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Cremaster Myogenenis in the Mouse Gubernaculum and the Effect of Androgen 小鼠掌骨肌生成及雄激素的影响
Pub Date : 2023-02-07 DOI: 10.31038/psc.2023311
Jaya Vikraman, G. Sarila, Louise O’Conner, T. Menheniott, John M Hutson, Murdoch
genitoinguinal ligament, controls testicular descent and subsequent cremaster formation within it in both rodents and humans. Androgen is the primary hormone that regulates the second stage of testicular descent, the inguinoscrotal phase, where
在啮齿类动物和人类中,生殖道腹股沟韧带控制睾丸下降和随后的肌群形成。雄激素是调节睾丸下降的第二阶段,即腹股沟阴囊期的主要激素
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引用次数: 0
Use of Cytosorb in Pediatric Septic Shock due to Untreated Systemic Lupus Erythematotus since the Childhood Onset 使用Cytosorb在儿童发病后未经治疗的系统性红斑狼疮引起的儿童感染性休克
Pub Date : 2022-11-23 DOI: 10.31038/psc.2022222
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引用次数: 0
Anxiety, Stress, Depression among School Going Adolescents in Bareilly City: A Cross Sectional Study 巴雷利市在校青少年的焦虑、压力、抑郁:一项横断面研究
Pub Date : 2022-09-20 DOI: 10.31038/psc.2022221
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引用次数: 0
A Clinical Study on Hypothyroidism and Early Pregnancy Loss 甲状腺功能减退与早期妊娠丢失的临床研究
Pub Date : 2022-08-08 DOI: 10.31038/psc.2022214
J. Nath, S. Meena, T. Gupta
(SCH) is (>3.0 presence of normal Free T4 (0.8-2.0 ng/dL). Overt hypothyroidism (OH) has increased TSH (>3.0 mIU/L) and Free T4 (<0.8 ng/dL). Subclinical hyperthyroidism is defined as low serum TSH (<0.2 mIU/L) and normal Free T4 (0.8-2.0 ng/dL). Overt hyperthyroidism has high free T4 (>2.0 ng/dL) and low TSH (<0.2 mIU/L). This study was the aim of the of in patients presenting with early pregnancy loss. History socio-demographic parameters, parity, socio-economic status, menstrual date of her last menstrual period (LMP) were noted. Abstract Thyroid disorders are recognized associated factors for adverse pregnancy outcomes spontaneous miscarriages being an important entity. This study was conducted on 200 women who had early pregnancy losses and their thyroid profile was evaluated. Prevalence of overt and sub clinical hypothyroidism was calculated along with euthyroid women. The results obtained were statistically analysed. In conclusion, it was established that hypothyroidism, both overt and sub clinical, when untreated can lead to early pregnancy losses, therefore all antenatal women should be universally screened for thyroid dysfunction in their very first antenatal visit and treatment should be initiated at the earliest.
(SCH) >3.0存在正常游离T4 (0.8 ~ 2.0 ng/dL)。明显的甲状腺功能减退(OH)有TSH升高(>3.0 mIU/L)和游离T4升高(2.0 ng/dL)和低TSH (<0.2 mIU/L)。这项研究的目的是在出现早期妊娠丢失的患者。记录历史、社会人口统计学参数、胎次、社会经济地位、最后一次月经日期。甲状腺疾病是公认的不良妊娠结局的相关因素,自然流产是一个重要的实体。这项研究对200名早期妊娠流产的妇女进行了研究,并对她们的甲状腺状况进行了评估。与甲状腺功能正常的妇女一起计算显性和亚临床甲状腺功能减退的患病率。对所得结果进行统计学分析。总之,甲状腺功能减退,无论是显性的还是亚临床的,如果不及时治疗,都可能导致早期妊娠丢失,因此,所有产前妇女都应该在第一次产前检查时普遍筛查甲状腺功能障碍,并尽早开始治疗。
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引用次数: 0
Fetal and Neonatal Complications of Gestational Diabetes: A Survey in Two Referral Hospitals of Yaoundé, Cameroon 妊娠期糖尿病的胎儿和新生儿并发症:在喀麦隆雅温得两家转诊医院的调查
Pub Date : 2022-06-22 DOI: 10.31038/psc.2022213
G. Moyo, Carinele Tchinda Tidang, Sonia Zebaze, Raïssa Monayong Mendomo, L. Makowa, Audrey, Thérèse Mbang, Christiale Batibonak, Aurore Albane Essomba
The in-utero exposition of fetuses to Gestational Diabetes (GDM) is known to induce a wide range of metabolic modifications, with possible complications in neonates. We intended to investigate these outcomes in such fetuses and neonates delivered in two referral hospitals of Yaoundé in Cameroon. conducted an observational study with cross-sectional design at the Yaoundé Central Hospital (YCH) and the Yaoundé Gynaeco-Obstetric and Pediatric Hospital (YGOPH). The study lasted for seven months and consisted of investigations from files of all women admitted with GDM and their neonates, from January 2018 to January 2020. Data were analyzed using SPSS software (Statistical Package for the Social Sciences) version 20. The main results obtained were the following: women admitted in the service during the same period, with 5.2% incidence. The majority of neonates were big and macrosomes (22: 64.7%). Prematurity occurred in 14 (41.7%), while hypoglycemia was found in 13 (38.4%) neonates. Neonatal infection was manifested by 8 (23.52%) neonates. Fetal distress was recorded in 8 (23.3%) cases, with respiratory distress being noted in 4 (11.7%) neonates, while 3 (8.3%) neonates suffered jaundice. There were 2 abortions (5.8%) and 2 (5.8%) stillbirths, making a death rate of 4 on 34 pregnancies (11.6%). Birth obstetrical trauma was found in 1 (2.5%) neonate, while no complications occurred in 2 (5.2%) cases. From these results, we deduced neonatal complications in GDM in our context were not very different from those expected, as macrosomia, preterm and hypoglycemia were predominant complications. However, it appeared that fetuses from such pregnancies are particularly vulnerable, with significant rates of distress, prematurity, and high death rate. This indicates the need for keen fetal monitoring and effective neonatal management of such babies.
