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A Review on Alzheimer’s disease and mesenchymal stem cell therapy 阿尔茨海默病与间充质干细胞治疗进展
Pub Date : 2022-09-03 DOI: 10.32593/jstmu/vol5.iss1.190
Aman Ullah, Saad Hanif Abbasi, Ismail Badshah, K. Latif, Abdul Mateen, Adnan Aslam, N. Rehman, Mansoor Anwar, Ahmed Bhutta, Muhammad Imran Khan
Alzheimer's disease (AD) is a progressive neurological ailment that manifests as difficulties in completing everyday activities, disorientation, and memory loss. Several innovative drug therapies have failed in clinical trials because they cannot stop or encourage the regeneration of injured brain cells. Furthermore, many medications only give symptomatic alleviation. As a result, a better knowledge of stem cell therapy's process might lead to new and effective treatments for this severe disease. Recent preclinical evidence suggests that stem cells can be used to treat or model AD. The mechanisms of stem cell based therapies for AD include stem cell mediated neuroprotection and trophic actions, antiamyloidogenesis, beneficial immune modulation, and the replacement of the lost neurons. This study examined the present status of many Mesenchymal stem cell-based therapeutics in AD pathogenesis. Furthermore, we have emphasized current clinical research that may be useful in treating Alzheimer's disease. 
阿尔茨海默病(AD)是一种进行性神经系统疾病,表现为完成日常活动困难、定向障碍和记忆丧失。一些创新的药物疗法在临床试验中失败了,因为它们不能阻止或促进受伤脑细胞的再生。此外,许多药物只能缓解症状。因此,更好地了解干细胞治疗的过程可能会为这种严重疾病带来新的有效治疗方法。最近的临床前证据表明,干细胞可用于治疗或模拟阿尔茨海默病。干细胞治疗AD的机制包括干细胞介导的神经保护和营养作用、抗淀粉样蛋白形成、有益的免疫调节和丢失神经元的替代。本研究考察了许多间充质干细胞治疗阿尔茨海默病发病机制的现状。此外,我们强调了目前可能对治疗阿尔茨海默病有用的临床研究。
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引用次数: 1
Physician’s satisfaction with clinical laboratory services of District Headquarter hospitals of Azad Jammu & Kashmir 查谟和克什米尔地区总部医院医师对临床检验服务的满意度
Pub Date : 2022-09-03 DOI: 10.32593/jstmu/vol5.iss1.192
Bilal Khalid, Fareeha Ayyub, Anila Rehman, Ume Sughra, Khizar Nabeel
Introduction: For proper patient management, clinical services and physician decisions are heavily reliant on laboratory test results. As a result, physician satisfaction with laboratory services is a critical indicator of service quality, emphasizing the importance of improving laboratory services to benefit patients. Objectives:  To determine physician satisfaction and factors affecting physician satisfaction with laboratory services in Azad Jammu & Kashmir (AJK). Methodology: Data were collected in all the seven DHQs of AJK over three months.  Data was collected through a structured questionnaire from (N=202) physicians using a non-probability convenient sampling technique. Chi-Square tests were used to determine the factors which showed a statistically significant relationship with outcome. Results: A total (N=202) of respondents included in the study with an overall mean score of physician’s satisfaction with clinical lab services was 38 ± 9.6 ranging from a minimum score of satisfaction 22 to a maximum of 56. A statistically significant association was found between the age of the Physicians, area of residence, and their level of education with a satisfaction level of lab services with the p-value= 0.013, 0.013, and 0.001respectively. Conclusion: It is concluded that physician satisfaction with laboratory services in public hospitals of AJK was very low, more than 50% of the patients showed dissatisfaction with the services. The main factors which affect the overall satisfaction of physicians with laboratory services were the absence of the assistance handbook, laboratory request form, and turnover time of the reports.
