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A case study on the effectiveness of Attai vedal (leech therapy) for the treatment of Karappan (eczema) Attai vedal(水蛭疗法)治疗湿疹的疗效观察
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-11-09 DOI: 10.51248/.v43i5.1949
M. SriSakthi Logisha, G. Nivetha, M. Mohamed Mustafa, T. R. Siddiq Ali, N. J. Muthukumar, M. V. Mahalakshmi
There are more than 3000 known common skin diseases. Eczema, generally referred to as karappan, is a prevailing dermatological condition often seen in clinical settings. It is not an immediately life-threatening disease; it is a chronic disease that has a physiological and social impact on a patient’s life. The skin lesion is manifested externally and visible to all. So, the patient feels detested and has depression. The disease may affect any age, but it is common in school-going age and 1-3 percent of adults. It is characterized by itching followed by redness, erythema, and papules. The papules may turn to vesicles. The condition known as karappan in the Siddha system of medicine is considered equivalent due to the presence of analogous signs and symptoms. Management of eczema involves emollients, steroids, and topical application therapy given in other systems. It will give temporary remedies even after use, relapse, recurrence and other complications are common. Hence, there is a need for alternative drugs and therapy that has a good efficacy in this debilitating disorder, which is possible through the Siddha system of medicine. Leech therapy (attai vidal) our siddhars have given importance to bloodletting therapy and concede leech is the most unique and effective method of bloodletting even in an infected wound, skin disease, and abscesses. The present case was carried out in the OPD of the department of Sirappu Maruthuvam, Government Siddha Medical College, Chennai, Tamil Nadu in India. The course of treatment has shown significant improvement in terms of alleviating all of the symptoms and improving the patient's easy score.
已知的常见皮肤病有3000多种。湿疹,通常被称为karappan,是一种常见于临床的皮肤病。它不是一种立即危及生命的疾病;这是一种慢性疾病,对患者的生活产生生理和社会影响。皮肤病变表现在外部,所有人都看得见。因此,病人感到厌恶,并产生抑郁。这种疾病可能影响任何年龄,但在学龄和1- 3%的成年人中很常见。它的特点是发痒,然后是发红、红斑和丘疹。丘疹可能变成小泡。在悉达医学系统中被称为karappan的情况被认为是等效的,因为存在类似的体征和症状。湿疹的管理包括润肤剂,类固醇和局部应用治疗给予其他系统。即使在使用后,它也会给予暂时的补救,复发,复发和其他并发症是常见的。因此,需要对这种衰弱性疾病有良好疗效的替代药物和治疗方法,这可以通过悉达伽医学系统实现。水蛭疗法(attai vidal)我们的悉达尔人重视放血疗法,并承认水蛭是最独特和有效的放血方法,即使在感染伤口,皮肤病和脓肿中也是如此。本病例是在印度泰米尔纳德邦金奈政府Siddha医学院Sirappu Maruthuvam系的门诊进行的。治疗过程在缓解所有症状和提高患者的轻松评分方面显示出显著的改善。
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引用次数: 0
Grading of Hashimoto’s thyroiditis in cytology and its association with ultrasonographic and biochemical parameters 桥本甲状腺炎的细胞学分级及其与超声和生化参数的关系
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-11-09 DOI: 10.51248/.v43i5.3217
Crysle Saldanha, Hilda Fernandes, Jayaprakash C. S.
