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Low-dose Potassium bromate enhances ischemia-reperfusion-induced gastric ulcer healing in Thyroidectomised Rats. 小剂量溴酸钾可促进甲状腺切除大鼠缺血再灌注诱导的胃溃疡愈合
Q4 Medicine Pub Date : 2023-12-31 DOI: 10.54548/njps.v38i2.6
Adeola Temitope Salami, Chidinma Chukwukaeme, Olawande Olagoke, Samuel Babafemi Olaleye

Gastric ulcer healing is impaired in both hypothyroid and hyperthyroid conditions.  Thyroid hormones regulate growth, energy metabolism and mitochondrial oxidative metabolism. Xenobiotics have been documented to negatively impact the thyroid gland at high doses but the redox and cellular interactions at low doses during wound healing process remains unclear. Potassium bromate has been documented to be toxic at high doses but there is dearth of information on its activities at a low dose in varied thyroid states which was evaluated in this study. 60 male Wistar rats (g, n=10) were randomised into 2 conditions: Normal, ulcerated untreated, ulcerated treated with 12.5mg/kg p.o KBrO3 and thyroidectomised groups: thyroidectomised ulcerated, thyroidectomised ulcer treated with KBrO3 and thyroidectomised treated with thyroxine (100µg/kg) Total thyroidectomy was used to model hypothyroidism, and ischaemia-reperfusion-induced gastric ulcers were monitored for healing. Daily body weights, Levels of thyroxine, Gastric mucin content, redox and sodium pump activity were examined alongside other markers of hepatic and haematological toxicity by days 3 and 7 post ulceration. Data were analysed using descriptive statistics and ANOVA α 0.05. The bromate-exposed hypothyroid rats showed increased gastric ulcer healing potential with reduced gastric epithelial oedema and inflammation; hepatic steatosis, and periportal inflammation. Haematological variables and markers of hepatic functions were normal. There were reduced levels of gastric and hepatic malondialdehyde levels. Thyroxine and potassium bromate treatment resolved the redox and cellular toxicity possibly via increasing catalase and sulfhydryl levels and increased Na+ K+ pump activity. We conclude that potassium bromate enhanced gastric ulcer healing in hypothyroid state, similar to thyroxine treatment.

甲状腺功能减退和甲状腺功能亢进都会影响胃溃疡的愈合。 甲状腺激素调节生长、能量代谢和线粒体氧化代谢。有资料表明,高剂量的异种生物会对甲状腺产生负面影响,但低剂量的异种生物在伤口愈合过程中的氧化还原作用和细胞相互作用仍不清楚。据记载,溴酸钾在高剂量时具有毒性,但有关其在低剂量时对不同甲状腺状态的活性的信息却十分匮乏,本研究对此进行了评估。60 只雄性 Wistar 大鼠(克,n=10)被随机分为两种情况:正常组、溃疡未处理组、溃疡用 12.5mg/kg p.o KBrO3 处理组和甲状腺切除组:甲状腺切除溃疡组、甲状腺切除溃疡用 KBrO3 处理组和甲状腺切除用甲状腺素(100µg/kg)处理组。甲状腺全切除术被用来模拟甲状腺功能减退症,缺血再灌注诱导的胃溃疡被用来监测愈合情况。在溃疡后第3天和第7天,对每日体重、甲状腺素水平、胃黏膜含量、氧化还原和钠泵活性以及其他肝脏和血液毒性指标进行检测。数据分析采用描述性统计和方差分析 α 0.05。暴露于溴酸盐的甲状腺功能减退大鼠的胃溃疡愈合能力增强,胃上皮水肿和炎症减轻;肝脏脂肪变性和肝周围炎症减轻。血液学变量和肝功能指标正常。胃和肝丙二醛水平降低。甲状腺素和溴酸钾治疗可能通过增加过氧化氢酶和巯基水平以及提高 Na+ K+ 泵活性来解决氧化还原和细胞毒性问题。我们的结论是,溴酸钾能促进甲状腺功能减退状态下的胃溃疡愈合,与甲状腺素治疗类似。
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引用次数: 0
Evaluation of Testicular Function and Structural Changes of Wistar Rats Following Antiretroviral Exposure: Protective Role of Cyperus Esculentus. 抗逆转录病毒暴露后 Wistar 大鼠睾丸功能和结构变化的评估:香附的保护作用。
Q4 Medicine Pub Date : 2023-12-31 DOI: 10.54548/njps.v38i2.9
Oluwatosin Olalekan Ogedengbe, A Bature, A A Fafure, S O Kehinde, A O Adekeye, C O Akintayo, B O Ajiboye, O A Adeeyo

Long-term antiretroviral drug toxicity may exacerbate the impact of HAART-Cyperus esculentus (C. esculentus) interactions on testicular function in HIV-infected individuals. This study examined the ability of C. esculentus plants to treat testicular dysfunction, which is thought to be a probable side effect of antiretroviral toxicity. Adult Wistar male rats weighing 90-110 g were divided into six groups and administered the prescribed treatments. In addition to testicular histology and stereological parameters, testosterone levels, follicle-stimulating hormone levels, antioxidant markers, malondialdehyde (MDA), superoxide dismutase (SOD), and glutathione levels were also evaluated. The