首页 > 最新文献

Journal of Associated Medical Sciences最新文献

英文 中文
CRISPR 2 spacer architecture analysis and virulotyping for epidemiological study of Salmonella enterica subsp. Enterica circulating in northern Thailand (2015 -2017) 用于泰国北部肠炎沙门氏菌亚种流行病学研究的 CRISPR 2 spacer 结构分析和病毒分型(2015 -2017 年)
Pub Date : 2024-05-04 DOI: 10.12982/jams.2024.030
Sudarat Srisong, Rungthiwa Srimora, Nuttachat Wisittipanit, C. Pulsrikarn, Kritchai Poonchareon
Background: Salmonella enterica subsp. enterica, particularly serotype S. 4[5],12:i:-, S. Typhimurium, and S. Enteritidis, represents a significant causative agent of diarrhea, particularly impacting children and immunocompromised individuals on a global scale. Molecular typing of Salmonella spp. has a vital role in understand Salmonella epidemiology. Objective: The objective of this study is to utilize CRISPR 2 spacer analysis coupled with multiple-locus variable number tandem-repeat (VNTR) analysis and virulotyping to perform molecular typing and potential subtyping of Salmonella spp. Materials and methods: CRISPR 2 - multiple-locus variable number tandem-repeat (VNTR) analysis, complemented by additional virulotyping, were performed to rapidly characterize those Salmonella isolates including eight unidentified strains. Serotype-specific CRISPR 2 amplicons were subjected to sequencing and the obtained sequences were blasted with corresponding whole-genome sequencing (WGS) data in order to extract CRISPR 2 information, especially the number and sequence of spacers which were then utilized to predict Salmonella serotypes. Moreover, the similar CRISPR 2 spacer architectures to the corresponding WGS offered the prediction of multilocus sequence types (MLST). Results: S. 4,[5],12:i:-, S. Typhimurium, S. Enteritidis, S. Weltevraden, and S. Derby exhibited distinct clustering, while eight unidentified Salmonella serotypes displayed unique CRISPR 2-MLVA profiles. Through subsequent sequence analysis and comparison with publicly available whole-genome sequencing data, serotype-specific CRISPR 2 amplicon lengths and spacer architectures were unveiled, enabling precise prediction of MLST types. Intriguingly, a linear correlation emerged between CRISPR 2 amplicon length (500-2000 bps) and the number of spacers (6-32) across diverse Salmonella serotypes. Critically, the molecular signatures of CRISPR 2 amplicons accurately predicted the identity of eight unknown Salmonella isolates, aligning with conventional serotyping standards. Furthermore, MLST sequences for prevalent S. 4,[5],12:i:-, S. Typhimurium, and S. Enteritidis were unveiled as ST 34, ST 19, and ST 10, respectively. Subtyping of S. 4,[5],12:i:- using the sopE1 procession (a bacteriophage gene) revealed two major subtypes within ST 34. These subtypes encompassed all six virulent genes, including InvA, bcfC, csgA, agfA, sodC1, and gipA, either with sopE1 (N=8) or without sopE1 (N=10). These findings contribute preliminary insights into the genetic diversity and subtyping of S. 4,[5],12:i:-. Conclusion: The combination of CRISPR 2 sequence analysis and virulotyping emerged as a potent epidemiological tool, facilitating the identification of Salmonella serotypes and potentially informative subtypes, thereby aiding in the surveillance, and tracking of Salmonella transmission in northern Thailand.
背景:肠炎沙门氏菌亚种,尤其是血清型 S. 4[5]、12:i:-、S. Typhimurium 和 S. Enteritidis,是腹泻的重要致病菌,在全球范围内对儿童和免疫力低下者的影响尤为严重。沙门氏菌属的分子分型对了解沙门氏菌流行病学具有重要作用。研究目的本研究的目的是利用 CRISPR 2 spacer 分析、多焦点变数串联重复(VNTR)分析和病毒分型对沙门氏菌属进行分子分型和潜在亚型鉴定。 材料与方法:通过 CRISPR 2 - 多病灶变数串联重复序列(VNTR)分析,并辅以额外的病毒分型,对包括 8 株未鉴定菌株在内的沙门氏菌分离物进行了快速鉴定。对血清型特异性 CRISPR 2 扩增子进行测序,并将获得的序列与相应的全基因组测序(WGS)数据进行比对,以提取 CRISPR 2 信息,特别是间隔序列的数量和序列,然后利用这些信息预测沙门氏菌的血清型。此外,CRISPR 2 spacer 结构与相应的 WGS 相似,可用于预测多焦点序列类型(MLST)。结果:S.4、[5]、12:i:-、S.Typhimurium、S.Enteritidis、S.Weltevraden 和 S. Derby 表现出明显的聚类,而 8 个未确定的沙门氏菌血清型则显示出独特的 CRISPR 2-MLVA 特征。通过随后的序列分析以及与公开的全基因组测序数据的比较,揭示了血清型特异的 CRISPR 2 扩增子长度和间隔结构,从而能够精确预测 MLST 类型。有趣的是,在不同的沙门氏菌血清型中,CRISPR 2 扩增子长度(500-2000 bps)与间隔物数量(6-32)之间存在线性相关。重要的是,CRISPR 2 扩增子的分子特征准确预测了 8 个未知沙门氏菌分离物的身份,与传统的血清分型标准一致。此外,流行的 S. 4、[5]、12:i:-、S. Typhimurium 和 S. Enteritidis 的 MLST 序列分别被揭示为 ST 34、ST 19 和 ST 10。使用 sopE1 序列(一种噬菌体基因)对 S. 4,[5],12:i:- 进行亚型分析,发现 ST 34 中有两个主要亚型。这些亚型包含所有六个毒力基因,包括 InvA、bcfC、csgA、agfA、sodC1 和 gipA,有 sopE1(8 个)或无 sopE1(10 个)。这些发现有助于初步了解 S. 4,[5],12:i:-的遗传多样性和亚型。结论:CRISPR 2 序列分析与病毒分型相结合,成为一种有效的流行病学工具,有助于鉴定沙门氏菌血清型和潜在的信息亚型,从而有助于监测和追踪沙门氏菌在泰国北部的传播情况。
{"title":"CRISPR 2 spacer architecture analysis and virulotyping for epidemiological study of Salmonella enterica subsp. Enterica circulating in northern Thailand (2015 -2017)","authors":"Sudarat Srisong, Rungthiwa Srimora, Nuttachat Wisittipanit, C. Pulsrikarn, Kritchai Poonchareon","doi":"10.12982/jams.2024.030","DOIUrl":"https://doi.org/10.12982/jams.2024.030","url":null,"abstract":"Background: Salmonella enterica subsp. enterica, particularly serotype S. 4[5],12:i:-, S. Typhimurium, and S. Enteritidis, represents a significant causative agent of diarrhea, particularly impacting children and immunocompromised individuals on a global scale. Molecular typing of Salmonella spp. has a vital role in understand Salmonella epidemiology. Objective: The objective of this study is to utilize CRISPR 2 spacer analysis coupled with multiple-locus variable number tandem-repeat (VNTR) analysis and virulotyping to perform molecular typing and potential subtyping of Salmonella spp. Materials and methods: CRISPR 2 - multiple-locus variable number tandem-repeat (VNTR) analysis, complemented by additional virulotyping, were performed to rapidly characterize those Salmonella isolates including eight unidentified strains. Serotype-specific CRISPR 2 amplicons were subjected to sequencing and the obtained sequences were blasted with corresponding whole-genome sequencing (WGS) data in order to extract CRISPR 2 information, especially the number and sequence of spacers which were then utilized to predict Salmonella serotypes. Moreover, the similar CRISPR 2 spacer architectures to the corresponding WGS offered the prediction of multilocus sequence types (MLST). Results: S. 4,[5],12:i:-, S. Typhimurium, S. Enteritidis, S. Weltevraden, and S. Derby exhibited distinct clustering, while eight unidentified Salmonella serotypes displayed unique CRISPR 2-MLVA profiles. Through subsequent sequence analysis and comparison with publicly available whole-genome sequencing data, serotype-specific CRISPR 2 amplicon lengths and spacer architectures were unveiled, enabling precise prediction of MLST types. Intriguingly, a linear correlation emerged between CRISPR 2 amplicon length (500-2000 bps) and the number of spacers (6-32) across diverse Salmonella serotypes. Critically, the molecular signatures of CRISPR 2 amplicons accurately predicted the identity of eight unknown Salmonella isolates, aligning with conventional serotyping standards. Furthermore, MLST sequences for prevalent S. 4,[5],12:i:-, S. Typhimurium, and S. Enteritidis were unveiled as ST 34, ST 19, and ST 10, respectively. Subtyping of S. 4,[5],12:i:- using the sopE1 procession (a bacteriophage gene) revealed two major subtypes within ST 34. These subtypes encompassed all six virulent genes, including InvA, bcfC, csgA, agfA, sodC1, and gipA, either with sopE1 (N=8) or without sopE1 (N=10). These findings contribute preliminary insights into the genetic diversity and subtyping of S. 4,[5],12:i:-. Conclusion: The combination of CRISPR 2 sequence analysis and virulotyping emerged as a potent epidemiological tool, facilitating the identification of Salmonella serotypes and potentially informative subtypes, thereby aiding in the surveillance, and tracking of Salmonella transmission in northern Thailand.","PeriodicalId":298884,"journal":{"name":"Journal of Associated Medical Sciences","volume":"64 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141013971","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