Introduction and Aim: In the post-iodization period, Hashimoto's thyroiditis (HT) is most likely the most prevalent cause of goitre and hypothyroidism, particularly in women of reproductive years. This study was undertaken to grade HT on Fine Needle Aspiration Cytology smears and determine their usefulness in predicting thyroid damage in association with clinical history, radiological and biochemical findings. Materials and Methods: Total of 151 cases were diagnosed cytologically in duration of over 2 years as Hashimoto’s thyroiditis/lymphocytic thyroiditis. Cytology scoring technique was used to analyse smears and were correlated with radiological, biochemical findings and were evaluated statistically by ANOVA and Kruskal Wallis tests. Results: In the current study, the most frequent group of individuals with Hashimoto's thyroiditis were between the ages of 40 and 50. Females (145 cases, 96%) were commonly affected and the commonest presentation was a diffuse (125 cases ,82.8%) thyroid enlargement. Cytological grading of Hashimoto’s thyroiditis were as follows,54 (35.8%) patients were Grade I, 81(53.6%) patients were Grade II thyroiditis and 16 (10.6%) patients were Grade III thyroiditis. Biochemically, 78 (56.5%) of the cases were hypothyroid, 51 (37%), euthyroid, and 9 (6.5%) were hyperthyroid. Ultrasonography revealed 76 (50.3%) patients with hypoechoic micronodules, 71 (47%) with echogenic septae, 101 (66.9%) with increased vascularity, and 6 (4%) with normal findings. The grades of lymphocytic thyroiditis and the biochemical data were found to be statistically significant (p=0.001). Furthermore, there was a strong correlation between the grades and specific ultrasound findings, such as echogenic septae (p=0.042) and diffuse hypoechogenicity (p=0.046). Conclusion: Cytological scoring system in Hashimoto’s thyroiditis can predict thyroid functional status and aid in determining the severity of the disease.
简介和目的:在后碘化时期,桥本甲状腺炎(HT)最有可能是甲状腺肿和甲状腺功能减退的最常见原因,特别是在育龄妇女中。本研究对细针穿刺细胞学涂片的HT进行分级,并确定其与临床病史、放射学和生化结果相关的甲状腺损伤预测的有效性。材料与方法:151例经细胞学诊断为桥本甲状腺炎/淋巴细胞性甲状腺炎2年以上。细胞学评分技术用于分析涂片,并与放射学、生化结果相关,并通过方差分析和Kruskal Wallis检验进行统计评估。结果:在目前的研究中,患桥本甲状腺炎最常见的人群是40 - 50岁。女性(145例,96%)常见,最常见的表现为弥漫性甲状腺肿大(125例,82.8%)。桥本甲状腺炎的细胞学分级如下:ⅰ级54例(35.8%),ⅱ级81例(53.6%),ⅲ级16例(10.6%)。生化方面,甲状腺功能减退78例(56.5%),甲状腺功能正常51例(37%),甲状腺功能亢进9例(6.5%)。超声检查显示76例(50.3%)为低回声微结节,71例(47%)为回声间隔,101例(66.9%)为血管增强,6例(4%)为正常。淋巴细胞性甲状腺炎分级及生化指标差异有统计学意义(p=0.001)。此外,分级与特定的超声表现有很强的相关性,如回声间隔(p=0.042)和弥漫性低回声(p=0.046)。结论:桥本甲状腺炎的细胞学评分系统可以预测甲状腺功能状态,有助于确定疾病的严重程度。
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引用次数: 0
Prevalence of target organ disease and its relation with HbA1c at the point of detection of type 2 diabetes mellitus – A cross sectional study from a tertiary care hospital in Odisha 2型糖尿病检测时靶器官疾病的患病率及其与HbA1c的关系——来自奥里萨邦一家三级医院的横断面研究
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-11-09 DOI: 10.51248/.v43i5.2915
Manasa Elika, Sobhitendu Kabi, Abhishek Prasad Dash, Samir Sahu, Gopi Kumbha, Vihari Jonnalagadda, Yargarla Bhargav Vamsi Krishna, Kalavakolanu V S R S L Aneesh, Abhik Jain, Tirumalaraju Veneeth Varma
Introduction and Aim: HbA1c is not only a valid indicator of chronic hyperglycaemia but also coincides with the increased risk of diabetic complications in the long term. This study focuses on the prevalence of target organ disease (TOD) and its relation with HbA1c at the point of detecting Type 2 Diabetes Mellitus(T2DM). Materials and Methods: This is a single-centre cross-sectional study done in the Department of General medicine at IMS and SUM Hospital, Odisha, between November 2020 and June 2022, including all newly diagnosed Type-2 Diabetes Mellitus patients aged > 30 years. Besides all the biochemical parameters, the demographic profile was noted in an excel sheet, and later on, using SPSS version 26, the data was analysed categorically. Results: 148 newly diagnosed Type 2 DM patients were enrolled in the study with male predominance (54.72%). The mean age was found as 52.49±9.40 years. There were 29 (19.5%) cases of diabetic retinopathy, 39 (26.3%) diabetic neuropathy, 32(21.6%) diabetic nephropathy and 23(15.54%) left ventricular diastolic dysfunction, with a minimal number of RWMA [7 (4.72%)], Concentric left ventricular hypertrophy [9 (6.08%)] and Ischemic DCM [1(0.67%)] found as complications of newly diagnosed Diabetes mellitus patients. The prevalence of coronary artery disease (CAD) is higher in our study than in other diabetic complications, i.e., 40 (27.02%).A statistically significant (p<0.05) correlation exists between newly diagnosed Diabetes patients with higher HbA1C and serum creatinine, serum urea, microalbuminuria, and positive monofilament test. Conclusion: This study underscores the significance of assessing target organ damage (TOD) prevalence for Type 2 Diabetes Mellitus (T2DM) detection, highlighting the utility of HbA1c testing. HbA1c, a rapid and precise diagnostic tool, holds promise, especially in resource-limited settings, aiding in timely T2DM diagnosis and improved patient care amid the global diabetes epidemic.