对于适当的患者管理,临床服务和医生的决定在很大程度上依赖于实验室检测结果。因此,医生对实验室服务的满意度是服务质量的关键指标,强调了改善实验室服务以造福患者的重要性。目的:了解阿扎德查谟和克什米尔(AJK)地区医师对实验室服务的满意度及其影响因素。方法:在AJK所有7个dhq中收集数据,时间超过3个月。采用非概率方便抽样技术,通过结构化问卷从(N=202)名医生中收集数据。卡方检验用于确定与结果有统计学意义相关的因素。结果:共有202名受访医生(N=202)对临床实验室服务的总体平均满意度为38±9.6分,最低满意度为22分,最高满意度为56分。医师年龄、居住地区、受教育程度与实验室服务满意度之间存在显著相关,p值分别为0.013、0.013、0.001。结论:AJK公立医院医师对化验服务的满意度很低,超过50%的患者对化验服务不满意。影响医生对实验室服务总体满意度的主要因素是缺少辅助手册、实验室申请单和报告的周转时间。
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引用次数: 0
Role of educational institutions in promoting medical research and publications in Pakistan 巴基斯坦教育机构在促进医学研究和出版方面的作用
Pub Date : 2022-09-03 DOI: 10.32593/jstmu/vol5.iss1.197
Muhammad Aslam
There are several types of journalism like political journalism, crime journalism, business journalism, arts journalism, celebrity journalism, sports journalism, education journalism and so-forth. There is a dire need to nurture medical journalism in Pakistan. A science journalist reports news and other information about science to the general public. This involves consisting new searches, new discoveries and relevant findings, interviews with expert scientists and researchers. It conveys the information and ways that a non-specialist audience can understand.
新闻有几种类型,如政治新闻、犯罪新闻、商业新闻、艺术新闻、名人新闻、体育新闻、教育新闻等等。巴基斯坦迫切需要培养医学新闻。科学记者向公众报道有关科学的新闻和其他信息。这包括新搜索、新发现和相关发现,以及对专家科学家和研究人员的采访。它传达了非专业观众也能理解的信息和方式。
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引用次数: 0
Critical thinking dispositions’ level among neophyte nursing students 护生批判性思维倾向水平的研究
Pub Date : 2021-12-28 DOI: 10.32593/jstmu/vol4.iss2.136
Huma Rubab, A. Pienaar, Khauhelo Succes Mahalatsi, A. Hussain, R. Gul
Introduction: Critical thinking dispositions (CTD) are valued across the health professions disciplines being essential for decision-making, critical judgment and managing complex health situations. Promoting critical-thinking dispositions in undergraduate nursing students can support the students to utilize critical thinking during challenging patient care and problem-solving situations. Objective: This study aimed to assess the level of critical thinking disposition among neophyte nursing students in a private nursing college. Methodology: An analytical cross-sectional study design was adopted. Neophyte students (n=98) of the BSN program participated in the study. Critical Thinking Dispositions Scale (CTDS) of 54 items under seven constructs was utilized to assess CTD level. Data was analyzed at descriptive and inferential level using SPSS 23.0 version.  Results: Overall, CTD among neophytes nursing students is at 75% a progressive level. Contextual and inquisitiveness construct of CTDs are at positive CTD level while other constructs are at the progressive level. Students have completed their matriculation from public 55(56.1%) while FSc (Faculty of Science) from private sector 57(58.2%). Mothers of most neophytes 73(74.5%) were housewives and fathers were working in private organization 32(32.7%). There was no statistically significant association between CTD’s construct with demographic variables (P-Value, >0.05). FSc marks showed a significant association with overall CTD scores, intellectual and inquisitiveness, while admission entry test scores associate significantly with intellectual construct. Conclusion: The CTD level of neophyte is at a progressive level which suggest that different teaching and learning strategies could be implemented to improve this level. 
导论:批判性思维能力(CTD)在卫生专业学科中受到重视,对决策、批判性判断和管理复杂的卫生状况至关重要。促进本科护理学生的批判性思维倾向可以支持学生在具有挑战性的病人护理和解决问题的情况下利用批判性思维。目的:了解某私立护理学院护生的批判性思维倾向水平。方法:采用分析性横断面研究设计。BSN项目的新生(n=98)参与了研究。采用批判性思维倾向量表(Critical Thinking disposition Scale, CTDS) 7个构式共54个题项评估CTDS水平。数据采用SPSS 23.0进行描述性和推断性分析。结果:总体而言,护理专业新生的CTD水平为75%。语境构念和好奇构念处于积极构念水平,其他构念处于递进构念水平。公立学院的学生有55人(56.1%),私立学院的学生有57人(58.2%)。大多数新生儿的母亲73人(74.5%)是家庭主妇,父亲32人(32.7%)在私营机构工作。CTD结构与人口统计学变量之间无统计学意义(p值,0.05)。FSc分数与CTD总分、智力和好奇心显著相关,而入学考试分数与智力结构显著相关。结论:新手的CTD水平处于进步性水平,可采取不同的教学策略提高CTD水平。
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引用次数: 2
Current landscape of pharmacovigilance in Pakistan 巴基斯坦目前的药物警戒状况
Pub Date : 2021-12-28 DOI: 10.32593/jstmu/vol4.iss2.175
Zaira Zulfiqar
Drug Regularity Authority of Pakistan came into being in 2012 after multiple casualties were reported due to dispensation of counterfeit & adulterated drugs. The primary purpose was to address any quality & efficacy issues related to medicines and encourage healthcare professionals to play their role in provision of safe medication therapy by practicing pharmacovigilance. Currently, a Medicine Surveillance portal for reporting is available for ADR reporting along with ADR and Drug & Device complaint forms. A new mobile app, MedSafety was recently launched to encourage public to report.