Effect of mangiferin isolated from Mangifera indica leaves on in vitro blood coagulation and cell migration activities 从芒果叶中分离出的芒果苷对体外血液凝固和细胞迁移活性的影响
Pub Date : 2024-05-04 DOI: 10.12982/jams.2024.028
Isaya Janwitayanuchit, Suwanna Semsri, Wicharn Janwitayanuchit, K. Choowongkomon
Background: Mangiferin, a natural compound has been reported to possess a variety of biological activities such as anticancer, anti-diabetic, antimicrobial, antioxidant, cardioprotective activities, etc. Screening on blood coagulation activity effects of mangiferin might be helpful for further activities investigation. Objective: This study aimed to isolate mangiferin from mango leaves and evaluate its blood coagulation and anticancer activities against human lung cancer cell lines (A549 cells). Materials and methods: Mangiferin was extracted from mango leaves and characterized by IR, NMR, and mass spectroscopic techniques. It was determined in vitro activities as follows: blood clotting time, platelet aggregation, activated partial thromboplastin time (aPTT), prothrombin time (PT), clot lysis, fibrinolysis, and cell migration assay. Results: It was found that mangiferin had a significantly slower effect on inducing blood clots than the control group, with the coagulation value of 13.09±2.97 minutes and decreasing platelet aggregation at an inhibition percentage value of 14.1±1.2. There was significant (p<0.05) prolongation of PT and aPTT activities tested with the mangiferin at the value of 12.4±1.2 and 29.9±3.1 seconds, respectively. However, mangiferin was unable to cause fibrin clot dissolution on fibrinolysis test. Mangiferin also showed anticancer activity against A549 cells by inhibition of cell migration assay. Conclusion: Mangiferin showed antiplatelet aggregation activity and prolongation of prothrombin time (PT) and activated partial thromboplastin time (aPTT) assay without fibrinolysis activity. In addition, mangiferin showed anticancer activity against A549 cells by inhibiting cell migration.
背景:据报道,芒果苷这种天然化合物具有多种生物活性,如抗癌、抗糖尿病、抗菌、抗氧化、心脏保护活性等。筛选芒果苷对血液凝固活性的影响可能有助于进一步的研究。研究目的本研究旨在从芒果叶中分离出芒果苷,并评估其对人类肺癌细胞系(A549 细胞)的凝血和抗癌活性。材料与方法:从芒果叶中提取芒果苷,并通过红外光谱、核磁共振和质谱技术对其进行表征。其体外活性测定如下:凝血时间、血小板聚集、活化部分凝血活酶时间(aPTT)、凝血酶原时间(PT)、血块溶解、纤维蛋白溶解和细胞迁移试验。结果显示结果发现,芒果苷诱导血凝块的作用明显慢于对照组,凝血时间为(13.09±2.97)分钟,降低血小板聚集的抑制百分率为(14.1±1.2)。芒果苷可明显延长 PT 和 aPTT 活性(p<0.05),分别为 12.4±1.2 秒和 29.9±3.1 秒。不过,芒果苷在纤溶试验中无法导致纤维蛋白凝块溶解。通过抑制细胞迁移试验,芒果苷还显示了对 A549 细胞的抗癌活性。结论芒果苷具有抗血小板聚集活性,可延长凝血酶原时间(PT)和活化部分凝血活酶时间(aPTT),但无纤维蛋白溶解活性。此外,芒果苷通过抑制细胞迁移对 A549 细胞具有抗癌活性。
{"title":"Effect of mangiferin isolated from Mangifera indica leaves on in vitro blood coagulation and cell migration activities","authors":"Isaya Janwitayanuchit, Suwanna Semsri, Wicharn Janwitayanuchit, K. Choowongkomon","doi":"10.12982/jams.2024.028","DOIUrl":"https://doi.org/10.12982/jams.2024.028","url":null,"abstract":"Background: Mangiferin, a natural compound has been reported to possess a variety of biological activities such as anticancer, anti-diabetic, antimicrobial, antioxidant, cardioprotective activities, etc. Screening on blood coagulation activity effects of mangiferin might be helpful for further activities investigation. Objective: This study aimed to isolate mangiferin from mango leaves and evaluate its blood coagulation and anticancer activities against human lung cancer cell lines (A549 cells). Materials and methods: Mangiferin was extracted from mango leaves and characterized by IR, NMR, and mass spectroscopic techniques. It was determined in vitro activities as follows: blood clotting time, platelet aggregation, activated partial thromboplastin time (aPTT), prothrombin time (PT), clot lysis, fibrinolysis, and cell migration assay. Results: It was found that mangiferin had a significantly slower effect on inducing blood clots than the control group, with the coagulation value of 13.09±2.97 minutes and decreasing platelet aggregation at an inhibition percentage value of 14.1±1.2. There was significant (p<0.05) prolongation of PT and aPTT activities tested with the mangiferin at the value of 12.4±1.2 and 29.9±3.1 seconds, respectively. However, mangiferin was unable to cause fibrin clot dissolution on fibrinolysis test. Mangiferin also showed anticancer activity against A549 cells by inhibition of cell migration assay. Conclusion: Mangiferin showed antiplatelet aggregation activity and prolongation of prothrombin time (PT) and activated partial thromboplastin time (aPTT) assay without fibrinolysis activity. In addition, mangiferin showed anticancer activity against A549 cells by inhibiting cell migration.","PeriodicalId":298884,"journal":{"name":"Journal of Associated Medical Sciences","volume":"95 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141014635","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
Community rehabilitation by the trained village health volunteers on activities of daily living and quality of life in stroke survivors 经过培训的乡村保健志愿者为中风幸存者提供日常生活活动和生活质量方面的社区康复服务
Pub Date : 2024-05-04 DOI: 10.12982/jams.2024.038
P. Chinchai, S. Kongsawasdi, Pornpen Sirisatayawong, S. Apichai, Busaba Chuatrakoon, Nipaporn Thonglorm
Background: The number of people with disabilities resulting from strokes is increasing in Thailand. The major sequela of the disease was weakness in one side of the body that causes difficulty in activities of daily living (ADL) and poor quality of life (QOL) for stroke survivors. Community-based rehabilitation could be one of the strategies that enhances functional performance and improves QOL in these individuals. There were many disabled people in Mae Ka subdistrict, San Pa Tong District, Chiang Mai Province, where health care providers and local people were enthusiastic to take care of each other’s health in the community. Objective: The present study aimed to investigate rehabilitation outcomes in ADL and QOL of stroke participants who received rehabilitation services from trained village health volunteers (VHVs). Materials and methods: This study was a quasi-experimental research design. Subjects were recruited using purposive sampling, including 10 stroke survivors. Instruments used were 1) ADL Assessment for Occupational Therapy Clients; and 2) World Health Organization Quality of Life Assessment, Short Form-Thai version. The statistics used were descriptive, as well as the Wilcoxon Signed Ranks Test. Results: Results demonstrated that scores of basic activities of daily living (BADL) in the participants increased significantly (p<0.05) except for sexual expression. The score in the instrumental activities of daily living (IADL) was also significantly higher at post-rehabilitation than pre-intervention (p<0.05), as was the total ADL score. Stroke patients had significantly higher QOL scores after intervention than the pretest (p<0.05). Conclusion: These indicated that the community rehabilitation center at Mae Ka Subdistrict Administrative Organization, San Pa Tong District, Chiang Mai Province, run by the trained VHVs could promote ability in daily activities and improve QOL in stroke participants who come for their services.
