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The spiritual and mental health assessment of social workers working for Internally Displaced Persons during Covid-19 in Myanmar 缅甸国内流离失所者社会工作者在2019冠状病毒病期间的精神和心理健康评估
Saw Ye Win Thu, Hsiu-Ching Chen
This study applies the spiritual assessment viewpoint toanalyze the responses of participants who are working for InternallyDisplaced Persons (IDPs) in Kachin and Northern Shan State,Myanmar. It was an online survey of workers' work experience in April2022. The analysis applies a quantitative research method to explorethe spirituality of social workers who are working in conflict-affectedareas where works are stressful, and the guarantee of security isuncertain. To analyze participants’ spirituality, in quantitative method,the form of the Spirituality Assessment of Worker Working for IDPs(SASSIDPs) is designed as three dimensions of SASSIDPs: Healthyself-awareness (HSA), healthy relationship (HR), and healthy feeling(HF). The results are conducted with the Social Science StatisticsSoftware (SPSS) 22.0 for the statistical analysis. Most of theparticipants are female (66%) and 34% are male. The results of in threedimensions of the SASSIDPs are different from their socialcharacteristics: in gender, males and females are significantly differentin HF of SASSIDPs (t=-3.21**), female is higher than male; in termsof religion/faith, group of “Christianity” is significantly different fromthe group of “non-Christian” in HF(t=-2.833**), and “non-Christianity”group gets higher agree than “Christianity” group; in term of workingyears, people who have been working below 2 years has significantlydifferent from 3 years above in HSA (t=2.918**); in term of age, thereis no difference among the different age groups.
本研究运用精神评估的观点,分析在缅甸克钦邦和掸邦北部为国内流离失所者(IDPs)工作的参与者的反应。这是在2022年4月对劳动者的工作经历进行的在线调查。本研究采用定量研究的方法,探讨在冲突地区工作的社会工作者在工作压力大、安全保障不确定的情况下的精神性。为了分析被试的精神状态,采用定量方法设计了《为国内流离失所者工作的工作者精神状态评估》(SASSIDPs)量表,分为健康自我意识(HSA)、健康关系(HR)和健康感觉(HF)三个维度。结果采用社会科学统计软件(SPSS) 22.0进行统计分析。大多数参与者是女性(66%),34%是男性。sassidp的三个维度的结果与其社会特征不同:在性别上,男性和女性的sassidp HF差异显著(t=-3.21**),女性高于男性;在宗教/信仰方面,“基督教”组与“非基督教”组在HF上存在显著差异(t=-2.833**),“非基督教”组的认同度高于“基督教”组;在工作年限方面,HSA中工作年限在2年以下的人与工作年限在3年以上的人有显著差异(t=2.918**);就年龄而言,不同年龄组之间没有差异。
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引用次数: 0
The role of common bile duct exploration with biliary drainage in choledocholithiasis during pregnancy 妊娠期胆总管探查与胆道引流在胆总管结石中的作用
Gadang Ryan Dewantoro, Putra Gelar Parlindungan
Pregnancy is a risk factor for gallstone disease and may evolve into symptomatic choledocholithiasis/ common bile duct (CBD) stone; however, the treatment of choice is controversial and may not apply to all gestational ages. Standard therapy with endoscopic retrograde cholangiopancreatography (ERCP) exposes the patient and fetus to ionizing radiation; hence other strategies are needed to address this problem. We report a case of 29 years old female presented with biliary pain and jaundice. The patient was pregnant at 14 weeks gestation age. Laboratory data showed biliary obstruction, and abdominal ultrasound showed multiple bile duct stones with significant dilatation in the CBD. CBD exploration with external biliary drainage was performed to treat obstructive jaundice while avoiding ionizing radiation exposure to the fetus and patient. After the procedure, the patient showed clinical improvement. CBD exploration with external biliary drainage avoids ionizing radiation in choledocholithiasis management. This method may be applied as a temporary emergent treatment of obstructive jaundice in pregnant patients with gestational age sensitive to ionizing radiation.
