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Assessing the Predictive Power of NEWS2 Score in Vaccinated and Non-Vaccinated COVID-19 Inpatients at Omar BONGO ONDIMBA Armed Forces Training Hospital Omar BONGO ONDIMBA武装部队训练医院NEWS2评分对接种和未接种COVID-19住院患者的预测能力评估
Pub Date : 2023-03-31 DOI: 10.47363/jpr/2023(5)154
Berthe A. Iroungou, Fresnel Elenga Ngadoua
Background: Since the onset of the COVID-19 pandemic, hospitalized patients have been evaluated through clinical examinations and paraclinical tests to inform initial management. The primary aim of this study was to use the NEWS2 score to assess the prognosis of vaccinated and unvaccinated COVID-19 inpatients in the medical department of HIA OBO. Patients and Methods: This retrospective, descriptive, monocentric assessment was carried out for a period of 15 months (September 1, 2021 to January 30, 2022) with a total of 219 patients included. Results: The most represented age group in the study was 40-64 years (43%), with a median age of 60 years. Non-vaccinated patients accounted for 90% of the study population. Comorbidities were present in 71% of patients and mainly consisted of arterial hypertension (40%), diabetes (17.8%), heart disease (8.25%), and COPD (2.7%). The most commonly observed clinical symptoms were asthenia and fever in 72.47% of patients, followed by cough in 65.13%. The NEWS2 score, which was used to assess the prognosis of COVID-19 inpatients, was high in 16% of cases, moderate in 76% of cases, and low in 1% of cases. Conclusion: The results of our study indicate similarities in clinical forms of COVID-19 between unvaccinated and vaccinated patients. Additionally, the NEWS2 score was a valuable tool for assessing patient prognosis upon admission and optimizing therapeutic management.
背景:自COVID-19大流行发生以来,通过临床检查和临床旁检查对住院患者进行评估,为初始管理提供信息。本研究的主要目的是利用NEWS2评分评估HIA OBO内科接种和未接种COVID-19住院患者的预后。患者和方法:这项回顾性、描述性、单中心评估为期15个月(2021年9月1日至2022年1月30日),共纳入219例患者。结果:研究中最具代表性的年龄组为40-64岁(43%),中位年龄为60岁。未接种疫苗的患者占研究人群的90%。71%的患者存在合并症,主要包括动脉高血压(40%)、糖尿病(17.8%)、心脏病(8.25%)和慢性阻塞性肺病(2.7%)。最常见的临床症状是虚弱和发热,占72.47%,其次是咳嗽,占65.13%。用于评估COVID-19住院患者预后的NEWS2评分,16%的病例为高,76%的病例为中,1%的病例为低。结论:我们的研究结果表明未接种疫苗和接种疫苗的患者的COVID-19临床表现相似。此外,NEWS2评分是入院时评估患者预后和优化治疗管理的有价值的工具。
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引用次数: 0
Blood as an Important Tool in Forensic Medicine in Sub-Saharan Africa: Nigeria as a Perception 血液作为撒哈拉以南非洲法医学的重要工具:尼日利亚的看法
Pub Date : 2023-03-31 DOI: 10.47363/jpr/2023(5)155
Patrick Olarewaju Osho, Precious Gbajuola Joy
Blood is one of the most important biological tools in forensic medicine used to resolve and investigate crime-related cases because it contains useful details. It entails an analysis of various aspects of bloodstains that contribute to the clarification of some violent criminal cases. The knowledge of forensic medicine is essential to provide answers about a series of events and mechanisms of the creation of specific groups of bloodstains on the crime scene. This includes investigation towards the analysis of bloodstains. This knowledge enables the interpretation of results and makes it possible to get closer to the truth, solve particular crimes and ensure accuracy in the legal determination of criminal offences which helps in a proper penalty when making a judgment for the offender
血液是法医学中最重要的生物工具之一,用于解决和调查与犯罪有关的案件,因为它包含有用的细节。它需要对血迹的各个方面进行分析,有助于澄清一些暴力刑事案件。法医学知识对于提供一系列事件的答案和犯罪现场产生特定类型血迹的机制至关重要。这包括对血迹分析的调查。这种知识使对结果的解释成为可能,使我们能够更接近真相,解决特定的罪行,并确保在法律上确定刑事罪行的准确性,这有助于在对罪犯作出判决时给予适当的惩罚
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引用次数: 0
Antimicrobial Effects of Essential Oils on Pseudomonas Aeruginosa 精油对铜绿假单胞菌的抑菌作用
Pub Date : 2022-12-31 DOI: 10.47363/jpr/2022(4)152
Qinya Yi, Jilun Zhang, Dityuk Ai
Pseudomonas aeruginosa is a nosocomial pathogen that often develops multidrug resistance. Treating P. aeruginosa infection can be difficult, high cost with high mortality rate. Novel treatment is needed to handle this common clinically encountered issue. Recent research has suggested that Essential Oils (EOs) have the potential to act as antibiotics on P. aeruginosa by inhibiting the formation of biofilms and the functions of efflux pumps. Because of lower cost, EOs have huge potential for developing countries and underdeveloped area. Innovative therapeutic technologies, such as nano-encapsulation of EOs, have been utilized to enhance EOs’ effectiveness. This review summarizes the mechanisms of EOs in P. aeruginosa treatments, the current application of EOs, and future developments of EOs in and beyond clinical practice.