背景:泰国因中风致残的人数不断增加。这种疾病的主要后遗症是一侧肢体无力,导致中风幸存者日常生活活动(ADL)困难,生活质量(QOL)低下。以社区为基础的康复可能是提高这些人的功能表现和改善生活质量的策略之一。清迈府三八洞县湄卡分区有许多残疾人,那里的医护人员和当地居民都热衷于在社区中互相照顾对方的健康。研究目的本研究旨在调查接受过训练的村卫生志愿者(VHVs)提供的康复服务的中风患者在日常生活能力和 QOL 方面的康复效果。材料与方法:本研究采用准实验研究设计。研究对象采用目的性抽样,包括 10 名中风幸存者。使用的工具包括:1)职业治疗客户 ADL 评估;2)世界卫生组织生活质量评估简表-泰文版。使用的统计方法为描述性统计和 Wilcoxon Signed Ranks 检验。结果结果表明,除性表达外,参与者的基本日常生活活动(BADL)得分明显提高(P<0.05)。康复后的日常生活工具性活动(IADL)得分也明显高于干预前(P<0.05),日常生活工具性活动总分也是如此。干预后脑卒中患者的 QOL 得分明显高于干预前(P<0.05)。结论这表明,清迈府三巴同县湄卡分区行政组织的社区康复中心由经过培训的志愿家政服务人员管理,可以提高前来接受服务的中风患者的日常活动能力,改善其 QOL。
{"title":"Community rehabilitation by the trained village health volunteers on activities of daily living and quality of life in stroke survivors","authors":"P. Chinchai, S. Kongsawasdi, Pornpen Sirisatayawong, S. Apichai, Busaba Chuatrakoon, Nipaporn Thonglorm","doi":"10.12982/jams.2024.038","DOIUrl":"https://doi.org/10.12982/jams.2024.038","url":null,"abstract":"Background: The number of people with disabilities resulting from strokes is increasing in Thailand. The major sequela of the disease was weakness in one side of the body that causes difficulty in activities of daily living (ADL) and poor quality of life (QOL) for stroke survivors. Community-based rehabilitation could be one of the strategies that enhances functional performance and improves QOL in these individuals. There were many disabled people in Mae Ka subdistrict, San Pa Tong District, Chiang Mai Province, where health care providers and local people were enthusiastic to take care of each other’s health in the community. Objective: The present study aimed to investigate rehabilitation outcomes in ADL and QOL of stroke participants who received rehabilitation services from trained village health volunteers (VHVs). Materials and methods: This study was a quasi-experimental research design. Subjects were recruited using purposive sampling, including 10 stroke survivors. Instruments used were 1) ADL Assessment for Occupational Therapy Clients; and 2) World Health Organization Quality of Life Assessment, Short Form-Thai version. The statistics used were descriptive, as well as the Wilcoxon Signed Ranks Test. Results: Results demonstrated that scores of basic activities of daily living (BADL) in the participants increased significantly (p<0.05) except for sexual expression. The score in the instrumental activities of daily living (IADL) was also significantly higher at post-rehabilitation than pre-intervention (p<0.05), as was the total ADL score. Stroke patients had significantly higher QOL scores after intervention than the pretest (p<0.05). Conclusion: These indicated that the community rehabilitation center at Mae Ka Subdistrict Administrative Organization, San Pa Tong District, Chiang Mai Province, run by the trained VHVs could promote ability in daily activities and improve QOL in stroke participants who come for their services.","PeriodicalId":298884,"journal":{"name":"Journal of Associated Medical Sciences","volume":"133 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141013580","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
Does mild chronic obstructive pulmonary disease need a standard pulmonary rehabilitation program? A case report 轻度慢性阻塞性肺病需要标准肺康复计划吗?病例报告
Pub Date : 2024-05-04 DOI: 10.12982/jams.2024.025
Nimit Kosura, Aung Aung Nwe, W. Chumpangern, Kongrit Sriya, C. Phimphasak, Chulee Ubolsakka-Jones
Background: Patients with mild chronic obstructive pulmonary disease (COPD) are usually not recommended for a standard pulmonary rehabilitation (PR)program based on the GOLD guideline in mild COPD GOLD A classification. Especially, the scientific evidence on exercise capacity that can be identified for recruitment in PR programs has been less reported. Thus, a preliminary case study to identify the exercise capacity under cardiopulmonary responses by aerobic exercise testing among patients in mild COPD GOLD A classification was the aim of this study. Objective: To evaluate the cardiopulmonary responses from exercise capacity testing in individual COPD patients with mild COPD GOLD A Classification. Materials and methods: Four participants with mild COPD GOLD A performed an exercise endurance capacity test at home using Spot Marching Exercise Test (SMT), marching on the spot with high hip and arm raising. The load of SMT was indicated by a controlled stepping rate at 70, 80, 90, 100, and 110 steps/min. Every participant performed Incremental SMT (ISMT) with every 3 min incremental load, and the Constant SMT (CSMT) at the peak load. Both exercise tests were terminated at symptom limit. Resting time between ISMT and CSMT was at least 30 minutes. Cardiopulmonary exercise responses, Borg perceived breathlessness (RPB) and exertion (RPE) were monitored every minute during the exercise test. The duration of exercises was recorded. Results: Peak exercise capacity using ISMT was low with the end exercise load at 70, 80, 80, and 90 steps/min which is equivalent to moderate to high intensity at 81%, 62%, 65% and 93% of age-predicted maximum heart rate (HRmax). The exercise test was stopped by breathlessness at RPB 7, 8, 6, and 5. Respiratory rates (RR) were 36, 26, 38, and 38 breaths/min. With CSMT, the results showed very short exercise duration 1.78, 4.60, 2.15, and 2.47 mins with RPB 7, 8, 5, and 5 and RR of 33, 27, 34, and 41 breaths/min respectively. Conclusion: This preliminary report reveals that all four mild COPD GOLD A show low exercise capacity and very poor exercise endurance that should identify the appropriated standard PR program in the future.