妊娠是胆结石疾病的危险因素,可能演变为症状性胆总管结石/胆总管结石;然而,选择的治疗是有争议的,可能并不适用于所有胎龄。内镜逆行胆管造影(ERCP)的标准治疗使患者和胎儿暴露于电离辐射;因此,需要其他策略来解决这个问题。我们报告一例29岁的女性表现为胆道疼痛和黄疸。患者妊娠14周。实验室数据显示胆道梗阻,腹部超声显示CBD有明显扩张的多发胆管结石。在避免电离辐射暴露于胎儿和患者的同时,采用胆外引流的CBD探查治疗梗阻性黄疸。术后患者临床表现明显改善。胆道外引流CBD探查可避免电离辐射治疗胆总管结石。本方法可作为对电离辐射敏感的妊娠期梗阻性黄疸的临时紧急治疗。
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引用次数: 0
The influence of the quality of Tuberculosis services with adherence to taking Anti-tuberculosis drugs 坚持服用抗结核药物对结核病服务质量的影响
Ridhona Fajar Sari, M. Martini, M. Raharjo
Indonesia was the second world's highest TB case in 2021. Tuberculosis therapy that takes a long time can cause patients to drop out of treatment. Hospitals conduct quality evaluations regularly and improve the quality of health service personnel to realize excellent health services. This literature review aims to determine the effect of the quality of tuberculosis services on patient compliance with anti-tuberculosis drugs. This literature review was written using a systematic approach. The databases used were Google Scholar, Science Direct, Proquest, and Scopus. The total number of articles obtained was 8 out of 64 based on inclusion criteria. The things that affect the regularity of taking medication based on the eight journal articles above are as follows: 1) the assurance dimension is 50%, 2) the dimensions of empathy and reliability amounted to  37.5%, 3) the responsiveness dimension is 25%, 4) patient satisfaction, direct evidence and service quality amounted to 12.5%. Adherence to taking medication is influenced by: 1) the presence of supporters of taking medication, 2) difficulty taking the medication regularly, (3) perceived benefits of taking anti-tuberculosis drugs, and 4) self-perception related to healing. The dimensions of assurance, empathy, and reliability have the most influence on the regularity of taking anti-tuberculosis drugs.
印度尼西亚是2021年世界上结核病病例第二高的国家。结核病治疗需要很长时间,可能会导致患者退出治疗。医院定期开展质量评价,提高卫生服务人员素质,实现优质卫生服务。本文献综述旨在确定结核病服务质量对患者抗结核药物依从性的影响。这篇文献综述是用系统的方法写的。使用的数据库是Google Scholar、Science Direct、Proquest和Scopus。根据纳入标准,获得的文章总数为64篇中的8篇。根据上述8篇期刊文章,影响服药规律的因素如下:1)保证维度为50%,2)共情和可靠性维度为37.5%,3)响应性维度为25%,4)患者满意度、直接证据和服务质量维度为12.5%。影响服药依从性的因素有:1)是否有支持服药的人;2)是否有规律服药的困难;(3)服用抗结核药物的益处;以及4)与康复相关的自我认知。确信度、共情度和可靠性维度对抗结核药物服用规律的影响最大。
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引用次数: 0
The differences of parasitemia in Plasmodium berghei infected mice treated with extract of mango parasite leaves with Artemisinin combination 芒果寄生叶提取物与青蒿素联合治疗伯氏疟原虫感染小鼠的寄生虫血症差异
Muhammad Zulkifly Tasman, H. Arwati, Nurina Hasanatuludhhiyah, Puspa Wardhani
Malaria is a disease transmitted through the bite of a female Anopheles mosquito caused by the Plasmodium parasite. Plasmodium has been reported to become resistant to artemisinin. Thus, the study on the ethanol extract of mango parasite leaves/Dendrophthoe pentandra (MP) on P. berghei-infected BALB/c mice with and without artemisinin combination (MP+A) was conducted. This study is experimental laboratory research with a post-test only design. The percent parasitemia in mice treated with ethanol extract of MP and MP+A leaves decreased. There was no difference in the spleen index in mice given ethanol extract of MP, and MP+A leaves with p = 0.203 and the spleen weight of mice with p = 0.134 (significance: p <0.005). Pearson Correlation test showed a correlation between spleen index with parasitemia and spleen weight with parasitemia; however, there was no correlation between body weight and parasitemia. The ethanol extracts of MP and MP+A leaves had significant antimalarial activity, and the difference in the percent parasitemia between groups was significant but not so far. The spleen index value was not affected by the ethanol extract of MP and MP+A leaves, but the percent parasitemia was affected.