铜绿假单胞菌是一种经常产生多药耐药的医院病原菌。治疗铜绿假单胞菌感染可能是困难的,高成本和高死亡率。需要新的治疗方法来处理这一常见的临床问题。最近的研究表明,精油(EOs)有可能通过抑制生物膜的形成和外排泵的功能而作为铜绿假单胞菌的抗生素。由于成本较低,EOs在发展中国家和欠发达地区具有巨大的潜力。创新的治疗技术,如EOs的纳米封装,已被用于提高EOs的有效性。本文综述了EOs在铜绿假单胞菌治疗中的作用机制、EOs的应用现状以及EOs在临床内外的未来发展。
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引用次数: 0
Underlying Humanities in a Molecular Cell 分子细胞中的潜在人文学科
Pub Date : 2022-12-31 DOI: 10.47363/jpr/2022(4)153
Mukhopadhyay Ak
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引用次数: 0
Adrenal Myelolipoma. An Interesting Case Report 肾上腺骨髓脂肪瘤。一个有趣的案例报告
Pub Date : 2022-12-31 DOI: 10.47363/jpr/2022(4)151
M. Aslam, Maikal Kujur, M. Ahamad
Introduction: Adrenal myelolipoma is a rare urological lesion, benign in nature, and composed of a variable mixture of mature adipose and hematopoietic elements. The true incidence of these tumours is not well known. Despite their benign biology, these lesions can be a cause of dilemma for a urologist; we describe a case of incidental diagnosis of adrenal myelolipoma in a patient who presented with upper abdominal pain and reviews the literature on its aetiology, diagnosis, and management. Finally, the optimal treatment for myelolipoma depends on the size and symptoms of the mass and the needs of the patient. Case Report: Here we present a case of a 60-year-old female who presented with chronic left-sided flank pain and right upper abdomen that had been worsening over the past three weeks. Conclusion: Myelolipoma is a rare, non-functional, benign tumour. Patients having high blood pressure don't respond well to antihypertensive. They respond effectively to the medication after the removal of the tumour. So we recommend that all patients with myelolipoma not responding well to non-surgical management should plan for surgery for a better outcome.
简介:肾上腺髓磷脂瘤是一种罕见的泌尿系统病变,本质上是良性的,由成熟脂肪和造血成分的可变混合物组成。这些肿瘤的真实发病率尚不清楚。尽管它们的生物学是良性的,但这些病变可能是泌尿科医生两难的原因;我们描述了一个偶然诊断为肾上腺骨髓瘤的病例,该患者表现为上腹部疼痛,并回顾了有关其病因、诊断和治疗的文献。最后,骨髓瘤的最佳治疗取决于肿块的大小和症状以及患者的需要。病例报告:在这里我们提出一个60岁的女性谁提出了慢性左侧腰痛和右上腹部恶化,在过去的三个星期。结论:骨髓瘤是一种罕见的、无功能的良性肿瘤。高血压患者对降压药反应不佳。肿瘤切除后,他们对药物有有效反应。因此,我们建议所有对非手术治疗反应不佳的骨髓瘤患者应计划手术以获得更好的结果。
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引用次数: 0
Sinonasal Rhabdomyosarcoma: A Rare Tumor with a Poor Prognosis 鼻窦横纹肌肉瘤:一种预后不良的罕见肿瘤
Pub Date : 2022-09-30 DOI: 10.47363/jpr/2022(4)150
N. Benkhraba, Oussama Elamraoui
Despite the improvement in survival of pediatric patients with rhabdomyosarcoma, the outcome of patients with sinonasal rhabdomyosarcoma is poor and has not significantly changed. We report the case of a 22-year-old patient diagnosed with sinonasal rhabdomyosarcoma, with determining the prognostic factors and the therapeutic measures.
