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Gastroprotective activity of hot ethanolic extract Alpinia calcarata rhizome in rats 热乙醇提取物对大鼠胃保护作用的研究
Pub Date : 2005-06-24 DOI: 10.4038/CJMS.V48I1.4838
L. Arambewela, L. Arawwawala, W. Ratnasooriya
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引用次数: 6
An Investigation of the toxic effects of a herbal formulation with anti-carcinogenic properties 一种具有抗癌特性的草药配方的毒性作用的研究
Pub Date : 2005-06-24 DOI: 10.4038/CJMS.V48I1.4839
S. Iddamaldeniya, S. Wickremasinghe, M. I. Thabrew, N. Ratnatunga, M. G. Tammitiyagodage
A decoction prepared from a mixture of Nigella sativa seeds, Hemidesmus indicus root, and Smilax glabra rhizome used by some traditional medical practitioners in Sri Lanka is considered to be useful for the treatment of cancer patients. However, there is a lack of information about any adverse effects of this decoction. Experiments were carried out using Wistar rats and ICR mice as the experimental model, to evaluate any adverse effects mediated by the above decoction. Results of the investigations showed that administration of the decoction (at doses of 4g/kg body weight/day and 6g/kg body weight/day) to rats for three months had no adverse effects on the liver functions (as assessed by its effects on serum levels of alanine and aspartate aminotransferase and alkaline phosphatase) or haematological parameters (red blood cell count, white blood cell count, haemoglobin concentration, packed cell volume, mean corpuscular haemoglobin, mean corpuscular volume and mean corpuscular haemoglobin concentration). No significant pathological changes were observed in sections of the major body organs (liver, heart, lungs, stomach, duodenum and kidney) of animals treated with the decoction for three months. The investigations also demonstrated that the decoction did not have anti-ovulatory, anti-implantation, spermicidal activity. An attempt to determine the LDM concentration was unsuccessful. Even at a dose equivalent to 40 times (240g/kg/day) the normal therapeutic dose (6g/kg/day), no mortality or other toxic symptoms (loss of consciousness, salivation, muscle tremor, incoordination, hyperaesthesia, polyuria, anuria, polydipsea, defecation, piloerection, changes in locomotor activity, changes in posture, ataxia and loss of reflexes) were observed. Three month treatment with the decoction also did not produce any changes in average feed consumption, average body weight: liver weight ratios, or the general behaviour of the animals.
斯里兰卡一些传统医生使用的一种由黑草种子、半赤豆根和面菝葜根茎混合制成的汤剂,被认为对治疗癌症患者有用。然而,缺乏关于这种汤剂的任何不良影响的信息。以Wistar大鼠和ICR小鼠为实验模型,对上述煎剂的不良反应进行评价。研究结果显示,大鼠连续3个月服用煎剂(剂量分别为4g/kg体重/天和6g/kg体重/天),对肝功能(通过对血清丙氨酸、天冬氨酸转氨酶和碱性磷酸酶水平的影响来评估)或血液学参数(红细胞计数、白细胞计数、血红蛋白浓度、堆积细胞体积、平均红细胞血红蛋白、平均红细胞体积和平均红细胞血红蛋白浓度)。给药3个月后,动物主要脏器(肝、心、肺、胃、十二指肠、肾)切片均未见明显病理变化。研究还表明,该煎剂不具有抗排卵、抗着床、杀精活性。试图确定LDM浓度不成功。即使剂量相当于正常治疗剂量(6g/kg/天)的40倍(240g/kg/天),也未观察到死亡或其他毒性症状(意识丧失、流涎、肌肉震颤、协调失调、感觉亢进、多尿、无尿、多饮、排便、勃起、运动活动改变、姿势改变、共济失调和反射丧失)。用汤剂治疗3个月也没有对动物的平均饲料消耗量、平均体重:肝重比或一般行为产生任何变化。
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引用次数: 2
Variation in blood pressure with age and sex of the Uva-Bintenne Veddas Uva-Bintenne吠陀的血压随年龄和性别的变化
Pub Date : 2004-12-27 DOI: 10.4038/CJMS.V47I2.4841
E. Wikramanayake, M. Chandrasekera
The blood pressure of 496 (227males and 269 females) Uva-Bintenne Veddas in the age range 1 to 80 years were recorded at Hennanigala South and Dambana. In both males and females there is no progressive increase of pressure with age. In the females both curves are more variable with the systolic pressure higher than in the males except in the age range 31-40 and the diastolic pressure higher up to 50 years. When compared with a 1989 study of a rural breeding isolate of the Sinhalese the pressures of both males and females were significantly higher in the age range 1-15 years with no steep rise of the curve from 1-18 years. The aetiology of the difference is postulated to be genetic rather than environmental.