疟疾是一种通过雌性按蚊叮咬传播的疾病,由疟原虫引起。据报道,疟原虫已对青蒿素产生耐药性。因此,本研究对芒果寄生叶/五andra (Dendrophthoe, MP)乙醇提取物对柏氏疟原虫(P. berghei)感染BALB/c小鼠进行了青蒿素联合(MP+A)和不联合(MP+A)的研究。本研究为实验实验室研究,仅采用后测设计。MP和MP+A叶乙醇提取物处理小鼠的寄生虫率降低。MP+A叶乙醇提取物对小鼠脾脏指数无显著影响(p = 0.203),对小鼠脾脏重量无显著影响(p = 0.134)(意义:p <0.005)。Pearson相关检验显示,脾脏指数与寄生虫病呈相关性,脾脏重量与寄生虫病呈相关性;然而,体重与寄生虫病之间没有相关性。MP和MP+A叶乙醇提取物具有显著的抗疟活性,各组间的寄生率差异不显著。MP和MP+A叶乙醇提取物对脾脏指数值没有影响,但对寄生率有影响。
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引用次数: 0
Association between the degree of Osteoarthritis and pain level of patients at Baptist Hospital, Batu City 巴图市浸信会医院骨关节炎程度与患者疼痛程度的关系
Panji Sananta, Ha M Hansel, D. Widasmara, Eka Noviya Fuzianingsih
Osteoarthritis is a chronic disease characterized by the destruction of cartilage in the joints, causing stiffness, pain, and impaired movement. The condition most commonly affects the joints of the knees, hands, feet, spine, and often the shoulders and hips. Knee osteoarthritis is a major public health problem that causes chronic pain and reduces physical function and quality of life. This study determined the relationship between the degree of Osteoarthritis and the pain level in patients at Baptist Hospital, Batu City. This research used a cross-sectional study with 31 respondents. Data collection was conducted directly using the WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) questionnaire, modified in Indonesian. To determine the grade of Osteoarthritis using the Kellgren-Lawrence system. The results showed that out of 31 respondents, there were nine patients (29%) who had grade 1 osteoarthritis, 12 patients (38.7%) had grade 2, and 10 patients (32.3%) had grade 3. There were 22 patients (71%) who had a mild pain level, four patients (13%) had a moderate level, and five patients (16%) had a severe pain level. The Spearman correlation test showed no significant relationship (p>0.05) between the degree of Osteoarthritis and the level of pain in patients. This study concludes that there was no relationship between the increasing degree of Osteoarthritis and the level of pain.
骨关节炎是一种慢性疾病,其特征是关节软骨的破坏,引起僵硬、疼痛和运动障碍。这种情况最常影响膝盖、手、脚、脊柱的关节,通常还会影响肩膀和臀部。膝骨关节炎是一种主要的公共健康问题,它会引起慢性疼痛,降低身体功能和生活质量。本研究确定骨关节炎的程度和疼痛程度之间的关系,浸信会医院,巴图市。这项研究采用了一项有31名受访者的横断面研究。数据收集直接使用WOMAC(安大略省西部和麦克马斯特大学骨关节炎指数)问卷进行,并以印尼语修改。使用kelgren - lawrence系统确定骨关节炎的分级。结果显示,在31名应答者中,有9名患者(29%)为1级骨关节炎,12名患者(38.7%)为2级,10名患者(32.3%)为3级。22例患者(71%)为轻度疼痛,4例患者(13%)为中度疼痛,5例患者(16%)为重度疼痛。Spearman相关检验显示骨关节炎程度与患者疼痛程度无显著相关(p>0.05)。这项研究的结论是骨关节炎的加重程度和疼痛程度之间没有关系。
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引用次数: 0
A successfully treated Basal Cell Carcinoma using elliptical excision surgery 一个成功治疗基底细胞癌的椭圆切除手术
I. Citrashanty, Hamidah Luthfidyaningrum, Evy Ervianti, B. H. Kusumaputra, Maylita Sari, M. Listiawan, Yoana Fransiska Wahyuning Christi
 Basal cell carcinoma (BCC) is a non-keratinization cell-derived neoplasm. Surgical excision is the most common way to remove a tumor. The excision depends on the tumor type, size, and location. This paper reported a 44- years-old woman presented with the chief complaint of a single bump that bleeds easily in the facial region that began one year ago. Dermatology examination revealed hyperpigmented plaque with an ulcer in central, solitary, oval, 2 cm x 1 cm in size, covered with blackish crust on top. A Dermoscopy examination showed blue dots and globules, arborizing vessels, and ulceration. Histopathology examination findings were in concordance with BCC. The patient was treated with elliptical surgical excision. The lesion was successfully removed and showed good results with minimal scarring. BCC occurs in 75% of all skin cancers. Elliptical surgical excision on the left cheek was performed after considering the location anatomy, defect size, age, and general condition patient and postoperative cosmetic estimates. The minimal scar that occurs is planned to be performed with a fractional laser. The prognosis is generally good. There is no recurrence until one year later. In conclusion, elliptical surgical excision is an effective standard treatment if performed with a safe margin. In this case, we used 5 mm safe outer margin.