尽管小儿横纹肌肉瘤患者的生存率有所提高,但鼻窦横纹肌肉瘤患者的预后较差,并没有明显改变。我们报告一例22岁的患者被诊断为鼻窦横纹肌肉瘤,并确定预后因素和治疗措施。
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引用次数: 0
A Case on Oral Submucous Fibrosis (OSMF) 口腔黏膜下纤维化1例
Pub Date : 2022-09-30 DOI: 10.47363/jpr/2022(4)148
Nikhil Kumar Gautam
Oral sub mucous fibrosis (OSMF) is a chronic, insidious, disabling disease of oral mucosa, oropharynx, and rarely, the larynx affecting millions of people worldwide with a prevalence rate of 0.4% in Indian rural population. It results in difficulty in the mouth opening and can be disabling to the patient. It needs a timely diagnosis and thus appropriate treatment can be administered depending on the degree of involvement. A case of oral sub mucous fibrosis occurring in a 55 year old male patient is presented in this article.
口腔黏膜下纤维化(OSMF)是一种慢性、隐匿、致残的口腔黏膜、口咽部和罕见的喉部疾病,影响全世界数百万人,在印度农村人口中的患病率为0.4%。它会导致开口困难,并可能使患者致残。它需要及时诊断,因此可以根据受累程度给予适当的治疗。一个病例口腔粘膜下纤维化发生在一个55岁的男性病人是在这篇文章提出。
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引用次数: 0
Relevance and Limitations in the Expression of Immunotherapy IHC Markers in Penile Cancer (HPV Male Vaccine). An Outcome in Evolution 免疫疗法IHC标记在阴茎癌(HPV男性疫苗)中表达的相关性和局限性。进化的结果
Pub Date : 2022-09-30 DOI: 10.47363/jpr/2022(4)149
Ghirardi Graciela Rosa, Carmelo Caballero
Introduction: Penile cancer is not common in developed countries, although it is common in some Latin American countries. It is related to cervical cancer, it has two independent cancer pathways, according to its link or not, with HPV. Therefore, it is relevant to promote vaccination in young men. Given the clinical / oncological management has new treatment proposals based on immunotherapy (IT), which favors preservation of the organ, the pathology reports must be increasingly strict in terms of classification, Immunohistochemical (IHC) markers, and therapeutic strategies. Objectives: To assess the perspective on the use of established HPV and IT IHC markers to establish the relevance of their use; determine the specificity and sensitivity of the markers through IHC. Materials and methods: 27 samples of penile cancer were evaluated, from patients from Paraguay, who underwent HPV IHC and IT to establish their relevance with 16 markers. Results: The IHQ markers: MCM2, MDM2 and HSP-27 were very significant in the cancer / HPV ratio; PDL-1, CD4, CD8 and B7H3 were relevant for IT. According to our results, we recommend the HSP-27 and the B7H3 as markers. Conclusion: The management of samples and histopathological typing should be performed by experienced pathologists in the pathogenesis, classification and therapeutic of penile cancer. It remains to unveil its real practical use, the degree of participation of agents and or cofactors, the local and systemic immune response, new drugs and vaccine efficacy. We suggest expanding the number of cases to confirm these results.
导读:阴茎癌在发达国家并不常见,但在一些拉丁美洲国家很常见。它与宫颈癌有关,它有两个独立的癌症途径,根据它是否与HPV有关。因此,在年轻男性中推广疫苗接种具有重要意义。鉴于临床/肿瘤管理有基于免疫治疗(IT)的新治疗建议,这有利于器官的保存,病理报告必须在分类,免疫组织化学(IHC)标记物和治疗策略方面越来越严格。目的:评估已建立的HPV和IT IHC标志物的使用前景,以确定其使用的相关性;通过免疫组化法确定标记物的特异性和敏感性。材料和方法:对来自巴拉圭的27例阴茎癌患者进行HPV IHC和IT检查,以确定其与16种标志物的相关性。结果:IHQ标志物MCM2、MDM2和HSP-27对癌/ HPV比值有显著影响;PDL-1、CD4、CD8、B7H3与IT相关。根据我们的结果,我们推荐HSP-27和B7H3作为标记物。结论:阴茎癌的发病机制、分型和治疗应由经验丰富的病理医师进行标本处理和组织病理分型。它仍有待揭示其真正的实际用途、制剂和/或辅助因子的参与程度、局部和全身免疫反应、新药和疫苗功效。我们建议扩大病例数,以证实这些结果。
{"title":"Relevance and Limitations in the Expression of Immunotherapy IHC Markers in Penile Cancer (HPV Male Vaccine). An Outcome in Evolution","authors":"Ghirardi Graciela Rosa, Carmelo Caballero","doi":"10.47363/jpr/2022(4)149","DOIUrl":"https://doi.org/10.47363/jpr/2022(4)149","url":null,"abstract":"Introduction: Penile cancer is not common in developed countries, although it is common in some Latin American countries. It is related to cervical cancer, it has two independent cancer pathways, according to its link or not, with HPV. Therefore, it is relevant to promote vaccination in young men. Given the clinical / oncological management has new treatment proposals based on immunotherapy (IT), which favors preservation of the organ, the pathology reports must be increasingly strict in terms of classification, Immunohistochemical (IHC) markers, and therapeutic strategies. Objectives: To assess the perspective on the use of established HPV and IT IHC markers to establish the relevance of their use; determine the specificity and sensitivity of the markers through IHC. Materials and methods: 27 samples of penile cancer were evaluated, from patients from Paraguay, who underwent HPV IHC and IT to establish their relevance with 16 markers. Results: The IHQ markers: MCM2, MDM2 and HSP-27 were very significant in the cancer / HPV ratio; PDL-1, CD4, CD8 and B7H3 were relevant for IT. According to our results, we recommend the HSP-27 and the B7H3 as markers. Conclusion: The management of samples and histopathological typing should be performed by experienced pathologists in the pathogenesis, classification and therapeutic of penile cancer. It remains to unveil its real practical use, the degree of participation of agents and or cofactors, the local and systemic immune response, new drugs and vaccine efficacy. We suggest expanding the number of cases to confirm these results.","PeriodicalId":253047,"journal":{"name":"Journal of Pathology Research Reviews & Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128420392","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
Cutaneous Malignant Tumors: Clinico-Pathological Study in Bahrain 皮肤恶性肿瘤:巴林的临床病理研究
Pub Date : 2022-06-30 DOI: 10.47363/jpr/2022(4)146
Maryam Fadhel Hammad, Mohammed Alfardan
Introduction: Cutaneous malignancies are in the rise worldwide. They include basal cell carcinomas (BCC) and squamous cell carcinomas (SCC) and Malignant Melanoma (MM). Advance age and exposure to ultraviolet (UV) rays are among the most important risk factors associated with skin malignancies, although various other factors are also implicated.
皮肤恶性肿瘤在世界范围内呈上升趋势。它们包括基底细胞癌(BCC)、鳞状细胞癌(SCC)和恶性黑色素瘤(MM)。高龄和暴露于紫外线(UV)是与皮肤恶性肿瘤相关的最重要的危险因素,尽管其他各种因素也有牵连。
{"title":"Cutaneous Malignant Tumors: Clinico-Pathological Study in Bahrain","authors":"Maryam Fadhel Hammad, Mohammed Alfardan","doi":"10.47363/jpr/2022(4)146","DOIUrl":"https://doi.org/10.47363/jpr/2022(4)146","url":null,"abstract":"Introduction: Cutaneous malignancies are in the rise worldwide. They include basal cell carcinomas (BCC) and squamous cell carcinomas (SCC) and Malignant Melanoma (MM). Advance age and exposure to ultraviolet (UV) rays are among the most important risk factors associated with skin malignancies, although various other factors are also implicated.","PeriodicalId":253047,"journal":{"name":"Journal of Pathology Research Reviews & Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131632071","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
Acute Paediatric Gastric Volvulus Case Report 急性小儿胃扭转1例报告
Pub Date : 2022-06-30 DOI: 10.47363/jpr/2022(4)147
Blades Ca, F. W.
The authors describe a potentially rare case of acute mesenteroaxial gastric volvulus in a pediatric patient. Gastric volvulus is a rare cause of non-bilious vomiting involving rotation of the stomach around its axis and has its peak incidence in the fifth decade of life. Acute gastric volvulus is a life-threatening, requires a high index of suspicion with prompt diagnosis and treatment to prevent significant morbidity and mortality.
作者描述了一个潜在罕见的病例急性肠系膜轴胃扭转在儿科患者。胃扭转是一种罕见的引起非胆汁性呕吐的原因,涉及胃绕其轴旋转,其发病率在生命的第五个十年达到高峰。急性胃扭转是一种危及生命的疾病,需要高度的怀疑和及时的诊断和治疗,以防止显著的发病率和死亡率。
{"title":"Acute Paediatric Gastric Volvulus Case Report","authors":"Blades Ca, F. W.","doi":"10.47363/jpr/2022(4)147","DOIUrl":"https://doi.org/10.47363/jpr/2022(4)147","url":null,"abstract":"The authors describe a potentially rare case of acute mesenteroaxial gastric volvulus in a pediatric patient. Gastric volvulus is a rare cause of non-bilious vomiting involving rotation of the stomach around its axis and has its peak incidence in the fifth decade of life. Acute gastric volvulus is a life-threatening, requires a high index of suspicion with prompt diagnosis and treatment to prevent significant morbidity and mortality.","PeriodicalId":253047,"journal":{"name":"Journal of Pathology Research Reviews & Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129276098","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
期刊
Journal of Pathology Research Reviews & Reports
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