背景:轻度慢性阻塞性肺病(COPD)患者通常不被推荐参加根据轻度慢性阻塞性肺病 GOLD A 分类指南制定的标准肺康复(PR)计划。特别是,关于运动能力的科学证据,可被确定为肺康复计划招募对象的报道较少。因此,本研究旨在通过有氧运动测试,对轻度 COPD GOLD A 分类患者进行初步病例研究,以确定其心肺反应下的运动能力。研究目的评估轻度 COPD GOLD A 分级患者的运动能力测试心肺反应。材料与方法四名患有轻度 COPD GOLD A 的参与者在家中进行了运动耐力测试,测试方法为原地踏步运动测试(SMT),在原地踏步的同时高抬臀部和手臂。SMT的负荷是以70、80、90、100和110步/分钟的控制步速来表示的。每位参与者都进行了每 3 分钟负荷递增一次的增量 SMT(ISMT)和峰值负荷下的恒定 SMT(CSMT)。两项运动测试均在症状极限时终止。ISMT 和 CSMT 之间的休息时间至少为 30 分钟。在运动测试过程中,每分钟都对心肺运动反应、博格知觉呼吸困难(RPB)和体力消耗(RPE)进行监测。运动持续时间也被记录下来。结果显示使用 ISMT 的峰值运动能力较低,最终运动负荷分别为 70、80、80 和 90 步/分钟,相当于年龄预测最大心率(HRmax)的 81%、62%、65% 和 93% 的中高强度。运动测试在 RPB 7、8、6 和 5 时因呼吸困难而停止。呼吸频率(RR)分别为 36、26、38 和 38 次/分钟。CSMT 结果显示,RPB 为 7、8、5 和 5 时,运动持续时间分别为 1.78、4.60、2.15 和 2.47 分钟,呼吸频率分别为 33、27、34 和 41 次/分钟。结论:这份初步报告显示,四名轻度慢性阻塞性肺病 GOLD A 患者的运动能力都很低,运动耐力也很差,今后应确定合适的标准 PR 方案。
{"title":"Does mild chronic obstructive pulmonary disease need a standard pulmonary rehabilitation program? A case report","authors":"Nimit Kosura, Aung Aung Nwe, W. Chumpangern, Kongrit Sriya, C. Phimphasak, Chulee Ubolsakka-Jones","doi":"10.12982/jams.2024.025","DOIUrl":"https://doi.org/10.12982/jams.2024.025","url":null,"abstract":"Background: Patients with mild chronic obstructive pulmonary disease (COPD) are usually not recommended for a standard pulmonary rehabilitation (PR)program based on the GOLD guideline in mild COPD GOLD A classification. Especially, the scientific evidence on exercise capacity that can be identified for recruitment in PR programs has been less reported. Thus, a preliminary case study to identify the exercise capacity under cardiopulmonary responses by aerobic exercise testing among patients in mild COPD GOLD A classification was the aim of this study. Objective: To evaluate the cardiopulmonary responses from exercise capacity testing in individual COPD patients with mild COPD GOLD A Classification. Materials and methods: Four participants with mild COPD GOLD A performed an exercise endurance capacity test at home using Spot Marching Exercise Test (SMT), marching on the spot with high hip and arm raising. The load of SMT was indicated by a controlled stepping rate at 70, 80, 90, 100, and 110 steps/min. Every participant performed Incremental SMT (ISMT) with every 3 min incremental load, and the Constant SMT (CSMT) at the peak load. Both exercise tests were terminated at symptom limit. Resting time between ISMT and CSMT was at least 30 minutes. Cardiopulmonary exercise responses, Borg perceived breathlessness (RPB) and exertion (RPE) were monitored every minute during the exercise test. The duration of exercises was recorded. Results: Peak exercise capacity using ISMT was low with the end exercise load at 70, 80, 80, and 90 steps/min which is equivalent to moderate to high intensity at 81%, 62%, 65% and 93% of age-predicted maximum heart rate (HRmax). The exercise test was stopped by breathlessness at RPB 7, 8, 6, and 5. Respiratory rates (RR) were 36, 26, 38, and 38 breaths/min. With CSMT, the results showed very short exercise duration 1.78, 4.60, 2.15, and 2.47 mins with RPB 7, 8, 5, and 5 and RR of 33, 27, 34, and 41 breaths/min respectively. Conclusion: This preliminary report reveals that all four mild COPD GOLD A show low exercise capacity and very poor exercise endurance that should identify the appropriated standard PR program in the future.","PeriodicalId":298884,"journal":{"name":"Journal of Associated Medical Sciences","volume":"27 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141013245","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
Sine hunter prey optimization enabled deep residual network for diabetes mellitus detection using tongue image 利用舌头图像检测糖尿病的正弦猎手猎物优化深度残差网络
Pub Date : 2024-05-04 DOI: 10.12982/jams.2024.029
Jimsha K Mathew, S. S. Sathyalakshmi
Background: Many people suffer from Diabetes Mellitus (DM), a disease caused by high blood glucose levels. In real-time, many methods are implemented to diagnose DM to obtain a good accuracy level, but those methods remain costlier. Objective: To develop a method for DM detection with good accuracy and minimum cost. Materials and methods: In this research, DM is detected using tongue image based on DL model, named Deep Residual Network (DRN) that is trained by proposed Sine Hunter Prey Optimization (SHPO). Here, an adaptive median filter is used for the pre-processing phase, and image segmentation is done using ResUNet++, which is trained by Exponential Anti Corona Virus Optimization (ExpACVO). Here, ExpACVO integrates Anti Corona Virus Optimization (ACVO) and Exponential Weighted Moving Average (EWMA). Further, image augmentation and appropriate feature extraction stages are carried out, leading to DM detection by DRN. Moreover, SHPO is formed by combining the Sine Cosine Algorithm (SCA) and Hunter Prey Optimization (HPO). The performance of the proposed method is analyzed using the Tongue image dataset and the Diabetic images dataset. Results: The performance of SHPO_DRN is found using four evaluation metrics: accuracy, sensitivity, specificity, and f-measure. Here, these metrics exhibit superior performance with high-range values of 0.961, 0.970, 0.948, and 0.961. Conclusion: The proposed method detects the DM at earlier stages with a good accuracy.
背景:许多人患有糖尿病(DM),这是一种由高血糖引起的疾病。为了获得较高的准确率,人们采用了许多实时方法来诊断糖尿病,但这些方法仍然成本较高。目标开发一种准确度高且成本最低的 DM 检测方法。材料和方法:在这项研究中,使用基于 DL 模型的舌头图像检测 DM,该模型被命名为深度残差网络(DRN),它是由提议的正弦猎手猎物优化(SHPO)训练而成的。在此,预处理阶段使用自适应中值滤波器,图像分割使用由指数反电晕病毒优化(ExpACVO)训练的 ResUNet++ 完成。在这里,ExpACVO 集成了反电晕病毒优化 (ACVO) 和指数加权移动平均 (EWMA)。此外,还进行了图像增强和适当的特征提取阶段,从而通过 DRN 检测出 DM。此外,结合正弦余弦算法(SCA)和亨特猎物优化算法(HPO)形成了 SHPO。使用舌头图像数据集和糖尿病图像数据集分析了所提方法的性能。结果使用准确度、灵敏度、特异性和 f-measure 四个评价指标来评估 SHPO_DRN 的性能。其中,这些指标表现出卓越的性能,高范围值分别为 0.961、0.970、0.948 和 0.961。结论所提出的方法能在早期阶段检测出 DM,且准确率较高。
{"title":"Sine hunter prey optimization enabled deep residual network for diabetes mellitus detection using tongue image","authors":"Jimsha K Mathew, S. S. Sathyalakshmi","doi":"10.12982/jams.2024.029","DOIUrl":"https://doi.org/10.12982/jams.2024.029","url":null,"abstract":"Background: Many people suffer from Diabetes Mellitus (DM), a disease caused by high blood glucose levels. In real-time, many methods are implemented to diagnose DM to obtain a good accuracy level, but those methods remain costlier. Objective: To develop a method for DM detection with good accuracy and minimum cost. Materials and methods: In this research, DM is detected using tongue image based on DL model, named Deep Residual Network (DRN) that is trained by proposed Sine Hunter Prey Optimization (SHPO). Here, an adaptive median filter is used for the pre-processing phase, and image segmentation is done using ResUNet++, which is trained by Exponential Anti Corona Virus Optimization (ExpACVO). Here, ExpACVO integrates Anti Corona Virus Optimization (ACVO) and Exponential Weighted Moving Average (EWMA). Further, image augmentation and appropriate feature extraction stages are carried out, leading to DM detection by DRN. Moreover, SHPO is formed by combining the Sine Cosine Algorithm (SCA) and Hunter Prey Optimization (HPO). The performance of the proposed method is analyzed using the Tongue image dataset and the Diabetic images dataset. Results: The performance of SHPO_DRN is found using four evaluation metrics: accuracy, sensitivity, specificity, and f-measure. Here, these metrics exhibit superior performance with high-range values of 0.961, 0.970, 0.948, and 0.961. Conclusion: The proposed method detects the DM at earlier stages with a good accuracy.","PeriodicalId":298884,"journal":{"name":"Journal of Associated Medical Sciences","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141013680","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
Evaluation of the offset couch parameter between kilovoltage on-board imaging and cone-beam computed tomography in patients with prostate cancer 评估前列腺癌患者千伏机载成像与锥形束计算机断层扫描之间的偏移耦合参数
Pub Date : 2024-05-04 DOI: 10.12982/jams.2024.036
Tanaporn Guawgumnerdtong, N. Damrongkijudom, Achawee Suwannarat, Piyawan Chailapakul, Tawatchai Ekjeen
Background: External Beam Radiation Therapy (EBRT) is a curative therapy technique for prostate cancer. Since the prostate is unstable and surrounded by the bladder and rectum, precision of the target location is critical. Image Guided Radiation Therapy (IGRT) can improve treatment precision. The bladder and rectum may alter volume during IGRT, shifting the prostate’s position and resulting in missed target volume doses and extra organs at risk (OARs) doses. Objective: To assess setup error and residual error during patient positioning, as well as the current IGRT protocol efficiency, in prostate cancer patients while recommending a planning target volume (PTV) margin. Materials and methods: The offset couch parameter of on-board imaging (OBI) and cone-beam computed tomography (CBCT) was computed to determine the error distribution, magnitude, and error difference between treatment phases. The systematic and random errors were calculated using the van Herk equation to determine the planning target volume (PTV) margin. Results: The setup error was -0.86 to 0.25 mm, and the residual error was -0.15 to 0.32 mm. The couch displacement percentage for OBI was 29.44% to 58.89%, and for CBCT was 8.10% to 34.12%. The systematic error was 1.65 to 3.21. The random error was 1.78 to 3.29. The setup error was greatest in the longitudinal (Lng) direction, residual error was greatest in the vertical (Vrt) direction, and systematic and random error were greatest in the Vrt and lateral (Lat) direction, respectively. The PTV margin was greatest in the Vrt direction, while the Lng direction was the narrowest margin for every treatment phase. Conclusion: The highest setup error occurs in the Lng direction for all treatment phases. For the 46 Gy and 60 Gy phases, the highest residual error is in the Vrt direction. However, in the 78 Gy phase, the error is relatively close to 0.01mm in every direction. The current IGRT protocol is effective in detecting setup and residual errors. The 78 Gy phase has the greatest PTV margin, whereas the 46 Gy phase shows the narrowest margins in all directions.