简介和目的:HbA1c不仅是慢性高血糖的有效指标,而且在长期内也与糖尿病并发症的风险增加相吻合。本研究旨在探讨2型糖尿病(T2DM)检出点靶器官病变(TOD)的患病率及其与HbA1c的关系。材料和方法:这是一项单中心横断面研究,于2020年11月至2022年6月在奥里萨邦IMS和SUM医院的普通医学系完成,包括所有新诊断的2型糖尿病患者,年龄为55岁。30年。除所有生化参数外,人口统计资料还记录在excel表格中,随后使用SPSS version 26对数据进行分类分析。结果:148例新诊断2型糖尿病患者入组,男性占54.72%。平均年龄为52.49±9.40岁。糖尿病视网膜病变29例(19.5%),糖尿病神经病变39例(26.3%),糖尿病肾病32例(21.6%),左室舒张功能不全23例(15.54%),其中RWMA 7例(4.72%),左室向心性肥厚9例(6.08%),缺血性DCM 1例(0.67%)为新诊断糖尿病患者的并发症。在我们的研究中,冠状动脉疾病(CAD)的患病率高于其他糖尿病并发症,为40(27.02%)。新诊断糖尿病患者HbA1C升高与血清肌酐、血清尿素、微量白蛋白尿、单丝试验阳性存在统计学意义(p<0.05)相关。结论:本研究强调了评估靶器官损伤(TOD)患病率对2型糖尿病(T2DM)检测的重要性,强调了HbA1c检测的实用性。糖化血红蛋白(HbA1c)是一种快速、精确的诊断工具,在全球糖尿病流行的情况下,尤其是在资源有限的情况下,有助于及时诊断T2DM并改善患者护理。
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引用次数: 0
A study on placental expression of neuronal markers in intrauterine growth restriction 宫内生长受限患者胎盘中神经元标记物表达的研究
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-11-09 DOI: 10.51248/.v43i5.2758
Upendhar Reddy Pulluru, Sudhakara Babu Chelli, Venkateshwar Reddy Muchinthala, Sthevaan V., Sai Charitha, Sai Priya Reddy, Govindarajan Sumathy
Introduction and Aim: The restriction of intrauterine growth (IUGR) has a 20% recurrence rate and is one of the leading causes of postnatal illness and death. The diagnosis of intrauterine retardation refers to the infant's increased risk of neurological issues over an extended period, neonatal morbidity, and mortality, and in utero death. Materials and Methods: One hundred placenta samples were collected and divided into cases and controls. Clearance from the ethics committee was taken from the institute prior to the commencement of this study. Exclusion criteria include the patients with multiple pregnancies, unknown gestational age, gestational diabetes, and HIV. The inclusion criteria are the singleton pregnancy, normal and cesarean section, maternal age between 18-35 years and GA between 34 – 41 weeks. Standard immunohistochemistry protocols were followed for the study and glial fibrillary acidic protein (GFAP), neuron specific enolase (NSE) markers were used as neuronal markers. Results: Strong immunoreactivity of glial fibrillary acidic protein and neuron specific enolase was observed in fetal growth restriction placenta indicating perinatal brain damage of neonate. Conclusion: In our study we observed strong positive immunoreactivity of GFAP and NSE in IUGR only. This study suggests that these markers are used to predict brain damage in IUGR neonates.