在Hennanigala South和Dambana记录了496名年龄在1至80岁之间的Uva-Bintenne Veddas(227名男性,269名女性)的血压。在男性和女性中,压力没有随着年龄的增长而逐渐增加。除了31-40岁和50岁以上的舒张压较高外,女性的收缩压曲线变化更大,收缩压高于男性。与1989年对农村僧伽罗人繁殖分离株的研究相比,男性和女性的压力在1-15岁范围内明显更高,而从1-18岁的曲线没有急剧上升。这种差异的原因被认为是遗传的,而不是环境的。
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引用次数: 0
A prototype medical decision support system that utilizes 'sensitivity' and 'specificity' of a clinical feature for diagnosis: a novel approach 利用临床特征的“敏感性”和“特异性”进行诊断的原型医疗决策支持系统:一种新方法
Pub Date : 2004-12-27 DOI: 10.4038/CJMS.V47I2.4843
G. Senaviratne, N. Nanayakkara, K. Walgama, A. Yatawatte, G. D. A. Goonasekera
A prototype computer based decision support system was developed to simulate a doctors' decision making process using a relational database consisting 25 clinical features and 10 common diseases encountered in critical care. The relationship between diseases and clinical features was cited by a sensitivity and a specificity value for each clinical feature. A clinical expert arbitrarily determined the sensitivity and specificity values. The cumulative probability values of each disease in relation to presenting clinical features were calculated using simple decision algorithm with ranked values to determine the most probable diagnosis. The database was built using Microsoft Access and the interfaces in Visual Basic environment. In the program the output window provides the user with 5 most likely diagnoses with a display of ranked probability values. This differential diagnosis can be refined repetitively using new information. The system was validated using data from 26 patients admitted to a regional intensive care unit. The prototype decision support system was able to predict the true diagnosis with a sensitivity value of 88% as rank 1 and 96% as both rank 1 or 2. Thus results show that this novel approach of decision support could be more reliable to assist a doctor.
开发了一个基于计算机的决策支持系统原型,利用包含25个临床特征和10种危重病常见疾病的关系数据库来模拟医生的决策过程。疾病与临床特征之间的关系由每个临床特征的敏感性和特异性值来引用。临床专家任意确定敏感性和特异性值。采用排序的简单决策算法计算各疾病与临床特征相关的累积概率值,以确定最可能的诊断。数据库的构建采用Microsoft Access,界面采用Visual Basic环境。在程序中,输出窗口为用户提供5种最可能的诊断,并显示排序的概率值。这种鉴别诊断可以利用新的信息反复改进。该系统使用区域重症监护室收治的26名患者的数据进行验证。该原型决策支持系统预测真实诊断的敏感度值在1级时为88%,在1级和2级时均为96%。因此,结果表明,这种决策支持的新方法可以更可靠地协助医生。
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引用次数: 0
The efficacy of surgical scrubs in reducing hand bacterial flora 手术磨砂膏减少手部细菌菌群的效果
Pub Date : 2004-06-30 DOI: 10.4038/CJMS.V47I1.4845
D. Dissanayake, N. Fernando, G. Dabare, D. Weerasekera, R. Mahendra
Objective The objective of our study was to compare the efficacy of five different surgical scrubbing agents (plain soap, antiseptic soap, 4% chlorhexidine, 7.5% povidone iodine and a commercial preparation of alcohol hand rub) in reducing the hand bacterial flora in two operation theatres in the Colombo South Teaching Hospital before and immediately after scrubbing. Design A comparative study. Setting Two operation theatres of the Colombo South Teaching Hospital. Participants Ten members of theatre staff who regularly operate or assist. Methods Hand scrubbing with the respective agent/rubbing with alcohol by all participants on different days. On each occasion imprints of fingertips and palm of the dominant hand was taken immediately before and after hand hygiene procedure. The bacterial colony .counts were taken after overnight incubation. The mean percentage reduction of colony counts was taken as the efficacy indicator. Statistical analysis was done by paired t test. Results Highest reduction of colony counts was by alcohol hand rub and it was significandy better than plain soap, antiseptic soap and povidone iodine (P 0.05). Conclusions Hand rubbing with alcohol and scrubbing with 4% chlorhexidine effectively reduced hand bacterial flora and they are superior to hand washing with plain soap and antiseptic soap. There is no added advantage in substituting antiseptic soap for plain soap in order to reduce bacterial burden in hands.