背景:体外放射治疗(EBRT)是前列腺癌的一种根治性治疗技术。由于前列腺不稳定,且被膀胱和直肠包围,因此靶点位置的精确性至关重要。图像引导放射治疗(IGRT)可以提高治疗的精确度。在图像引导放射治疗过程中,膀胱和直肠可能会改变体积,移动前列腺的位置,从而导致靶体积剂量遗漏和危险器官(OARs)剂量增加。目的:评估 IGRT 过程中的设置误差和残余剂量:评估前列腺癌患者定位过程中的设置误差和残余误差,以及当前 IGRT 方案的效率,同时建议规划目标容积 (PTV) 边界。材料和方法:计算机载成像(OBI)和锥形束计算机断层扫描(CBCT)的偏移耦合参数,以确定治疗阶段之间的误差分布、误差大小和误差差异。使用范-赫克方程计算系统误差和随机误差,以确定规划靶体积(PTV)余量。结果显示设置误差为-0.86至0.25毫米,残余误差为-0.15至0.32毫米。OBI 耦合位移百分比为 29.44% 至 58.89%,CBCT 耦合位移百分比为 8.10% 至 34.12%。系统误差为 1.65 至 3.21。随机误差为 1.78 到 3.29。纵向(Lng)方向的设置误差最大,垂直(Vrt)方向的残余误差最大,Vrt 和侧向(Lat)方向的系统误差和随机误差分别最大。在每个治疗阶段,纵向(Vrt)方向的 PTV 边界最大,而横向(Lng)方向的边界最窄。结论:在所有治疗阶段,Lng 方向的设置误差最大。在 46 Gy 和 60 Gy 阶段,Vrt 方向的残余误差最大。然而,在 78 Gy 阶段,每个方向的误差都相对接近 0.01 毫米。目前的 IGRT 方案在检测设置误差和残余误差方面是有效的。78 Gy 阶段的 PTV 余量最大,而 46 Gy 阶段在所有方向上的余量最小。
{"title":"Evaluation of the offset couch parameter between kilovoltage on-board imaging and cone-beam computed tomography in patients with prostate cancer","authors":"Tanaporn Guawgumnerdtong, N. Damrongkijudom, Achawee Suwannarat, Piyawan Chailapakul, Tawatchai Ekjeen","doi":"10.12982/jams.2024.036","DOIUrl":"https://doi.org/10.12982/jams.2024.036","url":null,"abstract":"Background: External Beam Radiation Therapy (EBRT) is a curative therapy technique for prostate cancer. Since the prostate is unstable and surrounded by the bladder and rectum, precision of the target location is critical. Image Guided Radiation Therapy (IGRT) can improve treatment precision. The bladder and rectum may alter volume during IGRT, shifting the prostate’s position and resulting in missed target volume doses and extra organs at risk (OARs) doses. Objective: To assess setup error and residual error during patient positioning, as well as the current IGRT protocol efficiency, in prostate cancer patients while recommending a planning target volume (PTV) margin. Materials and methods: The offset couch parameter of on-board imaging (OBI) and cone-beam computed tomography (CBCT) was computed to determine the error distribution, magnitude, and error difference between treatment phases. The systematic and random errors were calculated using the van Herk equation to determine the planning target volume (PTV) margin. Results: The setup error was -0.86 to 0.25 mm, and the residual error was -0.15 to 0.32 mm. The couch displacement percentage for OBI was 29.44% to 58.89%, and for CBCT was 8.10% to 34.12%. The systematic error was 1.65 to 3.21. The random error was 1.78 to 3.29. The setup error was greatest in the longitudinal (Lng) direction, residual error was greatest in the vertical (Vrt) direction, and systematic and random error were greatest in the Vrt and lateral (Lat) direction, respectively. The PTV margin was greatest in the Vrt direction, while the Lng direction was the narrowest margin for every treatment phase. Conclusion: The highest setup error occurs in the Lng direction for all treatment phases. For the 46 Gy and 60 Gy phases, the highest residual error is in the Vrt direction. However, in the 78 Gy phase, the error is relatively close to 0.01mm in every direction. The current IGRT protocol is effective in detecting setup and residual errors. The 78 Gy phase has the greatest PTV margin, whereas the 46 Gy phase shows the narrowest margins in all directions.","PeriodicalId":298884,"journal":{"name":"Journal of Associated Medical Sciences","volume":"54 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141013998","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
Cognitive intervention using Montessori and DementiAbility for people with mild cognitive impairment 利用蒙特梭利和老年痴呆症辅助工具对轻度认知障碍患者进行认知干预
Pub Date : 2024-05-04 DOI: 10.12982/jams.2024.027
Chadchom Ratsameemonthon, Teppagone Pittayapinune, Arbtip Petchsakul, Sasithorn Kemsen
Background: Age-related illnesses are more prevalent with advancing age, with seniors facing more chronic diseases and disabilities. Chronic diseases that mostly older adults deal with are caused by high blood pressure, diabetes, and high cholesterol-also called noncommunicable diseases (NCDs). NCDs can cause severe chronic diseases such as heart disease, kidney failure, and cerebrovascular disease, and these can result in a high risk of Mild Cognitive Impairment (MCI). Together, brain cells shrink around 2,000 million cells when getting older, causing difficulty recalling names or words, decreased attention span, or a decreased ability to handle many tasks simultaneously. Therefore, protecting senior citizens with MCI needs to be seriously consideration. Objectives: This quasi-experimental research aimed to study the effects of a program to reduce brain deterioration in older people with Mild Cognitive Impairment (MCI). Materials and methods: The samples consisted of senior males and females requiring service at Songkhla Rajanagarindra Psychiatric Hospital, Songkhla, Thailand. A sample group was selected using an equivalent group design. The researcher utilized inclusion and exclusion criteria to gather 32 older adults and employed a simple random selection into experimental and control groups. For three months, the experimental group engaged in a seven-care-kit program based on Montessori’s philosophy and DementiAbility methods to help protect against brain deterioration. Mann-Whitney U test and Wilcoxon Value were used to analyze the result of the program’s effectiveness, which assessed cognitive ability by MoCA. Results: The attention span domain showed a significant statistical difference at (p=0.03) after post-tests comparing the experimental and control groups. A comparison of the pre-test and post-test of the experimental group found four domains-total cognitive domain, attention span domain, delayed recall domain, and visuospatial perception domain were significant with a statistical difference of (p=0.001, p=0.002, p=0.003, and p=0.004 respectively). Moreover, two domains- the delayed recall domain and the total cognitive domain in the control group showed a significant statistically increasing difference at (p=0.001 and p=0.005, respectively). Conclusion: The senior citizens’ active daily activities may help protect against dementia in older adults with MCI. The Home-Based Protection of Brain Deterioration Program demonstrated a satisfactory program that enhanced the attention span, visuospatial domain, and delayed recall of older people with mild cognitive impairment. Hence, the program as a dementia prevention program for older adults with MCI.