简介与目的:宫内生长受限(IUGR)复发率为20%,是导致产后疾病和死亡的主要原因之一。宫内发育迟滞的诊断是指婴儿在较长时间内出现神经问题、新生儿发病率和死亡率以及宫内死亡的风险增加。材料与方法:采集胎盘标本100份,分为病例组和对照组。在本研究开始之前,伦理委员会已经从研究所获得了许可。排除标准包括多胎妊娠、未知胎龄、妊娠期糖尿病和HIV患者。纳入标准为单胎妊娠、正常及剖宫产、产妇年龄18-35岁、GA 34 - 41周。采用标准免疫组化方法,采用胶质纤维酸性蛋白(GFAP)、神经元特异性烯醇化酶(NSE)标记物作为神经元标记物。结果:胎儿生长限制性胎盘中胶质原纤维酸性蛋白和神经元特异性烯醇化酶具有较强的免疫反应性,提示新生儿围产期脑损伤。结论:本研究仅在IUGR中观察到GFAP和NSE的强阳性免疫反应性。本研究表明,这些标记物可用于预测IUGR新生儿的脑损伤。
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引用次数: 0
Isolation and characterization of an antibacterial compound Bis-(2-ethylhexyl) phthalate from the fungi Penicillium digitatum 从指状青霉中分离出一种抗菌化合物邻苯二甲酸双-(2-乙基己基)
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-11-09 DOI: 10.51248/.v43i5.3264
Mohammed A. Abd Ali, Asaad O. Darweesh, Muthanna M. Matar
Introduction and Aim: Penicillium is a fungal antibiotic derived from Penicillium notatum. In this study, we aimed to isolate the antibacterial compound Bis-(2-ethylhexyl) phthalate from the fungi Penicillium digitatum, as well as study its antibacterial activity against the the pathogens Escherichia coli,Group B Streptococcus agalactiae, and Staphylococcus aureus. Materials and Methods: The identification of Bis-(2-ethylhexyl) phthalate-containing secondary metabolite was achieved through bioassay-guided chemical analysis of the crude extract. The structure of the compound was identified from UV spectra, IR, and GC-MS spectral data. The antimicrobial activity of Bis-(2-ethylhexyl) phthalate, isolated from the fungus Penicillium digitatum, was determined using standard methods. Results: UV, IR, and GC-MS spectroscopy confirmed the crude extract of fungi Penicillium digitatum to contain the bioactive compounds 1,2-benzenedicarboxylic acid and bis(ethylhexyl) phthalate. The MIC value of the bioactive molecule was also determined to be 32 mg/ml. The P. digitatum ethyl acetate extract showed moderate antibacterial activity against the Gram-negative bacterial isolate Escherichia coli and high activity against the Gram positive pathogens Streptococcus agalactiae and Staphylococcus aureus. Conclusion: The fungi Penicillium digitatum produces the metabolite Bis-(2-ethylhexyl) phthalate, which exhibits antibacterial activity against Gram positive and Gram-negative pathogens and hence could be used in treating infections by these bacterial pathogens.