基底细胞癌(BCC)是一种非角化细胞衍生的肿瘤。手术切除是切除肿瘤最常用的方法。切除取决于肿瘤的类型、大小和位置。本文报告一名44岁女性,主诉为一年前开始的单一面部肿块易出血。皮肤检查显示色素沉着斑块,中心有溃疡,孤立,椭圆形,大小为2厘米× 1厘米,顶部覆盖黑色外壳。皮肤镜检查显示有蓝点和小球体、树突血管和溃疡。组织病理学检查结果与BCC一致。患者行椭圆手术切除。病变被成功切除,结果良好,瘢痕最小。75%的皮肤癌发生了基底细胞癌。在考虑了位置解剖、缺损大小、年龄、患者一般情况和术后美容评估后,对左脸颊进行椭圆手术切除。出现的最小疤痕计划用分数激光进行。预后通常很好。直到一年后才复发。总之,椭圆手术切除是一种有效的标准治疗,如果进行安全的边界。在这种情况下,我们使用了5毫米的安全外缘。
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引用次数: 0
Relationship of mid-parental height, Calcium intake, and intensity of physical activity with body height growth of high school students in Malang 父母中等身高、钙摄入量、体育活动强度与马郎高中生身高增长的关系
Arif Kusuma Firdaus, Anung Putri Illahika, Annisa Hanifwati, Hanna Cakrawati
Abstract  Stunting is one of Indonesia's problems, as portrayed in RISKESDAS 2018. This means the growth of Indonesian children was not optimal. Some factors that might affect body height growth were genetic factors, represented by mid-parental height, nutritional factors, especially calcium, and physical activity, which could activate pathways to stimulate growth. These factors were known to have a huge role in body height growth, especially if these factors were optimized in adolescence, as in high school students. This research aimed to explain the relationship between body height growth and the factors that might affect it: mid-parental height, calcium intake, and the intensity of physical activity. This research was observational analytic, using purposive sampling as the sampling method and collecting data using a cross-sectional questionnaire. Statistical analysis between variables shows that mid-parental height was positively related (p<0.05, r: 0,356), while calcium supplementation was not associated (p<0.05, r: -0.165), and intensity of physical activity was not related (p=0.059, r: 0.089) with the body height growth of the students. In conclusion, among the factors that were analyzed, mid-parental height was the only one that had a relationship with body height growth.