背景:随着年龄的增长,与年龄相关的疾病越来越普遍,老年人面临着更多的慢性疾病和残疾。大多数老年人要面对的慢性病是由高血压、糖尿病和高胆固醇引起的,也称为非传染性疾病(NCDs)。非传染性疾病可导致严重的慢性疾病,如心脏病、肾衰竭和脑血管疾病,这些疾病可导致轻度认知功能障碍(MCI)的高风险。随着年龄的增长,大脑细胞总共会萎缩约 20 亿个,从而导致记忆名字或单词困难、注意力下降或同时处理多项任务的能力下降。因此,保护患有 MCI 的老年人需要认真考虑。研究目的这项准实验研究旨在探讨一项旨在减少轻度认知障碍(MCI)老年人大脑退化的计划的效果。材料与方法:样本包括需要在泰国宋卡府宋卡拉拉贾那加林德拉精神病医院接受服务的老年男性和女性。样本组的选择采用等效组设计。研究人员利用纳入和排除标准收集了 32 名老年人,并采用简单随机的方式将其分为实验组和对照组。在为期三个月的时间里,实验组参与了基于蒙特梭利理念和老年痴呆症防治方法的七项护理套件计划,以帮助保护老年人的大脑,防止其功能退化。实验组采用 Mann-Whitney U 检验和 Wilcoxon 值来分析该计划的效果,该计划通过 MoCA 评估认知能力。结果显示实验组和对照组在后测之后的注意广度领域有明显的统计学差异(P=0.03)。对比实验组的前测和后测发现,四个领域--总认知领域、注意力领域、延迟回忆领域和视觉空间感知领域--都有显著的统计学差异,分别为(P=0.001、P=0.002、P=0.003 和 P=0.004)。此外,对照组的两个领域--延迟回忆领域和总认知领域--在统计学上有显著的增加差异(分别为 p=0.001 和 p=0.005)。结论老年人积极参加日常活动有助于预防患有 MCI 的老年人患痴呆症。以家庭为基础的脑退化保护计划在提高轻度认知障碍老年人的注意广度、视觉空间领域和延迟记忆方面的效果令人满意。因此,该计划可作为患有 MCI 的老年人的痴呆症预防计划。
{"title":"Cognitive intervention using Montessori and DementiAbility for people with mild cognitive impairment","authors":"Chadchom Ratsameemonthon, Teppagone Pittayapinune, Arbtip Petchsakul, Sasithorn Kemsen","doi":"10.12982/jams.2024.027","DOIUrl":"https://doi.org/10.12982/jams.2024.027","url":null,"abstract":"Background: Age-related illnesses are more prevalent with advancing age, with seniors facing more chronic diseases and disabilities. Chronic diseases that mostly older adults deal with are caused by high blood pressure, diabetes, and high cholesterol-also called noncommunicable diseases (NCDs). NCDs can cause severe chronic diseases such as heart disease, kidney failure, and cerebrovascular disease, and these can result in a high risk of Mild Cognitive Impairment (MCI). Together, brain cells shrink around 2,000 million cells when getting older, causing difficulty recalling names or words, decreased attention span, or a decreased ability to handle many tasks simultaneously. Therefore, protecting senior citizens with MCI needs to be seriously consideration. Objectives: This quasi-experimental research aimed to study the effects of a program to reduce brain deterioration in older people with Mild Cognitive Impairment (MCI). Materials and methods: The samples consisted of senior males and females requiring service at Songkhla Rajanagarindra Psychiatric Hospital, Songkhla, Thailand. A sample group was selected using an equivalent group design. The researcher utilized inclusion and exclusion criteria to gather 32 older adults and employed a simple random selection into experimental and control groups. For three months, the experimental group engaged in a seven-care-kit program based on Montessori’s philosophy and DementiAbility methods to help protect against brain deterioration. Mann-Whitney U test and Wilcoxon Value were used to analyze the result of the program’s effectiveness, which assessed cognitive ability by MoCA. Results: The attention span domain showed a significant statistical difference at (p=0.03) after post-tests comparing the experimental and control groups. A comparison of the pre-test and post-test of the experimental group found four domains-total cognitive domain, attention span domain, delayed recall domain, and visuospatial perception domain were significant with a statistical difference of (p=0.001, p=0.002, p=0.003, and p=0.004 respectively). Moreover, two domains- the delayed recall domain and the total cognitive domain in the control group showed a significant statistically increasing difference at (p=0.001 and p=0.005, respectively). Conclusion: The senior citizens’ active daily activities may help protect against dementia in older adults with MCI. The Home-Based Protection of Brain Deterioration Program demonstrated a satisfactory program that enhanced the attention span, visuospatial domain, and delayed recall of older people with mild cognitive impairment. Hence, the program as a dementia prevention program for older adults with MCI.","PeriodicalId":298884,"journal":{"name":"Journal of Associated Medical Sciences","volume":"20 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141013696","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
Preliminary study of distal forearm bone mineral density in residents of Doi Lo District: Observation and comparison with Mae Chaem, and Omkoi Districts, Chiang Mai Province, Thailand Doi Lo 区居民前臂远端骨矿密度的初步研究:观察结果以及与泰国清迈府 Mae Chaem 和 Omkoi 县的比较
Pub Date : 2024-05-04 DOI: 10.12982/jams.2024.034
M. Tungjai, Monruedee Tapanya, Khin Thandar Htun, Suratchanee Padngam, T. Thumvijit, S. Sriburee, P. Chinchai, Suban Pornwiang, Suchart Kothan
Background: We previously reported distal forearm bone mineral density (BMD) information for individuals residing in Mae Chaem and Omkoi districts, Chiang Mai Province, Thailand. Objective: This study was aimed to observe distal forearm BMD in residents of Doi Lo District and compare this data with individuals residing in Mae Chaem District and Omkoi District in Chiang Mai Province, Thailand. Materials and methods: Two hundred fifty-one subjects (215 women, 36 men), aged 24 to 69 years, currently reside in Doi Lo District. BMD was measured on the non-dominant distal forearm using peripheral dual-energy X-ray absorptiometry (pDEXA). Subsequently, data from Doi Lo District were compared with data from Mae Chaem District and Omkoi District obtained from earlier studies. Results: Distal forearm BMD decreased, and the prevalence of osteoporosis increased in both females and males across age groups. This trend was consistent with data from Mae Chaem District and Omkoi District. Conclusion: This study demonstrated the prevalence of distal forearm BMD and osteoporosis among females and males in Doi Lo District. The findings from Doi Lo District were consistent with those from Mae Chaem District and Omkoi District in Chiang Mai Province, Thailand. These results provide valuable insights into bone health among residents of Chiang Mai Province, Thailand.