简介与目的:青霉菌是一种由青霉菌衍生的真菌抗生素。本研究旨在从真菌指状青霉中分离出抗菌化合物邻苯二甲酸双-(2-乙基己基),并研究其对病原菌大肠杆菌、B族无乳链球菌和金黄色葡萄球菌的抑菌活性。材料与方法:采用生物测定法对粗提物进行化学分析,鉴定含邻苯二甲酸二酯(2-乙基己基)次生代谢物。通过紫外光谱、红外光谱和气相色谱-质谱数据对化合物结构进行了鉴定。采用标准方法测定了从真菌指状青霉菌中分离得到的邻苯二甲酸双-(2-乙基己基)酯的抑菌活性。结果:紫外、红外、气相色谱-质谱分析证实,指状青霉粗提物中含有生物活性化合物1,2-苯二甲酸和邻苯二甲酸二(乙基己基)。测定该生物活性分子的MIC值为32 mg/ml。地黄乙酸乙酯提取物对革兰氏阴性菌大肠杆菌具有中等抑菌活性,对革兰氏阳性菌无乳链球菌和金黄色葡萄球菌具有较高的抑菌活性。结论:指状青霉产生的代谢产物双-(2-乙基己基)邻苯二甲酸酯对革兰氏阳性和革兰氏阴性病原菌均有抗菌作用,可用于革兰氏阴性病原菌感染的治疗。
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引用次数: 0
Retrospective study of 69 cases of cerebral cystic echinococcosis in patients admitted to National hospital in Bishkek city, Kyrgyzstan 回顾性分析吉尔吉斯斯坦比什凯克市国立医院收治的69例脑囊性包虫病患者
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-11-09 DOI: 10.51248/.v43i5.3414
Keneshbek Yrysov, Taalaybek Seyitbekov, Nurlan Mamashev, Beksultan Yrysov, Jumabek Tashibekov
Introduction and Aim: Cystic echinococcosis (CE) is a severe, widespread parasitic sickness that continues to be a significant health concern in many countries. The goal of the study was to find out how well ozonized saline solution (O3SS) cleans hydatid cysts to improve the results of neurosurgical treatment for patients with cerebral CE and to make suggestions for preventing the disease. Methods: This study included 69 patients with cerebral CE who were operated in our hospital. The diagnosis was confirmed at the time of the surgery, which allowed us to evaluate the data of computerized tomography in 22 (31.9%) and magnetic resonance imaging in 47 (68.1%) patients of the brain. Results: All 69 examined patients presented with cysts of parasitic origin, which were confirmed intraoperatively. Intact removal of hydatid cysts using the Dowling-Orlando technique was performed in 43 cases (62.3%). The best exposure duration for processing residual cavities in brain echinococcosis utilizing O3SS is 10 minutes. The duration of the follow-up period ranged from 8–18 months. Conclusion: When larvocysts of CE are exposed to 10–15 mg/l of O3SS, the germ cells go through irreversible changes in their ultrastructure that stop them from making new cysts within five minutes.
简介和目的:囊性棘球蚴病(CE)是一种严重的、广泛存在的寄生虫病,在许多国家仍然是一个重大的健康问题。本研究的目的是了解臭氧盐溶液(O3SS)清除包虫囊肿的效果,以提高脑CE患者神经外科治疗的效果,并提出预防该病的建议。方法:本研究纳入69例在我院手术治疗的脑CE患者。该诊断在手术时得到确认,这使我们能够评估22例(31.9%)患者的计算机断层扫描和47例(68.1%)患者的磁共振成像数据。结果:69例患者均出现寄生性囊肿,术中确诊。采用Dowling-Orlando技术完整切除包虫囊肿43例(62.3%)。O3SS处理脑包虫病残留空腔的最佳暴露时间为10分钟。随访时间为8-18个月。结论:在O3SS浓度为10 ~ 15mg /l的条件下,生殖细胞超微结构发生不可逆变化,使其在5分钟内不能形成新的囊肿。
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引用次数: 0
Supraventricular tachycardia due to consumption of excessive energy stimulants 室上性心动过速是由于消耗过多的能量兴奋剂引起的
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-11-09 DOI: 10.51248/.v43i5.2833
Jonnalagadda Vihari, Neerukonda Sriteja, Uppu Pooja, Samir Sahu, Brijeshraj Swain, Roja Tammineni, Annamdevula Vamsi Krishna, Sohom Ghosh, Tanmaya Brahmadarshini Bhuyan
People of all ages are becoming more and more addicted to stimulant medicines and energy drinks for a variety of reasons, including work, sports, and leisure. There are several formulations with different flavors available on the market. Many of these items contain extremely high levels of caffeine as well as a wide range of stimulants that have an array of effects on various body areas. Caffeine use in such excess has been known to produce rhythm disturbances of the heart in healthy people, and when mixed with other stimulants, it can have a range of negative consequences on the way the body functions. Those who use it excessively daily, however, are unaware of the potentially fatal risks linked to these items. We describe a case of a 27-year-young man who presented with new-onset supraventricular tachycardia due to excessive consumption of energy pills that contained high amounts of caffeine. This individual had no significant past medical history and was not a smoker or a regular alcohol drinker.