adverse consequences of highly active antiretroviral therapy (HAART) include considerable loss of germ cells, enlargement of the tubular lumen, widening of interstitial gaps, and severe hypocellularity. Compared to the other treatment groups, MDA levels dramatically increased, whereas GSH and antioxidant enzyme (SOD) levels significantly decreased. Testicular architecture was largely conserved after treatment with C. esculentus, with a notable increase in the cellular densities of germinal and interstitial cells and a notable decrease in the tubular lumen. Vacuolation, architectural malformations, and hypoplastic changes were reduced. Significant improvements were also observed in C. esculentus in terms of elevated antioxidant SOD and GSH levels and decreased MDA levels. C. esculentus reduced architectural distortions and testicular dysfunction caused by HAART, and improved testicular morphology. Further exploration of these pathways is required.

长期的抗逆转录病毒药物毒性可能会加剧 HAART-香附(Cyperus esculentus)相互作用对 HIV 感染者睾丸功能的影响。本研究考察了香附植物治疗睾丸功能障碍的能力,睾丸功能障碍可能是抗逆转录病毒药物毒性的副作用之一。体重为 90-110 克的成年 Wistar 雄性大鼠被分为六组,分别接受规定的治疗。除了睾丸组织学和立体学参数外,还评估了睾酮水平、卵泡刺激素水平、抗氧化标志物、丙二醛(MDA)、超氧化物歧化酶(SOD)和谷胱甘肽水平。高活性抗逆转录病毒疗法(HAART)的不良后果包括生殖细胞大量丧失、肾小管管腔扩大、间隙增宽和严重的细胞功能减退。与其他治疗组相比,MDA水平急剧上升,而GSH和抗氧化酶(SOD)水平显著下降。睾丸结构在使用商陆后基本保持不变,生精细胞和间质细胞密度明显增加,管腔明显减少。空泡化、结构畸形和发育不全的情况有所减少。在抗氧化剂 SOD 和 GSH 水平升高以及 MDA 水平降低方面,也观察到 C. esculentus 有显著改善。商陆减少了 HAART 导致的结构扭曲和睾丸功能障碍,并改善了睾丸形态。还需要进一步探索这些途径。
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引用次数: 0
Electrocardiography, Blood Pressure Measurements, Vital Parameters and Anaesthetic Indices in the African Giant Rat (Cricetomys Gambianus Waterhouse) Immobilized with Diazepam or Ketamine. 用地西泮或氯胺酮固定非洲大鼠(Cricetomys Gambianus Waterhouse)的心电图、血压测量、生命参数和麻醉指标。
Q4 Medicine Pub Date : 2023-12-31 DOI: 10.54548/njps.v38i2.2
Olumayowa Igado, J O Abiola, O R Anifowose, B A Alaba, H O Nottidge, T O Omobowale

In spite of the increasing use and importance of the African giant rat (Cricetomys gambianus Waterhouse) in research, and other fields, like location of landmines, there is still not enough information on their physiology. In this study, we assessed the electrocardiogram, blood pressure, vital parameters and anaesthetic indices of the African giant rat (Cricetomys gambianus Waterhouse), both genders, using diazepam or ketamine as chemical restraints. A total of 24 adult African Giant Rats (AGR), 12 males and 12 females were used in this experiment. The animals were divided into two groups of twelve animals each (6 males and 6 females). One group was assessed for the effect of diazepam, and the other group ketamine. Diazepam (Roche®, Switzerland) was administered intraperitoneally at a dose rate of 7.5 mg/kg, while ketamine was administered intraperitoneally at a dose rate of 45 mg/kg. Parameters measured were recorded from the time desirable sedation was achieved, and every 15 minutes till the animal was awake. Animals administered diazepam took a longer time to sleep or achieve desirable sedative state, a longer time to respond to stimuli before waking up fully and a longer time to be fully awake, relative to ketamine-induced sedation. Ketamine caused a continuous increase in respiratory rate and blood pressure, while diazepam caused a continuous decrease in the respiratory rate. The electrocardiogram showed tachycardia throughout the experiment with the use of both drugs, although this was more pronounced with the use of diazepam, causing a decrease in QRS interval and a decrease in QT interval. Gender differences were observed in most parameters measured. The results obtained gave baseline values for electrocardiogram and blood pressure readings, while also detailing the changes and gender differences observed with sedation. In addition, results indicated ketamine is best used for short procedures and diazepam at a higher dose used for procedures requiring longer time in the African giant rat.