巴基斯坦药品监管局成立于2012年,此前有报道称,由于假药和掺假药品的分发,造成了多起伤亡。主要目的是解决与药物有关的任何质量和疗效问题,并鼓励卫生保健专业人员通过实行药物警戒,在提供安全药物治疗方面发挥作用。目前,药物监测门户网站可用于ADR报告以及ADR和药品和器械投诉表格。最近推出了一款新的移动应用程序MedSafety,以鼓励公众举报。
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引用次数: 0
Spike protein of SARS-COV-2 as a potential target for phytochemical constituents: A literature review SARS-COV-2刺突蛋白作为植物化学成分的潜在靶点:文献综述
Pub Date : 2021-12-28 DOI: 10.32593/jstmu/vol4.iss2.169
Maira Ahmad, Sehrish Rashid, T. Ahmad
SARS-CoV-2 belongs to well-known SARS Coronaviridae family. One of the main structural proteins of SARS-CoV-2 is the spike protein that is present around the surface of a viral cell and plays an essential role in viral attachment, fusion and invasion in host cell. Once a virus invades a cell, it replicates and infects other cells. The fundamental role of spike protein in the progression of viral infection has led to an increased interest in exploring agents that target the viral spike protein for effective control of CoVID-19. The related data from published articles reviewed and numerous phytochemicals that reportedly target the spike proteins of coronaviruses by computational studies briefly discussed. These active constituents possess the potential to develop as therapeutic and antiviral agents against SARS-CoV-2.
SARS- cov -2属于众所周知的SARS冠状病毒科。SARS-CoV-2的主要结构蛋白之一是刺突蛋白,它存在于病毒细胞表面周围,在病毒附着、融合和侵入宿主细胞中起重要作用。一旦病毒侵入一个细胞,它就会复制并感染其他细胞。刺突蛋白在病毒感染进展中的基本作用,使人们对探索靶向病毒刺突蛋白的药物以有效控制CoVID-19的兴趣增加。简要讨论了来自已发表文章的相关数据以及据报道通过计算研究靶向冠状病毒刺突蛋白的许多植物化学物质。这些活性成分具有发展成为SARS-CoV-2治疗和抗病毒药物的潜力。
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引用次数: 0
Family caregivers’ expectations and needs in Critical Care Units 重症监护病房家庭照顾者的期望和需求
Pub Date : 2021-12-28 DOI: 10.32593/jstmu/vol4.iss2.144
Asma Khalil, R. Gul
Introduction: Patient admission into the critical care unit is usually an unpleasant and unexpected life experience for the family members, and unusual for family members to cope with stress and anxiety during their hospital stay.  Purpose: This study aimed to explore the expectations and needs of family members of the patients in critical care units at two tertiary care hospitals in Islamabad. Methodology: An exploratory descriptive design was used to address the study questions. Using purposive sampling, 14 family members were individually interviewed through a semi- structured interview guide. A conventional content analysis method was used to analyze the data through which categories and sub-categories were identified. Findings: The data analysis revealed three roles of the family members, which included assistance in physical care, facilitator in the provision of treatment and the decision maker. The participants expressed that their needs for information and assurance were being met to some extent; however, their need for support and comfort were not. Although the physical facilities for meeting the comfort were available in private hospital, it did not match the family members’ expectations. Conclusion: This study revealed that despite some similarities in the role and needs, the expectations and satisfaction of the family members is linked to their awareness of the healthcare system as well as the cost of the obtained services. The suggestions of the family members are implementable to improve their experiences and satisfaction in critical care units, which can enable them to perform their roles better. 