目的比较科伦坡南部教学医院2个手术室5种不同的手术洗洁剂(普通皂、消毒皂、4%氯己定、7.5%聚维酮碘和一种市售酒精洗手液)在洗洁前后手部菌群的减少效果。设计一个比较研究。科伦坡南教学医院的两个手术室。参加者指经常操作或协助的剧院工作人员。方法所有受试者在不同日期用各自的药剂搓手/用酒精搓手。每次都在手部卫生程序前后立即采集优势手的指尖和手掌的印记。孵育过夜后取菌落计数。以菌落计数减少的平均百分比作为药效指标。统计学分析采用配对t检验。结果酒精洗手液对菌落计数的减少效果最好,且显著优于普通皂、消毒皂和聚维酮碘(p0.05)。结论用酒精搓手和4%氯己定擦洗可有效减少手部细菌菌群,且优于普通皂和消毒皂。为了减少手上的细菌负担,用消毒肥皂代替普通肥皂并没有额外的好处。
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引用次数: 3
Effect of ambient temperature on recovery from muscular exercise 环境温度对肌肉运动后恢复的影响
Pub Date : 2004-06-30 DOI: 10.4038/CJMS.V47I1.4848
J. Amarasena, A. Rajaratne, P. Balasuriya, N. Amarasena
Sri Lanka has high daytime ambient temperatures throughout the year that are too high to allow dissipation of body heat by non-evaporative methods. The predominant method of heat loss in the tropics, the evaporative heat loss, is also limited because of high humidity caused by wet conditions. Therefore, the limitations to thermoregulation could lead to poor work performance. This study was aimed at investigating the effect of two different ambient temperatures (28.5°C with relative humidity of 73.4% and 22.6°C with relative humidity of 64%) on the recovery from muscular exercise. The study was conducted on 20 sedentary male university students aged 21-24 years (mean 22.5 years). They were made to perform standard exercise for six minutes on a bicycle ergometer at two different ambient temperatures on two different occasions. Physiological parameters including heart rate, pulmonary ventilation, axillary temperature, systolic and diastolic blood pressures were measured at rest and during recovery at five-minute intervals up to 20 minutes. Results showed that although the recovery pattern of cardio-respiratory changes were similar at these two ambient temperatures, the values for heart rate, pulmonary ventilation and systolic blood pressure at the end of exercise at higher ambient temperature with higher relative humidity were significantly higher. At least in the study situation, the lower ambient temperature would be more favourable with regard to cardio-respiratory changes while performing moderate exercise. These findings point to the importance of planning different schedules of work and resting periods for different environmental conditions, especially, those with high ambient temperature and high relative humidity.