尽管非洲大鼠(Cricetomys gambianus Waterhouse)在研究和其他领域(如地雷定位)的应用和重要性日益增加,但有关其生理机能的信息仍然不足。在这项研究中,我们使用地西泮或氯胺酮作为化学抑制剂,评估了非洲大鼠(Cricetomys gambianus Waterhouse)的心电图、血压、生命参数和麻醉指数。本实验共使用了 24 只成年非洲大鼠(AGR),其中 12 只为雄性,12 只为雌性。这些动物被分为两组,每组 12 只(6 雄 6 雌)。一组评估地西泮的作用,另一组评估氯胺酮的作用。地西泮(Roche®,瑞士)的腹腔给药剂量为 7.5 毫克/千克,氯胺酮的腹腔给药剂量为 45 毫克/千克。从达到理想的镇静效果开始,每隔 15 分钟记录一次测量参数,直到动物清醒为止。与氯胺酮诱导的镇静相比,服用地西泮的动物需要更长的时间才能入睡或达到理想的镇静状态,需要更长的时间对刺激做出反应才能完全苏醒,需要更长的时间才能完全清醒。氯胺酮会导致呼吸频率和血压持续上升,而地西泮会导致呼吸频率持续下降。在使用两种药物的整个实验过程中,心电图均显示心动过速,但地西泮的心动过速更为明显,导致 QRS 间期缩短和 QT 间期缩短。在测量的大多数参数中都观察到了性别差异。所获得的结果给出了心电图和血压读数的基线值,同时还详细说明了镇静时观察到的变化和性别差异。此外,结果表明氯胺酮最适合用于非洲大鼠的短时间手术,而地西泮的剂量较高,可用于需要较长时间的手术。
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引用次数: 0
Gestational administration of aqueous leaf extract of Jatropha tanjorensis alleviated postpartum emotional and cognitive dysfunction in rats (Wistar strain). 妊娠期服用麻风树叶水提取物可缓解大鼠(Wistar 品系)产后的情绪和认知功能障碍。
Q4 Medicine Pub Date : 2023-12-31 DOI: 10.54548/njps.v38i2.10
Atim Antai, Imoh Ukoh, Bisong Sunday, Emem Edet, Martha Johnny

This study examines the effect of gestational administration of aqueous leaf extract of Jatropha tanjorensis (JT) on postpartum-like behavioural outcomes to delineate its possibility as a prophylactic, therapeutic agent in the treatment of postpartum symptoms. Inseminated female rats (120-150g) were grouped into two-control and JT group (n=10). Control received 20 ml/kg of distilled water and JT group received 500 mg/kg of JT orally once daily for 21 days in gestation. Non-pregnant rats were excluded from the study. Parameters assessed at postpartum include antidepressant-like (force swim test, FST; tail suspension-test, TST), locomotor (open field test, OFT), anxiolytic-like (elevated plus maze, EPM; light-dark box, LDB), learning and memory (T-maze; novel object recognition task, NORT), social (nest score) and analgesic-like (hot plate test, HPT; tail flick test, TFT) behaviours. JT increased (P<0.05) mobility and latency to immobility durations in FST and TST; open arm entry (P<0.001) and duration (P<0.01) in EPM and light box duration (P<0.05) in LDB; locomotion and exploration, but reduced anxiety-like levels in EPM, LDB and OFT. It increased nest score (P<0.05); mean retraction time (P<0.01) of TFT. JT showed positive score for short and long term memory in NORT and improved percentage alternation in T-maze though not significant compared to control. In conclusion, the aqueous extract has a therapeutic effect that reduces postpartum-like depression and anxiety, and improves locomotor activity. JT can be a preventive and adjuvant therapeutic option for pregnant women.