由于各种各样的原因,包括工作、运动和休闲,各个年龄段的人都越来越沉迷于兴奋剂药物和能量饮料。市场上有几种不同口味的配方。这些饮料中有很多都含有极高含量的咖啡因和各种各样的兴奋剂,这些兴奋剂对身体的各个部位都有一系列的影响。众所周知,过量摄入咖啡因会导致健康人群的心脏节律紊乱,当与其他兴奋剂混合时,它会对身体功能产生一系列负面影响。然而,那些每天过度使用它的人并没有意识到与这些物品相关的潜在致命风险。我们描述了一个27岁的年轻人谁提出了新发室上性心动过速由于过量消耗能量药片,其中含有大量的咖啡因。这个人没有明显的既往病史,也不是吸烟者或经常饮酒者。
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引用次数: 0
Antibacterial activity of Spirulina platensis on some pathogenic bacteria 螺旋藻对几种致病菌的抑菌活性
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-11-09 DOI: 10.51248/.v43i5.3257
Israa N. H. Al-Asady
Introduction and Aim: Spirulina platensis is a planktonic filamentous cyanobacterium composed of discrete cellular units. Three types of Spirulina have garnered significant attention as possible medicinal agents. This study aimed to investigate the antibacterial properties of extract from S. platensis against various bacterial strains. Materials and Methods: The identification of S. platensis was accomplished by employing both microscopic techniques and genetic investigation of phycocyanin using cPCBA genes. PCR was employed to identify mcyE gene, which is responsible for the production of microcystin, a toxin of S. platensis. The antibacterial efficacy of the crude extract was applied against various pathogenic bacteria. The bioactivity compounds were identified by GC-MS spectrophotometry. Results: GC mass analysis established the presence of 11 active compounds (N-Methoxy-N-methyl-acetamide, n-Hexadecanoic acid, ethyl ester, Hexadecanoic acid, Octanoic acid, 2-Ethylhexyl ester, Tridecanoic acid ethyl ester, Tetradecanoic acid, Phytol 2-Hexadecen-1-ol, Tetracosane, and 8-Hexadecen-1-ol) in the methanolic crude extract. At varied doses, the hot methanolic crude extract exhibited antibacterial activity against all bacterial species tested with inhibition zones ranging from 5 to 20 mm. Conclusion: The study findings demonstrates that the crude extract of Spirulina platensis to be a viable source for the synthesis of drugs that could be safely used as antimicrobials against pathogens.
简介与目的:螺旋藻是一种由离散细胞单元组成的浮游丝状蓝藻。有三种类型的螺旋藻作为可能的药物已经引起了人们的极大关注。本研究旨在研究白檀提取物对不同菌株的抑菌作用。材料与方法:采用显微技术和cPCBA基因对藻蓝蛋白进行遗传分析,鉴定了platensis。采用PCR方法鉴定了platensis产微囊藻毒素(microcystin)的mcyE基因。研究了粗提物对多种病原菌的抑菌作用。采用气相色谱-质谱法对活性化合物进行鉴定。结果:GC质谱分析确定甲醇粗提物中存在11种活性化合物(n-甲氧基- n-甲基乙酰胺、正十六酸、乙酯、十六酸、辛酸、2-乙基己酯、三烷酸乙酯、十四酸、叶绿醇2-十六烯-1-醇、四烷和8-十六烯-1-醇)。在不同剂量下,热甲醇粗提物对所有细菌都有抑菌活性,抑菌范围为5 ~ 20 mm。结论:研究结果表明,螺旋藻粗提物可作为制备抗病原菌药物的有效原料。
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引用次数: 0
Association of electrolyte imbalance, coagulopathy, procalcitonin and mortality in patients with SARS-CoV-2 SARS-CoV-2患者电解质失衡、凝血功能障碍、降钙素原与死亡率的关系
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-11-09 DOI: 10.51248/.v43i5.2203
Aleena Varughese, Greeshma B. Kotian, Raghavendra L.S. Hallur, Manjula Shantaram
Introduction and Aim: “SARS-CoV-2” (Severe Acute Respiratory Syndrome Coronavirus -2), a member of the coronavirus family, is the culprit behind COVID-19 (coronavirus disease 2019). We intended to examine the risk factors for infection in patients presenting with corona virus in the emergency department and to report electrolyte disturbance, coagulopathy, procalcitonin, and mortality in COVID-19 patients. The aim was to examine how electrolytes, coagulation parameters, and procalcitonin are associated with mortality in patients with COVID-19. Materials and Methods: Retrospective observational analysis, information on 106 individuals with SARS-CoV-2 infection was gathered, and survivors and