正如《2018年风险报告》所描述的那样,发育迟缓是印度尼西亚的问题之一。这意味着印尼儿童的成长并不理想。可能影响身高增长的因素有遗传因素(以亲代中等身高为代表)、营养因素(尤其是钙)和体育活动(可以激活刺激生长的途径)。众所周知,这些因素在身高增长中起着巨大的作用,特别是如果这些因素在青春期(如高中生)得到优化的话。这项研究旨在解释身高增长与可能影响身高增长的因素之间的关系:父母中等身高、钙摄入量和体育活动强度。本研究为观察性分析,采用目的性抽样作为抽样方法,采用横断面问卷收集资料。变量间统计分析显示,父母中等身高与学生身高增长呈正相关(p<0.05, r: 0.356),补钙量与学生身高增长无相关性(p<0.05, r: -0.165),体育活动强度与学生身高增长无相关性(p=0.059, r: 0.089)。综上所述,在分析的因素中,双亲中等身高是唯一与身高增长有关的因素。
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引用次数: 0
Mid-term functional outcome after distal Achilles tendon rupture anchoring screw repair in elderly osteopenia as a reliable technique: A case report 远端跟腱断裂后锚定螺钉修复作为可靠技术治疗老年骨质减少的中期功能结果:1例报告
Teddy Heri Wardhana, Mukhlis Aziz
The management of distal Achilles tendon rupture is still controversial, especially in elderly patients, due to poor bone quality and tendon stump integrity. One of the proposed repair techniques is by using an anchoring screw. Here we report the mid-term follow-up of two patients with distal Achilles tendon rupture treated with an anchoring screw. Two elderly males in their sixties came to the outpatient clinic with similar complaints of intermittent pain, reddening, and ankle swelling after falling. Both patients were diagnosed with distal Achilles tendon rupture and were treated with open repair using a Krakow suture and anchoring screws. Functional outcome evaluation postoperatively found a good outcome. Previous studies have shown that repair with the anchoring technique is better biomechanically than with ordinary sutures. Repairs with this technique can withstand greater forces and loads before they fail. An anchoring screw repair technique for total distal Achilles tendon rupture repair provides good results in elderly with osteopenia.
远端跟腱断裂的处理仍然存在争议,特别是在老年患者中,由于骨质量和肌腱残端完整性差。建议的修复技术之一是使用锚定螺钉。在此,我们报告两例采用锚定螺钉治疗的远端跟腱断裂患者的中期随访。两名60多岁的老年男性来到门诊,他们有类似的主诉,即跌倒后间歇性疼痛、发红和脚踝肿胀。两名患者均被诊断为跟腱远端断裂,并采用Krakow缝合和锚定螺钉进行开放性修复。术后功能评价结果良好。先前的研究表明,使用锚定技术进行修复比使用普通缝线具有更好的生物力学效果。用这种技术进行修理可以在损坏之前承受更大的力和载荷。采用锚定螺钉技术修复老年骨质减少患者的跟腱远端断裂,效果良好。
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引用次数: 0
Development of Android-based health media applications as promotional media in improving COVID-19 preventive behavior in the community 开发基于android的健康媒体应用,作为促进社区COVID-19预防行为的宣传媒体
I. Purnamasari, Ferry Effendy, Lailatun Ni’mah, Dede Nasrullah
Corona Virus Disease 2019 (COVID-19) caused by SARS-CoV-2 became a worldwide pandemic. The spread of wrong information causes people to misperceive the information. The massive spread of the virus shows the lack of public knowledge about preventing the transmission of COVID-19. Intrapersonal factors, namely changes in individual behavior, are the main focus of breaking the chain of the spread of COVID-19. This study aims to develop an Android-based health education application for COVID-19 prevention behavior in the community. This research method used an exploratory design with an R&D approach which consists of 2 stages. The first stage was making a prototype application through 1) Evaluation of public knowledge and attitudes about COVID-19 prevention with a questionnaire in the form of a google form to find strategic issues; 2) Development and mapping of prototype content through Focus Group Discussions with nurses and expert consultations. The evaluation used a simple random sampling technique on 193 respondents. The second stage was socialization and application feasibility testing on 193 respondents. The results of the first stage were an overview of the implementation of health education that had not been maximized due to the risk of transmission, sufficient knowledge (52.8%), and negative attitudes (63.2%) toward the prevention of COVID-19, as well as a prototype system of health education in applications that include prevention COVID-19 prevention. It was followed by the second stage of socialization and application feasibility testing for users. This study concludes that the development of an android-based application supports effective health promotion efforts in conveying information to increase knowledge and attitudes toward COVID-19 prevention.
