰岛β细胞密切相关。原肽加工和分泌功能受损,以及这些重要细胞的丧失,不仅在确诊患者身上可以得到证明,而且通常也会在患病风险增加的人身上得到证明。由于伦理和实际困难,印度人群的基因组或病理数据非常缺乏。在此,我们报告了 21 例胰腺的免疫组织学观察结果。我们分析了糖尿病样本和非糖尿病样本之间的病理差异,以及与β细胞密度、表达、大小和直径相关的病理变化。这项研究提供了对免疫病理和组织化学机制的深入了解,突出了一系列炎症、免疫调节和再生途径,其中一些途径迄今为止受到的关注相对较少。
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引用次数: 0
Four-Eyed Fish (A. anableps) Fingerlings Demonstrated Multiple Birth Defects Suggestive of Nutritional Deficiencies 四眼鱼(A. anableps)幼鱼表现出多种先天缺陷,表明营养不良
Pub Date : 2024-02-29 DOI: 10.47363/jpr/2024(6)166
Schaftenaar W
In a colony of four-eyed fishes (A. anableps) some females produced offspring demonstrating birth-defects. At external inspection, the ventral midline was open over variable lengths. In some cases, it was combined with lordosis, kyphosis, or scoliosis. Affected specimens also suffered from cataracts. Histopathology revealed widely scattered degeneration of myofibers. Sheath cells of the notochord had proliferated, resulting in asymmetric shape distortion of vertebrae and indentations in the spinal cord. The spinal cord revealed an extensive axonal degeneration. The liver appeared mottled due to focal fat infiltration. Cataracts of ocular lenses appeared as vacuolization of lens fibers. The multiple pathologies noted may have been due to nutritional imbalances because the colony received a carnivore-based diet. Feeding ecology of Anableps is one of omnivory with a predominance of herbivory. This may have resulted in lesions comparable to deficiencies in Vitamin E, Vitamin C, and Selenium.
在一个四眼鱼(A. anableps)群落中,一些雌鱼产下的后代出现先天缺陷。从外部观察,腹部中线开裂,长度不一。在某些情况下,还伴有前凸、后凸或脊柱侧弯。受影响的标本还患有白内障。组织病理学显示,肌纤维广泛分散变性。脊索鞘细胞增生,导致椎骨形状不对称变形,脊髓出现凹陷。脊髓显示出广泛的轴索变性。肝脏因局灶性脂肪浸润而出现斑驳。眼球晶状体白内障表现为晶状体纤维空泡化。注意到的多种病变可能是由于营养失衡造成的,因为该蚁群以肉食动物为主食。Anableps 的食性是杂食性,以草食性为主。这可能与缺乏维生素 E、维生素 C 和硒有关。
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引用次数: 0
Childhood Obesity and Diabetes Incidence: Histaminosis maybe Important 儿童肥胖症与糖尿病发病率:组胺中毒可能很重要
Pub Date : 2023-12-31 DOI: 10.47363/jpr/2023(5)162
Doepp Manfred
Obesity and diabetes in children are rapidly increasing phenomena. Sugar, carbohydrates with a high glycemic index, industrially processed products and GMO products are one side of the coin, food allergies the other. One trigger for this is histaminosis, associated with leaky gut syndrome and insulin resistance. The normal breakfast in 1st and 2nd world countries is unhealthy and must be replaced, as must fast food and junk food. The switching of children's brains should be deswitched, the intestinal environment should be cleansed. An enzyme therapy for this purpose is shown.