患者入住重症监护病房对其家庭成员来说通常是一种不愉快和意想不到的生活经历,家庭成员在住院期间应对压力和焦虑是不寻常的。目的:本研究旨在探讨伊斯兰堡两所三级医院重症监护病房患者家属的期望和需求。方法:采用探索性描述性设计来解决研究问题。采用目的性抽样,通过半结构化访谈指南对14名家庭成员进行了单独访谈。采用常规的内容分析方法对数据进行分析,从而确定类别和子类别。结果:数据分析揭示了家庭成员的三个角色,包括身体护理的协助,提供治疗的促进者和决策者。与会者表示,他们对资料和保证的需要在某种程度上得到了满足;然而,他们对支持和安慰的需求却没有。虽然私立医院有满足舒适的物理设施,但与家属的期望不符。结论:本研究表明,尽管在角色和需求上有一些相似之处,但家庭成员的期望和满意度与他们对医疗保健系统的认识以及获得服务的成本有关。家庭成员的建议是可执行的,可以提高他们在重症监护病房的体验和满意度,使他们更好地履行自己的角色。
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引用次数: 0
The correlation and determinants of cost-benefit analysis of measles vaccines among the medical centers providing Expanded Program on Immunization (EPI) 提供扩大免疫计划(EPI)的医疗中心麻疹疫苗成本效益分析的相关性和决定因素
Pub Date : 2021-12-28 DOI: 10.32593/jstmu/vol4.iss2.167
Mehak Nimra, Hamza Irshad, Muhammad Murtaza Hasnain, Sheikh Muhammad Ishaque
Introduction: Measles is a highly contagious viral infection, vaccine-preventable diseases claim the lives of nearly 30 million people each year around the world, including 17% of children under the age of 5. Methodology: This was a descriptive and cross-sectional investigation. Retrospective data collection was used. We looked at medical centers that provided EPI administrations. Results: Around 8% of the youngsters in the study were found to have measles, according to the health center's records. There are an undetermined number of measles-infected children. Only 12% of those surveyed had received the measles vaccine, and the vast majority (88%) had never received the shot. According to statistical analysis, the study's r square value is r=0.35, which is considered to be an intermediate direct relationship (Wastage of vaccine and total cost). It illustrates that if there is no system of checks and balances on vaccine waste, it could have an impact on the overall cost of the vaccination. Vaccines wastage shows a positive association with Dose wastage x2= 438.8 (p-value 0.002). the breakage of vaccine vial x2 = 369.6 (p-value 0.015), expiration of vaccines x2 = 1068 (p-value 0.006), cold chain maintenance x2 = 79.99 (p-value 0.014) & inventory missing was x2 646.9 (p-value 0.004) showed statistical significance. Conclusion: The elimination of any disease would be contributed by the parallel factors one of that includes also financial state. In less time and cost we can vaccinate the number of children and can achieve universal coverage of immunization.
麻疹是一种高度传染性的病毒感染,疫苗可预防的疾病每年夺去全世界近3000万人的生命,其中包括17%的5岁以下儿童。方法:这是一项描述性和横断面调查。采用回顾性资料收集。我们考察了提供EPI管理的医疗中心。结果:根据健康中心的记录,研究中约有8%的年轻人被发现患有麻疹。感染麻疹的儿童人数尚未确定。只有12%的受访者接种了麻疹疫苗,绝大多数(88%)从未接种过疫苗。经统计分析,本研究的r平方值为r=0.35,认为是中间直接关系(疫苗浪费与总成本)。它表明,如果没有对疫苗浪费进行制衡的制度,就可能对疫苗接种的总体成本产生影响。疫苗浪费与剂量浪费呈正相关,x2= 438.8 (p值0.002)。疫苗瓶破损x2 = 369.6 (p值0.015),疫苗过期x2 = 1068 (p值0.006),冷链维护x2 = 79.99 (p值0.014),库存缺失x2 = 646.9 (p值0.004),均有统计学意义。结论:任何一种疾病的消除都是由平行因素促成的,其中一个因素也包括经济状况。我们可以用更少的时间和成本为许多儿童接种疫苗,并实现免疫接种的普遍覆盖。
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引用次数: 0
Effect of sleep quality on academic performance of undergraduate University level students 睡眠质量对大学生学业成绩的影响
Pub Date : 2021-12-28 DOI: 10.32593/jstmu/vol4.iss2.155
Urooj Rafi, Saira Jahan, W. Qazi, Summyia Siddique, Nadia Bukhari
Introduction: emory processing and learning are enhanced by adequate, high-quality sleep of the appropriate duration. It aids memory processing, executive cognitive functioning and concentration. Academic performance of university students suffers as a result of poorer sleep quality. Objectives: To determine the effect of sleep quality on academic performance of undergraduate university level students. Methodology: This is analytical cross-sectional study and non-probability purposive sampling technique was used. The study population comprised a total 300 students, out of which 50 students were not completed the questionnaire. A total of 250 students, 113 male and 137 female students were participated in this study. A structured questionnaire was circulated among bachelor-level students of different universities in blinded from August 2018 to December 2018.  The questionnaire was based on Pittsburgh Sleep Quality Index along with other relevant data about the students’ age, gender, and discipline of study, respective semester and grades (CGPA or percentage total). The data obtained was analyzed using SPSS 21. Results: Majority of the students had moderately poor sleep quality (Global PSQI score=5). The 17.6% of subjects scored 5 in PSQI and 14.8% of subjects scored 6 in PSQI. However, the students who scored high CGPA (>3.5) had better sleep quality as compared to those who got CGPA <3.5. Conclusion: Majority of the students having poor sleep quality and their grades might be affected. Furthermore, the students who attaining good CGPA (>3.5) had on an average good sleep quality.