由SARS-CoV-2引起的2019冠状病毒病(COVID-19)成为全球大流行。错误信息的传播导致人们对信息产生误解。病毒的大规模传播表明公众缺乏预防COVID-19传播的知识。打破新冠病毒传播链条的重点是人的内在因素,即个人行为的改变。本研究旨在开发基于android的社区COVID-19预防行为健康教育应用程序。本研究方法采用探索性设计和研发方法,包括两个阶段。第一阶段是原型应用:1)通过谷歌表格形式的问卷调查,评估公众对COVID-19预防的知识和态度,发现战略问题;2)通过与护士的焦点小组讨论和专家咨询,开发和绘制原型内容。评估采用简单的随机抽样技术对193名受访者进行了评估。第二阶段对193名调查对象进行社会化和应用可行性测试。第一阶段的结果是对健康教育的实施情况进行了概述,对COVID-19的预防存在传播风险、知识不足(52.8%)和消极态度(63.2%),但没有最大限度地发挥健康教育的作用,并建立了包括预防COVID-19预防在内的健康教育应用原型系统。接下来是第二阶段的用户社会化和应用可行性测试。本研究得出结论,基于android的应用程序的开发支持有效的健康促进工作,以传递信息,提高对COVID-19预防的知识和态度。
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引用次数: 0
Subchronic exposure to Chlorpyrifos, Carbofuran, and Cypermethrin increase sciatic nerve damage and degeneration in adolescent rats 亚慢性暴露于毒死蜱、氟虫胺和氯氰菊酯会增加青春期大鼠坐骨神经损伤和变性
Muhammad Ihwan Narwanto, Muhammad Haikal Supriyadi, Desie Dwi Wisudanti
Several types of pesticides that are often used are chlorpyrifos (organophosphate), carbofuran (carbamate), and cypermethrin (pyrethroid).  Pesticides can kill pests but also can cause toxic effects on humans when exposed.  One of the adverse effects of pesticide exposure is a disturbance in the peripheral nervous system.  Age is an essential factor in peripheral nerve damage.  Nerve injury is one of the most common injuries in children and adolescents and is estimated at 10% to 15% of all exceptional unit cases.  However, the outcome of peripheral nerve injury is known better in subjects who sustain the injury at a younger age.  This study aims to determine the subchronic exposure effect of chlorpyrifos, carbofuran, and cypermethrin to sciatic nerve histopathology in juvenile rats.  This study used 30 male Wistar rats (Rattus norvegicus) which were divided into 5 groups, normal group (N), control group (K), chlorpyrifos group (P1), carbofuran group (P2) and cypermethrin group (P3).  Subcutaneous injection of pesticides was carried out for 21 days.  Rats were sacrificed using the cervical dislocation method, and the right sciatic nerve was taken for histopathological observation.  Assessment of the degree of ischiatic nerve histopathological damage is using the Jensen et al., (2018) method.  Data were analyzed using the Kruskal-Wallis test and continued with the Mann-Whitney test.  This study showed a significantly increased degree of histopathological damage in the chlorpyrifos group, carbofuran group, and cypermethrin group compared to the control group and the normal group (p<0.05).  It can be concluded that exposure to chlorpyrifos, carbofuran, and cypermethrin pesticides increased damage and degeneration of the ischiadicus nerve in juvenile rats.
经常使用的几种杀虫剂是毒死蜱(有机磷)、呋喃(氨基甲酸酯)和氯氰菊酯(拟除虫菊酯)。杀虫剂可以杀死害虫,但暴露在杀虫剂中也会对人体产生毒性。农药暴露的不良影响之一是周围神经系统的紊乱。年龄是周围神经损伤的重要因素。神经损伤是儿童和青少年最常见的损伤之一,估计占所有特殊单位病例的10%至15%。然而,周围神经损伤的结果在年轻时更清楚。本研究旨在探讨毒死蜱、谷草酰胺和氯氰菊酯对幼鼠坐骨神经组织病理学的亚慢性暴露效应。本研究选用褐家鼠(Rattus norvegicus)雄性Wistar大鼠30只,分为5组:正常组(N)、对照组(K)、毒死蜱组(P1)、呋虫胺组(P2)和氯氰菊酯组(P3)。皮下注射农药21 d。采用颈椎脱位法处死大鼠,取右侧坐骨神经进行组织病理学观察。坐骨神经组织病理学损伤程度的评估采用Jensen等人(2018)的方法。使用Kruskal-Wallis检验对数据进行分析,并继续使用Mann-Whitney检验。本研究显示,毒死蜱组、呋喃丹组和氯氰菊酯组的组织病理学损伤程度明显高于对照组和正常组(p<0.05)。由此可见,毒死蜱、谷虫腈和氯氰菊酯农药对幼鼠坐骨神经的损伤和变性均有增加作用。
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引用次数: 0
期刊
Qanun Medika Jurnal Kedokteran Fakultas Kedokteran Universitas Muhammadiyah Surabaya
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