背景:我们以前曾报道过居住在泰国清迈府 Mae Chaem 和 Omkoi 县的人的前臂远端骨矿密度 (BMD) 信息。研究目的本研究旨在观察 Doi Lo 县居民的前臂远端骨密度,并将此数据与泰国清迈府 Mae Chaem 县和 Omkoi 县的居民进行比较。材料和方法:251 名受试者(215 名女性,36 名男性),年龄在 24 岁至 69 岁之间,目前居住在都罗县。使用外周双能 X 射线吸收测定法(pDEXA)测量了非主导前臂远端的 BMD。随后,将都罗县的数据与先前研究中获得的湄南县和翁科伊县的数据进行了比较。结果显示不同年龄段的女性和男性前臂远端 BMD 均有所下降,骨质疏松症的患病率也有所上升。这一趋势与 Mae Chaem 县和 Omkoi 县的数据一致。结论本研究显示了都罗县女性和男性前臂远端 BMD 和骨质疏松症的患病率。Doi Lo 县的研究结果与泰国清迈府 Mae Chaem 县和 Omkoi 县的研究结果一致。这些结果为了解泰国清迈府居民的骨骼健康状况提供了宝贵的信息。
{"title":"Preliminary study of distal forearm bone mineral density in residents of Doi Lo District: Observation and comparison with Mae Chaem, and Omkoi Districts, Chiang Mai Province, Thailand","authors":"M. Tungjai, Monruedee Tapanya, Khin Thandar Htun, Suratchanee Padngam, T. Thumvijit, S. Sriburee, P. Chinchai, Suban Pornwiang, Suchart Kothan","doi":"10.12982/jams.2024.034","DOIUrl":"https://doi.org/10.12982/jams.2024.034","url":null,"abstract":"Background: We previously reported distal forearm bone mineral density (BMD) information for individuals residing in Mae Chaem and Omkoi districts, Chiang Mai Province, Thailand. Objective: This study was aimed to observe distal forearm BMD in residents of Doi Lo District and compare this data with individuals residing in Mae Chaem District and Omkoi District in Chiang Mai Province, Thailand. Materials and methods: Two hundred fifty-one subjects (215 women, 36 men), aged 24 to 69 years, currently reside in Doi Lo District. BMD was measured on the non-dominant distal forearm using peripheral dual-energy X-ray absorptiometry (pDEXA). Subsequently, data from Doi Lo District were compared with data from Mae Chaem District and Omkoi District obtained from earlier studies. Results: Distal forearm BMD decreased, and the prevalence of osteoporosis increased in both females and males across age groups. This trend was consistent with data from Mae Chaem District and Omkoi District. Conclusion: This study demonstrated the prevalence of distal forearm BMD and osteoporosis among females and males in Doi Lo District. The findings from Doi Lo District were consistent with those from Mae Chaem District and Omkoi District in Chiang Mai Province, Thailand. These results provide valuable insights into bone health among residents of Chiang Mai Province, Thailand.","PeriodicalId":298884,"journal":{"name":"Journal of Associated Medical Sciences","volume":"201 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141013436","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
AI-based diagnosis of chronic obstructive pulmonary disease from low-dose CT images 基于人工智能的低剂量 CT 图像诊断慢性阻塞性肺病
Pub Date : 2024-05-04 DOI: 10.12982/jams.2024.037
Chayanon Pamarapa, Salisa Kemlek, Wichasa Sukumwattana, Pharinda Sitthikul, Sichon Khuanrubsuan, Akkarawat Chaikhampa, Paritt Wongtrakool, Ammarut Chuajak, Monchai Phonlakrai, Ruedeerat Keerativittayayut
Background: Chronic obstructive pulmonary disease (COPD) is a group of diseases characterized by airflow blockage. It is one of the leading causes of global mortality and is primarily attributed to smoking. COPD patients are usually diagnosed by spirometry test. Although regarded as the gold standard for COPD diagnosis, the spirometry test carries contraindications, thus prompting the development of low-dose computed tomography (low-dose CT) scan as an alternative for COPD screening. However, a practical limitation of diagnosing COPD from CT images is its reliance on the expertise of a skilled radiologist. Objective: To address this limitation, we aimed to develop a deep-learning model for the automated classification of COPD and non-COPD from low-dose CT images. Materials and methods: We examined the potential of a convolutional neural network for identifying COPD. Our dataset consisted of 10,000 low-dose CT images obtained from a lung cancer screening program, involving both ex-smokers and current smokers deemed at high risk of lung cancer. Spirometry data served as the ground truth for defining COPD. We used 90% of the datasets for training and 10% for testing. Results: Our developed model achieved notable performance metrics: an area under the receiver operating characteristic curve (AUC) of 0.97, an accuracy of 0.89, a precision of 0.85, a recall of 0.96, and an F1-score of 0.90. Conclusion: Our study demonstrates the potential of deep learning models to augment clinical assessments and improve the diagnosis of COPD, thereby enhancing diagnostic accuracy and efficiency. The findings suggest the feasibility of integrating this technology into routine lung cancer screening programs for COPD detection.
背景:慢性阻塞性肺疾病(COPD)是一组以气流阻塞为特征的疾病。它是导致全球死亡的主要原因之一,主要归因于吸烟。慢性阻塞性肺病患者通常通过肺活量测试进行诊断。虽然肺活量测试被认为是诊断慢性阻塞性肺病的金标准,但它也有一些禁忌症,因此低剂量计算机断层扫描(低剂量 CT)成为慢性阻塞性肺病筛查的替代方法。然而,从 CT 图像诊断慢性阻塞性肺病的一个实际限制因素是依赖于技术熟练的放射科医生的专业知识。目的:为了解决这一局限性,我们旨在开发一种深度学习模型,用于从低剂量 CT 图像中自动分类慢性阻塞性肺病和非慢性阻塞性肺病。材料和方法:我们研究了卷积神经网络识别慢性阻塞性肺病的潜力。我们的数据集包括从肺癌筛查项目中获得的 10,000 张低剂量 CT 图像,其中既有戒烟者,也有被视为肺癌高危人群的吸烟者。肺活量数据是定义慢性阻塞性肺病的基础数据。我们将 90% 的数据集用于训练,10% 用于测试。结果我们开发的模型取得了显著的性能指标:接收者工作特征曲线下面积(AUC)为 0.97,准确度为 0.89,精确度为 0.85,召回率为 0.96,F1 分数为 0.90。结论我们的研究证明了深度学习模型在增强临床评估和改善慢性阻塞性肺病诊断方面的潜力,从而提高了诊断的准确性和效率。研究结果表明,将这项技术整合到常规肺癌筛查项目中用于慢性阻塞性肺病检测是可行的。
{"title":"AI-based diagnosis of chronic obstructive pulmonary disease from low-dose CT images","authors":"Chayanon Pamarapa, Salisa Kemlek, Wichasa Sukumwattana, Pharinda Sitthikul, Sichon Khuanrubsuan, Akkarawat Chaikhampa, Paritt Wongtrakool, Ammarut Chuajak, Monchai Phonlakrai, Ruedeerat Keerativittayayut","doi":"10.12982/jams.2024.037","DOIUrl":"https://doi.org/10.12982/jams.2024.037","url":null,"abstract":"Background: Chronic obstructive pulmonary disease (COPD) is a group of diseases characterized by airflow blockage. It is one of the leading causes of global mortality and is primarily attributed to smoking. COPD patients are usually diagnosed by spirometry test. Although regarded as the gold standard for COPD diagnosis, the spirometry test carries contraindications, thus prompting the development of low-dose computed tomography (low-dose CT) scan as an alternative for COPD screening. However, a practical limitation of diagnosing COPD from CT images is its reliance on the expertise of a skilled radiologist. Objective: To address this limitation, we aimed to develop a deep-learning model for the automated classification of COPD and non-COPD from low-dose CT images. Materials and methods: We examined the potential of a convolutional neural network for identifying COPD. Our dataset consisted of 10,000 low-dose CT images obtained from a lung cancer screening program, involving both ex-smokers and current smokers deemed at high risk of lung cancer. Spirometry data served as the ground truth for defining COPD. We used 90% of the datasets for training and 10% for testing. Results: Our developed model achieved notable performance metrics: an area under the receiver operating characteristic curve (AUC) of 0.97, an accuracy of 0.89, a precision of 0.85, a recall of 0.96, and an F1-score of 0.90. Conclusion: Our study demonstrates the potential of deep learning models to augment clinical assessments and improve the diagnosis of COPD, thereby enhancing diagnostic accuracy and efficiency. The findings suggest the feasibility of integrating this technology into routine lung cancer screening programs for COPD detection.","PeriodicalId":298884,"journal":{"name":"Journal of Associated Medical Sciences","volume":"27 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141014162","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
Updated research trend and clustering algorithm on virtual reality and pulmonary rehabilitation: Scopus-based bibliometric and visual analysis 虚拟现实与肺康复的最新研究趋势和聚类算法:基于 Scopus 的文献计量学和视觉分析
Pub Date : 2024-05-04 DOI: 10.12982/jams.2024.040