儿童肥胖症和糖尿病正在迅速增加。糖、高升糖指数的碳水化合物、工业加工产品和转基因产品是问题的一方面,食物过敏则是另一方面。其中一个诱因是组织胺中毒,与肠漏综合征和胰岛素抵抗有关。第一和第二世界国家的正常早餐是不健康的,必须被取代,快餐和垃圾食品也必须被取代。儿童大脑的开关应该关闭,肠道环境应该净化。为此,我们展示了一种酶疗法。
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引用次数: 0
Unique Pathologic Findings in the Heart of a Red-Eared Turtle (Trachemys Scripta Elegans) 红耳龟(Trachemys Scripta Elegans)心脏的独特病理发现
Pub Date : 2023-12-31 DOI: 10.47363/jpr/2023(5)161
Zwart P, Harshbarger C, Stumpel Jbg
The necropsy of a turtle (Trachemys scripta elegans), which was euthanized after rapid loss of vitality, revealed multiple unique abnormalities in the heart. We found areas of atrophy in the wall of the ventricle. These may be connected with aneurysmata at the same locations. A prominent hypertrophic, disc-like cartilago cordis was present. It may have disturbed the flow of blood leading to local atrophies. Gradually, the excessive size may have impeded the flow of blood by compression of large blood vessels at the heart base resulting in ischemia and acute cell death in the myocardium on one side of the ventricle. In one of the larger blood vessels there was an ulcus covered with a thrombus. Thrombi were found on various places and filled the larger part of the ventricular chamber. It can be assumed that these abnormalities were linked and fatal in the end.
一只乌龟(Trachemys scripta elegans)在迅速丧失生命力后被安乐死,尸体解剖显示其心脏有多种独特的异常。我们在心室壁上发现了萎缩区。这些区域可能与相同位置的动脉瘤有关。存在一个突出的肥大、盘状的心软骨。它可能扰乱了血流,导致局部萎缩。逐渐地,过大的体积可能会压迫心脏底部的大血管,从而阻碍血液流动,导致心室一侧心肌缺血和急性细胞死亡。在一根较大的血管上有一个覆盖着血栓的溃疡。不同部位都发现了血栓,并充满了心室腔的大部分。可以推断,这些异常情况是相互关联的,最终会导致死亡。
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引用次数: 0
Higher Toxoplasma Gondii Seropositivity in COVID-19 and Tuberculosis Patients: A Case-Control Study COVID-19和结核病患者血清弓形虫阳性升高:一项病例-对照研究
Pub Date : 2023-09-30 DOI: 10.47363/jpr/2023(5)159
Yan Yan, Yonghua Zhou
Using a case-control study, we compared the antibody-positive profiles for Toxoplasma gondii in patients infected with SARS-CoV-2, tuberculosis (TB), HBV, and HIV-1 in Wuxi of China. As an important pathogen, Toxoplasma gondii has higher co-infection and reactivation rates in patients with SARSCoV-2 and TB infection.
通过病例对照研究,我们比较了中国无锡市SARS-CoV-2、结核病(TB)、HBV和HIV-1感染患者的刚地弓形虫抗体阳性谱。刚地弓形虫作为一种重要的病原体,在SARSCoV-2和TB感染患者中具有较高的共感染和再激活率。
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引用次数: 0
Odontogenesis Tooth Development 牙发育
Pub Date : 2023-09-30 DOI: 10.47363/jpr/2023(5)160
Cristiane Shimazu
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引用次数: 0
The use of Google Sheets for Specimen Tracking, Pathologists’ Requisitions, Quality Control and Data Retrieving for Statistics, Search and Research in Anatomical Pathology Laboratories in the Absence of Barcoding and/or Anatomical Pathology Laboratory Information System 在没有条形码和/或解剖病理学实验室信息系统的情况下,使用谷歌表进行标本跟踪、病理学家的请单、质量控制和数据检索,用于统计、搜索和研究解剖病理学实验室
Pub Date : 2023-06-30 DOI: 10.47363/jpr/2023(5)156
Abdulbasit Andijany, Rehab Fadag
Background: Many Anatomical Pathology laboratories do not have a barcoding system or an anatomical pathology laboratory information system that allow for better workflow by tracking of specimens and orders, quality control documentation, statistics calculation, search and data retrieval for research purposes. Aim: This paper will show how Google sheet can be used as an alternative using the checkboxes, the electronic edit history and other features. Materials and Methods: Google accounts were created then Google sheets were designed with specific details and the daily quality log was designed to show compliances to national and international standards. Results: Descriptive templates allowed for tracking of specimens and pathologists’ requisitions, quality control documentation, statistics calculation, search and data retrieval for research purposes. Conclusion: Google sheet can be used in the absence of barcoding systems or an anatomical pathology laboratory information system for tracking, documentation, search, research and monitoring of all activities by the supervisor as required by some accreditation body.