本研究探讨了妊娠期服用麻风树叶水提取物(JT)对产后类似行为结果的影响,以确定其作为预防和治疗产后症状的药物的可能性。受精雌性大鼠(120-150 克)分为两组--对照组和 JT 组(n=10)。对照组服用 20 毫升/千克蒸馏水,JT 组服用 500 毫克/千克 JT,每天一次,连续服用 21 天。未怀孕的大鼠不在研究范围内。产后评估的参数包括抗抑郁样行为(用力游泳试验,FST;尾悬吊试验,TST)、运动样行为(开阔地试验,OFT)、抗焦虑样行为(高架迷宫,EPM;光-暗箱,LDB)、学习和记忆样行为(T-迷宫;新物体识别任务,NORT)、社交样行为(巢穴得分)和镇痛样行为(热板试验,HPT;甩尾试验,TFT)。JT 增加(P
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引用次数: 0
Phantom Limb Neuroplasticity and Maladaptive Sensory Perceptions: Why Phantom Limb Paresthesia Should Be Integrated into Referred Pain Discussions. 幻肢神经可塑性与适应不良的感官知觉:为什么幻肢麻痹应纳入转诊疼痛讨论?
Q4 Medicine Pub Date : 2023-12-31
Niladri Kumar Mahato

The concept of referred pain is an integral part of the anatomy didactic content taught and discussed in all medical school curricula.  However, this discussion has excluded the topic of phantom limb pain, despite the existence of parallels in neurophysiological explanations between these conditions. This brief viewpoint attempts to reason why phantom limb paresthesia or pain should be included in the fold of refereed pain discussions.

移行痛的概念是所有医学院课程中教授和讨论的解剖学教学内容的组成部分。 然而,尽管幻肢痛的神经生理学解释与幻肢痛存在相似之处,但这种讨论却将幻肢痛排除在外。这篇简短的观点试图说明为什么幻肢麻痹或疼痛应该被纳入疼痛讨论的范围。
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引用次数: 0
Ameliorative Effects of Coconut Water on Hematological and Lipid Profiles of Phenylhydrazine-treated Rats. 椰子水对苯肼处理过的大鼠血液学和血脂谱的改善作用
Q4 Medicine Pub Date : 2023-12-31 DOI: 10.54548/njps.v38i2.15
Gbenga Sunday Adeleye, E O Odesanmi, Kazeem O Ajeigbe, Tosan Omayone, Anthony Odetola, A Omolara Sobanke

Anaemia is a widespread health issue affecting young children and pregnant women, characterized by reduced red blood cells or haemoglobin levels. Coconut water, rich in nutrients such as L-arginine, iron, vitamin C, vitamin B6, folic acid and fatty acids, is believed to aid in blood formation (hematopoesis). The study aimed to examine the impact of coconut water on hematological indices and lipid profiles in rats with phenylhydrazine-induced anemia. 30 rats were divided into 5 groups: a normal control, phenylhydrazine untreated, coconut water (0.5ml/kg), iron, and ferrous treated groups. Hemoglobin, hematocrit, and erythrocyte levels were measured using a Hematology Analyzer. Results showed a significant decrease in LDL and TG levels, and an increase in HDL levels in phenylhydrazine induced anemia compared to the control group. Coconut water administration at 0.5ml/kg reduced LDL, VLDL and TG levels, and increased HDL levels in rats with induced anemia. The study found that coconut water had a positive effect on hematological indices, as it increased hemoglobin and erythrocyte levels in rats with induced anemia. These findings suggest that coconut water may have potential therapeutic benefits for individuals with anemia, particularly in lowering lipid levels and improving blood formation. However, further research is needed to fully understand the mechanisms underlying these effects and to determine the most effective dosage and duration of treatment. Overall, the study highlights the importance of coconut water as a potentially beneficial alternative treatment for anemia.