J. Leelarungrayub, Pongkorn Chantaraj, Supattanawaree Thipcharoen, Jutamat Jintana
Background: Virtual reality (VR) is a new innovative technology that can enhance intervention and should promote the effectiveness of rehabilitation, but there is a lack of scientific evidence on the clustering and topic research trend, especially on VR and pulmonary rehabilitation (PR). More evidence about network clusters and trends will encourage the research in the future. Objective: This study aimed to explore, identify, cluster, and forecast analysis for the research trend of VR and PR from the research articles on the SCOPUS database. Materials and methods: In this study, the search terms “virtual reality” AND “pulmonary rehabilitation” were extracted from specific English research articles published on the SCOPUS database between 2013-2023. RStudio software was used to perform bibliometric and visual analysis. During the analysis in the bibliometric tool, the normalization process with Salton’s Cosine and network clustering via trend topic with the Walktrap algorithm was analyzed before specific visualization with the network clustering mapping, Treemap, and trend topic line by KamadaKawai layout algorithm. Results: From the 1,396 articles on “VR” published between 2010 and 2023, there were 13 research articles on “VR AND PR” published between 2013 and 2023. The bibliometric result from 13 articles showed total of 36 subdisciplines correlated networks among virtual reality (20, 7%), male (16, 6%), female (15, 5%), aged (12, 4%), chronic obstructive lung disease (12, 4%), exercise (11, 4%), human (10, 4%), humans (10, 4%), middle-aged (10, 4%), quality of life (10, 4%), article (9, 3%), pulmonary rehabilitation (9, 3%), controlled study (8, 3%), adult (6, 2%), chronic obstructive (6, 2%), clinical article (6, 2%), forced expiratory volume (6, 2%), pulmonary disease (6, 2%), randomized controlled trial (6, 2%), and forced vital capacity (5, 2%), etc., respectively. Three network clusters were reported after the normalization process and clustering evaluation by factorial analysis. The first cluster was composed of virtual reality, male, female, aged, chronic obstructive lung disease, exercise, human, humans, middle-aged, quality of life, article, pulmonary rehabilitation, controlled study, adult, chronic obstructive, clinical article, forced expiratory volume, randomized controlled trial, forced vital capacity, six-minute walk test, depression, technology, telerehabilitation, breathing exercise, Covid-19, dyspnea, functional status, hospital patient, and physical activity, respectively. The second cluster consisted of procedure and exercise therapy, and the last cluster consisted of exercise tolerance, lung, treatment outcome, health program, and convalescence. Finally, trend research topics were presented in virtual reality, male, female, aged, chronic obstructive lung disease, human, exercise, quality of life, and middle-aged, respectively, in 2023. Conclusion: Therefore, the contribution from data analysis in this article can identify th
背景:虚拟现实(VR)是一种新的创新技术,它可以加强干预,并应促进康复的有效性,但目前缺乏有关集群和主题研究趋势的科学证据,尤其是有关 VR 和肺康复(PR)的研究。有关网络集群和趋势的更多证据将鼓励未来的研究。研究目的本研究旨在从 SCOPUS 数据库的研究文章中探索、识别、聚类并预测分析 VR 和 PR 的研究趋势。材料与方法:本研究以 "虚拟现实 "和 "肺康复 "为检索词,从 SCOPUS 数据库中 2013-2023 年间发表的特定英文研究文章中提取。使用 RStudio 软件进行文献计量和可视化分析。在文献计量学工具的分析过程中,使用 Salton's Cosine 进行归一化处理,并使用 Walktrap 算法通过趋势主题进行网络聚类,然后使用网络聚类映射、Treemap 和 KamadaKawai 布局算法趋势主题线进行具体的可视化分析。研究结果在 2010 年至 2023 年间发表的 1,396 篇有关 "VR "的文章中,2013 年至 2023 年间发表了 13 篇有关 "VR 与公关 "的研究文章。13 篇文章的文献计量结果显示,虚拟现实(20,7%)、男性(16,6%)、女性(15,5%)、老年(12,4%)、慢性阻塞性肺病(12,4%)、运动(11,4%)、人类(10,4%)、人类(10,4%)、中年(10,4%)之间共有 36 个子学科相关网络、生活质量 (10,4%)、文章 (9,3%)、肺康复 (9,3%)、对照研究 (8,3%)、成人 (6,2%)、慢性阻塞性 (6,2%)、临床文章 (6,2%)、强迫呼气量 (6,2%)、肺病 (6,2%)、随机对照试验 (6,2%) 和强迫生命容量 (5,2%)等。,分别为经过归一化处理和因子分析聚类评估后,报告了三个网络集群。第一个聚类分别由虚拟现实、男性、女性、老年、慢性阻塞性肺病、运动、人类、人类、中年、生活质量、文章、肺康复、对照研究、成人、慢性阻塞性、临床文章、强迫呼气量、随机对照试验、强迫生命容量、六分钟步行测试、抑郁、技术、远程康复、呼吸运动、Covid-19、呼吸困难、功能状态、医院患者和体育活动组成。第二组包括程序和运动疗法,最后一组包括运动耐量、肺、治疗效果、健康计划和康复。最后,在虚拟现实、男性、女性、老年、慢性阻塞性肺病、人类、运动、生活质量和中年等方面分别提出了 2023 年的趋势性研究课题。研究结论因此,本文的数据分析有助于确定未来研究中虚拟现实、慢性阻塞性肺病、老年参与者、运动和生活质量的聚类和趋势主题。
{"title":"Updated research trend and clustering algorithm on virtual reality and pulmonary rehabilitation: Scopus-based bibliometric and visual analysis","authors":"J. Leelarungrayub, Pongkorn Chantaraj, Supattanawaree Thipcharoen, Jutamat Jintana","doi":"10.12982/jams.2024.040","DOIUrl":"https://doi.org/10.12982/jams.2024.040","url":null,"abstract":"Background: Virtual reality (VR) is a new innovative technology that can enhance intervention and should promote the effectiveness of rehabilitation, but there is a lack of scientific evidence on the clustering and topic research trend, especially on VR and pulmonary rehabilitation (PR). More evidence about network clusters and trends will encourage the research in the future. Objective: This study aimed to explore, identify, cluster, and forecast analysis for the research trend of VR and PR from the research articles on the SCOPUS database. Materials and methods: In this study, the search terms “virtual reality” AND “pulmonary rehabilitation” were extracted from specific English research articles published on the SCOPUS database between 2013-2023. RStudio software was used to perform bibliometric and visual analysis. During the analysis in the bibliometric tool, the normalization process with Salton’s Cosine and network clustering via trend topic with the Walktrap algorithm was analyzed before specific visualization with the network clustering mapping, Treemap, and trend topic line by KamadaKawai layout algorithm. Results: From the 1,396 articles on “VR” published between 2010 and 2023, there were 13 research articles on “VR AND PR” published between 2013 and 2023. The bibliometric result from 13 articles showed total of 36 subdisciplines correlated networks among virtual reality (20, 7%), male (16, 6%), female (15, 5%), aged (12, 4%), chronic obstructive lung disease (12, 4%), exercise (11, 4%), human (10, 4%), humans (10, 4%), middle-aged (10, 4%), quality of life (10, 4%), article (9, 3%), pulmonary rehabilitation (9, 3%), controlled study (8, 3%), adult (6, 2%), chronic obstructive (6, 2%), clinical article (6, 2%), forced expiratory volume (6, 2%), pulmonary disease (6, 2%), randomized controlled trial (6, 2%), and forced vital capacity (5, 2%), etc., respectively. Three network clusters were reported after the normalization process and clustering evaluation by factorial analysis. The first cluster was composed of virtual reality, male, female, aged, chronic obstructive lung disease, exercise, human, humans, middle-aged, quality of life, article, pulmonary rehabilitation, controlled study, adult, chronic obstructive, clinical article, forced expiratory volume, randomized controlled trial, forced vital capacity, six-minute walk test, depression, technology, telerehabilitation, breathing exercise, Covid-19, dyspnea, functional status, hospital patient, and physical activity, respectively. The second cluster consisted of procedure and exercise therapy, and the last cluster consisted of exercise tolerance, lung, treatment outcome, health program, and convalescence. Finally, trend research topics were presented in virtual reality, male, female, aged, chronic obstructive lung disease, human, exercise, quality of life, and middle-aged, respectively, in 2023. Conclusion: Therefore, the contribution from data analysis in this article can identify th","PeriodicalId":298884,"journal":{"name":"Journal of Associated Medical Sciences","volume":"11 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141014508","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 Associated Medical Sciences
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1