引言:记忆处理和学习是通过适当持续时间的充足、高质量的睡眠来增强的。它有助于记忆处理、执行认知功能和注意力集中。睡眠质量差会影响大学生的学习成绩。目的:探讨睡眠质量对大学生学习成绩的影响。方法:本研究为分析性横断面研究,采用非概率目的抽样技术。研究人群共有300名学生,其中有50名学生没有完成问卷。共有250名学生参与本研究,其中男113名,女137名。2018年8月至2018年12月,采用盲法对不同高校本科学生进行结构化问卷调查。问卷基于匹兹堡睡眠质量指数以及其他有关学生年龄、性别、学习学科、各自学期和成绩(CGPA或总百分比)的相关数据。所得数据采用SPSS 21进行分析。结果:绝大多数学生睡眠质量为中差(PSQI总分为5分)。17.6%的受试者PSQI得分为5分,14.8%的受试者PSQI得分为6分。然而,与CGPA为3.5的学生相比,CGPA为3.5的学生睡眠质量更好,平均睡眠质量较好。
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引用次数: 0
Role of defensins in innate immunity 防御素在先天免疫中的作用
Pub Date : 2021-12-28 DOI: 10.32593/jstmu/vol4.iss2.159
Atteqa Safdar, Sara Iftikhar, G. Zahid
Immune system of living organisms ranging from fungi, plants, vertebrates and invertebrates are all aided by polypeptide chains like defensins and cathelicidins. In humans the defensisns are quite fundamental part of innate immune system in combating with day-to-day exposure to unknown pathogens. The defensins are classified as alpha beta and sigma defensins expressed at chromosome 8 at nearly same positions, the sigma defensin is however synthetically developed as reterocyclin, as it has been stopped producing because of evolutionary development of stop codon 7.5 million years ago. The expression of Defensins can be either constitutive or inducible through epithelial cells, Paneth cells or other respective immune cells to regulate the activation of the innate immune responses. These impart their role either by direct microbicidal action, antiviral activity, inactivation or neutralization of microbial products, mobilization or activation of phagocytes and mast cells. Further to this there is lot more to explore about the availability of similar genetic expressions as defensins with unclear functions and in vivo experimental models development.
包括真菌、植物、脊椎动物和无脊椎动物在内的生物体的免疫系统都是由防御素和抗菌素等多肽链辅助的。在人类中,防御是先天免疫系统的基本组成部分,用于对抗日常接触的未知病原体。防御素分为α - β和sigma防御素,它们在8号染色体上表达的位置几乎相同,但由于750万年前停止密码子的进化发展,sigma防御素已经停止产生,因此被合成为退环素。防御素可以通过上皮细胞、Paneth细胞或其他相应的免疫细胞组成或诱导表达,以调节先天免疫反应的激活。这些作用通过直接的杀微生物作用、抗病毒活性、微生物产物的失活或中和、吞噬细胞和肥大细胞的动员或激活来实现。除此之外,关于功能不明确的防御素的类似基因表达的可用性和体内实验模型的开发还有很多需要探索的地方。
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引用次数: 0
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Journal of Shifa Tameer-e-Millat University
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