斯里兰卡全年白天的环境温度很高,以至于无法通过非蒸发方法散热。在热带地区,主要的热损失方法,蒸发热损失,也因为潮湿条件引起的高湿度而受到限制。因此,对温度调节的限制可能导致工作性能差。本研究旨在探讨两种不同的环境温度(28.5°C,相对湿度为73.4%,22.6°C,相对湿度为64%)对肌肉运动后恢复的影响。这项研究是在20名21-24岁(平均22.5岁)久坐不动的男性大学生中进行的。他们被要求在两种不同的环境温度下,在自行车测力器上进行六分钟的标准运动。生理参数包括心率、肺通气、腋窝温度、收缩压和舒张压,在休息和恢复期间每隔5分钟至20分钟测量一次。结果表明,虽然两种环境温度下心肺功能变化的恢复模式相似,但高环境温度、高相对湿度下运动结束时心率、肺通气量和收缩压值明显较高。至少在这项研究中,在进行适度运动时,较低的环境温度对心肺变化更有利。这些发现表明,在不同的环境条件下,特别是在环境温度高、相对湿度大的情况下,规划不同的工作和休息时间是很重要的。
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引用次数: 0
The prevalence and mode of inheritance of Carabelli trait in the Sinhalese 僧伽罗人卡拉贝利性状的流行与遗传模式
Pub Date : 2004-06-30 DOI: 10.4038/CJMS.V47I1.4846
U. Dissanayake, M. Chandrasekera, E. Wikramanayake
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引用次数: 7
Antigestational effects of Icon (R) , a pyrethroid insecticide on mid pregnancy of rats 拟除虫菊酯类杀虫剂Icon (R)对妊娠中期大鼠的止孕作用
Pub Date : 2004-06-30 DOI: 10.4038/CJMS.V47I1.4847
W. Ratnasooriya, S. Ratnayake, Y. Jayatunga
Icon (R) is a water miscible type II synthetic pyrethroid insecticide based on active ingredient lambda cyhalothrin (10% w/v). It was recently introduced to Sri Lanka as an indoor spray against malaria vector mosquitoes. The aim of this study was to ascertain the potential effects of Icon (R) on pregnancy outcome of rats when exposed during mid pregnancy (days 8 -14). Icon (R) was orally administered daily during this period in three different doses: 63, 83, 125 mg/kg body wt./day of Icon (R) (active ingredient; lambda cyhalothrin ; 6.3, 8.3, 12.5 mg/kg/day) respectively. Several parameters of reproduction, pre- and post-natal development were monitored. The results demonstrated that Icon (R) is detrimental to pregnancy outcome (in terms of number of uterine implants, number of viable implants, post implantation loss, number of pups born, litter index, and foetal survival ratio) but induced no changes in gestational length, gross morphological birth abnormalities or detectable pre- and post- natal developmental impairments. The anti-reproductive effects of Icon (R) were mediated by multiple mechanisms (hypophagia, maternal toxicity, stress, uterine myotropic activity, embryofoetoxicity, anti-progestrogenic activity, inhibition of decidualizaton process, abortifacient activity and vaginal bleeding) leading to enhancement of postimplantation losses. It is concluded that exposure to Icon (R) during mid gestation poses a considerable threat to pregnancy of rats.
Icon (R)是一种水混溶型II型合成拟除虫菊酯杀虫剂,基于有效成分氰氯氰菊酯(10% w/v)。它最近作为一种室内喷雾剂引入斯里兰卡,用于防治疟疾病媒蚊子。本研究的目的是确定Icon (R)在妊娠中期(第8 -14天)暴露对大鼠妊娠结局的潜在影响。在此期间,Icon (R)以三种不同剂量每日口服:63、83、125 mg/kg体重/天Icon (R)(活性成分;氰氯氰菊酯;6.3、8.3、12.5 mg/kg/天)。监测生殖、产前和产后发育的几个参数。结果表明,Icon (R)对妊娠结局(子宫植入物数量、存活植入物数量、植入后损失、出生幼崽数量、产仔指数和胎儿存活率)不利,但对妊娠期长度、总体形态出生异常或可检测到的产前和产后发育障碍没有影响。Icon (R)的抗生殖作用是通过多种机制介导的,包括吞咽、母体毒性、应激、子宫肌力、胚胎毒性、抗孕激素活性、抑制蜕胎过程、流产活性和阴道出血等,从而增加植入后的损失。由此可见,妊娠中期暴露于Icon (R)对大鼠妊娠有相当大的威胁。
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引用次数: 3
Persistence of antibody titres in adult dogs and puppies following anti-rabies immunization 成年犬和幼犬抗狂犬病免疫后抗体滴度的持久性
Pub Date : 2003-12-20 DOI: 10.4038/CJMS.V46I2.4849
M. Gunatilake, O. Wimalaratne, K. Perera
In Sri Lanka, the first dose of pre-exposure antirabies vaccine is given to puppies at the age of 3 months with annual boosters. There have been many instances where puppies of less than 3 months have been affected with rabies. Antirabies vaccination failures have also been reported. Therefore, it is important to know the duration of protection in dogs following antirabies immunization. Animals for this study were divided into two main groups (adult dogs and puppies) and further subdivided into 4 groups (adult dogs with a past immunization history against rabies, adult dogs without a past immunization history, puppies of immunized bitches and puppies of unimmunized bitches). In this study, neutralizing antibody titres in puppies and adult dogs following pre and post anti-rabies immunization were determined by the rapid fluorescent focus inhibition test. All animals were bled on days 0 (D0 preimmunization), 30 (DJ 0), 180 ( D | g 0 ) and 360 (t>3 J . Titres were less than 0.5 IU/mL (protective antibody titre against rabies) in DQ samples of all puppies recruited for this study, in 26.7% of DJ 0 samples of puppies of unimmunized bitches, in 89.5% of D| 8 0 samples of puppies and in all DJ 60 samples of puppies. Antibody titres in 50% of DJ 6 0 samples of adult dogs without a previous immunization history were also less than 0.5 IU/ mL. Antibody titres of all dogs with a past immunization history against rabies, were maintained above the protective level 1 year after immunization. Based on the results of this study, it is recommended that puppies should be immunized against rabies before the age of 3 months with a booster at a suitable interval. Thereafter, annual revaccination should be done. Adult dogs without a past immunization history also should be given two anti-rabies vaccines in the first year at a suitable interval in order to maintain a protective antibody titre until the annual booster.