胎儿在子宫内暴露于妊娠糖尿病(GDM)会引起广泛的代谢改变,并可能导致新生儿并发症。我们打算调查在喀麦隆雅温得的两家转诊医院分娩的这些胎儿和新生儿的结果。在雅温得中心医院(YCH)和雅温得妇产科医院(YGOPH)进行了一项横断面设计的观察性研究。该研究持续了7个月,包括对2018年1月至2020年1月期间所有患有GDM的妇女及其新生儿的档案进行调查。数据分析使用SPSS软件(Statistical Package for Social Sciences)第20版。获得的主要结果如下:同一时期接受服务的妇女,发病率为5.2%。新生儿以大体和巨体居多(22.64.7%)。早产14例(41.7%),低血糖13例(38.4%)。新生儿感染8例(23.52%)。胎儿窘迫8例(23.3%),呼吸窘迫4例(11.7%),黄疸3例(8.3%)。流产2例(5.8%),死产2例(5.8%),34例妊娠中有4例死亡(11.6%)。分娩产科创伤1例(2.5%),无并发症2例(5.2%)。根据这些结果,我们推断在我们的研究中,GDM的新生儿并发症与预期的没有太大的不同,因为巨大儿、早产和低血糖是主要的并发症。然而,这类妊娠的胎儿似乎特别脆弱,痛苦、早产和死亡率高。这表明需要敏锐的胎儿监测和有效的新生儿管理这些婴儿。
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引用次数: 2
Why Diazepam More than Other Benzodiazepines is Unsuitable for Neonates? 为什么安定比其他苯二氮类药物更不适合新生儿?
Pub Date : 2022-06-17 DOI: 10.31038/psc.2022212
G. Moyo, Laura Kuate, Marie Foe Mba, D. Komba, Annie-Flore K. Tchougene, Marie Paul Bege, Carinele, Tidang Tchinda, H. M. Awa
Nevertheless, their use may be associated with a number of adverse effects such as sedation, amnesia, cognitive impairment, ataxia, and dependence, contraindicating their long-term prescription. Due to the predominance of their advantages over documented side effects, progressive long-term use of benzodiazepines has been noted [27,28]. This still often occurs in current clinical practice, but not without consequences. As a matter of fact, adverse effects and their severity may vary from one benzodiazepine to another, according to specific pharmacological characteristics that differentiate them [27]. All benzodiazepines fundamentally have the same mechanism of action and may only vary in few points from each other such as receptor binding sites or subunits, the time onset of action, duration of action and adverse effects [29]. However, diazepam is among the first discovered benzodiazepines. It’s the most commonly used molecule of the kind, and seems to be the prototype of the pharmacological class, being involved in most clinical trials and experiments. Recent research findings have led to better understanding of the mechanism of action of benzodiazepines and significant milestones in the explanation of reported side effects are being noted. In the following paragraphs, we will give a simplistic but essential description of current knowledge about benzodiazepine-receptors interaction. Emphasis will be laid on diazepam specificities and the reasons for its contraindication in neonates illustrated. Abstract For physician has learnt about the contraindication of diazepam and perhaps benzodiazepines at large in the management of neonatal seizures. However, very few scientific publications give account about underlying pathophysiological and pharmacological insights of mechanism involved. As a result, a non or poorly understood categorization of neonatal anticonvulsants is sometimes observed in daily clinical pediatric practice in some settings, with each physician going by his own way of managing seizures in neonates. This with more or less success and consequent adverse effects. This review is intended to contribute to a better understanding of phenomena implicated in the unsuitable use of diazepam beyond other benzodiazepines in the management of neonatal seizures.