背景:许多解剖病理学实验室没有条形码系统或解剖病理学实验室信息系统,这些系统可以通过跟踪标本和订单、质量控制文件、统计计算、搜索和数据检索来实现更好的工作流程。目的:本文将展示如何使用谷歌表格作为一个替代使用复选框,电子编辑历史和其他功能。材料和方法:创建Google帐户,然后设计Google表格,其中包含具体细节,并设计每日质量日志,以显示是否符合国家和国际标准。结果:描述模板允许跟踪标本和病理学家的请求,质量控制文件,统计计算,搜索和数据检索用于研究目的。结论:在没有条形码系统或解剖病理实验室信息系统的情况下,Google sheet可以按照某些认证机构的要求,用于对主管的所有活动进行跟踪、记录、搜索、研究和监测。
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引用次数: 0
Diagnosis and Management of Nitrous Oxide Poisoning: A Case Report 一氧化二氮中毒的诊断与处理1例报告
Pub Date : 2023-06-30 DOI: 10.47363/jpr/2023(5)158
Nkouado Tchando Yannick
Background: Chronic nitrous oxide (N2O) poisoning induces irreversible inactivation of vitamin B12, affecting two biochemical reactions essential for the proper functioning of the body. The prognosis is excellent when adequately and quickly treated. We present the case of a 23-year-old Caucasian woman with symptoms caused by chronic N2O inhalation. Case Presentation: A 23-year-old Caucasian woman was admitted to the emergency department with complaints of confusion and gait disturbance. Following an in-depth history and laboratory tests, chronic N2O poisoning was confirmed, and vitamin B12 supplementation was initiated promptly. Conclusion: Our case demonstrated the clinical presentation and biological changes typical of N2O poisoning. The misuse of N2O is prevalent due to the easy accessibility of cylinders over-the-counter since a few years. Recreational misuse of N2O has been observed in young populations. It is important to raise awareness among emergency physicians and nursing staff regarding increases in their consumption. Treatment involved vitamin B12 supplementation and long-term addiction monitoring
背景:慢性氧化亚氮(N2O)中毒导致维生素B12不可逆转的失活,影响身体正常运作所必需的两种生化反应。如果得到充分和迅速的治疗,预后良好。我们提出的情况下,一个23岁的高加索妇女的症状引起的慢性N2O吸入。病例介绍:一名23岁的白人妇女因意识不清和步态障碍被送往急诊科。经过深入的病史和实验室检查,证实慢性一氧化二氮中毒,并立即开始补充维生素B12。结论:本病例表现出N2O中毒的典型临床表现和生物学变化。滥用N2O是普遍的,由于容易获得的气瓶非处方自几年。在年轻人群中已观察到娱乐性滥用一氧化二氮的现象。重要的是要提高急诊医生和护理人员对其消费量增加的认识。治疗包括补充维生素B12和长期成瘾监测
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引用次数: 0
Chédiak Higashi Syndrome -A hematological Diagnosis and Review of Literature 东氏综合征的血液学诊断及文献复习
Pub Date : 2023-06-30 DOI: 10.47363/jpr/2023(5)157
S. Raj, D. Aden
Chediak Higashi Syndrome is a rare autosomal recessive disease come in picture early in age, mainly paediatric group and is fatal. In India, till the year 2000, only five cases have been reported. In this study ,we present all the cases reported in India, their clinical presentation, CBC ,PBS ,Bone marrow findings, skin biopsy or hair study (if performed) and their correlation to see the accelerated phase of the disease and approach to the management. Determined peripheral blood smear examination is the key to arrest the diagnosis of Chediak Higashi Syndrome in developing country like India, defining it is the most easiest, quickest, cheap, easily available investigation in our country.
Chediak Higashi综合征是一种罕见的常染色体隐性遗传病,发病早,多见于儿科,具有致命性。在印度,直到2000年,只报告了5例。在这项研究中,我们介绍了在印度报告的所有病例,他们的临床表现、CBC、PBS、骨髓结果、皮肤活检或头发研究(如果进行)以及它们之间的相关性,以了解疾病的加速阶段和治疗方法。在印度等发展中国家,确定外周血涂片检查是诊断Chediak Higashi综合征的关键,它是我国最简单、最快捷、最便宜、最容易获得的检查方法。
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引用次数: 0
期刊
Journal of Pathology Research Reviews & Reports
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