在斯里兰卡,对3个月大的幼犬接种第一剂暴露前抗狂犬病疫苗,并每年加强一次。有很多不到3个月的幼犬感染狂犬病的例子。抗狂犬病疫苗接种失败也有报道。因此,了解抗狂犬病免疫接种后狗的保护时间是很重要的。实验动物分为两大组(成年犬和幼犬),再细分为4组(有狂犬病免疫史的成年犬、无狂犬病免疫史的成年犬、免疫母犬的幼犬和未免疫母犬的幼犬)。本研究采用快速荧光焦点抑制试验测定幼犬和成年犬抗狂犬病免疫前后的中和抗体滴度。所有动物在免疫前第0天(D0)、第30天(D0)、第180天(D0)和第360天(t> 3j)出血。本研究招募的所有幼犬的DQ样本、未接种犬的DQ样本中26.7%的DQ样本、d80样本中89.5%的DQ样本和d60样本中所有幼犬的免疫滴度都低于0.5 IU/mL(狂犬病保护抗体滴度)。在DJ 6 0中,50%无免疫史的成年犬的抗体滴度也低于0.5 IU/ mL,所有有狂犬病免疫史的犬在免疫1年后抗体滴度均维持在保护水平以上。根据本研究结果,建议幼犬应在3个月前进行狂犬病免疫接种,并在适当的间隔时间进行加强接种。此后,每年应重新接种疫苗。没有免疫史的成年犬也应在第一年以适当的间隔接种两次抗狂犬病疫苗,以保持保护性抗体滴度,直到每年加强一次。
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引用次数: 5
A simple cost-effective screening test for microalbuminuria 一个简单的低成本筛选试验微量白蛋白尿
Pub Date : 2003-12-20 DOI: 10.4038/CJMS.V46I2.4850
H. Peiris, A. Keerthi, U. Hewage, D. Fernando
Estimation of urinary albumin excretion in micro quantities requires expensive immunochemical methods which are not freely available in developing countries with limited resources. A study was performed to set up a simple cost-effective test to quantitatively assess the microalbuminuria. Urine specimens (173 samples) were collected and albumin concentration was estimated by precipitating with 25% sulphosalicylic acid (SSA) and use of a light dependent resistor (LDR) system. As the sensitivity of LDR system was interfered by the colour pigment of urine, all samples were run through a Sephadex G-25 micro column to separate the colour pigment. The present test detects albumin concentrations in the range 10-200 mg/L with a sensitivity and specificity values of 83 and 79% respectively. We conclude that the present LDR micro column gel filtration method can be used as a cost -effective screening test for microalbuminuria in developing countries.
估计微量尿白蛋白排泄需要昂贵的免疫化学方法,而这种方法在资源有限的发展中国家无法免费获得。我们进行了一项研究,建立了一种简单有效的定量评估微量白蛋白尿的测试方法。收集尿液标本(173份),并通过25%磺胺水杨酸(SSA)沉淀和使用光依赖电阻(LDR)系统来估计白蛋白浓度。由于LDR系统的灵敏度受到尿液色素的干扰,所有样品均通过Sephadex G-25微柱分离色素。本试验检测白蛋白浓度范围为10-200 mg/L,灵敏度和特异性分别为83%和79%。我们的结论是,目前的LDR微柱凝胶过滤方法可以作为一种成本有效的筛选试验在发展中国家的微量白蛋白尿。
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引用次数: 1
期刊
Ceylon Journal of Medical Science
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