non-survivors were further identified. Continuous parametric variables were statistically reported as Mean ±SD. Analysis was done on the relationship between biochemical markers and mortality. Results: Substantially low Sodium (P = 0.09), Potassium (P = 0.01), and Chloride (P = 0.000) levels were identified in ‘severe COVID-19 patients’ with survivors than in non-survivors, although the p-value for chloride was significantly connected with non-survivors. No statistically significant data were reported for Prothrombin Time (PT). In patients in the survival group, there was an elevated International Normalized Ratio (INR) with a 0.05 p-value and a significant correlation (p = 0.04). With a p-value of 0.01 in both survivors and non-survivors, activated partial thromboplastin time (APTT) was marginally elevated dimer values were discovered to be noticeably higher in both survivors and non-survivors, and they were substantially connected with a p-value of 0.05. With a p-value of 0.01 the surviving group was shown to have higher procalcitonin levels. Conclusion: This analysis demonstrates that the extremity of COVID-19 is linked to acid-base imbalance, coagulopathy, and death.
简介和目的:“SARS-CoV-2”(严重急性呼吸综合征冠状病毒-2)是冠状病毒家族的一员,是COVID-19(冠状病毒病2019)的罪魁祸首。本研究旨在检查急诊科冠状病毒患者感染的危险因素,并报告COVID-19患者的电解质紊乱、凝血功能障碍、降钙素原和死亡率。目的是研究电解质、凝血参数和降钙素原与COVID-19患者死亡率的关系。材料与方法:回顾性观察分析,收集106例SARS-CoV-2感染患者的信息,并进一步确定幸存者和非幸存者。连续参数变量以Mean±SD进行统计报告。分析生化指标与死亡率的关系。结果:存活的“严重COVID-19患者”的钠(P = 0.09)、钾(P = 0.01)和氯化物(P = 0.000)水平明显低于非存活者,尽管氯化物的P值与非存活者显著相关。凝血酶原时间(PT)无统计学意义的数据报道。生存组患者的国际标准化比值(INR)升高,p值为0.05,相关性显著(p = 0.04)。幸存者和非幸存者的p值均为0.01,激活的部分凝血活素时间(APTT)略有升高,二聚体值在幸存者和非幸存者中均明显升高,且两者的p值均为0.05。p值为0.01,存活组降钙素原水平较高。结论:该分析表明,COVID-19的四肢与酸碱失衡、凝血功能障碍和死亡有关。
{"title":"Association of electrolyte imbalance, coagulopathy, procalcitonin and mortality in patients with SARS-CoV-2","authors":"Aleena Varughese, Greeshma B. Kotian, Raghavendra L.S. Hallur, Manjula Shantaram","doi":"10.51248/.v43i5.2203","DOIUrl":"https://doi.org/10.51248/.v43i5.2203","url":null,"abstract":"Introduction and Aim: “SARS-CoV-2” (Severe Acute Respiratory Syndrome Coronavirus -2), a member of the coronavirus family, is the culprit behind COVID-19 (coronavirus disease 2019). We intended to examine the risk factors for infection in patients presenting with corona virus in the emergency department and to report electrolyte disturbance, coagulopathy, procalcitonin, and mortality in COVID-19 patients. The aim was to examine how electrolytes, coagulation parameters, and procalcitonin are associated with mortality in patients with COVID-19. Materials and Methods: Retrospective observational analysis, information on 106 individuals with SARS-CoV-2 infection was gathered, and survivors and non-survivors were further identified. Continuous parametric variables were statistically reported as Mean ±SD. Analysis was done on the relationship between biochemical markers and mortality. Results: Substantially low Sodium (P = 0.09), Potassium (P = 0.01), and Chloride (P = 0.000) levels were identified in ‘severe COVID-19 patients’ with survivors than in non-survivors, although the p-value for chloride was significantly connected with non-survivors. No statistically significant data were reported for Prothrombin Time (PT). In patients in the survival group, there was an elevated International Normalized Ratio (INR) with a 0.05 p-value and a significant correlation (p = 0.04). With a p-value of 0.01 in both survivors and non-survivors, activated