贫血是影响幼儿和孕妇的一个普遍健康问题,其特点是红细胞或血红蛋白水平降低。椰子水富含 L-精氨酸、铁、维生素 C、维生素 B6、叶酸和脂肪酸等营养物质,被认为有助于血液形成(造血)。这项研究旨在探讨椰子水对苯肼诱发贫血大鼠的血液指数和脂质概况的影响。30 只大鼠被分为 5 组:正常对照组、苯肼未处理组、椰子水(0.5 毫升/千克)组、铁处理组和亚铁处理组。使用血液分析仪测量血红蛋白、血细胞比容和红细胞水平。结果显示,与对照组相比,苯肼诱发贫血组的低密度脂蛋白和总胆固醇水平明显下降,高密度脂蛋白水平上升。每公斤 0.5 毫升的椰子汁可降低诱发贫血大鼠的低密度脂蛋白、超低密度脂蛋白和总胆固醇水平,提高高密度脂蛋白水平。研究发现,椰子水对血液学指标有积极影响,因为它提高了诱导性贫血大鼠的血红蛋白和红细胞水平。这些研究结果表明,椰子水可能对贫血患者有潜在的治疗作用,特别是在降低血脂水平和改善血液形成方面。不过,要充分了解这些作用的机制,并确定最有效的剂量和治疗时间,还需要进一步的研究。总之,这项研究强调了椰子汁作为一种对贫血症有潜在益处的替代疗法的重要性。
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引用次数: 0
Influence of pregnancy and lactation on vitamin D serum levels and antioxidant status in randomized women in Zaria 妊娠和哺乳期对扎里亚随机妇女血清维生素D水平和抗氧化状态的影响
Q4 Medicine Pub Date : 2023-06-30 DOI: 10.54548/njps.v38i1.3
Ohunene Avidime, S Avidime, A.J. Randawa, M.U. Kawu, A. Mohammed, O.T. Oweh
Pregnancy and lactation are normal physiological conditions that tend to influence numerous biological processes. The aim of this study was to identify the impact of pregnancy and lactation on serum vitamin D level and antioxidant status in some women in Zaria, Nigeria. A cross‑sectional descriptive study conducted at Ahmadu Bello University Teaching Hospital, Zaria for a period of three (3) months. Blood samples were collected, serum catalase, superoxide dismutase, lipid peroxidation and vitamin D, were determined using standard methods. Data were presented as mean ± SD, analysis was performed using one-way ANOVA and Pearson’s correlation analysis. Values were considered significant at p ≤ 0.05. There was a significant difference (p < 0.01) serum malondialdehyde level, superoxide dismutase activity and glutathione peroxidase activity during the various trimesters of pregnancy and lactating group. However, the levels of these markers were highest in the lactating group. Furthermore, serum level of vitamin D and catalase activity was highest in the 2nd trimester and lowest in the control and lactating group respectively. Pregnancy and lactation altered serum level of Vitamin D, CAT, SOD, MDA and GPx suggesting a variation in oxidative stress at different trimester of pregnancy and lactation. Key words: Pregnancy, lactation, oxidative stress, vitamin D
怀孕和哺乳是正常的生理状况,往往会影响许多生物过程。本研究的目的是确定怀孕和哺乳对尼日利亚扎里亚一些妇女血清维生素D水平和抗氧化状态的影响。在Zaria的Ahmadu Bello大学教学医院进行了为期三(3)个月的横断面描述性研究。采集血样,采用标准方法测定血清过氧化氢酶、超氧化物歧化酶、脂质过氧化和维生素D含量。数据以均数±标准差表示,分析采用单因素方差分析和Pearson相关分析。p≤0.05认为值显著。有显著性差异(p <0.01)妊娠和哺乳期各组血清丙二醛水平、超氧化物歧化酶活性和谷胱甘肽过氧化物酶活性。然而,这些标志物的水平在哺乳期组最高。血清维生素D水平和过氧化氢酶活性在妊娠中期最高,对照组和泌乳组最低。妊娠和哺乳期小鼠血清维生素D、CAT、SOD、MDA和GPx水平均发生变化,提示妊娠和哺乳期不同时期氧化应激水平存在差异。关键词:妊娠,哺乳,氧化应激,维生素D
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引用次数: 0
Antioxidant activity enhancement and oxidative damage inhibition by Lagenaria breviflora fruit and Xanthosoma sagittifolium corm in hypertensive Wistar rats 短花麻果和矢状叶黄茎增强高血压Wistar大鼠抗氧化活性及抑制氧化损伤
Q4 Medicine Pub Date : 2023-06-30 DOI: 10.54548/njps.v38i1.14
Olayinka Oridupa, Temidayo Olutayo Omobowale, Ademola Adetokunbo Oyagbemi, Naomi Oghenefega Danjuma, Ayobami Deborah Obisesan, Tolulope Ademola Olakojo, Adebowale Bernard Saba