然而,它们的使用可能与一些不良反应有关,如镇静、健忘症、认知障碍、共济失调和依赖性,禁止长期使用。由于苯二氮卓类药物的优势大于文献记载的副作用,人们注意到长期使用苯二氮卓类药物[27,28]。这在目前的临床实践中仍然经常发生,但并非没有后果。事实上,每种苯二氮卓类药物的不良反应及其严重程度可能因其特定的药理学特征而异[27]。所有苯二氮卓类药物基本具有相同的作用机制,彼此之间可能只是在受体结合位点或亚基、起效时间、作用持续时间和不良反应等几个点上有所不同[29]。然而,地西泮是最早发现的苯二氮卓类药物之一。它是这类分子中最常用的,似乎是药理学类的原型,参与了大多数临床试验和实验。最近的研究结果使人们对苯二氮卓类药物的作用机制有了更好的了解,并在解释所报告的副作用方面取得了重大进展。在接下来的段落中,我们将对苯二氮卓类药物-受体相互作用的当前知识进行简单但必要的描述。重点将放在地西泮的特异性和其禁忌症的原因在新生儿说明。摘要:医生已经了解了安定和苯二氮卓类药物在新生儿癫痫发作治疗中的禁忌。然而,很少有科学出版物给出了潜在的病理生理和药理学的见解所涉及的机制。因此,在日常儿科临床实践中,有时会观察到新生儿抗惊厥药的分类不明确或不清楚,每个医生都以自己的方式处理新生儿癫痫发作。这或多或少是成功的,随之而来的是副作用。本综述旨在有助于更好地理解在处理新生儿癫痫发作时不适当使用地西泮而非其他苯二氮卓类药物所涉及的现象。
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引用次数: 2
Macrosomia: A Risk Factor of Childhood Obesity: A Case Report with Literature Review 巨大儿:儿童肥胖的危险因素:1例报告并文献复习
Pub Date : 2022-06-09 DOI: 10.31038/psc.2022112
Audrey Thérèse Mbang, Kamsu Zicfried, L. Makowa, Virginie Binda, Sonia Zebaze, Raïssa Monayong Mendomo, Christiale Batibonak, Suzanne Sap, Ngo Um
prior to consultation. The mother’s history revealed a notion of deliveries of big babies > 3,5 kg. The pregnancy was uneventful
在咨询之前。母亲的病史显示,分娩的婴儿大于3.5公斤。怀孕期间平安无事
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引用次数: 0
Twins with Juvenile Hyaline Fibromatosis 患有幼年透明纤维瘤病的双胞胎
Pub Date : 2019-09-29 DOI: 10.31038/psc.2019111
Gaoyan Deng, Zhijian Deng
Background: Juvenile hyaline fibromatosis (JAF) is a rare autosomal-recessive disease in which patients progressively develop cutaneous tumoral fibroblastic proliferations, and joint contractures with bone involvement. JAF is caused by aberrant synthesis of glycosaminoglycans by fibroblasts due to a mutation of the capillary morphogenesis factor-2 gene (CMG2). Limited treatment options are available. Method: We report monozygotic twins who presented with multiple, recurrent, painless cutaneous nodules. Result: The presence of twins with JAF is extremely rare. A lesion on the head of one boy had ruptured, and pathological analysis indicated benign spindle cells in a periodic acid-Schiff (PAS)-positive hyaline background. One of twins had much more severe clinical presentation than the other, including more frequent diarrhea, larger nodules, more severe joint involvement, and more easily ruptured masses. Conclusion: Monozygotic twins who present with JAF may have different severity of symptoms despite the presence of identical mutations in CMG2.
背景:青少年透明纤维瘤病(JAF)是一种罕见的常染色体隐性疾病,患者逐渐发展为皮肤肿瘤纤维母细胞增生和关节挛缩并累及骨骼。JAF是由毛细血管形态发生因子-2基因(CMG2)突变引起的成纤维细胞合成糖胺聚糖异常引起的。治疗方案有限。方法:我们报告的同卵双胞胎谁提出了多个,复发,无痛的皮肤结节。结果:JAF双胞胎的出现极为罕见。一名男孩头部病变破裂,病理分析显示良性梭形细胞呈周期性酸希夫(PAS)阳性透明背景。双胞胎中的一个比另一个有更严重的临床表现,包括更频繁的腹泻,更大的结节,更严重的关节受累,更容易破裂的肿块。结论:尽管存在相同的CMG2突变,但患有JAF的同卵双胞胎可能有不同的症状严重程度。
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Pediatric Studies and Care
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