partial thromboplastin time (APTT) was marginally elevated dimer values were discovered to be noticeably higher in both survivors and non-survivors, and they were substantially connected with a p-value of 0.05. With a p-value of 0.01 the surviving group was shown to have higher procalcitonin levels. Conclusion: This analysis demonstrates that the extremity of COVID-19 is linked to acid-base imbalance, coagulopathy, and death.","PeriodicalId":35655,"journal":{"name":"Biomedicine (India)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135292126","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 foundation block of first year MBBS curriculum in a medical college 某医学院MBBS一年级基础课程的评价
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-11-09 DOI: 10.51248/.v43i5.2981
Venkappa S. Mantur, Sudarshan Reddy C., Arun Kumar, Arun Kowale
Introduction and Aim: The National Medical Council of India (NMC) has updated the undergraduate medical curriculum by establishing "competency based medical education," which focuses on a one-month foundation course. This time is thought to be crucial for students to adjust to their new college surroundings. The purpose of this study was to assess the initial one-month foundation course from the perspectives of students. Materials and Methods: A total of 150 first year MBBS students joining the college in the academic year 2020-21 were included in the study. Therefore, all students’ means universal samples were included in the study. The core curriculum was meticulously organised and carried out in accordance with the National Medical Council of India's recommendations. Students provided feedback using a five-point Likert scale. Before the final study, we conducted a pilot study for assessment of the reliability of the scale by taking convenient samples and reliability coefficient was found to be 0.8769. Overall recommendations were solicited, and the outcomes were analysed using feedback from students. It calculated the percentage of students who responded. The data were analysed by using statistical software i.e., SPSS version 20.00 with simple frequency and percentages. Results: The percentages of students who agreed and strongly agreed on something ranged from 77.14 to 90.92 percent. All the sessions are positive feedback given by students who strongly agree and biosafety, E-learning, language, and biomedical waste management needed improvement in the module. Good collaboration, teamwork, and thorough planning at the interdepartmental and intradepartmental levels, according to the faculty, were vital elements for the course's successful implementation. Conclusion: The foundation course sessions were generally well welcomed by the students. The findings will aid us in improving our foundation programme for the following year to accomplish the goals of the foundation course.
简介和目标:印度国家医学委员会(NMC)通过建立“以能力为基础的医学教育”更新了本科医学课程,该教育侧重于一个月的基础课程。这段时间被认为是学生适应新的大学环境的关键时期。本研究的目的是要从学生的角度来评估最初一个月的基础课程。材料与方法:研究对象为2020-21学年入学的150名MBBS一年级学生。因此,所有学生的均值普遍样本都被纳入研究。核心课程是按照印度国家医学委员会的建议精心组织和实施的。学生们使用李克特五点量表提供反馈。在最终研究之前,我们采用方便样本的方法对量表的信度进行了初步研究,信度系数为0.8769。我们征求了总体建议,并根据学生的反馈对结果进行了分析。它计算了回答的学生的百分比。数据分析采用SPSS 20.00版统计软件,采用简单的频率和百分比。结果:同意和强烈同意的学生比例从77.14%到90.92%不等。所有课程都得到了学生的积极反馈,他们强烈同意该模块需要改进生物安全、电子学习、语言和生物医学废物管理。根据教师的说法,良好的合作、团队合作以及部门间和部门内部的周密规划是课程成功实施的关键因素。结论:基础课程普遍受到学生的欢迎。调查结果将有助于我们改善我们的基础课程,为下一年实现基础课程的目标。
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Biomedicine (India)
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