Cardiovascular diseases are the leading causes of mortality in the world today with hypertension being the major clinical presentation of these diseases. This study assessed the anti-hypertensive effects of Lagenaria breviflora whole fruit and Xanthsoma sagittifolium corms in experimentally inudced hypertensive Wistar rats. The ability of the plants to ameliorate oxidative damage accompanying hypertension was evaluated using changes in oxidative stress markers as well as monitoring of cardiovascular parameters. Hypertension was induced by intraperitoneal injection of DOCA salt twice weekly and daily inclusion of NaCl (1%) in drinking water. Methanol extracts of L.breviflora or X. sagittifolium was administered to hypertensive rats for 35 days and the outcome was compared to hypertensive rats administred with lisinopril or hydrochlorothiazide and a group of normotensive rats (control). Systolic, diastolic and mean arterial pressures were determined on day 34 and blood sample collected on day 35. The rats were thereafter humanely sacrificed, and organs were harvested. This study showed that the extracts lowered blood pressure, free protein thiols but increased toal protein, gluthathione peroxidase, reduced glutathione, glutathione S-transferase, catalase and nitric oxide in the heart, kidney and liver compared to untreated hypertensive rats. However, malondialdehyde levels and hydrogen peroxide activities were reduced. L. breviflora fruit and X. sagittifloium corm exhibited antihypertensive properties and ameliorate oxidative damage associated with hypertension by enhancing the antioxidant defense sysyem and inhibiting generation of free radicals.
心血管疾病是当今世界上导致死亡的主要原因,高血压是这些疾病的主要临床表现。研究了短花麻全果和矢状叶黄松球茎对实验性高血压大鼠的降压作用。利用氧化应激标志物的变化和心血管参数的监测来评估植物改善高血压伴随的氧化损伤的能力。通过每周2次腹腔注射DOCA盐,每天在饮用水中加入1%的NaCl诱导高血压。将短花叶甲醇提取物或矢状叶甲醇提取物给予高血压大鼠35 d,并与给予赖诺普利或氢氯噻嗪的高血压大鼠和一组血压正常的大鼠(对照组)进行比较。第34天测定收缩压、舒张压和平均动脉压,第35天采血。这些老鼠随后被人道地处死,器官被摘取。本研究表明,与未治疗的高血压大鼠相比,该提取物降低了血压、游离蛋白硫醇,但增加了总蛋白、谷胱甘肽过氧化物酶、还原性谷胱甘肽、谷胱甘肽s -转移酶、过氧化氢酶和一氧化氮。然而,丙二醛水平和过氧化氢活性降低。短花莲果实和矢状心球茎表现出抗高血压的特性,并通过增强抗氧化防御系统和抑制自由基的产生来改善高血压相关的氧化损伤。
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引用次数: 0
ABSTRACTS OF THE PROCEEDINGS OF THE XLth ANNUAL SCIENTIFIC CONFERENCE OF THE PHYSIOLOGICAL SOCIETY OF NIGERIA : 7-11 February, 2023, University of Ibadan, Ibadan, Oyo State, Nigeria 尼日利亚物理学会第四十届年度科学大会论文摘要:2023 年 2 月 7-11 日,尼日利亚奥约州伊巴丹伊巴丹大学
Q4 Medicine Pub Date : 2023-06-30 DOI: 10.54548/njps.v38i1.17
Admin Admin
Proceedings of the 40th Scientific conference of the Physiological Society of Nigeria hosted by the Department of Physiology, College of medicine, Uiversity of Ibadan. Ibadan, Nigeria
伊巴丹大学医学院生理学系主办的尼日利亚生理学会第 40 届科学会议论文集。尼日利亚伊巴丹
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引用次数: 0
Impact of the COVID-19 Pandemic on Histopathological Diagnosis of Breast Tumours in Calabar, Nigeria COVID-19大流行对尼日利亚卡拉巴尔市乳腺肿瘤组织病理学诊断的影响
Q4 Medicine Pub Date : 2023-06-30 DOI: 10.54548/njps.v38i1.5
Mfoniso Udonkang, Nse Umoh, Ofonime Ogba, Glory Bebia, David Onwineng, BLESSING ANKU, Naomi Ernest
The Coronavirus-19 transmitted through physical contact, droplets, and fomites caused severe respiratory disease resulting in high mortality worldwide. The COVID-19 pandemic caused innumerable hardships, panic, and restrictions of movement which negatively affected the assessment of healthcare services like breast cancer diagnosis in many countries. The results from the histopathological diagnosis of breast tumours have been routinely employed for the treatment and management of these diseases. This study investigated the impact of the COVID-19 pandemic on the histopathological diagnosis of breast tumours in Calabar. A retrospective study of the newly diagnosed breast tumours recorded in the Histopathology Laboratory register during the COVID-19 and the post-COVID-19 recovery from January 2020-February 2021 was compared with cases diagnosed before the pandemic from January 2018 to February 2019. Descriptive and inferential statistics and the Artificial Neural Network (ANN) of Statistical Package for Social Sciences (SPSS) were used for data analysis. New breast tumours diagnosed based on month showed low rates of 2.4% and 1.2% during the first and second waves of the pandemic respectively. The diagnosed cases increased to 11.8% and 8.2% after the first and second waves of the virus respectively. There was a significantly strong negative correlation between the COVID-19 pandemic and lockdown measures with breast tumour diagnosis (r=-0.919, p=0.001). More benign tumours of 56(58.3%) cases with a mean age of 25.3±11.1 years were recorded before the pandemic and were statistically significant (F=64.260, p=0.004). More malignant cases of 48(57.1%) with a mean age of 47.5±11.7 years were recorded during the pandemic. The diagnosis of malignant tumours was statistically significant between both periods (F=183.550, p=0.001). The ANN model predicted a 25% reduction in breast tumour diagnosis during the pandemic. There was a 100% impact of the pandemic on tumour type, the nature of specimen, and mean age of subjects. The COVID-19 pandemic disrupted the assessment of healthcare services as a smaller number of women were diagnosed with breast tumours during the period. This may have caused delays and late presentation leading to the diagnosis of more malignant tumours. There is a need to put adequate measures to encourage the assessment of diagnostic services during pandemics as delays may lead to an increase in morbidity and mortality
冠状病毒-19通过身体接触、飞沫和污染物传播,导致严重的呼吸道疾病,导致全球高死亡率。COVID-19大流行造成了无数的困难、恐慌和行动限制,对许多国家的乳腺癌诊断等医疗保健服务的评估产生了负面影响。乳腺肿瘤的组织病理学诊断结果已被常规用于治疗和管理这些疾病。本研究探讨了COVID-19大流行对卡拉巴尔地区乳腺肿瘤组织病理学诊断的影响。回顾性研究了2020年1月至2021年2月期间组织病理学实验室登记处记录的新诊断的乳腺肿瘤,并将其与2018年1月至2019年2月大流行前诊断的病例进行了比较。采用描述性统计、推理统计和社会科学统计软件包(SPSS)中的人工神经网络(ANN)进行数据分析。按月诊断的新发乳腺肿瘤在大流行的第一波和第二波期间分别显示2.4%和1.2%的低发病率。第一波和第二波疫情后确诊病例分别上升至11.8%和8.2%。COVID-19大流行和封锁措施与乳腺肿瘤诊断之间存在显著的强负相关(r=-0.919, p=0.001)。大流行前有56例(58.3%)患者出现良性肿瘤,平均年龄25.3±11.1岁,差异有统计学意义(F=64.260, p=0.004)。恶性病例48例(57.1%),平均年龄47.5±11.7岁。两期恶性肿瘤的诊断差异有统计学意义(F=183.550, p=0.001)。人工神经网络模型预测,大流行期间乳腺肿瘤诊断率将降低25%。大流行对肿瘤类型、标本性质和受试者平均年龄的影响为100%。2019冠状病毒病大流行扰乱了对医疗保健服务的评估,因为在此期间被诊断患有乳腺肿瘤的妇女人数减少。这可能导致延迟和延迟表现,从而导致更多恶性肿瘤的诊断。有必要采取适当措施,鼓励对大流行病期间的诊断服务进行评估,因为延误可能导致发病率和死亡率增加
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Nigerian Journal of Physiological Sciences
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